Momwe mungagwiritsire ntchito mankhwala Hartil?

Hartil - mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtima dongosolo, kupewa komanso kuchiza matenda obisika. Tiyeni tiwone mawonekedwe a mankhwalawa, mawonekedwe a momwe amagwiritsira ntchito, Mlingo ndi njira yoyendetsera, zotsutsana zazikulu ndi zoyipa, komanso chidziwitso chonse chomwe wodwala ayenera kudziwa za Hartil.

Hartil ali ndi kapangidwe kake ka mankhwala a ramipril, komwe amatanthauza zoletsa za puloteni ya angiotensin. Mankhwala amapatsidwa mankhwala ochizira matenda omwe amadziwika ndi kuthamanga kwa magazi. Hartil amathandiza ndi zovuta za kuphwanya kwapawiri pachimake, ndi vuto la mtima komanso zotupa za shuga. Hartil amagwiritsidwanso ntchito pa matenda a ureter ndi impso.

Hartil ali ndi zokonzekera zingapo za analog omwe ali ndi zisonyezo zofananira, koma amasiyana pakapangidwe kake. Monga lamulo, pakalibe Hartil muchipatala, mutha kugula mosamala: Amprialan, Tritace, Rampiril, Pyramil, Corpril ndi mankhwala ena omwe angauzidwe ndi a pharmacist kapena dokotala.

, ,

Zizindikiro Hartil

Zisonyezero zogwiritsira ntchito Hartil zimagwirizanitsidwa ndi ntchito yogwira ntchito ya mankhwalawa komanso momwe zimakhudzira thupi. Hartil amatchulidwa kwa odwala omwe ali ndi matenda monga:

Sitikulimbikitsidwa kumwa mankhwalawa Hartil popanda zisonyezo pakugwiritsa ntchito kwake. Popeza asanakupatseni mankhwala, dokotalayo amawunika momwe wodwalayo alili, kupezeka kwa matenda osachiritsika ndi contraindication. Kudziyendetsa palokha kwa Hartil kumatha kuyambitsa mavuto ena ndikumwa kungokulitsa thanzi la wodwalayo.

, , ,

Kutulutsa Fomu

Kutulutsidwa kwa mankhwala Hartil ndi mapiritsi. Phukusi limodzi mumakhala matuza awiri okhala ndi mapiritsi 14 kapena matuza 4 a mapiritsi 28. Dziwani kuti Hartil amatulutsa zosakaniza 1.25 ndi 2.5 zomwe zimagwira. Mapiritsi Oval kuchokera oyera mpaka achikasu ndi mawonekedwe. Komanso, Hartil amamasulidwa mu 5 mg ndi 10 mg, pankhaniyi, mapiritsi amatha kukhala ndi mtundu wa pinki komanso mawonekedwe ozungulira.

Mlingo wa Hartil amasankhidwa ndi adotolo, aliyense payekha kwa wodwala aliyense. Sitikulimbikitsidwa kumwa nokha mankhwalawa. Popeza chifukwa cha mankhwala osankhidwa bwino, kusamva moyenera komanso kosasinthika kumatha kuchitika.

Mankhwala

Pharmacodynamics ya Hartil zachokera pa ntchito ya yogwira zosakaniza mankhwala. The yogwira mankhwala Hartil - ramipril, linalake ndipo tikulephera ACE, chifukwa cha zomwe hypotensive zimachitika. Mankhwala amachepetsa kuchuluka kwa angiotensin, komwe kumapangitsa kuchepa kwa secretion ya aldosterone. Ramipril amakhudza kayendedwe ka magazi mu minyewa komanso makoma a mtima. Ndi kugwiritsa ntchito mankhwalawa kwa nthawi yayitali, ramipril imayambitsa mavuto ndi matenda omwe ali ndi matenda oopsa.

Kugwiritsidwa ntchito kwa ramipril kumachepetsa kwambiri kupanikizika kwamankhwala mu portal mitsempha, amachepetsa kayendedwe ka microalbuminuria, ndipo odwala matenda a shuga a nephropathy amalemetsanso vuto la impso.

, , , ,

Pharmacokinetics

Ma pharmacokinetics a Hartil ndi machitidwe omwe amachitika ndi mankhwalawa pakulowetsa, ndiye kuti, kunyamula, kugawa, kagayidwe ndi kutulutsa. Pambuyo pa kutenga Hartil, mankhwalawa amatengedwa mwachangu ndi thirakiti la m'mimba ndikufikira pazinthu zambiri za plasma pambuyo pa maola 1-1,5. Mlingo wa kuyamwa kwa mankhwalawa uli pamtunda wa 60% ya mlingo womwe umayendetsedwa. Hartil imapukusidwa mu chiwindi, ndikupanga metabolites yogwira komanso yolimba.

Chonde dziwani kuti Hartil ramipril wogwira ntchito ali ndi mbiri ya pharmacokinetic mbiri. Mukatha kugwiritsa ntchito mankhwalawa, pafupifupi 60% imachotsedwa mu mkodzo, ndipo 40% yotsalayi imachotsedwa, pomwe 2% ya mankhwalawa imachotsedwa. Ngati mankhwalawa amatengedwa ndi odwala omwe amalephera impso, ndiye kuti kuchepetsa kwake kumachepetsedwa kwambiri. Kuchepa kwa enzymatic ntchito vuto la chiwindi ntchito kumabweretsa kutsika mu njira ya yogwira ntchito Hartil mu ramiprilat. Izi zimatha kuyambitsa kuwonjezeka kwa ramipril ndikuyambitsa zizindikiro za bongo.

, , ,

Kugwiritsa ntchito hartil panthawi yoyembekezera

Kugwiritsa ntchito hartil pa nthawi ya pakati kumapangidwa. Chithandizo chogwira mankhwalawa chimasokoneza kukula ndi impso mu mwana wosabadwayo, zimachepetsa kuthamanga kwa magazi, zimayambitsa hypoplasia ndi kuwonongeka kwa chigaza cha mwana. Ndi zoletsedwa kumwa Hartil koyambirira kwam'mimba, chifukwa kumwa mankhwalawa kumawopseza moyo wa mwana. Odwala ambiri, Hartil adayambitsa matenda osokoneza bongo komanso amataya magazi nthawi yoyamba.

Mu trimester yachiwiri, kumwa mankhwalawa ndizotheka, pokhapokha pazifukwa zamankhwala. Nthawi yomweyo, mkazi ayenera kumvetsetsa kuti chithandizo ndi Hartil ndiwopseza mwachindunji kukukula kwakakhalidwe kwa mwana wake wosabadwa. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali ndi chifukwa cha kuledzera kwa mwana wosabadwayo. Ngati mukumwa mankhwalawa pomaliza pake, izi zimayambitsa ischemia ya mwana wosabadwayo ndi placenta, kuchedwetsa kukula ndi kukula kwa mwana. Amayi omwe amatenga Hartil panthawi yoyembekezera amayenera kupita kukasintho ka ultrasound kuti ayang'ane chigaza ndi impso za mwana wawo.

Hartil amaletsedwa kutenga mkaka wa mkaka. The yogwira mankhwala ramipril amuchotseredwa mkaka wa m'mawere. Kuphatikiza apo, kumwa mankhwalawa kumayambitsa kutha kwa mkaka. Pankhaniyi, mankhwalawa amachitika ndi mankhwala otetezeka a analog ndipo amakana kuyamwitsa.

Contraindication

Contraindication pa ntchito Hartil zachokera payekha tsankho kwa yogwira mankhwala. Mankhwalawa amaletsedwa kutenga pakati ndi kutenga mkaka wa m`mawere, pamaso pa matenda osachiritsika komanso zisonyezo zina zingapo zomwe dokotala angadziwe. Tiyeni tiganizire zopinga zazikulu zogwiritsa ntchito Hartil.

Mimba komanso kuyamwa
Hypersensitivity kwa ramipril ndi zina za mankhwala,
Kulephera kwina
Matenda a chiwindi,
Mitsempha yam'mimba,
Ma hemodynamics osakhazikika.

Mosamala kwambiri, mankhwalawa amatengedwa ndi mitral stenosis, chifukwa kuchepa kwambiri kwa magazi kumatha kuchitika. Mankhwalawa ali osavomerezeka kwa odwala omwe ali ndi dialysis, chifukwa palibe chidziwitso chokwanira chokhudza momwe Hartil angakhudzire thupi.

, , ,

Zotsatira zoyipa za Hartil

Zotsatira zoyipa za Hartil zitha kuchitika chifukwa cha mankhwala osokoneza bongo, Hypersensitivity kwa gawo loyambira la Hartil komanso pamaso pa contraindication. Tiyeni tiwone zisonyezo zazikulu za zoyipa tikamamwa mankhwalawa.

Kutsitsa magazi
Myocardial ischemia,
Mutu ndi chizungulire,
Kusowa tulo, kufooka, kukomoka,
Kusokonekera kwa zida zapamwamba,
Kuphwanya kununkhira, masomphenya, kumva ndi kulawa,
Bronchospasm ndi chifuwa,
Kusanza, kutsegula m'mimba, kusanza,
Stomatitis
Cholestatic jaundice,
Thupi lawo siligwirizana pakhungu.
Kuchepa kwa ndende ya hemoglobin,
Vasculitis
Kutukwana ndi kukokana
Neuropenia ndi zizindikiro zina.

Ngati pali zovuta za Hartil, ndikofunikira kusiya kumwa ndikusaka thandizo la kuchipatala.

, , , ,

Mlingo ndi makonzedwe

Njira yoyendetsera ndi kumwa mankhwalawa zimatengera matendawa ndi zizindikiro zake. Kuphatikiza apo, kugwiritsa ntchito mankhwalawa kumatengera kukhalapo kwa ma contraindication, zaka za wodwalayo ndi machitidwe ena a thupi. Mankhwalawa amatengedwa pakamwa, ndipo kudya sikudalira nthawi yakudya. Mapiritsi samalimbikitsidwa kutafuna, amasambitsidwa ndimadzi ambiri. Mlingo wa mankhwalawa umakhazikitsidwa malinga ndi kulekerera kwa Hartil komanso kufunika kochizira.

Ndi ochepa matenda oopsa, tengani 2,5 mg wa Hartil kamodzi patsiku. Kutalika kwa mankhwalawa kuyambira masiku 7 mpaka 14.
Mankhwala ndi kupewa kulephera kwa mtima amatenga 1.25 mg ya Hartil kamodzi patsiku. Kutalika kwa chithandizo kumasankhidwa payekhapayekha, koma osapitilira masabata atatu.
Chithandizo pambuyo infarction am`mnyewa wamtima kumatenga kumwa 2,5 mg wa Hartil patsiku kwa masiku 3-10.
Mankhwalawa nephropathy (odwala matenda ashuga komanso osadwala) kutenga 1.25 mg wa Hartil patsiku. Chithandizo chimatenga masiku 5-10.

Mukamamwa Hartil mu okalamba odwala, odwala aimpso kulephera, aimpso ntchito ndi okodzetsa, mlingo wa mankhwalawa amasankhidwa payekhapayekha.

Bongo

Mankhwala osokoneza bongo a Hartil amapezeka pogwiritsa ntchito mankhwalawa okwanira ndikugwiritsa ntchito mankhwalawa kwa nthawi yayitali. Zizindikiro zazikuluzikulu za bongo zimafotokozedwa ngati kuthamanga kwa magazi, kuchepa kwa magazi m'magazi a electrolyte, bradycardia, kulephera kwaimpso.

Ndi bongo wambiri wa Hartil, phokoso lam'mimba limachitika ndipo ma adsorbents amatengedwa. Ngati muli ndi vuto la bongo, pitani kuchipatala. Pankhaniyi, kukonzanso kwa ntchito zofunika ndi kuwongolera, komanso monga chithandizo chamankhwala, kumachitika.

, ,

Kuchita ndi mankhwala ena

Kuchita kwa Hartil ndi mankhwala ena kumachitika chifukwa cha zamankhwala. Chifukwa chake, kugwiritsa ntchito Hartil ndi corticosteroids, cytostatics imayambitsa kusintha kwa magazi ndikuwonjezera kuthekera kwa kusokonezeka mu dongosolo la hematopoiesis. Hartil akakumana ndi insulin ndi mankhwala ena a sulfaurea, ndiye kuti, mankhwala othandizira odwala matenda a shuga, kutsika kowopsa komanso koopsa kwa shuga m'magazi kumachitika. Izi ndichifukwa choti zinthu zomwe zimagwira Hartil zimawonjezera chidwi cha thupi ku insulin.

Pochita ndi mankhwalawa Hartil, tikulimbikitsidwa kusiya kumwa, chifukwa mankhwalawa amawonjezera mphamvu ya mowa. Kuchita kulikonse kwa mankhwala ndi Hartil kuyenera kuyang'aniridwa ndi adokotala kuti apewe zoyipa.

, , , , ,

Malo osungira

Hartil ayenera kutsatira malangizo omwe akuwonetsedwa mu malangizo ndi mankhwala. Hartil iyenera kusungidwa pamalo abwino, owuma omwe amatetezedwa ndi kuwala kwa dzuwa komanso kwa ana. Kutentha kosungira sikuyenera kupitirira 25 ° C.

Kusagwirizana ndi malo osungira kumabweretsa kuwonongedwa kwa mankhwalawa ndikuwonongeka kwa mankhwala ake. Ngati malo osungirako sawonekera, Hartil wa mankhwalawa amasinthanso mawonekedwe ake - mtundu, fungo ndi zina zambiri.

Momwe mungatengere ndi kukakamiza, mulingo

Malinga ndi malangizo, mapiritsi amatengedwa pakamwa. Palibe chomwe chingagwiritse ntchito nthawi yatsiku kapena chakudya. Piritsi siliyenera kuthyoledwa kapena kutafunidwa; imamwa mowa wonse, kutsukidwa ndi madzi okwanira - osachepera 200 ml.

Dokotala amakhazikitsa mlingo payekha kwa wodwala aliyense. Mlingo woyambirira nthawi zambiri umakhala 1.25 - 2,5 mg 1 - 2 pa tsiku, kuchuluka kwa mankhwalawa kumawonjezeka ngati pakufunika. Mlingo wokonzanso umasankhidwa kutengera mtundu ndi kuuma kwa matenda. Mapiritsi ndizovomerezeka pachiwopsezo kugawidwa pakati.

Ndi ochepa matenda oopsa, tikulimbikitsidwa kutenga 2,5 mg patsiku. Kufunika koonjezera mlingo kumatengera mphamvu zomwe mwapeza, adokotala amatha kuzibwereza m'masabata awiri. Pafupifupi tsiku lililonse yokonza ndi 2.5 - 5 mg, pazipita - 10 mg.

Mankhwala

Pakulephera kwa mtima, muyeso woyamba ndi 1.25 mg. Kutengera zotsatira zake, adotolo amatha kuonjezera. Ngati mukufuna kumwa zoposa 2,5 mg wa patsiku, ndiye kuti mutha kugawa pakati pa 2 kapena 3.

Kuchita

Hartil amalumikizana ndi mankhwala ena motere:

NSAIDs ndi sodium chloride amachepetsa mphamvu ya ramipril,
Kukonzekera kwa lithiamu kumapangitsa kuti impso ndi mtima zizipweteka,
Kukonzekera kwa hepatini ndi potaziyamu limodzi ndi Hartil kumayambitsa chitukuko cha hyperkalemia,
Mankhwala a antihypertensive ndi okodzetsa amawonjezera mphamvu ya Hartil,
Hypoglycemic mankhwala amachepetsa kwambiri magazi,
Cytostatics, allopurinols, corticosteroids zimawonjezera chiopsezo cha zovuta za hemodynamic.

Zofanizira za Hartil zimaphatikizapo:

Zofananira zonse zimasiyana mtengo. Imakhazikitsidwa kutengera wopanga ndi mtundu wa mankhwalawo. Nthawi zambiri, mitengo ya analogi ya Hartil imakhala yotsika. Ampril yokha yopangidwa ku Slovenia ndiokwera mtengo kwambiri. Dokotalayo ayenera kusankha mankhwala osinthira.

Chifukwa chake, Hartil amachiritsa kuthamanga kwa magazi, komwe kumapangitsa kuti munthu akhale ndi thanzi labwino komanso mwachangu. Mankhwalawa, zimachitika kuti magazi asadutse, ntchito zamitsempha yamagazi ndi mtima sizimawonjezeka. Mapiritsi ndiwosavuta chifukwa kugwiritsa ntchito kwawo ndikosadalira chakudya. Kusintha matendawa, njira zambiri zochizira ndi Hartil zimalembedwa, kuthetsedwa, chithandizo chothandizira chimakhalapo kwakanthawi.

Kutenga?

Hartil akuwonetsedwa pakamwa. Mlingo woyambirira ndi 2.5 mg patsiku.

Masabata atatu otsatirawa, ngati kuli kotheka, amathanso kuwirikiza. Mlingo wokwanira wa mankhwalawa sayenera kupitilira 10 mg. Mapiritsi a Hartil omwe akutsatira ayenera kugwiritsidwa ntchito pazomwe zimapangitsa kuti mankhwalawo asagwiritse ntchito.

Kulephera kwa mtima, 1.25 mg ya mankhwalawa imayikidwa tsiku lililonse pang'onopang'ono kuchuluka kwake. Kutalika kwake ndi 10 mg patsiku.

Zotsatira zoyipa

Chimodzi mwazotsatira zoyipa za Hartil chithandizo ndi orthostatic hypotension. Amadziwika ndi kuchepa kwamphamvu kwa kuthamanga kwa magazi.

Nthawi zina, mankhwala amatha kutsatiridwa ndi:

arrhasmia, kusokonezeka kwa ziwalo zosiyanasiyana, ischemia ya myocardium ndi ubongo,
Kulephera kwa impso, kutsika libido, kutsika kwamikodzo mkodzo,
mutu, kugona, kumva kufooka, kunjenjemera kwa miyendo. Wodwala amatha kupeza kusefukira kwamanjenje, kusintha kwamwadzidzidzi pamasokonezo, nkhawa,
kuphwanya ziwalo za fungo, masomphenya, kumva. Wodwala amatha kulephera kulawa.
kusowa kwa chakudya, nseru, kusanza, kudzimbidwa, kapena chimbudzi. Odwala ndi kapamba, matendawa amatha kuchuluka,
kupuma matenda: sinusitis, bronchitis, bronchospasm, chifuwa chowuma,
osiyanasiyana thupi lawo siligwirizana pakhungu, urticaria, kuyabwa,
kupweteka kwa minofu ndi minofu, kutupa.

Wodwala yemwe akutenga Hartil amatha kutsika mu hemoglobin m'magazi, conjunctivitis ndi thrombocytopenia, neutropenia, kupweteka, kuchuluka thukuta, hyperkalemia. Mumkodzo wa wodwala, kuchuluka kwa urea nayitrogeni nthawi zina kumachuluka.

Hartil imasokoneza chitukuko cha mwana wosabadwayo wamtsogolo. Amakhala ndi vuto la impso, kuthamanga kwa magazi ake kumachepa, mapapo ake am'mimba amayamba, ndipo chigaza chake chimakhala chopindika.

Kuopsa kwa bongo

Mankhwala osokoneza bongo a Hartil ndi owopsa kwambiri kwa anthu.

Kuchepetsa zovuta kumatha kuyambitsa kutsika kwa mtima, kugwedezeka, wodwala amakhala ndi vuto lodana ndi mchere, ndipo impso zimayamba kugwira ntchito molakwika.

Zizindikirozi zikawoneka, wodwalayo amagona ndi miyendo yokwezeka komanso mankhwala omwe amalimbikitsa kuthamanga kwa magazi amaperekedwa kwa iye.

Mitu ya mankhwalawa

Hartil ali ndi fanizo lotsatirali:

Mu mankhwala a Hartil, mutha kugula pamtengo wotsika ndi ma ruble 300 pachilichonse. M'masitolo ogulitsa pa intaneti, mtengo wa mankhwalawo ndi wotsika pang'ono.

Odwala ena amaliona ngati mankhwala osagwira ntchito. Amaona kuti nthawi ndi nthawi amakulitsa kukakamizidwa. Izi zimachitika chifukwa cha mlingo wosankhidwa bwino.

Ndemanga za Hartil ndizabwino. Ena amakhala ndi zotupa pakhungu chifukwa cha zotupa, pomwe ena amakhala kugona ndi kufooka. Munthawi zonsezi, katswiri waluso amasankha mlingo woyenera kapena m'malo mwa mankhwalawo ndi wina.

Q & A

Mafunso odziwika kwambiri okhudza zovuta zomwe zimachitika pakumwa mankhwala Hartil ndi mayankho ake:

Kodi bambo atha kutenga Hartil amasokoneza thanzi la mwana wosabadwa? Yankho: Ayi. Genetics imati kuwopsa kwa mankhwalawa kwa mwana wosabadwayo kumachitika pokhapokha atatenga mayi wapakati.
Kodi ndizotheka kumwa mankhwala osagwirizana ndi dokotala ngati kupanikizika kwa wodwala kumapitilira? Yankho: Ayi, ayi. Ndi mankhwala osankhidwa bwino, kuthamanga kwa magazi a wodwala kumatha kugwa kwambiri, vuto mu mtima limatha kuchitika, ndipo mu milandu yayikulu kwambiri, ndikumwa mankhwala osokoneza bongo kwambiri, zotsatira zake zingachitike.
Kodi chifuwa chimagwirizana ndi Hartil? Yankho: chifuwa chimaphatikizidwa pamndandanda wazotsatira mukamamwa mankhwalawa, koma yankho lenileni la funsoli, muyenera kuyesedwa kwathunthu, kulumikizana ndi katswiri kuti muthandizidwe.

Makanema okhudzana nawo

Mankhwala Hartil - mapiritsi a kukakamiza, omwe amakulolani kusintha mwachangu komanso moyenera chikhalidwe cha matenda oopsa. Mukatenga, tachycardia sichimachitika, imakhudza mtima wamtima. Mankhwalawa ndi osavuta kugwiritsa ntchito chifukwa chakuti kugwiritsa ntchito kwayekha sikudalira chakudya.

Mosamala, mankhwalawa amalembedwa kwa odwala omwe ali ndi matenda ena aliwonse, kuphatikizapo chiwindi, impso ndi ziwalo zopumira. Kuti akonze zambiri, Hartil ayenera kutengedwa nthawi yayitali. Ikathetsedwa, kupanikizika sikukwera kwambiri, ndiye kuti, othandizira amasungidwa.

Amachotsa zoyambitsa zovuta
Imachepetsa kupanikizika mkati mwa mphindi 10 pambuyo pa kutsata

Malangizo ogwiritsira ntchito Hartila

Malinga ndi malangizo a Hartil, mankhwalawa amatumizidwa pakamwa. Palibe zonena za nthawi yakudya. Mapiritsi sayenera kutafunidwa, komabe, ndikofunikira kumwa ndi madzi osachepera 200 ml. Mlingo wa Hartil wa wodwala aliyense umakhazikitsidwa ndi dokotala wokhazikika, pomwe pali mitundu yolimbikitsidwa ya mankhwalawa yomwe imadalira matenda ena ake.

Ndi ochepa matenda oopsa, muyenera kuyamba ndi limodzi mlingo wa 2,5 mg wa Hartil patsiku. Ngati ndi kotheka, onjezani mlingo uliwonse pakatha milungu iwiri ndi iwiri, ndikuchulukitsa. Pankhaniyi, mulingo woyenera sayenera kupitirira 10 mg ya mankhwalawa patsiku.

Pankhani ya vuto la mtima mu mawonekedwe osakhazikika, tikulimbikitsidwa kuti muyambe kumwa Hartil ndi 1.25 mg tsiku lililonse. Mlingo amathanso kuwirikiza kawiri sabata iliyonse. Zambiri zimakhalanso 10 mg patsiku.

Pochiza pambuyo poyambira m'matumbo am'mimba, kutenga Hartil tikulimbikitsidwa kuti muyambe masiku angapo pambuyo pake (kuyambira 2 mpaka 9) atatha kudwala kwambiri. Mlingo woyambirira umatengera momwe wodwalayo alili komanso nthawi yomwe adadutsa kuyambira gawo lomaliza ndipo, monga lamulo, ndi mapiritsi awiri a 2,5 mg kawiri patsiku (kapena mlingo wofanana wa mapiritsi a 1.25 mg). Ngati ndi kotheka, tsiku lililonse mlingo ungakhale wowirikiza. Mlingo wovomerezeka tsiku lililonse ndi 10 mg.

Kwa nephropathies (odwala matenda ashuga komanso omwe alibe shuga), malangizo a Hartil amalamula kumwa mankhwala a 1.25 mg kamodzi patsiku. Mlingo utha kuchulukitsidwa pochulukitsa milungu iwiri iliyonse. Ndi bwino kumwa osaposa 5 mg ya mankhwalawa patsiku.

Poletsa sitiroko, myocardial infarction kapena kufa chifukwa cha matenda amtima, mlingo woyambira wa Hartil ndi 2.5 mg. Ndi kulekerera bwino kwa mankhwalawa, mlingo umachulukitsidwa pambuyo pa sabata limodzi, pakatha masabata atatu umatha kubwerezanso. Pazipita tsiku lililonse ndi 10 mg.

Njira zopewera kupewa ngozi

Pogwiritsa ntchito Hartil ndi analogues, kuyang'anira pafupipafupi kwachipatala ndikofunikira mwachangu. Izi zimachitika makamaka pakachitika koyamba kwa mankhwalawa komanso kuwonjezeka kwa mlingo wake. Mkati mwa maola 8 kuchokera nthawi yomwe mumamwa mankhwalawa, kuchuluka kwa kuthamanga kwa magazi kumalimbikitsidwa.

Musanayambe kumwa mankhwalawa, ndikofunikira kusintha Hypovolemia ndi madzi am'madzi.

Odwala omwe ali ndi vuto la impso, opuwala aimpso ndipo pambuyo pakuwonjezeka kwa impso amafunika kuyang'aniridwa mosamala pamene akutenga Hartil.

Palibe chidziwitso chokwanira chokhudzana ndi kugwiritsa ntchito Hartil mwa ana ndi odwala panthawi ya dialysis.

Pakakhala kuchepa kwa kuthamanga kwa magazi, odwala omwe amatenga Hartil akulangizidwa kusiya ntchito zomwe zimafuna kuti azikhudzidwa kwambiri.

Zimagwira bwanji?

Mapiritsi a Hartil ali m'gulu la mankhwala ochepetsa ACE. Mothandizidwa ndi zigawo zikuluzikulu, kusintha kwa angiotensin woyamba wachiwiri kumalepheretsa. Njirayi imayima palokha wa plasma renin. Kugwiritsa ntchito kapangidwe kamtundu kumabweretsa zotsatira kutanthauziridwa. Zizindikiro zimachepa onse wodwala atayimirira, komanso akagona. Ndondomekozi siziphatikizidwa ndi kuwonjezeka kwa pafupipafupi kwa minofu ya mtima. Mothandizidwa ndi mankhwalawa, kuchuluka kwa aldosterone opangidwa m'thupi kumachepa.

Mapiritsi a Hartil amathandizira kuchepetsa kutsitsa, kutsitsa, kuchepetsa kukana kwa ziwiya zopumira. Kutha kwa dongosolo lamtima wamtima kukana katunduyo kukukula, ndikukwera kuposa IOC. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumathandizira kusintha njira zama hypertrophic mu myocardium, chifukwa cha kuthamanga kwa magazi. Kugwiritsa ntchito moyenera mankhwalawa kumachepetsa chiwopsezo chobwereza ma episode a arrhythmia, omwe amadziwika kwambiri motsutsana ndi maziko amomwe myocardial reperfusion imakhudzira. Mothandizidwa ndi ramipril, kuthamanga kwa magazi m'magazi a minyewa yamtima yomwe ikukhudzidwa ndi ischemia kumakhala bwino. Mankhwala amalepheretsa kusintha kwa mtima endothelium motsutsana ndi maziko a kudya mafuta ambiri m'thupi.

Pharmacology ndi luso

Zochita za Hartil zimawerengeredwa ngati mtima. Izi zikuchitika chifukwa cha kusintha kwa njira zopangira Pg, NO. Dongosolo la kallikrein-kinin limayamba kugwira ntchito kwambiri, kuwonongeka kwa bradykinin kumalepheretsedwa, chifukwa chomwe kuzungulira kwa gulu ili mthupi kumakulirakulira. Zotsatira zake, kusintha kwamphamvu kwa mankhwala a Pg kumayendetsedwa. Mothandizidwa ndi njirazi, kuthamanga kwa magazi m'chiwindi ndi mtima kumayamba kugwira ntchito, kuphatikizika kwa ma cellulo kumachepa.

The ramipril zomwe zilipo pakukonzekera kwa Hartil kumawonjezera chidwi cha organic zimakhala mpaka insulin. Pamodzi ndi izi, zomwe zili mu fibrinogen zikukula, kupanga kwa plasminogen kumayamba kugwira ntchito. Zonsezi ndizofunikira kwa thrombolysis yogwira.

Ma Performance Nuances

Mu malangizo ogwiritsira ntchito Hartil, wopanga akuwonetsa nthawi yomwe angagwiritse ntchito bwino mankhwalawa. Kuyesedwa kwawonetsa kuti kutchulidwa kwa antihypertensive kumatha kumveka patha ola limodzi ndi theka mutatha kumwa mankhwalawa. Zotsatira zamphamvu kwambiri zimawonedwa pambuyo pa maola 5-9. Kutalika kwa mphamvu ya mlingo umodzi ndi tsiku limodzi. Mankhwalawa alibe matendawo.

Kugwiritsa ntchito moyenera molingana ndi malangizo ogwiritsira ntchito "Hartila" kumakuthandizani kuti muchepetse kufa kwa vuto la mtima. Izi sizikugwira ntchito kokha kumayambiriro, komanso ku nthawi yakutali. Kuchekeranso kwa vuto la mtima kumachepa, chiwopsezo cha matenda amtima chimachepa. "Hartil" imathandizira kukulitsa kuchuluka kwa kupulumuka mu mawonekedwe osatha a kulephera kwa mtima, imawongolera moyo wa anthu omwe akuvutika ndi matenda awa.

About chithandizo: tcherani khutu

Mu malangizo ogwiritsira ntchito "Hartil", wopangayo akuwunikira zabwino za kumwa mapiritsi olakwika a mtima, omwe amapezeka pazifukwa zosiyanasiyana, kuphatikizira omwe adabadwa kuchokera pakubadwa. Ramipril amathandizira kutsitsa matenda oopsa, amakhudza gawo lozungulira la magazi. Kuchita bwino kumawonedwa ndi maphunziro a miyezi isanu ndi umodzi ogwiritsira ntchito mosalekeza kapena nthawi yayitali.

Zotsatirazi monga momwe angagwiritsire ntchito, "Hartil" angagwiritsidwe ntchito polemba matenda oopsa mu mawonekedwe a portal. Mankhwala amathandizira kukhazikika, kuchepetsa kupanikizika. Mlingo wa microalbuminuria umachepetsedwa ngati mkhalidwe wa pathological wayamba kumene kukulira. Kuchuluka kwa kusagwira ntchito kwa mtima kumatsika ndikulephera kwa thupilo panthawi ya nephropathy yolimbana ndi matenda a shuga. "Hartil" imakhala yofunikira kwambiri ngati vutoli likuyenda limodzi ndi kusagwira bwino ntchito kwa impso, kuwonongeka kwa ziwalo.

Zosatheka mwamphamvu!

Kutsutsana kwa Hartil kumaphatikizapo hypersensitivity kwa ramipril ndi mankhwala othandizira omwe amagwiritsidwa ntchito ndi wopanga popanga mankhwalawa. Simungagwiritse ntchito mapiritsiwa ngati m'mbuyomu, ACE inhibitors anali limodzi ndi hypersensitivity reaction. Sizoletsedwa kugwiritsa ntchito mawonekedwe ngati angioneurotic edema adasamutsidwa kale. Ndikofunikira kwambiri kuwona izi ngati vutoli lidayambitsidwa ndi ACE inhibitor kapena ataonedwa mukumwa mankhwalawa.

Simungagwiritse ntchito mawonekedwe ndi kulephera kwambiri kwa aimpso, pomwe kuvuta kwa creatinine kumakhala pafupifupi 20 ml / mphindi kapena kuchepera. Mankhwalawa sioyenera kuthandizira amayi apakati komanso amayi oyamwitsa. Mwapadera siziphatikiza "Hartil" ndi mowa. Munthawi yamankhwala, muyenera kupatula mowa uliwonse pazomwe mumachita tsiku ndi tsiku.

Kodi ndizoyenera kugwiritsa ntchito?

Monga tingaonere pa ndemanga za "Khartil", anthu omwe adachitapo kanthu ndi zomwe zidapangidwira, ambiri, adakhutira ndi momwe amathandizira. Chida chimathandizira kukhazikika kwa zowerengera, kusintha ntchito ya mtima, mtsempha wamagazi. Nthawi yomweyo, ndemanga za Hartil zomwe zimasiyidwa ndi anthu omwe amagwiritsa ntchito kuyang'aniridwa ndi dokotala zinali zabwino. Odwala omwe amadzisankhira okha, popanda upangiri wa udokotala, amakumana ndi zovuta zambiri, nthawi zambiri ndizofunikira kwambiri kotero kuti kupitiliza mapiritsi sikungatheke.

M'makalata ophatikizidwa, wopanga akuwonetsa kuthekera kwa kupatsa Hartila mosamalitsa malinga ndi mankhwala, kusaloledwa kutenga chinthucho popanda kuyang'aniridwa ndi dokotala woyenera. Kuchokera pamawunikawa zimatsata kuti malamulo opangira tchuthi mosamalitsa samawonedwa m'mafamu onse. Komabe, ndikulimbikitsidwa kuti musayike moyo wanu pachiwopsezo komanso kugwiritsa ntchito zoletsa za ACE pokhapokha mutakumana ndi dokotala.

Momwe mungagwiritsire ntchito?

Ndikofunikira kuti musangotenga umboni wa Hartil, komanso kumwa mapiritsi molondola. Wopangayo akuwunikira kufunika kameze makapisozi kwathunthu, osafuna kutafuna. Kulandila sikumangidwa pachakudya. Ndikofunikira kumwa piritsi lililonse ndi theka la kapu ya madzi oyera popanda zowonjezera.

Pankhani ya matenda oopsa, kuchuluka kwa "Hartil" kuli motere: voliyumu yoyamba ndi 2,5 mg pakamwa kamodzi patsiku. Ngati chithandizo ichi sichikuwonetsa zotsatira zomwe mukufuna, mutatha masabata awiri awiri mutha kuchuluka. Mpaka 10 mg ya chinthucho chitha kutumikiridwa kwa maola opitilira 24. Monga othandizira mulingo woyenera wa 2.5-5 mg.

Ngati mtima suyenda bwino mu mtima, "Hartil" umagwiritsidwa ntchito kuchuluka kwa 1.25 mg patsiku. Ngati mawonekedwewa satipatsa kukhazikika komwe mukufuna, mavoliyowa amawonjezeredwa. Pakati pakukula kwa mankhwalawa, ndikofunikira kupirira masiku 7-14. Ngati akuwonetsedwa kugwiritsa ntchito mankhwalawa 2.5 mg kapena zochulukirapo patsiku, mutha kugwiritsa ntchito mankhwalawa nthawi imodzi kapena kugawa awiri. Simungathe kugwiritsa ntchito zoposa 10 mg ya mankhwalawa patsiku.

Mlingo wothandizira: kusakwanira kwa dongosolo la mtima

Adotolo, omwe akuwonetsa mawonekedwe ake, akufotokozera chifukwa chake "Hartil" adayikidwa m'malo mwake, momwe mapiritsi angathandizire kukhazikika kwa mkhalidwe wa wodwalayo komanso momwe angagwiritsire ntchito molondola kuti kulolerana kukukulidwe. Ndikofunika kulabadira malongosoledwe awa pakuwunika kulikonse komwe kumafunikira kugwiritsa ntchito Hartil, koma odwala omwe ali ndi vuto la mtima, kuphatikizapo mawonekedwe omwe ali ndi vutoli, ayenera kukhala osamala kwambiri.

Ngati munthu wadwala matenda a mtima mkati mwa vuto la mtima, Hartil amagwiritsidwa ntchito ndi 5 mg tsiku lililonse, kugawa bukuli m'magawo awiri, pomwe amayima kwa maola 12 okha. Ngati kulolerana kuli kofooka, mlingo umakhazikika, kumwa 1.25 mg ya mankhwalawa kawiri patsiku. Mtunduwu umathandizidwa masiku awiri, mutatha kuwonjezera kuchuluka kwamagwiritsidwe. Ngati anaganiza zochulukitsa, masiku atatu oyambawo azigawika magawo awiri, kusunga nthawi yopumira kwa maola 12 pakati pawo. Pambuyo pa masiku atatu oyamba, voliyumu ya tsiku ndi tsiku imatha kugwiritsidwa ntchito nthawi. Zolemba malire patsiku zimagwiritsidwa ntchito osaposa 10 mg ya mankhwalawa. A HFil wosalephera, "Hartil" imayikidwa koyamba mu kuchuluka kwa 1.25 mg patsiku, ndikuwonjezera pang'onopang'ono, ndikuwonetsetsa momwe wodwalayo amayankhira chithandizo.

Matenda enanso ndi magwiritsidwe ntchito ake

Malinga ndi malangizo, mankhwalawa amathandizira nephropathy chifukwa cha matenda ashuga komanso zina. Ndi matenda awa, mankhwalawa amatengedwa pa 1.25 mg patsiku, ndikuwonjezera pang'onopang'ono, ngati pali umboni wa izi. Mulingo woyenera kwambiri wokonzedwa amawonedwa kuti ndi 2,5 mg. Ngati mukufunikira kuchuluka kwa mankhwalawa, kuwonjeza kawiri kawiri kawiri kumachitika ndi masabata awiri a 2-3 pakati pa kusintha kwakukulu. A 5 mg wambiri amaloledwa kugwiritsa ntchito mankhwalawa.

Monga njira yolepheretsa kupewa matenda okhudzana ndi matenda a mtima, kugunda kwa mtima, kufa kwa coronary, Hartil amalembedwa kuchuluka kwa 2.5 mg kamodzi tsiku lililonse. Ngati ndi kotheka, kamodzi pa sabata, mutha kukweza mlingo, nthawi iliyonse ndikuwonjezera kuchuluka ndi theka. Simungagwiritse ntchito kapangidwe kake kupitirira 10 mg patsiku.

Mawonekedwe a Mlingo

Ngati matenda a a impso amalephera, pomwe kupezeka kwa creatinine kumasiyana 20-50 mg / min, Hartil amagwiritsidwa ntchito koyamba kuchuluka kwa 1.25 mg patsiku. Kutalika kokwanira tsiku lililonse ndi 5 mg. Pankhani ya kulephera kwa impso kwa tsiku limodzi, amaloledwa kugwiritsa ntchito osaposa 2.5 mg ya mankhwalawa.

Ngati wodwalayo adagwiritsa ntchito diuretics kale, "Hartil" yoyamba imafotokozedwa kuchuluka kwa 1.25 mg. Kukana kwa okodzetsa kuyenera kuchitika masiku atatu isanayambike kugwiritsa ntchito zoletsa za ACE.

Ngati sizotheka kuthetsa kulephera pamlingo wamagetsi ndi madzi m'thupi motsutsana ndi matenda oopsa, mankhwalawa amagwiritsidwa ntchito ndi 1.25 mg patsiku. Mlingo woyamba wofananawo umalimbikitsidwa panthawi yomwe kuchepa kwa kukakamizidwa kumayenderana ndi chiwopsezo chowonjezeka.

Zotsatira zoyipa

Wopanga matabuleti m'mapepala omwe ali pompano akuwonetsa zonse zoyipa za Hartil. Amadziwika kuti mankhwalawa amatha kuyambitsa kupsinjika kwambiri, ischemia, kugunda kwa mtima, kukomoka, kusayenda bwino pafupipafupi komanso kuthamanga kwa kugunda kwa mtima, kugunda, kutupa. Kwakukulu, kuthekera kwa kuyamwa kwa thupi kotereku kumachitika mwanjira yoyenera yosagwiritsa ntchito mankhwalawa komanso mopitirira muyeso wololedwa.

"Hartil" imatha kuyambitsa kukhazikika kapena kutseguka kwa matenda a impso, kuchuluka kwamikodzo, kusagwira bwino ntchito kumimba. Pali nthawi zina pomwe odwala anali ndi vuto lokhalitsa mokomoka, anali kudwala komanso chizungulire, mkhalidwe wawo unali wamanjenje komanso wamisala, nkhawa, kudziwa kwawo kunasokonekera.Pali chiopsezo cha kukhumudwa, kupsinjika maganizo, kugona tulo, kufooka. Kusanza ndi mseru, kukhumudwa pang'onopang'ono, kufuna kumwa, kusokoneza chiwindi.

"Hartil" imatha kupangitsa mphuno yakumwa, chifuwa, kupindika kwa bronchi, kusokoneza mayendedwe a kukoma, kununkhira, mawu, zithunzi. Pali chiopsezo cha thupi lawo siligwirizana, kusokonezeka kwa hematopoietic dongosolo. Pamaso pa psoriasis, matendawa amatha kukulirakulira. Milandu yodziwika yotayika tsitsi, kutentha thupi. Kuyesedwa kwa Laborator kumatha kuwonetsa kuwonjezeka kwa zomwe zimapangidwa ndi creatinine, ammonium, bilirubin, potaziyamu, mapangidwe apuloteni amapezeka mumkodzo, ndipo ma enzymes a chiwindi amayambitsidwa. Mwa odwala matenda ashuga, Hartil osowa nthawi zambiri adayambitsa hypoglycemia.

Hartil ndi pakati

Panthawi yobala mwana, mankhwala omwe amafunsidwawa saloledwa kugwiritsidwa ntchito. Zadziwika kuti magawo omwe amagwira ntchito amapangitsa kuti impso ya mwana wosabadwayo iyambe kupangika. Mwana wosabadwayo amachepetsa kuthamanga kwa magazi, mkhalidwewu umapitirira pambuyo pobadwa. Chifukwa cha Hartil, matenda a impso, kusowa kwa potaziyamu m'thupi, miyendo imatha. Milandu yakuwonongeka kwa cranial, hypoplasia imadziwika. Hartil imatha kuyambitsa pulmonary hypoplasia ndi oligohydramnios.

Mitengo ndi njira zina

Pakadali pano, phukusi limodzi la "Khartil" m'masitolo amapempha kwa ma ruble 225 kapena kupitirira. Ngati ndizosatheka kupereka mankhwalawa, muyenera kufunsa dokotala kuti musankhe zina. Monga lamulo, amalimbikitsa kufananizira kwa Russia kwa Khartil: mtengo wawo umakhala wotsika mtengo. Simuyenera kusankha nokha mankhwalawo m'malo mwa omwe adauzidwa ndi adotolo - izi zimagwirizanitsidwa ndi chiopsezo chowonjezeka cha maphunziro, mawonekedwe a zovuta zoyipa.

Zofananira zaku Russia za Hartila:

Mankhwala oyamba amalipira pafupifupi zofanana ndi mankhwala omwe amafunsidwa, mtengo wachiwiri umatsika kwambiri - pafupifupi 90 ma ruble.

M'malo mwa mankhwala omwe tafotokozawa mulinso:

Chitetezo Choyamba: Mbali Zovomerezeka

Wopanga zolemba zotsatirazi akuwonetsa kufunikira kwa kulingalira mozama mkhalidwe wa wodwalayo atagwiritsidwa ntchito koyamba kwa Hartil, komanso pambuyo poti muwonjezere mlingo wa mankhwalawo kapena kuyamba kutenga waukulu milingo ya okodzetsa pamodzi ndi mankhwalawo. Pafupifupi maola asanu ndi atatu, ndikofunikira kuwunika momwe wodwalayo alili mu chipatala kuti muwone zomwe zimachitika munthawi yake, akufunika thandizo mwachangu.

Ndi CHF, kugwiritsa ntchito mapiritsi kumatha kuyambitsa kwambiri hypotension. Pakhala pali zochitika zina pomwe izi zimaphatikizidwa ndi azotemia, oliguria, ngakhale kulephera kwa impso mu mawonekedwe owopsa, ngakhale izi ndizosowa kwambiri.

Ndi vuto lamtima loyambirira, systole yocheperako yothandizira mankhwalawa ndi magawo zana. Ndi mawonekedwe oopsa a matenda oopsa kapena kuwonongeka kwa HF, ndikofunikira kuti muyambe kumwa Hartil pokhapokha pazoyang'anira, moyang'aniridwa ndi dokotala.

Zodziwikiratu zamankhwala

Musanayambe kugwiritsa ntchito Hartil, muyenera kuyesedwa kuti muwone momwe magazi amayendera, ndi hematopoietic system. Ndikofunikira kuyerekezera kuchuluka kwa leukocytes, kuwerengera formu ya leukocyte. M'tsogolomu, macheke otere adzafunika kamodzi pamwezi wa 1-6. Ndikofunikira kwambiri nthawi zonse kuzisonyeza kwa anthu omwe akuwonetsa kuti akhoza kukhala neutropenia. Ngati neutropenia yatsimikiziridwa, ndikofunikira kusiya ACC zoletsa.

Mukamamwa mankhwala ofotokozedwawa, ndikofunikira kupenda kuchuluka kwa kupanikizika, kugwira ntchito kwa impso, ma seramu electrolyte, potaziyamu, ndi ntchito ya ma enzymes a chiwindi.

Kafukufuku wa Epidemiological akuwonetsa kuti kuphatikiza kwa ACE zoletsa ndi insulin, komanso njira zowongolera hypoglycemia mu mawonekedwe a makonzedwe apakamwa, kungayambitse hypoglycemia. Kuwopsa kwakukulu kwa matenda amtunduwu m'milungu ingapo yoyambirira ya mankhwala othandizira. Choopsa chachikulu kwa wodwalayo, yemwe impso zake zimagwira ndi zodwala. Anthu odwala matenda ashuga amawonetsedwa kuti azitsatira glycemia pafupipafupi. Izi ndizofunikira makamaka mwezi woyamba wogwiritsa ntchito Hartil.

Zomwe zikuchitika ndi kaperekedwe ka mankhwala

Ngati "Hartil" adalembedwa kwa anthu omwe amakakamizidwa kudya ndi mchere wochepa, komanso motsutsana ndi maziko akukana mchere wathunthu, mankhwalawa amayenera kukhala osamala kwambiri, popeza kuopsa kwa hypotension ndikofunikira kwambiri kuposa kwamagulu ena odwala. Ndi kuchepa kwa BCC, komwe nthawi zambiri kumawonedwa motsutsana ndi maziko ogwiritsira ntchito diuretic, kugwiritsa ntchito mchere pang'ono, kusanza, chopondera komanso kufunika kwa dialysis, chiopsezo cha hypotension chikuwonjezeka.

Ndikofunikira kukumbukira kuti transistor hypotension sichiri chifukwa chokana mapiritsi a Hartil. Mankhwalawa akupitiliza kugwiritsidwa ntchito pamene mavuto akukhala mwamtendere. Ngati matendawo apezekanso, mlingo umachepetsedwa kapena mankhwalawo athera.

Ngati mayi adagwiritsa ntchito Hartil pa nthawi yoyembekezera, pambuyo pobadwa ndikofunikira kuti aziwunika momwe mwana aliri kuchipatala. Kutheka kwakukulu kwa potaziyamu m'thupi, kuthamanga kwa magazi, oliguria. Mu mtundu wotsiriza wa pathological mkhalidwe, thandizo la kukakamiza ndi kuphatikizira kwa impso kumachitika mwa kuyambitsa vasoconstrictor othandizira ndi madzi.

Kupanga ndi kuchitapo kanthu

The analemba mankhwala zikuphatikiza:

ramipril (5 kapena 10 mg),
sodium bicarbonate,
lactose monohydrate,
wowuma mbatata
khalidal
stearyl sodium
oxide wachitsulo ndi wofiyira.

Zomwe zimagwiritsidwa ntchito zimakhala ndi izi:

Imakakamiza ntchito ya ACE. Kuthamanga kwa magazi kumachepa popanda kuwonjezeka kwa mtima. Kuponderezedwa kwa ACE kumabweretsa kuchepa kwa milingo ya angiotensin, yomwe imayendera limodzi ndi kuchuluka kwa renin m'madzi a m'magazi. Ramipril amakhudza ACE opezeka m'magazi ndi mtima makoma.
Amachepetsa kukana kwa zotumphukira, amachepetsa kupanikizika m'mitsempha.
Zimawonjezera kutulutsa kwamtima. Izi zimapangitsa minofu ya mtima kukana zolimbitsa thupi.
Ndi kukonzanso kwa nthawi yayitali, amachepetsa kusintha kwa kusintha kwa mitsempha mu mtima mwa odwala omwe ali ndi matenda oopsa.
Amachepetsa chiopsezo cha arrhythmias pamene ayambiranso magazi ku malo a ischemic. Zimalepheretsa kukula kwa myocardial infarction.
Imalepheretsa kuwonongeka kwa bradykinin, imalimbikitsa kutulutsidwa kwa nitric oxide mu endothelium.

Kugwiritsa ntchito ndi mlingo wa Hartil

Mapiritsi amatengedwa pakamwa popanda kutafuna. Ndikulimbikitsidwa kumwa mankhwalawa ndi madzi ambiri. Imwani mankhwala mosasamala zakudya.

Malangizo amakhazikitsidwa ndi mtundu wa matenda:

Matenda oopsa. Chithandizo cha mankhwalawa chimayamba ndi kuyambitsa 2,5 mg wa ramipril patsiku. Masiku 14 aliwonse, mlingo umachulukitsidwa kawiri. Osamamwa mapiritsi opitilira 2 a Hartil Amlo patsiku.
Kulephera kwa mtima. M'masabata awiri oyamba, 1.25 mg yogwira ntchito imaperekedwa tsiku lililonse. Kutengera ndi zotsatira zamankhwala, zimachulukitsidwa masiku onse 14-28. Pazipita tsiku mlingo 10 mg.
Zochitika pambuyo pa infaration. Mankhwalawa amayamba kutengedwa masiku atatu mpaka atatu atadwala kwambiri. Mlingo woyamba ndi 5 mg, umagawidwa pawiri. Pambuyo masiku 10, mlingo ukuwonjezeka ndi 2 zina. Zotsatira zosafunikira zikachitika, zimatsitsidwa.
Matenda a impso. Mlingo wa tsiku ndi tsiku ndi 1.25 mg. Pambuyo pa milungu itatu, imakwezedwa mpaka 2,5 mg. Ngati ndi kotheka, tsiku lililonse mlingo umagawidwa pawiri.