Ichiza "Korglikon": imiyalelo ukusetyenziswa, ixabiso, analogs nofundo

ukuphazamiseka ezahlukeneyo entliziyweni - ingxaki abantu abaninzi. Yaye ngokufuthi ukuze kupheliswe iimpawu okanye ukunqanda ukuqhubela phambili kwesifo, izigulane ezimiselweyo iziyobisi eyaziwa ngokuba "glycosides inhliziyo". yaye "Korglikon 'ibhekisa kweli qela iziyobisi. Imiyalelo zokusetyenziswa, kubonakala ukuba unyango, side effects, analogs kunye nohlaziyo - imiba engundoqo ezisixhalabisayo izigulane. Ngoko ke yintoni na le amayeza kwaye zintoni na iimpawu?

Isakhiwo kunye Nokuhlanganiselwa

Ukulungiselela "Korglikon" ikhutshwa ngokohlobo isisombululo ocacileyo isitofu kunye namona kancinane elityheli. Ichiza kuthengiswa ampoules iglasi ngumqulu 1 ml. Umqulu ngamnye iqulethe ampoules-10.

Eyona nto iphambili esebenzayo sisiyobisi Korglikon - a glycoside eziphilayo esebenzayo, nto leyo lufumaneka amagqabi inyibiba entilini. Enye milliliter of sisombululo iqulethe 600 mg yecandelo, ngokunjalo, xi yi 0,06%. Njengoko izinto abancedisayo ezisegumbini hlorbutanolgidrat ukubunjwa lingadlulanga amanzi ngenaliti.

Inkcazelo iimpawu imithi kwamachiza

I esebenzayo amacandelo yokulungiselela ezifunyenwe yi nyulu izicatshulwa inyibiba entilini ezahlukeneyo. It is a glycoside kwentliziyo, nto leyo eye emzimbeni womntu nemiphumo emihle inotropic.

Eli chiza iyazingenela sodium-calcium exchange inwebu ye cardiomyocytes, mvisiswano leyo, kwelinye icala, kwandisa amandla yindibanisela imisipha yenhliziyo. Ngexesha unyango kunye ukwanda umthamo stroke, kunciphise ekupheleni-iSystolic kunye nomthamo ukuzala yentliziyo kunye nokunciphisa imfuno ioksijini engabalulekanga.

amayeza ukwanika nesiphumo chronotropic elibi. Unyango kukhokelela ekwandeni baroreceptor cardiopulmonary onovakalelo, ukunciphisa umsebenzi kakhulu kwinkqubo novelwano. Kwelinye icala, ichiza yandisa umsebenzi lo luvo vagus, isantya umeshaet of Uhanjiso ngokwentshukumisa ngokusebenzisa esiludumbo atrioventricular kwaye unika isiphumo antiarrhythmic.

Phambi tachyarrhythmias atrial le iyeza ukucola izinga ventricular ucutheko, kongeza diastole, kuphucula gemodinaminu intracardiac. Xa kulawulwa yegazi, ichiza uqalisa ukwenza emva kwemizuzu 3-5. ukusebenza nyanga ezinintsi kwaqondakala emva kwemizuzu 25-30 emva ulawulo iziyobisi.

Zintoni ezibonisa ukuba unyango?

Eli chiza isoloko isetyenziswa njengonyango namhlanje. Kodwa izigulane ezininzi anomdla umbuzo wokuba ingaba, apho iimeko iyeza efanelekileyo "Korglikon". Iimpawu zibonisa ukuba ukusetyenziswa ezahlukileyo apha. Ngokukodwa, nto yenziwa izigulana ifomu fibrillation tachysystolic atrial. Kwakhona, ichiza inceda enomoya atrial , uhlobo paroxysmal.

Kukho nezinye iimeko apho kuyacetyiswa ukuba kusetyenziswe ichiza "Korglikon". Iimpawu yokwamkelwa - kukwayinto entle tachycardia paroxysmal supraventricular. Ukuziqhelisa yezonyango mihla, ichiza idla ilawulwa ukuba izigulane insufficiency ezingapheliyo kwiklasi ezisebenzayo yesibini, yesithathu neyesine. Ngokuqhelekileyo, sisifo enjalo iinaliti kuphela inxalenye nothomalaliso ezintsonkothileyo.

Medicine "Korglikon": imiyalelo yokusebenzisa

Yabela amayeza efanayo ingase ugqirha kuphela emva kokuxilongwa ngokucokisekileyo. Le specialist iya kumisela ithamo kakhulu ngempumelelo kunye neshedyuli mali inaliti. Ukulungiselela isisombululo okuqulethwe ampoule omnye exutywe 10-20 ml nesisombululo dextrose okanye glucose kwi iqela-20 okanye 40%.

Ithamo single ukuba izigulane abadala kufana 0.5-1 ml yokulungiselela. Abantwana abaneminyaka eyi-6 ukuya ku-12, ngokuqhelekileyo maningabi sathabatha ml ngaphezu 0.5-0.75 beziyobisi. yobudala nosana ukusuka emi-2 ukuya kwemi-5 emiselweyo 0.2-0.5 ml. Faka isisombululo olufakwe dextrose butofelwe phezu imizuzu 5-6. Le nkqubo iphindiwe kabini ngemini kunye ikhefu leeyure ubuncinane 8-10. Le idosi iphezulu yemihla ngemihla abadala 2 ml "Korglikon". Ubude unyango uzimisele ngamnye.

Ingaba kukho naziphi na Izimo na ukwamkelwa kwawo?

Ingaba zonke iindidi izigulane ukuba unyango with "Korglikon 'iziyobisi? Imiyalelo yokusebenzisa iqulethe iinkcukacha ukuba ngaba zikhona Izimo kuthomalaliso, ngoko, luncedo kuluhlu lwabo ziya kufumaneka:

• Eli chiza ayikho ilawulwa nge hypersensitivity nayiphi na kubahlali, kwakunye uxabana glycosides inhliziyo.
• Izimo ziquka atrioventricular isidanga block yesibini, kwakunye kwafa uveza epheleleyo.
• Ichiza akalamkeli izigulane Wolff-Parkinson-White syndrome.
• Contraindication i ukunxila glycoside.
• Medicine ayisetyenziselwanga ukunyanga abasetyhini abakhulelweyo kunye noomama zokonga.

Kukho kwakhona ekuthiwa Izimo isalamane, ukuba unyango kunokwenzeka kuphela phantsi kweliso elibukhali. Phakathi kweemeko ezinjalo ziquka atrioventricular block isidanga sokuqala, iposi etsolo engabalulekanga, stenosis hypertrophic subaortic, ukusilela intliziyo kunye nokuphazamiseka ukuzala, arrhythmia, stenosis mitral ekwanti, ukuphazamiseka kwendlela electrolytes, hypothyroidism, myocarditis, ukutyeba, ukusilela kwezintso kunye hepatic, alkalosis. Amanyathelo iziyobisi ezimiselwe kwizigulane abadala.

Ngaba isahlakalo yokusabela ezibi kunokwenzeka?

Izigulane ezininzi phambi kokuqala unyango ukubuza imibuzo malunga iingxaki kunokwenzeka kwisiqalo ukusetyenziswa kwamayeza "Korglikon". Imiyalelo zokusetyenziswa iqulathe ulwazi malunga nendlela ichiza ndingekawuboni kunokubangela iziphumo ezingalindelekanga. Nalu uluhlu lwe abo kwemininzi eqhelekileyo:

• Ngexesha unyango, ezinye izigulane sisungule arrhythmia.
• Ukususela luvo ezi ngayo kunokwenzeka ezifana isiphithiphithi, intloko ebuhlungu, nobuthongo ukwanda, ukuphazamiseka kokulala, ukuba nesiyezi. ngaphantsi kakhulu ukuhla acuity olubonakalayo. Kakhulu ngamaxesha, izigulane ukuphuhlisa waphazamiseka ngengqondo.
• Maxa wambi kukho sibangelwa hematopoiesis, apho kuboniswa thrombocytopenia, nokopha rhoqo, thrombocytopenic purpura.
• Kwinkqubo yokwetyisa zingenzeka zolwaphulo isicaphucaphu, ukugabha, ukungabi namdla, anorexia.
• Kwakhona kuyenzeka abasabela zasekuhlaleni komzimba ezibonakalisa ukudumba, anozizi eluswini, irhashalala kunye pruritus.

Ukuba kukho nayiphi na kubola kufuneka udibane nogqirha. Mhlawumbi kuza kufuneka ukuba ukunyenyisa idosi. Kodwa ngamanye amaxesha kuthatha lokubhangisa iyonke ichiza.

Drug "Korglikon": analogs nawethutyana

Ezinye izigulane ngenxa yezizathu okanye omnye akanakuya amayeza ugqirha echongiweyo. Kufuneka wenze ntoni xa sinamatyala angaka? Ngaba kunokwenzeka into endaweni iyeza "Korglikon"? Analogs zesixhobo kwimarike zamayeza mihla ukufumana ukuba akukho lula, kuba nje azikho iziyobisi kunye izithako ezifanayo ezisebenzayo. Nangona kunjalo, unga zama uyitshintshe ufake enye iqela amayeza.

Ngokomzekelo, malunga iimpawu ezifanayo medicament "digoxin". Kwezinye iimeko, indawo unako ukusebenzisa iziyobisi "Strofantin" esimelela phandle inyathelo ngokukhawuleza ngokwenene. Ngendlela analogs ekunokuthiwa "Digitoxin". Kubalulekile ukuphawula ukuba zonke ezi glycosides lufumaneka izinto nemifuno ekrwada.

Yimalini ichiza?

Phakathi kwezinye izinto, kubalulekile ukuba izigulane ezininzi kunye neendleko isiyobisi, nto leyo emiselwe ngugqirha kubo. Kakade ke, eyona mali kunzima ukuchaza, kuba konke oko kuxhomekeke kumenzi, i-nkqubo yezimali Pharmacy, umzi yokuhlala, njalo njalo. D.

Kubaluleke kangakanani ke buxabise ichiza "Korglikon"? Ixabiso yempahla ye ezineengqayi ezilishumi imalunga 50-65 engange. Hi ndlela leyi, ichiza buthengiswa ngokumiselwa. ugqirha kuphela ukumisela amayeza isigulane "Korglikon" (iresiphi kwi Latin ukhangela - Corglyconi 0,06%).

Izimvo koogqirha kunye nezigulane

Ukuziqhelisa unyango lwangoku, glycosides ezesifuba zisetyenziswa kakhulu rhoqo. Ke kaloku omnye amachiza kakhulu liyathandwa kweli qela nje "Korglikon". Izimvo kumagqirha zibonisa ukuba ichiza okunene ukumelana imisebenzi yabo, ukusebenza normaliziruya iqhosha, ukuphelisa iimpawu sisifo ethile kunye nokunqanda iingxaki.

Izigulane Kwakhona ushiye izigxeko emihle imveliso amayeza "Korglikon". Imiyalelo zilula kakhulu, unyango buphele, yaye uthomalaliso ke ukunyamezeleka kakuhle. Ngaphandle kokunokwenzeka yokuphuhliswa kwabo okanye ezinye reactions ezibi, izifundo zamanani baye babonisa ukuba kuvela kunqabile kakhulu. Kambe ke, ixabiso eliphantsi kakhulu yenye iingenelo ichiza. I sithintelo ukuba asizizo zonke ekhemesti wathengisa eli chiza, ngoko ngamanye amaxesha kunzima ukufumana.

Kufuneka kuqatshelwe ukuba akukho mzekelo akakwazi ukusebenzisa amayeza kuphela, ekubeni idosi engafanelekanga kunokubangela ukunxila kakhulu.