Cardiac: tlhahlobo ea meriana, 'me ho atleha ha likarabo

mahlahana Cardiotonic ke lithethefatsi tse eketsa mosebetsi oa mosebetsi ea mesifa pelo, bokhoni ba lona contractile 'me a sebelisa ea ho phekola ba ha pelo. sehlopha sa akarelletsa palo e khōlō ea lithethefatsi le lintho tse fapaneng le mafolofolo ea ho hlophisoa le mochine e fapaneng ya liketso. Cardiotonic sebediswa bakeng sa kalafo ea mefuta a hlobaetsang le a sa foleng ba ha pelo.

Cardiac: tlhophiso ea

Phello kakaretso ea lithethefatsi tsohle sehlopha, e thehiloeng le bokhoni ba ho eketsa matla a khutsufatso myocardial, ka tsela eo e ntseng e eketseha cardiac khumo le mali leqeba bophahamo ba modumo. mahlahana Cardiotonic fokotsa bophahamo ba modumo diastolic, methapo le systemic venous khatello, 'me khatello ea nakong ea tlatsang tsa ventricles ena.

1. Cardiac glycosides - "Strofantin", "Korglikon", "Digoxin".
2. Adrenergic lithethefatsi - "Izadrin", "Dobutamine", "Dopamine".
3. maiketsetso lithethefatsi Adrenergic - "Amrinon", "Milrinone".

Selection sebelisa lithethefatsi tse amanang le ho tiea tsa boemo ba mokuli le sebōpeho sa 'nete hore lefu.

glycosides cardiac

The Group e emeloang ke mokhoa oa ho ea limela kapa hlahang ho yona a maiketsetso a. Formulations thehilwe hodima dintho tsoa dimela digitalis, goritsveta, khahla ea selemo, oleander, strophanthus et al a.

The nako ya bohato phekolo, bokella e le hantle 'meleng, le ho sebelisa lithethefatsi neurotoxicity ba itšetlehile ka ho feletseng ka bokhoni ba bona ba ho theha mehahong le liprotheine lero la mali. U tla matlafala jwalo mabapi, e khōlō le ka bokgoni ba ho glycoside ena. Cardiac sehlopha sena ba le ketso e thehiloeng mekgwa tse latelang:

• khutsufatsa systole le hlaha ka nako le ho rua ho lona;
• ba bang kaofela nako ba mesifa pelo e lengthened;
• fokotseha ho otla ha pelo;
• myocardial mesifa ntlafatsoa bokhoni ba ho nyakallo;
• Ha overdose e ho ntshetsa pele fibrillation ventricular.

"Digoxin"

moriana o tsa maiketsetso ho tswa ho makhasi a digitalis. Le bolela ho glycosides telele-ho nka bohato, e seng ho fana ka litla bo tebileng boo lehlakoreng. E sebediswa bakeng sa kalafo e rarahaneng ea ho hloleha foleng pelo le arrhythmia tachysystolic.

Fumaneha ka matlapa a le tharollo injectable. lethal dose lokela ho a khetha ka hloko bakeng sa e mong le e le mamello le batho ka bomong. Tabeng ea glycosides tse ling cardiac pele "Digoxin" litekanyetso li behoa fokotseha.

"Strofantin"

Cardiac glycoside ke nako e tshwere, sebelisoa tabeng ea mefuta hlobaetsang maloetse. "Strofantinom" ha se ikhethang ho ipokellela ka 'mele. ho lokisetsa ho kgothaletsa ho contractile mosebetsi wa myocardium le eketsa khumo cardiac. Ka e tšoanang, ho na le ho fokotseha ha boholo ba mesifa pelo le fokotseha tlhokeho tsa lona oksijene.

Laolwa entoe, intramuscularly, maemong a mang - ka hare. Ho noa e ngata ho ka etsa hore overdose e. Tšebeliso ea lithethefatsi tse ling tse ho fetola ho atleha ha glycoside ho:

• e le hantle barbiturates e fokotsehile;
• le "reserpine", sympathomimetics le antidepressants ka etsa hore tsoelo-pele ea arrhythmias cardiac;
• baeti ba fihlelang ho le tetracyclines, "chloramphenicol", "Amiodarone" le "captopril" tiisa bohato cardiac;
• magnesium sulfate khothalletsa pelo atrioventricular le literata.

lithethefatsi adrenergic

Neglikozidnye mahlahana cardiotonic ho ba le nako e khutsoanyane bohato. Sehlopha se sebelisoa ka tsela e hlobaetsang ea ha pelo ho tshehetsa mesebetsi ea bohlokoa ea 'mele.

"Izadrin" ke stimulant adrenergic lijana, bronchi le pelo. Lithethefatsi e na le phello hypotensive, eketsa contractile bokhoni ba ho mesifa pelo. Sebelisoa ka contractility cardiac le ea fokotseha bohale mesebetsi bueloang, hammoho le ka cardiogenic makala. Reviews of lingaka lemosa hore kopo e fosahetseng kapa tekanyetso feteletseng ho ka etsa hore fibrillation ventricular ba pelo.

"Dobutamine" - cardiotonic neglikozidnye sebopeho, e na le phello e susumetsang ho mesifa pelo le gogoga mali normalizing. Kotsi ea arrhythmias ha u sebelisa thulusi ena e tlaase haholo, hobane "Dobutamine" e na le hoo e batlang e ha ho na phello automaticity cardiac.

Abeloa ho ntlafatsa contractility tsa myocardium nakong potlako hlokahala. Maemong a mang, e ka 'na ea etsa hore tsoelo-pele ea litla-morao:

• ho nyekoa ke pelo;
• hlooho;
• kgatelelo ya madi;
• tachycardia;
• bohloko ka mor'a breastbone ena.

"Dopamine" ke catecholamine Stimulating receptors adrenergic. Lithethefatsi hlahisa khatello ea mali, eketsa gogoga phallo ea mali. E o ile a bontša bakeng sa a hlobaetsang le myocardial hloleha, makala. Temoso lokela ho sebelisoa ka infarction myocardial, bokhachane, lefu thyroid, arrhythmias.

Adrenergic maiketsetso cardiotonic

E e sebelisoa ka tabeng ea hlobaetsang gogoga insufficiency, mehaho ea cardiac. Lithethefatsi sebetsa ka contractility tsa mesifa pelo, ho eketsa eona. Se ka mo lakalisa ntshetsopele ya arrhythmias le theola khatello ea mali, lefu la ea a liphio le.

lithethefatsi Cardiac sehlopheng sena a ke ke a sebelisoa ka likoli tsa pelo, hammoho le cardiomyopathy, cardiac morethetho meferefere, aortic aneurysm, ho hloleha liphio, lefu la pelo 'me nakong bana ba.

Ho bolela ho "Amrinon" le sebelisitsoe ka ho khetheha ho ICU ea, mamello e ile ea 'na a tlas'a taolo ea disebedisweng tse khethehileng, a bontša hore puso ea oona. Ho phaella tabeng ea ho eketsa lebelo leo pelo ho lokisetsa atolosa methapo ea mali, eketsa mali ejection nakong systole fokotsa khatello ea methapo.

E ya hlahiswa ka tharollo e. Bakeng sa intravenous hlapolotsoeng haholo ka fisioloji tharollo sodium chloride. Ha baa lokela ho tsoakane le lithethefatsi tse ling. Ha ho qaloa ho khoneha bohale ho fokotseha ha khatello, e ile ea eketseha ho otla ha pelo, arrhythmia, hlooho e opang, mafu gastrointestinal.

"Milrinone" a sebetsang ho feta moemeli pele oa sehlopha seo, 'me ho latela ulasan pelanggan e molemo mameletse ke bakuli. Contraindicated tšebeliso ea meriana nakong ea boimana le ntshetsopele ya infarction myocardial. Ho akarelletsa litokisetso tsa sehlopha A. ho hlokahala hore chelete e ke ikemiselitse feela ke ngaka ya hao.

bofello

Cardiac ipakile ho atleha ha meloko e 'maloa tse fetileng. Reviews bontša hore sehlopha sena sa ho sebelisa lithethefatsi ho thusa sebetsana ka katleho le ho hloleha pelo. Leha ho le joalo, ho nka meriana ena ka mokgwa wa ho intša kalafo ke tieo contraindicated ka lebaka la mathata a ho khoneha, litla-morao kapa overdose. Le ho khetha lithethefatsi, hammoho le lethal dose bozongisela cardiologist rerang ho e mong le e sebetsana le nyeoe motho ea tleleniki.