Amiloride iyo Hydrochlorothiazide

Qanacsan

• Kahor qaadashada amiloride iyo hydrochlorothiazide,
• Amiloride iyo hydrochlorothiazide waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama raadso daaweyn caafimaad oo degdeg ah:

Isku darka amiloride iyo hydrochlorothiazide waxaa loo isticmaalaa kaligiis ama lagu daweeyaa daawooyin kale si loo daaweeyo dhiig karka iyo wadnaha oo istaaga bukaanka qaba caddad yar oo kaalshiyam ah oo ku jira jirkooda ama kuwa heerarka hoose ee jirka ay khatar ku noqon karaan. Amiloride iyo hydrochlorothiazide waxay ku jiraan fasal dawooyin ah oo loo yaqaan 'diuretics' ('kaniiniyada biyaha'). Waxay ku shaqeeyaan iyagoo kalyaha keenaya inay biyaha iyo cusbada jidhka uga baxdaan kaadida.

Dhiig karka waa xaalad caadi ah oo marka aan la daweynin, wuxuu dhaawac u geysan karaa maskaxda, wadnaha, xididdada dhiigga, kilyaha iyo qeybaha kale ee jirka. Dhaawaca xubnahan waxay sababi karaan wadno xanuun, wadno istaag, wadnaha oo istaaga, istaroog, howlgab kilyaha, araga oo luma, iyo dhibaatooyin kale. Qaadashada daawada ka sokoow, sameynta isbeddelka hab-nololeedka waxay sidoo kale kaa caawin doontaa inaad xakameyso cadaadiska dhiiggaaga. Isbeddeladan waxaa ka mid ah cunista cunto dufan iyo milix ku yar tahay, joogteynta culeys caafimaad leh, jimicsi ugu yaraan 30 daqiiqo inta badan maalmaha, sigaar cabidda, iyo isticmaalka qamriga oo dhexdhexaad ah.

Isku darka amiloride iyo hydrochlorothiazide wuxuu u yimaadaa kiniin ahaan afka laga qaato. Badanaa waxaa la qaataa hal mar maalintii subaxdii iyadoo la raacayo cunto. Si lagaaga caawiyo inaad xasuusato inaad qaadato amiloride iyo hydrochlorothiazide, qaado qiyaastii isku wakhti maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado amiloride iyo hydrochlorothiazide sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Daawadani waxay xakameysaa dhiig karka iyo wadnaha oo istaaga laakiin ma daaweyso xaaladahaan. Sii wad inaad qaadato amiloride iyo hydrochlorothiazide xitaa haddii aad caafimaad dareento. Ha u joojin qaadashada amiloride iyo hydrochlorothiazide adigoon la hadlin dhakhtarkaaga.

Daawadan ayaa mararka qaarkood loo qoraa isticmaalka kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada amiloride iyo hydrochlorothiazide,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay amiloride, hydrochlorothiazide, sulfonamide oo ay ku jiraan dawooyin, dawooyin kale oo kasta, ama mid ka mid ah maaddooyinka ku jira amiloride iyo kiniiniyada hydrochlorothiazide. Weydii farmashiistahaaga ama ka hubi macluumaadka bukaanka liiska waxyaabaha ay ka kooban yihiin.
• ha u qaadan amiloride iyo hydrochlorothiazide haddii aad qaadanaysid spironolactone (Aldactone, in Aldactazide), daawooyinka kale ee ay ku jiraan triamterene, ama kaabisyada dheellitiran ama daawooyinka ku jira kaalshiyamka.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: daawadayaasha loo yaqaan 'angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril (Capoten), fosinopril, lisinopril (Prinzide, Zestoretic), moexipril (Univasc, in Uniretic) , perindopril (Aceon), quinapril (Accupril, in Accuretic), ramipril (Altace), iyo trandolapril (Mavik, in Tarka); angiotensin II receagon antagonists (ARB) sida azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, in Atacand HCT), eprosartan (Teveten, Teveten HCT), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT), telmisartan (Micardis, Micardis HCT), iyo valsartan (Diovan, Diovan HCT, Exforge); barbiturates sida phenobarbital iyo secobarbital (Seconal); corticosteroids sida betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, kuwa kale), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol), prednlone (Rayos), iyo triamcinolone (Aristocort, Azmacort); corticotropin (ACTH H.P., Acthar Gel); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); insulin iyo dawooyinka afka laga qaato ee sonkorowga; lithium (Lithobid); daawooyinka dhiig karka; ama daawooyinka nonsteroidal anti-inflammatory (NSAIDs) sida ibuprofen (Advil, Motrin, kuwa kale), indomethacin (Indocin), iyo naproxen (Aleve, Naprosyn, kuwa kale); ama tacrolimus (Astagraf XL, Prograf). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• haddii aad qaadanaysid cholestyramine ama colestipol, u qaado 1 saac ka hor ama 4 saacadood ka dib qaadashada amiloride iyo hydrochlorothiazide.
• u sheeg dhakhtarkaaga haddii aad qabto cudur kelyaha ah. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan amiloride iyo hydrochlorothiazide.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid sonkorow, gout, ama cudur beerka ah.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanayso amiloride iyo hydrochlorothiazide, wac dhakhtarkaaga isla markiiba.
• haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso amiloride iyo hydrochlorothiazide.
• waa inaad ogaataa in amiloride iyo hydrochlorothiazide ay sababi karaan dawakhaad, madax-wareer, iyo miyir beel markii aad dhaqso uga kacdid jiifka. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo qaadashada amiloride iyo hydrochlorothiazide. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin. Aalkoladu waxay ku dari kartaa waxyeeladaan.

Haddii dhakhtarkaagu kuu qoro cusbo yar ama soodhiyam hooseeya, ama inuu cuno ama cabbo xaddi badan oo cuntooyin ay ku badan tahay macdanta potassium (tusaale, muuska, bur, sabiib, iyo casiirka liinta) ee cuntadaada, si taxaddar leh u raac tilmaamahan.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Amiloride iyo hydrochlorothiazide waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• calool xanuun
• shuban
• cunto xumo
• calool xanuun
• gaaska
• madax xanuun

Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama raadso daaweyn caafimaad oo degdeg ah:

• afka qalalan; harraad; lallabbo matagid; daciifnimo, daal; lulmo; degganaansho la’aan; jahwareer; daciifnimada muruqyada, xanuunka, ama casiraadyada; garaaca wadnaha oo dhakhso ah iyo calaamadaha kale ee fuuqbaxa iyo isu dheelitir la'aanta elektroolka
• garaaca wadnaha oo gaabis ah ama aan caadi ahayn
• dhiigbax ama nabar aan caadi ahayn
• hurdi maqaarka ama indhaha
• finan
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, oo ka fog carruurta. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Cadaadiska dhiiggaaga waa in si joogto ah loo hubiyaa, iyo baaritaannada dhiigga waa in marmar la sameeyaa.

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso amiloride iyo hydrochlorothiazide.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Hydro-ride^®¶
• Moduretic^®¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.