Mankhwala ena amagwiritsidwa ntchito pochiza matenda osiyanasiyana. Mwachitsanzo, Diover amalembedwa ndi urologists, cardiologists, ngakhalenso endocrinologists. Kumvetsetsa mfundo ya mankhwalawa kungatsimikiziridwa ngati Diver ikufunira - zizindikiro zogwiritsiridwa ntchito kwa mankhwalawa, zomwe zimagwiritsidwa ntchito ndi mankhwala komanso njira yogwirira ntchito.
Zisonyezero zazikulu zogwiritsiridwa ntchito kwa Diver mankhwala
Thupi yogwira ntchito mu mankhwala mu funso ndi torasemide. Kachigawo kameneka ndi diuretic kapena diuretic. Choncho, zizindikiro zogwiritsira ntchito mapiritsi Omwe amatha kusungira 5 kapena 10 mg ndizosiyana zofanana ndi zochitika za kutupa.
Njira yogwiritsira ntchito torasemide ndiyo kuchepetsa kuthamanga kwa osmotic mu maselo a impso (nephrons), komanso pofuna kuchotsa madzi owonjezera. Kuwonjezera pamenepo, Diver imapangitsa kuti myocardial ikhale yogwira ntchito komanso imachepetsa fibrosis. Panthawi imodzimodziyo, mankhwalawa, poyerekeza ndi mankhwala enaake, amachititsa hypokalemia (kuchotsa mchere wa potaziyamu kuchokera m'thupi). Chifukwa cha chithandizochi, mankhwala omwe amachititsa kuti apeze mankhwala ozunguza bongo amachititsa kuti azitha kudwala matenda aakulu, kuphatikizapo impso ndi chiwindi.
Tiyenera kudziwa kuti diuretic yomwe yatchulidwa imathamanga kwambiri. Mafuta ake omwe amapezeka m'magazi amatha kufika patatha maola 1.5-2 kuchokera pamene amatenga mapiritsi, ndipo nthendayi ndi 85-90% (kugwirizana ndi mapuloteni a plasma - 99%).
Ubwino winanso wa Diver - kutengera kwa nthawi yaitali. Zotsatira za mankhwalawa zimatha pafupifupi maola 18, zomwe zimathandiza kuti munthu azipita kuchimbudzi mobwerezabwereza.
Torasemide imadulidwa makamaka ndi impso, mbali yake yochepa imagwiritsidwa ntchito ndi chiwindi. Kuphatikiza pa matenda osiyanasiyana a syndromes, kuphatikizapo edema mu matenda a chiwindi, mtima, impso ndi mapapo, zizindikiro zogwiritsira ntchito Diver ndi matenda oopsa kwambiri. Diuretic imeneyi imathandiza kuchepetsa kuthamanga kwa magazi kunapereka mankhwala ovuta kwambiri.
Matenda omwe mankhwala osokoneza bongo amagwiritsidwa ntchito
Ngakhale kuti pali chitetezo chotsimikizirika komanso chiopsezo chochepa cha zotsatira zoyipa mukamagwiritsa ntchito mankhwala osokoneza bongo, mankhwalawa ali ndi zotsutsana zambiri:
- amatchedwa hyponatremia kapena hypokalemia, hypovolemia;
- kusagwirizana kwa zigawo zilizonse za mankhwala;
- chithumwa;
- kutaya madzi;
- kuchepa kwa renal ndi zizindikiro za anuria;
- glomerulonephritis;
- kusokonezeka kwa mkodzo;
- kuledzera ndi glycosides;
- chithandizo;
- aortic ndi mitral zotsitsimutsidwa stenosis;
- kupweteka kwapachiphuphu;
- kupweteka kwa sulfonamides;
- kuwonjezeka kwa pakati pa mpweya wa mpweya, kuposa 10 mm Hg. p.
- mimba ndi lactation;
- zaka za ana.
Kugwiritsidwa ntchito kwa Diver ndi Veroshpiron, komanso ma diuretics ena
Madokotala nthawi zambiri amapereka mankhwala ofanana ndi mankhwala awiri a diuretic. Izi ndizofunika ngati mankhwala amalephera kukwaniritsa zotsatira zochiritsira. Zikatero, kulimbikitsidwa kolimba kwa diuretic, mwachitsanzo, Kuwombera, ndi mankhwala osokoneza potaziyamu - Veroshpiron kapena diuretic iliyonse. Njira yothandizira imeneyi ndi yokwanira ndi kuyesedwa ndi kafukufuku wa zamankhwala ndi zochitika, ndipo sipangakhale phindu lalikulu.