Da miyagun ƙwayoyi "Concor Kor": alamomi don amfani, real takwarorinsu

Zuciya da jijiyoyin jini cututtuka yanzu kusan na farko wuri a cikin mace-mace kudi a duniya. Kuma da wadannan matsaloli samun ƙaramin a kowace shekara. Idan ka ce a baya game da wani tsokar zuciya infarction, shi ne wata tambaya game da shekaru a kalla 45-50 shekaru, a yau da wannan cuta za su iya buge, da kuma 30-shekara.

Modern Pharmacy yana da wani taro na medicaments domin magance "cardiac" matsaloli a daban-daban matakai na gaba daga cikin wadannan cututtuka. Wata kungiya daga cikin wadannan kwayoyi ne beta blockers. Ka'idar aiki na wadannan kudi ne don toshe da beta-adrenergic rabe a cikin zuciya. A sakamako ne da rage a zuciya rate, wadda take kaiwa zuwa runtse jini da kuma inganta general yanayin mutum.

Beta-blockers yanzu ɓullo da wani babban iri-iri. Daya daga cikin yadu a yi amfani da ci gaban cardiac matsaloli ne "Concor Kor." Alamomi, reviews na medicament faye hali da miyagun ƙwayoyi a isasshe tasiri da kuma bukaci tsakanin marasa lafiya da cardiac cuta.

Babban aka gyara da kuma nau'i na da miyagun ƙwayoyi saki

Babban bangaren na cikin shirye-shiryen "Concor Kor" - bisoprolol hemifumarate. Kamar yadda karin protrudes isasshe manyan jerin abubuwa: masara sitaci, microcrystalline cellulose, crospovidone, magnesium stearate, colloidal silicon dioxide, anhydrous alli hydrogen phosphate.

Da miyagun ƙwayoyi da aka miƙa wa masu amfani a cikin nau'i na zuciya-rufi fari film-rufi Allunan (a cikin abun da ke ciki - macrogol 400, dimethicone 100, gipromelaza, titanium dioxide). Hadarin a garesu raba zuwa alluna biyu "Concor Kor." Marufi medicament aka samar a tsare blisters, kowanne daga abin da za a iya soldered 10, 14, 25 ko 30 na fadiwa.

Marasa lafiya suna akai-akai gani a magani da magani "Concor". Tun da sunayen wadannan biyu kwayoyi suna kama, harhada magunguna sau da yawa da ya amsa tambayoyi game da bambanci tsakanin "Concor" daga "Concor Kor." Saboda haka: da kawai bambanci ne a cikin adadin da abun ciki na babban aiki bangaren - bisoprolol. "Konkor" masu amfani da za su iya sayan Allunan da ciwon a cikin abun da ke ciki an 5 ko 10 MG na aiki sashi, yayin da "Konkor Kor" - 2.5 MG.

Masu amfani da bukatar su sani cewa domin sayan magunguna-blockers a cikin kantin magani da harhaɗa magunguna za bukatar samar da wani likita ta sayen magani.

pharmacodynamics

"Concor Kor" yana da wani zabe beta 1-adrenoceptor tarewa tasiri. Jigon makamantanta - ikon kashe riwayar jijiyar a adrenergic rabe. Saboda wannan dalili da miyagun ƙwayoyi ne iya exert antihypertensive, antiarrhythmic, antianginal effects.

Hawan jinni sakamako "Concor Kor 'reviews likitoci hade da cewa bisoprolol rage minti girma na jini. Bugu da kari, a layi daya hanawa sanya renin-angiotensin tsarin. A mafi girma na asibiti sakamakon aka samu bayan kwanaki 5 da karbar magani. BP ne stabilized da karshen watan biyu na magani magani "Concor Kor."

Ppokazaniya medicament don amfani da tabbacin barga antianginal effects ta rage tsokar oxygen bukatar saboda da rage a cikin zuciya rate. Har ila yau, dole ne in ce cewa yin amfani da wannan magani na inganta da tsawaita na diastole.

Antiarrhythmic sakamako nufin "Konkor Kor" saboda tarewa barnatar influencing dalilai da suka hada da m rinjayar da m danniya na CNS Department, danniya matakai haifar lantarki hatsaisai a cikin sinus kumburi, da hanawa na lantarki aiki na myocardium.

Don nuna da miyagun ƙwayoyi, da kuma wanda - ba?

Mene ne nufin a "Concor Kor" alamomi don amfani? Mabukaci reviews tabbatar da high dace da miyagun ƙwayoyi. An shawarar ya dauki mu bi da zuciya rashin cin nasara da kuma hana ci gaban irin wannan yanayi a farkon matakai. Don zama daidai, da ma'aikatan kiwon lafiya, rubũta da beta-shafi yarda domin magani-resistant kullum zuciya maye tare da rage hagu na ramin zuciya systolic aiki. Yawancin "Konkor Kor" wajabta a layi daya tare da ACE hanawa , diuretic jamiái, cardiac glycosides.

Da cewa babu wanda yana da marmarin ya sanya da miyagun ƙwayoyi kanta a kan nasu, ba tare da ka da umarnin likita, shi ne zama dole don samun matsahi na saba da wani m jerin contraindications da jamiái "Concor Kor."

Fãce wajibi ga duk magani umarnin to ban gaban rashin ha} uri ga gyara da cewa yin up da miyagun ƙwayoyi da kuma haƙuri da shekaru (har zuwa shekaru 18 har zuwa - babu bayanai a kan tasiri da kuma kariya), har yanzu akwai yalwa da dalilan da yanayi a karkashin abin da miyagun ƙwayoyi ne riƙi ne unacceptable.

"Concor Kor" umarnin don amfani (analogues - m beta-blockers - da irin wannan umarnin a kan inadmissibility na m) ya haramta marasa lafiya da zuciya rashin cin nasara a m kuma na kullum decompensated insufficiency. Kada ka sanya wani magani liyafar a rushewar cardiogenic buga (a yanayin jawo by cardiac tabarbarewa). Daya ba zai iya dauka da beta-shafi na manyan sabawa na AV-madugu (II, III digiri AV-block) ba tare da wani na'urar bugun zuciya. Har ila yau, dalilin hakan da liyafar ne gaban bradycardia (zuciya rate (zuciya rate) ne kasa da 50 lashe / min.), Sinoatrial kawancen (worsening sinus turu wucewa ta cikin sinoatrial fili). Magani contraindicated a marasa lafiya tare da Prinzmetal angina (spasm na kayayyakin da ciyar da zuciya, yayin ST kashi tadawa) da kuma rashin lafiya sinus ciwo (SSS).

Kada ku riƙi "Concor Kor" tare da low systolic jini (a kasa 90 mm Hg. Art.), A gaban fuka a cikin tsanani da tsari, da waɗanda suke tãre da wani tarihi na records na kullum obstructive na huhu cuta (COPD).

Bugu da ari, shirye-shiryen "Konkor Kor" aikace-aikace ne unacceptable a gaban munanan a gefe jijiyoyi (yafi shafi daga baya, saukarwa) tare da Raynaud ta cuta, pheochromocytoma (benign ko m ƙari APUD-tsarin), da kuma na rayuwa acidosis (motsi na acid-balance tushe a cikin shugabanci na kara acidity saboda da jari na acidic kayayyakin a kyallen takarda da su dauri ko rashin halaka).

A lura regimen da kuma halatta girma bisoprolol

Bisa ga umarnin, da beta-shafi aka dauka sau daya a rana, zai fi dacewa da safe, bayan da abinci. Kwayoyi "Concor Kor" (daga abin da zai zama da magani aka ba amfani - ko yana ischemic cututtukan zuciya, na kullum zuciya maye, ko hauhawar jini) ba bukatar ka tauna ko murkushe su yi lõma da dukan da kuma wanke saukar da wani kananan yawan ruwa.

Domin gudanar da warkewa matakan for kullum zuciya maye tare da yin amfani da miyagun ƙwayoyi "Concor Kor" shi ne shawarar a gudanar da wani titration na kashi. Jigon da tsari kamar haka: a lokacin 1 st mako na samu adadin beta-shafi cikin sharuddan bisoprolol ne 1.25 MG zuwa 2-mako kashi da aka ninka (2.5 MG) for 3 minutes ne 3,75 MG. A lokacin daga 4th mako har karshen 7th kashi ne 5 MG kullum Bisoprolol. 8 th mako zuwa 11 ga watan - 7.5 MG. An fara daga 12th mako yarda a kalla 10 MG. A sashi ne zama dole (kuma zai yiwu) ya kara kawai tabbatar da cewa baya kullum jure da ba sa korau ji.

Nan a kan surface - ne amsar tambayar fiye da "Konkor" bambanta daga "Konkor Kor": biyu bambance-bambancen (2.5 MG bisoprolol) shi ne manufa domin fara warkewa matakan game da m kullum zuciya maye jihohi, yayin da na farko (5 ko 10 MG) ne mafi daidaituwa ga tabbatarwa magani.

Idan a wani matsayi akwai wani kashi daidaito na zuciya rashin cin nasara bayyanar cututtuka, likita masana bayar da shawarar da daidai sashi na layi daya diuretics ko ACE hanawa. Lokacin bayan wasu lokaci samun matsayi kyautata, shi wajibi ne don ci gaba da aiwatar da titration "Concor Kor."

Far da wannan miyagun ƙwayoyi ne tsawon lokaci yanayi. A yarjejeniyoyin da beta-shafi dole ne a aiwatar da sannu a hankali, musamman ga marasa lafiya fama da ischemic cututtukan zuciya.

Wuce kima allurai: da illa da kuma magani

Umarnin da miyagun ƙwayoyi ko da yaushe accompanies kwaya "Concor Kor." Daga abin da suka yi da kuma abin da su ne contraindications, shi da aka bayyana a baya. Yanzu za mu mayar da hankali a kan abin da ya yi idan, saboda wasu dalilai, shi ne unacceptable manyan kashi da aka dauka.

Symptomatology ne kamar haka: tasowa hauhawar jini da kuma bradycardia, bronchospasm, da kuma wani babban Yiwuwar da qarancin ruwa da zai iya farko na m zuciya rashin cin nasara.

Sakamakon na samun manyan allurai da mutane daban-daban na iya bambanta materially. Kila, wadanda suka sha wahala daga zuciya rashin cin nasara, suna sosai kula wuce haddi na da shawarar sashi by your likita. A mafi kyau yanke shawara ga mãsu haƙuri - ganin likita (idan yana yiwuwa su yi shi da kanka) ko sa a "azumi". Dangane har zuwa abin da miyagun ƙwayoyi an karɓa masa, likita zai ƙayyade matakan da za a dauka don sauƙaƙe haƙuri da yanayin.

Matsayin gaggawa ayyuka saba yi na ciki da lavage da liyafar na absorbents (kunna carbon ko ta analogues). Bugu da ari, dangane da halin da ake ciki, bisoprolol magani iya kare, kuma domin da ake buƙata lokaci lokaci, a wani asibiti da za a taimaka da kuma symptomatic far.

Umarnin su "Concor Kor" alamomi don amfani, likita sake dubawa da sauran kafofin na bayanai kawo hankalin kwararru da kuma masu amfani da cewa bisoprolol ne m isa amenable ga dialysis.

Korau bayyananen aikace-aikace "Concor Kor"

Kamar yadda kusan duk wani miyagun ƙwayoyi, shi ne iya samar da "Concor Kor" illa mai sãɓãwar launukansa a tsanani a kan tsarin da kuma gabobin.

Game da zuciya da jijiyoyin jini tsarin, mafi m gunaguni na marasa lafiya a kan abin da ya faru na bradycardia da hauhawar jini (yafi a mutanen da fama da kullum zuciya maye), zai iya ci gaba vasospasm. Don a karami har shi ne wata ila a take hakkin AV-madugu, cardiac decompensation, tare da gefe edema.

Dauki ga CNS miyagun ƙwayoyi bayyana kasa pronounced kuma iya kunshi gajiya, ciwon kai da kuma dizziness, gajiya, barci tashin hankali, da kuma lokaci na wakefulness. Sosai da wuya, marasa lafiya koka cramps, yãyen mafarki da kuma hallucinations. A mafi yawan lokuta, wadannan cututtuka ba su da wani tsanani saka launi da kuma gwada bayan 1-2 makonni daga farkon far da "Concor Kor."

Alamomi ga yin amfani da wani jerin contraindications tattara hankali da marasa lafiya da wani tarihi na bayanai a kan COPD da kuma asma, akwai yiwuwar bronchospasm. Da wuya magana game da bayyanar rashin lafiyan rhinitis.

A kan wani ɓangare na narkewa kamar fili sau da yawa na iya haifar da tashin zuciya da amai, maƙarƙashiya, zawo, ji na rashin ruwa na mucous a baka rami. Kadan sau da yawa magana game da ci gaban da hepatitis da kuma canza a hanta enzymes.

Bugu da kari ga dukan sama, marasa lafiya bayar da rahoton na gani disturbances da conjunctivitis (m), game da cramps a cikin maraƙi tsokoki da tsoka rauni, take hakkin iko (sosai rare).

Na rashin lafiyan halayen sau da yawa yiwu rash, itching da redness.

"Concor Kor" da kuma ciki

Beta-shafi "Concor Kor" a lokacin daukar ciki mai yiwuwa ne kawai a lokuta inda sa ran amfani zuwa ga uwar da kiwon lafiya fiye da hadarin m ga tasowa baby.

Duk wani beta-blockers (da kuma "Concor Kor" daga gare su), rage tsanani da jini ya kwarara a cikin mahaifa, kuma haka zai iya samun mummunan tasiri a kan ci gaban da jariri a utero. Idan ka har yanzu sanya sami magani mata masu ciki, ma'aikatan kiwon lafiya dole ne kullum saka idanu da jini ya kwarara a cikin mahaifa da kuma mahaifa, kazalika don tsayar da girma da kuma ci gaban da yaro. A taron na wani mummunan dalilai ga mace da kuma yaron ya kamata ta motsa a kan sauran, madadin hanyoyin magani.

Bayan haihuwar yaro ya kamata a hankali yayi nazari. A lokacin farko 3 kwanaki na wani jariri na iya rage matakin na glucose a cikin jini, shi ne kuma zai yiwu bradycardia (rage zuciya rate) cututtuka.

Kamar yadda na nono-ciyar da mata, da kasafi bayanai na bisoprolol da nono ko ta tsaro ne ba samuwa ga yaro. Saboda haka, idan ya cancanta, sami nufin "Concor Kor" a cikin wannan lokaci, shi wajibi ne su yanke shawara a kan ƙarshe na lactation.

kama da kwayoyi

A miyagun ƙwayoyi "Concor Kor" takwarorinsu (suna da yawa) an fi sau da yawa located a kan babban aiki sashi - bisoprolol. Kai magani da aka samar a Jamus da kuma Norway. kwayoyi kamar "Aritel" mafi sau da yawa amfani da Rasha takwarorinsu, da kuma "Aritel Kor", "Biprol", "bisoprolol-Prana". Ko da yake karshen samuwa ne a kasashen da dama, a duniya, "bisoprolol Teva" - Hungary, Isra'ila, "bisoprolol-ing" - Ukraine. A gaskiya, da kai tsaye analogue ne "Concor".

Bugu da ari, daga mafi yawan amfani da irin wannan hanyar za a iya kira "Bidop" da "Bidop Kor" "Biol" "Bisogamma", "Bisomor", "Kordinorm" da "Kordinorm Kor", "Tiresias", "Niperten".

A general, jerin analogues (ma'ana) shi ne quite m da bambance bambancen, amma a warware tambaya na abin da ya maye gurbin "Concor Kor" kai unacceptable. The dama zabi wani medicament ga maye kaɗai yake da halartar likita.

Hulda da sauran kwayoyi

A kan mai kyau inganci da kuma tolerability na beta-blockers iya shafar amfani da biyu kwayoyi a lokaci guda. Game da miyagun ƙwayoyi "Concor Kor" (alamomi don amfani, real ma'aikatan kiwon lafiya da kuma marasa lafiya tabbatar da irin wannan dauki) rashin ha} uri iya faruwa ko idan irin wannan a cikin manufa tasiri kwayoyi da aka dauka ta hanyar karamin adadin lokacin juna.

Bugu da ari, marasa lafiya shan bisoprolol, shi wajibi ne su san abin da allergens for immunotherapy ko 'ya'ya ga fata gwaje-gwaje iya fararwa da ci gaban mai tsanani tsari rashin lafiyan halayen ko anaphylaxis. Yana iya sa anaphylactic buga da kuma lokaci daya aikace-aikace na bisoprolol da iodinated bambanci jamiái ga igiyar jini gwamnati.

Diuretics, sympatholytic kwayoyi da kuma sauran antihypertensive, bisoprolol amfani a tare da, zai iya sa wuce kima ragewan na jini.

Tetracycline antidepressants, antipsychotics, sedatives da hypnotics kwayoyi depress da tsakiya m tsarin. Effect na insulin ko wasu irin hypoglycemic kwayoyi na baka gwamnati a lokacin jiyya da medicament "Konkor Kor" na iya ƙara. Symptomatology tasowa da qarancin ruwa da (tachycardia musamman) za a iya suppressed ko masked.

Abin da ya nemi?

Mutanen da suka "Concor Kor" da aka sanya wa aikace-aikace ne inadmissible a kan nasu ya katse magani ko don canja shawarar sashi ba tare da na farko da tuntubar tare da likita. A irin haka shi ne zai yiwu worsening da zuciya aiki. Wannan shi ne musamman gaskiya da marasa lafiya da jijiyoyin zuciya jijiya cuta. Idan ya zama dole su karbi magani magani "Concor Kor", da manufacturer bada shawarar cewa ka yi haka, sannu a hankali rage sashi.

A shan taba marasa lafiya da tasiri na beta-blockers ƙananan fiye da wadanda ba su shan taba.

Waɗanda suka ci lambar sadarwa ruwan tabarau, ya kamata ka tuna cewa beta-blockers iya haifar da wata rage a samar da hawaye ruwa.

Idan haƙuri tasowa a bukatar zaɓe na tiyata, samun "Concor Kor" dole ne a daina shan dukan ba kasa da sa'o'i 48 kafin janar m. Idan tiyata da ake bukata cikin gaggawa, da kuma haƙuri ya riga ya samu wani beta-shafi, domin general maganin sa barci ya zama dole don zaɓar miyagun ƙwayoyi da kadan korau inotropic tasiri.

A ƙarshe ina so in ce, duk abin da ya ga magani "Concor Kor" karatu, reviews na high dace a kan wani ɓangare na marasa lafiya da kuma ma'aikatan kiwon lafiya, da yanke shawara a kan nada kowane mutum da mutum da sunan na nufin "Concor Kor 'kuma ba wani beta shafi, kamata |ai ne Yake da halartar likita.