Imithi for arrhythmia: amagama izidakamizwa, on isicelo izincomo kanye nokubuyekeza

Ngaphansi arrhythmia kumele aqondwe isifo esimiso senhliziyo nemithambo yegazi, okuyinto sitholakale iziguli eziningi. Izimbangela arrhythmias kungenziwa isethwe. Ukwelapha arrhythmia Inombolo yokuqala ebekiwe izidakamizwa, ukuhlobana ngasinye sazo yizifo kanzima kanye comorbidities.

Naphezu kweqiniso lokuthi unamasu arrhythmias, eqinisweni, ngesisekelo senqubo zokwelapha, ukuhambisana nemithetho yokudla ukudla okunempilo, ukuvivinya umzimba ngokulinganisela, futhi ukugwema nezinamathiselo eziyingozi, kungaba ngokuphawulekayo ngcono umphumela ukwelashwa.

Iyini injongo unamasu arrhythmias?

Imithi for arrhythmia kungaba lula isimo lesiguli, kungenzeka ukususa izimpawu ezingemnandi futhi mhlawumbe ukuqeda leso sifo singaqali. Ngenxa amaqhinga anjalo iqiniso lokuthi isenzo izidakamizwa kuhloswe ngazo ukuqinisa izakhiwo yeselula we esimiso senhliziyo nemithambo yegazi, ukuze imiphumela yezinto eziyingozi zangaphandle lincishisiwe. Ezimweni ezimbi kakhulu, umuthi arrhythmia isetshenziswa ekulinganiseni nesineke futhi alungele imisebenzi.

Ukwahlukanisa izidakamizwa ngoba arrhythmias inhliziyo

Kuye isiqondiso isinyathelo, ukuqhutshwa arrhythmias zihlukaniswe amaqembu amaningana:

1. Beta-blocker - uhlu izidakamizwa ukuthi ukunciphisa umphumela we ohlelweni onozwela e myocardium, ngakho inhliziyo akusho ukuzwa ukuminyana ezingadingekile.
2. Blocker sodium iziteshi ion - iqembu izidakamizwa ukuthi ukwandisa cell ukumelana nemiphumela elimazayo, kodwa futhi umfutho ezingalindelekile.
3. Blocker, i-calcium iziteshi ion - inombolo ngamalungiselelo kunikeza isivikelo ingress inhliziyo imisipha amaseli ingaphakathi calcium yabo ion, nokunikeza inhliziyo isigqi evamile.
4. Potassium channel blocker - yizidakamizwa ukukhuthaza ukuvuselelwa lamaseli zenhliziyo ubavumele ukuba baphumule.

Yini ukwenza ka arrhythmia? Okulandelayo, ngizobuya ukuyichazela. Kodwa khumbula: self ungakulimaza impilo yakho! Ngaphambi ukusetshenziswa kwanoma yiluphi izidakamizwa, udinga kudokotela.

Umgomo we isinyathelo we-beta-blocker

Mshini jikelele isinyathelo lezi izidakamizwa ukuphikisana receptor beta-adrenergic abakhona zonke izicubu nezitsha umzimba, kuhlanganise imisipha yenhliziyo, futhi uma kwenzeka ukucindezeleka, abahlangene epinephrine hormone. Lokhu kwenza umzimba, ikakhulu imisipha yenhliziyo ukusebenza imodi eziphuthumayo. Beta-blocker zivimbela enjalo esibophezelayo. Yingakho avame ukusetshenziswa e arrhythmias inhliziyo futhi nokuvimbela yansukuzonke isilethikusebenza, nomfutho wegazi ophakeme.

Tablets kusukela arrhythmia eyayibhalwe ikilasi elalisanda kuthola we-beta-blocker - kuyinto "Betaxolol", "Egilok", "bisoprolol" "Atenolol" nabanye.

Tablets "Betaxolol"

Umuthi 'Betaxolol "kungokwalabo esigabeni ka abakhethayo beta-blocker. Ngenxa isikhathi eside yesenzo, umuthi kancane kancane kwehlisa umfutho wegazi, ukuvimbela ukwanda yayo ezimweni ezicindezelayo noma ukuzikhandla eqinile emzimbeni. "Betaxolol" akusho zivimbela umsebenzi we imisipha yenhliziyo, uma wamukelwe ngokulinganisela, kungaphazamisi isenzo agonists, ukwandisa mafutha anciphisa isikhala esingaphakathi bronchial. Umuthi akakubangeli ukubambezeleka emzimbeni sodium ion, akunamthelela umzimba glucose.

I izinkomba esiyinhloko ukusetshenziswa kwezidakamizwa - a umfutho ophezulu wegazi kanye angina zokuvimbela.

Ukuthatha amaphilisi kusukela arrhythmia "Betaxolol" kufanele kube kanye ngosuku ku kunye nangokuphuza uketshezi oluningi.

Izimo "Betaxolol"

Tablets "Betaxolol" akufanele athathwe ebukhoneni iphutha acute inhliziyo, encishisiwe blood pressure (hypotension), bradycardia, vimba atrioventricular, kanye somoya bronchial kanye ukuvuvukala ezingalapheki ze- bronchi. Ungasebenzisi izidakamizwa ngenkathi bekhulelwe nangenkathi bencelisa, kanye izingane ezingaphansi kweminyaka engu-18.

Phakathi ingase kungenzeka imiphumela engemihle ukuqala ngokuzumayo bradycardia waphawula, ukuwa abukhali wegazi, esingamahlalakhona senhliziyo ebuthaka, ubuthakathaka, ukuba ndikindiki wemikhawulo, Raynaud Syndrome.

"Betaxolol": intengo, ukubuyekezwa

Ezimweni eziningi, iziguli ukubika ekwenteni ncono isimo sabo, ngakho Izibuyekezo mayelana izidakamizwa "Betaxolol" ikakhulukazi omuhle. Nokho, ngenxa izici ngamunye zomzimba womuntu, awusebenzi ngaso sonke isikhathi ukunikeza umthelela kulindeleke zomuthi. Ngakho-ke, kwezinye izimo kukhona ukuhlolwa negative zomuthi.

Umuthi 'Betaxolol ", intengo zazo Pharmacy akuyona ruble ezingaphezu kuka-150-Russian, etholakalayo abathengi. Nokho, akumelwe usetshenziswe ngaphandle kokubonisana ngaphambi udokotela, noma umonakalo kusuka izidakamizwa angase kunemiphumela emibi edlula izinzuzo.

Tablets "Amiodarone"

"Amiodarone" kuyinto ekwakhiweni ngokunikeza imiphumela antiarrhythmic futhi antianginal. Isimiso yokusebenza "amiodarone" ukunciphisa umsebenzi ngokuzenzekelayo engeyokuqala itheku, okuyinto kunciphisa ingozi ingasheshi ukushaya kwenhliziyo, kanye inciphise potassium ion idlule cell ulwelwesi kardiomiotsitarnye. Umuthi kungaba kwelulwe isikhathi kwalungiswa izinkunga zokubona of imisipha yenhliziyo. Ngaphezu kwalokho, "Amiodarone" kunciphisa esivimba amanzi nomoya-mpilo ngokufunwa, kunciphe njengoba ukuvama ukushaya kwenhliziyo. Mafutha anciphisa isikhala esingaphakathi we ukuxhumelela imithambo yenhliziyo kanye neuropathy semithambo elandayo, ngakho-ke, ukumelana ewela ngaphakathi izitsha neuropathy, okuvumela ukuba silondoloze okukhipha inhliziyo.

Ukulungiswa ihlanganisa iodine, esiza ukunciphisa umthelela kwama-hormone egilo ku myocardium.

"Amiodarone" okunqunyiwe in iziguli ventricular fibrillation, amabhithi ngaphambi kwesikhathi, kanye ukuvimbela yokuphindela isilethikusebenza.

Umthamo nomthamo ophezulu wemithi "Amiodarone"

"Amiodarone" ikhishwe ngendlela amaphilisi amaphilisi g 0.2 kufanele bamukele ukwelashwa ka 0.6-0.8 g, uhlukanisa leli nani ku 2-3 Ukweqiwa. Inkambo ekwelapheni izinsuku 8 kuya ku-15.

Thatha amaphilisi ngemva kokudla, ukuphuza uketshezi oluningi.

Izimo ukwelashwa "Amiodarone"

Phakathi Izimo "Amiodarone": ukushaqeka cardiogenic, vimba atrioventricular ngaphandle pacemaker, bradycardia, luvelo asebenzayo izidakamizwa izinto, hyper- kanye hypothyroidism, hypokalemia, congestive ukuhluleka kwenhliziyo, ukukhulelwa.

"Amiodarone": intengo, ukubuyekezwa

Ukwahlulela ngokubukeka ukubuyekezwa omuhle mayelana izidakamizwa, kuyasiza ngempela ukuze akhulule ukuhlaselwa ka fibrillation atrial, futhi uba isilinganiso izifo. Iningi Izibuyekezo posted - omuhle. A kwalokho nice kuya izidakamizwa - kuba ukufinyeleleka yayo.

"Amiodarone", intengo zazo Pharmacy eRussia ruble 140-150, "ukukhokhela" kumakhasimende. Nokho, kufanele babonise ukuthola udokotela kadokotela.

Tablets "quinidine"

"Quinidine" - kuba impela ephumelelayo izidakamizwa antiarrhythmic, okuyinto ngempumelelo ngisho nalapho ezinye izidakamizwa ezifanayo musa asize. Nokho, ngokuvamile i-kokuthola "Quinidine" kungase kuhambisane nemiphumela engemihle. Nokho, umthamo efanele umuthi ukugwema izingozi zempilo.

Izinkomba ngokusetshenziswa "Quinidine" kukhona izinhlobo ezahlukene arrhythmias, kanye okunye ukwehluleka isigqi senhliziyo esilimele - tachycardia paroxysmal, tachycardia ventricular, njalo amabhithi kwesikhathi.

Yokusetshenziswa "Quinidine"

"Quinidine" yokusetshenziswa zazo unamathele iphakethe zomuthi ngamunye ikhishwe ngendlela amaphilisi 100 kanye 200 mg. Sebenzisa-ke kufanele kube isigamu sehora ngaphambi kokudla. I umthamo we isidakamizwa enqunywe udokotela wakho. Ngokocwaningo lwamuva, umphumela maximal zomuthi kusukela arrhythmia "quinidine" izuzwe ngesikhathi isicelo sokuqala ebulilini (250-300 mg) nekwehla zabo kancane kancane (100 mg) ezikhathini 6 ngelanga. Kunoma ikuphi, circuit reception nesilinganiso kufanele libekwe kuphela udokotela ukuba khona.

Izimo ukusetshenziswa "Quinidine" yilezi: isici esiyingqayizivele izidakamizwa, inhliziyo ukuhluleka, ukukhulelwa.

Magnesium kanye potassium yilezi: izidakamizwa

Potassium kuyinto trace intfo lebaluleke kakhulu, okuyinto kunomthelela oqonde ngqo kwi umthamo ukusebenza inhliziyo. Ngokuhlangana potassium, magnesium ohilelekile umzimba yeselula e myocardium. Ngaphezu kwalokho, lezi zinto trace ukuqinisa cell Imithambo yegazi, ekuqedeni zingcwecwe sclerotic, futhi ngokwenza kanjalo walenza igazi uketshezi xaxa, futhi ezivimbela thrombosis semithambo. Potassium nalo libalulekile ukuze ukuzinza umsebenzi contractile of imisipha yenhliziyo. Ngakho, nokugcina ezingeni i-potassium ne-magnesium emzimbeni ezingeni eyanele kusiza ukuvimbela arrhythmias nezinye izifo yisimiso senhliziyo nemithambo yegazi.

Ngokuvamile, izidakamizwa i-potassium ne-magnesium, ngokukhethekile, "Panangin" noma "Asparkam" hhayi kunethonya nomphumela okukhulu kakhulu ku kwenhliziyo. Asetshenziswa njengezitolo ejenti asizayo arrhythmias okuyinto zibangelwa hyperaldosteronism lapho hypokalemia, nalapho esingeqile Isikali glycosides inhliziyo. Izinkomba ngoba ukusetshenziswa kwezidakamizwa futhi potassium lokubuya kwesifo lokuvikela paroxysmal tachycardia, extrasystoles, tachyarrhythmia paroxysmal. Abantu abadala ukusebenzisa izidakamizwa potassium ekushintsheni umfutho womoya, ukwehlisa umfutho wegazi ngesikhathi angina yansukuzonke.

Landzelela izakhi potassium ne-magnesium ingasetshenziswa hhayi nje njengomuntu ithebhulethi kodwa futhi njengoba isakhi ngoba umjovo emthanjeni polarizing cocktail insulin, ushukela egazini, i-potassium ne-magnesium. Ngakho ngenxa insulini, glucose, kanye potassium ion ngokusebenzisa ulwelwesi cell plasma iwela amaseli. Ngakho, nokwehlukana anda cardiomyocytes, ie uyalulama bezikhali ulwelwesi lamaseli esivimba amanzi.

Konke unamasu arrhythmias ngezindlela ezingafani, ukwazi ukubuyisela impilo noma amkhulule kusukela izimpawu ezingemnandi lesi sifo. Noma kunjalo, kuwufanele ukukhumbula ukuthi ukuze ulondoloze impilo esemncane kungenzeka uma enempilo futhi ukuqeda imikhuba emibi. Khona-ke belaphe arrhythmia nezinye izinkinga inhliziyo kudingeka kamuva kakhulu, noma ayidingeki nhlobo.