Babban matsanancin allunan allunan

Ina shan Noliprel shekaru 2. Har zuwa yanzu, sashi na 2.5 MG ya isa don sarrafa matsa lamba. Wani lokacin yakan tashi idan yanayin ya canza. Sakamakon sakamako na cibiyar sadarwa. Bakina yana bushe sau da yawa kuma wani lokacin tashin hankali, amma waɗannan ƙananan abubuwa ne idan aka kwatanta da ciwon kai da naƙasasshe da rashin daidaituwa.

Yana daidai daidaituwa da karfin jini.

Likita ya ce, wataƙila, za ku sha kwayoyi a duk tsawon rayuwar ku.

Mama ta sami bugun jini kuma likita ya ce a sa ido sosai a kan matsayar ta. Duk tsalle-tsalle na iya haifar da mummunan sakamako. Mun dauki Noliprel 5 MG sau ɗaya a rana kuma har ya zuwa yanzu babu wata matsala da ta taso cikin hawan jini. Kyakkyawan magani.

Na yi ƙoƙarin rage matsin lamba tare da haɗakarwa. Sakamakon yana da kyau kwarai, amma busasshen tari da daskararren rauni sun bayyana. Wataƙila karɓar analogues.

Yada saukar karfin jini kyakkyawa da sauri.

Side effects ya bayyana.

Ina ɗan ɗaukar Noliprel tsawon shekara ɗaya kusan kullum. Da farko na ji tsoron cewa za a sami rikice-rikice, amma ya zuwa yanzu duk abin da yake al'ada. Amma hawan jini al'ada ce. Na zabi wadannan kwayoyin ne saboda gaskiyar cewa ana basu damar kamuwa da cutar siga 2.

kwayoyin hana daukar ciki suna taimakawa wajen kiyaye matsin lamba a karkashin kulawa

Har yanzu ban samo ba tukuna

Ina shan Noliprel shekaru 2. Har zuwa yanzu, sashi na 2.5 MG ya isa don sarrafa matsa lamba. Wani lokacin yakan tashi idan yanayin ya canza. Sakamakon sakamako na cibiyar sadarwa. Bakina yana bushe sau da yawa kuma wani lokacin tashin hankali, amma waɗannan ƙananan abubuwa ne idan aka kwatanta da ciwon kai da naƙasasshe da rashin daidaituwa.

Yana daidai daidaituwa da karfin jini.

Likita ya ce, wataƙila, za ku sha kwayoyi a duk tsawon rayuwar ku.

Mama ta sami bugun jini kuma likita ya ce a sa ido sosai a kan matsayar ta. Duk tsalle-tsalle na iya haifar da mummunan sakamako. Mun dauki Noliprel 5 MG sau ɗaya a rana kuma har ya zuwa yanzu babu wata matsala da ta taso cikin hawan jini. Kyakkyawan magani.

Na yi ƙoƙarin rage matsin lamba tare da haɗakarwa. Sakamakon yana da kyau kwarai, amma busasshen tari da daskararren rauni sun bayyana. Wataƙila karɓar analogues.

Yada saukar karfin jini kyakkyawa da sauri.

Side effects ya bayyana.

Ina ɗan ɗaukar Noliprel tsawon shekara ɗaya kusan kullum. Da farko na ji tsoron cewa za a sami rikice-rikice, amma ya zuwa yanzu duk abin da yake al'ada. Amma hawan jini al'ada ce. Na zabi wadannan kwayoyin ne saboda gaskiyar cewa ana basu damar kamuwa da cutar siga 2.

kwayoyin hana daukar ciki suna taimakawa wajen kiyaye matsin lamba a karkashin kulawa

Har yanzu ban samo ba tukuna

• Ba mu yarda da sake dubawa da zage-zage ko dauke da munanan maganganu ba.
• Bayyana mana game da kwarewarka a amfani ko aiki.
• Idan bita akan shago ko sabis, nuna lambar oda. Zai yiwu wannan zai taimakawa wakilan kamfanin warware matsalar.
• Nuna fa'idodi da rashin amfani
• Matsayi
• Ga ƙungiyoyi - rukunin ya ƙunshi ra'ayoyi na ma'aikata game da aiki a kamfanin da kuma sake dubawa na abokan ciniki (masu siye)

Yadda za a doke hauhawar jini? Wataƙila, ba su sami tabbatacciyar amsa ga wannan tambayar ba. Na dauki magani na ɗan lokaci har sai na sami wani magani da ake kira Noliprel. Wannan kayan aikin yana da tasiri mai ƙarfi sosai, saboda haka bai dace da kowa ba. Na sayi kwayoyin kantin magani. Gaba ɗaya, na gamsu da sakamakon jiyya, don haka zan yi ƙoƙari in raba muku yadda nake ji.

Alamu don amfani

Noliprel ana ɗauka ɗayan magunguna masu kyau don hawan jini. Ga wadanda ba su sani ba, a wannan karon, likitocin sun fahimci wata cuta da ke tattare da hauhawar haɓakar jini a jiki. Abinda ya fi ba da daɗi shi ne cewa lalacewar sau da yawa yakan faru a hankali kuma mutum ba shi da lokacin amsawa cikin lokaci don rashin lafiyarsa. Hakanan ya faru da ni.

Na lura da alamun farko na cutar sankarau tun tuni. Kunnena sun kasance suna yawan yin kuwwa, kaina na ciwo, sai kwari suka bayyana a idanuna. Na yi tunanin cewa bayyanannun gajiya banal. Ina aiki "don yanka", don haka ba zan sami lokaci don hutawa na yau da kullun ba.

Ya yanke shawarar zuwa wurin likita bayan abokan da suka san shi sun ce fuskarsa kullun tana ja. A asibiti, majinyacin likitan ya tura ni zuwa likitan zuciya.

“Duk da karancin shekaru, kana da alamun alamun hauhawar jini. Wajibi ne a warware batun yanzu, in ba haka ba za ku kai ga rikitarwa. Ina bada shawara farawa daga masu hana ACE, diuretics da antagonists na potassium. Jerin irin wadannan magungunan suna da yawa sosai ... "

Grigory Sergeevich, likitan zuciya, arrhythmologist, Moscow

Bayan tattaunawa da likita, na fara zaɓar magungunan da za su iya kawar da alamun na. Kuma, a ƙarshe, ya zaɓi allunan Noliprel. Yanzu zan yi kokarin bayyana dalilin.

Nazarin Abokan Ciniki na Noliprel

Bayan na dawo gida daga asibitin, sai na fara neman kwatancen magunguna don hauhawar jini a yanar gizo. Zabi magungunan, allura da kuma magunguna na da matukar girma. Likita ya shawarci wasu 'yan sunaye, amma yin hukunci ta hanyar bita da marasa lafiya akwai zabin kuma mafi ban sha'awa. Likitan kwalliyar zuciya ya rubuta hanyoyi mafi araha, amma ban so in ceci, amma da gaske gyara matsalar (ko kuma a kalla a kalla shi).

Karatun ra'ayoyi daban-daban game da magunguna, Na sami bayanin kwatancen allunan Noliprel. Wasu mutane sun rubuta cewa wannan magani yana rage karfin jini da sauri. Haka kuma, kayan aiki wani lokaci yana da tasiri mai ƙarfi sosai. Wannan shi ne abin da ya ba ni sha'awar - yana nufin cewa tabbas yana aiki! Ya hau kan hanyar sadarwa don neman kimantawa kan wani takamaiman abu.

“Hawan jini babban hukunci ne. Ya kasance mawuyacin lokaci a faɗuwar. Duk wata damuwa, ta jiki da ta hankali, suna haifar da tsananin ciwon kai da tashin zuciya. Na damu cewa ina tsalle zuwa bugun zuciya ko bugun jini. Na fara shan Noliprel kan shawarar abokin aiki. Babban kwayoyin. Na sha su a gaba kuma ban sha wahala daga bambancin yanayin ... "

Sau da yawa ana yin bita game da mutanen da suka fara shan Noliprel bayan sunyi ƙoƙari da yawa na analogues. Kamar yadda na fahimta, waɗannan kwayoyin suna da ƙarfi sosai, saboda haka farashin yana da girma.

“Ban iya fama da kumburi a fuska da kafafu ba. Likitocin sun ce daga hawan jini ne na koda da kodan ke aiki mara kyau kuma ruwa yana tarawa a jiki. Na gwada magunguna daban-daban, amma sakamakon ba shi da ban sha'awa. Kwatsam sai na ji ana tattaunawa tsakanin masu fansho biyu game da Noliprel. Na yanke shawara in saya don gwaji kuma na fahimci cewa a ƙarshe na sami abin da nake buƙata ... "

Akwai, ba shakka, korau sake dubawa. Suna da alaƙa da sakamako masu illa na miyagun ƙwayoyi. Mafi yawan lokuta, mutane sun koka cewa bayan hanya ta Noliprel suna da hargitsi na barci da bushe bushe. Wannan bai ba ni tsoro da gaske ba, don haka na yanke shawarar ba zan kula da shi ba.

Umurni na musamman da alamun rashin amfani da magani

Yana da matukar mahimmanci a gare ni cewa kwayoyin basu tasiri kan abin da aka yi. Dole ne in fitar da abubuwa da yawa, don haka na bincika musamman wannan sigar. Ban sami wata illa ba wacce ta shafi tuki motar. Zan rubuta 'yan kalmomi game da yiwuwar maye gurbin Noliprel tare da analogues. Na sadu da sake dubawa game da mutanen da ke neman wata hanyar magancewa (galibi saboda rashin lafiyan). Jerin bai daɗe ba. Yawancin lokuta da aka ambata sune Perindid da Ko-Perineva.

Da kyau, a ƙarshen bita zan rubuta game da yadda nake ji. Da farko, Noliprel bai lura da wani tasiri na musamman ba, har ma da ɗan damuwa. Da kyau, aƙalla ban daina jiyya ba, tunda canje-canje masu kyau na yanayin sun fara bayyana bayan kimanin sati 2. Ya jawo hankali ga rashin alamomin daga safa a ƙafafunsa da yamma (wanda ke nufin cewa kumburi ya ɓace) da kuma ingantaccen cigaba a bacci. Kaina ya daina zubewa da tashin zuciya ya wuce. Likita ya ce da alama watakila zaka sayi magani mafi girma, amma ya zuwa yanzu komai yayi kyau.

Tasirin warkewar cutar Noliprel

Noliprel magani ne mai haɗuwa don hauhawar jini, wanda ya haɗa da perindopril da indapamide. Duk abubuwa masu aiki suna rage hawan jini da na jini, kuma suna ƙarfafa juna.

Abubuwan da ke cikin allunan Noliprel don maganin hauhawar jini:

• An tabbatar da tasirin hadawar kwayar kwayar cuta da ta dabino a aikace.
• Wannan magani ba shi da illa mai tasiri a cikin metabolism, ba ya dagula aikin gwajin jini don cholesterol, triglycerides da glucose, wanda ya dace da ciwon suga.
• An dauki Indapamide ɗayan mafi aminci mafi kyawun yanayi kuma yana da tasiri sosai a lokaci guda.
• Ayyukan kowane kwamfutar hannu na Noliprel na tsawon awanni 24, don haka ya isa ya sha maganin har sau 1 a rana.
• Bayan katse magani, cirewar rashin lafiya ba ta bunkasa, i.e., matsin lamba baya yin kwanciyar hankali.
• Magungunan yana da ƙarfi ya saukar da danshi da matsa lamba, yayin da ya miƙe yana kwance.
• Matsayi na hauhawar jini na hagu na zuciya yana raguwa, i.e., haɗarin bugun zuciya yana raguwa. Wannan tasirin yana da 'yanci daga rage karfin hawan jini.

Noliprel yana contraindicated a cikin ciki da lokacin shayarwa. Ya zama ba a son shan wannan magani a cikin watanni biyu da na 3 na ciki, amma a farkon shi ma ba lallai ba ne.

Mafi yawanci ana bada shawarar dakatar da cutar hawan jini tare da kwayoyin “sunadarai” makonni kadan kafin a dauki ciki. Idan ciki ya faru yayin shan kwayoyin don matsa lamba, to babu buƙatar katse ta, amma mace ya kamata nan da nan ta dakatar da shan ƙwayoyi masu haɗari, gudanar da bincike na duban dan tayi kuma nemi likita game da yadda za a kula da hauhawar jini.

Noliprel bai dace ba don maganin hauhawar jini idan mai haƙuri yana da alamun bayyanar rashin jin daɗi ga masu hana ACE, musamman, zuwa perindopril. Mafi tsananin tsanani daga cikin wadannan bayyanuwar ita ce edema ta Quincke. Idan bushewa ya zama ba za'a iya jurewa ba, to lallai sai an soke maganin. Likita zai maye gurbinsa da magani don hauhawar jini daga wani aji.

Ba a sanya magani ba ko ayi amfani dashi tare da taka tsantsan yayin haɗarin matsalolin koda:

• sasantawa biyu na koda
• Stenosis na jijiya kawai wanda ke aiki koda,
• Adadin filter glomerular na 30 ml / min da ƙasa.

Tare da taka tsantsan, Noliprel ya kamata a wajabta shi a cikin halaye masu zuwa:

• matsanancin rauni, wanda yake tare ko baya tare da lalacewa koda,
• cirrhosis na hanta, wanda ke hade da edema da ascites,
• kwanannan mai haƙuri ya kamu da amai da / ko zawo.

A duk waɗannan halayen, yin amfani da miyagun ƙwayoyi na iya haifar da raguwar haɓakar hawan jini, musamman bayan ɗaukar ƙwayar farko, sannan kuma a lokacin makonni 2 na farko na maganin. Hakanan akwai haɗarin raguwa mai yawa a cikin hawan jini a cikin marasa lafiya waɗanda ke bin tsayayyen abinci mai ƙoshin gishiri.

Yayin shan Noliprel, yakamata a bincika ko akwai alamun cutar rashin ruwa da ƙarancin ƙarancin jini a cikin jini. A lokaci guda, raguwar alama a cikin hauhawar jini a sakamakon kashi na farko ba shine cikas ga ci gaba da wannan magani ba. Likita na iya bayar da shawarar rage kashi ko sauyawa zuwa indapamide ko perindopril daban, ba tare da sashi na biyu na hada allunan ba. Ga tsofaffi marasa lafiya, ana ba da shawarar sosai cewa a yi gwajin jini kafin a fara Noliprel don kimanta ayyukan kodan da ƙwaƙwalwar ƙwayoyin potassium a cikin jini.

Babu sauran nessarancin numfashi, ciwon kai, raunin matsin lamba da sauran alamun HYPERTENSION! Masu karatunmu tuni sun fara amfani da wannan hanyar don magance matsin lamba.

Mai haƙuri wanda aka riga aka tsara Noliprel ko wasu masu hana ACE don hauhawar jini ya kamata a kai a kai su bincika tattarawar creatinine a cikin jini. Saboda toshe tsarin renin-angiotensin-aldosterone ta hanyar perindopril ko wasu masu hana ACE na iya haifar da gazawar koda, wani lokacin ciwo. Wannan rikitarwa yana faruwa da wuya, duk da haka, an bada shawara don fara maganin ƙwayar cuta na hauhawar jini a hankali, da kuma ƙara yawan ƙwayoyin a hankali. Hakanan kuna buƙatar kulawa da hankali a kan ƙwayar potassium a cikin jini na jini. Matsayinsa na yarda shine 3.4 mmol / l kuma mafi girma. Idan abun da ke cikin potassium a cikin jini ya fadi kasa da al'ada, to wannan yana nufin haɗari mai ƙarfi na ƙwaƙwalwar ajiyar zuciya, wanda hakan yana iya haifar da mutuwa.

Yawancin bita da haƙuri na allunan Noliprel sun tabbatar da cewa wannan magani yana rage karfin jini. Yana taimaka kullun kula da matsin lamba a ƙasa da 140/90 ko ma ƙasa da 130/80 mmHg. Art. don haka yana rage haɗarin bugun zuciya, bugun jini, gazawar koda. Noliprel sau da yawa yana taimaka ko da a wasu lokuta inda wasu kwayoyi ba su da amfani, kuma wannan yana tabbatar da kusan farashinsa.

Ni dan shekara 41 ne, tsayi 168 cm, nauyi mai nauyin kilogram 72, har kwanan nan ya kasance kilogiram 79. Na kwashe Noliprel A Forte na hauhawar jini tsawon shekaru 3. Kwanan nan, Na yi rashin nauyi, amma bayan wannan magani ya fara yin mummunan abu. An sami raɗaɗi a cikin zuciya, wani lokacin kai yana zube. Matsin lamba ya ragu sosai. Na yanke shawara game da sauyawa zuwa Physiotens - magani mai rauni. Wataƙila zan ɗauki Indapamide daban ko perindopril (Prestarium).

Powerfularfafa tasiri na Noliprel ba kawai ga marasa lafiya bane, har ma da likitoci a cikin sake duba su na yau da kullun, da kuma a cikin karatun da aka buga sakamakonsa a cikin littattafan likita. Matsalar da ke faruwa a cikin marasa lafiya tare da hauhawar jini dangane da amfani da wannan magani sun bayyana lokacin da marasa lafiya ba su bi shawarar likita da / ko umarnin likita ba.

Ina da Noliprel rike matsi sosai har tsawon shekaru 8. Sama da 130/90 kusan bai tashi ba. Ciwon kai na yau da kullun sun tafi tun makon da ya gabata. Na auna matsin lamba - 140 / 100-150 / 110, kuma wannan yana cikin safiya bayan barci. Saboda wasu dalilai, maganin ya daina aiki. Ana amfani da jiki gareshi ko yanayin rashin lafiya yana lalacewa tare da shekaru. Yanzu cikin tunani: don kara yawan Noliprel ko canzawa zuwa wani magani? Ni dan shekara 47 ne, mara nauyi. Aiki ofishin, gudanarwa, juyayi.

Noliprel, kamar sauran kwayoyin hana daukar ciki, ya kamata a sha akai-akai, kowace rana, kuma ba cikin darussan ko lokacin da kuka ji matsin lamba ba.

Ina shan Noliprel A don hauhawar jini a cikin shekaru da yawa da safe. Bayan 'yan watanni da suka gabata, aboki (ba likita ba) ya shawarci Cardiomagnyl a kara shi kafin lokacin bacci. Na yi matukar farin ciki da sakamakon. Matsin lamba bai ragu ba, saboda Noliprel ya riƙe shi da kyau. Amma da alama magnesium da asfirin suna lalata jijiyoyin jini, suna sauƙaƙa kwararar jini ta cikin su, sabili da haka, an inganta lafiya. Wataƙila tsarin Noliprel + Cardiomagnyl har yanzu yana da amfani ga wani.

Allunan Cardiomagnyl suna dauke da sinadarin magnesium masu karancin yawa, saboda haka babu wata fahimta daga gare su. Hakanan suna da asfirin, wanda zai haifar da zubar jini a cikin ciki. Ba a tabbatar da amfani da asfirin don rage hadarin bugun zuciya ba, kuma an tabbatar da gaskiyar hadarin zubar da jini ta hanyar aiki. Magauki magnesium tare da bitamin B6 a allunan Magne-B6, Magnerot, Magnicum, Magvit. Karanta labarin "Magnesium - babban ma'adanai a cikin abinci don hauhawar jini" a cikin ƙarin daki-daki.

Mutane kanyi korafi game da sakamako masu illa saboda gaskiyar cewa wannan magani yana rage karfin jini da yawa. A irin waɗannan halayen, ana iya jin rauni, rauni, gajiya, rashin tausayi, rashin ƙarfi don aiki. Don haka, kuna buƙatar canzawa zuwa Allunan tare da rage yawan magungunan abubuwa masu aiki, waɗanda sune ɓangaren magunguna masu haɗaka. Ko, idan hauhawar jini ya kasance mai laushi, to Noliprel yana da kwaya mai ƙarfi, kuma kuna buƙatar maye gurbinsu da softer. Kada kuyi wannan ba tare da izini ba, amma ku nemi likita.

Noliprel - kwayoyin hana daukar ciki don matsa lamba, amma ba panacea ba. Na dau wannan magani kowane safiya na dogon lokaci - 2 MG na perindopril da 0.625 mg na indapamide a cikin kwamfutar hannu guda. Shekaru da yawa komai yayi kyau, amma yanzu matsin lamba ya fara tashi. Na je wurin likita - ya ce don ƙara wani Nebilet.Bi bin shawarwarin - da gaske ya taimaka. Amma na fahimci cewa wannan matakin na wucin gadi ne. Na yanke shawarar canzawa zuwa yanayin rayuwa don ƙin ƙwayoyi. Don haka na shiga shafinku. Koda magungunan da suka fi tsada ba za su iya magance matsi ba har abada. Lokaci ya yi da za ku yi lafiyarku.

Marasa lafiya a cikin sake duba su sau da yawa sun koka game da sakamakon sakamako na magungunan haɗuwa mai ƙarfi don matsa lamba, ciki har da Noliprel. Yawancin lokaci waɗannan tasirin sakamako ba su da kyau, amma ba su da ƙarfi sosai cewa kana buƙatar soke shan kwayoyin. Haka kuma, zasu iya kuma ya zama ya lalata ta hanyar sauya sheka zuwa tsarin rayuwa mai lafiya.

Sakamakon daidaituwa na hawan jini yayin shan magunguna, ciwon kai yakan shuɗe, ƙwaƙwalwar hankali takan bushe. Daga wannan, kiwon lafiya ya inganta fiye da yadda aka lalace saboda cutarwa. Dry tari yakan faru, amma yawanci alama ce ta psychosomatic. Wato, idan marasa lafiya ba su san cewa perindopril, kamar sauran masu hana ACE ba, yana haifar da bushewa, to da alama ba za su sami wannan tasirin ba.

An gudanar da bincike da yawa waɗanda suka tabbatar da inganci da amincin ɗaukar nauyi na perindopril da indapamide kadai don maganin hauhawar jini. Daga baya, waɗannan magungunan rage karfin jini an haɗu don ƙirƙirar magunguna masu haɗuwa masu ƙarfi a cikin Noliprel. A cikin 2000s, an gwada shi da farko a cikin dakin gwaje-gwaje, sannan a kan marasa lafiya na ainihi, don bincika tasirin tasiri da yawan tasirin sakamako.

Binciken allunan don matsa lamba na Noliprel

Sakamakon wadannan karatun ya gamsar da masu ilimin cewa Noliprel ba kawai yana da tasiri sosai ba, har ma yana da aminci. Sabili da haka, an saba yin shi ga marasa lafiya. Bari mu zauna daban a kan batun kula da hauhawar jini a cikin marasa lafiya da ke dauke da nau'in ciwon sukari na 2 na masu amfani da allunan

A cikin 2012, an wallafa sakamakon binciken KYAUTA ta Yukren. Ya yi nazari kan inganci da amincin adana allunan Noliprel game da matsin lamba a cikin marasa lafiya waɗanda a haɗe hawan jini tare da ciwon sukari. Mahalarta binciken sun kasance maza da mata 762 sama da 40 da haihuwa, wanda cikin ƙarfin jini na jijiyoyin jiki ke rikitarwa ta nau'in ciwon sukari na 2. Wadannan marasa lafiya suna da karatun karar karfin jini na 160/100 mmHg. har zuwa 200/120 mmHg A baya, dukansu basu dauki magungunan kwayoyi don matsa lamba ba ko kuma sun sha, amma magungunan ba zasu iya rage karfin su ba a ƙasa da 140/90 mm Hg. Art.

Ga dukkanin waɗannan marasa lafiya, likitoci sun tsara Noliprel Bi-Fort, kwamfutar hannu 1 a kowace rana. Duk magungunan matsa lamba da masu cutar siga suka sha a baya an soke su. Bayan wata daya na maganin tare da Noliprel Be-forte, an aiwatar da iko na farko na sakamakon. Idan matakin ƙarfin jini ya kasance sama da 140/90 mm Hg, to an ƙara amlodipine 5 mg sau ɗaya a rana. Daga baya, idan ya cancanta, an kara adadin amlodipine zuwa 10 MG kowace rana.

Hanyar lura da matsanancin hauhawar jini "Triple stroke":

1. Ana wajabta haƙuri ga allunan Noliprel Bi-Forte sau ɗaya a rana. Perindopril 10 mg + indapamide 2.5 MG shine duka biyu.
2. Idan bayan wata daya matsa lamba ya kasance sama da 140/90 mm Hg. Art., Sannan ƙara ƙarin amlodipine 5 MG 1 sau ɗaya kowace rana.
3. Bayan makonni 2-4, ana iya ƙara yawan amlodipine zuwa 10 MG kowace rana, idan matsi bai ragu zuwa maƙasudin ba.

Matsakaicin matsakaici a cikin matsanancin babba (systolic) a cikin mahalarta binciken ya kasance 44.7 mm Hg. Art., Da ƙananan (diastolic) matsa lamba - 21.2 mm RT. Art. Bayan watanni 3, 62.4% na marasa lafiya tare da hauhawar jini da ciwon sukari sun sami damar isa ga karfin jini

Janar Bayani, INN

Magungunan Noliprel na cikin rukunin magungunan antihypertensive. An haɗa allunan matsi, sun haɗa da abubuwa guda 2. Wannan, bi da bi, yana inganta tasirin warkewar cutar.

Sunan kasa da kasa na musamman (INN) yana nufin keɓaɓɓen sunan kayan aiki wanda WHO ta ƙaddara. INN Noliprela - Perindopril da diuretics.

Shape da matsakaicin farashin

Magungunan an yi shi ne da fararen allunan farin oblong. Akwai nau'ikan magunguna guda uku waɗanda suka bambanta a cikin samfuran ƙirar perindopril (P) da indapamide (I):

• Noliprel A Forte: P - 5 MG, I -1.25 MG,
• Noliprel Bi: P - 10 MG, I - 2.5 MG,
• Noliprel Arginine: P - 2.5 MG, I - 0.625 MG.

Form sakin kaya

Farashin magani ya dogara da nau'in magani, sashi, wurin sayarwa:

• a cikin St. Petersburg, farashin ya kama daga 630 zuwa 850 rubles,
• a Moscow, allunan farashin daga 555 zuwa 818 rubles.

Abun haɗin kai da takamaiman aikin

Magungunan ya ƙunshi manyan abubuwan biyu: perindopril da indapamide. Allunan yana da tasirin tasirin abubuwa biyu na abubuwan rigakafi:

Perindopril, kasancewa mai hana enzymein-mai canza enzyme, yana hana tasirin vasoconstrictor na enzymes. Abubuwan toshewar ACE suna haifar da raguwa ga aikin aldosterone, kuma a cikin jini na jini, ayyukan renin yana ƙaruwa.

Ragewar jini yana raguwa a cikin marasa lafiya da keɓaɓɓen da ƙananan plasma renin abun ciki. Hakanan, bangaren kwamfutar hannu ta hanyar tasirin vasodilator akan jijiyoyin yana rage preload akan zuciya, kuma saboda raguwar sautin jigon jigilar abubuwa, yana rage yawan fitowar. Toleara haƙuri da damuwa ga damuwa.

Magungunan yana da tasiri mai rauni, rage karfin jini a cikin marasa lafiya na kowane zamani, ba tare da la'akari da matsayin jikin mutum ba. Bayan ɗaukar magungunan, tasirin antihypertensive yana ɗaukar sa'o'i 24. Ragewar saukar karfin jini yana faruwa ne tsawon tsawon wata daya ba tare da samuwar tachyphylaxis ba (raguwar tasirin magungunan ƙwayar cuta).

Sakamakon ingantaccen maganin yana kasancewa ne saboda aikin synergistic na abubuwan da ya ƙunsa.

Manuniya da contraindications

Ya kamata ku san wane irin matsin lambar amfani da magungunan kashe kiba, musamman, Noliprel, ya barata. Babban nuni shine haɓakar matsin lamba na systolic sama da 140, diastolic - fiye da 90.

Yanayin ciki wanda ba a bada shawarar shan allunan ba:

• rashin jituwa ga miyagun ƙwayoyi, abubuwan haɗinsa,
• na gazawar
• hepatic dysfunction,
• hepatic encephalopathy,
• lokaci na hepatitis B da ciki,
• yara da matasa.

Kada ku manta da abubuwan da ke sama. Wannan ba kawai zai kawo sakamako na warkewar cutarwa ba, amma zai haifar da rikice-rikice da halayen m.

Yaya za a lissafa sashi?

Jagorori don amfani suna bayyana ƙa'idodi don amfani da allunan don cimma iyakar tasirin warkewa. Ana ɗaukar maganin ta baka. Na farko, an tsara kwamfutar hannu guda ɗaya, in babu sakamako, yana yiwuwa a ƙara sashi zuwa biyu.

Ba za ku iya canza kashi ɗin da kanku ba, saboda wannan ya cika tare da sakamako mara kyau. Idan za muyi magana game da lokacin da za mu sha maganin, kafin ko bayan abinci, zai fi kyau mu ɗauki kwaya da safe, a kan komai a ciki, tare da gilashin ruwan dumi.

Mutanen da ke da matsala game da aiki na keɓaɓɓen aiki, suna shan magani ana nunawa ƙarƙashin ikon ƙirar keɓancewar maganin sharar ruwa.

Side effects da yawan abin sama da ya kamata

Tunda miyagun ƙwayoyi abu ne mai sinadarai, amfanin sa na iya haifar da sakamako masu illa daga gabobin da tsarin daban-daban. An jera halayen da ba a dace ba:

• a wani bangare na jini da tsarin lymphatic - eosinophilia, agranulocytosis, aplastic anemia, leukopenia, thrombocytopenia,
• tsarin na rigakafi yana amsawa tare da daukar matakin motsa jiki nan take. Mafi yawan lokuta, fatar fata na faruwa,
• tare da lalacewar tsarin juyayi, akwai take hakkin hankali, ciwon kai, rauni gaba ɗaya, nutsuwa, rashin tausayi,
• hangen nesa
• tinnitus
• raguwa mai ƙarfi a cikin matsin lamba, tashin hankali na orthostatic (tare da saurin tashi daga matsayi kwance), cin zarafi na zuciya,
• bushe tari wanda ya ɓace bayan dakatar da miyagun ƙwayoyi,
• murdiya tsinkaye tsinkaye, tashin zuciya, raunin ciki, maƙarƙashiya.

Don rage haɗarin halayen da ba a buƙata, kafin rubuta magani, ya kamata ku shiga cikin binciken likita kuma ku ƙaddamar da gwaje-gwaje na asali.

Haɗi tare da Barasa da Sauran Magunguna

Ya kamata a kula da hankali don haɗa magungunan tare da wasu kwayoyi. Idan kun sha magani tare da shirye-shiryen lithium a lokaci guda. Wannan zai haifar da gaskiyar cewa yawan tattarawar lithium a cikin jini zai karu, kuma sakamakonsa mai guba zai karu.

Yin amfani da haɗin gwiwa tare da magungunan anti-mai kumburi mai guba yana haifar da rikicewar aikin motsa jiki, a cikin manyan lokuta - ga haɓaka gazawar koda.

Sayan maganin a cikin tsofaffi yana buƙatar ƙara kulawa, saboda suna da alaƙa da alaƙa da yawa.

Antidepressants da rigakafin ƙwayar cuta suna haɓaka tasirin sakamako kuma suna ƙara haɗarin rushewar orthostatic.

Yin amfani da renin inhibitors a lokaci guda (Aliskiren) yana haifar da karuwar ƙwayar potassium a cikin fitsari, lalata zuciya da ƙodan, da mutuwa.

Yin amfani da wakilai na maganin antidiabetic yana taimakawa raguwa mai yawa a cikin sukari na jini da haɓaka ƙwayar cutar haipoglycemic.

Shan diuretics yana haifar da raguwa mai ƙarfi da sauri cikin sauri, karuwar haɓakar potassium daga jiki.

Wakilin antihypertensive da barasa a hade zai kai ga ci gaban tashin hankali, tashin zuciya, bugun zuciya, don haka wannan hadewar ba ta da yawa.

Analogs sune magunguna waɗanda suke da kayan aiki iri ɗaya kamar na asali, da kuma INN iri ɗaya. Shahararrun kwayoyi:

A cikin yanayin rashin iya aiki don ɗaukar wannan ko wannan magani, yana yiwuwa a maye gurbin shi da irin wannan. Kuna iya zaɓar magani wanda yake aiki yadda yakamata kuma zai fi araha.

Nazarin likitoci da marasa lafiya

Kimanin kashi 75% na marasa lafiyar da aka bincika suna ba da shawarar shan maganin. Kyakkyawan kima yana da alaƙa da kyakkyawar haƙuri na miyagun ƙwayoyi, mara kyau - tare da farashi mai tsada, amma akwai ra'ayoyin marasa lafiya marasa kyau, kodayake ba su da bambanci:

Ivan, dan shekara 67: “Na gamsu da allunan Noliprel, saboda na kwashe kusan shekara biyar ina kwashe su. A wannan lokacin na ji daɗi, amma na lura cewa a cikin makon da ya gabata matsin lamba ya tashi, duk da shan maganin.

Na je likita na kuma sami shawara - ƙara Nebilet (beta-blocker) a cikin babban magani. Yanayin gabaɗaya ya inganta. Amma na fahimci cewa wannan lamari ne na ɗan lokaci. Ina so in ƙi shan magunguna da yawa, don haka zan sake nazarin tsarin abincin da aikin mutum. Ina fatan komai ya kare. ”

Abubuwan da suka shafi likitocin zuciya suma sunada inganci:

Alena, 35 years old, likitan zuciya: “Noliprel magani ne mai kyau. Haɗin abubuwan haɗinsa yana ba da sakamako mai ƙarfi, ya ƙunshi rage systolic da matsa lamba, wanda ya wuce awanni 24.

Magungunan yana da tasirin tasirin jini - yana rage tsananin matsalar hauhawar tsoka, yana sa ganuwar katako sosai na roba. Bugu da kari, yana rage juriya na jijiyoyin jiki baki daya kuma baya shafar metabolism na fats. Magungunan ba mai jaraba bane kuma baya ƙaruwa da zuciya.

Magungunan suna da tasiri a cikin lura da mahimmancin hauhawar jini (sanadiyyar abin da ba a gano asalinsa ba). A cikin mutane masu ciwon sukari na 2, ƙwayar ta hana ci gaban angiopathies - rikitarwa na tsarin zuciya. Ana ɗaukar sau ɗaya da safe a kan komai a ciki, wanda kuma ya dace sosai ga marasa lafiya. ”

Daga abubuwan da muka gabata, za'a iya yanke hukuncin cewa ana kiran Noliprel hada magunguna masu hade da niyyar magance hauhawar jini. A hankali a haɗe tare da wasu magunguna, saboda wannan na iya ƙara haɗarin halayen masu illa.

Hawan jini yana da sauƙin sauƙaƙewa fiye da gyaran likita na yanayin. Don rigakafin, ya kamata ka sake tunani game da abincinka kuma ka jagoranci salon rayuwa mai aiki.

Kasuwancin magunguna na zamani suna da manyan magunguna waɗanda zasu iya rage hawan jini da bugun zuciya. Mafi dacewa sune magunguna masu haɗari waɗanda ke haɗuwa da halayen kirki na magunguna na ƙungiyoyi daban-daban. Suchaya daga cikin irin wannan kayan aikin warkewa shine Noliprel. A miyagun ƙwayoyi ne sosai tasiri a lura da muhimmanci na jijiya hauhawar jini.

Noliprel A Allunan Allunan 5 + 1.25 mg 30 inji mai kwakwalwa

Sakin tsari da kuma kayan magani

Ana gabatar da magungunan da aka gabatar a cikin nau'ikan allunan, an rufe su tare da harsashi na 14 da guda 30 a cikin boro. Inganci a lura da hauhawar jini yana da alaƙa da abin da ke jikin allunan. Babban kayan shine gishirin perindopril tert-butyl, yana a cikin adadin 2 MG da 625 μg na indapamide. Kamar yadda sinadaran taimakawa suke:

• magnesium stearate,
• silicon dicoside,
• cellulose
• lactose monohydrate.

Noliprel-Forte yana da ɗan kaɗan dabam kuma yana ɗauke da milligrams 4 na gishirin perindopril da milligram na 1.25 na indapamide.

Abubuwan farko na miyagun ƙwayoyi suna da ikon hana takamaiman enzyme - ACE, wanda zai iya shafar matakin hawan jini, na biyu shine sulfonamide diuretic. Tare, suna haɓaka aikin juna kuma, a ɗan ƙaramin sashi, suna yaƙi da haɓaka hauhawar ƙwayar cikin jijiya. Babu wani tasiri a cikin bugun zuciya, saboda haka masu magani suna iya ɗaukar maganin ta hanyar ƙwaƙwalwar ƙwayar cutar bradycardia.

Ana ganin sakamako mai warkewa, saboda tarin ƙwayoyi, ana lura da shi ne bayan wata ɗaya da magani. Tsawon lokacin guda ɗaya shine rana guda, don haka ana iya ɗaukar magani sau ɗaya. Kayan aiki ba ya cutar da metabolism kuma ba ya haifar da ci gaban bayyanar cututtuka bayan ƙarshen far. Yarda da jijiyoyin jijiyoyin bugun gini yana inganta sosai bayan doguwar jiyya.

Noliprel Tebur Bi-Fort. 10 mg + 2.5 mg 30 inji mai kwakwalwa

Contraindications

Bayan ƙaddara kasancewar alamomi don rubutarwa, likita dole ne ya duba mai haƙuri don maganin. Waɗannan sun haɗa da halaye masu zuwa:

• rashin lafiyan abubuwan da aka gyara samfurin,
• gaban m ko na kullum na koda kasawa,
• gaban hepatic encephalopathy,
• cirrhosis na hanta
• isasshen potassium a cikin jinin mai haƙuri,
• shekarun mai haƙuri ba su wuce shekara goma sha takwas ba,
• galactosemia,
• ciwon sukari na malambor syndrome.

Hanyar aikace-aikace

Noliprel® a forte (Noliprel® a forte)

Ya kamata a dauki miyagun ƙwayoyi tare da mahimmancin hauhawar jini, kwamfutar hannu guda ɗaya kowace rana da safe. Marasa lafiya tare da gazawar renal ya kamata ya kasance ƙarƙashin kulawa mai sauƙin likita. Ya kamata a kula da kulawa sosai don kula da keɓantaccen ɗaukar kwayar halitta da matakan potassium a cikin jini.

Rashin Amincewa da Yawan doauka

Karatuttukan asibiti da aka gudanar yayin tabbatar da shaidan, sun bayyana kasancewar wani matakin hadarin da ke tattare da sakamako masu zuwa:

• matsanancin rashin damuwa,
• abin da ya faru na orthostatic ya rushe,
• arrhythmias,
• shanyewar jiki
• gurɓataccen ɗaukar hoto,
• rashin ƙarfi a cikin iko,
• asarar ci
• tashin zuciya
• paresthesia
• amai
• murdiya ji, dandano,

Noliprel - umarnin don amfani

Abubuwan da ke nuna yawan wuce haddi sun hada da bayyanar tashin zuciya, amai, haɓakar jijiyoyin jiki da gazawar koda. A wannan yanayin, an nuna dakatarwar magunguna da maganin detoxification nan da nan. Cire kayan fashewar magunguna ta hanyar dialysis.

Menene maganin ya ƙunshi

Ofaya daga cikin magunguna masu haɗuwa shine Noliprel - kwayoyin hana daukar ciki. An samar da sakamako mai warkewa ta abubuwa biyu masu aiki na abubuwa:

Don ba da kaddarorin kayan aikin fasaha da ke cikin magani, ana samun kayan taimako:

• microcrystalline cellulose,
• lactose monohydrate,
• magnesium stearate,
• silica.

Yadda miyagun ƙwayoyi ke aiki a cikin jiki

Sakamakon warkewa na Noliprel an ba shi ta abubuwa ne masu aiki, wanda ke haɓaka aikin juna.

1. Na farkon su (perindopril) suna cikin rukuni na angiotensin-canza masu hana enzyme. ACE inhibitors yana rage jinkirin canzawar angiotensin hormone mai aiki wanda ke aiki a cikin angiotensin II mai aiki, wanda ke daidaita tasoshin jini da haɓaka hawan jini. Sun kuma hana lalacewar bradykinin, mai vasodilator, da rage haɗarin aldosterone a cikin jini, wanda ke taimakawa ƙara haɓaka.

Sakamakon haka, duka ƙwayar systolic da diastolic suna raguwa.

Har ila yau, Perindopril yana dirar tasoshin jini, yana rage hawan jini na ventricular, kuma ya dawo da jijiyoyin jijiyoyin jiki.

1. Indapamide memba ne na rukunin diuretic. Yana hana sake amfani da sinadarin sodium a cikin halittun kodan. Sakamakon haka, haɓakar sodium da chlorine suna ƙaruwa tare da fitsari.

An nuna Indapamide saboda yana rage hawan jini a allurai wanda kusan basa inganta tasirin sakamako.

Perindopril da indapamide suna haɗuwa cikin jini cikin sauri. Amfani da kayan halitta na farko ya kai kashi 70 cikin dari, bioavailability na indapamide kashi 95 ne. Matsakaicin mafi yawa na indapamide ana lura dashi sa'a daya bayan gudanarwa, perindopril - bayan sa'o'i uku zuwa hudu.

Duk abubuwan biyu ana keɓance su ta hanjin kodan.

Wadanne cututtuka ne Noliprel ke bi?

Ana amfani da magani a cikin lura da hauhawar jini. Ana yin wannan binciken lokacin da matsa lamba taurin kai ya wuce Hg 140/90 mm. Art. Haɓakar hauhawar jini ya kamata ya bambanta daga hawan jini, wanda zai iya bayyana bayan tsananin damuwa ko damuwa ta jiki. A wannan yanayin, matsin da kansa ya sake komawa matakin farko. Tare da hauhawar jini, gyaran matsa lamba zai yiwu kawai tare da taimakon wakilan antihypertensive.

Sakamakon mummunan hauhawar jini a jikin gabobin

Kwayar cutar hawan jini ya dogara da matakin ci gaban cutar da kuma matsayin lalacewa daga wasu gabobin da aka yi niyya.

1. A matakin farko, karfin jini bai wuce 180/115 mm RT ba. Art. Tsarin tsarin juyayi na tsakiya da gabobin basu shafi wannan matakin.
2. A mataki na biyu, matsin lambar ya tashi daga 180-210 / 115-125 mm RT. Art. Akwai taƙaitaccen tasoshin retina, haɓaka girman girman ventricle hagu, da hare-haren ischemic transistor. Rikicin tashin hankali ya bayyana.

Gwaje-gwaje suna gano furotin a cikin fitsari da haɓakar creatinine a cikin jini.

1. Mataki na karshe na cutar ana nuna shi ta hanyar rikice-rikice masu zafi. Matsi na iya isa 300/130 mm Hg. Art. Hagu na ventricular, rauni na jijiyoyin bugun jini, watsawar jijiyoyin jijiyoyi, jijiyoyin jijiyoyi, da gazawar koda.

Kwayoyin cutar hawan jini sune:

• angina pectoris
• bugun zuciya
• bugun jini
• na huhun ciki,
• bugun zuciya
• aortic sabour,
• retine detachment,
• kashe kansa daga jiki sakamakon lalacewar koda.

Lokacin da Noliprel ba zai iya magani ba

• Yin amfani da miyagun ƙwayoyi an cire shi lokacin da mara lafiyar ke nuna rashin kulawa ga abubuwan da ke ciki.

Tasirin perindopril akan tayin a cikin watanni na biyu da na uku na iya haifar da ci gaba da tashin hankali a cikin jariri, aikin nakasa, da lalata ƙasusuwa kwanyar. An lura da raguwa a cikin adadin ƙwayar amniotic. Indapamide na iya haifar da bata lokaci ga ci gaban tayin.

Idan ciki ya faru a yayin jiyya tare da Noliprel, an dakatar da maganin.

Baya ga contraindications kai tsaye, akwai yanayi wanda ya wajaba don amfani da Noliprel tare da taka tsantsan.

Akwai doguwar jerin hanyoyin kwantar da hankali wanda shan magani ya cika tare da sakamako wanda ba a so, kamar raguwar hauhawar jini, take hakkin metabolism na ruwa-gishiri. Wadannan sun hada da kashin kumburi na koda, dartic valve stenosis, systemic lupus erythematosus, ciwon sukari mellitus, hyperuricemia.

Mutanen da ke fama da cututtukan zuciya ko rashin wadatar jini ga kwakwalwa ya kamata a fara bi da su tare da rage kashi.

Kafin shan maganin, tsofaffi marasa lafiya ya kamata su bincika aikin kodan da kuma matakin potassium a cikin jini. Wannan ya wajaba don rage haɗarin yawan tashin zuciya.

Mutanen da ke fama da rauni na zuciya, raguwar tashin hankali mara nauyi, da kuma cirrhosis suna cikin haɗari iri ɗaya.

Farfesa "Noliprelom" yana buƙatar saka idanu akai-akai na matakan babban electrolytes a cikin jini na jini (potassium, magnesium, alli, sodium, chlorine, iron). Tabbas mahimmanci shine irin wannan kulawa don tsofaffi da waɗanda ke raunana da cututtuka daban-daban waɗanda aka tilasta su shan wasu magunguna.

Yadda ake shan magani

An wajabta magunguna don hauhawar jini a cikin dukkan digiri. Daidaitaccen sashi na manya shine kwamfutar hannu guda ɗaya kowace rana.

Sashi ga tsofaffi iri ɗaya ne. An bada shawara a sha kwaya da safe.

Tasirin warkewa bayan an kula da gudanarwarsa a duk rana. Ana samun sakamako na warkewa cikin ƙasa da wata guda. Idan an katse magani, babu sakamako cirewa.

Menene zai iya haifar da illa?

• An ƙaddara su ta hanyar amsawar jiki ga perindopril da indapamide. Abubuwan farko na Noliprel na iya haifar da raguwa mai yawa a cikin karfin jini, tsokani orthostatic hypotension. A cikin mafi yawan lokuta, angina pectoris, arrhythmia, infarction myocardial, bugun jini ba a ware.

Tsarin urinary na iya amsawa tare da haɓaka rashin ci gaba na ƙwayar cuta, haɓakar furotin a cikin fitsari.

Perindopril na iya haifar da ciwon kai

Yawancin halayen daga tsarin mai juyayi yana yiwuwa. Waɗannan sun haɗa da rauni da gajiya, farin ciki, ciwon kai, canjin yanayi, tingling da rarrafe, tinnitus, anorexia, matsalolin bacci.

Dry tari, bronchospasm, profuse ruwa na ruwa daga hanci (da wuya) ana iya lura.

Sakamakon mummunan tasiri na perindopril akan tsarin narkewa na iya haifar da ciwon ciki, zawo ko maƙarƙashiya, tashin zuciya, da jin bushewar baki. A cikin lokuta mafi ƙarancin lokaci, kumburi na ƙwayar ƙwayar cuta, choraasis intrahepatic (tsauraran bile), hyperbilirubinemia (matakan hawan bilirubin a cikin jini) sun haɓaka.

Bayyanar bayyanar fata an rage yawanci zuwa itching da rashes, urticaria da angioedema da wuya a lura.

Gwaje-gwaje na iya yin rikodin rage hemoglobin da ƙididdigar platelet.

Sauran halayen sune wuce kima, lalacewar iko.

• Sakamakon mummunan tasiri na indapamide akan tsarin juyayi na tsakiya yana bayyana ne ta hanyar ciwon kai, farin ciki, paresthesia, rauni.

Nausea, bushewa daga cikin bakin mucosa za'a iya lura dashi. Pancreatitis da hepatic encephalopathy na iya yiwuwa wasu lokuta.

Cutar amai da gudawa

Tsarin hematopoietic zai iya amsawa tare da leukopenia, thrombocytopenia, anemia.

Sakamakon cututtukan cututtukan fata ana bayyana shi sau da yawa a cikin rashes na fata, alamun bayyanar cututtukan cututtukan zuciya.

Indapamide na iya rage yawan taro na sodium, chlorine, wani lokacin potassium. Contentarancin sinadarin sodium na iya haifar da raguwa a cikin yawan motsa jini, bushewar jiki.

Me zai faru idan yawan abin sama da ya faru ya faru?

Idan, a sakamakon shan magungunan kai ko ta kuskure, an ɗauki ƙarin Noliprel, shan maye yana yiwuwa. Alamarsa sune:

• saukarwa mai kaifi,
• amai
• yanayin bakin ciki
• rashin bacci
• jinkirin zuciya
• polyuria (haɓakar haɓakar fitsari) ko oliguria (fitowar fitowar fitsari),
• take hakkin ma'aunin ruwa da lantarki.

Idan alamun guba na miyagun ƙwayoyi sun bayyana, kuna buƙatar shafa cikinku. Don tsabtace ciki, kuna buƙatar shan tabarau biyar zuwa shida na ruwan dumi tare da ƙari kaɗan na soda ko gishiri. Don sa kwayar ciki, kuna buƙatar danna kan tushen harshe tare da yatsunsu biyu.

Bayan wanka, zaku iya ɗaukar sihirin (carbon mai aiki).

Idan cutar kwayar da mai guba ta sauka, ya kamata a kwantar da shi a bayan sa, kafafunsa ya kamata a tashi, sa wani abu a ƙarƙashinsu.

Yadda Noliprel ke haɗuwa da wasu magunguna

1. A cikin jiyya tare da maras ƙwaƙwalwa, ba a ba da shawarar yin amfani da shirye-shiryen lithium da aka yi amfani da su don magance cututtukan manic da hypomanic na rashin lafiyar bipolar, ɓacin rai. ACE inhibitors da diuretics suna kawo jinkirin kawar da lithium daga jiki, wanda zai haifar da guba gawar ta wannan sinadaran.

Tare da maye na lithium, raunin jijiyoyi da raunin kwakwalwa daban-daban (rawar jiki, rikicewar daidaituwa na motsi, bugun zuciya) na faruwa.

Idan ba zai yiwu a ƙi yarda da magani tare da lithium ba, ana buƙatar kulawa da abin da ke ciki koyaushe kuma a yi gyara ga tafarkin jiyya.

1. Haɗin gwiwa tare da kwayoyi masu dauke da potassium ba shi da kyau, tunda haɓakar hyperkalemia ba a cire su. Wannan yanayin ilimin mutum yana haifar da canje-canje masu mahimmanci a cikin aikin zuciya, wanda zai iya yin barazana ga rayuwar mutum.
2. Perindopril na iya haɓaka sakamako na hypoglycemic na insulin.
3. Gudanar da hadin gwiwa tare da wasu kwayoyi (erythromycin, pentamidine, vincamine, bepridil, halofantrine) ya kamata a guji hana su, tunda ba a yanke hukunci game da haɓakar arrhythmias kamar su pirouette.
4. Irin wannan barazanar tana wanzu yayin da aka haɗu da magungunan antiarrhythmic (quinidine, amiodarone, sotalol).
5. Baclofen na shakatawa na tsoka na tsakiya yana haɓaka tasirin cutar Noliprel.
6. Ana samun sakamako iri ɗaya a haɗe tare da wasu magungunan rigakafin ƙwayoyin cuta da cututtukan cututtukan cututtukan fata na tricyclic.
7. Ibuprofen, diclofenac da sauran magungunan anti-inflammatory marasa steroidal, glucocorticosteroids suna rage tasirin antihypertensive.

Idan an dauki NSAIDs tare da masu hana ACE, to ba za a daina amfani da tasirin da ke taimakawa hyperkalemia ba. Wannan barazanar tana da girma musamman lokacin da mai haƙuri yana da ƙananan ƙwayar ƙwayar potassium, tazara mai tsawo na QT, kuma akwai bradycardia.

1. Magungunan da ke rage potassium a jiki (laxatives, glucose tare da insulin, alli), lokacin hulɗa tare da indapamide, na iya haifar da hypokalemia.

• “Noliprel” yana kara yawan guba da cututtukan zuciya wadanda ke haifar da sinadarin potassium a jiki.
• Rashin hankali a cikin aiki na kodan na iya faruwa lokacin amfani da abubuwa na radiopaque tare da abubuwan iodine.
• Abubuwan rigakafi na rigakafi na iya inganta ƙwayoyin jini a cikin jini.

Yin hulɗa da miyagun ƙwayoyi tare da wasu kwayoyi

Bai kamata a ɗauki Noliprel a lokaci ɗaya tare da magunguna waɗanda ke ɗauke da lithium ba, saboda wannan na iya haifar da karuwa ba tare da kulawa ba a cikin matakan lithium. Haɗakarwa da jiyya tare da diuretics waɗanda ke inganta riƙe potassium zai iya haifar da mummunan sakamako har ma da mutuwa. Amfani da jituwa na Noliprel da antipsychotics na iya haifar da rushewar orthostatic akai-akai. Haɗin maganin tare da glycosides zai iya haifar da sakamako mai guba akan ƙwayar zuciya. Haɗuwa tare da metmorphine yana haifar da mummunan acid na metabolic acid.

Drug Laboratoires Servier Masana'antu Noliprel Forte

Ta yaya zan iya maye gurbin maganin?

Idan ba zai yiwu ba a sayi noliprel, ana iya maye gurbin shi da analogues. Daga cikinsu akwai irin sanannun kwayoyi:

Suna da kayan aiki iri ɗaya kamar Noliprel. Akwai ƙananan bambance-bambance a cikin jerin abubuwan taimako, don haka kafin amfani da analogues, dole ne a karanta bayanin magani.

Analogs sun bambanta cikin farashi, wanda ya dogara da wace ƙasa aka samar da takamaiman magani. “Noliprel” magani ne mai inganci da hauhawar jini. Koyaya, ba da shawarar yin amfani da shi ba tare da takardar likita ba saboda kasancewar contraindications da sakamako masu illa.

Informationarin bayani game da taken "Noliprel (umarnin don amfani): a wane matsin lamba ne zan sha maganin?" Za a iya samun shi daga bidiyon:

Kuna iya ƙarin koyo game da hauhawar jini daga bidiyo mai zuwa:

Hutu da yanayin ajiya

Akwai magungunan don siyarwa, zaku iya siye shi a duk wani kantin magani a cikin birni har ma da yanar gizo, don wannan baku buƙatar takardar sayan magani daga likitan ku. Kuna buƙatar adana maganin a cikin wani wuri mai duhu, wanda ba a iya kaiwa ga hasken rana da yara ƙanana a yanayin zafi har zuwa digiri ashirin da gumi ƙasa da kashi saba'in.

Kudin magungunan da aka gabatar ba shi da ƙaranci, tunda farashin samarwa da abubuwan haɗin da ake buƙata ba su da yawa. Wannan yana ba da damar jiyya na dogon lokaci har ma da inshorar asali ko ƙaramar ƙarancin magani.

Natalia, shekara 53

"Na riga na wuce hamsin, kuma akwai matsaloli tare da matsin lamba. Likita ya ba da umarnin Noliprel, kuma komai ya kasance kamar yadda yake - tinnitus ya ɓace, ciwon kai ya ɓace, gaba ɗaya, na ji daɗi. A wani lokacin, da alama a gare ni cewa ko da a lokacin jiyya na rasa nauyi kaɗan kuma na kawo kaina ga yadda take, kamar yadda zai yiwu a shekaruna. A hankali, alamun baƙon abu suka fara bayyana - bushe baki, maƙarƙashiya. Bayan na je likita, komai ya faskara - an daidaita sashin, ya juya da gangan na rasa nauyi, kuma an kirga kashi na wani taro na daban. "

"Na dauki Noliprel da safe, in ba haka ba, matsaloli tare da cutar hawan jini ya sake bayyana. Na yi matukar farin ciki da miyagun ƙwayoyi, saboda farashin yana da dadi, kuma babu tambayoyi game da ingancin maganin. Ina kuma shan maganganun rashin jituwa, saboda godiya ga magungunan zamani bana jin tsoro don lafiyar na! ”

“Da dadewa ban yi imani cewa a cikin arba'in da biyar na jini hawan jini na iya bayyana. Likita ya sake ba ni tabbacin, ya yi bayanin cewa sanadin, wataƙila, shi ne damuwa da matsaloli a wurin aiki. Sun rubuta mani "Noliprel" - komai ya lalace, kawai dauki kwamfutar hannu guda da safe. "

"Noliprel" magani ne mai ƙoshin lafiya, yana da haɗaka. Pewarewarsa shine cewa miyagun ƙwayoyi sun ƙunshi abubuwa masu aiki guda 2 waɗanda ke yin aiki daban daban a lokaci guda. Abun da ke cikin miyagun ƙwayoyi ya hada da perindopril da indapamide. Abubuwan suna cikin nau'ikan magunguna daban-daban game da hawan jini. Nau'in farko shine maganin antiotensin-mai canza enzyme mai hanawa, na biyu kuma shine diuretic. Haɗin gwiwa tsakanin waɗannan abubuwan yana haifar da raguwa a cikin karfin jini. "Noliprel" yana taimakawa matsi a cikin mafi yawan lokuta masu rauni, lokacin da kwayoyi da yawa ba su da ƙarfi.

Allunan Noliprel don matsin lamba: abun da ke ciki, nau'i na saki

"Noliprel" magani ne mai inganci don hauhawar jini. Kafin amfani, ana bada shawara a nemi likita. Dangane da nazari, gwaje-gwaje, nazarin lafiyar lafiyar mai haƙuri, zai tsara wani tsarin kula da magani dangane da haɗakar magunguna a daidai gwargwado.

Don yin nasara cikin jiyya na cutar, ya wajaba don sanin dalilin hauhawar jini. Cutar na iya faruwa ta hanyar cututtukan abubuwa masu mahimmanci, cuta na rayuwa a cikin jiki. Noliprel na ɗaya daga cikin magunguna masu ƙarfi da ake amfani da su don maganin hauhawar jini.

Noliprel Allunan suna cikin rukunin magungunan magungunan antihypertensive

Babban kayan aikin magani:

• Perindopril - 2 MG,
• Indapamide - 0.625mg.

An tsara maganin don amfani dashi a cikin hauhawar jini. Kasancewa ga rubutattun likitan likitanci, ingancin maganin magani ya kai kashi 99%.

Noliprel don matsin lamba: nau'ikan kwayoyi

Ana samar da Noliprel a fannoni da yawa. Nau'in magungunan sun bambanta da abubuwan da ke aiki na Perindopril / Indapamide:

• Noliprel - 2mg / 0.625mg,
• Noliprel Forte - 4 MG / 1.25 MG,
• Noliprel A - 2.5mg / 0.625mg,
• "Noliprel" Kuma daga matsin lamba na Forte - 5mg / 1.25mg,
• Noliprel A Bi-Fort - 10mg / 2.5mg.

Dangane da ƙararren likitancin likita, Noliprel yana nufin ƙwaƙƙwarar ƙwayar cuta wanda ke shafar rage karfin gwiwa. Ana aiwatar da tasirin magungunan ta amfani da abubuwa guda biyu masu aiki - indapamide da perindopril, waɗanda abubuwa ne da ke da ire-irensu.

Abun ciki da nau'i na saki

Ana samun Noliprel (Noliprel) a cikin Allunan iri da yawa. Abun da suke dasu:

Farin farin allunan

Cakudawa daga perindopril, mg ta pc.

Matsayin indapamide, mg ta pc.

Microcrystalline cellulose, magnesium stearate, colloidal silicon dioxide, lactose monohydrate

Blisters na kwakwalwa guda 14 ko 30. a cikin fakitoci tare da umarnin don amfani

Farashin, rubles don 30 inji mai kwakwalwa.

Tsarin magani

Perindopril wani abu ne mai hana mutum aiki na hana sinadarai mai aiki da sinadarai na angiotensin, kuma indapamide shine diuretic daga kungiyar sulfonamide. Noliprel yana rage tashin hankali da matsin lamba, ba ya haifar da bugun zuciya. Ana lura da tasirin asibiti wata daya bayan fara gudanarwa. Aikin ya ci gaba har kwana daya. Bayan dakatar da maganin tare da Noliprel, ciwon cirewar baya faruwa.

Magungunan yana inganta elasticity da amincin ganuwar hanyoyin jini. Magungunan ba zai tasiri metabolism ba, yana rage samar da aldosterone. Shan kwayoyin suna rage yiwuwar bunkasa hypokalemia. Hanyar aiwatar da indapamide daidai yake da cututtukan thiazide - yana haɓakar urination da urinary excretion na chlorine da sodium. Yayin jiyya tare da Noliprel, matakin lipids a cikin jini baya canzawa, hauhawar jijiyoyin jiki yana raguwa a ƙarƙashin tasirin adrenaline.

Perindopril yana cikin hanzari yana ɗaukar hankali, ya kai 65% bioavailability, 20% yana metabolized don ƙirƙirar metabolite mai aiki na perindoprilat. Matsakaicin taro na jini ana samun sa'o'i 3-4 bayan gudanarwa. Yana ɗaure zuwa sunadarai da 30%. Rabin rayuwar perindoprilat awoyi 25 ne, kodan ya cire shi. A cikin tsofaffi da marasa lafiya da cututtukan zuciya, gazawar koda, ana rage ragowar ƙwayar cuta a hankali.

Indapamide yana cikin hanzari kuma ga mafi girmanshi a cikin ciki, ya kai matsayin mafi girman awa daya bayan fitowar. Abubuwan sunadaran kashi 79% ne hade da albumin, rabinsa shine awanni 19. Abubuwan sun banbanta ta hanta da kodan da hanjin ta, idan akwai matsala ta aikin keɓaɓɓe ko ƙarancin su, magunguna ba ya canzawa.

Allunan Allunan

Umarni yana ba da shawarar shan allunan da safe, ɗaya a lokaci ɗaya kowace rana, ba tare da taunawa ko murƙushewa ba, tare da ruwa mai yawa. An tsara hanyar magani ta likita, amma yawanci ba'a iyakance shi ba. Idan ya cancanta, likita na da 'yancin ƙara yawan kashi bayan wani ɗan lokaci, yana jujjuya maimakon Noliprel maganin A, Forte, A forte ko B forte.

Noliprel A Forte da Noliprel Bi Forte

Umarni game da amfani da allunan Noliprel A forte da Bi forte basu bambanta da daidaitattun allunan ba. An wajabta su ɗaya a kowace rana, musamman a safiya. Allunan ya kamata a sha a lokaci guda, a wanke da ruwa. Ba a iyakance hanyar jiyya ba. Idan mara lafiya ya rage tsaftacewar amino acid din, to ba a rage kason ba. Tare da nuna alama mai haɓaka - a lokacin jiyya, ana sarrafa matakin potassium da creatinine a cikin jini.

A lokacin daukar ciki

Umarni ya hana amfani da Noliprel yayin daukar ciki ko shayarwa. Rashin yarda da wannan dokar yana barazanar ci gaban mahaukata da cututtuka a cikin tayin, wanda hakan na iya haifar da mutuwar jariri. Idan mai haƙuri ya yi juna biyu a lokacin jiyya tare da miyagun ƙwayoyi, ba lallai ba ne don katse ciki, amma an maye gurbin maganin ta wata, magani mafi aminci.

Lokacin shan kwayoyin a cikin na uku, kashi na uku na haihuwar jariri, tayin ya ɗauki wani duban dan tayi don tantance yanayin koda da aikin kwanyar. Idan mahaifiyar ta sha miyagun ƙwayoyi, to, jarirai na iya wahala daga yanayin ƙarfin jijiya, wanda ke buƙatar saka idanu akan jikinsu akai-akai. Yayin yin jiyya, sai an soke mahaifa, ko kuma a koma mahaifiyar zuwa wani magani mai lafiya.

Hulɗa da ƙwayoyi

Umarnin don amfani yana nuna hulɗa da miyagun ƙwayoyi tare da wasu hanyoyin. Waɗannan haduwa da sakamako ne:

1. An haramta haɗuwa da Noliprel tare da shirye-shiryen lithium, saboda wannan yana haifar da karuwa a cikin taro na lithium a cikin jini da guba.
2. Zai yuwu a sha magani a lokaci guda tare da daskarar da ke dauke da sinadarin potassium ko kuma abubuwan da ke dauke da kwayar cutar ta potassium da cutar hypokalemia.
3. Haɗin maganin tare da halofantrine, vincamine, sultoprid ko bepridil, gudanarwar cikin jini na erythromycin na iya haifar da arrhythmia, bradycardia.
4. Haɗin insulin da Noliprel na iya haifar da cututtukan jini.
5. Magungunan rigakafin ƙwayar cuta marasa lalacewa suna hana kaddarorin da ke cikin damuwa. Tare da rashin ruwa a jiki, irin wannan haɗin na iya haifar da gazawar koda.
6. Haɗin magani tare da maganin rigakafin ƙwayar cuta ko maganin tricyclic antidepressants na iya haifar da cututtukan orthostatic.
7. Amfani da jituwa na Noliprel da Amphotericin B, mineralocorticoids, Tetracosactide, glucocorticosteroids, laxatives na motsa jiki yana haifar da jinkiri a cikin kayan lantarki da ruwa, wanda ke haifar da ci gaban hypokalemia da raguwa a cikin tasirin hypotensive.
8. Haɗin maganin tare da glycosides na zuciya zai iya haifar da hypokalemia da haɓakar haɗarin guba.
9. Metformin a hade tare da Noliprel na iya haifar da lactic acidosis.
10. Kafin yin amfani da bambanci na maganin-iodine mai dauke da kwayoyi tare da miyagun ƙwayoyi, ana buƙatar isasshen ruwa na jiki.
11. Haɗin maganin tare da ƙwayar ƙwayar calcium yana haifar da ci gaban hypercalcemia.
12. Yin amfani da cyclosporine a lokaci guda yana ƙara matakin creatinine a cikin jini.
13. Lokacin yin jiyya tare da Noliprel, an haramta barasa.

Yawan abin sama da ya kamata

Maganin Noliprel na iya haifar da yawan shan ruwa yayin shan allurai. Kwayar cutar ita ce: raguwa mai ƙarfi a cikin matsin lamba, amai, tashin zuciya, rashin daidaituwa na lantarki, rashin ƙarfi, rashin nasara na yara, rashin yanayin motsi. Don magani, an wanke ciki, ana ɗaukar enterosorbents, ma'aunin ruwa-electrolyte an daidaita shi, ana yin dialysis.

Analogs na Noliprel

Kuna iya maye gurbin miyagun ƙwayoyi tare da jamiái tare da daidai ko abun da ke kama, amma tare da irin tasirin magungunan. Analogs na Noliprel sune:

• Co-prenesa - allunan rigakafin jini wanda ke dauke da indapamide da perindopril azaman kayan aiki masu aiki.
• Prestarium - Allunan rigakafin ƙwayoyin cuta waɗanda ke dogara da perindopril, wasu nau'ikan ƙari kuma suna ɗauke da indapamide da amlodipine.