Tshuaj Kho Mob Plawv
Zoo Siab
- Beta-blockers
- Angiotensin-hloov ua enzyme (ACE) inhibitors
- Antiplatelet tus neeg sawv cev
- Cov tshuaj Anticoagulants
- Thrombolytic tshuaj kho mob
- Tham nrog koj tus kws kho mob
Txheej txheem cej luam
Cov tshuaj noj tuaj yeem yog ib qho txiaj ntsig zoo hauv kev kho mob myocardial infarction, tseem hu ua mob plawv nres. Nws tseem tuaj yeem pab tiv thaiv kev tawm tsam yav tom ntej.
Cov tshuaj sib txawv ua rau ntau txoj kev ua haujlwm kom tau raws li cov hom phiaj no. Piv txwv, cov tshuaj kho plawv yuav pab tau:
- qis dua cov ntshav siab
- tiv thaiv cov txhaws ntawm cov hauv koj cov hlab ntshav
- yaj zuj zuj yog lawv ua
Nov yog cov npe qhia txog cov tshuaj siv plawv nres, lawv ua haujlwm li cas, vim li cas lawv siv, thiab cov piv txwv ntawm txhua qhov.
Beta-blockers
Beta-blockers feem ntau suav hais tias yog kev kho mob tom qab lub plawv nres. Beta-blockers yog ib chav kawm ntawm cov tshuaj siv los kho ntshav siab, mob hauv siab, thiab lub plawv tsis meej.
Cov tshuaj no thaiv cov kev cuam tshuam ntawm adrenaline, uas ua rau nws yooj yim rau koj lub siab ua nws txoj haujlwm. Los ntawm kev txo qis dua qhov ceev thiab quab yuam ntawm koj lub plawv dhia, cov tshuaj no pab txo koj cov ntshav siab. Raws li qhov tshwm sim, beta-blockers daws cov kev mob hauv siab thiab txhim kho ntshav txaus tom qab lub plawv nres.
Qee qhov piv txwv ntawm cov beta-blockers rau cov neeg uas muaj lub plawv nres muaj xws li:
- atenolol (Tenormin)
- carvedilol (Coreg)
- metoprolol (Toprol)
Angiotensin-hloov ua enzyme (ACE) inhibitors
Angiotensin-hloov ua enzyme (ACE) inhibitors kuj kho cov ntshav siab thiab lwm yam mob, xws li lub plawv nres thiab lub plawv nres. Lawv thaiv, lossis inhibit, qhov tsim tawm ntawm cov enzyme uas ua rau koj cov hlab ntsha nqaim. Qhov no tuaj yeem pab txhim kho koj cov ntshav cov ntshav los ntawm kev so thiab nthuav dav koj cov hlab ntshav.
Txhim kho cov ntshav txaus tuaj yeem pab txo lub siab mob plawv thiab ntxiv kev puas tsuaj tom qab lub plawv nres. ACE cov tshuaj tiv thaiv yuav txawm pab thim rov qab kev hloov pauv ntawm lub siab los ntawm kev pheej hmoo ntshav siab ntev. Qhov no tuaj yeem pab koj lub plawv ua haujlwm zoo dua li ntawm cov ntu ntawm cov leeg txhaws ua rau muaj kev kho lub siab.
Piv txwv ntawm ACE inhibitors suav nrog:
- benazepril (Lotensin)
- captopril (Capoten)
- enalapril (Vasotec)
- fosinopril (Monopril)
- lisinopril (Prinivil, Zestril)
- moexipril (Univasc)
- perindopril (Aceon)
- quinapril (Accupril)
- ramipril (Altace)
- txoj kev muag khoom (Mavik)
Antiplatelet tus neeg sawv cev
Cov tshuaj tiv thaiv kab mob hauv lub cev tiv thaiv kom tsis txhob mob ntshav hauv koj cov hlab ntsha los ntawm kev ua kom cov ntshav plasmaets tsis sib koom ua ke, uas feem ntau yog thawj kauj ruam hauv kev tsim cov ntshav txhaws.
Cov tshuaj tiv thaiv kab mob hauv lub cev yog ib txwm siv los ntawm cov neeg uas tau mob plawv thiab muaj feem yuav ua kom txhaws ntxiv. Lawv kuj tseem siv tau los kho neeg nrog ntau yam kev pheej hmoo ntawm lub plawv nres.
Lwm qhov yuav tau noj tshuaj tiv thaiv antiplatelets suav nrog cov neeg muaj mob plawv thiab siv cov tshuaj thrombolytic kom yaj ib ce, thiab cov neeg uas muaj ntshav txaus rov los rau hauv lawv lub plawv los ntawm txoj kev tiv thaiv catheterization.
Tshuaj aspirin yog qhov kev paub zoo tshaj plaws ntawm hom tshuaj antiplatelet. Dhau li ntawm cov tshuaj aspirin, cov tshuaj tiv thaiv kab mob xws li:
- clopidogrel (Plavix)
- prasugrel (Effient)
- ticagrelor (Brilinta)
Cov tshuaj Anticoagulants
Cov tshuaj Anticoagulant txo cov kev pheej hmoo ntawm cov ntshav txhaws hauv cov neeg uas tau mob plawv. Tsis zoo li antiplatelets, lawv ua haujlwm los ntawm cuam tshuam rau cov teeb meem coagulation uas tseem tuaj koom nrog cov txheej txheem ntshav txhaws.
Piv txwv ntawm anticoagulants suav nrog:
- heparin
- warfarin (Coumadin)
Thrombolytic tshuaj kho mob
Cov tshuaj Thrombolytic, tseem hu ua "txhaws pob," siv tam sim ntawd tom qab lub plawv nres. Lawv tau siv thaum angioplasty tsis tuaj yeem ua kom dav cov hlab ntshav thiab txhim kho cov ntshav txaus rau lub plawv.
Yuav muab ib lub thrombolytic rau hauv tsev kho mob los ntawm txoj hlab ntshav (IV) leeg. Nws ua haujlwm los ntawm kev ua kom sai cov ntshav khov hauv cov hlab ntsha thiab rov ua kom ntshav txaus rau koj lub plawv. Yog tias cov ntshav ntws tsis rov qab zoo li qub tom qab thawj qhov kev kho mob, kev kho mob ntxiv nrog cov tshuaj thrombolytic lossis kev phais yuav tsum tau.
Piv txwv ntawm cov tshuaj thrombolytic suav nrog:
- alteplase (Activase)
- streptokinase (Streptase)
Tham nrog koj tus kws kho mob
Muaj ntau hom tshuaj uas tuaj yeem pab kho kev mob plawv thiab tiv thaiv kom tsis txhob rov mob ntxiv. Lawv ua haujlwm sib txawv los pab txo koj cov kev pheej hmoo thiab txhim kho koj lub plawv kev ua haujlwm. Yog tias koj tau mob plawv, koj tus kws kho mob yuav nrog koj tham txog cov tshuaj tshwj xeeb uas tuaj yeem pab koj kom rov zoo dua thiab tiv thaiv kev tawm tsam ntxiv.