Zaj lus no yuav saib tshuaj mob plawv.
Pathology ntawm lub plawv thiab cov hlab ntsha yog ua rau tag nrho cov kab mob ntawm lub xyoo pua tshiab. Qhov no yog qhov ua rau tuag nyob hauv ntau lub tebchaws thiab xeev, thiab hauv qhov no, tus cwj pwm ntawm cov kab mob no yuav tsum tsim nyog. Kev kho mob raws sij hawm yog qhov tsim nyog los daws qhov teeb meem no, thiab cov tshuaj muaj lub luag haujlwm tseem ceeb hauv kev kho.
Tab sis rau lawv daim ntawv thov kom raug, nws yog ib qho tsim nyog los tsim kom muaj qhov ua rau ntawm pathology. Feem ntau thiab muaj txiaj ntsig zoo rau qhov tshwm sim ntawm cov kab mob no yog cov kab mob hauv lub cev nrog rau cov kab mob atherosclerosis, kab mob los yog kab mob, cov kab mob ua haujlwm tau tshwm sim los ntawm kev nyuaj siab, thiab, ntxiv rau, ntau dhau ntawm kas fes thiab cawv. Tom ntej no, peb piav qhia meej txog cov tshuaj hauv lub plawv uas tau siv dav hauv cov tshuaj niaj hnub no.
Kev piav qhia
Tshuaj,uas yog tsim los rau kev kho mob ntawm cov kab mob ntawm lub plawv thiab cov hlab ntsha, muab faib ua ntau pawg nyob ntawm seb qhov tshwj xeeb ntawm lawv cov kev cuam tshuam. Cia wb mus saib lawv.
Tshuaj uas tswj cov hlab ntsha hauv hlwb
Cov tshuaj uas tso cai rau koj tswj cov ntshav ncig ntawm lub hlwb, suav nrog cov tshuaj uas ua rau cov hlab ntsha. Raws li ib feem ntawm qhov no, vascular tone yog tswj kom ua kom cov ntshav txaus rau lub hlwb. Raws li kev cuam tshuam ntawm cov tshuaj, tsis yog tsuas yog saturation ntawm lub hlwb cov ntaub so ntswg nrog oxygen, tab sis cov ntshav muab rau thaj tsam ischemic kuj txhim kho. Ntawm cov pab pawg no, cov tshuaj plawv nto moo tshaj plaws yog Picamilon, nrog rau Cinnarizine, Eufilin, acetylsalicylic thiab aminocaproic acids, thiab Heparin.
Tshuaj uas txhim kho cov ntshav myocardial
Cov tshuaj no tuaj yeem txo cov kev xav tau ntawm myocardial oxygen. Ua tsaug rau cov tshuaj no, nws cov ntshav tau txhim kho. Qhov no feem ntau yog "Nitroglycerin" thiab ib qho ntawm nws cov derivatives.
Tseem muaj kev npaj rau lub plawv mob.
Tshuaj rau myocardial infarction
Muaj ib pab kho mob plawv uas siv rau myocardial infarction. Lawv muaj cov tsos mob, thiab, ntxiv rau, cov nyhuv pathogenetic, tshem tawm qhov mob thiab txhim kho tus neeg mob txoj kev noj qab haus huv. Cov pab pawg no suav nrog "Promedol" nrog rau "Tramadol" thiab "Analgin". Cov tshuaj no yuav tsum tau ua ke nrog cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob.
Dab tsi lwm tus siabPuas muaj tshuaj?
Tshuaj kho mob angina pectoris
Yog tias tus neeg mob muaj angina pectoris, siv tshuaj antianginal. Cov tshuaj zoo li no yuav tsum tau khaws cia rau hauv siab rau cov neeg mob uas muaj kev mob plawv ischemic. Cov tshuaj no muab faib ua pawg hauv qab no.
- Tshuaj uas ua kom ntshav txaus rau myocardium nrog oxygen. Cov no suav nrog Verapamil nrog rau Amiodarone thiab Nitroglycerin.
- Kev npaj hauv daim ntawv "Validol", "No-shpa" thiab "Ticlopidine" ua rau kom muaj cov pa oxygen myocardial.
- Tshuaj "Inderal" txo qis tag nrho myocardial oxygen xav tau.
- Myocardial tsis kam rau ischemia yog txhawb nqa los ntawm cov tshuaj hauv daim ntawv ntawm Nerobol, Lipin, Riboxin, Trimetazidine thiab Riboflavin.
- Nws tseem yuav tsum tau sau tseg cov tshuaj uas txhim kho kev xa oxygen mus rau myocardium. Cov no yog cov feem ntau inhibitors nyob rau hauv daim ntawv ntawm "Persantin" thiab "Eupyllin", raws li zoo raws li ib tug xov tooj ntawm lwm yam tshuaj. Cov npe ntawm cardiac glycoside npaj yuav muab hauv qab no.
txhais tau tias tseem tuaj yeem siv los ua kom muaj zog ntawm myocardium rau hypoxia. Hauv qhov no, peb yuav tham txog cov tshuaj anabolic, thiab, ntxiv rau, txog cov tshuaj antioxidants. Koj yuav tsum paub tias rau cov kab mob zoo li no, lwm yam tshuaj kuj tseem siv tau, uas feem ntau tsis yog tshuaj rau lub plawv, tab sis muaj txiaj ntsig zoo rau cov kab mob zoo li no. Lawv raug muab tshuaj los ntawm kws kho mob coj mus rau hauv tus account theem ntawm kev puas tsuaj thiab kev mob ntawm lub plawv.
Anti-sclerotic thiabtshuaj lipid-lowering
Tam sim no, tshuaj tiv thaiv sclerotic thiab lipid-txo cov kab mob plawv tau nthuav dav heev. Lawv tsis cuam tshuam rau lub plawv ncaj qha, tab sis lawv txo cov roj cholesterol nrog triglycerides, uas, nyob rau hauv lub xub ntiag ntawm ib qho ntxiv concentration, tuaj yeem ua rau muaj kev cuam tshuam tsis zoo rau cov hlab ntsha. Cov tshuaj no yog nto moo rau lawv zoo ua ke nrog angioprotectors. Lawv tuaj yeem txhim kho microcirculation, normalizing permeability ntawm phab ntsa vascular thiab txo qhov o.
Rau lub plawv tsis ua hauj lwm, cov tshuaj tuaj yeem ua tau zoo, tshwj xeeb tshaj yog tias noj tib lub sijhawm raws li calcium channel blockers. Qhov tseeb yog tias calcium ions tuaj yeem ua kom cov cellular metabolism. Tab sis kev kho tus kheej ntawm kab mob plawv yog qhov txaus ntshai heev. Hauv qhov no, koj tsis tuaj yeem ua yam tsis muaj kws kho mob. Tsis tas li ntawd, txhua yam tshuaj, nrog rau lawv cov koob tshuaj, tau muab tshuaj tshwj xeeb rau tus kheej. Yog li ntawd, txawm li cas los xij, kev sab laj thiab kev paub ntawm tus kws kho mob yuav tsum tau.
Lus npe tshuaj mob plawv
”, “Verapamil”, “Kapoten”, “Cardiomagnyl”, “Captopril”, “Corvalol” thiab lwm yam.
Yuav ua li cas cov tshuaj ntxiv dag zog lub plawv muaj?
Tsis muaj tsawg nrov hauv kev kho mob plawvCov tshuaj nyob rau hauv daim ntawv ntawm Concor, Curantil, Metoprolol, Nitroglycerin, Nifedipine, Panangin, Riboxin thiab Egilok.
Xav txog tshuaj - mob plawv glycosides.
YGlycosides
Glycosides yog ib pawg tshuaj ntawm cov zaub los yog cov khoom siv hluavtaws. Qhov no yog ib pab pawg tshwj xeeb ntawm cov tshuaj mob plawv. Lawv qhov kev txiav txim yog txhawm rau txhim kho kev ua haujlwm ntawm lub plawv. Lawv tsuas yog siv los kho mob plawv tsis ua hauj lwm los ntawm kev txo qis hauv kev ua haujlwm ntawm myocardium. Tus kab mob no feem ntau tshwm sim los ntawm cov tsos mob ntawm stagnation hauv lub ntsws nyob rau hauv daim ntawv ntawm ua tsis taus pa thiab hawb pob. Tsis tas li ntawd, nyob rau hauv cov neeg uas muaj lub plawv tsis ua hauj lwm, edema nyob rau hauv ob txhais ceg yog tsis txiav txim nrog ib tug loj daim siab, tsub zuj zuj ntawm cov kua nyob rau hauv lub plab kab noj hniav los yog hauv siab.
Nws yog ib qho tseem ceeb heev uas yuav tsum cais cov kev npaj kho mob plawv glycoside raws li lub sijhawm thiab ceev ntawm qhov pib ntawm cov teebmeem cardiotonic. Tom ntej no, xav txog lawv raws li cov qauv no.
nrawm nrawm glycosides
Yuav tshuaj lub plawv xaiv twg, tus kws kho mob yuav qhia.
Raws li kev ua haujlwm ceev glycosides, qhov no peb tab tom tham txog cov tshuaj xws li "Strophanthin" thiab "Korglikon". Cov nyhuv ntawm cov tshuaj no pib kaum feeb tom qab txhaj tshuaj. Qhov siab tshaj plaws tshwm sim tom qab ob peb teev. Qhov kev txiav txim tiav hauv kaum ob teev. Qhov no yog vim tias cov tshuaj no tsis sib sau hauv cov ntaub so ntswg vim lawv yog cov dej soluble. Lawv nkag mus rau hauv myocardium sai thiab yooj yim heevexcreted los ntawm lub cev nyob rau hauv cov zis. Xav txog lawv kom ntxaws ntxiv:
- Korglikon yog lub plawv dhia ceev ceev glycoside uas muaj cov nyhuv me me cardiotonic. Cov tshuaj no tsis muaj zog dua li lwm cov tshuaj hauv pawg no, tab sis nws muaj txiaj ntsig zoo rau kev kho mob ntawm lub plawv tsis ua haujlwm. Tso tawm "Korglikon" tsuas yog nyob rau hauv daim ntawv ntawm kev daws teeb meem rau kev txhaj tshuaj. Cov tshuaj no tsis tshua muaj tshwm sim los yog overdose.
- Tshuaj "Strophanthin". Qhov no yog ib qho tshuaj zoo tshaj plaws rau kev kho mob xwm txheej ceev thaum muaj cov kab mob uas muaj nrog decompensation lossis mob plawv tsis ua haujlwm. Zoo li Korglikon, cov tshuaj no tsuas yog tsim nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj hauv cov hlab ntsha, tab sis nws muaj zog dua, thiab tib lub sijhawm, cov nyhuv kav ntev. Cov tshuaj tau txais txiaj ntsig zoo los ntawm cov neeg mob, tab sis nyob rau hauv rooj plaub ntawm kev tswj hwm sai lossis siv ntev, qee qhov kev mob tshwm sim yuav tshwm sim.
Nyob ntev glycosides
Cov tshuaj zoo li no maj mam, tab sis ntev txaus. Raws li txoj cai, qhov pib tshwm sim tom qab ob teev lossis ntau tshaj plaub. Lub sijhawm tag nrho yog ib hnub. Cov yam ntxwv zoo li no feem ntau yog vim lub fact tias cov active Cheebtsam ntawm xws tshuaj nkag mus rau hauv lub myocardium maj mam thiab khi rau cov ntshav proteins nyob rau hauv lub sij hawm ntev, ntxiv mus, lawv circulate rau lub sij hawm ntev thiab nws thiaj li neutralized los ntawm lub siab. Lub sijhawm ntev glycosides suav nrog Digoxin thiab Celanide. Daim ntawv teev cov tshuaj mob plawvglycosides yog dav heev.
Ntxiv rau qhov saum toj no, muaj cov tshuaj uas muaj lub sijhawm ntev dua ntawm kev kis - mus txog peb hnub, piv txwv li, "Digitoxin" lossis "Methyldigitoxin". Lub hauv paus cog ntawm cov tshuaj no zoo ib yam li Digoxin. Tab sis tam sim no lawv tawm ntawm kev tsim khoom vim muaj coob tus neeg mob ntau dhau thiab qaug cawv.
- Digoxin tshuaj. Cov tshuaj no yog qhov tsim nyog tshaj plaws rau kev kho mob plawv tsis ua haujlwm ntawm cov rog-soluble glycosides. Nws zoo solubility tso cai rau nws los tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab txhaj tshuaj. Rau kev kho mob ntawm tus mob hnyav, kev txhaj tshuaj yog qhia. Lawv yog qhov zoo tshaj plaws tswj hwm los ntawm cov dej ntws los yog cov dej ntws qeeb. Daim ntawv ntev ntawm cov hlab ntshav tsis ua haujlwm yog kho nrog tshuaj. Nrog rau kev siv Digoxin kom raug, cov txiaj ntsig zoo tuaj yeem ua tiav yam tsis muaj qhov tsis zoo. Kev siv tsis raug ua rau overdose thiab intoxication.
- "Celanide" piv nrog "Digoxin" muaj qhov ua kom muaj zog tsawg dua. Cov tshuaj no ua rau maj mam thiab maj mam. Nws yog qhov zoo tshaj plaws siv nyob rau hauv nruab nrab manifestations ntawm lub plawv tsis ua hauj lwm. Toxic cuam tshuam nrog kev noj tshuaj ntau dhau tshwm sim tsawg dua hauv qhov no. Cov tshuaj tso tawm tsuas yog hauv cov ntsiav tshuaj xwb.
Qhia rau kev siv glycosides
Cardiac glycosides pab kho cov kab mob uas nrog los ntawm kev txo qis hauv myocardial contractility. KujNws yog ib advisable mus siv lawv nyob rau hauv congestive lub plawv tsis ua hauj lwm. Tsis tas li ntawd, cov tshuaj no yog siv rau hauv cov xwm txheej hauv qab no:
- Nyob rau hauv lub xub ntiag ntawm ib tug ntev daim ntawv ntawm circulatory tsis ua hauj lwm ntawm lub thib peb degree, uas manifests nws tus kheej nyob rau hauv daim ntawv ntawm pronounced edema ntawm ob txhais ceg los yog tag nrho lub cev, ua pa luv ntawm so los yog tawm tsam keeb kwm ntawm kev tawm dag zog tsawg, Cov rales ntub dej hauv lub ntsws, uas muaj cov cim congestive, thiab nrog rau cov dej txuam nrog hauv lub hauv siab tawb lossis plab.
- Yog koj muaj lub plawv tsis ua hauj lwm uas tsis teb rau lwm yam tshuaj.
- Kev mob siab rau lub plawv tsis ua haujlwm.
- Kev tshwm sim ntawm supraventricular arrhythmias nyob rau hauv daim ntawv ntawm atrial fibrillation, paroxysmal tachycardia lossis extrasystole nrog lossis tsis muaj lub plawv tsis ua haujlwm.
Contraindications rau kev siv glycosides
Txawm hais tias ib tus neeg muaj qhov qhia txog kev kho mob nrog glycosides, tej zaum yuav muaj laj thawj rau kev siv cov tshuaj no yuav tsum tau tso tseg, piv txwv li:
- Kev muaj tus thib peb-degree atrioventricular block.
- Qhov tshwm sim ntawm kev tsis haum tshuaj rau cov tshuaj.
- Cov cim qhia ntawm glycoside intoxication lossis kev ua xyem xyav ntawm nws.
- Lub plawv dhia qeeb kom tsawg dua tsib caug ntaus ib feeb, raws li tshwm sim nrog lossis tsis muaj atrial fibrillation.
- Thaum myocardial infarction.
- Qhov muaj hypokalemia thiab hypercalcemia, uas yog, cov xwm txheej uas cov poov tshuaj tsawg hauv cov ntshav lossis calcium siab.
- Kev loj hlob hnyavlub raum tsis ua haujlwm.
Thaum twg glycosides tsis ua haujlwm?
Apart from contraindications, muaj cov mob plawv tsis ua hauj lwm, nyob rau hauv uas glycosides tsis contraindicated nyob rau hauv tag nrho, tab sis yog tsis tsim nyog siv, vim lawv tsis daws teeb meem tam sim no:
- Rau mitral stenosis.
- Ntawm keeb kwm ntawm kev txwv tsis pub cardiomyopathy.
- Nyob rau hauv lub xub ntiag ntawm chronic pericarditis.
- Thaum muaj aortic valve insufficiency.
Glycoside txoj cai kho
Rau cov glycosides ceev ceev, xws li "Korglikon" lossis "Strophanthin", tsis muaj cov txheej txheem rau kev kho mob, vim tias cov tshuaj no tawm sai sai ntawm tib neeg lub cev. Digoxin, tsis zoo li lawv, muaj cov cuab yeej sib txuas thiab, nrog rau kev siv ntev, sib sau ntau dhau, uas tuaj yeem ua rau muaj kev noj ntau dhau. Txhawm rau tiv thaiv qhov tshwm sim no, yuav tsum muaj cov hauv qab no ntawm kev kho mob:
- Saturation ntawm lub cev nrog glycosides. Nyob rau lub sijhawm no, koob tshuaj tau nce zuj zus mus txog thaum muaj cov cim pom tseeb ntawm kev txhim kho ntawm tus neeg mob tus mob. Nws yog ib qho tseem ceeb los xyuas kom meej tias nws tsis pub tshaj qhov siab tshaj plaws thiab tsis muaj cov tsos mob ntawm kev noj tshuaj ntau dhau.
- Lub sijhawm kho mob. Tom qab txo qhov tshwm sim ntawm lub plawv tsis ua hauj lwm, koob tshuaj maj mam txo mus rau theem uas nws muaj peev xwm tswj tau tag nrho cov tiav kev kho mob. Sai li nws tau tsim, tus neeg mob yuav tsum tau noj cov tshuaj hauv qhov koob tshuaj no.
Kev xaiv cov kev kho mob, thiab, ntxiv rau, hom tshuaj thiab nws qhov ntau npaum li cas yog tswj hwm los ntawm kws kho plawv, tab sis tus kws kho mob lossis tsev neeg kws kho mob yuav pab tau. Kev noj tshuaj rau tus kheej nrog cov tshuaj mob plawv tsis tuaj yeem lees txais.
Tshuaj rau cov neeg laus
Rau cov neeg laus, tsis muaj tshuaj ntau npaum li cov vitamins tshwj xeeb. Txhawm rau kom lub plawv ua haujlwm zoo, cov vitamins C, A, E, B1 thiab B6 yuav tsum tau ua. Cov mob ntawm lub plawv thiab cov hlab ntsha kuj tseem txhim kho los ntawm cov kab mob hauv daim ntawv ntawm magnesium, calcium, potassium, phosphorus, chromium thiab selenium. Cov tshuaj mob plawv rau cov neeg laus muaj ntau heev hauv cov khw muag tshuaj.
Raws li cov tshuaj, rau cov neeg mob laus, cov kws kho mob rau lub plawv feem ntau muab "Venoton" nrog rau "Ascorutin", "Riboxin", "Cavinton", "Atoris" thiab "Hawthorn forte" thiab "Asparkam. ".
Tseem muaj tshuaj kho plawv rau cov hluas.
Tshuaj rau cov neeg mob hluas
Cov tub ntxhais hluas uas muaj teeb meem plawv ntawm ib hom lossis lwm yam yuav raug sau ntau yam tshuaj. Muaj ntau txoj hauv kev, cov no yog tib cov tshuaj uas kws kho mob tau sau rau cov neeg muaj hnub nyoog sib txawv. Piv txwv li, "Cardio forte", "Cardiohe alth", "Doppelhertz", "Vitrum Cardio" thiab lwm yam yuav raug sau tseg. Cov npe ntawm cov tshuaj mob plawv yog paub zoo. Qhov tseeb, kev xaiv cov tshuaj kho mob niaj hnub no yog qhov loj heev. Thiab tsuas yog ib tus kws tshaj lij uas tsim nyog tuaj yeem xaiv qhov tsim nyog tshaj plaws raws li lub hnub nyoog thiab tus cwj pwm noj qab haus huv.
Tab sis txhua lub hnub nyoog muaj teeb meemNrog lub plawv, tib neeg yuav tsum tsom mus rau kev noj cov vitamins thiab cov kab mob tseem ceeb. Nws yog qhov zoo tshaj plaws los rub lawv los ntawm cov khoom noj tshiab thiab zoo. Tsis tas li ntawd, txoj kev noj qab haus huv yuav tsum tsis txhob muab tso tseg thiab haus cawv thiab lwm yam cwj pwm phem yuav tsum raug tso tseg tag.
Hmoov tsis zoo, pathologies ntawm lub plawv thiab cov hlab ntsha niaj hnub no nyob hauv txoj haujlwm tseem ceeb hauv lawv qhov kev nthuav dav. Muaj ntau ntau yam sib txawv rau qhov no. Hauv qhov no, lub khw muag tshuaj tam sim no tsim ntau cov tshuaj hauv lub plawv uas ua tau raws li qhov xav tau siab tshaj plaws rau kev kho mob zoo.
