Mankhwala abwino zochizira matenda a mtima

Matenda mtima kulephera, ndilo gulu molingana NYHA (New York Association of cardiologists), zochokera wounikira matenda a pamaso ndiponso azikhala ndi udindo zochepa zinchito odwala. Zizindikiro zazikulu zimene zimathandiza kuti kuchepetsa zolimbitsa thupi monga palpitations, kufooka, dyspnea ndi kutopa. Kuperewera mu NYHA gulu ankaona gradations zochepa ndi muyezo zotengera malingaliridwe. Chifukwa cha zimenezi, pafupifupi odwala onse amene apanga chithunzi ovutika a kalasi wachitatu kapena wachinayi.

Chithandizo kulephera aakulu mtima zambiri anachita pa outpatient maziko. Zotsatira achire mu izi sikuti imatsogoleredwa kuthetsa matenda chimapangitsa. Njira mankhwala limapangidwa komanso kuchepetsa maganizo ndi utachepa zolimbitsa thupi thupi mankhwala. Komanso, ndi lamulo mwambo wolemera mu mavitamini ndi mapuloteni zakudya ndi kucheperachepera tochepa mchere ndi madzi.

Monga mbali ya mankhwala imachitidwa ndi zotsatira za mankhwala. Akukhulupirira kuti mankhwala abwino kulephera mtima, kumene chifukwa cha tachyarrhythmias matenda - ndi mtima glycoside. Mkati tisonyezeni "Tselanid", "Digoxin" ndi ena. Mlingo wa mankhwala osankhidwa dokotala.

Kudziwa hydrothorax, edema zotumphukira, ascites preparty ntchito okodzetsa ( "Furosemide", "Hypothiazid", "Uregei" ndi ena). Nthawi zina akutumikira limodzi ndi aldosterone muzikangana (ndi hyperaldosteronism "Veroshpiron") ndi kukonzekera za potaziyamu (hypokalemia ndi potaziyamu mankhwala enaake). Kutalika kanthu adzalandira mankhwala monga "Triampur", "Triamterene" - potaziyamu-yosalekerera okodzetsa.

Nthawi zambiri ndi mankhwala oyenerera kuti akhoza kusintha hemodynamics chifukwa zotsatira zotumphukira vasodilating (vasodilators). Amakhulupirira kuti njira yabwino ya chithandizo cha matenda a mtima ndi chuma ichi - zoletsa anakhudzidwa onse venous ndi ziwiya wolumikizira kuti. Ambiri a awa pazikhalanso "Enalapril", "Capoten" ndi ena. Nthawi zina (osowa) ntchito ku feteleza. Mwachitsanzo, "Nitrosorbide" "nitroglycerin" (kuchepetsa venous kamvekedwe) "Phentolamine" (kuwonjezera arterioles) "Prazosin" (kuchita kamvekedwe ka venules ndi arterioles). ntchito zawo mwina kuchepa magazi, edema chitukuko, amene ali kukana kuti zotsatira za mankhwala diuretic , cholimbikitsa kapena zosayembekezereka wa tachycardia. Tikumbukenso kuti poika vasodilators ndi kulamulira mlingo kulandira amanyamula dokotala.

Komabe, mosakayika, mankhwala abwino koposa kulephera mtima - matenda mwamsanga kuchotsa pathologies wake wakale.

Normalization bwino salt mchere ndi madzi mu thupi tichotse kutupa, ndi bwino kuti magazi aziyenda bwino. Komanso, kuchepa mtima wakewo, chiopsezo arrhythmias mtima.

Ndi amafuna ulamuliro tsiku la umuna ndi mayamwidwe madzi. Kodi nthawi zonse kulemedwa.

Nthawi zina, kusintha akafuna tsiku, zakudya, madyedwe madzimadzi - mankhwala abwino koposa kulephera mtima. zonsezi n'zotheka kuthetsa khungu cyanosis, kufupika kwa mpweya, kutupa. Odwala matenda a mtima muyenera kuthandiza malo ake onse kunyumba ndi kuntchito. M'pofunika kuthetsa nkhawa, kupereka zofunika kugona nthawi.

Komabe, mu masiteji ina ya matenda zimafuna miyeso kwambiri linachita.