Lub ntsiab tseem ceeb ntawm kev noj haus diuretics (diuretics) yog qhov qaug zog ntawm potassium thiab magnesium los ntawm lub cev ua ke nrog dej ntau dhau. Veroshpiron belongs rau ib pawg ntawm cov tshuaj uas tsis cuam tshuam rau cov concentration ntawm cov tshuaj no. Muaj qee zaum, nws txawm pab ceev nrooj rov qab los rau theem siab.
Veroshpiron - muaj pes tsawg leeg
Cov khoom noj muaj hauv cov khoom uas tau piav qhia yog spironolactone. Cov tshuaj no yog ib qho mineralocorticoid hormone antagonist, uas yog tsim los ntawm qog adrenal thiab txhawb nqa qhov txuam ntawm cov dej noo thiab sodium ntsev hauv cov ntaub so ntswg (aldosterone). Cov tshuaj Veroshpiron nyob rau hauv ntau hom kev tso tawm muaj thiab koom nrog cov khoom:
- colloidal silicon dioxide;
- talc;
- magnesium stearate;
- lactose monohydrate;
- cov hmoov nplej siab pob kws;
- sodium lauryl sulfate;
- titanium dioxide;
- gelatin;
- dye.
Veroshpiron yog dab tsi?
Lub ntsiab siv ua los ntawm spironolactone yog ib qho diuretic. Qhov no ua rau feem ntau ua txhaum, los ntawm kev pabcuam Vatrospiron - qhov tshwm sim ntawm qhov sib txawv thiab lub hauv paus chiv keeb. Cov tshuaj uas tau hais no yog suav tias yog ib qho kev nyab xeeb rau kev tshem dej ntau tshaj, vim tias nws tsis cuam tshuam nrog cov roj ntsha thiab ntsev hauv lub cev.
Veroshpiron - nyeem ntawv:
- kev mob plawv tsis ua hauj lwm nrog kev kho mob;
- Qhov tseem ceeb ntawm txoj kev kub ntxhov (spironolactone yog nyob rau hauv cov tswvyim ntawm txoj kev ntsuas);
- lwm yam hyperaldosteronism nyob rau hauv keeb kwm ntawm daim siab cirrhosis , ascites, nephrotic lesions thiab lwm yam kev mob ntsws;
- paroxysmal myoplegia;
- hypomagnesemia;
- Connes Syndrome;
- hypokalemia.
Muaj lwm qhov chaw uas siv cov Veroshpiron - cov kev ntsuas rau kev siv muaj xws li hyperprolactinemia. Spironolactone muaj cov cuab yeej ntawm kev txo cov kev siv ntau ntawm adrenal hormone ntau lawm. Nws txwv tsis pub muaj qhov ntau ntxiv ntawm prolactin, yog li ntawd nws yog feem ntau tau sau los ntawm gynecologists-endocrinologists nrog cov kev sib raug zoo ntawm cov poj niam deev, nrog rau cystic, fibrous thiab diffuse mastopathy.
Yuav ua li cas kom tau Veroshpiron?
Feem ntau thiab ntev ntawm txoj kev kho mob nrog spironolactone nyob ntawm seb tus kab mob kuaj pom thiab lwm cov kev kab mob. Cov tshuaj Veroshpiron nyob rau qee lub sijhawm yog siv rau hauv thooj nrog thiazide (lub voj) diuretics, uas yog siv ntau tshaj qhia thiab cuam tshuam sai. Feem ntau thiab ntev ntawm kev kho yog xam los ntawm ib tus kws kho mob tshwj xeeb. Nws yog ib qho txaus ntshai rau haus dej haus cawv rau koj tus kheej - qhov kev txiav txim tsis raug xaiv yuav ua rau tsis zoo. Ib qho teeb meem ntawm kev pib xyaum ua tshuaj yog qhov cuam tshuam loj heev ntawm kev ua rau lub raum.
Yuav ua li cas kom tau Veroshpiron nrog o?
Yog hais tias mob plawv tsis ua hauj lwm spironolactone tau pom zoo siv 5 hnub ntawm 100 (tshaj plaws - 200) mg, faib los ntawm 2-3 zaug. Veroshpiron nyob rau hauv o tuaj tiv thaiv cov keeb kwm tseem ceeb ntawm txoj kev kub ntxhov yog sau rau ntawm tus nqi ntawm 50-100 mg ib hnub ib zaug. Maj mam (txhua 2 lub lis piam) cov tshuaj noj kom txog thaum nws nce mus txog 200 mg. Cov txheej txheem kev kho mob yog yam tsawg kawg yog 14 hnub.
Yog hais tias muaj teebmeem tshwm sim los ntawm qhov mob siab ntawm daim siab, spironolactone yog siv raws li qhov piv txwv ntawm potassium thiab sodium ions nyob rau hauv cov zis. Thaum twg daim duab no ntau tshaj 1, txhua hnub ntawm Veroshpiron yog mus txog 100 mg. Nyob ntawm tus qauv ntawm tsawg tshaj li 1, spironolactone yog pom zoo kom siv li 200-400 mg. Txheej txheem kho mob ib leeg zuj zus.
Rau kev kho mob thiab txawv ntawm kev paub mob ntawm hyperaldosteronism thiab nephrotic syndrome, ib koob tsuas yog los ntawm 100 mus rau 400 mg. Nws tus kws kho mob xam cov ntaub ntawv ntawm tus kab mob thiab cov concentration ntawm potassium nyob rau hauv cov ntshav. Cov tshuaj txhua hnub yog npaum li 1 lossis 2-4 zaug, nyob ntawm qhov laj thawj ntawm txoj kev kho, qhov degree ntawm qhov edema thiab tolerability ntawm cov tshuaj.
Ntau tus neeg mob tsis txaus siab rau thaum haus dej haus cawv - ua ntej noj mov los yog tom qab, tab sis kev noj qab haus huv tseem cuam tshuam rau cov tshuaj ntawm cov tshuaj. Kev muaj kabmob lom thiab digestibility ntawm spironolactone tsub ntxiv yog tias nkag mus rau hauv lub cev nrog zaub mov noj. Cov kws kho mob pom zoo kom siv cov tshuaj ncaj qha tom qab noj mov thiab haus nrog 0.5 khob dej.
Yuav ua li cas kom tau Veroshpiron rau qhov hnyav dua?
Cov tshuaj uas tau piav qhia yog ib txoj kev siv tshuaj loj uas tshem tawm cov mob loj heev thiab qaug zog. Siv Veroshpiron rau qhov hnyav yuav tsis yooj yim sua, nws tsis yog tsuas yog kev ua haujlwm, tab sis kuj tseem txaus ntshai. Spironolactone tsis cuam tshuam rau cov roj uas muaj roj, tab sis tsuas yog tshem tawm ntau dhau ntawm lub cev. Yog tias koj siv nws txhais tau hais tias kom poob phaus los yog "ziab", nws tuaj yeem tsim cov kab mob ntawm cov kab mob hauv lub cev thiab lub raum.
Veroshpiron thaum cev xeeb tub
Thaum kev xyaw cov kab mob spironolactone yog cov tshuaj tiv thaiv. Qhov yeeb tshuaj no, muaj kev siab zoo, ua rau cov plhaub nkag mus hauv plab thiab nkag mus rau hauv cov ntshav. Tam sim ntawd tom qab yug los, dhau lawm, koj tsis tuaj yeem haus dej haus cawv - Vijtsam siv cais thiab lactation. Cov khoom xyaw ntawm cov tshuaj yog absorbed rau tag nrho cov biofluids thiab nce mus txog concentration ntawm 100%, nrog rau cov mis niam. Veroshpiron nyob rau hauv gynecology yog siv nyob rau hauv kev kho mob ntawm hyperprolactinemia thiab lwm yam kab mob. Daim ntawv no muaj xws li mastopathy thiab endocrine infertility.
Ntev npaum li cas rau Veroshpiron siv?
Lub sijhawm kawm kho yog suav los ntawm tus kws kho mob tom qab kuaj tag nrho. Tsis txhob haus ntev mus haus dej haus cawv - siv cov diuretic rau ntau tshaj 4 lub limtiam yuav ua teebmeem hauv electrolyte, ntsev thiab dej metabolism. Txoj kev pheej yig ntawm qhov kev kho mob mus ntev ntev yog zis diathesis lossis hyperuricuria. Diuretic Veroshpiron pom zoo siv 5-15 hnub. Nyob rau hauv muaj qhov qhia tau tias, yam tsawg kawg nkaus kev noj tshuaj ntawm cov tshuaj no raug xaiv.
Veroshpiron - phiv tshuaj
Cov xwm txheej tsis zoo nrog spironolactone muaj tsawg, tab sis lawv muaj xws li ib daim ntawv teev kev mob ntsig txog kev mob ntsws. Veroshpiron - phiv tshuaj ntawm daim ntawv thov:
- ntuav;
- zawv plab;
- xeev siab;
- gastritis;
- mob raum nyob rau hauv lub plab hnyuv siab raum ntawm txoj hnyuv hlais;
- cem quav;
- plab hnyuv quav;
- mob hauv plab epigastrium;
- kev ua txhaum ntawm lub siab;
- kiv taub hau;
- ataxia;
- nkees nkees;
- retardation;
- tsis meej pem ntawm kev xav;
- lethargy;
- mob taub hau;
- tus kab mob thrombocytopenia;
- agranulocytosis;
- megaloblastosis;
- hypercreatininaemia;
- hyperuricemia;
- alkalosis;
- hyponatremia;
- metabolic acidosis;
- hyperkalemia;
- ntxhib suab;
- gynecomastia;
- dysmenorrhea;
- ua txhaum ntawm lub voj voog;
- hirsutism;
- metrorrhagia;
- amenorrhea;
- khaus ntawm daim tawv nqaij;
- urticaria;
- kub cev;
- hypertrichosis;
- raum tsis ua hauj lwm;
- alopecia;
- kev sib ceg;
- leeg ntshau.
Veroshpiron - contraindications
Muaj cov kab mob uas siv cov tshuaj spironolactone txwv tsis pub, thiab tej yam kev mob thaum nws tuaj yeem siv nrog ceev faj. Nyob rau hauv rooj plaub thawj, koj yuav tsum hloov Veroshpiron - qhov kev txiav txim ntawm cov tshuaj yuav tsuas ua tsis zoo. Ncaj ncaj qha rau kev siv:
- hyperkalemia;
- Addison tus kab mob ;
- lub raum tsis muaj txhij nyob rau theem loj;
- hyponatremia;
- lactose intolerance;
- anuria;
- syndrome ntawm impaired glucose los yog galactose uptake;
- cev xeeb tub;
- tsis muaj peev xwm ntawm lactase;
- hnub nyoog txog 3 xyoos;
- lactation;
- hypersensitivity rau cov khoom muaj nyob rau hauv cov tshuaj.
Hauv lwm cov xwm txheej, tsuas yog tus kws kho mob txiav txim siab tias qhov twg yog qhov tsim nyog muab sau rau hauv Veroshpiron - qhov taw qhia rau kev siv kuj muaj xws li cov kab mob hauv qab no uas yuav tsum tau siv cov diuretic kom zoo:
- metabolic acidosis;
- hypercalcemia;
- ntshav qab zib mellitus;
- AV blockade;
- kev ua mob rau lub cev;
- mob ntsws;
- ntshav qab zib nephropathy ;
- qhov txawv txav ntawm cov qog nqaij;
- cirrhosis ntawm lub siab;
- laus hnub nyoog.
Veroshpiron - analogues ntawm kev npaj
Hloov lub diuretic nrog cov tshuaj nrog cov nyhuv tib yam. Yog tias Veroshpiron muaj kev qhia siv, tag nrho coinciding nrog cov synonym, nws yog ib qho tseem ceeb kom ntxiv qhov tseeb ntawm cov generic. Nws yuav tsum tiv thaiv qhov leaching magnesium thiab potassium ntsev, thaum tswj cov nqi kuaj seem ntawm lub cev. Veroshpiron - analogues nrog cov cim zoo tib yam siv rau:
- Spironolactone (ncaj);
- Ntaus;
- Hloov tshiab;
- Eridanus;
- Dekriz;
- Epplepres;
- Inspra;
- Espiro.