Mankhwala "Concor Akor": zikuonetsa ntchito, Akhristu enieni

matenda a mtima tsopano pafupifupi malo oyamba mu amafa mu dziko. Ndipo ndi mavuto awa wamng'ono chaka chilichonse. Ngati inu anati kale za infarction m'mnyewa wamtima, inali funso za zaka zosachepera 45-50, lero matenda akhoza kugwira munthu, ndi zaka 30 zakubadwa.

Modern Pharmacy ali ndi unyinji wa medicaments kwa kulimbana "mtima" mavuto a misinkhu yosiyanasiyana ya matenda amenewa. gulu limodzi la mankhwala ndi blockers beta. Mfundo ntchito ndalama izi ndi kuti ndigwire zolandilira beta-adrenergic mu mtima. Chotsatira ndi kuchepa kugunda kwa mtima, imbaenda magazi kuchepetsa ndi kusintha ambiri a munthuyo.

Beta-blockers tsopano anayamba kusintha kwambiri. Mmodzi wa ankagwiritsa ntchito mu chitukuko cha mavuto mtima ndi "Concor Akor." Zizindikiro, ndemanga ya medicament zimaonetsa mankhwala kuti akhale ndi mfundo zokwanira zothandiza ndi kufuna pakati pa odwala ndi matenda mtima.

The Gawo ndi maonekedwe za kumasulidwa mankhwala

Mbali yaikulu ya kukonzekera "Concor Akor" - bisoprolol hemifumarate. Wothandiza mutuluka mndandanda mokwanira lalikulu la zinthu: wowuma chimanga, microcrystalline mapadi, crospovidone, magnesium stearate, colloidal pakachitsulo dioxide, anhydrous mankwala kashiamu wa hydrogen.

Mankhwala amapatsidwa kwa ogula mu mawonekedwe a mtima TACHIMATA woyera mapiritsi filimu TACHIMATA (mu kapangidwe kake - macrogol 400, dimethicone 100, gipromelaza, titaniyamu woipa). Chiopsezo mbali zonse ukugawa mu magome awiri "Concor Akor." Kenaka medicament kamapangikira matuza zojambulazo, aliyense amene akhoza soldered 10, 14, 25 kapena 30 zidutswa.

Odwala Kawirikawiri mu pharmacies ndi mankhwala "Concor". Popeza mayina a mankhwala awa awiri ofanana kwambiri, mankhwala kawirikawiri amakhala ndi kuyankha mafunso okhudza kusiyanitsa "Concor" ndi "Concor Akor." Kotero: kusiyana kokha ndi kuchuluka kwa zomwe zili zikuluzikulu chigawo yogwira - bisoprolol. "Konkor" ogula mukhoza kugula mapiritsi ndi mu kapangidwe kake ndi mg wa 5 kapena 10 a yogwira pophika, pamene "Konkor Akor" - 2.5 mg.

Ogula ayenera kudziwa kuti kugula mankhwala-blockers mankhwala a pharmacist ayenera kupereka mankhwala dokotala.

pharmacodynamics

"Concor Akor" ali ndi kusankha beta 1-adrenoceptor Letsani chikoka. Akamanena za zotsatira zake - luso kupondereza kufala kwa zikhumbo za mitsempha maselo a adrenergic. Pachifukwa cha ichi mankhwala akhoza kuchita khama antihypertensive, antiarrhythmic, antianginal zotsatira.

Hypertensive zotsatira "ndemanga Concor Akor 'madokotala kugwirizana ndi mfundo yakuti bisoprolol amachepetsa mphindi buku la magazi. Komanso, kufanana chopinga anapanga renin-angiotensin dongosolo. Wamkulu zotsatira matenda zimatheka patapita masiku 5 kulandira mankhwala. BP ndi okhazikika ndi mapeto a mwezi wachiwiri wa mankhwala mankhwala "Concor Akor."

Ppokazaniya medicament ntchito ngati chitsimikizo khola zotsatira antianginal ndi kuchepetsa kufunika m'mnyewa wamtima mpweya chifukwa cha kuchepa kugunda kwa mtima. Komanso, ine ndiyenera kuti ntchito mankhwala amalimbikitsa prolongation wa diastole.

zotsatira Antiarrhythmic amatanthauza "Konkor Akor" chifukwa kutsekereza zoipa kulimbikitsa mfundo yomwe ndi tsankho mphamvu ya yimitsira wachifundo CNS Dipatimenti njira yimitsira kulenga nyemba magetsi mu mfundo nkusani, ndi chopinga wa ntchito magetsi a myocardium lapansi.

Kusonyeza mankhwala, ndi amene - palibe?

zimathandiza pa "Concor Akor" zikuonetsa ntchito chiyani? Ogula ndemanga kutsimikizira Mwachangu mkulu wa mankhwala. Ndi bwino kutenga kuchitira mtima kulephera ndi kulepheretsa chitukuko cha zinthu zimenezi mu magawo oyambirira. Kukhala enieni, ogwira ntchito zaumoyo mankhwala a beta-blocker kulandira chithandizo zosagwira kulephera aakulu mtima ndi kuchepetsedwa kumanzere yamitsempha yamagazi systolic ntchito. Kawirikawiri "Konkor Akor" zotchulidwa mu kufanana ndi zoletsa Ace , wothandizila diuretic, mtima glycosides.

Kuti palibe wina anali ndi cholinga perekani mankhwala yokha paokha, popanda malangizo a dokotala, m'pofunika kuti ndizolowere mndandanda chidwi cha contraindications kwa wothandizila "Concor Akor."

Kupatula mokakamizidwa malangizo onse mankhwala kuti aletse pamaso pa tsankho kwa zigawo zikuluzikulu zomwe zimapanga mankhwala ndi zaka wodwalayo (zaka 18 Ponena - palibe uthenga pa mphamvu ndi chitetezo), pali zifukwa zambiri ndi mavuto mankhwala akutengedwa ndi zosayenela.

"Concor Akor" malangizo ntchito (analogues - zapamwamba beta-blockers - ndi malangizo ofanana pa inadmissibility kulowa) limaletsa odwala matenda a mtima mu pachimake ndi aakulu decompensated insufficiency. Musati kusankha mankhwala phwando mu kugwa ndi cardiogenic mantha (a chikhalidwe amayamba ndi kukanika mtima). Sangathe kutenga beta-blocker kwa zolakwika lalikulu AV-conduction (II, III digiri AV-chipika) popanda pacemaker a. Komanso chifukwa chokana wa phwando ndi kukhalapo kwa bradycardia (kugunda kwa mtima (kugunda kwa mtima) ndi zosakwana 50 kumenyedwa / min.), Sinoatrial anatseka misewu (akuchuluka nkusani mopupuluma kudutsa pawiri sinoatrial). Mankhwala contraindicated odwala ndi Prinzmetal angina (kuphipha ziwiya kuti kudyetsa mtima, pamene cha ku Switzerland gawo okwera) ndi odwala nkusani syndrome (SSS).

Musamalandire "Concor Akor" ndi otsika systolic magazi (m'munsimu 90 mamilimita Hg. Art.), Pamaso mphumu mu mawonekedwe kwambiri, anthu ndi mbiri za mbiri aakulu obstructive m'mapapo mwanga matenda (COPD).

kukonzekera Komanso "Konkor Akor" ntchito ndi zosavomerezeka pamaso pa kuvutika mu mitsempha ya magazi zotumphukira (makamaka lokhudza ndondomeko ina) ndi matenda Raynaud a, pheochromocytoma (chosaopsa kapena zilonda chotupa APUD-dongosolo), ndi kagayidwe kachakudya acidosis (kosangalatsa kosamala asidi-m'munsi motsogozedwa kuwonjezeka acidity chifukwa kudzikundikira katundu acidic mu zimakhala ndi awo kumanga kapena kusowa chiwonongeko).

Mankhwalawa chakudya ndiponso chovomerezeka buku bisoprolol

Malinga ndi malangizo a beta-blocker akutengedwa kamodzi pa tsiku, makamaka m'mawa, mukatha kudya. Mankhwala "Concor Akor" (kuchokera kodi mankhwala sanali - kaya ndi ischemic matenda a mtima, kulephera aakulu mtima, kapena matenda oopsa) safuna kutafuna kapena afafanize kuwameza lonse nasamba pansi ndi pang'ono madzi.

Kuti akwanitse miyeso achire kulephera aakulu mtima ndi kugwiritsa ntchito mankhwala "Concor Akor" Ndi bwino kuti agwire titration a mlingo. Akamanena za ndondomeko izi: pa 1 sabata kuchuluka ndinalandira beta-blocker mawu a bisoprolol ndi 1,25 mg wa ku mlingo 2-sabata ndi kawiri (2.5 mg) kwa mphindi 3 ndi 3,75 mg. Nthawi kuchokera sabata 4 mpaka kumapeto kwa mlingo wa 7 ndi 5 mg tsiku Bisoprolol; 8 TH mlungu TH 11 - 7.5 mg. Kuyambira sabata la 12 analandira munthu pazipita 10 mg. Mlingo n'kofunika (ndi zotheka) kuonjezera basi kutsimikiza kuti yapita bwinobwino analekerera ndipo sayambitsa kuvutika maganizo.

Pano padziko - ndi yankho la funso kuposa "Konkor" kumasiyana "Konkor Akor": chachiwiri zosinthika (2.5 mg wa bisoprolol) ndi yabwino kuyamba miyeso achire zokhudza kulimbikira aakulu limati mtima kulephera, pamene woyamba (5 kapena 10 mg) ndi yabwino mankhwala yokonza.

Ngati panthawi ina panali kusintha mlingo wa zizindikiro mtima kulephera, madokotala amalangiza mlingo olondola a okodzetsa kufanana kapena zoletsa Ace. Patapita nthawi anthu ena udindo kusintha, m'pofunika kupitiriza ndondomeko titration "Concor Akor."

Therapy ndi mankhwala nthawi yaitali chikhalidwe. Chiyembekezo chakuti ya beta-blocker ayenera akuyendera pang'onopang'ono, makamaka kwa odwala matenda ischemic mtima.

Kugwiritsa Mlingo: zotsatira ndi mankhwala

Malangizo kwa mankhwala nthawi zonse zimathera mapiritsi "Concor Akor." Kumene kutenga nanga contraindications, iwo anafotokoza kale. Tsopano tikambirana zimene mungachite ngati, pazifukwa zina, ndi zosavomerezeka chachikulu mlingo watengedwa.

Symptomatology chiri motere: kukulitsa matenda oopsa ndipo bradycardia, bronchospasm, ndi Mwina mkulu wa hypoglycemia mwina isanayambike kulephera pachimake mtima.

Zotsatira za kulandira Mlingo lalikulu la anthu osiyanasiyana mwakuthupi. Mwinamwake, amene amadwala matenda a mtima, ali tcheru kwambiri kuti owonjezera mlingo analimbikitsa ndi dokotala. The anasankha bwino wodwalayo - kuwona dotolo (ngati n'kotheka kuchita izo nokha) kapena chifukwa "mwamphamvu". Malinga mmene mankhwala walandiridwa, dokotala adzaona miyeso kumwedwa kuti magawowa alili.

zinthu monga mwamsanga nthawi zambiri chapamimba lavage ndi phwando absorbents (adamulowetsa mpweya kapena analogues ake). Komanso, zoopseza, bisoprolol chithandizo akhoza kutha, ndi kwa nthawi zinafunika, m'chipatala adzakuthandizani ndipo symptomatic mankhwala.

Malangizo kwa "Concor Akor" zikuonetsa ntchito, ndemanga mankhwala ndi zina mwa mfundo anabweretsa kwa anthu ogwira ntchito ndi ogula kuti bisoprolol ndi yovuta mokwanira amenable kuti dialysis.

Wachisoni mawonetseredwe ntchito "Concor Akor"

Pafupifupi mankhwala alionse, ndi kupezera "Concor Akor" mphamvu ya osiyanasiyana mwamphamvu pa machitidwe ndi ziwalo.

Pankhani dongosolo mtima, madandaulo zambiri odwala pa zosayembekezereka wa bradycardia ndi matenda oopsa (makamaka anthu odwala matenda aakulu mtima), akhoza kukhala vasospasm. Pamlingo wamng'ono zikuoneka kuphwanya AV-conduction, mtima decompensation, limodzi ndi edema zotumphukira.

Chisoni kwa CNS mankhwala Zikuoneka zochepa kutchulidwa ndi chingakhale za kutopa, kupweteka kwa mutu ndi chizungulire, kutopa, kugona bata ndi nthawi maso. kawirikawiri, odwala amadandaula omangana, zoopsa ndi kuyerekezera zinthu m'maganizo. Nthawi zambiri, zizindikiro alibe coloration kwambiri ndi kuyesedwa pambuyo masabata 1-2 kuyambira mankhwala ndi "Concor Akor."

Zikuonetsa ntchito ndi mndandanda wa contraindications simuvutika chidwi cha odwala ndi mbiri ya mudziwe COPD ndi mphumu, pali kuthekera kwa bronchospasm. Kawirikawiri kulankhula za maonekedwe a matupi awo sagwirizana rhinitis.

Pa mbali pa mundawo m'mimba zambiri zikhoza nseru, kusanza, kudzimbidwa, kutsekula m'mimba, maganizo dryness wa mucous mu M'mimbamo m'kamwa. Pasanathe nthawi zambiri kulankhula za chitukuko za matenda ndi kusintha mu michere chiwindi.

Kuwonjezera pa onse pamwamba, odwala lipoti chisokonezo zithunzi ndi conjunctivitis (osowa), za omangana mu ng'ombe minofu ndi minofu kufooka, kuphwanya potency (chosowa kwambiri).

Wa thupi lawo siligwirizana zambiri zotheka totupa, kuyabwa ndi redness.

"Concor Akor" ndi mimba

Beta-blocker "Concor Akor" pa mimba ndi zotheka pa nthawi imene kuyembekezera phindu kwa mayi thanzi lake kuposa chiopsezo kuthekera kwa mwana wosabadwa.

Aliyense beta-blockers (ndi "Concor Akor" pakati pawo), kuchepetsa mphamvu ya magazi mu nsengwa ndipo potero akhoza kungasokoneze pa chitukuko cha mwanayo utero. Ngati inu anatumizidwa kulandira amayi apakati mankhwala, ogwira ntchito zaumoyo ayenera nthawi zonse kuyan'ana magazi mu nsengwa ndi chiberekero, komanso kusunga kukula ndi chitukuko cha mwana. Mu chochitika cha zinthu zoipa kwa mayi ndi mwana kuyenera kuti wina, njira zina mankhwala.

Atabadwa mwana ayenera mosamala. Pa tsiku loyamba masiku 3 mwana akhoza kuchepetsa mlingo wa shuga m'magazi, n'zothekanso bradycardia (yafupika kugunda kwa mtima) zizindikiro.

Koma kuyamwitsa akazi, Kugawilidwa kwanthaka mfundo za bisoprolol ndi mkaka wa m'mawere kapena chitetezo chake palibe mwanayo. Choncho, ngati n'koyenera, kulandira amatanthauza "Concor Akor" mu nthawi ino, m'pofunika kusankha kuthetsedwa kwa mkaka wa m'mawere.

mankhwala ofanana

Mu mankhwala "Concor Akor" Anzawo (ali ambiri) Kawirikawiri ili yaikulu yogwira pophika - bisoprolol. Self mankhwala opangidwa ku Germany ndi Norway. mankhwala monga "Aritel" nthawi zambiri amagwiritsidwa ntchito ya Akhristu Russian, ndi "Aritel Akor", "Biprol", "bisoprolol-Prana". Ngakhale yotsirizira akupezeka m'mayiko ambiri padziko lonse, "bisoprolol Teva" - Hungary, Israel, "bisoprolol-nso" - Ukraine. Makamaka, analogue mwachindunji ndi "Concor".

Komanso, kuchokera njira kaŵirikaŵiri ntchito zofanana angatchedwe "Bidop" ndi "Bidop Akor" "Biol" "Bisogamma", "Bisomor", "Kordinorm" ndi "Kordinorm Akor", "Tiresias", "Niperten".

Ambiri, mndandanda wa analogues (ofanana) ndi lalikulu zosiyanasiyana, koma kuthetsa funso la chimene m'malo "Concor Akor" omva zosavomerezeka. Kusankha koyenera kwa medicament kwa m'malo ali yekha kwa dokotala nawo.

Mogwirizana ndi mankhwala ena

Pa efficacy wabwino ndi tolerability wa beta-blockers zingakhudze ntchito mankhwala awiri pa nthawi yomweyo. Pankhani mankhwala "Concor Akor" (zikuonetsa ntchito, thanzi kwenikweni ogwira ntchito ndi odwala kwaniritsa anachita chotero) tsankho angayambe ngakhale ofanana mu mankhwala mfundo chikoka Atengedwa kudzera pang'ono nthawi ya wina ndi mzake.

Komanso, odwala kutenga bisoprolol, m'pofunika kudziwa zimene allergens kwa immunotherapy kapena akupanga mayesero khungu zingakubweretsereni chitukuko cha aakulu zokhudza zonse thupi lawo siligwirizana kapena anaphylaxis. Zingayambitse anaphylactic mantha ndi ntchito munthawi yomweyo bisoprolol ndi iodinated Mosiyana wothandizira kwa makonzedwe mtsempha.

Okodzetsa, mankhwala sympatholytic ndi antihypertensive zina, bisoprolol ntchito molumikizana ndi, angachititse kwambiri kutsitsa magazi.

Tetracycline antidepressants, antipsychotics, mankhwala ozunguza bongo hypnotics nkhawa chapakati mantha dongosolo. Mmene insulin kapena zina zofanana mankhwala hypoglycemic kwa makonzedwe m'kamwa pa mankhwala ndi medicament "Konkor Akor" achuluke. Symptomatology osauka hypoglycemia (tachycardia makamaka) akhoza kuletsedwa kapena masked.

Choti?

Anthu amene "Concor Akor" wapemphedwa kuti ntchito ndi inadmissible paokha pakamwa mankhwala kapena kusintha mlingo analimbikitsa popanda choyamba akaonane ndi dokotala. Zikatero n'zotheka akuchuluka wa ntchito mtima. Zimenezi ndi zoona makamaka kwa odwala matenda mtsempha wamagazi. Ngati izo zimakhala zofunika kutsirizitsa mankhwala mankhwala "Concor Akor", Mlengi akuonetsa kuti inu mukuchita izi, pang'onopang'ono kuchepetsa mlingo.

Pa kusuta odwala mphamvu ya beta-blockers poyerekeza amene musasute.

Amene amavala magalasi kukhudzana, muyenera kukumbukira kuti beta-blockers zingachititse kuchepa kupanga madzimadzi misozi.

Ngati wodwala akufotokozera kufunika opaleshoni kusankidwa, kulandira "Concor Akor" ayenera kusiya kumwa onse osachepera 48 maola pamaso pa mankhwala ochititsa ambiri. Ngati opaleshoni chofunika mwachangu, ndipo wodwalayo kale analandira beta-blocker, kwa mankhwala ochititsa dzanzi ambiri m'pofunika kusankha mankhwala ndi kochepa zoipa inotropic chikoka.

Pomaliza ndikufuna kuti chilichonse anayenera mankhwala "Concor Akor" kuwerenga, ndemanga ya dzuwa mkulu pa gawo cha odwala ndi ogwira ntchito zachipatala, chigamulo pa ntchito yoika dzina aliyense munthu limatanthauza kuti "Concor Akor 'ndipo aliyense beta ena blocker, ayenera mwini yekha kwa dokotala nawo.