Fahimtar matsala da lafiyar hauhawar jini
Saboda cutar hawan jini da kuma asma suna cike da cututtuka, yana da mahimmanci don mutane su kasance a lokaci guda. Yayinda wannan haɗuwa ba ta da haɗari mai ban sha'awa, zai iya gabatar da wasu matsalolin maganin matsalolin. Saboda wasu daga cikin magungunan maganin jini da suka fi dacewa da kuma tabbatarwa sun haifar da mummunar tasiri ga mutanen da ke fama da ciwon fuka, ana buƙatar kulawa don tasowa da tsare-tsaren magani.
Matsalar Harkokin Harkokin Harkokin Harkokin Halin Matsala
Daga cikin kwayoyi daban-daban don maganin cutar hawan jini, beta blockers da angiotensin-converting enzyme (ACE) masu hanawa sun fi yiwuwar haifar da matsaloli a cikin marasa lafiya asthmatic.
Me yasa Beta-Blockers Matsala
Beta blockers zai iya zama matsala saboda kasancewar masu karɓar beta a kan hanyoyi na numfashi. Duk da yake katange aikin masu karɓar beta akan tasoshin jini shine tasirin da ake so lokacin da ake maganin cutar hawan jini saboda ya sa jini ya buɗe, hana masu karɓar beta a kan hanyoyi na numfashi ya sa hanzarin hanyoyi su ƙuntatawa kuma zai haifar da sakamakon haɗari.
Masu beta masu amfani da cutar hawan jini ba su da zaɓaɓɓu, don haka ba su yin aiki mai kyau rarrabe tsakanin nau'o'in masu karɓa a kan tasoshin jini da hanyoyi na numfashi. Wannan ya bambanta da beta-agonist ko stimulating, da kwayoyi da ake amfani dasu don magance fuka, kamar su albuterol, wanda ke sa ido kawai ga masu karɓa a kan hanyoyi na numfashi.
Beta-1-Yanki Beta Beta
Saboda beta blockers suna da tasiri a magance cutar hawan jini, an yi ƙoƙari don samar da sifofi da suka yi aiki mafi kyau bambanta tsakanin jini da sassa na numfashi. Wadannan kwayoyi, wanda ake kira beta-1-selective blockers, an hõre da dama gwaje-gwaje na asibiti don sanin su lafiya a cikin marasa lafiya asthmatic.
Gwajen gwaje-gwaje da gwaji sun nuna cewa yayin da beta-1-blockers basu da lafiya ga marasa lafiya na asthmatic, har yanzu suna nuna halin da za su hana ƙwayar respiratory a cikin wasu mutane. Saboda haka, ko da wadannan magungunan zaɓuɓɓuka masu mahimmanci sun zama wajabta izini ga waɗanda ke fama da ciwon fuka.
Me yasa masu hana ACE iya zama matsala
Tare da beta blockers, masu hana ACE za su iya gabatar da wasu matsaloli idan kana da fuka. Ɗaya daga cikin magungunan da suka fi rinjaye na ACE masu rinjaye shine maganin rikicewa, maras nauyi, wanda ke faruwa har zuwa kashi 20 cikin dari na mutane. Nazarin ya nuna cewa wannan tari yana fitowa daga irin yanayin motsa jiki da ake kira "fuka-fuka", ma'ana cewa aikin cikin sassa na numfashi yana shafar cutar fuka. Yayinda halayen halayyar mai rikici zuwa ga masu kwantar da hankali na ACE sun kasance masu wuya a cikin mutanen da ke fama da asma, an ruwaito su. Saboda wadannan dalilai, yawancin magunguna na ACE ba a la'akari da su na farko ba (na farko) magani na zabi, ko da yake ana iya amfani da su har muddin likitanku suna kula da sakamakon su.
Tsare-tsaren Kwayoyin Harkokin Tsaro
Yawancin kwayoyi don maganin hauhawar jini yana da lafiya don amfani da marasa lafiya da ciwon fuka, ciki har da:
Ba'a nuna alamar mai kwakwalwa ba, da kuma ARBs, don haifar da wani haɗari ko ƙananan haɗari a marasa lafiya na asthmatic, kuma waɗannan kwayoyi sune zaɓuɓɓukan magani. Masu amfani da ma'auni na ƙwayoyin Calcium suna da amfani da su ne na farko saboda yawan rikodi da ƙananan kuɗi.
Diuretics iya haifar da Low potassium
Ɗaya daga cikin magunguna na jiyya-a duk marasa lafiya, ba kawai waɗanda suke da ciwon sukari ba-potassium ne mai ma'ana, mai suna hypokalemia. Ko da yake duk marasa lafiya da aka bi tare da diuretics suna da haɗarin haɗarin hypokalemia masu tasowa, wannan hadarin ya fi girma idan kana amfani da magungunan asma. Magunguna na ƙwayar magungunan ƙwayoyi suna da wataƙila ta tilasta potassium daga jini da kuma cikin cikin jikinka, inda ba kyauta ba ne.
Wannan hali, tare da yanayin da ake yi da potassium, shine ma'anar idan kun yi amfani da waɗannan nau'i biyu na kwayoyi a lokaci ɗaya, kuna buƙatar yin la'akari da matakan potassium ku akai-akai. Bugu da ƙari, likitanku zai sanya ku a kan wani kashi mai low na diuretic don rage hadarin hypokalemia.
Sauran Hanyoyin Harkokin Harkokin Harkokin Hoto
Wasu kwayoyin cutar karuwar jini suna dauke da rashin aminci ko rashin lafiyar su don amfani da mutanen da suke fama da asma. Yawancin lokaci, wannan yanayin da ba a bayyana ba saboda ƙananan kwayoyi ba a yi nazari sosai a cikin mutanen da ke dauke da hawan jini da fuka. A gaskiya ma, mafi yawan wadannan kwayoyi-ciki har da clonidine da hydralazine-sun kasance da wuya a yi amfani da ita, wanda ya sa ra'ayin yin nazari sosai game da amfani da su a cikin marasa lafiya na asiri.
> Source:
> Weinberger SE, Kaplan NM. Jiyya na Harshen jini a Asthma da COPD. Na zamani. Updated Fabrairu 1, 2016.