Osmotic diuretic - chii? The mazita nezvinodhaka, mashandiro chiito

Vakawanda vanonetseka: "? Diuretics - chii" Munyaya ino uchadzidza chii uye chii rinoshandiswa.

Pharmacology zvinodhaka

Osmotic diuretic chinhu chinodhaka iyo zvakabviswa mvura kubva zvimba tishu. Saka anowedzera uwandu weti uye outputs zvakawandisa mvura kubva mumuviri. Izvi kunonatsiridza ropa riyerere kuti itsvo, izvo zvinozoita kunowedzera functionality yavo. Saka itsvo vanotanga kushanda nani uye firita. It anowedzera yeplasma osmolyaemost uye kunoita kuti mvura kubva nhengo uye munyama (uropi, yeziso) iri muropa. Kana izvi zvaitika pamwe nemvura kushaya kuti kuiisa chlorine, yavaibvisa, uye potassium. Wokupedzisira chaikosha unoratidzwa mune zvishoma kuti haanamati zvinokosha nezvinhu.

pharmacokinetics

Osmotic diuretic rinoita (minor) ari chiropa. Izvi pamwe paumbwe glycogen. Output kubva muviri kunoitika pashure filtration (glomerular) kuburikidza neitsvo. Tubular reabsorption iri chisingaoneki.

Zvairatidza kuti kushandisa zvinodhaka

Osmotic diuretics kushaika panguva chepfungwa edema, BP intracranial uye intraocular, kana panguva yokurwiswa yemaziso iri rikwanise chimiro.

zvinodhaka Used kuti boka iri panguva oliguria chakasimba renal kukundikana mu chimiro. Panyaya iyi osmotic diuretic rinoshandiswa kana kuwedzera diuresis kunodiwa. Mari idzi anogona chete kushandiswa apo kuramba kugona dzinobvisa.

Uyewo anofanira kutorwa kana nomuchetura zvinodhaka lithium, bromides, salicylates uye barbiturates.

Osmotic diuretics - zvinodhaka zviri akakodzera kushandiswa tapinda ropa, akanga asingaenderani, panguva pave post-ropa matambudziko.

Kazhinji, vari kushandiswa mune dzimwe nzira dzokuvhiya akadai ndavhiyiwa uye kuvhiyiwa pamwe extracorporeal kutenderera.

Kana mamiriro nehana, kutsva, sepsis, peritonitis diuretics inokonzera nani kwemamiriro zvine chepfu kubva mumuviri. Ivo kudzikisa BP.

Contraindications yokushandisa

Osmotic diuretic zvirege kushandiswa kana:

• Renal insufficiency mune chirwere chimiro.
• Kutyorwa kuri filtration anokwanisa neitsvo.
• Kusiyiwa ventricular kukundikana uye pulmonary edema.
• Hemorrhagic sitiroko.
• Subarachnoid ropa.
• In chakakomba kupera mvura mumuviri.

Mishonga havafaniri kutorwa pasina chiremba mushonga. Kushandiswa zvavo pasina kudikanwa kungaita kuti zvakakomba.

nemishonga

Munguva kushandisa zvinodhaka angava vamwe nechokoko Migumisiro izvo kununura munhu kusanzwa.

Idzi dzinosanganisira:

• marwadzo Head.
• Svoto uye kurutsa.
• Ropa uye rufu zvinyama uchikurukura mari pasi ganda.
• Pangava rebound maturo.
• Possible yakawedzera senitrogen (residual) zvese.

Kazhinji, kana kuratidzwa kwakadaro nemishonga vanofanira kurega kutora zvinodhaka pakarepo uye chiremba. Iye anogadzirisa chipimo chemushonga kana chinotsiva achishandisa munhu akafanana chigadzirwa.

Ndezvipi mishonga ndivo diuretics osmotic?

Kupfuura nzira yakakurumbira anonzi "Mannitol". Mirayiridzo dzokushandisa kuchaita tinyatsoziva mamiriro ayo.

Uyewo boka iri mishonga:

• "Torasemide."
• "Bumetanide."
• "Xipamide".
• "Chlorthalidone."
• "Polythiazyl".

Ichi zvishomanana mazita mishonga inogona kubatsira edema nezvimwe zvirwere. Havafaniri kushandiswa pasina mvumo chiremba, uyewo "Mannitol". Mirayiridzo dzokushandisa haazoiti vimbiso kuti zvakanaka sarudza overenga chipimo chemushonga.

okufananidza unhu

"Mannitol" rinoshandiswa kakawanda kupfuura dzimwe Formulations nokuti kuti akasimba uye kwenguva refu, uye haina kuwedzera zviri senitrogen muchimiro residual ropa. Muchiitiko chino, urea zviri nani uye zvakadzama nhengo uye munyama. Izvi zvinogona kukonzera uropi hydration uye kuwedzera kuita mukati dehenya pashure maawa 6-7 mushure kwokubatsira chezvinodhaka nomutsinga.

Potassium-kukudzivirirai diuretics

Osmotic potassium-kukudzivirirai diuretics regai kubvisa potassium kubva pamuviri, kusiyana nyore osmotic diuretics. Drugs Kuva boka iri kuita kunobatsirawo pamusoro pomwoyo, asi vane chimwe chinetso tichienzanisa nevasori kuti abvise potassium. It iri yokuti zviito zvavo nonokei, uye kuchitanga chete pazuva rechipiri kana yechitatu zuva pashure kushanda. Panyaya iyi, migumisiro kwavo rinovapo refu.

Potassium-kuuraya diuretics, vanachiremba vanoti kushandisa akabatana nevamwe diuretics. Ndivo chete kushandiswa nokuda kubviswa pakazvimba riri chisingadiwi, sezvo ivo kuvabatsira.

Havabvumirwi kushandisa, kana munhu ane cirrhosis, renal kukundikana, chenjera uye chisingaperi chimiro, hyponatremia uye hyperkalemia.

Kugamuchira zvinodhaka kuti muri boka iri, anobvumirwa chete mushonga.

Kushandiswa diuretics mu pamuviri

Osmotic diuretics anogona kushandisa chete kana zvinobatsira kuti mai kudarika pakaoma kuti azvarwa. Chisarudzo kugadza chiremba anotora pashure kuitisa kuongorora uye Analyses.

ovhadhozi

Kana achiita dose kwazvo wokuyera hypervolemia zvingamuka rakawedzera intracranial kumanikidzwa uye kuvhiringidza electrolyte uye mvura mwero. Zvinogonekawo kuti kuwedzera mvura chipo kunze masero. Kana chipimo chemushonga yakanga kupfuura zvikuru kuchawedzera mutoro pamwoyo. Vanhu vane zvirwere mumuviri inogona kuva zvakaoma kunzwisisa simba kuti zvinoda kurapwa nokukurumidza.

Saka diuretic - chii? Zvino, pashure pokuverenga mashoko aya, vanhu vakawanda vanoziva mhinduro yomubvunzo uyu. Ichi boka zvinodhaka zvinosanganisira diuretics, izvo zvinoshandiswa muuropi kuzvimba, kutsva, sepsis nezvimwe zvirwere zvakawanda. Nokuda kwavo chiito ivo kuvandudza water drainage kuti mvura iri weti uye ropa riyerere ari itsvo. Zvinokurudzira filtration nani. Administration zvinodhaka muboka iri anobvumirwa chete mushonga, nekuti chete achaita ngaaverenge iwe yakarurama dose uye tarisa kuti contraindications. Vakazvimiririra kuti panzvimbo zvakaoma uye dzimwe nguva kunyange hazviiti.

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