Kuti muchepetse kuthamanga kwa magazi, Lisinopril ndi Bisoprolol amaperekedwa nthawi imodzi. Mankhwala onse awiriwa amagwiritsidwa ntchito pochiza matenda a mtima. Njira zimaphatikizidwa bwino komanso zimakhala ndi tanthauzo lofunikira mukamagwiritsa ntchito limodzi. Pa mankhwala, mlingo uyenera kuonedwa kuti mupewe kuchepa kwambiri kwa anzawo.
Makhalidwe a Bisoprolol
Bisoprolol ndi wa gulu la beta-blockers. Mankhwala amawonjezera kutsika kwa magazi kupita kumtima, kumachepetsa kufunika kwa mpweya m'mtima, kubwezeretsa kugunda kwa mtima, ndikuchepetsa kuphatikizika kwamitsempha. Chipangizocho chimachepetsa kukanikizika kwachilengedwe pakatha maola awiri mutatha kuyendetsa. Chochitikacho chimatha mpaka maola 24.
Bisoprolol ndi wa gulu la beta-blockers.
Kodi lisinopril
Lisinopril ndi choletsa ACE. Mankhwala amalepheretsa kupangika kwa angiotensin 2 kuchokera ku angiotensin 1. Zotsatira zake, zotengera zimatulutsa, kukakamizidwa kumachepa kukhala kwazonse, minofu yamtima imalekerera zochitika zolimbitsa thupi. Amapereka kuyamwa mwachangu komanso kwathunthu kwa zinthu zomwe zikugwira. Pambuyo pakutenga, chiopsezo chokhala ndi zovuta zamtima zachepa. Zotsatira zake zimawonedwa kwa ola limodzi ndipo zimatha mpaka maola 24.
Kuphatikizika kwa bisoprolol ndi lisinopril
Mapiritsi opanikizika amabwezeretsa kugwira ntchito kwa minofu yamtima. Mankhwala ovuta, kugwirako ntchito kumawonjezera ndipo chiopsezo chokhala ndi myocardial hypertrophy ndi zotsatira zina za matenda oopsa zimachepetsedwa. Kugwiritsa ntchito pafupipafupi kumathandizira kukwaniritsa zotsatira zokhalitsa komanso zokhalitsa.
Zizindikiro zogwiritsidwa ntchito munthawi yomweyo
Kuvomerezedwa kumasonyezedwa chifukwa cha kulephera kwa mtima ndi matenda oopsa. Kugwiritsa ntchito ma diuretics kapena mtima glycosides mwina amafunikira.
Kutenga Bisoprolol ndi Lisinopril kumawonetsedwa chifukwa cha kulephera kwa mtima.
Contraindication ku Bisoprolol ndi Lisinopril
Iwo contraindicated poyambira mankhwala ena matenda ndi zina, kuphatikizapo:
- mimba
- nthawi yoyamwitsa;
- zotumphukira angina pectoris;
- kuchuluka kwa mahomoni a chithokomiro m'magazi;
- metabolic acidosis;
- ziwengo zamankhwala;
- kuthamanga kwa magazi;
- kulowerera pambuyo;
- kukhalapo kwa pheochromocytoma;
- Matendawa a Raynaud;
- richochet ochepa matenda oopsa;
- mphumu yayikulu ya bronchial;
- kutsika kwa mtima;
- kuphwanya mapangidwe kapena mphamvu ya zimachitika mu mawonekedwe a sinus;
- Cardiogenic mantha;
- kulephera kwa mtima;
- mbiri ya edema ya Quincke;
- hypertrophic cardiomyopathy ndi mkhutu kuyenda kwa mitsempha;
- kuchepa kwa machitidwe aortic, mitsempha ya impso, kapena valavu ya mitral;
- kugawa kwambiri aldosterone;
- ana ochepera zaka 18;
- ntchito ndi mankhwala okhala ndi Aliskiren;
- aimpso kuwonongeka ndi mtundu wa creatinine osakwana 220 μmol / l;
- kobadwa nako tsankho kwa galactose;
- kuchepa kwa lactase.
Pa mankhwalawa, hemodialysis yogwiritsira ntchito ma membala oyenda kwambiri amaletsedwa.
Momwe mungatenge bisoprolol ndi lisinopril
Muyenera kumwa mapiritsiwo mkati, osafuna kutafuna ndikumwa kumwa ndi madzi pang'ono. Mlingo wovomerezeka wa Bisoprolol ndi Lisinopril wowonjezera matenda oopsa ndi 5 mg kamodzi patsiku. Ndi kulekerera kwabwino, mlingo umatha kuchulukitsidwa pang'onopang'ono. Pakulephera kwa aimpso, mlingo uyenera kuchepetsedwa kukhala 2,5 mg.
Kulephera kwa mtima kosatha, muyeso woyamba ndi 1.25 mg wa bisoprolol ndi 2,5 mg wa lisinopril. Mlingo ukuwonjezeka pang'onopang'ono.
Ndi matenda ashuga
Ndi kupsinjika kwakukulu motsutsana ndi maziko a shuga osadalira insulin, 10 mg ya Lisinopril ndi 5 mg ya Bisoprolol amatengedwa.
Zotsatira zoyipa
Zotsatira zoyipa zimatha kuchitika pakumwa:
- kutsokomola;
- Edema ya Quincke;
- kutsitsa magazi;
- kupweteka pachifuwa
- kukoka kwamtima;
- kutopa;
- minofu kukokana;
- bronchospasm;
- kuchepa kwa chiwerengero cha leukocytes ndi mapulateleti m'magazi;
- kuchepa magazi
- bradycardia;
- kugaya chakudya
- kutupa kwa kapamba;
- kupweteka kwam'mimba
- zotupa pakhungu;
- aimpso kuwonongeka ndi kwa chiwindi ntchito;
- milingo yapamwamba ya potaziyamu ndi sodium, creatinine, urea ndi michere ya chiwindi m'magazi;
- kupweteka kwa minofu;
- mutu
- Chizungulire
- dziko lokhumudwa;
- kusamva kwa makutu;
- kuthawa;
- nseru
- kudzimbidwa
- kukanika kwa erectile.
Ngati zotsatira zoyipa zimachitika, ndikofunikira kuchepetsa mlingo kapena kusiya chithandizo. Mukamaliza kumwa mankhwalawo, zizindikirizo zimazimiririka.
Malingaliro a madotolo
Elena Antonyuk, dokotala wamtima
Bisoprolol ili ndi antianginal komanso antiarrhythmic. Mphamvu ya antihypertensive imatchulidwanso munthawi yomweyo ndi lisinopril. Mkati mwa milungu iwiri yokha ya chithandizo, kupanikizika kumasiya kuchuluka ndipo mkhalidwe wa wodwalayo ukupita bwino. Arrhasmia imazimiririka, zombo zimakula, ndipo kugwira ntchito kwa myocardium kumakhala bwino. Musanayambe chithandizo, ndikofunikira kufunsa katswiri wamtima.
Anastasia Eduardovna, wothandizira
Mankhwala osokoneza bongo ali ndi antihypertensive. Zili zogwirizana ndipo zimagwiritsidwa ntchito polemba matenda oopsa. Mitengo yotsika mtengo ya mankhwala ndi imodzi mwazabwino. Chithandizo chimachepetsa chiopsezo cha mtima.
Ndemanga za Odwala
Oleg, wazaka 41
Adatenga mankhwala ophatikiza malinga ndi malangizo a matenda oopsa. Zotsatira zake zinamveka mkati mwa sabata limodzi. Kupsinjika sikunakwererenso pazofunikira, mtima unasiya kugunda ndikugunda kwambiri. Nditha kuzindikiranso kuchepa kwa potency, ngakhale atatha kulandira chithandizo chizindikiro chake sichinasinthe.
Christina, wazaka 38
Ndakhala ndikuvutika ndi matenda oopsa kwa zaka zingapo. Pambuyo kugwiritsa ntchito mankhwala awiri, mkhalidwewo unasintha mkati mwa masiku awiri. Panalibe zoyipa, ngakhale nthawi zina ndimakhala wofooka komanso kugona. Ndikukhulupirira kuti mapiritsi amayenera kumwedwa pamlingo wocheperako komanso nditaphunzira kuyanjana ndi mankhwala ena. Mutha kudziwa kuchuluka kwa mankhwala kuchokera pamasamba apadera, koma muyenera kuloleza JavaScript.
