"Izoket"ʻehu: manual, nāʻana, wehewehena, analogues, kuai

I kēia lā, he nui na poe akamai i koi 'ia i nā mea maʻi vasodilatorʻehu "Izoket" prophylactically paha, ina he pono, cupping i kaʻai. I ka lāʻau, he nui ka papa inoa o okoa nāʻikepili. Ua Ua ana hoʻohana 'ia i loko o ka iapaau ana o ka mea'ōnaehana mānowai koko pathologies, me e hakakä huʻi ana.

pharmacology

ʻeleu Agena o ka lāʻau, mai angina pectoris wehewehe aku e haʻi vasodilating a me ka vasodilator ka waiwai. Isosorbide dinitrate stimulates ho okumu o ka naikokene'okesaside i loko o ka meaola, a ho'ēmi i kā nā koi o ka naau Muscle o ka o oxygen a me ka ikehu, hiki hoemi i ka haawe ana ma luna o ka myocardium. Ua pono ho'ēmi i kā ka puʻe i loko o ka pulmonary holo, emi koko a hiki i ka atrium akau, ho'ēmi i kā cardiac ventricular paia hoʻopilikia a ka hōʻemiʻana i ka diastolic puʻe, a systolic hana i loko o ka hoʻomaikaʻi ia. Ka lāʻau i ole ia ma ke alapine (frequency) o contractions o ka naau a me ka kŰlń ao pono cerebral moku. Ua hiki no hoi hoʻonui i ka ipu koko o ka dura mater o ka lolo, a ma ia meaʻeha ma ke poo. Ano o ka ole ma ka redistribution o coronary koko pele i loko o ke kahi o ke koko pele ua hoemiia. I CHD (coronary naʻau maʻi) a me ka angina ku i ka hana o ka lāʻau i loko o nā mea maʻi me ka manawa, e hoʻonui i ka ana hoounauna.

ʻehu "Izoket" hoʻomaka koke ke kemu ma ka mucosa o ka waha wahi, no laila, i ke kanawai o kona palapala noi hoʻomaka ma hope o 30 kekona, a mau mai i 120 mau minuke. Mahalo i ka mämä holo ka mea, ua pinepine hoakaka i nā mea maʻi no koke kokua ana i huʻi aku ana.

hookuu palapala

I ka lāʻau o ka maopopo pāʻoihana, i mea colorless, a mai kekahi kanakaʻona mau ala. Ua hele mai i loko o nāʻano likeʻole:

1. ʻehu "Izoket" a me ka sublingual laʻau heluna. Me kekahi kaomi ma luna o ka dispenser ua hookuu i loko o ka palapala o ka moku kulu o kekahi o kona mahele lāʻau i ua haku o 1,25 mg oʻeleu 'Oponopono - isosorbide dinitrate a me kākoʻo oihana mua: ethanol a me Macrogol 400. ka aerosol haku mele' ana i ka freon, naʻe ka mea pili i ka ai 'e noho malie hoi no ke kaiapuni. Hua mai la i ka aniani moakaka omole o 15 ml, piha i loko o ka pahu me ka dispenser a me ka ao. Aniani hue no ka 300 clicks (nā māhele), e leie aku oe i kanaka hoʻoponopono i ka nui o ka lāʻau, a loaʻa i ka hope i loko o ka 'eleu kūpono.
2. Ke kākoʻo pāʻoihana ma ke kiaʻana i kāna ke ano i manao ia no ka infusions. 1 ml o keia la hoomalolo na 1 mg o kaʻeleu hehee ai o isosorbide dinitrate a me kākoʻo 'ona: paʻakai koloriside, paʻakai hydroxide, wai. Kekahi hue - 10 ml o ka pāʻoihana no infusion. Available ma ka pepa he huihui 'ana o 10 apana kēlā me kēia.

nāʻikepili

ʻehu "Izoket" kohoia akamai i stenokardicheskie ino a pau ano, a me ke kāohi ana, e pale aku ia lakou. Ua Ua hoi pono no kia-infarction Hawaii, myocardial infarction i loko o ka huʻi ke kahua, mahuahua ka ke ahonui, a me IMS a me Inc o coronary artery spasm. Aerosol "Izoket" ana hoʻohana like me ka lāʻau no ka naau ole i loko o ka ventricle hema. E like me ke kauoha, noʻonoʻo no ka infusion ua kuhikuhi i nā mea maʻi me na pathologies o ka mea'ōnaehana mānowai koko'ōnaehana:

• lolelua ka angina 'ia i loko o preinfarction ano a mua myocardial infarction;
• vasospastic angina;
• myocardial infarction i loko o ka huʻi palapala, kena ae la e ka ole o ka ventricle hema o ka naau;
• coronary vasospasm oiai eʻoki lāʻau lapaʻau uao ai ';
• naau ole o kela ano keia ano;
• huʻi hema ventricular naʻau ole;
• pulmonary edema.

Nā Papahana O Ka i no ka aerosol

A makaukau ma ke ano o kaʻehuʻawa i loko o moʻolelo o ka lua o ka hoomanawanui, ma muli o hiki i keia ia koke komo i ke koko kahawai. Kēlā me ka pahu kui hoʻolako kekahi, inu mahele lāʻau. Na Ke Kumu no ka hoʻohana pili i ka aoao likeʻole o ka hoʻohana 'ana i ka lāʻau, ke kaumaha ma muli o ka symptoms.

I mea cupping stenokardicheskie hoouka mua o ka mai ana mai kino ai 'ole mea naʻau stress e hiki i huʻi, lohi ka hanu, a me ka hoʻomanawanui loaa ana mai 1 a hiki i 3 nā māhele maʻanuʻu o 30 kekona ma waena o injections. E hoomahuahua oe i laʻau heluna me ka hooponopono hoʻomalu ole.

Ma ka hihia o kēia exacerbation o ka naau ka hoʻokō 'ole' ole myocardial infarction, huʻi ma ke hoʻomanawanui loaa ana mai 1 a hiki i 3 nā māhele ma lalo o ke kanana 'mana o nā naʻau i kela a me ke koko,. Ināʻaʻohe hou, alaila, i ke kaʻina hana ua hai elima minuke ma hope ma ka olelo hooholo o ka kauka. I ka mea e hiki mai ana he umi minuke, i ke ano e stabilize. I ole ia, e hiki 'oe i ka manipulation hookahi hou ma lalo o ka hooponopono ana o ke kauka.

Ma mua o lapaʻau ke kaʻina hana no cupping coronary spasm (no ka lapaʻau 'ana a me ka pākōlea catheterization) lawelawe ai i ka hoomanawanui ma ka pahu kui 1-2. I ka wā o ka pono, ala ae laʻau heluna hiki e hou, akā, wale ina ka hooponopono ana kiko'î o ke koko holo.

I Kekahi Mau koi no ka pono o kaʻehu

Ma na ia i ka houʻehu ua pili no ka manawa mua, a ma hope o ka hope mahele lāʻau i Ua oi aku mamua o 24 hola, ia mea? Oaiua e kuhikuhi mai i ka paapu o mua i loko o ka lewa, no ka mea, ka mea hiki ole no i ka koi laʻau heluna. No nā māhele i kulike ai me ke aʻo nebulizer noke ikaika loa o Paulo a hiki i ka hopena, a laila, kuu. Ma hoʻohana me kaʻehu hue dispenser pono e upwardly a hoʻopapakū. E hoʻohana i mālama nui a me ka pale aku splashing i loko o ka maka. Iloko o ka holoʻokoʻa iapaau ana au pono mau mana o ke koko, (BP) a me ka ECG ana. I ke kumukuai o ke koko, e ole e emi malalo o 100 mm o Hg. Art. Abrupt withdrawal o ka lāʻau banned aʻo, no laila, i ka mahele lāʻau hoonohoia hoemiia ke kiʻekiʻe. Kanakaʻona mau kea ka mea,ʻaʻole e waiho ana ka lalau aerosol "Izoket".

Reviews 'Oihana hōʻike' ana i kiekie laʻau heluna o ka lapaʻauʻia, ia mea pinepine i ke koho 'ole kahua hoʻonohonohoʻana i ke alakai i ke ahonui, kūpono' ana i loko o ka hoʻomanawanui. Oia ka hiʻona ua ulu, a me ka hoʻohana 'ana o' ē ai 'ana i haku o nitrates. Ma na hoopii, kauka waiho e ana i ka hoʻohana 'ana i ka lāʻau no 2-3 lā, a ma hope o ka papa o regular lapaʻau, a mau ae la ia 3-6 pule, lawe i ka wanaao ae no 3-5 lā, a puku i ia manawa ma ka' ē aʻe ai 'me ka like' ole. Ma ka hapanui o na hihia, ma hope o ka haʻahaʻa a me discontinuation pā lonoaʻili o ka hoʻomanawanui, aole koke hoihoi hou ia. o ia hoʻi, eiiiiiaiou loko metabolites like ma ka puʻupaʻa aneane piha.

Laʻau heluna a me ka noi pāʻoihana

E like me ka mea e pono ai i loko o ke aʻo hoomakaukau "Izoket" (no ka infusion pāʻoihana) ua noi intravenously. Ke laʻau heluna o ka hana maikaʻi vrechom pākahi kā i ka hemodynamic a me ka lapaʻau kiko'î o ka hoʻomanawanui. Inc E hoʻomaka me ka haʻahaʻa mahele lāʻau a me ka ulu lohi lawe mai i ke koi 'ia dala. Na Ke Kumu paipai laʻau heluna mea 2-7 mg / HR, niioaaonoaaiii, i ka awelika mahele lāʻau mea e pili ana i 7,5 mg / HR. Ma na hihia o ka lōʻihi mea, ka leo hiki e mahuahua i 10 mg / HR.

Ma ka hapanui o na, kanaka me ka naau hoʻokō 'ole' e noi mai ana kiekie nā māhele o ka lāʻau. I ka hoike ana o ka lāʻau e undergo inpatient lapaau ma lalo o ka hooponopono ana o ka hoʻomalu, a me ka hoʻohana 'ana o' akomi nenoai no infusion. Ka a pau ke kaʻina hana no ka pu ma ka mana hoʻomalu ma nā hoailona holo (ke koko, a me ka naau kōmi).

A pāʻoihana no ka intravenous hooponopono i hoomakaukauia ma sterile olelo koke ma mua o ka hana. Ke k ua i hūnā oi aku mamua o 24 hola. hoomalolo ki ina hana:

• i ka lehulehu o ka 0,01% (100 micrograms / ml) - 50 ml o 0,1% lāʻau e hana 500 ml o ka la hoomalolo makaukau no ka hooponopono;
• i ka lehulehu o ka 0,02% (200 micrograms / ml) - 100 ml o 0,1% pāʻoihana o ka lāʻau hiki paka 500 ML o ka medicament makaukau no ka hooponopono.

Contraindications a me nā kaiapuni

Ka lāʻau 'aʻole hōʻike no nā mea maʻi hypersensitive ke nitrate i huiʻia, e like me nā oihana mua o ka aerosol "Izoket". Ka palapala noi Ua hoi pāpā ina ka hoʻomanawanui i na maʻi:

• hypotonia, ma a ka systolic puʻe mea ma lalo 90 mm o Hg.;
• vascular insufficiency i loko o ka huʻi ke kahua, e laʻa me, i kŰia a vascular'opi;
• pericarditis a pericardial tamponade;
• ma cardiogenic hawewe i loko o hihia ma kahi o ka manawa kūpono e hoʻomaʻa i kekahi ala puʻe i loko o ka ventricle hema o ka naau;
• hypertrophic cardiomyopathy;
• panina glaucoma.

Eia hou, i ka lāʻau 'ua i hōʻike no ke kanaka ma lalo o umikumamawalu makahiki o ka makahiki. Na Ke Kumu no ka hoʻohana ia kekahi i ka hoʻohana 'ana i ka lāʻau me ka lōʻihi mālama nui, a ma lalo a eia i hooponopono i na hihia:

• myocardial infarction me ka huʻi kahe ka wā o ka hoʻomanawanui i ka hoemi puʻe koe naau ventricle iie;
• mahuahua intracranial puʻe;
• mitral a / a aortic stenosis;
• kaʻimiʻana i ka hanana pahiki o ka hoʻomanawanui orthostatic kāna hana i loko o ka rula o ke koko holo;
• ʻaʻa puʻuwai a ake ole.

Hāpai keiki, a lactation

Epekema ma ka hooulu ana o ka lāʻau holoholona haʻawina i ua hana. I ka hoʻokolohua ma ka hoao ana i hoike mai ai i kaʻino wale i kanawai ma ka fetus ua i hana. Eia naʻe, i hāpai keiki, a lactation au i ka hookohu o ka aerosol ua paipai wale i loko o ia mau wahi, i hiki ma ka manao pomaikai i na wahine, e ia me ka nui loa oi aku ma mua o ka Loaʻaʻia kamepiula a hiki i ka fetus a pale-keiki. Iapaau ana i loko o kēia mau hihia e ia ma lalo o ka ikaika nā limahana o ka 'Oihana, holo ke kāohi kiko'î (ke koko, a me ka naau kui ana), e like me ka mau ana o ka hoʻomanawanui.

AaOIeIOUIeXAOAaIN me nā ai '

Ua Ua papaia e kaʻana vasodilators a "Izoket" ko lakou hoomakaukau ana (ʻehu). Kā lākou hoʻohana ma ka hui pu ana, hiki ia mea, māhuahua hypotensive hopena. Ka mea ia ia entails i ka wā hoʻokahi? Eaia "Izoket" a me na mea aerosol ka lapaʻauʻia: antihypertensives, kalipuna Kanal blockers, "Quinidine" a me "novokainamid" neuroleptics, 5-phosphodiesterase nā mea kūpale.

Intensifying antianginal hookoia ka wā hoʻohana i ka huipūʻana me ka ai 'e like me "Amiodarone", "propranolol", "Nifedipine", "Verapamil," a me nā blockers o ke kalipuna kali moana.

Hoomahuahua ae la lakou intracranial puʻe i loko o ka hoomanawanui hiki ke hana ana i hoʻohui pū Inc me ka atropine a me ka 'ē aʻe ka m-holinoblokatorami.

Excessive emi i loko o ke koko,, e alakai i ka coronary perfusion, akaka ma lalo o ka aoao o ke Alpha-blockers a me sympathomimetic.

ʻaoʻao 'ole a me nā hōʻike manaʻo

Na olelo i ho'ākāka 'ia i loko o ka hailonaʻana o kaʻaoʻao' ole i hiki ke kena ae la ma ka lāʻau "Izoket" (ʻehu). Reviews o kekahi hoʻomanawanui iki mai ia me keia k, hōʻike i ka helehelena o headaches, i ka lāʻau lapaʻau ua kapaia "nitrates". E like me ka rula, ma hope 2-3 lā ka pilikia ma ke kino i kona iho, a 'aʻole i koi e hooponopono. E aho ke kuka medicament hiki iʻike manaʻo e like me nausea, redness o ka ili, ka luaʻi, a me ka maloo waha. Kekahi e hoomanawanui i ka poe i loaa i ka lapaʻauʻia no ka manawa mua, ka hoohewa ana o ka mau nawaliwali, pōniuniu, ua hoʻemi ke koko, a me ka manao o ka lethargy. Keia ua kena ae la ia e haunaele uuku i loko o ka functioning o ka mea'ōnaehana mānowai koko nenoaiu. Ka mea, e ala mai ka wā hoʻohana iniiaiie paha mamua o ka paipai laʻau heluna.

Eia naʻe, e like me ka hōʻike manaʻo, nā mea maʻi kaʻina hana a me ka hopenaʻoi loa. A i ka wā i lawe mai i kulike ai me ka 'oihana e pono ai o kaʻaoʻao' ole mai i hoʻomaka ai pela pinepine. Ke koe o ka headache i loko o nā lā mua o ka i, i accompanies ka hapanui o ka hoopii, akā, IeAUPIIe, IAa IO hele i loko o kekahi mau lā.

Nui loa ka mea i kā mākou ka leo

An overdose o ka lāʻau hiki i ka helu o ia mea deviations: syncope,'opi, kiʻekiʻe intracranial puʻe, hyperthermia, ke kāʻili 'ana, pilikia makapō kuleana pili i kāna hana, a piʻi aʻela ka sweating, methemoglobinemia, bradycardia, lōlō, a me ka coma. Ia mea ke kumu ia mea nui,ʻaʻole i ka pakiko-naau, a lawe i ka lāʻau ikaika e like me na olelo o ka hoʻomalu!

Inā na symptoms i wehewehe pono ana o ka lāʻau a me ka hoʻokō 'ia' Inc nona ma stabilizing ka hoʻomanawanui ka kulana.

analogs

Medicament "Kardiket» (CHWARZ PHARMA, Germany) - kekahi o ka loa, he pono ole nōhie ai '(analogs) o ka lāʻau "Izoket" (ʻehu). Ke kumukuai o keia ae pani mea e kaukaʻi ma o ka lehulehu o kaʻeleu waiwai, a me ka helu o nā huaale i loko o ka AEeAaOA.

No ka laʻana, ka Agena ma ka papa o ka 20 mg "Kardiket retard" (20 pcs, Ma ka AEeAaOA) mea mai ka 62 a hiki i 72 rubles, oiai o ka ia hoomalolo ia, ma ka laʻau heluna o 40 mg papa, a me ka nui o 50 apana wale, i ka waiwai o 210-220 rubles.

A pae o ka laau "Nitrosorbid" ua hanaʻia ia e kekahi mau Lūkini poʻe, a ua likeʻole ano o ke kalaʻana aku, he, mea ae pani lāʻau "Izoket". Analogues o keia pae i ka inoa "Nitrosorbide-Rusfar", "Nitrosorbide", "Nitrosorbide NS", "Nitrosorbide-UWI."

kāki o

Ma Lūkini keʻena kūʻai lāʻau lapaʻau, e i, e uku mai ka 365 a hiki i 470 rubles no laʻau heluna hoʻomanaʻo "Izoket" (ʻehu). Ke kumukuai Ua hana ke kaumaha ma muli o ka wahi o ka mākeke kalepa a me kona kūlana. Ma punaewele e kuai lapaau hiki ke kuai ma kekahi haʻahaʻa lilo ma mua o kaʻike mau hale kūʻai lāʻau lapaʻau ma kahi o kou hale. Akā, i ka wā i mākaukau ma ka Internet e i e uku 200 rubles no ka haawi a loaa i ka noa Agena ma ka paukū mamuli o, i ua ole mau pono ai ke loaa geographically.

No hoi, ma kekahi hale kūʻai lāʻau lapaʻau 'oe ke kuai i ka AEeAaOA (10 hue) i kia pāʻoihana no infusion "Izoket". Kona kumukuai loli aʻe mai 906-980 rubles.

Overview

Ke k ua ua hanaʻia e ka German poe "YUSB Pharma GmbH". Ke holopapa ola o elima makahiki. Terms o kuai - ke alo aku o ke kauka o ka kuhikuhi. Ma hope iho, ua kīkoʻo akula manawa o ka i mea, ua waiho, e kaha i ka hana o ka sprayer. Ke i 'ae' ana o ka aerosol ua unuhi ia mai ka lalo pua. A hiki i ka wai a hiki i ka 'ilikai ka mea, e lilo ia i kiʻi i ka hou lāʻau, mai ka pono o kekahi hue mea wale nō e hiki i ka uuku ka lń, ma i ke keiki omo şarkı ua bapetizo ana ma ka wai.