Lozap ndi Lozap Plus ndi mankhwala antihypertensive opangidwa ku Slovakia. Kutha kuchepetsa kuthamanga kwa magazi komanso kuthamanga kwa magazi m'mapapo. Kuphatikiza apo, amachepetsa nkhawa pamtima ndipo amakhala ndi mphamvu yochezera.
Khalidwe Lozap
Mankhwala, omwe ndi blocker a angiotensin receptors, amapezeka mu mawonekedwe a mapiritsi oyera a biconvex oyera okhala ndi mawonekedwe amfilimu, iliyonse yomwe imatha kukhala ndi mankhwala a potaziyamu osartan mu ndende ya:
- 12,5 mg;
- 50 mg;
- 100 mg
Lozap ndi Lozap Plus amatha kuchepetsa kuthamanga kwa magazi komanso kuthamanga kwa magazi.
Mankhwalawa amagulitsidwa m'matakata okhala ndi mapiritsi 30, 60 kapena 90.
Potaziyamu losartan, wogwira ntchito ku Lozap, amatha kuyambitsa zotsatirazipi:
- kusankha kutsekereza angiotensin II;
- kuwonjezera ntchito za renin;
- inhibit aldosterone, chifukwa chomwe kutayika kwa potaziyamu komwe kumachitika chifukwa cha kutenga diuretic kumachepetsedwa;
- sinthani okhutira ka urea mu plasma.
Odwala ochepa matenda oopsa, osalemedwa ndi matenda osokoneza bongo, mankhwala omwe ali ndi mankhwalawa amatha kuchepetsa kuwonetsa kwa proteinuria.
Odwala omwe ali ndi vuto la mtima akudwala amasonyezedwa prophylactic ya mankhwalawa.
Odwala omwe ali ndi vuto la mtima wosakhazikika amasonyezedwa njira yoteteza:
- kuwonjezera kulekerera zolimbitsa thupi;
- muthane ndi myocardial hypertrophy.
Chizindikiro chakugwiritsa ntchito Lozap ndi izi:
- Matenda oopsa.
- Kulephera kwamtima kosalekeza.
- Kufunika kuchepetsa chiopsezo cha matenda amtima.
Mlingo uyenera kusinthidwa kutsika:
- matenda a chiwindi;
- kusowa kwamadzi;
- hemodialysis;
- Wodwala ali ndi zaka zopitilira 75.
Mankhwalawa ali ophatikizika mwa amayi apakati komanso anyama, komanso anthu ochepera zaka 18. Sitikulimbikitsidwa kuti muzitenga komanso ndi chidwi chochulukirapo pazinthu zomwe zilipo kapena zothandizira.
Popereka mankhwala, chisamaliro chikuyenera kuthandizidwa ngati wodwala wazindikira:
- kulephera kwa mtima;
- Matenda a mtima a Ischemic;
- matenda amisala;
- stenosis ya mitsempha ya impso, kapena aortic ndi mitral valavu;
- kuphwanya mulingo wamadzi-electrolyte;
- mbiri ya angioedema.
Kuchepa kwa thupi ndi chimodzi mwanjira zoyipa za kumwa mankhwalawa.
Kutenga potaziyamu wa losartan kumatha kuyambitsa zovuta zingapo. Zina mwa izo ndi:
- kuchepa kwa magazi m'thupi komanso kuwonongeka kwina kwa kayendetsedwe kazinthu;
- mawonetseredwe a ziwengo;
- gout
- matenda a anorexia;
- kusowa tulo kapena kusokonezeka kwa tulo;
- nkhawa ndi mavuto ena amisala;
- kupweteka mutu ndi zina kuwonetsa kwa zovuta zamanjenje;
- utachepa kuwona acuity, conjunctivitis;
- angina pectoris, kusinthasintha kwa mtima, kugunda kwamtima, kugunda kwa mtima ndi mavuto ena a mtima;
- kutsokomola, mphuno;
- kupweteka kwam'mimba, nseru, matenda am'mimba komanso zina zam'mimba;
- myalgia;
- chiwindi ndi / kapena impso ntchito;
- kutupa
- asthenia, matenda a kutopa kwambiri.
Makhalidwe a Lozap Plus
Kukonzekera kophatikizidwa, komwe kumapangidwa ngati mapiritsi amtali wamtambo wofiirira, okhala ndi chiopsezo chogawana mbali zonse ziwiri. Muli zinthu ziwiri:
- potaziyamu angiotensin II receptor antagonist losartan - 50 mg;
- diuretic hydrochlorothiazide - 12,5 mg.
Lozap Plus ndi kuphatikiza kophatikizika komwe kumapangidwa ngati mapiritsi amtundu wachikaso wokulira ndi ngozi yogawika mbali zonse ziwiri.
Mabulangete okhala ndi mapiritsi 10 kapena 15 amadzaza m'makatoni a 1, 2, 3, 4, 6, kapena 9.
The pharmacological zotsatira za hydrochlorothiazide ndikukula:
- kupanga kwa aldosterone;
- plasma woipa wa angiotensin II;
- ntchito yokonzanso.
Kuphatikiza apo, kayendetsedwe kake kamachepetsa kuchuluka kwa madzi am'magazi komanso kuchuluka kwa potaziyamu mkati mwake.
Kuphatikizika kwa chinthu ichi ndi potaziyamu losartan kumapereka:
- synergistic zotsatira, chifukwa chomwe kutchulidwa kogwiritsa ntchito kwambiri kumachitika;
- kufooketsa kwa hyperuricemia koyambitsidwa ndi okodzetsa.
Chofunikira ndichakuti chithandizo chamankhwala awa sichimayambitsa kusintha kwa mtima. Mankhwala akuwonetsa kuti angagwiritse ntchito matenda oopsa, ofuna kuphatikiza mankhwala. Kuphatikiza apo, kayendetsedwe kake kamachepetsa chiopsezo chokhala ndi matenda amtima wabwino kwambiri ngati magazi atutse kwambiri ndipo kumanzere kwamitsempha yamagazi kumanzere.
Lozap Plus sisonyezedwa za gout.
Mlingo woyambirira wa mankhwalawa piritsi limodzi patsiku. Ngati ndi kotheka, imatha kuwiriridwa kawiri, pomwe phwando limachitidwabe kamodzi. Mlingo wa tsiku ndi tsiku uyenera kusinthidwa pamaso pa mndandanda womwewo wa zisonyezo monga mankhwala amodzi a Lozap.
Mankhwala sakhazikitsidwa:
- Hyper- kapena hypokalemia, hyponatremia;
- matenda oopsa a impso, chiwindi, kapena khunyu;
- gout kapena hyperuricemia;
- anuria
- mimba, kuyamwa, komanso nthawi yakukonzekera;
- Hypersensitivity zigawo zikuluzikulu za mankhwala kapena mankhwala a sulfonamide.
Iyenera kugwiritsidwa ntchito mosamala mu zofanana ndi Lozap monotherapy, komanso mu:
- hypomagnesemia;
- matenda a minofu;
- matenda a shuga;
- myopia;
- mphumu ya bronchial;
Zotsatira zoyipa za mankhwala omwe amaphatikizidwa ndi othandizira a losartan omwe ali ndi hydrochlorothiazide sanazindikiridwe. Zotsatira zoyipa zilizonse zomwe zimachitika ndi chithandizo choterechi zimachitika chifukwa cha zomwe zimachitika mwanjira iliyonse.
Mu mphumu ya bronchial, mankhwalawa ayenera kugwiritsidwa ntchito mosamala.
Kuphatikiza pazotsatira zoyambitsidwa ndi potaziyamu losartan komanso zofanana ndi zovuta zomwe zimachitika mutatenga Lozap, Lozap Plus ikhoza kuyambitsa:
- vasculitis;
- kupuma mavuto syndrome;
- jaundice ndi cholecystitis;
- kukokana.
Kuyerekeza kwa Lozap ndi Lozap Plus
Kufanana
Mankhwala omwe afunsidwa akuphatikiza zotsatirazi:
- Zizindikiro zogwiritsira ntchito;
- piritsi mawonekedwe a mankhwalawa;
- kukhalapo kwa potaziyamu losartan mu zikuchokera.
Kodi pali kusiyana kotani?
Chomwe chimasiyanitsa ndi kusiyana pakapangidwe. Lozap ndi mankhwala amodzi, ndipo Lozap Plus ndi mankhwala ophatikiza omwe ali ndi magawo awiri ogwira ntchito.
Kusiyanitsa kwachiwiri ndikuwonetsa kuti Lozap ali ndi mitundu yosiyanasiyana, pomwe mankhwala osakanikirana amapezeka mu mtundu umodzi wokha.
Chotsika mtengo ndi chiyani?
Ndikotheka kugula phukusi la mapiritsi 30 a mankhwalawa pamtengo wotsatirawu:
- 50 mg - 246 ma ruble;
- 50 mg + 12,5 mg - 306 ma ruble.
Pa nthawi yomweyo ya potaziyamu wa losartan, kukonzekera komwe kumakhala ndi hydrochlorothiazide ndi 25% yotsika mtengo.
Lozap imawerengedwa kuti ndi njira yabwino yochepetsera kuthamanga kwa magazi mu shuga.
Ubwino wa Lozap kapena Lozap Plus ndi uti?
Lingaliro la mankhwala omwe angakhale abwinopo kwa wodwala lingathe kupangidwa kokha ndi dokotala atamufufuza. Ubwino wa Lozap Plus udzakhala wotchuka kwambiri pochiritsa. Ubwino wa Lozap ndi mwayi wosankha mlingo. Kuphatikiza apo, mankhwala amodzi amachititsa zoyipa zochepa ndipo amakhala ndi zotsutsana zochepa.
Ndi matenda ashuga
Yogwira pophika Lozap Lozartan muyezo mpaka 150 mg / tsiku sizikhudza kuchuluka kwa shuga m'magazi. Ubwino wabwino wa izi kwa iwo omwe ali ndi matenda a shuga a 2 ndikutha kwake kuchepetsa insulin. Chifukwa chake, Lozap imawerengedwa kuti ndi njira yabwino yochepetsera kupanikizika kwa matendawa.
Liazide diuretics, yomwe imaphatikizapo hydrochlorothiazide, imatha kuwonjezera kuchuluka kwa shuga. Kwa odwala matenda a shuga, zinthu zoterezi zimayenera kutumikiridwa mu Mlingo wocheperako (osaposa 25 mg / tsiku). Kuphatikiza apo, muyenera kudziwa kuti ndi shuga wowonjezereka, kuphatikiza kwa Lozap Plus ndi aliskiren sikuvomerezeka. Chifukwa chake, ndi matenda otere, mankhwalawa ayenera kumwedwa mosamala.
Madokotala amafufuza
Sorokin V.T., wazachipatala wazaka 32: "Ndimapereka mankhwala amtunduwu chifukwa cha matenda oopsa m'magawo oyamba. Ndimaona kuti mankhwalawa amakhala otetezeka mthupi ndipo amachepetsa kuthinana. Ndikufuna kudziwa kuti nthawi yayitali ya matenda, zotsatira za mankhwalawa sizikhala zokwanira kwa tsiku limodzi ndi mtundu wina wa antihypertensive mankhwala, monga beta-blockers, uyenera kugwiritsidwa ntchito. "
Dorogina MN, dokotala wazaka zamatsenga wazaka 43: "M'kati mwa mchitidwewu, adazindikira kuti a Slovak Lozap amalekerera bwino kusiyana ndi anzawo aku Russia. Oposa 90% adazindikira kupanikizika komanso kusadandaula.
Ndemanga za Odwala za Lozap ndi Lozap Plus
Egor, wazaka 53, Yekaterinburg: "Anamwa mankhwalawa onse. Ali ndi vuto lofanananso ndi ine, sanazindikire kusiyana pamlingo wochepetsera kukakamiza. Ndimakonda Lozap chifukwa cha mtengo wotsika."
Alevtina, wazaka 57, ku Moscow: "Ndiganiza kuti mankhwalawa ndi ochepa mphamvu. Amawamwa m'mawa, madzulo, kupanikizika kumayambanso."
