Ezinye izidakamizwa zisetshenziselwa ukuphatha izifo ezihluke ngokuphelele. Isibonelo, i-Diover inqunywe yi-urologists, izazi ze-cardiologists, ngisho nama-endocrinologists. Ukuqonda isimiso salesi sidakamizwa kungenziwa kuphela uma ngabe i-Diver ihloswe - izibonakaliso zokusebenzisa le mithi, izakhiwo zayo zemithi kanye nendlela yokusebenza.
Izinkomba eziyinhloko zokusetshenziswa kwesidakamizwa seDiski
Into esebenzayo emthini osubuzwayo i-torasemide. Le nhlanganisela yamakhemikhali iyimithi yesisu noma i-diuretic. Ngakho-ke, izinkomba zokusetshenziswa kwamaphilisi e-Diver ukuxilongwa kwe-5 noma 10 mg yizizwe ezahlukene ezihlotshaniswa nokuvela kokuvuvukala.
Indlela yokwenza i-torasemide ukunciphisa ukucindezelwa kwe-osmotic ezinqenjini zezinso (nephrons), kanye nokugqugquzela ukususwa kwe-fluid excess. Ngaphezu kwalokho, i-Diver ithuthukisa umsebenzi we-myocardial futhi inciphisa i-fibrosis. Ngesikhathi esifanayo, umuthi, kancane kancane kunezinye izidakamizwa, ususa hypokalemia (ukususwa kosawoti lwe-potassium emzimbeni). Ngenxa yalesi sici, izidakamizwa ezichazwayo zithandwa kakhulu ngezifundo zokwelapha zesikhathi eside, ukwelashwa kweziguli ezinezifo ezikhukhumezekile, kuhlanganise ne-kidney and kidney pathologies.
Kumele uqaphele ukuthi i-diuretic evezwe iyashesha kakhulu futhi ifakwe kahle. Ukuhlushwa okuphezulu kwegazi kutholakala emva kwamahora angu-1.5-2 emva kokuthatha amaphilisi, futhi ukutholakala kwezinkomo kungu-85-90% (ukuxhumeka kwamaprotheni e-plasma - 99%).
Enye inzuzo yeDiver - umphumela omude we-diuretic. Umphumela walesi sidakamizwa uhlala amahora angaba ngu-18, okukhulula isidingo sokuvakashela njalo endlini yangasese futhi kwenza ukwelashwa kwesisu kukhululekile ngangokunokwenzeka.
I-Torasemide idonswe kakhulu yizinso, ingxenye yayo engadingekile iqhutshwa ngesibindi. Ngaphandle kwezimo ezihlukahlukene ze-edematous syndromes, kufaka phakathi i-edema ezifweni zesibindi, izinhliziyo, izinso namaphaphu, izinkomba zokusetshenziswa kweDiver ziwumfutho wegazi ophezulu. Lezi zindlela ezihamba phambili zisiza ukunciphisa ngokuqhubekayo emzimbeni wegazi okwenziwe ngokutheleleka okuphelele.
Izifo lapho ukusetshenziswa kwemithi yeDiver kungavunyelwe
Naphezu kokuphepha okuqinisekisiwe kanye nomthelela ophansi wemiphumela emibi uma usebenzisa i-torasemide, umuthi obhekene nawo unemibuzo eminingi:
- i-hyponatremia noma i-hypokalemia, hypovolemia;
- ukungezwani kwanoma yiziphi izingxenye zomuthi;
- i-hepatic precoma kanye ne-coma;
- ukuphelelwa amanzi;
- ukwehluleka kwenqunu ngezimpawu ze-anuria;
- glomerulonephritis enzima;
- ukuphazamiseka kokuphuma komchamo;
- ukudakwa nama-glycosides;
- i-hyperuricemia;
- i-aortic kanye ne-mitral ephoswe yi-stenosis;
- i-hypertrophic cardiomyopathy;
- ukusabela okweqile ku-sulfonamide;
- ukwanda kwengcindezi ye-venous, engaphezu kuka-10 mm Hg. p.
- ukukhulelwa kanye nokulahlwa;
- iminyaka yezingane.
Ukusetshenziswa okuhlanganyelwe kweDiver no-Veroshpiron, kanye nezinye izidakamizwa
Odokotela bavame ukubeka ukudla okufanayo kwezidakamizwa ezimbili ze-diuretic. Lokhu kuyadingeka uma imithi eyodwa ihluleka ukufezekisa imiphumela oyifunayo yokwelapha. Ezimweni ezinjalo, kunconywa i-loop diuretic eqinile, isibonelo, ukuDaza, kanye nesidakamizwa esincane-i-Veroshpiron noma yimuphi omunye umshanguzo . Le ndlela yokwelashwa isanele ngokuphelele futhi ihlolwe ucwaningo lwezokwelapha kanye nolwazi, futhi akufanele kube nomphumela oweqile.