Zonse zokhudza mankhwala a ARB (Angiotensin II Receptor Blockers) a kuthamanga kwa magazi

Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika," ndi vuto lomwe anthu ambiri m'dziko lathu akukumana nalo pakadali pano. Mwina inunso mukumwa mankhwala a izi, kapena wina m'banja mwanu angakhale ndi vutoli. Dokotala akakupatsani mankhwala a kuthamanga kwa magazi, pali mitundu yambiri ya mankhwala amenewo. Chifukwa chake lero tikambirana za imodzi mwa mitundu yodziwika bwino komanso yofunika kwambiri ya mankhwala. Ndi ARBs, kapena Angiotensin II Receptor Blockers.

Mwachidule, kodi ARB iyi ndi chiyani?

Ma ARB (Angiotensin II Receptor Blockers) ndi gulu la mankhwala omwe amagwiritsidwa ntchito osati pochiza kuthamanga kwa magazi kokha, komanso matenda ena angapo, monga kulephera kwa mtima ndi matenda a impso. Amabwera ngati mapiritsi, zomwe zikutanthauza kuti amamwedwa pakamwa. Ngakhale dzinalo lingamveke lovuta pang'ono, tanthauzo lake ndi losavuta. Tiyeni tikambirane mwachidule.

• Angiotensin II ndi homoni yomwe imapangidwa m'matupi athu. Ntchito yake yayikulu ndikuchepetsa (kulimbitsa) mitsempha yamagazi yathu.
• Cholandirira ndi malo enieni omwe ali pamakoma a mitsempha yamagazi komwe mahomoni awa amatha kumangirira. Ali ngati tsamba la kiyi.
• Choletsa ndi chinthu chomwe chimaletsa.

Chomwe mankhwalawa amachita ndikuletsa homoni (kiyi) kuti isamamatire ku cholandirira (mbale) m'mitsempha yamagazi. Kenako mitsempha yamagazi simatsekeka, imatseguka bwino, kotero magazi amatha kuyenda mosavuta, ndipo kuthamanga kwa magazi kumachepanso. Tiyeni tiwone zina mwazochitika zomwe madokotala nthawi zambiri amapereka mtundu uwu wa mankhwala a ARB pansipa.

Kodi mankhwala a ARB omwe amaperekedwa nthawi zambiri ndi ati?

Pali mitundu ingapo ya mankhwala omwe ali m'gulu la ARB. Pali njira yosavuta yowadziwira. Mayina a mankhwala awa nthawi zambiri amatha ndi "-sartan." Chongani bokosi la mankhwala lomwe dokotala wanu wakupatsani, likhoza kukhala ndi dzina longa ili. Tebulo ili pansipa likuwonetsa ena mwa ma ARB omwe amagwiritsidwa ntchito kwambiri.

Chabwino, tsopano tiyeni tiwone momwe mankhwalawa amagwirira ntchito mkati mwa thupi.

Kuti timvetse izi, tiyeni titenge chitsanzo chaching'ono. Tangoganizani kuti pali chitoliro cha madzi, chimachitika ndi chiyani ngati mutakankhira pakati pa chitolirocho ndikuchigwira? Kuthamanga kwa madzi mkati mwa chitolirocho kumawonjezeka, sichoncho? Mitsempha yathu yamagazi ndi yotero. Homoni ya `Angiotensin II` m'thupi mwathu imatseka mitsempha yathu yamagazi ngati kuti ikukankhira chitoliro cha madzi. Mitsempha yamagazi ikakokana, malo oti magazi azidutsamo amachepa. Kenako mtima umayenera kupompa magazi mwamphamvu kwambiri. Ichi ndi chomwe timatcha kuthamanga kwa magazi, kapena kupanikizika. Kuti homoni ya `Angiotensin II` iyi igwire ntchito yake, imafunika kulumikizidwa pamalo enaake pamitsempha yamagazi, yomwe ndi ``receptor``. Mankhwala a ARB amachita chinthu chosavuta kwambiri. Amapita ndikukhala pa cholandiriracho. Kenako homoni ya `Angiotensin II` ilibe malo olumikizira. Zili ngati mukakhala pampando ndipo wina akukhalapo, simungathe kukhala pansi.

Kodi pali zotsatirapo zilizonse pa mankhwalawa?

Monga mankhwala ena aliwonse, ma ARB angayambitse zotsatirapo zina zazing'ono. Komabe, anthu ambiri sakumana ndi zotsatirapo zilizonse. Zofala kwambiri zomwe zimachitika ndi izi:

• Chizungulire
• Kumva kutopa ( Kutopa )
• Mutu
• Kutupa kwa nkhope ndi lilime - Izi zimachitika kawirikawiri.

Chifukwa chachikulu cha chizungulire ndichakuti zimatenga nthawi kuti thupi lanu lizolowere kuthamanga kwa magazi. Vutoli nthawi zambiri limatha pakatha masiku ochepa. Chisamaliro chapadera pa impso:Kawirikawiri, ma ARB amatha kusokoneza kayendedwe ka magazi kupita ku impso. Chiwopsezochi chimakhala chachikulu makamaka ngati muli kale ndi matenda a mitsempha ya impso. Koma musadandaule. Mukayamba kumwa mankhwalawa, dokotala wanu adzalamula kuti muyesedwe magazi (Serum Creatinine test) kuti muwone momwe impso zanu zimagwirira ntchito nthawi ndi nthawi. Chifukwa chake, ndikofunikira kuti mayesowa achitike monga momwe dokotala wanu akulangizira.

Ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji?

Funso limene anthu ambiri amafunsa ndi ili. Kuthamanga kwa magazi nthawi zambiri ndi vuto la moyo wonse. Ngati musiya kumwa mankhwala anu, kuthamanga kwa magazi kwanu kungabwererenso pamlingo wake wakale. Chifukwa chake, musasiye kumwa mankhwala anu popanda upangiri wa dokotala. Mungafunike kumwa mankhwala a ARB kapena mankhwala ena a kuthamanga kwa magazi kwa moyo wanu wonse.

Kodi pali kusiyana kotani pakati pa ACE inhibitors ndi ARBs?

Mwina munamvapo za gulu la mankhwala otchedwa ACE inhibitors. Mitundu yonseyi ya mankhwala imagwira ntchito pochepetsa mphamvu ya angiotensin. Koma amagwira ntchito m'njira ziwiri zosiyana.

• Mankhwala oletsa ACE : Izi zimagwira ntchito pochepetsa kupanga kwa hormone ya `Angiotensin II` yomwe imayambitsa vutoli. Zili ngati kuchepetsa kupanga kwa fakitale yomwe imapanga anthu omwe amayambitsa vutoli.
• Ma ARB: Izi sizimaletsa kupanga kwa hormone ya `Angiotensin II`, koma zimalepheretsa hormoneyo kuti igwirizane ndi mitsempha yamagazi.

Chimodzi mwa zotsatira zoyipa kwambiri za mankhwala oletsa ACE ndi chifuwa chouma komanso chopweteka nthawi zonse. Ngati mukuyamba kutsokomola kwamtunduwu mukumwa mankhwala oletsa ACE (monga Enalapril, Lisinopril), dokotala wanu mwina angasiye kumwa mankhwalawo ndikukuyambitsani ARB m'malo mwake.

Kodi ndiyenera kusamala ndi mankhwala ena ndi zakudya ndikamamwa ma ARB?

Inde, ndithudi. Ndikofunikira kwambiri kuuza dokotala wanu ngati mukumwa mankhwala ena, mavitamini, kapena zowonjezera pamene mukumwa mankhwala anu othamanga magazi.

Mankhwala ena

Mankhwala ena ogulitsidwa kunja kwa chipatala a chimfine, chifuwa, ndi ziwengo amatha kukweza kuthamanga kwa magazi. Komanso, kumwa mankhwala ochepetsa ululu, makamaka NSAIDs (monga ibuprofen, diclofenac, naproxen), kungachepetse mphamvu ya ARBs ndikuwononga impso zanu. Choncho funsani dokotala wanu musanagwiritse ntchito mankhwala ochepetsa ululu.

Samalani kwambiri ndi potaziyamu.

Mankhwala a ARB amatha kuwonjezera kuchuluka kwa potaziyamu m'magazi. Chifukwa chake,

• Musamwe mankhwala owonjezera potaziyamu popanda upangiri wa dokotala.
• "Zomwe zimalowa m'malo mwa mchere" zomwe anthu omwe amadya zakudya zochepetsa mchere amakhala ndi potassium chloride. Werengani mosamala chizindikirocho musanagwiritse ntchito.

Ngati potaziyamu m'magazi awonjezeka, zingayambitse matenda oopsa monga kugunda kwa mtima kosakhazikika.

Nanga bwanji za mowa?

Ngati mumamwa mowa nthawi zonse komanso mopitirira muyeso, izi zitha kuonjezera kuthamanga kwa magazi anu. Komanso, ngati mumamwa mowa wambiri nthawi imodzi, kuthamanga kwa magazi anu kungachepe mwadzidzidzi ndipo mungafooke. Choncho ngati mumamwa mowa, chitani izi pang'onopang'ono.

Kodi kumwa mankhwala a ARB kuli bwino panthawi ya mimba?

Ayi. Sizili bwino konse. Mankhwala onse a ARB ndi ACE inhibitor akhoza kuvulaza kwambiri mwana wosabadwa ngati atamwedwa panthawi ya mimba.

• Zilema zobadwa nazo
• Kulephera kwa impso
• Mlingo wambiri wa potaziyamu
• Kuthamanga kwa magazi kotsika
• Kubereka mwana wosafa

Mavuto akuluakulu awa angachitike. Ngati muli ndi kuthamanga kwa magazi ndipo muli ndi pakati kapena mukukonzekera kukhala ndi mwana, uzani dokotala wanu nthawi yomweyo. Dokotala wanu adzakupatsani mankhwala ena omwe ndi otetezeka kwa inu ndi mwana wanu.

Kodi ma ARB ndi mtundu wa 'mapiritsi amadzi' (Diuretics)?

Ayi. Ma ARB si mankhwala ochepetsa mphamvu ya okodzetsa, kapena "mapiritsi amadzi" monga momwe timawatchulira nthawi zambiri. Mapiritsi amadzi amathandiza thupi kuchotsa madzi ochulukirapo ndi mchere mu mkodzo. Komabe, nthawi zina madokotala amalemba mankhwala ophatikizana a ARB ndi mankhwala ochepetsa mphamvu ya okodzetsa (nthawi zambiri thiazide diuretic) mu piritsi limodzi . Ngati mankhwala anu alembedwa kuti "Losartan H" kapena "Valsartan HCT," zikutanthauza kuti ali ndi ARB ndi mankhwala ochepetsa mphamvu ya okodzetsa. Pali mitundu yambiri ya mankhwala othamanga magazi, kotero zingakhale zovuta kudziwa kuti ndi iti yoyenera kwa inu. Ma ARB ndi mankhwala oyamba omwe madokotala amapereka, ndipo amagwira ntchito bwino kwa anthu ambiri. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, musazengereze kufunsa dokotala wanu. ARB mu Sinhala, Angiotensin II Receptor Blockers, Kuthamanga kwa Magazi, Mankhwala Opanikizika, Losartan, Valsartan, Matenda a Mtima