The mushonga 'diltiazem'. Mirayiridzo yokushandisa

The mushonga "Diltiazem" mirayiridzo Chinyorwa chokuita karusiyamu gwara blockers kuti boka digidropiridonov. Anoreva zvakafanana mishonga munowanika "Kordiazem" "Angina" Aldizem "," Cardio "uye vamwe.

Medicament "Diltiazem" mirayiridzo Chinyorwa anokurudzira angina panguva coronary angiography kana coronary tsinga ndavhiyiwa kuti kudzivirira coronary spasm. By zvinoratidza zvinosanganisira BP pashure infarction (kunyanya panguva kutadzisa siyana Beta-blockers vari contraindicated), varwere shuga nephropathy. Intravenous zvinodhaka panguva ventricular fibrillation uye flutter, paroxysmal supraventricular tachycardia. Majekiseni anoshandiswa (pavanoparidza pakugadzirira "Digoxin") kubvisa paroxysmal arrhythmias (atrial). Kugadzirira "Diltiazem" mirayiridzo Chinyorwa anokurudzira pashure itsvo transplantation kuti kudzivirira batanidza kukundikana, uyewo kuderedza nephrotoxicity kuti cyclosporin A panguva immunosuppressive kurapa.

The mushonga ane kunaka chronotropic chiito (kuderedza kakawanda kwemwoyo), anogona kuderedza atrioventricular conduction uye kuderedza excitability predserdiezheludochkovogo raiva pedyo nebundu. Kugadzirira "Diltiazem" vascular inzwi uye lowers zvinonyatsorehwa nemishonga (peripheral) mu neBP. Antiischemic (antianginal) dzokupisa kunobva achidzikisa preload pamusoro myocardium, pakuwedzera lumen midziyo mwoyo, uyewo kuvandudzika zveminda mumwoyo okisijeni. The mushonga anewo antiarrhythmic migumisiro.

The chipimo chemushonga zvinodhaka "Diltiazem" mirayiridzo Chinyorwa anokurudzira kuti iwe kuisa mumwe murwere nomumwe. Zuva zvaangatarirwa musi makumi milligrams matatu kana mana nguva. Mahwendefa akaiswa (mazhinji) varumbidze zviito imwe panguva kamwe kana kaviri pazuva.

The mushonga "Diltiazem" kurayira haabvumiri kugamuchira pamwe sinus kurwara urwere, bradycardia, atrioventricular nechigumbuso 2-3 dhigirii, cardiogenic kuvhunduka, hypotension, chenjera uye chirwere chemwoyo. Contraindications akaratidza zvinosanganisira renal kana hepatic dysfunction, mwana zera, nomumwe kusashivirira, nepamuviri uye lactation.

Kana muchigamuchira mishonga inogona akacherekedza hypotension (zvinopfuura), rokutanga dhigirii conduction nyonganyonga, bradycardia, vasanyanye cardiac vhoriyamu, syncope, palpitations. Pakati rwakashata zviitiko zvinogona segwapa sezvo kuneta chirwere, dzungu, utera, nomusoro. Mishonga "Diltiazem" anogona kukonzera Hwakatsvuka ganda, vangadikitira, mucosal hyperplasia isiri yekenza pakati matadza, dyspepsia, fufune potency, peripheral edema. Mune zvimwe zviitiko, zvichida kuitika exudative erythema multiforme, neutachiona, hyperglycemia.

Kana ovhadhozi pane mwoyo kutadza, intracardiac blockade, hypotension, bradycardia. Murwere anofanira kugeza mudumbu. Naizvozvo akagadza plasmapheresis uye hemoperfusion pamwe neactivated charcoal.

Kana piritsi "Diltiazem" mazhinji chiito haina varumbidzwa intravenous Beta-blockers.

Kungwarira achaudzwa kushandisa zviri pokushandisa wokugadzirira normalization pakati cardiac mutinhimira kana panguva imwe chete mishonga kuti kuderedza conduction uye contractility pamusoro myocardium, zvachose vascular nemishonga (peripheral), uye vari varwere zvinetso zviri hemodynamics.

Refu intravenous jekiseni inoda richiona nezvezvabuda neBP uye unonzi, electrocardiograph.

The mushonga inowanika muchimiro pamahwendefa, capsules. Medicine "Diltiazem" (mafuta) hakuna akaita.

Asati kutora mushonga uyu inokurudzirwa kuverenga rairo.