Kutadza kwemoyo - mishonga

Vazhinji vanhu vane moyo kukundikana vanoda kutora mishonga. Mimwe yemishonga iyi inoshandiswa kurapa zviratidzo zvako. Vamwe vanogona kubatsira kudzivirira kutadza kwemoyo wako kubva pakuipa uye kukurega urarame kwenguva yakareba.

Iwe unozofanirwa kutora yakawanda yemoyo wako kutadza mishonga mazuva ese. Mimwe mishonga inotorwa kamwe chete pazuva. Zvimwe zvinoda kutorwa kaviri kana kupfuura pazuva. Zvakakosha kuti utore mishonga yako panguva yakakodzera uye nenzira yawakaudzwa nachiremba wako.

Usambofa wakarega kutora moyo wako mishonga usati wataura nemubatsiri wako wehutano kutanga. Izvi ndezvechokwadiwo kune mimwe mishonga yaunotora, senge mishonga yechirwere cheshuga, kuwedzerwa kweropa, uye zvimwe zvakakomba mamiriro.

Mupiki wako anogona zvakare kukuudza iwe kuti utore mimwe mishonga kana kushandura madosi ako kana zviratidzo zvako zvanyanya. Usachinje mishonga yako kana madhizaina pasina kutaura nemupi.

Nguva dzose udza mupi wako usati watora chero mishonga mitsva. Izvi zvinosanganisira zvinopfuura-the-counter mishonga yakadai seibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn), pamwe nemishonga yakadai sildenafil (Viagra), vardenafil (Levitra), uye tadalafil (Cialis).

Uyezve udza mupi wako usati watora chero mhando yemiriwo kana yekuwedzera.

ACE inhibitors (angiotensin inoshandura enzyme inhibitors) uye maARB (angiotensin II receptor blockers) anoshanda nekuvhura tsinga dzeropa uye kudzikisa BP. Iyi mishonga inogona:

• Deredza basa rinofanira kuitwa nemoyo wako
• Batsira moyo wako mhasuru pombi zvirinani
• Chengetedza kukundikana kwemoyo wako kubva pakuwedzera

Zvakajairika mhedzisiro mhedzisiro yemishonga iyi inosanganisira:

• Kuoma kukosora
• Musoro wakareruka
• Kuneta
• Kushungurudzika mudumbu
• Edema
• Kutemwa nemusoro
• Manyoka

Paunotora mishonga iyi, uchafanirwa kuongororwa ropa kuti uone kuti itsvo dzako dziri kushanda zvakadii uye kuyera huwandu hwe potassium.

Kazhinji yenguva, mupi wako anozopa chero ACE inhibitor kana ARB. Kirasi nyowani yemishonga inonzi angiotensin receptor-neprilysin inhibitors (ARNI's) inosanganisa mushonga weARB nemhando nyowani yemushonga. ARNI inogona kushandiswa kurapa kutadza kwemoyo.

Beta blockers inononoka kurova kwemoyo wako uye inoderedza simba iro nemisungo yemwoyo wako zvibvumirano munguva pfupi. Yenguva refu beta blockers anobatsira kuchengetedza moyo wako kukundikana kubva pakuwedzera. Nekufamba kwenguva ivo vanogona zvakare kubatsira kusimbisa moyo wako.

Kazhinji beta blockers anoshandiswa kutadza kwemoyo anosanganisira carvedilol (Coreg), bisoprolol (Zebeta), uye metoprolol (Toprol).

Usamise kamwe kamwe kutora mishonga iyi. Izvi zvinogona kuwedzera njodzi ye angina uye kunyangwe chirwere chemwoyo. Mimwe mhedzisiro mhedzisiro inosanganisira kuchena musoro, kushushikana, kuneta, uye kurasikirwa ndangariro.

Diuretics inobatsira muviri wako kubvisa imwe mvura. Mimwe mhando ye diuretics inogona zvakare kubatsira mune dzimwe nzira. Iyi mishonga inowanzonzi "mapiritsi emvura." Kune akawanda marangi e diuretics. Zvimwe zvinotorwa kamwe chete pazuva. Vamwe vanotorwa ka2 pazuva. Mhando dzakajairika ndeidzi:

• Thiazides. Chlorothiazide (Diuril), chlorthalidone (Hygroton), indapamide (Lozol), hydrochlorothiazide (Esidrix, HydroDiuril), uye metolazone (Mykrox, Zaroxolyn)
• Loop diuretics. Bumetanide (Bumex), furosemide (Lasix), uye torasemide (Demadex)
• Potassium-inodzivirira vamiririri. Amiloride (Midamor), spironolactone (Aldactone), uye triamterene (Dyrenium)

Paunotora mishonga iyi, iwe unozoda kuongororwa ropa nguva dzese kuti uone kuti itsvo dzako dziri kushanda zvakadii uye kuyera huwandu hwe potassium.

Vanhu vazhinji vane chirwere chemwoyo vanotora aspirin kana clopidogrel (Plavix). Iyi mishonga inobatsira kudzivirira kugwamba kweropa kubva mukuumba mune yako arteri. Izvi zvinogona kudzikisa njodzi yako yesitiroko kana chirwere chemwoyo.

Coumadin (Warfarin) inokurudzirwa kune varwere vane kutadza kwemoyo vane njodzi yakanyanya yekugwamba kweropa.Iwe unozofanirwa kuve nekuwedzera kuongororwa kweropa kuti uve nechokwadi chekuti dhizaini yako ndeyechokwadi. Iwe unogona zvakare kuda kuti uchinje kuchikafu chako.

Zvinodhaka zvinoshandiswa zvisingawanzo kuitika pakutadza kwemoyo zvinosanganisira:

• Digoxin kubatsira kuwedzera simba repombi remoyo uye kudzikisira kurova kwemoyo.
• Hydralazine uye nitrate kuvhura tsinga uye kubatsira iyo moyo mhasuru pombi zvirinani. Iyi mishonga inonyanya kushandiswa nevarwere vasingakwanise kutsungirira ACE inhibitors uye angiotensin receptor blockers.
• Calcium chiteshi blockers kudzora BP kana angina (kurwadziwa pachipfuva) kubva ku coronary arteri chirwere (CAD).

Statins uye mamwe cholesterol-kudzikisa zvinodhaka zvinoshandiswa pazvinenge zvichidikanwa.

Antiarrhythmic mishonga dzimwe nguva inoshandiswa nevarwere vanokundikana vane avo vasina kujairika moyo mutinhimira. Imwe yemishonga yakadaro iamiodarone.

Mushonga mutsva, Ivabradine (Corlanor), unoita kudzikisa kurova kwemoyo uye unogona kubatsira vanhu vane kusakwana kwemoyo nekudzora moyo 'yebasa.

CHF - mishonga; Kusagadzikana kwemoyo kukundikana - mishonga; Cardiomyopathy - mishonga; HF - mishonga

Mann DL. Manejimendi yevarwere vane moyo kutadza neakaderedzwa ejection chidimbu. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: chitsiko 25.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA yakatarisa kuvandudzwa kwegore ra2013 ACCF / AHA nhungamiro ye manejimendi ekundikana kwemoyo: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro uye iyo Inokanganisa Mwoyo Sangano reAmerica. J Cardiac Kukundikana. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA nhungamiro yeiyo manejimendi ekundikana kwemoyo: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira. Kutenderera. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

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