Ngaba ugqirha wakho ukunike uhlobo oluthile lonyango olubizwa ngokuba 'ziipilisi zamanzi'? Mhlawumbi zezoxinzelelo lwegazi okanye ukudumba. Abantu abaninzi baziva bengakhululekanga xa bethatha la mayeza kuba kufuneka bachame rhoqo. Ngoko ke, zithini kanye kanye ezi pilisi zamanzi? Ngokwezonyango, sizibiza ngokuba zi-diuretics. Zenza ntoni emzimbeni? Masithethe ngazo zonke ezi zinto ngendlela elula onokuyiqonda.
Zithini ii-diuretics? Zisebenza njani?
Ngamafutshane, amayeza okukhupha ityuwa emzimbeni anceda umzimba wakho ukhuphe amanzi agqithisileyo kunye netyuwa ngomchamo . Yiyo loo nto ekwabizwa ngokuba 'ziipilisi zamanzi'.
Khawucinge ngesiponji esifakwe emanzini. Xa sisicinezela, onke amanzi angaphezulu ayaphuma, akunjalo? Yiloo nto la mayeza ayenzayo emizimbeni yethu.
La mayeza achaphazela ngqo izintso zethu. Anika izintso umqondiso wokuba "zongeze ityuwa namanzi egazini zize ziwakhuphe emchameni." Kwenzeka ntoni xa oku kusenzeka?
1. Ubungakanani bolwelo kwimithambo yakho yegazi buyancipha: Xa umzimba wakho ulahlekelwa ngamanzi, ubungakanani begazi elijikeleza kwimithambo yakho nalo buyancipha kancinci.
2. Umthwalo womsebenzi entliziyweni uyancipha: Xa ulwelo olukwimithambo yegazi luncipha, ubungakanani bomsebenzi ekufuneka intliziyo iwupompe buyancipha. Njengokuba uncamathisela umbhobho omncinci kwimpompo yamanzi, umthwalo womsebenzi kuwo uyancipha. Oku kubaluleke kakhulu kubantu abaneemeko ezifana nokusilela kwentliziyo .
3. Yehlisa uxinzelelo lwegazi: Xa umsebenzi entliziyweni uncipha kwaye uxinzelelo lwemithambo yegazi luncipha, uxinzelelo lwegazi lwakho luyalawulwa. Ezinye ii-diuretics zikwanceda ekwandiseni imithambo yegazi. Oku kunciphisa uxinzelelo.
Eli yeza lidla ngokuthathwa njengepilisi. Kodwa ngamanye amaxesha linokunikwa ngesisombululo se-saline (IV) esibhedlele. Ngenxa yokuba uza kuchama rhoqo, kungcono ukulithatha kusasa nanini na xa kunokwenzeka . Ngaphandle koko, kuya kufuneka uvuke ebusuku.
Ziziphi iintlobo eziphambili ze-diuretics?
Kukho iintlobo ezahlukeneyo ze-diuretics. Nganye yazo isebenza ngokuchaphazela iindawo ezahlukeneyo zezintso. Ugqirha wakho uya kugqiba uhlobo olulungele wena ngokusekelwe kwimeko yakho yempilo.
| Uhlobo lwe-diuretic | Amayeza asetyenziswa rhoqo | Amanqaku akhethekileyo |
|---|---|---|
| I-Thiazide diuretics | IHydrochlorothiazide, iChlorthalidone | Olu lolona hlobo luqhelekileyo olunikwa abantu abanesifo soxinzelelo lwegazi oluphezulu. |
| I-Loop diuretics | I-Furosemide, iBumetanide | Ezi zinamandla kakhulu. Ezi zinikwa abantu abangasebenzi kakuhle kwezintso (i-GFR ephantsi - i-Glomerular Filtration Rate). |
| Ii-diuretics ezigcina i-potassium | I-Triamterene, i-Amiloride | Ezi ziza kuthintela ukuba amanqanaba e-potassium emzimbeni ehle ngokungeyomfuneko. |
| Iipilisi ezixutyiweyo | I-Triamterene kunye ne-Hydrochlorothiazide kunye | Iindidi ezimbini zifumaneka kwipilisi enye. Oku kunceda ukugcina amanqanaba e-potassium alinganayo. |
Zeziphi iimeko ezisetyenziswa leli yeza?
I-Diuretics luhlobo lwamayeza aluncedo kwiimeko ezahlukeneyo. Asetyenziswa kakhulu uku:
- Uxinzelelo lwegazi oluphezulu: Le yeyona nto iphambili.
- Ukungasebenzi kwentliziyo: Nciphisa umthwalo womsebenzi entliziyweni.
- Ukudumba: Ukudumba kwemilenze, izandla, namaqatha ngenxa yokuqokelelana kolwelo.
- I-Cardiomyopathy: Kwiimeko apho izihlunu zentliziyo zibuthathaka.
- Ukudumba kwemithambo yegazi: Le yimeko engxamisekileyo.
- Ii-Ascites: Ii-Ascites kukuqokelelana kolwelo esiswini ngenxa yeemeko ezifana nesifo sesibindi.
- Ukungasebenzi kakuhle kwezintso: Xa izintso zingasebenzi kakuhle.
- Isifo seNephrotic: Imeko apho iiproteni ezigqithisileyo zikhutshwa khona kumchamo.
- Ikwasetyenziswa nakwezinye iimeko ezithile ezifana nokunyuka koxinzelelo lwamehlo kunye nokunyuka koxinzelelo engqondweni.
Eyona nto ibalulekileyo kukuba ungaze ulisebenzise eli yeza ngaphandle kwemvume kagqirha. Kwakhona, ungalisebenzisi kuba nje ubonile omnye umntu ekunika lona kwaye ucinga ukuba uneempawu ezifanayo.
Ngoko ke akukho ziphumo ebezingalindelekanga?
Njengakweminye imithi, kukho ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, uninzi lwabantu alufumani ziphumo ebezingalindelekanga ezinzulu. Ezi zezona zixhaphakileyo:
- Ukuchama rhoqo (oku akuyonto imbi ngokwenene, yindlela amayeza asebenza ngayo)
- Ukudinwa , isiyezi
- Ukuphelelwa ngamanzi emzimbeni. Oku kunokwenzeka ukuba awuseli manzi aneleyo.
- Ukuqaqamba kwemisipha. Oku kunokubangelwa kukuncipha kwamanqanaba e-potassium emzimbeni.
- Isisu esibuhlungu, ukudumba, okanye ukurhawuzelela
- Umnqweno wokutya
- Abanye abantu banokuba ne -gout .
- Amanqanaba eswekile anokunyuka kancinci kubantu abanesifo seswekile
- Kukwakho nethuba elincinci lokuba amadoda aza kuba nokungasebenzi kakuhle ngokwesondo.
Ngelixa usebenzisa eli yeza, ugqirha wakho usenokuyalela uvavanyo lwegazi rhoqo ukujonga ukusebenza kwezintso zakho kunye namanqanaba e-electrolyte, njenge-potassium. Kubaluleke kakhulu ukwenza olu vavanyo rhoqo.
Yintoni endifanele ndiyilumkele xa ndisebenzisa eli yeza?
Xa uthatha amayeza okukhupha isisu, kufuneka ulumke ngezinto ezimbalwa ezincinci.
1. Nciphisa ukutya ityuwa: Ukuba utya ityuwa eninzi kakhulu, inokuphazamisa ukusebenza kakuhle kwale mayeza. Ngoko ke nciphisa ityuwa ekutyeni kwakho.
2. Sela amanzi amaninzi ukuze uphephe ukuphelelwa ngamanzi emzimbeni: Ukuchama rhoqo kunokunciphisa umzimba. Ngoko ke, sela amanzi afanelekileyo ngosuku. Buza ugqirha wakho ukuba usele amanzi angakanani ngosuku.
3. Musa ukutshintsha idosi yamayeza: Nokuba uzive ungcono, musa ukuyeka ukuwasela amayeza okanye utshintshe idosi de ugqirha wakho akuxelele ukuba wenze njalo.
4. Ungaphoswa kuvavanyo lwezonyango kunye nemihlangano: Yenza uvavanyo lwakho lwegazi nomchamo ngexesha njengoko ugqirha wakho ekuyalele. Kwakhona, qiniseka ukuba uyaya kwimihlangano yakho ecwangcisiweyo.
5. Ukuba ukhulelwe okanye uceba ukuba nomntwana: Xelela ugqirha wakho ngoko nangoko, njengoko amayeza afanelekileyo anokutshintsha ngexesha lokukhulelwa.
Ndifanele ndibonane nogqirha nini?
Ukuba ufumana nayiphi na kwezi zilandelayo, kungcono ukuthetha nogqirha wakho:
- Ukuba uziva intliziyo yakho ibetha ngokukhawuleza ngendlela engaqhelekanga (ukubetha kwentliziyo)
- Ukuba uziva unesiyezi ngalo lonke ixesha (Unesiyezi)
- Ukuba uneempawu ezibonisa ukuba uphelelwe ngamanzi emzimbeni, njengomlomo owomileyo nemilebe, ukuncipha kokuphuma komchamo kunye nomchamo omnyama, okanye uzive udiniwe kakhulu.
Kuqhelekile ukuba novalo xa uqala iyeza elitsha. Kuthatha iintsuku ezimbalwa ukuqhela 'ipilisi yamanzi'. Kodwa khumbula, ukuchama rhoqo kuthetha ukuba iyeza liyasebenza. Ukuba unengxaki yeziphumo ebezingalindelekanga, thetha nogqirha wakho malunga nokutshintshela kwelinye iyeza.
Umyalezo Wokuya Ekhaya
- I-Diuretics, okanye 'iipilisi zamanzi', luhlobo lwamayeza asusa amanzi netyuwa engeyomfuneko emzimbeni ngomchamo.
- Ezi zisetyenziswa kakhulu xa kukho uxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nokudumba komzimba.
- Ukuchama rhoqo kuqhelekile xa usebenzisa eli yeza. Kungoko ke, kungcono ukulisebenzisa kusasa.
- Qaphela iziphumo ebezingalindelekanga ezifana nokuphelelwa ngamanzi emzimbeni kunye namanqanaba aphantsi e-potassium. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Ukuba uneziphumo ebezingalindelekanga ezingathandekiyo, xelela ugqirha wakho ngoko nangoko. Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngokwakho.
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