Mankhwalawa amagwiritsidwa ntchito kukhazikitsa lipids m'thupi.
Chidachi chimalepheretsa kukula kwa matenda a mtima ndi mitsempha yamagazi. Mankhwalawa, tsatirani mafuta ochepa m'mafuta a kolesterolo ndipo pangani masewera olimbitsa thupi ovomerezeka.
Dzinalo Losayenerana
Atorvastatin.
Mankhwalawa amagwiritsidwa ntchito kukhazikitsa lipids m'thupi.
ATX
C10AA05
Kutulutsa mafomu ndi kapangidwe kake
Njira yomwe ilipo yotulutsira mapiritsi oyera, okhala ndi mafilimu. Zochita zamankhwala zimatsimikiza ngati mankhwala othandizira - atorvastatin 40 mg (omwe amapezeka mu calcium atorvastatin mu 41.44 mg).
Zotsatira za pharmacological
Zinthu zomwe zimagwira ndi zoletsa za HMG-Coa reductase. Atorvastatin amatulutsa cholesterol ndipo amathandizira kuwonjezera HDL.
Mankhwala amalepheretsa kukula kwa zovuta motsutsana ndi maziko a atherosulinosis, matenda a mtima, angina pectoris. Mothandizidwa ndi mankhwalawa, njira zophatikizika zimayenda bwino.
Pharmacokinetics
Kuchokera pamimba yokumba pamakhala kupakika kwathunthu kwa mankhwala othandizira. Mukamadya, mayamwidwe amachepetsa. Amamanga 100% kumapuloteni. Atorvastatin imapangidwa mu chiwindi, ndipo metabolites yogwira imapangidwa. Akukondweretsa matumbo pambuyo pa hepatic metabolism. Pafupifupi 2% imachotsedwa impso.
Zizindikiro zogwiritsidwa ntchito
Amagwiritsidwa ntchito kuchepetsa kuchuluka kwa triglycerides, lipoproteins otsika kwambiri ndi cholesterol yathunthu. Chida chimathandizira hypercholesterolemia, kuphatikizapo cholowa. Mankhwala amatchulidwa kupewa matenda ndi mavuto a mtima dongosolo.
Contraindication
Nthawi zina, chithandizo chimaperekedwa:
- mpaka 18 zaka pamaso pa hypercholesterolemia ndi mpaka zaka 10 ndi heterozygous cholowa cholowa matenda;
- matenda owopsa a chiwindi;
- kuchuluka kwa chiwindi michere;
- kuwonongeka kwa minofu kapena minyewa;
- malabsorption a shuga ndi galactose;
- mkaka wa m'mimba, pakati.
Kulandila nkoletsedwa kwa odwala omwe ali ndi kuchepa kwa lactase. Tengani mankhwalawa chifukwa chodalira, matenda a chiwindi komanso ukalamba ndikofunikira kuyang'aniridwa ndi katswiri.
Momwe mungatenge Atoris 40?
Mlingo ndi nthawi ya chithandizo zimatengera matendawa. Mlingo woyenera ndi 10 mg / tsiku. Ngati ndi kotheka, mutha kuwonjezera mlingo pambuyo masiku 30. Mapiritsi okwanira 2 patsiku (80 mg) angagwiritsidwe ntchito. Zabwino kwambiri zimadyedwa mukamadya komanso nthawi yomweyo tsiku lililonse. Ngati chiwindi chikugwira ntchito, mankhwalawo amayamba kuchoka m'thupi pang'onopang'ono. Ngati ndi kotheka, chepetsani kapena siyimitsani kumwa.
Mankhwalawa amatengedwa kwambiri mukatha kudya komanso nthawi yomweyo tsiku lililonse.
Ndi matenda ashuga
Mu matenda a shuga a mellitus, mankhwalawa amatengedwa atatha kuphunzira patepi ya lipid.
Zotsatira zoyipa za Atoris 40
Chifukwa cholekerera bwino, kuphwanya ntchito za thupi kumachitika. Nthawi zina, kuchepetsa mlingo kapena kusiya mankhwala kungafunike.
Pa mbali ya gawo la masomphenyawo
Nthawi zina, pali kuphwanya ntchito ya masomphenya.
Kuchokera minofu ndi mafupa
Minyewa, mafupa, kapena ululu wammbuyo zimatha kuchitika. Milandu yamatenda amitsempha, komanso kufooka kwa ziwonetsero za minofu yolumikizika, siyipadera.
Nthawi zambiri, kudzipatula kwa minofu.
Matumbo
Nthawi zambiri kumakhala kudzimbidwa, kudzimbidwa, kutupa kwa kapamba, kusapeza bwino mu dera la epigastric, kutulutsa. Matchera sakhala osowa.
Hematopoietic ziwalo
Kuchuluka kwa ma protein m'magazi amachepetsa, kuchuluka kwa glucose kumachuluka kapena kuchepa. Nthawi zina kumwa mankhwalawa kumabweretsa kuwonjezeka kwa ntchito ya aspartate aminotransferase, alanine aminotransferase, creatinine kinase ku hemopoietic ziwalo.
Pakati mantha dongosolo
Migraine, asthenia, kusintha kwa makomedwe, kusokonekera kwa kukumbukira, kusokonekera kwamphamvu kumachitika.
Kuchokera kwamikodzo
Kuphwanya mphamvu ya impso kupanga mkodzo wamkati.
Kuchokera ku kupuma
Nthawi zambiri - magazi kuchokera pamphuno, zilonda zapakhosi.
Pa khungu
Kutupa kwa zimakhala, urticaria, zotupa pakhungu, edema ya Quincke, matenda a Stevens-Johnson, alopecia amawonekera.
Kuchokera ku genitourinary system
Chiwerengero cha leukocytes mu mkodzo chikuwonjezeka.
Kuchokera pamtima
Palibe zoyipa zomwe zadziwika.
Matupi omaliza
Anaphylaxis, edema ya Quincke, zotupa pakhungu ndi kuyabwa.
Zokhudza mphamvu pakuwongolera njira
Atorvastatin amakhudza ndende. Zosagwiritsidwa ntchito mosazindikira kuchokera ku dongosolo lamkati lamanjenje zitha kuchitika, motero, njira ziyenera kuyang'aniridwa mosamala.
Malangizo apadera
Ndikwabwino kumwa mankhwalawa moyang'aniridwa ndi dokotala. Kuwunika kwa aimpso ndi kwa chiwindi ntchito ndikofunikira. Pa mankhwala, ndibwino kupatula zakudya zomwe zili ndi mafuta ambiri m'thupi. Poyerekeza ndi zakumwa zoledzeretsa, kugwira ntchito kwa chiwindi kumakulirakulira ndikuwonjezereka.
M'miyezi yoyamba ya chithandizo, kusapeza bwino mu minofu kumachitika nthawi zambiri (myopathy). Mwa abambo, pali kuphwanya kwamunthu. Poyerekeza ndi zomwe zidapangidwa ndi kinine kinase, chithandizo chimayimitsidwa.
Gwiritsani ntchito mu ukalamba
Kwa odwala omwe ali ndi zaka zopitilira 70, mankhwalawa ndi mlingo wake amasankhidwa ndi adokotala.
Kupatsa ana
Odwala omwe ali ndi zaka 18 zakubadwa amakhala otsutsana.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Munthawi ya kuyamwitsa ndi pathupi, kudya kumatsutsana. Ngati ndi kotheka, siyani kuyamwitsa ndi kuyamba kulandira chithandizo.
The ntchito aimpso kuwonongeka
Pankhani ya kuwonongeka kwa impso, ndikofunikira kuwunika momwe wodwalayo alili.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Musatchule mapiritsi pamaso pa kutupa kwa chiwindi kapena kuwonongeka kwa maselo ake. Ndi pathologies mu pachimake siteji, phwando limaletsedwa.
Kuchulukitsa kwa Atoris 40
Pankhani ya bongo wambiri, kuwonjezereka kwa zovuta kumachitika. Thandizo lothandizira komanso kuyang'anira nthawi zonse ntchito ya chiwindi ndikofunikira.
Kuchita ndi mankhwala ena
Kuchulukitsa kwa atorvastatin m'madzi am'magazi kumawonjezeka pamene mukumwa maantibayotiki, cyclosporin, HIV proteinase inhibitors, mankhwala antifungal, fibrate. Njira zakulera za pakamwa, digoxin ndi mankhwala ochepetsa kuchepetsa kuchuluka kwa mahomoni amkati mwa steroid ziyenera kumwedwa mosamala.
Ezetimibe imatha kuyambitsa zotsatira zoyipa kuchokera ku musculoskeletal system, kuphatikizapo rhabdomyolysis.
Pogwiritsa ntchito nthawi yomweyo Colestipol, zotsatira za kumwa mankhwalawa zimawonjezeka. Ndizotheka kutenga ndi Warfarin, koma muyenera kuwongolera ntchito yoyipa ya magazi. Fusidic acid ndi msuzi wa mphesa amatsutsana pamankhwala. Kugwiritsa ntchito ma statins nthawi zina kumabweretsa vuto la m'mapapo.
Kuyenderana ndi mowa
Pa mankhwala, zakumwa zomwe zimakhala ndi ethanol siziyenera kupatula.
Analogi
Mankhwala otsatirawa amatchulidwa mankhwala omwewo:
- Liprimar;
- Atorvastatin;
- Atorvastatin-K;
- Atomax;
- Tulip;
- Torvakard.
Ndalamazi zimakhala ndi zotsutsana ndipo zimatha kuyambitsa zosafunikira. Musanagwiritse ntchito, muyenera kuphunzira malangizo ndikuyendera katswiri.
Kupita kwina mankhwala
Mutha kugula mankhwalawa mutapereka mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Tchuthi chotsutsana ndi choletsa sichimaletsedwa.
Mtengo wa Atoris 40
Mtengo wamapiritsi umachokera ku ruble 350 mpaka 1000.
Zosungidwa zamankhwala
Ndikofunikira kuyika phukusi ndi mapiritsi m'malo amdima ndikuwonetsetsa kuti kutentha kumafika mpaka + 25 ° C.
Tsiku lotha ntchito
Mutha kusunga mapiritsi kwa zaka ziwiri.
Wopanga
JSC "Krka, dd, Novo mesto", Slovenia.
Ndikofunikira kuyika phukusi ndi mapiritsi m'malo amdima ndikuwonetsetsa kuti kutentha kumafika mpaka + 25 ° C.
Ndemanga za Atoris 40
Alexander Karpov, wothandizira, Voronezh.
Chidacho chimakulitsa kuchuluka kwa HDL ndipo chimakupatsani mwayi woti muzisunga LDL mumtundu wamba. Ndi hyperlipidemia, imakhala ndi tanthauzo lotanthauzika komanso losatha, ngati itatengedwa kumapeto. Fotokozani chida chothandizira kupewa matenda amtima komanso matenda.
Elena Davydenko, endocrinologist, Ufa.
Ndi kuchoka kwina kwa mankhwalawa kwa odwala ambiri, kuchuluka kwa cholesterol kumawonjezeka. Popewa izi, muyenera kutsatira zakudya zopatsa lipid ndikuyamba kukhala ndi moyo wakhama. Mlingo umakhazikitsidwa pofotokoza za kuphatikiza kwa magazi.
Nikolai, wazaka 45, Kemerovo.
Atatha njira yodziwitsira matenda, zidapezeka kuti cholesterol yoyipa inali 6.5 mmol / L yokhala ndi 3.5 mmol / L. Atoris 40 adayikidwa pa 20 mg kamodzi patsiku. Mbiri ya lipid ndiyachilendo. Ndinakondwera nazo.
Anna, wazaka 34, Saratov.
Mankhwalawa adawalembera dokotala kwa mwamuna wake kuti apewe matenda amtima. Ndinatenga piritsi limodzi limodzi ndi mankhwala osokoneza bongo. Amamva bwino komanso kuthamanga kwa magazi ake kunali kwachibadwa.
Kristina, wazaka 28, Yekaterinburg.
Ndi cholesterol yayikulu ya LDL, agogo ake adamwa mankhwalawo. Ndinkamwa zojambulazo malinga ndi malangizo. Zinthu sizinasinthe ndipo anayenera kusiya kulandira. Chipangizochi ndichotsika mtengo, koma palibe.
