Imodzi mwa mitundu yowonjezereka ya mankhwala othamanga magazi imadziwika ngati diuretic. Mankhwalawa amachepetsa kuthamanga kwa magazi mwa kuthandiza thupi lanu kuchotsa madzi ochulukirapo ndi mchere kupyolera mu impso zanu, zomwe zimalola kuti mtima wanu ukhale bwino. Diuretics amadziwika kuti "mapiritsi a madzi" ndipo amachititsa zinthu zambiri, kuphatikizapo kuthamanga kwa magazi, mtima wosalimba , ndi mavuto a impso.
Thiazide diuretics, monga hydrochlorothiazide, amagwiritsidwa ntchito pochiza magazi. Ma diuretic amphamvu amagwiritsidwa ntchito mobwerezabwereza kuchotseratu madzi owonjezera, kapena edema, odwala omwe ali ndi vuto la mtima. Zina zowopsa za thiazide zomwe zimagwiritsidwa ntchito pochiza matenda ndizo:
- Hydrochlorothiazide
- Indapamide
- Chlorothiazide
- Metolazone
- Chlorthalidone
Lasix ndi Bumex ndi awiri omwe amachititsa kuti anthu asamakhale ndi mtima wokwanira. Zimagwira ntchito poletsa kubwezeretsanso kwa madzi omwe amapyola mu impso zanu, ndipo madzi owonjezera amachotsedwa mkodzo. Zina zowonjezera mavitamini ndi torsemid (Demadex) ndi asiracrynic acid (Edecrin.) Potassium-ignaring diuretics monga Aactactone nthawi zambiri imagwiritsidwa ntchito panthawi imodzimodzi monga diuretics ena, kuti asunge potaziyamu mu thupi lanu. Sizimachepetsa kwambiri kuthamanga kwa magazi zikagwiritsidwa ntchito payekha. Potassium-sparing diuretics ikuphatikizapo:
- Spironolactone
- Amiloride
- Triamterene
Zotsatira Zotsatira
Diuretics ingayambitse kukodza. Izi zimachitika kwa maola angapo. Zotsatira zina zimaphatikizapo kusamvana kwa electrolyte. Mukhoza kutaya electrolyte mu mkodzo wanu mutatenga diuretic, kotero dokotala wanu ayang'ane zamakina a magazi pamene mukugwiritsa ntchito mankhwalawa.
Anthu ena amakumana ndi zofooka kapena kutopa pamene ayamba kugwiritsa ntchito diuretic, koma izi zimatsimikiza pambuyo pa masabata angapo, pamene munthu amayamba kugwiritsa ntchito mankhwalawa. Mphuno ya mitsempha imachitanso, makamaka pamene diuretic imachotsa potassium. Nthawi zina, mungafunikire kuwonjezera zowonjezera potaziyamu ngati mutenga diuretic. Ndikofunika kufunsa dokotala musanatenge mtundu uliwonse wa mchere.
Chizungulire kapena masomphenya olakwika akhoza kuchitika pogwiritsa ntchito diuretic. Izi zikhoza kukhala zotsatira za kutaya madzi kwa madzi. Mukatenga diuretic, muyenera kuyang'ana kukwera kwa mkodzo, kuchepa mwamphamvu kapena kuyamwa mkamwa, kapena mkodzo wamdima. Itanani dokotala wanu ngati izi zikuchitika. Pomaliza, ngati mutayala mofulumira, malungo, chifuwa, kukhuta m'makutu anu, kuwukha magazi kapena kuvulaza kwachilendo, funsani dotolo mwamsanga. Ngati muli ndi zovuta zowonjezera mankhwala osokoneza bongo, muyenera kudziwa kuti ma diuretics ambiri ali ndi sulfa. Uzani dokotala wanu ngati muli ndi mankhwala enaake.
Zofunika Kwambiri
Ngati dokotala akulamula diuretic kuti muteteze matenda anu oopsa, ndi bwino kuuza dokotala wanu za mankhwala alionse kapena mankhwala owonjezera omwe mumatenga. Izi zimaphatikizapo mankhwala a zitsamba komanso mankhwala osokoneza bongo.
Muyenera kumuuza dokotala nthawi zonse za matenda alionse. Ingotenga diuretic monga momwe adalangizira. Zingakhale zothandiza kutenga diuretic m'mawa, kotero simudzakhala usiku kupita ku bafa.
Ngati mukugwiritsa ntchito diuretic, dokotala wanu ayenera kuyang'ana kupanikizika kwa magazi ndi ntchito ya impso nthawi zonse, kotero onetsetsani kusunga malo anu onse monga momwe mwakhalira.
Kumbukirani kuti ma diuretics angayambitse potassium kapena sodium yosadziwika. Dokotala wanu akhoza kukuuzani kuti mupewe zakudya zomwe zili ndi potassium ngati mutenga potassium-sparing diuretic. Zakudya izi zikuphatikizapo malo amchere.
Azimayi ndi amayi omwe ali ndi pakati samayamwitsa
Pali mankhwala ambiri oletsa antihypertensive ndipo aliyense ali ndi ubwino komanso wodetsa nkhawa. Ngati mutangoyamba kumwa mankhwala a magazi, kumbukirani kuti zifukwa za moyo, monga kusuta ndi zakudya zamchere, zimatha kusunga mankhwala anu. Ngati muli ndi kuthamanga kwa magazi, mukhoza kuchepetsa kusowa kwanu kwa mankhwala mwa kudya zakudya zathanzi, kukhala ndi thanzi labwino, ndi kuchita masewera olimbitsa thupi nthawi zonse. Tengani mankhwala anu monga momwe mwafunira ndipo onetsetsani kuti mumayang'ana magazi anu nthawi yomweyo.