Icyo Chlorothiazide ari cyo: Ibyo ikoreshwa, urugero rwa dose, ingaruka ziterwa n'iyo miti n'ibindi

Chlorothiazide ni umuti wandikirwa na muganga ufasha umubiri wawe gukuramo amazi n'umunyu birenze urugero binyuze mu mpyiko zawe. Ni ubwoko bwa diuretic, akenshi yitwa "pili y'amazi," abaganga bakoresha mu kuvura umuvuduko w'amaraso uri hejuru no kugabanya kubyimba biterwa n'amazi yiyongera. Iyo itanzwe mu maraso, ikora vuba kurusha ubwoko bwo kunywa kandi ikoreshwa cyane mu bitaro iyo hakenewe gukora vuba.

Chlorothiazide ni iki?

Chlorothiazide ni umwe mu muryango w'imiti yitwa thiazide diuretics. Iyi miti ikora itegeka impyiko zawe kurekura sodium n'amazi menshi mu mubiri wawe binyuze mu nkari. Bitekereze nk'ifasha sisitemu y'amazi y'umubiri wawe gukora neza.

Ubwoko bwo mu maraso butanga umuti mu maraso yawe binyuze mu muyoboro w'amaraso. Ibi bituma abaganga batanga ubufasha bwihuse iyo imiti yo kunywa idashoboka cyangwa iyo ukeneye ibisubizo byihuse. Ikoreshwa neza mu buvuzi mu myaka mirongo kandi ikomeje kuba igikoresho cy'ingenzi mu gucunga ibibazo by'ubuzima bifitanye isano n'amazi.

Chlorothiazide ikoreshwa mu iki?

Abaganga bandika chlorothiazide yo mu maraso cyane cyane kubera ibibazo bibiri by'ingenzi: umuvuduko w'amaraso uri hejuru no kubungabunga amazi. Ubwoko bwa IV bufasha cyane iyo uri mu bitaro kandi ukeneye ubufasha bwihuse kuri ibi bibazo.

Ku muvuduko w'amaraso uri hejuru, chlorothiazide ifasha igabanya amazi mu miyoboro yawe y'amaraso. Iyo amazi ari make, umutima wawe ntugomba gukora cyane kugira ngo utere amaraso, ibyo bigabanya umuvuduko w'amaraso yawe. Ibi bishobora gutanga ubufasha mu masaha aho kuba iminsi.

Uyu muti kandi uvura edema, ariko ni ukubyimba guterwa n'amazi yarenze urugero yafatiwe mu bice by'umubiri wawe. Ibi bikunda kubaho hamwe n'umutima udakora neza, indwara y'umwijima, cyangwa ibibazo by'impyiko. Ushobora kubona uku kubyimba mu maguru yawe, mu birenge, cyangwa hafi y'amaso yawe.

Rimwe na rimwe abaganga bakoresha chlorothiazide ku zindi ndwara aho gukuraho amazi menshi bifasha, nk'indwara zimwe na zimwe z'ibihaha cyangwa kubyimba bikabije mbere y'imihango. Umuganga wawe azagena niba uyu muti ukwiriye kuri wowe mu bihe byawe byihariye.

Chlorothiazide ikora ite?

Chlorothiazide ikora ibuza sodium gusubizwa mu mubiri mu buryo bwo gutunganya impyisi z'impyisi zawe. Iyo sodium itashobora gusubizwa mu mubiri, isohokana n'amazi yongereweho, bigabanya amazi yose mu mubiri wawe.

Uyu muti ufatwa nk'ukomeye ku rugero ruciriritse mu miti ikuramo amazi. Ufite imbaraga kurusha imiti imwe n'imwe ikuramo amazi ariko woroshye kurusha imiti ikomeye ikuramo amazi ikoreshwa mu kwita ku barwayi barembye. Uburyo bwa IV busanzwe butangira gukora mu minota 15 kugeza ku masaha 2, ibikorwa byinshi bikaba bibaho hafi y'amasaha 4 nyuma yo gutanga umuti.

Impyisi zawe zizakora inkari nyinshi mu isaha nka 6 kugeza ku 12 nyuma yo guhabwa umuti. Ubu buryo buhoro buhoro bufasha umubiri wawe kumenyera impinduka z'amazi hatabayeho kugabanuka gukabije kw'umuvuduko w'amaraso cyangwa kutaringanira kwa electrolyte.

Nkwiriye gufata chlorothiazide nte?

Chlorothiazide yo mu maraso itangwa n'abantu b'inzobere mu by'ubuzima mu kigo cy'ubuvuzi. Ntabwo bizakugora kwifata uyu muti wenyine. Abakozi b'abaforomo bazawutegura kandi bawutange banyuze mu muyoboro wa IV mu kuboko kwawe cyangwa mu kiganza cyawe.

Uyu muti ubusanzwe utangwa nk'urushinge rutinda mu minota myinshi. Itsinda ryawe ry'ubuzima rizakugenzura mu gihe cyo gutera urushinge no nyuma yarwo kugirango wemeze ko urimo gusubiza neza. Bazareba umuvuduko w'amaraso yawe, umuvuduko w'umutima, n'umusaruro w'amazi kugirango barebe ko umuti ukora neza.

Ntabwo ukeneye kurya cyangwa kunywa ikintu icyo aricyo cyose mbere yo guhabwa IV chlorothiazide. Ariko, muganga wawe ashobora guhindura imiti yawe isanzwe cyangwa kunywa amazi bitewe n'ibihe byawe byihariye. Ujye ukurikiza amabwiriza yihariye y'itsinda ryawe ry'ubuzima yerekeye kurya, kunywa, cyangwa gufata indi miti.

Nzamara Mfite Chlorothiazide Ite?

Igihe cyo gufata chlorothiazide giterwa n'uburwayi bwawe n'uko wemera imiti. Mu bihe bikomeye nk'ukwiyongera kw'amazi mu buryo butunguranye, ushobora guhabwa doze imwe cyangwa nke mu munsi umwe cyangwa ibiri.

Niba uri mu bitaro kubera kunanirwa k'umutima cyangwa umuvuduko ukabije w'amaraso, ushobora guhabwa chlorothiazide ya IV iminsi myinshi kugeza igihe ubuzima bwawe buzahagarara. Muganga wawe ashobora kuguherereza imiti yo kunywa ushobora gufata uri mu rugo.

Abantu bamwe bakeneye imiti y'igihe kirekire ya diuretic kubera indwara zidakira. Muri ibi bihe, abaganga bakunda imiti yo kunywa buri munsi, bakabika chlorothiazide ya IV mu gihe cyo kuba mu bitaro cyangwa ibihe by'uburwayi bwihutirwa iyo imiti yo kunywa itagikora neza.

Ni Ibihe Bikorwa Bigaragara bya Chlorothiazide?

Kimwe n'indi miti yose, chlorothiazide ishobora gutera ibikorwa bigaragara, nubwo abantu benshi bayihanganira neza. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe cyo kumenyesha ikipe yawe y'ubuzima.

Ibikorwa bigaragara cyane bifitanye isano n'imihindagurikire y'amazi na electrolytes mu mubiri wawe. Dore ibikorwa ushobora guhura nabyo:

• Kunyara cyane (ibi birategerejwe kandi byerekana ko umuti ukora)
• Kuribwa umutwe cyangwa kumva ureremba, cyane cyane iyo uhagaze
• Umutwe
• Isesemi cyangwa kurwara inda
• Kunanirwa cyangwa intege nke
• Kuribwa imitsi

Ibi bikorwa bisanzwe bikunda gukira uko umubiri wawe wimenyereza umuti kandi akenshi bishobora gucungwa n'ingamba zoroheje nko guhaguruka buhoro cyangwa kuguma ufite amazi ahagije.

Ibikorwa bigaragara bikomeye ntibisanzwe ariko bisaba ubufasha bw'ubuvuzi bwihutirwa. Ibi birimo imihindagurikire ikabije ya electrolytes ishobora kugira ingaruka ku mutima wawe, imikorere y'impyiko, cyangwa urugero rw'isukari mu maraso. Ibimenyetso byo kwitondera birimo intege nke zikabije, urujijo, umutima utera nabi, cyangwa isesemi ihoraho no kuruka.

Ibikorwa bibi ariko bikomeye bishobora kwibandaho ibisubizo bikomeye bya allergie, kwangirika kw'impyiko, cyangwa kugabanuka gukabije kw'umuvuduko w'amaraso. Kubera ko uri mu rwego rw'ubuvuzi igihe wakira chlorothiazide ya IV, ikipe yawe y'ubuzima ifite ibikoresho byinshi byo gukurikirana no gucunga ibi bibazo bitamenyerewe.

Ninde utagomba gufata Chlorothiazide?

Uburwayi butandukanye n'ibihe bituma chlorothiazide idatekanye cyangwa bisaba ingamba zidasanzwe. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kwandika uyu muti.

Ntabwo ugomba kwakira chlorothiazide niba ufite allergie kuri thiazide diuretics cyangwa imiti ya sulfonamide. Abantu bafite indwara zikomeye z'impyiko cyangwa kunanirwa rwose kw'impyiko ntibashobora gukoresha uyu muti neza kuko impyiko zabo zitabasha kuwutunganya neza.

Uburwayi bumwe na bumwe busaba kwitonda cyane no gukurikiranwa neza mugihe ukoresha chlorothiazide. Muganga wawe azagereranya inyungu n'ibishobora kuba bibi niba ufite kimwe muri ibi bibazo:

• Urubuto (umuti ushobora kugira ingaruka kumiterere y'isukari yo mu maraso)
• Gout (ishobora kongera urwego rwa aside ya uric)
• Lupus (ishobora gukomeza iyi ndwara y'ubwirinzi)
• Indwara y'umwijima (umubiri wawe ushobora gutunganya umuti muburyo butandukanye)
• Indwara ikomeye y'umutima
• Imiterere itaringaniye ya electrolyte

Gusama no konsa nabyo bisaba kwitonderwa byihariye, kuko umuti ushobora kwambuka placenta ukagaragara mu mata y'ibere. Muganga wawe azawukoresha mugihe cyo gutwita gusa niba inyungu zigaragara neza kurusha ibyago.

Amazina ya Chlorothiazide

Chlorothiazide iboneka munsi yamazina atandukanye, Diuril ikaba izwi cyane. Uburyo bwa intravenous busanzwe buboneka nka Diuril IV cyangwa nka chlorothiazide injection isanzwe.

Abakora imiti batandukanye bashobora gukora umuti rusange, ariko bose bakubiyemo ikintu kimwe gikora kandi bikora kimwe. Farumasi yawe yo mu bitaro izabika uwo bashaka, kandi ushobora kwiringira ko imiti rusange ifite akamaro nk'imiti y'amazina y'ubwoko.

Ikintu cy'ingenzi ni uko urimo guhabwa umuti ukwiye w'uburwayi bwawe, hatitawe ku izina ry'ubwoko riri ku ipaki. Itsinda ryawe ry'ubuvuzi rizagufasha kubona umuti ukwiye mu rugero rukwiye.

Uburyo bwo gusimbuza Chlorothiazide

Imiti itandukanye ishobora gukora kimwe na chlorothiazide, bitewe n'ibyo ukeneye. Muganga wawe ashobora guhitamo umuti utandukanye wo gukuramo amazi bitewe n'uburwayi bwawe, uko ukeneye kuvurwa byihutirwa, cyangwa uko wabyitwayemo ku yindi miti.

Izindi miti yo mu bwoko bwa thiazide harimo hydrochlorothiazide (HCTZ) na indapamide. Iyi miti ikora kimwe na chlorothiazide ariko ikunze gutangwa nk'imiti yo kunywa aho gutera mu nshinge. Akenshi bikoreshwa mu gucunga umuvuduko w'amaraso igihe kirekire.

Kubijyanye no kubika amazi menshi cyane, abaganga bashobora gukoresha imiti ikomeye yo gukuramo amazi nka furosemide (Lasix) cyangwa bumetanide. Iyi miti yo "gukora mu murongo" ikora vuba kandi ikavana amazi menshi ariko bisaba gukurikiranwa neza kubijyanye n'ingaruka ziterwa nayo.

Imiti yo gukuramo amazi ituma potasiyumu idatakara nka spironolactone itanga ubundi buryo, cyane cyane niba uri mu kaga ko kugira urugero ruto rwa potasiyumu. Iyi miti igufasha kubika potasiyumu mugihe ukuramo amazi menshi na sodium.

Ese Chlorothiazide iruta Hydrochlorothiazide?

Chlorothiazide na hydrochlorothiazide (HCTZ) ni imiti isa cyane ikora mu buryo bumwe. Itandukaniro rikuru ni uko chlorothiazide iboneka mu buryo bwo gutera mu nshinge mugihe HCTZ iboneka gusa nk'ibinyobwa.

Ku ndwara nyinshi zirambye nk'umuvuduko ukabije w'amaraso, abaganga bakunda HCTZ kuko byoroshye gufata uri mu rugo kandi byarigishijwe cyane. HCTZ kandi ikunda kuba ihendutse kandi iboneka mu miti myinshi ivanze.

Ariko, chlorothiazide ya IV ifite akamaro kagaragara iyo ukeneye kuvurwa ako kanya cyangwa udashobora gufata imiti yo kunywa. Ikora vuba kandi irizewe cyane iyo urimo guhangana no kubika amazi bikabije cyangwa umuvuduko ukabije w'amaraso.

Nta muti n'umwe uruta undi. Muganga wawe azahitamo bitewe n'uko ubuzima bwawe bumeze, niba ukeneye ubufasha bwihuse, n'icyo cyakorohera mu kwitabwaho kwawe buri gihe.

Ibikunze Kubazwa Kuri Chlorothiazide

Ese Chlorothiazide irakwiriye abantu barwaye diyabete?

Chlorothiazide irashobora gukoreshwa neza ku bantu barwaye diyabete, ariko bisaba gukurikiranwa neza. Uyu muti ushobora kuzamura urugero rw'isukari mu maraso, bityo muganga wawe azakenera gukurikirana urugero rwa glucose yawe neza kandi ashobora guhindura imiti yawe ya diyabete.

Ibi ntibisobanura ko udashobora gukoresha chlorothiazide niba urwaye diyabete. Abantu benshi barwaye diyabete bafata imiti ya thiazide diuretic neza kugirango bagenzure umuvuduko w'amaraso. Itsinda ryawe ry'ubuzima rizakorana nawe kugirango ucunge neza ibibazo byombi, ahari ukagenzura isukari yawe mu maraso kenshi mugihe urimo guhabwa uyu muti.

Nigute nzakora niba mbonye chlorothiazide nyinshi bitunguranye?

Kubera ko chlorothiazide IV itangwa n'abakora mu buvuzi, kwirenza umuti bitunguranye ni gake cyane. Ariko, niba hatanzwe nyinshi, ibibazo nyamukuru ni ukubura amazi bikabije, kugabanuka gukabije k'umuvuduko w'amaraso, no kutaringaniza kwa electrolyte.

Itsinda ryawe ryo kwita ku buzima rizakurikirana neza kandi rishobora kumenya vuba ibimenyetso byo gufata imiti myinshi. Bashobora kuguha amazi ya IV kugirango asimbure ibyo watakaje, gukurikirana umuvuduko w'umutima wawe, no kugenzura imiti iri mu maraso yawe. Ingaruka nyinshi ziterwa no kurenza urugero rwa chlorothiazide zishobora gucungwa neza hamwe n'ubuvuzi bukwiye.

Nigomba gukora iki niba nciwe urugero rwa Chlorothiazide?

Kubera ko chlorothiazide ya IV itangwa mu bigo by'ubuvuzi, ntuzacikanwa n'urugero mu buryo busanzwe. Itsinda ryawe ryo kwita ku buzima rikoresha gahunda yihariye ishingiye ku byo ukeneye mu buvuzi kandi rizagufasha gufata imiti ku gihe.

Niba ufite impungenge kubijyanye n'igihe cyo gufata imiti yawe cyangwa ufite ibibazo bijyanye na gahunda yawe y'imiti, ubaze umuforomo wawe cyangwa muganga. Bashobora gusobanura igihe uzahabwa urugero rwawe rukurikira n'impamvu igihe ari ingenzi kubijyanye n'uburwayi bwawe bwihariye.

Nshobora guhagarika ryari gufata Chlorothiazide?

Icyemezo cyo guhagarika chlorothiazide gishingiye ku burwayi bwawe n'intego z'ubuvuzi. Kubijyanye n'indwara zikomeye nk'ukwiyongera kw'amazi, ushobora gukenera urugero rumwe gusa kugeza ikibazo gikemutse.

Muganga wawe azahitamo igihe cyo guhagarika ashingiye ku buryo urimo gusubiza ubuvuzi. Bazareba ibintu nk'umuvuduko w'amaraso yawe, uburinganire bw'amazi, imikorere y'impyiko, n'imikorere rusange. Ntukigere uhagarika cyangwa guhindura gahunda y'imiti wenyine, kuko ibi bishobora gutuma uburwayi bwawe burushaho kuba bubi.

Niba wimuka ku buvuzi bwo mu bitaro ujya mu rugo, muganga wawe ashobora kuguha imiti yo kunywa aho guhagarika ubuvuzi rwose. Ibi bituma uburwayi bwawe bucungwa buri gihe mugihe bikugirira akamaro ko gusubira mu bikorwa bisanzwe.

Nshobora gutwara imodoka nyuma yo gufata Chlorothiazide?

Ntugomba gutwara imodoka ako kanya nyuma yo gufata chlorothiazide ya IV. Uyu muti ushobora gutera isereri, umutwe, no guhinduka k'umuvuduko w'amaraso bituma gutwara imodoka bidatekanye.

Kubera ko bishoboka ko urimo guhabwa uyu muti mu bitaro, gutwara imodoka birashoboka ko atari ikintu cyihutirwa. Ariko, igihe witeguye kuva mu bitaro, menya neza ko wumva umeze neza kandi ukangutse mbere yo kwicara ku giti cy'imodoka. Akenshi ni byiza kugira undi muntu ukutwara mu rugo nyuma yo guhabwa imiti ya IV.