Meriana ea lefu la pelo

Litaba

• Beta-blockers
• Angiotensin-converting enzyme (ACE) inhibitors
• Baemeli ba li-antiplatelet
• Li-anticoagulants
• Meriana ea Thrombolytic
• Bua le ngaka ea hau

Kakaretso

Meriana e ka ba sesebelisoa se sebetsang sa ho phekola infarction ea "myocardial infarction", e tsejoang hape e le lefu la pelo. E ka thusa hape ho thibela litlhaselo tse tlang.

Mefuta e fapaneng ea meriana e sebetsa ka litsela tse fapaneng ho fihlela lipheo tsena. Mohlala, meriana ea lefu la pelo e ka thusa:

• khatello e tlase ea mali
• thibela maqeba ho theha methapong ea hau ea mali
• qhala maqeba haeba a ka hlaha

Mona ke lenane la meriana e tloaelehileng ea lefu la pelo, hore na e sebetsa joang, hobaneng e sebelisoa, le mehlala ea enngwe le enngwe.

Beta-blockers

Beta-blockers hangata ba nkoa e le kalafo e tloaelehileng kamora ho hlaseloa ke pelo. Beta-blockers ke sehlopha sa meriana e sebelisoang ho alafa khatello e phahameng ea mali, bohloko ba sefuba le morethetho oa pelo o sa tloaelehang.

Meriana ena e thibela litlamorao tsa adrenaline, e nolofalletsang pelo ea hau ho etsa mosebetsi oa eona. Ka ho fokotsa lebelo le matla a ho otla ha pelo ea hau, lithethefatsi tsena li thusa ho theola khatello ea mali. Ka lebaka leo, beta-blockers e kokobetsa bohloko ba sefuba le ho ntlafatsa phallo ea mali kamora ho hlaseloa ke pelo.

Mehlala e meng ea beta-blockers bakeng sa batho ba hlasetsoeng ke lefu la pelo e kenyelletsa:

• atenolol (Tenormin)
• setšoantšo se betliloeng (Coreg)
• metoprolol (Toprol)

Angiotensin-converting enzyme (ACE) inhibitors

Angiotensin-converting enzyme (ACE) inhibitors le eona e phekola khatello e phahameng ea mali le maemo a mang, joalo ka ho hloleha ha pelo le lefu la pelo. Li thibela kapa li thibela tlhahiso ea enzyme e etsang hore likepe tsa hau li fokotsehe. Sena se ka thusa ho ntlafatsa phallo ea mali a hau ka ho phomotsa le ho holisa methapo ea hau ea mali.

Phallo e ntlafetseng ea mali e ka thusa ho fokotsa khatello ea pelo le tšenyo e kholo kamora ho hlaseloa ke pelo. ACE inhibitors e ka ba ea thusa ho khutlisetsa phetoho ea sebopeho pelong e bakoang ke khatello e phahameng ea mali ea nako e telele. Sena se ka thusa pelo ea hau hore e sebetse hantle ho sa natsoe likarolo tsa mesifa tse senyehileng tse bakiloeng ke lefu la pelo.

Mehlala ea ACE inhibitors e kenyelletsa:

• benazepril (Lotensin)
• motsamaisi (capoten)
• enalapril (Vasotec)
• fosinopril (Monopril)
• lisinopril (Prinivil, Zestril)
• moexipril (Univasc)
• perindopril (Aceon)
• quinapril (Sephetho)
• ramipril (Altace)
• trandolapril (Mavik)

Baemeli ba li-antiplatelet

Lisebelisoa tsa li-antiplatelet li thibela ho koala methapo ea hau ka ho boloka liplatelete tsa mali li se ke tsa khomarelana, e leng mohato oa pele oa ho theha mali.

Lisebelisoa tsa li-antiplatelet li sebelisoa hangata ke batho ba nang le lefu la pelo mme ba kotsing ea ho hoama hape. Li ka sebelisoa ho phekola batho ba nang le mabaka a 'maloa a kotsi a lefu la pelo.

Ba bang ba kanna ba laeloa li-antiplatelet ba kenyelletsa batho ba nang le lefu la pelo mme ba sebelisa meriana ea thrombolytic ho qhala lehlaka, le batho ba nang le phallo ea mali ba khutliselitsoeng lipelong ka catheterization.

Aspirin ke mofuta o tsebahalang ka ho fetisisa oa meriana ea antiplatelet. Ntle le aspirin, mahlahana a antiplatelet a kenyelletsa:

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

Li-anticoagulants

Lithethefatsi tsa li-anticoagulant li fokotsa kotsi ea ho hoama bathong ba hlasetsoeng ke pelo. Ho fapana le li-antiplatelet, li sebetsa ka ho ama maemo a ho koalla a amanang le ts'ebetso ea ho koala mali.

Mehlala ea li-anticoagulants e kenyelletsa:

• heparine
• warfarin (Coumadin)

Meriana ea Thrombolytic

Lithethefatsi tsa thrombolytic, tse bitsoang "clot busters," li sebelisoa hang kamora ho hlaseloa ke pelo. Li sebelisoa ha angioplasty e ke ke ea etsoa ho holisa methapo ea mali le ho ntlafatsa phallo ea mali ho ea pelong.

Thrombolytic e fuoa sepetlele ka tube ea intravenous (IV). E sebetsa ka ho qhala kapele masapo leha e le afe a maholo methapong le ho khutlisetsa phallo ea mali pelong ea hau. Haeba phallo ea mali e sa khutlele setloaeling kamora kalafo ea pele, ho ka hlokahala kalafo e eketsehileng ka lithethefatsi tsa thrombolytic kapa opereishene.

Mehlala ea meriana ea thrombolytic e kenyelletsa:

• alteplase (Ts'ebetso)
• streptokinase (Seterata)

Bua le ngaka ea hau

Hona le mefuta e mengata ea meriana e ka thusang ho alafa lefu la pelo le ho ba thibela ho etsahala hape. Li sebetsa ka mekhoa e fapaneng ho thusa ho fokotsa lisosa tsa hau tsa likotsi le ho ntlafatsa tšebetso ea pelo ea hau. Haeba u kile ua ba le lefu la pelo, ngaka ea hau e tla bua le uena ka meriana e khethehileng e ka u thusang ho hlaphoheloa le ho thibela litlhaselo tse ling.