Mankhwala olephera mtima

Zamkati

• 1. Zoletsa za ECA
• 2. Angiotensin receptor blockers
• 3. Zodzikongoletsera
• 4. Cardiotonics
• 5. Oletsa Beta
• Momwe mungapangire chithandizo
• Zotsatira zoyipa

Chithandizo cha kulephera kwa mtima nthawi zambiri chimakhala kuphatikiza kwa mankhwala angapo, operekedwa ndi katswiri wa zamatenda, zomwe zimadalira zizindikilo ndi mbiri ya wodwalayo. Nthawi zambiri, mankhwala olephera mtima ayenera kutengedwa kwa moyo wonse kapena kwa nthawi yayitali yomwe adokotala akuwonetsa.

Zitsanzo zina za mankhwala omwe angalembedwe kuti athetse kulephera kwa mtima ndi awa:

1. Zoletsa za ECA

ACE inhibitors (angiotensin otembenuza ma enzyme) mankhwala amachepetsa kuchuluka kwa magazi omwe amayenda mumitsempha ndipo, chifukwa chake, amachepetsa kuthamanga kwa magazi ndi mavuto a kufooka kwa mtima, akagwirizanitsidwa ndi mankhwala a diuretic, kuwongolera ntchito yamtima ndikuchepetsa chiopsezo chogona kuchipatala ndi kufa.

Zitsanzo zina za ACE inhibitors zomwe zingagwiritsidwe ntchito kuthana ndi vuto la mtima ndi captopril, enalapril, ramipril, benazepril kapena lisinopril, mwachitsanzo.

2. Angiotensin receptor blockers

Angiotensin receptor blockers amathanso kugwiritsidwa ntchito pochiza kulephera kwa mtima, pomwe chithandizo ndi ACE inhibitors sichiwonedwa ngati chokwanira.

Zitsanzo za angiotensin receptor blockers ndi losartan, candesartan, telmisartan kapena valsartan, mwachitsanzo.

3. Zodzikongoletsera

Zodzikongoletsera zimathandizira impso kuthetsa madzi ochulukirapo, kuchepetsa kuchuluka kwa magazi, kuthamanga kwa magazi ndipo chifukwa chake kupanikizika komwe kumachitika pamtima komanso pakatundu wamtima.

Zitsanzo za diuretics ndi furosemide, hydrochlorothiazide, indapamide ndi spironolactone. Pezani zambiri za aliyense wa okodzetsawa.

4. Cardiotonics

Digoxin ndi mankhwala a cardiotonic, omwe amathandiza kuwonjezera mphamvu ya kupweteka kwa mtima ndikukhazikika kwa kugunda kwamtima kosazolowereka. Phunzirani momwe mungagwiritsire ntchito digoxin ndipo zotsatirapo zake ndizotani.

5. Oletsa Beta

Beta-blockers amagwira ntchito pochepetsa kuthamanga pamtima, kuchepetsa kugunda kwa mtima ndikuwonjezera mphamvu ya minofu yamtima.

Zitsanzo zina za beta-blockers omwe amagwiritsidwa ntchito pochiza mtima ndi metoprolol, bisoprolol kapena carvedilol.

Momwe mungapangire chithandizo

Kuti mupeze zotsatira zabwino, ndikofunikira kutsatira mankhwala omwe adokotala akuwuzani komanso kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi komanso kupewa kugwiritsa ntchito ndudu komanso kumwa zakumwa zoledzeretsa. Onani zabwino zolimbitsa thupi kuti mukulitse kulephera kwa mtima.

Onaninso vidiyo yotsatirayi kuti mudziwe momwe chakudya chingathandizire kuchepetsa zizindikilo za kulephera kwa mtima, pochepetsa kuyesetsa kwa mtima:

Zotsatira zoyipa

Mankhwala omwe amagwiritsidwa ntchito pochiza kulephera kwa mtima atha kuyambitsa zovuta zina, monga chizungulire, chifuwa, nseru, kutopa ndi kuchepa kwa magazi, kutengera mankhwala omwe akufunsidwa. Ngati zotsatirazi zimabweretsa mavuto ambiri, muyenera kukambirana ndi adotolo, koma sikulangizidwa kuti musiye chithandizo popanda chilolezo,