He aha ka Ethacrynic Acid: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau ikaika ka Ethacrynic acid e kōkua ana i kou kino e hoʻopau i ka wai nui ma o ka hoʻonui ʻana i ka hana mimi. No kekahi pūʻulu i kapa ʻia ʻo loop diuretics kēia lāʻau lapaʻau, e hana pololei ana i kāu mau puʻupaʻa e wehe i ka wai a me ka paʻakai keu mai kou kino ke hoʻokumu nā kūlana e like me ka puʻuwai a i ʻole ka maʻi kīkī i ka wai pōʻino.

He aha ka Ethacrynic Acid?

He lāʻau diuretic ikaika ka Ethacrynic acid e kauoha ai kāu kauka ke paʻa loa ka wai i kou kino. E noʻonoʻo iā ia he kī e wehe ana i ka hiki o kou mau puʻupaʻa e kānana i ka wai a me ka paʻakai keu ma mua o ka maʻamau.

Ua manaʻo ʻia kēia lāʻau lapaʻau kekahi o nā diuretics ikaika loa i loaʻa, ʻo ia hoʻi e hana wikiwiki a ikaika e wehe i ka wai mai kou ʻōnaehana. ʻAʻole like me kekahi mau pila wai mālie, mālama ʻia ka ethacrynic acid no nā kūlana e pono ai ʻoe e wehe i ka wai nui, e like me ka wā e hōʻiliʻili ai ka wai i loko o kou mau māmā, ka ʻōpū, a i ʻole nā wāwae ma muli o nā maʻi olakino koʻikoʻi.

No ke aha e hoʻohana ʻia ai ka Ethacrynic Acid?

Hoʻopaʻa nā kauka i ka ethacrynic acid i ka mea nui e mālama i ka paʻa ʻana o ka wai i hana ʻia e ka puʻuwai, ka maʻi ate, a i ʻole nā pilikia kīkī. Ke hana ʻole kāu puʻuwai, ate, a i ʻole nā kīkī, hiki i ka wai ke kūkulu i nā wahi kahi e pono ʻole ai, e hoʻoulu ana i ka pehu a me nā pilikia hanu.

Kōkua ka lāʻau lapaʻau i ka mālama ʻana i kekahi mau kūlana kikoʻī kahi e lilo ai ka wai i mea pōʻino. Hoʻomohala pinepine nā maʻi puʻuwai i ka wai i loko o ko lākou mau māmā a i ʻole nā wāwae, e paʻakikī ai ka hanu a me ka pehu ʻoluʻolu ʻole. Hiki i nā poʻe me ka cirrhosis ate ke hōʻiliʻili i ka wai i loko o ko lākou ʻōpū, kahi maʻi i kapa ʻia ʻo ascites.

Hiki i kāu kauka ke kuhikuhi i ka ethacrynic acid no ka maʻi kīkī ke ʻaʻole lawa nā diuretics ʻē aʻe. I kekahi manawa, hoʻohana ʻia ia i nā kūlana pilikia kahi e pono ai ka wehe ʻana i ka wai wikiwiki e pale aku i nā pilikia koʻikoʻi e like me ka pilikia o ka hanu ʻana a i ʻole ke kaumaha o ka naʻau.

Pehea e hana ai ka Ethacrynic Acid?

Hana ka ethacrynic acid ma ka pale ʻana i kahi ʻāpana kikoʻī o ka ʻōnaehana kānana o kou kīkī i kapa ʻia ʻo ka loop of Henle. Pale kēia hana ālai i kou mau kīkī mai ka hoʻihoʻi ʻana i ka sodium a me ka chloride, ʻelua mau minerala e kōkua maʻamau i kou kino e paʻa i ka wai.

Ke hiki ʻole ke hoʻihoʻi ʻia kēia mau minerala, e holoi ʻia lākou i loko o kou mimi, a e hahai ka wai iā lākou mai kou kino. Hana ʻia kēia hana me ka wikiwiki, maʻamau i loko o hoʻokahi hola o ka lawe ʻana i ka lāʻau, a hiki ke mau nā hopena no kekahi mau hola.

Manaʻo ʻia kēia lāʻau he ikaika loa i hoʻohālikelike ʻia me nā diuretics ʻē aʻe. ʻOiai e hana mālie nā diuretics thiazide ma kahi ʻāpana ʻokoʻa o ke kīkī, hana ka ethacrynic acid i ka piʻi nui o ka hana mimi, ʻo ia ke kumu e hoʻohana ai nā kauka iā ia no nā pilikia paʻa wai koʻikoʻi.

Pehea e lawe ai au i ka Ethacrynic Acid?

E lawe i ka ethacrynic acid e like me ke kauoha a kāu kauka, maʻamau hoʻokahi a ʻelua paha i ka lā me ka meaʻai e hōʻemi i ka ʻōpū. Hana maikaʻi ka lāʻau lapaʻau ke lawe ʻia me ka ʻai a i ʻole ka ʻai māmā, no ka mea, kōkua kēia i kou kino e komo pono a hōʻemi i nā hopena ʻaoʻao digestive.

Makemake ʻoe e lawe i kāu mau lāʻau i ka lā, ʻoi aku ka maikaʻi i ke kakahiaka a i ʻole ke awakea, e pale aku i ka mimi pinepine i ka pō. Inā ʻoe e lawe ana i ʻelua mau lāʻau i kēlā me kēia lā, e hoʻokaʻawale iā lākou ma kahi o 6 a 8 mau hola, akā e hōʻoia ʻaʻole kokoke loa ka lua o ka lāʻau i ka manawa moe.

E ale mau i nā papa holoʻokoʻa me ke aniani wai piha. Mai ʻoki, nau, a i ʻole e wāwahi i nā papa ke ʻole ke kauoha kūikawā a kāu kauka iā ʻoe e hana pēlā. Inā pilikia ʻoe i ka ale ʻana i nā pila, e kamaʻilio me kāu mea mālama ola e pili ana i nā koho ʻē aʻe.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi mahele haʻahaʻa a e hoʻonui mālie ia ma muli o ke ʻano o ka pane ʻana o kou kino. Mai hoʻololi ʻoe i kāu mahele ma kāu iho, ʻoiai inā manaʻo ʻoe e pono ana ʻoe i ka lāʻau hou aʻe a i ʻole ka liʻiliʻi.

Pehea ka lōʻihi e pono ai au e lawe i ka Ethacrynic Acid?

ʻO ka lōʻihi o ka manawa e lawe ai ʻoe i ka ethacrynic acid e hilinaʻi loa ia i kou maʻi kumu a me ka maikaʻi o kou pane ʻana i ka lāʻau. Pono kekahi poʻe i ia mea no kekahi mau lā wale nō i ka wā o kahi hanana nui o ka paʻa wai, aʻo nā mea ʻē aʻe e pono ai ka lāʻau lōʻihi no nā maʻi maʻi.

Inā ʻoe e lawe ana iā ia no ka maʻi puʻuwai a i ʻole ka maʻi kīkī maʻi, pono paha ʻoe e hoʻomau i ka lāʻau no nā mahina a i ʻole nā makahiki. E nānā kāu kauka i kou holomua ma o nā loiloi maʻamau, nā hoʻokolohua koko, a me nā loiloi o kāu mau hōʻailona e hoʻoholo ai i ka lōʻihi kūpono no kou kūlana.

Mai hooki koke i ka lawe ʻana i ka ethacrynic acid me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hooki ʻana koke ʻana hiki ke hoʻoulu hou i ka wai, e alakaʻi ana i nā pilikia koʻikoʻi e like me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana.

He aha nā hopena ʻaoʻao o Ethacrynic Acid?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka ethacrynic acid ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa i nā mea a pau. ʻO nā hopena ʻaoʻao maʻamau e pili ana i ka hana diuretic ikaika o ka lāʻau a pili pinepine i nā loli i ke kaulike wai a me ka mineral o kou kino.

Eia nā hopena ʻaoʻao āu e ʻike ai, mai ka maʻamau a hiki i ka liʻiliʻi:

• ʻO ka ʻūlū a i ʻole ka māmā, ʻoi loa ke kū koke ʻana
• Nā poʻo a me ka luhi i ka wā e hoʻoponopono ai kou kino i nā loli wai
• Nausea, ka luaʻi, a i ʻole ka ʻoluʻolu o ka ʻōpū
• Hoʻonui i ka mimi a me ka make wai
• Nā ʻiʻo ʻiʻo a i ʻole nāwaliwali ma muli o nā kaulike mineral
• Hoʻololi ka lohe a i ʻole ke kani ʻana i nā pepeiao (tinnitus)

He pinepine ka maikaʻi ʻana o kēia mau hopena maʻamau i ka wā e maʻa ai kou kino i ka lāʻau, akā pono ʻoe e hōʻike mau iā lākou i kāu kauka.

Pono kekahi mau hopena ʻaʻole maʻamau akā ʻoi aku ka koʻikoʻi i ka mālama olakino koke. Aia kēia mau mea i ka ʻūlū nui a i ʻole ka hāʻule ʻana, ka puʻuwai puʻuwai ʻole, nā ʻiʻo ʻiʻo nui, a i ʻole ka nalo ʻana o ka lohe.

I nā manawa kakaʻikahi, hiki i ka ethacrynic acid ke hōʻino i nā puʻupaʻa, ʻoiai inā e maloʻo loa ʻoe. ʻO nā hōʻailona o kēia me ka mimi liʻiliʻi ma mua o ka maʻamau, ka pehu ʻana e ʻoi aku ka maikaʻi ma mua o ka maikaʻi, a i ʻole ka manaʻo ʻana ʻaʻole maikaʻi.

ʻO wai ka mea ʻaʻole pono e lawe i ka Ethacrynic Acid?

ʻAʻole palekana ka ethacrynic acid no nā mea a pau, a e noʻonoʻo pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana. Pono ka poʻe me kekahi mau maʻi a i ʻole nā ​​kūlana e pale i kēia lāʻau a i ʻole e hoʻohana me ka akahele loa.

ʻAʻole pono ʻoe e lawe i ka ethacrynic acid inā ua maloʻo loa ʻoe a i ʻole he haʻahaʻa haʻahaʻa o ka sodium a i ʻole ka potassium i loko o kou koko. Hiki i ka lāʻau lapaʻau ke hoʻonui i kēia mau kūlana a hiki ke hoʻoweliweli i ke ola.

ʻAʻole pono ka poʻe me ka maʻi puʻupaʻa koʻikoʻi ʻaʻole e hana i ka mimi (kahi maʻi i kapa ʻia ʻo anuria) e lawe i kēia lāʻau. Inā ua pau loa kāu mau puʻupaʻa i ka hana ʻana, ʻaʻole e kōkua ka hoʻohui ʻana i ka diuretic a hiki ke hōʻeha.

Eia nā kūlana ʻē aʻe kahi i kūpono ʻole ai ka ethacrynic acid:

• ʻO ka maʻi ate koʻikoʻi me nā pilikia e like me ka hepatic coma
• ʻO nā maʻi maʻi i ka ethacrynic acid a i ʻole nā ​​lāʻau lapaʻau like
• Nā pilikia lohe koʻikoʻi a i ʻole ka mōʻaukala o ka nalo ʻana o ka lohe mai nā lāʻau lapaʻau
• Hāpai a i ʻole ka hānai ʻana (inā pono)
• Nā kaulike electrolyte koʻikoʻi i hoʻoponopono ʻole ʻia

E akahele nō hoʻi kāu kauka i ke kau ʻana i kēia lāʻau inā he maʻi diabetes, gout, lupus, a i ʻole he ʻelemakule ʻoe, no ka mea, hiki i kēia mau kūlana ke hoʻonui i ka pilikia o nā pilikia.

Ethacrynic Acid Brand Names

Loaʻa ka waikawa Ethacrynic ma lalo o ka inoa inoa ʻo Edecrin ma ʻAmelika Hui Pū ʻIa. ʻO kēia ka mana inoa inoa i kauoha pinepine ʻia o ka lāʻau lapaʻau, akā loaʻa paha nā mana generic.

Inā loaʻa iā ʻoe ka inoa inoa a i ʻole ka mana generic, like nō ka mea hana a me ka pono. Hiki i kāu kauka lapaʻau ke haʻi iā ʻoe i ka mana āu e loaʻa nei, a hiki iā ʻoe ke nīnau i kāu kauka inā he hopohopo kāu e pili ana i ka hoʻololi ʻana ma waena o nā ʻano inoa inoa a me nā ʻano generic.

Nā Koho ʻē aʻe o ka Waika Ethacrynic

Inā ʻaʻole kūpono ka waikawa ethacrynic iā ʻoe, hiki i kekahi mau lāʻau diuretic ʻē aʻe ke hana no kou maʻi. Hiki i kāu kauka ke koho mai nā ʻano diuretics like ʻole e pili ana i kāu mau pono kikoʻī a me ke kūlana olakino.

Hana like nā diuretics loop ʻē aʻe e like me furosemide (Lasix) a i ʻole bumetanide (Bumex) me ka waikawa ethacrynic akā loaʻa paha nā hopena ʻokoʻa. ʻO Furosemide ka diuretic loop i kauoha pinepine ʻia a hiki ke hoʻāʻo mua ʻia i nā kūlana he nui.

No ka mālama wai ʻaʻole koʻikoʻi, hiki i kāu kauka ke noʻonoʻo i nā diuretics thiazide e like me hydrochlorothiazide a i ʻole chlorthalidone. Hana mālie kēia mau mea ma mua o nā diuretics loop akā ʻaʻole lawa paha ka ikaika no ka hōʻiliʻili wai koʻikoʻi.

I kekahi manawa hoʻohui nā kauka i nā ʻano diuretics like ʻole a i ʻole hoʻohana iā lākou me nā lāʻau lapaʻau ʻē aʻe e like me ACE inhibitors a i ʻole beta-blockers no nā hopena maikaʻi loa.

ʻOi aku ka maikaʻi o ka Waika Ethacrynic ma mua o Furosemide?

He diuretics loop ikaika ka waikawa Ethacrynic a me furosemide, akā ʻaʻole pono lākou e ʻoi aku ka maikaʻi a i ʻole ka ʻino ma mua o kekahi – he mau mea hana like ʻole lākou no nā kūlana like ʻole. Koho kāu kauka ma waena o lākou e pili ana i kāu mau pono olakino kikoʻī a me ke ʻano o ka pane ʻana o kou kino.

Hoʻonui pinepine ʻia ka furosemide no ka mea ua loaʻa no ka manawa lōʻihi a ʻoi aku ka nui o ka ʻike o nā kauka me ia. ʻO ia ka koho mua no ka hapa nui o ka poʻe e pono ai i kahi diuretic ikaika, a hana maikaʻi ia no ka hapa nui o nā maʻi.

Hiki ke koho ʻia ka waikawa Ethacrynic ke hana ʻole ʻo furosemide, ke hana i nā hopena ʻaoʻao pilikia, a i ʻole ke loaʻa iā ʻoe kekahi mau maʻi maʻi. Ua pane maikaʻi kekahi poʻe i kekahi lāʻau lapaʻau ma mua o kekahi, a hiki i kāu kauka ke hoʻāʻo i nā mea ʻelua e ʻike i ka mea e hana maikaʻi ai iā ʻoe.

He like ka maikaʻi o nā lāʻau lapaʻau ʻelua i ka wehe ʻana i ka wai nui, akā he ʻokoʻa iki paha nā ʻano hopena ʻaoʻao. E noʻonoʻo kāu kauka i nā mea e like me kāu hana ʻana o ka puʻupaʻa, ke kūlana lohe, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei i ke koho ʻana ma waena o lākou.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka waikawa Ethacrynic

He palekana anei ka waikawa Ethacrynic no ka poʻe me ka maʻi puʻupaʻa?

Hiki ke hoʻohana ʻia ka waikawa Ethacrynic i ka poʻe me ka maʻi puʻupaʻa, akā pono ia i ka nānā ʻana a me ka hoʻoponopono ʻana i ka mahele. Pono kāu kauka e nānā mau i kāu hana puʻupaʻa ma o nā hoʻokolohua koko e hōʻoia ʻaʻole e hōʻeha ka lāʻau lapaʻau i ka puʻupaʻa.

Hiki i ka poʻe me ka maʻi puʻupaʻa maʻalahi a maʻalahi paha ke pōmaikaʻi mai ka waikawa ethacrynic ke hana ʻole nā ​​lāʻau lapaʻau ʻē aʻe. Eia naʻe, inā koʻikoʻi kāu maʻi puʻupaʻa a i ʻole ʻaʻole ʻoe e hana i ka mimi, ʻaʻole palekana ka hoʻohana ʻana i kēia lāʻau.

E hoʻomaka kāu kauka me nā mahele haʻahaʻa a hoʻonui mālie iā lākou i ka wā e nānā pono ana i kāu hana puʻupaʻa. E nānā pū lākou i kāu pae electrolyte pinepine no ka mea hiki i ka maʻi puʻupaʻa ke hoʻonui i nā kaulike a ʻoi aku ka weliweli.

He aha kaʻu e hana ai inā lawe hewa au i ka nui o ka waikawa Ethacrynic?

Inā lawe hewa ʻoe i ka nui o ka waikawa ethacrynic ma mua o ka mea i kauoha ʻia, e hoʻokaʻaʻike koke i kāu kauka a i ʻole ke kikowaena mana ʻawaʻawa, ʻoiai inā maikaʻi ʻoe. ʻO ka lawe ʻana i ka nui hiki ke hoʻoulu i ka dehydration koʻikoʻi, nā hāʻule weliweli i ke koko, a me nā kaulike electrolyte koʻikoʻi.

ʻO nā hōʻailona o ka overdose e komo paha i ka wili nui, ka hāʻule ʻana, ka make wai nui, ka mimi liʻiliʻi a ʻaʻole paha, nā ʻeha ʻiʻo, a i ʻole ka huikau. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻimi koke i ka mālama olakino pilikia.

Mai hoʻāʻo e mālama i ka overdose ma ka inu ʻana i ka wai nui a i ʻole ka lawe ʻana i nā lāʻau ʻē aʻe. Pono nā poʻe loea lapaʻau e loiloi i kou kūlana a pono paha e hāʻawi iā ʻoe i nā wai IV a i ʻole nā lāʻau lapaʻau ʻē aʻe e hoʻihoʻi palekana i ke kaulike o kou kino.

He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o ka Ethacrynic Acid?

Inā poina iā ʻoe kahi mahele o ka ethacrynic acid, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka mahele i poina a e hoʻomau me kāu papa manawa maʻamau – mai lawe i ʻelua mahele i ka manawa hoʻokahi.

No ka mea, hoʻonui ka ethacrynic acid i ka mimi, e pale i ka lawe ʻana i kahi mahele i poina i ka hopena o ka lā, no ka mea, hiki i kēia ke hoʻopilikia i kāu hiamoe me nā huakaʻi lumi ʻauʻau pinepine. Inā poina iā ʻoe kahi mahele kakahiaka a ua ahiahi mua, ʻoi aku ka maikaʻi o ke kali ʻana a hiki i ke kakahiaka aʻe.

Inā poina pinepine ʻoe i nā mahele, e kamaʻilio me kāu kauka e pili ana i nā hoʻolālā e kōkua iā ʻoe e hoʻomanaʻo, e like me ka hoʻonohonoho ʻana i nā alarms kelepona a i ʻole ka hoʻohana ʻana i kahi mea hoʻonohonoho pila. He mea nui ka dosing mau no ka mālama pono ʻana i kou kūlana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Ethacrynic Acid?

Pono ʻoe e hooki i ka lawe ʻana i ka ethacrynic acid ke haʻi aku kāu kauka iā ʻoe he palekana ke hana pēlā. Aia ka manawa i kou kūlana kumu a me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau.

Inā ua kauoha ʻia ʻoe i ka ethacrynic acid no kahi kūlana manawa e like me ka hōʻiliʻili wai ma hope o ke ʻoki ʻana, hiki paha iā ʻoe ke hooki i ka wā i hala ai ka wai a ua ola hou kou kino. Eia naʻe, inā he maʻi maʻi kou e like me ka puʻuwai, pono paha ʻoe e hoʻomau i ka lāʻau lapaʻau no ka wā lōʻihi.

E hoʻemi mālie kāu kauka i kāu lāʻau lapaʻau ma mua o ka hoʻōki ʻana koke ʻana, ʻoiai inā ua lawe ʻoe ia no kekahi manawa. Kōkua kēia i ka pale ʻana i ka wai mai ka hōʻiliʻili hou ʻana i ka wikiwiki a hāʻawi i kou kino i ka manawa e hoʻoponopono ai.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka Ethacrynic Acid?

ʻOi aku ka maikaʻi e pale i ka waiʻona a i ʻole e inu i nā mea liʻiliʻi wale nō i ka wā e lawe ana i ka ethacrynic acid. Hiki i ka waiʻona a me kēia lāʻau lapaʻau ke hoʻoulu i ka ʻūlū a me ke koko haʻahaʻa, a ʻo ka hui pū ʻana iā lākou hiki ke hoʻonui i kēia mau hopena.

Hiki nō hoʻi i ka waiʻona ke keakea i ka hiki o kou kino ke mālama i ke kaulike wai kūpono, hiki ke hoʻonui i kou maʻi maʻi a i ʻole e hōʻemi i ka pono o kāu lapaʻau.

Inā koho ʻoe e inu i ka waiʻona i kekahi manawa, e hana me ka mālama nui a e nānā i kou manaʻo. E hoʻomaka me nā mea liʻiliʻi a mai inu i ka waiʻona inā ua ʻūlū a māmā paha ʻoe mai kāu lāʻau lapaʻau.