Yawancin lokaci tare da ciwon sukari, hauhawar jini yana tashi, wanda ke rushe tsarin zuciya, yana cutar da kodan da sauran gabobin ciki. A nau'in 1 na ciwon sukari, hauhawar jini ya bayyana saboda cututtukan koda. Idan mutum yana da nau'in 2, to, ci gaban cututtukan Itsenko-Cushing, pheochromocytoma, yana ba da gudummawa ga karuwar matsin lamba. A cikin irin waɗannan marasa lafiya, hauhawar jini yana haifar da ci gaban cututtukan cututtukan da ke haifar da mutuwa, don haka likita ya tsara allunan rigakafin ƙwayoyin cuta. Babban rukuni na kwayoyi sun hada da: diuretics, ACE inhibitors, beta-blockers, BKK, ARB.
Diuretics
Diuretics sune diuretics waɗanda ake ɗauka tare da sauran magunguna. Suna shafar aikin kodan kuma suna hanzarta cire fitsari daga jiki. A cikin ciwon sukari, diuretics na iya rage alamun hauhawar jini da kawar da kumburi.
Magungunan diuretic suna daga cikin nau'ikan masu zuwa:
- Madauki - taimaka da sauri daidaita al'ada da matsa lamba. Furosemide an dauki shi shine magani mafi yawan jama'a.
- Thiazide - ƙara yawan haɗuwar glucose, cholesterol da triglycerides. Waɗannan sune chlortalidone, clopamide, indapamide.
- Osmotic - cire ruwan da ya wuce kima daga kyallen edematous saboda raguwar hauhawar jini. Mafi inganci: Potetet acetate, Mannitol.
Yawancin marasa lafiya da ke da cutar hawan jini suna wajabta maganin thiazide diuretics, wanda ya kamata a ɗauka na dogon lokaci. Amma suna iya haifar da asarar sodium mai yawa. Shan waɗannan magungunan, marasa lafiya yakamata su ci fruitsa fruitsan itace da kayan marmari, suna rama asarar magnesium, potassium da sodium. A yayin jiyya, ya kamata a sa ido kan sukari na jini, yana ƙaruwa da yawan diuretic, idan ya cancanta.
Idan mai haƙuri da ciwon sukari na 2 na ciwon sukari mellitus ya haɓaka kumburin kafafu akan asalin cutar hauka, likita ya tsara Indapamide ko Arifon. Duk magungunan biyu ba su shafar metabolism na metabolism. Ana amfani da wasu nau'ikan diurelis sau da yawa.
ACE masu hanawa
Mahimmanci ga masu ciwon sukari, wanda ke tare da hauhawar jini, daga cikin jijiyoyin jini na ACE. Irin waɗannan kwayoyi suna tsoma baki tare da samar da enzyme wanda ke da alhakin samar da wani abu wanda ke haifar da taƙaitawa a cikin tasoshin jini na kwakwalwa, kuma yana ba da gudummawa ga karuwar sakin aldosterone, wanda ke ɓoye sodium da ruwa a cikin ƙwayoyin jikin mutum. Godiya ga amfani da inhibitors na ACE, an cire magudanar jini da ruwa mai yawa daga jiki, wanda hakan ke haifar da raguwar matsin lamba.
Irin waɗannan magunguna suna da tasirin nephroprotective mai ƙarfi, wanda ke ci gaba har ma da saurin rage karfin gwiwa. Bugu da kari, suna da amfani mai amfani a jikin bangon jijiyoyin jini, suna hana samuwar filayen atherosclerotic, kuma suna da tasirin ajiyar zuciya, kariya daga bugun zuciya da bugun jini. ACE inhibitors ba ya rushe metabolism na kitse da carbohydrates kuma yana ƙaruwa ji na jijiyoyin jikin mutum zuwa insulin.
Irin waɗannan kwayoyi an wajabta su da taka tsantsan a cikin gazawar koda, kamar yadda suna jinkirta kawar da potassium daga jiki. Wani lokaci, a kan asalin abin da suke ci, sakamako mai illa yana faruwa a cikin hanyar tari mai ƙarfi, wanda ke buƙatar dakatar da amfani da kwayoyi. An contraindicated lokacin daukar ciki, shayarwa, stenosis na koda.
Mafi ingancin kwayoyi:
- Enalapril, Invoril, Burlipril, Enap.
- Quinapril, Quinafar, Accupro.
- Lisinopril, Vitopril, Diroton, Zonixem.
Masu tallata Beta
An ba da umarnin hana yin amfani da jini don ciwon sukari da hauhawar jini, lokacin da irin wannan yanayin yake rikitarwa ta hanyar bugun zuciya, angina pectoris da tachycardia. Mafi sau da yawa, likita ya fi son rukunin magunguna waɗanda ba su da tasiri a cikin metabolism na ciwon sukari mellitus.
Wadannan sun hada da:
- Atenolol, Atenol, Atenobene.
- Metoprolol, Corvitol, Emzok.
- Bisoprolol, Concor, Coronal, Bicard, Bidop.
Amma irin waɗannan kwayoyi na iya ƙara yawan ƙwayar sukari da cholesterol a cikin jiki da haɓaka juriya na insulin.
Beta-blockers kamar Nebilet, Coriol, Atram, suna da ƙarin tasirin vasodilating. Wadannan kwayoyin cutar masu cutar sukari suna rage juriya na insulin kuma suna da tasiri mai amfani akan metabolism na metabolism.
BKK (alli masu adawa da kalaman)
Ana hana masu amfani da allunan tashar alli don matsa lamba, saboda ba su shafar maganin ƙwayoyi da sinadarin carbohydrate. Ana amfani da su idan mai haƙuri kuma yana fama da ischemia da angina pectoris. Da farko dai, an sanya irin waɗannan magunguna don tsofaffi.
An ba da fifiko ga magunguna waɗanda ke da tasirin sakamako, wanda yakamata a sha sau 1 a rana ɗaya:
- Lercanidipine.
- Felodipine.
- Nifedipine.
- Amlodipine.
Amlodipine yana da sakamako mai tsawo.
Masu adawa da sinadarin Calcium suna haifar da ci gaban tasirin sakamako kamar kumburi da haɓaka yawan zuciya, wanda yawanci yakan haifar da karɓar su. Kadai magani wanda bashi da irin wannan mummunan tasirin shine Lerkamen.
ARB (angiotensin mai karɓar abokan adawa)
Abun hana karɓar karɓa na Angiotensin II yana da tasiri a cikin lura da hauhawar jijiyoyin jiki wanda ke haɗaka da ciwon sukari. Suna da waɗannan kaddarorin:
- rage juriya insulin;
- suna da tasirin nephroprotective;
- rage hauhawar jini na hagu na zuciya;
- kada ku shafi matakan tafiyar matakai;
- da kyau a jure kuma suna da karancin sakamako masu illa.
Ayyukan kwayoyi suna haɓaka hankali kuma ya kai ƙarshen tsananin makonni 2-3 bayan fara gudanarwa.
Mafi ingancin kwayoyi:
- Sartokad, Diosar, Vasar.
- Candesar, Advant, Candecor.
- Closart, Lorista, Cozaar, Lozap.
Masu hana Alfa
Yin amfani da alpha-blockers, aikin α-adrenergic masu karɓa da ke cikin tsokoki da gabobin da yawa suna toshe. Irin waɗannan ƙwayoyin zaɓaɓɓu ne kuma ba zaɓaɓɓu ba. Don lura da hauhawar jini a cikin ciwon sukari, ana amfani da allurar alfa-blockers kuma kawai a haɗuwa da warkewa.
Wadannan sun hada da:
- Terazosin.
- Doxazosin.
- Prazosin.
Irin waɗannan kwayoyi suna rage haɗuwa da glucose da lipids, kazalika da juriya na insulin. Godiya ga alpha-blockers, matsi yana raguwa daidai, ba tare da haifar da ƙaruwa sosai ba a cikin zuciya. Amma irin waɗannan magungunan ya kamata a ɗauka tare da taka tsantsan tare da mummunan neuropathy, wanda yanayin halin orthostatic ya bayyana. Suna kuma contraindicated a cikin cututtukan zuciya.
Terazosin yana rage haɗuwar glucose da lipids.
Rasilez (mai sarrafa kai tsaye renin)
Wannan sabon magani ne wanda ke rage karfin jini a cikin kullun. Bayan makonni 2 na cin abinci na yau da kullun, ana lura da mummunan sakamako da kuma dawo da sigogi na hemodynamic na al'ada.
Ana amfani da Rasilez a cikin maganin haɗuwa tare da masu hana karɓar angiotensin ii ko masu hana ACE. Godiya ga wannan haɗuwa, kodan da zuciya suna kiyaye lafiya. Magungunan yana taimakawa haɓaka cholesterol a cikin jini da haɓaka jijiyar kyallen takarda zuwa insulin.
Wadanne kwayoyin ne suka fi dacewa a kauracewa gaban masu cutar siga?
Duk da cewa akwai kwayoyi da yawa da ke rage hawan jini, ba duk magunguna ne suka dace da mutanen da ke da cutar siga. An hana magunguna masu zuwa - Xipamide, Hydrochlorothiazide, Hypothiazide. Waɗannan sune diuretics waɗanda ke haɓaka sukari na jini kuma suna ƙaruwa da mummunan mummunan cholesterol. Bugu da kari, irin wadannan magungunan suna cutar da kodan sosai, wanda hakan ke da matukar hadari ga mutanen da ke fama da raunin koda.
Yin amfani da magungunan rigakafin ƙwaƙwalwa kamar su antagonists na calcium waɗanda ke da alaƙa da dihydropyridines na gajeran lokaci ba da shawarar don hawan jini da ciwon sukari ba. Koda a cikin karamin sashi, suna kara girman yiwuwar kamuwa da ciwon zuciya kuma suna cikin cututtukan zuciya. Waɗannan sun haɗa da magani Nifedipine.
Atenolol, wanda yake na ƙungiyar beta-blockers, an haramta shi, saboda yana ba da gudummawa ga tsalle mai tsayi a cikin glukos din jini da haɓakar cutar hypo- da hawan jini. Bugu da kari, irin wannan magungunan yana rage jijiyoyin kyallen jiki zuwa insulin, wanda ke samar da kwayar cutar ta hanji.
Yaya za a kara karfin jini a cikin ciwon suga?
Pressurearancin hauhawar jini a cikin nau'in ciwon sukari 2 galibi yakan faru ne a cikin mata. A wannan yanayin, akwai take hakkin wurare dabam dabam, kuma ƙwayoyin suna hana karɓar abubuwan gina jiki da suke buƙata. Idan ba a kula da wannan yanayin ba, to wannan yana haifar da ci gaban cututtukan zuciya. Bugu da kari, illa mai illa kamar:
- ƙafa mai ciwon sukari;
- thrombosis
- mutuwar kyallen takarda a ƙananan ƙarshen;
- ciwon mara.
Hypotension a cikin ciwon sukari yana tasowa saboda:
- rashin bacci
- cututtukan ciki;
- rashin bitamin da ma'adanai a cikin jiki;
- danniya
- ciwon zuciya
- magani na dogon lokaci;
- cututtuka na tsarin juyayi.
Marasa lafiya sun kara yawan ɗumi, yanayin sanyi, ji na shaƙuwa, hare-haren tsoro, ci gaba da rauni. Don ƙara matsa lamba a cikin ciwon sukari, an tsara magunguna na musamman. Mafi kyawun kwayoyi sune Eleutherococcus da Leuzea. An kwashe su tsawon kwana 7, bayan haka sun huta tsawon wata 1.
Tare da tashin hankali, magunguna na taimaka wa jama'a. Kuna iya hada koren shayi na kore da sinadarin ascorbic. M jiko na kabeji zomo. Don yin wannan, zuba 20 g busasshen shuka tare da gilashin ruwan zãfi kuma nace 3 hours. An jiko jiko kuma ana ɗauka sau uku a rana. Baho tare da yin amfani da mayukan mai ƙanshi suna taimakawa wajen kara matsin lamba. Don wannan, cloves, bergamot, lemun tsami, lemo, eucalyptus sun dace.
Yadda za a zabi magungunan ƙwayoyi don takamaiman yanayin asibiti?
Likitocin sun bada shawarar yin amfani da kwayoyi da dama na rukuni daban daban a lokaci guda. Wannan yana taimakawa mafi ingantaccen magani don hauhawar jini a cikin ciwon sukari. A haɗuwa da magani, ana amfani da ƙananan allurai na magunguna, kuma yawancin kwayoyi na iya dakatar da tasirin sakamako na juna. An zabi shirin magani ne ta likita don hana haɗarin bugun zuciya da bugun jini.
Tare da ƙarancin haɗari, ana yin maganin ƙwaƙwalwar ƙwayar ƙasa. Idan ba zai yiwu a rage matsin lamba ga adadi mafi kyau ba, likita ya sake tsara wani magani, kuma idan ba shi da tasiri, haɗuwa da magunguna da dama na ƙungiyoyi daban-daban.
A babban haɗarin bugun zuciya da raunin zuciya, ana buƙatar magani tare da kwayoyi 2 a cikin ƙarancin matakai. Idan irin wannan magani bai kawo sakamako ba, to ƙwararren likita ya tsara magani na uku cikin ƙarancin kashi ko ya tsara duka magunguna a cikin mafi girman sashi. Idan babu sakamako, ana amfani da tsarin magani na magunguna 3 a cikin mafi girman matakan da ake buƙata.
Algorithm don zaɓar magani don matsa lamba a cikin ciwon sukari (a matakai):
- Increasearin farko na hawan jini - rub ARta ARBs ko masu hana ACE.
- Hawan jini yana ƙaruwa, amma babu furotin a cikin fitsari - ƙara diuretics, BKK.
- Hawan jini yana sama da al'ada, an samo ƙananan furotin a cikin fitsari - thiazides kuma an ƙara ƙara BKK.
- Hawan jini tare da gazawar koda na koda - ƙara BKK da madauki diuretic.
Kafin a tsara tsari na likita, likita yayi nazarin sakamakon kayan aiki da nazarin dakin gwaje-gwaje. Ba za ku iya rubuta wa kanku magunguna don matsa lamba ga ciwon sukari ba, saboda Yawancinsu suna haifar da mummunan rikicewa har ma da mutuwa.
