"Nebilong": olelo ao no ka hoʻohana. "Nebilong": hōʻike manaʻo a me analogues

"Nebilong" mea he pono ka lāʻau no ka iapaau ana o ka mai pili me kaʻole naʻau kuleana pili i. Hana Hou hana ma hope o ka hoʻohana 'ia no hoʻokahi mahina. Ma hope o ke noi "Nebilonga" normalized pāpaʻa a me ke koko,, vascular hoʻomaha ua hiki aku, i ka myocardium ua lako pono ka oxygen. Ma aneane na hihia a pau i ka maikaʻi hopena o ka Inc ua hoopaa mai no ka lōʻihi manawa.

Haku mele 'ana, haku mele' ana

Ke lapaau Ua loaʻa i loko o na papa. Kēlā me kēia papa hiki ai ke komo 2,5, 5 a me 10 mg oʻeleu 'Oponopono. Ka lapaau ua i ke kanaka ma muli o ke nebivolol hydrochloride. O na excipients makana i loko o ka haku mele 'ana o ka povidone, lactose, makanekiuma stearate. Haku mele 'ana inā me ka talc, microcrystalline kelulose, paʻakai dioctyl sulufahate, colloidal silikone'okikene lua, croscarmellose paʻakai, Hoʻokolohua-cyclodextrin.

Pharmacological 'ole

"Nebilong" manual hoike ia ia iho e like me ka mea ka i loko o kona 'ole elua enantiomers (L- a me D-nebivolol). D-nebivolol - nui e wae, hoʻok & β1-adrenoceptor blocker, L-nebivolol akahai ma luna o na moku koko, Hoʻonui i ka pono ia, i mea no i ke kaʻina i loko o ka vascular endothelium (hoʻokuʻu vasodilating modulation ololi).

Nebivolol ho'ēmi i kā ke koko, a me ka naau ana, i ka hopena ua waiho ole wale i loko o ka quiescent moku'āina akā, i ma lalo o haawe ana. Ma hope o ka lawe ana i ka laau a puni, a ua hoemi hope-diastolic hema ventricular malihini, aia no he maikaʻi hopena ma luna o kekahi o na mana hoʻokōʻia o ka naau - diastolic. No ka mea noi ana i ka "Nebilonga" ejection hapa, piʻi pū, kanaka me IBS ia antianginal hopena.

Hypotensive hoʻokō 'ia o na papa io "Nebilong" alakai wehewehe i ka emi ma ka ha awina ma ka renin-angiotensin kahua. Antiarrhythmic hana ua loaʻa ma ka hoemi i ka door-conduction a me ka uhi'āno'ē automaticity naʻau. Malama aku hypotensive ai ia lŘlŘ loko 7-14 lā o ka lapaʻau, pinepine - i loko o ka mahina. Ka pilina paʻa result mai ka lawe ana o na papa io malamaia ma hope o kekahi i nā mahina o ka nohoʻana.

Pharmacokinetics

Ka lāʻau 'kino, ke kemu pono, ke kaʻina Ua like ka hoʻokō ka nānā' ana i ka palaoa. Pūnao i loko o ke ake, a ke hoʻoholo 'ia i ke kahua o ka hana gidroksimetabolitov. Ka awelika bioavailability ma hope o ke noi ana o ka na medicament kanaka me ka kokololio pūnao o 12%, keia aka mea nui ma luna ma mua me ka lohi pūnao. Mai ka pūnao o nā mea maʻi ke'ākoʻakoʻa ma kekahi mau kumu, "Nebilong" e manual paipai no ka hoʻohana me na ano kanaka o ka hoʻomanawanui ka kino. Me ke kali pūnao e hoʻohana haahaa nā māhele o ka lāʻau. I kanaka me ka kokololio wehe aʻe o ka waiwai i wahi hapa-ola o ka hola 10 hora, i loko o nā mea maʻi i i ke kali pūnao, hapa-ke ola, a mahuahua nui e 3-5 manawa. Ma hope o nā lāʻehiku o ka Inc, ma kahi o 38% loaa i ka lāʻau excreted ma nā puʻupaʻa, ma kahi o 48% "Nebilonga" Ua makana i loko o ka noho. I ka haku mele 'ana o ka mimi mea he uuku ka nui o ka lapaʻauʻia ua hoʻololiʻia - mai i 0.5%.

hoike

Ma ka noi o "Nebilong" aʻo hiki ke hoʻohana 'ia no hypertension, no ka manaʻo o ke kāohi ana i loko o nā mea maʻi me CAD (bouts o angina) , a no ka hoʻokō' ana i ka luna 'Inc o ka naau ole o ka maʻi palapala.

Lapaau a me ka lāʻau "Nebilong"

hypertension

Makua e hoomanawanui i lawelawe 5 mg "Nebilonga", a hoʻopili like ai i ka papa hoʻomanaʻo o ka kela la i keia mahele lāʻau. Ke lapaau Ua pono e hoʻohana i kela la i ka ia manawa. A liʻiliʻi ai i kekahi 'ma hope o kekahi i nā pule o Inc, ka loa'ōlelo ai,ʻo ia mea he mahina oiai i ka iapaau ana ua hana. Papa kupono no ka manaʻo monotherapy, a no ka lapaau ma muli o ka noniakahi hoʻohana 'ana o ka ai', a hoi i hypotensive loa. People ka poe lawe "Nebilong AM", ke aʻo paipai i mea e loaa i hou ia, e pili "Hydrochlorothiazide" o 12.5-25 mg. Oia alu lapaau hiki ka hōʻoi 'i ka hana o ka "Nebilonga", akā, ka mea hiki ke hanaia ka loaa ana i ka'ōlelo aʻo o ka hele ana kauka wale nō ma hope.

Heart 'ole o ka maʻi ano

Mua he uuku mahele lāʻau o medicament, ke kahuna lapaau i nā piʻi pū, haawiia i ke ano o ka hoʻomanawanui. No ka iapaau ana o ka huʻi ano o "Nebilong" mea i kūpono, i loko o ia mau hihia, 'ē aʻe ai' i ua hoʻohana. IeAUPIIe, IAa IO mua hoakaka i 1,25 mg o ka lāʻau no ka manawa hookahi i kela la ana, ma hope 1-2 pule i e mahuahua ai ka mahele lāʻau i 5 mg, a ma hope - mai i 10 mg. Na kela la i keia mahele lāʻau E i oi aku mamua o 10 mg medicament "Nebilong". Na Ke Kumu no ka hoʻohana hōʻike ia ma ka loiloi mua kahua o ka Inc ua haʻalele ke ahonui ma lalo o kilo i mau hola ma hope o 'ai, inu ana o ka papa, no laila, hana i kela a me keia e māhuahua mahele lāʻau' ana. hiki ke hoemi hou mahuahua mahele lāʻau ina ka hemahema i koe.

Inā naau ole symptoms ʻikeʻia aku nō paha hoʻomanawanui intolerance i ka lāʻau eiiiiiaiou i loaʻa, emi ka mahele lāʻau o ka lāʻau a mea paka kona abolition. Nō kāu, naau e hemahema, maʻi ano o ka "Nebilongom" hana koke. I ka Inc pahuna ma ke kāpaeʻana ia mau rula, o ka abolition o ka lāʻau i ka mālie, e hiki ole hana keia hana ikaika, no ka mea, o ka pilikia i ke exacerbated. Inā e ana i ka lāʻau kēlā me kēia pule i emi ai ka mahele lāʻau ma ka hapalua. No ka lawe ana i ka huaale "Nebilong AM" manual? Eaaaony no kekahi mau kapu.

mau palena:

• ʻaʻa puʻuwai insufficiency. Mua, no ka mea, o ka Inc hoʻohana 2,5 mg o ka lāʻau no ka lā, hiki e mahuahua ma hope o ka mahele lāʻau, akā, ka mea e ole oi 5 mg.
• Mua makahiki. Ka loiloi mua mahele lāʻau paha i oi aku mamua o 2,5 mg ina e pono ai, ka mea, ua ho'ālaʻia i ka 5 mg. Ma hope o 65 makahiki, e noi mai ana maʻamau nana o nā puʻupaʻa (kekahi kela eha i elima mahina).
• Hāpai keiki. A keiki e kūkulu i kekahi maʻi, i kēia mau nā naehana lōlō, hypoglycemia, hypotension, bradycardia, no laila, hapai na wahine i ka lāʻau 'ua kuhikuhi loa kākaʻikahi. Inā he wahine hapai hoʻohana "Nebilong" kona ke kāpaeʻana ua koi 'ia no ka 48-72 hola mua haawi. Inā keia mea i hiki, ke keiki e e malama no 48-72 hola.

Contraindications

"Nebilong H" manual ua papa i ka hana i loko o ka kēia hihia.

• kona mau makahiki i emi o ka makahiki 18;
• hypersensitivity i ka lāʻau eiiiiiaiou;
• bronchospasm, asthma (mōʻaukala);
• pheochromocytoma, a i ole, ua malamaia lakou nei, ma mua;
• metabolic acidosis;
• ka hana i hana ake maʻi, ake ole;
• hypotension i kanaka nona systolic puʻe o ka 90 mm o Hg a emi. Paukū.;
• Od-hihia (papa aʻu, III), bradycardia, i ua pu ma ka naau ana e like me 60 bpm. no minuke;
• i ka hanau keiki ana, umauma-e ai ana;
• huʻi naʻau ole shape;
• pilikia me kaʻike ākea holo, me ka vivid expressiveness;
• cardiogenic kŰia, he ano i loko i ka mea i pono, e hoʻohana isotropic ai ';
• maʻi pale, maʻi sinus pu.

Ua koi mālama nui ka wā i'ōleloʻia i ka lāʻau a hiki i nā mea maʻi i ana:

• mimikō;
• psoriasis (moʻolelo);
• Prinzmetal angina.

ʻaoʻao waiwai

Ma ka iapaau ana o ia hoʻi, "Nebilong" manual, hōʻike manaʻo aku nei au i ka pahiki o ka hanana o kekahiʻaoʻao waiwai, a i hoikeia mai ma ka hana o ka mea'ōnaehana mānowai koko, digestive a me ko mākou hopohopo nenoai. Mawaena o nā 'aʻe' - bronchoconstriction naoh ka heluna o ka ili kulana.

Cautions

"Nebilong" eʻoi loa maila pā lonoaʻili i ka allergens, a Hoʻoweliweli 'o ia i ka hooulu ana o ka loa anaphylactic naoh.

Lāʻau lapaʻau aʻole e pili mai i ka nui o ka monakō koko i loko o ka kino i loko o ke alo o ka mimikō, akā, nā mea maʻi i loko o kēia hui i e pili i ka lapaʻauʻia me ka mālama nui. Me ka mimikō, a me ka hyperthyroidism lāʻau e makakiʻi symptoms o tachycardia, ia mea oi haʻi no i ka abrupt withdrawal o na papa.

Inā nā mea maʻi me ka pilikia ma ka naehana'ōnaehana ua hoʻohana ' "Nebilong" manual hoʻomaopopo' o ia e pili ana i ka pahiki o ka waiwai constriction o ka Hawaiian Airlines ma COPD. I ka manawa kūpono o ka hoʻohuiʻia i ka lāʻau a me nā ai 'e ke kulana kupono me kou kauka.

"Nebilong" e loli ai ka hiki, e kipaku i ke kaa, ke alakai i ka luhi a me ka pōniuniu.

analogs

He hiki i ka puku lāʻau i Aʻole 'ae' ana o ka lāʻau "Nebilong" manual. Uluwehi O analogues nā "Nebilet", "Binelol". E pani ai i loaʻa "Nebikor" a me ka "Nebivator".

Reviews

E like me ka nāʻana, o ka lāʻau i ka hoʻokō ka wā i hoʻohana pololei. He nui e hoʻohana i ka lapaʻauʻia a me ka hahai i nā kauka mau koi. Ke medicament Ua häʻawi mai i na contraindications a me nā 'ano o ka hoomanawanui, kūpono ma ka maikaʻi ia. I hana i i alakai i ke kūpono 'ana o kaʻaoʻao waiwai, e pono ai i mau kanaka hoʻoponopono i ke ano o ka hoʻomanawanui.