Kaararka Angiotensin-enzyme enzyme (ACE) waa laynka koowaad ee difaaca ee lagu daaweeyo qalabka wadnaha ee wadnaha (CHF), xaalad nolol-halis ah oo aan wadnuhu dhiig ku filayn xubnaha jirka.
Sida ay u shaqeeyaan
Si guul leh loogu isticmaalay in ka badan 20 sano, xanuunka ACE wuxuu yareeyaa horumarka CHF saddex siyaabood:
- Waxay xannibaan enzyming taasoo xaddidaysa xididdada dhiigga, taas oo hoos u dhigaysa cadaadiska dhiigga waxayna keeneysaa dhiig badan oo wadnaha ah, taasoo ka dhigeysa in ay shaqeyneyso sahlan.
- Waxay yareeyaan xaddiga milixda iyo biyaha jirka, taas oo hoos u dhigeysa cadaadiska dhiigga.
- Waxay ka hortagayaan soo saarida walaxda loo yaqaan 'angiotensin', taas oo keena maraakiibta inay adkeeyaan ayna kor u qaadaan cadaadiska dhiigga.
Noocyada
Ka-hortagga ACE, sida Vasotec ( enalapril ) iyo Capoten (captopril), ayaa inta badan loo qoraa wadnaha oo aan ku fashilmin inuu yareeyo fursadaha wadnaha iyo istaroogga.
Muddo sanado ah, daaweyn isku dhafan oo loogu talagalay daaweynta wadnaha - celiyeyaasha ACE oo leh xanuunka anjiotensin II (ARBs) - waxay ahayd habka la door biday. Laakiin maqaalkii 2007-ka ee DOC News-ka Mareykanka wuxuu ku adkeeyay in haweenku, gaar ahaan, ay ka faa'iidaystaan faa'iido badan oo ka yimaada ARBs. Dabadeedna, daraasad dhamaystiran oo 2008 ah oo lagu daabacay "Journal of New England Journal of Medicine" ayaa kor u qaadday waxtarnimada ACE xanibayaasha, iyadoo ARBs ay ku sii jirayaan ikhtiyaarka qaarkood.
Saameynnada iyo Saameynta Daroogada
Marka ugu horeysa, bukaanka ayaa loo sheegi karaa inay qaataan daawada xilliga jiifka si loo yareeyo dawo kasta oo bilowga ah taas oo keenta cadaadiska dhiigga ee hooseeya.
Waxyeellooyinka kale ee caadiga ah waxaa ka mid ah:
- Qufac joogto ah, qufac qalalan
- Tabaruce, dawakhaad
- Calool xanuunka, cunto xumo
- Finan maqaarka
- Dhaqdhaqaaqa biraha ee afka
- Heerarka sare ee potassium
- Lalabbo iyo madax xanuun
Saameynada Lakab
Dhibaatooyinka ka iman kara waxaa ka mid ah xabeeb, qandho, qarqaryo, barar waji iyo calool xanuun badan.
U sheeg dhakhtarkaaga haddii aad la kulantid mid ka mid ah kuwaan, laakiin ha joojin qaadashada dawada adiga keligaa. ARBs sida Cozaar (casartan) ayaa loo qori karaa bukaanada leh dareen-celin ba'an ee xanuunka ACE.
Dumarka uurka leh ama naas nuujinaya, ama kuwa qorsheynaya inay uur yeeshaan, waa in aysan qaadanin xanuunka ACE. Sidoo kale, haddii aad qabto sonkorow , lupus, ama wadnaha, kelyo ama cudur beerka ah, ama haddii aad leedahay wadno-qabad wadnaha ah ama xubin kiliin ah, dhakhtarkaagu waxaa laga yaabaa inaanad rabin inaad qoratid xanuunka ACE.
Isku-darka Aaladaha ACE iyo aalkolada waxay keeni karaan cadaadiska dhiigga oo hooseeya. Daawooyinka dhirta iyo daawooyinka qaarkood, oo ay ku jiraan dawooyinka (kaniiniyada biyaha) iyo daawooyinka ay ku jirto potassium, waxay sidoo kale saameyn kartaa ficilka ka hortagga ACE. Hubi in dhakhtarkaagu kuu soo qoro xanuunka ACE uu leeyahay liis dhamaystiran dhammaan daawooyinkaaga kale.
Ilaha:
"Inhibitors ACE: Soo-jeedinta Talooyinka." Consumerreports.org. 2008. Isticmaalayaasha Midawga.
"Angiotensin-Isku-beddelashada Enzyme (ACE)". " texasheartinstitute.org. Jul. 2007. Machadka Wadnaha Texas.
Baarayaasha PEACE ee Baarayaasha. "Angiotensin-Isku-beddelashada - Enzyme Inhibitalka Cudurka Dhiigga Dareemka ah." Somali New England Journal of Medicine 351: 20 (2004): 2058-68.
Sharciga, Bridget Murray. "ARBs waxay ka faaiidaystaan ACE xanuunka haweenka qaba qalalaasaha wadnaha." DOC News 4:11 (2007): 10. Ururka Diabeteska Maraykanka.
"Daawooyinka caadi ahaan loo Isticmaalay Daaweynta Wadnaha Wadnaha." americanheart.org . 9 Jan. 2008. Ururka wadnaha ee Maraykanka.
Cajiib, Dean Thomas, Ellen G. Smith, iyo Allen F. Fool. "Iskudhinta Daaweynta Waxyeelayaasha ACE iyo kuwa Angiotensin-Receptor ee Qalbka Wadnaha." Dhakhtarka Qoyska ee Maraykanka 68: 9 (2003): 1795-98. 4 Nofembar 2008.
Baarayaasha ONTARGET. "Telmisartan, Ramipril, ama Labada Bukaanjiifka ee Halista Ugu Sarreeya Dhacdooyinka Vascular." Somali Journal of New Medicine 358: 15 (2008): 1547-59. 4 Nofembar 2008.