Diuretics: urongwa hwemishonga inoshanda zvikuru. Diuretics (diuretics): mitengo nemhinduro

Diuretics (mapiritsi, mvura) hwanyatsogadzwa muupenyu hwedu. Kushandiswa kugadzirisa asidhi-nechigadziko zvakanakanaka mumuviri. Pashure pezvose, ivo zvakakwana wakasuduruka mairi nekumwisa asidhi uye alkali. Diuretic mapiritsi, ndandanda chiri kushamisa zvakakwana, anoshandiswa mukurapa nomuchetura, mamwe makuvaro (kunyanya kana ari kukuvara musoro), dambudziko neBP. Asi zvinosuwisa kwete vose vanoziva kwete chete mashandiro chiito pamusoro vamiririri izvi, asi vo nemishonga inogona kukonzera. A kururama kushanda diuretic zvinodhaka kungaita kuti dzakakomba matambudziko.

mupfupi mashoko

Nokuti kurapa zvakawanda zvirwere vaishandisa diuretic mapiritsi. List kwezvinodhaka inoshanda, uye nhasi anoramba kuwedzera. Diuretics vanonziwo diuretics.

chikuru chinangwa chavo - ndiko excretion yebongozozo mvura, makemikari, munyu, izvo vanowanzotevedzera kuunganidza pamadziro midziyo ropa, nhengo dzomukati. Uyezve, diuretics vane kunobatsirawo pamusoro mvura-munyu mwero.

Kana muviri rinoungana vazhinji yavaibvisa ions, ari subcutaneous mafuta anotanga aiisa. Iye zvinoodza nezvainoita kushanda itsvo, mwoyo, hematopoietic hurongwa. Somugumisiro, murwere ane siyana zvirwere uye zvirwere.

Uyewo, diuretics dzakakurumbira chaizvo mune zvokurapa mumitambo. Kazhinji vari kushandiswa uremu. Kakawanda, diuretics (mapiritsi) vanobatanidzwa mune kunzwisisa kurapa kubata zvirwere zvakawanda.

On migumisiro iri muviri diuretics ano vari huviri dzinokosha siyana. Muchikwata kwezvinodhaka rokutanga kunokanganisa muitiro uropoiesis zvakananga itsvo. Chechipiri chimiro diuretic kemikari mhosva mutemo weti.

yambiro inokosha

Pane zvakawanda nezvei mvura mapiritsi, akanyorwa pazasi, vari nyore chakagadziriswa asi uye zvizorwa matambudziko. Zvisinei, vanhu vakawanda vanodavira kuti zvinodhaka izvi takachengeteka zvachose. Vamwe vakadzi kutora mari dzavo dzakadai kuitira kuderedza uremu. Vatambi yaiwanzoshandiswa zvinodhaka pamberi makwikwi, achida kuti kudzinga uremu. Shandisa kunyange muviri achitsvaka kusika chakagadzirwa abudise kuti tsandanyama kutarira zvikuru raidudzwa.

Zvisinei, vanhu vanotora diuretics pasina chiremba agadzwa, zviri pangozi. Pashure kurapwa pamwe diuretics kungaguma nemigumisiro. Tapota ziva kuti diuretics vanokwanisa:

1. Excrete potassium, saka kuvandudza kuneta kwevanhu.
2. Kutsamwisa deposition kuti munyu.
3. Wedzerai ngozi cheshuga, sezvo vanenge nekukura "zvakaipa" remafuta akawandisa.
4. Participation weti, triggering hope nyonganyonga.
5. Zvinetso zviri varume potency.

Kazhinji, kunyange avo varwere kunzwisisa nengozi, tendai kuti Newest zvinodhaka "Indapamide" "Torasemide", "Arifon" riri muviri haana kukanganisika. mishonga izvi zvechokwadi nani akashivirira pane vakuru nemishonga. Zvisinei, vari zvakare utano. Asi inokanganisa mari idzi Kunoratidzwa zvikuru gare gare. Enough kunzwisisa mashandiro avo chiito. akwegura uye itsva chizvarwa zvinodhaka chinangwa chimwe chinhu - kukurudzira itsvo kuti kumwezve basa. Saka, vakatora zvimwe munyu uye mvura.

Zvakakosha kunzwisisa kuti chengetedzo kuti zvinwiwa mumuviri - iri kurwara zviratidzo. Kuzvimba anogona musiwa vayo. It wakatsamwisa zvakakomba kuvhiringidzika nokushanda kwenhengo itsvo, mwoyo, uye dzimwe nguva zvimwe zvikonzero. Naizvozvo, diuretics - zvinodhaka (dzavo mazita zvikuru rakakura) chete symptomatic migumisiro. Ivo, zvinosuruvarisa regai kubvisa zvinokonzera chirwere. Saka, mushonga wacho chete kumbomira kusingafadzi kuguma varwere. Saka, vanhu vanoda kuvandudza utano hwavo uye kurwisa chirwere chaiye haafaniri kuita mamwe diuretics, uye zvakatonyanya kudaro kuzvishandisa pachako.

kupatsanura zvinodhaka

Rakabatana ezvinhu, iro ndewenyu diuretics zvose, pane zvevakomana, nekuti mishonga zvose dzakasiyana namakemikari yakarongeka, vaine migumisiro iri muviri maitiro. Naizvozvo, kuti pave kupatsanura akakwana hakuna kuwana.

Kazhinji, boka kunoitika kuburikidza mashandiro kuita. Maererano kupatsanura ichi govera:

1. Thiazide zvinodhaka. Ndivo yakanaka kurapa BP, akaderera BP zvakakwana. Zvinokurudzirwa kushandisa navo pachiimbwa nemimwe mishonga. Thiazides zvinogona kukanganisa kuti muviri, saka, dzakabatwa mune diki zvakawanda diuretics akadaro. Kugadzirira (mazita chete kupfuura akakurumbira anoratidza munyaya) kubva boka iri - a "Ezidreks", "Hydrochlorothiazide", "chlorthalidone," "Indapamide", "Hypothiazid", "Arifon".
2. Loop zvinoreva. Vanowana munyu, mvura kubva muviri kuburikidza migumisiro dzayo renal filtration. Izvi mushonga une nokukurumidza diuretic kushanda. Loop diuretics hazvina zvazvinoita remafuta akawandisa yomuropa, regai asike preconditions kuti kwaita chirwere cheshuga. Zvisinei, chikuru drawback kwavo - ndiwo akawanda nemishonga. Mishonga Zvinonyanyozivikanwa "Torasemide" "Furosemide", "ethacrynic acid," "bumetanide".
3. Potassium-kukudzivirirai nevamiririri. Zvakakwana boka guru zvinodhaka. mishonga izvi kubatsira kuwedzera goho uye yavaibvisa chloride kubva mumuviri. Nokudaro nokubviswa potassium kuderedza diuretics mahwendefa akadaro. List zvikuru dzakakurumbira mishonga "amiloride", "Triamterene", "Spironolactone".
4. Aldosterone mhandu. diuretics izvi nesimba zvechizarira dzinongoitika kemikari iyo anoramba munyu uye mwando mumuviri. Zvinodhaka neutralizing aldosterone, inobatsira kuti mhedziso mvura. In muviri zviri potassium haina ipfupi. Mumiriri kupfuura dzakakurumbira ndiye "Veroshpiron".

Kugadzirira edema

mishonga simba inogona kushandiswa zvakanaka. Shandisa zvinotevera mvura mapiritsi edema:

• "Torasemide";
• "Furosemide";
• "Piretanide";
• "Xipamide";
• "Bumetanide."

The pamusoro zvigadzirwa vari zano kutora pfupi kosi. Iva nechokwadi kuita kumbozorora pakati kudya. Kanoita muropa muviri zvinodhaka uye kudzivirira yakajeka raidudzwa kuchirapa kushanda.

Ingashandiswa uye avhareji Impact simba diuretic mahwendefa edema:

• "Hydrochlorothiazide";
• "Hypothiazid";
• "Chlorthalidone";
• "Klopamid";
• "Polythiazide";
• "Indapamide";
• "Metozalon".

gadziriro yakadaro dzinoshandiswa zvechigarire uye akaramba. Anogadza zvavakabvumirana dose chiremba. Kazhinji, ndizvo anenge 25 MG pazuva.

Yakaderera kuzvimba nani potassium-kukudzivirirai diuretics akadai "spironolactone", "amiloride", "Triamterene". Vanotora makosi (2-3 masvondo) pamwe zvikamu mazuva 10-14.

neBP zvinodhaka

zvinodhaka Diuretic, iyo inoshandiswa panguva mukuru kumanikidzwa, vanokamurwa muzvikamu zviviri:

1. Tools kuti anopa kukurumidza kushanda. zvinodhaka izvi zvinoshandiswa chirwere cheBP dambudziko, kana pane kudiwa nokukurumidza kuderedza kumanikidzwa.
2. Zvinoreva kuti zuva yaitonga. Drugs kubvumira kuti kuramba Zvakanyanya Kunaka Panguva Yepamuviri pamwero dzvinyiriro.

Kusunga vane chirwere cheBP dambudziko kubvumira mushonga simba. Chinonyanya dzakakurumbira ndiyo chinodhaka "Furosemide". mutengo wayo yakaderera. Zvakafanana kubudirira sitiroko anotevera nzira:

• "Torasemide";
• "Bumetanide";
• "Ethacrynic asidhi";
• "Piretanide";
• "Xipamide".

Duration ari pamusoro mishonga inogona mazuva 1-3. Pashure cupping dambudziko zvinodhaka simba zvakadaro zvakaitika zvinodhaka kukwanisa kuramba kumanikidzwa pane vaida pamwero daily.

chikamu chechipiri inosanganisira matambudziko avhareji yemagetsi. Chinonyanya yaiti zvigadzirwa:

• "Indapamide";
• "Hydrochlorothiazide";
• "Hypothiazid";
• "Klopamid";
• "Metozalon";
• "Polythiazide";
• "Chlorthalidone."

mishonga iyi yakatorwa zuva nachiremba. Vari inonyatsotsigirwa nevanhu Zvakanyanya Kunaka Panguva Yepamuviri kumanikidzwa.

Zvinodhaka kuti mwoyo kutadza

Nokuda zvokurwara iri kazhinji mvura chengetedzo mumuviri. Fani iyi pave pulmonary ropa stasis. The murwere dzakaonekwa munhu muzvizhinji kuti zvisingafadzi zviratidzo zvakadai kupfupika mweya, edema, chiropa nedumbu, mwoyo chitarisiko wheezing.

Vanhu vane mwoyo nokukundikana chiremba hazvo otaura diuretic kurapa. Zviri zvakakwana rinoyambira migumisiro yakaipa ari muchimiro edema chepasi chemapapu, cardiogenic kuvhunduka. Saka diuretics kuwedzera murwere achishivirira mumuviri kushushikana.

Nokuti varwere wokutanga uye chechipiri dhigirii yokutambudzika akanaka diuretic - a thiazide Pfungwa. In zvikuru zvokurwara murwere zvaitambidzwa yakasimba mudziyo - munhu loop diuretic. mushonga "spironolactone" Uyezve tanzi zvimwe zviitiko. Zvichinyanya kushanda kugamuchira mari yakadaro, kana murwere yakatanga hypokalemia.

Nengano kwakaderera kubata kushanda "Furosemide" zvinodhaka cardiologists vanokurudzira kuritsiva aine mushonga "Torasemide." Zvinonzi kuzivikanwa kuti ekupedzisira zvinoreva kunobatsira pamusoro muviri kwazvo siyana mwoyo kukundikana.

Drug "Furosemide"

Medicine zvinoreva kutsanya-kuita diuretics. Rawo kunoitika pashure ingestion kwemaminitsi 20. Nguva yokuwana mushonga - maawa anenge 4-5.

Zvinobudirira, ichi chinomirira kwete chete nokuda zvakazorodza vane chirwere cheBP dambudziko. Maererano mirayiridzo, mushonga anobatsira vane mwoyo nokukundikana, chepfungwa edema uye pulmonary chepfu nemakemikari. Kazhinji iri nachiremba mukupera toxicosis panguva yepamuviri.

Zvisinei, Mutumwa ane, uye yakaoma contraindications. Havashandisi mushonga ari trimester akazvitakura rokutanga. Hazvina zvakafanira kuti kurishandisa varwere renal insufficiency, vanhu vave yomuropa, Urinary mhingaidzo.

Low mutengo "Furosemide" chinodhaka. Mutengo anenge 19 rubles.

Drug "Torasemide"

The mushonga uri kutsanya-kuita zvaanoda. Drug "Furosemide" Zvino biotransformation mu itsvo, saka hazvisi akakodzera varwere vose. A hubudirire mushonga vanhu vanotambura renal zvirwere, zvinodhaka anova "Torasemide" nokuti chobudira biotransformation ari chiropa. Asi pathologies muviri zvinodhaka anogona kukuvadza.

Mumaminitsi yokutanga migumisiro iri muviri (Sezvinotaurwa nokuda appended kuti mushonga 15 "Torasemide" mirayiridzo kushandiswa). Mutengo yakaipa inobva 205 kusvika 655 rubles.

Zvidzidzo Long-izwi ndikazvisimbisa yakakwirira kunyatsoshanda kwezvinodhaka mumwoyo kukundikana. Uyezve, mushonga anokwidziridza kwazvo munyu uye mvura. Kana muviri iri kunyora nezvavo kurasikirwa potassium, ive nzira inobudirira ichivharira kemikari aldosterone.

Drug "Indapamide"

The mushonga unoshanda chaizvo kuti BP (zvakakomba uye mwero kukuvadza). Means kunoderedza kufurirwa zvakanaka uye anoramba yaro Zvakanyanya Kunaka Panguva Yepamuviri pamwero yose zuva. Uyezve, rinovatadzisa zvibereko chinoratidza ichi mangwanani.

Unofanira kutora mushonga kamwe pazuva 1 piritsi, sezvinoratidzwa chinodhaka midzi mu "Indapamide" mirayiridzo. Price zvinoreva paavhareji neeSultan kubva 22 kusvika 110 rubles.

Asati kupinza anofanira kuziva contraindications sezvo chakanakisisa chokushandisa haasi akakodzera varwere vose vanotambura kubva neBP. The mushonga hauna arongera vanhu vanenge kuzivikanwa hadzina kufambiswa zvakanaka vari itsvo uye chiropa. Zvinonzi rambidzwa kutora mushonga kuvakadzi vane mimba, ekukurerai. Kana kukundikana chepfungwa kuparadzirwa, anuria, hypokalemia vari contraindicated.

Drug "Triamterene"

The mushonga uri diuretic munyoro. Zvinokurudzirwa kushandisa nayo akabatana nevamwe diuretics - "hydrochlorothiazide". Kubatana uku zvinogoneka kuderedza kurasikirwa muviri potassium. The kubatsira inopa zvinodhaka "Triamterene". Manual Positioning rive potassium-kukudzivirirai pomutumwa.

The mushonga rinofanira kushandiswa, kukurukura zvakasimba akasarudzwa chipimo chemushonga. Vanhu vane vasingadzoreki itsvo basa anogona atarisana kusingafadzi nemishonga - yakawedzerwa pamwero potassium. Dzimwe nguva rinoreva kunogona kupera mvura mumuviri. Kana kuwadzana folic asidhi kunowedzera zvinodhaka erythrocytes.

Mari mari ndiyo 316 rubles.

Drug "spironolactone"

The mushonga ndiye potassium uye magniysberegayuschim nzira. In ichi zvinobudirira anobvisa pamuviri yavaibvisa uye kuiisa chlorine. Pashure pokugamuchira zvinodhaka diuretic kwepasi kunoitika anenge 2-5 mazuva.

The mushonga anogona kupiwa nokuda BP, chirwere chemwoyo, chiropa cirrhosis, nephrotic syndrome. Kushandisa "spironolactone" kuzvimba panguva 2nd uye 3rd trimester akazvitakura.

Kwete mushonga akakodzera vanhu vave nechirwere cheshuga, itsvo kana chiropa kukundikana, anuria. Zvinonzi rambidzwa kushandisa kushandisa trimester akazvitakura rokutanga. Kana hyponatremia, hyperkalemia, hypercalcemia zvinodhaka contraindications. Haufaniri kupinda muna kurapa vanhu vane Addison chirwere.

Inogona kuchengetwa divi migumisiro pakushandisa mishonga. Mune zvimwe zviitiko, nzira Nokumukira kwaita urticaria, pruritus, somnolence, nomusoro, manyoka kana kupatira.

Mari mari iri kumativi 54 rubles.

Reviews pamusoro diuretics

Varwere vakawanda vanofarira zvinofungwa nevanhu vaya vari kare kutora mvura mapiritsi. Reviews kazhinji ane ruzivo pamusoro kubudirira, marwadzo.

Vanhu atarisana vane chirwere cheBP dambudziko, zvinoratidza kuti mushonga "Furosemide" kutsanya chaizvo uye vakarongeka nzira yokubatsira. Zvisinei, panguva iyoyo kunosimbisa kuti kushandisa mudziyo vanofanira chete ushandiswe nachiremba uye inokurudzirwa mishonga.

Zadzisai kubudirira mari nevakadzi vane pamuviri vanoshandisa chinodhaka mumwedzi mishoma akazvitakura. Varwere vanoti anonyatsorayiridzwa Kwakabvisa edema.

Asi zvinodhaka iri zvachose wairambidza. Pashure mushonga "Furosemide" zvikuru nyore muropa. Kunze zvinoreva outputs kubva mumuviri potassium. Mushure kushandiswa nguva refu, varwere vanogona kusangana nokugwinha.

zvinodhaka "Indapamide" yakakwana kudiwa. BP rinowanzoshandiswa zvingagadziriswa chinotarisirwa. Pakati varwere pane maonero kuti mushonga zvakanaka akashivirira pachitunha. Panguva diuretic nezvinozoitika zvakanaka. Nepfungwa pamusoro mushonga ari kuchengetwa.

Good zvainoita muviri ine mushonga "Torasemide." Varwere kutora zvinodhaka zvakasimba maererano chiremba mushonga uye pasi pake, akati kuti nzvimbo iri inoshanda chaizvo. It zvakakwana kunobvisa puffiness. Panguva matambudziko sezvo nemishonga, varwere vasiri kuchengetwa.

Zvakanaka zvawanikwa zviri kubudirira nomuviri, uye mamwe mahwendefa diuretics. Reviews kugadzirira "spironolactone" anoratidza yakasimba diuretic kushanda. Zvisinei, varwere vanoti chishandiso inofanira kushandiswa chete pamusoro chiremba mushonga uye mishonga yakakodzera.

chiremba zano

Asati atora diuretic anofanira kuudza chiremba pamusoro mishonga zvose zvauri kuita. Uyezve, chinokosha kusarudzwa nemishonga inodiwa ndiyo pamberi chisingaperi zvirwere. Hazvifaniri nemaune kugamuchira mari yakadaro. Zvakakodzera mukanyatsochengeta kutevera chiremba mirairo. Mushonga yako nguva (ino tichadzivisa zvisingafadzi awakenings usiku) uye chete kuti chipimo chemushonga kuti wanga ushandiswe. Izvi nyore chokwadi kutendera kunzwa kwazvo zvakaipira diuretics.