Cardiac: i ka loiloi 'ana o lapaʻauʻia, a me ka laulā o ka pane

Cardiotonic konohiki i ai 'e hoomahuahua i ka ha awina o ka hana ana o ka naau Muscle, kona contractile hiki, a hoʻohana' ia i loko o ka iapaau ana o ka naau ole. Ka hui ka loaʻa o ka nui nui o ka ai 'me ka okoa hana' ona i loko o ka haku mele 'ana, a he okoaʻano papa hana o ka hana. Cardiotonic hoʻohana no ka lapaau ana i huʻi a me ka maʻi ano o ka naʻau ole.

Cardiac: ka Mea Maluna

Ka huina kanawai o pau ai 'i loko o ka pae, ma muli o ka hiki, e hoʻonui i ka ikaika o myocardial contraction, ma laila mahuahua cardiac auaiaea a me ke koko hahau ka leo. Cardiotonic konohiki emi ka diastolic ka leo, pulmonary a me systemic venous ka puʻuwai, a me ka puʻe i ka hoopiha ana i na ventricles.

1. Cardiac glycosides - "Strofantin", "Korglikon", "Digoxin".
2. Adrenergic ai '- "Izadrin", "Dobutamine", "Dopamine".
3. Adrenergic kemikala ai '- "Amrinon", "Milrinone".

Koho hoʻohana ai 'pili me ka oolea o ke ahonui i ka ana a me ke ano o ka maʻi papa.

cardiac glycosides

Na Group ua poe ma ka mea o kaʻai a me kemikala kumu. Mea haʻilula keimikala nānā 'ana i waiwai loko mai kanu digitalis, goritsveta, līlia luawai, oleander, strophanthus listen'ōlelo.

Ka lōʻihi like 'ole o ka pākōlea hana, hoʻomāhuahua kanawai i loko o ke kino, a me ka neurotoxicity ai' i loa kalele iho ma luna o kā lākou hana, e hana pono a pau o ia me ka wai koko nā polokina. Ka ikaika e like me ka pili ana, ka mea i oi aku i ka ka hoʻokōʻana o ka glycoside. Cardiac keia hui i kekahi hana ma muli o ka kēia maomeka:

• hua'ōleloʻo systole ia lŘlŘ ka poʻe a me kona waiwai;
• koena wā o ka naau Muscle, ua kikoo;
• ua hoʻemi naau kōmi;
• myocardial Muscle hoʻokāʻoi hiki i ka excitation;
• Inā overdose ua ulu ventricular fibrillation.

"Digoxin"

Ka lāʻau 'Ua synthesized mai o ka lau o digitalis. Ua pili ia i ka loa-hana glycosides,ʻaʻole haawi hoʻoponoponoʻaoʻao ole. Ua Ua hoʻohana 'ia no ka luna' lapaʻau o ka maʻi naʻau 'ole a me ka arrhythmia tachysystolic.

Available me na papa, a injectable pāʻoihana. Ka mahele lāʻau E e wae akahele no kēlā me kēia ahonui pākahi. Ma ka hihia o nā cardiac glycosides mua "Digoxin" laʻau heluna emi iho.

"Strofantin"

Cardiac glycoside mea he pōkole-ua hanaʻiʻo akula, hoʻohana 'ia ma ka hihia o ka huʻi ano o ka maʻi. "Strofantinom" mea i pono'ī nona, e loaa i loko o ke kino. Ka makaukau hoʻokāʻoi aʻe ana i ka papa contractile o ka myocardium, a māhuahua cardiac auaiaea. Ma ia laua, he mea ka ho'ēmiʻana i loko o ka nui o ka naau Muscle, a emi iho kona ka oxygen koi.

Lawelawe intravenously, intramuscularly, ma kekahi hihia - loko. Inu nui dala ke alakai i ka overdose. I ka hoʻohana 'ē aʻe o ka ai' hoololi i ka laulā o ka glycoside:

• ua hoemiia barbiturates ai;
• me ka "reserpine", sympathomimetics a me antidepressants hiki i ka hooulu ana o cardiac arrhythmias;
• ? eaia me tetracyclines, "chloramphenicol", "Amiodarone" a me ka "captopril" hoʻohuiʻana paha i ka cardiac hana;
• makanekiuma sulufahate paipai 'ia ka naʻau atrioventricular hihia.

adrenergic ai '

Neglikozidnye cardiotonic konohiki me ka pōkole-makahiki hana. Ka pūʻulu hoʻohana ma o ka huʻi papa o ka naau ka hoʻokō 'ole e kākoʻo i nāʻoihana nui o ke kino.

"Izadrin" He He stimulant adrenergic moku, bronchi a me ka naau. Ka lāʻau i ka hypotensive hookoia, maoli ka contractile hiki ana o ka naau Muscle. Hoʻohana 'ia i loko o cardiac contractility me kaʻoi emi ma ka pae'ōnaehana hana, e like me ka pono me ka cardiogenic kŰia. Reviews o kauka ao aku i ka hewa noi a me ka liki ole nā māhele hiki i ventricular fibrillation o ka naau.

"Dobutamine" - cardiotonic neglikozidnye 'ole, i ka noho haumāna kahi kanawai ma luna o ka naʻau a me ka Muscle coronary koko normalizing. Ka pilikia o nā arrhythmias ia ka hoʻohana 'ana i kēia mea paahana o loa haʻahaʻa, no ka mea, "Dobutamine" iʻaneʻane i kanawai ma cardiac automaticity.

Häʻawi mai ai iä ka hōʻoi 'i ka contractility o ka myocardium ma kokololio pono. Ma kekahi mau hihia, ka mea hiki i ka hooulu ana o kaʻaoʻao ole:

• nausea;
• headache;
• hypertension;
• tachycardia;
• eha ma ke kua o ka breastbone.

"Dopamine" He He catecholamine noho haumāna kahi adrenergic receptors. I ke k ke hoala mai ke koko, maoli he coronary koko pele. Ua Ua hōʻike no ka huʻi myocardial ole, kŰia. Mālama nui E e ia i loko o myocardial infarction, hāpai keiki, thyroid maʻi, arrhythmias.

Adrenergic kemikala cardiotonic

Ua Ua hoʻohana 'ia ma ka hihia o ka huʻi coronary insufficiency, cardiac iauaeoia. Ai 'hana ma ka contractility o ka naau Muscle, piʻi aʻela ia. E hiki anei i kāhea i ke ana o arrhythmias a hakumakuma ke koko, kāna hana o ka hakuʻala.

Cardiac ai 'ma keia pae hiki ole ke hoʻohana' ia me ka naau mā, e like me cardiomyopathy, cardiac pāpana haunaele, aortic aneurysm, hakuʻala e hemahema, naau hoouka a me ka manawa o ka hanau keiki ana.

O ia hoʻi, "Amrinon" ua hoʻohana 'ia wale nō i loko o ka ICU, i mālama i ka hoʻomanawanui ma lalo o ka mana o kūikawā manaʻo, ka hōʻikeʻana kona moku'āina. Ma waho aʻeo ia e māhuahua naau i kela la hoomalolo Hoʻonui i ka pono o na moku koko, maoli he koko ejection i systole ho'ēmi i kā pulmonary puʻe.

Ua Ua hua mai la i ka pāʻoihana. No ka intravenous like nāu kekahi ma physiological paʻakai koloriside pāʻoihana. E ole e hui me ka 'ē aʻe ai'. Me ka hoʻokomo 'ia' o ka hiki pahikakiwi oi emi ka puʻe, mahuahua naau ana, arrhythmia, headache, gastrointestinal kāna hana.

"Milrinone" Ua oi hana ma mua o ka 'elele mua o ka pae, a e like me ka hōʻike manaʻo maikaʻi tolerated e hoʻomanawanui iki mai. Contraindicated ke ano o ka lapaʻauʻia i hāpai keiki, a me ka hooulu ana o myocardial infarction. Ua nā hoomakaukau o ka pae A. ka pono no ka haawina ua nānā 'wale n? E kou kauka.

ka hopena

Cardiac hoao i ka laulā o kekahi mau hanauna aku nei. Reviews hōʻike i kēia pae o ka ai ', e kōkua Makuakane me ka naʻau ole. Eia naʻe, lawe mau laau lapaau i loko o ka palapala o ka hoʻoponopono-lapaʻau mea pololei contraindicated no ka hiki complications,ʻaoʻao waiwai, aole hoi overdose. Ke koho ana o ka lāʻau ', e like me ka mahele lāʻau loaa cardiologist hoʻoholo i loko o kēlā me kēia kanaka lapaʻau hihia.