Telmista 80 ndi antihypertensive wothandizila ndi kutchulidwa okodzetsa, imagwiritsidwa ntchito pochiza komanso kupewa matenda a mtima.
Dzinalo Losayenerana
Telmisartan - Telmisartan.
Telmista 80 - antihypertensive wothandizila ndi kutchulidwa okodzetsa kwenikweni.
ATX
C09CA07.
Kutulutsa mafomu ndi kapangidwe kake
Zoyikidwa. Kutengera ndi kuchuluka kwa zomwe zimagwira, zigawo 20 mg, 40 mg ndi 80 mg zilipo.
Chida chachikulu cha Telmista ndi telmisartan. Zowonjezera: magnesium stearate, meglumine, lactose monohydrate, sodium hydroxide, hydrochlorothiazide (piritsi limodzi lili ndi 12.5 mg).
Zotsatira za pharmacological
Mphamvu ya mankhwalawa imachokera pakuphatikiza kwa telmisartan ndi thunthu hydrochlorothiazide, womwe ndi okodzetsa. Mankhwala ndi mtundu wosankha wotsutsana ndi zomwe angiotensin ii. Gawo lomwe limagwiritsa ntchito mankhwalawa limayanjana ndi AT1 receptor.
Mankhwala amachepetsa kuchuluka kwa aldosterone m'madzi a m'magazi.
Mankhwala amachepetsa kuchuluka kwa aldosterone m'madzi a m'magazi. Palibe cholepheretsa njira zamayendedwe a ion ndi renin. Mphamvu yolepheretsa zinthu za kininase II, zomwe zimachepera bradykinin, sizipezekanso.
Pa mlingo wa 80 mg, mankhwalawa amalepheretsa zovuta zowopsa za angiotensin II. Mphamvu ya antihypertensive imachitika patatha maola atatu kuchokera nthawi yolowa. Ngati munthu wapezeka ndi matenda oopsa, mankhwalawo amathandizira kuchepetsa kuchepa kwa magazi popanda kukhudza pafupipafupi kugunda kwamtima.
Ndikangomwa mankhwala mwadzidzidzi, palibenso matenda obwezeretsa, zomwe zimawakakamiza pang'onopang'ono kubwereranso kwina.
Pharmacokinetics
Kamodzi m'thupi, zigawo za mankhwala zimatengedwa ndi nembanemba ya mucous m'mimba. The bioavailability wa telmisartan ndi 50%. Chithandizo chogwira ntchito masana, mphamvu yotchulidwa imapitilira maola 48.
Kamodzi m'thupi, zigawo za mankhwala zimatengedwa ndi nembanemba ya mucous m'mimba.
Maola ochepa mutatha kugwiritsa ntchito mankhwalawa, kuchuluka kwa zinthu zazikulu zomwe zimapezeka m'madzi a m'magazi zimapangidwa, mosasamala kanthu kuti zidatengedwa kale kapena panthawi ya chakudya. Kusiyana kwa kuchuluka kwa zigawo za plasma kumachitika chifukwa cha jenda la wodwala. Mwa akazi, chizindikiro ichi chidzakhala chapamwamba.
Zizindikiro zogwiritsidwa ntchito
Kutumizidwa ku:
- pamaso pa matenda oopsa;
- zochizira matenda amitundu iwiri, omwe ziwalo zamkati zimakhudzidwa;
- monga prophylaxis waimfa pamaso pa matenda a mtima dongosolo wodwala wazaka zopitilira 50.
Kwa prophylactic, mankhwalawa amagwiritsidwa ntchito ngati wodwala ali ndi mbiri yakale ya matenda ndi matenda monga kugwidwa, kupatuka mu ntchito ya zotumphukira zamagazi zomwe zimayamba chifukwa cha kuzungulira kwa magazi kapena chifukwa cha matenda a shuga. Kukhazikitsidwa kwakanthawi kwa mankhwalawa kumachepetsa chiopsezo cha matenda a mtima komanso sitiroko.
Kwa prophylactic, mankhwalawa amagwiritsidwa ntchito ngati akumenya.
Contraindication
Ndi zoletsedwa kugwiritsa ntchito ngati wodwalayo ali ndi vuto lakelo. Zotsutsa zina:
- mimba
- nthawi ya mkaka wa m`mawere;
- matenda a biliary thirakiti yolepheretsa;
- wodwalayo amalekerera zinthu monga lactose ndi fructose.
Mulingo wa zaka wothira mankhwalawa ndi msinkhu wa wodwala wosakwana zaka 18.
Ndi chisamaliro
Pali zotsutsana zingapo pakugwiritsira ntchito mankhwalawa, chifukwa chake kayendetsedwe kake ndizotheka pokhapokha ngati sizotheka kukwaniritsa zabwino kuchokera ku kugwiritsa ntchito zida zina zamankhwala. Mosamala, mankhwalawa amaperekedwa kwa odwala pamaso pa zinthu zotsatirazi:
- stenosis yamtundu wamtundu wamatumbo opatsika impso;
- ochepa stenosis pamaso pa impso imodzi;
- kuchepa kwa magazi magazi;
- anapeza hyponatremia;
- kukhalapo kwa hyperkalemia;
- kuchitira impso opaleshoni;
- amaganiza kuti kulephera kwa impso;
- Odwala omwe ali ndi vuto la chiwindi;
- Cardiomyopathy yotopetsa, mtundu wa hypertrophic.
Kodi mutenge bwanji Telmista 80?
Mankhwalawa adakonzeratu kuti pakhale pakamwa, kugwiritsa ntchito kumachitika kamodzi patsiku, palibe chomwe chingagwiritse ntchito pakudya.
Zochizira matenda amkati mwa akulu, mankhwalawa amadziwitsidwa mu 1 piritsi (yogwira mankhwala 40 mg). Kuchuluka kwa mankhwalawa kumatha kuchepetsedwa mpaka 20 mg patsiku. Ngati kwa nthawi yayitali palibe zabwino kuchokera pakumwa mankhwalawo, malinga ndi lingaliro la adokotala, kuchuluka kwake kumawonjezereka mpaka 80 mg.
Ngati njira ina, mankhwalawa amaperekedwa mogwirizana ndi okodzetsa. Kuphatikiza uku kumakuthandizani kuti mukwaniritse zomwe zimatchulidwa antihypertensive kwambiri. Kuchulukitsa kwa mankhwalawa kumatheka pokhapokha ngati palibe zabwino zamasabata 4-8, popeza mankhwalawa ali ndi phindu lochulukirapo.
Mankhwalawa adapangira pakumwa pakamwa, kugwiritsa ntchito kumachitika kamodzi patsiku.
Monga prophylactic kwa anthu azaka za 50 omwe ali ndi matenda oyenera ndi kamvekedwe ka mtima, mlingo wa tsiku ndi tsiku ndi piritsi limodzi kamodzi patsiku. Kumayambiriro kwa mankhwalawa, mankhwala owonjezera angafunikire kusintha zizindikiro za kuthamanga kwa magazi.
Kumwa mankhwala a shuga
Mankhwala mwa anthu odwala matenda ashuga angayambitse kukula kwa hypoglycemia, chifukwa chake, ndi mankhwalawa, kuyang'anira kuchuluka kwa shuga kumafunika.
Ngati ndi kotheka, kusintha kwa mlingo ndi izi ndi insulin kukonzekera kumachitika.
Zotsatira zoyipa
Kuopsa kwa zizindikiro zoyipa ndikotsika, pokhapokha ngati mankhwalawa amamwa molondola, pamankhwala omwe dokotala akuwonetsa, komanso wodwalayo alibe zotsutsana ndi mankhwalawa.
Matumbo
Zotsatira zoyipa monga kupweteka m'mimba, kusokonezeka kwa chopondapo m'mimba, kukula kwa dyspepsia, kutulutsa thukuta kosalekeza, komanso zovuta zamatsenga sizimachitika kawirikawiri. Ndizachilendo kwambiri, koma mawonekedwe a mawonekedwe mongauma pamkamwa, kusapeza bwino pamimba, komanso kusokoneza kukoma sikumayikidwa pambali.
Zotsatira zoyipa monga kupweteka m'mimba sizimachitika kawirikawiri.
Hematopoietic ziwalo
Kukula kwa magazi m'thupi. Zotsatira zoyipa ndi thrombocytopenia ndi eosinophilia. Mankhwala amatha kupangitsa kuchuluka kwa uric acid.
Pakati mantha dongosolo
Pafupipafupi - kukomoka. Kumaoneka ngati kugona kwa wodwala nthawi zonse komwe sikugwiritsa ntchito Telmista sikumatsutsidwa.
Kuchokera kwamikodzo
Pafupipafupi - kukula kwa kwapakati pa nephritis, kulephera kwa impso. Kujowina kachilombo koyambitsa matenda a cystitis sikumachotsedwa.
Kuchokera ku kupuma
Maonekedwe ofupika komanso chifuwa chowuma. Nthawi zina, kakulidwe ka pulmonary interstitial matenda.
Njira yopumira imatha kuyambitsa chifuwa chowuma.
Kuchokera ku genitourinary system
Zotsatirazi zotsatirazi sizichitika kawirikawiri - kukanika kwa impso, kukulira kulephera kwaimpso.
Kuchokera pamtima
Kukula kwa bradycardia sikumachitika kawirikawiri, ndipo kawirikawiri, tachycardia. Zotsatira zoyipa ngati kuchepa kwa ziwonetsero zamagazi sizimachotsedwa.
Kuchokera minofu ndi mafupa
Kukula kwa sciatica (mawonekedwe a ululu pamimba), kupindika kwa minofu, kupweteka kwa tendon.
Matupi omaliza
Zotsatira zoyipa pakhungu ndiko kuyabwa ndi redness, urticaria, kukula kwa erythema ndi eczema. Si kawirikawiri, kumwa mankhwalawa kumayambitsa kukhumudwa kwa anaphylactic.
Si kawirikawiri, kumwa mankhwalawa kumayambitsa kukhumudwa kwa anaphylactic.
Malangizo apadera
Mankhwalawa nthawi zambiri sawerengedwa kwa odwala omwe ali mu liwiro la Negroid, chifukwa pankhaniyi kugwiritsa ntchito mankhwalawa kumacheperachepera. Izi zikufotokozedwa ndi mtundu wokonzedweratu ku chinthu chochepetsedwa cha chinthu cha renin. Mankhwala amatha kuonjezera kamvekedwe ka impso ndikuwonjezera kuchuluka kwa mafuta m'thupi pamene agwiritsidwa ntchito limodzi ndi okodzetsa.
Kuyenderana ndi mowa
Kumwa zakumwa zoledzeretsa ndi zakumwa sizoletsedwa.
Zokhudza mphamvu pakuwongolera njira
Palibe choletsa kuyendetsa galimoto ndi kugwira ntchito ndi zovuta kupanga. Koma ndikofunikira kudziwa kuti chifukwa cha kugwiritsidwa ntchito kwa mankhwalawa, chiopsezo chokhala ndi vuto loyambitsa chizungulire sichimaletseka.
Palibe choletsa kuyendetsa galimoto ndi kugwira ntchito ndi zovuta kupanga.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Pofuna kupewa zoyipa zomwe zingachitike kwa mwana wakhanda, Telmista samaloledwa nthawi yoyamwitsa. Ngati mukufunika kugwiritsa ntchito mankhwalawa, kuyamwa kuyenera kuyimitsidwa kwakanthawi. Mimba ndi contraindication mwamtheradi kumwa mankhwala.
Kuikidwa kwa Telmist kwa ana 80
Kafukufuku wokhudzana ndi kaperekedwe ka mankhwalawa kwa odwala omwe ali ndi zaka zosakwana 18 sanachitike. Popeza kuopsa kwa zovuta zomwe zingachitike, ana satchulidwa.
Gwiritsani ntchito mu ukalamba
Palibe kusintha kwa mlingo komwe kumafunikira.
The ntchito aimpso kuwonongeka
Kawirikawiri analamula odwala aimpso kukanika. Muzochitika zoterezi, ndikofunikira kukhazikitsa kuyang'anira kuchuluka kwa potaziyamu m'magazi ndi kupanga zinthu.
Zogwiritsa ntchito zimapukusidwa ndi bile, ndipo izi, zimayambitsa kuchuluka kwa chiwindi ndikuwonjezera matenda.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kugwiritsa ntchito mankhwalawa ndi odwala omwe ali ndi matenda monga cholestasis, matenda opatsirana am'mitsempha ya minyewa kapena kulephera kwa impso ndi koletsedwa. Zogwiritsa ntchito zimapukusidwa ndi bile, ndipo izi, zimayambitsa kuchuluka kwa chiwindi ndikuwonjezera matenda.
Amaloledwa kumwa mankhwalawo pokhapokha ngati wodwala ali ndi matenda aimpso ofatsa komanso olimbitsa. Koma mlingo pazinthu zoterezi uyenera kukhala wocheperako, ndipo mankhwalawa amayenera kumwedwa kokha moyang'aniridwa ndi dokotala.
Bongo
Milandu ya bongo umapezeka kawirikawiri. Zizindikiro zowonjezereka zomwe zimachitika ndi kugwiritsa ntchito mankhwalawa limodzi ndikupanga tachycardia ndi bradycardia, hypotension.
Mankhwala akuchulukirachulukira ndi chizindikiro. Hemodialysis sagwiritsidwa ntchito chifukwa cha kuthekera kochotsa zigawo za mankhwala m'magazi.
Kuchita ndi mankhwala ena
Kugwiritsa ntchito munthawi yomweyo mankhwala osokoneza bongo omwe ali ndi gulu lofanana kungakulitse kuchuluka kwa achire.
Kugwiritsa ntchito mankhwalawa munthawi yomweyo ndi mankhwala osapweteka a antibelidal: Ibuprofen, Simvastatin, Paracetamol, Glibenclamide ndi ena mwa mankhwala ena okhala ndi acetylsalicylic acid aletsedwa. Kuphatikiza kwa mankhwalawa kumatha kupangitsa kuti matenda aimpso athe kulephera makamaka mwa omwe ali ndi vuto lotopa.
Kugwiritsa ntchito munthawi yomweyo mankhwala osokoneza bongo omwe ali ndi gulu lofanana kungakulitse kuchuluka kwa achire.
Ngati Telmist ndi mankhwala ochokera ku gulu la antidiabetic amagwiritsidwa ntchito nthawi yomweyo, kusintha kwa mankhwalawa kwa mankhwalawa kumafunikira.
Analogi
Kukonzekera kokhala ndi mawonekedwe ofanana: Prirator, Mikardis, Tanidol, Telzap.
Kupita kwina mankhwala
Pamafunika mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Ayi.
Mtengo wa Telmista 80
Kuchokera pa ma ruble 320.
Zosungidwa zamankhwala
Pamatenthedwe mpaka 25 25 ะก.
Mankhwala amaperekedwa pokhapokha ngati amupatsa mankhwala.
Tsiku lotha ntchito
Osapitirira zaka zitatu.
Wopanga
Krka, dd Novo Mesto, Slovenia
Ndemanga pa Telmista 80
Malingaliro a odwala ndi madotolo okhudzana ndi mankhwalawa nthawi zambiri ndiabwino. Ngati chida chikugwiritsidwa ntchito moyenera, sichimakhumudwitsa kukula kwa zizindikiro zam'mbali. Mankhwalawa adziwonetsanso kuti ndi prophylactic, kuchepetsa zoopsa zomwe zimayambika mwadzidzidzi matenda a mtima ndi stroko mwa anthu azaka 55 zakubadwa.
Madokotala
Cyril, wazaka 51, yemwe ndi dokotala wamtima wamkati: "Njira yokhayo yomwe Telmista 80 imabweretsa ndi pomwe odwala ambiri akufuna kuthetseratu matenda awo. Ndikupereka mankhwalawa kwa anthu achikulire omwe ali ndi vuto la mtima. amachepetsa chiopsezo cha imfa, monga zikuwonekeranso zaka zambiri zokuwonera. "
Marina, wazaka 41, wazachipatala: "Telmista 80 imatha kuchiza matenda oopsa a matenda oyamba, ndipo kuphatikiza pamodzi kumathandizanso pochiza matenda oopsa a degree 2. Kugwiritsa ntchito mankhwala pafupipafupi, zotsatira zabwino zimachitika pakatha masabata 1-2, kuthetsa chizindikiro chosasangalatsa ngati kupitilirabe Zovuta zimachitika kawirikawiri. "
Odwala
Maxim, wazaka 45, Astana: "Dotolo adandiuzira Telmist kuti athandize matenda oyamba a matenda oopsa. M'mbuyomu ndidayesa zinthu zambiri, koma mankhwala ena adakumana ndi zotsatirapo zake kapena sizinathandize konse .. Panalibe zovuta zilizonse ndi mankhwalawa patatha milungu iwiri chichitikireni chithandizo kupsinjika kwabwereranso mwakale ndikukhalabe chimodzimodzi, popanda kudumpha kosasangalatsa. "
Ksenia, wazaka 55, Berdyansk: "Anayamba kutenga Telmist atayamba kusintha kwa kubereka, chifukwa kupanikizika kotheratu. Mankhwalawa adathandizira kuzizindikira bwino. - Ngakhale kutumphuka kumachitika, sikukuthandiza ndipo sikubweretsa nkhawa zambiri."
Andrei, wazaka 35, ku Moscow: "Dotolo adasankha abambo a Telmist 80, anali ndi zaka 60, ndipo anali kale ndi vuto la mtima. Poganizira kuti kuthamanga kwa magazi kumangokulirakulira, pali chiyembekezo chachikulu chakuti matenda a mtima adzachitikanso. kotero kuti mankhwalawo amayamba kugwira ntchito, koma abambowo adakondwera ndikuyamwa kwake, kupanikizika kunabweranso kwawonekera. "
