"Tenorik" ingcindezi. "Tenorik": side effects, incazelo, umsebenzisi, isicelo, Izimo

Kwegazi - zokugula, zidinga zokuqapha njalo nemithi njalo. Iziguli eziningi ziye zaphawula yi emihle ngemva izidakamizwa "Tenorik" ingcindezi, elihlanganisa nomphumela ezimbili.

mshini wezenzo

Inhlanganisela izidakamizwa has eside inciphise umfutho wegazi ophakeme ngenxa izithako ezisebenzayo e kwengoma. Atenolol kungokwalabo cardioselective β1-blocker futhi awunalo ulwelwesi eliletha ukuthula, umsebenzi sympathomimetic. Ngu wesenzo kunciphisa inani Kufinyeta of imisipha yenhliziyo kunciphe excitability. Izinkomba elingenhla (systole) kanye ephansi (diastolic) ingcindezi bounce back.

Chlorthalidone - monosulfamilny (thiazide) isisu okuyinto okukhiphayo sodium, magnesium, futhi amanzi emzimbeni, esiza aphansi blood pressure. Ububi wumkhakha ukuthi kunciphisa izinga potassium, kubalulekile ukuba inhliziyo. umphumela Hypotensive ukwanda phakathi 3-4 amasonto.

I omuhle ukwelashwa yimpumelelo ne inhlanganisela asebenzayo izidakamizwa izinto - atenolol futhi chlorthalidone. Izidakamizwa "Tenorik" (ithebhulethi ingcindezi) uyasebenza izinsuku emva umthamo owodwa. Ubude besikhathi sokwelashwa kunqunywa dokotela, futhi kuncike degree of nomfutho wegazi ophezulu.

"Tenorik": izinkomba ukusetshenziswa zomuthi

Ithuluzi kuboniswa ukwelapha izifo - unomfutho wegazi ophakeme. Inhlanganisela izingxenye ivumela ithatha iziguli iziyise yakhe tachycardia futhi arrhythmias. Ingcindezi kancane kancane ngaphansi isenzo izidakamizwa kokujwayelekile (zokusebenza) Izinkomba, okuyinto ugwema inzululwane.

Izimbangela umfutho ophakeme wegazi (hypertension)

isifo senhliziyo lifaka kuqala phakathi izimbangela zokufa. Lezi zihlanganisa kanye nomfutho wegazi ophezulu kuyizinto ezivamile in iziguli ngaphezu kweminyaka engu-40. Okwakuhlalwa kuzo lapho kusaqalwa, lapho zokugula kuyinto kwezokunyathelisa, izimpawu cishe labakhona nalabangekho, ukucobeka okuncane, ikhanda, isiyezi, elivame ukubizwa ukukhathala njengoba banal zomzimba.

Ziyini izimbangela eziyinhloko zalokhu nomfutho wegazi ophezulu zihlanganisa:

• Ukuphazamiseka ohlelweni endocrine.
• umzimba Ukuphazamiseka emzimbeni.
• amazinga cholesterol ephakeme.
• Ukhuluphele, ukukhuluphala.
• Izejwayezi ezimbi (ikakhulukazi ukubhema).
• yokuphila Akusebenzi.
• ukusetshenziswa njalo ukudla okungenampilo.
• yofuzo.

Kuye esiteji nomfutho wegazi ophezulu udokotela ukwelapha kumelwe ukhethe izidakamizwa okusiza ukugcina wegazi ezingeni lelifanele. Ukuze ekwelapheni 1 no-2 degrees angakhethwa "Tenorik", intengo zazo kuncike umthamo yezingxenye asebenzayo. Khumbula ukuthi ukuze uthole umphumela omuhle kubalulekile kakhulu ukushintsha ukudla, indlela evamile yokuphila futhi sihlale njalo siqaphele ukufundwa ingcindezi.

Isikali

"Amaphilisi Tenorik 'ingaqukatha 50 noma 100 mg lomcebo asebenzayo. Ngokuhamba ekuqaleni ukwelashwa ezinqunyiwe ubuncane umthamo owodwa - 50 mg ngosuku. Umthelela engcono kuba yipumelelo lokha ethola mg 100. Ezinsukwini ezimbalwa nje kubalulekile ukuqapha blood pressure, futhi uma ukwelashwa izidakamizwa akunamthelela, it is esikhundleni nge umbangeli abanomfutho wegazi ophakeme. Ukwandisa amazinga okukhishwa nsuku zonke (ngaphezu kuka-100 mg) ayimlethelanga okunye ukwehliswa kwezintela ingcindezi, ngakho-ke ngokuvamile ebekiwe izidakamizwa ezengeziwe.

ezigulini esezikhulile kufanele athathe izidakamizwa "Tenorik" izilinganiso ezincane. Kubantu abanalesi nokwehluleka ukusebenza kwezinso kusho kweminyaka emkhatsini imithamo anda. "Tenorik" isiphuzo kwelinye futhi ngesikhathi esifanayo (mhlawumbe ekuseni), ngamanzi amancane. Umuthi senzelwe izindlela eside futhi akufanele isetshenziswe uma kunesidingo ukuyeka ngokuhlasela nomfutho wegazi ophezulu.

ukusetshenziswa Izici

Uma izidakamizwa abanomfutho wegazi ophakeme esimisiwe abantu abanezimo comorbid, ukunakekelwa okukhethekile kufanele kukhokhelwe impilo ngemuva kokuthatha imithi. "Tenorik" ingcindezi ngokuqapha elisetshenziswa izifo bronchial (okwengeziwe ebekiwe β2-adrenostimulyatorov), congestive senhliziyo, isifo sikashukela. Ezigulini ezine-pheochromocytoma izidakamizwa isetshenziswa lihambisana i blocker-alpha-adrenergic ukuvimbela ukuthuthukiswa esibucayi abanomfutho wegazi ophakeme.

Akuvunyelwe ukuba uphuze utshwala ngesikhatsi ukwelashwa "Tenorik" izidakamizwa. Izinkomba ukusetshenziswa (ngokuvumelana manual) abavunyelwe ukusebenzisa ke ngesikhathi sokukhulelwa ngaphansi kokuqondisa esiqinile zikadokotela. ukwelashwa kufanele inqanyulwe ngaphambi kokuba uhlinzwe (amahora angu-48).

ukusetshenziswa eside zomuthi ayikwazi evele kuphazamisekile, ngakho abangele nokuqaleka, ikakhulukazi khona isifo senhliziyo (ukuhlaselwa isifo senhliziyo igcwele ukuthuthukiswa). "Tenorik" kunciphisa ukubekezelelana glucose.

Izimo ukuqokwa

Kunezindlela eziningana Izimo, sivimbela ukusetshenziswa "Tenorik". Ukusebenzisa izidakamizwa ukwelapha umfutho ophakeme wegazi Akwamukelekile uma isiguli inomlando izifo elandelayo:

• Bradycardia.
• Hypotension (umfutho ophansi wegazi).
• Pheochromocytoma.
• Ukuvuvukala Kwamalunga.
• Kahle kungakhuphula izinga likashukela.
• lactic umzimba.
• Myasthenia gravis.
• Ukucinana kwemigudu yomoya emaphashini Obstructive.
• isifuba somoya bronchial.
• Ukwehluleka oyingozi inhliziyo.
• hepatic olunamandla noma ukwehluleka kwezinso.
• angina Vasospastic.
• Okungalapheki yokumelwa yinhliziyo.
• AV-block 1 no-3 degrees.
• Ukuphulwa amanzi-electrolyte ibhalansi.
• Emphysema.
• Ukukhulelwa (uma eziphuthumayo) kanye lactation.
• Ubudala kuze kube iminyaka engu-18.
• Hypersensitivity izingxenye izidakamizwa.

Imithi "Tenorik" ingcindezi angabelwa kuphela udokotela ukuze ugweme emibi self-ukwelashwa.

Izimpawu ze-ukweqisa izidakamizwa

Ukwandisa Kunconywa umthamo nsuku zonke zomuthi kungabangela eziningi izimpawu engathandeki eyabonisa ukweqisa izidakamizwa. Lapho hypotension lwemithambo, bronchospasm, bradycardia, congestive inhliziyo ukwehluleka, ukuquleka, nokulahlekelwa ukwazi, ukuhlanza, kunesidingo esiphuthumayo ukuba afune usizo lwezokwelapha. Isiguli nge nezimpawu ezifanayo izidakamizwa ukweqisa izidakamizwa uncika esibhedlela kanti ebhekiwe lodokotela.

Ukuxhumana "Tenorika" nezinye izidakamizwa

Izimali ezivela iqembu β1-blocker ngokuqapha esetshenziswa ekwelashweni izidakamizwa antiarrhythmic ekilasini lokuqala, ukuze singathwesi avuse ukwanda isinyathelo cardiodepressive.

ACE inhibitor akufanele kuthathwe nge izidakamizwa "Tenorik". Izibuyekezo iziguli kanye odokotela basikisela ukuthi "Duet" enjalo inciphise umfutho wegazi ophakeme buyathuthuka. Ukwandiswa blood pressure izinkomba singenzeka ngesikhathi ethola "Tenorika" futhi adrenaline (norepinephrine). Akufanele hlanganisa β1-blocker nge mao inhibitor (kukhona ingozi ingcindezi ukwanda).

Reception "Tenorika" kanye nanoma iyiphi enye indlela yaleli qembu kumele simiswe izinsuku ezimbalwa ngaphambi kokuphela ukusetshenziswa clonidine. Izidakamizwa ukuthi yakhiwa lithium, akusiyo efiselekayo ukusebenzisa kanye isisu (encishisiwe kwezinso imvume elementi).

Khetha amalungiselelo eziyinkimbinkimbi for ekwelapheni can nomfutho wegazi ophezulu udokotela kuphela abayoba acabangele nokuxhumana kwezidakamizwa ngabanye nesineke tolerability yabo. Self noma akunamthelela noma kuholele Ukuwohloka impilo.

side effects

Izidakamizwa "Tenorik" cishe akukho imiphumela emibi, uma nje behlangabezana nalezi umthamo kanye nezincomo ukusetshenziswa. Ezimweni ezingavamile, kungase kubangele yezinkinga ezithile:

• Umlomo owomile.
• disorder kwesisu.
• Ukuqunjelwa.
• Ukushintsha kwesimo senhliziyo.
• Ngamaphupho nje la.
• Nokunganakwa.
• Visual ukungakhuli.
• Bradycardia.
• emikhawulweni snap ebandayo.
• AV-block.
• Arrhythmia.
• Ukuqubuka.
• izifo Exacerbations ekhona isikhumba (eczema, psoriasis).
• ezomile iso syndrome.
• potency encishisiwe.
• Izinguquko Ezenzeka imingcele laboratory (hypokalemia, hyperuricemia).
• Bronchospasm.

Ukuthola imiphumela emibi, kufanele uxhumane onguchwepheshe. Imithi ukulungisa wegazi "Tenorik" izilinganiso iziguli okuyinto e omuhle kakhulu, inomphumela omuhle zokwelapha. Ngemva izingcindezi ukwelashwa zigcinwa uhla evamile phakathi kwezinyanga 2-3.

Analogs "Tenorika"

Kusho ungayithola enye by izidakamizwa ukuthi nomphumela ofanayo futhi babe izithako efanayo asebenzayo kwengoma. "Tenorik" (intengo iyunithi ngayinye ku umthamo mg 50 -. Ruble 150-190) ukukhiqizwa eNdiya ingenye izidakamizwa antihypertensive etholakalayo. Ukuze ezishibhile analogue zihlanganisa "Tenonorm", "Tenoroks", "Compositum Atenolol Sandoz".

ukukhiqizwa izidakamizwa e-England - Esinye esikhundleni - "Tenoretik". It ahluke eliphakeme kuphela (RUB 600-750. Ukuze emaphaketheni ngezilinganiso izidakamizwa esebenzayo 100/25 mg). I yokusetshenziswa bachazwa efanayo izakhiwo nomuthi, imiphumela engemihle kanye contraindications.

nokuvimbela nomfutho wegazi ophezulu

Into yokuqala kufanele sinake iziguli abanomfutho wegazi ophakeme, ukudla. Kusukela Ukudla kufanele bungaveli ngokuphelele eziyingozi ezilwane, amaswidi, utshwala, ikhofi eqinile, netiye. Kukhethwa ikakhulu izithelo, imifino, inhlanzi, okusanhlamvu, imikhiqizo yobisi, amavithamini namaminerali. iziqukathi Sula of cholesterol okweqile kungaba ngosizo imithi kanye zokupheka of imithi yendabuko (noma kunjalo, kudingeka uye kudokotela uyofuna icebiso).

Ukuthatha imithi (isib "Tenorik") yokucindezelwa kubalulekile ukugcina impilo enempilo futhi esebenzayo. Uma kungenzeka, kufanele uchithe isikhathi esiningi ngaphandle, ukwenza umzimba ezilula ngaphandle kokuvivinya umzimba esindayo, ukuphefumula umzimba.