Abun magungunan enzyme (ACE) na Angiotensin sune na farko na karewa wajen magance rashin zuciya na zuciya (CHF), yanayin da ke barazanar rayuwa wanda zuciyar bata bugun jini sosai ga gabobin.
Yadda suke aiki
An yi nasarar amfani da shi fiye da shekaru 20, masu hana ACE sun jinkirta ci gaban CHF a hanyoyi uku:
- Suna shinge wani enzyme wanda ke ɗaukar jini, wanda ya rage karfin jini kuma ya ba da jini ga zuciya, yana sa shi ya fi sauki.
- Sun rage yawan gishiri da ruwa a jiki, wanda ya rage rage karfin jini.
- Suna hana samar da kayan da ake kira angiotensin, wanda ke sa tasoshin ƙarfafa da kuma kawo karfin jini.
Iri
Masu hana ACE, irin su Vasotec ( enalapril ) da kuma Capoten (captopril), sun fi dacewa don ƙin zuciya don rage chanci na zuciya da bugun zuciya.
Domin shekaru, maganin hade don maganin zuciya - haɗawa da masu haɗin ACE tare da masu satar masu karba na angiotensin II (ARBs) - shine hanyar da aka fi so. Amma labarin 2007 a cikin Cibiyar DOC News ta Amurka ta lura cewa mata, musamman, suna samun karin amfani daga ARBs. Daga bisani, bincike mai zurfi a 2008 a cikin New England Journal of Medicine ya tabbatar da tasirin masu amfani da ACE, tare da ARBs da suka rage wani zaɓi don wasu.
Hanyoyi na Yankuna da Harkokin Drug
Da farko, ana iya gaya wa marasa lafiya daukar magani a lokacin kwanta barci don rage dukkan nauyin nau'i na farko saboda saukar da karfin jini.
Sauran cututtuka da suka hada da:
- M, bushe tari
- Rashin rauni, damuwa
- Ciwon ciki, rashin abinci mara kyau
- Skin rashes
- Yalwaccen dandano a bakin
- Matakan potassium masu girma
- Nausea da ciwon kai
Ra'ayin Rare Side
Ra'ayoyin cututtukan da yawa sun haɗu da haɓaka, zazzabi, juyayi, fatar fuska da fuska mai tsanani.
Faɗa wa likita idan ka fuskanci kowane daga cikin waɗannan, amma kada ka daina shan shan magani a kanka. Ana iya sanya sassan ARB irin su Cozaar (losartan) ga marasa lafiya wadanda ke da halayen haɗari ga masu hana ACE.
Mata masu juna biyu ko masu shayarwa, ko wadanda suke shirin yin juna biyu, kada su dauki masu hana ACE. Har ila yau, idan kuna da ciwon sukari , lupus, ko zuciya, koda ko cutar hanta, ko kuma idan kuna da ciwon zuciya ta baya ko koda koda, likitanku bazai so ya rubuta masu hana ACE.
Hada hada-hadar maganin ACE da barasa zai iya haifar da hawan jini. Wasu karin kayan lambu da magunguna, ciki har da diuretics (kwayoyin ruwa) da kwayoyi da ke dauke da potassium, zasu iya rinjayar aikin masu hana ACE. Tabbatar likita wanda ke rubuta masu hanawa na ACE yana da cikakken jerin dukkan magungunan ku.
Sources:
"Masu hana ACE: Bayani na Shawara." consumerreports.org. 2008. Kungiyar Tarayya.
"Masu maganin Enzyme-Converting Enzyme (ACE)." yayasan.net. Jul. 2007. Texas Heart Cibiyar.
Masu binciken Bincike na MUKA. "Harkokin Angiotensin - Harkokin Enzyme a Cutar Lafiya ta Hanyar Tsaro." New England Journal of Medicine 351: 20 (2004): 2058-68.
Law, Bridget Murray. "ARBs Outperform ACE Masu Haramtawa a cikin Mata da Zuciya Zuciya." DOC News 4:11 (2007): 10. Ƙungiyar Ciwon Taimakon Amirka.
"Magunguna da aka Yi amfani da su don amfani da ƙwayar zuciya." americanheart.org . 9 Jan. 2008. Kungiyar 'Yan Adam ta Amirka.
Scow, Dean Thomas, Ellen G. Smith, da kuma Allen F. Shaughnessy. "Maganin haɗin gwiwa tare da masu zanga-zangar ACE da Anglockensin-Receptor Blockers in Heart Heart failure." Aminiya na likitancin Amurka 68: 9 (2003): 1795-98. 4 Nuwamba 2008..
Binciken masu bincike. "Telmisartan, Ramipril, ko Dukansu a Babban Haɗarin Kwayoyin Yammacin Yanayi." New England Journal of Medicine 358: 15 (2008): 1547-59. 4 Nuwamba 2008.