Analogs "Verapamil", mirayiridzo kushandiswa kwezvinodhaka uye wongororo

Heart vanhu chinonyanya kukosha nenyere. Naizvozvo, unofanira kutora zvakanaka nezvake. Pharmacologists yakabereka zvakasiyana-siyana zvinodhaka kuti varambe kushanda mwoyo. Mumwe wavo ari chinodhaka "Verapamil". Zvinonzi nachiremba kutyorwa kumwoyo, chirwere cheBP. Funga chinhu chinodhaka chinhu inonyatsobudirira chero pathologies. Uye ndedzipi analogues ari "Verapamil"?

issuance

The mushonga inowanika dzakawanda chipimo chemushonga siyana:

• Mahwendefa (40 MG, 80 MG);
• mhinduro / mu (2 Rine mamiririta / 5 MG);
• kuramba-kusunungurwa Mahwendefa (240 MG).

The Kuronga zvinodhaka

Kungofanana analogues zhinji "Verapamil", mushonga chinhu kwazvo kushandisa mishonga cardiac arrhythmias. Nyaya iyi anokonzerwa inokosha zvacho medicament. The kushingaira wemafuta zvinodhaka ndiko verapamil hydrochloride.

Uyezve rine muzvizhinji kuti medicament ebetsero zvinhu:

• karusiyamu phosphate dibasic;
• Yakanatswa talc;
• magnesium stearate;
• gelatin;
• hydroxypropyl methylcellulose;
• butylhydroxyanisole;
• indigo;
• methylparaben;
• starch;
• titanium dioxide.

Sezvingatarisirwa, analogs "Verapamil" ane mumwe kushingaira chirungiso, mamwe zvinhu zvakasiyana.

Pharmacological migumisiro

By zvinodhaka "Verapamil hydrochloride" mirayiridzo kunoratidza kuti chinodhaka anopinda boka calcium mugero blockers.

The medicament kunoratidzwa anotevera ehupfumi:

• antiarrhythmic;
• antianginal;
• antihypertensive.

Muvanhu, izvozvo anoita akawanda mabasa:

1. It kunoderedza kudiwa moyo okisijeni.
2. Runogonesa kuti coronary midziyo.
3. Kunoderedza uwandu heartbeats.
4. Zvinobatsira kuderedza myocardial contractility.
5. It kunoderedza mataurire anotsvedzerera tsandanyama ose arteries.
6. Kunonatsiridza ropa kuyerera coronary.
7. Anoita kudzvinyirira kuti sinus raiva pedyo nebundu automaticity.
8. DZEMUNHU DZINODZORA AV-conduction.

Zviri nemhaka ichi pharmacological zvazviri, vanachiremba kazhinji mishonga varwere 'verapamil'. Analogs zvinodhaka zvakafanana migumisiro iri muviri. Asi unotsiva nzvimbo yepakutanga oga haana inokurudzirwa.

zvairatidza kuti

kutyorwa kushanda kumwoyo paanorumbidza kushandiswa zvinodhaka "Verapamil" mirayiridzo Chinyorwa. Analogs of Mari zvinowanzotaurwa nachiremba chete pathologies. Zvisinei, vanachiremba vanosarudza zvinosanganisira kurapa ndiye mushonga yepakutanga.

Mishonga inoshandiswa pakurapa. zvinangwa. Izvi zvinogona kushandiswa prophylaxis ose pathologies zvinodhaka "Verapamil".

Zvairatidza kuti kushandiswa:

• angina (kugadzikana, sagadzikana);
• zvemamiriro mwoyo mutinhimira;
• supraventricular arrhythmias;
• Prinzmetal angina ;
• atrial flutter, atrial fibrillation;
• musiyano wezvinyorwa angina;
• supraventricular paroxysmal tachycardia;
• BP.

Asi zvinofanira kudzoswa kuti chero mishonga kunokanganisa muviri nomumwe. Naizvozvo gadzai dzokuzvirapa hakusi zvakakodzera "Verapamil". Zvairatidza kuti kushandiswa - ichi hachisi anoperekedza chiito. Ipa mushonga vanofanira chiremba.

Contraindications

Zvinokurudzirwa kuti pakutanga kuverenga mirayiridzo mushonga "Verapamil hydrochloride". Analogs uye yepakutanga pachishandiswa vane contraindications. Ndokusaka hapana mishonga harifaniri kushandiswa oga.

Chimbofunga pasi chii ezvinhu uye pathologies ari mudziyo kunogona kukuvadza munhu.

The huru contraindications pakushandisa zvinodhaka ndiwo:

• High aikanganiswa murwere kuti hurongwa huri gadziriro;
• mwoyo kukundikana, ruchiyerera ari chirwere chimiro, danho 2b-3;
• cardiogenic kuvhunduka (zvagara zviri chirwere kunokonzerwa arrhythmia);
• myocardial infarction;
• sinus sick urwere;
• syndromes: Morgagni-Adams-Stokes, Wolff-Parkinson-White urwere;
• AV-chezvakaipa 2 uye 3 madhigirii;
• pamuviri (1 trimester);
• mwoyo kukundikana rikwanise chimiro;
• lactation;
• sinoatrial misa ;
• intravenous kwokubatsira Beta-blockers;
• bradycardia.

Mukuwedzera, mushonga hauna kuitirwa vana vari pasi pemakore 18.

Kana mishonga yaifanira pamwe chakazara kutarisirwa?

Mune dzimwe pathologies, chiremba anogona mishonga. Zvisinei, nzira yake zvinoda nokunyatsocherechedza murwere wacho nemamiriro. Kana nemigumisiro chiremba pakarepo kutsiva mapiritsi "Verapamil". Analogs zvichawanikwa yakarumbidza murwere kupa zvakakodzera kurapwa, uye musanetsa zvisingadiwi mananara.

Maererano mirayiridzo nokungwarira kukuru kushandiswa zvinoreva zvinotevera pathologies:

• mwoyo kukundikana, kuyerera chirwere chimiro (1, 2 madhigirii);
• bradycardia;
• AV-blockade (I dhigirii chete);
• hypotension ;
• akaratidza kuvhiringidzika kushanda chiropa.

Chipimo chemushonga piritsi zvinoreva

Zvinokurudzirwa kuti kutora mapiritsi panguva kudya kana pakarepo pashure kudya. Mumwe piritsi anofanira kumedzwa nemvura.

Maererano mirayiridzo, varwere achitora zvinodhaka "Verapamil" unofanira kuomerera mitemo zvinotevera:

1. Kuti angina uye kudzivisa arrhythmia mushonga unobviswa kusvika 4 kanomwe pazuva nokuda 80 MG.
2. Kana akasarudza mwero hakuiti hunokwanisa kuchirapa zvazviri, chiremba vanonyorera murwere ane dose guru. Muchiitiko chino, kushandiswa 160 MG.
3. Zvakakosha kuyeuka kuti nhamba zuva zvinodhaka izvi 480 MG.
4. Kana murwere vasingadzoreki kushanda chiropa uye kunonoka excretion kurapwa, kurapa rakatanga pasi dose. Saka, nezuva dose iri 120 MG.

Application mhinduro

Ichi chimiro zvinodhaka chinotarisirwa chete mumate. Zvisinei, muchiitiko ichi, kunyange zvazvo mushonga iri zvachose kukodzera "Verapamil" zvairatidza kuti kushandiswa bata kwakadaro kunofanira hazvo kudzorwa.

Kugadzirisa rakatora jekiseni. Panyaya iyi, murwere dzose akuteerere cardiogram, mwoyo mwero uye BP.

Kana paroxysmal pathologies mune chirwere cheBP mudambudziko murwere raitongwa 5-10 MG zvinodhaka. Mukati hafu yeawa murwere chirwere akavandudzika yekudyidzana. Kana zvakadaro zvakaitika haina kuchengetwa, muitiro inodzokororwa.

nemishonga

Zvinofanira kutorwa chete kuburikidza mushonga uye chipimo chemushonga zvinodhaka ravakapiwa "Verapamil". Reviews anoratidza: chero yakatsauka kubva mitemo zvinogona kukonzera vasingadiwi siyana.

The mushonga une zvinotevera nemishonga:

1. The mwoyo uye nemidziyo. Pangava bradycardia, AV-nechigumbuso, hypotension. Vamwe varwere nekusangana akatsvuka kumeso. At dzakakwirira mishonga zvingamuka zviratidzo mwoyo kukundikana.
2. CNS. Inosimudzira kuneta, huta kushatirwa, nomusoro muka. Dzimwe nguva vanhu vanoona lethargy, dzungu.
3. The zvomudumbu hurongwa. Tinganetseka kuda kurutsa, kurutsa, uye kupatira. Mune zvimwe zviitiko, paiva kuwedzera chiropa makemikari.
4. Sema kuratidzwa. Possible mushonga Maitiro akadai kuvaviwa, ganda nekumhanyirira.

Saka zvakakosha kuziva kuti izvi marwadzo anonamata mushonga 'verapamil' Kurayiridza Chinyorwa. Reviews wevarwere vanoshandisa mushonga waakaudzwa nachiremba maererano zano, anoratidza kuti kwakadaro mananara zvinochengetwa chaizvo kashoma.

analogues mushonga

Pharmacology yakatanga zvokushandisa zvakawanda zvinogona kutsiva yepakutanga zvinodhaka. Zvisinei, zvaisambobvumirwa kusarudza analogues "Verapamil" tisingatungamirirwi.

Kana mukawana zvimwe ezvinhu (somuenzaniso, pachena nemishonga), uye unofanira kuwana mumwe nzira, kuva nechokwadi kuti bvunza chiremba wako. zano iri nyore achaponesa pamigumisiro kukodzera kurapwa.

Saka, funga chii muna zvinodhaka "Verapamil" anoreva zvakafanana, neShanduro:

• "Verakard".
• "Verapamil Sopharma".
• "Vero verapamil."
• "Isoptin".
• "Verapamil Mival".
• "Verogalid EP".
• "Isoptin SR 240".
• "Verapamil Eskom."
• "Lekoptin".
• "Verapamil ratiopharm".
• "Kaveri".
• "Verapamil Lect."
• "Finoptinum".

Zvokungwarira

Panguva mishonga "Verapamil" vanofanira funga zvinotevera:

1. varwere vose vanofanira kuongorora zvemwoyo nerevane kufema nehurongwa. Iva nechokwadi kuti kuongorora padanho shuga uye electrolytes muropa, weti vhoriyamu.
2. Kushandisa 6 g zvinodhaka anogona kukonzera kurasikirwa pfungwa, BP, sinus bradycardia, asystole. Muzviitiko zvakadaro, murwere kunoda symptomatic kurapwa.
3. The ibatanidzo medicament pamwe inhalation dzokutindivadza, antiarrhythmics, β-blockers dzinotungamirira vawedzere cardiotoxic kushanda.
4. Antihypertensive zvinodhaka uye diuretics chiwedzere hypotensive mugumisiro zvinodhaka.
5. Phenobarbital uye mushonga "Rifampicin" kuderedza kubudirira zvinodhaka "Verapamil".
6. Zvinodhaka "Lithium" uye "carbamazepine", apo kushandiswa pamusoro nzira, kuwedzera mukana neurotoxic kuratidzwa.
7. With wemishonga zvinodhaka "Verapamil" uye "Digoxin" anofanira kudzorwa muropa zviri yokupedzisira zvinodhaka. Sezvo mukuru njodzi kudhaka ndokumutsamwisa.
8. The sezvo ikashandiswa pamwe tsandanyama relaxants medicament kungawedzera matambudziko yokupedzisira.
9. Kugadzirira "Ranitidine", "cimetidine" vanobatsira kukwidza wevasungwa kuti vanoshingaira zvinodhaka fuma "Verapamil" ropa.
10. Tikafunga izvi zvinoreva chete medicament "Acetylsalicylic asidhi" kunogona kutungamirira ropa.
11. The rinoita fuma anokwanisa anobuda mukaka. Saka zviri chinodiwa chaizvo kushandisa mudziyo panguva lactation.
12. Vakadzi vane pamuviri vari ushandiswe mishonga chete kana zvinodhaka zvinobatsira amai kwakakwirira zvikuru kupfuura ngozi upenyu uye hutano mwana.

Reviews kugadzirira

Kungofanana mishonga ipi, vamwe varwere chokushandisa ichi kunonzwisiswa sezvo mishonga inoponesa anogona kusunungura hachifadzi zviratidzo. Asi vamwe varwere vanoshorwa chinodhaka, richiratidza nokuratidzwa nenjodzi.

Zvisinei, anenge vose vanhu achitora mishonga, kubvumirana chimwe chinhu: hunobatsira nomoyo matambudziko kana kumanikidzwa mishonga "Verapamil". Testimonials chaiyo Kumikidzo unhu hwakanaka chezvinodhaka.

It anokwanisa kuderedza kuitika arrhythmias. Medicine zvakakwana kunobatsira kuderedza BP neBP. Migumisiro yakanaka vanoonekwa nevarwere vanenge vanacho angina. Vanhu kuona dzinorwadza akasvetuka BP, dzinoti kuti nokuda medicament kukwanisa kudzokera dzinongoitika upenyu, normalizing chinzvimbo chacho.

Asi zvinenge zvose varwere kuti mushonga vakauya kwaibatsira kuratidza kuti pomutumwa akagadzwa chiremba.