Daawada Cordarone oo leh dhammaan calaamadaha iyo iska horimaadyada loo isticmaalo in ay isticmaalaan koox ka mid ah daawooyinka antiarrhythmic ee fasalka saddexaad. Taasi waa, ficilkeedu wuxuu ku salaysan yahay xannibaadda kanaalka potassium. Daawada ayaa sidoo kale leh astaamaha antiarrhythmics ee fasalka kowaad iyo afaraad. Sidaa darteed, waxay isku marin kartaa kanaalka sodium iyo kalsiyum. Waxyaabaha kale, daroogadu waxay leedahay beta-adrenergic xannibaad, xannibaadyo anshax iyo dabeecado qotodheer.
Tilmaamaha loo isticmaalo kiniiniyada Kordaron
Sababta daroogada waa amiodarone hydrochloride. Qiyaasta caadiga ah ee qaybta firfircooni waa 200 mg. Intaa waxaa dheer, halabuurka diyaarinta waxaa ka mid ah qaybaha ka mid ah gargaarka ah:
- silicon dioxide colloidal ah;
- lactose monohydrate;
- magnesium stearate;
- burjiga galleyda;
- Povidone.
Daroogada Cordarone waxaa loogu talagalay isticmaalka labadaba daaweynta iyo ujeedooyinka baaritaanka. Inta badan ku dhig sida:
- tachycardia macruufka qallalan ee suubanaanta;
- qalqal galbeedka;
- Cudurka Wolff-Parkinson-White;
- dheellitirafrirka iyo qufacsashada ;
- bakhaarada qashinka;
- sinus tachycardia;
- soo-kabashada ka-reebista miyir-qaadiga;
- wajiga ba'an ee infakshanka miyir-qaadiga;
- foosheelka atrial;
- ku xad gudubka hawlaha foosha;
- cudurka wadnaha ee ischemic;
- weerarrada pectoris angina .
Sida loo isticmaalo kiniiniyada Kordaron waxaa go'aaminaya dhakhtarka ka qaybgalaya. Daaweynta kala duwan waxaa loo isticmaali karaa daaweynta. Sidaa darteed, tusaale ahaan, goobaha bukaan-jiifka, qiyaasta ugu wanaagsan ee bilowga ah waa 600-800 mg oo ah hydrochloride amiodarone, oo loo qaybiyay dhowr dawo. Qiyaasta ugu badnaan ee la oggol yahay ee maalin kasta waa 10 g. Daawadani waxay socotaa shan ilaa sideed maalmood.
Qorshaha daaweynta bukaan-socodka ayaa la mid ah, laakiin waa inay sii socotaa muddo ka dheer - min toban maalmood ilaa laba toddobaad. Waxaa muhiim ah in la xusuusto in muddada nuska ah ee Kordaron muddo dheer uusan ahayn, sidaas darteed waxaa lagu talinayaa in la isticmaalo maalin kasta. Waxaad sidoo kale cabi kartaa kiniinno yar yar ilaa dhowr maalmood - joojinta.
Bilow daaweynta khabiirada oo dhan kugula talinayaan qiyaasta ugu yar iyo diirada saari natiijada daaweynta. Haddii kan dambe uusan ku filneyn, markaa waa in la kordhiyaa qiyaasta.
Contraindications in isticmaalka Cordarone
Contraindications waa daawo kasta oo kasta. Oo Cordonoonna ma uu reebin. Laguma talin in lagu daaweeyo daawadan antiarrhythmic markii:
- Xasaasiyadda ay ka kooban tahay qeybaha ka kooban halbeegga;
- kordhinta mudada QT (labadaba dhalasho iyo helid);
- sinus bradycardia;
- xannibaadda sinoatrial;
- uurka;
- naas-nuujinta;
- cudurrada sambabada ee dhexdhexaadka ah;
- hypokalemia;
- hypomagnesemia;
- Dhibaatooyinka qanjirka (sida hyper- or hypothyroidism);
- xannibaadda atrioventicular laga bilaabo koowaad ilaa heerka saddexaad.
Caruurtu waa in aysan cabbin kiniinka kahor siddeed iyo toban. Iyadoo taxaddar ba'an ah, Cordarone waa in loo maamulaa bukaanka qaba:
- qalalaasaha araga;
- Qalalaasaha wadnaha oo gaabis ah ama daran;
- naxdinta wadnaha;
- neefta neefta;
- wadnaha;
- nacasnimada beerka.
Qaadashada daawada adigoo kormeeraayo takhasus, iyo bukaanno waayeel ah oo jirkooda uu daciifiyo isbedel da'da ah oo khatar galinaya.
Waa wax aan loo baahnayn in lagu daro Cordarone daawooyinkaas oo kale:
- Quinidine;
- Mefelohin;
- Quinine;
- Pimozide;
- Fluphenazine;
- Spiramycin;
- Misolastine;
- Sultopride;
- Terfenadine;
- Haloperidol;
- Bretilia;
- Sotalol;
- Spiramycin;
- Chlorpromazine;
- Ciammine.