Izikhuthazo ezithile kanye nezidakamizwa zokucindezeleka zingadala ukuhluleka kwenhliziyo
Abantu abahlala nenhliziyo ye-congestive failure (CHF) kumele bazi ukuthi imithi abayigwema ibaluleke kakhulu njengabo abayithathayo.
Ukuhluleka kwenhliziyo, lapho inhliziyo ayikwazi ukuhlinzeka khona ngegazi okwanele ebuchosheni, isibindi, izinso, nezinye izitho, zingaba phakathi komnene kuze kube nzima. Ezinye izidakamizwa, kufaka phakathi eziningi ezisetshenziselwa ukwelapha ezinye izifo, zingase zibe nzima kakhulu isimo, ngakho kufanele zisetshenziswe kuphela ngokugunyazwa nodokotela wakho.
Izinhlobo eziningi zezidakamizwa zingenza ukwehluleka kwenhliziyo kukhulise ukucindezeleka kwegazi nokushaya kwenhliziyo, ukudala ukushaya kwenhliziyo okungavamile noma ukudala ukukhipha oketshezi. Ake sibabheke.
Izidakamizwa ezingavumelani nezidakamizwa ezingekho emthethweni (ama-NSAID)
Le mithi ihlanganisa i-aspirin, ibuprofen (Advil, Motrin), ne-naproxen (i-Aleve, i-Naprosyn), enikezwa ukukhulula ubuhlungu nokuvuvukala. Ngisho nokusebenzisa isikhathi esifushane kungakhuphula ukucindezelwa kwegazi futhi kuphazamise izidakamizwa zegazi-ukunciphisa.
Imikhiqizo eminingi yokukhwehlela kanye nokubandayo iqukethe ama-NSAID. Isixwayiso esifanayo senza i-COX-2 inhibitors, njenge-celecoxib (iCelebrex).
Thiazolidinediones
I-Rosiglitazone kanye ne-pioglitazone yizibonelo ezimbili zalesi sifundo sesifo sikashukela, esingabangela amazinga anobungozi bokugcina amanzi ezigulini ezinokuhluleka kwenhliziyo ngokulinganisela.
Ukwelashwa Kwama-Hormone Alternative and Oral Contraceptives
Zombili lezi mithi zingaphakamisa ingcindezi yegazi. Ukukhulelwa, ngaphakathi kwayo, kungabangela nomfutho wegazi ophakeme (umfutho wegazi ophezulu).
Izikhuthazo
Izidakamizwa ze-Psychotropic esetshenziselwa ukwelapha ukukhathazeka kokungabi nokugula (ADHD) ziwela esigabeni esishukumisayo, kuhlanganise ne-Adderall (i-amphetamine) ne-methylphenidate (i-Ritalin, i-Concerta). Le mithi ivame ukwandisa umfutho wegazi futhi ukwandise izinga lokushaya kwenhliziyo. Amaphilisi amaningi okuthiwa ukudla nawo ayakhuthaza.
I-Chemotherapy Izidakamizwa
I-Anthracyclines, kuhlanganise ne-doxorubicin (i-Adriamycin) evame ukusetshenziswa kakhulu, ingenye yemithi ephumelela kakhulu ye-chemotherapy, kodwa ingalimaza imisipha yenhliziyo. Ukunikeza le mithi isikhathi eside kunomthamo ophansi kungenza kube nokuphepha kweziguli eziningi.
Ama-antidepressants
Ukwelapha ukucindezeleka kungaba okubaluleke kakhulu ezigulini ezinesifo senhliziyo. Kodwa, uma unesifo senhliziyo, lokhu kukwelashwa kufanele kwenziwe ngokucophelela.
Ukuphakama kwengcindezi yegazi kungaholela ngokuthatha i-noradrenaline reuptake inhibitors, kufaka phakathi i-venlafaxine (Effexor). Ukwenyuka kwenhliziyo kungabangwa yi-tricyclics, efaka amitriptyline (Elavil). Umfutho wegazi ophakeme kanye nokushaya kwenhliziyo okungavamile kungabangela ukuxuba i-monoamine oxidase inhibitors (MAOIs), efaka i-phenelzine (i-Nardil), ngezinye izinhlobo zezinyosi, iwayini, nama-pickle.
Izidakamizwa ezingekho emthethweni
I-Cocaine ne-methamphetamine ingabangela ukukhuphuka ngokungazelelwe kwegazi nokushaya kwenhliziyo. I-cocaine nayo ingaba yinkimbinkimbi ekamelweni lokushaya inhliziyo.
Ezinye izidakamizwa
Esinye isidakamizwa, i-sildenafil (i-Viagra), evame ukuqondiswa ukungasebenzi kahle kwe-erectile, ayiphephile kuphela kodwa inenzuzo ngempela kwezinye iziguli zokuhluleka kwenhliziyo-kokubili amadoda nabesifazane, ngokwe- International Journal of Cardiology .
Ngokwandisa ukugeleza kwegazi enhliziyweni, lesi sidakamizwa siphuthumisa ukutakula futhi sithuthukisa amandla okusebenzisa, kanye nokukwazi ukujabulela ubulili. Ngenxa yokuthi i-sildenafil ingaba nokusebenzisana kabi nezinye izidakamizwa, ukusetshenziswa kwayo kufanele kuqondiswe udokotela.
> Imithombo:
> Umculi, uStephen, et al. "Indlela Ebukelwe Ebufakazi Yokuphathwa Kwe-Pulmonary Hypertension Arterial Hypertension." I-cardiology. 21: 4 (2006): 385-392.
> Boltan, David, et al. "Ukungaphumeleli Kwenhliziyo Okutholakele ku-Chemotherapy ye-Testicular Neoplasm." I-Baylor Health Care System. 19: (2006): 124-25.
> Guazzi, Marco, et al. "Izinyanga Eziyisithupha Zokwelashwa Kwe-Sildenafil Kuthuthukisa Ukubuyiswa Kwezindleko Zezinhliziyo Ezigulini Ezinenkani Ye-Heart." I-International Journal of Cardiology.
> Mukherjee, Debabrata, et al. "Izidakamizwa Eziphikisana Nezifo Eziphikisayo NeNhliziyo: Iyini Ingozi ?." Le Jacq. 14: 2 (2008): 75-82.
> "Imithi Evame Ukusetshenziselwa Ukwelapha Ukwehluleka Kwenhliziyo." I-American Heart Association. 2008.