Mamịrị ọgwụ

Diuretics ma ọ bụ diuretics mbadamba - ọgwụ ọjọọ nwere a nhọrọ utịp ke akụrụ na, ya mere, na-enwekwu diuresis.

Diuretics na-eji nkà mmụta ọgwụ a ogologo oge, ihe karịrị afọ 50, ndị a ọgwụ ọjọọ eme ihe na-eji ọgwụgwọ nke ọbara mgbali na gbasara akụrụ ọrịa. Studies site American ndị ọkà mmụta sayensị gosi na diuretics na ha ọgwụgwọ mmetụta dị abụghị usụhọde ọzọ dị iche iche nke antihypertensive ọgwụ ọjọọ.

Mamịrị ọgwụ ọjọọ na-ekewa n'ime klaasị dị ka larịị nke ikpughe na ọgwụ na akụrụ:

• Group osmotic mamịrị - akwalite ukwuu n'ime mmiri diuresis. Isi nnọchiteanya Monnitol.
• Saluretics - mamịrị mbadamba nke welie excretion nke potassium, sodium na chlorine. Representatives Furosemide, Hydrochlorothiazide.
• Potassium-ịhapụ diuretics, nke akpasu ihe ngwa ngwa ìgwè anyụpụ sodium na potassium excretion ngọngọ. Representatives amiloride, spironolactone.

The usoro nke ihe nke mamịrị mmadụ na-eduzi na mbenata ekesa ọbara olu n'ime ahụ mmadụ, na-ebelata excretion nke sodium na usen ya mee na vaskụla endothelium, nakwa dị ka na-enye kpọmkwem vazodilyatiruyuschego edinam.

Ntem, mamịrị mbadamba na-ada n'ime afo, na-etinye obi gị dum n'ime n'ọbara na-abanye n'ọbara n'ime akụrụ na-eme ihe n'ebe ahụ n'elu ọkwa dị iche iche nke filtration na reabsorption. Nke a na-eme ka o kwe omume na-emetụta diuresis ọrịa, larịị nke mmiri mmiri ke idem, na ya mere ọbara mgbali.

Isi na-egosi maka diuretics bụ ọbara mgbali na obi ọdịda. Otú ọ dị, diuretics ndị dị irè na ụfọdụ akụrụ ọrịa, ịṅụbiga mmanya ókè, na ọrịa obi. Easy mamịrị ike ga-eji na ụfọdụ ọrịa nke urogenital ọdịdị ma ọ bụ iji belata ọzịza.

Contraindications nhọpụta nke diuretics nwere ike-atụle:

1. gout
2. dyslipidemia
3. -arịa ọrịa shuga mellitus
4. Gbasara akụrụ odida (maka tiozidnyh na potassium-ịhapụ diuretics naanị).

Mamịrị ọgwụ, n'agbanyeghị ya niile àgwà ọma, ọ bụghị nke na-enweghị mmetụta, nke na-abụkarị ndị isi igbochi ihe na-akpata ka ha na-aga.

N'ihi na loop diuretics:

• hypotension;
• gipokaliyemiya;
• hyperuricemia;
• hypercalcemia;
• ozotemiya;
• glucose ndidi.

Group tiozidnyh diuretics na ha analogues nwere nnọọ ole na ole mmetụta karịa ha ụzọ:

• amụba ịta nke potassium;
• ebili na ọbara sugar;
• ọbara na mmamịrị;
• enweghi ike.

Potassium-ịhapụ diuretics mbadamba nwere ọ nweghị mmetụta ọjọọ, mgbe ụfọdụ, pụrụ hụrụ adịghị ike ma na-amụba potassium ke iyịp.

Ọ ga-echeta na ọ bụghị ihe niile ọgwụ ọjọọ eme ihe na-ọma jikọtara na onye ọ bụla ọzọ. Ka diuretics, mgbe ahụ, ha mkpa ha na-abụ nnọọ anya, n'ihi na na ọbara mgbali ọtụtụ ndị ọzọ antihypertensive ọgwụ ọjọọ na-eji na mgbakwunye diuretics.

Ka ihe atụ, furosemide na Nchikota na antibacterial mmadụ aminoglikazidnymi abawanye ototoxic mmetụta, na na Nchikota na gbasara obi glycosides - accelerates guzobe nke na-egbu egbu mmetụta. Furosemide na NSAIDs pụrụ ibelata mamịrị mmetụta nke mbụ.

Tiozidnye diuretics na-kacha mma jikọtara na antihypertensive ọgwụ ọjọọ, dị ka ha ikowa a mmetụta. Otú ọ dị, ka ha ghara ga-eji na njikọ na gbasara obi glycosides - nke a pụrụ iduga ngwa mmepe nke igbu egbu.

Potassium-ịhapụ diuretics inwe mmetụta dị mma na Nchikota na antihypertensive ọgwụ ọjọọ na-adịghị mma na NSAIDs na gbasara obi glycosides.