"Monosan": tilmaamaha loo isticmaalo, dhigooda dhabta ah

Waa maxay sababta iyo waxa qiyaasta laguu qoray daawada "Monosan"? Tilmaamaha isticmaalka daroogada vasodilator waxaa lagu tilmaamay faahfaahsan ee qalabka of this article. Sidoo kale waxa ay soo bandhigaysaa analogs medicament, inta ay ka kooban, saamaynta pharmacological, sababo, waxyeelo, iyo wixii la mid ah D..

The qaab, baakadaha, halabuurka

Maxaa walxaha waa qayb ka mid ah daroogada "Monosan"? Waxbarashada dhigayaa in element hadda daroogada tani waa isosorbide-5-mononitrate. Sidoo kale, wuxuu ka kooban yahay medicament Halabuurka iyo adjuvants sida: lactose granulated Rusheyn kartaa, milmahayn magnesium, cellulose mikrokristallin iyo galleyda.

In waxa saarayaasha foomka soo saaro daroogo "Monosan"? Tilmaamaha loogu isticmaalo wadamada in daroogada waxaa laga iibsan karaa oo kaliya ee foomka of kiniin. Inay u cad yihiin iyo hareeraheeda iyo qaab. On hal dhinac oo kiniin ah waxaa jira halis.

Daawada waxaa la soo baakadeeyey ee finan, kuwaas oo ku yaalla xidhmooyin ee baakadaha.

Tilmaamo pharmacological

Sidee daroogada "Monosan"? Tilmaamaha loogu isticmaalo muujinaysaa in daroogada waa vasodilator a durugsan, kaas oo u dhaqmo ugu horeyn ku weelashii arooriyaha.

medicament waa ay awoodaan in ay kicin wax soo saarka ee endothelial endothelium vascular nasto factor sida xabagta nitrogen. Sidaas darteed of saamaynta sida waa ay hawshooda u ah cyclase guanylate L (enzyme intracellular) in keligeed kordhiyaa dhexdhexaadiye vasodilating ah - monophosphate guanosine xilliile ah.

Ka dib markii qaadashada daroogada gudaha unugyada yaraynaysaa baahida oxygen myocardial. Tan waxa u sabab ah hoos u dhac in waxqabadka iyo post-loader.

Sidoo kale, ku takhasusay diiwaan daawo koronarorasshiryayuschee saamayn fahmayaan.

saamaynta daroogada

Waa maxay daawada kale wuxuu leeyahay sifooyin "Monosan"? Isticmaalka daroogada this yarayn karaa socodka dhiigga Atrium saxda ah, taas oo si weyn u yaraynaysaa cadaadiska ee wareegga pulmonary iyo yareysaa darnaanta oo ka mid ah calaamadaha xun ee barar sambabada ah.

Sidoo kale waa in la ogaadaa in sarkhaansan yihiin "Monosana" meelaha la wareegga dhiigga oo xun jirto qaybin ah ee socodka dhiigga wadnaha

Ku saabsan asalka ah ee daroogada ee dadka qaba angina iyo cudurka wadnaha ischaemic, si weyn u kordhiyaa caabiga waxqabad kasta oo jirka ah. Intaa waxaa dheer, wakiilka mawduuca awood u hoos TX Avv xuduudaheedu Thrombocyte iyo joogsada in xulkii dhiig xinjirowga.

guryaha pharmacokinetic

Halkee waxaa la nuugo, u qaybiyey iyo metabolized daroogada "Monosan"? Tilmaamaha on dalalka codsiga in tallaabada walax daroogada halkii si degdeg ah oo si buuxda u nuugo ka soo mareenka dheefshiidka ah. Ka dib markii la helo kiniin saamayn antianginal ayaa lagu arkay qiyaastii 30-45 daqiiqo ka dib oo la hayo muddo 10 saacadood.

Sida laga soo xigtay ku takhasusay, daroogada "Monosan" ayaa saami waxoogay sarreeya ee bioavailability (qiyaastii 99-100%). Tan waxa u sabab maqnaanshaha pass ugu horeysay ee daroogada loo sii marayo Nidaamka cagaarshowga.

Nolosha nus ka mid ah daroogada waa 60 daqiiqo. fiirsashada ee daroogada ee dhiigga ku yara kala duwan tahay, waxayna ku xiran tahay shakhsiga.

Dheef-daroogada walax firfircoon ee beerka. Natiijada oo ah hawlgaladii dheefshiidka loo sameeyay saddex qaybood: glucuronide isosorbide iyo laba isosorbide-5-mononitrate.

wakhti badhkiis-nolosha waa 4-5 saacadood. Marka ay tani 2.2% saxarrada via nidaamka kelyaha iyo 97.8% - sida metabolites glucuronic.

Tilmaamayaasha

Under waxa xaaladaha loo xilsaaray in "Monosan"? Isticmaalka daawada tani waa kuwa ugu waxtarka badan ee xaaladaha soo socda:

• hypertension pulmonary, wadnaha sambabada;
• Foomamka chronic ee hawl gabsiiya wadnaha,
• ka hortagga stenokardicheskie suuxitaan in dadka qaba cudurka halbowlaha wadnaha.

sababo

Under waxa xaaladaha aan la isticmaali Karin "Monosan"? Analogs oo wuxuu ku yidhi macnaheedu waa laftiisa waa mamnuuc in la qaado marka:

• burburkii vascular,
• xaalad lama filaan ah;
• halbowlaha hypovolemia iyo hypotension;
• tamponade wadnaha ;
• bidix ventricular failure iyo indices hoose ee cadaadiska dhiigga;
• barar sambabada sun ah;
• wajiga ba'an ee Wadnaxanuun myocardial (la hypotension fahmayaan);
• glaucoma qaab-xidho,
• naas-nuujinta,
• cudurrada ka cadhaysiinina u kaca ee cadaadiska intracranial;
• diidmo shakhsi;
• in carruurta iyo dhallinyarada (ilaa da'da loo badanyahay).

Sidoo kale waa in la ogaadaa in warbixintan waxay ka dhigan tahay waxaa jira sababo qaraabo. Xaalada socda khusayso in:

• stenosis mitral ;
• pericarditis constrictive;
• da 'weyn;
• xanuunada vascular xeerka orthostatic;
• nidaamka la'aan kelyaha,
• cardiomyopathy hypertrophic;
• tayroodh;
• failure cagaarshowga ;
• stenosis aortic;
• anemia daran gudahood.

Drug "Monosan": tilmaamaha loo isticmaalo

INN (International Magaca noocan ah) daawo this u muuqataa sidii "mononitrate isosorbide." daroogada Tani waxaa maamula afka oo kaliya. Sida laga soo xigtay tilmaamaha, waa in la wada liqo oo markaan soo maydhay hoos biyo.

Kiniiniyada waa in loo magacaabo dhakhtar. Isla mar ahaantaana waxa uu waajib ku ah inay qiimeeyaan darnaanta cudurka sababaya uu bukaanka.

"Monosanom" Daaweynta bilaabmaa aqbaliddoodii ka dhigan tahay 10-20 mg 1-3 jeer maalintii. Iyada oo 3-4 maalmood ee hagaajin therapy in la sameeyo waa in keeneysa in mudada. Haddii loo baahdo, xaddiga daroogada kordhay 20-40 mg oo qaadanaya laba jeer maalintii.

calaamadaha xad dhaafka ah

Waa maxay calaamadaha of badinta waxay dhici karaan marka bukaan qaata dawooyin qaldan "Monosan"? Tilmaamaha loogu isticmaalo tilmaamaya calaamadaha soo socda: burburkii, suuxid, shuban syndrome, dawakhaad, hyperpnoea, casaan maqaarka, dhallaanka, dyspnea, tachycardia reflex asal ahaan, madax-xanuun, pyrexia, feejignaan xumo, daciifnimo, kordhay cadaadiska intracranial, rabshooyin muuqaalka, qalal, curyaannimo, lalabo, kooma, dhidid, matag.

In daaweynta xaaladaha sida loo isticmaalo mafaahiim lavage gastric iyo qori enterosorbiruyuschee ka dhigan tahay.

waxyeellooyin

Ma reaction daroogada loo kasin "Monosan"? Tilmaamaha loogu isticmaalo (analogs of medicament ayaa hoos lagu muujiyey) waxay bixisaa in daroogada noocan oo kale ah waxay keeni kartaa muuqaalka kore ee hannaanka ka mid ah dhibaatooyin soo raaca. Waxaan xuso qaar ka mid ah iyaga ka mid ah:

• matag,
• dareen on carrabka gubanaya;
• afka oo qalala,
• lalabo,
• dareenka gubashada ah;
• tachycardia;
• madax xanuun amooniyam,
• barrar maqaarka ;
• wareer;
• hoos u calaamadeysan ee cadaadiska dhiigga;
• stenokardicheskie kaadida oo soo badata ee qalal,
• hypotension Orthostatic ;
• hypersomnia;
• dhimaal iyo motor jawaabaha maskaxda;
• qallafsanaan,
• aragti cawlan,
• asaasidda dulqaad,
• finan maqaarka gaar ah;
• dermatitis exfoliative.

Analogs oo ka mid ah daroogada iyo qiimaha

Taas oo macnaheedu yahay in aad ka bedeli kartaa daawo «Monosan"? Analogues daawada this waxaa laga helaa farmashiye kasta. Waxaa ka mid ah kuwa ugu waxtarka badan waxaa suurtagal ah in loo qoondeeyo "Monocinque maamula", "Izoket", "Kardiket", "Efoksa", "Pektrol".

Sida qiimaha daroogada, ma aha mid aad u sarreeya. La helo daroogada ee magaalooyinka Ruush kartaan oo keliya hosteed 100 (30 kiniin).

Kurtumm

ama aan ku fekereyno daroogada leedahay wax badan oo ka mid ah jawaab-celin wanaagsan. Bukaan-socodka ku doodaya in ay u dhaqmo sida wakiilka aad waxtar u leh hypertension pulmonary iyo qaabka wadnaha oo shaqadiisa gaba chronic. Si kastaba ha ahaatee, waxaa la ogaadaa in loo helo natiijo sare daweynta daroogada noocan oo kale ah waa in lagu daro daroogada kale. Si arrintan loo sameeyo, hubi inaad la tashato dhakhtarka dhigata.

sidoo kale waxaan jeclaan lahaa in la ogaado bukaan in badan Doono qiimaha gudbiyey by daroogada. Sida kor ku xusan, 30 kiniin waxaad yeelan doontaa in aad bixiso oo keliya 100 rubles Ruush.

Waxaan ma dhihi karo in ku saabsan daroogada oo inta badan ka tago-celin xun. Xaaladaha intooda badan, ay xiriirka la leh muuqaalka kore ee hannaanka ka mid ah dhibaatooyin soo raaca. By habka, marka ay dhacaan laga cuno waa in laga tagay oo bedelay hab dheeraad ah oo aamin ah. Waxa ay dhab ahaan, waxaad awoodi doontaa inaad u sheegto oo kaliya ku takhasusay khibrad ahaan doonaa.