I-Bisoprolol ibhekisela ezidakamizweni ezilawula isigqi senhliziyo futhi lokhu akukhawulelwe kwimisebenzi yayo. Izinkomba ze-bisoprolol zibanzi kakhulu, kodwa isidakamizwa kufanele sisetshenziswe ngokuqinile ngokwemigomo.
Izinkomba eziyinhloko zokusetshenziswa kwezidakamizwa zeBisoprolol
Ukusebenza okuqondile kwe-bisoprolol kungenxa yokuthi le nqubo ende, engakwazi ukuphazanyiswa ngokuphazamiseka. Lesi senzo sokukhethwa kwe-adrenoblocker, ukungena emzimbeni, sithinta ngokukhetha ama-receptors we-beta. Ngenxa yalokho, singakwazi ukuhlukanisa imisebenzi enjalo yomuthi:
- hypotensive, okungukuthi, ukunciphisa ukucindezelwa kwegazi;
- antianginal (anti-ischemic);
- ukwehla ekuqhutsheni kokuncintisana kagesi enhliziyweni.
Kusetshenziswe okunzima, ukuhlala isikhathi eside kwamaphilisi e-bisoprolol kuvumela ukusimamisa isigqi senhliziyo, nokwandisa i-diastole nokunciphisa amathuba okuhlaselwa yinhliziyo.
Kunezinkomba ezinjalo zokusetshenziswa kwe-bisoprolol:
- ischemic isifo senhliziyo;
- umfutho wegazi ophezulu wohlu oluhle;
- ukuphazamiseka kwenhliziyo;
- ukuhluleka kwenhliziyo ;
- angina pectoris.
Isilinganiso nokuphathwa kwe-bisoprolol
Njengoba ukwelashwa nge-bisoprolol kufanele kube yesikhathi eside, ngaphambi kokuba uqale ukusebenzisa lesi sidakamizwa, kufanele ucabange ukuthi awukwazi ukuyeka ngokungazelelwe le nqubo. Ngaphezu kwalokho, emavikini okuqala ngemva kokuqala ukwelashwa, iseluleko sezokwelapha esivamile siyadingeka. Ngesikhathi ukwelashwa isiguli kufanele sihlole inani lezinhliziyo (pulse) nezinga legazi eliphindwe izikhathi eziningana ngosuku, njengoba kunengozi yokuncipha okuqinile kulezi zikhombisi. Odokotela batusa kakhulu okungenani kanye ngesonto ukwenza isifo senhliziyo.
Indlela yokusebenzisa i-bisoprolrolol ayibangeli izinkinga ezikhethekile ezigulini. Ithebhulethi inconywa ukuba ithathwe ekuseni ngesisu esingenalutho, ihlanzwe phansi ngamanzi amancane. Ukusebenzisana kwezidakamizwa zokudla akukwenziwe ngokwanele, kodwa imiphumela yokuqala ayibonisi ukuphazanyiswa ekusebenzeni kwamaphilisi uma kuthathwa ukudla.
I-dose yansuku zonke evumelekile ye-Bisoprolol ingama-20 mg, kepha ngokuvamile imithi ishiwo inani le-10 mg ngesilinganiso esisodwa. Inkambo yokwelapha ingahlala iminyaka, ingaphazanyiswa, kancane kancane ukunciphisa umthamo wamasonto ambalwa.
Uma kukhona ukungqubuzana okunye, noma ezinye izifo ezenza ukusetshenziswa kwe-bisoprolol engozini, olunye uhlelo lwezokwelapha lungabekwa. Ngeviki lokuqala isiguli sithathe 1.5 mg wezidakamizwa. Ngesonto lesibili nelesithathu - 3.5 mg ye-bisoprolol. Ngaphezu kwalokho umthamo wanda kancane kancane: 5 mg, 7.5 mg, 10 mg. Ngemuva kokuthi umthamo wansuku zonke ufinyelele ku-10 mg, ukwelashwa kungadlulela amasonto ambalwa ngisho nezinyanga, kuze kube lula ukukhansela imithi. Kulesi simo, ukunciphisa umthamo kwenziwa nge-reverse scheme, njalo ngesonto kancane kancane ukunciphisa inani le-bisoprolol.
Ukungahambisani nokusetshenziswa kwe-Bisoprolol
Le mithi inezinamba eziningi zokuphikisana. Okokuqala, angeke isetshenziswe ngesikhathi sokuhlaselwa kwe-angina nezinye ukuhlukumeza okuphuthumayo kwenhliziyo. Ukuqala ukwelashwa kungaba ngemuva kwamasonto ambalwa emva kokuqiniswa kwesiguli. Ukuphikisana okungaqondile kuyizinto ezinjalo:
- i-atrioventricular block;
- ukuvinjelwa kwesimo sinoarthrioic;
- i-bradycardia;
- i-hypotension;
- ukushaqeka;
- i-sinus node;
- isisindo se- bronchospasm (i-asthma, i-emphysema, njll);
- ukuphazamiseka kokujikeleza.
Imithi isetshenziswa ngokuqapha ezifweni zezinso nesibindi, isifo sikashukela, ngesikhathi sokukhulelwa kanye ne-lactation. Kwezinye izimo (ikakhulukazi esigabeni sokuqala sokwelapha), lesi sidakamizwa singathinta ikhono lokushayela futhi wenze izenzo ezidinga ukunemba okuphakeme.