Ngaba ugqirha wakho ukuxelele ukuba une-high blood pressure? Okanye ngamanye amaxesha uziva ngathi imilenze, iingalo, okanye isisu sakho ziyadumba? Kwimeko enjalo, ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba "ziipilisi zamanzi." Ngokwezonyango, ezi sizibiza ngokuba zii-diuretics. Abantu abaninzi abazi kakuhle ngala mayeza. Ke namhlanje, masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, zithini ii-diuretics?
I-Diuretics luhlobo lwamayeza anceda umzimba wakho ukhuphe amanzi agqithisileyo kunye netyuwa ngomchamo . Xa usela la mayeza, kufuneka uchame rhoqo. Le yindlela asebenza ngayo. Yiyo loo nto oogqirha bedla ngokucebisa ukuba uwathathe kusasa. Khawuthelekelele ukuba ubuwathatha ebusuku, ubuya kubaleka uye kwigumbi lokuhlambela ungalali!
Ngoku masibone ukuba oku kusebenza njani. Eli yeza lichaphazela ngqo izintso zakho. Umsebenzi ophambili wale yeza kukunika 'umqondiso' kwizintso, nokucoca ityuwa engaphezulu kunye namanzi egazini kwaye liyikhuphe njengomchamo.
Xa ulwelo olongezelelweyo emzimbeni wakho luncitshiswa ngale ndlela, ubungakanani begazi ekufuneka lipompelwe yintliziyo yakho nalo buyancipha. Oku kunciphisa umthwalo womsebenzi entliziyweni. Kukwanciphisa uxinzelelo ngaphakathi kwimithambo yegazi. Esi sesona sizathu siphambili sokulawula uxinzelelo lwegazi oluphezulu.
Eli yeza lidla ngokuthathwa njengepilisi, kodwa kwezinye iimeko ezingxamisekileyo, linikwa ngemithambo yegazi (IV) nge-saline line esibhedlele.
Ziziphi iintlobo eziphambili ze-diuretics?
Kukho iintlobo ezahlukeneyo ze-diuretics. Nganye yazo isebenza ngokuchaphazela iindawo ezahlukeneyo zezintso. Ugqirha wakho uya kugqiba uhlobo olufanele wena, kuxhomekeke kwimeko yakho.
| Uhlobo lwe-diuretic | Ingcaciso elula kunye nemizekelo |
|---|---|
| I-Thiazide diuretics | Olu lolona hlobo lusetyenziswa kakhulu kwi-high blood pressure. Imizekelo: i-hydrochlorothiazide, i-chlorthalidone. |
| I-Loop diuretics | La luhlobo lwamayeza anamandla kancinci. Ahlala enikwa abantu abangasebenzi kakuhle kwezintso (i-GFR ephantsi) kunye nokungasebenzi kakuhle kwentliziyo. Imizekelo: i-furosemide, i-bumetanide. |
| Ii-diuretics ezigcina i-potassium | Ezinye iintlobo zinokunciphisa amanqanaba e-potassium emzimbeni. Kodwa olu hlobo lulawula ukususwa kwe-potassium emzimbeni. Imizekelo: i-triamterene, i-amiloride. |
| Iipilisi ezixutyiweyo | Ngamanye amaxesha, ukuze kulinganiswe amanqanaba e-potassium, ezimbini kwezi zingasentla ziyadityaniswa zize zinikwe njengepilisi enye. Umzekelo: i-triamterene kunye ne-hydrochlorothiazide. |
Zeziphi iimeko ezisetyenziselwa amayeza okukhupha isisu?
Oogqirha banika eli yeza njengonyango lweemeko ezahlukeneyo. Ezona zixhaphakileyo zezi:
- Uxinzelelo lwegazi oluphezulu: Le yeyona ndlela ixhaphakileyo yokusebenzisa.
- Ukungasebenzi kakuhle kwentliziyo: Xa ukusebenza kwentliziyo kuphazamiseka, ulwelo luyaqokelelana emzimbeni (njengokudumba emilenzeni). Oku kunokunceda ekunciphiseni olo lwelo.
- I-Cardiomyopathy: Izifo ezichaphazela izihlunu zentliziyo.
- Ukudumba kwemithambo yegazi: Ubunzima bokuphefumla ngenxa yokuqokelelana kolwelo emiphungeni.
- I-Ascites: Ukuqokelelana kolwelo esiswini ngenxa yeemeko ezifana nesifo sesibindi.
- Ukungasebenzi kakuhle kwezintso: Xa izintso zingawuhluzi kakuhle umchamo.
- Isifo seNephrotic: Imeko apho iiproteni ezininzi zikhutshwa khona emchameni.
- Ezi zikwasetyenziswa kwiimeko ezikhethekileyo ezifana noxinzelelo oluphezulu lwangaphakathi kweso kunye noxinzelelo oluphezulu lwangaphakathi kwentloko.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga kweli yeza?
Njengayo nayiphi na imithi, amayeza okukhupha isisu anokubangela ezinye iziphumo ebezingalindelekanga. Kodwa ungakhathazeki, ayizizo zonke ezi zinto eziya kwenzeka kuye wonke umntu.Uninzi lwabantu lunokuzisebenzisa ezi ngaphandle kweengxaki, kodwa kubalulekile ukuzazi ezi zinto.
- Ukuphazamiseka kwesisu, ukudumba, okanye urhudo
- Umnqweno wokutya
- Intloko ebuhlungu kunye nokudinwa
- Ukulahleka kweenwele (okungafane kwenzeke)
- Ezinye iintlobo zibangela amanqanaba aphantsi e-potassium emzimbeni.
- Ukuqaqamba kwemisipha
- Amanqanaba eswekile egazini aphakamileyo kancinci kubantu abanesifo seswekile
- Ukungalingani kwe-electrolytes emzimbeni
- Igawuthi
- Ubunzima bokufumana ulwaluko
Eyona nto ibalulekileyo kukuba ngelixa usebenzisa la mayeza, ugqirha wakho uya kujonga rhoqo izinto ezifana nokusebenza kwezintso zakho kunye namanqanaba e-potassium ngovavanyo lwegazi nomchamo. Ke ngoko, kubalulekile ukuba wenze olo vavanyo njengoko ugqirha wakho ecebisa.
Ukuba ukhulelwe, uncancisa, okanye unesifo esibi sezintso okanye sesibindi, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokusebenzisa eli yeza.
Ndingalumka njani xa ndisebenzisa eli yeza?
Kukho izinto ezimbalwa ekufuneka uzazi xa usebenzisa amayeza okukhupha ii-diuretics.
1. Sela amanzi amaninzi: Eli yeza linokubangela ukuphelelwa ngamanzi emzimbeni kuba liwunciphisa umzimba. Ngoko ke sela amanzi aneleyo imini yonke. Nangona kunjalo, ukuba unesifo sentliziyo, buza ugqirha wakho malunga nobungakanani bamanzi omele uwasele ngosuku.
2. Lawula ityuwa: Nciphisa ubungakanani betyuwa oyongeza ekutyeni kwakho. Kuba ityuwa yeyona nto ibangela ukuba umzimba wakho ugcine amanzi. Akunangqondo ukongeza ityuwa ekutyeni kwakho ngelixa ususa amanzi ngamayeza.
3. Sela amayeza akho kanye njengoko kuyalelwe: Sela umlinganiselo ochanekileyo kunye nexesha elichanekileyo ugqirha wakho akuxelele ukuba ulithathe. Ungaze wandise okanye wehlise umthamo okanye uyeke ukuwuthatha ngokuthanda kwakho.
4. Yiya kwiikliniki ngexesha: Musa ukulibazisa amadinga akho nogqirha. Kulapho kuphela apho imeko yakho inokuhlolwa ngokuchanekileyo kwaye kwenziwe utshintsho olufunekayo.
Ndifanele ndimbone nini ugqirha?
Eli yeza likhuselekile ngokubanzi, kodwa ukuba ufumana naziphi na iimpawu ezingezantsi, xelela ugqirha wakho ngoko nangoko.
- Ukuba uziva isantya sentliziyo yakho singaqhelekanga (ukubetha kwentliziyo)
- Ukuba uhlala uziva unesizungu
- Ukuba uneempawu zokuphelelwa ngamanzi emzimbeni, njengomlomo owomileyo, amehlo atshonileyo, okanye ukwehla okukhulu kokuphuma komchamo
- Ukuba kukho ezinye iziphumo ebezingalindelekanga ezingaqhelekanga nezinzima ezenzekayo
Kuqhelekile ukuba novalo xa uqala iyeza elitsha. Kuthatha ixesha ukuqhela ukuchama rhoqo. Kodwa oko kuthetha ukuba iyeza liyasebenza. Ukuba unengxaki ngeyeza lakho, thetha nogqirha wakho malunga nokutshintshela kolunye uhlobo.
Umyalezo Wokuya Ekhaya
- I-Diuretics luhlobo lwamayeza asusa amanzi angaphezulu kunye netyuwa emzimbeni ngomchamo, kwaye asetyenziselwa ukunyanga izifo ezifana noxinzelelo lwegazi oluphezulu kunye nokusilela kwentliziyo.
- Oogqirha bacebisa ukuba uthabathe eli yeza kusasa kangangoko unako, kuba linokubangela ukuba uchame rhoqo.
- Ngelixa usela eli yeza, qiniseka ukuba wenza uvavanyo lwegazi nomchamo njengoko ugqirha wakho ekuyalele .
- Ungaze utshintshe umthamo okanye uyeke ukuthatha amayeza ngaphandle kwengcebiso kagqirha wakho.
- Ukuba ufumana iimpawu ezingaqhelekanga ezifana nesiyezi okanye ukunyuka kwesantya sentliziyo, qhagamshelana nogqirha wakho ngoko nangoko.
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