Kupeza Kupanikizika kwa Magazi Mankhwala Amene Amakugwiritsani Ntchito
Palibe mgwirizano kuti mankhwala ayenera kuperekedwa choyamba pamene wina ayamba kumwa mankhwala oopsa. Pali njira zinayi zazikulu zomwe zimagwirizana. Izi zikuphatikizapo magulu otsatirawa:
- Angiotensin-kutembenuza mavitamini a enzyme kapena a angiotensin II obatala (ACE inhibitors ndi ARBs)
- Makanema a calcium
- Ophwanya Beta
- Thiazide diuretics
Ndi Gulu Liti la Mankhwala Amene Amagwira Ntchito Loyenda?
Ngakhale kuti gulu limodzi la mankhwala silovomerezeka kwa ena kudera lonse, pali kusiyana komwe kumabweretsa kusiyana kwa kuchepetsa kuthamanga kwa magazi. Cholinga cha mankhwala pakuchulukitsa matenda a umphawi ayenera kukhala ndi magazi ochepa kuposa 140/90 mm Hg kwa anthu omwe ali aang'ono kuposa zaka 60. Pazaka zoposa 60, chandamale ndi kuthamanga kwa magazi kupitirira 150/90 mm Hg. Ngati muli ndi zaka zoposa makumi asanu ndi limodzi, mukhoza kuyesetsa kukwaniritsa zolinga zochepa, koma muli pachiopsezo chachikulu, monga chizungulire.
Zakale ndi Mpikisano wa Race Kusankha Chithandizo Choyamba cha Kuchiza Mankhwala Ochepetsa Matenda
Pali zizindikiro zosiyanasiyana zomwe zimakhudza mwayi wochita bwino, kuphatikizapo msinkhu komanso mtundu. Odwala achichepere amayankha bwino ACE inhibitors ndi ARBs, komanso beta blockers . Olemba mabeta samagwiritsidwa ntchito kawirikawiri kuti ayambe mankhwala opatsirana kuthamanga kwa magazi, komabe, chifukwa umboni umasonyeza kuti iwo samapereka chitetezo chokwanira ku sitiroko monga zosankha zina.
Chotsatira chake, odwala achichepere kawirikawiri amayamba mankhwala opatsirana ndi kuthamanga kwa magazi ndi ACE inhibitor kapena ARB. Izi zimatsimikiziridwa ndi umboni wochokera ku kafukufuku wa achinyamata omwe ali ndi matenda oopsa omwe anachitidwa ndi magulu osiyanasiyana a mankhwala.
Anthu akuda ndi okalamba amawoneka kuti akupeza mphamvu yoyamba ya magazi kuchokera ku thiazide diuretic kapena calcium channel, kotero madokotala amasankha kuyamba kumwa mankhwalawa.
Komabe, ACE inhibitors ndi ARBs zimagwiritsidwanso ntchito pochiza odwala omwe ali ndi mtima wosalimba, mbiri ya matenda a mtima, ndi matenda a impso, kotero ngati chimodzi mwazimenezo zilipo munthu wachikulire kapena munthu wakuda, ndiye ACE inhibitor kapena ndipo ARB ikhoza kukhala kusankha koyambitsa antihypertensive mankhwala.
Onjezerani Dokotala Watsopano Kapena Kusintha Wakale?
Ndizowona kuti aliyense sangayankhe mankhwala onse oponderezedwa ndi magazi. Ngati mutayamba mankhwala atsopano komanso mlingo wanu ndi wokwanira, koma simunathe kuchepetsa kuthamanga kwa magazi mwanu, muyenera kuchita chiyani? Komiti Yachiwiri Yapadziko Imalimbikitsa kulumikiza mlingoyo mpaka kuchuluka kwa ndalama zoyenera kapena kuwonjezera mankhwala ena achiwiri. Mukawonjezera kuchuluka kwa mankhwala a mphamvu ya magazi, yankho limayamba kuchepa. Zotsatirapo zimakhalanso zowonjezeka
Pali njira ina: akatswiri ena amalangiza kuti kusintha kwa mankhwala atsopano ngati oyambawo sakugwira ntchito. Ngati simunayankhepo mankhwala amodzi, muyenera kudziwa kuti muli ndi mwayi wokwana 50 peresenti yokhala ndi vuto la magazi pa mtundu wina wa mankhwala. Njira imeneyi imatchedwa "sequential monotherapy." Ngati mankhwala achiwiri samagwira ntchito, mankhwala osokoneza bongo amachititsa kuti odwala 80% athetse mphamvu ya magazi.
Anthu Ena Amafunikira Zambiri Kuposa Mankhwala Osokoneza Bongo
Kawirikawiri, kuchepetsa kuthamanga kwa magazi kwakukulu kuposa 20/10 mm Hg sitingathe kuyerekezera kuchipatala ndi mankhwala amodzi, kotero anthu omwe ali ndi vuto loyamba kwambiri la magazi angafunike mankhwala awiri kuti athetse matenda atsopano. Pali mankhwala osakaniza omwe dokotala wanu angapereke, ndipo ngati magazi anu ali aakulu kwambiri poyamba, izi zingakulolereni kukwaniritsa vuto la magazi mu nthawi yoyenera.
Kudya ndi Kuchita Zinthu Zolimbitsa Thupi Kungakuthandizeni Kuyankha
Ngati muli ndi matenda oopsa, dokotala wanu mwina akuganiza kuti moyo umasintha.
Ndikofunika kupitiriza kuchita masewera olimbitsa thupi komanso kupewa zakudya zamchere, ngakhale mutayamba mankhwala. Kusuta ndi kusowa tulo kungakhalenso kovuta kuthetsa kuthamanga kwa magazi.