I-Bisoprolol ibhekisela kwiziyobisi ezilawula isigxina senhliziyo kwaye oku akukhawulelwanga kwimisebenzi yayo. Iinkcazo ze-bisoprolol zininzi kakhulu, kodwa isilwanyana kufuneka sisetyenziswe ngokungqongqo ngokwecwangciso.
Izibonakaliso eziphambili zokusetyenziswa kweziyobisi iBisoprolol
Isicelo esisodwa se-bisoprolol senziwa ngenxa yokuba le nkqubo ende, engenakuphazamiseka ngokukhawuleza. Le nyathelo yokukhetha i-adrenoblocker, ukungena emzimbeni, ikhetha i-receptors ye-beta. Ши Cши Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor Chor C
- hypotensive, oko kukuthi, ukunciphisa uxinzelelo lwegazi;
- antianginal (anti-ischemic);
- kuncipha kwi-conductivity ye-excitation yamandla entliziyweni.
Kusetyenziso oluyinkimbinkimbi, ukusetyenziswa kwexesha elide lamacwecwe e-bisoprolol kuvumela ukulungelelanisa isigqi senhliziyo, ukwandisa i-diastole nokunciphisa amathuba okuhlaselwa yintliziyo.
Kukho izibonakaliso zokusetyenziswa kwe-bisoprolol:
- isicic heart disease;
- Uxinzelelo lwengcinezelo yolu hlobo lwesigxina;
- ukuphazamiseka kwentliziyo;
- ukuhluleka kwentliziyo ;
- angina pectoris.
Isisombululo kunye nokulawulwa kwe-bisoprolol
Ngenxa yokuba unyango kunye ne-bisoprolol kufuneka luhlale ixesha elide, ngaphambi kokuba uqale ukusebenzisa iyeza, kufuneka ucinge ukuba awukwazi ukuyeka ngokukhawuleza le nkqubo. Ukongezelela, kwiiveki zokuqala emva kokuqala unyango, kufuneka iingcebiso zonyango rhoqo. Ngethuba lokunyanga isigulane kufuneka sibheke inani leentliziyo (impulse) kunye negalelo loxinzelelo lwegazi ngamaxesha amaninzi ngosuku, njengoko kunobungozi bokunciphisa okunamandla kulezi zikhombisi. Oogqirha bancomeka ubuncinane kanye ngeveki ukwenza i-cardiogram.
Indlela yokusebenzisa i-bisoprolrolol ayibangeli naluphi na ubunzima obukhethekileyo kwizigulane. Ithebhulethi icetyiswa ukuba ithathwe kusasa ngesisu esingenalutho, ihlanjwe ngexabiso elincinci lamanzi acocekileyo. Ukusebenzisana kwesilwanyana ngokutya akuzange kwenziwe uphando ngokwaneleyo, kodwa iziphumo zokuqala azibonanga ukuphazanyiswa kwizenzo zamathebulethi xa kuthathwa ngokutya.
I-dose yemihla ngemihla evumelekileyo ye-Bisoprolol ingama-20 mg, kodwa ngokuqhelekileyo isiqhelo sichazwe kwisixa se-10 mg kwisilinganiso esisodwa. Inkambo yokonyango inokuhlala iminyaka, ingaphazamiseka, ngokuncitshiswa ukunciphisa idosi kwiiveki ezimbalwa.
Ukuba kukho ukuphikisana okuthile, okanye ezinye izifo ezenza ukusetyenziswa kwe-bisoprolol engozini, esinye isicwangciso sokwelapha sinokumiselwa. Kwiveki yokuqala isigulane sithatha i-1.5 mg yesilwanyana. Kwiveki yesibini neyesithathu - 3.5 mg ye-bisoprolol. Ukuqhubela phambili umlinganiselo wenyuka ngokunyuka: 5 mg, 7.5 mg, 10 mg. Emva kokuba i-dose yemihla ngemihla ifinyelele kwi-10 mg, unyango lunokuhlala iiveki ezimbalwa kunye neenyanga, de kube yinto enokwenzeka ukuyikhansela. Kule meko, ukunciphisa umthamo kuqhutyelwa yiplani ephindaphindiweyo, ngeveki ngokunciphisa ukunciphisa inani le-bisoprolol.
Ukungqinelana nokusetyenziswa kweBisoprolol
I-C C C C C C C C C Ccar C C C Ccar C C C C C C C C C C C C C C C C C C C C C C Okokuqala, ayinakusetyenziswa ngexesha lokuhlaselwa kwe-angina kunye nezinye ukuphulwa kwentliziyo. Ukuqala unyango lunokuba emva kweeveki ezimbalwa emva kokuzinza kwesigulane. Iingqinisiso ezingapheliyo zizinto ezinjalo:
- kwibhodi ye-atrioventricular;
- ши Cши Cши C C C C C COB C C C C C C C C C C C H C C C C C C C C C C C C C C C C C C C C C C C C C C
- bradycardia;
- hypotension;
- tshutshiswa;
- ши Cши д Cшиши C e C C Cшиши C C C C C C C C C C COB C C C C C C C C C C
- i- bronchospasm (i-asthma, emphysema, njl);
- izifo ezijikelezayo.
Iyeza lisebenzisa ngokulumkileyo kwizilwanyana zesifo kunye nesifo seswekile, isifo sikashukela, ngexesha lokukhulelwa kunye ne-lactation. Kwezinye iimeko (ngokukodwa kwinqanaba lokuqala lonyango), isicatshulwa sinokuchaphazela ukukwazi ukuqhuba nokuqhuba izenzo ezifuna ukuchaneka okuphezulu.