Ukulawulwa kweshukela egazini kubalulekile kubantu abanesifo sikashukela. Ukuthatha umuthi okhethekile, ukudla, kanye nendlela yokuphila enempilo kusiza ukugcina amazinga kashukela esezingeni elifanele.
Kodwa-ke, abanesifo sikashukela bavame ukuphoqelelwa ukuthatha ezinye izidakamizwa. Ngemuva kwakho konke, lesi sifo siholela ezinkingeni eziningi ezidinga ukwelashwa okwanele.
Ngasikhathi sinye, kuyadingeka ukusondela ekusetshenzisweni kwezidakamizwa ezithile ngokucophelela, ngoba phakathi kwazo kungenzeka kube nezidakamizwa ezikhulisa ushukela wegazi, futhi, ngenxa yalokho, azifaneleki futhi azamukeleki nakulabo abanesifo sikashukela. Ngakho-ke, yiziphi izidakamizwa ezandisa ushukela wegazi?
Yini bathatha isifo sikashukela?
Yiziphi izinhlobo zezidakamizwa ezivame ukuphoqelelwa ukuthi zithathe iziguli ezinesifo sikashukela ezinezifo ezihlobene? Okokuqala, lezi izidakamizwa ezahlukahlukene ezisetshenziselwa ukwelapha izifo zenhliziyo.
Yisistimu yenhliziyo yesifo sikashukela esivame ukuthintwa ngumthelela ongemuhle obangela ukuthuthukiswa kwe-pathologies okungaholela ekufeni kwesiguli.
I-Hypertension yisifo esivame kakhulu esihlobene noshukela. Ngenxa yalokho, abanesifo sikashukela abaningi baphoqelelwa ukusebenzisa izidakamizwa ze-antihypertensive. Ngaphezu kwalokho, izinguquko ze-pathological vascular elihambisana noshukela ziyingozi enkulu. Kulokhu, abanesifo sikashukela bakhonjiswa ukusetshenziswa kwezidakamizwa eziqinisa izindonga zemithambo yegazi futhi zinomthelela ekuhambeni kwegazi okujwayelekile.
Ekugcineni, umphumela wesifo sikashukela kungaba ukwehla kokungazethezeki nokungamelana nezifo. Lokhu kwenza ukuthi iziguli zivame ukusebenzisa izidakamizwa ezingama-antibacterial ezisiza umzimba obuthakathaka ekulweni namagciwane.
Kulelo nelinye lamaqembu angenhla ezidakamizwa kukhona izidakamizwa ezingakwazi, ngaphansi kwezimo ezithile, ukukhuphula ukugcwala kweglucose egazini.
Futhi uma lokhu kungeyona inkinga kumuntu ojwayelekile, khona-ke kwabanesifo sikashukela imiphumela emibi enjalo kungaholela emiphumeleni ebalulekile, kuze kufinyelele ekushoneni nasekufeni.
Kodwa-ke, ukuguquguquka okuncane kumazinga kashukela nakho kusithinta kabi isimo seziguli futhi kudinga ukunakwa okusondele kakhulu. Yimaphi amathebulethi athile asetshenziselwa ukwandisa ushukela wegazi futhi ongawenza ube nemiphumela emibi?
Izidakamizwa ze-antihypertensive
Uma isiguli sinesifo sikashukela, akunconywa ukusebenzisa izidakamizwa ezilandelayo ezandisa ushukela wegazi:
- ama-beta blockers;
- I-diuretics yeqembu le-thiazide;
- iDemo ye calcium calcium blockers.
Abakhethi be-beta-blocker abasebenza kakhulu bathonya izinqubo ze-metabolic. Isenzo sabo sandisa ukukhuphuka kwe-glucose, futhi sithinta ne-lipid metabolism futhi singasiza ekwandeni kokuhlushwa kwe-cholesterol egazini.
Lo mphumela omubi wezinhlobo ezithile ze-beta-blockers uhlotshaniswa ne-heterogeneity enganele yezinto ezisebenzayo eziqukethwe kuzo. Kalula nje, le mishanguzo ithinta wonke amaqembu ama-beta receptors ngokungakhethi. Njengomphumela we-beta-amabili blockade ye-adrenoreceptors, ukusabela komzimba kwenzeka, okubandakanya ushintsho olungathandeki emsebenzini wezitho ezithile zangaphakathi nezindlala.
Abakhethi be-beta-blocker bangavimba isigaba sokuqala sokukhiqizwa kwe-insulin ngamaseli we-pancreatic beta. Ukusuka kulokhu, inani le-glucose enganqunyelwe lingakhuphuka kakhulu.
Enye into engathandeki ukukhuluphala kwesisindo, okuphawulwe emacaleni amaningi okudla njalo kwezidakamizwa zaleli qembu. Lokhu kwenzeka ngenxa yokwehla kwesilinganiso se-metabolic, ukwehla komphumela wezinto ezishisayo zokudla, kanye nokwephulwa kwezinga lokushisa ne-oxygen emzimbeni.
Ukwanda kwesisindo somzimba kuholela eqinisweni lokuthi umuntu udinga inani elikhulu le-insulin empilweni ejwayelekile.
Ama-diuretics weqembu le-thiazide, ngokuba ama-diuretics aqinile, ahlanza izinto ezahlukahlukene zokulandela umkhondo. Umphumela wesenzo sabo ususelwa ekwehlelweni okukhulu kwamazinga e-sodium ngenxa yokuchama okungapheli kanye nokwehla okujwayelekile kokuqukethwe koketshezi emzimbeni. Kodwa-ke, ama-diuretics anjalo awanakho ukukhetha.
Lokhu kusho ukuthi izinto ezidingekayo ekusebenzeni okujwayelekile kanye nokunakekelwa kwe-homeostasis nazo ziyahlanzwa. Ikakhulu, ukukhuthaza kwe-diuresis kuholela ekwehleni kwezinga le-chromium emzimbeni. Ukushoda kwale element yokulandela kuholela ekungasebenzi kwamaseli we-pancreatic kanye nokwehla kwe-insulin ekhiqizwayo.
Abaphikisi be-calcium abasebenza isikhathi eside nabo bathinta amazinga e-glucose kwabanesifo sikashukela.
Kuliqiniso, umphumela onjalo wenzeka kuphela ngemuva kokudla isikhathi eside ngokwanele futhi kungumphumela wokusebenza kwento yezinto ezisebenzayo zaleli qembu.
Iqiniso ngukuthi le mithi ivimba ukungena kwama-calcium ion kumaseli wamanyikwe. Ngenxa yalokhu, umsebenzi wabo uyancipha, futhi ukukhiqizwa kwe-insulin kungancishiswa kakhulu.
Ama-vascular and antibacterial agents
Le mishanguzo isetshenziselwa ukuvikela ukulimala kwemithambo yegazi, engadala ukuvimbela kwegazi kanye nesidingo sokungenelela kokuhlinzwa. Noma kunjalo, abanesifo sikashukela kufanele baqaphele izidakamizwa ezinama-hormone ahlukahlukene.
Uma ukwakheka kwalesi sidakamizwa kufaka i-cortisol, i-glucagon noma enye into efanayo - ukuphatha kwayo umuntu onesifo sikashukela akuphephile.
Iqiniso ngukuthi la mahomoni anganciphisa ukukhiqizwa kwe-insulin, ukuvimbela ama-pancreas. Ngaphansi kwezimo ezijwayelekile, lokhu kuholela ekutheni amaseli abe namandla, kepha kubantu abanezifo zikashukela, isenzo esinjalo singaba yingozi kakhulu.
Isibonelo, i-glucagon ye-hormone emzimbeni ophile kahle ikhiqizwa uma kwehle ukuvela okukhulu kwamazinga kashukela e-pancreatic. Le hormone isebenza emangqamuzaneni esibindi, ngenxa yalokho i-glycogen enqwabelana kuyo iguqulwa yi-glucose bese ikhishwa iye egazini. Ngakho-ke, ukudla izidakamizwa njalo, okubandakanya le nto, kunomthelela ekwandeni okukhulu kwe-glucose okuhlushwa
I-Aspirin May Imbangela Yenyusa Ushukela Wegazi
Isifo sikashukela akufanele sizijwayeze ukuthatha ama-corticosteroid ama-hormone nezinye izinto ezinciphisa ngokungafanele ukukhiqizwa kwe-insulin. Kodwa-ke, esimweni lapho kutholakala isifo sikashukela sohlobo 2, futhi amanyikwe ayeka ngokuphelele ukukhiqiza i-insulin, ukuthatha izidakamizwa ezinjalo kungaba nesizathu - ngeke kuthinte izinga likashukela egazini.
Ukuqapha kuyadingeka ukuthatha izidakamizwa ezilwa nokuvuvukala. Izidakamizwa ezinjenge-Aspirin, i-Diclofenac, ne-Analgin zingadala ukwanda okuthile koshukela. Ungasebenzisi i-Doxycycline ye-antibiotic.
Ezinye izidakamizwa
Lezi izidakamizwa eziphambili ezinganconyelwe ukusetshenziswa phambi kwesifo sikashukela. Ngaphezu kwalokho, ezinye izidakamizwa ezivamile zingaba nomthelela omubi emzimbeni wesifo sikashukela.Ikakhulu, amaphilisi okulala ama-barbiturates, ama-tricyclic antidepressants, amalungiselelo we-nicotinic acid akufanele asetshenziswe.
Khawula ukusetshenziswa kwama-sympathomimetics nama-hormone okukhula. Kuzoba yingozi ukuthatha i-Isoniazid, umuthi wesifo sofuba.
Kuyadingeka ukunaka ababukeli abaqukethwe emithini ehlukahlukene. Kaningi, ukwakheka kwesidakamizwa kufaka i-glucose - njenge-filler kanye ne-inhibitor yesenzo. Kungcono ukubuyisela lezi zidakamizwa ngama-analogues aqukethe into enobungozi kwabanesifo sikashukela.
Amavidiyo ahlobene
Ungathola ukuthi yiziphi izidakamizwa ezivunyelwe ukuthatha uma kunezinkinga zokucindezela kusuka kuvidiyo:
Lolu hlu aluphelele, kunezidakamizwa ezimbalwa ezimbalwa, ukusetshenziswa kwazo okungafuneki noma okuhlobene ngqo ne-pamaso kwabanoma yiluphi uhlobo lwesifo sikashukela. Ukusetshenziswa kwanoma yimuphi umuthi kumele kuvunyelwane nongoti - lokhu kuzosiza ekugwemeni ukwanda kweshukela egazini nezinye izinkinga zempilo kubantu abanesifo sikashukela. Kepha uma udinga izidakamizwa ukwandisa ushukela wegazi, ukusetshenziswa kwawo, okuphambene nalokho, kuyakhonjiswa.
