Iipilisi zeDiyratic enye yezilwanyana eziphambili ezisetyenziselwa iintlobo ezahlukeneyo ze-edema. Isenzo salezi ziyobisi, esibizwa nangokuthi i-diuretics, sisekelwe kwikhono lezinto ezenza ukubunjwa kwazo, ukuvelisa ukuveliswa komchamo kunye nokunciphisa umxholo womnkantsha kwiimfucu kunye nemithana enomzimba yomzimba. Oku kungenziwa ngeendlela ezahlukeneyo, ngenxa yokokuba i-diuretics ihlukaniswe kwiintlobo eziphambili: i-loop, i-thiazides kunye ne-thiazide-like-diuretics, i-potassium-sparing drugs. Baye bahluke ngoxinzelelo lwezenzo, isantya sokuhlaziya kunye nobude bomphumo.
Iipilisi zeDiratic ne-edema kunye nokuchasene kwazo
Iipilisi zeDiratic zibhekisela kwiziyobisi ezinobungakanani obuchaphazela ukusebenza komzimba wonke. Zifanele zithathwe ngokuvuvukala phantsi kwezibonakaliso eziqinileyo, zibhekiselele kwimiphumo engqongileyo kunye nokuchasene kunye nokugcinwa kweeritha ngqo. Cinga ukuba yiyiphi into ephambili yokuchasene kwiqela ngalinye le-diuretics.
1. I-Loop diuretics (iFurosemide, iLasix, iBumetanide, i-Torasemide, njl.):
- glomerulonephritis;
- ukungaphumeleli kwe-renal acill with anuria;
- amatye eentso;
- ukukhubazeka okukhulu;
- pancreatitis;
- gout;
- hyperuricemia;
- i-hypotension;
- ukuchithwa kwamashishini okuchithwa kwamanzi, njl.
2. I-thiazides kunye ne-thiazide-like diuretics (Hypothiazide, Hygroton, Dichlorothiazide, Cyclomethaside, Indapamide, njl):
- gout;
- hyperuricemia;
- hypokalemia;
- i-cirrhosis yesibindi kwinqanaba lokunciphisa;
- isifo sikashukela (i-doses ephezulu), njl njl
3. I-potassium-sparing diuretics (i-Spironolactone, i-Amiloride, i-Triamteren):
- hyperkalemia ;
- hypercalcemia;
- hyponatremia;
- uremere;
- ukungakwazi ukuphelelwa ngumlomo;
- acidosis;
- anuria, njl
I-Diuretics yokuvuvukala kwamehlo nobuso
Ukuvuvukala ubuso kunye nommandla ojikeleze amehlo kungabangelwa kuphela ngendlela engafanelekanga yokuphila kunye nokutya okungalunganga, kodwa kunye nezifo ezahlukahlukeneyo, phakathi kwazo:
- izifo zesimo senhliziyo kunye nenkqubo yokujikeleza;
- iinjongo ezingasebenzi;
- isifo sesibindi;
- ukuphazanyiswa kweenkqubo zokuxilisa umzimba;
- zifo;
- uxinzelelo lwegazi oluphezulu;
- iinkqubo ezithathelwanayo, njl
Ukutyunjwa kwamacwecwe e-diuretic kwenziwa kuloo matyala xa i-edema inkulu, ikhula kwaye ayihlali ixesha elide. Ukongezelela, banokucetyiswa ukuba ukuvuvukala akudluli nangemva kokupheliswa kwentsholongwane. Ngexesha elifanayo ukufumanisa iipilisi zamadriyitiki ongayiphuza kwi-edema, unokwazi nje kuphela emva kovavanyo olupheleleyo.
I-Diuretics yokuvuvukala kweenyawo nezandla
Izizathu zokuvuvukala kwezandla kunye neenyawo azinzima kwaye ziquka uluhlu olubanzi lwezilwanyana. Silula uluhlu lwazo:
- nesibindi okanye isifo sesifo;
- isifo sobuhlungu;
- izifo zenkqubo ye-lymphatic;
- i-toxicosis yabasetyhini abakhulelweyo;
- ukuhluleka kwentliziyo ;
- iinkqubo ezithathelwanayo emzimbeni;
- zifo;
- isifo sikashukela;
- ngxinzelelo lwegazi;
- ukungasebenzi kwe-thyroid gland, njl.
Kwakhona kuba ngumphumo wokuzikhandla ngokwemvelo, ukuhlala kwindlovu, ukusetyenziswa kakubi kotywala, njl.
Unyango lwe-edema yezandla kunye neenyawo, okokuqala, unikezela ukupheliswa kweengcambu. I-Diuretics ayimiselwe kuzo zonke iimeko, kwaye kuphela oyingcali onokugweba ukufaneleka kolawulo lwabo. Kukho amagama amaninzi e-diuretics yokuvuvukala kweenyawo nezandla, kwaye akunakwenzeka ukuchonga ukuba yiyiphi imilinganiselo kunye nokuba kuthatha ixesha elide ukuthatha kwimeko ethile, ngaphandle kokuyihlola. Ngoko ke, ungalokothi uthathe i-diuretics ukuvuvukala ngokwakho, kodwa uqhagamshelane nogqirha.