Koj puas tau muaj ib zaug uas koj lub plawv dhia ceev heev, lossis zoo li nws nres ib qho chaw, lossis dhia tsis xwm yeem? Qhov no yog ib yam uas ntau tus neeg tshwm sim. Peb hu qhov no ua lub plawv dhia tsis xwm yeem, lossis hauv kev kho mob, arrhythmia . Yog li hnub no peb yuav tham txog cov tshuaj uas muab los tswj cov plawv dhia tsis xwm yeem no, uas yog, Antiarrhythmics.
Hauv lwm lo lus, cov tshuaj Antiarrhythmic no yog dab tsi?
Cov tshuaj tiv thaiv kev mob plawv dhia tsis xwm yeem yog cov tshuaj uas muab los tiv thaiv thiab kho cov mob plawv dhia tsis xwm yeem, uas yog lub plawv dhia ceev lossis tsis xwm yeem. Xav txog koj lub plawv zoo li lub cev me me uas ua haujlwm los ntawm lub tshuab hluav taws xob me me. Thaum muaj qee yam tsis raug nrog lub tshuab hluav taws xob no, koj lub plawv pib dhia ceev dhau, dhia ceev dhau, lossis tsis xwm yeem.
Cov tshuaj tiv thaiv kev mob plawv dhia tsis xwm yeem ua haujlwm los ntawm kev kho qhov yuam kev ntawm lub cev hluav taws xob no thiab rov qab ua kom lub plawv dhia rov qab zoo li qub. Cov tshuaj no yog siv los kho cov mob uas ua rau lub plawv dhia tsis xwm yeem, xws li Atrial Fibrillation , Atrial Flutter , Ventricular Tachycardia , thiab Ventricular Fibrillation .
Cov tshuaj no ua haujlwm li cas?
Cov tshuaj no ua haujlwm ua ob txoj hauv kev tseem ceeb:
1. Nws nres cov teeb liab hluav taws xob ntxiv uas tsis tsim nyog los ntawm lub plawv.
2. Nws tswj qhov ceev ntawm cov teeb liab hluav taws xob uas mus ncig sai dhau ntawm cov nqaij plawv.
Feem ntau cov tshuaj no noj rau lub sijhawm ntev. Txawm li cas los xij, qee qhov xwm txheej ceev, yog tias tus neeg mob mob hnyav lossis yog tias noj tshuaj tsis tau, lawv tuaj yeem muab rau hauv cov hlab ntsha (IV).
Cov kev kho mob rau lub plawv dhia tsis xwm yeem yog dab tsi?
Muaj ntau txoj kev kho mob rau lub plawv dhia tsis xwm yeem.
- Cov tshuaj
- Kev hloov pauv hauv txoj kev ua neej
- Cov khoom siv kho mob uas tau cog rau hauv lub cev
- Kev phais mob
Koj tus kws kho mob yuav xaiv txoj kev kho mob zoo tshaj plaws rau koj raws li hom mob arrhythmia uas koj muaj thiab nws qhov hnyav. Feem ntau, koj tus kws kho mob yuav sau ntawv kom noj tshuaj tiv thaiv mob arrhythmic rau cov xwm txheej hauv qab no:
- Yog tias tus kab mob tsis tuaj yeem tswj tau los ntawm kev hloov pauv txoj kev ua neej xwb.
- Yog tias qhov mob no cuam tshuam rau koj cov dej num txhua hnub.
- Qhov no ua rau koj muaj kev pheej hmoo ntawm kev mob hnyav xws li lub plawv tsis ua haujlwm , lub plawv nres , lossis mob stroke .
Cov tshuaj antiarrhythmic muaj pes tsawg hom?
Cov tshuaj no muab faib ua 4 pawg tseem ceeb. Cia peb saib seb lawv yog dab tsi.
| Pawg Tshuaj (Chav Tshuaj) | Nws ua haujlwm li cas | Piv txwv |
|---|---|---|
| Chav Kawm I: Cov Tshuaj Sodium Channel Blockers | Nws tiv thaiv cov sodium kom tsis txhob nkag mus rau hauv cov hlwb plawv. Qhov no ua rau qeeb qeeb uas cov teeb liab hluav taws xob mus los ntawm lub plawv. | Cov tshuaj no muaj xws li: Disopyramide, Flecainide, Mexiletine, Propafenone, Quinidine. |
| Pawg II: Beta Blockers | Nws thaiv cov tshuaj hormones xws li adrenaline thiab ua rau lub plawv dhia qeeb. | Cov khoom xyaw nquag ntawm Atenolol, Bisoprolol, Metoprolol, Propranolol, Nadolol |
| Chav Kawm III: Cov Tshuaj Potassium Channel Blockers | Nws tiv thaiv cov potassium kom tsis txhob nkag mus rau hauv cov hlwb plawv. Qhov no tswj qhov ceev ntawm cov teeb liab hluav taws xob ntawm lub plawv. | Amiodarone, Dofetilide, Dronedarone, Sotalol |
| Chav Kawm IV: Cov Tshuaj Calcium Channel Blockers | Nws thaiv cov calcium channel hauv cov leeg nqaij plawv, txo qhov dhia ntawm lub plawv thiab lub zog ntawm kev sib zog ntawm lub plawv. | Diltiazem, Verapamil |
| Lwm cov tshuaj Antiarrhythmic | ||
| Adenosine | Nws ua rau qeeb lossis thaiv qhov ceev uas cov teeb liab hluav taws xob mus ncig ntawm cov chav sab saud thiab qis ntawm lub plawv. | |
| Digoxin | Nws ua rau lub plawv dhia qeeb thiab ua rau lub plawv muaj peev xwm cog lus ntxiv. | |
Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob xaiv qhov zoo tshaj plaws rau koj ntawm cov tshuaj no. Nws yeej tsis yog lub tswv yim zoo los siv cov tshuaj no koj tus kheej.
Cov tshuaj no muaj cov txiaj ntsig thiab kev pheej hmoo li cas?
Siv cov tshuaj no yuav pab txo qhov tsis xis nyob uas koj xav tau. Piv txwv li:
- Mob hauv siab
- Kiv taub hau los yog xav tias lub taub hau me me
- Tso qhov kawg ntawm kev kos duab
- Kev mob plawv dhia
- Ua pa nyuaj
Txawm li cas los xij, muaj kev pheej hmoo nrog cov tshuaj no. Qhov kev pheej hmoo tseem ceeb yog tias cov tshuaj no qee zaum tuaj yeem ua rau lwm yam kab mob plawv dhia tsis zoo. Yog vim li cas kev saib xyuas ze ntawm tus kws kho mob yog qhov tseem ceeb thaum siv cov tshuaj no. Koj tus kws kho mob, tej zaum yog tus kws kho mob plawv lossis tus kws kho mob hluav taws xob, yuav kuaj xyuas koj tsis tu ncua. Yog tias muaj teeb meem dab tsi, lawv yuav hloov qhov ntau npaum li cas ntawm cov tshuaj lossis pom zoo kom siv lwm yam tshuaj.
Noj tshuaj ntau dhau (overdose) puas txaus ntshai?
Yog, nws yeej txaus ntshai heev. Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj no raws li koj tus kws kho mob tau hais. Kev noj tshuaj ntau dhau tuaj yeem ua rau muaj cov mob hnyav hauv qab no:
- Kev puas hlwb
- Kev puas tsuaj rau cov nqaij ntawm lub plawv
- Kev Ua Pa Tsis Taus
- Pw tsaug zog yam tsis paub txog yam uas tshwm sim nyob ib puag ncig koj (Sedation)
- Qaug dab peg
- Coma
Yog koj xav tias muaj ib tug neeg tau noj cov tshuaj no ntau dhau, coj mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Puas muaj tej yam tshwm sim tsis zoo?
Ib yam li lwm yam tshuaj, cov tshuaj no tuaj yeem ua rau muaj qee qhov kev mob tshwm sim. Tsis yog txhua tus neeg yuav mob. Qee qhov kev mob tshwm sim uas pom ntau tshaj plaws yog:
- Kab mob cem quav
- kiv taub hau
- nqhis dej ntau dhau
- Kev hloov pauv ntawm daim tawv nqaij (piv txwv li, liab, qhuav)
- Mob taub hau
- Xeev siab
- Suab nrov hauv pob ntseg (Tinnitus)
- Kev rhiab heev rau lub hnub ci
- Edema (o los ntawm kev sib sau ua ke ntawm cov kua dej hauv lub cev)
- Nyuaj siab tso zis
- Kev hloov pauv ntawm qhov muag pom kev
- Kev mob hawb pob hnyav dua
Kuv puas yuav tsum ceev faj thaum siv cov no nrog lwm cov tshuaj?
Yog, yeej muaj tseeb. Cov tshuaj tiv thaiv kev mob arrhythmic tuaj yeem cuam tshuam nrog lwm cov tshuaj. Yog li, qhia rau koj tus kws kho mob txog txhua yam koj noj. Qhov ntawd suav nrog:
- Cov tshuaj kho mob rau lwm yam kab mob
- Cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj
- Cov hom tshuaj pleev uas siv rau ntawm daim tawv nqaij
- Cov tshuaj nqus pa
- Cov vitamins, cov minerals, cov tshuaj ntsuab, lossis lwm yam tshuaj ntxiv.
Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis, nco ntsoov qhia rau koj tus kws kho mob ua ntej pib noj cov tshuaj no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Antiarrhythmics yog cov tshuaj uas muab los tswj cov plawv dhia tsis xwm yeem (arrhythmias).
- Cov tshuaj no yuav tsum tau noj raws li tus kws kho mob tau sau tseg, noj raws li qhov ntau npaum li cas, thiab noj raws li lub sijhawm tau teem tseg.
- Thaum noj cov tshuaj no, nws yog ib qho tseem ceeb heev uas yuav tsum sib cuag nrog koj tus kws kho mob tsis tu ncua thiab mus ntsib kws kho mob raws sijhawm teem tseg.
- Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas rau txhua qhov laj thawj yam tsis tau nug koj tus kws kho mob.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj thiab cov tshuaj ntxiv uas koj noj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus