Chii chinonzi Isosorbide Dinitrate uye Hydralazine: Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Isosorbide dinitrate uye hydralazine mushonga unosanganisa unovandudza moyo wako kuti upombe ropa zvakanyanya. Mushonga uyu une zviito zviviri unoshanda nekuzorodza tsinga dzeropa uye kuderedza basa remoyo wako, zvichiita kuti moyo wako uite basa rawo zviri nyore. Yakagadzirirwa zvakananga vanhu vane moyo usina simba vanoda rubatsiro rwakawedzerwa kuti vachengetedze kuyerera kweropa rine hutano mumuviri wavo wese.

Chii chinonzi Isosorbide Dinitrate uye Hydralazine?

Mushonga uyu unosanganisa mishonga miviri yemoyo mune piritsi rimwe kuti zvive nyore uye zvibudirire zviri nani. Isosorbide dinitrate inovhura tsinga dzako dzeropa, nepo hydralazine ichizorodza madziro etsinga dzako nemitsipa. Pamwe chete, vanogadzira timu ine simba inobatsira kuderedza kushushikana pamusoro pemhasuru dzemoyo wako.

Musanganiswa uyu wakagadzirwa zvakananga mushure mekunge tsvakurudzo yairatidza kuti varwere vekuAmerica vekuAfrica vane moyo usina simba vakapindura zvakanaka kumubatanidzwa uyu. Zvisinei, vanachiremba zvino vanoraira kuti varwere vemarudzi ose kana mamwe mishonga yemoyo isina kupa rubatsiro rwakakwana.

Chii chinonzi Isosorbide Dinitrate uye Hydralazine Inoshandiswa Kuti?

Mushonga uyu unotarisira moyo usina simba, mamiriro apo moyo wako unonetseka kupomba ropa zvakanaka mumuviri wako wese. Kana moyo wako usingakwanisi kupomba zvakanaka, unogona kunzwa kuneta, kufema zvishoma, kana kuona kuzvimba mumakumbo ako netsoka.

Vanachiremba vanowanzo ronga musanganiswa uyu kana mishonga yakajairika yemoyo isina simba yakaita seACE inhibitors kana ARBs isina kukwana yega. Inogonawo kushandiswa pamwe chete nemimwe mishonga yemoyo kuti ipe rubatsiro rwakawedzerwa kune yako cardiovascular system.

Vamwe vanachiremba vanogona kuiraira kuti ive neBP yakakwira zvakanyanya isina kupindura zvakanaka kune mamwe marapirwo, kunyange izvi zvisingawanzoitiki sekushandiswa kwayo kwemoyo usina simba.

Isosorbide Dinitrate uye Hydralazine Inoshanda Sei?

Mushonga uyu unoshanda nemaitiro maviri akasiyana asi anotsinhirana kubatsira moyo wako. Chikamu che isosorbide dinitrate chinodzorera tsinga dzinodzosa ropa kumoyo wako, zvichideredza huwandu hweropa rinoda kupumbwa nemoyo wako nechikamu chimwe nechimwe.

Panguva imwecheteyo, hydralazine inodzorera tsinga dzinotakura ropa kubva mumoyo wako, zvichiita kuti moyo wako utaure ropa nyore nyore mumuviri wako. Fungidzira sekuderedza kumanikidzwa kunopinda nekubuda pabomba remvura.

Uyu unoonekwa semushonga wemoyo une simba zvine mwero unopa rutsigiro rwakakosha rwemoyo nemitsipa yeropa. Mhedzisiro yekubatanidzwa inowanzo kuve nesimba kupfuura mushonga mumwe chete, ndosaka chiremba wako akasarudza iyi pairing chaiyo yechirwere chako.

Ndingatora sei Isosorbide Dinitrate uye Hydralazine?

Tora mushonga uyu sezvakanyorwa nachiremba wako, kazhinji katatu kana kana pazuva nezvokudya. Kuitora nezvokudya kunobatsira kuderedza kusagadzikana mudumbu uye kunovandudza kuti muviri wako unotora sei mushonga.

Momedza mahwendefa ese nemvura yakazara. Usapwanya, kutsenga, kana kuputsa mahwendefa, sezvo izvi zvinogona kukanganisa kuti mushonga unoburitswa sei mumuviri wako. Kana uine dambudziko rekumedza mapiritsi, taura nachiremba wako nezve dzimwe nzira.

Edza kutora zvikamu zvako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana mumuviri wako. Vanhu vazhinji vanozviwana zvichibatsira kumisa zviyeuchidzo zvefoni kana kushandisa chirongwa chepiritsi kuti vagare pane chirongwa chavo chekushandisa.

Usamira kutora mushonga uyu kamwe kamwe, kunyangwe ukanzwa zviri nani. Moyo wako wakajaira rutsigiro, uye kumira kamwe kamwe kunogona kukonzera kuti zviratidzo zvako zvidzoke kana kuwedzera.

Ndingatora kwenguva yakareba sei Isosorbide Dinitrate uye Hydralazine?

Vanhu vazhinji vane kutadza kwemoyo vanofanira kutora mushonga uyu kwenguva refu kuti vachengetedze basa remoyo wavo uye hupenyu hwavo. Kutadza kwemoyo kazhinji mamiriro echirwere anoda kurapwa nguva dzose panzvimbo yekugadzirisa kwenguva pfupi.

Chiremba wako achatarisa kufambira mberi kwako nguva dzose kuburikidza nekutarisa, bvunzo dzeropa, uye kuongororwa kwebasa remoyo. Zvichienderana nekuti unopindura sei uye chero mhedzisiro yaunowana, vanogona kugadzirisa mushonga wako kana kuchinja kune mamwe mishonga nekufamba kwenguva.

Vamwe vanhu vanogona kupfuurira kune mamwe mishonga yemoyo sezvo kurapwa kutsva kuchiwanzika kana mamiriro avo achichinja. Zvisinei, varwere vazhinji vanoenderera mberi nekubatanidzwa uku kwemakore nekuti kunobata zviratidzo zvavo uye kunovandudza kushanda kwavo kwezuva nezuva.

Ndezvipi Zvakaipa zveIsosorbide Dinitrate uye Hydralazine?

Semishonga yese, kubatanidzwa uku kunogona kukonzera mhedzisiro, kunyangwe kwete munhu wese anozviwana. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye uzive kuti ungataurirana riini nachiremba wako.

Mhedzisiro yakajairika yaungave uchiwana inosanganisira kurwadziwa nemusoro, dzungu, uye kunzwa uchinetseka kana wakamira nekukurumidza. Mhedzisiro iyi inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga mumavhiki mashoma ekutanga ekurapa.

Heano mhedzisiro yaungangove uchiwana:

• Kurwadziwa nemusoro kunogona kunzwa kurova kana kupomba
• Dzungu kana kunzwa uchinetseka, kunyanya kana wakamira
• Nausea kana dumbu rinogumbuka
• Kuneta kana kunzwa kuneta kupfuura zvakajairika
• Kutsva kana kunzwa kudziya pachiso chako nechipfuva
• Kurova kwemoyo nekukurumidza kana kusina kujairika

Mhedzisiro iyi yakajairika inowanzoita nyoro uye inowanzoita kudzikira sezvo muviri wako uchijaira mushonga. Kana vakapfuurira kana kuva dambudziko, chiremba wako anogona kubatsira nekugadzirisa mushonga wako kana nguva.

Vamwe vanhu vanogona kusangana nemigumisiro isingawanzoitiki asi inokonzera kunetseka inoda kutariswa nachiremba. Kunyange izvi zvichiwanzodiwa, zvakakosha kuziva nezvazvo kuti mukwanise kutsvaga rubatsiro kana zvichidikanwa.

Bata chiremba wako kana ukaona chero chimwe chezvinhu zvinotevera:

• Kurwadziwa kwemusoro kwakanyanya kana kusingaperi kusingavanduki nekufamba kwenguva
• Kurwadziwa muchipfuwa kana kumanikidzwa
• Kutadza kufema kana kufema zvishoma
• Kuzvimba mumaoko ako, tsoka, kana makumbo
• Kuwedzera uremu nekukurumidza kubva pakuchengetwa kwemvura
• Kupererwa kana dzungu rakanyanya
• Kuvava kana kunzwa kunzwa mumaoko ako kana tsoka

Kazhinji, vamwe vanhu vanogona kukudziridza mamiriro anonzi drug-induced lupus, iyo inogona kukonzera kurwadziwa kwemajoini, mapundu paganda, uye zviratidzo zvakaita sefuruwenza. Kunyange zvichiwanzodiwa, izvi zvinowanzoita kuti zvigadziriswe kana mushonga wamiswa pasi pekutariswa kwechiremba.

Ndiani Asingafaniri Kutora Isosorbide Dinitrate uye Hydralazine?

Mishonga iyi haina kuchengeteka kune vese, uye mamwe mamiriro ehutano kana mamiriro anoita kuti zvisakodzere kana kuva nenjodzi kushandisa. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira musanganiswa uyu.

Haufaniri kutora mushonga uyu kana uine allergic kune isosorbide dinitrate kana hydralazine, kana kana wakambove nemigumisiro yakakomba kumishonga yakafanana munguva yakapfuura. Nguva dzose udza chiremba wako nezve chero allergic kumishonga yaunayo.

Vanhu vane mamwe mamiriro emoyo vanofanira kudzivisa mushonga uyu nekuti unogona kuwedzera mamiriro avo. Kana uine matambudziko akakomba e aortic kana mitral valve, musanganiswa uyu haungave wakakodzera kune yako chaiyo mhando yechirwere chemoyo.

Heano mamiriro makuru anoita kuti mushonga uyu usakodzere:

• Kutadza kwakanyanya kweitsvo kana kutadza kweitsvo
• Kutadza kwakanyanya kwechiropa kana kutadza kwechiropa
• Kuderera kwakanyanya kweropa (hypotension)
• Mhando dzakasiyana dzezvirwere zvemavharuvhu emoyo
• Kurwisa kwemoyo kuchangobva kuitika mumazuva mashoma apfuura
• Coronary artery disease ine angina isina kugadzikana

Uyezve, mushonga uyu unoda kungwarira kwakakosha kana iwe wakazvitakura kana kuyamwisa, sezvo unogona kupfuudzwa kumwana wako uye zvinogona kukonzera kukuvadza. Chiremba wako achayerera mabhenefiti achipesana nenjodzi dzemamiriro ako chaiwo.

Kana uine chirwere cheshuga, matambudziko eitsvo, kana mamiriro eautoimmune, unozoda kuongororwa pedyo paunenge uchitora mushonga uyu, kunyangwe zvichiri kukodzera nekuchengetedzwa kwakanyanya.

Mazita eBrand eIsosorbide Dinitrate uye Hydralazine

Zita rinowanzozivikanwa rekusanganiswa uku iBiDil, iyo yaive mushonga wekutanga wakabvumidzwa zvakananga kutadza kwemoyo muvarwere vemuAfrica America. BiDil ine mishonga yese mune piritsi rimwe riri nyore.

Unogona zvakare kugamuchira mishonga miviri iyi semishonga yakaparadzana, kwaunotora isosorbide dinitrate (inowanikwa seIsordil kana Dilatrate-SR) pamwe chete nehydralazine (inowanikwa seApresoline). Vamwe vanachiremba vanosarudza nzira iyi kuti vagadzirise chiyero chega chega.

Mhando dzakajairika dzemishonga yese iri nyore kuwanikwa uye inoshanda zvakanyanya semhando dzemazita. Inishuwarenzi yako inogona kusarudza sarudzo dzakajairika, uye dzinowanzoita mari shoma asi dzichipa mabhenefiti akafanana ekurapa.

Isosorbide Dinitrate uye Hydralazine Zvimwe Zvinhu

Mishonga yakati wandei yekutadza kwemoyo inogona kupa mabhenefiti akafanana, kunyangwe chiremba wako akasarudza kusanganiswa uku nezvikonzero zvakakosha zvine chekuita nemamiriro ako. Zvimwe zvakajairika zvinosanganisira ACE inhibitors senge lisinopril kana enalapril, iyo inobatsirawo kuzorodza tsinga dzeropa uye kuderedza kushushikana kwemoyo.

ARBs (angiotensin receptor blockers) zvakadai se losartan kana valsartan zvinoshanda zvakafanana ne ACE inhibitors asi zvinogona kukonzera matambudziko mashoma akadai sekuvava. Mishonga iyi inowanzoedzwa kutanga usati wafunga nezve isosorbide dinitrate uye hydralazine combination.

Mishonga mitsva yekukundikana kwemoyo yakaita se sacubitril/valsartan (Entresto) inobatanidza ARB nemushonga unobatsira muviri wako kugadzirisa mahomoni anodzivirira moyo zvakanyanya. Sarudzo iyi inogona kufungwa kana iwe usingapinduri zvakanaka kumubatanidzwa uripo.

Beta-blockers yakaita se metoprolol kana carvedilol inononotsa kurova kwemoyo wako uye inoderedza basa remhasuru yemoyo wako. Izvi zvinowanzo shandiswa pamwe chete nemushonga wako uripo pane sekuutsiva.

Ko Isosorbide Dinitrate uye Hydralazine Zviri Nani Kupfuura Enalapril?

Mishonga yese iri miviri inoshanda pakukundikana kwemoyo, asi inoshanda nenzira dzakasiyana uye inogona kunge yakakodzera vanhu vakasiyana. Tsvakurudzo yakaratidza kuti isosorbide dinitrate uye hydralazine combination inogona kunyanya kushanda kune varwere vekuAfrica America vane kukundikana kwemoyo.

Enalapril (an ACE inhibitor) inowanzoedzwa kutanga nekuti ine makumi emakore etsvakurudzo inotsigira kushandiswa kwayo mukukundikana kwemoyo uye inowanzoita matambudziko mashoma. Zvisinei, vamwe vanhu havagone kutsungirira ACE inhibitors nekuda kwekuvava kusingaperi kana mamwe matambudziko.

Zvidzidzo zvakaratidza kuti kana ACE inhibitors yakaita se enalapril isingakwani yega, kuwedzera isosorbide dinitrate uye hydralazine combination kunogona kupa mamwe mabhenefiti. Mune zvimwe zviitiko, mubatanidzwa uyu wakaonekwa kuderedza kupinda muzvipatara uye kuvandudza hupenyu hwemhando yepamusoro kupfuura ACE inhibitors yega.

Chiremba wako akasarudza mushonga wako uripo zvichienderana nerudzi rwako rwekukundikana kwemoyo, mhinduro yako kumishonga yapfuura, uye njodzi dzako dzega. Sarudzo

Mibvunzo Inowanzoitwa Pamusoro peIsosorbide Dinitrate neHydralazine

Is Isosorbide Dinitrate neHydralazine Zvakachengeteka Kune Vanhu vane Chirwere cheShuga?

Hongu, mushonga uyu unowanzo chengeteka kune vanhu vane chirwere cheshuga, asi unozofanira kunyatsotariswa mazinga eshuga yeropa rako. Musanganiswa uyu hauite zvakananga shuga yeropa, asi vamwe vanhu vanoona shanduko mukudzora kwavo chirwere cheshuga pavanotanga mishonga mitsva yemoyo.

Chiremba wako achada kutarisa kushanda kwematsvo ako kakawanda sezvo chirwere cheshuga chingakanganisa itsvo dzako, uye mushonga uyu unoburitswa nematsvo ako. Ita shuwa kuti unochengeta nguva dzako dzose dzekuona chiremba dzechirwere cheshuga uye bvunzo dzeropa.

Kana iwe uchitora mishonga yechirwere cheshuga, tarisa zviratidzo zve shuga yakaderera, kunyanya paunotanga mushonga uyu wemoyo. Musanganiswa uyu dzimwe nguva unogona kuderedza ropa zvakakwana kuti zviratidzo zvehypoglycemia zviite zvakanyanya.

Ndoita Sei Kana Ndikatora Isosorbide Dinitrate neHydralazine zvakawandisa netsaona?

Kana iwe netsaona ukatora zvakawanda kupfuura chiyero chako chakanyorwa, taura nachiremba wako kana poison control nekukasira kuti uwane gwara. Kutora zvakawanda kunogona kukonzera ropa rakaderera zvakanyanya, kurwadziwa kwemusoro kwakanyanya, kana matambudziko emoyo.

Tarisa zviratidzo zve overdose, izvo zvinosanganisira dzungu rakanyanya, kufenda, kurova kwemoyo nekukurumidza, kana kusava nesimba kwakanyanya. Kana iwe ukaona chero zviratidzo izvi, tsvaga rubatsiro rwekurapa nekukasira pane kumirira kuti uone kana zvichivandudza.

Usaedze "kugadzirisa" chiyero chakawedzerwa nekusvetuka chiyero chako chinotevera chakarongeka. Pane kudaro, tevera gwara kubva kumupi wako wehutano kana poison control nezve kana kutangazve chirongwa chako chekushandisa mishonga.

Ndoita Sei Kana Ndikakanganwa Chiyero cheIsosorbide Dinitrate neHydralazine?

Kana iwe ukakanganwa chiyero, chitora paunorangarira, kunze kwekunge yava nguva yechiyero chako chinotevera chakarongeka. Muchiitiko ichocho, svetuka chiyero chakakanganwa uye uenderere mberi nechirongwa chako chese pane kuwedzera.

Usatore zvikamu zviviri panguva imwe chete kuti uzadze chikamu chawakakanganwa, sezvo izvi zvinogona kukonzera kuti ropa rako ridzike zvakanyanya uye kukonzera kuti unzwe dzungu kana kupfukwa. Zviri nani kuchengetedza chirongwa chako chemazuva ese mberi.

Kana iwe uchikanganwa zvikamu kazhinji, funga kumisa maalarm emafoni kana kushandisa chirongwa chemapiritsi ekuvhiki kuti zvikubatsire kuti urambe uri munzira. Kushandisa mishonga nguva dzose kwakakosha kuchengetedza rutsigiro rwemoyo rwakagadzikana mazuva ese.

Ndingamira Rini Kutora Isosorbide Dinitrate uye Hydralazine?

Usambomira kutora mushonga uyu kamwechete usati wataura nachiremba wako kutanga. Moyo wako wakajaira rutsigiro runopiwa nemushonga uyu, uye kumira kamwechete kunogona kukonzera kuti zviratidzo zvako zvekukundikana kwemoyo zvidzoke kana kuipa.

Chiremba wako achakutungamira kuburikidza nekuchinja kwemishonga chero ipi zvayo zvichibva pakuti moyo wako uri kushanda sei uye kana uri kusangana nemigumisiro. Kana iwe uchida kumira, vanowanzo deredza chiyero chako zvishoma nezvishoma nekufamba kwenguva.

Kunyangwe iwe ukanzwa zviri nani, izvi zvinowanzoita kuti mushonga uri kushanda zvakanaka pane kuti hauchadi. Kukundikana kwemoyo kazhinji chirwere chechinguva chirefu chinoda manejimendi ari kuenderera mberi kuchengetedza hupenyu hwako hwakavandudzwa.

Vamwe vanhu vanogona kupedzisira vachichinjira kumishonga yakasiyana yemoyo sezvo kurapwa kutsva kuchiwanzika, asi sarudzo iyi inofanirwa kugara ichiitwa mukubatana nechikwata chako chehutano zvichibva pakufambira mberi kwako uye zvaunoda.