Ranexa (ranolazine) sabon magani ne, wanda ke da mahimmanci na aikin, wanda ake amfani dashi don maganin angina . An nuna Ranexa don bunkasa yawan lokutan marasa lafiya tare da angina mai kwakwalwa na iya motsa jiki kafin bunkasa bayyanar cututtuka kuma FDA ta amince da shi a shekarar 2008 a matsayin wakilin farko na angina.
Da farko an yi imani cewa Ranexa ya sa zuciyar tsohuwar canzawa ta amfani da albarkatun mai ga glucose don samar da makamashi, wanda zai rage adadin oxygen zuciyar tsoka da ake bukata don aiki.
Kwanan nan, duk da haka, shaida ta fito da ya nuna babban tasiri na Ranexa shine toshe abin da ake kira "sodium channel" a cikin zuciya, wanda ke fama da ischemia , ko rashin isashshen oxygen da ke hade da atherosclerosis , a cikin suturar jini . Yin watsi da wannan tashar sodium yana inganta metabolism a cikin jiki mai yaduwar ƙwayoyin cuta, rage lalacewa ga tsoka da tsoka, da kuma rage cututtukan angina.
Mene ne Angina?
Angina zafi ne ko rashin jin daɗi a cikin kirji wanda ke haifar da tsoka da ƙwayar jikin jini. Wadansu suna kwatanta jin dadi ko skeezing, kuma rashin jin daɗi zai iya ji a cikin kafurai, makamai, wuyansa, jaw ko baya baya ga kirji. Jin zafi angina zai iya zama kamar rashin ciwo.
Angina alama ce maimakon cutar a ciki. Yawancin lokaci, yana nuna cututtukan zuciya na jijiyoyin zuciya (CHD) sakamakon sakamakon raguwa da ɗaya ko fiye na arteries na jini, wanda aka sani da ischemia.
An yi amfani da Ranexa don magance angina na yau da kullum, amma akwai sauran nau'in angina, ciki har da angina na microvascular, angina na Prinzmetal, angina barci, angina maras kyau da angina.
Ra'idodi na Ranexa
Mafi yawan kwayoyin cutar Ranexa sune sanadin ciwon kai, maƙarƙashiya, da tashin hankali.
Sauran ƙananan sakamako masu illa sun haɗa da:
- dizziness ko kuma motsa jiki
- ciwon kai
- bushe baki
- rashin ƙarfi
- Kunna a kunnuwa
Bugu da ƙari, yayin da kake ɗaukar Ranexa, yana da muhimmanci a kula da duk wani mummunan sakamako mai tsanani kuma nemi shiriya ta hanyar likita idan sun faru:
- jin kamar kuna iya fita
- kumburi a hannu, idon kafa, ko ƙafa
- jinkirin, azumi, ko lalata zuciya
- girgiza
- jini a cikin fitsari
- urinating ƙasa akai-akai ko a'a
- rashin ƙarfi na numfashi
- rashes, raguwa, tingling, numbness, zafi, ko rauni na tsoka
Da farko, babban damuwa game da Ranexa shi ne cewa zai iya tsawanta "QT tazara" a kan ECG (ƙididdigar aikin lantarki cikin zuciyar). Wasu kwayoyi tare da wannan tasiri na iya ƙara haɗarin haɓaka ƙirar zuciya mai ƙyama . Duk da haka, bincike mai zurfi ya nuna wannan hadarin ya zama kadan ko babu tare da Ranexa. A gaskiya ma, Ranexa yanzu an nuna shi a hakika ya rage hadarin ƙaddarar ƙwararrun ƙwararrun ventricular da fibrillation .
Bugu da ƙari, mutanen dake da cirrhosis (hawan) hanta ba za su dauki Ranexa ba, kuma kada mutane su dauki St. John's wort da wasu magunguna don:
- ciwon naman gwari
- cututtuka
- bakin ciki
- HIV
- Tarin fuka (TB)
- kama
Sources:
Chaitman, BR. Ranolazine don maganin angina mai ciwo da kuma amfani da shi a wasu yanayi na zuciya. Yanayin 2006; 113: 2462.
Morrow DA, Scirica BM, Karwatowska-Prokopczuk E, et al. Halin ranolazine a kan ciwon zuciya na zuciya a cikin marasa lafiya tare da rashin ST-elevation babban cututtukan coronary syndrome. Mista MERLIN-TIMI 36 da aka ƙaddamar. JAMA 2007; 297: 1775-1783.
Belardinelli L, Shryock JC, Fraser H. Hanyoyin aikin ranolazine don rage lalacewar diastolic mai kwakwalwa. Eur Heart J Suppl (Fabrairu 2006) 8 (mai suna A): A10-A13. Doi: 10.1093 / eurheartj / sui091.