"Coronal": zikuonetsa ntchito, ndemanga. analogues mankhwala

Development wa matenda a mtima ndi odekha ndi padera mu magawo oyambirira. About mavuto ndi mtima munthu nthawi zambiri mukudziwa pamene kudwala ali patsogolo, ndi chifukwa yosamalira mwamsanga m'chipatala. matenda a mtima koopsa chifukwa zidzachitika pafupifupi popanda zizindikiro. Iwo ndi amodzi mwa zinthu zazikulu za imfa padziko lapansi. Ngakhale ngati wodwalayo kupulumuka nkhondo ya matenda a mtima, kubwerera ku njira yachibadwa ya moyo ndi chodziwikiratu, choncho muyenera kuti azolowere latsopano, kalembedwe kwambiri zochepa. Kupewa chitukuko cha mavuto aakulu matenda a mtima zikhoza, pa nthawi iwo anapezeka. Choncho, ayenera kukumana tizipima njira kukhalabe thanzi la mtima wako.

matenda a mtima

Pali zizindikiro zingapo kuti zingasonyeze chitukuko cha matenda a mtima. Powona pa zizindikiro zimenezi mwamsanga kupita ku chipatala, kumene kuyendera mokwanira zidzathandiza kuti matenda ndi kuteteza mavuto zotheka.

Zizindikiro ambiri magawo koyamba matenda a mtima monga kutopa ndi kufooka ambiri. Iwo akhoza kugwirizana ndi maganizo kapena maganizo apamwamba, koma akhoza kukhala chizindikiro cha matenda a mtima. Monga ulamuliro, kutopa sachoka ayi ngakhale pambuyo mpumulo, ndipo anawonjezera wina ndi mphamvu ya maganizo, kusafuna kudya, osauka wonse thanzi. chizindikiro china chimene chikanakhoza chizindikiro chitukuko cha m'mapapo kapena mtima kulephera kupuma movutikira, ndipo angayambe ngakhale pamene munthu mu mkhalidwe bata mtheradi.

Nacho mantha, nkhawa kapena yaitali olimbitsa thupi munthu aliyense wathanzi zingachititse mtima palpitations, ndipo izi imatengedwa yachibadwa. Ngati tachycardia zambiri nkhawa popanda chifukwa chilichonse chabwino, tinganene pamaso pa zipolowe m'chigawo cha dongosolo mtima. Zizindikiro zina matenda a mtima monga imfa ya bwino kapena chizungulire mwadzidzidzi, kukomoka, ululu komanso kupweteka m'chifuwa. zizindikiro ndi chifukwa munthu kukaona dotolo. Ndipo kudali tinafotokoza mwatsatanetsatane za dongosolo mtima.

Mankhwala "Coronal"

Ngati wodwalayo wakhala anapezeka pa siteji ya matenda a mtima, amene sikutanthauza opaleshoni, iye Kwalamulidwa mankhwala. Mankhwala ndi matenda a mtima kumathandiza odwala kulimbana ndi matenda a amachepetsa ake. Munthu afunika kukhala okonzekera chakuti ngati akufuna kuti tidzakhale ndi moyo wake, anafunika kusintha chifaniziro chake, makamaka kusiya zizolowezi zoipa, kudya, kuphatikiza katundu zolimbitsa ndi enawo.

Today pa maalumali wa pharmacies kwambiri mankhwala osiyana olimbana polimbana ndi mavuto mtima. Mmodzi wa mankhwala ambiri amene Kwalamulidwa ndi "Coronal" piritsi. Zikuonetsa ntchito mankhwala akhoza kukhala otsatirawa: ischemic matenda a mtima, arrhythmia, matenda oopsa, yamitsempha yamagazi kapena supraventricular arrhythmias ndi ena. Musanayambe njira ya chithandizo, muyenera kukaonana ndi dokotala. Medicine "Coronal" ali mokwanira zotsatira kwambiri thupi, ali ndi mndandanda wa contraindications ndi akhoza kuyambitsa zotsatira zoyipa. Lilipo mapiritsi filimu TACHIMATA. Dokotala angakupatseni mankhwala "Coronal" ndi analogues ake.

mankhwala

The medicament "Coronal" ali antianginal, antihypertensive ndi kanthu antiarrhythmic. Izi kusankha beta-blocker amachepetsa mapangidwe ozungulira amp ku ATP ndipo amatha kutsekereza zolandilira beta-adrenergic za mtima. Komanso, mankhwala "Coronal" kumachepetsa m'mnyewa wamtima contractility ndi kugunda kwa mtima, madutsidwe ake ndi excitability.

Zotsatira hypotensive mankhwala akuwonetseredwa mu choona kuti kumathandiza kuti kuchepa linanena bungwe mtima. "Coronal" - mapiritsi kuti abwezeretse tilinazo wabwinobwino wa baroreceptors, ziletsa ntchito dongosolo reninangiotenzivnoy, bwanji chapakati mantha dongosolo. Odwala amene akudwala matenda oopsa, zotsatira antihypertensive unkachitika atapita masiku 2-5 pambuyo chiyambi cha ntchito. Patapita miyezi 1-2 amalembedwa hypotensive khola achire zotsatira.

Kukonzekera "Coronal", mmene omwe sipekitiramu lonse zokwanira lili ndi zotsatira antianginal. Mapiritsi kulimbikitsa elongation diastole kusintha perfusion a minofu mtima, kuchepetsa kufunika kwake mpweya ndi kucheperachepera mlingo mtima. Zotsatira antiarrhythmic mankhwala ndi mphamvu yake kuthetsa zinthu arrhythmogenic. Imawalamulira kubweza atrioventricular conduction ndi amachepetsa mlingo wa malemeredwe wa nkusani ndi pacemakers ectopic.

Kugwiritsa ntchito zida mu sing'anga-mlingo wochepa kutchulidwa mu mitsempha zotumphukira, minofu yosalala ya bronchi, kapamba, minofu chigoba, zimam'patsa kagayidwe. Mankhwala silichedwa pa ayoni ndi sodium mu thupi, mayamwidwe ake ndi za 80-90%.

zikuonetsa

Musanayambe "Coronal", muyenera kukaonana ndi dokotala amene malangizo omveka bwino mlingo ndi pafupipafupi utsogoleli. Inu simungakhoze kuyamba kutenga mankhwala paokha, pali chiopsezo zoipa thanzi lawo, ndipo ndi zotsatira sizingasinthe.

Mu mankhwala "Coronal" zikuonetsa ntchito makamaka okha matenda oopsa ndi matenda a mitima. The tsiku mlingo - 5 mg. Waukulu yogwira pophika mankhwala "Coronal" - bisoprolol. Zolemba malire tsiku mlingo wa 20 mg, pamene odwala ndi ntchito mkhutu chiwindi yachibadwa - 10 mamiligalamu. Mlingowu milandu onse anasintha payekha, kutenga nkhani ya achire efficacy ndi mtima mlingo. Kuchepetsa mlingo wa mankhwala "Coronal" ayenera pang'onopang'ono, sikutheka kuti asiye kulandira Inde mwadzidzidzi. Zimenezi ndi zoona makamaka kwa odwala ndi angina pectoris (CHD).

contraindications

Pali mndandanda wa milandu imene ndi bwino kusiya ntchito "Coronal" mankhwala. Zikuonetsa Ntchito matenda mtima si chinthu chokha, kuti muyambe Inde mankhwala. dokotala ayenera ndi bwino kufufuza mtima chifukwa chitetezo cha mtsogolo.

mankhwala ali contraindicated odwala ndi kulephera decompensated mtima, kulephera pachimake mtima, cardiogenic mantha, cardiomegaly, angina Prinzmetal, SSA syndrome, atrioventricular chipika II-III atumwi., Sinoatrial anatseka misewu. Musati mutenge njira "Coronal" odwala amene ali tilinazo munthuyo mankhwala. Iwo ali osavomerezeka kwa mankhwala kuti akazi pa mkaka wa m'mawere komanso pamodzi ndi ntchito Mao zoletsa.

Nthawi kwambiri, koma mu nkhani iyi kukonzekera bwino kwambiri ntchito odwala ndi myasthenia gravis, likukulira claudication, matenda a Raynaud, kwa chiwindi kulephera, kulephera aakulu mtima, pheochromocytoma, kagayidwe kachakudya acidosis, bronchial mphumu, ndiko kumayambitsa matenda a shuga. Contraindications ntchito kungakhale maganizo, psoriasis, hyperthyroidism, ubwana ndi ukalamba, mimba. Kulungamitsa njira "Coronal" mankhwala (ayankhe madokotala converge ichi) pa mimba zitha kukhala choncho pamene phindu mayi ndi kangapo kuposa ngozi chifukwa cha mwanayo.

ambiri osokoneza

Wodwala ayenera mosamalitsa kutsatira malamulo a katswiri, chifukwa ambiri osokoneza zingachititse zizindikiro zowopsa. Zizindikiro zina wamba amene amayamba ndi mankhwala osokoneza bongo amatanthauza "Coronal" - bronchospasm, kulephera mtima, hypotension, bradycardia. Kuledzela amachititsa cardiodepressivny zotsatira moti chimapambana pa kuchepa contractility ndipo kuchepa kugunda kwa mtima. Wodwala akhoza kukhala ndi matenda kupuma chifukwa cha bronchospasm.

Ngati wodwala zobwera anachita mankhwala, iwe uyenera yomweyo amayesetsa n'chongoletsa iwo. Chinthu choyamba kuchita - izo kuchita lavage chapamimba akutsatiridwa ndi makonzedwe ehnterosorbentov (adamulowetsa makala). Komanso kumwa mankhwala ofewetsa tuvi (sodium wochuluka sulfate). Kodi kuthetsa zizindikiro za kuledzera ntchito atropine (0.5 -2.0 mg) m'nsinga. Komanso mu milandu ntchito glucagon 1-5 mg. Pa zosayembekezereka ya bronchospasm ayenera kugwiritsa ntchito bronchodilator mankhwala (aerosol "salbutamol" kapena "Fenoterol").

zotsatira zoyipazi

Kukonzekera "Coronal" angathe kuyambitsa zotsatira zoyipa, kumvera lake lonse. Pachiopsezo ndi:

• dongosolo mtima;
• mantha dongosolo;
• dongosolo kupuma;
• m'mimba thirakiti;
• urogenital dongosolo;
• zithunzi zida;
• khungu, minofu, mafupa.

Pa mbali ya dongosolo mtima mavuto amenewa kumachitika nthawi zina, monga paresthesia, matenda conduction, bradycardia, orthostatic oopsa ndi kutsitsa magazi. Odwala ndi chodabwitsa Raynaud kapena likukulira claudication worsens zizindikiro.

Mankhwala "Coronal" mavuto ndi zingachititse wamanjenje dongosolo, ndicho, kusintha kaganizidwe, maloto omveka, kugona matenda, chizungulire, kupweteka kwa mutu, kutopa. kawirikawiri, koma pa zida za zithunzi angachite kudzera "Coronal". Reviews a milandu, ndi accrued, koma chifukwa cha kukhudzana ndi mankhwala akhoza kuvutika masomphenya, yafupika womwetula, mpaka chitukuko cha conjunctivitis.

Zizindikiro monga bronchospasm, dyspnea, rhinitis, ndi amphuno kuchulukana imasokoneza odwala amene amadwala mphumu bronchial. Nthawi zina kumachitika zotsatira hepatotoxic wa bisoprolol, amene anatsimikiza mtima nseru, m'mimba, kudzimbidwa ndi ululu m'mimba.

Mwa zotsatira zina mbali chifukwa cha zochita za mankhwala "Coronal" ndemanga mtima dziwani izi: kuchuluka thukuta, kuyabwa ndi redness a khungu, arthropathy, kupotokola ndi minofu ululu. Kawirikawiri kazivutitsa dysuria ndi erectile kukanika chifukwa cha zochita za "Coronal" mankhwala. Analogs komanso mankhwala angathe kuyambitsa zotsatira zoyipa pa thupi. Choncho, pa nkhani iliyonse, onetsetsani kukaonana ndi dokotala ndiponso kutsatira malangizo ake.

Kusamala

Kuwonjezera contraindications ndi mavuto, pali milandu kumene ntchito mankhwala kukhala osamalitsa kwambiri, ndi nthawizonse kuyang'aniridwa ndi dokotala. Kwenikweni za zinthu monga kulephera congestive mtima, matenda a shuga, maganizo, myasthenia gravis, psoriasis, hyperthyroidism, kusokoneza uziyenda yachibadwa a chiwindi ndi impso, kagayidwe kachakudya acidosis, njala, Prinzmetal angina.

Matenda obstructive matenda kupuma amatanthauza "Coronal" analogues ndi zina beta-blockers angathe kumwedwa, koma osakaniza bronchodilators ndi Mlingo kochepa. njira Feohromotsitome ayenera kumwedwa nthawi imodzi ndi anatseka misewu ya maselo alpha-adrenergic. mlingo ayenera kuperekedwa ndikatha kumfunsafunsa a chiwindi ndi impso.

Oopsa mankhwala akhoza ankachitira moyang'aniridwa zonse zachipatala. Utachepa adrenergic kontrregulyatsii ndi anaphylactic zochita kukulitsa njira ya zochita odwala amene beta-blockers. odwala achikulire zingachitikenso mkulu tilinazo ngakhale pamene ntchito Mlingo yachibadwa ya mankhwala, kotero ayenera kuwunika zonse.

Ngati mukufuna opaleshoni kusankidwa, kugwiritsa ntchito mankhwala kuletsa maola 48 asanayambe opaleshoni, nthawi yomweyo sachita nthawi yomweyo, koma pang'ono ndi pang'ono. Ngati wodwalayo mankhwala "Coronal" zikuonetsa ntchito pamafunika kusamala kwambiri ndi zochitika zimene zimafuna mtengo mkulu wa zochita ndi thupi ndi maganizo (ntchito pa msinkhu, ntchito makina, ntchito ndi makina oopsa, galimoto, etc.).

Mwanjira mankhwala

Kutenga "Coronal" (mapiritsi) nthawi yomweyo ndi mankhwala ena ayenera kutsatira tipewe ngozi. Mu makamaka yokhudza osakaniza Mao zoletsa akhala anati pambuyo kuchotsa magazi. Yonseyi blockers beta ndi akupanga allergen mayesero khungu ndi allergens ntchito immunotherapy, pali chiopsezo n'zothandiza aakulu thupi lawo siligwirizana.

Mu ntchito antiarrhythmics magulu Ine ndi III ( "Dizopiramid", "Sotalol", "Quinidine" "Amiodarone", "lidocaine wa") komanso ayenera kusamala. Pamene makonzedwe munthawi yomweyo mankhwala antihypertensive ndi miyala "Coronal" yotsirizira akhoza potentiate zotsatira za poyamba. Ngati ntchito ya mankhwala osakaniza "Guafatsinom", "Digitalis", "Clonidine", "reserpine", izo amachepetsa kapumidwe poika dongosolo conductive za mtima nyemba magetsi.

Achire efficacy "Coronal" kukonzekera mododoma malinga ndi wothandizila sympathomimetic (antitussive mankhwala, m'mphuno kapena m'maso). Activators wa michere kwa chiwindi imfayo kuchepetsa wa kwachilengedwenso theka moyo wa beta-adrenoceptor agonist. Dongosolo munthawi yomweyo mankhwala antiarrhythmic, ndi kashiamu njira blockers magulu "Nifedipine" ndi "Verapamil" zingachititse bradycardia, kulephera mtima kapena conduction chisokonezo.

Munthawi yomweyo ndi mankhwala "Coronal" ndi "Clonidine" angachititse chitukuko cha mavuto hypertensive. Ngati phwando mankhwala kuwerenga "Coronal" ali odwala ndi shuga, ndi mpofunikila nthawi zonse kuwunika misinkhu shuga magazi. Ichi ndi chifukwa chakuti beta blockers akhoza potentiate zotsatira za mankhwala odana ndi matenda ashuga ndi insulin, masking zizindikiro za hypoglycemia.

Ndemanga za mankhwala

Mankhwala "Coronal" Madokotala mankhwala odwala matenda a mtima. Koma ngati Komabe mankhwalawa zonse ntchito? Kusanthula ndi ndemanga za izo, inu mukhoza kupanga mapeto ambiri amene amadza chifukwa cha mankhwala pa thupi wodwalayo zimadalira iliyonse payekha. Amene anali mwayi zokwanira si kukumana mavuto ndi zabwino kwambiri za yokonza "Coronal". Reviews cha odwala amene anamva zotsatira za mankhwala, si choncho duwa. Komabe, mavuto zikhoza kupewedwa. Musanayambe "Coronal" (mapiritsi), malangizo kwa ziyenera mosamala muwerengenso kangapo, chifukwa cha kusasamala akhoza kuwononga thanzi lanu.

Chinthu choyamba chimene odwala kunena izi kuchepa kugunda kwa mtima, kuchepetsa pang'ono magazi, kusintha ambiri wodwala. Patapita miyezi ingapo ntchito, madokotala amalangiza kuchepetsa mlingo, chifukwa kugunda kwa mtima ndi magazi kuthamanga wafika ponseponse ndipo palibe kufunika iwo kuchepetsa zina. Odwala kuona kuti ngati kutsatira malangizo onse a dokotala, zotsatira zosasangalatsa sayenera kuopa mankhwala. Koma amene paokha adanyerezera kusanduza mlingo tsiku kapena analephera kuchenjeza madokotala za ntchito mankhwala ena, anakumana ndi mavuto, zomwe zina chofunika m'chipatala. N'chifukwa chake sitiyenera kuiwala kuti pali aliyense paketi ya mapilisi "Coronal" malangizo Buku.

analogs

Mankhwala "Coronal" ali osiyanasiyana analogues - mankhwala, amene alipo mankhwala yemweyo yogwira. Iwo amasiyana mtengo, dziko la kupanga njira ya kanthu, contraindications, kukhalapo kapena kusapezeka mavuto.

Monga mankhwala aliwonse, ukulu ndi amatanthauza "Coronal". analogues ake ofanana mu chikhazikitso mwakhama iwo - bisoprolol. Ambiri mankhwala opangidwa domestically. ntchito zawo akuti ndi mtengo wochepa (poyerekeza imports) ndi dzuwa mkulu. Makamaka, mankhwala akhoza kutchulidwa: "Aritel", "Aritel Akor", "Biprol" "Bisoprolol" "Bisoprolol-Praana", "Niperten". Zilipo lililonse mankhwala, ndi mtengo ranges ku 30 ndi rubles zana pa paketi.

Kunja analogues "Coronal" mankhwala nazonso kwake assortment lalikulu "Bidop" (Hungary), "Biola" (Slovenia) "Bisogamma" (Germany), "Bisokard" (Poland), "Bisomor" (India), "Bisoprolol- Lugano "(Ukraine)," bisoprolol-Teva "(Israeli) ndi ena. Makamaka otchuka pakati mankhwala kunja mtima wa mankhwala German "Concor". mtengo wake ndi nthawi 4 mtengo wa mankhwala "Coronal" ndipo watsala 180 rubles. Ambiri, mankhwala kunja mankhwala amapereka pa mitengo kuyambira rubles 300 600 pa paketi.