ÂÒ·ÕèãªéÃÑ¡ÉÒ¼Ùé»èÇÂâäËÑÇã¨ÁÕÍÂÙèÁÒ¡ÁÒÂËÅÒÂ¡ÅØèÁáÅÐáµèÅÐ¡ÅØèÁ¡çÁÕÍÂÙèËÅÒª¹Ô´ Ä·¸Ôì¢Í§ÂÒáµèÅЪ¹Ô´¡çÍÒ¨ãªéÃÑ¡ÉÒâäËÑÇã¨ä´éËÅÒÂẺ àªè¹ãªéÃÑ¡ÉÒä´é·Ñé§âäËÅÍ´àÅ×Í´ËÑÇ㨵պáÅÐËÑÇã¨ÇÒ ºÒ§ª¹Ô´ãªéÃÑ¡ÉÒä´é·Ñé§ËÑÇã¨àµé¹¼Ô´¨Ñ§ËÇÐáÅÐÂÒ·ÕèãªéºèÍÂ㹤¹à»ç¹âäËÑÇã¨ÊÙ§ ÏÅÏ ¡ÒèÐãªéÂÒ¡ÅØèÁã´á¾·Âì¨Ð¾Ô¨ÒóÒàÅ×Í¡ãªéãËéàËÁÒÐÊÁ¡Ñº»Ñ­ËҢͧ¼Ùé»èÇÂáµèÅÐÃÒÂä» ã¹·Õè¹Õé¨Ð¡ÅèÒǶ֧੾ÒÐÂÒ·Õè¶Ù¡ãªéºèÍÂæ

1.ÂÒµéÒ¹à¡Ãç´àÅ×Í´ (antiplatelet drugs)

          ÂÒ¡ÅØèÁ¹ÕéÍ͡ķ¸Ôìâ´Â¡ÒÃÂѺÂÑé§¡Ò÷ӧҹ¢Í§à¡Ãç´àÅ×Í´äÁèãËé¨ÑºµÑǡѹà»ç¹¡ÅØèÁ¡é͹ ªèÇÂÅ´¡ÒÃà¡Ô´ÅÔèÁàÅ×Í´ÍØ´µÑ¹ËÅÍ´àÅ×Í´ µÑÇÍÂèÒ§¢Í§ÂÒ¡ÅØèÁ¹Õé¤×Í áÍÊä¾ÃÔ¹«Öè§¼Ùé»èÇÂâäËÅÍ´àÅ×Í´ËÑÇ㨵պËÃ×ÍËÑÇã¨àµé¹¼Ô´¨Ñ§ËÇкҧª¹Ô´¨Óà»ç¹µéͧ¡Ô¹µèÍà¹×èͧ仵ÅÍ´ªÕÇÔµ ÊèǹÂÒ ticlopidine ËÃ×Í clopidogrel ¨Ðãªé㹡óշÕè¼Ùé»èÇÂäÁèÊÒÁÒö¡Ô¹ÂÒáÍÊä¾ÃÔ¹ä´éà¹×èͧ¨Ò¡ÁջѭËÒâä¡ÃÐà¾ÒÐËÃ×ÍàÅ×Í´Í͡㹷ҧà´Ô¹ÍÒËÒà ÃÇÁ·Ñé§ÍÒ¨ãªéÃèÇÁ¡ÑºÂÒáÍÊä¾ÃԹ㹺ҧ¡Ã³Õ »Ñ­ËÒ·ÕèÍÒ¨¾º¨Ò¡ÂÒ¡ÅØèÁ¹Õé¤×Í¡Ò÷ÕèàÅ×Í´ËÂØ´ÂÒ¡¡ÇèÒ»¡µÔàÇÅÒä´éÃÑºÍØºÑµÔà˵ØËÃ×ÍÁÕºÒ´á¼Å

2.ÂÒ¡ÅØèÁä¹àµÃ· (nitrate)

          ãªéÊÓËÃѺŴÍÒ¡ÒÃà¨çºá¹è¹Ë¹éÒÍ¡¢Í§¼Ùé»èÇÂâäËÅÍ´àÅ×Í´ËÑÇ㨵պ ¨Ò¡Ä·¸Ôì㹡ÒâÂÒÂàÊé¹àÅ×Í´·ÑèÇÃèÒ§¡Ò ªèÇÂãËéËÑÇã¨äÁèµéͧ·Ó§Ò¹Ë¹Ñ¡ ÁÕ·Ñ駪¹Ô´¡Ô¹ ÍÁãµéÅÔé¹ ¾è¹ãµéÅÔé¹ ·Ò·Õè¼ÔÇ˹ѧ ËÃ×Íá¼è¹á»Ð·Õè¼ÔÇ˹ѧ ãËé»ÃÐÊÔ·¸ÔÀÒ¾äÁèᵡµèÒ§¡Ñ¹ ¢³ÐãªéÂÒ¤ÇÃÍÂÙèã¹·èÒ¹Ñè§ äÁè¤ÇÃÂ×¹ËÃ×͹͹ ¼Ùé»èǺҧÃÒÂÍÒ¨ÁÕÍÒ¡ÒûǴÈÕÃÉР˹éÒÁ×´ ÁÖ¹§§ àÁ×èÍãªéÂÒ¹Õé áÅÐËéÒÁãªéÃèÇÁ¡ÑºÂÒÃÑ¡ÉÒâäàÊ×èÍÁÊÁÃöÀÒ¾·Ò§à¾È (Erectile Dysfunction) àªè¹ÂÒ Viagra, Cialis, Levitra à¾ÃÒÐÍÒ¨·ÓãËéÂÒ·ÕèãªéºèÍÂ㹤¹à»ç¹âäËÑÇ㨵èÓÁÒ¡¨¹à»ç¹ÍѹµÃÒÂä´é µéͧ»ÃÖ¡ÉÒá¾·Âì¡è͹ãªéÂÒ¡ÅØèÁ¹Õé

3. ÂÒµéÒ¹¡ÒÃá¢ç§µÑǢͧàÅ×Í´ (anticoagulants)

          ÂÒã¹¡ÅØèÁ¹Õé¤×Í warfarin ËÃ×Í coumadin Í͡ķ¸Ôìâ´Â¡ÒÃÂѺÂÑé§¡ÒèѺµÑÇà»ç¹¡é͹¢Í§àÅ×Í´ ÁÑ¡ãªéã¹¼Ùé»èÇ·ÕèÁջѭËÒËÑÇã¨àµé¹¼Ô´¨Ñ§ËÇÐ ¡ÅéÒÁà¹×éÍËÑÇ㨵Ò ËÃ×ÍÅÔé¹ËÑÇ㨵պºÒ§ª¹Ô´ ªèÇÂÅ´âÍ¡ÒÊà¡Ô´ÅÔèÁàÅ×Í´ã¹ËÑÇã¨ËÅØ´ä»ÍØ´µÑ¹àÊé¹àÅ×Í´ÊÁͧ«Ö觨зÓãËéà¡Ô´ÍÑÁ¾Ä¡Éì ÍÑÁ¾Òµ ¼Ùé·Õè¡Ô¹ÂÒ¡ÅØèÁ¹Õé¨Óà»ç¹µéͧä´éÃѺ¡ÒõÃǨàÅ×Í´à¾×èÍÇÑ´ÃдѺ¡ÒÃá¢ç§µÑǢͧàÅ×Í´à»ç¹ÃÐÂÐà¾×èÍ»ÃѺ¢¹Ò´ÂÒãËéàËÁÒÐÊÁ ¶éÒÃдѺÂÒÊÙ§à¡Ô¹ä»ÍÒ¨·ÓãËéà¡Ô´àÅ×Í´ÍÍ¡ã¹ÍÇÑÂÇеèÒ§æä´é ÂÒã¹¡ÅØèÁ¹ÕéÁÕ»¯Ô¡ÔÃÔÂҡѺÂÒËÅÒª¹Ô´ÁÒ¡ÃÇÁ·Ñé§ÍÒËÒÃáÅÐÊÒÃàÊÃÔÁÍÒËÒõèÒ§æ «Öè§à»ç¹ä´é·Ñé§·ÓãËéÃдѺÂÒã¹àÅ×ʹŴŧËÃ×Íà¾ÔèÁ¢Öé¹áµè¡çäÁèà»ç¹¼Å´Õ·Ñ駤Ùè ¨Ö§¤ÇÃá¨é§á¾·ÂìËÃ×ÍàÀÊѪ¡Ã·ÃÒº·Ø¡¤ÃÑé§ÇèÒ·èÒ¹¡Ô¹ÂÒã¹¡ÅØèÁ¹ÕéÍÂÙè äÁè¤Çë×éÍÂÒ¡Ô¹àͧ

4.ÂÒÅ´ä¢Áѹã¹àÅ×Í´ (Lipid --lowing drugs)

          ä¢Áѹã¹àÅ×Í´ÁÕ 2 ª¹Ô´ËÅÑ¡æ¤×Í ¤ÍàÅÊàµÍÃÍÅáÅÐäµÃ¡ÅÕà«ÍÃìäôì ÂÒ·ÕèãªéÅ´ä¢Áѹ·Ñé§ 2 ª¹Ô´ÁÕËÅÒª¹Ô´ ÊèǹãË­èá¾·Âì¨ÐãËéÂÒ·ÕèÅ´¤ÍàÅÊàµÍÃÍÅà»ç¹à»éÒËÁÒÂËÅÑ¡ ·ÕèãªéºèÍÂáÅÐÁÕËÅÑ¡°Ò¹ÇèÒªèÇÂÅ´ÍѵÃÒ¡ÒÃà¨çº»èÇÂáÅÐàÊÕªÕÇÔµ¨Ò¡âäËÑÇã¨áÅÐËÅÍ´àÅ×Í´¤×ÍÂÒ¡ÅØèÁÊ൵Թ(statin)àªè¹ «ÔÁÇÒÊ൵Թ Í·ÍÇÒÊ൵Թ ¼ÅàÊÕ¨ҡÂÒ¡ÅØèÁ¹ÕéÁÕ¹éÍÂÁÒ¡ ·Õ辺ä´éàªè¹»Ç´àÁ×èÍ¡ÅéÒÁà¹×éÍ ¡ÅéÒÁà¹×éÍÍÑ¡àʺ µÑºÍÑ¡àʺ ´Ñ§¹Ñ鹤ÇÃÁÕ¡ÒõÃǨ àÅ×Í´à»ç¹ÃÐÂÐà¾×èÍãËéá¹èã¨ÇèÒäÁèÁռŢéÒ§à¤Õ§àËÅèÒ¹Õéà¡Ô´¢Öé¹ ÊèǹÂÒ·ÕèªèÇÂÅ´äµÃ¡ÅÕà«ÍÃìäôìàªè¹ ä¿àºÃ· âÍàÁ¡Ò-3 ÁÑ¡ãªé㹡óշÕèÃдѺäµÃ¡ÅÕà«ÍÃìäôìÊÙ§ÁÒ¡ ËÃ×ÍÊÙ§ÍÂèÒ§à´ÕÂÇâ´Â·Õè¤ÍàÅÊàµÍÃÍÅäÁèÊÙ§

5.ÂÒ´Ô¨Ô·ÑÅÅÔÊ(digitalis)

          à»ç¹ÂÒ·Õèãªéã¹¼Ùé»èÇ·ÕèÁÕÀÒÇÐËÑÇã¨ÇÒ¨ҡ¡Ò÷Õè¡ÅéÒÁà¹×éÍËÑÇ㨺պµÑǹéÍ¡ÇèÒ»¡µÔ áÅЪèÇÂÅ´ÍѵÃÒ¡ÒÃàµé¹¢Í§ËÑÇã¨ã¹¼Ùé»èÇ·ÕèÁÕ¡ÒÃàµé¹¢Í§ËÑÇ㨠Ëéͧº¹«éÒÂàÃçǼԴ¨Ñ§ËÇÐ (atrial fibrillation) ¼Å¢éÒ§à¤Õ§¢Í§ÂÒ¤×Íàº×èÍÍÒËÒà ¤Å×è¹äÊéÍÒà¨Õ¹ ·éͧàÊÕ ¡ÒÃÁͧàËç¹¼Ô´»¡µÔ

6.ÂҢѺ»ÑÊÊÒÇÐ (Diuretics)

          ãªéÊÓËÃѺÃÑ¡ÉÒÂÒ·ÕèãªéºèÍÂ㹤¹à»ç¹âäËÑÇã¨ÊÙ§áÅÐÀÒÇÐËÑÇã¨ÅéÁàËÅÇ à»ç¹ÂÒ·ÕèªèÇ¢Ѻ¹éÓáÅÐà¡Å×ÍÍÍ¡¨Ò¡ÃèÒ§¡Ò ÍÒ¨·ÓãËéà¡Ô´µÐ¤ÃÔÇËÃ×ÍÍÒ¡ÒÃÍ×è¹æà¹×èͧ¨Ò¡¡ÒÃÊÙ­àÊÕÂà¡Å×ÍáÃèä»ã¹»ÑÊÊÒÇÐ

7.ÂÒµéÒ¹àºµÒ (beta-receptor blockers)

          Í͡ķ¸Ôìâ´Â¡ÒÃÂѺÂÑé§àºµÒÃÕૺàµÍÃì·ÕèËÑÇã¨áÅÐËÅÍ´àÅ×Í´ ·ÓãËéËÑÇã¨àµé¹ªéÒŧáÅкպµÑÇáç¹éÍÂŧ ãªéÃÑ¡ÉÒÂÒ·ÕèãªéºèÍÂ㹤¹à»ç¹âäËÑÇã¨ÊÙ§ ËÑÇã¨àµé¹àÃçǼԴ»¡µÔ ¡ÅéÒÁà¹×éÍËÑÇ㨢ҴàÅ×Í´ Å´ÍÒ¡ÒÃà¨çºË¹éÒÍ¡áÅÐÃÑ¡ÉÒÀÒÇÐËÑÇã¨ÇÒ ¼Ùé»èÇ·ÕèãªéÂÒºÒ§ÃÒÂÍÒ¨ÁÕÍÒ¡ÒÃÍè͹áçËÃ×ͤÇÒÁÃÙéÊÖ¡·Ò§à¾ÈŴŧ

8.ÂÒµéÒ¹á¤Åà«ÕÂÁ (calcium-channel blockers)

          Å´»ÃÔÁÒ³á¤Åà«ÕÂÁ·Õèà¢éÒÊÙèà«ÅËÑÇã¨áÅÐËÅÍ´àÅ×Í´ ·ÓãËéËÅÍ´àÅ×Í´¢ÂÒµÑÇ Å´ÂÒ·ÕèãªéºèÍÂ㹤¹à»ç¹âäËÑÇ㨠ŴÍÒ¡ÒÃà¨çºË¹éÒÍ¡ ÂÒºÒ§ª¹Ô´¨ÐÊÒÁÒöŴÍѵÃÒ¡ÒÃàµé¹¢Í§ËÑÇ㨠ªèÇÂÃÑ¡ÉÒÀÒÇÐËÑÇã¨àµé¹àÃçǼԴ¨Ñ§ËÇÐ ¼Å¢éÒ§à¤Õ§¢Í§ÂÒ¡ÅØèÁ¹Õé·Õ辺ºèͤ×Í˹éÒá¢é§ºÇÁ àÇÕ¹ÈÕÃÉÐ

9.ÂÒµéÒ¹áͧ¨ÔâÍà·¹«Ô¹ ¤Í¹àÇÍÃìµµÔ§ à͹ä«Áì (Angiotensin converting enzyme inhibitors, ACEIs)

          à»ç¹ÂÒ·ÕèÍ͡ķ¸Ôì»éͧ¡Ñ¹¡ÒÃà¡Ô´ÎÍÃìâÁ¹·Õè·ÓãËéËÅÍ´àÅ×Í´Ë´µÑÇ ªèÇÂÅ´ÂÒ·ÕèãªéºèÍÂ㹤¹à»ç¹âäËÑÇ㨠ÃÑ¡ÉÒÀÒÇÐËÑÇã¨ÇÒ ¼Å¢éÒ§à¤Õ§·Õ辺ºèͤ×ÍÍÒ¡ÒÃäÍáËé§æ áÅÐÍÒ¨·ÓãËé¡Ò÷ӧҹ¢Í§äµÅ´Å§ã¹¼Ùé·ÕèÁÕËÅÍ´àÅ×Í´ä»àÅÕé§䵵պ·Ñé§ 2 ¢éÒ§ ÃÇÁ·Ñé§ÍÒ¨·ÓãËéÃдѺâ»áµÊà«ÕèÂÁã¹àÅ×Í´ÊÙ§

10.ÂÒµéÒ¹áͧ¨ÔâÍà·¹«Ô¹ÃÕૺàµÍÃì (Angiotensin receptor blockers, ARBs)

          Í͡ķ¸Ôìµè͵éÒ¹ÎÍÃìâÁ¹·Õè·ÓãËéËÅÍ´àÅ×Í´Ë´µÑÇ à»ç¹ÂÒ·ÕèÁÕ¢éÍ´ÕáÅмŢéÒ§à¤Õ§¤ÅéÒ¡ѺÂÒ¡ÅØèÁ ACEIs ·ÕèᵡµèÒ§¤×ÍäÁè·ÓãËéà¡Ô´ÍÒ¡ÒÃäÍ

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          à¹×èͧ¨Ò¡âäËÑÇã¨áÅÐËÅÍ´àÅ×Í´à»ç¹âäàÃ×éÍÃѧ ÃÇÁ·Ñé§¼Ùé»èÇÂâäËÑÇã¨ÁÑ¡¨Ðä´éÃѺÂÒËÅÒª¹Ô´ÊÓËÃѺÃÑ¡ÉÒâäËÑÇã¨áÅÐâäÍ×è¹æ·ÕèÁÕÃèÇÁ´éÇ ¡ÒáԹÂÒãËé¶Ù¡µéͧáÅÐÊÁèÓàÊÁ֧ͨà»ç¹àÃ×èͧÊӤѭ 㹡óշÕèÁÕÍÒ¡ÒüԴ»¡µÔËÅѧ¡Ô¹ÂÒ ¤ÇûÃÖ¡ÉÒá¾·Âì¼Ùé·ÕèÊÑè§ÂÒãËé äÁè¤ÇÃËÂØ´¡Ô¹ÂÒàͧ 㹡óշÕèÁÕ¢éÍʧÊÑÂà¡ÕèÂǡѺâäËÃ×ÍÂÒ·Õè¡Ô¹ÍÂÙèÊÒÁÒöÊͺ¶ÒÁ¨Ò¡á¾·Âì¼ÙéãËé¡ÒÃÃÑ¡ÉÒä´é·Ñ¹·Õ àÁ×èͼÙé»èÇÂáÅЭҵÔÁÕ¤ÇÒÁÃÙé¤ÇÒÁà¢éÒã¨à¡ÕèÂǡѺâäáÅСÒÃÃÑ¡ÉÒ´Õ¢Ö鹡ç¨Ð·ÓãËé¼Å¡ÒÃÃÑ¡ÉÒ´Õ¢Öé¹µÒÁä»´éÇÂ