Mankhwala "Korglikon": malangizo ntchito, mtengo, analogs ndi kuwerenga

msokonezo osiyanasiyana mu mtima - vuto anthu ambiri. Ndipo nthawi zambiri kuti kuthetsa zizindikiro kapena kusiya kupitirira kwa matenda, odwala Kwalamulidwa mankhwala lotchedwa "glycosides mtima". ndi "Korglikon" amatanthauza gulu la mankhwala. Malangizo ntchito, zikuonetsa mankhwala, mavuto, analogs ndi ndemanga - ndi mfundo zikuluzikulu zofunika odwala. Choncho ichi ndi mankhwala ndi zimene katundu?

Kapangidwe ndi Kaonekedwe

Kukonzekera "Korglikon" ndi inakhazikitsa mu mawonekedwe a njira momveka kwa jekeseni ndi pang'ono chikasu kum'chitira. mankhwala chogulitsidwa ampoules galasi mu buku la 1 ml. Aliyense paketi lili ampoules 10.

Waukulu yogwira mankhwala ndi mankhwala Korglikon - ndi glycoside biologically yogwira, amene analandira wa masamba a kakombo wa mzigwa. milliliter imodzi mwa njira lili 600 mg wa chigawo cha moyenera, ndende ndi 0,06%. Monga mankhwala othandiza alipo mu zikuchokera hlorbutanolgidrat ndi oyera madzi a jekeseni.

Kufotokozera za katundu pharmacological mankhwala

The zigawo zikuluzikulu yogwira lokonzekera akamagwira poyeretsa akupanga Kakombo wa Mchigwa , ndi mitundu yake. Ndi glycoside mtima, amene ali pa thupi la munthu ndi zabwino inotropic kwenikweni.

Izi mankhwala imayendetsa ndi sodium wochuluka-kashiamu kuwombola nembanemba wa cardiomyocytes, zimene pamapeto, limawonjezera mphamvu ya chidule cha minofu mtima. Pa mankhwala ndi kuwonjezera mphamvu sitiroko, yafupika yotsiriza systolic ndi diastolic buku la mtima ndi kuchepa kufunika m'mnyewa wamtima oxygen.

mankhwala komanso amapereka chronotropic zoyipa. Mankhwalawa amatsogolera ndi kuwonjezeka mouzirira baroreceptor tilinazo, kuchepetsa ntchito kwambiri ya dongosolo chifundo. Komano, mankhwala kumawonjezera ntchito za mitsempha vagus, umeshaet liwiro mopupuluma conduction mwa mfundo atrioventricular ndipo akutipatsa zotsatira antiarrhythmic.

Pamaso pa tachyarrhythmias matenda mankhwala kubweza mlingo wa chidule yamitsempha yamagazi, prolongs diastole, bwino intracardiac gemodinaminu. Pamene kutumikiridwa m'nsinga, mankhwala akuyamba kuchita pambuyo mphindi 3-5. zotsatira yayikulu unkachitika pambuyo Mphindi 25-30 pambuyo makonzedwe mankhwala.

ndi zizindikiro mankhwala chiyani?

Izi mankhwala kawirikawiri amagwiritsidwa ntchito mankhwala amakono. Koma odwala ambiri amachita chidwi ndi nkhani yoti, imene milandu mankhwala ndi yoyenera "Korglikon". Zikuonetsa ntchito osiyana pano. Makamaka, ndi kutumikiridwa kwa odwala matenda matenda fibrillation tachysystolic mawonekedwe. Komanso, mankhwala amawathandiza flutter matenda , paroxysmal mtundu.

Pali zinthu zina zimene m'pofunika kugwiritsa ntchito mankhwala "Korglikon". Zikuonetsa yopemphera - kumakhalanso paroxysmal supraventricular tachycardia. Zochita ano madokotala, mankhwala kawirikawiri kutumikiridwa odwala insufficiency aakulu kwa wachiwiri, wachitatu ndi wachinayi kalasi zinchito. Mwachibadwa, ndi matenda amenewa jakisoni ndi mbali chabe ya mankhwala zovuta.

Medicine "Korglikon": malangizo ntchito

Perekani mankhwala ofanana angakhoze kokha dokotala pambuyo pa matenda mokwanira. The katswiri nawonso kudziwa mlingo yabwino kwambiri ndi ndandanda wa kuchuluka jekeseni. Kuti akonze njira nkhani za ampoule wina sitimadzipereka mu 10-20 ml ya njira ya dextrose kapena shuga pa ndende ya 20 kapena 40%.

Mlingo umodzi odwala wamkulu chimachititsa 0.5-1 ml ya lokonzekera. Ana zaka 6 mpaka 12, nthawi zambiri satha kuposa 0.5-0.75 ml ya mankhwala. Kamwana zaka zaka 2 mpaka 5 Kwalamulidwa 0.2-0.5 ml. Lowani sitimadzipereka dextrose njira m'nsinga pa mphindi 5-6. ndondomeko akubwerezedwa kawiri tsiku ndi yopuma maola osachepera 8-10. The pazipita tsiku mlingo aakulu 2 ml "Korglikon". Kutalika kwa mankhwala anatsimikiza payekha.

Kodi pali contraindications aliyense ku phwando?

Kaya Magulu onse odwala analola mankhwala ndi "Korglikon" mankhwala? Malangizo ntchito lili ndi mfundo zimene contraindications mankhwala ilipodi Choncho, zothandiza mndandanda awo lidzakhala lilipo:

• Izi mankhwala si kutumikiridwa ndi hypersensitivity kuti aliyense wa m'nyanjazi, komanso monga chifuwa kuti glycosides mtima.
• Contraindications monga atrioventricular chipika chachiwiri digiri, komanso likukulira wathunthu anatseka misewu.
• Mankhwala salandira odwala matenda Wolff-Parkinson-White.
• Contraindication ndi glycoside kuledzera.
• Mankhwala si ntchito pofuna kuchiza azimayi oyembekezera ndi azimayi unamwino.

Palinso otchedwa contraindications wachibale, ngati kuti mankhwala n'chotheka moyang'aniridwa nthawi zonse. Mwa zinthu zimenezi ndi monga atrioventricular chipika digiri choyamba, pachimake m'mnyewa wamtima infarction, hypertrophic subaortic stenosis, kulephera mtima ndi diastolic kukanika, arrhythmia kutali mitral stenosis, zipolowe za electrolytes, hypothyroidism, myocarditis, kunenepa, aimpso ndi kwa chiwindi kulephera, alkalosis. CHENJEZO mankhwala Kwalamulidwa kwa odwala okalamba.

Kodi n'zotheka yatsoka mosiyanasiyana chokhwima?

odwala ambiri musanayambe mankhwala kufunsa mafunso pa mavuto ndi zotheka pa maziko a ntchito mankhwala "Korglikon". Malangizo ntchito lili mudziwe mmene mankhwala atha kuyambitsa zotsatira zoyipa. Nawu mndandanda wa anthu ambiri:

• Pa mankhwala, ena odwala akhoza kuyamba ndi arrhythmia.
• Kuyambira wamanjenje dongosolo ndi zochita zotheka monga chisokonezo, litsipa, kuchuluka tulo, kugona zipolowe, chizungulire. Kuli kuchepa acuity zithunzi. Kwambiri kawirikawiri, odwala kukhala ndi kuona zilubwelubwe maganizo.
• Nthawi zina pali wonongeka wa hematopoiesis, amene anaonetsa thrombocytopenia, kawirikawiri nosebleeds, thrombocytopenic purpura.
• Ku dongosolo m'mimba kumachitika kuyan'anila monga nseru, kusanza, kusowa chilakolako cha matenda a anorexia.
• N'zothekanso m'dera thupi lawo siligwirizana zimene zimasonyeza kutupa, redness a khungu, zotupa ndi pruritus.

Ngati pali kuwonongeka aliyense ayenera kukaonana ndi dokotala. Mwina mukhoza muyenera kusintha mlingo. Koma nthawi zina pamafunika chiyembekezo chakuti okwana mankhwala.

Mankhwala "Korglikon": analogs ndipo mmalo

Odwala ena chifukwa wina silingafanane ndi anatchulidwa dokotala mankhwala. Chochita Zikatero? Kodi n'zotheka chinachake m'malo mankhwala "Korglikon"? Analogs wa chida mu msika wamakono mankhwala kupeza si mophweka, chifukwa mankhwala ndi chimodzimodzi yogwira zosakaniza chabe kulibe. Komabe, mungayesere m'malo ndi gulu lina la mankhwala.

Mwachitsanzo, pafupifupi katundu yemweyo medicament "Digoxin". Nthawi zina, monga kolowa mmalo mungathe kugwiritsa ntchito mankhwala "Strofantin" womwenso kunja kanthu kusala kudya. Mwa njira analogs akhoza zimachitika "Digitoxin". Dziwani kuti onse glycosides izi analandira kuchokera ku zipangizo masamba yaiwisi.

Kodi ndindalama mankhwala?

Zina mwa zinthu zina, nkofunika kwa odwala ambiri ndi mtengo wa mankhwala, amene zotchulidwa dokotala kwa iwo. Kumene, kuchuluka enieni n'zovuta kufotokoza, chifukwa izo zidalira pa Mlengi, ndondomeko ndalama Pharmacy, mzinda okhala ndi zina zotero. D.

Choncho zimene ndalama mankhwala "Korglikon"? Mtengo wa phukusi la mbale khumi ndi za 50-65 rubles. Mwa njira, mankhwala amagulitsidwa ndi mankhwala. Only dokotala akhoza mankhwala kwa wodwala "Korglikon" (Chinsinsi pa Latin zikuwoneka - Corglyconi 0,06%).

Reviews madokotala ndi odwala

Zochita panopa zachipatala, glycosides mtima ntchito nthawi zambiri. Ndipo mmodzi wa mankhwala wotchuka kwambiri mu gulu ili monga "Korglikon". Reviews madokotala akusonyeza kuti mankhwala kwenikweni kuthana ndi ntchito zawo, ntchito normaliziruya infarction, kuchotsa zizindikiro za matenda makamaka ndi kuteteza zosokonezeka.

Odwala komanso kusiya ndemanga zabwino mankhwala mankhwala "Korglikon". Malangizo ndi ophweka, mankhwala suchedwa kutha, ndipo chithandizocho bwino analekerera. Ngakhale kuti akhoza kukula kwa anthu kapena zochita zina zoipa, maphunziro zowerengera asonyeza kuti awonekere kawirikawiri. Ndipo, ndithudi, mtengo wotsika ndi imodzi mwa ubwino mankhwala. The sangathe ndi kuti si mankhwala amagulitsa mankhwala, kotero nthawizina n'kovuta kupeza.

Tikumbukenso kuti mu nkhani palibe kugwiritsa ntchito mankhwala yekha, chifukwa zosayenera mlingo zingachititse kuledzera kwambiri.