Magungunan Hawan-Hauka don Ciwon Cutar

A cikin ciwon sukari na mellitus, hawan jini shine tsayayyen alamomi da alamu na yau da kullun. Yana faruwa saboda ci gaba da yawa na insulin a cikin jini, tazarar da lumen tasoshin jini a kan tushen atherosclerosis da karuwa a jikin mutum. Hawan jini a cikin irin waɗannan mutane yana haifar da haɗarin haɓaka cututtukan cuta da yawa waɗanda ke haifar da nakasa da wuri ko mutuwa. A sakamakon haka, magungunan kwayoyi don matsa lamba a cikin ciwon sukari an zaɓa su daban-daban, suna yin la'akari da duk abubuwan aikin cutar da shekarun mai haƙuri.

Babban halayyar magungunan antihypertensive

Dole ne miyagun ƙwayoyi su cika waɗannan ka'idodi:

• Tare da raguwa a cikin karfin jini, abin da ya ragewa rikitarwa ya ragu.
• Ba ya shafar lafiyar carbohydrate da metabolism metabolism.
• Yana kare zuciya da kodan daga mummunan tasirin hauhawar jini.

Magungunan hauhawar jini don ciwon sukari

Akwai da yawa azuzuwan magunguna waɗanda ke rage hawan jini, waɗanda ana yi nasarar amfani da su wajen maganin hauhawar jini:

• ACE.
• Abubuwan hana alli.
• Ma'aikatan Diuretic.
• Beta-blockers tare da vasodilating sakamako.
• Alfa blockers suna zaba.
• Masu adawa da karɓar Angiotensin.

Mahimmanci! Yakamata likitan yakamata ayi maganin kowane likita. Haɗin magungunan da ba daidai ba na iya haifar da mutuwa. Haramun ne haramcin shiga cikin shan magungunan kai.

ACE na hana shugabanni fada a kan cutar

Angiotensin-mai canza mai hana enzyme shine ƙungiyar magunguna mafi inganci ga mutanen da ke fama da hauhawar jini da nau'in ciwon sukari na 2. Ayyukan pharmacological yana nufin rage matsin lamba, rage tashin hankali na ƙwayar tsoka na zuciya, yana kawar da ci gaban faduwar zuciya.

An contraindicated kai su a cikin irin wannan yanayi:

• Cutar sankara ko kuma tarin fuka.
• Idan an kafa gazawar renal a cikin tarihin likitanci, to ya kamata a dauki magunguna a hankali, kazalika da sa ido kan cutar hawan jini, saka idanu kan matakin creatinine da Ca a cikin jini.
• Haihuwa da lactation.

Wannan rukunin magungunan yana tsoratar da haɓakar taƙaituwar jijiyoyin koda, don haka dole ne a yi amfani dasu tare da taka tsantsan a cikin marasa lafiya waɗanda ke da tarihin cutar atherosclerosis.

Mahimmanci! Lokacin ɗaukar ACE inhibitors, ana bada shawara cewa ka iyakance ƙwanin gishirin ka. Kwancen yau da kullun bai wuce gram 3 ba.

Mafi yawan magungunan yau da kullun sune:

Allunan Captopril motar asibiti ce don yanayin gaggawa dangane da hauhawar tashin hankali.

Kwakwalwar Calcium ga masu fama da ciwon sukari na 2

Masu hana tashar alli suna da tasiri na dindindin, suna iya aiki akan hauhawar jini, amma suna da contraindications. An kasu kashi biyu:

Daya daga cikin mahimman dalilan da ke haifar da aukuwar cutar hawan jini shine canji a cikin ƙwayar ƙwayar ƙwayar haɓakar ƙwaƙwalwa saboda rashin magnesium. Kuma hanyar aiwatar da miyagun ƙwayoyi an yi niyya don rage ci gaban alli zuwa cikin ƙwayoyin tsoka na zuciya, ganuwar tasoshin jini don haka yana hana haɓakar spasms. Enhanarfafa jini ga dukkanin mahimman abubuwa na haɓaka.

Contraindications don amfani:

• Kasancewa a cikin tarihin angina pectoris.
• Samuwar ci gaban zuciya.
• Matsanancin rauni na bugun jini.
• Hyperkalemia

Daga wannan rukunin, an tsara magunguna masu zuwa:

Ana ba da shawarar Verapamil ga marasa lafiya da masu fama da cutar sankara - yana kare kodan daga mummunan tasirin sukarin jini. Ya zama dole a sha a hade tare da masu hana ACE.

Diuretics - mataimakan da ba makawa

Anaruwar yawan sodium da tara ruwa a cikin jiki suna haifar da karuwa da yawaitar hawan jini, wanda shine muhimmin mahimmanci wanda ke kara haɓakar jini. Mutanen da ke da yawan sukari suna da hankali ga gishirin, wanda ke lalata yanayin. Diuretics kayan aiki ne ingantacce a yaƙin wannan matsalar.

An rarraba magungunan diuretic cikin:

• Thiazide - suna da kayan gefe: da keɓaɓɓe ga sukari da cholesterol, hana aikin koda.
• Osmotic - yiwu tsokana mai cutar mahaifa.
• Loopback - rashin amfani da waɗannan allunan zai iya haifar da hypokalemia da bugun zuciya arrhythmias.
• Potassium-sparing - contraindicated a cikin koda gazawar.
• Masu hana ƙwayoyin carbonic anhydrase - gefen mara kyau shine aikin da aka yi niyya mai rauni, wanda baya bayar da sakamakon da ake so.

Daga cikin dukkanin cututtukan diuretics, yin la'akari da tasirin sakamako na ciwon sukari na 2, ana bada shawara don ɗaukar allunan loopback. Ayyukansu suna mayar da hankali kan inganta haɓakar aikin koda. An sanya shi don sauƙaƙe huɗar, tafi lafiya tare da masu hana ACE. Tun da ma'anar mara kyau shine cire potassium daga jiki, ya zama dole don sake cika matakin wannan sinadaran tare da taimakon ƙarin magunguna a layi ɗaya tare da haɗarin su.

Hanyoyi mafi kyau na kungiyar madauki suna wakiltar irin waɗannan kwayoyi:

Jiyya kawai tare da magungunan diuretic ba shi da inganci, ya zama dole don amfani da wasu magungunan antihypertensive.

Mai haɗarin Beta masu haɗari

Magunguna masu mahimmanci a cikin yaki da arrhythmia, hauhawar jini da cututtukan zuciya na ischemic. Raba waɗannan magunguna zuwa rukuni uku:

• Mai zaɓe da wanda ba zaɓa ba - yana shafar sel na hanji, rage ƙarin samar da insulin. Tasiri mai tasiri akan aikin zuciya. Theara da yiwuwar ci gaban nau'in ciwon sukari na 2.
• Lipophilic da hydrophilic - suna contraindicated a cikin ciwon sukari, kamar yadda suke taɓantar da cututtukan hepatic da rushe metabolism na lipid.
• Vasodilating - suna da tasirin gaske akan metabolism-lipid metabolism. Amma suna da yawan sakamako masu illa.

An rarrabe magunguna masu lafiya don hauhawar jini idan ya kasance cutar ta dogara da insulin na nau'in 2:

Ayyukan pharmacological yana da nufin ƙaruwa da yiwuwar kyallen takarda zuwa hormone da ci gaban hanyoyin tafiyar matakai.

Mahimmanci! Masu tallata Beta suna tona asirin bayyanar da karancin sinadarin potassium a cikin jikin mutum, sakamakon hakan ana aiwatar da alƙawarin ne a karkashin kulawar likita.

Zabin Alfa Blockers

Amfanin wadannan magungunan shine cewa tasirin su yana nufin rage raunuka na jijiyoyin jiki da kuma karshen su. An nuna su ta hanyar haɗaka: suna aiki kamar hypotensive, vasodilating da magungunan antispasmodic. Har ila yau, suna taɓar da rauni ga ƙwayar insulin kuma suna hana matakan sukari, wanda ya zama dole ga masu ciwon sukari na 2.

Theangaren mara kyau shine cewa zasu iya tayar da irin waɗannan yanayin:

• Tsarin jini na Orthostatic - na iya faruwa musamman a cikin haƙuri tare da ciwon sukari mellitus.
• Rarraba na edema.
• Haɓaka ƙwaƙwalwar ƙwayar cuta na tachycardia.

Mahimmanci! Yarda da alpha-blockers a cikin bugun zuciya yana da matukar kazanta.

Don magani na dogon lokaci, ana amfani da magunguna masu zuwa:

Masu adawa da karɓar Angolaensin 2 a maimakon masu hana ACE

Kayan aiki na musamman wanda ke da ƙarancin sakamako masu illa kuma ana amfani da shi ta hanyar amfani mai amfani ga jiki. Kauda hauhawar jini na hanjin hagu na zuciya, hana haɓakar infarction na zuciya, gazawar koda, rage haɗarin bugun jini.

Idan mai haƙuri ya kamu da bushewa a lokacin jiyya tare da masu hana ACE, to likita ya ba da shawarar shan ARA. Wadannan magunguna suna kama da na kayan sunadarai, kawai bambanci ne a cikin contraindications da sakamako masu illa.

Duba kuma: Jerin kwayoyin hana daukar ciki basa haifar da tari

Mafi kyawu daga rukunin masu adawar angiotensin:

A lokacin jiyya, ya zama dole don sarrafa hawan jini, yawan creatinine da potassium a cikin jini.

Kwayoyin da ke rage karfin jini ga masu ciwon sukari suna wakilta sosai a cikin kasuwar magunguna. Amma kada kuyi magani da kansu ku ɗauki magani na farko da ya biyo baya, in ba haka ba zai haifar da mummunan sakamako. Godiya kawai ga ƙwararrun likitanci da ɗaba'o'in da aka zaɓa cikin ɗaiɗaikun za a iya samun sakamako da ake so.