"Tenorik" ingcinezelo. "Tenorik": ziziphumo ebezingalindelekanga, inkcazelo, umsebenzisi, isicelo, Izimo

Lwegazi - ngezifo, zifuna esweni rhoqo amayeza rhoqo. Izigulane ezininzi ziye zaphawula iziphumo ezidibanisayo emva "Tenorik" uxinzelelo iziyobisi, okuhlanganisa nemiphumo ezimbini.

indlela isenzo

Indibaniso mithi ukusebenza ixesha elide umfutho ngenxa izithako ezisebenzayo kwi ekwakhiweni. Atenolol fanele ukuba cardioselective β1-blocker kwaye akukho inwebu gulwa, umsebenzi sympathomimetic. Xa isenzo yayo lunciphisa inani izishunqulelo kwemisipha intliziyo sehlise excitability. Izalathisi eliphezulu (iSystolic) kunye (ukuzala) umfutho sime ngeenyawo.

Chlorthalidone - monosulfamilny (thiazide) umchamo leyo ovelisa isodiyam nemagnesium, namanzi emzimbeni, nto leyo inceda uxinzelelo lwegazi asezantsi. Le Ububi yinxalenye wehlisa izinga potassium, kubalulekile ukuba intliziyo. ukusebenza iqinile konyuso ngexesha kwiiveki 3-4.

Isiphumo unyango HIV kwaphunyezwa ukudityaniswa kwezinto iziyobisi esebenzayo - atenolol kunye chlorthalidone. Drug "Tenorik" (cwecwe uxinzelelo) uyasebenza iintsuku emva idosi enye. Ubude unyango kumiselwa gqirha, kwaye kuxhomekeke iqondo lwegazi.

"Tenorik": ezibonisa ukuba ukusetyenziswa kweziyobisi

Esi sixhobo iboniswe ukuba unyango lwezifo - umfutho wegazi. Le yindibaniselwano yeekhomponenti kuvumela ithatha izigulane zakhe tachycardia kunye arrhythmias. Le xi kancane kancane phantsi yintshukumo ichiza ku (zomsebenzi) izikhombisi eziqhelekileyo, leyo uyakuphepha vertigo.

Oonobangela xi ophezulu (hypertension)

isifo sentliziyo ubekwa kwindawo yokuqala phakathi ezibangela ukufa. Ezi ziquka kunye noxinzelelo lwegazi zezona zixhaphakileyo kwizigulane kwiminyaka engama-40. Kumanqanaba okuqala, xa leengxaki na ukubakho, iimpawu phantse ndingekho, kunye oluthile kancinane, intloko ebuhlungu, isiyezi, wayedla ngokubhekisele kungumthwalo banal komzimba.

Iimbangi ezingundoqo nomfutho ziquka:

• Nokuphazamisa inkqubo yonyango.
• nethe ongeva kakuhle emzimbeni.
• amazinga cholesterol ephakamileyo.
• Utyebile, ukutyeba.
• imikhwa emibi (ingakumbi ukutshaya).
• yokuphila Ayisebenzi.
• ukusetyenziswa rhoqo ukutya okungekho mpilweni.
• yofuzo.

Kuxhomekeka ibakala lwegazi okunyangayo ugqirha kufuneka ukhethe iziyobisi kukunceda ugcine uxinzelelo lwegazi kwinqanaba elifanelekileyo. Kuba unyango degrees 1 no-2 inokwalathelwa "Tenorik", ixabiso leyo ixhomekeke umthamo macandelo esebenzayo. Khumbula ukuba iziphumo ezidibanisayo kuyimfuneko ngayo ukutshintsha ngokupheleleyo, le yesiqhelo indlela yobomi kunye nokubeka iliso rhoqo yokufundwa uxinzelelo.

Izikali

"Tablets Tenorik 'elinokuqukatha 50 okanye 100 mg na into esebenzayo. Ebudeni okuqala onyango emiselweyo zedosi ewu - 50 mg ngosuku. Le nguqu egqibeleleyo ifunyanwa xa efumana 100 mg. Kwiintsuku nje ezimbalwa kuyimfuneko iliso uxinzelelo lwegazi, kwaye ukuba unyango ngamachiza ayinasiphumo, oko ithathwa sesinye arhente unesifo. Ukwanda amathamo ngemihla (100 mg) akazange kukhokelela ekunciphiseni ngakumbi koxinzelelo, ngoko ivame ezimiselweyo iziyobisi ezongezelelweyo.

izigulane abadala kufuneka uthathe iziyobisi "Tenorik" izilinganiso engaphantsi. Kuba abantu kwezintso kuthetha lekhefu phakathi amathamo landa. "Tenorik" isiselo omnye kunye nexesha elifanayo (ekukhethwa ukuba zibe kusasa), kunye intwana yamanzi. Ichiza senzelwe iindlela ixesha elide kwaye akufunekanga ukuba isetyenziswe xa kuyimfuneko ukuyeka kokuhlaselwa lwegazi.

ukusebenzisa Iimpawu

Ukuba ichiza unesifo kuqeshwa abantu kunye neemeko comorbid, ingqalelo ekhethekileyo kufuneka ihlawulwe lezempilo emva ukuthatha iyeza. "Tenorik" kontanga isilumkiso ezisetyenziswa izifo inyumoniya (kumiselwe ngakumbi β2-adrenostimulyatorov), ukusilela intliziyo congestive, isifo seswekile. Izigulana pheochromocytoma ichiza kusetyenziswa udibanise kunye blocker alpha-adrenergic ukuthintela ukunwenwa lobunzima unesifo.

Akuvunyelwe ukuba ukusela utywala ngexesha unyango "Tenorik" iziyobisi. Ubungqina obubonakalayo buxela ukuba isetyenziswe (ngokutsho manual) zivumelekile ukusebenzisa ngexesha lokukhulelwa phantsi kweliso elibukhali lika gqirha. unyango kufuneka ayekiswe phambi utyando (iiyure ezingama-48).

ukusetyenziswa lwexesha elide ichiza ayikwazi ukuba wavele uphazanyiswe, ukuze kubangela uyeka, ingakumbi xa kukho isifo sentliziyo (isifo sentliziyo igcwele nophuhliso). "Tenorik" kunciphisa ukunyamezelana iswekile yegazi.

Izimo ukuba ukuqeshwa

Kukho intaphane Izimo, othintela ukusetyenziswa "Tenorik". Ukusetyenziswa kweziyobisi ngokuba unyango nomfutho akwamkelekanga ukuba isigulana umntu imbali iSifo zilandelayo:

• Bradycardia.
• Hypotension (ineqondo eliphantsi okanye uxinzelelo lwegazi).
• Pheochromocytoma.
• Igawuthi.
• Hypoglycemia.
• lactic metabolic.
• Myasthenia gravis.
• kwemigudu Obstructive.
• somoya inyumoniya.
• senhliziyo olunamandla.
• hepatic Acute okanye ukusilela kwezintso.
• angina Vasospastic.
• senhliziyo Chronic.
• AV-block 1 degree 3.
• Ukutyeshelwa balance yamanzi-electrolyte.
• Emphysema.
• Pregnancy (kwiimeko ezingxamisekileyo) kunye zisanyisa.
• Iminyaka ukuya kutsho kwiminyaka eli-18.
• Hypersensitivity kwezakhi iziyobisi.

Imithi "Tenorik" ingcinezelo linokukwenziwa kuphela kugqirha ukuze uphephe iziphumo ezibi self-unyango.

iimpawu libanda

Ukwandisa umthamo ekucetyiswa yemihla ngemihla ichiza kunokubangela eziliqela iimpawu ezingathandekiyo kubonisa i libanda. Xa hypotension esimbaxa, bronchospasm, bradycardia, ukusilela congestive intliziyo, ukuxhuzula, ilahleko osezingqondweni, ukugabha, imfuno engxamisekileyo ukuba ufune uncedo lonyango. Isigulana iimpawu libanda, iziyobisi ezifana lixhomekeke esibhedlele kunye kweliso lomgadi kumagqirha.

Intsebenziswano "Tenorika" kunye namanye amachiza

Imali evela kwiqela β1-blocker ngononophelo esetyenziswa ukunyanga kweziyobisi antiarrhythmic kwiklasi yokuqala, ukuze bandiqumbise ukwandisa amanyathelo cardiodepressive.

ACE inhibitors kufuneka ingenakuthatyathwa iziyobisi "Tenorik". Izimvo ezigulane kunye noogqirha sicebisa ukuba i "duet" loo umfutho zinokukhuliswa. Iimpawu Ukwanda uxinzelelo lwegazi kunokwenzeka ngexesha kunokwamkela "Tenorika" kunye iadrenaline (norepinephrine). Akufunekanga oludibanisa β1-blocker kunye Mao inhibitors (kukho umngcipheko umfutho).

Reception "Tenorika" kwakunye naziphi na ezinye iindlela eli qela kufuneka simiswe kwiintsuku nje ezimbalwa ngaphambi kokuphela ukusetyenziswa clonidine. Iziyobisi iqanjwa lithium, akukho enqwenelekayo ukusebenzisa kunye womchamo (kwanciphisa sezintso yokususwa isuntswana).

Khetha amalungiselelo elukhuni yonyango kuphela gqirha lwegazi abangakwazi iya kuthathela ingqalelo intsebenziswano kweziyobisi kunye nomonde tolerability zabo. Self nokuba lungenasiphumo okanye enokukhokelela ukonakala kweendlela zempilo.

imiphumela emibi

Drug "Tenorik" phantse akukho iziphumo ebezingalindelekanga, ukuba ukukhawulelana idosi izincomo ukusetyenziswa. Kwiimeko ezinqabe kakhulu, kunokubangela ezinye iingxaki:

• umlomo owomileyo.
• disorder zesisu.
• Nokuqunjelwa.
• zokulwa nale ngxaki.
• Ezingekho.
• Ukunganaki.
• ongaboniyo.
• Bradycardia.
• yesiqephu snap ebandayo.
• AV-block.
• Arrhythmia.
• irhashalala Skin.
• Exacerbations Izifo ezikhoyo (nangokhwekhwe, ukhwekhwe).
• syndrome amehlo owomileyo.
• amandla Ukuncipha.
• Utshintsho parameters elebhu (hypokalemia, hyperuricemia).
• Bronchospasm.

Ukufumana iziphumo ebezingalindelekanga, kufuneka udibane yincutshe. Imithi-hlengiso uxinzelelo lwegazi izigulane "Tenorik" ratings leyo kakhulu ezintle, kuba nemiphumo emihle nezinyangayo. Emva kokuba uxinzelelo zonyango zigcinwa kwi kuluhlu eqhelekileyo kwiinyanga 2-3.

Analogs "Tenorika"

Kungakwenza ukuba kufakwe iziyobisi neziphumo ezifanayo yaye izithako ezisebenzayo efanayo ekwakhiweni. "Tenorik" (ixabiso unit ngamnye umthamo we-50 mg -. 150-190 engange) kwimveliso in India yenye amachiza afumanekayo umfutho. Ukuze nucleoside cheap ziquka "Tenonorm", "Tenoroks", "Compositum Atenolol Sandoz".

Enye indawo - "Tenoretik" - yemveliso kweziyobisi eNgilani. Eyahluke ixabiso kuphela eliphezulu (miri 600-750. Ukuze Packaging izilinganiso kwezinto esebenzayo 100/25 mg). Imiyalelo yokusebenzisa zichazwe iimpawu ezifanayo medicament, iziphumo kunokwenzeka ngapha Izimo.

ukuvimbela nomfutho

Into yokuqala kufuneka sinikele ingqalelo kwizigulane unesifo, kukutya. Ukususela ukutya kufuneka lupheliswe ngokupheleleyo amafutha eziyingozi isilwanyana, ziilekese, utywala, ikofu olomeleleyo, kunye neti. Kukhethwa inikwa iziqhamo, imifuno, intlanzi, ukutya okuziinkozo, iimveliso zobisi, iivithamini kunye neeminerali. izikhongozeli ecacileyo cholesterol kwemfuneko kunokuba ngoncedo amayeza kunye zokupheka amayeza emveli (kuyo nayiphi na imeko, kufuneka udibane nogqirha).

Ukuthatha iziyobisi (umz: "Tenorik") a xi kubalulekile ukuba sigcine ubomi obunempilo esebenzayo. Ukuba kunokwenzeka, kufuneka uchithe ixesha elingakumbi phandle, ukwenza imithambo elula ngaphandle amandla enzima emzimbeni, ukuphefumla imithambo.