He aha ka Torsemide: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau wai ikaika ka Torsemide (diuretic) e kōkua ana i kou mau puʻupaʻa e wehe i ka wai nui mai kou kino ma o ka mimi nui. Ke hāʻawi ʻia i loko o ka vein, hana wikiwiki ia ma mua o nā ʻano waha a hoʻohana pinepine ʻia i nā hoʻonohonoho haukapila ke pono ka wehe wikiwiki ʻana o ka wai. No kahi papa i kapa ʻia ʻo loop diuretics kēia lāʻau, ʻo ia kekahi o nā ʻano lāʻau wai ikaika loa i loaʻa.

He aha ka Torsemide?

He lāʻau lapaʻau ʻo Torsemide e pili ana i kahi hui o nā lāʻau i kapa ʻia ʻo loop diuretics a i ʻole

• Ka maʻi puʻuwai me ka nui o ka wai
• Ka maʻi kīkī e hoʻoulu ana i ka wai
• Ka cirrhosis ate me ka ascites (wai i loko o ka ʻōpū)
• Pulmonary edema (wai i loko o nā māmā)
• Ke koko kiʻekiʻe koʻikoʻi ʻaʻole i pane i nā lāʻau lapaʻau ʻē aʻe

I nā hihia kakaʻikahi, hiki i nā kauka ke hoʻohana i ka torsemide IV no nā maʻi e like me ka nephrotic syndrome a i ʻole ke hana ʻole nā diuretics waha. He mea waiwai nui ka ʻano IV i nā kūlana pilikia kahi e hiki ai ke hoʻopakele i ke ola.

Pehea e hana ai ʻo Torsemide?

Ua manaʻo ʻia ʻo Torsemide he lāʻau lapaʻau ikaika e hana ana ma ka hoʻopaʻa ʻana i ka ʻōnaehana kānana o kou mau kīkī. Hoʻopaʻa ia i nā mea lawe kikoʻī i ka lālā piʻi mānoanoa o ka loop of Henle, e pale ana i kou mau kīkī mai ka hoʻopili hou ʻana i ka sodium a me ka chloride i loko o kou kahe koko. Hoʻokumu kēia i kahi hopena domino kahi e hahai ai ka wai i kēia mau paʻakai mai kou kino ma o ka hoʻonui ʻana i ka mimi.

ʻO ka ʻano intravenous e hele pololei i kāu ʻōnaehana digestive, e ʻae ana i ka lāʻau lapaʻau e hiki i kou mau kīkī i loko o kekahi mau minuke. E ʻike maʻamau ʻoe i ka hoʻonui ʻana i ka mimi i loko o 10-15 mau minuke o ka loaʻa ʻana o ka injection, me nā hopena kiʻekiʻe e hana ana i loko o ka hola mua. ʻO kēia hana wikiwiki e waiwai nui ai i nā kūlana pilikia kahi e pono ai ka wehe wikiwiki ʻana i ka wai.

ʻO ka mea e kū hoʻokahi ai ʻo torsemide ma waena o nā loop diuretics ʻo ia kona lōʻihi o ka hana a me ka absorption hiki ke wānana. ʻAʻole like me kekahi mau pila wai ʻē aʻe, mālama ʻo torsemide i nā hopena kūlike ʻoiai inā he maʻi puʻuwai kou a i ʻole nā maʻi ʻē aʻe e hiki ke hoʻopilikia i ka absorption lāʻau.

Pehea wau e lawe ai iā Torsemide?

Hāʻawi mau ʻia ʻo Torsemide IV e nā poʻe loea mālama ola i loko o kahi haukapila a i ʻole ke keʻena lapaʻau, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawelawe ʻana iā ʻoe iho. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka vein i kou lima, ma ke ʻano he injection lohi i loko o kekahi mau minuke a i ʻole he infusion mau e pili ana i kāu mau pono kikoʻī.

E nānā pono kāu hui mālama ola iā ʻoe i ka wā a ma hope o ka hoʻokomo ʻana. E nānā lākou i kou koko, ka helu o ka puʻuwai, a me nā pae wai e hōʻoia i ka hana palekana a me ka pono o ka lāʻau. ʻO ka manawa o kāu mahele e hilinaʻi pinepine ʻia i kou kūlana a me ke ʻano o kou kino e pane ai i ka lāʻau lapaʻau.

Mai ka wā e hoʻonui nui ai ka torsemide i ka mimi, e hōʻoia i ka maʻalahi o ke komo ʻana i nā hale lua. E noi paha kāu kahu iā ʻoe e nānā i kāu hana mimi, e kōkua ana iā lākou e hoʻoholo i ka maikaʻi o ka hana ʻana o ka lāʻau. Mai kahaha inā pono ʻoe e mimi pinepine no kekahi mau hola ma hope o ka loaʻa ʻana o ka injection.

Pehea ka lōʻihi e lawe ai au i ka Torsemide?

ʻO ka lōʻihi o ka mālama ʻana i ka torsemide IV e ʻokoʻa loa ana ma muli o kou kūlana kikoʻī a me ka maikaʻi o kou pane ʻana i ka lāʻau. Hiki i kekahi poʻe ke loaʻa iā ia no hoʻokahi a ʻelua paha lā i ka wā o ka pilikia o ka puʻuwai, ʻoiai ʻo nā poʻe ʻē aʻe me nā maʻi maʻi e pono ai ia mea i kekahi manawa i nā manawa lōʻihi.

E hoʻomaka maʻamau kāu kauka me ka papa hana lapaʻau pōkole loa a hoʻoponopono e pili ana i kāu holomua. E nānā lākou i kāu mau pae wai, ka hana o ka puʻupaʻa, a me ke kaulike electrolyte e hoʻoholo ai i ka wā e palekana ai ke hooki a i ʻole e hoʻololi i nā lāʻau lapaʻau waha. ʻAʻole noho ka hapa nui o nā kānaka ma ka IV torsemide no ka manawa pau ʻole, ʻoiai ʻo ka pahuhopu ka maʻamau e hoʻopaʻa i kou kūlana a laila mālama iā ia me nā lāʻau lapaʻau ʻē aʻe.

No nā kūlana koʻikoʻi e like me ka pulmonary edema, pono paha ʻoe i hoʻokahi a ʻelua paha mahele. Eia naʻe, inā he maʻi puʻuwai koʻikoʻi kou, hiki i kāu kauka ke hoʻohana iā ia no kekahi mau lā i ka wā e hoʻoponopono ai i kāu mau lāʻau puʻuwai ʻē aʻe. ʻO ke kī ka loaʻa ʻana o ke kaulike kūpono ma waena o ka wehe ʻana i ka wai nui a me ka mālama ʻana i nā hana koʻikoʻi o kou kino.

He aha nā hopena ʻaoʻao o Torsemide?

E like me nā lāʻau lapaʻau a pau, hiki i ka torsemide IV ke hana i nā hopena ʻaoʻao, ʻoiai ua ʻae ka hapa nui o nā kānaka iā ia ke hoʻohana pono ʻia. ʻO nā hopena ʻaoʻao maʻamau e pili ana i ka hana nui o ka lāʻau lapaʻau o ka wehe ʻana i ka wai a me nā electrolytes mai kou kino.

Eia nā hopena ʻaoʻao āu e ʻike ai i ka wā a i ʻole ma hope o ka mālama ʻana:

• Pōniuniu a i ʻole ka māmā ke kū i luna
• ʻEha poʻo
• Piʻi ka make wai
• ʻO ka ʻehaʻeha a i ʻole ka nāwaliwali o nā ʻiʻo
• Nausea a i ʻole ka ʻōpū
• Paʻa
• Ke kani ʻana i nā pepeiao (tinnitus)

Hiki ke hana ʻia nā hopena ʻaoʻao koʻikoʻi, ʻoiai inā e maloʻo ʻoe a i ʻole e hoʻomohala i nā kaulike electrolyte. Mālama kāu hui mālama ola i kēia mau pilikia, akā he mea nui e hōʻike koke i nā hōʻailona maʻamau.

ʻO nā hopena ʻaoʻao maʻamau akā koʻikoʻi e koi ana i ka lāʻau lapaʻau koke, e komo pū ana:

• Nā pilikia kīkī koʻikoʻi (hoʻemi ʻia ka mimi, pehu)
• Nalo ka lohe a i ʻole ke kani pepeiao nui
• Ka puʻuwai ʻole a i ʻole ka ʻeha o ka umauma
• Ka maloʻo nui me ka huikau a i ʻole ka maʻule
• Nā kaulike electrolyte koʻikoʻi e hana ana i ka nāwaliwali o nā ʻiʻo a i ʻole ka maʻi lolo

ʻAʻole maʻamau kēia mau pilikia koʻikoʻi ke hoʻohana pono ʻia ka torsemide me ka nānā pono. E nānā mau kāu hui lapaʻau i kāu hana koko a me nā hōʻailona koʻikoʻi e hopu koke i nā pilikia.

ʻO wai ka mea pono ʻole e lawe i ka Torsemide?

ʻAʻole kūpono ka Torsemide no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. Pono paha ka poʻe me kekahi mau maʻi a i ʻole ka poʻe e lawe ana i nā lāʻau lapaʻau kikoʻī i nā lāʻau lapaʻau ʻē aʻe a i ʻole ka nānā pono ʻana inā pono loa ka torsemide.

ʻAʻole pono ʻoe e loaʻa i ka torsemide IV inā he maʻi ʻoe i ka torsemide a i ʻole nā lāʻau sulfonamide ʻē aʻe. Eia kekahi, inā he dehydration nui kou a i ʻole he haʻahaʻa loa ke koko, e hoʻoponopono maʻamau kāu kauka i kēia mau pilikia ma mua o ka noʻonoʻo ʻana i ka lāʻau torsemide.

Pono kekahi mau maʻi i ka mālama kūikawā i ka wā e hoʻohana ai i ka torsemide:

• Maʻi kīkī koʻikoʻi a i ʻole ka hāʻule ʻana o ka puʻupaʻa
• Maʻi ate a i ʻole cirrhosis
• Diabetes (hiki ke hoʻopilikia i nā pae kōpaʻa koko)
• Gout (hiki ke hoʻomaka i nā flare-ups)
• Nā pilikia lohe a i ʻole ka mōʻaukala o ka lohe ʻana
• Nā kaulike ʻole o ka electrolyte (potassium haʻahaʻa, sodium, a i ʻole magnesium)
• Systemic lupus erythematosus

Pono nā wahine hāpai e loaʻa i ka torsemide inā ʻoi aku ka maikaʻi ma mua o nā pilikia, no ka mea, hiki ke hele i ka placenta a hiki ke hoʻopilikia i ka pēpē e ulu ana. Inā ʻoe e hānai ana i ka umauma, e kōkua kāu kauka iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia no ka mea hiki ke hele i loko o ka waiū umauma.

Nā inoa inoa o Torsemide

Loaʻa ka Torsemide ma lalo o kekahi mau inoa inoa, ʻo Demadex ka mea i ʻike nui ʻia ma ʻAmelika Hui Pū ʻIa. Ua kapa ʻia ke ʻano generic ʻo torsemide a loaʻa nui ʻia i nā ʻano waha a me nā intravenous.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia ʻo Soaanz a me nā mana generic like ʻole. ʻAʻole pili i ka inoa inoa, aia nā huahana torsemide i ʻae ʻia e ka FDA i ka mea hana like a hana ma ke ala like. E hoʻohana kāu haukapila a i ʻole ke keʻena lapaʻau i nā mea a lākou e loaʻa ai, a pono e like ka pono.

Hoʻolako ʻia ke ʻano intravenous ma ke ʻano he hopena maopopo i nā vials hoʻokahi a i ʻole ampules. E hōʻoia nā mea mālama ola i ka ʻike a me ke ana ma mua o ka lawelawe ʻana, me ka nānā ʻole i ka inoa inoa e hoʻohana ʻia nei.

Nā koho ʻē aʻe o Torsemide

He nui nā lāʻau lapaʻau ʻē aʻe e hiki ke hāʻawi i nā pōmaikaʻi like me ka torsemide IV, ma muli o kou kūlana a me nā pono olakino. ʻO ke koho ʻana i kahi lāʻau ʻē aʻe e hilinaʻi pinepine ʻia i nā mea e like me ka hana o kou puʻupaʻa, ke kūlana o ka naʻau, a me ka wikiwiki o kou pono e wehe i ka wai.

ʻO nā diuretics loop ʻē aʻe e hana like me ka torsemide me ka furosemide (Lasix) a me ka bumetanide (Bumex). ʻO Furosemide ka lāʻau lapaʻau i hoʻohana pinepine ʻia a ʻo ia ka koho mua no nā kauka he nui. Eia naʻe, makemake ʻia ka torsemide i kekahi mau kūlana ma muli o kāna absorption i ʻike mua ʻia a me ka lōʻihi o ka hana.

Hiki i nā papa like ʻole o nā diuretics ke kūpono ma muli o kou kūlana:

• Nā diuretics thiazide (hydrochlorothiazide, chlorthalidone) no ka mālama ʻana i ka wai māmā
• Nā diuretics mālama potassium (spironolactone, amiloride) i ka wā e pono ai ka mālama ʻana i ka potassium
• Nā lāʻau lapaʻau hui pū e komo pū ana i nā ʻano diuretics he nui
• ACE inhibitors a i ʻole ARBs no ka mālama ʻana i ka puʻuwai

I kekahi mau hihia, hiki ke noʻonoʻo ʻia nā ala ʻaʻole lāʻau lapaʻau e like me ka palena ʻana i ka sodium meaʻai, ka palena wai, a i ʻole ka wehe ʻana i ka wai mechanical (dialysis). E koho kāu kauka i ke ala maikaʻi loa e pili ana i kou olakino holoʻokoʻa a me nā pahuhopu lapaʻau.

Ua ʻoi aku ka maikaʻi o Torsemide ma mua o Furosemide?

He diuretics loop maikaʻi ʻo Torsemide a me Furosemide, akā he mau ʻokoʻa nui ko lākou e hiki ai ke kūpono kekahi no kou kūlana. ʻO ka maʻamau, ʻoi aku ka maikaʻi o ka absorption o Torsemide a me ka lōʻihi o ka hana, he mea maikaʻi ia i kekahi mau kūlana.

Ua ʻoi aku ka maikaʻi o ka hana ʻana o Torsemide i ka poʻe me ka maʻi puʻuwai, kahi e hiki ai i ke kahe koko maikaʻi ʻole i loko o nā ʻōpū ke hoʻemi i ka hilinaʻi o nā lāʻau lapaʻau waha. He hopena maʻalahi a paʻa hoʻi kona e hiki ai ke hoʻemi i nā loli nui i kou pae wai i ka lā. Hiki i kēia ke unuhi i nā hopena ʻaoʻao liʻiliʻi a me ka ʻae maikaʻi ʻana no kekahi poʻe.

Eia naʻe, ua hoʻohana ʻia ʻo Furosemide no ka manawa lōʻihi a ua kamaʻāina i nā mea lawelawe mālama ola. ʻOi aku ka liʻiliʻi o ke kumukūʻai a loaʻa koke. No ka nui o nā kānaka, hana maikaʻi ʻo furosemide a noho mau i ke koho mua no ka mālama ʻana i ka wai.

ʻO ke koho

Mai ka hāʻawi mau ʻia ʻo torsemide IV e nā poʻe mālama ola, ʻaʻole pinepine nā overdoses ulia pōpilikia ma muli o nā protocols palekana ma nā halemai a me nā keʻena lapaʻau. Akā naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe ka lāʻau lapaʻau nui loa, e haʻi koke i kāu kahu hānai a i ʻole kauka, ʻoiai inā ʻaʻole ʻoe maopopo.

ʻO nā hōʻailona o ka nui o ka torsemide e komo pū ana me ka ʻūlū nui, ka hāʻule ʻana, ka make wai nui, ka huikau, a i ʻole ka emi nui ʻana o ke koko. Hiki i kāu hui mālama ola ke loiloi wikiwiki i ke kūlana a hāʻawi i ke kākoʻo inā pono. Hiki iā lākou ke hāʻawi iā ʻoe i nā wai, nānā i kāu puʻuwai, a nānā pinepine i kāu kemika koko.

Q3. He aha kaʻu e hana ai inā ua hala wau i kahi mahele o Torsemide?

Mai ka hāʻawi ʻia ʻo torsemide IV i nā wahi mālama ola, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana i nā mahele iā ʻoe iho. E hahai ana kāu hui lapaʻau i kahi papa manawa kikoʻī e pili ana i kou kūlana a me ka pane ʻana i ka lāʻau lapaʻau. Inā no kekahi kumu i hoʻopaneʻe ʻia kahi mahele i hoʻonohonoho ʻia, e hoʻoponopono lākou i ka manawa kūpono.

Inā ʻoe e hoʻololi mai ka IV i ka torsemide waha a hala i kahi mahele waha ma ka home, e lawe iā ia i ka wā e hoʻomanaʻo ai ʻoe ke ʻole kokoke i kāu mahele i hoʻonohonoho ʻia. Mai pāpālua i nā mahele, a e hoʻokaʻaʻike i kāu kauka inā he mau nīnau kāu e pili ana i ka manawa a i ʻole inā ua hala ʻoe i nā mahele he nui.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Torsemide?

ʻO ka hoʻoholo e hooki i ka torsemide IV e hilinaʻi loa ana i kou kūlana olakino a me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau. E hoʻopau maʻamau kāu kauka iā ia i ka wā i paʻa ai kou pae wai a ua ʻoi aku ka maikaʻi o kou kūlana ma lalo me nā lāʻau lapaʻau ʻē aʻe.

No nā kūlana koʻikoʻi e like me ka hoʻonui ʻana i ka puʻuwai, pono paha ʻoe i ka torsemide no kekahi mau lā a hiki i ka hoʻomaikaʻi ʻana o kāu mau hōʻailona. No nā maʻi maʻi, hiki i kāu kauka ke hoʻololi iā ʻoe i nā lāʻau lapaʻau waha a i ʻole nā lāʻau lapaʻau ʻē aʻe no ka mālama lōʻihi. Mai hooki a hoʻololi paha i kāu regimen diuretic me ka ʻole o ke alakaʻi lapaʻau, no ka mea, hiki i kēia ke alakaʻi i ka hōʻiliʻili wai weliweli.

Nīnau 5. Hiki i ka Torsemide ke launa pū me kaʻu mau lāʻau lapaʻau ʻē aʻe?

ʻAe, hiki i ka torsemide ke launa pū me kekahi mau lāʻau lapaʻau ʻē aʻe, ʻo ia ke kumu e nānā ai kāu hui mālama ola i kāu mau lāʻau lapaʻau a pau ma mua o ka mālama ʻana. Hiki i kekahi mau pilina ke koʻikoʻi, aʻo nā mea ʻē aʻe e koi wale i ka nānā ʻana a i ʻole nā hoʻoponopono ʻana i ka mahele.

ʻO nā pilina nui e pili ana i nā lāʻau lapaʻau koko (hiki ke hoʻohaʻahaʻa i ke koko), nā lāʻau lapaʻau maʻi diabetes (hiki i ka torsemide ke hoʻopilikia i ke kō koko), a me kekahi mau lāʻau antibiotic e hiki ke hoʻonui i ka pilikia o nā pilikia o ka puʻupaʻa a i ʻole ka lohe. E noʻonoʻo kāu hui lapaʻau i kēia mau pilina i ka wā e hoʻoholo ai i kāu hoʻolālā lapaʻau a me ka papa hana nānā.