Captopril Sandoz wani angiotensin ne mai canza enzyme inhibitor. A takaice dai, maganin yana hana nau'in angiotensin na biyu daga juyawa daga na farko. Don haka, raguwa mai yawa a cikin oligopeptide hormone yana kiyaye ƙimar haɓakar jini al'ada. Tare da madaidaicin sashi, mai haƙuri yana daidaita ba kawai saukar karfin jini ba, har ma jimlar jijiyoyin bugun jini. Sakamakon sakamako mai mahimmanci na miyagun ƙwayoyi ya kasance mai zaman kansa ne daga aikin plasma renin. A cikin marasa lafiya, ana lura da raguwar matsin lamba har ma da daidaituwa na al'ada. Yana da ikon haɓaka wurare dabam dabam na jini ta cikin tasoshin jini na myocardium. Dangane da umarnin don amfani, Captopril Sandoz yana rage adon platelet, yana da tasiri mai hanawa ga ci gaban bugun zuciya, haka kuma yana rage jinkirin ƙaruwa da ƙarar ventricle na hagu. Ana shan magani da sauri sosai tare da hanji. Wadannan alamun suna aƙalla 75%. Marasa lafiya ya kamata tuna cewa yawan abinci da magunguna a lokaci guda yana rage tasirin babban bangaren da kusan rabin. Babban bangare na abubuwan yana gudana ta hanyar da yakamata suyi aiki da kodan kuma ɗan ƙaramin sashi ba zai canzawa ba.

An ƙaddamar da Captopril Sandoz ne kawai ta ƙwararrun likita, bayan ƙaddamar da duk gwaje-gwajen da suka dace. An yi niyya ne ga marasa lafiya da cututtukan da suka biyo baya: • hawan jini, • hauhawar jini, sanadiyyar lalacewa mai mahimmanci ta ƙwararrun ƙwayar cuta ko reshe, • rushewar ventricle hagu, wanda ke da alaƙa da tsohuwar myocardium, • lalacewar koda saboda kafa bincikar lafiya tare da ciwon sukari mellitus, • gazawar zuciya. Yana da mahimmanci a lura cewa maganin ya samo amfani mai yaduwa ba kawai azaman maganin tawa ba, amma kuma wani ɓangare na jiyya mai wahala. Marasa lafiya ya kamata su fahimci cewa idan ba ku haɗa mahimmancin dacewa ga lafiyar ku ba, to hawan jini zai iya ba da babban sakamako. Rushewar mahaifa da aikinta shine ke sanya mutum ya kammala makanta. Cutar mahaifa tana cikin rauni har abada, aikin zuciya yakan ragu sosai, wanda ke kara mace-mace aƙalla sau biyar. Anara yawan sukari na jini yana shafar tsarin mai juyayi, wanda zai zama da wahalar mayar da shi. Lalacewar koda na gudana kowace rana tare da cutar hawan jini.

Abun da ya shafi da nau'in magani

Babban sinadaran aiki na Captopril Sandoz shine abubuwa iri daya. Substancesarin abubuwa a cikin abun da ke ciki shine microcrystalline cellulose, sitaci dankalin turawa, lactose monohydrate, da kuma acid stearic. Ana samun samfurin samfurin Jamusanci kawai a cikin kwamfutar hannu a kan kasuwar magunguna. Kowane naúrar tana da zagaye mai kyau da santsi kuma, gwargwadon sashi, na iya ɗaukar nau'ikan gargajiya ko nau'ikan ganye huɗu. Ana fentin kwamfutar hannu a launin fari mai-dusar kankara. Daidaituwa a cikin inuwa, ba kawai a cikin babban Layer ba, har ma a ɓangare. A gefe guda, akwai haɗari don dacewa mai warwarewa. Ana samun magani mai hanawa a cikin sashi na 6.25 MG, 12.5 MG, 25 MG, 50 MG da 100 MG. Irin wannan tsari yana sa ya zama sauƙin daidaita tsarin yau da kullun ga marasa lafiya. Kowane kwamfutar hannu yana cikin ɗakin kwano wanda aka yi da abincin abinci. Kowane boka ya ƙunshi raka'a goma. Akwatin kwali na iya ƙunsar daga sel zuwa goma.

Contraindications

Duk wani magani, ba tare da la'akari da yankin da ake amfani dashi ba, ba kawai yana da jerin abubuwan alamomi ba, har ma yana gano alamun da ke hana hanya magani. Umarnin don amfani da Captopril Sandoz ya ce ba a ba da magani ga marasa lafiya da adadin cututtukan da suka biyo baya: • rashin haƙuri ga ɗayan abubuwan da ke tattare da abun da ke ciki, da kuma tashin zuciya, • halayen ƙwayar cuta daban-daban, gami da angioedema, wanda ya bayyana a cikin yanki mai girman fata. , • haɓaka abubuwan da ke tattare da abubuwan narkewar ƙwayoyin narkewa a cikin jini, keɓe ta cikin kodan, • karuwar potassium a cikin jini, • ɓangare ko cikakke ɓataccen jijiyoyin ƙwayoyin cuta, baki Ina da aorta, mitral valve ko koda, • a lokacin dawowa bayan dasawa koda, • abubuwan asibiti wadanda suka inganta sakamakon yawan fitowar aldosterone, • kasancewar cikas ga zubar da jini daga ventricle na hagu, • hawan jini, • rikitarwa na rashin karfin myocardial infarction, wanda sau da yawa yakan zama mai mutuwa, • yawan amfani da wannan magani tare da kwayoyi dangane da aliskiren. Idan mai haƙuri yana da matsala daga jerin abubuwan da ke sama, likitan ya tsara analog ba tare da faɗuwa ba.

Dangane da yawancin karatun asibiti da sake dubawa, Captopril Sandoz ya kamata a dauki kusan awa daya kafin cin abinci. Zai fi kyau kada ku ɗanɗana allunan kuma ku sha ruwa mai tsabta. Ya kamata a samar da magunguna masu mahimmanci game da wani yanayi ta ƙwararrun likitoci na bayanan da suka dace. Akwai takaddun magani na zamani wanda masana'anta suka nuna. Zai fi aminci ga mai haƙuri ya fara hanya tare da sashi na 12.5 MG a lokaci guda. Karɓar baƙi ne da za'ayi sau biyu a rana. Bayan mai haƙuri ya ɗauki kashi na farko, likita dole ne ya lura da yanayin a cikin sa'ar farko. Idan mutum ya ji daɗi, a wannan yanayin babu contraindications don ƙarin amfani. Don samun ingantaccen magani, likita a lokacin jiyya na iya daidaita sashi na yau da kullun ta bangare daya kuma a daya bangaren. Ga waɗancan marasa lafiya waɗanda ke buƙatar sassauƙan hankali mai sauƙi da tallafi, zai dace ku ɗauki 25 MG a lokaci guda. Matsakaicin adadin yau da kullun a wannan yanayin bai kamata ya wuce 50 MG ba. Idan ya cancanta, likita ya karu zuwa 150 MG, wanda ya kasu kashi uku a cikin yini. Ya kamata a kula da marasa lafiya da ke fama da rashin zuciya tare da taka tsantsan kuma kawai a karkashin ganin likita. A bisa ga al'ada, tare da irin wannan binciken, likita ya ba da shawarar fara magani tare da sashi na 6.25 MG. Tare da tasiri mai mahimmanci da kuma rashin sakamako masu illa, ana iya daidaita sashi.

Side effects

Kafin farawa a cikin hanyar warkewa tare da miyagun ƙwayoyi, ya kamata ku san kanku da hankali game da mummunan sakamakon da mai haƙuri zai fuskanta. Tabbas, Captopril Sandoz alama ce ta haɓaka da fasaha ta zamani. Koyaya, akwai da yawa daga cikin bayyanannun bayyanannun: • raguwa a cikin yawan ƙwayoyin neutrophils, leukocytes, platelet, eosinophils da haɓakar glucose, • karuwa mai yawa a cikin jijiyoyin jiki, • hargitsi a cikin aiki na tsarin rigakafi, lokacin da aka gano ƙwayoyinku a matsayin baƙi kuma suka fara lalata da jikin kanta, • karuwa a cikin potassium a cikin jini, • take hakkin ba kawai barci ba, har ma da ɗanɗano, tare da cututtukan ciki, da nutsuwa, da damuwa, da jihohi masu ɓacin rai, mara lafiya yana iya fuskantar rauni, fitsari, da bugun jini, • bugun zuciya mai raɗaɗi, ɓarke ​​a cikin mita da tsawon lokacin bugun zuciya, tare da walƙiya mai zafi zuwa fuskar, ko kuma kumburin bugun zuciya, da taushin hanji, • bushe tari ba tare da ɗin ɗutowar fitar sputum ba, ciwon huhu, gazawar numfashi , • rashin jin daɗi ga ciki a cikin kamuwa da tashin zuciya, da nauyi, • cin zarafin mitar, • bayyanar ƙananan raunuka a jikin mucous na cheeks da harshe. Idan mai haƙuri, ba tare da ilimin likita ba, ya karu da maganin yau da kullun, ya zama dole don aiwatar da matakan lamuran na ciki da wuri-wuri, bayar da duk wani abu mai ɗorewa kuma ya ba da taimako na maganin kwantar da hankali.

Hulɗa da ƙwayoyi

Kafin ka sayi Captopril Sandoz, ya kamata ka fahimci cewa wannan maganin ba "abokantaka bane" tare da duk hanyoyi. Irin waɗannan kwayoyi na ƙungiyar inhibitors suna ba da shawarar da za a sha su lokaci guda tare da kwayoyi waɗanda ke shafar tsarin renin-angiotensin a cikin jikin mutum. Ya kamata a tuna cewa irin wannan tandem na iya haifar da haƙuri ga runtsewar jini da mummunan aiki na keɓaɓɓen aiki. An yarda da izuwa lokaci guda, amma a ƙarƙashin kulawa ta kusa daga likitan masu halarta. Amfani da aliskiren yana da matuƙar shawarar da za a iya guje wa marasa lafiya da ke fama da matsalolin koda, da kuma nau'in ciwon sukari na 2. Haɗi tare da shirye-shiryen potassium da yawa ya kamata a guji shi. Irin wannan duet zai iya tsokani bayyanar hyperkalemia. Idan ba a iya magance wannan haɗuwa ba, a wannan yanayin mai haƙuri ya kamata ya kasance a ƙarƙashin kulawar likita a duk tsawon lokacin, yana wucewa duk gwajin da ake buƙata akai-akai. Ana riƙe da magunguna na Lithium a cikin jiki, don haka yana ƙaruwa da babban ɓangaren jini a cikin jikin mutum.

Umarni na musamman

Captopril Sandoz magani ne mai tsananin gaske, wanda dole ne a kusance shi da hankali iri ɗaya. Yana da kyau, kafin fara karatun, don saka idanu akan matsin lamba na makonni da yawa a jere don fahimtar iyakokin kuma a ƙarƙashin wane yanayi wasu alamomi suka bayyana. Irin wannan hoto yana da matukar muhimmanci a jiyya na gaba. Babban abun da ke ciki na iya haifar da bayanan karya yayin wuce fitsari zuwa acetone. A wannan yanayin, yana da farko Dole a daina shan shi kuma kawai bayan wasu 'yan kwanaki don sake sake gwajin. Domin duk tsawon lokacin warkewa, dole ne mai haƙuri ya yi watsi da tuki, har ma da wasu ayyukan da ke buƙatar natsuwa na musamman. Hakanan kulawa mai mahimmanci ya cancanci irin waɗannan marasa lafiya waɗanda ke fama da cututtukan cututtukan nama, kazalika da kasancewar hanyoyin kumburi a jikin bangon jijiyoyin jini. Tare da kowane alamun shakku, ya kamata a soke tasirin miyagun ƙwayoyi da wuri-wuri kuma ya kamata a zaɓi irin waɗannan.

Fitarwa siffofin da abun da ke ciki

Akwai shi a allunan, yana da halaye masu zuwa:

• siffar yana da zagaye ko kuma a siffar ganye mai ganye hudu,
• farin launi
• surface mai hadewa
• Hadarin gicciye a gefe ɗaya ko ɓangarorin biyu.

Ana samarwa da abubuwa daban-daban na babban bangaren. Unitsungiyoyin sakewa, allurai a 6.25, 12.5, 100 MG, suna da siffar zagaye. A cikin nau'i na ganye mai ganye guda huɗu, ana samun siffofin da suka ƙunshi 50 da 25 mg na abu mai aiki.

Cushe a cikin blisters don sashi na kashi 10. An sake su cikin fakiti na kwali. Umarni a haɗe yake.

Kowane ɓangare na saki yana ƙunshe da kayan aiki mai amfani da kayan aiki da kayan haɗin keɓaɓɓu. Abun da ke tattare da ƙarin abubuwa:

• sitaci masara
• lactose monohydrate,
• microcrystalline cellulose,
• stearic acid.

Ba ya ƙunshi ƙwayoyin cuta masu cutarwa, yana samar da sakamako na warkewa mai mahimmanci.

Kyaftin Sandoz

Captopril Sandoz: umarnin don amfani da bita

Sunan Latin: Captopril Sandoz

Lambar ATX: C09AA01

Abubuwan da ke aiki: captopril (Captopril)

Mai samarwa: Salutas Pharma, GmbH (Salutas Pharma, GmbH) (Jamus)

Ana ɗaukaka bayanin da hoto: 07/12/2019

Farashin kuɗi a cikin kantin magani: daga 81 rubles.

Captopril Sandoz magani ne mai ƙoshin ƙwayar cuta, ƙwaƙwalwar angiotensin tana canza mai hana enzyme (ACE).

Kungiyar magunguna

Hauhawar jijiyoyin jini (guda-da hadewar jijiya), gazawar zuciya, bugun zuciya, barkewar ventricular dysfunction a cikin yanayin kwanciyar hankali a cikin marasa lafiya bayan rashin karfin myocardial, diphic diphicathy a cikin marasa lafiya da nau'in ciwon sukari na 1 na sukari (tare da albuminuria fiye da 30 mg / rana).

Yi amfani da tsufa

Ga mutane waɗanda nau'in shekarunsu ya wuce shekaru 60-65, hanya ya kamata ta fara da sashi na 6.25 mg sau biyu a rana. Farashin Captopril Sandoz shine 100 rubles. Kuna iya siyan magungunan ta hanyar kantin mu na kan layi tare da bayarwa zuwa gidanka ko ofis. Ana fitar da shi ne kawai yayin gabatar da girke-girke.

Lasisin harhada magunguna LO-77-02-010329 wanda aka kwanan watan Yuni 18, 2019

Aikin pharmacological

Tana da tasiri mai amfani. Yana hana rikicewar ƙwayar angiotensin II mai aiki vasoconstrictor daga hemodynamically m angiotensin I. Yana rage ɓoyewar aldosterone.

Yana haɓaka tarin bradykinin, wanda ke rinjayar kira na vasodilating prostaglandins.

Tare da yin amfani da dogon lokaci yana da tasirin cutar zuciya:

• yana rage pre-da bayan,
• inganta hawan jini na bangarorin ischemic na myocardium,
• yana kara ajiyar bakin ciki,
• yana rage jinkirin samuwar hauhawar jini, lalatawar ventricle hagu,
• normalizes diastolic aiki.

Ba ya haifar da reflex tachycardia. Yana karfafa jijiyoyin jini, yana rage yawan faranti.

Isasshen allurai na magunguna don raunin zuciya baya haifar da sauyawa a cikin karfin jini. Taimakawa don haɓaka ƙarar minti, ƙara haƙuri haƙuri.

Matsakaici Tana da sinadari iri iri. Yana rinjayar hankali na insulin.

Yana da tasirin nephroprotective. Dilatation na tasirin ruwa na renferent yana taimakawa rage matsi na ciki. Yana hana shigarwar cikin jijiyoyin jiki, yana daidaita tsari da ayyuka na epithelium.

Ayyukan tsarin renin-angiotensin yana ba da izinin ci gaban matakin farko na jikin mutum don shan maganin.

Formaddamar da tsari da abun da ke ciki

Magungunan yana samuwa a cikin nau'ikan allunan: fari, tare da sutturar launi, zagaye, sashi na 6.25 MG - biconvex, sashi na 12.5 MG - convex a gefe guda, a gefe guda, rarraba haɗarin, sashi na 25 da 50 MG - a cikin nau'i mai ganye, tare da haɗarin chamfer da haɗarin giciye a bangarorin biyu, sashi na 100 MG - ɗaya gefen yana haɗarin haɗari, ɗayan yana da haɗarin giciye (10 a cikin blisters, a cikin kwali na kwali na 1, 2, 3, 4, 5 ko 10 blisters da umarnin don amfani da Captopril Sandoz).

Kwamfutar hannu 1 ya ƙunshi:

• abu mai aiki: captopril - 6.25, 12.5, 25, 50 ko 100 MG,
• abubuwa masu taimako: lactose monohydrate, sitaci masara, celclose microcrystalline, stearic acid.

Magunguna

Magungunan yana da aikin kwayoyin halitta kai tsaye. Ba ya tasiri da tsarin renin-angiotensin nama. Tasirin hemodynamic yana hade da vasodilation, baya dogaro da matakin renin a cikin jini.

An tsara Captopril Sandoz a matsayin wani ɓangare na hadadden lura da hauhawar jini.

Kasancewa da sauri. An lura da fara aikin bayan mintuna 30. A bioavailability na miyagun ƙwayoyi yana da girma. Gudanar da baka yana ba da sakamako mafi girma bayan 1 awa. Tsawan lokacin aikin yana daga sa'o'i 4 zuwa 12.

An metabolized a cikin hanta, yana samar da metabolites marasa aiki. Bakin ciki da kodan. Wani sashi na kayan magani an cire shi daga jiki. Zai iya tara idan akwai matsala na aikin na keɓaɓɓen aiki. Rabin-rabi a cikin irin wannan yanayi yana ƙaruwa zuwa kwana ɗaya da rabi.

Pharmacodynamics

Captopril yana taimaka wajen rage samar da kwayoyin halittar angiotensin II daga angiotensin I, wanda ke rage fitowar aldosterone. Wannan yana haifar da raguwa a cikin karfin jini da kaya akan ƙwayar zuciya.

A karkashin tasirin maganin, hauhawar jini a cikin jijiyoyin jini da jijiyoyin jini suna ƙaruwa. A cikin marasa lafiya da ke shan magani na dogon lokaci, wadatar jini na myocardial yana inganta.

Magungunan yana rage hadarin kamuwa da cututtukan cututtukan cututtukan ƙwayar cuta.

Abin da ke taimakawa

An tsara shi sau da yawa azaman ɓangare na hadadden lura da cututtukan masu zuwa:

• hauhawar jini
• mai ciwon sukari nephropathy,
• na kullum zuciya,
• m jijiyoyin mahaifa.

Kamar yadda monotherapy yana da tasiri a matakin farko na hauhawar jini, yana ci gaba ba tare da rikitarwa ba.

Contraindications

Contraindicated a cikin ciki, nono. Ba a zartar da shi ba a cikin yara 'yan ƙasa da shekara 18.

Ba za ku iya amfani da miyagun ƙwayoyi tare da:

• tarihin maganin cutar ta kowane irin asali,
• hypersensitivity ga abubuwan sarrafawa ko wasu magunguna na wannan rukuni,
• magani cuta
• firamaren farko,
• rashin maganin lactose, karancin lactase a jiki,
• stenosis na biyu na kashin ciki ko kuma akidar na wucin gadi na koda.

Ba za a iya amfani da wakili na kashewa ba bayan dasawa da koda.

Ba a amfani da Captopril a cikin yara 'yan ƙasa da shekara 18.

Tare da kulawa

Ya kamata a yi taka tsantsan a wadannan cututtukan:

• tsorataccen jini,
• ciwon sukari
• scleroderma, tsari na lupus erythematosus,
• mitral valve stenosis, aortic orifice,
• hypovolemia
• hanta da gazawar koda.

Lokacin da ake rubuta magani, ya zama dole yin la'akari da amfani da kayan abinci marasa gishiri, kayan abinci masu gina jiki.

Jadawalin tsarin shine mutum ɗaya. Tare da ilimin cututtukan koda, ya zama dole a mai da hankali kan alamun alamun keɓancewar kerawa. A irin waɗannan halayen, ana amfani da allurai kaɗan kaɗan, tsayi mai tsayi tsakanin allurai.

A matsin lamba

Wajibi ne a fara farawa tare da ƙarancin tasiri mai mahimmanci, sarrafa juriya na kashi na farko. Sanya nauyin 12.5 sau biyu a rana. Ana ba da shawarar haɓaka matakin digiri don cimma manufa. An tsara marasa lafiya a cikin rukuni na tsufa mafi ƙarancin maganin.

A cikin raunin zuciya, kafin fara magani, ana soke diure ko an rage adadin su.

Karkashin harshe ko sha

Hanyar ɗaukar magani an ƙaddara shi da tsananin yanayin. Tare da magani da aka shirya, dole ne a hadiye maganin duka, a wanke shi da isasshen ruwa.

A cikin yanayin tashin hankali, an yarda da yin amfani da magunguna na cikin ƙasa.

Ayyukan maganin yana faruwa da sauri, bayan minti 30. Ana lura da mafi girman tasirin amfani da maganin baka a cikin sa'a ta farko.

Pharmacokinetics

Kusan 75% na captopril yana narkewa daga ƙwayar gastrointestinal a cikin ɗan gajeren lokaci. Amma yayin shan kwayoyin da abinci, sha yana raguwa da kusan 30-40%. Ana lura da mafi yawan abubuwan aiki a cikin jini bayan awa 0.5-1.5 bayan shan maganin.

Magungunan yana metabolized a cikin hanta. Rabin-rabi kasa da sa'o'i 3. Wannan lokaci yana ƙaruwa a cikin marasa lafiya da gazawar koda.

Abinda ya taimaka

Ana amfani da Captopril don hauhawar jini. Kafin ka fara shan maganin, ana bada shawara don nemo musabbabin matsin lamba. Sau da yawa wannan yanayin yana tare da wasu cututtuka, don haka bai kamata kuyi magani da kanku ba. Dole ne likita ya tsara ta. Yin amfani da miyagun ƙwayoyi yana yiwuwa a kowane mataki na hauhawar jini.

An wajabta Captopril a matsayin wani ɓangare na ƙwaƙwalwar ƙwayar cuta don rashin nasarar zuciya na hanya mara wahala. Ana nuna magungunan don lalatawar ventricular hagu, wanda ya haifar da lalacewa ta hanyar myocardial infarction. Nau'in nau'in masu ciwon sukari da ke fama da cutar sankarar hanta an kuma ba su shawarar shan wannan magani.

Gabobin haiatopoietic

Amfani da miyagun ƙwayoyi na dogon lokaci yana haɗuwa da haɓakar ƙwayoyin jini, thrombocytopenia, da raguwa a cikin matakan haemoglobin. Irin waɗannan halayen suna faruwa da wuya, wucewa da kansu.

Dogon amfani da miyagun ƙwayoyi yana haɗuwa tare da raguwa a cikin matakan haemoglobin. Irin waɗannan halayen suna faruwa da wuya, wucewa da kansu.

A bangare na fata

Shan maganin yana yawanci hade da amai da fata, fitowar fitsari. Yin amfani da miyagun ƙwayoyi na dogon lokaci yana haifar da ci gaban lymphadenopathy. Karancin yau da kullun sune cututtukan fata da cutar urticaria.

Akwai haɗarin haɓakar edema Quincke. Fitowar angioedema a cikin maƙogwaron yana barazanar toshewar hanyar iska. An soke magungunan, ana gudanar da epinephrine nan da nan, kuma iska mai sauƙin samu.

Lokacin ɗaukar kamara, dole ne ka guji tuki motocin.

Umarni na musamman

Gudanar da aikin likita yana buƙatar saka idanu na yau da kullun game da sigogin hemodynamic da aikin koda.

Wajibi ne yin la'akari da yiwuwar haɓakar hypovolemia lokacin amfani dashi tare da diuretics. Wani yanayi mai kama da wannan yana barazanar rashin lafiyar jijiyoyin jiki, har ma da mutuwa.

Don guje wa ci gaban rikitarwa yana taimakawa:

• kashi daidaitawa
• farkon sakewa na diuretics,
• normalization na hemodynamic sigogi.

Ren artery stenosis yana buƙatar titration na kashi na miyagun ƙwayoyi, lura da yanayin tsarin urinary.

Proteinuria lokacin amfani da manyan allurai yakan ragu ko ya tafi da kansa.

Wajibi ne a guji sarrafa magungunan da ke kunshe da potassium a lokaci-lokaci.

Hankali an tsara shi don ilimin alaƙar haɗin haɗin kai, ilimin rigakafi. Yana da mahimmanci don sarrafa abubuwan da ke cikin farin ƙwayoyin farin jini da sauran ƙwayoyin jini.

Ana buƙatar saka idanu akai-akai game da matakan glucose na jini.

Haɓaka ƙwaƙwalwar ƙwayar cuta cholestatic, haɓaka cikin titin na safarar hepatic yana buƙatar karɓar maganin nan da nan.

Jiyya tare da miyagun ƙwayoyi an dakatar da kwana ɗaya kafin fara aikin tiyata da aka shirya.

Yayin cikin ciki, ba za a iya amfani da captopril ba.

Barasa karfinsu

Yin hulɗa tare da giya yana inganta tasirin antihypertensive na miyagun ƙwayoyi, wanda ke haifar da cin zarafin samar da jini ga gabobin da kyallen takarda. Irin wannan yanayi yana barazanar haɓaka mummunan yanayin jijiyoyin jiki.

Yin amfani da giya yana ba da gudummawa ga saurin kawar da potassium daga jiki, yana kawar da ingantaccen tasirin magani a cikin ƙwayar zuciya.

Barasa yana inganta dilatation na tasoshin jini, yana da sakamako mai guba. Zai yiwu ci gaban rushewar orthostatic.

Yawan cuwa-cuwa da sandoz na kwalliya

Shan manyan allurai na miyagun ƙwayoyi yana haifar da mummunan cuta ga jikin mutum, barazana ce ga rayuwa. Decreasearin raguwa mai aiki a cikin aikin bugun zuciya yana haɗuwa tare da dysfunction na ventricle hagu, faɗuwa a cikin hemodynamics, da haɓaka yanayin haɗin gwiwa. Alamar rashin lafiyar koda ta bayyana.

Wannan halin yana buƙatar kulawa da lafiya na gaggawa. Wajibi ne don kurke ciki. Ba da sihiri. Maimaita tsarin jini, gudanar da cututtukan cututtukan zuciya.

Amfani da kwanciyar hankali tare da diuretics zai iya haifar da ci gaban hypotension, raguwa a cikin ƙwayoyin serum, da hypovolemia.

Hulɗa tare da wasu kwayoyi

Amfani da kwanciyar hankali tare da diuretics zai iya haifar da ci gaban hypotension, raguwa a cikin ƙwayoyin serum, da hypovolemia.

Yin amfani da shirye-shiryen potassium, kayan abinci suna da alaƙa da haɓakar hyperkalemia da rikicewar aikin kodan.

Mai tsananin tashin hankali ana haifar da magungunan da ake amfani dasu don maganin sa barci.

Ba shi yiwuwa a haɗa liyafar da Aliskiren da sauran masu hana ACE.

Aikace-aikacen tare da Allopurinol yana haifar da bayyanar neutropenia, yana ƙara haɗarin mummunan halayen halayen.

Enhanwarin da ke tattare da mummunan ƙwayar yana inganta ta hanyar beta-blockers, maganin antioxists, nitrates, magungunan bacci, maganin ƙwayoyin cuta.

Magungunan suna kara yawan narkewar jini a cikin jini.

Akwai haɗarin hypoglycemia yayin hulɗa tare da wakilai na hypoglycemic.

Yana yin jinkirin kawar da shirye-shiryen lithium, yana kara yawan plasma.

Lokacin hulɗa tare da shirye-shiryen zinare, ana inganta tasirin hypotensive.

Indomethacin, ibuprofen rage tasirin maganin. An lura da irin wannan halayen tare da yin amfani da isrogen, hana kwayoyi, corticosteroids.

Yi amfani da antacids da abinci yana rage bioavailability na miyagun ƙwayoyi da 40%.

Yawan damuwa

Idan ba a bi shawarwarin likitan ba, ƙarin maganin ƙwaƙwalwar ƙwaƙwalwar Captopril yana yiwuwa, wanda alamomin ke nunawa:

• saukar da saukar karfin jini,
• karancin zuciya,
• haɗarin mahaifa,
• thromboembolism da rikitarwarsa.

Mai haƙuri yana buƙatar kulawa da likita.

Sharuɗɗan da yanayin ajiya

Za'a iya amfani da maganin a shekara biyu daga ranar da aka fito dashi. Ana iya samun kwanan wata mai dacewa a kan kunshin magani. Amma don adana kaddarorin magungunan ƙwayar cuta, ya zama dole don samar da madaidaitan yanayi: ɗakin bushewa tare da yawan zafin jiki wanda bai wuce +25 ° C ba.

Sharuɗɗan hutu na kantin

Wannan magani ne takardar sayan magani.

Kunshin tare da allunan 20 yana kashe kusan 90 rubles.

Irina Zinovieva, 'yar shekara 57, Novocherkassk: “Na dade ina fama da hauhawar jini, don haka na gwada magungunan rigakafi masu yawa, Na kuma saba da Katopril Sandoz. Magungunan yana rage karfin jini sosai, amma jiki baya yarda dashi. Bayan shan kwaya, sai kaina ya fara ciwo kuma ya ji zafi, sai wani bakin bushe ya bayyana. Ba shi da tsada, amma ba na ba da shawarar adana lafiyarku. Ba na ba da shawarar magunguna ga kowa ba. ”

Maryamu Kushnareva, 'yar shekara 49, Novosibirsk: “Da zarar muna aiki, wata daya sai an sami matsala. Kullum kara matsa lamba. Aboki ya ba da shawarar ɗaukar Captopril. My kiwon lafiya inganta kusan nan da nan bayan shan shi. Babu wasu sakamako masu illa, kodayake aboki yayi gargadin cewa akwai yiwuwar samun nutsuwa ko wani abu makamancin haka. Magungunan suna da arha, kuma yana taimakawa mafi kyau fiye da magunguna masu tsada. Ina ba da shawarar shi. "

Alamu don amfani

• hauhawar jini
• Maganin tashin zuciya
• rashin lafiyar zuciya na kullum - a zaman wani bangare na hadadden jiyya,
• dysfunction na hagu ventricle a cikin wani yanayin barga asibiti bayan infarction myocardial,
• nephropathy mai ciwon sukari a cikin marasa lafiya da nau'in 1 mellitus na ciwon sukari (tare da albuminuria fiye da 30 MG / rana).

Haihuwa da lactation

Yin amfani da Captopril Sandoz yana contraindicated a lokacin lokacin haihuwa da lactation.

Lokacin da ake shirin yin ciki, shan magungunan ACE (gami da captopril) ya kamata a daina kuma canzawa zuwa madadin maganin rigakafin tare da ingantaccen bayanin martaba.

Idan ciki ya faru a lokacin jiyya, nan da nan dole ne a daina shan Captopril Sandoz kuma a tabbata cewa ana kula da mara lafiya don ci gaban tayi. Wannan yana da alaƙa da haɓakar haɓakar haɓakar congan tayi yayin amfani da miyagun ƙwayoyi a farkon farkon haihuwa.

Ya kamata a sanar da mata masu shekaru masu haihuwa game da babban haɗarin magani tare da masu hana ACE yayin daukar ciki wanda ke da alaƙa da cutar da mutuwar tayin da / ko jariri. Dogon amfani da ƙwaƙwalwar ƙwaƙwalwa a cikin shekaru II da III yana da sakamako mai guba a tayin, yana haifar da oligohydramnios, lalacewa na aiki na renal, da kuma jinkirta cire ƙasusuwan kwanyar. A cikin jarirai, yana iya bayyana kansa cikin gazawar haihuwa, rashin lafiyar jijiya, hyperkalemia.

A cikin madarar nono, kusan kashi 1% na kashi na captopril an samo shi.

Tare da nakasa aiki na koda

Yin amfani da Captopril Sandoz an contraindicated a cikin rauni mai girma na renal, biyu-na renal artery stenosis ko artery stenosis na wani koda tare da ci gaban azotemia, hyperkalemia, azotemia, da kuma yanayin bayan sakewar koda.

Ya kamata a yi taka tsantsan a cikin gazawar koda na koda, da kasala biyu na jijiya koda, ko kuma jijiya ɗaya na jijiya.

An kafa tsarin kulawa da ƙwaƙwalwar ƙwaƙwalwar Captopril Sandoz yayin yin la'akari da QC.

Kariya da aminci

Ana gudanar da magani a karkashin kulawa ta yau da kullun. Kafin magani (sati 1), ya kamata a dakatar da maganin da ya gabata. A cikin marasa lafiya da mummunar hanya na hauhawar jini, yawanci ana ƙara yawan kashi a kowane sa'o'i 24 har sai an sami sakamako mafi girma a ƙarƙashin ikon saukar karfin jini. A lokacin jiyya, sa ido kan matsin lamba na jini, hoto na jini na gefe (kafin magani, a farkon watanni 3-6 na jiyya kuma a lokuta na lokaci bayan haka har zuwa shekara 1, musamman a cikin marasa lafiya da karuwar haɗarin neutropenia), matakan furotin, ƙwayar plasma, ƙwayar urea nitrogen wajibi ne. , creatinine, aikin koda, nauyin jiki, abinci. Tare da haɓakar hyponatremia, rashin ruwa, yin gyara kan tsarin aikin (rage kashi) ya wajaba. Tsarin maculopapular ko urticaric (mara galibi) fyaɗe yana faruwa a cikin makonni 4 na farko na jiyya, ya ɓace tare da raguwa a allurai, dakatar da miyagun ƙwayoyi da gabatarwar antihistamines. Doe-dogara neutropenia yana haɓakawa a cikin watanni 3 bayan fara maganin (ana lura da mafi girman raguwar yawan leukocytes a cikin kwanaki 10-30 kuma yana dawwama na kimanin makonni 2 bayan dakatar da maganin). Haƙiƙa (mafi yawan lokuta ana lura da mata) yana bayyana sau da yawa a cikin makon farko (daga awanni 24 zuwa watanni da dama) na maganin, yana ci gaba yayin jiyya, kuma yana dakatar da daysan kwanaki bayan ƙarshen maganin. Rashin dandano da asarar nauyi ana iya jujjuya su kuma an dawo dasu bayan watanni 2-3 na maganin. Ana buƙatar taka tsantsan yayin yin aikin tiyata (gami da hakori), musamman lokacin amfani da maganin kwantar da hankali gaba ɗaya waɗanda ke da tasirin gaske. Tare da haɓakar cutar cholestatic jaundice da ci gaba na necrosis hanta, ya kamata a dakatar da jiyya. Wajibi ne don guje wa hemodialysis ta membranes masu girma wanda aka yi da polyacrylonitrile metaallyl sulfate (alal misali, AN69), hawan jini ko LDL-apheresis (anaphylaxis ko anaphylactoid halayen na iya haɓaka). Hypersensitizing far na iya kara haɗarin halayen anaphylactic. An bada shawara don ware amfani da abubuwan sa maye yayin jiyya. Yi amfani da hankali yayin aiki ga direbobin motoci da mutanen da aikinsu ke da alaƙa da ƙara jawo hankali.