Unyango lwegazi oluphezulu: 6 iintlobo ezininzi ezisetyenzisiweyo kunye neziphumo ebezingalindelekanga

Umxholo

• 4. I-vasodilators ngqo
• 5. Isithinteli seKhalsiyam blocker
• 6. Ii-inhibitors ze-Angiotensin-converting enzyme (ACE)
• Iziphumo ebezingalindelekanga ezinokwenzeka
• Nini ukuyeka ukuthatha iziyobisi
• Unyango lwasekhaya lokukhetha uxinzelelo lwegazi oluphezulu
• Unyango lwexinzelelo lwegazi xa ukhulelwe

Amachiza oxinzelelo lwegazi, abizwa ngokuba ngamachiza oxinzelelo lwegazi, aboniswa ukunciphisa uxinzelelo lwegazi kwaye alugcine phantsi kolawulo, ngamaxabiso angaphantsi kwe-14 nge-9 (140 x 90 mmHg), njengoko uxinzelelo lwegazi oluphezulu kunokubangela iingxaki ezinje ngokuhlaselwa sisifo sentliziyo, ukusilela kwentliziyo. , i-angina, iingxaki zezintso okanye ukubetha, umzekelo.

Kukho amayeza ahlukeneyo anokusetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, njenge-diuretics, i-adrenergic blockers okanye i-vasodilators, umzekelo, ekufuneka iboniswe ngugqirha wezifo zentliziyo ngokukodwa ubungqongqo besifo okanye umngcipheko weengxaki. Ngamanye amaxesha, la mayeza anokusetyenziswa ngokudibeneyo.

Amayeza oxinzelelo lwegazi oluphezulu kufuneka asoloko eboniswa ngugqirha wezifo zentliziyo kunye nokulandelwa rhoqo kwezonyango kufuneka kwenziwe ukukhangela ukuba ngaba unyango luyalunciphisa uxinzelelo lwegazi. Ukongeza, ugqirha kufuneka abonise ukwehla kokusetyenziswa kwetyuwa kunye nokuziqhelanisa nokuzilolonga umzimba, njengokuhamba, umzekelo, ubuncinci amaxesha ama-3 ngeveki ukunceda ukunciphisa uxinzelelo lwegazi.

4. I-vasodilators ngqo

I-vasodilators ngqo ikhuthaza ukuphumla kwemithambo yegazi, ibathintele ekungeneleleni, eyenza igazi lijikeleze ngokulula kwimithambo kwaye intliziyo ayifuni ukusebenzisa amandla amaninzi ukupompa igazi emzimbeni, kwaye ke, bayanceda ukuthoba igazi uxinzelelo. Ezona vasodilators ziphambili ziboniswe ngoogqirha yihydralazine kunye ne-minoxidil.

I-Minoxidil isetyenziswa ngomlomo ukunyanga uxinzelelo lwegazi olungaphuculiyo ngamanye amayeza kwaye ihlala isetyenziswa ngokudibanisa ne-diuretic okanye i-beta-blocker. Esi sixhobo sineziphumo ebezingalindelekanga zokunyusa inani leenwele emzimbeni kwaye, ke ngoko, ikwabonakalisiwe ngabagqirha bezonyango kunyango lokulahleka kweenwele kunye nenkqayi, nangona kunjalo, kwezi meko, ukusetyenziswa kungumxholo, kunye nesisombululo se-minoxidil ngqo entlonzeni.

5. Isithinteli seKhalsiyam blocker

Iicalcium channel blockers zinciphisa uxinzelelo lwegazi kuba zithintela i-calcium ekungeneni kwiiseli zentliziyo kunye nemithambo, ivumela imithambo yegazi ukuba iphumle kwaye ivule, ephucula ukuhamba kwegazi emzimbeni kunye nokunciphisa umzamo wentliziyo wokumpompa igazi.

Amachiza aphambili kule klasi yamachiza oxinzelelo lwegazi yi-amlodipine, nifedipine, felodipine, nitrendipine, manidipine, lercanidipine, levanlodipine, lacidipine, isradipine, nisoldipine kunye ne-nimodipine.

Ezinye iicalcium block blockers, ezinje ngeverapamil kunye ne-diltiazem, zinezibonelelo ezongeziweyo zokunciphisa ukubetha kwentliziyo, ezinokuthi ziqhubeke nokunciphisa uxinzelelo lwegazi, zinciphise iintlungu zesifuba kunye nokulawula ukubetha kwentliziyo okungaqhelekanga.

6. Ii-inhibitors ze-Angiotensin-converting enzyme (ACE)

Izithinteli ze-angiotensin eziguqula i-enzyme zithintela ukuveliswa kwe-angiotensin, ihomoni ebangela ukuba imithambo yegazi icuthe kwaye inyuse uxinzelelo lwegazi, inyanzelisa intliziyo ukuba isebenze nzima. Ngokuthintela ukuveliswa kwale hormone, eli klasi lonyango lweyeza elonyusa uxinzelelo lwegazi linceda ukuphumla imithambo kunye nemithambo kunye nokunciphisa uxinzelelo lwegazi.

Ezona zithintelo ziphambili ze-angiotensin-converting enzyme yi-captopril, enalapril, ramipril kunye ne-lisinopril, enokubangela ukukhohlela okomileyo njengempembelelo yecala.

Olunye udidi lwamachiza aneziphumo ezifanayo nezi, kodwa ngaphandle kwesiphumo sokukhohlela esomileyo, zii-angiotensin receptor antagonists ezinciphisa uxinzelelo lwegazi ngokuthintela iziphumo zehomoni angiotensin, kwaye zibandakanya iziyobisi losartan, valsartan, candesartan kunye ne-telmisartan.

Iziphumo ebezingalindelekanga ezinokwenzeka

Iziphumo ebezingalindelekanga zamachiza oxinzelelo lwegazi zibandakanya ukuba nesiyezi, ukugcinwa kwamanzi, ukutshintsha kwenqanaba lentliziyo, intloko ebuhlungu, ukugabha, isicaphucaphu, ukubila okanye ukungabi namandla. Xa uqaphela nayiphi na kwezi ziphumo, ugqirha wezinto zentliziyo kufuneka aziswe ukuze kuhlolwe ukubakho kwethamo lonyango okanye ukulitshintshela elinye.

Unyango lwegazi oluphezulu alutyebisi, kodwa ezinye zinokubangela ukudumba, kwaye kwezi meko, ugqirha wentliziyo unokucebisa nangokusetyenziswa kwe-diuretics.

Nini ukuyeka ukuthatha iziyobisi

Ukusetyenziswa kwamachiza ukulawula uxinzelelo lwegazi kwiimeko ezininzi kugcinwa kubomi bonke, kuba uxinzelelo lwegazi sisifo esinganyangekiyo, kwaye unyango lubalulekile ukunciphisa umngcipheko weengxaki ezinje ngokuhlaselwa sisifo sentliziyo, ukubetha, i-aneurysm okanye ukusilela kwezintso, umzekelo.

La machiza kufuneka athathwe ngokungqinelana nengcebiso ye-cardiologist, ekufuneka akhokele umntu ukuba agcine idayari ethatha amanqaku kuxinzelelo lwegazi olilinganiswe ekhaya. Funda indlela yokulinganisa uxinzelelo lwegazi ekhaya.

Unyango lwasekhaya lokukhetha uxinzelelo lwegazi oluphezulu

Unyango olukhulu ekhaya lokunyanga uxinzelelo lwegazi sisiselo se-orenji, njengoko iorenji ityebile kwi-potassium enceda ukwehlisa uxinzelelo lwegazi, ukongeza ekubeni ne-antioxidants enceda ukugcina imithambo yegazi isempilweni kwaye ikhusela izifo ezifana ne-atherosclerosis, isifo sentliziyo okanye ukubetha, . Nangona kunjalo, umntu kufuneka ayiphephe incindi yeziqhamo okanye i-grapefruit Ngexesha lokunyanga ngamachiza oxinzelelo lwegazi, njengoko esi siqhamo sinokunciphisa umsebenzi we-enzyme enoxanduva lokucoca la machiza, anokubangela ukwanda kweziphumo ebezingalindelekanga okanye ukunxila.

Olunye ukhetho olulungileyo lonyango lwendalo lwegazi oluphezulu yijusi yelamuni kunye negalikhi. Ukwenza oku, susa yonke incindi kwiilamuni ezi-3, ugaye ii-clove ezi-2 zegalikhi, ubeke ijusi, ikonofile kunye neglasi enye yamanzi kwi-blender, xuba kakuhle, thambisa incasa uze usele emini, phakathi kwesidlo. Jonga ezinye iindlela zonyango kumzi ophezulu wegazi.

Bukela ividiyo kunye nengcali yesondlo uTatiana Zanin eneengcebiso zokunceda ukulawula uxinzelelo lwegazi:

Unyango lwexinzelelo lwegazi xa ukhulelwe

Unyango lwexinzelelo lwegazi oluphezulu xa ukhulelwe, olunokumiselwa ngugqirha wezifo zentliziyo, yi-methyldopa okanye i-hydralazine, umzekelo.

Kwimeko yamanina asele enoxinzelelo oluphezulu lwegazi ngaphambi kokuba akhulelwe, ugqirha wentliziyo kufuneka athathe indawo yamayeza ebesetyenziswa ngaphambili kumayeza akhutshwe ngexesha lokukhulelwa, angazisi ngxaki kusana.