Igama lezonyango ezinzima elithi "diuretic" yezigulane ezininzi lingalahlekisa. Enyanisweni, iqela leziyobisi, eli gama eliyinkimbinkimbi lichaza, kukho enye igama eliqondakalayo nelulayo - i-diuretics. Ngoku, xa imeko isicacisile, siya kukuxelela malunga nento eyenza izidakamizwa ze-diuretic, zeziphi iintlobo zazo zikhona, kwaye zingaphi na amayeza angasetyenziswa.
Ziziphi i-diuretics ezimiselweyo?
Nangona baninzi abantu abazi indlela yokusebenzisa iziyobisi zamanzi, abaninzi abantu bayazi ukuba kutheni kwaye xa batyunjwe, kuphela abo bafanele bajongane nokusetyenziswa kwabo baye baqikelela. Ngokuqhelekileyo, ama-diuretics anqunywe kwiimeko ezilandelayo:
- I-Diuretics eyenziwa kakuhle ekhatheni kwezifo zesimo senhliziyo . Amachiza e-Urinary angasusa inxalenye yomthwalo entliziyweni, ebonakalayo kwisixa esiphezulu somzimba emzimbeni.
- Iipilisi ze-Diuretics zikhusela ukuvela kweengxaki kubantu abaye bahlaselwa yintliziyo kunye nemivimbo.
- Amalungiselelo e-Urinary asetyenziswa ngokunyanga kwonyango legazi.
I-Diuretics inokukunceda nokukhukhumeza. Amanye amayeza angathathwa nangona ngexesha lokukhulelwa ngenxa yesiseko sabo esingokwemvelo nesiyingozi:
- Kanefron ;
- Eufillin;
- Phytolysin.
Ukujonge phambili, siya kukuxelela ukuba kungekude kudlulileyo isilwanyana esitsha saqalwa - i-Trifas. Ngelixa amayeza amaninzi edayuretic, ngelixa evelisa imiphumo emihle, ayenayo imingcipheko ethile, i-Trifas inako ukukhulula ukuvuvukala nayiphi na imvelaphi, ngaphandle kokulimaza umzimba.
Uluhlu lwezidakamizwa ezisebenzayo
Kuza kubekho namhlanje, akukho luhlu olucacileyo lwe-diuretics. Bangakwazi ukwahlula ngexesha kunye nomgaqo wesenzo, imvelaphi yobume kunye nezinye izinto ezininzi. Ngezantsi ngamaqela adumile kakhulu amayeza oogqirha basebenzisa ngokuqhelekileyo.
Thiazide diuretics
Izidakamizwa, eziqhelekileyo zisetyenziselwa unyango lwegazi. Ulunge kunamanye amayeza, bancedisa ukunciphisa uxinzelelo lwegazi. Ukuze kube nomthelela omkhulu, kucetyiswa ukuba uwasebenzise ngokufanayo nezinye iziyobisi. I-Thiazides ithintela kakubi imetabolism emzimbeni, ngoko ke imiselwe ngemali encinci. Amayeza athandwayo kakhulu afakwe kweli qela:
- Ezidreks;
- Chlortalidone;
- Hydrochlorothiazide.
Loop diuretics
Uncedo ngokukhawuleza ukususa ityuwa kunye nomlambo emzimbeni ngenxa yempembelelo kwi-process filtration yezintso. Xa unyango lwe-hypertension, i-loop diuretics ayinyuli umgangatho we-cholesterol, ngaloo ndlela inganikezi iimfuneko zokuphuhliswa kwesifo sikashukela. Ukungabikho kwabo - inani elikhulu leempembelelo. Uluhlu lwezidakamizwa eziziwayo-diuretics lubukeka kanje:
- Torasemide;
- i-ethacrynic acid;
- Furosemide.
I-Potassium-sparing diuretics
Elinye iqela elikhulu lamayeza, i-diuretics. Ezi zonyango zibonelela ukwanda kwenkululeko ye-sodium kunye ne-chloride emzimbeni, ngelixa kunciphisa ukususwa kwe-potassium. Phakathi kwezona zinto eziqhelekileyo ze-potassium-sparing diuretics zilandelayo:
- Amyloride;
- I-Spironolactone;
- Triamterene.
Kubalulekile ukuqonda ukuba ezininzi ze-potassium zingabangela i-hyperkalemia.
Kukho i-potassium-ukuhoxiswa kunye ne-osmotic drugs-diuretics. Izidakamizwa zokurhoxisa i-Potassium (ezi ziquka i-hydrochlorothiazide eyaziwayo kunye neFurosemide) inokufaka isandla ekuphuhliseni i-arrhythmias kwi-hypokalemia. Kwaye izinto ze-osmotic urinary, ezifana ne-Mannitol, zineempembelelo ezinamandla kakhulu.