ʻO 10 mau analogs maikaʻi loa o Bisoprolol
Kuhi pinepine ʻia ʻo Bisoprolol no ka maʻi puʻuwai, akā naʻe, ʻaʻole ʻike mau ʻia ka lāʻau lapaʻau i nā lāʻau lapaʻau, a he kiʻekiʻe loa kona kumukūʻai. Me ka cardiologist, ua hōʻuluʻulu mākou i kahi papa inoa o nā mea kūʻai maʻalahi a maikaʻi hoʻi no Bisoprolol a kūkākūkā pehea a pehea e lawe ai iā lākou.

Aia ʻo Bisoprolol i ka pūʻulu o nā beta-blockers koho a hoʻohana ʻia i ka cardiology no ka maʻi naʻau coronary, ka pau ʻole o ka naʻau. Hoʻohana pinepine ʻia no ka mālama ʻana i nā arrhythmias cardiac a me ka hypertension.1.

Hoʻemi ʻo Bisoprolol i ka hopena o ka myocardial infarction a me ka make i ka pau ʻole o ka naʻau. Hoʻemi ka lāʻau lapaʻau i ka hoʻohana ʻana i ka oxygen e ka puʻuwai puʻuwai, hoʻomāhuahua i nā moku e hānai ai i ka puʻuwai, hoʻemi i ka pinepine o nā hōʻeha ʻeha a he hopena maikaʻi i ka prognosis o ka maʻi.2.

ʻO nā hopena ʻaoʻao i ka wā e lawe ai i ka bisoprolol he kakaikahi. Ma keʻano he kūlana, pili lākou i kahi papahana noi koho hewaʻole. Ma muli o kēia, hiki i ka mea maʻi ke hoʻohaʻahaʻa nui i ke koko a hāʻule i ka pulse. Ma waena o nā hopena ʻē aʻe: dizziness, headache, dyspepsia, stool disorders (constipation, diarrhea). ʻAʻole ʻoi aku ka nui o ko lākou hanana ʻana ma mua o 10%.

Hoʻonohonoho ʻia ʻo Bisoprolol me ka mālama nui loa i nā poʻe maʻi me ka bronchial asthma a me ka atherosclerosis o nā aʻa o nā ʻaoʻao haʻahaʻa. I ka pau ʻole o ka naʻau, pono e lawe ʻia ka lāʻau lapaʻau ma nā liʻiliʻi liʻiliʻi - 1,25 mg hoʻokahi i ka lā.

ʻO ka papa inoa o nā analogues 10 kiʻekiʻe a me nā mea kūʻai liʻiliʻi no Bisoprolol e like me KP

1. Concor

Loaʻa ka Concor ma ke ʻano papa o 5 a me 10 mg a loaʻa ka bisoprolol ma ke ʻano he mea hana. ʻO ka hopena nui o ka lāʻau lapaʻau e kuhikuhi ana i ka hoʻohaʻahaʻa ʻana i ka puʻuwai puʻuwai i ka wā hoʻomaha a i ka wā hoʻoikaika kino, a me ka hoʻonui ʻana i nā aʻa o ka puʻuwai.

Lawe ʻia ʻo Concor i 1 manawa i ka lā i ke kakahiaka, me ka ʻole o ka meaʻai. ʻO ka hana o ka lāʻau lapaʻau he 24 mau hola.

Kū'ē: ʻaʻole naʻau a me ka maʻi maʻi, haʻalulu cardiogenic, blockade sinoatrial, bradycardia koʻikoʻi a me ka hypotension arterial, nā ʻano koʻikoʻi o ka hānō bronchial, makahiki a hiki i 18 makahiki.

ʻo ka hoʻololi maikaʻi loa no ka lāʻau lapaʻau mua, ke ʻano hana i aʻo ʻia.
He papa inoa o nā contraindications.

2. Niperten

Loaʻa ʻo Niperten ma ke ʻano papa o 2,5-10 mg a loaʻa pū kekahi bisoprolol i ka haku mele. Loaʻa ka hopena o ka lāʻau lapaʻau i 3-4 mau hola ma hope o ka ʻai ʻana, akā hoʻomau ka neʻe ʻana i ke koko no 24 mau hola, kahi e hōʻoia ai i ka hopena therapeutic lōʻihi. Pono e lawe ʻia ʻo Niperten i hoʻokahi lā i ke kakahiaka, me ka ʻole o ka ʻai.

Kū'ē: puʻuwai koʻikoʻi, ʻaʻole naʻau i ka wā o ka decompensation, haʻalulu cardiogenic, hāʻule, haʻi i ka emi ʻana o ke koko, nā ʻano koʻikoʻi o ka hānō bronchial a me COPD i ka mōʻaukala, a hiki i 18 mau makahiki.

ke kumu kūʻai haʻahaʻa i hoʻohālikelike ʻia me Concor, hopena 24 mau hola.
ʻaʻole ia he huahana kumu.

3. Bisogamma

Loaʻa i ka Bisogamma ka bisoprolol a loaʻa i nā papa 5 a me 10 mg. He lāʻau lapaʻau kēia i kēlā me kēia lā - ʻo kona hopena therapeutic no 24 mau hola.

E hoʻomaka i ka mālama ʻana me kahi dosage o 5 mg 1 manawa i ka lā. A laila, inā pono, hoʻonui ʻia ka dosage i 10 mg 1 manawa i ka lā. ʻO ka nui loa i ʻae ʻia i kēlā me kēia lā he 20 mg. Pono e lawe ʻia ʻo Bisogamma i ke kakahiaka ma mua o ka ʻai.  

Kū'ē: ka haʻalulu (me ka cardiogenic), ka edema pulmonary, ka puʻuwai puʻuwai, ka puʻuwai puʻuwai maʻamau i ka pae o ka decompensation, bradycardia koʻikoʻi, hypotension arterial (ʻoi aku me ka myocardial infarction), nā ʻano koʻikoʻi o ka hānō bronchial a me nā maʻi ʻē aʻe o ke ea obstructive, ke kaumaha, ʻoi aku ka makahiki. i 18 makahiki.

kumukūʻai kūpono.
ʻAʻole ia he lāʻau lapaʻau mua, he papa inoa nui o nā contraindications.

4. Concor Core

ʻO Concor Cor kahi analogue piha piha o ka lāʻau Concor, a me kahi hoʻololi kūpono no Bisoprolol. Aia i loko o ka haku mele ka mea ikaika o ka inoa like, a ʻo ka ʻokoʻa nui i ka dosage. Loaʻa ʻia ʻo Concor Cor ma kahi ʻano o 2,5 mg. Eia kekahi, he keʻokeʻo nā papa, ʻaʻole like me Concor, kahi ʻeleʻele ʻeleʻele ma muli o ke kiʻekiʻe kiʻekiʻe o ka mea hana.

Kū'ē: hypersensitivity i nā ʻāpana o ka lāʻau lapaʻau, acute a me ka maʻi puʻuwai puʻuwai, cardiogenic shock, bradycardia koʻikoʻi a me arterial hypertension, nā ʻano koʻikoʻi o ka hānō bronchial, makahiki a hiki i 18 mau makahiki.

pono 24 hola.
ma muli o ka dosage, ua kuhikuhi ʻia no ka mālama ʻana i ka puʻuwai puʻuwai maʻi.

5. Korona

A eia hou, he lāʻau lapaʻau i loaʻa ka mea ikaika bisoprolol. Loaʻa ʻo Coronal i nā papa o 5 a me 10 mg a paʻa no 24 mau hola. Pono ʻoe e lawe i kahi papa 1 manawa i ka lā i ke kakahiaka ma mua o ka ʻai. ʻO ka nui loa o kēlā me kēia lā he 20 mg.

Kū'ē: haʻalulu (me ka cardiogenic), puʻuwai puʻuwai a me ka lawa ʻole o ka maʻi, bradycardia koʻikoʻi, cardiomegaly (me ka ʻole o nā hōʻailona o ka puʻuwai puʻuwai), arterial hypotension (ʻoi loa me ka myocardial infarction), bronchial asthma a me ka maʻi obstructive pulmonary maʻi i ka mōʻaukala, ka wā lactation, ka makahiki. i 18 makahiki.

ke kumu kūʻai kūpono, ʻo ka hopena therapeutic he 24 mau hola.
liʻiliʻi nā koho dosage. ʻAʻole he lāʻau lapaʻau kumu.

6. ʻO Bisomora

ʻO ka lāʻau lapaʻau ʻo Bisomor pū kekahi i ka bisoprolol a he mea kūʻai kūʻai ʻole akā kūpono no ka lāʻau lapaʻau kumu o ka inoa like. Loaʻa ʻo Bisomor i nā papa me ka nui o 2,5, 5 a me 10 mg a kūpono no 24 mau hola. E lawe i ka lāʻau i hoʻokahi lā i ke kakahiaka ma mua o ka ʻai. ʻO ka nui loa i ʻae ʻia i kēlā me kēia lā he 1 mg.

Kū'ē: haʻalulu (me ka cardiogenic), puʻuwai puʻuwai a me ka lawa ʻole o ka maʻi, bradycardia koʻikoʻi, cardiomegaly (me ka ʻole o nā hōʻailona o ka puʻuwai puʻuwai), arterial hypotension (ʻoi loa me ka myocardial infarction), bronchial asthma a me ka maʻi obstructive pulmonary maʻi i ka mōʻaukala, ka wā lactation, ka makahiki. i 18 makahiki.

nā koho dosage like ʻole, kahi hopena i haʻi ʻia no 24 mau hola.
ʻAʻole ia he lāʻau lapaʻau kumu, kahi papa inoa o nā contraindications.

7. Egilok

ʻO ka lāʻau lapaʻau ʻo Egilok ʻaʻole ia he mea hoʻololi like no Bisoprolol, no ka mea, aia ka metoprolol ma ke ʻano he mea hana. ʻO ka hana nui a Egilok ka mea e hoʻohaʻahaʻa i ke koko a me ka puʻuwai puʻuwai.

Hana ʻia ka lāʻau lapaʻau i nā papa me ka nui o 25, 50 a me 100 mg. ʻIke ʻia ka hopena kiʻekiʻe loa i loko o 1-2 mau hola ma hope o ka lawelawe ʻana. Pono ʻoe e lawe i nā papa 2-3 mau manawa i ka lā.

Kū'ē: ka puʻuwai puʻuwai i ka wā o ka decompensation, ka haʻalulu cardiogenic, nā maʻi circulatory peripheral koʻikoʻi, me ka hoʻoweliweli ʻana o ka gangrene, acute myocardial infarction, breastfeeding, makahiki a hiki i 18 mau makahiki.

ka hopena therapeutic wikiwiki loa. Hoʻohana ʻia ʻaʻole wale e mālama i ka angina pectoris a me ke koko kiʻekiʻe, akā pū kekahi ventricular extrasystole a me supraventricular tachycardia.
ka hopena pōkole, pono e lawe i ka lāʻau lapaʻau 2 mau manawa i ka lā.

8. Betalok ZOC

ʻO kahi mea hou aku ʻo Bisaprolol, nona ka metoprolol. Loaʻa ka Betaloc ZOK ma ke ʻano o nā papa, a ʻo kāna hana nui ka hoʻohaʻahaʻa i ke koko. ʻIke ʻia ka hopena kiʻekiʻe o ka lāʻau i loko o 3-4 mau hola ma hope o ka ʻai ʻana. He hana lōʻihi ka Betaloc ZOK, no laila lawe ʻia i hoʻokahi manawa i ka lā.

Kū'ē: AV block II a me III degere, puʻuwai hāʻule i ke kahua o ka decompensation, sinus bradycardia, cardiogenic shock, arterial hypotension, i manaʻo ʻia he acute myocardial infarction, makahiki ma lalo o 18 mau makahiki.

he papa inoa nui o nā hōʻailona no ka hoʻohana (angina pectoris, hypertension, heart failure, migraine prophylaxis), kūpono no 24 mau hola.
hiki i nā hopena ʻaoʻao: bradycardia, luhi, dizziness.

9. SotaGEKSAL

Aia ka SotaGEKSAL i ka sotalol a loaʻa iā ia ma ke ʻano o nā papa me ka nui o 80 a me 160 mg. ʻO Sotalol, ʻoiai aia ia i nā beta-blockers, e like me bisoprolol, akā naʻe, hoʻohana nui ʻia ma ke ʻano he lāʻau lapaʻau me ka hopena antiarrhythmic a ua kuhikuhi ʻia no ka pale ʻana i nā arrhythmias atrial a me ka mālama ʻana i ka rhythm sinus. Pono e lawe iā SotaGEKSAL 2-3 mau manawa i ka lā.

ka hopena therapeutic wikiwiki loa.
pono e nānā i ke kūlana o ka mea maʻi ma ka ECG. Hiki i nā hopena ʻaoʻao: hoʻemi i ka puʻuwai puʻuwai a me ke koko, hoʻonui i ka naʻau i nā ʻāpana o ka lāʻau.

10. Kikiki ole

Loaʻa iā Nebilet ka mea hana nebivolol. Hana ʻia ka lāʻau lapaʻau ma ke ʻano o nā papa me kahi dosage o 5 mg. ʻO ka hana nui a Nebilet ka mea e hoʻohaʻahaʻa i ke koko i ka hoʻomaha a me ka hoʻoikaika kino, a me ke kaumaha. Loaʻa ka hopena kiʻekiʻe i loko o 1-2 mau hola ma hope o ka lawe ʻana i ka lāʻau. Pono ʻoe e lawe iā Nebilet 1 manawa i ka lā.

Kū'ē: puʻuwai puʻuwai koʻikoʻi, hōʻino ʻole o ka naʻau i ka wā o ka decompensation, hypotension arterial koʻikoʻi, bradycardia, haʻalulu cardiogenic, ʻehaʻeha koʻikoʻi, ka mōʻaukala o ka bronchospasm a me ka hānō bronchial, ke kaumaha, ka makahiki ma lalo o 18 mau makahiki.

hoʻoikaika i ka hana o ka nitric oxide, no laila e pale a hoʻoikaika i nā paia o nā kīʻaha koko, e hoʻohaʻahaʻa koke i ke koko.
hiki i nā hopena ʻaoʻao: ke poʻo, ka noʻonoʻo, nausea.

Pehea e koho ai i kahi analogue o Bisoprolol

ʻO nā lāʻau lapaʻau āpau i luna, i hoʻokahi degere a i ʻole, he mau analogues o Bisoprolol. ʻOkoʻa lākou i ka paʻakikī a me ka lōʻihi o ka hopena therapeutic, solubility i ka momona a me ka wai, a me nā hopena hou aʻe.3. Hiki i ke kauka ke koho i kahi analogue kūpono o Bisoprolol, no ka mea, aia kēlā me kēia lāʻau i kona mau ʻano ponoʻī o ka hoʻohana ʻana, a ʻaʻole hiki ke hoʻololi ʻia nā mea hana. No ka laʻana, ʻaʻole hiki iā ʻoe ke hoʻololi i ka 10 mg o bisoprolol me 10 mg o nebivolol - hiki ke hōʻeha nui i kou olakino.

Nā loiloi o nā kauka e pili ana i nā analogues o Bisoprolol

Manaʻo ka nui o nā cardiologists i ka lāʻau Concor, kahi e hoʻemi pono ai i ka puʻuwai puʻuwai a ʻaʻohe hopena ʻaoʻao. He mea maʻalahi ke koho i ka nui o ka lāʻau lapaʻau, e hoʻomaka me ka liʻiliʻi loa, a laila waiho ia no ka manawa lōʻihi4.

Manaʻo nā kauka e hoʻohana i ka Betalok ZOK. Hoʻohaʻahaʻa maikaʻi ka lāʻau lapaʻau i ke koko a lawe ʻia i 1 manawa i ka lā.

I ka manawa like, hoʻoikaika ka poʻe loea ʻoiai ka nui o nā analogues o Bisoprolol, hiki i ke kauka ke koho i ka lāʻau kūpono.

Nā nīnau a me nā pane kaulana

 Ua kūkākūkā mākou i nā pilikia koʻikoʻi e pili ana i ka bisoprolol analogues me kauka o ka 'epekema lapaʻau, cardiologist Tatyana Brodovskaya.

ʻO wai nā mea maʻi i ʻōlelo ʻia i ka bisoprolol?

- ʻO ka mea mua, ʻo kēia nā mea maʻi me ka angina pectoris, ka puʻuwai puʻuwai mau. I kēia hihia, ʻike mākou i kahi hopena maikaʻi loa i ka prognosis o ka pale ʻana i ka make, a me ka emi ʻana o ka pinepine o nā hoʻopiʻi pōʻino (no ka laʻana, myocardial infarction). Akā i ka mālama ʻana i ka hypertension arterial, ʻoi aku ka liʻiliʻi o kēia papa o nā lāʻau lapaʻau i kēia lā, ʻoiai ua helu ʻia i nā hōʻailona i hoʻopaʻa ʻia.

He aha ka hopena inā ho'ōki ʻoe i ka hoʻohana ʻana i ka Bisoprolol a hoʻololi i kahi analogue?

- ʻO ka mea nui e hoʻolohe ai, ʻaʻole ʻōlelo ʻia nā beta-blockers e hoʻopau koke ʻia. Pono e hoʻopau mālie a ma lalo o ka mākaʻikaʻi olakino.

ʻO nā hopena ʻaoʻao e like me ka bradycardia, ka hoʻomohala ʻana o ka atrioventricular blockade, ka hoʻemi ʻana i ke kaomi e hilinaʻi pololei ʻia i ka dosage o ka lāʻau. No laila, inā ʻike ʻia nā hopena ʻaoʻao, hiki iā ʻoe ke kūkākūkā me kāu kauka i ka pilikia o ka hōʻemi ʻana i ka dosage, a ʻaʻole e hoʻopau loa.

ʻAʻole hiki ke hana kūʻokoʻa ke koho ʻana i kahi analogue a me ka hoʻololi ʻana o ka bisoprolol. ʻO ke kauka wale nō e noʻonoʻo i nā hiʻohiʻona a pau o ke kūlana maʻi o ka mea maʻi: ka hele ʻana o ka hypertrophy ventricular hema, dyslipidemia, ka mokuʻāina o ka ate a me ka hana ʻāʻī, arrhythmias, a laila koho i nā beta-blockers pono.

  1. ʻO Shlyakhto EV Cardiology: he alakaʻi aupuni. M., 2021. https://www.rosmedlib.ru/book/ISBN9785970460924.html
  2. nā kūlana lapaʻau. Ka maʻi naʻau. EV Reznik, IG Nikitin. M., 2020. https://www.studentlibrary.ru/book/ISBN9785970458518.html
  3. Клинические рекомендации «Хроническая сердечная недостаточность у взрослых». 2018 – 2020. https://diseases.medelement.com/disease/%D1%85%D1%80%D0%BE%D0%BD%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F-%D1%81%D0%B5%D1%80%D0%B4%D0%B5%D1%87%D0%BD%D0%B0%D1%8F-%D0%BD%D0%B5%D0%B4%D0%BE%D1%81%D1%82%D0%B0%D1%82%D0%BE%D1%87%D0%BD%D0%BE%D1%81%D1%82%D1%8C-%D1%83-%D0%B2%D0%B7%D1%80%D0%BE%D1%81%D0%BB%D1%8B%D1%85-%D0%BA%D1%80-%D1%80%D1%84-2020/17131
  4. 2000-2022. KAKAU O NA LAAU LAAU O RUSIA® RLS https://www.rlsnet.ru/

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