Kodi mankhwala anu oletsa kuthamanga kwa magazi ndi ACE Inhibitor? Tiyeni tikambirane mwachidule za izi (ACE Inhibitors)

Kodi dokotala wanu wakuuzani kuti muli ndi kuthamanga kwa magazi, kapena "kupanikizika" monga momwe tonse tikudziwira? Kapena mukumwa mankhwala a matenda a mtima? Ndiye mwina mwamvapo dzina lakuti "ACE inhibitor". Uwu ndi mtundu wofunikira wa mankhwala omwe madokotala nthawi zambiri amakulemberani. Lero, tiyeni tikambirane za mtundu uwu wa mankhwala otchedwa ACE inhibitor, momwe amagwirira ntchito, ubwino wake, kuipa kwake, ndi zinthu zomwe muyenera kusamala nazo mukamazigwiritsa ntchito, m'njira yosavuta komanso yochezeka.

Mwachidule, kodi ma ACE Inhibitors awa ndi chiyani?

ACE Inhibitors, Angiotensin-converting enzyme inhibitors (blood pressure) . ‍ (cardiovascular conditions) ‍ .

Izi ndi zinthu zazikulu zomwe mankhwalawa amathandiza:

• Chiritsani Matenda Othamanga Kwambiri: Monga tonse tikudziwa, chepetsani kuthamanga kwa magazi anu.
• Chithandizo cha Kulephera kwa Mtima: Pamene mtima sungathe kupompa magazi okwanira.
• Pambuyo pa Matenda a Mtima: Kuthandiza kuchira ndikuletsa kubwereranso pambuyo pa matenda a mtima.
• Pewani ndi kusamalira matenda a impso mwa anthu omwe ali ndi matenda a shuga: Izi ndizofunikira kwambiri kuti muchepetse kuwonongeka kwa impso komwe kumachitika chifukwa cha matenda a shuga.
• Pewani izi kwa iwo omwe ali pachiwopsezo chachikulu cha matenda a mtima ndi sitiroko.
• Izi zimagwiritsidwanso ntchito pa matenda ena a impso (monga matenda a nephrotic, proteinuria) omwe amapezeka ngakhale kwa anthu omwe alibe matenda a shuga.

Kodi mankhwalawa amagwira ntchito bwanji m'thupi?

Imagwira ntchito monga momwe dzina lake likusonyezera. Tangoganizani kuti matupi athu mwachibadwa amapanga enzyme yotchedwa Angiotensin-converting enzyme (ACE) . Enzyme iyi imasintha mankhwala otchedwa Angiotensin I kukhala mankhwala ena otchedwa Angiotensin II .

Choncho chomwe mankhwala athu oletsa ACE amachita ndikuletsa ntchito ya enzyme yotchedwa ACE . Kenako kupanga kwa Angiotensin II kumachepa. Zotsatira zake, mitsempha yanu yamagazi imakula ndikupumula, mchere ndi madzi osafunikira zimatuluka mu impso, ndipo pamapeto pake kuthamanga kwa magazi kumayendetsedwa bwino. Mwachidule, ndicho chomwe chimachitika.

Mitundu yodziwika bwino ya zoletsa za ACE

Mankhwalawa amapezeka pamsika m'maina osiyanasiyana. Dokotala wanu adzakulangizani omwe ali oyenera kwa inu. Zitsanzo zina ndi izi:

• Benazepril
• Captopril
• Enalapril
• Lisinopril
• Ramipril
• Perindopril
• Quinapril

Ambiri mwa awa amabwera ngati mapiritsi oti amwe pakamwa.

Kodi ubwino ndi zotsatirapo zake ndi ziti?

Pali zifukwa zingapo zomwe madokotala nthawi zambiri amalangiza mtundu uwu wa mankhwala.

• Zothandiza kwambiri: Kupambana kwa izi kwatsimikiziridwa kudzera mu kafukufuku wasayansi.
• Amaletsa matenda: Kuwonjezera pa kuchiza matenda omwe alipo kale, zimathandizanso kupewa matenda ena amtsogolo monga matenda a mtima ndi sitiroko.
• Zimagwira ntchito bwino ndi mankhwala ena: Nthawi zina izi zimabwera mu piritsi limodzi, pamodzi ndi mankhwala ena othamanga magazi.
• Nthawi zambiri zimakhala zotetezeka: Zotsatira zoyipa nthawi zambiri zimakhala zazing'ono. Zotsatira zoyipa kwambiri sizimachitika kawirikawiri.

Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa

• Nthawi Yomwe Mungatenge Mankhwala: Dokotala wanu amalangiza kuti mutenge mankhwala ena oletsa ACE ola limodzi musanadye. Izi zili choncho chifukwa chakudya chingachepetse kuyamwa kwa mankhwala ndi pafupifupi 30%-40%. Nthawi zonse tsatirani malangizo a dokotala wanu.
• Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi kuti "mukwaniritse zomwe mukufuna." Kuchita izi kungapangitse kuti kuthamanga kwa magazi anu kuchepe kwambiri.
• Musadzuke mwadzidzidzi: Mukayamba kumwa mankhwalawa, mungamve chizungulire mukayimirira mwadzidzidzi kuchokera pamalo okhala kapena ogona. Choncho dikirani pang'ono kenako dzukani pang'onopang'ono.
• Gwiritsani ntchito nthawi zonse: Pitirizani kumwa mankhwala monga momwe dokotala wanu wanenera. Kusiya mwadzidzidzi kungayambitse kukwera kwadzidzidzi kwa kuthamanga kwa magazi, zomwe zingayambitse matenda a mtima kapena sitiroko.
• Samalani ndi mankhwala ena: Uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa, makamaka mankhwala ochepetsa ululu (NSAIDs - mwachitsanzo, Ibuprofen, Diclofenac), omwe angagwirizane ndi mankhwalawa.
• Mchere ndi Potaziyamu: Madokotala amalangiza kuchepetsa mchere muzakudya zanu. Komanso, funsani dokotala musanagwiritse ntchito mankhwala olowa m'malo mwa mchere omwe ali ndi potaziyamu.

Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?

Ngati mukukumana ndi zizindikiro zotsatirazi, pitani ku chipinda chapafupi chadzidzidzi (ETU) kapena pitani kwa dokotala nthawi yomweyo . Izi zitha kukhala zizindikiro za matenda oopsa.

Pali mitundu yosiyanasiyana ya mankhwala a kuthamanga kwa magazi, kotero zimakhala zovuta kuwamvetsa onse. Mankhwala oletsa ACE ndi omwe amasankhidwa ndi madokotala, ndipo ndi othandiza kwambiri komanso otetezeka. Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kulankhula ndi dokotala wanu ndikuwafotokozera bwino.