Ngaba unoxinzelelo lwegazi oluphezulu? Okanye mhlawumbi ugqirha wakho ukunike amayeza esifo sentliziyo? Ukuba kunjalo, kusenokwenzeka ukuba ukhe weva igama elithi 'vasodilator.' Nangona livakala njengegama elinzima lezonyango, eli gama lilula kakhulu. Masikhe sijonge indlela ezisebenza ngayo ezi zinto, ngokungathi sichazela umhlobo okanye ilungu losapho.
Ngamazwi alula, Zithini iiVasodilators?
IiVasodilators luhlobo lwamayeza avula (avula) okanye aphumze imithambo yegazi yakho . Cinga ngepayipi yegadi. Ukuba ipayipi iyancitshiswa okanye ivalekile, kunzima ukuba amanzi adlule, akunjalo? Imithambo yegazi yethu isebenza ngendlela efanayo. Xa incitshiswa okanye incitshisiwe, ithintela ukuhamba kwegazi kwaye yonyusa uxinzelelo lwegazi. IiVasodilators zikhulula udonga lwale mithambo yegazi incitshisiweyo, zivumela ukuba ikhule. Oku kuvumela igazi lakho ukuba lihambe ngokukhululekileyo kwaye lingabi nakumelana kangako, nto leyo enciphisa uxinzelelo lwegazi lakho.
Umzimba wakho uneentlobo ezimbini eziphambili zemithambo yegazi:
- Imithambo : Le ithwala igazi elivela emzimbeni wakho libuyele entliziyweni yakho.
- Imithambo yegazi : Le ithwala igazi lisuka entliziyweni yakho liye emzimbeni wakho wonke.
IiVasodilators zinokuchaphazela zombini iintlobo zemithambo yegazi, zikhulise indlela yangaphakathi (lumen). Ngokwezonyango, le nkqubo ibizwa ngokuba yivasodilation .
La mayeza asebenza njani emzimbeni wakho?
Kukho iintlobo ezahlukeneyo zee-vasodilators, nganye isebenza ngendlela eyahlukileyo kancinci. Amanye amayeza asebenza ngokuthe ngqo kwiiseli zemisipha ezigudileyo zeendonga zemithambo yegazi ukuze ziphumle. Ezi zibizwa ngokuba zii-Direct Vasodilators . Ngenxa yokuba zisebenza ngokukhawuleza kakhulu, ngamanye amaxesha zinokubangela iziphumo ebezingalindelekanga ezingaphezulu; oogqirha bahlala benika ezi kuphela xa ezinye iindlela zonyango zingasebenzi ngokwaneleyo.
Ezinye iintlobo zamayeza zisebenza ngokulawula iikhemikhali ezithunyelwa emzimbeni wakho ezilawula ukuncitshiswa okanye ukwandiswa kwemithambo yegazi yakho. Ezi zisebenza kakhulu, nangona zihlala zisebenza kancinci kancinci.
Ziziphi iintlobo zeVasodilators ezikhoyo?
Kukho iindidi ezininzi eziphambili zala mayeza. Ugqirha wakho usenokuba ubhale enye yezi zilandelayo:
| Uhlobo | Ingaba isebenza kanjani |
|---|---|
| Izithinteli ze-ACE | Inciphisa ukuveliswa kwe -Angiotensin , ikhemikhali ebangela ukuba imithambo yegazi inciphe. Oku kuyigcina ivulekile kwaye ikhululekile. |
| Ii-Angiotensin Receptor Blockers (ii-ARB) | Ithintela i-Angiotensin ekubambeni eludongeni lwemithambo yegazi, ithintela ukuxinana. |
| Ii-Calcium Channel Blockers (ii-CCB) | Ithintela iCalciumukuba ingangeni eludongeni lwemithambo yegazi. Ekubeni i-calcium ibangela ukuba imithambo yegazi iqine, ukuyivala kuyanceda ukuba ihlale ikhululekile kwaye ibanzi. |
| IiNitrates | Itshintsha ibe yiNitric Oxide emzimbeni, igesi yendalo evuselela umzimba ukuba uphumze imithambo yegazi. |
Zeziphi iimeko ezinyangwa ngala mayeza?
Oogqirha banika amayeza okunciphisa imithambo yegazi (vasodilators) kwiimeko ezahlukeneyo zempilo, ingakumbi ezo zinxulumene nokuhamba kwegazi kunye nokusebenza kwentliziyo:
- I-Angina : Intlungu yesifuba ebangelwa kukungafumani igazi elaneleyo elineoksijini eninzi.
- Ukusilela kwentliziyo okubangelwa kukungafumani igazi ngokufanelekileyo (CHF) : Xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo liye emzimbeni wonke.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi): Esona sizathu siqhelekileyo sokusetyenziswa.
- I-Preeclampsia : Uxinzelelo lwegazi oluphezulu oluvela ngexesha lokukhulelwa.
- Uxinzelelo lwegazi oluphezulu kwimiphunga : Uxinzelelo lwegazi oluphezulu kwimithambo yegazi yemiphunga.
Ukuqonda Imiphumo Engemihle kunye neengozi
Njengayo nayiphi na imithi, izinto ezinciphisa ulusu zinokubangela iziphumo ebezingalindelekanga. Nceda ungoyiki; ezi azenzeki kuwo wonke umntu, kwaye ugqirha wakho uza kusebenza ukuze akufumanele eyona ndlela ikhuselekileyo kuwe.
Eyona nto ibalulekileyo kukuxoxa nogqirha wakho ngazo naziphi na iimpawu ezingaqhelekanga. Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo wakho ngaphandle kwesikhokelo sogqirha.
Iziphumo ebezingalindelekanga eziqhelekileyo zingabandakanya:
- Isiyezi
- Ukudinwa
- Intloko ebuhlungu
- Ukubetha kwentliziyo okukhawulezayo okanye okuhlabayo (iTachycardia)
- Isicaphucaphu
- Intlungu yamalungu
- Ukudumba kwemilenze ngenxa yokugcina ulwelo (i-Edema)
- Ii-ACE inhibitors zinokubangela ukukhwehlela okomileyo nokungapheliyo kwabanye abantu.
Ngamanye amaxesha, ingakumbi xa usebenzisa ii-Direct Vasodilators , ugqirha wakho unokukunika amayeza ongezelelweyo (njenge-diuretic) ukunceda ukulawula iziphumo ebezingalindelekanga, ezifana nokugcinwa kolwelo.
Ngaba Zikho Iindlela Zendalo Zokwandisa Imithambo Yegazi?
Ewe, umzimba wakho uneendlela zendalo zokwandisa imithambo yegazi, kwaye ezinye izinto zendlela yokuphila zidlala indima.
Iinkqubo Zendalo Nemikhwa
- Ukuzilolonga: Xa uzilolonga, izihlunu zakho zifuna ioksijini kunye nezondlo ezingaphezulu. Umzimba wakho uyayivula imithambo yegazi ngokwendalo ukuze uhlangabezane nale mfuno.
- Ukudumba: Xa unesilonda, umzimba wakho uyawandisa imithambo yegazi ukuze kwandiswe ukuhamba kwegazi ukuya kuloo ndawo ukuze kuncedwe ukuphiliswa.
- Utywala: Utywala bunokwandisa imithambo yegazi okwethutyana, yiyo loo nto abanye abantu befumana ukurhawuzelelwa okanye ukufudumala emva kokusela.
Ukutya kunye nezongezo
Ukutya kunye nezinye izongezo zinokuba nemiphumo emincinci yokudambisa imithambo yegazi, efana nale:
- Igalikhi
- Ikoko
- I-L-arginine
- I-Magnesium
- I-Coenzyme Q10 (CoQ10)
Isilumkiso Esibalulekileyo:Ungaze uthathe naziphi na izongezo ngaphandle kokubonisana nogqirha wakho kuqala. Ezinye izongezo zinokuchaphazela kakubi amayeza akho kagqirha.
Ubudlelwane Obubalulekileyo Neziyobisi
Kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye nezongezo ozithathayo. Nika ingqalelo ekhethekileyo kwezi ndlela zokusebenzisana:
- Abo basebenzisa izithinteli ze-ACE ngokubanzi kufuneka baziphephe izongezo ze-potassium.
- Abo basebenzisa iiNitrates (ezifana ne-nitroglycerin) kufuneka baphephe ngokupheleleyo amayeza okungasebenzi kakuhle kwe-erectile (afana ne-sildenafil/Viagra®). Ukudibanisa ezi zinto kunokubangela ukwehla okuyingozi koxinzelelo lwegazi.
- Abo basebenzisa iCalcium channel blockers bafanele balumke malunga nejusi yegrapefruit, kuba inokuphazamisana namayeza.
Ngaphaya Kwamayeza: Ukubaluleka Kwendlela Yokuphila
IiVasodilators ziyinxalenye nje yesicwangciso sakho sempilo yentliziyo. Indlela yokuphila esempilweni iphucula kakhulu iziphumo zakho zexesha elide:
- Gcina ubunzima bakho busempilweni.
- Yeka ukutshaya kwaye uphephe ukutshaya abantu abasebenzisa omnye umntu.
- Nciphisa ukusetyenziswa kotywala.
- Yitya ukutya okunesondlo okutyebileyo kwimifuno, iziqhamo, kunye neenkozo ezipheleleyo.
- Zilolonge ubuncinane imizuzu eli-150 ngeveki (umz., ukuhamba ngokukhawuleza okanye ukudada).
- Lawula uxinzelelo ngokucamngca, ukuthetha neengcali, okanye amaqela enkxaso.
Ukulandela ulwalathiso lukagqirha wakho kunye nokugcina le mikhwa kuya kunika iziphumo ezilungileyo. Ukuba ufumana imeko engxamisekileyo yezonyango, fowunela u-911 okanye undwendwele isebe lezonyango elikufutshane nawe ngoko nangoko.
Umyalezo Wokuya Ekhaya
- IiVasodilators zandisa imithambo yegazi yakho, ziphucula ukuhamba kwegazi kwaye zinciphisa umthwalo womsebenzi entliziyweni yakho.
- Zibalulekile ekulawuleni iimeko ezifana noxinzelelo lwegazi, i-angina, kunye nokusilela kwentliziyo.
- Kukho iintlobo ezahlukeneyo ze-vasodilators; ugqirha wakho uya kukhetha eyona ifanelekileyo kwiimfuno zakho ezithile.
- Iziphumo ezingalindelekanga ezifana nesiyezi okanye intloko ebuhlungu zinokubakho. Xela ugqirha wakho naziphi na iimpawu ezichaphazelayo ngoko nangoko.
- Soloko uqhagamshelana nogqirha wakho ngaphambi kokuba uqale naziphi na iivithamini okanye izongezo.
- Hlanganisa amayeza akho nendlela yokuphila enempilo yentliziyo ukuze ufumane iziphumo ezilungileyo.
IiVasodilators, uxinzelelo lwegazi oluphezulu, impilo yemithambo yegazi, isifo sentliziyo, impilo yentliziyo, amayeza oxinzelelo lwegazi
