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ACE inhibitors vs. beta blockers: Ndeipi mishonga yeropa yakakunakira iwe?

ACE inhibitors vs. beta blockers: Ndeipi mishonga yeropa yakakunakira iwe?Zvinodhaka Info

Makumi manomwe nemashanu emamiriyoni vakuru veAmerica vane BP (hypertension), asi chete 54% yavo vane yavo nhanho dziri pasi pekutonga. Neraki rwechiitiko chakajairika sekukwirisa kweropa, pane zvakasiyana mishonga inogona kubatsira. Pakati pavo pane ACE inhibitors uye beta blockers, ayo vanachiremba vazhinji vanopa pamberi peimwe mhando yemishonga.





Kana iwe usina chiratidzo, sevanhu vazhinji vane yakakwira BP, chiremba angangozama iyo ACE inhibitor kutanga. Kana yako yakakwira BP ichiperekedzwa nekurwadziwa pachipfuva kana kushushikana, beta blocker inogona kuve iri nani sarudzo. Vanachiremba vanogona kutopa mhando mbiri dzemishonga panguva imwe chete pasi pemamwe mamiriro.



Ndeupi mushonga weBP wakanaka kwazvo kwauri? Shandisa iri gwaro kuenzanisa ACE inhibitors vs. beta blockers kugadzirira kushanya kwako kwachiremba kunotevera.

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ACE inhibitors uye beta blockers vanoshanda sei?

ACE inhibitors (angiotensin-inoshandura-enzyme inhibitors) inoderedza tsinga dzeropa uye inoderedza huwandu hweropa, iyo inoderedza kukwira kweropa uye inowedzera kuyerera kweropa kuenda pamoyo. Kuti uite kudaro, ACE inhibitors bvisa enzyme inoshandura angiotensin kubva pakushandura angiotensin I kuenda angiotensin II-hormone inovharisa tsinga dzeropa. Nekudzivirira iyo hormone, BP yemunhu inoderedzwa.

ACE inhibitors inowanzo gadzirirwa navanachiremba kurapa kukwirisa kweropa uye kutadza kwemoyo. Vanogona zvakare kubatsira kudzikisa njodzi yekufa mushure mekurwadziwa kwemoyo (myocardial infarction).

Beta anovharira (beta-adrenergic blocking agents) inovhara mhedzisiro yemahormone ekushushikana ayo ari chikamu chetsitsi inonzwira tsitsi. Aya mahormone anosanganisira norepinephrine uye epinephrine (inonziwo adrenaline ). Kuvhara mahormone aya kunoita kuti tsinga dzeropa dzizorodze uye dziwedzere. Nekudaro, beta blockers anogona kudzora kurova kwemoyo, kudzikira kweropa, uye kugadzirisa kuyerera kweropa.



Beta blockers inogona kurapa yakakwira BP pamwe nezvimwe hmnealth mamiriro senge congestive moyo kutadza, isina kujairika moyo mutinhimira, kushushikana, uye kurwadziwa pachipfuva.

Tora kadhi reSpecialCare rekutora

ACE inhibitors vs. beta blockers
ACE inhibitors Beta anovharira
Mamiriro ehutano akarapwa
  • Kuwedzera kweropa
  • Kutadza kwemoyo
  • Coronary tsinga chirwere
  • Chirwere chetsvo chisingaperi
  • Kuwedzera kweropa
  • Kuunganidzwa kwemoyo kukundikana
  • Abnormal moyo mutinhimira
  • Kurwadziwa pachifuva
  • Kufunganya
  • Glaucoma
  • Migraines
  • Tachycardia
Kazhinji mishonga inorayirwa
  • Lisinopril
  • Enalapril maleate
  • Benazepril HCl
  • Acebutolol HCl
  • Atenolol
  • Bisoprolol fumarate
Zvakajairika mhedzisiro
  • Dzungu
  • Kuoma kukosora
  • Kuvhiringidzika
  • Kuzvimbirwa
  • Kunetseka kurara
  • Zvimwe zvinogona kukonzera kurema
Yambiro
  • Inotyisa kuvakadzi vane nhumbu uye inogona kukonzera kuremara kwekuzvara
  • Inosimudzira potasium mazinga uye inogona kukonzera hyperkalemia
  • Inotyisa kuvakadzi vane nhumbu uye inogona kukonzera kuremara kwekuzvara
  • Zvimwe zvinogona kukanganisa cholesterol uye triglyceride mazinga
Kudyidzana
  • Nonsteroidal anti-inflammatory zvinodhaka (NSAIDs)
  • Potasiamu inowedzera kana zvinotsiva munyu zvine potasium
  • Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)

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Unogona here kutora ACE inhibitors ine beta blockers?

Chiremba anogona kupa ACE inhibitor uye beta blocker panguva imwechete kuti ikwirise huwandu hweropa revarwere vane hutachiona hwakanyanya kana vanhu vane mamwe marapirwo secoronary chirwere chemoyo kana kusingaperi kwemoyo kutadza.



Zvinofungidzirwa kuti 75% yevarwere vane yakakwira BP inowanzoda mubatanidzwa kurapwa (mishonga inopfuura imwe) kuti vasvitse zvinangwa zvavo zveropa, sekureva kwe Zvinyorwa zveAmerican Society yeHypertension . Iyi yekubatanidza kurapa inogona kusanganisira kutora ACE inhibitors uye beta blockers panguva imwe chete kana kutora imwe neimwe imwe mhando yeropa BP mishonga senge angiotensin receptor blockers (ARBs).

ACE inhibitors uye beta blockers vanoshanda zvakasiyana uye vanonongedza mativi akasiyana emuviri. Nenzira iyi, vanokwanisa kubatsirana.



Yambiro

Ose maIV inhibitors uye beta blockers anogona kuve nenjodzi kune vakadzi vane nhumbu. Dzinogona kukonzera dzungu kubva pasi reropa uye zvinogona kukonzera kuremara kwekuzvarwa. Kana iwe uri nepamuviri kana kuti ungangove nepamuviri, kutaura nachiremba ndiyo nzira yakanakisa yekuona kuti kana kwete beta blockers kana ACE inhibitors zvakakunakira iwe.

ACE inhibitors inosimudza potaziyamu mazinga, saka kuongorora kudyiwa kwepotassium panguva yekurapa kunokosha. Nekuda kweizvozvo, kutora potasium zvinowedzera kana kushandisa zvinotsiva munyu zvine potasium zvinogona kukonzera kuwandisa kweropa potasiamu mazinga (hyperkalemia). Hyperkalemia inogona kutungamira kune mamwe, anogona kutyisidzira hupenyu hutano matambudziko. Zviratidzo zvehyperkalemia zvinosanganisira kuvhiringidzika, kurova kwemoyo zvisina kujairika, uye kurira kana kushaya simba mumaoko kana kumeso.



Kune rimwe divi, vamwe beta blockers vanogona kuwedzera triglycerides uye kudzikisa huwandu hweiyo yakanaka cholesterol. Izvi zvinowanzo kuve zvechinguva asi zvinogona kukanganisa varwere vane metabolic syndrome.

Kubatana kwezvinodhaka-zvinodhaka

ACE inhibitors uye beta blockers inogona kusashanda nemazvo kana ikatorwa nema nonsteroidal anti-anogumbura madhiragi (NSAIDs) senge ibuprofen, Advil, uye Aleve. Taura nachiremba wako usati watora chero maNSAID uchinge uchitora ACE inhibitors, beta blockers, kana ese ari maviri.

Kuchinja kubva kubeta blockers kuenda kuACE inhibitors

Dzimwe nguva, chiremba anogona kushandura tsamba yako ye beta blocker kune iyo ACE inhibitor kana zvinopesana.

Mumamiriro ezvinhu apo varwere vane moyo wakaderera kurovera kana wemoyo rhythm kukanganisika, ingave iyo muyero we beta blockers inoda kudzikiswa, kana imwe nzira yeropa rekurapa mishonga seACEi inogona kushandiswa, anodaro. Atif Zafar , MD, director wezvekurapa weYunivhesiti yeNew Mexico Stroke Chirongwa. Mune imwe mamiriro ezvinhu, apo varwere vane chirwere chetsinga chetsinga (senge stenosis yetsinga dzetsinga), ACEi haina kukurudzirwa kweropa rekudzora. Mimwe mishonga yeBP inokodzera zviri nani kune avo varwere.

Vamwe zvidzidzo inoratidza kuti kuchinja kubva kubeta blockers kuenda kuACE inhibitor kunogona kubatsira kudzikisa zviratidzo zvekukotsira uye nekuvandudza kugona. Zvisinei, izvi hazvireve hazvo kuti beta blockers ari nani pane ACE inhibitors.

Mushonga wega wega une chinangwa chawo uye unogona kunge uri nani pakurapa imwe mamiriro pane imwe. [ACE inhibitors] ndiyo yekutanga-line kurapa nepo beta blockers iri muboka seyechipiri-mutsara kurapa kweBP, Dr. Zafar anodaro. Nekudaro, mune varwere vane coronary artery chirwere (CAD), kana yakagadzikana ischemic moyo chirwere se comorbid yehypertension, beta blockers uye ACEI inokurudzirwa sarudzo dzekutanga-mutsara.

Chinonyanya kukosha, kutaura nachiremba kana nyanzvi yezvekurapa ndiyo nzira yakanakisa yekuona kana kusachinja kubva kubeta blockers kuenda kuACE inhibitors isarudzo chaiyo kwauri zvichibva pamhinduro yako pakurapwa uye nemimwe mhedzisiro yaunosangana nayo.

Zvimwe zvinokanganisa

Sezvakaita chero mishonga, panogara paine mukana wemhedzisiro. Kutora beta blockers, ACE inhibitors, kana zvese zviri zviviri zvinogona kukonzera mimwe yemhedzisiro inotevera:

ACE inhibitor vs. beta blocker mhedzisiro
ACE inhibitor mhedzisiro Beta blocker mhedzisiro
  • Dzungu
  • Kuoma kukosora
  • Kuvhiringidzika
  • Kutemwa nemusoro
  • Kuneta
  • Itchy ganda mapundu
  • Yakakwidziridzwa potassium eropa mazinga
  • Metallic kana munyu kuravira mumuromo
  • Kushaya simba
  • Maoko anotonhora nemakumbo
  • Kuzvimbirwa
  • Kushungurudzika
  • Dzungu
  • Mukanwa makaoma, ganda nemeso
  • Erectile kusagadzikana
  • Musoro wakareruka
  • Kuneta
  • Kutemwa nemusoro
  • Nausea
  • Kufema kwekufema
  • Kunonoka kurova kwemoyo
  • Kunetseka kurara
  • Kurera huremu

Iyi rondedzero yemhedzisiro haina kukwana. Nyanzvi yezvekurapa inogona kukupa runyorwa ruzere rwemhedzisiro inosangana neACE inhibitors vs.

Kunyangwe zvisingawanzoitika, ACE inhibitors uye beta blockers inogona kusangana nemhedzisiro yakaipa. Kutora ACE inhibitors kunogona kukonzera angioedema . ACE inhibitors inogona zvakare kukonzera itsvo kutadza kana kudzikira kwemachena maseru eropa.

Beta blockers yakakonzera kurwiswa kwakanyanya kweasthma. Kune vanhu vane chirwere cheshuga, beta blockers inogona kuchengetedza muviri kubva pakuratidza zviratidzo zveshuga muropa (senge kudengenyeka uye kurovera moyo). Ropa rekumanikidza uye kuwanda kwemoyo kunofanirwa kuongororwa paunenge uchitora beta blockers.

Ndeapi akanyanya mishonga neBP?

Kunyangwe pasina mumwechete mushonga unonyanya kurapa hosha yeropa, ACE inhibitors uye beta blockers ndeimwe yemhando dzakakurumbira dzehypertension zvinodhaka. Iyo mishonga yakatemwa inoenderana nechero nhoroondo yemunhu yekurapa, zviratidzo, uye mhinduro pakurapwa. Nyanzvi yezvehutano inogona kubatsira kuona iyo yakanyanya hypertension mishonga pane kesi-ne-kesi hwaro. Heino rondedzero yemimwe inowanzo nyorerwa mishonga yekurapwa kweBP.

ACE inhibitor vs. beta blocker mishonga
ACE inhibitors Beta anovharira
  • Lotensin (benazepril HCl)
  • Vasotec (enalapril maleate)
  • Prinivil (lisinopril)
  • Zestril (lisinopril)
  • Capoten ( captopril )
  • Monopril ( fosinopril sodium )
  • Accupril ( quinapril HCl )
  • Altace ( ramipril )
  • Univasc ( moexipril HCl )
  • Mavik ( trandolapril )
  • Aceon ( perindopril erbumine )
  • Chikamu ( acebutolol HCl )
  • Tenormin ( atenolol )
  • Zebeta ( bisoprolol fumarate )
  • Bystolic (nebivolol)
  • Lopressor ( metoprolol tartrate )
  • Toprol XL ( metoprolol inotapira )
  • Coreg ( carvedilol )
  • Corgard ( nadolol )
  • Inderal LA ( propranolol )

Ropa rekumanikidza mishonga inosarudzwa zvichibva nemabatirwo ainoita ropa uye kudzikisira njodzi yekurwadziwa nemoyo, kurohwa, uye kukundikana kwemoyo, sekurevaZvinyorwa zveAmerican Society yeHypertension. Kana iyo ACE inhibitor kana beta blocker ikasashandira iwe, chiremba wako anogona kukurudzira imwe mhando yemushonga unodzvinyirira, senge calcium chiteshi blockers, diuretics, alpha blockers, nezvimwe.

Uyezve, mararamiro anochinja inogona kubatsira kubata BP pamwe nemishonga. Asi pamusoro pezvose, nyanzvi yezvokurapa inogona kubatsira kuona yakanakisa chirongwa chekurapa chako zvichienderana nezviratidzo zvako uye nhoroondo yekurapa.