Mishonga yeDhiureti yekubvisa

Zvemukati

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

Diuretiki mishonga inowedzera huwandu hwetiini inogadzirwa, nekuwedzera kubuda kwemvura neitsvo mukupindura kuwedzera mukubviswa kwemunyu kana kuderera kwekudzokororazve kwaro mune renal tubules. Nekudaro, nekuderedza huwandu hwemvura inoyerera muropa, kumanikidza kuri mutsinga uye kuzvimba kunokonzerwa nekuchengetedza kwemvura, zvinoderedzwa.

Furosemide, Hydrochlorothiazide kana Spironolactone mienzaniso yemushonga wedheureti, ayo anoshandiswa kurapa matambudziko akadai sekukwira kweropa, kutadza kwemoyo uye kuzvimba mumakumbo, tsoka nemakumbo, zvinokonzerwa neshanduko mukushanda kwemoyo kana zvirwere muropa kana itsvo, semuenzaniso.

Kune mhando dzakasiyana dze diuretics dzinogona kushandiswa kurapa kuzvimba, uko kunosanganisira potassium-sparing, thiazide, loop diuretics, carbonic anhydrase inhibitors kana osmotic, kunyangwe maviri ekupedzisira achishandiswa zvishoma. Dhiureti inongofanirwa kushandiswa nekutungamira kwechiremba, sezvo mhando yedhiureti inofanirwa kuchinjiswa kuchinangwa chekurapa.

Mimwe yemishonga mikuru yedhayeti inoshandiswa ndeiyi:

1. Furosemide

Furosemide (Lasix, Neosemid) ndeye diuretic uye inoratidzirwa kurapwa kwehypertension uye kuzvimba kunokonzerwa nemoyo, chiropa kana chirwere cheitsvo kana kuzvimba kwehuropi kana kukonzerwa nekutsva.

Uye zvakare, inoratidzirwa pakurapa gestosis, chirwere chehypertensive chinoonekwa mune yekupedzisira trimester yepamuviri, uye kufambisa kubviswa kweweti kana paine chepfu. Iyo inokurudzirwa doses inofanirwa kuratidzirwa nachiremba, sezvo ivo vanoenderana nedambudziko rekurapwa.

2. Hydrochlorothiazide

Hydrochlorothiazide ndeye thiazide diuretic (Chloran), inoratidzwa kudzora kweropa uye kurapwa kwekuzvimba kunokonzerwa nematambudziko mukushanda kwemoyo, cirrhosis, kurapwa necorticosteroids kana mahormone zvinodhaka, kana nemamwe matambudziko mukushanda kweitsvo. . Maitiro kubva pa25 kusvika ku200 mg pazuva anogona kukurudzirwa, zvinoenderana nedambudziko rekurapwa.

3. Spironolactone

Spironolactone (Aldactone, Diacqua) is potassium-sparing diuretic uye inoratidzirwa kurapwa kweBP uye kuzvimba kunokonzerwa nematambudziko mukushanda kwemoyo, chiropa kana hosha yeitsvo. Kazhinji, madosi kubva ku50 kusvika ku200 mg pazuva rinokurudzirwa, zvinoenderana nemirairidzo yakapihwa nachiremba. Ona mashandisiro emushonga uyu.

4. Amiloride

Amiloride zvakare iri potassium-inodzivirira diuretic uye inowanzo sangana nehydrochlorothiazide yekurapa BP, kudzora kuzvimba mumakumbo, tsoka nemakumbo zvinokonzerwa nekuchengetwa kwemvura uye nekurapa ascites, kunova kuunganidzwa kwemvura mukati. dumbu rinokonzerwa necirrhosis. Inowanzo kukurudzirwa kutora 1 50 mg / 5 mg piritsi zuva nezuva.

5. Hydrochlorothiazide uye Spironolactone

Iko kusanganiswa kwemhando mbiri dzakasiyana dze diuretics (Aldazide), inoratidzirwa kurapwa kweBP uye kuzvimba kunokonzerwa nezvirwere kana matambudziko mumoyo, chiropa kana itsvo. Uye zvakare, inoratidzirwa sedhiureti mune yekuchengetedza kwemvura. Kazhinji, madosi anotangira pahwendefa kusvika pamahwendefa maviri e50 mg + 50 mg pazuva anoratidzwa, zvichienderana nedambudziko rinofanira kurapwa. Dzidza zvakawanda nezve mhedzisiro yemhedzisiro.

Maitiro ekutora diuretics

Chero mishonga ine diuretic chiito inofanirwa kungotorwa pasi pezano rekurapa, nekuti kana ikashandiswa zvisirizvo inogona kukonzeresa kusaenzana kwe electrolyte, inova shanduko muhuwandu hwemaminerari akakosha muropa. Uye zvakare, mamwe matambudziko anogona zvakare kusimuka, senge kupera mvura mumuviri kana yemwoyo arrhythmias, semuenzaniso.

Kune zvakare echinyakare diuretics, senge girini tii, kana diuretic chikafu, senge celery, cucumber kana ndimu, sezvo zvine maitiro akafanana nemishonga, asi iine njodzi shoma kune hutano. Ona runyorwa rwakakwana rwezvimwe zvisikwa zvedhirezi.