Dibicor yokhala ndi arrhasmia

Dibicor wa metabolic wothandizira amalembedwa kuti aperekenso njira zama metabolic mu ma cell owonongeka, minofu ndi ziwalo zamagulu, ndipo amagwiritsidwa ntchito pazovuta za matenda a mtima, matenda a shuga a digiri yoyamba kapena yachiwiri. Kudzilamulira kapena kusintha pawokha kwa mlingo womwe dokotalayo akulimbikitsidwa ndi adokotala sikuloledwa, ngakhale osakhala ndi zotsutsana zazikulu ndi zoyipa.

Zimayambitsa mtima arrhythmia ndi mankhwala ake wowerengeka azitsamba

Kwa zaka zambiri, kulimbana ndi matenda oopsa osagonjetseka?

Mkulu wa Sukulu: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiza matenda oopsa tsiku lililonse.

Arrhythmia ndimatenda amtima omwe amapezeka mwa odwala azaka zosiyanasiyana. Imapezeka ndipo imaberekanso. Nthawi zambiri, odwala ali ndi fibrillation ya atgency, koma pali mitundu ina: extrasystole, bradycardia, tachycardia ndi blockade ya minofu ya mtima.

Arrhythmia imayendera limodzi ndi kusintha kwa kugunda kwa mtima, komwe kumayambitsa kusokonekera muumoyo komanso kukula kwa zotupa zama organic. Masana onse, kusintha kwa munthu kumasintha, kuthamangira kutali ndi zochitika zolimbitsa thupi komanso kusakhazikika, ndikuchepetsa nthawi yopuma. Zinthu zovuta zomwe zimabwelera pafupipafupi zimayambitsa zisokonezo. Pa gawo loyambirira, mpaka kusintha kwawongolera kwatuluka, ndikotheka kuchitira arrhythmias ndi wowerengeka azitsamba. Muyenera kuyambitsa chithandizo chachikhalidwe pokhapokha mukaonana ndi dokotala. Kuchiza kwa arrhythmias kunyumba kumakuthandizani kuti muchotse zizindikiro za matendawa, muchepetse thanzi la wodwalayo ndikuchotsa zomwe zimayambitsa kugundana kwamtima.

Malangizo ogwiritsira ntchito Dibikora

Dibicor wa mankhwala ndi wa gulu la mankhwala omwe ali ndi mphamvu ya metabolic. Kulandila ndalama izi kumakhudza magwiridwe antchito a metabolic monga kayendedwe ka okosijeni ndi ntchito ya magazi, kukonza mphamvu moyenera komanso kusokonekera kwa maselo a ziwalo zosiyanasiyana. Pa nthawi ya chithandizo, minofu yolimba imabwezeretseka.

Pharmacodynamics ndi pharmacokinetics

Chofunikira chachikulu cha Dibikor - taurine - ndichopanga cha sodium wokhala ndi amino acid (cysteine, methionine, cysteamine). Kutenga mankhwalawa kumakhala ndi chitetezo chamadzimadzi, osmoregulatory pama cell owonongeka, amakhudza ma cell a phospholipid, amakhazikika pakusinthana kwa calcium ndi potaziyamu mu cell. Pa maphunziro azachipatala, momwe ma neurotransmitter inhibitory effect, okhudza kutulutsidwa kwa ma gamma-aminobutyric acid, prolactin, adrenaline, ndi mahomoni ena amapezeka.

Dibicor wa mankhwalawa amasintha kagayidwe kachakudya ka chiwindi, mtima, ziwalo zina. Ndi hepatoprotector - vuto la kuperewera kapena matenda ena a chiwindi, amachepetsa kuuma kwa cytolysis ndikuwonjezera kutuluka kwa magazi. Amachepetsa kupsinjika kwa m'mapapo komanso kuzungulira kwa magazi, chifukwa chake amagwiritsidwa ntchito pochotsa mtima kulephera. Imachepetsa kukakamiza kwa diastolic intracardiac, imasintha kukhudzika kwa minofu ya mtima. Amachepetsa kuthamanga kwa magazi kwa odwala omwe ali ndi matenda oopsa.

Ndi matenda a shuga, masiku 10 mpaka 14 atayamba kukhazikitsa, shuga ya magazi amachepa. Amachepetsa hyperlipidemia ndi hypercholesterolemia. Ngati poizoni wokhudzana ndi mankhwala osokoneza bongo a mtima glycosides kapena calcium njira yolandirira blockers, amachepetsa kuopsa kwa mavuto komanso angatengedwe ngati mankhwala. Pogwiritsa ntchito nthawi yayitali (kuyambira miyezi isanu ndi umodzi kapena kupitirira apo), kusintha kwamkati wamagazi m'mimba mwa retina kumadziwika.

Amayamwa m'mimba.Ndi mlingo umodzi wa 500 mg wa Dibicor, taurine m'magazi amapezeka pambuyo pa mphindi 15-30. Mulingo wokulirapo wa ndende umachitika pambuyo pa maola awiri. The yogwira pophika mankhwala zimapukusidwa mu maselo onse a thupi la munthu, nthawi ya kuchotserera ndi maola 24 (zotulutsidwa ndi impso). Ndi ntchito yayitali, pang'onopang'ono imasonkhana mu minofu ndi ziwalo zochizira Mlingo.

Zisonyezero zamankhwala Dibikor

Dibicor wa mankhwala amakonzekera matenda ndi zikhalidwe zomwe zimafuna kuti ma cellular kagayidwe kachakudya. Zizindikiro zogwiritsidwa ntchito ndi:

• ntchito matenda a mtima - mtima kulephera zosiyanasiyana zamtundu,
• zovuta za matenda a shuga mellitus 1 ndi 2 digiri, kuphatikiza ndi cholesterol yokwera bwino,
• zotupa zam'mimba - zopweteka, kuvulala ndi kusinthika kwa ziphuphu za diso,
• kuledzera kwa thupi pambuyo poyizoni ndi mtima glycosides,
• kupewa chitukuko cha mankhwala a chiwindi ndi ntchito kwa nthawi yayitali
• mankhwalawa kunenepa
• kukondoweza kwa kupanga adrenaline ndi ma neurotransmitters ena.

Mlingo ndi makonzedwe

Mapiritsi a Dibicor amatengedwa pakamwa, mphindi 20-30 asanadye, kumwa madzi ambiri. Mlingo, Mlingo, nthawi ya maphunzirowo amasankhidwa payekha ndi dokotala, kutengera matendawa komanso kuchuluka kwa njira zomwe zimayambira. Ntchito regimens zolimbikitsidwa ndi malangizo a boma kuti agwiritse ntchito:

1. Kulephera kwa mtima - 250-500 mg, kawiri pa tsiku, kwa mwezi umodzi. Mlingo wa tsiku ndi tsiku ukhoza kukwera mpaka mapiritsi a 6-8 patsiku kapena kuchepa mpaka 1-2, molingana ndi mawonekedwe ndi malingaliro a dokotala.
2. Type 1 shuga mellitus - 500 mg kawiri pa tsiku, kuwonjezera pakukonzekera kwa insulin, njira yopitilira chithandizo, monga lamulo, ndikuchokera ku miyezi 4 mpaka 6.
3. Type 2 shuga mellitus - 500 mg kawiri pa tsiku, motsatana ndi mankhwala a hypoglycemic kapena gawo la monotherapy, nthawi ya maphunzirowa imakhala idalembedwa ndi adokotala.
4. Kuledzera kwa mtima glycoside - 750 mg patsiku lisanathe kuzimiririka.

Chithandizo cha makolo

Chithandizo cha arrhythmias mothandizidwa ndi mankhwala azikhalidwe ayenera kuchitika atakambirana ndi mtima. Nthawi zambiri amadzilangira okha kuti agwiritse ntchito njira zosachiritsika zochizira kuti thupi lizichira msanga, chifukwa kuphatikiza ndimankhwala, zithandizo zanyumba mwachangu ndikuthandizira kuchotsa mawonetseredwe onse a matendawa.

Kuchepa kwamadzi, ngakhale pang'ono, kumatha kukweza magazi m'magazi ndikupanga arrhasmia. Thandizo loyamba pakuwukira ndikumwa kapu yamadzi ozizira: amathandiza kuchepetsa nkhawa, nkhawa komanso chizungulire.

Kuti muchepetse arrhythmia nokha kunyumba, ndikuphatikizidwa ndi mantha ndi mtima wamtima, ndikofunikira kuti mudzitsuke. Ndondomeko, pamodzi ndi shawa yofunda, "imayambiranso" dongosolo lamanjenje, ndikumasinthasintha ntchito zake zomvera chisoni komanso zopweteka.

Chifukwa cha zopezeka zambiri zam'migodi, shuga wa bulauni amabwezeretsa bwino ma elekitrodiya (magnesium, potaziyamu, calcium ndi zinc), kuchepa kwake komwe kumasokoneza kugunda kwa mtima. Kuphatikizidwa kwazitsulo kumathandizira kuperewera kwa magazi, chomwe ndi chimodzi mwazomwe zimayambitsa arrhasmia. Pokhala chakudya chamagalimoto ovuta, zinthu zimapezeka mosavuta. Kuchuluka kwake ndi 30-50 g, yomwe ingasungunuke kapu yamadzi.

Kuperewera kwa magnesium kumakwiyitsa arrhasmia, popeza kutuluka kwa mpweya m'maselo kumasokonezeka. Maminolo amatsitsimutsa kayendedwe ka minofu ya m'magazi, amalimbikitsa kupanga mphamvu kuchokera ku ATP mu cardiomyocyte. Kutenga 150-250 mg katatu patsiku, mutha kuwonjezera ntchito zamtima. Zipatso ndi hawthorn kuchotsa zimakhala ndi zovuta mu matenda a mtima, koma zimagwira ntchito kawiri. Zinthu zimapangitsa kupumula kwamitsempha yama coronary ndikuchepetsa kupsinjika, ndiko kuti, kuthetseratu zizindikiro.Zotsatira zamphamvu zamphamvu komanso mphamvu zomwe zimapangitsa kuti kuukiridwako kusasinthidwe, thupi liyenera kulipirira. Chifukwa chakuti zipatsozo ndizoletsedwa mu bradycardia, arrhythmias, kuthamanga kwa magazi komanso kubereka. Kuthamanga kwamtima kwamphamvu, monga chizindikiro cha premenopause, kumakhazikika mothandizidwa ndi tincture wa hawthorn. Muyenera kuwonjezera madontho 20 kapu yamadzi katatu patsiku. Mphamvu ya mankhwalawa imadziwonekera mu sabata limodzi. Tincture sangathe kugwiritsidwa ntchito pochepetsedwa.

Chakumwa chochokera pa supuni ziwiri za hawthorn, rosehip, masamba a mamawort ndi tiyi wobiriwira kutsanulira kapu ya madzi owiritsa, kusiya kwa ola limodzi. Chida chimagwiritsidwa ntchito masana m'malo mwa masamba a tiyi okhazikika kuti azitha kuyendetsa bwino mtima ndi matenda oopsa a mtima ndi mitsempha ya mtima.

Kutola muzu wa valerian, masamba a wotchi ya masamba atatu ndi peppermint, supuni imodzi iliyonse, imathiridwa ndi kapu yamadzi otentha ndipo ola limodzi limalowetsedwa. Pambuyo kusefa, mankhwalawa amatengedwa supuni mphindi 30 musanadye katatu patsiku.

Makapu atatu a zipatso za viburnum amaphwanyidwa pogwiritsa ntchito blender ndikuthira ndi malita awiri a madzi otentha. Kusakaniza kumadzaza kwa maola asanu ndi limodzi, kumasefa ndi kuwonjezera kwa uchi wa 500 ml. Chochita chimasungidwa mufiriji ndipo chimagwiritsidwa ntchito gawo lachitatu lagalasi katatu patsiku kumapeto kwa milungu iwiri. Kuphatikizikaku kumagwira ntchito pamavuto amtima, monga zikuwonera ndi kuwunika kwa odwala.

A decoction of birch masamba (supuni pa chikho cha madzi otentha) amatengedwa theka la kutumikiridwa m'mawa ndi madzulo. Mutha kusakaniza 10 g ya mafuta a mandimu, wort wa St. Imwani kapu kotala tsiku lililonse.

Poleketsa kugunda kwa mtima, chida chogwiritsira ntchito mandimu ndi adyo chimagwiritsidwa ntchito. Ndikofunikira kudula zipatso khumi, kutsanulira madzi otentha, pakatha mphindi 10, kufinya msuzi ndi kusakaniza ndi madiya angapo adyo. Supuni ya uchi imawonjezeredwa ku chinthucho, ndipo kapangidwe kake kamakhala zaka khumi mufiriji, kumakhala kugwedezeka. Tengani yankho mu kuchuluka kwa masipuni anayi pamimba yopanda kanthu kuti muwonjezere mawu amanjenje ndi mitsempha yamagazi.

Kuchiritsa matenda atritis, ndikofunikira kupanga mizu ya valerian, mankhwala a mandimu ndi yarrow (zosakaniza zimatengedwa mu chiyerekezo cha 3: 3: 2). Zitsamba zodulidwa ndizosakaniza bwino, muziphatikiza supuni ziwiri za msanganizo ndikudzaza ndi kapu yamadzi osatentha. Kenako chipangizocho chiyenera kusiyidwa kwa maola atatu kuti chikuumirire, kenako nkuchiwiritsa ndikusefa. Tengani msuzi wokonzedwa m'magawo ang'onoang'ono tsiku lonse. Kusintha kwakukulu kwa thanzi kumachitika pambuyo pa masiku awiri ndi atatu. Zotsatira zowoneka bwino, ndikulimbikitsidwa kuchita maphunziro a masiku 7, nthawi iliyonse kukonzekera gawo latsopanolo.

Kuyanjana kwa mankhwala

Itha kuikidwa limodzi ndi mankhwala a magulu ena a pharmacological (othandizira a hypoglycemic, insulin). Mphamvu ya taurine pamayendedwe a metabolic imathandizira kugwira ntchito kwa mtima glycosides ndi calcium njira blockers, motero, ndi kufanana, tikulimbikitsidwa kuti muchepetse muyezo wa mankhwalawa.

Zotsatira zoyipa ndi bongo

Dibicor therapy imalekeredwa bwino ndi odwala, popanda kuwoneka ngati mavuto. Ndi chidwi chambiri kapena kusalolera kwa munthu aliyense pazigawo zikuluzikulu kapena zothandizapo, matupi awo sagwirizana ndi mawonekedwe a zotupa za pakhungu (urticaria) adawonedwa. Zikatero, zimathetsa kuchiritsa kapena kusankha antihistamine. Ndi matenda a shuga ndikumamwa mankhwalawa, hypoglycemia imayamba, ndikofunikira kusintha mlingo wa kukonzekera kwa insulin.

Contraindication

Mankhwalawa sanapatsidwe mankhwala osokoneza bongo kwa taurine kapena zigawo zina za mankhwala. Kulandila kumatsutsana ndi anthu ochepera zaka 18.Kugwiritsa ntchito pa nthawi yomwe muli ndi pakati komanso poyamwitsa sikulimbikitsidwa chifukwa chosakwanira chifukwa cha zovuta zomwe zimachitika pa mwana wosabadwayo ndi momwe mapangidwe ake.

Ma analogi a Dibikor

Ngati munthu wasokonezeka (mwachitsanzo, munthawi yonyansa pakhungu), adotolo amatha kusintha mankhwalawo pogwiritsa ntchito fanizo la taurine (Taurine Bufus kapena Taufon), kapena ndi mankhwala omwe ali ndi njira yofananira. Mankhwalawa akuphatikizapo:

• Flowerpot - mankhwala othandizira kagayidwe kachakudya ndikuwongolera kupezeka kwa mphamvu ya minofu, imayikidwa matenda a mtima, matenda a maso ndi kuwonongeka kwa retinal.
• Mexicoor ndi antihypoxic, neuroprotective, nootropic, anxiolytic ndi antioxidant wothandizila omwe amagwiritsidwa ntchito ku ischemia komanso mu gawo lowopsa la infaration ya myocardial.
• Metamax ndi angioprotector omwe amagwiritsidwa ntchito pochiza matenda a mtima ndi ziwiya zothandizira.
• Neocardyl - antianginal, antiarrhythmic, antioxidant, mtima, antiplatelet, antispasmodic, antihypoxic, neuroprotective, antiatherosclerotic.
• Preductal ndi mankhwala omwe ali ndi antihypoxic momwe amakonzera kagayidwe kazinthu zamagetsi.
• Tinthorn wa Hawthorn ndi mankhwala azitsamba okhala ndi mtima antispasmodic, amagwiritsidwa ntchito pochiza matenda a mtima.

Mtengo wa Dibikor

Mutha kugula mankhwalawo m'mafakitala kapena pazida zapadera pa intaneti, ndikutumiza kunyumba. Chithandizo chochokera kwa dokotala sichofunikira pa izi. Mtengo wamitundu yonse yamankhwala omwe amapezeka mumasitolo aku Moscow:

Anna, wa zaka 32. Potsatira lingaliro la mnzake, adatenga Dibicor kuti achepetse thupi pakudya, amamwa mapiritsi 2 patsiku kwa miyezi iwiri motsatana ndi chakudya chopanda chakudya. Zinakhala zosakwiya komanso zamanjenje, ndizotheka kutaya 7 kg. Sindinawone zotsatira zoyipa chifukwa chodwala, ndimamva bwino nthawi yonseyi.

Sergey, wazaka 42 ndinapezeka ndi matenda a shuga 1, Dibicor anali ngati gawo la chithandizo chokwanira. Ndimamwa piritsi la 500 mg kawiri patsiku, theka la ola musanadye. Shuga pafupifupi anabwerera mwakale sabata lachisanu ndi chimodzi la kudya. Chipangizochi sichotsika mtengo, adokotala akuti ngakhale mukukhalabe ndi mphamvu munthawi yotsatira, mutha kuyesa kuchepetsa kuchepetsa kukonzekera kwa insulin.

Marina, wazaka 46. Kulephera kwamtima wanga kunapezeka zaka 3 zapitazo. Dibikor adavomerezedwa posachedwa, adokotala adamulamula kuti atenge mapiritsi anayi patsiku, omwe adagawidwa pazidutswa zitatu. Zizindikiro zoyenda bwino zinayamba kuyenda, anayamba kukhazikika mtima, kamvekedwe kake ka mawu kanabweranso. Ndakhutira, ndimamwa maphunziro awiri kapena atatu pachaka.

Zimayambitsa arrhythmias mu shuga

Mkhalidwe wamisempha yamtima mu shuga umadziwika ndi kusintha kotere:

• Chifukwa cha kuchuluka kwa glucose m'misempha, minyewa ya gumbwa imapangidwa.

• Ndi kuchepa kwa insulin, myocardiocytes imasowa michere yopanga mphamvu.
• Mafuta ndi mapuloteni amagwiritsidwa ntchito ngati magetsi. Izi zimabweretsa kudzikundikira kwa matupi a ketone poizoni m'maselo.
• Progressive atherosulinosis imabweretsa kuchepa kwa magazi kudzera m'mitsempha yama coronary.
• Ndi odziyimira pawokha, kupindika kwamtima kumasokonezeka.

Zonsezi zimayambitsa kuphwanya kwa conduction komanso kusefukira kwa myocardium, kukula kwa mitundu yosiyanasiyana ya zosokoneza mwatsatanetsatane, komanso kuchepa kwa mphamvu ya contractions. Kuphatikiza apo, matenda a metabolism a mahomoni amachititsa kupatuka mu kapangidwe ka magazi, kowopsa kwambiri komwe ndikusowa kwa magnesium ndi potaziyamu.

Gulu la arrhythmias mu shuga

Kuti apange magetsi osokoneza mu myocardium pali maselo apadera a sinus node. Nthawi zambiri amakhala pacemaker. Mothandizidwa ndi kusintha kwa kagayidwe kachakudya mu matenda ashuga, mitundu yotsatirayi ya sinus arrhythmia imachitika:

• tachycardia - pafupipafupi koma mwatsatanetsatane,
• bradycardia - kugunda kwa mtima kosakwana 60 pamphindi,
• arrhythmia (mtundu wamwano) zoyambira,
• extrasystole (Kuchepetsa modabwitsa).

Pomwe gwero la mbadwo wa chizindikirocho lisintha, kuzimiririka ndi kupindika kwa atria kapena ma ventricles kumakula. Kuchepetsa kudutsa kwa zokhumudwitsa myocardium kumayambitsa mtundu wina wa blockade. Mu shuga mellitus, mitundu yophatikizira ya arrhythmias imatha kuchitika.

Zizindikiro zakulephera kwa mtima

Mitundu ina ya kusokonezeka kwa maonekedwe mwina singadzionetsere mwachipatala ndipo imapezeka mu ECG. Zizindikiro za arrhythmia zimatengera mtundu wake, kugunda kwa mtima wake, zomwe zimachitika pakubwera kwa magazi mkati mwa mtima, kuthamanga kwa magazi, thanzi la ubongo ndi impso. Zizindikiro zodziwika bwino ndi izi:

• zosokoneza ndikusweka kwa mtima (ndi extrasystole kapena sinus arrhythmia),
• kugunda kwamtima pafupipafupi ndi tachycardia,
• kukomoka, kufooka ndi chizungulire ndiye chizindikiro cha bradycardia kapena kulephera kwa sinus.

Kuukira (paroxysm) kwa flicker kapena tachycardia kumamveka ngati kuwonjezeka kwadzidzidzi kwa kugunda kwa mtima, komwe kumafika mpaka kumamenya 200 pamphindi. Ndi mawonekedwe a pafupipafupi a fibrillation ya atgency, sipangakhale chilichonse chosonyeza.

Chifukwa chiyani arrhasmia imachitika nthawi zambiri ndi mtundu 2 shuga

Type 2 shuga mellitus nthawi zambiri amakumana ndi maziko a kunenepa, ochepa matenda oopsa komanso kusintha kwa mitsempha ya mitsempha. Ngati pali shuga wambiri m'magazi, zovuta zonsezi zimapita patsogolo.

Chimodzi mwazinthu zomwe zimayambitsa njira zazikulu za dystrophic mu myocardium ndi kuchuluka kwa insulin. Uku ndikulingalira kopweteketsa mtima chifukwa cha kusazindikira kwamphamvu kwa minyewa imeneyi.

Insulin imabweretsa kuwonjezeka kwa mafuta m'thupi m'chiwindi, kuyika kwa mafuta mu minofu yaying'ono, kumalimbitsa magazi. Chifukwa chake, mwa odwala omwe ali ndi matenda a shuga a 2, makoma amitsempha yamagazi amawonongeka mwachangu, ndipo, chifukwa chake, kufalikira kwa magazi mu minofu ya mtima kumachepa, ndipo phokoso lakumasamba kwake limasokonekera.

Kodi chiwopsezo cha arrhythmias mu shuga ndi chiyani?

Mitundu ikuluikulu ya arrhasmia imatha kuyambitsa kuimitsidwa kwathunthu kwa magazi, kufalikira kwa mitsempha yam'magazi, kusokonezeka kwambiri kwa hemodynamic - pulmonary edema, komanso stroke komanso kugunda kwamtima.

Kusokonezeka kwamtundu uliwonse kungakhale koopsa pokhudzana ndi kukula kwa kusakhazikika kwa minyewa ya minofu - minyewa yamitsempha yama cell. Zizindikiro izi zikukula:

• kufooka koopsa
• chikumbumtima
• kuchotsa chikhodzodzo ndi matumbo,
• kuthamanga kwa magazi kumagwa
• kugunda kumatha kupezeka,
• kukokana kumayamba
• kupuma komanso kugunda kwa mtima kuyima
• kufa kwamankhwala kumachitika.

Chifukwa chake, odwala matenda ashuga akamatsuka, muyenera kuyeza shuga lanu la magazi mwachangu.

Kudziwitsa za kusakhazikika kwa mtima

Pofuna kudziwa chisokonezo cha phokoso, kafukufuku wa ECG amachitika, ndipo pakakhala nthawi yayitali kapena paroxysmal arrhythmias, kuwunikira tsiku lonse kukuwonetsedwa. Malinga ndi umboni, kafukufuku wama elekitiropiyuta amayatsidwa kudzera pakubweretsa ma elekitrodiyo mu mtima wamiyendo kapena esophagus. Nthawi yomweyo, zizindikiro zamagetsi zamkati ndi zakunja zimalembedwa nthawi yomweyo.

Kuyeserera kochita masewera olimbitsa thupi kuti mupeze mitundu yaposachedwa kukhala yamtunduwu ndi awa:

• squat
• akuyenda
• njinga yamanja kapena poyenda,
• makonzedwe a dipyridamole kapena ATP.

Cardiogram imawunikidwa kale komanso pambuyo pake. Izi zimakupatsani mwayi woweruza momwe mungasungire kuchuluka kwa myocardium ndikubwezera chifukwa chosokonezeka.

Mankhwala

Kutengera mtundu wa arrhythmia, magulu anayi a blockers atha kutumikiridwa:

• njira za sodium (procainamide, aminalin, lidocaine, etatsizin),
• zolandila beta (atenolol, metoprolol),
• njira za potaziyamu (Cordaron, Ornid),
• njira za calcium (Verapamil, Diltiazem).

Mankhwala a antiarrhythmic amagwiritsidwa ntchito pokhapokha kubwezeretsa kwa hyperglycemia kumatheka. Pankhaniyi, osati kuchuluka kwa shuga wamagazi, komanso cholesterol, triglycerides, kuchuluka kwa lipoprotein otsika kwambiri komanso okwera kwambiri, hemoglobin wa glycated ndi kuthamanga kwa magazi kumawunikiridwa.

Njira Zochitira Opaleshoni Yamtima

Ndi osakwanira mankhwalawa, njira zowonjezereka zingagwiritsidwe ntchito ngati pakusokonezeka kwakatundu kwambiri ndikuwopseza moyo wa odwala. Njira zotsatirazi zikugwira ntchito:

• kusunthidwa ndi kukoka kwa magetsi kudzera mmero.
• kukhazikika kwa gwero loyimbira (pacemaker) pamunsi pamtima,
• Cardio Converter kukhazikitsa paroxysmal tachycardia ndi fibrillation,
• kulumikizana kwina kwa myocardium komwe kuli gwero lonyansa la mafunde pogwiritsa ntchito mafunde a wailesi,
• opaleshoni yamtima yotseguka.

Kupewa kwa arrhythmias mu shuga

Njira yofunikira kwambiri yolepheretsa kukula kwa arrhythmias mu odwala matenda ashuga ndikusunga gawo loyenera la glycemia pafupi ndi chizolowezi cha thupi.

Kuti muchite izi, muyenera kutsatira zakudya mosasamala zopatsa mphamvu zamagetsi ndi mafuta ochokera ku nyama, kumwa mankhwala osankhidwa, komanso kuchita masewera olimbitsa thupi.

Ndikofunikira kusiyiratu kusuta, khofi, mphamvu, mowa, kuchepetsa zochuluka zomwe zimayenderana ndi kupsinjika kwa m'maganizo. Chithandizo cha Arrhythmia chikuyenera kuchitika kokha ndi katswiri woyang'aniridwa ndi ECG ndi diagnostics a labotale.

Kukula kwa arrhythmias mu shuga ndi chiwonetsero cha matenda ashuga a mtima, neuropathy ndi atherosranceotic zotupa za ziwiya za mtima. Njira yake ikhoza kukhala kuchokera pakusokonezeka kwa miyeso ya asymptomatic kupita kuopseza moyo. Mankhwala, kuchuluka kwa shuga m'magazi ndi kwamtundu wina, mankhwala othandizira agwiritsidwa ntchito, ndipo chithandizo cha opaleshoni chimagwiritsidwa ntchito ngati sichothandiza.

Kanema wothandiza

Popewa zovuta za matenda ashuga, onani vidiyo iyi:

Panangin wa mankhwala a arrhythmias amawonetsedwa onse ndi cholinga cha mankhwalawa komanso prophylaxis, kuphatikizapo atria fibrillation. Momwe mungamwe mankhwalawa, ndibwino liti kusankha Panangin forte for arrhythmia?

Zakudya zopangidwa bwino za arrhythmia, tachycardia kapena extrasystole zimathandizira kukonza mtima. Malamulo azakudya ali ndi malire komanso contraindication kwa abambo ndi amayi. Makina osankhidwa bwino omwe ali ndi fibrillation ya atrial, mutatenga Warfarin.

Ngati okwera mtengo amatenga mankhwala a arrhythmias, amamwa bwanji? Mapiritsi a atria fibrillation ali ndi contraindication, kotero muyenera kufunsa dokotala. Kodi malamulo ovomerezeka ndi ati?

Ngati arrhasmia imachitika usiku, m'mawa munthu amadzimva kuti wasweka, wagona tulo. Nthawi zambiri mwambiri, arrhythmia imathandizidwa ndi kusowa tulo, mantha. Chifukwa chiyani kugwidwa kumachitika kugona, kugona, Zifukwa zake ndi ziti? Chifukwa chiyani tachycardia akuukira, kumira m'mitima, palpitation mwadzidzidzi? Kodi chithandizo chake ndi chiyani?

Nthawi zina arrhythmia ndi bradycardia zimachitika nthawi imodzi. Kapena arrhythmia (kuphatikiza atraya fibrillation) motsutsana ndi kumbuyo kwa bradycardia, ndikamakonda. Ndi mankhwala ati komanso antiarrhythmics kumwa? Kodi chithandizo chikuyenda bwanji?

Nthawi yomweyo, matenda ashuga ndi angina pectoris amawopseza kwambiri thanzi. Kodi kuchitira angina pectoris ndi mtundu 2 shuga? Kodi ndi kusokonezeka kwa mtima wamitima komwe kumachitika?

Pafupifupi palibe amene wakwanitsa kupewa chitukuko cha matenda a shuga. Izi ziwiri pathologies zimagwirizana, chifukwa kuchuluka kwa shuga kumakhudza mitsempha ya magazi, zomwe zimapangitsa kuti pakhale kusintha kwa atherosulinosis ya m'munsi kwambiri mwa odwala. Chithandizo chimachitika ndi chakudya.

Kwa iwo omwe akukayikira kuti ali ndi vuto la kugunda kwa mtima, ndikofunikira kudziwa zomwe zimayambitsa ndi mawonekedwe a fibrillation ya atria. Chifukwa chiyani zimamera ndikukula mwa amuna ndi akazi? Kodi pali kusiyana kotani pakati pa paroxysmal ndi idiopathic atration fibrillation?

Arrhasmia imachitika pambuyo pa sitiroko pamaso pa mavuto a mtima, mapangidwe a atherosclerotic, ndi zina. Fibrillation ya Atgency imawonekeranso chifukwa chobwerera m'moyo wopanda thanzi.

Malangizo azabwino

Electrolyte bwino imasungidwa ndi dongosolo lamanjenje. Ngati sodium m'magazi itachepa, mkodzo wambiri umathiridwa impso, ndipo mchere ukachuluka, m'malo mwake, ludzu limawonekera.

Mtima wamtima ukatsitsimuka, pamakhala sodium yambiri ndi calcium kunja, ndi magnesium ndi potaziyamu mkati. Ndi depolarization, sodium ndi calcium ion kulowa mkati, ndi potaziyamu ndi magnesium - kunja. Ndi kudya calcium komwe kumapangitsa zida za cell zomwe zimayambitsa kupatsirana kwa myocardium. Ndi kuchuluka kwa calcium, mapampu a potaziyamu amayatsidwa, ndikulola maayoniwo kuti abwerere komwe amakhala ndikuyamba kupuma kwa khungu - kubwezeretsanso, komwe kumafunikira ma ions a magnesium.

Mulingo wathanzi wa magnesium ndi 1.4-2.5 meq / l m'magazi, ndi kukula kwake, nthawi yotsitsimutsa imawonjezeka, chisangalalo ndi kuchepa kwa kutsata. Chifukwa chake, magnesium sulfate imagwiritsidwa ntchito kuchulukitsa tachycardia kuti muchepetse chizindikiro kwakanthawi. Kuzungulira kwamphamvu mpaka 27 meq / l kumawonjezera nthawi yamkokomo kupita ku ma ventricles, kukulitsa PQ (R), yomwe imalowera atrioventricular blockade, kukulitsa kwa QRS zovuta, komanso kumangidwa kwa mtima. Kuchuluka kwa magnesium kumayambitsa supraventricular ndi michere yamitsempha yamagazi. Milingo yokwezeka yama micronutrient imasonyezanso kuchepa kwa madzi m'thupi, matenda a impso, matenda ashuga, hypothyroidism, ndi zotupa zoyipa.

Zakudya zamafuta ndi calcium muzakudya zimasokoneza mayamwidwe a magnesium. Nthawi zambiri, chomwe chimayambitsa kuperewera kumakhala kutsegula m'mimba kwa nthawi yayitali, kupsinjika, pamene chinthucho chimagwiritsidwa ntchito popereka zotupa. Magnesium amapezeka nthochi, nyemba, dzira, mazira.

Kashiamu yowonjezera imayang'anira atrioventricular blockade, fibrillation ya atria, sinus tachycardia yokhala ndi kuchuluka kwa 65%. Ngati mutabayidwa mchere wamkati m'mitsempha, kusangalala kwatsopano kumachulukanso. Sodium ndi wotsutsana naye, amachepetsa kuchuluka kwa calcium ayoni. Mulingowo umayendetsedwa ndi parahormone, chifukwa chowonjezera chomwe chimapangitsa kuti minyewa ikhale ndi hyperparathyroidism (kapangidwe ka chotupa) kapena mankhwala osokoneza bongo a vitamini D. Kusowa kwa calcium kumachepetsa mphamvu ya minyewa yamtima, imawonedwa ngati matumbo amaso, kuchepa kwa Vitamini D komanso kuchuluka kwa oxalic acid m'zakudya.

Kuyamwa calcium kumadalira zinthu zambiri:

• Mafuta ochulukirapo mu chakudya amabweretsa kuchotsedwa kwa mchere.
• Kuchuluka kwa magnesium kumasokonezeranso kuyamwa kwa calcium.
• Kuchuluka kwa phosphorous ndi njira yomwe imagwiritsidwa ntchito pakudya zamakono, zomwe zimapangitsa kuti mitsempha ipangidwe, mapangidwe a miyala ya impso. Strawberry ndi walnuts ndi chitsanzo cha kuphatikiza bwino kwambiri kwa zinthu ziwiri.
• Mowonjezera oxalic acid mumasamba obiriwira amatsogolera pakupanga mchere wopanda tanthauzo, womwe umavulaza impso.

Chifukwa magwero abwino a calcium ndi tchizi tchizi, anyezi wobiriwira, parsley, nyama yotsika.

Ndi potaziyamu akusowa, edema, kupweteka kwa minofu, kufooka ndi kusakhazikika motsutsana ndi maziko a arrhasmia. Ndi kuperewera kwakuthwa kwa ma ion mu myocardium (mwachitsanzo, ndi vuto la mtima), conduction imasokonekera, michere yamitsempha yam'mimba imayamba, kenako ndikufa. Thupi limalandira potaziyamu kuchokera ku zoumba zouma, ma apricots zouma, mbatata zamphika.

Kuperewera kwa potaziyamu mu zakudya sikumachitika kawirikawiri, koma kuchepa kwake kumawonetsedwa ndi kuchepa kwa kuthinana ndi kufooka. Zakudya za potaziyamu zimakuthandizani kuti muzikhala ndi nthawi yokwanira, koma pazolinga zake pamafunika kuyezetsa magazi kwa mchere.

Fibrillation ya Atrial: zomwe zimayambitsa, mitundu, udzu, Zizindikiro,

Atria fibrillation ndi amodzi mwa njira zosokoneza msana zomwe zimachitika chifukwa cha kugunda kwa mtima wa m'mitsempha yama sinus kapena minofu ya atgency, yodziwikiratu mawonekedwe a kusakhazikika, kufulumira komanso kwachisokonezo pokhudzana ndi mtima, komanso kuwonetsedwa ndi kugunda kwa mtima komanso kawirikawiri.

Mitundu ya atrion fibrillation, paroxysmal, kulimbikira

Mwamaganizidwe ambiri a atgency fibrillation, fibrillation (flicker) ndi flutter ya atgency ndizosiyanitsidwa. Mtundu woyamba, ma contract a atgency ndi "osaya-pansi", ndikumachitika pafupifupi 500 pamphindi, ndikupereka mofulumira kwamitsempha yam'mimba. Ndi mtundu wachiwiri wazovuta zapakhosi, pafupifupi 300-400 pamphindi, "mafunde-akulu", komanso zimapangitsa kuti ma ventricles akhale ndi mgwirizano nthawi zambiri. Onse oyamba komanso amtundu wachiwiri, ma contract a ventricular amatha kupitirira 200 pamphindi, koma ndi flutter ya atria, phokoso likhoza kukhala lokhazikika - uwu ndi dzina lotchedwa riziki, kapena mtundu woyenera wautende.

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuphatikiza apo, atrrophication wa atrial ndi flutter zimatha kuchitika nthawi imodzi wodwala m'modzi kwa nthawi yayitali, mwachitsanzo, ndi paroxysm ya flicker - atutelut. Nthawi zambiri, pakayimbidwe ka atomu, kuchuluka kwa mapangidwe amitsempha yamagazi kumatha kukhalabe kwakanthawi kokhazikika, kenako kuwunika kolondola kwamtima kumafunikira kuti munthu adziwe bwino.

Kuphatikiza pa kugawanika kwa atrivement kwam'mimba, molingana ndi njira ya matendawa, mitundu iyi ndi yosiyanitsidwa:

• Paroxysmal, yodziwika ndi kupezeka kwa kusokonezeka mu ntchito ya mtima ndikujambulidwa ndi ECG panthawi yoyamba ya maola 24-48 (mpaka masiku asanu ndi awiri), omwe amatha kuyimitsidwa pawokha kapena mothandizidwa ndi mankhwala,
• Osasunthika, amadziwika ndi kusokonezeka kwa mitsempha monga chotupa cha aternation kapena flutter kwa masiku opitilira asanu ndi awiri, koma amatha kubwezeretsa zokha kapena mankhwala
• Yaitali, yakhalapo kwa chaka chopitilira chaka chimodzi, koma okhoza kubwezeretsa chingwe kudzera pakubweretsa mankhwala kapena electrocardioversion (kubwezeretsa lingaliro la sinus pogwiritsa ntchito defibrillator),
• Chokhazikika - mawonekedwe omwe amadziwika ndi kusowa kwa kubwezeretsa mtundu wa sinus, womwe ulipo kwa zaka.

Kutengera ma pafupipafupi minyewa yamitsempha yamagazi, brady, Normo, ndi tachysystolic zosiyanasiyanazi za atria fibrillation zimasiyanitsidwa. Chifukwa chake, koyamba, pafupipafupi ma contractors amachepera 55-60 pamphindi, chachiwiri - 60-90 pamphindi ndipo lachitatu - 90 kapena kupitilira mphindi.

Ziwerengero

Malinga ndi kafukufuku yemwe wachitika ku Russia komanso kunja, fibrillation yoyeserera imapezeka mwa anthu 5% azaka zopitilira 60 ndipo mwa 10% ya anthu azaka zopitilira 80. Pa nthawi yomweyo, azimayi amakhala ndi vuto la atgency fibrillation 1.5 nthawi zambiri kuposa abambo. Kuopsa kwa arrhythmia ndikuti mwa odwala omwe ali ndi mitundu ya paroxysmal kapena okhazikika, mikwingwirima ndi zovuta zina za thromboembolic zimachitika kangapo ka 5.

Odwala omwe ali ndi vuto la mtima, fibrillation ya atgency imachitika zoposa 60% ya milandu yonse, komanso mwa odwala omwe ali ndi matenda a mtima - pafupifupi 10% milandu.

Chimachitika ndi chiyani ndi atrive fibrillation?

Kusintha kwa patathogenetic pamasokonezo amtunduwu ndi chifukwa chotsatira. Mu minyecardial yachilendo, chikoka chamagetsi chimasuntha mosadalira - kuchokera sinus ntera mbali ya mphambano ya atrioventricular. Ngati pali zopinga zilizonse zomwe zingayambitse kusokonekera (kutupa, necrosis, ndi zina), kusunthaku sikungathe kudutsa chopinga ichi ndipo amakakamizidwa kuti asunthire mbali inayo, ndikuyambitsanso zigawo za myocardial zomwe zangofika kumene.Chifukwa chake, malo opangira kufufuza zinthu kosalekeza amakhudzidwa.

Kukondoweza kosalekeza kwa madera ena a minyewa yotsogolera kumabweretsa kuti madera amatalikirana ndi zotsalira za myocardium, ndipo ulusi wake umachepetsedwa payekhapayekha, mosasamala komanso mosasamala.

Mtsogolomo, zikhumbo zimayendetsedwa kudzera mu gawo la atrioventricular, koma chifukwa cha mphamvu yaying'ono "yolumikizira", gawo lokhalo lazomwe limakumana ndi ma ventricles, omwe amayamba kugwira mayendedwe osiyanasiyana komanso mosagwirizana.

Kodi chimayambitsa kupukusa kwamaso ndi chiyani?

Mwambiri, nthawi zambiri michere imatha chifukwa cha kuwonongeka kwa organic ya myocardium. Matenda amtunduwu makamaka ali ndi vuto la mtima. Chifukwa cha stenosis kapena valavu yokwanira pakapita nthawi, wodwalayo amakhala ndi mtima - kusintha kwa kapangidwe kake ndi morphology ya myocardium. Cardiomyopathy imatsogolera ku chakuti gawo la minofu yabwinobwino mumtima limasinthidwa ndi ulusi wa hypertrophic (wokulungika), womwe umalephera kuchita zomwe zimapangitsa. Madera a minofu yokhala ndi hypertrophied ndi pathological foci ya pulsation mu atria ikafika pa stenosis komanso / kapena mitral ndi tricuspid valavu yakusakwanira.

Matendawo lotsatira, lomwe limakhala malo achiwiri pakuchitika kwachulukidwe ka fibrillation, ndimatenda amtima, kuphatikizapo pachimake ndikusunthira myocardial infarction. Njira yakukula kwa arrhythmia ndi ofanana ndi zolakwika, magawo a minofu yabwinobwino amasinthidwa osati ndi hypertrophic, koma ndi ulusi wa necrotic.

Chinanso chomwe chimapangitsa arrhythmias ndi mtima - kuchuluka kwa minofu yolumikizana (khungu) mmalo mwa maselo wamba. Matenda amtima amatha kupanga pakatha miyezi yochepa kapena zaka pambuyo pa kugwidwa ndi mtima kapena myocarditis (kusintha kwamatenda mu minyewa ya mtima ya viral kapena bacteria). Atrum fibrillation nthawi zambiri imapezeka mu pachimake nthawi ya myocardial infarction kapena pachimake myocarditis.

Mwa odwala ena, atrrophyosis ya cellular imachitika popanda kuwonongeka kwa organic kumtima chifukwa cha matenda a endocrine system. Choyambitsa chachikulu pamenepa ndi matenda a chithokomiro, omwe amaphatikizidwa ndi kutulutsidwa kwa mahomoni ake m'magazi. Matendawa amatchedwa hyperthyroidism, yomwe imachitika ndi nodular kapena autoimmune goiter. Kuphatikiza apo, kusinthasintha kosasintha kwa mahomoni a chithokomiro pamtima kumabweretsa mapangidwe a sitormonal cardiomyopathy, omwe pawokha angayambitse kuphwanya kwamphamvu mu atria.

Kuphatikiza pazifukwa zazikulu, zinthu zowopsa zitha kuzindikirika zomwe zimawonjezera mwayi wopanga atrroperment wa atrial. Izi zikuphatikizapo zaka zopitilira 50, chikazi chachikazi, kunenepa kwambiri, matenda oopsa, matenda a endocrine, kuphatikizapo matenda a shuga, mbiri yakale ya matenda a mtima.

Zomwe zimapangitsa kupezeka kwa paroxysm wa atrrillation ya atria mwa anthu omwe ali ndi mbiri ya arrhythmia ndi mikhalidwe yomwe imayambitsa kusintha mu kayendetsedwe kazinthu zokhudzana ndi mtima.

Mwachitsanzo, ndi mphamvu yakukula kwa mitsempha ya vagus (vagal, parasympathetic zotsatira), kuwukira koyamba kumatha kuyamba mutatha kudya kwambiri, thupi likatembenuka, usiku kapena nthawi yopuma masana, ndi zina zotero. amayamba chifukwa cha kupsinjika, mantha, kutengeka mtima kapena zolimbitsa thupi - ndiye kuti, mikhalidwe yonseyi yomwe imayendera limodzi ndi kubisala kwa adrenaline ndi norepinephrine m'magazi.

Zizindikiro za atrivement fibrillation

Zizindikiro za atrivement fibrillation zimasiyana mu wodwala aliyense.Komanso, mawonetseredwe azachipatala amatsimikiziridwa makamaka ndi mawonekedwe ndi mitundu ya atrivement fibrillation.

Mwachitsanzo, chipatala cha paroxysmal atration fibrillation ndi chowala komanso chowonekera. Wodwalayo, motsutsana ndi maziko a thanzi lathunthu kapena maulendo ang'onoang'ono (kufupika kwakumapeto poyenda, kupweteka mumtima), akukumana ndi zodzidzimutsa zosachedwa - kumva kowopsa kwa kugunda kwamtima, kumva kusowa kwa mpweya, kuukira kwa mpweya, kumva kukomoka pachifuwa ndi pakhosi, kulephera kupumira mkati kapena kunja. Potere, malinga ndi kufotokozera kwa odwala omwe, mtima wawo umanjenjemera ngati "mchira wa hare", wakonzeka kulumpha kuchokera pachifuwa, etc. Kuphatikiza pa chizindikiro chodziwika bwino ichi, odwala ena ali ndi mawonekedwe am'maso - thukuta kwambiri, kumva kunjenjemera kwamkati mthupi lonse, kufiira kapena khungu la nkhope, nseru, kumverera kwa kuwala. Chizindikiro chazovuta ichi mchilankhulidwe chosavuta chimatchedwa "kusweka" kwa phokoso.
Koma Zizindikiro zowopsa zomwe zimayenera kuchenjeza achibale komanso dokotala yemwe akuwunika wodwalayo ndi kulumpha kowopsa m'magazi kuthamanga (kupitirira ma 150 mmHg) kapena, mosiyana, kutsika kwakukulu kwa kuthinitsidwa (kosakwana 90 mmHg), popeza pali chiopsezo chachikulu cha kuthamanga stroko, ndi kuthamanga kwa magazi ndichizindikiro cha kulephera mtima kapena kukhumudwa.

Mawonetsedwe azachipatala amakhala owoneka bwino, omwe amapitilira kuchuluka kwa mtima. Ngakhale pali zosiyana pokhapokha ngati wodwala amalekerera pafupipafupi kwa 120-150 pamphindi kuposa kuchita mokwanira, ndipo, mosiyana, wodwala yemwe ali ndi vuto la bradysystolic amakumana ndi kulephera kwa mtima komanso chizungulire kuposa tanthauzo la Normo- ndi tachysystole.

Ndi mawonekedwe osasinthika, osasinthika a atria fibrillation kapena flutter, kugunda kwa mtima nthawi zambiri kumakhala 80-120 pamphindi. Odwala amakhala ndi chizolowezi chotere, ndipo samamva kusokonezedwa ndi ntchito ya mtima, kokha ndi kulimbitsa thupi. Koma apa, chifukwa cha kulephera kwa mtima kulephera, madandaulo a kufupika pakulimbitsa thupi amabwera, ndipo nthawi zambiri amakhala ndi zochita zapanja komanso popumira.

Zizindikiro

Algorithm yodziwitsa atrustic fibrillation imakhala ndi mfundo izi:

1. Kuyendera ndi kufunsa wodwalayo. Chifukwa chake, ngakhale mutakhala kuti mukusonkhanitsa madandaulo ndi anamnesis, ndizotheka kudziwa kuti wodwalayo ali ndi zosokoneza mtundu uliwonse. Kuwerengera zamkati mphindi imodzi ndi kuzindikira kusakhazikika kwake kungalimbikitse dokotala lingaliro la atrivement ya atental.
2. Kuzindikira kwa ECG ndi njira yosavuta, yotsika mtengo komanso yophunzitsira yotsimikizira atrrillation atria. Cardiogram imachitidwa kale pamene gulu la ambulansi limayitanidwa kapena nthawi yoyamba kulandira chithandizo kwa odwala omwe akusokoneza chipatala.

Zomwe zimapangitsa kuti michere ituluke:

• Kukhalapo kwa phokoso lomwe silili ndi sinus (silimapezeka m'maselo a sinus node), lomwe limawonekera chifukwa cha kusowa kwa mafunde a P kutsogolo kwa gawo lililonse lamitsempha,
• Kupezeka kwa phokoso losasinthika, lomwe limawonetsedwa mosiyanasiyana ndi ma R-R mosiyanitsa - gawo lina pakati pamaumbidwe owonetsa mawonekedwe amkati mwamitsempha,
• Kuthamanga kwa mtima kumatha kukhala kosiyanasiyana - kuyambira 40-50 mpaka 120-150 pamphindi kapena kupitirira,
• Maofesi a QRS (ma ventricular complexes) sanasinthidwe,
• Mafunde othamanga f kapena mafunde amtundu wa F amawonekera patali.

1. Pambuyo pa ECG, zisonyezo zakugonekedwa kuchipatala zimatsimikiziridwa (onani pansipa). Pakachitika chipatala, kuunikanso kwina kumachitika mu dipatimenti ya mtima, chithandizo kapena matenda; ngati akukana kulandira chipatala, wodwalayo amatumizidwa kukayang'aniridwa kuchipatala komwe amakhala.
2. Mwa njira zowonjezera zowunikira, zomwe zimafotokozedwa nthawi zambiri komanso zothandiza ndizoyang'anira ECG tsiku lililonse komanso kuthamanga kwa magazi. Njirayi imakulolani kuti mulembetse ngakhale maulendo ochepa a arrhythmia omwe "sanagwidwe" pamtima wamtima, komanso amathandizanso kuwunika momwe mankhwalawo alili.
3. Ultrasound yamtima, kapena echo-CS (echo-cardioscopy).Ndiwo "muyezo wagolide" pamaganizidwe owonetsa matenda a mtima, momwe amalola kuti azindikire
   kuphwanya kwakukulu kwa myocardial contractility, zovuta zake kapangidwe kake komanso kuwunika gawo lakumanzere kwamitsempha yamanzere, komwe ndiko kutsimikizira kofunikira kwambiri pakuwunika momwe mankhwalawo amathandizira kulephera kwa mtima ndi mawonekedwe apafupipafupi.
4. Transesophageal electrophysiological mayeso (PEFI) ndi njira yozikidwa pakukokomeza kwa myocardium komanso pakuyambitsa flicker, yomwe imatha kulembedwa pa ECG. Imachitika ndicholinga cholembetsa arrhythmia, yomwe imasokoneza wodwalayo ndi ma subjective sensations, koma sanalembedwe pa ECG (kuphatikizapo kugwiritsa ntchito kuwunika kwa Holter).
5. Pesi x-ray imagwiritsidwa ntchito kupima odwala omwe ali ndi mawonekedwe a paroxysmal (amaganiza kuti pulmonary embolism) komanso mawonekedwe osasintha (kuwunika kuwonongeka kwa mapapo m'mapapo chifukwa cha kulephera kwa mtima).
6. Kuyesa kwamagazi ndi a biochemical, kuwunika kwa kuchuluka kwa mahomoni a chithokomiro m'magazi, ma ultrasound a chithokomiro - amathandizira pakuwunika matenda a mtima.

Mwachidule, pakuwunikira kwa atrivement fibrillation, madandaulo apamtundu (kulephera kwa mtima, kupweteka pachifuwa, kukomoka), anamnesis (zinachitika mosakhalitsa kapena kupezeka kwa nthawi yayitali), komanso ECG yokhala ndi zizindikiro za atria fibrillation kapena atria fibrillation ndikwanira. Komabe, kuti mudziwe zomwe zimayambitsa kusokonezeka kwa mitsempha yotereyi kuyenera kungokhala pakuwunika wodwalayo moyenera.

Njira zamankhwala zochizira patrillation

Chithandizo cha paroxysmal komanso mitundu yokhazikika ya fibrillation ya atgency ndizosiyana. Cholinga chothandizira mu mawonekedwe oyamba ndikupereka chisamaliro chodzidzimutsa ndikuwongolera njira zamankhwala zolimbitsa thupi. Mu mawonekedwe achiwiri, choyambirira ndikusankhidwa kwa mankhwala othandizirana ndi kugwiritsa ntchito mankhwala mosalekeza. Fomu yokhazikika ikhoza kukhala yokhudza kubwezeretsa mimbwe yonse, ndipo, ngati zalephera, yotsatsira fomu yokhazikika kupita kwa okhazikika omwe amagwiritsa ntchito mankhwala ochepetsa mphamvu ya mafunde.

Chithandizo cha paroxysmal atria fibrillation

Mpumulo wa paroxysm wa flicker kapena flutter umachitika kale pa prehospital gawo - ndi ambulansi kapena kuchipatala.

Mwa mankhwala akuluakulu a matenda a arrhythmia, otsatirawa amagwiritsidwa ntchito:

• Kusakaniza kwa polarizing ndi yankho la potaziyamu mankhwala enaake 4% + shuga 5% 400 ml + 5U insulin. Odwala omwe ali ndi matenda a shuga, m'malo mwa kusakaniza kwa glucose-insulin, phys. yankho (sodium chloride 0,9%) 200 kapena 400 ml.
• Njira yothetsera panangin kapena 10 mg wa mtsempha wa magazi.
• Yankho la procainamide 10% 5 kapena 10 ml mu saline. Ndi chizolowezi cha hypotension (kuthamanga kwambiri) kuyenera kuperekedwa nthawi yomweyo ndi mesatone kuti muchepetse mankhwala osokoneza bongo, kugwa ndi kuwonongeka.
• Cordarone mu gawo la 5 mg / kg kulemera kwa thupi kumayendetsedwa pa 5% shuga pamitsempha pang'onopang'ono kapena kukapumira. Iyenera kugwiritsidwa ntchito podzipatula ku mankhwala ena a antiarrhythmic.
• Strofantin 0.025% 1 ml mu 10 ml ya saline kudzera m'mitsempha pang'onopang'ono kapena 200 ml ya mchere kudzera m'mitsempha. Itha kugwiritsidwa ntchito pokhapokha glycoside kuledzera (mankhwala osokoneza bongo a digoxin, corglycon, strophanthin, etc.).

Pambuyo pa kuperekera mankhwalawa, pakatha mphindi 20-30, wodwalayo amakhala ndi ECG ndipo, pakalibe mtundu wamankhwala osokoneza bongo, ayenera kupita ku dipatimenti yodwala odwala kuchipatala kuti athetse vuto lachipatala. Kubwezeretsa nyimboyo pamlingo wa dipatimenti yolandila sikumachitika, wodwala amagonekedwa kuchipatala, komwe chithandizo chimayambira.

Zisonyezo zakuchipatala:

1. Mtundu woyamba wa mawonekedwe a paroxysmal,
2. Paroxysm yayitali (kuyambira masiku atatu mpaka asanu ndi awiri), popeza pali kuthekera kwakukulu kokulirapo kwa zovuta za thromboembolic,
3. Paroxysm yomwe singatengedwe koyambira,
4. Paroxysm yokhala ndi zovuta (kugundika kwa mtima, pulmonary edema, pulmonary embolism, kugunda kwa mtima kapena sitiroko),
5. Kubwezeretsa kulephera kwa mtima ndi mawonekedwe osazungulira.

Chithandizo cha kupitiliza kwa fibrillation yoyeserera

Potengera mtundu wosasunthika wa flicker, adokotala ayenera kuyesetsa kuti abwezeretsenso mtundu wa sinus mothandizidwa ndi mankhwala komanso / kapena cardioversion. Izi ndichifukwa chokhala ndi lingaliro lobwezeretsanso la sinus, chiopsezo chokhala ndi zovuta za thromboembolic ndizotsika kwambiri kuposa mawonekedwe osalekeza, ndipo kulephera kwamtima kwakadali kumapitiriranso pang'ono. Pofuna kubwezeretsa bwino phokoso la sinus, wodwalayo ayenera kumwa mankhwala a antiarrhythmic, mwachitsanzo, amiodarone, cordarone kapena propafenone (propanorm, rhythmorm).

Chifukwa chake, malangizowo okhala ndi mawonekedwe osasunthika ali motere - wodwalayo amawonetsedwa mu polyclinic yokhala ndi fibrillation ya atgency yopitilira masiku opitilira 7, mwachitsanzo, atatuluka kuchipatala popanda kulephera kwa paroxysm komanso kusagwira bwino kwa mapiritsi omwe adatengedwa ndi wodwalayo. Ngati dokotalayo angaganize zoyesa kubwezeretsa chimbudzi, amatumizanso kuchipatala kuti akalandire chipatala kuti akabwezeretsere chipangizocho. Ngati wodwalayo ali ndi contraindication (kugunda kwa mtima ndi stroko, kuchuluka kwa magazi m'matumbo amtima malinga ndi zotsatira za echocardioscopy, hyperthyroidism yopanda vuto, kufooka kwamtima kosalekeza, mankhwala a arrhythmia kwa zaka zopitilira ziwiri), mawonekedwe omwe amapitilira amakhala osasinthika ndi omwe amagwiritsidwa ntchito ndi magulu ena a mankhwala.

Chithandizo cha kupitiliza kwa fibrillation yoyeserera

Mwanjira imeneyi, wodwalayo amapatsidwa mankhwala apiritsi omwe amachepetsa kugunda kwa mtima. Akuluakulu ndi gulu la beta-blockers ndi mtima glycosides, mwachitsanzo, concor 5 mg x 1 nthawi patsiku, coronal 5 mg x 1 nthawi patsiku, egilok 25 mg x 2 nthawi patsiku, betalok ZOK 25-50 mg x 1 nthawi patsiku ndi ena .. Mwa mtima glycosides, Digoxin 0.025 mg amagwiritsidwa ntchito, 1/2 piritsi x 2 kawiri pa tsiku - masiku 5, kupuma - masiku 2 (Sat, Sun).

! Kukhazikitsa anticoagulants ndi antiplatelet othandizira, mwachitsanzo, mtima wa mtima wa 100 mg nthawi ya nkhomaliro, kapena clopidogrel 75 mg nthawi ya nkhomaliro, kapena warfarin 2.5-5 mg x 1 nthawi patsiku (nthawi zonse amayang'aniridwa ndi INR - gawo la dongosolo la kuphatikizika kwa magazi, 2.0-2.5 nthawi zambiri amalimbikitsidwa). Mankhwalawa amalepheretsa kuchuluka kwa thrombosis komanso amachepetsa chiopsezo cha matenda a mtima ndi stroko.

Kulephera kwa mtima kosafunikira kuyenera kuthandizidwa ndi diuretics (indapamide 1.5 mg m'mawa, veroshpiron 25 mg m'mawa) ndi ma inhibitors a ACE (Prestarium 5 mg m'mawa, enalapril 5 mg x 2 kawiri patsiku, lisinopril 5 mg m'mawa), omwe amakhala ndi organoprotective pamitsempha yamagazi ndi mtima.

Kodi Cardioversion amawonetsedwa liti?

Cardioversion ndikubwezeretsa kuchuluka kwa mtima koyamba kwa wodwala yemwe ali ndi fibrillation ya atgency pogwiritsa ntchito mankhwala (onani pamwambapa) kapena mphamvu yamagetsi yomwe imadutsa pachifuwa ndikukhudza ntchito yamagetsi yamtima.

Cardioversion yamagetsi imachitika mwadzidzidzi kapena pokonzekera pogwiritsa ntchito defibrillator. Thandizo lamtunduwu liyenera kuperekedwa kokha kuchipinda chothandizira kwambiri opaleshoni.

Chizindikiro cha Cardioversion yodzidzimutsa ndi paroxysm ya atrivefil fibrillation ndi kutalika kwa masiku osaposera masiku awiri ndikusintha kwa arrhythmogenic.

Chizindikiro cha cardioversion yomwe inakonzekera - paroxysm ndi kutalika kwa masiku opitilira masiku awiri, osayimitsidwa pamankhwala, pakalibe kugundana kwa magazi mu mtima wamitsempha, wotsimikiziridwa ndi transesophageal ultrasound ya mtima. Zikachitika kuti magazi apezeka ndi mtima, wodwala amatenga warfarin pamiyezi ingapo, pomwe magaziwo amayamba kusungunuka nthawi zambiri, kenako, pambuyo pa kuyezetsa kwachiwiri kwa mtima osagwirizana ndi magazi, amatumizidwanso kuchipatala kuti athetse vuto la mtima.

Chifukwa chake, kukonzekereratu kwa mtima kumachitika makamaka ndi kufunsa kwa dokotala kuti abwezeretsenso mtundu wa sinus wokhala ndi mtundu wopitilira wa fibrillation wa atrial.

Mwaukadaulo, Cardioversion imachitika pogwiritsa ntchito ma defibrillator electrodes kukhoma la chifuwa chakutsogolo wodwalayo atapatsidwa mankhwala osokoneza bongo. Pambuyo pa izi, defibrillator amatulutsa kutulutsa, komwe kumakhudzanso phokoso la mtima. Mlingo wopambana ndi wapamwamba kwambiri ndipo amapanga zoposa 90% ya kubwezeretsa bwino kwa mtundu wa sinus. Komabe, cardioversion si yoyenera m'magulu onse odwala, nthawi zambiri (mwachitsanzo, mwa achikulire), MA ipanga msanga.

Kupsinjika kwa thromboembolic pambuyo pa cardioversion account pafupifupi 5% mwa odwala omwe sanatenge ma anticoagulants ndi antiplatelet agents, komanso pafupifupi 1% mwa odwala omwe amalandila mankhwalawa kuchokera kumayambiriro kwa arrhasmia.

Ngati chithandizo cha opaleshoni chikuwonetsedwa

Mankhwala othandizira opaleshoni yotsitsa atha kukhala ndi zolinga zingapo. Chifukwa chake, mwachitsanzo, ndi vuto la mtima monga chifukwa chachikulu cha arrhythmia, kukonza kwa opaleshoni ngati njira yodziyimira payokha pazambiri kumalepheretsa kubwereranso kwina kwa matenda atria.

M'matenda ena am'mtima, radiofrequency kapena laser kukondoweza mtima kumakhala koyenera pazochitika zotsatirazi:

• Kusakwanira kwa antiarrhythmic mankhwala okhala ndi ma paroxysms pafupipafupi a atrase fibrillation,
• Njira yokhazikika yolowerera yomwe ili patsogolo pang'onopang'ono, ndikulephera kwa mtima,
• Kusagwirizana ndi mankhwala antiarrhythmic.

Kubweza kwa radiyo kumakhala kuti madera a atria omwe akukhudzidwa ndi kuzungulira kwa mapangidwe amawululidwa ndi ma electrode okhala ndi sensor ya radio kumapeto. Ma elekitirodi amayikidwa mwa wodwala pansi pa opaleshoni yovomerezeka kudzera mu ziwiya zazimayi zomwe zimayang'aniridwa ndi X-ray TV. Opaleshoniyo ndi yotetezeka komanso yotsika mtengo, imatenga nthawi yochepa ndipo siyolimbikitsa wodwalayo. RFA ikhoza kuchitika pang'onopang'ono kuchokera ku Unduna wa Zaumoyo ku Russian Federation kapena ndalama za wodwala.

Kodi chithandizo chamankhwala azikhalidwe ndi chovomerezeka?

Odwala ena amatha kunyalanyaza malangizo omwe adokotala amapita ndipo amayamba kuthandizidwa pawokha, pogwiritsa ntchito njira zachikhalidwe zamankhwala. Monga chithandizo chodziyimira pawokha, kudya zitsamba ndi ma decoctions, kumene, sikulimbikitsidwa. Koma monga njira yothandizira, kuwonjezera pa chithandizo chachikulu cha mankhwala, wodwalayo amatha kutenga mankhwala kuchokera pamitengo yokhazika mtima pansi, yomwe imakhudzanso dongosolo lamanjenje ndi mtima. Mwachitsanzo, ma decoctions ndi infusions wa valerian, hawthorn, clover, chamomile, timbewu tonunkhira ndi ndimu amagwiritsidwa ntchito nthawi zambiri. Mulimonsemo, wodwalayo ayenera kudziwitsa adotolo za kumwa zitsamba zotere.

Wofuna kulandira chithandizo chonse cha matenda amtundu 1

Zomwe zili m'nkhaniyi sizingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Kumwa mankhwala aliwonse osalandira mankhwala a dotolo ndikoyipa kwa thanzi lanu.

Verapamil ndi wa gulu la mankhwala - calcium tubule blockers. Gulu la mankhwalawa linapangidwa kuti muchepetse kusweka mtima komanso minofu ya mtima, komanso lothandiza mu matenda oopsa, matenda amtima, komanso mtima.

Koma posachedwa, zapezeka kuti verapamil calcium chimbale blocker inhibits (ziletsa) kufotokoza kwa mapuloteni a TXNIP (omwe amayambitsa matenda a shuga mellitus) - chifukwa chomwe akuti amapha ma pancreatic β-cell komanso amachitira mtundu 1 wa shuga. Chifukwa chake, mankhwala adapezeka koyamba pomwe omwe angati amachiritsa matenda ashuga kwathunthu. Zotsatira zabwino kwambiri zidapezeka mu vitro komanso mbewa. Mu mbewa, zinali zotheka kuletsa kufa kwa maselo a β-komanso kusintha momwe amwalira.

Mayesero azachipatala mwa anthu adayamba kumayambiriro kwa chaka cha 2015. Uku ndi kafukufuku wakhungu womwe wakhudza anthu 52. Zotsatira zake zidzatulutsidwa kumayambiriro kwa chaka cha 2016.

Mlingo wofufuzidwa wa Verapamil wochizira matenda a shuga ndi 120-160 mg katatu patsiku.

Maulalo ofufuzira, zolemba ndi zokambirana:

Nkhaniyi idakondweretsa kwambiri odwala ambiri omwe adazindikira kuti ali ndi matenda amtundu woyamba 1 kotero kuti adayamba kumwa verapamil, osadikirira kutha kwa mayeso azachipatala. Ndipo akuti mtundu wawo wa C-peptide wayamba kukwera. Palibe amene amakayikira kuti verapamil amatenga matenda amtundu woyamba. Akatswiri akukhudzidwa ndi funso limodzi lokha - akhoza verapamil kugonjetseratu mtundu 1 wa matenda ashuga, kapena adzafunika kutengedwa moyo wonse.

Nkhani zabwino zambiri. Verapamil imalepheretsa kagayidwe kake kudzera pa cytochrome. Ndipo chifukwa chake, mlingo wake umatha kuchepetsedwa pakapita nthawi ndikukhala chimodzimodzi.

Koma funso ndi. Kodi Verapamil ndiyabwino kapena yoipa bwanji thupi lonse? Kupatula apo, timakhala ndi chidwi ndi zoletsa kukalamba. Kuti tichite izi, tiyeni tiwone mumayendedwe a nkhaniyi zotsatirapo zabwino ndi zoyipa za mankhwalawo ndikumaliza - kodi adawonetsa kwa ife kapena ayi.

Mochulukitsa zimawonjezera mwayi wochiritsa khansa

Verapamil ndi zoletsa zamphamvu za P-glycoprotein. Kodi izi zikutanthauza chiyani? P-GP (P-glycoprotein kapena mapuloteni ambiri okana) ndi mapuloteni omwe amapezeka mu nyama ndi bowa kuti ateteze ku zinthu zovulaza - kuphatikizapo mankhwala. Ndi protein iyi yomwe imalepheretsa mankhwala kuwonetsa mphamvu zawo zonse. Ndipo zinanso. Mitundu ina ya zotupa za khansa imachulukitsa mapuloteni a P-GP, motero zimapereka kukana kwa mankhwala. Ndipo ngati muchotsa chitetezo ichi, ndiye kuti mutha kuchepetsa kwambiri kuchuluka kwa mankhwala othandizira khansa, kukwaniritsa zomwezo. Ndipo izi ndizofunika kwambiri - chifukwa chocheperako chomwe timagwiritsa ntchito, zochepa zomwe timachita mthupi lathu ndi mankhwalawa.

Verapamil, yoletsa ntchito ya mapuloteni a P-GP, imachulukitsa modabwitsa kuchuluka kwa mankhwala aliwonse a chemotherapy (komanso mankhwala osokoneza bongo oyipa) ku ubongo. Ndipo izi zimawonjezera mwayi wopulumuka ndikuchira kwathunthu kwa mitundu yolimbana ndi zotupa za bongo zopweteka. Mwachitsanzo, ikhoza kuphatikizidwa ndi mankhwala ochizira glioblastoma (chotupa cha muubongo).

M'matumbo, mapuloteni a P-GP amawonetsedwanso mwamphamvu. Izi zimachepetsa kwambiri kuyamwa kwa mankhwala ambiri. Ndipo ma verapamil amatha kupititsa patsogolo kukhudzana kwawo.

Verapamil amateteza mwamphamvu ubongo kuti usakalambe

Verapamil amateteza ubongo ku imfa ya maselo a mitsempha:

• kuletsa kutupa ndi ntchito ya micoglia (maselo omwe amawononga maselo amitsempha)
• kuletsa kulowa kwa kashiamu mu neurons

Verapamil mu maphunziro awonetsa chitetezo champhamvu kwambiri mu ubongo kuposa curcumin, memantine, ndi baikalein.

Maulalo ofufuzira:

Pafupifupi 1% ya anthu opitirira 60 ali ndi matenda a Parkinson, omwe ndi vuto lachiwiri kwambiri pakati pa okalamba omwe amalowa ndi matenda obwera chifukwa cha matenda a Alzheimer's. Verapamil amachepetsa chiopsezo cha matenda a Parkinson.

Lumikizani phunziroli:

Verapamil chida champhamvu chogwiritsa ntchito

Chimodzi mwazomwe zimayambitsa kukalamba kwa anthu ndi kudziunjikira kwa zinyalala za mkati mwake. Njira zazikulu zothanirana ndi zinyalala zamkati mwazinthu ndi autophagy. Za zomwe autophagy imapezeka pano. Mu mtundu wakale, autophagy imayendetsedwa kudzera kuponderezedwa kwa ntchito ya MTOR kinase. Kusala kudya kwakanthawi, zakudya zama calorie otsika, ndipo mankhwala ambiri amachita izi: metformin, glucosamine, ndi ena ambiri. Koma vuto lochepetsera ntchito ya mTOR kinase ndikuti limasokoneza kumanga kwa minofu, ndipo ndikulimbikitsa kwambiri zochitika za MTOR, sarcopenia imachitika (kuchepa kwa minofu misa). Koma verapamil imaphatikizaponso kukweza kwa MTOR.

Maulalo ofufuzira:

Zotsatira zoyipa za verapamil

Protein P-GP (yemwe wafotokozedwa koyambirira kwa nkhaniyi) amateteza maselo a hematopoietic stem ku poizoni.Ndipo kuletsa kosalekeza kwa ntchito za P-GP ndi verapamil kungayambitse kuwonongeka kwa DNA ya maselo a tsinde awa. Mwinanso - izi sizitanthauza kuti zidzabweretsa kuwonongeka. Koma ngati izi ndizomwe zili, ndiye kuti verapamil ikhoza kuyambitsa kukalamba kwa maselo a tsinde, zomwe zikutanthauza kuti ingafupikitse moyo wokhala ndi moyo mosagwiritsa ntchito. Izi zikuyenera kutsimikiziridwa poyesa. Kutengera izi, tikuganiza kuti verapamil sayenera kugwiritsidwa ntchito pafupipafupi. Ndipo ziyenera kuyikidwa m'maphunziro. Mwachitsanzo, mukamalandira chithandizo chamankhwala odana ndi khansa kuti mukulitse kwambiri bioavailability. Nthawi ndi nthawi, maphunziro othandizira mafupa, nthawi ndi nthawi kugwiritsa ntchito maphunziro sikungadzetse mavuto, koma nthawi yayitali amatha.

Ndipo lero, kwa ife, verapamil ndi mankhwala ofunikira omwe amatenga matenda amtundu wa 1, komanso chida champhamvu kwambiri chogwiritsira ntchito kwambiri mankhwala othandizira khansa.

Chenjezo: Verapamil amachepetsa mphamvu yochepetsera shuga ya metformin

Lumikizani phunziroli:

Zomwe zili m'nkhaniyi sizingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Kumwa mankhwala aliwonse osalandira mankhwala a dotolo ndikoyipa kwa thanzi lanu.

Tikukupemphani kulembetsa ku nkhani zamakalata zatsopano za blog.

Wokondedwa Reader Ngati mukuwona kuti zofunikira mu bulogu iyi ndizothandiza ndipo mukufuna kuti chidziwitsochi chidziwike kwa aliyense, ndiye kuti mutha kuthandiza kulimbikitsa blog yanu potenga mphindi zochepa chabe za nthawi yanu. Kuti muchite izi, tsatirani ulalo.

Tikulimbikitsanso kuwerenga:

1. Chithandizo chotsika mtengo komanso chotetezeka cha khansa ya prostate.
2. Chotupa choyipa cha ubongo chikugwiritsidwa kale.
3. Chithandizo cha Khansa ya M'mawere.
4. Momwe mungayimire kukalamba kwa anthu https://nestarenie.ru/

Taurine ndi ntchito zake zazikulu

Taurine sulfonic acid ndi chinthu chofunikira kupangitsa kagayidwe kazakudya, mayamwidwe a calcium, magnesium ndi zina zina za zinthu. Nthawi zina amatchedwa sulfure wokhala ndi amino acid, yemwe amakhala ndi zovuta:

• imabwezeretsa njira za metabolic mu minofu,
• lipid metabolid, mphamvu kagayidwe,
• imalepheretsa chitukuko cha matenda amkatikati, matenda a m'matumbo, matenda opatsirana, matenda a shuga, matenda oopsa,
• Imachepetsa chiopsezo cha kufa mwadzidzidzi pamasinthidwe amasinthidwe a atherosselotic m'makoma amitsempha yamagazi,
• amachepetsa cholesterol
• amathandiza kuchepetsa Mlingo wa mankhwala pochiza matenda ashuga.

Kuperewera kwa taurine kumakhala koopsa pakatikati ndi kukalamba, pomwe mawonekedwe achilengedwe amachepa, zomwe zimapangidwira kuti pakhale metabolic syndrome, kusintha kwa mahomoni, matenda a shuga, kunenepa kwambiri, atherosulinosis ndi matenda oopsa. Anthu ambiri a ku Russia ali ndi vuto lotsika la sulfonic acid, osazindikira ngakhale pang'ono. Malinga ndi kafukufuku, anthu omwe amadya zakudya zam'madzi nthawi zambiri samatha kukhala ndi atherosclerosis. Koma, mwatsoka, nsomba zam'nyanja zimapezeka kwambiri kwa okhala ku Primorye; sizipezeka kawirikawiri pazakudya za tsiku ndi tsiku za anthu ena aku Russia.

Zimayambitsa zovuta za mtima ndi zomwe zimayambitsa chiopsezo

Matenda a shuga amakhala ndi moyo waufupi chifukwa cha kuchuluka kwa shuga m'magazi. Matendawa amatchedwa hyperglycemia, yomwe imakhudza mwachindunji mapangidwe a atherosulinotic malo. Yotsirizika kapena yotseka lumen ya ziwiya, zomwe zimatsogolera ku ischemia ya minofu yamtima.

Madokotala ambiri ali ndi chitsimikizo kuti shuga yowonjezera imakhumudwitsa kusokonekera - malo okhala ndi lipid. Chifukwa cha izi, makoma azotengera amakhala mawonekedwe ovomerezeka ndi mawonekedwe.

Hyperglycemia imathandizanso kutsegula kwa kuphatikiza kwa oxidative ndikupanga ma free radicals, omwe amakhalanso ndi vuto la endothelium.

Pambuyo pa maphunziro angapo, ubale unakhazikitsidwa pakati pamatenda a mtima wamatenda a shuga komanso kuwonjezeka kwa hemoglobin ya glycated. Chifukwa chake, ngati HbA1c iwonjezeka ndi 1%, ndiye kuti chiopsezo cha ischemia chikuwonjezeka ndi 10%.

Matenda a shuga ndi matenda amtima atha kukhala zogwirizana ngati wodwala akumana ndi zovuta zina:

kunenepa kwambiri, ngati m'modzi wa abale a odwala matenda ashuga ali ndi vuto la mtima, nthawi zambiri kuthamanga magazi, kusuta, kumwa mowa mwauchidakwa, kupezeka kwa cholesterol ndi triglycerides m'magazi.

Ndi matenda ati amtima omwe atha kukhala chopinga cha matenda ashuga?

Sonyezani shuga yanu kapena sankhani jenda kuti mulimbikitsidwe

Nthawi zambiri, ndi hyperglycemia, matenda ashuga a mtima amayamba. Matendawa amawoneka pomwe malungo osokoneza bongo a myocardium ali ndi odwala omwe ali ndi vuto la shuga.

Nthawi zambiri matendawa amakhala ngati asymptomatic. Koma nthawi zina wodwala amakhala ndi vuto lopweteka komanso kugunda kwa mtima (tachycardia, bradycardia).

Nthawi yomweyo, chiwalo chachikulucho chimasiya kupopa magazi ndikugwira ntchito mopangika, chifukwa cha zomwe kukula kwake kumakulira. Chifukwa chake, matendawa amatchedwa mtima wodwala. Pathology mu ukalamba imatha kuwonetsedwa ndi kuyendayenda kuzungulira, kutupa, kufupika ndi kupweteka pachifuwa komwe kumachitika pambuyo pochita zolimbitsa thupi.

Matenda a mtima omwe ali ndi matenda a shuga amayamba kuchulukitsa katatu kuchulukirapo kuposa kwa anthu athanzi. Ndizofunikira kudziwa kuti chiwopsezo cha matenda a mtima sichimadalira kukula kwa matenda oyamba, koma kutalika kwake.

Ischemia mu odwala matenda ashuga nthawi zambiri amapezeka popanda kutchulidwa, zomwe nthawi zambiri zimabweretsa kukula kwa kupweteka kwa minofu ya mtima. Komanso, matendawa amapitilira mafunde, pomwe kuukira kwadzaoneni kumaloledwa ndi matenda osachiritsika.

Zomwe zimachitika ndi matenda a mtima. Chithunzi cha matenda a ischemia mu odwala matenda ashuga:

kupuma movutikira, kufupika, kupuma movutikira, kupanikiza ululu wamtima, nkhawa yokhudzana ndi mantha a imfa.

Kuphatikiza kwa ischemia ndi matenda a shuga kungayambitse kukulitsa kwa myocardial infarction. Kuphatikiza apo, kuphatikizika uku kumakhala ndi zochitika zina, monga kusokonezeka kwa mtima, edema yam'mapapo, kupweteka kwamtima kumayang'ana ku clavicle, khosi, nsagwada kapena phewa. Nthawi zina wodwala amamva kupweteka kwambiri pachifuwa, mseru komanso kusanza.

Tsoka ilo, odwala ambiri amakhala ndi vuto la mtima chifukwa samakayikira kupezeka kwa matenda ashuga. Pakadali pano, kudziwitsidwa ndi hyperglycemia kumabweretsa zovuta zakupha.

Mu odwala matenda ashuga, mwayi wokhala ndi angina pectoris wowirikiza. Mawonetsero ake akuluakulu ndi palpitations, malaise, thukuta ndi kufupika kwa mpweya.

Angina pectoris, yomwe idawuka motsutsana ndi maziko a matenda ashuga, ili ndi mawonekedwe ake. Chifukwa chake, kukula kwake sikukhudzidwa ndi kuopsa kwa matenda oyambitsidwa, koma kutalika kwa chotupa cha mtima. Kuphatikiza apo, mwa odwala omwe ali ndi shuga ambiri, magazi osakwanira kupita ku myocardium amakula msanga kwambiri kuposa anthu athanzi.

Mu anthu ambiri odwala matenda ashuga, Zizindikiro za angina pectoris ndizofatsa kapena sizipezeka konse. Kuphatikiza apo, nthawi zambiri amakhala ndi zolakwika mu nthito ya mtima, yomwe nthawi zambiri imatha ndi imfa.

Zotsatira zinanso za matenda a shuga a mtundu wachiwiri ndi kulephera kwa mtima, komwe, monga zovuta zina zamtima zomwe zimachitika chifukwa cha hyperglycemia, ndizomwe zimafotokozera. Chifukwa chake, kulephera kwa mtima ndi shuga wambiri kumakonda kumangidwa adakali aang'ono, makamaka amuna. Zizindikiro za matendawa ndi monga:

kutupa ndi kufupika kwa malekezero, kukulitsa mtima, kukoka pafupipafupi, kutopa, kunenepa kwambiri, chifukwa cha kusungika kwa madzi, chizungulire, kufupika, kutsokomola.

Diabetesic myocardial dystrophy imatithandizanso kuphwanya mtundu wa kugunda kwa mtima. Pathology imachitika chifukwa cha kusachita bwino mu kagayidwe kachakudya, komwe kanayambitsidwa ndi kuchepa kwa insulin, komwe kumapangitsa gawo la glucose kupyola m'maselo a myocardial. Zotsatira zake, mafuta ac oxidized amadziunjikira mu minofu ya mtima.

Njira ya dystrophy ya myocardial imatsogolera ku mawonekedwe a foci a kusokonezeka kwa conduction, kusinthasintha kwa arrhythmias, extrasystoles kapena parasystoles. Komanso, microangiopathy mu shuga imathandizira kugonjetsedwa kwa ziwiya zazing'ono zomwe zimadyetsa myocardium.

Sinus tachycardia kumachitika ndi mantha kapena thupi kwambiri. Kupatula apo, kuthamanga kwa mtima kugwira ntchito ndikofunikira kuti thupi lipereke zakudya komanso mpweya wabwino. Koma ngati shuga wamagazi akukulira pafupipafupi, ndiye kuti mtima umakakamizidwa kugwira ntchito mopitilira muyeso.

Komabe, mwa anthu odwala matenda ashuga, myocardium sangathe kudwala mwachangu. Zotsatira zake, okosijeni ndi zakudya sizimalowa mumtima, zomwe nthawi zambiri zimayambitsa matenda a mtima ndi kufa.

Ndi matenda ashuga a mtima, kusinthasintha kwa mtima kumayamba. Mwa chikhalidwe ichi, arrhythmia imachitika chifukwa cha kusinthasintha kwa mphamvu ya zotumphukira zamitsempha, yomwe NS iyenera kuwongolera.

Vuto lina la matenda ashuga ndi orthostatic hypotension. Amawonetsedwa ndi kuchepa kwa kuthamanga kwa magazi. Zizindikiro za matenda oopsa ndi chizungulire, malaise, ndi kukomoka. Komanso, amadziwika ndi kufooka atadzuka ndi kupweteka kumutu kosalekeza.

Popeza kuwonjezeka kwa shuga m'magazi kumakhala zovuta zambiri, ndikofunikira kudziwa momwe mungalimbitsire mtima matenda ashuga komanso njira zamankhwala zosankha ngati matendawa adayamba kale.

Kodi PKI ndi chiyani kuwerengera penshoni?

Ndi kukhazikitsidwa kwa Federal Law "Inshuwaransi Yamalonda", njira yatsopano yolandirira ndalama "zaukalamba" yabwera m'moyo wathu. Tsopano kuchuluka kwa zolembera zomwe mudalandira kuti mupeze zaka zina sizitengera zaka zambiri, koma pazinthu zapenshoni. Ichi ndi chiyani

Zochitika zonse zomwe munthu amakhala nazo nthawi yamsana X zimasinthidwa kukhala mfundo. Kuphatikiza kwawo kumatchedwa kuti penshini ya pension, yomwe ndi chidule IPK. Chifukwa chake, penshoni imawerengedwa motere:

• P - penshoni
• F - ndalama yokhazikitsidwa chaka chilichonse ndi boma,
• N - gawo lolipiridwa kwa penshoni kwa iwo amene ali nalo,
• B - kuchuluka kwa mapenshoni,
• Sat - mtengo wa pension 1 pakadali pano.

Kuti ayambe kufunsira penshoni, wofunsayo ayenera kukwaniritsa izi:

• kufikira zaka zopuma pantchito zomwe boma lakhazikitsa,
• wokhala wamkulu kuposa kapena wofanana ndi ochepera,
• kuti mupeze chiwerengero chochepa cha penshoni.

Ngati chimodzi mwazinthuzi sichikwaniritsidwa, nzika ili ndi njira ziwiri:

• pitilizani kugwira ntchito mpaka zonse zitheke,
• lembani ku Pension Fund kuti muwerengere ndalama zapenshoni zikafika zaka zofunikira (zaka 60/65 kwa azimayi / abambo, motero).

Malangizo a penshoni amaperekedwa chaka chilichonse chantchito. Chifukwa chake, pambuyo pake munthu amachoka kukafunsira penshoni, zowonjezera zomwe adzakhala nazo. Komanso pali mtengo wochepera. Palibe mfundo - palibe mapenshoni. Lero, chiwerengero chotsika ndi 11.4, ndipo mu 2025 mtengowo ufikira 30.

Momwemonso, kutalika kochepera kwa ntchito kudzachulukitsidwa motalika. Kwa iwo omwe apuma pantchito mu 2017, ndikokwanira kugwira ntchito kwa zaka 7, mtsogolomu chiwerengerochi chiziwonjezereka mpaka 15 ndipo mu 2025 chidzangokhala chimenecho. Ndikofunika kudziwa kuti nthawi zoterezi zimaphatikizidwanso panthawiyi:

• Lamulo
• ntchito yankhondo
• nthawi yolumala
• Kuzindikira
• nthawi yogwiritsidwa ntchito posinthanitsa ndi antchito
• wina.

Mtengo wa mgwirizano wa penshoni payekha (IPC): ndi chiyani?

M'mbuyomu, kuti ayambe kulandira penshoni, nzika imangofunika kufotokoza kukula kwake ndikuwatsimikizira ndi zikalata. Koma kuyambira chaka cha 2015, opuma pantchito amtsogolo amatha kuyang'anira pawokha ndalama zopuma pantchito. Kwa izi, penshoni imagawidwa m'magawo angapo: kulipidwa ndi inshuwaransi. Zotsirizirazi zitha kukhazikitsidwa ndikukhazikika.

Potere, nzika iyenera kukwaniritsa magawo angapo ofunikira:

• Khalani ndi inshuwaransi zaka zosachepera 15.
• Fikirani zaka zopuma pantchito.
• Fotokozani za data zomwe zimatsimikizira kuti cholumikizira penshoni chinali chotsika ndi 30 mfundo kutalika konse kwa ntchito.

Polankhula za phindu la pension coeffnty (IPC), zomwe zili ndi "zomwe zidadyedwa nawo", ndikofunikira kumvetsetsa kuti mtengowu amawerengedwa mu mfundo zomwe zimaperekedwa chaka chilichonse, kutengera mulingo wa malipiro ndi ndalama za wopenshana. Nawonso, malinga ndi pulogalamu yolipira, zomwe zachitika pantchito komanso kuchuluka kwa malipiro zimawerengedwa. Mpaka chaka cha 2014, chizindikirochi chimadaliranso kuchuluka kwa zopereka pantchito yamsonkho.

Chifukwa chake, masiku ano, ngati nzika ilandila ndalama zochulukirapo mu 2017 kuposa mu 2016, ndiye kuti ndalama za penshoni payokha zidzakhala zapamwamba.

Ndizofunikanso kuganizira kuti kuyambira 2015 mpaka 2025 nyengo yosinthika yapadera imaperekedwa. Izi zikutanthauza kuti zofunikira zowerengera mapensulo zidzakhala zolimba chaka chilichonse, mtengo wazowerengedwa uzikula molingana ndi chiwonetsero cha kukwera kwa mitengo komanso zizindikiro zachuma mdziko muno.

Kuti mumvetsetse bwino lingaliro la phindu la penshoni ya munthu aliyense (IPC), momwe ilili komanso momwe amawerengedwa, ndi bwino kuonanso mwatsatanetsatane mbali zingapo zofunika. Izi ndizomwe tidzachita.

Kodi IPC imawerengedwa bwanji chaka chilichonse?

Chaka chisanafike chaka cha 2015, boma lidapanga formula ya penshoni ya munthu aliyense, motere: PC = MF / S, komwe:

• PC ikuyimira chiwerengero chonse cha penshoni ya nzika inayake.
• MF - iyi ndi gawo la inshuwaransi (poganizira kuchotsedwa kwa gawo lomwe limalipiridwa komanso kulipidwa).
• C ikuyimira mtengo wa IPC panthawi yowerengera.

Malinga ndi formula iyi, ndizosavuta kuwerengera pawokha kuchuluka kwa malo omwe asonkhanitsidwa. Chifukwa chake, kuti tidziwe momwe pensenti imalandirira nzika, sikofunikira kufunsa a FIU. Chokhacho chomwe chikufunika kufotokozedwa ndi kuchuluka kwa phindu, lomwe lingakhale 6%, 10% kapena 16%.

Kuti muwerenge mokwanira HIPC, ndikofunikira kugwiritsa ntchito ziwerengero zotsatirazi: HIPC = (SM / MV) * ​​10, komwe:

• SM ikhale malipiro a ndalama pamitengo yosankhidwa (peresenti).
• MV ndi gawo lokhazikika lopangira, zomwe zikhale 16%.

Chifukwa cha equation iyi, ndizotheka kudziwa kuti ndi ndalama zingati zomwe wopuma pantchito angadzisonkhanitse pantchito zake zonse. Ngati nthawi yomweyo nzika ikana gawo lomwe amalipiritsa, ndiye kuti iyenso azichita chiwonjezerochi. Poyeneranso, kuchuluka kwa zoperekazo kudzakhala kokwera.

Monga tanena kale, munthu akamalandira ndalama zambiri amapatsidwa ndalama zambiri. Komabe, ndikofunikira kulingalira kuti pali IPC yokwanira (payekha pension), yomwe ili ndi 7.38 point. Kuti alandire, mzaka nzika iyenera kulandira malipiro apamwamba.

Kuti zitheke kuthana ndi zovuta zonse za IPC, lingalirani chitsanzo. Tiyerekeze kuti nzika inayake idaganiza payekha kuti iwerengere kuchuluka kwa ndalama zomwe adapeza kuti azigwiririra ntchito yayitali komanso ndalama zingati zomwe amafunikira kuti amalandire pamwezi ndalama zokwana ma ruble 25,000.

Gawo lokhazikika la penshoni ya inshuwaransi nthawi zambiri limakhala ma ruble a 4559.Nthawi yomweyo, penshoni yofanana ndi ma ruble 18,300 amadzipangira mkaziyo.

Chifukwa chake, kuchuluka kwa zolipira kwa penshoni wamtsogolo kudzakwana ruble 13 741 (timachotsa gawo la 18 300 la inshuwaransi).

Kuti muwerenge IPC, gawani 13 741 ndi 74.28 ndikupeza pafupifupi 185. Ili ndiye mtengo womwe mukufuna. Ngati mumawerengera mobwerezabwereza, ndizosavuta kudziwa kuti kuti mulandire ma ruble 25,000 wolemba penshioni ayenera kudziunjikiranso mfundo zina 90 pamwezi.

Mokulira, mtengo wa chizindikiro ichi ndi nambala inayake, yomwe imatsimikiziridwa ndi boma chaka chilichonse. Mwachitsanzo, mu 2015, IPC inali yofanana ndi ma ruble 64, ndipo muFebruary 2016, chifukwa cha kuchuluka kwazachuma, chizindikiro ichi chinakwera mpaka ma ruble 74. Chaka chino, mtengo wa chiwerengerochi ndi ma ruble 78 ndi ndalama.

Ngati penshoni ikulandira IPC yayikulu, ndiye chisonyezo chokhacho chokwanira chomwe chidzawerengedwa.

Mosakayikira, zikuwoneka kuti kwa penshoni aliyense kuti kuwerengera payokha kwakubweza mtsogolo ndi njira yovuta kwambiri. M'malo mwake, zonse sizowopsa. Chachikulu ndikuphunzira momwe mungagwiritsire ntchito mafomu ofunikira ndikuwona kuchuluka kwa gawo la penshoni. Ngati ndi kotheka, mutha kukacheza ku Pension Fund ndikufunsani kuti mukawerengere zolipirira.

Komabe, ndikofunikira kumvetsetsa kuti zinthu zikusintha nthawi zonse. Mwina m'zaka zochepa, kuwerengera mapenshoni ndikuwonetsedwa kwawo kudzachitika malinga ndi njira zina. Komabe, ukulu uzikhala gawo losasinthika la zabwino zamtunduwu.

Ndani amakupatsani mankhwala?

Anthu odwala matenda ashuga nthawi zambiri amapatsidwa chithandizo chovuta kwambiri. Mankhwalawa amasankhidwa mwanjira yoti apereke bwino pamlingo wochepera. Ambiri othandizira a hypoglycemic ali ndi zovuta, zomwe zimachulukana ndi kuchuluka kwa mlingo. Metformin silivomerezedwa bwino ndi dongosolo logaya chakudya, kukonzekera kwa sulfonylurea kumathandizira kuwonongeka kwa maselo a beta, insulin imathandizira kuti munthu azichita bwino.

Dibikor ndi njira yachilengedwe, yotetezeka komanso yothandiza yomwe ilibe zotsutsana komanso zoyipa. Zimagwirizana ndi mankhwala onse omwe amagwiritsidwa ntchito pa matenda ashuga. Kulandila kwa Dibikor kumakupatsani mwayi wochepetsera kuchuluka kwa othandizira a hypoglycemic, kuteteza ziwalo ku poizoni wamagazi, ndikukhalanso ndi minyewa yamphamvu.

Malinga ndi malangizo ogwiritsira ntchito, Dibicor amalembera zochizira zovuta zotsatirazi:

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

Matenda a shuga ndi omwe amayambitsa pafupifupi 80% yonse yamikwingwirima ndi kuduladula. Anthu 7 mwa anthu 10 amafa chifukwa cha mitsempha ya mtima kapena ubongo. Pafupifupi nthawi zonse, chifukwa chomaliza chomaliza ndi chimodzimodzi - shuga wamwazi.

Shuga akhoza ndipo amayenera kugwetsedwa, apo ayi. Koma izi sizichiritsa matendawa, koma zimangothandiza kulimbana ndi kufufuza, osati zomwe zimayambitsa matendawa.

Mankhwala okhawo omwe amalimbikitsidwa mwalamulo kwa odwala matenda ashuga komanso ogwiritsidwa ntchito ndi endocrinologists pantchito yawo ndi Dzhi Dao Diabetes Adhesive.

Kugwiritsa ntchito bwino kwa mankhwalawa, kuwerengera malinga ndi njira yokhazikika (kuchuluka kwa odwala omwe achiwonjezere kuchuluka kwa odwala omwe ali pagulu la anthu 100 omwe adachitiridwa chithandizo):

• Matenda a shuga - 95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu - 90%
• Kutumiza kuthamanga kwa magazi - 92%
• Vigor masana, kugona bwino usiku - 97%

Opanga Ji Dao si bungwe lazamalonda ndipo amalipiridwa ndi boma. Chifukwa chake, tsopano wokhala aliyense ali ndi mwayi wopeza mankhwalawo kuchotsera 50%.

• matenda ashuga
• kulephera kwa mtima
• glycosidic kuledzera,
• kupewa matenda a chiwindi ndi kugwiritsa ntchito mankhwala kwa nthawi yayitali, makamaka antifungal.

Dibikor zochita

Pambuyo pakupezeka kwa taurine, asayansi kwa nthawi yayitali sanathe kumvetsa chifukwa chake thupi limafunikira.Zinapezeka kuti ndi yachilendo metabolism taurine ilibe chitetezo. The achire zotsatira akuyamba kuwonekera pamaso pa matenda, monga ulamuliro, mu chakudya ndi lipid kagayidwe. Dibikor amachita magawo oyamba a kuphwanya malamulo, poletsa kukula kwa zovuta.

1. Mlingo woyenera, mankhwalawa amachepetsa shuga. Pambuyo pa miyezi itatu yogwiritsidwa ntchito, hemoglobin ya glycated imatsika ndi pafupifupi 0.9%. Zotsatira zabwino zimawonedwa mwa odwala omwe ali ndi matenda ashuga komanso prediabetes.
2. Amagwiritsidwa ntchito popewa zovuta zam'magazi a anthu odwala matenda ashuga. Mankhwala amachepetsa magazi a cholesterol ndi triglycerides, amasintha magazi m'magazi.
3. Ndi matenda a mtima, Dibicor imakonza mgwirizano wam'magazi, kuthamanga kwa magazi, kumachepetsa kupuma movutikira. Mankhwala kumawonjezera mphamvu ya mankhwala ndi mtima glycosides ndipo amachepetsa mlingo wawo. Malinga ndi madotolo, zimawongolera momwe alili ambiri, kulolera kwawo kuchita masewera olimbitsa thupi.
4. Kugwiritsira ntchito kwa nthawi yayitali kwa Dibicor kumapangitsa kuti microcirculation ifike ku conjunctiva. Amakhulupirira kuti angagwiritsidwe ntchito kupewa matenda ashuga retinopathy.
5. Dibikor amatha kugwira ntchito ngati antiidote, amachotsa nseru ndi arrhythmia ngati mankhwala osokoneza bongo a glycosides alipo. Ndinapezanso zomwezi motsutsana ndi beta-blockers ndi catecholamines.

Kutulutsa mawonekedwe ndi mlingo

Dibicor imamasulidwa mu mawonekedwe a mapiritsi oyera oyera. Zidutswa 10 chilichonse chimayikidwa m'matumba. Mu phukusi la matuza atatu kapena 6 ndi malangizo ogwiritsira ntchito. Mankhwalawa ayenera kutetezedwa ku kutentha ndi kuwala kwa dzuwa. Zikatero, zimasungidwa zaka zitatu.

Kuti mugwiritse ntchito, Dibicor ili ndi 2 Mlingo:

• 500 mg ndi muyezo achire mlingo. Mapiritsi awiri a 500 mg amaperekedwa kwa matenda a shuga, kuti ateteze chiwindi akamamwa mankhwala owopsa chifukwa chake. Mapiritsi a Dibicor 500 ali pachiwopsezo, amatha kugawidwa pakati,
• 250 mg ikhoza kutumikiridwa chifukwa cholephera mtima. Pankhaniyi, mlingo umasiyanasiyana: kuchokera pa 125 mg (piritsi 1/2) mpaka 3 g (mapiritsi 12). Kuchuluka kwa mankhwalawa amasankhidwa ndi adokotala, poganizira mankhwala ena omwe atengedwa. Ngati ndi kotheka kuchotsa glycosidic kuledzera, Dibicor patsiku ndi mankhwala osachepera 750 mg.

Zotsatira zoyipa za mankhwalawo

Dibicor kwenikweni alibe zoyipa za thupi. Zotsatira za thupi lawo pazophatikizira zothandiza za piritsi ndizosowa kwambiri. Taurine palokha ndi amino acid achilengedwe, chifukwa chake sayambitsa ziwengo.

Kugwiritsa ntchito nthawi yayitali ndi acidity yam'mimba yambiri kumatha kubweretsa chilonda. Ndi mavuto otere, chithandizo ndi Dibicor chiyenera kuvomerezedwa ndi adokotala. Mwina angalimbikitse kupeza taurine kuchokera ku chakudya, osati mapiritsi.

Zabwino kwambiri zachilengedwe:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga amatha kuzipeza February 17 - Kwa ma ruble 147 okha!

>> ONANINSO ZABWINO POPHUNZITSANI CHITSANZO

Kwa odwala matenda ashuga, kuperewera kwa taurine kumadziwika, kotero nthawi yake yoyamba kudya kuyenera kupitirira zosowa.

Kodi ochiritsa matenda ashuga ndi ati?

Pofika chapakati pa 2012, pali magulu otsatirawa a matenda a shuga (kupatula insulin):

• Mapiritsi omwe amachititsa chidwi cha maselo ku insulin.
• Mankhwala omwe amalimbikitsa kapamba kuti apange insulin yambiri.
• Mankhwala atsopano a shuga kuyambira m'ma 2000s. Izi zimaphatikizapo mankhwala omwe amachita mosiyanasiyana, chifukwa chake nkovuta kuziphatikiza. Awa ndi magulu awiri a mankhwalawa omwe ali ndi ntchito ya insretin, ndipo mwina ena ambiri adzawonekera pakapita nthawi.

Palinso mapiritsi a glucobai (acarbose) omwe amalepheretsa kuyamwa kwa shuga m'matumbo am'mimba. Nthawi zambiri zimayambitsa kukhumudwa, ndipo koposa zonse, ngati mumatsatira zakudya zamafuta ochepa, ndiye kuti kuzimva sizimveka konse. Ngati simungathe kutsatira zakudya zamagulu ochepa, chifukwa mumayamba kususuka, ndiye gwiritsani ntchito mankhwala omwe ali ndi shuga omwe amakuthandizani kuti musakhale ndi chidwi. Ndipo kuchokera ku glucobaia sipagwiritsidwa ntchito kwambiri. Chifukwa chake, zokambirana zake pamapeto apa.

Tikukumbutsaninso: mankhwala a mapiritsi atha kukhala othandiza kwa matenda ashuga a 2 okha. Mtundu 1 wa shuga, palibe mankhwala, majakisoni a insulin okha. Kufotokozera. Mapiritsi a Siofor kapena Glucofage a mtundu woyamba wa shuga amatha kuyesedwa ngati wodwala watupa kwambiri, mphamvu yake ya cell ku insulin yafupika, chifukwa chake amakakamizidwa kubaya ma insulin ofunika kwambiri. Kukhazikitsidwa kwa Siofor kapena Glucofage pamenepa muyenera kukambirana ndi adokotala.

Ndi mitundu yanji ya mankhwala a shuga omwe samathandiza, koma kuvulaza

Pali mankhwala osokoneza bongo omwe samabweretsa zabwino kwa odwala, koma kuvulaza kosalekeza. Ndipo tsopano mudzazindikira kuti mankhwalawa ndi chiyani. Mankhwala ovuta a shuga ndi mapiritsi omwe amathandizira kapamba kuti apange insulin yambiri. Aperekeni! Amayambitsa kuwonongeka kwakukulu kwa thanzi la odwala matenda ashuga. Mapiritsi omwe amathandizira kupanga insulini ndi kapamba amaphatikiza mankhwala ochokera ku sulfonylurea zotumphukira ndi magulu a meglitinides. Madokotala amakondabe kuwalembera mtundu wachiwiri wa matenda ashuga, koma izi ndi zolakwika komanso zovulaza kwa odwala. Tiyeni tiwone chifukwa.

Mtundu wachiwiri wa matenda ashuga, odwala, monga lamulo, samatulutsanso insulin yocheperako popanda mapiritsi awa, komanso katatu kuposa anthu athanzi. Mutha kutsimikizira kuyesa kwa magazi kwa C-peptide. Vuto lomwe lili ndi odwala omwe ali ndi matenda ashuga ndikuwonetsetsa kuti maselo amatha kuchepa mphamvu chifukwa cha insulin. Vutoli limatchedwa insulin kukana. Muzochitika zotere, kumwa mapiritsi omwe amathandizira kubisalira kwa insulin ndi kapamba kumakhala kofanana kukwapula kavalo wovutitsidwa, yemwe, ndi mphamvu zake zonse, amakoka ngolo yayikulu. Hatchi yabwinobwino imatha kufa m'misala.

Udindo wa kavalo woyendetsedwa ndi kapamba wako. Ili ndi maselo a beta omwe amapanga insulin. Amagwira ntchito kale ndi katundu wambiri. Mothandizidwa ndi mapiritsi a sulfonylurea zotumphukira kapena meglitinides ", ndiye kuti amafa kwambiri. Zitatha izi, kupanga kwa insulin kumachepa, ndipo mtundu wachiwiri wa matenda ashuga wachiwiri umasanduka mtundu wovuta kwambiri komanso wosachiritsika wodwala wa insulin 1.

Chododometsa china chachikulu cha mapiritsi opanga insulin ndi chakuti amachititsa hypoglycemia. Izi zimachitika ngati wodwala wamwa mapiritsi olakwika kapena waiwala kudya nthawi. Njira zochizira matenda amtundu wa 2 omwe timalimbikitsa kuti tichepetse magazi, pomwe chiopsezo cha hypoglycemia ndi zero.

Kafukufuku wamkulu adawonetsa kuti zochokera ku sulfonylurea zimachulukitsa kufa kwa zifukwa zonse pakati pa odwala omwe amawatenga, kuphatikizapo kufa kwa matenda a mtima ndi khansa. Zimasokoneza kayendedwe ka magazi m'mitsempha ndi m'mitsempha ina, ndikutseka njira za calcium za ATP zomwe zimatsitsimutsa mitsempha yamagazi.Izi sizikutsimikiziridwa kokha chifukwa cha mankhwala aposachedwa a gululi. Koma siziyenera kutengedwa, ngakhale, pazifukwa zomwe tafotokozazi.

Ngati matenda a shuga a mtundu wa 2 amayang'aniridwa mosamala ndi zakudya zamagulu ochepa a carbohydrate, masewera olimbitsa thupi, komanso jakisoni wa insulin ngati pakufunika, maselo owonongeka a beta atha kubwezeretsanso ntchito yawo. Phunzirani ndikutsatira pulogalamu yochizira matenda amtundu wa 2. Izi ndizabwino koposa kumwa mapiritsi - sulfonylurea derivatives kapena meglitinides, omwe amapha ma cell a beta ndikukulitsa zovuta za odwala matenda ashuga. Sitingathe kulembapo mayina onse a mapiritsiwa pano, chifukwa alipo ambiri.

Izi zikuyenera kuchitika. Werengani malangizo am'mapiritsi a shuga omwe mudawalembera. Ngati zidzachitike kuti ali m'gulu la sulfonylurea zotumphukira kapena meglitinides, musatenge. M'malo mwake, phunzirani ndikutsatira pulogalamu yachiwiri ya matenda ashuga. Palinso mapiritsi ena ophatikiza omwe ali ndi zosakaniza ziwiri zogwira ntchito: a sulfonylurea derivative plus metformin. Ngati mwapatsidwa mwayi wosankha, ndiye kuti sinthani kuchokera ku metformin ya "pure" (Siofor kapena Glyukofazh).

Njira yoyenera yothanirana ndi matenda amtundu wa 2 ndikuyesera kusintha kukhudzidwa kwa maselo kuti apange insulin. Werengani nkhani yathu yokhudza kukana insulini. Imakuuzani momwe mungachitire. Pambuyo pake, simuyenera kulimbikitsa kupanga insulin. Ngati vuto la matenda ashuga silotsogola, ndiye kuti insulin yakeyo ndi yokwanira kukhalabe ndi shuga.

Osayesa kulowetsa jakisoni wa insulin ndi mapiritsi.

Chitani magazi okwanira masiku atatu, makamaka sabata lathunthu. Ngati pafupifupi shuga itatha chakudya itakhala 9 mmol / L kapena kuposa, nthawi yomweyo amayamba kuthandizidwa ndi insulin, limodzi ndi zakudya zamagulu ochepa. Chifukwa palibe mankhwala omwe angathandize pano. Choyamba, mothandizidwa ndi jakisoni wa insulini komanso chakudya choyenera, onetsetsani kuti shuga yanu yamagazi ikutsikira pazomwe mukufuna. Ndipo mukaganiziratu momwe mungagwiritsire ntchito mapiritsi kuti muchepetse mlingo wa insulin kapena ngakhale kungoisiya kwathunthu.

Anthu odwala matenda amtundu wa 2 amakonda kuchedwetsa kuyamba kwawo kwa mankhwala a insulin. Zachidziwikire chifukwa cha ichi mudapita patsamba la mankhwala osokoneza bongo, sichoncho? Pazifukwa zina, aliyense amakhulupirira kuti chithandizo cha insulin chitha kunyalanyazidwa mosavomerezeka, ndipo zovuta za shuga zimawopseza wina, koma osati iwo. Ndipo awa ndiopusa kwambiri kwa odwala matenda ashuga. Ngati "chiyembekezo" choterechi afa ndi vuto la mtima, ndiye ndinene kuti anali ndi mwayi. Chifukwa pali zosankha zoyipa:

• Mimbulu ndikuduladula miyendo,
• Khungu
• Imfa yolimbitsa mtima chifukwa cholephera aimpso.

Izi ndi zovuta za matenda ashuga zomwe mdani woipa kwambiri sangafune. Poyerekeza ndi iwo, kufa mwachangu komanso kosavuta kuchokera ku vuto la mtima ndizopambana kwenikweni. Komanso, mdziko lathu, lomwe silimalimbikitsa nzika zake olumala kwambiri.

Chifukwa chake, insulin ndi njira yabwino yothandizira matenda a shuga a 2. Ngati mumamukonda kwambiri, ndiye kuti amakupulumutsirani kwa mnzake wapamtima wazovuta izi. Ngati zikuwoneka kuti insulini singagawidwe, ndiye kuti yambani kubayitsa mwachangu, osataya nthawi. Pakakhala khungu kapena atadula mwendo, munthu wodwala matenda ashuga nthawi zambiri amakhala wolumala. Munthawi imeneyi, amakwanitsa kuganizira mofatsa za momwe anali munthu wopanda tanthauzo pomwe sanayambe jekeseni wa insulin panthawi yake ...

Nthawi zina, kupanga ubwenzi ndi insulin ndikofunikira, komanso mwachangu:

• Pazakudya zamafuta ochepa, shuga m'magazi anu akamaliza kudya amapitilira 9mmol / L ndi pamwambapa.
• Kuphatikiza kwa zakudya zamagulu ochepa a carbohydrate, masewera olimbitsa thupi ndi mapiritsi a "kumanja" sikukuthandizani kuchepetsa shuga yanu mutadya pansipa 6.0 mmol / L.

Kondani insulini ndi mtima wanu wonse chifukwa ndi bwenzi lanu lalikulu, mpulumutsi ndi chitetezo chanu ku zovuta za matenda ashuga. Muyenera kudziwa luso la jakisoni wopanda ululu, phatikizani insulin mokonzekera nthawi imodzi ndikuchita zina kuti muchepetse mlingo wake. Ngati mungagwiritse ntchito bwino pulogalamu ya matenda a shuga (ndikofunikira kwambiri kuchita masewera olimbitsa thupi), ndiye kuti mutha kulimbana ndi insulin yaying'ono. Koma izi sizingachitike pokhapokha ngati pali zovuta za matenda ashuga.

Chifukwa chiyani tachycardia kapena kugunda kwamtima kosafunikira kumawonekera

Kusweka mtima kumakhala kumva kuwonjezeka kapena kuthamanga kwa mtima. Nthawi zambiri zimachitika ndi tachycardia, ndiye kuti, kuwonjezeka kwa kugunda kwa mtima kwa oposa 90 pamphindi. Ndi chizindikiro chogwirizana.

Anthu nthawi zina amamva kugundidwa kwabwinobwino nthawi, nthawi zina, kusokonezeka kwakatundu kwambiri sikungamveke. Zomverera zokha sizomwe zikuwonetsa matenda a mtima.

Kuchulukitsa ndi kuwonjezeka kwa kugunda kwa mtima ndichitidwe choyenera kupsinjika kapena zolimbitsa thupi. Pokhapokha ngati pali zizindikiro zina, kutentha kwa mtima kumatha kulankhula za matenda enaake. Zizindikiro zomwe zimatsatana ndi kugunda kwa mtima zimadalira matenda omwe alipo.

Tachycardia ndi palpitations zimatha kuchitika ndi:

• myocarditis, endocarditis,
• arrhythmias
• mtima, matenda am'mitsempha,
• kuchepa magazi
• michere-misempha dystonia,
• kupunduka kwa mtima
• ochepa matenda oopsa
• neurosis
• zovuta za endocrine,
• kusintha kwa thupi
• zotupa.

Nthawi zina kuphatikiza kwa tachycardia ndi palpitations kumaphatikizidwa ndi nkhawa, ndikuwonetsa zowonjezera zamasamba (kunjenjemera ndi kunjenjemera) kumapangitsa munthu mantha ndi kutsimikiza kuti ali ndi matenda owopsa.

Muzochitika izi, kutenga nawo gawo pa psychotherapist therapy ndikofunikira. Chithunzi chojambulidwa pamtima chimaperekedwa pambuyo poyesedwa ndi kuyezetsa kwa Holter ECG tsiku lililonse.

Zizindikiro za tachycardia yodalira insulin

Cardiac arrhythmia mu shuga imatha kuwonekera chimodzimodzi kufalikira kwa arrhythmia, ndiko kuti, tachycardia ndi kuphwanya kugunda kwa mtima. Munthu wodwala matenda ashuga akhoza kukhala ndi:

Ngati munthu wodwala matenda a shuga wapeza zinthuzi, muyenera kukaonana ndi dokotala ndikupimikiranso. Munjira imeneyi mokha momwe mungadzitetezere ku zotsatira zoyipa za fibrillation ya atgency ndikupereka chithandizo choyenera.

Muyenera kudziwa kuti chithandizo chamankhwala sichofunikira nthawi zonse. Anthu odwala matenda ashuga amatha kukhala ndi zizindikiro za MA kwa zaka zambiri. Nthawi zina ntchito yamtima imatha kuwonongeka kwambiri ndikuyambitsa kulowerera m'mitsempha kapena zovuta zina.

Chifukwa chake, muyenera kufunsa dokotala kuti musinthe mtima uliwonse.

Gulu la Arrhythmias

Pali ma cell mu mtima omwe amatha kutulutsa magetsi. Mothandizidwa ndi izi, zimachitika mumtima. Maselo opanga zotulutsa amatchedwa pacemaker.

Pememaker mu nthawi yokhazikika ndi sinus node, yomwe ili kukhoma kwa atrium yoyenera. Mlingo wabwinobwino wamtima umatchedwanso kuti mtundu wa sinus. Nthawi zambiri, kugunda kwamtima kupuma kumakhala pakati pa 60 ndi 90 kumenyedwa pamphindi. Sinus node imayendetsa dongosolo laumwini la autonomic.

Ngati mawonekedwe a sinus sagwira ntchito molondola, ndiye kuti mitundu iyi ya arrhythmias ndiyotheka:

• chizolowezi cha sinus chambiri - "sinus tachycardia",
• chizolowezi chosowa nthawi zonse - "sinus bradycardia",
• "sinus arrhythmia" yosadziwika.

Chingwe chosowa kapena chofikira pafupipafupi chimatha kukhala chosinthasintha. Mwachitsanzo, ndikakhala ndi nkhawa kapena thupi, mtima umagwirizana kwambiri kuposa nthawi yopuma.Ochita masewera othamanga, chifukwa cha kuphunzitsidwa kwamtima, mtima umakhala wosowa kwambiri ndipo umachokera pa 34 mpaka 40 kumenyedwa.

Mankhwala osokoneza bongo omwe angapangitse kuchuluka kwa pafupipafupi komanso kutsika kwake kungakhudze mtundu wamtima.

Chipangacho chimatha kugwira ntchito ngati ma cell omwe ali:

1. atrioventricular node
2. atria
3. zotupa.

Roma ya Atrial ndi lingaliro lomwe limatanthawuza kuti pacemaker ili mu atria, koma osati mu sinus node.

• chotupa cham'mimba,
• atrioventricular arrhythmia,
• tachycardia - kugunda kwamtima,
• bradycardia - zovuta zapamtima,
• atria arrhasmia,
• extrasystoles - contractions asanachitike,
• anachedwetsa contractions.

Arrhythmias imatha kukhala yachilengedwe komanso yothandiza. Tisaiwale kuti mitundu ina ya mtima ya arrhythmias imalumikizidwa ndi kuzungulira mwadzidzidzi kumanga, arrhythmogenic shock, ischemic stroke, kapena myocardial infarction.

Kapangidwe ndi mawonekedwe a Dibikor wa mankhwala

Dibicor imatulutsidwa pamapiritsi ozungulira oyera.

Amadzaza zolongedza zolimba komanso zojambulidwa za aluminium.

Paketi imodzi ili ndi miyala 10. Mapaketi a zidutswa za 3-6. Bokosi lililonse lamakalata limakhala ndi malangizo.

Dibicor imaphatikizapo ntchito yogwira ntchito taurine, komanso zothandizira:

1. cellcrystalline mapadi,
2. wowuma mbatata
3. silicon
4. calcium

Taurine ndi membala wa gulu la zoteteza kumimba zomwe zimayendetsa njira za metabolic. Mankhwala amathandizanso kusintha kwa potaziyamu ndi calcium m'maselo. Amachepetsa kusefukira kwamanjenje ndikuwongolera dongosolo lamanjenje lamkati.

Mankhwalawa samangothandiza kutulutsa shuga m'magazi, komanso amathandizanso m'mitsempha yamagazi. Chidachi chimachepetsa kuchepa kwa magazi ndi chodabwitsa cha matenda oopsa. Palinso kuwongolera pakuyenda kwa minofu ya mtima. Chifukwa chake, Dibicor amaonedwa ngati mankhwala osankha pothandizira matenda a shuga, komanso ndi kuthamanga kwa magazi.

Ndi cholesterol yokwezeka, Dibicor imathandizira kukhathamiritsa kuchuluka kwake m'madzi a m'magazi. Zimakhudza mwachindunji kuchuluka kwa triglycerides. Izi ndizofunikira kwambiri polimbana ndi milingo ya glycemic.

Mankhwala Dibicor amathandizanso kutumphukira kwa magazi, kupukusa ma cellcircular, kuphatikizapo fiber. Chifukwa chake, ndikotheka kuyimitsa chitukuko cha zovuta za matenda a shuga, mwachitsanzo, mapangidwe a matenda ashuga retinopathy.

Chifukwa cha kusinthika kwa glycemia, mamvekedwe athunthu a thupi lathu amakhala bwino ndipo chithunzi cha matenda ashuga chimasinthidwa. Dibicor wa mankhwala amadziwika ndi kuyamwa mwachangu m'mimba.

Peak plasma ndende amawonedwa ola limodzi ndi theka kapena ingestion. Pambuyo maola 24, mankhwalawa amachotsedwa kwathunthu m'thupi. Kutalika kwa nthawi yayitali kwamisempha ya magazi kumachitika pakatha milungu ingapo yogwiritsa ntchito mankhwalawa.

Malangizo ogwiritsira ntchito mankhwalawa

Dibicor wa arrhythmias amalembedwa pakamwa. Pakulephera kwa mtima, mankhwalawa amagwiritsidwa ntchito pa 250-500 mg kawiri patsiku mphindi 15 asanadye. Kutalika kwa chithandizo ndi masiku 30.

Ngati ndi kotheka, mulingo ungathe kuwonjezeka mpaka magalamu angapo patsiku. Nthawi zina, adotolo amasankha kuti achepetse mankhwalawa kukhala a 125 mg panthawi imodzi.

Ngati kuledzera kumachitika chifukwa chogwiritsa ntchito mtima glycosides, ndiye kuti mankhwalawa amagwiritsidwa ntchito osachepera 750 mg patsiku. Mtundu woyamba wa shuga, mankhwala amathandizidwa ndi 500 mg kawiri pa tsiku limodzi ndi insulin. Mankhwala oterowo, pafupifupi, amatha mpaka miyezi isanu ndi umodzi.

Ndi matenda amtundu wa 2, muyenera kudya 500 mg kawiri pa tsiku (zikafika ku monotherapy). Dibicor itha kugwiritsidwa ntchito limodzi ndi mankhwala ena apakamwa.Mtundu wamatendawa, kuphatikiza ndi hypercholesterolemia, Dibicor amayikidwa 500 mg kawiri pa tsiku.

Kutalika kwa maphunzirowa kungathe kutsimikiziridwa ndi dokotala wopita. Monga hepatoprotector, mankhwalawa amagwiritsidwa ntchito pa 500 mg patsiku limodzi ndi ma antifungal agents.

Ngati mankhwalawa atengedwa molakwika ndipo osagwirizana, ndiye kuti munthu angayambitse kuyanjana. Koma izi zimachitika nthawi zina.

Moyo wa alumali ndi mawonekedwe osungira

Malinga ndi malangizo omwe aphatikizidwa, Dibicor iyenera kusungidwa pokhapokha pamalo owuma, otetezedwa ku kuwala. Ndikofunikira kuonetsetsa kuti mankhwalawa sapezeka kwa ana. Kutentha kwa mpweya panthawi yosungirako sikuyenera kupitirira madigiri 26. Alumali moyo wa mankhwalawa ndi zaka zitatu kuyambira tsiku lomasulidwa. Pambuyo pa nthawi iyi, mankhwalawa sagwiritsidwa ntchito ndipo ayenera kutayidwa.

Mitu ya mankhwalawa

Zopitilira 60 za Dibicor zilipo. Ma analogi onse amatha kugawidwa m'magulu awiri. Poyamba, pali mankhwala omwe ali ndi chinthu chachikulu taurine, m'gulu lachiwiri muli mankhwala omwe ali ndi chinthu chinanso chofunikira, koma chamalingaliro omwewo ndi ofanana.

Taurine (Taurine) ndi mankhwala omwe amapangidwa ku United States, mtengo wa phukusi limodzi la ma ruble 2000. Pali makapisozi zana mu phukusi la 500 mg. Chipangizocho chikugulitsidwa kudzera mumafakitale apach intaneti. Analimbikitsa ndi wopanga pochiza matenda angapo.

Taurine imakhala ndi mphamvu yodzetsa khungu lamkati. Vutoli limakhudza momwe mtima ulili, limathandizira kuti musiye kugwiritsa ntchito mankhwala osokoneza bongo komanso uchidakwa. Kukhalapo kwa machiritso mu genitourinary system kwakhazikitsidwa.

Evalar Cardio Active Taurin ndi mankhwala a Russia opanga. Mtengo wake phukusi lililonse ndi 260 - 430 rubles. Chipangizocho chimapezeka m'matangadza a pharmacy, chimaperekedwa popanda mankhwala. Amawerengera odwala omwe ali ndi kuchuluka kwa intracardiac (diastolic), komanso kuwonjezera myocardial contractility.

Komanso, mankhwalawa amaperekedwa kwa odwala omwe ali ndi kuthamanga kwa magazi. Mothandizidwa ndi mankhwalawa, kuchuluka kwa shuga, triglycerides ndi cholesterol m'magazi amathandizidwa.

Ortho Taurin Ergo ndi mankhwala aku Russia, mtengo wake phukusi lililonse lili 450 - 900 rubles. Kuphatikiza pa taurine, pakuphatikizidwa kwodalirika kumeneku ndi:

• Pulogalamu ya asidi
• folic acid
• Vitamini E
• lipoic acid
• Mavitamini B,
• zinc
• rosehip Tingafinye.

Chogulirachi chimapezeka m'mapiritsi. Kuphatikizikako kumakhala ndi zinthu zapadera zomwe zimapangitsa kuti thupi likhale lolimba komanso loteteza. Ndizokhazikika kuti mankhwalawa amachepetsa kukwiya ndipo amathandizanso kugona. Kuphatikiza apo, kuthamanga kwa magazi kumachepa ndipo kugunda kwa mtima kumakhala bwino.

Mwa ma orthomolecular complex amatanthauza zowonjezera pazamoyo, i.e. zowonjezera pazakudya. Zomwe zimapangidwazo zimaphatikizapo:

1. mchere
2. mavitamini
3. ma amino acid
4. taurine
5. mafuta ochulukirapo a polyunsaturated,
6. akupanga zamankhwala oposera zana,
7. zina zogwira ntchito.

Tsopano mitundu yambiri yamitundu yosiyanasiyana ya orthomolecular yapangidwa yomwe imakhudza bwino ziwalo zonse zamunthu ndi machitidwe amunthu.

Mankhwalawa pathologies a mtima dongosolo, mavitamini ndi mchere maofesi ambiri akukwaniritsa kusintha kwamitsempha yamagazi, kutsika kwa magazi, kutsitsa ntchito ya ubongo ndikulimbitsa magazi.

The fanizo la mankhwala ndi:

Madokotala amapereka mankhwala ndi meldonium a:

1. matenda a mtima ndi matenda ashuga,
2. myocardial dystrophy,
3. kulephera kwa mtima,
4. zovuta zamagazi.

Ndalamazi zimawonetsa momwe zimakhalira pakuchita masewera olimbitsa thupi, kutsitsa mphamvu yama mtima ndi mtima.

Ma fanizo odziwika ndi odziwika bwino ndi awa:

1. Taufon
2. ATF Long
3. Tauforin OZ,
4. Vazopro
5. tincture wa hawthorn,
6. Trimeth
7. Trizipine
8. Tricard
9. Rimecode
10. Iwab 5
11. Zokhazikitsidwa
12. Kapikor,
13. Neocardyl
14. Makhalidwe,
15. Methonate.

Palibe kuyanjana koyipa komwe kunawonedwa pamene mukumwa Dibicorum ndi mankhwala ena. Zadziwika kuti inotropic mphamvu ya mtima glycosides imatha kupitilizidwa.

Kugwiritsa ntchito Dibicor ndi okodzetsa sikofunikira.

Kodi zovuta zotumphukira za atria ndizotheka?

Mwa zovuta, pulmonary thromboembolism (PE), kugunda kwa mtima pachimake komanso kugunda kwambiri, komanso arrhythmogenic mantha komanso kulephera mtima kwamatumbo (pulmonary edema) ndizofala kwambiri.

Vuto lalikulu kwambiri ndilo sitiroko. Ischemic stroke yomwe idayambitsidwa ndi thrombus mu ziwiya zaubongo (mwachitsanzo, paroxysm ikasiya) imapezeka mu 5% ya odwala pazaka zisanu zoyambirira atatha kusintha kwa atrial fibrillation.

Kupewa kwa zovuta za thromboembolic (stroke ndi pulmonary embolism) ndizogwiritsidwa ntchito mosalekeza kwa anticoagulants ndi antiplatelet agents. Komabe, apa pali zovuta zina. Chifukwa, mwachitsanzo, ndi chiopsezo chowonjezereka cha magazi, wodwalayo ali ndi mwayi wotaya magazi muubongo ndi kukula kwa matenda a hemorrhagic. Chiwopsezo chokhala ndi vutoli ndichoposa 1% mwa odwala chaka choyamba kuyambira chiyambi cha mankhwala anticoagulant. Kupewa kutuluka kwa magazi ndizowunikira pafupipafupi INR (kamodzi pamwezi) ndikusintha kwa mlingo wa anticoagulant.

Kanema: momwe matendawa amadzuka chifukwa cha atrivement fibrillation

Kukula kwa moyo ndi atrive fibrillation kumatsimikiziridwa makamaka ndi zomwe zimayambitsa matendawa. Mwachitsanzo, mwa omwe adapulumuka chifukwa cha kuchepa kwa mtima ndi matenda okhudzana ndi mtima, kutha kwakanthawi kwa moyo kungakhale kwabwino, komanso thanzi komanso nthawi yayitali, chifukwa pakanthawi kochepa wodwalayo amakhala ndi vuto la mtima osadukiza, akumakulitsa mtundu wamoyo ndikufupikitsa. kutalika.

Komabe, pakudya pafupipafupi mankhwala opangidwa ndi dokotala, mosakayikira matendawo amoyo ndi thanzi adzasintha. Ndipo odwala omwe ali ndi mawonekedwe osasintha a MA olembetsedwa akadali achichepere, ndi chiphuphu choyenera, amakhala nawo mpaka zaka 20 mpaka 40.

Kapangidwe kake ndi katundu wa mankhwalawa

Mankhwalawa amapezeka m'mafakisoni mwanjira ya makapisozi. Kapisozi imodzi imakhala ndi magalamu a 0.1 a chokeberry ufa (phulusa laphiri), 0,88 magalamu a hawthorn Tingafinye, 0,04 gr. Vitamini E, 0,02 gr. magnesium oxide ndi 0,02 gr. potaziyamu citrate.

Mankhwala amachepetsa kuthamanga kwa magazi, amatulutsa magazi m'thupi ndipo amachepetsa dongosolo lamanjenje.

Zochizira

Aronia aronia imakhala ndi zinthu zambiri zofunikira zomwe zimagwiritsidwa ntchito pochiza matenda oopsa, tachycardia, atrogation ya atria ndi atherosulinosis. Imasintha magazi, imathandizanso kutupa ndipo imagwiritsidwa ntchito pakuwonjezera chisangalalo cha manjenje. Ma kapisolo amakhala ndi sorbitol, chifukwa chake amalimbikitsidwa kutenga makapisozi a shuga.

Kutulutsa zipatso kwa Hawthorn kumapangitsa magazi kulowa mumtima komanso m'mitsempha yamagazi, kumachepetsa mantha, kumachepetsa kuthamanga kwa magazi ndi shuga.

Bioadditive imafinya mitsempha yamagazi ndi mtima, imachulukitsa kayendedwe ka magazi, imachepetsa mamvekedwe amwazi, imalimbitsa makoma amitsempha yamagazi.

Kulimbitsa mtima kumathandizira pakupanga mankhwala "AD Norm"

Kodi muyenera kumwa liti mankhwalawa?

Chowonjezeracho chikuyenera kugwiritsidwa ntchito ndi:

• zotupa zosiyanasiyana zamtima,
• Mitundu yofatsa ya tachycardia ndi arrhasmia monga kothandiza,
• matenda oopsa
• minyewa yamatumbo yomwe imalumikizidwa ndi vuto la zotumphukira kwamitsempha yamagazi (angioneurosis).

Mankhwala "Ad Norma": malangizo ogwiritsira ntchito

Tengani zowonjezera malinga ndi malangizo otsatirawa:

• malingana ndi kuopsa kwa matendawa, imwani makapisozi awiri m'mawa ndi madzulo mukamadya kapena mukangomaliza kudya,
• kumwa madzi oyera (makamaka owiritsa),
• pitilizani mankhwala osachepera miyezi iwiri. Kuti mumvetsetse za nthawi ya mankhwalawa, ndikofunikira kukaonana ndi dokotala.

Mapiritsi "AD Norm" amakhudza bwino thupi la munthu

Zosiyanasiyana zamankhwala

Opanga adapititsa patsogolo mankhwalawo natulutsa mtundu watsopano - "Ad Norma Forte". Zowonjezera za marshmallow zouma ndi meadowsweet zidawonjezeredwa pokonzekera. Komanso, pofuna kuthandizira kwambiri, mavitamini E ndi C adawonjezeredwa ku mankhwalawo.

Kupindula ndi zida zofunikira kunayambitsa kuti maphunziro a mankhwalawa amatsika kuyambira miyezi iwiri mpaka masiku 20.

Kodi ndingathe kutenga mimba?

Nthawi zambiri, kuthamanga kwa magazi kumawonekera nthawi yapakati. M'masiku a USSR, madokotala samakonda kulandira chithandizo cha matenda oopsa mwa azimayi oyembekezera ndipo, pakupatuka kulikonse, adapezeka kuti ali ndi poizoni wam'mbuyo. Amayi opitilira 50 miliyoni amafa chaka chilichonse chifukwa cha matenda oopsa pa nthawi yonse yapakati. Chifukwa chake, muyenera kuyandikira kwambiri matenda ndi chithandizo cha matendawa.

Ndi zoletsedwa kumwa mankhwalawa panthawi yoyembekezera

Kodi pali fanizo lililonse la "Hell Norm"?

Ma analogues amaphatikiza zakudya zophatikiza ndi chokeberry ndi chokeberry. Mwa ena mwa malembawo ndi:

1. Beta-blockers "Nebivolol", "Egilok" atapanikizika. Mankhwalawa amagwiritsidwa ntchito pochita matenda oopsa, angina pectoris, mtima kulephera, mtima. Ndi chikhalidwe chowongolera kugunda kwa mtima.
2. Zoletsa za ACE: Captopril, mapiritsi a Lisinopril pakuwonjezeka kwa impso. Asanatenge, ndikofunikira kukaonana ndi dokotala.
3. "Indapamide" mapiritsi opondera, okodzetsa kapena "Furosemide". Mankhwala amagwiritsidwa ntchito kuchepetsa kuthamanga kwa magazi kuphatikiza ndi mankhwala ena.
4. Amathandiza bwino ndi kukakamiza "Spazmalgon". Mankhwalawa adapangira zochizira matenda amkodzo thirakiti (pamaso pa kupweteka kwa ma syndromes), matumbo am'mimba, matumbo ndi matumbo a colic, matenda a ndulu.
5. "Nimesil" yopanikizidwa siyikulimbikitsidwa kuti imwedwa, chifukwa amachepetsa mphamvu ya mankhwala omwe cholinga chake ndi kukakamiza kuthana.

Madokotala amafufuza

"Gahena yokhazikika" ndiwowonjezera pabwino pochiza matenda oopsa. Muli zosakaniza zachilengedwe komanso zaumoyo zomwe zingakuthandizeni kubwezeretsa kupsinjika kwanu munthawi yomweyo. Musanayambe kumwa, onetsetsani kuti mwawonana ndi dokotala ndikuwonetsetsa kuti simukumwa ndi mbali zina za mankhwalawa.