Izidakamizwa "Inderal" - kulokho? Isenzo zomuthi, "Inderal"

Kaningi, odokotela akunikeze imithi ezigulini zazo 'Inderal'. Kusukela lapho-ke kusiza ukuqeda? Kuyini? Ingabe ikhona contraindications izidakamizwa? Lezi zinkinga esinesithakazelo kuyo iziguli eziningi.

Izidakamizwa "Inderal": ifomu ukukhululwa kanye nokusungulwa

Kuze kube manje, lo izidakamizwa ikhishwe ngesimo pellets ezincane, kodwa kukhona isixazululo ngoba umjovo, Nokho, okuyinto, isetshenziswa kakhulu kancane njalo.

The main isithako zomuthi kuyinto propranolol hydrochloride. ithebhulethi ngasinye siqukethe noma 10 noma 40 mg le ngxenye. Yiqiniso, ukukhiqizwa nokusetshenziswa adjuvants: Silicon colloidal dioxide, talc, i-calcium stearate, corn isitashi, futhi microcrystalline cellulose.

izakhiwo kwemithi zomuthi

Lokhu umuthi beta-blocker imiphumela ngokungakhethi. Isithako asebenzayo lokhu umphumela izidakamizwa attenuates pulses enozwelo esivimba amanzi beta receptor. Ngakho, ukwehla nobuningi namandla Kufinyeta senhliziyo, kanye neutralization kwemitselela catecholamines. Umuthi kunciphisa abadinga imisipha yenhliziyo oxygen. Ngosizo lwawo, kukhona ukuncipha komfutho wegazi.

Kodwa lesi senzo "Inderal" akusona isiphelo. Ngokwesibonelo, ngokushesha ngemuva kokuthatha izidakamizwa kwandisa ithoni kwemisipha bronchial kanye lesizalo umthamo. Ngaphezu kwalokho, kukhona nokwanda motor nomsebenzi secretory wokugaya ukudla.

Ngemva kokuthola lezi ithebhulethi ancibilikisa ngokushesha kule ipheshana wokugaya ukudla, ngemva kwalokho izithako ezisebenzayo lingene egazini. Propranolol lokuhlushwa esiphezulu waphawula ngemuva kwamahora 1-1.5 emva abaphathi. Umuthi livela ngesimo metabolites nezinso. Ingxenye-ukuphila amahora 3-5. Kuphela Propafenone ejenti kungase kuphikelele egazini kufika emahoreni angu-12.

Izinkomba yokwamukelwa

Yiqiniso, iziguli eziningi namuhla ezinqunyiwe izidakamizwa, "Inderal". On yini eyenza leli thuluzi? Ukuze uqale, kufanele kuphawulwe ukuthi inkomba esiyinhloko reception kwakhona yezifo esimiso senhliziyo nemithambo yegazi, ephelezelwa ukwanda wegazi. Ngokwesibonelo, it is ezimisiwe kubantu abaphethwe nomfutho wegazi ophezulu okungamahlalakhona, atrial futhi itheku tachycardia.

Kwezinye izimo, imithi esetshenziswe mitral valve prolapse, futhi dystonia neurocirculatory, zenhliziyo hypertrophic, futhi isilethikusebenza.

Zikhona nezinye izimo lapho izidakamizwa isetshenziswa "Inderal". Kusukela lokho ngaphezulu kuyasiza? Ngezinye izikhathi umuthi ekubeni zokuvimbela esihle migraine ukuhlaselwa ezinzima. Yena nabanye izidakamizwa ezisetshenziselwa ukwelapha kwezimpawu zokuqaleka. It is eyaziwa ngokuthi ukwelapha hemangiomas "Inderal" njengoba ngokuvamile kuphumelela, ngisho kusaqalwa kusiza ukugwema kokungenela kuhlinzwa. Nakuba izidakamizwa lakhiwe akusiyo ngokuphelele le njongo ekuhlinzeni yesimanje ngokuvamile ebekiwe ngisho izingane.

Tablets "Inderal": yokusetshenziswa

Tablets kangcono kuthathwe Amaminithi ayi-10-30 ngaphambi kokudla, kuyinto efiselekayo siphuza neziphuzo kakhudlwana. Ngokushesha kuyafaneleka ukuthi kuphela Udokotela angakwazi linqume izidakamizwa "Inderal". Umthamo kunqunywa ngamunye.

Ngokuvamile, reception uqale nge 10 mg propranolol ngosuku. Uma umuthi ibekezelelwe kahle, lemali nsuku zonke liyakhula kancane kancane ukuba 80-100 mg, ihlukaniswe izingxenye ezine. Kwezinye izimo (uma ukulungiselela akusho baxabane ohlangothini, kanye nomphumela oqabulayo ibuthakathaka), umthamo kungase kukhule ku 180-300 mg, ihlukaniswe 4-6 Ukweqiwa.

Isikhathi yokwelapha linqunywa ngayinye esigulini ngasinye, kodwa njengoba umthetho, uphathwa 3-4 amasonto. Kwezinye izimo, odokotela batusa ikhefu izinyanga ezimbili, bese uphinda.

Uma sikhuluma i arrhythmia noma isifo senhliziyo, i-beta-blocker kuthathe isikhathi eside. Kodwa kulokhu kubaluleke kakhulu is ukuqedwa kancane kancane izidakamizwa. Uma ngokungazelelwe ukuyeka ukuphuza, kungaholela yezinkinga eziyingozi futhi esinzima.

Izimo ukwelashwa

Yiqiniso, kulesi simo ukwelashwa anezinye Izimo. Ikakhulu, i-izidakamizwa akuyona yasetshenziswa ekwelapheni iziguli kanye ukuvaleka okuphelele noma okuyingxenye ye atrioventricular noma sinoatrial. Ngaphezu kwalokho, Izimo for kokuthola bradycardia itheku, phakathi kwesikhathi lapho inhliziyo ishaya kuyinto amabhithi ngeminithi 50. Umuthi akufanele inikezwe iziguli hypotension.

Umuthi is contraindicated kubantu abane-izifo ezithize umgudu wokuphefumula. Isibonelo, akufanele kuthathwe iziguli somoya ezinzima, kanye nabantu ukuthambekela bronchospasm. Izimo nazo kubhekwe abhubhisa neuropathy isifo semithambo kanye Raynaud sika Syndrome kanye nesifo sikashukela.

Ingabe side effects zingenzeka?

Eqinisweni, kunezindlela eziningi iziyaluyalu ukuthi kungase kubonakale "Inderal" ngenkathi ngokuthatha izidakamizwa. Yini Kubiza ukuthathelwa umshuwalense? Yini oyibhekayo? Ngokuvamile, imithi kubangela ukuphazamiseka isimiso sokugaya ukudla bungene. Ngokwesibonelo, ezinye iziguli esekhala nesicanucanu esibi, lapho uvame ukuhambisana ukuhlanza, futhi ubuhlungu epigastric. Okungenzeka nohudo. Kakhulu kangakanani zenzeka kakhulu emibi, kuhlanganise izinkinga zesibindi ezahlukene, kanye nesifo ischemic.

ukusabela Ngezikhathi ezithile umzimba uxabane nawo, ephelezelwa ukulunywa, ububomvu kanye isifuba. Kwezinye izimo, le indlela yokuyelapha exacerbation waphawula psoriasis futhi Alopecia. Umuthi kungadala ukungasebenzi umgudu wokuphefumula, kuhlanganise bronchospasm, laryngospasm, kanye ukukhwehlela kanye iphika.

On the ingxenye isimiso sokujikeleza kwegazi zingenzeka komzimba okufana bradycardia futhi hypotension. Ngaphezu kwalokho, izidakamizwa kungathikameza isimiso sezinzwa, okubangela umuzwa nokukhathazeka, ukuntula ubuthongo, kanye obumnandi. Kungadala ikhanda, isiyezi. Okuningi akuvamile, iziguli ziba sokucindezeleka.

Izidakamizwa "Inderal": ukweqisa izidakamizwa, izimpawu zayo kanye zokwelapha

Ukuthatha inkulu kakhulu umthamo we imithi kungathinta wonke umzimba. Ikakhulukazi, izimpawu zihlanganisa ezinzima isiyezi, nobuthakathaka. Ngokuvamile kukhona ukwehliswa okukhulu blood pressure kanye arrhythmia, bradycardia nakwezinye iziyaluyalu sokuhamba kwegazi kuze kube ukuthuthukiswa ephethwe yisifo senhliziyo.

Kukhona nezinye izifo, ukubukeka okuyinto ethola inombolo enkulu yezidakamizwa 'Inderal' kungadala. Overdose kungase kuhambisane iphika, bronchospasm. Ngezinye izikhathi kukhona Ukudlikizela futhi nciphisa.

Umuntu nge nezimpawu ezifanayo kudingeka ngokuphuthumayo ukuletha emnyangweni esiphuthumayo. Uma kungenzeka, ntombazane ukuhlanza. Ngenxa usizo lokuqala odokotela ukwenza lavage esiswini yaphinde yaphathwa iziguli adsorbing ejenti. okunye ukwelashwa incike uqine kangakanani sekonakele konakele. Ngokwesibonelo, glycosides asetshenziswa ukumelwa inhliziyo, njengoba kuboniswe Ukudlikizela izidakamizwa "Diazepam".

Ukuxhumana nezinye izidakamizwa

Izithako ezisebenzayo zomuthi baphinde baxhumane nezinye izidakamizwa. Ngokwesibonelo, propranolol izakhiwo antihypertensive zithuthukiswa ngabaphethe kanyekanye phakathi imithi yokubulala izinzwa umzimba simpatolitikov, monoamine oxidase inhibitor futhi hydralazine. Kodwa khona egazini hormone (e estrogens ethile futhi glucocorticoids) namanxusa nonsteroidal antiinflammatory, kunalokho, kunciphisa umphumela ukuthatha amaphilisi "Inderal". Ngokwethulwa Ngokuphambene abezindaba kakhulu kwandisa amathuba wokuthuthukisa ukusabela anaphylactic. Ngakho-ke kumelwe wazise udokotela wakho mayelana zonke imithi abayiswa.

Ngingakwazi ukusebenzisa imithi ngesikhathi sokukhulelwa?

Ngokushesha kuyafaneleka ukuthi ukusetshenziswa kwezidakamizwa "Inderal", kanye cishe yimuphi omunye beta-blocker is contraindicated ngesikhathi sokukhulelwa. Iqiniso lokuthi lokhu imithi kunciphisa esinomhlapho perfusion, nakho kwandisa ingozi yokufa fetus noma wazalwa kungakabi isikhathi. Kwezinye izimo, umuthi reception unina kuholela ukuthuthukiswa bradycardia ku-fetus. A awokuthi yezinkinga ezihlukahlukene esikhathini kwangemva kokubeletha, ikakhulukazi ngasohlangothini umgudu wokuphefumula futhi senhliziyo.

Udokotela wakho angase akunikeze lo muthi luyabekezela abakhulelwe kuphela uma inzuzo elindelekile kuye naphezu kwengozi engase ivele umntwana. By the way, yezingxenye esemqoka zomuthi ukungena ubisi lwebele, ngakho lactation njengoba contraindication.

Imininingwane engeziwe mayelana izidakamizwa

Namuhla, abantu abaningi banesithakazelo imibuzo mayelana nokuthi yini izidakamizwa imiyalo 'Inderal' ukusetshenziswa, intengo, imiphumela engemihle. Ngokushesha kuyafaneleka ukuthi ochwepheshe sebekubeke sinqatshiwe ngesikhathi yokwelapha ukuphuza utshwala. Iqiniso lokuthi utshwala kanye amaphilisi kungaholela ukwehla ezisongela ukuphila abukhali wegazi.

Gcina kumele izidakamizwa endaweni efudumele eyomile, bavikeleke elangeni ezingeni lokushisa hhayi ephakeme kuka-25 degrees Celsius.

Njengoba for izindleko imithi, ke ububanzi engama-ruble angu-40 kuya ku-100. By the way, cishe noma yimuphi ekhemisi ungathenga 'Inderal' amaphilisi, kadokotela ayidingeki salokhu. Sine izidakamizwa futhi analogue, kakhulukazi, okusho "Inderal", "Propamin", "Stobetin" kanye nabanye.