Nje malunga ichiza "Verapamil": imiyalelo zokusetyenziswa kwizigulana

Zonke yesibini intliziyo yethu isebenza, ukunceda ukuba langutana ni ntshikilelo, ngokwasemzimbeni kunye ntshikilelo engqondweni. Lihlale nje ngesekhondi. Akumangalisi ukuba intliziyo - omnye ezo imizimba abagulayo kwindawo yokuqala, ukuba indlela ubomi sikude egqibeleleyo. Mzuzwana ngamnye, nto ibetha, beninikela izondlo kuzo zonke ezinye ancedisana amalungu, kwaye anika ubomi negesi - oksijini. Kodwa maxa wambi kukho ulambile kakhulu, le meko kuthiwa ischemia. Kwiimeko ezinjalo, ugqirha uyakukumisela ichiza "Verapamil".

Imiyalelo yokusebenzisa imisela ukusetyenziswa isixhobo ukuthintela "oksijini yindlala" wentliziyo, oko kukuthi ischemia. Ichiza ezimiselweyo abo bathwaxwa owayehlamba igazi zaneleyo zokwenza izihlunu ngentliziyo, kwaye kuyanceda ukwenza amathuba uhlaselo ngaphantsi. Kubaluleke ngokukodwa ukuba usele amayeza "Verapamil 'abo banotyekelo kwindawo kobuchopho lukhatshwa iyangongoza kunye extrasystoles.

Oogqirha musa sihlala siyazi indlela yokusebenza ye ichiza "Verapamil". Ukuze ixesha elide bekukholeleka ukuba ayisayicinezeli impembelelo ye novelwano NS intliziyo. Kodwa muva nje lufumanise ukuba isiphumo eziyintloko ichiza kukuba litshintsha iimpawu imisipha yenhliziyo ngokwayo, hayi kanye mandithi, izenzo kwi calcium yokucolwa kwizisele zawo. Noko ke, ichiza "Verapamil" enza, yaye oko kwakwanele. Oogqirha wayefanele ukuba bacinge malunga nefuthe layo phezu NS novelwano ngenene, kuba uchaphazela nethe adrenaline, ukunciphisa uvakalelo entliziyweni. Kodwa ke akukho kubaluleke kakhulu, eyona nto ibalulekileyo kukuba intliziyo kufuneka ulambe ngaphantsi ngokufuthi izigulane abafumana amayeza "Verapamil".

Imiyalelo yokusebenzisa ucacisa ukuba imithambo yegazi kuthetha imikhosi intliziyo ukwandisa, ukunyuka flow igazi kangangokuba kunqabile engoyena intliziyo isimo yokunqongophala kwe-oksijini. Ukongeza, phantsi kwempembelelo yeziyobisi ngakumbi kwezoqoqosho intliziyo isebenzisa ioksijini, ngoko xa simo kuye ibango mpilo lathotywa kakhulu, yaye akuyomfuneko ukuba kube kubi intliziyo njengoko uya kuba phantsi ischemia kakhulu. Kakade ke, 100% alumkise kubenzima inhliziyo akukho amayeza, kodwa iziyobisi "Verapamil" ivumela intliziyo abafane eyele ngobume ischemia.

Ukongeza, i-myocardium lifinyele ngaphantsi phantsi kwempembelelo yayo. Kodwa iimpahla ezifanayo ngaphandle kwentliziyo phantsi kwempembelelo amayeza uvuleke nentliziyo kufuneka ukusebenza ngaphantsi, ngoko ke umthamo wegazi betekisi uVuyo enye, akatshintshi kakhulu.

Yintoni enye ngenxa yempembelelo efanelekileyo ichiza "Verapamil"? Imiyalelo yokusebenzisa ithi kuphungula zegazi udibaniso, nto leyo ibaluleke kakhulu ukuthintela ukuyilwa egazi igazi kunokwenzeka ngenxa iposi engabalulekanga.

Ngazo ekuqaleni kweli nqaku arrhythmia (extrasystole), ingaba eli chiza Ephumelelayo "Verapamil '? Imiyalelo yokusebenzisa ibhekisa abaphandi isifundo, engqina ukuba ichiza Sisiza arrhythmia. Ngaphezu koko, uyayivuselela umchamo Ukwakheka, apho xi kunciphisa. Kodwa kwangaxeshanye inceda kwiiseli ze myocardium ukugcina potassium okhoyo.

Kubalulekile kwakhona ukuba kuza isiphumo unciphiso ekuhambeni kwexesha, xa kuthelekiswa namanye amachiza afanayo. Oko kukuthi, emva kweminyaka embalwa ngokusebenzisa ichiza "Verapamil" iya kuba kanye njengokuba yimpumelelo njengokuba kanye ekuqaleni amayeza.

Umntu akakwazi ukuthatha eli chiza ngexesha lokukhulelwa, ngoko nangoko emva iqhosha, xa enesifo kunciphise xi kwaye ngaxeshanye beta-blocker. Kodwa kudla wazi ngentliziyo yonke ugqirha, singakwazi ukoyika ukuba uya kuba into eyingozi.

Phakathi iziphumo ebezingalindelekanga - nokudumba peripheral, ukuqhina, isiyezi kunye noxinzelelo maxa wambi neze ephantsi. Kodwa ke, ukuba akukho negazi, iingenelo yokunyuselwa kuthetha licace ngaphezu minuses.