The mushonga "Trifas": mirayiridzo kushandiswa, analogs uye wongororo

Pathological ezvinhu mune zvinokosha neBP uye congestive mwoyo nokukundikana vari pamwe nyoro zvinyama kuzvimba uye nhengo dzomukati, izvo ngozi kuvanhu. Kubvisa zvakawandisa mvura kubva muviri kushandisa diuretics iyo kuwedzera bhuku weti goho uye zvicherwa. Imwe mishonga yakadaro diuretic "Trifas".

Description rekugadzirira

The sezvamunoita ane basa zvinoriumba zvinodhaka torasemide, iyo inoshanda sezvo hwaro sulfamonlantranilovaya acid. Izvi zvinhu kunoreva saluretic, achivapa mukana inhibitory zvainoita reabsorption kuti yavaibvisa ions uye kuiisa chlorine mu neitsvo.

kusunungurwa Form

Pane okunatsiridza akawanda "Trifas" Pfungwa, mirayiridzo kushandiswa yakasimba uye mvura chipimo chemushonga nokuumba yayo. In nechimwe izvi zvinorondedzerwa physico-namakemikari ehupfumi mahwendefa uye mhinduro.

Hwendefa gadziriro siyana anowanikwa pasi tradename "Trifas 10" ane chipimo chemushonga 10 MG ose torasemide uye "Trifas VAK» torasemide ane chipimo chemushonga 5 MG. In rondedzero yakaratidza kuti mahwendefa chena akakomberedza pamwe Valium kuti weboka rimwe divi muzvinhu dosages.

The mvura chimiro rekugadzirira "Trifas" Chinyorwa anotsanangurwa kugadzirisa kuti jekiseni iri chipimo chemushonga pakati torasemide 10 MG pa 2 Rine mamiririta uye 20 MG muna 4 ML, mhinduro kuti aizomupa ari chipimo chemushonga pakati 200 MG pa 20 ml mvura. Maererano rondedzero iri Hauoneki läpinäkyvä mhinduro umo zvokuti hapana kwebasa rinofanira inoramba.

Description of Zvinoumba mahwendefa

Nokuti mumwe piritsi "Trifas" gadziriro kurairirwa anozodza sezvamunoita: zviri vanoshingaira chezvinonhuwira torasemide ari mari 10 MG kana 5 MG, zvakare vakaneta zvinhu kupa Nokuraramisa yakarongeka piritsi, ayo solubility, uye kuchengeteka munguva yamunenge kumwedzi. Izvi zvinosanganisira mukaka shuga, chibage starch, magnesium stearate uye anhydrous Aerosil.

Tsananguro sezvamunoita mhinduro

The ndiro vane 2 ml yavaibvisa torasemide kwaisanganisira kuti jekiseni mune mari 10.631 MG, inova yakaenzana 10 MG pamusoro torasemide.

The ndiro chete 4 ml kugadzirisa zviri torasemide rine yavaibvisa kuti jekiseni mune mari 21,262 MG riri yakaenzana 20 MG pamusoro torasemide.

The ndiro vane 20 ml mhinduro kuti aizomupa yemubatanidzwa yavaibvisa torasemide mune imwe mari 212,62 MG, inova yakaenzana 200 MG pamusoro torasemide.

Kunze basa chinoita, zvazvichanyungudutswa injectable mvura, duku yakawanda yavaibvisa hydroxide, polyethylene glycol 400, trometamol.

mashandiro chiito

Mukugadzirira "Trifas 10" mirayiridzo application rine rondedzero tichisunga ari lumen pamusoro nephron kuuya torasemide pamwe Na-K-Cl-kotransportorom inova puroteni riri pamusoro goko sero, zvichitungamirira kudzvinyirira pamusoro Ion chokufambisa K ^+, Na ^+, uye Cl ^- kuburikidza mutsinga dzinofamba nemukaka lumen.

Diuretic chiito mahwendefa hunotanga pashure 3 awa uye anorambira kwemaawa anenge 12. The mushonga unoshanda kunyange kana pasina kushanda nezvimwe diuretics akadai thiazide. Akaroromesawo yose peripheral nemishonga midziyo kuburikidza tsitsi pakuenzanisa electrolytes uye nokusungwa vakasununguka karusiyamu ions mu anotsvedzerera tsandanyama pamusoro tsinga rusvingo, kuti medicament lowers BP.

Kuti anobata mushonga

Mahwendefa "Trifas" kushandiswa kwezvinodhaka kuwanikwa zvinokosha BP, nokuti mishonga uye kudzivirira Anti-anogumbura dzokurapa kana effusions kufamba mwoyo kukundikana.

Solution nokuti intravenous yaitonga apo raitongwa pulmonary edema, uye aizomupa mhinduro zvinoshandiswa varwere ipfupi renal basa, kana creatinine Clearance yevanhu Rine mamiririta asingasviki 20 paminiti.

Sei kutora mapiritsi

In zvinokosha neBP zvinodhaka "Trifas" mirayiridzo Chinyorwa anokurudzira kuti nehwendefa kukamurwa muzvikamu zvina uye kutanga kurapwa ane zuva chipimo chemushonga vana 2,5 MG kuti torasemide. kumanikidzwa rutapudzo hakuitiki pakarepo, uye mukati vhiki yokutanga, kufadza mugumisiro kunoitika kwete paya pane mavhiki 12. Pasina chinhu antihypertensive maturo pashure matatu zuva dose mwedzi "Trifas" Pfungwa, mirayiridzo kushandiswa zano bisect pamahwendefa, zvakadai hafu nerimwe rine 5 MG kuti torasemide.

Kana neBP kana indices ose diastolic kumanikidzwa kwazvo 115 mmHg, uye zvishoma renal basa angava kuratidzwa dzokuwedzera antihypertensive chiito.

Edema kana effusion pazuva rakanga 5 MG torasemide kana ½ ari pahwendefa "Trifas 10", mirayiridzo kushandiswa ane ruzivo nezvokukosha kuwedzera uwandu husingakuvadzi kusvika 20 MG pakati torasemide pamwe maturo chaienzanirana mahwendefa maviri gadziriro. Kunwa mushonga mangwanani, pasina zvinopesana kuvimbika uye vamwe mvura. Food yaunodya hakuna zvainoita digestibility mahwendefa, uye ya kurapa chokuita nemaitiro uye kosi yacho chirwere.

How kushandisa mhinduro kuti jekiseni

Nokuti pakurapa vakura zvinodhaka "Trifas" mirayiridzo Chinyorwa dzinosanganisira dzinoenda kushandisa chete zuva chipimo chemushonga 2 Rine mamiririta, rine 10 MG kuti torasemide. Kana zvakakodzera, nezuva dose yakanga yawedzera kusvika 4 Rine mamiririta, izvo unoenderana 20 MG kuti basa fuma. Kana kukundikana kushanda rinoshandisirwa daily chipimo chemushonga 8 Rine mamiririta, yakaenzana 40 MG pamusoro torasemide, asi hapana anopfuura 3 days.

Chinoitika chenjera pulmonary edema kubvisa sumo ampouled 4 Rine mamiririta mhinduro dosed pa 10 MG ose torasemide. Kana kukwana Kubudirira mune hafu yeawa rinoitwa reintroduction of 4 ml zvinodhaka mhinduro. Chisingadiwi zvakawandisa dose kusvika 100 MG chete zuva torasemide, izvo unoenderana 20 Rine mamiririta mhinduro "Trifas".

How kushandisa mhinduro kuti aizomupa

Chinyorwa rinotsanangura kushandiswa zvikuru uye aizomupa fomu nevakura. Murwere nemamiriro pamwe itsvo kukundikana anosarudza kuti dose. Application kutanga zuva chipimo chemushonga 5 Rine mamiririta, rine 50 MG ose torasemide. Kana dose ichi asingachengeti chiwedzere excretion kuti weti, chakatowedzera 10 Rine mamiririta. Bvumidzwa kunonyanyisa kuwedzera kusvika 20 ml aizomupa mhinduro "Trifasa 200" gadziriro ine 200 MG ose torasemide. Akadzokorora intravenous Kutarisirwa rinoitwa mushure 1 awa uchishandisa Perfusor pakururamisa aizomupa yevanhu 0,4 Rine mamiririta paminiti. Zvivanakire, 1 chinu rakasanganiswa 500, 250, 125 kana 30 Rine mamiririta 0,9% yavaibvisa chloride mhinduro kana 5% shuga mhinduro. muvhenganiswa akadaro anofanira kushandiswa pakarepo, vakasara dzakadururwa.

Intravenous kurapwa haafaniri kupfuudza vhiki imwe, zvinganaka sezvo nokukurumidza uende kunwa mapiritsi sezvinobvira.

Zvakakurukurwa kushanda

kushandiswa kwezvinodhaka "Trifas" mirayiridzo application Long-izwi rinotsanangura sezvo mamiriro kuti kunoda nguva richiona nezvezvabuda pakuenzanisa electrolytes, kunyanya potassium ions muropa serum. Shuga, creatinine, uric inouraya , uye mafuta - parameters izvi zvose zvinoda kuyerwa kuti nokukurumidza kuziva kukura chirwere cheshuga. Munguva kurapwa, tinofanira kudzora ropa murwere parameters.

Panguva pamuviri uye lactation nani kwete kushandisa mushonga, sezvo yakavimbika Data pamusoro kuchengeteka torasemide mwana ikoko.

Zvakaitwa zvinodhaka anogona kuderedza basa munhu kutyaira motokari uye nedzimwe nzira kuti zvinoda kugadziriswa. Regai sangana nayo doro.

kurapwa Izvi contraindicated

Haasi munhu wose anogona kutora zvinodhaka "Trifas" mirayiridzo Chinyorwa rinodonongodza zvinhu umo kurapa contraindicated.

Usashandisa:

• hypersensitivity kuti torasemide nezvinogadzirwa nomukaka kare;
• hypotension;
• mu renal kukundikana;
• mu anuria;
• pamwe kutyorwa kwakakomba chiropa, kusanganisira pakoma kana Prec;
• Bhuku zvinoderedza zvinofamba ropa;
• pasi akaderedza yavaibvisa uye potassium zviri ropa;
• pamwe havachanyatsogoni weti nokuda prostatic akawedzera;
• pamwe zvakawandisa oxalate deposition majoini;
• panguva hyperexcitability conduction uye cardiac mhasuro;
• Kana kutyorwa kuri asidhi-nechigadziko pachiyero;
• kupererwa neropa uye pasi platelet kuverenga;
• mune kusagadzikana itsvo;
• vana pasi makore 12.

sequela pasingadiwi

The mazita divi Migumisiro zvinodhaka zvinosanganisira "Trifas" mirayiridzo. Testimonials vanoti pamusoro kakawanda vamwe nemigumisiro.

On kumwoyo zvokurapa anoita zvaipesana mvura-electrolyte nepakati, zvichitungamirira hypovolemia, hypokalemia, hyponatremia, alkalosis, nomusoro, dzungu, kurukutika, nezvipusha, tsandanyama rinenge riine simba Urinary excretion hypotension, fogging kuziva, thrombosis, cardiac uye chepfungwa ischemia, cardiac arrhythmias, angina pectoris, chenjera myocardial mwoyo tsandanyama, kufenda.

Zvomudumbu torasemide maitiro anoshanda pamwe kuratidzwa kupatira, kushaya nzara, kuda kurutsa, kurutsa, marwadzo mudumbu, manyoka.

Varwere weti zvirwere chokuita prostatic hypertrophy, pamwe kuzvishandisa inotungamirwa weti chengetedzo uye kunzwa kwayo nokunyanyisa Munotatamura kwemasvingo dundira.

Kunechekuita pamusoro zvinodhaka muviri, kuvhunika ari plasma uric acid, shuga, triglycerides uye remafuta akawandisa dzinotanga hakunonoki, izvo anowedzera yevasungwa yavo.

Kana pachena kuti chiropa kungawedzera ayo zviri makemikari, semuenzaniso, wegamma-glutamyl transpeptidase.

Under Zvakaitwa mushonga muropa zvinoderedza uwandu platelet, erythrocyte uye leukocyte masero.

Nemigumisiro kwomudzimu torasemide pamwe zvakawedzera aikanganiswa pamusoro muviri, izvo kunoratidzwa kuvaviwa, mapundu, photosensitivity. Dzimwe nguva, zvinogona kuva mamiriro ose anaphylactic kuvhunduka nokuda kwokubatsira intravenous mhinduro, izvo zvinoda kukurumidza mhinduro.

analogs

Mugadziri "Trifas" yepakutanga mushonga uri kambani German, "Berlin-Chemie Menarini Group AG", kugadzira mura uye yakasimba chimiro zvinodhaka. Russian mishonga musika anogona muwanikwe Generic zvishandiso, ane torasemide. Vose vane diuretic ehupfumi, zvakafanana mashandiro chiito uye nenjodzi yakafanana anokonzerwa zvinoshingaira chirungiso.

Kugadzirira "Trifas" analogues anobudiswa muchimiro mapiritsi kuti nomumukanwa kushandisa, kana muchimiro negadziriso majekiseni uye infusions.

A fanano chinhu chinodhaka "Diuver", kugadzirwa ne Croatian zvino "Pliva Hrvatska doo". Rine zvinodhaka chipimo chemushonga mahwendefa 5 uye 10 MG ose torasemide.

ishamwari German - mushonga "Sandoz Torasemide" kugadzirwa kambani "Salyutas Pharma GmbH". It anogadzirwa muchimiro mahwendefa ane zviri torasemide 200 MG, 100 MG, 50 MG, 20 MG, 10 MG, 5 MG uye 2.5 MG.

Mahwendefa "Britamor" kuramba-kusunungurwa neve Spanish kambani "Ferrer International SA." analoginen ichi rine 5 MG uye 10 MG ose torasemide.

Kugadzirira "Toradiv" yechiUkraine kambani "Farmeks nemapoka Ltd." rinowanikwa pamahwandefa 5 MG, 10 MG uye torasemide mune mhinduro jekiseni 5 MG kuti torasemide kupinda 2 Rine mamiririta kana 4 MG emura.

Reviews

Inobatsira mashoko varwere pamusoro zvinodhaka rine "Trifas" mirayiridzo Chinyorwa. Reviews wevarwere kugashira mudziyo, uchapupu kubudirira zvinodhaka chiito edema. Daily yaunodya kuti torasemide kunobatsira kuderedza migumisiro zvakawandisa mvura iri myocardium kuti mwoyo chirwere. With kurapwa, varwere kugara kupfuura miedzo kuongorora kubata zvinodhaka riri mumuviri.

On kurapwa zvinodhaka "Trifas 10" Chinyorwa anorondedzera zvakanaka wongororo pane kunaka mashoko. Zvisingadiwi Migumisiro kuitika kashoma, asi varwere vakawanda, pashure pokuverenga "nenjodzi" chikamu, kutya achitora zvinodhaka. Uye pasina, nemishonga havafaniri kuitika, asi torasemide kuderedza kuzvimba, yokubva zvakawandisa mvura uye kuderedza BP. Kuderedza uwandu Urume richaita kuti normalize pezvakaitwa zvose zvinokosha, mvura-munyu mwero uye kuvandudza mamiriro murwere nemoyo kukundikana.

Pane wongororo pamusoro ineffectiveness zvinodhaka pamatenhere muviri. Pakadaro, chiremba anofanira kusarudza zvakakodzera utsinye kuitwa medicaments zvakafanana, asi kwete rine torasemide.