Telmista ndi mankhwala osokoneza bongo. Ndizololedwa kuigwiritsa ntchito atakambirana ndi dokotala: katswiri amasankha mlingo woyenera, nthawi zina amalembera analogue yomwe ili yoyenera kwa wodwala. Kudzichitira nokha mankhwala kumatha kukhala koopsa, koopsa pamoyo komanso koopsa.
Dzinalo Losayenerana
Dzinalo losafunikira la mankhwalawa ndi Telmisartan.
Telmista ndi mankhwala osokoneza bongo.
ATX
Nambala yamankhwala ndi C09CA07.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa ali ngati mapiritsi oyera. Mawonekedwe awo amatha kusiyanasiyana: okhala ndi 20 mg yogwira pophika mozungulira, 40 mg - chowzungulira chowongoka mbali zonse, 80 mg - makapisozi ofanana ndi mawonekedwe a convex mbali ziwiri. Muli matuza, makatoni.
Chothandizira chake ndi telmisartan. Kuphatikiza apo, malembawa amaphatikizapo: sodium hydroxide, sorbitol, povidone K30, meglumine, magnesium stearate, lactose monohydrate.
Zotsatira za pharmacological
Mankhwalawa ali ndi mphamvu ya antihypertensive. Chosakaniza chophatikizacho ndi angiotensin II receptor antagonist. Gawo limodzi la mankhwalawa limayendetsa angiotensin 2, pomwe silothandiza munthu wolandila. Kuphatikiza apo, amapanga aldosterone ochepera mu plasma. Amathandizira kutsika kwa magazi, kugunda kwa mtima kumakhalabe chimodzimodzi.
Pharmacokinetics
Mankhwalawa amalowetsedwa m'magazi ndi 50%. Pambuyo maola atatu pambuyo pa kuperekedwa, kuphatikizira kwa plasma kumapangidwira, mwa akazi mtengo umakhala wowirikiza katatu kuposa amuna, zomwe sizikhudza kuthandizira kwa mankhwalawa.
Mankhwalawa amalowetsedwa m'magazi ndi 50%.
Hafu ya moyo ndi maola 20. Ambiri amatuluka ndi bile. Ndi mkodzo, thupi limachoka wochepera 2% ya mankhwalawa.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amalembera matenda oopsa. Popewa matenda, amatha kutumizidwa kwa odwala omwe ali ndi zaka zopitilira 55: muyezo uwu ungathandize kuchepetsa kufa, kupewa mawonekedwe a pathologies.
Contraindication
Mankhwala amaletsedwa chifukwa cha matenda oopsa a chiwindi, kupindika kwa biliary, kuchepa kwa lactase, sucrose, isomaltase, munthu hypersensitivity kuti fructose, glucose-galactose malabsorption. Kuphatikiza apo, mankhwalawa saikidwa pa nthawi ya pakati, poyamwitsa. Amasungidwa kwa ana osakwana zaka 18.
Kugwiritsa ntchito pamodzi ndi Alixiren sikuloledwa kwa odwala matenda ashuga.
Kugwiritsa ntchito pamodzi ndi Alixiren sikuloledwa kwa odwala matenda a shuga, kulephera kwaimpso.
Ndi chisamaliro
Chenjezo liyenera kuonedwa ngati pali kuwonongeka kwa chiwindi ntchito zolimbitsa mwamphamvu. M'pofunika kuchitira chithandizo moyang'aniridwa ndi dokotala wokhala ndi aimpso yamagazi a mtima. Ngati impso imodzi yachotsedwa ndipo a impso artery stenosis ikuyang'aniridwa, mankhwala ayenera kumwedwa mosamala. Nthawi yomweyo, ntchito ya impso imayang'aniridwa.
Chenjezo pa chithandizo cha mankhwalawa liyenera kuchitika kwa anthu omwe ali ndi hyperkalemia, sodium owonjezera, hypertrophic insulin cardiomyopathy, mawonekedwe osakhazikika a mtima kulephera, kupindika kwa aortic kapena mitral, kuchepa kwa magazi, komanso kuchuluka kwa hyperaldosteronism.
Chenjezo liyenera kuonedwa ngati pali kuwonongeka kwa chiwindi ntchito zolimbitsa mwamphamvu.
Momwe mungatenge Telmista
Funsani dokotala kuti mudziwe mtundu woyenera wa mankhwala ndi mtundu wa chithandizo. Mapiritsi amatengedwa pakamwa. Kugwiritsa ntchito mankhwala sikumagwirizanitsidwa ndi kudya zakudya.
Akuluakulu nthawi zambiri amamwa kumwa 20 mg mg kamodzi patsiku. Odwala ena amafunika 80 mg kuti awonetse kuchuluka kwa telmisartan. Okalamba ndi odwala omwe ali ndi matenda a impso safuna kusintha kwa Mlingo.
Ndi matenda a chiwindi, mlingo wa tsiku ndi tsiku ndi 40 mg. Kuphatikiza apo, m'migawo yoyambirira yamankhwala, mungafunike kumwa mankhwala omwe amateteza kuthamanga kwa magazi.
Kumwa mankhwala a shuga
Osagwiritsa ntchito mankhwala ndi Alixiren. Osagwiritsa ntchito ndi ACE zoletsa. Ngati chithandizo cha insulin chikuperekedwa nthawi yomweyo, hypoglycemia idzachitika.
Zotsatira zoyipa
Pa chithandizo, zosafunikira zimawoneka. Odwala ena amafotokoza kupweteka pachifuwa, kufooka, kutopa kwambiri, komanso chizungulire. Nthawi zina pamakhala ziwalo zina za masomphenyawo. Kuchuluka kwa uric acid, creatinine m'thupi ukukula. Mlingo wazitsulo umachepa, kuchepa kwa magazi kumatha.
Matumbo
Kupweteka kumachitika m'mimba, kusanza, kutsegula m'mimba, kupangika kwa mpweya, dyspepsia, malingaliro osokoneza a mawonekedwe amtundu wa zinthuzo, matenda a chiwindi, ndi pakamwa pouma.
Hematopoietic ziwalo
Orthostatic hypotension, kuchepetsedwa kupanikizika ndikotheka.
Pakati mantha dongosolo
Kusokonezeka kwa kugona komwe kungachitike, nkhawa yowonjezereka, kukhumudwa, kulephera kudziwa.
Munda wa mankhwala zotheka kugona kusokonezeka.
Kuchokera ku kupuma
Khungu, kufupika, matenda opatsirana, ndi zilonda zapakhosi kumachitika.
Kuchokera kumbali ya chitetezo chamthupi
Kutheka kwa angioedema, kugwedezeka kwa anaphylactic.
Kuchokera ku genitourinary system
Ntchito yamkati imalephera, urethritis amawoneka, komanso kutupa kwa chikhodzodzo chifukwa cha matenda.
Kuchokera ku genitourinary system, kugwira ntchito kwa impso kumavulala.
Kuchokera pamtima
Tachycardia, bradycardia, sepsis, eosinophilia nthawi zina zimawonedwa.
Kuchokera minofu ndi mafupa
Kutupa, kukokana, kupweteka kumbuyo, tendons, miyendo yotsika. Myalgia, arthralgia ndizotheka.
Matupi omaliza
Kuyenda, ming'oma, kutupa, ndikuwotcha zimatha kuonedwa. Pakhungu pamakhala poizoni.
Malangizo apadera
Zomwe zimagwiritsidwa ntchito pochiritsira ziyenera kukambidwa ndi dokotala: izi zimapewe zovuta zomwe zingachitike.
Zomwe zimagwiritsidwa ntchito pochiritsira ziyenera kukambidwa ndi dokotala: izi zimapewe zovuta zomwe zingachitike.
Kuyenderana ndi mowa
Kumwa mowa panthawi yamankhwala kumawonjezera chiopsezo cha zovuta. Ndikulimbikitsidwa kusiya zakumwa zomwe zimakhala ndi ethyl mowa kumapeto kwa chithandizo.
Zokhudza mphamvu pakuwongolera njira
Chifukwa cha chizungulire komanso kugona, tikulimbikitsidwa kuti tisayendetse.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwalawa sanalembedwe ngati ali ndi pakati komanso amayamwa: amayambitsa vuto la neonatal. Ngati mayi adamwa mankhwalawa panthawi yoyembekezera, ndi kotheka kuti khanda limakhala ndi vuto lodana ndi mayiyo.
Mankhwalawa sanalembedwe ngati ali ndi pakati komanso amayamwa: amayambitsa vuto la neonatal.
Kusankhidwa kwa ana a Telmista
Sichigwiritsidwa ntchito pochiritsa ana.
Gwiritsani ntchito mu ukalamba
Itha kugwiritsidwa ntchito chimodzimodzi ndi magulu ena a anthu.
The ntchito aimpso kuwonongeka
Chenjezo liyenera kugwiritsidwa ntchito pogwiritsa ntchito mankhwalawa, popeza wodwalayo akhoza kukulirakulira.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
M'matenda akulu, chithandizo cha Telmista sichimachitika.
Ngati mumagwiritsa ntchito mankhwala ochulukirapo, tachycardia imawonedwa.
Bongo
Mukamagwiritsa ntchito kwambiri mankhwalawa, tachycardia, bradycardia, kutsika kwamphamvu kwa magazi kumawonedwa. Chithandizo chothandizira chikufunika.
Kuchita ndi mankhwala ena
Ndi makonzedwe a munthawi yomweyo ndi mankhwala ena a antihypertensive, mphamvu ya mankhwalawa imalimbikitsidwa.
Pali kuwonjezeka kwa ndende ya lithiamu m'madzi am'magazi ndi poizoni wake akamagwiritsa ntchito mankhwala omwe ali ndi chinthu chamafuta.
Mukamamwa ndi zoletsa za ACE, zoletsa potaziyamu, komanso mankhwala osintha a potaziyamu, chiopsezo cha zinthu zochulukirapo mu thupi zimakulirakulira.
Ndi makonzedwe a munthawi yomweyo ndi mankhwala ena a antihypertensive, mphamvu ya mankhwalawa imalimbikitsidwa.
Mukamagwiritsidwa ntchito ndi NSAIDs, mphamvu ya mankhwalawo imacheperachepera.
Analogi
Mankhwalawa ali ndi ma syonyms ambiri. Zofunikira: Teseo, Telpres, Mikardis, Telzap, Prirator. Valz, Lorista, Edbari, Tanidol amagwiritsidwanso ntchito.
Kupita kwina mankhwala
Mutha kugula mankhwala omwe mumalandira.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwalawa amaperekedwa pokhapokha ngati mwalandira mankhwala.
Mankhwalawa amaperekedwa pokhapokha ngati mwalandira mankhwala.
Mtengo wa Telmista
Mtengo wake umachokera ku ruble 260 mpaka 880. Mtengo umadalira dera, mankhwala, kuchuluka kwa piritsi limodzi, kukula kwa phukusi.
Zosungidwa zamankhwala
Pewani kufikiridwa ndi anthu osakwana zaka 18 pa kutentha kosaposa 25 ° C. Mapiritsi sayenera kuchotsedwa pamatumba oyamba.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka zitatu.
Wopanga
Mankhwalawa amapangidwa ku Slovenia.
Ndemanga za Telmistar
Chifukwa cha kuthamanga kwa mankhwala a antihypertensive, mankhwalawa adalandira ndemanga zambiri zabwino.
Madokotala
Diana, wazaka 44, Kaluga: "Ndimapereka mankhwala kwa odwala nthawi zambiri. Wothandiza, amayamba kuchita zinthu mwachangu, zotsatira zoyipa sizimachitika kawirikawiri."
Odwala
Alisa, wazaka 57, ku Moscow: "Dotolo adamuuza Telmista kuti amwe chifukwa cha kuthamanga kwa magazi. Mankhwalawa amathandizira kuchepetsa kuthamanga kwa magazi. Ndimamva bwino nditatha kumwa mankhwalawo."
Dmitry, wazaka 40, Penza: "Mankhwalawa ndiwotsika mtengo, amathandiza kuchepetsa kuthamanga kwa magazi, zotulukapo zimawoneka mwachangu. Koma chifukwa chalandiridwa, mavuto a impso adayamba. Ndidayenera kuona dokotala ndikusankha njira yatsopano."
