"In coronal": zvairatidza kuti kushandiswa, wongororo. zvinodhaka analogues

Kugadzirwa zvemwoyo anononoka uye kucherechedzwa mukutanga nezvishoma. About zvinetso nomwoyo munhu kakawanda kuziva kana zvokurwara vafambira mberi, zvokuti aida nokukurumidza muchipatara. zvirwere mwoyo vari ngozi nokuti zvaitika dzinenge pasina zviratidzo. Ndivo mumwe chikuru zvinhu hwenyama panyika. Kunyange kana murwere vapukunyuke kurwisa chemwoyo, kudzokera hwandaiva mararamiro hazvingaiti, uye saka vanofanira kuchinja itsva, shoma maitiro. Kudzivirira kukura zvakakomba yematambudziko chemwoyo zvinogona, panguva vakanga chirwere. Naizvozvo, unofanira kumbotambudzika chokudzivirira uchiongororwa kuramba utano mwoyo wako.

mwoyo chirwere

Kune akawanda zviratidzo kuti zvingaratidza kugadzira matambudziko mwoyo. Kuona pa Zviratidzo izvi hwobva kuenda kukiriniki, apo kwazvo vaongo- kuchabatsira rokuongorora chirwere uye kudzivirira zvichibvira matambudziko.

Vakawanda zviratidzo kutanga nzendo chemwoyo zvinosanganisira kuneta, uye mukuru novutera. Vangave chokuita kushushikana kana mukuru kunetseka, asi rinogonawo kuva chiratidzo mwoyo kukundikana. Kazhinji, kurukutika haangakoni kure kunyange mushure zororo, uye akawedzera imwe uye pfungwa mwoyo, kurasikirwa kudya, murombo kunopindirana utano. Chimwe chiratidzo kuti aigona chiratidzo kukura zvemapapu kana mwoyo kukundikana kupfupika mweya, uye rinogona kuitika kunyange kana munhu ari ezvinhu kwakakwana nerunyararo.

Zvikuru kutya, kushushikana kana kwenguva refu kurovedza muviri utano munhu wose anogona kukonzera mwoyo palpitations, uye ichi anonzi chakaipa. Kana tachycardia kazhinji kunetseka uye pasina chikonzero chakanaka, tinogona kutaura pamberi kuvhiringidzika mamiriro kumwoyo. Zvimwe zviratidzo chemwoyo zvinosanganisira kurasikirwa mwero kana akangoerekana dzungu, kufenda, kusagadzikana uye chipfuva marwadzo. Zviratidzo izvi ndiwo chikonzero munhu kushanyira chiremba. Uye zvakaitika misoro kuzviongorora kumwoyo.

Drug "in coronal"

Kana murwere yave chirwere panguva padariro chemwoyo, icho haatarisiri kuvhiyiwa, akanga ndishandise mishonga. Zvinodhaka pamusoro mwoyo chirwere anobatsira varwere kutsungirira zviratidzo chirwere nokunonoka kunoita kwayo. Munhu anofanira kugadzirira chokwadi kuti kana iye anoda kurebesa upenyu hwake, aifanira kuchinja mufananidzo yaro, zvikurukuru, regedza tsika dzakaipa, kuti adye, chokubatanidza usinganyanyi mutoro pamwechete navamwe.

Nhasi pamusoro echiShinto ose Pharmacies zvakawanda zvinodhaka zvakasiyana kuti kuvavarira pakurwisa matambudziko mwoyo. Chimwe chezvinhu zvakafanana mishonga kuti ushandiswe vari "in coronal" piritsi. Zvairatidza kuti kushandiswa kwezvinodhaka angava zvinotevera: ischemic mwoyo chirwere, arrhythmia, BP, ventricular kana supraventricular arrhythmias uye nevamwe. Usati watanga nzira yokurapa, unofanira bvunza chiremba wako. Medicine "in coronal" rine zvakakwana simba migumisiro iri muviri, ane mazita contraindications uye kunogona kukonzera marwadzo. Inowanika mapiritsi film-zvemapuranga. Chiremba anogona mishonga mushonga "in coronal" uye ayo analogues.

pharmacology

The medicament "in coronal" ane antianginal, antihypertensive uye antiarrhythmic chiito. Izvi vanosarudza Beta-blocker akazoita paumbwe cyclic AMP kubva ATP uye anokwanisa ichivharira Beta-adrenergic receptors mwoyo. Uyewo, kuti zvinodhaka "in coronal" kunoderedza myocardial contractility uye mwoyo zvazvingava, ayo conductivity uye excitability.

The hypotensive mugumisiro zvinodhaka zvinoonekwa pakuti rinobatsira kuti vasanyanye cardiac goho. "In coronal" - mapiritsi kuti kudzosa zvinoitika aikanganiswa pamusoro baroreceptors, tunodzivisa basa reninangiotenzivnoy ezvinhu, zvazvinoita musimboti tsinga. In varwere vanotambura BP, antihypertensive chaizvoizvo akanga aona mazuva 2-5 mushure pakatanga kushanda. Pashure 1-2 mwedzi akacherekedza hypotensive yakatsiga kuchirapa kushanda.

Kugadzirira "in coronal", zvinoratidza vane chakarondedzera yakafara zvakakwana ane antianginal nomugumisiro. Mahwendefa vanotsigira elongation diastole kuvandudza perfusion mwoyo tsandanyama, kuderedza wayo okisijeni charehwa kudzikira mwoyo unodiwa. The antiarrhythmic mugumisiro zvinodhaka kukwanisa kwayo kuparadza arrhythmogenic zvinhu. Under nawo DZEMUNHU DZINODZORA atrioventricular conduction uye zvinoderedza mwero excitation pamusoro sinus uye ectopic pacemakers.

Uchishandisa zvekushandisa mune svikiro-chipimo chemushonga iri shoma raidudzwa ari peripheral arteries, anotsvedzerera tsandanyama ari principales, rwatata, skeletal tsandanyama, carbohydrate muviri. The mushonga hazvirevi kunonotsa yavaibvisa ions mumuviri, ayo Absorção de Água inenge 80-90%.

zvairatidza

Usati tora "in coronal", unofanira chiremba acharerekera mirayiridzo yakajeka panyaya chipimo chemushonga uye kakawanda chourongwa. Haukwanisi kutanga kutora mushonga pachavo, pane njodzi zvakaipa utano hwavo, uye pamwe kusingarapiki nemigumisiro.

In zvinodhaka "in coronal" zvairatidza yokushandisa zvikurukuru hakugumiri neBP uye nechirwere chemwoyo. The dose daily - 5 MG. Huru vanoshingaira chirungiso mishonga "in coronal" - bisoprolol. Kunonyanyisa zvazvingava daily anosvika 20 MG, apo varwere vane havachanyatsogoni chiropa basa renguva dzose - 10 milligrams. Dose muzviitiko zvose kugadziridzwa nomumwe, kufungisisa kuchirapa efficacy uye kwemwoyo. Kuderedza dose zvinodhaka "in coronal" vanofanira kuva zvishoma nezvishoma, hazvibviri kumira kugamuchira kosi pakarepo. Izvi ndezvechokwadi kunyanya varwere angina pectoris (CHD).

Contraindications

Pane mazita zviitiko apo zviri nani kusiya kushandiswa "in coronal" chinodhaka. Zvairatidza Dzokushandisa kuti mwoyo chirwere angasava chete chinhu, kuti kutanga yawapiwa. Chiremba anofanira kunyatsofunga uye kwazvo ongorora murwere nokuti kuchengeteka yokupedzisira.

The mushonga iri contraindicated mu varwere decompensated mwoyo nokukundikana, rikwanise mwoyo kukundikana, cardiogenic kuvhunduka, cardiomegaly, angina Prinzmetal, SSA urwere, atrioventricular nechigumbuso II-III remakore., Sinoatrial blockade. Musatora achishandisa "in coronal" Varwere vane nomumwe aikanganiswa mushonga. Hazvina akakurudzira taurira kuti vakadzi panguva lactation, uyewo pamwe nokushandiswa Mao FIs.

Muzviitiko, asi muchiitiko chino kungwarira chaizvo kugadzirira inoshandiswa kurapa varwere vane myasthenia gravis, inoratidza claudication, urwere pakati Raynaud, hepatic kukundikana, chirwere chemwoyo, pheochromocytoma, metabolic acidosis, Árbol asima, emphysema, chirwere cheshuga. Contraindications pakushandisa kunogona kuva kuora mwoyo, psoriasis, hyperthyroidism, pauduku uye kukwegura, pamuviri. Kupembedza nzira "in coronal" chinodhaka (apindure vanachiremba vari wekuita izvi) panguva pamuviri kunogona chete kuva zvakadaro kana kubatsira kuti mai kanoverengeka kupfuura ngozi mwana.

ovhadhozi

Murwere anofanira kunyatsoteerera kutevera zvinodiwa nyanzvi, nokuti ovhadhozi kunogona kukonzera zviratidzo ngozi. Zvimwe zvakafanana zviratidzo zvinokonzerwa ane ovhadhozi rinoreva "in coronal" - bronchospasm, mwoyo kukundikana, hypotension, bradycardia. Kudhaka kunokonzera kwakakomba cardiodepressivny mugumisiro kwakapararira pamusoro kuderera contractility uye kuderera kwemwoyo. Murwere anogona kuva kufema chirwere kunokonzerwa bronchospasm.

Kana murwere sokurwarirwa maitiro kuti mushonga, unofanira pakarepo kutora matanho neutralize navo. Chinhu chokutanga kuita - nayo achiita gastric lavage zvichiteverwa Kutarisirwa ehnterosorbentov (neactivated charcoal). Uyewo kunwa laxatives (sodium sulfate). Anogona kubvisa zviratidzo kudhaka kushandisa atropine (0.5 -2.0 MG) nomutsinga. Uyewo mune zviitiko izvi kushandisa glucagon 1-5 MG. At panowanikwa bronchospasm vanofanira kushandisa bronchodilator zvinodhaka (aerosol "salbutamol" kana "Fenoterol").

nemishonga

Kugadzirira "in coronal" inogona kukonzera marwadzo, kuita yose muviri. Pangozi vari:

• kumwoyo;
• tsinga;
• kufema hurongwa;
• nemudumbu;
• urogenital hurongwa;
• chinooneka midziyo;
• ganda, tsandanyama, majoini.

On chikamu kumwoyo matambudziko akadaro kunogona kuitika nguva, sezvo paresthesia, conduction zvirwere, bradycardia, orthostatic neBP uye BP. In varwere Raynaud kwakaita Fani kana inoratidza claudication Zvinoipisisa zviratidzo.

The mushonga "in coronal" nemishonga uye zvinogona kukonzera tsinga, kureva mupfungwa kuchinja, zviroto akajeka, hope, dzungu, nomusoro, kurukutika. Very kashoma, asi vachiri kutarisana midziyo vatingakurudzira rinoreva "in coronal". Reviews nyaya idzi, asi dzakava, asi somugumisiro yokuwana mushonga anogona achiipa chiratidzo, akaderedza kubvambura, kusvikira kukura conjunctivitis.

Zviratidzo akadai bronchospasm, dyspnea, rhinitis, uye nasal kuzara anogona kuvhiringidza avo varwere vanotambura Árbol asima. Mune zvisingawanzoitiki kacho zvinoitika hepatotoxic migumisiro bisoprolol, zvakatemwa nokuda kuda kurutsa, manyoka, kupatirwa uye abdominal kurwadziwa.

Pakati mhiri matambudziko anokonzerwa Zvakaitwa zvinodhaka "in coronal" Murwere wongororo cherechedza zvinotevera: wakawedzera vangadikitira, kuvaviwa uye akatsvuka ganda, arthropathy, chinyamunhari chinorwadza uye tsandanyama marwadzo. Kashoma chichikusvota dysuria uye erectile dysfunction anokonzerwa kuitwa "in coronal" chinodhaka. Analogs uyewo zvinodhaka inogona kukonzera marwadzo mumuviri. Saka, muna nechimwe, iva nechokwadi kuti bvunza chiremba wako uye mirayiridzo yake.

Zvokungwarira

Mukuwedzera contraindications uye marwadzo, pane vakawanda Muzviitiko apo kushandiswa kwezvinodhaka kungwarira chaizvo uye nguva dzose pasi pokudzora chiremba. Hazvina hanya zvikurukuru ezvinhu akadai congestive mwoyo kukundikana, chirwere cheshuga, kuora mwoyo, myasthenia gravis, psoriasis, hyperthyroidism, kuvhiringidza chakaipa nokushanda kwenhengo chiropa kana itsvo, metabolic acidosis, nzara, Prinzmetal angina.

Chirwere obstructive zvirwere kufema rinoreva "in coronal" analogues mamwe Beta-blockers anogona kutorwa, asi chete akabatana bronchodilators uye usingashandi mishonga. Feohromotsitome zvinoreva anofanira kutorwa panguva imwe chete blockade pamusoro Arifa-adrenergic receptors. The chipimo chemushonga anofanira kuzviita pashure kuzviongorora chiropa uye neitsvo.

NeBP mushonga unogona chete kurapwa pasi dzose dzokurapa achitarisirwa. Ungaderedza adrenergic kontrregulyatsii uye anaphylactic siyana kutowedzera kosi wanda vari varwere kutora Beta-blockers. Varwere vakwegura zvingaitikawo dzakakwirira nehanya kunyange paaishandisa zvinoitika mishonga yacho chinodhaka, saka inoda kuramba zvichiongororwa.

Kana uchida zvokuwedzera kuvhiyiwa, kushandisa zvinodhaka kukanzura maawa 48 asati kuvhiyiwa, panguva imwe cheteyo regai kudaro pakarepo, asi zvishoma nezvishoma. Kana murwere ane mushonga "in coronal" zvairatidza kuti kushandiswa, inoda kungwarira chaizvo zvinhu zvinoda refu mwero mumuviri uye mupfungwa siyana (achishanda urefu, michina, basa pamwe michina ngozi, kutyaira, etc.).

zvinodhaka kwavatori

Kutora "in coronal" (Mahwendefa) panguva iyoyo pamwe nedzimwe zvinodhaka vanofanira kuomerera matanho okuzvidzivirira. Akanyanya nezvezvitadzo mubatanidzwa pamwe Mao FIs yakaonekwa pashure kugumiswa BP. Kusanganisa Beta blockers pamwe allergen atakatora ganda bvunzo pamwe allergens zvinoshandiswa immunotherapy, pane ngozi afunge zvikuru neutachiona.

In kushanda antiarrhythmics mumakirasi I uye III ( "Dizopiramid", "Sotalol", "Quinidine" "Amiodarone", "Lidocaine") vanofanirawo kungwarira. Kana mawa Kutarisirwa zvinodhaka antihypertensive uye mahwendefa "in coronal" ekupedzisira anogona potentiate migumisiro yokutanga. Kana kushandisa zvinodhaka ichi akabatana "Guafatsinom", "Digitalis", "Clonidine", "reserpine", rinogona zvishoma nokuomerera ari conductive gadziriro mwoyo magetsi pulses.

Kuchirapa efficacy "in coronal" gadziriro kungakanganiswa nokuda dzokupisa sympathomimetic vamiririri (antitussive zvinodhaka, nasal kana ziso anodonhedza). Activators pakati hepatic makemikari kutsamwisa zvinoderedza zvipenyu hafu-upenyu Beta-adrenoceptor agonist. Mawa kwokubatsira antiarrhythmic zvinodhaka, uye calcium yakawanda gwara blockers mapoka "Nifedipine" uye "Verapamil" anogona kukonzera bradycardia, mwoyo nokukundikana kana conduction vachivavhiringidza.

Mawa kurapwa zvinodhaka "in coronal" uye "Clonidine" anogona kukura vane chirwere cheBP dambudziko. ari kana negashiro zvinodhaka kuverengwa "in coronal" vane varwere cheshuga, nayo varumbidzwa zvakasimba nguva dzose akuteerere ropa shuga yomuropa. Izvi imhaka yokuti Beta blockers anogona potentiate migumisiro Anti-chirwere cheshuga zvinodhaka uye jekiseni, masking zviratidzo yomuropa.

Reviews emishonga

Drug "in coronal" vanachiremba varayire varwere vane mwoyo chirwere. Asi kana Zvisinei mushonga zvose izvi basa? Ongorora wongororo pamusoro payo, unogona kugadzira vakawanda mhedziso kuti matambudziko ari zvinodhaka mumuviri murwere zvinoenderana nomumwe nyaya imwe neimwe. Vaya vakanga rombo zvakakwana kwete kutarisana nemishonga akanaka chaizvo pamusoro kugadzirira "in coronal". Reviews wevarwere vakanzwa migumisiro chinodhaka, hazvina kunaka kudaro. Zvisinei, matambudziko zvinogona kudziviswa. Usati tora "in coronal" (Mahwendefa), mirayiridzo kuti rinofanira nokungwarira kuzodzosera verenga kakawanda, nokuti hanya anogonawo kukuvadza utano hwako.

Chinhu chokutanga kuti varwere vanoti ichi kuderera kwemwoyo, zvishomanana zvinoderedza BP, kuvandudza mukuru ezvinhu omurwere. Mushure memwedzi yakati chikumbiro, vanachiremba vanoti kuderedza dose, nokuti kupomba uye BP yasvika ndozvakajairwa uye hapana chikonzero tikarega navo mberi. Varwere kuonawo kuti kana ukatevera zvose zvataurwa chiremba, asi nemigumisiro havafaniri kutya zvinodhaka. Asi vaya vakazvimiririra vakasarudza kuchinja nezuva dose kana akatadza kunyevera vanachiremba nezvekushandiswa zvimwe zvinodhaka, akatarisana matambudziko, izvo dzimwe nguva kuradzikwa muchipatara. Ndokusaka tichifanira kukanganwa kuti mune mumwe remidzanga mapiritsi "in coronal" mirayiridzo Chinyorwa.

analogs

Drug "in coronal" ane zvakasiyana-siyana analogues - mishonga, izvo zviri chete rinoita fuma. Vakasiyana mutengo, nyika gadzira, mashandiro chiito, contraindications, kuvapo kana kusavapo nemishonga iri.

Kungofanana mishonga ipi, ayo kukura iri uye rinoreva "in coronal". analogues ayo akafanana pakuti zvinoshingaira fuma mavari - bisoprolol. Zvinonyanyozivikanwa zvinodhaka yakabereka muno. Zvakavanakira anoonekwa kuti mari yakaderera (zvichienzaniswa kupinzwa) uye yakakwirira kunyatsoshanda. Zvikurukuru, mishonga yakadaro inogona kutaurwa: "Aritel", "Aritel VaK", "Biprol" "Bisoprolol" "Bisoprolol-Praana", "Niperten". Ivo anowanika ose chemishonga, uye mutengo wavo anoda kubva 30 kusvika rubles zana chete rongedza.

Kupinza analogues "in coronal" chinodhaka zvakare nenzira yakakura musanganiswa "Bidop" (Hungary), "Biola" (Slovenia) "Bisogamma" (Germany), "Bisokard" (Poland), "Bisomor" (India), "Bisoprolol- Lugano "(Ukraine)," bisoprolol-din email "(Israeri) uye vamwe. Kunyanya yakakurumbira pakati kupinza zvinodhaka nyasha mishonga German "Concor". mutengo waro 4 nguva mari zvinodhaka "in coronal" uye anenge 180 rubles. Kazhinji, kupinza zvinodhaka munyika chemishonga zvaipiwa panguva mitengo kubvira 300 600 rubles muzana rongedza.