Angiotensin juyawan enzyme (ACE) inhibitors su ne magungunan magunguna wanda ya rage karfin jini. Ana amfani da masu hana ta ACE don magance hauhawar jini (cutar hawan jini), cututtuka na jijiyar zuciya da kuma rashin zuciya, kuma don taimakawa wajen sarrafa cigaba da ciwon sukari da kuma koda.
Bayani
Wadannan ƙwayoyin cuta sun kasance suna hannun hannu; Ƙin jini yana da yawa a cikin mutane da ciwon sukari.
Halin ƙin jini yana taimakawa wajen cigaba da cutar nepatropathy (cututtukan koda).
Bugu da ƙari kuma, waɗanda ke fama da ciwon sukari suna da mummunan sakamako (karin kwantaragin, lokuta masu tsadawa da haɗari masu tsanani) daga manyan matsalolin zuciya. Sabili da haka, masu kula da lafiya suna bi da hauhawar jini tare da haɗari da ciwon sukari .
Duk da yake masu hanawa na ACE ba su zubar da jini ba, za su iya taimakawa wajen yin amfani da jini ta hanyar kara yawan karfin jiki ga insulin. Insulin yana taimaka wa jikin jikin glucose (sukari) da kuma motsa shi daga jini zuwa cikin sel, inda yake aiki a matsayin tushen makamashi.
Yawancin masu hanawa na ACE suna samuwa a Amurka, ciki har da Capoten (captopril), Prinivil da Zestril (lisinopril), Vasotec (enalapril), Lotensin (benazepril), Altace (ramipril), Accupril (quinapril), Monopril (fosinopril), Mavik ( trandolapril), Aceon (perindopril) da Univasc (dreamxipril).
Yadda suke aiki
Masu hana ACE sun rage karfin jini ta hanyar hana jiki daga samar da hormone angiotensin II. Angiotensin II yana haifar da vasoconstriction (raguwa da jini) da kuma riƙewar ruwa, wanda ya haifar da hauhawar jini. Ta rage karfin jini da kuma riƙewar ruwa, masu hana ta ACE suna taimakawa wajen magance matsalar zuciya.
Masu hana ta ACE na iya hanawa da kuma kula da cutar nepatropathy (cututtukan koda) da kuma taimakawa wajen kula da cututtuka na ciwon sukari (matsalolin ido). Masu hana ACE ba su rage jinkirin zuciya ko kai tsaye na jini.
Tarihin Amfani
Masu hana ACE sun kasance FDA-sun yarda da maganin hauhawar jini tun 1981. A tsawon lokaci, mai amfani da mai hana ACE ya fadada ƙaruwa sosai don magance cututtuka na zuciya da jihohi.
Wanda ya kamata ya guji
Mutane masu fama da jini da yawa (hypotension), ko waɗanda suka sami rashin lafiyar ko tari da suka shafi masu hana ACE, kada su yi amfani da masu hana ACE. Ba ma wadanda suke da ƙwaƙwalwar ƙwaƙwalwar jini, mata masu ciki da mata masu ƙoƙari suyi juna biyu.
Mutanen da ke da gagarumar lalacewar koda sun buƙaci gyaran masu hana ACE.
Hanyoyi da Hanyoyi
Duk magungunan maganin jini yana ɗauke da hadarin hypotension, tare da bayyanar cututtuka ciki har da lightheadedness, dizziness, tashin zuciya, sweating da yiwuwar asarar sani.
A takaice, masu hanawa na ACE na iya haifar da sukarin jini (hypoglycemia). Wannan yana faruwa a mutanen da ke fama da ciwon sukari waɗanda ke da matakan jini wanda ke da iko da sarrafawa da sauran magungunan antidiabetic.
Masu hana ACE za su iya haifar da tari a wasu mutane. Idan wannan ya faru, ya kamata su tattauna wannan tare da masu kula da lafiyar su, waɗanda zasu iya maye gurbin magungunan jini.
Sauran 'Ƙirar Labarin' Ana amfani
Masu maganin ACE zai iya taimakawa wajen hana fararen ciwon sukari iri na 2 . Bugu da ƙari, masu hanawa na ACE na iya taimakawa wajen sarrafa ƙwayar zuciya, musamman idan aka yi amfani da su bayan ciwon zuciya.
Ana amfani da masu amfani da ACE a layi a cikin maganin irin wannan cututtuka irin su arthritis na rheumatoid, migraines, abubuwan da Raynaud da Bartter suka samu.
Manufofin lafiya
Angiotensin masu karbaran masu karɓa (ARBs) sunyi kama da masu kwance ACE. Mutanen da ke rashin lafiyar masu hana ACE ko wadanda suka bunkasa tari da suka shafi masu hana ACE suna iya canzawa zuwa ARBs tare da sakamako mai kyau. Mutane da ke fama da ciwon sukari ya kamata su fada wa masu kiwon lafiya dukansu game da duk wasu kwayoyi da magungunan magunguna, da kowane kayan lambu da kuma kari a halin yanzu ana amfani da su, kafin su fara ɗaukar masu zanga-zangar ACE.
Mutane a kan wadanda suka hana ACE ya kamata su duba tare da masu kula da lafiyar su kafin su fara sabon magunguna.
Sources:
Bakris, George L. "Kula da Hawan jini a Ciwon sukari Mellitus." UpToDate.com. Dec. 11, 2015. UpToDate .. (biyan kuɗi).
Kaplan, Norman M., da kuma Burton D. Rose. "Masu maganin ACE da ke Kula da Hawan jini." UpToDate.com. 2014. UpToDate. (biyan kuɗi)
McCulloch, David K., da R. Paul Robertson. "Tsinkaya da Rigakafin Cututtuka na 2 na Mbetitus." UpToDate.com. 2007. UpToDate. 7 Sep. 2007. (biyan kuɗi).