I-Potassium-sparing diuretics

I-potassium-sparing diuretics yiziyobisi ezinokumisa i-potassium emzimbeni. Oku kungenxa yempembelelo yabo kumlinganiselo wamanzi kunye ne-sodium emzimbeni. Ukongeza, zichaphazela uxinzelelo lwegazi. I-Diuretics ayisetyenziswanga njengeyeza elizimeleyo - baye bafumana isicelo esikhulu ngokudibene nezinye iziyobisi. Oku kukuvumela ukuba uqinise umphumo weyeza kunye nokuphepha ukulahleka okukhulu kwe-potassium kwisigulane.

I-potassium-sparing diuretics - uluhlu

Ukulungiswa kweli qela kusetyenziswa kwi-distal tubule, apho ukulahleka kwe-potassium kuthintela khona. Bahlulwe ngamaqela amabini.

I-Spironolactone (Aldactone, Veroshpiron)

Ngokusetyenziswa okuchanekileyo kwezi zi yobisi, ukunyanzeliswa kwe-systolic kunciphisa-oku kubonwa njengefuthe eliyanelisayo. Ezi ziyobisi zivame ukumiselwa oogqirha xa:

• kukho i-edematous syndrome ngenxa ye-aldosterone;
• ukungafezeki kwenhliziyo kuyenzeka;
• unyango oluchanekileyo kunye ne-diuretics (ukugcina izinga eliqhelekileyo le potassium).

I-potassium-sparing diuretics yale qela, njengamanye amaninzi amachiza, anemiphumo echaphazelekayo ebangelwa yimiphumo ye-hormone. Ngoko, umzekelo, kubantu abangenamandla kunye ne-gynecomastia bangabonakalisa. AbaseTyhini, kwakhona, bahlakulele isifo se-mammary gland, umjikelezo wokuya esikhathini uyaqhekeka, kwaye ukuphuma kwegazi kunokukwenzeka ngexesha lokuhamba emva kwexesha.

Amilorides ne Triampur

Ezi zi yobisi azisebenzisi kubadlali be-aldosterone. Zichaphazela zonke izigulane ngokulinganayo. Akukho ziphumo ezichaphazelekayo kwizinga le-hormonal. Impembelelo yePotassium iyenzeka ngenxa yokuvinjelwa kwemfihlo ye-potassium kwinqanaba le-tubal distal. Ngelo xesha, i-magnesium isuswa kwakhona kumzimba.

Impembelelo echaphazelekayo yeli qela le-potassium-sparing i-diuretics ithathwa njenge- hyperkalemia . Kulo mva, kukho ukukhululwa kwe potassium ngokukhawuleza kwiseli kunye nokwanda kwinkxalabo egazini. Umngcipheko wesi sifo unyuke kakhulu xa i-diuretics imiselwe izigulane ezinokuphelelwa ngumlomo okanye isifo sikashukela.

Ukwanda okomeleleyo kumxholo we-potassium kunokukhokelela ekukhubazekeni kwemisipha. Ukongezelela, kukho umngcipheko wokuphazamiseka kwentliziyo yesigqi, ukufikelela kwindawo epheleleyo yomsizi omkhulu womzimba. Yingakho amayeza anxulumene neli qela kufuneka athathwe ngokucophelela, kwaye akukho mfuneko ukuba idosi inganyuswa ngokuzimela.