"Ritmonorm": analogues, qiimaha, tilmaamaha loo isticmaalo

"Ritmonorm" - daroogada la tallaabo antiarrhythmic. Markii la isticmaalayo channels sodium blocks daroogada. daroogada waxay leedahay tallaabo ah xuub-dejinta si toos ah saamayn ku myocardiocytes. Ka hor inta guryaha waxbarasho daweynta "Ritmonorm" daroogada, tilmaamaha loo isticmaalo, dhigooda dhabta ah. Tixgeli macluumaad this si faahfaahsan.

qaybaha daroogada, Curiska

diyaarinta la sameeyo qaab kiniin dahaarka leh. walaxda firfircoon loo isticmaalaa in sidiisa - hydrochloride propafenone. kiniin kasta wuxuu leeyahay 150 mg ah ee firfircoon. Alwaaxdii sidoo kale ku jira adjuvants sida titanium dioxide, cellulose mikrokristallin, istaarijka ka soo jeeda galleyda, milmahayn magnesium, hydroxypropylmethylcellulose 2910, iyo sodium croscarmellose. Ka mid ah qaybaha kale ee optional - macrogol 6000 iyo macrogol 400, biyo sifaysan.

saamaynta daroogada

Waxay yaraysaa xawaaraha ugu badan ee suurtogalka ah, kaas oo ka dhici karaa depolarization ah ee ku iman kara talaabada (wajiga 0), dhab ahaan daroogada isla saamayn ku Ilodanimada inayan macdantaa ah (walaac labada fiiloyin contractile ventricular iyo Purkinje) hakiyo si toos ah fulinta. Qaadashada on fiiloyin Purkinje waa gaabis ah, waqtiga lagu jiro taas oo dhaqanka, kaas oo la ogaaday in ay atria iyo Guntin sinoatrial, la kordhiyo. "Ritmonorm" analogues daroogada leeyihiin saameyn ah kuma laha waqtiga loo baahan yahay caadi ah ee shaqada hantiyeen by Guntin Dalqada wadnaha waqtiga kicinta korontada saxda ah, sidoo kale saameyn la mid ah waa ay yar tahay. Saamaynta korontada waxaa lagu muujiyey in ischemia myocardial fiican, saamaynta m-holino- iyo beta-adrenoceptor xanibeen fudud.

medicament The "Ritmonorm" analogues daroogada leeyihiin in walxaha Halabuurka ay bixiyaan haya'ad tallaabo inotropic xun, oo sida caadiga ah waa marka index ah ventricular bidix jajab ejection waa la dhimay.

Waxqabadka of medicament la tilmaamay sida daawada suuxinta, waxaa jira mid ah hawlaha ee "Procaine". Soco "Ritmonorm" bilaabo 60 daqiiqo ka dib isticmaalka gudaha. waxtarka ugu badan ee daroogada la ogaado ka dib markii celcelis ahaan 2.5 saacadood kadib markii ay galeen jidhka, mudada saamaynta helay waxaa loo kaydiyaa celcelis ahaan 10 saacadood.

Marka nuugista ah soo dhaweynta gudaha ee mareenka caloosha iyo mindhicirka dhacdaa ahaanba. Dheef-beerka. Daawada waxaa qayb ahaan soo bandhigay ee ku saabsan 5 saacadood iyo saaro jidhka sida metabolites ee kelyaha iyo beerka ka, waxa ay joogtaa bile ah.

maragga

"Ritmonorm" wakiilka analogs maamulo si loogu daweeyo cudurka la mid ah. Kiniiniga waxaa loo isticmaalaa in arrimaha soo socda:

• aamba ventricular;
• tachyarrhythmia supraventricular paroxysmal.

sababo

Sababo waa sida soo socota:

• Diidmo in qaybaha daroogada,
• bradycardia muujiyay,
• syndrome halkaas oo lagu calaamadeeyay sanka,
• wadnaha oo shaqadiisa gaba dabiiciga ah ee joogtada ah,
• daweeyay gravis;
• hoos u calaamadeysan ee cadaadiska dhiigga;
• bronchospasm;
• muddo oo uur ah ee ilmaha, isaga quudinta caanaha naaska,
• cudurka obstructive taas oo sambabada saameeyo dhaca culus oo joogto ah;
• da'da carruurta ee (ka yar 18 sano);
• ka muujiyay dhibaatooyin intraventricular, atrioventricular iyo tabinta sinoatrial;
• khaladaad loogu dhawaaqaa in kelyaha iyo beerka,
• lama filaan ah cardiogenic shock arrhythmic mooyee,
• barar aad ama hypokalemia.

"Ritmonorm" analogues daroogada waxaa ka mamnuuc ah isticmaalka saddexda bilood ee ugu horreeya, haddii qofka ku dhacay wadno ama hoos u dhac ku ventricular bidix jajab ejection. ka reeban waa bukaan loo aqoonsaday aamba ventricular, xaalad halis ku ah caafimaadka oo keliya ma aha, laakiin sidoo kale nolosha.

xaaladaha qaarkood waxay u baahan daryeel inta lagu jiro daaweynta u baahan yahay kormeer caafimaad taxadir.

isticmaalka daroogada

Kiniiniga cabbo ka dib markii wax cunaya, liqidda oo dhan. Duration daaweynta dhismay waa dhakhtar iyada oo account arrimo badan. Isla sidaas u dhaqmaan qiyaasta macnihiisu yahay "Ritmonorm". Analogs ee sida qiimaha diyaarinta (hoose) ma aha ee saboolka ah iyo hawlqabad la'aan. Daawooyinkan ayaa sidoo kale si fiican u qabtaan hawsha, laakiin ay saamayn laga yaabaa in wax yar ka duwan.

Marka marxaladdan hore waxaa lagu talinayaa in la daweeyo isbitaal. bukaanada qaangaarka ah oo miisaankeedu yahay in ka badan 70 kg qoray therapy, ku salaysan soohay diyaarinta gelitaanka. Sida caadiga ah, qiyaasta loogu talagalay isticmaalka hal mar waa 150 mg.

Mararka ay bareeg QT iyo QRS adag kordhay 20% ama in ka badan sida kuwa lagu dhigay ka hor bilowga daaweynta marka la barbar dhigo, dose waa la dhimay. Waxaa jira khiyaar kale - joojiyo ku meel gaar ah ee daaweynta.

qaadasho sare ee daroogada la fulin karo, logu bareeg ah saddex maalmood. Xaaladdan oo kale, waxaa suurtagal ah in la kordhiyo ugu badnaan 300 mg laba jeer maalintii (marmar sadex).

Bukaan-socodka ee da 'weyn la miisaanka jidhka a aan ka badnayn 70 kg waxaa la siiyaa qaadasho dhimay oo ah "Ritmonorm" (kiniin) oo ah daroogada. Reviews, sharaxaada, qalab analogues oggolaadaan in aad si ay u qiimeeyaan suurtagalnimada ee daawada iyo bedelo waxa, haddii loo baahdo.

Marka daroogada loola dhaqmo dadka qaba dhibaatooyinka beerka, qiyaasta loo isticmaalo, la dhimay by 20-30% (sida cumulation ku dhici karaa) dhibaatooyinka kelyaha - dhimay 50%.

waxyeellooyin

The isbedel loo kasin bukaanka ee nidaamka wadnaha iyo neerfaha, mareenka caloosha iyo mindhicirka waxaa lagu ogaan karaa. xadgudubyada suurtogalka ah ee nidaamka taranka iyo isbedelka ku dhacay oo xuduudaheedu shaybaarka. Ka mid ah waxyeelooyin kale - finan maqaarka (dhiigbaxa), arthralgia. Bronchospasm dhici kara, tabar guud.

ganaaxyada

soo dhaweynta "Ritmonorm" waxaa loola jeedaa in aad joojin kartaa haddii loo baahdo. Analogs iyo keydka daroogada waa in la beddelo by dhakhtarkaaga. Cancel "Ritmonorma" suurto gal ah ka dib markii uu helo talo ku takhasusay.

Daaweyntu waxay u baahan tahay kormeerka joogtada ah ee dheelitirka ee electrolytes iyo ECGs. Marmar, waxaa lagama maarmaan ah in la xakameeyo iyo tilmaamayaasha kale.

Marka daaweynta bukaanada qaba pacemaker ah laydinku tallaalay, waa in aad lacag bixisid si aad isbedel ku laso- Rogidda marinka dareenka. Ay korodhka ka dhigaysa xuduudaheedu khasab saxo la pacemaker u shaqeeyo.

Daawada waa in la qaato si taxadir leh kuwa u wado baabuurkaas ama ku lug leh hawlaha u baahan in jawaab deg deg ah iyo daryeel.

Kuwa qorsheyneysa in loola dhaqmo "Ritmonorm" waxaa loola jeedaa barashada, qiimaha farmasiyada analogues oo xiiso yeelan kara. Hoos waxaa ku qoran kharashka daawada ku Baddasha Kurtumm dadka ayaa lagu daweeyey "Ritmonormom" oo la wadaago fikradahooda.

Analogs, kharashka daawada, dib u eegista

Price of daroogada waa oo ku saabsan 545-700 rubles. waayo, baakada kiniiniyo laqaato (50 kumbiyuutarada.). Ka mid ah analogues loo yaqaan - "Profenan", "Propastad", "Prolekofen". Inta badan dhakhaatiirta qori bedel "Propafenone RP 300" ama soo saarta "propafenone 150 RP" daroogada bedelka. Haddii aad u baahan tahay in ay doortaan analog ku siin karaan Hunguriyeeyn Darteed "propafenone" ama "propanorm".

Ka hor inta aan daaweynta analogues, daawo "Ritmonorm", qiimaha, tilmaamaha loo isticmaalo ma aha waxa kaliya si ay u sahamiyaan. Waa waxtar leh si aad u xeel dheer leh. Sida dib u eegista ah, daroogada si uu qof ku caawin kara, iyo qof ma keenaan natiijo kasta. Waxaa jiraan dad ku qaado daawada marka aad dareento xanuunsan, waxaa kale oo jira kuwa iyaga loola dhaqmo on talo ah ee dhakhtar. Haddii natiijada la filayo aan la heli karin, baahi jirto baaris dheeraad ah si loo saxo ay daaweyntu aasaasay.