Mankhwala kwa arrhythmia: mayina a mankhwala, malingaliro ogwiritsidwa ntchito ndi ndemanga

A arrhythmia ayenera kumveka ngati matenda a mtima, omwe amapezeka mwa odwala nthawi zambiri. Zomwe zimayambitsa magetsi zimakhala zambiri. Pochiza mankhwala amtunduwu, mankhwala ambiri amalembedwa poyamba, kufunika kwachangu komwe kumatsimikiziridwa ndi kuopsa kwa matendawa, komanso kugonjetsa matendawa.

Ngakhale kuti mankhwala ochokera ku arrhythmia ndiwo, maziko a njira zothandizira, kutsatira malingaliro abwino a kudya, kuchita zinthu zolimbitsa thupi, komanso kukana zinthu zovulaza, kumathandizira kwambiri mankhwala.

Kodi cholinga cha mankhwala osokoneza bongo ndi chiyani?

Mankhwala osokoneza bongo amatha kuchepetsa matenda a mthupi, ngati n'kotheka, kuchotsa ziwonetsero zosasangalatsa, ndipo mwina, kuchotseratu matendawa. Njira iyi imayikidwa ndi mfundo yakuti chigwiritsiro cha mankhwala onse chilimbikitsanso kulimbikitsa makina a mtima wa mtima, kotero kuti zotsatira za zinthu zakunja zoopsa zimachepetsedwa. Pazoopsa kwambiri, mankhwala osokoneza bongo amagwiritsidwa ntchito kuti azikhalitsa wodwala ndikukonzekera ntchito zothandiza.

Dongosolo la mankhwala kuchokera ku mtima wa arrhythmia

Malingana ndi njira yothandizira, njira zogwirira ntchito zimagawidwa m'magulu angapo:

1. Beta-blockers ndi mndandanda wa mankhwala omwe amachepetsa mphamvu ya chisomo pa kachipatala, kuti mtima usavutike kwambiri.
2. Anthu ogwiritsa ntchito mankhwala osokoneza bongo ndi gulu la mankhwala omwe amachititsa kuti maselo azitha kuwonongeka, komanso kukhumudwa kosayembekezereka.
3. Mitundu ya mankhwala a Ionic calcium channel ndi mankhwala ambiri omwe amateteza maselo a mitsempha ya mtima kuti asalowe m'matumbo awo, ndikupereka mtima wamtundu wabwino.
4. Mavitamini a potaziyamu ndi mankhwala omwe amalimbikitsa kusintha kwa maselo a mtima ndi kuwapatsa mpumulo.

Kodi mungatenge chiyani kuchokera ku arrhythmia? Kenaka tidzakambirana za izi. Koma kumbukirani: kudzipangira nokha kungawononge thanzi lanu! Musanagwiritse ntchito mankhwala aliwonse, m'pofunika kuonana ndi dokotala.

Mfundo ya beta-blockers

Njira yambiri yogwiritsira ntchito mankhwalawa ndi kupewera beta-adrenoreceptors yomwe ilipo mu mitsempha yonse ndi mitsempha ya thupi, kuphatikizapo minofu ya mtima, ndipo pakakhala zovuta, zimayanjanitsidwa ndi hormone epinephrine. Izi zimapangitsa thupi, makamaka minofu ya mtima, kugwira ntchito mwadzidzidzi. Mabeta-blockers amaletsa zoterozo. Ndi chifukwa chake nthawi zambiri amagwiritsidwa ntchito pofuna kugwiritsidwa ntchito kwa mtima, komanso kupewa kupewa kuthamanga kwa myocardial infarction ndi kuthamanga kwa magazi.

Mapiritsi ochokera ku kalasi ya beta-blockers ndi Betaxolol, Egilok, Bisoprolol, Atenolol ndi ena.

"Mapiritsi" a Betaxolol

Mankhwalawa "Betaxolol" amatanthauza mtundu wa beta-blockers. Chifukwa cha nthawi yayitali, mankhwalawa amachepetsetsa kuthamanga kwa magazi, kuteteza kuti asakwere m'mavuto ovuta kapena polemetsa thupi. "Betaxolol" siimaletsa ntchito ya minofu ya mtima, ngati imatengedwa muyezo wokwanira, sichitsutsana ndi zochita za adrenomimetics, kukulitsa zizindikiro zowonongeka. Mankhwala samapangitsa kuchedwa kwa thupi la sodium ions, sakhudza kusintha kwa shuga.

Zizindikiro zazikulu zogwiritsira ntchito mankhwala ndizoopsa kwambiri komanso kupewa angina pectoris.

Tengani mapiritsi kuchokera ku arrhythmia "Betaxolol" ayenera kukhala kamodzi pa tsiku, chidutswa chimodzi, ndi madzi ambiri.

Zotsutsana ndi ntchito ya "Betaxolol"

Mapiritsi "Betaxolol" sangathe kutengedwa pamaso pa mtima wolephera, kutsika kwa magazi (hypotension), bradycardia, atrioventricular blockade, komanso kutupa kwa mphuno komanso kutupa kwa bronchi. Musati mulangize kugwiritsa ntchito mankhwalawa panthawi ya mimba ndi lactation, komanso ana osakwana zaka 18.

Zina mwa zotsatira zake zingayambe kuchitika mwadzidzidzi wa bradycardia, kuchepa kwa magazi, mtima kusalimba, kufooka, kusowa kwa miyendo, Raynaud's syndrome.

"Betaxolol": mtengo, ndemanga

Kawirikawiri, odwala amadziwa kusintha kwakukulu kwa chikhalidwe chawo, kotero ndemanga za Betaxolol ndizovuta kwambiri. Komabe, chifukwa cha umunthu wa thupi lirilonse la munthu, mankhwalawa samakhala ndi zotsatira zoyembekezeka. Choncho, nthawi zina, kuyezetsa mankhwala osokoneza bongo kumachitika.

Mankhwalawa "Betaxolol", mtengo umene suposa 15 rubles madera 150 ku Russia, umapezeka kwa makasitomala. Komabe, sizingagwiritsidwe ntchito popanda kufunsa kaye dokotala, mwinamwake kuvulazidwa kwa mankhwala kungapitirire phindu lake.

Mapiritsi a Amiodarone

"Amiodarone" ndi mankhwala omwe ali ndi antiarrhythmic, komanso anti-anginal action. Mfundo ya "Amiodarone" ndiyo kuchepetsa kugwiritsidwa ntchito kokha kwa nthenda ya sinus, yomwe imachepetsa chiopsezo chochepetsera kuthamanga kwa mtima, komanso kuchepetsa chiwerengero cha ayoni ya potassium kudutsa mu memphane ya cardiomyocyte. Mankhwalawa amakulolani kuti muwonjeze nthawi yowonjezera ya minofu ya mtima. Kuonjezera apo, "Amiodarone" ikhoza kuchepetsa kufunika kwa kachipatala mu oksijeni, chifukwa kuchuluka kwa mtima kumachepa. Kuwala kwa mitsempha yamakono ndi mitsinje yamakona kumapitirira, motero, kukana mkati mwa zitsulo zamatsinje, zomwe zimathandiza kuti thupi likhale lopangidwa.

Mankhwalawa akuphatikizapo ayodini, omwe amathandiza kuchepetsa zotsatira za mahomoni a chithokomiro pa makompyuta.

"Amiodarone" imalembedwa kwa odwala omwe ali ndi ventricular arrhythmia, extrasystole, komanso kupeŵa kubwereka kwa myocardial infarction.

Njira yogwiritsira ntchito ndi mlingo wa "Amiodarone"

"Amiodarone" imapezeka pamapiritsi a 0,2 g. Pewani mapiritsi kumayambiriro kwa chithandizo cha 0.6-0.8 g, kugawira ndalamazo ndi phwando 2-3. Njira ya mankhwala imachokera masiku 8 mpaka 15.

Pewani mapiritsi mutatha kudya, panizani madzi ambiri.

Contraindications kuchiza "Amiodarone"

Zina mwazifukwa zogwiritsira ntchito "Amiodarone": mantha a mtima, atrioventricular blockade popanda pacemaker, bradycardia, kukhudzidwa ndi zinthu zogwira ntchito za mankhwala, hyper- and hypothyroidism, hypokalemia, kulephera kwa mtima, mimba.

"Amiodarone": mtengo, ndemanga

Poyang'ana ndemanga zabwino zokhudzana ndi mankhwalawa, zimathandiza kuthetsa zida zowonongeka , komanso zimakhala ngati zothandizira. Zambiri mwa mayankho omwe achoka ndi abwino. Kuwonjezera kwa mankhwalawa ndi kupezeka kwake.

"Amiodarone", amene mtengo wawo m'masitolo a Russian ndi 140-150 rubles, "wotsika mtengo" kwa makasitomala. Komabe, iwo ayenera kugulidwa kokha malinga ndi lamulo la dokotala yemwe akupezekapo.

Mapiritsi "Quinidine"

"Quinidine" ndi mankhwala othandiza kwambiri omwe amawathandiza ngakhale nthawi zina mankhwala osokoneza bongo samathandiza. Komabe, nthawi zambiri kulandiridwa "quinidine" kungaperekedwe ndi zotsatira. Komabe, mankhwala oyenerera amapewa ngozi ku thanzi.

Zisonyezo za kugwiritsidwa ntchito kwa "Quinidine" ndi mitundu yosiyanasiyana ya arrhythmia, komanso zosokoneza zina muyeso wa kusweka kwa minofu ya mtima - paroxysmal tachycardia, ventricular tachycardia, extrasystole kawirikawiri.

Malangizo ogwiritsidwa ntchito "Quinidine"

"Quinidine," malangizo omwe atsekedwa mu phukusi lililonse la mankhwala, amapezeka mu mapiritsi a 100 ndi 200 mg. Ikani izo ziyenera kukhala theka la ora musanadye. Mlingo wa mankhwalawo umaperekedwa ndi dokotala. Malingana ndi kafukufuku waposachedwapa, zotsatira zapamwamba za mankhwala pa arrhythmia "quinidine" zimatheka ndi kuyamba koyeso (250-300 mg) ndi kuchepa pang'ono (mpaka 100 mg) kasanu ndi kamodzi patsiku. Mulimonsemo, dokotala yekhayo ayenera kupereka mlingo wa mlingo ndi mlingo.

Zotsutsana ndi kugwiritsiridwa ntchito kwa "quinidine" ndi: kusagwirizana pakati pa mankhwala, mtima wosalimba, mimba.

Magnesium ndi potaziyamu: Kukonzekera

Potaziyamu ndi mankhwala ofunikira kwambiri, omwe amakhudza mwachindunji mphamvu yamaganizo ya mtima. Muzovuta ndi magnesium, potaziyamu imagwira ntchito m'thupi la maselo mumagalimoto yapamwamba. Kuwonjezera pamenepo, tizilombo toyambitsa tizilombo timeneti timalimbitsa makoma a selo, ndikuchotsa mapuloteni, ndikupanga magazi kukhala ofunika kwambiri, komanso kupeŵa kupweteka kwa ziwiyazo. Potaziyamu ndizofunika kwambiri kuti zikhale zovomerezeka za mgwirizano wa mgwirizano wa mtima. Motero, kukhala ndi potassium ndi magnesium mu thupi pamlingo wokwanira kumathandiza kuti tipewe arrhythmias ndi matenda ena a mtima wa munthu.

Kawirikawiri, mapangidwe a potaziyamu ndi magnesium, makamaka "Panangin" kapena "Asparcum", musawononge kwambiri mtima. Amagwiritsidwa ntchito monga othandizira a arrhythmias amachititsidwa ndi hypokalemia mu hyperaldosteronism, komanso pamene mlingo wa mtima glycosides wapitirira . Zizindikiro zogwiritsira ntchito mankhwala osokoneza bongo ndizoletsanso kubwezeretsa kwa paroxysmal tachycardia, extrasystole, paroxysmal tachyarrhythmia. Anthu okalamba amagwiritsira ntchito mapangidwe a potaziyamu ndi kusintha kwa chipsinjo cha m'mlengalenga, kuchepetsa kuthamanga kwa magazi, ndi angina omwe amapitirirabe.

Mavitamini a potassium ndi magnesium sangagwiritsidwe ntchito pamapiritsi okha, koma komanso monga chigawo cha jekeseni m'matumbo a malo ogulitsira mankhwala ochokera ku insulini, shuga, potassium ndi magnesium. Pankhani iyi, chifukwa cha insulini, shuga ndi mavitoni a potaziyamu amachokera ku plasma mkati mwa maselo. Choncho, polarization of cardiomyocytes ikuwonjezeka, ndiko kuti, kuthekera kwa myocardial membrane membranes kubwezeretsedwa.

Mankhwala onse operekedwa kuchokera ku arrhythmia amatha kubwezeretsa thanzi la munthu pamlingo winawake kapena kuthetsa zizindikiro zosasangalatsa za matendawa. Komabe, ndi bwino kukumbukira kuti n'zotheka kukhala ndi thanzi laling'ono, ngati mutakhala ndi moyo wathanzi ndikuchotsa zizoloŵezi zoipa. Ndiye mankhwala osokoneza bongo ndi mavuto ena amtima adzafunika patapita nthawi, kapena osasowa konse.