Zvemwoyo rinoreva - mahwendefa "nitroglycerin". Mirayiridzo kushandiswa kwezvinodhaka

"Nitroglycerin" Mahwendefa ane basa zvacho 0,0005 pasi chete zita, yayo zviri mushonga nerimwe piritsi - 0.5 MG. Ebetsero zvinhu anoshandiswa: microcrystalline cellulose, magnesium stearate, lactose, croscarmellose yavaibvisa, povidone ...

Sezvo zita rinoreva bhuku rino, mapiritsi "nitroglycerin" mirayiridzo chikumbiro chokuita zvemwoyo zvinodhaka pharmacotherapeutic boka cardiac nevamiririri. Chokutanga, zvinofanira kutaurwa kuti mushonga unoshanda pakuyamura stenokardicheskie kurwiswa, inova chiratidzo chikuru kuti zvinodhaka kurapwa "nitroglycerin".

Mirayiridzo Kushandisa mishonga iyi kunosanganisirawo zvinotevera zvairatidza kuti chinangwa chahwo:

• Mune zvikabatanidzwa kurapa iri rikwanise rworuboshwe ventricular kukundikana.
• Uyewo akabatana nevamwe yokurapwa kuti rikwanise myocardial infarction.
• In vasospastic angina.

Achitsanangura pharmacological mugumisiro yezviri chirungiso nitroglycerin, murayiridzo uri kushanda anodana ayo peripheral vasodilator, izvo runonyanya kunokanganisa venous hurongwa. Zvakaitwa zvinodhaka ndiko kunonyanya kukonzerwa zvinhu zvakadai vasanyanye preload (peripheral tsinga dilate, ropa kubuda kusvikira atrium (kurudyi) kunoderedza).

Zvinoderedza nokuda kwomudzimu "nitroglycerin" uye zvachose peripheral vascular nemishonga - afterload. Saka, akaderedza myocardial okisijeni kudiwa. Kugadzirira kunomutsa musimboti inhibitory nomugumisiro vascular tsitsi rifanane zvichivhiringidza vascular chinoumba Anoumba marwadzo syndrome. Nokuti pamusoro zvose chikumbira wakakodzera kuti "nitroglycerin" kuwedzerwa meningeal midziyo.

Ndicho mugumisiro rokupedzisira mugumisiro zvinodhaka imhaka panowanikwa nomusoro. Sublingual (sublingual) piritsi "nitroglycerin" mirayiridzo Chinyorwa zvinoda kuti withdrawals kurwisa stenokardicheskie chirwere, sezvariri mukati kweminiti - mumasekonzi 90.

Absorbance akatsanangura mushonga chete mucosa pamusoro iri zvachose uye nokukurumidza. Sublingual (sublingual) kushandisa mahwendefa zvinodhaka rinopa zvinenge pakarepo kupinda yezviri fuma kupinda kweropa ezvinhu rechipfuwo.

Ari zvinorondedzerwa mishonga - mapiritsi "nitroglycerin" - contraindications - zviri, kupfuura zvose, hypersensitivity nezvinodhaka dzakadaro, nitrate. Uyewo, mushonga uyu hakuratidzwi nokuda kwadzo mitral stenosis, cardiac tamponade. Other "nitroglycerin" contraindications kurapwa:

• Pulmonary edema muchetura mavambo.
• Hemorrhagic sitiroko.
• kukuvara mumusoro, somugumisiro iyo murwere aiitirwa ichangopfuura.
• Kwazvo marudzi neta neta zvirwere.
• Hyperthyroidism.
• Yemaziso fomu kuvhara pamberi intraocular kumanikidzwa.
• Richaparara.
• Arterial hypotension (BP ane ukoshi)
• Haina kubvumira mawa mukuitwa ane "Viagra".
• Panguva pamuviri uye achiyamwa (nokungwarira).
• Serious siyana renal insufficiency (nokungwarira).
• The pangozi yokuita methemoglobinemia pamwe hepatic insufficiency.
• Shock.

Not senyika ngozi uye kuchengeteka vanhu mishonga haana makore gumi nemasere.

Pakati nemishonga hwakanyorwa pashure ingestion pamusoro sublingual mahwendefa uye nedzimwe mhando "nitroglycerin", pfungwa abdominal marwadzo, xerostomia, kufunganya, nomusoro, zviri zvikuru raidudzwa mu Paunotanga mushonga. Uyewo, kwave zviitiko Kurwara, simba, dzungu, lethargy mamiriro, tachycardia, fivhiri.

Kurerutsa mukana divi Migumisiro chinodhaka, Zvinokurudzirwa nokungwarira chokubatanidza nayo nevamwe zvinodhaka, kunyanya ane hypotensive mugumisiro doro. Haugoni kutora mapiritsi akawanda.