Amakhambi we-diuretic okususa

-Delile

• 1. UFurosemide
• 2. IHydrochlorothiazide
• 3. I-Spironolactone
• 4. I-Amiloride
• 5. I-Hydrochlorothiazide ne-Spironolactone

Ama-diuretics yizidakamizwa ezandisa umthamo womchamo okhiqizwayo, ngokwandisa ukuphuma kwamanzi ngezinso ekuphenduleni ekwandeni kokuqedwa kukasawoti noma ukwehla kokubuyiselwa kwawo kumashubhu wezinso. Ngakho-ke, ngokunciphisa inani loketshezi olujikeleza egazini, kuncipha emithanjeni yegazi nokuvuvukala okubangelwa ukugcinwa koketshezi.

I-Furosemide, i-Hydrochlorothiazide noma i-Spironolactone yizibonelo zemithi yokwelapha isisu, esetshenziselwa ukwelapha izinkinga ezifana nomfutho wegazi ophakeme, ukwehluleka kwenhliziyo nokuvuvukala emaqakaleni, ezinyaweni nasemilenzeni, okubangelwa izinguquko ekusebenzeni kwenhliziyo noma izifo esibindini noma izinso, isibonelo.

Kunezinhlobo ezahlukahlukene zemithi yokwelapha engasetshenziswa ukwelapha ukuvuvukala, okubandakanya i-potassium-sparing, thiazide, loop diuretics, i-carbonic anhydrase inhibitors noma i-osmotic, yize lezi ezimbili zokugcina zisetshenziswa kancane. I-diuretics kufanele isetshenziswe kuphela ngokuqondiswa udokotela, njengoba uhlobo lwe-diuretic kufanele luguqulwe kunhloso ethile yokwelashwa.

Eminye yemithi yokwelapha isisu esetshenzisiwe yilena:

1. UFurosemide

IFurosemide (iLasix, Neosemid) iyi-diuretic yeluphu futhi ikhonjiswa ekwelapheni umfutho wegazi ophezulu nokuvuvukala okubangelwa yinhliziyo, isibindi noma isifo sezinso noma ukuvuvukala kobuchopho noma okubangelwa ukusha.

Ngaphezu kwalokho, kuboniswa ekwelapheni i-gestosis, isifo esine-hypertensive esivela ku-trimester yokugcina yokukhulelwa, nokwenza lula ukuqeda umchamo uma kwenzeka ubuthi. Imithamo enconywayo kufanele ikhonjiswe ngudokotela, ngoba incike enkingeni ezolashwa.

2. IHydrochlorothiazide

I-Hydrochlorothiazide iyi-thiazide diuretic (Chloran), ekhonjiswe ukulawula ukucindezelwa kwegazi nokwelashwa kokuvuvukala okubangelwa izinkinga ekusebenzeni kwenhliziyo, ukuqina kwesibindi, ukwelashwa ngama-corticosteroids noma izidakamizwa zehomoni, noma ngezinkinga ezithile ekusebenzeni kwezinso . Kunganconywa imithamo esukela ku-25 kuye ku-200 mg ngosuku, kuya ngenkinga ezolashwa.

3. I-Spironolactone

ISpironolactone (Aldactone, Diacqua) iyi-diuretic ekhusela i-potassium futhi ikhonjisiwe ekwelapheni umfutho wegazi ophakeme nokuvuvukala okubangelwa izinkinga ekusebenzeni kwesifo senhliziyo, isibindi noma izinso. Ngokuvamile, kunconywa imithamo esukela ku-50 kuya ku-200 mg ngosuku, ngokwemiyalo enikezwe udokotela. Bona ukuthi ulisebenzisa kanjani leli khambi.

4. I-Amiloride

I-Amiloride futhi iyi-diuretic ekhusela i-potassium futhi imvamisa ihlotshaniswa ne-hydrochlorothiazide ekwelapheni umfutho wegazi ophakeme, ukunciphisa ukuvuvukala emaqakaleni, ezinyaweni nasemilenzeni okubangelwa ukugcinwa kwamanzi nokwelashwa kwama-ascites, okuwukuqoqwa kwamanzi isisu esidalwa yi-cirrhosis. Ngokuvamile kunconywa ukuthatha i-tablet engu-1 50 mg / 5 mg nsuku zonke.

5. I-Hydrochlorothiazide ne-Spironolactone

Kuyinhlanganisela yezinhlobo ezi-2 ezahlukahlukene zesisu (i-Aldazide), ekhonjiswe ekwelapheni umfutho wegazi ophakeme nokuvuvukala okubangelwa izifo noma izinkinga ezisenhliziyweni, isibindi noma izinso. Ngaphezu kwalokho, kuboniswa njenge-diuretic ezimweni zokugcina uketshezi. Ngokuvamile, imithamo esukela engxenyeni yethebhulethi kuya kumaphilisi ama-2 we-50 mg + 50 mg ngosuku ayakhonjiswa, kuya ngenkinga ezolashwa. Funda kabanzi ngemiphumela emibi yaleli khambi.

Ungayithatha kanjani i-Diuretics

Noma imuphi umuthi onesenzo sokukhishwa isisu kufanele uthathwe kuphela ngaphansi kweseluleko sezokwelapha, ngoba uma usetshenziswe ngokungafanele ungadala ukungalingani kwe-electrolyte, okuwukushintsha kwenani lamaminerali abalulekile egazini. Ngaphezu kwalokho, kungavela ezinye izinkinga, njengokuphelelwa amanzi emzimbeni noma i-arrhythmias yenhliziyo, ngokwesibonelo.

Kukhona nezidakamizwa zemvelo, ezifana netiyi eluhlaza, noma ukudla okwehlisa isisu, njengesilimo esidliwayo esinamagatsha anamanzi, ikhukhamba noma ulamula, njengoba zinomphumela ofana nemithi, kepha onobungozi obuncane empilweni. Bona uhlu oluphelele ngokwengeziwe lwezinye izidlo zemvelo.