Rongoā mō te arrhythmia: te ingoa o raau taero, i runga i te tono o nga tūtohutanga me arotake

I raro i te arrhythmia kia mohio ki te mate o te pūnaha Cardiovascular, pāngia nei i roto i te nuinga o ngā tūroro. Ka taea te whakaturia take o arrhythmias. Hei whakaora i te arrhythmia maha tuatahi whakaritea o taero, te hāngaitanga o ia o te mea kua meinga e mate pakeke, me te comorbidities.

Ahakoa te meka e taka o arrhythmias he, i roto i te meka, te pūtake o te tukanga haumanu, tautukunga ki nga ture o te kai hauora, mahi āhua, me te tupato tāpiritanga kino, e taea tino whakapai ake i te pānga maimoatanga.

He aha te mea te whakaaro o taka o arrhythmias?

Rongoā mō te arrhythmia taea ngā huru o te manawanui, ka taea ki te tango i te tohu kino, me te whakakore pea te mate kau ano. Nā ki taua tātai i te meka e te mahi o te raau taero e hāngai ana ki te whakapakari i nga hanganga pūtau o te pūnaha Cardiovascular, kia whakaiti i te pānga o ngā āhuatanga kino waho te. I roto i ngā take kino, whakamahia rongoā mō te arrhythmia te ki te ū te manawanui, me te rite hoki ngā mahi whakahaere.

Whakarōpū o raau taero mō arrhythmias cardiac

Tei runga i te aronga o te mahi, kua wehea nga moni o arrhythmias ki te maha ngā rōpū:

1. Beta-blockers - he rārangi o raau taero e whakaiti te pānga o te pūnaha pukuaroha i roto i te myocardium, na e kore e te ngakau wheako popoketanga faufaa.
2. Blockers o takere katote konutai - te rōpū o te raau taero e whakanui i ātete pūtau ki ngā pānga kino, engari ano hoki he faaitoitoraa ohorere.
3. Blockers, konupūmā takere katote - he maha o teuteu e whakarato tiaki ki tomo ki o ngā pūtau uaua cardiac i roto i o ratou katote kōhao konupūmā, te whakarato i te manawataki noa ngakau.
4. blockers pāhare hongere - he taero e whakatairanga te mahi whakaora i o ngā pūtau cardiac, ka tukua ki a ratou kia okioki.

He aha ki te hanga o te arrhythmia? Next, ka whakaahua e ahau i te reira. Ko mahara: Ka taea e te whaiaro kino hauora koutou! I mua i te whakamahi o tetahi raau taero, e hiahia ana koe ki te kōrero i te tākuta.

Ko te parau tumu o te mahi o te beta-blockers

Ko te tikanga whānui o te mahi o enei taero ko ki ātete te receptors beta-adrenergic, e he hakari i roto i te kopa katoa me nga oko o te tinana, tae atu i te uaua ngakau, a i roto i te hui o te ahotea, kua pā ana ki te epinephrine taiki. ai tenei te tinana, ina koa te uaua ngakau ki te mahi i roto i te aratau ohorere. tautāwhi i Beta-blockers taua honohono. Ko te aha ratou e maha whakamahia i roto i arrhythmias cardiac me mo te ārai o te infarction myocardial recurrent, me te pēhanga toto tiketike.

Papa i arrhythmia i te piha haapiiraa o te beta-blockers - he "Betaxolol", "Egilok", "bisoprolol" "Atenolol" me etahi atu.

Papa "Betaxolol"

Ko te tarukino "Betaxolol" no ki te kāwai o whiriwhiri beta-blockers. Nā ki te roanga roa o mahi, te raau āta Whakahekea pēhanga toto, te ārai i ona hua i roto i ngā āhuatanga taumaha kohakoha kaha tinana ranei. "Betaxolol" e kore e tautāwhi i te mahi o te uaua ngakau, ki te tangohia i roto i te whakaōrite, e kore e pokanoa ki te mahi o agonists, whakawhänui te lumen arahau. Te raau e kore e meinga te roa i roto i te tinana o katote konutai, e kore pānga i runga i pākia e te kūhuka.

Ko te tohu matua mō te whakamahi o te tarukino - he takawhita me te angina te ārai.

Tango pire i arrhythmia "Betaxolol" kia kotahi he ra i runga i tetahi wahi ki te nui o fluids.

Contraindications "Betaxolol"

Papa "Betaxolol" e kore e tangohia i roto i te aroaro o te kore cardiac whakapeka, te pēhanga toto iti (hypotension), bradycardia, poraka atrioventricular, me te huangō arahau, me te mumura ma'i o te bronchi. Kaua e whakamahi i te tarukino i roto i te hapū, me te ū, me te tamariki i raro i te 18 tau.

I roto i te kitea ai nga pānga taha taea o te tīmatanga huaki tata o bradycardia, he hinga koi i roto i te pēhanga toto, iti hoki cardiac, ngoikore, te kōpā o te topito, syndrome o Raynaud.

"Betaxolol": utu, arotake

I roto i te nuinga o te wā, pūrongo tūroro whakapai nui i roto i to ratou huru, na arotake e pā ana ki te tarukino "Betaxolol" te nuinga pai. Heoi, e tika ana ki nga āhuatanga takitahi o ia o te tinana tangata, e kore e whakarato tonu reira te pānga tūmanakohia o te tarukino. Na reira, i roto i ētahi wā i reira he aromatawai kino o te tarukino.

Ko te tarukino "Betaxolol", te utu o nei i roto i pharmacies kore te mea neke atu i te 150 moni Russian, e wātea ana mō ngā kaihoko. Heoi, e kore me te whakamahi i te reira, kahore kōrero i mua ki te tākuta, ranei kino i te tarukino kia tami ona painga.

Papa "Amiodarone"

"Amiodarone" ko te waihanga whakarato he pānga antiarrhythmic me antianginal. Ko te parau tumu whakahaere o "amiodarone" ko ki te whakaiti i te mahi aunoa o te kōpuku pakohu, i te whakaiti i te mōrea o tērā iho te auau ngakau, me te ki te whakaiti i te nui o haere katote pāhare pāporo i roto i kiriuhi pūtau kardiomiotsitarnye. Ka taea e te raau whakawhānui te wā o ata tāhapa o te uaua ngakau. I tua atu, "Amiodarone" whakaiti tono hāora myocardial, heke rite te auau o te auau ngakau. Ko te lumen o te AVC me whakawhänui iaia piringa, reira, taka te ātete i roto i nga oko piringa, e taea ana ki te mau tonu putanga cardiac.

Ko te faaineineraa ngā te konutawa, e āwhina ki te whakaiti i te mana o te hormones thyroid i runga i te myocardium.

"Amiodarone" whakaritea i roto i te tūroro ki ventricular fibrillation, ngā patu taimi halá, me te ki te ārai i hohokitanga o infarction myocardial.

Dosing me dosing "Amiodarone"

tukuna "Amiodarone" kei roto i te puka o papa o papa g 0.2 kia manako maimoatanga wawe o 0.6-0.8 g, wehewehe tenei nui ki 2-3 werohanga. Ko te akoranga maimoatanga o 8 ki te 15 nga ra.

Tangohia papa i muri i ngā kai, nui o fluids inu.

Contraindications ki te maimoatanga "Amiodarone"

I roto i contraindications "Amiodarone": ru cardiogenic, poraka atrioventricular kahore pacemaker, bradycardia, te tūtohutanga ki matū kaha tarukino, hyper- me hypothyroidism, hypokalemia, kore ngakau congestive, hapūtanga.

"Amiodarone": utu, arotake

Whakawa i nga arotake pai e pā ana ki te tarukino, i te reira e tauturu tino ki atawhai te whakaeke o fibrillation Atrial, a hoki mahi rite te mehua ārai. Te nuinga o nga arotake whakairi - pai. He tua pai ki te tarukino - ko reira tona urutanga.

"Amiodarone", te utu o nei i roto i pharmacies i Russia he 140-150 moni, "utu" ki kiritaki. Heoi, kia whiwhi ratou i te rata whakahaunga.

Papa "quinidine"

"Quinidine" - ko reira rawa he whai hua tarukino antiarrhythmic, i te mea whai hua noa i roto i te wā i reira e kore e te āwhina i ētahi atu raau taero rite. Heoi, tino maha te fariiraa "Quinidine" kia haere tahi i ngā pānga taha. Heoi, ko te inenga tika o te rongoā ki te karo i pūmate hauora.

Tuhinga mō te whakamahi o "Quinidine" he momo rerekē o arrhythmias, me te tahi atu rahunga i te manawataki o te uaua ngakau - tachycardia paroxysmal, tachycardia ventricular, auau ngā patu taimi halá.

Tohutohu mō te whakamahi "Quinidine"

"Quinidine" tohutohu mō te whakamahi o nei piri te ki i ia mōkihi o te raau taero tukua te i roto i te puka o papa o 100 me 200 mg. Hoatu kia waiho te hawhe haora i mua i ngā kai. whakaritea te inenga o te raau taero e tō tākuta. E ai ki te rangahau tata, te pānga maximal o te tarukino i arrhythmia "quinidine" tutuki i roto i te tono tuatahi o pota tiketike (250-300 mg) ki to ratou heke āta (100 mg) i roto i te 6 nga wa ia ra. I roto i tetahi take, kia te ara iahiko fariiraa me te inenga kia whakaritea anake i te rata haere.

Contraindications ki te whakamahi o "Quinidine" ko: idiosyncrasy tarukino, cardiac kore, te hapūtanga.

Konupora me pāhare pāporo he: taero

Pāhare pāporo Ko te huānga wahi tino nui, e kua he pānga tika i runga i te kaha mahi o te ngakau. I roto i te te taha ki te pāhare pāporo, he wāhi i roto i te ka pākia pūtau i roto i te myocardium konupora. I tua atu, enei āhuatanga wahi whakakaha taiepa pūtau o oko toto, whakakore whakatū papa sclerotic, reira hanga atu inu te toto, a hëoi Thrombosis iaia. He nui hoki te māori o te mahi contractile o te uaua ngakau ano hoki pāhare pāporo. Ko te kupu, te pupuri i te taumata o te konurehu me te konupora i roto i te tinana i te taumata rawaka āwhina ārai arrhythmias me ētahi atu mate o te pūnaha Cardiovascular.

I roto i te whānui, taero konurehu me te konupora, i roto i ngā, "Panangin" ranei "Asparkam" kore faaitoito pānga kaha rawa i runga i auau ngakau. E whakamahia ratou rite āpiha pŭpŭ tauturu mō arrhythmias e kua meinga e hyperaldosteronism ka hypokalemia, a ka nui atu inenga glycosides cardiac. Tuhinga mo te whakamahi o te raau taero he hoki te konurehu ārai matahoki paroxysmal tachycardia, extrasystoles, tachyarrhythmia paroxysmal. te tono iwi ruhiruhia raau taero pāhare pāporo te huri te pēhanga kōhauhau, hoki tukupu pēhanga toto i angina recurrent.

Arumia āhuatanga pāhare pāporo me taea te whakamahi konupora rite te papa e kore anake, engari ano hoki i rite te wāhanga mō te werohia rō-uaua polarizing cocktail o taiāki, te kūhuka i, pāhare pāporo, me te konupora. Ko te kupu e tika ana ki te taiāki, kūhuka, me ki katote pāhare pāporo i roto i te membrane pūtau o te wē taka ki ngā pūtau. Ko te kupu, ko te nui haere te vahiraa o cardiomyocytes, arā ora te pūmanawa membrane o ngā pūtau myocardial.

Katoa o nga whakatakataka a arrhythmias i rerekē nekehanga, taea ki te whakahoki hauora atawhai ia i te tohu kino o te mate ranei. Otiia, he mea utu te haamana'oraa e ki te mau tonu te hauora i te kuao tau he taea ki te te āhua noho hauora me te kia whakakahoretia atu o peu kino. Na ka whakaora i te arrhythmia me ētahi atu raruraru ngakau Me nui i muri, e kore ranei e hiahiatia ana i te katoa.