Diuretic - abin da yake da shi? Rarrabuwa da kuma aiki na diuretics

Mutane da yawa sun ji labarin irin wannan lokaci kamar yadda "diuretic." Abin da shi ne, za mu yi kokarin warware kasa. Wannan kungiyar da kwayoyi yana nau'ukanta, da kaddarorin da kuma halaye na

Diuretic - abin da yake da shi?

Diuretics ma kira diuretics magunguna. Su magunguna roba ko shuka asalin, wanda suke iya kara tukar tumbi da fitsari da kodan. Ta hanyar wannan, tare da inganta fitsari tukar tumbi da salts da ruwa, da kuma rage-rage na ruwa matakin a cikin cavities da kyallen takarda. Saboda wannan rage ko ma bace edema. Diuretics - kwayoyi da aka yi amfani da ko'ina a cikin far da hauhawar jini (dagagge jini). Su sukan yi amfani da su bi da m congestive zuciya rashin cin nasara, da irin da yawan hanta ailments da kuma cututtuka hade tare da mai illa wurare dabam dabam da cewa tsokana stagnation a cikin jiki. Magunguna amfani diuretics don rage ko kawar da cututtuka na flatulence, wanda aka wani lokacin tare da PMS ko riga bayyana a lokacin haila. A tsananin yarda da magani regimen da kashi diuretics ba sa mai tsanani illa. Su ne quite hadari don amfani.

Diuretics a lokacin daukar ciki

Mutane da yawa gynecologists ba rika sha a lokacin daukar ciki diuretics. Kwayoyi bazai hadari ga tayin da kuma mahaifiyar ta kiwon lafiya. A mummunan sakamako da aka gano ba haka ba da dadewa. A baya can, diuretic kwayoyi amfani da su rage edema a ciki, counteracting preeclampsia et al.

Diuretics: rarrabuwa

Akwai daban-daban na diuretic magunguna. Kowane category na da karfi da kuma kasawan. Don kwanan wata, akwai wani rukuni na kwayoyi:

• Madauki magunguna.
• Potassium-sunã rãyar da diuretics.
• Thiazide kwayoyi.
• thiazide jamiái.

Game da wadannan kungiyoyin mafi cikakken tattauna a kasa.

madauki diuretics

Wannan category da kwayoyi ne ya fi kowa. Wannan ya hada da kwayoyi kamar "ethacrynic acid," "Torasemide" "Furosemide" "piretanide" "bumetanide". Duk da cewa da sinadaran tsarin na iya bambanta da yawa, wadannan diuretics da wannan inji na mataki. Wadannan likita shirye-shirye hana reabsorption na abubuwa irin sodium, chloride da potassium. The title "madauki diuretics" saboda su inji na mataki. Resorption auku a hawa madauki na Henle rabo. An za'ayi da tarewa na sodium, chlorine, potassium a cikin apical membrane na tubular epithelial Kwayoyin. Godiya ga wannan aiki da aka suppressed lilo-counterflow tsarin a cikin kodan. Bugu da ƙari, diuretics ne iya irin wannan fadada tasoshi da tukwane na bawo.

Side effects na madauki diuretics

A ƙarfi daga cikin sakamako daga cikin wadannan magunguna ne unusually manyan: za su iya kara fitsari fitarwa ta 25%. Ba kamar sauran kwayoyi da cewa rasa sakamako tare da daidaita Bcc, da madauki-type diuretics irin wannan yanayi na ci gaba da aiki. Shi ne da godiya ga mai karfi diuretic mataki da za su iya fararwa illa. A mafi rare da wuya - drop a jini, hypovolemia, rage glomerular tacewa kudi da kuma na koda jini ya kwarara. Saboda karin kau na hydrogen, chlorine da potassium ba za a iya cire rayuwa alkalosis. Wani lokaci madauki diuretics tsokani hyponatremia da hypokalemia. A rare lokuta - hyperglycemia, hyperuricemia. Sauran illa hada da: dizziness, tashin zuciya, wani rauni. Medicine "ethacrynic acid" sau da yawa tsokani dindindin ko wucin gadi wani nauyi, kuma neutropenia. Magunguna All irin wannan da aka jera a sama, cire daga jikin ta amfani da kodan, metabolizing a cikin hanta.

Alamomi na madauki diuretics

Wadannan magunguna wajabta iri daban-daban na zuciya rashin cin nasara. Kuma suna zama dole musamman a cututtuka irin su zuciya rashin cin nasara tsaurin irin da na huhu edema. Magunguna ne ma tasiri a hyponatremia, hypoalbuminemia, hypokalemia, hypochloremia, kuma koda gazawar. Diuretics madauki irin ci gaba da aiki a lokacin da wasu diuretics kungiyar, da kuma haduwa daga gare su m. Wannan shi ne su girma darajar. Saboda haka, irin wannan shi ne don haka na kowa - madauki diuretic. Mene ne shi, mun riga aikatã game da.

thiazide diuretics

Wadannan likita shirye-shirye da kuma su Kalam ( "Indapamide" "chlorthalidone" da "Metolazone") suna amfani da quite akai-akai. Da farko, wannan shi ne saboda su high kudi na sha a cikin gastrointestinal fili, kazalika da mai kyau matakin na haƙuri tolerability. Thiazide diuretics ne kasa iko fiye da madauki, amma godiya ga tsawo duration na mataki aka nuna wa mutane da na kullum cututtuka irin su jijiya hauhawar jini na da muhimmanci irin da kuma wadanda ba mai tsanani congestive zuciya rashin cin nasara, da irin. Thiazide diuretics an wajabta, a baka gwamnati. Diuresis yawanci farawa bayan 1-2 hours, amma warkewa antihypertensive sakamako a wasu lokuta, shi iya lura kawai bayan watanni 3 na ci gaba da jiyya. A m wannan kungiyar ne chlorothiazide. An halin low sia solubility, kuma saboda haka low bioavailability. Saboda wannan, domin warkewa sakamako na bukatar mafi girma sashi magunguna. Da miyagun ƙwayoyi "chlorthalidone" quite sannu a hankali tunawa, don haka shi ne a bit more mataki duration. Na nufin "Metolazone" sau da yawa tabbatar da matukar tasiri a cikin marasa lafiya da illa na koda aiki, kamar yadda sun yi tsayayya da sauran magunguna a cikin wannan category.

Potassium-sunã rãyar da diuretics

Akwai kuma wani potassium tsare diuretics. Mene ne wannan? Wadannan kwayoyi suna amfani domin lura da hauhawar jini a hade tare da sauran iri kwayoyi. Sun hana wuce kima tukar tumbi da potassium jiki, wanda shi ne na kowa gefen sakamako na diuretic kwayoyi wasu Categories. Hypokalemia - wani karu a matakin na potassium a cikin jini. Yana da wani m abokin thiazide diuretics, wanda sukan wajabta hauhawar jini far. Lokacin da potassium matakin ne ƙwarai rage, da mãsu haƙuri fara jin rauni, gaji da sauri, yana da cardiac arrhythmia. Don hana wannan, tare da thiazide kwayoyi sukan wajabta potassium-sunã rãyar da diuretics. Sun ci gaba da jiki tare da mafi potassium da kuma sauran muhimman ma'adanai - magnesium da alli. Kamar haka suka ma kada ku jinkirta ta janye wuce haddi ruwa da kuma sodium. Rashin potassium-sunã rãyar da magunguna ne kamar haka. Potassium matakai a jini iya kara ɓarna, (fiye da 5 mmol / l.). Wannan yanayin da aka sani a matsayin hyperkalemia. Yana iya sa tsoka inna da kuma cardiac arrhythmias, har shi tsaya a nan ba. A ci gaba da mafi cututtuka ne zai yiwu a marasa lafiya tare da koda insufficiency.

A amfani domin lura da hauhawar jini

Diuretics ga hauhawar jini an tabbatar. Su taimakawa wajen kau da ruwa daga jiki, game da shi, rage jini. Tabbatar da gaskiya ne cewa diuretic magunguna sun fi tasiri ga jiyya na tsofaffi da marasa lafiya kamar yadda idan aka kwatanta da beta-blockers. Diuretics magunguna kunshe a cikin jerin farko-line magunguna, wanda ake amfani da normalize jini. A cewar shawarwari na Amurka likitoci, wannan category kamata a yi amfani da shi na farko lura da hauhawar jini (uncomplicated). Saboda muhimmancin na jini iko da kuma rage zuciya da jijiyoyin jini hadarin da magani, musamman hankali ne ya biya zuwa rayuwa effects, wanda suke peculiar zuwa antihypertensive magunguna. Har ila yau muhimmanci shi ne tasiri a kan hanya na su cututtuka da kuma Gabar-hade halaye.

Thiazide da thiazide magunguna ga hauhawar jini

A baya can, hauhawar jini mafi yawa ana bi da tare da madauki diuretics. Amma yanzu suna} ara yin amfani domin lura da koda, zuciya da kuma gazawar edema. A sakamakon ya nuna kyau inganci thiazide-type kwayoyi. Sun inganta hangen nesa da hauhawar jini. Duk da haka, rage hadarin jijiyoyin zuciya events lokacin da yin amfani da wadannan kudi da aka ba kamar yadda pronounced kamar yadda idan aka kwatanta da sa ran sakamakon. A amfani da thiazide kwayoyi qara da alama na arrhythmias. Wasu marasa lafiya iya ko kwatsam arrhythmic mutuwa. Kamar yadda yakan faru cuta da carbohydrate da kuma sia metabolism, kazalika da hyperuricemia. Yana iya samun muni domin atherosclerosis da kuma ciwon sukari. Medpreparty wannan kungiyar ne sau da yawa a hade tare da potassium-sunã rãyar da diuretic.

A na gaba matakin juyin halitta da diuretics mu bi da hauhawar jini thiazide karfe dasu. A musamman, da kyau-da tabbatar hada a shekara ta 1974 da su m - magunguna "Indapamide". A amfani ne cewa tiazidopodobnye nufin da yawa kasa sakamako a kan sodium reabsorption, wanda ke nufin cewa da yawa kasa fitarwa na potassium daga jiki. Saboda haka, m na rayuwa da kuma diabetogenic effects ne kusan ba ya nan. An yanzu tabbatar da cewa an yi amfani da kananan allurai da miyagun ƙwayoyi "Indapamide" fãce diuretic mataki ne iya yin rawar da wani alli antagonist na vasodilator aiki da kuma ta samar da prostaglandin E2.

A zamani da yanayi na thiazide da thiazide magunguna suna yadu amfani ba kawai don rage hawan jini, amma kuma a matsayin m gwargwado, kazalika domin lura da karshen-Gabar raunuka. Wadannan kwayoyi suna sosai sau da yawa wajabta a hade far darussa. Suna da kyau da kuma tabbatar da haka suna yadu amfani a duniya.