Mushonga we "Diver." Mirayiridzo

Chirwere ichi "Diver", zvakafanana nemishonga (yakadai se "Tigrim" nevamwe) chikamu cheboka re diuretics. Iyo nzira yekutsvaga zvinodhaka inobva pakugadziriswa kusinganzwisisiki kwechinhu chinoshanda chinoshandiswa kuNa + / 2Cl- / K + mutakuri. Nhengo inoshandiswa yemushonga "Dyuver" inonzi torasemide. Chimwe chikamu pane zvishoma kudarika furosemide chinokonzera hypokalemia. Pamwe chete neiyi, torasemide inoratidzirwa nebasa guru uye nguva yekutsvaga.

Mishonga "Diver". Mirayiridzo. Chiratidzo.

Mishonga iyi inorayirirwa kuti irereme, inokonzerwa nezvirwere zvemapapu, itsvo, chiropa, mwoyo kusagadzikana.

Zvinoreva "Diver". Mirairo yekushandiswa.

Matafura anorayirwa kutorwa mushure mekudya kamwe kamwe pazuva. Pakati pevhesi, chirwere chekurapa zuva nezuva makirogiramu mashanu. Kana zvichidikanwa, pasi pekutarisirwa kwachiremba, chiyero chechirwere "Diver" chakatorwa chinogona kuwedzera kusvika makumi maviri, uye mumamiriro ezvinhu chaiwo kusvika pamamiriyoni mana pazuva.

Kushandiswa kwemishonga kunogona kukuvadza thrombocytopenia, kuderera mumwero we erythrocytes, leukopenia, thromboembolism, thrombosis, kuderedza ropa. Sezvinoita migumisiro kana kutora mishonga yemiti "Diver" mirayiridzo inoreva kushaiwa kwekudya, dyspeptic phenomena, kuoma mumuromo wemuromo, kuwedzerwa kwechiropa chemavirisi, mune zvisingashamisi - pancreatitis. Ikoko kunogonawo kuva kunonoka pakugadzirira (mune varwere vane hutano hwekudzivirira hutachiona chekuvhenekera). Dzimwe nguva pane kuwedzera kwehuwandu hwe creatinine uye urea. Kutora mishonga ye "Diver" inogona kukonzera kuora musoro, kuonekwa kwepfungwa, dutu, kugona, kushaya simba, paresthesia yemakumbo, kushungurudzika, matsi, tinnitus, kuvhiringidzika mupfungwa. Vamwe varwere vanogona kuona kukura kwehutano hwehutachiona (itching, photosensitivity, rash).

Contraindicated zvinoreva kuti "Diver" inenge isina kukwana uye azotemia inofambira mberi, hepatic coma uye precomatosis, arrhythmia, arterial hypotension, pamuviri, anuria, hypersensitivity kune sulfonamide uye torasemide. Pamusana pekushaiwa kwekuchengetedzwa kwekuchengeteka panguva yekudzikisa, mushonga hauna kurumbidzwa panguva yekuyamwisa. Mishonga iyi inopesana nevana kusvika kune makore gumi nemasere.

Nehanya, mishonga inorayirwa kune yakagadzikana kana kuti inoratidzirwa chirwere cheshuga mellitus, varwere vanowanzoita gout, hyperuricemia.

Kuwedzeredza kunogona kuitika nenzira yekumanikidzirwa kumanikidzwa pamwe chete ne hypovolemia, kupesana muhutano hwe electrolyte nekuderera kwekuteerera kweropa, kudonha, kuvhiringidzika, kurara. Zvinetso zvinogona kuitika munharaunda yekudya. Kupera kwemaji kana kuregererwa kwezvinodhaka kunoratidzwa nekudzokorora pamwe chete kwe electrolyte uye kuraswa kwemvura.

"Diver" (kuongororwa kwevanyori vanopupurira izvi) kunobvumirwa kushandiswa kune varwere vane chirwere cheshuga mellitus chekutanga kana yechipiri. Zvisinei, munyaya iyi, kugara uchiongororwa kwechiremba pamusoro pehutachiona muropa kunodiwa.

Kuwirirana kwechirwere "Diver" nedzimwe mishonga.

Nhengo inoshandiswa yemushonga (torasemide) inokwanisa kuwedzera kushuvira kwemyocardium kune glycosides.

Kuwedzerwa kweganda re potassium kunogona kuonekwa pamwe nekushandiswa panguva imwe chete ye "Diver" nemarara, glucocorticoids.

Torasemide, kunyanya muhotera yakakwirira, inogona kusimbisa ototoxic uye nephrotoxic maitiro emishonga inorwisa mabhakitiriya kubva mumarudzi akawanda eaminoglycosides, neuro- uye cardiotoxic zvinokonzerwa nemitambo ye lithiamu, uye kuora kwe "cisplatin."

"Kudya" kunogadzirisa kushandiswa kwakaoma kunowedzera mhinduro ye theophylline, zvigadzirwa zve coumarin (mhirizhonga yemisumbu inozorodza).

Kushandiswa pamwe kwechirweremidhi uye antidiabetic (hypoglycemic) zvinodhaka zvinokonzera kuderera kwekubudirira kwekupedzisira.