Diuretics, avo chinangwa, zvivako, mafomu

Diuretics kana diuretics nyore, - ndivo zvinhu izvo kusimudzira excretion kuti weti uye kuderera uwandu Urume iri serous in uye munyama. Kazhinji, diuretics anoshandiswa sechinhu adjunct pakurapa zvirwere zvomwoyo, itsvo, chitaka, achiperekedzwa edema. Diuretics inoitirwa chokungoda kuderedza kana kubvisa kurega kunotanga, uye mukuru kurapwa anofanira kubvisa pathological muitiro, Nokumukira kuunganidza zvakawandisa mvura mumuviri.

Rokutanga diuretic zvinodhaka soro kunyatsoshanda vanenge zana apfuura, apo diuretic mugumisiro nemekiyuri akawanikwa zvikuru netsaona, asi ayo yeimwe inoshandiswa pakurapa njovhera. Parizvino, nemekiyuri diuretics havachasungirwi kushandiswa nokuda kwayo yakakwirira toxicity, asi kudzidza mari idzi akabatanidzwa zvikuru zvaanoita kuumba ano pfungwa pamusoro extrarenal zvigadziriswe uye diuretic diuretic chiito.

Uyewo yamboshandiswa zvisingachashandi mekuri diuretics, izvo xanthine nomukaka, Pari synthesized uye dzakasiyana-siyana nezvimwe zvinodhaka hubudirire: dihlotiazid, furosemide tsiklometiazid (nomukaka benzothiadiazine) Diacarbum (carbonic anhydrase inhibitor), pterofen - triamterene, Leo Allatius (nomukaka zviri pteridine uye pyrimidine) and unto.

Uyewo zvinodhaka kurwisa kuunganidza zvakawandisa mvura mumuviri, dzinongoitika diuretics anoshandiswa nevakawanda (chirimwa) zvakadai cowberry uye bearberry mashizha, siyana renal teas, Birch atwo, diuretics mhosva № № 1 ne2, horsetail miriwo.

Diuretics chikuru nezvinozoitika kuwedzera renal excretion kuti yavaibvisa ions uye mvura. Nokuda kukwanisa kwayo itibatsire mvura uye electrolyte mwero, vascular matauriro uye vhoriyamu ropa, diuretics anowanzoshandiswa sezvo antihypertensive nevamiririri. Diuretics vane simba diuretic chiito nokuda kumhanyisa pamusoro renal excretion kuwana chikumbiro mukurapa nomuchetura musi siyana mvura-soluble zvinhu.

Mumwe, izvo anofunga zvinhu zvose zvinoitwa diuretics kupatsanura zvevakomana haako. diuretics All kuva zvakasiyana namakemikari chimiro, rakasiyana mumwe nomumwe localization mashandiro avo, potency, kumhanya kutanga kushanda, ayo nguva uye marwadzo. Nokuti kupatsanura pakati diuretics kwaibva kwemakemikari ravo maumbirwo kwenguva refu, ivo vakaitawo kuedza patsanura maererano yezvakaita kuchinja itsvo, asi nokuda diuretics zhinji uye muitiro extrarenal chiito. Naizvozvo, diuretics zvose rationally Classified avo mashandiro nezvaaiita.

Pachishandiswa pharmacodynamics zvinodhaka, diuretics zvose ano vanokamurwa muzvikwata zvitatu:

• potassium-anorura diuretics kunowedzera excretion kuti yavaibvisa uye zvishoma kukanganisa potassium excretion. Izvi zvinosanganisira amiloride, triamterene, spironolactone uye eplerenone.
• saluretics - thiazide nomukaka, thiazide, loop diuretics, carbonic anhydrase FIs.
• osmotic diuretics, kuwedzera kumanikidza ari tubules uye kudzivisa reabsorption mvura - mannitol, urea.

Kuwedzera kupatsanura pakati pharmacodynamics ose diuretics dzinoiswa maererano kumhanya kutanga uye paanowedzera kushanda.

Pamusaka anokudzwa: simba, svikiro uye simba diuretic. The rapidity pamusoro kutanga ari diuretic maturo kusiyanisa zvinodhaka Emergency (kutsanya) chiito - maminitsi 30-40, svikiro chiito - maawa 2-4, anonoke chiito - 2-4 mazuva. Nokuti ya diuretic chaizvoizvo: pfupi-nokuita - maawa 5-8, avhareji Duration - maawa 8-15, Duration - mashoma.

The chikuru nzvimbo kushandisa diuretics riri zvemwoyo chirwere, kunyanya kweropa insufficiency chirwere pamwe edema uye BP.