"Izoket" mapu: ako ā-, arotake, ngā whakaahuatanga, analogues, utu

I teie mahana, whakahau maha tohunga ki te tūroro vasodilator rehu "Izoket" prophylactically ranei, ki te tika, kapu i te whiu. Te raau e rārangi whānui o tohu rerekē. Kei te pai te whakamahi i te reira i roto i te maimoatanga o pathologies Cardiovascular, tae atu ki te aro tikanga whakapeka.

Pūtaiao

māngai Active o te tarukino i pectoris angina āhuatanga e ngā āhuatanga vasodilating me vasodilator korerotia. Isosorbide dinitrate whakaongaonga hanganga o te hauota waikura i te rauropi, me te whakaiti i nga whakaritenga o te uaua ngakau o te hāora, me te pūngao, reira whakaiti i te kawenga i runga i te myocardium. Te reira i tōtika te whakaiti i te pēhanga i roto i te tohanga pūkahukahu, heke rere toto ki te marae tika, te whakaiti mānukanuka taiepa ventricular cardiac, me te whakaiti i te pēhanga diastolic me mahi systolic i roto i te whakapai ake ia ratou. Te raau e kore pānga i runga i te auau o contractions o te ngakau, me te toro oko kaka pai. Ka taea hoki te whakanui i te reira i te oko toto o te mater Rura o te roro, me te reira meinga mamae i roto i te upoko. Founga o mana i runga i te tohatoha anō o te rere toto coronary i roto i te rohe i reira heke rere toto te. I roto i te CHD (mate ngakau coronary) me angina tika ki te mahi o te tarukino i roto i te tūroro ki te whai wāhi ki te whakapiki ake i te mahi whakaaetia.

Rehu "Izoket" tere whenumi puta noa te mucosa o te rohe mangai, na te pānga o tona tono haamata i muri i te 30 hēkona ka pumau ki runga ki te 120 meneti. Kei te maha mihi ki te tere whakaritea reira ki te tūroro kia whakaorangia tonu o ngā āhuatanga whakapeka.

Puka tuku

Ko te tarukino ko te otinga mārama, i te mea te huitahi me he kakara waipiro. mai te reira i roto i rua ngā momo:

1. Rehu "Izoket" me te inenga sublingual. Ki te tukua tetahi pāwhiri i runga i te dispenser e i roto i te puka o pata iti o tetahi o tona horopeta titoa e te o 1.25 mg o whakauru hohe - isosorbide dinitrate me huānga pŭpŭ tauturu: te waihā me Macrogol 400. Ko te hanganga aerosol kua he freon, Heoi pā reira ki taero kinokore mo te taiao. I whakaputahia i roto i te ipu mārama o te 15 ml, Kikī i roto i te pouaka ki te dispenser, me ngā tohutohu. Koata pounamu mō te 300 pakō (pota), ka taea ki a koe te aroturuki i te nui o te tarukino me te whiwhi i te whakakapinga i roto i te wā.
2. Ko te otinga i roto i te puka kareti tikanga hoki infusions. 1 ml o tenei faaineineraa roto 1 mg o te huānga kaha o te isosorbide dinitrate me matū pŭpŭ tauturu: konutai pūhaumāota, konutai waihā, te wai. Kotahi oko - 10 ml o otinga mō te whaowhia. Wātea i roto i te mōkihi pepa o te 10 nga wahi ia.

Tuhinga

Rehu "Izoket" tohunga whakaritea i whakaeke stenokardicheskie puka katoa me rite te mehua ārai ki te karo ia ratou. Kei te tūtohutia hoki te reira no te āhua pou-infarction, infarction myocardial i roto i te wā whakapeka, te whakanui ake i te kātakí ki IMS me therapy o spasm te AVC. Aerosol "Izoket" pai whakamahia rite te tarukino mō te kore te ngakau i roto i te ana roro maui. E ai ki ngā tohutohu, aro hoki whaowhia te whakaritea ki te tūroro ki taua pathologies o te pūnaha Cardiovascular:

• angina iu tupu i roto i te huru preinfarction infarction myocardial o mua ranei;
• angina vasospastic;
• infarction myocardial i roto i te puka whakapeka, meinga e te kore o te mānawanawa maui o te ngakau;
• vasospasm coronary i roto i wawaotanga hāparapara;
• kore ngakau o nga mea katoa;
• kore ngakau ventricular maui whakapeka;
• edema pūkahukahu.

Methods o te whakamahi o te aerosol

He faaineineraa i roto i te puka o te ringihia maputia ki te kōhao-waha o te manawanui, e tika ana ki tenei reira hohoro tomo te awa toto. whakarato ia werohanga kotahi horopeta ingestion. Tohutohu mō te whakamahi e pā ana ki huarahi ngā o te whakamahi i te raau taero, i runga i nga tohu rānei.

I roto i te tikanga kapu whakaeke stenokardicheskie te aroaro o te ahotea tinana ranei aronganui ū mai e taea meinga whakapeka, whakaroa respiration, ka e tango te manawanui i te 1 ki te 3 pota i wā o te 30 hēkona i waenganui werohanga. Whakanuia inenga, kahore te tirotiro mātanga rāhuitia.

I roto i te take o te exacerbation whakapae o kore ngakau ranei infarction myocardial, koi runga i te manawanui e tango i te 1 ki te 3 pota i raro i te mana tino o rua auau ngakau, me te pēhanga toto. Ki te kahore he whakapai ake, ka korerotia te tikanga kei te rima meneti i muri mai i te whakatau o te tākuta. I roto i te tekau meneti i muri, kia ū te huru. Kore, ka taea e koe faahiti kotahi ano te whawhe i raro i te mātakitaki o te rata.

I mua i te maimoatanga tukanga kapu spasm coronary (mo catheterization tātaritanga rapaauraa ranei) whakahaere ki te manawanui e werohia 1-2. A, no te whakatika te hiahia e taea te tukurua inenga, engari anake ki te tawhā mana o te tohanga toto.

tūtohutanga Motuhake mo te whakamahi o te ringihia

I roto i te wā ka tono te ringihia hou te mo te wa tuatahi, ranei i muri i te horopeta whakamutunga kua neke atu i te 24 haora i, he mea tika ki te whakatika i te press tuatahi i roto i te rangi, e kore te mea e nui hei nohoanga i te reira i te inenga e hiahiatia ana. Hoki pota i roto i runga i te nebulizer ako tonu aki ki te mutunga, a ka tukua. I roto i te whakamahi ki te dispenser rehu pounamu me kia upwardly me poutū. Whakamahia tūpato, me te karo tafé ki te kanohi. I roto i te wā maimoatanga katoa titau mana tamau o te pēhanga toto (BP) me ECG pupuri. Ko te uara o te pēhanga toto e kore e waiho iti iho i te 100 mm HG. Art. withdrawal ohorere o te raau taero rāhuitia ako, na te horopeta i whakaritea iti āta. e kore e tūtohu inu waipiro i tango aerosol "Izoket".

ngaio Reviews tohu e inenga teitei o rongoā, ko reira maha te whakarite whakamahi nahanaha taea arahi ki te whanaketanga kātakí i roto i te manawanui ranei. whakawhanakehia he āhuatanga taua kei te me te whakamahi o te tahi atu raau taero e kua titoa o pūhau. I roto i ngā take pēnei i, tūtohu kaiwhakaako ki te whakakore i te whakamahi o te tarukino mo 2-3 ra, a i muri i te akoranga o te maimoatanga auau, i roa 3-6 wiki, tango i te whati mo 3-5 ra, a ka whakakapi i te reira poto e te tahi atu raau taero ki ngā pānga rite. I roto i te nuinga o te wā, i muri i te arumanga korenga atu ranei te tūtohutanga o te manawanui, kaua hohoro faaho'ihia mai. tikanga wāhanga ahu metabolites rite i roto i whatukuhu tata tonu.

Inenga me te tono otinga

E ai ki nga whakaritenga i roto i te faaineineraa ako "Izoket" (mō te otinga e whaowhia) tono te pâmuhia. Ko te inenga o te vrechom penei hāngai takitahi ki te hemodynamic me ngā tawhā haumanu o te manawanui. kia tīmata therapy ki te horopeta iti, me te whakanui ake āta kawea ki te nui e hiahiatia ana. Tohutohu inenga tūtohu he 2-7 mg / hr, aua, te horopeta toharite ko e pā ana ki 7.5 mg / hr. I roto i te wā o te rōrahi tikanga tino taea te nui haere ki te 10 mg / hr.

I roto i te nuinga o te wā, iwi ki te kore te ngakau e rapu pota teitei o te tarukino. kia amohia e te whakataki o te tarukino maimoatanga tūroro noho i raro i te mātakitaki o te tohunga, me te whakamahi o ngā pūnaha aunoa mo e whaowhia. haere tahi ana te tukanga katoa e tohu mana tohanga (pēhanga toto me te auau ngakau).

rite te otinga mō te whakahaere rō-uaua i roto i ngā āhuatanga horomata tonu i te aroaro o te tukanga. E kore te te tarukino rongoa neke atu i te 24 haora. tikanga te faaineineraa:

• ki te kukū o 0.01% (100 micrograms / ml) - 50 ml o 0.1% tarukino kia hanga 500 ml o te faaineineraa rite mō te whakahaere;
• ki te kukū o 0.02% (200 micrograms / ml) - Ka taea e 100 ml o 0.1% otinga o te tarukino hua 500 mL o te medicament rite mō te whakahaere.

Contraindications me whakatūpatotanga

E kore te te tarukino tohua mō tūroro hypersensitive ki pūhui pākawa, me ētahi atu āhuatanga o te aerosol "Izoket". Kei te rāhuitia hoki te tono, ki te te manawanui taua mate:

• hypotonia, i nei ko te pēhanga systolic i raro 90 mm HG.;
• iti hoki iaia i roto i te wā whakapeka, hei tauira, i roto i ru tiango iaia ranei;
• pericarditis me tamponade pericardial;
• i roto i te ru cardiogenic i roto i te wā i reira kahore he taea ki te whakatika i te tahi atu pēhanga ara i roto i te ana roro maui o te ngakau;
• cardiomyopathy hypertrophic;
• papahewa katinga.

I tua atu, e kore e te tarukino tohua mō tangata i raro i ma waru nga tau o tau. Tohutohu mō te whakamahi taunaki ana te whakamahi o te tarukino me te tūpato tino me i raro i te tirotiro tamau i roto i ngā take pēnei i:

• infarction myocardial ki te rere whakapeka ina kua he pēhanga iti mahue te manawanui ana roro ngakau whakakī;
• nui haere te pēhanga intracranial;
• mitral stenosis te pūtahi o me / ranei;
• kimi i te tūponotanga takanga o nga disorders orthostatic manawanui i roto i te ture o te tohanga toto;
• tākihi ate ranei kore.

Pregnancy me te hohipera

Scientists i roto i te whanaketanga o ngā akoranga tarukino kararehe kua whakahaere. Ko te whakamātau i runga i te whakamātautau whakakitea e kore te te pānga ino i runga i te kukune whakamana. Heoi, i roto i hapū me te hohipera wā tūtohutia te whakarite o te aerosol te anake i roto i te hunga mau huru i reira e kia tino nui atu i te tūpono ki te kukune uma-tamaiti ranei nga painga te tikanga ki nga wahine. kia Treatment i roto i enei take i raro i te te tirotiro tino o ngaio, tawhā mana te tohanga (pēhanga toto me te auau beat ngakau), me te te huru whānui o te manawanui.

Ngā pāhekoheko ki ētahi atu taero

Kei te riria te reira ki te faaite i vasodilators me "Izoket" faaineineraa (rehu). Ratou whakamahi i roto i ngā e taea ai te nui haere pānga hypotensive. Ko te taua pānga tura'ii te fariiraa tukutahi "Izoket" me taua rongoā aerosol: antihypertensives, blockers konupūmā hongere, "Quinidine" ranei "novokainamid" neuroleptics, inhibitors 5-phosphodiesterase.

Intensifying pānga antianginal ka whakamahia i roto i te taha ki te taero pērā i "Amiodarone", "propranolol", "Nifedipine", "Verapamil," me ki ētahi atu blockers o te konupūmā teihana puhoi.

Nui haere te pēhanga intracranial i roto i te manawanui e taea puta i roto i ngā therapy ki atropine me ētahi atu m-holinoblokatorami.

heke nui i roto i te pēhanga toto, ārahi ki perfusion coronary, puta i raro i te mana o te Arepa-blockers me sympathomimetic.

pānga te taha me te arotake

Ko te tohutohu whakaahuatia i roto i te rota o ngā pānga taha e kia meinga ai e tarukino "Izoket" (rehu). Reviews o te tahi mau tūroro peratia ki tenei tarukino, tohu te ahua o pāhoahoa, i huaina i roto i rongoa "pūhau". Ka rite ki te tikanga, i muri i 2-3 ra riro te raruraru i runga i ona ake me e kore e rapua e te ako. Engari varavara ai medicament meinga ari pērā i whakapairuaki, whero o te kiri, ruaki, me te mangai maroke. Ētahi tūroro e riro te rongoā mo te wa tuatahi, amuamu o ngoikore whānui, whanoke, heke te pēhanga toto, me te mana'o o te lethargy. meinga tenei e raruraru iti i roto i te mahi o te pūnaha Cardiovascular. whakatika ratou ka whakamahi i tuatahi nui te inenga tūtohutia ranei.

Heoi, kia rite ki arotake, kite me te tapiri mana tūroro. A ka te fariiraa i roto i runga i te whakaritenga ngaio o ngā pānga taha e kore e puta pera pinepine. Ko te okotahi ko te ānini i nga ra tuatahi o te whakamahi, e apee te nuinga o te wā, engari ko te tikanga haere i roto i te torutoru ra.

Nui rawa te rōrahi mōrahi

He tuwhena rawa o te tarukino e taea meinga he maha o ine nui: syncope, tiango, pēhanga intracranial tiketike, tūāhuruiti, hukihuki, disorders mahi ataata, nui ake sweating, methemoglobinemia, bradycardia, pāpāngia, me pōroa. Ko Ko te aha te mea e kore e nui ki te ngakau-whaiaro reira, a ka tango i te tarukino tino rite ki te whakaritenga o te mātanga!

Ki te nga tohu whakaahuatia titau tango o te tarukino me te whakahaere therapy hāngai ana ki aueue huru o te manawanui.

analogs

Medicament "Kardiket» (CHWARZ Pharma, Germany) - tetahi o nga taero whānui tino noa (analogs) o te tarukino "Izoket" (rehu). Ko te utu o tenei whakakapi ko ti'aturi i runga i te kukū o te taonga kaha, me te maha o pire i roto i te mōkihi.

Hei tauira, te kaihoko i roto i nga papa o te 20 mg "ia faataere Kardiket" (20 RW. I runga i te mōkihi) he i 62 ki te 72 moni, i te faaineineraa taua, anake i te inenga o papa mg 40 me te nui o te 50 nga wahi, kua he uara o 210-220 moni.

He rōpū o ngā rongoā "Nitrosorbid" hangaia e rave rahi kamupene Russian, a he ngā momo o tuku, rawa, ko te tarukino whakakapinga "Izoket". Analogues o tenei rōpū i te ingoa "Nitrosorbide-Rusfar", "Nitrosorbide", "Nitrosorbide NS", "Nitrosorbide-UWI."

utu o

I roto i pharmacies Russian ka whai ki te utu i 365 ki te 470 moni ia inenga waihanga "Izoket" (rehu). i hanga te utu i runga i te wāhi o te putanga hokohoko, me ona mana rānei. I paetukutuku e hoko rongoā e taea te hokona i te utu o raro atu i te rongoā tikanga tata tou whare. Otira ka tono i runga i te Ipurangi, ka whai ki te utu 200 moni mo te tuku ia farii i te kaihoko noa i roto i te kōwae ex, e kore nei e tonu wa kei fakasiokālafi ranei.

Hoki, i tetahi rongoā ka taea e koe te hoko i te mōkihi (10 oko) otinga hāngai hoki whaowhia "Izoket". rerekē tōna utu i 906-980 moni.

Overview

hangaia te raau e te kamupene Tiamana "YUSB Pharma GmbH". Ko te ora papa o e rima nga tau. Ngā o hoko - te aroaro o te whakahaunga o te tākuta. I muri wā roa o te whakamahi e tūtohu ana ki te tirohia i te mahi o te sprayer. unu i te tapanga o te aerosol te i te pere raro. A, no te tae te wai te taumata kia waiho ki te tiki i te tarukino hou, mai i te whakamahi o te pounamu ngā he taea anake ki te iti tītaha, i roto i nei rumakina te ngongo ngote e i roto i te wai.