Ingozi yomshuwalense ikhona emiphumeleni yaso embi kakhulu ohlelweni lwe-cardiovascular. Lesi simo sandisa ingozi yokuthuthukisa ischemic, isifo se-myocardial infarction, i-cerebral hemorrhages, ukuhluleka kwezintuthwane nezinye izifo. Ngakho-ke, kufanele uhlale unamaphilisi asebenza kahle emgodini wezokwelapha ngokumelene nomfutho wegazi ophakeme. Kodwa ukuzithokozisa akuyona into engathandeki kakhulu, ukuthatha noma yimiphi imithi kumele ihlanganiswe ne-cardiologist yezobuchwepheshe.
Uhlu lwezibhebhe ezinhle ezivela emfuthweni wegazi ophezulu kanye nezidakamizwa ezintsha zezizukulwane
Lapho ukwelashwa ngokweqile, izidakamizwa ezikhethwa yizidakamizwa ezinamandla. Izinkampani zokwelapha zivuselela njalo imikhiqizo enjalo, kodwa akukwazi ukusho ukuthi izidakamizwa ezisanda kuthuthukiswa zingcono kakhulu kunezidakamizwa ezikhishwe isikhathi eside noma zibe nemiphumela emibi embalwa. Isibonelo, u-Enalapril waqhubeka edayiswa eminyakeni engaphezu kwengu-30 eyedlule, kodwa uhlala namuhla umuthi onamandla kakhulu. Kubalulekile ukukhumbula ukuthi amaphilisi avela emfuthweni wegazi ophezulu akakho nhlobo ngaphandle kwemiphumela emibi, ngaphandle kwalokho, umzimba womuntu ngamunye uyaphendula ezithandweni ezihlukahlukene.
Imithi ye-hypotensive ivela ezinhlobonhlobo eziningana:
I-ACE inhibitors (i-enzyme yokuguqula i-angiotensin):
- Enalapril ;
- I-Captopril;
- I-Perindopril;
- Lysinopril;
- I-Zofenopril;
- Ramipril;
- I-Fosinopril;
- Hinapril;
- I-Trandolapril.
2. Sartans:
- I-Eprosartan;
- I-Telmisartan;
- I-Losartan;
- I-Valsartan;
- I-Olmesartan;
- Candesartan;
- I-Irbesartan.
3. Abavimba be-pulsatile calcium:
- I-Diltiazem;
- I-Verogalide EP;
- Isoptin SR;
- I-Verapamil;
- I-Altiazem PP.
4. Izidakamizwa ze-dihydropyridone blockers yamashaneli e-calcium:
- Felodipine;
- I-Nifedipine;
- I-Lacidipine;
- Amlodipine;
- Lercanidipine;
- I-Nimodipine.
5. Alpha-blockers:
- I-Cardura;
- Doxazosin;
- Tonicardin.
6. Beta-blockers:
- Nebivolol;
- I-Metoprolol;
- I-Betaxolol;
- Carvedilol;
- I-Bisoprolol.
7. Imithi ephakathi:
- Rilmenidine;
- I-Moxonidine;
- I-Methyldopa.
Kuphela i-endocrinologist iyakwazi ukukhetha okuphumelelayo nokungabikho ukukhwehlela neminye imiphumela emibi yepilisi ngokubhebhetheka komfutho wegazi, kucatshangelwa imiphumela yezifundo ze-laboratory kanye ne-radiographic. Ngokuzenzekelayo ukuzikhethela ngokwabo ama-gipotenzivnye ama-agent akunakwenzeka, kungenza kube nzima ukugula noma izifo futhi kuholele ekuhluphekeni.
Uhlu lwezidakamizwa e-hypertension
I-Diuretics isebenzise ukukhipha uketshezi oluvela emzimbeni, okuyinto eyanciphisa ngokushesha ukucindezela okwandisiwe.
Ukuze ukwelashwa ngokweqile, kunezidakamizwa ezifana nalezi:
1. Ama-Thiazide-like agents agents:
- I-Hypothiazide;
- I-Tenoric;
- I-Dichlorothiazide;
- Indal;
- Ibuyisela kabusha.
2. I-Loop diuretics (kuphela uma kwenzeka eziphuthumayo):
- I-Lasix;
- I-Diver;
- Furosemide.
3. I-potassium-sparing diuretics:
- I-Triampur;
- I-Veroshpiron ;
- Aldactone;
- Inspra;
- Triamtel.
Yonke yale mithi ine-analogs eningi, engathengwa uma i-original ingatholakali noma ingafaneleki.