"Kordinik": mirayiridzo kushandiswa, analogs uye wongororo

zvinodhaka Antianginal inonzi zvinodhaka zvinowedzera ropa riyerere mwoyo, uyewo kuderedza yaro yakachena kudiwa. mishonga iyi inowanzoshandiswa nokuda rusununguko kana kudzivirira angina kurwiswa.

Angina - chirwere iyo inozivikanwa uchirwadziwa kana kusagadzikana seri breastbone. Kazhinji, marwadzo chirwere yakadaro kunoratidzwa pakarepo pasi mupfungwa kana kuratidza kunetseka, uye pashure kudya kudya. Kazhinji anopa pamutsipa, akasiya ruoko, pakati pamafudzi mashizha, yakaderera shaya uye akasiya subscapular nharaunda. zvisingafadzi nezvekufadza kwakadaro zvingatoparara pamusoro ¼ awa. Uyewo, kurwadziwa haazombotaurwi pashure kumira muviri kana pashure pokutora Anti-anginal zvinodhaka. Sezvo yokupedzisira iri chaizvo unowanzoshandiswa mishonga "Kordinik". Mirayiridzo yokushandisa, rondedzero rekugadzirira uye ayo zvivako zviri kukurukurwa pazasi.

Description of somushonga chigadzirwa, ayo chimiro, akafanana uye chiputiriso

Wakadiniko tinoberekwa ari medicament "Kordinik"? Mirayiridzo application zvinoratidza kuti mushonga inowanika piritsi fomu. Vane ploskotsilindricheskoy chimiro, kuva chena kana simba grayish-yellowish ruvara.

The Kuronga mushonga pasi kukurukurwa anosanganisira nicorandil. Ebetsero zvinoriumba inoshandiswa mbatatisi starch, karusiyamu stearate uye microcrystalline cellulose.

Kutengeswa zvinodhaka "Kordinik" mirayiridzo kushandiswa vari kugara mu murwi makadhibhokisi anopinda gandiwa masero.

Pharmacology medicament

Chii chinoshamisa zvinodhaka "Kordinik" (Mahwendefa)? Mirayiridzo dzokushandisa kunoratidza kuti nicorandil ane antianginal migumisiro. Kwakavakirwa mubatanidzwa nitratopodobnyh ehupfumi, uyewo kukwanisa kuvhura potassium makwara. Nemhaka yokupedzisira enzvimbo zvinodhaka hunokonzera hyperpolarization muchitokisi membrane.

Nitratopodobny mugumisiro mishonga iri kuwedzera zviri cyclic guanilmonofosfata intracellularly. Kwakadaro pharmacological Migumisiro pave kutandara pamusoro kumeso tsandanyama uye kudzivirira myocardium panguva ischemia.

Panyaya hemodynamic zvinokonzerwa, vari kuratidzwa mune mwero rutapudzo pamusoro post-uye preload. Wapiwa vasodilation (zvokusarudza) coronary arteries mu ischemic myocardium mutoro iri kushoma.

Nicorandil haana kumbochinja myocardial contractility. Uyezve, fuma iyi haachinji mumwoyo unodiwa. Zvisinei, izvozvo kunoderedza systemic BP, uye anewo kunobatsira pane pfungwa ropa riyerere munzira vanhu vane ischemic nevanga.

Ndezvipi zvimwe zvivako kuri muna zvinodhaka "Kordinik"? Mirayiridzo dzokushandisa (zvinodhaka analogues dziri pazasi) rinoti nicorandil haana zvainoita muviri kuti shuga uye lipid muviri. Unotsigira angina, uye kunoderedza marwadzo kwemaminitsi nomwe pashure rokutarisira pasi rurimi. Complete kubviswa kusagadzikana vakachengeta papera ¼ maawa.

Kinetics mari

Location woga zvinodhaka "Kordinik"? Mirayiridzo yokushandisa kunoratidza kuti Absorção de Água zvinodhaka pasi kufunga rinobva zvomudumbu turakiti. It runosvika yepamusoro wevasungwa munguva yeplasma pashure maminitsi 35-60.

Nicorandil anosungwa chete zvishoma kuti mapuroteni eplasma. Its vakasununguka chakapatsanurwa muropa riri 75%.

mushonga uyu haasi pachena kuti vanyatsodzidziswa muviri ari chiropa. Ari yabudiswa ne itsvo mukati maminitsi 50.

Zvairatidza kuti rubvumo

Kana ndirege kushandisa mapiritsi "Kordinik"? Manual rinoti izvi zvinoreva zvakanaka hworatidza pacharo pamwe:

• kudzivirira kurohwa (kugadzikana) akabatana nevamwe zvinodhaka antianginal;
• Mufananidzo angina;
• monotherapy kana asingashiviriri BCCI uye Beta-blockers.

Contraindications kugamuchira

Kana mahwendefa havafaniri kupiwa "Kordinik"? Mirayiridzo dzokushandisa (anoreva zvakafanana ataurwa chigadzirwa akarongwa pazasi) inoti pamusoro contraindications zvakadai, yakadai se:

• dhirika, cardiogenic kuvhunduka;
• AV-block rechitatu uye chechipiri dhigirii;
• chenjera myocardial infarction, uye mazuva 90 zvadaro;
• kusagadzikana angina ;
• Chirwere mwoyo kutadza (rechitatu kana kuti rechina kirasi NYHA dzichipfekeka kupatsanura);
• arterial hypotension;
• panguva pamuviri;
• bradycardia;
• lactation;
• kuruboshwe ventricular insufficiency ipfupi kumanikidzwa zvekupfakira;
• kuduku zera;
• mawa Kushandisa phosphodiesterase-5 FIs (semuenzaniso, "Sildenafil", "Vardenafil" kana "tadalafil");
• hypersensitivity kuti zvinodhaka.

Zvokungwarira Mahwendefa dzakadaro nachiremba mwoyo mutinhimira zvinetso, Prinzmetal angina, AV-blockade wokutanga dhigirii, hypotension, havachanyatsogoni chiropa nerevane itsvo hypovolemia, pulmonary edema, hyperkalemia, angled-kuvhara yemaziso uye kupererwa neropa.

Drug "Kordinik": chipimo chemushonga uye adhimini

Mahwendefa "Kordinik" zvinofanira kutorwa nemuromo zvisinei zvoupfu.

The chipimo chemushonga zvinodhaka anosarudzwa nomumwe. Kazhinji, zvinoenderana nguva nekuomarara chirwere.

Kusunungurwa kurapwa angina apere panguva chiratidzo chirwere rokutanga. In ichi zvakafamba chinotarisirwa ari chipimo chemushonga 20 MG. Piritsi wakaiswa pasi rurimi uye mubatirire chero bedzi urwa.

Nokuti kudzivirira akatsiga angina kurwiswa (kusanganisira kurapa kwenguva refu) zvinodhaka kakawanda chinotarisirwa iri chipimo chemushonga pamusoro 10-20 MG katatu pazuva.

The kunonyanyisa chipimo chemushonga zvinodhaka pazuva iri 80 MG. Nomusoro kwokutanga dose inogona kuderedzwa.

nemishonga

Zvaunofanira kuziva asati atora mahwendefa "Kordinik"? Mirayiridzo dzokushandisa inotaura kuti mumiririri izvi zvingaita nenjodzi dzakadai:

• simba, palpitations, nomusoro, kunoderedza BP, dzungu;
• tachycardia, tinnitus, "Maze" ropa ganda, kushaya hope;
• neutachiona, peripheral edema, kuda kurutsa,
• kunzwa pakuzara mudumbu, kurutsa, vakawedzera basa "chiropa" transaminases, abdominal kusanzwa, stomatitis.

An ovhadhozi kuti mapiritsi

Kana ukapiwa vakawanda mapiritsi murwere ane zviratidzo zvakadai tachycardia uye nemuumbi rutapudzo BP. Panyaya iyi, munhu ukashambidzwa dumbu uye vanopa neactivated charcoal. Uyewo anotsigira basa kumwoyo.

Kudyidzana nevamwe zvinodhaka

Antianginal mushonga pasi kukurukurwa kunosimudzirwa apo antidepressants, vasodilators, phosphodiesterase-5 FIs, antihypertensives, uye tricyclic antidepressants. Ndizvo zvazvakaitawo diuretics, Mao FIs, Beta-blockers uye panyaya iyi.

chaizvo kurumbidza

Hwekubvisa mushonga inofanira kuva zvishoma nezvishoma. Panguva mushonga zvinokosha kuti akuteerere ECG uye arterial BP, uyewo zviri yavaibvisa uye potassium ions neropa. Uyewo, ivo kudya mishonga iyi kungawedzera cardiac arrhythmias.

Analogs uye anoreva zvakafanana zvinodhaka, mutengo wayo

Zvino munoziva kuti mushonga "Kordinik". Mirayiridzo kushandiswa, mapikicha uye zvivako zvinodhaka kunge kukurukurwa pamusoro.

vaiona mushonga mari zhinji sei? Kazhinji, mutengo mahwendefa chishandiso 60 (10 MG) ndiyo rubles 450. Nepo dzimwe kumatunhu nyika yedu, nhamba iyi inogona hwakawedzera kana nekusiyana, ndokuramba.

In chenjera kudiwa mishonga inogona kutsiviwa analogs akadai "Dilasidom", "Korvamin", "Carbochromen", "Korvaton", "Sydnopharm", "Oxycardin", "Reasanz" uye vamwe.

Kana anoreva zvakafanana, chete zvinodhaka "Coronel" anonzi kwaari.

mishonga Reviews

About "Kordinik" mushonga une zvizhinji Wongororo. Vatengi vanoti kuti mumiririri antianginal kwakadaro kwazvo kukurira basa. Kubvuma chambotaurwa nezvacho hwendefa unoshanda mukuderedza angina, uyewo hakubvisi marwadzo uye kusagadzikana seri breastbone.

Kuwedzera zvakanakira zvinodhaka ichi zvinosanganisira kwayo Kuwanikwa uye kukwanisa yokutsiva dzomuzana, uye zvazvakaipira - mutengo mukuru uye vakawanda nenjodzi.