Gbasara obi: a nyochaa nke ọgwụ, na irè nke Ibọrọ

Cardiotonic mmadụ bụ ọgwụ ọjọọ na-amụba ọrụ na-arụ ọrụ nke obi muscle, ya contractile ike na-eji na ọgwụgwọ nke obi ọdịda. The otu na-agụnye a ịrịba ego nke ọgwụ ọjọọ dị iche iche na-arụ ọrụ bekee na ihe ndị mejupụtara na a dị iche iche usoro nke edinam. Cardiotonic eji maka ọgwụgwọ nke nnukwu na-adịghị ala ala iche-iche nke obi ọdịda.

Gbasara obi: nke nhazi ọkwa

Ngụkọta mmetụta nke ọgwụ nile na otu, nke dabeere na ike dịkwuo ike nke myocardial mkpi, si otú amụba gbasara obi mmepụta na ọbara ọrịa strok olu. Cardiotonic mmadụ belata diastolic olu, akpa ume na systemic venous mgbali, nsogbu n'oge ndochi nke ventricles.

1. Gbasara obi glycosides - "Strofantin", "Korglikon", "Digoxin".
2. Adrenergic ọgwụ - "Izadrin", "Dobutamine", "dopamine".
3. Adrenergic sịntetik ọgwụ - "Amrinon", "Milrinone".

Nhọrọ-eji ọgwụ ọjọọ eme ihe ndị a na-emesi nke ọrịa na-arịa na ụdị ọrịa N'ezie.

gbasara obi glycosides

The Group na-anọchi anya site na akwukwo nri ma ọ bụ bụghị. Formulations dabeere na bekee ewepụtara osisi digitalis, goritsveta, lily spring, oleander, strophanthus et al.

Na oge nke ọgwụgwọ ihe, ìgwè mmetụta ke idem, na neurotoxicity ọgwụ ndị kpamkpam dabere na ha nwere ike na-etolite okụre na plasma-edozi. The ike dị otú ahụ a na njikọ, nke ukwuu arụmọrụ nke glycoside. Gbasara obi otu a nwere ihe emereme dabeere na ndị na-esonụ usoro:

• shortening systole emee n'out oge na ya udori;
• ọzọ oge nke obi muscle na-lengthened;
• ebelata obi ọnụego;
• myocardial muscle enwekwukwa ike excitation;
• Ọ bụrụ na ovadozu na-emepe emepe ventricular fibrillation.

"Digoxin"

The ọgwụ na-synthesized si epupụta nke digitalis. Ọ na-ezo aka na-eme glycosides, ọ naghị enye oké mmetụta. Ọ na-eji maka mgbagwoju ọgwụgwọ nke ala ala obi odida na arrhythmia tachysystolic.

Dị ka mbadamba na injectable ngwọta. The dose a ga-ahọrọ nke ọma ka onye ọ bụla ndidi n'otu n'otu. N'ihe banyere ndị ọzọ gbasara obi glycosides n'ihu "Digoxin" onunu ogwu-ebelata.

"Strofantin"

Gbasara obi glycoside bụ a mkpụmkpụ-eme, na-eji bụrụ na nke nnukwu iche nke ọrịa. "Strofantinom" bụghị peculiar imubanye ke idem. The nkwadebe enhances contractile ọrụ nke myocardium na-amụba gbasara obi mmepụta. Ke ukem, e nwere Mbelata na size nke obi muscle na ibelata ya oxygen ina.

Ndinọ intravenously, intramuscularly, na ụfọdụ - n'ime. -Aṅụ nnukwu ichekwa nwere ike ime ka ihe ovadozu. The ojiji nke ọgwụ ọjọọ ndị ọzọ na-agbanwe ihe irè nke glycoside:

• barbiturates mmetụta na-ebelata;
• na "reserpine", sympathomimetics na antidepressants nwere ike ime ka mmepe nke gbasara obi arrhythmias;
• n'ikuku na tetracyclines, "chloramphenicol", "Amiodarone" na "captopril" meekwa ka gbasara obi ihe;
• magnesium sulfate akwalite obi atrioventricular ngọngọ.

adrenergic ọgwụ

Neglikozidnye cardiotonic mmadụ na-enwe a na-adịghị adịte edinam. The otu na-eji na nnukwu N'ezie obi odida na-akwado ndị dị mkpa ọrụ nke ahu.

"Izadrin" bụ a stimulant adrenergic arịa, bronchi na n'obi. The ọgwụ nwere a hypotensive mmetụta, enwekwu contractile ike nke obi muscle. Ji gbasara obi contractility na a nkọ ọnụ ke ọrụ na-eme, nakwa dị ka na cardiogenic ujo. Nyocha nke dọkịta aka ná ntị na-ezighị ezi ngwa ma ọ bụ ngafe doses nwere ike ime ka ventricular fibrillation nke obi.

"Dobutamine" - cardiotonic neglikozidnye Ọdịdị, nwere a na-akpali akpali utịp ke obi muscle na akwara ọbara normalizing. Ihe ize ndụ nke arrhythmias mgbe eji ngwá ọrụ a bụ nnọọ ala, n'ihi na "Dobutamine" nwere ọ nweghị mmetụta gbasara obi automaticity.

E Kenyere aka contractility nke myocardium n'oge ngwa ngwa dị mkpa. Mgbe ụfọdụ, o nwere ike ime ka mmepe nke mmetụta:

• ọgbụgbọ;
• isi ọwụwa;
• ọbara mgbali;
• tachycardia;
• mgbu n'azụ breastbone.

"Dopamine" bụ a catecholamine akpali akpali adrenergic anabata. The ọgwụ eweta ọbara mgbali, enwekwu akwara ọbara. Ọ na-owụt maka nnukwu myocardial ọdịda, ujo. Ịkpachara anya ga-eji na myocardial infarction, afọ ime, thyroid ọrịa, arrhythmias.

Adrenergic sịntetik cardiotonic

Ọ na-eji bụrụ na nke nnukwu akwara insufficiency, gbasara obi ụlọ ọrụ. Drugs eme na contractility nke obi muscle, ịba ụba ya. Nwere ike ịkpalite mmepe nke arrhythmias na ẹsụhọde ọbara mgbali, ọrịa nke akụrụ.

Gbasara obi ọgwụ ọjọọ na otu a na-apụghị ga-eji na obi ntụpọ, nakwa dị ka cardiomyopathy, gbasara obi n'afọ iri na ụma na-enwe nsogbu, aortic aneurysm, akụrụ odida, nkụchi obi na n'oge ịmụ nwa, nwa.

Pụtara "Amrinon" na-eji nanị na ICU, onye ọrịa ahụ, e debere n'okpuru nke pụrụ iche ngwaọrụ, egosi ya ala. Ke adianade na-amụba obi ọnụego nkwadebe kọwakwuru ọbara arịa, enwekwu ọbara ejection n'oge systole ebelata akpa ume nsogbu.

Ọ na-emepụta dị ka a ngwọta. Maka igba ogwu n'akwara nnọọ diluted na n'ahụ sodium chloride ngwọta. Ekwesịghị weere na ndị ọzọ ọgwụ ọjọọ. Na iwebata omume nkọ iju ke mgbali, mụbara obi ọnụego, arrhythmia, isi ọwụwa, eriri afọ ọrịa.

"Milrinone" bụ karị karịa nke mbụ nnọchiteanya nke otu, na dị ka reviews mma anabata ọrịa. Contraindicated na ojiji nke ọgwụ n'oge ime na mmepe nke myocardial infarction. Ọ na-agụnye preparations nke otu A. The mkpa ego na-ekpebisi ike nanị dọkịta gị.

ọgwụgwụ

Gbasara obi gosipụtara irè nke a ole na ole gara aga. Nyocha na-egosi na otu a ọgwụ ọjọọ eme ihe na-enyere aka ịnagide obi ọdịda. Otú ọ dị, na-ewere ọgwụ ndị a na ụdị nke onwe-ọgwụgwọ bụ nditịm contraindicated n'ihi na o kwere omume nsogbu, mmetụta ma ọ bụ ovadozu. Oke nke ọgwụ, nakwa dị ka dose ndibọbọ cardiologist ekpebi na onye ọ bụla na-adakarị ikpe.