Zomwe zili bwino: Mapiritsi a Cardiomagnyl kapena Acecardol? Kodi Cardiomagnyl ndiyothandiza kwambiri chifukwa ndiokwera mtengo kwambiri?

Kukonzekera kuthandizira ntchito ya mtima kapena kuchitira zomwe zili ndi mtima zomwe zilipo ndizofala pakati pa odwala. Nthawi zambiri amathandizidwa ndi akatswiri a mtima kuchiritsa matenda osiyanasiyana a pathologies. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi Cardiomagnyl ndi Acekardol. Ndi ofanana mwanjira ina, koma amakhalanso ndi kusiyana.

Mankhwala umalimbana ndi mankhwalawa komanso kupewa matenda otsatirawa:

Gawo lalikulu la Acecardol ndi acetylsalicylic acid. Kuphatikiza apo, okhathamira omwe amapezeka mu kapangidwe kazinthuzi ndi wowuma, magnesium stearate, lactose monohydrate, otsika maselo olemera povidone ndi mapadi.

Muli zokutira enteric. Amatulutsidwa m'mafakisoni am'matumba 10 a chithuza.

Zochita za acid ndizolinga zake kuponderezana kwa kupatsidwa zinthu za m'mwazi. Zotsatira zake atatha kugwiritsa ntchito zimawonedwa pakatha sabata, ngakhale munthu atamwa pang'ono.

Kuphatikiza pazofunikira pamitsempha yamtima ndi mitsempha yamagazi, Acekardol ali nayo odana ndi yotupa mphamvu pa thupi lonse, komanso amatha kuchepetsa kutentha kwambiri.

Acecardol amatengedwa musanadye, pomwe nthawi zonse mumamwa madzi ambiri kapena madzi aliwonse. Nthawi zambiri, chithandizo chamankhwala chimatenga nthawi yayitali, koma nthawi zina, akatswiri amapereka njira zofupikitsira za kayendetsedwe ka ntchito.

Pali zovuta zomwe zimawonedwa kuchokera ku phwando, komabe, sizofunika kwambiri ndipo zimachitika kawirikawiri. Izi zikuphatikiza:

• Ziwengo
• Bronchospasm.
• Chiopsezo chotaya magazi.
• Kholingo, kutentha kwa mtima.
• Mutu.

Contraindication ndi njira zotsatirazi:

1. Zilonda zam'mimba.
2. Kupuma.
3. Kuphatikizika.
4. Mphumu
5. Impso ndi chiwindi kulephera.
6. Zaka mpaka 18.
7. Mimba komanso kuyamwa.

Mosamala, muyenera kumwa ngati mukukonzekera ntchito iliyonse, chifukwa chinthu chachikulu chomwe chimagwira chimatha kuyambitsa magazi. Izi zimadziwika kwambiri mwa anthu omwe amakonda kutaya magazi m'moyo watsiku ndi tsiku.

Zofanana ndalamazi

Mankhwala onse awiriwa amakhala ndi cholinga chothandizira matenda komanso kupewa matenda a mtima. Onsewa ali ndi yogwira kwambiri mankhwala acetylsalicylic acid. Zothandiza pazomwe zimapangidwazo ndizofanana ndi china chilichonse.

Mankhwala amakhala ndi zotsatirapo zake zomwezo, chifukwa zimakhala ndi zomwe zimagwira. Komabe, ku Cardiomagnyl, zotsatira zoyipa za asidi pamimba yamagetsi zimachepetsedwa chifukwa cha zina zowonjezera.

Mankhwalawa amachitanso chimodzimodzi ndi wodwalayo, poletsa kuphatikizana kwa maselo ambiri. Contraindication kumwa mankhwala ndiofanana.

Kuyerekezera ndi zosiyana

Njira zimasiyana mu zomwe Cardiomagnyl zilipo magnesium hydroxide, yomwe imachepetsa pang'ono mphamvu ya asidi pamimba. Chifukwa chake, mankhwalawa nthawi zambiri amaperekedwa kwa odwala omwe ali ndi matenda am'mimba.

Gawo lamtengo nalonso limasiyana. Acekardol ndi wotsika mtengo kwambiri kuposa Cardiomagnyl.

Acecardolum ndi wotsika mtengo kwambiri kuposa Cardiomagnyl, nthawi zambiri anthu amasankha. Kugwiritsa ntchito bwino kwa mankhwalawa ndikokwera kwambiri, chifukwa chake madokotala sawona kusiyana kwapadera pakati pa awiriwa.

Koma omwe ali ndi matenda ena ammimba amayenera kulabadira Cardiomagnyl. Cardiomagnyl iyeneranso kusankhidwa kwa iwo omwe akuvutika ndi acidity yam'mimba.

Kusinthanitsa mankhwala ndi wina ndi mnzake kumaloledwa pambuyo poyankhulana ndi dokotala. Palinso chidziwitso pakusintha kwa ndalamazi.

Nthawi zina, kusankha kwa mankhwala kumakhudzidwa osati kokha ndi kukhalapo kapena kusowa kwa ma contraindication, komanso ndi mlingo wofunikira. Acecardol ali ndi mawonekedwe osavuta amasulidwe ndi muyeso wa chinthu chachikulu 100 mg. Chifukwa chake, madokotala nthawi zambiri amapereka mankhwala.

Anthu ena amakhulupirira kuti mutha kumwa aspirin mwanjira yake yabwino kwambiri, ndikusintha ndi mankhwala ena, koma sizili choncho. Makonda ayenera kuperekedwa kwa mankhwala apadera.

Chithandizo cha Acecardol

Acercadol ili ndi acetylsalicylic acid. Mankhwalawa amapereka kuponderezedwa kwa COX-1 - zotsatira zake sizingasinthe. Zoletsa kutchinga tinthu tating'onoting'ono timalepheretsa kuphatikiza kwa thromboxane A2 ndikupewa kuphatikiza kuphatikizana kwa magazi.

Kukula kwa maselo a thrombotic kumadziwika mukamagwiritsa ntchito milingo yaying'ono kwambiri. Kutalika kwa mphamvu ya mankhwalawa kumapitirira sabata limodzi atamwa kamodzi pa Acecardol. Ngati wodwala agwiritsa ntchito mankhwalawa kuchuluka kwake, imapereka mphamvu ya antispasmodic, kuchepa kwa kutentha, ndikumenyana ndi njira zotupa. Zotsatira zomwezi zimaperekedwa ndi mankhwala aliwonse omwe amakhala ndi aspirin.

Kukhazikitsidwa ndi kulangizidwa kwa Acekardol

Mankhwalawa amalembera:

• Mtima ischemia
• Matenda a Takayasu
• Angioplasty
• Matenda a mtima opanda matenda
• Myocardial infaration pofuna kupewa anthu,
• Kulimbitsidwa,
• Zofooka za mavalavu yovunda,
• Kuchepetsa kwambiri ululu syndrome
• Kukhazikitsa mavavu amtima wachitetezo kuti mupewe magazi
• Kukhalapo kwa chiwopsezo cha ischemia,
• Thupi lomwe limalumikizidwa ndi kutupa ndi matenda,
• Angina wosakhazikika,
• Kusokonezeka kwa mtima
• Thrombophlebitis
• Matenda a Kawasaki
• Pulmonary embolism.

Acecardol amatengedwa piritsi limodzi patsiku musanadye, kutsukidwa ndi madzi. Mu mtima, amamulembera maphunziro azitali. Pofuna kupewa komanso kupewa matenda amtima, matenda a thrombotic, thromboembolism, Acekardol amaikidwa 10 mg pa tsiku kapena 30 mg tsiku lililonse. Kuti mlingo woyamba umalowetsedwe mwachangu, piritsi limatha kutafunidwa ndikusambitsidwa ndi madzi.

Mlingo

Contraindication ku Acercadol

Mankhwala osavomerezeka:

• Kutengeka kwambiri ndi salicylates,
• G-6-PD-kuchepa magazi m'thupi,
• Hypokalemia
• Osakwana zaka 16
• Matenda am'mimba ndi matumbo pa siteji yowonjezera,
• Kuchepa kwa chiwindi
• Supombocytopenia
• Kuphika kwam'mimba,
• Anortic aneurysm,
• Kuyamwitsa ndi kubereka mwana wosabadwayo,
• Kulephera kwa mtima.

Kutanthauzira kwa Cardiomagnyl

Cardiomagnyl ndi wothandizira magawo awiri, momwe acetylsalicylic acid ndi magnesium hydroxide amakhalapo.

Chida ichi ndi cha antiplatelet agents ndipo chimagwiritsidwa ntchito mu mtima. Cardiomagnyl imalepheretsa ma cycloo oxygenase ndikuchepetsa kapangidwe ka thromboxane ndi prostaglandins m'thupi. Mlingo waukulu, amagwira ntchito ngati analgesic, amathandizira kutentha thupi, komanso amalimbana ndi kutupa.

Zotsatira za salicylates pa kaphatikizidwe ka thromboxane m'magazi a magazi kumatenga nthawi yayitali, ngakhale wodwalayo atasiya kumwa Cardiomagnyl. Zizindikiro zoyambirira za mayeserowo zidzangobwera kuchokera pokhapokha ngati ma cell amapezeka m'magazi.

Magnesium hydroxide mu kapangidwe ka Cardiomagnyl imapereka antacid, imateteza mucous membrane osiyanasiyana a kugaya chakudya ku ziwalo zoyipa za AST.

Pambuyo pakukonzekera pakamwa, acetylsalicylic acid imatenga bwino. Kuzindikira kwakukulu kumafika pakatha theka la ola piritsi ikalowa m'mphepete. Mbali ya magnesium m'thupi imalowa mu matumbo.

Magnesium, nawonso, amaphatikiza mapuloteni ndi 30 peresenti. Zina mwaizi zimalowanso mkaka wa mayi.

M'makoma a m'mimba, asidi amasandulika kukhala salicylate - ichi ndi chopangidwa ndi mankhwala. Pakatha mphindi 20 mutamwa mapiritsiwo, mchere wa salicylic umatuluka m'magazi. Zomwe zimachokera ku mankhwalawa zimapukusidwa kudzera mu kagayidwe kachakudya kagayidwe kake, ndipo gawo laling'ono la zinthu zomwe zimakonzekeretsa mtima zimakhalabe zosasinthika ndipo amatuluka ndi mkodzo. Hafu ya moyo wa kuchotsedwa ndi pafupifupi maola atatu. Ngati wodwala atenga waukulu, mankhwalawa amachotsedwa pakatha maola 30.

Magnesium hydroxide imaponyedwa ndowe kuchokera m'matumbo, pang'onopang'ono kudzera impso.

Contraindication ku Cardiomagnyl

Mankhwalawa amaletsedwa kugwiritsidwa ntchito kwa odwala omwe sangathe kulekerera zosakanizira zamapiritsi ndi mitundu ina ya salicylates komanso mankhwala omwe si a antiidal. Mwa zina zoyipa:

• Zilonda zam'mimbazi pachiwopsezo chachikulu,
• Kulephera kwina
• Mavuto akulu a chiwindi
• Kuwopsa kwa kutulutsa magazi,
• Vitamini K akusowa
• Supombocytopenia
• Mimba itatha yachiwiri trimester,
• Kulephera kwamtima.

Acecardol kapena Cardiomagnyl: zili bwino?

Palibe kusiyana kwakukulu pakati pa mankhwalawa, chifukwa ali ndi zinthu zomwe zimagwira. Komabe, pali lingaliro kuti Cardiomagnyl amalimbana kwambiri ndi mitundu yopambana, pomwe ali ndi zotsutsana zochepa komanso zoyipa. M'malo mwake, lingaliro ili lilibe tanthauzo la sayansi, popeza mndandanda wazotsatira zamankhwala onsewa ndi zofanana.

Simungathe kugwiritsa ntchito mapiritsi okhala ndi aspirin pa nthawi yobala mwana, ndi zovuta za chiwindi ndi kwamikodzo dongosolo, kusowa kwa lactase m'thupi. Mankhwalawa sayenera kugwiritsidwa ntchito pakuwonjezera hemorrhagic diathesis komanso kuvomerezeka kwa asipirini. Mosamala mosamala, ndikofunikira kulandira mankhwalawa ngati wodwala akudwala mphumu ya bronchial, popeza pamakhala chiopsezo cha kuchuluka kwake.

Aspirin

Zotsatira zoyipa za mankhwala osokoneza bongo

Kukonzekera komwe kuli ndi aspirin kungayambitse izi:

• Chiwopsezo chotaya magazi,
• Kutulutsa magazi obisika
• Mutu, chizungulire,
• Lethargy, kutopa,
• Matenda a dongosolo la kugaya chakudya: nseru, kusanza, mavuto a chopondapo,
• Kukokoloka kwa mucous nembanemba zam'mimba ndi matumbo, etc.

Zoyenera kusankha?

Wodwala aliyense amatha kuyesa kugwiritsa ntchito mankhwalawa mothandizidwa, osati nthawi imodzi, koma mosiyana, kenako ndikusankha zomwe zimamuyenerera. Ndikulimbikitsidwa musanapange chisankho kuti muphunzire ndemanga za odwala. Odwala ambiri amakonda kuchira ndi Acekardol, chifukwa mtengo wake umakhala wotsika mtengo, ndipo ntchito yake imakhala yokwera kwambiri. Ndipo omwe amagwiritsidwa ntchito kale ku Cardiomagnyl akukhulupirira kuti mankhwalawa ali bwino.

Kusankhidwa kwa mankhwala

M'malo mwake, mavuto obwera kuchokera m'matumbo am'mimba pamene ma aspirin amagwiritsidwa ntchito limodzi ndi zoteteza mucous membrane ya magnesium hydroxide zimachitika kangapo. Izi zikusonyeza kuti Cardiomagnyl ndiotetezeka poyerekeza ndi Acecardol.

Komabe, ndikofunikira kulingalira kuti Cardiomagnyl ndiokwera mtengo kwambiri, kotero, odwala ambiri safuna kupitiliza kuperekera mapiritsi a aspirin okhazikika. Anthu wamba amasankha Acekardol wosavuta komanso wotsimikiziridwa, ndipo ngati kuli kotheka, amathandizira pogwiritsa ntchito mankhwala amodzi a pharmacy.

Popanda kuganizira za kusiyana kwakung'ono kumeneku, Cardiomagnyl ndi Acecardol amathandizanso thupi ndipo angagwiritsidwe ntchito molingana ndi mankhwalawa popewa matenda a mtima ndi mtima.

Komabe, simuyenera kupereka mankhwala ali nokha - uwu ndi mwayi wofunikira wa dokotala. Katswiri wamtima wokha ndi amene angakupatseni malangizo othandiza kwambiri, kupereka mankhwala abwino kwambiri, mutaganizira chithunzithunzi ndi mbiri.

Matenda a mtima, stroko komanso magazi

Kwazaka 150, anthu akhala akutenga aspirin, ndipo amakhalabe wotsimikizira waubwino pankhani ya antiplatelet therapy. Pochiza matenda oopsa, gulu la mankhwala oletsa maselo amtunduwu amathandizira kupewa matenda a mtima, mu mitsempha yoteteza mitsempha.

Onsewa ndi vuto ndi zotengera, komanso mapangidwe amisempha amwazi mu lumen yawo. Popeza kupangidwa kwa magazi, komanso kufalikira kwamitsempha yamagazi, njirayi ndi yovuta ndipo imayambitsidwa osati chifukwa chakuwonekanso kwa maplatelet, ndiye kuti ngakhale mutatenga cardiomagnyl, wodwalayo sangakhale wotsimikiza mpaka pamapeto, chifukwa piritsi limodzi silithetsa chilichonse.

Tcherani khutu! Pambuyo ndikuluma, mapiritsi oonda magazi amathandizidwanso, koma ndi lingaliro lina lofunikira. Cardiomagnyl kokha sikokwanira.

Makhalidwe a Acecardol

Acekardol amapangidwa ku Russia: Kurgan, JSC Synthesis. Mankhwala ndi piritsi la acetylsalicylic acid. Mapiritsiwa ndi enteric. Mlingo wa ASA: 50, 100 kapena 300 mg.

• povidone
• wowuma chimanga
• shuga mkaka (lactose),
• cellcrystalline mapadi,
• magnesium stearic acid (magnesium stearate),
• talcum ufa
• cellulose acetate
• titanium dioxide
• mafuta a castor.

Mapiritsi amadzaza m'matumba a blister a 10 ma PC. Mtolo wa makatoni ukhoza kukhala ndi matuza 1, 2, 3 kapena 5.

Mbali ya Cardiomagnyl

Cardiomagnyl amapangidwa ndi kampani yaku Germany ya mankhwala Takeda GmbH (Oranienburg). Mlingo wa mankhwalawa ndi mapiritsi omwe ali ndi Mlingo wa ASA 75 kapena 150 mg.

Kusiyana kowoneka pakati pa miyala:

• ASA 75 mg - yosindikizidwa ngati "mtima",
• ASA 150 mg - chowulungika ndi mzere wogawa.

Mapiritsiwa amakhala atakutidwa ndi filimu yoyera-yovala yoyera. Kuphatikizika kwa mankhwalawa kumaphatikizapo acetylsalicylic acid, magnesium hydroxide ndi zina zowonjezera:

• wowuma chimanga
• wowuma mbatata
• cellcrystalline mapadi,
• magnesium wakuba,
• methyl hydroxyethyl cellulose,
• propylene glycol
• talcum ufa.

Mlingo wa zosakaniza (Acetylsalicylic acid + Magnesium hydroxide) piritsi limodzi:

• 75 mg + 15.2 mg
• 150 mg + 30.39 mg.

Mapiritsi amatayikidwa m'mabotolo agalasi (ma 30 kapena 100 ma PC.) Ndipo amaikidwa mu bokosi la makatoni.

Kuyerekezera Mankhwala

Acecardol ndi Cardiomagnyl ndi antiplatelet mankhwala, analogi ya yogwira thunthu (ASA) ndi kupatsirana kwatsika kwamthupi.

Mankhwala onsewa ndi amodzi a anti-yotupa-anti-yotupa mankhwala (NSAIDs), chifukwa mawonekedwe a yogwira mankhwala (ASA) amafanana ndi gulu la mankhwala.

Zotsatira zamankhwala zimakhazikitsidwa ndi mankhwala omwe amadalira mankhwala a acetylsalicylic acid: Mlingo wocheperako wa ASA (30-300 mg / tsiku) amakhala ndi mphamvu yotsutsana ndi magazi, kuchepetsa mamasukidwe ake chifukwa chakuletsa kwa cycloo oxygenase (COX) yama enzymes, yomwe imakhudzidwa mwachindunji ndi kapangidwe ka thromboxane A2. Poterepa, kuphatikizika kwa maplateni ndi oletsedwa, ndi zakumwa zamagazi. Izi zimachitika pambuyo pa woyamba mlingo ndipo zimatha kwa masiku 7.

Chimodzi mwazinthu zoyipa za acetylsalicylic acid ndizovuta zake pamakoma am'mimba ndi duodenum. Kutenga mapiritsi a ASA opanda chipolopolo (mwachitsanzo, Aspirin) kumatha kupangitsa zilonda m'mimba. Izi ndichifukwa choti kutsekeka kwa cycloo oxygenase kumayambitsa kuphwanya kwa zochita za zotumphukira.

Cardiomagnyl ndi Acecardol amapezeka mapiritsi okhala ndi matendawa.

Mapiritsi amasungunuka kokha m'matumbo, kudutsa m'mimba ndi duodenum. Mfundo yochepetsera chiopsezo cha zilonda zam'mimba m'matumbo am'mimba panthawi yoletsa matenda a mtima pogwiritsa ntchito acetylsalicylic acid ndiyofunikira, chifukwa mankhwalawa amakhala nthawi yayitali. Kupezeka kwa chipolopolo kumachulukitsa kuyamwa kwa ASA kwa maola 3-6 (poyerekeza ndi kumwa mapiritsi ofanana popanda enteric ating kuyamwa).

Zina mwazinthu zothandizira zomwe zili zodziwika ndi izi:

• talcum ufa
• wowuma chimanga
• cellcrystalline mapadi,
• magnesium stearic acid (magnesium stearate).

Mankhwalawa ali ndi zofanana:

• matenda a mtima (mawonekedwe osakhazikika ndi nthawi yowonjezereka),
• angina pectoris.

Mankhwala omwe ali ndi mphamvu yofanana amagwiritsidwa ntchito popewa:

• mobwerezabwereza thrombosis,
• pachimake ndi kubwereza kopitilira muyeso,
• ischemic stroke
• pachimake coronary syndrome
• kufupika kwakanthawi kochepa kaubongo,
• ngozi yochepa yam'mimba (mtundu wa ischemic).

Mankhwalawa amalamulidwa kwa odwala omwe ali ndi zaka zopitilira 50 kuti ateteze matenda amtima wabwino ngati zinthu zotsatirazi zoopsa zilipo:

• ochepa matenda oopsa
• hypercholesterolemia (hyperlipidemia),
• matenda ashuga
• kunenepa
• kusuta
• mbiri yakubadwa (mwachitsanzo, kulowetsedwa kwa wachibale mwa wachibale).

Cardiomagnyl kapena Acekardol woletsa matenda a thromboembolism angadziwike pambuyo popanga opereshoni ndi zina mwa ntchito yamitsempha yamagazi:

• chotupa cham'madzi chodutsa,
• carotid endarterectomy,
• wolowera njira
• carotid angioplasty,
• translate coronary angioplasty.

Popeza zomwe zimagwiritsidwa ntchito m'magawo onse awiri ndizofanana, ndiye kuti zotsutsana za mankhwalawa zimagwirizana. Simungathe kumwa mankhwalawa ngati muli ndi mbiri:

• tsankho ku ASA,
• matupi awo sagwirizana ndi NSAIDs,
• Mphumu ya bronchial,
• thrombocytopenia
• hypoprothrombinemia,
• zilonda zam'mimba
• hemophilia
• hemorrhagic diathesis,
• aimpso, chiwindi kapena vuto la mtima,
• magazi
• shuga-6-phosphate dehydrogenase akusowa.

Contraindication ndi:

• Ine ndi III oyesa kubereka,
• kuyamwa
• zaka za ana
• kumwa methotrexate pa mlingo wa 15 mg / sabata.

Mankhwalawa samakhudza kuyendetsa. Cardiomagnyl ndi Acecardol ndi mankhwala a OTC.

Kodi pali kusiyana kotani?

Kusiyana kwakukulu pakati pa mankhwalawa ndi kuchuluka kwa acetylsalicylic acid piritsi limodzi:

• Acecardol - 50, 100 kapena 300 mg,
• Cardiomagnyl - 75 kapena 150 mg.

Kuphatikizidwa kwa Cardiomagnyl kumaphatikiza ndi magnesium hydroxide, yomwe imatetezanso mucosa wam'mimba ndikuchepetsa chiopsezo cha mavuto. Nthawi yomweyo, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumakhala ndi zotsatira zabwino pamisempha yamtima chifukwa chodya pafupipafupi milingo ya magnesium m'thupi.

Pali kusiyana pamagawo owonjezerawa omwe amapanga mankhwalawa.

• povidone, yomwe imagwiritsidwa ntchito ngati enterosorbent,
• shuga mkaka (lactose), wophatikizidwa mu hypolactasia,
• cell ya acetylphthalyl - chinthu chomwe chimagwirizana kwambiri ndi madzi am'mimba, chomwe ndi chimodzi mwa mapiritsi a enteric
• titanium dioxide - utoto woyera, chakudya chowonjezera cha E171,
• mafuta a castor ndi pulasitiki wa chipolopolo.

Mapangidwe a Cardiomagnyl akuphatikizapo:

• wowuma wa mbatata - ufa wowotcha,
• methylhydroxyethylcellulose - filimu yakale kuti apeze chophimba cha enteric,
• propylene glycol - mowa, chakudya chowonjezera E-1520.

Kukonzekera kumasiyana monga mapiritsi:

• Acekardol - biconvex, kuzungulira,
• Cardiomagnyl - wojambula pamtima kapena wowonda ndi chiopsezo.

Chotsika mtengo ndi chiyani?

Mankhwalawa ali ndi mlingo wosiyana wa zomwe zimagwiritsidwa ntchito komanso ma CD osiyanasiyana, koma mtengo wa Acecardol ndiwotsika kwambiri. Izi ndichifukwa chosowa magnesium hydroxide mmenemo, kusiyana kwazinthu zina zowonjezera, kupanga zoweta komanso kuyika kwachuma. Kuti muyerekeze mtengo wa mankhwalawa, mutha kuganizira mitengo ya mitundu yodziwika kwambiri yamapangidwe:

Kodi Acecardol akhoza kulowa m'malo mwa Cardiomagnyl?

Acecardol ndi wotsika mtengo kwambiri kuposa Cardiomagnyl, kotero kuyimitsidwayo kukhudza mtengo wathunthu wa njira yopewera, yomwe imatenga miyezi iwiri.

Mwachitsanzo, ngati tsiku ndi tsiku mlingo wa ASA uyenera kukhala 150 mg, ndiye mukamamwa Acecardol, mtengo wa masiku 60 wa chithandizo ndi ma ruble 120, ndipo mukamagwiritsa ntchito Cardiomagnyl, pafupifupi ma ruble 400.

Pankhaniyi, mphamvu ya antiplatelet yamagazi onse pamagazi ndiofanana.

Ndikofunika kulingalira kusiyidwa kwa Acecardol m'malo mwa Cardiomagnyl chifukwa cha kuchepa kwa lactose kapena kuchepetsa ngozi ya kukokoloka m'mimba.

Ndibwino - Acecardol kapena Cardiomagnyl?

Kafukufuku wogwiritsa ntchito Mlingo waung'ono wa acetylsalicylic acid monga othandizira ma antiplatelet awonetsa kuti mulingo woyenera kwambiri wopewera matenda amtima ndi 80 mg. Mlingo 300 mg / tsiku. ingafunike kokha m'masiku oyamba kumwa mankhwalawa. Kuwonjezeka kwa tsiku ndi tsiku la yogwira kungayambitse zotsatira zosavomerezeka (kuphwanya minofu ya cytoprotection m'mimba). Chifukwa chake, Cardiomagnyl (75, 150 mg) ndiwosavuta kugwiritsa ntchito kuposa Acecardol (50, 100, 300 mg).

Kuchokera pamawonedwe otetezedwa ndikuwonjezera mphamvu pa thupi, Cardiomagnyl yaku Germany imakhalanso yabwino: ilibe lactose, pomwe imathandizidwa ndi magnesium hydroxide.

Kusiyana kwakakonzedwerako ndikosafunikira, ndipo mawonekedwe a antiplatelet ndi ofanana. Chifukwa chake, Russian Acekardol ili ndi mwayi wokhala wotsika mtengo.

Malingaliro a madotolo

Polishchuk V. A., dokotala wa opaleshoni yamtima, Novosibirsk: "Mankhwalawa amagwira ntchito popewa kuthana ndi matenda a thromboembolism ndi myocardial infarction ngati gawo limodzi la chithandizo chokwanira. Kugwiritsa ntchito kwawo pakatetezedwe kake kovuta ndi nkhani yovuta. Poyerekeza ndi placebo, chiopsezo cha CVD chimachepa, koma pali ngozi yotulutsa magazi." .

Orlov A.V., katswiri wa zamankhwala, ku Moscow: "Ndikofunikira kumaliza njira yonse ya mankhwalawa. Kukhazikika kwakanthawi kovuta kumayambitsa matenda a metabolism ndipo kungayambitse zotsatira zotsutsana - mapangidwe a magazi. Chifukwa chake, muyenera kuchepetsa pang'onopang'ono kuchuluka kwa ASA ndikuwonetsetsa kuchuluka kwa magazi (UAC). "

Ndemanga za Odwala za Acecardol ndi Cardiomagnyl

Anna, wazaka 46, Vologda: "Ndimadwala matenda a shuga, omwe amatheka chifukwa cha kunenepa kwambiri. Sindinachite zotsutsana chifukwa chotenga ASA, motero ndimatenga Cardiomagnyl."

Anatoly, wazaka 59, Tyumen: "Nditapezeka ndi chifuwa chachikulu, ndinayamba kuona kuchepa kwa kukumbukira komanso kuthandizidwa. Madotolo adati pali matenda amitsempha yamagazi ndipo atulutsanso Acekardol. Pali mwayi wokhala ndi vuto lozungulira muubongo ndi chifuwa chachikulu, ndipo mankhwalawa amathandizira magazi ndikuchepetsa kupanikizika. "

Maphunziro motsutsana ndi wamba

Odwala nthawi zambiri amayesa kuchotsa mankhwalawa kuti azigwiritsidwa ntchito tsiku ndi tsiku, ndipo pochotsa aspirin kapena thrombital, palibe kuwonongeka kwakuthwa. Chifukwa chake, zitha kupereka chithunzi chabodza chakuti mtima ndi mtima sizofunikira konse.

Madokotala, m'malo mwake, amalimbikira kuvomereza nthawi iliyonse, podziwa kuti tanthauzo la kuvomereza silikuwoneka ndi diso lamaliseche. Ndizotheka kunena mosasamala zomwe zimachitika m'matumbo a coronary pokhapokha pa coronary angiography, ndipo izi ndizowopsa zomwe zimachitika m'sitimayo komanso mwayi wokhala ndi thrombosis.

Njira zina zodziwitsira kuphatikizira kwa kupatsidwa zinthu za m'magazi sapereka lingaliro lolondola la momwe ziwiya zam'mimba zimayendera.

Mfundo zoyenera kugwiritsa ntchito mankhwala osokoneza bongo

Cholinga cha mankhwalawa ndikuchepetsa magazi. Izi zimatheka chifukwa cha kuthekera kwa acetylsalicylic acid mumadontho ang'onoang'ono kuti achepetse kupanga kwa thromboxane A2 m'mapulateleti ndikuletsa kuphatikiza kwawo, i.e. kulumikizana palimodzi.

Mphamvu iyi ya aspirin imagwiritsidwa ntchito kwambiri popewa kulowetsedwa kwa myocardial, stroko, mavuto oopsa, makamaka sekondale, i.e. pamene wodwala wavutika kale chimodzi mwazinthu izi. Ndi kulekerera bwino, mankhwalawa amatha kutumizidwa kwa moyo wonse.

Nthawi yomweyo, milingo yayikulu ya mankhwalawa imatha kukhala ndi antipyretic, anti-inflammatory and analgesic zotsatira, koma tsopano sigwiritsidwa ntchito pazifukwa izi chifukwa cha mavuto obwera chifukwa cha kumwa.

Mankhwala opangidwa ndi Russia, analogue of the Germany Aspirin Cardio, wolembedwa kupewa matenda a mtima. Imakhala ndi mphamvu yoletsa maselo m'magazi, potero imaletsa kukula kwake. Pachifukwa ichi, amadziwika kuti apewe kupweteka kwa mikwingwirima ya ischemic, thrombosis, kugunda kwa mtima, makamaka pamaso paziwopsezo: matenda a shuga, kuthamanga kwa magazi, kusuta (makamaka kukalamba), ndi zina zambiri.

Bwanji osagwirizana ndi aspirin nthawi zonse

Zomwe zimachitika kuti mutenge aspirin, komanso makamakaopopidogrel, ziyenera kukhala zabwino. Kutengera ndi matendawo komanso zovuta zake, dokotalayo amasankha mankhwala ofunikira, ndikulemba mankhwala ngati pakufunika.

Ndikosatheka kumwa mankhwala amphamvu a antiplatelet popanda mayeso oyambira ndi kuyang'aniridwa ndi dokotala, chifukwa zingapo zotsutsana ndizambiri.

Ma antiplatelet othandizira amatha kugawidwa m'magulu anayi malinga ndi momwe machitidwe:

1. Zinthu zomwe zimasinthana ndi arachidonic acid, zimaphatikizapo: aspirin, indomethacin, omega-3 (polyunsaturated) mafuta acids.
2. Zinthu zomwe zimamangilira ku ma receptor adamulowetsa: clopidogrel, ticlopidine, ketanserin.
3. Otsutsa a Glycoprotein (GP) IIb / IIIa: xemilofiban.
4. Zinthu zomwe cholinga chake ndi kuwonjezera cyclic nucleotides: dipyridamole, theophylline.

Mankhwalawa amatsogolera ku zotsatira zomwezo, zomwe zimalepheretsa mapangidwe amwazi mu bedi lamitsempha, koma sizofanana, chifukwa mfundo ndi zosiyana.

Zomwe agogo sanadziwe

Nthawi zina, odwala amatha kutenga aspirin mosasamala, chifukwa chotsatsa, koma izi ndizolakwika. Kodi ndi chinthu choyipa chiti chomwe chingakwiyitse aspirin yemwe wakhala akudziwika kale?

1. Amawononga kwambiri m'mimba, ndikupanga zilonda, ndikupangitsa kuti azitsukidwa. Nthawi zina, zotupa za esophagus ndi matumbo ndizotheka.
2. Kukulitsa njira ya gout chifukwa uric acid posungira. Katunduyu adaphunzira kalekale, ndipo pofuna kudziletsa ndi bwino kuganizira zakudya No. 6, kenako ndikutsatira.
3. Kuchepetsa magazi glycemic index. Izi zimangogwira ntchito kwa odwala matenda a shuga. Pambuyo pa kukhazikitsa mtima wa mtima, ndikofunikira kuthana ndi shuga m'magazi kwa masiku angapo (3-7). Ngati chithandizo cha hypoglycemic chikufuna kuchepa kwa insulin, ndibwino kufunsa ndi endocrinologist.
4. Kuchepetsa mphamvu ya mapiritsi pamavuto. Izi zikadali nkhani yamkangano pakati pa akatswiri a mtima, chifukwa nthawi zambiri mtima ndi ana ake amafananizidwa ndi matenda oopsa. Malangizo omwe atengedwe pamilandu iyi amasankhidwa ndi dokotala.
5. Patsani magazi, kuphatikizapo mapangidwe a hematomas. Nthawi zambiri zimatengera mlingo wa aspirin, chifukwa chake, pakubwera koyamba, muyenera kufunsa dokotala.
6. Limbikitsani chitukuko cha bronchospasm. Imawonetsedwa kwambiri kwa odwala omwe ali ndi mavuto a broncho-pulmonary system;
7. Kupereka zomwe zimayambitsa thupi. Izi ndi mtundu wa mankhwala aliwonse, ndiye kuti mutangotha ​​mlingo woyamba muyenera kuyang'anira thanzi lanu.

Tcherani khutu! Pankhani ya kudya tsiku ndi tsiku, kosalekeza, simungatenge mlingo waukulu kuposa womwe wakupatsani. Ngati pazifukwa zina mulibe kusowa, ndiye kuti simukuyenera kumwa pawiri.

Molingana ndi mfundo iliyonse

Palibe kusiyanasiyana pakati pa mankhwala omwe ali ndi aspirin, komabe, kusiyanasiyana pamtengo kumakhala koyenera, kotero zomwe mungasankhe ndi zosiyana ndiziti, timayerekeza pagome pofotokoza momveka.

Kuphatikiza pa mapiritsi okhala ndi salicylic acid, mapiritsi ophatikizidwa amagwiritsidwa ntchito kuyimitsa matenda amtima. Kuphatikiza kwa zinthu zingapo zogwira ntchito kumapangidwira kuti muzithandiza mphamvu ya mankhwalawo, kapena kuwonjezera zina.

Ndipo tikufuna chiyani madotolo

Madokotala amalimbikitsa mwamphamvu kutenga maonda ochepa magazi kwa odwala onse oopsa omwe ali pachiwopsezo chotenga minofu ya mtima ndi ziwiya zapafupi.

1. Mphamvu yotsimikizika pokhudzana ndi kuchepetsa chiopsezo ndi 10%.
2. Mwayi wamavuto pambuyo pokhazikitsa stent mu coronary chotengera ndi 1-3%, ngakhale ndi aspirin.

Komabe, kutenga gulu la aspirin ndikofunikira kwa odwala omwe ali m'magulu omwe ali pachiwopsezo. Ndikofunika kudziwa kuti pamaso pa contraindication, aspirin sangathe kutumikiridwa. Ngakhale osachepera mlingo wa mtima wa 75 mg amatha kuyambitsa magazi m'mimba.

Tcherani khutu! Kumwa mankhwala a antiplatelet mwa okalamba odwala kumayenera kumayendetsedwa ndi kuyang'aniridwa ndi achipatala, chifukwa njira yawo ya m'mimba imatha kupezeka magazi.

Kuthana ndi mavuto

Kugwiritsa ntchito ma salicylates mu matenda amtima ndi osapeweka, komabe, pali zinthu zingapo zomwe zimafunika kuthetsedwera ndi katswiri asanatenge aspirin kapena mawonekedwe ake.

1. Ganizirani mlingo woyenera ndi dokotala. Ngati tikungolankhula za chinthu chachikulu, acetylsalicylic acid, ndiye kuti zonse ndizosavuta, koma ngati mankhwalawo aphatikizidwa, ndiye kuti zochita za zinthu ziwiri ziyenera kukumbukiridwa.
2. Pitani kuchipatala kuti mupeze gastritis, komanso kupezeka kwa pathogen (Helicobacter pylori). Ngati alipo, sinthani mankhwala a gastritis musanayambike acecardol kapena analogies.
3. Konzani kupewa kupewa m'matumbo ndi dokotala wa m'mimba. Uwu ndi mankhwala omwe atetezeranso m'mimba, makamaka kwa okalamba.
4. Ngati ndi mankhwala osakanikirana, funsani dokotala kuti akuuzeni zomwe mungachite. Mwachitsanzo, kukonzekera kwa statin sikungatengedwe padera ngati wodwala akutenga rosulip.
5. Dziwani mtengo wamankhwala olimbikitsidwa. Ngati mtengo wake ndi wokwera kwambiri, kapena mulibe mankhwala muchipatala, ndiye muyenera kulumikizana ndi wamtima kuti muthane nawo.

Zofunika! Zotsatira zoyipa sizimakhudzana nthawi zonse ndi thanzi, zimatha kugwirizana ndi mbali yakuthupi. Pankhani ya mankhwala a aspirin, mutha kusankha analogue yotsika mtengo ya mtima.

Chifukwa chiyani kupewa ndikofunikira

Kutenga aspirin ndiye njira yopewera komanso kupewa matenda okhudzana ndi mtima, omwe amalemedwa ndi imfa. Chofunikira kwambiri apa ndikuti tilewe mipata yonse yakukula kwa zovuta, chifukwa, mwina, sabwera ku chithandizo. Amtima wokakamizidwa amakakamizidwa kuti apereke mtima kapena mawonekedwe ake, popeza zotsatira zake zatsimikiziridwa, ndipo palibenso njira zina zotetezedwa kwathunthu.

Cardiomagnyl Katundu

Cardiomagnyl amapangidwa ndi kampani yaku Germany ya mankhwala Takeda GmbH (Oranienburg).

Fomu ya Mlingo - mapiritsi oyera, ophatikizidwa, okhala ndi mulingo wa acetylsalicylic acid 75 kapena 150 mg. Pankhaniyi, mapiritsi okhala ndi mitundu yosiyanasiyana ya ASA amatha kusiyanitsa mwakuwoneka:

• ASA 75 mg - wopangidwa ngati "mtima" wosindikizidwa,
• ASA 150 mg - chowulungika ndi mzere wogawa.

Mapiritsiwo akuphatikizira mankhwala ena othandizira - magnesium hydroxide (MG, Magnesium hydroxide), mlingo womwe umatengera kuchuluka kwa ASA:

• 75 mg (ASA) + 15 mg (MG),
• 150 mg (ASA) + 30.39 mg (MG).

Mapiritsi a Cardiomagnyl amawaikidwa m'mabotolo agalasi (ma 30 kapena 100 ma PC.), Omwe amadzaza pabokosi la makatoni.

• wowuma chimanga
• wowuma mbatata
• cellcrystalline mapadi,
• magnesium wakuba,
• methyl hydroxyethyl cellulose,
• propylene glycol
• talcum ufa.

Mapiritsi amatayikidwa m'mabotolo agalasi (ma 30 kapena 100 ma PC.), Omwe amadzaza pabokosi la makatoni.

Yabwino kwambiri ndi iti?

Mapiritsi am'magawo onsewa amaphatikizidwa kuti ateteze kukokoloka, koma Cardiomagnyl ali ndi zabwino:

• antacid (MG) adaonjezeredwa pamankhwala,
• palibe lactose mu kapangidwe.

Nthawi yomweyo, mapiritsi achi Germany amapezeka mu mulingo woyenera - 75 mg / tabu.

Kodi pali kusiyana kwanji pakati pa Acecardol ndi Cardiomagnyl?

Kuphatikiza pa dziko lakapangidwe, Acecardol ndi Cardiomagnyl amasiyana muyezo komanso kuphatikiza kwa zothandizira pazomwe zimapangidwira. Mapiritsi a Acecardol ali ndi 50, 100 kapena 300 mg ya aspirin ndipo amapezeka mu 10, 20, 30 kapena 50 ma PC. mu phukusi. Monga zinthu zothandiza popanga zimagwiritsidwa ntchito: povidone, talc, starch, cellulose, lactose, magnesium stearate, titanium dioxide, mafuta a castor.

Opanga Cardiomagnyl amatulutsa mankhwalawa m'mitundu iwiri: mapiritsi okhala ndi mtima wokhala ndi 75 mg pazomwe zimagwira, ndi Cardiomagnyl Forte - mapiritsi oyera ozungulira okhala ndi notch - 150 mg ya aspirin.

Chowoneka mosiyana ndi kapangidwe ka Cardiomagnyl ndi magnesium hydroxide (15.2 mg m'mapiritsi wamba ndi 30.39 mg mu mtundu wa Fort). Malinga ndi wopanga, gawo ili limakhala ndi ma antacid - limateteza mucous membrane wa esophagus ndi m'mimba kuti asakhumudwe ndi acetylsalicylic acid.

Zinthu zina zotsalira zomwe zimathandizira makonzedwe ndikuwonetsetsa kuti mapiritsi athetsedwa m'matumbo ali ofanana ndendende ndi Acecardol: talc, chimanga ndi wowuma wa mbatata, cellulose, magnesium stearate kuphatikiza propylene glycol ndi hypromellose mu chipolopolo.

Palibenso kusiyana kulikonse komwe kungasonyeze ndikuwonekera kwa mankhwalawa pakumwa mankhwalawa. Amawalembera odwala matenda ashuga, okalamba, osuta omwe amanenepa kwambiri kuti athe kupewa zovuta zomwe zimagwirizanitsidwa ndi ntchito ya mtima ndi mitsempha yamagazi. Sizingatengedwe ndi zinthu zotsatirazi:

• chiwindi kapena impso ntchito.
• kulephera kwa mtima
• zilonda zam'mimba, gastritis, enterocolitis,
• mimba
• hemorrhagic diathesis,
• Lactase akusowa
• mphumu ya bronchial (mosamala, chifukwa nthawi zina chiwopsezo cha chiwopsezo chiwonjezeka),
• Hypersensitivity ku chinthu yogwira kapena zowonjezera zina,
• wazaka 18.

Aspirin, omwe mankhwalawa adapangidwa onse, amatha kuyambitsa mavuto:

• matenda am'mimba thirakiti: kusanza, nseru, kusintha kwa chopondapo,
• mutu
• kufooka, kutopa, chizungulire,
• magazi, kuphatikizapo obisika, mkati,
• kugaya mucosal kukokoloka.

Kudziwa kuopsa kwa zovuta zotere, ndikofunikira kusankha mosamala mlingo wa mankhwalawa, popeza kupitirira mulingo woyenera kwambiri kumawonjezera mwayi wokhala ndi zosafunikira.

Kodi ndi bwino kutenga - Acecardol kapena Cardiomagnyl?

Popeza kufanana kwa mankhwala a pharmacological, kapangidwe kake, zizindikiro ndi zovuta zina, madokotala ndi odwala aliyense payekha amafunsa funso loti asankhe - Acekardol kapena Cardiomagnyl. Mtengo woyamba ndi wocheperapo kuposa wachiwiri, chifukwa chake Acecardol amasankhidwa ndi iwo omwe safuna kupitilira lipirini wamba, ngakhale atakhala nthawi yayitali. Anthu omwe ma anticoagulants amawagwiritsa ntchito mosalekeza nthawi zambiri amayesetsa kuchepetsa ndalama posankha zotsika mtengo kwambiri pamitundu yonse ya mankhwala omwe ali nawo.

Nthawi yomweyo, Cardiomagnyl amasankhidwa ndi anthu omwe ali ndi mbiri yamavuto am'mimba asidi - magnesium hydroxide monga gawo limodzi la mankhwalawa amateteza kugaya chakudya m'mimba kuti asatulutsidwe ndi acetylsalicylic acid, kuchepetsa mwayi wazotsatira zoyipa. Kuphatikiza apo, odwala ena mosazungulira amakhala ndi chidaliro kwambiri mu mankhwala omwe amachokera kunja kuposa omwe ali ndi nyumba ndipo amavomereza kulipira mtunduwo.

Kusinthanitsa mankhwala ndi wina kungakhale koyenera chifukwa cha chidwi cha wodwalayo pazigawo za mankhwala.

Kusinthana ndi mankhwalawa ndi amodzi kungakhale koyenera chifukwa cha chidwi cha wodwalayo pazinthu zomwe zimapangidwira, koma izi ndizovuta kwambiri - zambiri zomwe zimapanga Acecardol ndi Cardiomagnyl ndizofanana. Kuphatikiza apo, pali chizolowezi chomwenso chimasinthidwa pakufunika kusintha kwa mankhwalawa: mwachitsanzo, pofuna kupewa, mulingo wochepa umatengedwa wabwino kwambiri, chifukwa izi zimachepetsa mwayi wokhala ndi zotsatirapo zoyipa.

Kupanda kutero, mankhwalawa awiri ndi ofanana ndipo angagwiritsidwe ntchito ndi kupambana kofanana mu chithandizo chovuta komanso kupewa matenda oopsa, stroko, mtima, thrombosis ndi zina za mtima ndi mitsempha yamagazi.

Ndibwino - Cardiomagnyl kapena Acecardol?

Kafukufuku wogwiritsa ntchito Mlingo waung'ono wa acetylsalicylic acid monga othandizira ma antiplatelet awonetsa kuti mulingo woyenera kwambiri wopewera matenda amtima ndi 80 mg. Mlingo 300 mg / tsiku. amagwiritsidwa ntchito m'masiku oyamba ovomerezeka.

Kuwonjezeka kwa tsiku ndi tsiku la yogwira mankhwala kungayambitse zotsatira zosafunikira (zotupa za cytoprotection m'mimba). Chifukwa chake, Cardiomagnyl (75 kapena 150 mg) ndiwosavuta kugwiritsa ntchito kuposa Acecardol (50, 100 kapena 300 mg).

Kusiyana kwakakonzedwerako ndikosafunikira, ndipo mawonekedwe a antiplatelet ndi ofanana. Chifukwa chake, Russian Acekardol ili ndi mwayi wokhala wotsika mtengo

Ndemanga za odwala a Cardiomagnyl ndi Acecardol

Irina, wazaka 52, Obninsk: "Adatenga Cardiomagnyl (75 mg) kwa miyezi iwiri motsatizana, piritsi limodzi patsiku. Chithandizo chinayikidwa ndi dokotala chifukwa cha kunenepa kwambiri (matenda osokoneza bongo). Kuthamanga kwa magazi kunabwereranso kwina. Sindinazindikire mavuto am'mimba komanso m'mimba. "

Igor, wazaka 60, Perm: "Ndimamwa mapiritsi a Acecardol (ndi mulingo wa 100 mg) m'chilimwe, kupweteka kwa mitsempha ya varicose pamiyendo kumakulirakukhira kutentha. Magazi amayimitsidwa ndikukula ndipo amayenda momasuka. Kupulumutsidwa kumamveka ola limodzi mutamwa piritsi yoyamba. Sabata yotsiriza ndimasinthira ku 50 mg patsiku, ndipo masiku angapo otsiriza - theka la piritsi (25 mg aliyense). Nthawi yomweyo, ndimapita kukaonana ndi dokotala ndikuyezetsa magazi kuti ndiziwunika magazi. ”