Ko te tarukino "Torcida": tohutohu mō te whakamahi, whakaahuatanga, hanganga me arotake. "Torcida": tohutohu mō te whakamahi (papa)

I roto i nga tau tata nei, kei te piki timata tākuta hou ki te whakahau ki a ratou tūroro tenei tarukino rite "Torcida". Tohutohu mō te whakamahi ngā anake te raraunga taketake hiahiatia hoki te tangata noa tango i te raau taero, engari he rota i mua i hoko i muri i te rironga o te ngana ki te ako atu mōhiohio e pā ana ki tenei taputapu ranei.

pharmacodynamics

Tenei tarukino Ko te saluretic. Ko reira haepapa mō te urupare inhibition reabsorption tākihi o te konutai me te pūhaumāota katote, e kua kei roto i te wahi e piki o te koropiko a Henle, tohua nei ki te tarukino "torsida" ā-ako.

Pharmacokinetics

Ko te tangata, i muri i whakahaere rō-uaua o te moni hohoro tīmata ki te whakaatu pānga diuretic. I roto i tenei take whanake i te pānga whāiti o te raau taero i roto i te tuatahi 3 haora, me te muri penapena tae noa ki 12 haora. I runga i te whakamārama o tenei tono tikanga diuresis tika ti'aturi i runga i te horopeta, e te tohua hoki ki te tarukino "torsida" ā-ako.

Torasemide tohu o here ki pūmua wē rite tiketike rite 99%, i te mea he hua rawa pai, i metabolites M1, M3 ko M5 e hono aua i 86,95 me 97%. Mōrahi taea whakakorenga hawhe-ora o torasemide me ona metabolites ngā i roto i te hauora ako, mai i toru ki te wha haora, i tāutuhia i roto i te akoranga o te mau tamataraa haumanu.

whakawātea Tapeke o te taonga, ko te pā ana ki 40 ml / min., I te auau whakawātea tākihi ko e pā ana ki 10 ml / min. Metabolite M5 hua kore pānga diuretic, i faaitehia te he huinga o te metabolites kiia M3 me M1 hoki āhua 10% o te mahi pharmacodynamic i runga i te tinana tangata.

Āhuatanga o te tarukino i roto i te iwi ki te tini o nga mate

Ki te whakakitea mai te manawanui täkihi, e kore e pā reira te mahi whānui o te whakawātea me te hawhe-ora o torasemide, i te whakanui ake i te wā mō te metabolites M5 me M3. I te wa ano tino rongoa āhuatanga pharmacodynamic tuatahi, engari te roanga o te mahi tarukino täkihi kahore pānga hoki he, ahakoa o te pakeke o te mate.

I roto i aua tūroro e ite i ate pōrearea, i ranei kore ngakau, nui haere e rave rahi taime metabolite excretion o torasemide me M5, tohua nei ki te tarukino "Torcida" ā-ako.

Ko tata rawa hāngai ki te nui e kitea i roto i tūao hauora, i roto i te hononga ki e kore ia ia torasemide me ona metabolites e cumulate te nui o te taonga i roto i te putanga mimi.

iteraa papû

I roto i te nuinga o te wā, i homai pai raau kaha e rata i roto i te maimoatanga o ngā exudates edema ranei puta i roto i te hononga ki te kore te ngakau. Me kï reira e ki te tarukino "Torcida" tohutohu mō te whakamahi (papa) tohu e te whakaritea ai, ki te tika, te therapy paerewa.

contraindications

He ētahi wā i roto i nei te whakamahi o tenei tarukino ko te tūtohutia-kore rāhuitia mea rawa ranei. Kōrero mai piri ratou ki te tarukino "Torcida" tohutohu mō te whakamahi (papa - whakaaro he puka), ko te ki te whakarato i etahi taketake:

• te aroaro o te tūroro ki te matua hypotension;
• tūtohutanga nui ki ngā matū pŭpŭ tauturu kaha ranei, me te tahi atu sulfonylureas;
• kahore tūtohutia hoki tūroro mate i te kore tākihi ki anuria;
• ki ngā mahi ate nui;
• momo katoa o maumaui o pūnaha toenga wai-kawehiko;
• kauti;
• ki te te te mamae i te manawanui i disorders kino i roto i te pūnaha mimi;
• momo katoa o maumaui o te pūnaha tohu tiketike conductive o te ngakau;
• huringa pathological i roto i te pikitia whānui o te toto, me te waikawa-turanga tūnga o te tangata;
• raruraru i roto i te mahi o nga whatukuhu meinga e pāpaka nephrotoxic o ngā matū.

I roto i te tahi atu mea, e kore e tūtohu ana ki te whakamahi i tenei taputapu mō wahine e noho i roto i te wā o te hapū hohipera ranei.

Pehea te whakamahia i te reira?

Ki te kei te whakamahi koe i te puka wai, kia whakahaerea e pâmuhia me āta anake te kaihoko, rite kitea e te tarukino "Torcida" ako ā-ringa. Ko te utu o te taputapu (i rima rau moni) ko te tika wātea, me te reira te nuinga o te iwi i reira kia kia kore raruraru i roto i te tikanga ki te tika ū ki te tohu mo tona whakamahi.

Initial horopeta kotahi ko e pā ana ki te 10 mg ia ra, i.e. 2 ml o tenei faaineineraa. Ki te kahore he painga iti haumanu, ka taea te nui haere te horopeta rua. Otiia ki te kahore e taea ki te whakatutuki i te kakama tika, ka taea te nui haere ara rua te horopeta, engari kia muri mo te mōrahi o nga ra e toru te maimoatanga.

edema pūkahukahu whakapeka

A, no te whakamahi i tenei kaihoko fakamo'ui edema pūkahukahu whakapeka, te horopeta tīmata he 20 mg, i runga i te pikitia haumanu katoa o tenei horopeta rānei kia whakahaerea ai hawhe katoa haora. Me kï reira e i roto i taua maimoatanga e kore e nui ake te horopeta katoa 100 milligrams ia torsemide ra.

Hoki tūtohutia maimoatanga whai-ake te rite te tikanga mo te neke atu i te wiki, e tohu ana hoki ki te tarukino taea te whakamahi "Torcida" tohutohu mō te whakamahi ki te whakawhiti ki te whakahaere-waha rite kore rō-uaua kia whakamahia. He wātea ki maha Price (arotake whakaū reira) rite te papa, me te taonga wai, na te akoranga tonu o te maimoatanga uaua ai tetahi uaua. I roto i tetahi take, e kore e nui ake te taea horopeta rā mōrahi 100 mg.

kore ate

I roto i te take o te tikanga o te tūroro ki te waimaero ate Me ki te whakamahi i te reira ki te tūpato mōrahi, pera i roto i tenei take i reira ko te mōrea o nui haere nohanga o torasemide i te hanganga o te wē toto. Kei te kï hoki, motuhake ki te tarukino "torsida" (10 mg) i roto i te buka haapiiraa ako (papa faaineineraa puka wai ranei - iti).

kaumātua

Hoki te maimoatanga o enei tūroro e kore e whakarato i tētahi huarahi takitahi i roto i te kōwhiringa horopeta. E tano ia tapao i te meka e kore te kore rangahau haumanu nui i runga i te whakarite o nga ngā tukanga o te maimoatanga iwi taitamariki, me te ruhiruhia kawea ki waho, a reira ko reira tonu pai ki te kōrero atu ki te tākuta mua-tohu.

He otinga mō te werohia kia āta whakahaere pâmuhia, a ko te kupu ko te reira i roto i tetahi take e kore intraarterially e whakanui ana motuhake ki te tarukino "torsida" tohutohu mō te whakamahi (ampoules).

pānga taha

E tano ia tapao i te meka e kia pā i te tauhohe kino te akoranga o te ngā whēkau, kia ka ia take e whakaaro motuhake:

• pūnaha Cardiovascular. I roto i tenei take, i te tango i te raau taero e taea e hakari disorders ngā o te pauna inu, me te kawehiko, i roto i ētahi wā onge nui haere hoki alkalosis pūkoro. I tua atu, i roto i etahi kāwai o tūroro whakawhanake whakama, Thrombosis, hypotension, ischemia kaka, me te cardiac, whakapeka infarction myocardial, angina, me te syncope.
• Ko te pūnaha io. I roto i te wā onge, ina koa i te wā wawe o te maimoatanga, i reira kia kia ānini, rohirohi nui, whanoke, me cramps uaua.
• Te pūnaha kūnatu. I roto i te wā onge, kia disorders hakari o te pūnaha kūnatu i roto i te tukanga o te pehea, ki te tono i te rongoa "Torcida". Tohutohu mō te whakamahi tuhipoka te pānga taha e whai ake: whakapairuaki, kore o te hiahia, ruaki, korere, puku mamae. Kia hoki kia te reira hakari taumata rawa nui o whākōkī ate.
• Ko te pūnaha mimi. Tūroro e ite i ngā raruraru i roto i te pūnaha urination, i reira te mea he urination tika kaha, pae hopea i taea e arahi ki te whakaroa me te totoro kaha rawa te tōngāmimi. I roto i te wā onge, kia tapaea reira tere teeraa o creatinine me te tiomimi i roto i te toto.
• Pākia. I roto i te wā onge, tuhia tūroro hua i roto i te taumata whānui o mua, lipids me kūhuka i roto i te toto.
• pūnaha toto. I roto i te wā tino onge, heke te tapeke o erythrocytes, leukocytes me platelets.
• Ko te pūnaha ārai mate. I roto i te wā onge, he hikaka, photosensitivity, pruritus. Na roto i te tarukino "torsida" (werohanga) tohutohu mō te whakamahi tohu e i roto i ētahi wā i muri i whakahaere rō-uaua kia timata ki te whakawhanake i ngā tauhohenga hypersensitivity whakapeka, ai te manawanui maximally kia whakaratohia āwhina nohopuku. I roto i etahi wā, kia wheako koe tauhohe kiri nui.

Ki te kōrero tatou e pā ana ki te pānga iti nui, te paraesthesia onge, me te mangai maroke. I tua atu, kia utua tokanga makehe ki te meka i roto i te wā tino onge i roto i te tangata i reira he etahi waimaero ataata, me te te putanga o tinnitus, ranei oti mate o rongo.

tuwhena rawa

tohu angamaheni i roto i te wā o te tuwhena rawa tarukino i te unknown kau. Manual tohu e i roto i te hui o te tuwhena rawa kia hakari diuresis feunga kaha, me te mōrea o te mate nui o electrolytes me te wai, te momoe me te syndrome amential. I roto i te tahi atu mea, tupu he tuwhena rawa kore Cardiovascular, hypotension me disorders ngā i roto i te wahi kūnatu.

Me pēhea te ki te hamani?

kore kua Tetahi raau motuhake mo te momeniti i whakakitea. I roto i te nuinga o te wā, nga tohu hua i haurangi, ngaro rawa i muri i inenga whakaiti oti whakakorenga o te whakamahi o tenei tarukino ranei, a ki te ka te whakaratohia electrolytes whakakīkī anō e tika ana, me fluids, kia e kia kawea i roto i raro i ngā āhuatanga o te mana mōrahi. Ko Torasemide i kore ara ahu i te toto i te tātari toto.

Ko te kōrero taketake e pā ana ki te "Torcida" teuteu (tohutohu mō te whakamahi, utu, arotake) tenei. Analogs o te taputapu ( "Britomal", "Sutrilneo") i roto i te nuinga o te wā rerekē rite mahi me te taha pānga, engari ko te reira i te tikanga e rata maha whakaritea rite tetahi o te whai hua tino i roto i tona rōpū.