"VFS": mirayiridzo kushandiswa. Analogs, nhoroondo uye contraindications "VFS"

"VFS" Mahwendefa ndivo boka kirasi antiarrhythmic nevamiririri okutanga. A mushonga inokwanisa ichivharira yavaibvisa migero mu membranes pamusoro cardiomyocytes. It chinokurwadzai tava kuderera intraventricular uye atrioventricular conduction shortens chadzo uye inoshanda refractory nguva iri atria, chiputu bazi nechigumbuso, AV-raiva pedyo nebundu uye Purkinje fibers. Zvinoreva zvachose hapana zvainoita nguva yose QT-chinguva, kakawanda sunga. Pasina kutanga kuratidzwa kukwana cardiac basa, zvinodhaka "VFS" (mirayiridzo Chinyorwa rine mashoko akadaro) haana kumbochinja myocardial contractility. Hazvina kukanganisa conductivity ari atrioventricular raiva pedyo nebundu anterograde mirayiridzo. Agent haana kwakaomarara hypotensive maturo. In tsika haina segwapa inotropic simba. Kana muchigamuchira mishonga haina hwakaipa ari sinus raiva pedyo nebundu automaticity. Chine antispasmodic, dzomunharaunda rufimbi, uye mwero anticholinergic chiito asina kunotoda kukosha dhigirii. It ane zvishoma koronarorasshiryayuschee, kunyaradza ehupfumi. The mugumisiro nomumukanwa chiratidzo makumi mana kana makumi matanhatu maminitsi. Zvasvikira kunonyanyisa basa pashure maminitsi 80. Ya kuchirapa chiito - ne maawa 8.

Pharmacokinetics zvavo zviitiko

The bioavailability kweinenge 40%. The mushonga rinoita muna chiropa uye anokwanisa zvinopfuura BBB. Excretion zvinodhaka rikaitika weti. Kana kuputswa renal basa nguva excretion iri yakawedzera 2-3 nguva.

What rinoreva "VFS" zvairatidza kuti kushandiswa?

The mushonga zvinoratidzwa nekuda ventricular uye supraventricular extrasystoles, paroxysmal tachycardia uye mhando (hapana maronda mwoyo makemikari hunhu uye chirwere WPW), atrial flutter uye atrial paroxysms.

dosing zvaiitwa

Kugadzirira "VFS" mirayiridzo Chinyorwa anokurudzira munhu dose - 25 MG 1 nguva yokudengenyeka maawa 8. Pasina zvakajeka kuchirapa mugumisiro medicament atora ose 6 maawa. Mune zvimwe zviitiko kubvumirwa kumuka dose kaviri chete (50 MG). The nguva penguva hazvisi maawa 6-8.

Zuva kufadza kutendera zvinopfuura 300 MG. Ya yokurapa uye kwokugamuchirwa kururamiswa redunhu pakugamuchira yakatarwa nyanzvi. Medicine drink pashure zvokudya. Sechinhu chakarambidzwa kana achapwanya chishandiso hazvibvumirwi.

Medicament "VFS": nemishonga

Subject kuti chiremba wacho nachiremba zvinodhaka akashivirira nevarwere vemazera ose zvakanaka zvakakwana. Zvisinei, pane mukana nemigumisiro nemhaka zvinodhaka mishonga "VFS". Marwadzo vangafanira kunosiyana inosiyana zvakaoma. Mutumwa kungakonzera kuvhiringidzika mabasa peripheral uye nechepakati huta nehurongwa. Zvikurukuru mune dzungu, diplopia, ataxia. Pakati nemigumisiro yakaipa matambudziko zvinodhaka kumwoyo nyanzvi dzinoti pachena kutyorwa intraventricular uye atrioventricular conduction, kukura sinus tachycardia (mukurapwa-yakareba). Kwakaomarara kuratidzwa zvinosanganisira arrhythmogenic Chaizvoizvo, dzikawedzerwa pakati QP-siyana, rokuwedzera QRS-kunzwisisa uye zvimwe zvachinja ECG muenzaniso. Pahwaro zvinodhaka mishonga "VFS" (mirayiridzo Chinyorwa chinonyevera nezvazvo) rinowanikwa akatsvuka ganda, marwadzo mumusoro kana kunzwa waziya. Vamwe varwere kunzwa sema maitiro (mapundu kana ganda bundu). Rine mashoko pamusoro nemigumisiro mishonga "VFS" mirayiridzo Chinyorwa. Reviews Nyanzvi pamusoro portability nzira, zvarwo, yakanaka. Zvisinei, vakapiwa kukomba vamwe nemigumisiro yakaipa ari zvinodhaka rinoitwa pasi pedyo pokudzora chiremba.
In Chiitiko yematambudziko uye kudzikira hwobva kushanyira nyanzvi. Panyaya iyi, chiremba anogona kusarudza pane rinoreva "VFS" zvinodhaka zvakafanana.

Kana asina basa mishonga?

Contraindications zvinosanganisira cardiogenic kuvhunduka, atrioventricular nechigumbuso yechitatu uye chechipiri Danho (pasina mutyairi wacho chakagadzirwa mwoyo mutinhimira). Hazvina havabvumirwi kunwa mushonga neBP munguva dzakaoma (systolic nevezera asingasviki 90 mm / HG.), Hypertrophy ari myocardium pamusoro ventricle rworuboshwe kududzwa. Kurambidzwa zvinodhaka ari post-infarction cardiosclerosis. The mushonga hauna anokurudzirwa kuti blockade rwerudyi gumbo chinogumbura tsapo bazi (kana pamwe zvinetso pabazi kurutivi rworuboshwe), chirwere chemwoyo mashandiro mwero uye kwazvo. Contraindicated mishonga makore 18 (nokuti haina yakasimbiswa kuchengeteka uye efficacy kuti vamiririri), fructose kusashivirira. Hazvina kubvumidzwa kutora mishonga vanhu vane chirwere pamusoro havachanyatsogoni resorption galactose / shuga, pamuviri, isomaltase dhefisiti / sucrose. Not varumbidzwa mushonga kuti hypersensitivity kuna zvinoriumba. Kana uchida kupedza kurapa ukoti murwere, uchida kurega lactation.

Kana uchida kuva dose kugadziriswa?

Dzimwe nguva pane kudiwa kuchinja Ezvemutauro "VFS" kugamuchira redunhu. Instructions, mhinduro kubva nyanzvi dzine ruzivo kuti kuderedza uwandu mushonga kana kuwedzera penguva pakati mishonga inogona kurumbidzwa pamwe atrioventricular nechigumbuso rokutanga dhigirii, mune intraventricular conduction zvinetso, bradycardia. Kungwarira kuteerera angled-kuvhara yemaziso, kweropa zvirwere (peripheral) rinorema hunhu hypertrophy mu yeprostate munyama. Kururamiswa matunhu zvinodiwa pahwaro electrolyte muviri anoshandura conductivity muna Purkinje fibers, blockade rimwe makumbo ari chinogumbura tsapo bazi. Kungwarira kunodiwa kana kugamuchira mamwe mishonga antiritmicheskih panguva imwe chete mushonga "VFS". Reviews nyanzvi dzakawanda akarambisisa chaizvo panyaya nokuchinja chipimo chemushonga vasina maturo.

Kuti uwane mamwe mashoko,

Asati atanga kurapa anobvisa kunyongana nemvura electrolyte zvakanakanaka muitiro kugashira kurapwa zvakakodzera nechokwadi kugara uye nokungwarira anoridzora. cardiac dzishande pachikumbaridzo kungawedzera Varwere vakambova chemwoyo (chenjera), mwoyo kukundikana, kana kuva rakagadzirwa nevanhu pacemaker. In zvinoitirwawo dzungu, chiono kaviri, kutemwa nomusoro yakarumbidza kuderedza uwandu husingakuvadzi. Kana sinus tachycardia pachishandiswa refu kugamuchirwa zvinodhaka Beta-blockers vanotumirwa sezvinodiwa. gadziriro aya anokurudzirwa yakaderera mishonga. Pahwaro kurapwa anofanira kungwarira kana zvinhu zvinogona nengozi mabasa anoda zvakawedzera kutarisirwa uye nokukurumidza yevasungwa kana kuita.

ovhadhozi

Nokuti kuti mushonga ane pasi noupamhi kuchirapa basa, zvikuru kudhaka anogona kuitika nyore zvakakwana. Kunyanya yakakwirira ngozi nomuchetura pamusoro kutambira zvimwe zvinodhaka antiarrhythmic. In ovhadhozi anozivikanwa elongation PR- uye QT-zvikamu, amplitudes kuwedzera T-wave kuwedzera QRS-kunzwisisa. Tikafunga kudhaka kuchimuka asystole, bradycardia, ungaderedza contractility ari myocardium. The murwere vakacherechedzawo sinotrialnaya blockade, achidzikisa kufurirwa iziviswe, zvomudumbu hurongwa zvirwere. Kudhaka achabatsirwa paroxysmal polymorphic ventricular tachycardia, madzerere, anzwe dzungu, kurwadziwa mumusoro. Mune chiitiko ane ovhadhozi symptomatic kurapwa kunoratidzwa. Mabatirwo ventricular tachycardia rinoitwa nokushandiswa antiarrhythmic zvinodhaka muchikwata I A uye ini C Kuwedzera QRS-yakaoma, hypotension uye bradycardia yakapedza yavaibvisa rehydrogen carbonate.

Kudyidzana nevamwe medicaments

Kana atora pamwechete inducers pamusoro hepatic microsomal makemikari zvinodhaka efficacy "VFS" kunodzikira. Izvi zvinowedzera mukana chepfu migumisiro. Kana muchigamuchira antiarrhythmic zvinodhaka nezvimwe makirasi zvakawedzera mukana wokuita nekukudziridza arrhythmogenic simba. The chishandiso hunowedzerawo mabasa asiri depolarizing tsandanyama relaxants.

Ndeupi pane zvinobudirira zvinodhaka pamwe yakafanana mashandiro hwezvekuita?

Rinoreva "Allaritmin" rine chete kushingaira fuma sechinhu mushonga "VFS" - lappaconitine hydrobromide. The medicament zvinoreva kirasi I antiarrhythmic zvinodhaka. "Allaritmin" The mushonga inowanika hwendefa chimiro uye sezvo mhinduro jekiseni kupinda mhasuru kana tsinga. Kana ikatorwa nemuromo wacho medicament mugumisiro rinowanikwa muna inenge awa. Mushure memaawa 4-5, anosvika vaifanira kunyatsoshanda. Duration kuti kushanda - maawa 8 kana kupfuura. Pakatanga isiri kushanda zvinodhaka kunoitika nokukurumidza - mukati maminitsi 15-20. Kusiyana medicament "VFS" rinoreva "Allaritmin" varumbidzwa drink ka3 daily 25 MG. Tora mushonga inofanira kuva vasati vachidya. Mahwendefa apwanye chinodiwa. Kana yokushaya efficacy anogona wakawedzera chipimo chemushonga uye kakawanda mabiko. Intravenous Kutarisirwa rinoitwa zvishoma nezvishoma, pamusoro maminitsi 5. Saka chipimo chemushonga akaisa maererano kurema murwere. Ndakarumbidzwa 0.3-0.4 MG / makirogiramu. Mune zvimwe zviitiko (kunyanya kuoma) zvinodhaka raitongwa kakawanda pamusoro maawa 6. In tsandanyama raitongwa 0,4 MG / makirogiramu pa zvikamu maawa 6. It rinozivikanwa kuti intravenous Kutarisirwa haisi varumbidzwa kuita kumba. Drug "Allaritmin" ane chete kurambidzwa kushandiswa sechinhu mushonga "VFS". Treatment rinoitwa muchipatara pasi kuramba pokudzora chiremba uye ECG zvichiongororwa. Izvi zvinokosha zvikurukuru pakurapa varwere wokutanga dhigirii atrioventricular mufurati, mwoyo kukundikana, decompensated chisingapere kosi mhando.

mhedziso

Rinoreva "VFS", kushandiswa zvinofanira zvachose dzinodzorwa, kufanana nemamwe antiarrhythmics, ndezvaiye muchikwata che simba zvinodhaka. Pasina haafaniri kuwedzera yayo kuchirapa chaizvoizvo apo kutora ushandiswe chipimo chemushonga imwe nyanzvi. Izvi imhaka yokuti pane njodzi kudhaka kwaizotevera matambudziko. Usati kurongera chinodhaka, chiremba kuisa murwere kuziva zvingakonzerwa nemishonga uye contraindications. Uyewo, murwere anoudza pamusoro pamberi asingashiviriri, kusanganisira munhau, mune chero nhau, uyewo mishonga kuti zvinoda dzimwe. Asati kutora mushonga uyu anofanira kuongorora Musumo.