Cov tshuaj "Korglikon": cov lus qhia rau kev siv, nqe, analogs thiab readings

Ntau yam teeb nyob rau hauv lub plawv - ib qho teeb meem rau ntau tus neeg. Thiab feem ntau heev nyob rau hauv kev txiav txim los mus tshem tawm cov tsos mob los yog cheem lub kev vam meej ntawm tus kab mob, cov neeg mob tshuaj tshuaj lub npe hu ua "mob glycosides". thiab "Korglikon" yog hais txog qhov no pab pawg neeg ntawm cov tshuaj. Cov lus qhia rau kev siv, indications rau kev kho mob, kev phiv, analogs thiab xyuas - yog lub ntsiab teeb meem uas txhawj txog cov neeg mob. Yog li ntawd yog dab tsi tshuaj no thiab yog dab tsi cov khoom?

Qauv thiab pes tsawg leeg

Kev npaj "Korglikon" yog muab nyob rau hauv daim ntawv ntawm ib tug ntshiab tov cov kev txhaj tshuaj nrog ib tug me ntsis yellowish tinge. Cov tshuaj no yog muag nyob rau hauv lub khob ampoules nyob rau hauv ib tug ntim ntawm 1 ml. Txhua pob muaj 10 ampoules.

Lub ntsiab active tshuaj yog ib tug yeeb tshuaj Korglikon - ib tug biologically active glycoside, uas yog tau los ntawm cov nplooj ntawm Lily ntawm cov hav. Ib milliliter ntawm cov tshuaj muaj 600 mg ntawm cov tivthaiv, raws li, lub concentration yog 0,06%. Raws li koom haum pab tshuaj yog tam sim no nyob rau hauv muaj pes tsawg leeg hlorbutanolgidrat thiab lim dej rau txhaj tshuaj.

Hauj lwm ntawm lub pharmacological thaj chaw ntawm cov tshuaj

Lub active Cheebtsam ntawm cov kev npaj tau los ntawm purifying lub extracts Lily ntawm cov hav thiab nws cov variants. Nws yog ib tug mob glycoside, uas muaj nyob rau hauv tib neeg lub cev yog ib tug zoo inotropic nyhuv.

Qhov no tshuaj activates sodium-calcium pauv daim nyias nyias ntawm cardiomyocytes, uas, nyob rau hauv lem, tsub kom tus quab yuam ntawm contraction ntawm lub plawv mob. Thaum lub sij hawm txoj kev kho nrog ib qho kev nce nyob rau hauv stroke volume, txo kawg-systolic thiab diastolic volume ntawm lub plawv thiab txo myocardial oxygen thov.

tshuaj kuj muab ib tug tsis zoo chronotropic nyhuv. Cov kev kho mob yuav ua rau ib qho kev nce cardiopulmonary baroreceptor rhiab heev, kom txhob muaj ntau ntau yam kev ua si ntawm lub sympathetic system. Nyob rau lwm cov tes, cov tshuaj tsub kom cov kev ua ntawm lub vagus paj, umeshaet ceev ntawm impulse conduction ntawm lub atrioventricular ntawm thiab li muab antiarrhythmic nyhuv.

Nyob rau hauv lub xub ntiag ntawm atrial tachyarrhythmias tshuaj no slows tus nqi ntawm ventricular contraction, prolongs diastole, pab txoj kev intracardiac gemodinaminu. Thaum muab intravenously, cov tshuaj pib ua tom qab 3-5 feeb. Thawj nyhuv muaj cai tom qab 25-30 feeb tom qab cov tshuaj thawj coj.

Yuav ua li cas yog cov indications rau kev kho mob?

Qhov no tshuaj yog feem ntau siv nyob rau hauv niaj hnub tshuaj. Tiam sis muaj ntau tus neeg mob yog xav nyob rau hauv cov nqe lus nug ntawm seb, nyob rau hauv uas tus neeg mob cov tshuaj yog tsim nyog "Korglikon". Indications rau siv sib txawv ntawm no. Nyob rau hauv kev, nws yog siv rau cov neeg mob kev txom nyem los ntawm atrial fibrillation tachysystolic daim ntawv. Tsis tas li ntawd, cov tshuaj yuav pab nrog atrial Flutter , paroxysmal hom.

Nws muaj lwm yam xwm txheej nyob rau hauv uas nws yog advisable siv cov tshuaj "Korglikon". Indications rau kev txais neeg kawm - nws kuj yog ib tug paroxysmal supraventricular tachycardia. Nyob rau hauv niaj hnub mob xyaum, cov tshuaj no feem ntau yog siv rau cov neeg mob uas muaj mob insufficiency ntawm lub thib ob, thib peb thiab thib plaub haumxeeb chav kawm ntawv. Lawm, nrog xws li ib tug kab mob tshuaj tsuas yog ib feem ntawm lub complex txoj kev kho.

Tshuaj "Korglikon": cov lus qhia rau kev siv

Muab zoo xws li cov tshuaj ua tau tsuas yog tus kws kho mob tom qab ib txhij txhua kuaj mob. Lub tshwj xeeb yuav kuj txiav txim qhov zoo tshaj koob thiab lub sij hawm ntawm kev txhaj tshuaj npaum li cas. Yuav kom npaj cov tshuaj tus txheem ntawm ib ampoule yog diluted nyob rau hauv 10-20 ml ntawm ib tug tov ntawm dextrose los yog piam thaj ntawm ib tug concentration ntawm 20 los yog 40%.

Lub ib koob tshuaj rau cov neeg laus cov neeg mob nqi 0.5-1 ml ntawm cov kev npaj. Cov me nyuam hnub nyoog 6 mus rau 12 xyoo, feem ntau yog tau txais tsis muaj ntau tshaj li 0.5-0.75 ml ntawm cov tshuaj. Me nyuam me muaj hnub nyoog los ntawm 2 mus rau 5 xyoo tshuaj 0.2-0.5 ml. Sau diluted dextrose tshuaj intravenously tshaj 5-6 feeb. Tus txheej txheem yog pheej rov qab ua ob zaug ib hnub twg nrog ib tug so ntawm yam tsawg 8-10 hom sij hawm. Qhov siab tshaj plaws txhua txhua hnub koob tshuaj rau cov neeg laus yog 2 ml "Korglikon". Lub caij ntawm txoj kev kho yog txiav txim ib lub zuj zus.

Puas muaj tej contraindications mus rau lub txais tos?

Seb tag nrho pawg ntawm cov neeg mob tau tso cai kho mob nrog "Korglikon" tshuaj? Cov lus qhia rau kev siv cov kev qhia uas contraindications rau txoj kev kho muaj nyob, yog li ntawd, pab tau kom lawv daim ntawv yuav tsum muaj:

• Qhov no tshuaj yog tsis muab nrog npau taws me ntsis rau ib yam ntawm cov pej xeem, raws li zoo raws li kev ua xua rau mob glycosides.
• Contraindications xws li atrioventricular thaiv ob degree, raws li zoo raws li sib quas ntus tiav blockade.
• Cov tshuaj tsis txais cov neeg mob uas Wolff-Parkinson-Dawb syndrome.
• Contraindication yog ib tug glycoside intoxication.
• Tshuaj yog tsis siv los kho cev xeeb tub cov poj niam thiab niam.

Muaj kuj yog li-hu ua tus txheeb ze contraindications, yog hais tias kev kho mob no tau tsuas nyob rau hauv qhov kev saib xyuas. Cov xws tej yam kev mob xws li atrioventricular thaiv thawj degree, mob heart attack myocardial infarction, hypertrophic subaortic stenosis, lub plawv tsis ua hauj lwm nrog diastolic kawg, arrhythmia, cais mitral stenosis, teeb ntawm electrolytes, hypothyroidism, myocarditis, rog, lub raum thiab hepatic tsis ua hauj lwm, alkalosis. Ceev faj cov tshuaj tua tau neeg laus cov neeg mob.

Puas yuav ua tau tshwm sim ntawm kev phiv tshuaj?

Muaj ntau cov neeg mob ua ntej pib txoj kev kho nug cov lus nug hais txog cov tau teeb meem nyob rau hauv lub keeb kwm yav dhau ntawm txoj kev siv ntawm cov tshuaj "Korglikon". Cov lus qhia rau kev siv cov kev qhia yuav ua li cas cov tshuaj yuav ua tau ua kev phiv. Ntawm no yog ib daim ntawv teev cov feem ntau sawv daws yuav:

• Thaum lub sij hawm kev kho mob, ib co neeg mob tej zaum yuav tsim ib qho kev arrhythmia.
• Los ntawm lub paj hlwb yog ua tau haum xws li tsis meej pem, mob taub hau, tsaug zog, pw tsaug zog teeb, kiv taub hau. Ntau tsawg ib tug txo nyob rau hauv nrig txog kev pom pom tseeb tseeb. Tsis tshua muaj neeg tsis tshua, cov neeg mob tsim fem psychosis.
• Tej zaum kuj muaj yog ib tug malfunction ntawm hematopoiesis, uas yog manifested los ntawm thrombocytopenia, nquag nosebleeds, thrombocytopenic purpura.
• Los ntawm cov digestive system zaum yuav tshwm sim txhaum cai xws li xeev siab, ntuav, poob qab los noj mov, anorexia.
• Nws tseem yog tau hauv zos kev tsis haum tshuaj uas tshwm sim o, lossis puas liab liab ntawm daim tawv nqaij, pob thiab pruritus.

Yog hais tias muaj tej yam deterioration yuav tsum tau nrog ib tug kws kho mob. Tej zaum koj yuav tsuas yuav tsum tau kho cov koob tshuaj. Tab sis tej zaum nws yuav siv sij hawm tag nrho cov abolition ntawm cov tshuaj.

Tshuaj "Korglikon": analogs thiab hloov

Ib txhia neeg rau ib tug yog vim li cas los yog lwm yuav tsis ua rau hauv lub xaiv tus kws kho mob noj tshuaj. Yuav ua li cas nyob rau hauv xws li mob? Puas yuav ua tau ib yam dab tsi los hloov cov tshuaj "Korglikon"? Analogs ntawm lub cuab tam nyob rau hauv lub niaj hnub kws ua lag luam mus nrhiav tau nws tsis yog li ntawd ib qho yooj yim, vim hais tias cov tshuaj nrog tib yam kom nquag plias cov khoom xyaw tsuas tsis nyob ua ib ke. Txawm li cas los, koj yuav tau sim los hloov nws nrog lwm pab pawg neeg ntawm cov tshuaj.

Piv txwv li, kwv yees li tib yam cov khoom medicament "Digoxin". Nyob rau hauv tej rooj plaub, raws li ib tug hloov koj siv tau cov tshuaj "Strofantin" uas sawv tawm ceev heev txiav txim. Los ntawm txoj kev analogs yuav tsum tau ntaus nqi "Digitoxin". Nws yog ib nqi sau cia hais tias tag nrho cov ntawm cov glycosides yog tau los ntawm zaub raw cov ntaub ntawv.

Yuav ua li cas npaum li cas yog cov tshuaj?

Cov lwm yam, nws yog ib qho tseem ceeb rau ntau cov neeg mob thiab cov nqi ntawm ib tug yeeb tshuaj, uas yog tus kws kho los ntawm tus kws kho mob rau lawv. Ntawm cov hoob kawm, lub caij nyoog npaum li cas tsis yog yooj yim los txhais tau, vim hais tias nws tag nrho cov nyob rau hauv lub chaw tsim tshuaj paus, cov nyiaj txiag txoj cai ntawm tshuaj, lub nroog ntawm qhov chaw nyob thiab thiaj li nyob. D.

Yog li ntawd ntau npaum li cas nws yuav raug nqi cov tshuaj "Korglikon"? Tus nqi ntawm cov pob ntawm kaum vials yog hais txog 50-65 rubles. Los ntawm txoj kev, cov tshuaj yog muag los ntawm cov tshuaj. Tsuas yog ib tug kws kho mob yuav muab tshuaj rau tus neeg mob "Korglikon" (daim ntawv qhia nyob rau hauv Latin zoo - Corglyconi 0,06%).

Xyuas ntawm cov kws kho mob thiab cov neeg mob

Nyob rau hauv tam sim no kev kho mob xyaum, mob glycosides yog siv ntau heev. Thiab ib qho ntawm feem nrov tshuaj nyob rau hauv pab pawg neeg no yog cia li "Korglikon". Xyuas ntawm cov kws kho mob qhia tias cov tshuaj tau tiv nrog lawv paub tab, ua hauj lwm normaliziruya infarction, xa cov tsos mob ntawm ib tug tej kab mob thiab kev tiv thaiv teeb meem.

Cov neeg mob kuj tawm zoo xyuas nyob rau hauv lub lam khoom "Korglikon". Cov lus qhia yog yooj yim heev, cov kev kho mob tsis kav ntev, thiab txoj kev kho tau zoo taus. Txawm tias tau txoj kev loj hlob ntawm cov neeg los yog lwm yam kev phiv tshuaj, statistical cov kev tshawb fawb tau qhia tias lawv tshwm sim heev tsis tshua muaj. Thiab, ntawm chav kawm, kuj tsis tshua muaj nqi yog ib yam ntawm cov kev pab cuam ntawm cov tshuaj. Lub disadvantage yog nws hais tias tsis yog txhua txhua lub chaw muag tshuaj muag cov tshuaj no, yog li tej zaum nws yog ib qhov nyuaj mus nrhiav.

Nws yuav tsum tau muab sau tseg tias nyob rau hauv tsis muaj cov ntaub ntawv yuav siv tsis tau cov tshuaj nyob ib leeg, vim kev noj yuav ua rau mob loj heev intoxication.