"Kaltsigard kuthiye ukukhula": yokusetshenziswa, analogs kanye nokubuyekeza

"Kaltsigard kuthiye ukukhula" (INN "Nifedipine") iyinhlangano blocker-calcium channel futhi lubonakala umsebenzi antianginal futhi antihypertensive kwemithi.

Umuthi kubonisa ukusebenza okusezingeni eliphezulu ekulawuleni umfutho wegazi ophakeme, vasospastic futhi angina ezinzile, Raynaud Syndrome nezinye izifo zenhliziyo. Kusho ikhono ngcono yenhliziyo ukugeleza kwegazi, hhayi ekuthwaleni conduction ngaleyo ndlela esivimba amanzi.

"Kaltsigard kuthiye ukukhula": Incazelo kanye nokusungulwa

Umuthi itholakala ngendlela amaphilisi, camera ulwelwesi igobolondo.

The main isithako liqukethe ukubunjwa yayo nifedipine. Ngaphezu kwalokho, (isithombe zinikezwe ngenhla nokupakisha) belungiselela "Kaltsigard kuthiye ukukhula" kuhlanganisa izingxenye asizayo ezifana:

• Tween 80;
• isitashi;
• magnesium stearate;
• polyethylene glycol;
• MCC;
• stearic acid;
• lactose;
• sodium lauryl sulphate.

Izibhebhe kukhona ibhamuza yizicucu 10. Ngakho iphakethe ingaqukatha kusukela amabhamuza 3 kuya ku-10.

Shelf ukuphila iminyaka emithathu kusho. Hlala kufanele umthunzi elangeni futhi yomile nemibandela okushisa afinyelela ku-degree angu-30.

izinkomba

Tablets "Kaltsigard kuthiye ukukhula" angabelwa ukuba isicelo:

• stenokardicheskie ngicele impumuzo sokuhlaselwa;
• uma zinhlekelele unesifo sikashukela uhlobo;
• nge Raynaud Syndrome;
• ngenkathi uhlobo lwegazi lwalo nomfutho wegazi ophezulu;
• nge yenhliziyo Umthambo isifo;
• stenokardicheskie nokuvimbela ukuhlaselwa;
• ngesikhathi zenhliziyo hypertrophic;
• nge nomfutho wegazi ophezulu yamaphaphu ;
• ngesikhathi isimiso bronchial ;
• uma kukhona ubuhlungu enhliziyweni.

Umthamo nokuPhatha

Indlela "Kaltsigard kuthiye ukukhula"? Yokusetshenziswa uxwayisa ngokuthi umthamo edingekayo izidakamizwa ingakhetfwa udokotela ngamunye esimweni ngasinye. Kuyoba kuxhomeke ohlotsheni kanye nohlobo nesenzakalo isifo futhi izici kungenzeka isiguli.

Ngokuvamile, ukwelashwa iqala kokuthola umthamo ubuncane: 10 mg 3 noma 4 izikhathi ngosuku. Lapho kuba khona isidingo esikhathini esizayo ke kungenziwa kukhuphuke ngo izikhathi 2. Kodwa leso sinqumo senziwa udokotela kuphela.

Phakathi okuvela ezinye izifo ezinkulu, njengalezo amafomu ezinzima nomfutho wegazi ophezulu noma angina, okufana, umthamo owodwa ngesikhathi kungase kukhule ku 30 mg, futhi imvamisa reception izohlala ingashintshiwe.

"Kaltsigard kuthiye ukukhula" kudingeka lisetshenziswe ngaphakathi ukuphuza ngesikhathi esincane amanzi. Kodwa kunezimo ezingahlanganisiwe angabhekwa okwehlukile lo mthetho. Ngokwesibonelo, i-esiqoshiwe unesifo sikashukela uhlobo crisis enikeziwe ekuphathweni sublingual ekulungisweni (ukubeka ithebhulethi ngaphansi kolimi). Ukuze kususwe angina kuhlasela simo kwenzeke esebenzisa ekuphathweni emthanjeni 5 mg njalo emahoreni 4-8.

Kubalulekile ukuba banamathele bese usetha esiphezulu umthamo zonke izinsuku we nomuthi ukuvimbela kuwukubonakaliswa ukusabela ezingalindelekile. Zokungenisa kukuwe 120 mg, nalapho iqondiswa ngemithambo yegazi --30 mg.

Izimo

Kunezimo lapho "kuthiye Kaltsigard" (20 mg) is ngokuphelele contraindicated ukusetshenziswa. Ukuvela isiguli akunakubangelwa kuye:

• Hypersensitivity ukuze isithako esebenzayo kanye nezinye izingxenye ekwakhiweni;
• acute esivimba amanzi isikhathi infarction (izinsuku 8 zokuqala);
• hypotension ezinzima;
• ukushaqeka cardiogenic;
• tachycardia;
• isifo senhliziyo decompensation;
• severe stenosis yomthambo i-aorta;
• ugoqe.

Ngaphezu kwalokho, ithuluzi ayikwazi ukusetshenziswa ngoba impatho abesifazane abakhulelwe. Uma kuba khona isidingo zokwelapha lezi izidakamizwa ngesikhathi lactation, ukuncelisa kumele imiswe okwesikhashana.

I ukuphepha nokusebenza ngempumelelo zomuthi engakaze zikhonjwe izingane. Ngakho-ke kubalulekile ukuba uyeke oyithumela kuyo iziguli ezingaphansi kweminyaka engu-18 ubudala.

Izixwayiso

"Kaltsigard kuthiye ukukhula" ngokucophelela okukhulu kufanele isetshenziswe ezigulini nge kahle umsebenzi kwezinso noma uma banesifo sikashukela. Ukuze asebekhulile ukwehla enikeziwe in the umthamo wansuku zonke.

Phakathi naso sonke isikhathi sokwelashwa kufanele kube bashabalala ngokuphelele utshwala.

Umuthi kungaba ngokuphawulekayo ukubambezela yonke ukusabela lengqondo, ngakho ukusebenzisa kwayo kufanele wasondela ngokucophelela okukhulu kubantu abangaphumeleli ezifundweni zabo, isibonelo, ukushayela imoto.

Ukugcwaliswa ukwelashwa kufanele kwenziwe kancane ukugwema "ukuhoxiswa".

side effects

Ukusetshenziswa amaphilisi "Kaltsigard kuthiye ukukhula" kungase kube imbangela eminingi engemihle. Ezinye zazo ivamile impela, kuyilapho ezinye nesenzakalo senzeka kwelinye icala kwayinkulungwane, noma ngisho kancane.

1. Kusukela izitho sezinzwa futhi isimiso sezinzwa: ikhanda, isiyezi. Akuvamile zisebenzisa amathuluzi kungaba avuse isimo ethukile, izinguquko okuqonda sibonwa, ukuzwela iziyaluyalu nemilenze, paresthesia, ukuvela izinkinga ngenxa yobuthongo.
2. On the ingxenye uhlelo zemisipha: eliqhaqhazelayo ivelakancane noma myalgia.
3. Cardio-semithambo uhlelo: tachycardia, palpitations, siwasebenzise ebusweni futhi isikhumba, ephelezelwa lokujabulela ukushisa, edema neuropathy. Akuvamile singenzeka ukubukeka leukopenia, ukuntuleka kwegazi emzimbeni, asystole, purpura thrombocytopenic, thrombocytopenia, hypotension, ubuhlungu, efana stenokardicheskie.
4. Kusukela ipheshana wokugaya ukudla: ukuqunjelwa ngokuvamile zenzeka. Akuvamile - ukuhlanza, isicanucanu, uhudo, isilungulela. Kakhulu akuvamile umphumela ukuthatha izidakamizwa kungaba cholestasis intrahepatic noma Hyperplasia gingival.
5. komzimba: exanthema, urticaria, pruritus. Kakhulu akuvamile singenzeka dermatitis exfoliative.
6. Kusukela umgudu wokuphefumula: e ivelakancane amacala bronchospasm.
7. Kusukela uhlelo urinary: ezingeni nsuku okukhipha umchamo wande. Ngekusetjentiswa eside zomuthi ebulilini kungadala thuthuva umsebenzi izinso.
8. Umphumela: ekuqaleni ukwelashwa kaningi ububomvu kanye ukuvuvukala kwezinyawo nezandla. Kakhulu akuvamile kusho angase avuse Hyperglycemia, gynecomastia, photodermatitis, evutha endaweni umjovo (ekwakhiweni ngomjovo), kwenhliziyo.

ukweqisa izidakamizwa

Okwedlulele ephezulu evumelekile umthamo kungadala bradyarrhythmias bradycardia, hypotension. Ukugula okukhulu ehilela conduction okwehlisa, nciphisa.

Ngaphezu kwalokho, izimpawu zokudakwa kungenzeka emva okungenani 3-4 amahora efomini nokulahlekelwa ukwazi (kwezinye izimo kuze kube ikhoma), hypoxia, ukushaqeka cardiogenic, ukuquleka, lactic umzimba, Hyperglycemia.

Ukuqeda izimpawu ngenhla yenziwa lavage esiswini, reception isebenze wamalahle ikhiphe norepinephrine emthanjeni, calcium gluconate noma calcium chloride e isixazululo atropine.

Ukuxhumana zomuthi nezinye izinto

Ngaphambi kokusebenzisa imithi kufanele pre-funda, ngokungagcini nje ngokubashumayeza ngezithako zawo, izinkomba kanye contraindications ukusetshenziswa. Into ebalulekile iwukuba ukuxhumana yayo nge izinto angase abe ingxenye nezinye izidakamizwa noma ukudla. Phela, eyodwa kungandisa imiphumela zomuthi emzimbeni, kuyilapho abanye uyinciphise lutho. Kuyefana nasendleleni ukulungiswa "Kaltsigard kuthiye ukukhula". Kungaba nakakhulu noma ukuvimba isenzo izidakamizwa ezithile. Cabanga ngalo mbuzo ngesimo izifushaniso emfushane:

• ranitidine futhi cimetidine ukwandisa amazinga plasma;
• diltiazem lingehla izinga lokugayeka kokudla emzimbeni, futhi ekugcineni umthamo nifedipine ezidingekayo ukuze wehlise;
• ubhamubhamu juice (in inqwaba) anda bioavailability;
• isisu, beta-blocker, nitrate, fentanyl, utshwala, tricyclic antidepressant - ukwandisa umphumela hypotensive;
• kwandisa bioavailability cephalosporins (cefixime);
• It sithuthukisa umphumela ukungezwani komzimba vincristine (excretion encishisiwe);
• encishisiwe imvume kwezinso of digoxin, theophylline kwandisa umsebenzi;
• aluhambisani nawo rifampicin (ngesivinini biotransformation futhi ayikuvumeli ukudala lokuhlushwa ngempumelelo).

analogue kwezimali

Ingabe kukhona amathuluzi angakusiza esikhundleni "Kaltsigard kuthiye ukukhula"? Analogs Yiqiniso, kukhona. Kungenzeka okufanayo ukulungiswa eziyisisekelo ukwakheka (ikakhulukazi imfuyo esebenzayo) noma uhlobo isinyathelo umzimba. Nokho, omqondofana izidakamizwa "Kaltsigard kuthiye ukukhula" babe izici zabo siqu futhi umehluko. Ngokwesibonelo, kungase kube ifomu ukukhululwa, indlela kanye nenani izicelo, umthamo sangemihla nokunye. Ngakho-ke ngaphambi abuyisele esisodwa izidakamizwa kwelinye, kumele kudokotela.

Ngakho, lesi sidakamizwa analogue eyaziwa best "Kaltsigard kuthiye ukukhula" kukhona imithi ezilandelayo:

• "Kordafleks".
• "Nifedeks".
• "Nifedipine".
• "Fenamon".
• "Cordipin".
• "Kordafen"
• "Nifelat".
• "Fenigidin".
• "Adalat".
• "Nifecard".
• "Corinfar".
• "Depin".

Izibuyekezo sokulungiselela

Yini iziguli ekushoyo izidakamizwa "Kaltsigard kuthiye ukukhula"? Izibuyekezo Kukhona okuhle nokubi. Kufanele uqale zonke okufanayo kochwepheshe.

Okokuqala, weziguli wabika ngempumelelo eliphezulu futhi spectrum sasivumela ebanzi senzo.

Okwesibili, awukwazi kodwa jabulani izindlela amanani aphansi kakhulu (ruble 50 300 kuye ngobukhulu iphakethe).

Into kuphela ongayenza kubhekwe kusimo abalulekile - kuyinto ukuvela amathuba okuba nemiphumela engemihle ngesimo ikhanda, isicanucanu nokunye. Nakuba, njengoba kukhonjisiwe, ngemva ukunciphisa umthamo izidakamizwa nazo zonke izimpawu ngenhla baphela masinyane endaweni. Ngakho-ke kungenzeka ukuthi imbangela yemiphumela emibi wayelingana ncamashí inqubo engalungile.