Verapamil isiri mishonga yakanyorerwa calcium channel blockade, kana zvichifanira. Mushonga weVerapamil ine zviratidzo zvakawanda zvekushandiswa. Nekubatsirwa kwaro, unogona kutora prophylaxis yekutambudzwa kwema angina, uye Prinzmetal angina pectoris zvakare.
Action of the drug Verapamil
Iyo huru yekurapa yemishonga iyi yemishonga inokonzerwa nekukwanisa kwayo kwakanakisisa kusabvumira calcium ions kupinda mukaneta masero masero emidziyo yemidziyo uye mu cardiomyocytes. Nhengo inoshanda yechirwere ichi inoderedza kukosha kwemyocardium muO2 (oksijeni), kuderedza myocardial contractility uye kuderedza mwoyo yemutengo.
Mukuwedzera, verapamil inokwanisa kukwanisa maronary coronary, naizvozvo, inowedzera kugoverwa kweropa. Kuderedza mutinhiro wemisara yakasvibira yemidziyo yemhepo, Verapamil ine simba rinopesana nemhepo. Ne supraventricular arrhythmias, anounza simba rinopesana, zvichiita kuti mwoyo udzokere kumashure.
Verapamil chii?
Ichi chinodhaka chinoratidzwa:
- angina pectoris;
- supranventicular, ciliary uye sinus tachycardia ;
- arterial hypertension.
Zviratidzo zvekushandiswa kwe verapamil dambudziko guru rehutano, huwandu hwekuwedzera kwehutano mune imwe denderedzwa yeropa.
Uyewo akakodzera pakurapa nekudzivirira kwezvimwe zvakasiyana-siyana supraventricular arrhythmias:
- extrasystole;
- paroxysmal tachycardias;
- flutter uye fibrillation yechirungu.
Mushure mokudya, mushonga wacho unotapurika ne 90%, uye huwandu hwehuwandu hunoita 20-35% kana uchitanga kupfuura nechiropa. Nekugara kwenguva refu kubvuma uye mune maitiro akareba, chiratidzo ichi chinowedzera.
Kushandiswa nekupikisa kwechirwere cheVerapamil
Chiremba anofanira kuraira regimen uye kuenzanisa mumwe nomumwe. Sezvo mutemo, kune vanhu vakuru, chiyero chekutanga chinobva pamakumi mana kusvika makumi masere maseregiramu katatu pazuva. Mazuva ose mazhizha anogona kuva 480 mg.
Kuwanda kwekushanda kwakaitwa katatu kana mana pazuva. Tora mishonga panguva yekudya kana pakarepo mushure mekudya, musingakanganwi kunwa mvura shomanana.
Contraindicated mukushandiswa kweVerapamil kune vanhu vane:
- cardiogenic shock;
- chinonzi bradycardia;
- arterial hypotension;
- chirwere chekushaya simba kwechivi chechi sinus;
- AV kudzivirirwa kwechidimbu chema 2-3;
- kusingaperi moyo kusakatika kwemashure matatu;
- Wolff-Parkinson-White syndrome;
- acute heart failure;
- hypersensitivity kune kuumbwa kwemishonga.
Mushonga unemigumisiro yakaipa iyo inobata maitiro edzimba makuru:
1. Mwoyo mutezo:
- kunyanya kuderedzwa kweropa;
- bradycardia;
- kukurira uye kukura kwe mwoyo kusakundikana;
- arrhythmia;
- collapse.
2. Peripheral nerve system uye CNS:
- headache;
- chizoro;
- fainting;
- kuzvidya mwoyo;
- kuwedzera kuneta;
- kuora mwoyo;
- kugona;
- kukanganisa;
- kudedera kweminwe;
- ataxia;
- shuffling gait;
- kuoma kunomedza.
3. Kugadzirisa chirwere:
- kuzvidzora;
- nausea;
- kubuda ropa uye kuzvimba kwemasamu;
- kuwedzera kudya kudya.
4. Kurwisa kweAirgic:
- itching;
- rash;
- erythema;
- peremia yeganda rechitsiko.
Migumisiro yakaipa yekutora ichi chirwere ndeyikuti:
- kurema kuwanda;
- kurasikirwa kwenguva pfupi kwechiratidzo;
- pulmonary edema;
- arthritis;
- peripheral edema.
Verapamil nekuchenjerera zvakanyanya inorayirwa kana murwere:
- akashaya chiropa basa;
- kwaiva nehutu hwemyocardial infarction.
Ichowo chisingadi kutora mishonga nevanhu vanoita zvinhu zvinogona kutyisa, zvinoda kuwedzera kukurumidza uye kugadzikana kwezvinoitika, vana vane pamuviri uye vanokanganisa.