Zokakamiza zina ndi zowonongeka zingapangitse mtima kulephera
Anthu omwe ali ndi vuto la mtima wamtima (CHF) ayenera kudziwa kuti mankhwala omwe amapewa ndi ofunika kwambiri monga momwe amachitira.
Kulephera kwa mtima, kumene mtima sungapereke magazi okwanira ku ubongo, chiwindi, impso, ndi ziwalo zina, zimatha kukhala zochepa mpaka zochepa. Mankhwala ena, kuphatikizapo ambiri omwe amachiza matenda ena, akhoza kuvulaza vutoli, choncho ayenera kugwiritsidwa ntchito ndi chivomerezo cha dokotala wanu.
Mitundu yambiri ya mankhwala ingapangitse mtima kuchepa mwa kukweza kuthamanga kwa magazi ndi kuthamanga kwa mtima, kupanga chibwibwi chosagwirizana ndi mtima kapena kuyambitsa madzi okwanira. Tiyeni tiyang'ane pa iwo.
Mankhwala Osakaniza Mankhwala Opanda Matenda (NSAIDs)
Mankhwalawa ndi aspirin, ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Naprosyn), omwe amaperekedwa kuti athetse ululu ndi kutupa. Ngakhale kugwiritsidwa ntchito kwafupipafupi kungapangitse kuti magazi asakanikizidwe komanso kusokoneza mphamvu ya magazi-kuchepetsa mankhwala.
Mankhwala ambiri omwe amadwala kwambiri komanso amodzi ozizira amakhala ndi NSAID. Chenjezo lomwelo limaperekedwa kwa COX-2 inhibitors, monga celecoxib (Celebrex).
Thiazolidinediones
Rosiglitazone ndi pioglitazone ndi zitsanzo ziwiri za mankhwalawa a shuga, zomwe zingachititse kuti odwala ali ndi vuto lopweteketsa mtima.
Mankhwala Othandizira Kukhalanso Amadzimadzi ndi Mankhwala Opatsirana Mwamwayi
Mankhwalawa amatha kutulutsa magazi. Mimba, mkati mwake, ingayambitsenso kuwonjezera kuthamanga kwa magazi (kuthamanga kwa magazi).
Zolimbikitsa
Mankhwala a Psychotropic omwe amagwiritsidwa ntchito pofuna kuchepetsa vuto la kusokonezeka kwa matenda (ADHD) amalowa m'gulu lolimbikitsa, kuphatikizapo Adderall (amphetamine) ndi methylphenidate (Ritalin, Concerta). Mankhwalawa nthawi zambiri amalimbikitsa kuthamanga kwa magazi ndi kuwonjezera kuchuluka kwa mtima. Ambiri omwe amachititsa kuti mapiritsi azisamalidwe amathandizanso.
Chemotherapy Mankhwala Osokoneza Bongo
Anthracyclines, kuphatikizapo doxorubicin (Adriamycin) yomwe imagwiritsidwa ntchito kawirikawiri, ndi imodzi mwa mankhwala othandiza kwambiri a chemotherapy, koma imatha kuwononga minofu ya mtima. Kupereka mankhwalawa kwa nthawi yayitali pamayeso ochepa kungapangitse odwala ambiri kukhala otetezeka.
Kudetsa nkhaŵa
Kuchiza kupweteka kungakhale kofunikira kwambiri kwa odwala omwe ali ndi matenda a mtima. Koma, pamene muli ndi vuto la mtima, mankhwalawa ayenera kuchitidwa mosamala.
Kuthamanga kwa magazi kungabwere chifukwa chotenga noradrenaline reuptake inhibitors, kuphatikizapo venlafaxine (Effexor). Kuwonjezeka kwa mtima kumabwera chifukwa cha tricyclics, zomwe zimaphatikizapo amitriptyline (Elavil). Kuthamanga kwa magazi ndi kuthamanga kwa mtima kosasunthika kungakhale kusokoneza monoamine oxidase inhibitors (MAOIs), kuphatikizapo phenelzine (Nardil), ndi tizilombo tina, vinyo, ndi pickles.
Mankhwala Oletsedwa
Cocaine ndi methamphetamine zingachititse kuwonjezereka kwadzidzidzi kwa kuthamanga kwa magazi ndi kuthamanga kwa mtima. Cocaine ikhoza kuyimitsa chipinda cha mtima chokoka.
Mankhwala Ena
Mankhwala ena, sildenafil (Viagra), omwe nthawi zambiri amatchulidwa kuti asagwire bwino ntchito, sakhala otetezeka koma amakhala opindulitsa kwa odwala ena olephera mtima-amuna ndi akazi, malinga ndi International Journal of Cardiology .
Poonjezera kuthamanga kwa magazi kumtima, mankhwalawa amachepetsa kupuma komanso amachititsa kuti ntchitoyo ikhale yotheka, kuphatikizapo kukondwerera kugonana. Chifukwa sildenafil ikhoza kusokonezana ndi mankhwala ena, ntchito yake iyenera kuyang'aniridwa ndi dokotala.
> Zotsatira:
> Msilikali, Stephen, et al. "Njira Yogwirizana ndi Utsogoleri wa Kupatsirana kwa Mitsempha Yambiri ya Matenda." Kusamalira thupi. 21: 4 (2006): 385-392.
> Boltan, David, ndi al. "Kulephera kwa Mtima Kuchokera ku Chemotherapy kwa Testicular Neoplasm." Baylor Health Care System. 19: (2006): 124-25.
> Guazzi, Marco, et al. "Miyezi Isanu ndi umodzi ya Sildenafil Therapy Amapangitsa Kuti Odwala Amtima Asathenso Kusintha Maganizo Awo." International Journal of Cardiology.
> Mukherjee, Debabrata, et al. "Mankhwala Osakanikirana ndi Opatsirana ndi Mtima: Kodi Vuto Ndi Chiyani ?." Le Jacq. 14: 2 (2008): 75-82.
> "Mankhwala Amagwiritsidwa Ntchito Kowopsa Mtima." American Heart Association. 2008.