Tulip ndi mankhwala omwe amagwiritsidwa ntchito kuti achulukitse kuchuluka kwa cholesterol m'magazi a odwala (a protein protein) ndipo amathandizanso mavuto am'mtima ndi m'mitsempha.
Dzinalo
Chida chake chimamveka ngati Tulip.
Tulip ndi mankhwala omwe amagwiritsidwa ntchito kuti achulukitse kuchuluka kwa cholesterol m'magazi a odwala (a protein protein) ndipo amathandizanso mavuto am'mtima ndi m'mitsempha.
ATX
C10AA05.
Kutulutsa mafomu ndi kapangidwe kake
Mutha kugula mankhwala amtundu wa mapiritsi, zomwe zimagwira ntchito zomwe zili ndi 10, 20 mg, komanso 40 mg ya calcium a atorvastatin. Mapiritsi okhala ndi mulingo wotsika ndi oyera komanso achikasu ndi mlingo waukulu.
Zotsatira za pharmacological
Yogwira ntchito amatha kuchepetsa kuchuluka kwa lipoproteins ndi cholesterol m'madzi a m'magazi. Izi ndichifukwa choti cholesterol imapangidwa m'chiwindi ndipo kuchuluka kwa LDL (low density lipoproteins) kumachuluka.
Kuchulukitsa kuchuluka kwa HDL (high density lipoproteins) kumachepetsa chiopsezo cha matenda amtima.
Ilibe mutagenic ndi carcinogenic. Njira yothandizira achire imapitirira masabata awiri pambuyo poyambira kuchipatala ndipo imatenga mpaka milungu 4.
Pharmacokinetics
Kuthiridwa kwa mankhwalawa ndikwambiri. Kuphatikizika kwakukulu m'madzi a m'magazi kumatha kudziwitsidwa pambuyo pa maola 1-2 mutamwa mankhwalawa. Ngati mumagwiritsa ntchito mankhwalawa madzulo, kuchuluka kwake m'magazi kudzatsikira poyerekeza ndi zomwe zimalembedwa m'madzi a m'magazi pambuyo pa kupangika m'mawa.
Bioavava akupezeka pa 12-14%. Kupukutira kudzera m'matumbo, zosakwana 2% za mankhwala zimayikidwa mu mkodzo.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amalembedwa ngati wodwalayo ali ndi zovuta zamthupi, monga:
- mabanja homozygous hypercholesterolemia (kudya wofunikira pakakhala matenda a thanzi ndi njira zina zosagwirizana ndi zamankhwala zimalephera);
- chachikulu hypercholesterolemia, chosakanizira hyperlipidemia.
Kuphatikiza pa izi zikuwonetsa, mankhwalawa amaperekedwa kuti awonetse prophylactic kwa odwala omwe ali ndi chiwopsezo chachikulu cha matenda a mtima. Zinthu izi ndi monga kusuta fodya, shuga, retinopathy, albinuria, zaka zopitilira 55, komanso matenda oopsa.
Mankhwala amapatsidwa prophylactic kukhudzana ndi odwala omwe ali ndi chiopsezo chachikulu cha matenda a mtima.
Amapangidwanso kuti apewe kupewa kwachiwiri kwa odwala omwe ali ndi matenda a mtima. Kumwa mankhwalawo kumawonetsedwa kuti kumachepetsa kufa kwathunthu, kugwidwa ndi myocardial infarction.
Contraindication
Musamwe mankhwala kwa odwala omwe ali ndi lactose tsankho, glucose-galactose malabsorption syndrome komanso chiwopsezo chachikulu cha zigawo zikuluzikulu za mankhwalawo.
Ndi chisamaliro
Nthawi zina, kuikidwa kuyenera kuchitika mosamala. Uwu ndi kukhalapo kwa zinthu zotsatirazi:
- kuvuta kwa electrolyte;
- matenda a minofu;
- matenda a shuga;
- endocrine ndi metabolic matenda;
- khunyu
- ochepa hypotension;
- sepsis
- mbiri ya matenda a hemorrhagic.
Momwe mungatenge tulip?
Musanayambe chithandizo, muyenera kumalangiza wodwalayo momwe angamverere zakudya zomwe zimapangitsa kuti muchepetse magazi m'thupi. Wodwala aliyense ayenera kuphunzira malangizo ogwiritsa ntchito.
Mlingo uti womwe udzasankhidwe umatengera kuchuluka kwa cholesterol m'magazi, zaka za wodwalayo komanso momwe matendawo aliri.
Muyenera kumwa mapiritsi mkati, kudya sikukhudza kuyamwa kwawo.
Mlingo umatha kuyambira 10 mpaka 80 mg patsiku. Mlingo woyambayo ndi 10 mg. Pambuyo pamankhwala a 2-4 milungu, dokotala amawongoletsa zomwe zili za lipids m'magazi a wodwala. Izi zimachitika pofuna kusankha pa kusintha kwa mlingo.
Muyenera kumwa mapiritsi mkati, kudya sikukhudza kuyamwa kwawo.
Popewa kupezeka kwa matenda amtima, Mlingo wa 10 mg pa tsiku umagwiritsidwa ntchito. Mankhwalawa homozygous cholowa hypercholesterolemia, akuwonetsa kuti mapiritsi awiri a 40 mg patsiku, mwachitsanzo, awa ndi 80 mg.
Kodi ndizotheka kumwa mankhwalawa chifukwa cha matenda ashuga?
Matenda, monga mankhwalawa, amawonjezera chiwopsezo cha matenda a shuga a mtundu wachiwiri. Nthawi yomweyo, maubwino othandizira mtima wamtima umapitilira zoopsa izi.
Zotsatira zoyipa
Mankhwalawa amachititsa kuti thupi lizionekera m'njira zosiyanasiyana.
Matumbo
Zizindikiro zodziwika bwino ndi mseru, kusanza ndi kutsegula m'mimba, kusefukira kwamadzi ndi kudzimbidwa. Zizindikiro zina zosowa kwambiri ndikusanza, kapamba, kupindika ndi kupweteka pamimba.
Hematopoietic ziwalo
Mwina chitukuko cha thrombocytopenia.
Pakati mantha dongosolo
Mawonetsedwe omwe amapezeka kwambiri ndi mutu, chizungulire, kufooka, asthenic syndrome, ndikusintha kwamalingaliro.
Pa khungu ndi mafuta onunkhira
Wodwalayo amatha kudwala urticaria, zidzolo, komanso khosi.
Kuchokera ku kupuma
Mwina chitukuko cha nasopharyngitis, mawonekedwe a kutuluka magazi m'mphuno ndi zilonda zapakhosi.
Kuchokera ku chitetezo chamthupi
Wodwala amatha kuyamba mavuto monga ziwengo ndi anaphylaxis.
Komanso, wodwalayo amatha kudwala matenda am'maso komanso kuwonongeka kwa mawonekedwe. Kuchokera ku minculoskeletal system, rhabdomyolysis ikhoza kuchitika.
Malangizo apadera
Pali umboni wa kuoneka ngati matenda am'mapapo amtundu wina pogwiritsa ntchito nthawi yayitali. Kuphwanya kumadziwoneka ndi zizindikiro mu chifuwa chosabereka, kukulira bwino.
Kuyenderana ndi mowa
Osamamwa mowa pakumwa mankhwala.
Zokhudza mphamvu pakuwongolera njira
Munthawi yamankhwala omwe mumalandira ndi mankhwala, kusamala kwakukulu kuyenera kuchitidwa pakusamalira galimoto ndi njira zovuta.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Kupereka mankhwala pakupaka sikungatheke. Ngati mayi atenga pakati panthawi yochizira, ndikofunikira kudziwitsa adokotala izi mwachangu ndikusiya chithandizo ndi mankhwalawa. Popeza mankhwala opatsirana amapita mkaka wa m'mawere, simuyenera kuyamwitsa mwana pakumwa.
Anawafotokozera Tulip ana
Popeza kuthandizira komanso chitetezo cha mankhwalawa kwa ana ochepera zaka 18 sizinakhazikitsidwe, kumwa mankhwalawa ali osavomerezeka.
Gwiritsani ntchito mu ukalamba
Kusintha kwa mlingo woyenera sikofunikira.
Popeza kuthandizira komanso chitetezo cha mankhwalawa kwa ana ochepera zaka 18 sizinakhazikitsidwe, kumwa mankhwalawa ali osavomerezeka.
Bongo
Ngati mulingo woyenera mulingo woyenera, muyenera kulandira chithandizo chamankhwala.
Kuchita ndi mankhwala ena
Chiwopsezo chokhala ndi myopathy chimawonjezeka ndi kugwiritsa ntchito pamodzi kwa erythromycin ndi mankhwala a immunosuppressive.
Zolemba za Tulip
Mutha kusintha mankhwalawa ndi mankhwala monga Atoris ndi Torvacard.
Kupita kwina mankhwala
Mutha kugula mankhwalawa m'masitolo onse aku Russia Federation.
Kodi ndingagule popanda kulandira mankhwala?
Ndizosatheka kugula mankhwala popanda mankhwala.
Mtengo
Mtengo wa malonda umayambira ku ruble 300.
Malo osungirako a Tulip
Sungani mankhwalawo kutentha.
Tsiku lotha ntchito
Zaka zitatu
Ndemanga za Tulip
Ndemanga za chida ichi ndi zabwino.
Madokotala
A.Zh. Delikhina, katswiri wamkulu, Ryazan: "Chipangizochi chimakulolani kuti mukwaniritse zotsatira zabwino polimbana ndi cholesterol yayikulu m'magazi a odwala."
E.E. Bengina, endocrinologist, Perm: "Mankhwalawa amathandizidwa kuti apatsidwe mankhwala akunja. Kuphatikiza apo, ziwonetsero zamagazi a wodwala zimayang'aniridwa ndi adokotala nthawi zina."
Odwala
Karina, wazaka 45, Omsk: "Chipangizochi chinathandizira kuti athane ndi mavuto a mtima. Ndithokoza madotolo pondipatsa mankhwalawa. Mtengo wake ndi wabwinobwino."
Ivan, wazaka 30, Adler: "Mankhwalawa amagwira bwino ntchito pakakhala kuchuluka kwa mafuta m'thupi m'magazi. Vutoli limachitika kawirikawiri chifukwa chazakudya zosayenera, zomwe zimakhala ndi zakudya zambiri.
