Chomwe chimayambitsa vuto la kupweteka kwa mutu ndi vuto la kufalikira kwa ubongo. Kulimbitsa, ziwiya zimayambitsa kupweteka komanso kupweteka kwambiri. Ngati zopweteka zotere zimakuvutitsani nthawi zonse, muyenera kuchipatala. Ndipo ndi mawonetseredwe apadera a mutu, mankhwala osokoneza bongo adzakuthandizani.
Nchifukwa chiyani muli ndi spasms ndi mutu?
Ngati kupwetekedwa kwa mutu ndi kwanthawi zonse kumakhala ndi phokoso m'makutu kapena kutopa mofulumira, mwinamwake mulibe vuto la magazi m'ziwiya za ubongo. Choyamba, izi zimachokera ku maonekedwe a spasms, omwe angayambitsidwe ndi zifukwa zingapo. Izi zikuphatikizapo:
- kuphwanya dongosolo lodzidzimutsa la mantha;
- atherosclerotic plaques, yomwe imabwera chifukwa cha kuphwanya lipid kagayidwe kake;
- paroxysmal zilonda za mitsempha;
- Aneurysms omwe amawoneka pambuyo pa zoopsa, matenda, matenda osokonekera a sitima zamtambo, etc.;
- matenda oopsa .
Mankhwala a Vasodilator pamutu adzakuthandizani kuchotsa mavuto ndikupewa zotsatira zoopsa zokhudzana ndi matenda osiyanasiyana.
Kodi mankhwala a vasodilator amagwira ntchito bwanji?
Vasodilator kukonzekera mutu kuchepetsa liwu la mphamvu stenochki. Ndi chifukwa cha izi kuti kuwala kwa chiwiya kumakula, ndipo mawonetseredwe onse a mutu amatha. Malingana ndi mtundu wa zinthu zowonongeka, mankhwala a gululi amachititsa kuti minofu ikhale yosalala bwino, ziletsa njira za calcium kapena zitsitsimutso za imidazoline. Malingana ndi kayendetsedwe kake, iwo adagawidwa mu mitundu itatu:
- alpha-nonselective adrenoblockers, hydralazine ndi pang'onopang'ono calcium channel blockers, zomwe zimakhudza kwambiri arterioles;
- kukhala ndi mphamvu yaikulu pamatumbo;
- zomwe zimakhudza magetsi awiri ndi mitsempha.
Kuonjezera apo, mankhwala oterowo omwe amachotsedwa chifukwa chochotsa ululu angakhale antispasmodics, omwe amathandiza kuchepetsa kuthamanga kwa magazi. Zonsezi zimakhalanso ndi miotropic. Koma nthawi zina, odwala amatumizidwa pamodzi ndi iwo.
Mankhwala othandiza a vasodilator
Pakalipano, pali chiwerengero chachikulu cha mankhwala omwe amathandiza kupweteka mutu. Kulimbana kwambiri ndi nkhondo, ngakhale ndi ululu waukulu, gulu la mankhwala la spasmodic-statins:
- Atorvastatin;
- Pravastatin;
- Chodabwitsa;
- Rosuvastatin.
Kuphatikiza pa mankhwalawa, kuthandizira kusintha magazi, mpweya umapereka ubongo ndikuwonjezera mitsempha ya magazi:
- Zotsatira za xanthine (Aminophylline, Theobromine, Pentoxifylline);
- zochokera ku vinca alkaloids (Piracetam, Biotredin, Cerebrolysin);
- vasodilators kapena myotropin (Drotaverin, Papaverin, Bendazol);
- calcium channel blockers (Verapamil, Diltiazem, Nifedipine);
- alpha-adrenoblockers (Dihydroergotamine, Alfuzonin, Dihydroergotoxin).
Vasodilator onsewa amatha kutengedwa osati ndi mutu umene umapezeka nthawi ndi nthawi, komanso mankhwala omwe amachititsa kupewa matenda a atherosclerosis, aneurysm, matenda a m'mitsempha ya ubongo ndi matenda ena.
Ngati mukufuna kutenga mapiritsi a vasodilator pamutu, koma simukufuna kuti mutsegule ndi dokotala, inu
- Koma-shpa;
- Trental ;
- Validol;
- Nitroglycerin;
- Euphyllinum.
Zina mwazo zimakhala ndi zotsatira zake ndipo zimatsutsana ndi mavuto a m'mimba. Koma, kawirikawiri, amatha kutengedwa ngakhale panthawi yomwe ali ndi mimba, komanso zotsatira zothandizira atatha kukhala ndi nzeru pambuyo pa mphindi 5-10.