"Panangin" hauv ampoules yog cov tshuaj uas tuaj yeem cuam tshuam cov metabolism hauv cov ntaub so ntswg thiab muaj magnesium thiab potassium. Cov tshuaj yog pom zoo rau cov neeg mob nyob rau hauv kev kho mob ntawm pathologies nyob rau hauv lub plawv system, nrog rau impaired metabolism hauv lub myocardium. Cov tshuaj no yog contraindicated nyob rau hauv thaum yau, thaum cev xeeb tub, nyob rau hauv cov neeg mob uas muaj hypermagnesemia (high magnesium nyob rau hauv cov ntshav) thiab hyperkalemia (muaj ntau ntau ntawm cov poov tshuaj nyob rau hauv cov ntshav).
Nyob rau hauv tsab xov xwm, peb yuav txiav txim siab cov lus qhia siv rau Panangin thiab tshuaj xyuas ntawm cov kws kho plawv.
Pharmacological forms
Cov chaw tsim khoom "Panangin" muaj nyob rau hauv ob daim ntawv tshuaj: cov ntsiav tshuaj npaj rau kev tswj hwm qhov ncauj, thiab kev daws teeb meem,uas tuaj yeem muab tshuaj intravenously raws li cov dej ntws los yog dej. Tableted "Panangin" muaj ib tug biconvex rounded puab, muaj ib tug qub xim thiab ci ntsa iab nto. Cov tshuaj tau ntim rau hauv 50 ntsiav tshuaj hauv lub raj mis polypropylene.
"Panangin" hauv ampoules yog npaj rau kev tswj hwm txoj hlab ntshav, nws yog cov kua ntshiab, tsis muaj xim, tsis muaj kuab lom yam tsis muaj impurities. Nws tau ntim rau hauv 10 ml ampoules, uas tau ntim rau hauv 5 daim hauv ib lub thawv ntawv. Ua ntej lub dav hlau txhaj tshuaj, cov ntsiab lus ntawm ampoule yuav tsum tau diluted nrog 50 ml ntawm qabzib (5%). Yog hais tias drip tswj yog npaj, ces cov tshuaj yuav tsum tau diluted nrog saline nyob rau hauv ib tug npaum li ntawm 200 ml.
Composition, piav qhia
Cov khoom xyaw tseem ceeb ntawm cov tshuaj yog potassium aspartate thiab magnesium aspartate. Txhua ntsiav tshuaj muaj 158 thiab 140 mg ntawm cov tshuaj, feem. Txhua ampoule ntawm "Panangin" muaj 452 mg thiab 400 mg ntawm cov tshuaj, ntsig txog. Potassium thiab magnesium ions yog qhov tseem ceeb hauv cov cations. Nrog rau sodium thiab calcium, lawv koom nrog hauv kev ua haujlwm ntawm ntau yam enzymes uas tswj cov txheej txheem metabolic, suav nrog cov hauv cov ntaub so ntswg myocardial. Lub active Cheebtsam ntawm cov tshuaj muaj ib tug zoo ntxim rau cov txheej txheem ntawm assimilation ntawm oxygen, as-ham, thiab lub peev xwm ntawm lub plawv mus cog lus.
Raws li cov khoom siv ntxiv hauv cov ntsiav tshuaj yog siv: qos yaj ywm hmoov txhuv nplej siab, pob kws hmoov txhuv nplej siab, magnesium stearate, povidone, silicon dioxide. Pab txhawbCov tshuaj nyob rau hauv cov muaj pes tsawg leeg ntawm cov tshuaj yog txhaj dej. Cov khoom xyaw ntxiv uas muaj nyob rau hauv kev npaj yog tsim nyog los txhim kho qhov nqus ntawm cov khoom xyaw nquag, tsim kom yooj yim tshaj plaws pharmacological daim ntawv.
Pharmacological pawg
"Panangin" hauv ampoules yog suav nrog hauv pab pawg tshuaj uas muaj feem cuam tshuam rau cov ntaub so ntswg metabolism. Raws li nws pawg kws tshuaj, nws belongs rau cov ntxhia tshuaj uas muaj cov poov tshuaj thiab magnesium. Cov tshuaj muaj peev xwm cuam tshuam cov txheej txheem metabolic hauv cov ntaub so ntswg myocardial, tiv thaiv kev tuag ntawm cardiomyocytes, kev loj hlob ntawm hypoxic phenomena. Tawm tsam keeb kwm yav dhau los ntawm kev siv "Panangin", kev cog lus ntawm lub plawv thiab kev ua haujlwm ntawm lub plawv thiab cov hlab ntsha tag nrho yog normalized.
Panangin yog dab tsi?
YPharmacodynamics, pharmacokinetics
Magnesium thiab potassium ions yog cov cations tseem ceeb uas cuam tshuam rau kev ua haujlwm ntawm cov enzymes uas tuaj yeem tswj cov ntaub so ntswg metabolism. Aspartate, uas yog cov tshuaj endogenous uas tsim cov tshuaj lom neeg muaj zog nrog ntau lub ntsiab lus, thauj cations los ntawm daim nyias nyias mus rau hauv lub cell. Cov tshuaj nquag ntawm cov tshuaj nkag mus rau hauv lub cell nyob rau hauv daim ntawv ntawm complex compounds. Lawv txoj haujlwm yog nyob ntawm qhov concentration ntawm calcium thiab sodium nyob rau hauv intercellular thiab cellular chaw. Cations muaj peev xwm tswj cov txheej txheem ntawm assimilation ntawm cov as-ham thiab oxygen los ntawm myocardium, nrog rau myocardial contractility. Qhov tsis txaus ntawm cov poov tshuaj thiab magnesium hauv lub cev tuaj yeem ua rau muaj kev hloov pauv hauv cov hlab plawv, piv txwv li, arterial hypertension, arrhythmia, sclerosis ntawm myocardium, coronary arteries.
Pharmacokinetics ntawm Panangin tsis tau kawm los ntawm cov chaw tsim khoom. Nws paub tseeb tias qhov nqus ntawm cov khoom siv hauv lub plab zom mov yog qhov siab heev. Yog hais tias cov tshuaj yog muab intravenously, lub tsub zuj zuj ntawm cov tshuaj tshwm sim nyob rau hauv lub myocardium, thaum tsim lub siab tshaj plaws kho nyhuv. Potassium thiab magnesium aspartate yog tawm los ntawm lub cev feem ntau los ntawm ob lub raum.
Yog li, Panangin yog dab tsi?
Cov lus qhia rau kev siv
Rau cov neeg laus, cov tshuaj tau pom zoo rau cov kab mob pathological txawv txav hauv cov hlab plawv thiab lub cev tsis txaus ntawm cations:
- Hloov kho rau qhov tsis txaus ntawm magnesium thiab potassium ions ntawm ntau yam xwm.
- Daim ntawv mob plawv tsis ua hauj lwm.
- States tom qab lub plawv nres.
- Kev mob plawv ischemia vim cov hlab ntshav tsis ua haujlwm hauv cov hlab ntsha.
- YVentricular extrasystole.
- Atrial fibrillation yam arrhythmia.
- Arrhythmias tshwm sim los ntawm kev qaug cawv nrog glycosides, uas yog ib feem ntawm pawg digitalis.
- Lub plawv atherosclerosis uas tshwm sim tawm tsam keeb kwm ntawm kev hloov pauv hauv electrolyte tshuav, cuam tshuam feem ntau nrog hypokalemia (tsis muaj cov poov tshuaj ions hauv cov ntshav).
Thaum ua kev kho mob mus sij hawm ntev siv Panangin, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas lub sijhawm ntawm cov poov tshuaj thiab magnesium ions hauv cov ntshav.
Nws yog contraindicated rau cov neeg mob menyuam yaus.
Siv thaum cev xeeb tubcov tshuaj tau tso cai yog tias muaj cov cim qhia ntawm tus kheej pib txij li peb lub hlis thib ob. Kev siv cov tshuaj hauv thawj peb lub hlis twg tuaj yeem ua rau muaj tshuaj lom lom ntawm tus menyuam hauv plab.
Yog tias xav tau siv cov tshuaj thaum lub sijhawm lactation, nws raug nquahu kom ncua kev pub mis ib ntus thiab hloov tus menyuam mus rau cov khoom sib xyaw.
Contraindications rau kev siv
Ua ntej koj pib siv Panangin hauv kev txhaj tshuaj, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho mob thiab coj mus rau hauv tus account uas twb muaj lawm contraindications, suav nrog:
- Kev ua txhaum ntawm kev ua txhaum ntawm kev ua haujlwm hauv AV node.
- mob siab rau lub raum tsis ua haujlwm.
- Cardiogenic shock,
- Addison tus kab mob.
- YMetabolic acidosis.
- Hemolytic anemia.
- Lub cev qhuav dej tiv thaiv keeb kwm yav dhau los ntawm kev kub hnyiab, kub dhau, zawv plab, ntuav.
- YImpaired amino acid metabolism.
- Hypermagnesemia (nce ntxiv ntawm magnesium hauv cov ntshav), hyperkalemia (nce concentration ntawm poov tshuaj).
- Tus neeg muaj kev cuam tshuam rau ib qho ntawm cov khoom uas ua rau cov khoom siv tshuaj.
Nws yog txwv tsis pub muab tshuaj rau thawj peb lub hlis twg ntawm cev xeeb tub, rau cov neeg mob menyuam yaus.
Cia peb saib kom ze rau ntawm cov tshuaj Panangin.
siv tshuaj kho mob
ntsiav tshuaj npaj tau pom zoo siv peb zaug hauv ib hnub hauv qhov ntau txog 2 ntsiav tshuaj. Yog tias tus neeg mob muaj mob hnyav,Nws yog tso cai kom nce ib koob tshuaj mus txog 3 ntsiav tshuaj. Kev kho mob nrog kev siv tshuaj rau 3 lub lis piam peb zaug hauv ib hnub, 1 ntsiav tshuaj. Cov tshuaj yuav tsum tau noj tom qab noj mov, raws li cov kua txiv hmab txiv ntoo muaj kev puas tsuaj rau cov khoom siv ntawm cov tshuaj. Cov ntsiav tshuaj yuav tsum tau nqos tag nrho nrog kua ntau.
Ua ntej dav hlau txhaj tshuaj, ampoule yog diluted hauv 50 ml ntawm qabzib (5%). Ua ntej txhim kho lub dropper nrog Panangin, cov tshuaj yog diluted nrog 200 ml ntawm saline. Kev taw qhia yuav tsum ua kom qeeb. Lub sijhawm ntawm kev kho mob yog txiav txim los ntawm tus kws kho mob, coj mus rau hauv tus account qhov hnyav ntawm pathological tshwm sim.
Thaum kho cov poj niam cev xeeb tub, Panangin tau muab tshuaj raws li cov qauv txheej txheem, suav nrog kev pheej hmoo rau tus menyuam thiab kev kho mob rau leej niam. Thaum lub sij hawm lactation, cov tshuaj yog contraindicated.
Neegative impacts
Tawm tsam keeb kwm yav dhau los ntawm kev siv Panangin, cov teebmeem hauv qab no tuaj yeem tsim: kiv taub hau, mob plab, xeev siab. Raws li txoj cai, cov kev mob tshwm sim tsis tshua muaj tshwm sim, thiab lawv cov tsos mob tshwm sim ploj mus yam tsis muaj kev kho mob li ob peb hnub.
Kev sib raug zoo ntawm "Panangin" yog dab tsi?
Kev sib tham nrog lwm yam tshuaj
Kev siv cov tshuaj ib txwm muaj nrog cov tshuaj potassium-sparing diuretics thiab ACE inhibitors tuaj yeem ua rau muaj kev loj hlob ntawm hyperkalemia, uas ua rau muaj qhov tshwm sim ntawm arrhythmias hnyav thiabmob plawv nres.
Kev tswj hwm cov tshuaj sai sai ua rau kiv taub hau, xeev siab, liab ntawm lub ntsej muag. Txhawm rau tiv thaiv cov xwm txheej no, nws raug nquahu kom muab cov tshuaj ntawm qhov nrawm nrawm.
Nws yog ib qho tseem ceeb uas yuav tsum tau ceev faj thaum muab tshuaj rau cov neeg mob uas muaj kev puas tsuaj ntawm cov ntaub so ntswg ntau, kub hnyiab, myasthenia gravis, vim qhov kev pheej hmoo ntawm hyperkalemia yog qhov tseem ceeb.
Puas Panangin ib txwm muaj kev nyab xeeb?
Ntau tshaj
Thaum noj tshuaj ntau dhau, tus neeg mob tsim cov tsos mob ntawm hypermagnesemia thiab hyperkalemia: arrhythmia tshwm sim, rhiab heev ntawm cov ceg ceg raug cuam tshuam, raws plab tshwm sim, rov ntuav, liab ntawm lub ntsej muag, lethargy, hypotension, convulsions, ua pa nyuaj siab, muaj. yog muaj peev xwm mob stroke.
Yog tias pom tias muaj kev qaug cawv tshwm sim, koj yuav tsum tsis txhob noj tshuaj tam sim ntawd, ntxuav tus neeg mob lub plab, muab cov tshuaj enterosorbents, sau tshuaj peritoneal dialysis thiab hemodialysis.
Analogues ntawm "Panangin"
Yog tias tsim nyog, cov tshuaj tuaj yeem hloov tau los ntawm ib qho ntawm cov tshuaj hauv qab no:
- "Asparkam-L". Nws yog ib qho analogue ntawm Panangin, uas ua rau hauv daim ntawv txhaj tshuaj. Txwv tsis pub siv los ntawm cov menyuam yaus, cov poj niam cev xeeb tub, thaum lub sijhawm lactation.
- "Potassium Magnesium". Nws yog ib qho kev noj haus ntxiv uas tsis pub noj thaum lub sij hawm lactation, thaum cev xeeb tub, hnub nyoog qis dua 14.
- "Potassium thiab magnesium aspartate". Yogtshuaj ntawm German keeb kwm. Ua nyob rau hauv daim ntawv ntawm kev daws. Contraindications rau nws siv yog menyuam yaus hnub nyoog, lactation lub sij hawm, cev xeeb tub.
- "Asparkam". Nws yog ib tug ua tiav analogue ntawm "Panangin". Pharmacological daim ntawv ntawm "Asparkam" - ntsiav tshuaj. Yuav siv tau nrog ceev faj thaum lactation thiab cev xeeb tub.
Asparkam lossis Panangin?
Nws yuav tsum raug sau tseg tias "Asparkam" yog qhov ua tiav ntawm "Panangin", lub sijhawm sim. Ntxiv mus, tus nqi ntawm Asparkam yog qis dua li ntawm Panangin.
Txawm li cas los xij, qhov tseem ceeb ntawm cov tshuaj yog nws cov txiaj ntsig. Cov neeg mob nco ntsoov tias qhov ntsuas no siab dua hauv Panangin.
Txawm li cas los xij, tus kws kho mob yuav tsum txiav txim siab seb yuav noj tshuaj twg - Asparkam lossis Panangin.
Tus nqi
Tus nqi nruab nrab ntawm "Panangin" yog 145 rubles rau ib pob tshuaj, 140 rubles rau ib pob ntsiav tshuaj. Nws nyob ntawm cheeb tsam.
Reviews
Cov neeg mob uas siv Panangin tawm, raws li txoj cai, cov lus pom zoo. Cov tshuaj muaj txiaj ntsig zoo, nws tso cai rau koj kom tsis txhob muaj kev ntxhov siab, pab txhawb kev ua haujlwm ntawm lub plawv. Tsis tas li ntawd, tawm tsam keeb kwm yav dhau los ntawm kev siv tshuaj, qhov tshwm sim tsis zoo tshwm sim.
Cov kws tshaj lij xav li cas txog qhov teeb meem no? Cardiologists rau "Panangin" feem ntau nruab nrab. Lawv tsis xav tias nws yog panacea rau lub plawv mob. Ntau zaus nws raug sau tseg rau qhov mob me me ua rau muaj kev cuam tshuam me me raws li cov tshuaj tonic. Pebtshuaj xyuas cov lus qhia rau kev siv thiab tshuaj xyuas cov kws kho plawv thiab cov neeg mob rau Panangin.
