Daawada "Korglikon": tilmaamaha loo isticmaalo, qiimaha, analogs iyo akhrinta

rabshooyin kala duwan ee wadnaha - dhibaato loogu talagalay dadka badan. Oo marar badan si ay u tirtiraan calaamadaha ama joojiso horumarka cudurka, bukaanka qoray daroogada loo yaqaan "glycosides wadnaha". iyo "Korglikon" waxa loola jeedaa in kooxdan oo ah daroogada. Tilmaamaha loogu isticmaalo, tilmaamo si loogu daweeyo, waxyeelo, analogs iyo dib u eegista - yihiin arrimaha ugu muhiimsan ee ku saabsan bukaanka. Waa maxay daawada iyo wixii guryaha this?

Qaab dhismeedka iyo Curiska

Diyaarinta "Korglikon" waxaa soo saaray qaab xal cad oo duritaan ah galyadeena hurdi yar. Daawada waxaa lagu gadaa ampoules galaas in mugga a of 1 ml. pack kasta waxa ku jira 10 ampoules.

The walax ugu weyn ee firfircoon yahay Korglikon daroogada - glycoside ah bayoloji firfircoon, kaas oo la helay caleemaha u ekaayeen ubax ee dooxada. Mid ka mid ah mililitir oo xal ka kooban yahay 600 mg ah qayb ka, sida, fiirsashada waa 0,06%. Sida walxaha kaabayaal ay joogaan in hlorbutanolgidrat kooban oo la Daahiriyey biyo la isku duro.

Description of sifooyinka pharmacological daroogada

Qaybaha firfircoon ee diyaarinta helay daahiriyey ayuu u yeela ah u ekaayeen ubax oo ka mid ah dooxada iyo kala duwanaansho ay. Waa glycoside ah wadnaha, taas oo uu leeyahay on jidhka bini'aadamka waa saamayn inotropic wanaagsan.

daroogada Tani waxay shidaa xuub sarrifka sodium-calcium ee cardiomyocytes, taas oo, ka bacdi, waxay kordhisaa xoog Foosha muruqyada wadnaha. Inta lagu guda jiro daawaynta la kordhiyo stroke mugga, hoos dhamaadka-systolic iyo mugga diastolic qalbiga iyo hoos u dalabka oxygen myocardial.

daawo kale oo ay bixisaa saamayn chronotropic xun. Daaweyntu waxay keenaysaa in la kordhiyo dareen baroreceptor wadnaha, yaraynta hawl-dhaafka ah ee nidaamka u dabacsanaadaan. Dhinaca kale, daroogada wuxuu kordhiyaa dhaqdhaqaaqa ee dareemaha vagus, xawaaraha umeshaet ee tabinta Suu dhex Guntin ku atrioventricular iyo sidaas bixisaa saamayn antiarrhythmic.

In joogitaanka tachyarrhythmias wadne-daawo this gaabisaa heerka foosha ventricular, cimrigay dheeraysaa diastole, hagaajinaysaa gemodinaminu intracardiac. Marka intravenously maamula, daroogada uu bilaabo inuu u dhaqmaan 3-5 daqiiqo ka dib. saamayn Maximal ayaa lagu arkay 25-30 daqiiqo ka dib markii maamulka daroogada ka dib.

Waa maxay tilmaamaha daaweynta?

daroogada Tani waxaa inta badan loo isticmaalaa in daawada casriga ah. Laakiin bukaan badan ayaa xiiso u Su'aasha ah in, in kiisaska daawo ku habboon yahay "Korglikon". Tilmaamayaasha loo isticmaalo kala duwan halkan. Gaar ahaan, waxaa maamula in bukaanka ka cabanaya foomka tachysystolic wadne. Sidoo kale, daroogada ka caawisaa flutter wadne , nooca paroxysmal.

Waxaa jira xaalado kale, taas oo waxaa lagu talinayaa in la isticmaalo daroogada "Korglikon". Tilmaamayaasha gelitaanka - waxay sidoo kale waa tachycardia supraventricular paroxysmal. In dhaqanka caafimaad oo casri ah, daroogada waxaa inta badan maamula in bukaanka qaba la'aan chronic ee fasalka labaad, saddexaad iyo kan afraad functional. Dabcan, qaba cudurka noocan oo kale ah irbado ay qayb ka yihiin oo keliya ee therapy isku dhafan.

Daawo "Korglikon": tilmaamaha loo isticmaalo

Ka dhig ka daawo la mid ah kartaan dhakhtar oo keliya ka dib markii loogu lafa guro. takhasus leh ayaa sidoo kale go'aamin doona qiyaasta ugu waxtarka iyo jadwalka lacagta duro. Si aad u diyaariso xal ka kooban hal dhalada waxaa la walaaqo 10-20 ml of xal of dextrose ama glucose at uruuray of 20 ama 40%.

Qiyaasta hal bukaanada qaangaarka ka dhigan tahay in 0.5-1 ml of diyaarinta. Caruurta da'doodu u dhaxayso 6 ilaa 12 sano, inta badan helaan wax ka badan 0.5-0.75 ml of daroogada. da'da socod baradka 2 ilaa 5 sano qoray 0.2-0.5 ml. Ku qor xal dextrose qasi intravenously ka badan 5-6 daqiiqo. Habka lagu celceliyo laba jeer maalintii la nasasho ah oo ugu yaraan 8-10 saacadood. Qiyaasta ugu badan ee maalin kasta ee dadka waaweyn waa 2 ml "Korglikon". Muddada daaweynta waxaa si gaar ah goostay.

Ma jiraan wax sababo in soo dhaweynta?

Haddii dhammaan qaybaha dadka bukaanka ah loo ogol yahay in lagu daaweeyo "Korglikon" daroogada? Tilmaamaha loogu isticmaalo waxaa ku jira macluumaad in sababo in therapy jira, sidaas darteed, waxtar leh si ay liiska diyaar u noqon doono:

• daroogada Tani ma aha maamula la diidmo in mid ka mid ah dadka deegaanka ah, sidoo kale xajiin glycosides wadnaha.
• Sababo ka mid ah degree block labaad atrioventricular, iyo sidoo kale dhamaystiran Go'doominta go'aysa.
• Daawada kama qaadato bukaanka qaba Wolff-Parkinson-White syndrome.
• Contraindication waa sarkhaan glycoside ah.
• Medicine looma isticmaalo in lagu daweeyo haweenka uurka leh iyo hooyooyin carruurtaada nuujiya.

Sidoo kale waxaa jira waxa loogu yeero sababo qaraabo, haddii daaweynta waa suurto gal oo keliya ka yar kormeer joogto ah. Ka mid ah xaaladaha ka mid ah block atrioventricular heerka kowaad, Wadnaxanuun myocardial ba'an, stenosis subaortic hypertrophic, wadnaha oo shaqadiisa gaba la cillad diastolic, arrhythmia, stenosis mitral go'doon, rabshooyin of electrolytes, hypothyroidism, myocarditis, cayilka, kelyaha iyo cagaarshowga failure, alkalosis. Taxadarka daroogada qoro bukaanada waayeelka ah.

Ma dhacdo suurto galka ah ee dhibaato?

Bukaan badan ka hor intuusan bilaabin therapy weydii su'aalo ku saabsan dhibaatooyinka ay suurtagal tahay ku saabsan asalka ah isticmaalka daawooyinka "Korglikon". Tilmaamaha loogu isticmaalo waxaa ku jira macluumaad ku saabsan sida daroogada dhab keeni kartaa waxyeelo. Halkan waxaa ku qoran liiska kuwa ugu caansan:

• Inta lagu jiro daaweynta, bukaanka qaarkood waxa dhici karta arrhythmia ah.
• Laga soo bilaabo habka dareemayaasha jirka waa dareen diidmo oo suurto gal ah sida wareer, madax xanuun, hurdo kordhay, rabshooyin hurdo, wareer. Badan ka yar hoos u dhac in waxloogu. Aad iyo aad dhif ah, bukaan horumarinta psychosis delirium.
• Mararka qaarkood waxaa jira cillad ah hematopoiesis, kaas oo lagu muujiyey by Torombositobiiniya, sanka soo noqnoqda, purpura thrombocytopenic.
• Laga soo bilaabo nidaamka dheefshiidka laga yaabaa inuu dhaco xadgudubyada sida lallabo, matag, rabitaanka cuntada oo luma, anorexia.
• Waxa kale oo dareen diidmo oo xasaasiyadeed maxaliga ah ay suuragal tahay in Cad barar, guduudasho ee maqaarka, finan iyo pruritus.

Haddii ay jirto daraysa kasta waa in la tasho dhakhtar. Waxaa laga yaabaa in aad u baahan tahay oo kaliya si ay ula qabsadaan qiyaasta. Laakiin mararka qaarkood waxay qaadataa baabiiyo guud ee daroogada.

Drug "Korglikon": analogs oo bedel

Bukaanjiifka qaar ayaa hal sabab ama mid kale oo aan loo dhowaan karin daawada dhakhtar loo qoondeeyey. Maxaa la sameeyaa in kiisaska noocaas ah? Ma suurogalbaa in wax si uu u bedelo daawada "Korglikon"? Analogs qalab ee suuqa dawooyinka casriga ah si aad u ogaato, ma aha sidaas u fudud, sababta oo ah daroogo la sinji la mid ah si fudud aan ka jirin. Si kastaba ha ahaatee, waxaad isku dayi kartaa in ay bedesho koox kale oo daawooyinka.

Tusaale ahaan, qiyaastii guryaha isku medicament "Digoxin". Xaaladaha qaarkood, sida bedel waxaad isticmaali kartaa daroogada "Strofantin" oo u taagan soo baxay tallaabo soomi. By habka analogs loo saarin karaa "Digitoxin". Waxaa xusid mudan in dhammaan glycosides waxaa laga helaa khudradda alaabta ceeriin.

Waa imisa daroogada?

arrimo kale oo ka mid ah, waxaa muhiim ah in dad badan oo buka oo qiimaha daroogada ah, kaas oo uu dhakhtarku soo qoro iyaga. Dabcan, tirada saxda ah waa ay adag tahay in la qeexo, maxaa yeelay waxa ay ku xiran saaraha, siyaasad maaliyadeed ee Farmashiyaha, magaalada deggan iyo wixii la mid ah. D.

Sidaas daraaddeed inta ay ku kici doonto daroogada "Korglikon"? Qiimaha xirmo toban fijaan ku saabsan tahay 50-65 rubles. By habka, daroogada lagu iibiyo by qoro. dhakhtar oo kaliya in ay bukaanka "Korglikon" (recipe on qori karaa daawo Laatiin - Corglyconi 0,06% muuqataa).

Reviews of dhakhaatiirta iyo bukaanka

In dhaqanka caafimaad hadda, glycosides wadnaha waxaa loo isticmaalaa ilaa xad inta badan. Oo mid ka mid ah daawooyinka ugu caansan ee kooxda taasi waa uun "Korglikon". Reviews dhakhtarro ayaa tilmaamaya in daroogada dhab ula qabsadaan hawlaha ay, ka shaqeeyaan Wadnaxanuun normaliziruya, baabi'inta calaamadaha cudur gaar ah iyo ka hortagga dhibaatooyin.

Bukaan-socodka ayaa sidoo kale ka tago dib u eegista wanaagsan sheyga daawooyinka "Korglikon". Tilmaamaha waa mid aad u fudud, daaweynta uusan dheer ma socon, oo therapy la si fiican loo dulqaatay. In kasta oo suurtagal ah ee horumarinta kuwii ama dareen diidmo oo kale oo loo kasin, cilmiga tirakoobka ayaa muujiyay in ay u muuqdaan aad u dhif ah. Iyo, dabcan, kharashka yar waa mid ka mid ah faa'iidooyinka daroogada. Faa'iida waa in aan farmashiye kasta oo iibiya daroogada this, sidaas darteed mararka qaarkood way adag tahay in la helo.

Waa in la ogaadaa in ay dhacdo lahayn uma isticmaali karo daawada oo keliya, tan iyo qiyaasta khaldan waxay dhalin karaan sarkhad daran.