Mahwendefa kumanikidzwa. Inderal

Sezvo usiku anopa nzira zuva, uye BP (BP) munhu achitsungirira. Iwe kuseka nemwoyo wose - kumanikidza aregedza zvishoma, kutya kana kuvhiringa - nekusiyana, akakwakuka. Zvisinei, vanhu vakawanda vane BP usiku gumi kusvika makumi maviri muzana kuvatumwa masikati, masikati nawo anochinja kwayo kuita nguva zhinji, kunyange pakupindurwa ekunze: kuchinaya kana yakajeka, pasi kana kumusoro mhepo tembiricha. Hazvina pasina muna inopisa okunze, cardiologists, kuderedza dose zvinodhaka vamwe varwere vane chirwere cheBP.

Chimwe chinhu anoramba achitsungirira: kumanikidza haafaniri kupfuudza 140/90 waivako chero nguva yezuva.

Rakajairika uye inobudirira mushonga uri kumanikidzwa panguva ino yava propranolol, kunyange pane zvakawanda zvakafanana inoshanda mishonga, asi munyaya ino tichataura zvakananga nezvazvo.

Mapiritsi Inderal kumanikidzwa rinoshandisirwa panguva vachivavhiringidza ose cardiac mutinhimira, kureva kuti marudzi ose tachycardia, mwoyo musoja wacho, zvinokosha tremor, hypertrophic cardiomyopathy, uye myocardial infarction. Uyewo kudzivirira severe Migraine kurwiswa. Data kubva pahwendefa wokudhinda inoshandiswa pamwe wemishonga mishonga kuti kurega syndrome.

Inderal iri ushandiswe mukati hafu yeawa pamberi zvokudya, panguva imwe cheteyo musakanganwa kugeza pasi mvura yakawanda. The chipimo chemushonga zvaiitwa nerimwe murwere yakasiyana.

Kana zvirwere zviri kumwoyo, kurapwa pamwe kwezvinodhaka izvi nhatu mana vhiki. With yokumbozorora mumwe kana miviri, unogona kudzokorora kosi kana paine yakadaro inodiwa. Vanhu chirwere kakawanda tichibatwa arrhythmia uye angina pectoris, nechirwere chemwoyo, Inderal kubva kumanikidza mapiritsi vanogadzwa kwenguva refu. Refu kushandisa zvinodhaka izvi varwere ischemic mwoyo chirwere, anofanira kuzviita pachiimbwa cardiac glycosides. Kana chimbichimbi kukanzura Inderal kuoneka kusembura angioznogo chirwere uye zviratidzo myocardial ischemia, rikwanise bronchospasm, ungaderedza maekisesaizi kushivirira.

Special Kutarisirwa inofanira kupiwa hwendefa kwokudzvinyirira Anaprilin vatyairi uye vanhu nounyanzvi dzinosanganisira basa ngozi, sezvo mukana wokuti nemishonga iri huta uye zvemwoyo nehurongwa. Nechinyoreso ovhadhozi zvinodhaka tinganetseka bronchospasm, kugwinha, pakaparara, cardiac insufficiency, zvikuru hypotension, akrozianoz. Kana pane zviratidzo zvakadaro yaida kunwa Inderal, gastric lavage, neactivated charcoal kunwa uye kudaidza amburenzi.

Kubva nemudumbu kana kushandiswa propranolol vanogona marwadzo akadai zvinetso chiropa, ischemic colitis, manyoka, kurutsa, kuda kurutsa. Kubva huta uye kumwoyo: mwoyo, kufunganya, kurota zvinotyisa, kushaya hope kana hope, kutemwa nomusoro, hypotension. The kufema maitiro: laryngo uye bronchospasm, kupfupika mweya, chikosoro. Neutachiona dzakadai mikoko uye kuvaviwa, zvisinganyanyi kuitika.

Mahwendefa vari contraindicated kubva kumusoro kumanikidzwa Anaprilin vanhu hypersensitivity mumwe Pfungwa zvinoriumba, uyewo vaya vanotambura sinus bradycardia, dzizere kana kukwana AV mufurati, Prinzmetal angina, chirwere cheshuga aine ketoacidosis. Zvinonzi zvakare ushandiswe nokungwaririra kupiwa mushonga nokuda spastic colitis.

Panguva pamuviri uye lactation, uyewo vana pasi gore rimwe mahwendefa zvakadaro zvachose contraindicated.

Tora Inderal, vakapiwa chinangwa cardiologist yako kana zvakabatanidzwa mirayiridzo, uye ipapo tinogona kudzibatsira, ipapo zvakafanira kunwa mapiritsi kubva pasi BP.