Kuchiza Matenda Oopsa ndi Calcium Channel Blockers

Zamkati

• Ndani ayenera kutenga calcium blockers?
• Momwe zotchinga za calcium zimagwirira ntchito
• Mitundu ya calcium channel blocker mankhwala
• Zotsatira zake zoyipa ndi zoopsa zake ndi ziti?
• Zoletsa zachilengedwe za calcium

Kodi calcium channel blockers ndi chiyani?

Ma calcium channel blockers (CCBs) ndi gulu la mankhwala omwe amagwiritsidwa ntchito pochizira kuthamanga kwa magazi. Amatchedwanso otsutsana ndi calcium. Zimagwira ntchito ngati ACE inhibitors pochepetsa kuthamanga kwa magazi.

Ndani ayenera kutenga calcium blockers?

Dokotala wanu akhoza kukupatsani CCB ngati muli:

• kuthamanga kwa magazi
• kugunda kwamtima kosazolowereka kotchedwa arrhythmias
• kupweteka pachifuwa kokhudzana ndi angina

Kuthamanga kwa magazi kumathandizidwanso ndi mitundu ina ya mankhwala. Dokotala wanu akhoza kukupatsani CCB ndi mankhwala ena oopsa nthawi yomweyo.

Malangizo atsopano ochokera ku American College of Cardiology amalimbikitsa kuti ACE inhibitors, diuretics, angiotensin-receptor blockers (ARBs), ndi CCBs akhale mankhwala oyamba kuganizira mukamachiza kuthamanga kwa magazi. Magulu ena a anthu atha kupindula ndi ma CCB kuphatikiza mankhwala ena, kuphatikiza:

• Anthu aku Africa-America
• anthu omwe ali ndi matenda a impso
• okalamba
• anthu odwala matenda ashuga

Momwe zotchinga za calcium zimagwirira ntchito

Ma CCB amachepetsa kuthamanga kwa magazi poletsa kuchuluka kwa calcium kapena mulingo womwe calcium imathamangira mumisempha yam'mimba ndi m'mitsempha yama cell. Calcium imapangitsa mtima kugunda mwamphamvu kwambiri. Kutuluka kwa calcium kumakhala kochepa, matupi a mtima wanu samakhala olimba ndikumenya kulikonse, ndipo mitsempha yanu yamagazi imatha kumasuka. Izi zimabweretsa kutsika kwa magazi.

Ma CCB amapezeka pamitundu ingapo yamlomo, kuyambira mapiritsi osungunula mwachidule mpaka ma capsule otulutsidwa. Mlingowo umadalira thanzi lanu lonse komanso mbiri yazachipatala. Dokotala wanu amakuganiziraninso zaka zanu musanapereke mankhwala ochepetsa kuthamanga kwa magazi. Ma CCB nthawi zambiri sangayambitse mavuto kwa anthu azaka zopitilira 65.

Mitundu ya calcium channel blocker mankhwala

Magulu atatu akulu a mankhwala osokoneza bongo a CCB amatengera kapangidwe ka mankhwala ndi ntchito:

• Ma dihydropyridines. Izi zimagwira ntchito makamaka pamitsempha.
• Benzothiazepines. Izi zimagwira ntchito paminyewa ya mtima ndi mitsempha.
• Phenylalkylamines. Izi zimagwira makamaka paminyewa yamtima.

Chifukwa cha zomwe amachita, ma dihydropyridines amagwiritsidwa ntchito kwambiri pochiza matenda oopsa kuposa magulu ena. Izi ndichifukwa choti amatha kuchepetsa kuthamanga kwa magazi komanso kukana kwamitsempha. Otsutsa a dihydropyridine calcium nthawi zambiri amatha mu suffix "-pine" ndipo amaphatikizapo:

• amlodipine (Norvasc)
• felodipine (Kukongola)
• alireza
• nicardipine (Cardene)
• nifedipine (Adalat CC)
• nimodipine (Nymalize)
• alireza

Ma CCB ena omwe amagwiritsidwa ntchito pochiza angina komanso kugunda kwamtima mosasinthasintha ndi verapamil (Verelan) ndi diltiazem (Cardizem CD).

Zotsatira zake zoyipa ndi zoopsa zake ndi ziti?

Ma CCB amatha kulumikizana ndi mankhwala ena kapena zowonjezera zomwe mumamwa. Onetsetsani kuti dokotala ali ndi mndandanda wa mankhwala anu onse, mavitamini, ndi zowonjezeretsa zitsamba.

Ma CCB ndi zipatso za manyumwa, kuphatikiza zipatso zonse ndi msuzi, siziyenera kutengedwa limodzi. Zipatso za manyumwa zimasokoneza kutulutsa kwamankhwala kwathunthu. Zitha kukhala zowopsa ngati kuchuluka kwa mankhwalawo kungadziunjike mthupi lanu. Dikirani osachepera maola anayi mutamwa mankhwala anu musanamwe madzi amphesa kapena kudya zipatso zamphesa.

Zotsatira zoyipa za CCB ndi monga:

• chizungulire
• mutu
• kudzimbidwa
• kutentha pa chifuwa
• nseru
• totupa pakhungu kapena kutsuka, komwe ndi kufiira pankhope
• kutupa kumapeto kwenikweni
• kutopa

Ma CCB ena amatha kutsitsa magazi m'magazi mwa anthu ena. Uzani dokotala wanu za zovuta zilizonse zomwe mukukumana nazo. Amatha kusintha mlingo wanu kapena kukulangizani kuti musinthe mankhwala ena ngati zotsatirapo zake zikhala zazitali, zosasangalatsa, kapena zowopsa paumoyo wanu.

Zoletsa zachilengedwe za calcium

Magnesium ndi chitsanzo cha michere yomwe imakhala ngati CCB yachilengedwe. Kafukufuku wasonyeza kuti magnesium yambiri imalepheretsa calcium kuyenda. M'maphunziro azinyama, kuphatikiza kwa magnesium kumawoneka ngati kothandiza kwambiri kwa achinyamata omwe ali ndi kuthamanga kwa magazi, asanayambe kudwala matenda oopsa. Zikuwoneka kuti zikuchepetsa kupitilira kwa matenda oopsa. Zakudya zolemera kwambiri za magnesium ndi izi:

• mpunga wabulauni
• amondi
• chiponde
• mabwana
• oat chinangwa
• tirigu wonyezimira
• soya
• nyemba zakuda
• nthochi
• sipinachi
• peyala

Funsani dokotala ngati kudya zakudya zokhala ndi magnesium zingakhudze mphamvu ya ma CCB omwe mukuwatenga.