Diuretic tshuaj

Diuretics los yog diuretics ntsiav tshuaj - tshuaj uas muaj ib tug xim ntxim rau ob lub raum thiab, yog li ntawd, tsub kom lub diuresis.

Diuretics yog siv nyob rau hauv cov tshuaj rau ib ntev lub sij hawm ntawm lub sij hawm, ntau tshaj 50 xyoo, cov tshuaj yog siv rau cov kev kho mob ntawm kub siab thiab raum kab mob. Kev tshawb fawb los ntawm American zaum pom tias diuretics nyob rau hauv lawv kho nyhuv yog tsis inferior mus rau lwm cov pab pawg ntawm cov antihypertensive tshuaj.

Diuretic tshuaj muab faib mus rau hauv cov chav kawm ntawv raws li mus rau theem ntawm raug mus rau yeeb tshuaj nyob rau hauv lub raum:

• Group osmotic diuretic - yeej txhawb feem ntau yog dej diuresis. Lub ntsiab tus neeg sawv cev Monnitol.
• Saluretics - diuretic ntsiav tshuaj uas txhim khu lub feem ntawm poov tshuaj, sodium thiab chlorine. Cov neeg sawv cev Furosemide, Hydrochlorothiazide.
• Poov tshuaj-sparing diuretics, uas ntxias ib tug ceev cia hnab khib tas sodium thiab potassium feem thaiv. Cov neeg sawv cev amiloride, spironolactone.

Lub mechanism ntawm qhov kev txiav txim ntawm diuretic tshuaj mas siv qhia rau kom txhob muaj cov ntshav ntim rau hauv tib neeg lub cev, txo cov feem ntawm sodium thiab txo nws reserves nyob rau hauv lub vascular endothelium, raws li zoo raws li muab tso nyiaj ncaj qha vazodilyatiruyuschego kev txiav txim.

Raws li, diuretic ntsiav tshuaj poob rau hauv lub plab, yog absorbed rau hauv cov hlab ntsha thiab nkag mus rau hauv cov hlab ntsha mus rau hauv ob lub raum thiab ua muaj nyob rau lub ntau yam kev pom thiab reabsorption. Qhov no ua rau nws ua tau rau feem xyuam rau txoj diuresis cov neeg mob, cov theem ntawm cov kua hauv lub cev, thiab ua li no cov ntshav siab.

Lub ntsiab indications rau diuretics yog tawg thiab lub plawv tsis ua hauj lwm. Txawm li cas los, diuretics yog zoo thiab ib co raum kab mob, intoxication, thiab kab mob plawv. Ib qho yooj yim diuretic yuav siv tau nyob rau hauv ib co kab mob ntawm lub urogenital xwm los yog mus rau txo o.

Contraindications mus rau lub sij hawm ntawm diuretics yuav suav hais tias:

1. gout
2. dyslipidemia
3. mob ntshav qab zib mellitus
4. Raum tsis ua hauj lwm (rau tiozidnyh thiab poov tshuaj-sparing diuretics xwb).

Diuretic tshuaj, txawm tag nrho nws cov zoo zoo, tsis devoid ntawm sab los, uas yog feem ntau lub ntsiab thaiv tau rau lawv lo lus uas peb.

Rau cov voj diuretics:

• hypotension;
• gipokaliyemiya;
• hyperuricemia;
• hypercalcemia;
• ozotemiya;
• piam thaj kam rau ua.

Group tiozidnyh diuretics thiab lawv analogues muaj deb tsawg dua cov kev phiv tshaj lawv cov predecessors:

• ua lub concentration ntawm poov tshuaj;
• sawv nyob rau hauv cov ntshav qab zib;
• ntshav nyob rau hauv cov zis;
• impotence.

Poov tshuaj-sparing diuretics ntsiav tshuaj muaj zoo tsis muaj tsis zoo los, nyob rau hauv tej rooj plaub, yuav tsum tau cai impotence thiab ua rau kom poov tshuaj nyob rau hauv cov ntshav.

Nws yuav tsum tau nco ntsoov tias twb tsis tag nrho cov tshuaj yog zoo tag nrho nrog rau txhua lwm yam. Raws li diuretics, ces lawv yuav tsum tau ceev faj heev, vim hais tias nrog tawg ntau lwm antihypertensive tshuaj no yog siv nyob rau hauv tas li ntawd mus diuretics.

Piv txwv li, furosemide nyob rau hauv ua ke nrog nrog antibacterial cov neeg ua hauj aminoglikazidnymi nce ototoxic los, thiab nyob rau hauv ua ke nrog nrog mob glycosides - accelerates tus tsim ntawm cov tshuaj lom nyhuv. Furosemide nrog narcotics yuav muab tej zaum yuav txo tus diuretic nyhuv ntawm tus thawj.

Tiozidnye diuretics yog zoo tshaj plaws ua ke nrog antihypertensive tshuaj, raws li lawv ua kom nrov loj no cov nyhuv. Txawm li cas los, lawv cov zoo tshaj plaws yuav tsum tsis txhob siv rau cov tau nrog mob glycosides - qhov no yuav ua tau kom lub ceev ceev txoj kev loj hlob ntawm intoxication.

Poov tshuaj-sparing diuretics muaj ib tug zoo zoo nyob rau hauv ua ke nrog nrog antihypertensive tshuaj thiab tsis zoo nrog narcotics yuav muab thiab mob glycosides.