Isifo se-hypertensive yisinye sezimbangela eziyinhloko zokuhlaselwa kwenhliziyo, kanye nokulimaza ebuchosheni. Ngakho-ke, abantu ababhekene nalesi sifo, kuyadingeka ukuthi bathathe njalo amaphilisi aphezulu acindezelayo alawula ingcindezi eyenza igazi embhede. Ezimweni ezimbi ze-hypertension, kufanele usebenzise lezi zidakamizwa cishe njalo.
Yiziphi amaphilisi okucindezela phezulu aphumelela kakhulu?
Ukuze ukwelashwa ngokweqile kunezinhlobo eziningana zemithi:
- ACE inhibitors;
- i-diuretics (i-diuretics);
- i-beta-blockers;
- i-sartans;
- abavimba be-calcium.
Abamele uhlobo ngalunye lwezidakamizwa banezinqubo ezahlukene zesenzo nokunciphisa ukucindezelwa kwegazi. Ngaphezu kwalokho, ekwelapheni izinhlobo eziphakeme ze-hypertension, indlela ephelele yokusebenzisa izidakamizwa ezingu-2-3 isetshenziswa. Ngakho-ke, ukukhetha izindlela eziphumelela kakhulu kunomchwepheshe onguchwepheshe kuphela, ngemuva kokucacisa izimbangela zegazi eliphezulu, isigaba sesifo.
Amathebulethi avela esenzweni esisheshayo esisheshayo
Imithi esheshayo isivame ukusetshenziselwa ukuyeka ukuhlaselwa kwegazi kanye nezinkinga. Zingaba ngokushesha ukuncishiswa kwengcindezi yegazi futhi zivame ukulinganisa izinga lokushayela.
Njengamanyathelo okuphuthumayo, i-ACE inhibitors (i-angiotensin-converting enzymes) isetshenziswa. Izinto ezisebenzayo zezidakamizwa ezichazwe zivimbela ukunciphisa imithwalo yegazi, ukunciphisa ukugeleza kwegazi enhliziyweni, ukunciphisa ingozi yokuqina kwemisipha yenhliziyo.
Uhlu lwe-ACE inhibitors:
- I-Captopril;
- Kapoten;
- Alkadyl;
- I-epsetron;
- Lotenzin;
- U-Edith;
- I-Zocardis;
- Enalapril;
- I-Berlipril;
- Nika ;
- Renipril;
- I-Enam;
- Renitek;
- Lysinopril;
- I-Diroton;
- Lysoril;
- Kwavutha;
- ISinopril;
- Kwavutha;
- Prestarium;
- I-Perineva;
- I-Hortil;
- I-Tritace;
- I-Parnavell;
- Amprilan;
- I-Quadropril;
- I-Grater Retard;
- I-Cilazopril;
- I-Quinopril.
Ukwelashwa kwezidakamizwa eziphezulu zokucindezela
I-Diuretics, ngenxa yokukhiqizwa okwandisiwe nokukhipha umchamo, ukunciphisa i-edema yamadonga ama-vascular. Ngakho-ke, isibani sabo sanda futhi ingcindezi iyancipha.
Amalungiselelo aphumelelayo:
- I-Hypothiazide;
- Indapamide;
- I-Hydrochlorothiazide;
- Indal;
- I-Cyclomethiazide;
- Arifon;
- Ravell;
- I-Acrypamide;
- I-Atenolol;
- Chlortalidone;
- I-Tenorik.
Uhlu lwamaphilisi e-beta-blockers avela kanzima
Lezi zidakamizwa zinkulu zokwelapha izinhlobo eziqinile ze-hypertension ngokuhambisana no-angina, ukuhluleka kwenhliziyo okungapheli, ukuhlaselwa yinhliziyo, ukufiphaza kwe-atrial.
Imithi enconyiwe:
- Acridilol;
- I-Dilatrend;
- Carvedilol;
- I-Cariol;
- Atram;
- I-Bagolol;
- Concor;
- I-Vedicardol;
- I-Carvydil;
- I-Bisoprolol;
- I-Biol;
- I-Carvenal;
- I-Bisogamma;
- I-Kardivas;
- I-Talliton;
- I-Rekardium;
- I-Biprol;
- I-Cordinorm;
- I-Coronale;
- I-Niperten.
Iziphi izibhebhe zeqembu leSartans eziphuza ngokucindezeleka okukhulu?
Lezi izidakamizwa ezithandwayo kakhulu, njengoba zinekhono eliphakeme kanye nesivinini, ngokunciphisa ukwehlisa ukucindezela emini. Ngesikhathi esifanayo, i-Sartans ayibangeli imiphumela emibi, evumela ukuba isetshenziswe ekuphatheni ukucindezeleka okuqinile kwamafomu aqinile.
Uhlu:
- Prezartan;
- I-Losartan;
- Lozap;
- I-Lorist;
- I-Kozar;
- I-Vasotensis;
- I-Bloktran;
- Lozarel;
- I-Wales;
- I-Valkasor;
- I-Diovan;
- I-Teveten;
- Atacand;
- I-Mycardis;
- Ngamashumi amabili.
Yimuphi umzila we-calcium ovimbela amaphilisi athathwa ngokucindezeleka okukhulu?
Izinhlobonhlobo ezichazwe zemithi ngokuvamile zibekiwe njengengxenye yendlela edidiyelwe, ngokufana ne-ACE inhibitors, ama-sartans.
Imithi eqinisekisiwe:
- Amlovas;
- Diazem;
- Amlodipine;
- Kalzigard;
- I-Osmo-Adalat;
- Corinfar ;
- Amlotop;
- I-Tenox;
- Izinkukhu;
- I-Norvasc;
- I-Cardiolopin;
- I-Nifecard;
- I-Phenigidine;
- I-Verapamil;
- Cordaflex;
- I-verohalide;
- Isoptin;
- I-Cardil;
- I-Diltiazem;
- I-Cordipine;
- Diacordin.
Kubalulekile ukuphawula ukuthi kunezikhathi ezidlulile, kepha izidakamizwa ezithandwayo. Isibonelo, wonke amathebulethi aziwe ngaphansi kolimi ngaphansi kwengcindezi ephakeme - Validol. Le mithi evela eqenjini lama-vasodilators inomphumela obuthakathaka we-hypotensive, kodwa odokotela abacebisi ukuqhubeka bewusebenzisa, njengoClofelin, u-Andipal noMoxonidine.