Dambudziko rekuwedzera kwehutano riri mumigumisiro yaro yakaipa pamwoyo yematambudziko. Izvi zvinowedzera mukana wekuita ischemic, chirwere chemyocardial infarction, cerebral hemorrhages, kukundikana kwechirwere uye zvimwe zvirwere. Nokudaro, iwe unofanirwa kuva nemishonga yemishonga inoshanda mapiritsi anokonzera kuwedzera kwehutano. Asi kuzvidzora kwakanyanya kusingadi, kutora chero mishonga inofanirwa kuve yakarongedzwa nemumwe nyanzvi yemapurisa.
Rwendefa rwemahwendefa akanaka kubva kuhutachiona uye madzinza matsva emishonga
Mukurapa kwoutachiona hwepamusoro, zvinodhaka zvekusarudza ndezvekushaya mishonga yemishonga. Makambani emishonga anogara achivandudza mishonga yakadaro, asi haigoni kutaurirwa kuti mishonga yakangobva kushandiswa iri nani zvikuru kupfuura mishonga yakareba yakabudiswa kana kuti ine madhara mashoma. Somuenzaniso, Enalapril akapfuurira kutengeswa makore anodarika makumi matatu adarika, asi achiri nhasi mishonga ine simba zvikuru. Zvakakosha kuyeuka kuti mahwendefa ehutachiona haavipo zvachose asina migumisiro, kunze kwekuti, muviri wemunhu mumwe nomumwe unopinda kune zvakasiyana-siyana.
Mishonga inokanganisa inouya mumarudzi akasiyana-siyana:
1. ACE inhibitors (aniotensin-kuchinja enzyme):
- Enalapril ;
- Captopril;
- Perindopril;
- Lysinopril;
- Zofenopril;
- Ramipril;
- Fosinopril;
- Hinapril;
- Trandolapril.
2. Sartans:
- Eprosartan;
- Telmisartan;
- Losartan;
- Valsartan;
- Olmesartan;
- Candesartan;
- Irbesartan.
3. Pulsatile calcium channel blockers:
- Diltiazem;
- Verogalide EP;
- Isoptin SR;
- Verapamil;
- Altiazem PP.
4. Derivatives ye dihydropyridone blockers ye calcium channels:
- Felodipine;
- Nifedipine;
- Lacidipine;
- Amlodipine;
- Lercanidipine;
- Nimodipine.
5. Alpha-blockers:
- Cardura;
- Doxazosin;
- Tonicardin.
6. Beta-blockers:
- Nebivolol;
- Metoprolol;
- Betaxolol;
- Carvedilol;
- Bisoprolol.
7. Mushonga weCentral:
- Rilmenidine;
- Moxonidine;
- Methyldopa.
Ndizvo chete mupurologistist anokwanisa kusarudza zvinobudirira uye asina kukwezva uye mamwe mimwe migumisiro yepiritsi inopikiswa nehuwandu hwehutachiona, achifunga nezvemigumisiro yeongororo uye yehuwandu zvidzidzo. Kuzvimiririra kuzvisarudzira pachako gipotenzivnye vashandi hazvibviri, zvinogona kuwedzera kukura kwechirwere kana chirwere uye kutungamirira kumatambudziko.
Rondedzero ye diuretics muudzvinyiriri
Diuretics inobvisa kubviswa kwemvura kubva mumuviri, iyo inokurumidza kukuderedza kuwedzerwa kwezvinetso.
Nekurapa kwehutano hwepachirwere, zvakadaro zvinoshandiswa:
1. Thiazides uye thiazide-sendimagetsi:
- Hypothiazide;
- Tenoric;
- Dichlorothiazide;
- Indal;
- Retapres.
2. Loop diuretics (chete mumamiriro ekukurumidzira):
- Lasix;
- Diver;
- Furosemide.
3. Potassium-sparing diuretics:
- Triampur;
- Veroshpiron ;
- Aldactone;
- Inspra;
- Triamtel.
Zvose izvi mishonga ine mifananidzo yakawanda, iyo inogona kutengwa kana yakasikwa isingawanikwi kana isingaiti.