Angiotensin kutembenuza mavitamini (ACE) inhibitors ndi mankhwala apakamwa omwe amachepetsa kuthamanga kwa magazi. ACE inhibitors amagwiritsidwa ntchito pochiza matenda a mtima (kuthamanga kwa magazi), matenda a mitsempha ya m'mimba komanso mtima wosalimba, komanso kuthandizira kuthetsa matenda a shuga ndi matenda a impso.
Mwachidule
Matendawa amayamba kuyenda; Kuthamanga kwa magazi kumakhala kofala pakati pa anthu omwe ali ndi shuga.
Kuthamanga kwa magazi kumathandizanso kuti munthu asamakhale ndi matenda a shuga (matenda a impso).
Komanso, anthu omwe ali ndi matenda a shuga amakhala ndi zotsatira zoipa kwambiri (nthawi zambiri zochiritsira, nthawi yowonongeka komanso zoopsa za matenda) kuchokera ku mavuto aakulu a mtima. Choncho, opereka chithandizo chamankhwala amachiza matenda a shuga ndi matenda a shuga .
Ngakhale kuti ACE inhibitors sizitsitsa mchere wa shuga, akhoza kuthandizira kuti shuga awonongeke mwa kuwonjezera mphamvu ya thupi kwa insulini. Insulini imathandiza thupi kuchepetsa shuga (shuga) ndi kusunthira ilo kuchokera m'magazi kulowa m'maselo, komwe limakhala ngati magwero amphamvu.
Ambiri a ACE inhibitors amapezeka ku United States, kuphatikizapo Capoten (captopril), Prinivil ndi Zestril (lisinopril), Vasotec (enalapril), Lotensin (benazepril), Altace (ramipril), Accupril (quinapril), Monopril (fosinopril), Mavik ( trandolapril), Aceon (perindopril) ndi Univasc (moexipril).
Momwe Amagwirira Ntchito
ACE inhibitors amachepetsa kuthamanga kwa magazi mwa kuteteza thupi kuti lisatengere hormone angiotensin II. Angiotensin II imayambitsa vasoconstriction (kuchepa kwa mitsempha ya magazi) ndi kusungirako madzi, zomwe zimachititsa kuti thupi lizizizira kwambiri. Mwa kuchepetsa kuthamanga kwa magazi ndi kusungidwa kwa madzi, ACE inhibitors amathandiza kuchepetsa mtima kulephera.
ACE inhibitors amatha kuteteza ndi kuchepetsa matenda a shuga (matenda a impso) komanso kuthandizira kuchepetsa matenda a shuga (mavuto a maso). ACE inhibitors sizeng'onongetsa mtima kapena kutsitsa shuga m'magazi.
Mbiri Yogwiritsira Ntchito
ACE inhibitors akhala akuvomerezedwa ndi FDA kuti athandizidwe kwambiri ndi matenda a shuga kuyambira 1981. Kwa nthawi yaitali, ntchito ya ACE inhibitor yakula kwambiri pofuna kuchiza matenda a mtima ndi zofanana.
Amene Ayenera Kupewa
Anthu omwe ali ndi magazi otsika kwambiri (hypotension), kapena amene ali ndi zovuta kapena chifuwa chokhudzana ndi ACE inhibitors, sayenera kugwiritsa ntchito ACE inhibitors. Ngakhalenso omwe ali ndi mitsempha yotchedwa renal stenosis sayenera, amayi omwe ali ndi pakati ndi amayi omwe akuyesera kutenga pakati.
Anthu omwe amawonongeka kwambiri impso amafunika kusintha kwa ma ARV.
Zotsatira Zotsatira ndi Ngozi
Mankhwala onse opatsirana mwazi amachititsa kuti asakanike, ndi zizindikiro kuphatikizapo kumutu, chizungulire, kunyoza, kutuluka thukuta komanso zotheka kutaya chidziwitso.
Kawirikawiri, ACE inhibitors angayambitse shuga wotsika magazi (hypoglycemia). Izi zimachitika kwa anthu omwe ali ndi shuga omwe ali ndi shuga ya magazi yomwe imayang'aniridwa bwino ndi zakudya ndi mankhwala ena oletsa antidiabetic.
ACE inhibitors angayambe kukopa anthu ena. Ngati izi zikuchitika, ayenera kukambirana ndi azimayi awo, omwe angalowe m'malo mwa mankhwala osiyana siyana.
Zina Zogwiritsa Ntchito Zotsalira
ACE inhibitors angathandize kuchepetsa kuyambira kwa mtundu wa shuga 2 . Kuwonjezera pamenepo, ACE inhibitors angathandize kuchepetsa ziwalo za mtima, makamaka ngati agwiritsidwa ntchito pambuyo pa matenda a mtima.
ACE inhibitors akugwiritsidwa ntchito pamalopo pochiza matenda monga matenda a nyamakazi, migraines, zochitika za Raynaud ndi matenda a Bartter.
Zopangira Zaumoyo
Angiotensin receptor blockers (ARBs) ali ofanana ndi ACE inhibitors. Anthu omwe sagwirizana ndi ACE inhibitors kapena amene amayamba chifuwa chokhudzana ndi ziwalo za ACE zimatha kusintha ku ma ARB ndi zotsatira zabwino. Anthu omwe ali ndi shuga ayenera nthawi zonse kuuza odwala awo za mankhwala ena onse komanso mankhwala enaake, komanso zitsamba zilizonse zomwe zimagwiritsidwa ntchito panopa, musanayambe kutenga ACE inhibitors.
Anthu omwe ali ndi ACE inhibitors amayenera kufufuza ndi odwala awo asanayambe mankhwala aliwonse atsopano.
Zotsatira:
Bakris, George L. "Kuchiza Kuchulukitsa Matenda a Shuga Mellitus." UpToDate.com. Dec. 11, 2015. UpToDate .. (kulembetsa).
Kaplan, Norman M., ndi Burton D. Rose. "ACE Inhibitors mu Chithandizo cha Kuthamanga kwa Mthupi." UpToDate.com. 2014. UpToDate. (kulembetsa)
McCulloch, David K., ndi R. Paul Robertson. "Kulosera ndi Kuteteza Mtundu Wachiwiri wa Shuga Mellitus." UpToDate.com. 2007. UpToDate. 7 Sep. 2007. (kulembetsa).