Ke mālama nei i ka hanu kiʻekiʻe me nā Blockers Channel Kalepona

Anter

• ʻO wai ka mea pono e lawe i nā kahakaha kanal o ke kalima?
• Pehea e hana ai i nā mea kahakaha kōlepa
• Nā ʻano o nā lāʻau blocker calcium channel
• He aha nā hopena a me nā pilikia?
• ʻO nā blockers kahiki kūlohelohe

He aha nā blockers aʻa calcium?

ʻO nā kahakaha kalipona (CCBs) kahi papa o nā lāʻau i hoʻohana ʻia e mālama ai i ke koko kiʻekiʻe. Kāhea ʻia lākou he calcium antagonists. Kūleʻa lākou e like me nā mea kāohi ACE i ka hoʻohaʻahaʻa ʻana i ke koko.

ʻO wai ka mea pono e lawe i nā kahakaha kanal o ke kalima?

Hiki i kāu kauka ke kuhikuhi iā CCB inā loaʻa iā ʻoe:

• kahe koko kiʻekiʻe
• nā puʻuwai puʻuwai kūlike ʻole i kapa ʻia ʻo arrhythmia
• ʻeha ka umauma e pili ana i angina

Hiki ke mālama ʻia ke koko kiʻekiʻe me nā ʻano lāʻau ʻē aʻe. Hiki i kāu kauka ke kauoha aku iā CCB a me kekahi lāʻau hypertensive i ka manawa like.

ʻO nā kulekele hou loa mai ke Kulanui ʻAmelika o Cardiology e paipai i nā mea kāohi ACE, diuretics, angiotensin-receptor blockers (ARBs), a me CCB nā lāʻau lapaʻau mua e noʻonoʻo ai i ka mālama ʻana i ke koko kiʻekiʻe. Pōmaikaʻi paha kekahi mau hui o ka poʻe mai CCB i ka hui pū ʻia me nā lāʻau ʻē aʻe, e like me:

• ʻAmelika ʻAmelika
• kanaka me ka maʻi puʻuwai
• nā ʻelemākule
• poʻe me ka maʻi kō

Pehea e hana ai i nā mea kahakaha kōlepa

Hoʻoemi ka CCB i ke kahe o ke koko ma o ka palena ʻana i ka nui o ka puna a i ʻole ka helu e kahe ana ka puna i loko o ka puʻuwai puʻuwai a me nā paia o ke aʻa arterial. Hoʻoikaika ka calcium i ka puʻuwai e hana me ka ikaika. Ke kaupalena ʻia ke kahe o ka calcium, ʻaʻole ikaika ka hoʻoliʻiliʻi o ka puʻuwai me kēlā me kēia pā, a hiki i nā kīʻaha koko ke hoʻomaha. ʻO kēia ke alakaʻi i ka haʻahaʻa o ke koko.

Loaʻa nā CCB i kekahi mau ʻano waha, mai ka hana pōkole ʻana i nā papa i nā capsule hoʻolōʻihi ʻia. E hilinaʻi ke ana ma kāu olakino olakino holoʻokoʻa. E noʻonoʻo pū kāu kauka i kou mau makahiki ma mua o ke kau ʻana i kahi lāʻau hoʻohaʻahaʻa kaomi koko. Hiki i nā CCB ke hana i nā hopena ʻē aʻe i ka poʻe ma mua o 65 mau makahiki.

Nā ʻano o nā lāʻau blocker calcium channel

Hoʻokumu ʻia nā papa nui ʻekolu o nā lāʻau CCB ma kā lākou hanana kemika a me ka hana.

• ʻO Dihydropyridines. Hana nui kēia mau mea ma nā aʻa.
• ʻO Benzothiazepines. Hana kēia mau mea ma ka puʻuwai puʻuwai a me nā aʻa.
• Nā Phenylalkylamines. Hana kēia mau mea ma ka puʻuwai puʻuwai.

Ma muli o kā lākou hana, dihydropyridines e hoʻohana pinepine ʻia e mālama i ke kiʻekiʻe ma mua o nā papa ʻē aʻe. Loaʻa kēia i ko lākou hiki ke hōʻemi i ke kaomi arterial a me ke kūpaʻa vascular. ʻO ka Dihydropyridine calcium antagonists ka hopena ma ka hope "-pine" a hoʻopili pū me:

• amlodipine (Norvasc)
• felodipine (Plendil)
• isradipine
• nicardipine (Cardene)
• nifedipine (Adalat CC)
• nimodipine (Nymalize)
• nitrendipine

ʻO nā CCB i kuhikuhi pinepine ʻia e hoʻohana ai e mālama i ka angina a me nā puʻuwai puʻuwai ʻole he verapamil (Verelan) a me diltiazem (Cardizem CD).

He aha nā hopena a me nā pilikia?

Hiki i nā CCB ke launa pū me nā lāʻau ʻē aʻe a i ʻole nā ​​mea hoʻopihapiha āu e lawe ai. E ʻike pono i kāu kauka i kahi papa inoa hou o kāu mau lāʻau āpau, nā wikamina, a me nā mea hoʻopili lāʻau.

ʻAʻole pono e lawe pū ʻia nā CCB a me nā huahana grapefruit, me nā hua a me ka wai holoʻokoʻa. Hoʻopilikia nā huahana hua hua i ka excretion maʻamau o ka lāʻau. He weliweli paha ia inā hōʻiliʻili ka nui o nā lāʻau i kou kino. E kali ma ka liʻiliʻi ʻehā mau hola ma hope o kou lawe ʻana i kāu lāʻau i mua o ka inu ʻana i ka wai huaʻikuʻu a ʻai paha i ka huaʻulu.

Nā hopena o CCB me nā:

• ʻūpā
• ʻeha poʻo
• kōpaʻa
• puʻuwai puʻuwai
• nausea
• kahi ʻōʻili o ka ʻili a huelo paha, ka ʻulaʻula o ka maka
• pehu i nā ʻūlū haʻahaʻa
• luhi

Hiki i kekahi CCB ke hoʻohaʻahaʻa i ke kiʻekiʻe o ke kō glucose i kekahi poʻe. E haʻi i kāu kauka e pili ana i nā hopena āpau āu e ʻike nei. Hiki iā lākou ke hoʻoponopono i kāu mea hana a koi paha iā ʻoe e hoʻololi i kahi lāʻau ʻē aʻe inā hoʻolōʻihi ʻia nā ʻaoʻao, ʻoluʻolu ʻole, a i ʻole hoʻoweliweli i kou olakino.

ʻO nā blockers kahiki kūlohelohe

ʻO ka magnesium kahi hiʻohiʻona o kahi mea momona e hana ma ke ʻano he CCB kūlohelohe. Ua hōʻike ʻia nā noiʻi i nā pae kiʻekiʻe o ka magnesium e ālai i ka neʻe ʻana o ka calcium. I loko o nā noiʻi holoholona, ​​he mea maikaʻi loa ka hoʻopili ʻana o ka magnesium i ka poʻe ʻōpio me ke kahe o ke koko kiʻekiʻe, ma mua o ka hoʻomohala ʻana o ka hypertension. Me he mea nō hoʻi e lohi i ka holomua i ke kiʻekiʻe kiʻekiʻe. ʻO nā meaʻai momona a magnesium me:

• laiki palaunu
• ʻalemona
• pīnani
• ʻumeke hānai
• ʻākala oat
• palaoa palaoa i wili ʻia
• soya
• pīni ʻeleʻele
• maiʻa
• milo
• ʻāpala

E noi i kāu kauka inā pili ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka magnesium i ka ikaika o nā CCB āu e lawe nei.