Dawooyinka arrhythmia: magacyada daawooyinka, codsiga oo ka mid ah talooyinka iyo dib u eegis

Under arrhythmia waa in la fahamsan yahay cudurka nidaamka wadnaha iyo, kaas oo la ogaadaa in bukaan badan. Sababaha baarutaan lagu hagaajin karo. In lagu dilo arrhythmia tirada ugu horeysay qoray daroogada, tacaluqa ee mid kasta oo taas waxaa keena darnaanta cudur, iyo sidoo kale comorbidities.

In kasta oo xaqiiqda ah in diyaarinta baarutaan yihiin, dhab ahaantii, ku saleysan habka daweynta, waafaqsanaanta qawaaniinta cunidda caafimaadka, jimicsi dhexdhexaad ah, iyo iska ilaalinta ku lifaaqan waxyeelada, si weyn u hagaajin karaa saamayn daaweynta.

Waa maxay ujeedada ka mid ah diyaarinta baarutaan?

Dawooyinka arrhythmia fududeeyo karaa xaaladda bukaanka, ay suuragal tahay in meesha laga saaro calaamadaha aan fiicneyn iyo suurto gal baabi'inta cudurka wadajir. Sababo la xiriira xeeladaha sida xaqiiqada ah in tallaabo daroogada loogu talagalay in lagu xoojiyo qaab-dhismeedka gacanta nidaamka wadnaha iyo, si ay saamaynta arrimo waxyeello dibadda la yareeyo. Xaaladaha daran, daawo arrhythmia waxaa loo isticmaalaa si loo xasiliyo bukaanka iyo diyaariyey hawlaha hawl.

Qoondaynta oo ah daawooyinka loo isticmaalo garaaca wadnaha

Iyada oo ku xidhan jihada of action, qiimihii baarutaan kala qaybsan yihiin kooxo dhowr ah:

1. Beta-blockers - liiska daroogada in la yareeyo saamaynta nidaamka u dabacsanaadaan ee myocardium ah, qalbigiisu ma la kulmaan ciriiriga aan loo baahnayn.
2. Blockers ee channels ra'iyi sodium - Koox ka mid ah daroogada in la kordhiyo iska caabin ah cell in waxyeellada daran, laakiin sidoo kale heshaa lama filaan ah.
3. Blockers, channels ra'iyi calcium - tiro ka mid ah diyaarinta in looga hortago ingress ee unugyada muruqa wadnaha ee udhigo saabka calcium ay, bixinta laxanka wadnaha oo caadi ah.
4. blockers potassium channel - waa daroogada kor u cusboonaysiinta, unugyada wadnaha iyo oggolaanin inay nastaan.

Maxaa si ay u sameeyaan of arrhythmia? Next, Waxaan ku sifayn doonaa. Laakiin xusuusnow: is dhaawici kara caafimaadkaaga! Ka hor inta isticmaalka daroogo kasta, waxaad u baahan tahay inaad la tashato dhakhtar.

Mabda'a garoomada ee beta-blockers

hab guud ee tallaabo daroogada waa in la hortago receptors beta-adrenergic ah, oo ay joogaan oo dhan unugyo iyo weelashii jidhka, oo ay ku jiraan muruqa wadnaha, oo haddii ay dhacdo of stress, waxa ay la xiriiraan epinephrine hoormoonka. Taasina waxay keentaa in jidhka, gaar ahaan muruqa wadnaha oo uu ka shaqeeyo hab degdeg ah. Beta blockers-joogsada qabanaya sida. Taasi waa sababta ay inta badan loo isticmaalaa in garaaca wadnaha iyo ka hortagga Wadnaxanuun myocardial soo noqnoqonaysa, iyo dhiig karka.

Kiniiniyada ka arrhythmia fasalka ee beta-blockers - waa "Betaxolol", "Egilok", "bisoprolol" "Atenolol" iyo kuwa kale.

Kiniiniga "Betaxolol"

Daawada "Betaxolol" iska leh category ee la xushay beta-blockers. Maaddaama ay mudada dheer ka maqnaa, daroogada si tartiib tartiib ah hoos u cadaadiska dhiigga, ka hortagga ay kordhay xaaladaha walaaca ama dhibta jidhka ku xoog badan. "Betaxolol" ma joogsada waxqabadka muruqyada wadnaha, haddii aad qaadato si dhexdhexaad ah, ma faragelin tallaabada of agonister, ballaarinta Lumen bronki. Daawada ma keento dib u dhac ah ee jirka ku ah ee atammada sodium, saameyn ah kuma laha dheef glucose.

Ififaalaha weyn ee isticmaalka daroogada - hortagga hypertension iyo angina ah.

Qaadashada kaniiniyada ka arrhythmia "Betaxolol" waa in hal mar maalintii on isku waslad la cabitaano badan.

Sababo "Betaxolol"

Kiniiniga "Betaxolol" Waa in aan loo qaadan in joogitaanka ah failure wadnaha ba'an, cadaadis dhiig oo hoos u dhacay (hypotension), bradycardia, block atrioventricular, iyo sidoo kale neefta bronki iyo barar chronic ee bronkie. Ha isticmaalin daawada xilliga uurka iyo nuujinta, iyo sidoo kale carruurta ka yar 18 sano.

Waxaa ka mid ah dhibaatooyinka suurogal ah in bilawga lama filaan ah bradycardia lagu arkay laga yaabaa, dayrta af badan in dhiig kar, kaafi wadnaha, daciifnimo, kabuubyo ah jirka, Raynaud ee syndrome.

"Betaxolol": qiimaha, dib u eegista

Xaaladaha intooda badan, bukaanku uga warbixin horumar la taaban karo in xaaladda ay ku sugan, si dib u eegista ku saabsan daroogada "Betaxolol" inta badan wanaagsan. Si kastaba ha ahaatee, ay sabab u tahay sifooyinka gaarka ah ee mid kasta oo jidhka bini'aadamka, waxa aanu had iyo jeer ku siin saamaynta filayo daroogada. Sidaa darteed, mararka qaarkood waxaa jira qiimaynta xun ee daroogada.

daroogada "Betaxolol" The, qiimaha kuwaas oo farmasiyada ma aha in ka badan 150 rubles Ruush, diyaar u iibsada. Si kastaba ha ahaatee, waa in aan loo isticmaalin oo aan wada tashi ka hor takhtarka, ama waxyeello ka soo daroogada ka miisaan wayn laga yaabaa faa'iidadiisa.

Kiniiniga "Amiodarone"

"Amiodarone" waa hab si bixinaya saamaynta ah antiarrhythmic iyo antianginal. Mabda'a hawlgalka ee "amiodarone" waa in la yareeyo shaqo si toos ah Guntin Dalqada wadnaha ku, taas oo yaraynaysa khatarta ah in hoos u garaaca wadnaha, iyo sidoo kale si loo yareeyo xaddiga udhigo potassium dhex maraya xuubka unug kardiomiotsitarnye. Daawada kordhin karaa muddada refraction muruqyada wadnaha. Intaa waxaa dheer, "Amiodarone" yaraynaysaa baahida oxygen myocardial, hoos u sida inta jeer ee garaaca wadnaha. Lumen ee halbowlaha wadnaha iyo ballaarinta dhuumaha ugu sarreeya, sidaas darteed, iska caabin ah uu hoos u dhaco gudahood weelashii durugsan, kaas oo u ogolaanaya si ay u ilaaliyaan saarka wadnaha.

diyaarinta waxaa ka mid ah iodine ah, taas oo ka caawisaa si loo yareeyo saameynta ay hormoonnada thyroid on myocardium ah.

"Amiodarone" qoro bukaanka qaba aamba ventricular, garaaca dhicis ah, iyo sidoo kale si looga hortago soo noq of Wadnaxanuun myocardial.

Qadarka Qaadashada iyo kacmaha "Amiodarone"

"Amiodarone" waxaa soo saaray qaab kiniin oo ah 0.2 kiniin g waa in ay aqbalaan daawaynta hore ee 0.6-0.8 g, qaybintii qadarka this galay 2-3 qaadasho. Dabcan daaweyn jiray 8 ilaa 15 maalmood.

Qaado kiniiniyada ka dib cuntada, la cabo cabitaano badan.

Sababo daaweyn "Amiodarone"

Ka mid ah sababo "Amiodarone": lama filaan ah cardiogenic, block atrioventricular aan pacemaker, bradycardia, dareen inay Walxaha firfircooni daroogada, barar aad iyo hypothyroidism, hypokalemia, gabsiiya wadnaha, uurka.

"Amiodarone": qiimaha, dib u eegista

Siidi oo ay dib u eegista wanaagsan oo ku saabsan daroogada, runtii waxay ka caawisaa si ay u debciyaan weeraradii ee wadne, iyo sidoo kale u dhaqmo sida qiyaas ka hortag ah. Inta badan dib u eegista posted - positive. Intaa waxaa dheer A fiican in daroogada - waa ay helitaanka.

"Amiodarone", qiimaha kuwaas oo farmasiyada in Russia waa 140-150 rubles, "awoodin" macaamiisha. Si kastaba ha ahaatee, waa in ay helaan dhakhtar qoro.

Kiniiniga "quinidine"

"Quinidine" - waa arrin wax ku ool ah daroogada antiarrhythmic, kaas oo wax ku ool ah oo xataa xaaladaha halkaas oo daroogo kale la mid ah ha ku caawiyaan. Si kastaba ha ahaatee, marar badan la helo "Quinidine" waxaa la socon kara by waxyeelo. Si kastaba ha ahaatee, qiyaasta saxda ah ee daawada si looga fogaado in halis caafimaad.

Tilmaamayaasha in loo isticmaalo ee "Quinidine" jira noocyo kala duwan oo garaaca, iyo sidoo kale fashilka kale ee laxanka ee muruqa wadnaha - tachycardia paroxysmal, tachycardia ventricular, garaaca dhicis ah soo noqnoqda.

Tilmaamaha loogu isticmaalo "Quinidine"

tilmaamaha "Quinidine" loo isticmaalo ee kaas oo ku lifaaqan xirmo kasta oo daroogada la sii daayay oo ah qaab kiniin oo ah 100 iyo 200 mg. Codso waa inay noqdaan nus saac cuntada ka hor. qiyaasta daawada waa uu dhakhtarkaagu kuu qoray. Sida laga soo xigtay baaritaano dhawaan, saamaynta maximal daroogada ka arrhythmia "quinidine" gaari inta lagu guda jiro codsiga hore ee qaadasho sare (250-300 mg) ay hoos u dhac tartiib ah (100 mg) ee 6 jeer maalintii. Si kastaba ha ahaatee, circuit soo dhaweynta iyo qiyaasta waa in lagu qoro oo kaliya uu dhakhtarka xaadirka ah.

Sababo isticmaalka "Quinidine" waa: idiosyncrasy daroogada, wadnaha oo shaqadiisa gaba, uurka.

Magnesium iyo potassium waa: daroogada

Potassium waa element raad aad u muhiim ah, taas oo uu leeyahay saamayn toos ah awooda shaqo ee wadnaha. In lala potassium, magnesium waa lug-shiid gacanta ee myocardium ah. Intaas waxaa sii dheer, xubno ka raad, kuwaas oo xoojin derbiyada gacanta xididdada dhiigga, baabi'inta dabar sclerotic, oou dhiigga more dheecaan, iyo anada thrombosis vascular. Kaliumpermanganat waxaa sidoo kale muhiim u tahay caadi ka mid ah shaqo contractile muruqyada wadnaha ah. Sayidka, dayactirka heerka potassium iyo magnesium ee jirka heer ku filan waxay ka caawisaa looga hortago in garaaca iyo cudurada kale ee wadnaha.

Guud ahaan, daawooyinka potassium iyo magnesium, gaar ahaan, "Panangin" ama "Asparkam" ma isticmaali saamayn aad u daran on garaaca wadnaha. Waxay waxaa loo isticmaalaa sida wakiilada kaabayaal waayo garaaca oo waxaa sababa hyperaldosteronism markii hypokalemia, iyo marka aad iyo aad u qiyaasta glycosides wadnaha. Tilmaamayaasha isticmaalka daroogada sidoo kale waa potassium ka hortagga labakaclaynta tachycardia paroxysmal, extrasystoles, tachyarrhythmia paroxysmal. Dadka waayeelka ah codsan daroogada potassium beddelo cadaadiska Hawada, hoos cadaadiska dhiigga ee angina soo noqnoqonaysa.

Raad raaco canaasirta potassium iyo magnesium waxaa loo isticmaali karaa oo keliya ma aha sida kiniin ah, laakiin sidoo kale qayb duro xididka kala fogaanayaan is biirsaday ee insulin, glucose, potassium, magnesium iyo. Sayidka ay sabab u tahay insulin, glucose, oo ay la socdaan udhigo potassium marayo xuub gacanta of plasma ah uu hoos u dhaco unugyada. Sidaas darteed, kala fogaansho sii kordhaya ee cardiomyocytes, taas macnaheedu waa soo kabsaday iman kara xuub unugyada myocardial ah.

Dhammaan oo ka mid ah diyaarinta baarutaan in heerar kala duwan, ay awoodaan si loo soo celiyo caafimaadka ama isaga ka calaamadaha xun ee cudurka u gargaara. Si kastaba ha ahaatee, waxaa haboon in la xasuusnaado in si ay u ilaaliyaan caafimaadka da 'yar ah waxaa suurto gal ah haddii hab nololeed caafimaad leh iyo in laga takhaluso of caadooyinka xun. Markaasuu ku bogsiiyaan ku arrhythmia iyo dhibaatooyin kale oo wadnaha waxay u baahan yihiin wax badan ka dib, ama aan loo baahnayn oo dhan.