Ko gaskiya ne cewa ragewan hawan jini zai iya inganta yanayin zuciyarka, kuma idan haka ne, wane nau'in magani na jini ya kamata ka kasance?
Diastolic Dysfunction da hauhawar jini
Cutar cutar diastolic shine nau'i na cututtukan zuciya wanda zuciyar zuciya take zama "m," wanda ya rage ikon da zuciyar ta cika da jini a tsakanin zuciya.
Dysfunction diastolic yana hade da yanayi da yawa ciki har da hauhawar jini , hyperiophic cardiomyopathy , cututtuka mai kwari , cututtuka na jijiyoyin jini , ciwon sukari , kiba, da kuma salon zama. Idan dysfunction diastolic ya zama mai tsanani sosai, rashin lafiya na zuciya zai iya ci gaba.
Mutanen da ke dauke da hauhawar jini suna iya haifar da tsoka da ƙwayar zuciya - yanayin da ake kira "hypertrophy" - wannan yana haifar da dysfunction diastolic. Bugu da ƙari kuma, kamar yadda likitanka ya fada maka, ana nuna hawan hawan jini don rage haɗarin ƙin zuciya daga diastolic dysfunction.
A gaskiya ma, wasu kwayoyi da ake amfani da su don maganin hauhawar jini an nuna su a hakika su juya karfin jini na ƙwayar zuciya, da kuma kawar da dasfuncin diastolic.
Wadanne kwayoyi masu tsaiko ne "mafi kyawun" saboda matsalar rashin lafiya?
Akwai ƙwayoyi masu yawa, da dama don zaɓar daga yin maganin hauhawar jini , kuma dukansu basu da mahimmanci wajen inganta lalacewa na diastolic.
An gudanar da gwaje-gwaje masu yawa a cikin shekaru masu yawa don gano abin da masu magungunan antihypertensive sun fi dacewa su sake gurgunta hypertrophy, sabili da haka, don rage lalacewar diastolic:
Wani bincike-bincike wanda ya haɗa da gwaje-gwaje 80 na gwaji ya hada sakamakon wannan kokarin. Yayinda dukkanin manyan magungunan kwayoyi da ake amfani da su don maganin hauhawar jini sun kasance masu tasiri a rage karfin zuciya na hyperiaphy, ɗalibai da suka fi dacewa akan wannan shine:
- ACE masu hanawa
- Angiotensin II masu karɓar rashawa (ARBs)
- Calcium tashar blockers
Drugs a cikin wadannan tarurrukan sun rage karfin hypertension daga zuciya tsakanin 10 - 13%. Saboda haka, bisa ga yawan binciken da aka wallafa, waɗannan nau'o'i uku na kwayoyi suna da tasiri sosai wajen juyawa yanayin da ke haifar da dysfunction diastolic. Diuretics da beta blockers - sauran manyan manyan nau'o'i biyu na kwayoyi da ake amfani dasu don maganin hauhawar jini - kuma suna kula da sake jujjuyawar jini, amma zuwa ƙananan digiri.
Duk da yake waɗannan sakamakon yana da mahimmanci, ya kamata mu lura cewa ba a tsara waɗannan darussan musamman domin ganewa babu wani bambanci a sakamakon maganin ƙwayoyin cuta tsakanin waɗannan kwayoyi - kawai bambancin ra'ayi akan tasirin hypertrophy. An ɗauka, amma ba a tabbatar da shi ba, cewa rage karfin hypertension a cikin mutanen da ke fama da dasfuncin diastolic zai haifar da kyakkyawan sakamako.
Layin Ƙasa
Damarar diastolic abu ne mai mahimmanci wanda zai haifar da gazawar zuciya. Saboda hauhawar jini (tare da kiba, rayuwa mai zaman gida, da wasu dalilai) yakan haifar da rashin ciwon diastolic, yadda ya kamata a magance hauhawar jini na iya juya sashin lalacewar diastolic. Gaskiyar cewa wasu kwayoyi masu guba na iya zama mafi alhẽri a juyewar hypertrophy fiye da wasu abin da likitoci ya kamata su yi la'akari yayin da ake tsara hauhawar jini.
Don haka likitanku ya bayyana yana ba ku shawara mai kyau, kuma ya kamata ku yi aiki tare da ita don samun karfin jini a karkashin iko. Duk da haka, ka tuna cewa yadda za a magance hauhawar jini shine abu mafi mahimmanci. Idan ana iya yin hakan tare da kwayoyi da suka fi dacewa wajen rage hypertrophy, mai girma. Amma idan ba haka bane, abin da ke da muhimmanci shi ne samun iko da cutar karfin jini, duk abin da miyagun ƙwayoyi ko kwayoyi ya fi dacewa kuma mafi kyawun jurewa a yanayinka.
> Sources:
> Davis BR, Kostis JB, Simpson LM, et al. Ƙarƙashin zuciya tare da Amincewa da Rage Ƙididdigar Haɗin Haɗin Hagu na Hagu a Tsarin Antihypertensive da Saurin Lipid don Tsayar da Gwajin Zuciya. Yanayi na 2008; 118: 2259.
> Klingbeil AU, Schneider M, Martus P, et al. Meta-bincike na tasirin maganin a kan Massricular Mass a Essential Contension. Am J Med 2003; 115: 41.
> Schwartzenberg S, Redfield MM, Daga AM, et al. Hanyoyin Vasodilation a cikin Zuciyar Zuciya tare da Amincewa ko Rage Abubuwan Hanyoyin Halitta na Kwayoyin Harkokin Kwayoyin Duka akan Amsawa zuwa Far. J Am Coll Cardiol 2012; 59: 442.