Corinfar. Tilmaamaha loogu isticmaalo

"Corinfar" waa antagonist ah ee calcium, i.e. waxa uu hakiyo wax lays ee Ca2 + galay gacanta muruqa (cardiomyocyte), wadnaha iyo xididdada dhiigga ka bannaan ee intercellular. Sidaas darteed, hoos u dhac ku fiirsashada of udhigo calcium. Sidaas darteed of ballaarinta ka durugsan, halbowleyaasha wadnaha iyo arterioles (halbowlaha jilicsan). Kiniiniga isagoo tallaabo dheer, kaga hadlay hawlaha vasodilating.

Daawo "Corinfar" waxaa la soo saaray qaab kiniin biconvex wareega dahaarka leh daahan a film huruud ah. Mid ka mid ah kiniin ka kooban walax firfircoon - nifedipine (dhexsameeysmo kiimikaysan ka dihydropyridine ah) - 10 mg. Sida walxaha kaabayaal, buux kiniin codsatay laktosmonohydrat lactose, K25 povidone, istaarijka baradho, cellulose mikrokristallin, milmahayn magnesium. "Corinfar" iibiyo kartoonka saddex finan (10 kiniin) ama dhalooyin mugdi ah 50 iyo 100 oo kiniin ah.

In cudurada sida angina, hypertension (cadaadis dhiig oo sareeya joogto ah), bukaanka waxaa qoray "Corinfar". Tilmaamaha loogu isticmaalo ilaa seefteedii oo Ruush. Dhamaan macluumaadka waa mid waxtar leh ma aha oo kaliya loogu talagalay shaqaalaha daryeelka caafimaadka iyo dhakhaatiirta, laakiin sidoo kale dadka bukaanka ah, maadaama ay kaa caawin doontaa in la fahmo ballan dhakhtarka, iyo sidoo kale in ay isbedel ee jirka, taas oo ah natiijada saamaynta daroogada.

Waxaa la og yahay in saamaynta ku daweynta Hadhi doono (oo aan yaraynta nuugista oo ah walaxda firfircoon - nifedipine), haddii inta lagu jiro hadhuudhka ah in la sameeyo "Corinfar". Tilmaamaha codsanaya waxaa lagu dhiirigelinayaa in ay sidaa sameeyaan (aan dareere) cuntada ka dib iyo cabto cabitaan badan. The duration iyo dose (ie, daaweynta) ayaa si gaar ah loo xulay oo uu dhakhtarku soo qoro. U hubso inay tixgeliyaan dareenka ah in corinfar iyo adkaanta cudurka. Bukaanka waayeelka ah iyo kuwa ka cabanaya cudurka cerebrovascular daran saameen, la yareeyo qiyaasta.

Laga bilaabo 10 mg ah nifedipine (ama 1 kaniini laba jeer ama saddex jeer maalintii) qaado "Corinfar". Tilmaamaha loogu isticmaalo fasaxa kororka tartiib ah in qiyaasta in 2 kaniini ama 20 mg mar ama laba jeer maalintii. dose maalin walba ugu badan waa in aanay noqon ka weyn yahay 4, ama 40 mg. In hypertension lagama maarmaanka ah (hypertension), Celcelis ahaan qiyaasta lagu taliyey maalin kasta waa in ay ahaataa 1 kiniin ama 10 mg (tixgeliyo on nifedipine) laba ilaa saddex jeer maalintii. Si loo gaaro saamaynta ay ku doonay clinical, qiyaasta uu dhakhtarku soo qoro waa la kordhin karaa ilaa 40 mg (sida nifedipine) maalin kasta, in la qaado ilaa 2 jeer. Inta u dhaxaysa laba hab corinfar at Ujeedada laba ama saddex-laab, bareeg waqtiga waa inuu ugu yaraan afar saacadood.

In cudurrada qaar ka mid ah, laguma talinayo "Corinfar". Tilmaamaha loogu isticmaalo contra muujinaysaa ay hypotension halbowlaha, shock cardiogenic, burburkii, wadnaha chronic, in bukaanka qaba stenosis aortic daran, angina deganayn, Wadnaxanuun myocardial ba'an (inta lagu jiro afarta toddobaad ee hore), codsiga si wadajir ah la rifampicin. Waxaa jira sidoo kale sababo nuujinta in aan Bilood diidmo in nifedipine ama maaddooyinka kaabayaal ah.

daryeel gaar ah ayaa loo baahan yahay in cardiomyopathy hypertrophic obstructive, stenosis waalka mitral, bukay sanka syndrome, tachycardia daran ama bradycardia, hypovolemia, hypertension malignant, Wadnaxanuun myocardial la ventricular bidix failure, xanuunada cerebrovascular daran. Sidoo kale in kelyaha iyo beerka, caloosha iyo mindhicirka xirma mareenka, dialysis kelyaha, xilliyada II iyo III trimester uurka ka hor da'da 18 sano, inta aad qaadanaysid beta-blockers, digoxin.

Diyaarinta uu saameyn ku fahmayaan antihypertensive iyo antianginal saamayn joogta ah ay sabab u tahay tallaabo dib u of nazyvetsya walaxda firfircoon "Corinfar faafiyo". Buugga waxaa ku jira macluumaad loogu talagalay shaqaalaha caafimaadka iyo bukaanka. Walaxda firfircoon ee daroogada waxaa diyaar u nuugo ka soo mareenka caloosha iyo mindhicirka. Saamaynta daweynta mar dambe waa ka badan oo ku saabsan 15 daqiiqo ka dib markii maamulka daroogada. qaybaha shiid "corinfar" dhacdaa in beerka ay sabab u tahay hydrolyzation oo lagu qayilo. -shiid ee nifedipine soo saaray xeryahooda firfircoonayn. Muujiya "Corinfar" ugu horrayn by kelyaha, laakiin sidoo kale saxarada.