"Coronal": indications rau siv, kev xyuas. tshuaj analogues

Kev loj hlob ntawm kab mob plawv yog qeeb thiab tsis paub nyob rau hauv thaum ntxov ua sawv. Hais txog qhov kev muaj teeb meem nrog lub plawv ib tug neeg nyob rau hauv feem ntau paub tias thaum twg pathology loj, nrog rau cov tshwm sim uas yuav tsum tau ceev pw tsev kho mob. Lub plawv cov kab mob txaus ntshai vim hais tias lawv tshwm sim yuav luag tsis muaj cov tsos mob. Lawv yog ib tug ntawm lub ntsiab yam tseem ceeb ntawm lub neej no nyob hauv ntiaj teb. Txawm yog hais tias tus neeg mob muaj sia nyob tus nres ntawm kab mob plawv, rov qab mus rau ib tug txoj kev ntawm lub neej nws yog tsis zoo li, thiab yog li ntawd yuav tsum hloov mus rau qhov tshiab, ntau tsawg style. Tiv thaiv kom txhob loj hlob ntawm loj teeb meem ntawm lub plawv kab mob no yuav tsum, thaum lub sij hawm lawv tau raug tshuaj mob. Yog li ntawd, koj yuav tsum yauv mus ua kev tiv thaiv kuaj mob kom muaj cov kev kho mob ntawm koj lub plawv.

kab mob plawv

Muaj ntau ntau yam tshwm sim uas tej zaum yuav qhia txoj kev loj hlob ntawm lub plawv muaj teeb meem. Pom nyob rau hauv cov tsos mob yuav tsum tam sim ntawd mus rau ib tug lub tsev kho mob, qhov chaw uas ib txhij txhua soj ntsuam yuav pab tshawb nrhiav qhov kab mob thiab tiv thaiv kom txhob tau mob.

Feem ntau cov tsos mob ntawm thawj zaug rau theem ntawm lub plawv kab mob muaj xws li: nkees, thiab kev tsis muaj zog. Lawv tej zaum yuav txuam nrog kev nyuaj siab los yog siab muaj kev nyuaj siab, tab sis kuj yog ib tug kos npe rau ntawm lub plawv tsis ua hauj lwm. Raws li ib tug txoj cai, qaug zog yuav tsis ploj mus tom qab tus so, thiab nws ntxiv rau lwm lub thiab ib tug nkag siab ntawm kev nyuaj siab, tsis qab los noj mov, cov neeg pluag zuag qhia tag nrho noj qab haus huv. Lwm cov tsos mob uas yuav co tes rau lub kev loj hlob ntawm lub ntsws los yog lub plawv tsis ua hauj lwm yog ua tsis taus pa, thiab nws yuav tshwm sim txawm thaum ib tug neeg nyob rau hauv ib lub xeev ntawm meej tranquility.

Khaus ntshai, kev nyuaj siab los yog heev lub cev ua si txhua txhua noj qab nyob zoo tus neeg muaj peev xwm ua rau lub plawv palpitations, thiab qhov no yog xam qub. Yog hais tias tachycardia yog feem ntau txhawj xeeb thiab tsis muaj tej yam zoo yog vim li cas, peb yuav hais ntawm lub xub ntiag ntawm teeb nyob rau hauv lub xeev ntawm cov hlab plawv system. Lwm yam tsos mob ntawm tus kab mob plawv xws li tsis tshuav nyiaj li cas los yog cia li kiv taub hau, tsaus muag, tsis xis nyob thiab mob hauv siab. Cov tsos mob yog ua ib tug neeg mus xyuas ib tug kws kho mob. Thiab dhau ib kev xeem ntawm cov hlab plawv system.

Tshuaj "Coronal"

Yog hais tias ib tug neeg mob tau raug kuaj nyob rau theem ntawm kab mob plawv, uas tsis yuav tsum tau kev phais, nws twb tshuaj. Tshuaj tiv thaiv kab mob plawv yuav pab cov neeg mob tiv nrog cov tsos mob ntawm tus kab mob thiab qeeb nws kev vam meej. Ib tug neeg yuav tsum tau npaj kom txhij rau lub fact tias yog hais tias nws npaj mus sim haum nws lub neej, nws yuav tsum tau mus hloov nws cov duab, nyob rau hauv particular, muab tsis tau phem, noj, mus ua ke ib tug mob loj tsawv load nrog rau tus so.

Hnub no nyob rau hauv txee ntawm cov chaw muag tshuaj ib tug ntau ntawm txawv tshuaj uas target cov sib ntaus tawm tsam lub plawv muaj teeb meem. Ib qho ntawm feem ntau cov tshuaj uas cov kws kho yog "Coronal" ntsiav tshuaj. Indications rau kev siv ntawm cov tshuaj tej zaum yuav raws li nram no: ischemic plawv tus kab mob, arrhythmia, tawg, ventricular los yog supraventricular arrhythmias thiab lwm tus neeg. Ua ntej koj yuav pib ib lub chav kawm ntawm kev kho mob, koj yuav tsum tham nrog koj tus kws kho mob. Tshuaj "Coronal" muaj txaus muaj zog los ntawm lub cev, muaj ib daim ntawv teev contraindications thiab tej zaum yuav ua rau kev phiv. Nws yog muaj nyob rau hauv zaj duab xis-coated ntsiav tshuaj. Tus kws kho mob yuav muab tshuaj rau cov tshuaj "Coronal" thiab nws cov analogues.

pharmacology

Lub medicament "Coronal" muaj antianginal, antihypertensive thiab antiarrhythmic kev txiav txim. Qhov no xim beta-blocker thiaj li tsim ntawm cyclic AMP los ntawm ATP thiab muaj peev xwm sawv ntawm thaiv cov hlab beta-adrenergic receptors ntawm lub plawv. Tsis tas li ntawd, cov tshuaj "Coronal" thiaj li myocardial contractility thiab lub plawv dhia, nws conductivity thiab excitability.

Lub hypotensive nyhuv uas cov tshuaj no yog manifested nyob rau hauv lub fact tias nws muaj txhawb rau ib tug txo nyob rau hauv mob tso zis. "Coronal" - tshuaj uas los ib txwm rhiab heev ntawm baroreceptors, inhibit qhov kev ua si ntawm reninangiotenzivnoy system, cuam tshuam rau central lub paj hlwb. Nyob rau hauv cov neeg mob uas raug kev txom nyem los ntawm tawg, antihypertensive nyhuv muaj cai tom qab 2-5 hnub tom qab pib ntawm daim ntawv thov. Tom qab 1-2 lub hlis cim hypotensive ruaj khov kho nyhuv.

Kev npaj "Coronal", indications ntawm uas muaj ib tug dav txaus spectrum muaj antianginal nyhuv. Ntsiav tshuaj txhawb elongation diastole txhim kho perfusion ntawm lub plawv mob, txo nws cov pa thov los ntawm zuj zus lawm lub plawv dhia. Lub antiarrhythmic nyhuv ntawm cov tshuaj yog nws muaj peev xwm tshem tawm arrhythmogenic yam. Nyob rau hauv nws cov cawv slows atrioventricular conduction thiab txo tus nqi ntawm excitation ntawm lub qhov ntswg thiab ectopic pacemakers.

Siv cov cuab yeej nyob rau hauv lub medium-ntau npaum yog tsawg pronounced nyob rau hauv lub peripheral hlab ntsha, tus nqaij ntshiv ntawm lub bronchi, pancreas, skeletal leeg, carbohydrate metabolism. Cov tshuaj tsis ncua lub sodium ions nyob rau hauv lub cev, nws cov haum yog hais txog 80-90%.

indications

Ua ntej koj noj "Coronal", koj yuav tsum sab laj nrog ib tug kws kho mob uas yuav muab tseeb cov lus qhia txog ntau npaum thiab zaus ntawm koom haum saib xyuas. Koj muaj peev xwm tsis pib noj cov tshuaj rau lawv tus kheej, muaj yog ib tug uas muaj feem yuav raug mob rau lawv noj qab haus huv, thiab nrog irreversible txim.

Nyob rau hauv tshuaj "Coronal" indications rau siv feem ntau yog tas rau tawg thiab coronary mob plawv. Lub hnub koob tshuaj - 5 mg. Lub ntsiab active ingredient tshuaj "Coronal" - bisoprolol. Maximum hnub tus nqi mus txog rau 20 mg, thaum rau cov neeg mob nrog impaired siab muaj nuj nqi dab tsi - 10 milligrams. KOOB nyob rau hauv tag nrho cov mob tom ib lub zuj zus, noj mus rau hauv tus account lub tshuaj miv nyuas siv zug thiab lub plawv dhia. Txo cov koob ntawm cov tshuaj "Coronal" yuav tsum gradual, nws yog tsis yooj yim sua kom tsis txhob tau txais cov hoob kawm mam li nco dheev. Qhov no yog tshwj xeeb tshaj yog muaj tseeb ntawm cov neeg mob nrog angina pectoris (CHD).

Contraindications

Muaj ib daim ntawv teev tus neeg mob nyob rau hauv uas nws yog zoo dua mus nrauj zoo rau kev siv ntawm "Coronal" tshuaj. Indications Siv rau kab mob plawv yuav tsis tsuas tau, nyob rau hauv thiaj li yuav pib ib lub chav kawm ntawm kev kho mob. Tus kws kho mob yuav tsum ua tib zoo thiab meej xyuas tus neeg mob rau txoj kev ruaj ntseg ntawm lub yav tas.

Cov tshuaj yog ua rau cov neeg mob uas decompensated lub plawv tsis ua hauj lwm, mob plawv tsis ua hauj lwm, cardiogenic poob siab, cardiomegaly, angina Prinzmetal, SSA syndrome, atrioventricular thaiv II-III xyoo pua., Sinoatrial blockade. Tsis txhob muab ib tug txhais tau tias ntawm "Coronal" nyob rau hauv cov neeg mob uas muaj ib tug neeg rhiab heev mus rau yeeb tshuaj. Nws tsis pom zoo kom muab nws rau cov poj niam thaum lub sij hawm lactation, raws li zoo raws li tag nrho nrog rau qhov kev siv ntawm Mao inhibitors.

Nyob rau hauv huab, tab sis nyob rau hauv cov ntaub ntawv no tau ceev faj heev npaj siv los kho tus mob cov neeg mob uas myasthenia Heavy kev, sib quas ntus claudication, syndrome ntawm Raynaud, hepatic tsis ua hauj lwm, mob hauv lub plawv tsis ua hauj lwm, pheochromocytoma, metabolic acidosis, bronchial hawb pob, mob hawb pob, mob ntshav qab zib. Contraindications siv yuav nyuaj siab, psoriasis, hyperthyroidism, thaum yau thiab cov laus uas muaj hnub nyoog, cev xeeb tub. Nrhiav pov thawj rau txoj kev "Coronal" tshuaj (cov lus teb los ntawm cov kws kho mob nyob rau hauv no sib) thaum lub sij hawm cev xeeb tub yuav tsuas yuav cov ntaub ntawv thaum cov kev pab rau cov niam yog ob peb lub sij hawm tshaj qhov uas yuav rau tus me nyuam.

overdose

Tus neeg mob yuav tsum nruj me ntsis raws li cov uas yuav tsum tau ntawm ib tug kws, vim hais tias ib tug overdose yuav ua rau txaus ntshai cov tsos mob. Ntxiv ntau cov tsos mob uas yog tshwm sim los ntawm ib tug overdose txhais tau tias "Coronal" - bronchospasm, lub plawv tsis ua hauj lwm, hypotension, bradycardia. Qaug cawv ua rau mob loj heev cardiodepressivny nyhuv uas prevails tshaj lub txo nyob rau hauv contractility thiab txo lub plawv dhia. Tus neeg mob tej zaum yuav tsim ib tug ua pa tsis meej tshwm sim los ntawm bronchospasm.

Yog hais tias tus neeg mob yog zoo li ib txwm cov tshuaj tiv thaiv mus rau ib tug yeeb tshuaj, koj yuav tsum tam sim ntawd yuav ntsuas kom tsis neutralize lawv. Tus thawj tshaj plaws ua - nws ua tau ib tug pais plab lavage ua raws li los ntawm koom haum saib xyuas ehnterosorbentov (tshuab txais hluav ncaig). Tsis tas li ntawd mus haus dej haus cov tshuaj ntaus cev (sodium sulfate). Yuav tshem tawm cov tsos mob ntawm intoxication siv atropine (0.5 -2.0 mg) intravenously. Tsis tas li ntawd nyob rau hauv cov neeg mob thov lub glucagon 1-5 mg. Thaum tshwm sim ntawm bronchospasm yuav tsum tau siv cov hlab ntsws qhib tshuaj (aerosol "salbutamol" los yog "Fenoterol").

phiv

Kev npaj "Coronal" yuav ua rau kev phiv, kuj nyob rau hauv tag nrho cov kab mob. Thaum uas muaj feem yuav yog:

• hlab plawv system;
• lub paj hlwb;
• ua pa system;
• hnyuv huam;
• urogenital system;
• nrig txog kev pom apparatus;
• daim tawv nqaij, nqaij, pob qij txha.

Nyob rau hauv ib feem ntawm cov hlab plawv system xws teeb meem yuav tshwm sim puav, raws li paresthesia, conduction mob, bradycardia, orthostatic tawg thiab tej ntshav siab. Nyob rau hauv cov neeg mob uas Raynaud lub phenomenon los yog sib quas ntus claudication worsens cov tsos mob.

Cov tshuaj "Coronal" mob tshwm sim thiab yuav ua rau lub paj hlwb, namely, puas siab puas ntsws hloov, tiag tiag li kev npau suav, teeb meem tsaug zog, kiv taub hau, mob taub hau, qaug zog. Heev tsis tshua, tab sis tseem nyob rau lub nrig txog kev pom apparatus yuav cuam tshuam txhais tau tias "Coronal". Xyuas ntawm cov neeg mob, cov accrued, tab sis raws li ib tug tshwm sim ntawm kis mus rau yeeb tshuaj tej zaum yuav paug tsis pom kev, txo tearing, kom txog rau thaum txoj kev loj hlob ntawm conjunctivitis.

Cov tsos mob xws li bronchospasm, dyspnea, rhinitis, thiab qhov ntswg congestion yuav cuam tshuam cov neeg mob uas raug kev txom nyem los ntawm bronchial hawb pob. Nyob rau hauv tsawg zaum nws tshwm sim hepatotoxic los ntawm bisoprolol, uas yog txiav txim los ntawm xeev siab, raws plab, cem quav thiab mob plab.

Cov lwm sab los tshwm sim los ntawm qhov kev txiav txim ntawm cov tshuaj "Coronal" neeg mob xyuas nco ntsoov cov nram no: nce tawm hws, khaus thiab liab ntawm daim tawv nqaij, arthropathy, tu-sauv thiab mob mob. Feem ntau yeej tsis bothers dysuria thiab erectile kawg tshwm sim los ntawm qhov kev txiav txim ntawm "Coronal" tshuaj. Analogs kuj tshuaj yuav ua rau kev phiv rau lub cev. Yog li ntawd, nyob rau hauv txhua rooj plaub, nco ntsoov sab laj nrog koj tus kws kho mob thiab ua raws li nws cov lus qhia.

ceev faj

Nyob rau hauv tas li ntawd mus contraindications thiab kev phiv, muaj ib tug xov tooj ntawm tus neeg mob qhov twg siv yeeb tshuaj yuav tsum tau ceev faj heev thiab yeej ib txwm nyob rau hauv lub saib xyuas ntawm ib tug kws kho mob. Nws yog ib feem muaj kev txhawj xeeb nrog tej yam kev mob xws li txhaws lub plawv tsis ua hauj lwm, mob ntshav qab zib, kev nyuaj siab, myasthenia Heavy kev, psoriasis, hyperthyroidism, txhob cuam tshuam txog lub cev tau hauj lwm ntawm lub siab los yog raum, metabolic acidosis, starvation, Prinzmetal angina.

Mob obstructive ua pa kab mob txhais tau tias "Coronal" analogues thiab lwm yam beta-blockers yuav npaum li cas, tiam sis tsuas yog nyob rau hauv ua ke nrog nrog bronchodilators thiab nyob rau hauv tsawg heev koob tshuaj. Feohromotsitome txhais tau tias yuav tsum tau noj ib txhij nrog lub blockade ntawm lub alpha-adrenergic receptors. Cov tshuaj yuav tsum tau muab tom qab kev soj ntsuam ntawm lub siab thiab ob lub raum.

Tawg tshuaj yuav tsuas yuav kho nyob rau hauv kev kho mob saib xyuas. Tsis adrenergic kontrregulyatsii thiab anaphylactic tshua thab cov chav kawm ntawm kev tshua nyob rau hauv cov neeg mob uas noj beta-blockers. Cov laus cov neeg mob tej zaum yuav tshwm sim kuj siab rhiab heev txawm tias thaum uas siv cov qub koob tshuaj ntawm cov tshuaj, ces nws kuj yuav tsum tsis tu ncua saib xyuas.

Yog hais tias koj xav mus elective phais, kev siv ntawm cov tshuaj rho 48 teev ua ntej yuav phais, nyob rau tib lub sij hawm tsis ua li ntawd sai li sai tau, tab sis maj mam. Yog hais tias tus neeg mob muaj ib tug yeeb tshuaj "Coronal" indications rau kev siv, nws yuav tsum ua kom tau ceev faj heev nyob rau hauv kev ua ub no uas yuav tsum tau ib tug muaj feem yuav muaj lub cev thiab kev puas hlwb tshua (ua hauj lwm nyob rau ntawm lub qhov siab, ua hauj lwm machinery, ua hauj lwm nrog yus machinery, tsav tsheb, thiab lwm yam).

tshuaj cov kev sib tshuam

Noj "Coronal" (ntsiav tshuaj) nyob rau tib lub sij hawm nrog lwm yam tshuaj yuav tsum tau ua raws li kev ruaj ntseg ceev faj. Nyob rau hauv kev nws kev txhawj xeeb thaum lawv tseem nrog Mao inhibitors tau tau cai tom qab txiav ntawm cov ntshav siab. Combining beta blockers nrog allergen cia rau daim tawv nqaij kev tshuaj ntsuam nrog allergens siv rau immunotherapy, muaj txoj kev pheej hmoo ntawm provoking kev fab loj.

Nyob rau hauv daim ntawv thov ntawm antiarrhythmics ntawm cov chav kawm ntawv kuv thiab III ( "Dizopiramid", "Sotalol", "Quinidine" "Amiodarone", "lidocaine") kuj yuav tsum tau ceev faj. Thaum simultaneous thawj coj ntawm antihypertensive tshuaj thiab cov ntsiav tshuaj "Coronal" lub tom kawg yuav potentiate cov teebmeem ntawm tus thawj. Yog hais tias kev siv ntawm cov tshuaj no nyob rau hauv ua ke nrog nrog "Guafatsinom", "digitalis", "Clonidine", "reserpine", nws yuav qeeb los ntawm kev tuav lub conductive system ntawm lub plawv hluav taws xob pulses.

Therapeutic miv nyuas siv zug "Coronal" npaj tej zaum yuav tsis hnov los ntawm raug sympathomimetic agents (antitussive tshuaj, qhov ntswg los yog qhov muag dauv). Activators ntawm hepatic enzymes ntxias ib tug yuav txo tau ntawm tus kab ib nrab-lub neej ntawm beta-adrenoceptor agonist. Tib mus thawj coj ntawm antiarrhythmic tshuaj, thiab calcium channel blockers pawg "Nifedipine" thiab "Verapamil" yuav ua rau bradycardia, lub plawv tsis ua hauj lwm los yog conduction teeb.

Tib mus kho mob nrog cov tshuaj "Coronal" thiab "Clonidine" yuav ua rau txoj kev loj hlob ntawm hypertensive ntsoog. Yog hais tias lub txais tos ntawm cov tshuaj "Coronal" readings muaj nyob rau hauv cov neeg mob uas mob ntshav qab zib, nws yog ntseeg tau pom zoo kom tsis tu ncua saib xyuas cov ntshav qab zib theem. Qhov no yog vim lub fact tias beta blockers yuav potentiate cov nyhuv ntawm anti-ntshav qab zib cov tshuaj thiab insulin, masking cov tsos mob ntawm hypoglycemia.

Xyuas ntawm cov tshuaj

Tshuaj "Coronal" kws kho mob muab cov tshuaj rau cov neeg mob plawv tus kab mob. Tab sis, yog hais tias txawm li cas los tag nrho cov no tshuaj ua hauj lwm? Ntsuam xyuas cov kev txheeb xyuas txog nws, koj yuav ua tau ib tug dav dav xaus hais tias tej yam uas cov tshuaj rau tus neeg mob lub cev nyob rau txhua tus neeg cov ntaub ntawv. Cov neeg uas twb muaj hmoo ces tsis mus fim cov kev phiv yog heev zoo txog qhov kev npaj ntawm "Coronal". Xyuas ntawm cov neeg mob uas tau muaj cov teebmeem ntawm cov tshuaj, yog tsis yog li ntawd rosy. Txawm li cas los, cov teeb meem yuav zam tau. Ua ntej koj noj "Coronal" (ntsiav tshuaj), cov kev qhia ntawv rau nws yuav tsum tau ua tib zoo rov nyeem ob peb lub sij hawm, vim hais tias kev lam ua yuav tau ua mob koj noj qab haus huv.

Thawj qhov uas tus neeg mob hais tias qhov no txo lub plawv dhia, ib tug me ntsis txo nyob rau hauv cov ntshav siab, los txhim kho lub dav mob ntawm tus neeg mob. Tom qab ob peb lub hlis ntawm daim ntawv thov, cov kws kho mob pom zoo kom mus rau tau cov tshuaj, vim hais tias tus mem tes thiab ntshav siab tau mus txog lub cai thiab tsis muaj yuav tsum tau txo lawv ntxiv. Cov neeg mob tseem nco ntsoov tias yog hais tias koj ua raws li tag nrho cov lus qhia ntawm tus kws kho mob, tsis kaj lub siab txim yuav tsum tsis txhob ntshai ntawm cov tshuaj. Tab sis cov neeg uas nws tus kheej txiav txim siab los hloov txhua hnub koob tshuaj los yog ua tsis tau tejyam mus ceeb toom cov kws kho mob txog kev siv ntawm lwm yam tshuaj, kev nyuaj siab nrog cov teeb meem, uas nyob rau hauv tej rooj plaub yuav tsum tau pw tsev kho mob. Uas yog vim li cas peb yuav tsum tsis txhob hnov qab hais tias muaj nyob rau hauv txhua pob ntawm tshuaj "Coronal" phau ntawv qhia.

analogs

Tshuaj "Coronal" muaj ib tug ntau ntawm cov analogues - tshuaj, uas yog tam sim no nyob rau hauv tib lub active tshuaj. Lawv txawv nyob rau hauv nqe, lub teb chaws uas siv, mechanism ntawm qhov kev txiav txim, contraindications, lub muaj los yog tsis tuaj kawm ntawv ntawm cov kev phiv.

Raws li cov kev noj tshuaj, nws uas yog thiab txhais tau tias "Coronal". Nws analogues yog zoo xws li cov nyob rau hauv uas lub active tshuaj nyob rau hauv lawv - bisoprolol. Cov feem ntau yog cov tshuaj ua domestically. Lawv kom zoo dua yog pom tias yuav tsum muaj ib tug uas tsis muaj nqi (piv rau txawv teb chaws) thiab high efficiency. Tshwj xeeb, xws tshuaj tej zaum yuav tau hais: "Aritel", "Aritel Cor", "Biprol" "Bisoprolol" "Bisoprolol-Praana", "Niperten". Lawv yog cov muaj nyob rau hauv txhua txhua lub khw muag tshuaj, thiab lawv cov nqi yog hom twg los ntawm 30 mus rau ib puas rubles ib pob.

Txawv analogues "Coronal" cov tshuaj no kuj nyob rau hauv ib tug loj assortment "Bidop" (Hungary), "Biola" (Slovenia) "Bisogamma" (lub teb chaws Yelemees), "Bisokard" (Poland), "Bisomor" (India), "Bisoprolol- Lugano "(Ukraine)," bisoprolol-Teva "(Ixayees) thiab lwm tus neeg. Tshwj xeeb tshaj yog nrov ntawm cov mas tshuaj nyiam ntawm German tshuaj "Concor". nws tus nqi yog 4 lub sij hawm tus nqi ntawm cov tshuaj "Coronal" thiab yog hais txog 180 rubles. Nyob rau hauv kev, mas cov tshuaj nyob rau hauv lub tsev muag tshuaj muaj nyob rau ntawm tus nqi xws li los ntawm 300 mus 600 rubles ib pob.