Bisoprolol imatchula mankhwala omwe amachititsa kuti mtima ukhale wolimba ndipo izi sizingowonjezera ntchito zake. Zizindikiro za bisoprolol ndizitali kwambiri, koma mankhwalawa ayenera kugwiritsidwa ntchito molingana ndi dongosolo.
Zizindikiro zazikulu zogwiritsira ntchito mankhwala a Bisoprolol
Kugwiritsiridwa ntchito kwa bisoprolol kumadalira chifukwa chakuti njirayi ndi yaitali, yomwe sizingatheke mwadzidzidzi. Chotsatira cha adrenoblocker ichi, kulowa m'thupi, chimakhudza kwambiri mabotolo a beta. Zotsatira zake, tikhoza kusiyanitsa ntchito zoterezi:
- hypotensive, ndiko kuti, kuchepetsa kuthamanga kwa magazi;
- antianginal (anti-ischemic);
- kuchepetsedwa kwa kuyendetsa kwa chisangalalo cha magetsi mu mtima.
Pa zovutazo, kugwiritsa ntchito mapiritsi a bisoprolol kwa nthawi yaitali kumathandiza kuti chizoloŵezi cha mtima chikhale bwino, kupititsa patsogolo diastole ndi kuchepetsa mwayi wa matenda a mtima.
Pali zizindikiro zoterezi zogwiritsa ntchito bisoprolol:
- chithandizo;
- kuthamanga kwambiri kwa mtundu wamtundu;
- kusokonezeka kwa mtima;
- mtima ;
- angina pectoris.
Mlingo ndi kayendedwe ka bisoprolol
Popeza mankhwala a bisoprolol ayenera kukhala osatha, musanayambe kugwiritsa ntchito mankhwalawa, muyenera kuganizira kuti simungathe kuimitsa mwamsanga. Kuwonjezera apo, m'masabata oyambirira mutangoyamba kumene kuchipatala, uphungu wothandizira nthawi zonse umayenera. Pa chithandizochi wodwala ayenera kuyang'ana chiwerengero cha kugunda kwa mtima (pulse) ndi mlingo wa magazi kangapo patsiku, chifukwa pali chiopsezo chochepa cha zizindikiro izi. Madokotala amalimbikitsa kwambiri kamodzi pa sabata kuti azisamalira.
Njira yogwiritsira ntchito bisoprolrolol siimayambitsa mavuto apadera kwa odwala. Pulogalamuyi ikulimbikitsidwa kutengedwa m'mawa pamimba yopanda kanthu, yosambitsidwa ndi madzi ochepa. Kuyanjana kwa mankhwalawa ndi chakudya sikunapendezedwe mokwanira, koma zotsatira zoyambirira siziwonetsetsa kusokonezeka pakagwiritsidwe ntchito mapiritsi pamene watengedwa ndi chakudya.
Nthenda yamakono yovomerezeka ya Bisoprolol ndi 20 mg, koma kawirikawiri mankhwalawa amaperekedwa kuchuluka kwa 10 mg mu mlingo umodzi. Njira yamachiritso ikhoza kukhala kwa zaka zambiri, ikhoza kusokonezeka, pang'onopang'ono kuchepetsa mlingo kwa milungu ingapo.
Ngati pali zotsutsana, kapena matenda ena omwe amachititsa kugwiritsa ntchito bisoprolol pangozi, njira ina yothetsera vutoli ingapangidwe. Mu sabata yoyamba wodwalayo amatenga 1.5 mg wa mankhwala. Mu sabata lachiwiri ndi lachitatu - 3.5 mg ya bisoprolol. Komanso mlingowo ukuwonjezeka pang'onopang'ono: 5 mg, 7.5 mg, 10 mg. Pambuyo pa mlingo wa tsiku ndi tsiku ukafika 10 mg, chithandizocho chingathe kukhala milungu ingapo komanso miyezi, mpaka itha kuthetsa mankhwalawo. Pachifukwa ichi, kuchepa kwa mlingo kumachitidwa ndi njira yowonongeka, mlungu uliwonse pang'onopang'ono kuchepetsa kuchuluka kwa bisoprolol.
Zotsutsana ndi kugwiritsa ntchito Bisoprolol
Mankhwalawa ali ndi zotsutsana zambiri. Choyamba, sichikhoza kugwiritsidwa ntchito panthawi yamazunzo a angina ndi kuphulika kwina kwa mtima. Kuyamba mankhwala kungakhale patangopita masabata angapo pambuyo poti wodwalayo ayime. Zosamveka zotsutsana ndizifukwa izi:
- mchitidwe wa atrioventricular;
- chiwonongeko;
- bongo;
- hypotension;
- kudabwa;
- chofooka cha uchimo chofooka;
- kuthamanga kwa bronchospasm (mphumu, emphysema, etc.);
- kusokonezeka kwazungulira.
Mankhwalawa amagwiritsidwa ntchito mosamala m'maganizo a impso ndi chiwindi, matenda a shuga, pa nthawi ya mimba ndi lactation. Nthawi zina (makamaka pa nthawi yoyamba ya mankhwala), mankhwalawa angakhudze mphamvu yoyendetsa galimoto ndikuchita zinthu zomwe zimafuna kulondola.