"Kordinik": malangizo ntchito, analogs ndi ndemanga

mankhwala Antianginal otchedwa mankhwala kuwonjezera magazi mtima, komanso kuchepetsa kufunika kwake oxygen. Mankhwalawa nthawi zambiri ntchito thandizo kapena kupewa kuukira angina.

Angina - matenda omwe amakhala ndi ululu kapena kusamva kumbuyo breastbone lapansi. Childs, ululu wa totere matenda akuwonetseredwa mwadzidzidzi pansi maganizo kapena kusonyeza nkhawa, ndi pambuyo mowa chakudya. Kawirikawiri amapereka kwa khosi, dzanja kumanzere, pakati pa masamba phewa m'munsi nsagwada ndi kumanzere subscapular dera. Chotero zomverera zosasangalatsa kudzatha pa ¼ ola. Komanso, ululu Mwamsanga pambuyo kutha zolimbitsa thupi kapena atakhala odana anginal mankhwala. Monga yotsirizira anagwiritsidwa ntchito kwambiri mankhwala "Kordinik". Malangizo ntchito, ikulongosola za kukonzekera ndi katundu wake anapereka m'munsimu.

Kufotokozera za mankhwala mankhwala ake mawonekedwe, zikuchokera ndi wazolongedza

mawonekedwe Kodi chibadidwe mu medicament "Kordinik"? Malangizo pa ntchito amasonyeza kuti mankhwala ndi alembedwe piritsi. Iwo nawo mawonekedwe ploskotsilindricheskoy, ndi woyera kapena kukomoka grayish-chikasu mtundu.

The zikuchokera mankhwala pansi kulingalira monga nicorandil. Monga zigawo wothandiza ntchito mbatata wowuma, calcium stearate ndi microcrystalline mapadi.

The kugulitsa mankhwala "Kordinik" malangizo ntchito ali odzaza mu mulu wa makatoni akulowa maselo mizere.

mankhwala medicament

Kodi chidwi mankhwala "Kordinik" (mapiritsi)? Malangizo ntchito limasonyeza kuti nicorandil mavuto antianginal. Bukuli lili ndi osakaniza nitratopodobnyh katundu, komanso luso kutsegula njira potaziyamu. Chifukwa cha chuma yotsirizira ya mankhwala amachititsa hyperpolarization wa khungu nembanemba.

Nitratopodobny zotsatira za mankhwala ndi kuonjezera zili guanilmonofosfata ozungulira intracellularly. Chotero zotsatira pharmacological kulimbikitsa zosangalatsa a minofu yosalala ndi kuteteza myocardium pa ischemia.

Ndi za mavuto hemodynamic, iwo yafotokozedwera kuchepetsa moyenera positi ndi preload. Popeza vasodilation (kusankha) inatsekeratu mitsempha mu ischemic myocardium katundu ndi chabe.

Nicorandil alibe mphamvu pa contractility m'mnyewa wamtima. Komanso, mankhwala sasintha mu kugunda kwa mtima. Komabe, amachepetsa zokhudza zonse magazi, ndipo ali ndi zotsatira zopindulitsa pa ubongo magazi ambiri anthu ndi sitiroko ischemic.

katundu Kodi ena chibadidwe mankhwala "Kordinik"? Malangizo ntchito (mankhwala analogues m'munsimu) limati nicorandil alibe mphamvu pa kagayidwe shuga ndi zamadzimadzi kagayidwe. Iye relieves angina, komanso kumachepetsa ululu kwa mphindi zisanu pambuyo makonzedwe pansi lilime. Complete Kupha kusapeza anati kenako ¼ maola.

Kinetics wa ndalama

Location odzipereka mankhwala "Kordinik"? Malangizo ntchito limasonyeza kuti mayamwidwe mankhwala pansi kulingalira amachokera thirakiti m'mimba. Akafika pachimake ndende zake plasma pambuyo Mphindi 35-60.

Nicorandil ndi kwangochepetsako pang'ono chabe womangidwa kwa mapulotini plasma. ufulu kachigawo ake mu magazi ndi 75%.

Izi mankhwala si poyera kuti tima kagayidwe mu chiwindi. Iye excreted ndi impso mkati mphindi 50.

Zikuonetsa yopemphera

Kodi ndimagwiritsa ntchito mankhwala "Kordinik"? limati Buku zimenezi zikutanthauza wabwino kumaonekera ndi:

• kupewa zikwapu (khola) limodzi ndi mankhwala ena antianginal;
• mpumulo wa angina;
• monotherapy vuto la tsankho BCCI ndi beta-blockers.

Contraindications kulandira

Pamene miyala sayenera kulangidwa "Kordinik"? Malangizo ntchito (ofanana matanthauzo otchulidwa mankhwala zili m'munsimu) limanena zokhudza contraindications amenewa, monga:

• kugwa, cardiogenic mantha;
• AV-chipika wachitatu ndi digiri yachiwiri;
• pachimake m'mnyewa wamtima infarction, ndi masiku 90 pambuyo;
• wosakhazikika angina ;
• Matenda kulephera mtima (wachitatu kapena wachinayi kalasi NYHA zinchito gulu);
• wolumikizira hypotension;
• pa mimba;
• bradycardia;
• mkaka wa m'mawere;
• kumanzere yamitsempha yamagazi insufficiency yafupika kuthamanga kudzazidwa;
• zazing'ono zaka;
• munthawi yomweyo kugwiritsa ntchito phosphodiesterase-5 zoletsa (mwachitsanzo, "Sildenafil", "Vardenafil" kapena "tadalafil");
• hypersensitivity kwa mankhwala.

CHENJEZO mapale otere analamula kuti matenda mtima mungoli, Prinzmetal angina, AV-anatseka misewu ya mlingo woyamba, hypotension, mkhutu ntchito chiwindi ndi impso hypovolemia, edema m'mapapo mwanga, hyperkalemia, njingayo-kutsekedwa khungu ndi magazi m'thupi.

Mankhwala "Kordinik": Mlingo ndi yoyendetsa

Miyala "Kordinik" ayenera kumwedwa pakamwa, kaya chakudya.

Mlingo wa mankhwala amasankhidwa payekha. Nthawi zambiri zimadalira nthawi ndiponso azikhala matenda.

Mpumulo wa mankhwala angina ayenera kudyedwa pa chizindikiro choyamba cha matenda. Pankhaniyi ndi kutumikiridwa mu mlingo wa 20 mg. Piritsi wakumvera lilime lotani kwa bola amasungunula.

Pakuti kupewa kuukira khola angina (kuphatikizapo chithandizo yaitali) mankhwala nthawi kutumikiridwa mu mlingo wa 10-20 mg wa katatu patsiku.

Mlingo pazipita mankhwala patsiku ndi 80 mg. Mutu mlingo woyambilira zikhoza kuchepetsedwa.

zotsatira zoyipazi

Kodi mukufuna kudziwa asanadye miyala "Kordinik"? Malangizo ntchito limanena kuti nthumwi zimenezi zikhoza zosiyanasiyana chokhwima monga:

• kufooka, palpitations, litsipa, kuchepa magazi, chizungulire;
• tachycardia, tinnitus, "mafunde" magazi khungu, tulo;
• thupi lawo siligwirizana, zotumphukira edema, nseru;
• kumverera kwa chidzalo m'mimba, kusanza, kuchuluka ntchito "chiwindi" transaminases, m'mimba kusapeza, stomatitis.

An ambiri osokoneza mapilisi

Mukalandira ambiri mankhwala wodwala ali ndi zizindikiro monga tachycardia ndi Amowabu kuchepetsa magazi. Pankhaniyi, wozunzidwayo anasambitsa m'mimba ndi kupereka adamulowetsa makala. Komanso kuthandiza ntchito za dongosolo mtima.

Mogwirizana ndi mankhwala ena

Antianginal mankhwala pansi kulingalira kumatheka pamene antidepressants, vasodilators, phosphodiesterase-5 zoletsa, antihypertensives, ndi antidepressants tricyclic. N'chimodzimodzinso wa okodzetsa, Mao zoletsa, beta-blockers ndi Mowa.

ayamikira yeniyeni

Kucotsa mankhwala ayenera kukhala pang'onopang'ono. Pa mankhwala n'kofunika kuti aziona ECG ndi kuthamanga wolumikizira magazi, komanso zili soda ndi potaziyamu ayoni mu magazi. Komanso, zakudya za mankhwala achuluke arrhythmias mtima.

Analogs ndi ofanana mankhwala, mtengo wake

Tsopano inu mukudziwa momwe mankhwala "Kordinik". Malangizo ntchito, zithunzi ndi katundu wa mankhwala akhala anapereka pamwamba.

Kodi ambiri ankaona ndalama mankhwala? Monga ulamuliro, mtengo wa miyala chida 60. (10 mg) ndi 450 rubles. Ngakhale m'madera ena a dziko lathu, chithunzi ichi akhoza ziwonjezeke kapena M'malo mwake, utachepa.

Wosowa pachimake kuti mankhwala akhoza m'malo ndi analogs monga "Dilasidom", "Korvamin", "Carbochromen", "Korvaton", "Sydnopharm", "Oxycardin", "Reasanz" ndi ena.

Koma ofanana ndi, mankhwala yekha "Coronel" zimachitika kwa iye.

mankhwala Reviews

About "Kordinik" mankhwala ali zambiri ndemanga zabwino. Ogula kukangana kuti antianginal wothandizila kwathunthu kupirira ntchitoyo. Kuvomereza piritsi zatchulidwazi ndi zothandiza kuchepetsa angina, komanso kumatha ululu ndi kusapeza kumbuyo breastbone lapansi.

Kuwonjezera ubwino wa mankhwala monga limapezeka ndi luso m'malo Anzawo, ndi kuipa - mtengo ndi zambiri zochita chowawa.