Kodi ndingatenge mavuto ati ku Kapoten: malangizo ndi kuwunika

Pharmacotherapy m'magulu ake ali ndi mazana a mankhwala osokoneza bongo. Chimodzi mwa mankhwala omwe akudziwika kuti ali ndi nkhawa ndi a Kapoten. Momwe mungatengere ndi kuthamanga kwa magazi ndipo pali zotsatira zoyipa kuchokera ku chithandizo chake?

Matenda oopsa m'masiku ano si njira yachilendo. Malinga ndi ziwerengero, munthu aliyense mwa anthu atatu aliwonse okhala padziko lapansi ali ndi zaka akuwulula mavuto ndi kuthamanga kwa magazi. Popanga matenda, ndikofunika kuyamba kulandira chithandizo pa nthawi yake, chifukwa matendawa nthawi zambiri amabweretsa zovuta zambiri.

Mankhwala osokoneza bongo, omwe amathandizira magazi kuthana ndi omwe amapatsidwa. Motere, Kapoten wa mankhwala adziyambitsa yekha bwino. Izi ndi AID inhibitor yotchulidwa mwachangu kwambiri.

Kapoten amatchedwa ambulansi, chifukwa imatha kutsitsa magazi mosavuta ndikukweza kwambiri.

Kafukufuku wambiri adachitika kale pamankhwala awa, omwe adatsimikizira zotsatira zake zabwino pochiza matenda oopsa.

The zikuchokera mankhwala

Phukusili limakhala ndi miyala yoyera (nthawi zina imatha kukhala ndi kirimu wowola) yokhala ndi fungo linalake.

Kuphatikizidwa kwa piritsi limodzi (25 mg) kumaphatikiza capopril, monga chinthu chachikulu chogwiritsa ntchito. Tithokoze, mphamvu ya mankhwalawa imachitika pafupifupi mphindi 15 pambuyo pa kuperekedwa kwake ndipo zotsatira zake zimakhala mpaka maola 7-8.

Pazosakaniza zothandiza: wowonda, mapadi, octadecanoic acid, lactose.

Zikakamiza bwanji

Pothamanga kwambiri, ziwiya zimayamba kuchepa, ndichifukwa chake magazi sangayende mozungulira. Mapiritsi a Kapoten amachepetsa mitsempha ya magazi kukhala yokhazikika, zomwe zimapangitsa kutsika kwa magazi komanso kusintha kwa thanzi.

Ubwino wina wa mankhwalawa ndi kuyamwa kwake nthawi yomweyo m'magazi. Osachepera 70 peresenti ya thunthu limalowetsedwa ndikutsitsidwa ndi mkodzo.

Kapoten nthawi zambiri amayamba kuchita zinthu pakangotha ​​mphindi zochepa.

Kuchuluka kwa zochita zake kumatha kumveka pambuyo pa mphindi 60-80. Sitikulimbikitsidwa kumwa mapilitsi mukatha kudya, chifukwa cha izi mphamvu ya mankhwalawa imachepetsedwa.

Ndani amasankhidwa mankhwalawo

Kapoten akuyenera kugwiritsidwa ntchito ngati:

1. Zizindikiro za BP nthawi zambiri kapena pafupipafupi,
2. Pamaso pa kulephera kwa mtima. Ngati matendawa amatenga matenda osachiritsika, ndiye kuti mankhwalawo akhoza kutengedwa ngati mankhwala osokoneza bongo,
3. Myocardial infaration idasamutsidwa kale,
4. Ndi chitukuko cha matenda ashuga nephropathy kuphatikizapo shuga.

Pambuyo kugwiritsa ntchito mankhwalawa kwa nthawi yayitali, ntchito yaimpso iyenera kuwiritsidwa nthawi ndi nthawi.

Pa kukakamizidwa kuchita

Popeza vasodilator ndi hypotensive zotsatira za mankhwalawa, angagwiritsidwe ntchito polemba matenda oopsa.

Ndi Kapoten, muthanso kusintha kukakamiza pangozi pakakhala kuti palibe mankhwala ena omwe ali pafupi. Mankhwalawa ndi oyenera kugwiritsidwa ntchito mutavutika ndi matenda oopsa kapena zovuta zina.

Momwe mungatenge ndi kuthamanga kwa magazi

Ndikulimbikitsidwa kugwiritsa ntchito mankhwalawa kutsatira malangizo. Ndikofunika kuyang'anira mlingo woyenera malinga ndi zomwe zikuwoneka ndi momwe ziliri.

Chifukwa chake, ngati kuthamanga kwa magazi kudayamba kukwera, ndikokwanira kutafuna piritsi limodzi lokha ndi 25 mg pakamwa. Patatha ola limodzi atachilandira, chimatsikira mpaka makumi awiri.

Ngati zizindikirozo zikadapitilirabe, ndiye kuti pambuyo pa ola limodzi mutha kumwa mapiritsi enanso chimodzimodzi. Mwanjira imeneyi, zizindikirazi zimakhazikika pokhazikika popanda kumwa mankhwala ena komanso osayitanitsa ambulansi.

Malangizo ogwiritsira ntchito matenda oopsa

Mlingo wofunikira uyenera kuwerengeredwa ndi dokotala, poganizira zokhudzana ndi zovuta za matendawa, zomwe zikuwonetsa magazi komanso momwe thupi limayankhira mankhwala.

Malangizo ogwiritsira ntchito matenda oopsa

Ndikofunika kudziwa kuti kudya mankhwala molondola kuyenera kukhala chakudya musanadye. Bwino mu 1 - 1.5 maola, mu zochuluka zomwe dokotala adakhazikitsa.

Ngati matenda oopsa atapezeka koyambirira, ndiye kuti mankhwalawo ndi okwanira kumwa piritsi limodzi kawiri patsiku. Ngati matendawa akula, ndiye kuti ndi bwino kumwa mapiritsi awiri nthawi imodzi, kawiri pa tsiku.

Tsitsani malangizo onse kuti mugwiritse ntchito mankhwalawa

Ngati mankhwalawa ali mu mawonekedwe apamwamba kwambiri, ndikofunikira kuyamba kumwa kwa theka la piritsi kawiri patsiku ndikuonjezera pang'onopang'ono kuchuluka kwa mapiritsi awiri katatu patsiku.

Kodi ndingathe kumwa nthawi yapakati?

Kapoten amachepetsa kuthamanga kwa magazi, koma kodi imatha kutengedwa nthawi yapakati? Ziyeso zofananira sizinachitike. Madokotala ambiri amawonetsa kuti pakakhala vuto lodzidzimutsa mwadzidzidzi, mankhwala ena osapezeka, mutha kumwa mlingo wochepa - theka la piritsi.

Koma kwa chithandizo chamankhwala musanabadwe komanso pambuyo pobadwa, ndizoletsedwa. Simalimbikitsidwa ngati mankhwala m'miyezi yoyamba ya kutenga pakati.

Musanaganize kumwa nokha mankhwalawo, muyenera kufunsa dokotala kuti akuthandizeni.

Contraindication

Nthawi zina, mankhwalawa saloledwa kumwa pakamwa:

• Ngati tsankho likuwoneka m'zigawo zake,
• Pa mimba ndi mkaka wa m`mawere,
• Ana osakwana zaka zambiri,
• Pambuyo opaleshoni impso,
• Ndi kuchepetsedwa kupsinjika (hypotension),
• Ngati wodwala wadwala chiwindi,
• Ndi hyperkalemia,
• Okalamba (pokhapokha ngati dokotala avomereza mankhwalawo)
• Ndi matenda ashuga.

Zotsatira zoyipa

Mankhwalawa ali ndi zovuta zina, chifukwa chake muyenera kumwa mankhwalawo mosamala. Ndikofunika kuti muwone mlingo woyenera komanso osawonjezera popanda chilolezo cha dokotala.

Mawonekedwe olakwika awa akuphatikiza:

1. Peripheral ndi pulmonary edema, chizungulire,
2. Kuwonetsedwa kwa tachycardia ndikotheka,
3. Zofooka zambiri ndi ulesi,
4. Zowawa ndi zamkodzo
5. Mwina kukula kwa magazi m'thupi,
6. Mawonetseredwe a ziwengo pazigawo za mankhwala (pamakhala zotupa, zotupa, kuyabwa, ndi zina).
7. Kusokonezeka kwa ziwalo zam'mimba (kutaya chakudya, kupweteka pamimba, zimbudzi, kapena kudzimbidwa, kudzimbidwa, ndi zina zambiri).

Ndi mankhwala osokoneza bongo osokoneza bongo, mawonetsero osayenera amatha kuchitika motengera: kusokonezeka kwa ubongo, mtsempha wamitsempha yam'munsi, myocardial infarction. Pankhaniyi, kupanikizika kuyenera kukhazikitsidwa kukhala kosavuta ndi yankho la NaCl (0.9% kudzera m'mitsempha). Wodwala akuyenera kugona, miyendo yam'munsi imakwezedwa.

Ubwino wa mankhwala

Pali zabwino zingapo za Kapoten:

• Kuchepetsa chiopsezo cha imfa chifukwa cha zovuta zamtima.
• Kuchita bwino ndi magwiridwe antchito. Komanso, phindu la mankhwalawa limapangitsa thupi kukhala losalala. Sichikhudza dongosolo lamanjenje.
• Mankhwalawa komanso mankhwala enawa samasokoneza magwiridwe antchito a impso. Chifukwa chake, amaloledwa kuitenga ngakhale ndi aimpso a pathologies.
• Mtengo ndi mwayi wina wamankhwala. Sichida chodula, chifukwa anthu omwe ali ndi bajeti yochepa amatha kugula mankhwala.

Ma analogi a Kapoten

Ngakhale mankhwalawa adadziwonetsa okha ngati choletsa zabwino, ali ndi zotsutsana ndi zotsatira zoyipa zomwe sizili zoyenera kwa aliyense yemwe ali ndi vuto la matenda oopsa.

Kenako muyenera kulabadira mankhwala omwe ali ndi vuto lofananalo. Tsopano m'mafakisi mumapezeka mankhwala ambiri omwe ali ndi vuto lomweli: Alkadil, Catopil, Captopril, Lisinopril, Vasolapril, etc.

Monga mankhwala ena, odwala nthawi zambiri amakonda Captopril. Amawerengedwa chimodzimodzi zofanana ndi zomwe Kapoten adachita ndipo amathandiza pazochitika zina zomwe mankhwalawa samapereka chifukwa chowonekera.

Ndemanga Zopanda Mankhwala

Oksana, 31, Krasnodar:“Ndili ndi cholowa chamadzimadzi, motero mankhwalawo sanali othandiza kwenikweni. Komabe, nditalangizidwa ndi Kapoten kuti andikakamize, ndidawona kusintha kwabwino kwambiri. Ndipo thanzi linakhala bwinoko, ndipo kuthamanga kwa magazi kunayamba kuchepa. Tsopano ndimamwa mankhwalawa pafupipafupi 2-3 pachaka, maphunziro akumwa, ndipo kwakanthawi magazi akuchulukirachulukira samatha kundivutitsa. Iye yekha akuchiritsidwa. Ngakhale sinditha kuthana ndi vutoli, ndingakhale wathanzi ndipo izi, ndikuganiza, ndikwanira. "

Maxim, wazaka 38, Voronezh: "Dokotala wanga wopezekapo nthawi ina adandipatsa mankhwala oti" Kapoten ". Kenako mwanjira inayake adandiwerengera payekha mlingo, ndipo kuyambira pamenepo ndakhala ndikutsatira mankhwalawa. Ndikukhutira kuti mutamwa mapiritsi, kuthamanga kwa magazi kumatsikira msanga. Sindinawone zotsatira zoyipa kuchokera kwa iye, zomwe zilinso zabwino. "

Mtengo wa mankhwala

Mankhwalawa amagulitsidwa mosavuta. Mtengo wake umakhudzidwa ndi dera, mlingo komanso kuchuluka kwa mapiritsi omwe ali phukusi. Pafupifupi, mtengo wa hood ndi ma ruble 150-200.

Ndilo mtengo womwe umakhudza mfundo yoti mankhwalawo akhala akufunika pakati pa anthu. Komabe, muyenera kuganizira momwe thupi lanu lingatherere ku mankhwalawo! Musanayambe kumwa nokha, ndibwino kukambirana kaye ndi dokotala wanu.

ZOPHUNZITSIRA NDIPONSE
KULINGALIRA DINSI LAKO PAKUFUNIKIRA

Mitengo ya ma hood mumafakisi ku Moscow

Madokotala amawunika za capoten

Mankhwala amafunika kuti odwala azikhala ndi zida zawo zothandizira, odwala omwe ali ndi matenda oopsa kuti atenge nawo, thandizo lingafunike nthawi iliyonse. Gwiritsani ntchito panthawi yamavuto pansi pa lilime kudzipereka podzithandiza, ngati pangafunike, bwerezanipo Mphindi 20. Popitilira mankhwala osavomerezeka, nthawi yochepa.

Kapoten ndi choletsa chabwino kwambiri cha ACE. Zotsatira zake zimathamanga, chifukwa chake amagwiritsidwa ntchito ngati mankhwala oyamba ochizira matenda oopsa. Amagwiritsidwa ntchito kwa achikulire komanso machitidwe a ana, makamaka mu achinyamata pazitetezo zaumwini.

Komabe, pali mitundu ina yofananira. Chochitikacho ndichakanthawi kochepa.

Kapoten ndi kukonzekera bwino, koma sizikhudza odwala onse. Ndikupangira mankhwalawa kuti achepetse kuthamanga kwa magazi, ndizotheka kutenga mpaka katatu patsiku.

Odwala ena adadandaula za kutsokomola.

Sindikupangira chithandizo cha matenda oopsa. Ngati vuto laimpso lawonongeka, perekani mosamala.

Pochita, ndimalimbikitsa kugwiritsa ntchito mankhwalawa. Mankhwala nthawi zambiri amaloledwa, amachita mwachangu. Mankhwala abwino kwambiri a ambulansi.

Sizoyenera kugwiritsidwa ntchito kwa nthawi yayitali. Kudwala kumatha kuchitika mwa odwala ena. Zitha kuwonjezera kugunda kwa mtima.

Muli mafakitale onse amzindawu.

Zotsatira za mankhwalawa ndizabwino kwambiri posamalira odwala mwadzidzidzi kuchuluka kwa kuthamanga kwa magazi, pakalibe gulu la ambulansi.

Sikuti nthawi zonse imagwira ntchito ndi kagwiritsidwe kake kawirikawiri, ngati mtima uli ndi vuto nthawi zonse.

Mosamala, ndikofunikira kuti muzitenga pamtunda wambiri komanso kwa nthawi yoyamba m'moyo wanu, ndizotheka kuyambitsa chizindikiritso cha "kulumpha" mwachangu komwe kumayambitsa kugwedezeka kwa hemorrhagic.

Kapoten - kapitawo woyamba wama mankhwala. Pafupifupi chilichonse chomwe timadziwa chokhudza chinthuchi chimakhudzana makamaka ndi capoten. Makina a Kapoten, malinga ndi odwala, amagwira ntchito pakati. Sindikupangira mankhwala ena omwe ndimatulutsa, chifukwa hood yoyambirira ndiyotsika mtengo komanso yokwera mtengo, makamaka chifukwa imakhala yocheperako ngati imagwiritsidwa ntchito pochizira kuthamanga kwa magazi. Pochizira matenda oopsa a khansa, capoten ndiosavutikira, chifukwa tengani katatu pa tsiku. Zomwezi zimagwiranso ntchito pochiza matenda osalephera a mtima - osokoneza.

Chilichonse ndichabwino, koma kufunika kotenga katatu pa tsiku pochiza matenda osachiritsika kumapangitsa kuti mukhale osavomerezeka, ngakhale kuti pali mankhwala ena ambiri a gulu lomwelo la mankhwala, omwe nthawi 1 patsiku ndi yokwanira.

Imagwira msanga ndi matenda oopsa, ngakhale ali ndi zaka komanso matenda. Zotsatira zoyipa sizinawonedwe.

Nthawi zina mukamamwa mankhwalawo, kupanikizika kumapita pang'onopang'ono koma osati mwamphamvu. Ndipo zonse zikuwoneka bwino.

Mankhwalawa ndiabwino kwambiri, osavuta kugwiritsa ntchito komanso muyezo. Mukuyenera kumvetsetsa kuti ichi ndi mankhwala achangu, ngati munthu ali ndi kuthamanga magazi, ndiye kuti muyenera kufunsa dokotala. Ndipo musadziderere.

Mankhwala abwino kwambiri ochizira matenda oopsa osiyanasiyana ochokera kumayendedwe osiyanasiyana malinga ndi zovuta komanso zolimbitsa thupi. Mankhwala amagwira ntchito mofewa komanso moyenera. Zotsatira zochepa mwa odwala aimpso komanso matenda oopsa, mwa okalamba. Ndikukhulupirira, ngati dotolo wadzidzidzi, muyenera kukhala naye mu nduna yanu yamankhwala.

Sindinakumane ndi zovuta zilizonse.

Mtengo wake ndi wololera kwambiri. Ndimakhala ndi chidziwitso chazabwino zadzidzidzi zadzidzidzi zadzidzidzi, mu narcology ndi zamisala, psychotherapy (makamaka pakuwopsezedwa ndi nkhawa komanso zochitika zama psychosomatic). Kukonzekera bwino mayeso mukasinthira kutalika.

Mankhwala othandizira othandizira.

Sizigwira ntchito nthawi zonse, mwachilengedwe. Makamaka odwala matenda aimpso kulephera. Koma mwa odwala omwe alibe mbiri yolemetsa, zaka zapakati - imagwira ntchito mu 90% ya milandu. Zotsatira zake ndizothamanga. Mphamvu ya mankhwalawa ndi yofatsa, koma zonse zimatengera mlingo.

Chimodzi mwazinthu zofunika kwambiri mu khabati yamankhwala amwadzidzidzi.

Ndemanga za odwala za capoten

Hypertension ndi matenda anga omwe atenga nthawi yayitali ndipo ndayesera kale mankhwala ambiri. Panalinso ena osagwira ntchito, omwe pambuyo pake amayankhidwa. "Kapoten" amakhala ndi ine pompano chifukwa zimachitika nthawi yomweyo ndikuchepetsa kuthamanga kwa magazi, limachepetsa mutu. Nditayamba kuzindikira kuti kupanikizika kukukulira, ndimayika piritsi limodzi pansi pa lilime langa ndikuchita bizinesi yanga modekha. Kwa ine, "Kapoten" ndi mankhwala othandizadi.

Ndakhala ndikumwa Kapoten kwazaka zingapo tsopano ndipo ndili ndi chidaliro chonse kuti iyi ndi mankhwala othandiza komanso othamanga kwambiri. Ndikokwanira kuyika theka la piritsi pansi pa lilime ndipo mkati mwa theka la ora kupanikizika kumabwereranso. Sindinamvepo zopweteka zilizonsepipi kuchokera kwa iye. "Kapoten" nthawi zonse amathandiza ndipo sanalepherepo.

Ndikudziwa kuti Kapoten amagwiritsidwa ntchito pokhapokha kuti achepetse kupanikizika, osati kuchitira matenda oopsa. Amayi anga amakhala akuchulukirachulukira, nthawi zina amatsitsidwa, koma tsopano amakhala okwera. Kwenikweni, zoona, nthawi zambiri zimawuka. Amamwa mankhwala osiyanasiyana kuti achepetse kuthamanga kwa magazi, koma osati pafupipafupi. Koma ngakhale kuvomereza pafupipafupi, kupanikizika kwamphamvu kumadziwika. Zikatero, amatenga Kapoten. Koma, pazifukwa zina, iye samamuthandiza konse. Nthawi zina mumayenera kuchita kangapo usiku, ngakhale nembanemba yamkati yomwe ili pansi pa lilime "imatha".

"Kapoten" imagwira ntchito yake mwangwiro - imachepetsa kupanikizika pakufunika. Mutha kuzitenga ngati zofunika, sindinakhalepo ndi zotsatila, ngakhale kuti sindimamva bwino komanso ndimamva chilichonse. Izi zikusonyeza kuti kapangidwe kabwino.

Anaphunzira za mankhwalawa pomwe agogo a amuna awo anayamba "kulumpha" kukakamizidwa. Apongoziwo nthawi yomweyo adayamba kufunsana ndi akatswiri a mtima, kuwerenga zinthu pa intaneti za kuthamanga kwa magazi kwa okalamba. Pamodzi, tidasankha mankhwala angapo kuti tikwaniritse thanzi la agogo athu, ndipo Kapoten adawoneka ngati mankhwala othandizira kupanikizika. Tsopano, pamene kupsinjika kwake kumakwezeranso kwambiri, timadziwa nthawi zonse mwachangu, ndipo koposa zonse, kumuthandiza modekha mtima ndi mitsempha yamagazi - kupereka theka la piritsi pansi pa lilime lake - zimathandiza nthawi zonse.

Ndikudziwa kuti kwa anthu ambiri kukakamiza kwa 140 ndi chizolowezi, koma kwa ine kwayamba kale: mutu wanga uyamba kupweteka, kumada bii m'maso mwanga. Mlongo wanga adalangiza Kapoten kuti amwe muzochitika zotere, koma kuti asazipitirire, kuchuluka kotala. Zowonadi, zimathandiza mwachangu. Ndizovuta pang'ono, komabe, kuphwanya piritsi, kuwerengetsa muyezo womwe mukufuna. Koma mfundo yoti pali zotsatira ndi chowonadi. Anayamba kunyamula chikwama chake - simuyenera kumwa, ingoikani pansi pa lilime langa.

Mayi anga amamwa mapiritsi tsiku lililonse, koma mavuto akakwera, Kapoten amamuthandiza. Imagwira ntchito mwachangu, mapiritsi okwanira pansi pansi pa lilime. Kuphatikiza apo, ndizotsika mtengo.

Kapoten ndi mankhwala abwino kwambiri kwa aliyense. Ngati kupanikizika kumadzuka mwadzidzidzi, chinthu chokhacho chimandithandiza nkomwe. Mwa zosankha zotetezeka, kumene. Adalangizidwa ndi wamtima wazaka pafupifupi 3 zapitazo. Nthawi yonseyi, hoodyi imakhala ndi ine nthawi zonse. Ndipo zopulumutsidwa koposa kamodzi.

Pambuyo pa kubadwa kwachiwiri kwa 'anti-okalamba', zonse zitawoneka ngati zatidzera, mwana adakula ndikukhala wodziyimira pawokha, kupsinjika kwanga kunayamba kudumphira. Ndinapita kwa adotolo, adalimbikitsa kuti atenge "Kapoten" ndikulumpha kwambiri popsinjika. Ndinganene chiyani? Mankhwalawa amapirira ntchito yake bwino. Theka la piritsi ndilokwanira kuti ndichepetse kupsinjika kukhala kwazonse. Amachitapo kanthu mwachangu, sanayambitsa zotsatira zoyipa. Yotsika mtengo.

Pa 24, ndimamwa mankhwala oopsa a mahomoni, zinachitika kuti kupanikizika kunakwera kufika pa 160. Chifukwa chake, ndinayenera kuyang'ana mankhwala omwe mwachangu komanso pang'ono pang'ono amachepetsa kupanikizika. Ndidasankha Kapoten. Mankhwalawa amapezeka mu mawonekedwe amtundu waung'ono wa mapiritsi omwe agawidwa m'magawo anayi. Atapanikizika ndi piritsi la 160, piritsi limodzi linali lokwanira kuti ndikwaniritse. Zotsatira zimachitika mwachangu - mphindi 5-8, ndipo kupanikizika sikucheperachepera, koma mwanjira yoti osamvanso, mpumulo umangobwera. Sindinakhalepo ndi zotsatirapo zoyipa zomwe zikuwonetsedwa mu malangizo. Ndinaleka kumwa mankhwalawa chifukwa cha mimba.

Mpaka wazaka 35, sipanakhalepo zovuta zaumoyo, nthawi zonse monga zam'madzi za 120/80. Koma zaka zingapo zapitazo, milandu idayamba pomwe popanda chifukwa imayamba kudumphira modzidzimutsa, mwadzidzidzi. Zomverera ndizakuti tsopano mtima udumpha kuchokera pachifuwa, ndimayamba kuyeza kukakamizidwa, kale kupitilira 250. Ndinaimbira ambulansi nthawi zonse, chabwino, amapangira jakisoni, achoka, angatani. Adalimbikitsa "Kapoten" kuti azimwa nthawi ngati izi. Amapereka chisamaliro chadzidzidzi, popanda mavuto. Tsopano ndimakhala ndikunyamula chikwama changa chandalama, ngati mwadzidzidzi "chimakwirira", ndiye kuti thandizo lili mwadzidzidzi lili ndi ine.

Sindinayambe ndadwala ndi china chilichonse, kupatula kuti sindinamwe mapiritsi aliwonse, ngakhale panthawi yodwala. Koma, monga momwe nkhaniyi ikunenera, pali chinyengo pa wokalamba. Ndani adalangiza "Kapoten" uyu, sindikukumbukira. Koma zimathandiza kwambiri kukakamira kudumpha.

"Kapoten" adandiuza nditayamba kupanikizika ndi mutu wopweteka kwambiri. Zokwiyitsa zinali pantchito monga wogwira ntchito, ndipo ndimaganiza kuti zinali zamitsempha. Titha kunena kuti "Kapoten" inali "thandizo langa loyamba", chifukwa sindinadwale matenda oopsa, ndipo nthawi zina kupsinjika kwambiri, kupweteka mutu, nseru kuyamba, ndipo sindinathe kupita kunyumba. Sindikukumbukira ngakhale momwe ndidalimbikira kugona. Nditasanthula bwino, zidapezeka kuti kulumpha kwanga kwakanthawi kumachitika ndikulimbana ndi matendawa. Anandiuza kuti ndizilandira chithandizo chamankhwala ndipo zakudya zinandizunza. Mankhwalawa adandithandizira kwambiri panthawi ya mayeso kuti ndithane ndi mavuto omwe akundizunza. Zabwino zokha.

Kuponderezedwa kosamveka sikunakhalepo ndi kale. Koma pamitsempha yanga, zikuwoneka kuti, mwanjira ina idandibisa kuntchito. Zidakhala zoyipa kwambiri. Ogwira nawo ntchito anayeza kukakamizidwa - kwa ine. Wogwira naye ntchito (mkazi wazaka zambiri komanso wodwala kwambiri) adandipatsa piritsi pansi pa lilime langa ndipo patatha mphindi 10 ndidakhala bwino kwambiri ndipo matendawo amayambiranso kuyenda bwino. Ndipo posachedwa, mwamuna wake adayamba kudumpha mopanikizika. Nthawi yomweyo ndinakumbukira kuti andipatsa Kapoten kuntchito. Ndinagula mwamuna. Ndipo ali bwino ndipo nthawi yomweyo amathandiza mankhwalawo. Chinthu chachikulu chomwe chimathandiza mwachangu. Ndinawerenga ndemanga za iye - zabwino. Ndipo monga zidakwaniritsidwa - mankhwalawa agwiritsidwa ntchito mwachangu ndi madokotala pochita kwawo kwazaka zambiri (zambiri). Zachidziwikire, ngati m'tsogolomo kulumpha mu kuthamanga kwa magazi kukuchulukirachulukira kapena zambiri zidzachitika, ndiye kuti tidzapita kwa dokotala. Pakalipano, anali okhutira ndi momwe mankhwalawo amathandizira.

Poyamba ndimaganiza kuti palibe matenda amodzi omwe anganditenge. Koma ndi zaka mumamvetsetsa, mwatsoka, izi siziri choncho. Posachedwa, ndidayamba kupweteka mutu. Popanda chifukwa amayamba kuchoka mu akachisi. Kuukira kotsatira kunayamba kuntchito yanga. Mwamwayi, pali paramedic kuntchito. Anayetsetsa kupanikizika ndipo kunakhala kwakukulu. Adapereka piritsi ya Kapoten pansi pa lilime lake. Mu mphindi 10-15 ndizosavuta. Wothandizira pangoziyo adati ndichofunikira kuwona dotolo kotero adayambitsa maphunziro. Sindingathe kufikira adokotala. Ndikumvetsetsa kuti sikuchita nthabwala ndi mtima. Koma m'chikwama changa ndimasunga mapiritsi a Kapoten nthawi zonse.

Ndine wokhutira ndi "hood". Malinga ndi zomwe ndawona, mapiritsiwa ali ndi zabwino zambiri. Piritsi loyera loyera logawika magawo mosavuta (pali zofunikira zapadera). Simufunikanso kumwa madzi, amaikidwa pansi pa lilime (chifukwa chake, amathanso kumwa mulimonse). Imayamba kuchita kuyambira mphindi zoyambira. Ndipo sindinapeze chilichonse. Inde, mwina kulawa kowawa pang'ono, koma izi sizotsutsa. .) Adadziyika yekha ndi mwamuna wake m'matumba a wozimitsa moto aliyense. Sindidzamuyang'ana m'malo mwake. Kutulutsa zinthu si njira konse ayi. Mu "Kapoten" palibe chilichonse chowoneka bwino pakuphatikizika, ndipo kugwiritsa ntchito kwatsimikiziridwa kwazaka zambiri. Komanso, palibe mavuto.

Zabwino kwambiri zomwe zidabwera ndi mavuto. Ndakhala ndikudwala matenda oopsa kwa zaka 6, koma sizikhala mosawerengeka, zitha osandivutitsa kwa mwezi umodzi, kenako ndikubweza. Kuchokera ku mankhwala onse kupatula "Kapoten" adamva zovuta zake mwanjira yofulumira kapena mosemphanitsa. Kuchokera ku "Kapoten" kumayenda msanga ndipo sikungakumane ndi zosafunikira.

Ndine wochita masewera olimbitsa thupi omwe amakhala ndi zambiri, motero, amakhala tcheru nthawi zonse. Ndakhala ndikutenga Kapoten kwa chaka chachiwiri, ndipo kuthamanga kwa magazi kwanga kumatsika mwachangu. Nthawi zambiri theka la piritsi limakhala lokwanira, nthawi zambiri, ndikatha theka la ola ndimakhala ndi wokwatiwa. Kuti mukhale ndi tanthauzo, "Kapoten" ndibwino kupasuka. Kukoma kwake nkwakuwawa, koma kotheka. Mukangomwa ndimadzi, imayenda pang'onopang'ono.

Kuyesa kwanga kwa mankhwalawa 5. Nthawi zambiri pamavuto ndimatha kumwa theka la piritsi - ndipo zitatha mphindi 15 zinali zachilendo. Palibe zoyipa zomwe zidawonedwa.

Ndili ndi "Kapoten" m'chikwama changa ngati zingatero. Sikuti ndimapanikizika nthawi zonse, koma pamavuto ena zimachitika, kupanikizika kumakula. Ndimagwira ntchito yamanjenje, motero ndimamwa Kapoten m'mavuto otere, ndipo patapita kanthawi ndimabweranso. Amayi adalangiza, amamwa, mankhwala abwino.

Zikomo chifukwa cha ndemanga yanu, mwachita bwino, kulemba zomwe mumamva komanso zomwe mumakumana nazo. Kutengera ndi mayankho anu komanso kufunsira kwa a mtima, ndidagula Kapoten, ndipo adandithandiza kale kawiri. Kunali kowonjezereka kwa kukakamiza, ine theka piritsi pansi pa lilime ndipo nditatha mphindi 10 ndikuyezera kupanikizika, idayamba kuchepa. Kutsika kukhala 110 ndi 60.

M'zaka zaposachedwa, mutatha kuchuluka kwamanjenje, mutu umayamba kupweteka, kukakamiza kumayamba. Kenako ndimavomereza "Kapoten" - theka piritsi pansi pa lilime. Ndipo pafupifupi mphindi 15 zikuyamba kukhala zosavuta, zimakhala ngati akuwongolera mutu wake. Zinali kangapo kuti theka lidasowa, Kenako nditatha theka la ola ndidatenga piritsi linanso. Chachikulu ndikuti palibe zovuta zoyipa kuchokera ku izo. Mankhwala ena amandichitira zoipa. Pambuyo pa mutu kapena m'mimba amayamba kupweteka. Zowonadi: imodzi imachiritsa, olumala inayo. Ndimayamba kukayikira ngati ndimamwa mankhwalawa kapena ayi. Ngati mungathe popanda iwo, siyani. Ndipo "Kapoten" ndimatenga izi modekha. Amandithandiza osavulaza thupi.

Mankhwala abwino "Kapoten." Kugwira ntchito m malo ogulitsira, kulumpha mwakuthwa mopanikizika, chabwino, mwiniwake anali pafupi! Adandifikitsa ku pharmacy pafupi, komwe amayeza kukakamiza - 140/100. Iyenso akulimbana ndi zipsinjo, koma chifukwa chodzaza, amalemera makilogalamu 180, ndipo ndine wochepa thupi 56 kg. Akuti komwe khosayo adakumana ndi kuthamanga kwambiri kwa magazi, adapita, amabweretsa Kapoten kuchokera mgalimoto. Ndidayika kotala pansi pa lilime, nditatha mphindi 15-20 ndidakhala wabwinobwino, koma nthawi yomweyo adati ngati atachira, kenako ayambanso kudwala, kotala ina m'mene ndimayang'ana m'madzi! Pambuyo pake, nthawi zonse ndimanyamula m'chikwama changa!

Nthawi zonse ndimamwa mapiritsi a matenda oopsa - vamaset, pazaka 4 zapitazi. Mwakutero, kupanikizika ndikokhazikika. Koma nthawi zina, mukasinthana usiku, kapena mumakhala ndi mantha kuntchito, ndipo kupanikizika kumadumphira mpaka 180/90. Kenako ndikugwiritsa ntchito Kapoten. Ndimatenga piritsi limodzi pansi pa lilime, mkati mwa mphindi 15 mpaka 20 kupanikizika kumakhala kofanana. Zimachitika, nthawi zambiri, mwina nthawi 1-2 m'miyezi isanu ndi umodzi. Kwa ine, "Kapoten" ndi mtundu wotere wa "Choyamba." Sindinawone zotsatira zoyipa.

Tsiku labwino kwa onse! Anandiika ngati chida ngati mankhwala a ambulansi, ndiye kuti, pazifukwa zina, mwachitsanzo, kupanikizika kunachita mantha, kumakula kwambiri, ngakhale kugwiritsidwa ntchito kosalekeza kwa mankhwala a antihypertensive. Ndipo poyamba adachitapo kanthu. Ngati kupanikizika kudakwera kwambiri, theka la piritsi pansi pa lilime lidathandizira - kupanikizika kunabweleranso. Nthawi yotsiriza, idayamba kuchita zachilendo: kupsinjika kumatsika, koma kenako kumadzukanso pambuyo pa mphindi 20-30. Ndikofunikira, kuwonjezera pa kapoten, kumwa mankhwala omwe ndimamwa mosalekeza. Sindinazindikire mavuto aliwonse. Inde, mtengo wake ndi wovomerezeka.

Ndi mankhwalawa ndikulimbikitsa kukhala osamala kwambiri. Inemwini, ndikudziwa imfayo nditamwa mankhwalawa. Anakumananso nane. Sanataye chiyembekezo, koma adakweza nthawi yomweyo mwamphamvu, ngakhale ambiri omwe ndimawadziwa amalankhula bwino za iye. Izi mwina ndizochitika zanga zathupi. Chifukwa chake ndidasankha mapiritsi ena.

Mapiritsi opondera a Kapoten pafupifupi adanditumizira kudziko lina! Ndidamva zambiri zabwino za mankhwalawa. Amachepetsa kuthamanga kwa magazi, "zofewa", nthawi yoyesedwa, ndi zina zambiri. Nditayeserera mankhwala ambiri omwe samakwanira pazifukwa zosiyanasiyana, ndidasankha kuyesera ndekha. Mlingo woyamba, theka la piritsi usiku, unapita mwangwiro: kupsinjika kunachepa, kukhazikika m'khosi khosi kunachokapo, kunakhala kosavuta. M'mawa, kupanikizika kunabwelera ndipo ndinayenera kubwereza muyeso. Masana kunali kukuwa, komwe ndimati ndimazizira wamba. Madzulo, nditalandila theka lachitatu, ndidapumula ndipo ndidagona. Pofika 3 koloko m'mawa ndidadzuka ku chifuwa champhamvu, komwe ndimapezeka. Khosi lidatupa, maso anali ofiira, ndipo m'mphuno ndidatuluka. Kuyambira kutsokomola ndimaganiza kuti ndikwanitsa. Ndinaitanitsa ambulansi, ndikuyika edema ya Quincke. Adotolo adapereka jakisoni wa antihistamine. Adalangizanso madontho a matenda owopsa a bronchopulmonary. Kunyumba kwawo kunali Bromhexine 8, yemwe pambuyo pake adathandizira kutsokomola. Analandira mankhwala pambuyo "Kapoten" wina masiku 5. Chifukwa chake samalani ndi mankhwalawa.

Ndimalandiranso ma hood, kuzindikira kwa VVD ndi hypertonic. Zimandithandiza, sindinazindikire zotsatira zoyipa. Inde, ndikofunikanso kuwona moyo wabwino kwambiri komanso zakudya, koma nthawi zina mumafunikabe kugwiritsa ntchito mankhwalawa, ndipo ndikwabwino kuti pakhale kukonzekera kofewa. Ndikuvomereza kuti ndikofunikira kukhala ndi moyo, ndikutsatira kudya, ndikumapuma, ndikugwiritsa ntchito mankhwala mongoganiza zomaliza, koma zimachitika kuti palibe mapiritsi. Koma nthawi zambiri izi zimakhala zovuta. Ndipo kenako muyenera kusankha mankhwala othandiza osachepera. "Kapoten" amathandiza bwino, mavuto pang'ono, mankhwala abwino mwadzidzidzi.

Inemwini, nthawi zambiri ndimakhala ndimavuto a kuthamanga kwa magazi. Ndipo kwa zaka zingapo tsopano, apongozi anga akhala akuvomereza Kapoten. Mavuto atangoyenda ndi magazi, adapita kwa dotolo yemwe adamupatsa mankhwala. Piritsi imatengedwa m'mawa uliwonse, ndipo ngakhale poti kupanikizika kumadzuka mwadzidzidzi. Posachedwa, madzulo ndimamwa tiyi kuchokera ku timbewu ta minti ndi hawthorn, ndiye kuti m'mawa nthawi zambiri amakhala ndi zovuta. Chifukwa chake, ndikuganiza kumayambiriro kwa matendawa kuti muyesere kumwa mankhwala azitsamba omwe amathandiza pamenepa, ngakhale nthawi zambiri izi sizoyenera aliyense. Ndipo kukonzekera kwa Kapoten, osati koyipa, kulibe madandaulo kwa nthawi yayitali.

Mankhwala "Kapoten" adandiuza kuti azindigwiritsa ntchito. Chowonadi ndi chakuti kamodzi pamwezi magazi anga amatuluka ndipo mutu wanga umapweteka kwambiri. Amapezeka ndi michere-vascular dystonia. Kapoten adayikidwa kuti ayike theka la piritsi pansi pa lilime. M'mwezi woyamba, theka la mapiritsi silinathandize. Nthawi yachiwiri yomwe ndidamwa piritsi lonse, lidapezekanso zomwezo - palibe zotsatira. Chifukwa chake, sindinganene chilichonse chokhudza Kapoten. Pomwe kukakamira kudafika mpaka 170, sanachepetse kukakamiza konse, ngati kuti sindinatenge chilichonse. Mwinanso, izi, ndizomwe munthu amachita payekha, koma mankhwalawo analibe ntchito.

Zinathandizira kwambiri kuchokera mumtima, zimalimbitsa minofu yamtima ndi mitsempha yamagazi. Mankhwalawa ndibwino kumwa kawiri pa tsiku, kenako ndikuwonjezera pang'ono. Ngakhale zonse zimatengera momwe wodwalayo alili ndi thupi lake. Mulimonsemo, popanda malingaliro a dokotala, sindikukulangizani kumwa. Mukamatenga nthawi ndibwino kumayeserera dokotala nthawi zina. Mankhwalawa ndi wamphamvu kwambiri ndipo angayambitse vuto linalake ngati lingatengedwe molakwika. Zinandithandiza kulimbitsa mtima wanga komanso chitetezo chathupi mwangwiro. Mwa njira, mukamamwa, muyenera kuyang'anira kwambiri zakudyazo ndikuyesera kudya chakudya chopanda sodium.

Kupanga ndi mawonekedwe a kumasulidwa

• kapitawo
• cellcrystalline mapadi,
• wowuma chimanga
• mankhwala abwinowa,
• lactose monohydrate.

Tulutsani mawonekedwe - pamapiritsi okhala ndi mawonekedwe apawiri. Ali ndi fungo labwino komanso zonunkhira zoyera.

Kuchuluka kwa zosakaniza piritsi limodzi ndi 25 mg.

Pharmacological kanthu, pharmacodynamics

ACE inhibitor. Mukamamwa mankhwalawo, katundu wotsika pambuyo pake amachepa, ziwiya zimakula, kuchuluka kwa ma aldosterone m'minyewa ya adrenal kumachepa, mwa kuponderezana ndi angiotensin II.

Zotengeka mwachangu ndi chimbudzi. Kuchitapo kanthu kumachitika pambuyo pa maola a 2 ndi 2,5. Kupereka - ndi mkodzo wosasinthika. 30% yomangidwa kumapuloteni am magazi. The bioavailability wa yogwira pophika ndi 65-75%.

Mankhwala amapatsidwa kuthamanga kwa magazi.

Njira za ntchito, mulingo woyenera

Mapiritsi a Kapoten amasambitsidwa pansi ndi madzi ochepa. Chithandizo - theka la ola musanadye. Komanso, mankhwalawa amatha kuthetsedwa.

Chithandizo cha mankhwala ndi mankhwala ochepa.

Matenda olembetsa nkhawa - kawiri pa tsiku kwa theka la piritsi. Ngati ndi kotheka, mulingo umachulukitsa, koma pakapita masiku 14 mpaka 30.

Matenda oopsa oopsa - poyamba amatenga theka la piritsi kawiri pa tsiku. Mlingowo umakulitsidwa pang'onopang'ono mpaka piritsi limodzi, amatengedwa katatu patsiku.

Ngati pakufunika kuchitira kulephera kwa mtima, kumayang'aniridwa ndi katswiri.Masiku oyamba ayenera kumwedwa katatu pamankhwala ¼ a mankhwalawa. Pang'onopang'ono onjezani mlingo ku piritsi lonse.

Mu shuga, makonzedwe amagawidwa kawiri kapena katatu patsiku. Mlingo womwe umalimbikitsa sioposa 100 ml.

Kwa odwala omwe ali ndi vuto lothana ndi vuto laimpso, mankhwalawa amadziwikanso katatu pa mlingo wa 75 ml. Ngati kuphwanya kuli kwakukulu, mlingo wa tsiku ndi tsiku sayenera kupitirira 12,5 mg.

Okalamba ndi omwe amamwa mankhwalawo payekhapayekha, poganizira za matenda omwe ali kale. Chithandizo chimayikidwa ndi mankhwala osachepera.

Kulandila pa mimba ndi mkaka wa m`mawere

Kapoten amatsutsana panthawi yoyembekezera nthawi iliyonse. Mu trimester yoyamba, mankhwalawa sayambitsa kuyipa kwa mwana wosabadwa, komabe, chiwopsezo cha zotsatira zoyipa sichitha.

Ngati pakufunika kutenga ACE inhibitor kwa odwala omwe akukonzekera kukhala amayi, amapititsidwa kuchipatala chokwanira, chomwe chimaphatikizapo mankhwala omwe amakhala otetezeka panthawi yapakati.

Kafukufuku watsimikizira kuti kutenga Kapoten mchaka chachiwiri komanso chachitatu kumaphwanya njira yokhala ndi pakati komanso zovuta za fetal. Ngati mayi wamwa mankhwalawa, ndikofunikira kuti apange kafukufuku wathunthu wazachipatala ndi ma ultrasound kuti awone momwe wodwala ndi mwana aliri. Anomalies pa chitukuko cha mwana wosabadwayo: Kukula kwa mafupa a chigaza, kulephera kwaimpso, kuthamanga kwa magazi.

Mkaka wa m'mawere ukadyetsedwa, chinthu chogwira ntchito chimalowa m'thupi la mwana. Izi zimabweretsa zoyipa. Chifukwa chake, mankhwalawa amaletsedwa mu mkaka wa msambo.

Zotsatira zoyipa zomwe zingachitike

• Zosangalatsa pamtima
• akukumbutsa
• thupi lawo siligwirizana
• laryngeal edema,
• phokoso mokhumudwa
• zilonda zam'mimba
• kuchepa kwamawonedwe owoneka,
• nseru
• kukomoka
• kuchuluka kwa nayitrogeni ndende ku urea,
• angina pectoris
• chifuwa chowuma
• zotupa pakhungu,
• mutu
• kusowa tulo
• kuphwanya kukoma
• zilonda zam'mimba, m'mimba,
• ngozi yamatenda,
• gamu magazi
• kutupa kwa chiwindi
• kugona

Ngati mwaphwanya zilizonse, muyenera kusiya kumwa mankhwalawo ndikupempha uphungu wa dokotala wanu!

Kuchita ndi mankhwala ena

Achire zotsatira za mankhwala kuchuluka pamene kumwa okodzetsa.

Sizoletsedwa kuphatikiza mankhwala ena omwe amachepetsa kuthamanga kwa magazi.

Mukamamwa ndi allopurinol, chiopsezo chotenga neutropenia chimakulanso.

Kuphwanya mtundu wa hematological kumayambitsa makina amodzi a immunosuppressants.

Zinthu zomwe zimagwiritsidwa ntchito zimawonjezera kuchuluka kwa mankhwala omwe ali ndi lithiamu, omwe amayambitsa mavuto ena.

Malangizo apadera

Ngati mankhwalawa amalembedwa pafupipafupi kapena kwa nthawi yayitali, ndikofunikira kuwunika momwe impso zimagwirira ntchito.

Ngati kutsokomola kwadziwika, phwando liyenera kuyimitsidwa.

Kugwiritsa ntchito limodzi ndi mowa ndikuloledwa.

Mankhwalawa angayambitse kugona, kukomoka, chisokonezo. Chifukwa chake, ndizoletsedwa kugwira ntchito ndi machitidwe omwe amafunikira chidwi, ndikuyendetsa magalimoto.

Choguliracho chimasungidwa pamalo otetezedwa ndi kuwala, kutentha osapitirira +26 degrees.

Moyo wa alumali ndi zaka zisanu kuyambira tsiku lomwe kampani yopanga zamankhwala yatulutsa.

Mankhwala omwe mumalandira amamasulidwa.

Mafanizo otchuka a Kapoten

1. Alkadil
2. Captopril
3. Vero-capopril,
4. Golten
5. Blockordil
6. Epistron.

Miyezi isanu ndi umodzi yapitayo, adandipatsa mankhwala Kapoten. Posachedwa, kuthamanga kwa magazi kunayamba kukwera kwambiri. Kuchiza kunayamba ndi ochepa mankhwalawa, ndiye kenako amakula pang'onopang'ono. Anatenga katatu patsiku, piritsi limodzi. Kusintha kumverera mu masabata. Posachedwa adayeza mayeso kuchipatala. Zinawonetsa kuti kupanikizika kwanga ndizabwinobwino. Sindinayembekezere zoterezi, chifukwa matenda oopsa adandizunza kuyambira ubwana wanga. Ngati ndimakonda kumwa mapiritsi ambiri, tsopano ndimatha kupeza mankhwala azitsamba. Mankhwala abwino! Zotsatira zoyipa sizimayambitsa.

Ndinamwa mankhwala a Kapoten. Mawu sangathe kufotokoza chidwi changa. Zopeka! Ndine mkazi wazaka zapakati, wazaka 64. Chifukwa chake ndili ndi matenda ambiri. Nditaphunzitsidwa za mankhwalawa, ndidayamba kudziona ngati wochepera zaka 20! Ndidachiritsidwa chifukwa cha kuthamanga kwa magazi. Ndinayamba kuchita masewera olimbitsa thupi, kuthamanga m'mawa. Ngati mankhwalawa akukuyenererani ndipo simukudziwa momwe mungachiritsire matenda oopsa, musamasuke kulandira chithandizo. Mwa njira, imagwiranso ntchito pochiza matenda ashuga, koma moyang'aniridwa ndi dokotala.

Pafupifupi zaka 15 pabwalo, ndinamva kuti mankhwala abwino kwambiri opanikizika ndi Kapoten. Magazi anga atayamba kuchuluka, ndinakagula, ndinawerenga, ndipo nthawi yomweyo ndinazindikira kuti ndi anga. Anatenga pomwe kupanikizika kumakulirakulira. Zaka ziwiri zapitazo, kupanikizika kunakula kwambiri. Adayitanira ambulansi. Adatulutsa kukakamiza ndipo zidakhala zachilendo kwa chaka chimodzi ndi theka, kenako nkhani ngati imeneyi. Pomaliza, ndidaganiza zokaonana ndi dotolo miyezi isanu ndi umodzi yapitayo. Ndinadutsa mayeso onse ndikuwerengedwa kwa tonometer m'masiku 10. Dokotalayo adandiuza mankhwala a kobiri. Ndidafunsa pomwe kupanikizika kwanga kusakhala kosalamulirika, ndiye nditani? Adalamulira Fedining wotsika mtengo kwambiri. Tengani pomwe kupanikizika kukukwera. Mwina anthu amakumana ndi malingaliro amenewa akamalembera mankhwala okwera mtengo. Koma pali anthu omwe nawonso amagula mankhwala okwera mtengo, musadalire otsika mtengo. Zikomo ndimavidiyo anu, ndinawerenga mosangalatsa. Tithokoze kwa madotolo, ndipo iwo amene salinso ndi ife ndiye Ufumu wa kumwamba. Komabe, madokotala amathandiza kwambiri.

Kutulutsa Fomu

Kapoten amapezeka mu mawonekedwe a mapiritsi apakati okhala ndi konsekonse. Mapiritsiwo ndi a biconvex, ali ndi cholembera pamtunda mbali imodzi, ndipo mbali inayo mawu ochulukidwa "SQUIBB" ndi nambala ya "452". Mapiritsi oyera a kirimu yoyera kapena yoyera amakhala ndi fungo labwino, kusuntha kovomerezeka kumaloledwa.

Mapiritsi amadzaza matuza a zidutswa 10 ndi 14. Pakunyamula makatoni, matuza awiri kapena anayi amayikidwa.

Pharmacokinetics ndi pharmacodynamics

Kapoten ndi choletsa ACE. Captopril, yomwe ndi gawo la mankhwalawa, imachotsa mphamvu ya vasoconstrictor pazotengera zam'mimba komanso zowonda mwa kupondera angiotensin II. Kapoten amachepetsa kutsitsa, amachepetsa OPSS, kutulutsa kwa aldosterone m'matumbo a adrenal, kutsitsa magazi, kuthamanga mu kufalikira kwa mapapu komanso atrium yoyenera.

The bioavailability wa Captopril ukufika 60-70%. Kudya nthawi yomweyo ndi mankhwalawa kungachepetse kuyamwa kwa capopril ndi 40%. Chithandizo chomwe chimagwira ndimapuloteni a magazi ndi 25-30%. Kutha kwa theka la moyo kumapangitsa maola 2-3. Ambiri mwa mankhwalawa amamuchotsa mkodzo, theka la mlingo womwe watengedwa umachotsedwa osasinthika.

Mankhwala amayamba kuchita mphindi 10 pambuyo pa kukhazikitsa. Achire kwambiri achire zotsatira kuwonetseredwa pambuyo ola ndi theka ndipo amatha mpaka maola 6.

Zizindikiro zogwiritsidwa ntchito

Kapoten adalembedwa zoterezi:

• myocardial infaration
• kuthamanga kwa magazi (monga monotherapy, komanso kuphatikiza mankhwala ena),
• Kulephera kwa mtima (kuphatikiza mankhwala),
• matenda ashuga nephropathy mu matenda a shuga mellitus I.

Mlingo ndi makonzedwe

Mapiritsi amatengedwa pakamwa ola limodzi asanadye, mutha kumwa ndi madzi, ndipo mutha kumamwa. Mlingo wothandizidwa ndi dokotala. M'pofunika kuyamba chithandizo ndi waukulu Mlingo.

Ndi kuchuluka kwa matenda oopsa, mlingo woyambirira uyenera kukhala theka la mapiritsi - 12,5 mg kawiri pa tsiku. Ngati ndi kotheka, onjezani mlingo, koma ndikofunikira kuti pakhale milungu iwiri kapena itatu. Mlingo wogwira ndi mapiritsi 2, i.e. 50 mg kawiri pa tsiku. Pa matenda oopsa kwambiri, mlingo woyambirira uyenera kukhala theka la mapiritsi, i.e. 12,5 mg kawiri pa tsiku. Pang'onopang'ono, mlingo umodzi umakulitsidwa mpaka 50 mg ndi pafupipafupi katatu pa tsiku.

Pakulephera kwa mtima, chithandizo chimachitika kokha moyang'aniridwa ndi dokotala. Chithandizo chimayamba ndi kotala piritsi, i.e. 6.25 mg katatu patsiku. Popita nthawi, mlingo umakulitsidwa piritsi 1 katatu patsiku.

Mu matenda a shuga a nephropathy, mlingo woyenera ndi 75-100 mg, i.e. mapiritsi 3-4, womwe umagawidwa mu Mlingo wa 2-3 patsiku.

Ndi kufooka kwapakati pamatenda, tsiku lililonse mapiritsi a 75-100 mg, i.e. mapiritsi a 3-4, omwe amagawidwa pazigawo zitatu amafunikira. Mukuwonongeka kwambiri kwa aimpso, masitepe oyamba sayenera kupitilira theka la mapiritsi - 12,5 mg. Koma popita nthawi, amawonjezeredwa ku mankhwala othandizira achifundo.

Kwa odwala okalamba azaka zopitilira 65, mlingo umasankhidwa ndi adokotala yekha. Monga zikuyembekezeredwa, tikulimbikitsidwa kuti tiyambe maphunziro a mankhwalawa ndi mlingo wochepa ndikuyesera kutsatira panthawi yonse yogwiritsa ntchito Kapoten.

Chenjezo ndi malingaliro

Pa mankhwala ndi mankhwalawa, kumwa mowa kumachotsedwa kotheratu. Kuphatikizidwa kwa mowa ndi Kapoten kumabweretsa chiwopsezo chachikulu cha matenda oopsa.

Odwala omwe ali ndi vuto lalikulu la mtima amathandizidwa ndi madokotala moyang'aniridwa ndi dokotala.

Musanayambe, muyenera kuyang'ana momwe impso zimagwirira ntchito.

Miyezi itatu yoyambirira ya mankhwalawa, ndikofunikira kuwongolera kuchuluka kwa leukocytes, creatinine ndi urea.

Ngati ochepa hypotension idayamba pamene mukutenga Kapoten, ndiye kuti muyenera kutenga malo opingasa ndi kukweza miyendo yanu.

Mankhwala angakhudze ndende. Chifukwa chake, munthawi yopanga mankhwala a hood, ndikofunikira kupewa zochitika zowopsa, kuyendetsa magalimoto. Chizungulire zitha kuchitika atatenga koyamba mlingo.

Zotsatira zoyipa:

Malinga ndi kafukufuku ndi ndemanga kuchokera kwa ogula, Kapoten amatha kuwonetsa zotsatirazi:

• chizungulire, ataxia, kugona,
• hypotension, tachycardia, zotumphukira edema,
• kutupa kwa miyendo, milomo, lilime, nkhope, mucous nembanemba
• kuchepa magazi, agranulocytosis, neutropenia, thrombocytopenia,
• Hyperkalemia, acidosis, hyponatremia, proteinuria, kuchuluka kwa urea nayitrogeni m'magazi,
• aphthous stomatitis,
• kuphwanya kukoma, kamwa yowuma, michere yama chiwindi,
• Nthawi zina, kupweteka kwam'mimba, kutsegula m'mimba, matenda a m'mimba, chiwindi
• erythema, zidzolo ndi kuyabwa, zotupa, kuwala kwazithunzi, kuzizira.

Pazizindikiro zoyambirira za zoyipa, ndikofunikira kusiya mankhwalawa ndikupita kuchipatala.

Kugwirizana kwina ndi mankhwala ena

Ma diuretics, ganglion blockers ndi adrenergic blockers amalimbikitsa achire zotsatira za Kapoten.

Clonidine ndi indomethacin amachepetsa mphamvu ya Kapoten.

Kuphatikizika kwa Kapoten ndi procainamide ndi allopurinol kungayambitse matenda a Stevens-Johnson komanso neutropenia.

Immunosuppressants pamodzi ndi Kapoten zimatha kubweretsa zovuta zamatenda.

Kapoten amachulukitsa kuchuluka kwa kukonzekera kwa lifiyamu, komwe kumabweretsa chiopsezo cha mavuto.

Kupanga ndi mafomu omasulira

Kapoten akupezeka pakanthawi kofanana. mapiritsi amkamwa. Mapiritsiwo ali ndi mawonekedwe a biconvex lalikulu okhala ndi mbali zopota, kupaka zoyera kapena zoyera zonona, kumbali imodzi ya notch yomwe ili ndi mtanda, ndipo cholembedwa "SQUIBB" ndi manambala "452" mbali inayo. Mapiritsiwo ali ndi fungo labwino ndipo amapezeka m'matumba a 28, 40 ndi 56.

Monga yogwira mankhwala Mapiritsi a Kapoten ali ndi Captopril atatu Mlingo - 25 mg ndi 50 mg. Monga zida zothandizira Mapiritsi a Kapoten ndi awa:

• Wowuma chimanga
• Lactose
• Ma cell apose a Microcrystalline,
• Stearic acid.

Zochizira

Kapoten amachepetsa kuthamanga kwa magazi ndikuchepetsa katundu pamtima, chifukwa chomwe amagwiritsidwa ntchito pochiza matenda oopsa komanso kulephera kwa mtima. Kuchita kwa Kapoten chifukwa cha luso lake lotchinga ntchito ya angiotensin-converting enzyme (ACE), yomwe imatsimikizira kusintha kwa angiotensin I kupita ku angiotensin II. Chowonadi ndi chakuti angiotensin II ndi mankhwala omwe amagwira ntchito omwe ali ndi mphamvu ya vasoconstrictor, yomwe, motero, imawonjezera kuthamanga kwa magazi. Angiotensin II akapanda kukhazikika, mitsempha yamagazi imangokhala madzi, magaziwo amachepa, ndipo ntchito yamtima ndiyosavuta, yomwe imafunikira kuyesetsa kochepa kukankhira magazi m'mitsempha. Chifukwa chake, Kapoten, poletsa mapangidwe a angiotensin II, amatsogolera pakukula kwa mitsempha ya magazi komanso kutsika kwa kuthamanga kwa magazi.

Ndi kudya kawirikawiri kwa Kapoten, kuthamanga kwa magazi kumasungidwa bwino pazoyenera zovomerezeka. Kuti mukwaniritse kuchepa kwa kukakamiza, mankhwalawa amayenera kumwedwa kwa milungu inayi kapena isanu ndi umodzi.

Kuphatikiza apo, chifukwa cha kuchuluka kwa mitsempha yamagazi, kutumphukira kwathunthu kumachepa, komwe kumachepetsa katundu pamtima, kosavuta kukankhira magazi mu mtsempha wamagazi ndi m'mapapo. Pochepetsa katundu pamtima, Kapoten amathandizira kulolerana kwa kupsinjika kwakuthupi ndi zina mwa munthu amene akuvutika ndi mtima.

Kapoten amasintha kayendedwe ka magazi a impso motero angagwiritsidwe ntchito pochiza matenda a shuga. Kuphatikiza apo, mankhwalawa sayambitsa edema, omwe amawasiyanitsa ndi mankhwala ena a antihypertensive. Zotsatira zake, Kapoten safunikira kuphatikizidwa ndi ma diuretics.

Momwe mungatenge Kapoten?

Kapoten amayenera kumwedwa pakamwa, kumeza piritsi kapena gawo lonse, osaluma, kutafuna kapena kuphwanya njira zina, koma ndi madzi osapatsa mpweya (theka lagalasi ndikokwanira).

Mlingo wa Kapoten amasankhidwa payekhapayekha, ndipo matendawa amayambitsidwa ndi milingo yaying'ono ya 6.25 kapena 12,5 mg, yomwe imapangidwa kawiri pakatha masabata awiri mpaka mfundo zabwino zololedwa - 300 mg patsiku. Siwothandiza kumwa mankhwalawa mopitilira 300 mg patsiku, popeza kutha kwake sikukwera, komanso kuopsa kwa mavuto, m'malo mwake, kumawonjezeka. Mlingo wovomerezeka tsiku lililonse, womwe suyambitsa poizoni, ndi pafupifupi 600 mg ya Kapoten.

Mlingo wa Kapoten wa matenda osiyanasiyana

Kwa matenda aliwonse, Kapoten amayamba kumwedwa ndi mankhwala ochepa, pang'onopang'ono kuwafikitsa pamiyeso yofunikira yothandizira. Ndi mlingo wokonza womwe ungakhale osiyana ndi matenda osiyanasiyana.

Ndi ochepa matenda oopsa Kapoten ayenera kuyamba kumwa 12.5 mg (piritsi 1/2) kawiri pa tsiku. Pakatha milungu iwiri iliyonse, ngati pakufunika kutero, muyezowo umachulukitsidwa, zomwe zimapangitsa kuti magaziwo azikhala osavomerezeka. Monga lamulo, wofatsa pang'ono mwamphamvu koopsa kwa matenda oopsa, kuchuluka kwa makonzedwe a Kapoten ndi 25 mg 2 kawiri pa tsiku. Pa matenda oopsa, kuchuluka kwa mankhwalawa ndi 50 mg katatu patsiku.

Kulephera kwa mtima kosatha Kapoten tikulimbikitsidwa kuti azigwiritsidwa ntchito pokhapokha ma diuretics samapereka chithandizo chokwanira komanso chofunikira. Zikatero, mankhwalawa amayamba kumwa pa 6.25 mg (piritsi 1/4) katatu patsiku, ndikuwonjezera muyezo uliwonse masabata awiri mpaka mulingo woyenera, womwe umapereka zotsatira zomwe mukufuna.Nthawi zambiri, mankhwalawa yokonza Kapoten chifukwa cha matenda osakhazikika pamtima ndi 25 mg katatu patsiku. Mlingo wovomerezeka tsiku lililonse ndi 150 mg tsiku lililonse.

Ngati kusokonezeka kwa lamanzere yamitsempha pambuyo infarction myocardial Kapoten amatha kuyamba kutengedwa patatha masiku atatu atadwala matenda a mtima. Pankhaniyi, amayamba kumwa mankhwalawa pa 6.25 mg kamodzi patsiku, patatha sabata, amawonjezera mlingo wa 6.25 mg 2 kawiri pa tsiku. Pambuyo pa sabata ina, mlingo umakulitsidwa kwa 6.25 mg katatu pa tsiku. Kenako pangani mlingo wambiri ndikuyamba kumwa 12,5 mg katatu patsiku. Ngati mulingo uwu umakuthandizani kuti mukwaniritse zomwe mukufuna, ndiye kuti mumawaganizira kuti ndi othandizira komanso kumwa mankhwalawa kwa nthawi yayitali. Ngati mulingo wa 12,5 mg 3 katatu patsiku sagwira ntchito mokwanira, mutha kuwonjezereka komanso kutengedwa, 25 mg katatu pa tsiku. Mwakutero, mulingo woyenera wophwanya mbali yamanzere yamanja ndi 150 mg patsiku.

Ndi matenda ashuga nephropathy Kapoten akulimbikitsidwa kumwa 25 mg katatu pa tsiku kapena 50 mg 2 kawiri pa tsiku. Mlingo wokonzanso umapezeka pang'onopang'ono, kuyambira kumwa mankhwalawa pa 12,5 mg katatu patsiku. Pambuyo pa masabata awiri, mlingo umachulukitsidwa, motero, umasinthidwa ndi mankhwalawa - 25 mg katatu pa tsiku. Ngati mulingo wothandizawu suyenda bwino, ndiye kuti pakatha milungu iwiri umachulukitsidwa ndikuwonjezeka 50 mg 2 kawiri pa tsiku.

Ngati nephropathy imayendera limodzi ndi microalbuminuria (kuchuluka kwa albumin mu mkodzo ndi 30 - 300 mg patsiku), ndiye kuti mankhwalawa amasinthidwa mpaka 50 mg 2 kawiri pa tsiku. Ndi proteinuria (mapuloteni mu mkodzo) oposa 500 mg patsiku, mlingo woyenera kwambiri wowonjezera ndi 25 mg katatu pa tsiku.

Ndi matenda a impso ndi creatinine chilolezo cha 30 - 80 ml / mphindi, kukonzekera kwa Kapoten kwa matenda aliwonse - 75 - 100 mg patsiku. Ndipo kuphwanya kwambiri impso ndi kuvomerezeka kwa creatinine kosakwana 30 ml / min, mankhwalawa amayamba kumwa pa 12,5 mg kawiri pa tsiku. Kenako, mankhwalawa amawonjezedwa pang'onopang'ono ndikubwera mpaka 50 mpaka 75 mg patsiku.

Kwa okalamba (wopitilira zaka 65), muyezo wa Kapoten uyenera kusankhidwa payekha, nthawi zonse kuyambira 6.25 mg 2 kawiri pa tsiku. Ndikofunikira kuyesetsa kuti musachulukitse mlingo wa okalamba, koma, m'malo mwake, muzisunga osachepera - 6.25 mg 2 kawiri pa tsiku. Ngati pakufunika kuchuluka kwa mankhwalawa, muyenera kuwonjezera mlingo wachitatu patsiku, ndiye kuti, kumwa 6.25 mg katatu pa tsiku. Ndipo pokhapokha mlingo umodzi wa Kapoten uwonjezeke kuti akwaniritse zomwe mukufunikira achire.

Kapoten pa nthawi yoyembekezera komanso yoyamwitsa

Kapoten panthawi yoyembekezera komanso yoyamwitsa amaletsedwa kugwiritsa ntchito, chifukwa mankhwalawa amatha kukhala ndi vuto pa kukula ndi kukula kwa mwana wosabadwayo. Mu kafukufuku wazinyama woyeserera, zidapezeka kuti a Kapoten ali ndi embryotoxicity ndipo amatha kupangitsa kuti afe mwa mwana wosabadwa, kupita padera, etc. Chifukwa chake, pa nthawi yonse yoyembekezera, mkazi sayenera kutenga Kapoten.

Ngati mayi akutenga Kapoten ngati njira yokhayo yochiritsira, ndiye kuti mankhwalawo ayenera kusiyidwa atangodziwika za kutha kwa mimba. Ngati amayi akukonzekera, ndikulimbikitsidwa kuti musanayesere kukhala ndi pakati, sinthani ku antihypertensive mankhwala ena omwe angathe kumwa amayi apakati (mwachitsanzo, Nifedipine, etc.).

Kuchita ndi mankhwala ena

Kutenga Kapoten ndi ma immunosuppressants, cytostatics, procainamide, interferon alpha-2 ndi interferon beta kumawonjezera mwayi wokhala ndi leukopenia (kuchepa kwa kuchuluka kwama cell oyera m'magazi).

Kugwiritsidwa ntchito kwa Kapoten ndi potaziyamu wotetezera okodzetsa (Veroshpiron, Triamteren, Amilorid, ndi zina), kukonzekera kwa potaziyamu (Asparkam, Panangin, ndi zina), m'malo mwa mchere wokhala ndi potaziyamu, Trimethoprim ndi heparin zimatha kuyambitsa hyperkalemia (kuchuluka kwa potaziyamu m'magazi).

Mukamatenga Kapoten ndi NSAIDs (Indomethacin, Ibuprofen, Nimesulide, ndi ena otero), chiwopsezo cha kuwonongeka kwa impso chimawonjezeka, ndipo ndi cyclosporin, chiopsezo chotenga kulephera kwa aimpso ndi oliguria (kuchuluka kwa mkodzo wambiri).

Kutenga Kapoten ndi thiazide ndi loop diuretics (Chlortalidone, Indapamide, etc.), mankhwala ochititsa dzanzi, NSAIDs (Indomethacin, Ibuprofen, Nimesulide, Aspirin, Paracetamol, etc.) ndi interleukin-3, Minoxidil, Nitroprusside sodium zimatha kudzutsa hypotension chifukwa kuchepa kwambiri kwa kuchuluka kwa magazi. Chlorpromazine kuphatikiza ndi Kapoten imayambitsa hypotension ya orthostatic, magazi akachepetsa kwambiri akasuntha kuchokera pampando kapena pogona mpaka malo oyima.

Kutenga Kapoten ndi Azathioprine kumatha kudzetsa kukula kwa magazi m'thupi ndi leukopenia.

Allopurinol kuphatikiza ndi Kapoten kumawonjezera mwayi wolimbana ndi zovuta zina, monga matenda a Stevens-Johnson, etc.

Kukonzekera kwa aluminium hydroxide, magnesium hydroxide, magnesium carbonate kumachepetsa kuyamwa kwa Kapoten ndipo, motero, kugwira ntchito kwake. Komanso, kugwira ntchito kwa Kapoten kumachepetsa Orlistat ndi erythropoietin, pomwe mukutenga komwe kumabweretsa mavuto osaneneka, kuthamanga kwa magazi kapena matenda a m'magazi.

Kutenga Kapoten ndi insulin, ma hypoglycemic othandizira (Glibenclamide, Glyclazide, etc.) ndi sulfonylurea kumatha kubweretsa hypoglycemia (shuga wochepa wamagazi).

Kapoten wophatikiza ndi kukonzekera kwa lithiamu kumawonjezera kuchuluka kwa lithiamu m'magazi ndipo kumatha kupangitsa kukula kwa zizindikiro za kuledzera ndi chinthuchi.

Kufotokozera kwapfupi

Kapoten (mankhwala omwe amagwiritsa ntchito mankhwala - Captopril) ndi mankhwala a antihypertensive ochokera ku kampani yopanga mankhwala ku America Bristol-Myers squibb, yomwe ili m'gulu la angiotensin-converting enzyme inhibitors (ACE inhibitors). Awa ndi mankhwala oyamba a gulu la mankhwala, omwe atsegula nthawi yatsopano pochiza matenda oopsa. Kapangidwe ka mphamvu yake ya antihypertensive kumachitika chifukwa cha kuponderezedwa kwa ntchito ya ACE, ndikuchititsa kutsika kwa kusintha kwa angiotensin I kupita ku angiotensin II. Zotsirizirazi, monga mukudziwa, ndi mphamvu yamkati vasoconstrictor yomwe imalimbikitsa kutulutsa kwa aldosterone ndi adrenal cortex. Kuphatikiza apo, Captopril imakhulupiriranso kuti imakhudza dongosolo la kinin-kallikrein, potero kuletsa kuwonongeka kwa bradykinin (yomwe ili ndi mbali yake yovulaza monga zotsatira zoyipa monga chifuwa ndi angioedema yokhudzana ndi kuchuluka kwa bradykinin). Mphamvu ya antihypertensive ya mankhwala sigwiritsidwa ntchito ndi plasma renin. Chifukwa chake, kuchepa kwa kuthamanga kwa magazi kumawonedwa osati mwachizolowezi, komanso pazovuta zochepa za timadzi timeneti, timene timayambika chifukwa cha kukhudzana ndi minyewa ya renin-angiotensin-aldosterone. Chifukwa cha vasodilating zake, capoten imachepetsa kutumphukira ndi kupuma kwamitsempha yamagazi, kukithana kwa mitsempha yam'mapapo, kumawonjezera kutuluka kwa mtima ndi kulolerana. Kugwiritsa ntchito nthawi yayitali, kumachepetsa kuuma kwa kumanzere kwamitsempha yamagazi, kumalepheretsa kuchepa kwa mtima ndikulepheretsa kukula kwa kuchepetsedwa kwamitsempha yamanzere. Amachepetsa kuchuluka kwa sodium odwala omwe ali ndi vuto la mtima. Mokulira kumakulitsa kuunikira kwa mitsempha kuposa mitsempha. Amasintha magazi kupita kumadera a myocardium omwe amakhudzidwa ndi ischemia. Imalepheretsa kuphatikizika kwa maselo ambiri (gluing). Amachepetsa kamvekedwe ka maulosi achire a impsontomuli, potero amakhala ndi matenda am'mimba, ndipo amalepheretsa kukula kwa matenda a shuga.

Pambuyo pakamwa, osachepera 2/3 a yogwira thupilo amayamba kuyamwa mwachangu m'mimba thirakiti. Kudya munthawi yomweyo kumachepetsa mayamwidwe zimatha capoten ndi 30-40%. Kuzindikira kwakukulu kwa plasma kumakhazikitsidwa pambuyo pa mphindi 30-90. Mukakhala mu kufalikira kwazinthu zonse, 25-30% ya mankhwalawo imamangidwa kumapuloteni (makamaka ndi albumin). Kapoten imapangidwa ndi microsomal chiwindi michere kuti ipange metabolacologically yogwira metabolites. Hafu ya moyo wa mankhwalawa ndi ochepera maola atatu (ngati kulephera kwa impso, kumatha kukula mpaka maola 32 kutengera ndi kuchuluka kwa matendawa).

Kapoten amapezeka pamapiritsi. Mlingo woyambirira wa mankhwalawa umatha kuchoka pa 6.25 mpaka 12.5 mg 2-3 kawiri pa tsiku. Palibe kapena kufooka kwa yankho la mankhwalawa, mlingo umakulitsidwa pang'onopang'ono mpaka 25-50 mg katatu pa tsiku. Anthu omwe akudwala matenda a impso amapatsidwa mankhwala ochepetsa chidwi. Mulingo wovomerezeka tsiku lililonse wa mankhwalawa ndi 150 mg. Kuphatikiza pakuwongolera mwachindunji, pali zoletsa zingapo zomwe kapoten iyenera kuyikidwa mosamala kwambiri. Mwachitsanzo, izi zimaphatikizapo angioedema oyambitsidwa ndi ACE inhibitors, aortic valve stenosis, cerebrovascular insuffence, coronary mtima matenda, matenda ashuga, kuperewera kwa magazi, matenda a impso kapena hepatic, ndi ukalamba. Kapoten sakuvomerezeka kuti agwiritsidwe ntchito molumikizana ndi potaziyamu kukonzekera komanso potaziyamu wothandiza kukokoloka (izi ndizowona makamaka kwa odwala omwe ali ndi matenda osokoneza bongo komanso kulephera kwa aimpso). Izi zikufotokozedwa ndi chiwopsezo chowonjezeka cha hyperkalemia, popeza ACE zoletsa amachepetsa kuchuluka kwa aldosterone, pomwepo, kumayambitsa kuchepa kwa thupi la ioni a potaziyamu. Kugwiritsa ntchito kwa capoten kwa ana kumatheka pokhapokha ngati mankhwala ena akhala osagwira.

Zotsatira zoyipa za Kapoten

Kapoten amayambitsa zotsatirazi zosiyanasiyana kuchokera ku ziwalo ndi machitidwe osiyanasiyana:

1.Machitidwe amsempha ndi zotupa:

• Kutopa,
• Chizungulire
• Mutu
• Kugona
• Chisokonezo,
• Kukhumudwitsa
• Kukhumudwa
• Ataxia (kusakanikirana kwa kayendedwe)
• Zingwe
• Paresthesia (kumverera kwa dzanzi, kumva kuwawa, "goosebumps" miyendo),
• Zowonongeka,
• Kuphwanya kununkhira.

• Hypotension (kuthamanga kwa magazi)
• Orthostatic hypotension (dontho lakuthwa la kupsinjika mukasunthika pampando kapena pogona pamalo opumira),
• Angina pectoris,
• Myocardial infaration
• Arrhasmia
• Kusweka mtima
• Ngozi yamitsempha yamagazi kwambiri,
• Peripheral edema,
• Lymphadenopathy
• Anemia
• Kupweteka pachifuwa
• Syndrome la a Raynaud
• Mafunde
• Kukongola kwa khungu
• Cardiogenic mantha,
• Pulmonary thromboembolism,
• Neutropenia (kuchepa kwa chiwerengero cha neutrophils m'magazi),
• Agranulocytosis (kusowa kwathunthu kwa basophils, ma eosinophils ndi neutrophils kuchokera pagazi),
• Supombocytopenia (kuchepa kwa maselo a cholesterya pansipa),
• Eosinophilia (kuchuluka kwa ma eosinophils kuposa abwinobwino).

Pharmacology

Antihypertensive wothandizira, ACE inhibitor. Kupanga kwa antihypertensive kanthu kumalumikizidwa ndi kupikisana kwa ntchito ya ACE, komwe kumayambitsa kuchepa kwa chiwerengero cha kutembenuka kwa angiotensin I kupita ku angiotensin II (yemwe ali ndi tanthauzo la vasoconstrictor zotsatira ndikuthandizira kubisalira kwa aldosterone mu adrenal cortex). Kuphatikiza apo, Captopril akuwoneka kuti akukhudza dongosolo la kinin-kallikrein, kupewa kupasuka kwa bradykinin. Mphamvu ya antihypertensive siyidalira ntchito ya plasma renin, kuchepa kwa magazi kumadziwikanso mwazonse komanso ngakhale kutsika kwa mahomoni, zomwe zimachitika chifukwa cha zovuta za RAAS. Kuchulukitsa kwa magazi ndi impso.

Chifukwa cha chotupa chake, chimachepetsa OPSS (kutsitsa), kuthinana kwamankhwala m'matumbo am'mapapu (kutsitsa) ndi kukana m'mitsempha yam'mapapo, kumawonjezera kutulutsa kwa mtima ndi kulolerana zolimbitsa thupi. Kugwiritsa ntchito nthawi yayitali, kumachepetsa kuuma kwa kumanzere kwamitsempha yamagazi, kumalepheretsa kuchepa kwa mtima ndikuchepetsa kukula kwa kuchepa kwamitsempha yamanzere. Amathandizira kuchepetsa sodium odwala omwe ali ndi vuto la mtima losalephera. Imakulitsa mitsempha pamlingo wokulirapo kuposa mitsempha. Amasintha magazi kupita ku ischemic myocardium. Imachepetsa kuphatikizika kwa mapulosi.

Imachepetsa kamvekedwe ka michere ya impso, kukonza makonzedwe a hemodynamics, ndikuletsa kukula kwa matenda a shuga.

Kapoten - analogues

Kapoten ali ndi fanizo la mitundu iwiri - masinthidwe ndipo, makamaka, analogues. Ma Synonyms ndi mankhwala omwe, monga Kapoten, amakhala ndi capopril monga chinthu chogwira ntchito. Ma analogu a Kapoten ndi mankhwala ochokera ku gulu la zoletsa ma ACE zomwe zimakhala ndi zinthu zina (osati Captopril), koma ali ndi mawonekedwe ofanana ndi achire.

Synonyms of Kapoten Mankhwala awa ndi awa:

• Mapiritsi a Angiopril-25,
• Mapiritsi a blockordil
• Mapiritsi a Captopril.

Mafananidwe a Kapoten Mankhwala awa ndi awa:

• Mapiritsi a Acupro
• Mapiritsi a Amprilan
• Mapiritsi a Arentopres,
• Mapiritsi a Bagopril
• Burlipril 5, Burlipril 10, mapiritsi 20 a Burlipril,
• Wazolong Caps,
• Mapiritsi a Hypernova,
• Zilonda zapamwamba,
• Mapiritsi a Dapril
• Dilaprel makapisozi,
• Mapiritsi a Diropress
• Mapiritsi a Diroton
• Zokardis 7.5 ndi mapiritsi a Zokardis 30,
• Mapiritsi a Zonixem
• Mapiritsi a Inhibeys,
• Mapiritsi olusa
• Mapiritsi a Quadropril
• Mapiritsi amkati mwake,
• Mapale a Coverex,
• Mapiritsi a Corpril
• Mapiritsi a Lysacard,
• Mapiritsi a Lysigamma,
• Mapiritsi a Lisinopril,
• Mapiritsi a Lisinotone,
• Mapiritsi a Lysiprex
• Mapiritsi a Lizonorm,
• Mapiritsi a Lysoril
• Mapiritsi a Listril
• Mapiritsi
• Mapiritsi a Methiapril,
• Mapiritsi a Monopril
• Mapiritsi a Moex 7.5 ndi Moex 15,
• Mapiritsi a Parnawel ndi makapisozi,
• Mapiritsi a Perindopril
• Mapiritsi a Perineva ndi Perineva Ku-tab,
• Mapiritsi a Perinpress
• Mapiritsi a piramidi
• Mapiritsi a Pyristar,
• Mapiritsi abambo,
• Mapiritsi a Prestarium ndi Prestarium,
• Mapiritsi a Ramigamma,
• Kapikidwe ka Ramicardia,
• Mapiritsi a Ramipril
• Mapiritsi a Ramepress,
• Mapiritsi a Renipril
• Mapiritsi a Renitec
• Mapiritsi a Rileys-Sanovel,
• Mapiritsi a Sinopril
• Mapiritsi a Stopress,
• Otsata mapiritsi,
• Mapiritsi a Fosicard,
• Mapiritsi a Fosinap,
• Mapiritsi a Fosinopril,
• Mapiritsi a Fosinotec
• Mapiritsi a Hartil
• Mapiritsi a Hinapril,
• Mapiritsi a Ednit
• Mapiritsi a Enalapril,
• Mapiritsi a Enam
• Mapiritsi a Enap ndi Enap P,
• Mapiritsi a Enarenal
• Mapiritsi a Enapharm,
• Mapiritsi a envas.

Ndemanga zambiri za Kapoten (oposa 95%) ndizabwino, chifukwa chofulumira komanso kutanthauziridwa bwino. Chifukwa chake, mu ndemanga zimadziwika kuti mankhwalawa amachepetsa kuthamanga kwa magazi ndipo, motero, amakhala bwino. Kapoten ndiwothandiza ngakhale pazinthu zina pomwe mankhwalawa sangathe kuthana ndi ntchitoyi. Anthu ambiri pazowunikira akuwonetsa kuti mankhwalawa ndi othandizira kuti athetse mavuto osokoneza bongo.

Palibe ndemanga zoyipa zazokhudza Kapoten, komabe, zomwe zimakhalapo nthawi zambiri zimakhala chifukwa cha zovuta zoyipa zomwe zimakakamiza munthu kukana kugwiritsa ntchito mankhwalawa.

Corinfar kapena Kapoten?

Kapoten ndi mankhwala ochokera ku gulu la zoletsa zoletsa za ACE, ndipo Corinfar ndi njira yoletsa calcium yokhala ndi nifedipine ngati chinthu chogwira ntchito. Mankhwalawa onse amachepetsa kuthamanga kwa magazi ndikuchepetsa katundu pamtima, komabe, ngakhale akufanana ndi njira yothandizira, pali kusiyana kwakukulu pakati pawo komwe kumapangitsa kufananiza kosavuta kukhala kosatheka.Mankhwala aliwonse amakhala ndi zabwino komanso zoyipa, ndipo ndizomwe zimapangitsa madera omwe amawakonda kwambiri.

Chifukwa chake, 1-5far ikhoza kugwiritsidwa ntchito panthawi yomwe muli ndi pakati komanso poyamwitsa, ndipo Kapoten sololedwa kugwiritsa ntchito panthawi ya bere. Chifukwa chake, azimayi oyembekezera ayenera kukonda 1-5far pakuwongolera kuthamanga kwa magazi.

Kapoten amachita modekha, amayambitsa mavuto ochepa ndipo ali oyenera kugwiritsidwa ntchito mwadzidzidzi kuti muchepetse kupsinjika. Corinfar amachita kwambiri, zotsatira zake zimatchulidwa, ndipo zotsatirapo zake zimakhala zoipitsitsa. Mankhwalawa onse amachepetsa kuthamanga, koma zotsatira za Kapoten zimatenga nthawi yayitali kuposaCorff. Chifukwa chake, ngati pakufunika kutero, kuti muchepetse kupanikizika kwa nthawi yayitali, ndibwino kuti mutenge Kapoten. Ngati mukufunikira mwachangu kwambiri, pang'ono komanso modabwitsa kuchepetsa kupsinjika, ndiye kuti ndibwino kugwiritsa ntchito Corinfar.

Kuphatikiza apo, Corinfar ikhoza kuyambitsa tachycardia. Chifukwa chake, ndi chizolowezi cha palpitations, ndibwino kukonda Kapoten.

Anthu omwe akudwala matenda a shuga kapena matenda oopsa chifukwa cha matenda a impso amakhala bwino ndi a Kapoten, chifukwa kuCorff kulibe vuto lililonse kuphatikiza kupanikizika pamagulu awa.