Wadnaha: eegis lagu sameeyo daawooyinka, iyo wax ku oolnimada jawaabaha

wakiilada Cardiotonic jira daawooyin in la kordhiyo waxqabadka shaqada ee muruqa wadnaha, awoodda contractile iyo loo isticmaalo daaweynta wadnaha oo shaqadiisa gaba. Kooxda ayaa ka mid ah xaddi weyn daroogooyinka la maaddooyin kala duwan firfircoon ka kooban oo farsamo oo kala duwan oo talaabo. Cardiotonic loo isticmaalo daweynta foomamka ba'an iyo chronic ee wadnaha oo shaqadiisa gaba.

Wadnaha: soocidda

saamaynta guud ee dhammaan daawooyinka ee kooxda, oo ku salaysan awood u leh inay ciidamo kordhin ah ee foosha myocardial, markaa si ay kordhaan wax soo saarka iyo stroke dhiigga wadnaha mugga. wakiilada Cardiotonic yareeyaan xaddiga diastolic, sambabada iyo cadaadiska arooriyaha systemic, iyo cadaadiska lagu guda jiro buuxinta ee intraventricular ah.

1. glycosides Wadnaha - "Strofantin", "Korglikon", "Digoxin".
2. daroogada Adrenergic - "Izadrin", "Dobutamine", "dopamine".
3. daroogada dardaro Adrenergic - "Amrinon", "Milrinone".

daawooyinka loo isticmaalo Xulashada xidhiidha darnaanta xaaladda bukaanka iyo foomka dabcan cudurka.

glycosides wadnaha

Group waxaa wakiil ka ah hab cuntada ama asal dardaro. Daawooyinka oo ku salaysan walxaha ka soo jeeda digitalis dhirta, goritsveta, guga u ekaayeen ubax, oleander, strophanthus et al.

Muddada tallaabo-daweynta, saamayn raasamaal ee jirka, iyo daawooyinka neurotoxicity gebi ahaanba ku tiirsan tahay awoodooda si ay u sameeyaan kaxeynayo la borotiinada plasma ah. The xiriir xoog noocan oo kale ah, ugu weyn ku oolnimada of glycoside ah. Wadnaha kooxdan leeyihiin ficil ku salaysan qaababka soo socda:

• yaraynta systole isku dhacaa ay faa'iido;
• Muddada intiisa kale ee muruqa wadnaha ayaa dheeraado;
• hoos u garaaca wadnaha,
• muruqa myocardial wanaajiyey awoodda ay u excitation;
• Haddii xad dhaafka ah waxaa soo koraya aamba ventricular.

"Digoxin"

daroogada uu ku dhexsameeysmo caleenta digitalis. Waxaa loola jeedaa in glycosides dheer-simaha, iyagoo aan saameyn khatar ah. Waxa loo isticmaalaa daaweynta adag oo loo wadnaha chronic iyo tachysystolic arrhythmia.

Available sida kiniinno iyo xal isku duro. Qiyaasta waa in si taxadir leh loo soo xulay bukaan kasto shakhsi ahaan. In the case of glycosides kale wadnaha ka hor "Digoxin" hoos u qiyaasta.

"Strofantin"

glycoside Wadnaha waa a-simaha gaaban, loo isticmaalo in ay dhacdo in foomamka ba'an cudurka. "Strofantinom" ma aha hanti ku hamineysay in ee jirka ku jira. diyaarinta wanaajisaa shaqada contractile ee myocardium ah iyo in la kordhiyo wax soo saarka wadnaha. In isku midka ah, waxaa jira hoos u dhac ku size ee muruqa wadnaha iyo hoos baahida ay oxygen.

Maamula intravenously, intramuscularly, mararka qaarkood - gudaha. Cabida cabitaan fara badan waxay keeni kartaa in badinta. Isticmaalka daroogada kale bedeli waxtarka glycoside ah:

• saamayn barbiturates waa la dhimay,
• la "reserpine", sympathomimetics iyo murugada waxay keeni kartaa horumarinta garaaca wadnaha,
• soo dhoweynta la tetracycline'nada, "chloramphenicol", "Amiodarone" iyo "captopril" xoojineysaa tallaabada wadnaha;
• magnesium sulfate kor u block wadnaha atrioventricular.

daroogada adrenergic

Neglikozidnye wakiilada cardiotonic isagoo talaabo muddo gaaban ah. Kooxda ayaa loo isticmaalaa in koorsada ba'an ee wadnaha si ay u taageeraan hawlaha muhiimka ah ee jidhka.

"Izadrin" waa wax kiciya weelashii adrenergic, hawomareenno iyo wadnaha. daroogada ayaa wax ku ool hypotensive, kordhiyaa awood contractile muruqyada wadnaha ah. Waxaa loo adeegsaday in contractility wadnaha la hoos u dhac af hawlaha qalliinka, iyo sidoo kale in si lama filaan ah cardiogenic. Reviews dhakhaatiir ka digay in codsiga qaldan ama qaadasho xad-dhaaf ah waxay keeni kartaa aamba ventricular waxyaalaha qalbiga ku jira.

"Dobutamine" - dhismeedka neglikozidnye cardiotonic, waxay leedahay saamayn kobcinaya on muruqa wadnaha iyo dhiig caadi wadnaha. Halista baarutaan marka la isticmaalayo qalab this waa aad u hooseeya, maxaa yeelay, "Dobutamine" ayaa gebi ahaanba saameyn ah kuma laha automaticity wadnaha.

Loo xilsaaray si kor loogu qaado contractility ee myocardium lagu jiro degdeg ah loo baahdo. Xaaladaha qaarkood, waxay taasi keeni kartaa horumarinta waxyeellooyin:

• lalabo,
• madax-xanuun,
• hypertension,
• tachycardia;
• xanuun ka dambeeya naaska ah.

"Dopamine" waa catecholamine kobcinaya receptors adrenergic. Daawada kicisaa cadaadiska dhiigga, waxay kordhisaa socodka dhiigga wadnaha. Waxaa la tilmaamay for failure myocardial ba'an, si lama filaan ah. Digniin waa in la isticmaalaa in Wadnaxanuun myocardial, uurka, cudurka thyroid, garaaca.

cardiotonic dardaro Adrenergic

Waxaa loo isticmaalaa in ay dhacdo kaafi wadnaha ba'an, goobaha wadnaha. Daroogooyinka dhaqmaan on contractility ee muruqa wadnaha, waxaa sii kordhaya. waxay keeni kartaa horumarinta garaaca iyo yareynta dhiig-karka, cudurada of kelyaha.

daroogada Wadnaha ee kooxdan ma loo isticmaali karaa cilladaha wadnaha, iyo sidoo kale cardiomyopathy, rabshooyin laxanka wadnaha, aneurysm aortic, kelyaha, wadne iyo inta lagu jiro dhalista ah.

Ka dhigan tahay "Amrinon" waxaa si gaar ah loo isticmaalo ee MMI, bukaanka lagu hayay gacanta aaladaha gaar ah, digayaan ay gobolka. Waxa intaa dheer in kordhaya garaaca wadnaha diyaarinta ballaarinaya xididdada dhiigga, waxay kordhisaa ejection dhiig inta lagu guda jiro systole yaraynaysaa cadaadis pulmonary.

Waxaa la soo saaray sida xal. Waayo, xididka aad u walaaqo xal sodium chloride nafsaaniga ah. Waa in aan la qaso daawooyin kale. Iyadoo hordhaca ah ee hoos u suurto gal ah fiiqan ee cadaadiska, garaaca wadnaha oo kordhay, arrhythmia, madax-xanuun, xanuunada caloosha iyo mindhicirka.

"Milrinone" waa ka firfircoon ka badan wakiilka koowaad ee group-ka, iyo sida ay u eegid si fiican loo dulqaatay by bukaanka. Ahaan uu u isticmaalka daawada inta ay uurka leedahay iyo horumarinta Wadnaxanuun myocardial. Waxaa ka mid ah diyaarinta of group A. Baahida loo qabo lacag la go'aamiyo keliya by dhakhtarkaaga.

gunaanad

Wadnaha cadaato waxtarka iyo ab ka yar ka hor. Reviews muujinaya in kooxdan oo ah daroogada si leeysu wadnaha oo shaqadiisa gaba. Si kastaba ha ahaatee, qaadashada daawooyinka, kuwaas oo ah qaab is-daweynta waa adag ahaan uu u sababta oo ah dhibaatooyin ay suuragal tahay, waxyeelo ama badinta. Doorashada daroogada, iyo sidoo kale dose aqbaliddoodii wadnaha ay go'aamiso in kiis kasta oo caafimaad oo shakhsi ah.