Kuopsa kwa matenda oopsa kwambiri kumakhala ndi zotsatira zake zoopsa pamaganizo a mtima. Matendawa amachulukitsa chiopsezo cha matenda a ischemic, matenda a myocardial infarction, ubongo wa m'mimba, kuperewera kwa chiwindi ndi matenda ena. Choncho, nthawi zonse muyenera kukhala ndi mankhwala omwe amagwiritsira ntchito mankhwala ochepetsa matendawa. Koma kudziletsa sikuli koyenera, kutenga mankhwala aliwonse ayenera kugwirizanitsidwa ndi katswiri wa zamaganizo.
Mndandanda wa mapiritsi abwino ochokera ku matenda oopsa kwambiri komanso mankhwala atsopano
Pochiza matenda oopsa, mankhwala osokoneza bongo ndi antihypertensive mankhwala. Makampani azachipatala amakonzanso zinthu zoterezi, koma sitinganene kuti mankhwala atsopano ndi abwino kwambiri kusiyana ndi mankhwala omwe aperekedwa kwa nthawi yaitali kapena amakhala ndi zotsatira zochepa zoyipa. Mwachitsanzo, Enalapril adagulitsa zaka zoposa 30 zapitazo, koma lero ndi mankhwala amphamvu kwambiri. Ndikofunika kukumbukira kuti mapiritsi ochokera ku matenda oopsa kwambiri samakhalako popanda mavuto, pambali pake, thupi la munthu aliyense limagwira ntchito zosiyanasiyana.
Mankhwala osokoneza bongo amabwera m'mitundu yambiri:
1. ACE inhibitors (mavitamini otembenuza angiotensin):
- Enalapril ;
- Captopril;
- Perindopril;
- Lysinopril;
- Zofenopril;
- Ramipril;
- Fosinopril;
- Hinapril;
- Trandolapril.
2. Sartans:
- Eprosartan;
- Telmisartan;
- Losartan;
- Valsartan;
- Olmesartan;
- Chithunzi;
- Irbesartan.
3. Zomwe zimachititsa kuti anthu azikhala ndi calcium:
- Diltiazem;
- Chithunzi;
- Isoptin SR;
- Chithunzi;
- Altiazem PP.
4. Zomwe zimayambitsa matenda a dihydropyridone a calcium:
- Felodipine;
- Nifedipine;
- Lacidipine;
- Amlodipine;
- Lercanidipine;
- Nimodipine.
5. Alpha-blockers:
- Cardura;
- Doxazosin;
- Tonicardin.
6. Beta-blockers:
- Nebivolol;
- Metoprolol;
- Betaxolol;
- Chithunzi;
- Bisoprolol.
7. Chithandizo chamkati:
- Rilmenidine;
- Moxonidine;
- Methyldopa.
Katswiri wamaphunziro otchedwa endocrinologist yekha amatha kusankha bwino komanso osakhutira ndi zotsatira zina za mapiritsi okhudzana ndi kupatsirana kwa magazi, poganizira zotsatira za maphunziro a laboratori ndi mafilimu. Mwadzidzidzi kusankha nokha gipotenzivnye mawotchi sizingatheke, kungachititse kuti panthawi yodwala matenda kapena matenda awonongeke.
Mndandanda wa ma diuretics mu matenda oopsa
Diuretics amachititsa kuchotsa madzi kuchokera m'thupi, zomwe zimachepetsa msanga kuchulukira.
Pochizira matenda oopsa, mankhwalawa amagwiritsidwa ntchito:
1. Thiazides ndi mawonekedwe ngati thiazide:
- Hypothiazide;
- Tenoric;
- Dichlorothiazide;
- Indal;
- Kubwereza.
2. Loop diuretics (pokhapokha ngati mwadzidzidzi):
- Lasix;
- Sakani;
- Furosemide.
3. Potassium-sparing diuretics:
- Triampur;
- Chithunzi ;
- Chithandizo;
- Mzimu;
- Triamtel.
Mankhwala onsewa ali ndi ziganizo zambiri, zomwe zingagulidwe ngati choyambirira sichingapezeke kapena chosayenera.