Kukwira kweropa, kana kuti sezvatinozviziva tose, "kumanikidzwa," chirwere chiri kusangana nevanhu vazhinji munyika medu parizvino. Pamwe uri kutorawo mishonga yeizvi, kana kuti mumwe munhu mumhuri mako angave aine chirwere ichi. Kana chiremba akakunyorera mishonga yeBP yako, kune mhando dzakawanda dzemishonga iyoyo. Saka nhasi tichataura nezveimwe yemhando dzemishonga dzinoshandiswa zvakanyanya uye dzakakosha. Ndiyo ARBs, kana kuti Angiotensin II Receptor Blockers.
Zvichitaurwa zviri nyore, chii chinonzi ARB iyi?
Mishonga yeARB (Angiotensin II Receptor Blockers) imhando yemishonga inoshandiswa kurapa kwete BP yakakwira chete, asiwo mamwe matambudziko akati wandei, akadai sekushaya simba kwemoyo uye chirwere cheitsvo. Inouya muchimiro chemapiritsi, zvinoreva kuti anonwiwa nemuromo. Kunyange zvazvo zita racho ringanzwika serakaoma, zvarinoreva zviri nyore. Ngationgororei zvese.
- Angiotensin II ihormone inogadzirwa mumiviri yedu. Basa rayo guru nderekuomesa (kusimbisa) tsinga dzedu dzeropa .
- Chinopa receptor inzvimbo chaiyo iri pamadziro etsinga dzeropa uko homoni iyi inogona kusungirana. Yakaita sebanga rekiyi.
- Chivharo chinhu chinovhara.
Zvinoitwa nemushonga uyu kudzivirira homoni (kiyi) kuti isasungane nereceptor (plate) iri mutsinga dzeropa. Ipapo tsinga dzeropa hadzivharike, dzinenge dzakavhurika zvakanaka, saka ropa rinogona kufamba zviri nyore, uye kumanikidzwa kunoderedzwawo. Ngatitarisei mamwe mamiriro ezvinhu ayo vanachiremba vanowanzo nyora rudzi urwu rwemushonga weARB pazasi.
| Mamiriro | Mishonga yeARB inobatsira sei |
|---|
| Kukwira Kweropa | Inokudza mitsipa yeropa, zvichiita kuti ropa rifambe zviri nyore. Izvi zvinoderedza kumanikidzwa kweropa mukati memitsipa yeropa. |
| Kukundikana kweMwoyo Wakavharika | Zvinobatsira kuderedza basa remoyo uye kuwedzera kushanda zvakanaka kwekupomba ropa mumuviri wese. |
| Chirwere cheItsvo | Zvinobatsira kudzora kukuvara kweitsvo, kunyanya nekuda kwechirwere cheshuga, uye kuderedza mwero wekukuvadzwa ikoko. |
| Kudzivirira sitiroko | Nekuti mitsipa yeropa yakafara, mukana wekuti ropa diki rivhare mitsipa yeropa inoenda kuuropi unodzikira. |
| Mushure mekurwara nemoyo | Zvinobatsira kuderedza kukuvara kwemoyo uye kudzivirira kurwiswa kwemoyo zvakare. |
Ndeipi mishonga inowanzo nyorwa neARB?
Kune mhando dzakasiyana dzemishonga dziri muboka reARB. Pane nzira iri nyore yekuziva. Mazita emishonga iyi anowanzo guma ne
"-sartan." Tarisa bhokisi remushonga rawakapihwa nachiremba, rinogona kunge riine zita rakadai. Tafura iri pazasi inoratidza mamwe emaARB anonyanya kushandiswa.
| Zita reMushonga | Zita rekambani rinozivikanwa (Muenzaniso weZita rekambani) |
|---|
| Losartan | Cozaar® (rudzi rweARB runonyanya kushandiswa) |
| Valsartan | Diovan®, Prexxartan® |
| Irbesartan | Avapro® |
| Candesartan | Atacand® |
| Olmesartan | Benicar® |
| Telmisartan | Mikardis® |
Zvakakosha: Mazita emhando akanyorwa pano imuenzaniso chete. Chiremba wako anogona kunge akakupa mushonga uyu uchishandisa zita rakasiyana. Usazvidya mwoyo nezvazvo.
Zvakanaka, ngationei kuti mushonga uyu unoshanda sei mumuviri.
Kuti tinzwisise izvi, ngatitorei muenzaniso mudiki. Fungidzirai paine pombi yemvura, chii chinoitika kana mukadzvanya pakati pepombi moibata? Kumanikidzwa kwemvura mukati mepombi kunowedzera, handiti? Mitsipa yedu yeropa yakadaro. Homoni `Angiotensin II` mumuviri wedu inodzvanya mitsipa yedu yeropa sekunge iri kudzvanya pombi yemvura. Kana mitsipa yeropa yakabatana, nzvimbo yekuti ropa riyerere nepakati payo inoderera. Ipapo moyo unofanirwa kupomba ropa
nesimba rakawanda. Izvi ndizvo zvatinodaidza kuti BP yakakwira, kana kuti kumanikidzwa. Kuti iyi hormone `Angiotensin II` iite basa rayo, inofanirwa kunamatira panzvimbo chaiyo pamitsipa yeropa, iyo iri `receptor``. Mishonga yeARB inoita chinhu chiri nyore kwazvo.
Inoenda yogara pareceptor iyoyo. Ipapo hormone `Angiotensin II` haina pekubata. Zvakafanana kana ukaenda kunogara pachigaro uye mumwe munhu akagara pachiri, haugone kugara pasi.
Zvichitaurwa zviri nyore, mishonga yeARB inovhara mashandiro ehomoni inovhara mitsipa yeropa. Izvi zvinobvumira mitsipa yeropa kuvhurika zvakanyanya uye kuderedza BP .
Pane mimwe migumisiro yakaipa pamushonga uyu here?
Kufanana nemushonga upi zvawo, mishonga yeARB inogona kukonzera mimwe migumisiro midiki. Zvisinei, vanhu vazhinji havasangani nemimwe migumisiro. Mimwe migumisiro inowanzoitika ndeiyi:
Chikonzero chikuru chedzungu ndechekuti zvinotora muviri wako nguva kuti ugadzirire kuderera kweropa. Dambudziko iri rinowanzopera mukati memazuva mashoma.
Kutarisirwa kwakanyanya kweitsvo:Kashoma, maARB anogona kukanganisa kuyerera kweropa kuenda kuitsvo. Njodzi iyi inonyanya kukwira kana iwe uchitova nechirwere chetsinga dzeitsvo. Asi usazvidya moyo. Mushure mekunge watanga kutora mushonga uyu, chiremba wako
acharaira kuti uongororwe ropa (Serum Creatinine test) kuti utarise mashandiro eitsvo dzako nguva nenguva. Saka, zvakakosha kuti uongororwe sezvinokurudzirwa nachiremba wako.
Ndinofanira kutora mushonga uyu kwenguva yakareba sei?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kukwira kweropa chirwere cheBP chinowanzo gara kwenguva refu. Kana ukarega kutora mushonga wako, BP yako inogona kudzokera padanho rayo rekare. Saka,
usamborega kutora mushonga wako usina kurairwa nachiremba. Ungangoda kutora ARB kana imwe mishonga yeBP kweupenyu hwako hwese.
Ndeupi musiyano uripo pakati peACE inhibitors neARBs?
Ungave wakambonzwawo nezvemhando yemishonga inonzi ACE inhibitors. Marudzi ese ari maviri emishonga aya anoshanda nekuderedza mhedzisiro ye angiotensin. Asi anoshanda nenzira mbiri dzakasiyana.
- Mishonga inodzivirira ACE : Idzi dzinoshanda nekuderedza kugadzirwa kwehomoni inonzi `Angiotensin II` inokonzera dambudziko. Zvakafanana nekuderedza kugadzirwa kwefekitori inogadzira vanhu vanokonzera dambudziko.
- MaARB: Aya haamisi kugadzirwa kwehomoni inonzi `Angiotensin II`, asi anodzivisa kugona kwehomoni iyi kubatana netsinga dzeropa.
Chimwe chezvikonzero zvikuru uye zvakajairika zveACE inhibitors
kukosora kunorwadza uye kwakaoma kunogara kwenguva refu. Kana ukatanga kukosora kwerudzi urwu paunenge uchitora ACE inhibitor (semuenzaniso, Enalapril, Lisinopril), chiremba wako angangomira mushonga wacho otanga newe ARB.
Ndinofanira kungwarira here nezvemimwe mishonga nezvikafu pandinenge ndichitora mishonga yeARB?
Ehe, zvechokwadi. Zvakakosha kuudza chiremba wako kana uri kutora mimwe mishonga, mavhitamini, kana zvimwe zvinovaka muviri paunenge uchitora mishonga yeBP.
Mimwe mishonga
Mimwe mishonga inotengeswa muzvitoro yedzihwa, kukosora, uye allergies inogona kuwedzera BP yako. Uyewo, kutora
mishonga inoderedza marwadzo, kunyanya NSAIDs (yakadai se ibuprofen, diclofenac, naproxen), kunogona kuderedza kushanda kweARBs uye kukuvadza itsvo dzako. Saka
bvunza chiremba wako usati washandisa mishonga inoderedza marwadzo. Chenjerera zvakanyanya nezve potassium.
Mishonga yeARB inogona kuwedzera huwandu hwepotassium muropa. Nokudaro,
- Usatore mishonga ye potassium usina kurayirwa nachiremba wako.
- Zvimwe "zvinotsiva munyu" zvinoshandiswa nevanhu vari kudya zvine potassium chloride. Verenga zviri papepa racho zvakanaka usati washandisa izvi.
Kana huwandu hwepotassium muropa hukawedzera, zvinogona kukonzera zvirwere zvine njodzi zvakaita sekurova kwemoyo kusina kurongeka.
Ko doro?
Kana ukanwa doro nguva dzose uye zvakawandisa, zvinogona kuwedzera BP yako zvakanyanya. Uyewo, kana ukanwa doro rakawandisa panguva imwe chete, BP yako inogona kudzikira kamwe kamwe uye unogona kupera simba. Saka kana ukanwa doro, ita zvine mwero.
Zvakachengeteka here kutora mishonga yeARB panguva yekuzvitakura?
Kwete. Hazvina kuchengetedzeka zvachose. Mishonga yeARB neACE inhibitor inogona kukonzera kukuvara kukuru kumwana asati aberekwa kana ikatorwa panguva yekuzvitakura.
- Zvirwere zvekuzvarwa nazvo
- Kukundikana kweitsvo
- potassium yakawanda
- Kuderera kweropa
- Kuzvara mwana akafa
Matambudziko akakomba aya anogona kuitika. Kana uine BP yakakwira uye uri nepamuviri kana kuti uri kuronga kuva nemwana,
taurira chiremba wako nekukasika. Chiremba wako achakupa mushonga wakasiyana wakachengeteka kwauri nemwana wako.
Ko maARB rudzi rwe'mapiritsi emvura' (Diuretics) here?
Kwete. Mishonga yeARB haisi mishonga inobvisa mvura mumuviri, kana kuti "mapiritsi emvura" sezvatinowanzoidaidza. Mapiritsi emvura anobatsira muviri kubvisa mvura yakawanda nemunyu muweti. Zvisinei, dzimwe nguva vanachiremba vanonyora
musanganiswa weARB nemushonga unobvisa mvura mumuviri (kazhinji thiazide diuretic) mupiritsi rimwe chete . Kana mushonga wako wakanyorwa kuti "Losartan H" kana kuti "Valsartan HCT," zvinoreva kuti une ARB nemushonga unobvisa mvura mumuviri. Kune mhando dzakawanda dzemishonga yeBP, saka zvinogona kuoma kuziva kuti ndeipi yakakunakira. Mishonga yeARB ndiyo yekutanga yemishonga inonyorerwa navanachiremba, uye inoshanda zvakanaka kuvanhu vazhinji. Kana uine mibvunzo kana zvinokunetsa nezvemishonga iyi, usazeza kubvunza chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeARB imhando yakakosha yemishonga inoshandiswa kurapa zvirwere zvakaita seBP, chirwere chemwoyo, uye chirwere cheitsvo.
- Izvi zvinoshanda nekudzivisa kushanda kwehomoni inovhara mitsipa yeropa uye inoita kuti mitsipa yeropa irambe yakafara.
- Usamborega kutora mushonga uyu usina kupiwa mazano nachiremba.Kana ukadaro, BP yako inogona kukwira zvine njodzi zvakare.
- Udza chiremba wako nezvemimwe mishonga yauri kutora, kunyanya mishonga inoderedza marwadzo (NSAIDs).
- Hazvikurudzirwi kutora mushonga uyu panguva yekuzvitakura kana kana uri kutarisira mwana. Bvunza chiremba wako nekukasika.
- Kana ukasangana nemigumisiro yakaipa kana kuti uine chero zvinokunetsa nezvemushonga, taura nachiremba wako.
ARB muSinhala, Angiotensin II Receptor Blockers, High Blood Pressure, Mishonga yePressure, Losartan, Valsartan, Heart Attack
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