ọdịnaya
Bisoprolol so na otu beta-blockers ahọpụtara ma jiri ya na cardiology maka ọrịa obi obi, nkụda mmụọ na-adịghị ala ala. Ọtụtụ mgbe, a na-enye ya ọgwụ maka ọgwụgwọ arrhythmias obi na ọbara mgbali elu.1.
Bisoprolol na-ebelata ohere nke infarction myocardial na ọnwụ na nkụda obi. Ọgwụ na-ebelata oriri oxygen site na akwara obi, gbasaa arịa ndị na-eri obi, na-ebelata ugboro ole ọgụ mgbu ma nwee mmetụta dị mma na prognosis nke ọrịa ahụ.2.
Mmetụta mmetụta mgbe ị na-ewere bisoprolol dị obere. Dị ka a na-achị, a na-ejikọta ha na atụmatụ ngwa ahọpụtara ezighi ezi. N'ihi nke a, onye ọrịa nwere ike ibelata ọbara mgbali elu nke ukwuu wee daa pulse. N'ime mmetụta ndị ọzọ: dizziness, isi ọwụwa, dyspepsia, ọrịa stool (afọ ntachi, afọ ọsịsa). Ugboro nke omume ha anaghị agafe 10%.
A na-enye ndị ọrịa nwere ụkwara ume ọkụ na ọrịa atherosclerosis nke akwara nke akụkụ ahụ dị ala, na-enye Bisoprolol nlekọta kacha mma. Na nkụchi obi, a ga-ewere ọgwụ ahụ na obere doses - 1,25 mg otu ugboro n'ụbọchị.
Ndepụta analogues iri kacha elu yana ihe nnọchi dị ọnụ ala maka Bisoprolol dị ka KP si kwuo
1. Concor
Concor dị n'ụdị mbadamba 5 na 10 mg ma nwee bisoprolol dị ka ihe na-arụ ọrụ. Isi mmetụta nke ọgwụ ahụ bụ iji belata obi obi ma na ezumike ma n'oge mgbatị ahụ, yana ịgbasa akwara obi.
A na-ewere Concor otu ugboro kwa ụbọchị n'ụtụtụ, n'agbanyeghị nri. Omume nke ọgwụ na-ewe awa 1.
ContraindicationsỌrịa obi na-adịghị ala ala na nke na-adịghị ala ala, ujo cardiogenic, mgbochi sinoatrial, bradycardia siri ike na hypotension arterial, ụdị ụkwara ume ọkụ nke bronchi, afọ ruo afọ 18.
2. Niperten
Niperten dị n'ụdị mbadamba ụrọ nke 2,5-10 mg yana nwekwara bisoprolol n'ime ihe mejupụtara ya. A na-enwe mmetụta nke ọgwụ ahụ ruo awa 3-4 mgbe ọ risịrị nri, mana ntinye n'ime ọbara na-adịgide ruo awa 24, nke na-eme ka mmetụta ọgwụgwọ dị ogologo. A na-ewere Niperten otu ugboro n'ụbọchị n'ụtụtụ, n'agbanyeghị nri.
Contraindications: nnukwu obi ọdịda, adịghị ala ala obi ọdịda na ogbo nke decompensation, cardiogenic ujo, ọdịda, akpọ mbelata ọbara mgbali, siri ike iche nke bronchial ụkwara ume ọkụ na COPD na akụkọ ihe mere eme, afọ ruo 18 afọ.
3. Bisogamma
Bisogamma nwekwara bisoprolol ma dị na mbadamba 5 na 10 mg. Nke a bụ ọgwụ kwa ụbọchị - mmetụta ọgwụgwọ ya na-adịru awa 24.
Malite ọgwụgwọ na usoro onunu ogwu nke 5 mg otu ugboro kwa ụbọchị. Mgbe ahụ, ọ bụrụ na ọ dị mkpa, a na-abawanye dose ahụ ruo 1 mg otu ugboro kwa ụbọchị. Oke kacha ekwe omume kwa ụbọchị bụ 10 mg. Ekwesịrị ịṅụ Bisogamma n'ụtụtụ tupu nri.
Contraindications: ujo (gụnyere cardiogenic), pulmonary edema, nnukwu obi ọdịda, adịghị ala ala obi ọdịda na ogbo nke decompensation, oké bradycardia, arterial hypotension (karịsịa na myocardial infarction), ụdị siri ike nke bronchial ụkwara ume ọkụ na ndị ọzọ na-egbochi ikuku ọrịa, ịda mbà n'obi, ime agadi. ruo afọ 18.
4. Concor Core
Concor Cor bụ analog zuru oke nke ọgwụ Concor, yana nnọchi dị mma maka Bisoprolol. Ngwakọta ahụ nwekwara ihe na-arụ ọrụ nke otu aha, na isi ihe dị iche bụ na usoro onunu ogwu. Concor Cor dị naanị na usoro onunu ogwu nke 2,5 mg. Tụkwasị na nke ahụ, mbadamba nkume ndị ahụ na-acha ọcha, n'adịghị ka Concor, nke nwere agba gbara ọchịchịrị n'ihi ụbara dị elu nke ihe na-arụ ọrụ.
Contraindications: hypersensitivity na akụkụ nke ọgwụ ahụ, nnukwu obi na-adịghị ala ala, obi mgbawa cardiogenic, bradycardia siri ike na ọbara mgbali elu, ụdị ụkwara ume ọkụ nke bronchi, afọ ruo afọ 18.
5. Coronal
Ọzọkwa, ọgwụ nwere ihe na-arụ ọrụ bisoprolol. Coronal dị na mbadamba 5 na 10 mg ma dị irè maka awa 24. Ịkwesịrị ị were mbadamba 1 otu ugboro kwa ụbọchị n'ụtụtụ tupu nri. Oke kachasị kwa ụbọchị bụ 20 mg.
Contraindications: ujo (gụnyere cardiogenic), nnukwu obi nkụchi na-adịghị ala ala insufficiency, oké bradycardia, cardiomegaly (na-enweghị ihe ịrịba ama nke obi ọdịda), arterial hypotension (karịsịa na myocardial infarction), bronchial ụkwara ume ọkụ na-adịghị ala ala obstructive akpa ume ọrịa na akụkọ ihe mere eme, lactation oge, elu. ruo afọ 18.
6. Bisomor
Ọgwụ Bisomor nwekwara bisoprolol ma bụrụ ihe nnọchi dị ọnụ ala mana dị irè maka ọgwụ izizi nke otu aha ahụ. Bisomor dị na mbadamba ụrọ nwere usoro 2,5, 5 na 10 mg ma dị irè maka awa 24. Were ọgwụ ahụ otu ugboro n'ụbọchị n'ụtụtụ tupu nri. Oke kacha mma kwa ụbọchị bụ 1 mg.
Contraindications: ujo (gụnyere cardiogenic), nnukwu obi nkụchi na-adịghị ala ala insufficiency, oké bradycardia, cardiomegaly (na-enweghị ihe ịrịba ama nke obi ọdịda), arterial hypotension (karịsịa na myocardial infarction), bronchial ụkwara ume ọkụ na-adịghị ala ala obstructive akpa ume ọrịa na akụkọ ihe mere eme, lactation oge, elu. ruo afọ 18.
7. Egilok
Ọgwụ Egilok abụghị ihe nnọchi anya Bisoprolol, ebe ọ nwere metoprolol dị ka ihe na-arụ ọrụ. Isi ihe Egilok na-eme bụ iji belata ọbara mgbali na ọnụ ọgụgụ obi.
A na-emepụta ọgwụ ahụ na mbadamba nkume nke nwere usoro 25, 50 na 100 mg. A na-ahụ mmetụta kachasị n'ime awa 1-2 mgbe nchịkwa gasịrị. Ịkwesịrị ịṅụ mbadamba 2-3 ugboro n'ụbọchị.
Contraindications: nkụchi obi na ogbo nke decompensation, cardiogenic ujo, oké mpụta ọbara ọrịa, gụnyere na iyi egwu nke gangrene, nnukwu myocardial infarction, ara ara, afọ ruo 18 afọ.
8. Betalok ZOC
Onye nnọchi ọzọ bụ Bisaprolol, nke nwere metoprolol. Betaloc ZOK dị n'ụdị mbadamba, ihe bụ isi ya bụ iwetulata ọbara mgbali elu. A na-enwe mmetụta kachasị nke ọgwụ ahụ n'ime awa 3-4 mgbe ọ risịrị nri. Betaloc ZOK nwere omume ogologo oge, yabụ a na-eme ya otu ugboro n'ụbọchị.
Contraindications: AV ngọngọ II na III ogo, obi ọdịda na ogbo nke decompensation, sinus bradycardia, cardiogenic ujo, arterial hypotension, chere na nnukwu myocardial infarction, afọ n'okpuru 18 afọ.
9. SotaGEKSAL
SotaGEKSAL nwere sotalol ma dị n'ụdị mbadamba ụrọ nwere 80 na 160 mg. Sotalol, n'agbanyeghị na ọ bụ nke beta-blockers, dị ka bisoprolol, Otú ọ dị, a na-ejikarị eme ihe dị ka ọgwụ nwere mmetụta antiarrhythmic ma na-enye ya maka mgbochi nke arrhythmias atrial na mmezi nke sinus rhythm. Ọ dị mkpa iji SotaGEKSAL 2-3 ugboro n'ụbọchị.
10. Enweghị tiketi
Nebilet nwere ihe na-arụ ọrụ nebivolol. A na-emepụta ọgwụ ahụ n'ụdị mbadamba nkume nwere usoro 5 mg. Isi ihe na-eme Nebilet bụ iji belata ọbara mgbali elu na ezumike na mgbatị ahụ, yana n'oge nrụgide. Mmetụta kachasị na-eme n'ime awa 1-2 mgbe ịṅụchara ọgwụ ahụ. Ịkwesịrị ịṅụ Nebilet 1 ugboro kwa ụbọchị.
Contraindications: nnukwu obi nkụda mmụọ, adịghị ala ala obi ọdịda na ogbo nke decompensation, oké arterial hypotension, bradycardia, cardiogenic ujo, oké imeju dysfunction, akụkọ ihe mere eme nke bronchospasm na bronchial ụkwara ume ọkụ, ịda mbà n'obi, afọ n'okpuru 18 afọ.
Otu esi ahọrọ analogue nke Bisoprolol
Ọgwụ niile a dị n'elu, ruo otu ogo ma ọ bụ ọzọ, bụ analogues nke Bisoprolol. Ha dị iche na ịdị arọ na ogologo oge nke mmetụta ọgwụgwọ, solubility na abụba na mmiri, yana mgbakwunye na mmetụta ndị ọzọ.3. Naanị dọkịta nwere ike ịhọrọ analog dị mma nke Bisoprolol, ebe ọ bụ na ọgwụ ọ bụla nwere njirimara nke ya, na ihe ndị na-arụ ọrụ anaghị agbanwe agbanwe. Dịka ọmụmaatụ, ịnweghị ike dochie 10 mg nke bisoprolol na 10 mg nke nebivolol - nke a nwere ike imerụ ahụ ike gị nke ukwuu.
Nyocha nke ndị dọkịta banyere analogues nke Bisoprolol
Ọtụtụ ndị na-ahụ maka ọrịa obi na-akwado ọgwụ Concor, nke na-ebelata ọnụ ọgụgụ obi nke ọma ma na-akpata ihe fọrọ nke nta ka ọ bụrụ mmetụta ọ bụla. Ọ dị mma ịhọrọ dose nke ọgwụ ahụ, malite na nke kacha nta, wee hapụ ya ruo ogologo oge4.
Ndị dọkịta na-akwadokwa iji Betalok ZOK. Ọgwụ ahụ na-ebelata ọbara mgbali n'ụzọ dị irè ma na-ewere ya naanị otu ugboro kwa ụbọchị.
N'otu oge ahụ, ndị ọkachamara na-ekwusi ike na n'agbanyeghị ọnụ ọgụgụ dị ukwuu nke analogues nke Bisoprolol, ọ bụ naanị dọkịta nwere ike ịhọrọ ọgwụ dị mkpa.
Ajụjụ na azịza ndị ama ama
Anyị kwurịtara okwu dị mkpa metụtara analogues bisoprolol dọkịta nke sayensị sayensị, cardiologist Tatyana Brodovskaya.
Kedu ndị ọrịa ka akwadoro bisoprolol?
Kedu ihe ga - eme ma ọ bụrụ na ịkwụsị iji Bisoprolol wee gbanwee gaa na analog?
Mmetụta ndị dị ka bradycardia, mmepe nke mgbochi atrioventricular, mbelata nrụgide na-adabere kpọmkwem na usoro ọgwụgwọ ahụ. Ya mere, ọ bụrụ na mmetụta ndị dị n'akụkụ apụta, ị nwere ike ikwurịta okwu na dọkịta gị banyere ibelata usoro onunu ogwu, ma ghara ikpochapụ ya kpamkpam.
Enweghị ike ịme nhọrọ nke analog na nnọchi nke bisoprolol n'onwe ya. Naanị dọkịta ga-eburu n'uche njirimara niile nke ọnọdụ ụlọ ọgwụ nke onye ọrịa: ọnụnọ nke hypertrophy ventricular ekpe, dyslipidemia, ọnọdụ imeju na akụrụ, arrhythmias, wee họrọ beta-blockers dị mkpa n'otu n'otu.
Sources:
- Shlyakhto EV Cardiology: onye ndu mba. M., 2021. https://www.rosmedlib.ru/book/ISBN9785970460924.html
- ụkpụrụ ụlọ ọgwụ. Ọrịa obi. 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. Ndebanye aha ọgwụ RUSSIA® RLS https://www.rlsnet.ru/