"Betaloc ZOK": ukubuyekezwa nangodokotela bababhekene nezifo zenhliziyo, incazelo lokulungisela yokusetshenziswa

Lesi sidakamizwa inhliziyo zithandwa kakhulu emazweni akhuluma isiRashiya, ikakhulukazi ngenxa wentengo okungabizi. "Betaloc ZOK" libuyekeza nangodokotela bababhekene nezifo zenhliziyo, esizokhuluma ngazo kulesi sihloko, kuvezwa i asebenzayo ezahlukene yonke izifo zenhliziyo nemithambo yegazi. Kodwa naphezu ukusetshenziswa kabanzi lokhu izidakamizwa, njenganoma iyiphi imithi, "Betaloc ZOK" enezinto eziningi contraindications engemihle. Ukuze hhayi ukulimaza impilo yabo, ngaphambi ukusetshenziswa kwalezi amaphilisi, kuzomele ufunde ngokucophelela yokusetshenziswa yabo.

incazelo Jikelele ekulungisweni

"Betaloc ZOK», intengo zazo iyahlukahluka kuye ngokuthi umthamo kanye nenani izibhebhe iphakethe, ubheke uhlobo olufanayo cardioselective beta-blocker. Ngaphandle, lezi maphilisi enteric-camera. "Betaloc ZOK" libuyekeza nangodokotela bababhekene nezifo zenhliziyo, ku umphumela zazo ikakhulukazi omuhle, iwumkhiqizo isenzo isikhathi eside. Ngenxa egobolondweni, izidakamizwa has a ukukhululwa imisiwe. Ngakho-ke asinawo umsebenzi sympathomimetic yangaphakathi.

The main isithako zomuthi kuyinto metoprolol - into ine phezu isinyathelo esilandelayo:

• antihypertensive;
• antianginal;
• antiarrhythmic.

Futhi, lolu izidakamizwa ngempumelelo kunciphisa excitability we myocardium, ukunciphisa isidingo sazo umoya-mpilo.

Izidakamizwa "Betaloc ZOK": imfundo, ukubuyekezwa

On kanjani ukuthatha "Betaloc ZOK," imiyalo esemthethweni emuthini izincomo ezilandelayo banikwa: umuthi udinga okumelwe zigwinywe wonke, ngaphandle ukuhlafuna, ukuphuza amanzi amaningi.

Futhi esitatimendeni wabonisa ukuthi izidakamizwa kungenziwa esiphuza sokudla nangemva kwaso futhi esiswini esingenalutho. Amahora akuphazamisi kusebenta izidakamizwa.

Ngokuphathelene umthamo, kuphoqelekile ukuba abantu abavumelana nalokhu wenhliziyo bayahlanganyela.

Iziqondiso olusemthethweni emuthini, yokusebenza yayo isimiso kuchazwa kanje: ngemva kokuthatha iphilisi, umzimba ekuvimbeni kwafakwa isilinganiso esincane semithi beta receptor 1-adrenergic zenhliziyo. Ngale ndlela, ukushaya kwenhliziyo kuquthiwe, encishisiwe contractility esivimba amanzi. Ngenxa yalokho, kwanciphisela esivimba amanzi nomoya-mpilo funa. Ngenxa isenzo esinjalo, labo abadla izidakamizwa, kunciphe tachycardia, kwandisa ukusebenza ngokomzimba nokukhuthazela jikelele, kunciphisa angina. Futhi, ngemuva kokuthatha izidakamizwa waphawula blood pressure nokuncipha ukucindezeleka futhi ukuzikhandla ngokomzimba, futhi usesimweni lokuphumula okuphelele.

Umthelela amangalelwe kuqinisekiswa kobufakazi zabantu abathatha lesi izidakamizwa. Cishe bonke yabonisa ekuphuculeni jikelele inhlalakahle bese kukhuphula ukusebenza ngendlela. Ngo Izibuyekezo eziningi ezitholakala ulwazi ayenqaba abukhali zomuthi, ngokuba, kunalokho, kungaba kweso futhi kakhulu ukuba zimbi kakhulu. Ngenxa yalesi sizathu, abantu abake "Betaloc ZOK», kululekwa ukuyeka ukuphuza ke elokhu enciphisa umthamo nsuku zonke.

izinkomba

Kusukela ukucabangela umphumela izidakamizwa emzimbeni, iqondiswa nangodokotela bababhekene nezifo zenhliziyo ukwamukela pathologies elandelayo isigqi inhliziyo:

• itheku futhi tachycardia supraventricular ;
• supraventricular futhi ventricular arrhythmias;
• tachyarrhythmia atrial;
• amabhithi ventricular ngaphambi kwesikhathi ;
• flutter atrial;
• arrhythmia ngenxa mitral valve prolapse.

Futhi arrhythmias inhliziyo, izidakamizwa "KRC Betalok" izilinganiso nangodokotela bababhekene nezifo zenhliziyo okuyinto musa abangele ukukhathazeka mayelana umthelela wabo umzimba, angabelwa ukuthola ebukhoneni izinkinga ezifana nezifo, njenge:

• angina engazinzile ;
• Inkinga abanomfutho wegazi ophakeme;
• angina;
• isifo senhliziyo,
• isigaba okukhulu isilethikusebenza;
• nomfutho wegazi ophezulu;
• ezingamahlalakhona ukuhluleka kwenhliziyo;
• iziyaluyalu nemisebenzi yokusetshenziswa CCC;
• senile noma ebalulekile eliqhaqhazelayo;
• therapy eyinkimbinkimbi i-hyperthyroidism;
• uvalo.

Medicine "Betaloc ZOK" ingasetshenziswa ukwelashwa nge-alamu ngaphandle kwesizathu uma akathisia e seziguli ezithola antipsychotics. Umuthi kungenzeka iqondiswa okudambisa migraine, kodwa futhi ukwehlisa ukubonakaliswa izimpawu phezu okuvela kwezimpawu zokuqaleka.

ukukhululwa Ifomu

"Betaloc ZOK" libuyekeza nangodokotela bababhekene nezifo zenhliziyo mayelana isenzo ukuqinisekisa ukusebenza yayo, itholakala njengoba biconvex amaphilisi emhlophe. Ziyakwazi okweqanda futhi singasetshenziswa kuya umbhalo noma namantombazane. Umuthi itholakala imithamo ehlukene: kukhona "KRC Betalok" 25 mg, 50 mg kanye mg 100. Kuye umenzi, amaphilisi engase ithengiswe ukuze umthengi yokugcina emabhokisini futhi izitsha eziyisikhombisa plastic.

Uma udokotela isiguli ethola yabhaliswa umthamo 25 mg, ngokungabi bikho-ke lapho, ungakwazi fly ngokuphepha "KRC Betalok" 50 mg noma 100 mg. Lezi amaphilisi kungenzeka bisect. Kulokhu, umphumela isikhathi eside zomuthi iyagcinwa ngokuphelele. Kodwa ngesikhathi esifanayo basuke sinconywa ukuhlafuna noma sidilike.

Izindleko isilinganiso izidakamizwa

"Betaloc ZOK», ogama intengo lincike inani izibhebhe iphakethe futhi ekupheleni ukuthi eziseceleni umdayisi, izindleko ngokwesilinganiso, ruble 130 kuya 460. izibhebhe 25 mg, okuyinto tihlelwe izicucu 14 - nengabizi. iphakethe. Intengo wabo ruble mayelana 130-150.

Eqolo kuyinto "KRC Betalok" nge umthamo 100 mg, okuyinto igcwele 30 nama-PC. egabheni. Kubiza ruble mayelana 420-480.

Umgomo we isinyathelo zomuthi

Lokhu imithi ngemva ethatha uyaqhubeka umphumela zayo zokwelapha emzimbeni emahoreni angu-24. Uma esibindini, izidakamizwa is phansi umzimba oxidative. share sengonyama (95%) wathola umuthi excreted njengoba umkhiqizo umzimba. Labo abasele abanga-5% ziboniswa kanye nomchamo.

Izimo Akwaziwa

Njenganoma yimuphi izidakamizwa, le izidakamizwa enezinto eziningi Izimo. Odokotela musa batusa kakhulu ukusetshenziswa kwayo, uma umlando isiguli lezi zifo ezilandelayo:

• ifomu decompensated ka ezingamahlalakhona ukuhluleka kwenhliziyo ;
• ukushaqeka cardiogenic;
• itheku bradycardia;
• hypotension;
• ukwehluleka oyingozi inhliziyo.

Thatha le imithi ngaphansi kweso lwezokwelapha kufanele abantu ezithandwa komzimba kanye hypersensitivity kuya metoprolol. Futhi, nangodokotela bababhekene nezifo zenhliziyo belulekwa ukuba baphuze ngokucophelela lo muthi kubantu nezinkinga ezifana:

• Ukucinana kwemigudu yomoya emaphashini obstructive;
• emphysema;
• somoya;
• lactic umzimba ;
• sikashukela;
• isifo sezinso;
• psoriasis;
• ukuhluleka hepatic;
• neuropathy kwegazi.

Abesifazane ngesikhathi sokukhulelwa ongabekiwe le imithi ngoba kungaholela ukwehla kwenhliziyo umntwana ongakazalwa. Libuye efiselekayo ukuthatha leli izidakamizwa ngesikhathi lactation.

Imiphumela engemihle

Ngaphambi kokusebenzisa lo imithi, ulwazi mayelana nazo zonke imiphumela engemihle engase okufanele siyicabangele ngokucophelela usebenzisa le njongo imiyalelo ezisemthethweni iphakethe. Ngoba izidakamizwa oluthinta ngqo ukushaya kwenhliziyo ngesikhathi esifushane kungaba kakhulu ukunciphisa ukushaya kwenhliziyo aphansi blood pressure, imiphumela emibi ekuthatheni ke Kufanele sikuthathe ngokungathí sina.

"Betaloc ZOK" kungathinta izitho ezihlukahlukene futhi izinhlelo zomzimba, isibonelo:

• Kusukela izinzwa ukuwohloka kungenzeka umbono, amehlo omile, tinnitus;
• kungenzeka izifo ezinjalo e isimiso sezinzwa esiyinhloko ukusebenza njengoba motor ilibele ukusabela engqondo, ikhanda;
• ekumisweni ebulilini isidakamizwa kungenzeka iziyaluyalu umsebenzi zokuphefumula - bronchospasm, iphika, ukuminyana acinene;
• kusukela nezesikhumba, ukuqubuka ahlukahlukene, ukulunywa, urticaria, photodermatosis, psoriasiform ukuphendula.

Phezu okuvela kwanoma yiluphi ushintsho ekubeni isimo sempilo noma ukubonakaliswa izimpawu ezithi azifane okungenhla, nangodokotela bababhekene nezifo zenhliziyo belulekwa ukuba qiniseka ukubeka udokotela wakho azi.

Ukuxhumana nezinye izidakamizwa

Futhi, udokotela enquma reception "Betaloc ZOK" kufanele wazise mayelana zonke ngamalungiselelo ngesikhathi isiguli isebenzisa. Kukhona izinto, yokwamukela okuyinto ngokuphelele contraindicated ku ukusetshenziswa "Betaloc ZOK". Nge wavuma akuvunyelwe nakancane ukungena umuntu ujova "Verapamil". Uma sisetshenziswa "Betaloc ZOK" ngokucophelela kufanele ubeke izidakamizwa ezithi azifane "reserpine" (okuyinto ngesenzo yayo, ukunciphisa catecholamine izinqolobane). Okunjalo co-ekuphathweni kungabangela isiguli kuhlasela bradycardia kanye iconsi okusheshayo wegazi.

Odokotela ngalokhu ukulungiselela

On izinkundla eziningi, nangodokotela bababhekene nezifo zenhliziyo ukukhuluma kahle ngokwanele ngalokhu izidakamizwa. Ngoba kufike umuntu mumbe zako ezisemqoka yilezi ikhono athwale izidakamizwa ukwehlisa ingcindezi ngempumelelo. Njengoba lokhu izidakamizwa has a aphansi kuka nozakwabo zayo imithi eminingi abanomfutho wegazi ophakeme isiba panacea ngempela.

Izibuyekezo ezinhle odokotela kanye izidakamizwa ufanelwe ukuthi, ngokusho izifundo eziningi, ingxenye yayo esemqoka - metoprolol, has impahla baphile isikhathi eside. Naphezu kweqiniso lokuthi nangodokotela bababhekene nezifo zenhliziyo, lokhu izidakamizwa ngesikhathi ukuma okuhle, kukhona isigaba esithile abantu uma uthatha lezi amaphilisi, odokotela belulekwa ukuba athathe izinyathelo extra ezokuphepha. Phakathi lokhu kusikisela:

1. senqubekela amazinga igazi glucose kubantu abanesifo sikashukela. I-akhawunti kufanele kuthathwe iqiniso lokuthi, njengoba beta-blocker, "Betaloc ZOK kungase kufihle tachycardia, okuyinto eyenzeka ngenxa kahle kungakhuphula izinga likashukela. Ekuqaleni ukuthatha amaphilisi, ngamunye nangodokotela bababhekene nezifo zenhliziyo nesineke Kunconywa nesilinganiso nsuku zonke of wegazi kanye ukuqapha ishayela. Ezimweni lapho lapho ithola "Betaloc ZOK" kwenhliziyo amabhithi ngeminithi esingaphansi 50, nangodokotela bababhekene nezifo zenhliziyo akhuthazwa ukuba afune usizo lodokotela.
2. ezigulini esezikhulile abenza kokuthatha lesi imithi, odokotela batusa ukuqapha umsebenzi kwezinso okungenani isikhathi esingu-1 ezinyangeni eziyi-6.

Kukhona isifaniso: kungcono "Betalok" noma "Betaloc ZOK"?

Esikhundleni zomuthi angabhekwa izidakamizwa ingxenye ikakhulukazi asebenzayo okuyinto metoprolol kanye yokwamukela esiklanyelwe wehlise kwenhliziyo wehlise blood pressure.

Phakathi ethandwa kakhulu izidakamizwa analogue bungabonakala:

• "Korvitol".
• "Metazok".
• "Vazokardin".
• "Metokard".
• "Egilok".
• "Lidalok".
• "Metolol".
• "Metogeksal".

Abaningi igama edukisayo lomunye izidakamizwa - "Betalok", bese kuba okungacaci ukuthi lihluke kanjani "Betaloc ZOK". Eqinisweni, ungomunye futhi umuthi ofanayo, ogxile athi unesimo esifana - metoprolol. Umahluko owokuthi ukuthi "KRC Betalok" etholakala ifomu tablet, futhi "Betalok" ngesimo isixazululo imijovo. Intravenous "betalok" umjovo ziboniswa kulezi zimo ezilandelayo:

• ngenxa isilethikusebenza in iziguli uhlangabezana tachyarrhythmias noma ubuhlungu obukhulu kakhulu;
• Kukhona izimpawu ischemia esivimba amanzi;
• kutholakale ukuthi une tachyarrhythmia supraventricular.

Ukukhetha ukuthi yini ezilungele kangcono, "Betalok" noma "Betaloc ZOK", ukusetshenziswa ekhaya, preference ukunikeza version preformed.

Umjovo is isheshe angena igazi kunemithi ezithathwe ifomu iphilisi, futhi lokhu kubangela imiphumela yabo ngaphezulu okusheshayo emzimbeni. Ngenxa yalesi sizathu, ngisho noma wenhliziyo wabelwa ukuthola "Betaloc ZOK" ngokwakho ukuze kushintshe kuthi ezinkandini "betalok" Ngeke kwenzeka. Lesi sidakamizwa ingasatshenziswa parenterally kuphela khona izisebenzi zezokwelapha abaqeqeshiwe uma kwenzeka yezinkinga noma ukusabela ezingezinhle, bakwazi ukwenza ezidingekayo yokusiza umuntu ukuba aphefumule izinyathelo.