A cikin matsin lamba, Lisinopril da Indapamide ana amfani dasu a hade. Magungunan suna da daidaituwa sosai, kuma tasirin yayin ɗaukar shi yafi hakan girma. A cikin sa'o'i 24, matsin lamba yana raguwa, kuma aikin ƙwaƙwalwar zuciya yana inganta. Fitar da ruwa daga jiki yana ƙaruwa, tasoshin suna faɗaɗa, kuma yanayin gaba ɗaya yana inganta tare da hauhawar jini. Maganin haɗuwa yana taimakawa rage haɗarin rikice-rikice na tsarin zuciya.
Halin Lisinopril
Magungunan yana cikin rukuni na masu hana ACE. Abubuwan da ke aiki shine lisinopril dihydrate a cikin adadin 5.4 MG, 10.9 MG ko 21.8 MG. Magungunan yana hana samuwar angiotensin octapeptide, wanda ke taimakawa kara hawan jini. Bayan gudanarwa, tasoshin suna faɗaɗa, hawan jini yana raguwa, kuma nauyin akan ƙwayar zuciya yana raguwa.
A cikin matsin lamba, Lisinopril da Indapamide ana amfani dasu a hade.
Tare da rashin nasara na zuciya, jiki yayi saurin dacewa da aikin jiki. Magungunan suna da sakamako na rigakafi, yana hana haɓaka mai raɗaɗi a cikin myocardium kuma yana rage haɗarin mummunan sakamako ga tasoshin jini da zuciya. An ɓoye cikin sauri kuma gaba ɗaya daga narkewar hanji. Wakilin ya fara aiki bayan awa 1. A cikin sa'o'i 24, sakamakon yana ƙaruwa, yanayin mai haƙuri ya koma al'ada.
Yaya Indapamide
Wannan kayan aikin yana nufin diuretics. Abun da ke ciki ya ƙunshi aiki mai aiki na wannan sunan a cikin adadin 1.5 ko 2.5 mg. Magungunan yana cire sodium, alli, chlorine da magnesium daga jiki. Bayan aikace-aikacen, diuresis ya zama mafi yawan lokuta, kuma bango na jijiyoyin jiki yana zama ƙasa da hankali ga aikin angiotensin 2, don haka matsin zai ragu.
Magungunan yana hana ƙirƙirar tsattsauran ra'ayi a cikin jiki, yana rage abun cikin ruwa a kyallen, kuma yana rage tasoshin jini. Ba ya tasiri da haɗuwar cholesterol, glucose ko triglycerides a cikin jini. Yana daga cikin narkewa kamar kashi 25 cikin dari. Bayan kashi ɗaya, matsa lamba yana kwantar da ita lokacin rana. Halin yana inganta a cikin makonni 2 na amfani yau da kullun.
Haɓakar tasiri na lisinopril da indapamide
Dukansu magunguna suna ba da gudummawa ga rage saurin matsin lamba da saurin tasiri. A karkashin aikin indapamide, asarar ruwa yakan faru kuma jirkunan su huta. Lisinopril dihydrate shima yana inganta shakatawa na jijiyoyin jini kuma yana hana haɓaka yawan jini. Cikakken jiyya yana da ƙarin tasirin hypotensive sakamako.
Lisinopril da Indapamide suna ba da gudummawa ga saurin tasiri da saurin tasiri.
Alamu don amfani lokaci daya
An nuna hadin gwiwa tare da tsawaita tsawan jini. Indapamide bugu da eliminari yana kawar da edema cikin raunin zuciya.
Contraindications zuwa Lisinopril da Indapamide
Ba koyaushe ana yarda da karɓar waɗannan kudade a lokaci guda ba. Haɗin magungunan an hana shi cikin wasu cututtuka da yanayi:
- ciki
- tsufa;
- rashin lafiyan kayan magunguna;
- tarihin ciwon angioedema;
- gazawar koda
- matakin creatinine kasa da 30 mmol / l;
- ƙananan ƙwayoyin potassium na plasma;
- rashin iyawa don shan lectose;
- take hakkin juyi da galactose zuwa glucose;
- lokacin shayarwa;
- yara ‘yan kasa da shekara 18;
- ciwon sukari mellitus;
- hauhawar jini.
Haramun ne a lokaci guda a dauki kudi dauke da Aliskiren. Yakamata a yi taka tsantsan tare da haɓakar abun uric acid a cikin jini, cututtukan zuciya, bushewar zuciya, cututtukan zuciya da gajiya koda. Marasa lafiya da keɓaɓɓiyar ƙwayar cutar koda na jijiya, ƙwayar mai ƙarfi, da kuma rashin wadataccen ƙwayar cuta suna buƙatar rage yawan ci. Ba za ku iya fara magani tare da aiki ba, amfani da maganin hana haihuwa, shirye-shiryen potassium da membrane mai ɗorewa.
Yadda ake ɗaukar Lisinopril da Indapamide
Karɓar farashi ana yin shi ba tare da la'akari da ci abinci ba. A sashi na kwayoyi ya dogara da yanayin haƙuri da mayar da martani ga far tare da hade da kwayoyi.
Kafin fara magani, kuna buƙatar ganin likita kuma kuyi gwaji.
Daga matsin lamba
Shawarar da aka bada shawarar yau da kullun don hawan jini shine 1.5 mg na indapamide da kuma 5.4 mg na lisinopril dihydrate. Tare da haƙuri mai kyau, ana iya ƙara yawan sashi a hankali. Tsawan lokacin magani akalla makonni 2 ne. Sakamakon yana faruwa a cikin makonni 2-4 na magani.
Da safe ko yamma
Allunan suna da kyau a ɗauka sau ɗaya da safe.
Side effects
Yayin gudanar da aiki, wasu halayen masu illa na iya faruwa:
- rashin lafiyan mutum
- Dizziness
- tari
- ciwon kai
- rawar jiki
- suma
- bugun zuciya;
- bushe bakin
- wahalar numfashi
- haɓaka ayyukan hanta enzymes;
- Harshen Quincke na edema;
- ƙara yawan glucose na jini;
- raguwa a cikin taro na chloride a cikin jini;
- nutsuwa
- mai illa na renal da hepatic aiki.
Idan alamun da ke sama suka bayyana, dole ne ka soke liyafar.
Ra'ayin likitoci
Elena Igorevna, likitan zuciya
Haɗin nasara mai haɗari na diuretic da mai hana ACE. Yana da aminci da inganci fiye da analogues. Matsin lamba yana raguwa a tsakanin makonni 2-4.
Valentin Petrovich, likitan zuciya
Riskarancin haɗarin sakamako masu illa. Amma a cikin ƙuruciya, ba a tsara haɗuwa ba, kuma tsofaffi marasa lafiya da mutanen da ke fama da hanta ko aikin koda na iya buƙatar daidaita sikelin.
Neman Masu haƙuri
Elena, 42 years old
Na fara shan magunguna 2 tare da ƙara yawan sashi a lokaci guda tare da hauhawar jini - 10 mg na lisinopril da 2.5 mg na indapamide. Na sha kwaya da safe, kuma har maraice na ji dadi. Sannan matsin ya tashi sosai zuwa 140/95 mm. Hg Dole na rage sashi. Hakanan umarnin suna rubuta game da sakamako masu illa a cikin hanyar tari da tashin zuciya. Kwayar cutar ta bayyana tare da amfani da tsawan lokaci.
Roman, dan shekara 37
Ina shan kwayoyi 2 don matsa lamba. Babu sakamako masu illa. Wani lokaci kuna jin danshi, saboda haka kuna buƙatar fitar da motar a hankali.
