Cov tshuaj hydrochlorothiazide: cov lus qhia rau kev siv

Lub npe Latin: Hydrochlorothiazide

ATX Code: C03AA03

Cov khoom xyaw nquag: Hydrochlorothiazide (Hydrochlorothiazide)

Cov Lus Cim: Hypothiazide, Hydrochlorothiazide-SAR Hydrochlorothiazide-Verte, Dichlothiazide

Chaw tsim tshuaj paus: Valenta Tshuaj OJSC (Russia), Borshchagovsky HFZ (Ukraine), LEKFARM LLC, (Koom pheej Belarus)

Hauj lwm lawm yog: 03/10/17

Cov nqi hauv cov khw muag tshuaj hauv online:

Hydrochlorothiazide yog cov diuretic uas siv rau cov kab mob ntawm lub raum, lub ntsws, lub siab thiab lub siab txhawm rau kom txo edema.

Kev ntsuas rau siv

  • arterial hypertension (ntshav siab),
  • ntshav qab zib insipidus (ib qho kev ua txhaum ntawm cov dej-ntsev sib npaug ntawm lub cev, uas tshwm sim vim qhov txo qis hauv kev tso tawm ntawm cov tshuaj tiv thaiv antidiuretic),
  • congestive plawv tsis ua haujlwm,
  • jade thiab nephrosis,
  • cirrhosis ntawm daim siab
  • pob zeb prophylaxis,
  • cev xeeb tub muaj teeb meem: mob raum, ua rau mob o, mob (mob ntshav siab),
  • edematous syndrome ntawm ntau lub hauv paus pib,
  • subcompensated cov ntaub ntawv ntawm glaucoma.

Cov Yuav Tsum Muaj

  • hypersensitivity rau Cheebtsam,
  • lactose deficiency, galactosemia thiab lub cev tsis haum ntawm galactose thiab qabzib,
  • tsis hnov ​​mob raum thiab hepatic muaj nuj nqi,
  • mob ntshav qab zib heev, mob gout, anuria (tsis muaj ntshav txaus txaus rau hauv lub zais zis),
  • hypercalcemia (ntshav muaj calcium),
  • mauj lupus erythematosus, pancreatitis.

Sab sij huam

Kev siv cov hydrochlorothiazide tuaj yeem ua rau cov kev mob tshwm sim hauv qab no:

  • ntuav, xeev siab, tsis nco qab, lub qhov ncauj qhuav, dyspepsia (zom plab zom mov),
  • Lub siab ua haujlwm tsis zoo, daj ntseg, cholecystitis (mob rau hauv lub raum), mob rau lub paj hlwb (ua rau ntawm tus txiav)
  • convulsions, tsis meej pem, feeb tsis meej, txo qis concentration, chim siab, qaug zog,
  • cov mem tes tsis muaj zog, lub plawv tsis sib xws cuam tshuam, thrombocytopenia, agranulocytosis,
  • urticaria, tawv nqaij khaus, ua kom lub ntsej muag (paub qhov tsis hnov ​​mob rau lub teeb),
  • txo qis libido, tsis muaj zog potency, mob pob txha, mob hypokalemia (muaj qis poov tshuaj ions hauv cov ntshav).

Noj ntau dhau

Yog tias muaj kev noj ntau dhau ntawm hydrochlorothiazide, kev tso tawm tuaj yeem yuav tshwm sim:

  • xeev siab, tsis muaj zog,
  • kiv taub hau
  • muaj kev cuam tshuam loj heev hauv dej-electrolyte tshuav,
  • exacerbation ntawm gout.

Tsis muaj ib qho tshuaj tua kab mob tshwj xeeb. Cov kev kho mob thiab tswj cov dej-electrolyte sib npaug hauv lub cev tau raug txiav txim.

Yog tias muaj hypokalemia, yuav tsum siv cov tshuaj potassium chloride lossis tshuaj asparkam. Qee lub sij hawm nws ua tau qhov tsim ntawm hyperchloremic alkalosis (kev hloov pauv hauv cov roj ntsha hauv lub cev). Tom qab ntawd tus neeg mob tau xaj qhov kev qhia ntawm 0.9% saline (sodium chloride). Nyob rau hauv cov ntaub ntawv ntawm cov tsos mob me ntawm gout, allopurinol siv.

Thaum noj ntau dua, tus neeg mob, yam tsis poob, yuav tsum yog nyob hauv tsev kho mob hauv qab kev saib xyuas ntawm cov kws tshwj xeeb.

Hypothiazide, Hydrochlorothiazide-ATS Hydrochlorothiazide-Verte, Dichlothiazide.

Pharmacological kev txiav txim

Cov nyhuv diuretic ntawm hydrochlorothiazide cov lus dag hauv nws lub peev xwm ua kom tsis hnov ​​mob potassium, bicarbonate thiab magnesium ions ua ke nrog zis.

  • Muab kev txo qis hauv reabsorption (thim rov qab nqus) ntawm cov kua, chlorine thiab sodium ions hauv lub raj tub distal. Nws ua rau ntawm txoj hlab dej distal, txo kev nthuav dav ntawm calcium ions thiab tiv thaiv kev tsim cov calcium pob zeb hauv lub raum.
  • Ua kom lub peev xwm ntau ntxiv ntawm ob lub raum, inhibits qhov cuam tshuam ntawm phab ntsa ntawm cov hlab ntsha mus rau qhov kev ua haujlwm ntawm cov neeg kho mob, uas koom tes nrog kev sib kis ntawm cov leeg. Cov ntsiav tshuaj kuj tseem siv rau hauv kev kho mob ntawm cov neeg uas tau txais kev kho mob nrog cov tshuaj hormones (estrogens, corticosteroids).
  • Nws yog tsiag ntawv los ntawm kev ua haujlwm hypotensive, thiab tseem txo cov zis ntau dhau hauv cov neeg mob ntshav qab zib insipidus. Tsis tas li ntawd, cov tshuaj hauv qee kis muaj peev xwm txo qis ntawm qhov siab intraocular.
  • Tom qab kev tswj hwm ntawm qhov ncauj, nws zoo rau hauv txoj hnyuv thiab tawm los ntawm lub raum yuav luag tsis hloov.
  • Pom tau zoo tshaj plaws 4 teev tom qab kev tswj hwm thiab yuav siv sijhawm 12 teev tom ntej. Nws tuaj yeem hla dhau ntawm lub tsho me nyuam thiab mus rau niam mis.

Cov lus qhia tshwj xeeb

  • Nrog rau kev ceev faj, lawv tau raug kho rau cov neeg laus laus, cov neeg mob atherosclerosis ntawm cov hlab ntsha ntawm lub plawv thiab lub paj hlwb, ntxiv rau ntshav qab zib.
  • Thaum kho, nws yog ib qho tsim nyog kom tsis txhob muaj lub hnub ntev rau lub hnub, vim tias cov tshuaj ua rau muaj kev cuam tshuam ntawm daim tawv nqaij ntau dhau rau UV hluav taws xob.
  • Tshuaj tuaj yeem tsuas yog tom qab ua tib zoo tshuaj ntsuam xyuas txog qhov kev pheej hmoo-txiaj ntsig piv rau cov neeg mob uas cuam tshuam los ntawm cov roj metabolism tsis txaus, nce ntawm triglycerides thiab cov roj (cholesterol) hauv ntshav ntshav, ntxiv rau cov ntsiab lus sodium tsawg hauv lub cev.

Yeeb tshuaj sib cuam tshuam

  • Nrog rau kev siv tib lub cev tsis ua rau lub cev ua kom lub cev ua kom zoo, cov neeg ua haujlwm tiv thaiv kabmob, lawv cov nyhuv yog kho dua.
  • Thaum ua ke nrog corticosteroids, muaj kev pheej hmoo ntawm hypokalemia thiab orthostatic hypotension.
  • Nrog rau kev siv ethanol tib lub sijhawm, diazepam, barbiturates, kev pheej hmoo ntawm kev txhim kho orthostatic hypotension nce.
  • Nrog cov tswj hwm ua haujlwm nrog ACE inhibitors, cov nyhuv antihypertensive yog kho dua.
  • Nrog tib lub sijhawm tswj hwm ntawm cov tshuaj hypoglycemic hauv qhov ncauj, lawv cov hauj lwm zoo txo.

Hydrochlorothiazide

Lub npe Latin: Hydrochlorothiazide

ATX Code: C03AA03

Tus nquag ua hauj lwm: hydrochlorothiazide (Hydrochlorothiazide)

Cov chaw tsim khoom: Atoll LLC (Russia), Pharmstandard-Leksredstva OJSC (Russia), Pranafarm LLC (Russia)

Hloov kho cov lus piav qhia thiab yees duab: 07/10/2019

Cov nqi hauv khw muag tshuaj: los ntawm 42 rubles.

Hydrochlorothiazide yog ib qho diuretic.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Daim ntawv noj tshuaj - ntsiav tshuaj: puag ncig, tiaj-cylindrical, nrog ib qho kev ceeb toom ntawm ib sab thiab chamfers ntawm ob sab, yuav luag dawb lossis dawb (10 thiab 20 daim hauv cov hlwv pob, 10, 20, 30, 40, 50, 60 thiab 100 pcs hauv cov kaus poom, hauv pob ntawv los ntawm 1, 2, 3, 4, 5, 6, 10 pob lossis 1 tuaj yeem thiab cov lus qhia rau kev siv hydrochlorothiazide).

Composition 1 ntsiav tshuaj:

  • cov tshuaj nquag: hydrochlorothiazide - 25 lossis 100 mg,
  • Cov khoom siv pabcuam: pob kws nplej, microcrystalline cellulose, lactose monohydrate (mis nyuj muaj suab thaj), magnesium stearate, povidone-K25.

Cov Tshuaj Hauv Tshuaj

Hydrochlorothiazide yog lub zog nruab nrab thiazide diuretic.

Cov tshuaj txo cov reabsorption ntawm sodium nyob rau hauv lub cortical ntu ntawm lub voj ntawm Henle, thaum nws tsis cuam tshuam rau ib feem ntawm nws uas hla hauv lub hlwb txheej ntawm lub raum. Qhov no piav qhia lub zog cov nyhuv tsis muaj zog ntawm hydrochlorothiazide ntau dua li furosemide.

Hydrochlorothiazide thaiv cov carbonic anhydrase hauv qhov ua kom pom tseeb tubules, txhim kho kev tsis pom ntawm lub raum ntawm hydrocarbons, phosphates, thiab potassium (hauv cov tubules distal, sodium yog sib pauv rau poov tshuaj). Ncua calcium ions hauv lub cev thiab nthuav tawm ntawm urate. Tsub kom qhov excretion ntawm magnesium. Yuav luag tsis muaj cov cuam tshuam los ntawm cov kua qaub-puag hauv lub xeev (sodium yog excreted ua ke nrog chlorine lossis nrog bicarbonate, yog li ntawd, nrog acidosis, qhov excretion ntawm chlorides yog kho kom zoo, nrog alkalosis - bicarbonates).

Cov nyhuv diuretic ntawm hydrochlorothiazide kev txhim kho tsis pub dhau 1-2 teev tom qab noj tshuaj, nce mus txog qhov siab kawg tom qab 4 teev thiab kav rau 6-12 teev. Cov nyhuv poob nrog qhov txo qis glomerular filtration, nrog nws tus nqi 2 ntawm lub cev nto 1 zaug hauv ib hnub. Kev txhaj tshuaj txhua hnub rau cov menyuam muaj 3-12 xyoos tuaj yeem yog los ntawm 37.5 txog 100 mg. Tom qab 3-5 hnub ntawm kev kho mob, nws raug nquahu kom so kom txaus rau tib lub sijhawm. Nrog kev saib xyuas kev noj qab haus huv, cov tshuaj yog noj ntawm qhov pom zoo koob tshuaj 2 zaug hauv ib lub lis piam. Hauv cov neeg mob uas tau txais kev kho mob tsis tu ncua nrog Hydrochlorothiazide ib zaug txhua 1-3 hnub lossis nrog kev tswj hwm 2-3 hnub ua raws li kev so, cov kev mob tshwm sim tsawg dua thiab cov tshuaj kho tau tsawg dua.

Sab sij huam

Cov kev mob tshwm sim hauv qab no tau muab faib raws li qhov ntau zaus ntawm txoj kev loj hlob raws li hauv qab no: ntau zaus - ntau tshaj 1/10, feem ntau ntau tshaj li 1/100, tab sis tsawg dua 1/10, ua tsis xws luag - ntau tshaj 1/1000, tab sis tsawg dua 1/100, tsis tshua muaj - ntau dua 1 / 10 000, tab sis tsawg dua li 1/1000, tsis tshua muaj - tsawg dua 1/10 000, suav nrog cov tib neeg cov lus:

  • kev cuam tshuam los ntawm cov dej-electrolyte sib npaug: feem ntau - hypercalcemia, hypomagnesemia, hypokalemia, hyponatremia (tshwm sim los ntawm cov leeg mob, ua rau lub cev qaug zog, qeeb ntawm txoj kev xav, ua haujlwm tsis txaus ntseeg, tsis txaus ntseeg, tsis meej pem, qaug zog, qaug dab peg), hypochloremic alkalosis (tshwm sim los ntawm qog ua pa ntawm lub qa, , xeev siab, ntuav, hloov pauv mus rau hauv lub siab thiab lub siab ntsws, dhia tsis xwm yeem, mob plab thiab mob nqaij, tsis muaj zog lossis txawv txav txawv), uas tuaj yeem ua rau mob hepatic e. tsefalopatiyu los yog hepatic coma,
  • metabolic ntshawv siab: feem ntau - glucosuria, hyperglycemia, hyperuricemia nrog kev txhim kho ntawm kev tawm tsam ntawm gout, kev txhim kho ntawm cov ntshav qabzib kam, qhov tshwm sim ntawm mob ntshav qab zib mellitus, nrog rau kev siv hydrochlorothiazide hauv kev txhaj tshuaj ntau dua - kev nce siab ntawm cov lipids hauv cov ntshav ntshav,
  • los ntawm cov hlab plawv system: tsis tshua muaj - orthostatic hypotension, bradycardia, vasculitis,
  • los ntawm cov leeg ua haujlwm: tsis tshua muaj - cov leeg tsis muaj zog,
  • los ntawm cov ntshav hemopoietic plab hnyuv siab raum: muaj tsawg kawg - kev mob ntshav ntawm hemolytic / aplastic anemia, agranulocytosis, leukopenia, thrombocytopenia,
  • los ntawm lub plab zom mov: tsis tshua muaj - sialadenitis, raws plab, cem quav, xeev siab, ntuav, tsis nco qab, cholestatic jaundice, pancreatitis, cholecystitis,
  • los ntawm cov leeg hlwb thiab cov khoom hauv lub cev: tsis tshua muaj - tsis pom kev tsis pom kev zoo, qhov mob hnyav ntawm lub kaum sab xis ntawm lub ntsej muag, mob myopia, kiv taub hau, kiv taub hau, tsaus muag, kab mob,
  • Kev tsis haum lub cev: tsis tshua muaj tshwm sim - ua lub cev tsis zoo, purpura, tawv nqaij ua pob khaus, khaus, urticaria, necrotizing vasculitis, Stevens-Johnson syndrome, anaphylactic tshua txog kev poob siab, mob ntsws ua pa (nrog rau pneumonitis thiab tsis mob plawv-ntsws).
  • lwm tus: exacerbation ntawm cov kab mob lupus erythematosus, interstitial nephritis, lub raum tsis ua haujlwm, qis dua potency.

Nqe hauv chaw muag tshuaj

Tus nqi ntawm hydrochlorothiazide rau 1 pob yog los ntawm 50 rubles.

Cov lus piav qhia nyob rau nplooj ntawv no yog tso ua kev suav daws ntawm kev sau ntawv ntawm cov tshuaj. Cov ntaub ntawv yog muab rau kev ua ntaub ntawv xov xwm nkaus xwb thiab tsis yog kev qhia rau kev coj tus kheej. Ua ntej yuav siv cov tshuaj, koj yuav tsum sab laj tus kws tshaj lij thiab paub koj tus kheej nrog cov lus qhia pom zoo los ntawm cov kws tsim khoom.

Tsuas tshuaj thiab tswj hwm

Txo cov ntshav siab: los ntawm qhov ncauj, 25-50 mg / hnub, thaum me diuresis thiab natriuresis raug pom tsuas yog nyob rau thawj hnub ntawm kev coj noj coj ua (kws kho mob ntev ntev nrog lwm cov tshuaj tiv thaiv kab mob: vasodilators, angiotensin-hloov mus rau enzyme inhibitors, sympatholytics, beta-blockers). Nrog rau qhov nce ntxiv ntawm 25 mus rau 100 mg, qhov nce sib npaug hauv cov diuresis, natriuresis thiab txo ntshav siab tau pom. Hauv tib koob tshaj li ntawm 100 mg, kev nce ntxiv ntawm diuresis thiab txo cov ntshav siab ntxiv yog qhov tsis txaus ntseeg, ib qho kev faib tawm tsis txaus ntawm cov electrolytes, tshwj xeeb tshaj yog potassium thiab magnesium ions, tau pom. Ua kom cov koob tshuaj ntau dua 200 mg yog qhov ua tsis tau, vim tias nce diuresis tsis tshwm sim.

Nrog edematous syndrome (nyob ntawm qhov mob thiab qhov tshuaj tiv thaiv ntawm tus neeg mob) yog xaj tshuaj rau 25-100 mg ib hnub ib zaug, noj ib zaug (thaum sawv ntxov) lossis 2 zaug (thaum sawv ntxov) lossis 1 zaug hauv 2 hnub.

Neeg laus - 12,5 mg 1 - 2 zaug ib hnub.

Rau menyuam thaum muaj hnub nyoog 3 mus txog 14 xyoos - 1 mg / kg / hnub.

Tom qab 3 mus rau 5 hnub ntawm kev kho mob, nws raug nquahu kom coj mus so rau 3 mus rau 5 hnub. Raws li kev saib xyuas kev kho mob nyob rau hauv cov kev cai tshwj xeeb tau hais tseg 2 zaug hauv ib lub lis piam. Thaum siv qhov kev kawm tsis tu ncua ntawm kev kho mob nrog kev tswj hwm tom qab 1 mus rau 3 hnub lossis tom qab 2 txog 3 hnub, tom qab ntawd so, kev txo qis rau qhov ua tau zoo yog tsawg tshaj tawm thiab cov kev mob tshwm sim tsawg dua.

Txhawm rau kom txo qis hauv siab 25 mg yog tau sau tseg ib zaug 1 rau 6 hnub, cov nyhuv tshwm sim tom qab 24 - 48 teev.

Nrog ntshav qab zib insipidus - 25 mg 1 - 2 zaug hauv ib hnub nrog kev maj mam nce ntxiv (koob tshuaj txhua hnub - 100 mg) kom txog thaum kho tshuaj tiav (txo kev nqhis dej thiab polyuria), kev txo tshuaj ntau ntxiv yog ua tau.

Daim ntawv thov nta

Nrog rau kev kho mob ntev, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas cov tsos mob hauv lub cev kom tsis muaj dej-electrolyte tshuav, feem ntau hauv cov neeg mob uas muaj kev pheej hmoo loj: cov neeg mob ntawm cov kab mob ntawm cov hlab plawv thiab lub siab ua haujlwm tsis zoo.

Hypokalemia yuav zam tau los ntawm kev siv cov tshuaj muaj potassium lossis cov zaub mov muaj txiaj ntsig ntawm K + (potassium) (txiv hmab txiv ntoo, zaub), tshwj xeeb tshaj yog muaj kev nce K + (mob hnyav, kho ntev ntev) lossis kho ib txhij nrog mob glycosides lossis glucocorticosteroids.

Nws tsub kom feem ntau ntawm cov magnesium nyob rau hauv cov zis, uas tuaj yeem ua rau mob ntshav qab zib hypomagnesemia.

Hauv kev mob raum tsis ua haujlwm (CRF), kev saib xyuas ntu sij hawm ntawm kev tshem tawm creatinine (CC) yog qhov tsim nyog. Hauv kev mob raum tsis ua haujlwm, cov tshuaj muaj peev xwm nthuav tawm thiab ua rau kev txhim kho ntawm azotemia. Nrog rau kev txhim kho ntawm oliguria yuav tsum xav txog kev txiav tawm cov tshuaj.

Thaum muaj mob me mus rau mob siab rau daim siab ua haujlwm lossis lub siab mob siab, cov tshuaj tau raug ceeb toom nrog ceev faj, txij li kev hloov me me hauv cov dej-electrolyte tshuav thiab kev tso ntshav ntawm ammonia hauv ntshav dej tuaj yeem ua rau mob hepatic tsis nco qab lawm.

Thaum mob hnyav rau mob hlwb thiab mob txha caj qaum, txhawm rau siv cov tshuaj yuav tsum tau saib xyuas tshwj xeeb.

Tej zaum yuav ua rau kom cov ntshav qabzib nyob taus. Thaum kawm ntev txog kev kho tus mob ntshav qab zib thiab mob ntshav qab zib mellitus, yuav tsum muaj kev soj ntsuam cov kab mob carbohydrate kom paub tseeb; kev kho tshuaj hypoglycemic yuav tsum tau kho. Thaum kho, kev saib xyuas lub sij hawm ntawm uric acid concentration yog qhov tsim nyog.

Nrog kev kho kom ntev, nyob rau qee qhov tsis tshua muaj tshwm sim, hloov pauv pathological hauv kev ua haujlwm ntawm cov qog parathyroid tau pom, nrog rau hypercalcemia thiab hypophosphatemia. Nws yuav cuam tshuam cov txiaj ntsig kev kuaj sim ntawm parathyroid muaj nuj nqi, yog li ntawd, ua ntej txiav txim siab kev ua haujlwm ntawm parathyroid qog, cov tshuaj yuav tsum tsis ua ntxiv.

Hydrochlorothiazide tuaj yeem txo cov iodine uas khi rau cov ntshav cov nqaijrog yam tsis muaj cov cim qhia ntawm lub qog ua haujlwm tsis zoo.

Hauv thawj theem ntawm kev siv yeeb tshuaj (lub sijhawm ntawm lub sijhawm no tau txiav txim siab ib tus zuj zus), nws raug nquahu kom tsis txhob tsav tsheb thiab ua haujlwm uas yuav tsum muaj kev xav ntau ntxiv thiab ceev ntawm cov kev xav psychomotor (vim tias muaj kev txhim kho ntawm kiv taub hau thiab tsaug zog), yav tom ntej, yuav tsum ua kev tawm dag zog.

Pharmacological cov yam ntxwv ntawm cov tshuaj

Hydrochlorothiazide ntsiav tshuaj yog thiazide diuretics. Cov tshuaj nquag ua rau cuam tshuam kev cuam tshuam ntawm kev nqus ntawm sodium, dej thiab chlorine ions nyob rau hauv cov chaw deb ntawm lub raum hlaus, thiab tseem txhim kho kev tsis tuaj yeem ntawm poov tshuaj thiab magnesium ions.

Qhov siab tshaj plaws ua kev kho mob txhim kho 2 teev tom qab noj tshuaj hauv ncoo sab hauv thiab kav ntev li 12 teev.

Vim tias tshem tawm cov kua dej ntau dhau ntawm lub cev, cov khoom ua kom nquag plias ntawm cov diuretic pab txo cov ntshav siab, txo edema, thiab txo polyuria hauv cov neeg mob ntshav qab zib insipidus.

Kev siv cov tshuaj thaum cev xeeb tub thiab pub niam mis

Kev siv cov tshuaj hydrochlorothiazide hauv thawj lub hlis ntawm cev xeeb tub yog txwv tsis pub siv, txij li lub sijhawm no tsim cov menyuam hauv plab thiab lub cev tshwm sim, thiab cov tshuaj tuaj yeem cuam tshuam rau txoj kev no.

Kev siv cov tshuaj hauv cov tshuaj txiav thib 2 thiab 3 ntawm cev xeeb tub yog ua tau tsuas yog tom qab kev soj ntsuam ntxig ntawm cov ntsuas ntawm cov txiaj ntsig / kev pheej hmoo thiab nyob hauv kev saib xyuas nruj ntawm tus kws kho mob.

Kev siv cov tshuaj thaum lub sijhawm pub niam mis yog txwv tsis pub, vim tias cov tshuaj ua kom muaj zog tuaj yeem nkag rau hauv niam mis, thiab tom qab ntawd mus rau hauv tus menyuam lub cev nrog zaub mov noj. Yog tias kho nrog hydrochlorothiazide tsim nyog, lactation yuav tsum tsis ua mus ntxiv!

Sab sij huam

Nrog kev siv cov tshuaj, cov kev mob tshwm sim tsuas yog muaj tsawg zaus. Yog tias koj muaj kev ywj pheej tshaj li cov koob tshuaj pom zoo lossis kev siv tshuaj ncua ntev tsis siv tshuaj, cov xwm txheej hauv qab no yuav tsim hauv cov neeg mob:

  • Kev mob plab hnyuv ntxwm: mob ua paug, mob caj pas, cholecystitis, tso quav tsis txaus, tsis qab los noj mov, daj ntseg, mob hauv lub siab,
  • Pom kev tsis pom kev
  • Kiv taub hau lossis mob taub hau,
  • Lub siab xav "ua" rau ntawm daim tawv nqaij,
  • Kev tsim tawm ntawm vasculitis, anemia, leukopenia, hyponatremia,
  • Kev tawm tsam tiv thaiv keeb kwm yav dhau los ntawm kev ua txhaum ntawm cov dej-ntsev tshuav hauv lub cev,
  • Tsis meej pem lossis nce siab tshee sai sai
  • Nce nqhis dej, lub qhov ncauj qhuav,
  • Xeev siab thiab gagging
  • Loj hlob tsis muaj zog lossis nkees,
  • Kev ua xua rau ntawm daim tawv nqaij - urticaria, angioedema, tawm pob,
  • Mob leeg
  • Kev ua txhaum ntawm ob lub raum thiab mob siab, hauv qhov xwm txheej loj, kev loj hlob ntawm daim siab ua haujlwm kom txog thaum tsis nco qab.

Kev sib cuam tshuam ntawm cov tshuaj nrog lwm cov tshuaj

Nrog rau kev siv tib lub sij hawm ntawm hydrochlorothiazide ntsiav tshuaj nrog rau cov tshuaj tsis-steroidal los yog cov tshuaj tiv thaiv tsis tseem ceeb, cov kev kho mob ntawm diuretic yog kho kom zoo, uas yuav tsum tau txiav txim siab thaum sau tshuaj.

Kev siv ib txhij ntawm cov tshuaj no nrog tshuaj tiv thaiv kab mob siab, barbiturates, lossis ethanol, muaj qhov nce ntawm nws cov nyhuv hypotensive.

Cov tshuaj muaj sia ntawm hydrochlorothiazide txo cov tshuaj tiv thaiv kom tsis txhob muaj kab mob hauv tshuaj noj hauv qhov ncauj, uas yuav tsum ceeb toom rau cov neeg mob uas nyiam hom kev tiv thaiv tiv thaiv cev xeeb tub.

Diuretic ntsiav tshuaj, tshwj xeeb hydrochlorothiazide, nce kev pheej hmoo ntawm kev phiv thaum kho nrog mob glycosides.

Kev mob ntawm kev faib tawm thiab khaws cia ntawm cov tshuaj

Cov ntsiav tshuaj Hydrochlorothiazide tau muab faib rau hauv cov chaw muag tshuaj yam tsis muaj daim ntawv yuav los ntawm kws kho mob. Cov tshuaj yuav tsum muab cia rau qhov chaw ncav cuag ntawm cov menyuam yaus ntawm qhov kub tsis tshaj 20 degrees. Lub txee lub neej ntawm cov ntsiav tshuaj yog 2 xyoos txij li hnub tsim khoom lag luam.

Tus nqi nruab nrab ntawm cov tshuaj Hydrochlorothiazide nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj hauv cov khw muag tshuaj hauv Moscow yog 60-70 rubles.

Cia Koj Saib