Cardiac: kudzokorora mishonga, uye kubudirira mhinduro

Cardiotonic yomuchipatara vari zvinodhaka kuti vawedzere basa basa mumoyo tsandanyama, ayo contractile kugona uye kushandiswa pakurapa mwoyo kukundikana. The boka rinosanganisira inokosha mari zvinodhaka zvakasiyana vanoshingaira zvinhu zviri murwiyo uye zvakasiyana mashandiro kuita. Cardiotonic rakashandiswa pakurapa chakasimba uye chisingaperi siyana mwoyo kukundikana.

Cardiac: asi kupatsanura

The zvachose mugumisiro zvinodhaka zvose vari boka, yakavakirwa kukwanisa kuwedzera simba myocardial marwadzo, nokudaro vachiwedzera cardiac goho uye sitiroko ropa vhoriyamu. Cardiotonic yomuchipatara kuderedza diastolic vhoriyamu, pulmonary uye systemic venous vachimanikidzwa, uye kumanikidza panguva kuzadza ventricles.

1. Cardiac glycosides - "Strofantin", "Korglikon", "Digoxin".
2. Adrenergic zvinodhaka - "Izadrin", "Dobutamine", "Dopamine".
3. Adrenergic mishonga chakaita zvokugadzirwa - "Amrinon", "Milrinone".

Selection aishandisa zvinodhaka chokuita kwokuomerwa murwere ezvinhu uye chimiro kosi chirwere.

cardiac glycosides

The Group Rinomiririrwa pachishandiswa muriwo kana kuti chakaita zvokugadzirwa mavambo. Formulations kwakavakirwa zvinhu zvinobva chirimwa Digitalis, goritsveta, seruva chitubu, oleander, strophanthus, et unto.

Ya kuchirapa chiito, kuwanda maturo mumuviri, uye neurotoxicity mishonga vanotoda kutsigirwa kugona kwavo kuumba zvivako pamwe mapuroteni eplasma. The simba akwirwe yakadaro, kunokonzera kunyatsoshanda yacho glycoside. Cardiac boka iri vane chiito muchishandisa zvinotevera zvenhengo:

• vachigurisira systole kunoitika panguva imwe chete pfuma yayo;
• zororo nguva mwoyo tsandanyama iri miforo;
• ungaderedza kwemwoyo;
• myocardial tsandanyama kunowedzera kukwanisa excitation;
• Kana zvikashandiswa zvakapfurikidza ari kukura ventricular fibrillation.

"Digoxin"

The mushonga iri synthesized kubva mashizha digitalis. Rinoreva-refu achiita glycosides, kwete kupa zvakakomba nemishonga. Rinoshandiswa kuti kunzwisisa kurapwa echirwere mwoyo nokukundikana uye arrhythmia tachysystolic.

Available sezvo mahwendefa uye injectable mhinduro. The dose rinofanira kusarudzwa nokungwarira kuti mumwe murwere nomumwe. Kana mamwe cardiac glycosides vasati "Digoxin" chipimo chemushonga kunodzikira.

"Strofantin"

Cardiac glycoside chinhu pfupi-kuita, anoshandiswa kana chakasimba siyana chirwere. "Strofantinom" hakusi yaingowanikwa kuunganidza mumuviri. Kugadzirira runogonesa kuti contractile kushanda myocardium uye kuwedzera cardiac goho. In zvakafanana, pane zvinoderedza kukura pomwoyo uye kuderera ayo okisijeni kudiwa.

Raitongwa nomutsinga, intramuscularly, mune zvimwe zviitiko - mukati. Kunwa yakawanda kunogona kutungamirira kuukama ovhadhozi. Kushandiswa zvimwe zvinodhaka kuchinja kubudirira glycoside:

• barbiturates zvazviri ipfupi;
• ne "reserpine", sympathomimetics uye antidepressants zvinogona kukonzera kukura cardiac arrhythmias;
• womuchato tetracyclines, "chloramphenicol", "Amiodarone" uye "captopril" kunosimbisa cardiac matanho;
• magnesium sulfate kunoita mwoyo atrioventricular nechigumbuso.

adrenergic zvinodhaka

Neglikozidnye cardiotonic yomuchipatara kuva pfupi-rokuti chiito. Boka rinoshandiswa rikwanise nzira mwoyo kukundikana kutsigira inokosha mashandiro muviri.

"Izadrin" riri rinodhaka adrenergic midziyo, principales uye mwoyo. The mushonga une hypotensive Chaizvoizvo, inowedzera contractile mano pomwoyo. Yaishandiswa cardiac contractility unopinza kuderera anodawo mabasa, uyewo cardiogenic kuvhunduka. Reviews vanachiremba kuyambira kuti isiri kushanda kana zvakawandisa mishonga inogona kukonzera ventricular fibrillation mwoyo.

"Dobutamine" - cardiotonic neglikozidnye yakarongeka, kunobatsira pamusoro pomwoyo uye coronary ropa normalizing. Nengozi arrhythmias paaishandisa chokushandisa ichi rakanyatsojeka yakaderera, nokuti "Dobutamine" rine anongoda hapana zvazvinoita cardiac automaticity.

Basa dzikurukure contractility pamusoro myocardium panguva nokukurumidza zvakakodzera. Mune zvimwe zviitiko, zvingava kukonzera kukura nemishonga:

• svoto;
• kurwadziwa nemusoro;
• neBP;
• tachycardia;
• marwadzo seri breastbone.

"Dopamine" riri catecholamine anotokonya adrenergic receptors. The mushonga anosimudza BP, anowedzera ropa riyerere coronary. It zvinoratidzwa kuti rikwanise myocardial kukundikana, kuvhunduka. Kungwarira inofanira kushandiswa myocardial infarction, pamuviri, thyroid chirwere, arrhythmias.

Adrenergic chakaita zvokugadzirwa cardiotonic

It rinoshandiswa kana chakasimba coronary insufficiency, cardiac zvivako. Drugs kuita pamusoro contractility mwoyo tsandanyama, kuwedzera izvozvo. Kungamutsawo pokumuka arrhythmias uye BP, zvirwere zviri itsvo.

zvinodhaka Cardiac muboka iri hazvigoni kushandiswa nomoyo kuremara, uyewo cardiomyopathy, cardiac mutinhimira nenyonganiso, kutsemuka aneurysm, itsvo kukundikana, chemwoyo uye panguva rokubereka vana.

Rinoreva "Amrinon" rinoshandiswa chete ari ICU, waichengetwa murwere kutongwa dzinokosha mano, zvichikurukura ayo mamiriro. Kuwedzera kuwedzera pakugadzirira kwemwoyo anowedzera midziyo ropa, anowedzera ropa ejection panguva systole kunoderedza pulmonary kumanikidzwa.

Anogadzirwa sezvo kugadzirisa. Nokuti intravenous zvikuru rakasanganiswa mu vasiri yavaibvisa chloride mhinduro. Harifaniri kuvhenganiswa zvimwe zvinodhaka. Pakatanga zvichibvira unopinza kuderera kumanikidzwa, yakawedzera kwemwoyo, arrhythmia, nomusoro, gastrointestinal zvirwere.

"Milrinone" zvikuru kushingaira kupfuura mumiririri boka rokutanga, uye maererano wongororo nani akashivirira nevarwere. Contraindicated kushandiswa mishonga panguva pamuviri uye kukura myocardial infarction. Zvinosanganisira kugadzirirwa boka A. The kudiwa mari akatsunga kungotaurwa nachiremba wako.

mhedziso

Cardiac akaratidza kubudirira rimwe marudzi shoma apfuura. Reviews zvinoratidza kuti boka iri zvinodhaka kubatsira kukunda mwoyo nokukundikana. Zvisinei, mishonga iyi vari yokuzviranga kurapwa ndekwokuda contraindicated nokuda zvichibvira yematambudziko, nemishonga kana zvikashandiswa zvakapfurikidza. Pakusarudza chinodhaka, uyewo dose kugamuchirwa cardiologist rikasarudza mu kurapwa nyaya mumwe nomumwe.