Lisinopril thiab enalapril feem ntau tau them rau ntshav siab thiab mob plawv tsis ua haujlwm. Ob qho tshuaj no suav nrog hauv pab pawg tshuaj ntawm angiotensin hloov mus rau enzyme inhibitors. Ua tsaug rau lawv cov kev txiav txim siab, qhov tsim ntawm xws li enzyme tau qeeb, uas ua rau txoj kev me me ntawm cov hlab ntshav, vim tias lub siab rov qab los rau qhov qub.
Cov cwj pwm ntawm Lisinopril
Nws yog ib qho ACE inhibitor nrog antihypertensive zog. Cov khoom siv tseem ceeb yog lisinopril. Daim ntawv tso tawm - ntsiav tshuaj. Cov tshuaj muaj cov khoom nram qab no:
- txo tag nrho vascular peripheral tsis kam;
- txo qis ntshav siab;
- txo txoj kev thauj ntawm lub plawv thiab lub siab ntawm cov hlab ntsws cov hlab ntsws;
- tsub kom lub feeb ntim ntawm cov ntshav tshem tawm los ntawm lub siab;
- nce kev kam ntawm cov leeg plawv mus rau kev ntxhov siab, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob plawv tsis ua hauj lwm.
Lisinopril thiab enalapril feem ntau tau them rau ntshav siab thiab mob plawv tsis ua haujlwm.
Cov tshuaj feem ntau tsis nthuav tawm cov leeg, tab sis cov hlab ntsha. Nws siv mus ntev yuav txo myocardial hypertrophy, txhim kho kev noj zaub mov ntawm cov leeg plawv, thiab nce lub neej muaj sia ntawm cov neeg mob uas tau mob myocardial infarction. Tus neeg mob tus mob txhim kho nyob rau hauv thawj hnub ntawm kev siv tshuaj, thiab cov nyhuv yog tsau hauv 1-2 hli.
Kev taw qhia rau kev siv:
- ntau yam qauv ntawm txoj hlab ntshav siab;
- mob ntshav qab zib nephropathy;
- ua ke nrog lwm cov tshuaj hauv kev kho mob ntawm lub plawv tsis ua haujlwm thiab mob myocardial infarction.
Cov Tshuaj Tiv Thaiv:
- cov tshuaj tiv thaiv tsis haum rau ACE inhibitors;
- cev xeeb tub thiab lactation;
- keeb kwm ntawm mob hlwb;
- txais txiaj ntsig Quincke's edema;
- hnub nyoog txog 18 xyoo.
Siv tshuaj ib hnub ib zaug, ua raws li cov tshuaj pom zoo. Kev nyab xeeb ntawm cov tshuaj tau raug pov thawj los ntawm kev tshawb fawb ntau yam. Tab sis yog tias dhau hwv lawm, cov kev mob tshwm sim txuas ntxiv tuaj yeem tsim:
- mob ntshav siab heev, mob hauv plab, myocardial infarction, kev loj hlob ntawm lub plawv tsis ua hauj lwm, mob hauv siab, tachycardia, orthostatic hypotension;
- daj ntseg, kab mob siab, mob rau daim tawv nqaij, ua ntsaj, tsis nco qab, tsis nco qab, lub qhov ncauj qhuav;
- asthenic syndrome, kev mob plab ua kom sib luag ntawm cov nqaij pob txha, ua rau lub cev qaug zog, tsis meej pem, tsaug zog, mob plab, ua kom lub siab tsis zoo, ua kom lub siab tawv;
- anemia, thrombocytopenia, neutropenia, leukopenia;
- txog siav ua tsis taus pa, bronchospasm, hnoos qhuav;
- qis dua potency, protein ntau hauv cov zis, lub raum khiav tsis zoo, anuria, oliguria, mob raum tsis ua haujlwm;
- arthralgia, myalgia;
- urticaria, tawv nqaij ua pob, Quincke's edema;
- kev nce siab ntawm bilirubin, creatine, urea hauv cov ntshav, nce ESR, eosinophilia, nce kev ua haujlwm ntawm hepatic transaminases.
Cov kev siv tau ntawm cov tshuaj nrog cawv yog xoom. Cov qauv qhia suav nrog: Lisinopril-Teva, Diroton. Cov neeg tsim cov tshuaj yog Teva, Stada, Sofarma, Lupine, Krka, Avant, Ratiopharm, Astrafarm, Grindeks thiab lwm tus.
Tus Kheej Enalapril Cov Yam Ntxwv
Qhov no yog tus neeg sawv cev hypotensive ntsig txog ACE inhibitors. Lub ntsiab nquag khoom siv yog enalapril. Qhov kev npaj yog nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Nyob rau hauv nws qhov kev txiav txim, cov hlab ntsha thiab, kom tsawg dua, leeg leeg nthuav dav. Cov tshuaj pab kho txhim kev mob ntshav siab thiab ntshav khiav ceev. Vim tias siv sijhawm ntev los ntawm cov tshuaj, hypertrophy ntawm sab laug ventricle ntawm myocardium txo qis thiab kev txhim kho ntawm lub siab tsis tuaj yeem tiv thaiv.
Raws li cov tshuaj ntawm cov yeeb tshuaj, myocardium pib muab kev pabcuam ntxiv nrog ntshav. Platelet aggregation txo qis. Enalapril qeeb txoj kev loj hlob ntawm sab laug ventricular kawg ntawm cov neeg uas tau raug mob myocardial infarction. Cov tshuaj muaj qee cov nyhuv diuretic.
Txhawm rau cov ntshav siab li qub, ntau tus neeg mob tau siv cov tshuaj rau ntau lub lis piam. Cov chav kawm ntawm kev kho mob rau cov neeg mob ntawm cov kab mob ntawm cov hlab plawv tuaj yeem mob tsis pub tsawg tshaj rau lub hlis.
Cov tshuaj yog qhia nyob rau hauv cov xwm txheej hauv qab no:
- thawj daim ntawv ntawm cov roj ntsha txhim kho;
- sab laug ventricular kawg thiab mob plawv tsis ua hauj lwm;
- secondary arterial hypertension, tshwm sim tawm tsam keeb kwm ntawm lub raum mob.
Enalapril yog qhov tshuaj hypotensive ntsig txog ACE inhibitors.
Cov Tshuaj Tiv Thaiv:
- angioedema tshwm sim los ntawm enalapril;
- tus kheej tsis kam txais ua ke rau cov khoom lag luam;
- cev xeeb tub thiab lactation;
- porphyria.
Cov tshuaj tuaj yeem ua rau lub zog poob qis, yog li nws yuav tsum ceev faj thaum nqaim ntawm cov leeg ntawm ib lub raum, ob tog stenosis ntawm cov hlab ntsha ntawm ob lub raum, decompensated cov ntaub ntawv ntawm cov hlab plawv, cov kab mob cerebrovascular thiab lwm yam kab mob uas tiv thaiv cov ntshav ntawm cov hlab ntsws sab laug.
Cov kev phiv nrog:
- qhuav unproductive hnoos;
- pharyngitis;
- ua pa nyuaj
- mob plab
- zawv plab
- xeev siab
- cholestasis;
- mob plab zom mov;
- anorexia;
- txoj hnyuv tu;
- daim tawv nqaij xoo pob;
- hyperkalemia
- Kev Nyuaj Siab
- qhov muag plooj, nkees nkees, mob taub hau, kiv taub hau;
- bradycardia, arterial hypotension;
- palpitations, mob hauv siab;
- myositis, myalgia, vasculitis, kub taub hau.
Cov lus qhia suav nrog: Enap, Korandil, Renitek, Miopril, Enam, Burlipril, Invoril, Vasolapril. Cov Chaw Tsim Tshuaj - Pharmstandard-Leksredstva OAO, Russia, Gedeon Richter, Hungary.
Cov Tshuaj Sib Piv
Qhov zoo sib xws
Lisinopril thiab enalapril muaj yuav luag tib cov txiaj ntsig ntawm lub cev, txo qis ntshav siab thiab pab txo qis kev pheej hmoo ntawm mob hlab ntsha tawg. Lawv tsim tawm hauv ib daim ntawv tshuaj, thiab cov nyhuv ntawm lawv siv tau kav ib hnub. Cov tshuaj siv tshuaj tuaj yeem siv los tsuas yog txhais tau tias, lossis kev sib xyaw nrog lwm cov tshuaj tiv thaiv kabmob.
Dab tsi yog qhov txawv
Cov tshuaj muaj pes tsawg leeg suav nrog ntau yam kev ua haujlwm thiab pabcuam ntu. Enalapril muaj lub peev xwm zoo rau kev nkag mus rau hauv niam mis thiab los ntawm qhov chaw tiv thaiv, thiab Lisinopril muaj tsawg. Lawv muaj qhov ntsuas sib txawv rau kev siv, contraindications thiab phiv. Cov tshuaj yog tsim los ntawm cov tuam txhab sib txawv.
Tus twg muaj zog dua
Xaiv cov tshuaj twg muaj zog dua - Lisinopril lossis Enalapril, cov kws kho mob sib piv lawv cov txiaj ntsig pharmacological, kev taw qhia rau kev siv, kev phiv tshuaj tiv thaiv, thiab kuj tseem ntsuas tus yam ntxwv ntawm tus neeg mob lub cev. Qee cov neeg mob cuam tshuam ntau dua los ntawm thawj cov tshuaj, lwm tus los ntawm tus thib ob.
Uas yog pheej yig dua
Tus nqi nruab nrab ntawm enalapril yog 70 rubles, Lisinopril yog 110 rubles.
Qhov twg yog qhov zoo dua - Lisinopril lossis Enalapril
Cov kws kho mob pom tias nws nyuaj los teb cov lus nug uas tshuaj zoo dua. Lawv muaj txiaj ntsig zoo ib yam hauv kev kho mob ntawm lub plawv mob ntev, thiab kom ua tiav cov txiaj ntsig kho, nws yog ib qho tsim nyog yuav tsum coj lawv tas li nyob rau hauv lub siab.
Thaum tsis ua haujlwm rau lub siab ua haujlwm, enalapril yuav tsum tsis txhob noj, thiab nrog lub raum tsis ua haujlwm, lisinopril.
Los ntawm kev kub siab
Thaum kho cov neeg mob ntshav siab, ib qho txiaj ntsig zoo tuaj yeem ua tiav - lub siab ceev ceev rov qab mus rau qhov qub. Qhov ntsuas no tseem siv tau ntev ntev hauv cov neeg mob noj Lisinopril, yog li cov tshuaj siv tau zoo dua.
Yuav enalapril hloov nrog lisinopril
Qee qhov xwm txheej, nrog enalapril tsis nkag siab, nws tuaj yeem hloov nrog lisinopril. Noj nws hauv tib lub tshuaj raws li thawj cov tshuaj. Piv txwv li, 10 mg ntawm lisinopril yog sib npaug rau 10 ml ntawm enalapril.
Kev Ntsuam Xyuas Rau Neeg Mob
Dmitry, 65 xyoo, Oryol: "Ob peb lub hlis dhau los kuv tau mob stroke. Tus kws kho mob tau qhia Lisinopril txog kev kho mob ntshav siab. Lub siab ceev ceev rov qab zoo li qub, tab sis kuv tsis tuaj yeem tiv dhau qhov kev mob tshwm sim xws li hnoos qhuav, uas muaj kab nruab hnub thiab hmo ntuj."
Alena, lub hnub nyoog 33 xyoo, Samara: “Ntau xyoo dhau los lawv tau muaj mob xiam oob qhab, vim tias kuv mob ntsws asthma heev. Tsis ntev los no, ntshav nce siab zuj zus. Kuv tsis tau sim tshuaj, tsuas yog Enalapril tau pab. Ua tsaug rau nws, lub siab rov qab thiab nws yooj yim dua. ua pa. "
Hauv cov neeg mob noj Lisinopril, lub siab sai sai rau qhov qub, yog li cov tshuaj muaj txiaj ntsig zoo dua.
Cov kws kho mob tshuaj xyuas txog Lisinopril thiab Enalapril
Alexei, kws kho plawv, hnub nyoog 51 xyoo, Sevastopol: "Lisinopril yog ib qho cuab yeej zoo uas ua rau cov ntshav qis.
Elena, kws kho plawv, hnub nyoog 38 xyoo, Moscow: "Hauv kuv cov kev coj ua, Kuv feem ntau siv tshuaj Enalapril rau cov neeg mob ntshav siab. Nws tau dhau los ua pov thawj tau zoo lawm. Nws yuav tsum tau noj nyob rau hauv cov koob tshuaj nruj me ntsis vim tias cov kev mob tshwm sim yuav loj tuaj."
