ACE inhibitors vs. beta blockers: Wanne magani ne na hawan jini ya dace muku?
Bayanin MagungunaManyan Amurkawa miliyan saba'in da biyar suna da cutar hawan jini (hauhawar jini), amma kawai 54% daga cikinsu suna da matakan da suke ƙarƙashin iko. Abin farin ciki ga yanayin kamar na kowa kamar hawan jini, akwai magunguna iri-iri da zasu iya taimakawa. Daga cikinsu akwai masu hana ACE da masu hana beta, wanda yawancin likitoci zasu bada umarni kafin kowane irin magani.
Idan ba ku da wata alama, kamar yawancin mutane masu cutar hawan jini, likita zai fara gwada mai hana ACE. Idan hawan jini ya kasance tare da ciwon kirji ko damuwa, mai toshe beta zai iya zama mafi kyawun zaɓi. Doctors na iya yin mahimmancin nau'ikan magunguna biyu a lokaci guda a ƙarƙashin wasu yanayi.
Menene mafi kyawun maganin hawan jini a gare ku? Yi amfani da wannan jagorar don kwatanta masu hana ACE vs. beta blockers don shirya don ziyarar likitan ku na gaba.
Kuna son mafi kyawun farashi akan Acebutolol HCL?
Yi rajista don faɗakarwar farashin Acebutolol HCL kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Ta yaya masu hana ACE da masu hana beta ke aiki?
ACE masu hanawa (angiotensin-converting-enzyme inhibitors) suna fadada jijiyoyin jini da rage karfin jini, wanda ke rage hawan jini kuma yana kara yawan jini zuwa zuciya. Don yin haka, ACE masu hanawa toshe enzyme na canzawa angiotensin daga canza angiotensin I zuwa angiotensin II -Hormone wanda ke takura jijiyoyin jini. Ta hanawa hormone, saukar da hawan jini na mutum.
ACE masu hana magungunan ACE galibi likitoci sun ba su umarni don magance cutar hawan jini da bugun zuciya. Hakanan zasu iya taimakawa rage haɗarin haɗarin mace-mace bayan bugun zuciya (rashin karfin zuciya).
Masu hana Beta (beta-adrenergic blocking agents) suna toshe tasirin hormones na damuwa wanda wani ɓangare ne na tsarin juyayi mai juyayi. Wadannan kwayoyin sun hada da norepinephrine da epinephrine (wanda kuma ake kira adrenaline ). Toshewar waɗannan kwayoyin halitta yana bawa jijiyoyin jini shakatawa da faɗaɗawa. Hakanan, masu hana beta na iya rage bugun zuciya, rage saukar karfin jini, da inganta gudan jini.
Masu toshe Beta na iya magance cutar hawan jini tare da sauran yanayin rashin hutu kamar cututtukan zuciya, wadatar zuci, damuwa, da ciwon kirji.
Nemi katin rangwame na SingleCare
| Masu hana ACE vs. beta blockers | ||
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| ACE masu hanawa | Masu hana Beta | |
| An magance yanayin kiwon lafiya |
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| Magungunan da aka tsara sosai |
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| Illolin gama gari |
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| Gargadi |
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| Abubuwan hulɗa |
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Kuna son mafi kyawun farashi akan lisinopril?
Yi rajista don faɗakarwar farashin lisinopril kuma gano lokacin da farashin ya canza!
Sami faɗakarwar farashi
Shin zaku iya ɗaukar masu hana ACE tare da masu hana beta?
Dikita na iya yin umarni da mai hana ACE da mai toshe beta a lokaci guda don inganta matakan hawan jini ga marasa lafiya masu haɗarin haɗari ko kuma mutanen da ke da wasu irin yanayin kiwon lafiya kamar cututtukan zuciya na zuciya ko ciwan zuciya.
Kimanin kashi 75% na marasa lafiya da ke fama da cutar hawan jini yawanci suna buƙatar haɗin haɗin gwiwa (fiye da magani ɗaya) don cimma burin hawan jini, bisa ga Jaridar Americanungiyar Hawan jini ta Amurka . Wannan haɗin haɗin zai iya haɗawa da ɗaukar masu hana ACE da masu hana beta a lokaci ɗaya ko ɗaukar ɗayan tare da wasu nau'ikan maganin shan jini kamar masu hana angiotensin masu karɓar baƙi (ARBs).
Masu hana ACE da masu hana beta suna aiki daban kuma suna niyya ga sassa daban-daban na jiki. Ta wannan hanyar, zasu iya taimakon juna.
Gargadi
Dukansu masu hana ACE da masu hana beta iya zama haɗari ga mata masu ciki. Suna iya haifar da dizziness daga ƙananan jini kuma suna iya haifar da lahani na haihuwa. Idan kuna da ciki ko kuma zaku iya samun ciki, magana da likita ita ce hanya mafi kyau don sanin ko masu hana beta ko masu hana ACE sun dace da ku.
Masu hana ACE suna ɗaga matakan potassium na jini, don haka sa ido kan shan potassium lokacin magani ya zama dole. A sakamakon haka, shan karin sinadarin potassium ko amfani da gishirin da ke dauke da sinadarin na iya haifar da yawan sinadarin potassium (hyperkalemia). Hyperkalemia na iya haifar da wasu, da ke haifar da barazanar rayuwa. Kwayar cutar hyperkalemia sun hada da rudani, bugun zuciya ba bisa ka'ida ba, da daddawa ko suma a hannu ko fuska.
A gefe guda, wasu masu hana beta na iya ƙara triglycerides da rage matakan kyakkyawan cholesterol. Wannan yawanci na ɗan lokaci ne amma yana iya shafar marasa lafiya da ciwo mai illa.
Magungunan ƙwayoyi-miyagun ƙwayoyi
Masu hana ACE da masu toshe beta ba zasu iya yin aiki mai kyau ba idan aka ɗauke su tare da magungunan anti-inflammatory marasa steroid (NSAIDs) kamar ibuprofen, Advil, da Aleve. Yi magana da likitanka kafin shan kowane NSAIDs yayin ɗaukar masu hana ACE, beta blockers, ko duka biyun.
Sauya sheka daga masu hana beta zuwa masu hana ACE
Wani lokaci, likita na iya canza takardar sayan ku don mai hana beta zuwa mai hana ACE ko akasin haka.
A cikin yanayin da marasa lafiya ke fama da karancin bugun zuciya ko rashin lafiyar jiki, ko dai ya kamata a rage yawan masu tosta beta, ko kuma za a iya amfani da wani magani na hawan jini kamar ACEi, in ji shi Atif Zafar , MD, daraktan likita na Jami'ar New Mexico Stroke Program. A wani yanayin, inda marasa lafiya ke fama da cututtukan jijiyoyin jini (kamar ƙarancin jijiyoyin jijiya), ACEi ba da shawarar don kula da hawan jini ba. Sauran magungunan BP sun fi dacewa ga waɗanda ke fama da cutar.
Wasu karatu bayar da shawarar cewa sauyawa daga masu hana beta zuwa masu hana ACE na iya taimakawa rage alamun alamun bacci da haɓaka haɓaka. Koyaya, wannan ba lallai yana nufin cewa masu hana beta sun fi masu hana ACE kyau ba.
Kowane magani yana da ma'ana kuma yana iya zama mafi alh betterri a magance wani yanayi na musamman fiye da wani. [Masu hana ACE] maganin farko ne yayin da aka keɓance masu hana beta a matsayin maganin layi na biyu don sarrafa BP, in ji Dokta Zafar. Koyaya, a cikin marasa lafiya tare da cututtukan jijiyoyin jijiyoyin jini (CAD), ko kwanciyar hankali na cututtukan zuciya kamar yadda ya kamu da hauhawar jini, masu hana beta da ACEI ana ba da shawarar zaɓin layin farko.
Mafi mahimmanci, magana da likita ko ƙwararren likita ita ce hanya mafi kyau don sanin ko sauyawa daga masu hana beta zuwa masu hana ACE shine zaɓin da ya dace a gare ku dangane da amsar ku da magani da kuma duk wata illa da kuka samu.
Sakamakon sakamako
Kamar yadda yake tare da kowane magani, koyaushe akwai yuwuwar illa. Akingaukar masu hana beta, masu hana ACE, ko duka na iya haifar da wasu lahani masu zuwa:
| ACE mai hanawa vs. beta toshe sakamakon illa | |
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| ACE mai hana sakamako masu illa | Beta toshe sakamakon illa |
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Wannan jerin abubuwan tasirin ba cikakke bane. Kwararren likita na iya ba ku cikakken jerin abubuwan illa waɗanda ke haɗuwa da masu hana ACE vs. beta blockers.
Kodayake ba safai ake samun sa ba, masu hana ACE da beta beta suna iya haɗuwa da mafi munin illa. Shan masu hana ACE na iya haifar angioedema , yanayi ne wanda ba safai yake haifar da kumburin fuska ba wasu sassan jiki. Masu hana ACE na iya haifar da gazawar koda ko raguwar ƙwayoyin jinin farin.
Masu toshe Beta sun haifar da mummunan cutar asma. Ga mutanen da ke fama da ciwon sukari, masu hana beta na iya hana jiki nuna alamun ƙananan sukari cikin jini (kamar rawar jiki da bugun zuciya). Dole ne a kula da matakan karfin jini da bugun zuciya yayin ɗaukar beta toshewa.
Menene mafi kyawun magungunan hauhawar jini?
Kodayake babu wani magani guda daya wanda yafi dacewa don magance hauhawar jini, masu hana ACE da masu hana beta suna daga cikin shahararrun nau'ikan magungunan hauhawar jini. Magungunan da aka tsara zai dogara ne akan tarihin lafiyar mutum, alamomi, da kuma martani ga magani. Kwararren likita zai iya taimakawa wajen ƙayyade mafi kyau maganin hawan jini bisa tsarin shari’a. Ga jerin wasu magungunan da aka fi dacewa don maganin cutar hawan jini:
| ACE mai hanawa da magungunan beta | |
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| ACE masu hanawa | Masu hana Beta |
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Ana zaban magungunan hawan jini ne bisa la’akari da yadda suke rage karfin jini da kuma rage barazanar kamuwa da bugun zuciya, shanyewar jiki, da gazawar zuciya, a cewarJaridar Americanungiyar Hawan jini ta Amurka. Idan mai hana ACE ko mai hana beta ba zai yi aiki a gare ku ba, likitanku na iya ba da shawarar wani nau'in maganin ƙwanƙwasa jini, irin su masu toshe tashar calcium, masu yin diuretics, masu hana alpha, da sauransu.
Bugu da ƙari, canje-canje na rayuwa na iya taimakawa sarrafa hawan jini tare da magunguna. Amma a sama da duka, ƙwararren likita na iya taimaka ƙayyade mafi kyawun shirin magani a gare ku dangane da alamun ku da tarihin lafiyar ku.
