Drug "Inderal" - ukusuka ntoni? Isenzo ichiza, "Inderal"

Lidla oogqirha ukumisela amayeza izigulane zabo 'Inderal'. Ukusuka apho usiza balahle? Yintoni na? Ingaba kukho naziphi na Izimo ukuba ichiza? Le miba umdla izigulane ezininzi.

Drug "Inderal": ifomu ukukhululwa kunye nokwakheka

Ukuza kuthi ga ngoku, ichiza yakhululwa uhlobo ngeengqalutye ezincinane, kodwa kukho isisombululo ukuba isitofu, kodwa, nakuba kunjalo, isetyenziswa kakhulu alufane.

Eyona nto iphambili ebonakalayo ichiza propranolol hydrochloride. tablet nganye iqulathe nokuba-10 okanye ama-40 mg yeli candelo. Kakade ke, ukwenziwa kunye nokusetyenziswa okunye: lesilicon colloidal dioxide, talc, calcium stearate, umbona starch, kunye microcrystalline kwincindi.

iimpawu amayeza we ichiza

Eli yeza Beta-blocker iziphumo ngokungakhethi. Le esisebenza ngayo esi siphumo isiyobisi attenuates pulses livelana receptors beta engabalulekanga. Ngoko ke, kukho ukwehla rhoqo kunye nokomelela izishunqulelo intliziyo, kwakunye neutralization lweziphumo catecholamines. Ichiza kunciphisa imfuno intliziyo izihlunu kwe-oksijini. Phantsi impembelelo yayo, kukho ukwehla uxinzelelo lwegazi.

Kodwa esi senzo "Inderal" hayi isiphelo. Ngokomzekelo, ngokukhawuleza emva kokuba ezithatha ichiza kwandisa ithoni kwizihlunu inyumoniya kunye nesikhundla zesibeleko. Ukongeza, kukho ukwanda kweemoto kunye nomsebenzi secretory kwinkqubo yokwetyisa.

Emva kokufumana le cwecwe eyibhangisa ngokukhawuleza kwi wokugaya, emva koko izithako ezisebenzayo egazini. Propranolol ubuninzi ingqondo waphawula emva kweeyure 1-1.5 emva nolawulo. Ichiza livela ngohlobo metabolites izintso. Kwisiqingatha ubomi iiyure 3-5. arhente Propafenone kuphela usenokungaguquki igazi ukuya kutsho kwiiyure ezili-12.

Ezibonisa yokwamkelwa

Kakade ke, namhlanje izigulane ezininzi emiselweyo ichiza, "Inderal". Yintoni eyenza le sixhobo? Okokuqala, kufanele kuqatshelwe ukuba ebonisa ziziseko yokwamkela yayo izifo yenkqubo sentliziyo, sikhatshwe ukwanda koxinzelelo lwegazi. Umzekelo, oku kumiselwe abantu abanengxaki lwegazi esinganyangekiyo, kunye atrial kunye sinus tachycardia.

Kwezinye iimeko, amayeza esetyenziswa ivelufa prolapse mitral, kunye DYSTONIA neurocirculatory, cardiomyopathy hypertrophic, kunye iposi engabalulekanga.

Kukho nezinye iimeko apho ichiza elisetyenziswa "Inderal". Ukususela oko ngakumbi kuyanceda? Maxa wambi iyeza luya nokuthintela obalaseleyo zokuhlaselwa ezinzima migraine. Kunye namanye amachiza asetyenziselwa ukunyanga iimpawu ukurhoxiswa. Kwakhona kwaziwa ukuba unyango lwe hemangiomas "Inderal" njengoko kudla ngokuba nempumelelo, kwaye nkqu usaqala inceda ukuthintela ungenelelo yotyando. Nangona ichiza sele siphuhlisiwe akukho ngokupheleleyo ngenxa yale njongo kutyando mihla ivame ezimiselweyo kude ebantwaneni.

Tablets "Inderal": imiyalelo yokusebenzisa

Iipilisi elihlolwa ngcono athathwe imizuzu 10-30 phambi kokuba isidlo, kungakuhle ukuba usele iziselo. Ngoko nangoko ke kubalulekile ukuqaphela ukuba kuphela Ugqirha ukumisela ichiza "Inderal". Le yedosi uzimisele ngamnye.

Ngokuqhelekileyo, ulwamkelo qala-10 mg propranolol ngosuku. Ukuba ke ukunyamezeleka kakuhle ichiza, ixabiso ngemihla yaba yintsimi 80-100 mg, yahlulwe izahlulo ezine. Kwezinye iimeko (ukuba amalungiselelo akuthethi baxabane nangapha, kwaye nesiphumo therapeutic ibuthathaka), ithamo ukuze kwandiswe ku 180-300 mg, yahlulwe 4-6 nasebusuku.

Ubude unyango kwakhona uzimisele ngayinye isigulane ngasinye, kodwa umthetho, unyango ziiveki 3-4. Kwezinye iimeko, oogqirha bacebisa ikhefu iinyanga ezimbini, uze uphinde.

Ukuba sithetha malunga arrhythmia okanye isifo sentliziyo, i-beta-blocker kuthatha ixesha elide. Kodwa ke kule meko ke kubaluleke kakhulu ukuba kupheliswe chu ichiza. Ukuba evele uthatha, kungabangela iingxaki kakhulu kwaye iyingozi.

Izimo kunyango

Kakade ke, kule meko uthomalaliso inikeza Izimo. Ngokukodwa, ichiza ayisetyenziselwanga ukunyanga izigulana ukuvaleka epheleleyo okanye kwinxenye yalo atrioventricular okanye sinoatrial. Ngaphezu koko, Izimo Ukuphelelwa lixesha bradycardia sinus, ngexesha apho izinga intliziyo ibetha-50 ngomzuzu. Iyeza kufuneka ukuba anikwe izigulane abaphethwe hypotension.

Ichiza contraindicated kubantu abanezifo ezithile isixokelelwano sokuphefumla. Umzekelo, kufuneka kuthathwe ngokuthi izigulane sisifo, kwakunye nabantu eneengcinga bronchospasm. Izimo iyakujongwa kwakhona lokutshabalalisa sisifo iperipheral vascular kunye Syndrome Raynaud kunye seswekile.

Emibi zinokwenzeka?

Enyanisweni, kukho iqela ukuphazamiseka ukuba abonakale 'Inderal "ngoxa ezithatha ichiza. Kuthetha ntoni malini-inshorensi? Yintoni ufune? Kakhulu, iyeza ebangela ukuphazamiseka kwenkqubo yokwetyisa. Ngokomzekelo, ezinye izigulane ezikhala isicaphucaphu kakhulu, nto leyo edla ekhatshwa ukugabha, kunye neentlungu epigastric. Kunokwenzeka kunye norhudo. Yobeka phi zenzeka iziphumo ebezingalindelekanga ezimandundu, kuquka zezigulo ezahlukeneyo isibindi, ngokunjalo wenze kobuchopho.

reactions amaxesha negazi, ephelekwa ukurhawuzelela, ububomvu kunye ezindlwini. Kwezinye iimeko, uthomalaliso exacerbation ebona ukhwekhwe kunye alopecia. Ichiza kunokubangela sibangelwa isixokelelwano sokuphefumla, kuquka bronchospasm, laryngospasm, kwakunye ekhohlela kwakunye nokubamba-bamba umphefumlo.

Ngomhla inxalenye yenkqubo yokujikeleza emibi kunokwenzeka ezifana bradycardia kunye hypotension. Ukongeza, ichiza kwakhona kuchaphazela luvo, zibangela imvakalelo ixhala, efuna, kunye amabi. Kungabangela yintloko, ukuba nesiyezi. Kakhulu ngamaxesha, izigulane ukuphuhlisa uxinezeleko.

Drug "Inderal": libanda, iimpawu zayo kwaye unyango

Ukuthatha enkulu kakhulu ithamo amayeza zingachaphazela yonke eziphilayo. Ngokukodwa, iimpawu ziquka kakhulu isiyezi, nokuba buthathaka. Kudla kukho ukwehla ngokukhawuleza kwendlela uxinzelelo lwegazi kunye arrhythmia, bradycardia, kunye nezinye ukuphazamiseka kwenkqubo yokujikeleza ukuya kuphuhliso ukusilela kwentliziyo.

Kukho nezinye izifo, ukubonakala apho ufumana inani elikhulu iziyobisi 'Inderal' kunokubangela. Libanda, kufuneka ikhatshwe ukuphelelwa umoya, bronchospasm. Ngamanye amaxesha kukho unditsho yokutshabalala.

Umntu ezineempawu ezifanayo kufuneka ukunikezela ngokukhawuleza kwisebe zonxunguphalo. Ukuba kunokwenzeka, ukuzama ukumgabhisa. Njengoko zoncedo lokuqala amagqirha yenza lavage esiswini neziqhutywa ukuba izigulane adsorbing arhente. unyango olunye kuxhomekeke wayenze womelele kangakanani sele umonakalo. Umzekelo, ezi glycosides zisetyenziswa ukusilela entliziyweni, njengoko kubonisiwe unditsho iziyobisi "Diazepam".

Intsebenziswano kunye namanye amachiza

Izithako ezisebenzayo ze ichiza ukuze basebenzisane kunye nezinye iziyobisi. Umzekelo, iipropati propranolol umfutho luyenyuka yi kulawulo ngaxeshanye kungena iintlungu emzimbeni simpatolitikov, monoamine oxidase inhibitors kunye hydralazine. Kodwa phambi egazini ka emzimbeni (in estrogen ezithile kunye glucocorticoids) kunye arhente nonsteroidal antiinflammatory, phezu koko, kunciphisa isiphumo ukuthatha iipilisi "Inderal". Kunye nokuqaliswa koko eendaba kuphula amathuba nokuphuhlisa basabele anaphylactic. Ngoko ke kufuneka wazise ugqirha wakho ukuba uthathe onke amayeza.

Ngaba ukusebenzisa amayeza ngexa lokukhulelwa?

Ngoko nangoko ke kubalulekile ukuqaphela ukuba ukusetyenziswa kweziyobisi "Inderal", kwakunye phantse nayiphi na enye beta-blocker into contraindicated ngexesha lokukhulelwa. Isibakala sokuba eli yeza linciphisa placental perfusion, nto leyo eyandisa amathuba yokufa ezingekazalwa okanye ukuzalwa kwexesha. Kwezinye iimeko, ulwamkelo kweziyobisi ukuya unina kukhokelela kuphuhliso bradycardia kwi olungekazalwa. A Amathuba aphezulu iingxaki ezahlukeneyo kwixesha Kukudandatheka, ingakumbi kwicala isixokelelwano sokuphefumla kunye sentliziyo.

Ugqirha wakho angamisela eli yeza unomonde okhulelweyo kuphela xa inzuzo ezilindelekileyo kuye ngakumbi ingozi yokuba usana. Hi ndlela leyi, iinkalo eziphambili ichiza kusichukumisa zibe ubisi lwebele, ngoko ke lokwaphusa nje contraindication.

ulwazi olongeziweyo malunga ichiza

Namhlanje, abantu abaninzi abanomdla imibuzo malunga nokuba yintoni eyenza ichiza imiyalelo 'Inderal' ukusetyenziswa, ixabiso, iziphumo ebezingalindelekanga kunokwenzeka. Ngoko nangoko ke kubalulekile ukuqaphela ukuba iingcali ngokucacile esalelweyo ngexesha unyango ukuba asele utywala. Inyaniso yokuba utywala ndawonye iipilisi kunokukhokelela ukuncipha elibukhali ezisongela ubomi xa uxinzelelo lwegazi.

Ukugcina kufuneka kweziyobisi kwindawo eyomileyo eshushu, ekhuselweyo elangeni ngqo kubushushu hayi ngaphezulu kwe-25 degrees Celsius.

Njengoko iindleko amayeza, oko isusela ukusuka engange-40 ukuya kwi-100. Hi ndlela leyi, phantse naluphi ekhemesti unako ukuthenga 'Inderal' iipilisi, angafunekiyo ukuba oku kagqirha. Thina iziyobisi kunye analogue, ingakumbi, lithetha "Inderal", "Propamin", "Stobetin" kunye nabanye.