I-potassium-sparing diuretics

I-potassium-ignoring diuretics yizidakamizwa ezingamisa i-potassium emzimbeni. Lokhu kungenxa yemiphumela yabo emanzini kanye ne-sodium emzimbeni. Ngaphezu kwalokho, kuthinta ingcindezi yegazi. I-Diuretics ayisetshenzisiwe njengemithi emele - ithole uhlelo lokusebenza olubanzi ngokuhambisana nezinye izidakamizwa. Lokhu kukuvumela ukuba uqinise umphumela wemithi futhi ugweme ukulahlekelwa okukhulu kwe-potassium esigulini.

I-potassium-sparing diuretics - uhlu

Ukulungiswa kwaleli qembu kuthatha isiteji se-distal, lapho ukuvinjelwa kwe-potassium kuvinjelwe khona. Zihlukaniswe ngamaqembu amabili.

I-spironolactone (i-Aldactone, i- Veroshpiron)

Ngokusetshenziswa kahle kwezidakamizwa, ukucindezela kwe-systolic kunciphisa - lokhu kubhekwa njengethonya eliyanelisayo. Lezi zidakamizwa ngokuvamile zibekwe odokotela uma:

• kukhona i-edematous syndrome ngenxa ye-aldosterone;
• Ukungasebenzi kahle kwenhliziyo kwenzeka;
• ukwelashwa okunqunywe ngama-diuretics (ukugcina izinga elivamile le potassium).

Izidakamizwa ze-potassium-sparing zaleli qembu, njengezinye izidakamizwa eziningi, zinemiphumela emibi eminingi ebangelwa imiphumela ye-hormone. Ngakho, ngokwesibonelo, kumadoda angenamandla futhi gynecomastia ingabonakalisa. Abesifazane nabo bahlakulela isifo se-mammary gland, umjikelezo wokuya esikhathini uphukile, futhi ukuphuma kwegazi kungenzeka ngesikhathi sokuphuma kwamadoda.

Amilorides ne-Triampur

Lezi zidakamizwa azisebenzi ku-aldosterone. Zithinta zonke iziguli ngokulinganayo. Ayikho imiphumela emibi ezingeni le-hormonal. Umphumela we-Potassium-sparing kwenzeka ngenxa yokuvimbela ukufihla kwe-potassium ezingeni le-tubulus distal. Ngesikhathi esifanayo, i-magnesium nayo isusiwe emzimbeni.

Umphumela ovame kakhulu weli qembu le-potassium-sparing i-diuretics ibhekwa njenge- hyperkalemia . Ngokumelene nalokhu, kukhona ukukhululwa okusheshayo kwe-potassium kusuka amangqamuzana nokwanda kokugxilwa kwawo egazini. Ingozi yesifo isanda kakhulu uma izidakamizwa zinikezwa iziguli ezinezinkinga ezingenalutho noma isifo sikashukela.

Ukwanda okunamandla kokuqukethwe kwe-potassium kungabangela ukukhubazeka kwemisipha. Ngaphezu kwalokho, kunengozi yokuphazanyiswa komculo wenhliziyo, kuze kube sekupheleni okuphelele komzimba omzimba womzimba. Yingakho imishanguzo ehlobene naleli qembu kufanele ithathwe ngokucophelela, futhi kungenjalo kufanele umthamo ukwandiswe ngokuzimela.