Lo mfanekiso best "cordarone" in Russian

Unyango ukuphazamiseka isingqi intliziyo - ngxaki zempilo ezintsonkothileyo ukuba ingasonjululwanga de kube sekupheleni, nanamhlanje. Kukho ezininzi amachiza anti-arrhythmic, kodwa kufuneka Izimo ezininzi kunye neziphumo ebezingalindelekanga, ngenxa yokuba oko kungqineka kakhulu yingozi ngenxa yokugula yesigulane ngakumbi. Kukho amaqela yonke imali ilungiselelwe ukuba Umfanekiso arrhythmias, ubomi emngciphekweni, kodwa ukusebenzisa kwabo ixesha elide ayikhuthazwa ngenxa yokwanda ezibangelwa iingxaki bafumana amayeza. Ngenxa yoko, izigulane ezifuna ichiza elithembekileyo, kakuhle, kodwa ekhuselekileyo kakhulu, okanye analog yayo.

"Kordaron" - ichiza esebenzayo antiarrhythmic

Ngokutsho kwizifundo ezahlukeneyo, "Kordaron" yeyona siyobisi olusebenzayo kwezinye izinto ezifanayo, kukho ubuchule bokuba ukunciphisa kwanokufa ezinesifo intliziyo. Oku kusetyenziswa ngempumelelo unyango phantse zonke arrhythmias inhliziyo. Phakathi amagqirha, yena ingqalelo le benchmark for amachiza-arrhythmic class III. Ukongeza kwi-antiarrhythmic, isiphumo antianginal ngayo, ekubeni le yokuqala yasungulwa njenge ichiza ukuze ukunyanga isifo sentliziyo.

Kuye nje kuphela isiphumo uphawu eklasini antiarrhythmics III, ngamanye kuvalwe iindlela amajelo potassium, kodwa inyathelo, uphawu iimveliso zeklasi mna, - ukuqapha lamajelo isodiyam udidi IV - kuvalwe iindlela channels calcium. Phakathi kwezinye izinto, ichiza unika alpha- beta-adrenoceptor ukuvimbela, isiphumo dilator sentliziyo.

Ubungqina obubonakalayo buxela

Le esisebenza beziyobisi - amiodarone. Igama Trade - "Cordarone." Analogs eziveliswa ngamanye amagama, kodwa ziqulathe ubuncwane efanayo esebenzayo. Amiodarone iveliswa ngokohlobo isisombululo ukuba isitofu efakwa, yaye amacwecwe.

Isisombululo lisetyenziswa kwimeko xa kuyimfuneko ukuba ayeke ukuhlasela ventricular kunye tachycardia supraventricular, fibrillation atrial, kuquka ukugula. Iipilisi asetyenziswa kuthintelo ventricular kunye arrhythmias atrial kunye paroxysmal tachycardia.

isimiso ukusebenza

Xa abathintela inkqubo yezothutho intracellular of ion potassium, ichiza lwenze kwisigaba sesithathu ngenyathelo isakhono kweeseli imisipha yenhliziyo. Kwakhona ofihla ngokukhutshelwa ubume ngumbane Imicu esiludumbo atrioventricular. Ngenxa yoku, eli ukubetha ehla. Ngenxa yoko, isiphumo ukuvimbela kwenxenye inkqubo onovelwano nervous ukucola izinga intliziyo.

Amiodarone umzimba esibindini kwaye idubule kakhulu nomchamo. Umxholo iphezulu into esebenzayo baqaphela emva kweeyure 3-7 emva nokudla tablet. Lwandomeleza ukusebenza therapeutic aliveli ngaphambi ngaphezu kweveki enye emva kokuqalisa unyango.

Analogs "cordarone"

Kwiimeko ezininzi, ezi izigulane ngenxa yezizathu ezahlukeneyo ukhetha ichiza yoqobo kunye nokulingana zayo, generics. Ekubeni "Kordaron" - nje igama orhwebo amiodarone, na okanye unengxaki arrhythmias badla bayazibuza enoba kukho iziyobisi analogue "Cordarone."

Ngokubhekisele amiodarone, umbuzo analogue zalo ingakumbi ezifanelekileyo, kuba yenye amachiza ethandwa kwihlabathi zentliziyo, usetyenziswe ngokubanzi. La machiza, njengoko kukhankanyiwe ngasentla, uneziphumo ebezingalindelekanga ezininzi, ngokufuthi maxongo impilo. Ngoko ke, ugqirha kunye nesigulana unomdla kuyo ukukhetha i ichiza ngempumelelo enkulu kunye nomngcipheko nobuncinane ebomini ekufakeni. Ukuba ufuna elingana "Kordaron" isasetyenziswa kweziyobisi, i-ncomo kumagqirha kulo mzekelo kufuneka ube okunzulu, nangona, eneneni, izigulane lokwenene nayo ibalulekile, kuba baya kukuxelela indlela ababevakalelwa ngexesha ulwamkelo kunye nesantya nokuqala kwe ukuphuculwa. Nale unyango njengoko "kordaron" okanye nayiphi na analogs kufuneka ikhatshwe kweliso unyango kunye nokubekwa esweni imo yempilo, kubandakanywa esebenzisa ECG.

Idlala indima ebalulekileyo kunye nokwakhiwa ichiza. Umzekelo, ayodini, inxalenye amiodarone into contraindicated kwinani izifo. Kwakhona, oko sinokuwagqwetha iziphumo kwezinye izifundo. Ngoko ayimangalisi into yokuba abaninzi bayahlupheka ukusuka arrhythmia ujonge analogu "cordarone" ngaphandle ayodini ezifana 'dronedarone. " Kakade ke, endaweni naliphi na iyeza kuphela emva kokudibana nogqirha wakho. Ngoko ke, iingcali ezininzi Russian musa singacebisi ukukhetha "Dronedarone" ngokungeyomfuneko, njengoko i analog "cordarone" buthathaka. EYurophu, nangona kunjalo, oku sele kakhulu kwandile.

Xa ukhetha ichiza okanye analog kuyimfuneko ukuthelekisa ukwakhiwa kwawo. Njengomthetho jikelele, kunye nokulingana generic akukho zithelekiswa omnye komnye - kuphela yokuqala. Umzekelo, ukuba ufuna analog "cordarone" kwi ampoules, xa yinxalenye yesisombululo olufanayo isitofu abanokubakho benzyl utywala, njengoko kweyoqobo "Cordarone."

Njengokuba amagqirha ingqalelo, kungekhona enasilela ngayo iimpawu ichiza "Kordaron" analogue eRashiya wabalisa iqela elikhulu iimveliso, eziquka: "Ritmiodaron", "Sedakoron", "Amiokordin", "Kardiodaron", "Ritmorest", "Opakorden" "Amiodarone" kbavelisi ezahlukeneyo ( "Amiodarone-Acre", "Vero Amiodarone" kunye nabanye abaninzi). kubo bonke isithako efanayo esebenzayo, koko babe excipients ezahlukeneyo. Uninzi lwabo sitshiphu ngaphezu yokuqala. Kwiimeko ezininzi, oku into ixhomekeke umenzi. Umzekelo, "Amiodarone", ekuthiwa efanayo njengoko izinto ezisisiseko eziqulathwe ekulungiseleleni "Kordaron". Togu Russian, yaye ixabiso layo lingaphantsi phantse kathathu, nangona imilo wokukhulula, kwaye kubonakala ngenjongo efanayo.

"Amiodoron" - i-analogue kakuhle eRashiya. Cishe enzima ukusuka 'cordarone "kwaye umgaqo amanyathelo, kunye nendlela isicelo komsebenzi efanayo ephakamileyo abambe kugqalwe fibrillation kunye nokuthintela kwazo. Baqinisekiswa ngayo ngenxa becala ezintle. Abaninzi kubo bathi "Amiodoron" imveliso Russian inceda ngokukhawuleza kwaye ngaphandle pobochki enzima.

Wemithi beziyobisi ampoules

Njengoko kukhankanyiwe ngasentla, isisombululo ukuba isitofu liboniswa isiqabu ekhawulezayo le ngxaki. isicelo "Kordaron" amacwecwe kwezinye iimeko. Analogs asebenza ngendlela efanayo. Izisombululo zaye ungabutofela ngokusebenzisa catheter imizuzu 20-120 okanye bolus imizuzu emi-3 xa umthamo we-5 mg 1 kg ubunzima bomzimba ngalinye.

Umthamo tablet "cordarone"

Ichiza ayathathwa Ipilisi ngokwamanqanaba amabini.

Inqanaba lokuqala, okanye umthwalo isigaba: 600-800 mg kanye yonke imihla, ukwanda ku-10 g.

Inyathelo lesibini, okanye kwisigaba yesondlo: 100-400 iziyobisi mg (ixesha emiselwe ngugqirha). Ithamo eliphezulu 1200 mg ngosuku.

An libanda, beziyobisi kuyingozi ngokwaneleyo. Ukuthintela oko, isigulane Kucetyiswa ukuba ukwazi ukuthatha ngqo njani amayeza "Kordaron" umyalelo manual. Analogs, kuquka nogxa athandwa eRashiya "Amiadaron", uninzi lwabo anike iimpawu ezifanayo ye libanda.

Kukho bradycardia eyomeleleyo, nkqu ukuya zokuma. Ukuba kubangelwa azipilisi ke, kuyimfuneko ukuba iphume esiswini kwaye uthathe chelators. Kwakhona kubanjwa olunye unyango kwangumqondiso, ibhalansi electrolyte yoxhaso. Ukuba kuyimfuneko, wabeka ipacemaker.

Malunga nolwazi efakwa libanda ayigqitywanga. Wachaza iimeko nekunqabileyo sinus bradycardia, tachycardia, zokuma. Unyango efana naleyo eboniswe libanda, okubangelwa iipilisi. Ihaemodialysis amiodarone kunye metabolites yayo singesuki.

imiphumela emibi

Njengayo nayiphi na indlela eyiyo amanyathelo enamandla, "Kordaron" "Amiodarone" kunye nezinye uthotho analogs bandiqumbisayo iziganeko ezibi. Bevakalise bradycardia ukuya zokuma, uxinzelelo lwegazi, zibe nefuthe elibi ophezu kwesibindi, zatsho uluhlu kunokuba onomtsalane Izimo.

Ukusuka yintloko ebuhlungu kangako kodwa kunjalo ezingemnandi icala elingenzi nto-onokubonwa kunye nesiyezi, unepleurisy, ukukhohlela, isigulane usenokukhalaza lobuthathaka, ilahleko acuity olubonakalayo. Kunokubangela negazi lakho. Le ngxaki efanayo zingafumaneka ngokuthatha nawaphi na analog. "Kordaron" kunye nezinye iipilisi iziyobisi amiodarone ngenxa yesi sizathu, ithengiswa ezikhemisti kuphela kagqirha. A Isisombululo isitofu isetyenziswa kuphela bume esibhedlele.

Noko ke, ngenkathalo esithathwe ekukhetheni iziphumo ebezingalindelekanga idosi iphezulu ichazwa kancinci okanye ivele konke konke. Njengoko kubonisiwe kokuphonononga "kordaron" yaye "Amiodarone" izigulane ezithatha la machiza, pobochka ngokuqhelekileyo buthathaka, ngokulula kuphele hlengiso umthamo iziyobisi.

Izimo

Ekubeni amiodarone - ichiza entle onamandla, akumangalisi ukuba kuphela ukunceda ukuphucula zikarhulumente eziliqela iingxaki zentliziyo, kodwa kwangaxeshanye ziyaziphazamisa kwezinye izigqeba okanye imeko mandundu zizifo ezithile ezihamba. Ukunqanda umngcipheko, ayikhuthazwa unyango kunye eli chiza kwezinye iimeko.

Kukho uluhlu iimeko ezithintelwe ukwamkela "Kordaron", "Amiodarone" kunye nezinye nabalingani amacwecwe. Eyokuqala yimeko yentliziyo ethile engaqhelekanga - bradycardia sinus, ibhloko isidanga atrioventricular kakhulu, hypotension, isongezo ye QT lokuphumla phezu ECG. Yinto ingasetyenziswa xa isigulane uvikivwa kokuqulathwe umzimba potassium nezinki.

Izimo ziquka isifo lengqula, kwakunye ukukhulelwa kunye nokuncancisa - isizathu ayodini, equlethe ichiza "Cordarone." Analog, hayi equlethe kuyo, ingahoywa kuphela iingcebiso kagqirha.

Izigulane ebantwini abadala kucetyiswa ukuba isilumkiso kuthathwe "Kordaron" yaye "Amiodarone" kunye nezinye analogs. Izigulane ungaphantsi kweminyaka eyi-18, la mayeza azalathelwa kwisikhundla.

Musa nika yindlela kwabo abaphethwe asthma inyumoniya, ukusilela yokuphefumla, uye wavakalisa ukusilela intliziyo. isifo ezimandundu wesibindi nezintso - kananjalo isizathu sokwala unyango ngale ndlela.

Akuthandabuzeki ukuba, asimele ukuthatha eli chiza xa kukho wayengabunyamezeli ngamnye ukuya amacandelo beziyobisi "Cordarone." Analogue eRashiya nakwamanye amazwe aseYurophu ukwakhiwa mnye, ngokunjalo kulo mzekelo ukubuyisela enye arhente akunakwenzeka ukuba baphumelele.

Ngokuphathelele lwezitofu, abanako ukwenza abantwana abangaphantsi kweminyaka emi-3 ubudala, abantwana abadala ngaphezu kweminyaka emi-3, ithamo kufuneka mayingagqithi 5 mg / kg. Musa ukuxuba ichiza isirinji efanayo kunye nezinye iziyobisi. Ngokubanzi, Izimo ukuba isisombululo esifanayo ukuba Izimo ukuba amacwecwe. Le bradycardia sinus, abagulayo sinus syndrome kunye neengxaki ezinkulu Uhanjiso, njengoko block sinoatrial iintliziyo kunye tachycardia ventricular paroxysmal. Ngokukodwa, izenzakalo ezinjalo kunokwenzeka xa uthatha amiodarone zidityaniswe namanye amachiza eziliqela.

Isitofu ngexesha lokukhulelwa kunokwenzeka kuphela kwiimeko ezizodwa, xa lokwaphusa iyindlela unyango ngaphandle ngokupheleleyo. Akwenzeki ukuba aqhube unyango usebenzisa 'cordarone "isisombululo kunye lengqula kwekhono, kukwalisa iodine okanye amiodarone.

Intsebenziswano kunye namanye amachiza

"Kordaron" zinokudityaniswa kunye nezinye iziyobisi. Ngoko ke, isiphumo sayo antianginal ngakumbi xa zidityaniswe ne iziyobisi nitrate elide amanyathelo. Ingasetyenziswa ngokusebenzisana kunye anticoagulants, womchamo, iziyobisi cardiotonic, musa basebenzisane kunye, ngokulandelelana, musa buthathaka okanye ukomeleza isiphumo ngasinye "Kordaron" kunye nezinye neuroleptics, analgesics, hypnotics kunye nadlamkisayo. Phantse njengokuba isabele kula machiza nayiphi analog.

"Kordaron" ayikwazi ukuba ingasetyenziswa ngexesha elinye kunye inhibitors Mao beta-blocker (kwiimeko ezizodwa kuphela).

Amanyathelo sokuphatha "kordaron" yaye "Amiodarone"

Ngexesha yokwamkela ezi ndlela kufuna phambi esweni imeko umzimba kunyango, ngexesha nasemva kwayo.

Ngaphambi ngexesha nonyango tablet ifomu babambelela ECG kuyacetyiswa. Isiphumo beziyobisi kubangela utshintsho kwi electrocardiogram, ingakumbi, isongezo lokuphumla T kunye Q-Q-T. Emva iziphumo uviwo ugqirha ukunyenyisa idosi ukujonga ukusebenza konyango.

Unyango inqanyulelwe xa ekuphuhliseni kwibhloko atrioventricular II kunye sinoatrialnaya III isidanga, intraventricular-beam ezimbini.

Ukususela omnye amacandelo ichiza ayodini, ufuna esweni rhoqo kwemisebenzi ndlala. Phambi unyango kuyimfuneko ukuqinisekisa inqanaba ka emzimbeni T3, T4 TSH. Nceda qaphela ukuba imvelaphi "cordarone" wezifundo lengqula radioisotope kunokuba elala neli ivuke neliya. Kumanqanaba hormone of ayodini akuchaphazeli data.

Enye into ebalulekileyo kukuba ukumisela umgangatho potassium kwi serum egazini phambi kokuba unyango nasebudeni kuyo.

Xa kulawula "cordarone" ekucetyiswa iimela efakwa kuphela, hayi inaliti isirinji. Kungenjalo, mhlawumbi uphuhliso ukuphazamiseka hemodynamic - hypotension esimbaxa, insufficiency oyingozi sentliziyo. Isirinji ukuba bafake ichiza kuphela kwiimeko zongxamiseko ezizodwa xa kungekho na uncedo. Kulo mzekelo iidosi 5 mg / kg kwaye ifumaneka imizuzu emithathu, kwakhona - akukho ngokukhawuleza ngaphezu kwemizuzu eli-15 emva kokuba ulawulo lokuqala. Le nkqubo iya kwenziwa kuphela kumasebe zokhathalelo coronary phantsi kweliso ECG. "Kordaron 'aziyi ezixutywe isirinji kunye nezinye iziyobisi. Ukuba kufuneka unyango ixesha elide kufuneka ukuya ukumnika. Nayiphi amiodarone efakwa olwenziwa ezibhedlele.

Ukuba uza kuba kumzimba jikelele, ugqirha kufuneka baziswe ukuba ukuthatha le amayeza.

Ukuze siphephe ziziphumo ebezingalindelekanga, izigulane kufuneka athobele idosi elimiselweyo gqirha.

Ngexesha unyango, izigulane kufuneka ukuthintela imitha yelanga aze asebenzise ukhuseleko nxamnye nayo (kuquka izithambiso ezizodwa), ukuba kukho imfuneko.

Qiniseka ukuba uthethe nogqirha wakho, ukuba ngenxa yesizathu esithile abafuni ukuba athathe "Kordaron" kunye nogxa wayo. "Kordaron" kunye neziyobisi efanayo kunye naye, njegawo nawaphi na amanye amachiza kwentliziyo kunokuba yingozi kakhulu ukuba reception ezingalawulekiyo. Kuphela ugqirha banokukhetha amayeza kuya kuba ngcono kwimeko yakho kwaye khetha umthamo ekhuselekileyo, kodwa olusebenzayo.