Tshuaj rau ntshav ntshav qab zib tom qab 40 xyoo yuav tsum tau muab los ntawm kws kho mob, txij li cov neeg ntawm plaub caug, tshwj xeeb tshaj yog tsib caug xyoo, yuav tsum tau tshuaj xyuas tas li, txawm tias cov neeg uas tsis muaj mob ntev. Lub cev qeeb zuj zus nrog lub sijhawm, thiab kev mob yog qhov txaus ntshai ntau dua li cov hluas. Cov tshuaj tua kab mob tom qab tsib caug pab tiv thaiv thrombosis thiab lwm yam kab mob txaus ntshai ntawm lub plawv thiab cov hlab ntsha.
Qee yam tshuaj pab txhawb lub cev tiv thaiv kab mob thiab muaj txiaj ntsig zoo rau kev noj qab haus huv tag nrho. Tab sis kom cov tshuaj pab tau zoo, koj yuav tsum sab laj nrog kws kho mob.
Cov kws tshaj lij tab tom sim khaws cov tshuaj rau txhua tus neeg ntawm tus kheej, tom qab lawv dhau qhov kev xeem. Cov tshuaj ua ntshav qab zib hom 40 tuaj yeem noj li cas?
Hmoov tsis zoo, txoj kev laus yog ib txwm muaj rau txhua tus neeg muaj sia nyob. Thaum lub sij hawm, tib neeg lub cev poob nwslub zog tseem ceeb. Lub neej niaj hnub no muaj kev ntxhov siab ntau, nrog rau ntau txoj haujlwm txhua hnub uas tib neeg sim ua raws sijhawm.
Danger
Ntshav thauj cov khoom noj los ntawm cov ntaub so ntswg. Yog tias nws tuab, kev ua haujlwm ntawm tag nrho cov kab mob phem zuj zus tuaj. Cov txheej txheem pathological dab tsi tuaj yeem txhim kho nrog cov ntshav tuab dhau:
- Thrombophlebitis (tus txheej txheem ntawm cov txheej txheem sab hauv ntawm cov phab ntsa ntawm cov leeg nrog cov deposition ntawm thrombotic masses uas tuaj yeem txhaws lub nkoj).
- Thrombosis (ib kab mob uas tshwm sim los ntawm kev tsim cov ntshav txhaws uas tiv thaiv cov ntshav microcirculation hauv lub cev)
- Cov ntawv mob ntshav siab (ib kab mob hnyav uas tshwm sim los ntawm kev nce ntshav siab tsis tu ncua).
- Atherosclerosis (kev puas tsuaj rau cov hlab ntsha, uas tshwm sim nws tus kheej los ntawm kev ua txhaum ntawm lipid metabolism thiab yog nrog los ntawm kev tso cov roj cholesterol nyob rau hauv sab hauv ntawm lub capillaries).
- Ischemic stroke (kev ua tsis tiav ntawm cerebral ncig nrog cov ntaub so ntswg puas hlwb, nrog rau nws cov dej num raws li qhov tshwm sim ntawm kev nyuaj lossis kev tso ntshav ntws mus rau ib lossis lwm chav haujlwm).
- Hemorrhagic stroke (mob ua txhaum ntawm microcirculation ntawm lub hlwb nrog kev tawg ntawm cov hlab ntsha thiab hemorrhage nyob rau hauv lub hlwb).
- Infarction (ib hom mob plawv ischemia tshwm sim nrog qhov tshwm sim ntawm kev tuag ntawm ib feem ntawm myocardium, uas yog vim qhov tseeb lossis txheeb ze tsis txaus ntawm nws cov microcirculation).
Yuav ua li cas ua kuantshav?
Feem ntau ntawm cov kab mob no tsis yog tsuas yog ua rau lub xeev kev noj qab haus huv xwb, tab sis kuj tuaj yeem ua rau tuag taus. Nws yuav tsum nco ntsoov tias txhawm rau kom tswj tau cov ntshav viscosity ruaj khov, tus neeg yuav tsum haus 30 milliliters dej ntshiab rau 1 kg ntawm qhov hnyav txhua hnub.
Drug group
Cov ntshav nyias nyias muab faib ua pab pawg. Lawv txawv ntawm kev kho mob, nrog rau cov lus qhia rau kev siv. Hom tshuaj txo cov ntshav viscosity:
- Direct anticoagulants tsuas yog tsim los ntawm kev daws teeb meem rau kev txhaj tshuaj, yog li lawv tau siv hauv tsev kho mob.
- Indirect anticoagulants nyias cov ntshav thiab tiv thaiv thrombosis, cuam tshuam cov synthesis ntawm fat-soluble vitamin nyob rau hauv daim siab, uas activates cov ntshav coagulation txheej txheem.
- Cov tshuaj tua kab mob yog cov tshuaj ntawm cov tshuaj aspirin uas ua rau cov ntshav nyias.
"Hepatrin" kuj yog tsim los ntawm kev txhaj tshuaj. Kev txhaj tshuaj yog ua rau hauv plab kom nyias nyias. Cov tshuaj no tseem ceeb heev thaum lub viscosity nce, vim hais tias nyob rau hauv cov ntaub ntawv no kev noj qab haus huv ntawm tus neeg mob deteriorates.
Tus mob no tuaj yeem ua rau cov leeg varicose, plawv nres lossis mob stroke, ntshav siab, atherosclerosis thiab lwm yam kab mob loj. Yog hais tias cov ntshav thickens, ces siab nyob rau hauv cov hlab ntsha, thiab cov Cheebtsam pib nyob rau hauv lawv cov phab ntsa.
Kev txhaj tshuaj kom txo cov ntshav hauv plab yog ua tom qab tib lub sijhawm. Tab sis, txawm li cas los xij, hauv cov xwm txheej tsis tshua muaj, cov tshuaj txhaj tshuaj tuaj yeem muab tau kom tau txais txiaj ntsig sai.
Nws yuav tsum nco ntsoov tias kev cuam tshuam ntawm daim siab, hypovitaminosis, nce siab rau cov khoom noj uas muaj carbohydrates ceev yog cov neeg ua haujlwm ntawm cov ntshav txhaws.
Kev qhia
Yuav txiav txim siab seb cov ntshav khov los tsis yog, ib tus yuav tsum mus rau kev kuaj mob, nrog rau ntau yam kev kuaj mob. Cov xwm txheej thaum koj yuav tsum noj tshuaj kom txo cov ntshav viscosity tom qab 40 xyoo:
- Cov neeg laus laus uas muaj ntshav siab.
- Vein thrombosis (ib yam kab mob tshwm sim los ntawm kev tsim cov ntshav txhaws hauv lumen ntawm cov hlab ntsha uas cuam tshuam cov ntshav ntws).
- Nrog cov kab mob ntshav uas ua rau muaj ntshav txhaws.
- Thaum siv tshuaj tiv thaiv kev yug menyuam, tshwj xeeb tshaj yog thaum ua ke nrog kev haus luam yeeb.
- Nrog rau cov kab mob varicose hnyav (pathology ntawm cov leeg, uas yog nrog los ntawm lawv qhov nthuav dav, nce ntev, tsim "gyrus" thiab knot-zoo li tangles, uas ua rau valve tsis ua haujlwm thiab cov ntshav tsis txaus).
- Rau migraine (mob taub hau tshwm sim los ntawm kev tawm tsam ntawm nruab nrab mus rau qhov hnyav heev).
Txawm tias muaj kab mob dab tsi thiab haus dab tsi kom txo cov ntshav?
Yuav ua li cas lwm yam qhia muaj nyob?
Tshuaj uas txo cov ntshav tau noj thaum:
- -cov roj (cholesterol) siab.
- Thromboembolism (mob cuam tshuam ntawm cov ntshav microcirculation hauv cov ntaub so ntswg, uas tom qab ntawd tshwm sim los ntawm kev txhaws ntawm cov hlab ntsha los ntawm cov hlab ntsha.cells).
- Atrial fibrillation (lub plawv dhia tsis sib haum, uas yog nrog los ntawm chaotic excitation thiab atrial contraction los yog twitching, contraction ntawm ib tug neeg pab pawg neeg ntawm atrial nqaij fibers).
- Lub paj hlwb ua haujlwm tsis zoo cuam tshuam nrog cov ntshav hloov pauv.
- mob siab mob siab.
- Lub plawv dhia tsis tu ncua.
ntshav qab zib tom qab 40 xyoo tsis pom zoo rau kev tiv thaiv, tsom rau lawv tus kheej txoj kev xav xwb. Cov tshuaj tsuas yog muab raws li cov txiaj ntsig kev sim thiab thaum muaj mob hnyav.
Tshuaj rau txhua lub hnub nyoog
Thaum siv cov tshuaj tiv thaiv coagulants muaj zog, INR qib yuav tsum tau saib xyuas tsis tu ncua. Cov tshuaj tiam tshiab muaj cov nyhuv antithrombotic.
Lawv tau xyaum tsis muaj contraindications thiab tsis zoo tshwm sim. Qhov tsis zoo tsuas yog cov tshuaj ntshuam, ces lawv muaj tus nqi siab.
Pradaxa yog cov tshuaj tiv thaiv ncaj qha tshiab uas muaj dabigatran, thrombin inhibitor. Cov tshuaj txo cov ntshav txhaws, pab kom yaj lawv zoo, nws raug pom zoo rau kev mob stroke, nrog rau cov hlab ntsha thiab cov hlab ntsha txhaws, thiab atrial fibrillation.
Kev txwv kev siv - lub raum puas, muaj cov khoom siv dag zog hauv lub siab. Kev noj tshuaj: 150 mus rau 220 milligrams ib hnub twg yuav tsum tau noj, lub sijhawm kho yog txiav txim los ntawm tus kws kho mob.
"Xarelto" yog cov tshuaj niaj hnub, tshuaj tiv thaiv kab mob ncaj qha, nws raug pom zoo rau kev tiv thaiv kom tsis txhob muaj thromboembolism tom qab ua haujlwm orthopedic. Lawv kuj siv Xarelto kom txo tau qhov mob stroke. Txwv tsis pub - los ntshav uas cuam tshuam rau lub plab zom mov thiab intracranial cheeb tsam, kab mob siab, "txoj hauj lwm txaus nyiam", lactation. Cov tshuaj tuaj yeem noj txhua lub sijhawm, tsis hais zaub mov, 10 milligrams ib hnub rau 2-5 lub lis piam. Kev nyab xeeb vitamin-mineral complexes tseem yuav pab txo cov ntshav viscosity, txhim kho kev ua haujlwm ntawm cov hlab plawv, thiab tiv thaiv arrhythmias.
Daim ntawv teev cov tshuaj kho ntshav kom zoo tshaj plaws:
- YL-carnitine.
- YMultivitamins.
- "Aescusan".
L-carnitine - cov khoom no pab lub plawv hloov rog mus rau lub zog. Cov tshuaj pab cov neeg muaj kab mob ntawm lub plawv thiab cov hlab ntsha kom ua rau kom muaj zog ua haujlwm.
Thaum hnub nyoog so haujlwm, cov tshuaj tiv thaiv lub hlwb laus, txhim kho kev nco thiab kev mloog. Noj: 5 milliliters ntawm syrup los yog 250-500 milligrams ntawm cov tshuaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj peb zaug ib hnub twg rau 4-6 lub lis piam.
"Aescusan" yog cov tshuaj ntuj, uas suav nrog txiv ntseej extract. Cov tshuaj pab nrog venous insufficiency, varicose leeg, edema. Qhov pom zoo concentration ntawm cov tshuaj yog ib qhontsiav tshuaj peb zaug ib hnub twg nrog zaub mov.
Vitamin-mineral complexes - "Centrum", "Viardo" - tswj cov txheej txheem metabolic hauv lub cev, txo qhov kev pheej hmoo ntawm cov kab mob plawv thiab vascular, varicose leeg, thrombophlebitis, stabilizes cov haujlwm ntawm hematopoietic thiab tiv thaiv kab mob.
Tom qab plaub caug xyoo
Cov txiv neej tshaj 45 xyoo thiab cov poj niam tshaj 40 xyoo yuav tsum tau siv cov tshuaj aspirin-type blood thinners. Nws yog ib qho tsim nyog los siv lawv ntau tshaj ib xyoos, hauv qhov tsawg kawg nkaus.
"Aspirin" thiab generics:
- "Aspirin".
- "Trombo-Ass".
- "Aspecard".
- "Aspirin Cardio".
- "Cardiomagnyl".
Raws li txoj cai, cov no yog cov tshuaj pheej yig hauv tsev uas muaj cov nyhuv antiplatelet. Acetylsalicylic acid yog ib qho ua kom cov ntshav nyias nyias. Raws li txoj cai, nws yog siv los ua thawj pab rau angina pectoris, plawv nres, thiab tseem tiv thaiv thromboembolism thaum atherosclerotic plaque ruptures.
Txhua hnub, noj 125 milligrams ntawm cov tshuaj ua ntej yuav mus pw, rau cov neeg muaj hnub nyoog tshaj 40 xyoo, qhov no yuav pab txo qis qhov mob stroke.
"Aspirin Cardio" yog ib qho tshuaj zoo rau kev siv mus ntev, noj 100 mus rau 300 milligrams ib hnub ua ntej noj mov, nws cov tshuaj ua haujlwm zoo ib yam li "Aspirin", tab sis muaj tsawg kawg nkaus ntawm acetylsalicylic acid.
"Aspecard" yog siv hauvKev tiv thaiv lub hom phiaj: txhawm rau tiv thaiv lub plawv nres, 100 mg ntawm cov tshuaj ib hnub yuav tsum tau noj, kom txo tau qhov tshwm sim ntawm angina pectoris, nrog rau embolism, 100-300 milligrams ib hnub twg. Cov tshuaj yuav tsum tau noj peb caug feeb ua ntej noj mov nrog dej.
Cov tshuaj "Cardiomagnyl" rau cov ntshav nyias, nws yuav tsum tau noj ntawm 75 mg thaum yav tsaus ntuj nrog noj mov.
"Trombo-Ass" tau pom zoo kom haus ntawm 50 mus rau 100 milligrams ua ntej noj mov. Cov tshuaj no tau txais txiaj ntsig zoo los ntawm cov neeg ntawm txhua lub hnub nyoog, nws yog qhov tsis zoo tshaj plaws rau lub plab, feem ntau yog muab tshuaj los tiv thaiv lub plawv nres.
Raws li tau hais los saum toj no, acetylsalicylic acid yog qhov zoo rau cov ntshav nyias, tab sis ntxiv rau cov tshuaj aspirin, lwm cov tshuaj tiv thaiv coagulants - Curantil, Phenylin, Warfarin, tab sis cov tshuaj no yuav tsum tau siv hauv cov chav kawm.
Tom qab muaj rau caum xyoo, cov khoom uas muaj acetylsalicylic acid tau qhia rau ntau tus neeg mob rau kev tiv thaiv kab mob plawv.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Thaum lub sijhawm "qhov xwm txheej txaus ntshai" ntshav viscosity nce nrog kev hloov pauv hauv cov tshuaj hormonal. Cov tshuaj tsis muaj teeb meem tshaj plaws rau cov poj niam cev xeeb tub yog "Kurantil" txhawm rau txo cov ntshav los ntawm cov ntshav txhaws.
Cov tshuaj tau pom zoo rau kev tiv thaiv kom tsis txhob muaj cov placental insufficiency, nrog rau kev noj zaub mov tsis zoo ntawm fetus, tsimntshav txhaws nyob rau hauv lub xub ntiag ntawm varicose leeg, gestosis. "Kurantil" txhawb cov hlab ntsha, muaj cov nyhuv immunostimulating. Tswv yim ntawm kev siv: 25 milligrams ntawm cov tshuaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj los yog capsules peb zaug ib hnub twg.
Nws yuav tsum nco ntsoov tias thaum lub sijhawm "qhov xwm txheej txaus nyiam" txhawm rau txo qis ntshav, tsuas yog cov tshuaj uas tsis muaj acetylsalicylic acid tau sau tseg, vim nws muaj cov nyhuv teratogenic thiab tuaj yeem ua rau los ntshav hnyav.
rau lwm yam mob
Txij li thaum nce ntshav viscosity tshwm sim rau ntau yam laj thawj, ntshav thinners tom qab 40 xyoo tau suav nrog hauv kev kho mob rau ntau yam kab mob. Thinning agents rau ntau yam txheej txheem pathological:
- Nrog atrial fibrillation - "Aspecard", "Enoxaparin".
- Rau varicose leeg, kws kho mob pom zoo Curantil, Aspirin thiab Lyoton, uas pab txhim kho cov ntshav ncig thiab tiv thaiv cov ntshav txhaws.
- Nrog thrombophlebitis, nrog rau thrombosis - "Warfarin", "Heparin", "Eliquis".
- Rau plab plab - "Kurantil".
- Nyob rau hauv lub syndrome ntawm nce systolic ntshav siab - "Cardiomagnyl", "Aspirin Cardio".
YDiuretics, cov tshuaj hormones thicken ntshav.
Kev txwv kev siv
Txhua cov tshuaj muaj qee yam contraindications thiab kev phiv tshuaj, yog li ua ntej pib kho, koj yuav tsum kawm cov lus qhia siv. Kev txwv:
- Ulcer.
- Cov me nyuam hnub nyoog.
- Intolerance to Cheebtsam.
- Kev cev xeeb tub.
- Npaj Ntsuag.
- Asthma
Sib piv cov tshuaj muaj npe nrov
Cov tshuaj twg yog qhov zoo dua los siv rau cov ntshav tuab, yuav tsum tau txiav txim siab los ntawm tus kws kho mob tshwj xeeb, raws li hnub nyoog, hom kab mob thiab nws qhov hnyav, qhov muaj cov kab mob ntev hauv tus neeg.
Piv txwv li, Cardiomagnyl lossis Curantil, qhov twg zoo dua? Ob qho tshuaj muaj cov txiaj ntsig zoo sib xws, tab sis Cardiomagnyl muaj acetylsalicylic acid. Yog li ntawd, nws tsis pom zoo kom siv nws rau gastric ulcers, nrog rau thaum cev xeeb tub thiab lactation. "Kurantil" yog cov tshuaj muaj kev nyab xeeb, tab sis nws muaj tus nqi siab. Cov tshuaj no zoo dua rau cov kab mob venous. Cov tshuaj zoo rau lub plawv thiab cov hlab ntsha.
Qhov twg zoo dua - "Warfarin" lossis "Trombo-Ass"? Thawj cov tshuaj yog qhov zoo tshaj plaws, nws txo cov ntshav txhaws. "Trombo-Ass" - tib yam acetylsalicylic acid, tab sis nrog cov nyhuv maj mam ntxiv rau ntawm lub plab mucosa.
Qhov txawv ntawm "Warfarin" thiab "Cardiomagnyl" yog dab tsi? Thawj cov tshuaj yog ib qho muaj zog anticoagulant uas cuam tshuam rau cov ntshav txhaws. Nws yog siv nyob rau hauv kev kho mob ntawm arterial thiab pulmonary thrombosis, raws li zoo raws li thromboembolism.
