Mwa mitundu yosiyanasiyana ya mankhwala omwe angagwiritsidwe ntchito kukonza ziwopsezo zam'magazi ndi zovuta, ndizovuta kupeza mankhwala omwe amapereka zovuta zingapo. Telmisartan Teva amatanthauza zithandizo ngati izi. Ndi mankhwalawa, simungangokulitsa kuthamanga kwa magazi, komanso kuchepetsa chiopsezo chokhala ndi vuto la mtima komanso kupweteketsa mtima kosachepera mwa kuponderezana kwakanthawi.
Dzinalo Losayenerana
Telmisartan Mayina Ogulitsa:
- Wotsogolera;
- Telzap;
- Tanidol et al.
Ndi Telmisartan Teva, mutha kusintha kuthamangitsa kwanu kwakanthawi ndi kwakanthawi.
ATX
C09CA07
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapangidwa mwanjira ya mapiritsi, omwe ali ndi 80 kapena 40 mg pazomwe zimagwira - telmisartan. Zosakaniza zina:
- magnesium wakuba;
- meglumine;
- sodium hydrochlorothiazide;
- mannitol;
- povidone;
- hydroxypropyl methylcellulose.
Zotsatira za pharmacological
Mankhwalawa ndi wotsutsana ndi angiotensin receptors ii. Imakhala ndi kulumikizana kwabwino kwa mankhwala ndi Amlodipine, chifukwa chake nthawi zambiri amaphatikizidwa.
Pafupifupi maola 2.5-3 atamwa mankhwalawa, kuchepa kwa magazi kumawonedwa. Kutsika kwakukulu pazomwe zimachitika kumatha masabata 4 pambuyo pa chithandizo.
Ndi kuchepa kwa kupanikizika, mankhwalawa alibe mphamvu pa mtima komanso pamitsempha yamafungo. Kupanga magazi kwa diastolic ndi systolic kokha komwe kumadziwika ndi zotsatira zamankhwala. Ichi ndi chimodzi mwazinthu zomwe zimagwira.
Ndi kuchepa kwa mavuto, mankhwalawa alibe mphamvu iliyonse pamtima.
Pharmacokinetics
Ndi pakamwa pakamwa, mankhwalawa amatengedwa mwachangu kuchokera m'mimba. Mankhwala ali 50% bioavailability. Mankhwala amakonzedwa kudzera mogwirizana ndi glucuronic acid. Potere, ma metabolites osagwira amamasulidwa.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amalembedwa kwa odwala omwe ali ndi matenda oopsa. Kuphatikiza apo, omanga mabungwe olimbitsa thupi nthawi zambiri amagwiritsa ntchito chifukwa chowonjezeka nthawi zonse magazi.
Njira yochiritsira ndi mankhwalawa imangolimbitsa bata, komanso kusintha bwino komanso kukhazikika kwa dongosolo la aldosterone. Pogwiritsa ntchito mankhwalawa, kupewa atherosulinosis ndi stroke kumachitika, komwe kumalumikizidwa ndi kukhudzika kwake pakugwira ntchito ndi kapangidwe ka GM (ubongo).
Mapiritsi awa nthawi zambiri amagwiritsidwa ntchito ndi anthu omwe akufuna kuchotsa mapaundi owonjezera, chifukwa zinthu zake zomwe zimagwira zimakhala ndi metabolic.
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito ndi anthu omwe akufuna kuthana ndi mapaundi owonjezera.
Contraindication
Musanagwiritse ntchito mankhwalawa, muyenera kuphunzira mosamala zoletsa zake. Mankhwalawa ndi osayenera kumwa panthawi yoyembekezera.
Amayi ogwidwa ndi ntchito yake, ndikofunikira kusiya kuyamwitsa.
Mankhwalawa ali ndi zotsutsana zina:
- kusalolera munthu wothandiza ndi yogwira zinthu za mankhwala;
- kwambiri aimpso kuwonongeka;
- kwambiri chiwindi ntchito;
- gallbladder chotchinga.
Ndi chisamaliro
Chenjezo limaperekedwa kwa odwala omwe ali ndi mawonekedwe okonzanso a matenda oopsa kapena mtima. Contraindication zokhudzana zimaphatikizapo stenosis ya msempha ndi ma mitala vala, ndikuchira pambuyo pakuthana.
Momwe mungatenge Telmisartan
Mankhwala adapangira pakamwa. Mlingo watsiku ndi tsiku wa akulu ndi 20 mpaka 40 mg kamodzi patsiku. Mlingo wapamwamba tsiku lililonse ndi 80 mg. Mankhwalawa amagwiritsidwa ntchito mosasamala zakudya.
Mankhwalawa amagwiritsidwa ntchito mosasamala zakudya.
Kumwa mankhwala a shuga
Odwala omwe ali ndi matenda ashuga omwe amagwiritsa ntchito mankhwalawa, chiopsezo chokhala ndi kuphedwa kwa myocardial infarction chikuwonjezeka. Chifukwa chake, odwala oterowo amafunikira mayeso oyambira.
Zotsatira zoyipa
Mukamagwiritsa ntchito mankhwala, mavuto ena amatha kumachitika, kuphatikizapo kukula kwa zizindikiro zakuchoka mutatha kugwiritsa ntchito.
Matumbo
- kutulutsa;
- kutsegula m'mimba kapena kudzimbidwa;
- kusanza ndi kusanza
- kuchuluka kwa hepatic transaminases,
Kutsegula m'mimba ndi chimodzi mwazotsatira zam'mimba.
Hematopoietic ziwalo
Madzi a m'magazi a hemoglobin achuluka. Osati - magazi m'thupi.
Pakati mantha dongosolo
- Chizungulire
- mutu
- zosokoneza tulo;
- kuchuluka kukwiya;
- mayiko ovuta, etc.
Kuchokera kwamikodzo
- matenda
- zotumphukira kufalikira;
- hypercreatininemia, etc.
Kuchokera ku kupuma
- pharyngitis;
- kuphwanya ntchito m'mapapo;
- chifuwa chachikulu.
Pazovuta zomwe zimachitika chifukwa cha kupuma, pamakhala chifuwa chosakhazikika.
Kuchokera ku minculoskeletal system
- arthralgia;
- myalgia;
- kupweteka ndi kusapeza bwino lumbar dera.
Kuchokera pamtima
- kupweteka pachifuwa;
- arrhythmia ndi tachycardia;
- kutsika kwa magazi.
Matupi omaliza
- Khungu;
- zotupa;
- Edema ya Quincke (kawirikawiri).
Khungu loyenda ndi imodzi mwazomwe zimachitika pakumwa mankhwalawa.
Malangizo apadera
Ndiosafunika kuti odwala azigwiritsa ntchito mankhwalawa mu gawo loyambirira la aldosteronism komanso hypotension yoopsa. Thupi la odwala chotere limakhala lopanda mankhwala ngati amenewo.
Posintha mankhwalawa, tisaiwale kuti mphamvu ya mankhwalawa ikukula kwambiri patatha milungu 4 ndi 7 atatha kumwa mankhwalawo.
Kuyenderana ndi mowa
Ndiosafunika panthawi ya chithandizo ndi mapiritsi kumwa zakumwa zoledzeretsa.
Zokhudza mphamvu pakuwongolera njira
Mphamvu yakuwongolera magwiridwe antchito ndi kayendedwe ka mumsewu imawunikidwa potengera momwe thupi limagwirira ntchito. Zomwezo zimagwiranso ntchito zomwe zimafunikira kuchuluka kwa chidwi komanso kuthamanga kwa psychomotor.
Ndiosafunika panthawi ya chithandizo ndi mapiritsi kumwa zakumwa zoledzeretsa.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwalawa sanatchulidwe panthawi yoyembekezera. Ndi mkaka wa m`mawere ndi kupezeka kwa mankhwala, kuyamwitsa kuyenera kuyimitsidwa.
Kupangira Telmisartan kwa Ana
Palibe maphunziro azachipatala omwe adachitidwa pokhudzana ndi kuthandiza ndi chitetezo cha mankhwalawa mu ana.
Malangizo a mankhwalawa akuti muyezo woyenera utha kugwiritsidwa ntchito pazaka 6 mpaka 18.
Gwiritsani ntchito mu ukalamba
Odwala okalamba safunika kusintha mlingo wa mankhwalawo. Zokha kupatula odwala ndi mtima kulephera, ndi ochepa matenda oopsa ndi pathologies a mtima dongosolo.
Odwala okalamba safunika kusintha mlingo wa mankhwalawo.
Bongo
Panalibe milandu yaimfa komanso kuwonetsa koipa kwambiri kopitilira muyeso wa mankhwalawo. Nthawi zina, pakhoza kuwonjezeka mavuto obwera chifukwa cha mlingo komanso kuchuluka kwa kamvekedwe ka mtima. Zizindikiro za bongo zimatha masiku 1-2.
Kuchita ndi mankhwala ena
Kuphatikizana ndi Digoxin, kuchuluka kwa omwe amapezeka m'madzi a m'magazi kumawonjezeka. Sikoyenera kuphatikiza mankhwala ndi okodzetsa.
Kuphatikizidwa kwa mankhwalawo ndi othandizira ena kuti achepetse magazi kungayambitse kuchepa kwakukulu kwa magazi.
Kuphatikizidwa kwa mankhwalawo ndi othandizira ena kuti achepetse magazi kungayambitse kuchepa kwakukulu kwa magazi.
Kuphatikiza ndi corticosteroids, mphamvu ya antihypertensive ya mankhwala imachepetsedwa. Ndi nthawi yomweyo a ACE zoletsa, wodwalayo amafunika kuwunika magawo azachipatala.
Analogi
Magwirizano opezekanso ku Russia komanso ochokera kunja:
- Wotsogolera;
- Izi;
- Losartan;
- Valsartan;
- Mikardis;
- Tsitsi
- Telpres
- Hipotel.
Kupita kwina mankhwala
Mankhwala othandizira akugulitsa.
Mtengo wa Telmisartan
Mankhwalawa amatenga ma ruble 6,000 pakapaketi kamodzi pa mapiritsi 98.
Zosungidwa zamankhwala
Ndikofunika kusunga pamalo otetezedwa ndi madzi ndi kuwala, komwe ziweto ndi ana aang'ono sangafikire.
Tsiku lotha ntchito
Zaka 3 pambuyo kupanga.
Wopanga
Kampani yopanga mankhwala ku Russia "North Star".
Umboni wochokera kwa madokotala ndi odwala za Telmisartan
Kwenikweni, mankhwalawo amayankhidwa. Zotsatira zoyipa zikachitika, dokotalayo amasankha chithandizo chamankhwala kuti achepetse kuthamanga kwa magazi.
Larisa Korovina (wamtima), wazaka 40, Izhevsk
Ngakhale mtengo wokwera (ngati muwuyerekeza ndi mankhwala ena aku Russia), nthawi zambiri ndimapereka mankhwala okhudzana ndi ma receptor kwa odwala anga chifukwa cha gout, hyperazotemia, ndi matenda ena ambiri. Zotsatira zoyipa mukamamwa sizichitika, ndipo mavuto amakakamizidwa mwachangu kwambiri.
Victoria Askerova, wazaka 38, Lipetsk
Telmisartan Plus idalembedwa ndi dokotala wamtima. Kupsinjika kunabweranso kwazonse patatha pafupifupi sabata 1-1.5 atayamba kudya, koma chizungulire chachikulu chidawonekera. Sindingasankhe kuti ndipitirizebe chithandizocho mopitilira kapena ndithandiziretu mankhwala. Koma kwa ine, ndizovuta kupeza mankhwala omwe nthawi yomweyo amachepetsa kuthamanga kwa magazi ndipo samakhudza kugwira ntchito kwa minofu ya mtima. Ndipo mankhwalawa ali ndi zotere.
Alena Kovrina, wazaka 45, Sochi
Adagwiritsa ntchito mankhwalawa kwa chaka chopitilira, palibe zoyipa zomwe zidawoneka, ngakhale zambiri zamatenda opatsirana (kuyambira miyala ya impso kupita pachimake pachimake ndi matenda akumva). HELL anasiya "kudumpha" milungu ingapo atatha mankhwala. Ndimamwa mapiritsi 1 patsiku.
