Mavuto a mtima amatha kuyambitsa matenda ambiri. Chithandizo chawo chidzafunika chithandizo chovuta, chomwe chimaphatikizapo kumwa mankhwala, monga angiopril. Musanagwiritse ntchito, muyenera kuphunzira malangizo omwe amaphatikizidwa ndi mankhwalawa kuti pasakhale zovuta.
Dzinalo Losayenerana
Dongosolo losavomerezeka padziko lonse la malonda ndi Captopril.
Pazithandizo zawo zamitsempha yamagazi, chithandizo chovuta ndichofunikira, chomwe chimaphatikizapo kumwa mankhwala, monga angiopril.
ATX
Mankhwalawa ali ndi nambala yotsatirayi ya ATX: C09AA01.
Kutulutsa mafomu ndi kapangidwe kake
Kutulutsidwa kwa mankhwalawa kumachitika mwa mawonekedwe a mapiritsi omwe amayikidwa mu mizere ya 10 ma PC ndi 4 ma PC. Mtolo wa makatoni ukhoza kukhala ndi mapiritsi 1, 3, 10 a mapiritsi 10 lililonse kapena 1 strip yokhala ndi mapiritsi 4. Chosakaniza chophatikizacho ndi capopril - 25 mg. Kuphatikiza apo, stearic acid, lactose, wowuma chimanga, colloidal silicon dioxide ndi microcrystalline cellulose amagwiritsidwa ntchito.
Zotsatira za pharmacological
The yogwira mankhwala linalake ndipo tikulephera zochita za angiotensin-kusintha enzyme. Imachepetsa mapangidwe a angiotensin 1 ndi 2, ndikuchotsa vasoconstrictor yake pamitsempha ndi mitsempha. Kumwa mankhwalawa kumathandizira kuchepetsa kutsitsa komanso kutsitsa, kutsika kwa magazi, kuchepetsa kupindika kwamitsempha, kuchepetsa kutulutsa kwa aldosterone m'mitsempha ya adrenal, komanso kuchepetsa kuthamanga kwa kufalikira kwa mapapu ndi atrium yoyenera.
Pharmacokinetics
Mutatenga mapiritsi, imatengedwa mwachangu m'mimba chifukwa cha bioavailability 60-70%. Kutsika pang'ono kumawonedwa ndi kugwiritsa ntchito njira imodzi ndi chakudya. Hafu ya moyo wa mankhwalawa imatenga maola awiri ndi atatu. Hafu ya mankhwala ophatikizira amadzazidwa mu mkodzo mwanjira yosasintha.
Zizindikiro zogwiritsidwa ntchito
Zowonetsa:
- ochepa matenda oopsa, kuphatikizapo kukonzanso;
- matenda ashuga nephropathy okhala ndi matenda amtundu 1;
- kulephera kwa mtima;
- kusokonezeka kwamitsempha yamanzere pambuyo pakuwonekera kwa myocardial kwa odwala omwe chikhalidwe chawo chamachipatala ndi chokhazikika.
Contraindication
Amayi oyembekezera komanso oyembekezera, ana ochepera zaka 18 ndi anthu omwe ali ndi vuto la mankhwala ndi zina za ACE zoletsa, komanso odwala omwe ali ndi vuto la kuchepa kwa magazi, ayenera kukana chithandizo ndi mankhwalawa.
Momwe angatenge
Mankhwala adapangira pakamwa. Mapiritsi aledzera katatu patsiku pa 6.25-12.5 mg. Ngati ndi kotheka, kuchuluka kwa mankhwalawa kumawonjezereka mpaka 25-50 mg. Pazipita mlingo tsiku lililonse sayenera kupitirira 150 mg. Sitikulimbikitsidwa kusintha nokha.
Ndi matenda ashuga
Ngati wodwala ali ndi matenda ashuga a nephropathy, ndiye kuti mankhwalawa amatengedwa pa 75-150 mg patsiku. Mlingo ungasinthidwe ndi omwe akukuthandizani.
Ngati wodwala ali ndi matenda ashuga a nephropathy, ndiye kuti mankhwalawa amatengedwa pa 75-150 mg patsiku.
Zotsatira zoyipa
Nthawi zina, zotsatira zoyipa za thupi kuchokera ku mantha am'mimba ndi ziwalo zina zimachitika mwanjira iyi:
- tachycardia;
- kutsitsa magazi;
- zotumphukira edema;
- orthostatic hypotension;
- angioedema ya miyendo, mikono, mucous nembanemba, nkhope, khansa, lilime, milomo ndi pharynx;
- kutsokomola;
- pulmonary edema;
- bronchospasm;
- Chizungulire
- mutu;
- kuwonongeka kwamawonekedwe;
- ataxia
- kugona
- paresthesia;
- thrombocytopenia;
- kuchepa magazi
- neutropenia;
- agranulocytosis;
- acidosis;
- proteinuria;
- Hyperkalemia
- hyponatremia;
- kuchuluka kwa creatinine ndi urea nayitrogeni m'magazi;
- kamwa yowuma;
- stomatitis;
- kupweteka pamimba;
- kukoma zosokoneza;
- kutaya mtima;
- kuchuluka kwa chiwindi michere;
- hyperbilirubinemia;
- hepatitis;
- kutsegula m'mimba
- gingival hyperplasia.
Zotsatira zoyipa zikachitika, mapiritsi amayenera kusiyidwa.
Zokhudza mphamvu pakuwongolera njira
Odwala omwe amamwa mankhwalawa amayenera kusamala poyendetsa ndikuchita zinthu zomwe zimafunikira chidwi chochuluka komanso kuthamanga kwa psychomotor, chifukwa cha mawonekedwe a chizungulire.
Malangizo apadera
Pa chithandizo cha Angiopril, zotsatira zoyipa zabodza zimatha kuwonedwa ndi machitidwe oyeserera mkodzo chifukwa cha acetone. Ndi ochepa hypotension, kuchuluka kwa mankhwalawa kumachepetsedwa. Imwani mapiritsi mosamala ndi granulocytopenia.
Ndi ochepa hypotension, kuchuluka kwa mankhwalawa kumachepetsedwa.
Kupatsa ana
Kugwiritsa ntchito mankhwala kuthira ana nkoletsedwa. Chithandizo chitha kuperekedwera vuto la matenda oopsa. Mlingo umawerengeredwa malinga ndi kulemera kwa mwana. Ndi 0,1-0.4 mg wa mankhwalawa pa 1 kg ya kulemera kwa thupi. Kuchulukitsa kuvomerezeka sikuyenera kupitilira 2 pa tsiku.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mukamanyamula mwana ndikuyamwitsa, mankhwalawa sayenera kuthandizidwa. Ngati mimba yapezeka munthawi ya chithandizo, ndikofunikira kusiya kumwa mapiritsi. Ngati ndi kotheka, khalani njira zochizira poyamwitsa zimasokonekera.
The ntchito aimpso kuwonongeka
Ngati aimpso ntchito ndi kuwonongeka aimpso, kuchepetsa tsiku lililonse ndikofunikira.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Mosamala komanso moyang'aniridwa ndi achipatala, amamwa mankhwalawa pamavuto a chiwindi.
Bongo
Ngati mumagwiritsa ntchito mankhwalawa kuchuluka kwa mankhwalawa, mankhwala osokoneza bongo amatha kuchitika, akuwoneka ngati magazi akuchepa kwambiri. Pankhaniyi, wodwalayo amapaka jekeseni wa isotonic sodium chloride kapena plasma-yomwe imalowetsa madzi ndi hemodialysis imachitika.
Kuchita ndi mankhwala ena
Kugwiritsidwa ntchito kophatikizira kwa indomethacin ndi mankhwala ena osapweteka a antiidal kungachepetse hypotensive zotsatira za angiopril. Chiwopsezo cha hyperkalemia chimawonjezeka ndikugwiritsira ntchito munthawi yomweyo ndi zina zamchere, zoteteza potaziyamu, kukonzekera kwa potaziyamu komanso zina zowonjezera potaziyamu. Mphamvu ya antihypertensive imachepetsedwa pogwiritsa ntchito erythropoietins ndi acetylsalicylic acid.
Kuwonjezeka kwa seramu lithiamu ndende kumatha kuwonedwa mukamayanjana ndi mchere wa lithiamu. Kulimbitsa machitidwe a mankhwalawa kumachitika limodzi ndi ma diuretics ndi vasodilators. Matenda a hematological amatha kuchitika pogwiritsa ntchito antidepressants ndi capopril. Odwala omwe amagwiritsa ntchito procainamide kapena allopurinol ali ndi chiopsezo chowonjezereka cha neutropenia.
Kuyenderana ndi mowa
Pa mankhwala, amaletsedwa kumwa mowa. Kuyanjana kwawo ndi gawo lomwe limagwira kungayambitse matenda oopsa.
Pa mankhwala, amaletsedwa kumwa mowa.
Analogi
Ngati ndi kotheka, mankhwalawo amasinthidwa ndi analog. Ena mwa iwo ndi awa:
- Alkadil;
- Blockordil;
- Kapoten;
- Catopil;
- Epsitron.
Kusintha kwa mankhwalawa kuyenera kuchitika ndi dokotala yemwe amasankha mankhwalawa poganizira zomwe zimachitika m'thupi la wodwalayo komanso kuopsa kwa matenda.
Malangizo a kupumula Angiopril ochokera ku malo ogulitsa mankhwala
Chidacho chitha kugulidwa ku pharmacy ndi mankhwala kuchokera kwa katswiri.
Kodi ndingagule popanda kulandira mankhwala?
Mapiritsi sangathe kugulidwa popanda mankhwala.
Mtengo
Mtengo wa mankhwalawa umatengera ndondomeko yamapulogalamu ndipo pafupifupi 95 ma ruble.
Zosungidwa zamankhwala
Mankhwalawa amaikidwa pamalo amdima, owuma komanso osafikira ana omwe ali ndi kutentha kosaposa 25 ° C.
Tsiku lotha ntchito
Mankhwalawa amasunga katundu wake kwa zaka zitatu kuyambira tsiku lopangidwa, malinga ndi momwe amasungidwira. Tsiku lotha likatha, lidzatayidwa.
Wopanga Angiopril
Malondawa amatulutsa TORRENT PHARMACEUTICALS Ltd. (India).
Chidacho chitha kugulidwa ku pharmacy ndi mankhwala kuchokera kwa katswiri.
Ndemanga za Angiopril
Vladimir, wazaka 44, Krasnoyarsk: "Ndidagwiritsa ntchito mankhwalawa pambuyo poti ndawonongeka. Ngakhale kuti panali zovuta zambiri, chithandizo chakecho chidachitika. Ndidakonza mtengo wa Angiopril. Ndiwotsika mtengo komanso wogwira ntchito. Ndimalipangira."
Larisa, wazaka 24, Murmansk: "Dotolo adapereka chithandizo cha matenda ashuga. Adatenga pang'ono pafupifupi mwezi umodzi. M'masiku oyamba, chizungulire ndi chifuwa chowuma zidandivutitsa, koma mtsogolo zonse sizinathe. mankhwalawa adzafunika. "
