"Kaltsigard mfumba zamatye": imiyalelo ukusetyenziswa, analogs kunye nohlolo

"Kaltsigard mfumba zamatye" (inn "Nifedipine") i blocker calcium channel kwaye uphawu umsebenzi antianginal kunye umfutho imithi.

Ichiza ibonisa impumelelo eliphezulu ekulawuleni lwegazi, vasospastic kunye angina oluzinzileyo, Raynaud kaThixo syndrome kunye nezinye izifo inhliziyo. Oku kuthetha ukukwazi ukuze kuphuculwe ukuhamba kwegazi coronary, hayi ekucinezeleni Uhanjiso ndlela engabalulekanga.

"Kaltsigard mfumba zamatye": Inkcazo kunye nokwakheka

Ichiza ifumaneka ngohlobo amacwecwe, camera ndizayo iqokobhe.

Eyona nto ephambili esebenzayo iqulathe kwi nifedipine yayo kuqamba. Ukongeza, i-(photo inikiweyo apha ngasentla nokupakisha) ukulungiselela "Kaltsigard ungakhawulezi" iquka amacandelo abangabancedani ezifana:

• Kathi 80;
• starch;
• wemagniziyam stearate;
• polyethylene ethers;
• MCC;
• stearic acid;
• lactose;
• sodium lauryl sulphate.

Amacwecwe ezi blister lamaqhosha-10. Ngaloo umqulu anokuqulatha ukusuka namadyungudyungu-3 ukuya kwi-10.

ezikhabhathini uneminyaka emithathu ithetha. Hlala kufuneka ukhuselwe neemeko ilanga kunye owomileyo kwiqondo lobushushu ukuya degrees 30.

Ubungqina obubonakalayo buxela

Tablets "Kaltsigard ungakhawulezi" linokukwenziwa kwisicelo:

• stenokardicheskie ukukhululeka bahlaselwe;
• ukuba uhlobo ezifa- unesifo;
• ne Raynaud engqondweni;
• ngelixa uhlobo igazi wegazi;
• kunye nesifo kwemithambo;
• stenokardicheskie yokuthintela isifo;
• ngexesha cardiomyopathy hypertrophic;
• kunye wegazi pulmonary ;
• ngexesha kokuphazamiseka inyumoniya ;
• ukuba kukho intlungu entliziyweni.

Umthamo kunye noLawulo

Indlela ukuthatha "Kaltsigard ungakhawulezi"? Imiyalelo yokusebenzisa ulumkisa ukuba idosi efunekayo ye ichiza kufuneka zikhethwe gqirha ngabanye kwimeko nganye. Kuya kuxhomekeka kuhlobo kunye nohlobo ukwenzeka izifo kunye neempawu ze isigulane kunokwenzeka.

Ngokubanzi, unyango luqala ukufumana idosi lincinane: 10 mg 3 okanye 4 amaxesha ngemini. Xa kuba yimfuneko kwixa elizayo ukuba zingandiswa ngu 2 umphinda-. Kodwa eso sigqibo senziwa ngugqirha kuphela.

Ngexesha okuvela kwezinye kwezifo, ezifana iintlobo kakhulu nomfutho okanye angina, lobeko, idosi enye ngexesha inganyuswa ku-30 mg, kwaye rhoqo reception iya kuhlala injalo.

"Kaltsigard mfumba zamatye" kufuneka zisetyenziswe ngaphakathi ukusela ngoxa imali encinane amanzi. Kodwa ke kukho iimeko kungathathwa Kwimeko ongasetyenziswayo kuyo lo mgaqo. Umzekelo, ukuba isiqabu lohlobo ntlekele unesifo enikiweyo ulawulo sublingual yokulungiselela (setting tablet phantsi kolwimi). Kuba ukususwa Imeko ukuhlasela angina kunokwenzeka ngokusebenzisa ulawulo efakwa of mg-5 qho kwiiyure 4-8.

Kubalulekile ukuba babambelele kwaye usete idosi iphezulu yemihla medicament ukuthintela abonakalisa yokusabela esingenakubonwa kwangaphambili. Zokungenisa kuxhomekeke 120 mg, yaye xa elawulwa yegazi - ukuya ku-30 mg.

Izimo

Kukho iimeko apho i "kunamandla Kaltsigard" (20 mg) kukho contraindicated ngokupheleleyo ukusetyenziswa. Ukuvela isigulane ingabalelwa kuye:

• Hypersensitivity ukuya esisebenza kunye namanye amacandelo kuqulunqo;
• etsolo ixesha iposi engabalulekanga (iintsuku zokuqala 8);
• hypotension kakhulu;
• yashiya cardiogenic;
• tachycardia;
• nesifo sentliziyo decompensation;
• of stenosis kakhulu aortic;
• lungasebenzi.

Ukongeza, le isixhobo ayikwazi zingasetyenziswa unyango abafazi abakhulelweyo. Ukuba kuthe kwanyanzeleka ukuba ukunyanga la machiza ngexesha zisanyisa, lwebele-zokuxheshisela kufuneka imiswe.

Ukhuseleko kunye nokusebenza beziyobisi khange ichongiwe ebantwaneni. Ngoko kuyimfuneko ukuba ayeke ukusuka kwindawo yayo izigulane abangaphantsi kweminyaka eli-18 ubudala.

oyi

"Kaltsigard mfumba zamatye" ngononophelo kakhulu kufuneka ingasetyenziswa kwizigulane kunye ukuzisebenzisa kakuhle kwezintso okanye ukuba babe nesifo seswekile. Kuba ukuhla enikiweyo abakhulileyo idosi yemihla ngemihla.

Ngeli xesha lonke unyango kufuneka bangabelani utywala.

Ichiza nga kakhulu isantya abasabela lengqondo, ngoko nokusetyenziswa kwayo kufuneka aphathwe ngokuqaphela okukhulu kubo abantu, umzekelo, uqhuba isithuthi.

Ukugqitywa unyango kufuneka kwenziwe kancinane ukunqanda "ukurhoxiswa".

imiphumela emibi

Ukusetyenziswa kumacwecwe "Kaltsigard ungakhawulezi" isenokuba unobangela neziphumo ebezingalindelekanga ezininzi. Ezinye zazo eziqhelekileyo, lo gama enye isenzeko lwenzeka xa enye ewakeni, okanye ngaphantsi.

1. Ukususela izibilini sensory kunye luvo: intloko ebuhlungu, isiyezi. Kunqabile sebenzisa izixhobo kungabangela karhulumente wothuka, utshintsho Ukunakana into ebonwayo, novakalelo ukuphazamiseka imilenze, paresthesia, ukuvela iingxaki bubuthongo.
2. Ngomhla inxalenye yenkqubo musculoskeletal: nongcangcazelo ezinqabileyo kakhulu okanye myalgia.
3. Cardio nemithambo nkqubo: tachycardia, iyangongoza, ukuthoba ubuso kunye ulusu, ekhatshwa yakhawuleza ubushushu, nokudumba neuropathy. Ayifane zingenzeka ukubonakala leukopenia, ianemia, asystole, purpura thrombocytopenic, thrombocytopenia, hypotension, iintlungu, ezifana stenokardicheskie.
4. Ukususela wokugaya: ngokufuthi ukuqhina zenzeka. Ayifane - ukugabha, isicaphucaphu, urhudo, heartburn. kunqabile kakhulu ngenxa yokuthatha ichiza kunokuba cholestasis intrahepatic okanye hyperplasia gingival.
5. ziyabagulisa: exanthema, urticaria, pruritus. kunqabile kakhulu zinokwenzeka dermatitis exfoliative.
6. Ukususela isixokelelwano sokuphefumla: in ezinqabileyo kakhulu iimeko bronchospasm.
7. Kwinkqubo wokuchama: inqanaba imveliso umchamo bemihla ngemihla ukwandisa. Nokusebenzisa ixesha elide beziyobisi ngeedosi aphezulu kunokubangela ukuphazamiseka umsebenzi sezintso.
8. Okunye: ekuqaleni unyango kaninzi ububomvu kunye ekweneni iinyawo nezandla. kunqabile kakhulu kuthetha ukuze bandiqumbise hyperglycemia, gynecomastia, photodermatitis, uvutha kwisiza isitofu (uqulungqo emthanjeni), ukwanda izinga intliziyo.

libanda

Elingaphezu kobuninzi wavumela ithamo kunokubangela bradyarrhythmias bradycardia, hypotension. iimeko ezimandundu zibandakanya Uhanjiso linyuke, ukuwa.

Ukongezelela, iimpawu kunxilwe kunokwenzeka emva kweeyure eziyi-3-4 ngohlobo yelahleko lokuqonda (kwezinye iimeko ukuya isiqaqa), hypoxia, Njengokungeniswa cardiogenic, ukuxhuzula, lactic metabolic, hyperglycemia.

Ukuphelisa ezi mpawu zingasentla yenziwa lavage esiswini, ulwamkelo luvuliwe wamalahle norepinephrine efakwa, calcium gluconate okanye calcium chloride kwisinyibiliko atropine.

Ukusebenzisana beziyobisi kunye nezinye izinto

Ngaphambi kokuba usebenzise naliphi na iyeza kufuneka pre-funda kuphela nokubunjwa kwayo, ekhomba kunye Izimo zokusetyenziswa. Enye ingongoma ebalulekileyo intsebenziswano wayo zizinto enokuthi ibe yinxalenye namanye amachiza okanye ukutya. Ngapha koko, umntu kwandisa iimpembelelo ichiza emzimbeni, ngoxa abanye ukunciphisa oko nto. Kukwasebenza kwanjalo kuyo ekulungiseleleni "Kaltsigard ungakhawulezi". It Ungakhankanya noba ukwandisa okanye ukubhloka intshukumo kwezinto ezithile. Qwalasela lo mbuzo ngohlobo Izicatshulwa emfutshane:

• ranitidine kunye cimetidine kwandisa izinga plasma;
• diltiazem bakwazi ukwehlela ukutya, yaye ekugqibeleni umthamo we nifedipine kuyimfuneko ukunciphisa;
• juice grapefruit (kukuninzi) ukwanda bioavailability;
• womchamo, beta-blocker, nitrate, fentanyl, utywala, lakhula tricyclic - ukwandisa isiphumo iqinile;
• kwandisa bioavailability cephalosporins (cefixime);
• It kwandisa isiphumo yeziphumo ebezingalindelekanga vincristine (ukuncipha zinomgutyulo);
• kuncitshiswa sobume kwezintso of digoxin, theophylline yandisa umsebenzi;
• akuvumelani rifampicin (ibalekisa biotransformation kwaye akavumeli ukwenza yoxinaniso ngempumelelo).

analogue izimali

Ingaba kukho naziphi na izixhobo buyisela "Kaltsigard ungakhawulezi"? Analogs, Kakade ke, akukho nto. Mhlawumbi kufana ulungiselelo olusisiseko ubume (ngokukodwa into esebenzayo) okanye uhlobo inyathelo eziphilayo. Noko ke, ntonye iziyobisi "Kaltsigard ungakhawulezi 'abe awohluke zabo kunye nomahluko. Umzekelo, kusenokuba ifomu release, indlela kunye nenani lezicelo, idosi iphezulu yemihla ngemihla, njalo njalo. Ngoko ke ngaphambi kokuba indawo ichiza omnye komnye, kufuneka udibane nogqirha.

Ngoko ke, analogue iziyobisi ngongcono owaziwayo "Kaltsigard mfumba zamatye" la amayeza zilandelayo:

• "Kordafleks".
• "Nifedeks".
• "Nifedipine".
• "Fenamon".
• "Cordipin".
• "Kordafen"
• "Nifelat".
• "Fenigidin".
• "Adalat".
• "Nifecard".
• "Corinfar".
• "Depin".

Izimvo kulungiselelwa

Yintoni izigulane malunga ichiza "Kaltsigard ungakhawulezi"? Ukuphonononga Kukho kuzo ebezintle nezo zingentle. Kufuneka uqale zonke efanayo kunye nobubi.

Okokuqala, izigulane ingxelo ukusebenza ophezulu kunye spectrum ezibanzi ngokufanelekileyo amanyathelo.

Okwesibini, akakwazi kodwa nemihlali lithetha ixabiso eliphantsi kakhulu (ukusuka engange-50 ukuya 300 kuxhomekeke kubungakanani package).

Into kuphela ukuba kungathathwa engxakini ebonakalayo - na ukuvela ziziphumo ebezingalindelekanga ngohlobo yintloko, isicaphucaphu njalo njalo. Nangona, njengoko kubonisiwe, emva ukunciphisa ithamo ichiza zonke ezi mpawu zingentla shwaka ngokukhawuleza. Ngoko ke kusenokwenzeka ukuba unobangela neziphumo ebezingalindelekanga kwaba kanye indlela engalunganga.