Kodi ma lisinopril ndi indapamide angatengedwe nthawi yomweyo?

Ndi zaka, munthu amafunikira kwambiri kuthamanga kwa magazi. Nthawi zambiri odwala amatenga Lisinopril ndi Indapamide nthawi yomweyo. Lisinopril ndi Indapamide amatha kuthandizana. Ndikofunikira kuti dokotala yemwe amapezekapo adziwe izi. Ndi dokotala yekhayo amene amatha kuunika mokwanira zoopsa zonse, kutengera kupezeka kwa wodwala komanso matenda ena oyamba.

Musanagwiritse ntchito mankhwala aliwonse, muyenera kuphunzira malangizo ake mosamala, ndikuwunika zabwino ndi zovuta zake. Kuti mumvetsetse zomwe mankhwalawa ali onse, lingalirani tebulo:

· Muyenera kuwerenga: 2 min

Ndi zaka, munthu amafunikira kwambiri kuthamanga kwa magazi. Nthawi zambiri odwala amatenga Lisinopril ndi Indapamide nthawi yomweyo. Lisinopril ndi Indapamide amatha kuthandizana. Ndikofunikira kuti dokotala yemwe amapezekapo adziwe izi. Ndi dokotala yekhayo amene amatha kuunika mokwanira zoopsa zonse, kutengera kupezeka kwa wodwala komanso matenda ena oyamba.

"Lisinopril" ndi "Indapamide" adapangira zochizira matenda oopsa.

Musanagwiritse ntchito mankhwala aliwonse, muyenera kuphunzira malangizo ake mosamala, ndikuwunika zabwino ndi zovuta zake. Kuti mumvetsetse zomwe mankhwalawa ali onse, lingalirani tebulo:

"Lisinopril" ndi "Indapamide" sikuti angatengedwe nthawi imodzi, komanso kofunikira. Kuphatikiza kwawo ndikokwera ndipo kupanikizika kumatsika mofulumira. Njira yotsatirayi ikulimbikitsidwa:

1. M'mawa muyenera kutenga "Indapamide" (ndi okodzetsa mwamphamvu, chifukwa chake ndibwino kuti musatenge usiku).
2. Madzulo, "Lisinopril."
3. Ngati kupanikizika sikutha, ndiye kuti ndibwino kumwa piritsi limodzi la mankhwala.

Therapy iyenera kutumizidwa ndi dokotala, kutengera zomwe wodwala akuwonetsa.

Lisinopril ndi Indapamide amathandizirana. Ngati kupanikizika kwachulukirachulukira (pamwambapa 180/120), ndiye muyenera kufunsa dokotala (makamaka ngati pali mwayi wokhala ndi stroko kapena vuto la mtima). Nthawi yomweyo, musachulukitse mlingo wa mankhwalawa mopitirira muyeso (Indapamy samapereka zotsatira zabwino pamene muyezo ukuwonjezeka, ndipo mlingo waukulu wa Lisinopril ungayambitse kukulira kwa mkhalidwewo).

Othandizira okodzetsa omwe amathandizira kuchotsedwa kwa madzi owonjezera m'thupi nthawi zambiri amapatsidwa mankhwala oopsa. Chimodzi mwazomwe zimapezeka kwambiri pamankhwala awa ndi Indapamide, malangizo ogwiritsira ntchito omwe, komanso pazomwe amakakamizidwa, ayenera kuganiziridwa mwatsatanetsatane.

Chizindikiro chokha cha Indapamide ndi ochepa matenda oopsa. Imafotokozedwanso makamaka ngati kuchuluka kwa kuthamanga kwa magazi kumayendetsedwa ndi edema komanso kusungunuka kwamadzi. Pochotsa madzi ochulukirapo, magazi amachepa.

Zithandizo zotere nthawi zambiri zimakhala maziko a chithandizo. Nthawi zambiri amathandizidwa ndimankhwala ena odana ndi matenda oopsa. Kodi mankhwala ngati amenewa amafuna chiyani? Nthawi zambiri amalembedwa ngati matenda oopsa apitilizabe, wodwala matenda oopsa azikulirakulira, zisonyezo nthawi zonse zimasunthira pa 140 pa 100 mfundo.

Indapamide - diuretic kapena ayi? Popeza mankhwalawa ndi okodzetsa, amakhala ndi ma diuretic, amachotsa madzimadzi m'thupi. Tiyenera kukumbukira kuti kuwonjezera kuchuluka sikumabweretsa chiwopsezo cha hypotensive, popeza okhawo okodzetsa ndi omwe amawonjezera. Chifukwa chake, musamadye kwambiri kuchuluka kwa mankhwalawa, makamaka pakokha.

Mtengo wapakati wa mankhwala ndi ma ruble 20-50, kutengera ndi network ya pharmacy. Mankhwalawa ndi amodzi mwamtengo wotsika mtengo wogwiritsa ntchito matenda oopsa.

Zofunika! Palibe chifukwa chomwe muyenera kuyamba kudzipatsa okodzetsa, makamaka ndi mawonekedwe aimpso.

Nthawi zambiri mankhwalawa amatengedwa kamodzi patsiku, mlingo woyenera ndi 2.5 mg wa chinthu. Nthawi zambiri sizisintha - zimatha kusinthidwa pokhapokha kuwonjezera ma othandizira ena omwe ali ndi hypotensive kwambiri pamankhwala.

Momwe mungamwe - musanadye kapena pambuyo chakudya - zilibe kanthu. Malangizo a mankhwalawa akuti nthawi ya tsiku ndi chakudya sizikhudza mphamvu ya mankhwalawa, motero sikofunikira kuyang'ana pa iwo.

Nthawi zambiri, mankhwalawa ndimagulu osiyanasiyana a antihypertensive panthawi yolimbitsa matenda oopsa amakhala nthawi yayitali - mpaka milungu ingapo. Kenako, magazi akayamba kuthamanga mokwanira, njira ya mankhwalawa imayimitsidwa. M'tsogolomu, kuti muchepetse kupanikizika malinga ndi malire, ndikofunikira kutsatira zakudya zoyenera ndi malingaliro ena a dokotala.

Panthawi yomwe mumamwa mankhwalawa, muyenera kufunsa dokotala. Munthawi zonsezi, njira yochizira imakhala yosiyanasiyana - zonse zimatengera kuuma kwa matendawo komanso momwe wodwalayo alili.

Indapamide imakhala ndi zotsutsana zingapo zingapo. Gwiritsani ntchito mankhwalawa sayenera kukhala ndi aimpso kapena chiwindi. Pophwanya ntchito za ziwalo izi, okodzetsa amatengedwa kokha moyang'aniridwa ndi dokotala, kuyang'anira nthawi zonse momwe zinthu zasinthira komanso kusintha kwakukulu.

1. Komanso, mankhwalawa sayenera kugwiritsidwa ntchito pakutsutsana ndi zigawo za kapangidwe kake, makamaka diuretic yokha, komanso zinthu zina zomwe zimapanga mankhwalawo.
2. Kuphatikiza, simuyenera kugwiritsa ntchito mankhwalawa chifukwa cha kuyamwa kwa lactose, chifukwa ndi gawo la piritsi lokha.
3. Chotsutsana kwambiri ndi zaka za ana. Mpaka wazaka khumi ndi zisanu ndi zitatu, mankhwalawa odana ndi matenda oopsa sayenera kugwiritsidwa ntchito, popeza palibe umboni wa chitetezo chake kwa ana.
4. Indapamide sayenera kugwiritsidwa ntchito panthawi yomwe ali ndi pakati: pakubala mwana komanso nthawi yoyamwitsa ndiyopikisana kwambiri pakumwa mankhwalawa.

Zofunika! Kulandila kwa diuretic okalamba kumachitika makamaka moyang'aniridwa ndi dokotala. Kwa anthu achikulire, mankhwalawa amatha kusokoneza thupi.

Izi diuretic zimakhala ndi zovuta zingapo zoyipa. Samawoneka pafupipafupi ngati mutenga Indapamide malinga ndi malangizo. Maguluotsatirawa pamavuto amodzi nthawi zambiri amasiyanitsidwa:

• chizungulire, kupweteka mutu, kusokonezeka kwa tulo, asthenia, zovuta zina zamanjenje,
• Hypotension, kusokonezeka kwa mafunde, zina zoyipa zochokera m'magazi,
• kwambiri chifuwa, pharyngitis, sinusitis,
• matenda osiyanasiyana ochokera ku dongosolo lamafukula,
• hematopoiesis, kusintha koyezetsa magazi,
• mitundu yonse ya zovuta zoyipa, zotupa pakhungu, urticaria.

Zotsatira zoyipa izi ndizofala kwambiri mukamatenga Indapamide. koma ndi kuvomerezeka koyenera, kuthekera kwa kupezeka kwawo ndizochepa.

Ganizirani mankhwala omwe Indapamide ingathe kusintha ndipo ndi iti ndibwino.

Concor ndi Indapamide zimagwirizana bwino, nthawi zambiri zimaperekedwa ngati njira yolumikizira mankhwala. Indapamide itha kuphatikiza bwino ndi beta-blockers ena.

Lorista (angiotensin receptor antagonist) ndi indapamide akhoza kuphatikizidwa ndi chilolezo cha dokotala. Nthawi zambiri, mankhwalawa amaperekedwa nthawi imodzi kuti apatsidwe mankhwala ovuta.

Prestarium ndi mankhwala ogwiritsira ntchito matenda oopsa komanso kulephera kwa mtima. Zimachitika kuti adayikidwa limodzi ndi okodzetsa, makamaka - ndi Indapamide. Mankhwalawa amaphatikizidwa bwino.

Kuphatikizika kwa Lisinopril ndi Indapamide kumakupatsani mwayi wochepetsa kuthamanga kwa magazi, pomwe amakhala okhazikika kwanthawi yayitali, ndipo matenda oopsa amachepa. Lisinopril ndi choletsa ACE. Pankhaniyi, simuyenera kuyamba kumwa mankhwala osakaniza nokha - muyenera kufunsa katswiri.

Direct analogues a Indapamide ndi ma diuretics ena otengera zomwezo. Arifon amatchulidwa makamaka kwa iwo. Muthanso kugwiritsa ntchito mitundu ina ya diuretic yokhala ndi kuchepetsa magazi. Musanagwiritse ntchito analogue, onetsetsani kuti mwawerengera momwe mungagwiritsire ntchito.

Malinga ndi zotsatira zake, mutha kuyerekeza mankhwala a gulu limodzi - okodzetsa, omwe akuphatikizapo Indapamide. Palibe zovuta kunena zomwe zili bwino: Indapamide kapena Concor. Mankhwalawa ndi amitundu yosiyanasiyana ya mankhwalawa ndipo amakhudza thupi mosiyanasiyana. Ndizosatheka kunena zomwe zili bwino: Indapamide kapena Enalapril. Ichi ndi chida chosiyaniratu ndi zotsatira zina zathupi. Komabe, ndikofunikira kudziwa kuti okodzetsa ayenera choyamba kulabadira ngati matenda oopsa aphatikizidwa ndi kutupa.

Arifon Retard amakhazikikanso machitidwe a chinthu Indapamide, koma mtengo wa analoguewo ndiwokwera. Paketi imodzi yamankhwala imakhala ndi ma ruble 300-350. Komanso, pankhani ya ntchito, ndalama izi sizosiyana.

Komabe, ndikofunikira kuganizira kuti Arifon ali ndi zotsutsana zochepa. Mukakalamba komanso pakakhala matenda a chiwindi ndi impso, ndibwino kuti muzisankha. Indapamide imakhala ndi zovutitsa zina mthupi.

Veroshpiron ndi othandizanso okodzetsa mu matenda oopsa. Komabe, ndikofunikira kudziwa kuti mankhwalawa amatha kugwiritsidwa ntchito mwa matenda ena angapo, pomwe ali ndi zotsutsana pang'ono kuposa Indapamide. Chifukwa chake, posankha mankhwala, ndikofunikira kuwonetsetsa, kuphatikiza.

Hypothiazide ndi othandizanso okodzetsa matenda oopsa, omwe nthawi zambiri amaperekedwa chifukwa cha matendawa. Kuphatikiza apo, ili ndi mitundu yambiri yogwira ntchito. Mwa contraindication, mankhwalawa ndi ofanana kwambiri.

Ndi ochepa matenda oopsa, ndikofunikira kusankha diuretic yoyamba, popeza mankhwalawa amapangira mankhwalawa. Furosemide nthawi zambiri imagwiritsidwa ntchito ku matenda ena.

Hydrochlorothiazide ndi thiazide diuretic, monganso Hypothiazide. Pochita, mankhwalawa ali ofanana. Sankhani gulu labwino kwambiri la mankhwalawa liyenera kutengera zomwe zikuwonetsa, matendawa, matendawa.

Diuver imafanana kwambiri ndi Furosemide, pomwe nthawi zambiri imalembedwa chifukwa cha matenda oopsa.Chida ichi chimathandizira makamaka pakupanga edema. Ali ndi zotsutsana zambiri, kotero musanayambe kugwiritsa ntchito, muyenera kuwerenga malangizo kuti mugwiritse ntchito.

Munthawi ya chithandizo chovuta kwambiri cha matenda oopsa, dokotala amayenera kupereka okodzetsa, popeza kuthamanga kwa magazi kumachepetsa mwachangu ndi kutulutsa kwamadzi m'thupi. Makampani opanga mankhwala apanga mankhwala ambiri okodzetsa. Nthawi zambiri, ngati pali edema, dokotala amalembera Indapamide kuti akapanikizike. Komabe, mankhwalawa ali ndi contraindication komanso mawonekedwe ogwiritsira ntchito, chifukwa chake amafunika kugwirizanitsa chithandizo ndi dokotala.

Mankhwala ndi a thiazide-ngati okodzetsa omwe amakhala nthawi yayitali, amatha kuchepetsa magazi. Indapamide imagwiritsidwa ntchito pochita matenda oopsa, pomwe kupanikizika kumayamba kupitirira 140/90 mm Hg. Art., Ndi kulephera kwa mtima kosatha, makamaka ngati wodwala watupa.

Mankhwala amamasulidwa monga mapiritsi ndi mapiritsi a 1.5 ndi 2.5 mg. Amapangidwa ku Russia, Yugoslavia, Canada, Macedonia, Israel, Ukraine, China ndi Germany. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndi Indapamide.

Indapamide ndi mankhwala osungira calcium, omwe ndi abwino kwa odwala matenda oopsa a mafupa. Itha kugwiritsidwa ntchito ndi anthu omwe ali ndi hemodialysis, odwala matenda ashuga, okhala ndi hyperlipidemia. Pazovuta, amafunikira kuti azilamulira kuchuluka kwa glucose, potaziyamu, zizindikiro zina zomwe adokotala akuuzidwa.

Makapiritsi kapena mapiritsi a kukakamiza kwa matenda oopsa amayamba kuchita mphindi 30 mutatha kumwa. Zotsatira za hypotonic zimatha maola 23-24.

Kuchepa kwa kuthamanga kwa magazi kumachitika chifukwa cha zotsatira za hypotensive, diuretic ndi vasodilating - kuthamanga kwa magazi kumayamba kutsika chifukwa cha mphamvu ya chinthu chomwe chikugwira, kuchotsa madzi owonjezera mthupi ndi kuchuluka kwa mitsempha yamagazi mthupi lonse.

Indapamide ilinso ndi katundu wamtima - amateteza ma cell a myocardial. Pambuyo pa chithandizo, matenda oopsa amatha bwino mkhalidwe wamanzere wamtima wamanzere. Mankhwalawa amachepetsa kukana mu zotumphukira ndi zotumphukira za arterioles. Popeza kuthamanga kwamkodzo kumayambitsa kuchuluka kwa mkodzo, komwe kumatsitsidwa madzimadzi ambiri, kuli koyenera kumwa mankhwalawo ngati pali edematous syndrome.

Pothamanga kwambiri (kuposa 140/100 mm Hg. Art.), Dokotala amasankha kuchuluka ndi nthawi yayitali ya mankhwalawa. Nthawi zambiri, Indapamide iyenera kumwedwa kamodzi patsiku: m'mawa, piritsi 1. Amaloledwa kumwa pamimba yopanda kanthu kapena atatha kudya - chakudya sichikhudza mphamvu ya mankhwalawa.

Malamulo ovomerezeka:

• gwiritsani ntchito nthawi yofotokozedwa bwino kuti musunge maola 24,
• mapiritsi kapena makapisozi amezedwa kwathunthu
• kuchapa ndi madzi osachepera 150 ml,
• Pokhapokha ngati dokotala akutsimikizirani, sinthani mulingo wake kapena musiyeni chithandizo.

Kukhalitsa kwa Indapamide kwa nthawi yayitali kumalumikizidwa ndi kufalikira kwa pang'onopang'ono kwa mankhwalawa. Ngati mupera mapiritsi kapena makapisozi musanagwiritse ntchito, kuchuluka kwake kwazomwe zimagwira kumalowera minofu, zomwe zimapangitsa kuchepa kwambiri kwa mavuto. Kutsika kwadzidzidzi kwa magazi kumasokoneza magwiridwe antchito onse amthupi, omwe amakhala ndi zotsatirapo zoopsa.

Mankhwala otsatirawa amaloledwa kumwa ndi Indapamide:

• Concor ndi ma B blockers ena,
• Lorista (imathandizira ma angiotensin receptors)
• Prestarium (chifukwa cha kulephera kwa mtima),
• Lisinopril (ACE inhibitor),
• mankhwala ena operekedwa ndi dokotala.

Mwachilengedwe, kuphatikiza kulikonse kwa mankhwalawa kumayenera kusankhidwa ndi adokotala okha, chifukwa ngati kuphatikiza kokhazikika kumachitika nthawi zambiri sikugwirizana. Izi zitha kuchititsa kulephera kwa mankhwalawa kapena poyizoni wa mankhwala osokoneza bongo, omwe mwanjira iliyonse amakhala pangozi ya moyo.

Nthawi zambiri munthu amakakamizidwa kumwa mankhwala angapo a magulu osiyanasiyana a mankhwala.Zinthu zawo zomwe zimagwira zimatha kuchepa kapena kuwonjezera mphamvu ya Indapamide. Ndikofunikira kudziwa mwatsatanetsatane momwe "zochitika" zotere zimawonekera.

Mphamvu ya antihypertensive ya mankhwalawa imawonjezeka ngati imagwiritsidwa ntchito limodzi ndi ma antidepressants, ma antipsychotic - izi zimatha kugwetsa kwambiri.

Akaphatikizidwa ndi erythromycin, munthu amakula tachycardia; mu cyclosporin zovuta, kuchuluka kwa creatinine kumawonjezeka. Kugwiritsa ntchito limodzi nthawi yomweyo limodzi ndi mankhwala osokoneza bongo, kuphatikizapo ayodini, kumatha kupangitsa kuti madzi asungunuke. Kutayika kwa potaziyamu kumalimbikitsidwa ndi mankhwala othandizira, ma saluretics ndi mtima glycosides.

Tiyenera kukumbukira kuti corticosteroids ndi NSAIDs (omwe si a antiidal anti-yotupa mankhwala) amachepetsa mphamvu ya Indapamide - izi zimachepetsa mphamvu ya mankhwalawa. Popewa kuyanjana kotere ndi mankhwala ena, dokotala amayenera kupereka mndandanda wazamankhwala onse azitsamba zomwe zimagwiritsidwa ntchito.

Odwala oopsa omwe ali ndi matenda amkodzo, endocrine, m'mimba ndi mtima dongosolo ayenera kuwonjezera kufunsa dokotala. Kwa ma pathologies ena, mankhwalawa ali ndi mawonekedwe ogwiritsira ntchito kapena amatsutsana kwathunthu.

Indapamide sayenera kugwiritsidwa ntchito mwa ana ochepera zaka 18, oyembekezera. Ngati mankhwalawa amadziwitsidwa kwa mayi panthawi ya mkaka wa m`mawere, ndiye kuti mankhwalawa mwana amasamutsidwa ku zakudya zosafunikira.

Kugwiritsa ntchito Indapamide kumatsutsana ngati zotsatirazi zikupezeka:

• tsankho
• kulephera kwa aimpso
• galactosemia, tsankho lactose,
• hepatic encephalopathy,
• kusokonezeka kwa magazi muubongo,
• hypokalemia
• gout
• anuria

Musanagule mankhwalawa, ndikofunikira kuti muphunzire malangizo omwe wapangidwira (omwe ali mu phukusi la mankhwalawo), chifukwa akuwonetsa zonse zokhudza kapangidwe kake, mawonekedwe ogwiritsira ntchito, zotsutsana ndi zina.

Kugwiritsa ntchito bwino mankhwalawa mu 97% ya milandu, mankhwalawa sasokoneza thupi. Mwa anthu omwe atsala 3%, Indapamide imayambitsa mavuto. Zotsatira zoyipa kwambiri ndikuphwanya muyeso wamadzi-electrolyte: kuchuluka kwa potaziyamu ndi / kapena sodium kumachepa. Izi zimadzetsa kusowa kwamadzi (kusowa kwamadzi) m'thupi. Osowa kwambiri, mankhwala amatha kuyambitsa arrhythmia, hemolytic anemia, sinusitis ndi pharyngitis.

Zotsatira zina za Indapamide:

• ziwengo (urticaria, anaphylaxis, edincke's edema, dermatosis, zidzolo),
• Matenda a Lyell
• Kuuma kwa mucosa wamlomo,
• Matenda a Stevens-Johnson
• kutsokomola
• kufooka
• chizungulire
• kusanza, kusanza,
• kupweteka kwa minofu
• migraine
• mantha
• kukanika kwa chiwindi
• kapamba
• kudzimbidwa
• orthostatic hypotension.

Nthawi zina indapamide imasintha kapangidwe ka magazi ndi mkodzo. Mu kusanthula kungawone kuchepa kwa potaziyamu, sodium, kuchuluka kwa calcium, shuga, creatinine ndi urea. Thrombocytopenia, leukopenia, kuchepa magazi, agranulocytosis kumachitika kawirikawiri.

M'malo mwa Indapamide, Indap imaloledwa. Mankhwalawa ali ndi mawonekedwe omwewo, koma amapangidwa ndi wopanga wina ndipo atha kukhala ndi muyeso wosiyana wa zomwe zimagwira. Pakakhala kusiyana, dokotala wopezekapo amayenera kusintha mankhwalawa.

Dokotala adzakuthandizaninso kuti mupeze ma fanizo omwe ali ndi chinthu chofanana kapena chochita. Pofunsidwa payekha, dokotala adzakuwuzani kuti ndi mankhwala ati omwe mungagwiritse ntchito: Indapamide kapena Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acriptamide, Ionic, Retapres. Mwina kutumikiridwa kwa ma diuretics ena omwe cholinga chake ndi kuchepetsa magazi.

Mankhwala Indapamide modekha amachepetsa kupanikizika tsiku lonse. Pogwiritsa ntchito nthawi zonse komanso molondola, kuthamanga kwa magazi kumachepa m'masiku 7 kuchokera poyambira kukhazikitsa.Koma chithandizo sichingasokonezeke pakadali pano, chifukwa mankhwalawa amafika pakapita miyezi iwiri ndi iwiri kapena itatu. Kuti mugwire bwino ntchito mankhwalawa, muyenera kutsatira malangizo azachipatala: kutsatira zakudya zamagazi, sinthani nthawi yopumula, mankhwala ena.

Indapamide ndi mankhwala otchuka pochiza matenda oopsa, komanso edema yoyambitsidwa ndi mtima kulephera kapena zifukwa zina. Ichi ndi okodzetsa, koma pochita ndi matenda oopsa imagwiritsidwa ntchito ngati vasodilator. Pansipa mupezapo malangizo ogwiritsa ntchito Indapamide, olembedwa m'chinenerochi. Unikani zomwe zikuwonetsa ntchito, contraindication ndi zotsatira zoyipa. Phunzirani kumwa momwe mungamwe mapiritsi a kuthamanga kwa magazi: pa kumwa mankhwalawa musanadye kapena mutamaliza kudya, m'mawa kapena madzulo, ndi masiku angati omwe mankhwalawa akupitilirabe. Werengani kusiyana pakati pa mankhwala oyambira Arifon ndi Arifon retard, omwe ali ndi zotsika mtengo chotani. Mvetsetsani zomwe muyenera kutenga: indapamide, furosemide, kapena hydrochlorothiazide (hypothiazide). Nkhaniyi ikufotokoza chifukwa chake indapamide imakhala yoyenera kwa odwala matenda ashuga, okalamba komanso magulu ena a odwala. Mndandanda umaperekedwa womwe mapiritsi ena opanikizira amatha kuphatikiza.

Malangizo ogwiritsira ntchito

Momwe mungatenge indapamide

Indapamide iyenera kutengedwa kwa nthawi yayitali, mwina ngakhale kwa moyo wonse. Mankhwalawa amapangidwira kuti azigwiritsidwa ntchito kwa nthawi yayitali. Musayembekezere zotulukapo zachangu kuchokera pamenepo. Imayamba kutsika magazi osanachepera milungu iwiri kapena iwiri ya kudya tsiku lililonse. Imwani mapiritsi anu amtundu wa indapamide tsiku lililonse, 1 pc. Osamapuma phwando lawo popanda chilolezo cha adokotala. Mutha kudya diuretic (vasodilator) musanadye kapena mutamaliza kudya, monga mungafunire.Ndikofunika kuchita izi nthawi imodzi tsiku lililonse.

Indapamide iyenera kutengedwa mosalekeza, pokhapokha dokotala atakuwuzani kuti muchotse. Osawopa zotsatira zoyipa. Iyi ndi njira yotetezeka kwambiri yothamanga magazi komanso kulephera kwa mtima. Zizindikiro zosasangalatsa zomwe anthu amatenga chifukwa cha kuvulaza kwake nthawi zambiri zimakhala zotsatira za atherosulinosis, zomwe zimakhudza mitsempha yomwe imadyetsa mtima, ubongo ndi miyendo. Mukasiya kumwa indapamide, ndiye kuti matendawa sadzatha, ndipo chiwopsezo cha matenda a mtima ndi sitiroko chidzawonjezeka kwambiri.

Anthu ambiri amaganiza kuti kumwa indapamide ndi mankhwala ena atha kuyimitsidwa atatha kuthamanga magazi. Uku ndikulakwitsa kwakukulu komanso koopsa. Kuletsa chithandizo nthawi zambiri kumayambitsa kupanikizika, vuto la matenda oopsa, kugunda kwa mtima ndi sitiroko. Mankhwala othandizira odwala matenda oopsa ayenera kumwedwa mosalekeza, tsiku lililonse, mosasamala kanthu za kuthamanga kwa magazi. Ngati mukufuna kuchepetsa kumwa kapena kusiya kumwa mankhwala - kambiranani ndi dokotala. Kusintha kwa moyo wathanzi kumathandiza odwala ena oopsa kuti mankhwala athe kutha. Koma izi sizichitika nthawi zambiri.

Pamodzi ndi Indapamide, akufunafuna:

Mapiritsi Akukakamiza: Mafunso ndi Mayankho

• Momwe mungapangire matenda a kuthamanga kwa magazi, shuga ndi mafuta m'thupi
• Mapiritsi oponderezedwa ndi adotolo amawagwiritsa ntchito kuthandiza bwino, koma tsopano afooka. Chifukwa chiyani?
• Zoyenera kuchita ngati ngakhale mapiritsi amphamvu kwambiri samachepetsa kupanikizika
• Zoyenera kuchita ngati mankhwala oopsa kwambiri
• Kuthamanga kwa magazi, vuto la kuthamanga kwa magazi - mawonekedwe a mankhwalawa achichepere, apakati komanso okalamba

Indapamide yopanikiza

Indapamide yakhala njira yotchuka kwambiri yothamanga magazi chifukwa ili ndi phindu lalikulu. Mankhwalawa amachepetsa kuthamanga kwa magazi ndipo ndi otetezeka kwambiri. Ndizoyenera pafupifupi odwala onse, kuphatikizapo odwala matenda ashuga, komanso odwala matendawa ndi okalamba. Zilibe vuto lililonse mu metabolism - sizimakulitsa shuga (glucose) ndi uric acid m'magazi. Mapindu omwe atchulidwa pamwambapa apanga indapamide imodzi mwamankhwala oyambira kusankha matenda oopsa. Izi sizitanthauza kuti zitha kugwiritsidwa ntchito podzipaka nokha. Imwani mapiritsi aliwonse okhawo omwe akumwa ndi dokotala.

Indapamide siyabwino pamilandu yomwe mungafunike thandizo mwachangu ndi vuto la matenda oopsa. Imayamba kugwira ntchito mosakhalitsa pambuyo pa masabata 1-2 a kudya tsiku lililonse, ndipo imachepetsa kuthamanga kwa magazi. Pali mankhwala othamanga komanso oopsa a kuthamanga kwa magazi kuposa mankhwalawa. Koma mankhwala amphamvu amatha kuyambitsa mavuto ambiri nthawi zambiri. Monga lamulo, indapamide sichithandiza mokwanira ndi matenda oopsa ngati atchulidwa okha, popanda mankhwala ena. Cholinga cha mankhwalawa ndikuti magazi azitha kukhala osachepera 135-140 / 90 mm Hg. Art. Kuti mukwaniritse, nthawi zambiri muyenera kumwa indapamide pamodzi ndi mankhwala ena omwe si okodzetsa.

Kafukufuku wambiri omwe adachitika kuyambira m'ma 1980 adatsimikizira kuti kusayenda bwino kwa m'thupi kumachepetsa chiopsezo cha kugunda kwamtima, kugwidwa, ndi zovuta zina ku matenda oopsa. Ndikofunikira kuti odwala amwe piritsi limodzi lokha kuti azitsinkhidwa patsiku, osati mankhwala osiyanasiyana. Chifukwa chake, mankhwala omwe ali ndi ziwiri kapena zitatu zogwira ntchito piritsi limodzi atchuka. Mwachitsanzo, Noliprel ndi Co-Perineva ndi mankhwala okhala ndi indapamide + perindopril. Mankhwala Ko-Dalneva panthawi imodzimodzi amakhala ndi zosakaniza zitatu: yogwira amapodide, amlodipine ndi perindopril. Lankhulani ndi dokotala wanu za kugwiritsa ntchito mankhwala osakanikirana ngati muli ndi kuthamanga kwa magazi a 160/100 mmHg. Art. ndi mmwamba.

Indapamide nthawi zambiri imaperekedwa kwa odwala matenda a shuga mellitus ochokera kuthamanga kwa magazi komanso mankhwala ena.Mosiyana ndi mankhwala ena ambiri okodzetsa, mankhwalawa samachulukitsa kuchuluka kwa shuga m'magazi. Sizokayikitsa kuti muyenera kuwonjezera kuchuluka kwa mapiritsi a insulin komanso kutsitsa shuga mutayamba kumwa mankhwalawa. Komabe, tikulimbikitsidwa kulimbikitsa kuwongolera shuga, nthawi zambiri mumayeza shuga ndi glucometer.

Monga lamulo, odwala matenda ashuga amafunika kutenga indapamide osati okha, koma osakanikirana ndi mankhwala ena a kuthamanga kwa magazi. Yang'anani zoletsa za ACE zoletsa ndi angiotensin II receptor blockers. Mankhwala omwe ali m'magulu awa samangochepetsa kuthamanga kwa magazi, komanso amateteza impso ku zovuta za shuga. Amapereka kuchedwa pakukula kwa impso.

M'maphunziro ambiri azachipatala, odwala matenda a shuga adayikidwa indapamide + perindopril, yomwe ndi ACE inhibitor. Kuphatikiza kwamankhwala kumeneku sikuchepetsa kuthamanga kwa magazi, komanso kumachepetsa chiopsezo cha zovuta zamtima. Amachepetsa kuchuluka kwa mapuloteni mumkodzo. Izi zikutanthauza kuti impso sizivutika ndi matenda ashuga. Pakati pa odwala matenda ashuga, mapiritsi a Noliprel ndi otchuka, omwe amakhala ndi indapamide ndi perindopril pansi pa chigoba chimodzi. Kuthamanga kwa magazi kwa odwala omwe ali ndi matenda ashuga ndi 135/90 mm Hg. Art. Ngati Noliprel salola kuti ifike, ndiye kuti amlodipine amathanso kuwonjezeredwa ku regimen ya mankhwala.

Pansipa pali mayankho pamafunso omwe nthawi zambiri amakumana ndi odwala zokhudzana ndi mankhwala indapamide.

Kodi indapamide ndi mowa zimagwirizana?

Kumwa mowa kumawonjezera zovuta za indapamide, zomwe nthawi zambiri zimakhala zosowa. Mungamve kupweteka mutu, chizungulire, kapena ngakhale kukomoka ngati anzanuwo amatsika kwambiri. Komabe, palibe choletsa pagulu kumwa zakumwa za anthu omwe amamwa indapamide. Kumwa moyenera. M'masiku ochepa oyamba kumwa mapiritsi a kuthamanga kwa magazi, zotsatira zoyipa zomwe zatchulidwa pamwambapa ndizotheka kwambiri. Osamamwa mowa masiku ano, kuti muchepetse vutoli. Yembekezerani masiku pang'ono mpaka thupi lizolowere.

Kodi dzina loyambirira la mankhwala a indapamide dzina lake ndi ndani?

Mankhwala oyamba ndi mapiritsi a Arifon ndi Arifon Retard opangidwa ndi Servier. Mapiritsi ena onse okhala ndi indapamide ndi ofanana. Wantier ndi kampani yaku France. Koma izi sizitanthauza kuti mankhwala a Arifon ndi Arifon Retard amaperekedwa ku France. Fotokozerani dziko lomwe linachokera ndi barcode pa phukusi.

Kodi analogue otsika mtengo a mankhwalawa ndi chiyani?

Kukonzekera koyambirira Arifon (wokhazikika indapamide) ndi Arifon Retard (mapiritsi otulutsidwa otulutsidwa) ali ndi mitundu yambiri, yotsika mtengo kapena yotsika mtengo. Chonde dziwani kuti mapiritsi a Arifon ndi Arifon Retard siokwera mtengo kwambiri. Amapezeka ngakhale kwa nzika zapamwamba. Kusintha mankhwalawa ndi ma analogu kumakupulumutsirani ndalama zambiri. Pankhaniyi, kugwiritsa ntchito bwino mankhwalawa kumatha kuchepa komanso kuthekera kwa mavuto kumawonjezeka. Ku Russia, miyala yotsika mtengo ya indapamide imapangidwa ndi Akrikhin, Ozone, Tatkhimpharmpreparaty, Canonpharma, Alsi Pharma, Verteks, Nizhpharm ndi ena. Mayiko a CIS alinso ndi awo omwe amapanga mankhwala otchipa otchedwa Arifon.

Mndandanda wa mankhwala Indapamide:

Katswiri wamtima wodziwika mu zokambirana zopanda pake adavomereza kuti mwapadera salimbikitsa odwala ake kumwa mankhwala othandizira matenda oopsa a mtima komanso matenda amtima opangidwa ku Russia ndi mayiko a CIS. Onani apa kuti mumve zambiri. Ngati titenga ma analogu, ndiye kuti tcherani khutu ku indapamide, yomwe imapezeka ku Eastern Europe. Awa ndi mapiritsi a Indap ochokera ku kampani ya PRO.MED.CS (Czech Republic) ndi mankhwala omwe amapangidwa ndi Hemofarm (Serbia). Palinso indapamide-Teva, yomwe ikhoza kupezeka ku Israeli.Musanagule mankhwala aliwonse, tchulani dziko lomwe adachokera ndi barcode phukusi.

Kodi ndingatenge indapamide ndi Asparkam palimodzi?

Indapamide mwina samachotsa potaziyamu m'thupi. Chifukwa chake, sikofunikira kugwiritsa ntchito Asparkam kapena Panangin ndi mankhwalawa. Kambiranani izi ndi dokotala. Osatengera Asparkam nokha. Kuchuluka kwa potaziyamu m'magazi sikabwino, koma koopsa. Zingayambitse kuwonongeka kwaumoyo komanso ngakhale kufa chifukwa chomangidwa ndi mtima. Ngati mukukayikira kuti mukusowa potaziyamu, ndiye kuti tengani mayeso a magazi a mguluyu ndi ma electrolyte ena, ndipo musathamangire kumwa mankhwala kapena zakudya zamagetsi.

Kodi indapamide imakhudzanso potency yaimuna?

Kafukufuku wosaona kawiri, wowongoleredwa ndi placebo awonetsa kuti indapamide sidzafooketsa potency yaimuna. Kuwonongeka kwa potency kwa amuna omwe amamwa mankhwala oopsa nthawi zambiri kumachitika chifukwa cha atherosulinosis, yomwe imakhudza mitsempha yomwe imadzaza mbolo ndi magazi. Kusagonja nthawi zambiri kumachitika chifukwa cha zovuta za matenda ashuga, zomwe mwamunayo sakukayikira ngakhale kuti sakumuthandizira. Mukasiya kumwa mankhwalawo, ndiye kuti potency sangathe kusintha, ndipo vuto la mtima kapena stroke likuchitika zaka zingapo m'mbuyomu. Mankhwala ena aliwonse a diuretic operekedwa kwa matenda oopsa komanso kulephera kwa mtima kumakhudza amuna potency koposa indapamide.

Palibenso kupuma pang'ono, kupweteka mutu, kupsinjika ndi zizindikilo zina za HYPERTENSION! Owerenga athu akugwiritsa ntchito kale njirayi pofuna kuthana ndi mavuto.

Kodi indapamide imatsitsa kapena kuwonjezera magazi?

Indapamide amachepetsa kuthamanga kwa magazi. Kuchuluka kwake - zimatengera mawonekedwe a wodwala aliyense. Mulimonsemo, mankhwalawa samachulukitsa kukakamizidwa.

Kodi ndingatenge indapamide ndikapanikizika?

Funsani dokotala kuti akambirane kuchuluka kwa zomwe mungafunikire kuti muchepetse kuchuluka kapena kusiya indapamide. Osasintha mosasamala mlingo wa mankhwala ndi kuchuluka kwa mankhwalawa, pokhapokha ngati mukumva bwino kwambiri chifukwa cha kuthamanga kwa magazi.

Kodi ndingamwe mankhwalawa gout?

Mwinanso lero indapamide ndi mankhwala otetezeka a diuretic kwa odwala omwe ali ndi gout.

Kodi chimathandiza indapamide ndi chiyani?

Indapamide imapangidwira zochizira matenda oopsa, komanso kuchepetsa edema yoyambitsidwa ndi mtima kulephera kapena zifukwa zina.

Kodi ndingathe kumwa mankhwalawa tsiku lililonse?

Njira yotenga indapamide tsiku lililonse silinayesedwe pophunzira zamankhwala zilizonse. Mwinanso, njirayi siyingakutetezeni bwino ku vuto la mtima ndi sitiroko. M'masiku amenewo pamene simudzatenga indapamide, kudumpha kwa magazi kumachitika. Ndizowopsa m'mitsempha yamagazi. Matenda oopsa oopsa amathanso kuchitika. Osayesa kutenga indapamide tsiku lililonse. Ngati dokotala atakulembani dongosolo lotere, m'malo mwake ndi katswiri woyenereradi.

Indapamide 1.5 mg kapena 2 mg: zomwe zili bwino?

Kukonzekera kwachilendo kwa indapamide kumakhala ndi 2.5 mg ya chinthu ichi, ndi mapiritsi otulutsidwa otulutsidwa (MB, retard) ali ndi 1.5 mg. Mankhwala otulutsa pang'onopang'ono amachepetsa kuthamanga kwa magazi kwa nthawi yayitali kuposa mapiritsi a nthawi zonse ndipo amagwira ntchito bwino. Amakhulupirira kuti chifukwa cha izi, mlingo wa tsiku ndi tsiku wa indapamide umatha kuchepetsedwa kuchoka pa 2,5 kupita ku 1.5 mg popanda kusiya ntchito. Mapiritsi okhala ndi nthawi yayitali okhala ndi 1.5 mg ya indapamide ndi Arifon retard ndi analogues. Chonde dziwani kuti sioyenera kuthandizira edema. Amangopangidwira matenda oopsa. Kuchokera ku edema, indapamide iyenera kutengedwa monga momwe dokotala amafotokozera 2,5-5 mg wa patsiku. Mwina adotolo atipangireni mankhwala othandizira okodzetsa a edema, okodzetsa ziwalo.

Indap ndi indapamide: pali kusiyana kotani? Kapena ndi zomwezi?

Indap ndi dzina lamalonda la mankhwala omwe amapangidwa ndi kampani yaku Czech Pro.MED.CS. Indapamide ndizomwe zimagwira. Chifukwa chake, titha kunena kuti Indap ndi indapamide ndi ofanana. Kuphatikiza pa Indap ya mankhwala, mapiritsi ena ambiri okhala ndi diuretic (vasodilator) amagulitsidwa muma pharmacies. Odziwika kwambiri a iwo amatchedwa Arifon ndi Arifon Retard. Awa ndi mankhwala apachiyambi, ndipo Indap ndi zina zonse zakukonzekera kwa indapamide ndizofanizira zawo. Sizofunikira kuti Indap ipangidwe ku Czech Republic. Musanagule, ndikofunika kutchula dziko lomwe mankhwalawo adachokera ndi barcode phukusi.

Kodi pali kusiyana kotani pakati pa pafupipafupi indapamide ndi indapamide MV Stad?

Indapamide MV Stad imapangidwa ndi Nizhpharm (Russia). MB ikuyimira "kumasulidwa kosinthika" - mapiritsi otulutsidwa-otulutsa omwe ali ndi 1.5 mg yogwira mankhwala, osati 2.5 mg. Zikufotokozedwa mwatsatanetsatane momwe kuchuluka kwa indapamide 1.5 ndi 2.5 mg patsiku, komanso chifukwa chake sikoyenera kumwa mankhwala opangidwa ku Russia Federation ndi mayiko a CIS. M'magazini azachipatala chanyumba mutha kupeza zolemba zotsimikizira kuti indapamide MV Stada imathandizira ndi matenda oopsa kwambiri kuposa mankhwala oyambira Arifon Retard. Zolemba ngati izi zimasindikizidwa ndalama, choncho muyenera kukayikira za izo.

Zomwe zili bwino: indapamide kapena hydrochlorothiazide?

M'mayiko olankhula Chirasha, ndimakhulupirira kuti hydrochlorothiazide (hypothiazide) amachepetsa kuthamanga kwa magazi kuposa indapamide, ngakhale zimayambitsa zovuta zina. Mu Marichi 2015, nkhani ya Chingerezi idatuluka m'magazini yodziwika bwino ya Hypertension yotsimikizira kuti indapamide imathandizira kuthamanga kwa magazi kuposa magazi a hydrochlorothiazide.

Kafukufuku 14 adachitika pazaka zambiri, zomwe zimafanizira indapamide ndi hydrochlorothiazide. Zinapezeka kuti indapamide imakuthandizani kuti muzitha kuthana ndi magazi ndi 5 mm RT. Art. wotsika kuposa hydrochlorothiazide. Chifukwa chake, indapamide ndi njira yabwino yothetsera matenda oopsa kuposa hydrochlorothiazide malinga ndi mphamvu, komanso pafupipafupi komanso kuopsa kwa mavuto. Mwina hydrochlorothiazide bwino kuposa indapamide amathandizira ndi edema. Ngakhale onsewa mankhwalawa amawonedwa ngati ofooka. Sangolembedwera kwenikweni kwa edema yovuta.

Indapamide kapena furosemide: ndibwino bwanji?

Indapamide ndi furosemide ndi mankhwala osiyanasiyana. Furosemide nthawi zambiri imayambitsa zovuta, ndipo ndizovuta kwambiri. Koma mankhwalawa amathandiza ndi edema nthawi zambiri pamene indapamide ilibe mphamvu. Ndi matenda oopsa, osavutidwa ndi edema ndi vuto la mtima, dokotalayo atha kupereka indapamide. Dokotala wanzeru sakanatha kupereka furosemide yogwiritsira ntchito tsiku ndi tsiku chifukwa cha matenda oopsa chifukwa choopsa kwambiri cha zotsatira zoyipa. Koma ndi kulephera kwamtima kwakukulu kuchokera ku thandizo laling'ono la indapamide. Furosemide kapena chinthu china choopsa chotupa cha diuretic (Diuver) chimalembedwa kuti chithandizire kutupira komanso kufupika chifukwa cha kuchuluka kwa madzi m'mapapu. Izi sizikutanthauza kuti indapamide ndiyabwino kuposa furosemide, kapena mosemphanitsa, chifukwa mankhwalawa amagwiritsidwa ntchito mosiyanasiyana.

Indapamide kapena Noliprel: ndibwino bwanji?

Noliprel ndi piritsi lophatikiza lomwe lili ndi indapamide ndi chinthu china chowonjezera chomwe chimapanga perindopril. Amachepetsa kuthamanga kwa magazi kuposa momwe mungotengera indapamide popanda mankhwala ena. Kwa odwala omwe ali ndi kunenepa kwambiri komanso amtundu wa 2 shuga, Noliprel ndiyabwino kwambiri kuposa indapamide yokhazikika. Kwa odwala okalamba oonda, Noliprel atha kukhala wamphamvu kwambiri. Mwina ndi bwino kutenga mapiritsi a Arifon Retard kapena ma analogi awo. Lankhulani ndi dokotala wanu za mankhwala omwe ndi abwino kwa inu. Musamwe mankhwala ali pamwambawa nokha.

Kodi indapamide ndi lisinopril zitha kutengedwa nthawi yomweyo?

Inde mutha kutero.Kuphatikiza kwa mankhwalawa kwa matenda oopsa ndi chimodzi mwazabwino. Ngati indapamide ndi lisinopril palimodzi musalole kutsitsa magazi ku 135-140 / 90 mm RT. Art., Ndiye mutha kuwonjezera amlodipine kwa iwo. Kambiranani ndi adotolo anu, osangowonjezera chabe.

Indapamide kapena Lozap: ndibwino bwanji? Kodi mankhwalawa amagwirizana?

Izi sizikutanthauza kuti indapamide ndiyabwino kuposa Lozap, kapena mosemphanitsa. Mankhwalawa onse amachepetsa kuthamanga kwa magazi pafupifupi chimodzimodzi. Amakhala m'magulu osiyanasiyana a mankhwala oopsa. Indapamide ndi diuretic yomwe imagwiritsidwa ntchito ngati vasodilator. Lozap ndi angiotensin II receptor blocker. Mankhwalawa amatha kumwa nthawi yomweyo. Ndizotheka kuti atatengedwa, amachepetsa kuthamanga kwa magazi kwambiri kuposa aliyense payekhapayekha.

Kodi mankhwala a indapamide ndi enalapril ogwirizana?

Inde, amatha kutengedwa nthawi yomweyo. Enalapril ndiosavomerezeka chifukwa ziyenera kumwedwa kawiri pa tsiku. Lankhulani ndi dokotala wanu kuti muthane ndi imodzi mwatsopano monga mankhwala omwe ali okwanira kumwa piritsi limodzi patsiku.

Dziwani za kukakamiza komwe Indapamide imatengedwa

Othandizira okodzetsa omwe amathandizira kuchotsedwa kwa madzi owonjezera m'thupi nthawi zambiri amapatsidwa mankhwala oopsa. Imodzi mwanjira zodziwika bwino zamtunduwu - Indapamide, malangizo ogwiritsira ntchito, pazovuta zilizonse zomwe akuyenera kutenga ayenera kuganiziridwadi.

• Kodi mankhwalawa amalembedwera chiyani?
• Malangizo ogwiritsira ntchito
• Kodi ndingatenge indapamide yopuma bwanji?
• Contraindication
• Zotsatira zoyipa
• Analogs ndi kufananitsa kwawo
• Chofunika ndi chiyani?

Chizindikiro chokha cha Indapamide ndi ochepa matenda oopsa, nthawi zambiri chimayikidwa ngati kuwonjezeka kwa kuthamanga kwa magazi kumayendetsedwa ndi edema komanso kusungidwa kwamadzi kwambiri. Pochotsa madzi ochulukirapo, magazi amachepa.

Zithandizo zotere nthawi zambiri zimakhala maziko a chithandizo. Nthawi zambiri amathandizidwa ndimankhwala ena odana ndi matenda oopsa. Kodi ndimankhwala ati omwe amafunikira mankhwala ofananawo? Nthawi zambiri amalembedwa ngati matenda oopsa apitilizabe, wodwala matenda oopsa azikulirakulira, zisonyezo nthawi zonse zimasunthira pa 140 pa 100 mfundo.

Indapamide diuretic kapena ayi? Popeza mankhwalawa ndi okodzetsa, amakhala ndi ma diuretic, amachotsa madzimadzi m'thupi. Tiyenera kukumbukira kuti kuwonjezera kuchuluka kwa mankhwalawa sikubweretsa kuwonjezeka kwa hypotensive zotsatira, kokha kukwezetsa okodzetsa. Chifukwa chake, musamadye kwambiri kuchuluka kwa mankhwalawa, makamaka pakokha.

Mtengo wapakati wa ichi ndi ma ruble 20-50, kutengera mtengowo. Mankhwalawa ndi amodzi mwamtengo wotsika mtengo wogwiritsa ntchito matenda oopsa.

Zofunika! Palibe chifukwa chomwe muyenera kuyamba kudzipatsa okodzetsa, makamaka ndi mawonekedwe aimpso.

Nthawi zambiri mankhwalawa amatengedwa kamodzi patsiku, mlingo woyenera ndi 2.5 mg wa chinthu. Mlingo sasintha pamilandu yambiri, umatha kusintha pokhapokha powonjezera othandizira ena ndioperewera kwambiri.

ZOFUNIKA KUDZIWA! Chida chomwe chimakupulumutsani ku matenda oopsa m'mazinthu ochepa

Momwe mungamwe - musanadye kapena pambuyo chakudya, zilibe kanthu. Malangizo a mankhwalawa akuti nthawi ya tsiku ndi chakudya sizikhudza mphamvu ya mankhwalawa, motero sikofunikira kuyang'ana pa iwo.

Nthawi zambiri, njira ya mankhwalawa pogwiritsa ntchito antihypertensive mankhwala ambiri pachimake cha matenda oopsa sichikhala nthawi yayitali, mpaka milungu ingapo. Kenako, magazi akayamba kuthamanga mokwanira, njira ya mankhwalawa imayimitsidwa. M'tsogolomu, pofuna kuthana ndi zovuta pazizindikiro zoyenera, ndikofunikira kutsatira zakudya zoyenera ndi malingaliro a dokotala ena.

Pazonse, ponena za nthawi ya mankhwalawa, muyenera kufunsa dokotala. Munthawi iliyonse, maphunzirowa akhale osiyana, zonse zimatengera kuuma kwa matendawa, momwe wodwalayo alili.

Mwanjira yothandizira mankhwalawa kwa matenda oopsa. Amalangizidwa kuti amwe mankhwala "Hypertonium". Awa ndi mankhwala achilengedwe omwe amachitika pazomwe zimayambitsa matendawa, kupewa zonse zomwe zingayambitse matenda a mtima kapena sitiroko. Hypertonium ilibe zotsutsana ndipo imayamba kugwira ntchito patangopita maola ochepa itatha ntchito. Kuchita bwino komanso chitetezo cha mankhwalawa chatsimikiziridwa mobwerezabwereza ndi maphunziro azachipatala komanso zaka zambiri zakuchitikira kwamankhwala. Malingaliro a madotolo ... "

Indapamide imakhala ndi zotsutsana zingapo zingapo. Mankhwala sayenera kugwiritsidwa ntchito ngati aimpso kapena kwa chiwindi;

1. Komanso, mankhwalawa sayenera kugwiritsidwa ntchito popereka mphamvu pazinthu zomwe zimapangidwa, makamaka okodzetsa eni, komanso zinthu zina zomwe zimaphatikizidwa ndi mankhwalawa.
2. Kuphatikiza, simuyenera kugwiritsa ntchito chida chodzetsa lactose, chifukwa ndi gawo la piritsi lokha.
3. Chotsutsana kwambiri ndi zaka za ana. Mpakafika zaka khumi ndi zisanu ndi zitatu, mankhwalawa motsutsana ndi kuthamanga kwa magazi sayenera kugwiritsidwa ntchito, palibe umboni wa chitetezo chake kwa ana.
4. Indapamide sayenera kugwiritsidwa ntchito panthawi yomwe ali ndi pakati, pakubala kwa mwana komanso nthawi yoyamwitsa ndizopikisana kwambiri pakumwa mankhwalawa.

Zofunika! Ndikofunika kumwa okodzetsa achikulire moyang'aniridwa ndi dokotala, mwa anthu achikulire mankhwalawa amatha kusokoneza thupi.

Ma diuretic awa ali ndi zovuta zingapo zoyipa, sizimachitika kawirikawiri ngati mutatenga Indapamide malinga ndi malangizo. Maguluotsatirawa pamavuto amodzi nthawi zambiri amasiyanitsidwa:

• chizungulire, kupweteka mutu, kusokonezeka kwa tulo, asthenia, zovuta zina zamanjenje,
• Hypotension, kusokonezeka kwa mafunde, zina zoyipa zochokera m'magazi,
• kwambiri chifuwa, pharyngitis, sinusitis,
• matenda osiyanasiyana ochokera ku dongosolo lamafukula,
• zovuta zingapo za hematopoiesis, kusintha kwa kuyesa kwa magazi,
• mitundu yonse ya zovuta zoyipa, zotupa pakhungu, urticaria.

Zotsatira zoyipa izi ndizofala kwambiri mukamatenga Indapamide. Ndi kuvomereza koyenera, kuthekera kwa kupezeka kwawo ndizochepa.

Ganizirani mankhwala omwe angalowe m'malo mwa Indapamide, ndi omwe ali bwino.

Concor ndi Indapamide zimagwirizana bwino, zimaperekedwa monga zovuta mankhwala pamodzi. Indapamide itha kuphatikiza bwino ndi beta-blockers ena.

Lorista, wotsutsana ndi angitensin receptor, ndipo indapamide akhoza kuphatikizidwa ndi chilolezo cha dokotala. Nthawi zambiri, mankhwalawa amaperekedwa nthawi imodzi kuti apatsidwe mankhwala ovuta.

Prestarium, mankhwala ogwiritsira ntchito matenda oopsa komanso kulephera kwa mtima, nthawi zina amaikidwa ndi okodzetsa, makamaka ndi Indapamide. Mankhwalawa amaphatikizidwa bwino.

Kuphatikizika kwa Lisinopril ndi Indapamide kumakupatsani mwayi wochepetsera komanso kutsitsa magazi, pomwe amakhalanso kwazonse kwa nthawi yayitali, matenda oopsa amathandizanso. Lisinopril ndi choletsa ACE. Pankhaniyi, simuyenera kuyamba kuphatikiza mankhwalawa nokha, muyenera kufunsa katswiri.

Direct analogues a Indapamide ndi ma diuretics ena otengera zomwezo. Izi zimaphatikizapo Arifon, mitundu ina ya Indapamide.Muthanso kugwiritsa ntchito mitundu ina ya diuretic yokhala ndi kuchepetsa magazi. Musanagwiritse ntchito analogue, onetsetsani kuti mwawerengera momwe mungagwiritsire ntchito.

Pankhaniyi, zotsatira zake zitha kufananizidwa ndi mankhwala a gulu lomweli - okodzetsa, omwe akuphatikizapo Indapamide. Ndizovuta kunena zomwe zili bwino, Indapamide kapena Concor, chifukwa mankhwalawa ndi amitundu yosiyanasiyana ndipo amakhudza thupi mosiyanasiyana. Ndizosatheka kunenanso kuti ndibwino liti, Indapamide kapena Enalapril, chifukwa ndi njira yosiyaniratu ndi njira ina yosiyana ndi thupi. Komabe, ndikofunikira kudziwa kuti okodzetsa ayenera choyamba kulabadira ngati matenda oopsa aphatikizidwa ndi kutupa.

Arifon Retard amakhazikikanso machitidwe a chinthu Indapamide, koma mtengo wa analoguewo ndiwokwera. Paketi imodzi yamankhwala imakhala ndi ma ruble 300 - 350. Komanso, pankhani yochita, ndalama izi sizimasiyana, kusiyana pakati pawo ndizochepa.

Komabe, ndikofunikira kuganizira kuti Arifon ali ndi zotsutsana zochepa. Mukakalamba, pakakhala matenda a chiwindi ndi impso, ndibwino kuti muzisankha. Indapamide imakhala ndi mphamvu zoyipa mthupi.

Veroshpiron imathandizanso mu matenda oopsa ndi okodzetsa. Komabe, ndikofunikira kudziwa kuti mankhwalawa amatha kugwiritsidwa ntchito mwa matenda ena angapo, pomwe ali ndi zotsutsana pang'ono kuposa Indapamide. Chifukwa chake, posankha mankhwala, ndikofunikira kuwonetsetsa, kuphatikiza.

Hypothiazide imathandizanso okodzetsa ena ku matenda oopsa, omwe nthawi zambiri amaperekedwa chifukwa cha matendawa. Kuphatikiza apo, ali ndi mitundu yambiri yogwiritsira ntchito, pali ma pathologies ambiri momwe mungagwiritsire ntchito. Mwa contraindication, mankhwalawa ndi ofanana kwambiri.

Ndi ochepa matenda oopsa, ndikofunikira kusankha diuretic yoyamba, popeza mankhwalawa amapangira mankhwalawa. Furosemide nthawi zambiri imagwiritsidwa ntchito ku matenda ena.

Hydrochlorothiazide imatanthauzanso thiazide diuretics, monga hypothiazide. Pochita, mankhwalawa ali ofanana. Sankhani gulu labwino kwambiri la mankhwalawa liyenera kutengera zomwe zikuwonetsa, matendawa, matendawa.

Diuver imafanana kwambiri ndi Furosemide, pomwe nthawi zambiri imalembedwa chifukwa cha matenda oopsa. Chida ichi chimathandizira makamaka pakupanga edema. Nthawi yomweyo, ali ndi zotsutsana zambiri, kotero musanayambe kugwiritsa ntchito, muyenera kuwerenga malangizo kuti mugwiritse ntchito.

Malinga ndi ziwerengero, pafupifupi 7 miliyoni amafa pachaka amatha chifukwa cha kuthamanga kwa magazi. Koma Kafukufuku akuwonetsa kuti 67% ya odwala matenda oopsa saganiza kuti akudwala! Kodi mungadziteteze bwanji kuti mugonjetse matendawa? Dr. Alexander Myasnikov adauza m'mayankho ake momwe angaiwale za matenda oopsa mpaka kalekale ... Werengani zambiri ... "

Kodi ndingatenge mapiritsi a indapamide ndi ziwalo ziti zomwe zimayenera kuyesedwa pambuyo pakugwiritsidwa ntchito kwakanthawi, ndikufunanso kudziwa momwe thupi limayambira kuchoka?

Monga adanenera dokotala, indapamide imatha kutengedwa moyo wonse. Sakufuna njira zapadera zobwezera, samapereka zotsatira za kuyendetsedwa kwa nthawi yayitali, zimathetsedwa ndi mgwirizano ndi adokotala. Voterani yankho 10 poyerekeza 9 mfundo 9 mfundo 8 mfundo 7 mfundo 6 mfundo 5 mfundo 4 mfundo 3 milo 2 2 mfundo 1 mfundo

Cholinga chachikulu mukamapereka mankhwala ndi kuthamanga kwa magazi, kutalika kwa maphunzirowa kumatengera gawo la matenda oopsa. Poyamba, njira yochizira imakhala yosachepera mwezi umodzi, ndiye ndikulimbitsa kosalekeza kwa kuthamanga kwa magazi, kuchoka kwa mankhwala ndikotheka. Mgawo lachiwiri komanso lachitatu la matenda oopsa, kuyendetsa mankhwala a antihypertgency ndi moyo wonse; kuchotsedwa kwa indapamide kumatheka pokhapokha ngati magazi akuyang'aniridwa ndi mankhwala ena (mwachitsanzo, ACE inhibitors, angiotensin receptor antagonists 2, B-blockers) ndi mulingo wofunikira wamagazi wotsalira. Kugwiritsa ntchito nthawi yayitali, kuyang'anira potaziyamu, sodium, uric acid, shuga, creatinine, OAK kamodzi pakatha miyezi 6 iliyonse ndikofunikira. Ponena za kudzipereka kwa mankhwalawa, izi ndizotheka popanda kutsitsa pang'ono pang'onopang'ono, sizimapereka chiwongola dzanja.Voterani yankho 10 poyerekeza 9 mfundo 9 mfundo 8 mfundo 7 mfundo 6 mfundo 5 mfundo 4 mfundo 3 milo 2 2 mfundo 1 mfundo

Kufunsiraku ndikuchokera kokha. Kutsatira malangizowo, chonde pitani kwa dokotala, kuphatikizapo kuti mupeze zotsutsana.

Matenda oopsa a arterial ndi amodzi mwa matenda ofala kwambiri masiku ano. Zovuta zimayendetsedwa ndi zinthu zambiri. Mwa zina zazikulu, kudziwikiratu chibadwa, kupuma, kupsinjika mosalekeza ndi zovuta pambuyo matenda ena atasiyanitsidwa. Ma pharmacist amapanga mitundu yambiri ya mankhwala omwe cholinga chake ndi kubwezeretsa zizindikirozi. Chimodzi mwa izo ndi Indap, malangizo ogwiritsira ntchito, komanso momwe angapanikizire, afotokozedwa m'nkhaniyi.

• The kapangidwe ndi mawonekedwe kumasulidwa kwa mankhwalawa
• Indap kuchokera kukakamizidwa - limagwirira ntchito
• Zizindikiro zama kapisozi
• Contraindication kugwiritsa ntchito mankhwalawa
• Mlingo wa mankhwala
• Zotsatira zoyipa
• Zingati Indap ndi ma fanizo ake

Indap ndimankhwala omwe ali ndi katundu wakale komanso okodzetsa. Amapanga ngati makapisozi akuluakulu, mu pharmacology omwe ali pansi pa No. 4. Chipolopolo chawo ndi chofiyira mokwanira, hafu ina imakhala yabuluu kapena yabuluu, ndipo ina yoyera. Mkati mwa kapisozi muli ufa, umakhala ndi mtundu woyera kapena wachikasu pang'ono. Unyinji wowuma nthawi zambiri umakhala wopanda milomo, koma mapampu nthawi zina amapezeka. Mankhwalawa amamasulidwa m'makatoni. Phukusi lililonse lili ndi matuza atatu, lili ndi makapisozi 10. Bokosilo lilinso ndi malangizo ogwiritsira ntchito, ndikofunikira kuphunzira mosamala musanayambe mankhwala.

Zofunika! Kodi mankhwalawa amalembedwa kuti? Zomwe zimapangidwira ndi mankhwalawa zimaphatikizapo zinthu zomwe zimagwira ntchito zodzetsa magazi komanso kuchepetsa magazi.

Chofunikira chachikulu ndi indapamide. Chotupa chilichonse chili ndi 2,5 mg, kuchuluka kwake ndikokwanira kusintha kuthamanga kwa magazi komanso kuthetsa zosasangalatsa. Indapa ili ndi zinthu zingapo zowonjezera zomwe ndizofunikira pazovuta zamthupi:

• cellcrystalline mapadi,
• lactose
• wowuma chimanga
• silika
• magnesium wakuba.

Potengera zovuta pa thupi, akatswiri opanga apanga mtundu wa kapangidwe kake ka kapangidwe kake. Zimaphatikizapo zinthu monga indigo, gelatin, titanium dioxide.

Zofunika! Kodi Indap imachulukitsa kapena kuchepetsa kupanikizika? Chifukwa cha mawonekedwe ake, mankhwalawa amachepetsa kuthamanga kwa magazi.

Kodi chimathandiza ndi chiyani ndipo Indap imakhudza bwanji thupi? Ndiwothandiza komanso mwachangu mokwanira, amatha kutsitsa magazi. Katunduyu amafotokozedwa chifukwa chakuti zigawo zomwe zimagwira pang'onopang'ono zimakulitsa mitsempha ya magazi ndipo nthawi yomweyo zimakhala diuretic. Chifukwa cha izi, chlorine, sodium ndi magnesium zimachotsedwa mwachangu mthupi, zomwe zimakhudza kugwira ntchito kwathunthu kwa mtima. Kumwa mankhwala pafupipafupi kumalola kuti makoma azotengera azikhala otsekemera, njira za calcium zimatsekedwa, ndipo zotumphukira za mitsempha ya magazi zimachepa.

Kodi mankhwalawa amagwira ntchito bwanji? Kugwiritsidwa ntchito kwa Indapa kumathandizira pakukula kwa thupi la thupi. Zogwira ntchito za makapisozi zimachepetsa chidwi cha makoma amitsempha ma adrenal mahomoni (norepinephrine) ndi mahomoni omwe amachititsa vasoconstriction (angiotensin). Komabe, akatswiri amadziwa kuti kukhoza kwa mankhwalawa sikumachepetsa kuchuluka kwa lipids mu plasma.

ZOFUNIKA KUDZIWA! Chida chomwe chimakupulumutsani ku matenda oopsa m'mazinthu ochepa

Ndingatenge nthawi yayitali bwanji Indap? Zotsatira zoyambirira kuchokera ku chithandizo ziyenera kuyembekezeredwa masiku 10-14. Kuchuluka kwake kumatheka mwezi wonse. Mukamaliza mankhwalawa, mawonekedwe abwino amakhazikika kwa miyezi iwiri.Ngati mutsatira malingaliro onse a dotolo, ndiye kuti kutha kwake kumapitilira kwa nthawi yayitali.

Kodi mankhwalawo amalembedwera chiyani? Malingana ndi malangizo oyambira, mapiritsi a Indap amalimbikitsidwa pochita matenda oopsa (kuthamanga). Nthawi zambiri, mankhwalawa amaperekedwa kwa odwala omwe amasunga sodium ndi madzimadzi m'thupi. Kuphwanya kumeneku kumachitika chifukwa cholephera mtima.

Zofunika! Indap ndi mowa sizigwirizana, chifukwa kuphwanya kwakukulu kumachitika.

Mwanjira yothandizira mankhwalawa kwa matenda oopsa. Amalangizidwa kuti amwe mankhwala "Hypertonium". Awa ndi mankhwala achilengedwe omwe amachitika pazomwe zimayambitsa matendawa, kupewa zonse zomwe zingayambitse matenda a mtima kapena sitiroko. Hypertonium ilibe zotsutsana ndipo imayamba kugwira ntchito patangopita maola ochepa itatha ntchito. Kuchita bwino komanso chitetezo cha mankhwalawa chatsimikiziridwa mobwerezabwereza ndi maphunziro azachipatala komanso zaka zambiri zakuchitikira kwamankhwala. Malingaliro a madotolo ... "

Indap ndi mankhwala osokoneza bongo. Amakhala ndi zinthu zopanga mankhwala ndi zinthu zina, motero pali gulu la anthu omwe saloledwa kutenga makapisozi. Mankhwala amaletsedwa kwa odwala omwe ali ndi matenda:

• kusalolera kwa chimodzi mwa zigawo za mankhwala,
• kuzungulira kwa magazi,
• anuria
• mawonekedwe ovuta aimpso kapena chiwindi,
• kusowa kwa potaziyamu m'thupi,
• kuphatikiza pamodzi ndi mankhwala omwe amalimbitsa nthawi ya QT,
• Mimba ndi kuyamwa
• ana ochepera zaka 18.

Mosamala kwambiri, mankhwala opsinjika amapatsidwa kwa odwala matenda a shuga. Ndi hyperuricemia ndi ma electrolyte ena osinthanitsa ndi madzi, osavomerezeka kutenga makapisozi. Ngati wodwala ali ndi vuto lochepa la chiwindi ndi impso, Indap iyenera kutengedwa moyang'aniridwa ndi dokotala. Malamulo omwewo ayenera kutsatiridwa ndi anthu omwe ali ndi matenda a mtima komanso matenda a mtima.

Momwe mungatengere kukakamizidwa kwambiri? Monga lamulo, madokotala amalimbikitsa kutenga Indap m'mawa kuti munthu azimva bwino tsiku lonse. Kuti mupeze zabwino, ndikokwanira kumwa 25 mg tsiku lililonse, ndiye kuti 1 kapisozi. Imayenera kuledzera mosasamala kanthu kagwiritsidwe ntchito ka chakudya, popeza zinthu zomwe zimagwira zimalowa mu magazi. Mankhwalawa safunikira kutafunidwa, amameza ndi kutsukidwa ndi madzi oyeretsedwa. Njira ya chithandizo ili pafupifupi miyezi iwiri.

Momwe mungamwe mankhwalawo? Nthawi zambiri Indap imalimbikitsidwa kuti imatengedwe ngati monotherapy komanso munthawi zovuta ndi mankhwala ena a gululi (ACE inhibitors, B-blockers, BKK). Monga lamulo, zomwe wodwalayo amakhala nazo pambuyo pa miyezi iwiri. Komabe, ngati munthawi imeneyi sizinakhale bwino, ndiye kuti madokotala salimbikitsa kuti muwonjezere kuchuluka kwake, chifukwa chiopsezo chokhala ndi zovuta zimawonjezeka. Nthawi zambiri, mankhwala a antihypertensive omwe si okodzetsa amawonjezeredwa m'mapiritsi awa. Mwachitsanzo, kuphatikiza kwa mankhwala Concor ndi Indap palimodzi kumathandizanso kwambiri pakulimbitsa magazi komanso kuchepa magazi.

Zofunika! Odwala okalamba Indap adayikidwa mosamala, chifukwa zimakhudza magwiridwe antchito a impso. Pankhaniyi, mlingo uyenera kukhala wochepa. Nthawi imeneyi, munthu amayenera kuyang'aniridwa ndi madokotala.

Monga lamulo, Indap imalekeredwa bwino, komabe, odwala onse ndi osiyana, motero mavuto ena nthawi zina amatha kuwoneka. Cholinga chachikulu chakutukuka kwawo sikukutsatira mlingo womwe wapatsidwa. Poganizira izi, ndizoletsedwa kuti muzisinkhasinkha nokha ndikusankha makapu angati omwe mungatenge. Malangizo a mankhwalawa akuyenera kutumizidwa ndi adokotala okha, kutengera mayeso a labotale. Ngati mumanyalanyaza malangizo a dokotala, ndiye kuti izi zitha kuyambitsa mavutidwe osiyanasiyana ochokera ku ziwalo zosiyanasiyana ndi machitidwe:

• lymph ndi magazi - aplastic ndi hemolytic anemia, thrombocytopenia (nthawi zambiri, zotere zimachitika kawirikawiri),
• mitsempha - chizungulire komanso kupweteka m'malo osiyanasiyana a mutu, kukomoka, kugona nthawi zonse komanso kumva kutopa,
• mtima - arrhythmia ndi tachycardia,
• kugaya ziwalo - kugaya nseru, komwe kumayambitsa kusanza, kukamwa kowuma, kupweteka kwam'mimba, kusokonezeka kwa chimbudzi (kudzimbidwa, kutsekula m'mimba), kapamba,
• epidermis - redness, totupa, kuyaka ndi kuyabwa (kuphwanya kumachitika kawirikawiri mwa omwe ali ndi matupi osowa),
• eyebra - conjunctivitis, masoka operewera,
• Dongosolo la genitourinary - nocturia, pliuria ndi chiopsezo cha matenda.

Pa kuwonetsa koyamba kwa zoyipa, muyenera kusiya kugwiritsa ntchito mapiritsi ndi kufunsa dokotala. Komabe, ngati chiwonetsero chachipatala cha mavutowa chiri chachikulu, ndikofunikira kuyitanitsa gulu la ambulansi. Zina zomwe zikuwonetsa zoyipa zimatha kupha.

Monga lamulo, mtengo wa Indap umachokera ku ma 110-150 ma ruble. Komabe, mtengo wake umatha kusiyanasiyana chifukwa cha zinthu zosiyanasiyana. Chochititsa chidwi, m'mizinda yosiyanasiyana mtengo wa mankhwala omwewo ndi wosiyana kwambiri. Makapisozi amawerengedwa kokha mwa mankhwala, amangoperekedwa ndi adokotala.

Momwe mungasinthire makapisozi? Indap ndi mankhwala wamba, koma ngati simukatha kuwapeza kapena mukufuna kupeza mapikiselo otsika mtengo, ndiye kuti muyenera kulabadira mankhwalawa:

Indap ndi Indapamide, pali kusiyana kotani, komwe kuli bwino? Palibe kusiyana pakati pa mankhwalawa. Muli zinthu zomwezo zomwe zimachepetsa kupanikizika. Kusiyanitsa kokhako ndikuti amapangidwa ndi wopanga wina. Komabe, izi sizikhudza mtundu wa mapiritsi.

Kodi ndingamwe Tizalud ndi Indap limodzi? Mankhwalawa ali ndi zotsatira zosiyanasiyana mthupi. Loyamba limachotsa kuphipha kwa minofu, kusokonezeka kwa msana ndi ubongo. Chachiwiri, amachepetsa kuthamanga kwa magazi. Therapy yozikidwa pa mankhwalawa amayenera kuperekedwa ndi adokotala okha.

Indap kapena Arifon, ndibwino bwanji? Mankhwalawa ali ndi chinthu chimodzi chogwira ntchito, motero amasinthana. Kusiyanaku kumangopangika, kotero kusankha kumakhalabe ndi munthuyo. Komabe, kugwiritsa ntchito bwino kwa mankhwalawa kumakhalabe koyenera.

Kodi pali indap kapena verashpiron yabwino kwambiri? Mankhwala achiwiri amakhala ndi zochitika zosiyanasiyana. Amawerengera kulephera kwa mtima, matenda oopsa, kutupa, matenda amitsempha, hypokalemia. Indap imatha kungochotsa madzimadzi owonjezera komanso kutsitsa magazi. Zomwe zili zoyenera kwa wodwalayo ziyenera kuvomerezedwa ndi adokotala okha, kutengera zomwe zapezedwa. Kuphatikizidwa kwa mankhwalawa kumatha kuyambitsa kuphwanya kuchuluka kwa potaziyamu m'magazi, makamaka izi zimawonedwa mwa odwala omwe ali ndi matenda ashuga a nephropathy.

Malinga ndi ziwerengero, pafupifupi 7 miliyoni amafa pachaka amatha chifukwa cha kuthamanga kwa magazi. Koma Kafukufuku akuwonetsa kuti 67% ya odwala matenda oopsa saganiza kuti akudwala! Kodi mungadziteteze bwanji kuti mugonjetse matendawa? Dr. Alexander Myasnikov adauza m'mayankho ake momwe angaiwale za matenda oopsa mpaka kalekale ... Werengani zambiri ... "

Indapamide ndi diuretic yomwe imathandizira kubwezeretsanso kubwinobwino. Mankhwala, limodzi ndi mkodzo, amachotsa sodium, amathandizira kugwira ntchito kwa njira zama calcium, amathandizira kuti zipupa za arterial zitheke. Zimatengera thiazide diuretics. Amagwiritsidwa ntchito pochiza matenda oopsa komanso ngati chida chomwe chingagwiritsenso ntchito edema yoyambitsidwa ndi mtima.

A diuretic ndi yogwira mankhwala ndi indapamide.

Chotsirizachi chikufanana ndi thiazide diuretic m'mapangidwe. Indapamide ndi mtundu wa sulfonylurea.

Chifukwa cha mawonekedwe a kapangidwe kake, mankhwalawa samakhudza kwambiri kuchuluka kwa pokodza.

Ndiye pambuyo pa zonse, ndimachiritso ati a indapamide? Machitidwe a yogwira ntchito amachepetsa katundu pamtima, amakulitsa ma arterioles, amachepetsa kuthamanga kwa magazi. Ndipo nthawi yomweyo sizimakhudza chakudya cham'mimba komanso lipid metabolism, ngakhale odwala omwe ali ndi matenda ashuga.

Ubwino wina wake ndikuchepetsa kwa zotumphukira za mtima. Kutha kuchepetsa kuchuluka ndi unyinji wamanzere wamitsempha wamanzere. Kutsitsa kwake kumamvekanso ngakhale ndi odwala omwe amafunikira hemodialysis.

The bioavailability wa mankhwalawa ndi 93%. M'magazi mu maora awiri ndi awiri mumabwera nthawi yambiri ya kuchuluka kwa zinthu. Indapamide imagawidwa bwino mthupi. Imatha kudutsanso mu chotchinga ndi kuyimilira mkaka wa m'mawere.

Mankhwalawa amamangidwa kumapuloteni a magazi ndi 71-79% - chizindikiro chachikulu. Njira ya metabolic imachitika m'chiwindi ndikupanga ma metabolites osagwira. Chidacho chimachotsedwa m'thupi ndi mkodzo - 70%, 30% yotsalayo - yokhala ndi ndowe.

Hafu ya moyo wa indapamide ndi maola 14-18. Sizikudziwika ngati nthawi ino yasintha ndi aimpso komanso kwa chiwindi.

Indapamide ndi m'magulu azachipatala:

• Mankhwala a Thiazide ndi thiazide diuretic,
• Mankhwala osokoneza bongo omwe amakhudza dongosolo la renin-angiotensin.

Indapamide: Zizindikiro zogwiritsidwa ntchito

Chofunikira pakuwopseza matenda oopsa

Imwani osaposanso kapisozi kamodzi patsiku, imwani pakamwa: muyenera kumeza yonse, osafuna. Imwani madzi pang'ono.

Ndizotheka kuwonjezera mlingo pokhapokha mukaonana ndi dokotala. Muyenera kukhala okonzekera kuti mukhale ndi okodzetsa kwambiri, koma nthawi yomweyo, kuwonjezeka kwa hypotensive zotsatira sikuwonedwa.

Kugwiritsa ntchito mankhwalawa tikulimbikitsidwa Mlingo wothandizila, nthawi zina mavuto. M'mayesero azachipatala a nthawi yayitali, zoyipa zimanenedwa mwa 2,5% ya odwala. Pakati pawo, kuphwanya kwa electrolyte metabolism ndizofala. Zotsatira zina zoyipa ndizophatikiza:

• Khungu ndi matupi awo sagwirizana: Lyell syndrome, matenda a Stevens-Johnson, anaphylactic, urticaria, Photodermatosis, zotupa za pakhungu, purpura, Quincke edema.
• Zokhudza dongosolo lamanjenje: chizungulire, paresthesia, mantha, kupweteka kwa thupi, vertigo, mutu, kufooka kumatha kuchitika.
• Momwe zimakhudzira chakudya cham'mimba zimawonetsedwa ndi mseru, kusanza, pakamwa kowuma, kusokonekera kwa chiwindi, kapamba, komanso kudzimbidwa.
• Kuchokera kumbali ya mtima ndi mitsempha yamagazi ndizotheka: arrhythmia, kutalika kwa nthawi ya QT pa electrocardiogram, orthostatic arterial hypotension.
• Zotsatira zoyeserera zasayansi: magazi osowa kwambiri a thrombocytopenia, kuchepa magazi, leukopenia, agranulocytosis, hypercalcemia, hyponatremia, hypokalemia, hyperglycemia, kuchuluka kwa urea ndi creatinine m'magazi.
• Zotsatira za kupuma kwamphamvu: kutsokomola, kawirikawiri milandu ya pharyngitis, sinusitis.

Zimafunikanso kuwunika pafupipafupi momwe mulili wa nayitrogeni, glucose, uric acid, pH. Dokotala amayenera kuyang'aniridwa ndi odwala omwe ali ndi vuto la mtima (matenda a mtima), matenda a mtima, matenda a mtima. Odwala omwe atchulidwa ali ndi kuthekera kwakukulu kuposa ena onse omwe metabolic alkalosis ndi hepatic encephalopathy angayambike.

Chikhalidwe cha Lisinopril

Mankhwalawa ndi ACE inhibitor. Zomwe zimagwirira ntchito ndi lisinopril dihydrate. Mankhwalawa amalepheretsa kaphatikizidwe ka angiotensin octapeptide, omwe amachititsa kuti magazi azithamanga. Poyerekeza ndi kagwiritsidwe ntchito ka mankhwalawa, mitsempha ya magazi imachepa, kuthamanga kumachepa ndipo katundu pamtima amachepetsa.

Chifukwa cha zomwe Lisinopril achita, thupi limayamba kuzolowera kwambiri kulimbana ndi maziko a kulephera kwa mtima.Mankhwala ali ndi antihypertensive ntchito, amalepheretsa kuchulukana kwamatenda a myocardium ndikuchepetsa chiopsezo cha matenda amtima. Mankhwalawa ali kwathunthu komanso mu nthawi yochepa kwambiri yotengedwa kuchokera m'matumbo. Zotsatira zake zimawonedwa pakangotha ​​maola 1-1,5 pambuyo pakumwa pakamwa ndikukula masana.

Ntchito Indapamide

Mankhwalawa ndi okodzetsa. Ili ndi zinthu zomwezi. Mankhwalawa amathandizira kuchotsa magnesium, chlorine, calcium ndi sodium m'thupi. Ikatengedwa, pali kuwonjezeka kwa diuresis ndi kuchepa kwa chidwi cha zotengera za chotengera ku zotsatira za angiotensin mtundu 2, chifukwa chomwe kuthamanga kwa magazi kumachepa.

Mankhwala opangira mankhwala amalepheretsa mapangidwe a ma free radicals, amachepetsa kuchuluka kwa chinyezi mu minofu ndikuchepetsa mitsempha yamagazi. Komabe, sizikhudza kuchuluka kwa triglycerides, glucose ndi cholesterol mu seramu yamagazi. Pafupifupi 25% ya indapamide imayamwa kuchokera kummero. Pakangotha ​​ntchito kamodzi, kupanikizika kumawonekera patatha maola 24. Kukhala ndi thanzi labwino kumatha pambuyo pakatha milungu 1.5-2 ya chithandizo.

Contraindication

Mankhwala amakhala ndi zotsutsana zingapo. Sanapatsidwe:

• Kwa odwala ochepera zaka 18,
• pa yoyamwitsa ndi pathupi,
• ndi kulephera kwa aimpso,
• Ndi chifuwa cha mankhwala osakaniza
• ngati pali mbiri ya edincke ya edema,
• muukalamba
• ndi kusokonezeka kwa mphamvu yosintha galactose kukhala glucose,
• ndi matenda ashuga
• mlingo wa creatinine ndi wochepera 30 mmol / l,
• ndi potaziyamu wambiri m'madzi a m'magazi,
• ndi chidwi chowonjezeka cha lactose.

Poyerekeza ndi momwe mungagwiritsire ntchito kuphatikiza Indapamide + Lisinopril, ndizoletsedwa kugwiritsa ntchito mankhwala ozikidwa pa aliskiren. Mankhwala osamala amagwiritsidwa ntchito pochotsa kuchuluka kwa uric acid mu seramu, kuchepa kwamadzi, mtima ischemia, mawonekedwe aimpso ndi mtima.

Sizoletsedwa kuyambitsa kuchira nthawi yomweyo monga opareshoni, kugwiritsa ntchito mankhwala opha maantibayotiki komanso potaziyamu.

Mlingo wamba wokhazikika kupanikizika ndi 5.4 mg wa lisinopril dihydrate ndi 1.5 mg ya indapamide. Kutalika kwa ntchito ndi masiku 14.

Momwe mungatenge lisinopril ndi indapamide palimodzi

Mutha kumwa mankhwala m'mawa kapena madzulo, osasamala chakudya. Mlingo wambiri umasankhidwa poganizira momwe mankhwalawo amathandizira komanso momwe thupi la wodwalayo lilili.

Lisinopril sinafotokozeredwe odwala osakwana zaka 18.

Musanagwiritse ntchito mankhwala, muyenera kufunsa dokotala ndikuyesa mayeso angapo.

Zotsatira zoyipa za lisinopril ndi indapamil

Pogwiritsa ntchito mankhwalawa. Zodziwika bwino ndi izi:

• kutsokomola
• chizungulire
• matupi awo sagwirizana
• kukomoka
• kunjenjemera
• mavuto kupuma
• kuchuluka kwa mtima,
• kutsika kwa ma seramu chloride,
• angioedema,
• kumva tulo
• kuchuluka kwa michere ya chiwindi,
• mutu
• kuphwanya chiwindi ndi impso.

Ngati izi zikuwoneka, mankhwala ayenera kutha ndipo adokotala azifunsidwa.

Malingaliro a madotolo

Svetlana Bugrova (wamtima), wazaka 42, Lipetsk

Kuphatikiza kothandizila kwa ACE inhibitor ndi diuretic. Muzochita zanga zonse, sindinakumanepo ndi zotheka komanso zotetezeka. Kupsinjika kwa magazi mukamagwiritsa ntchito mankhwalawa kumachitika m'njira zina mumasabata a 2-4.

Arkady Vasilkov (wamtima], wazaka 51, Ivanovo

Mankhwala nthawi zambiri samayambitsa zovuta. Komabe, odwala achinyamata sanapatsidwe mwayi wophatikiza. Okalamba komanso yokhala ndi vuto la impso ndi chiwindi amafunikira kusintha kwamawonekedwe.

Ndemanga za Odwala

Irina Polosova, wazaka 41, Voronezh

Pochiza matenda oopsa, adayamba kumwa mankhwalawa nthawi yomweyo. Ndinkamwa mapiritsi m'mawa. Zotsatira zabwino zidawonekera patatha masiku 5-6. Panalibe mawonekedwe oyipa. Sindinasinthe ngakhale mlingo. Komabe, mkazi wanga, yemwe adatenganso Indapamide ndi Lisinopril, adachepetsa kwambiri magazi pakanapatsidwa mankhwala.

Gennady Utyuzhin, wazaka 39, Bryansk

Ndimagwiritsa ntchito mankhwalawa ndimphamvu kwambiri magazi. Palibe zoyipa zilizonse. Mankhwala amagulitsidwa ku pharmacy iliyonse.

Malangizo a Madokotala

1. Ngati palibe zotsatira mkati mwa mwezi umodzi, mulimonse musachulukitse mlingo wa indapamide - zidzabweretsa zovuta. M'malo mwake, dongosolo la chithandizo liyenera kuwunikiridwa.
2. Mankhwalawa nthawi zambiri amawagwiritsa ntchito ngati mankhwala.
3. Indapamide ndi mankhwala ogwiritsira ntchito nthawi yayitali. Mphamvu yokhazikika imawonekera pakatha milungu iwiri. Kuchuluka kwake kumachitika pambuyo pa milungu 12. Kugwiritsidwa ntchito kamodzi kumachitika pambuyo pa ola limodzi kapena awiri.
4. Nthawi yabwino kumwa mankhwalawa m'mawa pamimba yopanda kanthu.

Zotsatira zoyipa zikachitika, madokotala amalankhula za njira ziwiri zomwe zingachitike. Choyamba ndi kusiya kugwiritsa ntchito mankhwalawa. Chachiwiri ndikuchepetsa mlingo. Njira yachiwiri siiganizira kwenikweni, chifukwa zovuta zoyipa za mankhwalawo ndizowopsa. Indapamide imayambitsa matenda a chiwindi, kusinthika kwa kapangidwe ka magazi, magazi.

Momwe mungasinthe?

Ngati mankhwala alibe mankhwala ofotokozedwawo, ndiye amatha kusinthidwa ndi ena ndi zofanana. Pankhaniyi, amatha kukhala ndi mawonekedwe osiyana: ma dragees, mapiritsi, makapisozi. Koma izi sizikuwakhudza mankhwala.

Analogs a indapamide - chimodzimodzi tanthauzo pokonzekera ndi chinthu china chogwira ntchito:

• Ionik
• Zosangalatsa
• Enzix,
• Arifon Penga,
• Indapen
• Indapamide perindopril.

Synonyms ya mankhwala indapamide - mankhwala omwe ali ndi yogwira chimodzimodzi mankhwala (INN):

Popanda kuonana ndi dokotala, komanso mothandizidwa ndi katswiri wazamankhwala, mutha kuyimitsa modziyimira pawokha indapamide ndi mankhwala ena ofanana. Koma analogues iyenera kugulidwa pokhapokha ngati dokotala akuvomereza!

Mlingo wa 40 mg ndi poizoni - umaposa pafupifupi nthawi 30 yovomerezeka. Zizindikiro za bongo ndi: oliguria / polyuria, chikhumbo chogona kugona, hypotension, nseru / kusanza, chizungulire. Mlingo wapoizoni umakhumudwitsa mchere komanso madzi mthupi.

Mutha kuchotsa mankhwalawa m'thupi mwakutsuka m'mimba ndikumwa ma enterosorbents (makala oyambitsa). Zochita zina ndi chithandizo chamankhwala, chomwe chimachitika kokha kuchipatala.

Ngakhale mapiritsi a indapamide si mankhwala mwachindunji omwe angagwiritsidwe ntchito ngati doping kuti athandize masewera othamanga. Koma nthawi yomweyo, World Anti-Doping Agency inaletsa osewera kuti azigwiritsa ntchito zakudya zilizonse. Cholinga chake ndikuti amathandizira kubisala chenicheni chobera munthu wina. Ndipo chizindikiritso cha indapamide mthupi la othamanga pa mpikisano zingamupangitse kuti asayanjidwe.

Muyenera kusamala mukamamwa mankhwala ngati mukuyendetsa galimoto kapena mukuchita nawo zina zomwe zingakhale zoopsa. Mankhwalawa amaletsedwa kupereka kwa iwo omwe amagwira ntchito mosalekeza, mumkhalidwe wowonjezera chidwi, kwa omwe kuthamanga kwake kuli kofunikira.

Zoyipa: zoyipa zimatheka (koma izi ndizowonjezereka kuposa zoyipa).

Dmitry, wazaka 52. Dokotala wama neuropathologist adandiuza kuti ndithandizire izi. Ndimagwirizana ndi Losartan, chifukwa kuthamanga kwa magazi. Indapamide imakhala ndi zochulukirapo. Mutha kudzuka m'mawa, kuyezetsa zovuta, koma ndizabwinobwino, komabe muyenera kumwa mankhwalawo, apo ayi, zotsatira za mankhwalawo zimakulirakulira.

1. Sindimadwala kuponderezedwa pafupipafupi, nthawi zina pamakhala kulumpha.Chifukwa chake, ndimatenga mapiritsi a kupanikizika kwa indapamide osati tsiku ndi tsiku, koma pokhapokha ngati pakufunika. Ndikuwona zomwe anachita kwa maola angapo. Pambuyo pa kudumpha ndimamwa masiku 10 motsatizana kuti magazi azikhala bwino komanso osasunthika. Maphunziro oterowo akwanira kwa ine. Ndizotheka kuti muyenera kumamwa kamodzi patsiku, ndipo sizikukweza kwambiri maulendo opita kuchimbudzi.

Mankhwalawa amandiwopsa ndi kuchuluka kwa zoyipa, ndinawerenga pa intaneti ndikuganiza kale kuti sindigula. Koma adotolo adandiuza, ndipo ndinamvera. Ndekha, ndinapanga malingaliro angapo:

• Muyenera kumwa njira yonseyo, ngakhale zikuwoneka kuti kupsinjika ndi kale kale,
• Mankhwala amagwira ntchito mwachangu,
• Panalibe mavuto.

Kodi Indapamide

Zochizira matenda oopsa, Indapamide imagwiritsidwa ntchito nthawi zambiri. Ndi wa gulu la okodzetsa ndipo ali ndi mphamvu yochezera. Zimathandizira kukulitsa ntchito ya michere ya chiwindi. Zisakhudze kagayidwe ka lipid, kuphatikizira odwala matenda a shuga.

Pambuyo pakukonzekera pakamwa, imatengedwa mwachangu kuchokera m'mimba. Kumangiriza kwa mapuloteni a plasma kuli pafupifupi 80%. Amachotsa m'thupi ndi impso.

Ndi kuvomereza pafupipafupi, njira zochizira zimachitika pambuyo pa masabata 1-2, zimafika mpaka masabata 8-12 ndipo zimatha mpaka miyezi iwiri. Mutatenga gawo limodzi, mphamvu yake imawonedwa pambuyo pa maola 24.

Kodi ndingatenge indapamide yopuma bwanji?

Nthawi zambiri, njira ya mankhwalawa pogwiritsa ntchito antihypertensive mankhwala ambiri pachimake cha matenda oopsa sichikhala nthawi yayitali, mpaka milungu ingapo. Kenako, magazi akayamba kuthamanga mokwanira, njira ya mankhwalawa imayimitsidwa. M'tsogolomu, pofuna kuthana ndi zovuta pazizindikiro zoyenera, ndikofunikira kutsatira zakudya zoyenera ndi malingaliro a dokotala ena.

Pazonse, ponena za nthawi ya mankhwalawa, muyenera kufunsa dokotala. Munthawi iliyonse, maphunzirowa akhale osiyana, zonse zimatengera kuuma kwa matendawa, momwe wodwalayo alili.

Lisinopril ndi Indapamide: ndizotheka kutenga nthawi imodzi?

Kuphatikizika kwa Lisinopril ndi Indapamide kumakupatsani mwayi wochepetsera komanso kutsitsa magazi, pomwe amakhalanso kwazonse kwa nthawi yayitali, matenda oopsa amathandizanso. Lisinopril ndi choletsa ACE. Pankhaniyi, simuyenera kuyamba kuphatikiza mankhwalawa nokha, muyenera kufunsa katswiri.

Chofunika ndi chiyani?

Direct analogues a Indapamide ndi ma diuretics ena otengera zomwezo. Izi zimaphatikizapo Arifon, mitundu ina ya Indapamide. Muthanso kugwiritsa ntchito mitundu ina ya diuretic yokhala ndi kuchepetsa magazi. Musanagwiritse ntchito analogue, onetsetsani kuti mwawerengera momwe mungagwiritsire ntchito.

Pankhaniyi, zotsatira zake zitha kufananizidwa ndi mankhwala a gulu lomweli - okodzetsa, omwe akuphatikizapo Indapamide. Ndizovuta kunena zomwe zili bwino, Indapamide kapena Concor, chifukwa mankhwalawa ndi amitundu yosiyanasiyana ndipo amakhudza thupi mosiyanasiyana. Ndizosatheka kunenanso kuti ndibwino liti, Indapamide kapena Enalapril, chifukwa ndi njira yosiyaniratu ndi njira ina yosiyana ndi thupi. Komabe, ndikofunikira kudziwa kuti okodzetsa ayenera choyamba kulabadira ngati matenda oopsa aphatikizidwa ndi kutupa.

Arifon Retard kapena Indapamide

Arifon Retard amakhazikikanso machitidwe a chinthu Indapamide, koma mtengo wa analoguewo ndiwokwera. Paketi imodzi yamankhwala imakhala ndi ma ruble 300 - 350. Komanso, pankhani yochita, ndalama izi sizimasiyana, kusiyana pakati pawo ndizochepa.

Komabe, ndikofunikira kuganizira kuti Arifon ali ndi zotsutsana zochepa. Mukakalamba, pakakhala matenda a chiwindi ndi impso, ndibwino kuti muzisankha. Indapamide imakhala ndi mphamvu zoyipa mthupi.

Indapamide kapena Veroshpiron

Veroshpiron imathandizanso mu matenda oopsa ndi okodzetsa. Komabe, ndikofunikira kudziwa kuti mankhwalawa amatha kugwiritsidwa ntchito mwa matenda ena angapo, pomwe ali ndi zotsutsana pang'ono kuposa Indapamide. Chifukwa chake, posankha mankhwala, ndikofunikira kuwonetsetsa, kuphatikiza.

Diuver kapena Indapamide

Diuver imafanana kwambiri ndi Furosemide, pomwe nthawi zambiri imalembedwa chifukwa cha matenda oopsa. Chida ichi chimathandizira makamaka pakupanga edema. Nthawi yomweyo, ali ndi zotsutsana zambiri, kotero musanayambe kugwiritsa ntchito, muyenera kuwerenga malangizo kuti mugwiritse ntchito.

Zowonjezera zochizira zimatsimikiziridwa ndi zinthu ziwiri zogwira ntchito: perindopril erbumin ndi indapamide. Monga zosakaniza zothandizira, kukonzekera kumaphatikiza kuwuma kwa chimanga, colloidal silicon dioxide, microcrystalline cellulose, magnesium stearate ndi crospovidone. Mlingo wocheperako, mankhwalawa amakhala ndi iron oxides (ofiira ndi achikasu), mowa wa polyvinyl, talc, titanium dioxide ndi macrogol - awa ndi gawo la membrane wa filimu.

Kuphatikizika kwa zosakaniza ziwiri zogwira ntchito kumapangitsa kuti perindopril "kuphatikiza" indapamide ikhale antihypertensive mankhwala abwino kwambiri. Perindopril amathandizira ntchito ya mtima: amachepetsa kugunda, amachepetsa kukakamiza kumanja ndi kumanzere kwamamitsempha, komanso ma pulillary capillary, amasintha magazi m'mitsempha. Indapamide amachepetsa kukana kwamitsempha yamagazi, kumawonjezera mamvekedwe amitsempha. Zochita zophatikizidwa za zosakaniza zimayambitsa kuchepa kwakukulu kwa kuthamanga kwa magazi.

Ubwino waukulu wa malonda ndi ntchito zake zosiyanasiyana. Kulandilidwa kumawonetsedwa kwa odwala azaka zonse ndipo ndikudziyimira pawokha popanda wodwala (kunama kapena kugwira ntchito), komwe kumathandizira kuti mankhwalawa agwiritsidwe ntchito nthawi iliyonse. Kuchira kwa vutoli kumayambira mphindi 40-60 pambuyo pa kuperekedwa, pambuyo pa maola 4-6 zotsatira za mankhwalawa zikufika pachimake. Zochita za mapiritsi zimapitirira kwa tsiku limodzi.

"Perindopril-indapamide" anali ndi chikondi chapadera kwa okalamba. Kumwa mankhwalawa sikuti kumayambitsa tachycardia, ndipo kutha kwake pakapita nthawi yayitali sikumayendetsedwa ndi kukakamizidwa kwa mafunde.

Kupatula

Minofu imamasulidwa ku indapamide kudzera impso ndi matumbo, chinthu ichi chimachoka m'thupi popanda mavuto. Perindopril amangochotsa impso zokha, osati nthawi zonse ndi liwiro lomwe mukufuna. Kuyenda pang'onopang'ono kumawonedwa mwa anthu omwe ali ndi impso ndi mtima, komanso odwala okalamba. Zikatero, nthawi zina madokotala amasintha mlingo.

Zizindikiro zogwiritsidwa ntchito

Perindopril kuphatikiza indapamide nthawi zambiri amalembedwa kwa odwala omwe akuwonetsedwa kuphatikiza mankhwala. Mankhwala amathandizira matenda otsatirawa:

• Matenda oopsa
• Matenda a mtima
• Hypovascular etiology matenda oopsa
• Kulephera kwamtima kosalekeza.

Chidacho chimagwiritsidwanso ntchito pazinthu zopewetsa - chimachepetsa chiopsezo chobwereranso.

Mtengo wapakati umachokera ku 177 mpaka 476 rubles.

"Perindopril-indapamide" imangopangidwa piritsi. Mtundu wa chigobacho umasiyana ndi imvi kubiriwira mpaka imvi zobiriwira, mkati mwake ndimtundu woyera. Mapiritsiwo ndi ozungulira, onenepa mbali zonse ziwiri.

Kuti mugwiritse ntchito mosavuta komanso kutsatira mlingo woyenera kwambiri, mitundu itatu yakhazikitsidwa:

• 0,625 mg indapamide osakanikirana ndi 2 mg perindopril erbumin
• 1.25 mg wa chinthu choyamba ndi 4 mg yachiwiri
• 2,5 mg kuphatikiza 8 mg.

Mapiritsi okhala ndi zidutswa 10, 30, 60 ndi 90 m'bokosi limodzi.

Popeza mapiritsiwa amapezeka m'mitundu yosiyanasiyana, sikofunikira kugwiritsa ntchito zidutswa zingapo nthawi imodzi. Nthawi zambiri, dokotala amalembera piritsi limodzi patsiku. Mlingo amasankhidwa kutengera wodwalayo, thanzi ndi impso.

"Perindopril-indapamide" imatengedwa m'mawa, makamaka pamimba yopanda kanthu, yosambitsidwa ndi madzi pang'ono.Nthawi zina, kumwa mankhwala osokoneza bongo kumayendetsedwa ndi kuwodzera ndi kutopa kwambiri, chifukwa chake, kudya kwakanthawi kamodzi kumaloledwa masiku atatu oyamba. Pambuyo pa nthawi imeneyi, thupi limagwirizana ndi mankhwalawa, amatembenukiranso ku mlingo wam'mawa.

Pa nthawi yoyembekezera komanso yoyamwitsa

Opanga amagogomezera kuopsa kwa mankhwalawa kwa amayi apakati - mankhwalawa sagwiritsidwa ntchito pang'onopang'ono atatu onse. Ngati mayi ayamba kulandira chithandizo ndipo atazindikira za kutenga pakati, mapiritsiwo amathetsedwa ndikuwunika kwa mwana wosabadwayo. Mukamagwiritsa ntchito mankhwalawa, mavuto azaumoyo amapezeka mwana:

• Ntchito ya impso imachepa
• Kutsimikizira chigaza kumachepetsa
• Supombocytopenia amawonekera
• Hypoglycemia imayamba
• Hypotension imachitika
• Kukula kwathunthu kukuchepa.

Perindopril kuphatikiza indapamide ndiwowopsa namwino. Kupanda kwake kwamkati kumakhudza moyenera dongosolo lactation. Kuphatikiza apo, izi zimawopseza thupi la mwana: zimatha kupanga sulfonamides, zimayambitsa nyukiliya, komanso hypokalemia. Chifukwa chake, mapiritsi sayikidwa kwa amayi oyamwitsa, kapena, ngati chithandizo ndi wothandizirirachi ndi chofunikira, amasiya kuyamwitsa.

Perindopril kuphatikiza indapamide ndizoletsedwa kutenga ngati pali matenda:

• Hepatic encephalopathy
• Hypokalemia
• Akuluakulu aimpso ndi kwa chiwindi kusakwanira
• Matenda ogwirizana
• Anuria
• Hyperuricemia
• Idiopathic angioedema
• Aortic stenosis
• Azotemia
• Kulephera kwamtima kosalekeza
• Kuzindikira kwa kuthekera ndi perindopril
• Hyponatremia.

Popeza mankhwalawa ali ndi lactose pang'ono, mapiritsi sayenera kuperekedwa kwa anthu omwe salola lactose, komanso akuvutika ndi glucose-galactose malabsorption syndrome ndi galactosemia. Ana osaposa zaka 15 sathandizidwa ndi mankhwalawa, mosamala mosamala zotchulidwa motere:

• Odwala oyimba
• Anthu odwala matenda ashuga, scleroderma, systemic lupus erythematosus
• Mu machitidwe a hypovolemic (kuphatikizapo kutsegula m'mimba ndi kusanza kwambiri)
• Odwala okalamba.

Ngati kuchitapo kanthu kwa opaleshoni kuli patsogolo, "Perindopril-indapamide" ndi ma analogu ake (perindopril arginine ndi ena) achotsedwa kwakanthawi. Kugwiritsira ntchito komaliza ndikotheka maola 12 musanachite opareshoni. Funso la kuyambiranso kuvomereza limakambidwa pambuyo pake ndi adokotala.

Ndi mowa, mapiritsi awa ndi osagwirizana kwathunthu. Ngakhale dontho la mowa limayambitsa kuyanjana kowopsa: mowa, pamodzi ndi mankhwalawo, amachepetsa kwambiri kuthamanga kwa magazi, munthu amayamba kutaya mwadzidzidzi, kayendedwe ka magazi kamasokonezeka. Ndizovuta kwambiri kuchira pambuyo povutitsidwa ndi mtima wamisala, stroko komanso mavuto ena.

Ngati chibwenzi chanu ndi mankhwalawa chimatha kuposa mwezi umodzi, muyenera kuyendera labotale kuti mukayezetse. Kuwongolera kokhazikika kwa glucose, creatinine, uric acid ndi ma elekitirodi a electrolyte: Na +, K + ndi Mg2 +.

Perindopril kuphatikiza indapamide ndi mankhwala amphamvu omwe samaloleza mankhwala ena nthawi zonse. Ngati wodwalayo agwiritsa kale njira zina, muyenera kudziwitsa dokotalayo za izi. Molumikizana ndi:

1. Insulin - imakweza mphamvu ya hypoglycemic
2. Antipsychotic - orthostatic hypotension imayamba
3. Cyclosporine - impso ntchito
4. Glucocorticoids - hypotensive zotsatira zimachepa
5. Kukonzekera kwa Sulfonylurea - zotsatira za sulfonylurea zimatheka.

Mankhwala osowa amachita popanda mawonekedwe, ndipo perindopril kuphatikiza indapamide ndiwonso. Ziwalo zilizonse zimatha kuchita zinthu zosayenera:

• Mimba thirakiti: chikhumbo chichepa, pakamwa pouma, kusanza kudzayamba, dyspepsia ndi kudzimbidwa ndikotheka
• Mitsempha ya mtima ndi magazi: kuthamanga kwa magazi kumatsikira kuposa momwe amayembekezera
• Khungu: zotupa zimachitika, nthawi zina, angioedema
• Machitidwe amanjenje: mutu, kusowa tulo, kusinthasintha, chizungulire, nthawi zina kukhumudwitsa kumakwiyitsa
• Dongosolo la broncho-pulmonary: chifuwa chowuma chopitilira.

Ngati tsiku lililonse Mlingo wa mankhwalawo unali waukulu kwa miyezi ingapo, agranulocytosis, kapamba, neutropenia, thrombocytopenia, ndi leukopenia.

Kuwoneka pakamwa kowuma kumatha kuchitika osati kokha ndikumwa mankhwala, komanso ndi zifukwa zina zingapo, werengani zambiri munkhaniyi: kamwa yowuma.

Mlingo wambiri umawonekera nthawi yomweyo:

• Kupanikizika kumatsika
• Kupindika kumachepetsa
• Kutalika kwa electrolyte kumasokonekera
• Kusanza ndi kusanza kumawonekera
• Chizungulire chimayamba
• Kulephera kwamkati kumachitika
• Munthu amagwagwada kapena kukhumudwa.

Popanda thandizo la akatswiri azachipatala omwe ali ndi zizindikirozi sangachite. Madokotala asanafike, muyenera kuyesa kuchotsa mankhwalawo m'thupi: imwani wodwalayo ndi madzi oyera, kusanza, kupereka mapiritsi amakala opaka. Ngati magazi achepa, ikani wodwalayo kuti miyendo ikhale pamwamba pamutu.

Kuphatikiza kwina kwa mankhwalawa nthawi zambiri kumakhudzanso kugwiritsa ntchito ma enterosorbents, hemodialysis, ndi electrolyte moyenera.

Mapiritsi safuna mikhalidwe yapadera ndi padera pogona, amakhutitsidwa ndikukhalabe m'nyumba yanyumba yamankhwala. Monga mankhwala ena aliwonse a antihypertensive omwe ali ndi perindopril kapena arginine, mapiritsi awa ali ndi mphamvu zamatsenga zomwe zimasungunuka pamatenthedwe oposa 25 digiri. Kuzizira, kuwala kowala ndi chinyezi zimawononga malonda.

Prestarium

KULIMA KWA BUSHARA Ltd, France
Mtengo kuchokera 400 mpaka 700 rubles.

Antihypertensive wothandizila kutengera indapamide ndi arginine perindopril. Amagwiritsidwa ntchito pochita matenda oopsa komanso matenda a mtima.

• Pang'onopang'ono amachepetsa kupsinjika mu 100% ya milandu
• Osati osokoneza bongo kwa nthawi yayitali
• Arginine amathandizira minofu yofewa

• Zotsatira zoyipa za impso
• Chifukwa cha perindopril, yomwe ndi gawo la arginine, imayambitsa kusokoneza maliseche.

Perindopril

Vertex, Russia, etc.
Mtengo kuyambira 159 mpaka 266 rubles.

Mankhwala otchuka a antihypertensive. Analogue yotsika mtengo ya kukonzekera kovuta komwe kali, kuwonjezera pa perindopril, indapamide kapena arginine.

• Mtengo wotsika
• Oyenera odwala omwe ali ndi matenda amtundu wa 1 komanso a 2
• Mlingo wothandiza: mapiritsi a 4, 5, 8 ndi 10 mg perindopril

• Zotsatira zoyipa zambiri poyerekeza ndi analogues
• Osatenga ana osakwana zaka 18.

Tsitsani malangizo kuti mugwiritse ntchito

Kuphatikizika kwa lisinopril ndi indapamide

Amakhulupirira kuti ngati mankhwalawa onse atatengedwa limodzi, mphamvu ya antihypertensive ya mankhwalawa imatha kupitilizidwa. Chifukwa cha kufatsa konkitsa, Indapamide imathandizira Lisinopril mokoma kuchepetsa kukakamiza.

Kudya mankhwalawa pafupipafupi kumakupatsani mwayi wolimbana ndi matenda oopsa komanso kuthamanga kwa magazi.

Zophatikizidwa ndi indapamide:

• Zowonongeka zazing'onoting'ono zazing'ono (kulengedwa kwa creatinine
• Kuchepa kwambiri kwa chiwindi ndi chiwindi.
• Hypokalemia (plasma potaziyamu
• Kuphatikiza ndi mankhwala osapatsirana omwe ungayambitse kukula kwa paroxysmal ventricular tachycardia ya mtundu wa "pirouette".
• Kuyamwitsa.

Momwe mungagwiritsire ntchito Prestarium Arginine Combi?

Zokhudza pakamwa.

Piritsi 1 la mankhwala Prestarium arginine Combi patsiku, makamaka m'mawa musanadye.

Kutengera ndi zomwe zimachitika kuchipatala, atha kupangidwira kuti ayambe kulandira chithandizo cha mankhwala a monotherapy omwe ali ndi gawo limodzi la mankhwala (perindopril pa mlingo wa 2,5 - 5 mg).

Pazipita tsiku lililonse piritsi limodzi la mankhwala Prestarium arginine Combi patsiku.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere.

Kugwiritsa ntchito mankhwalawa m'nthawi yoyambirira ya mimba sikulimbikitsidwa. Mukakonzekera kapena pakati pokhazikika, chithandizo chamankhwala chikuyenera kutha posachedwa.Kugwiritsa ntchito mankhwalawa kwachiwiri ndi kwachitatu trimesters ya mimba ndi contraindicated.

Kugwiritsidwa ntchito kwa indapamide panthawi ya mkaka wa m`mawere kumatsutsana, chifukwa cha kupezeka kwa deta pamalowedwe ake mkaka wa m'mawere. Palibe chidziwitso pakulowerera kwa perindopril mkaka wa m'mawere.

Ana ndi achinyamata. Kuchita bwino komanso chitetezo cha mankhwalawa kwa ana ndi achinyamata sichinakhazikitsidwe. Gwiritsani ntchito mwa ana ndi achinyamata osavomerezeka.

Musanayambe kumwa mankhwalawa komanso nthawi yomwe mukugwiritsa ntchito, ndikofunikira kuyang'ana kuthamanga kwa magazi, ntchito ya impso (plasma creatinine), potaziyamu ndi sodium plasma, makamaka mwa odwala okalamba komanso odwala omwe ali pachiwopsezo.

Matenda aimpso. Panthawi ya matenda aimpso kuwonongeka (creatinine chilolezo

Kuwonongeka kwa chiwindi. Mankhwalawa ali contraindicated kwambiri hepatic kuwonongeka. Mu vuto la chiwindi ntchito zina zolimbitsa zovuta, mankhwala akhoza zotchulidwa muyezo achire mlingo.

Hypotension mwadzidzidzi, hypovolemia, ndi kuchepa kwa milingo yamagetsi. Chiwopsezo chokhala ndi hypotension mwadzidzidzi chimawonjezeka mwa odwala omwe ali ndi hypovolemia, kuchepa kwa sodium (chifukwa chogwiritsa ntchito nthawi yayitali okodzetsa, chakudya chopanda mchere), kuthamanga kwa magazi, kuchepa kwa mitsempha, kukomoka kwa mtima, kapena matenda a chiwindi ndi edema ndi ascites. Kuchiza kuyenera kuyamba ndi mlingo wotsika kwambiri komanso kuwonjezereka. Musanagwiritse ntchito mankhwalawa komanso mukamagwiritsa ntchito, ndikofunikira kuti muyeso yamagetsi yamagetsi. Kusakhalitsa kwa hypotension si chifukwa chobwerera mankhwala. Pambuyo pobweza madzi osankhidwa ndi electrolyte, chithandizo chimapitilizidwa ndi mlingo wotsikirapo kapena chimodzi mwazinthu za mankhwala.

Mafuta a potaziyamu. Musanagwiritse ntchito mankhwalawa komanso panthawi yomwe mukugwiritsa ntchito, ndikofunikira kuwunika potaziyamu ya plasma kwa odwala omwe ali m'magulu omwe ali pachiwopsezo cha hypo- kapena hyperkalemia (odwala okalamba, odwala omwe ali ndi vuto la kuperewera kwa thupi kapena matenda operewera, okhala ndi matenda a mtima, kuchepa kwa mtima, odwala matenda a shuga. cirrhosis ya chiwindi ndi edema ndi ascites kapena iwo omwe akutenga okodzetsa ena). Odwala omwe ali ndi vuto la mtima (IY degree) kapena odwala matenda a shuga (chifukwa chokhala ndi chiwopsezo chowonjezeka cha kuchuluka kwa potaziyamu m'magazi am'magazi) akulimbikitsidwa kuti ayambe kulandira chithandizo kuchipatala chokhala ndi mlingo wochepera.

Chifukwa cha kupezeka kwa lactose pokonzekera, mankhwalawa sayenera kutumikiridwa ngati pali chibadwa cha galactose chosalolera, kuchepa kwa lactase, kuchepa kwa shuga / kapena mayamwidwe a galactose.

Zogwirizana ndi Perindopril

Kutsokomola. Monga momwe zilili ndi ACE inhibitors ena (ACE inhibitors), kukhosomola kumatha kuchitika, komwe kumazimiririka atatha. Ngati ndi kotheka, chithandizo chitha kupitilizidwa.

Odwala okalamba ayenera kuyamba kulandira chithandizo chamankhwala ocheperako (onani gawo la "Momwe Mungagwiritsire"), makamaka ndi kuchepa kwa madzimadzi ndi ma elekitirodiya, kuti muchepetse chiopsezo cha hypotension mwadzidzidzi. Mlingo woyambirira, ngati pakufunika, utha kuwonjezedwa kutengera yankho la chithandizo.

Odwala atherosulinosis. Chiwopsezo cha hypotension chikuwonjezeka mwa odwala omwe ali ndi vuto la mtima kapena kuchepa kwa mitsempha. Kwa odwala oterowo, chithandizo chiyenera kuyambitsidwa ndi mlingo wocheperako (onani gawo "Momwe Mungagwiritsire").

Kukonzanso kwamphamvu kwamphamvu. Chithandizo cha odwala chotere chiyenera kuyamba ndi kuchuluka kwa mankhwalawa (onani gawo "Momwe mungagwiritsire") kuchipatala pambuyo poyang'ana kuti aimpso (plasma creatinine) ndi potaziyamu wamagazi.

Anemia Odwala pambuyo kupatsirana kwa impso kapena dialysis ali ndi chiopsezo cha magazi m'thupi. Kuchepa kumeneku kumaonekera kwambiri ndi manambala apamwamba kwambiri oyambira hemoglobin. Zotsatira zake ndizodziyimira payokha ndipo zitha kukhala zogwirizana ndi makina a ACE zoletsa.Kuchepa kwa hemoglobin ndikosakwanira, kumatha kuchitika m'miyezi yoyamba ya 1-6, kenako ndikukhazikika. Chithandizo cha ACE chitha kupitilizidwa ndikuwunika pafupipafupi kuchuluka kwa hemoglobin.

Chiwopsezo cha neutropenia / agranulocytosis odwala omwe ali ndi kuchepa kwa chitetezo cha mthupi chimadalira mlingo ndipo amatha kuchitika mwa wodwala yemwe ali ndi vuto laimpso, makamaka ngati imakhudzana ndi collagenosis, monga systemic lupus erythematosus, scleroderma, and immunosuppressapy. Izi zimatha pambuyo pakutha kwa mankhwala a ACE inhibitor. Kutsatira kwambiri mankhwala okhazikika ndiye njira yothanirana ndi mavuto otere.

Ngati wodwala wachita opaleshoni, ndikofunikira kudziwitsa dokotala za kugwiritsa ntchito Prestarium arginine Combi. Chithandizo cha ACE chiyenera kusiyidwa tsiku limodzi musanachitidwe opaleshoni (onani gawo "Kuyanjana ndi mankhwala ena").

Odwala omwe ali ndi milingo yayitali yotsika kwambiri, ma plasmapheresis omwe amagwiritsa ntchito dextrasulfate pogwiritsa ntchito ACE inhibitors angayambitse ngozi ya anaphylactic. Kukula kwa anaphylactic zimatha kupewetsedwa ndi kuchotsedwa kwakanthawi kwa chithandizo cha ACE musanayambe plasmapheresis.

Anaphylactic zimachitika odwala kumwa ACE zoletsa ndi kusiya mankhwala okhala njuchi. Kukula kwa izi zimatha kupewedwa ndikuyimitsa kanthawi kochepa kugwiritsa ntchito zoletsa za ACE. Zomwe tafotokozazi pamwambapa zitha kuwoneka nthawi yoyeserera.

Aortic stenosis / hypertrophic cardiomyopathy. ACE zoletsa ziyenera kuikidwa mosamala kwa odwala omwe ali ndi vuto la kutuluka kuchokera kumanzere kwamitsempha yamagalimoto.

Kuwonongeka kwa chiwindi. Zosatheka. ACE inhibitors adalumikizidwa ndi matenda omwe adayamba ndi cholestatic jaundice ndikupita patsogolo mpaka ku necrosis yachangu, nthawi zina amapha. Makina amtunduwu samadziwika bwinobwino. Odwala omwe amapanga jaundice ndikuwonjezeka kwa michere ya chiwindi pomwe amatenga ACE inhibitors ayenera kusiya kutenga ACE inhibitors ndikuwonetsetsa kuyang'aniridwa koyenera kuchipatala.

Zotsatira zoyipa za Prestarium Arginine Combi.

Nthawi zambiri, chithandizo ndi Prestarium arginine Combi amalolera bwino. Zotsatira zosafunikira nthawi zina zimatha kuchitika, zolembedwa pansipa, pogwiritsa ntchito lamulo ili: pafupipafupi (> 1/10), nthawi zambiri (> 1/100 ndi ≤ 1/10), infrequent (> 1/1000 ndi ≤ 1/100), zosowa (> 1 / 10,000 ndi ≤ 1/1000), zosowa kwambiri (

• Hematopoiesis: kawirikawiri, pogwiritsa ntchito ACE zoletsa, thrombocytopenia, leukopenia, agranulocytosis, hemolytic anemia, aplasic anemia imatha kuchitika, makamaka kwa odwala pambuyo pakuwonjezeka kwa impso, mwa odwala hemodialysis.
• Kuchokera kumbali yamanjenje: kawirikawiri - kupweteka mutu, paresthesia, asthenia, chizungulire, kusokonezeka kwa tulo ndi kugona.
• Kuchokera kumbali ya mtima: kapena orthostatic kapena nonthostatic hypotension si kawirikawiri zotheka.
• Kuchokera pakapumidwe: kupuma kouma kumatha kuchitika, komwe kumatha atasiya kumwa mankhwalawo.
• Kuchokera pamimba yodyetsera: nthawi zambiri kudzimbidwa, pakamwa pouma, nseru, matenda a m'mimba, kupweteka pachiwopsezo cha m'mimba, kusokoneza chisokonezo, kawirikawiri kapamba, makamaka odwala matenda a chiwindi, hepatic encephalopathy amatha (onani gawo 4.3 ndi 4.4) .
• Thupi lawo siligwirizana: kawirikawiri - ambiri mawonekedwe a dermatological zimachitika, makamaka odwala amakonda chifuwa: maculopapular zidzolo, phenura, kuchuluka kwa zokhudza zonse lupus erythematosus, kawirikawiri - angioedema.
• Kuchokera ku minofu: kawirikawiri - kukokana.
• Kumbali ya zowonetsa: mitsempha, ochepa matenda oopsa pochotsa okodzetsa, aimpso kulephera, omwe amazimiririka atasiya kumwa mankhwala, kuchuluka kwa potaziyamu (nthawi zambiri kwakanthawi kochepa), kawirikawiri - kuwonjezeka kwa msinkhu plasma altsium.

Zophatikizidwa ndi indapamide.

• Zowonongeka zazing'onoting'ono zazing'ono (kulengedwa kwa creatinine
• Kuchepa kwambiri kwa chiwindi ndi chiwindi.
• Hypokalemia (plasma potaziyamu
• Kuphatikiza ndi mankhwala osapatsirana omwe ungayambitse kukula kwa paroxysmal ventricular tachycardia ya mtundu wa "pirouette".
• Kuyamwitsa.

Amagwirizana ndi mankhwala Prestarium Arginine Combi:

• Hypersensitivity (ziwengo) kwa zinthu zomwe zimagwiritsidwa ntchito ndi mankhwala (perindopril kapena indapamide) kapena zilizonse zomwe zimagwiritsidwa ntchito ndi mankhwala, hypersensitivity kwa ACE inhibitor iliyonse kapena sulfonamides m'mbiri.

Chifukwa cha kusowa kwa kachipatala kokwanira, Prestarium Arginine Combi sayenera kugwiritsidwa ntchito:

Odwala pa hemodialysis, Odwala omwe sanalandire kuwonongeka mtima.

Momwe mungagwiritsire ntchito Prestarium Arginine Combi?

Zokhudza pakamwa.

Piritsi 1 la mankhwala Prestarium arginine Combi patsiku, makamaka m'mawa musanadye.

Kutengera ndi zomwe zimachitika kuchipatala, atha kupangidwira kuti ayambe kulandira chithandizo cha mankhwala a monotherapy omwe ali ndi gawo limodzi la mankhwala (perindopril pa mlingo wa 2,5 - 5 mg).

Pazipita tsiku lililonse piritsi limodzi la mankhwala Prestarium arginine Combi patsiku.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere.

Kugwiritsa ntchito mankhwalawa m'nthawi yoyambirira ya mimba sikulimbikitsidwa. Mukakonzekera kapena pakati pokhazikika, chithandizo chamankhwala chikuyenera kutha posachedwa. Kugwiritsa ntchito mankhwalawa kwachiwiri ndi kwachitatu trimesters ya mimba ndi contraindicated.

Kugwiritsidwa ntchito kwa indapamide panthawi ya mkaka wa m`mawere kumatsutsana, chifukwa cha kupezeka kwa deta pamalowedwe ake mkaka wa m'mawere. Palibe chidziwitso pakulowerera kwa perindopril mkaka wa m'mawere.

Ana ndi achinyamata. Kuchita bwino komanso chitetezo cha mankhwalawa kwa ana ndi achinyamata sichinakhazikitsidwe. Gwiritsani ntchito mwa ana ndi achinyamata osavomerezeka.

Musanayambe kumwa mankhwalawa komanso nthawi yomwe mukugwiritsa ntchito, ndikofunikira kuyang'ana kuthamanga kwa magazi, ntchito ya impso (plasma creatinine), potaziyamu ndi sodium plasma, makamaka mwa odwala okalamba komanso odwala omwe ali pachiwopsezo.

Matenda aimpso. Panthawi ya matenda aimpso kuwonongeka (creatinine chilolezo

Kuwonongeka kwa chiwindi. Mankhwalawa ali contraindicated kwambiri hepatic kuwonongeka. Mu vuto la chiwindi ntchito zina zolimbitsa zovuta, mankhwala akhoza zotchulidwa muyezo achire mlingo.

Hypotension mwadzidzidzi, hypovolemia, ndi kuchepa kwa milingo yamagetsi. Chiwopsezo chokhala ndi hypotension mwadzidzidzi chimawonjezeka mwa odwala omwe ali ndi hypovolemia, kuchepa kwa sodium (chifukwa chogwiritsa ntchito nthawi yayitali okodzetsa, chakudya chopanda mchere), kuthamanga kwa magazi, kuchepa kwa mitsempha, kukomoka kwa mtima, kapena matenda a chiwindi ndi edema ndi ascites. Kuchiza kuyenera kuyamba ndi mlingo wotsika kwambiri komanso kuwonjezereka. Musanagwiritse ntchito mankhwalawa komanso mukamagwiritsa ntchito, ndikofunikira kuti muyeso yamagetsi yamagetsi. Kusakhalitsa kwa hypotension si chifukwa chobwerera mankhwala. Pambuyo pobweza madzi osankhidwa ndi electrolyte, chithandizo chimapitilizidwa ndi mlingo wotsikirapo kapena chimodzi mwazinthu za mankhwala.

Mafuta a potaziyamu.Musanagwiritse ntchito mankhwalawa komanso panthawi yomwe mukugwiritsa ntchito, ndikofunikira kuwunika potaziyamu ya plasma kwa odwala omwe ali m'magulu omwe ali pachiwopsezo cha hypo- kapena hyperkalemia (odwala okalamba, odwala omwe ali ndi vuto la kuperewera kwa thupi kapena matenda operewera, okhala ndi matenda a mtima, kuchepa kwa mtima, odwala matenda a shuga. cirrhosis ya chiwindi ndi edema ndi ascites kapena iwo omwe akutenga okodzetsa ena). Odwala omwe ali ndi vuto la mtima (IY degree) kapena odwala matenda a shuga (chifukwa chokhala ndi chiwopsezo chowonjezeka cha kuchuluka kwa potaziyamu m'magazi am'magazi) akulimbikitsidwa kuti ayambe kulandira chithandizo kuchipatala chokhala ndi mlingo wochepera.

Chifukwa cha kupezeka kwa lactose pokonzekera, mankhwalawa sayenera kutumikiridwa ngati pali chibadwa cha galactose chosalolera, kuchepa kwa lactase, kuchepa kwa shuga / kapena mayamwidwe a galactose.

Zogwirizana ndi Perindopril

Kutsokomola. Monga momwe zilili ndi ACE inhibitors ena (ACE inhibitors), kukhosomola kumatha kuchitika, komwe kumazimiririka atatha. Ngati ndi kotheka, chithandizo chitha kupitilizidwa.

Odwala okalamba ayenera kuyamba kulandira chithandizo chamankhwala ocheperako (onani gawo la "Momwe Mungagwiritsire"), makamaka ndi kuchepa kwa madzimadzi ndi ma elekitirodiya, kuti muchepetse chiopsezo cha hypotension mwadzidzidzi. Mlingo woyambirira, ngati pakufunika, utha kuwonjezedwa kutengera yankho la chithandizo.

Odwala atherosulinosis. Chiwopsezo cha hypotension chikuwonjezeka mwa odwala omwe ali ndi vuto la mtima kapena kuchepa kwa mitsempha. Kwa odwala oterowo, chithandizo chiyenera kuyambitsidwa ndi mlingo wocheperako (onani gawo "Momwe Mungagwiritsire").

Kukonzanso kwamphamvu kwamphamvu. Chithandizo cha odwala chotere chiyenera kuyamba ndi kuchuluka kwa mankhwalawa (onani gawo "Momwe mungagwiritsire") kuchipatala pambuyo poyang'ana kuti aimpso (plasma creatinine) ndi potaziyamu wamagazi.

Anemia Odwala pambuyo kupatsirana kwa impso kapena dialysis ali ndi chiopsezo cha magazi m'thupi. Kuchepa kumeneku kumaonekera kwambiri ndi manambala apamwamba kwambiri oyambira hemoglobin. Zotsatira zake ndizodziyimira payokha ndipo zitha kukhala zogwirizana ndi makina a ACE zoletsa. Kuchepa kwa hemoglobin ndikosakwanira, kumatha kuchitika m'miyezi yoyamba ya 1-6, kenako ndikukhazikika. Chithandizo cha ACE chitha kupitilizidwa ndikuwunika pafupipafupi kuchuluka kwa hemoglobin.

Chiwopsezo cha neutropenia / agranulocytosis odwala omwe ali ndi kuchepa kwa chitetezo cha mthupi chimadalira mlingo ndipo amatha kuchitika mwa wodwala yemwe ali ndi vuto laimpso, makamaka ngati imakhudzana ndi collagenosis, monga systemic lupus erythematosus, scleroderma, and immunosuppressapy. Izi zimatha pambuyo pakutha kwa mankhwala a ACE inhibitor. Kutsatira kwambiri mankhwala okhazikika ndiye njira yothanirana ndi mavuto otere.

Ngati wodwala wachita opaleshoni, ndikofunikira kudziwitsa dokotala za kugwiritsa ntchito Prestarium arginine Combi. Chithandizo cha ACE chiyenera kusiyidwa tsiku limodzi musanachitidwe opaleshoni (onani gawo "Kuyanjana ndi mankhwala ena").

Odwala omwe ali ndi milingo yayitali yotsika kwambiri, ma plasmapheresis omwe amagwiritsa ntchito dextrasulfate pogwiritsa ntchito ACE inhibitors angayambitse ngozi ya anaphylactic. Kukula kwa anaphylactic zimatha kupewetsedwa ndi kuchotsedwa kwakanthawi kwa chithandizo cha ACE musanayambe plasmapheresis.

Anaphylactic zimachitika odwala kumwa ACE zoletsa ndi kusiya mankhwala okhala njuchi. Kukula kwa izi zimatha kupewedwa ndikuyimitsa kanthawi kochepa kugwiritsa ntchito zoletsa za ACE. Zomwe tafotokozazi pamwambapa zitha kuwoneka nthawi yoyeserera.

Aortic stenosis / hypertrophic cardiomyopathy.ACE zoletsa ziyenera kuikidwa mosamala kwa odwala omwe ali ndi vuto la kutuluka kuchokera kumanzere kwamitsempha yamagalimoto.

Kuwonongeka kwa chiwindi. Zosatheka. ACE inhibitors adalumikizidwa ndi matenda omwe adayamba ndi cholestatic jaundice ndikupita patsogolo mpaka ku necrosis yachangu, nthawi zina amapha. Makina amtunduwu samadziwika bwinobwino. Odwala omwe amapanga jaundice ndikuwonjezeka kwa michere ya chiwindi pomwe amatenga ACE inhibitors ayenera kusiya kutenga ACE inhibitors ndikuwonetsetsa kuyang'aniridwa koyenera kuchipatala.

Zokhudzana ndi Indapamide

Odwala omwe ali ndi nthawi yayitali ya QT, hypokalemia, ngati bradycardia, angathandizire kukulitsa kwambiri mtima wa arrhythmias, kuphatikizapo paroxysmal ventricular tachycardia ya mtundu wa pirouette, womwe ungathe kupha. Mulimonsemo, kuyang'anira kuchuluka kwa potaziyamu m'magazi ndikofunikira. Kusanthula koyambirira kuyenera kuchitika mkati mwa sabata loyamba la chithandizo. Ndi kuchepa kwa potaziyamu, kusintha kwake ndikofunikira.

Kashiamu wa Plasma. Thiazide ndi thiazide-monga diuretics zimatha kuchepetsa kuchuluka kwa calcium ndikupanga kuchulukitsa pang'ono komanso kwakanthawi kwaminyewa ya calcium. Ndi kuwonjezeka kwakukulu kwa kashiamu ya plasma, ndikofunikira kuyeserera ndikuwunika kukhalapo kwa hyperparathyroidism mwa wodwala.

Ochita masewera Pogwiritsa ntchito mankhwala Prestarium arginine Combi, zotsatirapo zabwino zimatheka panthawi yolamulira madalaivala.

Odwala omwe ali ndi uric acid okwera: pakhoza kuwonjezeka pakuwukira kwa gout.

Kutha kukopa momwe zinthu zikuyendera mukamayendetsa magalimoto kapena njila zina.

Prestarium arginine Combi saphwanya psychomotor zochita. Mankhwalawa amatha kuthana ndi kuyendetsa galimoto ndikugwira ntchito ndi zida pokhapokha kuchepa kwadzidzidzi kwa kuthamanga kwa magazi, makamaka kumayambiriro kwa chithandizo.

Zotsatira zoyipa za Prestarium Arginine Combi.

Nthawi zambiri, chithandizo ndi Prestarium arginine Combi amalolera bwino. Zotsatira zosafunikira nthawi zina zimatha kuchitika, zolembedwa pansipa, pogwiritsa ntchito lamulo ili: pafupipafupi (> 1/10), nthawi zambiri (> 1/100 ndi ≤ 1/10), infrequent (> 1/1000 ndi ≤ 1/100), zosowa (> 1 / 10,000 ndi ≤ 1/1000), zosowa kwambiri (

• Hematopoiesis: kawirikawiri, pogwiritsa ntchito ACE zoletsa, thrombocytopenia, leukopenia, agranulocytosis, hemolytic anemia, aplasic anemia imatha kuchitika, makamaka kwa odwala pambuyo pakuwonjezeka kwa impso, mwa odwala hemodialysis.
• Kuchokera kumbali yamanjenje: kawirikawiri - kupweteka mutu, paresthesia, asthenia, chizungulire, kusokonezeka kwa tulo ndi kugona.
• Kuchokera kumbali ya mtima: kapena orthostatic kapena nonthostatic hypotension si kawirikawiri zotheka.
• Kuchokera pakapumidwe: kupuma kouma kumatha kuchitika, komwe kumatha atasiya kumwa mankhwalawo.
• Kuchokera pamimba yodyetsera: nthawi zambiri kudzimbidwa, pakamwa pouma, nseru, matenda a m'mimba, kupweteka pachiwopsezo cha m'mimba, kusokoneza chisokonezo, kawirikawiri kapamba, makamaka odwala matenda a chiwindi, hepatic encephalopathy amatha (onani gawo 4.3 ndi 4.4) .
• Thupi lawo siligwirizana: kawirikawiri - ambiri mawonekedwe a dermatological zimachitika, makamaka odwala amakonda chifuwa: maculopapular zidzolo, phenura, kuchuluka kwa zokhudza zonse lupus erythematosus, kawirikawiri - angioedema.
• Kuchokera ku minofu: kawirikawiri - kukokana.
• Kumbali ya zowonetsa: mitsempha, ochepa matenda oopsa pochotsa okodzetsa, aimpso kulephera, omwe amazimiririka atasiya kumwa mankhwala, kuchuluka kwa potaziyamu (nthawi zambiri kwakanthawi kochepa), kawirikawiri - kuwonjezeka kwa msinkhu plasma altsium.

Kuchita kwa Prestarium Arginine Combi.

Mukamagwiritsa ntchito mankhwala Prestarium arginine Combi, ndikofunikira kukumbukira kuti izi ndizophatikiza, motero, kuti mumayesedwe pazomwe mungagwiritse ntchito ndi mankhwalawa, ndikofunikira kulingalira zonse zomwe zingagwiritsidwe ntchito ndi mankhwala.

Zosakaniza zosafunikira zomwe zimagwiritsidwa ntchito ndi mankhwala Prestarium arginine Combi

Lithium. Pogwiritsa ntchito munthawi yomweyo kukonzekera kwa lifiyamu, ndizotheka kuwonjezera kuchuluka kwa lifiyamu m'madzi am'magazi (chifukwa cha kuchepa kwa lithiamu excretion) ndi mawonekedwe a mawonekedwe a bongo. Ngati ndi kotheka, kuikidwa kwa kuphatikiza kotero, ndikofunikira kuwongolera mulingo wa lifiyamu.

Zophatikizidwa ndi perindopril.

Potaziyamu yosunga diuretics (amiloride, spironolactone, triamteren mu monotherapy kapena molumikizana), mchere wam potaziyamu: ungayambitse kuwonjezeka kwakukulu pamlingo wa potaziyamu m'madzi a m'magazi, omwe amatha kukhala pachiwopsezo cha moyo. Mankhwala omwe amatha kuwonjezera kuchuluka kwa potaziyamu sayenera kutumikiridwa limodzi ndi ACE inhibitors. Ngati kugwiritsidwa ntchito mosiyanasiyana kukuwonekera chifukwa cha kupezeka kwa hypokalemia, ayenera kuikidwa mosamala komanso kuwunika kawirikawiri potaziyamu ndi ECG.

Zophatikizidwa ndi indapamide.

Suloprid. Chiwopsezo cha ventricular arrhythmia, makamaka paroxysmal ventricular tachycardia ya mtundu wa pirouette, chikuwonjezeka (hypokalemia ndi chiopsezo cha zotsatirazi).

Kuphatikiza Kwodziwika ndi Prestarium Arginine Combi

Baclofen imawonjezera mphamvu ya antihypertensive mankhwala. Ndikofunikira kuyang'anira kuthamanga kwa magazi ndi ntchito ya impso.

Systemic non-steroidal anti-yotupa mankhwala (makamaka indomethacin), Mlingo waukulu wa salicylates ungayambitse kuchepa kwa okodzetsa, natriuretic komanso antihypertensive zotsatira za mankhwalawa, chiwopsezo cha kulephera kwa impso kwa okalamba komanso odwala matendawa (chifukwa cha kuchepa kwa kusefukira kwa glomerular). Ndikofunikira kuwongolera kugwira ntchito kwa impso kumayambiriro kwa chithandizo ndikubwezeretsa moyenera-electrolyte ndikuwonetsetsa kuti wodwalayo amamwa madzi okwanira.

Tricyclic antidepressants (imipramin-like), antipsychotic: pali kuwonjezeka kwa hypotensive zotsatira ndipo chiopsezo chokhala ndi orthostatic hypotension chikuwonjezeka.

GCS, tetracosactide (systemic action) amachepetsa mphamvu ya mankhwala chifukwa chosungira madzi ndi ma sodium ions mothandizidwa ndi GCS

Mankhwala ena a antihypertensive ophatikizana ndi perindopril / indapamide angayambitse kuchepa kwa magazi.

Kuphatikiza Kogwirizana ndi Perindopril

Mankhwala ochepetsa shuga (insulin, shuga wochepetsa shuga). ACE inhibitors ikhoza kupititsa patsogolo zotsatira za hypoglycemic mwa odwala omwe amalandira insulin kapena hypoglycemic sulfonamides. Kupezeka kwa ma episode a hypoglycemia ndikosowa kwambiri ndipo kumalumikizidwa ndi kusintha kwa kulolera kwa glucose.

Mankhwala osokoneza bongo: ACE inhibitors amatha kupititsa patsogolo mphamvu ya mankhwala ena oletsa kupweteka.

Allopurinol, cytostatics, immunosuppressive mankhwala, systemic corticosteroids, kapena procainamide osakanikirana ndi ACE inhibitors angakulitse chiwopsezo cha leukopenia.

Diuretics (thiazide ndi loop). Kudzimbidwa ndi Mlingo wambiri wokodzetsa kumatha kubweretsa kusowa kwamadzi, zomwe zingakulitse chiopsezo cha hypotension kumayambiriro kwa mankhwala a perindopril.

Mankhwala osokoneza bongo a Prestarium Arginine Combi.

Pankhani ya mankhwala osokoneza bongo (kumwa kuchuluka kwa mankhwalawa), vuto losafunikira lambiri monga hyperial hypotension limawonedwa nthawi zambiri, lomwe nthawi zina limatha kutsagana ndi mseru, kusanza, kupweteka, chizungulire, kugona, kusokonezeka, oliguria, komwe kumatha kupita ku anuria (chifukwa cha hypovolemia).Kuphwanya mulingo wamadzi-electrolyte (kutsika kwa potaziyamu ndi sodium m'madzi am'magazi).

Chithandizo. M'pofunika kuchotsa mankhwalawa mthupi: tsitsani m'mimba, tsegulani makala ndikuwabwezeretsa madzi mu chipatala.

Mu hypotension yayikulu, wodwalayo amayenera kupatsidwa mawonekedwe oyang'ana ndi bolodi yotsika. Chithandizo cha Zizindikiro Ngati ndi kotheka, gwiritsani ntchito njira yolondola ya isotonic solution kapena gwiritsani ntchito njira ina iliyonse yobwezeretsanso magazi.

Perindoprilat imatha kuchotsedwa m'thupi ndi hemodialysis.

Munkhaniyi, mutha kuwerengera malangizo ogwiritsira ntchito mankhwalawa Perindopril . Amapereka ndemanga kuchokera kwa alendo omwe amabwera patsamba lino - ogwiritsa ntchito mankhwalawa, komanso malingaliro a akatswiri azachipatala pakugwiritsa ntchito Perindopril machitidwe awo. Chopempha chachikulu ndikuti muwonjezere ndemanga zanu za mankhwalawa: mankhwalawo adathandizira kapena sanathandizire kuchotsa matendawa, ndizovuta ziti zomwe zimawoneka ndi zotsatirapo zake, zomwe mwina sizinalengezedwe ndi wopanga. Mndandanda wa Perindopril pamaso pa ma analogues omwe amapezeka. Gwiritsani ntchito pochiza matenda oopsa komanso kutsitsa magazi mu akulu, ana, komanso pa nthawi ya bere. The zikuchokera mankhwala.

Perindopril - ACE inhibitor. Ndi mankhwala osokoneza bongo omwe metabolite perindoprilat amapangidwa m'thupi. Amakhulupirira kuti limagwirira ntchito ya antihypertensive imalumikizana ndi kupikisana kwa ntchito ya ACE, komwe kumayambitsa kuchepa kwa chiwerengero cha kutembenuka kwa angiotensin 1 mpaka angiotensin 2, yomwe ndi vasoconstrictor yamphamvu. Zotsatira zakuchepa kwa kuchuluka kwa angiotensin 2, kuwonjezereka kwachiwiri kwa ntchito ya plasma renin kumachitika chifukwa kuchotsedwa kwa mayankho olakwika pakumasulidwa kwa renin komanso kuchepa mwachindunji kwa secretion ya aldosterone. Chifukwa cha chotupa chake, chimachepetsa OPSS (kutsitsa), kuthinana kwamankhwala m'matumbo am'mapapu (kutsitsa) ndi kukana m'mitsempha yam'mapapo, kumawonjezera kutulutsa kwa mtima ndi kulolerana zolimbitsa thupi.

Mphamvu ya antihypertensive imayamba mu ora loyamba mutatha kupindika, imafika mpaka maola 4-8 ndipo imatha kwa maola 24.

Perindopril erbumin + oyambitsa.

Perindopril arginine + oyenera.

Pambuyo pakukonzekera pakamwa, perindopril imatengedwa mwachangu kuchokera mumimba. Bioavailability ndi 65-70%. Momwe zimapangidwira kagayidwe, perindopril imapangidwa biotransformed popanga metabolite yogwira - perindoprilat (pafupifupi 20%) ndi ma 5 osagwira ntchito. Kumangiriza kwa perindoprilat kupita ku mapuloteni a plasma ndikosakwanira (kosakwana 30%) ndipo zimatengera kuzunzika kwa zinthu zomwe zimagwira. Sichikupanga. Kukonzanso mobwerezabwereza sikumabweretsa kuchulukitsa (kudzikundikira). Mukamamwa ndi chakudya, metabolism ya perindopril imachepetsa. Perindoprilat imachotsedwa m'thupi ndi impso. Okalamba odwala, komanso aimpso ndi mtima kulephera, exretion wa perindoprilat amachepetsa.

• matenda oopsa oopsa (kuchepa kwa mavuto),
• kulephera kwa mtima (CHF).

Mapiritsi 2 mg, 4 mg ndi 8 mg (kuphatikizapo mapiritsi okutidwa).

Malangizo ogwiritsira ntchito ndi mlingo

Mlingo woyambirira ndi 1-2 mg wa tsiku lililonse mu 1 mlingo. Mlingo yokonza - 2-4 mg patsiku kwa mtima kulephera, 4 mg (kangapo - 8 mg) - ochepa matenda oopsa 1 mg.

Pankhani ya kuwonongeka kwa impso, kusintha kwa mankhwalawa kumafunikira malinga ndi mfundo za QC.

• chifuwa chowuma
• dyspeptic phenomena
• kamwa yowuma
• kukoma zosokoneza
• mutu
• kugona ndi / kapena kusokonezeka kwa malingaliro,
• chizungulire
• kukokana
• kuchuluka kwa hemoglobin (makamaka kumayambiriro kwa chithandizo),
• kuchepa kwa maselo ofiira am'magazi ndi /
• kuchuluka kosintha kwamankhwala a acidinine ndi uric acid,
• angioedema,
• zotupa pakhungu
• erythema
• mavuto azaku kugonana.

• mbiri ya angioedema,
• mimba
• kuyamwa
• zaka za ana
• Hypersensitivity kuti perindopril.

Mimba komanso kuyamwa

Perindopril amatsutsana ndi pakati komanso kuyamwa.

Gwiritsani ntchito ana

Anaphatikizidwa ali mwana.

Gwiritsani ntchito mosamala pakukanika kwa impso komanso matenda oopsa kwambiri.

Musanayambe chithandizo ndi perindopril, kafukufuku wa impso amalimbikitsidwa kwa odwala onse.

Pa mankhwala a perindopril, aimpso, chiwindi ntchito ya m'magazi iyenera kuyang'aniridwa pafupipafupi, kuyezetsa magazi kwapadera kuyenera kuchitidwa (makamaka kwa odwala omwe ali ndi matenda opatsirana a minofu, mwa odwala omwe amalandila mankhwala a immunosuppressive, allopurinol). Asanayambe chithandizo, odwala omwe ali ndi vuto la sodium ndi madzimadzi ayenera kuwongoleredwa kuti asokonezedwe ndimadzi-electrolyte.

Pa mankhwala ndi perindopril, hemodialysis yogwiritsa ntchito ma cell a polyacrylonitrile sangathe kuchitika (chiopsezo cha anaphylactic reaction chimachulukitsidwa).

Perindopril ayenera kugwiritsidwa ntchito mosamala nthawi yomweyo ndi mankhwala omwe angayambitse kuchuluka kwa potaziyamu m'magazi (indomethacin, cyclosporine). Kugwiritsa ntchito limodzi ndi potaziyamu mosamala okodzetsa ndi zosakanizira za potaziyamu sikulimbikitsidwa.

Pogwiritsa ntchito nthawi yomweyo ndi antihypertensive othandizira, othandizira minofu, ndi mankhwala ochititsa chidwi, kuwonjezereka kwa antihypertensive kungatheke.

Pogwiritsa ntchito munthawi yomweyo ndi zida zotayirira, thiazide diuretics, kuwonjezeka kwa antihypertensive kwenikweni ndikotheka. Mokulitsa ochepa hypotension, makamaka atatenga koyamba muyezo wa okodzetsa, akuwoneka kuti ali ndi vuto la hypovolemia, lomwe limapangitsa kukula kwakanthawi kochepa kochititsa chidwi kwa perindopril. Chiwopsezo chowonjezeka cha impso.

Pogwiritsa ntchito munthawi yomweyo ndi sympathomimetics, ndizotheka kuchepetsa antihypertensive mphamvu ya perindopril.

Pogwiritsa ntchito munthawi yomweyo komanso ma tridclic antidepressants, antipsychotic (antipsychotic), chiopsezo chokhala ndi hypotension ya postural imachulukirachulukira.

Pogwiritsidwa ntchito munthawi yomweyo ndi indomethacin, mphamvu ya antihypertensive imatha kuchepa, zikuwoneka chifukwa cha kuletsa kwaphatikizidwe kwa ma prostaglandins motsogozedwa ndi mankhwala osagwiritsa ntchito mankhwala a anti-yotupa (NSAIDs) (omwe akukhulupirira kuti atengapo gawo pachitukuko cha hypotensive zotsatira za ACE zoletsa).

Pogwiritsa ntchito munthawi yomweyo ndi insulin, othandizira a hypoglycemic, zotumphukira za sulfonylurea, hypoglycemia imatha kukhazikika chifukwa cha kulolerana kwa shuga.

Kugwiritsa ntchito pamodzi kwa perindopril ndi ethanol (mowa) sikulimbikitsidwa, koma kulibe zotsatira za thupi la munthu.

Pogwiritsa ntchito munthawi yomweyo mankhwala osokoneza bongo a potaziyamu - kuphatikizapo spironolactone, triamteren, amiloride, kukonzekera kwa potaziyamu, mchere wothandizidwa ndi zakudya komanso zowonjezera pazakudya zomwe zimakhala ndi potaziyamu, hyperkalemia imatha kupezeka (makamaka odwala omwe ali ndi vuto la impso), chifukwa ACE zoletsa amachepetsa zomwe zili aldosterone, zomwe zimayambitsa kuchepa kwa potaziyamu m'thupi motsutsana ndi kumbuyo kwa kuchepetsa kwa potaziyamu kapena kuchuluka kwake.

Pogwiritsa ntchito munthawi yomweyo ndi lithiamu carbonate, kuchepa kwa chimbudzi cha lithiamu kuchokera m'thupi ndikotheka.

Mndandanda wa mankhwala Perindopril

Zofanizira zamapangidwe azinthu zomwe zimagwira (kuphatikizapo kuphatikiza ndi zina):

• Malowa
• Hypernik
• Dalneva,
• Coverex,
• Ko Perineva,
• Noliprel
• Noliprel A
• Noliprel Forte
• Parnawel
• Perindid
• Perindopril Pfizer,
• Perindopril Richter,
• Perindopril arginine,
• Perindopril erbumin,
• Perindopril Indapamide Richter,
• Perindopril kuphatikiza indapamide,
• Perineva,
• Chipsin,
• Pyristar
• Prestanz
• Prestarium
• Prestarium A
• Choletsa.

Popeza pali mankhwala a analogi wa yogwira mankhwala, mutha kutsatira maulalo omwe ali pansipa ndi matenda omwe amathandizira mankhwala ndikuwona mawonekedwe ofananizira achire.

Indapamide imakhala yofatsa kwambiri ya BP, ngati mumatsatira malamulo ake, sikuti imayambitsa mavuto. Mankhwala ndi a diuretic mankhwala.

Munthawi ya chithandizo chovuta kwambiri cha matenda oopsa, dokotala amayenera kupereka okodzetsa, popeza kuthamanga kwa magazi kumachepetsa mwachangu ndi kutulutsa kwamadzi m'thupi. Makampani opanga mankhwala apanga zambiri. Nthawi zambiri, ngati pali edema, dokotala amalembera Indapamide kuti akapanikizike. Komabe, mankhwalawa ali ndi contraindication komanso mawonekedwe ogwiritsira ntchito, chifukwa chake amafunika kugwirizanitsa chithandizo ndi dokotala.

Mankhwala ndi a thiazide-ngati okodzetsa omwe amakhala nthawi yayitali, amatha kuchepetsa magazi. Indapamide imagwiritsidwa ntchito pochita matenda oopsa, pomwe kupanikizika kumayamba kupitirira 140/90 mm Hg. Art., Ndi kulephera kwa mtima kosatha, makamaka ngati wodwala watupa.

Mankhwala amamasulidwa monga mapiritsi ndi mapiritsi a 1.5 ndi 2.5 mg. Amapangidwa ku Russia, Yugoslavia, Canada, Macedonia, Israel, Ukraine, China ndi Germany. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndi Indapamide.

Indapamide ndi mankhwala osungira calcium, omwe ndi abwino kwa odwala matenda oopsa a mafupa. Itha kugwiritsidwa ntchito ndi anthu omwe ali ndi hemodialysis, odwala matenda ashuga, okhala ndi hyperlipidemia. Pazovuta, amafunikira kuti azilamulira kuchuluka kwa glucose, potaziyamu, zizindikiro zina zomwe adokotala akuuzidwa.

Indapamide ya matenda oopsa

Makapiritsi kapena mapiritsi a kukakamiza kwa matenda oopsa amayamba kuchita mphindi 30 mutatha kumwa. Zotsatira za hypotonic zimatha maola 23-24.

Kuchepa kwa kuthamanga kwa magazi kumachitika chifukwa cha zotsatira za hypotensive, diuretic ndi vasodilating - kuthamanga kwa magazi kumayamba kutsika chifukwa cha mphamvu ya chinthu chomwe chikugwira, kuchotsa madzi owonjezera mthupi ndi kuchuluka kwa mitsempha yamagazi mthupi lonse.

Indapamide ilinso ndi katundu wamtima - amateteza ma cell a myocardial. Pambuyo pa chithandizo, matenda oopsa amatha bwino mkhalidwe wamanzere wamtima wamanzere. Mankhwalawa amachepetsa kukana mu zotumphukira ndi zotumphukira za arterioles. Popeza kuthamanga kwamkodzo kumayambitsa kuchuluka kwa mkodzo, komwe kumatsitsidwa madzimadzi ambiri, kuli koyenera kumwa mankhwalawo ngati pali edematous syndrome.

Kuchita ndi mankhwala ena

Nthawi zambiri munthu amakakamizidwa kumwa mankhwala angapo a magulu osiyanasiyana a mankhwala. Zinthu zawo zomwe zimagwira zimatha kuchepa kapena kuwonjezera mphamvu ya Indapamide. Ndikofunikira kudziwa mwatsatanetsatane momwe "zochitika" zotere zimawonekera.

Mphamvu ya antihypertensive ya mankhwalawa imawonjezeka ngati imagwiritsidwa ntchito limodzi ndi ma antidepressants, ma antipsychotic - izi zimatha kugwetsa kwambiri.

Akaphatikizidwa ndi erythromycin, munthu amakula tachycardia; mu cyclosporin zovuta, kuchuluka kwa creatinine kumawonjezeka. Kugwiritsa ntchito limodzi nthawi yomweyo limodzi ndi mankhwala osokoneza bongo, kuphatikizapo ayodini, kumatha kupangitsa kuti madzi asungunuke. Kutayika kwa potaziyamu kumalimbikitsidwa ndi mankhwala othandizira, ma saluretics ndi mtima glycosides.

Tiyenera kukumbukira kuti corticosteroids ndi NSAIDs (omwe si a antiidal anti-yotupa mankhwala) amachepetsa mphamvu ya Indapamide - izi zimachepetsa mphamvu ya mankhwalawa. Popewa kuyanjana kotere ndi mankhwala ena, dokotala amayenera kupereka mndandanda wazamankhwala onse azitsamba zomwe zimagwiritsidwa ntchito.

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Kuphatikiza kwa Lisinopril ndi Indapamide kumathandiza pochiza matenda oopsa komanso oopsa. Malinga ndi lingaliro la adokotala, onse awiriwa amatha kupatsidwa mankhwala osokoneza mtima.

Lisinopril limodzi ndi Indapamide ndi othandiza pa matenda ovuta kwambiri a matenda oopsa.

Momwe mungatengere Lisinopril ndi Indapamide

Kuti zinthu zikhale bwino komanso kuti kuchepa kwamankhwala kukhale kopitilira muyeso, mankhwalawa amayenera kumwa kwa nthawi yayitali, nthawi zina moyo. Chifukwa chake, muyezo wa mankhwalawa umayenera kuwerengedwa ndi dokotala kutengera chithunzi cha matendawo ndi zomwe wodwalayo ali nazo.

Nthawi zambiri, mlingo woyambirira wa Lisinopril ndi piritsi la 5-10 mg, 2.5 mg ya Indapamide (piritsi limodzi) ndilokwanira.

Mankhwalawa amatengedwa pakamwa, popanda kutafuna, ndimadzi ambiri.

Zotsatira zoyipa za indapamide

Kugwiritsa ntchito bwino mankhwalawa mu 97% ya milandu, mankhwalawa sasokoneza thupi. Mwa anthu omwe atsala 3%, Indapamide imayambitsa mavuto. Zotsatira zoyipa kwambiri ndikuphwanya muyeso wamadzi-electrolyte: kuchuluka kwa potaziyamu ndi / kapena sodium kumachepa. Izi zimadzetsa kusowa kwamadzi (kusowa kwamadzi) m'thupi. Osowa kwambiri, mankhwala amatha kuyambitsa arrhythmia, hemolytic anemia, sinusitis ndi pharyngitis.

Zotsatira zina za Indapamide:

• ziwengo (urticaria, anaphylaxis, edincke's edema, dermatosis, zidzolo),
• Matenda a Lyell
• Kuuma kwa mucosa wamlomo,
• Matenda a Stevens-Johnson
• kutsokomola
• kufooka
• chizungulire
• kusanza, kusanza,
• kupweteka kwa minofu
• migraine
• mantha
• kukanika kwa chiwindi
• kapamba
• kudzimbidwa
• orthostatic hypotension.

Nthawi zina indapamide imasintha kapangidwe ka magazi ndi mkodzo. Mu kusanthula kungawone kuchepa kwa potaziyamu, sodium, kuchuluka kwa calcium, shuga, creatinine ndi urea. Thrombocytopenia, leukopenia, kuchepa magazi, agranulocytosis kumachitika kawirikawiri.

Kodi mankhwalawa "Lisinopril" ndi "Indapamide" ndi ati?

"Lisinopril" ndi "Indapamide" adapangira zochizira matenda oopsa.

Musanagwiritse ntchito mankhwala aliwonse, muyenera kuphunzira malangizo ake mosamala, ndikuwunika zabwino ndi zovuta zake. Kuti mumvetsetse zomwe mankhwalawa ali onse, lingalirani tebulo:

Kodi ndingalowetse bwanji mankhwalawa

M'malo mwa Indapamide, Indap imaloledwa. Mankhwalawa ali ndi mawonekedwe omwewo, koma amapangidwa ndi wopanga wina ndipo atha kukhala ndi muyeso wosiyana wa zomwe zimagwira. Pakakhala kusiyana, dokotala wopezekapo amayenera kusintha mankhwalawa.

Dokotala adzakuthandizaninso kuti mupeze ma fanizo omwe ali ndi chinthu chofanana kapena chochita. Pofunsidwa payekha, dokotala adzakuwuzani kuti ndi mankhwala ati omwe mungagwiritse ntchito: Indapamide kapena Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acriptamide, Ionic, Retapres. Mwina kutumikiridwa kwa ma diuretics ena omwe cholinga chake ndi kuchepetsa magazi.

Pomaliza

Mankhwala Indapamide modekha amachepetsa kupanikizika tsiku lonse. Pogwiritsa ntchito nthawi zonse komanso molondola, kuthamanga kwa magazi kumachepa m'masiku 7 kuchokera poyambira kukhazikitsa. Koma chithandizo sichingasokonezeke pakadali pano, chifukwa mankhwalawa amafika pakapita miyezi iwiri ndi iwiri kapena itatu. Kuti mugwire bwino ntchito mankhwalawa, muyenera kutsatira malangizo azachipatala: kutsatira zakudya zamagazi, sinthani nthawi yopumula, mankhwala ena.

Masiku ano, matenda ofala kwambiri ndi matenda oopsa kapena matenda oopsa. Mwanjira ina, uku ndi kuthamanga kwa magazi. Matendawa amakula chifukwa cha zinthu zakunja, mwachitsanzo, kupsinjika, kulimbikira, kulimbitsa thupi, kusowa kupuma, kusintha kwakukuru nyengo kapena matenda a ziwalo zamkati. Tsoka ilo, matenda awa sangathe kuchiritsidwa kwathunthu - ndi matenda osachiritsika.

Pazizindikiro zoyambitsa matenda oopsa, muyenera kufunsa dokotala. Katswiriyu amasankha chithandizo chamankhwala chimodzi chomwe chingathandize kuti magazi azithamanga komanso kuti achepetse zizindikiro zazikulu. Chithandizo chilichonse chimaphatikizapo diuretics. Mankhwalawa ali ndi mitundu yosiyanasiyana yamankhwala, koma onse amachotsa mokwanira madzi m'thupi. Mankhwala ndi okodzetsa. Nthawi zambiri, adotolo amaphatikiza mankhwala Indapamide mu chithandizo chachikulu, malangizo a momwe angagwiritsidwe ntchito komanso pazomwe akakamiza kumwa mankhwalawa, tikambirana m'nkhaniyi.

Zotsatira za mankhwala

Indapamide ndi diuretic yodziwika bwino yomwe imagwiritsidwa ntchito mwachangu pochotsa matenda oopsa, komanso kutupa komwe kumachitika chifukwa cholephera mtima. Mapiritsi amachotsa bwino magazi m'thupi ndipo amachepetsa mitsempha yamagazi, yomwe imathandizira kuchepa kwa magazi.

Mankhwalawa amasulidwa ngati mapiritsi, omwe amaphatikizidwa ndi chipolopolo choyera pamwamba. Phukusi limodzi mumatha kukhala mapiritsi 10 kapena 30, omwe amalola munthu kudzisankhira kuchuluka koyenera.

Mankhwalawa amapangidwa ndi makampani ambiri azamankhwala, koma kapangidwe kake sikusintha. Chofunikira chachikulu ndi indapamide. Piritsi limodzi muli pafupifupi 2.5 mg. Kuphatikiza pa izi, mankhwalawa ali ndi zowonjezera zomwe zimakhudza thupi. Mankhwala ali ndi zinthu zothandiza monga izi:

• wowuma mbatata
• colidone CL,
• shuga kapena mkaka,
• magnesium wakuba,
• povidone 30,
• talcum ufa
• cellulose.

Zofunika! Kodi Indapamide imathandizira bwanji? Mankhwala amapatsidwa magazi okwera. Zothandiza zake zimatha kuchotsa msanga madzi owonjezera m'thupi, komanso kukulitsa mitsempha yoyenera. Chifukwa cha izi, mankhwalawa amagwiranso bwino magazi.

Limagwirira ntchito pa thupi

Mankhwala amakhudzanso thupi. Zida zake zimachotsa msanga madzi ndi mchere wambiri m'thupi. Amathandizira kupangika kwamkodzo kwamkodzo, komwe kumathandizira kuchotsa madzimadzi kuchokera ku minofu ndi ma serous cavities.

Zotsatira za pharmacological

Indapamide ndi diuretic yapamwamba kwambiri yomwe ili diuretics yofanana ndi thiazide. Kuphatikiza apo, mankhwalawa amachepetsa mitsempha ya magazi ndikutulutsa makoma awo. Zonsezi, izi zimapangitsa kuti magazi azithamanga komanso kuti munthu akhale wathanzi.

Ngati mlingo watsiku ndi tsiku ndi 1.5-2.5 mg, ndiye kuti ndikwanira kupewa vasoconstriction. Izi zikutanthauza kuti kupanikizika kudzakhala kupitilira malire. Kuphatikiza apo, mlingo uwu umathandizira kukonza makhoma a mitsempha yamatumbo ndipo umateteza minofu yamtima kuti isasinthe pamagazi. Zikatero, ngati kuchuluka kwa mankhwalawa kumawonjezereka mpaka 5 mg patsiku, ndiye kuti kuchuluka kwake kudzakhala kokwanira kuti muchepetse kutupa. Komabe, mlingo wowonjezereka sukukhudzanso kuchuluka kwa kukakamizidwa.

Ndi kugwiritsa ntchito pafupipafupi, zotsatira zowoneka zimatheka pambuyo masiku 7-14 atamwa mankhwalawa. Mankhwalawa amatha kwambiri pambuyo pa miyezi iwiri ya chithandizo cha 2-3. Zotsatira zabwino zimakhala kwa milungu 8. Ngati mapiritsi amatengedwa kamodzi, ndiye kuti zotsatira zake zimafunikira m'maola 12-24.

Ndikwabwino kumwa mankhwalawa pamimba yopanda kanthu kapena mukatha kudya, popeza kugwiritsa ntchito piritsi ndi chakudya kumachepetsa mphamvu yake mthupi, koma sikukukhudzika kwake. Zigawo zogwira ntchito za Indapamide zimalowa mwachangu m'mimba, motero zimagawidwa mthupi lonse.

Chiwindi chimayeretsa bwino mafuta omwe amapanga mapiritsi. Amakonzedwanso ndi impso ndikuwachotsa ndi mkodzo (70-80%) patatha pafupifupi maola 16.Kuchulukitsa kudzera mu ziwalo zogaya chakudya ndi pafupifupi 20-30%. Gawo lalikulu lothandiza mu mawonekedwe ake oyera limachotsedwa ndi pafupifupi 5%. Ziwalo zina zonse zimagwira mthupi.

Kodi angagwiritsidwe ntchito nthawi imodzi?

"Lisinopril" ndi "Indapamide" sikuti angatengedwe nthawi imodzi, komanso kofunikira. Kuphatikiza kwawo ndikokwera ndipo kupanikizika kumatsika mofulumira. Njira yotsatirayi ikulimbikitsidwa:

1. M'mawa muyenera kutenga "Indapamide" (ndi okodzetsa mwamphamvu, chifukwa chake ndibwino kuti musatenge usiku).
2. Madzulo, "Lisinopril."
3. Ngati kupanikizika sikutha, ndiye kuti ndibwino kumwa piritsi limodzi la mankhwala.

Therapy iyenera kutumizidwa ndi dokotala, kutengera zomwe wodwala akuwonetsa.

Lisinopril ndi Indapamide amathandizirana. Ngati kupanikizika kwachulukirachulukira (pamwambapa 180/120), ndiye muyenera kufunsa dokotala (makamaka ngati pali mwayi wokhala ndi stroko kapena vuto la mtima). Nthawi yomweyo, musachulukitse mlingo wa mankhwalawa mopitirira muyeso (Indapamy samapereka zotsatira zabwino pamene muyezo ukuwonjezeka, ndipo mlingo waukulu wa Lisinopril ungayambitse kukulira kwa mkhalidwewo).

Ndi zaka, munthu amafunikira kwambiri kuthamanga kwa magazi. Nthawi zambiri odwala amatenga Lisinopril ndi Indapamide nthawi yomweyo. Lisinopril ndi Indapamide amatha kuthandizana. Ndikofunikira kuti dokotala yemwe amapezekapo adziwe izi. Ndi dokotala yekhayo amene amatha kuunika mokwanira zoopsa zonse, kutengera kupezeka kwa wodwala komanso matenda ena oyamba.

Musanagwiritse ntchito mankhwala aliwonse, muyenera kuphunzira malangizo ake mosamala, ndikuwunika zabwino ndi zovuta zake. Kuti mumvetsetse zomwe mankhwalawa ali onse, lingalirani tebulo:

· Muyenera kuwerenga: 2 min

Ndi zaka, munthu amafunikira kwambiri kuthamanga kwa magazi. Nthawi zambiri odwala amatenga Lisinopril ndi Indapamide nthawi yomweyo. Lisinopril ndi Indapamide amatha kuthandizana. Ndikofunikira kuti dokotala yemwe amapezekapo adziwe izi. Ndi dokotala yekhayo amene amatha kuunika mokwanira zoopsa zonse, kutengera kupezeka kwa wodwala komanso matenda ena oyamba.

"Lisinopril" ndi "Indapamide" adapangira zochizira matenda oopsa.

Musanagwiritse ntchito mankhwala aliwonse, muyenera kuphunzira malangizo ake mosamala, ndikuwunika zabwino ndi zovuta zake. Kuti mumvetsetse zomwe mankhwalawa ali onse, lingalirani tebulo:

• arrhasmia,
• mutu
• kupweteka pachifuwa
• kutupa pa mimba,
• zotheka mu mwana wosabadwayo.

• chizungulire
• mutu
• kukhumudwa
• sinusitis
• rhinitis.

"Lisinopril" ndi "Indapamide" sikuti angatengedwe nthawi imodzi, komanso kofunikira. Kuphatikiza kwawo ndikokwera ndipo kupanikizika kumatsika mofulumira. Njira yotsatirayi ikulimbikitsidwa:

1. M'mawa muyenera kutenga "Indapamide" (ndi okodzetsa mwamphamvu, chifukwa chake ndibwino kuti musatenge usiku).
2. Madzulo, "Lisinopril."
3. Ngati kupanikizika sikutha, ndiye kuti ndibwino kumwa piritsi limodzi la mankhwala.

Therapy iyenera kutumizidwa ndi dokotala, kutengera zomwe wodwala akuwonetsa.

Lisinopril ndi Indapamide amathandizirana. Ngati kupanikizika kwachulukirachulukira (pamwambapa 180/120), ndiye muyenera kufunsa dokotala (makamaka ngati pali mwayi wokhala ndi stroko kapena vuto la mtima). Nthawi yomweyo, musachulukitse mlingo wa mankhwalawa mopitirira muyeso (Indapamy samapereka zotsatira zabwino pamene muyezo ukuwonjezeka, ndipo mlingo waukulu wa Lisinopril ungayambitse kukulira kwa mkhalidwewo).

Othandizira okodzetsa omwe amathandizira kuchotsedwa kwa madzi owonjezera m'thupi nthawi zambiri amapatsidwa mankhwala oopsa. Chimodzi mwazomwe zimapezeka kwambiri pamankhwala awa ndi Indapamide, malangizo ogwiritsira ntchito omwe, komanso pazomwe amakakamizidwa, ayenera kuganiziridwa mwatsatanetsatane.

Chizindikiro chokha cha Indapamide ndi ochepa matenda oopsa. Imafotokozedwanso makamaka ngati kuchuluka kwa kuthamanga kwa magazi kumayendetsedwa ndi edema komanso kusungunuka kwamadzi.Pochotsa madzi ochulukirapo, magazi amachepa.

Zithandizo zotere nthawi zambiri zimakhala maziko a chithandizo. Nthawi zambiri amathandizidwa ndimankhwala ena odana ndi matenda oopsa. Kodi mankhwala ngati amenewa amafuna chiyani? Nthawi zambiri amalembedwa ngati matenda oopsa apitilizabe, wodwala matenda oopsa azikulirakulira, zisonyezo nthawi zonse zimasunthira pa 140 pa 100 mfundo.

Indapamide - diuretic kapena ayi? Popeza mankhwalawa ndi okodzetsa, amakhala ndi ma diuretic, amachotsa madzimadzi m'thupi. Tiyenera kukumbukira kuti kuwonjezera kuchuluka sikumabweretsa chiwopsezo cha hypotensive, popeza okhawo okodzetsa ndi omwe amawonjezera. Chifukwa chake, musamadye kwambiri kuchuluka kwa mankhwalawa, makamaka pakokha.

Mtengo wapakati wa mankhwala ndi ma ruble 20-50, kutengera ndi network ya pharmacy. Mankhwalawa ndi amodzi mwamtengo wotsika mtengo wogwiritsa ntchito matenda oopsa.

Zofunika! Palibe chifukwa chomwe muyenera kuyamba kudzipatsa okodzetsa, makamaka ndi mawonekedwe aimpso.

Nthawi zambiri mankhwalawa amatengedwa kamodzi patsiku, mlingo woyenera ndi 2.5 mg wa chinthu. Nthawi zambiri sizisintha - zimatha kusinthidwa pokhapokha kuwonjezera ma othandizira ena omwe ali ndi hypotensive kwambiri pamankhwala.

Momwe mungamwe - musanadye kapena pambuyo chakudya - zilibe kanthu. Malangizo a mankhwalawa akuti nthawi ya tsiku ndi chakudya sizikhudza mphamvu ya mankhwalawa, motero sikofunikira kuyang'ana pa iwo.

Nthawi zambiri, mankhwalawa ndimagulu osiyanasiyana a antihypertensive panthawi yolimbitsa matenda oopsa amakhala nthawi yayitali - mpaka milungu ingapo. Kenako, magazi akayamba kuthamanga mokwanira, njira ya mankhwalawa imayimitsidwa. M'tsogolomu, kuti muchepetse kupanikizika malinga ndi malire, ndikofunikira kutsatira zakudya zoyenera ndi malingaliro ena a dokotala.

Panthawi yomwe mumamwa mankhwalawa, muyenera kufunsa dokotala. Munthawi zonsezi, njira yochizira imakhala yosiyanasiyana - zonse zimatengera kuuma kwa matendawo komanso momwe wodwalayo alili.

Indapamide imakhala ndi zotsutsana zingapo zingapo. Gwiritsani ntchito mankhwalawa sayenera kukhala ndi aimpso kapena chiwindi. Pophwanya ntchito za ziwalo izi, okodzetsa amatengedwa kokha moyang'aniridwa ndi dokotala, kuyang'anira nthawi zonse momwe zinthu zasinthira komanso kusintha kwakukulu.

1. Komanso, mankhwalawa sayenera kugwiritsidwa ntchito pakutsutsana ndi zigawo za kapangidwe kake, makamaka diuretic yokha, komanso zinthu zina zomwe zimapanga mankhwalawo.
2. Kuphatikiza, simuyenera kugwiritsa ntchito mankhwalawa chifukwa cha kuyamwa kwa lactose, chifukwa ndi gawo la piritsi lokha.
3. Chotsutsana kwambiri ndi zaka za ana. Mpaka wazaka khumi ndi zisanu ndi zitatu, mankhwalawa odana ndi matenda oopsa sayenera kugwiritsidwa ntchito, popeza palibe umboni wa chitetezo chake kwa ana.
4. Indapamide sayenera kugwiritsidwa ntchito panthawi yomwe ali ndi pakati: pakubala mwana komanso nthawi yoyamwitsa ndiyopikisana kwambiri pakumwa mankhwalawa.

Zofunika! Kulandila kwa diuretic okalamba kumachitika makamaka moyang'aniridwa ndi dokotala. Kwa anthu achikulire, mankhwalawa amatha kusokoneza thupi.

Izi diuretic zimakhala ndi zovuta zingapo zoyipa. Samawoneka pafupipafupi ngati mutenga Indapamide malinga ndi malangizo. Maguluotsatirawa pamavuto amodzi nthawi zambiri amasiyanitsidwa:

• chizungulire, kupweteka mutu, kusokonezeka kwa tulo, asthenia, zovuta zina zamanjenje,
• Hypotension, kusokonezeka kwa mafunde, zina zoyipa zochokera m'magazi,
• kwambiri chifuwa, pharyngitis, sinusitis,
• matenda osiyanasiyana ochokera ku dongosolo lamafukula,
• hematopoiesis, kusintha koyezetsa magazi,
• mitundu yonse ya zovuta zoyipa, zotupa pakhungu, urticaria.

Zotsatira zoyipa izi ndizofala kwambiri mukamatenga Indapamide. koma ndi kuvomerezeka koyenera, kuthekera kwa kupezeka kwawo ndizochepa.

Ganizirani mankhwala omwe Indapamide ingathe kusintha ndipo ndi iti ndibwino.

Concor ndi Indapamide zimagwirizana bwino, nthawi zambiri zimaperekedwa ngati njira yolumikizira mankhwala. Indapamide itha kuphatikiza bwino ndi beta-blockers ena.

Lorista (angiotensin receptor antagonist) ndi indapamide akhoza kuphatikizidwa ndi chilolezo cha dokotala. Nthawi zambiri, mankhwalawa amaperekedwa nthawi imodzi kuti apatsidwe mankhwala ovuta.

Prestarium ndi mankhwala ogwiritsira ntchito matenda oopsa komanso kulephera kwa mtima. Zimachitika kuti adayikidwa limodzi ndi okodzetsa, makamaka - ndi Indapamide. Mankhwalawa amaphatikizidwa bwino.

Kuphatikizika kwa Lisinopril ndi Indapamide kumakupatsani mwayi wochepetsa kuthamanga kwa magazi, pomwe amakhala okhazikika kwanthawi yayitali, ndipo matenda oopsa amachepa. Lisinopril ndi choletsa ACE. Pankhaniyi, simuyenera kuyamba kumwa mankhwala osakaniza nokha - muyenera kufunsa katswiri.

Direct analogues a Indapamide ndi ma diuretics ena otengera zomwezo. Arifon amatchulidwa makamaka kwa iwo. Muthanso kugwiritsa ntchito mitundu ina ya diuretic yokhala ndi kuchepetsa magazi. Musanagwiritse ntchito analogue, onetsetsani kuti mwawerengera momwe mungagwiritsire ntchito.

Malinga ndi zotsatira zake, mutha kuyerekeza mankhwala a gulu limodzi - okodzetsa, omwe akuphatikizapo Indapamide. Palibe zovuta kunena zomwe zili bwino: Indapamide kapena Concor. Mankhwalawa ndi amitundu yosiyanasiyana ya mankhwalawa ndipo amakhudza thupi mosiyanasiyana. Ndizosatheka kunena zomwe zili bwino: Indapamide kapena Enalapril. Ichi ndi chida chosiyaniratu ndi zotsatira zina zathupi. Komabe, ndikofunikira kudziwa kuti okodzetsa ayenera choyamba kulabadira ngati matenda oopsa aphatikizidwa ndi kutupa.

Arifon Retard amakhazikikanso machitidwe a chinthu Indapamide, koma mtengo wa analoguewo ndiwokwera. Paketi imodzi yamankhwala imakhala ndi ma ruble 300-350. Komanso, pankhani ya ntchito, ndalama izi sizosiyana.

Komabe, ndikofunikira kuganizira kuti Arifon ali ndi zotsutsana zochepa. Mukakalamba komanso pakakhala matenda a chiwindi ndi impso, ndibwino kuti muzisankha. Indapamide imakhala ndi zovutitsa zina mthupi.

Veroshpiron ndi othandizanso okodzetsa mu matenda oopsa. Komabe, ndikofunikira kudziwa kuti mankhwalawa amatha kugwiritsidwa ntchito mwa matenda ena angapo, pomwe ali ndi zotsutsana pang'ono kuposa Indapamide. Chifukwa chake, posankha mankhwala, ndikofunikira kuwonetsetsa, kuphatikiza.

Hypothiazide ndi othandizanso okodzetsa matenda oopsa, omwe nthawi zambiri amaperekedwa chifukwa cha matendawa. Kuphatikiza apo, ili ndi mitundu yambiri yogwira ntchito. Mwa contraindication, mankhwalawa ndi ofanana kwambiri.

Ndi ochepa matenda oopsa, ndikofunikira kusankha diuretic yoyamba, popeza mankhwalawa amapangira mankhwalawa. Furosemide nthawi zambiri imagwiritsidwa ntchito ku matenda ena.

Hydrochlorothiazide ndi thiazide diuretic, monganso Hypothiazide. Pochita, mankhwalawa ali ofanana. Sankhani gulu labwino kwambiri la mankhwalawa liyenera kutengera zomwe zikuwonetsa, matendawa, matendawa.

Diuver imafanana kwambiri ndi Furosemide, pomwe nthawi zambiri imalembedwa chifukwa cha matenda oopsa. Chida ichi chimathandizira makamaka pakupanga edema.Ali ndi zotsutsana zambiri, kotero musanayambe kugwiritsa ntchito, muyenera kuwerenga malangizo kuti mugwiritse ntchito.

Munthawi ya chithandizo chovuta kwambiri cha matenda oopsa, dokotala amayenera kupereka okodzetsa, popeza kuthamanga kwa magazi kumachepetsa mwachangu ndi kutulutsa kwamadzi m'thupi. Makampani opanga mankhwala apanga mankhwala ambiri okodzetsa. Nthawi zambiri, ngati pali edema, dokotala amalembera Indapamide kuti akapanikizike. Komabe, mankhwalawa ali ndi contraindication komanso mawonekedwe ogwiritsira ntchito, chifukwa chake amafunika kugwirizanitsa chithandizo ndi dokotala.

Mankhwala ndi a thiazide-ngati okodzetsa omwe amakhala nthawi yayitali, amatha kuchepetsa magazi. Indapamide imagwiritsidwa ntchito pochita matenda oopsa, pomwe kupanikizika kumayamba kupitirira 140/90 mm Hg. Art., Ndi kulephera kwa mtima kosatha, makamaka ngati wodwala watupa.

Mankhwala amamasulidwa monga mapiritsi ndi mapiritsi a 1.5 ndi 2.5 mg. Amapangidwa ku Russia, Yugoslavia, Canada, Macedonia, Israel, Ukraine, China ndi Germany. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndi Indapamide.

Indapamide ndi mankhwala osungira calcium, omwe ndi abwino kwa odwala matenda oopsa a mafupa. Itha kugwiritsidwa ntchito ndi anthu omwe ali ndi hemodialysis, odwala matenda ashuga, okhala ndi hyperlipidemia. Pazovuta, amafunikira kuti azilamulira kuchuluka kwa glucose, potaziyamu, zizindikiro zina zomwe adokotala akuuzidwa.

Makapiritsi kapena mapiritsi a kukakamiza kwa matenda oopsa amayamba kuchita mphindi 30 mutatha kumwa. Zotsatira za hypotonic zimatha maola 23-24.

Kuchepa kwa kuthamanga kwa magazi kumachitika chifukwa cha zotsatira za hypotensive, diuretic ndi vasodilating - kuthamanga kwa magazi kumayamba kutsika chifukwa cha mphamvu ya chinthu chomwe chikugwira, kuchotsa madzi owonjezera mthupi ndi kuchuluka kwa mitsempha yamagazi mthupi lonse.

Indapamide ilinso ndi katundu wamtima - amateteza ma cell a myocardial. Pambuyo pa chithandizo, matenda oopsa amatha bwino mkhalidwe wamanzere wamtima wamanzere. Mankhwalawa amachepetsa kukana mu zotumphukira ndi zotumphukira za arterioles. Popeza kuthamanga kwamkodzo kumayambitsa kuchuluka kwa mkodzo, komwe kumatsitsidwa madzimadzi ambiri, kuli koyenera kumwa mankhwalawo ngati pali edematous syndrome.

Pothamanga kwambiri (kuposa 140/100 mm Hg. Art.), Dokotala amasankha kuchuluka ndi nthawi yayitali ya mankhwalawa. Nthawi zambiri, Indapamide iyenera kumwedwa kamodzi patsiku: m'mawa, piritsi 1. Amaloledwa kumwa pamimba yopanda kanthu kapena atatha kudya - chakudya sichikhudza mphamvu ya mankhwalawa.

Malamulo ovomerezeka:

• gwiritsani ntchito nthawi yofotokozedwa bwino kuti musunge maola 24,
• mapiritsi kapena makapisozi amezedwa kwathunthu
• kuchapa ndi madzi osachepera 150 ml,
• Pokhapokha ngati dokotala akutsimikizirani, sinthani mulingo wake kapena musiyeni chithandizo.

Kukhalitsa kwa Indapamide kwa nthawi yayitali kumalumikizidwa ndi kufalikira kwa pang'onopang'ono kwa mankhwalawa. Ngati mupera mapiritsi kapena makapisozi musanagwiritse ntchito, kuchuluka kwake kwazomwe zimagwira kumalowera minofu, zomwe zimapangitsa kuchepa kwambiri kwa mavuto. Kutsika kwadzidzidzi kwa magazi kumasokoneza magwiridwe antchito onse amthupi, omwe amakhala ndi zotsatirapo zoopsa.

Mankhwala otsatirawa amaloledwa kumwa ndi Indapamide:

• Concor ndi ma B blockers ena,
• Lorista (imathandizira ma angiotensin receptors)
• Prestarium (chifukwa cha kulephera kwa mtima),
• Lisinopril (ACE inhibitor),
• mankhwala ena operekedwa ndi dokotala.

Mwachilengedwe, kuphatikiza kulikonse kwa mankhwalawa kumayenera kusankhidwa ndi adokotala okha, chifukwa ngati kuphatikiza kokhazikika kumachitika nthawi zambiri sikugwirizana. Izi zitha kuchititsa kulephera kwa mankhwalawa kapena poyizoni wa mankhwala osokoneza bongo, omwe mwanjira iliyonse amakhala pangozi ya moyo.

Nthawi zambiri munthu amakakamizidwa kumwa mankhwala angapo a magulu osiyanasiyana a mankhwala.Zinthu zawo zomwe zimagwira zimatha kuchepa kapena kuwonjezera mphamvu ya Indapamide. Ndikofunikira kudziwa mwatsatanetsatane momwe "zochitika" zotere zimawonekera.

Mphamvu ya antihypertensive ya mankhwalawa imawonjezeka ngati imagwiritsidwa ntchito limodzi ndi ma antidepressants, ma antipsychotic - izi zimatha kugwetsa kwambiri.

Akaphatikizidwa ndi erythromycin, munthu amakula tachycardia; mu cyclosporin zovuta, kuchuluka kwa creatinine kumawonjezeka. Kugwiritsa ntchito limodzi nthawi yomweyo limodzi ndi mankhwala osokoneza bongo, kuphatikizapo ayodini, kumatha kupangitsa kuti madzi asungunuke. Kutayika kwa potaziyamu kumalimbikitsidwa ndi mankhwala othandizira, ma saluretics ndi mtima glycosides.

Tiyenera kukumbukira kuti corticosteroids ndi NSAIDs (omwe si a antiidal anti-yotupa mankhwala) amachepetsa mphamvu ya Indapamide - izi zimachepetsa mphamvu ya mankhwalawa. Popewa kuyanjana kotere ndi mankhwala ena, dokotala amayenera kupereka mndandanda wazamankhwala onse azitsamba zomwe zimagwiritsidwa ntchito.

Odwala oopsa omwe ali ndi matenda amkodzo, endocrine, m'mimba ndi mtima dongosolo ayenera kuwonjezera kufunsa dokotala. Kwa ma pathologies ena, mankhwalawa ali ndi mawonekedwe ogwiritsira ntchito kapena amatsutsana kwathunthu.

Indapamide sayenera kugwiritsidwa ntchito mwa ana ochepera zaka 18, oyembekezera. Ngati mankhwalawa amadziwitsidwa kwa mayi panthawi ya mkaka wa m`mawere, ndiye kuti mankhwalawa mwana amasamutsidwa ku zakudya zosafunikira.

Kugwiritsa ntchito Indapamide kumatsutsana ngati zotsatirazi zikupezeka:

• tsankho
• kulephera kwa aimpso
• galactosemia, tsankho lactose,
• hepatic encephalopathy,
• kusokonezeka kwa magazi muubongo,
• hypokalemia
• gout
• anuria

Musanagule mankhwalawa, ndikofunikira kuti muphunzire malangizo omwe wapangidwira (omwe ali mu phukusi la mankhwalawo), chifukwa akuwonetsa zonse zokhudza kapangidwe kake, mawonekedwe ogwiritsira ntchito, zotsutsana ndi zina.

Kugwiritsa ntchito bwino mankhwalawa mu 97% ya milandu, mankhwalawa sasokoneza thupi. Mwa anthu omwe atsala 3%, Indapamide imayambitsa mavuto. Zotsatira zoyipa kwambiri ndikuphwanya muyeso wamadzi-electrolyte: kuchuluka kwa potaziyamu ndi / kapena sodium kumachepa. Izi zimadzetsa kusowa kwamadzi (kusowa kwamadzi) m'thupi. Osowa kwambiri, mankhwala amatha kuyambitsa arrhythmia, hemolytic anemia, sinusitis ndi pharyngitis.

Zotsatira zina za Indapamide:

• ziwengo (urticaria, anaphylaxis, edincke's edema, dermatosis, zidzolo),
• Matenda a Lyell
• Kuuma kwa mucosa wamlomo,
• Matenda a Stevens-Johnson
• kutsokomola
• kufooka
• chizungulire
• kusanza, kusanza,
• kupweteka kwa minofu
• migraine
• mantha
• kukanika kwa chiwindi
• kapamba
• kudzimbidwa
• orthostatic hypotension.

Nthawi zina indapamide imasintha kapangidwe ka magazi ndi mkodzo. Mu kusanthula kungawone kuchepa kwa potaziyamu, sodium, kuchuluka kwa calcium, shuga, creatinine ndi urea. Thrombocytopenia, leukopenia, kuchepa magazi, agranulocytosis kumachitika kawirikawiri.

M'malo mwa Indapamide, Indap imaloledwa. Mankhwalawa ali ndi mawonekedwe omwewo, koma amapangidwa ndi wopanga wina ndipo atha kukhala ndi muyeso wosiyana wa zomwe zimagwira. Pakakhala kusiyana, dokotala wopezekapo amayenera kusintha mankhwalawa.

Dokotala adzakuthandizaninso kuti mupeze ma fanizo omwe ali ndi chinthu chofanana kapena chochita. Pofunsidwa payekha, dokotala adzakuwuzani kuti ndi mankhwala ati omwe mungagwiritse ntchito: Indapamide kapena Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acriptamide, Ionic, Retapres. Mwina kutumikiridwa kwa ma diuretics ena omwe cholinga chake ndi kuchepetsa magazi.

Mankhwala Indapamide modekha amachepetsa kupanikizika tsiku lonse. Pogwiritsa ntchito nthawi zonse komanso molondola, kuthamanga kwa magazi kumachepa m'masiku 7 kuchokera poyambira kukhazikitsa.Koma chithandizo sichingasokonezeke pakadali pano, chifukwa mankhwalawa amafika pakapita miyezi iwiri ndi iwiri kapena itatu. Kuti mugwire bwino ntchito mankhwalawa, muyenera kutsatira malangizo azachipatala: kutsatira zakudya zamagazi, sinthani nthawi yopumula, mankhwala ena.

Indapamide ndi mankhwala otchuka pochiza matenda oopsa, komanso edema yoyambitsidwa ndi mtima kulephera kapena zifukwa zina. Ichi ndi okodzetsa, koma pochita ndi matenda oopsa imagwiritsidwa ntchito ngati vasodilator. Pansipa mupezapo malangizo ogwiritsa ntchito Indapamide, olembedwa m'chinenerochi. Unikani zomwe zikuwonetsa ntchito, contraindication ndi zotsatira zoyipa. Phunzirani kumwa momwe mungamwe mapiritsi a kuthamanga kwa magazi: pa kumwa mankhwalawa musanadye kapena mutamaliza kudya, m'mawa kapena madzulo, ndi masiku angati omwe mankhwalawa akupitilirabe. Werengani kusiyana pakati pa mankhwala oyambira Arifon ndi Arifon retard, omwe ali ndi zotsika mtengo chotani. Mvetsetsani zomwe muyenera kutenga: indapamide, furosemide, kapena hydrochlorothiazide (hypothiazide). Nkhaniyi ikufotokoza chifukwa chake indapamide imakhala yoyenera kwa odwala matenda ashuga, okalamba komanso magulu ena a odwala. Mndandanda umaperekedwa womwe mapiritsi ena opanikizira amatha kuphatikiza.

Zambiri

Musanayambe kugwiritsa ntchito Lizinopril ndi Indapamide palimodzi, muyenera kudzidziwa bwino ndi mankhwala aliwonse pawokha kuti mukhale ndi lingaliro wamba la iwo. Chifukwa chake, Lisinopril amagwira ntchito ngati choletsa enezotensin-yotembenuza, yomwe imadziwika ndi mphamvu yayitali. Mankhwalawa amapangidwa m'mapiritsi, chophatikizira ndi lisinopril dihydrate. "Lysinropril" akuwonetsedwa kuti azigwiritsidwa ntchito pakuchepa kwa mtima ndi matenda oopsa.

Mukamamwa mapiritsi a Lisinopril, mungakhale ndi zotsatirazi:

• mutu, vertigo,
• kupweteka pachifuwa
• kugwedezeka miyendo,
• kusintha kwakumwa, kusowa kwa chakudya,
• kutopa,
• kutsika kwa magazi,
• chisokonezo,
• pachimake aimpso kulephera
• kufulumira, kupweteka mtima.

Izi diuretic nthawi zambiri amapatsidwa odwala oopsa.

Nkhani ya Indapamide, yogwira pophika imakhala indapamide, yomwe imapatsa mankhwala diuretic, vasodilating ndi hypotensive. Mankhwalawa amayambika ngati mapiritsi okhala ndi filimu. Chizindikiro chachikulu cha kutenga "Indapamide" ndi ochepa matenda oopsa.

Ngati sizolondola kapena zimatenga nthawi yayitali kuti mutenge "Indapamide", ndiye kuti wodwalayo azindikira kusintha kolakwika mthupi, monga:

• kufooka, kutopa kwambiri,
• chizungulire, kupweteka m'makachisi ndi khosi,
• kusokonezeka kwa mtima
• kutsitsa kupsinjika
• kutsika kwa potaziyamu m'magazi,
• kuchuluka uric acid
• chiwindi ntchito mavuto.

Bweretsani ku zomwe zalembedwa

Mfundo zoyendetsera padera

Zochita zamankhwala "Lisinopril" cholinga chake ndikuchepetsa mulingo wa angiotensin 2 ndi mahomoni a adrenal cortex m'magazi. Zotsatira zake, PSS imachepa ndipo magazi amatsika, zomwe zimachitika ola limodzi ola limodzi atatha kumwa mankhwalawo. "Indapamide" ndi mtundu wa sulfonamide diuretic womwe umawonjezera kukodza kwa ma chloride ndi sodium, zomwe zimapangitsa kuchuluka kwa diuresis, ndipo nawo, kuthamanga kwa magazi kumachepa. Kuphatikiza apo, Indapamide imachepetsa michere yamitsempha yamanzere ndipo sizimakhudza kagayidwe kazakudya, makamaka mwa odwala matenda a shuga, komanso sasintha lipid metabolism.

Kodi ndingatenge nthawi yomweyo?

"Indapamide" ndi "Lisinopril" zimagwirizana kwambiri, koma musanagwiritse ntchito mankhwalawa kuti muchepetse kuthamanga kwa magazi, ndibwino kufunsa katswiri wamtima yemwe akupatseni mankhwala mogwirizana ndi zomwe wodwala akuonetsa.

Kuti muyambe kuphatikiza mankhwala, muyenera kufunsa dokotala.

Mankhwala omwe afunsidwawo ndi othandizanso, komanso ofunikira kugwiritsidwa ntchito nthawi yomweyo, popeza mu lingaliro lokonda kutulutsa limatchulidwa kwambiri, ndipo kupanikizika kumawonjezeka mofulumira. "Indapamide" ndi "Lisinopril" amathandizirana, ndipo kuthamanga kwa magazi kukangokulira, muyenera kufunsa dokotala ndikuyamba kumwa mankhwala. Musapitirire Mlingo wofotokozedwera ndi katswiri, izi sizidzathandizira kugwa kwa magazi, koma zimangoyambitsa kuwonongeka mu chikhalidwe ndikuwonetsa zizindikiro za bongo.

Tiyenera kumvetsetsa kuti kuphatikiza kwa ACE inhibitor ndi diuretic ndikofunikira ngati wodwala ali ndi matenda oopsa omwe amathiridwa ndi zosokoneza ma electrolyte kapena monotherapy potenga Lisinopril yekha sikuthandiza. Osatembenukira ku chithandizo cha matenda oopsa ndi mankhwala oterewa a impso.

Kutsika kwa kuthamanga kwa magazi mukatenga "Lisinopril" pamodzi ndi okodzetsa "Indapamide" chifukwa cha kuthekera kwa kuthana ndi kuchotsa madzi ndi sodium chloride, chifukwa chomwe kuchuluka kwa magazi ndi magazi kumatsika, komanso munthawi yomweyo, magazi amitsempha yamagazi amachepa, OPSS ndikuyimitsa vuto la matenda oopsa. Malinga ndi kafukufuku wambiri wa asayansi, kugwiritsa ntchito mankhwala munthawi yayitali kwa nthawi yayitali kuli kotetezeka.

Momwe mungamwe?

Kuphatikizika kwa Lisinopril ndi Indapamide kuyenera kuyikidwa kokha ndi cardiologist, kutengera boma la renal hemodynamics. Popeza mankhwala a antihypertensive amachotsedwa kudzera mu ntchito ya impso, pamakhala chiopsezo chotenga kulephera kwa impso nthawi ya mankhwala, makamaka kwa anthu omwe ali ndi vuto la impso. Ngati palibe zotsutsana ndi kugwiritsa ntchito mankhwalawa, ndiye kuti Indapamide imaperekedwa piritsi limodzi patsiku m'mawa, ndipo Lisinopril nthawi zambiri amawayika madzulo pa 10 mg kamodzi patsiku. Ngati ndi kotheka, komanso mwakufuna kwa dokotala, ndondomeko ya dosing imatha kusinthidwa, koma kuti adzipangire pazokha ndizotsutsana.

Ndi zaka, munthu amafunikira kwambiri kuthamanga kwa magazi. Nthawi zambiri odwala amatenga Lisinopril ndi Indapamide nthawi yomweyo. Lisinopril ndi Indapamide amatha kuthandizana. Ndikofunikira kuti dokotala yemwe amapezekapo adziwe izi. Ndi dokotala yekhayo amene amatha kuunika mokwanira zoopsa zonse, kutengera kupezeka kwa wodwala komanso matenda ena oyamba.

Chifukwa chiyani amalembera

Chizindikiro chokha cha Indapamide ndi ochepa matenda oopsa. Imafotokozedwanso makamaka ngati kuchuluka kwa kuthamanga kwa magazi kumayendetsedwa ndi edema komanso kusungunuka kwamadzi. Pochotsa madzi ochulukirapo, magazi amachepa.

Zithandizo zotere nthawi zambiri zimakhala maziko a chithandizo. Nthawi zambiri amathandizidwa ndimankhwala ena odana ndi matenda oopsa. Kodi mankhwala ngati amenewa amafuna chiyani? Nthawi zambiri amalembedwa ngati matenda oopsa apitilizabe, wodwala matenda oopsa azikulirakulira, zisonyezo nthawi zonse zimasunthira pa 140 pa 100 mfundo.

Indapamide - diuretic kapena ayi? Popeza mankhwalawa ndi okodzetsa, amakhala ndi ma diuretic, amachotsa madzimadzi m'thupi. Tiyenera kukumbukira kuti kuwonjezera kuchuluka sikumabweretsa chiwopsezo cha hypotensive, popeza okhawo okodzetsa ndi omwe amawonjezera. Chifukwa chake, musamadye kwambiri kuchuluka kwa mankhwalawa, makamaka pakokha.

Mtengo wapakati wa mankhwala ndi ma ruble 20-50, kutengera ndi network ya pharmacy. Mankhwalawa ndi amodzi mwamtengo wotsika mtengo wogwiritsa ntchito matenda oopsa.

Zofunika! Palibe chifukwa chomwe muyenera kuyamba kudzipatsa okodzetsa, makamaka ndi mawonekedwe aimpso.

Ndingatenge nthawi yayitali bwanji osapuma?

Nthawi zambiri, mankhwalawa ndimagulu osiyanasiyana a antihypertensive panthawi yolimbitsa matenda oopsa amakhala nthawi yayitali - mpaka milungu ingapo. Kenako, magazi akayamba kuthamanga mokwanira, njira ya mankhwalawa imayimitsidwa. M'tsogolomu, kuti muchepetse kupanikizika malinga ndi malire, ndikofunikira kutsatira zakudya zoyenera ndi malingaliro ena a dokotala.

Panthawi yomwe mumamwa mankhwalawa, muyenera kufunsa dokotala. Munthawi zonsezi, njira yochizira imakhala yosiyanasiyana - zonse zimatengera kuuma kwa matendawo komanso momwe wodwalayo alili.

Analogs ndi kufananitsa kwawo

Direct analogues a Indapamide ndi ma diuretics ena otengera zomwezo. Arifon amatchulidwa makamaka kwa iwo. Muthanso kugwiritsa ntchito mitundu ina ya diuretic yokhala ndi kuchepetsa magazi. Musanagwiritse ntchito analogue, onetsetsani kuti mwawerengera momwe mungagwiritsire ntchito.

Malinga ndi zotsatira zake, mutha kuyerekeza mankhwala a gulu limodzi - okodzetsa, omwe akuphatikizapo Indapamide. Palibe zovuta kunena zomwe zili bwino: Indapamide kapena Concor. Mankhwalawa ndi amitundu yosiyanasiyana ya mankhwalawa ndipo amakhudza thupi mosiyanasiyana. Ndizosatheka kunena zomwe zili bwino: Indapamide kapena Enalapril. Ichi ndi chida chosiyaniratu ndi zotsatira zina zathupi. Komabe, ndikofunikira kudziwa kuti okodzetsa ayenera choyamba kulabadira ngati matenda oopsa aphatikizidwa ndi kutupa.