Rau kev kho mob ntawm ntau tus kab mob ntawm lub raum thiab lub plawv dhia, kub siab thiab lwm yam kab mob pathologies, siv cov tshuaj tshwj xeeb, uas muaj cov tshuaj tiv thaiv kab mob angiotensin-hloov mus rau hauv enzyme. Cov tshuaj no yog ib qho zoo tshaj plaws. Nws siv tsis yog rau kev kho mob xwb, tab sis kuj rau kev tiv thaiv ntawm ntau yam mob sib txawv (piv txwv li mob stroke thiab myocardial infarction).
Npe
Lub npe kev lag luam - Hartil Am. Lub npe hauv Latin yog Hartil. INN - Ramipril.
Hartil yog ib qho ntawm txoj kev ua tau zoo tshaj plaws rau kev kho mob ntawm ntau tus kab mob ntawm lub raum thiab lub plawv mob, kub siab thiab lwm yam pathologies.
ATX
ATX Kev faib tawm: Ramipril - C09AA05.
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm oval ntsiav tshuaj ntawm txiv kab ntxwv-liab thiab liab (5 mg) lossis dawb (10 mg) xim. Cov tshuaj qaug tshuaj ntawm cov tshuaj yog ramipril. Ntu Cheebtsam:
- hlau oxide;
- lactose monohydrate;
- hmoov txhuv nplej siab;
- sodium bicarbonate.
Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm oval ntsiav tshuaj ntawm txiv kab ntxwv-liab thiab liab (5 mg) lossis dawb (10 mg) xim.
- Pharmacological kev txiav txim
Cov tshuaj muaj cov nyhuv hypotensive. Nws cuam tshuam tsis tsuas yog cov ntshav xwb, tab sis kuj yog cov ntaub so ntswg thiab txawm tias cov phab ntsa ntawm cov hlab ntshav.
Cov tshuaj ua rau cov hlab plawv tsim tawm, ua haujlwm qis dua ntawm cov hlab ntsws, txo cov ntshav siab thiab ceev cov hlab ntshav.
Cov nyhuv antihypertensive yog pom 1-2 teev tom qab noj tshuaj, tab sis nws mus txog qhov siab tshaj plaws tom qab 3-6 teev thiab kav rau ib hnub.
Lub chav kawm ntawm kev kho mob nrog kev noj tshuaj pab tswj cov ntshav siab nyob rau hauv 3-4 lub lim tiam ntawm kev siv.
Cov Tshuaj Pharmacokinetics
Tom qab cov tshuaj noj ntawm qhov ncauj, nws cov nquag ua haujlwm thiab pabcuam pabcuam tau nqus los ntawm cov hnyuv. Qhov siab tshaj plaws hauv cov ntshav ntshav tau mus txog hauv 60-70 feeb tom qab kev tswj hwm.
Cov tshuaj no metabolized feem ntau hauv daim siab nrog rau kev tso tawm ntawm cov tshuaj metabolites (tsis ua haujlwm thiab ua haujlwm). Cov tshuaj muaj cais nrog quav (40%) thiab zis (60%).
Kev ntsuas rau siv
Cov lus qhia rau cov tshuaj qhia cov cim ntawd:
- ib daim ntawv mob ntawm lub plawv tsis ua haujlwm (tshwj xeeb yog tom qab myocardial infarction);
- arterial kub siab;
- mob ntshav qab zib nephropathy;
- mob ntev mus ntawm cov mob raum mob raum.
Cov tshuaj txo qhov ntxim nyiam ntawm kev txhim kho mob hlab ntsha tawg, myocardial infarction thiab "mob tuag rau txoj hlab ntshav."
Cov Yuav Tsum Muaj
Kev txwv tsis pub siv cov tshuaj:
- ib tug neeg tsis quav ntsej;
- lactation thiab cev xeeb tub;
- hnub nyoog qis dua 18 xyoo;
- ntshav pathology;
- tsis tshua muaj ntshav siab;
- hloov mus rau angioedema;
- raum leeg ntshav hlab ntsha;
- nce aldosterone (hyperaldosteronism).
Cev xeeb tub yog ib qho ntawm cov lus tsis sib haum rau kev siv tshuaj.
Nrog saib xyuas
Raws li kev saib xyuas kev kho mob, tshuaj yeeb muaj peev xwm ua raws li cov xwm txheej no:
- mitral lossis aortic stenosis;
- malignant cov ntaub ntawv ntawm arterial tawg;
- tsis khov ntawm angina pectoris;
- mob siab / raum tsis ua haujlwm;
- ntshav qab zib mellitus;
- tom qab hloov raum;
- cov neeg laus laus, thiab lwm yam.
Cov neeg laus yuav tsum noj cov tshuaj nrog ceev faj.
Yuav Ua Li Cas Thiaj Siv Hartil
Cov lus piav qhia rau cov tshuaj tau hais tias yuav tsum tau noj sab hauv, i.e. hais lus, tsis hais lub noj li cas. Nws tsis zoo yuav ntxo cov ntsiav tshuaj. Cov koob tshuaj yog xaiv los ntawm kws kho mob tshwj xeeb rau txhua kis. Txawm li cas los xij, muaj cov tshuaj nruab nrab nruab nrab:
- arterial hypertension: thaum xub thawj 2.5 mg ntawm cov tshuaj yog kws kho ib hnub, tom qab ntawd cov koob tshuaj tau nce;
- mob plawv tsis ua haujlwm: 1.25 mg ib hnub;
- kev rov qab los tom qab myocardial infarction: thawj koob tshuaj - 2 ntsiav tshuaj ntawm 2.5 mg 2 zaug hauv ib hnub (nws yog qhov yuav tsum tau pib noj cov tshuaj 2-9 hnub tom qab tawm tsam);
- cov hlab ntsws ua kom sov: 1.25 mg / hnub;
- kev tiv thaiv ntawm myocardial infarction, mob hlab ntsha tawg thiab lwm yam kev cuam tshuam ntawm cov hlab plawv: 2.5 mg / hnub.
Qhov siab tshaj plaws ntawm kev siv tshuaj yog 10 mg ib hnub twg.
Cov lus piav qhia rau cov tshuaj tau hais tias yuav tsum tau noj sab hauv, i.e. hais lus, tsis hais lub noj li cas.
Nrog ntshav qab zib
Cov neeg mob ntshav qab zib noj tshuaj pab tswj hwm lawv cov piam thaj hauv ntshav. Yog tias tsim nyog, tus kws kho mob tuaj yeem kho qhov kev siv tshuaj ntawm cov tshuaj insulin.
Sab sij huam
Thaum siv tshuaj kho mob muaj kev pheej hmoo tshwm sim tsis zoo. Muaj ntau ntawm lawv, yog li cov teebmeem no yuav tsum tau kawm ua ntej.
Kev kho mob txoj hnyuv
Cov kev mob tshwm sim hauv qab no yog sau tseg:
- zawv plab
- ntuav
- xeev siab
- cholestatic jaundice;
- pancreatitis
- mob plab, thiab lwm yam.
Los ntawm kev mob plab hnyuv, qhov tshwm sim hauv daim ntawv ntawm xeev siab thiab ntuav tuaj yeem tshwm sim.
Hematopoietic plab hnyuv siab raum
Saib:
- leukocytopenia;
- anemia
- thrombocytopenia;
- hemolytic daim ntawv ntawm anemia;
- agranulocytosis;
- txo cov qe ntshav liab tsawg;
- kev ua kom tshem tawm ntawm cov hlwb pob txha hematopoiesis.
Nruab nrab hauv lub paj hlwb
Cov kev tsis zoo yog cov hauv qab no:
- mob taub hau
- Kiv taub hau
- mob leeg;
- cramps
- depressive kev ntshawv siab;
- pw tsaug zog ntxhov siab vim;
- nce kev txob taus;
- ntse tuaj viav vias;
- tsaus muag.
Mob taub hau yog ib qho ntawm cov mob tshwm sim.
Los ntawm genitourinary system
Cov hauv qab no yog sau tseg:
- impotence
- txo qis libido;
- exacerbation ntawm raum tsis ua haujlwm;
- o ntawm lub ntsej muag, txhais ceg thiab caj npab;
- oliguria.
Los ntawm lub tshuab ua pa
Tus neeg mob yuav ntxhov los ntawm:
- hnoos thiab mob caj pas;
- tu leeg mob bronchial;
- mob ntsws, laryngitis, sinusitis, rhinitis;
- txog siav.
Ua rau muaj kev phiv tawm ntawm txoj hlab ua pa, hnoos qhuav tuaj yeem tshwm sim.
Kev ua xua
Cov kev xav tsis zoo muaj qhov qhia hauv qab no:
- daim tawv nqaij ua pob thiab khaus;
- mob txuas;
- kev ua kom zoo nkauj;
- daim ntawv tsis haum ntawm dermatitis ;;
- Quincke's edema.
Cov lus qhia tshwj xeeb
Thaum siv cov ntsiav tshuaj, cov neeg mob yuav tsum tau ua tib zoo tshuaj xyuas. Qhov no yog qhov tseeb tshwj xeeb rau thawj hnub ntawm lawv txoj kev nkag. Hauv 8 teev tom qab siv, nws yog ib qho tsim nyog yuav tsum ntsuas kom ntshav siab.
Ua ntej siv cov tshuaj, koj yuav tsum normalize lub cev qhuav dej thiab hypovolemia.
Cov neeg mob vascular pathologies nyob hauv ob lub raum, nrog lub raum lub raum tsis ua haujlwm thiab tom qab hloov khoom nruab nrog cev xav tau kev soj ntsuam zoo tshaj plaws ntawm cov ntsuas ntsuas tau pom.
Cov neeg mob vascular pathologies nyob hauv ob lub raum, nrog lub raum lub raum tsis ua haujlwm thiab tom qab hloov khoom nruab nrog cev xav tau kev soj ntsuam zoo tshaj plaws ntawm cov ntsuas ntsuas tau pom.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Nrog rau kev txo cov ntshav siab hauv cov neeg mob siv cov tshuaj, nws raug nquahu kom lawv tso tseg kev tswj hwm kev thauj khoom thiab lwm yam khoom siv cav tsis zoo.
Siv thaum cev xeeb tub thiab lactation
Nws yog txwv tsis pub siv cov tshuaj thaum cev xeeb tub, vim hais tias nws cov tshuaj nquag muaj peev xwm ua rau muaj kev cuam tshuam tsis zoo ntawm tus me nyuam hauv plab. Nrog rau lactation thiab kev teem caij noj tshuaj, kev pub niam mis yuav tsum tau tsum.
Hartil lub sijhawm teem rau cov menyuam yaus
Nws raug txwv tsis pub siv cov tshuaj rau cov neeg mob hnub nyoog qis dua 15 xyoos. Txog thaum muaj hnub nyoog 18 xyoo, cov tshuaj yuav tsum noj tshuaj tsawg kawg thiab nyob hauv kev saib xyuas mob nkeeg.
Nws raug txwv tsis pub siv cov tshuaj rau cov neeg mob hnub nyoog qis dua 15 xyoos.
Siv rau lub sijhawm qub
Rau cov neeg laus neeg mob, cov tshuaj yog kws kho nyob rau hauv qhov tsis muaj contraindications thiab hauv kev pom tsis pom tseeb pes tsawg. Yog tias siv cov tshuaj diuretic, siv qhov tshuaj yuav tsum tau xaiv nrog kev saib xyuas tshwj xeeb.
Noj ntau dhau
Yog tias cov koob tshuaj ntawm cov tshuaj tau tshaj, qhov kev pom tsis zoo tuaj yeem pom:
- ua tsis tiav hauv qhov ntsuas hluav taws xob;
- txo hauv cov ntshav siab;
- kev txhim kho lub raum tsis ua haujlwm.
Nrog rau kev noj tshuaj me ntsis, tus neeg mob yuav tsum yaug lub plab, nrog rau haus sodium sulfate thiab enterosorbents.
Hauv cov tsos mob tshwm sim thiab muaj ntshav nce siab ntau, qhov siv cov tshuaj angiotensin thiab catecholamines tau qhia. Hemodialysis nrog kev noj ntau dhau yog qhov tsis muaj txiaj ntsig.
Kev cuam tshuam nrog lwm yam tshuaj
Thaum muab cov tshuaj sib xyaw nrog procainamide, corticosteroids, allopurinol, hydrochlorothiazide derivatives thiab lwm cov ntsiab lus uas ua rau muaj kev hloov pauv hauv cov ntshav muaj pes tsawg leeg, qhov ntxim nyiam ntawm kev tsim muaj kev cuam tshuam nyob rau hauv hematopoietic system nce.
Thaum muab cov tshuaj nrog cov tshuaj hypoglycemic, muaj kev pheej hmoo ntawm txo cov ntshav qabzib thiab ua rau lub siab ua haujlwm tsis zoo.
Nws tsis tsim nyog yuav tau siv tshuaj diuretics thiab poov tshuaj ntsev hloov tib lub sijhawm nrog cov tshuaj no vim tias tseem muaj peev xwm txhim kho hyperkalemia. Kev kho mob nrog ACE inhibitor yuav tsum ua raws li kev saib xyuas mob nkeeg.
Cawv tau zoo
Vim tias qhov tseeb tias cov tshuaj nquag ua haujlwm ntawm cov tshuaj muaj peev xwm txhim kho cawv cawv tau, nws tau txwv tsis pub haus dej cawv thiab tshuaj noj uas muaj cawv thaum noj tshuaj. Tib yam tau hais nyob rau hauv cov lus qhia rau kev siv tshuaj.
Cov tshuaj qaug cawv ntawm cov tshuaj muaj peev xwm txhim kho cov nyhuv ntawm ethanol, nws yog txwv tsis pub haus dej cawv thaum noj tshuaj.
Chaw tsim tshuaj paus
Maltese lub tuam txhab ACTAVIS lossis Icelandic tuam txhab kev lag luam ACTAVIS hf. Sawv Cev - EGIS CJSC "Lub Chaw Tsim Tshuaj Tshuaj".
Analogs
Cov lus txhais tshaj hauv Lavxias:
- Pyramids;
- Amprilan;
- Wazolong;
- Amlo;
- Ramipril;
- Pob Tsuas;
- Ramicardia;
- Dilaprel, thiab lwm yam.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Koj tuaj yeem yuav cov tshuaj yuav luag txhua lub tsev muag tshuaj.
Koj tuaj yeem yuav cov tshuaj yuav luag txhua lub tsev muag tshuaj.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Koj tuaj yeem yuav cov tshuaj noj tsuas yog siv tshuaj kho mob.
Nqe Hartil
Tus nqi ntawm 1 pob ntawm cov tshuaj los ntawm 28 ntsiav tshuaj pib los ntawm 460 rubles.
Cia rau cov neeg mob rau cov tshuaj
Cov tshuaj yog khaws cia rau hauv qhov chaw qhuav thiab tsaus. Kev tswj hwm kub zoo tshaj yog + 15 ... + 25 ° C.
Hnub tas sij hawm
Mus txog 2 xyoos tom qab chaw tsim khoom.
Xyuas txog Hartil
Cov tshuaj feem ntau tau teb rau ntawm qhov zoo. Qhov no yog vim pheej yig tus nqi thiab qib siab ntawm nws cov hauj lwm zoo.
Kev kho plawv
Ivan Korkin (kws kho plawv), hnub nyoog 40 xyoo, Voronezh
Kuv muab tshuaj rau cov ntshav siab, lub plawv tsis ua haujlwm, thiab ntau lwm yam kab mob pathologies. Txhawm rau kom tsis txhob phiv tshuaj, koj yuav tsum xaiv cov tshuaj kom raug.
Inga Klemina (kws kho plawv), hnub nyoog 42 xyoos, Moscow
Cov tshuaj tau nyob ntev rau hauv kev thov ntawm kuv cov neeg mob. Nws tus kheej tau siv nws los tiv thaiv kev txhim kho ntawm myocardial infarction. Muab cov haujlwm ntawm cov tshuaj nquag ntawm cov tshuaj, kom ua tiav qhov ua tau zoo ntawm kev kho mob, koob tshuaj yuav tsum xaiv tsuas yog tom qab kev ua tib zoo kawm ntawm kev saib xyuas cov duab ntawm pathology hauv tus neeg mob.
Cov neeg mob
Vladislav Pankratov, 36 xyoo, Lipetsk
Kuv tau raug mob los ntawm cov ntshav qab zib insulin-tiv thaiv, yog ib qho kev cuam tshuam ntawm kev kub siab. Tus kws kho mob tau sau cov tshuaj no. Kuv tau coj lawv mus li 2.5 hli. Cov kev txhim kho kom pom tseeb, tab sis nyuam qhuav pib hnov mob taub hau nrog taug kev ntev. Kuv yuav mus rau tom tsev kho mob rau kev sib tham.
Elvina Ivanova, 45 xyoos, Vladivostok
Thaum kuv cov ntshav siab pib "dhia", tus kws kho mob tau sau ntawv yuav tshuaj rau qhov tshuaj no. Nws tus mob zoo dua li 2 lub lis piam tom qab pib kho. Tam sim no kuv lees txais lawv rau cov laj thawj tiv thaiv.
