Nyob rau hauv tsab xov xwm no, peb yuav txiav txim siab cov tshuaj zoo tshaj plaws hauv lub plawv.
Cov tshuaj ntawm ntau pawg kws tshuaj tau siv los kho cov kab mob plawv thiab cov kab mob ntawm cov hlab ntsha: cov tshuaj ua kom lub cev muaj zog myocardial, cov tshuaj uas kho cov kab mob hauv lub cev, nrog rau lub plawv glycosides, statins, ACE inhibitors thiab aldosterone antagonists..
Tsis muaj teeb meem koj yuav tsum xaiv tag nrho cov nyiaj saum toj no ntawm koj tus kheej, vim qhov no tuaj yeem cuam tshuam tsis zoo rau kev ua haujlwm ntawm lub plawv thiab ua rau muaj kev phom sij heev, txawm tias tuag. Thaum cov tsos mob ntawm cov kab mob plawv tshwm sim, nws yog ib qho tsim nyog yuav tsum tau ua qee yam kev kuaj mob, tom qab ntawd tus kws kho mob tshwj xeeb yuav sau cov tshuaj uas tsim nyog rau ib tus neeg mob nrog nws cov kab mob.
Ntau yam tshuaj kho mob
Cov npe tshuaj hauv plawv suav nrog cov tshuaj hauv qab no:
- Beta-blockers.
- Aldosterone antagonists.
- ACE inhibitors.
- Ca++ channel blockers.
- Kheev glycosides.
- YDiuretics.
Cov tshuaj ntawm lub siab muaj nyob hauv qab no.
ACE inhibitors yog dab tsi?
Cov tshuaj no yog cov tshuaj cawm txoj sia siv hauv kev kho mob nrog calcium antagonists thiab diuretics.
Daim ntawv teev npe ntawm ACE inhibitors tau sau tseg los txhawb cov hlab ntsha thiab ua kom cov leeg ua haujlwm ntawm lub plawv muaj xws li cov ntsiav tshuaj, tshuaj hauv daim ntawv txhaj tshuaj thiab tee ntawm lub plawv:
- nrog enalapril: Enap, Renipril, Renitek;
- nrog captopril: Angiopril, Kapoten;
- nrog lisinopril: Lysigamma, Diroton;
- nrog ramipril: "Amprilan", "Pyramil".
Tshuaj kho mob plawv yog:
- "Fosinap", "Monopril" - tshuaj raws li fosinopril;
- "Peristar", "Stoppress" - raws li perindopril;
- "Quadropril" - raws li spirapril.
Lub zog ntxiv ntawm ACE inhibitors
Cov txiaj ntsig ntxiv ntawm ACE inhibitors ntawm cov leeg hauv lub plawv tau raug pov thawj vim muaj ntshav txaus thiab normalization ntawm cov piam thaj. Cov tshuaj sib xyaw nrog ACE inhibitors, potassium antagonists thiab diuretics pab tswj cov ntshav siab hauv cov ntshav siab, tshem tawm cov kev pheej hmoo ntawm kev tuag.
Cov npe ntawm ACE inhibitors + diuretics suav nrog:
- "Capozid";
- "Phosicard N";
- "Enap N";
- "Noliprel A";
- "Co-dirotone".
cov npe tshuaj plawv no muaj thoob qhov chaw.
ACE inhibitors + calcium antagonists:
- Equacard;
- "Enap L combi";
- Triapin.
Ca++ channel blockers
Tshuaj los ntawm qeb ntawm Ca ++ channel blockers raug tshuaj rau kev kho mob plawv, ischemia thiab plawv arrhythmia.
Cov tshuaj no suav nrog:
- 1st tiam tshuaj: Verapamil, Nifedipine;
- 2nd tiam tshuaj: Nimodipine, Gallopamil, Felodipine, Tiapamil;
- 3rd tiam khoom: Amlodipine, Lacidipine, Lercanidipine.
Beta-blockers
Cov tshuaj hauv lub plawv los ntawm pawg kws tshuaj no yog siv los kho lub plawv tsis ua haujlwm nrog ntshav siab. Cov tshuaj no tuaj nyob rau hauv ob hom loj:
- tsis xaiv ("Propranolol") - cuam tshuam beta 2 thiab beta 1 - adrenoreceptors;
- xaiv ("Atenolol", "Metoprolol") - Kuv ua tsuas yog ntawm beta1 - adrenoreceptors thiab ntawm qee qhov myocardial receptors.
Beta1-blockers feem ntau yog siv rau hauv kev kho mob plawv pathologies. Lawv raug muab tshuaj rau lub plawv tsis ua hauj lwm ntev thiab txhim kho cov mob plawv.
Lub npe tshuaj rau lub plawv arrhythmia yog txaus siab rau ntau.
Cov khoom siv kho mob zoo li "Bisoprolol" thiab "Metoprolol" thiab lawv cov analogues - "Betaloc", "Vasocardin", "Corvitol", "Egilok". Tawm, raws li txoj cai, los ntawm qhov mob hauv lub plawv thaum lub sij hawm ischemia, myocardial infarction, tachycardia.
Muaj lwm yam tshuaj rau lub plawv thiab cov hlab ntsha.
Thrombolytic tshuaj
Rau qee lub plawv mob, cov tshuaj tau muab tshuaj los txo cov ntshav txhaws. Lawv tsim los txo cov ntshav viscosity, uas provokes thrombosis. Hauv qhov no, cov neeg mob raug qhia kom coj cov nyiaj no txhua hnub. Cov no suav nrog cov tshuaj paub zoo - acetylsalicylic acid.
Ib hom tshuaj zoo rau kev siv txhua hnub uas muaj cov tshuaj aspirin yog tshuaj Cardiomagnyl. Ntxiv nrog rau acetylsalicylic acid, nws muaj magnesium hydroxide, uas tiv thaiv lub plab mucosa los ntawm kev phom sij ntawm cov tshuaj aspirin.
Cov tshuaj no yog qhia rau kev kho mob plawv nyob rau lub peb hlis ntuj thib ob ntawm cev xeeb tub, ntshav qab zib, rog dhau, hnub nyoog laus, thiab tiv thaiv kev mob plawv.
Yuav ua li cas lwm yam tshuaj lub plawv tuaj yeem sau tau?
Nitrates Nitrates
Thaum muaj ischemia, cov tshuaj los ntawm qeb ntawm nitrates uas normalize lub plawv ua haujlwm. Kev noj cov tshuaj nitroglycerin hauv qab tus nplaig pab kom tsis txhob mob angina hauv tsib feeb, txo qhov mob hnyav. Syndrome nyob rau thaj tsam ntawm lub plawv.
Txawm li cas los xij, cov tshuaj no yuav tsis muaj txiaj ntsig yog qhov mob tshwm sim los ntawm qhov tsis ua rau lub plawv, xws li intercostal neuralgia, uas siv cov tshuaj tua kab mob.
Nitrates pab txhawb kev nthuav dav ntawm cov hlab ntsha peripheral, txo cov ntshav ntws mus rau myocardium thiab nws xav tau oxygen. Cov tshuaj no muaj cov nyhuv antiplatelet, uas txo cov kev pheej hmoo ntawm kev txhaws ntawm cov hlab ntsha los ntawm cov ntshav txhaws.
Kev ua haujlwm Antiplatelet, qhov nrawm ntawm kev ua haujlwm tso cai rau kev siv tshuaj ntawm pab pawg no rau kev kho thiab kho lub plawv thaum laus.
Nyob hauv qab no, xav txog tshuaj rau mob hauv siab.
Kev mob hnyav hauv cheeb tsam hauv plawv
Thaum mob hnyav, siv cov tshuaj hauv qab no:
- "Nitroglycerin";
- Sustak;
- Nitrocore;
- "Cardicket";
- Pentrol;
- "Pentacard";
- Monosan.
Metabolic tshuaj
Kev kho mob plawv nrog tshuaj zoo heev. Txhawm rau tswj kev ua haujlwm ntawm lub cev, cov tshuaj uas muaj cov nyhuv cardioprotective yog siv, cov npe uas suav nrog:
- Inosine;
- "Coenzyme Q10";
- "Cocarboxylase";
- "L-carnitine";
- "Perhexilin";
- "Meldonium";
- "Ranolazine";
- "Phosphocreatine";
- "Trimetazidine";
- "Etomoxir".
Cardioprotectors tau siv dav hauv daim ntawv ntawm kev ua kis las. Txawm li cas los xij, yuav tsum paub tias qhov no cuam tshuam rau kev ua haujlwm ntawm lub siab, thiab cov nyiaj no yuav tsum tau ceev faj heev.
Yog lub siab xav tau kev txhawb nqa, nws yog qhov zoo dua los xaiv tsis yog cov tshuaj uas zoo nkauj hauv lub tsev muag tshuaj, tab sis cov kws kho mob tau sau tseg kom tshem tawm qhov mob hauv lub plawv lossis tiv thaiv kab mob.
Cov tshuaj uas siv los txhawb lub siab muaj ntau yam kev mob tshwm sim, yog tias siv rau lub sijhawm ntev yam tsis muaj kev saib xyuas ntawm tus kws tshaj lij, tuaj yeem, piv txwv li, cuam tshuam rau lub plab zom mov (Levocarnitine).
Ua tau zoo siv rau kev kho mob ntawm tus mob infarction, ischemia, lub plawv tsis ua haujlwm tshuaj "Trimetazidine". Nws tau raug sau tseg los tswj cov kev ua haujlwm ntawm lub plawv thiab cov khoom noj khoom haus myocardial, nrog rau kev tiv thaiv angina pectoris. Analogues ntawm cov tshuaj no yog:
- Trimetazidine Teva;
- "Vero Trimetazidine";
- "Kev ua phem";
- Karditrim;
- Trimectal.
Ntxiv rau cov tshuaj rau lub plawv arrhythmia thiab mob, tee yog siv.
Nyob hauv plawv
Thaum mob hnyav hauv lub plawv, cov tshuaj hauv qab no yog siv los ua cov tee:
- "Tricardine";
- Gerbion;
- Kardomed;
- Corvalol;
- Valocordin.
Nco tseg yuav tsum tsis txhob raug coj los tswj tsis tau thiab tswj nws tus kheej. Nrog rau kev siv ntev, kev quav tshuaj rau lawv tsim, uas ua rau kom maj mam nce ntxiv ntawm cov tshuaj, uas, dhau los,tig, tsim kom muaj qhov tshwm sim ntau dua ntawm kev tsim tshuaj ntau dhau.
Tshuaj kho mob plawv hauv cov neeg laus
Ntxiv rau kev kho mob plawv, cov neeg laus tau muab tshuaj los txhawb lub plawv:
- Atorvastin;
- Rozuvastin;
- "Aspirin";
- Ticagrelol;
- YClopidogrel;
- Karaksan;
- YBisoprolol;
- Cardevilol;
- Metaprolol.
Txhawm rau tshem tawm tachycardia, beta-blockers thiab tshuaj raws li ivabradine, blocker ntawm f channels ntawm lub qhov txhab, raug sau tseg. Cov tshuaj no cuam tshuam rau lub sinus node thiab muaj kev xaiv rau lub hlwb uas tsim impulses uas teem lub plawv atherosclerosis.
Kev tshuaj xyuas cov tshuaj no txo qis kev pheej hmoo ntawm qhov tshwm sim tsis zoo. Txhawm rau ntxiv dag zog rau lub plawv, cov tshuaj hauv cov ntsiav tshuaj yog siv, piv txwv li, Trimetazidine, Riboxin, Asparkam.
Nitrate ntev tau tshuaj rau cov neeg laus:
- Karvazin;
- Coronex;
- "Nitrosorbide";
- "Monket";
- Medokor;
- Pentacard.
Membrane stabilizing agents
Cov tshuaj uas thaiv cov kab sodium hu ua membrane stabilizing agents. Lawv ua rau muaj kev tiv thaiv ntawm cov hlwb kom muaj kev cuam tshuam thiab kev txhawb zog ntxiv, vim tias lub sijhawm ntawm cov cell contraction yog luv, lawv ua tsis tshua zoo siab. Qhov no yog chav kawm thib ob ntawm cov tshuaj, uas yog ntau tshaj plaws. Nws muab faib ua pebPawg:
- tshuaj uas tsis cuam tshuam rau kev ceev ntawm impulses: "Lidocaine", "Tocainide", "Phenytoin", "Meksitil", "Katen";
- tshuaj uas pab txo qis zog: Ritmilen, Aymalin, Novocainamide, Procainamide, Quinidine;
- tshuaj uas txo qis qis zog: Propanorm, Allapinin, Ritmonorm, Etacizin, Bonnecor, Flecainide, Etmozin.
Kev sib piv tshuaj mob siab
Muaj ntau yam tshuaj rau lub plawv, thiab lawv txhua tus ua haujlwm sib txawv thiab raug tshuaj rau ntau yam pathologies ntawm cov hlab plawv. Nws tsis tuaj yeem hais tias cov tshuaj twg zoo dua, tab sis muaj cov nyiaj uas xav tau ntau tshaj plaws piv rau lwm tus. Ntawm cov tee dej ntawm lub plawv, qhov nrov tshaj plaws yog Valocordin, nws yog siv los ntawm yuav luag txhua tus neeg mob uas mob plawv pathologies.
Ntawm cov nitrates, qhov nrov tshaj plaws yog cov tshuaj "Nitroglycerin", uas tau paub ntev heev, nws yog ib qho ntawm thawj cov tshuaj ntawm pawg kws tshuaj no.
Yog tias peb tham txog ACE inhibitors, tom qab ntawd ntawm lawv peb tuaj yeem paub qhov txawv ntawm cov tshuaj xws li Enap thiab Angiopril, uas, piv nrog cov tshuaj Kapoten thiab Diroton, tau sau ntau zaus thiab muaj txiaj ntsig sai dua.
tshuaj xyuas lub siab
Yuav luag 80% ntawm cov neeg niaj hnub niaj hnub no muaj ntau yam kab mob thiab kab mob ntawm lub plawv, uas yog qee yam cuam tshuam nrogmaj mam deterioration ntawm lub cev. Thaum tseem hluas, kev mob plawv feem ntau yog tshwm sim los ntawm tus cwj pwm phem, muaj cov kab mob sib kis thiab ntau yam ntxiv.
Cov tub ntxhais hluas qee zaum coj zaj nkauj "Lub qhov hauv kuv lub siab, Kuv xav tau tshuaj" lus. Qhov no suav nrog kev mob hypochondriacal, kev tawm tsam, thiab lwm yam.
Kev tshuaj xyuas cov neeg mob txog tshuaj los ntawm lub siab muaj ntau yam. Cais, lawv nco ntsoov cov tshuaj "Cardiomagnyl", uas nyob rau hauv niaj hnub tshuaj yog muab rau yuav luag tag nrho cov, ob leeg hluas thiab cov neeg laus cov neeg mob, tsis tsuas yog rau kev kho mob ntawm tej yam pathologies, tab sis kuj rau kev tiv thaiv ntawm tej yam kev mob uas yuav provoke kev loj hlob ntawm tej lub plawv. kab mob.
Muaj cov kev tshuaj xyuas zoo txog cov tshuaj kho plawv xws li Coronex, Bisoprolol, Tricardin thiab Meldonium. Cov neeg mob hais tias cov tshuaj no tau pab lawv ua haujlwm zoo ntawm lub plawv, tshem tawm qhov mob hauv siab, tachycardia, arrhythmia thiab ntau lwm yam tshwm sim. Cov kev tshuaj xyuas kuj tau hais tias cov tshuaj no, tsis zoo li ntau lwm yam tshuaj hauv lub plawv, tsis tshua muaj tshwm sim tsis zoo thiab ua rau muaj txiaj ntsig zoo txawm tias muaj cov kab mob sib kis ntawm lub plab zom mov.
Kev tshuaj xyuas cov kws kho mob tshwj xeeb txog cov tshuaj mob plawv yog sib xyaw. Cov kws kho mob hais tias thaum muaj mob plawv, kev kho mob yuav tsum tsis txhob saib xyuas thiab tsis muaj teeb meemsiv tshuaj kho plawv ntawm koj tus kheej, vim qhov no tuaj yeem ua rau muaj kev phom sij heev, suav nrog kev tuag.
Peb tau tshuaj xyuas cov npe tshuaj hauv lub plawv.
