Amayeza for arrhythmia: amagama iziyobisi, phezu isicelo sezi ngcebiso kunye nohlolo

Phantsi arrhythmia kufuneka ziqondwe isifo kwenkqubo sentliziyo, nto leyo banesifo kwizigulana ezininzi. Izinto ezibangela arrhythmias zingasetwa. Ukuba aphilise le arrhythmia inani yokuqala emiselweyo iziyobisi, ukufaneleka nganye leyo kubangelwa ubukhulu sifo, kwakunye comorbidities.

Nangona isibakala sokuba amalungiselelo arrhythmias, enyanisweni, sisiseko senkqubo unyango, ukuthobela imithetho yokutya okunempilo, ukuzilolonga, kwaye siphepha attachments eziyingozi, unako ukuphucula ngokubonakalayo isiphumo imithi.

Yintoni injongo amalungiselelo arrhythmias?

Amayeza for arrhythmia unako lula imeko esikuyo, kunokwenzeka ukuba ukususa iimpawu emibi kwaye mhlawumbi ukuphelisa esi sifo kwaphela. Ngenxa amacebo enjalo into yokuba isenzo amachiza ezijolise ekolulweni izakhiwo cellular kwenkqubo sentliziyo, ukuze imiphumela yeemeko eziyingozi lwangaphandle kuncitshiswe. Kwiingozi ezimasikizi, amayeza arrhythmia isetyenziselwa ukuze uzinzise nomonde walungisa zokusebenza.

Ucalulo amachiza ukuba arrhythmias inhliziyo

Kuxhomekeka kwicala amanyathelo, inzuzo ye arrhythmias bohlulwa babe ngamaqela ezininzi:

1. Beta-blocker - uluhlu lwe iziyobisi ukunciphisa ifuthe yenkqubo onovelwano kwi myocardium, ngoko intliziyo akuthethi namava ingxinano engeyomfuneko.
2. Blocker lamajelo ion sodium - iqela iziyobisi ukwandisa ukumelana iseli yeziphumo eziyingozi, kodwa sibangela engalindelekanga.
3. Blocker, ion channels calcium - inani ngamalungiselelo ukhuseleko kucalu ukungena kweeseli izihlunu kwentliziyo kwi ion zabo kwisisu calcium, ngokubonelela intliziyo isingqisho eqhelekileyo.
4. blocker Ipotaziyam channel - iziyobisi ezikhuthaza nokuhlaziya ngokutsa iiseli ezesifuba ubavumele ukuba aphumle.

Yintoni ukwenza of arrhythmia? Okulandelayo, ndiza ukuchaza oko. Kodwa khumbula: self banokubenzakalisa impilo yakho! Phambi kokuba ukusetyenziswa lwaso nasiphi na isiyobisi, kufuneka udibane nogqirha.

Umgaqo yesenzo ibeta-blocker

Indlela jikelele amanyathelo kula machiza kukuba ukulwa ii-beta-adrenergic, aba bakhoyo kuzo zonke izicwili kunye nempahla umzimba, kuquka izihlunu ngentliziyo, kwaye xa kunokwenzeka ntshikilelo, sizibandakanya epinephrine hormone. Oku kubangela ukuba umzimba, ingakumbi imisipha intliziyo ukusebenza xa imo yonxunguphalo. Beta-blocker zinqanda ezinjalo ayikokubambana ngendlela. Kungenxa yoko le nto idla ngokusetyenziswa arrhythmias ezesifuba kuthintelo iqhosha nezolo engabalulekanga, kunye noxinzelelo oluphezulu lwegazi.

Amacwecwe arrhythmia kwiklasi ibeta-blocker - yi "Betaxolol", "Egilok", "bisoprolol" "Atenolol" kunye nabanye.

Tablets "Betaxolol"

Ichiza "Betaxolol" kokwabo kudidi uyakhetha beta-blocker. Ngenxa ixesha elide amanyathelo, ichiza ngcembe kwandisa uxinzelelo lwegazi, ukuvimbela ungeniselo lwayo kwiimeko ezibangela okanye amandla bethandana. "Betaxolol" ayithethi zinqanda umsebenzi kwemisipha intliziyo, xa isetyenziswe ngokulinganisela, akuyiphazamisi kunye nesenzo agonists, yokwandisa mithambo inyumoniya. Ichiza akubangi ukulibaziseka umzimba ion isodiyam alunasiphumo kwi ukutya iswekile yegazi.

Yayibubungqina ezingundoqo zokusetyenziswa ichiza - a lwegazi kunye angina nothintelo.

Ukuthatha iipilisi ukusuka arrhythmia "Betaxolol" kufuneka kanye ngosuku enye inala iziselo.

Izimo "Betaxolol"

Tablets "Betaxolol" akumele ithathwe ekho sokusilela etsolo kwentliziyo, kunciphise uxinzelelo lwegazi (hypotension), bradycardia, ibhloko atrioventricular, kwakunye isifuba inyumoniya kunye nokudumba okondeleyo bronchi. Musa ukusebenzisa iziyobisi ngethuba lokukhulelwa nokuncancisa, kwakunye abantwana abangaphantsi kweminyaka eli-18.

Phakathi iziphumo ebezingalindelekanga eli kokuqala ngesiquphe bradycardia ukuba okubonakalayo, ukuwa okukhulu uxinzelelo lwegazi, insufficiency kwentliziyo, ukutyhafa, antsi kweqondo, Raynaud engqondweni.

"Betaxolol": ixabiso, ncomo

Kwiimeko ezininzi, izigulane ingxelo ukuphucuka okubonakalayo imeko yabo, ngoko ukubuyekeza ichiza "Betaxolol" ubukhulu becala HIV. Noko ke, ngenxa yokuba iimpawu ngabanye nganye emzimbeni womntu, oko ayisoloko ukunika impembelelo elindelekileyo beziyobisi. Ngoko ke, kwezinye iimeko apho kukho iimviwo engakhiyo ichiza.

Ichiza "Betaxolol", ixabiso apho ezikhemisti ayikho ngaphezu kwe-150 engange Russian, ukuze abathengi. Nakuba kunjalo, kufuneka ukuba isetyenziswe ngaphandle ngokudlana iindlebe ugqirha, okanye ingozi ukusuka neziyobisi unakho kuzidlula noncedo lwezo zinto.

Tablets "Amiodarone"

"Amiodarone" into ethile kokunikeza iziphumo antiarrhythmic kunye antianginal. Le yokusebenza Umgaqo "amiodarone" kukunciphisa umsebenzi oluzenzekelayo esiludumbo sinus, leyo lunciphisa ubungozi abazimisele phantsi izinga intliziyo, ngokunjalo sinciphise isixa kudlula ion potassium nge imifinya iseli kardiomiotsitarnye. Ichiza kungalandisa ixesha refraction kwemisipha kwentliziyo. Ukongezelela, "Amiodarone" kunciphisa imfuno ioksijini engabalulekanga, kunciphisa njengoko amaza izinga kwentliziyo. Le mithambo kwemithambo yenhliziyo neuropathy semithambo elandayo, ngoko, kweelana iwela ngaphakathi nempahla peripheral, nto leyo evumela ukuba ukugcina imveliso intliziyo.

Amalungiselelo iquka iodine, nto leyo inceda ukunciphisa impembelelo hormone kwi myocardium.

"Amiodarone" emiselweyo kwizigulane kunye ventricular fibrillation, ibetha ngaphambi kwexesha, kwakunye ukuthintela ukwenzeka iposi engabalulekanga.

Umthamo kunye nomthamo "Amiodarone"

"Amiodarone" ikhutshwa ngokohlobo kumacwecwe 0.2 g tablets kufuneka amkele unyango yokuqala 0.6-0.8 g, ebabela le mali kwi 2-3 nasebusuku. Ikhondo unyango eziyi-8 ukuya 15.

Thatha iipilisi emva kokutya, ukusela intabalala iziselo.

Izimo kunyango "Amiodarone"

Phakathi Izimo "Amiodarone": mothuko cardiogenic, ibloko atrioventricular ngaphandle ipacemaker, bradycardia, uvakalelo izinto esebenzayo iziyobisi, hyper- kunye hypothyroidism, hypokalemia, ukusilela intliziyo congestive, ukukhulelwa.

"Amiodarone": ixabiso, ncomo

Xa nokubuyekezwa ezintle malunga ichiza, ngokwenene kunceda ukuze bawubuyise kuhlaselo of fibrillation atrial, kwaye kananjalo enze njengenyathelo lothintelo. Uninzi reviews iposelwe - HIV. A Ukongeza nice ichiza - oko ukufumaneka kwayo.

"Amiodarone", ixabiso apho ezikhemisti eRashiya 140-150 engange, "imali" abathengi. Noko ke, bafanele ukufumana gqirha amayeza.

Tablets "quinidine"

"Quinidine" - zako esebenzayo iziyobisi antiarrhythmic, nesebenza kakuhle nokuba kwiimeko apho namanye amachiza afanayo musa ukunceda. Noko ke, ngokufuthi kunokwamkela "Quinidine" ukuze sihambe iziphumo ebezingalindelekanga. Noko ke, ukuba idosi echanekileyo amachiza ukuthintela ingozi empilweni.

Iimpawu zokusetyenziswa "Quinidine" iintlobo ezahlukeneyo arrhythmias, kwakunye nezinye iintsilelo kwi kwisingqi kwemisipha - tachycardia paroxysmal, tachycardia ventricular, ibetha rhoqo kwexesha.

Imiyalelo yokusebenzisa "Quinidine"

"Quinidine" imiyalelo ngokusebenzisa yayo iqhotyoshelwe package ngalinye ichiza yakhululwa uhlobo lwe kumacwecwe 100 no 200 mg. Faka kufuneka ube sisiqingatha seyure phambi izidlo. Le umthamo ichiza emiselwe ngugqirha wakho. Ngokutsho izifundo lwakutshanje, isiphumo ezinintsi beziyobisi ukusuka arrhythmia "quinidine" upasile ngexesha sicelo sokuqala ngeedosi eziphezulu (250-300 mg) kunye ekupheleni kwayo ngcembe (100 mg) kumaxesha 6 ngosuku. Kuyo nayiphi na imeko, umphathi wesekethe ulwamkelo kunye idosi kufuneka imiselwe kuphela ngugqirha khona.

Izimo ekusebenziseni "Quinidine" zezi: isici iziyobisi, igazi ukusilela, ukukhulelwa.

Magnesium potassium zezi: iziyobisi

Potassium yinto efunekayo umkhondo ebaluleke kakhulu, nto leyo iba nefuthe elingqale kule amandla ukusebenza kwentliziyo. Ngokuhlangana ne potassium, nemagnesium libandakanyeka yokucolwa yeselula kwi myocardium. Ngaphezu koko, ezi zinto umkhondo ukomeleza cell Imithambo yegazi, ukuphelisa umonakalo sclerotic, ngokwenza igazi fluid ngakumbi, yaye ziyibuyisela thrombosis nemithambo. Potassium kubalulekile ukuba kuqheleke umsebenzi contractile kwemisipha kwentliziyo. Ngenxa yoko, nokugcina inqanaba potassium nezinki emzimbeni kwinqanaba eyaneleyo inceda ukuthintela arrhythmias kunye nezinye izifo yenkqubo sentliziyo.

Ngokubanzi, iziyobisi potassium nezinki, ingakumbi, "Panangin" okanye "Asparkam" ayinalo isiphumo obukhulu kakhulu xa izinga intliziyo. Zisebenziselwa arhente abangabancedani ukuba arrhythmias ezo zibangelwa hyperaldosteronism xa hypokalemia, naxa kunene idosi glycosides inhliziyo. Izinto ezibonisa ukuba ukusetyenziswa kweziyobisi kwakhona potassium zokuthintela ndiphinde paroxysmal tachycardia, extrasystoles, tachyarrhythmia paroxysmal. abantu abadala ukusebenzisa iziyobisi potassium ukutshintsha womoya, kuba lisibekele uxinzelelo igazi angina nezolo.

Treyisa izinto potassium nezinki zingasetyenziswa kuphela xa elucwecweni kodwa ibe icandelo inaliti efakwa wokohlula cocktail insulin, iswekile, potassium, nezinki. Ngoko ngenxa insulin, iswekile, kunye ion potassium nge kwiseli inwebu plasma iwela iiseli. Ngoko ke, lo nokwehlukana okwandisiweyo cardiomyocytes, okt Nokubuyiselwa i inwebu isakhono iiseli engabalulekanga.

Zonke izicwangciso arrhythmias e ngamaqondo ahlukahlukeneyo, nako ukubuyisela impilo okanye amkhulule evela iimpawu ezingentle sifo. Noko ke, kubalulekile ukukhumbula ukuba sempilweni eselula kunokwenzeka ukuba yokuphila esempilweni kwaye ukuphelisa nemikhwa emibi. Emva koko ukumphilisa i arrhythmia kunye nezinye iingxaki intliziyo kufuneka kamva, okanye kwakufuneka kwaphela.