Ọgwụ Obi Mwakpo

Ndinaya

• Beta-igbochi
• Angiotensin-na-agbanwe enzyme (ACE)
• Antiplatelet ndị ọrụ
• Anticoagulants
• Ọgwụ Thrombolytic
• Gwa dọkịta gị

Nchịkọta

Ọgwụ nwere ike ịbụ ngwa ọrụ dị mma n'ịgwọ infarction myocardial, nke a makwaara dị ka nkụchi obi. O nwekwara ike inye aka igbochi mwakpo n'ọdịnihu.

Differentdị ọgwụ dị iche iche na-arụ ọrụ n'ụzọ dị iche iche iji mezuo ebumnuche ndị a. Iji maa atụ, ọgwụ mwakpo obi nwere ike inye aka:

• belata ọbara mgbali elu
• gbochie mkpụkọ mkpụkọ n’ime arịa ọbara gị
• igbari mkpụkọ ma ọ bụrụ na ha na-etolite

Nke a bụ ndepụta nke ọgwụ nkụchi obi nkịtị, otu ha si arụ ọrụ, ihe kpatara eji ha eme ihe, na ihe atụ nke ọ bụla.

Beta-igbochi

Beta-blockers na-ewerekarị ọgwụgwọ dị mma mgbe nkụchi obi gasịrị. Beta-blockers bu udi ogwu ndi eji agwo obara mgbali elu, obi mgbu, na obi ojoo.

Ọgwụ ndị a na - egbochi mmetụta nke adrenaline, nke na - eme ka ọ dịrị gị mfe ime obi gị ịrụ ọrụ ya. Site n'ibelata ọsọ na ike nke obi gị, ọgwụ ndị a na-enyere aka belata ọbara mgbali gị. N'ihi nke a, ndị na-egbochi beta na-ebelata ihe mgbu obi ma melite nrugharị ọbara mgbe nkụchi obi gasịrị.

Ufodi ihe omuma atu nke ndi beta bu ndi nwere oria obi bu:

• atenolol (Tenormin)
• ihe osise (Coreg)
• metoprolol (Toprol)

Angiotensin-na-agbanwe enzyme (ACE)

Angiotensin-converting enzyme (ACE) inhibitors gwọkwara ọbara mgbali elu na ọnọdụ ndị ọzọ, dị ka nkụda obi na nkụchi obi. Ha na-egbochi, ma ọ bụ na-egbochi mmepụta nke enzyme nke na-eme ka arịa gị belata. Nke a nwere ike inye aka mee ka ọbara gị dịkwuo mma site na izu ike na imepe akwara ọbara gị.

Ọbara dị mma nwere ike inye aka belata nkụda obi na mmebi ọzọ mgbe nkụchi obi gasịrị. Ndị na-eme ihe ike ACE nwedịrị ike inye aka gbanwee mgbanwe usoro na obi nke ọbara mgbali elu ogologo oge kpatara. Nke a nwere ike inyere obi gị aka ịrụ ọrụ nke ọma n'agbanyeghị akụkụ akwara mebiri emebi nke nkụchi obi kpatara.

Ihe Nlereanya nke ndị na-emechi ACE gụnyere:

• benazepril (Lotensin)
• okpu (Capoten)
• Enalapril (Vasotec)
• fosinopril (Monopril)
• Iwuchukwu (Prinivil, Zestril)
• moexipril (Univasc)
• perindopril (Aceon)
• akịpril (Akpụ)
• ramipril (Altace)
• trandolapril (Mavik)

Antiplatelet ndị ọrụ

Ndị na-egbochi ihe mgbochi na-egbochi ịkpụkọ akwara ọbara gị site na igbochi platelet ọbara ka ọ ghara ịrapara n'otu, nke na-abụkarị nzọụkwụ mbụ n'ịkpụkọ ọbara.

Ndị mmadụ nwere nkụchi obi na-ejikarị ndị ọrụ antiplatelet eme ihe ma nọ n'ihe egwu maka ịkpụkọ nsị ọzọ. Enwere ike iji ha gwọọ ndị nwere ọtụtụ ihe ọghọm maka nkụchi obi.

Ndị ọzọ enwere ike ịnye ọgwụ mgbochi na-agụnye ndị nwere nkụchi obi wee jiri ọgwụ thrombolytic gbazee mkpụkọ ọbara, yana ndị mmadụ nwego ọbara na-eweghachiri obi ha site na catheterization.

Pụ Ọgwụ Aspirin bụ ụdị ọgwụgwọ a maara nke ọma ụdị ọgwụ mgbochi ọrịa. E wezụga ọgwụ aspirin, ndị ọrụ antiplatelet gụnyere:

• clopidogrel (Plavix)
• prasugrel (Mmetụta)
• ticagrelor (Brilinta)

Anticoagulants

Ọgwụ Anticoagulant na-ebelata ohere nke ịkpụkọ ọbara nke ndị nwere nkụchi obi. N'adịghị ka antiplatelets, ha na-arụ ọrụ site na-emetụta ihe ndị na-eme ka coagulation na-etinyekwa aka na usoro nsị ọbara.

Ihe Nlereanya nke anticoagulants gụnyere:

• heparin
• warfarin (Coumadin)

Ọgwụ Thrombolytic

A na-eji ọgwụ thrombolytic eme ihe, nke a na-akpọkwa "ndị na-emechi emechi," ozugbo nkụchi obi gasịrị. A na-eji ha mgbe enweghị ike ime angioplasty iji gbasaa arịa ọbara ma melite nrugharị ọbara na obi.

A na-enye thrombolytic n'ụlọ ọgwụ site na ọkpọkọ intravenous (IV). Ọ na-arụ ọrụ site na imebi nnukwu mkpụkọ ọ bụla na akwara ma weghachi ọbara na-abanye n'obi gị. Ọ bụrụ na mmịba ọbara anaghị alaghachi na nkịtị mgbe ọgwụgwọ mbụ gasịrị, ọgwụgwọ ndị ọzọ na ọgwụ thrombolytic ma ọ bụ ịwa ahụ nwere ike ịchọ.

Ihe atụ nke ọgwụ thrombolytic gụnyere:

• alteplase (rụọ ọrụ)
• streptokinase (Streptase)

Gwa dọkịta gị

E nwere ọtụtụ ụdị ọgwụ nwere ike inye aka gwọọ nkụchi obi ma gbochie ha ime ọzọ. Ha na-arụ ọrụ n'ụzọ dị iche iche iji nyere aka belata ihe egwu gị ma melite ọrụ obi gị. Ọ bụrụ na ị nweela nkụchi obi, dọkịta gị ga-agwa gị gbasara ọgwụ ndị nwere ike inyere gị aka ịgbake ma gbochie mwakpo ndị ọzọ.