Cov tshuaj mob plawv no nrov heev hauv cov tebchaws uas hais lus Lavxias, feem ntau yog vim nws tus nqi pheej yig. "Betalok ZOK", kev tshuaj xyuas ntawm cov kws kho plawv, uas peb yuav tham hauv peb tsab xov xwm, yog nquag sau ntawv rau tag nrho cov kab mob plawv. Tab sis, txawm hais tias siv ntau yam tshuaj no, zoo li txhua yam tshuaj, Betaloc ZOK muaj ntau yam contraindications thiab phiv. Txhawm rau kom tsis txhob ua mob rau koj txoj kev noj qab haus huv, ua ntej koj pib siv cov tshuaj no, koj yuav tsum ua tib zoo kawm cov lus qhia rau kev siv.
Kev piav qhia ntawm cov tshuaj
"Betaloc ZOK", tus nqi sib txawv nyob ntawm qhov ntau npaum li cas thiab tus naj npawb ntawm cov ntsiav tshuaj hauv pob, tau muab cais ua ib hom ntawm cardioselective beta-blockers. Sab nraud, cov ntsiav tshuaj no yog enteric-coated. "Betalok ZOK", xyuas ntawm cardiologists, qhov kev txiav txim ntawm uas yog maszoo, yog ib qho tshuaj ntawm kev ua haujlwm ntev. Vim nws lub plhaub, cov tshuaj muaj ncua sij hawm tso tawm. Txawm li cas los xij, nws tsis muaj sympathomimetic intrinsic kev ua haujlwm.
Cov khoom xyaw tseem ceeb ntawm cov tshuaj yog metoprolol - ib yam khoom uas muaj cov nyhuv hauv qab no rau lub cev:
- antihypertensive;
- antianginal;
- antiarrhythmic.
Tsis tas li, cov tshuaj no txo cov excitability ntawm myocardium, txo nws cov pa oxygen thov.
Betaloc ZOK tshuaj: cov lus qhia, tshuaj xyuas
Hais txog yuav ua li cas noj Betaloc ZOK, cov lus qhia tseem ceeb rau cov tshuaj qhia cov lus pom zoo hauv qab no: cov tshuaj yuav tsum nqos tag nrho, tsis txhob zom, nrog dej kom ntau.
Tsis tas li, cov lus qhia qhia tias cov tshuaj tuaj yeem qaug cawv tom qab noj mov thiab thaum lub plab khoob. Lub sijhawm tswj hwm tsis cuam tshuam rau kev ua haujlwm ntawm cov tshuaj.
Hais txog qhov ntau npaum li cas, nws yuav tsum tau pom zoo nrog tus kws kho mob plawv tsis ua haujlwm.
Hauv cov lus qhia tseem ceeb rau cov tshuaj, lub hauv paus ntsiab lus ntawm nws qhov kev ua tau piav qhia raws li hauv qab no: tom qab noj cov tshuaj, cov tshuaj me me ntawm beta 1-adrenergic receptors ntawm lub plawv raug thaiv hauv lub cev. Vim qhov no, lub plawv dhia yog txiav, myocardial contractility txo. Yog li ntawd, myocardial oxygen thov txo qis. Raws li qhov tshwm sim ntawm qhov kev txiav txim no, hauv cov neeg siv tshuaj, muaj qhov txo qis hauv tachycardia, kev ua haujlwm ntawm lub cev thiab tag nrho kev ua kom muaj zog, qaug dab peg txo.mob angina. Tsis tas li ntawd, tom qab noj cov tshuaj, muaj qhov txo qis hauv cov ntshav siab ob qho tib si hauv lub xeev ntawm kev ntxhov siab thiab thaum lub cev tawm dag zog, thiab nyob rau hauv lub xeev ntawm so tiav.
Qhov kev thov tau lees paub los ntawm kev tshuaj xyuas cov neeg siv tshuaj no. Yuav luag txhua tus neeg sau tseg txog kev txhim kho hauv kev noj qab haus huv tag nrho thiab kev ua haujlwm tau zoo. Nyob rau tib lub sijhawm, nyob rau hauv ntau qhov kev tshuaj xyuas muaj cov ntaub ntawv hais tias nrog kev tsis pom zoo ntawm cov tshuaj, kev noj qab haus huv, ntawm qhov tsis sib xws, tuaj yeem dheev thiab loj zuj zus. Vim li no, cov neeg uas tau noj Betaloc ZOK tau qhia kom tsis txhob noj nws maj mam, txo cov koob tshuaj txhua hnub.
Cov lus qhia rau kev siv
Raws li kev txiav txim siab ntawm cov tshuaj hauv lub cev, nws raug sau los ntawm kws kho plawv rau kev nkag nrog cov kab mob hauv qab no ntawm lub plawv dhia:
- sinus thiab supraventricular tachycardia;
- supraventricular thiab ventricular arrhythmias;
- tachyarrhythmia fibrillation;
- ventricular extrasystole;
- atrial flutter;
- arrhythmia tshwm sim los ntawm mitral valve prolapse.
Ntxiv nrog rau kev cuam tshuam lub plawv dhia, cov tshuaj "Betaloc ZOK", kev tshuaj xyuas ntawm cov kws kho plawv uas tsis ua rau muaj kev txhawj xeeb txog nws cov txiaj ntsig ntawm lub cev, tuaj yeem raug sau rau kev nkag mus rau qhov muaj teeb meem thiab kab mob xws li:
- tsis ruaj tsis khov angina;
- kev kub ntxhov siab;
- angina pectoris;
- mob plawv ischemic;
- mob hnyav hauv myocardial infarction;
- hlab ntshav siab;
- mob plawv tsis ua hauj lwm;
- kev ua haujlwm tsis zoo hauv CCC;
- senile lossis tseem ceeb tshee;
- nrog txoj kev kho mob ntawm thyrotoxicosis;
- panic tawm tsam.
Tshuaj "Betaloc ZOK" tuaj yeem siv tau thaum lub sij hawm kho nyuaj rau kev ntxhov siab tsis tsim nyog, thaum muaj akathisia ntawm keeb kwm ntawm kev noj tshuaj tiv thaiv kab mob. Cov tshuaj tuaj yeem raug muab tshuaj los txo cov mob migraine, nrog rau txo cov tsos mob tshwm sim thaum pib ntawm cov tsos mob tshem tawm.
Ib daim foos
"Betaloc ZOK", kev tshuaj xyuas ntawm cov kws kho plawv ntawm qhov kev txiav txim uas paub meej tias nws cov txiaj ntsig, muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj dawb biconvex. Lawv muaj cov duab oval thiab tuaj yeem kos lossis kos duab. Cov tshuaj muaj nyob rau hauv ntau npaum li cas: muaj "Betaloc ZOK" 25 mg, 50 mg thiab 100 mg. Nyob ntawm cov chaw tsim khoom, cov ntsiav tshuaj yuav raug muag rau cov neeg siv kawg ob qho tib si hauv cov thawv thiab lub raj mis yas.
Yog tias tus kws kho mob tau sau ntau npaum li 25 mg rau cov neeg mob, yog tias tsis muaj, koj tuaj yeem yuav "Betaloc ZOK" 50 mg lossis 100 mg. Cov ntsiav tshuaj no tuaj yeem muab faib ua ib nrab. Nyob rau hauv cov ntaub ntawv no, cov nyhuv ntev ntawm cov tshuaj yog tag nrho khaws cia. Tab sis tib lub sijhawm, nws tsis pom zoo kom zom lossis zom lawv.
Tus nqi tshuaj nruab nrab
Betaloc ZOK, tus nqi uas nyob ntawmTus naj npawb ntawm cov ntsiav tshuaj hauv pob thiab los ntawm cov npoo ntawm tus neeg muag khoom kawg, tus nqi nruab nrab ntawm 130 txog 460 rubles. Qhov pheej yig tshaj yog 25 mg ntsiav tshuaj, uas tau ntim rau hauv 14 pcs. hauv ib pob. Lawv tus nqi yog hais txog 130-150 rubles.
Tus nqi kim tshaj plaws yog "Betaloc ZOK" nrog ntau npaum li 100 mg, uas tau ntim rau hauv 30 pcs. rau hauv fwj. Nws raug nqi txog 420-480 rubles.
Yuav ua li cas cov tshuaj ua haujlwm
Cov tshuaj no tom qab noj txuas ntxiv nws txoj kev kho lub cev rau 24 teev. Ib zaug nyob rau hauv daim siab, cov khoom muaj oxidative metabolism. Tus tsov ntxhuav feem (95%) ntawm cov tshuaj noj yog tawm los ntawm lub cev raws li ib tug metabolic khoom. Qhov seem 5% yog tawm nrog cov zis.
Paub contraindications rau kev siv
Zoo ib yam tshuaj, cov tshuaj no muaj ntau yam contraindications. Cov kws kho mob tsis pom zoo kom siv yog tias tus neeg mob muaj keeb kwm ntawm cov kab mob hauv qab no:
- decompensated daim ntawv ntawm lub plawv tsis ua hauj lwm;
- state of cardiogenic shock;
- sinus bradycardia;
- arterial hypotension;
- mob plawv tsis ua hauj lwm.
Noj cov tshuaj no nyob rau hauv kev saib xyuas ntawm tus kws kho mob yog rau cov neeg uas muaj kev fab tshuaj thiab hypersensitivity rau metoprolol. Tsis tas li ntawd, cov kws kho plawv qhia ceev faj txog kev noj cov tshuaj no rau cov neeg muaj teeb meem xws li:
- obstructive bronchitis;
- emphysema;
- bronchialhawb pob;
- metabolic acidosis;
- mob ntshav qab zib mellitus;
- kab mob raum;
- psoriasis;
- siab tsis ua hauj lwm;
- pab tsis taus peripheral ncig.
Cov poj niam yuav tsum tsis txhob muab cov tshuaj no thaum cev xeeb tub vim nws yuav ua rau lub plawv dhia ntawm tus menyuam hauv plab. Nws kuj yog qhov tsis xav tau noj cov tshuaj no thaum lactation.
Muaj kev phiv tshwm sim
Ua ntej siv cov tshuaj no, koj yuav tsum ua tib zoo kawm cov ntaub ntawv hais txog txhua yam kev mob tshwm sim, siv cov lus qhia hauv pob. Txij li thaum cov tshuaj cuam tshuam ncaj qha rau lub plawv dhia, hauv lub sijhawm luv luv nws tuaj yeem txo cov mem tes thiab txo cov ntshav siab, cov kev mob tshwm sim los ntawm kev noj nws yuav tsum tau noj tiag tiag.
"Betaloc ZOK" tuaj yeem cuam tshuam rau ntau yam kabmob thiab lub cev ntawm lub cev, piv txwv li:
- lub cev hnov qab yuav ua rau pom qhov muag tsis pom kev, qhov muag qhuav, tinnitus;
- muaj peev xwm ua tau xws li kev tsis sib haum xeeb hauv kev ua haujlwm ntawm lub hauv nruab nrab paj hlwb raws li qeeb lub cev muaj zog thiab kev puas siab puas ntsws, mob taub hau;
- thaum muab tshuaj ntau ntau, kev ua pa tsis ua haujlwm yuav tshwm sim - bronchospasm, ua tsis taus pa, qhov ntswg congestion;
- ntawm ib sab ntawm dermatology, ntau yam pob khaus, pruritus, urticaria, photodermatosis, psoriasis zoo li cov tshuaj tiv thaiv tau.
Yog tias koj ntsib kev hloov pauv hauv koj lub xeev kev noj qab haus huv lossis yog tias koj muaj cov tsos mob zoo ib yam li cov lus piav qhia saum toj no,Cov kws kho mob plawv qhia qhia rau koj tus kws kho mob.
Kev sib tham nrog lwm yam tshuaj
Tsis tas li, tus kws kho mob uas sau ntawv Betaloc ZOK yuav tsum tau ceeb toom txog txhua yam tshuaj uas tus neeg mob siv thaum lub sijhawm teem sijhawm. Muaj cov tshuaj, kev noj haus uas yog categorically contraindicated thaum siv Betaloc ZOK. Thaum noj nws, nws raug txwv nruj heev rau kev txhaj tshuaj Verapamil rau ib tus neeg. Thaum siv Betaloc ZOK, nws tau ceev faj heev los sau tshuaj zoo ib yam li Reserpine (uas, los ntawm lawv qhov kev ua, txo qis catecholamine reserves). Xws li kev teem sijhawm ib txhij tuaj yeem ua rau muaj kev cuam tshuam ntawm bradycardia thiab txo qis ntshav siab hauv tus neeg mob.
Tshaj tawm cov kws kho mob txog cov tshuaj no
Nyob hauv ntau lub rooj sib tham, cov kws kho plawv hais lus zoo txog cov tshuaj no. Lawv ntaus nqi lub peev xwm ntawm cov tshuaj kom zoo txo qhov siab rau ib qho ntawm nws cov txiaj ntsig tseem ceeb. Txij li cov tshuaj no muaj tus nqi qis dua li nws cov neeg sib tw, rau ntau tus neeg mob ntshav siab xws li cov tshuaj no dhau los ua panacea.
Cov tshuaj no tsim nyog tau txais kev tshuaj xyuas zoo los ntawm kws kho mob vim tias, raws li cov txiaj ntsig ntawm ntau cov kev tshawb fawb, nws cov ntsiab lus tseem ceeb, metaprolol, muaj peev xwm ua kom lub neej ntev. Txawm tias muaj tseeb hais tias cov kws kho plawv, cov tshuaj no yog nyob rau hauv ib tug zoo account, muaj ib co ntawm cov neeg uas, thaum noj cov tshuaj no, yog qhia los ntawm cov kws kho mob kom coj kev nyab xeeb ntxiv. Cov lus pom zoo no suav nrog:
- Kev kuaj ntshav qabzib tsis tu ncua hauv cov neeg mob ntshav qab zib. Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account qhov tseeb tias, ua ib qho beta-blocker, Betaloc ZOK tuaj yeem npog tachycardia, uas tshwm sim vim hypoglycemia. Thaum pib noj cov tshuaj, txhua tus neeg mob tau pom zoo los ntawm cov kws kho plawv kom ntsuas ntshav siab txhua hnub thiab saib xyuas cov mem tes. Hauv cov xwm txheej uas lub plawv dhia qis dua 50 tus neeg ntaus ib feeb thaum noj Betaloc ZOK, cov kws kho plawv pom zoo kom koj mus nrhiav kev kho mob.
- Rau cov neeg laus uas noj cov tshuaj no, kws kho mob pom zoo kom lawv saib xyuas lub raum ua haujlwm tsawg kawg ib zaug txhua 6 lub hlis.
Cov analogues uas twb muaj lawm: "Betaloc" lossis "Betaloc ZOK" yog dab tsi?
Hloov cov tshuaj no tuaj yeem suav hais tias yog tshuaj, cov khoom siv tseem ceeb ntawm cov tshuaj metoprolol thiab tsim los txo lub plawv dhia, thiab txo cov ntshav siab.
Ntawm cov tshuaj analogues nrov tshaj plaws yog:
- YCorvitol.
- Metazok.
- Metocard.
- Egilok.
- Lidalok.
- Metolol.
- Methohexal.
Y"Vasocardin".
Ntau tus neeg raug dag los ntawm lub npe ntawm lwm cov tshuaj - Betaloc, thiab nws tsis paub meej tias nws txawv li cas ntawm Betaloc ZOK. Qhov tseeb, qhov no yog tib cov tshuaj, uas yog raws li tib yam tshuaj - metoprolol. Qhov txawvmuaj tsuas yog nyob rau hauv lub fact tias "Betaloc ZOK" yog muaj nyob rau hauv cov ntsiav tshuaj daim ntawv, thiab "Betaloc" nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj. Intravenous txhaj ntawm Betaloc yog qhia nyob rau hauv cov nram no:
- thaum tus neeg mob muaj tachyarrhythmia lossis mob hnyav vim yog myocardial infarction;
- muaj cov cim qhia ntawm myocardial ischemia;
- kuaj mob supraventricular tachyarrhythmia.
Xaiv qhov twg zoo dua, "Betaloc" lossis "Betaloc ZOK", rau kev siv hauv tsev, nyiam yuav tsum tau muab rau cov ntsiav tshuaj version.
Kev txhaj tshuaj sai sai nkag mus rau hauv cov hlab ntsha dua li cov tshuaj noj hauv cov ntsiav tshuaj, thiab qhov no yog vim lawv cov nyhuv nrawm dua rau lub cev. Vim li no, txawm tias tus kws kho plawv tau raug xaiv los txais Betaloc ZOK, nws tsis tuaj yeem hloov pauv mus rau Betaloc txhaj ntawm koj tus kheej hauv txhua kis. Cov tshuaj no tuaj yeem muab tshuaj rau niam txiv tsuas yog thaum muaj cov kws kho mob tshwj xeeb uas tau kawm tshwj xeeb uas, thaum muaj teeb meem lossis qhov tshwm sim tsis zoo, yuav muaj peev xwm ua tau raws li qhov tsim nyog tau txais kev cawmdim.
