"Ritmonorm": analogue, intengo, yokusetshenziswa

"Ritmonorm" - isidakamizwa nesenzo antiarrhythmic. Uma usebenzisa izidakamizwa amabhlogo iziteshi sodium. Umuthi has a ngqo isinyathelo ulwelwesi-eziyoqinisa kuthinta myocardiocytes. Ngaphambi cwaningo ukwelashwa izakhiwo "Ritmonorm" izidakamizwa, yokusetshenziswa, nozakwabo yangempela. Cabangela lokhu kwaziswa ngokuningiliziwe.

izingxenye izidakamizwa, Ukwakheka

Ukulungiswa senziwa ngesimo amaphilisi camera. Ingqikithi asebenzayo elisetshenziswa ukwakheka - hydrochloride propafenone. ithebhulethi ngamunye has 150 mg isithako esisebenzayo. Tablets aqukethe adjuvants ezifana titanium dioxide, microcrystalline cellulose, isitashi ethathwe corn isitashi, magnesium stearate, hydroxypropylmethylcellulose 2910 kanye sodium croscarmellose. Phakathi kwezinye izingxenye ozikhethela - macrogol 6000 futhi macrogol 400, amanzi ahlanzekile.

umphumela we izidakamizwa

Inciphisa esiphezulu isivinini kungenzeka, okungase kwenzeke ne depolarization isenzo ezingaba (isigaba 0), ncamashi izidakamizwa efanayo kuthinta amplitude kwezintambo zesivikelo sesifuba (ukukhathazeka kokubili ventricular contractile zemicu Purkinje) kuvimbela ukuqaliswa othomathikhi. Ukuthwala phezu Purkinje Imicu yotshani kancane, isikhathi lapho ukuziphatha, okuyinto yaqaphela Atria futhi engeyokuqala sinoatrial, izilokotho. "Ritmonorm" analogue izidakamizwa azinamphumela ku lesifanele isikhathi esidingekayo ukuze ukuzinza umsebenzi possessed engeyokuqala itheku ngesikhathi ezishukumisayo kagesi, noma umphumela ofanayo incane. imiphumela Electrophysiological ziyabonakala kangcono ischemia esivimba amanzi, imithelela m-holino- ne-beta-adrenoceptor ekuvimbeni omnene.

I nomuthi "Ritmonorm" analogue izidakamizwa babe ukubunjwa izinto zabo ukuthi ahlinzeke abakhipha negative isinyathelo inotropic, okuvamise samanje lapho i Inkomba ventricular kwesokunxele ejection ingxenyenamba sinciphile.

Umsebenzi we nomuthi uchazwa ngokuthi izinzwa wendawo, kukhona ukufana ne umsebenzi "Procaine". Qhubeka "Ritmonorm" iqala imizuzu 60 ngemuva kokusebenzisa yangaphakathi. Kusebenta esiphezulu zomuthi itholwa ngemuva isilinganiso 2.5 amahora ngemva kokufaka umzimba, isikhathi umphumela etholwe kugcinwa for isilinganiso samahora 10.

Lapho langaphakathi reception ukumuncwa e pheshana emathunjini kwenzeka cishe ngokuphelele. Umzimba esibindini. Umuthi kancane ukuboniswa cishe amahora 5 futhi wasuswa kusuka emzimbeni njengoba metabolites e nezinso isibindi, elikhona Bile.

ubufakazi

"Ritmonorm" analogs ejenti iqondiswa kanjani lesi sifo efanayo. Tablets asetshenziswa kulezi zimo ezilandelayo:

• fibrillation ventricular;
• paroxysmal tachyarrhythmia supraventricular.

Izimo

Izimo zimi kanje:

• Hypersensitivity kuya izingxenye zomuthi;
• bradycardia uzwakalise;
• syndrome lapho imakwe itheku;
• isifo senhliziyo bemvelo ezingamahlalakhona;
• myasthenia gravis;
• ukunciphisa olukhulu endleleni umfutho wegazi;
• bronchospasm;
• inkathi sokukhulelwa wengane, ukusuthisa kuye ubisi lwebele;
• isifo obstructive lapho emaphashini iyathinteka okwenzeka esindayo futhi onesifo;
• yobudala Wezingane (eneminyaka engaphansi kwengu 18);
• uzwakalise izinkinga intraventricular, atrioventricular futhi conduction sinoatrial;
• semfene liphinyiselwe nezinso isibindi;
• ukushaqeka cardiogenic ngaphandle ukushaqeka arrhythmic;
• hyper- noma hypokalemia.

"Ritmonorm" analogue izidakamizwa banqatshelwe usebenzisa ezintathu zokuqala, uma umuntu ngamelwa yinhliziyo noma ukwehla ventricular kwesokunxele ejection ingxenyenamba. Okukhishiwe ezigulini sezihlonziwe ventricular fibrillation, isimo okubeka impilo hhayi kuphela, kodwa futhi ekuphileni.

Ezinye izimo zidinga ukunakekelwa ngesikhatsi ukwelashwa kudinga kweso lwezokwelapha ngokucophelela.

ukusetshenziswa kwezidakamizwa

Tablets baphuze ngemva kokudla, ukugwinya lonke. Ubude besikhathi sokwelashwa Kumiswa udokotela ecabangela izici eziningi. Kungokufanayo kusebenza umthamo kusho "Ritmonorm". Analogs of enjalo amalungiselelo intengo (engezansi) owenza izindlela abampofu futhi ukungasebenzi kahle. Le mithi nazo ukwenza kahle umsebenzi, kodwa umphumela yabo kungaba ukuhluka.

Ngesikhathi besanda kuqala kutuswa ziphathwe esibhedlela. iziguli Adult enesisindo esingamakhilogremu angaphezu 70 kg ebekiwe yokwelapha, esekelwe yokuvuma ukulungiselela mithathu. Ngokuvamile, umthamo senzelwe ukusetshenziswa ngesikhathi esisodwa kuba 150 mg.

Ezimweni lapho QT sokuphumula kanye QRS eziyinkimbinkimbi kunyuke ngo-20% noma ngaphezulu njengoba kuqhathaniswa nalabo ezimiselwe ngaphambi kokuqala imishanguzo, umthamo kuyehla. Kunokunye ongakwenza - a ukuqedwa yesikhashana yokwelashwa.

Ukweqiwa Ephakeme zomuthi kungaba kwenziwe, ogcina isikhawu izinsuku ezintathu. Kulokhu, kungenzeka ukwandisa lungene mg 300 kabili ngosuku (ngezinye izikhathi ezintathu).

Iziguli esegugile nge esisindo esingeqile 70 kg banikwa ngemithamo esincishisiwe "Ritmonorm" (amaphilisi) zomuthi. Ukubuyekeza, izincazelo, analogue amathuluzi akuvumela ukuhlola kungenzeka imithi futhi esikhundleni salo, uma kunesidingo.

Lapho izidakamizwa iphathwa iziguli ezinezinkinga isibindi, umthamo esetshenziswa, kwehle ngo 20-30% (njengoba cumulation singenzeka) nezinkinga izinso - yehliswe ngama-50%.

side effects

Isiguli izinguquko omubi izinhlelo senhliziyo futhi ethukile, pheshana emathunjini kungatholakala. ukwephulwa kwesimiso sokuzala kanye ushintsho imingcele laboratory. Phakathi kwezinye side effects - ukuqubuka kwesikhumba (oluhambisana), arthralgia. Bronchospasm kungenzeka, ubuthakathaka jikelele.

Izixwayiso

reception "Ritmonorm" kusho ungayeka uma kunesidingo. Analogs futhi esikhundleni izidakamizwa kumele kushintshwe ngudokotela wakho. Khansela "Ritmonorma" kungenzeka ngemva kokuthola iseluleko kuchwepheshe.

Ukwelapha kudinga ukuhlolwa njalo ibhalansi electrolyte kanye ECGs. Ngezikhathi, kubalulekile ukulawula nezinye izinkomba.

Lapho ukwelapha iziguli abangenawo pacemaker otshaliwe, kufanele sinake yezinguquko sivinini embundwini defibrillation. ukwanda wabo kwenza imingcele saziso ukulungiswa isebenza nge elingenalo iwashi lenhliziyo.

Umuthi kumele kuthathwe ngokuqapha labo ukushayela imoto noma emisebenzini ezidinga impendulo esheshayo nokunakekela.

Labo uhlela aphathwe "Ritmonorm" kusho umyalelo, intengo Pharmacy analogue engase abe nesithakazelo. Ngezansi izindleko izidakamizwa esikhundleni kobufakazi zabantu abaye baphathwa "Ritmonormom" futhi wabelane imibono yabo.

Analogs, izindleko zomuthi, ukubuyekezwa

Inani lentengo lomuthi kuyinto ruble mayelana 545-700. ngoba isembozo amaphilisi (PC-50.). Phakathi analogue eyaziwa - "Profenan", "Propastad", "Prolekofen". Ngokuvamile odokotela linqume esikhundleni "Propafenone RP 300" noma ukhiqiza "propafenone RP 150" esikhundleni izidakamizwa. Uma udinga ukukhetha analog kungaba makudle "propafenone" noma "propanorm".

Ngaphambi ukwelashwa, imithi "Ritmonorm" analogue, intengo, yokusetshenziswa akuyona into nje ukuhlola. Kuyasiza bajwayelane. Njengoba nokubuyekezwa, izidakamizwa umuntu kungasiza, futhi othile abalethanga yi. Kunabantu abathatha imithi uma ungazizwa kahle, kukhona labo wabaphatha ngeseluleko udokotela. Uma umphumela kulindeleke ayitholakali, isidingo sikhona Ukuhlolwa ezengeziwe ukuze ulungise esungulwe ukwelashwa zemithi.