Rondedzero yeACE inhibitors: Zvishandiso, zvakajairika zvigadzirwa, uye ruzivo rwekuchengetedza

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ACE inhibitors rondedzero | Chii chinonzi ACE inhibitors? | Mashandiro avo | Zvishandiso | Ndiani anogona kutora ACE inhibitors? | Kudzivirirwa | Zvimwe zvinokanganisa | Mariro

Angiotensin-inoshandura enzyme (ACE) inhibitors kirasi yemishonga inowanzo shandiswa kurapa yakakwira BP, kana hosha yeropa. Kugadzirisa BP kunokosha pakudzivirira sitiroko, chirwere chemwoyo, uye chirwere cheitsvo, pakati pemamwe matambudziko ehutano.

Kuongororwa kweBP kunogona kutyisa, kunyanya sezvo hypertension isingawanzo kuratidza chero zviratidzo. Iwe unogona kusaziva kuti une hypertension kusvikira washanyira nemupi wezvehutano. Pedyo hafu yevakuru muU.S. vane BP yakakwira, asi, nerombo rakanaka, kune mishonga yakati wandei inowanikwa kuibata. Iyo ACE inhibitor kirasi yemishonga imwe yekurapa sarudzo.

Enderera kuverenga kuti udzidze zvakawanda nezveACE inhibitors, mashandisiro avo, uye yavo mhedzisiro.

Rondedzero yeACE inhibitors
Zita reBrand (zita regeneral)	Avhareji yemari mutengo	SingleCare kuchengetedza	Dzidza ZVIMWE
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Chii chinonzi ACE inhibitors?

ACE inhibitors ikirasi yemishonga inoderedza kukanganiswa kweropa nekuzorodza mutsinga uye tsinga. Iyi mishonga inomisa kugadzirwa kwehormone inonzi angiotensin II. Iyi hormone inokonzeresa kudzikisira yako tsinga dzeropa, izvo zvinogona kukwidza kuwedzera kweropa. Nekuzorodza tsinga dzeropa uye kudzikira kweropa, ACE inhibitors inogona kubatsira kuwedzera kuyerera kweropa uye kudzikamisa iro basa rebasa pamoyo. Iyi mishonga inowanzo gadzirirwa kune avo vane hosha yepamusoro, kutadza kwemoyo, matambudziko eitsvo, chirwere cheshuga, uye zvimwewo zvinoenderana nemitsipa yeropa uye kuyerera kweropa.

ACE inhibitors inoshanda sei?

ACE inhibitors inovhara enzyme inoshandura angiotensin, iyo inoshandura angiotensin I kuva angiotensin II. Angiotensin II ihormone ine simba inokonzeresa mhasuru dzakatsetseka dzakakomberedza tsinga dzeropa kubvumirana, zvichikonzera kudzikira kwemitsipa yeropa uye kukwira kweropa.

Kana ACE inhibitors ichivhara angiotensin II kugadzirwa, tsinga dzeropa dzinogona kuwedzera kubvumira ropa kuyerera zvakasununguka. Kurapa neACE inhibitors kunogona kukurudzira kudzikira kweropa, kudzikisira kukuvara kwemidziyo yeropa, nekuvandudza kuyerera kweropa kusvika pamoyo neitsvo. Kuderedza BP kunogona kuvandudza mashandiro emoyo mukutadza kwemoyo uye kunonoka kufambira mberi kwechirwere cheitsvo chinokonzerwa nechirwere cheshuga kana hosha yepamusoro.

Ndeapi ACE inhibitors anoshandiswa?

ACE inhibitors anonyanya kushandiswa kurapa BP asi inogona zvakare kushandiswa kushandiswa kurapa anotevera mamiriro:

• Coronary tsinga chirwere
• Kutadza kwemoyo
• Chirwere cheshuga
• Chirwere chetsvo chisingaperi
• Scleroderma
• Migraines

Mune avo vane kusagadzikana kwemoyo, kurwiswa nemoyo, chirwere cheshuga, kana chirwere chetsvo chisingaperi, ACE inhibitors inoonekwa seyekutanga-tambo yekurapa yekuderedza BP kana kuderedza njodzi yematambudziko. ACE inhibitors zvakare vane cardioprotective athari yakazvimiririra nekugona kwavo kudzikisa BP. Mune mamwe mazwi, iyi mishonga inogona kubatsira kuchengetedza moyo kubva kukuvara kunokonzerwa neBP uye chirwere chemwoyo.

ACE inhibitors inogona kusanganiswa nemimwe mishonga yakadai se diuretics kana calcium chiteshi blockers.

Ndiani anogona kutora ACE inhibitors?

Vakuru

ACE inhibitors inowanzo shandiswa kurapa neBP muvanhu vakuru. Iyo ACE inhibitor ndiyo yekutanga-line kurapa kwevakuru vane makore ari pasi pemakumi matanhatu ezera uye vasiri vemuAmerican America. ACE inhibitors inowanzo kuve zvisinganyanyi kushanda muhuwandu hwevanhu vemuAfrica. Vakuru vane chirwere cheshuga vanogona zvakare kunzihwa ACE inhibitor yekudzora njodzi yeshuga nephropathy, kana hosha yeitsvo inotanga mune avo vane chirwere cheshuga.

Vana

ACE inhibitors inogona kushandiswa kurapa kuwedzera kwehutano muvana. Izvowo mushonga unodiwa muvana vane chirwere chisingaperi cheitsvo kana chirwere cheshuga. Vana vemuAfrica madzitateguru vangangoda yakakwira yekutanga dosi. Vanoverengeka ACE inhibitors, saLotensin naPrinivil, vakachengeteka kune vana vane makore matanhatu ekuberekwa uye kupfuura; zvisinei, mafomula mashoma akachengetekawo kuvana vadiki. Semuenzaniso, Capoten inogona kupihwa vacheche, uye Vasotec inogona kupihwa kune vana vane mwedzi mumwe zvichikwira.

Vakuru

Vakwegura vakuru vanogona kutora zvakachengeteka ACE inhibitors asi vangangoda diki diki pane vadiki vakuru. Kutanga madosi anogona kunge ari ezasi uye zvishoma nezvishoma akakwidziridzwa kumusoro kumusoro kuti uwane zvaunoda.

ACE inhibitors yakachengeteka here?

Kazhinji, ACE inhibitors inoonekwa seyakachengeteka ine mashoma akanyanya mhedzisiro painotorwa sekurairwa. Nekudaro, kune mashoma mapoka evanhu ayo asingafanire kutora ACE inhibitors.

Vanhu vane kukundikana kwetsvo kwakakomba havafanirwe kutora ACE inhibitors. Itsvo basa rinofanira kutariswa zvakanyanya kana ACE inhibitor yaishandiswa muhuwandu hwevanhu. Vanhu vakave neanogadzirisa maitiro mushure mekutora iyo ACE inhibitor iyo yakakonzera kupenga kwakanyanya, kunetseka kufema, kana kuzvimba kwemiromo, rurimi, kana muromo, vanofanirwa zvakare kudzivirira kutora iyo ACE inhibitor.

Mimwe mishonga inogona kudzikisira kushanda kweACE inhibitors. Semuenzaniso, over-the-counter (OTC) nonsteroidal anti-anogumbura zvinodhaka (NSAIDs) inogona kudzikisira kushanda kweACE inhibitors. Kubatanidza NSAIDs neACE inhibitors kunofanirwa kudzivirirwa kana kuongororwa. Taura nemubatsiri wezvehutano nezve chero mishonga yaungatora, senge OTC zvinodhaka, zvinowedzerwa, uye mishonga, usati watora ACE inhibitor.

ACE inhibitor inoyeuka

Iko hakuna ikozvino ACE inhibitor inoyeuka kubva munaKurume 2021.

ACE inhibitor kurambidzwa

Usatore ACE inhibitors kana iwe uchinge waita zvinopesana nechero ipi yeACE inhibitor. Kana iwe wakamboona angioedema (kuzvimba pasi peganda rakafanana nemikoko), usatore ACE inhibitors.

Varwere vanotora Entresto (sacubitril / valsartan), mushonga une neprilysin inhibitor, haifanire kutora ACE inhibitor. Entresto haifanire kutorwa mukati maawa makumi matatu nematanhatu ekuchinja kuenda kana kubva kuACE inhibitor.

Vanhu vane chirwere chakakomba cheaortic stenosis avo vari kutora ACE inhibitors vanogona kuwana yakaderedzwa coronary perfusion inokonzeresa ischemia, kana kudzikira kweropa kuyerera kune mhasuru yemoyo.

Unogona here kutora ACE inhibitors uchiine nhumbu kana kuyamwisa?

Iyo ACE inhibitor kirasi inotakura nhema bhokisi yekunyevera nezve kushandiswa panguva yekuzvitakura. ACE inhibitors inogona kukonzera kukuvara uye kufa kune mwana ari kukura. Pamusoro pezvo, ACE inhibitors inogona kuyambukira mumukaka wemukaka uye inofanirwa kudzivirirwa uchiyamwa. Bvunza mupi wezvehutano kuti asarudze marapirwo ekuwedzera kweropa usati watora ACE inhibitor uchiri nepamuviri kana kuyamwa.

Iko ACE inhibitors inodzorwa zvinhu?

Kwete, ACE inhibitors haina kudzorwa zvinhu.

Zvakajairika ACE inhibitors mhedzisiro

Mhedzisiro inowanzoitika yeACE inhibitors inosanganisira:

• Kuoma kukosora
• Dzungu
• Yakakwidziridzwa potassium eropa mazinga
• Kuderera kweropa
• Kutemwa nemusoro
• Kuneta
• Kushaya simba
• Mapundu
• Kurasikirwa kwekuravira

Kuderera kweropa kana zvikamu zvekubuda zvinogona kuitika nematanho ekutanga eACE inhibitors. Izvi zvinowanzoitika zvakanyanya muvanhu vane vhoriyamu-vakapera pavanotanga iyo ACE inhibitor. Kusanzwisisika kwemvura kunogona kuda kugadziriswa usati watanga ACE inhibitor.Mimwe mhedzisiro yakaoma uye isingawanzoitika yeACE inhibitors inosanganisira:

• Zvinetso zveitsvo
• Allergic maitiro
• Pancreatitis
• Chiropa kusagadzikana
• Yakaderera masero machena eropa
• Angioedema

Kunyangwe zvisingawanzoitika, ACE inhibitors inogona kuve nemhedzisiro mhedzisiro. Chiitiko chimwe chakashata ndeche angioedema , kana kuzvimba pasi peganda rechiso kana zvimwe zvikamu zvemuviri. Anoregger reaction kune ACE inhibitors zvakare isingawanzo asi inogoneka. ACE inhibitors inogona kukonzera itsvo kutadza, saka mupi wezvehutano anofanirwa kugara achiedza itsvo yako panguva yekurapwa.

ACE inhibitors inogona kusimudza potassium eropa uye kukonzera hyperkalemia (yakakwira potasiamu mazinga kupfuura zvakajairwa), saka kuongorora kudya kwe potassium paunenge uchitora ACE inhibitor kazhinji kunodiwa. Kutora zvinowedzera potasium kana kushandisa zvinotsiva munyu zvine potasium uchiri paACE inhibitor zvinogona kukonzera hyperkalemia, izvo zvinogona kutungamira kune mamwe matambudziko ehutano uye zvinogona kutyisidzira hupenyu. Zviratidzo zvekuve neakawandisa potasium mumuviri zvinosanganisira kuvhiringidzika, kurova zvisina kujairika kwemoyo, uye kurira kana kuveveve mumaoko kana kumeso.

Iyi rondedzero yemhedzisiro haina kukwana. Kutaura nehunyanzvi hwekuchengetedza hutano ndiyo nzira yakanakisa yekutora rondedzero yakakwana yemhedzisiro uye kuona kana kutora ACE inhibitors kwakakodzera.

Udza chiremba wako nezve chero chinotevera usati watora ACE inhibitor:

• Chero mishonga yekurwara
• Kana iwe wakamboona angioedema
• Kana uine matambudziko eitsvo
• Kana iwe wakatora mushonga une sacubitril mairi mumaawa makumi matatu nemasere apfuura
• Kana iwe uri nepamuviri kana kuyamwisa

Yakawanda sei iyo ACE inhibitors inodhura?

ACE inhibitors kazhinji mishonga inodhura inowanikwa muzita-zita uye zvakajairika mafomura. Anenge ese Medicare uye zvirongwa zveinishuwarenzi zvichavhara ACE inhibitors. Mari dzinosiyana zvichienderana nehurongwa hweinishuwarenzi. Pasina inishuwarenzi, mutengo unogona kusiyana zvakanyanya zvichienderana nemishonga uye huwandu hwemapiritsi akatemerwa. Nekudaro, kushandisa kadhi rinodzora kubva kuSingleCare inogona kubatsira kudzikisa mutengo weACE inhibitors.