"Coronal": muujinaya in loo isticmaalo, dib u eegista. analogues daroogada

Horumarinta cudurada wadnaha yahay mid gaabis ah oo la dareemin ku jira marxaladaha hore. About dhibaatooyinka qalbiga oo qof kiisaska intooda badan ay ogaadaan marka cudurada uu ku faafo, oo sababtay in loo baahan yahay in isbitaal degdeg ah. cudurada wadnaha waa khatar, sababtoo ah waxay ku dhici dhowaad oo aan calaamado. Waxay yihiin mid ka mid ah arrimaha ugu waaweyn ee dhimashada dhulka. Xitaa haddii bukaanka u noolaadaan weerarka cudurka wadnaha, inuu ku soo laabto hab caadiga ah ee nolosha waa lagama yaabo, oo sidaas daraaddeed u baahan tahay inuu la qabsado, style dheeraad ah oo xadidan ee cusub. Looga hortago horumarinta dhibaatooyin daran cudurka wadnaha lagu, waqtiga ay ogaan karaa. Sidaa darteed, waa in aad mari baaritaanada ka hortag ah si ay u ilaaliyaan caafimaadka wadnahaaga.

cudurka wadnaha

Waxaa jira dhowr calaamadood oo muujinaya laga yaabaa horumarinta dhibaatooyinka wadnaha. Maxaa yeelay, at calaamadahan waa in isla markiiba u tag rugta, halkaas oo kormeer buuxa kaa caawin doontaa in la ogaado cudurka iyo si looga hortago dhibaatooyinka suurtagal ah.

Calaamadaha ugu caansan ee heerarka bilowga ah ee cudurada wadnaha waxaa ka mid ah daal, iyo daciifnimo guud. Waxay la xidhiidha laga yaabaa in walaaca ama stress sare, laakiin sidoo kale wuxuu noqon karaa calaamad of wadnaha oo shaqadiisa gaba. Sida caadiga ah, daal ma tegi doonto xitaa ka dib markii intiisa kale, oo waxay ku daray dareen kale oo ka mid ah niyad-jabka, rabitaanka cuntada oo luma, caafimaadka guud oo liita. calaamad kale oo calaamad u noqon kartaa horumarinta sambabada ama wadnaha oo shaqadiisa gaba waa neefta oo ku qabata, oo waxay ku dhici kartaa xitaa marka uu qofku waa ku jira xaalad ah xasilloonida buuxda.

cabsi xooggan, stress ama dhaqdhaqaaqa jirka dheeraaday qof kasta oo caafimaad leh waxay keeni kartaa wadno, iyo tan waxaa loo arkaa wax caadi ah. Haddii tachycardia waa inta badan ka walwalsan tahay iyo iyada oo aan wax sabab ah oo wanaagsan, waxaan la hadli kartaa ee joogitaanka rabshooyin ee gobolka nidaamka wadnaha. Calaamadaha kale waxaa ka mid ah cudurka wadnaha waxaa ka mid ah luma dheelitirka ama wareer lama filaan ah, suuxid, raaxo iyo xabad xanuun. calaamadahan waa sababta qof inaad dhakhtar u tagto. Oo mari baaritaan dhamaystiran oo nidaamka wadnaha.

Drug "Coronal"

Haddii bukaanka ah ayaa laga helay marxalad ka mid ah cudurka wadnaha, taas oo aan u baahnayn qalliin, uu soo qoray daawo. Daawooyinka cudurka wadnaha caawiyaa bukaanka la qabsadaan astaamaha cudurka iyo hakiyo faafidda. Qofka u baahan tahay in loo diyaar garoobo xaqiiqada ah in haddii uu doonayo in uu naftiisa u dheeraan, wuxuu u baahan yahay in isbedel lagu image, gaar ahaan, la siiyo ilaa caadooyinka xun, in la cuno, in la isu geeyo load a dhexdhexaad ah oo hadhay.

Maanta on gadhi farmasiyada badan oo daawooyinka kala duwan in ay beegsadaan dagaalka ka dhanka ah dhibaatooyinka wadnaha. Mid ka mid ah daroogada ee ugu badan ee la qoray waa "Coronal" kiniin. Tilmaamayaasha ay u isticmaalaan daroogada waxaa laga yaabaa inay soo socda: ischaemic cudurka wadnaha, arrhythmia, hypertension, ventricular ama supraventricular garaaca iyo kuwa kale. Ka hor inta aadan bilaabin koorso of daaweyn, waa in aad Takhtarkaaga la tasho. Daawo "Coronal" ayaa ku filan waxyeelo xoog leh oo jidhka ah, ayaa liiska sababo waxayna keeni kartaa waxyeelo. Waa la heli karaa in Kiniin-dahaarle. waxaa laga yaabaa in Dhakhtarku wuxuu kuu qori daroogada "Coronal" iyo analogues ay.

Farmashiiste

medicament The "Coronal" ayaa antianginal, antihypertensive iyo ficil antiarrhythmic. Tani waxay la xushay beta-xanibaha yaraynaysaa formation of xilliile amp ka ATP iyo awood u xanibeen receptors beta-adrenergic waxyaalaha qalbiga ku jira. Sidoo kale, daroogada "Coronal" yaraynaysaa contractility myocardial iyo garaaca wadnaha, ay conductivity iyo excitability.

Saamaynta hypotensive daroogada lagu muujiyey in xaqiiqda ah in ay kordhinayaan in hoos u dhac in wax soo saarka wadnaha. "Coronal" - kaniiniga in loo soo celiyo dareenka caadiga ah ee baroreceptors, joogsada waxqabadka nidaamka reninangiotenzivnoy, saameeyaan habka dhexe ee neerfayaasha. In bukaanka qaba dhiig-karka, saamayn antihypertensive ayaa lagu arkay 2-5 maalmood ka dib ka dib markii bilowga codsiga. Ka dib markii 1-2 bilood calaamadeeyay saameyn ku daweyn hypotensive deggan.

Diyaarinta "Coronal", tilmaamo ah kaas oo ay leeyihiin qaybaha kala ballaaran ku filan oo uu leeyahay saamayn antianginal. Kiniiniga kor diastole muruqa hagaajiyo perfusion ee muruqa wadnaha, loo yareeyo baahida ay oxygen by hoos u garaaca wadnaha. Saamaynta antiarrhythmic daroogada waxay tahay awooddiisa ah in la baabi'iyo arrimo arrhythmogenic. Under saameynta ay caanuhu tabinta atrioventricular iyo hoos heerka of excitation ah sanka iyo pacemakers ectopic.

Isticmaalka qalabka ee-qiyaasta dhexdhexaad ka yar la cadeeyay in ay halbowlayaasha durugsan, muruqyada siman oo hawomareenno, beeryarada, murqaha lafaha, shiid carbohydrate. Daawada kama raago udhigo sodium ee jirka, ay nuugista ku saabsan tahay 80-90%.

Tilmaamayaasha

Ka hor inta aadan qaadan "Coronal", waxaad u baahan tahay inaad la tashato dhakhtar kaas oo ku siin doonaa tilmaamo cad oo ku saabsan qiyaasta iyo inta jeer ee maamulka. Waxaad ma bilaabi kartaa qaadashada daroogada on iyaga u gaar ah, waxaa jira halis ah oo waxyeello u lahayn caafimaadkiisa, iyo cawaaqib karin.

In daroogada muujinaya "Coronal" loo isticmaalo inta badan ku koobnayn hypertension iyo wadne xanuunka. Qiyaasta maalin kasta - 5 mg. Daawooyinka qayb firfircoon ugu weyn "Coronal" - bisoprolol. Heerka maalin kasta ugu badnaan ilaa 20 mg, halka bukaanka qaba beerka oo yaraada caadiga ah - 10 milligram. Qiyaasta in dhammaan kiisaska beddelo si gaar ah, iyada oo la tixgelinayo heerka waxtarka iyo qalbi-ku-daweyn. La dhimo cadadka daawada "Coronal" waa in si tartiib ah, ma suurtowdo in ay joogsato Dabcan lama filaan ah. Tani waa run gaar bukaannada qaba kog (CHD).

sababo

Waxaa jiro liis ku kiisaska taas oo waxa fiican in aad ka tanaasulaan isticmaalka maandooriyaha "Coronal". Tilmaamayaasha Isticmaalka cudurka wadnaha ma noqon karaan qodob keliya, si ay u bilowdo koorso of daaweyn. dhakhtarka waa in si taxadar leh oo si fiican u fiiriyaa bukaanka ammaanka doonana.

Daawada waa u bukaanka qaba failure decompensated wadnaha, wadnaha ba'an, shock cardiogenic, cardiomegaly, angina Prinzmetal, SSA syndrome, block atrioventricular II-III qarnigii., Go'doominta Sinoatrial. Ha qaadan loola "Coronal" in bukaanka qaba dareenka shakhsi si daroogada. Waxaa laguma talinayo in ay qoraan in haweenka inta lagu jiro nuujinta, iyo sidoo kale marka la isku daro iyadoo la isticmaalayo MAO.

Xaaladaha xad-dhaaf ah, laakiin ay dhacdo in this aad u taxaddar diyaarinta isticmaalo in lagu daaweeyo bukaanka laga daweeyay gravis, claudication go'aysa, syndrome ee Raynaud, failure cagaarshowga, wadnaha chronic, pheochromocytoma, aysiidh dheefshiidka, neefta bronki, emphysema, sonkorowga. Sababo in la isticmaalo wuxuu noqon karaa niyad-jabka, psoriasis, tayroodh, carruurnimada iyo da 'weyn, uurka. Cudurdaaraan habka of daroogada "Coronal" (jawaab ka dhakhaatiirta ee isugu this) xilliga uurka waxay noqon kartaa kiiska oo keliya marka lacagta hooyada waa dhowr jeer ka badan halis u ah ilmaha.

badinta

bukaanka waa in si adag loo raaco shuruudaha takhasus u leh, maxaa yeelay, badinta keeni kartaa calaamado khatar ah. Calaamadaha guud dheeraad ah waxa sababa badinta ka dhigan tahay "Coronal" - bronchospasm, wadnaha oo shaqadiisa gaba, hypotension, bradycardia. Sarkhaan keentaa saamayn cardiodepressivny daran in ahaaday badan hoos ku garaaca wadnaha contractility iyo hoos u dhac. Bukaanka ayaa laga yaabaa in la horumariyo xanuun neef-sababa bronchospasm.

Haddii bukaanka tahay ficil aan dabiici ahayn in ay daroogada, waa inaad isla markiiba ay qaadaan tallaabooyin si ay u takhalusi lahaayeen. Waxa ugu horeeyo ee la sameeyo - oofin lavage a gastric raacay by ehnterosorbentov maamulka (dhuxusha firfircoonaan). Sidoo kale in aad cabto caloosha jilciya (sodium sulfate). baabiin karta calaamadaha sarkhaan isticmaalaya atropine (0.5 -2.0 mg) intravenously. Sidoo kale mararka codsan glucagons 1-5 mg ah. At dhacdo of bronchospasm u baahan tahay si ay u isticmaalaan daroogada bronchodilator (buufis "salbutamol" ama "Fenoterol").

waxyeellooyin

Diyaarinta "Coronal" keeni kartaa waxyeelo, ku simaha on shaqeeyo oo dhan. Halis yihiin:

• nidaamka wadnaha iyo,
• habka dareemayaasha jirka,
• neefsashada,
• mareenka caloosha iyo mindhicirka,
• nidaamka Fistula;
• qalab muuqaal ah;
• maqaarka, muruqyada, kalagoysyada.

On qayb ka mid ah nidaamka wadnaha iyo dhibaatooyin kale ayaa dhici kara mararka qaarkood, sida paresthesia, xanuunada tabinta, bradycardia, hypertension orthostatic iyo yareynta dhiig-karka. In bukaanka qaba ifafaale Raynaud ama claudication go'aysa dara astaamaha.

The daroogada waxyeelo "Coronal" iyo waxay keeni kartaa habka dareemayaasha jirka, kuwaas oo, isbedelka maskaxda, riyooyin cad ah, hurda, wareer, madax-xanuun, daal. Aad ha u yaraatee, laakiin weli on qalab muuqaal saamayn ku yeelan karaan macnihiisu yahay "Coronal". Reviews of Xaaladahan, ee Boondhiga, laakiin iyadoo ay sabab u gaadhista daroogada sii dari kara aragga, inuu dillaaco dhimay, ilaa horumarinta conjunctivitis.

Calaamadaha sida bronchospasm, dyspnea, rhinitt, iyo sanka oo xirma dhibin kuwa bukaanada qaba neefta bronki. Marar dhif ah waxay dhacdaa saamaynta hepatotoxic of bisoprolol, wixii la goostay by lallabo, shuban, calool-iyo calool xanuun.

Ka mid ah waxyeelooyin kale oo ay keento tallaabo ah ee daroogada "Coronal" dib u eegista bukaanka la soco waxa soo socda: kordhay dhidid, cuncun iyo casaan ah maqaarka, arthropathy, casiraad iyo murqo xanuunka. Marar dhif ah dhibayso gubta iyo kacsi cillad ay keento tallaabo daroogada "Coronal". Analogs sidoo kale daawooyinka keeni kartaa waxyeelo jirka ah. Sidaa darteed, kiis kasta, hubi inaad la tashato dhakhtarkaaga iyo raac tilmaamaha uu.

ganaaxyada

Waxa intaa dheer in sababo iyo waxyeelo, waxaa jira tiro ka mid ah kiisaska isticmaalka daroogada si aad uga taxadirtaa oo had iyo jeer iyada oo ay kormeerayaan dhakhtar. Waxaa ugu horayn ka walaacsan qaba xaaladaha sida failure gabsiiya wadnaha, macaanka, murugada, gravis laga daweeyay, psoriasis, tayroodh, carqaladeeyo hawlaha caadiga ah ee beerka ama kelyaha, aysiidh dheefshiidka, gaajo, Prinzmetal angina.

cudurrada neef mareenka obstructive Chronic ka dhigan tahay analogues "Coronal" oo kale beta-blockers la qaadi karaa, laakiin kaliya isku dhafan oo bronchodilators iyo qaadasho yar. hab Feohromotsitome waa in isku mar la xanibaadda ee receptors Alfa-adrenergic ah. qiyaasta waa in lagu maamulo baaritaanka ee beerka iyo kelyaha ka dib.

daroogada Hypertension kaliya waa la daaweyn karaa iyada oo ay kormeerayaan caafimaad oo joogto ah. Hoos u reactions kontrregulyatsii iyo anaphylactic adrenergic xumayn koorsada of falcelinta ee bukaanka qaata beta-blockers. bukaanada waayeelka ah ayaa sidoo kale laga yaabaa inuu dhaco dareen sare xitaa marka la isticmaalayo qaadasho caadiga ah ee daroogada, sidaas oo kale ayay u baahan tahay la socodka joogtada ah.

Haddii aad rabto in qaliin la doorto, isticmaalka daroogada baajiso 48 saacadood ka hor qaliinka, waqti isku mid ah ma sidaas yeel isla markiiba, laakiin si tartiib tartiib ah. Haddii bukaanku leeyahay daroogada muujinaya "Coronal" loo isticmaalo, waxa loo baahan yahay in aad uga taxadirtaa in hawlaha u baahan in heerka sare ah falcelinta jireed iyo kan maskaxeed (ka shaqeeya height, ku shaqayn mishiin, iyadoo mashiinada khatar shaqada, baabuur wadista, iwm).

isdhexgalka daroogada

Qaadashada "Coronal" (kiniin) waqti isku mid ah daawooyin kale waxaa lagarabaa in tallaabooyinka nabadgelyo. Gaar ahaan waxay ku saabsan tahay isku-dar ah la MAO ayaa la arkay kadib markii la joojiyo cadaadiska dhiigga. Isku blockers beta la doodii xasaasiyada baaritaanka maqaarka la xasaasiyadda loo isticmaalo immunotherapy, waxaa jira halis ah ee xanaajin cadaanyo daran.

In codsiga ah ee antiarrhythmics fasalada aniga iyo III ( "Dizopiramid", "Sotalol", "Quinidine" "Amiodarone", "Lidocaine") ayaa sidoo kale u baahan tahay inaad ka taxadartaa. Marka maamulka isku mar daroogada antihypertensive iyo kiniiniyada "Coronal" dambaysta ah potentiate kartaa saamaynta ugu horreeyey. Haddii isticmaalka daroogada this isku dhafan oo "Guafatsinom", "digitalis", "Clonidine", "reserpine", waxa ay hoos u dhigi kartaa adigoo haysta habka tabinta ee wadnaha la karsado korontada.

oggolyahay daweynta "Coronal" diyaarinta adkaanaysaa laga yaabaa in gaadhista wakiilada sympathomimetic (daawooyinka antitussive, sanka ama indhaha lagu dhibciyo). Activators of falgalka cagaarshowga cadhaysiinina hoos ka mid ah bar-nolosha runta ah ee agonist beta-adrenoceptor. Maamulka wadajira daroogada antiarrhythmic, iyo calcium channel blockers kooxaha "Nifedipine" iyo "Verapamil" keeni kartaa bradycardia, wadnaha oo shaqadiisa gaba, ama rabshooyin tabinta.

daaweynta wadajira daawooyin "Coronal" iyo "Clonidine" keeni kartaa horumarinta dhibaatooyinka hypertensive. Haddii dhaweynta daroogada akhrinta "Coronal" leeyihiin in bukaanada qaba cudurka macaanka, waxaa aad loogu talinayaa in ay si joogto ah loola socdo heerka sonkorta dhiigga. Tan waxa u sabab xaqiiqada ah in blockers beta potentiate kara saamaynta daroogada anti-macaanka iyo insulin, shareeraysaa calaamadaha hypoglycemia.

Reviews of daawo

Drug dhakhaatiirta "Coronal" qori in bukaanka qaba cudurka wadnaha. Laakiin haddii si kastaba ha ahaatee daawo oo dhan this shaqeeyaan? Falanqaynta dib u eegista ah oo ku saabsan, waxa aad sameyn kartaa gabagabo guud ee saamaynta daroogada jirka bukaanka ku xiran tahay kiiska kasta oo gaar ah. Kuwii nasiib ma ka fool waxyeelo waa mid aad u wanaagsan oo ku saabsan diyaarinta "Coronal". Reviews bukaanka kuwaas oo dareemay saamaynta daroogada, ma aha sidaas farxad ahaato. Si kastaba ha ahaatee, dhibaatooyinka la baajin karin. Ka hor inta aadan qaadan "Coronal" (kiniin), edbinta, waxa uu in si taxaddar leh dib u akhri dhawr jeer, sababtoo ah taxaddar la'aan ayaa sidoo kale waxyeelo u geysan kara caafimaadkaaga.

wax ugu horeysay in bukaanka odhan garaaca wadnaha oo hoos u this, hoos u yar ee cadaadiska dhiigga, wanaajiyo xaaladda guud ee bukaan-socodka. dhowr bilood codsiga Ka dib, dhakhaatiirta ku talinaynaa in la yareeyo qiyaasta, maxaa yeelay, garaaca wadnaha iyo cadaadiska dhiigga ayaa gaaray iska caadi ah oo aanay jirin baahi loo qabo in dheeraad ah iyaga hoos. Bukaan-socodka sidoo kale ogsoonow in haddii aad raacdo oo dhan tilmaamaha dhakhtarka, cawaaqibka xun waa in aan ka cabsan ee daroogada. Laakiin kuwa madax banaan go'aansaday in la beddelo qiyaasta maalin kasta ama ku guuldareystay inuu ka digo, dhakhaatiir ah oo ku saabsan isticmaalka daroogooyinka kale, wajahay dhibaatooyin, taas oo mararka qaarkood loo baahan yahay in isbitaal. Taasi waa sababta waa in aynaan illoobin in ay jiraan in pack kasta oo kiniinka "Coronal" diiwaanka.

analogs

Drug "Coronal" ayaa tiro balaadhan oo ah analogues - daawooyinka, kuwaas oo ku sugan walax la mid firfircoon. Waxay ku kala duwan yihiin qiimaha, dalka ee soo saaridda, farsamo garoomada, sababo, joogitaanka ama maqnaanshaha of waxyeelo.

Sida wax daawo ah, oo ay baaxadda ay tahay iyo waxay ka dhigan tahay "Coronal". bisoprolol - analogues Its la mid ah in in walaxda firfircoon iyaga oo ku jira. The ugu caansan waa daawooyin soo saaray gudaha. Ay faa'iido waxaa loo arkaa inay qiimo yar (marka la barbardhigo laga keeno) iyo oolnimada sare. Gaar ahaan, daawooyin sida la xusay waxaa laga yaabaa in: "Aritel", "Aritel Korintos", "Biprol" "Bisoprolol" "Bisoprolol-Praana", "Niperten". Waxay yihiin laga heli karo farmasiga kasta, oo ay qiimo u dhaxeysa 30 ilaa boqol rubles halkii pack.

analogues laga keeno "Coronal" daroogada ayaa sidoo kale soo bandhigay Kumaan weyn "Bidop" (Hungary), "Biola" (Slovenia) "Bisogamma" (Germany), "Bisokard" (Poland), "Bisomor" (India), "Bisoprolol- Lugano "(Ukraine)," bisoprolol-Teva "(Israa'iil) iyo kuwo kale. Gaar ahaan ka mid ah dawooyinka laga keeno caan naxa of daawo Jarmal "Concor". qiimihiisa waa 4 jeer kharashka daawada "Coronal" iyo wuxuu ku saabsan yahay 180 rubles. Guud ahaan, daawooyinka laga keeno ee farmashiyaha bixiyo qiimaha laga bilaabo 300 ilaa 600 rubles halkii pack.