Lipanor ndi mankhwala omwe ali m'gulu la fibrate - zotumphukira za fibric acid. Cholinga chachikulu cha gulu la mankhwalawa ndikuchepetsa kuchuluka kwa lipids m'magazi am'magazi komanso kupewa kutulutsa kusintha kwa ma atherosselotic m'thupi.
Chofunikira kwambiri pa biologic yogwira pophika ndi mankhwala pofibrate. Lipanor imazindikira mu mawonekedwe a makapisozi, kapisozi iliyonse imakhala ndi 100 mg ya yogwira pakapangidwe kake.
Wopanga mankhwalawa ndi Sanofi-Aventis. Dziko lomwe France adachokera.
Kupanga kwa mankhwala ndi kufotokoza kwina
Chofunikira chachikulu, monga momwe amanenera, ndichotuluka mu fibric acid - micronized ciprofibrate.
Kuphatikiza pa chinthu chachikulu, makapisozi amakhala ndi mankhwala ena angapo. Ma mankhwala ena omwe amaphatikizidwa ndimankhwala amathandizira.
Zothandizira pazinthu izi ndizinthu izi:
- lactose monohydrate;
- wowuma chimanga.
Zigoba za makapisozi a mankhwala ali ndi zinthu izi:
- Gelatin
- Titanium dioxide
- Ma iron ironide ndi akuda komanso achikaso.
Makapisozi a mankhwalawa ndi amtali, opaque osalala ndi mawonekedwe owala. Mtundu wa makapisozi ndi wachikasu mopepuka; chivindikiro cha kapisozi chimakhala ndi mtundu wobiriwira. Zomwe zili mkati mwake, zimakhala ndi ufa wa zoyera kapena pafupifupi zoyera.
Mankhwalawa amadzaza m'matumba otupa okhala ndi makapisozi 10. Zitatu mwazosungirazo zimadzaza mu bokosi lamakhadi ndipo zimaperekedwa ndi malangizo atsatanetsatane kuti agwiritse ntchito.
Kugwiritsa ntchito mapiritsi osokoneza bongo munthawi ya mankhwala kumakuthandizani kuti muwonjezere kuchuluka kwa HDL m'magazi, kumawonjezera mphamvu ya zakudya zopanda mafuta a cholesterol zomwe zimapangitsa kuchepetsa kuchuluka kwa LDL, triglycerides ndi lipoproteins ochepa kwambiri m'thupi.
Pharmacological zimatha mankhwala
Kuchepa kwa plasma lipids kumatheka. Mukamagwiritsa ntchito ciprofibrate, pochepetsa kuchuluka kwa ma atherogenic lipoproteins - LDL ndi VLDL.
Kutsika kwa kuchuluka kwa ma lipoprotein amenewa kumatheka chifukwa chopondereza njira za cholesterol biosynthesis m'chiwindi. Kuphatikiza apo, kugwiritsa ntchito mankhwalawa kumatha kuwonjezera kuchuluka kwa HDL mu seramu yamagazi, zomwe zimapangitsa kuti pakhale kusintha pakati pa ochepa komanso apamwamba osalimba a lipoprotein m'malo mwake.
Njira izi zimathandizira kukonza kufalitsa kwa cholesterol yomwe ili m'madzi a m'magazi.
Pamaso pa tendon ndi tubant xanthum komanso zowonjezera zowonjezera za cholesterol m'thupi la wodwalayo, amapatsidwa ulemu ndipo nthawi zina amatha kuthetseratu. Njira zotere zimawonedwa m'thupi nthawi yayitali komanso yokhazikika mothandizidwa ndi Lipanor.
Kugwiritsa ntchito Lipanor kumalepheretsa maselo ambiri amwazi. Zomwe zimalepheretsa mapangidwe wamagazi m'malo obwera ndi cholesterol m'mitsempha yamagazi mu mawonekedwe a cholesterol plaques.
Mankhwala amatha kupereka mphamvu mu thupi la wodwala.
Ciprofibrate imadzipereka mwachangu kuchokera ku lumen ya m'mimba m'magazi. Pizere kwambiri ya mankhwalawa imafika patangotha maola 2 mutatha kumwa mankhwalawo.
Chofunikira chachikulu cha makapisozi amatha kupanga ma protein osakhazikika okhala ndi mapuloteni a madzi a m'magazi. Katunduyu akuyenera kukumbukiridwa mutatenga Lipanorm ndikukonzekera pakamwa ndi katundu wa anticoagulant.
Hafu ya moyo wa mankhwalawa ndi pafupifupi maola 17, zomwe zimapangitsa kuti amwe mankhwalawo kamodzi patsiku.
Kupukusa kwa chigawo chogwira ntchito kumachitika ndi impso mkodzo.
Kupereka kwa yogwira popanga ikuchitika mosasinthika komanso monga gawo la glucuron - mawonekedwe ophatikizika.
Zizindikiro ndi contraindication kugwiritsa ntchito mankhwalawa
Lipanor imagwiritsidwa ntchito ngati wodwala ali ndi mtundu wa IIa hypercholesterolemia ndi amkati hypertriglyceridemia, onse otalikirana komanso osakanikirana (mitundu IV ndi IIb ndi III), pomwe mankhwala omwe adagwiritsidwa ntchito ndikuwona salola kulandira zotsatira zoyenera, makamaka ngati milandu ya seramu cholesterol Imakhala ndi mitengo yambiri ngakhale mutatsata chakudya.
Mankhwala tikulimbikitsidwa kuti agwiritsidwe ntchito ngati othandizira ngati kuli koyenera kupewa mawonekedwe a cholesterol owonjezereka mthupi, pamaso pazochitika zoyambitsa chitukuko cha atherosulinosis.
Komanso, mankhwalawa amalimbikitsidwa kuti aperekedwe pothana ndi matenda a atherosulinosis.
Mukamagwiritsa ntchito mankhwalawa, ma contraindication omwe amagwiritsidwa ntchito ayenera kukumbukiridwa.
Zotsutsana ndi izi ndi izi:
- kukhalapo kwa tsankho;
- Kuzindikira kwa matenda a impso ndi chiwindi mu wodwala;
- matenda a ndulu;
- matenda a chithokomiro;
- gulu la odwala osakwana zaka 18;
- wodwala ali ndi kobadwa nako matenda mu kagayidwe kachakudya metabolism;
- kukhalapo kwa shuga ndi galactose tsankho mu wodwala;
- kukhalapo kwa lactase akusowa mu wodwala.
Mukamagwiritsa ntchito mankhwala kuthana ndi lipids wambiri mwa mayi wapakati, kusamala kwakukulu kumafunikira, komwe kumayenderana ndi chiopsezo cha zotsatira zoyipa zamafupa pa mwana wosabadwayo.
Malangizo ogwiritsira ntchito mankhwalawa
Lipanor tikulimbikitsidwa kuti atenge pakamwa. Mlingo woperekedwa ndi wopanga ndi kapiso imodzi ya mankhwala patsiku. Mukamamwa mankhwalawa, ayenera kutsukidwa ndi madzi okwanira.
Ndi zoletsedwa kumwa mankhwalawo pamodzi ndi mankhwala ena kuchokera pagulu la ma fibrate, zomwe zimachitika chifukwa cha kupezeka kwa zotsutsana ndi mankhwalawa.
Njira yoyendetsera yoyendetsera imaphatikizidwa ndi HMG-CoA reductase ndi mao inhibitors chifukwa cha kukula kwa myopathy.
Mukamagwiritsa ntchito mankhwalawa limodzi ndi mankhwala omwe amachepetsa kuchuluka kwa magazi, pamakhala kuwonjezeka kwamphamvu yokhudza munthu. Izi zimafunika kusamala pochita pamodzi mankhwala.
Pa mankhwala, mavuto amabwera.
Zotsatira zake ndizambiri:
- Matenda a minofu.
- Kumva kupusa.
- Zilango zakusanza.
- Kubwera pansi kwa chopondapo.
- Maonekedwe a chizungulire.
- Maonekedwe akumva kugona.
- Kukula kwa migraines.
- Zotupa pakhungu ndi kuyabwa.
Kuphatikiza apo, kusabala komanso kuphwanya njira yochotsa bile mthupi ndikotheka.
Ngati mankhwala osokoneza bongo amachitika, muyenera kufunsa dokotala wanu kuti akuthandizeni.
Mtengo wa mankhwala, analogi ndi ndemanga
Mankhwala amagulitsidwa pagawo la Russian Federation m'masitolo a mankhwala pokhapokha ngati mwalandira dokotala.
Kusunga mankhwalawa kuyenera kuchitika pa kutentha osaposa 25 digiri Celsius. Mu malo osafikirika ndi ana komanso otetezedwa ku dzuwa.
Moyo wa alumali wa Lipanor ndi zaka zitatu.
Mtengo wamba wa mankhwala ku Russian Federation ndi pafupifupi ma ruble 1400 pa makapisozi 30 aliwonse.
Zofanizira za mankhwalawa zimaphatikizapo ndalama zotsatirazi za gulu la michere:
- Bezamidine;
- Bilignin;
- Cetamiphene;
- Diosponin;
- Hexopalum;
- Gavilon;
- Gipursol;
- Sinthani;
- Cholestenorm;
- Cholestide;
- Cholestyramine.
Musanagwiritse ntchito Lipanor, wodwalayo amalangizidwa kuti aphunzire mwatsatanetsatane malangizo omwe angagwiritsidwe ntchito, mtengo wa mankhwalawo, kuwunikira za iwo ndi ma fanizo omwe adalipo, komanso kufunsana ndi dokotala wanu pakugwiritsa ntchito mankhwalawa.
Poyerekeza ndi ndemanga zomwe zilipo, mankhwalawa amagwira bwino kwambiri polimbana ndi ma seramu lipids apamwamba.
Katswiri mu kanema mu nkhaniyi amakamba za chithandizo cha matenda a matenda a m'mimba.
