Yepamusoro yeropa mishonga: 6 yakanyanya kushandiswa mhando uye mhedzisiro

Zvemukati

• 4. Direct vasodilators
• 5. Calcium chiteshi blockers
• 6. Angiotensin-inoshandura enzyme (ACE) inhibitors
• Zvinogona kuitika mhedzisiro
• Nguva yekurega kutora antihypertensive zvinodhaka
• Mhinduro dzekumba dzekumusoro kweropa
• Mishonga yekumanikidza kweropa panguva yepamuviri

Kuwedzera kweropa madhiragi, anonzi antihypertensive madhiragi, anoratidzwa kudzikisa BP uye kuichengeta iri pasi pesimba, nemitengo iri pazasi pe14 ne9 (140 x 90 mmHg), sezvo kukwirira kweropa kunogona kukonzera matambudziko akaita sekurwadziwa nemoyo, kutadza kwemoyo. , angina, matambudziko eitsvo kana sitiroko, semuenzaniso.

Kune mhando dzakasiyana dzemishonga inogona kushandiswa kurapa kukwirisa kweropa, senge diuretics, adrenergic blockers kana vasodilators, semuenzaniso, izvo zvinofanirwa kuratidzwa nachiremba wemoyo mumwe nemumwe zvichienderana nekukura kwechirwere kana njodzi yezvinetso. Mune zvimwe zviitiko, mishonga iyi inogona kushandiswa mukubatana.

Mishonga yekukwira kweropa inofanirwa kugara ichiratidzwa nachiremba wezvemwoyo uye kutevedzera kwekurapa kwekurapa kunofanirwa kuitwa kuti uone kana kurapwa kwacho kuri kudzikisa BP. Uye zvakare, chiremba anofanirwa zvakare kuratidza kudzikira kwekushandisa munyu uye tsika yekurovedza muviri, sekufamba, semuenzaniso, kanokwana katatu pasvondo kubatsira kudzikisa BP.

4. Direct vasodilators

Direct vasodilators inosimudzira kutandara kwemitsipa yeropa, ichivatadzisa kubatira, izvo zvinoita kuti ropa ripararire zviri nyore kuburikidza nemidziyo uye moyo haudi kushandisa simba rakawanda kupomba ropa kumuviri, uye nekudaro, ivo vanobatsira kudzikisa ropa kumanikidza. Iwo makuru vasodilators anoratidzwa navanachiremba ihydralazine uye minoxidil.

Minoxidil inoshandiswa nemuromo kurapa yakakwira BP iyo isingasimudzike pamwe nemimwe mishonga uye inowanzo shandiswa pamwe chete ne diuretic kana beta-blocker. Mushonga uyu une mhedzisiro yekuwedzera huwandu hwevhudzi pamuviri uye, nekudaro, zvinoratidzwawo nana dermatologists ekurapa kurasikirwa kwebvudzi uye mhanza, zvisinei, mune idzi kesi, iko kushandisa ndeyemusoro, uye mhinduro ye minoxidil zvakananga pamusoro wemusoro.

5. Calcium chiteshi blockers

Calcium chiteshi ichivharira inoderedza BP nekuti inodzivirira calcium kupinda mumaseru emoyo uye tsinga, ichibvumira tsinga dzeropa kuti dzizarure uye kuvhurika, izvo zvinovandudza kuyerera kweropa mumuviri uye zvinoderedza kuedza kwemoyo kupomba ropa.

Mishonga mikuru mukirasi ino yemishonga inodzvinyirira iamlodipine, nifedipine, felodipine, nitrendipine, manidipine, lercanidipine, levanlodipine, lacidipine, isradipine, nisoldipine uye nimodipine.

Mamwe macalcium chiteshi anovharira, senge verapamil uye diltiazem, ane bhenefiti yakawedzerwa yekudzikisa kurova kwemoyo, iyo inogona kudzikisira kukwira kweropa, kubvisa marwadzo muchipfuva uye kudzora kusarongeka kwemwoyo.

6. Angiotensin-inoshandura enzyme (ACE) inhibitors

Inhibitors ye angiotensin-inoshandura enzyme inodzivirira kugadzirwa kwe angiotensin, hormoni inokonzera tsinga dzeropa kudzikira uye kuwedzera kuwedzera kweropa, kumanikidza moyo kuti ushande zvakanyanya. Nekudzivirira kugadzirwa kwehomoni iyi, iyi kirasi yemushonga wehypertensive inobatsira kuzorodza tsinga uye tsinga uye kudzikisa BP.

Iyo huru inhibitors ye angiotensin-inoshandura enzyme ndeye captopril, enalapril, ramipril uye lisinopril, iyo inogona kukonzeresa chikosoro chakaoma senge mhedzisiro.

Imwe kirasi yemishonga ine mhedzisiro yakafanana neiyi, asi pasina iyo mhedzisiro mhedzisiro yekuoma chikosoro, ingiotensin receptor antagonists ayo anoderedza kukwira kweropa nekudzivirira mhedzisiro yehomoni angiotensin, uye inosanganisira zvinodhaka losartan, valsartan, candesartan uye telmisartan.

Zvinogona kuitika mhedzisiro

Zvimwe zvinokonzeresa zvekupomba kweropa zvinodhaka zvinosanganisira dzungu, kuchengetedza kwemvura, shanduko mukurova kwemoyo, kutemwa nemusoro, kurutsa, kusvotwa, kudikitira kana kushaya simba. Kana uchiona chero cheizvi mhedzisiro, chiremba wezvemwoyo anofanirwa kuziviswa kuitira kuti mukana wekudzora muyero wemushonga kana kutombochinjana neumwe unogona kuongororwa.

High BP mishonga haisi kukodza, asi zvimwe zvinogona kukonzera kuzvimba, uye mune izvi zviitiko, chiremba wezvemwoyo anogonawo kukurudzira kushandiswa kwema diuretics.

Nguva yekurega kutora antihypertensive zvinodhaka

Iko kushandiswa kwemishonga kudzora kukwirisa kweropa muzviitiko zvakawanda kunochengetwa muhupenyu hwese, nekuti hypertension chirwere chisingaperi, uye kurapwa kwakakosha kudzikisa njodzi yezvinetso zvakadai sekurwadziwa nemoyo, sitiroko, aneurysm kana itsvo kutadza, semuenzaniso.

Iyi mishonga inofanirwa kutorwa zvinoenderana nezvakakurudzirwa nachiremba wemoyo, uyo anofanirwa zvakare kutungamira munhu kuti achengete diary achinyora manotsi paropa reropa rinoyerwa kumba. Dzidza maitiro ekuyera kuwedzerwa kweropa kumba.

Mhinduro dzekumba dzekumusoro kweropa

Mushonga wakanaka wepamba wehosha yepamusoro yeropa muto weorenji, sezvo orenji iine potassium inobatsira kudzikisa BP, pamusoro pekuve nema antioxidants ayo anobatsira kuchengetedza tsinga dzeropa zvine hutano uye kudzivirira zvirwere zvakaita se atherosclerosis, heart attack kana stroke, semuenzaniso . Nekudaro, mumwe anofanirwa kudzivirira jusi remuzambiringa kana mazambiringa panguva yekurapwa nemishonga inopesana nehypertensive, sezvo muchero uyu uchideredza mashandiro enzyme inokonzeresa kugadzirisa mishonga iyi, izvo zvinogona kukonzera kuwedzera kwemhedzisiro kana kudhakwa.

Imwe sarudzo yakanaka yemushonga wepanyama weBP yakakwira muto wemandimu negariki. Kuti uite izvi, ingo bvisa muto wese kubva pamamoni matatu, grind 2 clove yegariki, isa muto, garlic cloves uye 1 girazi remvura mublender, sanganisa zvakanaka, ita zvinotapira kuravira nekumwa masikati, pakati pekudya kwekuzorora. Tarisa uone dzimwe sarudzo dzemishonga yekurapa yekuwedzera kweropa.

Tarisa vhidhiyo neyekudya zvinovaka muviri Tatiana Zanin nemazano ekubatsira kudzora BP.

Mishonga yekumanikidza kweropa panguva yepamuviri

Iyo mishonga yekumanikidza kweropa mukuzvitakura, iyo inogona kupihwa nachiremba wezvemwoyo, ndeye methyldopa kana hydralazine, semuenzaniso.

Panyaya yevakadzi vakatove nehigh BP vasati vaita nhumbu, chiremba wezvemwoyo anofanira kutsiva mushonga waimboshandiswa kumishonga yakaburitswa kuti ishandiswe panguva yepamuviri, izvo zvisingaunze matambudziko kumwana.