Mishonga arrhythmia: mazita zvinodhaka, pamusoro pokushandisa kunenge uye wongororo

Pasi arrhythmia anofanira kunzwisiswa chirwere kumwoyo, icho chirwere Varwere vakawanda. Zvinokonzera arrhythmias anogona kuiswa. Rokurapa arrhythmia kutanga ushandiswe nhamba zvinodhaka, chakakoshera chimwe nechimwe kunokonzerwa nekuomarara chirwere, uyewo comorbidities.

Pasinei chokwadi kuti kugadzirirwa arrhythmias Chokwadi, hwaro kuchirapa muitiro, zvaidiwa nemitemo kudya utano, muviri zvine mwero, uye kudzivisa pakapfava hunokuvadza, anogona yekudyidzana kuvandudza kurapwa maturo.

Ndechipi chinangwa kugadzirirwa arrhythmias?

Mishonga arrhythmia anogona kugarwa murwere ezvinhu, zvinogoneka kubvisa zvisingafadzi zviratidzo uye zvichida kubvisa chirwere zvachose. Nokuda nzira dzakadaro chokuti kuitwa zvinodhaka zvainanga kusimbisa cellular Zvivako kumwoyo, saka kuti migumisiro inokuvadza zvimwewo zvinoitika iri kushoma. In Muzviitiko zvakaipisisa, mushonga arrhythmia rinoshandiswa pakudzikamisa murwere uye wakagadzirirwa woshanda mabasa.

Kupatsanura zvinodhaka nokuda cardiac arrhythmias

Zvichienderana pokutungamirira chiito, yacho yose arrhythmias vakakamurwa muzvikwata akawanda:

1. Beta-blockers - mazita zvinodhaka kuti kuderedza zvinokonzerwa tsitsi wemuTesitamende myocardium, saka mwoyo asingadi kuona basa kuzara.
2. Blockers ose yavaibvisa Ion Mipata - boka zvinodhaka zvinowedzera sero kuramba zvinokuvadza zvinokonzerwa, asi chinhu chakanga chisingatarisirwi anotikurudzira.
3. Blockers, karusiyamu Ion migero - zvinoverengeka kugadzirira kuti kudzivirira pamusoro ingress pamusoro cardiac tsandanyama masero kwavo mhango karusiyamu ions, ichipa hwandaiva mwoyo mutinhimira.
4. Potassium mugero blockers - ndivo zvinodhaka kuti pave pakuberekwa kutsva masero cardiac uye kuvabvumira zororo.

Chii kuti kuiita arrhythmia? Next, Ndichaenda muirondedzere. Asi yeuka: paari kunogona kukanganisa utano hwako! Pamberi kushandiswa chero mushonga, unofanira chiremba.

Nheyo kuitwa Beta-blockers

The vakawanda mashandiro chiito zvinodhaka izvi ndiko kuti tidzivise Beta-adrenergic receptors, izvo varipo vari munyama zvose uye nemidziyo muviri, kusanganisira mwoyo tsandanyama, uye chiitiko kunetseka, chokuita kemikari epinephrine. Izvi zvinokonzera kuti muviri, kunyanya mwoyo tsandanyama kushanda munzvimbo zvashata muoti. Beta-blockers tunodzivisa akadaro kubatanidzwa. Ndokusaka inowanzoshandiswa cardiac arrhythmias uye nokuda kudzivirira idzokororo myocardial infarction, uye cheBP.

Hwendefa kubva arrhythmia mukirasi Beta-blockers - ndiye "Betaxolol", "Egilok", "bisoprolol" "Atenolol" uye vamwe.

Mahwendefa "Betaxolol"

The mushonga "Betaxolol" ndorwevaya muchikwata che zvokusarudza Beta-blockers. Nokuda refu basa, mushonga zvishoma nezvishoma lowers BP, kudzivisa kuwedzera aro anonetsa ezvinhu kana simba chaiko nesimba. "Betaxolol" hakuiti tunodzivisa basa mwoyo tsandanyama, kana kubatwa zvine mwero, hazvirevi kuvhiringidza kuitwa agonists, wokukudza Árbol lumen. The mushonga haakonzeri munhu kunonoka mumuviri yavaibvisa ions, haana kumbochinja shuga muviri.

Huru zvairatidza kuti kushandiswa kwezvinodhaka - a neBP uye angina ekudzivirira.

Kutora mapiritsi kubva arrhythmia "Betaxolol" kunofanira kamwe pazuva akaumbwa pamwechete zvinwiwa zvakawanda.

Contraindications "Betaxolol"

Mahwendefa "Betaxolol" hakufaniri kutorwa pamberi kusachengeteka kukuru cardiac kukundikana, akaderedza BP (hypotension), bradycardia, atrioventricular chidhina, uyewo Árbol asima uye chisingaperi kuzvimba principales. Havashandisi zvinodhaka panguva yepamuviri uye achiyamwa, uyewo vana pasi pemakore 18.

Pakati zvaibvira divi zvinokonzerwa kamwe kutanga bradycardia anogona kuonekwa, rakapinza kuwa BP, cardiac insufficiency, utera, chiveve wamativi, Raynaud kuti syndrome.

"Betaxolol": mutengo, wongororo

Kazhinji, varwere dzinoshuma zvinokosha nani avo ezvinhu, saka wongororo pamusoro zvinodhaka "Betaxolol" kunyanya zvakanaka. Zvisinei, nokuda mumwe zvechadenga nerimwe muviri womunhu, haugari kupa kutarisirwa kwechirwere chezvinodhaka. Naizvozvo, dzimwe nguva pane kunaka mazano ari zvinodhaka.

The mushonga "Betaxolol", mutengo ayo Pharmacies hakusi anopfuura 150 rubles Russian, dziripo nokuda vatengi. Zvisinei, harifaniri kushandiswa pasina risati zano chiremba, kana kukuvadza kubva zvinodhaka anogona kupfuura makomborero ayo.

Mahwendefa "Amiodarone"

"Amiodarone" ari Pfungwa yokuti kupa chinhu antiarrhythmic uye antianginal nemigumisiro. The uchishandisa nheyo "amiodarone" ndiko kuti kuderedza otomatiki kushanda sinus raiva pedyo nebundu, izvo zvinoderedza mukana kuderera mwoyo zvazvingava, uyewo yokuderedza uwandu potassium ions napo muchitokisi membranes kardiomiotsitarnye. The chinodhaka anogona kuwedzera nguva refraction mwoyo tsandanyama. Uyezve, "Amiodarone" kunoderedza myocardial okisijeni kudiwa, zvinoderedza sezvo kakawanda mwoyo unodiwa. The lumen of coronary tsinga uye peripheral vascular richikura, saka, ari kurwisa chikawira mukati peripheral midziyo, izvo zvinoita kuti tirambe cardiac goho.

Kugadzirira rinosanganisira ayodhini, izvo zvinobatsira kuderedza simba thyroid mahormone pamusoro myocardium.

"Amiodarone" nezvaro varwere ventricular fibrillation, magadzirira anorova, uyewo kudzivirira dzokororo ine myocardial infarction.

Dosing uye dosing "Amiodarone"

"Amiodarone" iri rakapa muchimiro mahwendefa 0.2 Mahwendefa d vanofanira kubvuma mangwanani Mabatirwo 0.6-0.8 g, kupatsanura mari iyi mukati 2-3 mishonga. The kosi Mabatirwo 8 kusvika 15 mazuva.

Tora mahwendefa pashure zvokudya, kunwa zvinwiwa zvakawanda.

Contraindications kurapwa "Amiodarone"

Pakati contraindications "Amiodarone": cardiogenic kuvhunduka, atrioventricular nechigumbuso pasina pacemaker, bradycardia, aikanganiswa vanoshingaira zvinodhaka zvinhu, hyper- uye hypothyroidism, hypokalemia, congestive mwoyo kukundikana, pamuviri.

"Amiodarone": mutengo, wongororo

Kutonga nezvinooneka zvakanaka wongororo pamusoro chinodhaka, zvechokwadi izvozvo kunobatsira kuderedza kurwisa zviri atrial fibrillation, uye anoita somunhu chokudzivirira nechiyero. Vazhinji wongororo ndokuisa - akanaka. A zvakanaka Kuwedzera mushonga - zviri zvayo Accessibility.

"Amiodarone", mutengo ayo Pharmacies mu Russia ndiyo 140-150 rubles, "kutenga" kuti vatengi. Zvisinei, vanofanira kuwana mushonga chiremba.

Mahwendefa "quinidine"

"Quinidine" - zviri zvikuru inobudirira antiarrhythmic kwezvinodhaka, iyo inoshanda kunyange zviitiko apo zvimwe zvinodhaka akafanana havana kubatsira. Zvisinei, kazhinji kugamuchira "Quinidine" angaperekedzwa nemishonga. Zvisinei, yakarurama chipimo chemushonga kurapwa kudzivisa utano ngozi.

Zvairatidza kuti kushandiswa "Quinidine" marudzi akasiyana arrhythmias, uyewo mamwe Kukundikana tinakidzwe nomwoyo tsandanyama - paroxysmal tachycardia, ventricular tachycardia, kakawanda rokusamhanyira anorova.

Mirayiridzo kushandiswa "Quinidine"

"Quinidine" mirayiridzo kushandisa iyo wanamatira nomumwe pasuru yacho zvinodhaka ukasunungurwa muchimiro mahwendefa 100 uye 200 MG. Shandisa zvinofanira kuva hafu yeawa pamberi kudya. The chipimo chemushonga zvinodhaka riri ushandiswe nachiremba wako. Maererano zvichangobva kudzidzwa, ari maximal mugumisiro zvinodhaka kubva arrhythmia "quinidine" kubudirira munguva kutanga kushanda yakakwirira mishonga (250-300 MG) avo zvishoma nezvishoma kuderera (100 MG) muna 6 nguva pazuva. Chero zvazvingava, mabiko redunhu uye chipimo chemushonga dzinofanira ushandiswe chete kupinda chiremba.

Contraindications pakushandisa "Quinidine" ndiwo: idiosyncrasy zvinodhaka, cardiac kukundikana, pamuviri.

Magnesium uye potassium vari: zvinodhaka

Potassium chinhu chinokosha chaizvo aitodada maatomu akafanana, iro rine zvakananga nezvainoita dzichipfekeka vachikwanisa mwoyo. Pachiimbwa potassium, magnesium chinobatanidzwa cellular muviri ari myocardium. Uyezve, izvi zvisaririra zvinhu kusimbisa Sero masvingo midziyo ropa, kubvisa sclerotic plaques, nokudaro zvichiita ropa zvikuru fluid uye zvichivhiringidza vascular thrombosis. Potassium kunokoshawo nokuti normalization pamusoro contractile kushanda pomwoyo. Saka, kuramba padanho potassium uye magnesium mumuviri panguva yakakwana pamwero kunobatsira kudzivisa arrhythmias nezvimwe zvirwere kumwoyo.

Kazhinji, zvinodhaka potassium uye magnesium, zvikurukuru, "Panangin" kana "Asparkam" kwete nesimba zvakare zvikuru zvazvinoita kwemwoyo. Ivo anoshandiswa ebetsero rwokuzvisarudzira nokuti arrhythmias izvo zvinokonzerwa hyperaldosteronism apo hypokalemia, uye kana kwazvo chipimo chemushonga cardiac glycosides. Zvairatidza kuti kushandisa zvinodhaka ndiko potassium Kudzivirira kuitazve paroxysmal tachycardia, extrasystoles, paroxysmal tachyarrhythmia. vanhu vakwegura kushandisa zvinodhaka potassium kuchinja mumhepo kumanikidzwa, kuti BP panguva idzokororo angina.

Tevera zvinhu potassium uye magnesium zvinogona kushandiswa kwete chete sechinhu piritsi asiwo sechinhu chezvinonhuwira kuti intravenous jekiseni polarizing coctail insulin yakakodzera, shuga, potassium, uye magnesium. Saka nokuda jekiseni, shuga, pamwe potassium ions kuburikidza sero Kamudzira pakati plasma inowira masero. Nokudaro, zvakawedzera polarization pamusoro cardiomyocytes, kureva kuwanazve Kamudzira zvinogona masero myocardial.

Zvose kugadzirirwa arrhythmias pakawanda, kudzorera utano kana kumubatsira kubva zvisingafadzi zviratidzo chirwere. Kunyange zvakadaro, zvinokosha kuyeuka kuti kuchengetedza utano pane muduku zvinogoneka kana mararamiro utano uye kubvisa tsika dzakaipa. Zvadaro kurapa arrhythmia uye nezvimwe zvinetso mwoyo vanoda zvikuru gare gare, kana kwete zvinodiwa zvachose.