Mankhwala "Inderal" - ku chiyani? Zochita za mankhwala, "Inderal"

Nthawi zambiri, madokotala mankhwala kuti 'Inderal' odwala awo. Kumene izo kumathandiza kuchotsa? Kodi? Kodi pali contraindications aliyense kuti mankhwala? Nkhanizi ndi chidwi odwala ambiri.

Mankhwala "Inderal": kumasulidwa mawonekedwe ndi zikuchokera

Pakali pano, mankhwala adzamasulidwa mu mawonekedwe a pellets kakang'ono, koma pali njira jekeseni, amene Komabe, ntchito zambiri kamodzikamodzi.

Waukulu yogwira pophika mankhwala ndi propranolol hydrochloride. Aliyense piritsi lili kapena mg ndi 10 kapena 40 a chigawo ichi. Kumene, kupanga ndi ntchito adjuvants: colloidal pakachitsulo dioxide, talc, calcium stearate, wowuma chimanga, ndi microcrystalline mapadi.

Pharmacological katundu wa mankhwala

mankhwalawa ndi beta-blocker chosaneneka zotsatira. The yogwira pophika amenewa mankhwala attenuates nyemba azimvetsa zolandilira m'mnyewa wamtima beta. Choncho, kuchepa pafupipafupi ndi mphamvu ya contractions mtima, komanso neutralization obwera chifukwa cha makatekolamaini. Mankhwala kumachepetsa kufunika kwa minofu mtima wa oxygen. Imawalamulira, pali kuchepetsa magazi.

Koma zimenezi "Inderal" simathero. Mwachitsanzo, nthawi yomweyo pambuyo kutenga mankhwala kumawonjezera kamvekedwe ka minofu bronchial ndi mphamvu uterine. Komanso, pali ponso galimoto ndi ntchito secretory a dongosolo m'mimba.

Atalandira phale amasungunula mofulumira mu kapepala m'mimba, kenako yogwira zosakaniza mu magazi. Propranolol pazipita ndende anati pambuyo maola 1-1.5 pambuyo utsogoleli. Mankhwala limapezeka mu mawonekedwe a metabolites impso. Hafu ya moyo maola 3-5. Only Propafenone wothandizila kungapitirire mu magazi maola 12.

Zikuonetsa yopemphera

Lero odwala ambiri chinafotokoza mankhwala, "Inderal". Zimene zimapangitsa chida ichi? Kuyamba, tisaiwale kuti umboni chachikulu phwando ake ndi matenda a dongosolo mtima, limodzi ndi kuwonjezeka mu magazi. Mwachitsanzo, Kwalamulidwa kwa anthu odwala matenda oopsa aakulu, ndi matenda ndi nkusani tachycardia.

Nthawi zina, mankhwala ntchito mitral vavu prolapse, ndi neurocirculatory dystonia, hypertrophic cardiomyopathy, ndi m'mnyewa wamtima infarction.

Pali zina zimene mankhwala ntchito "Inderal". Kuchokera pa zimene zambiri zimathandiza? Nthawi zina mankhwala kwayamba ndi kupewa kwambiri kuukira aakulu migraine. Pamodzi ndi mankhwala ena ntchito mankhwala a mavuto obwera. , Imatchedwanso kuti mankhwalawa hemangiomas "Inderal" monga nthawi zambiri bwino, ndipo ngakhale mu magawo oyambirira kumathandiza kupewa alowererepo pa opaleshoni. Ngakhale mankhwala wakhala anayamba si kwathunthu kwa cholinga ichi opaleshoni ano nthawi zambiri zotchulidwa ngakhale ana.

Miyala "Inderal": malangizo ntchito

Miyala yabwino anatengedwa Mphindi 10-30 pamaso chakudya, ndi wolakalakika kumamwa kowirikiza madzi. Mwakucimbidza Dziwani kuti yekha dokotala akhoza mankhwala mankhwala "Inderal". Mlingo anatsimikiza payekha.

Childs, phwando kuyamba ndi 10 mg wa propranolol patsiku. Ngati mankhwala bwino analekerera, kuchuluka tsiku ndi tsiku pang'onopang'ono kuchuluka kwa 80-100 mg, anawagawa magawo anayi. Nthawi zina (ngati lokonzekera sayambitsa zochita mbali, ndi mmene achire ndi ofooka), mlingo akhoza ziwonjezeke kwa 180-300 mg, ogaŵikana Mlingo 4-6.

Nthawi mankhwala Amayesetsanso munthu mmodzi wodwala aliyense, koma monga ulamuliro, mankhwala ndi masabata 3-4. Nthawi zina, madokotala amalangiza yopuma kwa miyezi iwiri, kenako abwereza.

Ngati tikulankhula za arrhythmia kapena matenda, ndi beta-blockers nthawi yaitali. Koma mu nkhani iyi ndi zofunika kwambiri ndi kuwonongedwa pang'onopang'ono mankhwala. Ngati inu mwadzidzidzi kusiya kumwa, kungachititse mavuto aakulu ndiponso oopsa.

Contraindications chithandizo

Kumene, mu nkhani iyi mankhwala ali ndi contraindications. Makamaka mankhwala si ntchito pofuna kuchiza odwala blockage wathunthu kapena tsankho la atrioventricular kapena sinoatrial. Komanso, contraindications kulandira ndi nkusani bradycardia, imene kugunda kwa mtima ndi 50 kumenyedwa pa mphindi. Mankhwalawa sayenera kuperekedwa kwa odwala matenda hypotension.

mankhwala ali contraindicated anthu ndi matenda ena a dongosolo kupuma. Mwachitsanzo, ayenera kumwedwa ndi odwala mphumu kwambiri, komanso anthu ndi chizolowezi bronchospasm. Contraindications ali Komanso ankaona kuwononga zotumphukira mtima matenda ndi Raynaud a Syndrome ndi shuga.

Kodi mavuto n'zotheka?

Ndipotu, pali matenda amene angaoneke "Inderal" pamene akumwabe mankhwala. Kodi ndindalama kutsimikiza? Choti? Nthawi zambiri mankhwala zimayambitsa matenda a dongosolo m'mimba. Mwachitsanzo, odwala ena amadandaula nseru kwambiri, zomwe nthawi zambiri limodzi ndi kusanza ndi ululu epigastric. N'zotheka ndi kutsekula m'mimba. Kuli zimachitika mavuto zoyipa zambiri, kuphatikizapo matenda osiyanasiyana chiwindi, komanso ischemic matenda a m'matumbo.

zochita zina matupi awo sagwirizana limodzi ndi kuyabwa, redness ndi ming'oma. Nthawi zina, mankhwala ndi ananena exacerbation wa psoriasis ndi alopecia. Mankhwala zikhoza kubweretsa wonongeka a dongosolo kupuma, kuphatikizapo bronchospasm, laryngospasm, komanso kukhosomola ndi kupuma movutikira.

Pa gawo la m'thupi ndi zotsatira zotheka mbali monga bradycardia ndi hypotension. Komanso, mankhwala akhoza kusokoneza wamanjenje dongosolo, kuchititsa kumverera nkhawa, kusowa tulo, ndi zoopsa. Angayambitse kupweteka kwa mutu, chizungulire. Zambiri kawirikawiri, odwala kukhala matenda a maganizo.

Mankhwala "Inderal" ambiri osokoneza, zizindikiro zake ndi mankhwala

Kutenga lalikulu kwambiri ndi mlingo wa mankhwala zingakhudze lonse chamoyo. Makamaka, zizindikiro monga aakulu chizungulire, ndi kufooka. Nthawi zambiri pali kuchepetsa kutchulidwa magazi ndi arrhythmia, bradycardia, ndi matenda ena a m'thupi kuti chitukuko cha matenda a mtima.

Pali matenda ena, maonekedwe amene akulandira ambiri 'Inderal' mankhwala zikhoza. Ambiri osokoneza akhozanso kukopeka ndi kufupika kwa mpweya, bronchospasm. Nthawi zina pali khunyu ndi kugwa.

Munthu amene ali ndi zizindikiro zofanana muyenera mwachangu kupatsa dipatimenti mwadzidzidzi. Ngati nkotheka, kupangira kusanza. Monga chothandiza woyamba madokotala kuchita lavage muzituluka ndi kutumikiridwa odwala adsorbing wothandizira. chithandizo Ndiponso zimadalira m'mene amphamvu kuwonongeka chidachitika. Mwachitsanzo, glycosides ntchito zoopsa mtima, monga tikuonera zopweteka mankhwala "ntchito diazepam".

Mogwirizana ndi mankhwala ena

The yogwira zosakaniza mankhwala akhoza kucheza ndi mankhwala ena. Mwachitsanzo, propranolol antihypertensive katundu ali kumatheka akuluakulu munthawi yomweyo mu thupi dzanzi simpatolitikov, zoletsa monoamine oxidase ndi hydralazine. Koma pamaso pa mwazi wa mahomoni (mu estrogens makamaka ndi glucocorticoids) ndi nonsteroidal wothandizila antiinflammatory M'malo mwake, amachepetsa zotsatira za kutenga mankhwala "Inderal". Ndi kumayambiriro TV Mosiyana kwambiri kumachititsa kukhala zochita anaphylactic. Choncho muyenera kudziwitsa dokotala wanu za mankhwala onse zikutengedwa.

Ndingatani ntchito mankhwala pa mimba?

Mwakucimbidza Tisaiwalenso kuti ntchito mankhwala "Inderal", komanso pafupifupi wina aliyense beta-blocker ndi contraindicated pa mimba. chakuti mankhwala kumachepetsa placental perfusion, womwe kumaonjezera ngozi ya imfa yoopsa kapena kubadwa msanga. Nthawi zina, phwando mankhwala kuti mayi ndi kumabweretsa chitukuko cha bradycardia mu mwana wosabadwayo. A Mwina mkulu wa mavuto osiyanasiyana mu nthawi ya postpartum, makamaka gawo la dongosolo kupuma ndipo mtima.

dokotala anu angakupatseni mankhwala awa ali pakati mtima ngati sikhala phindu lake kuposa ngozi kuthekera kwa mwanayo. Mwa njira, ndi Gawo la mankhwala akhoza kulowa mu mkaka wa m'mawere, kotero mkaka wa m'mawere monga contraindication a.

zina zambiri za mankhwala

Masiku ano, anthu ambiri amachita chidwi ndi mafunso pa zimene zimapanga mankhwala malangizo 'Inderal' ntchito, mtengo, chingachitike mbali. Mwakucimbidza Dziwani kuti akatswiri m'gulu choletsedwa pa mankhwala kumwa mowa. chakuti mowa pamodzi ndi mankhwala zingachititse kuti kuchepa moyo pachiswe lakuthwa magazi.

Kusunga mankhwala ayenera m'malo ouma ofunda, kutetezedwa ku dzuwa pa kutentha osati kuposa 25 digiri Celsius.

Koma mtengo wa mankhwala, izo ranges ku rubles 40 100. Mwa njira, pafupifupi mankhwala alionse mugule mapiritsi 'Inderal, mankhwala si zofunika izi. Tili mankhwala ndi analogues, makamaka limatanthauza "Inderal", "Propamin", "Stobetin" ndi ena.