Shin ana iya ɗaukar lisinopril da indapamide a lokaci guda?

Tare da shekaru, mutum yana yawan shan wahala daga hawan jini. Sau da yawa marasa lafiya suna ɗaukar Lisinopril da Indapamide a lokaci guda. Lisinopril da Indapamide suna iya haɗu da juna. Yana da mahimmanci cewa likitan halartar ya san wannan. Likita ne kawai zai iya yin cikakken nazarin duk haɗarin, gwargwadon ganewar mai haƙuri da sauran cututtukan na kullum.

Kafin shan kowane magani, dole ne a bincika umarnin a hankali, tare da kimanta fa'idodi da fa'idojin amfani. Don fahimtar menene magungunan biyu, la'akari da tebur:

· Kuna buƙatar karanta: 2 min

Tare da shekaru, mutum yana yawan shan wahala daga hawan jini. Sau da yawa marasa lafiya suna ɗaukar Lisinopril da Indapamide a lokaci guda. Lisinopril da Indapamide suna iya haɗu da juna. Yana da mahimmanci cewa likitan halartar ya san wannan. Likita ne kawai zai iya yin cikakken nazarin duk haɗarin, gwargwadon ganewar mai haƙuri da sauran cututtukan na kullum.

"Lisinopril" da "Indapamide" an yi su ne don maganin hauhawar jini.

Kafin shan kowane magani, dole ne a bincika umarnin a hankali, tare da kimanta fa'idodi da fa'idojin amfani. Don fahimtar menene magungunan biyu, la'akari da tebur:

"Lisinopril" da "Indapamide" ba kawai za a iya ɗauka a lokaci ɗaya ba, har ma ya zama dole. Abun yardarsu yana da girma kuma matsi yakan sauka da sauri. An bada shawarar makirci masu zuwa:

1. Da safe kuna buƙatar ɗaukar "Indapamide" (yana da diuretic mai ƙarfi, saboda haka ya fi kyau kar ku ɗauka da dare).
2. Da maraice, "Lisinopril."
3. Idan matsi bai ragu ba, to zai fi kyau a sha kwamfutar hannu 1 na kowane magani.

Ya kamata likita ya tsara maganin ta, idan ya danganta da alamun mutum na haƙuri.

Lisinopril da Indapamide suna daidaita juna. Idan matsi ya karu sosai (sama da 180/120), to ya kamata ku nemi shawarar likita nan da nan (musamman idan akwai yiwuwar bugun zuciya ko bugun zuciya). A lokaci guda, kada ku kara yawan kwayoyi sosai (Indapamy baya bayar da sakamako mafi kyau yayin da aka kara adadin, kuma babban adadin Lisinopril zai iya haifar da yanayin yanayin yanayin).

Diuretic jamiái da ke taimakawa wajen kawar da yawan ruwa mai narkewa daga jiki galibi ana wajabta su don hauhawar jini. Ofaya daga cikin magungunan yau da kullun na wannan yanayin shine Indapamide, umarnin don amfani dashi, da kuma a wane matsin lamba aka ɗauka, ya kamata a yi la'akari dalla-dalla.

Abinda kawai ke nuna Indapamide shine hauhawar jini. Anyi amfani dashi koda yaushe idan yawan hawan jini yana tare da ciwo mai tsauri da kuma riƙe ruwa. Ta hanyar cire wuce haddi na ruwa, hawan jini ya ragu.

Irin waɗannan magunguna sukan zama tushen jiyya. Yawancin lokaci ana samun su tare da wasu magungunan anti-hauhawar jini. Wanne matsin lamba ne irin waɗannan magunguna ke buƙata? Yawancin lokaci ana rubutasu idan hauhawar jini ta kan ci gaba kodayaushe, hauhawar jini na jijiya mai tasowa gaba daya, alamu masu nuna matsa lamba suna ci gaba da kasancewa sama da dabi'u 140 cikin 100.

Indapamide - diuretic ko a'a? Tunda wannan maganin diuretic ne, yana da tasirin diuretic, yana cire ruwa daga jiki. Ya kamata a ɗauka a cikin zuciya cewa ƙara yawan sashi ba ya haifar da karuwa a tasirin sakamako, tunda kawai ana inganta diuretic. Sabili da haka, kada kuyi la'akari da sigar wannan magani, musamman don kansa.

Matsakaicin farashin magani shine 20-50 rubles, ya dogara da cibiyar sadarwa ta kantin magani. Magungunan yana ɗaya daga cikin mafi arha mafi sauƙin amfani da aka yi amfani da shi don hauhawar jini.

Mahimmanci! A kowane hali ya kamata ku fara shan diuretics da kanku, musamman tare da alamun rashin aikin keɓaɓɓen aiki.

Yawancin lokaci ana shan wannan magani sau ɗaya a rana, daidaitaccen sashi shine 2.5 mg na kayan. Yawancin lokaci ba ya canzawa - ana iya gyara shi kawai ta ƙara wasu jami'ai waɗanda ke da tasirin gaske a farji.

Yadda za a sha shi - kafin abinci ko bayan - ba shi da mahimmanci. Jagorar don miyagun ƙwayoyi ta ce lokacin rana da abinci ba ya shafar tasirin miyagun ƙwayoyi, saboda haka ba lallai ba ne a mai da hankali a kansu.

Yawancin lokaci, jiyya tare da magunguna antihypertensive daban-daban a lokacin mummunan hauhawar jini ba ya dadewa - har zuwa makonni da yawa. Bayan haka, lokacin da karfin jini ya sauka sosai, har sai an daina jinya. A nan gaba, don kula da matsin lamba tsakanin iyakoki na yau da kullun, yana da mahimmanci a bi abincin da ya dace da sauran shawarwarin likita.

Game da tsawon lokacin shan wannan magani, ya kamata ka fara tattaunawa da likitanka. A kowane yanayi, hanyar aikin zai bambanta - duk ya dogara da tsananin cutar da yanayin mai haƙuri gaba ɗaya.

Indapamide yana da yawan tsauraran matakan contraindications. Yi amfani da wannan magani kada ya kasance tare da koda ko gazawar hanta. Don cin zarafin ayyukan waɗannan gabobin, ana ɗaukar diuretic ta musamman a ƙarƙashin tsananin kulawa na likita, yana lura da yanayin da yanayin canje-canje a koyaushe.

1. Hakanan, wannan magungunan bazai amfani dashi don rashin jituwa ga abubuwan da ke ciki ba, da farko diuretic kanta, da sauran abubuwa waɗanda suke hada magunguna.
2. Ciki har da, bai kamata ku yi amfani da magani don rashin haƙuri ba don lactose, tunda yanki ne na kwamfutar hannu kanta.
3. A contraindication ne shekaru yara. Har zuwa shekaru goma sha takwas, bai kamata a yi amfani da wannan maganin rigakafin cutar hauka ba, tunda babu shaidar lafiyar lafiyar yaran.
4. Ba za a yi amfani da Indapamide ba a lokacin daukar ciki ko dai: haihuwar da kuma lokacin shayarwa tsayayye ne don shan maganin.

Mahimmanci! Amincewa da wannan diuretic a cikin tsofaffi yana da kyawawa don gudanar da shi ƙarƙashin tsananin kulawa na likita. A cikin tsofaffi, miyagun ƙwayoyi na iya yin tasiri ga jiki.

Wannan diuretic yana da ƙananan possiblean sakamako masu illa. Basu bayyana sau da yawa idan ka ɗauki Indapamide bisa ga umarnin. Kungiyoyin da ke biye da tasirin sakamako sukan bambanta:

• rashin jin tsoro, ciwon kai, damuwa na bacci, asma, sauran rikicewar tsarin juyayi,
• tashin hankali, rudani damuwa, sauran sakamako masu illa daga jijiyoyin jini,
• mai tsananin tari, cututtukan jini, sinusitis,
• cututtuka daban-daban daga tsarin motsa jiki,
• bashin jini, canje-canje a gwajin jini,
• duk nau'in halayen rashin lafiyan jiki, fitsarin fata, cututtukan fata.

Wadannan sakamako masu illa sun fi yawa yayin shan Indapamide. amma tare da shigarwar da ta dace, yiwuwar abin da ya faru ya kasance kaɗan.

Yi la'akari da wanne magani Indapamide zai iya maye gurbin kuma wanne ya fi kyau.

Concor da Indapamide suna da daidaituwa mai kyau, ana tsara su sau da yawa azaman hadaddun hanyoyin haɗin gwiwa. Indapamide na iya haɗuwa sosai tare da sauran masu hanawa.

Za a iya haɗu da Lorista (angiotensin mai ɗaukar angagonensin) da indapamide tare da izinin likita. Kusan sau da yawa, waɗannan magunguna guda biyu ana wajabta su a lokaci ɗaya don tasirin magani.

Prestarium magani ne da ake amfani da shi don hauhawar jini da rauniwar zuciya. Ya faru cewa an wajabta shi tare da diuretics, musamman - tare da Indapamide. Wadannan magungunan suna hade sosai.

Haɗin Lisinopril da Indapamide yana ba ku damar sauri da ingantaccen rage karfin jini, yayin da suke zama al'ada na dogon lokaci, kuma hauhawar jini ta koma baya. Lisinopril shine mai hana ACE. A wannan yanayin, bai kamata ku fara ɗaukar irin wannan haɗuwa da kwayoyi don kanku ba - dole ne ku fara tuntuɓi ƙwararre.

Kai tsaye analogues na Indapamide sauran diuretics ne dangane da kayan aiki iri daya. Arifon ana alakanta su da farko. Hakanan zaka iya amfani da wasu magungunan diuretic da nufin rage karfin jini. Kafin amfani da analog, tabbatar da karanta umarnin don amfani.

Dangane da tasirin, zaku iya kwatanta magungunan rukuni ɗaya kawai - diuretics, waɗanda suka haɗa da Indapamide. Zai yi wuya a faɗi wanda ya fi kyau: Indapamide ko Concor. Wadannan kwayoyi suna cikin nau'ikan magunguna daban-daban kuma suna shafar jikin mutum ta hanyoyi daban-daban. Hakanan ba zai yiwu a faɗi wanda ya fi kyau ba: Indapamide ko Enalapril. Wannan kayan aiki ne na daban daban tare da tasiri daban-daban akan jiki. Koyaya, yana da mahimmanci a lura cewa diuretics ya kamata a farko a kula dasu idan hauhawar jini yana tare da kumburi.

Hakanan Arifon Retard yana dogara ne akan aikin Indapamide, amma farashin wannan analog ɗin yana da girma. Packaya daga cikin fakitin magani yana biyan kuɗi 300-350 rubles. Haka kuma, dangane da aiki, wadannan kudade ba su da bambanci.

Koyaya, yakamata ayi la'akari da cewa Arifon yana da ƙananan contraindications. A lokacin tsufa kuma a gaban cututtukan hanta da koda, ya fi kyau a zaɓi shi. Indapamide yana da tasiri sosai ga jikin mutum.

Veroshpiron shima ingantacce ce mai aiki a cikin hauhawar jini. Koyaya, yana da mahimmanci a san cewa za'a iya amfani da wannan maganin don wasu cututtukan cututtuka, yayin da yake da ƙarancin magunguna fiye da Indapamide. Sabili da haka, lokacin zabar magunguna, yana da daraja kula da shi, gami da.

Hypothiazide kuma shine ingantaccen maganin diuretic na hauhawar jini, wanda aka wajabta sau da yawa don wannan cutar. Haka kuma, yana da mafi yawan kewa na neman aiki. Ta hanyar contraindications, waɗannan kwayoyi suna da kama sosai.

Tare da hauhawar jini, yana da kyau a zaɓi diuretic na farko, tunda ana nufin wannan magani ne don magance wannan cutar. Yawancin lokaci ana amfani da Furosemide don wasu cututtuka.

Hydrochlorothiazide shima mai maganin cutar thiazide ne, kamar yadda yake Hypothiazide. A aikace, waɗannan magungunan sun fi kama. Zaɓi rukuni mafi dacewa na kwayoyi ya kamata ya dogara da alamomi, hanya na cutar, concomitant pathologies.

Diuver ya fi kama da tasiri ga Furosemide, yayin da shi kuma ana yin sa sosai sau da yawa don hauhawar jini.Wannan kayan aiki musamman yana taimakawa tare da haɓaka haɓakar edema. Yana da ƙarin contraindications, don haka kafin ka fara amfani da, lallai ne a karanta umarnin don amfani.

A yayin aiwatar da hadadden kulawa na hauhawar jini, likita dole ne ya tsara diuretics, tunda hawan jini yana raguwa da sauri tare da cire ruwa daga jiki. Kamfanin masana'antar harhada magunguna ya haifar da magunguna masu yawa na diuretic. Mafi yawan lokuta, idan akwai cutar edema, likita ya ba da izinin Indapamide don matsa lamba. Koyaya, maganin yana da contraindications da fasali na amfani, don haka suna buƙatar haɗakar magani tare da likita.

A miyagun ƙwayoyi na wani thiazide-kamar diuretics na tsawan mataki, yana da sauƙin rage raunin sakamako akan hawan jini. Ana amfani da Indapamide don hauhawar jini, a lokacin da matsin ya fara wucewa Hg 140/90 mm. Art., Da rauni na zuciya, musamman idan mara lafiyar yana da kumburi.

An fito da miyagun ƙwayoyi a cikin nau'ikan Allunan da kabilu na 1.5 da 2.5 MG. An ƙirƙira su a Rasha, Yugoslavia, Kanada, Macedonia, Isra'ila, Ukraine, China da Jamus. Abubuwan da ke aiki da maganin shine Indapamide.

Indapamide magani ne na kalshin, wanda yake da kyau ga masu fama da cutar hawan jini. Ana iya amfani da shi ta hanyar mutanen da ke kan cututtukan hemodialysis, masu ciwon sukari, tare da hyperlipidemia. A lokuta masu wahala, ana buƙatar sarrafa matakin glucose, potassium, sauran alamun da likitan ya ba da shawarar.

Capsules ko Allunan daga matsin lamba don hauhawar jini yana fara aiki minti 30 bayan amfani. Tasirin hypotonic yana ɗaukar awanni 23-24.

Ragewar saukar karfin jini yana faruwa ne sakamakon tasirin hypotensive, diuretic da vasodilating - matakin matsin lamba ya fara faduwa sakamakon tasirin abu mai aiki, cire ruwa mai yalwa a jiki da kuma fadada hanyoyin jini a jiki baki daya.

Indapamide shima yana da kadarar zuciya - yana kare ƙwayoyin myocardial. Bayan jiyya, hauhawar jini yana inganta yanayin haɓakar ƙwaƙwalwar hagu na hagu. Har ila yau, maganin yana iya rage juriya a cikin tasoshin jijiyoyin da ke cikin jijiyoyi. Tunda yake a cikin matsakaici yana ƙaruwa da haɓakar fitsari, wanda aka zubar da ruwa mai yawa, ya dace a sha maganin idan akwai cutar edematous.

A babban matsin lamba (fiye da 140/100 mm Hg. Art.), Likita ya zaɓi sashi da tsawon lokacin aikin kwata-kwata. Yawancin lokaci, Ya kamata a dauki Indapamide sau ɗaya a rana: da safe, kwamfutar hannu 1. An ba shi damar sha a kan komai a ciki ko bayan cin abinci - abinci ba ya shafar tasirin maganin.

M shigar da dokoki:

• Yi amfani da lokacin da aka bayyana a sarari don kula da tazara ta sa'o'i 24,
• Allunan ko ƙwayayen allurai suna hadiye su duka
• wanke tare da tsayayyen ruwa a cikin yawan akalla 150 ml,
• kawai akan shawarar likita, canza sashi ko dakatar da hanyar magani.

Tsawancin sakamako na Indapamide yana da alaƙa da rushewar ƙwayar a hankali. Idan kuna niƙa allunan ko kwalliya kafin amfani, babban adadin abu mai aiki zai shiga nama nan da nan, wanda zai haifar da raguwa sosai a cikin matsi. Rage saukar karfin jini kwatsam yana aiki da dukkan tsarin jikin mutum, wanda yake tattare da mummunan sakamako.

An yarda da ɗayan magungunan masu zuwa tare da Indapamide:

• Kwakwalwa da sauran B-blockers,
• Lorista (yana karɓar karɓar angiotensin)
• Prestarium (don raunin zuciya),
• Lisinopril (ACE inhibitor),
• sauran magunguna wanda likitanka ya umarta.

A zahiri, kowane likita yakamata ya zaɓi likita kawai, tunda idan akwai haɗin haɗin kai, ba a la'akari da daidaituwa game da abubuwa masu aiki. Wannan na iya haifar da gazawar magani ko guban kwayoyi, wanda a cikin kowane yanayi barazanar rayuwa ce.

Wani lokaci ana tilastawa mutum shan wasu magunguna waɗanda ke cikin gungun magunguna daban-daban.Abubuwan da ke aiki na iya raguwa ko haɓaka tasiri na Indapamide. Zai dace a more cikakkun bayanai kan yadda ake 'nuna ma'amala' irin wannan.

Tasirin antihypertensive na miyagun ƙwayoyi yana ƙaruwa lokacin da aka yi amfani da su tare da maganin rigakafi, maganin ƙwaƙwalwar ƙwayar cuta - wannan na iya haifar da raguwa mai ƙarfi.

Lokacin da aka haɗu da erythromycin, mutum yana haɓaka tachycardia; a cikin hadaddun Cyclosporin, matakan creatinine suna ƙaruwa. Amfani guda lokaci guda tare da kwayoyi, waɗanda suka haɗa da aidin, na iya haifar da bushewa. Rashin potassium yana inganta ta hanyar magunguna masu guba, saluretics da glycosides na zuciya.

Ya kamata a ɗauka a hankali cewa corticosteroids da NSAIDs (magungunan anti-inflammatory marasa steroidal) suna rage tasirin Indapamide - wannan yana rage tasirin maganin. Don guje wa irin wannan hulɗa tare da wasu magunguna, likita yana buƙatar samar da jerin duk magunguna da magungunan ganye da aka yi amfani da su.

Masu fama da cutar rashin karfin jiki wadanda ke da cututtukan cututtukan cututtukan hanji, endocrine, narkewa da jijiyoyin jini yakamata a nemi likita. Don wasu cututtukan cuta, wannan magani yana da fasalolin amfani ko an lalata shi gaba ɗaya.

Bai kamata a yi amfani da Indapamide a cikin yara 'yan ƙasa da shekara 18 ba, masu juna biyu. Idan an wajabta maganin ne ga mace yayin shayarwa, to yayin da ake kulawa da jariri an canza shi zuwa abinci mai wucin gadi.

Yin amfani da Indapamide an hana shi idan an lura da yanayin masu zuwa:

• mutum rashin haƙuri,
• na gazawar
• galactosemia, rashin lactose,
• hepatic encephalopathy,
• rarrabuwa a cikin kwakwalwa,
• hypokalemia
• gout
• rashin lafiya

Kafin sayen maganin, ana bada shawara don nazarin umarnin masana'anta na hukuma (wanda aka lullube shi a cikin kunshin magungunan), tunda yana nuna cikakkiyar bayani game da abun da ke ciki, fasalin amfani, contraindications, sauran bayanai.

Yin amfani da magani yadda yakamata a cikin kashi 97 cikin 100 na maganganun, miyagun ƙwayoyi ba su da tasiri a jiki. A cikin mutanen mallakar sauran kashi 3%, Indapamide yana haifar da sakamako masu illa. Sakamakon da ya fi dacewa shine cin zarafin ruwa-electrolyte: matakin potassium da / ko sodium yana raguwa. Wannan yana haifar da rashin ruwa (rashin ruwa) a jiki. Da wuya, magani zai iya haifar da arrhythmia, hemolytic anemia, sinusitis da pharyngitis.

Sauran sakamakon Indapamide:

• rashin lafiyan (urticaria, anaphylaxis, edema na Quincke, dermatosis, rash),
• Ciwon Lyell
• rashin ruwa na baka,
• Stevens-Johnson ciwo
• tari
• rauni
• tsananin farin ciki
• tashin zuciya, amai,
• ciwon tsoka
• migraine
• juyayi
• hanta dysfunction
• maganin cututtukan farji
• maƙarƙashiya
• orthostatic hypotension.

Wani lokacin indapamide yakan canza yanayin jini da fitsari. A cikin binciken za a iya gano rashi na potassium, sodium, yawan adadin kalsiya, glucose, creatinine da urea. Thrombocytopenia, leukopenia, anemia, agranulocytosis yana faruwa ƙasa da akai-akai.

Madadin Indapamide, an yarda da Indap. Wannan magani yana tare da wannan abun da ke ciki, amma wani masana'anta ya kera shi kuma yana iya samun kashi dabam na kayan aiki. Idan akwai wani bambanci, likita mai halartar ya kamata ya daidaita yawan abincin.

Likita zai kuma taimaka muku gano alamun ƙira tare da aiki mai kama ko aiki. A yayin tattaunawar mutum, likita zai gaya muku wane magani ne mafi kyawun amfani: Indapamide ko Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acripamide, Ionic, Retapres. Wataƙila nadin wasu cututtukan diure da nufin rage karfin jini.

Magani Indapamide a hankali yana rage matsa lamba a duk tsawon rana. Tare da yin amfani da shi na yau da kullun kuma daidai, hawan jini yana raguwa cikin kwanaki 7 daga fara gudanarwa.Amma ba za a iya katse farji ba a wannan matakin, tunda magani ya kai ga sakamakonsa mafi girma cikin watanni 2.5-3. Don mafi kyawun tasiri na miyagun ƙwayoyi, kuna buƙatar buƙatar bin shawarwarin likita: bi abinci don hauhawar jini, daidaita tsawon lokacin hutawa, sauran magunguna.

Indapamide wani sanannen magani ne don magance hauhawar jini, da kuma cututtukan fata da ke haifar da rashin zuciya ko wasu dalilai. Wannan diuretic ne, amma a aikace tare da hauhawar jini ana amfani dashi azaman vasodilator. A ƙasa zaku sami umarni don amfani da Indapamide, wanda aka rubuta cikin yare. Yi nazarin alamuran don amfani, contraindications da sakamako masu illa. Koyi yadda ake shan waɗannan magungunan don cutar hawan jini: a cikin wane kashi, kafin ko bayan abinci, da safe ko da yamma, kwana nawa aikin ya ci gaba. Karanta bambanci tsakanin ainihin magungunan Arifon da Arifon Retard, menene ƙarancin analogues da suke da shi. Fahimci abin da ya kamata ka ɗauka: indapamide, furosemide, ko hydrochlorothiazide (hypothiazide). Labarin ya bayyana dalilin da yasa indapamide ya dace sosai ga masu ciwon sukari, tsofaffi da sauran nau'ikan marasa lafiya. Ana ba da jerin abin da waɗancan ƙwayoyin matsa lamba za'a iya haɗuwa.

Umarnin don amfani

Yadda ake ɗaukar indapamide

Ya kamata a dauki Indapamide na dogon lokaci, watakila har ma da rayuwa. Wannan magani an yi shi ne don tsawan amfani da shi. Kada kuyi tsammanin sakamako mai sauri daga gare ta. Zai fara rage karfin jini ba da wuri ba sai bayan makonni 1-2 na cin abincin yau da kullun. Sha shan allunan da aka sanya muku ananpamide kowace rana, 1 pc. Kada ku ɗauki hutu a cikin liyafar ba tare da izinin likita ba. Kuna iya ɗaukar diuretic (vasodilator) kafin ko bayan abincin, kamar yadda kuka fi so.Yana da kyau a yi hakan a lokaci guda kowace rana.

Dole a dauki Indapamide akai-akai, sai dai idan likitan ya gaya muku cewa a soke shi. Kada kaji tsoron sakamako masu illa. Wannan magani ne mai lafiya sosai don hawan jini da rashin karfin zuciya. Alamar mara kyau da mutane keyi don cutarwarta yawanci sakamakon atherosclerosis ne, wanda ke shafar tasoshin da ke ciyar da zuciya, kwakwalwa da kafafu. Idan ka daina shan indapamide, to alamomin ba za su shuɗe ba, kuma haɗarin bugun zuciya da bugun jini na ƙaruwa sosai.

Mutane da yawa suna tunanin cewa za'a iya dakatar da shan indapamide da sauran magunguna bayan cutar jininsu ta koma al'ada. Wannan babban kuskure ne kuma mai haɗari. Warkewa da jiyya sau da yawa yana haifar da matsin lamba, tashin hankali, tashin zuciya da bugun jini. Dole ne a sha magungunan hauhawar jini akai-akai, kowace rana, ba tare da la’akari da hauhawar jini ba. Idan kanaso ka rage sashi ko kuma dakatar da magani gaba daya - tattauna wannan da likitan ku. Sauyi zuwa rayuwa mai lafiya yana taimaka wa wasu marasa lafiyar hawan jini sosai har sai an soke magunguna a amince. Amma wannan baya faruwa sau da yawa.

Tare da Indapamide, suna neman:

Magungunan Matsi: Tambayoyi da Amsa

• Yadda za'a daidaita jinin jini, sukari jini da cholesterol
• Kwayoyin maganin matsin lamba da likitan ya yi amfani da su don taimakawa sosai, amma yanzu sun zama marasa ƙarfi. Me yasa?
• Abin da za a yi idan har magungunan ƙwayoyi masu ƙarfi ba su rage matsi ba
• Abin da za a yi idan magungunan hauhawar jini ba su da hauhawar jini
• Hawan jini, rikicin hauhawar jini - fasali na jiyya a cikin samari, tsakiya da tsufa

Indapamide don matsin lamba

Indapamide ya zama sanannen magani na cutar hawan jini domin yana da fa'idodi masu yawa. Wannan magani yana rage karfin jini sosai kuma yana da aminci. Ya dace da kusan dukkanin marasa lafiya, ciki har da masu ciwon sukari, da kuma marasa lafiya tare da gout da tsofaffi. Ba shi da wani lahani a cikin metabolism - ba ya kara yawan sukari (glucose) da uric acid a cikin jini. Fa'idodin da aka lissafa a sama sun sanya indapamide ɗayan magungunan farko don hauhawar jini. Wannan baya nufin ana iya amfani dashi don maganin kansa ba. Anyaukar kowane kwayoyin matsa lamba kawai kamar yadda likitanka suka umurce ka.

Indapamide bai dace da lokuta ba inda ake buƙatar bayar da taimako da sauri tare da matsalar hauhawar jini. Zai fara aiki ba da jimawa ba bayan makonni 1-2 na cin abincin yau da kullun, kuma yana rage karfin jini sosai. Akwai magunguna masu sauri da ƙarfi don hawan jini sama da wannan ƙwayar. Amma kwayoyi masu ƙarfi suna haifar da sakamako masu illa sau da yawa. A matsayinka na mai mulkin, indapamide baya taimakawa isa tare da hauhawar jini idan an wajabta shi shi kaɗai, ba tare da wasu magunguna ba. Makasudin magani shine a kiyaye karfin jini a ƙasa 135-140 / 90 mm Hg. Art. Don cimma nasarar, yawanci kuna buƙatar ɗaukar indapamide tare da wasu magunguna waɗanda ba cututtukan diuretics ba.

Yawancin karatun da aka yi tun a shekarun 1980 sun tabbatar da cewa indapmide ke rage hadarin kamuwa da bugun zuciya, bugun jini, da sauran rikitarwa na hauhawar jini. Ya dace wa marasa lafiya su ɗauki kwamfutar hannu guda ɗaya kawai don matsa lamba kowace rana, kuma ba magunguna daban-daban ba. Sabili da haka, magungunan da ke kunshe da abubuwa biyu ko uku masu aiki a cikin kwamfutar hannu guda ɗaya sun shahara. Misali, Noliprel da Co-Perineva sune magunguna dauke da indapamide + perindopril. Magungunan Ko-Dalneva a lokaci guda ya ƙunshi abubuwa masu aiki 3: indapamide, amlodipine da perindopril. Yi magana da likitan ku game da amfani da magunguna masu haɗuwa idan kuna da karfin jini na 160/100 mmHg. Art. kuma sama.

Indapamide galibi ana wajabta shi ga masu fama da cutar sankara mellitus daga hawan jini tare da wasu magunguna.Ba kamar sauran magungunan diuretic ba, wannan magani yawanci baya ƙaruwa da matakan glucose na jini. Babu makawa cewa kuna buƙatar ƙara yawan sashin insulin da rage sukari bayan kun fara shan wannan magani. Koyaya, ana bada shawara don ƙarfafa kula da ciwon sukari, sau da yawa auna sukari tare da glucometer.

A matsayinka na mai mulkin, ana buƙatar masu ciwon sukari su ɗauki indapamide ba su kadai ba, amma a haɗe tare da wasu magunguna don hawan jini. Nemi masu hana ACE da masu hana karban angioensin II rakodi. Magungunan da ke cikin waɗannan rukunin ba wai kawai saukar karfin jini ba, har ma suna kare kodan daga matsalolin ciwon sukari. Suna bayar da bata lokaci a ci gaban lalacewar koda.

A cikin binciken da yawa na asibiti, an tsara marasa lafiya da ciwon sukari indapamide + perindopril, wanda shine mai hanawa ACE. Wannan haɗin magungunan ba kawai yana rage karfin hawan jini ba, amma yana rage haɗarin rikicewar zuciya. Yana rage adadin furotin a cikin fitsari. Wannan yana nuna cewa kodan ba su da wahala da rikice-rikice masu ciwon sukari. A cikin masu ciwon sukari, allunan Noliprel sun shahara, waɗanda ke ɗauke da indapamide da perindopril a ƙarƙashin harsashi ɗaya. Getwarar da jini a cikin marasa lafiya da ke ɗauke da ciwon sukari shine 135/90 mm Hg. Art. Idan Noliprel bai yarda a kai gareshi ba, to ana iya ƙara amlodipine a cikin tsarin magunguna.

Da ke ƙasa akwai amsoshin tambayoyin da ke faruwa koyaushe a cikin marasa lafiya game da magani indapamide.

Shin indapamide da barasa sun dace?

Shan giya na kara yiwuwar tasirin sakamako na indapamide, wanda yawanci ba kasala bane. Kuna iya jin ciwon kai, amai, ko ma kumbura idan matsin ya ragu sosai. Koyaya, babu takamaiman dokar hana shan giya ga mutanen da suke shan maganinp. An yarda da yawan amfani da giya. A cikin fewan kwanakin farko na shan kwayoyin don hawan jini, akwai yiwuwar sakamako masu illa da aka ambata a sama sama. Kada ku sha barasa a kwanakin nan, don kada ku ƙara tsananta halin. Dakata 'yan kwanaki har sai jikin ya saba dashi.

Menene sunan asalin maganin halkapamide?

Magungunan asali shine Allunan Arifon da Arifon Retard allunan da Servier suka kirkira. Duk sauran allunan da ke dauke da indapamide sune analogues nasu. Servier kamfanin Faransa ne. Amma wannan baya nufin cewa lallai ne a bayar da magungunan Arifon da Arifon Retard a Faransa. Sanar da asalin ƙasar ta lambar tazara a kan kunshin.

Menene misali mai sauki game da wannan maganin?

Shirye-shirye na asali Arifon (na yaupamide na yau da kullun) da Arifon Retard (Allunan na tsawaitawa) suna da yawa analogues, fiye ko cheapasa da araha. Lura cewa allunan Arifon da Arifon Retard basu da tsada sosai. Akwai su ko da don manyan citizensan ƙasa. Sauya wadannan kwayoyi tare da analogues zai adana ku da yawa. A wannan yanayin, iyawar magani na iya raguwa kuma da yiwuwar tasirin sakamako zai iya ƙaruwa. A cikin Rasha, ana yin allunan keɓaɓɓen indapamide ta Akrikhin, Ozone, Tatkhimpharmpreparaty, Canonpharma, Alsi Pharma, Verteks, Nizhpharm da sauransu. Countriesasashen CIS suna da nasu masana'antun gida na ƙirar analogues na ƙarancin magunguna na Arifon.

Analogues na miyagun ƙwayoyi Indapamide:

Wani sanannen masanin ilimin bugun jini a wata tattaunawa ta yau da kullun ya yarda cewa ya ba da shawarar marassa lafiyar su dauki magunguna don hauhawar jini da cututtukan zuciya da aka yi a Rasha da kasashen CIS. Duba nan don ƙarin cikakkun bayanai. Idan muka dauki analogues, to, ku kula da indapamide, wanda yake a gabashin Turai. Waɗannan allunan Indap ne daga kamfanin PRO.MED.CS (Czech Republic) da kuma magungunan da Hemofarm (Serbia) ya kera. Akwai kuma indapamide-Teva, wanda yana iya kasancewa a cikin Isra'ila.Kafin siyan kowane magani, saka ƙasar asalin ta ta lambar taye akan kunshin.

Zan iya ɗaukar indapamide da Asparkam tare?

Indapamide a zahiri ba ya cire potassium daga jiki. Sabili da haka, yawanci ba lallai ba ne don amfani da Asparkam ko Panangin tare da wannan magani. Tattauna wannan da likitan ku. Kada ku ɗauki Asparkam da kanku. Increasedara yawan potassium a cikin jini bashi da kyau, amma yana da haɗari. Zai iya haifar da lalata da jin daɗin rayuwa har ma da mutuwa daga kamawar zuciya. Idan kuna tsammanin ba ku da potassium, to, kuyi gwajin jini don matakin wannan ma'adinin da sauran abubuwan lantarki, kuma kada ku yi saurin shan magani ko kayan abinci.

Shin indapamide zai shafi ikon namiji?

Ido biyu, makaho, binciken da ake sarrafawa sun nuna cewa indapamide baya raunana karfin namiji. Ingancin ƙwayar ƙwayar cuta a cikin maza yana shan magungunan hawan jini yawanci ana haifar da shi ta atherosclerosis, wanda ke shafar jijiyoyin wuya waɗanda ke cika azzakari jini. Hakanan yakan zama sanadin lalacewa ta hanyar cututtukan cututtukan siga, wanda mutumin ba ya zargin shi kuma ba a kula dashi. Idan kun daina shan magani, to alƙawarin bazai inganta ba, kuma bugun zuciya ko bugun jini na faruwa shekaru da dama da suka gabata. Duk wasu magunguna na diuretic da aka wajabta don hauhawar jini da rauniwar zuciya suna shafar ƙarfin namiji fiye da indapamide.

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.

Shin indapamide yana ƙasa da ƙasa ko ƙara hawan jini?

Indapamide yana rage karfin jini. Nawa - ya dogara da halaye na kowane haƙuri. A kowane hali, wannan magani ba ya ƙara matsa lamba.

Zan iya ɗaukar indapamide a ƙarƙashin rage matsin lamba?

Tuntuɓi likitan ku don tattauna yawan abin da kuke buƙatar rage sashi ko ma dakatar da indapamide. Kar a canza kashi da yadda ake shan magunguna don hauhawar jini, sai idan kana jin haushi sosai saboda karancin jini.

Zan iya shan wannan maganin don gout?

Wataƙila a yau indapamide shine mafi kyawun maganin cutar daji ga marasa lafiya da gout.

Menene yake taimakawa indapamide?

An wajabta indapamide don magance hauhawar jini, haka kuma don rage edema wanda ya haifar da raunin zuciya ko wasu dalilai.

Zan iya shan wannan magani a kowace rana?

Hanyar ɗaukar indapamide kowace rana ba a gwada ta a kowane binciken asibiti ba. Wataƙila, wannan hanyar bazai iya kare ka da kyau daga ciwon zuciya da bugun jini ba. A waccan ranakunda bazaka dauki indapamide ba, zubewar jini zaiyi. Yana cutarwa ga hanyoyin jini. Rashin hauhawar jini shima zai yiwu. Karku yi ƙoƙarin ɗaukar indapamide kowace rana. Idan likita ya tsara irin wannan tsarin, maye gurbin shi da ƙwararrun ƙwararrun likitoci.

Indapamide 1.5 MG ko 2.5 MG: wanne yafi?

Shirye-shirye na indapamide ya ƙunshi 2.5 MG na wannan abun, da kuma allunan saki (MB, retard) sun ƙunshi 1.5 MG. Magunguna masu kwantar da hankali suna rage karfin jini na dogon lokaci fiye da allunan yau da kullun kuma suna aiki lafiya. An yi imani cewa saboda wannan, ana iya rage kashi na yau da kullun na indapamide daga 2.5 zuwa 1.5 MG ba tare da yin tasiri ba. Allunan da suka dade suna dauke da kwayar milyon 1.5 na indapamide sune Arifon Retard da kuma analogues dinsu. Lura cewa ba su dace da maganin cututtukan fata ba. An yi musu magani don hauhawar jini. Daga edema, ya kamata a dauki indapamide kamar yadda likita ya umarta a daidai gwargwado na 2.5-5 MG kowace rana. Zai yiwu likita nan da nan zai iya ba da ƙarin ƙarfin diuretic don edema, dipetic madauki.

Indap da indapamide: menene bambanci? Ko dai abu daya ne?

Indap sunan kasuwanci ne wanda kamfanin Czech din ke kera shi PRO.MED.CS. Indapamide shine kayan aiki. Don haka, zamu iya cewa Indap da indapamide iri ɗaya ne. Baya ga Indap na miyagun ƙwayoyi, ana sayar da wasu allunan da ke ɗauke da guda ɗaya na diuretic (vasodilator) a cikin kantin magunguna. Mafi mashahuri daga cikinsu ana kiran su Arifon da Arifon Retard. Waɗannan magunguna na asali ne, kuma Indap da duk sauran shirye-shiryen indapamide sune analog ɗin su. Ba lallai ba ne a samar da Indap a cikin Czech Republic. Kafin siyan, yana da kyau a tantance ƙasar asalin wannan maganin ta ƙirar lambar akan kunshin.

Menene banbanci tsakanin indapamide da indapamide MV Stad?

Nizhpharm (Rasha) ke ƙera Indapamide MV Stad. MB tsaye ga "kwaskwarimar saki" - Allunan sakewa waɗanda suka ƙunshi 1.5 MG na kayan aiki mai aiki, ba 2.5 MG ba. An bayyana dalla-dalla akan yadda magungunan indapamide 1.5 da 2.5 a kowace rana sun bambanta, kuma hakan yasa bai cancanci ɗaukar magunguna waɗanda aka yi a cikin Federationasashen Rasha da CIS ba. A cikin littattafan likitanci na gida zaka iya samun labarai waɗanda ke tabbatar da cewa indapamide MV Stada yana taimakawa tare da hauhawar jini ba mummunar ƙarancin maganin Arifon Retard ba. An buga waɗannan labaran don kuɗi, don haka kuna buƙatar yin shakku game da su.

Wanne ya fi kyau: indapamide ko hydrochlorothiazide?

A cikin ƙasashen da ke magana da Rasha, an yi imani da shi cewa hydrochlorothiazide (hypothiazide) yana rage hawan jini fiye da indapamide, kodayake yana haifar da ƙarin sakamako masu illa. A watan Maris na 2015, wani labarin Turanci ya fito a cikin sanannen Jaridar Hypertension wanda ke tabbatar da cewa indapamide a zahiri yana taimaka wa hawan jini ya fi hydrochlorothiazide kyau.

An gudanar da bincike guda 14 a cikin shekaru, wanda aka gwada indapamide da hydrochlorothiazide. Ya juya cewa indapamide yana ba ku damar cimma karfin jini ta 5 mm RT. Art. ƙasa da hydrochlorothiazide. Don haka, indapamide shine mafi kyawun magani don hauhawar jini fiye da hydrochlorothiazide dangane da tasiri, kazalika da yawanta da tsananin tasirin sakamako. Wataƙila hydrochlorothiazide mafi kyau fiye da indapamide yana taimaka wa edema. Ko da yake duk waɗannan magunguna suna ɗaukar rauni. Ba su da wuya a wajabta su don tsananin hura ciki.

Indapamide ko furosemide: Wanne ya fi kyau?

Indapamide da furosemide gaba daya magunguna ne daban. Furosemide yakan haifar da sakamako masu illa, kuma suna da tsauri. Amma wannan magani yana taimakawa tare da edema a yawancin lokuta yayin da indapamide bashi da ƙarfi. Tare da hauhawar jini, ba rikitarwa ta edema da bugun zuciya, likita zai iya yin maganin indapamide. Likita mai kaifin baki ne da alama zai iya yin furosemide don amfanin yau da kullun don hauhawar jini saboda babban haɗarin sakamako masu illa. Amma tare da mummunan rauni na zuciya daga indapamide kadan taimako. An wajabta Furosemide ko wata madaidaiciyar madaidaiciyar diuretic (Diuver) don sauƙaƙa kumburi da gazawar numfashi saboda yawan ruwa a cikin huhu. Wannan bawai ace cewa indapamide ya fi furosemide ba, ko kuma akasin haka, saboda ana amfani da waɗannan magunguna don dalilai daban-daban.

Indapamide ko Noliprel: Wanne ya fi kyau?

Noliprel shine kwamfutar hannu hade da ke dauke da indapamide da kuma wani ƙarin abu mai aiki wanda yake a cikin nutsuwa. Suna rage hawan jini fiye da idan kawai kuna shan indapamide ba tare da wasu kwayoyi ba. Ga marasa lafiya tare da kiba da nau'in ciwon sukari na 2, Noliprel shine mafi kyawun zaɓi fiye da indapamide na yau da kullun. Ga tsofaffi marassa lafiya, Noliprel na iya ƙarfin magani. Wataƙila sun fi dacewa su ɗauki allunan Arifon Retard ko analogs ɗin su. Yi magana da likitanka game da wane magani ne mafi kyawu a gare ku. Kada ku ɗauki waɗansu magunguna da aka lissafa a sama bisa ƙwarin kanku.

Shin za'a iya ɗaukar indapamide da lisinopril a lokaci guda?

Ee za ku iya.Wannan haɗin magunguna don hauhawar jini yana cikin mafi kyawun yanayi. Idan indapamide da lisinopril tare basa barin rage karfin jini zuwa 135-140 / 90 mm RT. Art., To, zaku iya ƙara ƙarin amlodipine a gare su. Yi magana da wannan tare da likitanka; kar a ƙara ba da gangan.

Indapamide ko Lozap: Wanne ya fi kyau? Waɗannan magungunan sun dace?

Wannan bawai ace cewa indapamide ya fi Lozap ba, ko kuma akasin haka. Duk waɗannan magungunan suna rage karfin jini kusan daidai. Suna cikin ƙungiyoyi daban-daban na kwayoyi don hauhawar jini. Indapamide wani diuretic ne wanda ake amfani dashi azaman vasodilator. Lozap shine mai karɓar karɓar angiotensin II. Wadannan kwayoyi za a iya sha a lokaci guda. Wataƙila lokacin da aka haɗu tare, za su rage karfin jini sosai fiye da kowannensu daban-daban.

Shin indapamide da enalapril suna da alaƙa da kwayoyi?

Ee, ana iya ɗauka a lokaci guda. Enalapril ba shi da matsala a cikin hakan dole ne a dauki shi sau 2 a rana. Yi magana da likitanka game da maye gurbin shi da ɗayan sababbin magunguna masu kama da juna, wanda ya isa ya ɗauki kwamfutar hannu guda ɗaya a rana.

Gano abin da matsin lamba ke shan Indapamide

Diuretic jamiái da ke taimakawa wajen kawar da yawan ruwa mai narkewa daga jiki galibi ana wajabta su don hauhawar jini. Daya daga cikin hanyoyinda aka saba amfani da irin wannan - Indapamide, umarni don amfani, a wane irin matsin lamba zaka sha lalle.

• Me aka sanya wa wannan magani?
• Umarnin don amfani
• Har yaushe zan iya ɗaukar indapamide ba tare da hutu ba?
• Contraindications
• Side effects
• Analogs da kwatancen su
• Wanne ya fi kyau ɗauka?

Iyakar abin da ke nuna Indapamide shine hauhawar jini, a mafi yawan lokuta ana wajabta shi ne idan karuwar hawan jini yana tare da hura ciki da tsayayyar ruwa. Ta hanyar cire wuce haddi na ruwa, hawan jini ya ragu.

Irin waɗannan magunguna sukan zama tushen jiyya. Yawancin lokaci ana samun su tare da wasu magungunan anti-hauhawar jini. A wani matsin lamba ne ake buƙatar irin waɗannan kwayoyi? Yawancin lokaci ana rubutasu idan hauhawar jini ta kan ci gaba kodayaushe, hauhawar jini na jijiya mai tasowa gaba daya, alamu masu nuna matsa lamba suna ci gaba da kasancewa sama da dabi'u 140 cikin 100.

Indapamide diuretic ko a'a? Tunda wannan maganin diuretic ne, yana da tasirin diuretic, yana cire ruwa daga jiki. Ya kamata a ɗauka a cikin zuciya cewa ƙara yawan sashi ba ya haifar da karuwa a cikin tasirin hypotensive, na musamman diuretic yana ƙarfafawa. Sabili da haka, kada kuyi la'akari da sigar wannan magani, musamman don kansa.

Matsakaicin farashin wannan samfurin shine 20-50 rubles, dangane da sarkar kantin magani. Magungunan yana ɗaya daga cikin mafi arha mafi sauƙin amfani da aka yi amfani da shi don hauhawar jini.

Mahimmanci! A kowane hali ya kamata ku fara shan diuretics da kanku, musamman tare da alamun rashin aikin keɓaɓɓen aiki.

Yawancin lokaci ana shan wannan magani sau ɗaya a rana, daidaitaccen sashi shine 2.5 mg na kayan. Dos ba ya canzawa a cikin mafi yawan lokuta, ana iya gyara shi kawai ta ƙara wasu jami'ai waɗanda ke da tasirin gaske a farji.

MUHIMMI ZAI KYAUTA! Magani wanda zai tseratar da kai daga hauhawar jini a cikin 'yan dabaru

Yadda za a sha shi - kafin abinci ko bayan, ba shi da mahimmanci. Jagorar don miyagun ƙwayoyi ta ce lokacin rana da abinci ba ya shafar tasirin miyagun ƙwayoyi, saboda haka ba lallai ba ne a mai da hankali a kansu.

Yawanci, magani tare da magunguna antihypertensive daban-daban a lokacin mummunan hauhawar jini ba ya daɗe, har zuwa makonni da yawa. Bayan haka, lokacin da karfin jini ya sauka sosai, har sai an daina jinya. A nan gaba, don ci gaba da matsin lamba a alamu na yau da kullun, yana da mahimmanci a bi abincin da ya dace da sauran shawarwarin likita.

Gabaɗaya, game da tsawon wannan maganin, ya kamata ka fara tattaunawa da likitanka. A kowane yanayi, hanya za ta zama daban, duk ya dogara da tsananin cutar, yanayin mai haƙuri gaba ɗaya.

A cikin nau'i na ingantaccen magani don hauhawar jini. Ana ba da shawara don ɗaukar ƙwayar "Hypertonium". Wannan magani ne na dabi'a wanda yake aiki akan dalilin cutar, gaba ɗaya yana hana haɗarin bugun zuciya ko bugun jini. Hypertonium ba shi da maganin hana haihuwa kuma ya fara aiki a cikin 'yan sa'o'i bayan an yi amfani da shi. An tabbatar da inganci da amincin miyagun ƙwayoyi ta hanyar nazarin asibiti da kuma shekaru masu yawa na kwarewar warkewa. Ra'ayoyin likitoci ... "

Indapamide yana da yawan tsauraran matakan contraindications. Bai kamata a yi amfani da wannan magani a lokuta na renal ko na hepatic insuff; ba idan ba'aci aiki na waɗannan gabobin, ana ɗaukar diuretic ta musamman a ƙarƙashin tsananin kulawa na likita, koyaushe yana lura da yanayin da yanayin canje-canje.

1. Hakanan, wannan magungunan bai kamata a yi amfani dashi don rashin haƙuri ba ga abubuwan haɗin abun da ke ciki, da farko diuretic kanta, da sauran abubuwan da aka haɗa a cikin maganin.
2. Ciki har da, bai kamata ku yi amfani da kayan aiki don rashin haƙuri ba don lactose, tunda yanki ne na kwamfutar hannu kanta.
3. A contraindication ne shekaru yara. Har zuwa shekara goma sha takwas, wannan magani akan cutar hawan jini bai kamata a yi amfani dashi ba, babu wata shaida game da amincinsa ga yara.
4. Ba dole ne a yi amfani da Indapamide ba a lokacin daukar ciki, da haihuwar yaro da lokacin shayarwa tsayayye ne don shan maganin.

Mahimmanci! Yana da kyau a dauki wannan diuretic a cikin tsofaffi karkashin tsananin kulawa na likita; a cikin tsofaffi, miyagun ƙwayoyi na iya shafar jikin.

Wannan diuretic yana da aan wasu illolin sakamako, ba sa faruwa koyaushe idan kuka ɗauki Indapamide bisa ga umarnin. Kungiyoyin da ke biye da tasirin sakamako sukan bambanta:

• rashin jin tsoro, ciwon kai, damuwa na bacci, asma, sauran rikicewar tsarin juyayi,
• tashin hankali, rudani damuwa, sauran sakamako masu illa daga jijiyoyin jini,
• mai tsananin tari, cututtukan jini, sinusitis,
• cututtuka daban-daban daga tsarin motsa jiki,
• daban-daban cuta na hematopoiesis, canje-canje a alamomin gwajin jini,
• duk nau'in halayen rashin lafiyan jiki, fitsarin fata, cututtukan fata.

Wadannan sakamako masu illa sun fi yawa yayin shan Indapamide. Tare da shigarwar da ta dace, yiwuwar faruwar abin ƙanƙantarsu kaɗan.

Yi la'akari da wane magani zai iya maye gurbin Indapamide, kuma wanne ne mafi kyau.

Concor da Indapamide suna da daidaituwa mai kyau, an tsara su a zaman magani mai wahala tare. Indapamide na iya haɗuwa sosai tare da sauran masu hanawa.

Lorista, mai maganin antitensin mai warkarwa, da indapamide za'a iya haɗe tare da izinin likita. Kusan sau da yawa, waɗannan magunguna guda biyu ana wajabta su a lokaci ɗaya don tasirin magani.

Prestarium, magani ne wanda aka yi amfani da shi don hauhawar jini da rauni a zuciya, wani lokaci ana wajabta shi da maganin tausa, musamman tare da Indapamide. Wadannan magungunan suna hade sosai.

Haɗin Lisinopril da Indapamide yana ba ku damar sauri da kuma ingantaccen alamun alamun jini, yayin da suke zama al'ada na dogon lokaci, hauhawar jini yana raguwa. Lisinopril shine mai hana ACE. A wannan yanayin, bai kamata ku fara ɗaukar irin wannan haɗuwa na kwayoyi a kanku ba, dole ne ku fara tuntuɓi ƙwararre.

Kai tsaye analogues na Indapamide sauran diuretics ne dangane da kayan aiki iri daya. Waɗannan sun haɗa da farko Arifon, sauran bambance-bambancen Indapamide.Hakanan zaka iya amfani da wasu magungunan diuretic da nufin rage karfin jini. Kafin amfani da analog, tabbatar da karanta umarnin don amfani.

A wannan yanayin, sakamakon ba za a iya kwatanta su da kwayoyi na rukuni ɗaya ba - diuretics, waɗanda suka haɗa da Indapamide. Zai yi wuya a faɗi wanne ya fi kyau, Indapamide ko Concor, saboda waɗannan magungunan suna cikin nau'o'in magunguna kuma suna shafar jiki ta hanyoyi daban-daban. Hakanan ba zai yiwu a faɗi wanda ya fi kyau ba, Indapamide ko Enalapril, tunda magani ne daban-daban tare da tasiri daban-daban a jiki. Koyaya, yana da mahimmanci a lura cewa diuretics ya kamata a farko a kula dasu idan hauhawar jini yana tare da kumburi.

Hakanan Arifon Retard yana dogara ne akan aikin Indapamide, amma farashin wannan analog ɗin yana da girma. Packaya daga cikin fakitin magunguna ya kai 300 - 350 rubles. Haka kuma, dangane da aiki, wadannan kudade a zahiri basu banbanta, bambanci tsakanin su kadan ne.

Koyaya, yana da daraja la'akari da cewa Arifon yana da ƙananan contraindications. A lokacin tsufa, a gaban cututtukan hanta da koda, ya fi kyau a zaɓi shi. Indapamide yana da mummunan tasiri mara kyau a jiki.

Veroshpiron kuma yana da tasiri sosai a hauhawar jini tare da diuretic. Koyaya, yana da mahimmanci a san cewa za'a iya amfani da wannan maganin don wasu cututtukan cututtuka, yayin da yake da ƙarancin magunguna fiye da Indapamide. Sabili da haka, lokacin zabar magunguna, yana da daraja kula da shi, gami da.

Hypothiazide kuma shine ingantaccen maganin diuretic don hauhawar jini, wanda aka wajabta sau da yawa don wannan cutar. Haka kuma, yana da mafi yawan kewa da yardarsa, akwai wasu karin lafazin da zaku iya amfani dashi. Ta hanyar contraindications, waɗannan kwayoyi suna da kama sosai.

Tare da hauhawar jini, yana da kyau a zaɓi diuretic na farko, tunda ana nufin wannan magani ne don magance wannan cutar. Yawancin lokaci ana amfani da Furosemide don wasu cututtuka.

Hydrochlorothiazide shima yana nufin cututtukan thiazide, kamar hypothiazide. A aikace, waɗannan magungunan sun fi kama. Zaɓi rukuni mafi dacewa na kwayoyi ya kamata ya dogara da alamomi, hanya na cutar, concomitant pathologies.

Diuver ya fi kama da tasiri ga Furosemide, yayin da shi kuma ana yin sa sosai sau da yawa don hauhawar jini. Wannan kayan aiki musamman yana taimakawa tare da haɓaka haɓakar edema. A lokaci guda, yana da ƙarin contraindications, don haka kafin a fara amfani da shi, lallai ne a karanta umarnin don amfani.

A cewar kididdiga, kusan mutuwar miliyan 7 na shekara ana iya danganta shi da hawan jini. Amma bincike ya nuna cewa kashi 67% na masu cutar hawan jini ba su ma shakkun cewa ba su da lafiya! Ta yaya zaka iya kare kanka kuma ka shawo kan cutar? Dr. Alexander Myasnikov ya fada a cikin hirarsa yadda za a manta da hauhawar jini har abada ... Kara karantawa ... "

Har yaushe zan iya ɗaukar allunan indapamide kuma waɗanne sassa ne ya kamata a bincika bayan amfani da su na dogon lokaci, ni ma ina so in san matakin da jikin zai cire?

Kamar yadda likita ya umarta, ana iya ɗaukar indapamide a rayuwa. Ba ya buƙatar wasu matakan sokewa na musamman, ba ya ba da sakamakon abin da ya shafi dogon lokaci, an soke shi ta hanyar yarjejeniya da likita. Matsayi amsar 10 maki 9 maki 8 maki 7 maki 6 maki 5 maki 4 maki 4 maki 3 maki 2 maki 1 maki

Babban burin lokacin da ake rubuta magani shine don magance hawan jini, tsawon lokacin ya dogara da matakin hauhawar jini. A matakin farko, hanya ta bijiro da ita a kalla wata guda, sannan tare da ci gaba da tsayar da daidaitaccen matakin hawan jini, janyewar magunguna yana yiwuwa. A cikin mataki na biyu da na uku na hauhawar jini, gudanarwar magungunan rigakafi yana daɗaɗɗa tsawon rayuwa; karɓar indapamide zai yiwu ne kawai idan sauran kwayoyi suka sarrafa jini (alal misali, masu hana ACE, masu karɓar angiotensin masu adawa 2, B-blockers) da kuma matakin matakin hauhawar jini ya ragu. Tare da amfani da tsawan lokaci, sarrafa potassium, sodium, uric acid, glucose, creatinine, OAK a kalla sau ɗaya a kowane watanni 6 ya zama dole. Amma game da karɓar ƙwayar, wannan yana yiwuwa ba tare da raguwa a hankali akan sashi ba, baya bayar da ciwo na cirewa.Matsayi amsar 10 maki 9 maki 8 maki 7 maki 6 maki 5 maki 4 maki 4 maki 3 maki 2 maki 1 maki

Tattaunawar don bayanai ne kawai. Bayan shawarwarin, da fatan za a nemi likita, gami da gano abubuwan da za su haifar.

Hauhawar jini a cikin jijiya na ɗaya daga cikin cututtukan da suka zama ruwan dare a duniyar yau. Abubuwa da yawa na matsi na tasiri bisa dalilai da yawa. Daga cikin manyan, yanayin rarrabuwa, rashin hutawa, damuwa na yau da kullun da rikitarwa bayan an rarrabe wasu cututtuka. Magunguna suna samar da magunguna iri-iri iri da aka yi niyya don dawo da waɗannan alamun. Ofayansu shine Indap, umarnin don amfani, kuma a wane yanayi ne za'a ɗauka, za'a bayyana shi a cikin labarin.

• Abin da ke ciki da nau'i na sakin maganin
• Indap daga matsin lamba - tsarin aiwatarwa
• Alamu don amfanin capsules
• Abubuwan kwantar da hankali don amfani da miyagun ƙwayoyi
• Sashi na magani
• Side effects
• Nawa ne Indap da kwatancinsa

Indap magani ne wanda ke da kayan antihypertensive da diuretic. Suna samar da shi ta hanyar manyan capsules, a fannin magunguna suna ƙarƙashin No. 4. Yankunansu ya ishe mai yawa, rabi yana da launin shuɗi ko shuɗi, dayan fari. A cikin capsule ya ƙunshi foda, yana da fari ko launin shuɗi. Yankin bushewa yawanci yayi kama, amma wasu lokuta ana samun lumps. An fito da miyagun ƙwayoyi a cikin kwali na kwali. Kowace kunshin ya ƙunshi blister 3, suna dauke da katan 10. Akwatin kuma yana da umarnin yin amfani da shi, wanda yake da muhimmanci a yi nazari a hankali kafin a fara magani.

Mahimmanci! A wani matsin lamba ne aka wajabta maganin? Abun da ke cikin miyagun ƙwayoyi ya haɗa da abubuwa waɗanda ke yin ayyukan diuretic da rage karfin jini.

Babban sinadaran aiki shine indapamide. Kowane kwanson ya ƙunshi 2.5 MG, wannan adadin ya isa don daidaita yanayin karfin jini da kawar da alamun rashin jin daɗi. Indapa ya ƙunshi ƙarin ƙarin abubuwan haɗin da suka wajaba don tasirin rikicewar jiki:

• microcrystalline cellulose,
• lactose
• sitaci masara
• silica
• magnesium stearate.

Don tasirin rikicewar jiki, masana harhada magunguna sun kirkiri ingancin abun da yake jikin kwalin kansa. Ya ƙunshi abubuwa irin su indigo, gelatin, titanium dioxide.

Mahimmanci! Shin Indap yana ƙaruwa ko rage matsin lamba? Saboda halayyar cancantar, ƙwayar cuta ta rage karfin jini.

Menene taimaka kuma ta yaya Indap ke shafar jikin? Yana da tasiri kuma yana sauri sosai, yana iya rage karfin jini. An yi bayanin wannan kadara ta hanyar gaskiyar cewa abubuwan da ke aiki a hankali suna fadada hanyoyin jini kuma a lokaci guda suna da diuretic. Sakamakon wannan, chlorine, sodium da magnesium suna da sauri daga jiki, wanda ke cutar da cikakken aikin tsarin zuciya. Samun magunguna na yau da kullun yana ba da damar ganuwar tasoshin su zama na roba, ana katange tashoshi na kalifa, kuma juriya na jini ya ragu.

Yaya maganin yake aiki? Yin amfani da Indapa yana da tasirin gaske a fagen yanayin jiki. Abubuwan da ke aiki a cikin capsules suna rage jijiyoyin jijiyoyin jijiyoyin jiki zuwa hormones adrenal (norepinephrine) da kuma homon da ke haifar da vasoconstriction (angiotensin). Koyaya, masana sun lura cewa wannan karfin maganin bai rage yawan lipids a cikin plasma ba.

MUHIMMI ZAI KYAUTA! Magani wanda zai tseratar da kai daga hauhawar jini a cikin 'yan dabaru

Har yaushe zan iya ɗaukar Indap? Sakamakon farko daga jiyya ya kamata a sa ran a cikin kwanaki 10-14. Ana samun ingantaccen sakamako a cikin watan. Bayan kammala maganin, kyakkyawan yanayin ya ci gaba har tsawon watanni 2.Idan kun bi duk shawarar likitan, to, tasirin ya wuce tsawon lokaci.

Menene maganin da aka wajabta masa? Dangane da umarnin asali, ana ba da shawarar allunan Indap don hauhawar jini (hawan jini). Sau da yawa, ana sanya maganin don marasa lafiya waɗanda ke riƙe da sodium da ruwa a cikin jiki. Wannan cuta tana faruwa ne sakamakon rashin zuciya.

Mahimmanci! Indap da barasa ba jituwa ba ne, saboda za a iya faruwa a lokacin da aka aikata babban laifi.

A cikin nau'i na ingantaccen magani don hauhawar jini. Ana ba da shawara don ɗaukar ƙwayar "Hypertonium". Wannan magani ne na dabi'a wanda yake aiki akan dalilin cutar, gaba ɗaya yana hana haɗarin bugun zuciya ko bugun jini. Hypertonium ba shi da maganin hana haihuwa kuma ya fara aiki a cikin 'yan sa'o'i bayan an yi amfani da shi. An tabbatar da inganci da amincin miyagun ƙwayoyi ta hanyar nazarin asibiti da kuma shekaru masu yawa na kwarewar warkewa. Ra'ayoyin likitoci ... "

Indap magani ne. Ya ƙunshi sinadarai da abubuwa na roba, saboda haka akwai gungun mutanen da aka hana su ɗaukar waɗannan capsules. An haramta amfani da miyagun ƙwayoyi ga marasa lafiya da irin waɗannan cututtukan:

• rashin haƙuri zuwa ɗayan abubuwan da ke cikin miyagun ƙwayoyi,
• sanadin aiki,
• rashin lafiya
• rikitarwa nau'i na renal ko hanta gazawar,
• karancin potassium a jiki,
• haɗin gwiwa tare da kwayoyi waɗanda ke haɓaka tsarukan QT,
• ciki da lactation,
• yara ‘yan kasa da shekara 18.

Tare da tsananin taka tsantsan, ana wajabta magani don matsa lamba ga marasa lafiya da masu ciwon sukari. Tare da hyperuricemia da sauran musayar ruwa-electrolyte, ba a ba da shawarar ɗaukar capsules ba. Idan mai haƙuri yana da daskararwar hanta da ƙoda koda, yakamata a ɗauki Indap a ƙarƙashin kulawar likita. Doka ɗaya ya kamata mutane su bi tare da cututtukan zuciya da ƙin bugun zuciya.

Yadda za a ɗauka a babban matsin? A matsayinka na mai mulkin, likitoci sun bada shawarar shan Indap da safe domin mutum ya samu lafiya a duk tsawon lokacin. Don cimma sakamako mai kyau, ya isa ya sha 25 MG kowace rana, wato, capsule 1. Ya kamata a bugu ba tare da yin amfani da abinci ba, tun da abubuwa masu aiki suna shiga cikin jini gaba ɗaya. Ba kwa buƙatar maganin ta, ana haɗiye shi an wanke shi da ruwa tsarkakakke. Aikin magani kusan watanni 2 kenan.

Yadda za a sha magani? Sau da yawa ana bada shawarar Indap a matsayin monotherapy kuma a cikin hadaddun jiyya tare da wasu magunguna na wannan rukunin (ACE inhibitors, B-blockers, BKK). A matsayinka na mai mulkin, yanayin janar na haƙuri yana inganta bayan watanni 2. Koyaya, idan a wannan lokacin bai sami ci gaba ba, to likitoci ba su bada shawarar kara yawan sashi ba, tunda haɗarin haɓakar halayen masu haɗari yana ƙaruwa. Yawancin lokaci, magungunan antihypertensive waɗanda ba su da diuretic ana ƙara su a cikin waɗannan capsules. Misali, hadewar magunguna Concor da Indap tare suna da kyakkyawan sakamako a jiki kuma suna daidaita hawan jini.

Mahimmanci! An tsara masu haƙuri a cikin tsufa Indap da kyau, saboda yana shafar aikin kodan. A wannan yanayin, sashi ya kamata kadan. A wannan lokacin, mutumin ya kamata ya kasance ƙarƙashin kulawar likitoci na yau da kullun.

A matsayinka na mai mulkin, an yarda da Indap da kyau, duk da haka, duk marasa lafiya sun bambanta, saboda haka ana iya samun sakamako mai illa a wasu lokuta. Babban dalilin ci gaban su shine rashin bin ka'idodin da aka tsara. Ganin wannan batun, an hana shi magani da zaɓar capsule nawa zaka iya ɗauka. Ya kamata likita ya ba da izinin yin magani ta hanyar likitan gwaje-gwaje. Idan kayi watsi da shawarwarin likita, to wannan na iya haifar da mummunan sakamako daga gabobin da tsarin daban-daban:

• lymph da jini - aplastic and hemolytic anemia, thrombocytopenia (yawanci, irin waɗannan rikice-rikice suna faruwa da wuya),
• neurology - tsananin wahala da jin zafi a sassa daban daban na shugaban, kasala, yawan bacci da jin wani rauni,
• zuciya - arrhythmia da tachycardia,
• gabobin narkewa - tashin zuciya, wanda ke tsokanar amai, bushe baki, zafin ciki, matsi mai rauni (maƙarƙashiya, zawo), ciwon huhu,
• epidermis - redness, fitsari, konawa da itching (wani cin zarafi yana faruwa mafi yawan lokuta a cikin masu fama da rashin lafiyan),
• kwallon kafa - conjunctivitis, hangen nesa mai rauni,
• Tsarin ƙwayar cuta - nocturia, pliuria da haɗarin kamuwa da cuta.

A farkon bayyanar cututtuka na sakamako masu illa, yakamata a dakatar da amfani da maganin kafe kai tsaye ka nemi likita. Koyaya, idan bayyanar asibiti na rikice-rikicen suna da mahimmanci, yana da gaggawa a kira ƙungiyar motar asibiti. Wasu alamun bayyanar da illa zasu iya haifar da mutuwa.

A matsayinka na mai mulkin, farashin Indap ya kama daga 110-150 rubles. Koyaya, wannan ƙimar na iya bambanta saboda dalilai daban-daban. Abin sha'awa, a cikin biranen daban-daban farashin ƙwayoyi iri ɗaya ya sha bamban. Ana ba da maganin capsules ne kawai ta hanyar takardar sayan magani, likita ne kawai zai iya bayar da shi.

Yaya za a maye gurbin capsules? Indap magani ne na yau da kullun, amma idan ba ku iya samun shi ba ko kuna son samun analogues mai rahusa, to ya kamata ku kula da irin waɗannan ƙwayoyi:

Indap da Indapamide, menene banbanci, wanne ne mafi kyau? Babu wani bambanci tsakanin waɗannan kwayoyi. Sun ƙunshi abubuwa guda ɗaya waɗanda ke rage matsin lamba. Iyakar abin da bambanci shi ne cewa daban-daban samar da su. Koyaya, wannan baya shafar ingancin allunan.

Zan iya sha Tizalud da Indap tare? Wadannan kwayoyi suna da tasiri daban-daban a jiki. Na farko ya kawar da jijiyoyin jiki, dysfunctions daban-daban na kashin baya da kwakwalwa. Na biyu, yana rage karfin jini. Dole ne likita ya ba da izinin magani dangane da waɗannan kwayoyi.

Indap ko Arifon, wanne yafi? Wadannan kwayoyi guda biyu suna da abu guda daya mai aiki, saboda haka suna iya canzawa. Bambanci yana cikin masana'anta ne kawai, saboda haka zaɓin ya kasance tare da mutumin. Koyaya, tasirin waɗannan kwayoyi ya kasance a matakin da ya dace.

Menene mafi kyau indap ko verashpiron? Na biyu magani yana da mafi yawan bakan da ayyuka. An tsara shi don rauni na zuciya, hauhawar jini, kumburi, cirrhosis, hypokalemia. Indap zai iya cire wuce haddi da kuma karfin jini. Abin da ya fi dacewa da mai haƙuri ya kamata likita kawai ya ba da shawarar, dangane da bayanan da aka samo. Haɗewar yin amfani da waɗannan magunguna na iya tayar da hankali da yawan ƙwayar potassium a cikin jini, musamman a cikin marasa lafiya da ke fama da cutar sankarar jini.

A cewar kididdiga, kusan mutuwar miliyan 7 na shekara ana iya danganta shi da hawan jini. Amma bincike ya nuna cewa kashi 67% na masu cutar hawan jini ba su ma shakkun cewa ba su da lafiya! Ta yaya zaka iya kare kanka kuma ka shawo kan cutar? Dr. Alexander Myasnikov ya fada a cikin hirarsa yadda za a manta da hauhawar jini har abada ... Kara karantawa ... "

Indapamide wani diuretic ne wanda ke taimakawa dawo da matsin lamba zuwa al'ada. Magungunan, tare da fitsari, yana cire sodium, yana haɓaka aiki da tashoshin alli, suna taimakawa wajen sanya ganuwar mai jijiya. Yana nufin thiazide diuretics. Ana amfani dashi don magance hauhawar jini kuma azaman kayan aiki wanda zai iya rage edema sakamakon rashin zuciya.

Mai diuretic tare da abu mai aiki shine indapamide.

Latterarshen yayi kama da thiazide diuretic a tsarin. Indapamide wani sinadarin sulfonylurea ne.

Saboda fasalulluka na kayan aiki, ƙwayar ba ta da tasiri sosai game da yawan urination.

Don haka bayan duk, menene magani game da maganin tausa? Ayyukan abu mai aiki yana rage kaya a zuciya, yana fadada arterioles, yana rage karfin jini. Kuma a lokaci guda ba shi da tasirin narkewar ƙwayoyi da ƙwayar ƙwayar ƙwayar cuta, koda a cikin marasa lafiya da masu ciwon sukari.

Wani kwarewar sa shine raguwar juriya na jijiyoyin bugun gini. Mai ikon rage girma da taro na ventricle hagu. Ana amfani da tasirin mai wahalarwa har ma da marasa lafiyar da ke buƙatar maganin hemodialysis na kullum.

A bioavailability na miyagun ƙwayoyi shine 93%. A cikin jini cikin sa'o'i 1-2 akwai lokacin da za'a iya samar da mafi yawan abubuwan. Indapamide an rarraba shi cikin jiki. Zai sami damar wucewa ta katangar mahaifa ya tsaya a cikin madarar nono.

Magungunan suna ɗaukar garkuwar jini ta hanyar 71-79% - babban nuna alama. Tsarin na rayuwa yana faruwa a cikin hanta tare da samuwar metabolites marasa aiki. An cire abu mai aiki daga jiki tare da fitsari - 70%, ragowar 30% - tare da feces.

Rabin rayuwar indapamide shine 14-18-18. Ba'a san ko wannan lokacin ya canza tare da renal da hepatic insufficiency.

Indapamide yana cikin rukunin magungunan:

• Thiazide da magungunan diuretic na Thiazide,
• Magunguna waɗanda ke da tasiri kan tsarin renin-angiotensin.

Indapamide: alamomi don amfani

Mahimmancin hauhawar jijiya

Sha ba fiye da guda ɗaya capsule kowace rana, kai a baki: kana buƙatar hadiye duka, kada ku tauna. Sha ruwa kadan.

Zai yiwu a ƙara sashi kawai bayan tuntuɓar likita. Kuna buƙatar yin shiri don babban tasirin diuretic, amma a lokaci guda, ba a lura da karuwa a cikin tasirin hypotensive ba.

Yin amfani da magani a cikin shawarar warkewa, da wuya lokuta na sakamako masu illa. A cikin gwaje-gwaje na asibiti na dogon lokaci, an ruwaito sakamako masu illa a cikin kawai 2.5% na marasa lafiya. Daga cikin su, cin zarafin ƙwayoyin lantarki abu ne wanda ya zama ruwan dare. Sauran sakamako masu illa sun haɗa da:

• Fata da rashin lafiyan halayen: Lyell syndrome, Stevens-Johnson syndrome, anaphylactic shock, urticaria, photodermatosis, rashes skin, purpura, Quincke edema.
• Tasiri akan tsarin mai juyayi: bushewar zuciya, paresthesia, juyayi, ciwon jiki, vertigo, ciwon kai, rauni na iya faruwa.
• Sakamakon tsarin narkewa yana bayyana ta hanyar tashin zuciya, amai, bushe baki, aikin hanta mai rauni, ƙwayar ƙwayar cuta, da maƙarƙashiya.
• Daga gefen zuciya da jijiyoyin jini suna iya yiwuwa: arrhythmia, tsawantawar tsaka-tsakin tsararren QT akan ƙwayar jijiya, orthostatic artpot hypotension.
• Tasiri a kan gwaje-gwaje na dakin gwaje-gwaje: ƙananan lokuta na thrombocytopenia, anemia, leukopenia, agranulocytosis, hypercalcemia, hyponatremia, hypokalemia, hyperglycemia, ƙara matakan urea da creatinine a cikin jini.
• Sakamakon tsarin numfashi: tari, mara saurin lokuta na pharyngitis, sinusitis.

Hakanan yana buƙatar saka idanu akai-akai game da matakin nitrogen, glucose, uric acid, pH. Dole ne likita ya yi amfani da shi a karkashin kulawarsa ga marasa lafiya da ke fama da rashin wadataccen bugun jini (na kullum), cututtukan zuciya da na jijiyoyin jini, cirrhosis. Patientswararrun marasa lafiya da aka jera suna da babban yuwuwar girma fiye da duk sauran da ke tattare da ƙwayoyin alkalal da encephalopathy hepatic na iya haɓaka.

Halin Lisinopril

Wannan maganin yana maganin ACE. Abunda yake aiki shine lisinopril dihydrate. Magungunan yana hana haɓakar ƙwayar angiotensin octapeptide, wanda ke tsokani hawan jini. A kan asalin amfani da miyagun ƙwayoyi, jijiyoyin jini suna zubewa, matsin lamba yana raguwa kuma ana rage girman nauyin da ke kan zuciya.

Sakamakon aikin Lisinopril, jikin yana farawa da sauri don amfani da karfi ta jiki ga asalin bugun zuciya.Magungunan yana da aikin motsa jiki, yana hana haɓakar ƙwayar cuta na myocardium kuma yana rage haɗarin cututtukan zuciya. Magunguna gaba daya kuma a cikin mafi kankanin lokaci mai yiwuwa lokacin da aka tuna daga hanjin. Ana lura da tasirin sa a sa'o'i 1-1.5 bayan an sha maganin kuma yana ƙaruwa yayin rana.

Indapamide

Wannan maganin maganin diuretic ne. Ya ƙunshi abu guda aiki. Magungunan suna taimakawa cire magnesium, chlorine, alli da sodium daga jiki. Lokacin da aka ɗauki shi, akwai karuwa a diuresis da raguwa a cikin ƙimar jijiyar ganuwar jirgin ruwa zuwa tasirin nau'in 2 na angiotensin, wanda ke haifar da raguwar hauhawar jini.

Samfurin magunguna yana hana ƙirƙirar juzu'ai masu illa, rage haɗarin danshi a cikin kyallen kuma yana daidaita tasoshin jini. Koyaya, baya tasiri matakin triglycerides, glucose da cholesterol a cikin jini. Kimanin kashi 25% na indapamide yana narkewa daga esophagus. Bayan aikace-aikacen guda ɗaya, matsa lamba ya zama daidai a cikin awanni 24. Haɗin kai na gaba ɗaya yana inganta bayan makonni 1.5-2 na jiyya.

Contraindications

Magunguna suna da yawan contraindications. Ba a sanya su:

• don marasa lafiya 'yan ƙasa da shekara 18,
• a lokacin shan nono da gestation,
• tare da gazawar koda,
• tare da rashin lafiyan ga sinadaran magunguna,
• idan akwai tarihin cutar Quincke,
• cikin tsufa
• tare da karancin ikon jujjuya galactose zuwa glucose,
• tare da ciwon sukari
• lokacin da matakinin zai kasa da mm 30mm / l,
• tare da karancin taro na potassium a cikin jini,
• tare da karuwar hankalin mai amfani da lactose.

A kan asalin amfani da hadewar Indapamide + Lisinopril, an haramta yin amfani da kwayoyi dangane da aliskiren. Ana amfani da magungunan faɗakarwa don haɓakar ƙwayar seric uric acid, bushewar zuciya, ischemia na zuciya, da na koda da na zuciya da kuma gazawar zuciya.

Haramun ne a fara jiyya a lokaci guda kamar tiyata, ta amfani da maganin tari da magunguna masu dauke da sinadarin potassium.

Matsakaicin matsakaici don daidaita matsa lamba shine 5.4 mg na lisinopril dihydrate da 1.5 mg na indapamide. Yawan amfani shine kusan kwanaki 14.

Yadda ake ɗaukar lisinopril da indapamide tare

Kuna iya shan magunguna da safe ko da yamma, ba tare da la'akari da abinci ba. An zaɓi tsarin kulawa ta hanyar yin la'akari da amsar magani da yanayin jikin mai haƙuri.

Ba a sanya maganin Lisinopril ga marasa lafiya da shekarunsu basu wuce 18 ba.

Kafin amfani da magunguna, dole ne a nemi likitanka kuma a yi gwaje gwaje daban.

Sakamakon sakamako na lisinopril da indapamil

Lokacin amfani da haɗin magungunan waɗannan kwayoyi, sakamako masu illa na iya faruwa. Wadanda akafi so sune:

• tari
• tsananin farin ciki
• bayyanar rashin lafiyan
• yanayin kasawa
• rawar jiki
• matsalolin numfashi
• karuwa a zuciya,
• raguwa a cikin matakan chloride,
• angioedema,
• jin bacci
• activityara ayyukan hanta enzymes,
• ciwon kai
• take hakkin hanta da kodan.

Idan irin waɗannan bayyanar sun faru, ya kamata a dakatar da magunguna kuma a nemi likita.

Ra'ayin likitoci

Svetlana Bugrova (likitan zuciya), dan shekara 42, Lipetsk

Haɗin haɗin haɗi mai mahimmanci na mai hana ACE da diuretic. Dukkanin aikina, ban taɓa haɗuwa da inganci analogues mafi aminci ba. Matsin lamba na jini yayin amfani da waɗannan magunguna an daidaita shi a cikin makonni 2-4.

Arkady Vasilkov (likitan zuciya), mai shekara 51, Ivanovo

Magunguna ba safai suna haifar da illa ba. Koyaya, ba a sanya marasa lafiya na yara hade ba. Tsofaffi mutane kuma tare da nakasa koda da aikin hanta suna buƙatar daidaita sashi.

Neman Masu haƙuri

Irina Polosova, shekara 41, Voronezh

Don lura da hauhawar jini, ta fara shan waɗannan magunguna a lokaci guda. Ina shan kwaya da safe. Sakamakon sakamako mai kyau ya bayyana bayan kwanaki 5-6. Babu wata bayyananniyar bayyanuwa. Ban ma isa in gyara sashi ba. Koyaya, matata, wanda ya dauki haɗin Indapamide da Lisinopril, ya rage yawan hauhawar jini yayin aikin jiyya.

Gennady Utyuzhin, 39 years old, Bryansk

Ina amfani da wadannan kwayoyi tare da hawan jini. Babu mummunan halayen. Ana sayar da magunguna a kowane kantin magani.

Shawarwarin likitoci

1. Idan babu sakamako a cikin wata guda, a cikin kowane hali kar a kara yawan indapamide - zai haifar da sakamako masu illa. Madadin haka, yakamata a sake nazarin tsarin magani.
2. Wannan magani yawanci ana wajabta shi azaman ɓangaren cikakken magani.
3. Indapamide magani ne na amfani na dogon lokaci. Ana iya ganin tasirin sakamako bayan sati biyu. Matsakaicin sakamako shine bayan makonni 12. Ayyukan amfani guda ɗaya yana faruwa bayan sa'o'i ɗaya zuwa biyu.
4. Mafi kyawun lokacin don shan maganin shine da safe a kan komai a ciki.

Lokacin da sakamako masu illa suka faru, likitoci suna magana game da zaɓuɓɓuka guda biyu don aiwatarwa. Na farko shine watsi da amfani da miyagun ƙwayoyi. Na biyu shine a rage maganin. Zaɓin na biyu da wuya a yi la’akari da shi, tunda tasirin magungunan suna da haɗari. Indapamide zai haifar da aiki hanta mai rauni, canje-canje a cikin sinadaran sinadarin jini, anorexia.

Yadda za a maye gurbin?

Idan kantin ba shi da maganin da aka bayyana, to za a iya maye gurbinsa da wani tare da irin wannan sakamako. A wannan yanayin, suna iya samun nau'i daban: dragees, Allunan, capsules. Amma wannan ba ya shafar kaddarorin magunguna.

Analogs na indapamide - sakamako iri ɗaya a shirye-shiryen tare da wani abu mai aiki:

• Ionik
• Yankunan
• Enzix,
• Arifon Sardan,
• Indapen
• Indapamide perindopril.

Bayani na miyagun ƙwayoyi indapamide - kwayoyi tare da abu mai aiki (INN):

Ba tare da tuntuɓar likita ba, kuma da taimakon mai harhaɗa magunguna, zaku iya maye gurbin indapamide tare da wani magani daban. Amma analogues ya kamata a saya kawai bayan shawarar likita!

Magani na 40 MG mai guba ne - ya wuce halayen guda na halatta kusan sau 30. Bayyanar cututtukan ƙwayar cuta sun hada da: oliguria / polyuria, sha'awar bacci koyaushe, tashin zuciya, tashin zuciya / amai, amai. Wani sinadari mai guba yana tayar da ma'aunin gishiri da ruwa a jikin mutum.

Kuna iya cire miyagun ƙwayoyi daga jiki ta hanyar wanke ciki da shan enterosorbents (gawayi da aiki). Actionarin cigaba shine maganin cutar, wanda ake gudanarwa musamman a asibiti.

Kodayake allunan indapamide ba magunguna kai tsaye ba wanda za'a iya amfani dashi azaman doping don inganta wasan motsa jiki. Amma a lokaci guda, Hukumar Kula da Magungunan Duniya ta hana 'yan wasa amfani da kowane irin kayan maye. Dalilin shi ne, sun taimaka a ɓoye gaskiyar cutar. Kuma bayyanar indapamide a jikin dan wasa yayin gasa na iya sa a gaza shi.

Kuna buƙatar yin hankali lokacin shan magani idan kun kasance direban abin hawa ne ko kuma kuna cikin ɗayan ayyukan masu haɗari. An hana maganin don yin wasiyya ga waɗanda ke aiki a cikin tashin hankali na yau da kullun, a cikin yanayin ƙara yawan maida hankali, ga wanda hanzarin amsawar ke da mahimmanci.

Rashin daidaituwa: yiwuwar sakamako masu illa (amma wannan yana iya yuwuwar al'ada fiye da mara kyau).

Dmitry, shekara 52. Likita ne ya ba ni wannan maganin. Ina ɗauka tare da Losartan, saboda kullun hawan jini. Indapamide yana da sakamako mai tarawa. Kuna iya farkawa da safe, auna matsin lamba, amma al'ada ce, amma har yanzu kuna buƙatar shan maganin, in ba haka ba sakamakon cutar ya lalace.

1. Ba na fama da matsanancin matsin lamba koyaushe, wani lokacin akwai tsalle-tsalle.Sabili da haka, Ina ɗaukar allunan don matsin indapamide ba kullun ba, amma idan ya cancanta. Na lura aikinsa na sa'o'i da yawa. Bayan tsalle-tsalle na sha kwanaki 10 a jere don mafi kyau da tsayayyar tsari na hauhawar jini. Wannan karatun ya ishe ni. Ya dace ku buƙaci sha shi sau ɗaya a rana, kuma ba ya ƙaruwa da yawan tafiye-tafiye zuwa bayan gida.

Magungunan sun tsoratar da ni da yawan tasirin sakamako, Na karanta a yanar gizo kuma na riga nayi tunanin ba zan saya ba. Amma likita ya ba da umarni, kuma da biyayya na fara shan giya. Don kaina, Na yanke shawara da yawa:

• Kuna buƙatar sha duka hanya, koda kuwa da alama matsanancin ya rigaya ya saba,
• Magungunan suna aiki da sauri,
• Babu wani sakamako masu illa.

Yaya Indapamide

Don lura da hauhawar jini, ana yawan amfani da Indapamide. Ya kasance cikin rukunan kamuwa da cuta kuma yana da tasirin diuretic matsakaici. Taimaka wajen haɓaka ayyukan hanta enzymes. Ba shi da illa ga ƙwayar ƙwayar ƙwayar cuta, ciki har da a cikin marasa lafiya da masu ciwon sukari mellitus.

Bayan gudanar da baki, yana dafe cikin hanzari daga hanji. Yin kwanciyar hankali ga furotin plasma ya kusan kashi 80%. An cire shi daga jiki ta hanyar kodan.

Tare da shigarwar yau da kullun, tasirin warkewa yana faruwa bayan makonni 1-2, ya isa zuwa ƙarshen makonni 8-12 kuma yana zuwa watanni 2. Bayan shan kashi ɗaya, ana lura da mafi girman tasirin bayan sa'o'i 24.

Har yaushe zan iya ɗaukar indapamide ba tare da hutu ba?

Yawanci, magani tare da magunguna antihypertensive daban-daban a lokacin mummunan hauhawar jini ba ya daɗe, har zuwa makonni da yawa. Bayan haka, lokacin da karfin jini ya sauka sosai, har sai an daina jinya. A nan gaba, don ci gaba da matsin lamba a alamu na yau da kullun, yana da mahimmanci a bi abincin da ya dace da sauran shawarwarin likita.

Gabaɗaya, game da tsawon wannan maganin, ya kamata ka fara tattaunawa da likitanka. A kowane yanayi, hanya za ta zama daban, duk ya dogara da tsananin cutar, yanayin mai haƙuri gaba ɗaya.

Lisinopril da Indapamide: Shin zai yiwu a ɗauka a lokaci guda?

Haɗin Lisinopril da Indapamide yana ba ku damar sauri da kuma ingantaccen alamun alamun jini, yayin da suke zama al'ada na dogon lokaci, hauhawar jini yana raguwa. Lisinopril shine mai hana ACE. A wannan yanayin, bai kamata ku fara ɗaukar irin wannan haɗuwa na kwayoyi a kanku ba, dole ne ku fara tuntuɓi ƙwararre.

Wanne ya fi kyau ɗauka?

Kai tsaye analogues na Indapamide sauran diuretics ne dangane da kayan aiki iri daya. Waɗannan sun haɗa da farko Arifon, sauran bambance-bambancen Indapamide. Hakanan zaka iya amfani da wasu magungunan diuretic da nufin rage karfin jini. Kafin amfani da analog, tabbatar da karanta umarnin don amfani.

A wannan yanayin, sakamakon ba za a iya kwatanta su da kwayoyi na rukuni ɗaya ba - diuretics, waɗanda suka haɗa da Indapamide. Zai yi wuya a faɗi wanne ya fi kyau, Indapamide ko Concor, saboda waɗannan magungunan suna cikin nau'o'in magunguna kuma suna shafar jiki ta hanyoyi daban-daban. Hakanan ba zai yiwu a faɗi wanda ya fi kyau ba, Indapamide ko Enalapril, tunda magani ne daban-daban tare da tasiri daban-daban a jiki. Koyaya, yana da mahimmanci a lura cewa diuretics ya kamata a farko a kula dasu idan hauhawar jini yana tare da kumburi.

Arifon Retard ko Indapamide

Hakanan Arifon Retard yana dogara ne akan aikin Indapamide, amma farashin wannan analog ɗin yana da girma. Packaya daga cikin fakitin magunguna ya kai 300 - 350 rubles. Haka kuma, dangane da aiki, wadannan kudade a zahiri basu banbanta, bambanci tsakanin su kadan ne.

Koyaya, yana da daraja la'akari da cewa Arifon yana da ƙananan contraindications. A lokacin tsufa, a gaban cututtukan hanta da koda, ya fi kyau a zaɓi shi. Indapamide yana da mummunan tasiri mara kyau a jiki.

Indapamide ko Veroshpiron

Veroshpiron kuma yana da tasiri sosai a hauhawar jini tare da diuretic. Koyaya, yana da mahimmanci a san cewa za'a iya amfani da wannan maganin don wasu cututtukan cututtuka, yayin da yake da ƙarancin magunguna fiye da Indapamide. Sabili da haka, lokacin zabar magunguna, yana da daraja kula da shi, gami da.

Diuver ko Indapamide

Diuver ya fi kama da tasiri ga Furosemide, yayin da shi kuma ana yin sa sosai sau da yawa don hauhawar jini. Wannan kayan aiki musamman yana taimakawa tare da haɓaka haɓakar edema. A lokaci guda, yana da ƙarin contraindications, don haka kafin a fara amfani da shi, lallai ne a karanta umarnin don amfani.

Abubuwan da ke tattare da warkewar magungunan an ƙaddara su da abubuwa guda biyu masu aiki: perindopril erbumin da indapamide. A matsayin kayan taimako, shirye-shiryen sun hada da sitaci masara, colloidal silicon dioxide, microcrystalline cellulose, magnesium stearate da crospovidone. A cikin ƙananan allurai, maganin ya ƙunshi baƙin ƙarfe oxides (ja da rawaya), polyvinyl barasa, talc, titanium dioxide da macrogol - waɗannan sune abubuwan jikin membrane na fim.

Haɗin abubuwa biyu masu aiki suna sa perindopril “ƙari” indapamide ingantaccen magani mai amfani da ƙwayoyin cuta. Perindopril yana sauƙaƙe aikin zuciya: yana rage yawan bugun zuciya, yana rage matsa lamba a dama da hagu ventricles, haka nan motsin hanji, yana haɓaka kwararar jini a cikin tsokoki. Indapamide yana rage juriya na tsokoki na jini, yana ƙara sautin tsokoki na jijiya. Haɗewar ayyuka na kayan aikin yana haifar da raguwa sosai a hawan jini.

Babban fa'idar samfurin shine ikonsa. An nuna shigarwar don marasa lafiya na kowane tsararraki kuma yana da cikakken 'yanci daga yanayin haƙuri (kwance ko aiki), wanda ke ba da damar amfani da miyagun ƙwayoyi a kowane yanayi. Taimakawa yanayin yana farawa daga minti 40-60 bayan gudanarwar, bayan sa'o'i 4-6 sakamakon tasirin maganin ya kai kololuwa. Ayyukan Allunan sun ci gaba har kwana ɗaya.

"Perindopril-indapamide" ya sami ƙauna ta musamman a cikin tsofaffi marasa lafiya. Shan miyagun ƙwayoyi ba ya haifar da tachycardia, kuma sokewarsa bayan an tsawanta amfani ba shi da ƙaruwa.

Nishadi

Tissu yana kwance daga indapamide ta hanjin kodan da hanjinsa, wannan kayan yana barin jiki ba tare da matsala ba. Perindopril ne kawai ke cire ƙwayoyin kodan, kuma ba koyaushe tare da saurin da ake so ba. Ana lura da saurin hawa cikin mutane tare da koda A irin waɗannan halayen, wasu lokuta likitoci suna daidaita sashi.

Alamu don amfani

Perindopril da indapamide mafi yawancin lokuta ana wajabta wa marasa lafiya waɗanda aka nuna hade da jiyya. Magungunan sun sami nasarar magance cututtukan da ke tafe:

• Hawan jini
• Cutar zuciya
• Renovascular etiology hauhawar jini
• Ciwon zuciya mai rauni.

Hakanan ana amfani da kayan aiki don dalilai na rigakafi - yana rage haɗarin sake bugun jini.

Matsakaicin matsakaici yana daga 177 zuwa 476 rubles.

"Perindopril-indapamide" ana samarwa ne kawai a cikin kwamfutar hannu. Launin harsashi ya bambanta da launin toka-kore zuwa kore-launin toka, a ciki farin farin ciki ne. Kwayoyin suna zagaye, convex a garesu.

Don sauƙaƙan amfani da bin ka'idodi daidai gwargwado, an gabatar da dabaru uku:

• 0.625 mg indapamide a hade tare da 2 mg perindopril erbumin
• 1.25 mg na farkon abu da 4 mg na biyu
• 2.5 MG da 8 MG.

Allunan kwalaye na 10, 30, 60 da 90 guda a cikin akwatin guda.

Tunda kwayayen suna cikin iri daban-daban, ba lallai bane a yi amfani da guda daya lokaci daya. Yawancin lokaci, likita yana tsara kwamfutar hannu guda ɗaya kowace rana. An zabi kashi gwargwadon yanayin binciken mai haƙuri, lafiyarsa da aikin koda.

Ana ɗaukar "Perindopril-indapamide" da safe, zai fi dacewa akan komai a ciki, an wanke shi da ruwa kaɗan.A wasu halaye, jaraba ga miyagun ƙwayoyi yana haɗuwa da rashin barci da haɓaka gajiya, sabili da haka, an yarda da kwanakin farko na farko su ɗauki dare. Bayan wannan lokacin, jiki yana dacewa da maganin, kuma suna canzawa zuwa sashin safe.

A lokacin daukar ciki da shayarwa

Masana'antun sun jaddada hatsarorin da miyagun ƙwayoyi ga mata masu juna biyu - ba a yin magunguna a duk tsawon watanni uku. Idan mace ta fara magani kuma bayan hakan gano game da daukar ciki, allunan za a soke su kuma an tabbatar da gano cutar tayi. Lokacin amfani da magani, matsalolin kiwon lafiya sun bayyana a cikin jariri:

• Aikin koda ya ragu
• Cutar da kwanyar ya ragu
• Thrombocytopenia ya bayyana
• Hypoglycemia yana haɓaka
• Hypotension yana faruwa
• Ci gaban cigaban yana raguwa.

Perindopril da indapamide shima yana da haɗari ga reno. Its indapamide mummunar tasiri da lactation tsari. Bugu da kari, wannan bangaren yana barazana ga jikin yaron: zai iya samarda yanayin kulawar sulfonamides, haifar da makamin nukiliya, da kuma hypokalemia. Saboda haka, allunan ba a sanya su ga iyaye masu shayarwa ba, ko kuma, idan magani tare da wannan wakili ya zama dole, sun daina shayarwa.

Perindopril da indapamide haramun ne a ɗauka idan akwai alamun cutar:

• Cututtukan hepatic
• Hypokalemia
• Mai tsananin rashin aiki koda kuma hepatic kasawa
• Ciwon jijiyoyin jini
• Anuria
• Hyperuricemia
• Idioathath angioedema
• Aortic stenosis
• Azotemia
• Ciwon zuciya mai rauni
• M hankali ga indapamide da perindopril
• Hyponatremia.

Tun da miyagun ƙwayoyi ya ƙunshi ƙananan adadin lactose, bai kamata a ba allunan ga mutanen da ba su yarda da lactose ba, haka kuma suna fama da cutar glucose-galactose malabsorption syndrome da galactosemia. Ba a kula da yara 'yan ƙasa da shekara 15 tare da miyagun ƙwayoyi, tare da taka tsantsan musamman a irin waɗannan yanayi:

• Rashin lafiyar marasa lafiya
• Mutanen da ke da ciwon sukari, scleroderma, systemic lupus erythematosus
• A cikin yanayin hypovolemic (ciki har da gudawa da tsananin amai)
• Marasa lafiya na tsufa.

Idan aikin tiyata ya kasance a gaba, “Perindopril-indapamide” da kuma maganganun da akeyi (perindopril arginine da sauransu) an dakatar dasu na ɗan lokaci. Amfani na ƙarshe zai yiwu awanni 12 kafin tiyata. An tattauna batun komawa adreshin tare da likita mai halartar taron.

Tare da barasa, waɗannan kwayoyin suna da cikakkiyar jituwa. Ko da digo na giya yana haifar da haɗari na sarkar haɗari: barasa, haɗe tare da magani, rage girman matsa lamba, mutum ba zato ba tsammani ya rasa hankali, tsari na jini yana cikin damuwa. Yana da matukar wahalar warkewa bayan bugun zuciya da bugun zuciya da bugun jini da sauran matsaloli.

Idan abokantaka da miyagun ƙwayoyi ta ɗauki fiye da wata daya, kuna buƙatar ziyartar dakin gwaje-gwaje lokaci-lokaci don cin gwaje-gwaje. Controlarfin iko na glucose, creatinine, uric acid da kuma yawan haɗuwa da ƙwayoyin lantarki: Na +, K + da Mg2 +.

Perindopril da indapamide magani ne mai haɓaka wanda ba koyaushe yana haƙuri da wasu ƙwayoyi ba. Idan mai haƙuri ya riga ya yi amfani da wasu hanyoyi, lallai ne ku sanar da likita game da shi. A tare da:

1. Insulin - haɓaka sakamako na hypoglycemic
2. Antipsychotics - orthostatic hypotension yana haɓaka
3. Cyclosporine - aikin koda shine mai rauni
4. Glucocorticoids - sakamako mai narkewa yana raguwa
5. Shirye-shiryen Sulfonylurea - an inganta tasirin maganin sulfonylurea.

Rarewararrun ƙwayar cuta ba tare da bayyanar sakamako masu illa ba, kuma perindopril da indapamide ba banda bane. Duk wani gabobin jiki na iya amsawa ta hanyar da ba a so:

• Ciwan ciki: yawan ci zai ragu, bushewar baki, tashin zuciya zai bayyana, dyspepsia da maƙarƙashiya mai yiwuwa ne
• Zuciya da jijiyoyin jini: Hawan jini zai sauka ƙasa kamar yadda aka zata
• Fatar: rashes zai faru, a cikin mafi yawan lokuta, angioedema
• Tsarin mara jijiya: ciwon kai, rashin bacci, jujjuyawar yanayi, tsananin zafin rai, wani lokacin rashi mai sa haushi
• Broncho-huhu tsarin: m bushe tari.

Idan allurai na yau da kullun na miyagun ƙwayoyi sun kasance da yawa don watanni da yawa, agranulocytosis, pancreatitis, neutropenia, thrombocytopenia, da leukopenia na iya bayyana.

Bayyanar bushewar bakin za a iya haifar dashi ba kawai ta hanyar shan magani ba, har ma da wasu dalilai da yawa, karanta ƙari a labarin: bushe bushe.

Yawan wuce haddi na bayyana kanta nan da nan:

• Matsi na raguwa
• Turawa yayi saurin sauka
• Balagagge ma'aunin lantarki yana da damuwa
• Rage tashin zuciya da amai suna bayyana
• Dizziness yana farawa
• Rashin wahala na faruwa
• Mutum ya fada cikin wawanci ko firgici.

Ba tare da taimakon ƙwararrun likita tare da waɗannan alamu ba zasu iya yi. Kafin likitocin su isa, kuna buƙatar ƙoƙarin cire ƙwayar ƙwayar cuta daga jiki: sha mai haƙuri da ruwa mai tsabta, haifar da amai, ba allunan girgijan gawayi. Idan hauhawar jini ta ragu, sanya mara lafiya har kafafu su saman matakin kai.

Furtherarin inpatient therapy yawanci ya ƙunshi amfani da enterosorbents, hemodialysis, da kuma daidaita ma'aunin electrolyte.

Allunan ba sa buƙatar yanayi na musamman da masauki daban, za su gamsu da kasancewa a cikin ɗakunan magungunan gida. Kamar yadda yake tare da kowane magungunan antihypertensive tare da perindopril ko arginine, waɗannan kwayoyin suna da kyan sihiri waɗanda ke narkewa a yanayin zafi sama da digiri 25. Daskarewa, haske mai haske da danshi suna lalata samfurin.

Prestarium

BATSAI LABORATORIES Ltd, Faransa
Farashi daga 400 zuwa 700 rubles.

Wakilin antihypertensive dangane da indapamide da arginine perindopril. Ana amfani dashi don hauhawar jini da cututtukan cututtukan zuciya.

• Sannu a hankali rage matsin lamba a cikin 100% na lokuta
• Ba mai jaraba tare da amfani da tsawo
• Arginine yana ƙarfafa sautin tsoka mai santsi

• Tasirin sakamako akan kodan
• Saboda perindopril, wanda shine ɓangare na arginine, yana haifar da rikice-rikice a cikin ɓangaren ƙwayar cuta.

Perindopril

Vertex, Rasha, da sauransu.
Farashi daga 159 zuwa 266 rubles.

Shahararren maganin rigakafi. Rashin analog mai sauƙi na shirye-shiryen hadaddun da suka ƙunshi, ban da perindopril, indapamide ko arginine.

• Costarancin farashi
• Ya dace da marasa lafiya da nau'in 1 da nau'in ciwon sukari na 2
• Siso mai dacewa: allunan 4, 5, 8 da 10 mg perindopril

• Babban adadin sakamako masu illa idan aka kwatanta da analogues
• Kada ku ɗauki yara 'yan ƙasa da shekara 18.

Sauke umarnin don amfani

Haɓakar tasiri na lisinopril da indapamide

An yi imani da cewa idan an dauki magunguna biyu tare, za a iya inganta tasirin magungunan yau da kullun. Saboda tasirin diuretic din sa, Indapamide yana taimakawa Lisinopril a hankali rage matsin lamba.

Shan magunguna na yau da kullun yana ba ku damar yaƙi hauhawar jini da kuma daidaita karfin jini.

Haɗe shi da indapamide:

• Lalacewar koda na ciki (keɓantaccen ɗaukar hoto)
• Mai tsananin rauni hanta aiki da hepatic encephalopathy.
• Hypokalemia (ƙwayar plasma potassium)
• Haɗuwa tare da magungunan marasa antiarrhythmic waɗanda zasu iya haifar da ci gaban tachycardia na paroxysmal ventricular tachycardia na nau'in "pirouette".
• Rashin shayarwa.

Yadda ake amfani da Prestarium Arginine Combi?

Don gudanar da baka.

1 kwamfutar hannu na miyagun ƙwayoyi Prestarium arginine Combi kowace rana, zai fi dacewa da safe kafin abinci.

Dangane da yanayin asibiti, ana iya ba da shawarar don fara magani tare da monotherapy tare da ɗayan kayan aiki na ƙwayar cuta (perindopril a kashi na 2.5 - 5 MG).

Matsakaicin maganin yau da kullun shine 1 kwamfutar hannu na kwayar Prestarium arginine Combi kowace rana.

Yi amfani da lokacin daukar ciki da lactation.

Ba a bada shawarar yin amfani da miyagun ƙwayoyi a farkon watanni na ciki ba. Lokacin da ake shirin ko an sami juna biyu, yakamata a dakatar da maganin ƙwaƙwalwa da wuri-wuri.Yin amfani da miyagun ƙwayoyi a cikin watanni biyu na uku da na uku na ciki ya haɗu.

Amfani da indapamide yayin lokacin lactation, sabili da kasancewar bayanai akan shigar shi cikin madara. Babu bayanai akan shigarwar perindopril zuwa cikin nono.

Yara da matasa. Ba a kafa tasiri da amincin miyagun ƙwayoyi ga yara da matasa ba. Ba a ba da shawarar amfani da yara da matasa ba.

Kafin shan miyagun ƙwayoyi kuma yayin amfani da shi, ya zama dole don saka idanu akan hawan jini, aikin koda (aikin plasma creatinine), potassium da sodium plasma, musamman a cikin tsofaffi marasa lafiya da marasa lafiya da ke cikin haɗari.

Paarancin aiki na haya. Game da cutar rashin girmanta (rashin izinin halitta)

Rashin aikin hanta. Wannan magani yana contraindicated cikin tsananin rashin lafiyar hepatic. Idan akwai rauni na aiki hanta na tsananin rauni, ana iya tsara magunguna a cikin warkewar cutar ta saba.

Kwatsam tashin hankali, hauhawar jini, da hauhawar matakan electrolyte. Hadarin da ke tattare da haɓaka tashin hankali na haɓaka a cikin marasa lafiya tare da hypovolemia, raunin sodium (saboda tsawan lokaci na amfani da diuretics, abinci mai ƙoshin gishiri), ƙarancin jini, ƙwanƙwasa artal stenosis, bugun zuciya, ko hanta hanta tare da edema da ascites. Yakamata a fara jiyya da mafi girman yiwuwar amfani kuma tare da ƙaruwa mai zuwa. Kafin shan miyagun ƙwayoyi da lokacin amfani da shi, ya zama dole don sarrafa ma'aunin ruwan-electrolyte. Canji a jiki ba wani dalili bane na karban magunguna. Bayan biyan diyya na ma'aunin ruwa-electrolyte, ana ci gaba da jiyya tare da ƙaramin kashi ko ɗayan kayan aikin magani.

Plasma na potassium. Kafin shan miyagun ƙwayoyi da kuma lokacin amfani da shi, ya zama dole don saka idanu da ƙwayar plasma ga marasa lafiya daga rukunin masu haɗari don faruwar cutar hypo- ko hyperkalemia (tsofaffi marasa lafiya, marasa lafiya marasa lafiya ko rashin abinci mai gina jiki, tare da cututtukan zuciya na zuciya, gazawar zuciya, marasa lafiya da ciwon sukari mellitus, cirrhosis na hanta tare da edema da ascites ko waɗanda ke shan ƙarin diure). Marasa lafiya tare da raunin zuciya (digiri na IY) ko tare da mellitus na ciwon sukari-na insulin (saboda haɗarin haɓaka haɗarin ƙwayoyin cuta a cikin ƙwayar jini) ana bada shawarar fara magani a asibiti tare da mafi ƙarancin kashi.

Saboda kasancewar lactose a cikin shirye-shiryen, bai kamata a rubuta wannan magani ba idan akwai rashin jituwa tsakanin galactose, rashi lactase, glucose mai ƙaranci / ko ƙwayar galactose.

Perindopril Mai Alaƙa

Haushi. Kamar yadda sauran masu hana ACE (ACE inhibitors), bushewar na iya faruwa, wanda ya shuɗe bayan an soke shi. Idan ya cancanta, ana iya ci gaba da magani.

Ya kamata tsofaffi marasa lafiya su fara jiyya tare da ƙaramin ƙwayar cuta (duba sashin “Yadda ake Amfani da”), musamman tare da raunin ƙwayar ruwa da wutan lantarki, don rage haɗarin ciwon kwatsam. Ana amfani da kashi na farko, idan ya cancanta, za a iya ƙaruwa dangane da martani ga magani.

A cikin marasa lafiya da atherosclerosis. Hadarin hauhawar jini na karuwa a cikin marasa lafiya da ke fama da cututtukan zuciya ko rashin kumburin kwakwalwa. Ga irin waɗannan marasa lafiya, ya kamata a fara amfani da magani tare da ƙaramin kashi (duba sashe "Yadda ake amfani da shi").

Maganin tashin zuciya. Kulawa da irin waɗannan marasa lafiya yakamata a fara da ƙaramin kashi (duba sashin "Yadda ake amfani da shi") a cikin tsarin asibiti bayan an duba aikin koda (plasma creatinine) da kuma jini.

Cutar amai da gudawa Marasa lafiya bayan kamuwa da koda ko dialysis suna da haɗarin cutar rashin ƙarfi. Wannan ƙarin raguwar lamuni ne mafi girma tare da lambobin haemoglobin mafi girma. Wannan tasirin yana da cikakkiyar-yanci kuma yana iya danganta da tsarin aikin masu hana masu cutar ACE.Ragewar haemoglobin ba shi da mahimmanci, yana iya faruwa a cikin farkon watannin farko na 1-6, sannan ya inganta. Ana iya fadada jiyya na ACE tare da saka idanu akai-akai na matakan haemoglobin.

Hadarin da ke tattare da cututtukan neutropenia / agranulocytosis a cikin marasa lafiya da raguwar rigakafi shine dogaro-kashi kuma yana iya faruwa a cikin mai haƙuri tare da wani aiki na nakasa, musamman idan yana da alaƙa da collagenosis, kamar tsarin lupus erythematosus, scleroderma, da rigakafin immunosuppressive. Waɗannan abubuwan sun ɓace bayan dakatar da maganin hana ƙwarji na ACE. Yarda da kai tsaye ga tsayayyen sashi shine mabuɗin don hana faruwar hakan.

Idan mai haƙuri yana da tiyata, ya zama dole a sanar da likita game da amfani da Prestarium arginine Combi. Ya kamata a dakatar da maganin ACE wata rana kafin tiyata (duba sashen "hulɗa tare da wasu kwayoyi").

A cikin marasa lafiya tare da matakan haɓaka mai ƙarancin lipoproteins mai yawa, plasmapheresis ta amfani da dextrasulfate tare da yin amfani da inhibitors na ACE na iya haifar da halayen haɗarin anaphylactic. Za'a iya hana ci gaban halayen anaphylactic tare da dakatar da aikin na wucin gadi na maganin ACE kafin cutar plasmapheresis.

Abubuwan anaphylactic na iya faruwa a cikin marasa lafiya da ke shan inhibitors na ACE tare da lalata magunguna waɗanda ke kunshe da kudan zuma. Za'a iya hana ci gaban waɗannan halayen ta hanyar dakatar da amfani na wani lokaci na hana masu amfani da ACE. Abubuwan da aka amsa a sama na iya bayyana yayin gwaje-gwaje na tsokana.

Aortic stenosis / hypertrophic cardiomyopathy. ACE masu hanawa ya kamata a tsara su tare da taka tsantsan ga marasa lafiya tare da toshe hanyar fitowar daga ventricle hagu.

Rashin aikin hanta. Da wuya. ACE inhibitors suna da alaƙa da ciwo wanda ya fara da cholestatic jaundice kuma ya sami ci gaba zuwa hanzarin hanta na hanta, wani lokacin m. Ba a bayyana yanayin aikin wannan ciwo ba. Marasa lafiya waɗanda ke haɓaka jaundice tare da haɓaka matakin enzymes na hanta yayin ɗaukar masu hana ACE su daina shan inhibitors na ACE kuma tabbatar da kulawar likita ta dace.

Sakamakon sakamako na Prestarium Arginine Combi.

Yawancin lokaci, jiyya tare da Prestarium arginine Combi an yarda da shi sosai. Effectsarancin da ba a ke so ba na iya faruwa a wasu lokuta, waɗanda aka lissafa a ƙasa, ta amfani da dokar: sau da yawa (> 1/10), sau da yawa (> 1/100 da) 1/10), ba a haɗa ba (> 1/1000 da ≤ 1/100), da wuya (> 1 / 10,000 da ≤ 1/1000), mai wuya ne (

• Hematopoiesis: da wuya, tare da amfani da inhibitors na ACE, thrombocytopenia, leukopenia, agranulocytosis, hemolytic anemia, aplastic anemia na iya faruwa, musamman a cikin marasa lafiya bayan jigilar koda, a cikin marasa lafiya akan hemodialysis.
• Daga gefen tsarin juyayi: da wuya - ciwon kai, paresthesia, asthenia, dizziness, yanayi mai rauni da bacci.
• Daga tsarin zuciya: Harshen jinin haila ko rashin daidaituwa na orthostatic ba shi yiwuwa.
• Tsarin numfashi: tari mai bushewa na iya faruwa sau da yawa, wanda yakan ɓace bayan katse maganin.
• Daga tsarin narkewa: sau da yawa maƙarƙashiya, bushewar bushe, tashin zuciya, anorexia, jin zafi a cikin yankin na ciki, jin daɗin damuwa, da wuya ƙwayar ƙwayar cuta, a cikin marasa lafiya da gazawar hanta, encephalopathy hepatic na iya faruwa (duba sashi na 4.3 da 4.4) .
• Allergic halayen: da wuya - mafi yawanci a cikin hanyar halayen cututtukan cututtukan fata, musamman a cikin marasa lafiya da ke da haɗari ga rashin lafiyan jiki: maculopapular fitsari, purpura, haɓakar tsarin lupus erythematosus, da wuya - angioedema.
• Daga tsokoki: da wuya - cramps.
• A ɓangaren alamun alamun gwaje-gwaje: hypokalemia na iya faruwa (musamman a cikin marasa lafiya a hadarin), hyponatremia (a cikin marasa lafiya na rashin ruwa), karuwa a cikin ƙwayar uric acid da glucose, ƙaramin haɓaka a cikin plasma da fitsari fitsari (hankula ga marasa lafiya tare da cutar na koda) arteries, hauhawar jini a jiyya na jijiyoyin wuya, gazawar koda, wanda ya ɓace bayan katse maganin, ƙara yawan kwayar potassium (galibi na ɗan lokaci), da wuya - karuwa a matakin plasma altsium.

Haɗa tare da indapamide.

• Lalacewar koda na ciki (keɓantaccen ɗaukar hoto)
• Mai tsananin rauni hanta aiki da hepatic encephalopathy.
• Hypokalemia (ƙwayar plasma potassium)
• Haɗuwa tare da magungunan marasa antiarrhythmic waɗanda zasu iya haifar da ci gaban tachycardia na paroxysmal ventricular tachycardia na nau'in "pirouette".
• Rashin shayarwa.

An haɗu da magungunan Prestarium Arginine Combi:

• Hypersensitivity (rashin lafiyan) ga abubuwan da ke amfani da miyagun ƙwayoyi (perindopril ko indapamide) ko ga kowane ɓangaren magungunan, rashin kwanciyar hankali ga kowane mai hanawa na ACE ko zuwa sulfonamides a cikin tarihi.

Saboda ƙarancin ƙwarewar asibiti, bai kamata a yi amfani da Prestarium Arginine Combi:

Marasa lafiya a kan hemodialysis, Marasa lafiya tare da marasa kulawa da decompensated zuciya gazawar.

Yadda ake amfani da Prestarium Arginine Combi?

Don gudanar da baka.

1 kwamfutar hannu na miyagun ƙwayoyi Prestarium arginine Combi kowace rana, zai fi dacewa da safe kafin abinci.

Dangane da yanayin asibiti, ana iya ba da shawarar don fara magani tare da monotherapy tare da ɗayan kayan aiki na ƙwayar cuta (perindopril a kashi na 2.5 - 5 MG).

Matsakaicin maganin yau da kullun shine 1 kwamfutar hannu na kwayar Prestarium arginine Combi kowace rana.

Yi amfani da lokacin daukar ciki da lactation.

Ba a bada shawarar yin amfani da miyagun ƙwayoyi a farkon watanni na ciki ba. Lokacin da ake shirin ko an sami juna biyu, yakamata a dakatar da maganin ƙwaƙwalwa da wuri-wuri. Yin amfani da miyagun ƙwayoyi a cikin watanni biyu na uku da na uku na ciki ya haɗu.

Amfani da indapamide yayin lokacin lactation, sabili da kasancewar bayanai akan shigar shi cikin madara. Babu bayanai akan shigarwar perindopril zuwa cikin nono.

Yara da matasa. Ba a kafa tasiri da amincin miyagun ƙwayoyi ga yara da matasa ba. Ba a ba da shawarar amfani da yara da matasa ba.

Kafin shan miyagun ƙwayoyi kuma yayin amfani da shi, ya zama dole don saka idanu akan hawan jini, aikin koda (aikin plasma creatinine), potassium da sodium plasma, musamman a cikin tsofaffi marasa lafiya da marasa lafiya da ke cikin haɗari.

Paarancin aiki na haya. Game da cutar rashin girmanta (rashin izinin halitta)

Rashin aikin hanta. Wannan magani yana contraindicated cikin tsananin rashin lafiyar hepatic. Idan akwai rauni na aiki hanta na tsananin rauni, ana iya tsara magunguna a cikin warkewar cutar ta saba.

Kwatsam tashin hankali, hauhawar jini, da hauhawar matakan electrolyte. Hadarin da ke tattare da haɓaka tashin hankali na haɓaka a cikin marasa lafiya tare da hypovolemia, raunin sodium (saboda tsawan lokaci na amfani da diuretics, abinci mai ƙoshin gishiri), ƙarancin jini, ƙwanƙwasa artal stenosis, bugun zuciya, ko hanta hanta tare da edema da ascites. Yakamata a fara jiyya da mafi girman yiwuwar amfani kuma tare da ƙaruwa mai zuwa. Kafin shan miyagun ƙwayoyi da lokacin amfani da shi, ya zama dole don sarrafa ma'aunin ruwan-electrolyte. Canji a jiki ba wani dalili bane na karban magunguna. Bayan biyan diyya na ma'aunin ruwa-electrolyte, ana ci gaba da jiyya tare da ƙaramin kashi ko ɗayan kayan aikin magani.

Plasma na potassium.Kafin shan miyagun ƙwayoyi da kuma lokacin amfani da shi, ya zama dole don saka idanu da ƙwayar plasma ga marasa lafiya daga rukunin masu haɗari don faruwar cutar hypo- ko hyperkalemia (tsofaffi marasa lafiya, marasa lafiya marasa lafiya ko rashin abinci mai gina jiki, tare da cututtukan zuciya na zuciya, gazawar zuciya, marasa lafiya da ciwon sukari mellitus, cirrhosis na hanta tare da edema da ascites ko waɗanda ke shan ƙarin diure). Marasa lafiya tare da raunin zuciya (digiri na IY) ko tare da mellitus na ciwon sukari-na insulin (saboda haɗarin haɓaka haɗarin ƙwayoyin cuta a cikin ƙwayar jini) ana bada shawarar fara magani a asibiti tare da mafi ƙarancin kashi.

Saboda kasancewar lactose a cikin shirye-shiryen, bai kamata a rubuta wannan magani ba idan akwai rashin jituwa tsakanin galactose, rashi lactase, glucose mai ƙaranci / ko ƙwayar galactose.

Perindopril Mai Alaƙa

Haushi. Kamar yadda sauran masu hana ACE (ACE inhibitors), bushewar na iya faruwa, wanda ya shuɗe bayan an soke shi. Idan ya cancanta, ana iya ci gaba da magani.

Ya kamata tsofaffi marasa lafiya su fara jiyya tare da ƙaramin ƙwayar cuta (duba sashin “Yadda ake Amfani da”), musamman tare da raunin ƙwayar ruwa da wutan lantarki, don rage haɗarin ciwon kwatsam. Ana amfani da kashi na farko, idan ya cancanta, za a iya ƙaruwa dangane da martani ga magani.

A cikin marasa lafiya da atherosclerosis. Hadarin hauhawar jini na karuwa a cikin marasa lafiya da ke fama da cututtukan zuciya ko rashin kumburin kwakwalwa. Ga irin waɗannan marasa lafiya, ya kamata a fara amfani da magani tare da ƙaramin kashi (duba sashe "Yadda ake amfani da shi").

Maganin tashin zuciya. Kulawa da irin waɗannan marasa lafiya yakamata a fara da ƙaramin kashi (duba sashin "Yadda ake amfani da shi") a cikin tsarin asibiti bayan an duba aikin koda (plasma creatinine) da kuma jini.

Cutar amai da gudawa Marasa lafiya bayan kamuwa da koda ko dialysis suna da haɗarin cutar rashin ƙarfi. Wannan ƙarin raguwar lamuni ne mafi girma tare da lambobin haemoglobin mafi girma. Wannan tasirin yana da cikakkiyar-yanci kuma yana iya danganta da tsarin aikin masu hana masu cutar ACE. Ragewar haemoglobin ba shi da mahimmanci, yana iya faruwa a cikin farkon watannin farko na 1-6, sannan ya inganta. Ana iya fadada jiyya na ACE tare da saka idanu akai-akai na matakan haemoglobin.

Hadarin da ke tattare da cututtukan neutropenia / agranulocytosis a cikin marasa lafiya da raguwar rigakafi shine dogaro-kashi kuma yana iya faruwa a cikin mai haƙuri tare da wani aiki na nakasa, musamman idan yana da alaƙa da collagenosis, kamar tsarin lupus erythematosus, scleroderma, da rigakafin immunosuppressive. Waɗannan abubuwan sun ɓace bayan dakatar da maganin hana ƙwarji na ACE. Yarda da kai tsaye ga tsayayyen sashi shine mabuɗin don hana faruwar hakan.

Idan mai haƙuri yana da tiyata, ya zama dole a sanar da likita game da amfani da Prestarium arginine Combi. Ya kamata a dakatar da maganin ACE wata rana kafin tiyata (duba sashen "hulɗa tare da wasu kwayoyi").

A cikin marasa lafiya tare da matakan haɓaka mai ƙarancin lipoproteins mai yawa, plasmapheresis ta amfani da dextrasulfate tare da yin amfani da inhibitors na ACE na iya haifar da halayen haɗarin anaphylactic. Za'a iya hana ci gaban halayen anaphylactic tare da dakatar da aikin na wucin gadi na maganin ACE kafin cutar plasmapheresis.

Abubuwan anaphylactic na iya faruwa a cikin marasa lafiya da ke shan inhibitors na ACE tare da lalata magunguna waɗanda ke kunshe da kudan zuma. Za'a iya hana ci gaban waɗannan halayen ta hanyar dakatar da amfani na wani lokaci na hana masu amfani da ACE. Abubuwan da aka amsa a sama na iya bayyana yayin gwaje-gwaje na tsokana.

Aortic stenosis / hypertrophic cardiomyopathy.ACE masu hanawa ya kamata a tsara su tare da taka tsantsan ga marasa lafiya tare da toshe hanyar fitowar daga ventricle hagu.

Rashin aikin hanta. Da wuya. ACE inhibitors suna da alaƙa da ciwo wanda ya fara da cholestatic jaundice kuma ya sami ci gaba zuwa hanzarin hanta na hanta, wani lokacin m. Ba a bayyana yanayin aikin wannan ciwo ba. Marasa lafiya waɗanda ke haɓaka jaundice tare da haɓaka matakin enzymes na hanta yayin ɗaukar masu hana ACE su daina shan inhibitors na ACE kuma tabbatar da kulawar likita ta dace.

Indapamide Yana da alaƙa

A cikin marasa lafiya waɗanda ke da tsaka-tsakin tsaka-tsakin QT, hypokalemia, kamar bradycardia, na iya ba da gudummawa ga ci gaban mummunan tashe-tashen ƙwayar zuciya, gami da paroxysmal ventricular tachycardia kamar pirouette, wanda zai iya zama mai mutuwa. A kowane hali, sa ido akai-akai game da matakin potassium a cikin jini wajibi ne. Na farko bincike ya kamata a yi a cikin makon farko na magani. Tare da raguwa a cikin matakan potassium, gyararsa ya zama dole.

Kalaman plasma. Thiazide da thiazide mai kama da diuretics na iya rage fitowar kalisiya kuma suna haifar da andan kaɗan kuma na ɗan lokaci a cikin matakan ƙwayoyin plasma. Tare da haɓaka mai mahimmanci a cikin ƙwayar ƙwayar plasma, wajibi ne don gudanar da ƙarin jarrabawa tare da ware kasancewar hyperparathyroidism a cikin haƙuri.

'Yan wasa Yayin amfani da magungunan Prestarium arginine Combi, kyakkyawan sakamako mai yiwuwa ne yayin sarrafa doping a cikin 'yan wasa.

Marasa lafiya tare da matakan uric acid na haɓaka: za'a iya samun karuwa a harin gout.

Thearfin yin tasiri akan ƙimar amsawa lokacin tuki motoci ko wasu hanyoyin.

Prestarium arginine Combi baya keta halayen psychomotor. Magungunan na iya shafar ikon fitar da mota da aiki tare da injuna kawai yayin da aka samu raguwar kwatsam a cikin karfin jini, musamman a farkon jiyya.

Sakamakon sakamako na Prestarium Arginine Combi.

Yawancin lokaci, jiyya tare da Prestarium arginine Combi an yarda da shi sosai. Effectsarancin da ba a ke so ba na iya faruwa a wasu lokuta, waɗanda aka lissafa a ƙasa, ta amfani da dokar: sau da yawa (> 1/10), sau da yawa (> 1/100 da) 1/10), ba a haɗa ba (> 1/1000 da ≤ 1/100), da wuya (> 1 / 10,000 da ≤ 1/1000), mai wuya ne (

• Hematopoiesis: da wuya, tare da amfani da inhibitors na ACE, thrombocytopenia, leukopenia, agranulocytosis, hemolytic anemia, aplastic anemia na iya faruwa, musamman a cikin marasa lafiya bayan jigilar koda, a cikin marasa lafiya akan hemodialysis.
• Daga gefen tsarin juyayi: da wuya - ciwon kai, paresthesia, asthenia, dizziness, yanayi mai rauni da bacci.
• Daga tsarin zuciya: Harshen jinin haila ko rashin daidaituwa na orthostatic ba shi yiwuwa.
• Tsarin numfashi: tari mai bushewa na iya faruwa sau da yawa, wanda yakan ɓace bayan katse maganin.
• Daga tsarin narkewa: sau da yawa maƙarƙashiya, bushewar bushe, tashin zuciya, anorexia, jin zafi a cikin yankin na ciki, jin daɗin damuwa, da wuya ƙwayar ƙwayar cuta, a cikin marasa lafiya da gazawar hanta, encephalopathy hepatic na iya faruwa (duba sashi na 4.3 da 4.4) .
• Allergic halayen: da wuya - mafi yawanci a cikin hanyar halayen cututtukan cututtukan fata, musamman a cikin marasa lafiya da ke da haɗari ga rashin lafiyan jiki: maculopapular fitsari, purpura, haɓakar tsarin lupus erythematosus, da wuya - angioedema.
• Daga tsokoki: da wuya - cramps.
• A ɓangaren alamun alamun gwaje-gwaje: hypokalemia na iya faruwa (musamman a cikin marasa lafiya a hadarin), hyponatremia (a cikin marasa lafiya na rashin ruwa), karuwa a cikin ƙwayar uric acid da glucose, ƙaramin haɓaka a cikin plasma da fitsari fitsari (hankula ga marasa lafiya tare da cutar na koda) arteries, hauhawar jini a jiyya na jijiyoyin wuya, gazawar koda, wanda ya ɓace bayan katse maganin, ƙara yawan kwayar potassium (galibi na ɗan lokaci), da wuya - karuwa a matakin plasma altsium.

Haɗaɗɗen Prestarium Arginine Combi.

Lokacin amfani da miyagun ƙwayoyi Prestarium arginine Combi, yana da mahimmanci a tuna cewa wannan haɗin haɗuwa ne, sabili da haka, don kimantawa na gaba daya game da hulɗa da wasu kwayoyi, wajibi ne don yin la’akari da duka abubuwan da ke cikin maganin.

Haɗin da ba a buƙata ba hade da magani Prestarium arginine Combi

Lithium. Tare da yin amfani da lokaci guda tare da shirye-shiryen lithium, yana yiwuwa a ƙara matakin lithium a cikin jini (saboda raguwa a cikin fitowar lithium) da kuma bayyanar alamun bayyanar cutar ƙanshi. Idan ya zama dole a wajabta irin wannan haɗin, ya zama dole don sarrafa matakin lithium a cikin plasma.

An haɗu da perindopril.

Tsarin daskararren potassium (amiloride, spironolactone, triamteren a monotherapy ko a hade), salts na potassium: na iya haifar da hauhawar hauhawar matakin potassium a cikin jini, wanda hakan na iya zama barazanar rayuwa. Magunguna waɗanda zasu iya haɓaka matakan potassium kada a tsara su a hade tare da masu hana ACE. Idan aka nuna amfani da concomitant saboda kasancewar hypokalemia, ya kamata a umurce su da taka tsantsan tare da sanya idanu akai-akai akan matakan potassium da ECG

Haɗa tare da indapamide.

Suloprid. Hadarin ventricular arrhythmia, musamman paroxysmal ventricular tachycardia na nau'in pirouette, yana ƙaruwa (hypokalemia shine haɗarin haɗari ga wannan sakamako).

Abubuwan Kulawa mai mahimmanci tare da Prestarium Arginine Combi

Baclofen yana haɓaka tasirin rigakafin ƙwayoyi. Wajibi ne a lura da cutar hawan jini da aikin koda.

Magungunan anti-mai kumburi mai kara kuzari (musamman indomethacin), yawan magungunan salicylates na iya haifar da raguwar cututtukan diuretic, natriuretic da antihypertensive of the miyagun ƙwayoyi, haɗarin ƙarancin renal renal a cikin tsofaffi da marasa lafiya na rashin ruwa (saboda raguwa a cikin ruɓawar dunƙule duniya). Wajibi ne don sarrafa aikin renal a farkon jiyya da kuma dawo da ma'aunin ruwa da kuma tabbatar da cewa mai haƙuri yana cinye isasshen ruwa.

Magungunan rigakafin cutar Tricyclic (imipramin-kamar), antipsychotics: akwai karuwa a cikin tasirin hypotensive kuma haɗarin haɓakar haɓaka orthostatic yana karuwa.

GCS, tetracosactide (tsarin aiki) yana rage tasirin maganin a dalilin riƙe ruwa da ions sodium under a ƙarƙashin rinjayar GCS

Sauran magungunan antihypertensive a hade tare da perindopril / indapamide na iya haifar da ƙarin raguwa a cikin karfin jini.

Haɗin Perindopril-hade

Kwayoyi na rage sukari (insulin, sulfonamides mai sukari). ACE inhibitors na iya haɓaka tasirin hypoglycemic a cikin marasa lafiya da ke karɓar insulin ko hypoglycemic sulfonamides. Abubuwan da ke faruwa a cikin cututtukan hypoglycemia suna da wuya sosai kuma ana danganta su da haɓaka haƙuri a cikin glucose.

Magunguna don maganin tashin hankali: Masu hana ACE na iya inganta tasirin wasu kwayoyi don maganin rashin ƙarfi.

Allopurinol, cytostatics, immunosuppressive kwayoyi, tsarin corticosteroids, ko procainamide a hade tare da ACE inhibitors na iya kara haɗarin cutar leukopenia.

Diuretics (thiazide da madauki). Yin fyaɗe tare da yawan allurai na diuretics na iya haifar da bushewa, wanda na iya haɓaka haɗarin hauhawar jini a farkon farawar jijiyoyin.

Yawancin adadin Prestarium Arginine Combi.

Game da yawan abin sha da yawa (shan mai yawa na miyagun ƙwayoyi), ana buƙatar lura da gefen maras kyau kamar jijiyoyin jini, wanda wasu lokuta kan iya kasancewa tare da tashin zuciya, amai, amai, amai, rikicewa, oliguria, wanda zai iya ci gaba zuwa auria (saboda hypovolemia).Lationarya ma'aunin ma'aunin ruwa-electrolyte (raguwa a cikin matakin potassium da sodium a cikin jini).

Jiyya. Wajibi ne don cire miyagun ƙwayoyi daga jiki: kurkura ciki, rubutattun gawayi da sake dawo da ma'aunin ruwa-asibiti a asibiti.

A cikin hypotension mai tsanani, dole ne a ba wa mara lafiya a kwance tare da ƙarancin kai. Maganin cututtukan Magani Idan ya cancanta, gudanar da aikin kwantar da hankali na maganin isotonic ko amfani da duk wata hanyar dawo da ƙarar jini.

Ana iya cire Perindoprilat daga jiki ta hanyar hemodialysis.

A cikin wannan labarin, zaku iya karanta umarnin don amfani da miyagun ƙwayoyi Perindopril . Yana ba da ra'ayi daga baƙi zuwa shafin - masu cin wannan magani, kazalika da ra'ayoyin kwararrun likitocin game da amfani da Perindopril a cikin aikin su. Babban buƙatar shine a ƙara ra'ayoyin ku game da miyagun ƙwayoyi: maganin ya taimaka ko bai taimaka kawar da cutar ba, menene rikice-rikice da sakamako masu illa da aka lura, mai yiwuwa ba sanar da mai masana'anta ba a cikin bayanin. Analogues na Perindopril a gaban isassun tsarin analogues. Amfani don lura da hauhawar jini da rage karfin jini a cikin manya, yara, harda lokacin daukar ciki da lactation. Abun da magani.

Perindopril - Mai hana ACE. Magunguna ne wanda daga ciki ake samar da kwayar halitta mai aiki a jiki. An yi imani da cewa tsarin antihypertensive mataki yana da alaƙa da hanawar shiga ayyukan ACE, wanda ke haifar da raguwar ƙimar canji na angiotensin 1 zuwa angiotensin 2, wanda yake da ƙarfi vasoconstrictor. Sakamakon raguwa a cikin taro na angiotensin 2, haɓaka sakandare a cikin aikin reni na plasma yana faruwa ne saboda kawar da martani mara kyau a yayin sake buɗewar da raguwa kai tsaye a cikin ɓoyewar aldosterone. Sakamakon tasirin vasodilating dinsa, yana rage OPSS (bayan saukarwa), matsin lamba a cikin ƙwayoyin huhun jini (preload) da juriya a cikin tasoshin huhu, yana ƙaruwa fitowar bugun zuciya da haƙurin motsa jiki.

Tasirin antihypertensive yana haɓakawa a cikin awa na farko bayan ɗaukar perindopril, ya kai matsakaicin zuwa 4-8 hours kuma ya ɗauki tsawon awanni 24.

Perindopril erbumin + magabata.

Perindopril arginine + magabata.

Bayan sarrafawar bakin, perindopril yana dafe cikin hanzari daga narkewa. Bioavailability shine 65-70%. A cikin aiwatar da metabolism, perindopril an biotransformed tare da ƙirƙirar mai aiki metabolite - perindoprilat (kusan 20%) da 5 mahadi marasa aiki. Theaddamar da perindoprilat zuwa ƙwayoyin plasma ba shi da mahimmanci (ƙasa da 30%) kuma ya dogara da taro akan abu mai aiki. Shin, ba ya tarawa. Maimaita gudanarwa ba ya haifar da tarawa (tarawa). Lokacin da aka ɗauke shi da abinci, ƙwayar perindopril yana rage gudu. Perindoprilat an cire shi daga jiki ta hanyar kodan. A cikin tsofaffi marasa lafiya, kazalika a cikin koda da kuma gazawar zuciya, hayar perindoprilat rage gudu.

• hauhawar jijiyoyin jini (rage karfin jini),
• rashin lafiyar zuciya (CHF).

Allunan 2 MG, 4 MG da 8 MG (ciki har da Allunan mai rufi).

Umarnin don amfani da sashi

Maganin farko shine 1-2 MG kowace rana a cikin kashi 1. Allurar tabbatarwa - 2-4 a kowace rana don rashin karfin zuciya, 4 MG (kasa da sau - 8 MG) - don hauhawar jijiya a cikin kashi 1.

Idan ba'ayi aiki na renal ba, ana buƙatar gyaran lokacin kashewa gwargwadon ƙimar QC.

• bushe tari
• abubuwan dyspeptik
• bushe bakin
• dandano cuta
• ciwon kai
• barci da / ko yanayin damuwa,
• tsananin farin ciki
• katsewa
• ƙananan matakan haemoglobin (musamman a farkon jiyya),
• raguwa a cikin adadin sel jini ja da / ko platelet,
• za a iya sauyawar haɓakawa cikin creatinine da matakan uric acid,
• angioedema,
• fata tayi
• erythema
• rikicewar jima'i.

• tarihin cutar malakka,
• ciki
• lactation
• shekarun yara
• tashin hankali ga perindopril.

Haihuwa da lactation

Perindopril yana contraindicated a cikin ciki da kuma lactation (nono).

Yi amfani da yara

Contraindicated a cikin yara.

Yi amfani tare da taka tsantsan game da gazawar koda kuma tsananin hauhawar jini.

Kafin fara magani tare da perindopril, ana ba da shawarar yin nazarin aikin renal ga duk marasa lafiya.

Yayin kulawa tare da perindopril, aikin renal, aikin enzyme hepatic a cikin jini ya kamata a kula da shi akai-akai, ya kamata a yi gwajin jini na yanki (musamman a cikin marasa lafiya da ke yada cututtukan nama na haɗin gwiwa, a cikin marasa lafiya waɗanda suka karɓi magungunan immunosuppressive, allopurinol). Kafin fara magani, ya kamata a gyara marasa lafiya da ke cikin sodium da rashi na ruwa don hargitsi na ruwa.

Yayin jiyya tare da perindopril, hemodialysis ta amfani da membranes na polyacrylonitrile ba za a iya yin sa ba (haɗarin tashin hankalin anaphylactic yana ƙaruwa).

Ya kamata a yi amfani da Perindopril tare da taka tsantsan a lokaci guda tare da kwayoyi waɗanda zasu iya haifar da haɓaka matakin potassium a cikin jini (indomethacin, cyclosporine). Yin amfani da kwanciyar hankali tare da daskarar da keɓaɓɓu na potassium da shirye-shiryen potassium ba da shawarar ba.

Tare da yin amfani da lokaci ɗaya tare da wakilai na antihypertensive, shakatawa na tsoka, da kuma wakilai na motsa jiki, haɓaka tasirin antihypertensive yana yiwuwa.

Tare da amfani da lokaci ɗaya tare da madaidaitan diuretics, thiazide diuretics, haɓaka tasirin antihypertensive yana yiwuwa. Mai tsananin rashin lafiyar jijiya, musamman bayan ɗaukar kashi na farko na diuretic, ya zama saboda hypovolemia, wanda ke haifar da karuwa a lokaci na tasirin sakamako na perindopril. Riskara hadarin lalacewa da aikin keɓaɓɓiyar aiki.

Tare da yin amfani da lokaci ɗaya tare da kwantar da hankali, rage raguwa a cikin tasirin antihypertensive na perindopril yana yiwuwa.

Tare da amfani tare da magungunan maganin tartsatsi na tricyclic, antipsychotics (antipsychotics), haɗarin haɓaka ƙarancin jini na haɓaka.

Tare da yin amfani da lokaci ɗaya tare da indomethacin, tasirin antihypertensive na perindopril yana raguwa, a fili saboda hanawar sinadarin prostaglandins a ƙarƙashin rinjayar magungunan anti-steroidal anti-inflammatory (NSAIDs) (waɗanda aka yi imanin zasu taka rawa a haɓakar tasirin ƙyalli na masu hana masu cutar ta ACE).

Tare da yin amfani da insulin lokaci guda, wakilai na hypoglycemic, abubuwan da suka samo asali na sulfonylurea, hypoglycemia na iya haɓaka saboda haɓakar glucose.

Ba a ba da shawarar haɗakar amfani da perindopril da ethanol (barasa) ba, amma ba shi da sakamako ga jikin mutum.

Tare da yin amfani da lokaci ɗaya tare da diuretics na potassium-sparing (ciki har da spironolactone, triamteren, amiloride), shirye-shiryen potassium, kayan gishiri da kayan abinci don abinci wanda ke dauke da potassium, hyperkalemia na iya haɓaka (musamman a cikin marasa lafiya da keɓaɓɓen aikin na kiɗa), saboda ACE inhibitors yana rage abun ciki na aldosterone, wanda ke haifar da jinkiri a cikin potassium a cikin jikin sabanin tushen iyakance fitar da sinadarin potassium ko kuma karinsa.

Tare da amfani da carbonate na lithium a lokaci daya, raguwar fitowar lithium daga jiki yana yiwuwa.

Analogues na miyagun ƙwayoyi Perindopril

Tsarin analogues na abu mai aiki (haɗe da wasu abubuwan):

• Yankunan
• Hypernik
• Dalneva,
• Tankana,
• Ko Perineva,
• Noliprel
• Noliprel A
• Noliprel Forte
• Parnawel
• Mai ladabi
• Kakakin Ma'aikata,
• Kakakin Richter,
• Arginine kakandi,
• Zakariyar erbumin,
• Perindopril Indapamide Richter,
• Perindopril da indapamide,
• Kadanna,
• Labarbara,
• Pyristar
• Prestanz
• Prestarium
• Prestarium A
• Shafin Yanar gizo.

Idan babu analogues na miyagun ƙwayoyi don ƙwayar abu mai aiki, zaku iya bin hanyoyin haɗin da ke ƙasa zuwa cututtukan da ke taimaka wa likitancin da ke dacewa da kuma ganin analogues na maganin warkewa.

Indapamide yana da tasiri mai saurin BP, idan kuna bin ka'idodi don gudanarwarsa, da wuya ya haifar da sakamako masu illa. Magungunan yana cikin magungunan diuretic.

A yayin aiwatar da hadadden kulawa na hauhawar jini, likita dole ne ya tsara diuretics, tunda hawan jini yana raguwa da sauri tare da cire ruwa daga jiki. Masana'antar harhada magunguna ta kirkira da yawa. Mafi yawan lokuta, idan akwai cutar edema, likita ya ba da izinin Indapamide don matsa lamba. Koyaya, maganin yana da contraindications da fasali na amfani, don haka suna buƙatar haɗakar magani tare da likita.

A miyagun ƙwayoyi na wani thiazide-kamar diuretics na tsawan mataki, yana da sauƙin rage raunin sakamako akan hawan jini. Ana amfani da Indapamide don hauhawar jini, a lokacin da matsin ya fara wucewa Hg 140/90 mm. Art., Da rauni na zuciya, musamman idan mara lafiyar yana da kumburi.

An fito da miyagun ƙwayoyi a cikin nau'ikan Allunan da kabilu na 1.5 da 2.5 MG. An ƙirƙira su a Rasha, Yugoslavia, Kanada, Macedonia, Isra'ila, Ukraine, China da Jamus. Abubuwan da ke aiki da maganin shine Indapamide.

Indapamide magani ne na kalshin, wanda yake da kyau ga masu fama da cutar hawan jini. Ana iya amfani da shi ta hanyar mutanen da ke kan cututtukan hemodialysis, masu ciwon sukari, tare da hyperlipidemia. A lokuta masu wahala, ana buƙatar sarrafa matakin glucose, potassium, sauran alamun da likitan ya ba da shawarar.

Indapamide don hauhawar jini

Capsules ko Allunan daga matsin lamba don hauhawar jini yana fara aiki minti 30 bayan amfani. Tasirin hypotonic yana ɗaukar awanni 23-24.

Ragewar saukar karfin jini yana faruwa ne sakamakon tasirin hypotensive, diuretic da vasodilating - matakin matsin lamba ya fara faduwa sakamakon tasirin abu mai aiki, cire ruwa mai yalwa a jiki da kuma fadada hanyoyin jini a jiki baki daya.

Indapamide shima yana da kadarar zuciya - yana kare ƙwayoyin myocardial. Bayan jiyya, hauhawar jini yana inganta yanayin haɓakar ƙwaƙwalwar hagu na hagu. Har ila yau, maganin yana iya rage juriya a cikin tasoshin jijiyoyin da ke cikin jijiyoyi. Tunda yake a cikin matsakaici yana ƙaruwa da haɓakar fitsari, wanda aka zubar da ruwa mai yawa, ya dace a sha maganin idan akwai cutar edematous.

Yin hulɗa tare da wasu kwayoyi

Wani lokaci ana tilastawa mutum shan wasu magunguna waɗanda ke cikin gungun magunguna daban-daban. Abubuwan da ke aiki na iya raguwa ko haɓaka tasiri na Indapamide. Zai dace a more cikakkun bayanai kan yadda ake 'bayyanar da ma'amala' irin wannan.

Tasirin antihypertensive na miyagun ƙwayoyi yana ƙaruwa lokacin da aka yi amfani da su tare da maganin rigakafi, maganin ƙwaƙwalwar ƙwayar cuta - wannan na iya haifar da raguwa mai ƙarfi.

Lokacin da aka haɗu da erythromycin, mutum yana haɓaka tachycardia; a cikin hadaddun Cyclosporin, matakan creatinine suna ƙaruwa. Amfani guda lokaci guda tare da kwayoyi, waɗanda suka haɗa da aidin, na iya haifar da bushewa. Rashin potassium yana inganta ta hanyar magunguna masu guba, saluretics da glycosides na zuciya.

Ya kamata a ɗauka a hankali cewa corticosteroids da NSAIDs (magungunan anti-inflammatory marasa steroidal) suna rage tasirin Indapamide - wannan yana rage tasirin maganin. Don guje wa irin wannan hulɗa tare da wasu magunguna, likita yana buƙatar samar da jerin duk magunguna da magungunan ganye da aka yi amfani da su.

Alamu don amfani lokaci daya

Haɗin Lisinopril da Indapamide suna da tasiri don lura da matsananciyar damuwa da raunin hauka. A shawarar likita, ana iya tsara magunguna biyu don rashin ƙoshin zuciya.

Lisinopril tare da Indapamide yana da tasiri don gudanar da hadaddun jiyya na cututtukan zuciya da hauhawar jini.

Yadda ake ɗaukar Lisinopril da Indapamide

Don inganta yanayin da ci gaba da raguwa a cikin matsin lamba, dole ne a dauki magunguna biyu na dogon lokaci, a wasu yanayi na rayuwa. Saboda haka, sashi na kwayoyi ya kamata a lasafta shi da likita dangane da asibiti hoto na cutar da mutum halaye na haƙuri.

A cikin mafi yawan lokuta, kashi na farko na Lisinopril shine kwamfutar hannu na 5-10 mg, 2.5 mg na Indapamide (1 kwamfutar hannu 1) ya isa.

Ana ɗaukar maganin ta baka, ba tare da tauna ba, tare da ruwa mai yawa.

Sakamakon sakamako na indapamide

Yin amfani da magani yadda yakamata a cikin kashi 97 cikin 100 na maganganun, miyagun ƙwayoyi ba su da tasiri a jiki. A cikin mutanen mallakar sauran kashi 3%, Indapamide yana haifar da sakamako masu illa. Sakamakon da ya fi dacewa shine cin zarafin ruwa-electrolyte: matakin potassium da / ko sodium yana raguwa. Wannan yana haifar da rashin ruwa (rashin ruwa) a jiki. Da wuya, magani zai iya haifar da arrhythmia, hemolytic anemia, sinusitis da pharyngitis.

Sauran sakamakon Indapamide:

• rashin lafiyan (urticaria, anaphylaxis, edema na Quincke, dermatosis, rash),
• Ciwon Lyell
• rashin ruwa na baka,
• Stevens-Johnson ciwo
• tari
• rauni
• tsananin farin ciki
• tashin zuciya, amai,
• ciwon tsoka
• migraine
• juyayi
• hanta dysfunction
• maganin cututtukan farji
• maƙarƙashiya
• orthostatic hypotension.

Wani lokacin indapamide yakan canza yanayin jini da fitsari. A cikin binciken za a iya gano rashi na potassium, sodium, yawan adadin kalsiya, glucose, creatinine da urea. Thrombocytopenia, leukopenia, anemia, agranulocytosis yana faruwa ƙasa da akai-akai.

Menene magungunan "Lisinopril" da "Indapamide"?

"Lisinopril" da "Indapamide" an yi su ne don maganin hauhawar jini.

Kafin shan kowane magani, dole ne a bincika umarnin a hankali, tare da kimanta fa'idodi da fa'idojin amfani. Don fahimtar menene magungunan biyu, la'akari da tebur:

Ta yaya zan iya maye gurbin miyagun ƙwayoyi?

Madadin Indapamide, an yarda da Indap. Wannan magani yana tare da wannan abun da ke ciki, amma wani masana'anta ya kera shi kuma yana iya samun kashi dabam na kayan aiki. Idan akwai wani bambanci, likita mai halartar ya kamata ya daidaita yawan abincin.

Likita zai kuma taimaka muku gano alamun ƙira tare da aiki mai kama ko aiki. A yayin tattaunawar mutum, likita zai gaya muku wane magani ne mafi kyawun amfani: Indapamide ko Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acripamide, Ionic, Retapres. Wataƙila nadin wasu cututtukan diure da nufin rage karfin jini.

Kammalawa

Magani Indapamide a hankali yana rage matsa lamba a duk tsawon rana. Tare da yin amfani da shi na yau da kullun kuma daidai, hawan jini yana raguwa cikin kwanaki 7 daga fara gudanarwa. Amma ba za a iya katse farji ba a wannan matakin, tunda magani ya kai ga sakamakonsa mafi girma cikin watanni 2.5-3. Don mafi kyawun tasiri na miyagun ƙwayoyi, kuna buƙatar buƙatar bin shawarwarin likita: bi abinci don hauhawar jini, daidaita tsawon lokacin hutawa, sauran magunguna.

A yau, cutar da ta fi yawan zama shine hauhawar jini ko hauhawar jini. A takaice dai, wannan hawan jini ne. Wannan ciwo yana tasowa ne saboda dalilai na waje, alal misali, damuwa, yawan aiki, aikin jiki, rashin hutawa, canjin yanayi ko cututtuka na gabobin ciki. Abin takaici, wannan ilimin ba zai iya warke gaba daya ba - cuta ce ta rashin lafiya.

A farkon alamun hauhawar jini, yakamata a nemi likita nan da nan. Kwararrun za su zabi cikakkiyar cikakkiyar magani wanda zai taimaka ci gaba da zubar jini a al'ada da kuma kawar da mummunan alamu. Duk wani ilimin ya hada da diuretics. Wadannan kwayoyi suna da kayan haɗin guba daban-daban, amma dukkansu suna iya cire wuce haddi mai narkewa daga jiki. Magunguna suna diuretic. Sau da yawa, likita ya haɗa da Indapamide na miyagun ƙwayoyi a cikin babban jiyya, umarnin don amfani da shi kuma a wane irin matsa lamba ya kamata a sha, zamuyi magana a wannan labarin.

Janar halaye na miyagun ƙwayoyi

Indapamide sanannun diuretic ne da ake amfani da shi sosai wajen maganin hauhawar jini, haka kuma kumburi da ya haifar da rashin zuciya. Kwayoyin suna cire ruwa mai yalwa a jiki kuma ya lalata tasoshin jini, wanda ke taimakawa wajen daidaita hawan jini.

An fito da miyagun ƙwayoyi a cikin nau'ikan Allunan, wanda aka shafe tare da farin harsashi a saman. A cikin kunshin ɗaya za'a iya samun allunan 10 ko 30, wanda ke ba mutum damar zaɓin adadin da ya dace wa kansa.

Magungunan magunguna da yawa suna samar da magungunan, amma abubuwan haɗin su ba ya canzawa. Babban sinadaran aiki shine indapamide. A cikin kwamfutar hannu guda ya ƙunshi kimanin 2.5 MG. Baya ga wannan abu, ƙwayar ta ƙunshi ƙarin abubuwan haɗin da suke da tasirin gaske a jiki. Magunguna na dauke da irin waɗannan abubuwan taimako:

• dankalin turawa, sitaci
• bakarandar CL,
• madara sukari ko lactose,
• magnesium stearate,
• povidone 30,
• foda talcum
• cellulose.

Mahimmanci! Wanne matsin lamba ne Indapamide ke taimakawa? An wajabta magunguna don hawan jini. Abubuwan da ke aiki da shi suna da ikon kawar da ruwa mai yalwa da sauri a jiki, da kuma inganta haɓaka tasoshin jini. Sakamakon wannan tasiri, ƙwayar magunguna daidai yadda ya dace da karfin jini.

Tsarin aiki akan jiki

Magungunan yana da tasiri a jiki. Abubuwan haɗin jikinta suna cire ruwa mai guba da sauri tare da tara gishiri a cikin jiki. Suna jawo saurin fitar fitsari, wanda ke taimakawa cire ruwa daga kyallen da jijiyoyin wuya.

Aikin magunguna

Indapamide wani diuretic ne mai inganci wanda ke nufin thiazide-kamar diuretics. Bugu da ƙari, miyagun ƙwayoyi suna dirar tasoshin jini kuma suna yin bango. Tare, waɗannan ma'amala suna iya daidaita hauhawar jini da haɓaka yanayin mutum gaba ɗaya.

Idan kashi na yau da kullun shine 1.5-2.5 mg, to wannan ya isa don hana vasoconstriction. Wannan yana nufin matsin lambar zai kasance tsakanin iyakoki na al'ada. Bugu da ƙari, wannan sashi yana taimakawa haɓaka ganuwar tasoshin jini da kuma kare tsoka zuciya daga canje-canje a cikin karfin jini. A wannan yanayin, idan an kara sashi na miyagun ƙwayoyi zuwa 5 MG kowace rana, to wannan adadin zai isa ya sauƙaƙa kumburi. Koyaya, ƙara yawan kwayar cutar ba ta shafi matakin matsin lamba ba.

Tare da amfani na yau da kullun, ana samun sakamako mai gamsarwa bayan kwanaki 7-14 na shan miyagun ƙwayoyi. Magungunan yana da sakamako mafi girma bayan watanni 2-3 na maganin. Kyakkyawan sakamako yana ɗaukar makonni 8. Idan an ɗauki kwaya sau ɗaya, to, sakamakon da ake so yana faruwa ne a cikin awanni 12-24.

Zai fi kyau shan magunguna a kan komai a ciki ko bayan abinci, tunda yin amfani da kwamfutar hannu tare da abinci yana rage rage tasirinsa ga jiki, amma ba ya tasiri da tasiri. Abubuwan da ke aiki na Indapamide suna saurin shiga cikin hanji, don haka ana rarraba su ko'ina cikin jiki.

Hannun hanta yana tsaftace jikin abubuwan haɗin sinadaran Allunan. Hakanan ana sarrafa su ta kodan kuma an keɓe su tare da fitsari (70-80%) bayan kimanin sa'o'i 16.Nishaɗi ta cikin tsarin narkewa kamar kashi 20-30%. Babban bangaren aiki a tsarin sa tsarkakakke an raba shi da kusan 5%. Duk sauran sassan jikinta suna da tasiri a jikin mutum.

Zan iya amfani da su a lokaci guda?

"Lisinopril" da "Indapamide" ba kawai za a iya ɗauka a lokaci ɗaya ba, har ma ya zama dole. Abun yardarsu yana da girma kuma matsi yakan sauka da sauri. An bada shawarar makirci masu zuwa:

1. Da safe kuna buƙatar ɗaukar "Indapamide" (yana da diuretic mai ƙarfi, saboda haka ya fi kyau kar ku ɗauka da dare).
2. Da maraice, "Lisinopril."
3. Idan matsi bai ragu ba, to zai fi kyau a sha kwamfutar hannu 1 na kowane magani.

Ya kamata likita ya tsara maganin ta, idan ya danganta da alamun mutum na haƙuri.

Lisinopril da Indapamide suna daidaita juna. Idan matsi ya karu sosai (sama da 180/120), to ya kamata ku nemi shawarar likita nan da nan (musamman idan akwai yiwuwar bugun zuciya ko bugun zuciya). A lokaci guda, kada ku kara yawan kwayoyi sosai (Indapamy baya bayar da sakamako mafi kyau yayin da aka kara adadin, kuma babban adadin Lisinopril zai iya haifar da yanayin yanayin yanayin).

Tare da shekaru, mutum yana yawan shan wahala daga hawan jini. Sau da yawa marasa lafiya suna ɗaukar Lisinopril da Indapamide a lokaci guda. Lisinopril da Indapamide suna iya haɗu da juna. Yana da mahimmanci cewa likitan halartar ya san wannan. Likita ne kawai zai iya yin cikakken nazarin duk haɗarin, gwargwadon ganewar mai haƙuri da sauran cututtukan na kullum.

Kafin shan kowane magani, dole ne a bincika umarnin a hankali, tare da kimanta fa'idodi da fa'idojin amfani. Don fahimtar menene magungunan biyu, la'akari da tebur:

· Kuna buƙatar karanta: 2 min

Tare da shekaru, mutum yana yawan shan wahala daga hawan jini. Sau da yawa marasa lafiya suna ɗaukar Lisinopril da Indapamide a lokaci guda. Lisinopril da Indapamide suna iya haɗu da juna. Yana da mahimmanci cewa likitan halartar ya san wannan. Likita ne kawai zai iya yin cikakken nazarin duk haɗarin, gwargwadon ganewar mai haƙuri da sauran cututtukan na kullum.

"Lisinopril" da "Indapamide" an yi su ne don maganin hauhawar jini.

Kafin shan kowane magani, dole ne a bincika umarnin a hankali, tare da kimanta fa'idodi da fa'idojin amfani. Don fahimtar menene magungunan biyu, la'akari da tebur:

• farhythmia,
• ciwon kai
• kirji yayi zafi
• kumburi yayin daukar ciki,
• lahani mai yiwuwa a cikin tayin.

• tsananin farin ciki
• ciwon kai
• bacin rai
• sinusitis
• rhinitis.

"Lisinopril" da "Indapamide" ba kawai za a iya ɗauka a lokaci ɗaya ba, har ma ya zama dole. Abun yardarsu yana da girma kuma matsi yakan sauka da sauri. An bada shawarar makirci masu zuwa:

1. Da safe kuna buƙatar ɗaukar "Indapamide" (yana da diuretic mai ƙarfi, saboda haka ya fi kyau kar ku ɗauka da dare).
2. Da maraice, "Lisinopril."
3. Idan matsi bai ragu ba, to zai fi kyau a sha kwamfutar hannu 1 na kowane magani.

Ya kamata likita ya tsara maganin ta, idan ya danganta da alamun mutum na haƙuri.

Lisinopril da Indapamide suna daidaita juna. Idan matsi ya karu sosai (sama da 180/120), to ya kamata ku nemi shawarar likita nan da nan (musamman idan akwai yiwuwar bugun zuciya ko bugun zuciya). A lokaci guda, kada ku kara yawan kwayoyi sosai (Indapamy baya bayar da sakamako mafi kyau yayin da aka kara adadin, kuma babban adadin Lisinopril zai iya haifar da yanayin yanayin yanayin).

Diuretic jamiái da ke taimakawa wajen kawar da yawan ruwa mai narkewa daga jiki galibi ana wajabta su don hauhawar jini. Ofaya daga cikin magungunan yau da kullun na wannan yanayin shine Indapamide, umarnin don amfani dashi, da kuma a wane matsin lamba aka ɗauka, ya kamata a yi la'akari dalla-dalla.

Abinda kawai ke nuna Indapamide shine hauhawar jini. Anyi amfani dashi koda yaushe idan yawan hawan jini yana tare da ciwo mai tsauri da kuma riƙe ruwa.Ta hanyar cire wuce haddi na ruwa, hawan jini ya ragu.

Irin waɗannan magunguna sukan zama tushen jiyya. Yawancin lokaci ana samun su tare da wasu magungunan anti-hauhawar jini. Wanne matsin lamba ne irin waɗannan magunguna ke buƙata? Yawancin lokaci ana rubutasu idan hauhawar jini ta kan ci gaba kodayaushe, hauhawar jini na jijiya mai tasowa gaba daya, alamu masu nuna matsa lamba suna ci gaba da kasancewa sama da dabi'u 140 cikin 100.

Indapamide - diuretic ko a'a? Tunda wannan maganin diuretic ne, yana da tasirin diuretic, yana cire ruwa daga jiki. Ya kamata a ɗauka a cikin zuciya cewa ƙara yawan sashi ba ya haifar da karuwa a tasirin sakamako, tunda kawai ana inganta diuretic. Sabili da haka, kada kuyi la'akari da sigar wannan magani, musamman don kansa.

Matsakaicin farashin magani shine 20-50 rubles, ya dogara da cibiyar sadarwa ta kantin magani. Magungunan yana ɗaya daga cikin mafi arha mafi sauƙin amfani da aka yi amfani da shi don hauhawar jini.

Mahimmanci! A kowane hali ya kamata ku fara shan diuretics da kanku, musamman tare da alamun rashin aikin keɓaɓɓen aiki.

Yawancin lokaci ana shan wannan magani sau ɗaya a rana, daidaitaccen sashi shine 2.5 mg na kayan. Yawancin lokaci ba ya canzawa - ana iya gyara shi kawai ta ƙara wasu jami'ai waɗanda ke da tasirin gaske a farji.

Yadda za a sha shi - kafin abinci ko bayan - ba shi da mahimmanci. Jagorar don miyagun ƙwayoyi ta ce lokacin rana da abinci ba ya shafar tasirin miyagun ƙwayoyi, saboda haka ba lallai ba ne a mai da hankali a kansu.

Yawancin lokaci, jiyya tare da magunguna antihypertensive daban-daban a lokacin mummunan hauhawar jini ba ya dadewa - har zuwa makonni da yawa. Bayan haka, lokacin da karfin jini ya sauka sosai, har sai an daina jinya. A nan gaba, don kula da matsin lamba tsakanin iyakoki na yau da kullun, yana da mahimmanci a bi abincin da ya dace da sauran shawarwarin likita.

Game da tsawon lokacin shan wannan magani, ya kamata ka fara tattaunawa da likitanka. A kowane yanayi, hanyar aikin zai bambanta - duk ya dogara da tsananin cutar da yanayin mai haƙuri gaba ɗaya.

Indapamide yana da yawan tsauraran matakan contraindications. Yi amfani da wannan magani kada ya kasance tare da koda ko gazawar hanta. Don cin zarafin ayyukan waɗannan gabobin, ana ɗaukar diuretic ta musamman a ƙarƙashin tsananin kulawa na likita, yana lura da yanayin da yanayin canje-canje a koyaushe.

1. Hakanan, wannan magungunan bazai amfani dashi don rashin jituwa ga abubuwan da ke ciki ba, da farko diuretic kanta, da sauran abubuwa waɗanda suke hada magunguna.
2. Ciki har da, bai kamata ku yi amfani da magani don rashin haƙuri ba don lactose, tunda yanki ne na kwamfutar hannu kanta.
3. A contraindication ne shekaru yara. Har zuwa shekaru goma sha takwas, bai kamata a yi amfani da wannan maganin rigakafin cutar hauka ba, tunda babu shaidar lafiyar lafiyar yaran.
4. Ba za a yi amfani da Indapamide ba a lokacin daukar ciki ko dai: haihuwar da kuma lokacin shayarwa tsayayye ne don shan maganin.

Mahimmanci! Amincewa da wannan diuretic a cikin tsofaffi yana da kyawawa don gudanar da shi ƙarƙashin tsananin kulawa na likita. A cikin tsofaffi, miyagun ƙwayoyi na iya yin tasiri ga jiki.

Wannan diuretic yana da ƙananan possiblean sakamako masu illa. Basu bayyana sau da yawa idan ka ɗauki Indapamide bisa ga umarnin. Kungiyoyin da ke biye da tasirin sakamako sukan bambanta:

• rashin jin tsoro, ciwon kai, damuwa na bacci, asma, sauran rikicewar tsarin juyayi,
• tashin hankali, rudani damuwa, sauran sakamako masu illa daga jijiyoyin jini,
• mai tsananin tari, cututtukan jini, sinusitis,
• cututtuka daban-daban daga tsarin motsa jiki,
• bashin jini, canje-canje a gwajin jini,
• duk nau'in halayen rashin lafiyan jiki, fitsarin fata, cututtukan fata.

Wadannan sakamako masu illa sun fi yawa yayin shan Indapamide. amma tare da shigarwar da ta dace, yiwuwar abin da ya faru ya kasance kaɗan.

Yi la'akari da wanne magani Indapamide zai iya maye gurbin kuma wanne ya fi kyau.

Concor da Indapamide suna da daidaituwa mai kyau, ana tsara su sau da yawa azaman hadaddun hanyoyin haɗin gwiwa. Indapamide na iya haɗuwa sosai tare da sauran masu hanawa.

Za a iya haɗu da Lorista (angiotensin mai ɗaukar angagonensin) da indapamide tare da izinin likita. Kusan sau da yawa, waɗannan magunguna guda biyu ana wajabta su a lokaci ɗaya don tasirin magani.

Prestarium magani ne da ake amfani da shi don hauhawar jini da rauniwar zuciya. Ya faru cewa an wajabta shi tare da diuretics, musamman - tare da Indapamide. Wadannan magungunan suna hade sosai.

Haɗin Lisinopril da Indapamide yana ba ku damar sauri da ingantaccen rage karfin jini, yayin da suke zama al'ada na dogon lokaci, kuma hauhawar jini ta koma baya. Lisinopril shine mai hana ACE. A wannan yanayin, bai kamata ku fara ɗaukar irin wannan haɗuwa da kwayoyi don kanku ba - dole ne ku fara tuntuɓi ƙwararre.

Kai tsaye analogues na Indapamide sauran diuretics ne dangane da kayan aiki iri daya. Arifon ana alakanta su da farko. Hakanan zaka iya amfani da wasu magungunan diuretic da nufin rage karfin jini. Kafin amfani da analog, tabbatar da karanta umarnin don amfani.

Dangane da tasirin, zaku iya kwatanta magungunan rukuni ɗaya kawai - diuretics, waɗanda suka haɗa da Indapamide. Zai yi wuya a faɗi wanda ya fi kyau: Indapamide ko Concor. Wadannan kwayoyi suna cikin nau'ikan magunguna daban-daban kuma suna shafar jikin mutum ta hanyoyi daban-daban. Hakanan ba zai yiwu a faɗi wanda ya fi kyau ba: Indapamide ko Enalapril. Wannan kayan aiki ne na daban daban tare da tasiri daban-daban akan jiki. Koyaya, yana da mahimmanci a lura cewa diuretics ya kamata a farko a kula dasu idan hauhawar jini yana tare da kumburi.

Hakanan Arifon Retard yana dogara ne akan aikin Indapamide, amma farashin wannan analog ɗin yana da girma. Packaya daga cikin fakitin magani yana biyan kuɗi 300-350 rubles. Haka kuma, dangane da aiki, wadannan kudade ba su da bambanci.

Koyaya, yakamata ayi la'akari da cewa Arifon yana da ƙananan contraindications. A lokacin tsufa kuma a gaban cututtukan hanta da koda, ya fi kyau a zaɓi shi. Indapamide yana da tasiri sosai ga jikin mutum.

Veroshpiron shima ingantacce ce mai aiki a cikin hauhawar jini. Koyaya, yana da mahimmanci a san cewa za'a iya amfani da wannan maganin don wasu cututtukan cututtuka, yayin da yake da ƙarancin magunguna fiye da Indapamide. Sabili da haka, lokacin zabar magunguna, yana da daraja kula da shi, gami da.

Hypothiazide kuma shine ingantaccen maganin diuretic na hauhawar jini, wanda aka wajabta sau da yawa don wannan cutar. Haka kuma, yana da mafi yawan kewa na neman aiki. Ta hanyar contraindications, waɗannan kwayoyi suna da kama sosai.

Tare da hauhawar jini, yana da kyau a zaɓi diuretic na farko, tunda ana nufin wannan magani ne don magance wannan cutar. Yawancin lokaci ana amfani da Furosemide don wasu cututtuka.

Hydrochlorothiazide shima mai maganin cutar thiazide ne, kamar yadda yake Hypothiazide. A aikace, waɗannan magungunan sun fi kama. Zaɓi rukuni mafi dacewa na kwayoyi ya kamata ya dogara da alamomi, hanya na cutar, concomitant pathologies.

Diuver ya fi kama da tasiri ga Furosemide, yayin da shi kuma ana yin sa sosai sau da yawa don hauhawar jini. Wannan kayan aiki musamman yana taimakawa tare da haɓaka haɓakar edema.Yana da ƙarin contraindications, don haka kafin ka fara amfani da, lallai ne a karanta umarnin don amfani.

A yayin aiwatar da hadadden kulawa na hauhawar jini, likita dole ne ya tsara diuretics, tunda hawan jini yana raguwa da sauri tare da cire ruwa daga jiki. Kamfanin masana'antar harhada magunguna ya haifar da magunguna masu yawa na diuretic. Mafi yawan lokuta, idan akwai cutar edema, likita ya ba da izinin Indapamide don matsa lamba. Koyaya, maganin yana da contraindications da fasali na amfani, don haka suna buƙatar haɗakar magani tare da likita.

A miyagun ƙwayoyi na wani thiazide-kamar diuretics na tsawan mataki, yana da sauƙin rage raunin sakamako akan hawan jini. Ana amfani da Indapamide don hauhawar jini, a lokacin da matsin ya fara wucewa Hg 140/90 mm. Art., Da rauni na zuciya, musamman idan mara lafiyar yana da kumburi.

An fito da miyagun ƙwayoyi a cikin nau'ikan Allunan da kabilu na 1.5 da 2.5 MG. An ƙirƙira su a Rasha, Yugoslavia, Kanada, Macedonia, Isra'ila, Ukraine, China da Jamus. Abubuwan da ke aiki da maganin shine Indapamide.

Indapamide magani ne na kalshin, wanda yake da kyau ga masu fama da cutar hawan jini. Ana iya amfani da shi ta hanyar mutanen da ke kan cututtukan hemodialysis, masu ciwon sukari, tare da hyperlipidemia. A lokuta masu wahala, ana buƙatar sarrafa matakin glucose, potassium, sauran alamun da likitan ya ba da shawarar.

Capsules ko Allunan daga matsin lamba don hauhawar jini yana fara aiki minti 30 bayan amfani. Tasirin hypotonic yana ɗaukar awanni 23-24.

Ragewar saukar karfin jini yana faruwa ne sakamakon tasirin hypotensive, diuretic da vasodilating - matakin matsin lamba ya fara faduwa sakamakon tasirin abu mai aiki, cire ruwa mai yalwa a jiki da kuma fadada hanyoyin jini a jiki baki daya.

Indapamide shima yana da kadarar zuciya - yana kare ƙwayoyin myocardial. Bayan jiyya, hauhawar jini yana inganta yanayin haɓakar ƙwaƙwalwar hagu na hagu. Har ila yau, maganin yana iya rage juriya a cikin tasoshin jijiyoyin da ke cikin jijiyoyi. Tunda yake a cikin matsakaici yana ƙaruwa da haɓakar fitsari, wanda aka zubar da ruwa mai yawa, ya dace a sha maganin idan akwai cutar edematous.

A babban matsin lamba (fiye da 140/100 mm Hg. Art.), Likita ya zaɓi sashi da tsawon lokacin aikin kwata-kwata. Yawancin lokaci, Ya kamata a dauki Indapamide sau ɗaya a rana: da safe, kwamfutar hannu 1. An ba shi damar sha a kan komai a ciki ko bayan cin abinci - abinci ba ya shafar tasirin maganin.

M shigar da dokoki:

• Yi amfani da lokacin da aka bayyana a sarari don kula da tazara ta sa'o'i 24,
• Allunan ko ƙwayayen allurai suna hadiye su duka
• wanke tare da tsayayyen ruwa a cikin yawan akalla 150 ml,
• kawai akan shawarar likita, canza sashi ko dakatar da hanyar magani.

Tsawancin sakamako na Indapamide yana da alaƙa da rushewar ƙwayar a hankali. Idan kuna niƙa allunan ko kwalliya kafin amfani, babban adadin abu mai aiki zai shiga nama nan da nan, wanda zai haifar da raguwa sosai a cikin matsi. Rage saukar karfin jini kwatsam yana aiki da dukkan tsarin jikin mutum, wanda yake tattare da mummunan sakamako.

An yarda da ɗayan magungunan masu zuwa tare da Indapamide:

• Kwakwalwa da sauran B-blockers,
• Lorista (yana karɓar karɓar angiotensin)
• Prestarium (don raunin zuciya),
• Lisinopril (ACE inhibitor),
• sauran magunguna wanda likitanka ya umarta.

A zahiri, kowane likita yakamata ya zaɓi likita kawai, tunda idan akwai haɗin haɗin kai, ba a la'akari da daidaituwa game da abubuwa masu aiki. Wannan na iya haifar da gazawar magani ko guban kwayoyi, wanda a cikin kowane yanayi barazanar rayuwa ce.

Wani lokaci ana tilastawa mutum shan wasu magunguna waɗanda ke cikin gungun magunguna daban-daban.Abubuwan da ke aiki na iya raguwa ko haɓaka tasiri na Indapamide. Zai dace a more cikakkun bayanai kan yadda ake 'nuna ma'amala' irin wannan.

Tasirin antihypertensive na miyagun ƙwayoyi yana ƙaruwa lokacin da aka yi amfani da su tare da maganin rigakafi, maganin ƙwaƙwalwar ƙwayar cuta - wannan na iya haifar da raguwa mai ƙarfi.

Lokacin da aka haɗu da erythromycin, mutum yana haɓaka tachycardia; a cikin hadaddun Cyclosporin, matakan creatinine suna ƙaruwa. Amfani guda lokaci guda tare da kwayoyi, waɗanda suka haɗa da aidin, na iya haifar da bushewa. Rashin potassium yana inganta ta hanyar magunguna masu guba, saluretics da glycosides na zuciya.

Ya kamata a ɗauka a hankali cewa corticosteroids da NSAIDs (magungunan anti-inflammatory marasa steroidal) suna rage tasirin Indapamide - wannan yana rage tasirin maganin. Don guje wa irin wannan hulɗa tare da wasu magunguna, likita yana buƙatar samar da jerin duk magunguna da magungunan ganye da aka yi amfani da su.

Masu fama da cutar rashin karfin jiki wadanda ke da cututtukan cututtukan cututtukan hanji, endocrine, narkewa da jijiyoyin jini yakamata a nemi likita. Don wasu cututtukan cuta, wannan magani yana da fasalolin amfani ko an lalata shi gaba ɗaya.

Bai kamata a yi amfani da Indapamide a cikin yara 'yan ƙasa da shekara 18 ba, masu juna biyu. Idan an wajabta maganin ne ga mace yayin shayarwa, to yayin da ake kulawa da jariri an canza shi zuwa abinci mai wucin gadi.

Yin amfani da Indapamide an hana shi idan an lura da yanayin masu zuwa:

• mutum rashin haƙuri,
• na gazawar
• galactosemia, rashin lactose,
• hepatic encephalopathy,
• rarrabuwa a cikin kwakwalwa,
• hypokalemia
• gout
• rashin lafiya

Kafin sayen maganin, ana bada shawara don nazarin umarnin masana'anta na hukuma (wanda aka lullube shi a cikin kunshin magungunan), tunda yana nuna cikakkiyar bayani game da abun da ke ciki, fasalin amfani, contraindications, sauran bayanai.

Yin amfani da magani yadda yakamata a cikin kashi 97 cikin 100 na maganganun, miyagun ƙwayoyi ba su da tasiri a jiki. A cikin mutanen mallakar sauran kashi 3%, Indapamide yana haifar da sakamako masu illa. Sakamakon da ya fi dacewa shine cin zarafin ruwa-electrolyte: matakin potassium da / ko sodium yana raguwa. Wannan yana haifar da rashin ruwa (rashin ruwa) a jiki. Da wuya, magani zai iya haifar da arrhythmia, hemolytic anemia, sinusitis da pharyngitis.

Sauran sakamakon Indapamide:

• rashin lafiyan (urticaria, anaphylaxis, edema na Quincke, dermatosis, rash),
• Ciwon Lyell
• rashin ruwa na baka,
• Stevens-Johnson ciwo
• tari
• rauni
• tsananin farin ciki
• tashin zuciya, amai,
• ciwon tsoka
• migraine
• juyayi
• hanta dysfunction
• maganin cututtukan farji
• maƙarƙashiya
• orthostatic hypotension.

Wani lokacin indapamide yakan canza yanayin jini da fitsari. A cikin binciken za a iya gano rashi na potassium, sodium, yawan adadin kalsiya, glucose, creatinine da urea. Thrombocytopenia, leukopenia, anemia, agranulocytosis yana faruwa ƙasa da akai-akai.

Madadin Indapamide, an yarda da Indap. Wannan magani yana tare da wannan abun da ke ciki, amma wani masana'anta ya kera shi kuma yana iya samun kashi dabam na kayan aiki. Idan akwai wani bambanci, likita mai halartar ya kamata ya daidaita yawan abincin.

Likita zai kuma taimaka muku gano alamun ƙira tare da aiki mai kama ko aiki. A yayin tattaunawar mutum, likita zai gaya muku wane magani ne mafi kyawun amfani: Indapamide ko Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acripamide, Ionic, Retapres. Wataƙila nadin wasu cututtukan diure da nufin rage karfin jini.

Magani Indapamide a hankali yana rage matsa lamba a duk tsawon rana. Tare da yin amfani da shi na yau da kullun kuma daidai, hawan jini yana raguwa cikin kwanaki 7 daga fara gudanarwa.Amma ba za a iya katse farji ba a wannan matakin, tunda magani ya kai ga sakamakonsa mafi girma cikin watanni 2.5-3. Don mafi kyawun tasiri na miyagun ƙwayoyi, kuna buƙatar buƙatar bin shawarwarin likita: bi abinci don hauhawar jini, daidaita tsawon lokacin hutawa, sauran magunguna.

Indapamide wani sanannen magani ne don magance hauhawar jini, da kuma cututtukan fata da ke haifar da rashin zuciya ko wasu dalilai. Wannan diuretic ne, amma a aikace tare da hauhawar jini ana amfani dashi azaman vasodilator. A ƙasa zaku sami umarni don amfani da Indapamide, wanda aka rubuta cikin yare. Yi nazarin alamuran don amfani, contraindications da sakamako masu illa. Koyi yadda ake shan waɗannan magungunan don cutar hawan jini: a cikin wane kashi, kafin ko bayan abinci, da safe ko da yamma, kwana nawa aikin ya ci gaba. Karanta bambanci tsakanin ainihin magungunan Arifon da Arifon Retard, menene ƙarancin analogues da suke da shi. Fahimci abin da ya kamata ka ɗauka: indapamide, furosemide, ko hydrochlorothiazide (hypothiazide). Labarin ya bayyana dalilin da yasa indapamide ya dace sosai ga masu ciwon sukari, tsofaffi da sauran nau'ikan marasa lafiya. Ana ba da jerin abin da waɗancan ƙwayoyin matsa lamba za'a iya haɗuwa.

Babban bayani

Kafin ka fara amfani da Lizinopril da Indapamide tare, kana buƙatar sanin kanka tare da kowane samfuran magunguna daban don samun ra'ayin su gaba ɗaya. Don haka, Lisinopril yana aiki azaman mai hana enzyme angiotensin-mai canzawa, wanda yanayin yana tsawaitawa. An samar da maganin a cikin allunan, kayan aiki mai aiki shine lisinopril dihydrate. An nuna "Lysinropril" don amfani dashi a cikin gazawar zuciya da hauhawar jini.

Lokacin ɗaukar allunan Lisinopril, waɗannan abubuwan da ba a ke so ba na iya haɓaka:

• ciwon kai, vertigo,
• ciwon ciki mai raɗaɗi
• reshe rawar jiki,
• canjin ɗanɗano, rashin ci,
• gajiya,
• raguwa a cikin karfin jini,
• rikice,
• m renal gazawar
• saurin, bugun zuciya.

Wannan diuretic galibi ana wajabta shi ga masu fama da cutar sikila

Amma game da Indapamide, sinadaran da ke aiki a ciki shine indapamide, wanda ke ba masu diuretic, vasodilating da tasirin hypotensive. Ana aiwatar da maganin ta hanyar allunan da aka rufe fim. Babban nuni ga shan "Indapamide" shine hauhawar jini.

Idan ba daidai ba ne ko kuma na dogon lokaci don ɗaukar "Indapamide", to mai haƙuri zai lura da irin waɗannan canje-canje mara kyau a cikin jiki, kamar:

• rauni, yawan kiba,
• farin ciki, jin zafi a cikin haikalin da wuya,
• zuciya tashin hankali,
• saukar da matsin lamba
• raguwa a cikin potassium a cikin jini,
• ƙara yawan uric acid
• matsalolin aiki hanta.

Koma kan teburin abinda ke ciki

Ka'idar aiki daban

Ayyukan magungunan "Lisinopril" an yi niyya don rage matakin angiotensin 2 da kuma hormone na adrenal cortex a cikin jinin jini. Sakamakon haka, PSS yana raguwa kuma saukar karfin jini, wanda ke faruwa kimanin awa 1 bayan an ɗauki matakin magani. "Indapamide" shine diuretic mai nau'in sulfonamide wanda ke haɓakar urinary excretion na chlorides da sodium, wanda ke haifar da ƙara diureis, kuma tare da shi, haɓakar haɓakar jini yana raguwa. Bugu da kari, Indapamide yana rage hauhawar jini a cikin hagu kuma baya shafar metabolism, musamman a cikin masu fama da cutar sankarar bargo, kuma shima baya canza metabolism.

Zan iya ɗauka a lokaci guda?

Indapamide da Lisinopril suna da kyakkyawar jituwa, amma kafin amfani da irin wannan haɗin magunguna don daidaita ƙimar jini, zai fi kyau a nemi likitan zuciya wanda zai ba da magani daidai da alamun mutum na haƙuri.

Don fara irin wannan haɗin haɗuwa, ya kamata ka fara tuntuɓar likita.

Magungunan da ake tambaya ba kawai zasu yuwu ba, amma kuma wajibi ne a yi amfani da su a lokaci guda, tunda a cikin tandem yana nuna sakamako mai ƙarfi, kuma matsanancin ƙarfi yana ƙaruwa da sauri. "Indapamide" da "Lisinopril" suna haɗu da juna, kuma da zaran hawan jini ya tashi da ƙarfi, ya kamata ku nemi shawarar likita nan da nan ku fara shan magani. Karka wuce allurai da kwararrun likitoci suka tsara, wannan ba zai hanzarta faduwar cutar hawan jini ba, amma kawai kan haifar da tabarbarewa a cikin yanayin kuma tsokanar alamun yawan yawan zubar jini.

Ya kamata a fahimci cewa haɗuwar inhibitor na ACE da diuretic ya dace idan mai haƙuri yana da hauhawar jijiya tare da rikicewar ruwa ko maganin motsi ta hanyar Lisinopril kaɗai ba shi da tasiri. Kada ku nemi magani daga hauhawar jini tare da irin waɗannan magunguna don maganin ƙwayar cutar mahaifa da lokacin daukar ciki.

Ragewar saukar karfin jini yayin shan "Lisinopril" tare da diuretic "Indapamide" ya faru ne saboda iyawar ƙarshen cire ruwa da sodium chloride, sakamakon abin da ƙarar jini da haɓaka bugun jini ya ragu, kuma a lokaci guda, sautin jijiyoyin jini yana raguwa, OPSS kuma dakatar da tashin hankali. Dangane da bincike-binciken kimiyya da yawa, yin amfani da kwayoyi a lokaci-lokaci cikin kankanin lokaci mai lafiya.

Yadda za a sha?

Haɗin Lisinopril da Indapamide yakamata a rubuta su ta hanyar likitan zuciya kawai, wanda ya danganta da yanayin ƙwaƙwalwar koda na koda. Tunda an kawar da maganin antihypertensive ta hanyar aikin kodan, akwai haɗarin haɓaka rashin nasara na yara yayin aikin jiyya, musamman a cikin mutanen da ke fama da jijiyoyin ƙwararrun ƙwayar cutar koda. Idan babu magungunan hana amfani da kwayoyi, to an wajabta Indapamide kwamfutar hannu 1 a kowace rana da safe, kuma ana yin Lisinopril yawanci da maraice a 10 MG sau ɗaya a rana. Idan ya cancanta, kuma a cikin shawarar likita, za a iya canza jigilar dosing, amma don gudanar da gyare-gyare na cikin ƙa'idar aiki sosai.

Tare da shekaru, mutum yana yawan shan wahala daga hawan jini. Sau da yawa marasa lafiya suna ɗaukar Lisinopril da Indapamide a lokaci guda. Lisinopril da Indapamide suna iya haɗu da juna. Yana da mahimmanci cewa likitan halartar ya san wannan. Likita ne kawai zai iya yin cikakken nazarin duk haɗarin, gwargwadon ganewar mai haƙuri da sauran cututtukan na kullum.

Abin da aka wajabta

Abinda kawai ke nuna Indapamide shine hauhawar jini. Anyi amfani dashi koda yaushe idan yawan hawan jini yana tare da ciwo mai tsauri da kuma riƙe ruwa. Ta hanyar cire wuce haddi na ruwa, hawan jini ya ragu.

Irin waɗannan magunguna sukan zama tushen jiyya. Yawancin lokaci ana samun su tare da wasu magungunan anti-hauhawar jini. Wanne matsin lamba ne irin waɗannan magunguna ke buƙata? Yawancin lokaci ana rubutasu idan hauhawar jini ta kan ci gaba kodayaushe, hauhawar jini na jijiya mai tasowa gaba daya, alamu masu nuna matsa lamba suna ci gaba da kasancewa sama da dabi'u 140 cikin 100.

Indapamide - diuretic ko a'a? Tunda wannan maganin diuretic ne, yana da tasirin diuretic, yana cire ruwa daga jiki. Ya kamata a ɗauka a cikin zuciya cewa ƙara yawan sashi ba ya haifar da karuwa a tasirin sakamako, tunda kawai ana inganta diuretic. Sabili da haka, kada kuyi la'akari da sigar wannan magani, musamman don kansa.

Matsakaicin farashin magani shine 20-50 rubles, ya dogara da cibiyar sadarwa ta kantin magani. Magungunan yana ɗaya daga cikin mafi arha mafi sauƙin amfani da aka yi amfani da shi don hauhawar jini.

Mahimmanci! A kowane hali ya kamata ku fara shan diuretics da kanku, musamman tare da alamun rashin aikin keɓaɓɓen aiki.

Har yaushe zan iya ɗauka ba tare da hutu ba?

Yawancin lokaci, jiyya tare da magunguna antihypertensive daban-daban a lokacin mummunan hauhawar jini ba ya dadewa - har zuwa makonni da yawa. Bayan haka, lokacin da karfin jini ya sauka sosai, har sai an daina jinya. A nan gaba, don kula da matsin lamba tsakanin iyakoki na yau da kullun, yana da mahimmanci a bi abincin da ya dace da sauran shawarwarin likita.

Game da tsawon lokacin shan wannan magani, ya kamata ka fara tattaunawa da likitanka. A kowane yanayi, hanyar aikin zai bambanta - duk ya dogara da tsananin cutar da yanayin mai haƙuri gaba ɗaya.

Analogs da kwatancen su

Kai tsaye analogues na Indapamide sauran diuretics ne dangane da kayan aiki iri daya. Arifon ana alakanta su da farko. Hakanan zaka iya amfani da wasu magungunan diuretic da nufin rage karfin jini. Kafin amfani da analog, tabbatar da karanta umarnin don amfani.

Dangane da tasirin, zaku iya kwatanta magungunan rukuni ɗaya kawai - diuretics, waɗanda suka haɗa da Indapamide. Zai yi wuya a faɗi wanda ya fi kyau: Indapamide ko Concor. Wadannan kwayoyi suna cikin nau'ikan magunguna daban-daban kuma suna shafar jikin mutum ta hanyoyi daban-daban. Hakanan ba zai yiwu a faɗi wanda ya fi kyau ba: Indapamide ko Enalapril. Wannan kayan aiki ne na daban daban tare da tasiri daban-daban akan jiki. Koyaya, yana da mahimmanci a lura cewa diuretics ya kamata a farko a kula dasu idan hauhawar jini yana tare da kumburi.