Izoptin: mirayiridzo kushandiswa

In varwere neBP kugadza izoptin. Mirayiridzo kushandiswa kwezvinodhaka riri pamusoro zvairatidza, nemishonga uye contraindications.

Kuwedzera Mabatirwo neBP izoptin vanoshingaira fuma iri verapamil, kunonyora uyewo angina uye tachyarrhythmia. Pakati pezvimwe zvinhu, zvinodhaka alginates uye polysaccharides zvinobva algae (brown), iro anoshumira muzasi zvinhu nokuda hydrocolloid chizvaro. Kana iwe tora izoptin (mirayiridzo kushandiswa huchinyatsoratidza nawo) pazuva kamwe, ayo kuchirapa nezvinozoitika zvechigarire. Izvi mushonga kutigumbura karusiyamu migero, kunoderedza vascular nemishonga, apo haana kuwedzera kakawanda mwoyo sunga. Uyezve, verapamil pamwe kugara kushandiswa hakuiti kuva arrhythmias uye kunodzikira mu cardiac tsandanyama dzishande.

Kana chiremba rakagadza izoptin, rimwe zuva pashure mharuro zvinodhaka murwere kunoderedza kufurirwa, uye ichi zvazviri anodzokororwa, kana murwere anopfuurira pakurapa yaida zano, mumwe chiremba. Pashure pezvose, rudzi kutadzisa achibvumira chinoenderera, anenge Linear kusunungurwa zvinoshingaira wemafuta zvinodhaka, iyo dzinovimbisa pakuchengetedza chechetere zvinodhaka ari plasma.

Izoptin takabatikana, murayiridzo uyu yakarurama, ura diki anenge zvachose (90-93% mwero Absorção de Água). Kana kamwe kutora mushonga, ayo hafu-upenyu huchava maawa 3-7. Kana chete nzira iri refu, iyi ichava anopfuura maviri kana katatu. Vakaratidza izoptin, murayiridzo Chinyorwa zvakarurama, kunyanya kuburikidza nezvezvimwe zvinetso zvedundira, uye mutsvina yadzo yayo zvachose 16%.

Sezvo basa chirungiso iri nyore chinokunda placenta, izoptin panguva pamuviri hakuratidzwi. Izoptin anomira yake mukaka waamai, asi mumukaka wevasungwa uri kunyora nezvavo, saka mwana haana pharmacological migumisiro. Asi nyanzvi vachiri regai kuvakurudzira kutora panguva lactation.

Ushandiswe mushonga uri kunyanya zvinotevera zvirwere:

• chiedza uye avhareji mwero neBP (basa monotherapy);
• zvakakomba mwero neBP (basa rakaoma nevamwe zvinodhaka - diuretics etc.).

Uyewo izoptin ichi, mirayiridzo kushandiswa nayo kutaura kushandisa kuzvidzivirira mumiririri kuti angina pectoris (kusanganisira Pintsmetala) uye supraventricular tachyarrhythmias.

Chipimo chemushonga mune chero nyaya anosarudzwa zvachose nomumwe, nekuti zvinodhaka ichi ane contraindications. Somuenzaniso, haigoni kupiwa vaya kuva cardiogenic kuvhunduka kana rikwanise chokutambudzika myocardial infarction rakaoma nokuda bradycardia, vanotaura pamusoro vakasiya ventricular, pasi BP. Hazvitenderwi kushandiswa isoptin blockade AV II-III dhigirii uye sinoatrial. Prudence zvinoda mishonga panguva yepamuviri.

Pakati divi Marwadzo bradycardia, sinus, kuda kurutsa, hypotension, kutya, nomusoro, kupatira, paresthesia. Sezvo zvinodhaka izvi zvingaita kutya, dzungu, kurukutika, lethargy zviito, kugamuchirwa raro chisingadiwi kana kutyaira motokari. Panguva kushandiswa isoptin haagoni kutora doro.

Zvibereko izoptin mune hwendefa chimiro uye 240 kusvika 120 MG.

mishonga iri ushandiswe, senguva dzose, zvinotevera chipimo chemushonga: pazuva kamwe kana kaviri, kana pamberi kudya kana pakarepo pashure pacho. Zvanzi non-absorbable piritsi isoptin asina rikamunya muchindwi akandoshamba pasi nemvura (a miduku). Treatment pamwe verapamil (Isoptin) High BP iri chete kuitwa pasi zvokurapa achitarisirwa. Kazhinji kutanga kurapwa pamwe chete piritsi. Kana uchida maximize zvishoma nezvishoma rutapudzo rimwe cheBP, chiremba prescribes kugamuchirwa poltabletki rimwe zuva (mangwanani), kuguma vhiki rechipiri akazoteverwa imwe dose pamusoro 1-1.5. Pashure pevhiki mbiri, chipimo chemushonga anogona ngazviwedzerwe Mahwendefa maviri, asi hapana zvimwe. Makavigwa yechipiri iyo kubatwa manheru kuitira kuti nguva pakati mishonga aiva maawa 12.