Zvavaifanira dzokushandisa "procainamide"

In nyika yedu, rufu mwero kubva zvemwoyo chirwere ndechimwe vaitungamirira nzvimbo pakati zvimwe zvinokonzera. Kwakaita vanhu hanya doro uye kusvuta, mumwe ndakagara mararamiro utano hwavo, murombo zvokudya, kupindwa muropa. Pari iripo vakawanda zvinodhaka kuti kwete kubatsira chete kutsungirira chemwoyo, asiwo kudzivirira chiitiko chavo. Mumwe mushonga zvakadaro "novokainamid", mirayiridzo kushandiswa ichakurukurwa hereinafter.

mushonga

Manufacturers vanobereka "procainamide" nenzira mbiri: mahwendefa uye jekiseni.

The vanoshingaira chezvinonhuwira neimwe Foroma ndiko procainamide, izvo zviri pamahwandefa 250 MG nerimwe, uye mhinduro 100 MG. Ebetsero zvinhu huri mahwendefa: karusiyamu stearate, starch uye lactose.

Kana isu kutora zvinodhaka mhinduro, mamwe zvinoriumba vari mvura jekiseni uye yavaibvisa disulfide.

Pharmacodynamics "procainamide"

Kana isu nezvazvo mushonga "procainamide" Instruction Manual rine zvinotevera: rinoreva Anti-arrhythmic zvinodhaka. Procainamide ndiro chikamu chikuru zvinodhaka sezvo yezviri chirungiso ane zvakanaka Kamudzira tisazununguka.

mashandiro ayo chiito kunobva braking huri kuuya chokubuda yavaibvisa ions uye kuderedza depolarization mwero pa razero danho. "Procainamide" anomanikidza conductivity, akazoita excitability mwoyo tsandanyama ari ventricles uye atria.

Procainamide anokwanisawo kupa uye vagolytic vasodilating maturo, iyo inotungamirira tikarega BP uye panowanikwa tachycardia.

Kana kunoratidza pokushandisa zvinodhaka

Heart mishonga ndivo zvinodhaka zvakakomba, izvo chero zvazvingava haigoni kubatwa pasina chiremba mushonga. Chete nyanzvi, vakapiwa chirwere uye unhu murwere anogona kumanikidza yakarurama chingamubatsira. Zvairatidza Dzokushandisa "procainamide" sezvinotevera:

• Varwere hanya tachycardia.
• Pane ventricular rokusamhanyira anorova.
• Atrial flutter.
• Ventricular arrhythmia.
• Atrial rokusamhanyira anorova.
• WPW syndrome.
• Atrial fibrillation.
• Mwoyo mutinhimira vachivavhiringidza.

diagnoses zvose izvi unosimbiswa chete pashure kumbonyatsoongorora kuzviongorora murwere.

Contraindications

pamusoro pokushandisa "procainamide" Guide rinewo mashoko contraindications kuti kushandisa zvinodhaka. Kugamuchira zvinodhaka zvisina yakaratidza kuti:

• Arrhythmia, izvo zviri kukonzerwa ane ovhadhozi pamusoro cardiac glycosides.
• AV blockade 2 uye 3 madhigirii.
• Kana paine leukopenia.
• Hypersensitivity kuti zvinodhaka.
• Kana pane hadzina kufambiswa zvakanaka ari chiropa kana itsvo.
• In pamberi myasthenia gravis.
• Myocardial infarction inewo contraindication kuti kushandisa zvinodhaka.
• Yakakwirira BP.
• Atherosclerosis.
• Árbol asima.
• Mirayiridzo kushandiswa "procainamide" anonyevera nokungwarira kugadzwa zvinodhaka kune vakwegura.
• Cardiogenic kuvhunduka.
• Chinonzi systemic lupus erythematosus, kusanganisira nhoroondo chirwere.
• Panguva achiyamwa.
• Hazvina kunaka kushandisa vana pasi pemakore 18 okuberekwa "procainamide" kurayira Chinyorwa harina ruzivo pamusoro kubudirira uye kuchengeteka mushonga muchizvarwa ichi.

Chipimo chemushonga neMarapirwo zvaiitwa

The mushonga unogona kutorwa nomuromo muchimiro mapiritsi, majekiseni nomutsinga kana intramuscularly.

Kana kupiwa "novokainamid" mhinduro, mirayiridzo kushandiswa mune ampoules rine mashoko akazara pamusoro kushanda.

For intravenous kwokubatsira 100-500 MG procainamide zvazvichanyungudutswa sesaline uye chinotarisirwa zvishoma nezvishoma, pamwero anopfuura 50 MG paminiti. Panguva kupinza hako vanofanira kudzora BP.

Pane mamiriro ezvinhu anoda inodzokororwa kwokubatsira zvakafanana zvinodhaka kuti vabudirire zvinozoita. Kuitira Kudzivirira arrhythmia aizomupa rinoitwa pamwero wenyika 2-6 MG paminiti.

Kamwe yacho kurwisa, anogona kuramba migumisiro intramuscular jekiseni rine mushonga ari chitsama 0.5-1 magiramu.

Sezvo muviri mumiririri "novokainamid" raitongwa intramuscularly pa 50 MG paminiti makirogiramu chete murwere pazuva, kuti dose anofanira kukamurwa majekiseni akawanda.

The kunonyanyisa dose nevakura nokuda intravenous kana intramuscular Kutarisirwa 1 giremu pa jekiseni, kana 3 magiramu pazuva.

Zvinoreva kuti "procainamide" mirayiridzo kushandisa mapiritsi pakutanga kurapwa inokurudzirwa kutora awa rimwe pamberi kudya kana 2 maawa pashure zvokudya. Dzinodzeya hwendefa haisi zvakakodzera, uye kunwa mvura yakakwana.

Kana pasina nemishonga, unogona kutanga kugamuchira zvakafanira kuchirapa dose, zvinogona kubva mumwe mapiritsi matatu. Yokuzvigadzirisa kurapwa chiremba prescribes rimwe piritsi 6 maawa ose.

sadikanwa migumisiro

Kana prescribers "procainamide" mirayiridzo kushandiswa inofanira zvakanaka kunzwisiswa. Mariri unogona kuwana ruzivo pamusoro panowanikwa nemishonga panguva kurapwa pamwe zvinodhaka ichi. Idzi dzinosanganisira:

1. Ataxia.
2. Pfungwa siyana.
3. Chimiro pfari.
4. Dzungu.
5. In Muzviitiko zvakaipisisa, anouya pasi zvisipo.
6. Myasthenia gravis.
7. Pane kakawanda nomusoro.
8. Murwere anotanga vanotambura nokuora mwoyo.
9. Pane zviitiko kudzvinyirirwa medullary hematopoiesis.
10. Kushushikana kuravira.
11. Nechirwere kupererwa neropa.
12. Pane ventricular tachycardia.
13. Arterial neBP ipfupi.
14. Kwakakanganiswa intracardiac conductivity.

Kana "procainamide" kurapa ushandiswe kwenguva yakareba, unogona kuva lupus. Vamwe varwere vave Akataurawo kuti munguva kurapwa pamwe microbial noutachiona kunogona kurwisa, uye pane kwenguva refu chokuporesa.

Symptomatology zvinodhaka ovhadhozi

The bepa kwainzi mushonga "procainamide" mirayiridzo description, mufananidzo pazasi inoratidza izvo zvingave zviratidzo ovhadhozi panguva kurapwa.

Inogona dzinoratidzwa zvinotevera zviratidzo:

• Zvakakomba dzungu.
• Somnolence.
• Pamwe kutofenda.
• Vhiringidziko.
• Kurutsa.
• Unoraramisa kwemwoyo.
• Pane paroxysmal tachycardia.
• Murwere anorasikirwa kudya.
• Manyoka kunotanga.
• Kunoderedza BP.
• Richaparara.

Nokuti rwekutanga anofanira raitongwa murwere, "Phenylephrine" uye "Norepinephrine" kana BP akawa. Zvinobudirira achishandisa kubatsira vari gastric lavage, hemodialysis.

Drug kudyidzana nevamwe mishonga

pamusoro pokushandisa "procainamide" Chinyorwa chine mashoko zvinodhaka aiita zvimwe zvinodhaka. Unofanira kuziva usati watanga kurapa pamwe kuti:

• The mushonga runogonesa migumisiro nokutora relaxants, anticholinergics.
• Anotowedzera kumukomborera matambudziko antihypertensive zvinodhaka.
• Kana ikatorwa panguva imwecheteyo, antihistamines, atropine kunosimudzirwa.
• Kana nokugamuchirwa rinoitwa panguva imwe chete "Pimozoda" kuti kunogona kuonekwawo pane unonzi, electrocardiograph dzikawedzerwa pamusoro penguva QT.
• The mushonga kunowedzera parutivi migumisiro apo achitora "bretylium tosylate."
• It anowedzera mukana wokuti nekukudziridza arrhythmogenic maturo kana vaviri vakagadzwa antiarrhythmic zvinodhaka.
• Kugamuchira Joint "Cimetidine" Anowedzera hafu-upenyu "procainamide" uye kunoderedza renal Clearance.

Pamberi kugadzwa zvinodhaka chiremba anofanira kubvunza chii mishonga murwere anotora, kufunga zvose zvinobvira mukukurukurirana.

manotsi zvinokosha kana kugamuchira "procainamide"

Zvave kuti unofanira kutora mahwendefa mushonga usina chawadya kana pashure vaviri maawa pashure kudya. Geza pasi aine mugaba mukaka kana mvura. Kana yakatarwa jekiseni, mushonga inofanira rakasanganiswa asati kutarisira.

Panguva kurapwa "procainamide" vanofanira kuramba akuteerere BP, ropa leukocytes uye kuita kwemwoyo unonzi, electrocardiograph.

Pashure kurapwa Varwere vakawanda hwakanyorwa yakakwirira kwevari antinuclear antibody titer. Kana kushandiswa kwenguva refu zvinodhaka pashure pakuvhiya mwoyo, ipapo zvingamuka leukopenia.

Varwere vakwegura pangozi yokubatwa hypotension, saka unofanira kuchengeta kumanikidzwa pasi pesimba. Kunyanya kungwarira zvinofanira kushandiswa kana kutungamirira zvinodhaka ichi kuvana. Chipimo chemushonga inofanira nokungwarira dzaona.

Kugamuchirwa "procainamide" inobata wevasungwa wako, unofanira saka havafaniri kutyaira panguva kurapa pamwe zvinodhaka ichi. Uyewo muchinyatsochenjerera uye avo mabasa anoda zvakawedzera kutarisirwa uye mumisasa, kuitira kuti kukuvara.

Kutora zvinodhaka panguva yepamuviri

pamusoro pokushandisa "procainamide" Chinyorwa anonyevera kuti kushandisa zvinodhaka panguva yepamuviri zvingaita kuti vasanyanye BP, izvo zvaizoitawo kazhinji kunotungamirira kune utero-placental insufficiency.

Drug analogues anoreva zvakafanana

Analogues chero mushonga vari zvinodhaka kuti vane yakafanana kukanganisa muviri. Kana tikafunga zvinodhaka "procainamide" (description, analoginen mufananidzo), zvino ane zvishoma zvinodhaka izvi:

• "Ajmaline" sechinhu Kuisa pfungwa pachinhu kuti mhinduro.
• "Aymalin" dziri mahwendefa.
• "Quinidine Sulfate".
• "Hinipek" mapiritsi.

Pasinei chokwadi kuti analogues zvose kunodarowo, pashure zvose, hazvina zvakakodzera kuti mishonga yavo pacharo. Chiremba kufungisisa zviri chirwere, uye ibasa murwere mushonga kuti zvaizova tibudirire.

Kuwedzera nemamwe, kuchine zvakafanana mu "procainamide", muri zvinodhaka pamwe chete rinoita chirungiso. To avo vanosanganisira:

• "Novokainamid-Verein" - ndiyo mhinduro intravenous uye intramuscular jekiseni.
• "Procainamide-Escom" ndiyewo mhinduro jekiseni.

With chero chirwere unogona nguva dzose kusarudza analogues anoreva zvakafanana zvinodhaka, izvo ushandiswe nachiremba. Varwere vakawanda vanotungamirirwa mutengo uye edza kuti atenge isingadhuri dzomuzana, asi zvinofanira kurangarirwa kuti yezviri chirungiso zvingava chete, asi pamwe nevamwe zvinoumba wemishonga anogona kupa yakasiyana zvachose kushanda. Prisushivaytes mazano nyanzvi, uye kwete kuzvidzora medicate, mberi kwete kukuvadza utano hwako.