Kunzwisisa kunetseka uye kuchengeteka kwehutano hwehutano
Nokuti kukwirira kweropa uye chirwere chemahara chiri zvirwere zvakapararira, zvinowanzoita kuti vanhu vave pamwe chete panguva imwechete. Kunyange zvazvo kusanganiswa uku hakusi kwengozi, zvinogona kupa zvinetso zvekurapa zvinetso. Nemhaka yekuti mamwe emagetsi anoshanda uye anonzwisiswa nemishonga inozivikanwa kuti anokonzera kusagadzikana kwevanhu vane chirwere chemafi, kutarisirwa kunodiwa pakusarudza zvirongwa zvekurapa zvinoshanda.
Dambudziko reHypertension Drugs
Pakati pemishonga yakasiyana-siyana inowanikwa mukurapa kukwirira kweropa, beta blockers uye angiotensin-kuchinja enzyme (ACE) inhibitors vane zvakakosha zvikuru kukonzera matambudziko mune varwere vemafi.
Nei Beta-Vadziviriri Vari Zvinetso
Beta blockers inogona kuva yakaoma nekuda kwekuvapo kwebheta receptors pamapfupa ekufema. Kunyange zvazvo kuvhara basa re beta receptors pamisara yeropa ndiyo inoda kuitika kana ichirapa kukanda kweropa rakakwirira nokuti inokonzera mishonga yeropa kuti izarure, kudzivirira bheta receptors pamapfupa ekufema kunokonzera kufamba kwemhepo uye kunogona kutungamirira kumigumisiro ine ngozi.
I beta blockers inoshandiswa kuporesa ropa rakanyanya haisi kusarura, naizvozvo havaiti basa rakanaka kusiyanisa pakati pemhando dzakasiyana dzemakiti emiguta yeropa uye mapfupa ekufema. Izvi zvinopesana ne beta-agonist kana kukurudzira, zvinodhaka zvinoshandiswa kurapa chirwere chemafi, se albtinol, iyo inowanzotarirwa chete yezvinogamuchirwa pamapfupa ekufema.
Beta-1-Selective Beta Blockers
Nemhaka yokuti beta blockers inoshanda zvikuru mukurapa kukwirira kweropa, kuedza kwakaitwa pakuvandudza shanduro dzinoita basa rakanaka riri kusarudza pakati pemitsipa yeropa nemapfupa ekufema. Iyi mishonga, inonzi beta-1-selective blockers, yakashandurwa kune zvakasiyana-siyana zvekurapa kwechirwere kuitira kuti vaone kuchengetedzwa kwavo mune zvechirwere varwere.
Kuongororwa kwekliniki uye zvidzidzo zvakaratidza kuti nepo beta-1-blockers yakachengeteka kuvarwere ve asthmatic, vachiri kuratidza chido chekudzivirira mapfupa ekufema mune vamwe vanhu. Nokuda kwechikonzero ichi, kunyange izvozvi zvinodhaka zvinosarudzwa zvinowanzosarudzwa kune vanhu vane astmma.
Chikonzero nei ACE Inhibitor Inogona Kuoma
Pamwe chete ne beta blockers, ACE inhibitors inogona kupa zvimwe zvinetso kana uine chirwere cheputi. Chimwe chezvinhu zvinowanzovhiringidza zveACE inhibitors inoramba iripo, kuora kwekuoma, izvo zvinoitika kusvika kusvika 20 muzana yevanhu. Zvidzidzo zvakaratidza kuti chifukidziro ichi chinokonzerwa nechirwere chekufema chinonzi "asthma yakaenzana," zvinoreva kuti basa mukati memapfupa ekufema rinotsvaga zvinokonzerwa neAsthma. Kunyangwe kugadzirisa kwakakomba kune ACE inhibitor hakuwanzoitiki kune vanhu vane mweya wekusimudzira mweya, ivo vakamboudzwa. Nokuda kwezvikonzero izvi, ACE inhibitors kazhinji haifaniri kuonekwa semutambo wekutanga (pakutanga) mushonga wekusarudza, kunyange zvazvo uchiri kungoshandiswa chero bedzi iwe unotsanangura chiremba zvakanyatsotarisa zvinoguma.
Yakachengetedzeka Kuwedzera Kwemishonga Inodhaka
Mishonga yakawanda yekurapa chirwere chepfungwa yakachengeteka inoshandiswa kushandiswa kune varwere vane asthma, kusanganisira:
Calcium channel blockers neAARB hazvina kuratidzirwa kuti zvinokonzera njodzi inowedzera kana isina kujairika mune varwere vephmatic, uye madhiragi aya anonyanya kukodzera kusarudzwa. Calcium channel blockers inowanzotanga kushandiswa kutanga nekuda kwerenda yavo yakareba uye mari shoma.
Diuretics Inogona Kubvisa Low Potassium
Chimwe chikamu chemuviri wehutachiona-muvarwere vose, kwete avo avo vane asthma-is low potassium, inonzi hypokalemia. Kunyange zvazvo varwere vose vanobatwa ne diuretics vane mungozi yekuvandudza hypokalemia, ngozi iyi inenge yakakwirira kana iwe ukashandisa zvinodhaka zvinodhaka zvinodhaka. Mishonga yemafupa ane chimiro chekumanikidzira potassium kubva muropa rako uye mumasero ako, uko haisi pachena.
Iyi tsika, inosanganiswa ne potassium-sapping nature ye diuretics, zvinoreva kuti kana uri kushandisa maviri emishonga panguva imwe chete, iwe unofanira kuve nekuita kuti potasium yako iongororwe nguva dzose. Uyezve, chiremba wako angangokuisa pauwandu hutsika hwe diuretic kuti uderedze njodzi ye hypokalemia.
Zvimwe Hypertension Drugs
Zvimwe zvinodhaka zvehutachiona zvinonzi hazvina kuchengeteka kana kusachengeteka kushandiswa kune vanhu vane astmma. Kazhinji, izvi hazvina kufananidzwa ndezvokuti mishonga haisati yakanyatsodzidza mukati mevanhu vane mbiri yepamusoro yeropa uye mweya. Zvechokwadi, zhinji yemishonga iyi-kusanganisira clonidine uye hydralazine-inowanzosawanzoshandiswa kushandiswa chero ipi zvayo, iyo inoita kuti pfungwa yekuongorora zvakananga kushandiswa kwavo mune varwere vemafi isingabatsiri.
> Kwakabva:
> Weinberger SE, Kaplan NM. Kurapa kweHypertension muAphma neCOPD. Kusvika pari zvino. Yakavandudzwa paFebruary 1, 2016.