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How Does Furosemide Work? Understanding Loop Diuretics
Daim Duab: How Does Furosemide Work? Understanding Loop Diuretics

Zoo Siab

Furosemide yog ib qho muaj zog diuretic ('dej ntsiav tshuaj') thiab yuav ua rau lub cev qhuav dej thiab tsis txaus electrolyte. Nws yog ib qho tseem ceeb uas koj yuav tsum coj nws raws nraim li koj tus kws kho mob tau qhia. Yog tias koj muaj cov tsos mob nram qab no, hu rau koj tus kws kho mob tam sim ntawd: tsis tso zis; qhov ncauj qhuav; nqhis dej; xeev siab; ntuav; tsis muaj zog; tsaug zog; tsis meej pem; mob leeg los yog mob plab; lossis dhia dhia ceev ceev lossis dhia dhia ceev nrawm.

Furosemide tsuas yog siv ib leeg los yog ua ke nrog lwm cov tshuaj los kho ntshav siab. Furosemide yog siv los kho cov kab mob edema (kua dej tsis txaus; cov dej ntau dhau hauv cov ntaub so ntswg hauv lub cev) tshwm sim los ntawm ntau yam teeb meem kev kho mob, suav nrog mob plawv, raum, thiab kab mob siab. Furosemide yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua diuretics ('dej ntsiav tshuaj'). Nws ua hauj lwm los ntawm kev ua kom lub raum rhuav tshem cov dej tsis muaj txiaj ntsig thiab ntsev los ntawm lub cev mus rau hauv cov zis.

Ntshav siab yog cov mob uas ib txwm muaj thiab thaum tsis kho, tuaj yeem ua rau lub hlwb, lub plawv, hlab ntsha, raum thiab lwm qhov hauv lub cev. Kev puas tsuaj rau cov kabmob no yuav ua rau mob plawv, lub plawv nres, lub plawv tsis ua haujlwm, mob hlab ntsha tawg, raum tsis ua haujlwm, tsis pom kev, thiab lwm yam teebmeem. Ntxiv nrog rau kev noj tshuaj, hloov kev ua neej kuj tseem yuav pab tswj hwm koj cov ntshav siab. Cov kev hloov pauv no suav nrog kev noj zaub mov kom muaj rog thiab ntsev tsawg, tswj kev noj qab haus huv, ua kom lub cev tsawg kawg 30 feeb feem ntau hnub, tsis haus luam yeeb, thiab haus cawv kom tsis txaus.


Furosemide los ua ib ntsiav tshuaj thiab ua kua (ua kua) los noj ntawm qhov ncauj. Feem ntau nws yuav noj ib zaug lossis ob zaug ib hnub. Thaum siv los kho edema, furosemide tuaj yeem noj txhua hnub lossis tsuas yog qee hnub ntawm ib thiv. Thaum siv los kho kev kub siab, noj furosemide nyob ib ncig ntawm tib lub sijhawm (s) txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj furosemide raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Furosemide tswj kev mob ntshav siab thiab edema tab sis tsis kho cov mob no. Txuas ntxiv noj cov furosemide txawm hais tias koj xis nyob. Tsis txhob tsum tsis txhob noj furosemide yam tsis tham nrog koj tus kws kho mob.

Cov tshuaj no qee zaum sau tseg rau lwm qhov kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj furosemide,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau furosemide, tshuaj sulfonamide, lwm yam tshuaj, lossis lwm yam tshuaj hauv cov ntsiav tshuaj furosemide lossis kev daws teeb meem. Nug koj tus kws muag tshuaj lossis tshawb xyuas cov ntaub ntawv ntawm tus neeg mob rau cov npe ntawm cov khoom sib xyaw.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais qhov ib qho ntawm cov hauv qab no: aminoglycoside cov tshuaj tua kab mob xws li amikacin, gentamicin (Garamycin), lossis tobramycin (Bethkis, Tobi); angiotensin-converting enzyme (ACE) inhibitors xws li benazepril (Lotensin, hauv Lotrel), captopril (Capoten), fosinopril, lisinopril (hauv Prinzide, hauv Zestoretic), moexipril (Univasc, hauv Uniretic), perindopril (Aceon), quindopril (Aceon) , hauv Accuretic), ramipril (Altace), thiab trandolapril (Mavik, hauv Tarka); angiotensin II receptor antagonists (ARB) xws li azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, hauv Atacand HCT), eprosartan (Teveten, hauv Teveten HCT), irbesartan (Avapro, hauv Avalide), losartan (Cozaar, hauv Hyza) olmesartan (Benicar, hauv Azor, Benicar HCT), telmisartan (Micardis, hauv Micardis HCT), thiab valsartan (Diovan, hauv Diovan HCT, Exforge); tshuaj aspirin thiab lwm yam salicylates; barbiturates xws li phenobarbital thiab secobarbital (Seconal); corticosteroids xws li betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, lwm tus), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisol prednisolone (Prelone, lwm tus), prednisone (Deltasone, Meticorten, Sterapred, lwm tus), thiab triamcinolone (Aristocort, Azmacort); cisplatin (Platinol); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin), ethacrynic acid (Edecrin); indomethacin (Indocin); tshuaj mob siab; lithium (Lithobid); tshuaj noj ntshav qab zib, ntshav siab thiab mob; methotrexate (Trexall); probenecid (Probalan, Probenemid); thiab phenytoin (Dilantin, Phenytek). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
  • yog tias koj noj tshuaj ua ntej (Carafate), noj nws 2 teev ua ntej lossis tom qab koj noj furosemide.
  • qhia koj tus kws kho mob yog tias koj muaj mob raum. Koj tus kws kho mob yuav hais kom koj tsis txhob noj tshuaj furosemide.
  • qhia rau koj tus kws kho mob yog tias koj muaj lossis tau muaj mob dab tsi uas ua rau koj lub zais zis los ntawm kev nchuav kiag li, ntshav qab zib, gout, mauj lupus erythematosus (SLE, mob mob ntev), lossis mob siab.
  • qhia koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub, lossis pub mis niam. Tsis txhob pub mis thaum tseem noj cov tshuaj no. Yog tias koj cev xeeb tub thaum noj furosemide, hu rau koj tus kws kho mob.
  • yog tias koj muaj kev phais mob, qhia tus kws kho mob tias koj siv furosemide.
  • npaj ua kom tsis txhob muaj qhov phom sij lossis tsis haum rau lub hnub ci thiab hnav khaub ncaws tiv thaiv, tsom iav, thiab tshuaj pleev thaiv hnub. Furosemide yuav ua rau koj cov tawv nqaij tiv tshav ntuj.
  • koj yuav tsum paub tias furosemide tuaj yeem ua rau kiv taub hau, mob taub hau me ntsis, thiab tsaus muag thaum koj sawv nrawm dua los ntawm txoj haujlwm dag. Qhov no yog qhov ntau dua thaum koj xub pib noj furosemide. Txhawm rau zam qhov teeb meem no, sawv saum txaj maj mam so, tso koj ob txhais taw tso rau hauv pem teb li ob peb feeb ua ntej sawv ntsug. Cawv yuav ntxiv rau cov kev mob tshwm sim.

Yog tias koj tus kws kho mob tau sau daim ntawv noj ntsev kom qab ntsev lossis ntsev tsawg, lossis noj lossis haus ntau ntxiv cov zaub mov muaj protein ntau (piv txwv li, tsawb, prunes, raisins, thiab kua txiv kab ntxwv) hauv koj cov zaub mov noj, ua raws cov lus qhia no kom zoo.


Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav txog sijhawm rau koj cov tshuaj txuas ntxiv, hla cov koob tshuaj ploj thiab txuas ntxiv koj cov sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • nquag tso zis
  • qhov muag plooj
  • mob taub hau
  • cem quav
  • zawv plab

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj ib qho ntawm cov tsos mob no lossis cov uas tau teev tseg hauv ntu CEEB TOOM TSEEM CEEB, hu rau koj tus kws kho mob tam sim ntawd lossis nrhiav kev kho mob kub ceev:

  • ua npaws
  • coov hauv pob ntseg
  • hnov txog
  • ua pob
  • khaus
  • hlwv lossis tev tawv
  • khaus
  • ua pa nyuaj lossis nqos
  • daj ntawm daim tawv nqaij lossis qhov muag

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).


Khaws cov tshuaj no rau hauv lub thauv nws tuaj nrog hauv, kaw kom nruj thiab ncav cuag cov menyuam yaus. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej). Muab cov tshuaj tsis haum rau cov furosemide tom qab 90 hnub.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

  • nqhis dej heev
  • qhov ncauj qhuav
  • kiv taub hau
  • tsis meej pem
  • nkees heev
  • ntuav
  • mob plab zom mov

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj cov ntshav siab yuav tsum kuaj xyuas tsis tu ncua, thiab kuaj ntshav yuav tsum ua qee zaus.

Ua ntej muaj kev sim ntsuas, qhia rau koj tus kws kho mob thiab cov neeg ua haujlwm hauv chav kuaj pom tias koj noj furosemide.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

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