Mushonga 'Carvedilol'. Mirairo yekushandiswa

Iyo mishonga "Carvedilol", maererano nevarwere, inobatsira uye ine simba. Mishonga iyi ndeyeboka revanhu vanorwisa antihypertensive agents.

Zvinoreva "Carvedilol". Tsanangudzo

Iyo nzira yekutsvaga zvinodhaka inobva pakadzivirirwa kwebeta 2-, beta- 1, alpha 1-adrenergic receptors. Kufananidzira mushonga we "Carvedilol", murayiridzo wekushandisa unoratidza kukwanisa kwaro kuderedza kutengesa, huwandu uye simba rekudzikisa kwemoyo, pasina kusvitsa bradycardia yakasimba. Kuvharwa kweAlf 1-adrenergic receptor kunokonzera kukura mumidziyo yeperiipheral. Nekudzivirirwa kwe beta 2-adrenergic receptors, mutauro mune imwe midziyo yemubhedha microcirculatory, bronchial tubes, uye peristalsis uye inzwi mumatumbo rinowedzera zvishoma.

Chirwere ichi "Carvedilol" chinokurudzirwa nehutachiona.

Akagadza mishonga mukati. Munguva yekutanga maawa makumi maviri nemaviri ekurapa, muyero uri 12.5 milligrams panguva. Mushure mekuwanda kwechirwere ichi kaviri (25 milligrams). Torawo kamwe kamwe pazuva. Pazvikurudziro zvechiremba, kana zvichidiwa, muyero wechirwere "Carvedilol" mirayiridzo yekushandisa inogona kuwedzerwa. Usatora zuva rinopfuura ma milligiramu makumi mashanu. Nhamba yacho inofanira kuwedzerwa kwete kamwe kamwe kamwe mazuva gumi namana. Kune vakwegura vakwegura, kubudirira kunogona kuonekwa pakutora 12.5 milligrams.

Kumigumisiro yemudhiyo "Carvedilol" mirayiridzo yekushandiswa inosanganisira zvikamu zvekudzvinyirira kudzvinyirira. Izvi zvinowanzoonekwa pakutanga kwerapi ("yekutanga chirwere syndrome") uye nekuwedzera kwekuwedzera kwehuwandu hwemishonga inotorwa. Sezvo mutemo, izvi zvimiso zvinobviswa zvakasununguka, zvisingadi kuchinjwa kweiyo.

Kushandiswa kwechirwere che "Carvedilol" kunogona kukanganisa kuwedzera kwemaitiro uye mumatumbo, maziso, musoro, kuneta, kushaya simba. Ikoko kunewo kutambudzwa kwei angina pectoris, kushungurudzika muhutachiona hwemvura, uye chiitiko chekuparadzanisa kwemukati. Kune rumwe rutivi kuratidzwa kwechirwere "Carvedilol" murayiridzo wekushandiswa unosanganisira kuwedzera kwehuwandu hweporioriyiti, mikoko, maitiro akafanana nekugadzirwa kwechirwere chakazara, allergic exanthema.

Muzviitiko zvisingawanzoiti, kutora mishonga kunogona kukonzera leukopenia, kushaya masimba, kufungidzira, kuwedzera mwoyo kusagadzikana, paresthesia (kupera), kuora mwoyo, kuora mwoyo.

Mushonga we "Karvedilol" unopesana nepamusoro wei atrioventricular kudzivirirwa kwechipiri neyechitatu, kukanganisa, kubhadhara mwoyo kusakundikana, kuora mwoyo kwechirwere, kusagadzikana kwepfungwa, chirwere chisingaperi chemapapu chinokonzerwa ne bronchoobstructive syndrome, hypersensitivity kumushonga. Haisi yakanyorerwa mahara uye panguva yekuzvitakura.

Special instructions

Carvedilol anonyatsorongedzerwa kune varwere vane mwoyo kusakatika uye chirwere chemwoyo. Mukuvapo kwekukundikana kwemoyo usati washandisa mishonga, zvakakosha kuitisa kurapa kwakakwana kubvisa kuratidzwa kwekudzivirirwa. Varwere vane chirwere chemwoyo chinonzi ischemic pavanotora mishonga "Carvedilol" inogona kuderedza kudiwa kwemyocardium muokisijeni. Munyaya iyi, kubviswa kwemishonga kunoitwa zvishoma nezvishoma, kudzivisa kukurudzirwa kwekurwa kwe angina pectoris.

Kwenguva yekurapa inorayirwa kurega kushandisa doro.

Pakutanga kwerapi uye nekuwedzera kuwedzerwa, munhu anofanira kurega kuita mabasa angave anokuvadza, kusanganisira kutakura kwekutakura.

Usati watanga kushandisa chirwere ichi "Carvedilol" unoda kudzidza rondedzero, enda kuna chiremba.