Ama-ACE inhibitors

I-Angiotensin-converting enzyme (ACE) inhibitors yimithi. Zelapha inhliziyo, umthambo wegazi, nezinkinga zezinso.

Ama-ACE inhibitors asetshenziselwa ukwelapha isifo senhliziyo. Le mithi yenza inhliziyo yakho isebenze kanzima ngokwehlisa umfutho wegazi. Lokhu kugcina izinhlobo ezithile zezifo zenhliziyo zingabi zimbi kakhulu. Iningi labantu abanokwehluleka kwenhliziyo bathatha le mithi noma le mithi efanayo.

Le mithi ilapha umfutho wegazi ophakeme, unhlangothi, noma isifo senhliziyo. Bangasiza ukwehlisa ubungozi bokushaywa unhlangothi noma isifo senhliziyo.

Zibuye zisetshenziselwe ukwelapha isifo sikashukela nezinkinga zezinso. Lokhu kungasiza ukugcina izinso zakho zingabi zimbi kakhulu. Uma unalezi zinkinga, buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi kufanele yini uphuze le mithi.

Kunamagama amaningi nemikhiqizo eminingi ye-ACE inhibitors. Iningi lisebenza ngokunye. Imiphumela emibi ingahluka ngokuhlukile.

Ama-ACE inhibitors ngamaphilisi owaphuza ngomlomo. Thatha yonke imithi yakho njengoba umhlinzeki wakho ekutshele. Landela umhlinzeki wakho njalo. Umhlinzeki wakho uzohlola umfutho wegazi lakho futhi ahlole igazi ukuqinisekisa ukuthi imithi isebenza kahle. Umhlinzeki wakho angashintsha umthamo wakho ngezikhathi ezithile. Ngaphezu kwalokho:

• Zama ukuthatha imithi yakho ngasikhathi sinye usuku ngalunye.
• Ungayeki ukuthatha imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.
• Hlela kusengaphambili ukuze ungaphelelwa yimithi. Qiniseka ukuthi unokwanele nawe lapho usohambweni.
• Ngaphambi kokuthatha ibuprofen (Advil, Motrin) noma i-aspirin, khuluma nomhlinzeki wakho.
• Tshela umhlinzeki wakho ukuthi yimiphi eminye imithi oyisebenzisayo, kufaka phakathi noma yini oyithengile ngaphandle kadokotela, isisu (amaphilisi amanzi), amaphilisi e-potassium, noma izithako zemithi noma zokudla.
• Ungathathi ama-ACE inhibitors uma uhlela ukukhulelwa, ukhulelwe, noma uncelisa. Shayela umhlinzeki wakho uma ukhulelwa lapho uthatha le mithi.

Imiphumela emibi evela kuma-ACE inhibitors ayivamile.

Ungaba nokukhwehlela okomile. Lokhu kungahamba ngemuva kwesikhashana. Kungase futhi kuqale ngemuva kokuthi uthathe umuthi isikhathi esithile. Tshela umhlinzeki wakho uma uqala ukukhwehlela. Kwesinye isikhathi ukunciphisa umthamo wakho kuyasiza. Kepha kwesinye isikhathi, umhlinzeki wakho uzokushintshela kumuthi ohlukile. Musa ukwehlisa umthamo wakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Ungazizwa unesiyezi noma unekhanda elincane lapho uqala ukuthatha le mithi, noma uma umhlinzeki wakho enyusa umthamo wakho. Ukusukuma kancane esihlalweni noma embhedeni wakho kungasiza. Uma unesipelingi esiqulekile, shayela umhlinzeki wakho ngokushesha.

Eminye imiphumela emibi ifaka phakathi:

• Ubuhlungu bekhanda
• Ukukhathala
• Ukuphelelwa isifiso sokudla
• Isisu esibuhlungu
• Uhudo
• Ubudikadika
• Imfiva
• Ukuqhuma kwesikhumba noma amabhamuza
• Ubuhlungu obuhlangene

Uma ulimi noma izindebe zakho zigcwala, shayela umhlinzeki wakho khona manjalo, noma uye egumbini lezimo eziphuthumayo. Kungenzeka ukuthi uthola ukusabela okweqile komuthi kulo muthi. Lokhu akuvamile.

Shayela umhlinzeki wakho uma uneminye yemiphumela emibi ebalwe ngenhla. Shayela nomhlinzeki wakho uma unezinye izimpawu ezingavamile.

Ama-enzyme inhibitor aguqula i-Angiotensin

UMann DL. Ukuphathwa kweziguli zokwehluleka kwenhliziyo ezinengxenyenamba yokukhipha encishisiwe. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 25.

UWhelton PK, uCarey RM, u-Aronow WS, et al. I-2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA umhlahlandlela wokuvimbela, ukuthola, ukuhlola nokuphatha umfutho wegazi ophezulu kubantu abadala: umbiko we-American College of Cardiology / American I-Heart Association Task Force kumihlahlandlela yokusebenza komtholampilo. UJ Am Coll Cardiol. I-2018; 71 (19): e127-e248. I-PMID: 29146535 pubmed.ncbi.nlm.nih.gov/29146535/.

UYancy CW, uJessup M, uBozkurt B, et al. Ukubuyekezwa okugxile kwe-2017 ACC / AHA / HFSA komhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kokuhluleka kwenhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force ku-Clinical Practice Guidelines kanye ne-Heart Failure Society of America. Ukujikeleza. 2017; 136 (6): e137-e161. I-PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

• Isifo sikashukela nesifo sezinso
• Ukwehluleka kwenhliziyo
• Umfutho wegazi ophezulu - abantu abadala
• Thayipha 2 sikashukela

• I-Angina - ukukhishwa
• Ukukhishwa kwe-angioplasty ne-stent - inhliziyo
• I-Aspirin nesifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• I-catheterization yenhliziyo - ukukhishwa
• Ukulawula umfutho wegazi ophakeme
• Isifo sikashukela nokuzivocavoca umzimba
• Isifo sikashukela - ukuhlala sisebenza
• Isifo sikashukela - ukuvimbela isifo senhliziyo nesifo sohlangothi
• Isifo sikashukela - ukunakekela izinyawo zakho
• Ukuhlolwa kwesifo sikashukela nokuhlolwa
• Isifo sikashukela - uma ugula
• Isifo senhliziyo - ukukhipha
• Ukuhluleka kwenhliziyo - ukukhipha
• Ukwehluleka kwenhliziyo - okufanele ubuze udokotela wakho
• Umfutho wegazi ophakeme - okufanele ubuze udokotela wakho
• Ushukela wegazi ophansi - ukuzinakekela
• Ukuphatha ushukela wegazi lakho
• Ukushaywa unhlangothi - ukukhishwa
• Thayipha i-2 yesifo sikashukela - okufanele ubuze udokotela wakho

• Imithi Yokucindezela Igazi
• Isifo Sezinso Esingamahlalakhona
• Umfutho Wegazi Ophezulu
• Izifo Zezinso