Tachycardia ndi kuthamanga kwa magazi ndi matenda ofala. Nthawi zambiri, ma pathologies awa amapezeka padera, koma nthawi zina amaphatikizidwa.
Ndi kuphatikiza kwa matenda oopsa ndi tachycardia, zizindikiro zosasangalatsa za matendawa zimakulirakulira, zikukula kwambiri mkhalidwe wa thanzi. Popanda chithandizo chanthawi yake komanso chaphokoso, matenda amapita patsogolo mwachangu, omwe angayambitse zovuta zowopsa, kuphatikizapo kulumala ndi kufa.
Chifukwa chake, aliyense wodwala wodwala yemwe ali ndi mavuto a mtima komanso shuga ya magazi ayenera kudziwa momwe angachitire okha. Kuti muthane ndi malingaliro osasangalatsa ndikusintha thanzi lanu lonse, kugwiritsa ntchito mankhwala osokoneza bongo ndi maphikidwe ena amagwiritsidwa ntchito. Koma musanagwiritse ntchito zida zotere, ndikofunikira kumvetsetsa momwe matenda onsewa amaphatikizidwira.
Kodi pali ubale wanji pakati pa matenda oopsa ndi tachycardia
Mu thupi la munthu mulibe dongosolo lomwe nthawi imodzimodzi limayendetsa kuthinana komanso kuchuluka kwa minofu ya mtima. Pulogalamu yamafinya imayendetsedwa ndi 3 reflexogenic zone, ndikukwiya komwe tachycardia imayamba.
Malo olembetsera zamkati ndi omwe amayang'anira malo oyendetsa ndege omwe ali mu medulla oblongata. Zimakhudzanso kuchuluka kwa mtima wamunthu, komabe, sizimalumikizidwa ndi dera la Refxogenic.
Kuchulukitsa kwa mtima, monga bradycardia kapena arrhythmia, ndi matenda oopsa chifukwa cha mtima umayenera kupopa magazi ochuluka. Izi zimabweretsa kutsitsa kwambiri kwa ziwalo, zomwe zimathandizira kuoneka ngati lamanzere yamitsempha yamagazi.
Nthawi zina tachycardia imachitika ndi matenda oopsa. Izi zimawonjezera chiopsezo cha michere yamitsempha yamagazi ndi mtima.
Pali chifukwa china chifukwa chomwe, ndi matenda oopsa, kuthamanga kwa mtima kumachuluka. Ndi kuwonjezeka kwa kuthamanga kwa magazi limodzi ndi kuwonjezeka kwa kugunda kwa mtima, njira zina zowongolera zimayendetsedwa m'thupi. Pansi pa kupsinjika ndi zochitika zolimbitsa thupi kwambiri, kuchuluka kwa adrenaline kumawonjezeka modzidzimutsa, komwe kumabweretsa matenda oopsa.
Ndi anthu odziletsa omwe amachita nawo masewera 15 patatha maphunziro, kuthamanga kwa magazi kumakhalanso kosiyanasiyana. Koma ngati, pakulimbitsa thupi, kugunda kumawonjezeka mpaka kumamenyedwa ndi 180 mumasekondi 60, thanzi la wodwalayo limakulirakulira, ndipo zisonyezo zakukakamizidwa zimawonjezeka ndipo mwina sizingayende kwa nthawi yayitali.
Kupanikizika ndi kupindika kwamankhwala kumachulukanso ndi kupsinjika kwakukulu, komwe kumabweretsa kutulutsa kwamisempha. Chifukwa chake, chofunikira chamalingaliro ndicho chitsogozo chachikulu cha matenda oopsa.
Kuphatikiza kwa matenda oopsa ndi tachycardia kungawonetse kukula kwa pheochromocytoma. Ndi khansa yomwe imapangitsa adrenaline.
Popewa kupezeka kwa zotsatira zowopsa zotere, ndikofunikira kudziwa mankhwala omwe mungagwiritse ntchito mukachulukitsa kugunda kwa mtima komanso kuthamanga kwa magazi.
Mankhwala okhala ndi kuthamanga kwa magazi komanso kugunda kwa mtima
Ndi matenda a shuga, kulephera kumachitika mthupi lonse. Zotsatira zosasangalatsa za kuphwanya kagayidwe kazakudya kungakhale VSD, tachycardia ndi matenda oopsa. Chifukwa chake, popereka mankhwala, dokotalayo amaganizira kuchuluka kwa thanzi la wodwalayo komanso zomwe zimachitika mthupi lake.
Pharmacology yamakono imapereka mankhwala ambiri omwe amachepetsa kuthamanga kwa magazi ndi kugunda kwa mtima. Chifukwa chake, tachycardia yomwe imayambitsidwa ndi kupsinjika imatha kuthandizidwa ndimisempha.
Mankhwala osokoneza bongo amagawidwa mwachilengedwe (tinctures mowa, Persen) ndi kupanga. Zotsirizazi zikuphatikiza:
- Etatsizin;
- Rhythmylene
- Relium
- Verapamil.
Ngati tachycardia imayamba chifukwa chopanga mahomoni a chithokomiro, dokotala amaletsa mankhwala a chithokomiro. Kuti muchepetse kuchuluka kwa triiodothyronine thyroxine, muyenera kumwa mapiritsi monga Mikroyod, Potaziyamu Perchlorate kapena Merkazolil.
Cardiac glycosides ndi mtundu wina wamankhwala omwe amagwiritsidwa ntchito kuti achulukitse kuthamanga kwa mtima komanso kuthamanga kwa magazi. Mankhwala odziwika kuchokera pagululi ndi Digoxin ndi Strofantin. Amachepetsa kufunikira kwa okosijeni pamtima ndikuletsa kutalika kwa makoma a myocardium.
Njira zabwino kwambiri zochizira tachycardia yokhala ndi kuthamanga kwa magazi ndi gawo la gulu la ma beta-blockers. Mankhwala aliwonse m'gulu lino amawongolera adrenaline.
Beta-blockers amagawidwa posankha komanso osasankha. Gulu loyamba limaphatikizapo Betaxol, Metoprolol, Atenolol, ndipo lachiwiri - Timolol, Anaprilin ndi Sotalol.
Komabe, mankhwalawa amatengedwa pokhapokha ngati mtima wa wodwalayo uli kupitirira 120, popeza ali ndi zotsutsana zingapo komanso zotsatira zosayenera. Kuchiza ndi adrenaline blockers koletsedwa kwa amayi apakati, ana, samayikidwa pa mphumu ndi matenda omwe amaphatikizidwa ndi kufalikira kosakwanira kwa magazi.
Ndi supraventricular tachycardia ndi matenda oopsa, ma calcium blockers angagwiritsidwe ntchito. Othandizira amenewa salola kuti calcium izitulutsidwa m'maselo kuchokera m'misika yamkati.
Mankhwala abwino kwambiri a matenda amtima amamuyesa Diltiazem, kutumikiridwa kudzera m'mitsempha. Koma ndikofunikira kukumbukira kuti mankhwalawa amayambitsa zovuta zingapo - hypotension, kutupa ndi mutu.
Sodium channel blockers amagwiritsidwanso ntchito pochiza tachycardia ndi matenda oopsa mu shuga. Mankhwala otchuka ochokera pagulu lantchito iyi ndi Novocainamide ndi Quinidine.
ACE inhibitors amathandizira ochepa matenda oopsa komanso palpitations mtima omwe amapezeka odwala matenda ashuga. Mankhwalawa amalepheretsa kulephera kwa mtima ndi matenda ashuga nephropathy.
Koma ndalamazi zikuyenera kugwiritsidwa ntchito mosamala, chifukwa zimathandizira kuti potaziyamu azikhala mthupi, zimatha kusokoneza kugwira ntchito kwa mtima ndi minofu.
Amagwiritsa ntchito zoletsa za ACE:
- Enamu;
- Kapoten;
- Monopril;
- Mavik;
- Univask;
- Aseon ndi ena.
Pankhani ya zovuta mu chakudya kagayidwe kachakudya, matenda oopsa ndi zovuta mu kugunda kwa mtima, okodzetsa ndi mankhwala. Mankhwala ali ndi diuretic zochita komanso amachepetsa kutupa.
Mankhwalawa amaphatikizapo amiloride, indapamide retard, triamteren ndi hydrochlorothiazide.
Zithandizo za anthu
Kuphatikiza apo, mankhwala ochokera ku zinthu zachilengedwe amathandizanso kuthamanga kwa magazi komanso kuthamanga kwa mtima. Ubwino wawo ndikuti ali ndi zofatsa, zomwe sizimayambitsa zovuta komanso amakhala ndi zotsutsana pang'ono.
Njira imodzi yabwino yodzetsa kupsinjika ndi kukoka ndi zochokera ku valerian. Kuti mukwaniritse zochizira, tincture wa mowa uyenera kuledzera ndi maphunziro, popeza umatha kuchita zambiri.
Kuthana ndi matenda oopsa, tiyi ndi kulowetsedwa kuchokera masamba, mizu ya valerian ingakuthandizeni. Komanso, mphamvu yopatsa mphamvu komanso yopatsa mphamvu imasambitsidwa ndi malo osambira ndi kuphatikizira chomera chazomera.
Kuonjezera chitetezo chokwanira komanso kukonza ntchito ya mtima ndi mtima kumathandiza mayi, omwe amakhala ndi zotsitsimutsa komanso zotumphukira. Kutengera chomera, zotsatirazi zochizira zakonzedwa:
- Masamba owuma a mamawort (supuni 4) amathiridwa ndi madzi otentha (200 ml).
- Choyidacho chimayikidwa mumadzi osamba.
- Pambuyo pakuwotcha, chiwiya chomwe chili ndi mankhwalawa chimachotsedwa mu chitofu, chimakutidwa ndikuumirira kwa maola atatu.
- Ndikwabwino kumwa kulowetsedwa mukatha kudya, panthawi yomwe simungagwiritse ntchito supuni ziwiri za decoction.
Kuti muthane ndi matenda oopsa komanso kukhazikika pa ntchito ya mtima, mutha kugwiritsa ntchito hawthorn. Mwa njira, hawthorn imathandiza kwambiri matenda a shuga a 2, omwe amaphatikizidwa ndi matenda oopsa.
Zodzikongoletsera ndi zomata zimakonzedwa kuzinthu zilizonse za mbewu.
Chimodzi mwazinthu zabwino kwambiri zogwiritsira ntchito hawthorn chimaphatikizapo kugwiritsa ntchito zipatso ndi maluwa a udzu. Zinthu zosaphikidwazo zimaphwanyidwa, zimayikidwa mumtsuko wopanda kanthu ndipo zimadzaza madzi owiritsa. Chidacho chimalimbikitsidwa maola 4 ndipo amatengedwa kasanu patsiku mukatha kudya.
Ngati kuthamanga kwa magazi kwayamba kale kuchepa, ndipo mapapo ake akadali okwera kwambiri, wowerengeka azithandizo za tachycardia angathandize, osachepetsa kupsinjika. Izi zikuphatikiza:
- kulowetsedwa kwa rosehip;
- decoction kutengera mayiwort;
- Kutolera kwa phyto, kuphatikizapo calendula, mankhwala a mandimu, anakweranso, katsabola, valerian.
Inde, wowerengeka ndi mankhwala amathandiza kuthana ndi kuthamanga kwa magazi ndi tachycardia. Koma kuti matenda otere asamapezekenso, odwala matenda ashuga ayenera kukhala ndi moyo wathanzi, kuphatikizapo zakudya zoyenera, kupewa kupsinjika, kuchita masewera olimbitsa thupi komanso kukana kusuta.
Ndi mankhwala ati omwe angathandizire kuchotsa tachycardia akufotokozedwa mu kanema munkhaniyi.
