Telzap magani ne wanda ke rage hadarin kamuwa da cututtukan zuciya. An tabbatar da inganci a cikin gwaji na asibiti da kuma a aikin likita.
Sunan kasa da kasa mai zaman kansa
Ana amfani da sunan Telmisartan a matsayin wanda ba na ƙasa ba.
Telzap magani ne wanda ke rage hadarin kamuwa da cututtukan zuciya.
ATX
Lambar ATX C09CA07.
Saki siffofin da abun da ke ciki
Ana samun Telzap 40 MG a cikin nau'ikan allunan, kowannensu yana da siffar biconvex mai tsoka. Launin allunan na iya zama fari ko launin shuɗi. Duk bangarorin biyu suna cikin haɗari.
Babban sinadaran aiki shine telmisartan. Abunda ke cikin kowane kwamfutar hannu ya kai 40 MG.
Abubuwan da ke cikin taya sun hada da wadannan abubuwan:
- sihiri;
- meglumine;
- magnesium stearate;
- sodium hydroxide;
- povidone.
Aikin magunguna
Aiki mai mahimmanci telmisartan yana da kaddarorin takamaiman angiotensin II receptor antagonists. Lokacin da aka shigar da shi, miyagun ƙwayoyi suna iya kawar da angiotensin II daga haɗinsa tare da mai karɓa. Haka kuma, dangane da wannan mai karɓar, shi ba mai bincike bane. Telmisartan kawai yana hulɗa tare da masu karɓar angiotensin II ATl. Abubuwan da ke aiki ba su nuna irin kaddarorin masu karɓar AT2 da wasu ba.
A ƙarƙashin tasirin miyagun ƙwayoyi a cikin jini na jini, yawan haɗarin aldosterone yana raguwa. A lokaci guda, aikin renin ya kasance a matakin daidai kuma ba a katange tashoshin ion ba.
Angiotensin-mai canza enzyme wanda ke daukar nauyin lalata bradykinin ba'a hana shi ba. Wannan fasalin yana ba ku damar kawar da haɗarin sakamako masu illa kamar bushe tari.
Lokacin amfani da sashi na 80 MG a cikin marasa lafiya, an katange tasirin cutar angiotensin II. Ana samun tasirin sa'o'i 3 bayan kashi na farko. Aikin yana awanni 24. An dauke shi mai tasiri a asibiti na tsawon awanni 48. Allunan cin abinci na yau da kullun don makonni 4-8 yana haifar da sakamako mai lalacewa.
Amfani da Telzap a cikin marasa lafiya da hauhawar jini na jijiya na iya rage yawan tashin hankali da hauhawar jini na systolic. A halin yanzu, bugun zuciya baya canzawa.
Ana amfani da maganin don magance cututtukan zuciya. A cikin tsofaffi marasa lafiya da ke dauke da cututtukan cututtukan zuciya, allunan suna da tasirin rage tasirin:
- karancin lalacewa;
- shanyewar jiki;
- mace-mace saboda cutar zuciya.
Pharmacokinetics
Bayan gudanar da maganin baka, ƙwayar magungunan tana cikin sauri. A matsakaita, kayan rayuwarsa ya kai kashi 50%. Cin abinci na iya rage shan ƙwayoyi.
Telmisartan ya ɗaura zuwa glycoprotein acid acid-1, albumin, da sauran sunadaran plasma.
Metabolism yana faruwa yayin haɗuwa tare da glucuronic acid. Wannan fili bashi da aikin magani. Dawowar abubuwanda aka samu yana faruwa ta hanjin ciki. A wannan yanayin, yawancin jikin ba ya canzawa. Kashi 1% na kayan ne kawai yake toshe cikin kodan.
Alamu don amfani
An tsara Telzap ga marasa lafiya tare da cututtukan da ke gaba:
- hawan jini;
- nau'in ciwon sukari na 2 na ciwon sukari (a gaban raunuka na gabobin da ke da niyya);
- cututtukan zuciya da jijiyoyin jini na asali na atherothrombotic (a cikin jerin irin waɗannan cututtukan, bugun jini, cututtukan zuciya da jijiyoyin jini, lalacewar guguwar mahaifa).
Allunan kuma ana bada shawarar su azaman prophylactic na cututtukan zuciya don marasa lafiya da hadarin.
Contraindications
Da miyagun ƙwayoyi an gaba contraindicated:
- tare da kara ji mai nauyi zuwa ga babban aiki bangaren ko abun da ke ciki na taimako;
- idan akwai cututtukan hana ruwa da cuta da ke tasiri cikin tasirin biliary;
- yayin daukar ciki da shayarwa;
- tare da rashin haƙuri ɗaya na fructose;
- yara ‘yan kasa da shekara 18.
Tare da kulawa
A cikin umarnin don amfani, an sanya sunayen wasu hanyoyin, wanda a ciki aka tsara Telzap sosai a ƙarƙashin kulawar likita:
- rashi mai aiki;
- na koda na fitsari;
- hyperkalemia
- hyponatremia;
- mitral ko aortic valve stenosis;
- rage yawan jini da ke yaduwa a jiki wanda ke tasowa bayan shan diuretics, amai, zawo, ko rashin gishiri a abinci;
- na farko hyperaldosteronism;
- lokacin dawowa bayan dasawa da koda;
- rashin aiki na hanta (m zuwa matsakaici);
- tsananin rauni na zuciya;
- hana ciwon zuciya.
Ana buƙatar yin taka tsantsan yayin amfani da waɗannan kwayoyin magani don lura da marasa lafiya na tseren Negroid.
Yadda ake shan telzap 40 MG
Allunan an yi su ne don maganin baka. An haɗiye su ba tare da tauna ba a wanke su da gilashin ruwa. A matsayin tsari na yau da kullun na yau da kullun, ana bada shawara don ɗaukar kwamfutar hannu 1 na Telzap kowace rana ba tare da yin la'akari da ɗimbin abinci ba. Sashi ya dogara da halaye na ganewar asali.
Don hauhawar jini, ƙwaƙwalwar farko da aka ba da shawarar ita ce 1 kwamfutar hannu 40 MG. Idan babu sakamako mai mahimmanci, ana iya ƙara kashi zuwa 80 MG.
Amfani dashi azaman prophylactic don cututtukan zuciya yana da tsarin magani daban. A wannan yanayin, mafi kyawun kashi shine MG 80 a kowace rana.
Ciwon sukari
Allunan tabo na Telzap sun tabbatar da kasancewa ingantacciyar ijima'i ga tsarin rikice-rikice a cikin marasa lafiya da ke da nau'in ciwon sukari na 2 na sukari. Mutanen da suke karɓar magungunan cututtukan jini ya kamata a saka idanu a kai a kai game da matakan glycemia. A wasu halaye, ana buƙatar gyaran jamiái na hypoglycemic jamiái ko insulin.
Allunan tabo na Telzap sun tabbatar da kasancewa ingantacciyar ijima'i ga tsarin rikice-rikice a cikin marasa lafiya da ke da nau'in ciwon sukari na 2 na sukari.
Side effects
A wasu marasa lafiya, shan Telzap na iya tayar da bayyanar tasirin sakamako.
Gastrointestinal fili
Daga tsarin narkewa, zawo, ciwon ciki, amai, flatulence da dyspepsia suna faruwa sau da yawa fiye da wasu. Rashin jin daɗi, rashin jin daɗi a cikin yankin na epigastric, bushewar mucosa a cikin kogon bakin yana da wuya a lura.
Hematopoietic gabobin
Akwai wata shaida game da haɓakar thrombocytopenia, eosinophilia da ƙananan haemoglobin.
Tsarin juyayi na tsakiya
Wasu marasa lafiya suna koka da rashin bacci, rashin jin daɗi, ƙara damuwa. A lokuta da dama, akwai suma.
Daga tsarin urinary
Daga cikin sakamako masu illa da ake kira lalacewa na aiki. Daga cikin wadannan cututtukan akwai gazawar koda.
Daga tsarin numfashi
Dyspnea da tari ba sa faruwa. Da wuya, cutar huhu na faruwa.
A ɓangaren fata
A cikin jerin irin waɗannan sakamako masu illa ya kamata a kira shi hyperhidrosis, itching fata, fatar. Eczema, angioedema, erythema, mai guba da cututtukan fata basuda wuya a gano su.
Daga tsarin kare jini
A cikin mata, cututtukan kumburi na tsarin haihuwa na iya faruwa, a lokuta mafi ƙaranci, ana lura da mummunan yanayin haila. A cikin maza, lalata daskararre mai yiwuwa ne.
Daga tsarin zuciya
Tsarin zuciya da jijiyoyin wuya ba da amsa ga al'amuran masu illa da jiyya na Telzap. A halin yanzu, marasa lafiya suna yiwuwa:
- fainting lalacewa ta hanyar hypotension;
- raguwa ko ƙaruwa a cikin zuciya;
- saukar da karfin jini tare da canza matsayin mutum.
Tsarin Endocrin
Yin amfani da maganin na iya haifar da raguwa cikin sukari jini da acidosis metabolic.
A wani ɓangaren hanta da ƙwayar biliary
Rashin hankali na ƙwayar hanta da hanta suna da wuya sosai.
Cutar Al'aura
Daga halayen rashin lafiyan, masu yiwuwa suna da yiwuwar:
- rhinitis;
- fatar fata;
- edema;
- Kushin rubutun Quincke.
Umarni na musamman
Don kowane sakamako masu illa, dakatar da shan maganin kuma nemi taimakon likita. Raguwar raguwa a cikin karfin jini na iya haifar da bugun jini, bugun zuciya tare da sakamako mai kisa.
Amfani da barasa
An haramta shan giya sosai lokacin jiyya tare da Telzap. Yin hulɗa da miyagun ƙwayoyi tare da ethanol yana haifar da raguwar ƙarar jini, wanda zai haifar da coma.
An haramta shan giya sosai lokacin jiyya tare da Telzap.
Tasiri kan ikon sarrafa abubuwan inji
Babu takamaiman umarni na musamman game da wannan, duk da haka, yin amfani da maganin na iya haifar da sakamako masu illa (fitsari, farin ciki, nutsuwa). Tare da waɗannan siffofin a cikin tunani, tuƙi tare da taka tsantsan.
Yi amfani da lokacin daukar ciki da lactation
A magani, babu bayanai kan tasirin maganin a tayin. Nazarin asibiti a cikin dabbobi an nuna yana da sakamako mai guba a tayin. A saboda wannan dalili, an wajabta wasu magunguna don bi da mata masu juna biyu.
A cikin sati na 2 da na 3, amfani da kwayoyi daga rukunin angiotensin antagonists na iya haifar da hanta fetir, koda, jinkirta fitar da kwanyar, oligohydramnios.
A lokacin shayarwa, an hana yin nadin Telzap sosai. In ba haka ba, dole ne a daina shayar da nono.
Adanar da kashi 40 cikin 100 na Telzap ga yara
Yaran 18an ƙasa da shekara 18 haramun ne game da shan kwayoyin da ke ɗauke da telmisartan.
Yi amfani da tsufa
Marasa lafiya waɗanda suka girmi shekaru 70 ba sa bukatar gyara sashi. Bancan shine lokuta da cututtukan da kodan ko hanta.
Marasa lafiya waɗanda suka girmi shekaru 70 ba sa bukatar gyara sashi.
Aikace-aikacen aiki mara kyau
A cikin rauni mai girma na koda, za a yi amfani da kashi ba fiye da 20 MG na miyagun ƙwayoyi kowace rana.
Amfani don aikin hanta mai rauni
A cikin cututtukan hanta mai tsanani, ba a amfani da Telzap.
Yawan damuwa
Idan shawarar da aka bada shawarar ya wuce, alamu masu zuwa suna faruwa:
- raunin zuciya;
- Dizziness
- raguwa mai kaifi a cikin karfin jini;
- alamun raunin koda.
Yin hulɗa tare da wasu kwayoyi
Ana amfani da Telzap sau da yawa a matsayin wani ɓangare na kulawa mai wahala, saboda haka kuna buƙatar la'akari da jituwa na Allunan tare da wasu kwayoyi.
Abubuwan haɗin gwiwa
Ba a ba da haƙuri ga masu ciwon sukari na nau'in 2 don ɗaukar telmisartan tare da sauran masu hana ACE a lokaci guda. A mafi yawan lokuta, wannan yana haifar da hypoglycemia.
Ba da shawarar haɗuwa ba
Magungunan ba da shawarar don amfani ba:
- heparin;
- immunosuppressants;
- magungunan anti-mai hana kumburi;
- potassium-dauke da kayan abinci masu kara karfi;
- potassium-sparing diuretics;
- yana nufin wanda ake ɗaukar hydrochlorothiazide.
Haɗuwa yana buƙatar taka tsantsan
Ana buƙatar buƙatar saka idanu akan likita na yau da kullun da daidaitawar sashi tare da haɗin amfani da telmisartan da magunguna masu zuwa:
- asfirin;
- digoxin;
- furosemide;
- kwayoyi masu dauke da lithium;
- barbiturates;
- corticosteroids.
Analogs
Sauya Telzap tare da kwayoyi masu kama a cikin abun da ke ciki da sakamako:
- Labarun
- Mikardis;
- Telsartan;
- Lozap.
Yanayin hutu Telzap 40 MG daga magunguna
Za a iya siyan Telzap a kantin magani ta sayan magani.
Zan iya siye ba tare da takardar sayan magani ba
An hana magunguna a cikin wannan rukunin sayarwa ba tare da takardar sayan magani ba.
Farashi
Kudin allunan shine 450-500 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Adana magungunan zazzabi da basa wuce + 25 ° C.
Ranar karewa
Amincewa da yanayin ajiya, Allunan suna da rayuwar shiryayye na shekaru 2.
Mai samar da Telzap 40 MG
Kamfanin samar da magunguna an samar da shi ne a Turkiyya ta kamfanin magunguna "Zentiva Saglik Urunlegi Sanai ve Tijaret".
Neman bita game da Milza 40 MG
Likitoci
Ekaterina, likitan zuciya, ƙwarewa a cikin aikin likita - shekaru 11
Telzap ya kafa kansa a matsayin ingantaccen magani mai amfani a amfani. Tana da dogon aiki, karancin sakamako kuma tana da araha.
Vladislav, likitan zuciya, ƙwarewa a cikin aikin likita - shekaru 16
Wadannan kwayoyin suna taimakawa kawar da alamun cututtukan zuciya da rage hadarin bugun jini da bugun zuciya. Wani muhimmin fasali na allunan shine karamin adadin contraindications. Magungunan sun yarda da tsofaffi marasa lafiya da kuma mutane masu fama da ciwon sukari na 2
Marasa lafiya
Polina, shekara 52, Ufa
Ina fama da cututtukan zuciya. Don hana rikice-rikice, likita ya ba da izinin Telzap. Nayi daidai da shawarar mai ilimin likitan zuciya. Na ji dadi, babu wasu sakamako masu illa.
Valery, dan shekara 44, Asbest
Ni mai ciwon sukari ne (nau'in ciwon sukari 2). Daga cikin allunan da aka tsara, akwai Telzap. Likita ya yi gargadin cewa dole ne a kula da matakin sosai. Bugu da kari, yawancin lokuta ina bincika matakin cutar glycemia. Na gamsu da sakamakon zuwa yanzu.
