ʻO ka pilikia o ka hanu piʻiʻana ma nā hopena hopena no ka pūnaepe cardiovascular. Hoʻonuiʻia kēiaʻano i ka pilikia o ka maʻiʻana o ka maʻamau, ka'elepopo o ka myocardial, ka hemorrhages o ka cerebral, ka hāʻuleʻole a me nā maʻi'ē aʻe. No laila, pono mau i loko o ka pahu lāʻau lapaʻau i nā hua'ōlelo maikaʻi e pili ana i ka piʻiʻana. Akā,ʻaʻohe mea ponoʻole ke mālama ponoʻana iā ia iho, e pono e hui pūʻia kekahi lāʻau me ke kanaka lapaʻau.
Ke papa inoa o nā papa maikaʻi mai ka piʻiʻana a me nā lāʻau hou
I ka mālamaʻana i ka hanuʻana,ʻo nā lāʻau lapaʻau i kohoʻia he mau lāʻau lapaʻau. Hoʻolālā mau nā kamupūʻai i nā huahana, akā,ʻaʻole hiki ke'ōleloʻia, uaʻoi aku ka maikaʻi o nā lāʻau lapaʻau hou ma mua o ka lāʻau i hāʻawi pinepineʻia aiʻole iʻole nā hopena maikaʻiʻole. Eia kekahi laʻana, ua hele akuʻo'Enalapril i ke kūʻai aku ma mua o 30 mau makahiki i hala aku nei, akā ua mauʻia i kēia lā ka lāʻau ikaika. He mea nui e hoʻomanaʻo i kēlā mau papa mai ka hanu kiʻekiʻeʻole i loaʻa me kaʻole o nā hopena āpau, aʻokoʻa, nā mea a kēlā me kēia kanaka e hoʻohālike i nā mea likeʻole.
Aia nā lāʻau kūpono ma nāʻano likeʻole:
1. nā mea hoʻopunipuni ACE (angikensin-hoʻololi i ka enzyme):
- Enalapril ;
- Captopril;
- Perindopril;
- Lysinopril;
- Zofenopril;
- ʻO Ramipril;
- Fosinopril;
- Hinapril;
- Trandolapril.
2. Nānā:
- ʻO Eprosartan;
- Telewalartan;
- ʻO Losartan;
- ʻO Valsartan;
- Olmesartan;
- Kahealani;
- ʻO Irbesartana.
3. Hoʻopaʻa i nā kelepona calcium Pulsatile:
- O Diltiazem;
- Verogalide EP;
- Isoptin SR;
- ʻO Veraamil;
- Altiazem PP.
4. Nenehana o nā mea hoʻohālike dihydropyridone o ke kahawai calcium:
- Felodipine;
- Keiki;
- ʻo Lacidipine;
- 'Amlodipine;
- Lercanidipine;
- Nimodipine.
5. Nānā'āpana:
- Kalipuka;
- ʻO Doxazosin;
- Tonicardin.
6. Nā Beta-blockers:
- Nebivolol;
- Mīkia;
- Betaxolol;
- ʻo Carvedilol;
- ʻO Bisoprolol.
7. Ka lāʻau lapaʻau:
- Rilmenidine;
- Moxonidine;
- Methyldopa.
Hiki wale i ke endocrinologist hiki ke koho i ka maikaʻi a me kaʻole o ka hō'īʻana a me nā hopena'ē aʻe o ka pila e kū'ē i ke kiʻekiʻe, e noʻonoʻo ana i nā hualoaʻa o ka hoʻolālāʻokoʻa a me nā leka uila. ʻO ka mea hikiʻole ke koho iā ia iho i nā mea lawelawe gipotenzivnye, hikiʻole ke hōʻeha i kahi maʻi a iʻole maʻi a alakaʻi i kahi pilikia.
Ke papa inoa o nā diuretics ma ka hanu kiʻekiʻe
Hoʻopilikia ka diuretics i ka weheʻana o ka wai mai ke kino, a ke emi nei ka hoʻonuiʻana i ka pika.
No ka hoʻomaʻamaʻaʻana i ka hanuʻana, hoʻohanaʻia nāʻano diuretics:
1. nā Thiazides a me nā mea like me nā thiazide:
- Hypothiazide;
- ʻAno;
- ʻO Dichlorothiazide;
- Pākuʻi;
- Nā Retapres.
2. Nānā loop (i ke kumu o ka pilikia wale nō):
- Lasix;
- ʻAno;
- ʻO Furosemide.
3. Nā diuretics e hoʻopakele i nā pāhana:
- Triampur;
- Veroshpiron ;
- Kekaha;
- Inspra;
- ʻO Triamtel.
ʻO nā lāʻau lapaʻau a pau he nui kona mau analog, hiki ke kūʻaiʻia ināʻaʻole i loaʻa ka mea kumu aʻaʻole paha i kūpono.