"Kordinik": tilmaamaha loo isticmaalo, analogs iyo dib u eegis

daroogada Antianginal loo yaqaan daroogada in la kordhiyo dhiigga ku shubma wadnaha ah, iyo sidoo kale in la yareeyo baahida ay oxygen. Daawooyinkan waxaa inta badan loo isticmaalaa gargaarka ama ka hortagga weeraro angina.

Angina - cudur oo ah waxa lagu gartaa xanuun qabto ama lur dambeeya naaska ah. Sida caadiga ah, xanuunka cudurka noocan oo kale ah waxaa si lama filaan ah u muuqday hoos walwalka shucuureed ama jimicsi stress, iyo ka dib isticmaalka cuntada. Sida caadiga ah waxay siinaysaa in qoorta, gacanta bidix, inta u dhaxaysa garbaha, daanka hoose iyo gobolka subscapular tagay. dareenka xun noocan oo kale ah u libdhi ka badan ¼ saac. Sidoo kale, xanuunka baaba'aa ka dib joojinta jimicsi ama ka dib qaadashada daawada anti-anginal. Sida dambe waxaa aad inta badan loo isticmaalaa daawada "Kordinik". Tilmaamaha loogu isticmaalo, sharaxaad ku saabsan diyaarinta iyo hantida hoos lagu soo bandhigay.

Description of sheyga, daawooyinka, qaabka, halabuurka iyo xirxirida

Waa maxay foomka ay tahay dhaxal medicament ah "Kordinik"? Tilmaamaha on codsiga muujinaysaa in daroogada waxaa laga heli karaa qaab kiniin ah. Waxay foomka ploskotsilindricheskoy leeyihiin, waxay leeyihiin caddaan ah ama midab darnaaday grayish-hurdi.

Halabuurka The daroogada hoos tixgelin ka mid ah nicorandil. Sida qaybaha kaabayaal isticmaalo istaarijka baradho, milmahayn calcium iyo cellulose mikrokristallin.

iibinta daroogada tilmaamaha "Kordinik" loo isticmaalo waxaa lagu buuxiyey oo ku yaal raso baakado galo unugyada dusha ka.

medicament Farmashiiste

Waa maxay daawada cajiib ah "Kordinik" (kiniin)? Tilmaamaha loogu isticmaalo muujinaysaa in nicorandil leedahay dhibaato antianginal. Waxay ku salaysan tahay isku-dar ah nitratopodobnyh guryaha, iyo sidoo kale awood u leh in la furo channels potassium. Thanks to hantida ugu dambaysta ee daroogada sababa hyperpolarization dahaarka gacanta.

saamayn Nitratopodobny daawada waa in la kordhiyo content ee guanilmonofosfata xilliile intracellularly. saamaynta pharmacological noocan oo kale kor u nasashada ee muruqyada siman iyo ilaalinta myocardium inta lagu guda jiro ischemia.

Iyadoo la tixgelinayo saamaynta hemodynamic, waxay muujiyeen in hoos isu dheelitiran post-iyo loader ah. vasodilation la eego (xulashada) halbowleyaasha wadnaha ee load myocardium ischaemic la yareeyo.

Nicorandil saameyn ah kuma laha contractility myocardial. Intaa waxaa dheer, walax this aysan waxba ka beddelin ee garaaca wadnaha. Si kastaba ha ahaatee, waxa ay yaraynaysaa cadaadiska dhiigga systemic, iyo sidoo kale uu saameyn ku faa'iido on socodka dhiigga maskaxda ee dadka qaba stroke ischaemic.

Waa maxay guryaha kale ee soo jireenka ah ee daroogada "Kordinik"? Tilmaamaha loogu isticmaalo (analogues daawooyinka hoos ku taxan) dhigayaa in nicorandil saameyn ah kuma laha shiid of glucose iyo shiid la egyahay. Wuxuu yareeyaa angina, iyo sidoo kale hoos u dhigtaa xanuunka toddoba daqiiqo ka dib markii maamulka carrabka hoostiisa. tirtiridda dhamaystiran oo raaxo ka dib arkay ¼ saac.

Kinetics lacagaha

Location nuugo daroogada "Kordinik"? Tilmaamaha loogu isticmaalo muujinaysaa in nuugista ee daroogada ka yar tixgelin ka timaadaa marinka dheef shiidka. Oo waxay soo gaadheen fiirsashada ugu sarreysa ay ka plasma 35-60 daqiiqo ka dib.

Nicorandil wax yar oo kaliya ku xidhan borotiin plasma. Its jajab oo lacag la'aan ah dhiig waa 75%.

daroogada Tani ma aha bandhigi-shiid degdeg ah ee beerka. Wuxuu saxarrada kelyaha 50 daqiiqo gudahood.

Tilmaamayaasha gelitaanka

Goorma ayaan isticmaali kaniiniyada "Kordinik"? dalalka Buugga in taasi ka dhigan tahay wax wanaagsan u muuqato la:

• ka hortagga stroke (deggan) isku dhafan oo daroogo kale antianginal;
• gargaarka ee angina,
• monotherapy lacala BCCI dulqaad iyo beta-blockers.

Sababo in la helo

Marka kiniinka waa in aan lagu maamulo "Kordinik"? Tilmaamaha loogu isticmaalo (micne ah ku xusan wax soo saarka hoos ku qoran) ayaa sheegay in ku saabsan sababo sida, sida:

• burburkii, shock cardiogenic;
• AV-block of saddexaad iyo darajadii labaad,
• Wadnaxanuun myocardial ba'an, iyo 90 cisho oo intaas ka dib;
• angina deganayn ,
• wadnaha Chronic (fasalka seddexaad ama afaraad NYHA soocidda functional);
• hypotension halbowlaha;
• inta aad uurka leedahay,
• bradycardia;
• nuujinta,
• kaafi ventricular bidix hoos u buux cadaadis;
• da'da yar;
• isticmaalka isku mar ah phosphodiesterase-5 inhibitors (tus, "Sildenafil", "Vardenafil" ama "tadalafil");
• diidmo in daroogada.

Taxadarka kiniin sida loogu xanuunada garaaca wadnaha, Prinzmetal angina, AV-Go'doominta oo ahaa darajadii ugu horeysay, hypotension, beerka oo yaraada iyo kelyaha hypovolemia, barar sambabada, hyperkalemia, gulukooma xagal-xiritaanka iyo dhiig la'aan.

Drug "Kordinik": Qiyaasta iyo maamulka

Kiniiniga "Kordinik" waa in la qaato afka, iyadoo aan loo eegin hadhuudhka ah.

qiyaasta of daroogada la doortay si gaar ah. Guud ahaan, waxa ay ku xiran tahay muddada iyo adkaanta cudurka.

Waayo, gargaarka daawada angina waa la wada baabbi'in at calaamadaha ugu horreeya ee cudurka. Xaaladdan oo kale, waxaa maamula in qiyaasta a of 20 mg. Tablet kaalinta carrabka hoostiisa iyo hay ilaa inta sida ay u kala diray.

Waayo, ka hortagga weeraro angina xasilloon (oo ay ku jiraan daaweynta muddada-dheer) daroogada waxaa badanaa maamula in qiyaasta a of 10-20 mg saddex jeer maalintii.

qiyaasta ugu badan ee daawada maalin kasta waa 80 mg. Madax dose hore waa la dhimi karaa.

waxyeellooyin

Waxa aad u baahan tahay inaad ogaato ka hor qaadashada kiniiniga "Kordinik"? Tilmaamaha loogu isticmaalo dhigayaa in wakiilka this keeni kartaa dhibaato sida:

• daciifnimo, wadno, madax xanuun, hoos u cadaadiska dhiigga, dawakhaad,
• tachycardia, tinnitus, "baddu" dhiigga maqaarka, hurdo la'aan ah;
• dareen diidmo oo xasaasiyadeed, barar durugsan, lalabo,
• dareen ee buuxnaanta caloosha, mataga, hawlaha kor u transaminases "beerka", calool xanuun, stomatitis.

badinta kiniinka

Marka aad hesho tiro badan oo ah kaniiniga bukaanka uu leeyahay calaamadaha sida tachycardia iyo hoos u calaamadayn karo dhiig karka. Xaaladdan oo kale, dhibanaha la maydhay caloosha iyo sii shaqeysiin dhuxusha. Sidoo kale taageero shaqo ee habka wadnaha iyo.

Dhexgalka daroogooyinka kale

daroogada Antianginal hoos tixgelin waa wanaajiyey halka murugada, vasodilators, phosphodiesterase-5 inhibitors, antihypertensives, iyo murugada tricyclic. kaasaa run ah diuretics, MAO, beta-blockers iyo ethanol.

talooyin gaar ah

Ka noqoshada daroogada waa in si tartiib tartiib ah. Inta lagu guda jiro daawaynta waa lagama maarmaan si ay ula socdaan ECG iyo cadaadiska dhiigga halbowlaha, iyo sidoo kale waxa ku jira sodium iyo potassium udhigo ee dhiigga. Sidoo kale, qaadashada daawada this kordhin kartaa garaaca wadnaha.

Analogs iyo micne ah ee daroogada, ay kharashka

Haddaba aad u ogaato sida daawada "Kordinik". Tilmaamaha loogu isticmaalo, sawiro iyo guryaha ee daroogada ayaa lagu kor ku soo bandhigay.

Imisa kharashka daawada loo arkaa? Sida caadiga ah, qiimaha ay qalab 60 kiniin (10 mg) waa 450 rubles. Halka gobollada qaar ka mid ah dalkeena, tiradaasi waa la kordhin karaa ama, on lid ku ah, hoos u.

In baahi degdeg ah loogu daawada waxaa lagu beddeli karaa by analogs sida "Dilasidom", "Korvamin", "Carbochromen", "Korvaton", "Sydnopharm", "Oxycardin", "Reasanz" iyo kuwa kale.

Sida micne ah, daroogada kaliya "Coronel" sabab ah isaga.

Reviews daawo

About "Kordinik" daroogada leedahay wax badan oo ka mid ah dib u eegista wanaagsan. Macaamiisha ku doodaya in wakiilka antianginal sida buuxda ula qabsadaan hawsha. Aqbalaada kiniinka sheegnay waa wax ku ool yaraynta angina, iyo sidoo kale meesha ka xanuun iyo raaxo la'aan ka dambeeya naaska ah.

Waxa intaa dheer in faa'iidooyinka daroogada waxaa ka mid ah in ay heli karo iyo awoodda si uu u bedelo dhigooda ah, iyo khasaaraha ka - qiimaha sare iyo tiro badan oo ah dhibaato.