Lorista ndi Amlodipine

Kodi nditha kumwa Amlodipine ndi Lorista ndi matenda oopsa?

Kugwirizana kwa Lorista ndi Amlodipine

Mankhwalawa adapangidwira matenda oopsa. Zotsatira zake pakathupi ndizosiyana, koma zimaphatikizana bwino. Amlodipine amayimitsa kulumpha mu kuthamanga kwa magazi. Lorista amagwiritsidwa ntchito pochiritsa kwa nthawi yayitali ndipo zotsatira za chithandizo zimawonekera patatha masiku ochepa ovomerezeka. Mankhwala onsewa ndi ofunikira kulephera kwa mtima kwa odwala okalamba.

Lorista ndi Amlodipine ali ndi mavuto, choncho ndi madokotala okha omwe amawalemba, kutengera mbiri ya wodwala aliyense. Nthawi zambiri zimachitika kuti wodwala wowopsa amayamba kudzipulumutsa yekha, kenako zimadziwika kuti mankhwalawa amangovulaza, koma osathandiza.

Kuyerekezera Mankhwala

Zochizira matenda oopsa, mankhwalawa onse amaperekedwa pamodzi, koma zotsatira zake zimakhala zosiyana kwambiri. Mavuto akachitika, "Amlodipine" amalembedwa, amathandizira mwachangu ndikupewa kuukira, ndipo kupanikizika kumacheperachepera. "Lorista" ndi njira yothandiza kwambiri yogwiritsidwa ntchito kwa nthawi yayitali. Mankhwalawa ndi a gulu latsopano la mankhwala a antihypertensive, kuchepa kwamphamvu kwa magazi kumachitika pokhapokha patatha masiku angapo oyang'anira. Amachepetsa mitsempha yamagazi ndikuletsa thrombosis, amachepetsa kuthamanga kwa magazi komanso kupewa mtima.

Amlodipine komanso Lorista ndi oyenera kuchitira odwala matenda oopsa.

Ndi zizindikiro ziti zomwe zikuyenera kugwiritsidwa ntchito?

Mankhwala "Lorista" analamula kuti ochepa matenda oopsa, mtima kulephera, nephropathy odwala matenda a shuga, kupewa matenda oopsa a mtima. "Amlodipine" amagwiritsidwa ntchito pofalitsa matenda oopsa, obwera chifukwa cha angina pectoris, arrhythmias, Chifukwa chake, ndi mankhwala a antihypertensive, mankhwalawa nthawi zambiri amaperekedwa palimodzi.

Mlingo ndi kugwiritsa ntchito

"Lorista" imapezeka m'mapiritsi a 25, 50 ndi 100 mg, chopangira chachikulu - losartan, ndi cha gulu la sartani. Ndi ochepa matenda oopsa, mlingo wa mamiligalamu 50 umakhazikitsidwa kamodzi patsiku. Woopsa, 100 mg amaloledwa. Pogwiritsa ntchito ma diuretics ophatikizika, mlingo umatha kuchepetsedwa kukhala mamiligalamu 25. Njira ya mankhwalawa imatha miyezi 1.5, yomwe imatengedwa mosasamala chakudya. Mankhwala amathandizidwa ndi mankhwala.

Mu mapiritsi a Amlodipine, wamkulu wophatikizika ndi amlodipinn benzylate, wotsutsana ndi calcium, mlingo wa 5 ndi 10 mg. Mlingo woyambira tsiku lililonse wa ma milligram asanu, zotsatira zake zimachitika pakatha maola awiri ndipo zimatha tsiku. Ndi kuchuluka kwambiri kwa kuthamanga kwa magazi, tikulimbikitsidwa kutenga 5 mg patsiku kwa masabata atatu, ndiye kuti mlingowo ungathe kuchuluka. Ndi matenda oopsa, mankhwalawa amatengedwa mosalekeza, mlingo umatsimikiziridwa ndi dokotala.

Contraindication

Kuletsa kugwiritsa ntchito mankhwalawa kuli ndi zizindikiro zambiri, koma pali zosiyana. Zambiri za iwo patebulopo:

Zotsatira za kuthamanga kwa magazi zimadziwika kwa aliyense: izi ndi zotupa zosasintha za ziwalo zosiyanasiyana (mtima, ubongo, impso, mitsempha yamagazi, fundus). Pambuyo pake, kugwirizanitsa kumasokonezeka, kufooka kumawoneka m'manja ndi miyendo, kuwona kumachepa, kukumbukira ndi luntha kumachepetsedwa kwambiri, ndipo stroko imayamba.

Pofuna kuti zisabweretse zovuta ndi ntchito, Oleg Tabakov adalimbikitsa njira yotsimikiziridwa. Werengani zambiri za njira >>

1. Benzodiazepines ndi mowa

Pakati pa 2001 ndi 2014, chiwerengero chonse cha anthu omwe amafa chifukwa chomwa ma benzodiazepines achulukitsa kasanu. Kumwa mowa kumawonjezera chiopsezo cha zotsatira zosayembekezereka kuchokera ku mankhwala ndi mankhwala. Kuphatikizika kowopsa kumeneku ndi komwe kumapangitsa anthu kupitilira gawo limodzi mwa magawo asanu a zipatala zokhudzana ndi zovuta za mankhwala osokoneza bongo komanso mowa. Nthawi zambiri izi zimayambitsa kupuma.

Zinthu zonsezi zimatha kupumitsa minofu ndikuchepetsa dongosolo lamanjenje lamkati, ndikuyika munthu pachiwopsezo chogwa chikomokere ndi kufa. Kugwiritsira ntchito mankhwala pafupipafupi komanso kumwa mowa kumatha kuchepetsa mphamvu ya chitetezo chathupi yolimbana ndi matenda oopsa omwe amabweretsa chiopsezo cha kufa komanso kulephera kwakukulu kwa ziwalo.

2. Opiates ndi mowa

Monga kuphatikiza kowopsa kwa mabenzodiazepine ndi mowa, ma opiates amakhala owopsa akaphatikizidwa ndi mowa. Opiates, kuphatikiza kugwiritsa ntchito mankhwala osokoneza bongo a heroin, komanso mankhwala opweteka monga OxyContin, Vicodin, ndi hydrocodone amalepheretsa dongosolo lamkati lamanjenje, lomwe pamapeto pake limachepetsa kupuma. Ngakhale mankhwalawa amatha kuyambitsa kusinkhidwa ndipo, nthawi zina, kumakhala kotsekereza, chiopsezo cha mankhwala osokoneza bongo ndizambiri. Malinga ndi Centers for Disease Control and Prevention (CDC), mowa unayambitsa 22% yaimfa chifukwa chogwiritsa ntchito opiate.

3. Mankhwala osokoneza bongo ndi mowa

Ma antidepressants monga Zoloft, Prozac kapena Xanax amalimbikitsa mavuto amledzera. Chifukwa chake, kumwa chikho chimodzi cha chakumwa, munthu amamva zotsatira zake ngati amamwa awiri. Ma antidepepressure ena amachititsa kulephera kupanga zisankho, kuthamanga magazi, komanso kukhumudwa. Mankhwalawa akaphatikizidwa ndi mowa, zimawonjezera chiopsezo cha chizungulire, kukomoka, kusokonezeka, ngakhalenso kukomoka.

4. Psychostimulants ndi mowa

Psychostimulants okha, monga Ritalin, Adderall, Meth, ndi Cocaine, amathandizira thupi, ndikuwonjezera kuchuluka kwa magazi, omwe amathandiza kuteteza zotsatira za mowa. Makamaka, kuphatikiza cocaine ndi mowa kumayambitsa kupanga cocaesin wambiri, zomwe zimapangitsa kuti azikhala ndi vuto la mtima. Katundu woopsayu ndi chifukwa cha kuphatikiza mowa ndi cocaine ndipo amachititsa kuti mtima ukhale wolimba kwambiri kuposa mankhwala ena onse.

5. Njira zakulera ndi mowa

Malinga ndi Centers for Disease Control and Prevention, 62% azimayi aku America azaka zakubadwa masiku ano amatenga njira zakulera, ambiri aiwo mapiritsi olembera. Mutamwa mapiritsi, zimatenga pafupifupi maola atatu kuti mankhwalawo afikire magazi ndikuyamba kukhala ndi vuto. Amayi amatha kuledzera mwachangu akamamwa mankhwala oletsa kubereka, chifukwa thupi limakhala "lotanganidwa" ndi kuphatikiza kwa mahomoni.

Izi zimasokoneza kagayidwe ka ethanol. Kuphatikiza apo, mowa umachotsedwanso m'thupi, zomwe zimawononga mphamvu za akazi.

6. Mankhwala osokoneza bongo komanso mowa

Mankhwala osokoneza bongo atha kuwoneka ngati chisankho chopanda vuto, koma kuphatikiza kolakwika kumatha kupha. Malinga ndi kafukufuku yemwe adalembedwa m'magazini yotchedwa Medical Clinics of North America, asayansi apeza kuti 38% ya anthu omwe adayamba kudwala chiwindi amagwiritsa ntchito tylenol ndi mowa.

Malinga ndi Harvard Medical School, mafuta ochepetsa cholesterol amatengedwa tsiku lililonse ndi anthu 32 miliyoni ku America, koma akaphatikizidwa ndi mowa, ma statin amatha kuwononga chiwindi ndikuyika thupi pachiwopsezo chotenga matenda ena mtsogolo.

Kunena kuti ndi mankhwala ati "Amlodipine" kapena "Lorista" ali bwino ndikovuta, chifukwa ali m'magulu osiyanasiyana a mankhwala ndipo nthawi zambiri amapatsidwa mankhwala osokoneza bongo.

Koma pali kusiyana kwakukulu. Mwachitsanzo, mphamvu ya Amlodipine imathamanga, chifukwa chake, mankhwalawa amagwiritsidwa ntchito kuti athetse vuto la matenda oopsa, pomwe mapiritsi a Lorista amagwira ntchito kwa nthawi yayitali. Koma kuti mufananitse mankhwala onse awiri, muyenera kuganizira zambiri za iwo mwatsatanetsatane.

Kufotokozera zamankhwala

"Amlodipine" ndi mankhwala ochokera pagulu la dihydropyridines, calcium blocker. Mankhwalawa amayamba kuchita limodzi kwa maola awiri, ndipo zotsatira zake zimapitirira tsiku limodzi. Mankhwalawa amaletsedwa kwa amayi apakati komanso akakhanda, ana, odwala omwe ali ndi vuto la chiwindi. Chifukwa chalandirani:

• mutu
• kutupa
• mphuno
• kugunda kwa mtima
• pokodza kupweteka
• redness la khungu la nkhope.

Lorista ndi angiotensin II receptor blocker kapena sartan. Ili ndi gulu latsopano la mankhwala omwe amachepetsa kuthamanga kwa magazi, chifukwa mankhwalawa amapezeka m'gulu lino. Piritsi imatengedwa kamodzi patsiku, ndipo zotsatira zake za mankhwalawa zimatha maola 24. Osagwiritsa ntchito mankhwalawa odwala ndi madzi am'mimba, panthawi yoyembekezera komanso mkaka wa m'mawere, mwa ana. Chifukwa cha kugwiritsa ntchito mankhwalawa, odwala amatha:

• mavuto atulo
• mutu, chizungulire,
• kusokonezeka kwa kukumbukira
• kukomoka
• bronchitis, chifuwa,
• thukuta
• khungu lowuma,
• alopecia.

Kodi mankhwalawa ndi ofanana?

"Amlodipine" ndi "Lorista", monga akufotokozera pamwambapa, ndi mankhwala ochokera m'magulu osiyanasiyana a antihypertensive mankhwala. Ma calcium calcium blockers amachepetsa kupanikizika pakukulitsa mitsempha, ndiye kuti, mwa kuchepetsa kukana kwawo. Mankhwalawa amalepheretsa magazi kuundana ndikuletsa chitukuko cha atherosulinosis, kukulitsa kupirira kwamthupi, ndikuwonetsa zotsatira zabwino mwa okalamba. Chifukwa chake, zochita za sartan zimalepheretsa zolandilira za angiotensin II ndipo sizimalola kuti timadzi timene timayambitsa matenda oopsa. Angiotensin II receptor blockers amaphatikizidwa pochiza matenda osagwirizana ndi matenda oopsa, osayambitsa chifuwa chowuma komanso matenda achire, amagwira bwino ntchito ku matenda a impso. Chifukwa chake, munthu sanganene kuti zomwe zakonzedwazo ndi zofanana, chifukwa cha magwiridwe antchito komanso kusiyana kwakukwaniritsa.

Chithandizo

1. 1. Mphamvu ya mankhwala onse amachepetsa ngati mumadya mafuta musanayambe kugwiritsa ntchito, chifukwa mafuta amalepheretsa katulutsidwe wa chapamimba madzi ndi ziletsa matumbo motility (contraction). Pangani kusiyana pakati pa kumwa mankhwalawa ndi chakudya: 1 ora (isanachitike kapena itatha).
2. 2. Kuthira kwa maantibayotiki, sulfonamides (biseptol, sulfadimethoxin), mankhwala antithrombotic (thrombo ass, chimes, acetylsalicylic acid, Asipirin, cardiomagnyl, plavix, etc.), mtima glycosides (digoxin) mu cell amachepetsa ngati mumadya nyama ya protein musanagwiritse ntchito , nsomba, mkaka): Pangani kusiyana pakati pa kumwa mankhwalawa ndi chakudya: 1 ora (isanachitike kapena itatha). Koma kuyamwa kwa kukonzekera kwazitsulo ndi ma anticoagulants (warfarin, heparin, lyoton, etc.) kumakhala bwino: gwiritsani ntchito chakudya.
3. 3. Kuthiridwa kwa mankhwalawa mutamwa ma carbohydrate onse (maswiti onse, misuzi, ufa, zipatso) amachepa ndipo mphamvu yake imawonjezeka. Pangani kusiyana pakati pa kumwa mankhwalawa ndi chakudya: 1 ora (isanachitike kapena itatha).
4. 4. Maini a Biogenic omwe amapezeka mu tchizi, yogati, nyama, nsomba, caviar, nthochi, chinanazi, mowa, vinyo, chokoleti, mphesa, amakhala ndi vasoconstrictor zotsatira, ndiye kuti, amawonjezera kukakamiza. Chifukwa chake, sikulimbikitsidwa kuwagwiritsa ntchito ndi mankhwala onse, makamaka ndi mankhwala omwe amachepetsa kuthamanga kwa magazi. Ngati mankhwala oletsa kupanikizika amagwiritsidwa ntchito nthawi yomweyo, vuto la matenda oopsa lingachitike!
5. 5. Nitrites ndi nitrate, omwe tsopano amapezeka pafupifupi muzinthu zonse, makamaka soseji yosuta, kuphatikiza tetracycline, mankhwala antidiabetic (Siofor, Metformin, Glucofage), piperazine, kupanga concertogenic zinthu! Pangani kusiyana pakati pa kumwa mankhwalawa ndi chakudya: maola 1.5-2 (isanachitike kapena itatha).
6. 6. Mchere wazitsulo zolemera (mankhwala a kutentha kwa chifuwa - rennie, phosphalugel, maalox, ndi zina). Kuphatikiza ndi ma tetracycline form insoluble mankhwala, chifukwa chake, kutentha kwa mtima kumatsalira ndipo chimfine chizunza.
7. 7. Tetracycline sichiphatikiza ndi zinthu zamkaka!

Malamulo a kumwa aspirin (acetylsalicylic acid):

1. 1.Kwabwino mawonekedwe kapena kapisozi.
2. 2. Pamimba yodzaza, mutangodya.
3. 3. Imwani ndi madzi amchere (mchere kapena onjezani koloko) ndi madzi.
4. 4. Ngati piritsi ndi lachilendo, ndibwino kupera.
5. 5. Tengani madzulo pomwe acid yangozi imatsitsidwa ndi 40%.
6. 6. Kuti muchepetse magazi, imwani Mlingo wa 50 mg, osati 100 mg (simungathe kugawa piritsi pa chipolopolo!).
7. 7. Patatha zaka 50, tikulimbikitsidwa kutenga aspirin muyezo wocheperako (umalepheretsa kuphatikiza mapulateleti ndi kusungunulira magazi), makamaka mu nembanemba kuteteza makhoma am'mimba, asidi a getyitis, zilonda, mafuta am'mimba, zilonda zam'mimba, kuchepa kwa makutu.
8. 8. Aspirin ndi wabwino chifukwa samachepetsa kutentha kwa thupi pansi pazoyenera.
9. 9. Curantil imatsitsa magazi bwino - katatu pa sabata, piritsi limodzi usiku (osachepera moyo). Ilinso ndi zotsutsana ndi mliri - kamodzi pa sabata, piritsi limodzi la 75 mg - limapangitsa kutulutsa kwa interferon (kutsimikiziridwa ndi Institute of Virology).
10. 10. Mwamphamvu osasokoneza mowa.

Analgin ndi yoletsedwa ku Europe, USA, chifukwa amaletsa hematopoiesis. Zochita zake zimathandizira omez.
Anaprilin ndi analgin amachepetsa kuchepetsa shuga (owopsa kwambiri kwa odwala matenda ashuga).
Kuphatikizidwa ndi:
- tempalgin
- andipal (imwani mapiritsi 2 kawiri patsiku)
- Pentalgin
- sedalgin
- baralgin (yogwira colic, kukokana, msambo wowawa, osaposa masiku 5, chifukwa ntchito yaimpso imalephera, imawonjezera kugunda kwa mtima, kukodza ndikovuta, sikungakhale ndi pakati, kuyamwa, ana osaposa zaka 15).

Paracetamol - musapitirire 2 g patsiku! Ana - 0,6 g. Kuphatikizidwa ndi flurex, teraflu, panadol, solpadein, citramone, ndi zina. CHENJEZO: Pali kusiyana pang'ono pakati pa kumwa mankhwala oopsa komanso oopsa (oopsa)! Kupitilira 2 g patsiku amapha impso ndi chiwindi, samawononga, ndiye kuti amapha!

Ibuprofen (nurofen, yayitali ...) - mphamvu yotsutsa kwambiri yotupa. Osamamwa pamimba yopanda kanthu.

Ma-gel amagwira ntchito nthawi yomweyo, mafuta odzola amayenera kupukutidwa kwa mphindi zosachepera ziwiri, koma kukhala ndi mphamvu yayitali. Ndi mafupa opweteka, mmbuyo - gwiritsani ntchito mafuta musanachitike, musanachite masewera olimbitsa thupi.

Indomethacin ndi imodzi mwamankhwala amphamvu kwambiri odana ndi kutupa ndi ma analgesic. Mafupa, thrombophlebitis, gout. Zotsatira zoyipa: kupweteka mutu, kugona, mseru, kudzimbidwa. Mukatha kudya kapena kudya, ndibwino kumwa mkaka.

Ortofen (diclofenac, voltaren ...). Candlelight - pompopompo. Zotsatira zoyipa kwambiri. Lemberani ululu wolumikizika.

Ketorol (ketans, ketorolac, ketoprofen, ketonal ...). Sizingagwiritsidwe ntchito mphumu ya bronchial ndi matenda ashuga.

Mkulu p / kutupa kwenikweni, ma painkillers ndi ofanana ndi indomethacin, ibuprofen. Amachepetsa zotsatira za okodzetsa, mtima. Imalimbikitsa hypoglycemic (chifukwa chosasangalatsa kwa odwala matenda ashuga). Osatenga ndi aspirin, monga pali chiwopsezo cha magazi am'mimba. Kuchulukitsa mphamvu ya glycosides (digoxin). Imawonjezera mphamvu ya maantibayotiki.

Mukamayamwa makala, ndi bwino kupera kapena kumwa poponya piritsi pamadzi. Ndikofunika kumwa mapiritsi 10 kamodzi pamwezi. Ndikofunika kuti musamwe mankhwalawa nthawi imodzi ngati malasha (sangagwire ntchito). Mutha kumwa kumayambiriro kwa ARI - "imatulutsa" ma virus.

Mowa ndi mankhwala:

Mowa + ukugwetsa m'maso = chiopsezo cha stroke.
Mowa + painkiller, ma steroids = zosatheka konse!
Mowa + khofi = ayi
Mowa + wa matenda ashuga = osaloledwa konse!
30 g - achire mlingo
150 g - vinyo

Osagwiritsa ntchito beta-blockers (konsati, anaprilin, atenolol, egilok, nebilet, etc.) ndi calcium channel blockers (verapamil, nifedipine, amiodarone, amlodipine) nthawi yomweyo - pakhoza kumangidwa mtima.

Pazowawa pamtima, mutha kumwa no-shpu, baralgin.

Simungathe kuzimitsa kutentha kwadzuwa ndi koloko, kumatenthetsanso esophagus, ngati asidi.Mankhwala othandizira kutentha pamtima (rennie, almagel, ndi ena otero.) Chitani zinthu mwachangu msanga. Ndikofunika kupewa kutentha kwa kutentha, i.e. letsa mapangidwe a haidrojeni m'mimba. Kuti muchite izi, imwani kapisozi imodzi ya omeprazole (omez, romancek, omeprazole, ndi zina) kwa masiku 2-3 usiku (moyenerera miyezi isanu ndi umodzi). Sangaphatikizidwe ndi mphesa komanso nyama yofuka.

Acute pancreatitis (kapamba amatulutsa enzyme yake, koma osalowa m'matumbo, chizindikirocho ndi ululu waukulu wa herpes zoster) - tengani antispasmodics (no-shpa, baralgin, kontrikal, etc.). Matenda a pancreatitis (enzyme siipangidwa kapena sikokwanira) - panzinorm, festal, pancreatin, creon, etc.

Maselo a chiwindi amakonzedwanso kwathunthu miyezi iliyonse ya 3-5, kupatula okhawo "omwe adaphedwa" ndi ether (ethyl mowa). Tengani zofunikira, phosphoncials, hofitol maphunziro, kukonzekera nthula zamkaka (Karsil).
Heptral Injection

mtima.su »Antihypertensive Therapy» Angiotensin Receptor blockers

Losartan - angiotensin II receptor blocker

CARDIOLOGY - kupewa ndi kuchiza matenda a MTIMA - HEART.su

Malamulo otenga angiotensin II receptor blockers (ARBs)

Kukonzekera kwa arb kumatha kumwedwa pamimba yopanda kanthu komanso ndi chakudya. Monga momwe zilili ndi zoletsa za ACE, kuchuluka kwa kayendetsedwe ka mankhwala, Mlingo komanso nthawi yayitali pakati pa Mlingo wa ma ARB akuwonetsedwa ndi adokotala. Chidule: Monga momwe zimakhalira ndi ACE zoletsa, kuti mumve chithandizo chonse, muyenera kudikirira milungu ingapo! Nthawi zonse muziyang'anira kuthamanga kwa magazi ndi ntchito ya impso nthawi yamankhwala ndi ma ARB.

Zotsatira za angiotensin-II receptor blockers (ARBs) ndizofanana ndi za ACE zoletsa. Komabe, izi zimatheka mwanjira yosiyana pang'ono. Monga mukudziwa kale, renin imapangidwa mu impso, pomwe angiotensin, chinthu chomwe chimapanga mitsempha yamagazi, imapangidwa motsogozedwa ndi enzyme inayake. Kuti apange zoterezi, chinthuchi chimagwira pama receptors m'mitsempha yamagazi. Ma ARB amatsekera ma receptor awa, kotero angiotensin satha kupanga zotsatira zake.

Zotsatira zoyipa za angiotensin II receptor blocker

o chizungulire ndi kufooka. Zotsatira zoyipazi zimatha kutchulidwa kwambiri pambuyo pa mtundu woyamba wa mankhwalawo, makamaka ngati mukumwa mankhwala okodzetsa nthawi imodzi.

o Zizindikiro zathupi. Kutsekula m'mimba, kukokana kapena kufooka kwa minofu, kupweteka m'mbuyo kapena mwendo, kugona, kusowa kwa mtima, sinusitis (kutupa kwa ma paranasal sinuses)

o Kusokonezeka

o Kusanza kwambiri komanso kutsegula m'mimba. Pakakhala kusanza kapena kutsegula m'mimba kwambiri, pamakhala chiopsezo chodana ndi madzi amchere komanso kuwonongeka kwa mchere

o Kupatuka kwachilengedwe kwamwazi wamagazi

Mankhwala a Angiotensin II receptor blocker (ARB)

Cozaar (losartan), Diovan (valsartan), Avapro (irbesartan), Atakand (candesartan).

Losartan ndi mankhwala osokoneza bongo a angiotensin-II receptor blocker group (ARB). Angiotensin ndi chinthu chomwe chimapangidwa kuchokera ku renin, chomwe chimapangidwa mu impso. zotsatira za angiotensin ndikuchepetsa mitsempha ya magazi, zomwe zimapangitsa kuthamanga kwa magazi. Angiotensin amagwiritsa ntchito zomwe zimatchedwa. ma receptor, omwe amakhala kwambiri m'makoma a mitsempha.

Angiotensin amatsatira cholandilira ichi, zomwe zimapangitsa kuti mitsempha itachepa. Losartan imamatirira ndi angiotensin receptors, ndipo angiotensin salinso ndi mphamvu. Izi zimabweretsa kutsika kwa kuthamanga kwa magazi.

Kugwiritsa ntchito: monga mankhwala ACE zoletsa, losartan ntchito mankhwalawa ochepa matenda oopsa, mtima kulephera ndi matenda ashuga nephropathy. Itha kugwiritsidwa ntchito ndekha kapena kuphatikiza ndi mankhwala ena.

Mlingo: losartan nthawi zambiri amayikidwa pa 50 mg patsiku kwa akulu. Mlingo waukulu wa mankhwalawa ndi 100 mg. Mlingo wa tsiku ndi tsiku utha kugawidwa m'magawo angapo. Mankhwalawa akhoza kumwedwa mosasamala chakudyacho.

Kugwirizana ndi mankhwala ena: mukamamwa mankhwala osokoneza bongo, cytochrome P450 inhibitors (mwachitsanzo fluconazole, nizoral), kuchepa kwa ntchito za losartan kungadziwike, zomwe ziyenera kukumbukiridwa. Kutenga losartan kumatha kutsagana ndi kuwonjezeka kwakukulu kwamankhwala a potaziyamu m'magazi, zomwe zimapangitsa kuti akhale ndi arrhythmias yayikulu. Chifukwa chake, sikulimbikitsidwa kuti nthawi imodzi mutengeko losperan ndi potaziyamu wotetezera okodzetsa (triamteren, amiloride). Mphamvu ya antihypertensive ya losartan imatha kuchepetsedwa ikaphatikizidwa ndi mankhwala osapweteka a anti-yotupa (aspirin, naproxen, ibuprofen, indomethacin, etc.).

Gwiritsani ntchito panthawi yomwe muli ndi pakati komanso mkaka wa m`mawere: sizikulimbikitsidwa kuti mugwiritse ntchito mankhwalawa panthawi yomwe muli ndi pakati, makamaka panthawi yachiwiri komanso yachitatu, chifukwa imatha kuyambitsa mwana wosabadwayo. Chifukwa chake, ngati wodwala wapezeka kuti ali ndi pakati, mankhwalawo ayenera kusiyidwa. Sizikudziwika ngati ma losartan kapena ma metabolites ake amuchotsa mkaka waumunthu, koma mu makoswe amathiridwa. Chifukwa chake, sikulimbikitsidwa kumwa mankhwalawa nthawi yoyamwitsa.

Zotsatira zoyipa. M'maphunziro azachipatala, zochitika za zotsatira za losartan zinali zofanana ndi za placebo. Zina mwazotsatira zake ndi izi: kutsekula m'mimba, kukokana kwa minofu, chizungulire, kusowa tulo komanso kuperewera kwammphuno. Kuphatikiza apo, kutsokomola, kuchuluka kwa potaziyamu m'magazi, ndi angioedema kumatha kuchitika. Losartan ikhoza kukhala ndi vuto loti impso izigwira ntchito mwa ena, motero sikulimbikitsidwa kwa anthu omwe ali ndi vuto la mtima lamitsempha.

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Mfundo yogwira ntchito

Kuthamanga kwa magazi kumachitika chifukwa cha kufupika kwa mitsempha yamagazi mthupi la munthu. Kutuluka kwa magazi kumachepa kukula komanso m'mimba mwake chifukwa cha kuchuluka kwa calcium ion m'maselo a minyewa.

Amlodipine imaletsa njira za calcium. Mitsempha imakulitsa, magazi amayenda momasuka.

Mtima ndi myocardium zilandila kuchuluka kwa mpweya, kugwira ntchito moyenera. Kupanikizika kumatsika. Amlodipine ali ndi antianginal, ndipo koyamba, hypotensive effect.

Kukhumudwa pachifuwa, kupweteka, kupindika kwa mtima - izi ndi zizindikiro za kugunda kwa angina. Machitidwe a antianginal cholinga chake ndi kuthetsa vutoli. Minofu ya mtima imalandira magazi okwanira, mpweya.

Zowonjezera zimachulukitsa, kotero myocardium imalandira magazi popanda kupsinjika kwa thupi. Chifukwa chake, kuthamanga kwa magazi kumachepa.

Amlodipine nthawi yayitali. Pmuyenera kuzitenga kamodzi patsiku, zotsatira zake zimakhala pafupifupi maola 24. Mankhwala amakula pang'onopang'ono. Kupsinjika sikumagwa kwambiri, mawonekedwe a mtima sasintha. Minofu ya ziwiya zimafewa, kuphipha kumatsitsimuka.

Amlodipine ali ndi ofooka okodzetsa ndi antioxidant kwenikweni. Imasintha magwiridwe antchito a magazi a impso, chifukwa amachepetsa kukana kwamitsempha yamagazi mumkodzo. Mankhwalawa amagwiritsidwa ntchito mu monotherapy ndi chithandizo chovuta molumikizana ndi adrenergic blockers.

Omwe akutsutsana ndi calcium - Amlodipine ndi m'malo mwake - ali a mankhwala a mibadwo itatu. Ntchito mankhwalawa kwa zaka 20. Kutetezeka kwawo pochiza odwala omwe ali ndi matenda oopsa, angina pectoris, matenda a mtima adatsimikiziridwa mwachipatala ndi maphunziro apadziko lonse lapansi.

Ma calcium antagonists samakhudza njira ya kagayidwe kachakudya mthupi. Amagwiritsidwa ntchito pochiza matenda amitsempha ndi mtima mwa odwala omwe ali ndi matenda a shuga, gout, ndi zina zambiri.

Mawonekedwe a Amlodipine

Mankhwalawa amakhala ndi amlodipine besylate. Izi zimathandizira kuthamanga kwa magazi poletsa ntchito ya njira zama calcium. Mankhwala atakhazikitsidwa amalepheretsa kuphatikizika kwa calcium m'magulu a ma cell ndikuwonetsetsa kuti mitsempha ikukula. Potengera momwe ntchito ya Amlodipine imathandizira, mpweya wofunafuna mpweya ndi zotumphukira zake za m'mimba zimachepetsedwa.

Kutsika kwakanenedwe kagwiritsidwe ntchito ka mankhwalawa kumawonedwa pambuyo pa maola 6 mpaka 10. Mankhwala zimatha pafupifupi tsiku limodzi. Kugwiritsa ntchito ndalama sikukweza mtima.

Mankhwala ovomerezeka kuti agwiritsidwe ntchito kwa odwala omwe ali ndi gout, bronchial mphumu ndi matenda a shuga. Pambuyo pakukonzekera kwa pakamwa, chinthu chogwira ntchito chimatengedwa mwachangu ndikugawananso mosiyanasiyana m'thupi lonse. Mankhwalawa amachotseredwa m'matumbo ndi impso.

Mitu ya mankhwalawa

Amlodipine ali ndi ma contraindication angapo, kusintha kosiyanasiyana, kotero othandizira amasintha m'malo mwake ndi analogues. Izi zikuphatikiza:

Tiyeni tikambirane za aliyense payekhapayekha, yerekezerani Amlodipine ndi fanizo lake.

Lerkamen kapena Amlodipine

Lerkamen ndi mankhwala omwe amatchinga njira za calcium. Momwe amachepetsa kuthamanga kwa magazi, amakulitsa m'mitsempha yamagazi, amachepetsa kukana kwa magazi.

Amatengedwa ndi odwala nthawi iliyonse ya chitukuko cha matenda oopsa. Zomwe zimagwiritsidwa ntchito ndi lercanidipine hydrochloride.

Tengani 1 nthawi patsiku, piritsi limodzi. Kuchulukitsa kwa zidutswa ziwiri sikuti kumabweretsa zotsatira zabwino. Pambuyo pa chithandizo cha sabata la 2 komanso kusayenda bwino, mkhalidwe wa wodwalayo umapatsidwa mankhwala amphamvu. Mwachitsanzo, amlodipine.

Mosiyana ndi Amlodipine, Lerkamen alibe gawo pa ntchito ya mtima. M'malo mwake, imangokhala ndi ntchito yopatsa chidwi.

Amlodipine kapena Lorista

Lorista ndi mankhwala oletsa kupanikizika, antispasmodic. Zomwe zimagwiritsidwa ntchito ndi losartan.

Amawonetsedwa kwa odwala omwe ali ndi matenda otsatirawa:

• matenda oopsa
• sitiroko
• kulephera kwa mtima
• matenda a shuga, matenda a impso
• tachycardia.

Amagwiritsidwa ntchito ngati gawo la zovuta zochizira matenda oopsa. Zotsatira zakuvomerezedwa zimatheka m'masiku ochepa.

Kuti muchepetse kuthamanga kwa magazi mwa anthu okalamba omwe ali ndi atherosulinosis, angina pectoris, ndibwino kugwiritsa ntchito Amlodipine. Zotsatira zakugwiritsa ntchito mankhwalawa zimatheka nthawi yomweyo, zimakhala ndi nthawi yayitali.

Amlodipine kapena Concor

Concor ndimankhwala omwe ali ndi antianginal, hypotensive ndi antiarrhythmic katundu. Izi ndi block adrenergic. Zotsatira zazikulu ndikuchepa kwa kugunda kwa mtima. Pogwiritsa ntchito nthawi yayitali - antianginal and hypotensive.

Zisonyezo potengera Concor:

• kulephera kwamtima
• matenda oopsa
• ischemia wamtima.

Zomwe zimagwiritsidwa ntchito ndi bisoprolol.

Malinga ndi odwala omwe amatenga Concor, ilibe nthawi yayitali. Kuti mukwaniritse chithandizo chokwanira, ndikofunikira kugwiritsa ntchito kwa miyezi itatu kapena itatu. Nthawi yochepa atachotsedwa kwa mankhwalawa, kuwonjezeka kwa kuthamanga kwa magazi, kuwonongeka kwa thanzi la odwala omwe ali ndi matenda oopsa.

Ndizosatheka kugwiritsa ntchito Concor pochiza matenda oopsa mwa azimayi oyembekezera kapena oyembekezera.

Amlodipine ndi Concor sizingafanane, chifukwa ali m'magulu osiyanasiyana amankhwala.

Amlodipine kapena Indapamide

Indapamide ndi diuretic yotchuka. Imakhala ndi vuto lothetsa magazi, limatulutsa mitsempha yamagazi, kuchotsa madzi ochulukirapo, kumachepetsa kutupa pambuyo pa kugwidwa mtima ndi stroko. Kuteteza minofu yamtima.

Muyenera kutenga nthawi yayitali, nthawi zambiri kwa moyo. Kudzipatula nokha kwa mankhwalawa kumayambitsa kupanikizika, kugunda kwa mtima ndi stroko.

Indapamide imalembedwa bwino kwa odwala omwe ali ndi matenda ashuga, chifukwa samachulukitsa kuchuluka kwa shuga.

Chimodzi mwazinthu zabwino za Indapamide ndizotetezeka mu matenda oopsa komanso kulephera kwa mtima. Mankhwalawa samatulutsa mwachangu kuchuluka kwa kuthamanga kwa magazi, mwachitsanzo, Amlodipine, koma ali ndi zovuta zochepa.

Amlodipine kapena Bisoprolol

Bisoprolol imakhala ndi zotsatirazi mthupi:

1. amachepetsa kuthamanga kwa magazi
2. Amachepetsa Zizindikiro za matenda a mtima,
3. kusintha kwa mtima
4. limasinthasintha kuchuluka kwa okosijeni m'myocardium.

Bisoprolol ndi adrenergic blocker yomwe imakhala ndi hypotensive, antianginal effect.

Kutenga bisoprolol mukamayamwitsa komanso pakati sikulimbikitsidwa.

Amachepetsa kugunda kwa mtima komanso kuperewera kwa okosijeni myocardium. Bisoprolol iyenera kutengedwa molingana ndi ndandanda ya akatswiri kapena a mtima. Mlingo woyamba umachulukitsa pang'onopang'ono milungu ingapo.

Kudya kwambiri sikuyenera kupitirira 0,22 magalamu patsiku. Chithandizo cha Bisoprolol chili ndi prophylactic ndi achire. Potsirizira pake, odwala amamwa mankhwalawo pafupipafupi, ndiye kuti, moyo.

Kuphatikiza bisoprolol ndi calcium antagonists ndizowopsa, mwachitsanzo, amlodipine. Malizani kudya kwa prophylactic pang'onopang'ono, osafulumira kusiya. Imawopseza kuthamanga kwa magazi, kugunda kwa mtima.

Mosiyana ndi Amlodipine, malo apamwamba a mankhwala a Bisoprolol sikuchepetsa kuthamanga kwa magazi ndi vasodilation, koma kutulutsa matupi a minofu ya mtima komanso kuchuluka kwa okosijeni myocardium. Bisoprolol ndiye mndandanda wa Russia waku Germany Concor, koma umawononga ndalama zochepa.

Chifukwa chake, amlodipine ali ndi maubwino otsatirawa kuposa fanizo:

1. mwachangu limodzi limodzi mlingo,
2. kuchitapo kanthu kwanthawi yayitali
3. mankhwala othandizira odwala matenda ashuga ndi gout,
4. Amakhala ndi mankhwala ena omwe mankhwalawa amathandizira pa matenda oopsa,
5. Imachepetsa chiopsezo cha matenda amtima,
6. ili ndi mtengo wotsika,
7. ikhoza kulowedwa m'malo ndi mavuto osavulaza thanzi la wodwalayo ngati atazindikira zoyipa zina.
8. Imakhala yofatsa, yopanda kulumpha m'magazi,
9. ntchito kuchiritsa odwala mphumu,
10. amagwiritsidwa ntchito pofulumira pochiritsa, kwa prophylactic mwa odwala oopsa kapena odwala omwe ali ndi stroko komanso mtima.
11. mtengo wotsika
12. kupezeka.

Makanema okhudzana nawo

Malangizo ogwiritsira ntchito Amlodipine mu vidiyo:

Udindo wosankha mankhwala othandizira komanso kupewa matenda oopsa oopsa ndi matenda a mtima, mitsempha ya magazi imagona ndi dokotala komanso wodwala. Odwala ayenera kumvetsera mosamala thupi, kusanthula momwe mankhwalawo amathandizira pakhungu la ziwalo zamkati, ndikuwuza zomwe zingachitike. Kenako zidzakhala zosavuta kwa akatswiri othandizira komanso akatswiri a mtima kusankha m'malo mwa Amlodipine kapena analogues.

Malangizo a Lorista

Lorista (chinthu chomwe chimagwiritsidwa ntchito ndi losartan) - mankhwala a antihypertensive, angiotensin II receptor blocker osankha zochita (akuwonetsa kukondera kwa mitundu ya AT1 receptors). Njira zochizira matenda amtima ndi lero, mwina, gawo lotchuka kwambiri lazamankhwala, omwe amakhala m'malo akulu kwambiri pazenera. Izi sizodabwitsa. Mphamvu ya antihypertensive ya lorista imakhazikitsidwa ndi kuthekera kwa mankhwalawa kuti akhazikitse chotchinga pakati pa AT1 receptors ndi angiotensin II, potero kutsekereza zovuta zonse zam'thupi pambuyo pake, mosasamala kanthu za njira yokhazikitsira thupi. Chifukwa chake, angiotensin II sangathe kuzindikira mphamvu yake yapadera ya vasopressor, ngakhale kuti kuchuluka kwake sikumatsika, monga zimachitika ndi chithandizo cha angiotensin-converting enzyme inhibitors. Ndikofunikira kuti, mosiyana ndi ichi chomaliza, lorista sikuletsa enzyme yachiwiri ya II, yomwe imakhudzidwa ndi metabolism ya bradykinin. Zotsatira zake, palibe kudzikundikira kwa bradykinin owonjezera, omwe amapewa zotsatira zoyanjana ndi mawonekedwe akutsokomola ndi angioedema.Lorista amachepetsa kupuma kwamitsempha yamagazi, kukakamira kwa magazi m'mapapo (m'mapapo), kumachepetsa mphamvu ya m'magawo am'mbuyomu, imakhala ndi mphamvu yokhudza kukokoloka. Mankhwala amaletsa kukula ndi kupitirira kwa kumanzere kwamitsempha yamagazi (olosera zam'tsogolo), kumawonjezera kukana kuyeserera kwathupi kwa odwala omwe ali ndi vuto la mtima. Kuti mukwaniritse kuchepa kwakukulu kwa magazi mu systolic (kumtunda) ndi kuthamanga kwa magazi, ndikokwanira kutenga lorista 1 nthawi patsiku. Mankhwalawa amasunga kuthamanga kwa magazi pamlingo wokonzedweratu tsiku lonse, osasintha mwadzidzidzi komanso molingana ndi mtundu wachilengedwe wozungulira.

Matenda oopsa a arterial ndi njira yodziwika kwambiri yamtima, chifukwa chothandiza pa mankhwalawa ndikofunikira kusankha yoyenera yogwiritsira ntchito hypotensive. Chimodzi mwazomwe zimadziwika kwambiri ndi mankhwala otchuka ndi Lorista. Kodi chachilendo cha mankhwalawa ndi maubwino otani ndi mankhwala ena a kuthamanga kwa magazi, zovuta zake ndi zotsutsana zake - tiyeni tiyesere kuzimva.

Momwe vuto limayambira

Kukhalapo kwa matenda oopsa mwa munthu kumanenedwa pankhani yachulukidwe mobwerezabwereza kuthamanga kwa magazi pamwamba pa 140 ndi 90 mmHg.

Odwala ambiri amakhala ndi matenda oopsa oopsa, chifukwa cha kuphatikizika kwa cholowa chamtsogolo komanso zopangitsa chilengedwe (kupsinjika, kusachita zolimbitsa thupi, kugwira ntchito kwambiri, kunenepa kwambiri, mowa, kusuta). Khumi yokha mwa odwala onse ndi omwe adapeza vutoli motsutsana ndi maziko a matenda omwe amayambika (matenda a impso, endocrine system, ndi zina). Popanda kupita mu tsatanetsatane wa maselo, kuchuluka kwa kukakamizidwa m'matumba kumatha kufotokozedwa ndi njira zingapo, mwachitsanzo:

1. Kuwonjezeka kwa magazi ozungulira ndi kugundika kwa bedi lamitsempha kumathandizira kuwonjezeka kwa kupanikizika mkati mwa mitsempha - mwachitsanzo, mukamadya zakudya zamchere ndikusunga madzimadzi mthupi.
2. Kuphwanya malamulo a minofu yosalala ya khoma lamitsempha kumabweretsa kutsekeka kwawo ndikuwonjezera kuthamanga kwa magazi. Izi zitha kuchitika mchikakamizo cha zinthu zochititsa manyazi (mahomoni a adrenal cortex, oyang'anira magazi a impso) kapena chisonkhezero chamanjenje.
3. Kuwonjezeka kwa mtima wamtima panthawi ya kukhudzika kwa mtima - kungakhale ndi matenda akumitsempha wamtima, kusokonezeka kwa miyambo, ndi zina zambiri.

Zizindikiro za matenda oopsa sangatchulidwe nthawi zonse, nthawi zambiri anthu amaphunzira mwamwayi kapena mochedwa kwambiri za matenda awo, pakakhala zovuta kuchokera ku ziwalo zina. Chifukwa chake, madokotala akufuna kuyesa pafupipafupi kuyeza kwazomwezi kunyumba. Ngati kuchuluka kwamphamvu kwa kuthamanga kwa magazi kopitilira 140 pa 90 mmHg kwapezeka, ndikofunikira kufunsa dokotala, kuchititsa maphunziro owonjezera ndikusankha mothandizidwa ndi katswiri mankhwala ofunikira (kapena mankhwala) kuti achepetse kuthamanga kwa magazi.

Mankhwala amakono a antihypertensive amatha kumwa kwa nthawi yayitali kapenanso moyo wonse, ngakhale atakhala kuti akuchenjeza. Siyani kumwa mapiritsi popanda chilolezo chodwala sichingakhale kuti mupewe kukulira mavuto obwera mwadzidzidzi.

Mankhwala akuluakulu

Mankhwala amakono a antihypertensive ndi banja lalikulu la mankhwala omwe amagawidwa m'magulu akulu akulu:

1. ACE zoletsa - ali ndi achire zotsatira chifukwa kukula kwa zotumphukira ndi kuchepa kukana mkati mwa mtima khoma. Mankhwalawa samakhudza systolic ejection komanso pafupipafupi mphamvu zake, motero amatha kugwiritsidwa ntchito chifukwa cha mtima. Nthawi zambiri amachititsa kuti pakhale chifuwa chowuma .. Oyimilira ndi Enalapril, Lisinopril, Captopril, Perindopril ndi ena.
2. Ma diuretics - ali ndi okodzetsa, amachepetsa kuchuluka kwa magazi ndi madzi omwe amayenderera m'matumbo mu malo akunja. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena a antihypertensive. Zotsatira zoyipa zimaphatikizapo kusowa pogonana. Izi zikuphatikiza ndi mankhwala a thiazide (Hypothiazide), thiazide-ngati (Indap), loop diuretics (Furosemide), potaziyamu (sposh) wa Verasi.
3. Makulidwe okhudzana ndi calcium - tsekerani pang'onopang'ono calcium njira, ndikupatsani mphamvu ya vasodilating. Wodziwika kwambiri ndi m'badwo waposachedwa wa mankhwalawa wokhala ndi mphamvu yayitali yothandizira (Amlodipine, Lacidipine, Nifedipine). Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena a antihypertensive.
4. Beta - adrenergic blockers - otchuka kwambiri a iwo ndi mankhwala osokoneza bongo, omwe amagwiritsidwa ntchito kwambiri pochita matenda oopsa ndi mtima. Oimira - Bisoprolol, Atenolol, Metoprolol.
5. Angiotensin-2 receptor antagonists (sartans) ndi mankhwala atsopano omwe ali othandiza kwambiri, amagwira ntchito mkati mwa tsiku limodzi, osayambitsa kutsokomola, amavomerezedwa bwino ndi odwala. Amagwiritsidwa ntchito nthawi zambiri chifukwa chosagwira ntchito kapena kutsutsana ndi antchito a ACE. Mmodzi mwa oimira odziwika awa a mankhwalawa ndi Losartan ndi mankhwala ozikidwa pa izo a Lorista, Lozap ndi ena. Gulu lodalitsali liyenera kudziwitsidwa mwatsatanetsatane.

Zimagwira bwanji?

Lorista ndi wolimbana ndi angiotensin-2 wolimbana ndi puloteni. Vutoli kudzera mu tinthu timeneti timasinthika timapangidwa kuchokera ku puloteni yapadera yomwe imapangidwa m'chiwindi, ndipo imatchulidwa mwachindunji ndi vasoconstrictor. Mothandizidwa ndi angiotensin-2, adrenal cortex imapangidwira ndipo aldosterone imapangidwa, yomwe imasunga sodium ndi madzi m'thupi ndikuchotsa potaziyamu. Imachepetsa mitsempha ya impso ndikuwonjezera kuthinikizidwa, imapangitsa ludzu. Dongosolo la enzyme iyi ndi yomwe ikufuna kuchitapo kanthu chifukwa cha antihypertensive mankhwala omwe amapangidwa pamaziko a losartan, omwe amalepheretsa ma receptors kuzimvera ndikuchotsa mavuto onse osayenerera.

Lorista (yogwira mankhwala losartan) mosankha imalepheretsa magawo onse ogwiritsira ntchito (receptors) a angiotensin 2 omwe amakhala m'malo ena (minyewa yosalala yamitsempha yamagazi, mtima, impso, adrenal gland) ndipo ilibe gawo pazinthu zina zolowera mu mtima. Mankhwalawa amachepetsa kukana konse kukakamiza kwamitsempha yamagazi, kumachepetsa kusunga kwa sodium ndi madzimadzi pochepetsa kupanga aldosterone. Imawongolera mkhalidwe wa odwala omwe ali ndi mtima wofundika, chifukwa amachepetsa kuthinikizidwa m'mitsempha yamagazi. Mankhwalawa amagawidwa tsiku lonse, zochita zake zimafanana ndi mlengalenga wachilengedwe wozungulira thupi. Zilibe vuto lililonse pamtima, koma zimachepetsa mayesero onse a systolic ndi diastolic, kuletsa kukulitsa kwa mtima wamagazi. Lorista angagwiritsidwe ntchito Mlingo woyenera mwa odwala okalamba, komanso muyezo waukulu komanso wathanzi kwa achinyamata popanda chiopsezo chokhala ndi matenda a "kusiya" mukamaliza kulandira chithandizo.

Lorista imalowetsedwa bwino m'magazi pambuyo pakulowetsa, imadutsa m'chiwindi ndikupanga zomwe zimapanga kagayidwe kake. Potere, chakudya sichikhudza kupezeka kwa mankhwalawa. Vuto lochita kuphatikiza limafanana kwathunthu ndi mapuloteni amwazi, kwenikweni sililowa mu zotchinga magazi. Komabe, zoyesa zamankhwala pa amayi apakati pazifukwa zoonekeratu sizinachitike, kotero palibe deta pazokhudza mwana wosabadwayo. Imafufutidwa kwambiri ndi bile kudzera m'matumbo.

Zizindikiro ndi njira yogwiritsira ntchito

Mankhwala a Lorista amapezeka pamapiritsi a 12,5, 25, 50 ndi 100 mg. Kuphatikiza pa mawonekedwe omwe amakhala ndi losartan, palinso kuphatikiza ndi diuretic hydrochlorothiazide (Lorista N).

Mankhwalawa amayenera kutumizidwa ndi dokotala atasanthula wodwalayo. Zifukwa zake ndi izi:

1. Matenda oopsa a arterial - chithandizo chimayamba nthawi zambiri ndi 50 mg, ngati kuli kotheka, chimachulukitsa. Achire kwambiri achire zotsatira zimatheka patatha mwezi umodzi kuchokera chiyambi cha kumwa mapiritsi. Kuwonongeka kwa impso ndi hemodialysis si zifukwa zochepetsera mulingo. Kuchepetsa kwa mlingo wa 25 mg ndikotheka ndi chiwindi.
2. Matenda osakhazikika pamtima (makamaka pakakhala kuti mankhwalawo alibe mankhwala a ACE inhibitors) - motere, ndikofunikira kupereka mankhwala othandizira kwa milungu ingapo, kuyambira mlingo wochepa masiku oyamba 7, kenako 25 mg mu sabata lachiwiri kenako 50 mg yaumoyo ngati mankhwala akukonzanso.
3. Kupewa kwa chitukuko cha mtima wamankhwala kwa odwala omwe ali ndi chiopsezo chachikulu (matenda oopsa ndi hypertrophy yamanzere) - kuchokera 50 mg kapena kupitilirapo patsiku.
4. Severe nephropathy (proteinuria, edema syndrome, matenda oopsa) odwala omwe ali ndi matenda ashuga - kuchokera 25 mg kapena kuposa pamodzi.

Mankhwalawa amatengedwa pakamwa kamodzi patsiku, makamaka madzulo, osasamala chakudya.

Machenjezo

Lorista ndi chida chamakono chopangidwa ndi njira yabwino, yololera odwala. Komabe, musanagwiritse ntchito, zotsutsana zonse ziyenera kulingaliridwa kuti popewe kukula kwa chiwopsezo chaumoyo ndi moyo. Yemwe sangathe kumwa mankhwalawa:

• azimayi oyembekezera komanso oyembekezera
• ana ndi achinyamata asanakhale achikulire chifukwa cha kusowa kwa zambiri pazoyesa zamankhwala,
• anthu ntchito chiwindi kulephera, kutsekeka kwa biliary thirakiti ndi kusayenda kwa ndulu,

• kulephera kwambiri kwa aimpso ndi creatinine chilolezo chochepera 30 ml pa mphindi,
• ndi mikhalidwe yomwe ilipo ya hypercalcemia ndi hypokalemia, osatheka kuwongolera, komanso hyponatremia,
• mwa anthu omwe ali ndi uric acid diathesis (gouty syndrome),
• ndi chidwi champhamvu kwa osokera ndi otulutsa, kuphatikizira ndi tsankho la lactose.

Anthu ayenera kusamala kwambiri ndi matenda monga:

• matenda ashuga
• ofatsa pang'ono komanso aimpso kuchepa,
• aimpso mtsempha wamagazi,
• kutsika kwa kuchuluka kwa magazi (kuzungulira, kusanza, zakudya zopanda mchere),
• matenda amisala
• chilema cha mtima
• matenda a autoimmune a systemic chikhalidwe (lupus),
• kuchuluka kwa myopia ndi glaucoma.

Kuchitapo kanthu munthawi yomweyo ndi potaziyamu wambiri okodzetsa kumawonjezera chiopsezo cha hyperkalemia. Kuphatikiza koyanjana ndi mankhwala ochokera ku gulu la NSAID kumatha kuchepetsa hypotensive zotsatira za losartan. Lorista imakulitsa njira zowchiritsira zama mankhwala ena omwe amagwiritsidwa ntchito motsutsana ndi kukakamizidwa.

Mtengo ndi fanizo

• Vazotens (Iceland) - mapiritsi okhala mu mgawo womwewo amadzaza zidutswa 14, motero mtengo wake umakhala wotsika kwambiri kuposa maLorista, koma ndi chithandizo cha nthawi yayitali umawononga ndalama zambiri,

• Cozaar (England) - mawonekedwe omwewo, mapangidwe ofanana a mapiritsi 14 a 50 mg aliyense ndi okwera mtengo kwambiri, pafupifupi ma ruble 270, mapiritsi 28 - ma ruble 500,
• Losartan (Makedonia) ndi gulu lomweli lofanana ndi la Lorista, koma mankhwala apakhomo otchedwa Losartan ndi otsika mtengo kwambiri
• Presartan (India) - Mlingo waukulu kwambiri umagula pafupifupi ma ruble 400 pachikwama chimodzi cha mapiritsi 28,
• Lozap (Slovakia) - kuchokera pagulu la mitengo yodula kwambiri, koma pali phukusi la mlingo wa 100 mg m'mapiritsi 90, omwe amalipira ma ruble 700,
• Blocktran (Russia) - mapiritsi a 50 mg pachilichonse cha 30 ndiotsika mtengo kuposa Lorista, pali mapiritsi 60 pa paketi iliyonse - mtengo wake ndi pafupifupi ma ruble a 360.

M'mafakisi, mutha kupeza mayina omwewo a mankhwala okhala ndi prefixes omwe amalankhula za wopanga. Yemwe mungasankhe, ndikofunikira kusankha payekha, kutengera uphungu wa madokotala ndikuganizira mayankho a wodwala.

Galina Starodubtseva, wazaka 58, Yaroslavl:

Ndidasinthira kwa Lorista pambuyo pa Enalapril, yemwe adandithandiza ndikumapanikizika, koma ndimazunzidwa chifukwa chakhazikika. Mlingo wake unasankhidwa ndi dokotala pang'onopang'ono, chifukwa ndimatenga Bisaprolol wa arrhythmias nthawi yomweyo. Zotsatira zake, m'mawa pamimba yopanda kanthu Bisaprolol 5 mg, madzulo Lorista 50 mg. Kupanikizika kumasungidwa pokhazikika, pokhapokha mutachita mantha ndikugwira ntchito m'munda. Ndidayesa kuchepetsa mlingo - kulumikizanso manambala. Ndazindikira kuti sizoyenera kuwopsa. Dokotala anachenjeza kuti ndi mtima wanga chithandizo choterechi chidzakhala kwa nthawi yayitali. Ndibwino kuti palibe mavuto.

Antonina Belozerova, wazaka 49, Salsk:

Amayi anga ali ndi matenda ashuga, kunenepa kwambiri, kutha, komanso kulephera mtima. Amamwa kwambiri mankhwala, nthawi zina amawakana, koma amayambanso. Lorista adamulembera kuchipatala pamodzi ndimankhwala ena. Koma tidagula analogue otsika mtengo -Losartan. Pali zochitika, kukakamizidwa sikumadumpha, ndikothekera kuti mutenge - usiku 1 nthawi patsiku. Koma adazindikira kuti tsitsi lake lidagwa kuposa masiku onse. Inde, zaka 73, koma izi zisanachitike. Tikuwerenga kuti pali zotsatirapo zake za mankhwalawa. Dokotala akulangizani kuti musathamangire kuletsa, ndibwino kugula Lorista, kukaonana ndi endocrinologist, chifukwa vutoli silotsutsana. Ndikuganiza kuti tidzagula Lorista ndikuyesa, akunena bwino ndipo samapereka zotsatirapo zake.

Victor Nikolaev, wa zaka 52, Krasnodar:

Ndimakonda Lorista, amachita pang'onopang'ono, pang'onopang'ono amafanana kupanikizika, popanda madontho. Ndinkakonda kumwa Amlodipine ndi Indap, ndinayamba kuchepa thupi komanso kugona kwambiri usiku. Ndinapita kwa Lorista pa upangiri wa adotolo wakomweko ndipo osadandaula. Zilibe zovuta, ndimagona bwino ndipo sind kuda nkhawa kuti mwina pakati pausiku pamachitika zovuta, chifukwa nthawi zambiri ndimadwala matenda oopsa. Adawalangiza mayi ake, ngakhale kuti amakayikira poyamba, koma adokotala adavomera kusankha. Tsopano mayi wachikulireyo, m'malo mwa Adelfan wamba, akumwa mankhwala amakono. Ngakhale ndichokwera mtengo, ndichotetezeka komanso chothandiza kwambiri pakuchepetsa mavuto.

Valentin Sviridov, wazaka 59, Saransk:

Ndili ndi matenda ashuga a 2, ndimamwa mapiritsi. Zovuta ndi zotupa ndi anzanga okhazikika. Drank Furosemide, anayamba kukhala wopanda mtima. Dotolo adalangiza Lorista N, patatha pafupifupi sabata ndimakhala ngati munthu. Moyo wanga wakhala bwino, madzi ochulukirapo sanandizindikire, zakhala zosavuta kusuntha, kugona kwanga kwayenda bwino. Ndine wokhutitsidwa, ngakhale ndikuwopa chiwindi, ndi matenda anga zonse zitha kukhala. Adotolo mpaka mankhwala atalephera, adanena kuti Lorista amakhudza chiwindi pang'ono, atalamulidwa kuti abwere mwezi umodzi kuti azilamulira, ndiye kuti tiona. Pakadali pano zabwino.

Svetlana Pustovalova, wazaka 39, Krasnoyarsk:

Ndidadzipereka kwa Lorista ndekha, ndidatenga kwa apongozi anga mayeso, pomwe mavuto adayamba kukhala wopanda pake. Ndimagwira ntchito yamanjenje, kupsinjika mosalekeza komanso kusowa tulo. Ndidayamba kumwa ndi mulingo wochepera molingana ndi malangizo, ndiye ndidawonjezera 25 mg, pomwe ndidayimilira. Zotsatira zake sizinayambike nthawi yomweyo, patatha pafupifupi sabata limodzi. Nthawi yomweyo, ndimamwa mankhwala osokoneza bongo osokoneza bongo. Apongozi anga amandipititsa kwa adotolo, ndipo ndilibe nthawi. Mankhwala amathandiza. Zachidziwikire, izi ndizolakwika, mankhwala akuluakulu ngati awa sangathe kuledzera popanda kulandira mankhwala. Koma ndidaphunzira zonse mosamala, ngati chimodzi mwazovuta zimapezeka, ndimapita kwa dokotala nthawi yomweyo. Mwa njira, apongozi a amayi a Lorista akhala akumwa kwa zaka 5 ndipo akumva kuti ali ndi zaka 69.

Kufotokozera ndi malangizo a mankhwala Lorista

Lorista - ndi mankhwala ochititsa chidwi, ndiye kuti, njira yochepetsera kuthamanga kwa magazi. Yogwira pophika mankhwala - potaziyamu lortazan - amatchinga zinthu monga angiotensin II m'thupi. Zotsatira zake, kupanikizika kumachepa, zotumphukira mtima kukana, pambuyo pazolowera pamtima. Lorista amakhalanso ndi diuretic.Kuchiza ndi mankhwalawa sikuwonetsedwa kokha kwa matenda oopsa, komanso kwa odwala omwe ali ndi chiopsezo chodwala, matenda a mtima osakhazikika, mtundu wachiwiri wa matenda osokoneza bongo wovuta kupezeka ndi mapuloteni mumkodzo kuti ateteze impso. M'mbuyomu, kugwiritsa ntchito Lorista kumakuthandizani kuti muchepetse kufunika kwa kuyimba, kuyambika kwa matendawo.

Lorista amapangidwa mwanjira ya mapiritsi okhala ndi mitundu yambiri ya yogwira ntchito. Mapiritsi amayenera kumwedwa kamodzi patsiku, mogwirizana ndi malangizo a mankhwalawo, mosasamala za chakudya. Pakutha kwa mwezi woyamba kudya kwambiri kwa Lorista, munthu akuyenera kuyembekeza kwambiri. Ndi muyezo wa tsiku ndi tsiku wa 50 mg, kuwonjezeka kwapawiri ndikotheka. Kuchuluka kwa Lorista omwe amagwiritsidwa ntchito patsiku kumayambiriro kwa chithandizo kuyenera kukhala kochepa. Maphunzirowa akamapitiliza, mlingo wa mankhwalawo umakulirakulira. Ngati wodwalayo wasokoneza thanzi la chiwindi, ndiye kuti njira zomwe Lorista akufotokozera ziyenera kuwunikiranso panjira yochepetsera Mlingo.

Cholinga cha mankhwalawa sichikuwonetsedwa chifukwa cha tsankho, kuchuluka kwa potaziyamu m'magazi, hypotension, kuchepa kwamadzi. Lorista samalandira chithandizo kwa amayi apakati komanso oyembekezera, komanso odwala omwe ali ndi zaka zosakwana khumi ndi zisanu ndi zitatu.

Zochita Lorista

Yogwira ntchito ya wothandizirayi ndi potaziyamu losartan. Izi zimalepheretsa ntchito ya angiotensin zolandirira popanda kugwiritsa ntchito angiotensin potembenuza enzyme. Mankhwalawa amathandizira kupukusa kwa uric acid ndikuletsa kuphipha kwa aldosterone. Poyerekeza ndi momwe ntchitoyo imagwirira ntchito, mtima umakhazikika, mulingo wa norepinephrine mu seramu yamagazi ndi kuchepa kwa magazi.

Mankhwala amakhudzidwa ndi mankhwalawa amadziwika maola 5-6 atagwiritsidwa ntchito. Mankhwalawa samakhudza kuchuluka kwa shuga, triglycerides ndi cholesterol. Imatengedwa mwachangu ndikupanga maubwenzi olimba ndi albumin. Ma metabolites a kachipangizidwe kake amathandizidwa mkati mwa maola 24 ndi impso ndi matumbo.

Lorista imalimbikitsa kutulutsa kwa uric acid ndikuletsa kutulutsa kwa aldosterone.

Kuphatikiza

Kugwiritsa ntchito kwa kuphatikiza kwa Lorista ndi Amlodipine kumakupatsani mwayi wokhazikitsa magwiridwe antchito amtima wonse komanso kukhazikika kwa zovuta. Pogwiritsa ntchito kuphatikiza uku, mitsempha yamagazi imakulitsidwa, chiopsezo chobwereranso kuthamanga kwa magazi amachepetsa, ndipo magazi amatuluka. Zotsatira zake zimasungidwa masana.

Zikuyenda bwanji Lorista

Lorista (Losartan) wa m'gulu la sartani, amagwiritsidwa ntchito pochiza matenda oopsa.

Mankhwalawa ali ndi zotsatirazi:

• amathetsa kuphipha kwamitsempha yamagazi,
• amachepetsa kuthamanga kwa magazi mu msempha,
• amathetsa matenda oopsa a m'mapapo,
• ali ndi diuretic zotsatira
• amachepetsa kutupa.

Lorista imakhala ndi yogwira potaziyamu wolemera mu 12.50 mg.

Kuphatikizidwa kwa mankhwalawa kumaphatikizanso zina:

Mankhwala amamasulidwa mapiritsi a 12,5 mg, 25 mg, 50 mg, 100 mg. Angiotensin II amalumikizana ndi ma-receptors a AT-1 mu minofu, secrete aldosterone. Angiotensin - II imakulitsa kuchuluka kwamisempha yosalala minofu.

Lorista ndi wolimbana ndi AT1 receptor; metabolite yake E3174 imachotsa zotsatira za angiotensin II. Mankhwala amachepetsa kuthamanga kwa magazi atamwa mankhwalawa pa 100 mg, sizikhudza zochitika zaumwini komanso kuchuluka kwa norepinephrine mu plasma.

Lorista ali ndi zotsatirazi: amachotsa vasospasm, amachepetsa kuthamanga kwa magazi mu msempha.

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Mapiritsi a Amlodipine ndi othandiza pa matenda otere:

• kuthamanga kwa magazi
• mawonetseredwe amtima matenda.

Losartan tikulimbikitsidwa kwa wodwala ndi zotsatirazi matenda:

• lamanzere lamitsempha lamanzere,
• kupewa kufa mwadzidzidzi,
• kupewa aimpso matenda oopsa mwa odwala matenda ashuga a 2,
• monga mankhwala ophatikiza.

Losaratan pamodzi ndi Amplodipine amachotsa ochepa matenda oopsa mu matenda ashuga nephropathy.

Momwe mungatenge Amlodipine ndi Lorista

Mapiritsi a Lozaratan amaperekedwa kwa odwala omwe ali ndi gout kuti achepetse kuthamanga kwa magazi kwinaku akusunga zakudya zofunika. Mankhwala Lorista ndi hypertrophy ya kumanzere yamitsempha yamafuta amamuikira 100 mg.

Ndi matenda oopsa, tsiku lililonse mankhwalawa ndi 50 mg, amatengedwa nthawi imodzi patsiku. Dokotala wamtima amatha kuonjezera kuchuluka kwa mankhwalawa mpaka 100 mg.

Chithandizo cha matenda a mtima wosalephera chimaphatikizapo kumwa Lorista pa 12,5 mg tsiku lililonse.

Udindo waukulu umaperekedwa kwa mankhwala a antihypertensive omwe cholinga chake ndi kupewa matenda a CVD. Losartan ndi mankhwala 50 mg tsiku, Amlodipine amatengedwa 1 nthawi patsiku kuchuluka kwa 5 mg. Pakati pa milungu 4, mlingo umakulitsidwa mpaka 10 mg.

Zotsatira zoyipa

Nthawi zambiri atatha Amlodipine, wodwalayo amakhala ndi: mutu, kutopa, kugona, kugwedezeka.

Mukamagwiritsa ntchito mankhwalawa, mutha kukumana ndi mawonekedwe monga kutsokomola, kupuma movutikira, mphuno, mphuno.

Zizindikiro zodziwika pambuyo p kumwa mapiritsiwa zimatupa, kusowa chilakolako cha chakudya, komanso kupweteka pamimba.

Urology nthawi zambiri imayimiriridwa ndi zizindikiro monga:

• kukodza,
• cystitis
• pyelonephritis,
• kusabala.

Malingaliro a madotolo

Kolyakhin S.A., dokotala wa urologist

Lorista adadzikhazikitsa ngati mankhwala otsika mtengo pochizira matenda oopsa. Mankhwalawa ali ndi zovuta zochepa. Mankhwalawa samayambitsa kuwoneka ngati chifuwa chowuma, monga zoletsa zina za ACE.

Teplyakov A.S., wothandizira

Mankhwala othandiza, mlingo woyenera. Mankhwala a Lorista alibe mavuto. Pang'onopang'ono amachepetsa kuthamanga kwa magazi. Nthawi zambiri ndimapereka mankhwala nthawi yomweyo amlodipine.

Ndemanga za Odwala

Ivan Fedorovich, wazaka 70, Ivanovo

Adayamba kulandira chithandizo ndi Lorista pomwe kuthamanga kwa magazi kudafika pa 170/90. Anamwa mankhwala a 0.25 mg m'mawa asanadye chakudya cham'mawa. HELL anali pamlingo wa 155/100. Ndinaleka kugwiritsa ntchito mankhwalawa, chifukwa mavuto adawoneka.

Boris Petrovich, wazaka 58, Astrakhan

Adatenga mankhwala a Amlodipine ndi a Lorista monga adanenera. Kupanikizika kunachepa, koma osati pomwepo. Patatha sabata limodzi panali phokoso kumutu, lomwe linazimiririka atakana kumwa mankhwalawo.

Zotsatira zoyipa ndi bongo wa Lorista

Zotsatira zamachitidwe a mankhwalawa pathupi zimatha kuyambitsa zizindikiro zosiyanasiyana. Mwachitsanzo, kudzimbidwa kapena kupweteka mutu, kusokonezeka kwa kugona, kuda nkhawa, kapena kupsinjika. Komanso, chilimbikitso chabodza chokodza, kukhudzika, khungu louma ndikotheka - mwakulankhula kwina, zisonyezo zoyipa za Lorista pamthupi la wodwala zimatha kukhala zosiyana kwambiri. Zoyipa pazigawo za mankhwalawa zimatha kufotokozedwa ngati urticaria kapena zovuta zina, kuphatikiza edema ya Quincke ndi zina.

Mukatenga mitundu yayikulu kwambiri ya Lorista, kuthamanga kwa magazi kumatha kuchepa, kugunda kwa mtima (tachycardia) kumatha kuchitika, kapena, kutsika kwa mtima (bradycardia).

Ndemanga za Lorista

Odwala akamauza ena za momwe amamwa mankhwalawa popenda za Lorista, amakonda kudziwa kuti kumayambiriro kwa maphunzirowo mankhwala "adachita bwino", "kupsinjika kunali kuchepa." Koma patapita nthawi, ena mwa iwo amakomoka kwambiri. Nthawi zambiri, nthawi yomweyo, kukhudzika kwamalingaliro kumafotokozedwanso. Ndizovuta kunena ngati kudziwitsidwa kwa odwala kotereku ndikwapadera kwawo, kapena kulandiridwa kwa Lorista kumangogwirizana ndi nthawi yopsinjika, kapena, m'malo mwake, kumwa mankhwalawa kumadzetsa nkhawa ...

Yankho ku zowunikirazi, monga lamulo, ndi upangiri woti ubwezere mankhwalawa. Inde, kusankha mankhwala ochiritsira kwa odwala omwe ali ndi matenda oopsa ndi njira yovuta kwambiri komanso yosalimba kotero kuti pafupifupi imatha. Wodwala ndi dotolo ayenera kumakambirana pafupipafupi, kuti adziwe njira zoyenera zamankhwala.

Lorista - antihypertensive mankhwala omwe amathandiza kuchepetsa kukanuka kwathunthu m'mitsempha ndi kuthamanga kwa magazi m'magazi a m'mapapo (ang'ono) ozungulira magazi. Kuchepetsa kupanikizika kumachitika chifukwa cha kukula kwa mitsempha yaying'ono. Lorista amaletsa kukula kwa hypertrophoto yamanzere yamitsempha yamtima, kuponderezera zizindikiro zake monga kupuma movutikira, angina pectoris, palpitations, kugona ndi kutopa, ndikulimbana ndi mtima kosagwirizana kumawonjezera kulolerako zolimbitsa thupi. Mphamvu ya antihypertensive ya mankhwalawa siyikhudza kuzungulira kwa thupi ndipo imakhala yokhazikika kwa maola 24. Lorista ali ndi diuretic zotsatira, zomwe zimachitika pambuyo pa maola 1-2 pambuyo pakukonzekera ndipo zimatha kwa maola 6-12.

Magulu a ntchito:

Ndikukupemphani kuti muyankhe, kodi kulidi ndi ludzu kwa Lorista N kwa moyo? Ndakhala ndikumwa kwa zaka pafupifupi 15. Ndipo m'mene sindimamwa kwa masiku awiri, ndimatupa pamiyendo yanga ndipo kupanikizika kumakula. Kodi ichi sichiri chithandizo, koma chithandizo chokha, koma munthu angachiritsidwe bwanji?

Kodi ndizotheka kutenga Lorista kachiwiri pambuyo pa Burlipril? Ndidakhala ku Lorista pafupifupi zaka zisanu, ndiye kuti zolephera zina zidachitika, mwina chifukwa choti ndidachepetsa mulingo. Ndakhala ndikutenga Burlipril kwa theka la chaka tsopano, koma ndimakonda chikhalidwe changa ndi Lorista. (Ndi Burlipril mtundu wina wamavuto). Kodi ndingathenso ku Lorista?

Koma kodi zingatengedwe limodzi?
Ndimakondanso funso ili. Ndidakhala ku Lorista pafupifupi zaka zisanu, ndiye kuti zolephera zina zidachitika, mwina chifukwa choti ndidachepetsa mulingo. Ndakhala ndikutenga Burlipril kwa theka la chaka tsopano, koma ndimakonda chikhalidwe changa ndi Lorista. (Ndi Burlipril mtundu wina wamavuto). Kodi ndingabwererenso ku lorista?

Masana abwino Ndakhala ndikutenga Lerkamen 10 mg kwa nthawi yayitali, zaka 2 kale. kuchokera pamavuto akulu (popeza kulumpha kwawo kunali kokwezeka pafupipafupi). Poyamba, mankhwalawa adandithandiza ndipo kupanikizika kudasungidwa mumitsempha ya 140/95 58. Ndikadatsala ndi chithokomiro chamitsempha cham'mimba. Ndipo kumapeto kwa chaka cha 2016, kupanikizika kudayamba kulumanso, ndikukoka kwamphamvu mpaka ku 190/110 54. Ndinafunika kugwiritsa ntchito Captopril. Ndinapita kwa dokotala wotchulidwa Nifecard CL 60 mg usiku. Patatha miyezi iwiri, sizinachite bwino kwambiri, zamkati 61 zimangosungidwa mu timitengo ta 160/100, ndipo kutupa kwa miyendo kunawonekera ku chilichonse. Ndidapita kukawona dokotala wamtima ndipo adaimitsa ndikulemba piritsi la Lorista ND 100ml / 25mg 1 m'mawa. Apa ndimamwa tsiku lachisanu lokha. Dzulo, zopsinjika zidatsikira mpaka 110/73 kukoka 64. Lero m'mawa sindinamwe piritsi chifukwa kupanikizika kunali 118/738 kukoka kwa 64. Chonde ndiuzeni nditani? Kodi nditha kuchepetsa mlingo?

Momwe mungatenge Amlodipine ndi Lorista palimodzi

Ndi hypertensive syndrome, kuchuluka kwa mankhwalawa ndi 5 mg ya Amlodipine ndi 25 mg ya Lorista. Mapiritsi ayenera kutsukidwa ndi madzi. Ngati vuto la impso lakusokonekera komanso kusapezeka kwa zotsatira zabwino, mulingo wa mankhwalawa uyenera kukonzedwa. Lingaliro la kutenga ndi kumwa limapangidwa ndi adokotala.

Ndi hypertensive syndrome, mlingo ndi 5 mg wa Amlodipine.