Diuretics (diuretics) imathandizira kuchotseratu madzi kuchokera kumtunduwu ndi kusintha kayendedwe ka mchere wa madzi. Mndandanda wa mapiritsi a diuretic ogwiritsidwa ntchito pa edema ndi ochititsa chidwi, koma tiyenera kudziŵa kuti odwala tizilombo toyambitsa matenda a gulu lina amalimbikitsidwa ndi matenda osiyanasiyana. Mankhwala omwewo amachititsa kuti matenda ena asakhale otetezeka, nthawi zina akhoza kukhala oopsa kwambiri kwa thanzi.
Mndandanda wa ma diuretics mu matenda oopsa
Diuretics amathandiza ndi matenda oopsa kwambiri kuti athetse kuthamanga kwa magazi, kutulutsa thupi la madzi owonjezera ndi mchere. Ziŵerengero za zamankhwala zikusonyeza kuti kugwiritsa ntchito mankhwala opatsa mavitamini kumachepetsa zochitika za mavuto m'mabuku omwe ali ndi matenda oopsa:
- monga mawonekedwe a myocardial infarction - kuyambira 14% mpaka 16%;
- pogwiritsa ntchito stroke - kuyambira 38% mpaka 42%.
Mndandanda wa mapiritsi a diuretic omwe amagwiritsidwa ntchito popanikizidwa amaphatikizapo mankhwala omwe ali a magulu osiyanasiyana.
Thiazide ndi thizide-like diuretics
Kukonzekera kumeneku, ngakhale kuti sikukuwoneka kuti ndi kotheka kwambiri pochotsa mchere ndi madzi, koma kumachepetsa kwambiri kuthamanga kwa magazi. Kwa gulu ili la mankhwala ndi:
- Benzothiazide;
- Indapamide (Arifon);
- Clopamid;
- Dichlorothiazide (Hypothiazide).
Kawirikawiri, odwala omwe ali ndi matenda oopsa kwambiri amawonetsedwa chimodzimodzi ndi thiazide ndi thiazide-like diuretics.
Loop diuretics
Gulu la otchedwa dioptic loophatikizana ndi mankhwala omwe amakhudza momwe feretti imasinthira. Mankhwalawa amachulukitsa kwambiri madzi ndi mchere, koma amakhala ndi zotsatira zoyipa. Monga lamulo, zovuta zowonjezera mavitamini zimayikidwa pavuto lalikulu - ndi mavuto oopsa kwambiri. Kwa gulu ili ndi:
- Bumetanide;
- Furosemide;
- Etacrynic asidi.
Potaziyamu-kuletsa mankhwala-diuretics
Mankhwalawa amachepetsa kutulutsa potassium ndipo amachulukitsa pang'ono kutulutsa sodium, kloride. Malinga ndi magome a potassium-sparing pakulandira matenda oopsa kwambiri amagwiritsidwa ntchito podziphatikiza ndi zina zowonjezera zowonjezera kuti apititse patsogolo ntchito yawo komanso kuti asatengere kwambiri leaching potassium. Mankhwala ophatikiza potaziyamu ndi awa:
- Amyloride;
- Triamterene;
- Spironolactone.
Aldosterone antagonists
Gululi limaphatikizapo mankhwala osokoneza bongo omwe amachititsa kuti aldosterone iwonongeke - ma hormone omwe amasunga madzi ndi mchere m'matumbo. Mukasokoneza mahomoni otchulidwa ndi mkodzo, mchere wambiri ndi madzi amamasulidwa, koma potaziyamu m'thupi siimachepetsa. Veroshpiron ndi wa gululo.
Mndandanda wa zowonongeka kwa nkhope ndi maso kutupa
Kutupa kwa nkhope kapena diso kumayambitsa kusakhutira ndi maonekedwe anu kwa mkazi aliyense. Koma ngati kutupa kumachitika kawirikawiri, muyenera kuganizira za thanzi lanu ndikuyesa kafukufuku wa zamankhwala kuti mudziwe matenda, chomwe chimayambitsa maonekedwe osasintha. Ngati kutupa pamaso - chinthu chimodzi chochitika chifukwa cha kusowa tulo, madzi ochulukirapo amadya madzulo, ndi zina zotero, mukhoza kumwa mapiritsi a diuretic a m'badwo wotsiriza, omwe ali ndi zotsatira zochepa:
- Trifas (pa mlingo wa 5 mg pa tsiku);
- Mzimu;
- Triamterene.
Kuwonjezera pamenepo, ziyenera kuwerengedwa kuti ndi zotetezeka kugwiritsa ntchito diuretics chomera motengera:
- masamba a parsley;
- peppermint;
- birch buds;
- chitumbuwa chipatso mapesi.
Chonde chonde! Kugwiritsidwa ntchito kosagwiritsidwa ntchito kosamalidwa, mwachitsanzo, kulemera kwa thupi, kumakhudza thanzi. Kuphwanyidwa kwakukulu kwa mphamvu ya electrolyte kumatha kufa.