I-Diuretics (i-diuretics) inegalelo ekususeni uketshezi oluvela emathisini nokulungisa ukulinganisela komnyuzi wamanzi womzimba. Uhlu lwamaphilisi e-diuretic asetshenziselwa i-edema luyamangalisa, kodwa kufanele kuqashelwe ukuthi izidakamizwa zesigaba esithile zinconywa ngezifo ezihlukahlukene. Imithi efanayo yokwelapha yezifo ezithile iphephile, kwezinye izimo ingaba yingozi enkulu empilweni.
Uhlu lwezidakamizwa e-hypertension
Izidakamizwa zisiza nge-hypertension ukunciphisa ukucindezeleka kwegazi, ukukhulula umzimba we-fluid ngokweqile nosawoti. Izibalo zezokwelapha zibonisa ukuthi ukusetshenziswa kwama-diuretics kunciphisa isifo sezinkinga kubantu ababhekene ne-hypertension:
- ngendlela ye- infarction ye-myocardial - kusuka ku-14% ukuya ku-16%;
- ngesimo sokushaya - kusuka ku-38% kuya ku-42%.
Uhlu lwamaphilisi e-diuretic asetshenziselwa ukucindezelwa kuhlanganisa izidakamizwa eziseqembu lamaqembu ahlukene.
I-thiazide ne-thiazide-like diuretics
Lezi zithako, nakuba zingabhekwa njengendlela ephumelela kakhulu ekukhipheni usawoti namanzi, kodwa kunciphise kakhulu igazi. Kuleli qembu lezidakamizwa kukhona:
- Benzothiazide;
- I-Indapamide (Arifon);
- I-Clopamid;
- I-Dichlorothiazide (Hypothiazide).
Ngokuvamile, iziguli ezine-hypertension ziboniswa kahle nge-thiazide ne-thiazide-like-diuretics.
I-Loop diuretics
Iqembu okuthiwa i-loop diuretic lihlanganisa izidakamizwa ezithinta inqubo yokuhlunga kwezinso. Lezi zidakamizwa zikhulisa kakhulu uketshezi kasawoti kanye ne-liquid, kodwa zinemiphumela emibi kakhulu. Njengomthetho, i-loop diuretics inqunywe esimweni esibucayi - sinenkinga enkulu yegazi. Kuleli qembu kungukuthi:
- I-bumetanide;
- I-Furosemide;
- I-Etacrynic acid.
I-potassium-yokugwema izidakamizwa-izidakamizwa
Lezi zidakamizwa zinciphisa ukukhululwa kwe-potassium futhi zandisa kancane ukukhululwa kwe-sodium, i-chloride. Ukukhuluma ngeqoqo lamaphilisi e-potassium-sparing ekwelapheni kwe-hypertension kusetshenziselwa kuphela ukuhlanganiswa nezinye izidakamizwa ukuze kuthuthukiswe isenzo sabo kanye nokugwema i-leaching ngokweqile ye-potassium emzimbeni. Imithi ye-potassium-yokugwema ihlanganisa:
- I-Amyloride;
- Triamterene;
- I-spironolactone.
Abaphikisi be-Aldosterone
Leli qembu lihlanganisa izidakamizwa ezivimbela isenzo se-aldosterone - i-hormone egcina uketshezi nosawoti kuzicubu. Uma kukhishwa i-hormone ekhethiwe ngomchamo, kukhishwa usawoti namanzi amaningi, kodwa okuqukethwe kwe-potassium emzimbeni akunciphisi. I-Veroshpiron ingeqembu.
Uhlu lwezidakamizwa zokuvuvukala ubuso nobuso
Ukuvuvukala kweso noma ubuso kweso kuyimbangela yokunganeliseki ngokubukeka kwakho kunoma yimuphi owesifazane. Kodwa uma ukuvuvukala kwenzeka kaningi, kufanele ucabange ngempilo yakho futhi uhlole ukuhlolwa kwezokwelapha ukuthola lesi sifo, imbangela eyisisekelo yezinguquko ezimbi ekubukeni. Uma ukuvuvukala ebusweni - isenzakalo esisodwa sesikhathi esisodwa ngenxa yokuntuleka kokulala, inani eliningi lemali elidliwe kusukela kusihlwa, njll, ungaphuza amaphilisi e-diuretic wesizukulwane sokugcina, enenani eliphansi lemiphumela emibi:
- I-Trifas (esilinganisweni se-5 mg ngosuku);
- I-spironolactone;
- Triamterene.
Ngaphezu kwalokho, kufanele kucatshangelwe ukuthi kuphephile kakhulu ukusebenzisa izidakamizwa zezitshalo ngokusekelwe ku:
- amaqabunga eparsley;
- i-peppermint;
- i-birch efihlekile;
- cherry izithelo iziqu.
Ukunakwa sicela! Ukusetshenziswa okungalawulwa kokulawulwa kwezidakamizwa, isibonelo, ukulahlekelwa isisindo, kunomthelela omubi empilweni. Ukwephulwa ngokweqile kwesilinganiso samanzi-electrolyte kungaholela ekufeni.