Laau no arrhythmia: na inoa o ka ai ', ma ke noi ana o na koi a me ka hōʻike manaʻo

Ma lalo o ka arrhythmia E e hoomaopopo maʻi o ka mea'ōnaehana mānowai koko oihana, i ua diagnosed ma ka hapanui o nā mea maʻi. Kumu o arrhythmias hiki ke kau. E hoola i ka arrhythmia mua hoakaka helu o ai ', i ka pilina o kēlā me kēia no i ua kauoha aku ma ka maʻi oolea, e like me comorbidities.

I loko nō o ka mea e hoomakaukau ana o arrhythmias mea, ma ka mea, ke kumu o ka pākōlea kaʻina, kaʻaeʻana i nā rula o ke ola ai, lōpū hoounauna, a me ka ae ho'āʻo ana nā palapala mea pākuʻi, hiki me ka nui loa hoʻoikaika 'ana i ka iapaau ana kanawai.

He aha mea i ka manaʻo o ka hoomakaukau ana o arrhythmias?

Lapaau no ka arrhythmia ke kōkua i ke ahonui o ka kūlana, hiki ke wehe i kaʻawaʻawa loa symptoms a paha hoʻopau i ka maʻi loa. Ma muli o ia mau nā kaʻa mokulele ma ka mea i ka hana o ka ai 'nona ma e hooikaika ana i ka ke kelepona hele nā hale o ka mea'ōnaehana mānowai koko oihana, no laila, i ka hopena o nā palapala mawaho aʻe ua minimized. Ma loa a pau, ka lapaʻauʻia no ka arrhythmia ua hoʻohana 'ia e stabilize i ke ahonui a me ka makaukau no ka hana ana hana.

Mea Maluna o ka ai 'no cardiac arrhythmias

Ke kaumaha ma muli o ka olelo o ka hana, e puunaueia na dala i loaa mai o arrhythmias i loko o kekahi mau pūʻulu.

1. Hoʻokolohua-blockers - he papa inoa o ka ai 'e emi ke kanawai o ke aloha o'ōnaehana i loko o ka myocardium, no laila, i ka naau, aole ia i ike' hoʻokali kūpono 'congestion.
2. Blockers o ka paʻakai ion kaha - i ka pae o ka ai 'e māhuahua aeea ia'ku i nā palapala' ole, akā, i ka unexpected stimulus.
3. Blockers, kalipuna ion auwai a - he helu o ka hoomakaukau ana i i ka palekana i ka ingress o cardiac Muscle aeee i loko o kā lākou lua kalipuna Ion, ina he maʻamau naʻau pāpana.
4. Potasiuma Kanal blockers - e ai 'i ka paipai i ka noho ana o cardiac keena, a ae aku ia lakou e hoomaha aku.

He aha e hana i arrhythmia? Next, au e kakau ia. Akā, e hoomanao: ka pakiko hiki pilikia i kou ola! Ma mua o ka hoʻohana 'ana i kekahi lāʻau, e pono e nīnau aku i ke kauka.

I ka rula o ka hana o ka Hoʻokolohua-blockers

ʻO kekahi mauʻano papa hana o ka hana ana i kēia mau ai 'mea e ee i ka Hoʻokolohua-adrenergic receptors, a e noho ana ma nā mea a pau nā'aʻaʻa a me nā ipu a pau o ke kino, a me ka naau Muscle, a ma ka wā pōʻino o ka stress, e pili ana me ka hōmona epinephrine. Kēia ke kumu i ke kino, ka oi aku o ka naau Muscle e hana i kekahi pilikia 'ano paha i loko. Hoʻokolohua-blockers inhibit ia ka paa. Ia mea ke kumu ka mea, i pinepine ia i loko o cardiac arrhythmias, a no ka Kāohiʻana o recurrent myocardial infarction, a ua kiʻekiʻe ke koko.

O na papa io mai arrhythmia mai o ka papa o ka Hoʻokolohua-blockers - ka "Betaxolol", "Egilok", "bisoprolol" "Atenolol" a me na mea e ae.

Papa "Betaxolol"

Ka lāʻau "Betaxolol" e pili ana i ka waeʻano o e wae Hoʻokolohua-blockers. Aie i ka lōʻihi loa o ka hana, ai ka lāʻau i nā emi ke koko, pale kona mea ulu i loko o stressful wahi, i hiki ole ikaika physical exertion. "Betaxolol" 'aʻole i inhibit i ka ha awina o ka naau Muscle, ina ia ma ka akahai, aole ia e ālai ia' aʻe i ka hana o ka agonists, hoʻonui i ka bronchial lumen. Ka lāʻau 'Aʻole ole i ke kali hou aku i loko o ke kino o ka paʻakai Ion,ʻaʻohe kanawai ma monakō koko pūnao.

I ka papa kuhikuhiE nāʻikepili no ka hoʻohana ana i ka lāʻau '- he hypertension a me ka angina Kāohiʻana.

Lawe huaale mai arrhythmia "Betaxolol" E ia kekahi manawa i ka lā ma luna o kekahi apana me ka nui o ka fluids.

Contraindications "Betaxolol"

Papa "Betaxolol" E ole e ia i loko o ke alo o ka huʻi cardiac e hemahema, hoemiia ke koko, (hypotension), bradycardia, atrioventricular aeie, e like me bronchial asthma a me ka maʻi li nui o ka bronchi. Mai i ka hoʻohana i ka lāʻau i hāpai keiki, a breastfeeding, e like me na keiki ma lalo o makahiki 18.

Mawaena o ka mea e hikiʻaoʻao ole o ka ulia hookahi o ka bradycardia i e malama, he nihinihi haule i loko o ke koko,, cardiac insufficiency, nawaliwali, numbness o nāʻaoʻao, Raynaud ka maʻi pale.

"Betaxolol": kuai, hōʻike manaʻo

Ma ka hapanui o hoopii, e hoomanawanui i hōʻike nui hana i loko o kā lākou kālā, no laila, hōʻike manaʻo e pili ana i ka lāʻau "Betaxolol" ka hapanui maikaʻi. Eia naʻe, ma muli o i na ano kanaka o kela a me keia o na kanaka kino, ka mea, aole e mau i ka manaoia hopena o ka lāʻau. No laila, ma kekahi manawa, he mea io ka loiloi 'ana o ka lāʻau.

Ka lāʻau "Betaxolol", ke kumukuai o ka i loko o keʻena kūʻai lāʻau lapaʻau mea i oi aku mamua o 150 Lūkini rubles, loaʻa i nā kānaka kūʻai mai. Naʻe, ka mea pono ole e hoʻohana 'ole ma mua o kuka me ke kauka, a me ka ino mai ka lāʻau i mua o kona pomaikai.

Papa "Amiodarone"

"Amiodarone" mea he hoʻomanaʻo hoomaopopo ana i antiarrhythmic a me ka antianginal 'ole. Ka pae'ōnaehana rula o "amiodarone" mea e emi i ka 'akomi hana o ka sinus wahi, a ho'ēmi i kā ka pilikia o ka meheu o ia i ka naʻau ana, e like me ka emi ka nui o ka potasiuma Ion hele ma aeea membranes kardiomiotsitarnye. Ka lāʻau 'hiki ana i ka wā o ka refraction o ka naau Muscle. Eia hou kekahi, "Amiodarone" ho'ēmi i kā myocardial o oxygen koi, emi like me ka alapine (frequency) o ka naau kōmi. Ke lumen o ka coronary artery a me kaʻike ākea vascular hoomaka iho, nolaila, i ka ia'ku hina i loko o nā ipu aʻike ākea, a leie aku e malama i cardiac auaiaea.

Ke hoʻomākaukau nā ka iodine, i kokua e emi i ka aoao o ka thyroid hormones ma ka myocardium.

"Amiodarone" i koi 'ia ma nā mea maʻi me ka ventricular fibrillation, premature kui iho oe, e like me ke pale recurrence o myocardial infarction.

Dosing a me ka dosing "Amiodarone"

"Amiodarone" ua hoopuka ia i loko o ka palapala o ka papa o ka 0.2 g. Papa eʻae kakahiaka lapaʻau o 0.6-0.8 g., Ka mahele ana i keia dala i loko o nā māhele 2-3. Ka iapaau ana papa o ka 8 a hiki i 15 mau lā.

E papa ma hope oʻai, inu nui o fluids.

Contraindications e lapaʻau "Amiodarone"

I waena o contraindications "Amiodarone": cardiogenic kŰia, atrioventricular aeie ole pacemaker, bradycardia, pā lonoaʻili i kaʻeleu lāʻau 'ona, hyper- a me ka hypothyroidism, hypokalemia, congestive naʻau ole, hāpai keiki.

"Amiodarone": kuai, hōʻike manaʻo

E hoopono ana ma ka mea maikaʻi hōʻike manaʻo e pili ana i ka lāʻau, ka mea maoli e kokua i ka höʻike aku i ka ino o atrial fibrillation, a me kekahi hana e like me ke kāohi ana. Ka hapa nui o nā hōʻike manaʻo like - maikaʻi. A kiʻi hou i ka lāʻau '- ka mea, o kona accessibility.

"Amiodarone", ke kumukuai o ka i loko o keʻena kūʻai lāʻau lapaʻau ma Rusia mea 140-150 rubles, "hoʻolimalima" i nā mea kūʻai mai. Naʻe, ka mea e loaʻa iā ia kekahi i kuhikuhi kauka.

Papa "quinidine"

"Quinidine" - ia mea hala loa i ka hoʻokō antiarrhythmic lāʻau, i mea mana, a hiki i ka hihia ma kahi 'ē aʻe like ai' mai i kōkua. Eia naʻe, he pinepine ka loaa "Quinidine" hiki e ukali ma kaʻaoʻao 'ole. Naʻe, i ka pololei laʻau heluna o ka lapaʻauʻia, e pale aku ola p ÷ ino.

Nāʻikepili no ka hoʻohana o "Quinidine" i ke ano okoa o arrhythmias, e like me nā hoʻolako 'ole i loko o ka pāpana o ka naau Muscle - paroxysmal tachycardia, ventricular tachycardia, pinepine premature kui iho oe a.

Na Ke Kumu no ka hoʻohana "Quinidine"

"Quinidine" kauoha no ka hoʻohana ana i ua pili i kēlā me kēia AEeAaOA o ka lāʻau ua hookuu i loko o ka palapala o ka papa o ka 100 a me 200 mg. Pili ka mea, e lilo ka hapalua o ka hola muaʻai. Ke laʻau heluna o ka lāʻau 'ua hoakaka ia e kou kauka. E like me nā haʻawina, me ka maximal hopena o ka lāʻau mai arrhythmia "quinidine" kā i ka loiloi mua noi o kiʻekiʻe nā māhele (250-300 mg) me kā lākou gradual emi (100 mg) i 6 manawa no ka lā. Ma kekahi hihia, ka? Eaia huakai kaapuni a ka laʻau heluna E e hoakaka ia wale nō ma ka hele kauka.

Contraindications i ka hoʻohana 'ana o "Quinidine" i: idiosyncrasy lāʻau, cardiac ole, hāpai keiki.

Makanekiuma a me ka potasiuma i: ai '

Potasiuma mea he mea nui kumumea'āweʻaweʻa, i ka mea i pololei hopena ma luna o ka iaea ooieoeiiaeuiiai nona iho o ka naau. Ma ka huipūʻana me ka potasiuma, makanekiuma Ua hoʻomau ana ma ke kelepona hele pūnao i loko o ka myocardium. Eia kekahi, i kēia mau kumumea hehee wale, hooikaika mai la aeea paia o na moku koko, ke kāpaeʻana sclerotic plaques, hiki ana i ke koko hou loli, a inhibiting vascular thrombosis. Potasiuma mea i nui no ka normalization o ka papa contractile o ka naau Muscle. Penei, malama ana i ka nui o ka potasiuma a me makanekiuma i loko o ke kino ma ka lawa pae kōkua pale arrhythmias a me nā maʻi 'ē aʻe o ka mea'ōnaehana mānowai koko nenoaiu.

I mau, ai 'potasiuma a me ka makanekiuma, ma ka nui, "Panangin" a me "Asparkam" e kulia i lanakila, pili ia ma luna o ka naʻau kōmi. Ka mea, i hoʻohana 'ia i kākoʻo Luna no arrhythmias i i ke kumu ma ka hyperaldosteronism ka wā hypokalemia, a me ka wā e oi aku laʻau heluna cardiac glycosides. Nāʻikepili no ka pono o ka ai 'Ua hoi potasiuma relapse Kāohi paroxysmal tachycardia, extrasystoles, paroxysmal tachyarrhythmia. Poʻeʻelemākule e pili ai 'potasiuma hoʻololi ka lewa puʻe, no ka hakumakuma ke koko, i recurrent angina.

Kumumea hehee wale potasiuma a me ka makanekiuma hiki ke hoʻohana 'ole wale me ka papa akā, i like me ka ke keʻena no intravenous ka pahu kui polarizing lama hoʻohuihui o insulina, monakō koko, potasiuma, a me ka makanekiuma. Pela manawa e insulina, monakō koko, a me ka potasiuma Ion ma ka halepaahaoʻili lahilahi o ka wai koko hina i keena. Ke'ī mai, me ka mahuahua polarization o cardiomyocytes, oa kaʻili lahilahi Loaʻaʻia o myocardial keena hou ana.

A pau no ka hoomakaukau ana o arrhythmias i ka loli iki ana degere, hiki ke hoʻihoʻi ola a höʻike aku ia ia, mai kaʻawaʻawa loa symptoms o ka maʻi. Aka hoi, e pono ke kuai hoomanao ana e malama i ola ma ka manawa'ōpio wale nō mea hiki ina ke olakino Aloha Hawaii a me ka pakele o ka inoʻano. A laila, hoola i ka arrhythmia a me nā naʻau pilikia pono nui hope, aʻaʻole pono ai i nā mea a pau.