Raws li kws kho mob, tib neeg lub siab yog lub cev tseem ceeb tshaj plaws. Lub neej zoo thiab nws lub sijhawm yuav nyob ntawm lub xeev uas nws nyob. Nrog rau txhua yam mob khaub thuas lossis kab mob plab, tib neeg feem ntau mus rau chaw kho mob. Txhua tus paub tias lawv tsis tshua ua rau tuag. Feem ntau ua rau tus neeg tuaj yeem tuag yog kab mob plawv. Cov kws tshawb fawb-cov kws kho plawv tau tsim ntau yam tshuaj sib txawv uas tsis tsuas yog pab kom lub neej ntev ntawm tib neeg, tab sis kuj tso cai rau koj kom tshem tau cov kab mob zoo li no. Cov tshuaj no suav nrog cov tshuaj "Bisoprolol". Kev tshuaj xyuas sab laug hauv phau ntawv kho mob los ntawm cov kws kho mob qhia tias cov neeg mob uas mob plawv zoo li zoo dua tom qab tau kho nrog cov tshuaj no.
Basic about tshuaj "Bisoprolol"
Qhov no yog tshuaj uas yog B-andeno thaiv tus neeg sawv cev. Nws tau ntev tau siv nyob rau hauv kev kho mob xyaum, uas yog nyob rau hauv cardiology. Tshuaj tsis tsuas yog rau arterial hypertension,Cov kab mob hauv lub plawv, tab sis kuj nrog lub plawv tsis ua haujlwm thiab lub plawv dhia tsis zoo, cov tshuaj "Bisoprolol". Kev tshuaj xyuas ntawm cov neeg mob qhia tias tom qab ob hnub ntawm kev ua tsis taus pa ploj mus, qhov mob hauv lub plawv yuav ploj mus.
keeb kwm me ntsis
Lub tswv yim los tsim cov tshuaj zoo sib xws tau tshwm sim xyoo 1967. Lub tuam txhab Merck tau ua haujlwm ntawm nws qhov kev tsim (nws yog thaum ntawd thiab tam sim no yog ib feem ntawm Astra pawg tuam txhab). Nws yog nyob rau xyoo ntawd uas cov kws tshawb fawb thawj zaug tau txais cov khoom xws li beta1-blocker. Tsis tas li ntawd, ntawm nws lub hauv paus, ob lub subtypes ntawm adrenergic receptors tau txais. Cov no yog xws li b1-adrenergic receptor thiab b2-adrenergic receptor. Cov tshuaj no "Bisoprolol" belongs rau pawg xaiv ntawm beta1-blockers. Lawv raug cim tias xaiv tau zoo thiab txawv ntawm lwm yam khoom hauv lawv lub zog.
Cov tshuaj "Bisoprolol"
Yog tias peb xav txog cov ntsiab lus ntawm cov tshuaj no, nws yog qhov tseeb tias lub ntsiab lus tseem ceeb yog cov tshuaj ntawm bisoprolol fumarate. Txhua ntsiav tshuaj Bisoprolol muaj 5 grams ntawm cov tshuaj no. Kev tshuaj xyuas ntawm cov neeg mob qhia tau hais tias tom qab thawj zaug siv cov tshuaj no, lub xeev ntawm kev noj qab haus huv tau zoo heev. Tsis muaj tshuaj yuav ua tau yam tsis muaj cov khoom pab. Yog li cov tshuaj no kuj suav nrog croscarmellose sodium los yog primellose, povidone lossis nruab nrab molecular hnyav polyvinyl rolidone, progelatin starch, colloidal silicon dioxide, nrog rau me ntsis talc, microcrystalline cellulose, lactose los yog mis nyuj qab zib thiab magnesium.stearate.
Cov tshuaj feem ntau muaj lub plhaub du, palatable. Qhov no kuj siv tau rau cov tshuaj "Bisoprolol". Kev tshuaj xyuas qhia tau tias cov ntsiav tshuaj tau nqos tau zoo, thiab tsis muaj qhov tsis txaus siab nyob hauv lub qhov ncauj. Qhov no yog txhua yam ua tsaug rau cov khoom xws li macrogol (polyethylene glycol), titanium dioxide, opadry 2. Cov xim zoo nkauj ntawm cov ntsiav tshuaj tau txais vim yog cov xim siv - hlau oxide (2).
Cov lus qhia rau kev siv tshuaj "Bisoprolol"
Siv cov tshuaj no tsuas yog raws li koj tus kws kho mob qhia. Muaj ib txwm qhia rau kev siv hauv txhua pob ntawm cov tshuaj "Bisoprolol". Kev tshuaj xyuas qhia tau hais tias qee zaum cov kws kho mob pom zoo ib qho txawv me ntsis ntawm kev kho mob rau lawv cov neeg mob. Nws nyob ntawm tus kab mob, hnub nyoog, yam ntxwv ntawm lub cev. Nws yog feem ntau pom zoo kom siv tsis pub ntau tshaj 20 mg ntawm cov tshuaj ib hnub twg. Qhov no yog tus qauv rau ib tug neeg laus. Ib ntsiav tshuaj feem ntau yog 5 mg. Nws tsis tas yuav zom, tab sis yuav tsum tau nqos nrog dej ntau. Cov lus pom zoo tib yam suav nrog cov lus qhia rau kev siv tshuaj "Bisoprolol". Cov kev tshuaj xyuas tseg los ntawm cov neeg siv nws qhia tau hais tias tom qab kev kho mob, lub xeev kev noj qab haus huv tau zoo dua.
Yog tias tus neeg mob tau kuaj pom tias muaj ntshav siab lossis mob plawv, ces yuav tsum tau siv 2 ntsiav tshuaj ib hnub, feem ntau yog sawv ntxov thiab yav tsaus ntuj. Thaum thawj theem ntawm kev kho mob, koob tshuaj yuav tsawg dua - tsuas yog 5 mg ib hnub twg lossis ib ntsiav tshuaj. Overshoot ntawm koj tus kheejlos ntawm tsis muaj txhais tau tias nws ua tau. Yog tias cov tshuaj tsis pab, tom qab ntawd koj yuav tsum sab laj nrog kws kho mob ua ntej thiab ua raws li nws cov lus pom zoo. Cov kws tshaj lij, ua ntej muab cov tshuaj no, xyuas cov haujlwm ntawm lwm cov kabmob thiab ua tib zoo saib xyuas lub plawv dhia. Ua ntej noj cov tshuaj, tus neeg mob nws tus kheej kuj yuav tsum kuaj xyuas tus mem tes.
YContraindications
Txhua yam tshuaj hauv cov neeg muaj ntau yam kab mob tuaj yeem ua rau tsis muaj kev phiv. Qhov no kuj siv tau rau cov tshuaj "Bisoprolol". Cov lus qhia rau kev siv yog nyob rau hauv txhua pob. Cov lus qhia tseem qhia tau tias cov tshuaj no yuav tsum tsis txhob siv rau kev poob siab, bradycardia (yog tias lub plawv dhia qis dua 50 zaus ib feeb). Nws yuav tsum tsis txhob siv rau 2nd lossis 3rd degree atrioventricular block, nrog rau yog tias muaj cov tsos mob ntawm qhov tsis muaj zog ntawm lub qhov txhab thiab yog tias hypotension tshwm sim.
Tsis tas li ntawd, cov tshuaj yuav tsum raug cais tawm rau cov neeg uas muaj qhov tsis txaus siab lossis ua rau bronchospasm. Yog hais tias cov neeg mob muaj ib tug lig theem ntawm peripheral circulatory disorders, cov tshuaj no kuj tsis haum. Koj tsis tuaj yeem siv cov tshuaj "Bisoprolol" (tus nqi rau nws yog qhov nruab nrab 30 rubles) txawm tias noj MAO inhibitor (tab sis qhov no tsis siv rau MAO-B inhibitor).
txwv tsis pub noj tshuaj "Bisoprolol"
Siv cov tshuaj no nrog ceev faj rau cov neeg muaj kab mob xws li ntshav qab zib mellitus, hypoglycemia, metabolic acidosis, thyrotoxicosis, atrioventricular blockade ntawm qib 1,vasospasmatic angina. Tsis tas li ntawd, cov tshuaj no yuav tsum tsis txhob siv los ntawm cov neeg mob ntawm kev noj zaub mov nruj, thiab cov uas tab tom kawm xws li desensitizing therapy.
Nrog rau qhov kev kuaj mob xws li lub plawv tsis ua haujlwm, koj tsis tuaj yeem siv cov tshuaj "Bisoprolol" thaum lub sijhawm exacerbation. Kev tshuaj xyuas qhia tau hais tias qhov no, kev siv cov tshuaj no tsuas yog ua rau muaj kev noj qab haus huv xwb. Tsis tas li ntawd, nrog rau qhov kev kuaj mob no, cov tshuaj no yuav tsum tsis txhob siv yog tias lub plawv dhia qis dua 60 tus neeg ntaus ib feeb. Nws tseem yog contraindicated nyob rau hauv qis systolic ntshav siab, tshwj xeeb tshaj yog tias nws qis dua 100 mmHg.
Tshuaj "Bisoprolol" thiab cev xeeb tub
Cov tshuaj no yuav tsum tsis txhob siv los ntawm cov poj niam cev xeeb tub lossis pub niam mis. Muaj qee qhov tshwj xeeb thaum tus neeg mob xav tau cov tshuaj no thaum nqa tus menyuam, tab sis nws yuav tsum txiav tawm yog tias muaj li 72 teev ua ntej yug menyuam, yog tias qhov no ua tsis tau, tus menyuam mos yuav tsum nyob rau hauv kev saib xyuas ntawm kws kho mob txij li thawj feeb ntawm yug. Ib tug menyuam yaus tom qab siv tshuaj no tuaj yeem tsim cov tshuaj hypoglycemia, thiab tus kab mob no tuaj yeem tshwm sim hauv thawj peb hnub.
Side effects
Yuav luag txhua yam tshuaj muaj kev phiv. Cov tshuaj "Bisoprolol" tuaj yeem cuam tshuam rau lub paj hlwb. Qhov no manifests nws tus kheej nyob rau hauv qaug zog, kiv taub hau, nquag mob taub hau, pw tsaug zog. Kev nyuaj siab thiab, nyob rau hauv tsawg zaus, hallucinations yuav tshwm sim. Tab sis qhov no yog txhua yam tshwm sim nyob rau hauv ib qho yooj yim daim ntawv thiab twbdhau tom qab 1 lossis 2 lub lis piam ntawm kev kho mob.
Cov kev mob tshwm sim kuj tuaj yeem cuam tshuam rau lub cev ntawm lub zeem muag nyob rau hauv daim ntawv ntawm conjunctivitis lossis txo qis hauv lacrimation. Tsis tas li ntawd, ua tsis taus pa luv yuav tsis tshua pom, tab sis qhov no yog nyob rau hauv cov neeg uas nquag mus rau bronchospasm. Qee zaum muaj kev cuam tshuam ntawm plab hnyuv. Tej zaum yuav muaj xeev siab los yog raws plab, me me colic nyob rau hauv lub plab mog. Tab sis feem ntau cov kab mob no dhau mus tom qab ob peb hnub.
Analogues
Cov tshuaj analogues "Bisoprolol" suav nrog cov tshuaj hauv qab no:
- "Concor".
- Biprol.
- "Niperten".
- "Bisogamma".
- "Bisoprolol-Prama".
- "Bisoprolol-Lugal" thiab lwm yam.
