Just pamusoro zvinodhaka "Verapamil": mirayiridzo kushandiswa varwere

Sekondi kwemwoyo yedu anoshanda, kubatsira kutsungirira kushushikana, mumuviri uye mupfungwa pfungwa. It anozorora chete chikamu chechipiri. Hazvishamisi kuti mwoyo - mumwe wevaya mitumbi vanorwara pakutanga, kana nzira youpenyu iri kure wakakwana. Sekondi, izvozvo anorova, achizivisa zvokudya kune dzimwe nzvimbo dzomuviri zvose uye nhengo, uye achipa upenyu-gasi - oxygen. Asi dzimwe nguva pane nzara kwazvo, ichi anonzi ischemia. Muzviitiko zvakadaro, chiremba vanonyorera mushonga "Verapamil".

Mirayiridzo yokushandisa prescribes kushandisa mudziyo kudzivisa "okisijeni nenzara" womwoyo, kureva ischemia. The mushonga wacho nachiremba vaya vanotogara kutambura kubva kukwana ropa wedzerai mwoyo tsandanyama, uye zvinobatsira kuti mukana wokuti kurwiswa zvishoma. Zvinokosha kunwa mushonga "Verapamil" vaya vane tsika imwe ischemic ezvinhu ari achiperekedzwa palpitations uye extrasystoles.

Vanachiremba havana nguva dzose kuziva mashandiro kuita zvinodhaka "Verapamil". Kwenguva yakareba zvakanga vaidavira kuti anovanza pokudzora tsitsi NS mwoyo. Asi achangobva yakawana kuti huru mugumisiro zvinodhaka ndechokuti achinje zvechadenga pomwoyo pacharo, kana pane, anoita pamusoro Exchange calcium mumasero ayo. Zvisinei, kuti zvinodhaka "Verapamil" akaita, uye kuti akanga zvakakwana. Doctors zvechokwadi vaiva nechikonzero chokufunga pamusoro wayo zvainoita tsitsi NS, sezvo zvinokanganisawo muviri kuti adrenaline, achidzikisa aikanganiswa mwoyo. Asi hazvina kukosha, chikuru ndechokuti mwoyo une kuenda nzara nezvahwo Varwere kugamuchira mishonga "Verapamil".

Mirayiridzo dzokushandisa anotsanangura kuti midziyo zvinoreva mauto mwoyo ropa chokuwedzera, ropa kuyerera kunowedzera uye saka kashoma zvikanzwika mwoyo mamiriro chokusava okisijeni. Uyezve, pasi nemadhiragi zvikuru zvoupfumi mwoyo anoshandisa okisijeni, saka kana zvinhu zvinoshungurudza kwaari okisijeni kudiwa ipfupi kwazvo uye mwoyo hazvirevi kuva zvakaipa sezvo zvingava pasi zvikuru ischemia. Chokwadi, 100% vanonyevera mamiriro ezvinhu akaoma kuti mwoyo hakuna mushonga, asi achiri zvinodhaka "Verapamil" rinobvumira mwoyo Kashoma kuwira mamiriro ischemia.

Mukuwedzera, myocardium ipfupi zvishoma pasi nawo. Asi panguva imwe midziyo kunze mwoyo pasi pokudzora kurapwa dilate uye mwoyo une kushanda zvishoma, saka uwandu ropa vabudiswa mune rimwe kurova kwehana, haachinji yekudyidzana.

Chiizve nokuda kubatsirawo zvinodhaka "Verapamil"? Mirayiridzo dzokushandisa inoti kuti kunoderedza platelet aggregation, izvo zvinokosha chaizvo kudzivirira paumbwe ropa clots uye zvichiita nokuda myocardial infarction.

We ambotaurwa munyaya ino arrhythmia (extrasystole), kana zvinodhaka ichi chiri kubudirira "Verapamil"? Mirayiridzo yokushandisa zvinoreva kudzidza vatsvakurudzi, achisimbisa kuti mushonga anobatsira pamwe arrhythmia. Uyezve, kunomutsa weti inotungamirwa, mauri kumanikidza kunoderedza. Asi panguva imwecheteyo zvinobatsira mumasero myocardium kuramba aripo potassium.

Zvakakosha kuti kunouya rutapudzo zvazviri pamusoro nguva, kusiyana nedzimwe dzakafanana nezvinodhaka. Kureva, pashure pemakore mashomanana kushandisa zvinodhaka "Verapamil" vachava sezvakangoita zvinobudirira sezvo pakutanga mishonga.

Mumwe anogona kutora zvinodhaka ichi panguva pamuviri, pakarepo mushure infarction, kana chirwere akaderedza kumanikidzwa uye panguva imwe chete chete Beta-blockers. Asi kazhinji anoziva mwoyo chiremba ose, saka unogona Musatya kuti uchava chinhu ngozi.

Pakati nemishonga - peripheral edema, kupatira, dzungu uye dzimwe nguva hachifadzi pasi kumanikidzwa. Zvisinei, kana kusina neutachiona, zvakanakira kugamuchirwa kunoreva yakajeka kupfuura minuses.