{"id":1880,"date":"2019-10-07T21:31:22","date_gmt":"2019-10-07T20:31:22","guid":{"rendered":"https:\/\/www.healthy-heart.org\/viata-cu-o-boala-de-inima\/tipuri-de-medicamente\/"},"modified":"2024-12-10T12:24:00","modified_gmt":"2024-12-10T12:24:00","slug":"tipuri-de-medicamente","status":"publish","type":"page","link":"https:\/\/www.healthy-heart.org\/ro\/viata-cu-o-boala-de-inima\/tipuri-de-medicamente\/","title":{"rendered":"Tipuri de medicamente"},"content":{"rendered":"<h3><strong>Anticoagulante<\/strong><\/h3>\n<p>Este obligatoriu s\u0103 lua\u021bi medicamente antiplachetare dup\u0103 un atac de cord. Aceste medicamente \u00eempiedic\u0103 formarea de noi cheaguri \u00een arterele coronariene sau \u00eentr-un stent (un tub introdus \u00eentr-o arter\u0103 blocat\u0103 pentru a restabili fluxul sanguin). De obicei, se prescrie administrarea de aspirin\u0103 \u00een doz\u0103 mic\u0103 (de la 75 p\u00e2n\u0103 la 100 mg\/zi), pe toat\u0103 durata vie\u021bii, la care se adaug\u0103 un inhibitor P2Y12 (ticagrelor, prasugrel sau clopidogrel), administrat timp de c\u00e2teva luni. Deoarece func\u021bia principal\u0103 a medicamentelor antiplachetare este de a \u00eempiedica formarea cheagurilor, acestea cresc riscul de s\u00e2ngerare, dar avantajele sunt mult mai mari dec\u00e2t riscurile. Este extrem de important s\u0103 nu \u00eenceta\u021bi s\u0103 lua\u021bi aceste medicamente, nici m\u0103car o singur\u0103 zi, cu excep\u021bia cazului \u00een care medicul dvs. cardiolog v\u0103 recomand\u0103 acest lucru. Dac\u0103 ave\u021bi \u0219i fibrila\u021bie atrial\u0103, medicul dvs. cardiolog v\u0103 poate prescrie un alt anticoagulant (anticoagulant oral) \u00een locul medicamentelor antiplachetare.<\/p>\n<h3><strong>Inhibitori ai pompei de protoni<\/strong><\/h3>\n<p>Dac\u0103 ave\u021bi un risc crescut de s\u00e2nger\u0103ri gastro-intestinale, cardiologul sau medicul dvs. de familie v\u0103 poate prescrie un inhibitor al pompei de protoni, care v\u0103 va proteja stomacul \u00een perioada \u00een care lua\u021bi dou\u0103 anticoagulante.<\/p>\n<h3><strong>Medicamente care scad colesterolul<\/strong><\/h3>\n<p>Pentru a \u00eencetini evolu\u021bia aterosclerozei \u00een artere, valorile colesterolului dvs. LDL trebuie reduse cu 50 % sau mai mult, p\u00e2n\u0103 la un nivel sub 55 mg\/dl&lt;(1,4 mmol\/l). \u00cen acest sens, statinele sunt medicamentele cele mai potrivite. Statinele scad produc\u021bia de colesterol din ficat, mic\u0219oreaz\u0103 pl\u0103cile din artere \u0219i scad riscul unui alt atac de cord. Printre posibilele reac\u021bii adverse posibile se num\u0103r\u0103 durerile musculare \u0219i valorile crescute ale enzimelor hepatice din s\u00e2nge, dar acestea sunt de obicei minore \u0219i pot fi u\u0219or gestionate. \u00cen ciuda unor relat\u0103ri negative din programele de \u0219tiri despre terapia cu statine, oprirea tratamentului cu statine m\u0103re\u0219te considerabil riscul ca dvs. s\u0103 suferi\u021bi un alt atac de cord. \u00cen unele cazuri, pe l\u00e2ng\u0103 administrarea de statine, cardiologul dvs. poate alege s\u0103 adauge \u0219i ezetimib, care \u00eempiedic\u0103 absorb\u021bia colesterolului \u00een intestin, determin\u00e2nd astfel o mai mare reducere a nivelului dvs. de colesterol. \u00cen cazul \u00een care nivelurile colesterolului dvs. sunt foarte ridicate sau dac\u0103 nu pute\u021bi tolera statinele, cardiologul dvs. v-ar putea prescrie acid bempedoic, un medicament inovator care reduce produc\u021bia de colesterol din ficat, sau injec\u021bii cu un inhibitor de PCSK9 sau Inclisiran, care cre\u0219te degradarea colesterolului LDL \u00een ficat.<\/p>\n<h3><strong>Beta-blocante<\/strong><\/h3>\n<p>Beta-blocantele v\u0103 protejeaz\u0103 inima de efectele d\u0103un\u0103toare ale adrenalinei. Acestea reduc ritmul cardiac, <a href=\"https:\/\/www.healthy-heart.org\/keep-your-heart-healthy\/blood-pressure\/\">tensiunea arterial\u0103<\/a> \u0219i cantitatea de oxigen folosit\u0103 de c\u0103tre inim\u0103. Dac\u0103 func\u021bia pompei cardiace este redus\u0103, acestea ajut\u0103 la evitarea deterior\u0103rii ulterioare. Dac\u0103 ritmul cardiac este redus prea mult, este posibil s\u0103 ave\u021bi o senza\u021bie de vertij. Reac\u021biile adverse suplimentare frecvente includ dureri de cap, m\u00e2ini \u0219i picioare reci, oboseal\u0103 \u0219i tulbur\u0103ri de somn. Beta-blocantele au efecte secundare distincte, a\u0219a c\u0103 adresa\u021bi-v\u0103 cardiologului dvs. pentru a g\u0103si medicamentul potrivit pentru dvs.<\/p>\n<h3><strong>Inhibitori ECA \u0219i blocante ale receptorilor angiotensinei (BRA)<\/strong><\/h3>\n<p>Inhibitorii enzimei de conversie a angiotensinei (ECA) reduc produc\u021bia de angiotensin\u0103 II, o enzim\u0103 care \u00eengusteaz\u0103 vasele sanguine, \u00een timp ce blocantele receptorilor angiotensinei (BRA) inhib\u0103 func\u021bia acesteia. Aceste efecte ajut\u0103 vasele s\u0103 se l\u0103rgeasc\u0103 \u0219i s\u0103 se relaxeze, \u00eembun\u0103t\u0103\u021bind fluxul sanguin \u0219i reduc\u00e2nd tensiunea arterial\u0103. \u00cen plus, aceste medicamente \u00eembun\u0103t\u0103\u021besc func\u021bia pompei inimii dac\u0103 aceasta a fost redus\u0103 de atacul de cord. Cel mai frecvent efect secundar al inhibitorilor ECA este tusea uscat\u0103, care poate determina trecerea la BRA. Dac\u0103 ave\u021bi deja o tensiune arterial\u0103 normal\u0103, ve\u021bi avea nevoie de o doz\u0103 modificat\u0103 de inhibitor ECA sau BRA.<\/p>\n<h3><strong>MRA (Antagoni\u0219ti ai receptorilor de mineralocorticoizi)<\/strong><\/h3>\n<p>Antagoni\u0219tii receptorilor de mineralocorticoizi (MRA), inclusiv spironolactona \u0219i eplerenona, pot fi utiliza\u021bi \u00eempreun\u0103 cu beta-blocantele \u0219i inhibitorii ECA dac\u0103 func\u021bia de pompare a inimii este redus\u0103 dup\u0103 un atac de cord. MRA sunt diuretice slabe \u0219i ajut\u0103 organismul \u00een eliminarea excesului de lichid. De asemenea, acestea scad tensiunea arterial\u0103. Reac\u021biile adverse posibile ale spironolactonei sunt cre\u0219terea concentra\u021biei plasmatice a potasiului \u0219i ginecomastia (o cre\u0219tere a dimensiunii s\u00e2nilor la b\u0103rba\u021bi). Acesta din urm\u0103 trebuie s\u0103 determine trecerea la eplerenon\u0103, care nu cauzeaz\u0103 aceast\u0103 reac\u021bie advers\u0103.<\/p>\n<p>Vi se pot prescrie \u0219i alte medicamente, \u00een func\u021bie de celelalte afec\u021biuni pe care le ave\u021bi, cum ar fi <a href=\"https:\/\/www.healthy-heart.org\/keep-your-heart-healthy\/diabetes\/\">diabetul<\/a>, bolile de rinichi sau obezitatea.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anticoagulante Este obligatoriu s\u0103 lua\u021bi medicamente antiplachetare dup\u0103 un atac de cord. Aceste medicamente \u00eempiedic\u0103 formarea de noi cheaguri \u00een arterele coronariene sau \u00eentr-un stent (un tub introdus \u00eentr-o arter\u0103 blocat\u0103 pentru a restabili fluxul sanguin). De obicei, se prescrie administrarea de aspirin\u0103 \u00een doz\u0103 mic\u0103 (de la 75 p\u00e2n\u0103 la 100 mg\/zi), pe toat\u0103 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1219,"parent":1864,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[62],"tags":[],"class_list":["post-1880","page","type-page","status-publish","has-post-thumbnail","hentry","category-viata-cu-o-boala-de-inima"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tipuri de tratamente medicamentoase - Healthy-Heart.org<\/title>\n<meta name=\"description\" content=\"Afla\u021bi mai multe despre tipurile de tratamente medicamentoase \u0219i efectele secundare ale acestora pentru pacien\u021bii care sufer\u0103 de boli cardiovasculare.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthy-heart.org\/ro\/viata-cu-o-boala-de-inima\/tipuri-de-medicamente\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tipuri de tratamente medicamentoase - 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