Umbhali: Laura McKinney
Umhla Wokudalwa: 4 Utshazimpuzi 2021
Hlaziya Umhla: 17 Eyenkanga 2024
Anonim
Yintoni omele uyazi ngeDiuretiki - Zempilo
Yintoni omele uyazi ngeDiuretiki - Zempilo

Umxholo

Ushwankathelo

I-diuretics, ekwabizwa ngokuba ziipilisi zamanzi, ngamayeza ayilelwe ukwandisa inani lamanzi kunye netyuwa egxothwa emzimbeni njengomchamo. Zintathu iintlobo zokuchazwa komchamo. Zihlala zichazwe ukunceda ukunyanga uxinzelelo lwegazi oluphezulu, kodwa zisetyenziselwa ezinye iimeko ngokunjalo.

Ziziphi i-diuretics ezinceda ukunyanga

Eyona meko ixhaphakileyo ephathwa nge-diuretics luxinzelelo lwegazi oluphezulu. Amachiza anciphisa inani lamanzi kwimithambo yakho yegazi, kwaye oku kunceda ukunciphisa uxinzelelo lwegazi.

Ezinye iimeko ziyanyangwa nge-diuretics. Ukungaphumeleli kwentliziyo, umzekelo, kugcina intliziyo yakho ingapompi igazi ngokufanelekileyo emzimbeni wakho. Oku kukhokelela ekwakhiweni kolwelo emzimbeni wakho, ekuthiwa yi-edema. I-diuretics inokunceda ukunciphisa oku kwakha ulwelo.

Iindidi ze-diuretics

Ezi ndidi zintathu zamayeza e-diuretic abizwa ngokuba yi-thiazide, loop, kunye ne-potassium-sparing diuretics. Zonke zenza umzimba wakho ukhuphe ulwelo olungaphezulu njengomchamo.

I-Thiazide yomchamo

I-Thiazides zezona zixhaphakileyo zichazwe kwi-diuretics. Zisoloko zisetyenziselwa ukunyanga uxinzelelo lwegazi. Ezi ziyobisi azinciphisi ulwelo kuphela, zikwabangela ukuba imithambo yegazi yakho iphumle.


Ngamanye amaxesha ama-Thiazides athathwa kunye namanye amayeza asetyenziselwa ukunciphisa uxinzelelo lwegazi. Imizekelo ye-thiazides ibandakanya:

  • imvelaphi
  • Ihydrochlorothiazide (iMicrozide)
  • metolazone
  • indapamide

Umchamo we-diuretics

I-Loure diuretics ihlala isetyenziselwa ukunyanga ukusilela kwentliziyo. Imizekelo yala machiza ibandakanya:

  • ixesha lokuhamba (iDemadex)
  • i-furosemide (iLasix)
  • bumetanide

I-Potassium-yokuthintela i-diuretics

I-Potassium-sparing diuretics iyanciphisa amanqanaba omzimba emzimbeni wakho ngaphandle kokubangela ukuba ulahlekelwe yi-potassium, isondlo esibalulekileyo.

Ezinye iintlobo ze-diuretics zenza ukuba ulahlekelwe yi-potassium, engakhokelela kwiingxaki zempilo ezifana ne-arrhythmia. I-potassium-sparing diuretics inokumiselwa kubantu abasemngciphekweni wamanqanaba asezantsi e-potassium, njengabo bathatha amanye amayeza aphelisa i-potassium.

I-potassium-sparing diuretics ayinciphisi uxinzelelo lwegazi kunye nezinye iintlobo ze-diuretics. Ke ngoko, ugqirha wakho unokumisela i-potassium-sparing diuretic kunye nelinye iyeza elinciphisa uxinzelelo lwegazi.


Imizekelo ye-potassium-sparing diuretics ibandakanya:

  • amororide
  • itriamterene (iDyrenium)
  • i-spironolactone (Aldactone)
  • eplerenone (Inspra)

Iziphumo ebezingalindelekanga zomchamo

Xa kuthathwa njengoko kumiselwe, i-diuretics ngokubanzi iyanyamezeleka. Nangona kunjalo, basenokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezichaphazelekayo zibandakanya:

  • i-potassium encinci egazini
  • i-potassium eninzi kakhulu egazini (kwi-potassium-sparing diuretics)
  • amanqanaba esodium ephantsi
  • intloko ebuhlungu
  • isiyezi
  • unxano
  • ukwanda kweswekile yegazi
  • izihlunu zemithambo
  • ukwanda kwecholesterol
  • irhashalala
  • igawuthi
  • urhudo

Iziphumo ebezingalindelekanga ezimandundu

Kwiimeko ezinqabileyo, i-diuretics inokubangela iziphumo ezibi kakhulu. Oku kunokubandakanya:

  • negazi lakho
  • ukusilela kwezintso
  • ukubetha kwentliziyo ngokungaqhelekanga

Into onokuyenza

Ukuba uneziphumo ebezingalunganga ezikukhathazayo ngelixa uthatha i-diuretics, thetha nogqirha wakho. Banokumisela amayeza ahlukileyo okanye indibaniselwano yamayeza ukunceda ukunciphisa iziphumo ebezingalindelekanga.


Nokuba uneziphumo ebezingalindelekanga, sukuyeka ukuthatha i-diuretic yakho ungakhange uqale uthethe nogqirha wakho.

Umngcipheko we-diuretics

I-diuretics ikhuselekile ngokubanzi, kodwa kukho umngcipheko xa unezinye iimeko zonyango okanye uthatha amayeza athile.

Imiqathango yenkxalabo

Ngaphambi kokuba uthathe i-diuretic emiselweyo, qiniseka ukuxelela ugqirha wakho ukuba unayo nayiphi na le miqathango okanye le miba ilandelayo:

  • isifo seswekile
  • ukudumba komzimba
  • ilupus
  • igawuthi
  • iingxaki zokuya exesheni
  • iingxaki zezintso
  • ukuphelelwa ngamanzi emzimbeni rhoqo

Ukusebenzisana kweziyobisi

Xa uqala iyeza elitsha, qiniseka ukuxelela ugqirha wakho ngalo naliphi na iyeza, izongezo, okanye amayeza owathathayo. Amanye amayeza anokusebenzisana ne-diuretic abandakanya:

  • icyclosporine (iRestasis)
  • i-anti-depressants efana ne-fluoxetine (Prozac) kunye ne-venlafaxine (Effexor XR)
  • lithium
  • I-digoxin (iDigox)
  • amanye amayeza oxinzelelo lwegazi oluphezulu

I-Herb kunye ne-diuretics yezityalo

Amanye amayeza kunye nezityalo zithathwa njenge "diuretics yendalo," kubandakanya:

  • hawthorn
  • iti eluhlaza kunye emnyama
  • iparsley

Ezi zinto azenzelwanga ukuba zisetyenziselwe ukubuyisela endaweni ye-diuretic emiselweyo. Ukuba unemibuzo malunga ne-diuretics kunye nezinye iindlela zokhetho, thetha nogqirha wakho.

Thetha nogqirha wakho

I-diuretics yonyango inokuba luncedo ekunyangeni iimeko ezinzulu, ezinje ngokusilela kwentliziyo, kwiimeko ezinganyanzelekanga, ezinje ngoxinzelelo oluphezulu lwegazi.

Ukuba ugqirha wakho umisela umchamo, zive ukhululekile ukubabuza nayiphi na imibuzo onokuba nayo. Cinga ngokuxoxa ngale mibuzo:

  • Ndiyazi njani ukuba i-diuretic isebenza ngendlela efanele ukusebenza ngayo?
  • Ngaba ndithatha nawaphi na amayeza anokusebenzisana nomchamo?
  • Ngaba kufuneka ndilandele ukutya okunetyuwa encinci ngelixa ndithatha umchamo?
  • Ngaba kufuneka ndenze uxinzelelo lwegazi kunye nokusebenza kwezintso ngelixa ndisebenzisa eli chiza?
  • Ngaba kufuneka ndithathe isongezelelo se potassium okanye ndiphephe ukutya okune potassium?

Q:

Ngaba i-diuretics inokunceda ukunciphisa umzimba?

Isigulana esingaziwayo

A:

Iiwebhusayithi ezithandabuzekayo zinokubanga ukuba i-diuretics sisixhobo esihle sokulahleka kobunzima. Inyani yile, i-diuretics ibangela ukuba ulahlekelwe bubunzima bamanzi, kwaye ukulahleka kobunzima akuyi kuhlala. Okubaluleke ngakumbi, ukusebenzisa i-diuretics ngale ndlela kunokukhokelela ekuphelisweni kwamanzi emzimbeni nakwimiphumo emibi.

Ungaze uthathe i-diuretics kagqirha ngaphandle kokhokelo lukagqirha.Ingcinga efanelekileyo yokuthetha nogqirha wakho ngaphambi kokuba uthathe i-diuretics ye-counter-counter, nayo. Ugqirha wakho unokukunceda uthathe isigqibo sokuba ngaba ikhona kwezi mveliso ekhuselekileyo kuwe.

Iimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.

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