Mankhwala a kuthamanga kwa magazi: mitundu 6 yogwiritsidwa ntchito kwambiri ndi zovuta zake

Zamkati

• 4. Otsogolera otsogolera mwachindunji
• 5. Makina otsekemera a calcium
• 6. Mankhwala oletsa Angiotensin-converting enzyme (ACE)
• Zotsatira zoyipa
• Nthawi yosiya kumwa mankhwala osokoneza bongo
• Zosankha zanyumba zothandizira kuthamanga kwa magazi
• Njira zothandizira kuthamanga kwa magazi pamimba

Mankhwala othamanga magazi, omwe amatchedwa antihypertensive mankhwala, amawonetsedwa kuti amachepetsa kuthamanga kwa magazi ndikuwongolera, motsika 14 mpaka 9 (140 x 90 mmHg), chifukwa kuthamanga kwa magazi kumatha kuyambitsa zovuta monga matenda amtima, mtima kulephera , angina, mavuto a impso kapena stroke, mwachitsanzo.

Pali mankhwala osiyanasiyana omwe angagwiritsidwe ntchito kuthana ndi kuthamanga kwa magazi, monga okodzetsa, ma adrenergic blockers kapena ma vasodilator, mwachitsanzo, omwe akuyenera kuwonetsedwa ndi katswiri wazachipatala aliyense malinga ndi kuopsa kwa matendawa kapena chiwopsezo cha zovuta. Nthawi zina, mankhwalawa amatha kugwiritsidwa ntchito limodzi.

Mankhwala okhudza kuthamanga kwa magazi nthawi zonse amayenera kuwonetsedwa ndi katswiri wa matenda a mtima ndipo nthawi zonse azitsatira azachipatala kuti awone ngati mankhwalawa amachepetsa kuthamanga kwa magazi. Kuphatikiza apo, adotolo akuyeneranso kuwonetsa kuchepa kwa kumwa mchere komanso kuchita masewera olimbitsa thupi, monga kuyenda, mwachitsanzo, kangapo katatu pamlungu kuti muchepetse kuthamanga kwa magazi.

4. Otsogolera otsogolera mwachindunji

Ma vasodilator otsogola amalimbikitsa kupumula kwa mitsempha ya magazi, kuilepheretsa kuti igwire, zomwe zimapangitsa magazi kufalikira mosavuta kudzera mumitsempha ndipo mtima sukufunika kugwiritsa ntchito mphamvu zambiri kupopera magazi mthupi, chifukwa chake, amathandizira kutsitsa magazi kupanikizika. Ma vasodilators akuluakulu omwe madokotala akuwonetsa ndi hydralazine ndi minoxidil.

Minoxidil imagwiritsidwa ntchito pakamwa pochiza kuthamanga kwa magazi komwe sikusintha ndi mankhwala ena ndipo imagwiritsidwa ntchito limodzi ndi diuretic kapena beta-blocker. Chithandizochi chimakhala ndi zotsatira zoyipa zokulitsa tsitsi m'thupi, chifukwa chake, akuwonetsedwanso ndi dermatologists pochiza tsitsi ndi dazi, komabe, pazochitikazi, kugwiritsa ntchito ndi kwamutu, komanso yankho la minoxidil molunjika pamutu.

5. Makina otsekemera a calcium

Ma calcium channel blockers amachepetsa kuthamanga kwa magazi chifukwa amaletsa calcium kuti isalowe m'maselo a mtima ndi mitsempha, kulola mitsempha yamagazi kumasuka ndikutseguka, zomwe zimapangitsa kuti magazi aziyenda bwino mthupi ndikuchepetsa kuyesetsa kwa mtima kupopera magazi.

Mankhwala akulu mgulu lino la antihypertensive mankhwala ndi amlodipine, nifedipine, felodipine, nitrendipine, manidipine, lercanidipine, levanlodipine, lacidipine, isradipine, nisoldipine ndi nimodipine.

Ma calcium channel blockers, monga verapamil ndi diltiazem, ali ndi phindu lina lochepetsera kugunda kwa mtima, komwe kumatha kuchepetsa kuthamanga kwa magazi, kuchepetsa kupweteka pachifuwa ndikuwongolera kugunda kwamtima kosasintha.

6. Mankhwala oletsa Angiotensin-converting enzyme (ACE)

Zoletsa kutulutsa ma enzyme yoteteza angiotensin zimalepheretsa kupanga angiotensin, mahomoni omwe amachititsa kuti mitsempha yamagazi ichepetse ndikuwonjezera kuthamanga kwa magazi, kukakamiza mtima kugwira ntchito molimbika. Poletsa kutulutsa kwa hormone iyi, kalasi iyi yamankhwala othana ndi kuthamanga kwa magazi imathandizira kupumula mitsempha ndi mitsempha ndikuchepetsa kuthamanga kwa magazi.

Ma inhibitor akuluakulu a enzyme yotembenuza angiotensin ndi captopril, enalapril, ramipril ndi lisinopril, zomwe zimatha kuyambitsa chifuwa chouma ngati zoyipa zina.

Gulu lina la mankhwala okhala ndi zotsatira zofanana ndi izi, koma popanda zoyipa za chifuwa chouma, ndi angiotensin receptor antagonists omwe amachepetsa kuthamanga kwa magazi popewa zovuta za mahomoni angiotensin, ndikuphatikizanso mankhwala losartan, valsartan, candesartan ndi telmisartan.

Zotsatira zoyipa

Zotsatira zoyipa zamankhwala othamanga magazi zimaphatikizapo chizungulire, kusungika kwamadzimadzi, kusintha kwa kugunda kwa mtima, kupweteka mutu, kusanza, nseru, thukuta kapena kusowa mphamvu. Mukazindikira izi, wodwala matenda a mtima ayenera kudziwitsidwa kuti kuthekera kochepetsa mlingo wa mankhwalawo kapena kuwusinthanitsa wina kungayesedwe.

Mankhwala othamanga kwambiri samanenepa, koma ena amatha kuyambitsa kutupa, ndipo munthawi imeneyi, katswiri wa zamagetsi amathanso kulangiza kugwiritsa ntchito diuretics.

Nthawi yosiya kumwa mankhwala osokoneza bongo

Kugwiritsa ntchito mankhwala ochepetsa kuthamanga kwa magazi nthawi zambiri kumasungidwa m'moyo wonse, chifukwa matenda oopsa ndi matenda osachiritsika, ndipo chithandizo ndikofunikira kuti muchepetse zovuta monga matenda amtima, stroke, aneurysm kapena impso.

Mankhwalawa ayenera kutengedwa molingana ndi zomwe adokotala amalemba, zomwe zimafunikanso kuwongolera munthuyo kuti alembe zolemba za kuthamanga kwa magazi komwe kumayesedwa kunyumba. Phunzirani momwe mungayezere kuthamanga kwa magazi kunyumba.

Zosankha zanyumba zothandizira kuthamanga kwa magazi

Njira yabwino kwambiri yothetsera kuthamanga kwa magazi ndi madzi a lalanje, chifukwa lalanje ali ndi potaziyamu wochuluka yemwe amathandiza kuchepetsa kuthamanga kwa magazi, kuphatikiza kukhala ndi ma antioxidants omwe amathandiza kuti mitsempha yamagazi ikhale yathanzi komanso kupewa matenda monga atherosclerosis, matenda amtima kapena stroke, mwachitsanzo . Komabe, wina ayenera kupewa madzi amphesa kapena chipatso champhesa Mukamamwa mankhwala osokoneza bongo, chifukwa chipatsochi chitha kuchepetsa ntchito ya enzyme yomwe imayambitsa kupukusa mankhwalawa, zomwe zimatha kuyambitsa zovuta zina kapena kuledzera.

Njira ina yabwino yothetsera kuthamanga kwa magazi ndi mandimu ndi adyo. Kuti muchite izi, ingochotsani msuzi wonse kuchokera ku mandimu atatu, pogaya ma clove awiri a adyo, ikani madziwo, ma clove adyo ndi kapu imodzi yamadzi mu blender, sakanizani bwino, sangalalani kuti mulawe ndi kumwa masana, pakati pa nthawi yopuma. Onani njira zina zothandizira azitsamba kuthamanga kwa magazi.

Onerani kanemayo ndi katswiri wazakudya Tatiana Zanin ndi maupangiri othandizira kuchepetsa kuthamanga kwa magazi:

Njira zothandizira kuthamanga kwa magazi pamimba

Njira zothanirana ndi kuthamanga kwa magazi pamimba, zomwe zingaperekedwe ndi katswiri wa zamatenda, ndi methyldopa kapena hydralazine, mwachitsanzo.

Pankhani ya azimayi omwe anali ndi vuto lakuthamanga magazi asanatenge mimba, katswiri wa matenda a mtima amayenera kusintha mankhwala omwe kale amagwiritsidwa ntchito ngati mankhwala omwe amatumizidwa panthawi yapakati, omwe samabweretsa mavuto kwa mwana.