Pochiza matenda a shuga, sikuti mankhwalawa omwe amakhudza kuchuluka kwa shuga m'magazi omwe amagwiritsidwa ntchito.
Kuphatikiza pa izi, dokotala angakupatseni mankhwala omwe amathandizira kuchepetsa mafuta m'thupi.
Chimodzi mwa zinthu zoterezi ndi Torvacard. Muyenera kumvetsetsa momwe zingakhalire zothandiza kwa odwala matenda ashuga komanso momwe angazigwiritsire ntchito.
Zambiri, kapangidwe, mawonekedwe a kumasulidwa
Statin Cholesterol Kuletsa
Chida ichi ndi amodzi mwa ma statins - mankhwala ochepetsa cholesterol yamagazi. Ntchito yake yayikulu ndikuchepetsa kuchuluka kwa mafuta mthupi.
Amagwiritsidwa ntchito bwino kupewa komanso kuthana ndi atherosulinosis. Kuphatikiza apo, Torvacard imatha kuchepetsa shuga m'magazi, ndizofunikira kwa odwala omwe ali pachiwopsezo chokhala ndi matenda ashuga.
Maziko a mankhwalawa ndi mankhwala Atorvastatin. Zimaphatikizika ndi zosakaniza zowonjezera zimatsimikizira kukwaniritsa zolinga.
Amapangidwa ku Czech Republic. Mutha kugula mankhwalawa mwa mtundu wa mapiritsi. Kuti muchite izi, muyenera kulandira mankhwala kuchokera kwa dokotala.
Gawo lothandizirali limakhudza kwambiri momwe wodwalayo alili, chifukwa chake kudzilimbitsa nokha ndikosavomerezeka. Onetsetsani kuti mwalandira malangizo enieni.
Mankhwalawa amagulitsidwa mu mawonekedwe a mapiritsi. Chofunikira chawo ndi Atorvastatin, kuchuluka kwake komwe gawo lililonse likhoza kukhala 10, 20 kapena 40 mg.
Imaphatikizidwa ndi zida zothandizira zomwe zimathandizira zochita za Atorvastatin:
- magnesium oxide;
- ma cellcose a microcrystalline;
- silicon dioxide;
- croscarmellose sodium;
- lactose monohydrate;
- stesiate ya magnesium;
- hydroxypropyl cellulose;
- talc;
- macrogol;
- titanium dioxide;
- hypromellose.
Mapiritsiwo ndi ozungulira mawonekedwe ndipo ali ndi zoyera (kapena pafupifupi zoyera). Amayikidwa m'matumba a ma PC 10. Phukusi limatha kukhala ndi matuza atatu kapena 9.
Pharmacology ndi pharmacokinetics
Kuchita kwa atorvastatin ndiko kuletsa enzyme yomwe imapanga cholesterol. Chifukwa cha izi, kuchuluka kwa cholesterol kumachepetsedwa.
Maselo a cholesterol amayamba kugwira ntchito mwachangu, chifukwa chomwe pawiri womwe umapezeka m'magazi umadyedwa mwachangu.
Izi zimalepheretsa mapangidwe a ma atherosselotic amana mu ziwiya. Komanso, motsogozedwa ndi Atorvastatin, kuchuluka kwa ma triglycerides ndi glucose kumachepa.
Torvacard imachitika mwachangu. Mphamvu ya gawo lake yogwira ntchito imafika pamlingo waukulu pambuyo pa maola 1-2. Atorvastatin pafupifupi imafanana ndi mapuloteni a plasma.
Kupanga kwake kumachitika m'chiwindi ndikupanga metabolites yogwira. Zimatenga maola 14 kuti zithetse. Thupi limachoka m'thupi ndi bile. Zotsatira zake zimapitirira kwa maola 30.
Zizindikiro ndi contraindication
Torvacard tikulimbikitsidwa pazotsatirazi:
- cholesterol yayikulu;
- kuchuluka kwa triglycerides;
- hypercholesterolemia;
- matenda a mtima ndi chiopsezo cha matenda a mtima;
- kuthekera kwa yachiwiri myocardial infaration.
Dokotala atha kukulemberani mankhwalawa nthawi zina, ngati kugwiritsidwa ntchito kwake kungathandize kukonza bwino wodwalayo.
Koma chifukwa cha izi ndikofunikira kuti wodwala alibe zotsatirazi:
- matenda akulu a chiwindi;
- kuchepa kwa lactase;
- tsankho lactose ndi shuga;
- zaka zosakwana 18;
- tsankho kwa zigawo zikuluzikulu;
- mimba
- kudya kwachilengedwe.
Izi ndizotsutsana, chifukwa chake ntchito Torvacard ndi yoletsedwa.
Komanso, malangizowa amatchula milandu yomwe mungagwiritse ntchito chida ichi pokhapokha mukamayang'aniridwa ndi achipatala:
- uchidakwa;
- matenda oopsa;
- khunyu
- kagayidwe kachakudya matenda;
- matenda a shuga;
- sepsis
- kuvulala kwakukulu kapena opaleshoni yayikulu.
Pazochitika zotere, mankhwalawa angayambitse kusadalirika, motero muyenera kusamala.
Malangizo ogwiritsira ntchito
Ndi pakamwa pokhapokha ngati mankhwalawa amachitika. Malinga ndi malingaliro ambiri, poyambira muyenera kumwa mankhwalawa kuchuluka kwa 10 mg. Kuyesedwa kwina kumachitika, malinga ndi zotsatira zomwe dokotala amatha kuwonjezera mlingo mpaka 20 mg.
Kuchuluka kwa Torvacard patsiku ndi 80 mg. Gawo logwira ntchito bwino limatsimikiziridwa payekhapayekha pa mlandu uliwonse.
Musanagwiritse ntchito, mapiritsi safunikira kuphwanyidwa. Wodwala aliyense amawatenga pa nthawi yoyenera yake, osaganizira kwambiri chakudya, popeza kudya sikumabweretsa zotsatira zake.
Kutalika kwa chithandizo kumasiyana. Zotsatira zake zimadziwika pambuyo pa masabata awiri, koma zimatenga nthawi yayitali kuti munthu ayambe kuchira.
Nkhani ya kanema yochokera kwa Dr. Malysheva wonena za ma statins:
Odwala Apadera ndi Mayendedwe
Kwa odwala ena, zigawo zikuluzikulu za mankhwalawa zimatha kuchita mosazolowereka.
Kugwiritsa ntchito kumafunika kusamala ndi magulu otsatirawa:
- Amayi oyembekezera. Panthawi yamatumbo, cholesterol ndi zinthu zomwe zimapangidwa kuchokera pamenepo ndizofunikira. Chifukwa chake, kugwiritsa ntchito atorvastatin panthawiyi ndi kowopsa kwa mwana yemwe ali ndi vuto lakukhazikika. Chifukwa chake, madokotala sawalimbikitsa kutsatira mankhwalawa.
- Amayi omwe akuchita zozizwitsa zachilengedwe. Gawo lomwe limagwira ntchito limadutsa mkaka wa m'mawere, zomwe zingakhudze thanzi la mwana. Chifukwa chake, kugwiritsa ntchito Torvacard panthawi yoyamwitsa nkoletsedwa.
- Ana ndi achinyamata. Momwe Atorvastatin amachitira pa iwo sizikudziwika kwenikweni. Popewa zoopsa zomwe zingachitike, kuikidwa kwa mankhwalawa sikuchotsedwa.
- Anthu okalamba. Mankhwalawa amawakhudza komanso odwala ena onse omwe alibe chifukwa chogwiritsa ntchito mankhwalawa. Izi zikutanthauza kuti kwa odwala okalamba palibe chifukwa chosinthira.
Palibe njira zina zofunika kuzisamalirira.
Mfundo yothandizira pochiritsa imayendetsedwa ndi zinthu monga concomitant pathologies. Ngati lipezeka, nthawi zina pamafunika kusamala kwambiri pakugwiritsa ntchito mankhwala.
Kwa Torvacard, ma pathologies awa ndi:
- Matenda a chiwindi. Kupezeka kwawo kuli pakati pa zotsutsana pakugwiritsa ntchito chinthucho.
- Kuchulukitsa kwa ma seramu transaminases. Mbali iyi ya thupi imaperekanso chifukwa chokana kumwa mankhwalawa.
Zovuta pa ntchito ya impso, zomwe nthawi zambiri zimaphatikizidwa mndandanda wazopondera, sizimawonekeranso nthawi ino. Kukhalapo kwawo sikukhudza zotsatira za Atorvastatin, kotero kuti odwala oterowo amaloledwa kumwa mankhwala ngakhale osasintha mlingo.
Chofunikira kwambiri ndikugwiritsa ntchito njira zodalirika zakulera pothandizira amayi omwe ali ndi zaka zakubala. Panthawi ya utsogoleri wa Torvacard, kuyambika kwa pakati pa mimba sikovomerezeka.
Zotsatira zoyipa ndi bongo
Mukamagwiritsa ntchito Torvacard, zotsatira zotsatirazi zingachitike:
- mutu
- kusowa tulo
- kukhumudwa;
- nseru
- zosokoneza mu ntchito ya m'mimba;
- kapamba
- kuchepa kwa chakudya;
- kupweteka kwa minofu ndi molumikizana;
- kukokana
- anaphylactic mantha;
- kuyabwa
- zotupa pakhungu;
- mavuto azaku kugonana.
Ngati izi ndi zina zakusokoneza zikudziwika, muyenera kufunsa dokotala ndikufotokozerani vutoli. Kuyesa kudziyimira pawokha kumatha kubweretsa zovuta.
Mankhwala osokoneza bongo ogwiritsa ntchito mankhwalawa molondola ndiwokayikitsa. Zikadzachitika, symptomatic mankhwala amasonyezedwa.
Kuchita ndi mankhwala ena
Pofuna kupewa zoyipa za thupi, ndikofunikira kuganizira za zovuta zomwe zimachitika ndi mankhwala ena a Torvacard.
Kusamala ndikofunikira pakugwiritsa ntchito limodzi ndi:
- Erythromycin;
- ndi antimycotic othandizira;
- mafupa;
- Cyclosporine;
- nicotinic acid.
Mankhwalawa amatha kuwonjezera kuchuluka kwa Atorvastatin m'magazi, chifukwa chomwe chiopsezo cha mavuto.
M'pofunikanso kuwunika mosamala momwe chithandizo chikuyendera ngati mankhwala monga awonjezeredwa ku Torvacard:
- Colestipol;
- Cimetidine;
- Ketoconazole;
- kulera kwamlomo;
- Digoxin.
Kuti apange njira yoyenera yolandirira, dokotala ayenera kudziwa za mankhwala onse omwe wodwala amamwa. Izi zipangitsa kuti iye aziwona bwinobwino chithunzichi.
Analogi
Mwa mankhwala omwe ali oyenera kusintha mankhwalawo Njira zitha kutchedwa:
- Rovacor;
- Atoris;
- Liprimar;
- Vasilip;
- Pravastatin.
Kugwiritsa ntchito kwawo kuyenera kuvomerezedwa ndi adokotala. Chifukwa chake, ngati pakufunika kusankha mitundu yotsika mtengo ya mankhwalawa, muyenera kulumikizana ndi katswiri.
Malingaliro odwala
Ndemanga za mankhwala a Torvakard ndizotsutsana - ambiri adabwera ndi mankhwalawa, koma odwala ambiri adakakamizidwa kuti akane kumwa mankhwalawa chifukwa cha zoyipa, zomwe zimatsimikiziranso kuti pakufunika kufunsa dokotala ndikuwunikira momwe ntchito ikugwiritsidwira.
Ndakhala ndikugwiritsa ntchito Torvacard zaka zingapo. Chizindikiro cha cholesterol chatsika ndi theka, mavuto sanachitike. Dokotalayo adatinso kuyesa njira ina, koma ndidakana.
Marina, wazaka 34
Ndili ndi zovuta zambiri kuchokera ku Torvacard. Kupweteka kwambiri m'mutu, nseru, kukokana usiku. Adavutika kwa milungu iwiri, kenako adapempha adotolo kuti athetse mankhwalawa ndi china.
Gennady, wazaka 47
Sindinawakonde mapiritsi awa. Poyamba zonse zinali molongosoka, ndipo patatha mwezi umodzi kupanikizika kunayamba kudumpha, kusowa tulo komanso kupweteka kwamutu kwambiri kunawonekera. Adotolo adati mayesowa adakhala bwino, koma inenso ndidamva bwino kwambiri. Ndidayenera kukana.
Alina, wazaka 36
Ndakhala ndikugwiritsa ntchito Torvard kwa miyezi isanu ndi umodzi tsopano ndipo ndikusangalala kwambiri. Cholesterol ndichabwinobwino, shuga amachepa pang'ono, kukakamizidwa kukhala kosasinthika. Sindinazindikire mavuto aliwonse.
Dmitry, wazaka 52
Mtengo wa Torvacard umasiyana malinga ndi kuchuluka kwa Atorvastatin. Mapiritsi 30 a 10 mg, muyenera kulipira ma ruble 250-330. Kugula phukusi la mapiritsi 90 (20 mg) pamafunika ma ruble 950-1100. Mapiritsi okhala ndi zinthu zapamwamba kwambiri zogwira ntchito (40 mg) amawononga ma ruble 1270-1400. Phukusili lili ndi ma PC 90.