Osmotic diuretic - ndichiyani? Mndandanda wa mankhwala, limagwirira kanthu

Anthu ambiri amadzifunsa kuti: "? Okodzetsa - ndichiyani" M'nkhani limeneli muphunzira kuti ali ndi chimene imagwiritsidwa ntchito.

Mankhwala mankhwala

Osmotic diuretic ndi mankhwala amene akupanga madzi minofu kutupa. Choncho, kumaonjezera kuchuluka kwa mkodzo ndi zotuluka madzimadzi owonjezera m'thupi. Izi bwino otaya magazi kwa impso, womwe kumawonjezera magwiridwe awo. Impso Choncho anayamba ntchito bwino ndi fyuluta. Izo kumawonjezera plasma osmolyaemost ndi amasuntha madzimadzi ku ziwalo ndipo zimakhala (ubongo, mwana wa diso) mu m'magazi. Zikatero ndi kusiya madzi a chlorine, sodium, na potassium. Amafotokozera wotsiriza chaonetsedwera mu wochepa kuti sizitipatsa awiri.

pharmacokinetics

Osmotic diuretic ndi zimapukusidwa (zing'onozing'ono) mu chiwindi. Izi limodzi ndi mapangidwe glycogen. Linanena bungwe m'thupi zikadzatha kusefera (glomerular) kudzera impso. Tubular reabsorption ndi wauzimu.

Zikuonetsa ntchito mankhwala

okodzetsa Osmotic singasiyanitsidwe pa edema oziziritsa, matenda oopsa intracranial ndi intraocular, kapena pa matenda khungu mu mawonekedwe pachimake.

Ntchito mankhwala a m'gulu limeneli ndi pa oliguria kulephera pachimake aimpso mu mawonekedwe. Pankhaniyi diuretic osmotic ntchito pamene kuwonjezeka diuresis chofunika. Ndalama zimenezi zitha kugwiritsidwa ntchito pokhalabe luso zosefera.

Komanso ayenera kumwedwa mu nkhani ya chiphe mankhwala lifiyamu, bromides, salicylates ndi barbiturates.

Osmotic okodzetsa - mankhwala ndi oyenera ntchito atachita magazi, anali atakwatirana, pa chitukuko cha mavuto pambuyo magazi.

Nthawi zambiri, iwo ntchito pa kayendetsedwe opaleshoni monga opaleshoni kulambalala ndi opaleshoni ndi makope extracorporeal.

Pamene boma zinandivuta amayaka, sepsis, peritonitis okodzetsa limathandiza bwino mapeto a poizoni m'thupi. Iwo kuchepetsa magazi.

Contraindications ntchito

Osmotic diuretic mwina ntchito pamene:

• Aimpso insufficiency mu mawonekedwe aakulu.
• Kupondelezedwa kwa mphamvu kusefera a impso.
• Kumanzere kulephera yamitsempha yamagazi ndi edema m'mapapo mwanga.
• Hemorrhagic sitiroko.
• Subarachnoid kukha magazi.
• Mu madzi m'thupi kwambiri.

Mankhwalawa sayenera kumwedwa popanda kuuzidwa ndi dokotala. ntchito zawo popanda kufunika kungayambitse mavuto aakulu.

zotsatira zoyipazi

Pa ntchito mankhwala zingakhudze mmene ena mbali ya okhoza kupulumutsa kusapeza anthu.

Njirazi ndi monga:

• Mutu kupweteka.
• Kunyansidwa ndi kusanza.
• Kukha mwazi ndi imfa ya minofu pokhudzana ndi ndalama pansi pa khungu.
• Pakhoza kukhala linagawidwa kwenikweni.
• Zotheka kuchuluka asafe (yotsalira) misinkhu.

Kawirikawiri, pamene chiwonetsero cha zotsatira ngati mbali ayenera kusiya kumwa mankhwala mwamsanga ndi dokotala. Iye kusintha mlingo kapena wogwirizira njira ya mankhwala ngati.

Kodi mankhwala ndi okodzetsa osmotic?

Njira yotchuka kwambiri imatengedwa "Mannitol". Malangizo ntchito adzalola kuti ndizolowere paradaiso.

Komanso mu gulu ili la mankhwala ndi:

• "Torasemide."
• "Bumetanide."
• "Xipamide".
• "Chlorthalidone."
• "Polythiazyl".

Izi ndi tsankho mndandanda wa mankhwala angathandize edema ndi matenda ena. Iwo sayenera kugwiritsidwa ntchito popanda chilolezo dokotala, komanso "Mannitol". Malangizo ntchito sudzapereka inu chitsimikizo kuti bwino kusankha ndi kuwerengera mlingo.

makhalidwe poyerekeza

"Mannitol" amagwiritsidwa ntchito kuposa formulations ena chifukwa chakuti ali ndi mphamvu ndi yayitali ndipo zilibe kuonjezera zili asafe mu mawonekedwe a magazi yotsalira. Pankhaniyi, urea bwino ndi zambiri za ziwalo ndipo zimakhala. Zimenezi zingachititse ubongo hydration ndi kuonjezera kuthamanga mkati chigaza pambuyo maola 6-7 pambuyo utsogoleli wa mankhwala kudzera m'mitsempha.

Potaziyamu-yosalekerera okodzetsa

Osmotic potaziyamu-yosalekerera okodzetsa musati kuchotsa potaziyamu m'thupi, monga kuyenera okodzetsa yosavuta osmotic. Mankhwala cha gulu ili ndi zotsatira zabwino pa minofu mtima, koma ndi mwayi wina poyerekeza ndi nthumwi kuti kuchotsa potaziyamu. Iwo kwagona kuti zochita zawo ndi pang'ono wosakwiya, ndipo iwo amayamba okha pa wachiwiri kapena wachitatu tsiku ntchito. Pankhaniyi, zotsatira za iwo limapitirira.

Potaziyamu-yosalekerera okodzetsa, madokotala amalangiza ntchito limodzi ndi okodzetsa ena. Iwo ntchito limodzi pofuna kuchotsa kutupa ndi osafunika, monga iwo kwenikweni.

Iwo analetsedwa kugwiritsa ntchito, ngati munthu ali ndi matenda enaake, kulephera aimpso, pachimake ndi aakulu mawonekedwe, hyponatremia ndi hyperkalemia.

Kulandira mankhwala a gulu ili, amaloledwa yekha mankhwala.

Ntchito okodzetsa mimba

okodzetsa Osmotic angagwiritse ntchito pokhapokha ngati phindu kwa mayi n'kosangalatsa chiopsezo kwa mwana wosabadwayo. kusankha anaika dokotala amatenga pambuyo kuchititsa Kafukufuku ndi kufufuza.

ambiri osokoneza

Ngati kutumikiridwa mlingo wopyola ponseponse hypervolemia angathe chodziwa intracranial kuthamanga ndi kusokoneza electrolyte ndi madzi bwino. N'zothekanso kuonjezera panopa madzi kunja maselo. Ngati mlingo anali kuposa zambiri izo kuwonjezera katundu pa mtima. Anthu ndi matenda a thupi kukhala ndi mavuto amphamvu amene amafuna chithandizo mwamsanga.

Choncho diuretic - ndichiyani? Tsopano, pambuyo kuwerenga nkhaniyi, anthu ambiri kudziwa yankho la funso limeneli. Gulu la mankhwala monga okodzetsa, amene ntchito mu ubongo kutupa, zilonda zamoto, sepsis ndi matenda ena ambiri. Chifukwa zochita zawo iwo patsogolo outflow wa madzimadzi mu mkodzo ndi magazi mu impso ndi. Imalimbikitsa bwino kusefera. Administration mankhwala mu gulu ili analolera pa mankhwala, chifukwa iye yekha adzakhala kuwerengetsa inu mlingo woyenerera wa mankhwala ndipo fufuzani kwa contraindications. Paokha kupanga izo m'malo ovuta ndipo nthawi zina ngakhale zosatheka.

Khalani wathanzi!