Li-inhibitor tsa Angiotensin e fetola li-enzyme (ACE) ke eona mohloli oa pele oa tšireletso ho phekola ho hloleha ha pelo pelong (CHF), boemo bo sokelang bophelo boo pelo e sa tšepeng mali ka ho lekaneng lithong.
Kamoo ba Sebetsang Kateng
E sebelisitsoe ka katleho ka lilemo tse fetang 20, ACE inhibitors e fokotsa tsoelo-pele ea CHF ka litsela tse tharo:
- Li thibela kokoana-hloko e thibelang methapo ea mali, e fokotsang khatello ea mali le ho fetisetsa mali a mangata pelong, e etsa hore e be bonolo habonolo.
- Ba fokotsa palo ea letsoai le metsi 'meleng, e leng ho fokotsang khatello ea mali.
- Li thibela tlhahiso ea ntho e bitsoang angiotensin, e etsang hore likepe li matlafatse le ho phahamisa khatello ea mali.
Mefuta
ACE inhibitors, tse kang Vasotec ( enalapril ) le Capoten (captopril), hangata li behiloe bakeng sa ho hlōleha ha pelo ho fokotsa menyetla ea ho hlaseloa ke pelo le ho otloa ke lefu.
Ka lilemo tse ngata, phekolo e kopanetsoeng bakeng sa phekolo ea pelo - ho kopanya ACE inhibitors le angiotensin II receptor blockers (ARBs) - e ne e le mokhoa o khethiloeng. Empa sehlooho sa 2007 sa American Diabetes Association ea DOC News se ile sa hlokomela hore basali, haholo-holo, ba rua molemo haholo ho li-ARB. Ka mor'a moo, phuputso e felletseng ea 2008 New England Journal ea Medicine e tšehetse katleho ea ACE inhibitors, le li-ARB li ntse li le khetho bakeng sa ba bang.
Litla-morao le litšebelisano tsa lithethefatsi
Qalong, bakuli ba ka 'na ba bolelloa hore ba noe lithethefatsi nakong ea boroko ho fokotsa mokelikeli leha e le ofe oa ho qala mokokotlo o bakoang ke ho theola khatello ea mali.
Litla-morao tse ling tse tloaelehileng li kenyelletsa:
- Ho phehella, ho khohlela ho omeletseng
- Bofokoli, botenya
- Ho otloa ke mpa, ho hloka takatso ea lijo
- Litlhaku tsa letlalo
- Metallic taste ka molomong
- Potassium e phahameng maemong
- Nosea le hlooho ea kelello
Liphello Tse Ntle
Litla-morao tse tloaelehileng li kenyeletsa ho tsuba, feberu, ho tsuba, ho ruruha ha sefahleho le ho sithabela maikutlong.
Bolella ngaka ea hau haeba u e-na le e 'ngoe ea tsena, empa u se ke ua khaotsa ho noa meriana u le mong. Li-ARB tse kang Cozaar (losartan) li ka laeloa ho bakuli ba nang le liketso tse matla ho ACE inhibitors.
Basali ba imeng kapa ba anyesang, kapa ba rerang ho ima, ha baa lokela ho nka li-inhibitors tsa ACE. Hape, haeba u na le lefu la tsoekere , lupus, kapa pelo, liphio kapa lefu la sebete, kapa haeba u kile ua hlaseloa ke lefu la pelo kapa ho kenngoa ha liphio, ngaka ea hao e ka 'na ea se ke ea batla ho fana ka litaelo tsa ACE.
Ho kopanya ACE inhibitors le joala ho ka baka khatello e kotsi ea mali. Mefuta e meng ea litlama e tlatsetsang le meriana, ho akarelletsa diuretics (lipilisi tsa metsi) le lithethefatsi tse nang le potasiamo, li ka boela tsa ama khato ea ACE inhibitors. Etsa bonnete ba hore ngaka e hlalosang ACE ea hao inhibitor e na le lenane le feletseng la meriana eohle ea hau.
Lisebelisoa:
"ACE Inhibitors: Kakaretso ea Litlhahiso." consumerreports.org. 2008. Mokhatlo oa bareki.
"Angiotensin-Ho Fetola Enzyme (ACE) Inhibitors." hellobel.net Jul. 2007. Texas Heart Institute.
Bafuputsi ba Paki ea PEACE. "Angiotensin-Converting - Enzyme Inhibition ka Matla a Khoheli a Sekhooa sa Likorone." New England Journal of Medicine 351: 20 (2004): 2058-68.
Molao, Bridget Murray. "ARBs Experformform ACE Inhibitors ho Basali ba Nang le Kelello ea Pelo." DOC News 4:11 (2007): 10. Mokhatlo oa Amerika oa lefu la tsoekere.
"Meriana e Atisang ho Sebelisoa ho Tšoara Pelo ho Hloleha." americanheart.org . 9 Jan. 2008. American Heart Association.
Bothata, Dean Thomas, Ellen G. Smith, le Allen F. Shaughnessy. "Therapy Combination With ACE Inhibitors le Ba-Angiotensin-Receptor Blockers ba Hlōlang Pelo." Ngaka ea Lelapa ea American 68: 9 (2003): 1795-98. 4 Nov. 2008..
Bafuputsi ba ONTARGET. "Telmisartan, Ramipril, kapa Bobeli ho bakuli ba Kotsing e Phahameng bakeng sa Liketsahalo Tse sa Tšoaneng." New England Journal ea Bongaka 358: 15 (2008): 1547-59. 4 Nov. 2008.