Momwe mungagwiritsire ntchito mankhwala a Lisinopril Teva?

Wothandizirana ndi antihypertensive amapangira odwala matenda omwe ali ndi vuto la mtima. Mankhwala amakhudza angiotensin 2, kupewa kuchulukana. Kugwiritsira ntchito nthawi yayitali kumakhala ndi zotsatira zabwino pa odwala omwe ali ndi vuto la mtima wosakhazikika, kuwonongeka kwa impso mu shuga komanso matenda oopsa.

Dzinalo Losayenerana

Lisinopril

Wothandizirana ndi antihypertensive amapangira odwala matenda omwe ali ndi vuto la mtima.

ATX

S09AA03

Kutulutsa mafomu ndi kapangidwe kake

Zoperekedwa m'mafakisoni monga mapiritsi, omwe amasungidwa m'mapaketi. Iliyonse ya izo imakhala ndi ma 20 kapena 30 ma PC. Chosakaniza chogwira, chomwe chimakhudza kuchepetsedwa, chimaperekedwa ngati lisinopril hydrate. Kuphatikiza apo, pali zinthu zomwe zimakhudza kukoma, mtundu ndi mawonekedwe a mapiritsi:

• magnesium wakuba;
• calcium hydrogen phosphate;
• wowuma wa gelatinized;
• mannitol;
• wowuma chimanga.

Mkati mwake, mapiritsi amasungidwa m'matumba.

Mkati mwake, mapiritsi amasungidwa m'matumba. Mukamasankha mankhwalawa, ndikofunikira kuganizira zamagulu ena omwe amagwira ntchito - 2.5, 5, 10 kapena 20 mg. Izi zimatsimikiziridwa ndi notch piritsi ndikulemba ndi kuchuluka koyenera kwa chinthu.

Zotsatira za pharmacological

Mankhwala ndi a gulu la mankhwalawa omwe amakhudza puloteni ya angiotensin. Gawo logwira la lisinopril limalepheretsa zochita za ACE, kupewa kupangika kwa oligopeptide hormone angiotensin ii (zomwe zimakhudza kuwonjezeka kwa kupanikizika). Pali kuchepa kwa zotumphukira mtima kukana, kukula kwa mitsempha, ndi kusintha kwa magwiridwe antchito a myocardial.

Pharmacokinetics

Lisinopril m'mimba yamagetsi amatengedwa pang'onopang'ono. Anapatsidwa 30%, koma chiwerengerochi chitha kufika 60%. Mutha kudya nthawi iliyonse, chifukwa njira yolerera siyidalira. Mutha kuwona kuchuluka kwazigawo zingapo m'magazi pambuyo pa maola 7 mutatha kumwa mapiritsi. Amangokhala wofowoka kumapuloteni, chifukwa chake mankhwalawa amakhala okwera. Osasinthika, gawo lalikulu limapukusidwa mu mkodzo patatha maola 12.

Mutha kudya mukamamwa mankhwalawa nthawi iliyonse, chifukwa njira yolerera siyidalira.

Zomwe amachiritsa

Chidacho chimachepetsa kukakamiza, chimatsuka thupi la sodium wambiri komanso chimathandiza kugwira ntchito kwa minofu ya mtima. Ndikulimbikitsidwa kuti muzipeza kwa odwala akuluakulu omwe ali ndi zovuta zotsatirazi:

• mawonekedwe osalephera a mtima olephera apanga;
• pali kuchuluka kopitilira kuthamanga kwa magazi;
• pali albuminuria ndi ochepa matenda oopsa pamaso pa mtundu 1 ndi mtundu 2 matenda a shuga.

Amagwiritsidwa ntchito pachimake myocardial infarction tsiku loyamba lokhazikika. Mankhwalawa amathandizira kupewa kukomoka kwamitsempha yamagazi ndi kusowa kwa magazi.

Mankhwalawa amagwiritsidwa ntchito kupangira pachimake myocardial infarction tsiku loyamba lokhazikika.

Contraindication

Kukana mankhwalawa ndikofunikira kwa odwala omwe ali ndi chidwi champhamvu pazigawo. Muyenera kusankha njira yina yololera Quincke edema, chizolowezi cha angioedema, achinyamata ndi ana osakwana zaka 18, azimayi oyembekezera komanso oyembekezera.

Momwe mungatengere Lisinopril Teva

Mankhwalawa amaperekedwa tsiku lililonse 1 pa tsiku. Ndikofunika kumwa mapiritsi nthawi yomweyo. Pa matenda aliwonse, dokotala amasankha njira yoyenera yothandizira:

1. Malangizo akuwonetsa koyamba mlingo pa kukwezedwa - 5 mg patsiku. Ngati vuto la wodwalayo silikuyenda bwino, ndiye kuti mutha kumwa ena 5 mg m'masiku atatu. Ngati ndi kotheka, mlingo waukulu wa 20 mg wa 20 mg, koma nthawi zina, mungafunike kuwonjezera mlingo wake mpaka 40 mg. Ndi kuchuluka kwa ntchito ya RAAS, mlingo wocheperako umapangidwira mphamvu.
2. Mankhwala oyambirira a pachimake myocardial infarction amayamba ndi 5 mg. M'masiku 2 oyamba, mumayenera kumwa 5 mg m'mawa, kenako mlingo wake utha kuwonjezeredwa mpaka 10 mg patsiku. Ngati mavuto tsiku loyamba pambuyo isanayambike Zizindikiro sizidutsa 120 mm Hg. Art., Ndikofunikira kuchepetsa mlingo kuchokera pa 5 mpaka 2,5 mg. Pambuyo masiku atatu, mlingo umatha kuchuluka.
3. Pakulephera kwa mtima, mlingo woyenera ndi 2,5 mg tsiku lililonse. Osachepera milungu iwiri iyenera kutha pakati pa kumwa piritsi loyambalo ndikukulitsa mulingo wazomwezi.

Pa chithandizo, ndikofunikira kuwunika momwe impso ikuwonekera komanso kuchuluka kwa potaziyamu. Sikulimbikitsidwa kuti muyambe kulandira chithandizo chokha.

Pa chithandizo, ndikofunikira kuwunika momwe impso zimayendera.

Kumwa mankhwala a shuga

Ngati, motsutsana ndi matenda a shuga, ntchito ya impso imalephera kapena matenda oopsa, ndiye kuti mlingo woyambira ndi 10 mg patsiku. Ngati ndi kotheka, mutha kuwonjezera kuchuluka kwa 20 mg nthawi imodzi. Polephera kwa aimpso, yambani ndi kuchuluka kwa 2,5 mg. Ndi chilolezo cha creatinine cha 10-30 ml / min, mutha kuyamba ndi 5 mg patsiku, komanso chilolezo cha 31-80 ml / min - ndi 10 mg patsiku. Kuchuluka kovomerezeka ndi 40 mg patsiku.

Zotsatira zoyipa

Mankhwalawa amathandizira thupi, motero zotsatira zosasangalatsa zimatha kuchitika machitidwe osiyanasiyana.

Matumbo

Mutatha kumwa mapilitsi, kukoma kwa chakudya kumatha kuwoneka kosiyana. Mukatha kudya, nthawi zambiri mumakhala kuphwanya kwapondapo, kuphwanya kwam'mimba, ndikumva kupweteka kwam'mimba. Odwala ena amawona mawonekedwe a kamwa yowuma, madontho a pakhungu ndi mucous nembala yachikasu, matenda otupa a chiwindi ndi kapamba amachitika. Kulephera kwa hepatatic, kutsekula m'mimba, kudzimbidwa, kunyansidwa komanso kuchepa kwambiri kwa thupi kumawonedwa nthawi zina.

Mutatha kumwa mapilitsi, kukoma kwa chakudya kumatha kuwoneka kosiyana.

Hematopoietic ziwalo

Lisinopril amachititsa kuchepa kwa mavuto. Ngati atamwa kwambiri, Mlingo wa pachimake umaphatikizika, mtima wanu umakulirakulira, kugunda kwa mtima kumayambitsa matenda (tachycardia). Mankhwalawa amatha kubweretsa kuphipha kwa ziwiya zing'onozing'ono, kuponderezedwa kwa ntchito yamafupa, bradycardia, kupweteka pachifuwa, kukulira kulephera kwa mtima.

Pakati mantha dongosolo

Pambuyo pa utsogoleri, kupweteka kumamveka m'makachisi, ndipo mutu wanu umatha kumva chizungulire. Odwala ambiri, motsogozedwa ndi lisinopril, momwe amasinthira nthawi zambiri amasintha, magonedwe amasokonezeka. Nthawi zina, minyewa imathithikana, khungu limakhala lodziwika bwino.

Pambuyo pa utsogoleri, kupweteka kumamveka m'makachisi, ndipo mutu wanu umatha kumva chizungulire.

Kuchokera ku kupuma

Kwa odwala okalamba, kupuma movutikira kumatha kuonekera kuchokera ku kupuma. Nthawi zambiri, kutsutsana ndi kumbuyo kwa zovuta zina, chifuwa chowuma, mphuno yam'mimba imachitika. Mothandizidwa ndi lisinopril, bronchi imatha kupanikizika, ndipo ma eosinophils amatha kuwalitsa m'mapapu a alveoli. Zolakwika izi zimabweretsa bronchospasm ndi eosinophilic chibayo.

Pa khungu

Nthawi zambiri, zotupa zazing'ono, psoriasis, erythema multiforme zimachitika pakhungu. Ziwalo zina zathupi zimatha kukula (angioedema). Nthawi zina, thukuta limachulukitsa, khungu limayamba kuzindikira kwambiri ma ray a ultraviolet.

Nthawi zambiri, zotupa zazing'ono, psoriasis, erythema multiforme zimachitika pakhungu.

Kuchokera ku genitourinary system

Uremia imawonekera ngati vuto la impso likugwirizana ndi kuchotsedwa kwa mankhwalawa. Nthawi zambiri magwiridwe antchito a thupi amakhala operewera, koma nthawi zina izi zimabweretsa kulephera kwa impso. Mimbulu imatha kugawidwa pang'ono kuposa momwe amayembekezeredwa, mpaka kusakhalapo kwathunthu kapena mawonekedwe a proteinuria.

Malangizo apadera

Ndikofunikira kuyang'anira momwe impso ikuwonekera, kuchuluka kwa magazi ndi kuyeza kuthamanga kwa magazi. Masiku angapo asanayambe chithandizo, muyenera kusiya kumwa okodzetsa. Kugwiritsa ntchito polyacrylonitrile membrane kapena lowensens lipoprotein ndi koletsedwa chifukwa cha chiwopsezo cha anaphylactic.

Pa kukakamizidwa kuti atenge

Mutha kuyamba kumwa mankhwalawo ndi kuwonjezeka kwa mapikisheni mpaka 140/90 mm Hg. Art. ndi zina zambiri.

Zokhudza mphamvu pakuwongolera njira

Chifukwa cha kuchepa kwa kuthamanga kwa magazi, kuthekera koyendetsa magalimoto kumatha kusokonezeka.

Chifukwa cha kuchepa kwa kuthamanga kwa magazi, kuthekera koyendetsa magalimoto kumatha kusokonezeka.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Amayi oyembekezera komanso nthawi yotsala sayenera kumwa. Mukaleka kumwa mapiritsiwo, kuchuluka kwa potaziyamu m'magazi kumakulirakulira, kupsinjika kumatsika mpaka manambala ovuta. Mluza umakhala ndi mafupa a chigaza, omwe pambuyo pake umatha kufa. Simuyenera kuyamwitsa mwana pakumwa.

Kulemba kwa Lisinopril Teva kwa Ana

Amasungidwa kwa ana.

Gwiritsani ntchito mu ukalamba

Mukakalamba, tikulimbikitsidwa kuti muthe kumwa pang'ono.

Mukakalamba, tikulimbikitsidwa kuti muthe kumwa pang'ono.

Bongo

Mankhwala osokoneza bongo amatsogolera kuchepa kwa kugunda kwa mtima, kugwedezeka komanso kuchepa kwa kuthamanga kwa magazi.

Kuchita ndi mankhwala ena

Hyperkalemia imayamba munthawi ya makonzedwe a potaziyamu, ma cyclosporins, Ellerenone, Triamteren ndi njira. zomwe zili ndi potaziyamu. Ngati mumagwiritsa ntchito diuretics, mankhwala osokoneza bongo, mapiritsi ogona pamodzi ndi Lisinopril-Teva, ndiye kuti kupanikizika kumatha kugwera pazovuta. Kuphatikiza ndi Allopurinol sikungatengedwe, chifukwa zomwe leukocytes m'magazi zichepa.

Sympathomimetics, Amifostine, hypoglycemic mankhwala amathandizira kulimbitsa thupi, ndipo thrombolytics ya acetylsalicylic acid imathandizira kufooka. Pogwiritsa ntchito munthawi yomweyo ndi ACE zoletsa, ndikofunikira kukumbukira za kuthekera kwa impso ndi kuchepa kwambiri kwa kupanikizika. Ndikofunika kupatula pakamodzi makonzedwe ake ndikukonzekera golide.

Kuyenderana ndi mowa

Ngati mumamwa mowa komanso mankhwala a antihypertensive nthawi imodzi, kupanikizika kumatha kutsika kwambiri. Ndikwabwino kusaganizira zakumwa zoledzeretsa, kuti zisawononge thanzi.

Ndikwabwino kusaganizira zakumwa zoledzeretsa pamankhwala, kuti zisawononge thanzi.

Ndi chisamaliro

Odwala omwe ali ndi zizindikiro zotsatirazi amalimbikitsidwa kumwa mankhwalawa kuchipatala:

• magazi seramu kuchuluka sodium;
• zaka zopitilira 70;
• kukhalapo kwa matenda a mtima, kusayenda bwino kwa magazi, kuchepa kwa mtima;
• Pamaso pa chithandizo, kupanikizika kunatsikira mpaka 100/60 mm RT. st.;
• creatinine chilolezo chochepera 10 ml / min.

Ndi hemodialysis, mankhwalawa amayenera kuyang'aniridwa ndi dokotala.

Ndi hemodialysis, mankhwalawa amayenera kuyang'aniridwa ndi dokotala.

Analogi

Mu mankhwala, mutha kugula mankhwala ambiri ofanana kuti muchepetse kuthamanga kwa magazi. Izi zikuphatikiza:

1. Lizoril. Mtengo - kuchokera ku 100 mpaka 160 ma ruble.
2. Diroton. Mtengo - 100-300 rubles.
3. Anayesa. Mtengo wa chida ichi umasiyana kuchokera ku ruble 200 mpaka 320.
4. Lisinotone. Mutha kugula pamtengo wa ma ruble 150 mpaka 230.

Lizoril ndi amodzi mwa fanizo la mankhwala.

Diroton ndi amodzi mwa fanizo la mankhwalawa.

Irume ndi amodzi mwa fanizo la mankhwalawa.

Musanalowe m'malo, ndikulimbikitsidwa kuonana ndi dokotala kuti musankhe mankhwala oyenera kwambiri.

Kodi pali kusiyana kotani pakati pa lisinopril ndi lisinopril-teva

Mankhwala amasiyana pamtengo komanso wopanga. Mtengo wamapiritsi a Lisinopril amachokera ku ruble 30 mpaka 160. Wopanga - Alsi Pharma, Russia.

Kupita kwina mankhwala

Ku malo ogulitsira, muyenera kupereka mankhwala musanagule chinthu ichi, ngati chilipo.

Kodi ndingagule popanda kulandira mankhwala?

Mutha kugula popanda mankhwala.

Ku malo ogulitsira, muyenera kupereka mankhwala musanagule chinthu ichi, ngati chilipo.

Mtengo wa lisinopril-Teva

Mtengo wamapiritsi mu pharmacy ndikuchokera ku ruble 120 kupita ku ruble 160.

Zosungidwa zamankhwala

Kutentha m'chipindacho sikuyenera kupitirira + 25 ° C. Mapiritsi amayenera kusungidwa mumawu awo oyamba, kutali ndi ana.

Tsiku lotha ntchito

Kutalika kwa yosungirako - zaka 2 kuyambira tsiku lotuluka.

Wopanga

Chomera cha Teva Mankhwala, Hungary / Israel.

Mapiritsi amayenera kusungidwa mumawu awo oyamba, kutali ndi ana.

Ndemanga ya Lisinopril Teva

Odwala ndi madokotala amalankhula zabwino za Lisinopril, koma palinso ndemanga zoyipa. Amalumikizidwa ndi kuwoneka chifuwa chowuma, chizungulire komanso mseru m'milungu yoyamba kuvomerezedwa. Zotsatira zina zoyipa sizitha kusintha kwa thupi, chifukwa chake muyenera kumwa mankhwalawa moyang'aniridwa ndi dokotala ndikutsatira mosamala.

Madokotala

Anastasia Valerievna, katswiri wamtima

Chidacho ndichabwino kwa odwala omwe akukumana ndi vuto la kuthamanga kwa magazi. Amagwiritsidwa ntchito pochiza komanso ngati prophylaxis yamatenda ambiri amtima. Ndikupangira kuonana ndi dokotala musanagwiritse ntchito ndipo ngati zotulukapo zoipa zichitike, afotokozereni.

Alexey Terentyev, dokotala wa urologist

Mapiritsi amlomo amatha kuchotsa sodium owonjezera kuchokera mthupi. Mukatha kugwiritsa ntchito, puffness imadutsa, kupanikizika kumachepa, makoma amitsempha amapuma. Ngati palibe kusintha pambuyo masiku oyamba kumwa, muyenera kusiya kugwiritsa ntchito mankhwalawa.

Odwala

Eugene, wazaka 25

Kuthamanga kwa magazi kwa amayi kunayambitsa mavuto ambiri. Anayamba kutenga Lisinopril-Teva, ndipo pakupita kwa milungu iwiri zinthu zinamuyendera bwino. Amadutsa mayeso, amayang'anira thupi lake ndipo amasangalalanso ndi zotsatirapo zake.

Marina, wazaka 34

Ndazindikira kuti nditatha kumwa mankhwalawa, nseru, mutu ndi kutopa zidayamba. Chidacho chimachepetsa kuthamanga kwa magazi, koma chifukwa cha zovuta zomwe zimakakamizidwa kusiya kumwa.