'Cordipin' izindlela. Yokusetshenziswa

Mayelana nomuthi "cordipin" iziguli ukushiya izibuyekezo ezimweni eziningi ezinhle. Abaningi izidakamizwa kuye kwasiza usimamise ingcindezi, kujwayeleke inhliziyo umsebenzi. Enye yezinzuzo iziguli izidakamizwa ukubiza futhi tolerability.

Kusho "cordipin" yokusetshenziswa libhekisela esigabeni calcium channel blocker. I asebenzayo izidakamizwa - nifedipine.

Ngemva kokuphathwa temlomo isithako esebenzayo bamdedela ngokushesha ngokwanele. Qala yokusabalalisa iqinile emva kwemizuzu emihlanu kuya kweyishumi. It ifinyelela lokuhlushwa esiphezulu nifedipine emva kwemizuzu engamashumi amathathu kuya ayisithupha.

Esibonisa ukulungiselela "cordipin" imfundo manual kubonisa ikhono layo ukuze zivimbele calcium ukungena bushelelezi imisipha amaseli izitsha neuropathy kanye nemithambo yegazi yenhliziyo, esivimba amanzi. Umuthi uye vasodilatig umphumela kuthuthukisa kwegazi poststenotic. Nomuthi "cordipin" kunciphisa umthwalo inhliziyo, esivimba amanzi nomoya-mpilo funa.

Umuthi ezinqunyiwe crisis abanomfutho wegazi ophakeme. Ukulungiselela "cordipin kuthiye ukukhula" kuboniswe angina vasospastic oqine, ingcindezi ephakeme.

Hhayi esimisiwe ejenti ukushaqeka cardiogenic, porphyria, stenosis yomthambo i-aorta (uzwakalise). Phakathi Izimo izidakamizwa "cordipin" imfundo manual uchaza isigaba okukhulu isilethikusebenza (emavikini amane lokuqala), hypotension, angina engazinzile, ukungabekezelelani ngazinye, inhliziyo esingamahlalakhona ukugeleza ngokukhululekile. Musa akunikeze imithi phakathi nokukhulelwa kanye lactation, ebuntwaneni. Uma kudingeka, thatha amaphilisi ngesikhathi ibele, kubalulekile ukuba ayeke.

Lapho abanomfutho wegazi ophakeme crisis imithi "cordipin" imfundo manual uncoma Isikali angu eziyishumi kanye kuphela. Ithebhulethi kumele ezokuhlafunwa futhi uyibambe emlonyeni, ngaphandle kokugwinya isikhathi esithile. Ngemva ihora elilodwa yokwamukela kuvunyelwe ukuphinda.

Ukulungiselela "cordipin kuthiye ukukhula" ebekwe angu amabili kabili ngelanga njengenhlangano umthamo kokuqala. Ngemva kwalokho, kungaba senyukela 40 mg kabili ngelanga. Lapho Prinzmetal angina ukhombe angu ayisishiyagalombili namashumi amabili nsuku zonke. Isikhawu phakathi ngemithamo akufanele kube ngaphansi kuka-amahora amabili.

Overdose wezokwelapha "cordipin" wabonakaliswa lactic umzimba (isimo engasenamahloni, ukuphefumula okusheshayo), ukuquleka, ukuhluleka kwenhliziyo, tachycardia noma bradycardia, ukushaqeka, hypotension. Ukwelashwa kuhlanganisa lavage esiswini, kanye nokuphathwa namalahle isebenze. Ngaphansi izinkomba ukwelashwa lingaze.

Nge imithi ukunakekelwa okukhulu "cordipin" ukhombe sikashukela, zenhliziyo obstructive (hypertrophic), umfutho wegazi ophakeme yamaphaphu, kwasebekhulile, ukuhluleka hepatic, kanye esikhathini yokutakula ngemva kokushaywa yinhliziyo. Kuzo zonke lezi zimo, isimo kufanele iqaphe udokotela.

Medicine "cordipin" kungabangela ikhanda elibuhlungu, ukuvuvukala emaqakaleni, ubuso reddening. Ezimweni ezingavamile, kukhona hypotension orthostatic, ubuthakathaka, tachycardia, ukutubeka komzimba, isiyezi, ukuqubuka kwesikhumba, isilungulela.

Umuthi 'cordipin "lalokho okufundiswayo lingase lisetshenziswe ne izidakamizwa ezifana " isosorbide dinitrate, " " nitroglycerin ". Imithi kuyavumelana futhi isisu, beta-blocker futhi antihypertensives.

Ukulungiselela "cordipin" bakwazi ukwandisa lokuhlushwa serum ka theophylline, phenytoin, carbamazepine, digoxin.

Okuqukethwe nifedipine (asebenzayo izidakamizwa ingxenye) luyanda reception concomitant nge "Cimetidine" izidakamizwa.

Ngaphambi kokusebenzisa izidakamizwa "cordipin" kufanele sihlole isifinyezo.