Chii chinonzi Spironolactone: Zvayakashandiswa, Mishonga, Migumisiro uye Zvimwe

Spironolactone mushonga unopiwa nachiremba unobatsira muviri wako kubvisa mvura yakawandisa nemunyu uchichengeta mazinga epotassium akagadzikana. Unogona kuiziva se "piritsi remvura" kana diuretic, asi inoshanda zvakasiyana kubva kune mamwe ma diuretics nekudzivisa mahomoni akati wandei anokanganisa chiyero chemvura mumuviri wako.

Mushonga uyu wave uripo kwemakumi emakore uye unoonekwa seakachengeteka uye anoshanda kana akashandiswa nemazvo. Chiremba wako angakunyore iwo wezvirwere zvakasiyana, uye kunzwisisa mashandiro awo kunogona kukubatsira kuti unzwe wakavimbika nezve chirongwa chako chekurapa.

Chii chinonzi Spironolactone chinoshandiswa?

Spironolactone inorapa mamiriro akati wandei ekurapa nekubatsira muviri wako kudzora chiyero chemvura uye chiitiko chehomoni. Chikonzero chakajairika chekuti vanachiremba vanonyora ndechokuti ropa rakakwira uye kutadza kwemoyo, uko mvura yakawandisa inoisa kushushikana pahutano hwako hwemoyo.

Chiremba wako angangokunyorawo spironolactone kana uine kuzvimba (edema) mumakumbo ako, zvitsitsinho, kana dumbu. Kuzvimba uku kunowanzoitika kana muviri wako ukabata mvura yakawandisa, uye spironolactone inobatsira itsvo dzako kubvisa yakawandisa.

Kune vakadzi, spironolactone inogona kubatsira nemapundu emahormone asingapinduri zvakanaka kune mamwe marapirwo. Inoshanda nekudzivisa androgens (mahormoni echirume) anogona kukonzera kuputika, kunyanya kutenderedza shaya nechirebvu.

Vamwe vanhu vanotora spironolactone yechirwere chinonzi primary aldosteronism, uko muviri wavo unogadzira yakawandisa yehomoni inonzi aldosterone. Iyi hormone inoita kuti muviri wako ubate sodium nemvura uchirasikirwa nepotassium.

Spironolactone inoshanda sei?

Spironolactone ndeyeboka remishonga inonzi potassium-sparing diuretics. Kusiyana nemamwe mapiritsi emvura anogona kukonzera kuti urasikirwe nepotassium, mushonga uyu unonyatso batsira muviri wako kuchengeta iyi mineral yakakosha.

Mushonga uyu unoshanda nekudzivisa aldosterone, hormone inoudza itsvo dzako kuti dzibate sodium nemvura. Kana spironolactone ikadzivisa hormone iyi, itsvo dzako dzinoburitsa sodium nemvura yakawanda kuburikidza nemvura, izvo zvinobatsira kuderedza ropa rakakwira nekuzvimba.

Izvi zvinoonekwa se diuretic yakapfava zvichienzaniswa nevamwe. Kunyange zvazvo ichibvisa mvura yakawandisa, haina kukonzera kurasikirwa kwemvura kwakanyanya sezvinoitwa nevamwe diuretics, zvichiita kuti muviri wako ujairire zviri nyore.

Mhedzisiro yekudzivisa hormone inotsanangurawo nei spironolactone ichibatsira nemapundu kuvakadzi. Nekuderedza basa remahormone echirume, inogona kuderedza kugadzirwa kwemafuta paganda uye kuderedza kubuda kwemapundu.

Ndingatora Sei Spironolactone?

Tora spironolactone sezvinorayirwa nachiremba wako, kazhinji kamwe kana kaviri pazuva nechikafu kana mukaka. Kuitora nechikafu kunobatsira kuderedza dumbu uye kunobatsira muviri wako kutora mushonga zviri nani.

Unogona kutora mushonga uyu uine kana usina chikafu, asi kugara uchiita zvakafanana nezuva rako kunobatsira kuchengetedza mazinga akagadzikana mumuviri wako. Kana uchiitora kaviri pazuva, edza kupatsanura zvikamu maawa anenge gumi nemaviri.

Kunwa mvura yakawanda zuva rese kwakakosha, asi haufaniri kuwedzera zvakanyanya kunwa kwemvura. Chiremba wako achatarisa kushanda kwematsvo ako uye mazinga e electrolyte kuti ave nechokwadi chekuti zvese zvinoramba zvakaenzana.

Edza kutora spironolactone panguva imwe chete zuva rega rega kuti ikubatsire kuyeuka uye kuchengetedza mazinga akagadzikana muhurongwa hwako. Vanhu vazhinji vanoona zvichibatsira kuitora nekudya kwemangwanani kana kudya kwemanheru sechikamu chezuva ravo rezuva nezuva.

Ndingatora Spironolactone Kwenguva Yakareba Sei?

Kureba kwekurapa ne spironolactone kunoenderana zvachose nemamiriro ako chaiwo uye kuti unopindura sei kumushonga. Kune ropa rakakwira kana kukundikana kwemoyo, ungangoda kuitora kwenguva refu kuti uchengetedze mamiriro ako zvakanaka.

Kana uri kutora spironolactone nekuda kwemvura yakawandisa mumuviri, chiremba wako anogona kuchinja nguva yaunotora mushonga uyu zvichienderana nezvinokonzera kuzvimba. Vamwe vanhu vanoda mushonga uyu kwenguva pfupi asi vamwe vanoda kuramba vachiutora.

Panyaya yemapundu anokonzerwa nemahomoni, unowanzo fanira kutora spironolactone kwemwedzi mitatu kusvika mitanhatu kuti uone kusiyana kukuru. Vakadzi vazhinji vanoramba vachiutora chero zvichibatsira ganda ravo uye vasingaone mhedzisiro inovanetsa.

Chiremba wako achagara achitarisa ropa rako kuti aone kushanda kwematsvo ako uye mazinga e potassium. Miedzo iyi inobatsira kuziva kana uchikwanisa kuramba uchitora mushonga uyu zvakachengeteka uye kana paine chikonzero chekuchinja dose.

Ndezvipi Zvinokonzerwa neSpironolactone?

Vanhu vazhinji vanogona kutora spironolactone zvakanaka, asi semishonga yese, inogona kukonzera mhedzisiro. Mashoko akanaka ndewekuti mhedzisiro yakakomba haiwanzowanikwi kana mushonga uchishandiswa nemazvo uye uchitarisirwa nachiremba wako.

Heano mhedzisiro inowanzoitika yaungasangana nayo:

• Kutenderera musoro kana kunzwa kusimba, kunyanya kana uchimuka nekukurumidza
• Kutemwa nemusoro kunowanzoita kuti kunyorove uye kunovandudzika nekufamba kwenguva
• Kunzwa kusvotwa kana dumbu kusagadzikana, kunyanya kana uchitanga mushonga
• Kuwedzera kuenda chimbuzi, kunyanya mumavhiki mashoma ekutanga
• Kutapira mazamu kana kuwedzera muhukuru kune varume nevakadzi
• Kusagadzikana kwemwedzi muvakadzi

Mhedzisiro iyi inowanzoitika inowanzoita kuti ivandudzike sezvo muviri wako uchigadzirisa kumushonga. Kana vakaenderera mberi kana kukunetsa zvakanyanya, taura nachiremba wako nezvemhinduro dzinogona kuitika kana kuchinja dose.

Mhedzisiro isingawanzoitiki asi yakakomba inoda kutariswa kwekurapa nekukurumidza. Kunyange izvi zvichiwanzowanikwa, zvakakosha kuziva nezvazvo:

• Zviratidzo zve potassium yakawanda: kusava nesimba mumuviri, kurova kwemoyo kunonoka kana kusina kufanira, kunzwa kunzwa kunzwa
• Dizziness yakanyanya kana fainting spells
• Kuneta kusinganzwisisiki kana kusava nesimba kusingavandudzi
• Kuvhiringidzika kana kuoma kufunga
• Kurwadziwa mudumbu kwakanyanya kana kurutsa kusingaperi

Chiremba wako achakutarisa zvakanyanya, kunyanya paunotanga kutora spironolactone. Kuongororwa kweropa nguva dzose kunobatsira kubata chero matambudziko angangove nekukurumidza, zvichiita kuti mushonga uyu uve wakachengeteka kune vanhu vazhinji.

Ndiani Asingafaniri Kutora Spironolactone?

Spironolactone haina kuchengeteka kune munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira. Kunetseka kukuru ndiko kushanda kwematsvo, sezvo vanhu vane chirwere chakanyanya chematsvo vangave vasingakwanise kugadzirisa mushonga zvakachengeteka.

Haufaniri kutora spironolactone kana uine potassium yakawanda muropa rako (hyperkalemia) kana chirwere chaAddison. Izvi zvinogona kuita kuti mushonga uyu uve nenjodzi nekukonzera kuti mazinga e potassium akwire zvakanyanya.

Chiremba wako achanyatso chenjerera kana uine chirwere cheshuga, chirwere chechiropa, kana uri kutora mamwe mishonga inokanganisa mazinga e potassium. Mamwe mishonga yekudzikisa ropa, kunyanya ACE inhibitors uye ARBs, inogona kushamwaridzana ne spironolactone.

Vakadzi vane pamuviri havafaniri kutora spironolactone nekuti inogona kukonzera matambudziko ekukura mumavhiri echirume. Kana uri kuronga kuva nepamuviri kana uchifunga kuti ungave une pamuviri, taura izvi nachiremba wako nekukurumidza.

Spironolactone Mazita eBrand

Spironolactone inowanikwa pasi pemazita akati wandei ebrand, neAldactone ndiyo inonyanya kuzivikanwa. CaroSpir ndiyo itsva yemvura formulation iyo inonyanya kubatsira vanhu vane dambudziko rekumedza mapiritsi.

Muzvitoro zvakawanda zvemaparmazi mune spironolactone yakajairika, iyo inoshanda zvakafanana nemhando dzemhando asi kazhinji inodhura zvishoma. Inishuwarenzi yako inogona kuda vhezheni yakajairika, uye chiremba wako anogona kukubatsira kusarudza sarudzo yakanakisa yezvido zvako.

Mamwe mishonga yakasanganiswa ine spironolactone pamwe chete nemamwe ma diuretic, akadai seAldactazide (spironolactone pamwe ne hydrochlorothiazide). Aya masanganiswa anogona kuve akakodzera asi haana kukodzera munhu wese.

Zvimwe Zvinhu Zvokutsiva Spironolactone

Kana spironolactone isina kukodzera iwe, mishonga yakati wandei inogona kurapa mamiriro akafanana. Kune ropa rakakwira, chiremba wako angangofunga nezve ACE inhibitors, ARBs, kana calcium channel blockers semishonga yekutanga.

Mamwe ma diuretic senge hydrochlorothiazide kana furosemide anogona kubatsira nekuchengetwa kwemvura, kunyangwe achishanda zvakasiyana uye anogona kukanganisa mazinga ako e potassium zvakasiyana. Chiremba wako achasarudza zvichibva pazvido zvako zvakananga uye nhoroondo yezvokurapa.

Kune acne yehomoni muvakadzi, dzimwe nzira dzinosanganisira mapiritsi ekudzivirira pamuviri ane anti-androgenic properties, topical retinoids, kana mamwe marapirwo ehomoni. Sarudzo yakanakisa inoenderana nezera rako, mamwe mamiriro ehutano, uye zvaunofarira.

Nzira dzechisikigo dzakadai sekuchinja kudya, kurovedza muviri nguva dzose, uye manejimendi ekushushikana anogona kutsigira kurapwa kwako asi haifanirwe kutsiva mishonga yakarairwa pasina gwara rechiremba wako.

Ko Spironolactone Zviri Nani Pane Hydrochlorothiazide?

Spironolactone uye hydrochlorothiazide zvose zvinoshanda ma diuretic, asi anoshanda zvakasiyana uye ane zvakanakira zvakasiyana. Sarudzo yakanakisa inoenderana nezvido zvako zvakananga zvekurapa uye kuti muviri wako unopindura sei kumishonga yega yega.

Spironolactone inowanzo kufarirwa paunoda kudzivirira kurasikirwa ne potassium, sezvo ichinyatso kubatsira muviri wako kuchengeta mineral iyi yakakosha. Hydrochlorothiazide inogona kukonzera kurasikirwa ne potassium, izvo zvinogona kuda kuongororwa kana potassium supplements.

Pakurapa BP yakakwira, mishonga yese iri miviri inoshanda, asi spironolactone inogona kusarudzwa kana uinewo kutadza kwemoyo kana uchida mhedzisiro yekuvharisa mahomoni. Hydrochlorothiazide inowanzo shandiswa semushonga wekutanga nekuti yakadzidzwa zvakanyanya uye inoshanda zvakanaka kune vanhu vazhinji.

Chiremba wako achatarisa mufananidzo wako wekurapa wakazara, kusanganisira mamwe mishonga yaunotora, kushanda kwematsvo, uye mamiriro ehutano chaiwo paunenge uchisarudza pakati pezvisarudzo izvi. Dzimwe nguva, vanachiremba vanozvishandisa pamwe chete kuti vawedzere kushanda.

Mibvunzo Inowanzo Bvunzwa Nezve Spironolactone

Spironolactone Yakachengeteka Here Kune Zvirwere Zvemoyo?

Hongu, spironolactone inowanzo rongerwa zvakananga vanhu vane chirwere chemoyo, kunyanya kutadza kwemoyo. Inogona kubatsira kuderedza kushushikana pamoyo wako nekubvisa mvura yakawandisa uye yakaratidzwa kuvandudza mhedzisiro kune vanhu vane mamwe marudzi ekutadza kwemoyo.

Cardiologist wako achakutarisa zvakanyanya paunotanga spironolactone, kunyanya kutarisa kushanda kwematsvo ako uye mazinga epotassium. Kuongorora uku kunobatsira kuona kuti mushonga uri kubatsira moyo wako pasina kukonzera mamwe matambudziko.

Ndingaita Sei Kana Ndikatora Spironolactone Yakawanda Netsaona?

Kana netsaona ukatora spironolactone yakawanda kupfuura yakarairwa, taura nachiremba wako kana nzvimbo yekudzora chepfu nekukasira. Kutora zvakanyanya kunogona kukonzera mazinga epotassium akanyanya, kupera mvura mumuviri zvakanyanya, kana kudonha kukuru kweropa.

Usamirira kuti uone kana uchinzwa zvakanaka. Kunyangwe iwe usingaone zviratidzo nekukasira, overdose inogona kukonzera matambudziko akakomba anoda kutariswa kwekurapa. Chengeta bhodhoro remushonga newe paunotsvaga rubatsiro kuitira kuti vanopa hutano vazive chaizvo zvawakatora uye zvakawanda sei.

Ndingaita Sei Kana Ndikarasikirwa neDose yeSpironolactone?

Kana ukakanganwa kutora mushonga we spironolactone, utore paunorangarira, kunze kwekunge yava nguva yekutora mushonga wako unotevera. Kana zvakadaro, rega kutora mushonga wakakanganwa uye ramba uchienda nechirongwa chako chemazuva ese.

Usambofa wakatora mishonga miviri panguva imwe chete kuti uzadze mushonga wakakanganwa, nekuti izvi zvinogona kukonzera kuti mazinga ako e potassium akwire zvakanyanya. Kana iwe uchikanganwa mishonga kazhinji, funga kushandisa chirongwa chemishonga kana kumisa zviyeuchidzo zvefoni kuti zvikubatsire kuti urambe uri munzira.

Ndingamira Rini Kutora Spironolactone?

Mira kutora spironolactone chete kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Kumisa mushonga kamwe kamwe kunogona kukonzera kuti ropa rako rikwire nekukurumidza kana mvura kuungana zvakare, izvo zvinogona kuva nengozi.

Chiremba wako achaderedza zvishoma nezvishoma mushonga wako kana uchida kumira kutora spironolactone. Iyi nzira yekuderedza inobatsira muviri wako kuti ugadzirise zvakachengeteka uye inoderedza njodzi yekudzoka. Nguva dzose kurukura chero zvinokunetsa nezvekutora mushonga nachiremba wako.

Ndinganwa Doro Ndiri Kutora Spironolactone?

Zvakanaka kuderedza kunwa doro uchitora spironolactone, sezvo zvese zviri zviviri zvinogona kuderedza ropa rako. Kunwa doro kunogona kuwedzera njodzi yekutemwa nemusoro, kunzwa uchitemwa nemusoro, kana kufenda, kunyanya paunotanga kutora mushonga.

Kana ukasarudza kunwa, ita zvine mwero uye chenjera zvakanyanya paunomuka kana kuchinja nzvimbo. Taura nachiremba wako nezvehuwandu hwekushandisa doro hwakachengeteka kwauri zvichienderana nemamiriro ako ehutano uye mamwe mishonga.