Mamwe madhiragi anoshandiswa kurapa zvirwere zvakasiyana zvakasiyana siyana. Semuenzaniso, Diover inorayirwa neveurorosi, ma cardiologists, uye kunyange endocrinologists. Kunzwisisa chirevo chechirwere ichi chinongogadziriswa chete kana Diver yakagadzirirwa - zviratidzo zvekushandiswa kwemishonga iyi, inoshandiswa mune zvemishonga uye nzira yekushanda.
Zviratidzo zvikuru zvekushandiswa kweDriver Diver
Nhengo inoshanda mumushonga uri mubvunzo iri torasemide. Ichi chemikemikiramu inonzi diuretic kana diuretic. Nokudaro, zviratidzo zvekushandiswa kwemahwendefa Diver kuongororwa kwe 5 kana 10 mg dzakasiyana siyana dzinobatanidza nekuitika kwekudzimba.
Izvo zvinogadziriswa zvechiito che torasemide ndechokuderedza kusvibiswa kwevasmotic muinso masero (nephrons), pamwe nekukurudzira kubviswa kwehuwandu hwemvura. Mukuwedzera, Diver inovandudza myocardial basa uye inoderedza fibrosis. Panguva imwecheteyo, mushonga wacho, kusvika pane zvishoma pane dzimwe diuretics, unokonzera hypokalemia (kubviswa kwezamu potassium kubva mumuviri). Nokuda kweizvi, zvinorondedzerwa diuretic drug inoshandiswa kwenguva refu yekurapa zvidzidzo, kurapwa kwevarwere vane zvirwere zvakakomba zvisingaverengeki, kusanganisira zveputsvo uye chiropa chechirwere.
Zvakakosha kuziva kuti iyo diuretic yakataurwa yakakurumidza uye yakanyatsogadziriswa. Iyo yakanyanya kuiswa muropa inosvika pashure peawa 1.5-2 maawa pashure pokutora mahwendefa, uye bioavailability iri 85-90% (kuwirirana neeplasma protini - 99%).
Rimwe ruzivo rweDiver - kwenguva yakareba diuretic effect. Mishonga yemishonga inotora maawa gumi nemasere, izvo zvinoderedza kudiwa kwekushanyira muimba yegungwa nguva dzose uye kunoita kuti chirwere chinonzi diuretic chinyararire sezvinobvira.
Torasemide yakanyanyisa kunyanya neiyo tsvina, chikamu chayo chisina basa chinoshandiswa kuburikidza nechiropa. Mukuwedzera kune zvakasiyana siyana zvakagadziriswa syndromes, kusanganisira edema mune zvirwere zvechiropa, mwoyo, itsvo nemapapu, zviratidzo zvekushandiswa kweDiver zvinokonzerwa nehutachiona hwehutachiona. Iyi diuretic inobatsira kuderera kusingagumi muropa kunopa chirwere chakakomba chakazara.
Zvirwere umo kushandiswa kwemishonga yeDever kunorambidzwa
Pasinei nekuchengeteka kwakaratidzwa uye pangozi yakashata yemigumisiro yakaipa pakushandisa torasemide, mushonga uri mubvunzo une zvakawanda zvinopesana:
- zvinonzi hyponatremia kana hypokalemia, hypovolemia;
- kusawirirana kwezvimwe zvikamu zvechirwere;
- hepatic precoma uye coma;
- dehydration;
- kukanganisa renal nezviratidzo zve anuria;
- acomerulonephritis;
- kushungurudzika kwekubuda kwemuti;
- kudhakwa ne glycosides;
- hyperuricemia;
- aortic and mitral decompensated stenosis;
- obstructive hypertrophic cardiomyopathy;
- zvinokonzera kugadzirisa sulfonamide;
- inowedzera mukati memhepo inokonzerwa nemhepo, kupfuura 10 mm Hg. p.
- mimba uye lactation;
- vana vezera.
Kubatanidza kushandiswa kweDiver uye Veroshpiron, pamwe chete nedzimwe diuretics
Vanachiremba vanowanzotaurira kufanana kwakafanana kwema 2 diuretic zvinodhaka. Izvi zvinodikanwa kana imwe mishonga isingakwanisi kuzadzisa zvinoda kurapwa. Mumamiriro ezvinhu akadaro, rakasimba loop diuretic inokurudzirwa, somuenzaniso, Diver, uye drug-sparing drug - Veroshpiron kana chero imwe diuretic. Iyi nzira yekurapa yakakwana zvakakwana uye inoedzwa nekutsvakurudza kwezvokurapa uye ruzivo, uye hakufaniri kuva nehuwandu hwekuita.