Amaphilisi isisu

Isisu isisu amaphilisi - izidakamizwa ezinethonya abakhethayo izinso, futhi ngenxa yalokho, kwandisa diuresis.

Isisu kusetshenziswa imithi isikhathi eside, eminyakeni engaphezu kuka-50, le mithi asetshenziselwa ukwelapha umfutho ophakeme wegazi isifo so-renal kanye. Izifundo ososayensi American wabonisa ukuthi isisu empeleni zabo zokwelapha akuyona kunabayeni namanye amaqembu izidakamizwa antihypertensive.

izidakamizwa isisu zihlukaniswe namakilasi ngokusho ezingeni ukuchayeka izidakamizwa izinso:

• Iqembu isisu osmotic - ikhuthaza ikakhulukazi amanzi diuresis. The main omele Monnitol.
• Saluretics - amaphilisi isisu okuyinto ukuthuthukisa excretion potassium, i-sodium ne-chlorine. Abamele Furosemide, Hydrochlorothiazide.
• isisu potassium-engashiyi, okuchukuluza zemali esasizosheshisa sodium excreted kanye potassium excretion block. Abamele amiloride, spironolactone.

Lo mshini wezenzo ejenti isisu sibhekiswe ukunciphisa afundwa igazi ivolumu emzimbeni womuntu, ukunciphisa excretion sodium kanye nokuncipha izinqolobane zalo e endothelium semithambo, kanye nokunikeza ngqo vazodilyatiruyuschego senzo.

Ngakho, amaphilisi isisu ukuwela isisu, kuthiwa angena egazini futhi lingene egazini ku nezinso isinyathelo lapho amazinga ehlukene filtration futhi reabsorption. Lokhu kwenza kube nokwenzeka ukuthonya iziguli diuresis, ezingeni okusamanzi emzimbeni, futhi kungakho blood pressure.

I izinkomba esiyinhloko isisu kukhona nomfutho wegazi ophezulu kanye yokumelwa yinhliziyo. Nokho, isisu ziyasebenza futhi ezinye izifo izinso, ukudakwa, kanye nesifo senhliziyo. isisu Easy ingasetshenziswa ezinye izifo yemvelo urogenital noma ukunciphisa ukuvuvukala.

Izimo nokuqokwa isisu angabhekwa:

1. sifo
2. dyslipidemia
3. ngifundise ngesifo sikashukela
4. ukwehluleka kwezinso (i tiozidnyh futhi isisu potassium-engashiyi kuphela).

amaphilisi isisu, naphezu kwazo zonke izimfanelo zayo ezinhle, olungenayo side effects, ngokuvamile main Ukuvinjwa isici ukuya khona.

Ukuze iluphu isisu:

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

Iqembu tiozidnyh isisu futhi analogue yabo ine ezimbalwa kakhulu side effects okwabahlula ababengaphambi zabo:

• okwandisa lokuhlushwa potassium;
• yenyuka kashukela;
• igazi umchamo;
• induku.

Potassium-engashiyi isisu amaphilisi babe cishe akukho imiphumela emibi, kwezinye izimo, kungabonakala nasemkhakheni ubuthakathaka futhi ukwandisa potassium igazi.

Kumele kukhunjulwe ukuthi akuwona wonke izidakamizwa ehlangana kahle nomunye. Njengoba ukuba isisu, ke kudingeka uqaphe kakhulu, ngoba nge nomfutho wegazi ophezulu nezinye izidakamizwa eziningi antihypertensive isetshenziswa ngaphezu isisu.

Ngokwesibonelo, furosemide lihambisana ejenti elwa namagciwane aminoglikazidnymi inyuka imiphumela ototoxic, futhi lihambisana glycosides inhliziyo - ngesivinini kumiswa umphumela anobuthi. Furosemide ne ama-NSAID kungehlisa umphumela isisu wokuqala.

Tiozidnye isisu kungcono kuhlangene izidakamizwa antihypertensive, njengoba bona ukukhulisa lo mphumela. Nokho, konke okusemandleni abo akufanele sisetshenziselwe ngokuhlanganyela glycosides inhliziyo - lokhu kungaholela ukuthuthukiswa ngokushesha lokudakwa.

isisu potassium-engashiyi nethonya elihle lihambisana izidakamizwa antihypertensive nemibi ne ama-NSAID futhi glycosides inhliziyo.