Ramipril ndi mankhwala ochizira zovuta zambiri pakugwira ntchito kwa thupi. Mankhwalawa amatha kuyambitsa zovuta, chifukwa ndi dokotala yekha yemwe angadziwike.
Dzinalo
Mu Chilatini, zimamveka ngati Ramiprilum. Dzinali limafanana ndi chikhalidwe.
Ramipril ndi mankhwala ochizira zovuta zambiri pakugwira ntchito kwa thupi.
ATX
C09AA05.
Kutulutsa mafomu ndi kapangidwe kake
Mapiritsi
Mtundu waukulu wa mankhwalawo umawonetsedwa m'mapiritsi. Piritsi 1 ili ndi 10 mg yogwira ntchito ya dzina lomweli.
Ma fomu omwe palibe
Mwanjira yamapiritsi, simungathe kugula malonda.
Mtundu waukulu wa mankhwalawo umawonetsedwa m'mapiritsi.
Zotsatira za pharmacological
Chombocho ndi cha ACE inhibitors. Imalimbikitsa vasodilation, imawonjezera mtima ndi kutulutsa kulolerana. Ndi mankhwala, kukana kwamitsempha kumatheka.
Ngati wodwalayo adadwaladwala ndipo amayamba kudwaladwala, kumwa mankhwalawa kumamuthandiza kuchepetsa mwayi woti afe mwadzidzidzi.
Chithandizo chogwira chimathandizira kupewa kulowetsedwa kwa myocardial mwa odwala omwe ali ndi matenda a mtima kapena matenda a shuga. Amachepetsaimfa nthawi yakusinthanso.
Ramipril amalimbikitsa vasodilation.
Mphamvu ya antihypertensive ya mankhwalawa imatha kuchitika pakatha maola 1-2 mutamwa mapiritsi. Mankhwalawa azichita pafupifupi tsiku limodzi.
Pharmacokinetics
Ndi makonzedwe apakamwa, mayamwidwe azikhala pafupifupi 50-60%. Kudya kumachepetsa, ngakhale sikunapatsidwe kumwa mapiritsi nthawi ino. Choyambirira chachikulu chimalembedwa m'magazi patatha maola 2-4 wodwala atamwa mankhwalawo. Metabolism imapita ku chiwindi.
60% imachotsedwanso ndi impso, mankhwala ena onse amatsitsidwa m'matumbo, komanso ma metabolites.
Zizindikiro zogwiritsidwa ntchito
Dotolo apereka mankhwala kwa wodwala akapezeka ndi amodzi mwa otsatirawa:
- odwala matenda ashuga komanso omwe alibe matenda ashuga;
- matenda oopsa;
- Kulephera kwa mtima ndi mbiri yakale ya matenda a mtima.
Mankhwalawa amathandizidwanso kwa odwala omwe ali ndi chiwopsezo cha mtima komanso omwe adakumana ndi matenda a stronary artery bypass grafting and stroke.
Contraindication
Simungathe kumwa mankhwalawa ngati wodwala ali ndi matenda enaake azaumoyo. Izi ndi:
- kuthana kwambiri ndi zinthu zomwe zimagwira ndi zina za ACE zoletsa;
- chachikulu hyperaldosteronism;
- stenosis mkamwa wowopsa;
- Hyperkalemia
Ngati vuto laimpso ndi kuwonongeka kwa chiwindi, wothandizira ayenera kuikidwa mosamala kwambiri.
Kodi kutenga ramipril?
Kulandila mapiritsi kumachitika mkati. Mlingo koyambirira kwa mankhwalawa ndi motere: 1.25-2.5 mg 1-2 kawiri pa tsiku (kuchuluka kwa mankhwalawa kungafikire 5 mg). Kuphatikiza apo, mulingo wake ndiwowonekera. Mulimonse momwe zingakhalire, dokotala amayenera kutsimikizira mwatsatanetsatane wa mankhwalawa, panthawi ya chithandizo, amatha kusintha. Mlingo uwu ndi wa akulu.
Wodwala aliyense ayenera kuwerenga malangizo omwe angagwiritsire ntchito musanamwe mapiritsi. Pokambirana, ndikofunikira kuchenjeza adokotala za zomwe zimachitika mthupi ndi zomwe zidalipo.
Kulandila mapiritsi kumachitika mkati.
Ngati ndi kotheka, dokotala amatha kuonjezera mlingo, kuphatikizapo mankhwala okonza, aliyense payekhapayekha.
Pa mavuto ati?
Mankhwala amawonetsedwa kuti azigwiritsidwa ntchito ndi kuthamanga kwa magazi.
Ndi matenda ashuga
Mankhwalawa nthawi zambiri amaperekedwa chifukwa cha matenda oopsa. Mlingo wake umasankhidwa payekha ndi dokotala kuti asawononge odwala.
Zotsatira zoyipa
Mankhwalawa, monga ena ambiri, angayambitse kukulitsa mavuto.
Mankhwalawa nthawi zambiri amaperekedwa kwa matenda ashuga.
Matumbo
Khansa ya m'mimba, kutsegula m'mimba, zizindikiro za dyspeptic, kusanza, kukamwa kowuma, kupweteka kwam'mimba, gastroenteritis ndi kapamba zimatheka.
Hematopoietic ziwalo
Wodwalayo amatha kuyamba kudwala matenda oopsa, kulephera kwa mtima, kulowetsedwa myocardial, kupweteka kwa sternum.
Pakati mantha dongosolo
Chizindikiro chodziwika bwino cham'mbali ndi chizungulire. Kuphatikiza apo, zovuta zotsatirazi zitha kuwoneka: kupweteka mutu, kukokana, kuwonongeka kwa mawonekedwe ndi neuropathy.
Kuchokera kwamikodzo
Mwina ndikuphwanya ntchito ya impso, edema, kusowa kwa kugonana kwa amuna.
Kumbali ya dongosolo lamkati lamanjenje, chizindikiritso chofala kwambiri ndicho chizungulire.
Kuchokera ku kupuma
Odwala amatha kudwala pharyngitis, laryngitis ndi bronchospasm. Kuthokomola mwamphamvu ndikotheka.
Matupi omaliza
Pali mwayi wopanga angioedema ndi anaphylactic reaction.
Malangizo apadera
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kukhazikitsidwa panthawiyi sikungatheke. Ngati mayi atakhala ndi pakati pamankhwala awa, muyenera kusiya mankhwalawa. Izi ndichifukwa choti zinthu zomwe zingagwire ntchito zimatha kuyipitsa mwana wosabadwayo. Amatha kukhala ndi hypoplasia yamapapu ndi chigaza, kusakhazikika kwa chigaza, komanso kuchepa kwa mavuto.
Kukhazikitsidwa panthawiyi sikungatheke.
Kuyamwitsa kuyenera kuyimikidwanso pomwe mankhwalawo akugwira thupi la mkazi.
Kupangira Ramipril kwa ana
Kwa ana ndi achinyamata azaka zopitilira 18, mankhwalawa satchulidwa.
Bongo
Kuonjezera mulingo woyenera kwambiri kungawopseze kuphwanya magazi, matenda oopsa kwambiri komanso angioedema. Zikatero, muyenera kuchepetsa mlingo kapena kusiya kumwa mankhwalawo. Chisankho chomaliza pankhaniyi chingapangidwe kokha ndi dokotala. Ndikofunika kuchitira mankhwala othandizira kupereka mankhwala osokoneza bongo.
Kuchita ndi mankhwala ena
Mphamvu ya antihypertensive ya mankhwalawa itha kuchepa limodzi ndi munthawi yomweyo mankhwala osapweteka a antiidal. Kupititsa patsogolo kwa zotsatirapo kumawonedwa ndikutengedwa ndi mauthenga ofanana.
Mphamvu ya antihypertensive ya mankhwalawa itha kuchepa limodzi ndi munthawi yomweyo mankhwala osapweteka a antiidal.
Pali chizolowezi chokhala ndi leukopenia akagwiritsidwa ntchito limodzi ndi immunosuppressants ndi cytostatics.
Opanga
Hoechst AG (Germany). Ramipril C3 amapangidwa ndi Northern Star, Russia.
Momwe mungasinthire ramipril?
Mafotokozedwe a mankhwalawa ndi Hartil, Corpril ndi Tritace. Zofanizira za mankhwalawa zinali Lisinopril, Bisoprolol (Akrikhin), Indapamide.
Mankhwala a Ramipril Maholide
Mutha kugula mankhwalawa pokhapokha ngati mukumvera mankhwala.
Mutha kugula mankhwalawa pokhapokha ngati mukumvera mankhwala.
Mtengo
Mtengo wa ndalama ku Russia si zoposa ma ruble 150, Ukraine - pafupifupi 120 hryvnia.
Zosungidwa zamankhwala
Kutentha kwa kusunga mankhwalawa sikuyenera kupitirira + 25 ° C.
Tsiku lotha ntchito
Zaka zitatu
Ndemanga za Ramipril
Odwala omwe amathandizidwa ndi mankhwalawa amasiya ndemanga zabwino za iwo ndipo angapangire kuti athandizire anthu omwe ali ndi mavuto omwewo.
Irina, wazaka 34, Krasnoyarsk: "Ndinali kuchiza matenda oopsa chifukwa mankhwalawa amayambitsa zotsatira zoyipa ndipo chithandizo chake chikuyenera kuthetsa kusokonezeka kwakukulu pakugwira ntchito kwa thupi, mankhwalawo adachitika kuchipatala moyang'aniridwa ndi achipatala. Ndikuthokoza madotolo chifukwa chokhazikitsa mankhwala abwino. Nditha kupangira mankhwalawa kwa aliyense, chifukwa amagwira bwino ntchito komanso mwachangu, chifukwa chake Ndikusintha. ”
Igor, wazaka 45, Novosibirsk: "Ngakhale kuti ndidalandira chithandizo chovuta, sindinayenera kugona kuchipatala panthawi yomwe ndimalandira mankhwalawa. Inali nthawi yabwino. Mankhwalawa ataperekedwa, ndinayamba kukonda mtengo wake. Zinakhala zotsika. sanatenge nthawi yayitali kuti adikire. Matendawa adakhazikika patadutsa sabata kuchokera pa chiyambi cha mankhwalawa. Chifukwa chake, ndimaona kuti mankhwalawa amagwira ntchito m'gulu lake. zosintha zoyipa. "
