Okodzetsa, awo cholinga, katundu, ofunsira

Okodzetsa kapena okodzetsa mosavuta, - ndi zinthu zomwe kulimbikitsa excretion wa mkodzo ndi kuchepa kuchuluka kwa madzimadzi ali cavities serous ndipo zimakhala. Nthawi zambiri, okodzetsa ntchito monga adjunct mu zochizira matenda a mtima, impso, chiwindi, limodzi ndi edema. Okodzetsa ukunenedwa chabe kuti mupewe stagnation, ndi chithandizo chachikulu ayenera kuthetsa ndondomeko pathological, n'zothandiza kudzikundikira madzimadzi owonjezera m'thupi.

Woyamba wa mankhwala diuretic wa dzuwa mkulu anali pafupi zaka zana zapitazo, pamene zotsatira diuretic wa Mercury anapezeka ndithu mwangozi, koma mankhwala ake ntchito pa matenda a chindoko. Pakali pano, okodzetsa Mercury ndi salinso ntchito chifukwa cha kawopsedwe ake okwezeka, koma kuphunzira ndalama awa zatenganso mbali ulili malingaliro amakono a asilikali extrarenal ndi diuretic diuretic kanthu.

Kuwonjezera kale ntchito okodzetsa chakale mankhwala enaake, amene xanthine ofanana nawo, panopa apanga ndi ntchito ndi mankhwala ena ambiri aluso: dihlotiazid furosemide tsiklometiazid (opangidwa kuchokera benzotiadiazina) diakarb (carbonic anhydrase woletsa), pterofen - triamterene, Leo Allatius (pteridine ena ofanana ndi pyrimidine) neri Al.

Komanso mankhwala pofuna kuthana ndi kudzikundikira madzimadzi owonjezera m'thupi, okodzetsa zachilengedwe ankagwiritsa ntchito (mbewu) monga cowberry ndi bearberry masamba, osiyanasiyana teas aimpso, masamba birch, milandu okodzetsa № № 1 ndi 2, horsetail therere.

Okodzetsa zotsatira chachikulu ndi kuonjezera excretion aimpso wa ayoni soda ndi madzi. Chifukwa umatha kulimbikitsa madzi ndi electrolyte malire mtima akumvekera ndiponso mphamvu magazi, okodzetsa Mankhwalawa amagwiritsidwa ntchito ngati wothandizira antihypertensive. Okodzetsa ndi amphamvu diuretic kanthu chifukwa mathamangitsidwe wa aimpso excretion anapezazo ntchito pa matenda a zinthu poyizoni tsiku zosiyanasiyana madzi sungunuka.

, Amene amaganizira mbali zonse za zochita za okodzetsa gulu kuti tsiku kulibe. okodzetsa onse ndi dongosolo osiyana mankhwala, chosiyana ndi chinzake mu kutanthauzira limagwirira awo, potency, liwiro isanayambike tingati nthawi ndi mbali zotsatira zake. Kwa nthawi yaitali gulu la kukodzakodza zinali zochokera mankhwala kapangidwe awo, iwo akhala akuyesetsa kuti m'kagulu malinga ndi chikhalidwe cha chikoka pa impso, koma okodzetsa ambiri ndipo amakonda extrarenal kanthu. Choncho, okodzetsa onse rationally wachinsinsi ndi njira zochita.

Zochokera pharmacodynamics mankhwala, okodzetsa amakono onse m'magulu atatu:

• potaziyamu-yosalekerera okodzetsa kumawonjezera excretion wa soda ndi pang'ono zokhudza excretion potaziyamu. Zikuphatikizapo amiloride, triamterene, spironolactone ndi eplerenone.
• saluretics - thiazide ofanana nawo, thiazide, kuzungulira okodzetsa, carbonic anhydrase zoletsa.
• osmotic okodzetsa, kuwonjezera kuthamanga mu tubules ndi yopewera reabsorption madzi - mannitol, urea.

Kuwonjezera gulu la pharmacodynamics wa okodzetsa ali m'magulu malinga ndi liwiro isanayambike ndi nthawi mphamvu.

Pamaziko a wolemekezeka: ofooka, sing'anga ndi diuretic amphamvu. The mofulumira chiyambire zotsatira diuretic kusiyanitsa mankhwala Emergency (kudya) kanthu - Mphindi 30-40, kanthu sing'anga - maola 2-4, kanthu pang'onopang'ono - masiku 2-4. Pakuti nthawi ya zotsatira diuretic: wotenga nthawi yochepa - maola 5-8, pafupifupi nthawi - maola 8-15, nthawi - masiku angapo.

M'dera chachikulu cha ntchito okodzetsa ndi matenda a mtima, makamaka magazi insufficiency syndrome ndi edema ndi matenda oopsa.