Raws li kev txheeb cais, kwv yees li 17.6 lab tus tib neeg tuag txhua xyoo los ntawm cov kab mob plawv thiab cov hlab ntsha. Cov neeg mob uas kuaj mob plawv pathologies yuav tsum tau kuaj xyuas txhua xyoo. Tsis tas li ntawd, lawv yuav tsum noj tshuaj kom tsis txhob mob plawv thiab kho nws cov kab mob. Cov tshuaj tau muab los ntawm tus kws kho mob nyob ntawm seb hom pathology thiab tus yam ntxwv ntawm lub cev.
Risk Factors for Heart Disease
Cov txheeb cais tsis tu ncua qhia tau tias cov kab mob plawv ua haujlwm ua haujlwm ntawm txhua yam kab mob. Tab sis qhov phem tshaj plaws, cov kab mob tau raug kuaj pom thaum muaj hnub nyoog me.
Txoj hauv kev zoo tshaj plaws los txo qis qhov tshwm sim ntawm atherosclerosis, plawv nres, ischemia, kub siab, ischemia ntawm lub plawv yog kev tiv thaiv kab mob. Ua ntej tshaj plaws, koj yuav tsum paub txog cov xwm txheej txaus ntshai, kev tshem tawm uas yuav pab tiv thaiv kev loj hlob ntawm pathologies.
- Cov roj (cholesterol) siab (los ntawm 5, 0mmol/L).
- Glucose ntau dua 6.0 mmol / L.
- Kev haus luam yeeb txhua yam (electronic luam yeeb, hookah).
- Kev haus dej cawv tsis tu ncua.
- Kev ua kom lub cev tsis muaj zog.
- Kev rog.
- Kev noj zaub mov tsis raug: cov ntawv qhia zaub mov yog suav nrog kib, haus luam yeeb, qab ntsev.
- Kev ntxhov siab ntev thiab tsis tsaug zog.
Hmoov tsis zoo, rau cov neeg uas twb muaj mob plawv, tshem tawm txhua yam kev pheej hmoo tsis txaus. Txhawm rau kom tsis txhob ua rau daim duab kho mob hnyav zuj zus, nws yuav tsum siv cov tshuaj tshwj xeeb.
Kuv yuav noj tshuaj dab tsi los tiv thaiv kab mob plawv?
Tus kws kho plawv yuav tsum teb cov lus nug no. Cardiovascular pathologies yog ib lub npe nrov, uas txhais tau tias tag nrho cov kab mob ntawm cov hlab ntsha. Cov pab pawg no dav heev thiab suav nrog cov hauv qab no:
- Cov qauv thiab kev ua haujlwm puas tsuaj rau myocardium tshwm sim los ntawm cov hlab plawv tsis zoo (lub plawv nres, angina pectoris).
- Lub plawv tsis ua hauj lwm.
- Kab mob ntawm lub plawv ntawm cov kab mob sib kis (myocarditis, endocarditis).
- Kev yug me nyuam nyob rau hauv cov qauv ntawm lub plawv.
Kev kho tshuaj thiab kev tiv thaiv suav nrog ntau pawg tshuaj. Cov tshuaj dab tsi los sau rau kev tiv thaiv lub plawv yog nyob ntawm tus neeg mob tus mob thiab hom kab mob plawv:
- beta-blockers feem ntau yog tshuaj rau angina pectoris, tachycardia;
- ACE inhibitors - lub plawv tsis ua haujlwm;
- calcium antagonists - atrial fibrillationarrhythmia;
- nitrates - angina;
- anticoagulants - tiv thaiv lub plawv nres;
- kawg glycosides - lub plawv tsis ua haujlwm.
Nyob rau hauv cov ntaub ntawv hnyav ntawm cov kab mob plawv, ntau hom tshuaj ntawm ntau pab pawg tau muab.
Reflex vasodilating tshuaj
Vasodilators (vasodilators) yog sawv cev los ntawm ib pawg loj ntawm cov tshuaj. Txhais tau tias yog siv rau kev kho mob plawv. Muaj antispasmodic hypotensive kev txiav txim. Cov no suav nrog:
- "Papaverine". Relieves nro thiab so cov leeg du. Thaum noj ntau, nws yuav pab txo qis excitability ntawm lub plawv cov leeg, ua rau muaj kev hloov hauv intracardiac conduction. Cov tshuaj yog siv los tshem tawm qhov mob hauv lub cev fibromuscular.
- "Teodiverin" - tshuaj tiv thaiv lub plawv thiab cov hlab ntsha. Txo excitation ntawm vascular du nqaij. Ua kom muaj peev xwm ntawm lub plawv cov leeg los teb rau stimulation nrog kev sib dhos ua ke. Cov tshuaj no tau sau tseg rau angina pectoris, mob plawv.
- "Validol" - nthuav cov hlab ntsha, nce lawv cov permeability. Relieves mob hauv siab. Nyob ib ncig ntawm cov tshuaj muaj ntau qhov kev tsis sib haum xeeb txog seb puas yuav tshem tawm ntawm daim ntawv los yog tsis. Cov kws tshuaj thiab cov neeg mob plawv suav hais tias cov tshuaj tsis siv lawm, thiab nws cov txiaj ntsig tsis muaj pov thawj.
Nitrates thiab nitrate-zoo li tus neeg sawv cev
Lub hauv paus ntawm kev kho cov nyhuv ntawm nitrovasodilators yog nce hauv cov hlwbcov ntsiab lus nitric oxide. Qhov tshwm sim yog kev so ntawm cov leeg ntawm cov hlab ntsha. Nitrates tau dav siv los ua tshuaj los txhawb lub plawv thiab tiv thaiv kab mob vascular.
- "Nitromint". Nws txhawb kev so ntawm cov leeg du ntawm cov hlab ntsha, ua rau lawv nthuav dav, uas txo cov overload thiab tom qab lub plawv. Txo lub plawv cov leeg xav tau oxygen. Ua kom cov ntshav coronary txaus, uas ua rau kom cov pa oxygen mus rau lub plawv cov leeg. Cov tshuaj yog siv rau sab laug ventricular tsis ua hauj lwm thiab "angina pectoris".
- Pektrol. Nthuav cov hlab ntsha peripheral, txo cov venous rov qab mus rau lub cev fibromuscular. Txo cov vascular kuj, ntshav siab, xav tau cov pa oxygen hauv lub plawv cov leeg. Ua kom lub siab ntev rau lub cev ua si thaum lub sij hawm ischemia, tus naj npawb ntawm angina tawm tsam, pab tshem tawm cov myocardium, txo cov ntshav siab.
- "Cardicket". Cov tshuaj ua kom ntev. Tom qab noj cov ntsiav tshuaj, nws pib ua sai sai (15 feeb). Cov cuab yeej sib npaug zoo nthuav cov hlab ntsha thiab cov hlab ntsha, uas ua rau txo qis hauv preload thiab siab nyob rau sab laug ventricle. Muab kev txhim kho cov ntshav txaus rau myocardium. "Kardiket" raug coj los tiv thaiv angina tawm tsam, kom rov zoo sai ntawm lub plawv nres.
Cov tshuaj tiv thaiv kab mob
Cov tshuaj uas cuam tshuam rau hemostasis. Antiplatelet cov neeg ua haujlwm tiv thaiv platelets los ntawm kev ua ke, tiv thaiv thrombosis. Hauv cardiology, ob qho tib si ntev-paub thiab niaj hnubnyiaj.
Qhov feem ntau pom zoo thiab sau tshuaj antiplatelet rau kev tiv thaiv lub plawv "Cardiomagnyl". Cov tshuaj yog siv los tiv thaiv thrombosis, mob plawv tsis ua hauj lwm, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob uas muaj kev pheej hmoo (hnub nyoog laus, rog rog, ntshav qab zib, haus luam yeeb). Tsis tas li ntawd, "Cardiomagnyl" tau raug sau tseg rau kev tiv thaiv rov ua dua, thromboembolism tom qab coronary angioplasty.
Cov tshuaj tiv thaiv kab mob hauv qab no kuj ua haujlwm zoo:
- "Clopidex". Muab tshuaj tiv thaiv cov teeb meem hauv cov neeg mob uas muaj lub plawv nres, ischemia (nrog rau cov tshuaj tsis pub ntau tshaj rau lub hlis), mob coronary syndrome. Siv los tiv thaiv mob stroke hauv atrial fibrillation.
- "TromboMag" yog npaj rau kev siv mus sij hawm ntev rau kev tiv thaiv thawj zaug ntawm thrombosis, mob plawv. Cov tshuaj no yog siv los tiv thaiv kev rov tshwm sim ntawm lub plawv nres thiab tsim cov ntshav txhaws hauv cov hlab ntsha, tsis ruaj khov angina.
Tshuaj zoo ib yam hauv cov txheej txheem ntawm kev ua: "Zilt", "Klapitax", "Plavix", "Plagril", "Phazostabil", "Trombital"
Calcium channel blockers
Calcium ions tseem ceeb rau kev ua haujlwm ntawm lub cev. Thaum lub sij hawm ischemia, hypoxia, lawv cov concentration nce, uas ua rau muaj kev nce hauv cov txheej txheem metabolic hauv cov hlwb. Kev xav tau ntawm cov ntaub so ntswg rau oxygen nce thiab ntau yam kev hloov pauv tshwm sim.
Calcium antagonists inhibit qhov nkag ntawm calcium rau hauv cov leeg nqaij ntawm lub plawv thiab cov hlab ntsha. Cov tshuaj muaj anti-ischemic, hypotensive, cardioprotective, antiarrhythmickev ua. Cov tshuaj rau kev tiv thaiv kab mob plawv teej tug mus rau pab pawg neeg ntawm calcium channel blockers:
- "Nifedipine" yog hais txog thawj tiam ntawm calcium antagonists, piv txwv li tsis muaj txiaj ntsig thiab muaj ntau yam kev phiv. Cov tshuaj yog siv los tiv thaiv kev tawm tsam ntawm qhov mob tom qab sternum, Prinzmetal's angina pectoris, hypertrophic, obstructive cardiomyopathy. Contraindicated nyob rau hauv lub plawv poob siab thiab nyob rau hauv thawj lub lim tiam tom qab ib tug mob infarction.
- "Omelar Cardio" yog qhov thib ob tiam calcium antagonist nrog antianginal, hypotensive kev ua. Nws yog siv rau kev ruaj khov, vasospastic, variant angina pectoris. Nws raug sau tseg rau kev tiv thaiv ntawm coronary atherosclerosis, rov tshwm sim ntawm lub plawv nres.
- "Felodipine". Txhawb nqa kev nce hauv ntim ntawm cov chav hauv lub plawv, txhim kho coronary ncig, tsis muaj zog tom qab lub plawv. Cov neeg mob noj cov tshuaj no yooj yim dua rau kev ua haujlwm ntawm lub cev, lawv muaj qhov txo qis ntawm qaug dab peg. Siv tau rau cov neeg laus. "Fulodipine" yog tshuaj rau intolerance rau nitrates thiab beta-blockers. Cov ntsiab lus tseem ceeb: ntau hom angina pectoris.
Beta-blockers
Tshuaj uas inhibit qhov kev nkag siab ntawm cov neurons rau adrenaline thiab noradrenaline tau muab faib ua beta1-adrenergic receptor blockers thiab beta2-adrenergic receptor blockers. Hauv plawv plawv, xaiv beta1-adrenergic receptors yog siv los kho thiab tiv thaiv lub plawv.
- "Bravadin". Normalizes lub plawv dhia, thaum tsis cuam tshuam lub contractility ntawm lub plawv cov leeg.lipid metabolism, siab, carbohydrate thiab lipid metabolism. "Bravadin" yog qhia rau qhov ruaj khov angina, kom txo tau qhov tshwm sim ntawm cov teeb meem plawv.
- "Vero-Amlodipine" muaj cov nyhuv antihypertensive. Nthuav cov arterioles, ua rau kom cov pa enrichment ntawm lub ntsiab coronary hlab ntsha nyob rau hauv ischemic cheeb tsam ntawm lub myocardium. Nws tau qhia rau kev kho mob monotherapy thiab ua ib feem ntawm kev kho mob nyuaj rau mob hauv siab, tsis yog ischemic cardiomyopathy, nyob rau theem thib peb thiab plaub ntawm lub plawv tsis ua haujlwm. Thiab nws kuj tau sau tseg rau qhov tsis muaj txiaj ntsig ntawm nitrates.
- "Carvedilol" - tshuaj tiv thaiv kab mob plawv thiab ntshav siab. Txo lub plawv dhia, dilates peripheral hlab ntsha, pre- thiab afterload rau lub plawv. Tsis tas li ntawd, cov tshuaj muaj cov nyhuv antioxidant, tiv thaiv kev tsim cov atherosclerotic plaques. Indications: sinus tachyarrhythmia, plawv nres, atrial fibrillation, decompensated dysfunction ntawm lub plawv cov leeg.
tshuaj tiv thaiv kab mob
Ib pawg ntawm cov tshuaj siv nyob rau hauv ntau yam kab mob pathological tshwm sim los ntawm kev ua txhaum ntawm qhov zaus, atherosclerosis thiab contractility ntawm lub plawv. Cov pab pawg no suav nrog ntau cov tshuaj. Classified los ntawm localization ntawm kev txiav txim thiab siv nyob rau hauv cardiology. Qee hom tshuaj siv tshwj xeeb hauv tsev kho mob. Tab sis feem ntau tseem yog tsim los rau kev kho mob sab nraud thiab tiv thaiv.
- "Panangin yog tej zaum cov tshuaj tiv thaiv kab mob nrov tshaj plaws rau kev tiv thaiv lub plawv. Activetshuaj yeeb tshuaj - poov tshuaj thiab magnesium. Cov cations intracellular no ua lub luag haujlwm tseem ceeb hauv cov txheej txheem ntawm cov leeg nqaij contractility, lawv txhim kho cov txheej txheem metabolic hauv myocardial hlwb. Tsis muaj microelements ua rau atherosclerosis ntawm cov hlab ntsha, arrhythmias, metabolic ntshawv siab hauv carcinomas. "Panangin" yog siv tau rau hauv lub plawv tsis ua hauj lwm, ventricular arrhythmia, thaum lub sij hawm rov kho mob tom qab lub plawv nres.
- "Asparkam" muaj tib yam tshuaj muaj txiaj ntsig zoo li "Panangin", tsuas yog nyob rau hauv ntau dua. Nws muaj ib tug nruab nrab antiarrhythmic nyhuv. Nws raug sau tseg rau kev tiv thaiv thiab kho mob plawv, ischemia.
- “Digoxin yog ib qho tshuaj tiv thaiv kab mob plawv, tshuaj tiv thaiv arrhythmic. Cov tshuaj yog ib qho kev ua kom muaj zog, qhov ntau npaum li cas yog xaiv los ntawm tus kws kho mob rau txhua tus neeg. Cov lus qhia rau kev siv yog ib daim ntawv uas tsis muaj zog ntawm contractility ntawm lub plawv cov leeg, atrial fibrillation ntawm tachyarrhythmia (ceev plawv dhia), paroxysmal nce nyob rau hauv lub plawv dhia uas tshwm sim los ntawm circulatory disorders nyob rau hauv lub myocardium, atrial flutter. Rau cov neeg mob uas muaj kev pheej hmoo, kev siv tshuaj yog ua raws li kev saib xyuas nruj ntawm tus kws kho plawv.
Tshuaj tiv thaiv lub plawv tom qab 50
Nrog hnub nyoog, kev pheej hmoo ntawm cov kab mob vascular nce ntau. Hmoov tsis zoo, tib neeg tsis xav mus ntsib kws kho mob ib zaug ntxiv. Lawv ntshai hnov “kev txiav txim” thiab nyiam yuav lawv cov tshuaj tiv thaiv kab mob plawv.
Cov ntaub ntawv feem ntau yog muab los ntawmkev tshaj tawm, tsis paub tias tsis muaj cov tshuaj uas haum rau txhua tus yam tsis muaj kev zam. Tsis tas li ntawd, cov tshuaj txhawb nqa feem ntau kim dua thiab tsis tshua muaj txiaj ntsig ntau dua li qhov paub me me tab sis kev kho lub plawv zoo.
Daim npe tshuaj uas txo qis kev pheej hmoo ntawm kab mob plawv hauv cov neeg tshaj 50:
- Cardiomagnyl.
- Aspirin Cardio yog ib qho tshuaj tiv thaiv kab mob uas tau sau tseg rau kev tiv thaiv kev mob plawv, ruaj khov thiab tsis ruaj khov angina.
- "Rosuvastatin" yog cov tshuaj txo qis lipid uas tau sau tseg rau ischemia, plawv nres, atherosclerosis.
- Enalapril yog cov tshuaj vasodilator siv los kho thiab tiv thaiv lub plawv tsis ua haujlwm.
- Micardis yog tshuaj tiv thaiv ntshav siab.
Cov vitamins twg xav tau rau lub siab
Tsawg molecular hnyav cov organic tebchaw yog tsim nyog rau kev ua haujlwm ntawm lub cev. Lawv tsis muaj peev xwm provoke kev loj hlob ntawm ntau yam pathologies. Txhawm rau tswj hwm kev noj qab haus huv ntawm ib lub cev, qee yam micro thiab macro ntsiab yog xav tau.
Daim ntawv teev cov vitamins ntuj rau lub plawv thiab tiv thaiv kab mob vascular:
- ascorbic acid;
- Yretinol;
- tocopherol;
- routine;
- folic acid;
- thiamine;
- Ypyridoxine.
Vitamins tiv thaiv kab mob plawv
Nyob hauv lub ntiaj teb niaj hnub no, cov khoom ntuj tau maj mam txav mus rau hauv qeb ntawm cov khoom tsis tshua muaj. Tsis tas li ntawd, lub suab ntawm lub neej feem ntau tsis pab tswj kev noj qab haus huv.lub neej. Txhawm rau tswj kev noj qab haus huv, nws yuav tsum tau noj cov chaw muag tshuaj tshwj xeeb ntawm cov zaub mov, micro- thiab macroelements.
Daim npe tshuaj muaj cov vitamins rau kev tiv thaiv lub plawv thiab cov hlab ntsha:
- "Cardio Forte";
- "Doppelgerz Cardiovital";
- Cardiohe alth;
- "Synchron-7";
- "Nws yuav direct".
