Kev loj hlob ntawm cov kab mob ntawm cov hlab plawv yog qeeb thiab imperceptible nyob rau hauv thaum ntxov theem. Feem ntau, ib tug neeg kawm txog nws cov teeb meem hauv lub plawv thaum cov kab mob pathology tau nce zuj zus, vim tias qhov kev mus pw hauv tsev kho mob ceev yog qhov tsim nyog. Kab mob plawv yog qhov txaus ntshai vim nws tshwm sim yuav luag tsis muaj tsos mob. Lawv yog ib qho tseem ceeb ntawm kev tuag hauv ntiaj teb. Txawm hais tias tus neeg mob muaj txoj sia nyob ntawm tus kab mob plawv, nws tsis zoo li yuav rov qab mus rau txoj kev ua neej zoo li qub, thiab yog li ntawd nws yuav tsum tau hloov mus rau qhov tshiab, txwv tsis pub. Nws muaj peev xwm tiv thaiv kev loj hlob ntawm cov teeb meem loj ntawm cov kab mob hauv lub plawv los ntawm kev kuaj mob hauv lub sijhawm. Yog li ntawd, yuav tsum tau kuaj xyuas kev tiv thaiv kom tswj tau koj lub siab.
mob plawv
Muaj ntau yam cim qhia tias yuav ua rau muaj teeb meem plawv. Yog tias koj pom cov tsos mob zoo li no hauv koj tus kheej, koj yuav tsum hu rau lub tsev kho mob tam sim ntawd, qhov kev kuaj xyuas kom meej yuav pab kuaj tus kab mob thiab tiv thaiv kom tsis txhob muaj teeb meem tshwm sim.
Cov tsos mob feem ntau ntawm cov kab mob plawv thaum ntxov muaj xws li qaug zog thiab qaug zog. Tej zaum lawv yuav cuam tshuam nrog kev ntxhov siab lossis kev ua haujlwm ntau ntxiv, tab sis lawv tuaj yeem ua lub cim rau kev txhim kho lub plawv tsis ua haujlwm. Raws li txoj cai, kev qaug zog tsis mus qhov twg txawm tias tom qab so, thiab qhov kev xav ntawm kev tsim txom, kev tshaib plab, thiab kev tsis zoo ntawm lub cev yog ntxiv rau nws. Cov tsos mob thib ob uas tuaj yeem qhia txog kev txhim kho ntawm lub ntsws lossis lub plawv tsis ua haujlwm yog ua tsis taus pa, thiab nws tuaj yeem tshwm sim txawm tias tus neeg nyob hauv lub xeev tsis xis nyob.
Kev ntshai hnyav, kev ntxhov siab lossis kev ua haujlwm lub cev ntev hauv txhua tus neeg noj qab haus huv tuaj yeem ua rau lub plawv dhia nce ntxiv, thiab qhov no suav tias yog tus qauv. Yog tias tachycardia txhawj xeeb ntau zaus thiab tsis muaj laj thawj zoo, ces peb tuaj yeem tham txog qhov muaj kev cuam tshuam hauv lub xeev ntawm cov hlab plawv. Lwm cov tsos mob ntawm tus kab mob hauv lub plawv muaj xws li kev poob qis lossis kiv taub hau tam sim ntawd, qaug zog, tsis xis nyob, thiab mob hauv siab. Cov paib zoo li no ua rau tus neeg mus ntsib kws kho mob. Thiab tau txais kev ntsuam xyuas dav dav ntawm cov hlab plawv.
kev npaj kho mob
Yog tias tus neeg mob tau kuaj pom tias muaj kab mob plawv ntawm theem uas tsis tas yuav phais, nws raug sau tshuaj kho. Cov tshuaj rau cov kab mob plawv pab tus neeg mob tiv nrog cov tsos mob ntawm pathology thiab qeeb nws txoj kev loj hlob. Ib tug neeg yuav tsum tau npaj rau qhov tseeb tias yogNws npaj yuav ncua nws lub neej, nws yuav tsum tau hloov nws cov duab, tshwj xeeb tshaj yog, tso tseg tus cwj pwm phem, noj kom raug, ua ke nrog kev tawm dag zog nrog so.
Hnub no muaj ntau yam tshuaj sib txawv ntawm lub rhawv ntawm cov khw muag tshuaj, qhov kev nqis tes ua yog tsom rau kev tawm tsam cov teeb meem plawv. Ib qho tshuaj ntau tshaj plaws uas kws kho mob tau sau tseg yog Coronal ntsiav tshuaj. Cov lus qhia rau kev siv cov tshuaj yuav yog raws li nram no: kab mob plawv, arrhythmia, arterial hypertension, ventricular los yog supraventricular extrasystole, thiab lwm yam. Ua ntej pib kev kho mob nrog tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob. Cov tshuaj "Coronal" muaj cov nyhuv zoo rau lub cev, muaj cov npe ntawm contraindications thiab tuaj yeem ua rau muaj kev phiv. Muaj nyob rau hauv cov ntsiav tshuaj coated. Tus kws kho mob tuaj yeem sau ob qho tib si Coronal thiab nws cov analogues.
tshuaj kho mob
Cov tshuaj "Coronal" muaj antianginal, hypotensive thiab antiarrhythmic teebmeem. Qhov kev xaiv beta-blocker no txo qhov tsim ntawm cyclic AMP los ntawm ATP thiab tuaj yeem thaiv cov beta-adrenergic receptors ntawm lub plawv. Tsis tas li, cov tshuaj "Coronal" pab txo qis myocardial contractility thiab zaus ntawm lub plawv contractions, nws conduction thiab excitability.
Cov nyhuv hypotensive ntawm cov tshuaj tau tshwm sim hauv qhov tseeb tias nws pab txo qis cov ntshav ntim hauv feeb. "Coronal" - cov ntsiav tshuaj uas ua kom lub cev rhiab heev ntawm baroreceptors, inhibit qhov kev ua ntawm reninangiotensive system, cuam tshuam rau hauv nruab nrab paj hlwb. Hauv cov neeg mobuas raug kev txom nyem los ntawm arterial hypertension, cov nyhuv hypotensive yog pom tom qab 2-5 hnub tom qab pib siv. Tom qab 1-2 lub hlis, cov nyhuv kho hypotensive tau sau tseg.
Cov tshuaj "Coronal", cov lus qhia rau kev siv uas muaj qhov dav dav, muaj cov nyhuv antianginal. Cov ntsiav tshuaj pab ua kom ntev ntawm diastole, txhim kho perfusion ntawm lub plawv cov leeg, txo nws cov pa oxygen los ntawm kev txo lub plawv dhia. Cov nyhuv antiarrhythmic ntawm cov tshuaj yog manifested nyob rau hauv nws lub peev xwm los tshem tawm cov yam arrhythmogenic yam. Raws li nws cov kev cuam tshuam, atrioventricular conduction qeeb thiab muaj qhov txo qis ntawm qhov excitation ntawm lub sinus thiab ectopic pacemakers.
Kev siv cov tshuaj hauv qhov nruab nrab ntau npaum li cas muaj qhov cuam tshuam tsawg ntawm cov hlab ntsha peripheral, cov leeg nqaij bronchial du, txiav txiav, cov leeg pob txha, cov metabolism hauv carbohydrate. Cov tshuaj tsis khaws cov sodium ions hauv lub cev, nws qhov nqus yog li 80-90%.
Cov lus qhia rau kev siv
Ua ntej noj Coronal, koj yuav tsum sab laj nrog kws kho mob uas yuav muab cov lus qhia meej txog kev noj ntau npaum li cas thiab ntau npaum li cas ntawm kev tswj hwm. Koj tsis tuaj yeem pib noj tshuaj ntawm koj tus kheej, muaj kev pheej hmoo ua mob rau koj txoj kev noj qab haus huv, thiab muaj qhov tshwm sim tsis zoo.
Nyob rau hauv cov tshuaj "Coronal" cov lus qhia rau kev siv feem ntau txwv rau arterial hypertension thiab coronary heart disease. Qhov koob tshuaj txhua hnub ntawm cov tshuaj yog 5 mg. Cov tshuaj tseem ceeb ntawm cov tshuaj "Coronal" yog bisoprolol. Qhov siab tshaj plaws txhua hnubCov qauv tuaj yeem ncav cuag 20 milligrams, thiab rau cov neeg mob uas muaj kev ua haujlwm tsis zoo ntawm daim siab - 10 milligrams. Qhov koob tshuaj ntawm cov tshuaj nyob rau hauv txhua rooj plaub yog hloov kho ib tus zuj zus, coj mus rau hauv tus account qhov kev kho mob zoo thiab lub plawv dhia. Nws yog ib qho tsim nyog los txo qhov koob tshuaj ntawm cov tshuaj "Coronal" maj mam, koj tsis tuaj yeem nres qhov kev noj nws tam sim ntawd. Qhov no muaj tseeb tshwj xeeb rau cov neeg mob uas muaj angina pectoris (CHD).
YContraindications
Muaj cov npe ntawm cov xwm txheej uas nws zoo dua kom tsis txhob siv Coronal. Cov lus qhia rau kev siv kab mob plawv tsis tuaj yeem yog tib yam hauv kev pib kho mob. Tus kws kho mob yuav tsum ua tib zoo tshuaj xyuas tus neeg mob kom muaj kev nyab xeeb tom kawg.
Cov tshuaj yog contraindicated nyob rau hauv cov neeg mob uas decompensated CHF, mob plawv tsis ua hauj lwm, cardiogenic poob siab, cardiomegaly, Prinzmetal's angina, SSU syndrome, atrioventricular block II-III theem, sinoatrial block. Tsis txhob noj Coronal rau cov neeg mob uas muaj tus kheej hypersensitivity rau cov tshuaj. Nws tsis pom zoo kom muab tshuaj rau cov poj niam thaum lactation, nrog rau kev sib xyaw nrog kev siv MAO inhibitors.
Hauv qhov xwm txheej hnyav, tab sis ua tib zoo saib xyuas, cov tshuaj tau siv los kho cov neeg mob myasthenia gravis, cuam tshuam nrog claudication, Raynaud's syndrome, siab tsis ua haujlwm, CHF, pheochromocytoma, metabolic acidosis, bronchial hawb pob, pulmonary emphysema, ntshav qab zib mellitus. Contraindications rau kev siv tej zaum yuav muaj kev nyuaj siab, psoriasis, thyrotoxicosis, thaum yau thiab laus,cev xeeb tub. Kev txiav txim siab noj tshuaj "Coronal" (kev tshuaj xyuas ntawm cov kws kho mob pom zoo rau qhov no) thaum cev xeeb tub tuaj yeem tsuas yog thaum qhov txiaj ntsig rau leej niam ntau zaus ntau dua qhov kev pheej hmoo rau tus menyuam.
Ntau tshaj
Tus neeg mob yuav tsum ua raws li tus kws tshaj lij cov lus qhia, vim tias kev noj tshuaj ntau dhau tuaj yeem ua rau muaj cov tsos mob txaus ntshai. Ntawm cov cim qhia uas tshwm sim los ntawm kev noj ntau dhau ntawm Coronal yog bronchospasm, plawv tsis ua haujlwm, arterial hypotension, thiab bradycardia. Intoxication ua rau muaj zog cardiodepressive nyhuv, uas prevails tshaj ib tug txo nyob rau hauv contractility thiab txo qhov zaus ntawm lub plawv contractions. Tus neeg mob yuav ua rau muaj kev nyuaj siab ua pa los ntawm bronchospasm.
Yog tias tus neeg mob muaj cov tshuaj tiv thaiv tsis zoo rau cov tshuaj, koj yuav tsum tau ntsuas tam sim kom tsis txhob ua rau lawv. Thawj qhov uas yuav tsum tau ua yog nqa tawm lub plab zom mov, ua raws li kev noj cov tshuaj enterosorbents (activated charcoal). Koj kuj yuav tsum tau haus ib lub laxative (sodium sulfate). Koj tuaj yeem tshem tawm cov tsos mob ntawm intoxication los ntawm kev noj atropine (0.5-2.0 mg) intravenously. Tsis tas li ntawd, glucagon 1-5 mg yog siv. Yog tias bronchospasm tshwm sim, yuav tsum tau siv bronchodilator (aerosol Salbutamol lossis Fenoterol).
Side effects
Coronal tuaj yeem ua rau muaj kev phiv cuam tshuam rau tag nrho lub cev. Kev pheej hmoo yog:
- kab mob plawv;
- nervous system;
- ua pasystem;
- plab hnyuv;
- genitourinary system;
- visual apparatus;
- tawv, nqaij, pob qij txha.
Rau ib feem ntawm cov hlab plawv, cov teeb meem xws li paresthesia, kev cuam tshuam ntawm kev ua haujlwm, bradycardia, orthostatic hypertension, thiab ntshav siab qee zaum tuaj yeem pom. Cov neeg mob nrog Raynaud's los yog tsis sib xws claudication muaj cov tsos mob hnyav zuj zus.
Cov tshuaj Coronal tuaj yeem ua rau muaj kev phiv los ntawm lub paj hlwb, uas yog: kev hloov pauv ntawm lub hlwb, kev npau suav zoo, pw tsaug zog, kiv taub hau, mob taub hau, qaug zog. Tsis tshua muaj, tab sis tseem tus neeg sawv cev Coronal tuaj yeem cuam tshuam rau qhov pom kev. Kev tshuaj xyuas ntawm cov xwm txheej zoo li no tau tshwm sim, tab sis vim yog qhov tshwm sim ntawm kev raug tshuaj, qhov muag yuav tsis zoo, kev tsim kua muag yuav txo qis, mus txog rau kev tsim cov kab mob conjunctivitis.
Cov tsos mob xws li bronchospasm, ua tsis taus pa luv, rhinitis thiab qhov ntswg congestion tuaj yeem cuam tshuam cov neeg mob uas muaj mob hawb pob bronchial. Hauv cov xwm txheej sib cais, cov nyhuv hepatotoxic ntawm bisoprolol tshwm sim, uas yog txiav txim siab los ntawm xeev siab, raws plab, cem quav thiab mob plab.
Ntawm lwm cov kev mob tshwm sim los ntawm kev ua ntawm cov tshuaj Coronal, cov neeg mob tshuaj xyuas cov lus hauv qab no: nce tawm hws, khaus thiab liab ntawm daim tawv nqaij, arthropathy, cramps thiab mob nqaij. Tsis tshua muaj kev txhawj xeeb txog dysuria thiab erectile kawg tshwm sim los ntawm kev ua ntawm cov tshuaj "Coronal". Cov tshuaj analogues kuj tuaj yeem ua rau muaj kev phiv raukab mob. Yog li ntawd, nyob rau hauv txhua rooj plaub, nws yog ib qho tseem ceeb mus ntsib kws kho mob thiab ua raws li nws cov lus qhia.
Cov lus qhia tshwj xeeb
Ntxiv rau qhov contraindications thiab cov kev mob tshwm sim, muaj ntau qhov xwm txheej thaum cov tshuaj yuav tsum tau siv ua tib zoo thiab yeej nyob rau hauv kev saib xyuas ntawm kws kho mob. Qhov no feem ntau siv rau cov mob xws li mob plawv tsis ua haujlwm, ntshav qab zib mellitus, kev nyuaj siab, myasthenia gravis, psoriasis, thyrotoxicosis, lub siab tsis zoo lossis lub raum ua haujlwm, metabolic acidosis, yoo mov, Prinzmetal's angina.
Hauv cov kab mob ua pa ntev, Coronal, analogues thiab lwm yam beta-blockers tuaj yeem noj tau, tab sis tsuas yog ua ke nrog cov tshuaj bronchodilators thiab noj tsawg kawg nkaus. Nrog pheochromocytoma, tus neeg sawv cev yuav tsum tau noj ib txhij nrog kev thaiv ntawm alpha-adrenergic receptors. Kev noj tshuaj yuav tsum tau txiav txim siab tom qab kev tshawb fawb ntawm daim siab thiab lub raum tsis zoo.
Arterial hypertension tuaj yeem kho nrog tshuaj tsuas yog nyob rau hauv kev saib xyuas kev kho mob tsis tu ncua. Kev txo qis adrenergic counterregulation thiab anaphylactic cov tshuaj tiv thaiv ua rau muaj kev cuam tshuam ntau ntxiv hauv cov neeg mob noj beta-blockers. Hauv cov neeg mob laus, qhov tsis hnov tsw tuaj yeem tshwm sim txawm tias nrog cov tshuaj ib txwm muaj, yog li yuav tsum tau saib xyuas tas li ntawm no.
Yog tias nws yuav tsum ua raws li kev npaj phais mob, ces kev siv tshuaj raug tso tseg 48 teev ua ntej kev ua haujlwm, thiab qhov no tsis ua tiav tam sim ntawd, tab sismaj mam. Yog tias tus neeg mob muaj cov lus qhia rau kev siv Coronal, nws yuav tsum tau ceev faj heev hauv kev ua ub no uas yuav tsum muaj kev kub ntxhov ntawm lub cev thiab lub hlwb (ua haujlwm ntawm qhov siab, kev pabcuam tsheb, ua haujlwm nrog cov txheej txheem txaus ntshai, tsav tsheb, thiab lwm yam).
Kev Sib Tham Tshuaj
Thaum noj Coronal (cov ntsiav tshuaj) tib lub sijhawm nrog lwm cov tshuaj, yuav tsum tau ceev faj. Tshwj xeeb, qhov no siv rau kev sib txuas nrog MAO inhibitors, txij li tom qab kev tso tseg muaj kev nce ntshav siab. Kev sib xyaw beta-blockers nrog allergen rho tawm rau kev kuaj tawv nqaij thiab nrog kev ua xua siv rau kev tiv thaiv kab mob, muaj kev pheej hmoo ua rau muaj kev tsis haum tshuaj loj.
Thaum siv cov tshuaj antiarrhythmic ntawm chav kawm I thiab III (Disopyramide, Sotalol, Quinidine, Amiodarone, Lidocaine), koj kuj yuav tsum tau ceev faj. Nrog rau kev siv tib lub sijhawm ntawm cov tshuaj tiv thaiv hypertensive thiab Coronal ntsiav tshuaj, tom kawg tuaj yeem ua rau muaj kev cuam tshuam ntawm yav dhau los. Yog tias koj siv cov tshuaj no ua ke nrog "Guafatsin", "Digitalis", "Clonidine", "Reserpine", ces qhov no tuaj yeem ua rau qeeb ntawm cov hluav taws xob impulses los ntawm kev ua haujlwm ntawm lub plawv.
Cov tshuaj kho tau zoo ntawm Coronal tuaj yeem txo qis los ntawm kev raug cov tshuaj sympathomimetic (cov tshuaj tiv thaiv kab mob, qhov ntswg lossis qhov muag dauv). Lub siab enzyme activators provoke ib tug txo nyob rau hauv lub biological ib nrab-lub neej ntawm beta-cov tshuaj adrenoreceptor. Kev siv tib lub sijhawm ntawm cov tshuaj tiv thaiv arrhythmic thiab calcium channel blockers ntawm Nifedipine thiab Verapamil pawg tuaj yeem ua rau kev loj hlob ntawm bradycardia, lub plawv tsis ua haujlwm lossis kev cuam tshuam ntawm kev ua haujlwm.
Kev kho mob ib txhij nrog Coronal thiab Clonidine tuaj yeem ua rau muaj kev kub ntxhov siab. Yog tias muaj cov lus qhia rau kev noj Coronal hauv cov neeg mob ntshav qab zib mellitus, nws raug nquahu kom saib xyuas cov ntshav qabzib tsis tu ncua. Qhov no yog vim qhov tseeb tias beta-blockers tuaj yeem ua kom muaj zog ntawm cov tshuaj tiv thaiv kab mob ntshav qab zib thiab insulin, npog cov cim qhia ntawm hypoglycemia.
tshuaj tshuaj xyuas
Cov kws kho mob sau tshuaj Coronal rau cov neeg mob plawv. Tab sis cov tshuaj no puas ua haujlwm rau txhua tus? Kev tshuaj xyuas txog nws, peb tuaj yeem txiav txim siab dav dav tias cov txiaj ntsig ntawm cov tshuaj ntawm tus neeg mob lub cev nyob ntawm txhua tus neeg mob. Cov neeg uas muaj hmoov zoo tsis muaj kev phiv los hais tau zoo heev txog Coronal. Kev tshuaj xyuas ntawm cov neeg mob uas tau ntsib qhov tshwm sim ntawm kev siv cov tshuaj tsis yog rosy. Txawm li cas los xij, cov teeb meem tuaj yeem zam tau. Ua ntej noj "Coronal" (cov ntsiav tshuaj), cov lus qhia rau nws yuav tsum tau rov ua tib zoo nyeem thiab ob peb zaug, vim hais tias inattention tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv.
Thawj yam uas cov neeg mob pom yog qhov txo qis hauv lub plawv dhia, txo qis ntshav siab, kev txhim kho ntawm tus neeg mob. Tom qab ob peblub hlis ntawm kev siv, cov kws kho mob pom zoo kom txo cov koob tshuaj, vim hais tias cov mem tes thiab siab twb tau mus txog tus qauv thiab tsis tas yuav txo lawv ntau dua. Tsis tas li ntawd, cov neeg mob nco ntsoov tias yog tias koj ua raws li tag nrho cov lus qhia ntawm tus kws kho mob tuaj koom, ces koj yuav tsum tsis txhob ntshai ntawm qhov tsis zoo los ntawm kev siv tshuaj. Tab sis cov neeg uas nws tus kheej txiav txim siab hloov cov koob tshuaj txhua hnub lossis tsis ceeb toom tus kws kho mob txog kev siv lwm cov tshuaj tau ntsib teeb meem, uas qee qhov yuav tsum tau mus pw hauv tsev kho mob ntawm tus neeg mob. Thiab yog li ntawd, tsis txhob hnov qab tias muaj cov lus qhia rau kev siv hauv txhua pob ntawm Coronal ntsiav tshuaj.
Analogues
Cov tshuaj "Coronal" muaj ntau yam analogues - cov tshuaj uas muaj tib yam active tshuaj. Tag nrho cov ntawm lawv txawv nyob rau hauv nqe, lub teb chaws ntawm ntau lawm, mechanism ntawm kev txiav txim, contraindications, muaj los yog tsis muaj kev phiv.
Zoo li txhua yam tshuaj, Coronal kuj muaj nws qhov kev thov. Nws cov analogues zoo sib xws hauv lawv cov tshuaj nquag yog bisoprolol. Feem ntau yog cov tshuaj ntawm domestic ntau lawm. Lawv qhov zoo dua yog suav tias yog tus nqi qis (piv rau cov khoom tuaj txawv teb chaws) thiab kev ua haujlwm siab. Tshwj xeeb, cov tshuaj hauv qab no tuaj yeem sau tseg: Aritel, Aritel Cor, Biprol, Bisoprolol, Bisoprolol-Prana, Niperten. Lawv muaj nyob rau ntawm txhua lub tsev muag tshuaj kiosk, thiab lawv cov nqi ntawm 30 txog 100 rubles ib pob.
Import analogues ntawm Coronal kuj tau nthuav tawm hauv ntau hom: Bidop (Hungary), Biol (Slovenia),Bisogamma (Lub Tebchaws Yelemees), Bisocard (Poland), Bisomor (India), Bisoprolol-Lugal (Ukraine), Bisoprolol-Teva (Israel) thiab lwm yam. Cov tshuaj German "Concor" tshwj xeeb tshaj yog nrov ntawm cov tshuaj txawv teb chaws. Nws tus nqi yog 4 lub sij hawm siab dua tus nqi ntawm cov tshuaj "Coronal" thiab yog hais txog 180 rubles. Feem ntau, cov tshuaj txawv teb chaws hauv khw muag tshuaj kiosks muaj nyob rau ntawm tus nqi ntawm 300 txog 600 rubles ib pob.
