Lorista da Amlodipine

Zan iya sha Amlodipine da Lorista tare da hauhawar jini tare?

Lorista da Amlodipine karfinsu

Wadannan magungunan guda biyu an wajabta su don hauhawar jini. Tasirinsu ga jiki ya bambanta, amma suna haɗuwa sosai. Amlodipine yana dakatar da tsalle-tsalle a cikin karfin jini. Ana amfani da Lorista don magani na dogon lokaci kuma sakamakon magani ya bayyana bayan fewan kwanaki kaɗan na yarda. Dukansu magunguna suna da mahimmanci ga rashin zuciya a cikin tsofaffi marasa lafiya.

Lorista da Amlodipine suna da tasirin sakamako, don haka kawai likita ne ya tsara su, dangane da tarihin kowane mai haƙuri. Yana faruwa sau da yawa cewa mai haƙuri yana fara warkar da kansa, sannan kuma ya juyo cewa wannan magani yana cutar, amma baya taimakawa.

Kwatanta Miyagun Kwayoyi

Don lura da hauhawar jini, an tsara magunguna biyu tare, amma tasirinsu ya bambanta da gaske. Lokacin da rikici ya faru, “an tsara Amlodipine,” yana aiki da sauri kuma yana hana farmaki, kuma matsi zai ragu da sauri. "Lorista" hanya ce mafi inganci don amfani da tsawan lokaci. Magungunan yana cikin sabon rukuni na magungunan rigakafi, tsayayyen raguwar hauhawar jini yana faruwa ne kawai bayan 'yan kwanaki na gudanarwa. Suna datse jijiyoyin jini kuma suna hana ƙwayoyin jini guda ɗaya, suna rage hawan jini kuma suna hana bugun zuciya.

Amlodipine da Lorista sun dace don maganin hauhawar jini a cikin tsofaffi.

Wadanne alamu ne yakamata a yi amfani dasu?

An tsara miyagun ƙwayoyi "Lorista" don hauhawar jijiyoyin jini, bugun zuciya na rashin ƙarfi, nephropathy a cikin marasa lafiya tare da ciwon sukari na mellitus, don rigakafin cututtukan zuciya mai tsanani. "Amlodipine" ana amfani dashi don rikicewar hauhawar jini, cututtukan angina pectoris, arrhythmias, cerebral arteriosclerosis. Sabili da haka, tare da maganin rigakafin ƙwayar cuta, waɗannan kwayoyi sukan ba da umarnin sau da yawa a hade.

Sashi da amfani

Akwai "Lorista" a cikin allunan 25, 50 da 100 MG, babban sinadaran aiki - losartan, yana cikin rukunin sartan. Tare da hauhawar jijiyoyin jini, ana ba da magani na milligram 50 50 sau ɗaya a rana. A cikin lokuta masu tsanani, an yarda da 100 MG. Tare da haɗin gwiwa na yin amfani da diuretics, ana iya rage kashi zuwa 25 milligram. Aikin magani har zuwa watanni 1.5, ana ɗauka komai game da abinci. Ana ba da magani ta hanyar sayan magani.

A cikin allunan Amlodipine, babban sinadaran aiki shine amlodipinn benzylate, mai maganin antioxist, sashi na 5 da 10 mg. Maganin farko na milligram 5, sakamakon bayyana yana faruwa ne a cikin awanni biyu kuma yana tsawan rana guda. Tare da ƙaruwa sosai a cikin karfin jini, ana bada shawara don shan 5 MG kowace rana don makonni uku, to ana iya ƙara yawan kashi. Tare da hauhawar jini, ana ɗaukar miyagun ƙwayoyi a ci gaba, an ƙaddara maganin ta likita.

Contraindications

Haramcin amfani da miyagun ƙwayoyi yana da alamu gama gari, amma akwai bambance-bambance. Detailsarin bayani game da su a cikin tebur:

Sakamakon cutar hawan jini ya zama sananne ga kowa: waɗannan sune raunuka marasa sauyawa da ke faruwa ga gabobin jiki (zuciya, kwakwalwa, kodan, jijiyoyin jini, tushen). A matakai na gaba, daidaituwa yana rikicewa, rauni yana bayyana a hannu da kafafu, hangen nesa ya ragu, kwakwalwa da hankali suna ragu sosai, kuma za a iya haifar da bugun jini.

Domin kada ya kawo rikitarwa da aiki, Oleg Tabakov ya bada shawarar ingantacciyar hanyar. Kara karantawa game da hanyar >>

1. Benzodiazepines da barasa

Tsakanin 2001 da 2014, jimlar adadin mutuwar ta hanyar shan benzodiazepines sun karu sau biyar. Shan giya yana kara haɗarin sakamakon da ba a iya faɗi ba daga jiyya tare da miyagun ƙwayoyi. Wannan haɗuwa mai haɗari yana da alhakin sama da biyar na asibiti wanda ke hade da mummunan sakamako na kwayoyi da barasa. Sau da yawa wannan yakan haifar da gazawar numfashi.

Duk abubuwan biyu suna iya kwantar da tsokoki da rage girman tsarin juyayi na tsakiya, suna sanya mutum cikin haɗarin fadawa cikin rashin lafiya da mutuwa. Yin amfani da magunguna da shan giya akai-akai na iya rage karfin garkuwar jiki wajen yakar cututtukan da ke addabar rayuwa, wanda hakan ke haifar da karuwar hadarin mutuwa da kuma mummunan lalacewar jikin mutum.

2. Opiates da barasa

Kamar haɗuwa mai haɗari na benzodiazepines da barasa, opiates ya zama mai haɗari sosai idan aka haɗasu da giya. Masu adawa, ciki har da haramcin amfani da tabar heroin, da magungunan jin zafi kamar OxyContin, Vicodin, da hydrocodone suna hana tsarin juyayi na tsakiya, wanda a ƙarshe ke dakatar da numfashi. Kodayake magunguna na iya haifar da tasirin magani kuma, a wasu halaye, jin wani euphoria, haɗarin yawan haɗuwa da ya wuce kima yana da girma. A cewar Cibiyar Kula da Cututtuka da Cututtuka (CDC), barasa ya haifar da mutuwar 22% daga amfani da opiate.

3. Antidepressants da barasa

Antidepressants kamar Zoloft, Prozac ko Xanax suna kara tasirin barasa a jiki. Don haka, shan gilashin giya guda ɗaya, mutum yana jin sakamako kamar ya sha biyu. Wasu cututtukan ƙwayar cuta suna haifar da asarar ikon yanke shawara, mummunan hawan jini, da hauhawar baƙin ciki. Lokacin da magani ya haɗu da barasa, yana ƙaruwa da haɗarin rashin tsoro, yawan tashin zuciya, rikicewa, har ma da coma.

4. Psychostimulants da barasa

Psychostimulants kansu, kamar Ritalin, Adderolum, Methamphetamine da Cocaine, suna kunna jiki, suna haifar da karuwa a cikin jini, wanda ke taimakawa rufe abubuwan shaye-shaye. Musamman, haɗin cocaine da barasa suna haifar da yawaitar hodar Iblis, wanda ke kara haɗarin haɗarin cututtukan zuciya. Wannan mummunan haɗari shine sakamakon haɗin gwiwar giya da cocaine kuma yana haifar da karuwa a cikin zuciya har zuwa mafi girma daga kowane magani.

5. Abubuwan hana haihuwa da barasa

A cewar Cibiyar Kula da Cututtukan Cututtukan, kashi 62% na matan Amurkawa na masu haihuwa a halin yanzu suna daukar kwayar cutar, mafi yawansu kwayoyin hana daukar ciki. Bayan shan kwayoyin, yana ɗaukar kimanin sa'o'i uku don maganin ya isa bakin jini ya fara samun sakamako. Mata suna yin bugu da sauri yayin shan magunguna, saboda jiki yana "aiki" tare da metabolism na hormones.

Wannan yana rikitar da metabolism na ethanol. Kari akan wannan, giya yafi tsayi daga jiki, wanda hakan ke lalata damar sanin mace.

6. Magungunan kwayoyi da barasa

Magungunan kan-nesa za su iya zama kamar zaɓin marasa lahani, amma haɗuwa ba daidai ba na iya zama m. Dangane da binciken da aka buga a mujallar Medical Clinics na Arewacin Amurka, masana kimiyya sun gano cewa 38% na mutanen da suka kamu da mummunar cutar hanta sunyi amfani da tylenol tare da barasa.

A cewar Makarantar Kiwon Lafiya ta Harvard, Amurkawa miliyan 32 suna daukar kwayar cutar cholesterol a kowace rana, amma idan aka hada su da giya, statins na iya lalata hanta tare da sanya jikin mutum cikin hadarin sake bullar wasu cututtuka daga baya.

In faɗi wanne daga cikin magungunan "Amlodipine" ko "Lorista" ya fi kyau yana da wahala, tunda suna cikin rukunin magunguna daban-daban kuma ana rubuta su a cikin hadaddun don lura da ciwon hauka mai ƙarfi ko mai juriya.

Amma akwai bambanci mai mahimmanci. Misali, tasirin Amlodipine yana da sauri, saboda haka, magani ya dace don kawar da rikice-rikicen tashin hankali, yayin da allunan Lorista suna da tasiri don amfani na dogon lokaci. Amma don kwatanta duka magunguna, kuna buƙatar yin la'akari da bayanan game da su daki-daki.

Bayanin kwayoyi

"Amlodipine" magani ne daga ƙungiyar dihydropyridines, mai ɗaukar tashar alli. Magungunan yana fara aiki a cikin sa'o'i ɗaya zuwa biyu, kuma tasirinsa ya ci gaba har kwana ɗaya. An haramta maganin ga mata masu juna biyu da masu shayar da yara, yara, marasa lafiya da gazawar hanta. Saboda liyafar na iya faruwa:

• ciwon kai
• kumburi
• hanci
• bugun zuciya
• zafi urination
• jan fata na fata.

Lorista babban mai karɓar angiotensin II ne ko sartan. Wannan sabon rukuni ne na magungunan da ke rage karfin jini, saboda magunguna daga wannan rukuni an kunshi su cikin tsarin kulawa. Ana daukar kwamfutar hannu sau ɗaya a rana, kuma sakamakon maganin yana ɗaukar sa'o'i 24. Kada ku yi amfani da miyagun ƙwayoyi a cikin marasa lafiya da ke bushewa, lokacin daukar ciki da kuma lactation, a cikin yara. Sakamakon amfani da maganin, marasa lafiya na iya fuskantar:

• matsalar rashin bacci
• ciwon kai, tsananin farin ciki,
• ƙwaƙwalwar ƙwaƙwalwar ajiya
• suma
• mashako, tari,
• gumi
• fata bushe,
• alopecia.

Waɗannan kwayoyi daidai suke?

"Amlodipine" da "Lorista", kamar haka daga bayanin da muka gabata, magunguna ne daga ƙungiyoyi daban-daban na magungunan antihypertensive. Masu tallata tashar alli suna rage matsin lamba ta hanyar fadada bututun, wato, ta hanyar rage karfinsu. Wadannan magungunan suna hana ƙwanƙwasa jini daga kirkira da dakatar da haɓakar atherosclerosis, ƙara ƙarfin jimrewa na jiki, da kuma nuna kyakkyawan sakamako a cikin marasa lafiyar tsofaffi. A biyun, aikin sartans yana toshe masu karɓa don angiotensin II kuma baya barin hormone ya haifar da hauhawar jini. Angiotensin II blockers na hanawa suna cikin jiyya don magance hauhawar jini, kar a haifar da tari mai narkewa da ciwon cirewa, suna da tasiri ga hawan jini na koda. Dangane da haka, mutum ba zai iya faɗi cewa shirye-shiryen da aka bayyana sun yi kama da juna ba, saboda kyakkyawan tsarin aikin da bambance-bambance na aikin da aka cimma.

Jagorar Magunguna

1. 1. Sakamakon duk kwayoyi yana raguwa idan kun ci kitse kafin amfani, saboda fats yana hana ɓoye ruwan 'ya'yan itace na ciki da hana motsi na hanji. Yi banbanci tsakanin shan ƙwayoyi da abinci: awa 1 (kafin ko bayan).
2. 2. Shaye rigakafin ƙwayoyin cuta, sulfonamides (biseptol, sulfadimethoxin), magungunan antithrombotic (thrombo ass, chimes, acetylsalicylic acid, asfirin, cardiomagnyl, plavix, da sauransu), cardiac glycosides (digoxin) a cikin sel yana rage idan kun ci naman furotin kafin amfani , kifi, madara): Yi banbanci tsakanin shan ƙwayoyi da abinci: awa 1 (kafin ko bayan). Amma ɗaukar shirye-shiryen baƙin ƙarfe da maganin anticoagulants (warfarin, heparin, lyoton, da dai sauransu) yana inganta: amfani lokacin abinci.
3. 3. Yawan shan kwayoyi bayan shan carbohydrates (duk kayan lemun zaki, ruwan lemo, gari, 'ya'yan itatuwa) yana raguwa kuma ingancin su yayi rauni. Yi banbanci tsakanin shan ƙwayoyi da abinci: awa 1 (kafin ko bayan).
4. 4. Amines na biogenic da aka samo a cikin cuku, yogurt, nama, kifi, caviar, ayaba, abarba, giya, giya, cakulan, suna da tasirin vasoconstrictor, wato, ƙara matsa lamba. Sabili da haka, ba a ba da shawarar amfani da su tare da duk magunguna, musamman tare da kwayoyi waɗanda ke rage karfin jini. Idan ana amfani da maganin rigakafi a lokaci guda, rikici mai hauhawa na iya faruwa!
5. 5. Nitrites da nitrates, wanda yanzu aka samo su a kusan dukkanin samfurori, musamman kyallen tsiran alade, haɗe tare da tetracycline, magungunan antidiabetic (Siofor, Metformin, Glucofage), piperazine, samar da abubuwa na ciki! Yi banbanci tsakanin shan ƙwayoyi da abinci: 1.5-2 hours (kafin ko bayan).
6. 6. Gishirin karafa mai nauyi (magunguna don ƙwannafi - rennie, phosphalugel, maalox, da dai sauransu) a hade tare da tetracycline form insoluble mahadi, sabili da haka, ƙwannafi zai kasance kuma mura zai yi azaba.
7. 7. Tetracycline baya hade da kayan kiwo!

Dokokin shan asfirin (acetylsalicylic acid):

1. 1. Kyakkyawan ingantaccen tsari ko kwalliya.
2. 2. A cikakken ciki, kai tsaye bayan cin abinci.
3. 3. Sha tare da ruwan alkaline (ma'adinai ko ƙara soda a cikin ruwa).
4. 4. Idan kwamfutar hannu ba talakawa bane, zai fi kyau nika.
5. 5. inauki maraice lokacin da ake rage haɗarin acid ɗin da kashi 40%.
6. 6. Don tsarma jini, ɗauki kashi 50 MG, ba 100 MG ba (ba za ku iya raba kwamfutar hannu a cikin kwasfa ba!).
7. 7. Bayan shekaru 50, ana bada shawara don ɗaukar asfirin a cikin karamin sashi (yana hana ƙyallen platelet da jini mai narkewa), zai fi dacewa a cikin membrane don kare ganuwar ciki (acetylsalicylic acid yana haushi da ƙwayoyin mucous, Saboda haka gastritis, ulcer, perforation na ciki, rashin lafiyan, rashin jin).
8. 8. Asfirin yana da kyau saboda baya sauƙaƙa zafin jiki a ƙasa da al'ada.
9. 9. Curantil yana narke jini da kyau - sau 2 a mako, kwamfutar hannu 1 da dare (aƙalla don rayuwa). Hakanan yana da tasirin rigakafin cututtukan ƙwayar cuta - 1 lokaci a mako, 1 kwamfutar hannu na 75 MG - ya sa ya yiwu a samar da interferon (Cibiyar Nazarin Kwayar cuta ta tabbatar).
10. 10. Da karfi kar a tsoma baki da giya.

An Haramta Analgin a Turai, Amurka, saboda yana hana hematopoiesis. Ayyukanta suna inganta omez.
Anaprilin da analgin suna haɓaka raguwar sukari (mai haɗari sosai ga masu ciwon sukari).
Kunshe cikin:
- tempalgin
- andipal (shan allunan 2 sau 2 a rana)
- Pentalgin
- sedalgin
- baralgin (ingantacce don colic, cramps, haila mai rauni, ba a ɗauka fiye da kwanaki 5, saboda aikin koda yana lalata, yana ƙaruwa da zuciya, urination yana da wuya, ba zai iya zama da ciki ba, lactating, yara underan shekaru 15).

Paracetamol - kada ku wuce 2 g kowace rana! Yara - 0.6 g. An haɗa shi cikin sanyi, teraflu, panadol, solpadein, citramone, da sauransu. GASKIYA: Akwai ɗan rata tsakanin warkewa da guba (na mutuwa)! Fiye da 2 g kowace rana yana kashe kodan da hanta, ba ya halaka, wato yana kashewa!

Ibuprofen (nurofen, dogon ...) - mafi kyawun sakamako mai tsauri. Kada ku sha a kan komai a ciki.

Mala'iku suna aiki nan take, maganin shafawa yana buƙatar shafawa aƙalla minti 2, amma yana da sakamako mai tsayi. Tare da haɗin gwiwa mai raɗaɗi, baya - amfani da maganin shafawa a gaba, kafin motsa jiki.

Indomethacin ɗayan manyan magungunan anti-inflammatory da na analgesic. Joints, thrombophlebitis, gout. Sakamakon sakamako: ciwon kai, amai, tashin zuciya, maƙarƙashiya. Bayan ko lokacin abinci, zai fi kyau a sha madara.

Ortofen (diclofenac, voltaren ...). Kyandir - sakamako nan take. Sau da yawa wani sakamako masu illa. Aiwatar da ciwon hadin gwiwa.

Ketorol (ketanov, ketorolac, ketoprofen, ketonal ...). Ba za a iya amfani da shi don maganin fuka-fuka da ciwon suga ba.

Babban tasirin p / mai kumburi, painkillers iri ɗaya ne kamar indomethacin, ibuprofen. Yana rage tasirin diuretics, bugun zuciya. Yana haɓaka hypoglycemic (saboda haka wanda ba a ke so ga masu ciwon sukari). Kada ku ɗauki asfirin, as akwai barazanar zubar jini a ciki. Yana ƙaruwa sakamakon tasirin glycosides (digoxin). Yana inganta sakamakon maganin rigakafi.

Lokacin ɗaukar gawayi, yana da kyau a niƙa ko abin sha ta hanyar jefa kwamfutar hannu a cikin ruwa. Yana da kyau a sha Allunan 10 sau daya a wata. Yana da mahimmanci kada ku ɗauki wasu kwayoyi a lokaci guda kamar baƙin ƙarfe (ba zasuyi aiki ba). Kuna iya sha shi a farkon ARI - yana "shimfiɗa" ƙwayoyin cuta.

Barasa da magunguna:

Alkahol + hanci hanci = hadarin bugun jini.
Barasa + painkillers, steroids = ba a yarda ba!
Barasa + kofi = gaba ɗaya ba
Barasa + magungunan masu ciwon sukari = ba a yarda dasu ba!
30 g - kashi na warkewa
150 g - giya

Kada kuyi amfani da beta-blockers (concor, anaprilin, atenolol, egilok, nebilet, da dai sauransu) da kuma allunan tashar alli (verapamil, nifedipine, amiodarone, amlodipine) a lokaci guda - za'a iya kama bugun zuciya.

Don jin zafi a cikin zuciya, zaku iya sha no-shpu, baralgin.

Ba za ku iya kashe ƙwannafin zuciya tare da soda ba, yana kuma ƙone esorogus, kamar acid.Magungunan ƙwannafi (rennie, almagel, da sauransu) suna aiki da sauri, ba tsawon lokaci ba. Yana da kyau a hana bugun zuciya, i.e. hana samuwar sinadarin hydrogen a cikin ciki. Don yin wannan, sha capsule 1 na omeprazole (omez, romancek, omeprazole, da dai sauransu) don kwanaki 2-3 a dare (da ya isa har tsawon watanni shida). Ba za a iya haɗe shi da ruwan innabi da kyafaffen nama ba.

Cututtukan cututtukan fata (ƙwanƙwasa suna samar da enzyme na kansa, amma ba ya shiga cikin hanjin, alamar tana da ciwo mai zafi na cututtukan fata) - ɗauki antispasmodics (no-shpa, baralgin, kontrikal, da sauransu). Cutar ƙwayar cuta ta yau da kullun (ba a samar da enzyme ba ko kuma bai isa ba) - panzinorm, festal, pancreatin, creon, da dai sauransu.

Kwayoyin hanta an sake sabunta su a kowane watanni 3-5, ban da waɗanda "aka kashe" ta hanyar ether (barasa ethyl). Essauki mahimmancin abubuwa, phosphoncials, darussan hofitol, shirye-shiryen madara mara kwari (Karsil).
Cutar Heptral

zuciya.su »Magungunan Antihypertensive» Angiotensin Receptor Blockers

Losartan - mai kare mai karɓar angiotensin II

CARDIOLOGY - hanawa da kulawa da Cutar ZUCIYA - ZUCIYA.su

Dokoki don karɓar masu karɓar angiotensin II (ARBs)

Za'a iya ɗaukar shirye-shiryen ARB duka a kan komai a ciki da abinci. Kamar yadda yake game da masu hana ACE, yawan gudanarwar miyagun ƙwayoyi, sashi da lokacin tazara tsakanin allurai na ARBs likitan likita ya nuna. Hankali: kamar a lokuta tare da masu hana ACE, don jin cikakken tasirin magani, ya kamata ku jira 'yan makonni! A kai a kai ana lura da hawan jini da aikin koda yayin jiyya tare da ARBs.

Sakamakon masu hana masu karɓar angiotensin-II (ARBs) daidai yake da na masu hana ACE. Koyaya, ana samun wannan tasiri ta wata hanyar dabam. Kamar yadda kuka riga kuka sani, renin yana haɓakawa a cikin kodan, daga wacce angiotensin, abu ne wanda yake haɓaka tasoshin jini, yana kasancewa ƙarƙashin rinjayar wani enzyme. Don samar da irin wannan tasirin, wannan abun yana aiki ne akan masu karɓar jini. ARBs suna toshe waɗannan masu karɓar, don haka angiotensin baya iya fitar da tasirin sa.

Sakamakon sakamako na magungunan hana garkuwa da cututtukan angiotensin II

o Dizziness da rauni. Ana iya faɗakar da wannan sakamako wanda ya shafi bayan na farko na maganin, musamman idan kuna shan diuretics a lokaci guda.

o Alamar jiki. Zawo, amai ko rauni na tsoka, baya ko ciwon kafa, rashin bacci, bugun zuciya na gaba, bugun jini (kumburi da jijiyoyin bugun zuciya) da kuma cututtukan zuciya na sama da na ciki.

o Rashin sani

o tsananin amai da gudawa. Idan akwai tsananin amai ko gudawa, to akwai haɗarin bushewa da asarar gishiri

o Ragowar abubuwa daga jini

Magungunan mai karɓa na Angiotensin II (ARB)

Cozaar (losartan), Diovan (valsartan), Avapro (irbesartan), Atakand (candesartan).

Losartan magani ne a cikin rukuni mai karɓa na angiotensin-II (kungiyar ARB). Angiotensin wani abu ne da aka kirkire shi daga renin, wanda aka kera shi a cikin kodan. tasirin angiotensin shine rage tasirin jini, sakamakon haɓakar jini. Angiotensin yana haifar da sakamako ta hanyar abin da ake kira. masu karɓa, waɗanda aka fi mayar da hankali ne a jikin bangon arteries.

Angiotensin ya rataya a kan mai karɓar wannan, sakamakon hakan ya haifar da taƙaitawar hanyoyin. Losartan yana manne wa masu karɓar angiotensin, kuma angiotensin ba shi da tasiri. Wannan yana haifar da raguwa a hawan jini.

Aikace-aikacen: kamar kwayoyi ACE inhibitors, ana amfani da losartan don maganin hauhawar jijiya, gazawar zuciya da ƙoshin lafiya mai narkewa. Ana iya amfani dashi ko dai shi kadai ko a hade tare da wasu kwayoyi.

Sashi: losartan galibi ana wajabta shi a 50 MG a kowace rana don manya. Matsakaicin maganin shine 100 MG. Ana iya rarraba kashi na yau da kullun zuwa sassa da yawa. Za'a iya sha magani ba tare da la'akari da abincin ba.

Abun hulɗa tare da wasu kwayoyi: yayin shan kwayoyi, cytochrome P450 inhibitors (misali fluconazole, nizoral), za'a iya lura da raguwar ayyukan losartan, wanda dole ne a la'akari. Shan losartan na iya kasancewa tare da babban karuwa a matakan potassium a cikin jini, wanda hakan ke haifar da mummunan sakamako. Sabili da haka, ba a ba da shawarar yin ɗaukar losartan da potassium-sparing diuretics (triamteren, amiloride). Sakamakon antihypertensive na losartan na iya raguwa idan aka haɗu da magungunan anti-mai kumburi (asfirin, naproxen, ibuprofen, indomethacin, da sauransu).

Amfani da shi yayin daukar ciki da lactation: ba a ba da shawarar yin amfani da miyagun ƙwayoyi ba yayin daukar ciki, musamman a lokacin watanni na biyu da na uku, saboda yana iya yin mummunan tasiri ga tayin. Sabili da haka, idan an gano mai haƙuri yana da ciki, ya kamata a dakatar da maganin. Ba a san ko losartan din ba ne ko kuma ana amfani da shi ne a cikin madarar mutum, amma a cikin beraye an kebe shi. Sabili da haka, ba a ba da shawarar a sha magani ba yayin shayarwa.

Side effects. A cikin karatun asibiti, kasancewar tasirin sakamako na losartan daidai yake da na placebo. Daga cikin cututtukan da aka lura akwai: zawo, kasalar ciki, amai, rashin bacci da matsewar hanci. Bugu da kari, tari, kara matakan potassium a cikin jini, da angioedema na iya faruwa. Losartan na iya yin mummunan tasiri game da aikin renal a cikin wasu marasa lafiya, don haka ba a ba da shawarar ga mutanen da ke da haɗin jijiyoyin asali na kashin ƙasa ba.

KATSINAR JERA a BERLIN - Jamus

NIDERBERG KATSINA - Jamus

CARDIOSURGERY IN ISRAEL - MC IMDical

MAGANAR CIKIN SAUKI A MOSCOW - OJSC MEDICINA

SARKIN MULKI a cikin sanATorium BARVIKHA - MOSCOW

+7 495 545 17 44 - daga wane ne kuma daga zuciya yake aiki

Ka'idojin aiki

Hawan jini yana faruwa ne saboda karancin hanyoyin jini a jikin mutum. Gudun jini yana raguwa a cikin girman da diamita saboda yawan adadin ions alli mai yawa a cikin ƙwayoyin nama.

Amlodipine yana toshe tashoshi na ƙwaƙwalwa. Jirgin ya faɗaɗa, jini yana gudana cikin yardar rai.

Zuciya da myocardium suna karɓar adadin oxygen da suke bukata, suna aiki a yanayi na yau da kullun. Matsin lamba ya ragu. Amlodipine yana da antianginal, kuma a farkon, tasiri mai lalacewa.

Rashin damuwa a cikin kirji, jin zafi, damfara na zuciya - Waɗannan alamun alamun tashin hankalin angina ne. Maganin antianginal shine nufin kawar da wannan matsalar. Jinin zuciya yana karɓar isasshen jini, oxygen.

Abun ciki yana ƙaruwa, saboda haka myocardium yana karɓar jini ba tare da damuwa ga jiki ba. Saboda haka, hawan jini yana raguwa.

Amlodipine ya tsawaita aikin. Pkana buƙatar ɗaukar shi sau ɗaya a rana, sakamakon yana kalla awanni 24. Magungunan yana da tasiri a hankali. Matsi ba ya faɗuwa da ƙarfi, rawar jiki ba ta canzawa. Tsokoki na jiragen ruwa suna yin laushi, ƙoshin jiki yana nutsuwa.

Amlodipine yana da rauni na diuretic da sakamako na antioxidant. Yana inganta aikin hawan jini na koda, saboda yana rage juriyar jijiyoyin jini a cikin fitsari. Ana amfani da wannan maganin a cikin maganin monotherapy da magani mai rikitarwa a cikin haɗin gwiwa tare da masu toshewar adrenergic.

Masu adawa da Calcium - Amlodipine da makamantanta - suna cikin magungunan ƙarni 3. Amfani da shi a far na kimanin shekaru 20. An tabbatar da amincin su don kula da marasa lafiya da ke fama da hauhawar jini, angina pectoris, cututtukan zuciya da jijiyoyin jini ta hanyar binciken kasa da kasa.

Magungunan calcium ba su tasiri yanayin tafiyar matakai na jikin mutum. Ana amfani dasu don kula da cututtukan jijiyoyin bugun zuciya da cututtukan zuciya a cikin marasa lafiya da ciwon sukari mellitus, gout, da sauransu

Halin Amlodipine

Magungunan ya ƙunshi amlodipine besylate. Wannan abu yana daidaita karfin jini ta hanyar dakatar da ayyukan tashoshin alli. Magungunan da ke kan sa yana hana ci gaban alli zuwa cikin tsarin salula kuma yana tabbatar da haɓakar tasoshin jini. A waje da tushen amfani da Amlodipine, ana buƙatar rage iskar oxygen da zuciya da kuma juriya na jijiyoyin jiki.

An lura da raguwar matsa lamba lokacin amfani da maganin bayan awa 6-10. Tasirin magani yana kusan kwana 1. Amfani da kudade baya kara darajar zuciya.

An yarda da miyagun ƙwayoyi don amfani a cikin marasa lafiya da gout, asthmaal asthma da ciwon sukari. Bayan gudanar da baki, abu mai aiki yana saurin ɗauka kuma a ko'ina cikin duk kyallenyen jikin. Magungunan ya cire ta hanji da koda.

Analogues na miyagun ƙwayoyi

Amlodipine yana da contraindications da yawa, halayen marasa illa, don haka masu kwantar da hankali suna maye gurbin shi da analogues. Wadannan sun hada da:

Bari muyi magana game da kowannensu daban-daban, kwatanta Amlodipine da misalinnanta.

Lerkamen ko Amlodipine

Lerkamen magani ne wanda ke toshe hanyoyin calcium. Da kyau rage karfin karfin jini, yana shimfida da diamita na tasoshin jini, yana rage juriya ga kwararar jini.

Patientswararrun marasa lafiya suna ɗaukar shi a kowane mataki na haɓakar hauhawar jini. Abunda yake aiki shine lercanidipine hydrochloride.

Itauke shi sau 1 a rana, kwamfutar hannu ɗaya. Theara yawan zuwa kashi biyu ba koyaushe yana haifar da sakamako mai kyau. Bayan magani na makonni 2 da kuma rashin ci gaba, an wajabta yanayin mai haƙuri a cikin magunguna masu ƙarfi. Misali, amlodipine.

Ba kamar Amlodipine ba, Lerkamen bashi da wani tasiri akan aikin zuciya. A zahiri, yana da aiki ne na cuta.

Amlodipine ko Lorista

Lorista magani ne mai rashin tabbas, maganin rashin jituwa. Abunda yake aiki shine losartan.

An nuna wa marasa lafiya da cututtukan da ke gaba:

• hauhawar jini
• bugun jini
• bugun zuciya
• ciwon sukari mellitus, cutar koda
• samarin

Ana amfani dashi azaman ɓangaren ɓangaren rikicewar jiyya na hauhawar jini. Tasirin kudin shiga ana samun shi cikin yan kwanaki.

Don runtse hawan jini a cikin tsofaffi masu fama da atherosclerosis, angina pectoris, ya fi kyau amfani da Amlodipine. Sakamakon shan wannan magani an sami kusan kai tsaye, yana da sakamako na tsawan lokaci.

Amlodipine ko Damuwa

Kwantar da hankali magani ne wanda ke da antianginal, hypotensive da antiarrhythmic Properties. Wannan toshewar talla ce. Babban aikin shine rage yawan zuciya. Tare da amfani na dogon lokaci - antianginal da hypotensive.

Alamu don shan damuwa:

• m zuciya rashin nasara
• hauhawar jini
• ischemia na zuciya.

Abunda yake aiki shine bisoprolol.

Dangane da marasa lafiya da ke ɗaukar Concor, ba shi da tasiri mai tsawo. Don cimma ingantaccen sakamako na jiyya, ya zama dole a yi amfani da shi aƙalla watanni 2-3. Wani ɗan gajeren lokaci bayan an dakatar da maganin, karuwar hawan jini, raguwa cikin kyautatawar marasa lafiya tare da hauhawar jini.

Ba shi yiwuwa a yi amfani da Concor don maganin hauhawar jini a cikin mata masu juna biyu ko masu shayarwa.

Amlodipine da Concor ba za a iya kwatanta su ba, tunda suna cikin rukuni na magunguna daban-daban.

Amlodipine ko Indapamide

Indapamide sanannen diuretic ne. Tana da tasiri mai ban sha'awa, dilating tasoshin jini, cire wuce haddi, rage sauyi bayan bugun zuciya da bugun jini. Yana kare tsoka.

Kuna buƙatar ɗaukar shi na dogon lokaci, sau da yawa don rayuwa. Kauda kai daga miyagun ƙwayoyi yana haifar da buguwa, bugun zuciya da bugun jini.

An wajabta indapamide lafiya ga marasa lafiya da ke fama da ciwon sukari, tunda ba ya haɓaka matakan glucose.

Ofayan kyawawan kaddarorin Indapamide shine aminci cikin hauhawar jini da rauniwar zuciya. Magungunan ba su da tasiri mai sauri a matakin hawan jini, kamar, misali, Amlodipine, amma yana da karancin sakamako masu illa.

Amlodipine ko Bisoprolol

Bisoprolol yana da tasirin waɗannan abubuwa a jiki:

1. lowers saukar karfin jini
2. rage alamun bayyanar cututtukan zuciya,
3. yana aiwatar da ƙimar zuciya,
4. yana daidaita matakin oxygen a cikin myocardium.

Bisoprolol shine adrenergic blocker wanda ke da illa, tasiri na antianginal.

Shan bisoprolol yayin shayarwa da daukar ciki ba a bada shawarar ba.

Yana rage yawan zuciya da yunwar oxygen na myocardium. Ya kamata a dauki Bisoprolol gwargwadon jadawalin da mai ilimin likitanci ko likitan zuciya ya tsara. Maganin farko yana ƙaruwa a hankali akan makonni da yawa.

Matsakaicin abin da ya kamata ya wuce gram 0.02 a rana. Kulawar Bisoprolol yana da dalilai na prophylactic da warkewa. A cikin batun na ƙarshe, marasa lafiya suna ɗaukar magunguna akai-akai, wato, don rayuwa.

Haɗa bisoprolol tare da antagonists na calcium yana da haɗari sosai, alal misali, amlodipine. Kammala cin abincin prophylactic a hankali, ba tare da ɓata lokaci ba. Yana barazanar hawan jini na yau da kullun, bugun zuciya.

Ba kamar Amlodipine ba, babban kayan magunguna na Bisoprolol ba raguwa bane a cikin karfin jini da jijiyoyin bugun jini, amma daidaituwar yanayin bugun zuciya da matakin oxygen a cikin myocardium. Bisoprolol ita ce fassarar Rashanci ta Jadawalin Jamusanci, amma farashi kaɗan.

Don haka, amlodipine yana da fa'idodi masu zuwa akan analogues:

1. saurin tasiri tare da kashi daya,
2. tsawaita aikin
3. jiyya na iya kamuwa da cutar sankarau da gout,
4. yana da kyau tare da wasu magunguna da aka wajabta a lura da hauhawar jini,
5. Yana rage hadarin kamuwa da ciwon zuciya,
6. yana da low price,
7. za a iya maye gurbin shi da analogues ba tare da lahani ga lafiyar mai haƙuri ba idan an gano halayen da ba su dace ba.
8. yana da sakamako mai laushi, ba tare da tsalle-tsalle mai karfi a cikin karfin jini ba,
9. amfani da su don kula da marasa lafiya da asma,
10. amfani don gaggawa na warkewa dalilai, don prophylactic a cikin marasa lafiya masu hauhawar jini ko marasa lafiya da ke fama da bugun jini da bugun zuciya,
11. low price
12. kasancewa.

Bidiyo masu alaƙa

Umarnin don amfani da miyagun ƙwayoyi Amlodipine a cikin bidiyon:

Hakkin zabar magunguna don magani da rigakafin hauhawar jini da cututtukan zuciya, jijiyoyin jini suna kwance tare da likita da mara lafiya. Marasa lafiya yakamata su saurara ga jiki, suyi nazari kan tasirin kwayoyi akan aikin gabobin ciki, kuma su bada rahoton halayen rashin lafiyan. Bayan haka zai zama mafi sauƙi ga masu kwantar da hankali da likitocin zuciya su zaɓi wanda zai maye gurbin Amlodipine ko kuma analogues ɗin.

Koyarwar Lorista

Lorista (abu mai aiki shine losartan) - ƙwayar maganin rigakafi, mai karɓar angiotensin II mai ɗaukar mataki (yana nuna adawa ta musamman ga masu karɓar nau'in AT1). Yana nufin don magance cututtukan zuciya a yau, watakila, sanannen sashi na kantin magani, wanda ya mamaye wurare mafi girma a cikin windows. Wannan ba abin mamaki bane: ilimin cututtukan zuciya yanzu an sanya shi cikin ɗaukacin jagora a cikin tsarin adadin mace-mace, ya wuce alamu masu kama daga duk sauran abubuwanda zasu iya haɗuwa. Tasirin antihypertensive na lorista ya samo asali ne daga ikon da miyagun ƙwayoyi ya kera mai shinge mara iyaka tsakanin masu karɓar AT1 da angiotensin II, ta haka yana toshe duk mahimmancin abubuwan da ke faruwa na ƙarshen, ba tare da la’akari da hanyar samuwar sa a cikin jiki ba. Don haka, angiotensin II bazai iya fahimtar tasirin vasopressor mai ban mamaki ba, duk da gaskiyar cewa adadinta baya raguwa, kamar yadda yake faruwa yayin kulawa tare da masu hana enzyme enzyme. Yana da mahimmanci cewa, ba kamar ɗayan na ƙarshe ba, lorista baya hana enzyme kininase II, wanda ke cikin metabolism na bradykinin. Sakamakon haka, babu tarin yawa bradykinin, wanda ke guje wa sakamako masu illa da ke tattare da maganin tari da angioedema.Lorista yana rage juriya na jijiyoyin bugun jini, matsin lamba a cikin da'ira na jijiyoyin jini, yana rage tashin bayan-hankali, yana da sakamako na matsakaici. Magungunan yana hana haɓakawa da haɓaka hauhawar jini a cikin jijiyoyin jini (wani ƙaddarar abubuwan da ke faruwa a zuciya), yana ƙaruwa da juriya ga ƙwaƙwalwar jiki a cikin marasa lafiya da ke fama da rauni na zuciya. Don cimma gagarumar raguwar asibiti a cikin systolic (babba) da diastolic (ƙananan) jini, ya isa ya dauki lorista sau 1 a rana. Magungunan yana kula da karfin jini a matakin da aka ƙaddara a cikin kullun, ba tare da canje-canje ba zato ba tsammani kuma daidai da yanayin yanayin circadian.

Cutar hauhawar jijiya ita ce mafi yawan cututtukan zuciya, don ingantaccen jiyya wanda yana da mahimmanci a zaɓi wakilin da ya dace. Ofaya daga cikin shahararrun magungunan mashahuri kuma shine Lorista. Mene ne peculiarity na wannan magani da fa'ida akan wasu magunguna don cutar hawan jini, menene nasa rauni da kuma contraindications - bari mu gwada shi.

Asalin matsalar

Kasancewar hauhawar jini a cikin mutum ana cewa dangane da yanayin maimaita yawan hauhawar jini a sama da 140 da 90 mmHg.

Yawancin marasa lafiya suna da hauhawar jini, saboda haɗuwa da ƙarancin gado da kuma haifar da abubuwan da suka shafi muhalli (damuwa, rashin aiki a jiki, yawan aiki, ƙiba, barasa, shan sigari). Kashi goma ne kawai na dukkanin marasa lafiya suka sami wannan matsalar a kan asalin ci gaban da cutar ta haifar (cutar koda, tsarin endocrine, da sauransu). Ba tare da shiga cikin bayanan kwayoyin ba, za a iya yin bayani game da karuwar matsin lamba a cikin jiragen ruwa ta hanyoyin da yawa, misali:

1. Increasearuwar ofara yawan yaduwar jini da sabanin ta a cikin karfin jijiyoyin jijiyoyin jiki suna ba da gudummawa ga karuwar matsin lamba a cikin jijiyoyin jini - alal misali, yayin cin abinci mai gishiri da riƙe mai ruwa a jiki.
2. Lationarya da dokokin sautin na jijiyoyin jiki mai santsi na bango na jijiyoyin jiki yana haifar da taƙaitawa da haɓaka hawan jini. Wannan na iya faruwa a ƙarƙashin rinjayar abubuwan motsa jiki (hormones na adrenal bawo, masu tsara tsarin jini na koda) ko tasiri daga tsarin mai juyayi.
3. Increasearuwar fitowar zuciya a lokacin rikicewar myocardial - yana iya kasancewa tare da cututtukan kwayoyin halitta na ƙwayar zuciya, damuwa da rudani, da sauransu.

Ba za a iya bayyana alamun hauhawar jini a koyaushe ba, sau da yawa mutane kan koya kwatsam ko kuma latti game da cutar, idan rikice-rikice daga wasu gabobin tuni suka tashi. Sabili da haka, likitoci suna yin kira don auna na yau da kullun wannan alamar a gida. Idan aka gano yawan ci gaba da hauhawar jini fiye da 140 a 90 mmHg, to ya zama dole a nemi likita, a gudanar da wasu karatuttukan kuma a zabi tare da taimakon kwararrun likitocin da suka wajaba (ko kwayoyi) don daidaita yanayin karfin jini.

Ana iya ɗaukar magungunan antihypertensive na zamani na dogon lokaci ko ma na rayuwa, duk da ƙimar matsin lamba na yau da kullun lokacin jiyya. Dakatar shan magungunan ba tare da izinin likita ba zai iya kasancewa don guje wa ci gaban rikice rikice.

Babban magunguna

Magungunan antihypertensive na zamani sune babban iyali na magunguna waɗanda aka kasu kashi da yawa cikin manyan rukunoni:

1. ACE inhibitors - suna da sakamako mai warkewa saboda yaduwar tasoshin yanki da raguwar juriya a cikin bango na jijiyoyin bugun gini. Wadannan kwayoyi ba su shafar systolic ejection da kuma yawan rikice-rikice, don haka ana iya amfani dasu don rashin zuciya. Manyan lokuta sukan haifar da sakamako masu illa a cikin hanyar bushe tari Babban wakilan sune Enalapril, Lisinopril, Captopril, Perindopril da sauransu.
2. Diuretics - suna da tasirin diuretic, rage yawan jini da ruwa da ke yawo a cikin jirgi a cikin sararin samaniya. Sau da yawa ana amfani dashi a hade tare da wasu magungunan antihypertensive. Abubuwan da ke haifar da sakamako sun haɗa da lalatawar jima'i. Wadannan sun hada da magungunan thiazide (Hypothiazide), thiazide-like (Indap), loop diuretics (Furosemide), potassium-sparing (Veroshpiron).
3. Masu adawa da Calcium - suna toshe tashoshin alli na jinkirin, suna haifar da tasirin vasodilating. Mafi mashahuri shine sabon ƙarni na waɗannan kwayoyi tare da tasirin warkewa mai tsayi (Amlodipine, Lacidipine, Nifedipine). Ana amfani da mafi yawan lokuta a hade tare da sauran magungunan antihypertensive.
4. Beta - masu hana jini adrenergic - mafi mashahuri a cikinsu sune magungunan zuciya, waɗanda aka fi amfani da su don hauhawar jini tare da cututtukan zuciya. Wakilai - Bisoprolol, Atenolol, Metoprolol.
5. Angiotensin-2 antagonists (sartans) sune sabbin magunguna waɗanda suke da tasiri sosai, suna aiki cikin rana guda ɗaya, basu haifar da tari ba, sun fi haƙuri da haƙuri. Ana amfani dasu koyaushe don rashin inganci ko rashin haƙuri na masu adawa da ACE. Ofaya daga cikin mashahuran wakilan waɗannan magunguna sune Losartan da kwayoyi dangane da shi Lorista, Lozap da sauransu. Yakamata a gabatar da wannan rukunin alkalai a daki dalla dalla.

Yaya aiki?

Lorista abokin adawar enzyme mai karɓar enzyme-2. Wannan kayan ta hanyar sarkar da canji mai rikitarwa ya samo asali ne daga wani furotin na musamman da aka samar a hanta, kuma yana da ayyukan da ake kira vasoconstrictor kai tsaye. A ƙarƙashin rinjayar angiotensin-2, adrtal cortex yana motsawa kuma an samar da aldosterone, wanda ke riƙe da sodium da ruwa a cikin jiki kuma yana cire potassium. Yayi bayani game da jijiyoyin yara kuma yana kara matsin lamba a cikinsu, yana haifar da jin kishirwa. Tsarin wannan enzyme shine manufa don aiwatar da magungunan antihypertensive wanda aka kirkira ta hanyar losartan, wanda ke toshe masu karɓar kulawa da shi kuma yana kawar da duk tasirin da ba'a so.

Lorista (losartan mai aiki mai ƙarfi) yana zaɓar dukkan wuraren aikace-aikacen (masu karɓa) na angiotensin 2 da ke cikin wasu wurare (santsi mai laushi na tasoshin jini, zuciya, kodan, maɗaurin hanji) kuma ba shi da wani tasiri ga sauran masu karɓa da tashoshin ƙwayoyin cuta da ke cikin tsarin jijiyoyin zuciya. Magungunan yana da kyau yana rage juriya ga matsa lamba a cikin jijiyoyin jijiyoyin jiki, rage jinkirin sodium da ruwa ta hanyar rage samar da aldosterone. Yana inganta yanayin marasa lafiya da ciwon zuciya, saboda yana rage matsin lamba a cikin jijiyoyin bugun jini. A miyagun ƙwayoyi ne a ko'ina cikin yini, da aikin yayi dace da na halitta circadian kari na jiki. Ba shi da tasiri na asibiti a cikin bugun zuciya, amma yana rage duka systolic da matsa lamba, hana haɓakar hauhawar jijiyoyin zuciya. Ana iya amfani da Lorista a cikin magunguna masu matsakaici a cikin tsofaffi marasa lafiya, da kuma a cikin matsakaitan matsakaici da babban allurai a cikin samari ba tare da haɗarin haɓaka ciwo ba lokacin da aka daina kulawa.

Lorista yana da kyau a cikin jini bayan fitarwa, ya ratsa hanta tare da samar da samfurin aiki na metabolism. A wannan yanayin, abinci ba ya shafar kasancewar maganin. Abubuwan da ke aiki kusan sun ɗauka sunadarai na jini, kusan ba ya shiga cikin shinge na kwakwalwa-kwakwalwa. Koyaya, gwajin asibiti a kan mata masu juna biyu saboda dalilai na fili ba a gudanar da su ba, don haka babu wani bayani game da tasirin tayin. An fallasa shi galibi tare da bile cikin hanjin.

Alamu da hanyar amfani

Lorista miyagun ƙwayoyi yana samuwa a cikin allunan 12.5, 25, 50 da 100 MG. Baya ga tsari na yau da kullun wanda ke ɗauke da losartan, akwai haɗuwa tare da diuretic hydrochlorothiazide (Lorista N).

Dole ne likita ya tsara wannan maganin bayan yayi nazarin mai haƙuri. Dalilan wannan kuwa sune halaye masu zuwa anan:

1. Hauhawar jijiyoyin jini - jiyya yana farawa sau da yawa tare da 50mg, idan ya cancanta, ninki biyu. Ana samun sakamako mafi ƙoshin warkewa bayan kusan wata guda daga farkon shan allunan. Imarancin aiki na haya da hemodialysis ba dalilai bane don rage sashi. Ragewar kashi har zuwa 25 MG na yiwuwa tare da gazawar hanta.
2. Rashin ƙarancin ƙwayar cuta na zuciya (musamman a cikin rashin sakamako na jiyya tare da masu hana ACE) - a wannan yanayin, yana da mahimmanci don sanya kashi na maganin warkewar da ake buƙata don makonni, farawa da ƙaramin kashi don kwanakin 7 na farko, sannan 25 MG a cikin sati na biyu sannan 50 MG don rayuwa kamar maganin warkewa.
3. Yin rigakafin ci gaban masifar cututtukan zuciya a cikin marasa lafiya da ke da babban hadarin (hauhawar jini tare da hauhawar jini ventricular hagu) - daga 50 MG ko fiye da kowace rana.
4. Mai tsananin nephropathy (proteinuria, ciwo na edema, hauhawar jini) a cikin marasa lafiya da ciwon sukari - daga 25 MG ko fiye daban-daban.

Ana shan maganin a baki sau ɗaya a rana, zai fi dacewa da yamma, ba tare da la'akari da ɗimbin abinci ba.

Gargadi

Lorista kayan aiki ne na zamani tare da ingantaccen tsari, da haƙuri ke haƙuri da shi. Koyaya, kafin amfani, duk contraindications ya kamata a yi la’akari da shi don guje wa ci gaban barazanar kiwon lafiya da rayuwa. Wanda ba zai iya ɗaukar magani ba:

• mata masu juna biyu da masu shayarwa
• yara da matasa kafin balaga saboda rashin bayanai akan gwaji na asibiti,
• mutane tare da aikin hanta gazawar, toshewar hanjin biliary da tururuwar bile,

• cikin gazawar haɓaka mai girma tare da ƙaddamar da creatinine kasa da 30 ml minti ɗaya,
• tare da yanayin da ake ciki na hypercalcemia da hypokalemia, ba amenable don gyara ba, kazalika da hyponatremia,
• a cikin mutanen da uric acid diathesis (gouty syndrome),
• tare da hankali mai hankali ga losartan da mahaɗan, ciki har da rashin haƙuri na lactose.

Yakamata mutane suyi taka tsantsan da irin wannan cutar kamar:

• ciwon sukari mellitus
• m zuwa matsakaici na koda da hepatic kasawa,
• na asali artery,
• raguwa a cikin yawan yaduwar jini (zawo, amai, abinci mara gishiri),
• rikicewar ƙwayar cuta,
• lahani na zuciya
• cututtukan autoimmune na dabi'ar dabi'a (lupus),
• mai tsananin cutar myopia da glaucoma.

Yin magani na lokaci daya tare da daskararren ƙwayoyin cuta na potassium yana kara haɗarin cutar hyperkalemia. Gudanar da haɗin gwiwa tare da kwayoyi daga ƙungiyar NSAID na iya rage tasiri na losartan. Lorista yana haɓaka tasirin magani na sauran kwayoyi da ake amfani da su a kan matsin lamba.

Farashi da analogues

• Vazotens (Iceland) - Allunan a guda sun cika a guda 14, don haka farashin ya kusan sau 2 kasa da Lorista, amma tare da magani na dogon lokaci zai kara tsada,

• Cozaar (Ingila) - abu guda ne, kunshin guda ɗaya na allunan 14 na 50 MG kowane ya fi tsada, kimanin 270 rubles, allunan 28 - 500 rubles,
• Losartan (Makedonia) tana kusan nau'in farashin guda ɗaya kamar Lorista, amma magani na cikin gida da ake kira Losartan ya fi araha
• Presartan (Indiya) - mafi girma akan farashi kimanin 400 rubles a kowane fakitin 28 Allunan,
• Lozap (Slovakia) - daga nau'in farashin da ya fi tsada, amma akwai kunshin nau'in kashi 100 a cikin allunan 90, wanda farashin kusan 700 rubles,
• Blocktran (Russia) - Allunan 50 MG a fakitin 30 sunada rahusa fiye da Lorista, akwai Allunan 60 a kowace fakiti - Farashin ya kusan 360 rubles.

A cikin kantin magunguna, zaku iya samun sunayen magunguna iri ɗaya tare da kari waɗanda ke magana game da masana'anta. Wanne ya zaɓi, ya zama dole don yanke hukunci kai tsaye, bisa shawarar likitoci da yin la'akari da raunin haƙuri.

Galina Starodubtseva, yar shekara 58, Yaroslavl:

Na juya zuwa Lorista bayan Enalapril, wanda ya taimake ni da matsin lamba, amma ya sha azaba ta tari mai yawan damuwa. An zabi kashi tare da likita a hankali, saboda na dauki bisaprolol don arrhythmias a lokaci guda. Sakamakon haka, da safe akan komai a ciki Bisaprolol 5 MG, da yamma Lorista 50 MG. Ana kiyaye matsin lamba a matakan tsayayye, sai dai in kun sami damuwa kuma kuyi aiki a gonar. Na yi kokarin rage kashi - sake tsalle cikin lambobi. Na lura cewa bai cancanci hadarin ba. Likita ya yi gargadin cewa tare da zuciyata wannan magani zai dade. Yana da kyau idan babu cutarwa.

Antonina Belozerova, shekara 49, Salsk:

Mahaifiyata tana da ciwon sukari, kiba, arrhythmia, da rashin zuciya. Tana shan kwayoyi masu yawa, lokaci-lokaci tana ƙin su, amma sai ta sake farawa. An yi mata Lorista a asibiti tare da wasu magunguna. Amma mun sayi mai rahusa kamar analog -Losartan. Akwai sakamako, matsin lamba baya tsalle, ya dace don ɗauka - da dare 1 lokaci kowace rana. Amma sun fara lura cewa gashinta ya faɗi fiye da yadda aka saba. Tabbas, yana da shekaru 73, amma kafin wannan ba. Mun karanta cewa akwai irin wannan sakamako na wannan magani. Likita ya ba da shawarar kada su rush don sokewa, yana da kyau ka sayi Lorista, ka nemi likitan dabbobi, domin lamarin ba shi da muhimmanci. Ina tsammanin cewa zamu sayi Lorista kuma muyi ƙoƙari, in ji ta mafi kyau kuma baya bayar da sakamako masu illa.

Victor Nikolaev, mai shekara 52, Krasnodar:

Ina son Lorista, yana aiki a hankali, a hankali yana daidaita matsin lamba, ba tare da faɗuwa ba. Na kasance ina ɗaukar Amlodipine da Indap, Na fara rasa nauyi kuma barci mafi muni da dare. Na je Lorista a kan shawarar Likita na gida kuma ban yi nadama ba. Ba ni da wata illa, ina bacci mafi kyau kuma ban damu da wata matsala za ta faru ba a tsakiyar dare, a da, saboda ni mai haƙuri ne mai ɗumbin tarihi. Ya shawarci mahaifiyar da maganin, kodayake ya nuna shakku da farko, amma likitarta ta yarda da zabin. Yanzu tsohuwar mace, maimakon Adelfan ta saba, tana shan magani na zamani. Kodayake yana da tsada, yana da aminci kuma mafi inganci don rage matsin lamba.

Valentin Sviridov, ɗan shekara 59, Saransk:

Ina da ciwon sukari na 2, Ina shan kwayoyin. Matsin lamba da kumburi sune sahabbai na kullun. Furosemide ya sha, ya fara yin taushi. Likita ya shawarci Lorista N, bayan kamar mako guda sai na ji kamar mutum. Rayuwata ta inganta, yawan zubar ruwan da ya wuce ba a kula da ni ba, ya zama da sauƙin motsi, barcina ya inganta. Na gamsu, duk da cewa ina jin tsoron hanta, tare da ciwo na komai na iya zama. Likita har sai ba a soke magungunan ba, ya ce Lorista a takaice yana shafar hanta, an umurce shi da ya shigo wata guda don sarrafawa, to za mu gani. Ya zuwa yanzu dai yana da kyau.

Svetlana Pustovalova, ɗan shekara 39, Krasnoyarsk:

Na sanya kaina ga Lorista da kaina, na karɓa daga surukarta don gwaji, lokacin da matsin lamba ya fara wahala. Ina da aikin juyayi, yawan damuwa da rashin bacci. Na fara ɗauka tare da ƙaramin matakin bisa ga umarnin, sannan na ƙara zuwa 25 MG, yayin da na tsaya a waccan. Sakamakon bai fara nan da nan ba, bayan kimanin mako guda. A lokaci guda, Ina ɗaukar tarin magungunan ganyayyaki. Surikin mahaifiyata ya kore ni zuwa likita, kuma ba ni da lokaci. A miyagun ƙwayoyi taimaka da lafiya. Tabbas, wannan ba daidai bane, irin waɗannan magunguna masu ƙarfi ba za a iya bugu ba tare da takardar sayan magani. Amma na yi nazarin komai a hankali, idan aƙalla ɗaya daga cikin raunin da ya bayyana, zan tafi likita nan da nan. A hanyar, surukarta Lorista ta sha tsawon shekaru 5 tana sha kuma tana jin al'ada daidai da shekara 69.

Bayani da umarnin magani Lorista

Lorista - magani ne mai narkewa, shine, hanya don rage karfin jini. Abubuwan da ke aiki na miyagun ƙwayoyi - potassium lortazan - yana toshe aikin wannan abubuwa kamar su angiotensin II a cikin jiki. A sakamakon haka, matsin lamba yana raguwa, juriya na jijiyoyin bugun jini, bayan an sauke nauyin akan zuciya. Lorista shima yana da tasirin diuretic.Jiyya tare da wannan magani ana nunawa ba kawai don hauhawar jini ba, har ma ga marasa lafiya da haɗarin bugun zuciya, gazawar zuciya mai ƙarfi, nau'in ciwon sukari na 2 na rikitarwa ta kasancewar furotin a cikin fitsari don kare kodan. A cikin maganar ta ƙarshe, amfanin Lorista yana ba ku damar jinkirta buƙatar maganin dial, farawa na ƙarshen tasirin cutar.

Lorista an samar dashi a cikin nau'ikan allunan tare da dabaru daban-daban na kayan aiki. Ya kamata a sha waɗannan allunan sau ɗaya a rana, bisa umarnin likitan, ba tare da la'akari da abincin ba. A ƙarshen watan farko na cin abinci na yau da kullun na Lorista, mutum ya isa ya tsammaci mafi girman sakamako. Tare da matsakaicin ma'auni na yau da kullun na 50 MG, ƙara sau biyu yana yiwuwa. Adadin Lorista da aka yi amfani da shi kowace rana a farkon farawa ya zama ƙarancin. Yayinda hanya ta ci gaba, yawan maganin yana karuwa a hankali. Idan mai haƙuri ya lalata lafiyar hanta, to ya kamata a sake nazarin daidaitattun hanyoyin Lorista na tsare-tsare ta hanyar rage magunguna.

Ba a nuna dalilin wannan magani don rashin haƙuri ba, karuwar potassium a cikin jini, hypotension, rashin ruwa. Ba a kula da Lorista ga mata masu juna biyu da masu shayarwa, haka kuma marasa lafiya waɗanda shekarunsu bai kai goma sha takwas ba.

Lorista Aiwatarwa

Abubuwan da ke aiki da wannan wakili shine potassium losartan. Wannan abu yana hana ayyukan masu karɓar angiotensin ba tare da yin wani tasiri akan angiotensin da ke canza enzyme ba. Magungunan yana motsa ƙwayar uric acid kuma yana hana fitowar aldosterone. A waje da tushen amfani da shi, aikin zuciya yana kwantar da hankali, matakin norepinephrine a cikin jijiyoyin jini da hauhawar jini.

An lura da tasirin magungunan magungunan 5-6 hours bayan amfani dashi. Magungunan ba zai shafi taro na glucose, triglycerides da cholesterol ba. Yana cikin hanzari kuma yana ɗaukar ƙawance mai ƙarfi tare da albumin. Kodan da ke aiki a jikin sa na gudana ne cikin awanni 24 daga cikin kodan da hanjin sa.

Lorista yana tayar da jijiyar uric acid kuma yana hana haɓakar aldosterone.

Sakamakon hadin gwiwa

Haɗewar yin amfani da Lorista da Amlodipine yana ba ku damar tabbatar da aiki da sauri a cikin tsarin jijiyoyin jini da kwantar da matsa lamba. Lokacin amfani da wannan haɗin, jijiyoyin jini suna faɗaɗa, haɗarin sake koma baya a hawan jini ya ragu, kuma yaduwar jini yana aiki daidai. Ana kiyaye tasirin sakamako yayin rana.

Yaya Lorista

Lorista (Losartan) yana cikin rukunin sartan, ana amfani dashi don kula da hauhawar jini.

Magungunan yana da sakamako masu zuwa:

• Yana kawar da ƙwayar jijiyoyin jini,
• rage hawan jini a cikin aorta,
• Yana kawar da hauhawar jini,
• yana da tasirin diuretic
• yana rage kumburi nama.

Lorista yana dauke da sinadarin losartan potassium a cikin adadin mil 12.50.

Saitin magungunan ya hada da ƙarin kayan abinci:

An fito da miyagun ƙwayoyi a cikin allunan 12.5 MG, 25 MG, 50 MG, 100 MG. Angiotensin II yana hulɗa tare da masu karɓar AT-1 a cikin kyallen takarda, aldosterone na ɓoye. Angiotensin - II yana ƙara yawan ƙwayoyin tsoka mai santsi.

Lorista abokin adawa ne mai karɓar karɓar AT1; metabolite E3174 yana kawar da tasirin angiotensin II. Magungunan yana rage karfin hawan jini bayan shan miyagun ƙwayoyi a kashi 100 MG, baya shafar ayyukan autonomic da adadin norepinephrine a cikin plasma.

Lorista yana da sakamako mai zuwa: yana kawar da vasospasm, yana rage karfin jini a cikin aorta.

Alamu don amfani lokaci daya

Allunan Amlodipine suna da tasiri a cikin irin waɗannan cututtukan:

• hawan jini
• bayyanuwar cututtukan zuciya.

Ana ba da shawarar Losartan ga mai haƙuri tare da binciken da ke gaba:

• hagu mai hauhawar jini,
• rigakafin mutuwa kwatsam,
• rigakafin hauhawar jini na koda a cikin marasa lafiya da ke dauke da ciwon sukari na 2,
• a zaman wani bangare na hada magani.

Losaratan tare da Amplodipine yana kawar da hauhawar jijiyoyin jini a cikin cututtukan cututtukan ƙwayar cuta.

Yadda ake ɗaukar Amlodipine da Lorista

An tsara allunan Lozaratan don marasa lafiya da gout don rage karfin jini yayin da suke buƙatar abincin da ake buƙata. Magungunan Lorista tare da hauhawar jini ventricle na hagu an wajabta shi a cikin kashi 100 na MG.

Tare da hauhawar jini, kashi na yau da kullum na miyagun ƙwayoyi shine 50 MG, ana ɗaukar shi sau 1 a rana. Masanin ilimin zuciya na iya kara adadin ƙwayar zuwa 100 MG.

Hanyar magance rashin lafiyar zuciya ta shafi shan Lorista a kashi 12.5 a kowace rana.

An ba da babban matsayi ga magungunan antihypertensive waɗanda aka yi niyya don hana ci gaban cututtukan CVD. An tsara Losartan a kashi 50 na MG kowace rana, Ana ɗaukar Amlodipine sau 1 a kowace rana a cikin adadin 5 MG. A tsakanin makonni 4, an kara yawan zuwa 10 MG.

Side effects

Sau da yawa bayan shan Amlodipine, mara lafiya yana da: ciwon kai, gajiya, amai, rawar jiki.

Lokacin amfani da maganin, zaku iya fuskantar alamomi kamar bushe tari, gazawar numfashi, hanci mai gudu, hanci.

Alamar yau da kullun bayan shan kwayoyin suna kara kumburi, rashin ci, da ciwon ciki.

Urology galibi yana wakilta ta bayyanar cututtuka kamar:

• urination,
• cystitis
• cutar huhu,
• rashin ƙarfi.

Ra'ayin likitoci

Kolyakhin S.A., urologist

Lorista ta kafa kanta a matsayin magani mai araha don maganin hauhawar jini. Magani ba shi da illa. Magungunan ba ya haifar da bayyanar bushe bushe, kamar sauran masu hana ACE.

Teplyakov A.S., therapist

Inganci magani, dace sashi. Magungunan Lorista ba shi da wata illa. A hankali ya rage karfin jini. Sau da yawa nakan sanya magani a lokaci guda kamar amlodipine.

Neman Masu haƙuri

Ivan Fedorovich, shekara 70, Ivanovo

Ya fara magani tare da Lorista lokacin da hawan jini ya tashi zuwa 170/90. Ya sha maganin 0.25 MG da safe kafin karin kumallo. HELL ya kasance a matakin 155/100. Na daina amfani da maganin, saboda sakamako masu illa sun bayyana.

Boris Petrovich, ɗan shekara 58, Astrakhan

Ya dauki maganin Amlodipine da Lorista na magani kamar yadda likitan ya umurce shi. Matsi ya ragu, amma ba nan da nan ba. Mako guda baya akwai hayaniya a cikin kai, wanda ya ɓace bayan ya ƙi shan magungunan.

Side effects da yawan shan iska na Lorista

Sakamakon tsarin wannan magani a jikin mutum na iya haifar da bayyanar cututtuka. Misali, damuwa ko ciwon kai, hargitsi barci, damuwa, ko bacin rai. Hakanan, sha'awar karya don yin fitsari, raɗaɗi, bushewar fata mai yiwuwa ne - a wata ma'anar, alamun mummunan tasirin Lorista akan jikin mai haƙuri na iya bambanta sosai. Za a iya bayyana rashin lafiyan ga abubuwan da ke tattare da ƙwayar a matsayin urticaria ko mawuyacin yanayi, ciki har da edema Quincke da sauransu.

Lokacin ɗaukar allurai mafi girma na Lorista, hawan jini zai iya raguwa, ƙwanƙwasa bugun zuciya (tachycardia) na iya haɓaka, ko kuma, a takaice, raguwa a cikin bugun zuciya (bradycardia).

Reviews don Lorista

Lokacin da marasa lafiya ke raba gwaninta na shan miyagun ƙwayoyi a cikin sake dubawa na Lorista, sau da yawa suna lura cewa a farkon hanya magungunan sun yi "sosai", "matsin lamba yana raguwa akai-akai." Amma daga baya, wasun su suna fama da rauni na maraice. Sau da yawa, a lokaci guda, ana kuma ƙara yawan haɓaka halayyar mutum. Zai yi wuya a faɗi ko irin hanawar waɗannan marasa lafiya ya zama yanayinsu ne, ko kuma Lorista liyafar ta zo daidai da lokacin damuwa, ko kuma, akasin haka, shan wannan magani yana haifar da rashin ƙarfi na tunanin ...

Amsar waɗannan sake dubawa, a matsayin mai mulkin, shawara ce don maye gurbin maganin. Tabbas, zaɓin magani na magani ga marasa lafiya da hauhawar jini irin wannan tsari ne mai wahala kuma mai ɗaukar hankali wanda kusan ba ya ƙarewa. Mai haƙuri da likita yakamata su yi hulɗa koyaushe, ƙayyade zaɓin hanyoyin da suka dace.

Lorista - Magungunan antihypertensive wanda ke taimakawa rage jimrewa a cikin tasoshin da karfin jini a cikin jijiyoyin jini (karamin). Rage matsin lamba saboda yaduwar ƙananan hanji. Lorista ta dakatar da haɓakar hauhawar jini na hagu na zuciyar, tana dakatar da alamun ta kamar gazawar numfashi, angina pectoris, bugun zuciya, gajiya da gajiya, tare da gajiyawar zuciya yana ƙaruwa da haƙuri. Tasirin antihypertensive na miyagun ƙwayoyi ba zai tasiri tasirin cututtukan fata ba kuma yana tabbata tsawon sa'o'i 24. Lorista yana da tasirin diuretic, wanda ke faruwa 1-2 a awa bayan gudanarwa kuma yana ɗaukar tsawon awanni 6-12.

Filayen aikace-aikace:

Ina rokonka da ka amsa, shin kishirwar Lorista N ce ta rayuwa? Na sha kusan shekaru 15. Kuma kamar yadda ban sha ba na tsawon kwanaki 2, nan da nan sai na yi kumburi a ƙafafuna kuma matsin lamba ya tashi. Shin wannan ba magani bane, kawai tallafi ne, amma ta yaya mutum zai iya warkewa?

Shin zai yuwu a sake ɗaukar Lorista bayan Burlipril? Na kasance a Lorista na kusan shekara biyar, sannan wani irin gazawar ya faru, mai yiwuwa saboda gaskiyar cewa na rage sashi. Na kasance ina ɗaukar Burlipril tsawon rabin shekara yanzu, amma na fi jin daɗin halin da nake da Lorista ƙari. (Tare da Burlipril wani irin damuwa). Zan iya komawa Lorista kuma?

Shin za a iya hadasu baki daya?
Ina kuma sha'awar wannan tambaya. Na kasance a Lorista na kusan shekara biyar, sannan wani irin gazawar ya faru, mai yiwuwa saboda gaskiyar cewa na rage sashi. Na kasance ina ɗaukar Burlipril tsawon rabin shekara yanzu, amma na fi jin daɗin halin da nake da Lorista ƙari. (Tare da Burlipril wani irin damuwa). Zan iya sake komawa lorista?

Barka da rana Na dauki Lerkamen 10 MG na dogon lokaci, tuni shekaru 2. daga matsanancin matsin lamba (tun lokacin da tsalle-tsalle suke kasance kullum). Da farko, wannan maganin ya taimaka min kuma an sa matsin lamba a cikin matattarar bugun jini 140/95 58. Har yanzu na bar hauhawar jini. Kuma a cikin faduwar 2016, matsin lamba ya fara tsalle kuma, tare da ƙwanƙwasa ƙarfi na har zuwa 190/110 54. Har ma na yi amfani da Captopril. Na je wurin likita ya ba da umarnin Nifecard CL 60 mg da dare. Bayan ɗaukar na tsawon watanni 2, babu ci gaba mai yawa, an kiyaye bugun jini a cikin ɓoyayyen ɓoye na ɓoye na 61/100, ƙafafun kumburi sun bayyana ga komai. Na je wani alƙawari tare da likitan kwantar da jini ya kuma fasa allurar Lorista ND 100ml / 25mg 1 da safe. Anan na sha kawai rana ta biyar. A daren jiya, matsin lamba ya sauka zuwa 110/63 bugun inuwa 64. A safiyar yau ban sha kwayar ba saboda matsin lamba shine 118/78 bugun gini 64. Gaya mani don Allah, me zan yi? Za a iya rage kashi?

Yadda ake ɗaukar Amlodipine da Lorista tare

Tare da cutar hawan jini, yawan magunguna shine 5 mg na Amlodipine da 25 MG na Lorista. Allunan dole ne a wanke su da ruwa. Game da aikin koda da ke fama da rauni da kuma rashin ingantaccen sakamako, dole ne a gyara tsarin aikin sashi. Yanke shawara game da shan da sashi na likita ne ya yanke shi.

Tare da ciwo mai hauhawar jini, sashi shine 5 mg na Amlodipine.