"Mikardis": nozakwabo futhi ukuqhathanisa zabo

Impilo - njengesipho, ayikwazi ukuthenga noma oda, kodwa ngamunye wethu unethuba ukuwusekela ngosizo amathuluzi akhethekile. Kwezokwelapha bebizwa izidakamizwa. Abakwazi zethulwe ezinhlotsheni ezihlukahlukene ukukhululwa, kodwa kakhulu ngokuvamile sisebenzisa i-tablet for ekwelapheni iyiphi kwezinso emzimbeni.

Kungani udinga imithi "Mikardis"?

Njalo imithi has injongo yawo. ezimbalwa kakhulu nezisetshenziswa generalist. Phela, indlela yokubusa kwabantu kanye nezinhlaka ahlelwe ngezindlela ezahlukahlukene, futhi bakuphi nezilwanyana ezincane ehluke ngokuphelele. Ukuze ekwelapheni izinqubo eziningi sokugembula athuthukile kwezidakamizwa ezithile.

Ukulungiselela "Mikardis" ngenkuthalo esetshenziselwa ukwelapha lwemithambo girpertenzii, ubulwelwe lapho lenyuka blood pressure. Ngaphezu kwalokho, kusho "Mikardis" analogs ephinde ukuvimbela anda blood pressure, kuyinto enhle kakhulu izidakamizwa zokuvimbela ukuthi kunciphisa ingozi yezifo esimiso senhliziyo nemithambo yegazi kanye nokushona isixwayiso ezigulini abaneminyaka engama-55.

Kanjani izidakamizwa ezingeni bokuphila?

Nomuthi "Mikardis" kuyinto blocker ka angiotensin II receptor. Effect Its kwemithi ukunciphisa ezingeni aldosterone emzimbeni. Umuthi akusho ukuvimba iziteshi ion futhi siyehla imithelela renin futhi kininazy II (i-enzyme enamandla okubhubhisa bradykinin). Izidakamizwa "Mikardis" (nozakwabo Russian ngezinye izikhathi kancane ezahlukene nokwenza) iqukethe telmisartan. Le into eziphila abakhuthele kunomphumela zokwelapha emzimbeni.

Ngamagama alula, umphumela umuthi kanje: "Mikardis" analogue yayo bayakwazi kujwayeleke umfutho we-systole diastolic blood pressure, ngcono isimo bradycardia futhi tachycardia. Umuthi kwehlisa blood pressure ngaphandle kokuphazamisa kwenhliziyo, ngakho lokhu indlela yokuyelapha afanele iziguli eziningi.

Ngo abukhali ukuqedwa ingcindezi ezingeni ubuyela ukusebenza kokuqala. It akakubangeli ukuthuthukiswa nesineke yalesi sifo. Enye inkomba, uphawu-high blood pressure kanye nesifo senhliziyo kuyinto ukukhwehlela. It - ezomile, okuthiwa "inhliziyo" ukukhwehlela. Phakathi isicelo "Mikardisa" lokhu uphawu kuzibonakalisa hhayi kaningi njengokuthanda phambi yokwelapha telmisartanovoy.

Ukuthola ngaphakathi isidakamizwa ugxile ngokweqile, izitho zokugaya ku-50%. Kulokhu, 99,5% ezihambisana plasma amaprotheni. Umthelela wokuqala ukuthatha izidakamizwa kwenzeka ngaphakathi 3 amahora sithatha amahora angu-24. Ezimweni ezingavamile, umphumela hypotensive eyathatha kufikela kuzinsuku ezingu-2 (noma amahora angu-48). Nge ukusetshenziswa njalo nomphumela oqabulayo kufinyelelwa amasonto 4-8.

Uma isiguli sekutholakele ukuthi sine- iziyaluyalu izinso, kumele ngezikhathi ezithize ukusebenza kwezinhlelo creatine futhi potassium the serum igazi. Kuyadingeka ukuba ngakususi amanzi electrolyte abahluphayo umzimba ubuhlobo isiguli izidakamizwa abaphathi. Futhi, ngokuqapha kufanele kuthathwe "Mikardis" uma kukhona ukuphambuka esiqeshini biliary. Ngemva izidakamizwa telmisartan excreted ikakhulukazi Bile.

Timing excretion zomuthi kusukela umzimba

Ukuhoxiswa izikhathi "Mikardisa" somzimba amahora angu-20. Ingxenye eyinhloko izidakamizwa uboniswa kanye indle efomini e elalisendlini wokugaya ukudla. Mayelana 1-2% we telmisartan iqedwe nge nezinso. Ezingeni sezingeni eliphezulu igcina imvume plasma. ezingeni Its 900 ml / imiz njengoba kuqhathaniswa kwesibindi ukugeleza kwegazi, okuyinto kugcinwa at 15000 ml / imiz.

Iziguli ukuthatha "Mikardis" analogue zomuthi, kufanele sikhumbule ukuthi telmisartan akathembeli hemodialysis. Imigomo ukususwa imithi akuncikile engu-isiguli. Umuthi ngezinga elifanayo njengoba ekhishwa besilisa yomzimba zesifazane.

Izinkomba ngokusetshenziswa idivayisi yezokwelapha

Kuyasiza eMpumalanga nokushintsha kokudla nokufakwa imithetho "Mikardis 'ukufundisa ukusetshenziswa. Ukubuyekeza, izidakamizwa analogue sichaziwe ngezansi. I izinkomba esiyinhloko imithi oyinikiwe lezi zinkinga yenhliziyo emzimbeni. Muhle at ekwelapheni tachycardia, bradycardia, umfutho wegazi ophakeme, okungukuthi, umfutho wegazi iziyaluyalu, okuhlanganisa ngokuyinhloko nomfutho wegazi ophezulu. Excellent izindlela zokuvimbela kuboniswe ukwamukela abantu abaneminyaka engama-55, kuyinto "Mikardis Plus". Analogue izidakamizwa zisetshenziselwa unciphise amathuba izifo eziyingozi kakhulu esimiso senhliziyo nemithambo yegazi, okuyinto oluthatha indawo uhola ngokwemibandela yangenyama.

Umthamo zomuthi

Umuthi esithathwayo ngomlomo. I reception akuxhomekile imodi ukudla. Ukuze wehlise-high blood pressure kufanele uqale ukuthatha ithebhulethi eyodwa (40 mg) kanye ngosuku. Lapho waveza umphumela enganele oqabulayo umthamo kufanele senyukela 80 mg ngosuku. Ezinye iziguli ulahlekile 20 mg ngosuku, kodwa kulokhu sidinga ngezinye izikhathi wenze inkomba blood pressure nesilinganiso, ngakho njengoba ungalahlekelwa izindinganiso eziphakeme. Ngaphambi kokuba uqale ukuthatha izidakamizwa ngenhloso imfundo kuyadingeka wokuqala ngqá owahlola ulwazi esigcwele ku lesi sidakamizwa "Mikardis". Yokusetshenziswa (efana izidakamizwa esetshenziswa kwezinye izimo, nomphumela ofanayo) kuzokusiza ukukubona konke okuhilelekile ekwelapheni lesi sifo.

Umthamo isilinganiso nokuvinjelwa kwezifo zenhliziyo kuyinto 80 mg / usuku. Kwezinye izimo, ukwelashwa kuzodinga ukwamukela izidakamizwa ezengeziwe kujwayeleke blood pressure. I Isikali Isikali kunqunywa odokotela emva olwenziwa umzimba izifundo isimo. Ezinsukwini zokuqala ngemva ukuqashwa kukaNksz "Mikardisa" kudingeka ukukala ingcindezi ekuseni nakusihlwa. Lokhu kwenziwa ukunquma ukusabela komzimba emuthini kanye kusebenta yayo. Kufanele kuqashelwe ukuthi ezimweni eziningi ukulungiswa umthamo kungadingeki, kodwa iziguli yokuphazamiseka ukusebenza isibindi, akunakwenzeka ukuthi anikeze umthamo ephakeme kunaleyo 40 mg. Ubude yokwelashwa nale izidakamizwa kunqunywa ngamunye. Udokotela ihlola ukuphumelela ukwelashwa anqunyiwe ubunjalo inqubo sokugembula emzimbeni wesiguli.

Zokwelapha, overdosing is abaziwa, kodwa kwakuthiwa kungase avele ezifana umzimba uthi njengoba tachycardia, umfutho ophansi wegazi, bradycardia.

Lesi sidakamizwa akufanele isetshenziswe?

Ngokuqapha futhi silandele zonke izidingo odokotela kufanele kube "Mikardis" (analogue, omqondofana, imithi ejwayelekile), nabantu isifo sesibindi futhi ipheshana biliary. Isigaba lapho izidakamizwa is contraindicated sebekubeke ubheke iziguli ezine ukungabekezelelani ngabanye ukuba fructose (njengoba izidakamizwa e ngezithako zawo has a semali sorbitol), ukuntula sucrose, iziyaluyalu umzimba ka-galactose kanye glucose. Izingane ezingaphansi kweminyaka engu-18 akuvunyelwe contraindicated reception "Mikardisa" kanye nomthelela wakhona umzimba wengane namuhla alwaziwa.

Umuthi kumele kuthathwe ngokuqapha okukhulu ku:

• esalulama ukufakelwa izinso;
• giiperkaliemii;
• stenosis mitral kanye valve yomthambo i-aorta;
• izifo zesibindi;
• pyelonephritis;
• hyponatremia;
• zamazwe amabili Umthambo kwezinso stenosis;
• ezingamahlalakhona yokumelwa yinhliziyo.

Ukusetshenziswa kwezidakamizwa phakathi nokukhulelwa kanye lactation

Umuthi ayivunyelwe ukwamukela abesifazane ekukhulelweni futhi ngesikhathi lactation (ibele), njengoba lokhu kungase zibulale isimo jikelele ingane kanye nonina. Phakathi nenkathi yokukhulelwa ukuhlela kuyadingeka ukuze esikhundleni isikhungo sokwelapha "Mikardis" analogue yayo (kodwa hhayi bonke) Iyokwenza ngokuphumelelayo okwengeziwe impilo umama okhulelwe. Uma kwenzeka ukuthi ngesikhathi ukuthatha imithi wakhulelwa ngokushesha kufanele siqede irisidi yayo futhi wazise udokotela wakho ngezinguquko ezingabe zenziwe imithi uthatha ngesikhathi sokukhulelwa. Lokhu kungenxa yokuthi uma usebenzisa izidakamizwa bangase balwisane fetotoxicity yayo (kahle umsebenzi kwezinso, kancane Ukuqina sekuyenzeka ingane Nogebhezi lwawo, hypotension, hyperkalaemia).

Ngayiphi amafomu kwaveza "Mikardis"?

Lo mkhiqizo okwelapha uvezwa amaphilisi ezimhlophe oblong, esithathelwe ngomlomo. Izibhebhe kufanele isiqu esithi "51H" Isikali khona izinhlobo ezimbili - i-tablet ye-80 mg kanye mg 40. Ngo lokugoqa kukhona 2 - 4 amabhamuza amaphilisi 7 (14 noma 28 izingcezu).

Yiziphi analogue zomuthi?

Uma unesithakazelo lesi sidakamizwa "Mikardis" kumakhophi, intengo imithi, sincoma ukuthi uthole ulwazi Pharmacy lomuzi wakho. Ngemva lokukhokhelwa zonke inethiwekhi ekhemisi azifani, ngakho intengo izidakamizwa kanye lokunye ingahluka kakhulu. Synonyms zomuthi kukhona "Praytor", "Mikardis Plus". Analogs we lokugcina izidakamizwa - a izidakamizwa kwagcizelela ayisukumele yisimiso senhliziyo nemithambo yegazi. Lezi zihlanganisa "Gizaar Forte", "Atacand Plus", "Valzap Plus", "Teveten Plus", "co-Diovan," kanye nabanye. Esebenzayo isithako telmisartan usekela umsebenzi inhliziyo, kuba ingxenye izidakamizwa "Mikardis Plus". Analogue, okuyinto intengo waba ngaphansana izindleko zomuthi, babe yenziwe ngohlobo oluhlukile.

Intengo zomuthi kanye analogue yayo

Nentengo le mishanguzo ingase ezahlukene kwizindawo ezahlukene yezwe. Lokhu kungenxa izici of ukulethwa, le remoteness kwalesi sigodi kusukela embonini, ukufunwa izidakamizwa endaweni ethile. Ngokuvamile, i-izidakamizwa kungenziwa labizwa ngokuthi amadivaysi ezokwelapha etholakalayo. wentengo zokhahlamba kusuka 800-900 p. Umuthi 'Mikardis Plus "kuyinto kancane ezibizayo: kusuka 900 ruble 1100. Certified eRussia nase-Ukraine izidakamizwa "Mikardis". Russian analogue liphuza noma intengo efanayo ukuthi umkhiqizo noma ngezansi.

Izidakamizwa "Mikardis" (amaphilisi) - izibuyekezo, izincazelo isinyathelo iziguli

Iziguli eziningi ukubika ukuthi ukusebenza kwe "Mikardisa" incike isimo lesiguli. Uma isifo siqhubeka, kubalulekile ukuyisebenzisa ngale imithi futhi abanye kwabanye, ozokusiza usimamise isimo. Njengoba lokhu yezidakamizwa ithinta esimiso senhliziyo nemithambo yegazi, kufanele liqoke ngochwepheshe kuphela. Isiguli ungase ungakufanelekeli ukuhlola isimo sakhe futhi imithi umthamo ezanele.

Njengoba ezinye zalezi izidakamizwa, umuthi "Mikardis" has ukusetshenziswa kwalo wesifunda. Ukuze isiguli ngasinye eba uhlelo ngabanye yokwelapha ngokuhambisana izikhalazo kanye izinguquko zezempilo.