Diuretic mapiritsi

Diuretics kana diuretics mahwendefa - zvinodhaka zvine nomugumisiro zvokusarudza pamusoro itsvo, saka, inowedzera diuresis.

Diuretics anoshandiswa mukurapa kwenguva refu kwenguva, kupfuura makore 50, zvinodhaka izvi inoshandiswa Mabatirwo neBP uye renal chirwere. Studies nemasayendisiti American akaratidza kuti diuretics kwavo kuchirapa chaizvoizvo harisi muduku mamwe mapoka antihypertensive zvinodhaka.

zvinodhaka Diuretic akakamurwa makirasi maererano pamwero yokuwana mushonga ari itsvo:

• Group osmotic diuretic - inosimudzira kunyanya mvura diuresis. Mumiriri huru Monnitol.
• Saluretics - Mahwendefa diuretic izvo hunowedzera excretion kuti potassium, yavaibvisa uye kuiisa chlorine. Nevamiririri Furosemide, Hydrochlorothiazide.
• Potassium-kuuraya diuretics, zvinomutsa nokukurumidza kuunganidza yabudiswa yavaibvisa uye potassium excretion nechigumbuso. Representatives amiloride, spironolactone.

The mashandiro chiito pamusoro diuretic yomuchipatara kutaurirwa kuderedza achiparadzira vhoriyamu ropa mumuviri womunhu, kuderedza excretion kuti yavaibvisa uye kudzikira reserves ayo ari vascular endothelium, uyewo pakupa zvakananga vazodilyatiruyuschego chiito.

Saizvozvowo, Mahwendefa diuretic kuwira mudumbu, vari wefodya unopinda muropa uye kupinda muropa kupinda itsvo uye kuita ikoko pamusoro yakasiyana siyana filtration uye reabsorption. Izvi zvinoita kuchinja diuresis varwere, padanho emura mumuviri, uye pano BP.

Huru zvairatidza kuti diuretics vane BP uye mwoyo nokukundikana. Zvisinei, diuretics dzinobudirira uye zvimwe zvirwere itsvo, kudhaka, uye mwoyo chirwere. Easy diuretic anogona kushandiswa mune zvimwe zvirwere urogenital zvisikwa kana kuderedza kuzvimba.

Contraindications kuti kugadzwa diuretics zvinogona kunzi:

1. gout
2. dyslipidemia
3. chirwere cheshuga mellitus
4. Renal kukundikana (nokuti tiozidnyh uye diuretics potassium-kukudzivirirai chete).

Diuretic mapiritsi, pasinei nezvose hwakanaka, kwete asina nemishonga, izvo kazhinji ndivo vanonyanya ichivharira chokufunga kwavaienda.

Nokuti loop diuretics:

• hypotension;
• gipokaliyemiya;
• hyperuricemia;
• hypercalcemia;
• ozotemiya;
• shuga shiviriro.

Group tiozidnyh diuretics vavo analogues ane kure vashoma nemishonga pane avo vamutangira:

• kuwedzera wevasungwa kuti potassium;
• simuka muropa shuga;
• ropa iri weti;
• kusabetsera.

Potassium-kukudzivirirai diuretics mahwendefa vane chinenge hapana Migumisiro, mune zvimwe zviitiko, anogona kuitwa kusabetsera uye kuwedzera potassium muropa.

Zvinofanira kurangarirwa kuti kwete zvinodhaka zvose ikashandiswa zvakanaka mumwe nomumwe. Kana diuretics, ipapo vanofanira kungwarira zvikuru, nekuti pamwe neBP zvimwe zvinodhaka zvakawanda antihypertensive rinoshandiswa Kunze diuretics.

Somuenzaniso, furosemide akabatana antibacterial yomuchipatara aminoglikazidnymi kuwedzera ototoxic zvinokonzerwa, uye akabatana cardiac glycosides - Inowedzera paumbwe chepfu maturo. Furosemide pamwe NSAIDs anogona kuderedza diuretic mugumisiro wokutanga.

Tiozidnye diuretics zvakanakisisa pamwe antihypertensive zvinodhaka, sezvo ivo kuatsanangura izvi. Zvisinei, avo zvakanakisisa hazvifaniri kushandiswa pachiimbwa cardiac glycosides - izvi kungaita kuti nokukurumidza kukura kudhaka.

Potassium-kukudzivirirai diuretics vane kunobatsirawo akabatana antihypertensive zvinodhaka uye akaipa pamwe NSAIDs uye cardiac glycosides.