"Monosan": malangizo ntchito kwenikweni Anzawo

N'chifukwa chiyani mlingo chinafotokoza mankhwala "Monosan"? Malangizo ntchito mankhwala vasodilator limafotokoza mwatsatanetsatane mu zipangizo za nkhaniyi. Ndiponso akupereka analogs medicament, kapangidwe kake, zotsatira pharmacological, contraindications, mavuto, ndi zina zotero D..

The mawonekedwe, ma CD, zikuchokera

zinthu zomwe ndi mbali ya mankhwala "Monosan"? Malangizo limanena kuti zinthu ziliri pa mankhwala ndi isosorbide-5-mononitrate. Komanso medicament limapangidwa zikuchokera ndi adjuvants amenewa: talc granulated lactose, magnesium stearate, microcrystalline mapadi ndi wowuma chimanga.

Kodi maonekedwe opanga kubala mankhwala "Monosan"? Malangizo ntchito limanena kuti mankhwala akhoza kugulidwa kokha mu mawonekedwe a mapiritsi. Mwayera ndi kuzungulirako mu mawonekedwe. Pa mbali imodzi ya piritsi pali chiopsezo.

mankhwala mmatumba mu matuza, zomwe zili mu mulu wa mapepala.

mbali pharmacological

Kodi mankhwala "Monosan"? Malangizo ntchito limasonyeza kuti mankhwala ndi vasodilator zotumphukira, amene amachita kwenikweni pa zotengera venous.

The medicament amatha kupangidwa kwa mtima endothelium za indofeliyamu ulesi chinthu monga okusayidi asafe. Chifukwa cha zotsatira amenewa ndi kutsegula kwa sungunuka guanylate cyclase (okhudza maselo ambiri enzyme) kuti palokha kumawonjezera vasodilating mkhalapakati - ozungulira guanosine monophosphate.

Pambuyo kutenga mankhwala mkati maselo kumachepetsa kufunika m'mnyewa wamtima oxygen. Ichi ndi chifukwa kuchepa mu ntchito ndipo pambuyo preload.

Komanso, akatswiri anawerengedwa ndi kutchulidwa zotsatira koronarorasshiryayuschee mankhwala.

zotsatira mankhwala

mankhwala zimene ena ali katundu "Monosan"? Kugwiritsa ntchito mankhwala akhoza kuchepetsa magazi kwa atrium komwe kwambiri kuchepetsa kuthamanga mu makope m'mapapo mwanga ndipo kumachepetsa kuopsa kwa zizindikiro zoipa edema m'mapapo mwanga.

Iwo ayenera kukumbukira kuti mchikakamizo cha "Monosana" m'madera makope osauka pali kusokonekera akulowera inatsekeratu magazi

Pa maziko a mankhwala anthu ndi angina ndi matenda ischemic mtima, kwambiri kumawonjezera kukaniza ntchito zilizonse. Komanso, nkhani wothandizila amatha kutsitsa TX magawo Thrombocyte kaphatikizidwe ndipo ziletsa kupatsidwa zinthu za m'mwazi loitanirana.

katundu pharmacokinetic

Kumene odzipereka, anagawira ndi zimapukusidwa mankhwala "Monosan"? Malangizo pa limati ntchito kuti zochita za mankhwala mankhwala m'malo mofulumira ndi kwathunthu odzipereka kwa mundawo m'mimba. Atalandira mapiritsi zotsatira antianginal unkachitika pambuyo pafupifupi 30-45 Mphindi ndipo anakhalabe kwa maola 10.

Malinga ndi akatswiri, mankhwala "Monosan" ali ndi ndalama mwachilungamo mkulu wa bioavailability (pafupifupi 99-100%). Ichi ndi chifukwa pakalibe ziyambe mankhwala kudzera dongosolo kwa chiwindi.

The theka moyo wa mankhwala ndi mphindi 60. The ndende ya mankhwala magazi zimasiyanasiyana pang'ono, malingana ndi munthu.

Kagayidwe mankhwala yogwira thunthu mu chiwindi. Chifukwa cha njira kagayidwe kachakudya anapanga mwa zigawo zitatu: isosorbide glucuronide ndi awiri isosorbide-5-mononitrate.

theka moyo nthawi maola 4-5. Pamene 2.2% ali excreted kudzera dongosolo aimpso ndi 97,8% - monga metabolites glucuronic.

zikuonetsa

Kodi mikhalidwe yomwe "Monosan"? Kugwiritsa ntchito mankhwala othandiza kwambiri milandu zotsatirazi:

• oopsa m'mapapo mwanga, mtima m'mapapo mwanga;
• mitundu aakulu kulephera congestive mtima;
• stenokardicheskie kupewa khunyu anthu ndi matenda mtsempha wamagazi.

contraindications

Kodi zinthu sangathe ntchito "Monosan"? Analogs ndipo anati zikutanthauza yokha zoletsedwa kumwedwa pamene:

• mtima kugwa;
• mkhalidwe wa mantha;
• wolumikizira hypovolemia ndi hypotension;
• mtima tamponade ;
• anasiya kulephera yamitsempha yamagazi ndi akalozera otsika a kuthamanga diastolic magazi;
• poizoni m'mapapo mwanga edema;
• pachimake gawo la infarction m'mnyewa wamtima (ndi kutchulidwa hypotension);
• mawonekedwe-kutsekedwa khungu;
• Kuyamwitsa;
• matenda amene imautsa kuwuka kwa kuthamanga intracranial;
• munthu hypersensitivity;
• ana ndi achinyamata (mpaka zaka ambiri).

Iwo ayenera kukumbukira kuti malipoti zikutanthauza pali contraindications wachibale. The chikhalidwe zotsatirazi likukhudza kuti:

• mitral stenosis ;
• constrictive pericarditis;
• ukalamba;
• matenda mtima orthostatic lamulo;
• aimpso dongosolo insufficiency;
• hypertrophic cardiomyopathy;
• hyperthyroidism;
• kwa chiwindi kulephera ;
• kung'ambika stenosis;
• magazi m'thupi aakulu mkati.

Mankhwala "Monosan": malangizo ntchito

Ogona (mayiko Nonproprietary Dzina) mankhwala zikumveka ngati "isosorbide mononitrate." Izi mankhwala kutumikiridwa pakamwa chabe. Malinga ndi malangizo, tiyenera kumeza lonse nasamba pansi ndi madzi.

Mapiritsi Uike dokotala. Pa nthawi yomweyo iye afunika kuona kuopsa kwa matenda chimapangitsa mtima wake.

"Monosanom" Chithandizo akuyamba ndi Kulandira kutanthauza 10-20 mg wa nthawi 1-3 tsiku. Ndi masiku 3-4 cha kusintha kwa mankhwala ayenera kukhala n'zimene Malamulo ake. Ngati ndi kotheka, kuchuluka kwa mankhwala ziwonjezeke kwa 20-40 mg wa natenga kawiri patsiku.

Zizindikiro cha mankhwala osokoneza bongo

ndi zizindikiro cha mankhwala osokoneza bongo angayambe Kodi pamene wodwala kulandira mankhwala olakwika "Monosan"? Malangizo ntchito akusonyeza zizindikiro zotsatirazi: kugwa, kukomoka, m'mimba matenda, chizungulire, hyperpnoea, redness a khungu, makanda, dyspnea, tachycardia reflex chiyambi, mutu, pyrexia, ulesi, kufooka, kuthamanga intracranial, zipolowe zithunzi, khunyu, ziwalo, nseru, chikomokere, thukuta, kusanza.

Pochiza matenda monga ntchito zikugwira chapamimba lavage ndi mankhwala enterosorbiruyuschee zikutanthauza.

zotsatira zoyipazi

Kodi mankhwala anakwiya "Monosan"? Malangizo ntchito (analogs wa medicament ali pansipa) ikunena kuti mankhwala zikhoza kuoneka ndi kuchuluka kwa mbali-zotsatira. Ife tinatchula ena a iwo:

• kusanza;
• moto kutengeka pa lilime;
• youma pakamwa;
• nseru;
• otentha cheza;
• tachycardia;
• nitrate mutu;
• ankatenthetsa wa khungu ;
• chizungulire;
• Amowabu kuchepetsa kuthamanga kwa magazi;
• stenokardicheskie kuchuluka pafupipafupi kukomoka;
• Orthostatic hypotension ;
• hypersomnia;
• retardation ndi galimoto maganizo mayankho;
• stiffness;
• amaona masomphenya;
• kukhazikitsa kulolerana;
• totupa pakhungu yeniyeni;
• exfoliative dermatitis.

Analogs cha mankhwala ndi mtengo wake

Kutanthauza mukhoza m'malo mankhwala «Monosan"? Analogues wa mankhwala akupezeka uliwonse ogulitsa mankhawala. Pakati yabwino kwambiri n'zotheka kuonetsetsa "Monocinque kutumikiridwa", "Izoket", "Kardiket", "Efoksa", "Pektrol".

Koma mtengo wa mankhwala, si kwambiri. Tatenga mankhwala m'mizinda Russian angakhoze kokha kwa 100s (mapiritsi 30).

umboni

tiganizire mankhwala ali zambiri ndemanga yothandiza. Odwala kukangana kuti khalidwe ngati wothandizira othandiza kwambiri oopsa m'mapapo mwanga ndi aakulu mtima kulephera mawonekedwe. Komabe, tisaiwale kuti chopezera mkulu achire chifukwa ngati mankhwala ayenera pamodzi ndi mankhwala ena. Kuti tichite zimenezi, onetsetsani kukaonana ndi dokotala nawo.

Ndikufuna kuona odwala kuti ambiri amasangalala mtengo umene mankhwala. Monga tanena, mapiritsi 30 muyenera kulipira 100 okha Russian rubles.

Sitingathe kunena kuti za mankhwala ndipo nthawi zambiri siyani ndemanga negative. Nthawi zambiri, iwo ali oyanjana ndi maonekedwe a kuchuluka kwa mbali-zotsatira. Mwa njira, pamene zidzachitika kwa ingestion ayenera anasiya ndipo m'malo mwa otetezeka. Kodi kwenikweni, mudzatha kuuza yekha katswiri wodziwa.