Выбор мочегонного средства при отеках ног — проблема многих людей, особенно тех, сталкивается с ней впервые. Страдают от этого недуга все, но чаще отёчность нижних конечностей преследует женщин, заставляя снимать изящные каблучки и переобуваться в тапочки.
К сожалению, отёки доставляют не только неудобства с внешним видом. Они отражаются на всём здоровье, нарушая кровообращение, давая сильную нагрузку на сердце, почки, печень.
Прежде чем самостоятельно принимать диуретики, которые подсказали знакомые или порекомендовала подруга, стоит проконсультироваться с врачом и выяснить причину появившихся отёков. Иногда избавится от проблемы помогает просто смена ритма жизни или смена обуви.
Почему возникают отеки на ногах
Причин отёчности ног множество и, если выявить её, есть большая вероятность избавиться от проблемы. Отёки бывают всего лишь симптомом какой-то болезни или результатом неправильного образа жизни, тем самым организм организм дает нам сигнал, что происходит какой-то сбой.
Частые причины отеков:
- неудобная обувь;
- сидячая работа;
- постоянное нахождение на ногах;
- лишний вес;
- неправильное питание;
- травматические отёки;
- период беременности и после родов;
- плоскостопие;
- приём лекарств;
- нарушение работы сердечно-сосудистой системы;
- варикозное расширение вен;
- болезни почек;
- проблемы со щитовидной железой.
Что делать, если у вас появились отеки? В первую очередь, необходимо обратиться к терапевту и сдать анализы. Тогда уже с большей вероятностью вы определите, какое мочегонное средство вам необходимо.
Принимать диуретики, какие бы то ни было — из народной медицины или в таблетках — нужно только после полного обследования и строго дозировано. Все они обладают серьёзными побочными эффектами, вымывают из организма натрий и калий. Поэтому самостоятельно принимать их не следует.
Как принимать мочегонные средства
Начав приём мочегонного средства, пусть даже самого мягкого, вам придётся пересмотреть все свои нехорошие привычки в питании и отказаться от солёной пищи, диуретики нарушают водно-солевой баланс и нужно облегчить состояние организма и здоровья в это время.
Некоторые из мочегонных могут вызвать симптомы аллергической реакции, поэтому при первых проявлениях в виде высыпаний обратитесь к врачу, чтобы скорректировать лечение.
Приём народных мочегонных средств в виде отваров из сборов или настоев не должен проходить бесконтрольно, хотя травы действуют мягче и не так сильно нагружают организм.
Народные рецепты на основе трав
Все народные средства в виде травяных сборов не заменяют лекарственные диуретики, а идут как дополнение к ним.
- В равных частях берёте берёзовые почки, листья толокнянки и брусники, сушёные ягоды можжевельника. Заваривается сбор как обычно — ложка на стакан кипятка. Принимать до еды по половине стакана. Сбор хорош при плохой работе почек.
- Ложку льняного семени залить литром кипятка и настоять в укутанном виде, можно в термосе, в течение часа. Пить в течение дня через два часа, по пол стакана.
- В двух стаканах кипятка заварить ложку сухих листьев петрушки огородной, полчаса настоять и процедить. Пить настой три раза в день.
- Ложку семян укропа залить стаканом кипятка и настоять на водяной бане 15 минут. Процедить и пить по полстакана перед едой.
- Листья шалфея, подорожника и семени аниса смешать в равных частях. Заваривать ложку на стакан кипятка, пить три раза в день по пол стакана.
- Листья земляники смешать с листьями берёзы, льняным семенем и крапивой, тоже в равных долях. Заваривать по классическому способу, принимать перед едой по половине стакана.
- 2 ложки листьев берёзы залить в термосе пол литром кипятка и настоять три часа. Пить три раза в день, до еды.
- При отёках у беременных залить горсть кураги кипятком, настоять 8 часов и пить как чай.
При беременности некоторые травы могут спровоцировать преждевременные роды, поэтому от их приёма лучше отказаться.
Настой петрушки
Народных рецептов великое множество, но, пожалуй, самое действенное из них — это настой петрушки, который эффективно, но мягко выводит лишнюю жидкость из организма.
Как приготовить настой из петрушки для снятия отечности:
- Нам понадобится и свежая зелень, и корень, то есть растение целиком.
- Тщательно вымойте его и пропусти через мясорубку.
- Поместите массу в термос, влейте туда 500 мл кипятка. Пусть напиток настаивается всю ночь, утром процедите его и отожмите.
Это количество жидкости рассчитано на 1 день, выпить его следует в 3 приема.
Принимайте настой 2 дня подряд, потом сделайте перерыв на 3 дня, а дальше снова пейте средство в течение 2 дней.
Буквально на следующие сутки вы заметите уменьшение отеков на ногах и сможете с легкостью надеть любимые туфли!
Как лопух помог снять отеки — отзыв пенсионера
Мне 77-й. Работаю санитаркой в больнице в отделении кардиологии. Очень жалко тех, кто перенес инфаркт или инсульт. У них часто опухают ноги. От такого недуга помогают листья большого лопуха.
Зимой брала сухие листья, клала в глубокую тарелку, заливала крутым кипятком, накрывала другой тарелкой и ставила под подушку до вечера. Перед сном чуть-чуть отжимала листья, обкладывала ноги больных, завертывала хлопчатобумажной тканью, чтобы не испачкать постельное белье, сверху – полиэтиленовый пакет и плотно привязывала эластичным бинтом.
Летом и того проще. Листовые жилки разбивала, размягчала, не повреждая листа, обертывала ногу в 2-3 слоя и плотно укутывала. Очень важно, чтобы ноге было жарко, именно жарко, а не тепло. Утром больная нога с виду была такой же, как здоровая.
Как-то у знакомого мужчины на спине образовалась большая шишка. Они с женой побоялись обращаться к врачам. Взяли в равных долях по весу окопника и хвоща полевого, в ступке растолкли, просеяли, залили кипятком, развели, как сметану, дали набухнуть. На ночь в марлевом 2-слойном мешочке приложили на шишку, сверху обернули целлофаном, закрепили лейкопластырем. Утром шишка стала мягкой, а после третьего компресса прорвалась, содержимое вытекло, рана зажила.
Дубовицкая Т.С., «Вестник ЗОЖ»
Правила приёма мочегонных сборов
Нужно понимать, что травы тоже выводят из организма вместе с жидкостью калий. Чтобы восполнить его, нужно просто есть продукты, богатые этим микроэлементом, изюм, курагу, чернослив.
- начинайте приём отваров или настоев с небольших доз, смотрите на реакцию организма;
- заканчивайте приём до 4-х часов дня;
- не принимайте один сбор дольше полутора месяцев;
- если травы не помогают вывести жидкость, нужно срочно прекратить их пить и идти быстрее к врачу.
Принимайте мочегонные сборы курсами с перерывом в две недели!
Мочегонные таблетки
Многие заболевания, которые вызывают отёк ног и всего тела, лечат в комплексе, с применением синтетических диуретиков. Принимая их, нужно постоянно находится под наблюдением врача, так как таблетки в большинстве случаев имеют сильное действие на организм, некоторые вымывают кальций и имеют побочные действия.
При сердечно-сосудистых, болезнях почек или печени, могут прописать самые сильные мочегонные препараты, которые нужно принимать курсами с большим перерывом, чтобы исключить привыкание. Такие средства средства прописывают при хронических отёках.
Фуросемид
Урегид
Буметанид
Ксипамид
Если отёки не сильные и появляются при статическом напряжении или после лёгких заболеваний, тогда врач должен назначить диуретики с мягким действием, которые не так сильно влияют на обменные процессы во всём организме.
Гипотиазид
Фитолизин
Амиларид
При варикозе чаще всего назначают индапамид, его действие более слабое и принимать его нужно в течение очень долгого времени.
Есть лекарства, которые не вымывают калий из организма, к примеру, верошпирон, но действие их, как мочегонных выражено меньше и к ним прописывают дополнительные средства.
Как снять отёки ног в домашних условиях
Если отёки вызваны усталостью, неудобной позой при дальнем переезде, ношением неудобной обуви, жарой, то вполне можно обойтись без приёма лекарственных препаратов.
Есть приёмы, которые помогут быстро снять отёки в домашних условиях и без вмешательства врача:
- Приём биодобавок, в составе которых находится магний, способ хорош для беременных.
- Физические упражнения, йога. Занятия улучшают микроциркуляцию крови и усиливают распределение жидкости.
- Использование тоника, минеральной воды для ножных ванночек.
- Тёплая ванна с добавлением эфирного масла грейпфрута.
- Ванна с английской солью.
- Массаж ног.
- Носите компрессионные колготки или чулки.
- Подержать ноги около получаса выше уровня сердца.
- Займитесь плаванием, этот вид спорта хорошо помогает убрать отёки с ног.
- Выпивайте до 10 стаканов воды в день, уменьшая тем самым количество соли в организме.
Отзывы посетителей сайта
Отеки на ногах вызывает плохая работа почек. Почки не выводят излишнюю жидкость. Нужно париться в бане или на солнце, чтобы инфекция погибла, каналы в почках открылись и жидкость хорошо выходила, есть лимон, он тоже чистит почки. Заниматься ходьбой или физкультурой лёжа, сидя, стоя, каждый день 30 мин. У меня прошли отеки за 2 недели ходьбы 1-3 км каждый день.
Галина Морковина, Архангельск
У меня ноги отекают только в жаркую погоду, поэтому я не могла платья носит. Врачи говорили пить больше воды, я пила воду почти 3 литра в день, и мои ноги раздувались до больших размеров. Потому что в жару вода выходит, а потом еще по маленькому на унитазе! Потом я нашла рецепт, заваривала семена укропа 1 ч.ложку на стакан кипятка, пила по половинке, через два дня ноги пришли в норму, и почки у меня работают отлично. А так же можно применять перед сном негорячие ванны для ног с эвкалиптовым маслом.
Мочегонные средства (диуретики) — это средства с различным химическим составом, которые тормозят в канальцах почек реабсорбацию (процесс обратного всасывания организмом питательных веществ) воды и солей и усиливающие их выведение с мочой, а также увеличивающие скорость образования мочи и, таким образом, снижающие содержание жидкости всерозных полостях и тканях. Далее рассмотрим применение диуретиков при отеках различной локализации.
Классификация
Мочегонных препаратов огромное количество, их классификация происходит в зависимости от:
- Эффективности. Различают сильнодействующие, умеренные и слабые.
- Происхождения. Бывают природные и синтетические.
- Механизма фармакологического воздействия. Существует ренальная и экстраренальная группа.
Выбором необходимых диуретиков должен заниматься доктор. Принятое самостоятельное решение может быть ошибочным и привести к ухудшению заболевания. Однако для контроля за лечением пациент должен знать, как подбирают мочегонные средства.
Петлевые диуретики
Именно эти диуретики применяются чаще всего. Положительным моментом является быстрый и мощный эффектом, также они не способствуют повышению холестерина. Заботятся о снижении артериального давления, снимают спазмы, не обостряют сахарный диабет.
К таким препаратом относят этакриновую кислоту, торасемид и фуросемид. Однако эти медикаменты способны снизить уровень ионов магния, кальция, натрия и калия в крови.
Поэтому для поддержания нужного количества ионов, следует применять аспаркам или панангин в комплексе с вышеперечисленными препаратами.
Как и большинство других препаратов, петлевые диуретики обладают побочным эффектом. Может появиться звон в ушах, снизиться слух, повышается содержание мочевой кислоты.
Данные препараты не следует использовать для частого применения. Длительность эффекта составляет от 5 до 6 часов.
Калийсберегающие диуретики
Это те мочегонные препараты, которые оказывают слабое либо среднее воздействие.
Они подходят для людей с сердечно-сосудистыми заболеваниями, так как регулируют нужное количество ионов калия. Действовать они начинают не сразу, а только через 2-5 дней.
Побочные эффекты минимальны и проявляются как сонливость, головная боль или боль в животе.
Так как калийсберегающие диуретики сохраняют калий в организме, то их применение не рекомендуется людям с высоким уровнем калия. Иначе может возникнуть заболевание гиперкалиемия.
Тиазидные препараты
Быстродействующая группа препаратов, а длительность их эффекта составляет от 10 до 12 часов.
Тиазидные препараты не влияют на основное кислотное состояние. Но негативное воздействие им присуще:
- увеличивают уровень глюкозы при сахарном диабете;
- снижают количество калия;
- задерживают мочевую кислоту;
- в редких случаях тошнота, рвота и диарея;
Меньше негативного воздействия у препаратов, которые содержат натуральные ингредиенты:
- чай с толокнянкой и брусникой;
- ягоды шиповника;
- препараты «Цистон» и «Канефрон»;
- полевой хвощ;
Однако частое их применение может плохо воздействовать на ЖКТ и снизить уровень калия.
Мочегонные средства при отеках подбираются в зависимости от части тела, которая подверглась заболеванию.
При отеках лица
Практически каждый человек сталкивался с отеком лица. Это происходит тогда, когда стенки кровеносных сосудов ослаблены, а давление повышено. В таком случае жидкость легко попадает в ткань лица, из-за чего и происходит отек.
Процесс происходит в ускоренном режиме из-за отсутствия четких перегородок в подкожной жировой клетчатке, а также через возрастные изменения.
Отечность может быть как легкой формы, так и тяжелой (массивной).
Причины отека лица:
Это флюс, конъюнктивит, ожог, укус насекомого, воспаления кожи, операции на лице
К ним относятся заболевания почек, печени и сердечно-сосудистой системы, чрезмерное употребление соли и спиртных напитков, беременность, плохой сон, аллергия, сахарный диабет, артериальная гипертензия, эндокринные заболевания.
Правильное лечение способен назначить лишь специалист. Если причиной заболевания является аллергия, то следует изначально ее устранить. Но при тяжелых случаях, в комплексе с противоаллергическими препаратами назначают и мочегонные.
К общим причинам, которые устраняют с помощью мочегонных средств, относится воспаление почек и застой крови, вызванный болезнью сердца.
При усиленном отеке лица утром можно говорить о болезни почек, а вечером о сердечных заболеваниях.
Гипортиазид и фуросемид
При выборе мочегонного средства следует обращать внимание на его эффективность и безопасность. Доказано хорошее действие гипортиазида и фуросемида, которые относятся к тиазидной и петлевой группе мочегонных препаратов.
Однако при бессистемном употреблении возможны сбои в работе сердца, появление судорог или остеопороза. Также тиазидные препараты могут спровоцировать обострение сахарного диабета.
Поэтому лучше обратиться к врачу для получения правильного и безопасного лечения.
При отеках ног
Отек ног происходит из-за чрезмерного содержания в тканях жидкости. Причиной является нарушение в циркуляции крови, которая поставляет кислород и питательные вещества в ткань, и плохая реабсорбция.
Справиться с этим могут мочегонные средства. Однако перед лечением необходимо выявить факторы, которые спровоцировали отек.
- варикозное расширение вен;
- сердечная или почечная недостаточность;
- нарушенный лимфоток;
- плоскостопие;
- работа, связанная с постоянным длительным сидением или стоянием на ногах;
- большая физическая нагрузка на организм;
- отсутствие движения;
При наличии одного из вышеперечисленного заболевания, назначенное лечение будет комплексным.
При отеках глаз
Обычно припухлость век происходит утром. Регулярное появление отека свидетельствует о плохой работе почек.
Существует много хороших мочегонных средств. Однако, как и все медикаменты, они имеют не только положительные, но и отрицательные свойства. Поэтому, перед лечением следует проконсультироваться со специалистом, дабы избежать осложнения.
Рассмотрим наиболее применяемые средства:
Верошпирон
Справляется с незначительными припухлостями и отеками. Для того, чтоб он подействовал, потребуется некоторое время.
Фуросемид
Быстродействующий препарат для устранения даже самых сильных отеков глаз. Принимать его нужно лишь в экстренных ситуациях, ведь он выводит полезные микроэлементы из организма, а это может привести к обезвоживанию.
Курс применение мочегонных средств не должен превышать 5 дней. В противном случае нарушиться работа сердца, из-за недостачи кальция в организме.
Также, является эффективным применение народных средств.
Для этого делается отвар из:
- полевого хвоща;
- шиповника;
- листьев толокнянки или ортосифона;
Следует употреблять по полстакана отвара 3 раза в день.
По истечению курса лечения мочегонными средствами, следует включить в свой рацион питания такие продукты: печеный картофель, апельсины, бананы и молочную продукцию.
Отеки при беременности
Как правило, после шестого месяца беременности у многих женщин происходит отек ног. Иногда отечность исчезает самостоятельно, но в некоторых случаях требуется лечение. Ведь это может привести к варикозному расширению вен и усложнить работы сердца и почек.
Изначально следует пересмотреть употребляемые в рацион продукты. Если улучшение не произошло, то потребуется лечение диуретиками.
При беременности назначаются следующие препараты:
Эуфиллин
Это мочегонное бронхолитическое средство. Не рекомендуется при пониженном артериальном давлении, сердечных заболеваниях и эпилепсии.
Фитолизин
Натуральный мочегонный препарат, который содержит корни любистка и пырея, петрушку, хвощ полевой, семена пажитника, березовые листья, грыжник и золотарник.
Снимает воспаления и отек, не способствует привыканию. Препарату присущ специфический запах. Противопоказан при гастрите, гепатите и остром нефрите.
Канефрон
Натуральное средство из шиповника, розмарина, любистка и золототысячника. Обладает антисептическим, спазмолитическим и антибактериальным действием. Способствует сохранению в организме белка и солей калия.
Опасными для плода является употребление:
- Этакриновой кислоты – негативно воздействует на органы слуха;
- Верошпирона – способствует возникновению желтухи у ребенка и нарушает формулу крови;
- Триамтерена – негативно воздействует на водно-солевой баланс;
Для устранения отека при беременности используют и народные методы. Следует осторожно выбирать способ лечения, чтоб не навредить ребенку.
При беременности не следует употреблять настойку петрушки, земляники или можжевельника.
Лучше отдать предпочтение следующим мочегонным средствам: любистку, зеленому чаю, листьям брусники или толокнянки, клюквенному морсу, фрешу из петрушки, огурца, свеклы и морковки.
Народные мочегонные средства
Большой популярностью при лечении отечности пользуются народные средства. Они являются безопасными и эффективными, но перед лечением все равно следует проконсультироваться с врачом.
Мочегонные средства из ягод и овощей являются доступными и действенными.
Рассмотрим основные рецепты народной медицины для лечения отеков:
- Следует употреблять микс из яблочного, калинового, лимонного и рябинового сока. Для вкуса можно добавить немного меда. А для улучшения мочегонного действия добавляется экстракт петрушки или березы, или 1ч. ложка фитолизина.
- Отвар из толокнянки. Употреблять нужно 1/3 стакана не меньше 3 х раз в день.
- Настой из корней и листьев петрушки. Измельченное растение заливают кипятком на 8 часов. Затем следует настой процедить и добавить лимонный сок. Употреблять следует так: 3 дня пьется настой, а затем 3 дня отдыха и т.д.
- Отвар на основе корня солодки, ягод можжевельника и перечного горца. Измельченные растение в количестве 1 ст.ложки следует залить стаканом теплой воды на 8 часов. По истечению времени отвар следует довести до кипения и немного варить. Пить нужно по 1 стакану любое количество раз в день.
- Фруктовая каша из яблок, тыквы и изюма.
- Следует измельчить 3 яблока и 100 г тыквы и немного изюма. Все тщательно перемешать и отправить в холодильник. Употребляйте по 2 ст.ложки перед едой.
- Огурец и сельдерей. Мелко измельчается или натирается 1 огурец и 3 шт сельдерея. В полученную смесь добавляется вода. Пить следует по 150 мл 4 раза на день.
Следует помнить, сколько бы ни было способов лечения отечности, в любом случае нужно изначально обратиться к доктору. Только в таком случае вы в кратчайшие сроки добьетесь нужного результата без вреда для организма.
Мочегонные средства широко применяются в медицине для лечения множества заболеваний. Основная цель этих препаратов – выведение из организма лишней жидкости, химических веществ, солей, которые накопились в стенках сосудов или тканях. Препараты классифицируются на несколько основных групп, которые различны между собой механизмом, скоростью, силой и длительностью действия. В этой статье рассмотрены лучшие препараты каждой группы, сферы их применения, достоинства и недостатки отдельно взятого лекарства.
Мочегонное средство какой фирмы выбрать
Как правило, качественные медикаменты выпускаются крупнейшими фармацевтическими компаниями. Лидеры по производству качественных медицинских препаратов имеют крупное производство, мощный научно-технический потенциал и, конечно, доверие потребителей, которое обуславливает высокий объем продаж.
Чтобы приобрести безопасный и эффективный мочегонный препарат, обязательно обращайте внимание на производителя.
Рейтинг лучших фармацевтических компаний, производящих высококачественные диуретики, поможет Вам правильно выбрать лекарство:
Медикаменты от этих брендов широко распространены и Вы без проблем сможете найти их практически в каждой аптеке.
Лучшие мочегонные средства группы салуретиков
Салуретики относятся к производным тиазида. Эти синтетические мочегонные средства обладают длительным гипотензивным эффектом. Главной особенностью салуретиков является усиление выведения из организма ионов натрия и в меньшей степени – ионов калия.
Фуросемид
Это сильнодействующий диуретик. Используют для ускоренного устранения отечности различного генеза, для уменьшения давления. Лекарство применяют по мере необходимости. Для длительного приема препарат не подходит. Активный компонент, фуросемид, снижает тонус венозных сосудов, уменьшает объем межклеточной жидкости и циркулирующей крови, что приводит к снижению АД. После внутривенного введения, эффект наступает через несколько минут, после приема таблеток – через час. Форма выпуска: гранулы для суспензий, таблетки, раствор.
Достоинства:
- оказывает выраженное натрийуретическое, хлоруретическое действия;
- снижает нагрузку на сердце;
- низкая стоимость;
- продолжительность эффекта до 6 часов;
- помогает быстро избавиться от излишней жидкости, которая вызывает отечность.
Недостатки:
- нежелательные реакции организма после приема: аллергия, нарушение работы нервной системы, сердечно-сосудистой, органов чувств и пр.;
- уменьшает количество калия в организме;
- противопоказания: диабет, подагра, почечная недостаточность, гломерулонефрит, панкреатит, гиперчувствительность и пр.
Буметанид
Это сильнодействующий диуретик. Используется при отечности различного генеза, позднем токсикозе, циррозе печени, артериальной гипертензии. Рекомендуется применять людям, для которых высокие дозы Фуросемида не приносят ожидаемого лекарственного результата. Активное вещество, буметамид, нарушает реабсорбцию ионов хлора и натрия; увеличивает выведение ионов магния, кальция, калия. Назначается в инъекциях или внутрь.
Достоинства:
- в отличие от Фуросемида, всасывается гораздо быстрее и практически полностью, это обуславливает более мощный эффект Буметанида;
- максимальное действие диуретика развивается спустя четверть часа;
- эффективно уменьшает отечность.
Недостатки:
- непродолжительное действие;
- препарат снижает АД, поэтому не рекомендован лицам с гипотонией;
- запрещен длительный прием;
- выводит с мочой кальций, калий, магний;
- побочные реакции: головокружение, упадок сил, гипонатриемия, гипокалиемия, обезвоживание, боль в животе, тошнота и пр.;
- противопоказания: гиперчувствительность, возраст после 60 лет, почечная кома, острый гепатит, подагра и пр.
Индапамид
Обладает средней силой гипотензивного и мочегонного действий. Главный компонент, индапамид, является производный сульфонилмочевины. Действует в сосудах и тканях почек: изменяет проницаемость мембран для кальция, расширяет артериолы, уменьшает сократительную способность гладкомышечных клеток сосудов. В тканях почек, лекарство уменьшает реабсорбирование натрия, увеличивает выделение калия, магния, хлора с уриной, что способствует образованию большего объема урины. Выпускается в капсулах и таблетках.
Достоинства:
- снижает общую сердечную нагрузку;
- продолжительность эффекта до 24 часов;
- разрешен длительный прием;
- способствует уменьшению отеков различного генеза;
- низкая цена.
Недостатки:
- побочные реакции: обезвоживание, запор, дискомфорт в области живота, нарушение зрения, кашель, аллергия;
- выводит из организма магний и калий;
- способствует умеренному снижению АД, поэтому не рекомендован людям, страдающим гипотонией;
- противопоказания: гипокалиемия, декомпенсация функции печени, анурия, беременность, лактация.
Торасемид
Это диуретик умеренного действия. Используют при отечности, вызванной сердечной недостаточностью, повышенным АД. Активный компонент – торасемид. Длительность лечения зависит от течения болезни. Максимальный диуретический эффект наступает спустя несколько часов после применения. Лекарственная форма: таблетки.
Достоинства:
- усиливает диурез;
- оказывает умеренное противоотечное действие;
- продолжительность действия до 18 часов;
- препарат разрешено принимать до полного исчезновения отечности;
- хорошо всасывается в ЖКТ;
- постепенно устраняет задержку жидкости в организме.
Недостатки:
- препарат обладает некоторым гипотонзивным действием, поэтому не рекомендован лицам, страдающим пониженным АД;
- уменьшает количество калия в крови, но в меньшей степени, чем Фуросемид;
- побочные реакции: повышение некоторых ферментов печени, мочевины, креатина в крови; нарушение пищеварительного тракта; расстройства нервной системы;
- противопоказания: гиперчувствительность к компонентам мочегонного средства, прекома или кома печени, аритмия.
Лучшие мочегонные средства группы калийсберегающих диуретиков
Лекарства провоцируют ускоренное выведение натрия, но при этом блокируют экскрецию калия. Отличительная особенность – токсичность практически отсутствует. Эту группу препаратов часто назначают пациентам с отечностями, вызванными сердечной недостаточностью.
Триамтерен
Это диуретик мягкого действия. Применяется при отеках различного генеза, повышенном АД, признаках цирроза печени. Активный компонент, триамтерен, угнетает секрецию калия, которая образуется в дистальных канальцах. Максимальный эффект от приема наступает спустя 2 часа после применения. Лекарственная форма: порошок, капсулы.
Достоинства:
- разрешен прием детям, согласно режиму дозирования;
- увеличивает выведение натрия, не влияя на содержание калия;
- разрешен длительный прием;
- при необходимости разрешено увеличить дозировку, но не превышать суточную норму в 30 г;
- повышает концентрацию калия в крови;
- длительность действия до 12 часов;
- эффективно выводит излишнюю жидкость из организма, что способствует уменьшению отеков.
Недостатки:
- нежелательные реакции организма: обезвоживание, гипонатриемия, диспептические симптомы и пр.;
- противопоказания: лактация, гиперчувствительность, почечная или печеночная недостаточность;
- препарат плохо растворяется, иногда дает осадок в моче, это может привести к появлению камней в почках.
Амилорид
Этот препарат – диуретик слабого, но длительного эффекта. Используют при повышенном АД как мочегонное средство; при отечности, вызванной сердечной недостаточностью или нефротической патологией. Активный компонент, амилорид, действует на дистальную область почечных канальцев, увеличивает выделение натрия, хлора. Эффект от применения наступает через несколько часов. Лекарственная форма: таблетки.
Достоинства:
- действие препарата может длиться до 24 часов;
- в сочетании с другими диуретиками, уменьшает риск развития гипокалиемии, гипомагниемии;
- уменьшает выведение калия;
- хорошо усваивается печенью и почками;
- мягкий гипотензивный эффект способствует нормализации давления у людей, страдающих гипертонией;
- разрешен длительный прием.
Недостатки:
- редко от приема появляются следующие побочные реакции: нарушение работы ЖКТ, быстрая утомляемость;
- препарат может привести к избыточному накоплению калия, поэтому при длительном применении необходимо периодически сдавать кровь и проверять количество минерального вещества в организме;
- противопоказания: повышенное содержание калия в организме, гиперчувствительность, нарушение работы почек.
Лучшее мочегонное средство группы осмотических диуретиков
Медикаменты этой группы увеличивают осмотическое давление в плазме крови, увеличивают ее циркуляцию и препятствуют обратному всасыванию жидкости. Осмотические диуретики являются сильнодействующими лекарствами и их назначают в составе комплексной терапии острых состояний.
Маннитол
Оказывает сильное мочегонное действие. Применяют при острых отечных состояниях. Активный компонент, маннитол, повышает давление плазмы, препятствует реабсорбции, удерживает жидкость и увеличивает количество урины. Вода перемещается из тканей в сосудистое русло, что приводит к усиленному мочегонному действию. Лекарственная форма: раствор в ампулах.
Достоинства:
- сильное диуретическое действие;
- низкая стоимость;
- уменьшает отечность;
- выводит большой объем жидкости с высоким содержанием натрия и незначительным количеством калия;
- не повышает показатели остаточного азота в крови.
Недостатки:
- противопоказания: гипохлоремия, гиперчувствительность, гипонатриемия, геморрагический инсульт и пр.;
- необходим рецепт врача;
- нежелательные явления при большой дозировке: обезвоживание, диспепсические расстройства, галлюцинации.
Какое мочегонное средство купить
1. Если необходим препарат, который поможет быстро избавиться от отека и излишней жидкости в организме, лучше приобрести Фуросемид.
2. Если Фуросемид не дал ожидаемого результата, то подойдет Буметанид, последний мощнее практически в 2 раза, однако стоит помнить, что лекарство вымывает минеральные вещества из костной ткани.
3. Если необходим препарат с умеренным мочегонным эффектом, то лучше приобрести Триамтерен. К тому же лекарство не снижает содержание калия в организме.
4. При острых и критических состояниях, сопровождающихся отеками различного генеза, необходим осмотический диуретик – Маннитол.
5. При наличии хронических заболеваний, а также для профилактики кризов, необходимы диуретики слабого и умеренного действий: Индапамид, Торасемид.
6. Если необходим калийсберегающий диуретик с мягким, продолжительным действием, лучше выбрать Амилорид.
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