Umfutho wegazi ophezulu - ohlobene nemithi

Umfutho wegazi ophakeme owenziwa yizidakamizwa wumfutho wegazi ophezulu obangelwa umuthi noma umuthi wamakhemikhali.

Umfutho wegazi unqunywa yi:

• Inani legazi inhliziyo iyampompa
• Isimo sama-valve enhliziyo
• Isilinganiso sokushaya
• Ukudonsa amandla enhliziyo
• Usayizi nesimo semithambo

Kunezinhlobo eziningi zomfutho wegazi ophakeme:

• Umfutho wegazi ophezulu obalulekile awunaso isizathu esingatholakala (izici eziningi ezahlukahlukene zofuzo zifaka isandla kumfutho wegazi ophakeme, ngamunye unomphumela omncane ngokuqhathaniswa).
• Umfutho wegazi ophezulu wesibili kwenzeka ngenxa yesinye isifo.
• Umfutho wegazi ophakanyiswe izidakamizwa wuhlobo lomfutho wegazi ophezulu wesibili obangelwa ukuphendula into ethile noma umuthi.
• Umfutho wegazi ophezulu okhulelwe.

Izinto zamakhemikhali nemithi engadala umfutho wegazi ophezulu ifaka phakathi:

• I-Acetaminophen
• Utshwala, ama-amphetamine, i-ecstasy (i-MDMA kanye ne-derivatives), ne-cocaine
• Ama-angiogenesis inhibitors (kufaka phakathi i-tyrosine kinase inhibitors kanye nama-antibody monoclonal)
• Ama-anti-depressants (kufaka phakathi i-venlafaxine, i-bupropion, ne-desipramine)
• I-licorice emnyama
• I-caffeine (kufaka phakathi i-caffeine eseziphuzweni zekhofi nezamandla)
• I-Corticosteroids kanye ne-mineralocorticoids
• I-Ephedra neminye imikhiqizo eminingi yamakhambi
• I-Erythropoietin
• I-Estrogens (kufaka phakathi amaphilisi okulawula ukubeletha)
• Ama-immunosuppressants (njenge-cyclosporine)
• Imithi eminingi yamakhompiyutha efana nokukhwehlela / amakhaza nemithi yesifuba somoya, ikakhulukazi lapho umuthi wokukhwehlela / obandayo uthathwa nezidambisigciwane ezithile, njenge-tranylcypromine noma i-tricyclics
• Imithi ye-Migraine
• Ama-decongestants we-Nasal
• I-Nicotine
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• I-Phentermine (umuthi wokwehlisa isisindo)
• I-testosterone namanye ama-anabolic steroids nezidakamizwa ezisebenza ukusebenza
• Indlala yegilo (lapho ithathwa ngokweqile)
• I-Yohimbine (ne-Yohimbe ekhishwe)

Ukuphindaphinda umfutho wegazi ophakeme kwenzeka lapho umfutho wegazi ukhuphuka ngemuva kokuyeka ukuthatha noma ukwehlisa umthamo wesidakamizwa (imvamisa umuthi wokwehlisa umfutho wegazi ophakeme).

• Lokhu kujwayelekile emithini evimba uhlelo lwezinzwa oluzwelayo njengama-beta blocker kanye ne-clonidine.
• Khuluma nomhlinzeki wakho ukuze ubone ukuthi umuthi wakho udinga ukucolisiswa kancane ngaphambi kokuma.

Ezinye izinto eziningi zingathinta nokucindezelwa kwegazi, kufaka phakathi:

• Ubudala
• Isimo sezinso, uhlelo lwezinzwa, noma imithambo yegazi
• Izakhi zofuzo
• Ukudla okudliwe, isisindo, nezinye izinto ezihlobene nomzimba, kufaka phakathi inani le-sodium eyengeziwe ekudleni okusetshenzisiwe
• Izinga lamahomoni ahlukahlukene emzimbeni
• Umthamo wamanzi emzimbeni

Umfutho wegazi ophezulu - okuhlobene nemithi; Umfutho wegazi ophakanyiswe izidakamizwa

• Izidakamizwa ezibangelwa umfutho wegazi ophezulu
• Umfutho wegazi ophezulu ongalashwa
• Umfutho wegazi ophezulu

Bobrie G, Amar L, Faucon AL, Madjalian AM, Azizi M. Resistant umfutho wegazi ophezulu. Ku: Bakris GL, Sorrentino MJ, ama-eds. Umfutho wegazi ophezulu: Umngane Wezifo Zenhliziyo zeBraunwald. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 43.

UCharles L, Triscott J, Dobbs B.Umfutho wegazi ophezulu wesibili: ukuthola imbangela eyisisekelo. Ngingudokotela Womndeni. 2017; 96 (7): 453-461. I-PMID: 29094913 pubmed.ncbi.nlm.nih.gov/29094913/.

I-Grossman A, i-Messerli FH, i-Grossman E. Izidakamizwa ezibangelwa umfutho wegazi ophakeme - imbangela engathandeki yomfutho wegazi ophezulu wesibili. I-Eur J Pharmacol. 2015; 763 (Pt A): 15-22. I-PMID: 26096556 pubmed.ncbi.nlm.nih.gov/26096556/.

UJurca SJ, u-Elliott WJ. Izinto ezivamile ezingaletha umfutho wegazi ophakeme, nezincomo zokunciphisa imiphumela yazo yokwelashwa. I-Curr Hypertens Rep. 2016; 18 (10): 73. I-PMID: 27671491 pubmed.ncbi.nlm.nih.gov/27671491/.

I-Peixoto AJ. Umfutho wegazi ophezulu wesibili. Ku: Gilbert SJ, Weiner DE, ama-eds. I-Primer yeNational Kidney Foundation yezifo zezinso. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 66.