Okuqukethwe
I-Bisoprolol iyingxenye yeqembu lama-beta-blockers akhethiwe futhi isetshenziswa ku-cardiology ye-coronary heart disease, ukwehluleka kwenhliziyo okungapheli. Ngokuvamile kunqunyelwe ukwelashwa kwe-arrhythmias yenhliziyo kanye nomfutho wegazi ophakeme.1.
I-Bisoprolol inciphisa ingozi ye-myocardial infarction nokufa kwenhliziyo. Umuthi unciphisa ukusetshenziswa komoya-mpilo ngemisipha yenhliziyo, unweba izitsha ezondla inhliziyo, unciphisa imvamisa yokuhlaselwa kobuhlungu futhi ube nomthelela omuhle ekuqaguleni kwesifo.2.
Imiphumela emibi lapho uthatha i-bisoprolol ayivamile. Njengomthetho, zihlotshaniswa nohlelo lokusebenza olukhethwe ngokungalungile. Ngenxa yalokhu, isiguli singanciphisa kakhulu umfutho wegazi futhi sehlise ukushaya kwenhliziyo. Phakathi kweminye imiphumela emibi: isiyezi, ikhanda elibuhlungu, i-dyspepsia, ukuphazamiseka kwesitulo (ukuqunjelwa, isifo sohudo). Ukuvama kokuvela kwabo akudluli i-10%.
I-Bisoprolol inqunyelwe ukunakekelwa okukhulu ezigulini ezine-asthma ye-bronchial kanye ne-atherosclerosis yemithambo yemikhawulo engezansi. Ekwehlulekeni kwenhliziyo, umuthi kufanele uthathwe ngemithamo emincane - 1,25 mg kanye ngosuku.
Uhlu lwama-analogue aphezulu ayi-10 kanye nezindawo ezishibhile zeBisoprolol ngokwe-KP
1. Concor
I-Concor itholakala ngohlobo lwethebhulethi engu-5 no-10 mg futhi iqukethe i-bisoprolol njengesithako esisebenzayo. Umphumela oyinhloko womuthi uhlose ukunciphisa izinga lokushaya kwenhliziyo kokubili lapho uphumule futhi ngesikhathi sokuzivocavoca, kanye nokwelula imithambo yenhliziyo.
I-Concor ithathwa isikhathi esingu-1 ngosuku ekuseni, kungakhathaliseki ukuthi yikuphi ukudla. Isenzo somuthi sithatha amahora angama-24.
Ukungafani: ukuhluleka kwenhliziyo okubuhlungu nokungapheli, ukushaqeka kwe-cardiogenic, ukuvinjelwa kwe-sinoatrial, i-bradycardia eqinile kanye ne-arterial hypotension, izinhlobo ezinzima zesifuba somoya, iminyaka efika ku-18.
2. Niperten
I-Niperten itholakala ngendlela yethebhulethi engu-2,5-10 mg futhi iqukethe ne-bisoprolol ekubunjweni kwayo. Umphumela womuthi uzwakala kakhulu emahoreni angama-3-4 ngemuva kokumunca, kepha ukugxila egazini kuqhubeka amahora angama-24, okuqinisekisa umphumela omude wokwelapha. I-Niperten kufanele ithathwe kanye ngosuku ekuseni, kungakhathaliseki ukuthi udla ngani.
Ukungafani: ukwehluleka kwenhliziyo okunamandla, ukwehluleka kwenhliziyo okungapheli esigabeni sokubola, ukushaqeka kwe-cardiogenic, ukuwa, ukwehla okukhulu komfutho wegazi, izinhlobo ezinzima zesifuba somoya we-bronchial kanye ne-COPD emlandweni, ubudala obufika eminyakeni engu-18.
3. I-Bisogamma
I-Bisogamma nayo iqukethe i-bisoprolol futhi itholakala kumathebulethi angu-5 no-10 mg. Lona umuthi wansuku zonke - umphumela wawo wokwelapha uhlala amahora angu-24.
Qala ukwelashwa ngomthamo we-5 mg 1 isikhathi ngosuku. Khona-ke, uma kunesidingo, umthamo ukhuphuka ube ngu-10 mg 1 isikhathi ngosuku. Umthamo omkhulu ovunyelwe ngosuku ngu-20 mg. I-Bisogamma kufanele ithathwe ekuseni ngaphambi kokudla.
Ukungafani: ukushaqeka (kuhlanganise ne-cardiogenic), i-pulmonary edema, ukwehluleka kwenhliziyo okunamandla, ukwehluleka kwenhliziyo okungapheli esigabeni sokudilizwa, i-bradycardia eqinile, i-arterial hypotension (ikakhulukazi nge-infarction ye-myocardial), izinhlobo ezinzima zesifuba somoya kanye nezinye izifo zokuphefumula umoya, ukudangala, ukukhula ngeminyaka. ukuya eminyakeni eyi-18.
4. I-Concor Core
I-Concor Cor iyi-analogue egcwele yomuthi i-Concor, kanye nokuthatha indawo ye-Bisoprolol ngempumelelo. Ukwakheka nakho kuqukethe into esebenzayo yegama elifanayo, futhi umehluko omkhulu usesilinganisweni. I-Concor Cor itholakala kuphela ngomthamo we-2,5 mg. Ngaphezu kwalokho, amaphilisi amhlophe, ngokungafani ne-Concor, enombala omnyama ngenxa yokugxila okuphezulu kwento esebenzayo.
Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, ukwehluleka kwenhliziyo okubuhlungu nokungapheli, ukushaqeka kwe-cardiogenic, i-bradycardia eqinile kanye nomfutho wegazi ophakeme we-arterial, izinhlobo ezinzima zesifuba somoya, iminyaka efinyelela eminyakeni eyi-18.
5. I-Coronal
Futhi futhi, umuthi oqukethe into esebenzayo i-bisoprolol. I-Coronal itholakala kumaphilisi angu-5 no-10 mg futhi isebenza amahora angu-24. Udinga ukuthatha ithebhulethi 1 isikhathi ngosuku ekuseni ngaphambi kokudla. Umthamo omkhulu wansuku zonke ngu-20 mg.
Ukungafani: ukushaqeka (kuhlanganise ne-cardiogenic), ukwehluleka kwenhliziyo okunamandla kanye nokungasebenzi kahle okungapheli, i-bradycardia enzima, i-cardiomegaly (ngaphandle kwezimpawu zokwehluleka kwenhliziyo), i-arterial hypotension (ikakhulukazi nge-infarction ye-myocardial), isifuba somoya nesifo samaphaphu esingamahlalakhona emlandweni, isikhathi sokuncelisa, iminyaka yobudala ukuya eminyakeni eyi-18.
6. I-Bisomor
Umuthi i-Bisomor uqukethe ne-bisoprolol futhi iyindawo engabizi kodwa esebenzayo yomuthi wokuqala onegama elifanayo. I-Bisomor itholakala kumaphilisi anomthamo we-2,5, 5 kanye ne-10 mg futhi isebenza amahora angama-24. Thatha umuthi kanye ngosuku ekuseni ngaphambi kokudla. Umthamo omkhulu ovunyelwe nsuku zonke ngu-1 mg.
Ukungafani: ukushaqeka (kuhlanganise ne-cardiogenic), ukwehluleka kwenhliziyo okunamandla kanye nokungasebenzi kahle okungapheli, i-bradycardia enzima, i-cardiomegaly (ngaphandle kwezimpawu zokwehluleka kwenhliziyo), i-arterial hypotension (ikakhulukazi nge-infarction ye-myocardial), isifuba somoya nesifo samaphaphu esingamahlalakhona emlandweni, isikhathi sokuncelisa, iminyaka yobudala ukuya eminyakeni eyi-18.
7. Egilok
Umuthi i-Egilok awuthathi indawo elinganayo yeBisoprolol, njengoba iqukethe i-metoprolol njengesithako esisebenzayo. Isenzo esiyinhloko se-Egilok sihloselwe ukwehlisa umfutho wegazi nokushaya kwenhliziyo.
Umuthi ukhiqizwa amaphilisi ngomthamo we-25, 50 no-100 mg. Umphumela omkhulu ubonwa emahoreni angama-1-2 ngemuva kokuphathwa. Udinga ukuthatha amaphilisi izikhathi 2-3 ngosuku.
Ukungafani: ukwehluleka kwenhliziyo esigabeni sokubola, ukushaqeka kwe-cardiogenic, ukuphazamiseka okukhulu kokujikeleza kwe-peripheral, kufaka phakathi usongo lwe-gangrene, i-acute myocardial infarction, ukuncelisa ibele, iminyaka efika kweyi-18.
8. Betalok ZOC
Okunye ukushintshwa yiBisaprolol, equkethe i-metoprolol. I-Betaloc ZOK itholakala ngohlobo lwamaphilisi, futhi isenzo sayo esiyinhloko ukwehlisa umfutho wegazi. Umphumela omkhulu womuthi uzwakala emahoreni angama-3-4 ngemuva kokuwuthatha. I-Betaloc ZOK inesenzo eside, ngakho sithathwa kanye ngosuku.
Ukungafani: I-AV block II ne-III degree, ukwehluleka kwenhliziyo esigabeni sokubola, i-sinus bradycardia, ukushaqeka kwe-cardiogenic, i-arterial hypotension, okusolwa ukuthi i-acute myocardial infarction, ubudala obungaphansi kweminyaka engu-18.
9. I-SotaGEKSAL
I-SotaGEKSAL iqukethe i-sotalol futhi itholakala ngohlobo lwamaphilisi anomthamo ongu-80 no-160 mg. I-Sotalol, nakuba ingeye-beta-blockers, njenge-bisoprolol, nokho, isetshenziswa kakhulu njengesidakamizwa esinomphumela we-antiarrhythmic futhi inqunyelwe ukuvimbela i-atrial arrhythmias kanye nokugcinwa kwesigqi se-sinus. Kudingeka ukuthatha i-SotaGEKSAL izikhathi ezingu-2-3 ngosuku.
10. Abangenalo ithikithi
I-Nebilet iqukethe into esebenzayo i-nebivolol. Umuthi ukhiqizwa ngendlela yamaphilisi ngomthamo we-5 mg. Isenzo esiyinhloko se-Nebilet sihloselwe ukwehlisa umfutho wegazi ekuphumuleni nokuzikhandla ngokomzimba, kanye nangesikhathi sokucindezeleka. Umphumela omkhulu uvela kungakapheli amahora angama-1-2 ngemuva kokuthatha umuthi. Udinga ukuthatha i-Nebilet isikhathi esingu-1 ngosuku.
Ukungafani: ukwehluleka kwenhliziyo okunamandla, ukwehluleka kwenhliziyo okungapheli esigabeni sokubola, i-arterial hypotension eqinile, i-bradycardia, ukushaqeka kwe-cardiogenic, ukungasebenzi kahle kwesibindi, umlando we-bronchospasm kanye nesifuba somoya, ukucindezeleka, iminyaka engaphansi kwe-18.
Ungakhetha kanjani i-analogue ye-bisoprolol?
Zonke lezi zidakamizwa ezingenhla, ngokwezinga elithile noma kwelinye, ziyi-analogue ye-Bisoprolol. Zihluke ngobukhulu kanye nobude bomphumela wokwelapha, ukuncibilika emafutheni nasemanzini, kanye nemiphumela eyengeziwe kanye nemiphumela emibi.3. Udokotela kuphela ongakhetha i-analogue esebenzayo ye-bisoprolol, ngoba umuthi ngamunye unezici zawo zokusetshenziswa, futhi izinto ezisebenzayo azishintsheki. Isibonelo, awukwazi ukufaka esikhundleni sika-10 mg we-bisoprolol ngo-10 mg we-nebivolol - lokhu kungalimaza kakhulu impilo yakho.
Izibuyekezo odokotela mayelana analogue Bisoprolol
Odokotela benhliziyo abaningi batusa isidakamizwa i-Concor, esinciphisa ngempumelelo ukushaya kwenhliziyo futhi singabangeli imiphumela emibi. Kungcono ukukhetha umthamo womuthi, uqale ngomncane kakhulu, bese uwushiya isikhathi eside4.
Odokotela baphinde batusa ukusebenzisa i-Betalok ZOK. Umuthi wehlisa ngempumelelo umfutho wegazi futhi uthathwa isikhathi esingu-1 kuphela ngosuku.
Ngasikhathi sinye, ochwepheshe bagcizelela ukuthi naphezu kwenani elikhulu lama-analogues e-Bisoprolol, udokotela kuphela ongakhetha umuthi odingekayo.
Imibuzo nezimpendulo ezidumile
Sixoxe ngezindaba ezibalulekile ezihlobene nama-analogues e-bisoprolol udokotela wesayensi yezokwelapha, udokotela wenhliziyo uTatyana Brodovskaya.
Yiziphi iziguli ezinconywe i-bisoprolol?
Kwenzekani uma uyeka ukusebenzisa iBisoprolol bese ushintshela ku-analogue?
Imiphumela emibi efana ne-bradycardia, ukuthuthukiswa kokuvinjelwa kwe-atrioventricular, ukunciphisa ingcindezi kuncike ngokuqondile kumthamo womuthi. Ngakho-ke, uma kuvela imiphumela emibi, ungaxoxa nodokotela wakho ngendaba yokunciphisa umthamo, futhi ungayiqedi ngokuphelele.
Ukukhethwa kwe-analogue nokushintshwa kwe-bisoprolol akukwazi ukuphathwa ngokuzimela. Udokotela kuphela ozocabangela zonke izici zesimo somtholampilo wesiguli: ukuba khona kwe-hypertrophy ye-ventricular kwesokunxele, i-dyslipidemia, isimo sesibindi nezinso, i-arrhythmias, bese ukhetha i-beta-blockers edingekayo.
Imithombo:
- I-Shlyakhto EV Cardiology: umhlahlandlela kazwelonke. M., 2021. https://www.rosmedlib.ru/book/ISBN9785970460924.html
- izindinganiso zomtholampilo. I-Cardiology. EV Reznik, IG Nikitin. M., 2020. https://www.studentlibrary.ru/book/ISBN9785970458518.html
- Клинические рекомендации «Хроническая сердечная недостаточность у взрослых». 2018 – 2020. https://diseases.medelement.com/disease/%D1%85%D1%80%D0%BE%D0%BD%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F-%D1%81%D0%B5%D1%80%D0%B4%D0%B5%D1%87%D0%BD%D0%B0%D1%8F-%D0%BD%D0%B5%D0%B4%D0%BE%D1%81%D1%82%D0%B0%D1%82%D0%BE%D1%87%D0%BD%D0%BE%D1%81%D1%82%D1%8C-%D1%83-%D0%B2%D0%B7%D1%80%D0%BE%D1%81%D0%BB%D1%8B%D1%85-%D0%BA%D1%80-%D1%80%D1%84-2020/17131
- 2000-2022. UKUBHALISA IMITHI YE-RUSSIA® RLS https://www.rlsnet.ru/