Njira zochotsera zomwe zimatha kutulutsa

Zamkati

• 1. Furosemide
• 2. Hydrochlorothiazide
• 3. Spironolactone
• 4. Amiloride
• 5. Hydrochlorothiazide ndi Spironolactone

Zodzikongoletsera ndi mankhwala omwe amachulukitsa mkodzo, ndikuwonjezera kutulutsa kwa madzi ndi impso poyankha kuwonjezeka kwa kuchotsedwa kwa mchere kapena kuchepa kwa kubwezeretsanso kwa ma tubules a impso. Chifukwa chake, pochepetsa kuchuluka kwa madzimadzi omwe akuyenda m'magazi, kuthamanga m'mitsempha ndi kutupa komwe kumachitika chifukwa chosunga madzi, kumachepetsedwa.

Furosemide, Hydrochlorothiazide kapena Spironolactone ndi zitsanzo za mankhwala a diuretic, omwe amagwiritsidwa ntchito kuthana ndi mavuto monga kuthamanga kwa magazi, kulephera kwa mtima komanso kutupa m'mapazi, mapazi ndi miyendo, chifukwa cha kusintha kwa magwiridwe antchito amtima kapena matenda m'chiwindi kapena Mwachitsanzo, impso.

Pali mitundu yosiyanasiyana ya diuretics yomwe ingagwiritsidwe ntchito pochizira kutupa, komwe kumaphatikizapo potaziyamu-sparing, thiazide, loop diuretics, carbonic anhydrase inhibitors kapena osmotic, ngakhale awiri omalizawa sagwiritsidwa ntchito pafupipafupi. Okodzetsa ayenera kugwiritsidwa ntchito ndi chitsogozo cha dokotala, chifukwa mtundu wa diuretic uyenera kusinthidwa ndi cholinga chenicheni cha mankhwala.

Ena mwa mankhwala azitsamba omwe amagwiritsidwa ntchito ndi awa:

1. Furosemide

Furosemide (Lasix, Neosemid) ndi diuretic yodziwikiratu ndipo imawonetsedwa pochizira matenda oopsa komanso kutupa komwe kumayambitsidwa ndi mtima, chiwindi kapena matenda a impso kapena kutupa kwaubongo kapena koyambitsa.

Kuphatikiza apo, imanenedwa ngati chithandizo cha gestosis, matenda oopsa omwe amapezeka kumapeto kwa miyezi itatu yapitayi, komanso kuti athetse mkodzo ngati atayamwa poyizoni. Mlingo woyenera uyenera kuwonetsedwa ndi adotolo, chifukwa amadalira vuto lomwe angalandire.

2. Hydrochlorothiazide

Hydrochlorothiazide ndi thiazide diuretic (Chloran), yomwe imawonetsedwa kuti iwongolere kuthamanga kwa magazi komanso kuchiza kutupa komwe kumayambitsidwa ndi mavuto am'magwiridwe amtima, kuwonongeka kwa chiwindi, chithandizo chamankhwala a corticosteroids kapena mankhwala a mahomoni, kapena mavuto ena pakachitika impso . Mlingo woyambira 25 mpaka 200 mg patsiku ungalimbikitsidwe, kutengera vuto lomwe mungalandire.

3. Spironolactone

Spironolactone (Aldactone, Diacqua) ndi diuretic yosungitsa potaziyamu ndipo imawonetsedwa pochizira kuthamanga kwa magazi ndi kutupa komwe kumachitika chifukwa cha mavuto am'magazi, chiwindi kapena impso. Nthawi zambiri amalimbikitsidwa, kuyambira 50 mpaka 200 mg patsiku, molingana ndi malangizo omwe dokotala amapatsa. Onani momwe mungagwiritsire ntchito chida ichi.

4. Amiloride

Amiloride imakhalanso ndi potaziyazi yosungira diuretic ndipo nthawi zambiri imalumikizidwa ndi hydrochlorothiazide yochizira kuthamanga kwa magazi, kuchepetsa kutupa m'mapazi, mapazi ndi miyendo yoyambitsidwa ndi kusungira madzi komanso kuchiza ma ascites, omwe ndi madzi mimba yomwe imayambitsidwa ndi matenda enaake. Nthawi zambiri amalimbikitsidwa kumwa piritsi 1 50 mg / 5 mg tsiku lililonse.

5. Hydrochlorothiazide ndi Spironolactone

Ndizophatikiza mitundu iwiri ya diuretics (Aldazide), yowonetsedwa pochizira kuthamanga kwa magazi ndi kutupa komwe kumayambitsidwa ndi matenda kapena mavuto amtima, chiwindi kapena impso. Kuphatikiza apo, imawonetsedwa ngati diuretic pakusungidwa kwamadzimadzi. Nthawi zambiri, kuchuluka kwa piritsi limodzi mpaka mapiritsi awiri a 50 mg + 50 mg patsiku kumawonetsedwa, kutengera vuto lomwe angalandire. Dziwani zambiri za zoyipa za chida ichi.

Momwe mungatengere okodzetsa

Mankhwala aliwonse omwe ali ndi diuretic ayenera kungotengedwa ndi upangiri wa zachipatala, chifukwa akagwiritsidwa ntchito molakwika amatha kuyambitsa kusamvana kwa ma elektrolyte, zomwe zimasintha kuchuluka kwa michere yofunikira m'magazi. Kuphatikiza apo, mavuto ena amathanso kutha, monga kusowa kwa madzi m'thupi kapena arrhythmias yamtima, mwachitsanzo.

Palinso ma diuretiki achilengedwe, monga tiyi wobiriwira, kapena zakudya zopatsa thanzi, monga udzu winawake, nkhaka kapena mandimu, chifukwa zimakhala ndi zotsatira zofanana ndi mankhwala, koma zili pachiwopsezo chochepa chathanzi. Onani mndandanda wathunthu wazodzikongoletsa mwachilengedwe.