Angiotensin receptor blockers (ARB) ndi imodzi mwa mankhwala omwe dokotala wanu angapereke kuti azitha kuthamanga kwa magazi. Kuthamanga kwa magazi , komwe kumatchedwanso kuti matenda oopsa kwambiri, kumakhudza pafupifupi magawo awiri mwa atatu alionse a akuluakulu ndipo kumawonjezera ngozi ya matenda a mtima ndi kupwetekedwa , zomwe ndizo ziŵiri zoyambitsa imfa ku United States.
Katswiri wa zachipatala angalimbikitse kutenga ma ARB kuphatikizapo ACE inhibitors, mtundu wina wa mankhwala omwe amadziwika kuti ali ndi matenda oopsa, kapena mankhwala ena.
Nthawi zina, odwala omwe amakumana ndi chifuwa cha ACE inhibitors, kapena samawalekerera, akhoza kuuzidwa kuti ARBs ndi njira ina.
Madokotala amapatsanso ARBs kuti azichiza matenda ena, kuphatikizapo mtima wosalimba, matenda a impso, komanso impso omwe akudwala matenda a shuga.
Momwe Angiotensin Amalandirira Ntchito Zowononga
Mankhwala othamanga kwambiri a magazi amachititsa kuti asawononge zochita za hormone yotchedwa angiotensin II. Pamene thupi lanu limatulutsa ma hormone, mitsempha yanu imakhala yochepa, yomwe imaletsa magazi kutuluka ndikukweza mphamvu ya magazi.
Ma ARBs amachepetsa kuthamanga kwa magazi chifukwa kuteteza zochita za hormone kumalola kuti mitsempha yanu ikhale yotsegula ndikukula, zomwe zimapangitsa kuti magazi aziyenda bwino.
Mayina Odziwika Amodzi ndi Achibadwa
Pali mitundu yambiri ya ARB yomwe imayikidwa chifukwa cha kuthamanga kwa magazi, kuphatikizapo:
- Edarbi ( Azilsartan )
- Atacand ( Candesartan )
- Teveten ( Eprosartan )
- Avapro ( Ine ndikuthandizira )
- Cozaar ( Losartan )
- Benicar ( Olmesartan )
- Diovan ( Valsartan )
- Micardis ( Telmisartan )
Zotsatira Zotsatira Zachimake
Anthu ambiri amavomereza Angiotensin receptor blockers, ndipo zotsatira zake zimakhala zochepa. Zina mwa zotsatira zoyipa za ARB zimaphatikizapo:
- Kumva mutu wamutu kapena chizungulire
- Mutu
- Zovuta za uchimo, monga zowonongeka kapena mphuno
- Kupweteka kumbuyo ndi mwendo
- Matenda a m'mimba
- Kutsekula m'mimba
- Kutaya thupi kwakukulu
Zotsatira zoyipa sizodziwika, koma zingakhalepo:
- Zomwe zimayambitsa: ming†™ oma; chovuta kupuma; kapena kutupa kwa nkhope yanu, kuphatikizapo milomo, lilime kapena mmero
- Impso ndi / kapena chiwindi kulephera
- Pewani m'maselo oyera a magazi
Kusamala
Ngakhale kuti mabungwe a ARB amadziwika kuti ndi otetezeka kuti azitha kuthamanga kwa magazi, monga mankhwala onse, amadza ndi zowononga, zomwe zimaphatikizapo:
Kuyanjana. Ma ARB angagwirizane ndi mankhwala ena ndi zowonjezereka, kuphatikizapo:
- Kupweteka kwa NSAID kumachepetsa
- Antacids
- Lithium
- Zodzoladzola zina
- Mankhwala alionse, mavitamini kapena amchere opangira potaziyamu
- Mankhwala owonjezera pa chimfine, chimfine kapena hayfever
Ndiwe ndi dokotala wanu okha amene mungasankhe mankhwala oyenera kuti muzitha kuchiza magazi. Onetsetsani kuti mumapereka mayina a mankhwala ena alionse ndi / kapena kuwonjezera mankhwala omwe mumalandira, kuphatikizapo mankhwala osokoneza bongo.
Mimba. Ma ARB angabweretse vuto la kubala. Ngati muli ndi pakati, kapena mukukonzekera kutenga pakati, musatenge ma ARB. Lankhulani ndi dokotala wanu wa zaumoyo zokhudzana ndi kuteteza mimba pamene mukumwa mankhwalawa.
Mowa. Ngati mutenga ma ARB, kambiranani ndi dokotala wanu musanayambe kumwa mowa.
Kuphatikizidwa ndi mowa, mankhwalawa akhoza kuchepetsa kuthamanga kwa magazi kwambiri, kumayambitsa chizungulire kapena kutaya.
ACE Inhibitors. Ngati mwapezeka ndi zotsatira za ACE inhibitors, muuzeni dokotala musanatenge ma ARB.
FDA Safety Report
Ngati mwakhala mukufufuza pa ma ARB, mwinamwake mwawona chidziwitso kuyambira chaka cha 2010 chomwe chikusonyeza kuti kufufuza kwa mayesero a zachipatala anapeza chiwopsezo chaching'ono koma chowunikira, chomwe chimawopsa kwambiri chokhala ndi khansa kwa iwo omwe amamwa mankhwalawa. Chifukwa cha nkhawa imeneyi, US Food and Drug Administration (FDA) inayambiranso chitetezo cha chitetezo. Mu 2011, a FDA anafika pamapeto awo ndipo adapeza kuti anthu omwe ali ndi ma ARB sakhala ndi chiopsezo chachikulu chokhala ndi khansa.
Zotsatira:
Kupanikizika kwa Magazi UK: Angiotensin Receptor Blockers - Kupanikizika kwa Magazi
Kliniki ya Mayo: Angiotensin II Receptor Blockers
Utsogoleri wa US Food and Drug: Palibe Kuwonjezeka kwa Ngozi ya Khansa ndi Mankhwala Ena Omwe Amagwiritsa Ntchito Magazi (2011)