The mushonga "Korglikon": mirayiridzo kushandiswa, mutengo, analogs uye kuverengwa

Various vachivavhiringidza mumwoyo - idambudziko vanhu vazhinji. Uye kazhinji kuti kubvisa zviratidzo kana kumisa kufambira mberi kwemashoko chirwere, varwere ushandiswe mishonga inonziwo "glycosides cardiac". uye "Korglikon" rinoreva boka iri zvinodhaka. Mirayiridzo kushandiswa, zvairatidza kuti kurapwa, marwadzo, analogs uye wongororo - ndiwo huru dzine chokuita varwere. Saka chii mishonga iyi uye chii ehupfumi?

Mamiriro uye Kuronga

Kugadzirira "Korglikon" iri rakapa muchimiro kugadzirisa akajeka jekiseni rine zvishoma yellowish tinge. The mushonga iri kutengeswa girazi ampoules vari Vhoriyamu 1 Rine mamiririta. Mumwe rongedza rine 10 ampoules.

The chikuru kushingaira fuma iri mushonga Korglikon - a pakugadzira kushingaira glycoside, iyo yakatorwa Mashizha ruva mumupata. Imwe milliliter kuti mhinduro ine 600 MG pakati rokuti, maererano, wevasungwa uri 0,06%. Ebetsero zvinhu varipo vari murwiyo hlorbutanolgidrat uye Yakanatswa mvura jekiseni.

Description of pharmacological zvivako zvinodhaka

The zvinoshingaira zvinoumba kugadzirira yaunganidzwa achinatsa ari atakatora ruva pomupata yayo dzakasiyana. Iri cardiac glycoside, ine pamusoro womunhu muviri yakanaka inotropic kushanda.

chinodhaka ichi zvaanopa simba iri yavaibvisa-karusiyamu Exchange Kamudzira pamusoro cardiomyocytes, izvo zvinozoita anowedzera simba marwadzo mwoyo tsandanyama. Panguva mushonga ane kuwedzera sitiroko vhoriyamu, akaderedza magumo-systolic uye diastolic Vhoriyamu mwoyo uye kuderera myocardial okisijeni kudiwa.

mishonga uyewo inopa kunaka chronotropic maturo. Marapirwo kunotungamirira kuwedzera Moyo baroreceptor wanda, kuderedza kunyanya basa aimunzwira tsitsi hurongwa. Ukuwo, mushonga anowedzera zvinoitwa pakati vagus etsinga, umeshaet kumhanya zvechivhurumukira conduction kuburikidza atrioventricular raiva pedyo nebundu uye nokudaro rinopa antiarrhythmic kushanda.

In pamberi atrial tachyarrhythmias mishonga iyi DZEMUNHU DZINODZORA mwero ventricular marwadzo, kunowedzera diastole, anovandudza intracardiac gemodinaminu. Kana achiita nomutsinga, mushonga anotanga kuita pashure maminitsi 3-5. Maximal chaizvoizvo akanga aona pashure 25-30 maminitsi pashure zvinodhaka kutarisira.

Ndezvipi zviratidzo kwokurapa?

mushonga uyu rinowanzoshandiswa mushonga ano. Asi varwere vakawanda vanofarira mubvunzo wokuti, umo vanenge mishonga yakakodzera "Korglikon". Zvairatidza kuti kushandiswa zvakasiyana pano. Zvikurukuru, izvozvo chinotarisirwa kuti varwere vanenge atrial fibrillation tachysystolic fomu. Uyewo, kuti mushonga unobatsira ne atrial flutter , paroxysmal mhando.

Pane zvimwe pazviri here kushandisa zvinodhaka "Korglikon". Zvairatidza kuti kubvuma - asiwo paroxysmal supraventricular tachycardia. Mazuva okurapa, mushonga zvinowanzooneka raitongwa varwere vane chirwere insufficiency pamusoro dzichipfekeka kirasi yechipiri, yechitatu uye wechina. Sezvingatarisirwa, aine chirwere chakadai majekiseni vari chete chikamu zvakaoma mishonga.

Medicine "Korglikon": mirayiridzo kushandiswa

Ipa mushonga zvakafanana kunogona chete chiremba pashure kwazvo kuongorora chirwere. Mazvikokota kuchaitawo kuona inonyatsobudirira dose uye purogiramu jekiseni uwandu. Kugadzira mhinduro zviri rimwe ampoule vari rakasanganiswa muna 10-20 ml kugadzirisa zviri dextrose kana shuga pane wevasungwa 20 kana 40%.

The chete dose varwere mukuru yaiva 0.5-1 ml kugadzirira. Vana vane makore 6 kusvika 12 makore, kazhinji haawani kupfuura 0.5-0.75 ml chezvinodhaka. Toddler zera kubva 2 kusvika 5 makore ushandiswe 0.2-0.5 Rine mamiririta. Pinda rakasanganiswa dextrose mhinduro nomutsinga pamusoro maminitsi 5-6. The nzira inodzokororwa kaviri pazuva yokumbozorora maawa anopfuura 8-10. Kufadza daily dose nokuti nevakura 2 Rine mamiririta "Korglikon". Ya ARV akatsunga nomumwe.

Pane contraindications kumutambo womuchato?

Kana Mapoka ose varwere akabvumira kurapwa ne "Korglikon" chinodhaka? Mirayiridzo dzokushandisa rine ruzivo kuti contraindications mushonga iriko, saka, wakawanirwa kwavo mazita achava available:

• mushonga uyu haasi raitongwa pamwe hypersensitivity kusvikira pakati vomumatunhu, uyewo Kurwara kune cardiac glycosides.
• Contraindications zvinosanganisira atrioventricular chinogumbura wechipiri dhigirii, uyewo inoratidza blockade zvakakwana.
• The mushonga haagamuchiri varwere Wolff-Parkinson-White syndrome.
• Contraindication chinhu glycoside kudhaka.
• Mushonga hauna kushandiswa kurapa vakadzi vane pamuviri uye ekukurerai.

Kunewo inonzi hama contraindications, kana kuti kurapa zvichiita chete pasi kugara achitarisirwa. Pakati ezvinhu akadaro zvinosanganisira atrioventricular chinogumbura dhigirii rokutanga, chenjera myocardial infarction, hypertrophic subaortic stenosis, mwoyo kukundikana pamwe diastolic dysfunction, arrhythmia, voga mitral stenosis, nenyonganiso pamusoro electrolytes, hypothyroidism, myocarditis, kufutisa, renal uye hepatic kukundikana, alkalosis. Matanho mushonga waakaudzwa varwere vakwegura.

Zvinoita panowanikwa nenjodzi?

Varwere vakawanda vasati vatanga kurapa mibvunzo zvaibvira matambudziko pamusoro pakanyorwa kushandiswa mishonga "Korglikon". Mirayiridzo kushandiswa chine ruzivo pamusoro sei chaizvoizvo mushonga inogona kukonzera marwadzo. Heino mazita yakajairika ndivo:

• Panguva kurapwa, vamwe varwere vanogona kuva arrhythmia.
• Kubva tsinga zvinokwanisika siyana akadai kuvhiringidzika, kutemwa nomusoro, wakawedzera nehope, hope nenyonganiso, dzungu. Ndoda vasanyanye kutarisana acuity. Zvikuru kashoma, varwere kuva delirium psychosis.
• Dzimwe nguva pane atadze kushanda zvakanaka pamusoro hematopoiesis, uko kunoratidzwa thrombocytopenia, kakawanda nosebleeds, thrombocytopenic purpura.
• Kubva zvomudumbu hurongwa zvingaitika kutyorwa akadai kuda kurutsa, kurutsa, kurasikirwa kudya, kudya.
• Zvinogonekawo omunharaunda neutachiona kuti pachena uye tinoratidza pachena kuzvimba, akatsvuka ganda, mapundu uye pruritus.

Kana paine kudzikira vanofanira kubvunza chiremba. Zvichida iwe chete vanofanira kuchinja dose. Asi dzimwe nguva zvinotora zvachose abolition zvinodhaka.

Drug "Korglikon": analogs uye Sevamiririri

Vamwe varwere mumwe chikonzero kana mumwe hazvigoni kutaura akasarudzwa chiremba nemishonga. Zvokuita nyaya dzakadaro? Zvinobvira chinhu kutsiva mushonga "Korglikon"? Analogs zviri kushandisa ano mishonga pamusika kuwana hazvisi nyore kudaro, nekuti zvinodhaka pamwe chete unorapa anongoti havapo. Zvisinei, unogona kuedza kuritsiva nemumwe boka mishonga.

Somuenzaniso, anenge chete ehupfumi medicament "Digoxin". Mune zvimwe zviitiko, achitsiva unogona kushandisa zvinodhaka "Strofantin" inomira kunze here kutsanya chiito. Nenzira analogs anogona kunzi "Digitoxin". Zvinokosha kucherechedza kuti vose glycosides izvi inotengwa kubva muriwo mbishi zvinhu.

How zvikuru ndiyo chinodhaka?

Pakati pezvimwe zvinhu, zvakakosha kuti varwere vazhinji uye mutengo ane mushonga, riri chairayirwa chiremba kwavari. Ichokwadi chaiyo zvakaoma kutsanangura, nokuti zvose kunobva mugadziri, mari mutemo Pharmacy, guta dzokugara uye zvichingodaro. D.

Saka sei zvikuru zvichaita nomutengo zvinodhaka "Korglikon"? Mutengo pasuru kubva ndiro gumi inenge 50-65 rubles. Panzira, zvinodhaka riri kutengeswa ne Hupenyu. chiremba chete anogona mishonga murwere "Korglikon" (yokuwana musi Latin anotarisa - Corglyconi 0,06%).

Reviews vanachiremba uye varwere

In ano okurapa, cardiac glycosides anoshandiswa kakawanda. Uye mumwe zvikuru nevanhu zvinodhaka muboka iri inongova "Korglikon". Reviews kuvarapi zvinoratidza kuti mushonga chaizvoizvo kutsungirira mabasa avo, kushanda normaliziruya infarction, kubvisa zviratidzo imwe chirwere uye kudzivisa matambudziko.

Varwere uyewo siya wongororo zvakanaka pamusoro somushonga chigadzirwa "Korglikon". Instructions vari nyore zvikuru, mishonga hahugari refu, uye kurapa zvakanga zvaitombova. Pasinei zvinoita kukura avo kana zvimwe nenjodzi, Statistical netsvakurudzo kuti kuonekwa chaizvo kashoma. Uye, chokwadi, huri pasi mari mumwe zvikomborero zvinodhaka. Zvakaipira ko kuti kwete chemishonga yose anotengesa mushonga uyu, saka dzimwe nguva zvakaoma kuwana.

Zvinofanira kucherechedzwa kuti hapana nyaya havagoni kushandisa mushonga chete, sezvo chipimo chemushonga kukodzera kunogona kukonzera chakakomba kudhaka.