Izinhlobo eziyisithupha zamakhambi ezithinta inhliziyo

-Delile

• 1. Ama-anti-depressants e-Tricyclic
• 2. Ama-anti-inflammatories
• 3. Izindlela zokuvimbela inzalo
• 4. Ama-Antipsychotic
• 5. Ama-Antineoplastics
• 6. ILevodopa

Kunamakhambi amaningana okuthi noma engasetshenziswanga ukwelapha izinkinga zenhliziyo, abe nomthelela esithombeni, okungathi, ngokuhamba kwesikhathi, kungadala ushintsho oluholela ekuveleni kwesifo senhliziyo.

Amanye ala makhambi, njenge-anti-depressants, anti-inflammatories kanye nezindlela zokuvimbela inzalo, ngokwesibonelo, asetshenziswa kakhulu futhi, ngakho-ke, kungakuhle ukuthi uthathe kuphela lolu hlobo lwamakhambi ngokuqondiswa udokotela, ikakhulukazi lapho kudingeka uwasebenzise isikhathi eside. isikhathi.

1. Ama-anti-depressants e-Tricyclic

Lolu hlobo lwe-anti-depressants lusetshenziswa ikakhulukazi ezimweni ezinzima kakhulu zokudangala, njengoba zidala imiphumela emibi enamandla engathinta inhliziyo, ibangele ukwanda kwesilinganiso senhliziyo, ukwehla kwengcindezi yegazi lapho isukuma, izinguquko ekusebenzeni kukagesi kwe inhliziyo futhi kungenza umsebenzi ube nzima kakhulu ngama-ventricles.

Kodwa-ke, uma isetshenziswe kahle futhi ngemithamo elawulwayo, le mithi inengozi encane yezinkinga zenhliziyo futhi ingasetshenziswa ngemuva kokuhlolwa okunamandla kwezokwelapha.

Izibonelo ze-tricyclic antidepressants: amitriptyline, clomipramine, desipramine, nortriptyline, desipramine, imipramine, doxepine, amoxapine noma maprotiline.

2. Ama-anti-inflammatories

Ezinye izidakamizwa ezingezona ukuvuvukala zisebenza ngokuvimbela ama-renal prostaglandin, angadala ukuqoqwa koketshezi emzimbeni. Ngakho-ke, ingcindezi yenhliziyo iyakhula futhi, uma igcinwa isikhathi eside, ingadala ukunwetshwa kwemisipha yenhliziyo, okungaholela ekuhlulekeni kwenhliziyo, ngokwesibonelo.

Lo mphumela usengabonakala kweminye imishanguzo ye-corticosteroid, noma kunjalo, kulolu hlobo lwemithi kuseneminye imiphumela efana nezinkinga zombono noma ukubuthaka kwamathambo, futhi kufanele isetshenziswe kuphela ngokuholwa udokotela. Funda kabanzi mayelana nokuthi ama-corticosteroids awuthinta kanjani umzimba.

Izibonelo zemithi elwa nokuvuvukala ethinta inhliziyo: i-phenylbutazone, i-indomethacin namanye ama-corticosteroids, njenge-hydrocortisone.

3. Izindlela zokuvimbela inzalo

Izindlela zokuvimbela inzalo ezisuselwa ku-Estrogen bezilokhu zixhunyaniswa nokwakhiwa kwezinkinga zenhliziyo, ezifana nomfutho wegazi ophakeme, isifo senhliziyo noma isifo sohlangothi. Kodwa-ke, ngemithamo encishisiwe, le ngozi iphansi kakhulu, icishe ingabi bikho.

Kodwa-ke, lolu hlobo lokuvimbela inzalo lwenyusa nengozi ye-venous thrombosis, ikakhulukazi kwabesifazane abaneminyaka engaphezu kwengama-35 ubudala. Ngakho-ke, ukusetshenziswa kwezindlela zokuvimbela inzalo kufanele njalo kuhlolwe nodokotela wezifo zabesifazane ukuthola izinto ezingaba yingozi.

Izibonelo zokuvimbela inzalo ezithinta inhliziyo: UDiane 35, uSelene, uCiclo 21, uLevel, uMicrovlar, uSoluna, uNorestin, uMinulet, uHarmonet, uMercilon noma uMarvelon.

4. Ama-Antipsychotic

Ama-antipsychotic asetshenziswa kakhulu ukuqeda izimpawu zezinkinga zengqondo, futhi kunezinhlobo eziningana, ngokusho kwenkinga edinga ukwelashwa. Ngaphakathi kwalolu hlobo, i-phenothiazine antipsychotic ikhiqiza imiphumela emibi engathinta inhliziyo, njengokuncipha okuphawulekayo kwengcindezi yegazi kanye ne-arrhythmias, ezimweni ezingavamile.

Ngaphezu kwalokho, i-phenothiazine antipsychotic nayo ingahle ihlobene nengozi eyengeziwe yokufa okungazelelwe, ngakho-ke kufanele isetshenziswe kuphela ngezeluleko zezokwelapha nangaphansi kokuhlolwa okuvamile.

Izibonelo ze-phenothiazine antipsychotic ezithinta inhliziyo: thioridazine, chlorpromazine, triflupromazine, levomepromazine, trifluoperazine noma i-fluphenazine.

5. Ama-Antineoplastics

Ama-Antineoplastic agents asetshenziselwa ukwelashwa ngamakhemikhali futhi, yize esiza ukuqeda amangqamuzana ezimila, abuye abe nemiphumela emibi eminingi ethinta umzimba wonke. Imiphumela ejwayelekile enhliziyweni ifaka phakathi izinguquko emandleni emisipha yenhliziyo, i-arrhythmias, ukuncipha kwengcindezi yegazi kanye nezinguquko ekusebenzeni kukagesi kwenhliziyo, okungadala ukwehluleka kwenhliziyo, ngokwesibonelo.

Yize benayo yonke le miphumela, ama-antineoplastic agents ngokuvamile ayadingeka ukusindisa impilo yesiguli futhi, ngakho-ke, asetshenziselwa ukulwa nomdlavuza, noma ngabe angadala ezinye izinkinga, ezingabuye zelashwe ngokuhamba kwesikhathi.

Izibonelo zama-antineoplastics athinta inhliziyo: doxorubicin, daunorubicin, fluorouracil, vincristine, vinblastine, cyclophosphamide noma i-mitoxantrone.

6. ILevodopa

I-Levodopa ingesinye sezidakamizwa ezisetshenziswa kakhulu ekwelapheni amacala kaParkinson, noma kunjalo, ingadala ushintsho olubalulekile lwenhliziyo olufana ne-arrhythmias noma ukwehla okuphawulekayo kwengcindezi yegazi lapho imile, ngokwesibonelo.

Ngakho-ke, abantu abelashwa ngalo muthi kufanele babonane njalo nodokotela wezinzwa nodokotela wenhliziyo ukuhlola imiphumela yeLevodopa emzimbeni.