Mankhwala a Mtima

Zamkati

• Beta-blockers
• Angiotensin otembenuza enzyme (ACE) zoletsa
• Othandizira ma antiplatelet
• Maantibayotiki
• Mankhwala a thrombolytic
• Lankhulani ndi dokotala wanu

Chidule

Mankhwala atha kukhala chida chothandiza pochiza infarction ya myocardial infarction, yomwe imadziwikanso kuti matenda amtima. Zitha kuthandizanso kupewa kuukira kwamtsogolo.

Mitundu yosiyanasiyana ya mankhwala imagwira ntchito m'njira zosiyanasiyana kuti akwaniritse izi. Mwachitsanzo, mankhwala a mtima angathandize:

• kutsika kuthamanga kwa magazi
• pewani kuundana m'mitsempha mwanu
• sungunulani kuundana ngati akupanga

Nawu mndandanda wamankhwala wamba omwe amayambitsa matenda a mtima, momwe amagwirira ntchito, chifukwa chomwe amagwiritsidwira ntchito, ndi zitsanzo za iliyonse.

Beta-blockers

Beta-blockers nthawi zambiri amawonedwa ngati chithandizo chamankhwala atadwala mtima. Beta-blockers ndi gulu la mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi, kupweteka pachifuwa, komanso mawonekedwe amtima wosazolowereka.

Mankhwalawa amaletsa zotsatira za adrenaline, zomwe zimapangitsa kuti mtima wanu ugwire bwino ntchito. Pochepetsa kuthamanga ndi mphamvu ya kugunda kwa mtima wanu, mankhwalawa amathandizira kuchepetsa kuthamanga kwa magazi. Zotsatira zake, beta-blockers amachepetsa kupweteka pachifuwa ndikusintha magazi atadwala matenda amtima.

Zitsanzo zina za beta-blockers za anthu omwe adadwala mtima ndi awa:

• atenolol (Tenormin)
• chosema (Coreg)
• metoprolol (Toprol)

Angiotensin otembenuza enzyme (ACE) zoletsa

Angiotensin-converting enzyme (ACE) inhibitors amathandizanso kuthamanga kwa magazi ndi zina, monga kulephera kwa mtima ndi vuto la mtima. Amalepheretsa, kapena kulepheretsa, kupanga michere yomwe imapangitsa kuti ziwiya zanu zizikhala zochepa. Izi zitha kuthandiza kupititsa patsogolo magazi anu mwa kupumula ndikukulitsa mitsempha yanu.

Kupititsa patsogolo magazi kumathandizira kuchepetsa mavuto amtima komanso kuwonongeka kowopsa pambuyo povutika ndi mtima. ACE inhibitors atha kuthandizanso kusintha kusintha kwamtima pamtima chifukwa cha kuthamanga kwa magazi kwakanthawi. Izi zitha kuthandiza mtima wanu kugwira ntchito bwino ngakhale mutakhala ndi minyewa yowonongeka yomwe imayambitsidwa ndi vuto la mtima.

Zitsanzo za ACE inhibitors ndi awa:

• benazepril (Lotensin)
• kapolo (Capoten)
• enalapril (Vasotec)
• zojambulazo (Monopril)
• lisinopril (Prinivil, Zestril)
• chiwonetsero (Univasc)
• perindopril (Aceon)
• quinapril (Zowonjezera)
• ramipril (Altace)
• trandolapril (Mavik)

Othandizira ma antiplatelet

Ma Antiplateletelet amateteza kutsekeka m'mitsempha yanu posunga magazi am'magazi kuti asalumikizane, zomwe nthawi zambiri zimakhala gawo loyamba pakupanga magazi.

Ma antiplatelet agents amagwiritsidwa ntchito ndi anthu omwe adadwala mtima ndipo ali pachiwopsezo chowonjezeranso magazi. Zitha kugwiritsidwanso ntchito kuthana ndi anthu omwe ali ndi zoopsa zingapo zodwala mtima.

Ena omwe angalembedwe ma antiplatelet amaphatikizapo anthu omwe adadwala mtima ndipo adagwiritsa ntchito mankhwala a thrombolytic kuti asungunuke magazi, komanso anthu omwe magazi awo amayenda abwezeretseka m'mitima mwa catheterization.

Aspirin ndi mankhwala odziwika bwino kwambiri. Kuphatikiza pa aspirin, othandizira ma antiplatelet ndi awa:

• clopidogrel (Plavix)
• prasugrel (Mphamvu)
• maphunziro (Brilinta)

Maantibayotiki

Mankhwala a Anticoagulant amachepetsa chiopsezo chotseguka mwa anthu omwe adadwala mtima. Mosiyana ndi ma antiplatelets, amagwira ntchito pokhudzana ndi kuchuluka kwa magazi komwe kumakhudzanso magazi.

Zitsanzo za anticoagulants ndizo:

• mankhwala
• nkhondo (Coumadin)

Mankhwala a thrombolytic

Mankhwala osokoneza bongo, omwe amatchedwanso "clot busters," amagwiritsidwa ntchito atangodwala matenda a mtima. Amagwiritsidwa ntchito ngati angioplasty sangathe kuchititsa kuti mitsempha yamagazi ifutukuke ndikusintha magazi kufikira pamtima.

Thrombolytic imaperekedwa mchipatala kudzera mu chubu cha intravenous (IV). Zimagwira ntchito posungunula zotsekera m'mitsempha ndikubwezeretsanso magazi mumtima mwanu. Ngati magazi sakubwerera mwakale pambuyo poti amalandira chithandizo choyamba, pamafunika chithandizo china chowonjezera chogwiritsa ntchito mankhwala osokoneza bongo kapena opaleshoni.

Zitsanzo za mankhwala a thrombolytic ndi awa:

• alteplase (Yoyambitsa)
• streptokinase (Mzere)

Lankhulani ndi dokotala wanu

Pali mitundu yambiri yamankhwala yomwe ingathandize kuthana ndi vuto la mtima komanso kuletsa kuti isadzachitikenso. Amagwira ntchito m'njira zosiyanasiyana kuti athandizire kuchepetsa zoopsa zanu ndikusintha magwiridwe antchito amtima wanu. Ngati mwadwala matenda a mtima, dokotala wanu azikulankhulani za mankhwala omwe angakuthandizeni kuti mubwezeretse komanso kupewa zina.