Momwe mungagwiritsire ntchito mankhwala Torvakard?

Zinthu monga cholowa chamtsogolo, njira zopanda moyo komanso ukalamba zimakhudza gawo la thupi m'njira zovuta. Mwa zovuta zachipatala zomwe zingakhalepo, madotolo awonetsa kuchuluka kwa mafuta m'thupi komanso mankhwala ena othandizira, polimbana ndi omwe amagwiritsa ntchito mankhwalawa "Torvakard".

Malangizo ogwiritsira ntchito

Njira yogwiritsira ntchito "Torvacard" imaphatikizapo matenda akuluakulu khumi ndi awiri komanso angapo, njira imodzi kapena ina yolumikizidwa ndi ntchito ya mtima ndi mtsempha wamagazi. Mankhwala ndi mankhwala amphamvu, motero, opatsiridwa m'mafakisoni okha ndi mankhwala ndipo amafunikira njira yabwino. Kugwiritsa ntchito mankhwalawa ndizovomerezeka malinga ndi kufunsa kwa madokotala kapena akatswiri a zamankhwala, komanso pambuyo pophunzira mosamala malangizo.

Gulu la pharmacological ndi mafotokozedwe

"Torvacard" amatanthauza gulu la mankhwala ochepetsa lipid omwe amagwiritsidwa ntchito pochepetsa kuchuluka kwa mafuta mu plasma. Gawoli limatchulidwanso kuti statins: mankhwalawo omwe akufunsidwa ndi oletsa a HMG-CoA reductase. Chofunikira mu mankhwala ndi atorvastatin. Kuphatikiza apo, kukonzekera kumakhala ndi zinthu zazing'ono:

• stearate ndi magnesium okusayidi,
• lactose
• sodium croscarmellose,
• Hyprolose
• silika
• zokutira filimu.

Atorvastatin ndi chinthu chosankha chomwe chimalepheretsa kupanga enzyme inayake m'thupi yomwe imakhudzidwa ndi kapangidwe ka coenzymes, mevalonic acid ndi sterols. Zina mwa izi ndi cholesterol (cholesterol) ndi triglycerides: amalowa m'chiwindi ndipo amawonjezeredwa ndi ena otsika osaluka lipoproteins (LDL). Akamasulidwa kulowa m'magazi, amapezeka m'magulu osiyanasiyana a thupi.

Mankhwalawa amalepheretsanso kaphatikizidwe ka cholesterol ndikuwonjezera chiwindi kukonza LDL. Chiwerengero champhamvu chatsika pamilandu iyi ndi motere:

• cholesterol - 30-45%,
• lipoproteins kachulukidwe - 40-60%,
• apolipoprotein B - wolemba 35-50%,
• thyroglobulin - mwa 15-30%.

Mafuta a "Torvacard" m'thupi amasungidwa kwambiri. Mankhwalawa amafikira pazomwe zili m'magazi pambuyo pa mphindi 90-120 pambuyo pakudya, ngakhale kudya, ufulu wa wodwalayo, kupezeka kwa chiwindi cha zidakwa za chiwindi ndi zina zomwe zingakhudze chizindikiro ichi. Mankhwalawa amachotsedwa kudzera m'migawo ya m'mimba limodzi ndi bile pambuyo pa metabolism.

Kutulutsa Mafomu

Mankhwala "Torvakard" amapangidwa ngati mapiritsi ogwiritsira ntchito pakamwa ndi kampani ya ku Slovak "Zentiva", komabe, kuyika kwachiwiri kwa mankhwala kumatha kuchitika ku Russia. Mapiritsiwo ndiwotsika komanso ozungulira mbali zonse, amapaka utoto loyera ndikutetezedwa ndi filimu yophimba pamwamba.

Kuchuluka kwa atorvastatin mu "Torvacard" kumatha kusiyanasiyana ndi mankhwala omwe amagwiritsidwa ntchito - 10, 20 kapena 40 mg yogwira ntchito. Chiwerengero cha mapiritsi omwe ali phukusi la mankhwala wamba ndi 30 kapena 90 zidutswa.

Zizindikiro zogwiritsidwa ntchito

Choyamba, "Torvakard" imalembedwa kwa odwala omwe ali ndi cholesterol yokwanira kapena lipoproteins. Kuphatikiza apo, mankhwalawa amagwira ntchito ngati pakufunika kuonjezera kuchuluka kwa cholesterol ndi LDL kwa odwala omwe ali ndi hypercholesterolemia kapena hyperlipidemia. Pamodzi ndi zakudya, mankhwalawa atha kupindulitsa anthu omwe apezeka kuti ali ndi triglycerides wambiri.

"Torvacard" siyothandizanso ngati njira yopewa kulowetsedwa kwa myocardial kapena stroko mwa odwala omwe ali ndi zoopsa zotsatirazi:

• zaka zopitilira 55
• kusuta fodya ndi fodya,
• kuthamanga kwa magazi
• matenda ashuga
• matenda a mtima.

Nthawi zina, kugwiritsa ntchito kukonzekera kwa atorvastatin kwawonetsedwa kuti kuletsa kukhudzanso kwamphamvu, angina pectoris kapena, ngati kuli kotheka, kuchita vasascularization ya mtima.

Kutalika kwa maphunziro

Kutalika kwa njira yothandizira achire ya "Torvacard" kumatsimikiziridwa payekha ndi dokotala munthawi iliyonse. Mtengowu umatengedwa ndi magawo osiyanasiyana, chofunikira kwambiri chomwe ndi kuyankha kwa thupi ku chithandizo komanso kusintha kwa zinthu mthupi la wodwalayo. Dziwani kuti chithandizo chokwanira kwambiri cha "Torvacard" chimachitika patadutsa milungu inayi chiyambireni chithandizo, koma pochita, nthawi ya maphunziroyi imatha kuyambira miyezi ingapo kapena kupitilira apo.

Contraindication

Chifukwa chakuti chitetezo cha kugwiritsa ntchito Torvacard pokhudzana ndi ana ndi achinyamata ochepera zaka 18 sichinakhazikitsidwe, madokotala samapereka mankhwala kwa gulu ili la odwala. Lamuloli limagwiranso ntchito kwa azimayi oyembekezera komanso oyamwitsa chifukwa cha ngozi yomwe ingachitike kwa mwana. Mukakonzekera mwana, mankhwala a Torvard ayenera kusiyidwa. Mu zotsatirazi ndi matenda, mankhwalawa amakwiriridwa kapena amafuna chisamaliro chapadera kuti agwiritse ntchito:

• matenda a chiwindi
• uchidakwa wambiri,
• kukokoloka kwa elekitirodi,
• matenda a endocrine system,
• kuthamanga kwa magazi
• sepsis
• kuvulala ndi maopaleshoni.

Mankhwala sangathe kulembedwa kwa anthu omwe ali ndi hypersensitivity ku chimodzi mwaziphatikizidwe zomwe zimapangidwa. Malinga ndi kafukufuku wapamwamba, kuphatikiza kwa zamankhwala ku Torvacard sikukhudza chonde amuna ndi akazi.

Zotsatira zoyipa

Zotsatira zoyipa pakugwiritsa ntchito "Torvacard" ndizofala kwambiri, ndipo zimatanthawuza mawonekedwe osiyanasiyana. Kugawidwa kwa zotsatira zoyipa kumatsimikiziridwa ndi kuchuluka kwa kupezeka kwawo kutengera ziwerengero zomwe zasungidwa:

1. Nthawi zambiri - nasopharyngitis, chifuwa, hyperglycemia, mutu, zilonda zam'mimba, nseru ndi m'mimba, kupweteka miyendo.
2. Pafupipafupi - hypoglycemia, kusokonezeka kwa tulo, chizungulire, kuiwalaiwala, tinnitus, kusanza, kufooka kwa minofu, malaise, kutupa, urticaria.

Zowawa zomwe zimachitika kawirikawiri pa chithandizo cha Torvacard zimaphatikizapo kugwedezeka kwa anaphylactic, kuwonongeka kwa mawonekedwe, ndi kumva. Odwala ena adadandaulanso za khungu ndi matenda a erythema. Maphunziro a Laborator nthawi zambiri adawonetsa kuwonjezeka kwa hepatic transaminases ndi creatine kinases.

Zosunga

Mosiyana ndi mankhwala ena ambiri, Torvakard sazindikira kwenikweni malo osungira. Malinga ndi malangizo, mankhwalawa safuna zizindikiro zapadera za kutentha, koma ndibwino kuti musamusiye mapiritsiwo pafupi ndi magwero a kutentha. Ayeneranso kusungidwa ndi ana. Alumali moyo wopangidwa ndi wopanga ndi zaka zinayi, pambuyo pake mankhwalawo sangathe kugwiritsidwa ntchito.

Mlingo ndi makonzedwe

Mapiritsi a Torvacard amatengedwa mosamalitsa mkati osaganizira nthawi yatsiku kapena nthawi yakudya. Chofunika pochiza mankhwalawa ndi njira yofanana ya mankhwala, yomwe imathandizira kuti lipids ikhale m'magazi. M'pofunika kutsatira zakudya mpaka kumapeto kwa mankhwala.

Monga lamulo, poyamba, mankhwalawa amalembedwa mu 10 mg ya atorvastatin kamodzi patsiku, komabe, voliyumu imatha kuwonjezeka malinga ndi izi:

• milingo yoyambirira ya cholesterol ndi ochepa kachulukidwe lipoproteins,
• chachikulu matenda ndi cholinga chithandizo,
• kutengeka ndi mankhwalawo.

Bongo

Chizindikiro chimodzi chachikulu chomwe chimawonetsa bongo wa "Torvacard" ndi ochepa hypotension. Kuyeretsa magazi ndi hemodialysis sikungathandize, ndipo palibe mankhwala enaake a atorvastatin. Wodwala yemwe ali ndi vuto lotere amafunika chithandizo chamankhwala. Panthawi yokonzanso, amafunika kuwunika chizindikiro cha wolumikizana kwa chiwindi.

Mitu ya mankhwalawa

Mankhwala atorvastatin, momwe Torvacard imakhazikitsidwa, ali m'gulu la mankhwala ena ambiri. Kuphatikiza pa mankhwala omwe ali ndi dzina lomweli, koma kuchokera kwa ena opanga, pali mitundu ingapo yodziwika ndi mayina oyambira:

• Atoris (Slovenia),
• Liprimar (USA),
• Tulip (Slovenia),
• Novostat (Russia),
• Atomax (India),
• Vazator (India).

Ponena za gulu lonse la mankhwala omwe ali m'gulu la ma statins (HMG-CoA reductase inhibitors), pali mawonekedwe azinthu zomwe zili ndi mphamvu yofanana ndi Torvacard. Izi zimaphatikizapo mankhwala ozikidwa pa lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin ndi fluvastatin.

Ndingatenge nthawi yayitali bwanji

Kutalika kwa maphunziro a tsiku ndi tsiku a "Torvacard" kumatsimikiziridwa ndi kupita patsogolo kwa wodwalayo polimbana ndi matendawa, omwe adamupangitsa kuti asamayende bwino mu mafuta osiyanasiyana omwe ali m'magazi. Chithandizo chokwanira chimatenga masabata osachepera 4-6, ndipo amatha miyezi yambiri. Dokotala wopezekanso amayenera kuyang'anitsitsa momwe thupi la wodwalayo limathandizira pochira komanso momwe vutoli limakhudzira.

Malangizo apadera

Chifukwa chakuti "Torvakard" ndi mankhwala amphamvu omwe ali ndi zotsatirapo zosiyanasiyana zoyipa, akatswiri amalimbikitsa kuti ayese kuyesera njira zochepa. Izi zimaphatikizapo kudya mokwanira, kuchita masewera olimbitsa thupi mokwanira, kuchepa thupi musanalemere kwambiri komanso kulimbana ndi ma pathologies ena okhudzana.

Ndikofunikira kuyang'anira thanzi la chiwindi nthawi yonseyi. Odwala omwe ali ndi Mlingo wambiri wa "Torvacard" amakhala ndi chiopsezo chowopsa, chomwe chikuyenera kuganiziridwa popanga dongosolo la chithandizo. Ngati zizindikiro za myopathy zapezeka, chithandizo chikuyenera kuyimitsidwa kuti chidziwitso chikudutsa.

Gwiritsani ntchito "Torvakard" mosamala pamaso pazinthu zotsatirazi mu anamnesis:

• kukanika kwa aimpso kosiyanasiyana,
• kusokonezeka kwa endocrine,
• matenda a minyewa abale apamtima,
• matenda a chiwindi kapena mowa wambiri,
• zaka zopitilira 70.

Anthu omwe amamwa mapiritsi ayenera kuganizira zovuta zomwe zimachitika mu Torvacard pazomwe zimachitika paka psychomotor poyendetsa kapena kugwiritsa ntchito njira zina.

Kutulutsa mawonekedwe ndi kapangidwe kake

Mankhwalawa amapezeka mu mawonekedwe a miyala, yokutidwa ndi enteric filimu yoyera kapena yachikasu. Amayika m'matumba a ma PC 10. Phukusili lili ndi makapisozi 90 ndi malangizo ogwiritsa ntchito. Piritsi lililonse limaphatikizapo:

• atorvastatin (10, 20 kapena 40 mg),
• magnesium oxide
• lactose monohydrate,
• silika
• magnesium wakuba,
• khalidal
• titanium dioxide.

Zotsatira za pharmacological

Mankhwalawa amalembedwa ngati gulu la hypolipidemic la statins. Zomwe zimagwiritsidwa ntchito zimakhala ndi zotsatirazi:

1. Amachepetsa magazi mafuta m'thupi ndi otsika kachulukidwe lipoproteins. Izi zimatheka chifukwa cha kuponderezedwa kwa ntchito za CoA reductase ndi kuchepa pakupanga cholesterol m'chiwindi.
2. Kuchulukitsa kuchuluka kwa zotumphukira zolimba za lipoprotein m'chiwindi. Izi zimathandizira kuti pakhale mafuta ambiri.
3. Imachepetsa kupanga ma lipoproteins otsika kwambiri. Itha kugwiritsidwa ntchito pochiza odwala omwe ali ndi cholowa cholowa, osagwiritsidwa ntchito pochiza ndi mankhwala wamba. Kuopsa kwa achire zotsatira zimatengera mlingo kutumikiridwa.
4. Amachepetsa kuchuluka kwa cholesterol yathunthu ndi 30-40%, amathandizira kukulitsa kuchuluka kwa lipoproteins yapamwamba.

Mukamamwa pakamwa, atorvastatin amalowetsedwa m'magazi mwachangu. Kuzindikira kwakukulu mu plasma ya magazi kumachitika pambuyo pa mphindi 60-120. Kudya kungachedwetse kuyamwa kwa atorvastatin. 90% ya chinthu chomwe chimagwira ndimapuloteni a plasma. Mothandizidwa ndi michere ya chiwindi, atorvastatin imasinthidwa kukhala pharmacologically yogwira komanso yolimba metabolites. Amawachotsa ndowe. Hafu ya moyo ndi maola 12. Kuchuluka kwa zinthu zomwe zimagwira umapezeka mu mkodzo.