Mtima: mubwereze za mankhwala, ndi mphamvu ya mayankho

wothandizila Cardiotonic mankhwala zimene zimawonjezera ntchito za ntchito ya minofu mtima, umatha contractile ndi ntchito mankhwala a matenda a mtima. Gulu kumaphatikizapo kwambiri kuchuluka kwa mankhwala ndi zinthu zosiyanasiyana zosonyeza kuti zikuchokera ndi limagwirira zosankha zake. Cardiotonic ntchito zochizira mitundu pachimake ndi aakulu kulephera mtima.

Mtima; gulu la

Zotsatira okwana mankhwala onse pagulupo, zochokera luso kuonjezera mphamvu ya chidule m'mnyewa wamtima, potero kuwonjezeka mtima linanena bungwe ndi magazi sitiroko buku. wothandizila Cardiotonic kuchepetsa voliyumu diastolic, m'mapapo mwanga ndi zokhudza zonse venous kuthamanga, ndi kuthamanga pa kudzazidwa ventricles lapansi.

1. Mtima glycosides - "Strofantin", "Korglikon", "Digoxin".
2. Adrenergic mankhwala - "Izadrin", "Dobutamine", "Dopamine".
3. kupanga mankhwala Adrenergic - "Amrinon", "Milrinone".

Kusankha ntchito mankhwala kugwirizana ndi kukula kwa alili ndi mawonekedwe a Inde matenda.

glycosides mtima

Gulu ukufanizidwa mwa masamba kapena chiyambi kupanga. Formulations zochokera zinthu anachokera ku mbewu digitalis, goritsveta, kakombo masika, oleander, strophanthus neri Al.

Kutalika kanthu achire, kudzikundikira zotsatira mu thupi, mankhwala neurotoxicity ali amadalira luso lawo kupanga maofesi ndi mapuloteni plasma. The mphamvu ngati kugwirizana kwambiri, dzuwa la glycoside lapansi. Mtima gulu ili ndi kanthu yochokera njira zotsatirazi:

• zowononga systole amapezeka imodzi ndi phindu lake;
• mpumulo nthawi ya minofu mtima lengthened;
• utachepa mlingo mtima;
• m'mnyewa wamtima minofu kumatheka luso malemeredwe;
• Ngati ambiri osokoneza kusiyana fibrillation yamitsempha yamagazi.

"Digoxin"

mankhwala ndi apanga wa masamba a digitalis. Zimatanthauza glycosides yaitali wotenga, osati kupereka zotsatira zina zoyipa. Izo ntchito mankhwala zovuta kulephera aakulu mtima ndi arrhythmia tachysystolic.

Zilipo ngati miyala ndi njira m'jekeseni. mlingo ayenera anasankha mosamala kwa wodwala aliyense payekha. Pankhani ya glycosides zina mtima pamaso "Digoxin" mlingo amachepetsa.

"Strofantin"

Mtima glycoside ndi wotenga nthawi yochepa, ntchito ngati njira pachimake matenda. "Strofantinom" si achilendo kudziunjikira mu thupi. lokonzekera timapitiriza contractile ntchito ya myocardium ndi kuonjezera linanena bungwe mtima. Mu yomweyi, pali kuchepetsa kukula kwa minofu mtima ndi kuchepa kufunika kwake oxygen.

Kutumikiridwa m'nsinga, intramuscularly, zina - mkati. Kumwa wambiri kungachititse kuti mankhwala osokoneza bongo. Kugwiritsa ntchito mankhwala ena kusintha mphamvu ya glycoside ndi:

• zotsatira barbiturates yafupika;
• ndi "reserpine", sympathomimetics ndi antidepressants angachititse chitukuko cha arrhythmias mtima;
• phwando ndi tetracyclines, "ndi chloramphenicol", "Amiodarone" ndi "captopril" kwalimbitsa kanthu mtima;
• mankhwala enaake a sulphate amalimbikitsa mtima atrioventricular chipika.

mankhwala adrenergic

Neglikozidnye wothandizila cardiotonic kukhala yochepa kanthu. Gulu ntchito njira pachimake kulephera mtima kuthandiza ntchito zofunika kwa thupi.

"Izadrin" ndi stimulant adrenergic ziwiya, bronchi ndi mtima. Mankhwala kumakhudza hypotensive, kumaonjezera contractile luso minofu mtima. Ntchito contractility mtima ndi kuchepa lakuthwa zinthu opaleshoni, komanso cardiogenic mantha. Reviews madokotala kuchenjeza kuti ntchito molakwika kapena Mlingo owonjezera zingachititse fibrillation yamitsempha yamagazi za mtima.

"Dobutamine" - cardiotonic neglikozidnye dongosolo, ali wapaulendoyo pa minofu mtima ndi inatsekeratu magazi normalizing. Chiopsezo arrhythmias ntchito chida ichi ndi otsika kwambiri, chifukwa "Dobutamine" ali pafupifupi ziribe mphamvu pa automaticity mtima.

Atumizidwa kumapangitsanso contractility wa myocardium pa mofulumira kutero. Nthawi zina, chifukwa angayambitse chitukuko mavuto:

• nseru;
• mutu;
• oopsa;
• tachycardia;
• ululu kumbuyo breastbone lapansi.

"Dopamine" ndi catecholamine zolimbikitsa zolandilira adrenergic. Mankhwala zikutipatsa magazi, kumaonjezera inatsekeratu magazi. Iwo anasonyeza kuti pachimake m'mnyewa wamtima wolephera mantha. Chenjezo ayenera kugwiritsidwa ntchito infarction m'mnyewa wamtima, mimba, matenda a chithokomiro, arrhythmias.

Adrenergic kupanga cardiotonic

Izo ntchito ngati pachimake inatsekeratu insufficiency, maofesi mtima. Mankhwala zinthu pa contractility a minofu mtima wowonjezera izo. Lingachititse chitukuko cha arrhythmias ndi kutsitsa magazi, matenda a impso ndi.

mankhwala mtima ku gulu sangathe ntchito ndi zilema mtima, komanso cardiomyopathy, mtima mungoli zipolowe, kung'ambika aneurysm, kulephera impso, matenda a mtima pa kubala ana a.

Kumatanthauza "Amrinon" ntchito mwapadera mu ICU ndi mtima sanali kupitirira m'manja mwa zipangizo wapadera, kusonyeza uliri. Kuwonjezera kuwonjezeka kugunda kwa mtima kukonzekera zambiri Mitsempha kumawonjezera magazi ejection pa systole kumachepetsa kuthamanga m'mapapo mwanga.

Chifukwa amapangidwa ngati yankho. Pakuti mtsempha kuchepetsedwa kwambiri mu thupi njira sodium kolorayidi. Sayenera wothira mankhwala ena. Ndi kumayambiriro zotheka lakuthwa kuchepa kuthamanga, kuchuluka kugunda kwa mtima, arrhythmia, mutu, a m'mimba.

"Milrinone" akugwira ntchito zoposa woimira woyamba wa gululo, ndipo malinga ndi ndemanga bwino analekerera ndi odwala. Contraindicated ntchito mankhwala pa mimba ndi chitukuko cha infarction m'mnyewa wamtima. Pamafunikanso kukonzekera wa gulu A. pakufunika ndalama anatsimikiza potsatira dokotala.

Pomaliza

Mtima anatsimikizira mphamvu ya mibadwo ingapo yapitayo. Reviews kuti gulu ili la mankhwala kuthandiza kupirira matenda a mtima. Komabe, mankhwala awa mu mawonekedwe a kudziletsa mankhwala mosamalitsa contraindicated chifukwa cha mavuto zotheka, mavuto kapena ambiri osokoneza. Kusankha mankhwala, komanso mlingo kulandira cardiologist amasankha pa nkhani iliyonse munthu matenda.