Diuretics (diuretics) li tlatsetsa ho tlosoa ha metsi ho tsoa meleng le ho fetola lekaneng la letsoai la metsi. Lethathamo la matlapa a diuretic a sebelisoang bakeng sa edema ke a tsotehang, empa hoa lokela ho hlokomeloa hore li-diuretics tsa sehlopha se itseng li khothalletsoa maloetse a sa tšoaneng. Meriana e joalo ea diuretic ea mafu a mang e batla e sireletsehile, maemong a mang e ka ba kotsi e tebileng ho bophelo bo botle.
Lethathamo la diuretics ho tsoa ts'oaetsong ea mali
Diuretics li thusa ka khatello ea kelello ho theola khatello ea mali, ho fokotsa 'mele oa metsi a feteletseng le letsoai. Lipalo-palo tsa bongaka li bontša hore tšebeliso ea diuretiki e fokotsa liketsahalo tsa mathata ho batho ba nang le khatello ea meriana:
- ka mokhoa oa ho bolaoa ke moricardial infarction - ho tloha ho 14% ho ea ho 16%;
- ka mofuta oa stroke - ho tloha ho 38% ho ea ho 42%.
Lethathamo la matlapa a diuretic a sebelisetsoang khatello a kenyeletsa lithethefatsi tsa lihlopha tse fapaneng.
Thizide le thiazide-like diuretics
Litokisetso tsena, le hoja li sa nkoa e le tse atlehang haholo ho tlosa letsoai le metsi, empa li fokotsa khatello ea mali haholo. Ho sehlopha sena sa lithethefatsi ke:
- Benzothiazide;
- Indapamide (Arifon);
- Clopamid;
- Dichlorothiazide (Hypothiazide).
Hangata, bakuli ba nang le ts'oaetso ea mali ba bontšoa hantle ka thiazide le thiaude-like diuretics.
Loop diuretics
Sehlopha sa seo ho thoeng ke loop diuretic se akarelletsa lithethefatsi tse amang mokhoa oa ho hloekisa liphio. Lithethefatsi tsena li eketsa haholo litlhapi tsa letsoai le metsi, empa li na le litla-morao tse tebileng. E le molao, li-diuretic tse lutseng li boleloa boemong bo boima - le mathata a nang le khatello ea kelello. Ho sehlopha sena ke tsa:
- Bumetanide;
- Furosemide;
- Asacrynic acid.
Potassium-ho qoba lithethefatsi-diuretics
Lithethefatsi tsena li fokotsa ho lokolloa ha potassiamo 'me li eketsa butle-butle ho lokolloa ha sodium, chloride. Ho amana le sehlopha sa lipilisi tsa potassium ho phekola khaello ea meriana li sebelisetsoa feela ho kopana le li-diuretiki tse ling ho ntlafatsa liketso tsa bona le ho qoba leaching e feteletseng ea potassium 'meleng. Lithethefatsi tse ling tsa potassium li akarelletsa:
- Amyloride;
- Triamterene;
- Moea oa moea.
Bahanyetsi ba Aldosterone
Sehlopha sena se kenyelletsa lithethefatsi tse thibelang ketso ea aldosterone - hormone e bolokang metsi le letsoai linthong tse ling. Ha o fokotsa hormone e khethiloeng ka motsoako, letsoai le metsi a mangata a lokolloa, empa tse ling tsa potassium 'meleng ha li fokotsehe. Veroshpiron ke ea sehlopha.
Lethathamo la li-diuretics bakeng sa ho ruruha ha mahlo le mahlo
Ho ruruha ha sefahla kapa sefahleho ke sesosa sa ho se khotsofale le ponahalo ea hau ho mosali leha e le ofe. Empa haeba ho ruruha ho etsahala hangata, o lokela ho nahana ka bophelo bo botle le ho hlahloba bongaka ho fumana lefu lena, sesosa sa liphetoho tse mpe ka ponahalo. Haeba ho ruruha sefahlehong - nako ea nako e le 'ngoe e bakoang ke ho hloka boroko, metsi a mangata a fetotsoeng ho tloha mantsiboea, joalo-joalo, o ka noa matlapa a diuretic a moloko oa ho qetela, o nang le bonyane ba litla-morao:
- Trifas (tekanyo ea 5 mg ka letsatsi);
- Moea oa moea;
- Triamterene.
Ho phaella moo, ho lokela ho nkoa hore ho sireletsehile haholoanyane ho sebelisa diuretics ea limela ho thehiloe ho:
- makhasi a parsley;
- peppermint;
- birch buds;
- lipalesa tsa litholoana tsa cherry.
Ela hloko ka kopo! Tšebeliso e sa laoleheng ea diuretiki, mohlala, bakeng sa tahlehelo ea boima ba 'mele, e na le phello e mpe bophelong. Ho tlōla ho tebileng ha tekanyo ea metsi-electrolyte ho ka lebisa lefung.