Mafi mahimmancin maganin hauhawar jini shine karfin tsari da wuri da gano da kuma bi da mahimman lamarin. Duk da haka, a cikin marasa lafiya da yawa da wannan yanayin, farfadowa mafi girma ya zama dole.
Bincike Baseline
Mataki na farko a zalunta da hawan jini na jini shine a tantance ainihin matsanancin yanayin. Wannan gwaji yana taimaka wa likita ya yanke hukunci akan yadda zai kasance tare da magani, kuma yana bada hanya don tantance maimaitawar maganin.
Ana yin hakan ta hanyar yin wani echocardiogram , wanda zai bada kimantawa na matsa lamba na rikici, da gwajin gwaji don auna ma'aunin aikin aiki.
Jiyya Yarda da Mahimmancin Jakada
Yawancin lokaci, yin zalunci da mahimmancin maganin hauhawar jini na jini shine mafi mahimmanci na farfadowa. Tun da akwai matsalolin likita da yawa waɗanda zasu iya haifar da hawan jini na jini, wannan farɗan zai iya daukar nau'o'i daban-daban.
Jiyya Sau da yawa Amfani ga Dukkanin Rawanin Hawan jini
Bugu da ƙari, maganin da aka yi amfani dasu musamman a magance matsalar mahimmanci, akwai maganin da ke taimakawa duk wanda yake da hawan jini.
Wadannan sun haɗa da:
- Diuretics kamar Lasix ko Bumex ana amfani dashi don magance tsaftace ruwan da sau da yawa yakan faru tare da hauhawar jini. Duk da yake diuretics iya inganta dyspnea da edema (busa), dole ne a yi amfani da hankali tun da kawar da ruwa mai yawa a cikin marasa lafiya tare da hauhawar jini na jini iya worsen cardiac aiki.
- Maganin Oxygen yana da muhimmanci ga kowa tare da hauhawar jini wanda yake da hypoxia (rage yawan iskar oxygen). Lokacin da hypoxia ke kasancewa, ba da izinin oxygen zai iya sauke kai tsaye a kan matsa lamba. Magunguna wanda cutar ta karuwan jini ta haifar da cututtuka na huhu ko cututtuka na zuciya sun fi dacewa da hypoxia, amma duk wanda ke dauke da hauhawar jini ya kamata a bincika samfurin oxygen jini.
- Ana yin amfani da tsofaffin magunguna irin su Coumadin a marasa lafiya tare da hauhawar jini. Wannan shi ne saboda hawan jini na jini yana iya haifar da yaduwar jinin jini ta hanyar kwakwalwa ta jiki, wanda zai haifar da katsewa a cikin jini a cikin huhu. Karanta game da kwayoyi amfani da su don hana yaduwar jini .
- Digoxin zai iya inganta aiki na zuciya a wasu marasa lafiya da hauhawar jini.
- An nuna motsa jiki don bunkasa ƙarfin aiki na mutane tare da hauhawar jini.
Advanced Far
"Babbar farfadowa" don hauhawar jini na jini yana nufin ciwon hawan jini na jini, maimakon maɗaukaki. Wannan farfadowa yana kunshe da amfani da kwayoyi vasodilator don yunkurin kwantar da hankalin kwayar cutar da kuma rage matsalolin mahaifa.
Advanced farmer ana kiransa "ci gaba" ba saboda yana da tasiri fiye da hanyoyin kiwon lafiya mafi yawa, amma saboda yana da rikice, mai sauƙi, tsada sosai, kuma sau da yawa m (alal misali, yana iya buƙatar ciwon magunguna). Dole ne farfadowa na ci gaba ne kawai don likitocin da suke gwada maganin hauhawar jini.
Anyi la'akari da farfadowa a cikin marasa lafiya da ciwon hawan jini mai tsanani wanda bai dace da maganin da ake nufi dasu ba, ko, musamman ma, idan babu dalilin da ya sa (wato, mutanen da ke dauke da hawan jini).
Ba a yi amfani da farfadowa mafi girma ba a cikin mutane wanda ke dauke da cutar karuwar jini saboda cutar cututtukan zuciya (inda aka nuna alamun farfadowa da zai iya cutar da shi), ko cutar kututtuka (inda akwai rashin bayanai da ke nuna amfana) .
Kafin yin ƙoƙari na farfadowa, an yi nazari akan ƙwaƙwalwar ƙwaƙwalwar zuciya ta zuciya don tantance "farfajiyar jiki" na kwakwalwa. A wannan gwaji, ana ba da kwayoyi don tantance ko jini na jini yana iya dilating. Idan haka ne, wasu nau'o'in farfadowa na ci gaba zasu iya zama tasiri.
Yawancin kwayoyi sun ci gaba don magance hauhawar jini, ciki har da:
- Kwayoyin launi na calcium irin su diltiazem da nifedipine
- Prostanoids kamar Flolan (epoprostenol), Remodulin (treprostinil), da kuma Ventavis (iloprost)
- Abokan masu karɓar maganin endothelin kamar Tracleer (bosentan), Letaris (ambrisentan), da Opsum (maciteran)
- Masu hana PDE5 kamar Viagra (sildenafil), Cialis (tadalafil), da Levitra (vardenafil)
- Guanylate cyclase stimulant kamar Adempas (riociguat)
Wannan jerin jerin zaɓuɓɓuka na yin tsari na zabar magungunan "mafi kyau" ko kuma "mafi kyau" haɗuwa da ƙwayoyin magungunan ƙwayoyi. Akwai dalilai masu yawa da za a yi la'akari da yin wannan zabin, ciki har da mummunan cututtuka, da karfin hauhawar jini, da nauyin rashin aiki, ko wasu magungunan kwayoyi suna rufe su da asibiti na kiwon lafiya, da kuma sakamakon illa mai yiwuwa. Wannan shine dalilin da yasa likitocin da suka dace su magance hauhawar jini.
Takaitaccen
Mafi kyawun magani na hauhawar jini na iya zama mai wahala da hadaddun. Magunguna da hauhawar jini sune mafi kyau waɗanda suke yin haɗin gwiwa tare da likitocin su, suna taka muhimmiyar rawa wajen yanke shawara akan farfadowa, ta hanyar lura da rahotanni game da matsayi na alamun bayyanar su da kuma aikin aiki, da kuma bin yadda aka amince da su a tsarin kulawa sosai.
Sources:
Galie, N, Hoeper, MM, Humbert, M, et al. Sharuɗɗa don ganewar asali da kuma maganin hauhawar jini. Eur Respir J 2009; 34: 1219.
McLaughlin VV, Archer SL, Badesch DB, et al. ACCF / AHA 2009 mashawarcin ra'ayi game da hauhawar jini na jini wanda rahoto na Cibiyar Kasuwanci na Ƙungiyar Harkokin Kasuwanci na Amirka game da Takardun Shawarar Kwararru da Ƙungiyar Amincewa ta Amirka sun haɓaka tare da haɗin gwiwar Cibiyar Kwalejin Kasuwancin Amirka; American Thoracic Society, Inc. da kuma Kungiyar Harkokin Harkokin Harkokin Kwayar Pulmonary Association. J Am Coll Cardiol 2009; 53: 1573.
Galiè N, Corris PA, Frost A, et al. Gyara maganin da ake yi na magance cutar ta jini. J Am Coll Cardiol 2013; 62: D60.