Diuretics (tshuaj diuretic) tshwj xeeb cuam tshuam rau kev ua haujlwm ntawm lub raum, pab txhawb rau kev nthuav tawm ceev ntawm cov zis los ntawm lub cev. Lub tshuab kev ntawm kev ua ntawm cov nyiaj no yog ua raws li kev muaj peev xwm los tiv thaiv qhov thim rov qab nqus ntawm electrolytes hauv cov hlab hlaws. Nrog rau qhov nce hauv qhov ntim ntawm electrolytes tso tawm, qee qhov nqi ntawm cov kua ua kua.
Thawj lub diuretic tshwm rov qab rau xyoo 19th, thaum nws paub txog cov tshuaj mercury, uas tau siv dav kho mob syphilis. Txawm li cas los xij, hauv kev kho tus kab mob no, cov tshuaj mercury tsis tau tshwm sim nws tus kheej hauv txhua txoj kev, tab sis pom qhov kev ntxim nyiam diuretic rau tib neeg lub cev tau pom.
Tom qab qee lub sijhawm, kev npaj txhij txhua mercury tau hloov pauv los ntawm cov khoom tsis zoo thiab muaj tshuaj lom. Kev txhim kho ntxiv ntawm diuretics coj mus rau qhov tshwm sim ntawm cov tshuaj diuretic uas muaj zog.
Thaum kho nrog diuretics, nquag thiab txhawb kev kho yog cais. Nrog rau kev tswj theem, cov tshuaj diuretics raug noj tas mus li, nrog kev kho mob nquag, kev siv cov koob tshuaj ntawm cov tshuaj siv tau muaj txiaj ntsig tau qhia.
Thaum muab tshuaj kho mob
Nws yuav tsum raug sau tseg tias diuretics ib leeg tsis muaj kev cuam tshuam zoo rau cov ntshav qab zib, vim li no lawv raug pom zoo kom noj nrog beta-blockers, ACE inhibitors.
Ua ntej tshaj plaws, nrog hom 2 mob ntshav qab zib, beta-blockers yog cov kws kho:
- xaiv thiab tsis xaiv;
- lipophilic thiab hydrophilic;
- nrog kev ua sympathomimetic thiab tsis muaj nws.
Txhais tau tias cov pab pawg no tseem ceeb heev rau cov neeg mob ntshav qab zib, uas muaj keeb kwm ntawm lub plawv tsis ua haujlwm, mob plawv, thaum lub sijhawm rov qab kis mob.
Ntawm cov ntshav qab zib, tshuaj diuretics feem ntau pom zoo kom txo cov tsos mob ntawm kub siab thiab tshem tawm kev o. Nws yuav tsum coj mus rau hauv tus account tias tsis yog txhua tus diuretic tso cai rau siv rau teeb meem nrog insulin, yog li kev kho tus kheej yuav ua rau muaj kev puas tsuaj rau kev noj qab haus huv.
Qhov ua kom cov pa oxygen tsawg dua ntawm cov mob plawv thaum kho nrog diuretics yog piav qhia los ntawm kev ntxhov siab los ntawm cov hlwb myocardial, kev ntxhov siab ntawm txoj hlab ntsws laug, txhim kho microcirculation hauv ob lub raum, thiab txo cov platelet adhesion.
Ntau tus neeg mob uas tau mob ntshav tawm los yog tawm thiazide diuretics ntev, tab sis lawv ua rau sodium poob loj. Nyob rau tib lub sijhawm:
- nce qib ntawm triglycerides, roj cholesterol thiab qabzib;
- nws muaj kev txwv ntawm kev siv ntawm diuretics.
Tab sis kev tshawb fawb txog kev kho mob tsis ntev los no tau pom tias kev siv tshuaj diuretics hauv ntshav qab zib ua rau muaj kev tsis zoo ntawm lub cev tshwj xeeb thaum siv ntau qhov ntau.
Thaum noj cov thiazide diuretics, nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom haus cov zaub thiab txiv hmab txiv ntoo txaus, uas yuav pab tau kom them rau cov dej qab ntsev, potassium thiab magnesium. Koj kuj yuav tsum nco ntsoov qhov zoo li ntawm qhov txo qis hauv kev nkag siab ntawm cov hlwb rau cov tshuaj insulin. Thaum lub sijhawm kev kho mob, nws yog ib qho tsim nyog los tswj kev ua kom lub siab ntawm cov ntshav qab zib, thiab yog tias tsim nyog, nce cov diuretic ntau ntxiv.
Txog rau txhais ceg txhawm rau mob ntshav qab zib hom 2, tus kws kho mob tuaj yeem sau ntawv Indapamide lossis nws cov roj ntsha Arifon. Ob qho tshuaj tsis tuaj yeem cuam tshuam txog cov metabolism hauv cov metabolism, uas yog qhov tseem ceeb tshaj plaws rau teeb meem rau cov piam thaj. Lwm qhov ntxiv ntawm kev kho mob nrog cov diuretics yog qhov txiaj ntsig zoo tsis nyob ntawm qhov kev lees txais ntawm cov tshuaj, yog li koj tuaj yeem noj tsuas yog ib ntsiav tshuaj ib hnub.
Lwm txoj kev tso ntshav qab zib tsawg dua nyob rau hom 2 mob ntshav qab zib, yog li koj tuaj yeem nqa:
- lub voj kev npaj (tshwj xeeb rau kev ceev nrawm ntawm lub siab);
- tag nrho cov tshuaj potassium-sparing, ua ke thiazide (kom paub tseeb tias yuav tsum txo qis cov poov tshuaj).
Hauv cov ntshav qab zib 2, kev siv cov tshuaj diuretic tuaj yeem tsim cov txiaj ntsig uas tsis xav tau xws li txo qis hauv insulin rhiab heev. Xws li cov tshuaj tiv thaiv ntawm lub cev tuaj yeem pom txawm tias tsis muaj kev kho ntev ntev ntawm kev kub siab.
Cov neeg sawv cev txuas ntxiv uas muab cov nyhuv diuretic yog siv ntau tsawg dua, tsuas yog thaum qee yam mob.
Kev tshwm sim tsis zoo ntawm cov tshuaj diuretics
Tshuaj kho ntshav qab zib hom ntshav qab zib hom 2 qee zaum nce uric acid rau hauv cov hlab ntshav. Yog li, cov neeg mob uas tseem tau pom tias muaj mob caj dab gouty tuaj yeem pom pom qhov tsis zoo hauv kev noj qab haus huv.
Txhais tau hais tias ntawm pawg thiazide, piv txwv li, cov ntsiav tshuaj Hypothiazide, Hydrochlorothiazide, tuaj yeem ua rau cov kev tsis haum siab, uas tau tshwm sim los ntawm mob taub hau, tsis muaj zog, raws plab, bouts ntawm xeev siab, ib qho kev xav ntawm dryness hauv qhov ncauj kab noj hniav.
Nrog ib qho tsis txaus ntawm ions tshwm sim:
- txo qis libido rau txiv neej;
- arrhythmia;
- leeg tsis muaj zog;
- ua pob ua xua;
- spasms hauv cov leeg pob txha.
Kev siv cov diuretic Furosemide yuav ua rau txo cov concentration ntawm magnesium, calcium, potassium, tso zis heev. Tus mob no, nyeg, coj mus rau qhov txo qis hauv lub rooj sib hais, paresthesia.
Aldosterone antagonists yuav ua rau mob taub hau, ua kom qaug dab peg, ntuav, raws plab, ua pob rau daim tawv nqaij, mob caj dab. Ntawm cov pojniam uas muaj ntshav qab zib nrog rau qhov tsis ntau npaum, kev coj khaub ncaws tsis xwm yeem thiab hirsutism yuav pom.
Cov tshuaj Dibicor
Dibicor yog cov tshuaj tshiab rau kev txhim kho cov metabolism hauv cov ntaub so ntswg, uas tseem muaj cov nyhuv diuretic. Muaj ib ntsiav tshuaj:
- taurine;
- microcrystalline cellulose;
- hmoov txhuv nplej siab;
- lwm cov tshuaj ntxiv.
Cov lus qhia rau kev siv qhia tau hais tias, nrog rau kev siv ntev, cov ntshav qab zib tau sau ib qho kev txhim kho tseem ceeb hauv nws txoj kev mob, nws cov ntshav ncig hauv cov kab mob pom pom sai sai.
Dibicor hauv kev txhaj tshuaj me me yuav pab txo qis qhov tsis zoo uas tshwm sim thaum siv lwm cov tshuaj rau thaiv cov calcium calcium. Tsis tas li ntawd, muaj qhov txo qis rhiab heev ntawm lub siab rau cov neeg ua haujlwm tiv thaiv kab mob.
Txog cov ntshav qab zib, muaj lwm qhov ntxiv ntawm kev siv Dibicor - nyob rau hauv cov koob tshuaj siab, rau 14 hnub, nws txo qhov kev xav ntawm cov piam thaj hauv cov ntshav.
Nws yog ib qho tsim nyog yuav tsum coj Dibicor qhov ncauj nrog qhov txaus ntawm cov dej sov tsis muaj roj. Qhov ntau npaum li cas nyob ntawm:
- hom ntshav qab zib;
- nws qhov mob hnyav.
Yog tias tus neeg muaj keeb kwm mob plawv lossis lub plawv tsis zoo, nws raug nquahu kom noj 250-500 mg ntawm cov tshuaj nquag ib hnub 15 feeb ua ntej noj mov. Lub sijhawm tiv thaiv yog 1 hlis. Yog tias tsim nyog, muab tshuaj rau raug kho. Qee zaum cov ntshav qab zib tau kho nrog Dibicor 1.5 hli.
Hauv cov ntshav qab zib mellitus ntawm yam thib ob, Dibicor yog noj hauv qhov ntau npaum li 500 mg ob zaug ib hnub, nws muaj peev xwm tshem tawm cov kua qog tawm ntawm lub cev tsuas yog siv ua ke nrog hypoglycemic tus neeg sawv cev.
Thaum mob hypercholesterolemia tshwm sim, nws txaus noj ib zaug xwb ntawm cov tshuaj kom txo cov ntshav qab zib kom tsawg. Ntau tus neeg mob tshuaj xyuas tau paub meej txog qhov zoo ntawm cov ntsiav tshuaj uas twb tau nyob hauv lub lim tiam thib ob lossis thib peb ntawm chav kawm.
Kev ua lag luam kws tshuaj yuav muaj ntau yam tshuaj noj ntawm Dibikor, ntawm lawv yog cov khoom siv tshuaj ntsuab. Tus nqi ntawm analogues yuav txawv nyob ntawm cov neeg tsim khoom, cov ntsiab lus ntawm taurine, lwm yam tshuaj yeeb dej caw.
Cov tshuaj yeeb yaj kiab uas nrov tshaj plaws ntawm cov tshuaj:
- Mildrazine;
- Kapikor;
- Taufon;
- Txhawj Mildronate tsuas yog siv rau cov ntshav qab zib hom 2 xwb.
Ntuj analogues ntawm no tshuaj diuretic yuav tsum tau sau tseg tincture ntawm paj thiab nplooj ntawm hawthorn.
Piav xaiv ntsej muag
Nrog ntshav qab zib hom 2, koj tuaj yeem siv tsis tsuas yog cov tshuaj diuretics, tab sis kuj siv tshuaj suav tshuaj. Txawm li cas los xij, ua ntej siv lawv, koj yuav tsum tau sab laj nrog koj tus kws kho mob tas li, qhov no yuav cia koj:
- teeb pes tsawg koob;
- kuaj cov khoom lag luam kom sib raug zoo nrog cov tshuaj tseem ceeb.
Feem ntau, cov kws kho mob pom zoo nyom rau sushitsu, nws yog siv nyob rau hauv daim ntawv ntawm decoction peb zaug ib hnub rau 2 teaspoons. Nws yog qhov zoo tshaj plaws los haus dej haus xws li kev nqus nrog nrog kev da dej kub. Cov txheej txheem ua tau zoo tshaj plaws ua ntej mus pw.
Tshem cov kua dej ntau dhau ntawm lub cev tuaj yeem ua tiav los ntawm kev noj cov laus elderberry, uas kuj yog ib qho sedative. Cov khoom sib xws sib txawv dub blackberry hauv paus. Blueberry nplooj ntawv muaj cov diuretic thiab tonic ua haujlwm, tus neeg sawv cev tuaj yeem siv los ua txhua yam haujlwm hauv cov plab hnyuv siab raum.
Kho cov kev ua haujlwm, muaj cov nyhuv diuretic tuaj yeem ua pob tw thiab cov nplooj chicory. Ginseng paus pab txhawm rau txhim kho qhov tseem ceeb ntawm kev mob ntshav qab zib thiab ua kom lub cev tsis xis nyob. Cov cuab yeej no suav hais tias yog qhov ua tau zoo tshaj plaws rau ntshav qab zib ntawm txhua yam.
Cov lus thov kho mob ntshav qab zib yog tshuaj sijhawm, ntau qhov ntawm lawv cov tau lees paub los ntawm cov tshuaj raug cai thiab raug siv los tshem tawm cov teeb meem mob ntshav qab zib. Nws yog qhov yooj yim heev uas cov tshuaj ntsuab thiab tshuaj qab zib raug tso cai kom coj nrog rau tshuaj tiv thaiv kab mob thiab lwm yam tshuaj. Txog ntawm no thiab txog cov hau kev tshiab ntawm kev kho mob ntshav qab zib - hauv yeeb yaj kiab hauv tsab xov xwm no.
