Kodi dokotala adakupatsani mankhwala a kuthamanga kwa magazi kapena matenda ena a mtima? Ndiye mwina mwamvapo za "zotsegula mitsempha yamagazi." Mankhwalawa nthawi zambiri amatchedwa vasodilators. Kotero lero, tiyeni tikambirane za iwo mosavuta, ngati kuti mukulankhula ndi mnzanu.
Kodi ma vasodilator awa ndi ati?
Mwachidule, ma vasodilator ndi mankhwala omwe amakulitsa ndi kufutukula mitsempha yanu yamagazi . Taganizirani za chitoliro chamadzi. Ngati chitolirocho chatsekedwa kapena chachepa, madzi amathamanga mwachangu kwambiri komanso ndi kupanikizika kwakukulu. Koma ngati chitolirocho chili chachikulu mokwanira, madzi amathamanga mosavuta komanso ndi kupanikizika kochepa. Umu ndi momwe mankhwala awa amagwirira ntchito m'thupi lathu.
Pali mitundu iwiri ikuluikulu ya mitsempha yamagazi m'thupi lathu.
- Mitsempha: Kubweretsa magazi kuchokera m'thupi kubwerera kumtima.
- Mitsempha yamagazi: Kunyamula magazi kuchokera mumtima kupita nawo mbali zonse za thupi.
Mankhwala ochepetsa ululu ndi mankhwala omwe amamasula minofu m'makoma a mitsempha ndi mitsempha iyi, kuti isatseke kapena kuchepera. Njira imeneyi imatchedwa vasodilation .
Kodi mankhwala awa amagwira ntchito bwanji?
Pali mitundu ingapo ya mankhwala ochepetsa ululu, omwe amagwira ntchito mosiyana pang'ono.
Mankhwala ena, otchedwa Direct Vasodilators , amagwira ntchito mwachindunji pa maselo a minofu m'makoma a mitsempha yamagazi, kuwapumulitsa. Chifukwa amagwira ntchito mwachangu kwambiri, nthawi zina amatha kukhala ndi chiopsezo chowonjezeka pang'ono cha zotsatirapo zoyipa. Madokotala amagwiritsa ntchito izi pamene mankhwala ena alephera kuletsa zizindikiro.
Mitundu ina ya mankhwala imagwira ntchito mosiyana pang'ono. Amalamulira mankhwala omwe amakulitsa kapena kuchepetsa mitsempha yamagazi yathu.
Mitundu ikuluikulu ya vasodilators
Kuti timvetse bwino izi, tiyeni tiwone mitundu iyi ya mankhwala patebulo.
| Mtundu wa mankhwala | Momwe imagwirira ntchito (mwachidule) |
|---|---|
| Zoletsa za ACE (zoletsa za Angiotensin-Converting Enzyme) | Amachepetsa kuchuluka kwa angiotensin, mankhwala omwe amatsekereza mitsempha yamagazi m'thupi. |
| Ma ARB (Angiotensin Receptor Blockers) | Angiotensin imaletsa mankhwalawo kuti asamamatire kumakoma a mitsempha yamagazi, zomwe zimapangitsa kuti mitsempha yamagazi ikule. |
| Zoletsa Njira za Calcium (CCBs) | Zimaletsa calcium, yomwe imafunika kuti mitsempha yamagazi ichepetse, kuti isalowe m'makoma a mitsempha yamagazi. |
| Nitrates | Izi zimasanduka mpweya wotchedwa nitrous oxide mkati mwa thupi ndipo zimakulitsa mitsempha yamagazi. |
Kodi ma vasodilator amagwiritsidwa ntchito pa matenda otani?
Madokotala amapereka mankhwala awa kuti athetse matenda osiyanasiyana okhudzana ndi kuyenda kwa magazi. Ena mwa iwo ndi awa:
- Kuthamanga kwa magazi: "Kupanikizika" komwe tonse timakudziwa.
- Angina: Kupweteka pachifuwa komwe kumachitika chifukwa cha kuchepa kwa magazi kupita kumtima.
- Kulephera kwa Mtima Wotsekeka (CHF): Mtima sungathe kupompa magazi okwanira kupita m'thupi.
- Kuthamanga kwa magazi m'mapapo: Kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha ya mapapo.
- Preeclampsia: Kuthamanga kwa magazi kwambiri panthawi ya mimba.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, ma vasodilator awa angayambitse zotsatira zina zoyipa. Komabe, si aliyense amene amalandira. Komanso, zotsatira zake zimatha kusiyana malinga ndi munthu aliyense.
Chofunika kwambiri: Ngati mukukumana ndi zotsatirapo zilizonse, ndikofunikira kwambiri kulankhula ndi dokotala wanu popanda kusiya kumwa mankhwala mwadzidzidzi .
Zina mwa zotsatira zoyipa zomwe zimawonedwa kwambiri ndi izi:
- Chizungulire
- Mutu
- Kuthamanga kwa mtima kapena tachycardia
- Kutopa
- Kutupa kwa miyendo chifukwa cha kusunga madzi m'thupi (edema)
- Kusanza ndi kusanza
- Kupweteka kwa mafupa
- Anthu ena omwe amatenga mankhwala oletsa ACE amatha kukhala ndi chifuwa chouma .
Nthawi zina, mankhwala ena angaperekedwe kuti athetse mavuto ena. Mwachitsanzo, ngati vasodilator ikupangitsa kuti madzi asungike (edema), mankhwala otchedwa diuretic angaperekedwe kuti athandize kuchotsa madzi owonjezera m'thupi.
Kodi n'zotheka kukulitsa mitsempha yamagazi mwachibadwa popanda mankhwala?
Inde n'zotheka. Pali nthawi zina pamene matupi athu amatambasula mitsempha yamagazi mwachibadwa.
- Maseŵero Olimbitsa Thupi: Tikamachita maseŵero olimbitsa thupi, minofu yathu imafunikira mpweya ndi zakudya zambiri, kotero mitsempha yamagazi imakula.
- Mankhwala achilengedwe m'thupi: Matupi athu amapanga mankhwala monga nitric oxide omwe amakulitsa mitsempha yamagazi.
- Mowa: Anthu ena akamamwa mowa, khungu lawo limafiira ndipo amamva kutentha chifukwa mitsempha yamagazi imatambasuka.
Kuphatikiza apo, zakudya zina ndi zowonjezera zimanenedwa kuti zimathandiza pa izi, monga adyo, koko, ndi Coenzyme Q10.
Koma kumbukirani! Musanagwiritse ntchito mankhwala ena aliwonse, muyenera kufunsa dokotala wanu . Mankhwala ena owonjezera amatha kusokonezana ndi mankhwala omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Ngati mukumwa mankhwala ochepetsa ululu, pakhoza kukhala mavuto ndi zakudya zina ndi mankhwala ena. Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, ngakhale mavitamini.
Mwachitsanzo:
- Anthu omwe akumwa mankhwala a CCB (Calcium Channel Blockers) ayenera kupewa kumwa madzi a mphesa.
- Anthu omwe akumwa nitrates ayenera kupewa kumwa mankhwala monga sildenafil (Viagra®), chifukwa kumwa zonsezi pamodzi kungayambitse kuthamanga kwa magazi kotsika kwambiri.
Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
Uthenga Wopita Nawo Kunyumba
- Vasodilators ndi mtundu wa mankhwala omwe amakulitsa mitsempha yamagazi kuti athetse kuthamanga kwa magazi ndi matenda amtima.
- Imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso mu mlingo woyenera. Musasiye kumwa mankhwala anu nokha.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena zowonjezera zomwe mukumwa.
- Ngati mukukumana ndi zotsatirapo zilizonse mutamwa mankhwala, lankhulani ndi dokotala wanu za izi.
- Kupatula mankhwala, kukhala ndi moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta fodya) ndikofunikira kwambiri pa thanzi la mtima wanu.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment