Ongakukhetha: I-Cardiomagnyl noma i-Acekardol?

Izidakamizwa ze-antiplatelet, ezinjengeCardiomagnyl noma i-Acekardol, zenzelwe ukuguqula izinqubo zokunikezwa kwegazi ezithweni, zinciphise igazi futhi zivimbele ukugoqwa kwegazi. Njengesithako esikhulu esisebenzayo, aqukethe i-acetylsalicylic acid. Ukwakheka kwezinye izimali kufaka phakathi izakhi ezengeziwe ezandisa ukunwebeka kwesenzo futhi zibeke imingcele ethile ekusetshenzisweni, kubalulekile ukucubungula lapho ukhetha umuthi.

Izici ze-Acecardol

I-Acekardol iyilungu leqembu lezidakamizwa ezingezona i-steroidal elwa nokuvuvukala futhi isetshenziselwa ukwelapha nokuvikela izifo zenhliziyo, kanye nokuvikela i-vein thrombosis ne-thromboembolism ejulile.

Umkhiqizo usekwe ku-acetylsalicylic acid, exolisa igazi ngokuvimbela ukuhlanganiswa kweplatelet, kanye nokuba nezindawo zokuhlukumeza, antipyretic nezokulwa nokuvuvukala.

I-Cardiomagnyl noma i-Acekardol ihloselwe ukuguqula izinqubo zokuhlinzekelwa kwegazi ezithweni, ukuhambisa igazi nokuvikela i-thrombosis.

Umphumela we-antiplatelet ubonakaliswa ngisho nangemva kokuthatha imithamo emincane bese uphikelela isonto elilodwa ngemuva kokusebenzisa umuthi owodwa.

Iyatholakala ngesimo samacwecwe ahlanganiswe nelaji emelana ne-acid, ngenxa yokuthi kukhishwa i-acetylsalicylic acid phakathi kwe-alkaline ye-duodenum. Umuthi wezidakamizwa ubopha amaprotheni e-plasma futhi usatshalaliswa ngokushesha emzimbeni wonke. Kukhishwa umchamo kungakapheli izinsuku ezingama-2-3 ngemuva kokuphathwa.

Izinkomba zokusetshenziswa - i-angina engazinzile, ukuvikela lezi zimo ezilandelayo:

• ukwehlukaniswa kwe-myocardial ngokuba khona kwezinto eziyingozi (ushukela, ukukhuluphala, ukubhema, ukuguga, umfutho wegazi ophakeme);
• infarction myocardial;
• ukuhlaselwa i-ischemic, kufaka phakathi abantu ababa nengozi yesikhashana yokungasebenzi komzimba;
• i-ptromboembolism ngemuva kokukhohliseka kwemithambo;
• i-vein thrombosis ejulile ne-thromboembolism ye-pulmonary artery, amagatsha ayo.

I-Acecardol ikhonjiswa for stroke ischemic.

I-Acecardol iboniswa infarction myocardial.

I-Acecardol ikhonjiswa i-vein thrombosis ejulile.

I-Acekardol icutshwe kulezi zifo kanye nemibandela enjalo:

• hypersensitivity kuzakhi zokwakha;
• izilonda eziwohlokayo nezibucayi zomgudu wesisu;
• i-hemorrhagic diathesis;
• ukungasebenzi kahle kwe-renal kanye ne-hepatic;
• ukwehluleka kwenhliziyo okungapheli;
• ukopha kwesisu;
• ukuntuleka kwe-lactase, ukungabekezeleli kwe-lactose, i-glucose-galactose malabsorption;
• ukuthatha umuthi kanye ne-methotrexate ku-15 mg / ngeviki noma ngaphezulu.

Musa ukuqokwa kuma-trimesters woku-1 no-3 wokukhulelwa nangesikhathi uncelisa, ezigulini ezingaphansi kweminyaka engu-18.

Ngokusho kokuyalelwa ngudokotela nangemva kokuhlola zonke izingozi, singasetshenziswa kumthamo omncane ngesikhathi sesibili sokukhulelwa.

Lapho uthatha lo muthi, ukusabela okungahambi kahle kungenzeka ngesicanucanu, ukugabha, ukushisa kwenhliziyo, ukungaphatheki kahle e-epigastrium, ukopha esiswini, i-bronchospasm, i-tinnitus, ikhanda, ukuqubuka kwesikhumba nokulunywa kwemvelo.

Umuthi uphuzwa ngomlomo ngaphambi kokudla, unamanzi amaningi. Isikhathi sokwelashwa kanye nomuthi ofanele wansuku zonke kunqunywa udokotela ohambelayo. Uhlobo lonyango olunconyiwe lubandakanya ukuthatha i-100-200 mg / ngosuku noma ama-300 mg njalo ngosuku.

I-Acecardol i-contraindicated ekuhlulekeni kwenhliziyo okungapheli.

I-Acecardol ichazwe ngendlela ekhipha ukopha esiswini.

I-Acecardol i-contraindicated lapho uthatha umuthi uhlangana ne-methotrexate ngethamo lika-15 mg / isonto noma ngaphezulu.

Izakhiwo ze-Cardiomagnyl

I-Cardiomagnyl ingeyeqembu le-nonsteroid futhi isetshenziselwa ukwelapha nokuvimbela ukuthuthukiswa kwezifo zenhliziyo kanye nezinkinga ezahlukahlukene ezihambisana nazo. Inezakhiwo ze-analgesic, antipyretic, anti-inflammatory and antiaggregant.

Yehlisa ukuhlanganiswa kwe-platelet, ivikela i-mucosa esiswini kusuka ekucasukeni, isungula ibhalansi enempilo ye-acid esisisekelo esiswini, futhi yenyusa okuqukethwe kwe-magnesium endaweni ethambile kuyo. Thinta ngqo umongo.

Kubandakanya i-acetylsalicylic acid ne-magnesium hydroxide. Kutholakala ngesimo samathebulethi ngesimo senhliziyo, efakwe kumafilimu.

Umuthi unqunyelwe ukuvimbela kanye nokwelashwa kwama-pathologies alandelayo:

• i-angina pectoris engazinzi;
• ukuphindaphindwa kwe-thrombosis kanye ne-myocardial infarction;
• ukuphazamiseka kwe-ischemic kokugeleza kwegazi kwe-cerebral;
• izifo zesistimu yenhliziyo ne-concomitant asebenzayo ama-platelet aggregation lapho kunezinto eziyingozi (isifo sikashukela, i-hyperlipidemia, i-hypercholesterolemia, umfutho wegazi ophakeme, ukuguga, ukubhema, ukukhuluphala ngokweqile);
• izinkinga ngemuva kokuhlinzwa;
• Isifo senhliziyo esikuhlobo lwe-acute noma esingamahlalakhona.

I-Cardiomagnyl ingeyeqembu le-non-steroid futhi isetshenziselwa ukwelapha nokuvimbela ukuthuthukiswa kwezifo zenhliziyo.

Kuyavumelaniswa ezimweni ezinjalo:

• hypersensitivity kuzakhi zomuthi;
• isifuba somoya esihambisana nokwelashwa ngama-salicylates noma ezinye izinto ezinomphumela ofanayo;
• izilonda ze-peptic ngesimo esibuhlungu;
• ukungasebenzi kahle kwe-renal kanye ne-hepatic;
• i-hemorrhagic diathesis;
• ukwehluleka kwenhliziyo okukhulu;
• I-Cardiomagnyl ngokuhlanganiswa ne-methotrexate kwimithamo ye-15 mg ngeviki noma ngaphezulu kwenqatshelwe.

Ungabeki abantu abangaphansi kweminyaka engu-18 ubudala nabesifazane ngesikhathi sokukhulelwa sokuqala nesesithathu. Ingasetshenziswa ku-2nd trimester uma kunesidingo esiphuthumayo nasemithanjeni emincane. I-Cardiomagnyl ivunyelwe ngesikhathi sokuncelisa, icabanga ngobungozi ezinganeni kanye nezinzuzo ezenzelwe ukwelashwa.

Kwezinye izimo, imiphumela emibi iyenzeka ngendlela yokulunywa nokuqunjelwa kwesikhumba komsuka omelana nokungahambi kahle, ukushaya kwenhliziyo, isicanucanu, ukuphalaza, izinhlungu esiswini, ukuqina kwegazi, ukopha okuthe xaxa, isiyezi nokuphazamiseka kokulala.

Isikhathi ikhosi zokwelapha kanye umthamo ophelele nsuku zonke kunqunywa udokotela ukuya. Umthamo wokuqala onconyiwe ngu-150 mg 1 isikhathi ngosuku, umthamo wokulondolozwa ngu-75 mg 1 isikhathi ngosuku.

I-Cardiomagnyl is contraindication ku-asthma.

I-Cardiomagnyl i-contraindication uma kwenzeka ku-hypersensitivity ezingxenyeni zomuthi.

I-Cardiomagnyl icutshaniswe nesilonda esibuhlungu se-peptic.

Ukuqhathanisa Izidakamizwa

I-Cardiomagnyl ne-Acecardol zinomphumela ofanayo futhi zisetshenziselwa ukwelapha nokuvikela izifo zohlelo lwezinhliziyo, kepha-ke, kunokwehluka okuthile ekubumbeni, kubalulekile ukucubungula lapho ukhetha.

Ukufana

Zombili lezi zidakamizwa zifakiwe eqenjini lama-antiplatelet agents. Indlela yabo yokwenza ukunciphisa umzimba nokuhlanganiswa kwegazi ngokwejwayelekile.

Kufanelekile ukusetshenziswa kwesikhathi eside. Kuyatholakala ngesimo sethebhulethi.

Kumadosi afanele, ayabekezelelwa kahle futhi akuvamile ukuba abangele imiphumela emibi. Izidakamizwa azibekelwe abesifazane abakhulelwe, ikakhulukazi kuma-trimesters we-1 ne-3, kanye nesikhathi sokuphaka. Ungasebenzisi ezinganeni.

Uyini umehluko?

Umehluko omkhulu phakathi kwezidakamizwa ukwakheka. I-Cardiomagnyl ngaphezu kwalokho iqukethe i-magnesium hydroxide, ngenxa yokuthi umuthi unomphumela onenzuzo we-metabolism emisipha yenhliziyo.

Indlela yokusebenza yazo zombili lezi zidakamizwa ukwehlisa ukuhlangana kweplatelet futhi nokwenza kube nokugeleza okuphelele kwegazi ngenxa yokuncipha kwegazi.

Kukhona ukungafani esilinganisweni esiphezulu se-analogues: inani eliphakeme kakhulu le-acetylsalicylic acid e-Cardiomagnyl ngu-150 mg, Acecardolum - 300 mg.

Yikuphi okuphephile?

I-Cardiomagnyl iqukethe i-magnesium hydroxide, okuyi-antacid engangeneki, ngakho-ke isidakamizwa sinomphumela omuncu emgudwini wokugaya ukudla, sivikela i-mucosa ekucasukeni nge-acetylsalicylic acid.

Komunye wemithamo etholakalayo, ithebhulethi yeCardiomagnyl iqukethe ama-75 mg ento esebenzayo, esiseduzane nenkomba efanelekile (i-81 mg) etholakala ngezifundo ukuthola umthamo ofanele we-acetylsalicylic acid ukuvikela izifo zenhliziyo. Ukwanda okulandelayo kokuhlushwa ezimweni eziningi akunasizathu futhi kukhulisa ubungozi bemiphumela emibi.

Yikuphi okushibhile?

I-Cardiomagnyl yisidakamizwa esingenisiwe futhi sibonakaliswa ubukhona bezingxenye ezengeziwe, okuholela ezindlekweni zayo eziphakeme. I-Acekardol ikhiqizwa yinkampani yezokwelapha yaseRussia, ngakho-ke umkhiqizo unentengo ephansi.

Yini engcono i-Cardiomagnyl noma i-Acekardol?

Ukusebenza kwezokwelapha kuncike esithombeni somtholampilo. Kuyadingeka ukubheka ukusabela komuntu ngamunye ezingxenyeni nasekelweni.

I-Cardiomagnyl equkethe iqoqo eliphansi le-magnesium ne-acetylsalicylic acid ilungele ukusetshenziswa ekuvinjelweni nasekuphuculeni umsebenzi wenhliziyo ezifweni zezifo zesifo senhliziyo ezigulini ezine-pathologies ye-gastrointestinal pathologies (gastritis, ulcers).

I-Acecardol, etholakala kumthamo ophethe ukugcwala okuphezulu kwengxenye esebenzayo, isebenza ngempumelelo ekuvimbeleni ukwakheka kwezigaba zegazi, i-thromboembolism, futhi ngemuva kwezindlela zokuhlinzwa ngenxa yezindawo ezishiwo ukumelana nokuvuvukala kanye ne-analgesic.

Ingabe i-Acecardol ingathathelwa indawo yiCardiomagnyl?

Ukulungiselela kuqukethe into efanayo nesakhi esiyinhloko, ngakho-ke i-Acecardol ingathathelwa indawo ne-Cardiomagnyl inqobo nje uma i-magnesium ibekezelelwa kahle futhi ithathwa ngemithamo efanayo.

Lapho ukhetha umuthi, kungcono ukubonana nochwepheshe ozokhetha umuthi osebenza kakhulu, kubhekwe ubunzima besi sifo nezimpawu zomuntu ngamunye.

Ukubuyekezwa kodokotela

UNovikov D. S., udokotela ohlinzayo wemithambo onolwazi lweminyaka eyi-6, uRtishchevo: "I-Cardiomagnyl yisidakamizwa esezingeni eliphakeme futhi esingabizi kakhulu esidingekayo kubantu abanengozi enkulu yokushaywa yimizwa, ukushaya kwenhliziyo kanye ne-thrombosis. Nginikeza iziguli ezineminyaka engaphezu kwengama-50 ezinama-pathologies emithambo yegazi."

UGubarev I. A., Phlebologist oseneminyaka engu-8 yesipiliyoni, iPh.D., iSt. Petersburg: "I-Acecardol inqunyelwe iziguli ezinenhliziyo ezithinta inhliziyo ukuvimbela ukuhlaselwa yinhliziyo, imivimbo kanye nezinye izihlambi zasemakhaya. Ngezinye izikhathi lesi sidakamizwa sikhuthaza ukwanda kokuphuma kwegazi, kepha kuyasebenza. thatha i-Acecardol njengokuyalelwa ngudokotela nangesilinganiso esifanele. Enye inzuzo intengo engabizi. "

I-Acekardol ikhiqizwa yinkampani yezokwelapha yaseRussia, ngakho-ke umkhiqizo unentengo ephansi.

Ukubuyekezwa kweziguli kweCardiomagnyl ne-Acecardol

USergey S., oneminyaka engama-53, uSamara: "Ngisebenzisa i-Acekardol njalo ekunciphiseni igazi. Umuthi ongabizi futhi osezingeni eliphakeme, indlela elula yokukhululwa. Umfowethu ubuye awuthathe njengokuyalelwe udokotela ngenxa ye-thrombosis futhi, ukwahlulela ngokuhlolwa kwegazi, umuthi uyasiza."

UNatya Ch., Oneminyaka engama-25, uTarisa: "Udokotela unikeze ugogo wami oneminyaka engu-80 ubudala ngemuva kokuhlinzwa. Umuthi uqhamuke - awukho umphumela osesimweni. Isimo sikagogo sathuthuka, ukunqena kwakhe kwaphelela. Kungenzeka ukuthi asikho isidingo sokuphazamiseka. Intengo inengqondo."