Diuretics ke sehlopha sa lithethefatsi tsa lik'hemik'hale tse fapaneng, tseo khato ea tsona e lebisitsoeng ho ntlafatsa diuresis - ho thehoa le ho hlahisa moroto. Ho amoheloa ha tsona ho thusa ho fokotsa mokelikeli meleng le likhetlong tsa serous tsa 'mele. Sehlopha sa lithethefatsi tsena tsa diuretiki tse khetholloang li khethollehile, tse nang le phello e matla haholo.
Mochine oa khato ea li-diuretics tsa loop
Lithethefatsi tsena li ama motsoako oa Gengle, oo e leng karolo ea toro ea renal ka mokhoa oa ho lla, o lebisitsoeng bohareng ba liphio. Mosebetsi o ka sehloohong oa Gengle loop ke ho tsosolosa metsi le li-solutes. Mochine oa ketso ea lithethefatsi tse ling tsa diuretic e thehiloe liphethong tse 'maloa tse ka sehloohong:
- ho phomola ha mesifa e boreleli ea methapo ea mali;
- ho phalla ha mali ho eketsehileng;
- ho eketsa ho hloekisoa ha glomerular;
- fokotseha ka ho nchafatsa habonolo ea sodium, chlorine le li-ion tse seng kae tsa potassium;
- ho thibela matla a ho nchafatsa matla a magnesium.
Ntle le lisebelisoa tsa diuretic, lithethefatsi tsena li ama mehato e itseng ea hemodynamic, haholo ha e sebelisoa ka hare, hape e fokotsa molumo oa metsi a extracellular mme e ama mesebetsi ea phefumoloho.
Mesebetsi ea lithethefatsi tsa diuretic e holimo e hlaha ka potlako (kamora metsotso e 20 ho isa ho e 60) 'me e ka nka lihora tse 4 ho isa ho tse 6. Tšebeliso ea lisebelisoa tsena e lokile feela maemong a maholo. ba na le litla-morao tse tebileng. Ka ho khetheha, li sebelisetsoa:
- mathata a maholo ;
- edema ea pulmonary;
- edema ea boko;
- ho hloleha ha renal ho sa foleng;
- ho hloleha ha pelo;
- ho thatafala ha sebete;
- hypercalcemia .
Lethathamo la diuretiki tse loop
Lethathamong la li-diuretics tsa loop li lokiselitsoe ho latela lik'hemik'hale tse latelang:
- furosemide;
- turosemide;
- botetanide;
- ethacrynic acid;
- piretanide.