"Ritmonorm": analogues, nqe, cov lus qhia rau kev siv

"Ritmonorm" - cov tshuaj noj antiarrhythmic kev txiav txim. Thaum siv cov tshuaj blocks sodium raws. Cov tshuaj muaj ib tug ncaj qha membrane-stabilizing txiav txim muaj feem xyuam rau myocardiocytes. Ua ntej kev kho mob txoj kev tshawb no zog "Ritmonorm" tshuaj, cov lus qhia rau kev siv, tiag tiag counterparts. Xav txog cov lus qhia no nyob rau hauv kom meej.

tshuaj Cheebtsam, Muaj pes tsawg leeg

Cov kev npaj no yog ua nyob rau hauv daim ntawv ntawm cov loj cov ntsiav tshuaj. Lub active tshuaj siv nyob rau hauv muaj pes tsawg leeg - propafenone hydrochloride. Txhua ntsiav tshuaj muaj 150 mg ntawm active ingredient. Ntsiav tshuaj kuj muaj adjuvants xws li titanium dioxide, microcrystalline cellulose, starch muab los ntawm pob kws starch, magnesium stearate, hydroxypropylmethylcellulose 2910 thiab croscarmellose sodium. Cov lwm yeem Cheebtsam - macrogol 6000 thiab macrogol 400, purified dej.

nyhuv ntawm cov tshuaj

Txo cov nyiaj pab ntau tshaj tau ceev, uas muaj peev xwm tshwm sim nrog rau depolarization ntawm qhov kev txiav txim tej zaum (theem 0), raws nraim tib yam tshuaj muaj feem xyuam rau cov amplitude ntawm lub fibers (txhawj xeeb tib si ventricular contractile fibers thiab Purkinje) cheeb automatic siv. Nqa nyob rau hauv lub Purkinje fibers yog qeeb qeeb, lub sij hawm thaum lub sij hawm uas tus cwj pwm, uas yog pom tau hais nyob rau hauv lub atria thiab sinoatrial ntawm, yog ncua. "Ritmonorm" tshuaj analogues muaj tsis ntxim rau yog lub sij hawm yuav tsum tau rau lub normalization ntawm cov nuj nqi muaj los ntawm lub qhov ntswg ntawm thaum lub sij hawm qhov hluav taws xob stimulation, tog twg los tib yam nyhuv yog tsawg heev. Electrophysiological los yog manifested nyob rau hauv zoo myocardial ischemia, los ntawm m-holino- thiab beta-adrenoceptor thaiv cov hlab me me.

Lub medicament "Ritmonorm" tshuaj analogues muaj nyob rau hauv lawv cov muaj pes tsawg leeg tshuaj uas muab cob tsis zoo inotropic txiav txim, uas yog feem ntau tam sim no thaum ib tug Performance index ntawm sab laug ventricular ncaws feem yog txo.

Kev ua ntawm lub medicament yog piav raws li hauv zos kom loog, muaj kev zoo sib thooj nrog cov kev ua ntawm "Procaine". Taug "Ritmonorm" pib 60 feeb tom qab lub internal siv. Qhov siab tshaj plaws miv nyuas siv zug ntawm cov tshuaj yog kuaj tom qab ib qho nruab nrab ntawm 2.5 lub sij hawm tom qab nkag mus rau hauv lub cev, qhov ntev ntawm cov nyhuv tau yog khaws cia rau ib qho nruab nrab ntawm 10 xuab moos.

Thaum ib tug nrog txais tos haum nyob rau hauv lub mob huam tshwm sim yuav luag nkaus. Metabolism hauv nyob rau hauv lub siab. Cov tshuaj yog cov tso tawm rau txog 5 teev thiab muab tshem tawm los ntawm lub cev raws li metabolites nyob rau hauv ob lub raum thiab lub siab, yog tam sim no nyob rau hauv lub bile.

zaj lus tim khawv

"Ritmonorm" analogs neeg sawv cev muab los kho tib tus kab mob. Ntsiav tshuaj yog siv nyob rau hauv cov nram no mob:

• ventricular fibrillation;
• paroxysmal supraventricular tachyarrhythmia.

Contraindications

Contraindications yog raws li nram no:

• Npau taws me ntsis rau lub Cheebtsam ntawm lub tshuaj;
• bradycardia qhia;
• syndrome qhov twg cim qhov ntswg;
• lub plawv tsis ua hauj lwm ib tug mob xwm;
• myasthenia Heavy kev;
• ntaus cim yuav txo tau nyob rau hauv cov ntshav siab;
• bronchospasm;
• lub sij hawm ntawm hnub ntawm tus me nyuam, pub nws mis mis nyuj;
• obstructive kab mob nyob rau hauv uas lub ntsws uas cuam tshuam uas tshwm sim hnyav thiab ri;
• Cov me nyuam lub hnub nyoog (tsawg tshaj li 18 xyoo);
• qhia teeb meem intraventricular, atrioventricular thiab sinoatrial conduction;
• cov lus hais rau irregularities nyob rau hauv ob lub raum thiab lub siab;
• cardiogenic poob siab tsuas yog arrhythmic poob siab;
• hyper- los yog hypokalemia.

"Ritmonorm" tshuaj analogues yog txwv tsis pub siv rau hauv thawj peb lub hlis, yog hais tias tus neeg muaj ib lub plawv nres los yog ib tug poob rau hauv sab laug ventricular ncaws feem. Cov kev zam yog cov neeg mob uas muaj ntawv qhia ventricular fibrillation, ib tug mob uas tawm tsam tsis tsuas noj qab haus huv, tab sis kuj lub neej.

Ib txhia tej yam kev mob xav tau kev pab thaum lub sij hawm kev kho mob yuav tsum tau ceev faj kho mob saib xyuas.

kev siv ntawm cov tshuaj

Ntsiav tshuaj haus dej haus tom qab noj mov, nqos tag nrho. Duration ntawm kev kho mob yog tsim los tus kws kho mob noj mus rau hauv tus account ntau yam. Tib yam siv rau cov tshuaj txhais tau tias "Ritmonorm". Analogs ntawm xws npaj nqi (tsawg) puas txom nyem thiab inefficient txhais tau tias. Cov tshuaj no kuj zoo ua neeg ua hauj lwm, tab sis lawv cov nyhuv tej zaum yuav ib nyuag txawv.

Thaum thawj zaug rau theem nws yog pom zoo kom yuav tsum tau kho nyob rau hauv ib tug lub tsev kho mob. Tus neeg laus cov neeg mob uas ntau tshaj 70 kg tshuaj kho, raws li nyob rau hauv kev txais neeg kawm npaj peb lub ntsiab. Feem ntau, cov tshuaj npaj rau kev noj nyob rau ib lub sij hawm yog 150 mg.

Nyob rau hauv tus neeg mob qhov twg lub QT luv thiab QRS complex ntau zog los 20% los yog ntau tshaj li muab piv nrog cov neeg uas tau raug teem ua ntej pib ntawm txoj kev kho, lub koob tshuaj yog txo. Muaj lwm cov kev xaiv - ib ntus discontinuation ntawm kev kho mob.

Ntau dua koob tshuaj ntawm cov tshuaj yuav tsum tau muab nqa tawm, tsom kwm lub luv peb hnub. Nyob rau hauv cov ntaub ntawv no, nws tseem tau mus nce mus rau ib tug tshaj plaws ntawm 300 mg ib hnub ob zaug (tej zaum peb).

Cov neeg mob nyob rau hauv cov laus hnub nyoog nrog ib tug lub cev hnyav tsis tshaj 70 kg yog muab txo koob tshuaj "Ritmonorm" (ntsiav tshuaj) ntawm cov tshuaj. Xyuas, piav qhia, analogues cov cuab yeej tso cai rau koj mus soj ntsuam tau ntawm cov tshuaj thiab hloov, yog hais tias tsim nyog.

Thaum cov tshuaj kho cov neeg mob uas teeb meem siab, lub koob tshuaj siv, txo los ntawm 20-30% (raws li lub cumulation yuav tshwm sim) nrog lub raum teeb meem - txo los ntawm 50%.

phiv

Tus neeg mob phiv hloov nyob rau hauv lub plawv thiab tshee systems, tus mob huam yuav raug kuaj. Tau ua txhaum cai ntawm cov kev ua me nyuam system thiab cov kev hloov nyob rau hauv laboratory tsis. Cov lwm sab los - daim tawv nqaij sawv pob (hemorrhagic), arthralgia. Bronchospasm zaum yuav tshwm sim, cov kev tsis muaj zog.

ceev faj

txais tos "Ritmonorm" txhais tau tias koj yuav nres yog tias tsim nyog. Analogs thiab hloov cov tshuaj yuav tsum muab kho los ntawm koj tus kws kho mob. Ncua tseg "Ritmonorma" yog sai tau tom qab muab cov kws tswv yim.

Cov kev kho mob yuav tsum tau tshuaj ntsuam xyuas ntawm qhov nqi koj tshuav ntawm electrolytes thiab ECGs. Tej lub sij hawm, nws yog tsim nyog los tswj thiab lwm yam kev ntsuas.

Thaum kho cov neeg mob uas muaj ib tug implanted pacemaker, koj yuav tsum xyuam xim rau kev hloov nyob rau hauv lus sib laws liag Harbor defibrillation. Lawv nce ua yuav tsum tau tsis kho tej hauj lwm nrog lub pacemaker.

Cov tshuaj yuav tsum tau noj nrog ceev faj rau cov neeg uas tsav ib lub tsheb los yog muab kev koom tes nyob rau hauv kev ua ub no uas yuav tsum tau ceev cov lus teb thiab kev kho mob.

Cov kev npaj yuav tsum tau kho "Ritmonorm" txhais tau tias kev qhia ntawv, tus nqi nyob rau hauv khw muag tshuaj analogues tej zaum yuav ntawm kev txaus siab. Hauv qab no yog tus nqi ntawm cov tshuaj hloov testimonials los ntawm cov neeg uas tau raug kho "Ritmonormom" tau thiab qhia lawv cov kev xav.

Analogs, tus nqi ntawm cov tshuaj, xyuas

Nqe ntawm cov tshuaj yog hais txog 545-700 rubles. rau lub ntim ntawm cov ntsiav tshuaj (50 pcs.). Cov paub analogues - "Profenan", "Propastad", "Prolekofen". Feem ntau cov kws kho mob muab hloov "Propafenone RP 300" los yog ua "propafenone RP 150" hloov tshuaj. Yog hais tias koj xav tau mus xaiv analog yuav muab nyiam mus rau "propafenone" los yog "propanorm".

Ua ntej rau kev kho mob, cov tshuaj "Ritmonorm" analogues, nqe, cov lus qhia rau kev siv tsis yog tus tshaj plaws xwb los tshawb. Nws tseem pab tau mus ntsib nrog. Raws li cov kev txheeb xyuas, cov tshuaj rau ib tug neeg yuav pab tau, thiab ib tug neeg tsis tau coj tej kev tshwm sim. Muaj cov neeg uas coj cov tshuaj thaum koj xav tias unwell, tseem muaj cov neeg uas kho lawv nyob rau lub tswv yim ntawm ib tug kws kho mob. Yog hais tias cov kev tsim tshwm sim yog tsis muaj, ib tug yuav tsum tau tshwm sim rau ntxiv kev soj ntsuam nyob rau hauv thiaj li yuav kho lub tsim kev kho mob kiag.