Zvirwere zvepfungwa dzemwoyo uye maitiro epascular ndiyo yakawanda kwazvo yezvirwere zviripo. Zvishandiso zvakawanda zvakagadzirirwa kutarisana navo, pakati pemoyo iyo glycosides yemwoyo inokodzera kunyatsotariswa. Aya ndiwo mishonga yemishonga ine chisarudzo pamabasa emwoyo.
Cardiac glycoside - chii ichocho?
Ichi chikamu chiripo mumiti yakawanda. Icho chinonyanya kukosha kwezvinhu izvi chinangwa chekuwedzera kuwedzera kana kuora simba kwepfungwa yemwoyo nekukanganisa myocardium. Mukana wekushaya kukwana kwemuviri wemukati, madhiragi anowedzera rhythm yemavaroti, kuderedza kusvibiswa kwevhuni uye kuisa mutsauko weropa.
Cardiac glycosides inosanganisira zvinodhaka:
- Adonid;
- Korglikon;
- Dikogsin;
- -Cardiolen;
- -Herbion;
- Lantozide;
- Celanide.
Zviratidzo uye kupesana kwekushandiswa kwemwoyo glycosides
Izvi zvikamu zvinosanganiswa murapi yekurwisa zvirwere zvakadai:
- mwoyo kusakona (yakaoma uye isingaperi);
- myocardial dystrophy;
- kukanganisa kwemwoyo, kusanganisira kuberekwa;
- postinfarction cardiosclerosis;
- tachycardia.
Glycosides haisi kunyanya kushanda mumamiriro ekurwara, aortic insufficiency, myocarditis uye thyrotoxicosis.
Cardiac glycosides ine zvimwe zvinopesana. Usashandise muzviitiko zvinotevera:
- ne subaortic stenosis;
- atrioventricular kubviswa kwechipiri chechipiri;
- sinus bradycardia;
- muhupo hwekusawirirana kwezvikamu zvemishonga;
- pamwe neWolf-Parkinson chirwere;
- kutambura kubva kuhutachiwana hwemukondombera.
Zvinyorwa zvinopesana zvinosanganisira:
- hypertonic heart;
- amyloidosis yemwoyo musungo;
- cardiomyopathy;
- myocardial infarction muacute stage;
- anemia;
- pericarditis inovaka.
Vanaamai vanouya mune ramangwana uye vakadzi vanonyengera vanofanira kunyatsoshandisa glycosides, sezvavanonyatsopindira mumapapiro kusvika kumucheche uye vobuda nemukaka.
Overdose of cardiac glycosides
Pamberi, inosanganisira zvinhu izvi muchipatara, inofanira kuongororwa nechiremba. Mushure mezvose, kupindura kumishonga yemuviri wega wega kune mumwe munhu. Kunyora chepfui kwenguva yakati hazvizviratidzi. Zvisinei, mushure maawa mashomanana, zviratidzo zvekutanga zvinotanga kuonekwa:
- nausea;
- kurutsa;
- kugona;
- kushaya simba.
Kunyanya kudarika nguva yakaoma kunowedzera kuoma kuongororwa nekuda kwekukura kwekuita zvishoma nezvishoma uye kuonekwa kamwe kamwe kwezviratidzo zvishoma panguva imwe chete. Pano, kuwedzera kune zvinetso zvegumbo remimba, kushaya pfungwa, kukanganisa, zvinetso zvekuona, kusavhiringidzika, kuonekwa kwehutano hwemavara kunofanira kuonekwa.
Uyezve zvakakosha kuziva zviratidzo zvakadaro zvekudarika kwemwoyo we glycosides:
- kuputsa kwemaitiro eropa;
- atrioventricular blockades;
- kuderedza urin output;
- arrhythmia (ventricular, atrial);
- kuvhiringidzika kwekuziva;
- headache.
Kurapa kwemwoyo glycoside chepfu
Kana iwe ukawana zviratidzo zvekutanga zvekudhakwa, iwe unotofanira kumira pakarepo kunwa mishonga, shenesa dumbu rako uye unwe mazimbe. Uyewo yakashandiswa mashizha, akagadzirirwa pamusana pemunyu.
Murwere anonaya glucose (3 gramu neawa imwechete) kana potassium chloride (4 gramu 10% solution). Mune ramangwana, murwere anopiwa 1 gramu katatu pazuva.
Mune zvimwe zviitiko zvakakomba, kujowa kunorwadza kweLidocaine 100 ml uye kutungamira kwekutevera nekunyura.
Kuti udzivirire chepfu, iwe unofanira:
- Tevera mazano ose echiremba.
- Gadzira zvakakwana glycosides nemimwe mishonga yakatemwa.
- Chengetedza ECG (kunyanya kuonekwa kwemashythmias uye kuwedzera kwemukati wePQ).
- Tora potassium-rich foods (bhanana, apricots akaomeswa, mbatatisi mune yunifomu).