Ko te tarukino "Concor Kori": tohu hoki te whakamahi, ritenga tūturu

E i teie nei mate Cardiovascular tata te wahi tuatahi i roto i te auau te tahuti nei i roto i te ao. A ki enei raruraru tiki teina katoa tau. Ki te mea koe i mua e pā ana ki te infarction myocardial, ko reira he pātai e pā ana ki te tau o te iti rawa 45-50 tau, i tenei ra e taea tenei mate patu, a-tau 30-tau.

Modern Pharmacy kua he papatipu o medicaments mō te tohe "cardiac" raruraru i ngā wāhanga ngā o te whanaketanga o enei mate. Ko tētahi rōpū o enei taero he blockers peta. Ko te parau tumu o te mahi o enei moni ko ki te ārai i te mau farii ohipa beta-adrenergic i roto i te ngakau. Ko te putanga ko te hekenga i roto i auau ngakau, e tika ana ki te raro pēhanga toto, me te whakapai ake i te huru whānui o te tangata.

E whakawhanakehia Beta-blockers inaianei he momo nui. Ko tētahi o te whakamahia whānuitia i roto i te whanaketanga o ngā raruraru cardiac ko "Concor Kori." Tuhinga, tohu arotake o medicament te tarukino ki kia makona whai hua, me te tono i roto i te tūroro ki te mate cardiac.

Ko te wāhanga matua, me te ahua o te tuku tarukino

Ko te wāhanga matua o te faaineineraa "Concor Kori" - hemifumarate bisoprolol. Ka rite ki protrudes pŭpŭ tauturu rārangi feunga nui o matū: witi māngaro, microcrystalline cellulose, crospovidone, stearate konupora, colloidal hāorarua silicon, anhydrous Phosphate konupūmā hauwai.

Kei te patua ana te tarukino ki kiritaki i roto i te puka o te ma papa ngakau-pani kiriata-pani (i roto i tona hanganga - macrogol 400, dimethicone 100, gipromelaza, Titanium hāorarua). Risk i runga i ngā taha e rua tuwhatuwhaia ki papa e rua "Concor Kori." whakaputaina Packaging medicament te i roto i opupu konumohe, ia o nei kia soldered ai 10, 14, 25 30 ranei nga wahi.

E pinepine kitea tūroro i roto i pharmacies me te rongoā "Concor". Mai He tino rite nga ingoa o enei taero e rua, maha whai taka rongoā ki te whakahoki pātai e pā ana ki te rerekētanga i waenganui i "Concor" i "Concor Kori." Na: Ko anake te rerekētanga i roto i te nui o te ihirangi o te wāhanga hohe matua - bisoprolol. Ka taea e "Konkor" kiritaki hoko papa he i roto i tona hanganga te 5 ranei 10 mg o whakauru kaha, i "Konkor Kori" - 2.5 mg.

Me ki te mohio e mo te hoko o ngā rongoā-blockers i roto i te rongoā ka hiahia te rongoā ki te whakarato whakahaunga o te tākuta Consumers.

pharmacodynamics

"Concor Kori" kua he peta whiriwhiri 1-adrenoceptor mana ārai. Ko te ngako o ona pānga - te kaha ki te pehi i te tuku o ponana karere i roto i te mau farii ohipa adrenergic. Hoki tenei take taea ki te faaitoito antihypertensive, antiarrhythmic, pānga antianginal te tarukino ko.

pānga Hypertensive "arotake o taote e pā ana ki te meka e whakaiti bisoprolol te rōrahi meneti o te toto Concor Koli '. I tua atu, i hanga inhibition whakarara pūnaha renin-angiotensin. tutuki te pānga haumanu rahi, kei muri i te 5 ra o te fariiraa i te tarukino. ähuareka BP e te mutunga o te tuarua o te rongoā maimoatanga marama "Concor Kori."

Ppokazaniya medicament mō te whakamahi rite taurangi pūmau pānga antianginal mā te whakaiti tono hāora myocardial tika ki te hekenga i roto i auau ngakau. Ano, me ahau mea ai te whakamahi o tenei rongoā whakatairanga Tuhinga o diastole.

tikanga pānga Antiarrhythmic "Konkor Kori" e tika ana ki te ārai tōraro awe āhuatanga e ngā te mana wāhanga o te pehanga pukuaroha o CNS Tari, te hanga tukanga pehanga ngātere hiko i roto i te kōpuku pakohu, te inhibition o mahi hiko o te myocardium.

Hei whakaatu i te raau taero, a ko wai - e kore?

He aha e nga tikanga i te "Concor Kori" tohu mo te whakamahi? arotake Kiritaki whakau te tōtika tiketike o te tarukino. E tūtohutia ana ki te tango ki te hamani kore ngakau, me te ārai i te whanaketanga o taua tikanga i roto i te tīmatanga o te wāhanga. Hei kia pau, whakahau nga kaimahi hauora te beta-pūārai ki te whakaae mo te kore te ngakau ma'i maimoatanga-ātete ki iti systolic mahi ventricular maui. Ko te tikanga "Konkor Kori" whakaritea i roto i te whakarara ki inhibitors ACE , māngai diuretic, glycosides cardiac.

Ko te hiahia ki te tautapa i te tarukino ano i runga i to ratou ake, kahore tohutohu a tō tākuta i kahore tetahi, he mea e tika ana ki te tiki maheni ki te rārangi faahiahia o contraindications ki nga āpiha "Concor Kori."

Te kore herea hoki ki ngā tohutohu rongoā katoa whakakorehia te aroaro o ātete ki te wāhanga e hanga ake te tarukino me te pakeke o te manawanui (ki runga, ki te 18 tau urutomo - kahore kōrero i runga i te whai huatanga me te haumaru), i reira e tonu nui o ngā take, me ngā āhuatanga i raro i te mea Kāore te tarukino tangohia te.

"Concor Kori" tohutohu mō te whakamahi (analogues - matatau beta-blockers - whai tohutohu rite i runga i inadmissibility o whakauru) opani tūroro ki te kore te ngakau i roto i te iti hoki decompensated whakapeka, me te ma'i. Kaua e whakarite i te fariiraa tarukino i roto i te tiango me te ru cardiogenic (he tu'unga pōreareatanga e pōrearea cardiac). e kore e taea te tango i tetahi te beta-pūārai mō ine nui o AV-kawenga (II, III tohu AV-poraka) i waho i te pacemaker. Hoki take mō te kore o te fariiraa ko te aroaro o te bradycardia (auau ngakau (auau ngakau) te iti iho i te 50 ngā patu / min.), Pā Sinoatrial (te ähua pakohu hihiko haere i roto i te pūhui sinoatrial). Rongoā contraindicated i roto i te tūroro ki te Prinzmetal angina (spasm o oko e whangai i te ngakau, i te ST wāhanga poipoi) me te pakohu mate syndrome (SSS).

Kaua e tangohia "Concor Kori" ki te iti te pēhanga toto systolic (i raro 90 mm HG. Art.), I roto i te aroaro o te huangō i puka nui, te hunga ki te hītori o ngā pūkete o ma'i mate pūkahukahu taunutia (COPD).

faaineineraa atu "Konkor Kori" tono he Kāore i te aroaro o abnormalities i roto i te pūnaha circulatory piringa (te nuinga Mo te wāhanga i muri mai) ki te mate o Raynaud, pheochromocytoma (puku Koló mārere ranei With-pūnaha), me acidosis pūkoro (neke o toenga waikawa-turanga i roto i te ahunga o te whakanui ake kawatanga tika ki te haaputuputuraa o ngā hua waikawa i roto i te kopa e ratou here kore o te whakangaromanga ranei).

Te talena maimoatanga me te bisoprolol rōrahi whakaaetia

E ai ki nga tohutohu, tangohia te beta-pūārai te kotahi te ra, pai i te ata, i muri i ngā kai. Pire "Concor Kori" (kihai i aha e waiho te rongoā i whakamahia - ahakoa he reira mate rere pūroto ngakau, kore ngakau ma'i, ranei takawhita) e kore e hiahia ana ki te whakahoki ake kuru ratou horomia katoa ranei a horoi ki te nui te iti o te wai ki raro.

Hei kawe i mehua haumanu mō te kore te ngakau ma'i ki te whakamahi o te tarukino "Concor Kori" e tūtohu ana ki te kawe i roto i te ine ero o te horopeta. Ko te ngako o te tukanga e whai ake: i roto i te st wiki 1 o te nui riro o beta-pūārai i roto i ngā o te bisoprolol he 1.25 mg ki 2-wiki horopeta rererua te (2.5 mg) mō te 3 meneti he 3.75 mg. I roto i te wā i te wiki 4 tae noa ki te mutunga o te horopeta 7 ko 5 mg rā Bisoprolol; 8 th wiki ki 11 th - 7.5 mg. Tīmata i te wiki 12 whakaae te mōrahi o te 10 mg. He tika (me te taea) ki te whakapiki ake i tika te tino e te tikanga nohotahi te mua, me te kore e meinga mana'o ino te inenga.

Here i runga i te mata - ko te whakahoki ki te pātai atu "Konkor" rerekē i "Konkor Kori": tuarua kē (2.5 mg bisoprolol) he pai ki te tīmata mehua haumanu e pā ana tamau āhua kore ngakau ma'i, i te tuatahi (5 ranei 10 mg) he pai ake hoki maimoatanga tiaki.

Ki te i etahi wāhi i reira ko tetahi whakatikatikanga horopeta o tohu kore ngakau, tūtohu tohunga hauora te inenga tika o te Diuretics whakarara inhibitors ACE ranei. A, no te tahi mau wa i muri whiwhi whakapai ake mana, he mea e tika ana ki te haere tonu i te tukanga o te ine ero "Concor Kori."

Therapy ki tenei tarukino he natula wā roa-. Me whakatinana te whakakāhoretanga o te beta-pūārai āta, ngā hoki tūroro mate i manawa toto pūroto.

pota nui: nga pānga me te maimoatanga

Tohutohu ki te tarukino haere tahi tonu pire "Concor Kori." Mai e tango ratou me he aha e nga contraindications, whakaahuatia ana e ia i mua. Na ka arotahi tatou i runga i te mea ki te mahi i te mea e, no te tahi mau take, ko kua horopeta nui Kāore kua riro.

Tohutanga Ko e whai ake: te whakawhanake takawhita me bradycardia, bronchospasm, me te tūponotanga tiketike o e suka ai tīmatanga o te kore ngakau whakapeka.

kia rerekē hopearaa o te fariiraa i pota nui o te iwi rerekē fakamatelie. Pea, E tino tairongo ki te taikaha o te inenga tūtohutia e te tou tākuta te hunga e mamae i te kore ngakau,. Ko te whakatau pai hoki te manawanui - kia kite i te tākuta (ki te mea e ahei ki te mahi i reira koe) meinga he "nohopuku" ranei. Tei runga i te whānuitanga ki i kua tarukino kua whakaaetia, ka whakatau i te tākuta te mehua ki kia tangohia ki ngā huru o te manawanui.

te tikanga whakamana ngā mahi rite akiaki lavage pekitīlia me fariiraa o absorbents (waro whakahohe ona analogues ranei). I tua atu, i runga i te āhuatanga rānei, kia poroa maimoatanga bisoprolol, a mo te wā wa e hiahiatia, i roto i te hōhipera, ka hei therapy tautoko, me te symptomatic.

Tohutohu ki "Concor Kori" tohu mo te whakamahi, kawea arotake hauora me ētahi atu puna o ngā mōhiohio ki te aro o ngaio me kiritaki e he pakeke nui Nireaha ki te tātari bisoprolol.

faaiteraa tōraro tono "Concor Kori"

Ka rite ki tata tetahi tarukino, taea ki te whakarato "Concor Kori" pānga taha o rerekē kaha i runga i te pūnaha me okana he.

Ki te whakaaro ki te pūnaha Cardiovascular, te amuamu tino auau o te tūroro i runga i te takanga o te bradycardia me takawhita (te nuinga i roto i te iwi e mate ana i te kore ngakau ma'i), ka taea e te whakawhanake vasospasm. Ki te whānuitanga iti ko reira pea he takahi AV-āriponga, decompensation cardiac, haere tahi i te edema piringa.

Tauhohenga ki te tarukino CNS puta iti korerotia a kia ngā o rohirohi, pāhoahoa me whanoke, rohirohi, ngangau moe, me wā o te 'ā'ā. Tino uaua, amuamu tūroro o cramps, ri'ari'ai me moemoea. I roto i te nuinga o te wā, e kore e enei tohu i te Whaitae kaha, me te whakamatautau i muri i 1-2 wiki i te tīmatanga o te therapy ki "Concor Kori."

Tuhinga mō te whakamahi, me te rārangi o contraindications aro whakarongo o tūroro ki te hītori o te mōhiohio i runga i COPD me te huangō, i reira te mea he taea o bronchospasm. kōrero varavara e pā ana ki te ahua o te Rhinitis mate pāwera.

I runga i te wahi o te wahi kūnatu maha kia meinga whakapairuaki, ruaki, kōroke, korere, mana'o o te maroke o mucous i roto i te kōhao-waha. Iti maha korero e pā ana ki te whanaketanga o te kakā me te huri i roto i whākōkī ate.

I tua atu ki te runga ake katoa, pūrongo tūroro raruraru ataata, me te pīkaru (onge), e pā ana ki cramps i roto i te uaua kuao kau, me te uaua ngoikore, takahi o mananga (tino onge).

O mate pāwera maha taea ponana, minamina me te whero.

"Concor Kori" me te hapū

Beta-pūārai "Concor Kori" i roto i te hapū, ko te taea anake i roto i te wā i reira te painga tūmanakohia ki te whaea o tona hauora atu te tūpono ki te tamaiti whakawhanake.

Tetahi beta-blockers (me "Concor Kori" i roto ia ratou), whakaiti i te kaha o te rere toto i roto i te ewe, me te kupu kia whai he pānga tōraro i runga i te whanaketanga o te tamaiti i roto i te utero. Ki te whakaritea tonu koe ki te farii i rongoā wahine hapu, me aroturuki kaimahi tiaki hauora tonu te rere toto i roto i te ewe me te kōpū, me te ki te mau i te tupu me te whanaketanga o te tamaiti. I roto i te kaupapa o tetahi āhuatanga kino hoki kia neke te wahine, me te tamaiti i runga i ki atu, tikanga o te maimoatanga kē.

I muri i te whanautanga o te tamaiti kia āta te uiui. I roto i te 3 ra tuatahi o te tamaiti e taea te whakaiti i te taumata o te kūhuka i te toto, ko reira ano hoki bradycardia taea (auau ngakau iti) tohumate.

Ko wahine uma-kai, e kore te mea e wātea ana hoki te tamaiti te mōhiohio tohatoha o bisoprolol ki te waiu uma tona haumaru ranei. Na reira, ki te tika, riro i te tikanga "Concor Kori" i roto i tenei wā, ko reira e tika ana ki te whakatau i runga i te mutunga o te hohipera.

raau taero rite

I roto i te tarukino "Concor Kori" ritenga (he maha ratou) e tino maha kei runga i te whakauru matua kaha - bisoprolol. hua rongoā whaiaro i roto i Germany, a Norway. raau taero pērā i "Aritel" tino maha whakamahia o nga ritenga Russian, me "Aritel Kori", "Biprol", "bisoprolol-Prana". Ahakoa te whakamutunga e wātea ana i roto i nga whenua maha huri noa i te ao, "bisoprolol Teva" - Hungary, e Iharaira, "bisoprolol-raa" - Ukraine. Mau, te orotahi tika ko "Concor".

I tua atu, i te tikanga tino pinepine whakamahia rite taea te huaina "Bidop" me "Bidop Kori" "Biol" "Bisogamma", "Bisomor", "Kordinorm" me "Kordinorm Kori", "Tiresias", "Niperten".

I roto i te whānui, i te rārangi o analogues (taurite) he tino whanui, me te momo, engari ki te whakaoti i te pātai o te mea ki te whakakapi "Concor Kori" whaiaro Kāore. Ko te kōwhiringa matau o te medicament mo te whakakapinga no ki te rata haere anake.

Ngā pāhekoheko ki ētahi atu taero

I runga i te miramira pai, me te tolerability o beta-blockers kia pā te whakamahi o te raau taero e rua i te wa kotahi. Ki te whakaaro ki te tarukino "Concor Kori" (tohu mō te whakamahi, kaimahi tiaki hauora tūturu me tūroro whakau te tauhohenga taua) Ka taea e ātete puta noa, ki te rite i roto i te raau taero mana parau tumu kua tangohia i roto i te nui iti o te wā o ia atu.

I tua atu, tūroro tango bisoprolol, he mea e tika ana ki te mohio he aha allergens hoki immunotherapy tangohanga ranei mo whakamātautau kiri taea tīmata te whanaketanga o nui tauhohe mate pāwera pūnahanaha anaphylaxis ranei. Ka taea e meinga te reira i ru anaphylactic me te tono tukutahi o bisoprolol me te rerekē iodinated māngai mō te whakahaere rō-uaua.

Diuretics, taero sympatholytic me ētahi atu antihypertensive, bisoprolol whakamahia i roto i te taha ki, Ka taea e meinga nui e tukupu ana o te pēhanga toto.

pōuritanga Tetracycline, antipsychotics, sedatives me taero hypnotics lōmekina te pūnaha io pokapū. Pānga o te taiāki huka atu taero hypoglycemic rite mō te whakahaere ā-waha ranei i roto i te maimoatanga ki te medicament "Konkor Kori" kia whakapiki ake i. Tohutanga whakawhanake e suka (tachycardia i roto i ngā) e taea te tāmia masked ranei.

He aha ki te titiro hoki?

Iwi nei faataahia "Concor Kori" te ki te tono he inadmissible i runga i to ratou ake ki te aruaru i te maimoatanga ranei ki te huri i te inenga tūtohutia i waho tuatahi kōrero ki tō tākuta. I roto i te wā, pērā i te mea e ahei te ähua o te mahi ngakau. Ko rawa pono o tūroro ki te mate te AVC tenei. Ki te riro te reira e tika ana ki te whakamutu maimoatanga rongoā "Concor Kori", taunaki te kaihanga e mahi koe i tenei, āta whakaiti i te inenga.

I paowa nei tūroro te whai huatanga o te beta-blockers raro atu i te hunga e kore e nei ifi.

Ko te hunga e kakahu arotahi whakapā, kia pupuri koutou i roto i te ngakau e taea beta-blockers meinga he hekenga i roto i te hanga o te inu roimata.

Ki te whakawhanake i te manawanui he hiahia mo te pokanga fili, te fariiraa i "Concor Kori" Me mutu tango katoa e kore e iti iho i 48 haora i mua i te whakarehu whānui. Ki te hiahiatia pokanga te wawe, a kua riro kē te manawanui he beta-pūārai, mo te rehunga whānui ko reira tika ki te tīpako tarukino ki iti mana kino inotropic.

I roto i te mutunga e hiahia ana ahau ki te mea e mea katoa i ki rongoā "Concor Kori" pānuitanga, arotake o te kakama tiketike i runga i te wahi o te tūroro me kaimahi hauora, te whakatau i runga i te whakarite o te ingoa o ia tangata takitahi tikanga "Concor Kori 'me te kore tetahi atu peta pūārai, kia no anake ki te rata haere.