Ingozi yexinzelelo lwengcinezelo ihlala kwimiphumo eyingozi kwi-cardiovascular system. Le meko iphakamisa umngcipheko wokuhlaselwa kwesifo se-ischemic, infarction ye-myocardial, i-cerebral hemorrhages, ukungaphumeleli kwe-renal kunye nezinye izifo. Ngako oko, kufuneka uhlale unamayeza asebhabhinini asebenzayo kwiipilisi. Kodwa unyango luyinto engathandekiyo, ukuthatha nawaphi na amayeza kufuneka adibaniswe ne-cardiologist engcali.
Uluhlu lwezibhebhile ezilungileyo ezivela kwixinzelelo lwengqondo kunye neziyobisi ezitsha
Xa unyango lwe-hypertension, iziyobisi ezikhethiweyo ziyimishanguzo enyanzelisayo. Iinkampani zonyango zihlaziya rhoqo loo mveliso, kodwa akunakutsholwa ukuba iziyobisi ezisandul 'ukutsha zibhetele kangcono kunezilwanyana ezikhutshwa ixesha elide okanye zibe nemiphumo embi engaphantsi. Ngokomzekelo, i-Enalapril yaqhubeka ithengiswa ngaphezu kweminyaka engama-30 eyadlulayo, kodwa isala namhlanje isilwanyana esinamandla kakhulu. Kubalulekile ukuba ukhumbule ukuba iipilisi ezisuka kwixinzelelo zengqondo azikho nonke ngaphandle kwemiphumo emibi, ngaphandle koko, umzimba womntu ngamnye uphendukela kwiimveliso ezahlukeneyo.
Amayeza angama-hypotensive aya kwiintlobo ezininzi:
1. I-ACE inhibitors (i-enzyme yokuguqulela i-angiotensin):
- Enalapril ;
- Captopril;
- Perindopril;
- Lysinopril;
- Zofenopril;
- Ramipril;
- Fosinopril;
- Hinapril;
- ITrandolapril.
2. iiSartans:
- Eprosartan;
- Telmisartan;
- Losartan;
- Valsartan;
- Olmesartan;
- Candesartan;
- Irbesartan.
3. Iipulsatile ze-calcium:
- Diltiazem;
- EPerogalide EP;
- Isoptin SR;
- IVerapamil;
- Altiazem PP.
4. Iimitha ezithintekayo ze-dihydropyridone blockers yamashaneli e-calcium:
- Felodipine;
- Nifedipine;
- Lacidipine;
- Amlodipine;
- Lercanidipine;
- Nimodipine.
5. I-Alpha-blockers:
- Cardura;
- Doxazosin;
- Tonicardin.
6. I-Beta-blockers:
- Nebivolol;
- Metoprolol;
- Betaxolol;
- Carvedilol;
- Bisoprolol.
7. Iipilisi eziphambili:
- Rilmenidine;
- Moxonidine;
- Methyldopa.
Yona kuphela i-endocrinologist iyakwazi ukhetho olufanelekileyo kunye nokungabikho ukukhwehlela kunye nezinye iziphumo ezichaphazelekayo zepilisi ngokubhekisele kwinqanaba legazi, ngokuqwalasela iziphumo zee-laboratory kunye nezifundo ze-radiography. Ukuzimela ngokuzikhethela ngokwabo i-agipotenzivnye i-agent ayikwazi, inokunyusa ukugula kwesifo okanye izifo kwaye zikhokelela kwiinkathazo.
Uluhlu lwezonyango ze-diuretics kwi-hypertension
I-Diuretics isebenzise ukukhutshwa kwamanzi okuphuma emzimbeni, okukhawuleza ukunciphisa uxinzelelo olwandisiweyo.
Xa unyango lwe-hypertension, i-diuretics isetyenziswa:
1. Ama-Thiazides kunye ne-thiazide-like agents:
- Hypothiazide;
- Tenoric;
- Dichlorothiazide;
- Indal;
- Retapres.
2. I-Loop diuretics (kuphela kwimeko yongxamiseko):
- Lasix;
- Diver;
- Furosemide.
3. I-potassium-sparing diuretics:
- Triampur;
- Veroshpiron ;
- Aldactone;
- Inspra;
- Triamtel.
Zonke ezi mayeza zinemifanekiso eninzi, engathengwa ukuba i-original ayifumanekanga okanye ayifanelekanga.