Eyona >> Iziyobisi Vs. Umhlobo >> Bumex vs Lasix: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

Bumex vs Lasix: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

Iziyobisi Vs. Umhlobo

I-Bumex (i-bumetanide) kunye ne-Lasix (i-furosemide) ngamagama e-diuretics asetyenziselwa ukunciphisa ulwelo oluninzi emzimbeni. Ikwabizwa ngokuba yi-edema, olu qokelelo lungaphezulu kolwelo ludla ngokwenzeka ngenxa yeemeko ezithile, ezinje ngokusilela kwentliziyo, isifo sezintso, kunye nesifo sesibindi. I-Bumex kunye ne-Lasix zinokunceda ukunciphisa ulwelo oluninzi kunye nokunciphisa iimpawu ezinje ngokuphefumla kancinci kunye nokudumba ezingalweni okanye emilenzeni.

Umsebenzi weBumex kunye neLasix ngokuthintela ukubuyiselwa kwakhona kwesodiyam kunye nekloride kwii-tubules zezintso, kubandakanya iluphu yeHenle. Njenge-loop diuretics, i-Bumex kunye ne-Lasix block block fluid kunye nokunyusa imveliso yomchamo (diuresis). La machiza abizwa ngokuba ziipilisi zamanzi.

Nangona uBumex kunye neLasix babelana ngokufana, banomahluko kumandla kunye nomthamo.

Nguwuphi umahluko ophambili phakathi kweBumex neLasix?

I-Bumex ligama lophawu lwe-bumetanide. Xa kuthelekiswa neLasix, iBumex sisiyobisi esinamandla ngakumbi; I-Bumex inamaxesha angama-40 anamandla ngaphezu kweLasix kubantu abanomsebenzi oqhelekileyo wezintso. Oko kuthetha ukuba yonke i-1 mg yeBumex, ingathatha i-40 mg yeLasix ukufezekisa umphumo ofanayo. Kuba iBumex encinci iyafuneka, oku kunokuthetha ukuba nomngcipheko ophantsi weziphumo ezibi ezithile, ezinje ototoxicity .

I-Bumex inokuthathwa njenge-0.5 mg, 1 mg, okanye 2 mg ithebhulethi yomlomo. Inokujova njengesisombululo se-0.25 mg / 1 mL. Iziphumo eziphezulu zibonwa phakathi kweyure enye kunye neyure ezimbini emva kolawulo lomlomo nangaphakathi kwemizuzu engama-15 ukuya kwengama-30 emva kwenaliti ye-IV. Iziphumo zomchamo zinokuhlala iiyure ezine ukuya kwezintandathu .

I-Bumex ihlala inikwa njengecwecwe lomlomo kwi-0.5 mg ukuya kwi-2 mg yedosi enye. Nangona kunjalo, ukuba iziphumo azonelanga ngokwaneleyo, idosi yesibini okanye yesithathu inokunikwa ngeeyure ezine ukuya kwezintlanu.

I-Lasix ligama lophawu lwe-furosemide. Xa kuthelekiswa neBumex, iLasix sisiyobisi esidala. Iyafumaneka kwi-20 mg, 40 mg, kunye ne-80 mg yeepilisi zomlomo kunye ne-10 mg / 1 mL yenaliti. I-Lasix iqala ukusebenza kwiyure enye ukuya kwezimbini emva kolawulo lomlomo. Ixesha lokuchaphazeleka komchamo lihlala malunga iiyure ezintandathu ukuya kwezisibhozo .

I-Lasix inokunikwa njengecwecwe lomlomo kwi-20 ukuya kwi-80 mg yedosi enye. Amanye amathamo anokunikwa emva kweeyure ezintandathu ukuya kwezisibhozo de kufikelelwe kwisiphumo esaneleyo. Ekugqibeleni, i-dosing iya kuxhomekeka kwimeko yonke yokuphathwa.

Umahluko ophambili phakathi kweBumex kunye neLasix
	Bumex	Lasix
Iklasi yeziyobisi	Womchamo	Womchamo
Uhlobo lweBrith / generic	Ibhranti kunye nohlobo oluqhelekileyo luyafumaneka	Ibhranti kunye nohlobo oluqhelekileyo luyafumaneka
Ngubani igama eliqhelekileyo?	Bumetanide	Furosemide
Zeziphi iifom eza nalo iziyobisi?	Ithebhulethi yomlomo Isisombululo ngenaliti	Ithebhulethi yomlomo Isisombululo ngenaliti
Ithini idosi esemgangathweni?	Ithebhulethi yomlomo: 0.5 ukuya ku-2 mg idosi enye. Idosi yesibini okanye yesithathu inokulawulwa kwisithuba seeyure ezine ukuya kwezintlanu. Ubuninzi be-10 mg ngosuku. Inaliti ye-IM / IV: 0.5 ukuya kwi-1 mg. Idosi yesibini okanye yesithathu inokulawulwa kwisithuba seeyure ezimbini ukuya kwezintathu. Ubuninzi be-10 mg ngosuku.	Ithebhulethi yomlomo: 20 ukuya kuma-80 mg idosi enye. Idosi yesibini inokunikwa kwiiyure ezintandathu ukuya kwezisibhozo kamva. I-Dose inokunyuswa ngokuzimeleyo ngokokubona kukagqirha. Inaliti ye-IM / IV: 20 ukuya ku-40 mg idosi enye. Idosi yesibini inokunikwa kwiiyure ezimbini kamva. I-Dose inokunyuswa ngokuzimeleyo ngokokubona kukagqirha.
Lude kangakanani unyango oluqhelekileyo?	Unyango lwexesha elifutshane okanye lwexesha elide kuxhomekeke kwimeko yokunyangwa	Unyango lwexesha elifutshane okanye lwexesha elide kuxhomekeke kwimeko yokunyangwa
Ngubani oqhelekileyo usebenzisa amayeza?	Abantu abadala	Abantu abadala kunye nabantwana abathile ngokusekwe kubunzima

Imiqathango ephathwe nguBumex noLasix

I-Bumex kunye ne-Lasix zombini zisetyenziselwa ukunyanga ukuqokelelwa kwe-fluid (i-edema) ebangelwa ziimeko ezinje ngokusilela kwentliziyo, isibindi sokuqina kwesibindi, isifo sezintso kunye nokusilela kwezintso. Ukunciphisa ulwelo olugqithisileyo kunokunceda ukunciphisa iimpawu ezinje ngokuphefumla kancinci kunye nokudumba kwiingalo, imilenze, okanye isisu.

I-Lasix ikwayi-FDA evunyiweyo ukunyanga uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi) kubantu abadala. Ingasetyenziselwa yodwa okanye ngokudibeneyo namanye amachiza oxinzelelo lwegazi ukunceda ukunyanga uxinzelelo lwegazi oluphezulu.

I-Bumex inokukunceda ukunyanga uxinzelelo lwegazi xa isetyenziswa kunye nezinye iiarhente zokwehlisa uxinzelelo lwegazi. Nangona kunjalo, iBumex iya kusetyenziswa ngaphandle kwelebheli ukunyanga uxinzelelo lwegazi oluphezulu.

Imeko	Bumex	Lasix
Edema	Ewe	Ewe
Uxinzelelo lwegazi	Ngaphandle kwelebheli	Ewe

Ngaba iBumex okanye iLasix isebenza ngakumbi?

I-Bumex kunye neLasix zombini zisebenza ngokunyanga i-edema. Nangona kunjalo, i-Bumex yinto enamandla ngakumbi yokuvula umchamo. I-Bumex ikwanokufumaneka okuphezulu kune-Lasix. Intsingiselo, iBumex ifunxwe ngokufanelekileyo emzimbeni kuneLasix.

Kwi isifundo sokuthelekisa , i-bumetanide yafunyanwa ine-80% yokufumaneka kwezinto ezikhoyo ngelixa i-furosemide ifunyenwe ine-40% yokufumaneka kwayo. Ngaphandle kokungafani kwabo kwi-bioavailability, zombini iBumex kunye neLasix ziyafana ngokusebenza xa zinikwa ngeedosi ezilinganayo.

Xa kuthelekiswa ne-bumetanide kunye ne-furosemide, i-torsemide inexesha elide lobomi. Nangona i-torsemide inexesha elide lobomi kune-bumetanide, inamandla amancinci kune-bumetanide (20 mg ye-torsemide ilingana ne-1 mg ye-bumetanide). Ngenye uphononongo olucwangcisiweyo , i-torsemide yafunyanwa isebenze ngakumbi kune-furosemide ekunciphiseni ukwamkelwa kwesibhedlele okubangelwa kukusilela kwentliziyo. I-Torsemide kunye ne-furosemide nayo inayo enye iyantlukwano enokuchaphazela indlela ezisetyenziswa ngayo.

Nxibelelana nogqirha wakho ukuze ubone ukuba yeyiphi eyona ndlela isebenzayo yokuvula umchamo. Umboneleli wezempilo uya kuba nakho ukuvavanya imeko yakho yonke ngaphambi kokumisela i-diuretic efanelekileyo.

Ukufunyanwa kunye nokuthelekiswa kweendleko zeBumex vs.Lasix

IBumex sisiyobisi esinegama lophawu. Nangona kunjalo, uninzi lwe-Medicare kunye nezicwangciso ze-inshurensi ziya kugubungela uhlobo oluqhelekileyo lweBumex, bumetanide. Ixabiso eliphakathi lemali leBumex lijikeleze i-85 yeedola ngokuxhomekeke kwikhemesti oyithengileyo. Nge-Bumex SingleCare coupon, ungalihlisa eli xabiso ukuya kuthi ga kwi-22 yeedola, okanye ngaphantsi, uthenga ifom yohlobo oluqhelekileyo kwiikhemesti ezithile.

I-Lasix ikwalisiyobisi esinegama lebrendi esifumaneka njengohlobo oluqhelekileyo. Ifom yesiqhelo, i-furosemide, ihlala igutyungelwe luninzi lwezonyango kunye nezicwangciso zeinshurensi. Ngeponi yeLasix, unokulindela ukuhlawula iindleko ezifikelelekayo ze- $ 4. Jonga ikhemesti yendawo okuyo ukuthelekisa iindleko zeLasix ngaphandle kwe-inshurensi kwiindleko zayo ngekhadi le-SingleCare.

	Bumex	Lasix
Ngokuqhelekileyo ihlawulwa yi-inshurensi?	Ewe	Ewe
Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare?	Ewe	Ewe
Umthamo osemgangathweni	1 mg kanye yonke imihla (ubuninzi beepilisi ezingama-30)	I-20 mg kanye yonke imihla (ubuninzi beepilisi ezingama-30)
I-Medicare copay eqhelekileyo	$ 0- $ 1	$ 0- $ 4
Ixabiso elilodwa	$ 22 +	$ 4 +

Fumana ikhadi lesaphulelo kwikhemesti

Iziphumo eziqhelekileyo ezichaphazelekayo zeBumex vs.Lasix

UBumex kunye neLasix babelana ngemiphumo efanayo. Iziphumo zixhaphakileyo zeBumex kunye neLasix zii cramps okanye ubuthathaka, isiyezi, ukurhawuzelela (pruritus), intloko ebuhlungu, kunye isicaphucaphu. Ezi ziphumo zingangumqondiso we ukuphelelwa ngamanzi emzimbeni ngenxa yokunyuka kokukhupha amanzi kumchamo. Ukuxhamla kwezihlunu kunokubakho ngenxa yokulahleka kwe potassium.

Njenge-loop diuretics, iBumex kunye neLasix nazo zinokubangela uxinzelelo lwegazi oluyingozi, okanye i-hypotension. Kwiimeko ezinzima, iBumex kunye neLasix nazo zinokubangela ukungaboni kakuhle okanye ukuva indlebe. Ubunzima be-tinnitus buhlala budibene nedosi yeziyobisi ezinikiweyo, ngakumbi ukuba umchamo unikezelwa ngeedosi eziphezulu kunesiqhelo.

	Bumex	Lasix
Imiphumela	Iyasebenza?	Rhoqo	Iyasebenza?	Rhoqo
Iintlanzi zemisipha	Ewe	1.1%	Ewe	*
Ukuba nesiyezi	Ewe	1.1%	Ewe	*
Uxinzelelo lwegazi	Ewe	0.8%	Ewe	*
Intloko ebuhlungu	Ewe	0.6%	Ewe	*
Isicaphucaphu	Ewe	0.6%	Ewe	*
Ukungeva kakuhle	Ewe	0.5%	Ewe	*
Ukurhawuzelela	Ewe	0.4%	Ewe	*

* akuxelwa
Ukuphindaphinda akusekelwanga kwidatha ukusuka kuvavanyo lwentloko ukuya entloko. Olu alunakuba luluhlu olupheleleyo lweziphumo ezibi ezinokwenzeka. Nceda ujonge ugqirha wakho okanye umboneleli wezempilo ukuze ufunde okungakumbi.
Umthombo: DailyMed ( Bumex ), Yonke imihla ( Lasix )

Ukudibana kweziyobisi kweBumex vs.Lasix

I-Bumex kunye neLasix zii-diuretics ezinonxibelelwano olufanayo nezinye iziyobisi. Ngenxa yokuba iBumex kunye neLasix zibonisiwe zibangela ukungaboni kakuhle, akufuneki zisetyenziswe namanye amachiza aneziphumo ezifanayo. Umzekelo, iBumex kunye neLasix kufuneka zithintelwe kwabo bathatha aminoglycoside antibiotics, eyaziwa ngokuba umngcipheko wokungaboni kakuhle . Lo mngcipheko ukwandiswa xa iBumex okanye iLasix ithathwa kunye nenye iluphu yokuchama eyaziwa njenge-ethacrynic acid.

I-lithium kufuneka ithintelwe ngeBumex okanye iLasix. Amanqanaba e-lithium ayonyuka xa iLithium ithathwa kunye nala ma-diuretics, anokukhokelela kwityhefu ye-lithium.

Iziyobisi ezinje nge-probenecid, indomethacin, kunye ne-sucralfate zinokuphazamisa iziphumo ze-diuretic kunye ne-antihypertensiveiziphumo zeBumex kunye neLasix. Ke ngoko, la machiza kufuneka abekwe iliso okanye athintelwe ngelixa useBumex okanye iLasix.

Nangona amachiza oxinzelelo lwegazi ngamanye amaxesha athathwa kunye neBumex okanye iLasix ukunyanga uxinzelelo lwegazi oluphezulu, idosi yabo inokufuna ukulungiswa. Ukudibanisa i-Bumex okanye i-Lasix kunye ne-angiotensin-eguqula i-enzyme inhibitors okanye i-angiotensin II receptor blockers inokukhokelela kwiziphumo ezibi. Umngcipheko woxinzelelo lwegazi olusezantsi (i-hypotension) luyonyuka xa kuthathwa i-loop diuretics ngeyeza elichasene noxinzelelo lwegazi. Ukongeza, umsebenzi we-renal unokuchaphazeleka xa ezi diuretics zithathwa kunye neziyobisi ezichasayo.

Iziyobisi	Iklasi yeziyobisi	Bumex	Lasix
IGentamicin I-Tobramycin I-Amikacin I-Streptomycin	Aminoglycoside antibiotics	Ewe	Ewe
I-acid ye-Ethacrynic	Umchamo wethambo	Ewe	Ewe
ILithium	Ummeli we-Antimanic	Ewe	Ewe
Iiprobene	Igosa lokulwa	Ewe	Ewe
Indomethacin	Iziyobisi ezichasayo ezingasebenziyo (i-NSAID)	Ewe	Ewe
Isucralfate	Ukukhusela	Ewe	Ewe
Lisinopril ILosartan Amlodipine	Izinto ezichaseneyo	Ewe	Ewe

Nxibelelana noochwephesha kwezolunye unxibelelwano olunokubakho ngeziyobisi

Izilumkiso zeBumex kunye neLasix

Ukusetyenziswa kwe-loop diuretics efana neBumex okanye iLasix kunokukhokelela kumanzi agqithisileyo kunye nokuphela kwe-electrolyte. Oku kunokukhokelela ekuphelisweni kwamanzi emzimbeni kwiimeko ezinzima. Ke ngoko, iBumex kunye neLasix kufuneka zithathwe kuphela ngeedosi ezifanelekileyo phantsi kwesikhokelo somboneleli wezempilo.

Ukongeza kokuchaphazela amanqanaba e-calcium kunye nesodiyamu, iBumex kunye neLasix zinokubangela hypokalemia, okanye inqanaba eliphantsi kakhulu le potassium s . I-poture-sparing diuretic efana ne-spironolactone inokunikwa ukunceda ukulawula amanqanaba e-potassium.

Kulabo abane-cirrhosis yesibindi, ukungalingani okukhulu kwe-electrolyte kunokukhokelela kuyo encephalopathy hepatic okanye isiqaqa.

I-Bumex kunye ne-Lasix zibonisiwe ukuba zibangela i-ototoxicity, enokuthi ikhokelele ekungafezekini kokuva okanye ukulahleka kwendlebe. Kuba idosi esezantsi yeBumex iyafuneka ukufezekisa umphumo ofanayo nedosi yeLasix elinganayo, umngcipheko we-ototoxicity ungaphantsi neBumex. Okwangoku, iidosi eziphezulu ze-loop diuretics zinokunyusa umngcipheko wokungasebenzi kakuhle kwindlebe.

I-Bumex kunye neLasix akufuneki zisetyenziswe kwabo banesifo sokungabikho komzimba kwizithako nakweliphi na ichiza.

Qhagamshelana nomboneleli wezempilo malunga nezinye izilumkiso kunye nezilumkiso ezinxulumene neBumex okanye iLasix.

Imibuzo ebuzwa rhoqo malunga neBumex vs.Lasix

Yintoni iBumex?

I-Bumex ligama elingu-brand dioptic diuretic ekwafumaneka njengechiza eliqhelekileyo elibizwa ngokuba yi-bumetanide. Isebenza ngokuthintela ukubuyiselwa kwakhona kwesodiyam kunye nekloride kwizintso ukunceda ukulahla ulwelo olugqithisileyo emzimbeni. Ihlala ilawulwa njengecwecwe lomlomo kwithamo le-0.5 ukuya kwi-2 mg. Nangona kunjalo, inokuthi ilawulwe njenge-injection.

Yintoni iLasix?

I-Lasix ligama lophawu lwe-furosemide. NjengoBumex, iLasix yi-loop diuretic eyanceda ukunyanga i-edema, okanye ukuqokelelwa kolwelo emzimbeni. I-Lasix inceda ukuphatha abo banesifo sentliziyo esisifo, isifo sesibindi kunye nesifo sezintso. Ihlala ilawulwa njenge-20 ukuya kwi-80 mg yedosi yomlomo, nangona ikwalawulwa ngenaliti.

Ngaba iBumex kunye neLasix ziyafana?

Zombini i-Bumex kunye neLasix zii-loop diuretics ezonyusa imveliso yokuchama ukuze kupheliswe ulwelo olugqithisileyo. Nangona bekwiklasi enye yeziyobisi, bamiselwe ngokwahlukileyo. Ziyahluka ngokwamandla kunye nokufunxwa ( ukufumaneka ). I-Bumex iqala ukusebenza ngokukhawuleza kuneLasix, kodwa iziphumo zayo zihlala ixesha elifutshane.

Ngaba iBumex okanye iLasix ingcono?

I-Bumex i-diuretic enamandla ngakumbi kuneLasix. Kuthatha idosi enkulu yeLasix ukufezekisa umphumo ofanayo nedosi esezantsi yeBumex. Ukufunxwa kweBumex nako kunokuxelwa kwangaphambili kuneLasix. Nangona kunjalo, xa kunikwa iidosi ezilinganayo, iBumex kunye neLasix zinokusebenza ngokufanayo. Ugqirha ogxile kwizifo zentliziyo kunye neemeko zentliziyo uya kuba nakho ukumisela esona diuretic silungileyo.

Ndingayisebenzisa iBumex okanye iLasix ngelixa ndikhulelwe?

Akukho zifundo zaneleyo kukhuseleko lokusebenzisa iBumex okanye iLasix ngexesha lokukhulelwa. I-Bumex okanye i-Lasix kufuneka isetyenziswe kuphela ngexesha lokukhulelwa ukuba izibonelelo zingaphezulu kobungozi obunokubakho kwimveku. Akukhuthazwa ngokubanzi ukuthatha iBumex okanye iLasix ngelixa uncelisa. Qhagamshelana nomboneleli wakho wezempilo ngaphambi kokuba uthathe iBumex okanye iLasix ukuba ukhulelwe.

Ndingayisebenzisa iBumex okanye iLasix ngotywala?

Iziphumo zotywala zinokugqobhoza kunye neziphumo ebezingalindelekanga ezinokubakho zeBumex kunye neLasix. Ukusela utywala ngelixa ukwiBumex okanye iLasix kunokukhokelela kwiziphumo ebezingalindelekanga ezandayo, ezinje ngesiyezi kunye nesicaphucaphu. Akucetyiswa ukuba usele kakhulu utywala ngelixa ukwi-loop diuretic.

Ngaba iBumex imbi kwizintso?

I-Bumex isuswe ngokukodwa kwizintso. Umngcipheko weziphumo ezibi ezivela eBumex uyanda ukuba izintso zakho azisebenzi kakuhle. Ke ngoko, umsebenzi wezintso kufuneka ubekwe esweni ngelixa uthatha iBumex. Ukuba umsebenzi wezintso uyehla, iBumex inokufuna ukupheliswa.

Ngaba iBumex potassium ichitha?

I-Bumex yi-diuretic enamandla enokunyusa ukuphuma komchamo kulwelo oluninzi. Ngomqondiso ofanayo, ukusetyenziswa kweBumex kunokukhokelela kwilahleko ye-fluid kunye ne-electrolyte. Ngenxa yoko, i-Bumex inokunyusa ukuphuma kwe potassium emzimbeni. Oku kunokukhokelela ekuphelisweni kwamanzi emzimbeni kunye namanqanaba asezantsi e-potassium.

Yomelele kangakanani iBumex kuneLasix?

I-Bumex inamaxesha angama-40 anamandla kuneLasix. Intsingiselo, 1 mg weBumex ilingana ne-40 mg yeFurosemide.