Iipilisi umchamo

Womchamo okanye womchamo tablets - iziyobisi kuba nefuthe ukuvumbulula izintso, ke ngoko, kunyusa diuresis.

Womchamo zisetyenziswa iyeza ixesha elide, kwiminyaka engama-50 ngaphezulu kwe, la machiza asetyenziswa ukunyanga lwegazi kunye isifo sezintso. Studies zizazinzulu zaseMelika wabonisa ukuba womchamo ukusebenza zabo zonyango akukho enasilela ngayo kwamanye amaqela iziyobisi umfutho.

Amachiza umchamo zahlulwe kwiiklasi ngokungqinelana nenqanaba sesichengeni ichiza kwi kidney:

• Group umchamo osmotic - ikhuthaza ubukhulu becala diuresis amanzi. Eyona ummeli Monnitol.
• Saluretics - tablets umchamo leyo ukuphucula kukhuthaza potassium, sodium kunye chlorine. Abameli Furosemide, Hydrochlorothiazide.
• womchamo potassium-ungayekwa, zivuse zemali olukhawulezisiweyo sodium idubule kunye potassium zinomgutyulo block. Abameli amiloride, spironolactone.

Indlela yokusebenza ye arhente umchamo olujoliswe ekunciphiseni elijikeleziswa umthamo wegazi emzimbeni womntu, ukunciphisa kukhuthaza sodium kunye nokuncipha oovimba balo endothelium semithambo, kwakunye nokubonelela ngqo inyathelo vazodilyatiruyuschego.

Ngako oko, amacwecwe umchamo oluwe esiswini, iye yangena egazini kwaye ngenisa egazini kulo izintso senze khona phezu kumanqanaba ahlukeneyo ukuhluza kunye reabsorption. Oku kwenza kube lula ukuba ukuphembelela izigulane diuresis, inqanaba ulwelo emzimbeni, kwaye kungoko uxinzelelo lwegazi.

Yayibubungqina ezingundoqo womchamo ezi lwegazi kunye nokungaphumeleli intliziyo. Noko ke, womchamo kuluncedo yaye ezinye izifo zezintso, ukunxila, kunye nesifo sentliziyo. umchamo Easy ingasetyenziswa kwezinye izifo uhlobo enzala okanye ukunciphisa ukudumba.

Izimo ukuba ukuqeshwa womchamo kungathathwa:

1. sifo
2. dyslipidemia
3. iswekile osegazini
4. ukusilela kwezintso (ngokuba tiozidnyh kunye womchamo potassium-engashiyi kuphela).

iipilisi umchamo, nangona zonke iimpawu zayo ezintle, olungenayo ziziphumo ebezingalindelekanga, ezo kaninzi yokuvimba factor iphambili ukuya khona.

Kuba womchamo loop:

• hypotension;
• gipokaliyemiya;
• hyperuricemia;
• hypercalcemia;
• ozotemiya;
• ukunyamezelana glucose.

Group tiozidnyh womchamo kunye analogue zabo lineziphumo ebezingalindelekanga ezimbalwa ababengaphambi zabo:

• ukwandisa uyondelelwano lwee- potassium;
• avuke iswekile egazini;
• igazi umchamo;
• induku.

Potassium-engashiyi womchamo Ezipilisi phantse akukho kubagulisa, kwezinye iimeko, inokubonakalisa namandla nokwandisa potassium egazini.

Kufuneka kukhunjulwe ukuba asingawo onke amachiza zidityaniswe kakuhle nenye. Njengoko ku womchamo, ngoko ke kufuneka ukuba silumke kunene, kuba kunye lwegazi namanye amachiza amaninzi umfutho kusetyenziswa ukongeza womchamo.

Umzekelo, furosemide kunye arhente antibacterial aminoglikazidnymi ukunyuka iziphumo ototoxic, kwaye zidityaniswe kunye glycosides kwentliziyo - ibalekisa ukuyilwa isiphumo enetyhefu. Furosemide kunye NSAIDs kungacutha isiphumo umchamo lokuqala.

Tiozidnye womchamo kuhlanganiswa kakhulu iziyobisi umfutho, njengoko ukuba ikhulise le isiphumo. Noko ke, konke okusemandleni ukuba zingasetyenziswa ngokusebenzisana kunye glycosides kwentliziyo - oku kukhokelela kuphuhliso ngokukhawuleza ukunxila.

womchamo potassium-zingawucongi kuba nempembelelo entle kunye namachiza umfutho nezimbi kunye NSAIDs kunye glycosides inhliziyo.