Masu fashin launi na Calcium sune babban nau'i na kwayoyi da ake amfani da su don magance matsaloli na zuciya da dama ciki har da angina , hauhawar jini , supraventricular tachycardia , da hypertrophic cardiomyopathy .
Bayani
Masu fashewa na launi da kwayoyin halitta sun hana kwayar halitta daga shiga cikin ƙwayoyin tsoka da ƙwayoyin zuciya, da kuma cikin ƙwayoyin tsofaffin tsoka wanda ke haifar da tasirin jini.
Ta hanyar rage gwangwadon masara, mahaɗin magungunan calcium ya sa wadannan kwayoyin halitta su "shakatawa." Wannan sakamako mai dadi yana haifar da yaduwar jini, da kuma rage yawan karfin zuciya.
Wasu mashigin magungunan ƙwayoyin calcium kuma suna jinkirta kullun sinus da kuma nauyin da wutar lantarki ta ji ta watsa ta cikin kodin AV . Wadannan illa sun sa masu kwasfa na asibiti da amfani wajen magance wasu arrhythmias .
Dukkan abubuwan da ke tattare da masu kwalliya (ƙwaƙwalwar jini, raguwa a cikin ƙwayar ƙwayar tsoka, da hankali cikin zuciya) rage adadin oxygen da tsohuwar zuciya ta buƙata.
Rage yawan adadin oxygen da zuciya ta amfani da ita ya ba da damar yin aiki tsawon lokaci ba tare da ciwon iskarmia ba , ko da lokacin da jini ya gudana ta hanyar jigilar jini a cikin ɓangaren da aka katange ta wani nau'i na atherosclerotic . A cikin marasa lafiya tare da bargaren angina , masu ƙwayoyin calcium sukan kara adadin motsa jiki da za a iya yi kafin angina ta auku.
Masu suturar calcium zasu iya zama masu amfani da marasa lafiya tare da angina na Prinzmetal (cututtuka na jijiyoyin jini) tun lokacin da zasu iya hana rigakafin suturar jini.
Iri
Yawancin masu jefa kuri'a a kasuwar, kuma ba su da daidai. Akwai nau'o'i uku da ake amfani da su a cikin masu amfani da allurar calcium:
1) Dihydropyradines .
Ana amfani da kwayoyi dafedipine (Procardia, Adalat), nicardipine (Cardene), felodipine (Plendil), da kuma amlodipine (Norvasc), wato dihydropyridines. Wadannan kwayoyi suna haifar dashi na jini kuma suna da tasiri a kan zuciya da kuma zuciya. Su ne mafi amfani ga magance hauhawar jini.
2) Verapamil. Vedraamil (Calan, Covera, Isoptin, Verelan) yana shafar tsoka da ƙwayar zuciya kuma yana da tasiri sosai a rage jinkirin zuciya, amma yana da tasiri akan tasoshin jini. Ba shi da amfani ga hauhawar jini amma yana da kyau ga angina da cututtukan zuciya.
3) Diltiazem. Diltiazem (Cardizem, Dilacor, Tiazac) yana da mummunar tasiri akan duka tsoka da kuma jini. Ya fi dacewa a yi masa haƙuri fiye da yawancin maƙallaran masu kirkiro
Amfani
Jiyya na Angina
An yi amfani da dukkan masu amfani da ƙwayoyin calcium don maganin angina. Duk da haka, mafi yawan wadanda ake amfani da su a cikin ƙwayoyin calcium su ne siffofin da suka fi tsayi na diltiazem da verapamil, amlodipine, ko felodipine.
Ya kamata a kauce wa bautar jiki, musamman ma siffofinsa na gajeren lokaci, a marasa lafiya tare da angina, tun lokacin da aka nuna cewa jirgin ruwan jini ya haifar da wannan ƙwayar cuta zai iya karuwa a cikin adrenaline, wanda zai haifar da saurin zuciya, wanda zai iya ƙara chances na bunkasa ischemia cardiac).
Bugu da ƙari, yayin da masu launi na ƙwayoyin calcium suke da amfani ga angina mai juyayi, an dauke su zama kasa ga beta blockers . Shawarar yanzu sune:
- Dole ne a gwada masu kwari na calcium a marasa lafiya wanda ba zai iya jure wa beta blockers.
- Dole ne a kara masu haɗin gwiranci zuwa beta blockers a marasa lafiya waɗanda basu da cikakken taimako daga bayyanar cututtuka tare da beta blockers.
Sauran Ƙunannun Ana Amfani
- Hawan jini. Masu amfani da ƙwayoyin calcium na dihydropyradine suna da amfani ga maganin hauhawar jini, kuma ana amfani da su azaman fararen farko na Stage I hauhawar jini. Karanta game da zabar miyagun ƙwayoyi na "dama" don hauhawar jini.
- Adraventricular arrhythmias. Masu launi na calcium (musamman a cikin ƙananan yara) suna sasanta aiki da kodin AV, sabili da haka yana da amfani sosai wajen magance arrhythmias supraventricular dake dogara da kodin AV don su ci gaba. Musamman ma'anar tachocardia na reodon ta'ajiriyar AV (mafi yawancin nau'in supraventricular arrhythmia) ana iya sarrafawa tare da maganin verapamil.
- Hypertrophic cardiomyopathy. Ana iya amfani da masu kwakwalwa na Calcium don taimakawa wajen rage girman "ƙwanƙwasa" na ventricle na hagu a cikin mutanen da ke dauke da cardiomyopathy, kuma ta wannan hanya za su iya rage bayyanar cututtuka.
Hanyoyin Gaba
Hanyoyin da ke tattare da magungunan mahaɗin mai kwakwalwa sun hada da ciwon kai, damuwa, flushing, da ƙafa da ƙafar idon kafa. Vedraamil, musamman ma, yana kula da haifar da maƙarƙashiya.
Saboda masu safarar ƙwayoyin calcium suna rage yawan ƙarfin ƙwayar ƙwayar zuciya, dole ne a yi amfani dasu sosai (idan a kowane lokaci) a cikin marasa lafiya da ciwon zuciya .
Yawancin lokaci shine mafi kyau don kaucewa maganin darar da kuma diltiazem a cikin mutane tare da bradycardia tun lokacin da waɗannan kwayoyi zasu kara jinkirin zuciya.
> Sources:
> Gersh BJ, Maron BJ, Bonow RO, et al. 2011 ACCF / Dokokin Sharuɗɗa na AYA don Bincike da Kula da Hypertrophic Cardiomyopathy: Babban Magana: Rahoton Cibiyar Harkokin Kasuwancin Ƙungiyar Amirka ta Ƙungiyar Harkokin Kasuwancin Amirka da Ƙungiyar Ayyuka ta Ƙungiyar Amurkan Amurka game da Sharuɗɗan Ɗaukaka. Yanayin 2011; 124: 2761.
> Sanya SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS Sharuɗɗa don Bincike da Gudanarwa na marasa lafiya da Stable Ischemic Heart Ciwo: Rahoton Cibiyar Kasuwancin Kwayoyin Kwalejin Kasuwancin Amurka da Ƙungiyar Amirka ta Ƙungiyar Ƙungiyar Aminiya a kan ka'idodin aikin, da Kwalejin Amirka na likitoci, Ƙungiyar Amirka don Tashin Tukagun ƙwayoyi, Ƙungiyar Ƙwararren Ƙwararren Ƙwararren Ƙwayoyin Lafiya, Ƙungiyar ta Hanyoyin Cutar Kwayoyin Tsarin Lafiya da Harkokin Ƙirƙashin Ƙirƙashin Ƙwayar cuta, da Society of Thoracic Surgeons. Yanayin 2012; 126: e354.
> Mancia G, Fagard R, Narkiewicz K, et al. 2013 Jagoran Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Kiwon Lafiya na Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Tsaro na Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Tsaro na Tarayyar Turai (ESC J Hypertens 2013; 31: 1281.