Obi obi - ọgwụ

Imirikiti ndị nwere obi nkụda mmụọ kwesịrị ị medicinesụ ọgwụ. A na-eji ụfọdụ ọgwụ a agwọ ọrịa gị. Ndị ọzọ nwere ike inye aka gbochie nkụda obi gị ịka njọ ma hapụ gị ka ị dị ogologo ndụ.

Ikwesiri iri otutu ogwu ogwu nke obi gi kwa ubochi. A na-ewere ụfọdụ ọgwụ otu ugboro n'ụbọchị. Ndị ọzọ kwesịrị iwere ugboro abụọ ma ọ bụ karịa kwa ụbọchị. Ọ dị ezigbo mkpa ka ị were ọgwụ gị n’oge kwesịrị ekwesị yana otu dọkịta si gwa gị.

Akwụsịla ị takingụ ọgwụ obi gị n'ebughị ụzọ gwa onye nlekọta ahụike gị. Nke a bụkwa eziokwu maka ọgwụ ndị ọzọ ị na-a ,ụ, dị ka ọgwụ maka ọrịa shuga, ọbara mgbali elu, na ọnọdụ ndị ọzọ siri ike.

Onye na-eweta gị nwekwara ike ịgwa gị ka ị were ọgwụ ụfọdụ ma ọ bụ gbanwee doses gị mgbe mgbaàmà gị na-akawanye njọ. Agbanwela ọgwụ gị ma ọ bụ doses gị n'ekwughị onye na-eweta ọrụ.

Na-agwa onye na-eweta ọrụ gị oge niile tupu gị ewere ọgwụ ọhụụ. Nke a na-agụnye ọgwụ ndị na-ere ọgwụ dịka ibuprofen (Advil, Motrin) na naproxen (Aleve, Naprosyn), yana ọgwụ ndị dị ka sildenafil (Viagra), vardenafil (Levitra), na tadalafil (Cialis).

Gwa onye na - enye gị ọrụ tupu iwere ụdị ahịhịa ma ọ bụ mgbakwunye.

ACE inhibitors (angiotensin converting enzyme inhibitors) na ARBs (angiotensin II receptor blockers) na-arụ ọrụ site na imeghe akwara ọbara na ibelata ọbara mgbali. Ọgwụ ndị a nwere ike:

• Belata ọrụ obi gị ga-arụ
• Nyere akwara obi gị aka mgbapụta nke ọma
• Mee ka obi gị ghara ịda mbà

Mmetụta ndị na-agwakarị ọgwụ ndị a gụnyere:

• Akọrọ ụkwara
• Igwe ọkụ
• Ike ọgwụgwụ
• Iwe afọ
• Dedema
• Isi ọwụwa
• Afọ ọsịsa

Mgbe ị na-a takeụ ọgwụ ndị a, ọ ga-adị gị mkpa ịnwale ọbara iji chọpụta etu akụrụ gị si arụ ọrụ nke ọma yana iji tụọ ọkwa potassium gị.

Imirikiti oge, onye na-eweta gị ga-edepụta ma ọ bụ ACE inhibitor ma ọ bụ ARB. Otu ọgwụ ọhụụ akpọrọ angiotensin receptor-neprilysin inhibitors (ARNI’s) na - ejikọ ọgwụ ọgwụ ARB na ụdị ọgwụ ọhụrụ. Enwere ike iji ARNI mee ọgwụgwọ obi.

Beta blockers na-ebelata obi gị ọnụego ma belata ike nke akwara obi gị na-arụ na obere oge. Ogologo oge beta ndị na-egbochi gị ime ka obi gị ghara ịda mbà. Ka oge na-aga ha nwekwara ike inye aka mee ka obi gị sie ike.

Ihe mgbochi beta na-ejikarị maka nkụda obi gụnyere carvedilol (Coreg), bisoprolol (Zebeta) na metoprolol (Toprol).

Akwụsịla ị takingụ ọgwụ ọjọọ ndị a n’otu ntabi anya. Nke a nwere ike ime ka ohere angina na ọbụlagodi obi ọgụ. Mmetụta ndị ọzọ na-agụnye isi ọwụwa, ịda mbà n'obi, ike ọgwụgwụ, na ncheta ncheta.

Diuretics na enyere ahu gi aka inweta oke mmiri. Fọdụ ụdị nke diuretics nwekwara ike inye aka n'ụzọ ndị ọzọ. A na-akpọkarị ọgwụ ndị a "ọgwụ mmiri." E nwere ọtụtụ ụdị diuretics. A na-ewere ụfọdụ otu ugboro n'ụbọchị. Ndị ọzọ na-ewere ugboro 2 n'ụbọchị. Typesdị ndị a na-ahụkarị bụ:

• Thiazides. Chlorothiazide (Diuril), chlorthalidone (Hygroton), indapamide (Lozol), hydrochlorothiazide (Esidrix, HydroDiuril) na metolazone (Mykrox, Zaroxolyn)
• Loop diuretics. Bumetanide (Bumex), furosemide (Lasix), na torasemide (Demadex)
• Ndi mmadu na-echekwa ihe ndi ozo. Amiloride (Midamor), spironolactone (Aldactone), na triamterene (Dyrenium)

Mgbe ị na-a medicinesụ ọgwụ ndị a, ị ga-achọ nyocha ọbara oge niile iji chọpụta etu akụrụ gị si arụ ọrụ nke ọma ma tụọ ọkwa potassium gị.

Ọtụtụ ndị nwere ọrịa obi na-ewere ọgwụ aspirin ma ọ bụ clopidogrel (Plavix). Ọgwụ ndị a na-enyere aka igbochi mkpụkọ ọbara n’ịkpụzi akwara gị. Nke a nwere ike belata ihe ọghọm gị nke ọrịa strok ma ọ bụ nkụchi obi.

A na-atụ aro Coumadin (Warfarin) maka ndị ọrịa nwere nkụda obi nwere nnukwu ihe egwu maka mkpụkọ ọbara.Ikwesiri inyocha ule obara iji jide n'aka na ogwu gi kwesiri. I nwekwara ike ịgbanwe ihe ị na-eri.

Ọgwụ ndị a na-ejikarị eme ihe maka nkụda obi gụnyere:

• Digoxin iji nyere aka mee ka mgbapụta obi na-agba ume ma belata oge obi.
• Hydralazine na nitrates imeghe akwara ma nyere akwara obi aka imepụta nke ọma. A na-ejikarị ọgwụ ndị a eme ihe site n'aka ndị ọrịa na-enweghị ike ịnabata ndị na-eme ihe na ACE na ndị na-egbochi ndị na-anabata ihe na angiotensin.
• Ndị na-egbochi ọwa calcium iji chịkwaa ọbara mgbali ma ọ bụ angina (mgbu obi) site na ọrịa akwara obi (CAD).

A na-eji Statins na ọgwụ ndị ọzọ na-eme ka a ghara igbu cholesterol mgbe ọ dị mkpa.

Mgbe ụfọdụ, ndị na-arịa ọrịa obi na-enwekarị nsogbu obi na-eji ọgwụ ndị na-egbochi ọgwụ eme ihe. Otu ọgwụ dị otú ahụ bụ amiodarone.

Ọgwụ ọhụrụ, Ivabradine (Corlanor), na-eme ihe iji belata obi obi ma nwee ike inyere ndị nwere nkụda mmụọ aka site na mbenata oke ọrụ obi.

CHF - ọgwụ; Ọrịa obi na - egbochi mmadụ - ọgwụ; Cardiomyopathy - ọgwụ; HF - ọgwụ

Nwoke DL. Nchịkwa nke ndị ọrịa nwere nkụda obi na mbelata ọpụpụ. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier Saunders; 2019: isi 25.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA lekwasịrị anya nke usoro 2013 ACCF / AHA maka njikwa nke ọdịda obi: akụkọ nke American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Ọdịda Cardiac. Ọrịa. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

Yancy CW, Jessup M, Bozkurt B, et al. Ntuziaka 2013 ACCF / AHA maka njikwa nke ọdịda obi: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Mgbaghari. Ọrịa. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Mmebi nke Obi