Tus neeg sawv cev tiv thaiv kabmob ntshav siab yog npaj rau kev kho mob ntawm cov neeg mob uas muaj teebmeem ntawm lub plawv. Cov tshuaj muaj cov nyhuv ntawm angiotensin 2, tiv thaiv qhov nce hauv siab. Kev siv mus ntev tau muaj txiaj ntsig zoo rau cov xwm txheej ntawm cov neeg laus cov neeg mob plawv tsis txaus, lub raum tsis ua haujlwm hauv ntshav qab zib thiab mob ntshav siab.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Lisinopril
Tus neeg sawv cev tiv thaiv kabmob ntshav siab yog npaj rau kev kho mob ntawm cov neeg mob uas muaj teebmeem ntawm lub plawv.
ATX
S09AA03
Tso cov ntawv thiab cov nyob ua ke
Nthuav qhia hauv khw muag tshuaj hauv daim ntawv ntawm cov ntsiav tshuaj, uas tau muab ntim rau hauv pob. Txhua ntawm lawv muaj 20 lossis 30 pcs. Kev nquag ua hauj lwm, uas cuam tshuam rau txo qhov siab, yog nthuav tawm li lisinopril hydrate. Tsis tas li ntawd, muaj cov tshuaj uas cuam tshuam rau cov saj, xim thiab cov duab ntawm cov ntsiav tshuaj:
- magnesium stearate;
- calcium hydrogen phosphate;
- gelatinized hmoov txhuv nplej siab;
- mannitol;
- pob kws nplej siab.
Sab hauv lub pob, cov ntsiav tshuaj yog muab cia rau hauv blisters.
Sab hauv lub pob, cov ntsiav tshuaj yog muab cia rau hauv blisters. Thaum xaiv cov tshuaj, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus lej ntau qhov sib txawv ntawm cov tshuaj nquag - 2.5, 5, 10 lossis 20 mg. Qhov no yog pov thawj los ntawm ib tug thais ntawm lub ntsiav tshuaj thiab txua nrog tus nqi tsim nyog ntawm cov tshuaj nquag.
Pharmacological kev txiav txim
Cov tshuaj yog rau cov pab pawg ntawm cov tshuaj uas cuam tshuam rau angzyensin-hloov pauv enzyme. Lub cev ua haujlwm ntawm lisinopril tiv thaiv kev ua ntawm ACE, tiv thaiv kev tsim ntawm oligopeptide hormone angiotensin ii (uas cuam tshuam rau nce siab). Muaj qhov txo qis ntawm qhov ua paug ntawm cov hlab ntsha tsis kam, nthuav dav ntawm cov hlab ntsha, thiab txhim kho ntawm myocardial kev ua haujlwm.
Cov Tshuaj Pharmacokinetics
Lisinopril nyob rau hauv txoj hnyuv yog qhov maj mam nqus. Raug rho tawm los ntawm 30%, tab sis daim duab tuaj yeem ncav cuag 60%. Koj tuaj yeem noj thaum twg los tau, vim hais tias cov txheej txheem kev nqus tsis koom nrog nws. Koj tuaj yeem tshawb pom ntau npaum li cas ntawm cov khoom hauv cov ntshav tom qab 7 teev tom qab noj cov ntsiav tshuaj. Nws tsis muaj zog khi rau cov protein, yog li cov nyhuv ntawm cov tshuaj muaj ntau. Tsis hloov, qhov tseem ceeb yog tawm hauv zis tom qab 12 teev.
Koj tuaj yeem noj thaum noj tshuaj nrog rau cov tshuaj txhua lub sijhawm, vim tias cov txheej txheem nqus tsis cuam tshuam nws.
Dab tsi kho
Lub cuab yeej txo cov kev siab, ntxuav lub cev ntawm sodium tshaj thiab txhim kho kev ua haujlwm ntawm lub siab. Nws raug nquahu kom coj nws rau cov neeg laus neeg mob uas muaj cov kev tsis sib xws hauv qab no:
- daim ntawv mob ntsws ntawm lub plawv tsis ua haujlwm tau tsim;
- muaj kev pheej hmoo ntawm cov ntshav siab;
- muaj albuminuria thiab mob ntshav hauv ntshav nyob ntawm hom 1 thiab hom 2 mob ntshav qab zib mellitus.
Nws yog siv rau cov mob myocardial infarction hauv thawj hnub nrog qhov xwm txheej ruaj khov. Cov tshuaj yog pab tiv thaiv sab laug ventricular kawg thiab myocardial kawg.
Cov tshuaj yog siv rau cov mob myocardial infarction hauv thawj hnub nrog rau qhov xwm txheej zoo.
Cov Yuav Tsum Muaj
Tsis kam lees cov tshuaj yog qhov tsim nyog rau cov neeg mob uas muaj kev cuam tshuam ntxiv rau hauv cov khoom siv. Koj yuav tsum tau xaiv lwm txoj kev kho ntxiv rau kev mob caj ces Quincke edema, ib qho kev nyiam rau kev mob hlwb, cov hluas thiab cov menyuam yaus hnub nyoog qis dua 18 xyoo, cev xeeb tub thiab tus pojniam muaj menyuam mos.
Yuav ua li cas noj Lisinopril Teva
Cov tshuaj raug muab rau noj 1 zaug nyob rau ib hnub. Nws raug nquahu kom noj tshuaj tuag tib lub sijhawm. Rau txhua kab mob, tus kws kho mob xaiv cov kev kho mob tsim nyog:
- Cov lus qhia taw qhia qhov pib ntawm qhov ntsuas thaum lub siab ceev - 5 mg rau ib hnub. Yog tias tus neeg mob tsis zoo, ces koj tuaj yeem haus lwm 5 mg hauv 2-3 hnub. Yog tias tsim nyog, qhov ntau tshaj koob tshuaj txhua hnub ntawm 20 mg, tab sis qee qhov xwm txheej, koj yuav tsum nce qhov ntau ntxiv rau 40 mg. Nrog rau kev ua haujlwm ntau ntxiv ntawm RAAS, qhov kev tawm tsam tsawg kawg yog tau hais tseg hauv qhov siv puab.
- Kev kho mob thaum ntxov ntawm tus mob myocardial infarction pib nrog 5 mg. Hauv thawj 2 hnub, koj yuav tsum haus 5 mg thaum sawv ntxov, thiab tom qab ntawd cov koob tshuaj yuav raug nce ntxiv rau 10 mg ib hnub twg. Yog tias lub zog ntawm thawj hnub tom qab pib ntawm cov tsos mob tsis dhau 120 hli Hg. Art., Nws yog qhov tsim nyog los txo cov tshuaj ntau npaum li ntawm 5 txog 2.5 mg. Tom qab 3 hnub, kev noj tshuaj ntxiv tuaj yeem ua kom muaj zog.
- Hauv lub plawv tsis ua hauj lwm, pom zoo koob tshuaj yog 2.5 mg rau ib hnub. Tsawg kawg 2 lub lis piam yuav tsum ncua ntawm kev noj thawj ntsiav tshuaj thiab nce ntxiv tshuaj rau cov kab mob pathological no.
Thaum kho, nws yog qhov yuav tsum tau saib xyuas kev mob ntawm lub raum thiab qib poov tshuaj. Nws tsis pom zoo kom pib kho koj tus kheej.
Thaum kho, nws yog qhov yuav tsum tau saib xyuas kev mob ntawm lub raum.
Noj cov tshuaj rau ntshav qab zib
Yog tias, tawm tsam keeb kwm ntawm ntshav qab zib, kev ua haujlwm ntawm lub raum ua tsis tau zoo lossis mob ntshav nce qib, tom qab ntawd thawj koob tshuaj yog 10 mg rau ib hnub. Yog tias tsim nyog, koj tuaj yeem ntxiv qhov ntxiv rau 20 mg rau ib zaug. Hauv raum tsis ua haujlwm, pib nrog ntau npaum ntawm 2.5 mg. Nrog rau kev siv creatinine tshem tawm ntawm 10-30 ml / min, koj tuaj yeem pib nrog 5 mg rau ib hnub, thiab nrog rau kev tshem tawm ntawm 31-80 ml / min - nrog 10 mg rau ib hnub. Qhov nyiaj pub ntau tshaj yog 40 mg rau ib hnub.
Sab sij huam
Cov tshuaj muaj cov nyhuv hauv lub cev, yog li qhov tsis zoo tshwm sim tuaj yeem tshwm sim los ntawm ntau lub tshuab.
Kev kho mob txoj hnyuv
Tom qab noj cov tshuaj, cov saj ntawm cov zaub mov yuav zoo li txawv. Tom qab noj mov tas, feem ntau muaj kev cuam tshuam ntawm cov quav, ua txhaum ntawm lub zom zaub mov, thiab mob plab. Qee cov neeg mob nco ntsoov cov tsos ntawm lub qhov ncauj qhuav, staining ntawm daim tawv nqaij thiab cov leeg hauv lub cev daj, mob ua paug ntawm daim siab thiab mob ntsws. Kab mob siab tsis ua haujlwm, raws plab, cem quav, xeev siab thiab txo qhov hnyav hauv lub cev nws pom hauv cov neeg tsis tshua muaj tshwm sim.
Tom qab noj cov tshuaj, cov saj ntawm cov zaub mov yuav zoo li txawv.
Hematopoietic plab hnyuv siab raum
Lisinopril ua rau kom lub siab txo qis. Yog hais tias noj hauv kev txhaj tshuaj ntau, mob myocardial infarction yuav tshwm sim, cov mem tes yuav nce ntxiv, lub plawv dhia yuav tsis muaj zog (tachycardia). Cov tshuaj tuaj yeem ua rau txhawm rau lub nkoj me me, tsuj tus pob txha pob txha ua haujlwm, bradycardia, mob hauv siab, mob siab ntawm lub plawv tsis ua haujlwm.
Nruab nrab hauv lub paj hlwb
Tom qab kev tswj hwm, mob feem ntau hnov hauv cov tuam tsev, thiab koj lub taub hau yuav zoo li kiv taub hau. Hauv feem ntau cov neeg mob, nyob hauv qab ntawm lisinopril, kev xav ntau hloov, cov qauv pw tsaug zog muaj kev ntxhov. Muaj qee zaus, mob leeg, qhov muag plooj plooj.
Tom qab kev tswj hwm, mob feem ntau hnov hauv cov tuam tsev, thiab koj lub taub hau yuav zoo li kiv taub hau.
Los ntawm lub tshuab ua pa
Hauv cov neeg mob laus, ua pa siav tuaj yeem tshwm sim los ntawm kev ua pa. Feem ntau, tawm tsam tom qab ntawm lwm cov kev mob tshwm sim, qhov hnoos qhuav, los ntswg los ntshav. Nyob rau hauv kev cuam tshuam ntawm lisinopril, lub bronchi tuaj yeem nqaim, thiab eosinophils tuaj yeem ci hauv lub pulmonary alveoli. Cov kev ua txhaum cai no ua rau mob ntsws thiab mob ntsws oosinophilic.
Ntawm ib sab ntawm daim tawv nqaij
Kev tsis haum, ua pob khaus me me, ua pob khaus, erythema multiforme tshwm sim ntawm daim tawv nqaij. Qee qhov chaw ntawm lub cev tuaj yeem nce siab ntxiv ntawm qhov loj me (angioedema). Muaj qee zaus, tawm hws nce zuj zus, daim tawv yuav yoog cov duab tshav ntuj.
Kev tsis haum, ua pob khaus me me, ua pob khaus, erythema multiforme tshwm sim ntawm daim tawv nqaij.
Los ntawm genitourinary system
Uremia tshwm sim yog thaum lub raum tsis ua haujlwm nrog rau kev tshem tawm ntawm cov tshuaj. Feem ntau ua haujlwm ntawm lub cev ua haujlwm tsis zoo, tab sis qee zaus qhov no ua rau lub raum tsis ua haujlwm zoo. Zis tuaj yeem muab faib tsawg dua li qhov xav tau, mus txog qhov ua tiav lossis qhov tshwm sim ntawm cov proteinuria.
Cov lus qhia tshwj xeeb
Nws yog ib qho tsim nyog los soj ntsuam cov mob ntawm ob lub raum, suav cov leeg ntshav thiab ntsuas ntshav siab systolic. Ob peb hnub ua ntej yuav pib kho, koj yuav tsum tsum tsis txhob noj tshuaj ntxiv. Kev siv ntawm polyacrylonitrile membrane lossis lipoprotein tsawg ntom yog txwv vim muaj kev pheej hmoo ntawm anaphylactic kev poob siab.
Thaum dab tsi siab noj
Koj tuaj yeem pib noj tshuaj nrog kev nce siab mus rau 140/90 hli Hg. Kos duab. thiab ntau dua.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Vim tias qhov txo qis hauv cov ntshav siab, lub peev xwm ntawm kev tsav tsheb tuaj yeem ua rau tsis muaj peev xwm.
Vim tias qhov txo qis hauv cov ntshav siab, lub peev xwm ntawm kev tsav tsheb tuaj yeem ua rau tsis muaj peev xwm.
Siv thaum cev xeeb tub thiab lactation
Cov poj niam cev xeeb tub thiab thaum lactation yuav tsum tsis txhob ua. Yog tias koj tsis tsum tsis noj cov tshuaj noj, cov ntsiab lus ntawm cov poov tshuaj hauv cov ntshav yuav nce ntxiv, lub siab yuav poob rau cov lej tseem ceeb. Cov embryo muaj hypoplasia ntawm cov pob txha pob txha taub hau, uas tom qab ntawd yuav ua rau tuag tas. Koj yuav tsum tsis txhob pub mis rau menyuam thaum kho.
Tshuaj Lisinopril Teva rau Cov Menyuam
Nws yog sib txuam rau menyuam yaus.
Siv rau lub sijhawm qub
Hauv cov laus, nws pom zoo kom pib noj nrog qhov tsawg kawg nkaus.
Hauv cov laus, nws pom zoo kom pib noj nrog qhov tsawg kawg nkaus.
Noj ntau dhau
Kev noj ntau dhau ua rau lub plawv dhia qeeb qeeb, poob siab thiab txo qis ntshav siab.
Kev cuam tshuam nrog lwm yam tshuaj
Hyperkalemia kev loj hlob nyob rau hauv chav kawm ntawm kev coj ua nrog potassium-sparing diuretics, cyclosporins, Ellerenone, Triamteren thiab txhais tau tias. uas muaj poov tshuaj. Yog tias koj siv cov tshuaj diuretics, siv yeeb tshuaj, tshuaj tsaug zog noj ua ke nrog Lisinopril-Teva, tom qab lub siab tuaj yeem ua rau poob rau qhov tseem ceeb. Ua ke nrog Allopurinol tsis tuaj yeem coj, vim hais tias cov ntsiab lus ntawm leukocytes hauv cov ntshav yuav tsawg.
Sympathomimetics, Amifostinum, tshuaj hypoglycemic pab ntxiv dag zog rau cov nyhuv hypotensive, thiab thrombolytics ntawm acetylsalicylic acid pab kom tsis muaj zog. Nrog tib lub sijhawm siv nrog ACE inhibitors, nws yog ib qho tsim nyog yuav tsum nco ntsoov txog qhov ua tau tsis zoo los ua kom lub raum thiab lub siab poob qis. Nws yog qhov zoo dua los cais kev tswj hwm nrog rau kev npaj kub.
Cawv tau zoo
Yog tias koj haus cawv thiab cov tshuaj tiv thaiv kab mob tib lub sijhawm, lub siab tuaj yeem poob qis. Nws yog qhov zoo dua rau kev tshem tawm cov kev haus cawv, kom tsis txhob muaj kev phom sij rau kev noj qab haus huv.
Nws yog qhov zoo dua rau kev tshem tawm cov kev haus cawv thaum kho, kom tsis txhob ua mob rau lub cev.
Nrog saib xyuas
Cov neeg mob uas muaj qhov ntsuas hauv qab no tau pom zoo kom noj cov tshuaj hauv tsev kho mob:
- hauv cov ntshav cov ntshav cov ntsev ntxiv ntawm cov ntsiab lus;
- hnub nyoog tshaj 70 xyoo;
- muaj kev tiv thaiv cov hlab plawv, mob hlwb tsis zoo, mob hlab ntsha tsis txaus;
- ua ntej kev kho mob, lub siab poob rau 100/60 hli RT. st .;
- kev tshem tawm creatinine tsawg dua 10 ml / min.
Nrog hemodialysis, txoj kev kho mob yuav tsum tau saib xyuas los ntawm kws kho mob.
Nrog hemodialysis, txoj kev kho mob yuav tsum tau saib xyuas los ntawm kws kho mob.
Analogs
Hauv cov tsev muag tshuaj, koj tuaj yeem yuav ntau yam tshuaj zoo sib thooj kom txo cov ntshav siab. Cov no suav nrog:
- Lizoril. Tus nqi - los ntawm 100 txog 160 rubles.
- Diroton. Tus nqi - 100-300 rubles.
- Irumed. Tus nqi ntawm cov cuab yeej no txawv ntawm 200 txog 320 rubles.
- Lisinotone. Koj tuaj yeem yuav qhov nqi ntawm 150 txog 230 rubles.
Ua ntej hloov, nws raug nquahu kom sab laj nrog tus kws kho mob kom xaiv cov tshuaj uas tsim nyog.
Dab tsi yog qhov sib txawv ntawm lisinopril thiab lisinopril-teva
Cov tshuaj kho mob yuav txawv ntawm tus nqi thiab chaw tsim tshuaj paus. Tus nqi ntawm Lisinopril ntsiav tshuaj yog los ntawm 30 txog 160 rubles. Chaw Tsim Tshuaj - Alsi Pharma, Russia.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Ntawm lub tsev muag tshuaj, koj yuav tsum muab daim ntawv yuav tshuaj ua ntej koj yuav cov khoom no, yog tias muaj.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Koj tuaj yeem yuav yam tsis muaj daim ntawv yuav tshuaj.
Ntawm lub tsev muag tshuaj, koj yuav tsum muab daim ntawv yuav tshuaj ua ntej koj yuav cov khoom no, yog tias muaj.
Tus nqi ntawm lisinopril-Teva
Tus nqi ntawm cov ntsiav tshuaj hauv chaw muag tshuaj yog los ntawm 120 rubles rau 160 rubles.
Cia rau cov neeg mob rau cov tshuaj
Qhov kub nyob hauv chav yuav tsum tsis tshaj + 25 ° C. Cov ntsiav tshuaj yuav tsum tau ntim rau hauv lawv cov khoom ntim thawj, deb ntawm cov menyuam yaus.
Hnub tas sij hawm
Sij hawm cia - 2 xyoo ntawm hnub tim.
Chaw tsim tshuaj paus
Teva Tshuaj Tsob Nroj, Hungary / Ixayees.
Cov ntsiav tshuaj yuav tsum tau ntim rau hauv lawv cov khoom ntim thawj, deb ntawm cov menyuam yaus.
Kev txheeb xyuas ntawm Lisinopril Teva
Cov neeg mob thiab kws kho mob tau hais tawm txog qhov zoo ntawm Lisinopril, tab sis kuj tseem muaj kev tshuaj xyuas tsis zoo. Lawv cuam tshuam nrog cov tsos ntawm hnoos qhuav, kiv taub hau thiab xeev siab hauv thawj lub lim tiam ntawm kev nkag. Qee qhov kev mob tshwm sim tsis muaj kev cuam tshuam rau lub cev, yog li koj yuav tsum tau noj cov tshuaj nyob rau hauv kev saib xyuas ntawm tus kws kho mob thiab nruj me ntsis raws cov tshuaj.
Cov kws kho mob
Anastasia Valerievna, kws kho plawv
Lub cuab yeej yog zoo meej rau cov neeg mob uas tau ntsib nrog cov teeb meem ntshav siab. Nws yog siv los kho thiab raws li prophylaxis ntawm ntau cov kab mob plawv. Kuv pom zoo kom sab laj nrog koj tus kws kho mob ua ntej siv thiab yog tias muaj qhov tsis zoo tshwm sim, qhia nws.
Alexey Terentyev, urologist
Cov ntsiav tshuaj ntawm lub qhov ncauj tuaj yeem tshem tawm cov sodium ntau ntawm lub cev. Tom qab thov, puffiness hla, siab poob qis, phab ntsa ntawm cov hlab ntsha so. Yog tias tsis muaj kev txhim kho tom qab thawj hnub ntawm kev noj nws, koj yuav tsum tsum tsis siv nws thiab tig mus rau cov tshuaj uas zoo sib xws.
Cov neeg mob
Eugene, 25 xyoos
Niam lub siab ceev ua rau muaj teeb meem ntau. Nws pib noj Lisinopril-Teva, thiab tom qab 2 lub lis piam nws tus mob zoo tuaj. Nws pheej dhau qhov kev xeem, soj ntsuam nws lub cev thiab nws tseem zoo siab rau qhov tshwm sim.
Marina, 34 xyoo
Kuv pom tias tom qab noj cov tshuaj, xeev siab, mob taub hau thiab qaug zog tshwm sim. Lub cuab yeej zoo txo cov ntshav siab, tab sis vim muaj kev phiv los yuam kom tsum tsis txhob noj.
