"Ritmonorm": analogues, mutengo, mirayiridzo kushandiswa

"Ritmonorm" - zvinodhaka pamwe antiarrhythmic chiito. Kana kushandisa zvinodhaka zvinogumbura yavaibvisa makwara. The mushonga ine yakananga Kamudzira-pakudzikamisa matanho kunokanganisa myocardiocytes. Asati kurapwa yokudzidza ehupfumi "Ritmonorm" chinodhaka, mirayiridzo kushandiswa, zvechokwadi dzomuzana. Funga mashoko aya zvizere.

mushonga zvinoriumba, Kuronga

Kugadzirira yakaitwa nenzira zvemapuranga mahwendefa. The achishingaira fuma inoshandiswa murwiyo - propafenone hydrochloride. Hwendefa nomumwe ane MG 150 vanoshingaira chirungiso. Mahwendefa dzinewo adjuvants akadai titanium dioxide, microcrystalline cellulose, starch zvinobva zviyo starch, magnesium stearate, hydroxypropylmethylcellulose 2910 uye croscarmellose yavaibvisa. Pakati pezvimwe Opsioneel zvinoriumba - macrogol 6000 uye macrogol 400, Yakanatswa mvura.

Chaizvoizvo zvinodhaka

Zvinoderedza kufadza zvinoita nokukurumidza, zvinogona kuitika chete depolarization nezvezvakaitwa mukana (danho 0), anawo zvinodhaka kunokanganisa amplitude pakati fibers (nezvokunetseka vose ventricular contractile fibers uye Purkinje) kuchititadzisa otomatiki Implementation. Uchipfuurira Purkinje fibers riri nomumugwagwa kwaitora nguva, nguva apo mufambiro, izvo akaona ari atria uye sinoatrial raiva pedyo nebundu, chinoshanda. "Ritmonorm" chinodhaka analogues hazvina zvazvinoita zvakarurama nguva inodiwa kuti normalization pakati mashandiro namadhimoni kuburikidza sinus raiva pedyo nebundu panguva magetsi dzishande, kana zvimwechetezvo ndiye usingashandi. Electrophysiological Migumisiro vari richiratidzwa nani myocardial ischemia, migumisiro M-holino- uye Beta-adrenoceptor ichivharira munyoro.

The medicament "Ritmonorm" chinodhaka analogues vane yavo sezvamunoita zvinhu kuti zvinopa kuitira kunaka inotropic chiito, izvo zvinowanzoita aripo kana indekisi pamusoro rworuboshwe ventricular ejection hacho ipfupi.

Basa medicament anorondedzerwa se omunzvimbo rufimbi, pane kufanana ne basa "Procaine". Munobuda "Ritmonorm" anotanga maminitsi 60 mushure zvemukati kushandiswa. The kunonyanyisa efficacy zvinodhaka riri dzakaonekwa pashure avhareji yemaawa 2.5 tapinda muviri, ya kushanda akawana inochengeterwa avhareji yemaawa 10.

Apo womukati kugamuchirwa Absorção de Água ari nemudumbu kunoitika anenge zvachose. Muviri ari chiropa. The mushonga wacho zvishoma kwakaratidzwa kwemaawa anenge 5 uye abviswa muviri sezvo metabolites mu netsvo uye chiropa, aripo ari bile.

umboo

"Ritmonorm" analogs mumiririri raitongwa kurapa chirwere chete. Mahwendefa zvinoshandiswa zvinotevera nyaya:

• ventricular fibrillation;
• paroxysmal supraventricular tachyarrhythmia.

Contraindications

Contraindications ndeinotevera:

• Hypersensitivity kuti zvinoumba zvinodhaka;
• bradycardia akaratidza;
• chirwere apo akacherekedza sinus;
• mwoyo kutadza chirwere hunhu;
• myasthenia gravis;
• nemuumbi zvinoderedza BP;
• bronchospasm;
• Nguva gestation mwana, achivadyisa mukaka;
• obstructive chirwere umo mumapapu vanokanganiswa yokuvamba inorema uye vanotogara;
• Vana zera (Makore asingasviki 18);
• vakaratidza matambudziko intraventricular, atrioventricular uye sinoatrial conduction;
• kwakaziviswa hadzina kufambiswa zvakanaka zviri itsvo uye chiropa;
• cardiogenic kuvhunduka kunze arrhythmic kuvhunduka;
• hyper- kana hypokalemia.

"Ritmonorm" chinodhaka analogues hazvibvumidzwe kubva kushandisa pakutanga mitatu, kana munhu aiva mwoyo kurwisa kana nokuderera rworuboshwe ventricular ejection hacho. The anosiyiwa ndivo varwere vave kuzivikanwa ventricular fibrillation, chirwere chinogona kwete chete utano, asi upenyu.

Vamwe zvinhu vanoda kutarisirwa munguva kurapwa zvinoda kungwarira zvokurapa achitarisirwa.

kushandiswa kwezvinodhaka

Mahwendefa anwe pashure kudya, pakuparadza rose. Duration kurapwa chinosimbiswa chiremba kufungisisa zhinji zvinhu. Izvi zvinoshandawo kune dose zvinoreva "Ritmonorm". Analogs akadaro kugadzirira mutengo (nechepazasi) anoita murombo uye va neudhadha nzira. zvinodhaka ivava zvakanaka kuita basa, asi zvazvinoita kungava siyanei.

Panguva kutanga kwekupwanyiwa Zvinokurudzirwa kubatwa muchipatara. Varwere Adult yairema anodarika 70 makirogiramu ushandiswe kurapa, kwakavakirwa kubvuma gadziriro katatu. Kazhinji, asi dose akaronga rinodyiwa pane imwe nguva iri 150 MG.

Muzviitiko apo QT penguva uye QRS kunzwisisa yakawedzera 20% kana kupfuura achienzaniswa nevaya vave pamberi pakutanga yokurapa, ari dose ipfupi. Pane imwe nzira - kwekanguva discontinuation kurapwa.

Yepamusoro mishonga zvinodhaka anogona kuitwa, nokuchengeta penguva mazuva matatu. Muchiitiko chino, zvinokwanisika kuwedzera kune vaifanira 300 MG kaviri pazuva (dzimwe nguva matatu).

Varwere pakukwegura aine uremu muviri isingadariki 70 makirogiramu vanopiwa kwakaderedza mishonga kuti "Ritmonorm" (Mahwendefa) zvinodhaka. Reviews, rondedzero, analogues nematurusi kubvumira kuti vaongorore mukana mishonga uye kuritsiva, kana zvakakodzera.

Kana mushonga kubatwa varwere chiropa nematambudziko, asi dose kushandiswa, kuderedzwa 20-30% (sezvo cumulation anogona kuitika) pamwe itsvo nematambudziko - kuderedzwa 50%.

nemishonga

Kumurwere yaivhuvhuta kuchinja zvemwoyo uye huta enyika, kuti nemudumbu anogona kuonekwa. Possible kutyorwa dzokubereka nadzo uye kuchinja murabhoritari parameters. Pakati mhiri migumisiro - ganda mapundu (Hemorrhagic), arthralgia. Bronchospasm zvingaitika, mukuru utera.

Zvokungwarira

kugamuchirwa "Ritmonorm" zvinoreva unogona kumisa kana zvakakodzera. Analogs uye Sevamiririri mushonga inofanira kuchinjwa nachiremba wako. Kukanzura "Ritmonorma" Zvinobvira pashure kuwana zano mazvikokota.

Marapirwo kunoda nguva vakaongorora pakuenzanisa electrolytes uye ECGs. Nguva nenguva, zvinokosha kudzora uye zvimwe zviratidzo.

Kana kurapa varwere vane akasima pacemaker, unofanira kuteerera kuchinja pacing pachikumbaridzo defibrillation. Zvibereko zvavo anoita fanira parameters kururamiswa inoshanda pamwe pacemaker.

The mushonga inofanira kubatwa nokungwarira vaya kutyaira motokari kana mumabasa kuti zvinoda kukurumidza kuita uye kutarisirwa.

Avo kuronga kubatwa "Ritmonorm" zvinoreva kurayira, mutengo mu Pharmacies analogues kungava kufarira. Pazasi ndiwo mutengo zvinodhaka anoitsivanisa uchapupu evanhu vakabatwa "Ritmonormom" uye akagovana pfungwa dzavo.

Analogs, mari chinodhaka, wongororo

Mutengo zvinodhaka riri pamusoro 545-700 rubles. nokuti kavha mahwendefa (50 hrs.). Pakati anozivikanwa analogues - "Profenan", "Propastad", "Prolekofen". Kazhinji vanachiremba varayire chinotsiva "Propafenone RP 300" kana kunobereka "propafenone RP 150" yokutsiva zvinodhaka. Kana uchida kusarudza analoginen anogona kupa kupfuura "propafenone" kana "propanorm".

Vasati kurapwa, mishonga "Ritmonorm" analogues, mutengo, mirayiridzo kushandiswa handiyo chete chinhu kuongorora. Zvinobatsira tinyatsoziva. Sezvo ongororo, mushonga kuti munhu anogona kubatsira, uye munhu haana kuuya chero mugumisiro. Kune vanhu vanotora mishonga kana uchinzwa kurwara, panewo vaya vakavaitira pamusoro zano chiremba. Kana vaitarisira mugumisiro asipo, kudiwa aripo okuwedzera rokuongorora kuti aruramise isingachinji kurapwa regimens.