Amayeza okuhlaselwa sisifo sentliziyo

Umxholo

• Beta-iibhlokhi
• I-Angiotensin-eguqula i-enzyme (ACE) inhibitors
• Iiarhente zeantiplatelet
• Iintsholongwane
• Amayeza Thrombolytic
• Thetha nogqirha wakho

Ushwankathelo

Amayeza anokuba sisixhobo esisebenzayo kunyango lwe-myocardial infarction, ekwabizwa ngokuba sisifo sentliziyo. Inokukunceda ukunqanda uhlaselo lwexesha elizayo.

Iindidi ezahlukeneyo zamayeza zisebenza ngeendlela ezahlukeneyo ukufezekisa ezi njongo. Umzekelo, amayeza okuhlaselwa sisifo sentliziyo anokunceda:

• uxinzelelo lwegazi oluphezulu
• thintela amahlwili ekwakhiweni kwemithambo yegazi yakho
• nyibilikisa amahlwili ukuba ayenzeka

Nalu uluhlu lwamayeza aqhelekileyo okuhlaselwa sisifo sentliziyo, ukuba asebenza njani, kutheni esetyenziswa, kunye nemizekelo nganye.

Beta-iibhlokhi

I-Beta-blockers zihlala zithathwa njengonyango oluqhelekileyo emva kokuhlaselwa sisifo sentliziyo. I-Beta-blockers ludidi lwamayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, iintlungu zesifuba, kunye nesingqisho sentliziyo esingaqhelekanga.

La mayeza athintela iziphumo zeadrenaline, eyenza ukuba kube lula entliziyweni yakho ukwenza umsebenzi wayo. Ngokunciphisa isantya kunye namandla okubetha kwentliziyo yakho, la machiza anceda ukunciphisa uxinzelelo lwegazi. Ngenxa yoko, ii-beta-blockers ziyazikhulula iintlungu esifubeni kunye nokuphucula ukuhamba kwegazi emva kokuhlaselwa sisifo sentliziyo.

Eminye imizekelo ye-beta-blockers yabantu abaye bahlaselwa sisifo sentliziyo kubandakanya:

• i-atenolol (Tenormin)
• icarvedilol (iCoreg)
• iMetoprolol (iTrolrol)

I-Angiotensin-eguqula i-enzyme (ACE) inhibitors

I-Angiotensin-converting enzyme (ACE) inhibitors ikwanyanga uxinzelelo lwegazi kunye nezinye iimeko, ezinje ngokusilela kwentliziyo kunye nokuhlaselwa sisifo sentliziyo. Bavimba, okanye bathintele, ukuveliswa kwe-enzyme ebangela ukuba iinqanawa zakho zinciphise. Oku kunokunceda ukuphucula ukuhamba kwegazi ngokuphumla nokwandisa imithambo yegazi.

Ukuphucula ukuhamba kwegazi kunokunceda ukunciphisa uxinzelelo lwentliziyo kunye nomonakalo ongaphezulu emva kokuhlaselwa sisifo sentliziyo. I-ACE inhibitors inokunceda ukuguqula utshintsho olwenziwe entliziyweni lubangelwe luxinzelelo lwegazi lwexesha elide. Oku kunokunceda intliziyo yakho isebenze ngcono nangona kukho iziqendu zemisipha ezonakeleyo ezibangelwa sisifo sentliziyo.

Imizekelo ye-ACE inhibitors ibandakanya:

• Ibenazepril (iLotensin)
• i-captopril (iCapoten)
• enalapril (Vasotec)
• ifosinoprili (Monopril)
• I-lisinopril (iPrinivil, iZestril)
• moexipril (Univasc)
• I-perindopril (iAceon)
• quinapril (iAccupril)
• i-ramipril (iAltace)
• I-trandolapril (iMavik)

Iiarhente zeantiplatelet

Iiarhente zeantiplatelet zithintela ukubambeka kwimithambo yakho ngokugcina iiplatelet zegazi zingadibani, nto leyo edla ngokuba linyathelo lokuqala ekwakhekeni kwegazi.

Iiarhente zeantiplatelet zihlala zisetyenziswa ngabantu abaye bahlaselwa sisifo sentliziyo kwaye basemngciphekweni wokonyiswa okungaphezulu. Zingasetyenziselwa ukunyanga abantu abanemingcipheko emininzi yokuhlaselwa sisifo sentliziyo.

Abanye ekusenokwenzeka ukuba banikwe i-antiplatelets babandakanya abantu abaye bahlaselwa sisifo sentliziyo kwaye basebenzise amayeza e-thrombolytic ukunyibilikisa iqokobhe, kunye nabantu abaye baphuma igazi babuyela ezintliziyweni zabo nge-catheterization.

I-Aspirin lolona hlobo laziwayo lwamayeza e-antiplatelet. Ngaphandle kwe-aspirin, ii-antiplatelet agents ziquka:

• iclopidogrel (iPlavix)
• iprasugrel (i-Effient)
• ticagrelor (Brilinta)

Iintsholongwane

Amachiza e-Anticoagulant anciphisa umngcipheko wokujiya kwabantu abaye bahlaselwa sisifo sentliziyo. Ngokungafaniyo nee-antiplatelets, zisebenza ngokuchaphazela izinto ezijiyileyo nezibandakanyekayo kwinkqubo yokunqanda igazi.

Imizekelo yee-anticoagulants ibandakanya:

• heparin
• iwarfarin (Coumadin)

Amayeza Thrombolytic

Amachiza e-Thrombolytic, ekwabizwa ngokuba yi "clot busters," asetyenziswa kwangoko emva kokuhlaselwa sisifo sentliziyo. Ziyasetyenziswa xa i-angioplasty ingenakwenziwa banzi isitya segazi kunye nokuphucula ukuhamba kwegazi kuye entliziyweni.

I-thrombolytic inikwa esibhedlele ngombhobho we-intravenous (IV). Isebenza ngokuphelisa ngokukhawuleza nawaphi na amahlwili aphambili kwimithambo kunye nokubuyisela ukuhamba kwegazi entliziyweni yakho. Ukuba ukuhamba kwegazi akubuyeli kwinto yesiqhelo emva konyango lokuqala, unyango olongezelelweyo ngamachiza e-thrombolytic okanye utyando lunokufuneka.

Imizekelo yamayeza e-thrombolytic abandakanya:

• i-alteplase (yovulo)
• iStreptokinase (iStreptase)

Thetha nogqirha wakho

Zininzi iintlobo zamayeza ezinokunceda ukunyanga ukubetha kwentliziyo kunye nokuthintela ukuba zingaveli kwakhona. Basebenza ngeendlela ezahlukeneyo ukunceda ukunciphisa umngcipheko wakho kunye nokuphucula ukusebenza kwentliziyo yakho. Ukuba uye wahlaselwa sisifo sentliziyo, ugqirha wakho uya kuthetha nawe malunga namayeza athile anokukunceda ukuba uphinde uphinde uthintele uhlaselo olongezelelweyo.