Amaphilisi e-Diuretic ingenye yemithi esemqoka esetshenziselwa izinhlobo ezahlukene ze-edema. Isenzo salezi zidakamizwa, esibizwa nangokuthi i-diuretics, sisekelwe ekwenzeni izinto ezenza ukwakheka kwawo, ukuvuselela ukukhipha umchamo nokunciphisa okuqukethwe komswakama kwezicubu namagundane omzimba womzimba. Lokhu kungenziwa ngokusebenzisa izindlela ezihlukahlukene, ngenxa yalokho izidakamizwa ezihlukaniswa ngayo zihlukaniswa zibe izinhlobo ezinjalo eziyisisekelo: i-loop, i-thiazides ne-thiazide-like-divingtics, imithi ye-potassium-sparing. Zibuye zihluke ekuqiniseni kwesenzo, ijubane lokuhlaselwa kanye nobude bomphumela.
Amaphilisi e-diuretic ane-edema nokuphikisana kwawo
Amaphilisi e-Diuretic abhekisela ezidakamizwa eziyimpumelelo ezithinta ukusebenza komzimba wonke. Kumele kuthathwe ukuvuvukala ngaphansi kwezibonakaliso eziqinile, kucatshangelwa imiphumela emibi kanye nokuphikisana nokugcinwa kwesilinganiso esifanele. Cabangela ukuthi yiziphi izinqunquthela eziyinhloko zeqembu ngalinye lezidakamizwa.
1. I-Loop diuretics (iFurosemide, i-Lasix, i-Bumetanide, i-Torasemide, njll):
- glomerulonephritis enzima;
- ukwehluleka okukhulu kwe-renal ne-anuria;
- izinso zezinso;
- ukukhubazeka okukhulu kwe-hepatic;
- i-pancreatitis;
- i-gout;
- i-hyperuricemia;
- i-hypotension ye-arterial;
- ukwephulwa kwamanzi-electrolyte exchange, njll.
2. Izidakamizwa ze-Thiazide ne-thiazide-like (Hypothiazide, Hygroton, Dichlorothiazide, Cyclomethaside, Indapamide, njll):
- i-gout;
- i-hyperuricemia;
- hypokalemia;
- i-cirrhosis yesibindi esigabeni sokuqedela;
- isifo sikashukela (ngezinga eliphezulu), njll.
3. I-potassium-sparing diuretics (i-Spironolactone, i-Amiloride, i-Triamteren):
- i-hyperkalemia ;
- i-hypercalcemia;
- i-hyponatremia;
- uremia;
- ukungakwazi ukusebenza kwama-renal;
- i-acidosis ye-metabolic;
- i-anuria, njll.
I-Diuretics yokuvuvukala kwamehlo nobuso
Ukuvuvukala kobuso nendawo ezungeze amehlo kungabangelwa indlela engalungile yokuphila nokungondleki okungalungile, kodwa futhi nezifo ezihlukahlukene, phakathi kwazo:
- izifo zesimiso senhliziyo nesimiso se-circulatory;
- izinkinga zezinso;
- isifo sesibindi;
- ukuphazanyiswa kwezinqubo zemithi emzimbeni;
- izifo ezithathelwanayo;
- umfutho wegazi ophezulu;
- izinqubo ezithathelwanayo, njll.
Ukuqokwa kwamaphilisi e-diuretic kwenziwa kulezo zimo lapho i-edema inkulu, ikhula futhi ingahlali isikhathi eside. Ngaphezu kwalokho, kunganconywa uma ukuvuvukala kungadluli ngisho nangemva kokuqedwa kwezempilo. Ngesikhathi esifanayo ukuthola ukuthi yiziphi amaphilisi ezithwala izidakamizwa ongawaphuza kusuka e-edema, ingabe uchwepheshe kuphela emva kokuhlolwa okuphelele.
Izidakamizwa zokuvuvukala kwezinyawo nezandla
Izimbangela zokuvuvukala kwezandla nezinyawo nakho akubi kakhulu futhi zifaka uhlu olubanzi lwezifo. Sibala uhlu oluyinhloko kubo:
- isibindi noma isifo sezinso;
- isifo sofuba;
- izifo zesimiso se-lymphatic;
- i-toxicosis yabesifazane abakhulelwe;
- ukuhluleka kwenhliziyo ;
- izinqubo ezithathelwanayo emzimbeni;
- izifo ezithathelwanayo;
- isifo sikashukela mellitus;
- ukucindezeleka komzimba;
- ukungasebenzi komzimba we-thyroid, njll.
Kungaba nomphumela wokuzivocavoca ngokweqile, ukuphila ngokwemvelo, ukusebenzisa kabi utshwala, njll.
Ukwelashwa kwe-edema yezandla nezinyawo, okokuqala, kuhlinzekela ukuqedwa kwezimpande. Ama-Diuretics awaqashiwe kuwo wonke amacala, futhi kuphela ochwepheshe ongagweba ukubaluleka kokuphathwa kwabo. Kunezinhlobo eziningi zamagama ezidakamizwa zokuvuvukala kwezinyawo nezandla, futhi akunakwenzeka ukucacisa ukuthi yiziphi, ukuthi yiziphi izilinganiso nokuthi kuthatha isikhathi eside ukuthatha kanjani esimweni ngasinye, ngaphandle kokuzihlola. Ngakho-ke, ungalokothi uthathe i-diuretics ukuvuvukala ngokwakho, kodwa uxhumane nodokotela.