I-Diuretics (i-diuretics) inegalelo ekukhutsheni i-fluid ezivela kwiifom kunye nokulungelelanisa ukulinganisela kwetyuwa yamanzi emzimbeni. Uludwe lwezibhebhile zetyiritiki ezisetyenziselwa i-edema luyamangalisa, kodwa kufuneka kuphawulwe ukuba iiruretiki zeklasi ethile zinconywa ngezifo ezahlukahlukeneyo. Iyeza elifanayo lezonyango ezithile zezifo ziphantse zikhuselekile, kwezinye iimeko zingabangela ingozi enkulu kwimpilo.
Uluhlu lwezonyango ze-diuretics kwi-hypertension
I-Diuretics inceda ngophezulu lwengqondo yokunciphisa uxinzelelo lwegazi, ukukhulula umzimba we-fluid excessively. Iinkcukacha zonyango zibonisa ukuba ukusetyenziswa kwezidumbu ze-diuretics kunciphisa iziganeko zeengxaki kubantu abaphethwe yingozi yomshurensi:
- ngohlobo lwe- myocardial infarction - ukusuka kwi-14% ukuya kwi-16%;
- ngohlobo lwe-stroke - ukusuka kwi-38% ukuya kwi-42%.
Uluhlu lwezibhebhile zetyrikhiyiti ezisetyenziselwa uxinzelelo ziquka iziyobisi ezivela kumaqela ahlukeneyo.
I-thiazide kunye ne-thiazide-like diuretics
Ezi zilungiselelo, nangona kungenakucingelwa ukuba yiyona ndlela iphumelelayo ekususeni ityuwa kunye namanzi, kodwa uxinzelelo oluphantsi lwegazi. Kule qela leziyobisi:
- Benzothiazide;
- Indapamide (Arifon);
- Clopamid;
- I-Dichlorothiazide (Hypothiazide).
Ngokuqhelekileyo, izigulane ezinexinzelelo lwegazi ziboniswa ngokuthe tye kunye ne-thiazide-like diuretics.
Loop diuretics
Iqela lento ebizwa ngokuthi i-loop diuretic ibandakanya iziyobisi ezichaphazela inkqubo yokuhluthwa kweentso. Ezi zi yobisi zikhupha kakhulu ukwanda kweetyuwa kunye nefuthe, kodwa zineempembelelo ezibi kakhulu. Njengomthetho, i-loop diuretics inqunywe kwiimeko ezibucayi - ngeengxaki ezixinzelelekileyo. Kule qela ngu:
- IBumetanide;
- Furosemide;
- I-Etacrynic acid.
I-potassium-ukukhupha iziyobisi-diuretics
Ezi zi yobisi zinciphisa ukukhululwa kwe potassium kwaye zandise kancinci ukukhululwa kwe-sodium, i-chloride. Ukubhekiselele kwiqela lamaphilisi e-potassium-sparing of treatment in therapy of hypertension isetyenziswe kuphela ngokuhlanganisana namanye ama-diuretics ukuphucula isenzo sabo kunye nokukhusela i-leaching ngokweqile ye-potassium emzimbeni. Iziyobisi zePotassium ziquka:
- Amyloride;
- Triamterene;
- I-Spironolactone.
Aldosterone
Eli qela liquka iziyobisi ezivimba ukuthatha isenzo se-aldosterone-i-hormone egcina i-fluid kunye netyuwa kwiifom. Xa kuthotywa i-hormone ekhethiweyo ngomchamo, ityuwa kunye namanzi akhululwa, kodwa umxholo we potassium emzimbeni awuncipha. I-Veroshpiron yeli qela.
Uluhlu lwezinto zokuguqulwa kwamathambo ngokubheja ubuso kunye neso
Ukuvuvukala kwendawo okanye ubuso kwamehlo yimbangela yokunganeliseki ngokubonakala kwakho nawuphi na umfazi. Kodwa ukuba ukukhukhuma kwenzeka kaninzi, kufuneka ucinge ngempilo yakho kwaye uphumelele uviwo lwezonyango ukufumanisa eso sifo, ingcinezelo yezinto ezingatshintshi ngokubonakalayo. Ukuba ukuvuvukala ebusweni-into yexesha elilodwa kubangelwa ukungabikho kokulala, ubuninzi obuninzi bokusetyenziswa kwamanzi ukusuka kusihlwa, njl., Unako ukusela amacwecwe e-diuretic esizukulwana sokugqibela, enenani elincinci lemiphumo:
- Ii-Trifas (kumyinge we-5 mg ngosuku);
- I-Spironolactone;
- Triamterene.
Ukongezelela, kufuneka kuthathelwe ingqalelo ukuba kukhuselekile ukusetyenziswa kwezityalo ze-diuretics ezisusela kwi:
- magqabi e parsley;
- peppermint;
- iibhoksi
- iziqhamo zeziqhamo.
Nceda nceda! Ukusetyenziswa okungalawulwayo kwezonyango, umzekelo, ukulahleka kwesisindo, kunempembelelo embi kwimpilo. Ulwaphulo olunzulu lokulinganisela kwamanzi-electrolyte lungakhokelela ekufeni.