Ola kino, Hoomakaukau
Ka maikai analogy "cordarone" ma Russian
Iapaau ana o ka naau pāpana kāna hana - luna '' inikua pilikia i ua ole hoʻonā a hiki i ka hopena, i keia la. He nui Anati-arrhythmic ai ', akā, ka mea, i nui contraindications a me kaʻaoʻao waiwai, no ka mea, o ka mea e hooiaio ia e nui hou aku weliweli no ka hoʻomanawanui i ka maʻi. Aia no ka poe ola pūʻulu o ka haawina manao no ke kokua ana i arrhythmias, o ke ola-na olelo hooweliweli au, akā, i ko lākou hoʻohana i ka lōʻihi manawa ua ole e waiho no ka mea, o ka mahuahua mai ana complications loaa ana ka lapaʻauʻia. Alaila, e hoomanawanui i kauoha i ka ike loea, efficient, akā, kŘpa a palekana lāʻau, a me ka Analog ia mea.
"Kordaron" - he pono ka antiarrhythmic lāʻau
E like me ka haʻawinaʻole, "Kordaron" o ka mea pono ka lāʻau o ka 'ē aʻe like huahana, i ka maopopo hana e ho'ēmi i make i loko o nā mea maʻi me ka cardiac maʻi. Ua Ua hoʻohana 'ia ana i loko o ka iapaau ana o aneane pau cardiac arrhythmias. I waena o lapaau, oia ua noʻonoʻo i ka benchmark no Anati-arrhythmic ai 'ka papa III. Ma waho aʻeo ia ka antiarrhythmic, antianginal hookoia ka mea, ua loaa, mai ka mua i kukuluia e like me ka lāʻau no ka iapaau ana o coronary naʻau maʻi.
Ua loaaʻAʻole wale ke ano kanawai o ka papa III antiarrhythmics, a laila blockade o potasiuma auwai a, akā, hana, ano no ka papa au huahana, - ka blockade o ka paʻakai auwai a, IV papa - blockade o ke kalipuna kaha. I waena o nā mea a pau, i ka lāʻau haawi alpha- a me ka Hoʻokolohua-adrenoceptor wahi, coronary dilator kanawai.
nāʻikepili
Kaʻeleu 'Oponopono o ka lāʻau - amiodarone. ʻIliahi He inoa - "Cordarone." Analogs hua mai ma nā inoa, akā, aia no iloko olaila na ia hana waiwai. Amiodarone ua hua mai i loko o ka palapala o ka pāʻoihana no intravenous ka pahu kui, a me nā papa.
Ka pāʻoihana ua pili i ka hihia i ka wa ia mea e pono e hooki aku i ho'āhewa wale o ka ventricular a me supraventricular tachycardia, atrial fibrillation, me ke kāʻili 'ana. Papa i hoʻohana no ka Kāohiʻana o ka ventricular a me atrial arrhythmias a me paroxysmal tachycardia.
rula o ka hana
E uhi i ke kaʻina hana o ka intracellular amo o potasiuma Ion, i ka lāʻau 'hooloihi ae i ke kolu o ka pae o ka Loaʻaʻia hana o ka naau Muscle keena. Ua hoi suppresses ka EYI o ka uila lāʻau ikiʻai wale i loko o na olona, o ka atrioventricular wahi. No ka mea, o keia, i ka lāʻau ikiʻai wale 'aʻole hoʻi ia. E like me ka hopena, i ka hapa wahi kanawai o ke aloha o ko mākou hopohopo'ōnaehana 'aʻole hoʻi i ka naʻau kōmi.
Amiodarone ua metabolized i loko o ke ake, a excretedʻano nui ma ka mimi. ʻO kā mākou maʻiʻo o kaʻeleu waiwai malamaia ma hope o 3-7 hola ma hope o 'ai, inu o ka papa. Malama aku pākōlea ia mea akaka i mua o ka hebedoma kekahi ma hope o ka hoʻomaka 'ana o ka lapaau.
Analogs "cordarone"
Ma na hihia a pau, i ka hoʻomanawanuiʻana no nā kumu makemake i ka palapala lāʻau a me kona hoʻokoe, generics. No ka mea, "Kordaron" - e ka oihana inoa o amiodarone, ua loaa mai arrhythmias pinepine kahaha no, ina paha he mau ai 'analogues "Cordarone."
Like pili ana amiodarone, i ka ninau o kona analogues mea pololei ai pili, no ka mea, o kekahi o ka loa hanohano ai 'i loko o ke ao nei o ka cardiology, he ākea palapala noi. Mau ai ', e like me ka olelo maluna, i nuiʻaoʻao waiwai, pinepine deteriorating ola. No laila, i ke kahuna lapaau, a me ka hoomanawanui i hoihoi i ka mea e koho i ka lāʻau a me kā mākou ka hoʻokōʻana a me ka palena iki kamepiula i ke ola a me ka lala. Inā 'oe e huli i ka hua'ōlelo lāʻau "Kordaron" counterparts, e pono i nā hōʻike manaʻo o ka lapaau ana ma keia hihia no ka noho pilikia, nae, o ka papa, maoli nā mea maʻi i i nui, no ka mea, ke hai aku oe pehea lakou i manao ai i ka? Eaia a me ka mämä holo o ka hoouka kaua o ka hou. Me keia hana, e like me "kordaron" a me kekahi o na analogs e e ukali ma ka 'inikua hooponopono a me ka mālamaʻana o ke ola kūlana haʻahaʻa, a me na kumu o ka ECG.
Ua Radio nui i Mānoa a me ka haku mele 'ana o ka lāʻau. No ka laʻana, iodine, kekahi hapa o ka amiodarone ua contraindicated ia ma ka helu o nā maʻi. No hoi, ka mea hiki paha ka nānaina i ka hopena o nā haʻawina kekahi. Ia mea i kahaha ko oukou naau i na mea he nui e ae mai ka arrhythmia huli mea like "cordarone" me ka iodine e like 'dronedarone. " O ka holo ana, e puku i kekahi ka lapaʻauʻia Consulting i kou kauka wale nō ma hope. No laila, he nui Lūkini kilo'ōlelo mai e waiho aku i ka koho "Dronedarone" hoʻonuinui, e like me ka mea mea he nawaliwali Analog "cordarone". Ma Europa, nae, ia mea ua hala loa he ākea.
Ka wā koho i ka lāʻau a me ka Analog pono e hoohalike i ko lakou haku mele 'ana. E like me ka mau rula, a nōhie hoʻokoe i ole hoʻohālikelike ai i kekahi i kekahi - wale i ka mua. No kekahi laʻana, ina e pono ka Analog "cordarone" ma ampoules, ma kekahi hapa o ka ia pāʻoihana no ka pahu kui E e ike benzyl ka waiʻona, e like me ia ma ka palapala "Cordarone."
E like me lapaau noonoo, i emi iki mahope o ia i nā waiwai o ka lāʻau "Kordaron" analogues ma Rusia hooku iho la ia i kekahi 'ano nui helu o nā huahana, i loaʻa: "Ritmiodaron", "Sedakoron", "Amiokordin", "Kardiodaron", "Ritmorest", "Opakorden" "Amiodarone" mai kekahi mau Manufacturers ( "Amiodarone-'Acere", "Vero Amiodarone" a he nui 'ē aʻe). I mai la lakou a pau i ka mea hookahiʻeleu 'Oponopono, akā, e loaʻa kekahi mau excipients. He nui no ia, ua nui ho'ēmi ma mua o ka mea mua. Ma ka hapanui o na hihia, ua ololi hilinaʻi nui ma luna o ka Hookah. No ka laʻana, "Amiodarone", a ua kapaia o ka ia me ka mea kumu waiwai i loaʻa ma loko o ka hoʻomākaukau "Kordaron". Lūkini mea like, a me kona kumukuai mea aneane ekolu manawa ma lalo, eia nae ke kinona o ke kala, a me na nāʻikepili no ka mea wahi mea.
"Amiodoron" - ka maikai analogues ma Rusia. Heʻaneʻane indistinguishable mai ka "cordarone" a me ka loina o ka hana, a me ka hana o ka palapala noi i ka ia kiʻekiʻe hana i ka hopu ana fibrillation Episode a me ka Kāohiʻana o ko lākou mau hanana. Hoike no ia no ka hapanui loa maikaʻi. He nui no ia e olelo aku i ka "Amiodoron" Lūkini? Iecaianoaaiiuo kōkua e koke aku, a me ka kaumaha pobochki.
Dosing o ka lāʻau i loko o ampoules
I haiia ae maluna,, i ka pāʻoihana no ka pahu kui ua hōʻike no ka hoopoina koke ana o kokua ana i ka pilikia. pili "Kordaron" papa i loko o nā hihia. Analogs hana i loko o ka oia e like. Ua injected nā pāʻoihana ma ka catheter no 20-120 minuke paha bolus ma ka liʻiliʻi loa 3 minuke ma ka mahele lāʻau o ka 5 mg no 1 kg kino ke kaumaha.
Dosing papa "cordarone"
Ka lāʻau 'Ua ia ma ka Akala a ma nā kahua o ka hoʻonaʻauao.
Ka mua ke kahua, a me ka haawe pae: 600-800 mg hookahi manawa i kela la, mahuahua no 10 g.
Ka lua o ka mua, a me ka mālama 'ana i pae: 100-400 mg lāʻau (lōʻihi like' ole nānā 'ia e ke kauka). ʻO kā mākou mahele lāʻau o ka 1200 mg no ka lā.
An overdose o ka lāʻau Ua pilikia nui iho la ia. E pale ia, i ka hoʻomanawanui ua? Aeiiaiaoaony e ike pono pehea e lawe ka lapaʻauʻia "Kordaron" manual. Analogs, me ke kaulana counterpart i loko o Rusia "Amiadaron", ka hapanui o ia e haawi aku i ka mea symptoms o ka overdose.
Aia He He ikaika bradycardia, a hiki mai i ka cardiac hopu. Inā ka mea, ua kena ae la ia e ka papa palapala, ia mea pono e holoi mai i ka opu a me ka lawe chelators. I paʻa 'ē aʻe symptomatic lapaʻau, electrolyte koena ua like. Inā pono, e kau i ka pacemaker.
About intravenous overdose hōʻike mea kāpili. Ho'ākāka 'ia ma pohihihi keia hihia o ka sinus bradycardia, tachycardia, cardiac hopu. Lapaʻau mea i 'ano like me ia i hōʻike mai no ka overdose, kena ae la ia e huaale. Hemodialysis amiodarone a me kona metabolites ka mea, i wehe.
ʻaoʻao waiwai
E like me kekahi efficient paha o ka ikaika 'ana, "Kordaron" "Amiodarone" a me nā moʻo o analogs hoʻonāukiuki adverse hanana. Ka mea, i bradycardia mai i cardiac hopu, ke koko, i ka io ia ma luna o ke ake, pela i kekahiʻano kilakila papa inoa o contraindications.
Mai emi loa akā, nonetheless kaʻawaʻawa loaʻaoʻao-ole hiki ke kaulana headache a me ka pōniuniu, pleurisy, cough, i ka hoʻomanawanui i ohumu o ka nawaliwali, poino o ka pilikia makapō acuity. Hiki i allergic reactions. Na ia mau pilikia hiki ke loaa ma ka lawe ana i kekahi Analog. "Kordaron" a me ka 'ē aʻe ai' amiodarone o na papa io no keia kumu, e kuai lilo aku la i loko o keʻena kūʻai lāʻau lapaʻau wale ma kuhikuhi. A pāʻoihana no ka pahu kui ua hoʻohana 'ia wale nō i loko o ka haukapila kaiapuni.
Eia naʻe, me ka malama ia i loko o ke kohoʻana i hoikeia iki ka i kā mākou mahele lāʻauʻaoʻao waiwai, aole hoi e ole hōʻike i nā mea a pau. I kaulana i loko o ka loiloi 'ia o "kordaron" a me ka "Amiodarone" e hoomanawanui i lawe i kēia mau ai', pobochka ana nāwaliwali, hoopuni eliminated ma ka hoʻoponopono o ka lāʻau mahele lāʻau.
Contraindications
No ka mea, amiodarone - he nani ikaika lāʻau, ia mea e kahaha ko oukou naau i ka mea hiki ole ke kōkua wale i ka hoʻoikaika 'o ka moku'āina i loko o ka helu naʻau pilikia o, akā, i ka mea ia manawa me kekahi kŘpuna ia ma nā nā loko a me keʻano worsens me kekahi concomitant maʻi. E pale kamepiula,ʻaʻole paipai Inc me keia k i loko o kekahi mau hihia.
Aia nō i ka laulā o nā kumu no ka hali 'ana paha, mai ka'āponoʻana "Kordaron", "Amiodarone" a me nā counterparts i loko o ka papa. Ka mea mua o kekahi'āno'ē naau kulana - sinus bradycardia, atrioventricular aeie mea degere, hypotension, prolongation o ka QT wā mawaena ma ka ECG. Ua hiki ole ke ia ina ka hoʻomanawanui ua kuu iho la i loko o ke kino maʻiʻo o ka potasiuma a me ka makanekiuma.
Contraindications nā thyroid maʻi, like hoʻi me hāpai keiki, a breastfeeding - i ke kumu no ka iodine, a iloko ona i kakauia i ka lāʻau "Cordarone." Analog,ʻaʻole i loaʻa ka mea, hiki ke lawe wale ma ka Kauka o ka aʻo.
Nā mea maʻi i loko o ka kūpuna ua waiho ia mālama nui e lawe i "Kordaron" a me ka "Amiodarone" a me nā analogs. Hoʻomanawanui iki mai kaikaina ma mua o makahiki 18, mau laau lapaau mea i kohoia.
Mai hāʻawi aku i kekahi mea no ka poe e ae, mai bronchial asthma, naehana hanu ole, ua kaheaia naʻau ole. Loa ake maʻi a me nā konāhua - no hoi he kumu e hoole lapaʻau ma keia hana.
Oiaio no, ua e i lawe i ka lāʻau 'ina he mea kekahi kanaka intolerance i na eiiiiiaiou o ka lāʻau "Cordarone." Analogues ma Rusia a me Europa,'āina'ē aʻe i ka ia haku mele 'ana, no laila, i loko o keia hihia, e puku i kekahi'ē aʻe Agena mea olelo lealea, e holomua.
Me ka pili ana i ka injections, ka mea hiki ole e keiki ma lalo o 3 makahiki, no na keiki mua o 3 makahiki, i ka mahele lāʻau e ole oi 5 mg / kg. Mai hui pu i ka lāʻau i loko o ka hookahi 'ohe me ka'ē aʻe ai'. I mau, contraindications i ka pāʻoihana like i na contraindications i ka papa. Kēia sinus bradycardia, maʻi sinus maʻi pale a me ke koʻikoʻi conduction kāna hana, e like me sinoatrial aeie naau a me paroxysmal ventricular tachycardia. I nui, e hiki iaʻike manaʻo wā lawe amiodarone ma ka hui pu ana, a me kekahi mau 'ē aʻe ai'.
I hoakaka ia injections i hāpai keiki mea hiki wale nō i loko o loaʻa kekahi hihia, ka wā lactation mea he ano o ka lapaʻau ua pau ke hoʻokoe '. He mea hiki ole i ka hoʻomaka Inc ka hoʻohana 'ana "cordarone" pāʻoihana me thyroid dysfunction, allergic reactions i ka iodine' ole amiodarone.
AaOIeIOUIeXAOAaIN me nā ai '
"Kordaron" hiki ke hui me'ē aʻe ai '. No laila, kona antianginal hookoia ua hoʻokāʻoi 'ia ma ka hui pu ana me ka nitrate ai' hooloihiia hana. Ua hiki ke hoʻohana 'ia ma ka huipūʻana me anticoagulants, diuretics, cardiotonic ai', mai e launa pū 'a, pakahi, mai i kona nāwaliwali a hoʻoikaika i ka hopena o kela a me keia "Kordaron" a me kekahi'ē aʻe neuroleptics, analgesics, hypnotics a me kiaha dala. Kokoke i pane maʻalahi i mau ai 'kekahi Analog.
"Kordaron" hiki ole ke hoʻohana ka poʻe me Mao nā mea kūpale a me Hoʻokolohua-blockers (i loaʻa kekahi hihia wale nō).
Kaiapuni no ka hana maikaʻi "kordaron" a me ka "Amiodarone"
Iloko o ke? Eaia o kēia mau mea pono ka mālamaʻana kino ana ma mua o ka lapaau, i ka wā a ma hope o ia.
Prior i a me ka manawa Inc papa palapala hopu ECG ua paipai. Kanawai o ka lāʻau kumu hoʻololi i loko o ka electrocardiogram, ma ka pau, prolongation o ka wā mawaena T a me Q-Q-T. Ma hope mai o ka hopena o ka hookolokolo ana i ke kauka e hoʻomaʻa i ka laʻau heluna, a, e hooholo i ka laulā o ka lapaau.
Ua 'ōlelo lapaʻau ka wā ulu atrioventricular aeie II a III degere sinoatrialnaya, intraventricular mau-mea ulana lole.
Mai kekahi o na eiiiiiaiou o ka lāʻau ka iodine, pono ka pololei, ka mālamaʻana o ka thyroid hana. Ma mua o lapaʻau mea pono e hooholo i ka nui o ka hormones T3, T4 a me TSH. Eʻoluʻolu, e hoailona oukou ia ma luna o ke kāʻei kua o ka "cordarone" o ka thyroid radioisotope haʻawina hiki e unreliable. Ma hōmona pae o ka iodine, aole ia e pili i ka ikepili.
Kekahi mea nui ololi mea e hooholo i ke kiʻekiʻe o ka potasiuma i loko o ke koko lāʻau lapaʻau mua lapaau, a iloko o ia.
Wā lawelawe "cordarone" paipai intravenous infusion wale, aʻaʻole i ka 'ohe ka pahu kui. I ole ia, paha i ka hooulu ana o hemodynamic kāna hana - arterial hypotension, huʻi mea'ōnaehana mānowai koko insufficiency. 'Ohe e inject i ka lāʻau wale i loaʻa kekahi pilikia wahi, i hiki i ka wa e kaawale aku o nā nā papaha. Ma keia hihia i ka mahele lāʻau mea 5 mg / kg, a ua loaʻa i ekolu minuke, hou - i koke ma mua o 15 minuke ma hope o ka hooponopono mua. Ka hana hiki e lawe mai wale i loko o ka coronary malama Oihana ma lalo o ka hooponopono ana o ka ECG. "Kordaron"ʻaʻole e hui i loko o ka 'ohe a me nā ai'. Inā 'oe i i ka loa-makahiki lapaʻau ua koi' ia e hele i ka infusion. Kekahi intravenous amiodarone lawe mai i loko o ka haukapilaʻo.
E paleʻaoʻao waiwai, nā mea maʻi e like me ka mea i hoakakaia laʻau heluna o ke kauka.
Ma lapaʻau, e hoomanawanui i pono pale Map, a hana ka palekana i ka mea (me kūikawā holika), ina he pono.
Mai poina e kamailio me kou kauka, ina no kekahi kumu e makemake ole e lawe "Kordaron" a me kona counterpart. "Kordaron" a me ka like ai 'ana me ia, i kekahi cardiac ai''ē aʻe e like me hiki e loa weliweli ina kipi? Eaia. Wale i ke kauka ke hooholo i ka lapaʻauʻia makemake e maikaʻi i loko o kou hihia, a, e koho i ka palekana, akā, pono ka laʻau heluna.
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