Isisu, abo injongo, izakhiwo, izicelo

Isisu isisu kulula, - kukhona izinto okuyinto ukukhuthaza excretion of umchamo bese wehlise inani loketshezi eziqukethwe izimbotshana serous nezicubu. Ezimweni eziningi, isisu ezisetshenziswa njengeziwusizo adjunct ekwelapheni izifo zenhliziyo, izinso, isibindi, ephelezelwa edema. Isisu enzelwe nje ekunciphiseni noma ekuqedeni yokujama tsi, futhi ukwelashwa main kufanele asuse inqubo sokugembula, ingqondo ekuqongeleleni uketshezi olunqwabelene emzimbeni.

Eyokuqala izidakamizwa isisu esebenza eziphakeme iminyaka eyikhulu edlule, lapho umphumela isisu mercury watholakala ngengozi, kodwa kunalokho compounds yayo isetshenziswa ekwelapheni ugcunsula. Okwamanje, i-mercury isisu kuthiwa ayisasetshenziswa ngenxa ubuthi yaso ephezulu, kodwa ekutadisheni lezi zimali odlale indima enkulu ekwakheni imibono yesimanje izindlela extrarenal futhi isisu isenzo isisu.

Futhi ngaphambili esetshenziswa akusebenzi mercury isisu, okuyizinto nemikhiqizo xanthine, okwamanje kuhlelwe futhi basebenzisa izindlela ezihlukahlukene nezinye imithi eminye esebenza ngempumelelo: dihlotiazid, tsiklometiazid furosemide (derivatives benzothiadiazine) Diacarbum (carbonic anhydrase inhibitor), pterofen - triamterene, Leo Allatius (amagama ahlobene of pteridine futhi pyrimidine) et al.

Futhi izidakamizwa ekunqandeni ukunqwabelana uketshezi olunqwabelene emzimbeni, isisu zemvelo asetshenziswa kabanzi (isitshalo) ezifana cowberry futhi bearberry amahlamvu, ezihlukahlukene zezinkambi kwezinso, birch efihlekile, amacala isisu № № 1 no-2, horsetail imbiza.

Isisu umphumela oyinhloko ukwandisa excretion kwezinso sodium ion namanzi. Ngenxa yekhono layo ukuze nomthelela amanzi electrolyte ibhalansi, ithoni semithambo kanye umthamo wegazi, isisu avame ukusetshenziswa njengoba ejenti antihypertensive. Isisu abe isinyathelo esiqatha isisu ngenxa ukusheshisa kwezinso excretion yokuthola isicelo ekwelapheni usuku ubuthi izinto ezihlukahlukene lapho ifakwa emanzini.

Omunye, okuyinto uyakucabangela zonke izici isenzo isisu ngezigaba kuze kube manje akekho. Zonke isisu kokuba ezahlukene isakhiwo sazo sekhemikhali, zahlukile esinye kwesinye e kwasendaweni indlela yabo, potency, ijubane ukuqala ukusebenza, ubude kanye imiphumela engemihle. Kwaphela isikhathi eside Ukwahlukaniswa isisu yayisekelwe yabo isakhiwo sazo sekhemikhali, baye bekwenziwa imizamo ukuze uhlukanise kubo ngokuvumelana nohlobo ithonya izinso, kodwa isisu eziningi futhi zivame extrarenal senzo. Ngakho-ke, zonke isisu ngendlela enomqondo oluthathwa by indlela izenzo zabo.

Ngokusekelwe pharmacodynamics izidakamizwa, zonke isisu yesimanje zihlukaniswe amaqembu amathathu:

• potassium-engashiyi isisu kwandisa excretion sodium futhi kancane ezithinta potassium excretion. Lezi zihlanganisa amiloride, triamterene, spironolactone futhi eplerenone.
• saluretics - nemikhiqizo thiazide, thiazide, iluphu isisu, carbonic anhydrase inhibitor.
• isisu osmotic, senyusa izinga lomfutho womoya ku tubules futhi kuvimbela reabsorption yamanzi - mannitol, urea.

Ngaphezu Ukwahlukaniswa pharmacodynamics of isisu ihlukaniswa ngokweminyaka ijubane kuqala nobude umphumela.

Ngenxa ovelele: ababuthakathaka, aphakathi nendawo kanye isisu oqinile. I rapidity of ukuqala umphumela isisu ukuhlukanisa izidakamizwa Esiphuthumayo (okusheshayo) isenzo - imizuzu 30-40, isenzo naphakathi - amahora 2-4, isenzo kancane - 2-4 izinsuku. Kuze kuphele isikhathi nomphumela isisu: esifushane oyibamba - amahora 5-8, ubude isilinganiso - amahora 8-15, ubude - kwezinsuku ezimbalwa.

Le ndawo eyinhloko ukusetshenziswa isisu kuyinto isifo senhliziyo, ikakhulukazi kwegazi esingamahlalakhona syndrome ne edema kanye nomfutho wegazi ophezulu.