What are diuretics for edema
What is needed for diuretic drugs. Basically, to remove the generalized edematic syndrome, which accompanies serious heart, kidney and lung diseases. To treat local edema with diuretics is meaningless, as the drugs only muffle the symptoms. It is necessary to search for the causes of edema, which can be very serious (lymphostasis, blockage of lymph nodes, etc.). Then why do they drink diuretics and why are they needed? Diuretics are usually not prescribed as a separate medicine. Doctors prescribe them in combination with other drugs.
When drinking a diuretic, the kidneys are depressedprocess of reabsorption of potassium, sodium and chlorine. These electrolytes begin to be intensively removed together with the liquid. In the body, the blood volume decreases and blood pressure decreases. This leads to a decrease in the load on the heart. Diuretics are also used in other diseases of SSS, liver, kidneys, eyes (glaucoma).
Indications for the use of diuretics (diuretics) are:
- Swelling caused by sodium retention
- High level of calcium in the urine
- Decrease in intraocular pressure before operation, with glaucoma
- The condition in which the kidneys produce large amounts of potassium (Liddle's syndrome)
- Violation of the functions of the adrenal glands (hyperaldosteronism)
- Excess uric acid in urine (hyperureukemia)
- Intoxication (for forced diuresis)
What to drink diuretics and when to take them shouldtell only the doctor. For each condition various types of these medicines are shown. In low doses, thiazide diuretics (Hypothiazide, hydrochlorothiazide) have an antihypertensive effect in patients with moderate arterial hypertension. In order to prevent the loss of potassium, which occurs when taking diuretics, prescribe potassium-sparing drugs (Triamteren, Veroshpiron). In order to reduce swelling in the brain, Manit is prescribed. In cases where a rapid effect is required, Torasemide, Trifas, Furosemide are prescribed.
It is impossible to replace diuretics where they can not replace anything. However, do not get involved in diuretics, since they have serious consequences:
- blood pressure drop
- skin lesions
- coordination disorders
- stones in the kidneys
- renal insufficiency
Most of the side effects appear due toviolations of electrolyte balance and a shift in the acidity of urine and the appearance of acidosis. To reduce the risk of side effects, patients should inform their doctor about the drugs they take and the existing chronic diseases.
What diuretic to take with swelling?
Swelling can be both temporary anda permanent character. Puffiness of the face, swollen legs and hands spoil the appearance of a person. And often the patient himself, trying to get rid of the problem, prescribes a diuretic for edema. Unfortunately, diuretics not only do not relieve a person of the problem, but also can aggravate the course of the underlying disease that caused the edema. Therefore, in order to properly treat this symptom, it is important to identify the cause.
In case of violations of the kidneys, incorrectposition of the head during sleep, puffiness appears mainly on the face. Another reason is excessive fluid intake in the evening. A healthy person swelling occurs after a couple of hours itself. Patients with chronic renal failure should not use potassium-sparing and osmotic diuretics, since complications that threaten life can occur.
A dangerous cause of edema is a disruption of workheart and formation of CHF. In this case, a diuretic with swelling is prescribed to relieve the myocardium. To reduce severe swelling appoint drugs with a rapid diuretic effect (Torasemide, Furosemide, Trifas). For prevention prescribe potassium-sparing (Veroshpiron, Triamteren, Spironolactone). In cases of venous outflow disturbances, diuretics are prescribed with edema with great caution, since their incorrect application can lead to microcirculation and thrombosis.
Why drink diuretics if they want to lose weight?
If you regularly use diureticsfor weight loss, you can get rid of extra pounds. However, weight loss will only be due to the removal of fluid from the body. In addition, together with water, important microelements participating in the metabolism will emerge. In this case, fat cells, devoid of liquids, do not collapse. As soon as a person stops drinking diuretics, the fat cells will again fill the lack of fluid, and the weight will be the same.
There is another factor that indicatesthat diuretics for weight loss should not be taken. In medicine, a syndrome called idiopathic edema is described. They arise with prolonged use of diuretics, which leads to adaptation to their action. As a result, instead of losing weight, it begins to increase.
In order to minimize the risk ofeffects, doctors recommend to consult with nutritionists, take drugs strictly for the intended purpose. It is recommended that instead of synthetic drugs take diuretics for weight loss and include products with an easy diuretic effect (artichoke, asparagus, juniper, celery, watermelon).
Is it possible to drink diuretics during pregnancy?
Future mothers need to know that diureticsat pregnancy it is forbidden to drink freely! Assigning yourself even "harmless" herbal preparations can lead to a violation of the electrolyte balance and cause significant harm to the mother and baby. Diuretics lead to a violation of uteroplacental blood circulation, thrombosis of the vessels of the placenta, impaired fetal development, etc. Synthetic drugs can be prescribed in extreme cases in recent months. For example, to stop the hypertensive crisis at the risk of lung edema.
Pregnant women doctors if necessaryprescribe Kanefron, which is made from medicinal herbs (rosemary, lovage, gold-thousander). Phytolysin is also used, but only if the pregnant woman does not have inflammation in the kidneys. Under the supervision of a doctor with edema, the bronchodilator Eufillin is taken, which has a diuretic effect.
Broths from herbs to pregnant women should also be taken withcaution. It is forbidden to drink tea from juniper, which can cause uterine contractions. Contraindicated are such plants as: parsley and strawberry leaves. Allow to take tea from the leaves of cowberry, horsetail, leaves and birch buds.
Diuretic for normalization of arterial pressure
For the prevention and treatment of arterialhypertension cardiologists appoint patients diuretics. Thiazide-like diuretics under pressure exert sufficient effect with a moderate increase in pressure. In small doses of indapamide retard, hydrochlorothiazide reduces the hypertrophy of the left ventricle. Since thiazides excrete potassium, potassium-sparing agents are prescribed in the complex (Veroshpiron, Amilorid).
The appointment of thiazides in combination withpotassium-sparing diuretics significantly improve the prognosis of the disease and reduce the risk of coronary complications (heart attack, stroke). One of the requirements of therapy for the normalization of blood pressure is the selection of the most effective drug and its dosage.
For the treatment of patients with arterial hypertension andrenal insufficiency, thiazides are not effective. Such patients are shown loop diuretics under pressure (Furosemide, Triface, Lasix). They are prescribed in small doses to prevent heart attacks. In emergency cases with hypertensive crisis loop diuretics with intravenous administration are able to quickly reduce blood pressure.