Mukasankha nthawi yanji yabwino: Liprimar kapena Atorvastatin, choyambirira, amawunika momwe mankhwalawa amagwira ntchito bwino. Kuti mupange malingaliro anu pamlingo wazomwe amakhudzidwa ndi thupi, muyenera kuphunzira kapangidwe kake (makamaka mtundu wa zinthu zomwe zimagwira), malingaliro, magwiritsidwe, zotsutsana, komanso kudziwa kuchuluka kwake. Ndalama zomwe zikuwoneka kuti zili m'gulu la mankhwala ochepetsa lipid.
Makhalidwe a Liprimar
Wopanga - "Pfizer" (USA). Kumanani pazogulitsa chida ichi chikhoza kukhala mumtundu umodzi wamasulidwe - mapiritsi. Mankhwala ali ndi mankhwala atorvastatin. Piritsi limodzi, kugundidwa kwa chinthuchi kungakhale kosiyana: 10, 20, 40, 80 mg. Popanga mankhwalawa, chinthuchi chimagwiritsidwa ntchito ngati calcium hydrochloride. Chiwerengero cha mapiritsi omwe ali phukusi amasiyanasiyana: 10, 14, 30, 100 ma PC.
Chithandizo chachikulu chomwe chimaperekedwa ndi mankhwalawa ndikuchepetsa kuchuluka kwa triglycerides ndi cholesterol.
Chithandizo chachikulu chomwe chimaperekedwa ndi mankhwalawa ndikuchepetsa kuchuluka kwa triglycerides ndi cholesterol. Zinthu izi zikuyimira gulu la VLDL. Amalowa m'magazi am'magazi, ndiye mu zotumphukira. Apa, kusintha kwa triglycerides ndi cholesterol kukhala otsika kachulukidwe lipoproteins (LDL) kumachitika.
Atorvastatin ndi mankhwala a m'badwo wachitatu. Ndi membala wa gulu la statin. Limagwirira a zochita za mankhwala zachokera zoletsa ntchito ya enzyme HMG-CoA reductase. Poterepa, kuchuluka kwa lipoproteins, komanso cholesterol kumachepa. Izi zimathandiza kuthetsa kapena kuchepetsa kukula kwa mawonekedwe owoneka a pathological, omwe amaphatikizidwa ndi kusintha kwa atherosselotic m'mitsempha yamagazi. Mwa kuchepetsa ndende ya LDL, chiopsezo cha matenda amtima ndiwachepa.
Chifukwa cha njira zomwe zafotokozedwazo, kaphatikizidwe ka cholesterol m'chiwindi chimagwira. Kuphatikiza apo, kuchuluka kwa ma lipoprotein otsika kwambiri pamakoma a maselo kumawonjezeka, zomwe zimapangitsa kuti chiwonetsero chawo chiwonjezeke. Poyerekeza ndi momwe chitukuko cha njirazi chimagwirira, cholesterol "yoyipa" imachepa.
Ubwino wa atorvastatin ndi kuthekera kosintha zomwe zili mu LDL mwa odwala omwe ali ndi matenda otengera kwa makolo - hypercholesterolemia. Pankhaniyi, othandizira ena omwe amawonetsa lipid-kutsitsa samapereka zotsatira zomwe akufuna. Kuphatikiza apo, kuchepa kwa cholesterol, LDL, triglycerides ndi apolipoprotein B, palinso kuchuluka kwa HDL ndi apolipoprotein A.
Mothandizidwa ndi mankhwalawa, mtima umayamba kuyenda bwino. Chiwopsezo cha zovuta za ischemic chimachepetsedwa. Mothandizidwa ndi mankhwalawa, kupewa atherosulinosis, kupha ziwopsezo, kufa chifukwa cha kulowerera kwa mtima, kulephera kwa mtima kumachitika.
Peak ya zochita za atorvastatin imachitika mphindi 60-120 mutatenga piritsi loyamba. Popeza munthawi yamankhwala othandizira ndi wothandizirayi katundu pa chiwindi amawonjezeka, kuchuluka kwa gawo lomwe limagwira kwambiri kumawonjezeka motsutsana ndi maziko a matenda a chiwalochi. Atorvastatin imamangiriza mapuloteni a plasma pafupifupi kwathunthu - 98% ya mlingo wonse.
Chipangizocho chimaloledwa kugwiritsidwa ntchito ngati chakudya komanso masewera olimbitsa thupi sizinathandizenso kulimbitsa thupi. Zisonyezero zogwiritsidwa ntchito:
- hyperlipidemia, hypercholesterolemia, mankhwalawa amatengedwa pakudya, pomwe cholinga cha mankhwalawa ndikuchepetsa kolesterol yonse, apolipoprotein B, triglycerides;
- dysbetalipoproteinemia, pathological zinthu limodzi ndi kuwonjezeka ndende ya seramu triglycerides;
- kupewa kupezeka kwa mtima ndi cerebrovascular pathologies.
Ndi kuwonjezeka kwa ntchito ya CPK (creatine phosphokinase enzyme), njira ya mankhwalawa iyenera kusokonezedwa. Liprimar sagwiritsidwa ntchito nthawi zina:
- matenda a chiwindi
- nthawi yakukonzekera;
- kuyamwa
- Hypersensitivity kwa chinthu chilichonse mu kapangidwe;
- mimba
Mankhwalawa sanatchulidwe ana, chifukwa chitetezo chake sichakhazikitsidwa akamagwiritsa ntchito osakwana zaka 18. Zotsatira zoyipa:
- kuthawa;
- nseru
- chopondapo chopondera chifukwa cha vuto la dyspeptic;
- kupanga gasi kwambiri;
- kuvuta kwanyumba;
- kupweteka kwa minofu
- kufooka m'thupi;
- kusokonezeka kwa kukumbukira;
- Chizungulire
- paresthesia;
- neuropathy;
- matenda a chiwindi
- matenda osokoneza bongo;
- kupweteka kumbuyo
- kusintha kwa shuga m'thupi;
- kuphwanya kwa hematopoietic system (yowonetsedwa ndi thrombocytopenia);
- kulemera;
- kusamva kwa makutu;
- kulephera kwaimpso;
- ziwengo
Khalidwe la Atorvastatin
Opanga: Canonfarm, Vertex - makampani aku Russia. Mankhwala amatha kugula piritsi. Amakutidwa ndi mtolo woteteza. Chifukwa cha izi, kuchuluka kwa zoyipa pamimba yogaya kumachepetsedwa. Mankhwala ndi analogue mwachindunji a Liprimar. Ili ndi zinthu zomwezi. Mlingo: 10, 20, 40 mg. Chifukwa chake, Atorvastatin ndi Liprimar amadziwika ndi mfundo zomwezi.
Liprimara ndi Atorvastatin:
Kufanana
Kukonzekera kuli ndi zinthu zofanana. Mlingo wake ndiwofanana pa milandu yonseyi. Liprimar ndi Atorvastatin amapezeka piritsi. Popeza ali ndi zinthu zomwezi, izi zimathandizanso chimodzimodzi. Malangizo ogwiritsira ntchito ndi contraindication a mankhwala nawonso amafanana.
Kodi pali kusiyana kotani?
Mapiritsi a Atorvastatin amakhala. Izi zimachepetsa chiopsezo cha zotsatira zoyipa m'mimba. Liprimar imapezeka m'mapiritsi osagwiritsidwa ntchito.
Kukonzekera kuli ndi zinthu zofanana. Mlingo wake ndiwofanana pa milandu yonseyi.
Chotsika mtengo ndi chiyani?
Mtengo wapakati wa Atorvastatin: ma ruble 90-630. Mitengo imakhudzidwa ndi kuchuluka kwa mapiritsi pa paketi iliyonse komanso kuchuluka kwa mankhwala othandizira. Mtengo wapakati wa Liprimar: rubles 730-2400. Chifukwa chake, atorvastatin ndi wotsika mtengo kwambiri.
Zomwe zili bwino: Liprimar kapena Atorvastatin?
Popeza kuti kapangidwe kake ka mankhwalawa kamaphatikizanso zinthu zomwezo, zomwe zimawonetsa kuchepa kwa lipid, ndipo mlingo wake umasiyana m'magawo onse awiri, ndiye kuti ndalamazi ndizofanana pankhani yogwira ntchito.
Ndi matenda ashuga
Mankhwala angagwiritsidwe ntchito pochiza odwala omwe ali ndi matenda a shuga a 2. Imagwiritsidwanso ntchito ngati mtundu 1 wa shuga wapezeka. Komabe, ziyenera kukumbukiridwa kuti ma statins, omwe gulu la Atorvastatin limayimira, amathandizira kusintha kwamagazi a glucose. Pazifukwa izi, chithandizo chamankhwala chikuchitika moyang'aniridwa ndi dokotala.
Atorvastatin imapezeka mu mawonekedwe a mapiritsi okhala ndi ntchito. Mu shuga mellitus, mankhwalawa ndi abwino kwambiri, chifukwa amathandizira kuchepetsa chiopsezo chokhala ndi mawonekedwe ena oyipa.
Ndemanga za Odwala
Vera, wazaka 34, Stary Oskol
Atorvastatin amachita mwachangu, amathandiza bwino. Ndimatenga nthawi ndi nthawi pamene kuchuluka kwa cholesterol kumakwera. Ndimangoona kuti sizikhala ndi mphamvu nthawi zonse pa triglycerides. Kuti achepetse kuchuluka kwa zomwe ali, dokotala amapangira mankhwala ena.
Elena, wazaka 39, Samara
Dotolo adalimbikitsa kuti atenge Liprimar atadwala mtima. Cholesterol changa chinali chikukwera m'mbuyomu, koma nthawi zonse chimakhala ndi zovuta zosasangalatsa, ndipo matupi athupi lathu lonse amabwerera mwakale. Tsopano zaka sizofanana: Nthawi yomweyo ndimamva zosintha zonse mwa ine ndekha. Kuti ndikhale ndi mtima komanso mitsempha yamagazi m'malo abwinobwino, nthawi zina ndimamwa mankhwalawa. Koma musakonde mtengo wokwera.
Ndemanga za madokotala za Liprimar ndi Atorvastatin
Zafiraki V.K., katswiri wa zamtima, Perm
Liprimar imagwirizana ndi atorvastatin pankhani yogwira ntchito bwino. Sindikulimbikitsa kupeza zida zamagetsi zina, chifukwa nthawi zambiri zimayambitsa chitukuko chachikulu cha zowonetsa. Liprimar imagwira bwino ntchito yake yayikulu: kutsitsa cholesterol.
Valiev E.F., dokotala wa opaleshoni, Oryol
Atorvastatin imadziwika kwambiri ndi mawonekedwe ake chifukwa cha mtengo wabwino kwambiri pamtengo. Mankhwalawa amathandizira kuti pakhale zovuta zingapo zoyipa. Komabe, machitidwe amapezeka kuti kutsatira njira yamapiritsi amathandizira kuchepetsa kukula kwa mawonekedwe owoneka bwino.
