"Izoket" Fesa: umurci manual, reviews, bayyanai, analogues, farashin

Yau, kwararru da yawa rubũta ga marasa lafiya vasodilator fesa "Izoket" prophylactically ko, idan ya cancanta, cupping da shanyewar jiki. Da miyagun ƙwayoyi yana da m jerin daban-daban alamomi. Yana da aka samu nasarar yi amfani da magani na zuciya da jijiyoyin jini pathologies, ciki har da magance m yanayi.

pharmacology

Active wakili daga cikin miyagun ƙwayoyi daga angina pectoris halin da pronounced vasodilating da vasodilator Properties. Isosorbide dinitrate stimulates samuwar nitrogen oxide a cikin kwayoyin da kuma rage bukatun da zuciya tsoka na oxygen da kuma samar da makamashi, game da shi, rage load a kan myocardium. Yana yadda ya kamata rage matsi a cikin huhu wurare dabam dabam, da rage-rage jini ya kwarara da dama atrium, rage cardiac na ramin zuciya bango tashin hankali da kuma ragewa diastolic matsa lamba da kuma systolic aiki a inganta su. Da miyagun ƙwayoyi ba shi da wani sakamako a kan mita na contractions daga cikin zuciya da kuma kara da cerebral tasoshin. Yana kuma iya ƙara da jini na Dura Mathes na kwakwalwa da kuma game da shi haddasa zafi a kai. Yana nufin na da tasiri a redistribution na jijiyoyin zuciya jini ya kwarara a yankin inda jini ya kwarara da aka rage. A CHD (jijiyoyin zuciya da cututtukan zuciya) da kuma angina saboda da aikin da miyagun ƙwayoyi a marasa lafiya tare da wata damar kara da halatta motsa jiki.

Fesa "Izoket" hanzari tunawa fadin mucosa daga bakin yankin, don haka sakamakon da aikace-aikace fara bayan dakika 30 da kuma yana zuwa 120 minti. Godiya ga gudun shi ne sau da yawa wajabta ga marasa lafiya ga nan da nan da taimako na m yanayi.

saki Form

Da miyagun ƙwayoyi ne bayyananne bayani, wanda shi ne colorless kuma yana da wani giya wari. Ya zo a cikin biyu iri:

1. Fesa "Izoket" da kuma sublingual sashi. Tare da dannawa daya a kan jin da aka saki a cikin nau'i na kankanin saukad da na ɗaya daga cikin kashi wanda aka hada da 1.25 MG na aiki sashi - isosorbide dinitrate da karin abubuwa: ethanol da Macrogol 400. A aerosol abun da ke ciki ya mai freon, duk da haka shi da dangantaka da kwayoyi m ga yanayi. Samar a cikin m kwalabe na 15 ml, cushe a cikin wani akwatin tare da wani jin da umarnin. Glass kwalban 300 akafi (allurai), ba ka damar saka idanu da adadin miyagun ƙwayoyi da kuma saya da wani canji a dace hanya.
2. The bayani a tattara form yi nufi ga infusions. 1 ml wannan shiri na dauke 1 MG na aiki kashi na isosorbide dinitrate da karin abubuwa: sodium chloride, sodium hydroxide, ruwa. Daya vial - 10 ml na bayani ga jiko. Samuwa a cikin kwali fakitoci na 10 guda kowane.

alamomi

Fesa "Izoket" nada masana a stenokardicheskie kai hare-hare duk siffofin da kuma matsayin m gwargwado kauce wa gare su. Haka kuma an bada shawarar ga post-infarction jihohi, tsokar zuciya infarction a cikin m mataki, da kara juriya tare da IMS da far da jijiyoyin zuciya jijiya spasm. Aerosol "Izoket" nasarar amfani da wani magani ga zuciya rashin cin nasara a hagu ventricle. A cewar umarnin, tattara for jiko aka wajabta shi a kan marasa lafiya da irin wannan pathologies na zuciya da jijiyoyin jini tsarin:

• m angina faruwa a preinfarction yanayin, ko baya tsokar zuciya infarction.
• vasospastic angina.
• tsokar zuciya infarction a cikin m siffar, ya sa ta hanyar da gazawar da hagu ventricle na zuciya;
• jijiyoyin zuciya vasospasm a lokacin m shisshigi.
• zuciya rashin cin nasara, daga dukan nau'i.
• m hagu na ramin zuciya zuciya rashin cin nasara.
• na huhu edema.

Hanyoyin da yin amfani da aerosol

A shiri a cikin wani nau'i na fesa fesa a cikin baka rami na haƙuri, saboda wannan shi sauri ta shiga jini rafi. Kowane allura samar daya ingestion kashi. Umurnai na amfani nufin daban-daban hanyoyi na yin amfani da miyagun ƙwayoyi, dangane da bayyanar cututtuka.

Domin cupping stenokardicheskie hari kafin mai zuwa a zahiri ko wani tunanin danniya da cewa zai iya sa m, jinkiri numfasawa, da haƙuri samu daga 1 zuwa 3 allurai a kan jinkiri na daƙiƙa 30 tsakanin injections. Kara sashi ba tare da dubawa gwani haramta.

A cikin hali na zargin exacerbation na zuciya rashin cin nasara ko tsokar zuciya infarction, m kan haƙuri samu daga 1 zuwa 3 allurai karkashin m iko da biyu zuciya kudi da kuma jini. Idan babu wani ci, sa'an nan da hanya an maimaita bayan minti biyar da wata shawarar da likita. A na gaba minti goma, da yanayin kamata dattako. In ba haka ba, za ka iya maimaita magudi sake karkashin kulawa na likita.

Kafin jiyya hanya cupping jijiyoyin zuciya spasm (for bincike ko warkewa catheterization) anyishi zuwa haƙuri da allura 1-2. Lokacin da bukatar tashi sashi za a iya maimaita, amma kawai idan iko sigogi na jini wurare dabam dabam.

Specific shawarwari ga yin amfani da wani SPRAY

A lokuta idan wani sabon SPRAY ne amfani karo na farko, ko bayan na karshe kashi ya kasance fiye da 24 hours, shi ne bu mai kyau don kaitsaye farko tura a cikin iska, saboda shi ba zai iya ƙunsar da ake bukata sashi. Domin allurai daidai da wa'azi nebulizer ci gaba da guga man zuwa karshen, sa'an nan saki. A lokacin amfani da mai fesa kwalban jin dole upwardly kuma tsaye. Yi amfani da hankali da kuma kauce wa splashing a cikin idanu. A lokacin dukan magani lokaci na bukatar m iko da jini (BP) da kuma ECG gudanar. The darajar jini kada ta kasance kasa da 100 mm Hg. Art. Ba zato karbo daga cikin miyagun ƙwayoyi dakatar wa'azi, don haka da nada kashi rage hankali. Giya suna ba da shawarar yayin da shan aerosol "Izoket".

Reviews kwararru nuna cewa mafi girma sashi na magani, shi ne sau da yawa saduwa ko din amfani iya kai wa ga juna da ragowa ci gaba a cikin haƙuri. Irin wannan fasalin da aka ɓullo da kuma yin amfani da sauran kwayoyi da cewa an hada da nitrates. A irin haka ne, likitoci bayar da shawarar soke amfani da miyagun ƙwayoyi domin kwanaki 2-3, da kuma bayan wani hanya na yau da kullum jiyya, wanda dade 3-6 makonni, kai hutu don 3-5 days, da kuma maye gurbin shi dan lokaci da sauran kwayoyi da irin wannan effects. A mafi yawan lokuta, bayan wani katsewa ko an daina ji na ƙwarai daga haƙuri wajen sauri mayar da. yana nufin gyara samu metabolites kamar yadda a kodan kusan cika.

Sashi da kuma aikace-aikace bayani

Bisa ga bukatun a cikin wa'azi shiri "Izoket" (for jiko bayani) ne amfani intravenously. A sashi na zalunta vrechom akayi daban-daban wanda aka kera da hemodynamic da kuma na asibiti sigogi na haƙuri. Far ya kamata a fara da low kashi da kuma kara sannu a hankali kawo zuwa bukata adadin. Umarnin shawarar sashi ne 2-7 MG / hr, bi da bi, da talakawan kashi ne game da 7.5 MG / hr. A lokuta da matsananci larura girma za a iya ƙara zuwa 10 MG / hr.

A mafi yawan lokuta, mutane da zuciya rashin cin nasara bukatar hakan allurai da miyagun ƙwayoyi. A gabatarwar da miyagun ƙwayoyi ya kamata sha inpatient magani a karkashin kulawa da wani gwani da kuma yin amfani da atomatik tsarin for jiko. Dukan hanya ne tare da iko Manuniya wurare dabam dabam (jini da kuma zuciya rate).

A bayani ga igiyar jini gwamnati da aka shirya a bakararre yanayi nan da nan kafin hanya. Da miyagun ƙwayoyi ba a adana fiye da 24 hours. shirye-shiryen hanyoyin:

• to a maida hankali 0.01% (100 micrograms / ml) - 50 ml 0.1% miyagun ƙwayoyi iya sa 500 ml na cikin shirye-shiryen shirye domin gwamnati.
• to a maida hankali 0.02% (200 micrograms / ml) - 100 ml 0.1% bayani da miyagun ƙwayoyi iya nuna 500 ml na medicament shirye domin gwamnati.

Contraindications kuma sauna

Da miyagun ƙwayoyi ba a nuna ga marasa lafiya hypersensitive zuwa nitrate mahadi, kazalika da sauran abubuwa na aerosol "Izoket". A aikace-aikace kuma an haramta idan haƙuri irin cututtuka:

• hypotonia, a da systolic matsa lamba ne a kasa 90 mm Hg.;
• jijiyoyin bugun gini insufficiency a cikin m mataki, msl, a lokacin buga ko jijiyoyin bugun gini auka.
• pericarditis da pericardial tamponade.
• a cardiogenic buga a lokuta inda babu wani yiwuwar daidaita da sauran hanyar da matsa lamba a hagu ventricle na zuciya;
• hypertrophic cardiomyopathy.
• ƙulli glaucoma.

Bugu da kari, da miyagun ƙwayoyi ba a nuna domin mutane karkashin shekara goma sha takwas da haihuwa. Umurnai na amfani bada shawarar yin amfani da miyagun ƙwayoyi da matsananci taka tsantsan da kuma karkashin m dubawa a irin haka:

• tsokar zuciya infarction tare da m kwarara a lokacin da haƙuri ya rage matsin bar zuciya ventricle cika.
• ya karu intracranial matsa lamba;
• mitral da / ko aortic stenosis.
• ganowa da ya faru Yiwuwar haƙuri orthostatic cuta a cikin tsari da jini wurare dabam dabam.
• koda ko hanta gazawar.

Pregnancy kuma lactation

Masana kimiyya a ci gaba da miyagun ƙwayoyi dabba nazarin da aka gudanar. A gwaji a kan gwajin ya nuna cewa tareda žata sakamako a kan tayin ba a yi. Duk da haka, a lokacin da juna biyu da kuma lactation lokacin da nada wani aerosol bada shawarar kawai a cikin wadanda yanayi inda da nufin amfani ga mata zai zama muhimmanci mafi girma daga hadarin m zuwa tayin ko nono-baby. Jiyya a cikin wadannan lokuta ya zama karkashin tsauraran dubawa na kwararru, wurare dabam dabam iko sigogi (jini da kuma zuciya kidan rate), kazalika da janar yanayin haƙuri.

Hulda da sauran kwayoyi

An haramta raba vasodilators da kuma "Izoket" shiri (fesa). Su yi amfani da a hade zai iya sa ya karu hypotensive sakamako. Wannan sakamako entails lokaci daya liyafar "Izoket" da kuma irin aerosol magani: antihypertensives, alli tashar blockers, "Quinidine" ko "novokainamid" neuroleptics, 5-phosphodiesterase hanawa.

Intensifying antianginal sakamako a lokacin da amfani a tare da kwayoyi kamar "Amiodarone", "propranolol", "Nifedipine", "Verapamil," kuma tare da sauran blockers na alli m tashar.

Karuwan intracranial matsa lamba a wani haƙuri iya faruwa a lokacin hade far da atropine da kuma sauran m-holinoblokatorami.

Wuce kima karu a jini, abu don jijiyoyin zuciya perfusion, ya bayyana a ƙarƙashin rinjayar alpha-blockers da sympathomimetic.

Side effects da kuma sake dubawa

The umarnin aka bayyana a cikin da yawa daga gefen effects cewa za a iya lalacewa ta hanyar miyagun ƙwayoyi "Izoket" (fesa). Reviews wasu marasa lafiya bi da tare da wannan magani, nuna bayyanar ciwon kai, wanda a magani da ake kira "nitrates". Kamar yadda mai mulkin, bayan kwanaki 2-3 matsalar vuya a kansa kuma ba ya bukatar gyara. Ã'a ba safai medicament iya haifar da mamaki kamar tashin zuciya, redness na fata, amai, da kuma bushe baki. Wasu marasa lafiya da suke samu da magani a karo na farko, gunaguni da janar wani rauni, juwa ko jiri, rage hawan jini da kuma ji na lethargy. Wannan ne ya sa ta kananan disturbances a cikin aiki na zuciya da jijiyoyin jini tsarin. Sun bayyana lokacin da yin amfani da primary ko wuce shawarar sashi.

Duk da haka, bisa ga sake dubawa, marasa lafiya lura da inganci. Kuma a lõkacin da samun daidai da sana'a bukatun na illa ba faruwa haka akai-akai. A togiya ne da ciwon kai a cikin farkon zamanin amfani, wanda ke tafiya tare da masu rinjaye na lokuta, amma yawanci wuce a cikin 'yan kwanaki.

Wucewa matsakaicin ƙarfi

An yawan abin sama da miyagun ƙwayoyi iya haifar da wani yawan tsanani sabawa: syncope, auka, high intracranial matsa lamba, hyperthermia, seizures, na gani aikin cuta, karin sweating, methemoglobinemia, bradycardia, inna, da kuma coma. Wannan shi ne dalilin da ya sa yana da muhimmanci ba don kai-zuciya, da kuma yarda da miyagun ƙwayoyi tsananin bisa ga bukatun da wani gwani!

Idan bayyanar cututtuka bayyana bukatar kau da miyagun ƙwayoyi da kuma gudanar da far da nufin tabbatar da dorewar haƙuri da yanayin.

analogs

Medicament "Kardiket» (CHWARZ PHARMA, Jamus) - daya daga cikin na kowa Generic kwayoyi (analogs) da miyagun ƙwayoyi "Izoket" (fesa). Farashin wannan canza shi ne dogara a kan taro na aiki abu da kuma yawan kwayoyi a wani kunshin.

Ga misali, da wakili a allunan 20 MG "Kardiket retard" (20 inji mai kwakwalwa. A cikin kunshin) ne daga 62 zuwa 72 rubles, yayin da guda shiri, kawai a sashi na 40 MG Allunan, kuma da yawa na 50 guda, yana da darajar da 210-220 rubles.

A rukuni na magunguna "Nitrosorbid" kerarre da dama Rasha kamfanoni, da kuma ciwon siffofin daban-daban na release, kuma, shi ne a canza miyagun ƙwayoyi "Izoket". Analogues na wannan kungiyar da sunan "Nitrosorbide-Rusfar", "Nitrosorbide", "Nitrosorbide NS", "Nitrosorbide-UWI."

kudin na

A Rasha Pharmacy zai biya daga 365 zuwa 470 rubles da sashi halitta "Izoket" (fesa). A farashin da aka kafa dangane da wuri daga cikin kiri kanti da matsayi. A yanar cewa sayar da magani za a iya saya a ƙananan kudin fiye da wata al'ada kantin magani kusa da gida. Amma a lokacin da umurnin a kan Internet zai biya 200 rubles domin ceto ko sami free wakili a sakin layi na tsohon, wanda ba a ko da yaushe dace located geographically.

Har ila yau, a wani kantin magani za ka iya saya cikin kunshin (10 vials) mayar da hankali mafita ga jiko "Izoket". Its farashin dabam daga 906-980 rubles.

Overview

Da miyagun ƙwayoyi ne kerarre da Jamusanci kamfanin "YUSB Pharma GmbH". A shiryayye rayuwar shekaru biyar. Sharuddan sayarwa - kasancewar wani likita ta sayen magani. Bayan Extended lokaci na yin amfani da shi bada shawarar duba wasan kwaikwayon na sprayer. Lakabin na aerosol ne kõma daga kasa kibiya. Lokacin da ruwa ya kai matakin ya kamata ya zama don samun wani sabon maganin, tun da amfani da data kasance kwalban ne kawai zai yiwu tare da kadan tilted, a cikin abin da tsotsa bututu da ake nutsarwa cikin ruwa.