Zvinodhaka kuti tikarega BP. Mishonga kudzibatsira

Mumakore achangopfuura, chirwere nevakawanda kwete chete pakati vakwegura asi muduku, akava neBP. Zvakaipira rimwe cheBP ndechokuti dzaparadzwa midziyo uye mwoyo. Uye mune ramangwana hatigoni siya migumisiro - yomwoyo, sitiroko, cardiac, renal insufficiency, angina. Kuti adzivise zvokurwara kwakadaro ngozi kunoita dzose munyu kwokudzvinyirira iri chakaipa siyana. Pasina zvinodhaka, kunyanya mu BP yakakwirira, hazvibviri nguva dzose. Help anogona chete zvinobudirira zvinodhaka nokuda mukuderedza BP.

Zvinokonzera neBP

Neindasitiri inogadzira mishonga kwakasimbiswa akasiyana-siyana zvinodhaka kuderedza BP. List mishonga yemazuva chaizvo mirefu. Zvisinei, yeuka kuti kusarudza mari inodiwa vari nengozi.

Dr. rakavapa zvinodhaka kuderedza BP, inokonzera kumanikidza kuwedzera anofanira kufunga. Kuti izvi zvidaro, kusarudza anodiwa mari zvichaita kuitisa kuongorora zvizere. Uyezve, vamwe anowanzoshandiswa zvaiitwa anosanganisira rakavapa zvinodhaka akawanda kana mahwendefa mubatanidzwa.

The zvinokonzera neBP kunogona kuva zvakasiyana-siyana. Mukurapa, pane zvinotevera weboka chirwere ichi:

1. Essential neBP. Hosha rinowanikwa pachako. Kwakabva zvokurwara zvinogona kunaka kudya, nhodzera, zvakaipa tsika, mararamiro.
2. Symptomatic neBP. Zvokurwara kunooneka pacharo necheseri zvirwere zvakawanda. Muchiitiko chino, yakakwirira kumanikidza kwakakomba chirwere zviratidzo, semuenzaniso, zvirwere itsvo, atherosclerosis, tsinga pathologies.

Nokuti mumwe nomumwe zvinhu vanotumirwa mishonga yavo kuti kuderedza BP. Ndokusaka zvichikosha kuti ndisimbise chirwere uye kunzwisisa chikonzero nei kwaro.

Fast Track Drugs

Hapana asingambovi kubva vane chirwere cheBP dambudziko. Zvinokosha kuziva kuti zvinodhaka anogona kuderedza cheBP. Nhasi tinoratidza anotevera zvinhu:

• "Dibazol" ( "Gliofen").
• "Clonidine" ( "Clonidine").
• "Arfonad" ( "trimetafan").
• "Sodium nitroprusside".
• "Pentamin".
• "Magnesium Sulfate" (kana "magnesia").
• "Uregei".
• "Furosemide" ( "Lasix").
• "Chlorpromazine" ( "Chlorpromazine").
• "Phentolamine."
• "Nifedipine" ( "Kordafen", "Kordafleks", "Adalat", "cordipin", "fenigidin", "Nifedikap").
• "Verapamil" ( "Isoptin", "finoptinum", "Verogalid").
• "Inderal" ( "obzidan").

Mumwe nomumwe pamusoro kugadzirira ine zvivako zvayo, izvo zvinobudirira aenderane ne imwe zvokurwara kana ezvinhu. Saka, somunhu mumwe nomumwe anosarudza chiremba chii mushonga zvakanakisisa kuderedza cheBP.

kupatsanura zvinodhaka

Kuti tinzwisise izvo zvinodhaka yakaderera BP, funga mapoka maviri zvinodhaka:

1. pfuma wokutanga mutsetse. Ndiko kusarudza mishonga, vanogadzwa nomudzimu vakawanda varwere vane chirwere cheBP. mishonga yakadaro vanokamurwa muzvikwata 5:

• Diuretics (more soMunyengetero diuretics). chikamu ichi zvinodhaka zvinosanganisira "Hypothiazid", "Indap", "Arifon" "Furosemide", "Lasix", "Trifas", "Torcida", "Veroshpiron", "Triamterene".
• Angiotensin rokutendeutsa enzayemu (ACE) FIs. Vamiririri kirasi iyi ndiyo mishonga "Enalapril", "Berlipril", "Renitek", "Enap", "Captopril", "quinapril", "Akkupro" "Lisinopril", "Lopril", "Vitopril", "Diroton", " moexipril, "" Moeks "," Perindopril "," Prestarium ".
• FIs ose angiotensin II receptors. Ava zvinodhaka akafanana "Irbesartan", "Irbetan", "Aprovel", "Konverium" "Candesartan", "Kasark", "Kandesar" "Losartan", "Lorista", "Lozap".
• Karusiyamu mhandu. Popular zvinotevera zvinoreva: "Verapamil", "finoptinum", "Veratard" "Isoptin" "Diltiazem", "Diakordin", "Aldizem" "Amlodipine", "Azomeks", "Nifedipine", "Amlo", "Agen "" Felodipine "" Norvasc ".
• β-adrenergic blockers (β-blockers). kirasi Izvi zvinosanganisira mishonga "Atenolol", "Atenol", "Tenobene", "Tenolol", "Nebivolol", "Nebilet", "Nebival", "Nebilong" "Inderal", "Corioli", "Medokardil".

2. wechipiri-mutsetse zvinodhaka. Zvinoita zvinodhaka kuti kuderedza BP. Asi zvinoda mukurapwa-refu kuti zvinokosha gepertenzii. Mishonga akasiyana yakaderera mutengo uye inogona kurumbidzwa kuti vakadzi vane pamuviri. Idzi dzinosanganisira:

• Central α2-agonist chokupfeka. Ndivo anotevera zvinodhaka: "Clonidine", "Clonidine", "methyldopa", "dopegit".
• Rauwolfia alkaloids. Vanosanganisira zvinodhaka "reserpine", "Raunatin" boka iri.
• α-adrenergic blockers. The chikuru vamiririri vekirasi zvinodhaka ndivo "Prazosin", "Doxazosin", "Zokson", "cardura", "terazosin", "Alfater," "midzi," "Phentolamine".
• Vasodilators zvakananga Impact. kirasi iyi zvinosanganisira zvinotevera zvinoreva: "bendazol", "Dibazol", "Hydralazine", "Apressin".

Funga ano rinoreva kuti yakaderera BP, izvo vakawanda kudiwa nokurapa neBP.

"Losartan" mushonga

The mushonga mu pharmacology anonzi "Lorista". It chinokurwadzai kuti ichivharira pamusoro angiotensin II, iyo anokonzera vasoconstriction. Mishonga mazhinji zvakakwana siyana zvinokonzerwa pamusoro muviri - maawa 24.

Vechiduku, kuti chipimo chemushonga anofanira kusarudzwa nokungwarira zvikuru. Kana iwe zvinobatana zvimwe zvinodhaka kuti yakaderera BP ne mishonga "Lorista", ipapo tichava tibudirire. Kana kubatanidza chokushandisa pamwe diuretics, murwere anogona kuwedzera uwandu potassium muropa.

The vakawanda kudiwa chigadzirwa vanhu vane makore nokuti ane munyoro zvazvinoita. "Lorista" The mushonga anogona kupiwa panguva pamuviri, lactation kumwedzi.

Very kunyatsoongorora kushandisa ichi zvinodhaka vanhu vane havachanyatsogoni chiropa chaitika. Vari zano kuti zvingaitwa dosages zviduku.

"Verapamil" mushonga

A pachena chepfungwa zvinodhaka ndiko kuderedza vascular inzwi uye vawedzere okisijeni wedzerai mwoyo. The mushonga kunobatsira kudzikamisa kakawanda uye arterioles muviri sunga.

Kugadzirira "Verapamil" panyaya chakasimba kurwisa anogona kupiwa nomutsinga. The chipimo chemushonga zvinodhaka kunoenderana mwero chirwere.

Means ari contraindicated Varwere vakatambura kubva chakasimba myocardial infarction.

Drug "Nifedipine"

Zvinoreva mumiririri boka akadai karusiyamu mugero blockers. zvinodhaka izvi kuti kuderedza BP, kuderedza vascular matauriro, kuvandudza okisijeni nerubatsiro muviri.

Drug "Nifedipine" zvikuru zvakabatsirawo neBP kushatiriswa abnormalities ari adrenal mumasero neitsvo. The mushonga anokwanisa richiva kubatsira, zviremera izvi uye kunyange kumbomira kukura kwezvirwere zvakadai itsvo kukundikana. Chimwe chakanakira chokushandisa iri havi ropa riyerere kuti musana uye pfungwa.

Zvinokurudzirwa kuti kutora mushonga ari supine chinzvimbo, vakazorora pasi rurimi tablet.

Low kumanikidzwa kana mwoyo kukundikana rinoreva "Nifedipine" zvachose contraindicated.

"Captopril" mushonga

The mushonga iri zvakakwana hwamunoita mutoro mwoyo, kunomutsa chinobudirira kushanda kufema turakiti. Uyezve, kunonatsiridza ropa riyerere kuna neitsvo.

muiti Izvi zvinogona kupiwa kuna vachangoberekwa uye chirwere cheshuga kana zvakakodzera.

Combination zvinodhaka "Captopril" pamwe nitrates yekudyidzana kunonatsiridza kushanda kwayo pamusoro muviri.

The mushonga hauna arongera varwere vari panoonekwa kuperevedza maplatelet kana ropa mumasero machena muropa.

Drug "enalapril"

mishonga iyi zviri kukanganisa kwavo pamusoro munhu akafanana rinoreva "Captopril".

mushonga uyu harifaniri kushandiswa nokuti vanhu vane kuperevedza maplatelet, machena eropa count. Uyewo, "Enalapril" haina arongera varwere vanenge renal kukundikana.

"Methyldopa" mushonga

Kugadzirira normalizes BP, kunoderedza arteriolar matauriro. Achishandisa zvinobudirira uye panguva imwe chete ngozi kuvakadzi vane mimba.

Medicine "Methyldopa" haisi varumbidzwa kushandisa Varwere vane renal kukundikana kunokwanisa kuonekwa.

Drug "reserpine"

The mushonga rinowanzoshandiswa nezvaro vepakutanga zvokukura neBP. Kana aibatanidza mishonga diuretic kuderedza BP achishandisa "reserpine", ipapo munhu zvainoita muviri kunobatsira iri yekudyidzana kunowedzerwa.

Mapiritsi vanorumbidzwa kunwa pashure zvokudya.

The mushonga ine nhamba contraindications. Danho haafaniri kushandiswa varwere vane gastric urikanwi yakawanikwa. Zvinonzi mbidzwa taurira mushonga kuti itsvo kuoma dzimwe nhengo dzomuviri. Contraindicated zvinodhaka "reserpine" vanhu kutambura bradycardia - vasanyanye kwemwoyo nokufamba.

"Indapamide" mushonga

Iyi inzira inobudirira chinodhaka kuti kunokanganisa neitsvo. Zvinonzi muronga yakaita thiazide diuretic.

The zvakakodzera Nemhaka Kudzikamiswa zvavaida kunogona kuwanikwa chete pashure vhiki pashure pakutanga zvinodhaka kutarisira "Indapamide". A kunonyanyisa zvazviri kunouya kuburikidza dzose kushandisa mari kwemwedzi mitatu.

Zviri kushandisa zvisingagamuchiriki mishonga vana kusvika makore 18. It wairambidza kushandiswa kwayo panguva pamuviri, lactation. Uyezve, mumiririri ane mamwe contraindications. The mushonga rirege kushandiswa zvaipesana chiropa basa, gout, pane anuria. Haufaniri kushandisa zvinodhaka "Indapamide" pakarepo pashure achirwadziwa cerebrovascular tsaona.

"Prestarium" mushonga

Kugadzirira normalizes chichiwedzera kumanikidzwa zvakanaka. Zvinoita kuti aienda midziyo ropa nokudzosa elasticity pamusoro arteries. Kushandiswa chokushandisa ichi kunoita kuti apore mumwoyo metabolic urongwa, kuderedza mutoro pamusoro muviri.

Pamusoro nokugamuchira Achishandisa hypotensive migumisiro wawanga pashure pemaawa 4-6. A mwedzi dzose mishonga kushandiswa kunoita zvakazara kudzikamisa kumanikidzwa.

mhedziso

About utano midziyo ropa uye mwoyo vanofanira kutarisira hwake. Yeuka kuti hosha gare gare muupenyu - mugumisiro mararamiro. Kana totaura cheBP, zvakanakisisa - zviri yakakodzera kurapwa pasi pokudzora chiremba ane ruzivo. Hazvina zvakafanira kunhonga kurapa oga. Pashure pezvose, kupindura mubvunzo pamusoro ndedzipi zvakanakisisa zvinodhaka kuti kuderedza BP, zvinokwanisika chete pashure chirwere zvachose. Zvichengetedze!