Hōʻikeʻike Diuver a me nā ʻōlelo kikoʻī

ʻO nā papa keʻokeʻo ka waiū keʻokeʻo, puni, biconvex me kahi bevel ma ka ʻaoʻao a me ke kālai kiʻi digital ma kekahi, e ʻano like me ka nui o ka nui o ka hana ikaika. ʻElima 5 mg Hakuopalaikapili ana i ka helu 915, a 10 mg - 916 ma hope o ka papa.

Kuhi ʻia ke ʻano lāʻau lapaʻau i loko o nā pūʻulu polimer a me ka alumini foil, ma kēlā me kēia pākahi 10 mau papa. ʻElua mau papa i ka pahu pepa (20 mau ʻāpana i kēlā me kēia pahu).

Ka hana lāʻau lapaʻau

Luanuanu (INN - Laulape) He lāʻau lapaʻau diuretic, nā hui paipai ʻana i ka urinary sangkap, ʻo ia hoʻi, ka hopena nui o ka lāʻau lapaʻau e kuhikuhi nei piko o Henle (kekahi o nā mea nui o ka pae hoʻonohonoho o ka ʻelele - nephron) ʻO ka hopena nui o ka hopena pharmacological hoʻomālamua o ka hoʻihoʻi ʻana o ka paʻakai a me nā ʻīlele chlorine i ka puʻu piʻi i piʻi, i hōʻike ʻia i kahi hoʻohaʻahaʻa i nā ʻāpana osmotic o ka ʻike intracellular. ʻO ka hopena, ke nalo nei Realorptiontion o ka waihoʻonui i kēlā me kēia lā hoʻoiho a hoʻopau ʻia ke kōpū ma ke kino.

Hōʻalo ʻia ka hana ʻana o kahi hoʻomākaukau lāʻau lapaʻau e hala ā hoʻokuʻu ʻia i nā mea lawe aku ma ka ʻāpana apical o ka piʻi ʻana (ʻo kekahi inoa ʻē aʻe no ka ʻāpana he mānoanoa) hapa o ka lime nephron. Loaʻa kekahi mau mea hoihoi aldosteroneaia ma loko o ka puʻe naʻau. ʻAe kēia i kahi houhoʻonui i ka hoʻōla wai, no ka mea, ʻo ka hoʻonā o nā kelena adrenal ʻaʻole ia e hoʻoikaika i ka hoʻi ʻana mai o ka heʻe.

ʻAe nā hopena naʻau hoʻoulima maʻamau i ka hana myocardial, no ka mea, ua kau ʻia ka nui me ka nui o ka nui (ke kumu nui o ka pathophysiological no ka hoʻopuka o ka naʻau a me ka hypertrophy o ka puʻuwai). Ma muli o ka hoʻonui lōʻihi o ka myocardium a lōʻihi ka diastole e emi ai ʻili pūpū a sclerosis ho? io? ana o ka pulu ma loko.

Hiki iā Diuver ke hana e ʻaihui antihypertensive, ʻoiai ʻo ka hana a Torasemide, ke ʻano hana i ʻike nui ʻia ma muli o kaka hōʻemi ʻana o ka pale kūleʻa peripheral (overload wae, e alakaʻi ana i ka hana naʻau nui aʻe, a ma muli o ka hoʻonui ʻia ʻana he pili koko) ʻO ka hana o kēia ʻano hana ka hoʻowalewale ʻana i ka papa hana kalona i nā poli kūpaʻa o ka papa o ka hoʻoneʻe o ka vascular moe, ma muli o ke kūpaʻa o ka pā i ka hopena o nā mea paʻi koi ke hoʻemi ʻia (nā mea endogenous, no ka laʻana, catecholaminesa i ʻole wīwahaʻO ka haki o ka leka uila heliorary.

Pono ia e hoʻomaopopo i kēlā Hakuopalaikaelike diuretic thiazide, loaʻa ka nui o nā pono i hoʻohālikelike ʻia i ka hoʻomākaukau lāʻau lapaʻau nui o kēia hana - Puʻu:

i ka liʻiliʻi, kahi kūlana maʻi e like me hypokalemia,
ka hana lāʻau-lāʻau Hakuopalaika ʻoi aku ka kiʻekiʻe
eʻoi aku ka lōʻihi o ka hopena ma mua a Diuver.

Pharmacodynamics a me ka pharmacokinetics

Ua ʻae ʻia ʻo Diuver ʻiʻowikiwiki a paʻabioavailabilityka lāʻau lapaʻau 80-90 pākēneka, ma muli o ke ʻano o kēlā me kēia ʻano o ke kino) kahi i hoʻolaha ʻia mai ka gastrointestinal tract. ʻO ka ʻike kiʻekiʻe plasma ka nui o nā mea hana i ʻike ʻia ma hope o 1-2 mau hola, ma hope o ka lawe ʻana i nā papa. I loko o ke koko HakuopalaikaHāʻawi i ka protein plasma, ka mea e hāʻawi ai hopena diuretic ma luna o nā hola he ʻumikumamāwalu. ^ E Ha yM. Piʻi pinepine ka nui o ka urination ma luna o ka manawa holoʻokoʻa o ka lāʻau, ʻo ia hoʻi kahi ʻano maikaʻi o ka lāʻau (ʻaʻole e like me Furosemide, ʻaʻole ia e kaomi ke kaupalena i ka hana a ka mea maʻi ma hope koke o ka lawe ʻana i nā papa).

ʻAbollelo ʻiaka lāʻau lapaʻau i ka puʻu, ma lalo o ka hana a nā enzymes i ka ʻōnaehana helei Htoi P450. ^ E Ha yM. I ka hopena o nā hopena kemika i hoʻokumu ʻia hūkū ka hoʻomehana hydroxylatede hoʻopaʻa ana i ka protein protein i ka 86-97 pakeneka (ka loaʻa ʻana o ka hono i ka hoʻohuli ʻana i ke olakino o nā mea a me ka ʻano o ka ʻōnaehana oxidation a me ka ham hyxxylation ʻano).

Ke hōʻike ʻia neiHoʻopiʻi nui ʻia e nā keiki (clealce renal Hakuopalaikahe 10 ml / min, kūʻē i ke kua o ka huina - 40 ml / min) i loko o ke ʻano o nā metabolites hana ʻole, ʻewalu mau haneli o ka pākaha hoʻokahi. Half ola ʻO ka mākaukau lāʻau lapaʻau e pili ana i nā hola 3-4 (i ka hihia o ka hikiʻole o ka renal, ʻaʻole i loli ka hōʻailona ma kekahi ala). ʻO kahi'āpana liʻiliʻi o nā metabolites HakuopalaikaHoʻokuʻu ʻia ia ma o hemodialysis a me hemofiltration.

Hōʻikeʻike Diuver

ʻO ka hōʻike maʻalahi no ka hoʻohanaʻana i kahi lāʻau diuretic pili ma luna Hakuopalaikahe ka leo edematous e kūʻē ana i ke ʻano o nā ala like ʻole. Pela no nā maʻi o nā keiki, nā ate, nā māmā i ka lāʻau paʻakikī, ʻo ia ka mea e komo me ka lāʻau o nā hana like.

Hoʻopau ʻole nā puʻuwai naʻau ʻoi aku ka maikaʻi o ka mālama ʻana inā hoʻohana nā diuretics loopkōkua e hōʻemi i ka hōʻemi ʻana o nā ʻōpū ma loko o nā ana a me nā kiko.

Nā ʻōwili no ka hoʻohana Diuver me haehae maʻi ʻaʻole pololei, akā hapanui o nā kauka lapaʻau e hoʻohana i kēia lāʻau i loko o kahi papa mālama konservative, no ka mea he hopena ikaika a mau loa ia e hoʻohālikelike ʻia i nā diuretics ʻē aʻe. ʻO kahi hiʻohiʻona maikaʻi o ka hoʻohanaʻana o Diuver ʻo ia hoʻi kona hiki i ka maʻi pharmacokinetic a hopena hopena hilinaʻiʻae i ka hoʻoponopono pono ʻana i ka hopena therapeutic i makemake ʻia.

Nā Hoʻohui

hypersensitivity a i ʻole mololoka i nā mea i mākaukau i ka lāʻau lapaʻau,
pilikia hāpē ma anuria,
lactase hemahema (a me ka lactose intolerance, ma muli o ia) a i ʻole ka ʻike ʻole ʻana o ka glucose a me ka galactose,
huehue, exicosisnā kūlana hypovolemic,
hepatic koma,
ka manawa lactation,
hoʻohālikelike cardiac glycosides,
ua haiia hypokalemiaa i ʻole hyponatremia,
koi glomerulonephritis,
defompensated pale balaka defects (ma loko he kani ʻana o ka aortic a me mitral wehe),
e hoʻonui ana i ke kaomi venous ma luna o 10 mmHg,
makahiki a hiki i ke 18 mau makahiki.

Aia kekahi mau kūlana o nā pahuhopu i ka wā e lawe ʻia ai ka lāʻau lapaʻau ma lalo o ka nānā ʻana o nā loea loiloi ʻo ke ʻano maʻi inpatient (no laila, me ka hoʻomohala ʻana o nā hopena maikaʻi ʻole o ka mālama conservative, pono e hāʻawi ʻia i ke kōkua a hiki i ka hiki). Ke paʻa nei kēia mau ʻano:

haehae maʻi,
atherosclerosis ((nui nā kīlā palebral)
predisposition e hoʻonui i ka plasma pulu o nā urates,
nā kuhi hewa ʻana o ka nalo ʻana o ka urine mai ka urethra (ʻo ke kumu maʻamau ka mea maʻamau benign prostatic hyperplasia i nā kāne a me nā hana stenotic inflammatory i ka wahine),
ha ʻoma hoʻowalā myocardial infarction (ka ulu ʻana o ke kūkulu ʻana i ka pīhoihoi cardiogenic a me ka holomua o ka ʻōnaehana pathological ke ulu nei).
maʻi mellitus maʻiʻi (hōʻemi i ka hoʻohaʻahaʻa glucose i nā pūlaki a hōʻemi i ka hopena hypoglycemic i nā lāʻau lapaʻau),
anemia,
maʻiʻa maʻi hepatorenal.

Nā hopena hopena

Hiki i ka lāʻau ke hōʻeha i kēia hopena ka hopena i ka wā o ka mālamaʻana i ka maʻi edema:

Ma ka ʻōnaehana cardiovascular:pauku huakaʻi o ke kaho leleka emi nui ʻana o ke kahe koko a hiki i hāneʻe, nā arrhythmias (nui tachycardia), kahi hōʻemi o ka nui o ke koko e neʻe nei.
Ma ka ʻōnaehana urinary: mālama ʻokiʻāka hoʻonui ʻana i ka paʻa o nā paʻakai uric i loko o ke kō koko, hematuria(koko i ka mū) nephritis interstitial, hydronephrosis.
Ma ka VEB a KSCHB: kahi hāʻule o ka waihona plasma o ka sodium, potasi, chlorine, magnesium, calcium, metabolic alkalosis, hypovolemia, huehue, exicosis, hui kokoa me ka hoʻonui nui i ke kahe koko.
Ma ka hoʻokūkū: hypercholesterolemia, hypertriglyceridemia a atherosclerosisMa muli o kēia, kahi piʻi i ka ʻikeʻana o ka likinine a me urea i ke koko, nā maʻi goutyka hoʻohaʻahaʻa ʻana i ka hoʻohaʻahaʻa glucose Hōʻikeʻike o ka maʻi diabetes).
ʻĀpelu kikowaena: nā hōʻailona dyspeptic nausea, luaʻi, ʻōpio epigastric, nā ninia), nā pale o ka hana o nā enzymes ati. lōkohu (akahi).
Ma ka ʻōnaehana kikowaena waena a nā hui pepeiao: ke kāhea nei i ka hoʻolohe, tinnituspoʻomanaʻo āhāhuʻe, aloha.
ʻIli kūloko: urticaria, kaʻiliʻilipaulele, dermatitis, photosensitization, vasculitis, kūlohelohe anaphylactic a me anaphylactoid (a hiki i ke kūkulu ʻana pāhoʻohaʻi).
Ma ka koko peripheral: ka hōʻemi ʻana i ka helu o nā platelets a me nā nāhelehe koko keʻokeʻo (ke kūpaʻa nei ka hope agranulocytosis), aplopaka a i ʻole hemolitic anemia.

Diuver, nā ʻōlelo no ka hoʻohana ʻana (Ke ʻano a me ke ʻano)

Lawe ʻia nā pil ʻiʻome kahi wai uuku. Hoʻomaopopo ʻia e hoʻohana i ka lāʻau lapaʻau koke koke ma hope o ka ʻaina kakahiaka, i ka wā e hoʻoulu ʻia ai ke kalaka i ka gastrointestinal tract e kahi ʻoki meaʻai.

ʻO ka regimen o ka lāʻau lapaʻau ka mea e hele nei i ke kauka, i ka nānā ʻana i nā hiʻohiʻona pilikino o ke kino a me nā hōʻike no ka hoʻoponopono hou ʻana, me ka maʻamau ka leo edematous therapeutic dosis o nā ʻano kumu he 5 mg Hakuopalaikai ka maka? i. Hoʻololi, hiki ke hoʻonui ʻia ka nui o ka lā i 20 a hiki i ka 40 mg i ka manawa, inā pono ke ʻano pathological o ka mea maʻi. Hoʻopau i ka hana maʻi wale nō ma hope o ka nalowale ʻana o ka edema (e hōʻoia i ka hopena maikaʻi, kāohi ka nānā ʻana a Hōʻike ʻo McClure-Aldrich huna edema).

Nā ʻōkuhi no ka hoʻohana ʻana iā Diuver me haehae maʻi ʻokoʻa. ʻO ka lāʻau mua ma mua o 2,5 mg, ʻo ia ka hapalua o ka papa papa me ka ʻōpala Hakuopalaika5 mg (a i ʻole he hapaha, kēlā, me 10 mg o ka mea ikaika). Inā pono, hoʻonui i ka hopena therapeutic, hoʻonui ʻia ka lā o kēlā me kēia lā i 5 mg.

Ke keu

Hoʻonui ka puna plasma i ka hoʻokele ʻole ʻana i ka lāʻau e hōʻake i nā huaʻōlelo i lalo o nā mākaʻi.

nā hoʻomaʻa pinepine ʻana gravity haʻahaʻa haʻahaʻa
keu loa kahe hema,
haʻi ʻia ana i ka hoʻemi ʻana o ke koko, a hiki i orthostatic hypotension,
ka haʻalele ʻana o ka electrolyte a me ka hoʻāla-acid-kumu o ke kino,
huhū,
hiamoe,
hilahila,
hāneʻe- lilo ʻole ka hopena o ka leʻaleʻa.

Haka kikoʻī hoʻololi pū ʻia, na mea e kōkua aku i ka hoʻohuihui ʻo Diuver i ka mākeke kūʻai olakino, akā aia nā ʻano hana mālama conservative e uku i ke ʻano pathological o ke kino. Hoʻohana nui ʻia hoʻopili infravenous nā hoʻonā isotonic a me ka crystalline e hana ai no ka lilo ʻana o ka bcc. ʻO lalo o ka kāohi o serum konsentrate o nā electrolytes a me ka hemocrit infused Nā hoʻoponopono mea hoʻoponopono o CBS a VIB. ^ E Ha yM. I nā kūlana paʻakikī e hiki ke hoʻohanahili koko a nā māhele koko.

Inā kūlohelohe ka lāʻau lapaʻau e pili ana i ke kuana ʻana o ka nui o ka nui o ka lāʻau o ka lāʻau, a laila pono ia hihā, hāmeʻa hoʻonāukiuki, ka haʻalele ʻana o nā mea o ka ʻōpū i nā ʻano āpau (me ka hoʻohana ʻana i ka conservative, ʻalā lāʻau lapaʻau, a me nā ʻano hana o ka physiotherapy).

Hoʻohui

ʻAslelo Torasemide- He mea kanu olakino koʻikoʻi hiki ke hoʻoikaika pū me kahi papa inoa o nā lāʻau lapaʻau. No laila e hoʻonui ka diuretic i ke kūpaʻa ʻana, a ma muli o ke ʻano o ka hopena o nā ʻaoʻao a me nā hopena maikaʻiʻole (ʻoiaʻiʻo hoʻi - a me nephrotoxicity) o nā lāʻau lapaʻau e like me nā hui antibiotics. cephalosporina kaʻaoglikua, chloramphenicol, cisplatin, waikawa ethacrylic, kaleleaomakai B (e pili ana i ke kūlike renal excretion).

Loaʻa wale aku, mea e ʻike ai e hoʻemi ana ʻo Diuver i ka hananā mea lawelawe hypoglycemic, he pono ka hoʻoponopono kūpono o ka mālama mālama ʻana i ka maʻi maʻi. Inā ʻaʻole, hiki i ka hoʻolālā pālahalaha maʻi a i ʻole koma ketoacidotic a me nā loli hiki ʻole e hoʻololi i ka microvasculature. Hoʻemi ʻia ka hopena lāʻau lapaʻau. allopurinolinā hoʻohui ka lāʻau lapaʻau i kēia lāʻau lapaʻau me ka diuretics pili-Torasemide.

Hoʻopau nui loa ʻo Diuver i ka hoʻomaʻemaʻe kino Hoʻomākaukau lithium, no ka mea, ua hūnā ʻia ka nui o ka urine palupalu (me ka nui o nā nui o ka wai excreted, hana nui ka palupalu glomerular. Hoʻoweliweli kēia hana i ka hoʻomohala ʻana ka hoʻomāliuki lithium, i ʻike ʻia penei:

ʻeha ka maʻi dyspeptic nausea, luaʻi, etc.)
hoʻonui hoʻonui neuromuscular irritability,
epizeptic puhipuhi a me ka stupor,
ataxia,
nui hāpau,
hilahila, delirium,
pilikia kūlohelohe.

ʻO nā lāʻau anti-inflammatory Nonsteroidal hoʻemi nui loa i ka hopena diuretic Hakuopalaika, no ka mea e pale i nā synthesis a laila, ka mea i hōʻike ʻia ʻo ia iho i ka hōʻino ʻole o ka hana a ia ʻano hana biologically ʻano like renin i loko o ke koko koko. Aʻo kahi hopena, emi ke kahe o ke koko a hoʻōla ʻole ka urination. Ka like i ka hana o ka hana a NSAID e hoʻonui i ka hopena hypotensive o ka diuretic nā lāʻau (renin- ka mea nui o ka hoʻoponopono renal o ke kō koko, e kau ana i kahi hopena pressor ma luna o ka wahi moe.

ʻAʻole pono e hoʻohui pū i ka hoʻohui ʻana o nā hōʻola a me nā lāʻau hōʻalo angiotensin-hoʻohuli i ka enzyme a i ʻole pukiiha ʻōpio ʻōpio me nā diuretics loop, hiki i kēia hana ke alakaʻi i kahi emi nui o ke kahe o ke koko a me ka hoʻomohala ʻana a me ka hoʻopulapula o ke kani ʻole e piʻi a hāʻule i lalo. Me nā hōʻike piha, hōʻike ʻia ka hoʻohaʻahaʻa ʻana i ka mālama ʻana Hakuopalaika i kēlā i?

I ka poʻe maʻi me ka hopena kiʻekiʻe o ka hoʻomohala ʻana i ka maʻi ʻōpiopio (nephropathye pono ʻohi e like me nā ʻano etiology piipili a Hakuopalaika, mai hiki i kēia ke hana i kahi mea hoʻonāukiuki no kekahi maʻi maʻi loa. ʻO ka hopena ʻaoʻao o ka cyclosporine ka mea hōʻino o ka hoʻopāhaʻina o nā uric acid uric e nā keiki, a me ka torasemide, ma ke ʻano, he kumu nui o ko lākou manaʻo i ke kahe. ʻO ka hana like like ʻole e alakaʻi i ka waiho ʻana o nā urates a i ʻole ka hoʻomohala ʻana ʻaʻano gouty.

Nā ʻōkuhi no ka hoʻohana Diuver, dosage

ʻO ka lāʻau i manaʻo ʻia no ka hoʻoponopono waha. Lawe ʻia nā papa i ke kakahiaka ma hope o ka ʻaina kakahiaka me kahi liʻiliʻi o ka wai wai.

No ka mālamaʻana i ka maʻi edematous, 1 papa o Diuver 5 mg 1 manawa i kēlā me kēia lā i kuhikuhi ʻia. Inā pono, hiki i ka dosage ke hoʻonui liʻiliʻi i ka 20-40 mg hoʻokahi i ka lā. I nā hihia kūʻokoʻa loa, ʻo ka inikua o kēlā me kēia lā he 200 mg.

No ka mālamaʻana i ka maʻi hypertension, hapalua papa o Diuver 5 mg (2.5 mg) 1 manawa i kēlā me kēia lā i kuhikuhi ʻia. I kekahi mau manawa, ma ke ʻano o ke kauka, hiki ke hoʻonui ʻia ka nui ma ka 5 mg i kēlā me kēia lā.

ʻO ka wehe ʻana ma mua o 5 mg i kēlā me kēia lā, ʻaʻole ia e alakaʻi i ka emi ʻana o ke kahe koko, ʻaʻole i aʻo ʻia no ka hypertension koʻikoʻi. Pono e noʻonoʻo i ka hopena o ka hypotensive kiʻekiʻe o ka torasemide e hoʻokō i nā hebedoma 12 ma hope o ka hoʻomaka ʻana o ka hopena.

Pono nā maʻi maʻi mua e kau ʻia i ka torasemide ma nā liʻiliʻi liʻiliʻi a me ka hoʻoponopono ʻana me ka lohi ʻana me ka makaʻala.

Diuetic Diuver

ʻO ka mea hana nui i loko o ka lāʻau lapaʻau ka torasemide, ka mea e hana ana me ka diuretic me ka hopena mau loa. Nā kumuwaiwai hou - nā kōka palaoa, lactose monohala, ka paʻakai sodium carboxymethyl. Ka mea i loaʻa ka magnesium stearate, anhydrous silicon dioxide. Ke hōʻike nei ka lāʻau lapaʻau Diuver no ka hoʻohana ʻana me ka puffiness, ʻo kāna hana e kōkua:

ka hoʻemi ʻana o ke koikoi osmotic i loko o nā ʻōpū,
ka hemo ʻana i nā kahe nui mai nā kiko.
papaʻi ʻana o ka hoapili ʻana i ka wai, nā paʻakai sodium,
hoʻomaikaʻi i ka hana myocardial,
e kaupalena ana i ka haʻalele o ka pāhare
hoʻemi i ka fibrosis.

Diuver - ʻōlelo aʻo

Nā manaʻo no ka hoʻohana ʻana i ka lāʻau lapaʻau e hoʻoholo ʻia e ke kauka. Ke hoʻohana nei i ka lāʻau lapaʻau Diuver, pono ia e aʻo i nā ʻōkuhi, e hōʻike ana i nā lula no ka komo, ka ʻaihue a ua hōʻike ʻia:

e pili i nā hopena hopena, contraindications,
hana i kahi hōʻike koko pinepine
ma ka manawa like e hoʻopau iā Veroshpiron e mālama i ka pāhare,
e hahai i kahi meaʻai me ka hoʻohana mau.

E like me nā kauoha no ka hoʻohana, pono ia:

ma mua o ka hoʻōla, hoʻoponopono i ka kaulike wai-electrolyte,
e hōʻoia i ka glucose no ka maʻi maʻi,
hoʻohana i ka huahana me ka makaʻala e hui pū me nā mea paʻa o ka ATP - hoʻemi nui loa i ke kaomi,
haʻalele ʻoe i ke kaʻa ʻana i kahi kaʻa,
inu i nā lako hoʻohui,
haʻalele i ka hana me nā ʻāpana paʻakikī.

Diuver - hōʻike

Ma hope o ka heluhelu ʻana i nā ʻōlelo kuhikuhi, hiki iā ʻoe ke hoʻomaopopo i ka Diuver - mau hōʻailona no ka hoʻohana ʻana i ka mea ʻo ia ka ʻike o nā syndemes edematous o nā ʻano genesis, he hopena i loko o nā wahi nui o ka lāʻau lapaʻau. Ua kuhikuhi ʻia ka lāʻau lapaʻau e nā lāʻau lapaʻau a me nā endocrinologists, nephrologists a me cardiologists. He hopena ka hopena o nā papa diuver:

ʻōpala
pepona
nā ate
arertial maʻi 'āina ma ka elemakule,
nāwaliwali o ka puʻuwai.

Diuver - dosage

Ke koho ʻana iā Diuver - nā hōʻailona ʻike no ka hoʻohana ʻana o ia mau mea, ke koho mua ke kauka i kahi liʻiliʻi liʻiliʻi. Ke nānā nei i ka maʻi maʻi, ua hoʻoponopono ʻia ka mālama ʻana. ʻAʻole hiki ke ʻae ʻia kahi mālama iho o ka diuretics ma muli o ke ʻano o nā hopena hopena, contraindications. Pau ka lāʻau i ke kakahiaka, ma hope o ka ʻai ʻana, holoi ʻia me ka wai. I kekahi mau manawa, ua hōʻike ʻia kona ola e ola nei. ʻO ka maʻi kumu mua o Diuver i kēlā me kēia lā:

me ka hypertension - 2,5 mg - hapalua papa,
i ka wā o ka maʻi maʻi o ka pūpū, nā pūpū - 5 mg,
me ka uha ʻole o ka naʻau - a hiki i ka 40 mg.

Diuver - contraindications

Pono e hoʻohana ʻia ka diuretic ma lalo o ka mākaʻi o ke kauka, ʻaʻole wale nō no ka holoi ʻia o nā mea nui mai ke kino e pono ai ka nānā ʻana. Aia nā contraindications Diuver:

pilikia ʻole kahi i komo ʻole ai ka urina.
hepatic koma
hyponatremia - ke ʻano o ka pae o ka sodium,
hypcolocia,
hoemi ikiia
lactose intolerance,
nā wīpū palā

ʻO ka hoʻohana ʻana o ka lāʻau lapaʻau i ka wā hāpai, nā keiki, nā ʻōpio ma lalo o ka 18 makahiki o ka makahiki, ʻoiai ʻo ka ʻōpū e hiki ʻole ai. Hoʻopiʻi ka lāʻau lapaʻau ma ka hihia o:

kaomi kaukaʻi ʻana
kūloko i nā mea,
ua hoʻonui ʻia
nā hemahema o ka glucose
kohola
myocardial pili hewa
maʻi mellitus maʻiʻi
anemia
nā kaʻe ʻana o ke kahe ʻana o ka urine,
Nā leo hoʻokele,
nā ninia.

ʻO nā kauka, ke ʻike nei i nā diuver - nā hōʻailona no kona hoʻohana pinepine ʻia i nā ʻōlelo aʻoaʻo, pono ia i ka lāʻau lapaʻau, pono ia e noʻonoʻo i nā hopena ʻaoʻao. Aia kekahi mau manawa maikaʻi ʻole mai nā ʻōnaehana:

cardiovascular - hoʻopaʻi ʻia ikaika, nāwaliwali,
urinary - urinary retitation, ke ʻano o ke koko i loko, ua emi ka paʻakai,
kūwili - ka ʻeha, ka luaʻi, exacerbation o ka pancreatitis, i hoʻemi ʻia ka makemake,
ʻōpena - tinnitus, humuhumu i nā wāwae, hoʻemi i ka ʻike,
kahe koko - ka hoʻemi ʻana i loko o nā loko koko ʻokoʻa, kahi hana ʻole o ka ʻōnaehana.

Diuver - nā kikowaena

ʻO ka hiki ʻana i kahi helu he nui i nā kauka kauka e kuhikuhi i nā maʻi, i ka wā e hōʻike ʻia no ka hoʻohana ʻana, nā ʻano like o ka diuretics me nā mea hana like. Manaʻo ka alakaʻi o ka radar i nā mea hoʻohālikelike o Diuver me kahi ʻano like:

Kaulealea,
Aldacton
Auwe Arifon,
Paula,
Brinerdin,
Brusniver,
Brinaldix,
Bufenox,
Isobar
ʻO Zokardis me,
ʻĀkau palapala
Clopamide
Lorvas
Lespeflan
Lasix
Hoʻokomo hou
Nebilong N,
Trigrim
Triamtel
Spironolactone
Puʻu
Phytolysin.

Kumukuai no Diuver

Hiki ke kūʻai aku i ka Diuretics ma luna o ke kaukō ma kahi hale kūʻai kokoke. Hoʻopaʻa wale i nā lāʻau lapaʻau mai nā helu a kūʻai aku i ka hale kūʻai pūnaewele. Aia ke kumukūʻai ma ka helu o nā papa i loko o ka pākī, ka mea hana. Kumukuai no Diuver a me nā kūmole:

ʻO ka waiwai waiwai, mg

Uwahi kumukūʻai, rubles

Kanefron H, dragee

ʻO Ekaterina, ʻo 48as mau makahiki ʻo Torasemid Canon i kuhikuhi ʻia e kahi endocrinologist, nā hōʻailona no ka hoʻohana ʻana he māeʻe nui loa. ʻAʻole maopopo ʻo ia i ka mea e hele ai - ʻaʻole kūpono nā wāwae i kēlā mau kāmaʻa. Makemake au i ka maluhia ka lāʻau lapaʻau, ʻaʻohe koi mau i ka lua. Aia ma ka lua o ka lā, hoʻomaka ka puahiue a hala, a he hebedoma i hala aʻe - ʻike ʻia ka pohō kaumaha. ʻIke nui wau.

Eugenia, 58 makahiki He kanaka maʻi maʻi hypertensive me koʻu ʻike, ua nānā mau ʻia wau e kekahi kauka. Ma waena o nā lāʻau lapaʻau i kuhikuhi ʻia iaʻu no ka hoʻohana ʻana i kēlā me kēia lā, ma laila he diuretics. I ka wā mua ua inu au iā Acetazolamide, akā he kumu kūʻai nui loa no nā penikala, a laila ua hoʻololi ke kaupaʻa me Indapamide. He paleke wale ka lāʻau, mālama i ke koʻikoʻi, ʻaʻohe ʻoluʻolu mai ka neʻe.

ʻO Valentina, he 52 mau makahiki. I koʻu wā i hōʻike ʻia ai me ka maʻi hōʻeha o ka puʻuwai, ua kauoha lākou iā Veroshpilakton. Ua wehewehe aku ke kauka i kēia lāʻau lapaʻau ʻaʻole i lawe wale i ka wai i kū, akā pale nō hoʻi i ka pāhana mai ka leaching, he mea nui loa ia no nā cores. ʻO ka mea nui, ʻo ia ka hele ʻana o ka ʻāpana ma ke kino holoʻokoʻa, ʻoiai ua ʻike ʻia nā maka ma ka maka.

Lapaʻau lāʻau

Ma hope o ka lawelawe waha, ua wikiwiki ka torasemide a paʻa loa i loko o ka ʻeha gastrointestinal. Ka ʻike nui loa o ka torasemide i loko o ke koko koko e ʻike ʻia i nā hola he 1-2 ma hope o ka ʻaʻa ʻana. Bioavailability he 80-90% me nā loli ʻano liʻiliʻi.

Hoʻopau ka hopena diuretic i nā hola 18, ʻo ia ka mea e hoʻomaʻamaʻa ai i ka hoʻomanawanui i ka noʻonoʻo ma muli o ka loaʻa ʻole o ka urination pinepine i loko o nā hola mua ma hope o ka lawe ʻana i ka lāʻau lapaʻau i loko, e hoʻopiha i ka hana a nā mea maʻi.

ʻO ke kamaʻilio me nā protein protein eʻoi aku ma mua o 99%. ʻO ka mea ʻike ākea ka 16 lita.

Hoʻomauʻālua ia i ka puʻu e hoʻohana ana i nā isoenzymes o ka ʻōnaehana cytochrome P450. Ma muli o nā hopena olakino holomua, ka hauhā, a i ʻole ke kani ʻana i ka hoʻoneʻe hydroxylation, ʻekolu mau metabolites i hoʻokumu ʻia (M1, M3, a me M5), kahi e hoʻopili ai i nā protein plasma e ka 86%, 95%, a me 97%, kahi.

ʻO ka hapalua-ola (T1 / 2) o ka torasemide a me nā metabolites he 3-4 mau hola a ʻaʻole e loli i ka pilikia ʻole o ka renal. ʻO ka huina piha o ka torasemide he 40 ml / min, ka hoʻomaʻemaʻe o ka renal - 10 ml / min. I ka awelika, ma ka 83% o nā maʻa i lawe ʻia e nā keiki: ke hoʻololi ʻole (24%) a me ke ʻano o nā metabolites pinepine ʻole (Ml - 12%, M3 - 3%, M5 - 41%).

I nā hana renal, ʻaʻole e loli ka T1 / 2, ʻoi aku ka T1 / 2 o nā metabolites M3 a me M5. ʻO ka Torasemide a me nā metabolites i hoʻonani ikiʻia e ka hemodialysis a me ka hemofiltration.

Me ka hanaʻole o ka ate, ka māhuahua o ka torasemide i loko o ke kaila koko no ka emi ʻana o ka hōʻola o ka hoʻomaʻamaʻa o ka lāʻau i ka ate. I nā mea maʻi me ka puʻuwai a i ʻole kaulike ʻole T1 / 2 o ka torasemide a me ka M5 metabolite i hoʻonui pinepine ʻia, ʻaʻole like ʻole ka hoʻouka ʻana o ka lāʻau.

Me ka mālama pono

Hypotension arterial, stenosing atherosclerosis o ka cerebral arteries, hypoproteinemia, kahi predisposition i ka hyperuricemia, heʻe ʻana i ka hoʻokaʻina urine (benign prostatic hyperplasia, ʻāwīwī o ka urethra a i ka hydronephrosis), he mōʻaukala o ka arrhythmia ventricular, ka maʻi myocardial akala, maʻiʻa, hoʻonui ʻia diabetes mellitus (hoʻemi i ka hoʻohaʻahaʻa glucose), hepatorenal syndrome, gout, anemia, hapai.

Nā hopena hopena

Wahi a nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana, hiki ke koho ʻia ʻo Diuver (5/10 mg) me nā hopena maikaʻi loa:

nā hana hōʻemi a me ka hopena e piʻi ai i ke kao o ke kō o ka paʻakai, magnesium, calcium, chlorine a me ka sodium,
hoʻemi koʻikoʻi i ke koko,
nā arrhythmias a me ka tachycardia, ʻaʻole e wāwahi.
hoʻonui sporadic i ka hana ʻana o ka urea a me ka kolamu ma ke koko,
neʻeneʻe interstitial nephritis a i ʻole ka mālama ʻia ʻana o ka urinary.
ʻO ka maʻi pancreatitis a me nā maʻi dyspeptic,
aloha
luhi pau ʻole
hoʻololi i ke kiʻi i ke koko a hiki i ka anemia hemolytic a me ka aplastic,
nā huakini no ke ʻano, a me ke kūlohelohe anaphylactic.

Inā ʻike ʻia nā hōʻailona e hōʻike ana i ka hoʻomaka ʻana o kahi hopena ʻino, e hoʻolako ʻia e kāpae i ka lawe ʻana i ka lāʻau ma mua o ka nīnau ʻana i kāu kauka.

Hoʻololi ka hopena diuretic o ka lāʻau i nā hola 18, ma muli o ia, i nā hola mua ma hope o kona lawelawe ʻana, ʻaʻohe ʻano pinepine o ke koi ʻana e hoʻonāwī, hoʻopiʻi i ka hana a ka mea maʻi.

Nā Hoʻohui

Hoʻohālikelike ʻia ʻo Diuver ma kēia mau lālā maʻi:

Me ka ulu ʻana o ka naʻau i ka torasemide a me / a i sulfonamides, i nā mea hōʻeuʻeu o ka lāʻau lapaʻau,
I nā kūlana i hui pū ʻia me ka nele o nā kahe o ka urine i loko o ka ʻeha,
Aia ma ka'āina hepatic coma, ka mea i hōʻike ʻia e ke kaʻe o ka wahī, ua me ka ikaika ʻole o ka hana ate,
I kahi kūlana nui
Me ka loaʻaʻole o ka renal, ka mea i hui pū ʻia e nā hōʻailona o ka hoʻonui ʻana o ka azotemia,
Me ka hypotension artery,
Me ka arrhythmia.

Ma muli o ka nele o nā haʻawina kula i ka wā o ka lactation, ʻaʻole ʻia ka poʻe i hānai ʻia e ka wahine. Eia nō hoʻi, ʻaʻole kuhi ʻia ka lāʻau lapaʻau no nā keiki ma lalo o ka makahiki 18, no ka mea, ʻaʻole i hoʻokūpaʻa ʻia kona palekana a me ka hana pono.

ʻO ka mālama mau ʻana i ke ʻano o ka maʻi fetal, he mea pono ia i ka wā i ke komo ʻana i loko o kāna kiko, ʻo ka torasemide e hoʻonāukiuki i ka hoʻowalewale i ka hoʻōho a me ka hoʻōla o ka wai, a me ka thrombocytopenia.

Ke keu

Ke lawe i nā wai kiʻekiʻe o Diuver i nā maʻi, hiki ke hoʻomohala i ka hoʻohālikelike ʻana i ka wai-electrolyte, diuresis koʻikoʻi, mau waʻeha, hypotension arterial, hilahila a me ka hoʻopiʻi vascular.

Eia kekahi, ʻo ka hoʻomohala ʻana o ka maʻi gastrointestinal.

ʻAʻole maopopo ka antidote kikoʻī. Hoʻomaopopo ʻia ka hōʻemi ʻana i ka lāʻau a hōʻemi iki paha ka hana. Me nā hōʻailona koʻikoʻi o kahi overdose, hoʻoponopono ʻia ka pale ʻana o ka wai-electrolyte a ua kuhikuhi ʻia ke ʻano hōʻailona.

Hoʻohana i ka wā hāpai a me ka lactation

ʻAʻohe o kahi Toratemide i ka hopena teratogenic a me ka fetotoxicity, komo i ka pale pleka, hoʻonāukiuki i ka metabolism wai-electrolyte a me ka thrombocytopenia i ka pūpū.

Hiki ke hoʻohana ʻia ka lāʻau Diuver no ka wā hāpai ʻana inā he pono ka ʻoi aku i ka makuahine i ka ʻoi aʻe o ka hopena o ka maʻi wahine ma lalo o ka mākaʻi ʻana o ke kauka a i nā hopena liʻiliʻi wale nō.

ʻAʻole i ʻike ʻia inā hele ka torasemide i ka waiū umauma. Inā pono e hoʻohana i ka lāʻau Diuver i ka wā lactation, pono ia e pani i ka ʻōpū.

Nā hōʻike o Diuver, ke kumukūʻai ma nā lāʻau lapaʻau

Inā pono, hiki ke loli ʻia ʻo Diuver me ka metala o ke ʻano ikaika - eia kēia mau lāʻau lapaʻau.

Ke koho ʻana i nā mea kikoʻī, pono e hoʻomaopopo ʻo ia nā ʻōlelo aʻo no ka hoʻohana ʻana iā Diuver, ke kumukūʻai a me nā loiloi o nā lāʻau lapaʻau me ka hopena like ʻole. He mea nui ia e kamaʻilio pū me ke kauka kauka a ʻaʻole hoʻi e hana i kahi loli kūʻokoʻa kūʻokoʻa.

ʻO ke kumukūʻai ma nā lāʻau lapaʻau o Lūkia: Nā papa liʻiliʻi Diuver 5 mg 20 pcs. - mai 335 a 391 mau rubles, 10 mg 20 pcs. - mai 425 a 439 mau rubles.

E mālama a hiki i ke 30 ā º. Mai mālama i nā keiki. ʻO 3 mau makahiki kahi ola i nā pale. Kuhi ʻia nā mākeke ma ka lāʻau lapaʻau.

3 hōʻike no ka "Diuver"

Hoʻopau i nā edema a hoʻoemi i ke kaumaha, akā aia nā hopena maikaʻi ʻole (((

ʻAʻole e like me nā meaʻoi aku ka nui, ʻoi aku ka nui o nā hopena ʻo Diuver.

ʻO ka hopena maikaʻi. Lawe ʻia ʻo Diuver e koʻu makuakāne no ka hiki ʻole o ka puʻuwai e wehe i nā puʻu palupalu (ua kīwīwī ʻia kona mau wāwae, a hiki i kahi i hiki ʻole ke neʻe iā ia iho). Ma mua o Diuver, hoʻāʻo lākou i nā mea āpau, akā ʻaʻohe mea i ʻike a me ka hopena i manaʻo ʻia.

Diuver, nā ʻōlelo e pili ana i ka hoʻohana ʻana: ke ʻano a me ka helu ʻana

Pono nā papa ʻōlelo diuver e lawe waha ʻia i ka manawa 1 i kēlā me kēia lā (ma hope o ka ʻaina kakahiaka), holoi ʻia me ka wai nui.

Hoʻokomo ʻia ʻo ka hoʻokahi (a i kēlā me kēia lā i nā wā kau):

ʻO ka maʻi Edema: ka 5 mole o ka mua o ka hopena o ka hopena, inā ʻaʻole i lawa ka hopena, ua hoʻonui ʻia ka nui a 20-40 mg, ma kekahi mau hihia - a hiki i 200 mg. Pono e lawe iā Diuver a nalowale ka edema, hiki i ka therapy lōʻihi.
Hypertension arterial: ʻo ka mua ka palena o 2.5 mg (1/2 papa), inā pono, e hoʻonui i ka maʻi i ka 5 mg.

Nā ʻōlelo kikoʻī

Pono e hānai ʻia ʻo Diuver e like me ka ʻōlelo a ke kauka.

Hoʻopau ka hopena diuretic o Diuver i mau hola 18, ma muli o ia, i nā hola mua ma hope o kona lawelawe ʻana, ʻaʻohe ʻano pinepine o ke koi ʻana e hoʻonele, e hoʻopiha ana i ka hana a ka mea maʻi.

Ke lawe nui nei i nā inika kiʻekiʻe o Diuver no ka manawa lōʻihi, nui ka nahā o ka hoʻoulu ʻana i ka hypokalemia, hyponatremia a me ka alkalosis metabolika, a no laila e ʻōlelo ʻia e mālama i kahi meaʻai me ka nui o ka sodium chloride a hoʻohui pū i ka hoʻomākaukau ʻana i ka paʻakai.

I ka poʻe maʻi me ka pīhoihoi o ka ʻōpū, hoʻonui i ke koʻikoʻi o ka hoʻomohala ʻana i nā maʻi kaulike o ka wai-electrolyte, no laila, i ka wā mālama, ka mālama ʻana o ka ʻai ʻana o nā electrolyte i loko o ke koko koko (me ka sodium, potassium, calcium a me ka magnesium), acid-base state, residual nitrogen, uric acid a me ka mea hana. I kekahi mau pilikia, pono ke koi ʻia ʻo ia ke hoʻoponopono hoʻoponopono kūpono, ʻoi aku paha i nā mea maʻi me ka hoʻopiʻi pinepine ʻana a i ʻole ka loaʻa ʻana o nā lolo makua.

Ma ka hihia o ka nānā a hoʻoikaika paha i ka oliguria a me ka azotemia i loko o nā mea maʻi me ka maʻi ʻōmaʻomaʻo koʻikoʻi, ʻoi aku ka mālama ʻana me Diuver e kāpae ʻia.

ʻO ka koho o ke ʻano pono o Diuver no nā poʻe maʻi me nā ascites i hoʻomohala ʻia ma muli o ka cirrhosis o ka ate e pono ke alakaʻi i loko o kahi hale hoʻomaha, ʻoiai nā pilikia i loko o kā lākou wai-electrolyte hiki ke alakaʻi i ka hoʻomohala ʻana i ka comp hepatic. Eia kekahi, i kēia māhele o nā maʻi, pono e nānā mau ʻia nā electrolytes plasma.

I ka poʻe maʻi me ka hoʻohaʻahaʻa i ka hoʻohaʻahaʻa glucose a me ka maʻi diabetes, pono ia e nānā mau i ke kaanū o ka glucose i ka pāʻai a me ke koko.

Ma muli o ke kīpilikia o ka noho ʻana o ka urinary, pono ka mākia o ka hoʻopuka o ka urine no nā mea maʻi me ka hoʻopaʻa ʻana o nā ureter a me ka hyperplasia prostatic, ʻo ia hoʻi no ka poʻe maʻi ma kahi kūlana ʻole.

ʻŌpū a me ka lactation

Ka hānai: hiki ke hoʻohana ʻia ka Diuver me ka akahele ma ka liʻiliʻi liʻiliʻi ma hope o ka nānā ʻana i ka ratio o nā pōmaikaʻi e manaʻo ʻia ana i ka hopena i loaʻa, ʻo ka torasemide ʻaʻole i loaʻa nā hopena teratogenika a me ka fetotoxicity, komo i ka papale placental, ka mea e hoʻokau ai i ka thrombocytopenia a me ka hoʻōla wai-electrolyte metabolism i loko o ka pūpū,
Lactation: contraindicated hui ʻia.

Hoʻohui nūhou

Aminoglycosides, cephalosporins, ethacrylic acid, amphotericin B, chloramphenicol, cisplatin: ko lākou nānā ʻana a me ka hopena o ka hoʻomohala ʻana i nā hopena ole- a me nephrotoxic e hoʻonui
Theophylline, diazoxide, antihypertensive lāʻau lapaʻau: hoʻonui ʻia kā lākou hopena,
ʻO nā mea hoʻomaha ʻeha (e.g., suxamethonium): hoʻonui ʻia kā lākou neuromuscular blockade,
Non-depolarizing relaxants muscle (e.g. tubocurarine), allopurinol, hypoglycemic agents: ke oki nei ko lākou hopena,
ʻO Torasemide, kākau pū i hoʻopaʻa ʻia: kahi i hōʻemi ʻia ka hopena i manaʻo ʻia,
Nā lāʻau lapaʻau e pani i ka hilo tubular.
Hoʻomākaukau Lithium: ʻo ka hoʻomaʻemaʻe o ko lākou a me ka hopena o ka uluʻana i ka hoʻohālikelike,
Cyclosporine: hoʻonui koʻikoʻi o ka hoʻomohala ʻana i ka maʻi gouty,
Amphotericin B, glucocorticosteroids: hoʻonui hoʻonui i ka ulu ʻana o ka hypokalemia,
ʻO ka glycosides Cardiac: pilikia o ka hoʻouluʻana i ka makeke glycoside ma muli o hypokalemia a hoʻolōʻihi i ka hapalua-ola,
ʻO ka Sucralfate, nā lāʻau lapaʻau anti-inflammatory o ka lāʻau: ua hoʻemi ʻia ka hopena diuretic o Diuver,
ʻO nā Salicylates i nā koina kiʻekiʻe: ka hoʻonui ʻia o ka maʻi o ka maʻi,
ʻO Angiotensin-hoʻohuli i ka hoʻohui o nā enzyme, angiotensin II antagonist receptor: hiki i kahi hōʻemi ke piʻi i ke koko,
Methotrexate, probenecid: ua pau ko lākou pale ʻana i ka hopena, ua emi ka hopena o ka torasemide.

I ka poʻe maʻi me ka pilikia nui o ka hoʻomohala ʻana i ka nephropathy e lawe nei i Diuver, i ka wā e mālama ʻia ai nā koina radiopaque, ʻoi aku ka maʻi o ka renal a ʻoi aku ka maʻamau ma mua o nā mea maʻi me ka nui o ka nephropathy e hana i ka hydroc intravenous ma mua o ka hoʻokele ʻana o ka radiopaque.

ʻO nā hui o Diuver nā: Torasemide, Torasemide-SZ, Torasemide Vertex, Trigrim, Trifas, Britomar.

Hōʻikeʻike e pili ana iā Diuver

Loaʻa nā loiloi e pili ana iā Diuver. Hoʻomaʻamaʻa ka poʻe maʻi i ia me ka diuretic malohina mau-lōʻihi, ka neʻe ʻana a me ka hoʻohaʻahaʻa iki i nā kahe nui, kahi e hōʻea ai i ka hoʻomaha o ka wāwae edema a me kahi hoʻohaʻemi haʻahaʻa o ke koko. Eia kekahi, ʻo ka hiki ke hoʻomau i ka hoʻohana ʻana i ka lāʻau e manaʻo ʻia he pono. Kuhi ʻia ke kumukūʻai e like me ke kiʻekiʻe.

Ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana

Loaʻa ka Diuver ma nā puka papa keʻokeʻo o kahi ʻano biconvex pōkō, kahi ʻāpana i ka puʻu ma ka ʻaoʻao a me ke kālai ʻana ma ka ʻaoʻao. ʻO ka mea hana nui o ka lāʻau lapaʻau ka torasemide, ʻo kona kiko i loko o nā papa me ka kaha kiʻi ʻana:

Nā ʻoihana ʻo ka ʻoihana ʻoihana.

He aha ka mea e kōkua ai iā Diuver?

Wahi a nā ʻōkuhi, ua hōʻike ʻia ʻo Diuver no nā mea maʻi e hoʻomanawanui i ka hōʻike ʻia o ka edema syndrome ma muli o ka hina ʻole o ka puʻuwai, nā maʻi o ka pūpū, nā ʻōpū a me nā puʻuwai.

Nā hopena hopena

Me ka hoʻohana pono ʻana i ka lāʻau lapaʻau a nānā i nā lāʻau i hōʻike ʻia e ke kauka, nā hopena kūpono i nā mea maʻi e hoʻomohala i nā hanana ākea. Me nā hypersensitivity pilikino a i ʻole hoʻohana ʻole ʻia, hiki ke ulu nā hopena i lalo iho:

Mai ka ʻaoʻao o ka wai-electrolyte a me ka kaulike-kumu waiwai: hyponatremia, hypochloremia, hypokalemia, hypomagnesemia, hypocalcemia, metabolic alkalosis. Nā hōʻailona hōʻailona e hoʻomohala ana i ka hoʻomohala ʻana o ka electrolyte a me nā kūlana acid-base e hiki ke komo i ka poʻo, ka haunaele, ka puʻupuʻu, ke kīwī, nāwaliwali, nā nāwaliwali o ka naʻau, nā kuʻuna o ka naʻau a me nā maʻi dyspeptic, hypovolemia a me ka hoʻoiho (ʻoi aku ka nui o nā poʻe maʻi maʻi), ka mea hiki ke alakaʻi ʻaʻano hemoconcentration me kahi kuhi i ka thrombosis.
Mai ka pūnaehana cardiovascular: he nui i ka nui o ke kaomi i ke koko, a me ka hypotension orthostatic, hāʻule, tachycardia, arrhythmias, kahi hoʻemi i ka nui o ke koko lele.
Mai ka ʻaoʻao hema o ka metabolism: hypercholesterolemia, hypertriglyceridemia, he hōʻea ka lōʻihi i loko o ka ʻike ʻana o ka likinine a me ka urea i ke koko, he nui ka piʻi ʻana o ka uric acid i loko o ke koko, kahi e hiki ai ke hoʻonui a hoʻonui i nā hōʻike o ka gout, kahi hōʻemi i ka hoʻohaʻahaʻa glucose (hiki ke hōʻike ʻia o ka latent diabetes mellitus).
Mai ka pūnaehana urinary: oliguria, mālama mālama i ka urinary (no ka laʻana, me ka hyperplasia prostatic, ʻāwili ʻana i ka urethra, hydronephrosis), interstitial nephritis, hematuria, hoʻoemi potency.
Mai ka hanā hana ʻana: mualea, hoʻopukaʻi ʻana, ʻehaʻeha, intrahepatic cholestasis, nui ka ulu ʻana o nā "enzyme" enzim, pancreatitis maha.
Mai ka pūnaehana nūhou, lohe i ka ʻōpū o ka hoʻolohe, hōʻemi pinepine ʻia, a me / a i ʻole tinnitus, ʻoi loa i nā poʻe maʻi me ka hiki ʻole o ka renal a i ʻole hypoproteinemia (nephrotic syndrome), paresthesia.
Ma ka ʻāpana o ka ʻili: ka ʻāʻī o ka ʻili, urticaria, nā ʻano ʻeha a i ʻole nā ʻulaʻi ʻulaʻula, i ʻike ʻia ka polymorphic erythema, dermatitis exfoliative, purpura, maʻi, vasculitis, eosinophilia, photosensitivity, anaphylactic a i ʻole anaphylactoid e hōʻike ʻia a hiki i kēia manawa i manaʻo ʻia e like me kēia wā ma hope o ka hoʻomoe ʻana i loko o ka launa ʻana.
Mai ke koko peripheral: thrombocytopenia, leukopenia, agranulocytosis, aplastic a hemolytic anemia.

I nā pilikia pinepine, ulu i ka anaphylactic e ulu.

ʻO nā waiwai Pharmacological

He diuretic ʻo Diuver a loaʻa i kahi hopena decongestant a me ka hopena diuretic ma ke kino. ʻAʻole ia e hana i ka ulu ikaika o ka lāʻau i ka hoʻomohala ʻana o ka hypokalemia, ʻokoʻa ka furosemide a me nā mea ʻē aʻe o ka lāʻau lapaʻau.

Ma hope o ka lawe ʻana i ka paila i loko, ua hoʻokomo ʻia ka mea hoʻihoʻi i ka kahe koko, ua ʻike ʻia ka hopena o ka lāʻau lapaʻau ma hope o 2 mau hola. Hōʻalo ʻia ka lāʻau lapaʻau e nā mea maʻi, no laila hiki ke hoʻohana nui ʻia no ka manawa lōʻihi inā pono.

I ka wā hāpai

I ka wā hāpai, ʻo ka hoʻohanaʻana iā Diuver i kūpono wale i ka maʻi wikiwiki. E hoʻokō ʻia ka komo ʻana ma nā liʻiliʻi liʻiliʻi, ma lalo o nā kūlana o ke kikowaena a ma lalo o ka nānā ʻana o kekahi kauka i loaʻa ka wahine. ʻO ka mālama mau ʻana i ke ʻano o ka maʻi fetal, he mea pono ia i ka wā i ke komo ʻana i loko o kāna kiko, ʻo ka torasemide e hoʻonāukiuki i ka hoʻowalewale i ka hoʻōho a me ka hoʻōla o ka wai, a me ka thrombocytopenia.