Oxodolin amatanthauza mankhwala a antihypertensive, pakati pa mankhwala ena omwe amakhala ndi zotsatira zofananira. Musanayambe mankhwala, ma contraindication onse ndi zovuta zomwe zingachitike zimayang'aniridwa. Mlingo ndi nthawi ya chithandizo chimasankhidwa kwa wodwala aliyense payekhapayekha.
Dzinalo Losayenerana
INN: Chlortalidone. Mchilatini - Chlortalidone kapena Oxodolinum.
Oxodolin amatanthauza mankhwala a antihypertensive, pakati pa mankhwala ena omwe amakhala ndi zotsatira zofananira.
ATX
Code ya ATX: C03BA04.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka piritsi. Mapiritsi oyera. Mthunzi wachikaso umawonedwanso kutiovomerezeka. Nthawi zambiri, mapiritsi amayikidwa m'mbale yapadera yamagalasi amdima. Zili pakatakata koyambirira komata ndi malangizo ogwiritsa ntchito.
Chomwe chimagwira ndi chlortalidone. Piritsi limodzi lili ndi 0,05 g pazinthu zoyambira. Zowonjezera: calcium stearate, lactose, ochepa wowuma ndi otsika maselo kulemera polyvinylpyrrolidone. Chidebe chilichonse chimakhala ndi mapiritsi 50.
Zotsatira za pharmacological
Mankhwalawa amathandizira kuponderezanso kukonzanso kwa ayoni a sodium ang'onoang'ono ozungulira. Mlingo wa chotsekera wa potaziyamu ndi ma magnesium ion kuchokera mthupi ndi kusefedwa kwa impso umachulukitsidwa kwambiri, ndipo chimbudzi cha calcium ions chimachepetsedwa.
Mphamvu ya antihypertensive imawonekera masabata ochepa atangoyamba kumene mankhwalawa. Kuthamanga kwa magazi kumatsikira kumiyezo yabwinobwino mwachangu. Mphamvu ya diuretic imachitika pakuchepetsa mphamvu ya polyuria, yomwe ndiyofunika kwambiri pochotsa matenda a shuga a impso.
Kuchulukitsa kwa magazi kumachepetsedwa pang'ono. Kuchuluka kwake komanso kuchuluka kwa madzi am'mimba kumachepera. Izi zimatsimikiza pokhapokha pa chithandizo. Popita nthawi, zizindikilo zonse zimabwereranso kwazonse.
Pharmacokinetics
Mankhwalawa amawamwa maola angapo atatha kumwa mapiritsi. Bioavailability ndi kuthekera kumangiriza ku zomanga mapuloteni ndizokwera kwambiri. Pazipita ndende yogwira ntchito pamene mukugwiritsa ntchito mankhwalawa 50 mg kapena 100 mg amawonetsedwa pambuyo maola 12.
Kutha kwa theka-moyo kumatha kufika maola 50. Amachotseredwa pambuyo poti mafayilo asinthidwe osasinthika. Ndi kulephera kwa impso amatha kudziunjikira.
Zizindikiro zogwiritsidwa ntchito
Zawonetsedwa ndi:
- kulephera kwa mtima;
- matenda a chiwindi;
- matenda oopsa;
- nephrosis ndi yade;
- matenda a shuga a impso;
- kunenepa;
- kutupa.
Kuwerenga konseko ndi kwamtheradi. Akatswiri amapereka mankhwala ndi nthawi ya chithandizo aliyense payekhapayekha kwa wodwala aliyense.
Contraindication
Mankhwala ndi oletsedwa kumwa pamaso pa matenda:
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- hypokalemia ndi hypomagnesemia;
- pachimake aimpso kulephera;
- kali mawonekedwe a yade;
- hepatitis pachimake, mpaka chiwindi chikomokere;
- pachimake aimpso kulephera;
- gout
- matenda a shuga;
- nthawi ya mkaka wa m`mawere;
- kuphwanya mulingo wamadzi-electrolyte;
- zaka za ana.
Ma contraindication onsewa, omwe amapangidwa mgawo lina la malangizo, ayenera kukumbukiridwa asanayambe mankhwala.
Ndi chisamaliro
Modzilemekeza, mankhwalawa amayenera kuperekedwa kwa ma pathologies:
- Kulephera kwa impso ndi chiwindi;
- matupi awo sagwirizana;
- mphumu ya bronchial;
- zokhudza zonse lupus erythematosus.
Mukamatenga, muyenera kusamala ndi okalamba. Chifukwa chake, poyambira zoyipa zoyambirira zikaonekera, ndikofunikira kuti muchepetse mankhwalawo kapena kusiyiratu mankhwala.
Momwe mungagwiritsire Oxodoline
Mapiritsi akulimbikitsidwa kuti atenge m'mawa nthawi ya chakudya cham'mawa. Mlingo amasankhidwa wodwala payokha. Zimatengera kuuma kwa zizindikiro za matenda oyambitsidwa, pamayendedwe achire.
Ndi chiwopsezo chochepa cha matenda oopsa, piritsi limodzi la 50 mg katatu pamlungu limayikidwa. Ndi edematous syndrome, mlingo woyambirira ndi 100 mg tsiku lililonse lililonse. Nthawi zina ma diuretics amawonjezeranso kuti athandizidwe kwambiri. Mu aimpso a insipidus, 100 mg ya mankhwala amakonzekera kawiri pa tsiku.
Ndi matenda ashuga
Kumwa mankhwalawo ndizoletsedwa, chifukwa mumakhala kuchuluka kwa lactose, komwe kumakhudza kuchuluka kwa shuga m'magazi.
Zotsatira zoyipa za Oxodoline
Kugwiritsa ntchito nthawi yayitali. Ngati zikuchitika, tikulimbikitsidwa kukaonana ndi dokotala kuti athandizane ndi detoxification.
Pa mbali ya gawo la masomphenyawo
Kusokonezeka kosalekeza pakugwira kwakanthawi kofufuza komwe kumachitika. Mwina kukula kwa xanthopsia.
Kuchokera minofu ndi mafupa
Pali kuwonjezeka kwina kwa minofu yolumikizira, makamaka ndi kuwonongeka kwake koyambirira. Masamba a minofu yosalala amawonekera.
Matumbo
Kuchokera ziwalo zam'mimba, nseru, kusanza kumatha kuchitika. Nthawi zina kudzimbidwa kumasinthana ndi kutsegula m'mimba. Hepatic cholestasis tsopano yakhala ikudziwika. Woopsa milandu, jaundice akhoza. Nthawi zina zizindikiro za kapamba zimawonekera.
Hematopoietic ziwalo
Pakayezetsa magazi, pamakhala kusintha kowopsa. Agranulocytosis, kuchepa magazi, ndi thrombocytopenia amakula. Kuwerengeka kwa maselo oyera kumachepa, ndipo ma eosinophils amakwera.
Pakati mantha dongosolo
Kuchokera kumbali yamanjenje, zovuta zimatheka: chizungulire chachikulu, kufooka kwambiri komanso kutopa. Kupanda chidwi ndi kusokonekera m'malo komwe kumachitika.
Kuchokera pamtima
Chifukwa cha mawonekedwe a hypokalemia, arrhasmia imayamba. Orthostatic hypotension imatha kuchitika. Ndi kukula kwa zizindikiro zotere, ndibwino kukana kumwa mankhwalawo.
Matupi omaliza
Nthawi zambiri zimachitikira thupi. Amatha kuchitika mwa mtundu wa urticaria ndi zotupa zina zapadera. Milandu yayikulu ikhoza kuyamba.
Nthawi zina, pochizira matendawo, mankhwalawa atha kufunsidwa kuti athandize kuchotsa mankhwalawa m'thupi.
Zokhudza mphamvu pakuwongolera njira
Kwa nthawi ya mankhwalawa, ndibwino kukana kuyendetsa galimoto ndi makina olemera, ntchito yomwe imafunika kwambiri. Zinthu zomwe zimagwira zimatha kukhudza zotumphukira za mitsempha. Nthawi yomweyo, zomwe zimachitika mu psychomotor zimatha kuchepetsedwa, zomwe zimakhumudwitsa anthu omwe amapanga zisankho mwadzidzidzi pakagwa mavuto.
Malangizo apadera
Ndikulimbikitsidwa kuti nthawi zina mumayezetsa, ndikuwonetsetsa kuchuluka kwa ma electrolyte amwazi. Izi ndizofunikira kwambiri kwa odwala omwe adalandira kale chithandizo cha digito. Chakudya chopanda mchere wopanda mchere sikuyenera kutumizidwa.
Panthawi yakusokonezeka kwa mtima, yomwe imakonda kupezeka mu hypokalemia, kuwonongeka kwa potaziyamu kumachitika. Izi zitha kuonedwa ndi kusanza, kutsegula m'mimba kwambiri, hyperaldosteronism, zakudya zosakwanira. Chifukwa chake, odwala ambiri angafunike mankhwala a potaziyamu.
Pankhani ya okodzetsa okhazikika, kuchuluka kwa zizindikiro za systemic lupus erythematosus kumachitika. Ngakhale izi ndizosowa.
Gwiritsani ntchito mu ukalamba
Sitikulimbikitsidwa kutenga okalamba. Ngati pakufunika izi, ndiye kuti mankhwalawo omwe mankhwalawo amayenera kukhala ocheperako.
Kupatsa ana
Mankhwalawa sagwiritsidwa ntchito machitidwe a ana.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Palibe kafukufuku wokwanira kuti mankhwalawa amalowa mu chotchinga cha placenta. Chifukwa chake, othandizira kuletsa amalimbikitsa kuti musagwiritse ntchito mankhwalawa mutanyamula mwana, makamaka panthawi yomwe kupangika kwa ziwalo zofunika kumachitika.
Simungathe kumwa mankhwala mukamayamwitsa, popeza piritsi lomwe silinasinthidwe limadutsa mkaka wa m'mawere. Chifukwa chake, pa mankhwala ayenera kusiya kuyamwitsa.
The ntchito aimpso kuwonongeka
Kusokoneza komwe kungachitike. Chifukwa chake, muyenera kumwa mosamala mankhwalawa kwa anthu omwe ali ndi vuto laimpso. Zoyipa zilizonse zikachitika, ndikofunikira kusintha kuchuluka kwake.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Pakukanika kwa chiwindi, mankhwala ayenera kusiyidwa.
Mankhwala osokoneza bongo a Oxodoline
Zizindikiro za mankhwala osokoneza bongo sizimawonedwa. Ngati mwangozi mwalandira mlingo waukulu, zimachitika zosakhumudwitsa: kupsinjika, chizungulire, kugona, Hypovolemia, arrhythmia, ndi kuchepa kwakukulu kwa zisonyezo.
Mankhwalawa ndi chizindikiro. Chitani mankhwala a m'mimba, gwiritsani ntchito mankhwala olimbitsa thupi. Kuti mubwezeretse zamagetsi zamagetsi, chitani njira zamkati zamchere.
Kuchita ndi mankhwala ena
Ndi ophatikizana a Oxodoline okhala ndi minyewa yopuma, ma inhibitors a MAO, ma vasodilator ndi ma beta-blockers, zotsatira za mankhwala oletsa kupanikizika kwa magazi zimatheka. NSAIDs kwambiri amachepetsa hypotensive ndi okodzetsa mphamvu ya mankhwala.
Kuphatikizika kwa ma lithiamu ion m'magazi kumawonjezera, zomwe zimapangitsa kuti pakhale zizindikiro za kuledzera. Ndi munthawi yomweyo makonzedwe a mtima glycosides, kusokonezeka kwa phokoso la mtima kumakulirakulira.
Musanayambe kuphatikiza kugwiritsa ntchito mankhwalawa ndimankhwala ena omwe angakhudze kuchuluka kwa electrolyte mthupi komanso kuchuluka kwa potaziyamu mkati mwake, muyenera kupita pamayeso onse ndikuyankhulana ndi dokotala wanu pakufunika kwa chithandizo chovuta.
Kuyenderana ndi mowa
Osamamwa ndi mowa. Zotsatira zakuchiritsira zamankhwala othandizira zimachepetsedwa kwambiri, ndipo zizindikiro za kuledzera zimawonetsedwa ndi nyonga yatsopano.
Analogi
Masiku ano ndizovuta kupeza mankhwalawa m'mafakisi. Chifukwa chake, madokotala ambiri amatengera mankhwala omwe alipo ambiri komanso angakwanitse. Pali mitundu ingapo ya mankhwala omwe amasiyana pakapangidwe kake, koma amathandizanso chimodzimodzi:
- Urandil;
- Gygroton;
- Isoren;
- Renon;
- Chlortalidone;
- Famolin;
- Natriuran;
- Saluretic;
- Zamebezil.
Musanagule mankhwala kuti musinthe, muyenera kuphunzira malangizo mosamalitsa ndikuwunikira zonse zomwe zikuwonetsa ndikutsutsana ndi contraindication kuti mugwiritse ntchito.
Kupita kwina mankhwala
Ku malo ogulitsa mankhwalawa, mankhwalawa samapezeka.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala sangathe kugula popanda mankhwala apadera.
Mtengo
Popeza ndalamazo sizili pagulu la anthu, zitha kupangidwa kuti zizikulamula, ndiye kuti sizotheka kuwunika phindu lake.
Zosungidwa zamankhwala
Sungani mankhwalawo pokhapokha ngati pali malo owuma. Imatetezedwa kwambiri kwa ana aang'ono. Kutentha kosungira sikuyenera kupitirira kutentha kwa chipinda.
Tsiku lotha ntchito
Zaka 5 kuchokera tsiku lopanga.
Wopanga
Kampani yopanga: EMPILS-FOH CJSC (Russia).
Ndemanga
Natalia, wazaka 42, Nizhny Novgorod: "Dotolo adapereka mankhwala othandizira kuti asungunuke. Ikhoza kugulidwa pokhapokha komanso ndi mankhwala ena apadera. Poyambirira kwamankhwala, zovuta zoyipa zimawonedwa m'njira yamavuto am'mimba ndi urticaria.Chifukwa chake, lingaliroli likuwiri, koma ndi edema imathandiza bwino. "
Vladimir, wazaka 63, wa ku St. Petersburg: "Mankhwalawa adayikidwa ndi wothandizira kuti athe kuchepetsa matenda oopsa a matenda oopsa. kunja kwa thupi.
Kamodzi mwangozi adatenga mlingo waukulu wa mankhwalawo. Kuledzera kwambiri. Ndidayenera kupita kuchipatala ndikugwirira ntchito yapamimba. Mankhwala osokoneza bongo amakhudza mbali ya thupi. Masomphenya adakulirakulira. Koma atachotsa mankhwalawa, zonse pang'onopang'ono zidayamba kubwerera ku zachilendo. Onetsetsani kuti mukutsatira malamulowo. "
Anna, wazaka 38, ku Moscow: "Ndimamwa mankhwalawa pokhapokha ngati nthawi zina palibe mankhwala omwe amathandizika ndi vuto la kuthamanga kwa magazi. Chifukwa cha kupatsa mphamvu pakukodzetsa magazi, mavuto ake amatsika msanga. Sanandipeze vuto lililonse. Mankhwalawa ndi oyenera, ndikulimbikitsa aliyense. Komabe, muyenera kumwa mapiritsi mosamalitsa monga adanenera adotolo, popeza kuti mankhwala osokoneza bongo ali ndi thanzi labwino. "
