"Ritmonorm": analogues, mtengo, malangizo ntchito

"Ritmonorm" - mankhwala ndi kanthu antiarrhythmic. Pamene ntchito midadada mankhwala ndi sodium ngalande. Mankhwala ali mwachindunji Kakhungu-ofunika kuchitapo kanthu amakhudza myocardiocytes. Pamaso chithandizo kuphunzira katundu "Ritmonorm" mankhwala, malangizo ntchito, Akhristu enieni. Mfundo imeneyi.

zigawo mankhwala, Kaonekedwe

lokonzekera analengedwa mu mawonekedwe a mapiritsi TACHIMATA. Thunthu yogwira ntchito zikuchokera - propafenone hydrochloride. Aliyense piritsi ali 150 mg wa yogwira pophika. Mapiritsi muli adjuvants monga titaniyamu dioxide, microcrystalline mapadi, wowuma anachokera ku wowuma chimanga, magnesium stearate, hydroxypropylmethylcellulose 2910, ndipo croscarmellose ndi sodium. Mwa zigawo zina optional - macrogol 6000 ndi macrogol 400, madzi oyera.

zotsatira za mankhwala

Amachepetsa pazipita zotheka liwiro, amene angayambe ndi depolarization ya kanthu kuthekera (gawo 0), chimodzimodzi mankhwala yemweyo amakhudza matalikidwe a ulusi (nkhawa onse yamitsempha yamagazi contractile ulusi ndi Purkinje) kumabwezera mmbuyo kukhazikitsa basi. Kupitiriza ulusi Purkinje msanga, nthawi imene khalidwe, amene anazindikira mu atria ndi mfundo sinoatrial, ndi anawonjezera. "Ritmonorm" analogues mankhwala ziribe mphamvu pa zolondola nthawi wofunikila normalization wa kugwira ntchito wogwidwa ndi nkusani mfundo panthawi kukondoweza magetsi, kapena zotsatira chomwecho ndi kochepa. Zotsatira Electrophysiological ali akuwonetseredwa mu m'mnyewa wamtima ischemia bwino, zotsatira za mita-holino- ndi beta-adrenoceptor kutsekereza wofatsa.

The medicament "Ritmonorm" analogues mankhwala ndi mu zikuchokera awo zinthu zofunika kum'chitira zoipa inotropic kanthu, amene nthawi zambiri pamene munthu index la kumanzere yamitsempha yamagazi ejection kachigawo yafupika.

Ntchito ya medicament likutchedwa mankhwala ochititsa m'deralo, pali kufanana ndi ntchito za 'procaine ". Chitani "Ritmonorm" akuyamba Mphindi 60 ntchito mkati. The pazipita efficacy wa mankhwala ndi wapezeka pambuyo maola 2.5 atachita thupi, nthawi ya mmene analandira awasungira kwa maola 10.

Pamene eni phwando mayamwidwe kapepala kakuti m'mimba kumachitika pafupi kwathunthu. Kagayidwe mu chiwindi. Mankhwala anafa anasonyeza bwanji 5 maola ndi m'thupi monga metabolites mu impso ndi chiwindi, amapezeka ya ndulu ya.

umboni

"Ritmonorm" analogs wothandizila kutumikiridwa kuchiza nthenda yomweyo. Mapiritsi ntchito milandu zotsatirazi:

• yamitsempha yamagazi fibrillation;
• paroxysmal supraventricular tachyarrhythmia.

contraindications

Contraindications ali motere:

• Hypersensitivity kwa zigawo zikuluzikulu za mankhwala;
• bradycardia anasonyeza;
• syndrome kumene amalembedwa nkusani;
• mtima kulephera chikhalidwe aakulu;
• myasthenia gravis;
• Amowabu kuchepetsa kuthamanga kwa magazi;
• bronchospasm;
• nthawi gestation mwana, kumudyetsa mkaka wa m'mawere;
• obstructive matenda amene mapapo amakhudzidwa zikuchitika olemera ndi aakulu;
• zaka ana (pasanathe zaka 18);
• anafotokoza mavuto intraventricular, atrioventricular ndi sinoatrial conduction;
• kutchulidwa monyanyira mu impso ndi chiwindi;
• mantha cardiogenic kupatula mantha arrhythmic;
• hyper- kapena hypokalemia.

"Ritmonorm" analogues mankhwala akuletsedwa ntchito miyezi itatu, ngati munthu anali ndi vuto la mtima kapena kuchepa kumanzere yamitsempha yamagazi ejection nusu. The kuchotserapo ndi odwala amene amadziŵika yamitsempha yamagazi fibrillation, chikhalidwe amene agonjetsa osati thanzi, komanso moyo.

Ena zinthu amafunika chisamaliro pa mankhwala kumafuna kusamala achipatala.

ntchito mankhwala

Mapiritsi kumwa pambuyo kudya, Pomeza lonse. Nthawi chithandizo udzakhazikitsidwe dokotala kutenga nkhani zifukwa zambiri. N'chimodzimodzinso ndi mlingo amatanthauza "Ritmonorm". Analogs yokonzekera ngati mtengo (m'munsi) Kodi njira osauka ndi inefficient. Mankhwalawa amagwiritsidwa bwino achite, koma mmene angakhale osiyana pang'ono.

Pa siteji koyamba Ndi bwino kuti asagwidwe mwa kuchipatala. odwala wamkulu yolemera makilogalamu oposa 70 Kwalamulidwa mankhwala zochokera chikuonetseratu kukonzekera zitatu. Childs, mlingo anafuna kudya pa nthawi imodzi ndi 150 mg.

Nthawi kumene QT imeneyi ndi QRS zovuta chinawonjezeka ndi 20% kapena zambiri poyerekeza ndi anthu amene akhazikitsidwa isanayambe mankhwala mlingo yafupika. Pali njira ina - ndi discontinuation zosakhalitsa chithandizo.

mlingo waukulu wa mankhwala idzachitika, kuona imeneyi masiku atatu. Pankhaniyi, n'zotheka kuonjezera kuti munthu pazipita 300 mg kawiri pa tsiku (nthawi zina atatu).

Odwala ukalamba ndi thupi osati choposa makilogalamu 70 amapatsidwa kungachepetse mlingo wa "Ritmonorm" (mapiritsi) mankhwala. Reviews, mafotokozedwe, analogues zipangizo amakulolani amayang'anitsitsa kuthekera kwa mankhwala ndi m'malo ngati n'koyenera.

Pamene mankhwala ankachitira odwala matenda a chiwindi, mlingo ntchito, yafupika ndi 20-30% (monga cumulation angayambe) ndi vuto la impso - yafupika ndi 50%.

zotsatira zoyipazi

Wodwala kusintha chowawa m'magulu mtima ndi mantha, kapepala kakuti m'mimba angathe kuonedwa. kuyan'anila zotheka cha ziwalo zoberekera ndi kusintha mu magawo zasayansi. Mwa zotsatira mbali inayo - ziwengo (hemorrhagic), arthralgia. Bronchospasm kumachitika, kufooka ambiri.

Kusamala

phwando "Ritmonorm" amatanthauza mukhoza kusiya ngati n'koyenera. Analogs ndipo mmalo mankhwala ayenera kusintha ndi dokotala. Kuletsa "Ritmonorma" n'zotheka pambuyo kupeza malangizo katswiri.

Mankhwalawa amafuna anayendera nthawi zonse muyezo wa electrolytes ndi ECGs. Nthawi m'pofunika kulamulira ndi zizindikiro zina.

Pamene odwala amene ali ndi pacemaker ookedwa muyenera kulabadira kusintha AKUYENDA pakhomo uyambenso. kuwonjezeka awo amapanga magawo kuvomerezedwa kudzudzulidwa ntchito ndi pacemaker lapansi.

mankhwala ayenera kumwedwa mosamala amene kuyendetsa galimoto kapena mu zochitika zimene amafuna sanafike msanga ndi chisamaliro.

Amene akonza kuchitiridwa "Ritmonorm" amatanthauza malangizo, mtengo mu pharmacies analogues akhale chidwi. M'munsimu muli mtengo wa mankhwala imalowetsamo umboni wa anthu amene achitiridwa "Ritmonormom" ndi nawo maganizo awo.

Analogs, mtengo wa mankhwala, ndemanga

Mtengo wa mankhwala ndi za 545-700 rubles. kwa ma CD a mapiritsi (50 ma PC.). Pakati analogues kudziwika - "Profenan", "Propastad", "Prolekofen". Nthawi zambiri madokotala mankhwala wogwirizira "Propafenone RP 300" kapena umabala "propafenone RP 150" m'malo mankhwala. Ngati mukufuna kusankha analogi angapereke mmalo "propafenone" kapena "propanorm".

Isanafike mankhwala, mankhwala "Ritmonorm" analogues, mtengo, opaleshoni malangizo si chinthu chokha kufufuza. Imathandiza kuti timudziwe bwino. Monga mauniko, mankhwala kuti munthu akhoza kuthandiza, ndi munthu sanam'bweretsere chifukwa chilichonse. Pali anthu amene kutenga mankhwala pamene mukumva akudwala, palinso anthu amene ankawachitira malangizo a dokotala. Ngati chifukwa akuyembekezeka sikukudziwika, kusowa alipo kuyang'anira zina pofuna kukonza anakhazikitsa chithandizo regimens.