Mankhwala amakhala ndi magazi moyenera ndipo amateteza vasoconstriction. Amakhala ndi hypotensive komanso ofatsa okodzetsa kwenikweni. Amagwiritsidwa ntchito pochiza matenda oopsa. Kugwiritsa ntchito nthawi yayitali, kumalepheretsa kuwonjezeka kwa myocardial misa mwa akulu ndi odwala okalamba.
ATX
C09CA07
Mankhwala amakhala ndi magazi moyenera ndipo amateteza vasoconstriction.
Kutulutsa mafomu ndi kapangidwe kake
Wopangayo amatulutsa chinthucho ngati mapiritsi ozungulira. The yogwira ndi telmisartan mu 40 mg. Phukusili lili ndi mapiritsi 14 kapena 28.
Zotsatira za pharmacological
Yogwira pophika imaletsa vasoconstrictor mphamvu ya angiotensin. Amathandizira kuthamanga kwa magazi.
Pharmacokinetics
Imalowetsedwa mwachangu, imalowa m'magazi ndikumanga mapuloteni a plasma. Zimapangidwa m'chiwindi kupanga ziwonetsero zopanda ntchito. Amatulutsira ndowe komanso pang'ono ndi mkodzo.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amagwiritsidwa ntchito pochiza matenda oopsa. Itha kuperekedwa kuti muchepetse kuthana ndi mtima pazovuta za kuthamanga kwa magazi.
Contraindication
Zimasungidwa kutenga ndalama nthawi zina:
- blockage wa bile ducts;
- kuchuluka kwa maphunziro mthupi la aldosterone;
- ziwengo zosiyanasiyana za mankhwala;
- chiwindi ndi impso ntchito;
- nthawi ya pakati ndi yoyamwitsa;
- cholowa cholowa cha fructose metabolism.
Odwala ochepera zaka 18 sakhazikitsidwa ngati mankhwalawa.
Momwe mungatenge Mikardis 40
Ndikofunikira kutenga mankhwala malinga ndi malangizo omwe mungagwiritse ntchito.
Akuluakulu
Ndikofunikira kuyamba kumwa ndi 20 mg patsiku. Kuti akwaniritse kutchulidwa kokwanira, odwala ena amawonjezera mlingo mpaka 40-80 mg patsiku. Woopsa milandu, mlingo akhoza kuchuluka kwa 160 mg patsiku. Ngati chiwindi chikuyenda bwino, simungathe kutenga piritsi limodzi patsiku. Hemodialysis odwala mkhutu aimpso ntchito safuna kusintha mlingo. Amalandiridwa nthawi yomweyo ndi chakudya kapena pambuyo. Kutalika kwa chithandizo kuchokera pa 1 mpaka miyezi iwiri.
Kwa ana
Chitetezo chovomerezeka cha ana osaposa zaka 18 sichinaphunzire.
Kodi ndizotheka kumwa mankhwalawa chifukwa cha matenda ashuga
Mankhwala angagwiritsidwe ntchito ngati matenda a shuga a 2. Mankhwalawa ali ndi vuto la matenda ashuga nephropathy komanso ochepa matenda oopsa.
Mankhwala angagwiritsidwe ntchito ngati matenda a shuga a 2.
Zotsatira zoyipa
Chogwiritsidwacho chimatha kuyambitsa zovuta zingapo kuchokera ku ziwalo ndi machitidwe. Mapiritsi amasiya kumwa ngati zotsatira zoyipa zimawonedwa.
Matumbo
Zakudya zam'mimba, kukhumudwa, kupweteka kwa epigastric komanso kusintha kwa chiwindi.
Hematopoietic ziwalo
Mpweya, hypercreatininemia, orthostatic hypotension ukhoza kuchitika. Nthawi zina, kuvomereza kumapangitsa kuti chiwonjezeke cha creatinine m'magazi.
Pakati mantha dongosolo
Pali kudzipatula kwa minofu, kutopa, kupweteka kwa mutu, kukhumudwa komanso chizungulire.
Chimodzi mwazinthu zoyipa za m'mimba.
Kuchokera kwamikodzo
Matenda opatsirana, edema.
Kuchokera ku kupuma
Kutsokomola kumatha kuoneka komwe kumawonetsa matenda opumira.
Kuchokera ku minculoskeletal system
Minofu kukokana ndi kupweteka kwa msana kumachitika.
Matupi omaliza
Ziwengo kumachitika mu mawonekedwe a kutupa kwa zimakhala, urticaria, zotupa pakhungu.
Malangizo apadera
Ngati chithandizo ndi okodzetsa chinachitika, kutsekula m'mimba kapena kusanza kumachitika, mlingo umachepetsedwa. Ndi unilateral kapena mayiko awiri a impso artery stenosis, mankhwala amaikidwa mosamala. Chiwopsezo chowonjezeka cha kuchuluka kwa potaziyamu m'magazi chikuwonjezereka ngati matenda akulu a chiwindi, impso kapena mtima. Chifukwa chake, muyenera kuyang'anira mulingo wa creatinine ndi potaziyamu m'magazi.
Kuyenderana ndi mowa
Sizoletsedwa kuphatikiza mankhwalawa pogwiritsa ntchito zakumwa za ethanol.
Sizoletsedwa kuphatikiza mankhwalawa pogwiritsa ntchito zakumwa za ethanol.
Zokhudza mphamvu pakuwongolera njira
Chisamaliro chiyenera kumwedwa poyendetsa galimoto, chifukwa mankhwalawa angayambitse chizungulire komanso kutopa. Chidacho chimakhudza chidwi chachikulu.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Ndi zoletsedwa kugwiritsa ntchito nthawi yapakati. Musanayambe kumwa mankhwalawa, muyenera kusiya kuyamwitsa.
Bongo
Ndi mankhwala osokoneza bongo, kupanikizika kumatsikira kumagulu ovuta. Chizungulire, kupweteka m'makachisi, thukuta, ndi kufooka zitha kuwoneka. Chithandizo cha chizindikiro chimayikidwa, mankhwalawa amasiya.
Kuchita ndi mankhwala ena
Musanagwiritse ntchito, ndikofunikira kuphunzira kuyanjana ndi mankhwala ena. Chidacho chimawonjezera mphamvu ya kumwa mankhwala a antihypertensive ndikuwonjezera kuchuluka kwa digoxin mu plasma. Ndi mankhwala a NSAID, chiopsezo cha matenda aimpso chikuwonjezeka. Ndikofunikira kuyendetsa kuchuluka kwa potaziyamu pogwiritsa ntchito zowonjezera ndi kukonzekera zomwe zimakhala ndi potaziyamu (heparin). Pogwiritsa ntchito munthawi yomweyo kukonzekera kwa lifiyamu, poizoni m'thupi amakula.
Ndi mankhwala osokoneza bongo, chizungulire chikhoza kuonekera.
Analogs of Mikardis 40
Mankhwala ena omwe amathandizidwa ndi kuthamanga kwa magazi amaperekedwa ku pharmacy. Mutha kugula zofanizira zopanga zoweta zakunja ndi zakunja:
- Cardosal
- Atacand
- Diovan;
- Valz;
- Valsartan.
- Angiakand;
- Blocktran;
- Aprovel;
- Candesartan;
- Losartan;
- Telpres (Spain);
- Telsartan (India);
- Telmista (Poland / Slovenia);
- Teseo (Poland);
- Prirator (Germany);
- Tsart (India);
- Hipotel (Ukraine);
- Twinsta (Slovenia);
- Telmisartan-Teva (Hungary).
Mankhwalawa amatha kukhala ndi contraindication ndikuyambitsa mavuto. Musanagwiritse ntchito mankhwalawa ndi mawonekedwe ake, ndikofunikira kukaonana ndi katswiri.
Kupita kwina mankhwala
Mankhwala Micardis amapezeka ku pharmacy.
Mtengo
Mtengo wamankhwala amachokera ku ma ruble 400. mpaka 1100 rub.
Kusunga Mikardis 40
Sungani mapiritsiwo phukusi pa kutentha mpaka +30 ° C.
Tsiku lotha ntchito
Alumali moyo wa mankhwalawa ndi zaka 4. Tsiku lotha ntchito litatha, mankhwalawo amaletsedwa.
Ndemanga za Mikardis 40
Mikardis 40 - mankhwala ochokera kwa wopanga Beringer Ingelheim Pharma GmbH ndi Co KG, Germany. Wolekeredwa bwino ndi odwala, amayamba kuchita zinthu mwachangu. M'milungu iwiri yoyambirira yamankhwala, mavuto amadzachitika omwe amadzimiririka okha.
Madokotala
Andrey Savin, katswiri wamtima
Telmisartan ndi angiotensin II receptor antagonist. Chithandizo chogwira ntchito chimalepheretsa kuchepetsedwa kwa lumen yamitsempha yamagazi. Kuthamanga kwa magazi kumachepa ndipo kuchuluka kwa aldosterone mu plasma ya magazi kumachepa. Mankhwala amathandizira kuthetsa madzimadzi m'thupi, kuwonjezera magazi aimpso.
Kirill Efimenko
Ndimapereka mankhwala piritsi limodzi patsiku kwa odwala. Kutengera ndi kuopsa kwa matendawa, mutha kuwonjezera kuchuluka kwake. Woopsa, amatha kuphatikiza ndi hydrochlorothiazide wokwanira mpaka 25 mg tsiku lililonse. Chithandizo cha mankhwalawa chingayambitse kuchuluka kwa michere ya chiwindi. Ngati mimba yakhazikika, phwando limayimitsidwa kuti lisavulaze mwana wosabadwayo. Pokonzekera kutenga pakati, mankhwalawa samadyedwa.
Odwala
Anna, wazaka 38
Nthawi zina mavuto amakwera ndipo mutu umandipweteka. Zinthu zimayenda bwino atatha kugwiritsa ntchito antihypertensive wothandizira. Sizimayamba kuchitapo kanthu nthawi yomweyo, koma zotsatira zake zimakhala mpaka maola 24. Kumverera kwakukulu pomwe mutu wanga sukuvulala komanso kupanikizika kumadutsa malire.
Elena, wazaka 45
Mutatha kumwa mankhwalawa, kugona, kutupikana kwa miyendo ndikuwonekera komanso kugunda kwamtima kumafulumira. Sindikulimbikitsa kutenga oposa 20 mg pa tsiku. Zizindikiro zinazimiririka patatha milungu iwiri, ndipo ndidasankha kuti ndisiye kuzitenga. Zomverera ndizabwino kwambiri ndipo kupanikizika kunakhala kwabwinobwino. Ndikukonzekera kutenga miyezi 2-3.
Eugene, wazaka 32
Makolo adagula chida ichi. Kugwiritsa ntchito, kumachepetsa kupanikizika kwa nthawi yayitali. Timagwiritsa ntchito pochiza matenda oopsa. Pa nthawi ya chithandizo, bambo anga adagula kutsitsi chifukwa cha chifuwa. Zinapezeka kuti izi ndizotsatira zoyipa zomwe zidasowa pambuyo pa masiku 6-7. Ndiokwera mtengo, amathandiza msanga. Kukhutitsidwa ndi zotsatira zake.
