Kulemera kwakukulu kumapangidwa ndi zinthu ziwiri - kuwonjezeka kwa mafuta ndi kuchedwa kwa thupi la madzi. Ndipo ngati nkhondo yoyamba ikhale yaitali komanso yolemetsa, ndiye kuti mutha kumwa madzi owonjezera m'masiku ochepa chabe ndi ma diuretics kuti muwonongeke .
Ubwino wa ntchito
Kutaya thupi ndi mapiritsi odzola kumapindulitsa chifukwa cha:
- kuthetsa kudzikuza;
- luso lawo lokhala ndi laxative. Chotsatira chake, n'zotheka kuyeretsa matumbo a zokolola;
- kuthetsa kuthetsa kuphwanya kwa madzi ndi mchere, kuchepetsa kuthamanga kwa magazi, kupewa zowonongeka komanso kusintha kwa magazi;
- mtengo wawo wotsika.
Kodi chiopsezo chotenga mankhwala opatsa mphamvu ndi chiyani?
Anthu omwe akudzifunsa ngati n'zotheka kumwa mowa mwauchidakwa kuti awonongeke, ndi bwino kuzindikira kuti pali misala. Ndipotu, makamaka mankhwala omwe sali ovomerezeka opanda zizindikiro zapadera. Kudya kwawo, komanso mochulukirapo komanso mosadziteteza, kungachititse kuti madzi asatenthe mphamvu, kutsuka kunja kwa thupi, makamaka mchere, calcium, potaziyamu ndi salt zina, zomwe zimakhudza makamaka ntchito ya mtima. Kulandila kwa ma diuretiki kungayambitse mutu ndi chizungulire, kutaya chidziwitso, kunyoza, kusanza, ndi kusowa kwa kudya. Kuchulukitsa mlingo wa mankhwala mobwerezabwereza, mukhoza kuona momwe kuchepa kwa masomphenya, kuthamanga kwa magazi, kuli thukuta lochulukira komanso kupweteka kwa khungu.
Ndi mapiritsi otani a diuretic omwe ndi abwino kwambiri kuti muchepetse?
Kawirikawiri, ma diuretics amagawidwa m'magulu atatu:
- mankhwala osokoneza bongo. Kuyenera zinthu zamphamvu, zomwe zimatha kuyesa impso. Mchere wosakanizidwa kuchokera mthupi. Izi zikuphatikizapo torasemide, furasemide, ndi ena;
- thiazide diuretics. Amachita zinthu moyenera. Zina mwa izo ndi hydrochlorothiazide, arifon, indapamide;
- mankhwala odzola, osatsuka kunja kwa thupi - amiloride, veroshpiron, ndi zina zotero.
Malingana ndi zomwe zimakonzedweratu, ndi kusankha mapiritsi a diuretic omwe amalimbikitsa kulemera. Nkhondo yotchuka kwambiri yolimbana ndi kunenepa kwambiri ndi diuretic furosemide yolemetsa. Zimapereka mphamvu yofulumira, yamphamvu ndi yaifupi. Zizindikiro zogwiritsiridwa ntchito kwake ndizopweteka mtima ndi impso kulephera, matenda a nephrotic, matenda a chiwindi ndi matenda oopsa. Mlingo wa tsiku ndi tsiku ndi 1500 mg, koma tikulimbikitsidwa kuyamba ndi 20-80 mg / tsiku.
Malingaliro aakulu
Koma ziribe kanthu momwe ziwalo zolimbitsira thupi zimataya thupi kapena osamenyana ndi kulemera kwakukulu , ayenera kumvetsa kuti mafuta ochulukirapo pambuyo poti alowetsedwa sangapite kulikonse. Mulimonsemo, muyenera kutsatira zakudya zoyenera ndikuwonjezera zochitika zolimbitsa thupi. Kuwonjezera apo, akatswiri amalangiza kumwa mowa wambiri ndipo nthawi zina zimapangitsa kuti zipatso, ndiwo zamasamba komanso zakudya zina za vitamini, makamaka zomwe zili ndi potassium - nthochi, apricots, sea kale, mtedza, etc.
Diuretics saloledwa kwa anthu omwe akudwala matenda a shuga, chifuwa chachikulu cha TB, gout, matenda a impso, etc. Zikulimbikitsidwa kuti muyang'ane bwino madzi tsiku lililonse pogwiritsa ntchito analyzer ya mafuta. Yesetsani kudya mchere wochepa ndi zakudya zamchere - nsomba zouma, sausages, pickles ndi zinthu zina zomwe zimapangidwira pulogalamu yowonjezeramo. Ndipo bwino kuchotsa madzi ochulukirapo ndi masoka a chilengedwe - mavwende, zipatso zamadzi ndi masamba a cowberry, udzu wa udzu, nsalu, masamba a dandelion, ndi zina zotero.