Potaziyamu-sparing diuretics

Potassium-sparing diuretics ndi mankhwala omwe angaimitse potassium mu thupi. Izi zimachitika chifukwa cha kuchuluka kwa madzi ndi sodium mu thupi. Komanso, zimakhudza kuthamanga kwa magazi. Diuretics sagwiritsidwa ntchito monga mankhwala odziimira okha - apeza ntchito yaikulu kuphatikizapo mankhwala ena. Izi zimakuthandizani kulimbitsa zotsatira za mankhwala ndikupewa kutaya kwakukulu kwa potaziyamu mwa wodwalayo.

Potaziyamu-sparing diuretics - lembani

Kukonzekera kwa gululi kumachitika pa distal tubula, kumene kutaya potaziyamu kumaletsedwa. Amagawidwa m'magulu awiri.

Spironolactone (Wachirombo, Veroshpiron)

Pogwiritsa ntchito mankhwalawa moyenera, kuchepa kwa systolic kumachepa - izi zimaonedwa kukhala zokhutiritsa. Mankhwalawa nthawi zambiri amaperekedwa ndi madokotala pamene:

• pali matenda opatsirana chifukwa cha aldosterone;
• Kulephera kwa mtima kwakukulu kumachitika;
• Mankhwala opatsa mavitamini (kuti asunge potassium).

Mankhwala otchedwa potassium-sparing diuretics a gulu lino, monga mankhwala ena ambiri, ali ndi zotsatira zambiri zomwe zimayambitsidwa ndi zotsatira za mahomoni. Choncho, mwachitsanzo, amuna opanda mphamvu ndi gynecomastia angasonyeze. Azimayi amatha kukhala ndi matenda a mammary, kusamba kumasweka, ndipo kutuluka kwa magazi kumachitika panthawi yomwe amasiya kusamba.

Amilorides ndi Triampur

Mankhwalawa samagwiritsidwa ntchito kwa otsutsa. Amakhudza odwala onse mofanana. Palibe zotsatirapo pa msinkhu wa mahomoni. Potassium-sparing effect amapezeka chifukwa choletsa kutsekemera kwa potaziyamu pamtunda wa tubal distal. Pa nthawi yomweyo, magnesium imachotsedwanso m'thupi.

Zotsatira zofala kwambiri za gulu ili la potassium-ignoring ma diuretics amawoneka ngati hyperkalemia . Potsutsana ndi izi, pali potassium yotulutsidwa mwamsanga kuchokera ku maselo ndi kuwonjezeka kwa ndondomeko m'magazi. Kuopsa kwa matendawa kumawonjezeka kwambiri pamene odwala matenda odwala matenda a diuretics amaikidwa kwa odwala omwe alibe chifuwa kapena matenda a shuga.

Kuwonjezeka kwakukulu kwa potaziyamu kungapangitse minofu kufooka. Kuwonjezera apo, pali chiopsezo cha chisokonezo cha mtima wamtima, mpaka kuima kwathunthu kwa minofu yaikulu ya thupi. Ichi ndi chifukwa chake mankhwala okhudzana ndi gululi ayenera kutengedwa mosamala, ndipo palibe chifukwa choti mlingowo uwonjezeke payekha.