Yakanakisisa Fananidzo "cordarone" muna Russian

Mabatirwo mwoyo mutinhimira zvirwere - yakaoma dambudziko kurapwa kuti haina kugadziriswa kusvikira pakuguma, kunyange nhasi. Kune vazhinji Anti-arrhythmic zvinodhaka, asi vane contraindications zhinji uye marwadzo, nokuti chii ngaave zvikuru ngozi murwere kurwara. Kune mapoka yose mari aiendeswa zvakazorodza arrhythmias, upenyu pamutanhiko, asi avo kushandiswa kwenguva refu nguva haina yakarumbidza nokuda kuwedzera kunobva matambudziko kugamuchira mishonga. Saizvozvowo, varwere zvinoda yakavimbika, basa, asi kufamba mushonga, kana ane analoginen kwayo.

"Kordaron" - inobudirira antiarrhythmic zvinodhaka

Maererano zvidzidzo zvakasiyana-siyana, "Kordaron" ndiro inonyatsobudirira zvinodhaka nezvimwe zvigadzirwa zvakafanana, ane yakaonekwa kuti ndeyechokwadi kugona kuderedza kufa muna varwere cardiac chirwere. Rinoshandiswa zvinobudirira pakurapa zvinenge zvose cardiac arrhythmias. Pakati kuvarapi, iye anonzi chipimo Anti-arrhythmic zvinodhaka kirasi III. Kuwedzera kune imwe antiarrhythmic, antianginal chaizvoizvo ine, kubva pakutanga rakavambwa sezvo mushonga nokuda pakurapa nechirwere chemwoyo.

It haangogoni mugumisiro cho mukirasi III antiarrhythmics, i.e. blockade kuti potassium migero, asi chiito, tsika kuti kirasi I zvigadzirwa, - the blockade pakati yavaibvisa migero, IV kirasi - blockade calcium makwara. Pakati pezvimwe zvinhu, mushonga anopa alpha- uye Beta-adrenoceptor ichivharira, coronary dilator maturo.

zvairatidza

The kushingaira wemafuta mushonga - amiodarone. Trade zita - "Cordarone." Analogs zvinoberekwa mamwe mazita, asi ane chete rinoita fuma. Amiodarone anogadzirwa muchimiro mhinduro kuti intravenous jekiseni, uye mahwendefa.

The Kugadzirisa rinoshandisirwa panyaya kana zvakakodzera kurega yokurwiswa ventricular uye supraventricular tachycardia, atrial fibrillation, kusanganisira pfari. Mahwendefa inoshandiswa kudzivisa ventricular uye atrial arrhythmias uye paroxysmal tachycardia.

musimboti oparesheni

By kudzivisa muitiro intracellular chokufambisa kuti potassium ions, mushonga kunowedzera wechitatu chokutambudzika nezvezvakaitwa aikwanisa nomwoyo tsandanyama masero. Rinotaurawo anovanza kwemashoko yemagetsi kupomba iri fibers ari atrioventricular raiva pedyo nebundu. Nokuda kwaizvozvi, kurova kwemwoyo DZEMUNHU DZINODZORA. Somugumisiro, mashoko kukwana ichivharira zvinokonzerwa tsitsi tsinga DZEMUNHU DZINODZORA mwoyo unodiwa.

Amiodarone rinoita muna chiropa uye yabudiswa kunyanya weti. The kunonyanyisa kugutsikana yezviri fuma vakachengeta pashure maawa 3-7 mushure ingestion yacho piritsi. Ndakabatsirwa kuchirapa kushanda sokuti haana kwokutanga pane vhiki imwe pashure kutanga kurapwa.

Analogs "cordarone"

Muzviitiko zvizhinji, varwere nezvikonzero zvakasiyana-siyana zvinoda chepakuvamba zvinodhaka uye ayo neShanduro, generics. Sezvo "Kordaron" - chete zita amiodarone kutengeserana, iri kutambura arrhythmias kazhinji vanonetseka kana paine zvinodhaka analogues "Cordarone."

Kana amiodarone, mubvunzo analogues ayo kunonyanya kushanda, nokuti chimwe chezvinhu dzakakurumbira zvinodhaka munyika cardiology, ane paupamhi kushanda. zvinodhaka izvi, sezvataurwa pamusoro apa, vane zvakawanda nemishonga, kazhinji husina utano. Naizvozvo, chiremba uye murwere anofarira kuti asarudze mushonga chete kunonyanyisa kunyatsoshanda uye shoma ngozi kuupenyu kuzviremadza. Kana muchitsvaka vakaenzana zvinodhaka "Kordaron" dzomuzana, ivo wongororo kuvarapi munyika iyi unofanira kuva kuti kutsoropodza, kunyange zvazvo, varwere chaiwo zvakare kukosha sezvo vanogona kukuudza kuti vainzwa sei munguva mabiko uye kumhanya kutanga kugadziriswa. With kurapwa ichi se "kordaron" kana mumwe analogs zvinofanira pamwe wezvokurapa cherechedzo uye richiona utano mamiriro, kusanganisira achishandisa ECG.

It inoita basa rinokosha uye Kuronga zvinodhaka. Somuenzaniso, ayodhini, chikamu amiodarone iri contraindicated munyika dzinoverengeka zvirwere. Uyewo, unogona kukanganisa migumisiro zvimwe zvidzidzo. Hazvishamisi kuti vakawanda vanotambura arrhythmia kutarira analogue "cordarone" pasina ayodhini sezvinoita 'dronedarone. " Chokwadi, kutsiva kurapwa chero chete mushure mekubvunza chiremba wako. Saka, nyanzvi dzakawanda Russian regai yemutemberi kusarudza "Dronedarone" buda, sezvazvakaita simba analoginen "cordarone". Zvisinei, muna Europe, atova zvikuru kwose kwose.

Pakusarudza mushonga kana analoginen zvakakodzera kuenzanisa sezvamunoita yavo. Kazhinji, uye Generic neShanduro havasi tichienzanisa mumwe - chete chepakutanga. Somuenzaniso, kana uchida analoginen "cordarone" iri ampoules, vari chikamu chete mhinduro kuti jekiseni kunofanira kuvapo benzyl doro, sezvo chepakutanga "Cordarone."

Sezvo vanachiremba funga, kwete muduku ehupfumi zvinodhaka "Kordaron" analogues muRussia akataura zvakarurama yokuwanda zvigadzirwa, anosanganisira: "Ritmiodaron", "Sedakoron", "Amiokordin", "Kardiodaron", "Ritmorest", "Opakorden" "Amiodarone" kubva vagadziri dzakasiyana ( "Amiodarone-Acre", "Vero Amiodarone" uye vamwe vazhinji). Vose vane chete rinoita chirungiso, asi vangava Excipients zvakasiyana. Vakawanda vavo vari isingadhuri zvikuru kupfuura chepakutanga. Kazhinji, chinhu ichi kunobva mugadziri. Somuenzaniso, "Amiodarone", inonzi kwakafanana inokosha fuma huri gadziriro "Kordaron". Russian analogue, uye mutengo waro kusvika katatu dzakaderera, kunyange pezvakaita rokusunungura, uye zviratidzo nechinangwa chete.

"Amiodoron" - yakanakisisa analogues kuRussia. Zviri zvachose indistinguishable kubva "cordarone" uye nheyo chiito, uye nzira chikumbiro ane chete mukuru kuita mu kusunga fibrillation Zvikamu uye kudzivirirwa panowanikwa yavo. Testimonials nezvazvo nokuda kworutivi zvakanaka. Vazhinji vavo vanoti kuti "Amiodoron" Russian kugadzirwa zvinobatsira nokukurumidza uye pasina rinorema pobochki.

Dosing zvinodhaka mune ampoules

Sezvataurwa pamusoro apa, kuitwa jekiseni anoratidzwa kuti nokukurumidza kusunungurwa dambudziko. kushandisa "Kordaron" mahwendefa zvimwe zviitiko. Analogs anoshanda saizvozvo. The zvingaitwa vakanga jekiseni kuburikidza anobudisa mushonga zvishoma nezvishoma kwemaminitsi 20-120 kana bolus kanenge 3 maminitsi ari dose 5 MG pa 1 kg muviri uremu.

Dosing piritsi "cordarone"

The mushonga rakundwa muna piritsi mumatanho maviri.

Danho rokutanga, kana mutoro danho: 600-800 MG kamwe zuva nezuva, vachiwedzera kuti 10 g.

Danho rechipiri, kana kugadzira danho: 100-400 MG zvinodhaka (nguva pakutsvaga chiremba). The kunonyanyisa dose pamusoro 1200 MG pazuva.

An ovhadhozi zvinodhaka kune ngozi zvakakwana. Kurudzivisa, murwere inokurudzirwa kuziva chaizvoizvo kuti mushonga "Kordaron" mirayiridzo Chinyorwa. Analogs, kusanganisira akakurumbira ishamwari muRussia "Amiadaron", vakawanda vavo kupa zvakafanana zviratidzo imwe ovhadhozi.

Pane bradycardia simba, kunyange kusvika munhu cardiac kusungwa. Kana anokonzerwa pahwendefa chimiro, zvakakodzera kugeza kunze dumbu uye tora chelators. Also wakaitwa dzimwe symptomatic kurapwa, electrolyte mwero iri kugadziridzwa. Kana zvakakodzera, akaisa chinodzora kurova.

About mashoko intravenous ovhadhozi zvisakakwana. Zvinorondedzerwa zvisingawanzoitiki zviitiko sinus bradycardia, tachycardia, cardiac kusungwa. Treatment akafanana zvinoratidzwa nekuda ovhadhozi kunokonzerwa mapiritsi. Hemodialysis amiodarone aro metabolites haana kubviswa.

nemishonga

Kungofanana vakarongeka nechiito simba, "Kordaron" "Amiodarone" uye dzimwe munhevedzano analogs vanotsamwisa nematambudziko zviitiko. Vanovata bradycardia kusvika cardiac kusungwa, BP, inokanganisa pamusoro pechiropa, saka kuva panzvimbo anoyevedza mazita contraindications.

Kubva zvishoma zvakakomba asi zvakadaro kusingafadzi divi-anokonzerwa zvinogona kucherechedzwa nomusoro uye dzungu, pleurisy, chikosoro, murwere anganyunyuta simba, kurasikirwa kutarisana acuity. Kungaita neutachiona. Dambudziko iroro rinogona kuwanikwa nokutora chero analoginen. "Kordaron" uye dzimwe mahwendefa zvinodhaka amiodarone nokuda kwechikonzero ichi, vari kutengeswa Pharmacies chete mushonga. A mhinduro jekiseni rinoshandiswa chete muchipatara ezvinhu.

Zvisinei, nokungwarira kubatwa kusarudza kunonyanyisa dose nemishonga akataurwa zvishoma kana sevasingazivi zvachose. Sezvataurwa kudzokorora "kordaron" uye "Amiodarone" varwere kushandisa zvinodhaka izvi, pobochka kazhinji simba, nyore nyore zvachose nokuda kuchinja zvinodhaka dose.

Contraindications

Sezvo amiodarone - rakanaka simba chinodhaka, hazvishamisi kuti rukoniwe chete kubatsira kuvandudza chimiro mune zvinetso mwoyo, asi panguva imwe chete ane zvaparadza dzimwe nhengo kana mamiriro Zvinoipisisa nevamwe zvirwere concomitant. Kuti tidzivise ngozi, kwete varumbidzwa kurapa pamwe zvinodhaka izvi zvimwe zviitiko.

Kune zvakawanda mamiriro ezvinhu ayo airambidzwa kugamuchira "Kordaron", "Amiodarone" uye dzimwe dzomuzana zviri pamahwendefa. Chokutanga vamwe mwoyo kanganisika - sinus bradycardia, atrioventricular nechigumbuso zvakakomba dhigirii, hypotension, prolongation of QT penguva pamusoro ECG. Hazvigoni kushandiswa kana murwere akatura mumuviri zviri potassium uye magnesium.

Contraindications zvinosanganisira thyroid chirwere, uyewo pamuviri uye achiyamwa - chikonzero ayodhini, iro rine mushonga "Cordarone." Analog, kwete rine izvozvo, unogona kutorwa chete zano chiremba wacho.

Varwere vakwegura inokurudzirwa kuti renyevero kutorwa se "Kordaron" uye "Amiodarone" uye dzimwe analogs. Varwere vaduku nemakore 18, mishonga iyi zvisina vakagadzwa.

Regai kurongera nzira vaya vanotambura Árbol asima, kufema kukundikana, akaratidza mwoyo kukundikana. Chakakomba chiropa chirwere uye itsvo - uyewo chikonzero kuramba kurapwa pachishandiswa nzira iyi.

Pasina mubvunzo, hatifaniri kutora mushonga kana pane munhu asingashiviriri kuti zvinoumba mushonga "Cordarone." Analogues muRussia uye dzimwe nyika dzokuEurope zvakafanana akafanana, saka iri nyaya kutsiva mumwe mumwe mumiririri angangotadza kubudirira.

Panyaya majekiseni, havagoni kuita vana pasi 3 years old, vana vakuru 3 years, asi dose haafaniri kupfuudza 5 MG / makirogiramu. Regai kusanganisa mushonga ari chete sirinji nevamwe zvinodhaka. Kazhinji, contraindications kuti mhinduro yakafanana contraindications kune mapiritsi. Izvi sinus bradycardia, sinus vanorwara chirwere uye zvikuru conduction zvinetso, sezvo sinoatrial nechigumbuso mwoyo uye paroxysmal ventricular tachycardia. Zvikurukuru, zvakadai mananara zvinogoneka kana achitora amiodarone akabatana nevamwe zvinodhaka anoverengeka.

Taurira majekiseni panguva pamuviri zvinogoneka chete kunoshamisa nguva apo lactation inzira yokurapa Kwabviswa chose. Hazvibviri kuitisa kurapa vachishandisa "cordarone" mhinduro pamwe thyroid dysfunction, neutachiona kuti ayodhini kana amiodarone.

Kudyidzana nevamwe zvinodhaka

"Kordaron" dzinogona kubatanidzwa nezvimwe zvinodhaka. Saka, ayo antianginal mugumisiro kunosimudzirwa akabatana nitrate zvinodhaka mazhinji chiito. Rinogona kushandiswa pachiimbwa anticoagulants, diuretics, mishonga cardiotonic, regai dyidzana uye ukuwo, regai simba kana kusimbisa mugumisiro mumwe nomumwe "Kordaron" uye vamwe neuroleptics, analgesics, hypnotics uye sedatives. Zvinenge vanozobatsirawo nezvinodhaka izvi chero analoginen.

"Kordaron" haigoni kushandiswa panguva imwe chete Mao FIs uye Beta-blockers (mu aakatipa nyaya chete).

Zvokungwarira kurapa "kordaron" uye "Amiodarone"

Munguva negashiro nzira idzi zvinoda zvichiongororwa muviri ezvinhu asati kurapwa, panguva uye pashure pacho.

Asati uye panguva kurapa Hwendefa fomu vabatisise ECG inokurudzirwa. Zvazvakaita zvinodhaka kunokonzera zvachinja unonzi, electrocardiograph, zvikurukuru, prolongation pamusoro penguva T uye Q-Q-T. Zvichitevera migumisiro kuongororwa chiremba anogona kuchinja chipimo chemushonga uye kuona kubudirira kurapwa.

Treatment iri wakagumiswa kana kukura atrioventricular misa II uye III dhigirii sinoatrialnaya, intraventricular maviri-danda.

Sezvo mumwe zvinoumba zvinodhaka ndiko ayodhini, zvinoda kugara richiona nezvezvabuda thyroid mabasa. Asati kurapwa zvinokosha kuziva huwandu mahormone T3, T4 uye TSH. Tapota ona kuti pakanyorwa "cordarone" kuti thyroid radioisotope zvidzidzo zvinogona kuva vasingavimbiki. On mahomoni ose ayodhini asingadi kukanganisa mashoko.

Chimwe chinokosha ndechokuti kuona padanho potassium muropa serum pamberi kurapwa uye panguva nayo.

Kana achiita "cordarone" akataura intravenous aizomupa chete, uye kwete sirinji jekiseni. Zvikasadaro, zvichida kuvandudzwa hemodynamic zvirwere - arterial hypotension, chenjera zvemwoyo insufficiency. Syringe kuti baya jekiseni mushonga chete chaizvo zvashata ezvinhu tisina dzimwe nzira. Panyaya iyi dose 5 MG / makirogiramu uye rinowanikwa kwemaminitsi matatu, Re - Achangopedza kupfuura maminitsi 15 pashure yokutanga yaitonga. The nzira inogona kuitwa chete coronary kutarisirwa madhipatimendi pasi kutarisira ECG. "Kordaron" kwete kusanganiswa imwe sirinji nevamwe zvinodhaka. Kana uine kurapwa kwenguva refu kunodiwa kuti kuenda aizomupa. Chero intravenous amiodarone kuitwa muzvipatara.

Kana murwere uchava mukuru rufimbi, kuti nemukoti anokotsirisa anofanira zano kuti mushonga uyu.

Kuti tidzivise nemishonga, varwere vanofanira zvinoenderana ushandiswe chipimo chemushonga chiremba.

Panguva kurapwa, varwere vanofanira kudzivisa chiedza chezuva uye kushandisa dziviriro naro (kusanganisira chaiwo mumakenduru), kana zvichidikanwa.

Iva nechokwadi kutaura chiremba wako, kana kuti zvimwe chikonzero Havadi kutora "Kordaron" yayo ishamwari. "Kordaron" uye zvinodhaka akafanana naye, kungofanana zvimwe zvinodhaka cardiac kunogona kuva nengozi zvikuru kana kusingadzorwi mabiko. Chete chiremba anogona kusarudza mishonga zvingava zvakanakisisa panyaya yako uye achasarudza yakachengeteka, asi inoshanda chipimo chemushonga.