Unyango lomchamo lokuhambisa

Umxholo

• 1. Furosemide
• 2. IHydrochlorothiazide
• 3. I-Spironolactone
• 4. I-Amiloride
• 5. IHydrochlorothiazide kunye neSpironolactone

I-diuretics ngamachiza anyusa umthamo wokuchama ovelisiweyo, ngokwandisa ukukhutshwa kwamanzi zizintso ekuphenduleni ukwanda kokupheliswa kwetyuwa okanye ukuncipha kokubuyiselwa kwayo kwii-tubules zezintso. Ke, ngokunciphisa inani lolwelo olujikeleza egazini, uxinzelelo kwimithambo kunye nokudumba okubangelwa kukugcina ulwelo, kuyancitshiswa.

I-Furosemide, i-Hydrochlorothiazide okanye i-Spironolactone yimizekelo yamayeza e-diuretic, asetyenziselwa ukunyanga iingxaki ezinje ngoxinzelelo lwegazi, ukusilela kwentliziyo kunye nokudumba emaqatheni, iinyawo kunye nemilenze, okubangelwe lutshintsho ekusebenzeni kwentliziyo okanye izifo esibindini izintso, umzekelo.

Kukho iintlobo ezahlukeneyo ze-diuretics enokusetyenziselwa ukunyanga ukudumba, kubandakanya i-potassium-sparing, thiazide, loop diuretics, i-carbonic anhydrase inhibitors okanye i-osmotic, nangona ezi zimbini zisetyenziswa rhoqo. I-diuretics kufuneka isetyenziswe kuphela ngokukhokelwa ngugqirha, njengoko uhlobo lwe-diuretic kufuneka lulungiselelwe injongo ethile yonyango.

Olunye lonyango olusetyenziswayo lokuchiza lusetyenziswa zezi:

1. Furosemide

I-Furosemide (iLasix, Neosemid) yi-loop diuretic kwaye ibonakalisiwe kunyango lwexinzelelo kunye nokudumba okubangelwa yintliziyo, isibindi okanye isifo sezintso okanye ukudumba kwengqondo okanye okubangelwa kukutsha.

Ukongeza, kubonisiwe kunyango lwe-gestosis, isifo esixinzelelekileyo esibonakala kwikota yokugqibela yokukhulelwa, kunye nokuququzelela ukupheliswa komchamo kwimeko yetyhefu. Iidosi ezinconyelwayo kufuneka ziboniswe ngugqirha, njengoko zixhomekeke kwingxaki eza kunyangwa.

2. IHydrochlorothiazide

I-Hydrochlorothiazide yi-thiazide diuretic (Chloran), eboniswe kulawulo lwexinzelelo lwegazi kunye nonyango lokudumba okubangelwa ziingxaki ekusebenzeni kwentliziyo, ukuqina kwesibindi, unyango lwe-corticosteroids okanye iziyobisi zehomoni, okanye ezinye iingxaki ekusebenzeni kwezintso . Imithamo esukela kwi-25 ukuya kwi-200 mg ngosuku inokucetyiswa, kuxhomekeke kwingxaki ekufuneka inyangwe.

3. I-Spironolactone

I-Spironolactone (i-Aldactone, iDiacqua) yi-potassium-sparing diuretic kwaye ibonakalisiwe kunyango lwexinzelelo lwegazi kunye nokudumba okubangelwa ziingxaki ekusebenzeni kwentliziyo, isibindi okanye isifo sezintso. Ngokubanzi, iidosi ezisusela kwi-50 ukuya kwi-200 mg ngosuku ziyacetyiswa, ngokwemiyalelo enikezwe ngugqirha. Jonga ukuba ulisebenzisa njani eli chiza.

4. I-Amiloride

I-Amiloride ikwasisifo esonga i-potassium kwaye ihlala inxulunyaniswa nehydrochlorothiazide kunyango lwexinzelelo lwegazi, ukunciphisa ukudumba emaqatheni, iinyawo nemilenze okubangelwa kukugcinwa kwamanzi kunye nokunyangwa kwee-ascites, oko kukuthi, kukuqokelelwa kwamanzi isisu esibangelwa sisibindi. Kucetyiswa ngokubanzi ukuthatha i-1 50 mg / 5 mg tablet yonke imihla.

5. IHydrochlorothiazide kunye neSpironolactone

Yindibaniselwano yeentlobo ezi-2 ezahlukeneyo ze-diuretics (Aldazide), eboniswe kunyango lwexinzelelo lwegazi kunye nokudumba okubangelwa zizifo okanye iingxaki entliziyweni, esibindini okanye kwizintso. Ukongeza, kuboniswa njenge-diuretic kwimeko yokugcina ulwelo. Ngokubanzi, iidosi ezisusela kwisiqingatha sethebhulethi ukuya kwiipilisi ezimbini ze-50 mg + 50 mg ngosuku ziyabonakaliswa, kuxhomekeke kwingxaki eza kunyangwa. Funda ngakumbi malunga neziphumo ebezingalindelekanga zeliyeza.

Ungayithatha njani i-Diuretics

Nawaphi na amayeza ane-diuretic amanyathelo kufuneka athathwe kuphela phantsi kwengcebiso yezonyango, kuba xa esetyenziswe ngokuchanekileyo anokubangela ukungalingani kwe-electrolyte, olutshintsho kwinani lezimbiwa ezibalulekileyo egazini. Ukongeza, ezinye iingxaki zinokuvela, ezinjengokuphelelwa ngamanzi emzimbeni okanye i-arrhythmias yentliziyo, umzekelo.

Kukwakho nezinto zokuchamisa zendalo, ezinje ngeti eluhlaza, okanye ukutya okomchamo, okufana neseleri, ikhukhamba okanye ilamuni, njengoko zinefuthe elifanayo namayeza, kodwa zinomngcipheko omncinci kwimpilo. Bona uluhlu olupheleleyo ngakumbi lwezinto ezithile zokuchama zendalo.