Cov tshuaj hydrochlorothiazide: cov lus qhia rau kev siv

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Hydrochlorothiazide yuav pab kom paub txog kev ua haujlwm ntawm lub cev tsis ua haujlwm tsis zoo. Cov tshuaj muaj cov txiaj ntsig zoo ntawm kev siab, thiab tseem yuav pab kho lub raum pob zeb thiab lwm yam teeb meem.

Lub Npe Tsis Yog Neeg Tsis Muaj Npe

Lub npe nyob rau hauv Latin yog Hydrochlorothiazide.

Raws li cov npe thoob ntiaj teb tsis muaj thiab cov npe hauv kev ua lag luam, cov tshuaj hu ua hydrochlorothiazide.

Hydrochlorothiazide yuav pab kom paub txog kev ua haujlwm ntawm lub cev tsis ua haujlwm tsis zoo.

Ath

Qhov ATX code yog C03AA03.

Tso cov ntawv thiab cov nyob ua ke

Hauv cov ntsiav tshuaj, cov tshuaj nquag muaj tam sim no nyob rau hauv daim ntawv ntawm hydrochlorothiazide. Tus nqi ntawm cov khoom sib tov yog 25 mg lossis 100 mg. Cov khoom xyaw pabcuam yog:

  • pob kws nplej siab;
  • cellulose;
  • lactose monohydrate;
  • magnesium stearate;
  • povidone.

Mechanism ntawm kev ua

Cov chaw muag tshuaj ntawm cov tshuaj yog thiazide diuretics. Cuab tam muaj cov yeeb yam nram qab no:

  • lowers siab (hypotensive nyhuv);
  • tshem tawm cov magnesium thiab potassium ions hauv lub cev;
  • ntxiab calcium ions;
  • cuam ​​tshuam los ntawm kev rov ua haujlwm ntawm chlorine thiab sodium.

Cov tshuaj hydrochlorothiazide txo qis ntshav siab.

Qhov kev nthuav qhia ntawm cov cuab yeej diuretic tshwm sim tom qab 2 teev.

Cov Tshuaj Pharmacokinetics

Cov tshuaj muaj cov yam ntxwv li nram no:

  • nce mus txog qhov kev xav siab tshaj tom qab 1.5-3 teev;
  • metabolized hauv lub siab;
  • tawm hauv cov zis hauv qhov ntau npaum 50-70%;
  • khi rau cov nqaijrog (40-70%);
  • accumulates nyob rau hauv cov ntshav liab.

Dab tsi yog xaj tshuaj

Cov tshuaj yog npaj rau kev kho mob ntawm cov neeg mob nrog cov cim hauv qab no:

  • edematous syndrome ntawm ntau lub hauv paus pib, suav nrog vim yog mob plawv tsis zoo;
  • arterial kub siab;
  • ntshav qab zib hom insipidus.

Cov Yuav Tsum Muaj

Nws tsis yog qhov teeb meem nyob rau hauv muaj cov pathologies thiab contraindications:

  • mob ntshav qab zib, yam ntxwv dhau los ntawm theem hnyav ntawm kev txhim kho;
  • hypersensitivity rau cov tshuaj los ntawm pawg sulfonamide;
  • daim siab ua haujlwm;
  • Addison tus kab mob;
  • gout hnyav zuj zus;
  • mob raum tsis ua haujlwm (nrog rau kev hloov pauv hauv lub raum kev ua haujlwm).
Tsis txhob siv hydrochlorothiazide rau daim siab ua haujlwm.
Tsis txhob xaj tshuaj hydrochlorothiazide rau gout.
Hydrochlorothiazide yog contraindicated hauv kev mob tsis ua haujlwm hauv lub raum.

Nrog saib xyuas

Lub xub ntiag ntawm cov xwm txheej hauv qab no thiab cov xwm txheej yuav tsum ua tib zoo sau ntawv tshuaj:

  • kev mob plawv hauv lub plawv;
  • cirrhosis ntawm daim siab;
  • hypokalemia;
  • mob gout
  • kev siv cov tshuaj cuam tshuam rau cov plawv glycosides;
  • cov tshuaj sodium qis (hyponatremia);
  • kom muaj kev ntau ntxiv ntawm calcium (hypercalcemia).

Yuav noj li cas tshuaj hydrochlorothiazide

Txhawm rau pib kho, nco ntsoov sab laj nrog kws kho mob thiab tau txais lus pom zoo. Cov txheej txheem ntawm kev siv cov tshuaj yog tawm ntawm tus kheej.

Cov yam ntxwv sib xws ntawm kev noj cov tshuaj muaj raws li nram no:

  • koob tshuaj txhua hnub - 25-100 mg;
  • ib tus nqi ntawm cov tshuaj yog 25-50 mg.

Cov koob tshuaj txhua hnub ntawm hydrochlorothiazide yog 25-100 mg

Cov zaus ntawm kev siv cov tshuaj yuav nyob ntawm qhov kev tawm tsam ntawm tus neeg mob lub cev thiab tus kab mob uas twb muaj lawm.

Nrog ntshav qab zib

Txais tos ntawm hydrochlorothiazide yog nqa tawm raws li cov lus pom zoo ntawm tus kws tshaj lij.

Thaum kho, tus neeg mob yuav tsum nyob hauv kev saib xyuas ntawm tus kws kho mob.

Sab sij huam

Kev kho mob txoj hnyuv

Cov kev mob tshwm sim los ntawm cov tshwm sim ntawm cov tsos mob no:

  • zawv plab
  • ntuav
  • xeev siab

Tsis tshua muaj tshwm sim, kev mob pancreatitis tshwm sim - kev puas tsuaj ntawm lub pancreatic ntaub so ntswg.

Hematopoietic plab hnyuv siab raum

Ntawm ib feem ntawm cov ntshav hematopoietic plab hnyuv siab raum thiab hemostasis hauv cov xwm txheej tsis tshua muaj tshwm sim, lub cev kev xav hauv qab no los mus noj cov tshuaj tshwm sim:

  • txo qhov siab ntawm granulocytes;
  • txo hauv cov platelet suav hauv cov ntshav.

Ib qho tshuaj tiv thaiv thaum noj hydrochlorothiazide tej zaum yuav txo tau cov platelets hauv cov ntshav.

Nruab nrab hauv lub paj hlwb

Tus neeg mob muaj cov cim zoo sib xws:

  • tsawg tus neeg saib xyuas qis;
  • qaug zog thiab qaug zog;
  • kiv taub hau.

Ntawm ib feem ntawm cov plab hnyuv siab raum ntawm lub zeem muag

Muaj qee zaus, qhov zoo ntawm kev pom kev tsis pom kev hauv cov neeg mob.

Los ntawm cov hlab plawv system

Feem ntau ntawm cov xwm txheej, cov cim no tshwm sim:

  • nce lub plawv dhia;
  • hypotension ntawm orthostatic hom;
  • lub siab ua ntxhov.

Thaum siv hydrochlorothiazide, tej zaum muaj kev ua txhaum ntawm lub plawv mob.

Endocrine system

Yog tias muaj kev cuam tshuam rau cov tshuaj endocrine, tom qab ntawd qib ntawm cov poov tshuaj hauv cov ntshav nce siab.

Kev ua xua

Manifestations tsawg. Feem ntau, cov neeg mob ua xua pob khaus.

Cov lus qhia tshwj xeeb

Cawv tau zoo

Nws yog txwv tsis pub noj tshuaj thiab cov khoom muaj dej caw tib lub sijhawm.

Cuam tshuam rau lub peev xwm los tswj cov tshuab

Cov tshuaj tuaj yeem tuaj yeem ua rau txo qis hauv kev xav, uas yuav cuam tshuam tsis zoo rau kev tswj hwm thauj.

Siv thaum cev xeeb tub thiab lactation

Hauv lub sijhawm ntawm kev xeeb menyuam, kev kho tsuas yog tsuas rau kev noj qab haus huv, vim hais tias muaj kev pheej hmoo rau tus menyuam hauv plab. Thaum pub mis niam, nws tsis pom zoo kom siv cov tshuaj vim tias kev sib daj sib deev ntawm cov tshuaj nquag rau hauv mis.

Thaum pub niam mis, nws tsis pom zoo kom noj hydrochlorothiazide.

Kev tswj hwm ntawm hydrochlorothiazide hauv cov menyuam yaus

Cov tshuaj yog tshuaj noj rau hauv tus account lub cev hnyav - 1-2 mg rau 1 kg. Txhawm rau kho cov menyuam yaus hnub nyoog qis dua 2 xyoos, kev siv tshuaj tsis yog siv.

Siv rau lub sijhawm qub

Cov neeg laus xaiv cov koob tshuaj qis dua.

Daim ntawv thov rau lub raum khiav tsis zoo

Nws yog ib qho tsim nyog los tswj creatinine kev tshem tawm thiab ntshav electrolyte ntau. Kev ua tsis zoo rau lub raum muaj nuj nqi yog qhov cuam tshuam rau kev noj cov tshuaj.

Siv rau lub siab ua haujlwm tsis zoo

Nws yog txwv tsis pub noj tshuaj nyob rau hauv qhov muaj qhov ua haujlwm ntawm daim siab ua haujlwm, nrog rau kev ua haujlwm tsis tiav.

Noj ntau dhau

Overdose yog nrog cov tsos ntawm cov tsos mob:

  • qhov ncauj qhuav
  • cov zis txhua hnub tsawg dua;
  • cem quav
  • nkees
  • arrhythmias.

Kev overdose ntawm hydrochlorothiazide yog nrog los ntawm qhov pom ntawm cov tsos mob ntawm arrhythmia.

Kev cuam tshuam nrog lwm yam tshuaj

Cov nram qab no yog muaj:

  • cov txiaj ntsig ntawm cov kab mob hypoglycemic txo qis dua;
  • rhiab siab rau tubocurarine nce;
  • nce neurotoxicity ntawm salicylates;
  • qhov ntxim nyiam ntawm kev txhim kho hypokalemia vim corticosteroids ntau zog;
  • qhov ua tau zoo ntawm hydrochlorothiazide txo qis thaum siv cholestyramine;
  • cov nyhuv hypotensive yog txo qis thaum siv cov tshuaj tsis muaj tshuaj steroidal, suav nrog indomethacin;
  • cov nyhuv diuretic yog nce ntxiv vim qhov kev siv tshuaj NSAIDs, kev tiv thaiv tsis ncaj thiab tsis muaj qhov cuam tshuam.

Cov tshuaj hauv qab no tuaj yeem txhim kho hypotensive nyhuv ntawm hydrochlorothiazide:

  • Diazepam;
  • tricyclic cov tshuaj tiv thaiv kab mob;
  • beta-blockers;
  • barbiturates;
  • vasodilators.

Noj hydrochlorothiazide txo cov kev ua haujlwm ntawm cov kab mob hypoglycemic.

Analogs

Cov tshuaj hauv qab no muaj cov txiaj ntsig zoo ib yam:

  • Hypothiazide;
  • Britomar;
  • Furosemide;
  • Ramipril;
  • Captopril;
  • Trifas;
  • Enalapril;
  • Valsartan;
  • Indapamide;
  • Torasemide;
  • Veroshpiron;
  • Pob;
  • Ntshav Siab;
  • Bufenox.

Hypothiazide kho mob tawgNyob zoo! Cov tshuaj noj thiab lub hnub. Furosemide. (07.14.2017)Kapoten thiab Captopril - cov tshuaj noj rau lub siab thiab lub plawv tsis ua haujlwmSai txog cov tshuaj. EnalaprilSai txog cov tshuaj. Valsartan

Cov ntsiab lus ntawm lub tsev muag tshuaj tawm

Xav tau cov tshuaj uas tau sau ua los ntawm kws kho mob ua lus Latin.

Kuv tuaj yeem yuav yam tsis tas yuav tshuaj

Cov tshuaj yog faib tawm nruj raws li cov ntawv sau tshuaj.

Nqe rau hydrochlorothiazide

Tus nqi ntawm cov tshuaj yog li ntawm 60 txog 280 rubles.

Cia rau cov neeg mob rau cov tshuaj

Cov khoom lag luam yuav tsum tsis txhob nyob hauv cov chaw uas cov menyuam yaus muaj. Cov tshuaj yuav tsum tau txais kev tiv thaiv los ntawm kis tus cwj pwm kub thiab lub hnub.

Hydrochlorothiazide yuav tsum tsis txhob nyob hauv tej qhov chaw uas menyuam yaus muaj kev nkag mus.

Hnub tas sij hawm

Cov tshuaj yog haum rau 5 xyoos txij li hnub tso tawm qhia ntawm pob. Nws yog txwv tsis pub siv cov tshuaj nrog lub neej tso tseg.

Chaw tsim tshuaj paus

Cov tshuaj yog tsim los ntawm cov tuam txhab hauv qab no:

  • LECFARM;
  • Borschagovsky Tshuaj-Tshuaj Tsob Nroj;
  • Valenta Cov Tshuaj Kho Mob.

Cov Kev Ntsuam Xyuas Hydrochlorothiazide

Cov kws kho mob

Sergey Olegovich, kws kho plawv

Qhov peculiarity ntawm hydrochlorothiazide yog txuam nrog kev sib txuam thiab mob sib khuav, vim qhov ntawd cov neeg mob tsis tshua muaj kev phiv tshuaj. Cov tshuaj yuav siv tau rau hauv monotherapy lossis ua ib feem ntawm txoj kev sib txuam, uas nyob ntawm tus neeg mob tus mob thiab qhov xwm txheej ntawm kev ua txhaum cai tam sim no.

Viktor Konstantinovich, kws kho mob dav dav

Cov khoom lag luam yog cov khoom nruab nrab. Cov tshuaj yog cov muaj txiaj ntsig nyob ib puag ncig edema thiab mob ntshav siab. Txawm li cas los xij, koj yuav tsum siv cov tshuaj nrog ceev faj thaum muaj ntshav qab zib, uas cuam tshuam nrog kev noj tshuaj kom txo qis qab zib.

Cov tshuaj hydrochlorothiazide muaj qhov tshwm sim zoo ntawm lub siab.

Cov neeg mob

Larisa, 47 xyoo, Syktyvkar

Hloov chaw siv cov hydrochlorothiazide, nws tau siv tshuaj yaj yeeb kim. Nws tau pab, tab sis kuv tsis hnov ​​zoo li pheej niaj hnub siv nyiaj ntau los kho mob. Kuv tau mus rau tus kws kho mob, kho cov tshuaj hydrochlorothiazide ntsiav tshuaj. Lub cev zam lub sijhawm hloov cov tshuaj kom zoo, thiab thaum kho nws tsis muaj tsos mob dab tsi ntxiv.

Margarita, 41 xyoo, Yekaterinburg

Nws tus txiv tau sau tshuaj ntsiav hydrochlorothiazide. Qhov tseeb yog tias tus txij nkawm pib mob raum. Thaum lub sijhawm kuaj mob, lawv pom ib lub pob zeb hauv lub cev, yog li lawv tau sau cov nyiaj los kho. Thaum sawv ntxov, tus txiv sawv nrog edema vim yog cov tshuaj no, yog li tus kws kho mob tau hais tias kom noj 1 lub tshuaj ntawm hydrochlorothiazide. Tus mob zoo dua tom qab 2 hnub, o tuaj txo.

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