Drug "Inderal" - kubva chii? Zvakaitwa zvinodhaka, "Inderal"

Kazhinji, vanachiremba mishonga kuti varwere vavo 'Inderal'. Kubva izvo zvinobatsira kubvisa? Chii? Pane contraindications kuti mushonga? nyaya idzi dziri mubereko varwere vakawanda.

Drug "Inderal": kusunungurwa chimiro uye sezvamunoita

Kusvika panguva mushonga ukasunungurwa muchimiro pellets duku, asi pane mhinduro jekiseni Zvisinei, iyo, rinoshandiswa zvikuru zvishoma kakawanda.

The chikuru vanoshingaira wemafuta zvinodhaka ndiko propranolol hydrochloride. Hwendefa nerimwe rine kana 10 kana 40 MG kuti chikamu ichi. Chokwadi, kugadzirwa uye kushandiswa adjuvants: colloidal nesilicon dioxide, talc, karusiyamu stearate, zviyo starch, uye microcrystalline cellulose.

Pharmacological ehupfumi zvinodhaka

mushonga uyu Beta-blocker kusingasaruri anokonzerwa. The vanoshingaira wemafuta ichi zvinodhaka maturo attenuates tsitsi pulses kuti myocardial Beta receptors. Saka, vasanyanye kakawanda uye simba mwoyo sunga, uyewo neutralization migumisiro catecholamines. The mushonga kunoita kudikanwa kwemoyo tsandanyama reokisijeni. Pasi nawo, pane rutapudzo BP.

Asi chiito ichi "Inderal" kwete mugumo. Somuenzaniso, pakarepo mushure achitora zvinodhaka zvinowedzera mataurire Árbol tsandanyama uye uterine vanokwanisa. Uyezve, pane kuwedzera injini uye secretory basa zvomudumbu hurongwa.

Pamusoro pokugamuchira hwendefa urwa nokukurumidza zvomudumbu turakiti, pashure izvo unorapa kupinda ropa. Propranolol kunonyanyisa wevasungwa aona pashure maawa 1-1.5 pashure kutarisira. The mushonga rinowanikwa muchimiro metabolites neitsvo. The hafu-upenyu maawa 3-5. Propafenone muiti chete anogona kuramba muropa maawa 12.

Zvairatidza kuti rubvumo

Chokwadi, nhasi varwere vakawanda ushandiswe mushonga, "Inderal". On chii chinoita chokushandisa ichi? Chokutanga, zvinofanira kucherechedzwa kuti chikuru chiratidzo kuteerera ayo zvirwere kumwoyo, achiperekedzwa kuwedzera BP. Somuenzaniso, zvinonzi ushandiswe vanhu kutambura nekuora BP, uye atrial uye sinus tachycardia.

Mune zvimwe zviitiko, kurapwa kushandiswa mitral vharuvhu prolapse, uye neurocirculatory dystonia, hypertrophic cardiomyopathy, uye myocardial infarction.

Pane zvimwe zviitiko umo zvinodhaka inoshandiswa "Inderal". Kubva chii zvimwe zvinobatsira? Dzimwe nguva mushonga ava rakaisvonaka kudzivirira severe Migraine kurwiswa. Pamwe nemamwe zvinodhaka akashandiswa kurapwa kuti ucharwadziwa. Chinonziwo kuti kurapa hemangiomas "Inderal" sezvo kazhinji kubudirira, uye kunyange mukutanga mumatanho kunobatsira kudzivisa kuvhiya kupindira. Kunyange zvazvo mushonga yambokurukurwa hazvisi zvachose kuti chinangwa ichi mu vavhiyiwa ano chinowanzoonekwa ushandiswe kunyange vana.

Mahwendefa "Inderal": mirayiridzo kushandiswa

Mahwendefa zvakanakisisa akatorwa maminitsi 10-30 pamberi zvokudya, zviri chinodiwa kuti tikanwa zvinwiwa zvakawanda. Pakarepo zvinokosha kuziva kuti chete chiremba anogona mishonga mushonga "Inderal". The dose Akatsunga nomumwe.

Kazhinji, mabiko kutange 10 MG pamusoro propranolol pazuva. Kana mushonga zvakanaka akashivirira, nezuva huwandu iri kuwedzera zvishoma nezvishoma kusvika 80-100 MG, rakakamurwa migove mina. Mune zvimwe zviitiko (kana kugadzirira haakonzeri divi siyana, uye mishonga mugumisiro simba), kuti dose anogona ngazviwedzerwe 180-300 MG, muzvikamu 4-6 mishonga.

Duration kuti ARV akaronga mumwe nomumwe nomumwe murefu, asi somunhu mutemo, mishonga iri vhiki 3-4. Mune zvimwe zviitiko, vanachiremba vanoti kuregawo kwemwedzi miviri, uye vadzokorora.

Kana tiri kutaura pamusoro arrhythmia kana coronary chirwere, kuti Beta-blockers tora yakareba. Asi iyi ndiyo zvikuru iri zvishoma nezvishoma kubviswa chezvinodhaka. Kana iwe pakarepo kunwa, unogona kuguma kwazvo uye ngozi matambudziko.

Contraindications kurapwa

Zvechokwadi, mune ichi kana mishonga ine contraindications. Kunyanya, mushonga hauna kushandiswa kurapa varwere vane wakakwana kana rushoma blockage pamusoro atrioventricular kana sinoatrial. Uyezve, contraindications pakugamuchira chinhu sinus bradycardia, panguva iyo kwemwoyo iri anorova 50 paminiti. The mushonga haafaniri kupiwa varwere vanenge hypotension.

The mushonga ari contraindicated mune vanhu vane mamwe zvirwere kufema hurongwa. Somuenzaniso, hazvifaniri kutorwa nevarwere zvakaoma. asima, uyewo vanhu vane tsika bronchospasm. Contraindications tiri vanoonekwa vatsvaire peripheral vascular chirwere uye Raynaud vake Syndrome uye chirwere cheshuga.

Ko divi migumisiro zvinobvira?

Kutaura zvazviri, pane vakawanda zvirwere kuti kuonekwe 'Inderal "apo achitora zvinodhaka. Chii chinombodiwa akarasikirwa kureva? Chii kunotsvaka? Kakawanda, mishonga hunokonzera chirwere pamusoro zvomudumbu hurongwa. Somuenzaniso, vamwe varwere chokunyunyuta pamusoro zvikuru kuda kurutsa, uko kazhinji achiperekedzwa kurutsa, uye epigastric kurwadziwa. Possible uye manyoka. Ndoda kuitika zvakawanda zvakakomba nemishonga, kusanganisira siyana chiropa zvinetso, uyewo ischemic colitis.

Apo neapo neutachiona, achiperekedzwa kuvaviwa, akatsvuka uye mikoko. Mune zvimwe zviitiko, mishonga iri akaona exacerbation kuti psoriasis uye alopecia. The mushonga kungaita munhu atadze kushanda zvakanaka pamusoro kufema ezvinhu, kusanganisira bronchospasm, laryngospasm, uyewo vangakosora uye kupfupika mweya.

On chikamu kweropa ino zvinokwanisika nemishonga yakadai bradycardia uye hypotension. Mukuwedzera, mushonga kunogonawo kukanganisa tsinga, kukonzera kunzwa mwoyo, kushaya hope, uye kurota zvinotyisa. Zvingakonzera nomusoro, dzungu. Zvikuru kashoma, varwere kuva depression.

Drug "Inderal": ovhadhozi, zviratidzo zvayo uye kurapwa

Kutora zvakare huru imwe dose kurapwa kunogona sei kukanganisa muviri wose. Zvikurukuru, zviratidzo zvinosanganisira zvikuru dzungu, uye utera. Kazhinji pane raidudzwa zvinoderedza BP uye arrhythmia, bradycardia, uye zvimwe zvirwere zviri kweropa ino kusvikira kukura mwoyo kukundikana.

Kune dzimwe zvinetso, pakuonekwa iyo kugamuchira vazhinji 'Inderal' zvinodhaka kungaita. Ovhadhozi angaperekedzwa kupfupika mweya, bronchospasm. Dzimwe nguva pane nokugwinha uye kuparara.

Munhu akafanana zviratidzo vanofanira kukurumidza kurwira kuti zvashata dhipatimendi. Kana zvichibvira, kunyengedza kurutsa. Somunhu rubatsiro rwekutanga vanachiremba riite gastric lavage uye raitongwa varwere adsorbing pomutumwa. Uyezve kurapwa zvinoenderana sei simba kukuvadzwa zvaitwa. Somuenzaniso, ari glycosides anoshandiswa mumoyo kukundikana, sezvinoratidzwa nokugwinha zvinodhaka "Diazepam".

Kudyidzana nevamwe zvinodhaka

The unorapa zvinodhaka anogona kushamwaridzana nevamwe zvinodhaka. Somuenzaniso, propranolol antihypertensive ehupfumi vari dzinowedzerwa mawa rokutarisira kupinda muviri dzokutindivadza simpatolitikov, monoamine oxidase FIs uye hydralazine. Asi kuvapo muna neropa mahormone (zvikurukuru estrogens uye glucocorticoids) uye nonsteroidal antiinflammatory vamiririri, nekusiyana, akazoita mugumisiro kutora mapiritsi "Inderal". Pakatanga kusiyana nhau yekudyidzana kunowedzera mukana wokuti nekukudziridza anaphylactic siyana. Naizvozvo unofanira kuudza chiremba wako pamusoro mishonga zvose kubatwa.

Ndinogona kushandisa mishonga panguva yepamuviri?

Pakarepo zvinokosha kuziva kuti kushandisa zvinodhaka "Inderal", uyewo anongoda mamwe Beta-blocker iri contraindicated panguva yepamuviri. Chokwadi kuti mishonga iyi kunoderedza placental perfusion, izvo zvinozoita kunowedzera ngozi fetus rufu kana rokusamhanyira pakuberekwa. Mune zvimwe zviitiko, mabiko zvinodhaka kuti mai kunotungamirira kukura bradycardia ari mudumbu. A mukuru fungidziro yematambudziko siyana ari postpartum nguva, kunyanya chikamu kufema uye kumwoyo.

Chiremba wenyu anogona mishonga mushonga uyu pamuviri murwere chete kana kuti zvinotarisirwa kubatsira kwaari kupfuura zvingakanganisa mwana. Nenzira, chikuru zvinoriumba zvinodhaka anogona kupinda mu mukaka, saka lactation somunhu contraindication.

Mamwe mashoko pamusoro mushonga

Nhasi, vanhu vakawanda vanoda kuziva mibvunzo pamusoro chii chinoumba mushonga 'Inderal' mirayiridzo kushandiswa, mutengo, zvingakonzerwa nemishonga. Pakarepo zvinokosha kuziva kuti nyanzvi categorically arambidzwa panguva kurapa kunwa doro. Chokwadi kuti doro pamwe mapiritsi kunogona kutungamirira zvinouraya unopinza kuderera BP.

Achengetere mushonga unofanira yakaoma inodziya nzvimbo, yakadzivirirwa kubva zvakananga chezuva ari tembiricha kwete kupfuura 25 Celsius.

Kana mutengo mishonga, izvozvo anoda kubva 40 kusvika 100 rubles. Panzira, mune chero chemishonga unogona kutenga mapiritsi 'Inderal', mushonga hauna zvaidikanwa ichi. Tine zvinodhaka uye analogues, zvikurukuru, rinoreva "Inderal", "Propamin", "Stobetin" nevamwe.