Captopril: malangizo ogwiritsira ntchito, zikuwonetsa, Mlingo ndi ma analogi

Mankhwala othandizira odwala matenda oopsa amakhalabe njira yokhayo yothanirana ndi mavuto a mtima. Momwe mungatenge mapiritsi a Captopril kuchokera kukakamizidwa, ndipo kodi angathandize ndi vuto la kuthamanga kwa magazi?

Kuchokera kuthamanga kwambiri kwa magazi (BP), pali mankhwala angapo amtundu uliwonse omwe ndi othandiza kukhala nawo pachipatala chilichonse cha matenda oopsa. Chimodzi mwa mankhwalawa ndi Captopril. Mapiritsi awa atsimikizira kale kugwiriridwa kwawo ndi chitetezo pochiza matenda obwezeretsa magazi m'thupi komanso kudumpha mwadzidzidzi m'magazi.

Mwadzidzidzi mavuto obwera chifukwa cha matenda oopsa, madokotala amalimbikitsa kutenga Captopril pansi pa lilime. Chifukwa chake amayamba kuchita zinthu mwachangu.

2. Tsimikizani chitetezo cha Captopril mukamapereka pakamwa. Izi ndichifukwa chakanthawi kochepa. Mankhwala omwe ali ndi nthawi yayitali amakhala ndi zovuta zambiri.

3. Zitha kutengedwa ndi okalamba. ZosathandizaChoyipa chachikulu cha mankhwalawa chimatha kudziwika kuti chidule chake. Chifukwa cha izi, mapiritsi amayenera kumwedwa katatu patsiku. Mtengo wa mankhwalaKutengera ndi dera, ma phukusi, kampani yopanga ndi kuchuluka kwa mapiritsi, mtengo wa mankhwalawo ukhoza kusiyana ndi ma ruble 30 mpaka 100. AnalogiKukonzekera ndi machitidwe omwewo ndi zinthu: Alkadil, Kapoten, Kaptopres ndi Epsitron.

Captopril imachepetsa kupanikizika mu gulu lililonse la odwala. Adziwonetsa okha pochiza matenda ena a pathologies omwe ali ndi kuthamanga kwa magazi. Mwachitsanzo, matenda ashuga komanso kulephera kwa mtima.

Zimagwira bwanji?

Inhibitor imathandizira kukulitsa mitsempha yamagazi, chifukwa chake kuthamanga kwa magazi kumachepa ndipo magazi amatuluka. Komanso, mapiritsi amathandizira kuchepetsa nkhawa kwambiri pamtima.

Amadziwika kuti mphamvu ya mankhwala pambuyo pakukhazikika imayamba kuonekera mkati mwa theka la ola.

Nthawi zambiri, mankhwalawa amagwira ntchito kwa maola asanu ndi limodzi, koma kutalikirana kwake kumadalira gawo la matenda oopsa komanso machitidwe a thupi.

The zikuchokera mankhwala

Chofunikira chachikulu pa mankhwalawa ndi Captopril.

Komanso kapangidwe kamapiritsi ndi mankhwala:

• Lactose monohydrate,
• Wowuma chimanga
• Octadecanoic acid
• Mafuta a Castor.

Phukusili limatha kukhala ndi mapiritsi oyera 90. Nthawi zina wopanga amawasiyira chizindikirocho kuti chitha kupatukana.

Zizindikiro zamankhwala

Sitikulimbikitsidwa kuti mutenge mankhwala osokoneza bongo popanda chilolezo cha adokotala. Ndi dokotala yekhayo amene angatchule mlingo woyenera malinga ndi momwe wodwalayo alili komanso kuchuluka kwa matenda oopsa.

Mankhwala atha kumwa pakamwa pazochitika zotsatirazi:

1. Ndi matenda oopsa komanso oopsa,
2. Zochizira kulephera kwa mtima (kuphatikizapo matenda),
3. Ngati muli ndi vuto la mtima.
4. Pofuna kupewa kulephera kwa mtima.

Ndi kuthamanga kwa magazi komanso mavuto ena, mankhwalawa amalimbikitsidwa kuti amwe ndi ma diuretics.

Malangizo ogwiritsira ntchito matenda oopsa

Momwe mungatengere magazi ndi nkhawa komanso mlingo wake uyenera kufotokozedwa ndi dokotala. Nthawi zambiri amakhala a mtima, nthawi zambiri samakhala othandizira.

Nthawi zambiri, mapiritsi amayenera kumwa kawiri kapena katatu patsiku. Mutha kugwiritsa ntchito mankhwalawa musanadye komanso mutatha kudya. Chachikulu ndikuti mankhwalawa amayenera kumwa pafupipafupi komanso nthawi yomweyo.

Mukamamwa mankhwalawa koyamba, ndikofunika kuyamba ndi mlingo wochepa. Chifukwa chake, choyamba mutha kumwa mankhwalawa pa 12,5 mg. (kapena 25 mg. ngati kuli kotheka) osaposa kawiri pa tsiku. Pambuyo pa masiku 10 mpaka 14, mutha kuchuluka kwa mankhwalawo, atagwirizana kale ndi adotolo. Ndikofunikanso kuphatikiza Captopril ndi mankhwala omwe ali ndi diuretic.

Tsitsani malangizo onse kuti mugwiritse ntchito mankhwalawa

Pakudwala matenda oopsa, muyenera kumwa mankhwalawa osatafuna, koma ndi madzi akumwa okwanira. Pakachitika vuto lodzidzimutsa mwadzidzidzi, piritsi limasungunuka bwino kwambiri pansi pa lilime.

Mlingo wokwanira wa mankhwalawa sayenera kupitirira 300 mg.

Mukachulukitsa mlingo, zotsatira zoyipa zimatha kuoneka, koma izi sizingakhudze zina zowonetsa.

Njira yabwino yochepetsera kupanikizika

Ngati kuthamanga kwa magazi kukwera mwadzidzidzi, ndiye kuti pakufunika msanga ndikofunikira kuti piritsi lithe pansi pa lilime. Chifukwa chake kuchepa kwa kuthamanga kwa magazi kumayambira m'mphindi zochepa, koma zotsatira za mankhwalawa zizikhala bwino. Kukwaniritsa kwamtundu wamtundu wazizindikiro za mtima kumatha kuchitika maora ochepa (kuchokera maola anayi mpaka eyiti).

Ngati mutamwa mankhwalawo theka laola latha, ndipo zizindikiro za tonometer sizinasinthe, ndibwino kuyimba gulu la ambulansi.

Zochita zamankhwala

Kuchita kwa Captopril nthawi zambiri kumayamba mphindi 10-15 mutatha kumwa mapiritsi mkati.

Pambuyo pa ola limodzi ndi theka kapena awiri, mphamvu yayikulu imawonedwa, yomwe imakhala mpaka maola khumi. Kutalika kwa mankhwalawa kumatengera gawo la matendawa ndi zoyambira kutsimikizira.

Popeza mphamvu ya mankhwalawa imadziwika mofulumira, imatha kuthandizidwa ndikumadumphira m'magazi.

Contraindication

Captopril sayenera kumwa ndi pakamwa ndi atsikana panthawi yoyembekezera komanso poyamwitsa amayi.

Komanso, mankhwalawa amaphatikizidwa mwa ana ndi anthu omwe ali ndi chidwi ndi zida zake. Ndi zoletsedwa kugwiritsa ntchito kwa anthu omwe ali ndi vuto la hypotension.

Mankhwala osokoneza bongo akapezeka nthawi yayitali:

• Kuyenda pang'onopang'ono
• Chizungulire
• Kugona
• Kuchuluka kwa miyendo
• Kulephera kwina
• Nthawi zina mantha angayambike.

Ngati bongo ndi, muyenera kuyitanira ambulansi. Tsuka m'mimba nthawi yomweyo ndikupatsanso wodwalayo tiyi wokoma.

Zolakwa zamankhwala

Osasakaniza mankhwalawa ndi mankhwala ena a kuthamanga kwa magazi. Kumwa mitundu yambiri ya mankhwalawa kungayambitse kugwa kwamwadzidzidzi, mpaka kufika pakukomoka. Pankhaniyi, kuphatikiza magawo a kuthamanga kwa magazi kumakhala kovuta kwambiri.

Pazonse, Captopril imawerengedwa ngati mankhwala ponseponse komanso otetezeka a kuthamanga kwa magazi. Ndi chithandizo chake, ndizotheka kusintha momwe imagwirira ntchito pamavuto oopsa, kuti zitheke bwino kwa odwala omwe ali ndi matenda osokoneza bongo komanso kulephera kwa mtima. Koma musaiwale kuti kumwa mankhwalawa kumalimbikitsidwa kuti aphatikizidwe ndi okodzetsa moyang'aniridwa ndi cardiologist kapena psychopist.

ZOPHUNZITSIRA NDIPONSE
KULINGALIRA DINSI LAKO PAKUFUNIKIRA

Captopril chimathandiza kuchokera ku chiyani?

Mankhwala amagwiritsidwa ntchito zotsatirazi pathologies ndi zina:

1. Matenda oopsa oopsa. Kukonzanso mtima (modekha kapena pang'ono - monga mankhwala oyambira kusankha, kwambiri - osagwira kapena kulolera pang'ono chithandizo chamankhwala).
2. Kulephera kwa mtima (pamodzi ndi mankhwala). Captopril adalembedwa kuti athandizire kulephera kwa mtima ndi kuchepa kwa systolic yamitsempha yamagazi ntchito, komanso kuphatikiza ndi mankhwala ena.
3. Kuwonongeka kwa ntchito ya LV pambuyo pakutsekeka kwodwala matenda osakhazikika.
4. Chofunikira pa matenda oopsa (kukwera kosalekeza kwa kuthamanga kwa magazi kwa zifukwa zosadziwika).
5. Kupewa kulephera aimpso odwala matenda ashuga nephropathy kapena matenda ena a impso (kukhalapo kapena kusowa kwa matenda oopsa).

Malangizo ogwiritsira ntchito Captopril, mlingo

Kodi kutenga captopril? Njira yayikulu yodutsira ndi pakamwa 1 ola limodzi asanadye. Mlingo woyeserera umakhazikitsidwa payekhapayekha.

Nthawi zambiri, amalimbikitsidwa kuti azitengedwa pa mlingo woyambirira - 6.25-12.5 mg 2-3 nthawi / tsiku. Ndi osakwanira kwenikweni, mlingo umakulitsidwa pang'onopang'ono mpaka 25-50 mg katatu kapena tsiku. Ngati aimpso ntchito, tsiku lililonse mlingo uyenera kuchepetsedwa.

Ndi matenda oopsa oopsa (kuthamanga kwa magazi), mapiritsi a Captopril amatengedwa ndi mankhwala ochepa kwambiri a 12.5 mg 2 kawiri pa tsiku (kawirikawiri ndi 6.25 mg 2 kawiri pa tsiku). Muyenera kuyang'anira kupirira kwa mankhwalawa nthawi yoyamba.

Pochiza matenda osalephera a mtima (CHF), mankhwalawa amatchulidwa ngati kugwiritsa ntchito okodzetsa sapereka mankhwala. Mlingo woyambirira ndi 6.25 mg kapena 12,5 mg katatu patsiku, ngati kuli kotheka, onjezani mlingo kuti 25 mg katatu pa tsiku. M'tsogolomu, kuwongolera kowonjezereka ndikotheka ndi masabata osachepera awiri 2 kuti muwonjezere mlingo.

Mlingo wapamwamba wa tsiku ndi tsiku wa Captopril ndi 150 mg.

Mu matenda a shuga a nephropathy (omwe amadalira matenda a shuga) - mankhwala oyamba tsiku lililonse ndi 6.25 mg. Kukula kuyenera kuchitidwa pang'onopang'ono kwa mlingo wa 75 mg - 100 mg mu katatu. Ndi chilolezo chokwanira cha protein zoposa 500 mg patsiku, mankhwalawa amagwira ntchito pa 25 mg katatu pa tsiku.
Ngati vuto la impso, Mlingo wakhazikitsidwa chifukwa cha chilolezo cha creatinine. Mlingo wambiri watsiku ndi tsiku sayenera kupitirira 75-100 mg.

Mukakalamba, Mlingo wa Captopril umasankhidwa payekhapayekha, ndikulimbikitsidwa kuti muyambe mankhwala ndi 6.6 mg 2 nthawi / tsiku ndipo ngati kuli kotheka, muzisamalira.

Pakadali pano, chifukwa cha nthawi yochepa yochitikayo, mankhwalawa amagwiritsidwa ntchito pokhazikitsa zovuta pobwezeretsanso - 25-50 mg captopril pansi pa lilime.

Malangizo apadera

Kugwiritsa ntchito kwa captopril kuyenera kuchitika moyang'aniridwa ndi achipatala pafupipafupi. Pa mankhwala, kuwunika kuthamanga kwa magazi, mawonekedwe a magazi ofunda, kuchuluka kwa mapuloteni, plasma potaziyamu, urea nayitrogeni, creatinine, ndi ntchito ya impso ndikofunikira.

Ndikulimbikitsidwa kupatula kumwa zakumwa zoledzeretsa panthawi ya mankhwalawa. Gwiritsani ntchito mankhwalawa mosamala mukamayendetsa magalimoto ndi anthu omwe mawonekedwe awo amaphatikizidwa ndi chidwi chachikulu.

Zotsatira zoyipa za Captopril

• Chizungulire, kupweteka mutu, kutopa, asthenia, paresthesia.
• Kwambiri hypotension, tachycardia, zotumphukira edema, osowa - tachycardia.
• Khansa ya m'mimba, kuchepa kwa chilala, pakamwa pouma, kusintha kukoma, mseru, kupweteka m'mimba, kawirikawiri hepatitis ndi jaundice.
• Kawirikawiri - neutropenia, kuchepa magazi, thrombocytopenia, osowa kwambiri mwa odwala omwe ali ndi matenda a autoimmune - agranulocytosis.
• Hyperkalemia, acidosis, hyponatremia.
• Proteinuria, mkhutu aimpso ntchito (kuchuluka kwa urea ndi creatinine m'magazi).
• Youma chifuwa.
• Zotupa pakhungu, kawirikawiri - edema ya Quincke, bronchospasm, seramu, lymphadenopathy, nthawi zina - mawonekedwe a antiinodar antibodies m'magazi.

Captopril analogues, mndandanda

Captopril analogues ndi mayina ena osokoneza bongo (amalonda), mndandanda wa mankhwala:

• Vero-Captopril
• Kapoten
• Capto
• Captopril
• Captopril Hexal
• Captopril Akos
• Captopril Acre
• Captopril Biosynthesis
• Captopril-MIC
• Captopril-N.S.
• Captopril-STI
• Captopril-ferein
• Captopril-FPO
• Captopril Aegis

Chonde dziwani, malangizo ogwiritsira ntchito Captopril, mtengo ndi kuwunika kwa analogues sizili zoyenera. Mukasintha mankhwalawa, funsani dokotala. Kusintha kwa Mlingo kapena zotsatira zina kapena zolakwika zingakhale zofunikira. Izi ndichifukwa chosiyana mosiyanasiyana cha zinthu zomwe zimagwira komanso zotuluka.

Mafunso Ofunsidwa Kawirikawiri

Kapoten kapena Captopril, ndibwino bwanji? Awa ndimankhwala omwewo malinga ndi zomwe zimagwira. Kapoten ili ndi 25 mg. kaphatikizidwe kazinthu zomwe zimagwira. M'malo mwake - mitundu yosiyanasiyana.

Kodi ndingathenso kuvutitsidwa ndikakakamizidwa kwambiri? Inde, Captopril amagwiritsidwa ntchito kuthamanga komanso kuthamanga kwa magazi, matenda oopsa. Malangizo ogwiritsira ntchito ndi mlingo onani pamwambapa.

Kodi ndiyenera kuthana ndi mavuto ati? Ndi kuchuluka. Manambala ndi mlingo wapadera ayenera kutumizidwa ndi dokotala, poganizira zaka zomwe zingachitike, matenda omwe angakhalepo ndi zinthu zina. Kudzichitira nokha mankhwala sikovomerezeka. Mtima si chidole!

Captopril ndi mowa - muyenera kupewa kumwa mutamwa mapiritsi a mankhwalawo. Pamavuto amtima, ndibwino kupewa zonse.

Momwe mungatengere mankhusu pansi pa lilime - mutenge piritsi limodzi la 25-50 mg. Njira yotengera mankhwalawa imakhala yachilendo pakagwa mavuto. Kugwiritsa ntchito mwachizolowezi kumakhala mkati.

Kutulutsa mafomu ndi kapangidwe kake

Kukonzekera ndi chinthu choyera cha khristalo, chosungunuka mosavuta mu methyl, mowa wa ethyl ndi madzi, wokhala ndi fungo losalala la sulufule. The solubility ya mankhwala mu ethyl acetate ndi chloroform ndi dongosolo la kukula kwambiri. Thupi silisungunuka mu ether.

Chogulikacho chimapezeka m'mapiritsi okhala ndi mafuta a kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka zinthu. Kuphatikiza pa chophatikizira chachikulu mu 12,5-100 mg, piritsi imakhala ndi zinthu zina zothandiza: silicon dioxide, stearic acid, MCC, wowuma, etc.

Pharmacokinetics

Chithandizocho chimasungunuka m'madzi a m'mimba ndipo amalowa m'magazi kudzera m'matumbo. Kuzindikira kwakukulu m'magazi kumafika pafupifupi ola limodzi.

Kudzera m'magazi, chinthucho chimagwira ntchito pa puloteni ya ACE m'mapapu ndi impso ndipo imalepheretsa. Mankhwala amachotseredwa woposa theka mosasintha. Mwanjira ya metabolite yogwira ntchito, imapukusidwa kudzera mu impso ndi mkodzo. 25-30% ya mankhwala imalowa mukulumikizana ndi mapuloteni amwazi. 95% ya mankhwala amuchotsa impso pambuyo pa maola 24. Maola awiri pambuyo pa kuperekera, kuchuluka kwa magazi kumachepa pafupifupi theka.

Kulephera kwamkati kwa odwala omwe amamwa mankhwalawa kumabweretsa kuchepa kwake m'thupi.

Zomwe zimathandiza

Mankhwala anagwiritsidwa ntchito pochiza:

1. Matenda oopsa: mawonekedwe a piritsi amagwiritsidwa ntchito ngati chithandizo chachikulu kwa odwala omwe ali ndi impso yosungidwa. Odwala omwe ali ndi vuto laimpso, makamaka omwe ali ndi collagenosis, sayenera kugwiritsa ntchito mankhwalawa atapezeka kale pa mankhwala ena. Chidacho chitha kugwiritsidwa ntchito ngati monotherapy kapena kuphatikiza ndi zinthu zina zamankhwala.
2. Kulephera kwa mtima kwamphamvu: Captopril therapy imagwiritsidwa ntchito limodzi ndi digitis ndi diuretics.
3. Kuphwanya kwaposachedwa kwa kuphwanya kwamanzere kwamkati ntchito: kuchuluka kwa opulumutsira odwala kumawonjezereka chifukwa cha kuchepa kwa kachigawo kakulidwe ka mtima mpaka 40%.
4. Matenda a diabetesic nephropathy: Kuchepetsa kufunika kwa kuyimba ndi kupatsirana kwa impso pochepetsa kupitirira kwa vuto la nephrotic. Amagwiritsidwa ntchito ngati insulin yodalira matenda a shuga ndi nephropathy okhala ndi proteinuria yoposa 500 mg / tsiku.
5. Matenda oopsa.

Captopril cholinga chake ndi matenda a impso.

Pansi pa lilime kapena chakumwa

Pa kuthamanga kwa magazi, imwani pang'onopang'ono pakudya.

Ndikofunikira kumwa mankhwalawa ola limodzi musanadye, chifukwa zomwe zili m'mimba zimatha kuchepetsa kuyamwa kwa zinthu ndi 30-40%.

Chithandizo cha nthawi yayitali chimatsatana ndikumwa mankhwala mkati. Ngati mankhwalawo amagwiritsidwa ntchito pochiritsa mwadzidzidzi ndi kuwonjezeka kwa kuthamanga kwa magazi komwe kumachitika chifukwa cha kutengeka mtima kapena thupi, umaperekedwa pansi pa lilime.

Ndingamwe kangati

Kuyamba kwa mankhwala kumayendetsedwa ndi kuperekera mankhwala omwe amagawidwa m'mankhwala amadzulo ndi m'mawa.

Chithandizo cha kulephera kwa mtima chimaphatikizapo kugwiritsa ntchito mankhwala katatu patsiku.Ngati cholinga cha Captopril chokha sichitha kuchepetsa kukakamira, hydrochlorothiazide imatchulidwa ngati antihypertensive yachiwiri. Palinso mtundu wina wapadera wa mulingo womwe umaphatikizapo zinthu zonsezi (Caposide).

Ndi vuto la kuthamanga kwa magazi, mankhwalawa amatengedwa pakamwa mutatha kudya.
Ngati Captopril ikugwiritsidwa ntchito popereka chithandizo chamwadzidzidzi ndi kuwonjezeka kwa kuthamanga kwa magazi komwe kumachitika chifukwa champhamvu kapena zolimbitsa thupi, zimaperekedwa pansi pa lilime.
Patha mphindi 15 kuchokera pakamwa, chinthucho chimazungulira m'magazi.

Ndi myocardial infaration

Kuyamba kuvomereza kumachitika tsiku lachitatu pambuyo kuwonongeka kwa minofu yamtima. Mankhwalawa aledzera malinga ndi chiwembu:

1. 6.25 mg kawiri tsiku lililonse kwa masiku atatu oyamba.
2. Pakati pa sabata, 12,5 mg kawiri pa tsiku.
3. Masabata 2-3 - 37,5 mg, wogawidwa 3 waukulu.
4. Ngati mankhwalawa amaloledwa popanda chovuta, mlingo wa tsiku ndi tsiku umasinthidwa kukhala 75 mg, ndikuwonjezera ngati 150 mg.

Kapoten ndi Captopril - mankhwala oletsa matenda oopsa komanso kulephera kwa mtima Thandizo loyamba pa kuthamanga

Kuyenderana ndi mowa

Kugwiritsa ntchito kwa ethanol ndi captopril kumapangitsa kuti chiwonjezerochi chikuwonjezereka chifukwa chomwa mowa wambiri. Zizindikiro za kuledzera: syncope, kugwedeza kosalamulirika, kuzizira, kufooka.

Kuphatikiza apo, kuphatikiza kwawo kumachepetsa mulingo wa potaziyamu m'magazi chifukwa chophwanya mayamwidwe ake. Hypokalemia ikhoza kuwonjezera, kuwonjezera magazi.

Pambuyo pakuphatikizira kwa ethanol ndi capopril, kuledzera kwa zizindikiro monga kugwedezeka kosalamulirika ndi kuzizira kumatha kuchitika.
Kuyendetsa magalimoto kumafuna chisamaliro chochuluka, monga mankhwalawa amayambitsa mavuto ambiri, kugwiritsa ntchito kwake kumatha kubweretsa ngozi.
Kufunika kwa mankhwalawa kwa matenda oopsa pakuyamwa kumayambitsa kusintha kwa kudya kwachilendo.

Momwe thupi limagwirira ntchito komanso kuchuluka kwa zakumwa zomwe zimamwa zimakhudzana ndikugwirizana kwa zinthu ziwiri izi.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Kulembera amayi apakati kumafunika chidwi chapadera kuchokera kwa akatswiri a mtima. Kuperewera kwa momwe zinthu zimakhudzira mwana wosabadwayo, pakakhala zovuta zimayambitsa kusiya kugwiritsa ntchito mankhwalawa popanda chofunikira.

Ngati mankhwalawa adalembedwabe, kuwunika kwa mwana pafupipafupi kuyenera kuchitika.

Kufunika kwa mankhwalawa kwa matenda oopsa pakuyamwa kumayambitsa kusintha kwa kudya kwachilendo. Ngati pazifukwa zina kuchepa kwa mkaka wa m'mawere sikutheka, mankhwalawa amagwiritsidwa ntchito poyang'aniridwa ndi mkhalidwe wa mwana: milingo ya potaziyamu, impso, magazi.

Matumbo

1. Kuchepetsa thupi mwadzidzidzi.
2. Zilonda ndi pakamwa pouma, stomatitis.
3. Dysphagia
4. Dysgeusia.
5. Mawonekedwe a Dyspeptic.
6. Angioedema wamatumbo.
7. Kuphwanya dongosolo la hepatobiliary: hepatitis, cholestasis, necrosis ya maselo a chiwindi.

Kugwiritsa ntchito mankhwalawa kungayambitse kuchepa thupi mwadzidzidzi.
Bowel angioedema ndi zotsatira zoyipa za Captopril.Mukatha kugwiritsa ntchito mankhwalawa, kukhumudwa, kukhumudwa kwa mitsempha kumatha kuchitika.

Kuchokera ku kupuma

1. Kuphipha, kutupa kwa bronchi.
2. Kutupa kwa khoma la ziwiya za alveolar - pneumonitis.
3. Kuuma chifuwa, kufupika.

Mukatha kugwiritsa ntchito Captopril, edema ya Quincke ndiyotheka.
Kuphwanya potency - osafunika chifukwa mutatha Captopril.
Pa gawo la kupuma kwamphamvu, chifuwa chowuma ndicotheka.

Bongo

Kumwa Mlingo wowonjezera pamiyeso yomwe imalimbikitsa kungayambitse kutsika kwa magazi. Kuphatikiza apo, pakhoza kukhala zovuta mu mawonekedwe a thromboembolism ikuluikulu yamitsempha yamagazi, mitsempha yamagazi ya mtima ndi ubongo, zomwe, zimatha kuyambitsa matenda a mtima ndi stroke.

Njira zotsatirazi zimatengedwa ngati njira ya chithandizo:

1. Muzimutsuka m'mimba mutachotsa kapena kuchepetsa kuchuluka kwa mankhwalawo.
2. Bwezeretsani magazi, ndikupatsa wodwalayo malo okhala ndi miyendo, ndikukweza kulowetsedwa kwa mchere, Reopoliglyukin kapena plasma.
3. Yambitsani Epinephrine kudzera m'mitsempha kapena mozungulira kuti muwonjezere magazi. Monga othandizira, gwiritsani ntchito hydrocortisone ndi antihistamines.
4. Chitani hemodialysis.

Kutenga Mlingo wokwera kuposa momwe amalimbikitsira kungayambitse stroke.
Ngati mankhwala osokoneza bongo a mankhwala, ndikofunikira kuti muzitsuka m'mimba.
Ngati njira yochizira ngati munthu ali ndi bongo wambiri, hemodialysis imachitidwa.

Kuchita ndi mankhwala ena

Azathioprine osakanikirana ndi Captopril amalepheretsa zochitika za erythropoietin, kuchepa kwa magazi kumachitika.

Kugwiritsa ntchito palimodzi ndi cytostatics - kuchepa kwa kuchuluka kwamaselo oyera.

Hyperkalemia - kuphatikiza mankhwala ndi potaziyamu-yosalekerera okodzetsa.

Zitha kukulitsa zovuta za digoxin, zomwe zingayambitse kuledzera.

Aspirin ndi capopril amachepetsa mphamvu ya hypotensive.

Zofanizira za mankhwalawa ndi monga: Kapoten, Kaptopres, Normopres, Angiopril, Blockordil, Captopril STI, AKOS, SANDOZ, FPO ndi ena.

Amasiyana mu kuchuluka kwa chinthu chomwe chimagwira piritsi limodzi, mndandanda wazinthu zina zomwe sizigwira ntchito. Nthawi zina, mawonekedwe ndi mtundu wa piritsi zimasiyana. Mphamvu ya mankhwalawa, Kapoten, malinga ndi madokotala omwe amapanga, ndi wamphamvu kuposa mitundu ina ya mankhwalawa.

Malo opumulira a captopril kuchokera ku mankhwala

Pokhapokha malinga ndi Chinsinsi cholembedwa pa fomu yapadera mu Chilatini, mwachitsanzo:

1. Rp. Captoprili 0.025.
2. D.t.d. N 20 mu tabulettis.
3. S. 1 piritsi theka la ola musanadye m'mawa ndi madzulo.Kapoten amadziwika ndi Captopril analogues.Captopril imangotulutsidwa pa mankhwala omwe amalembedwa pa fomu yapadera ya Chilatini.
   Mtengo wa mankhwalawa umasiyana ndi ma ruble 9-159.

Ndemanga za madotolo ndi odwala za Captopril

Oksana Aleksandrovna, Pskov, dokotala wazachipatala: "Ndimagwiritsa ntchito Captopril ngati ambulansi pazovuta. Nthawi zambiri zimalephera, choncho ndibwino kuti muthe kuwunika ngati awa ndi mankhwala osokoneza bongo kapena oyambira."

Maria, wazaka 45, ku Moscow: "Ndimamwa mankhwalawo ndikulimbikitsidwa ndi katswiri wazachipatala pazokakamiza. Zoterezi sizabwino kuposa zomwe a Moxonidine amagwira. Amachita ntchito yake yoyamba mothandizidwa bwino, komanso pamtengo wabwino chotere."

Vitaliy Konstantinovich, Krasnodar, dokotala wamtima: "Ngati wodwalayo atasankha, kuphatikiza ndi Kapoten kapena Captopril, ndingakulimbikitseni woyamba. Inde, zomwe zimagwiritsidwa ntchito m'mankhwala onsewa ndizofanana, koma chimodzi ndi choyambirira, chachiwiri ndi kukopera. "ngakhale ikagwiritsidwa ntchito ngati thandizo likuyenera kukhala lachangu komanso lothandiza. Ndikupangira Kapoten kwa odwala omwe ali ndi vuto lotenga magazi kwambiri, chifukwa nanenso ndimamwa mankhwalawo. Komanso, mtengo umalola."