Umuthi 'Ivabradine ": yokusetshenziswa, analogs kanye nokubuyekeza

Izinkinga esimiso senhliziyo nemithambo yegazi ezindaweni eziningi babehamba phambili ohlwini ngokufa sezifo ezivamile. Nokho, lokhu akumangalisi. ngokuchichima yanamuhla zokucindezeleka, yokuphila okumatasa, imikhuba emibi yokudla, zingenzi lutho olunyakazisa umzimba kanye isimo esibi kwemvelo nakanjani kuthinte isimo izitho zangaphakathi. Inhliziyo - Umzimba linesizotha. Kodwa-ke sidzinga ukunakekelwa. In the ukungabikho okwanele calcium ne vitamin C ukudla washisa, inhliziyo angehluleka kwesikhathi. Ukuba igweme izinkinga ezinjalo noma ukuxazulula medicated usizo-izinga amalungiselelo ekhona eyenzelwe imisebenzi enjalo. Khetha kubo uzokwazi ukusiza udokotela wakho, owazi izici enhluphekweni yakho. Ethandwa kakhulu phakathi ochwepheshe kanye neziguli isebenzisa izidakamizwa "Ivabradine". Nokho, ukuze uqale ukuthatha yimuphi izidakamizwa, kudingeka ufunde ngakho ngangokunokwenzeka. Kubalulekile ukuthola ulwazi lemininingwane mayelana imoto, "Ivabradine". Inani, ukubuyekezwa, analogue - konke lokhu esihlokweni. Ngenxa lesi sakhiwo lifanelwe isandiso enjalo? Yiziphi izici isicelo sale izidakamizwa? Ubani akufanele inikezwe izidakamizwa ehilelekile? Yini imithi futhi izinto akufanele kuhlangene ekulungiseleleni eziyalezweni ukwelashwa? Sula izimpendulo zale mibuzo neminye zingatholakala kamuva kulesi sihloko.

isakhiwo

Ukuze izithako izidakamizwa "Ivabradine" libhekisela imfundo ivabradine nomongo esebenzayo eyinhloko. Njengoba ezengeziwe ingxenye izingxenye ezisetshenziswa corn isitashi, glycerol, obomvu yensimbi oxide, macrogol, ophuzi yensimbi oxide, i-lactose, maltodextrin, ama-titanium dioxide, i-magnesium stearate, hypromellose, futhi colloidal Silica anhydrous.

ukukhululwa Ifomu

Umuthi 'Ivabradine "ikhiqizwa ngendlela amaphilisi, okuyinto camera nge enamathela ifilimu.

izinkomba

Kunezindlela eziningana zithi lapho kubhekwa izidakamizwa ngempumelelo. Nomuthi "Ivabradine" manual uncoma ukusebenzisa kwale mibandela elandelayo:

• isifo senhliziyo,
• ezingamahlalakhona angina esitebeleni;
• ekunciphiseni usongo izenzakalo zenhliziyo;
• ezingamahlalakhona yokumelwa yinhliziyo.

Kuzo zonke izimo ngenhla, isicelo sale izidakamizwa zizosebenza.

Izimo

Leli bhukwana izidakamizwa "Ivabradine" imfundo sivimbela ukusetshenziswa ebukhoneni Izimo ezilandelayo:

• bradycardia;
• isilethikusebenza;
• nomfutho wegazi ophezulu;
• angina engazinzile ;
• ukushaqeka cardiogenic;
• "Itheku" syndrome;
• sinoartrialnaya ukuvinjelwa;
• ukuhluleka hepatic;
• isici esiyingqayizivele yezingxenye ngazinye ukulungiswa.

Akuvunyelwe ukuba kuhlanganiswe ejenti elwa namagciwane, imithi elwa namagciwane macrolide, nefazodone, nezidakamizwa antifungal.

nokushintsha kokudla nokufakwa

Tablets "Ivabradine" zenzelwe ukusetshenziswa ngomlomo phakathi kwabantu abadala. Kufanele kuthathwe kabili ngosuku ngomuthi ukudla.

Uma amaphilisi ezisetshenziswa angu ezinhlanu, bakwazi ahlukaniswe. Nokho, izibhebhe eziyisikhombisa Akufanele ihlukaniswe futhi angu nengxenye.

Kuleso simo, lapho izidakamizwa isetshenziselwa ulwe nesifo senhliziyo nemithambo yayo, kubalulekile ukuthatha nabo ngokweseluleko Umhlahlandlela elandelayo. A umthamo owodwa we angu ezinhlanu. Kumele kuthathwe kabili ngosuku. Kuye ngokuthi lakhiwe kanjani umzimba iphendula lolu hlobo ukwelashwa, ukusebenza umthamo owodwa kufanele senyukela angu eyisikhombisa nengxenye. Uma impendulo izidakamizwa kuhambisana nemiphumela ebuhlungu, kubalulekile ukunciphisa umthamo noma ukukhansela yokwelapha. Nokho, ukulungisa lwemithi ukwelashwa kufanele kwenziwe kuphela nge udokotela ukuba khona.

Okunjalo ohlotsheni ukwelashwa esetshenziswa, futhi uma amaphilisi asetshenziswa ukulwa nesifo senhliziyo.

ezigulini esezikhulile kufanele uthathe angu amabili nengxenye "ivabradine" kabili ngosuku. Uma umzimba osabela kahle kulesicelo sakho, ke umthamo kungenziwa kancane kancane.

Iziguli enibhekene omnene esingamahlalakhona hepatic kungase kubhekwe njengokuvamile ukuthatha izidakamizwa ngesikhathi ngemithamo efanayo. Uma kwelizinga isifo, isiguli sidinga nokuqapha njalo udokotela ekwelapheni. Iziguli isibindi ukwehluleka ezinzima ukuthatha izidakamizwa okukhulunywa akuvunyelwe.

ukusabela ezingezinhle

The main side effect lapho usebenzisa lolu umuthi okuvela photopsia (ukukhanya kwawo, ukhanya ekhethekile okwenzeka okwesikhashana phambi kwamehlo, kungenzeka waba ukwanda okukhulu kwezincwadi bezibona ukukhanya izithombe endaweni ethile yensimu umbono). Ngokuvamile avele lezo zikhathi, lapho beshintsha ngokuzumayo umfutho ukukhanya. Lokhu side effect isici izinyanga zokuqala ezimbili yokwelapha yabo. Nokho, kwezinye izimo, singenzeka kamuva kakhulu.

Ngo inani elincane izaziso nesineke bradycardia ezinyangeni ezimbili noma ezintathu zokuqala kusukela ekuqaleni yokwelapha.

ukweqisa izidakamizwa

Tablets "Ivabradine" imfundo bayanxuswa ukuthi bathathe kuphela ngemithamo ezinconyiwe. ngokweqile yabo kungaholela imiphumela engadingeki ezimbi. bradycardia ezinzima ngendlela abaziphatha ngayo. Kufanele aphathwe symptomatically ezikhungweni zokwelapha iqhaza izisebenzi zezokwelapha abanekhono. Ngezinye izikhathi ngisho ezidinga ukusetshenziswa umshini wokulawula ukushaya kwenhliziyo yesikhashana.

Izici isicelo

"Ivabradine" ayenzelwanga nokuvimbela noma ukulawula arrhythmia.

Phakathi ukwelashwa nge izidakamizwa kokubuyekezwa, kubalulekile ukuqapha njalo isimo isiguli ngasinye. Lokhu kuzosiza gwema noma yimiphi nemiphumela ebuhlungu.

Labo ezigulini eziye unhlangothi, ithuluzi is hhayi Kunconywa.

It is wafakazela ukuthi izidakamizwa okukhulunywa has nomthelela obalulekile ekusebenzeni kwe-retina. Nakuba le miphumela ngokuvamile hhayi anobuthi, imiphumela yayo ngokuvamile kunzima ukubikezela. Ngakho uma unanoma iluphi uhlobo nemiphumela ebuhlungu embonweni, kufanele ngokushesha ukumisa ukusebenzisa leli izidakamizwa futhi bafune usizo lukadokotela.

Awukwazi ukusebenzisa nomuthi kubhekwe kanyekanye ne-calcium channel blocker. Lokhu kunciphisa ukusebenza yokwelapha.

Iziguli abaphethwe umfutho ophakeme wegazi, kufanele yonke inkathi ukwelashwa kufanele wawuqondiswa udokotela abanekhono.

Kubhekwe umuthi asifanele iziguli abaphethwe azalwa naso lactose ukungabekezelelani.

Awukwazi ukudla ubhamubhamu juice ngesikhatsi ukwelashwa nge "ivabradine". Njengoba lokhu isiphuzo kakhulu kwandisa lokuhlushwa izidakamizwa e plasma, kakhulu kuthinta ukusebenza kwawo ngempumelelo.

Umthelela on yokusabela isilinganiso

I nomthelela ikhono ngokwanele ukulawula imoto nezinqubo eziyinkimbinkimbi "Ivabradine"? Ukufundiswa uthi izidakamizwa ayinakho nomthelela omubi okunawo lesiguli kanye ijubane yokusabela kwalo. Nokho, uma usebenzisa izidakamizwa ngaphansi ukucatshangelwa kungenzeka yesikhathi esifushane ukuphazamiseka izinga. Zimelela ukuvela ngasikhathi elikhanyayo ukukhanya kwawo, ukhanya noma angaboni kahle amaningi ka. Ngokuvamile, lezi zimpawu ezihlobene ne ushintsho elibukhali umfutho ukukhanya, udlule bebodwa emva kwesikhashana. Lokhu ehilelekile kubalulekile acabangele labo abahlela ukushayela noma usebenza yimuphi umshini.

Ukuxhumana nezinye izidakamizwa

Leli bhukwana nomuthi "Ivabradine" imfundo unqabela ukusebenzisa kanyekanye ne izidakamizwa zenhliziyo (isib bepridilom, quinidine, ibutilide, sotalol, dizopramidom futhi amiodarone), futhi nge izinto nekardiovaskulyarnymi (ezifana cisapride, ziprasidone meflokvin, pimozide, erythromycin emthanjeni, pentamidine , sertindole, halofantrine).

Uma le nhlanganisela sisadingeka, kufanele ngokuqhubeka ukusebenza lesiguli inhliziyo ngendlela isikhungo sezokwelapha ezikhethekile.

Sebenzisa ngesikhathi sokukhulelwa

Sebenzisa ngesikhathi yokuzala noma ngesikhathi sokuncelisa ibele, "Ivabradine" manual akuvunyelwe nakancane. Umuthi kweqa esinomhlapho isithiyo futhi zibe ubisi lwebele futhi, ngakho-ke, inomthelela omubi kakhulu ekukhuleni kwengane.

Futhi, musa batusa ukusetshenziswa kwalesi izidakamizwa ekwelapheni izingane ezingaphansi kweminyaka eyishumi nesishiyagalombili ubudala njengoba azikho idatha ukuphepha nokusebenza ngempumelelo zomuthi kuleli qembu nesineke.

analogs

Labo ezigulini ngasizathu simbe abakwazi ukuthatha izidakamizwa embuzweni, ungavula ukunaka esikhundleni 'Ivabradine "izidakamizwa. Analogs kokuba main isithako efanayo esebenzayo, baningi. Ethandwa kakhulu sazo "Coraxan". Ezinye izindlela, okuyinto ngokuvamile inikezwa ochwepheshe, kuyinto "Bravadin", "Vivaroksan" futhi "RANS". Zonke lezi amalungiselelo izincomo efanayo ukusetshenziswa kanye nokubuyekeza ngokuvumelana babe nekusebenta efanayo.

Izibuyekezo

Iziguli belulekwa ukuba "Ivabradine" njengethuluzi eliphumelelayo ekahle ukusetshenziswa. Iningi labo ukuyisebenzisa musa uhlangabezana ukusabela ezingezinhle. A umphumela isenzo, kunalokho, ephawuleka ngemva ithebhulethi odakiwe ukulungiselela "Ivabradine" kuqala. Izibuyekezo uqinisekise ekulenzeni libe namandla. Nokho, zonke iziguli igcile isidingo wokubonisana njalo udokotela ukuze ugweme yilutho olubi ngokuba nesineke.

ukuphila eshalofini

Kubhekwe umuthi azigcina impahla yayo ewusizo kungakapheli iminyaka emithathu kusukela usuku ukwakhiwa. Ngemva kokuphela ukusetshenziswa eside zomuthi kungenzeka ngalutho noma zibe yingozi ukuze isiguli, ngakho okungapheli ukusebenzisa lolu izidakamizwa akuvunyelwe.

Isitoreji kanye nokuhlinzekwa Pharmacy

Medicine "Ivabradine" ihlukile ngoba akaphelelwa impahla yayo nenzuzo ngaphansi ezihlukahlukene izimo zokukhanya nemibandela lokushisa, ngakho asikho isidingo ukudala izimo ezikhethekile yokugcina yayo. Nokho, kubalulekile ukugcina kokubuyekezwa izidakamizwa endaweni lapho ngeke bakwazi ukuthola abantwana. Khishiwe izidakamizwa emakhemisi kuphela kadokotela kudokotela. Izindleko isilinganiso izidakamizwa (amaphilisi e angu emihlanu) ye-oda ruble izingalo eziyikhulu namashumi amane amawaka.

Sebenzisa "Ivabradine" ngaphandle kokwesaba ungakwazi kuphela ufunda lesi sihloko futhi ngokuxhumana nomuntu abanekhono. Ukubona udokotela ukuba khona kungaba isiqinisekiso sempumelelo yokwelapha ne izidakamizwa ngaphansi ukucatshangelwa. Iziguli eziningi bakwazi ukusindisa impilo ngoba nje ncamashi ukulandela leso seluleko futhi akazange ukunganakwa nodokotela babo. Uzama ukulondoloza ngalesi sikhathi kungase kuholele ekulahlekeni kwemali kwezempilo oyinhloko. Ingabe kukhona okuthile ukuthi kuwufanele ukuya ezingozini ezinjalo?

Ngakho qiniseka ukuthi wena usihlolile ngokucophelela yonke imininingwane, okuyinto iphathelene ukusetshenziswa kwezidakamizwa "Ivabradine": yokusetshenziswa, analogs, contraindications imiphumela engemihle. Abantu Abadala Abavuthiwe indlela kukhethwa indlela yokwelashwa ngokuvamile umvuzo Imiphumela yayo ngempumelelo.

Iqiniso lokuthi abantu nenhlalakahle incike esimweni sakhe sempilo - iqiniso obungenakuphikwa. Izifo kungenzeka ukuthi abeke imikhawulo abalulekile kwikhono lethu ngisho ukunikeza ithuba bona imibono yabo, izifiso nalokho esizama ukukwenza. Yinakekele impilo yakho futhi makungabikho izifo ukuthatha impilo yakho ngaphansi kolawulo!