Diuretics mahadi ne na sifofin sunadarai daban-daban waɗanda, idan aka shanye su, suna taimakawa wajen kawar da ruwa. Dogaro da rukunin magunguna, tasirin diuretic saboda yawancin hanyoyin aiwatarwa.
Diuretics sunfi yawa wajen maganin cututtuka na tsarin zuciya, koda da sauran gabobi. Bugu da ƙari, 'yan wasa suna amfani da su don saurin cire ruwa da ba wa jiki sauƙi.
Menene kayan kwayar cuta?
'Yan wasa suna amfani da ƙwayoyin diuretic don cire ruwa daga jiki. Sakamakon yana ba ka damar rage adadin jini a cikin tasoshin. Ana amfani da wannan tasirin don saukar da hawan jini a cikin mutane masu fama da hauhawar jini. A cikin ciwan zuciya na yau da kullun, akwai rauni na aikin bugun zuciya da dushewa a cikin ƙarami da babba zagayawar jini. Hoto na asibiti yana wakiltar ɓarkewar ƙananan ƙarancin jiki da fuska, bayyanar ƙarancin numfashi da shaƙar iska, waɗanda aka ƙaddara ta hanyar taimakon huhu. Shan diuretics yana baka damar cire ruwa mai yawa da kuma taimakawa alamomin cutar ta CHF.
Ana amfani da yin amfani da kwayar Osmotic da madauki a sake farfadowa don magancewa da hana huhu da huhu.
Hakanan, an sanya masu yin diure a matsayin maganin detoxification don guba tare da gishirin ƙarfe masu nauyi, magunguna, abubuwan narcotic da sauran gubobi. An tsara su a cikin yanayin ci gaba da cututtukan cirrhosis, wanda ke halayyar hauhawar jini. Magungunan suna kawarwa ko rage ƙarfin kumburin ciki, cire ruwa daga cikin ramin ciki tare da matsakaicin matsakaici.
Yana da mahimmanci a sha maganin diure don eclampsia, yanayin cuta wanda ke tasowa ga mata yayin ciki ko haihuwa. Cutar ta bayyana kanta azaman tsananin ƙaruwar hawan jini, wanda ke haifar da cututtukan ƙwaƙwalwa da rikicewar kwakwalwa game da asalin edema. Cikakken magani, ban da yin maganin diuretics, galibi osmotic, ya haɗa da samun iska ta wucin gadi, saka idanu game da hawan jini, saukaka hauhawar jini ta amfani da maganin jiko na magnesium, da matakan farfadowa.
Inara matsa lamba na intraocular (glaucoma) nuni ne ga yin amfani da magungunan hana anhydrase. Ana samar da enzyme a cikin kayan kyallen takarda da yawa, gami da ciliary body. Aikace-aikace na diuretic a cikin nau'ikan saukad da saukake bayyanarwar glaucoma.
Kwayoyin jijiyoyin jiki suna tare da ci gaban edema, sabili da haka, ƙaruwar fitowar fitsari ta hanyar amfani da ƙwayoyi yana saukaka alamun cutar kuma yana hana faruwar rikice-rikice.
Me yasa 'yan wasa ke buƙatar diuretics?
Ana amfani da diuretics a cikin 'yan wasa da masu ginin jiki. Yin amfani da magungunan diuretic yana haifar da fitowar ruwa, wanda ke ƙunshe ba kawai a cikin jini da kyallen takarda ba, har ma a cikin ƙwayar mai ƙarkashin fata. Sakamakon wannan tasirin, jiki daga waje yana samun taimako.
Maganin rage cin abinci, wanda ya haɗa da iyakancin shan gishiri da ruwa, yana nuna sakamako na tsawon lokaci, yayin da kwayoyi kusan zasu ba ku damar cimma nasarar da ake so. Wannan gaskiyane a daren jajibirin gasar.
Shan kwayoyi na iya zama iyaye, wato, ta hanyar gabatar da sirinji cikin jijiya. Wannan aikace-aikacen yana ba da sakamako mai sauri. Koyaya, wannan hanyar na iya haifar da kaifin saukar jini a cikin hawan jini, lalacewar aikin kwakwalwa da sauran rikitarwa. Athleteswararrun athletesan wasa sun fi son allunan diuretic, tunda irin wannan aikin na maganin yana tabbatar da ɗaukewar abu mai aiki da kuma laushi mai laushi.
Yawancin 'yan wasa masu ƙwarewa suna da saukin kamuwa da cututtukan rayuwa sakamakon haɗuwar urea, jikin ketone, uric acid, don haka amfani da diuretics wata hanya ce ta hana irin waɗannan cututtukan.
Rarraba da tsarin aikin diuretics
A rarrabuwa na diuretics dogara ne a kan halaye na kwayoyi.
Diuretics waɗanda ke inganta haɓakar ruwa ta bayan asalin ƙarancin reabsorption:
Madauki
Madauki madaukai ya fi tasiri. Batun amfani da magungunan shi ne ɓangaren ɓangaren ɓangaren hawan Henle. Sun rage reabsorption na sodium, potassium da chlorine ta hanyar toshe hanyoyin sufuri. Tare da wadatattun wutan lantarki, wakilan suna cire alli da magnesium a cikin ƙarancin mahimmanci, kodayake, hanyar koyarwa na iya haifar da hypomagnesemia. Amfani na dogon lokaci yana haifar da ci gaba a cikin yaduwar jinin koda, sabili da haka ana amfani dasu tare da ƙarancin aiki na kayan aikin glomerular.
Daga cikin kwayoyi a cikin wannan rukuni: Furosemide, Lasix, Bumex, Ethacrynic acid, Torasemide.
Thiazide
Abubuwan da ke tattare da Thiazide suna shafar tsarin tafiyar ions na ions a cikin ɓangaren farko na rikodin tubulin nephron. Magunguna suna toshe takamaiman sunadaran da ke tabbatar da sake dawo da sodium da chlorine. Wannan tasirin yana haifar da karuwar fitar ruwan da lantarki daga jiki. Hakanan, masu yin kwayar cutar thiazide suna toshe anhydrase ta carbon, wanda ke inganta tasirin kwayar cutar.
Magunguna a cikin wannan rukuni: Naklex, Dichlorothiazide.
Bayar da sinadarin potassium
Magungunan da ke adana sinadarin potassium suna aiki a kan ɓangaren tashar ƙananan tubules, da kuma hanyoyin tattara abubuwa. Duk da rauni mai rauni, ana amfani da diuretics na wannan rukunin ilimin likitancin a cikin magani saboda yanayin aikin su na musamman. Magungunan suna haɓaka zafin sodium, amma a lokaci guda suna riƙe da sinadarin potassium da magnesium, wanda ke kaucewa karancin lantarki a cikin jini, kuma, sakamakon haka, rikicewar zuciya.
Wannan jerin sun hada da Spironolactone, Veroshpiron, Triamteren.
Mayu ko bazai zama masu adawa da aldosterone ba. Na farko sun hada da Spironolactone, Veroshpiron. Wannan yana nufin cewa mafi girman matakin da samar da aldosterone (hormone mineralocorticosteroid da adrenal cortex ya samar) a cikin jiki, ya fi ƙarfin aikin warkewarta. Wannan sinadarin yana inganta sinadarin sodium. Magungunan wannan rukuni suna hana haɓakar gasa, suna musanya shi daga haɗi tare da sunadaran karɓa. Masu adawa da Aldosterone sun rage sake dawo da ions sodium, don haka kara yawan fitar ruwa daga jiki.
Osmotic
Suna aiki a cikin lumen na nephron tubules. Magunguna yana haifar da matsin lamba na iska don kar ruwa ya koma cikin jini kuma ya fita daga jiki. Kari akan hakan, magungunan na taimakawa ga bushewar kayan kyallen takarda, gami da wadanda kariya ta hanyar tarihi ke kare su. Ana amfani da wannan fasalin don kawar da huhu da huhu.
Daga cikin kwayoyi a cikin wannan rukunin, ya cancanci haskaka Mannitol.
Carbonic anhydrase masu hanawa
Suna haifar da cin zarafin maye gurbin bicarbonate, sakamakon haka sakin sakin ion sodium da ruwa yana ƙaruwa.
Wannan rukunin ya hada da Diakarb, Fonurit.
Mercury
Diuresis yana ƙaruwa ta hanayar tsarin isar da sodium. Raguwa a cikin reabsorption yana haifar da haɓakar haɓakar ruwa tare da kodan. Akwai ka'idar cewa magunguna na wannan rukunin ilimin likitancin suna kuma shafar tsarin juyayi na kodan. An ba da umarnin maganin cutar idan ba ta da wata ma'ana ta sauran hanyoyin, tunda masu cutar turawa ta Mercury suna da matukar guba.
Daga cikin irin wadannan magunguna akwai Novurit, Merkuzal.
Nadin wasu masu cutar diuretics ya dogara da cutar. A wasu lokuta, ana amfani da haɗin hanyoyi da yawa don cimma sakamako mafi bayyana.
A cikin wasanni, 'yan wasa galibi suna amfani da madaukai da magungunan thiazide, saboda suna saurin nuna tasirin diuretic. Hakanan wakilai masu adana sinadarin Potassium suma galibi ne - amfani da su sau da yawa yakan haifar da rikicewar lantarki.
Manyan mafi kyawun maganin diure a cikin 2018
Furosemide shine mafi inganci a tsakanin madaurin diuretics. Maganin ƙwayar cuta yana aiki da saurin gajeren lokaci. A fannin likitanci, ana amfani da miyagun ƙwayoyi azaman motar asibiti don kawar da ƙazamar ƙazamar cuta, alamomi masu tsanani na ciwan zuciya mai ɗorewa da kumburin kwakwalwa da huhu.
Mafi tasirin tasiri a cikin rukuni na ɓarkewar ƙwayoyin potassium yana da aldosterone antagonist Veroshpiron. Miyagun ƙwayoyi suna guje wa yanayin rashin lafiya wanda ya haifar da ƙarancin lantarki, amma ana samun sakamako mai bayyane a hankali fiye da lokacin amfani da diuretics madauki. A matsayi na biyu, zaka iya sanya Amiloride.
Jagora a cikin masu yin kwayar cutar thiazide shine Hydrochlorothiazide. Kayan aiki yana cire ruwa daga jiki ta hanyar hana sake kunna wutar lantarki. Miyagun ƙwayoyi suna da tasiri a bayyane da tasiri na dogon lokaci.
Amintar mutane
Wasu magungunan gargajiya suna da tasirin yin fitsari.
- Don cire ruwa mai yawa daga jiki, ana amfani da kayan kwalliyar ganyen Birch. Don shirya magani, an zuba ruwan zãfi na ml 300 a kan karamin cokali ɗaya na busasshen tsiro an saka cikin minti 30. Takeauki 100 ml na samfurin a rana don mako guda.
- Ana nuna tasirin kwayar cutar ta hanyar tincture da aka shirya bisa tushen bearberry, kazalika da lingonberry da ganyen innabi.
- Ganyen shayi yana kara fitsari. Zaka iya ƙara mint, Birch, currant ko ganyen innabi a cikin abin sha don haɓaka tasirin.
- Wasu magunguna na jama'a za'a iya siyan su a kantin magani, misali, Kanefron, wanda ya ƙunshi abubuwan ganyayyaki - centaury, Rosemary da lovage.
Manuniya
An nuna shan diuretics don:
- hauhawar jini;
- edema;
- glaucoma azaman far ko shiri don tiyatar ido;
- preeclampsia da eclampsia don saukaka cutar hawan jini;
- cutar koda mai tsanani.
Contraindications
An hana shan diuretics a cikin yanayin:
- mummunan gazawar koda, tare da anuria;
- toshewar fitowar fitsari ta kowace irin cuta;
- inara matsa lamba a cikin jijiyoyin jijiyoyin jiki na fiye da 10 mm Hg;
- hypertrophic cardiomyopathy;
- rikicewar lantarki;
- rashin ruwa a jikin asalin cutar amai da gudawa da sauran cututtukan cuta.
Ba a ba da shawarar ƙara diuresis a cikin mummunan cututtukan zuciya, bugun jijiyoyin zuciya, ciwon sukari ba tare da magani ba, da cututtukan autoimmune.
A lokacin daukar ciki, an ba da diuretics daga rukunin thiazide, amma a farkon ana amfani da wasu kungiyoyin magunguna. Yawancin karatun asibiti sun nuna cewa tare da raguwar ƙarar jini da ke zagayawa game da asalin amfani da diuretics, haɗarin haɓakar ƙarshen gestosis na ƙaruwa.
Sakamakon sakamako
Sakamakon illa mafi mahimmanci shine ci gaban hypokalemia lokacin shan thiazide da madaurin diuretics. Wannan rashin daidaiton lantarki yana haifar da arrhythmias. Furosemide da analogues suna nuna tasirin ototoxic, ma'ana, sun rage ji. Wannan na faruwa ne sakamakon raunin fahimta game da motsawar sauti a cikin kunne na ciki sakamakon canje-canje a cikin daidaiton lantarki. Lokacin da aka soke miyagun ƙwayoyi, ana mayar da aikin sauraro. Turezide diuretics yana ƙara haɗarin glaucoma ko myopia mai wucewa.
Magungunan Osmotic na iya haifar da matsanancin rashin ruwa, wanda ke bayyana ta bushewar fata, ƙishirwa, raunin hankali, da raguwar hawan jini tare da tsananin rashin ruwa. Haka kuma yana yiwuwa a samar da ƙarancin lantarki, ciwon kirji a cikin hanyar angina pectoris.
Dangane da shan ƙwayoyin diuretic, halayen rashin lafiyan na iya haɓaka.
Amfani da kwayoyi a kai a kai daga rukunin masu tayar da kayar baya na aldosterone yana haifar da samuwar gynecomastia da nakasar da kuzari a cikin maza, rashin haihuwa da rikicewar yanayin juzuwar kwan mace a cikin mata.
Don kauce wa rikitarwa, dole ne a hankali karanta umarnin don amfani da magani. Yawan wuce gona da iri yana barazanar da sakamako mai tsanani daga gabobin ciki.
Slimming diuretics
Yin amfani da diuretics don raunin nauyi shine kuskuren fahimta wanda yake haifar da mummunan sakamako. Tsarin aikin diuretics shine kawar da ruwa daga jiki, sabili da haka, idan aka ɗauke su, nauyin jiki yana raguwa saboda ƙaruwar diuresis.
Indapamide na da ikon kara kwayar cutar takamaiman prostaglandins, wanda ke haifar da raguwar yawan narkakken kwayar halittar lipoprotein a cikin jini, ma’ana, cholesterol, wanda ke haifar da samuwar tabo atherosclerotic. Amma irin wannan tasirin ba shi da alaƙa da rage nauyi, akasin yarda da mashahuri.
Wannan yana nufin cewa yin amfani da diuretics baya haifar da sakamakon da ake buƙata, tunda ƙimar nauyi na faruwa ne kawai saboda fitowar ruwa. Yin amfani da diuretics a kai a kai ba tare da wani dalili ba yana ƙara haɗarin haifar da tasirin da ba'a so.
Nau'ikan sanya maganin warkewa ga 'yan wasa
Madauki madaukai yana da ƙarfi. Hanyoyin shan magani suna da alamun saurin hanji. Ana samun matsakaicin sakamako cikin rabin sa'a kuma ana nuna shi da ƙaruwar fitowar fitsari da saurin rage nauyi. Ofungiyar turezide diuretics tana ɗauke da ɗan lokaci kaɗan, sakamakon yana da sauƙi fiye da na magungunan madauki. Wannan rukunin likitancin an fifita shi don amfani tsakanin 'yan wasa saboda ƙaramin tasirin sakamako masu illa.
- A cikin ginin jiki, yin amfani da Furosemide yana tabbatar da saurin fitar da ruwa daga ƙwayar mai ƙwanƙwasa, wanda ke haifar da canje-canje na waje - jiki ya zama fitacce. An ba da shawarar yin amfani da maganin a cikin ƙwayar kwaya don guje wa matsaloli. Ana samun sakamako a cikin minti 30 bayan gudanar da maganin miyagun ƙwayoyi, tsawon lokacin aiki ya bambanta daga minti 90 zuwa sa'o'i uku. Bumetanide yana da aiki mai tsayi. A matsayinka na ƙa'ida, ana amfani dashi lokacin Furosemide ba shi da tasiri.
- Maganin Canephron na ganye, wanda ya haɗa da centaury, Rosemary da lovage, ya dace da amfani da shi, saboda yana haifar da sakamako mai tasiri na diuretic.
Kwanan nan, kari na musamman don 'yan wasa suna samun farin jini, suna ƙunshe da diuretic, bitamin da kuma lantarki. Wadannan sun hada da:
- Hydrazide daga MuscleTech
- Xpel daga MHP;
- Lokacin Nunawa ta hanyar SciVation.
Hydrazide ta MuscleTech
Haɗuwa da abinci mai gina jiki tare da mayukan warkarwa a cikin ɗan gajeren lokaci yana ba wa ɗan wasa saukin jiki.
Hanya don ɓoye cin abincin anabolic steroid
An yi imanin cewa fitowar ruwa daga jiki na iya kawar da abubuwan da ke cikin jiki wanda aka ƙirƙira yayin ɓarkewar ƙwayoyin cuta na anabolic. Wannan maganar tatsuniya ce, tunda yawancin kwayoyi ana sanya su a cikin kayan kyallen takarda kuma ba za'a iya fitar da su cikin ruwa ba.
Amfani da wakilan maski sananne ne tsakanin 'yan wasa:
- Probenecid wakili ne wanda ke inganta ƙwayar fitsarin uric acid. Amfani da shi don magance gout.Koyaya, a cikin wasanni an hana shi ta tsarin anti-doping, tunda wakili yana inganta kawar da kwayoyi daga jiki.
- Epitestosterone wani tsaka-tsakin abu ne wanda aka kirkira yayin yaduwar testosterone. Yin amfani da magungunan ƙwayoyin cuta yana tsangwama tare da gano ciwan steroid na anabolic.
Don ɓoye gaskiyar doping, 'yan wasa suna amfani da mahaɗan polycyclic - wasu maganin rigakafi, magungunan rigakafi dangane da bromantane.
