In the body of methyldopa becomes metilnoradrenalin and then metiladrenalin that amphetamine-liruyut a2adrenoreceptors center pressosensitive reflex. Reserpine lowers Uro-Wen monoamines in the CNS, can cause sedation effect of depression. Guanfacine (estulik) is similar to clonidine stimulates central a2adrenoreceptors. Ganglioplegic - geksametoniya benzosulfonat (benzogeksony) azametony (pentamine) trimetafan (arfonad) block transmission of excitation in the sympathetic ganglia (block logical multiplication ganglion neurons), block NN cholinergic receptors of chromaffin cells of the adrenal medulla and reduce the allocation logical multiplication adrenaline and noradrenaline. Drug is prescribed inside for a systematic treatment of arterial hyper-tensor 1 per day. In accordance with this neurotropic antihypertensives share at the Surgery of the central and peripheral action. As a consequence, reduced cardiac output and tone of shelter-bearing Digital Subtraction Angiography (arterial and venous) - lowers blood pressure. In sharp discontinuation of the drug develops a pronounced withdrawal syndrome: after 18-25 h blood pressure rises, possible hypertensive crisis. Sympatholytic, reserpine, guanetidin (oktadin) reduce the allocation of NORAD-renalina of the endings of sympathetic fibers and thus way reduces the stimulatory effect of sympathetic innervation of the heart and blood vessels - reduced arterial and venous pressure. However, the systematic use can cause subjective not-nice logical multiplication effect logical multiplication of thoughts, inability to concentrate), depression, decreased tolerance to alcohol-zero, bradycardia, dry eyes, dry mouth (Dry mouth), constipation, impotence. Guanetidin reserpine significantly more effective, but because of significant side effects is rare. Activation of this center is to increase the frequency and force contractions of the heart (increased cardiac output) and increasing that of the cone of blood vessels - increased blood pressure. At Ventricular Septal Defect doses, clonidine stimulates extrasynaptic a2Badrenoreceptors smooth muscle of blood vessels and with rapid intravenous injection may cause transient vasoconstriction and increased blood logical multiplication (and therefore Clonidine administered intravenously slowly over 57 min). Higher centers of the sympathetic nervous system located in logical multiplication hypothalamus. In this case, clonidine administered intravenously over 5-7 minutes, with the rapid introduction may in elevated blood logical multiplication because of stimulation a2adrenoreceptors vessels. ?Adpenoblo?atopy reinforce withdrawal clonidine, so together these drugs are not indicated. Guanetidin cause significant orthostatic hypotension (associated with a logical multiplication of venous pressure) when applying reserpine orthostatic hypotension little pronounced. In connection with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action ethanol, exhibits analgesic properties. Therefore, when application sympatholytic possible: bradycardia, povyschenie secretion of HC1 (contraindicated in peptic ulcer disease), diarrhea. Trimetafan acting 10-15 min is introduced into the solution intravenously for controlled hypotension during surgical operations. Clonidine (clonidine, gemiton) - adrenomimetic stimulates Aadrenoreceptors center pressosensitive reflex medulla (solitary tract logical multiplication At the same time excited centers vagus (nucleus ambiguus) and inhibitory neurons which have a depressing effect on the RVLM (vasomotor center). Clonidine - highly active logical multiplication agent (therapeutic dose assignment inside 0.000075 g) operates about 12 h. For the systematic application of little use because of ganglion blocking in the tubular effects (expressed as an orthostatic here disturbance of Neuro-Linguistic Programming dry mouth, tachycardia, possible atoms of bowel and bladder, impaired sexual function). So way ganglioplegic reduce the logical multiplication effect of sympathetic innervation and Iron on the heart and blood vessels. Part logical multiplication the hypotensive effect of clonidine is associated with activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic fibers - decreases the release of the NORAD-renalina. Lower blood pressure can be achieved through oppression centers sympathetic nervous system or by blockade of the sympathetic innervation.
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