Magungunan Irmed: umarnin don amfani

Cutar jiki magani ne wanda ake amfani dashi wajen maganin hauhawar jini da sauran cututtukan zuciya da jijiyoyin jini wadanda ke hade da kara matsa lamba a cikin jijiya. Idan aka yi amfani da shi ba tare da kyau ba, zai iya haifar da sakamakon haɗari ga rayuwa, saboda haka zaku iya fara shan maganin kawai da izinin likita.

Sunan kasa da kasa mai zaman kansa

Lisinopril - sunan abu mai amfani da miyagun ƙwayoyi.

Cutar cuta ce wacce ake amfani da ita wajen maganin hauhawar jini da sauran cututtukan zuciya da jijiyoyin jini.

ATX

С09АА03 - lambar don rarrabuwa-maganin warkewa-sunadarai.

Saki siffofin da abun da ke ciki

Magungunan suna da nau'in sakin kwamfutar hannu. Abun kowane kwamfutar hannu ya hada da:

• lisinopril dihydrate (10 ko 20 mg);
• mannitol;
• dankalin dankalin turawa;
• alli phosphate dihydrate;
• baƙin ƙarfe oxide rawaya;
• silicon dioxide anhydrous;
• pregelatinized sitaci dankalin turawa;
• magnesium stearate.

Allunan ana ba da su a cikin sel-30 polymeric sel, waɗanda aka sanya su cikin kwali a kwantena tare da umarnin.

Aikin magunguna

Lisinopril shine mai hana ACE wanda ke da waɗannan kaddarorin:

• yana ƙaruwa da adadin vasodilator prostaglandins;
• yana rage jinkirin halayen sunadarai yayin wane nau'in 1 angiotensin wanda aka canza zuwa nau'in angiotensin 2, wanda ke ba da gudummawa ga haɓakar hawan jini;
• yana rage vasopressin da endothelin, waɗanda ke da kaddarorin vasoconstrictor;
• yana rage juriya da magance karfin jijiyoyin bugun jini;
• normalizes da contractile aiki na zuciya tsoka, qara haƙuri da zuciya ga danniya a cikin mutane da zuciya rashin cin nasara;
• Tana da tasirin gaske, wanda yake kalla a rana;
• yana hana ayyukan renin-angiotensin tsarin myocardium, yana hana toshewar tsokoki na haɓaka da haɓaka ventricle hagu;
• rage matsin lamba a cikin abubuwan huhu;
• rage yawan mutuwar a cikin marasa lafiya da suka kamu da cutar ta myocardial infarction, matsanancin damuwa na zubar jini a cikin manyan jijiyoyin jini ko cututtukan zuciya.

Irumed normalizes aikin kwangila na zuciya tsoka.

Pharmacokinetics

Lokacin amfani da nau'in kwamfutar hannu na Irumed, abu mai aiki da sauri ya shiga cikin tsarin jini. Cin abinci ba ya sauya sigogin magunguna na lisinopril. Mafi yawan abubuwan da ke cikin jini an ƙaddara su bayan sa'o'i 6. Lisinopril baya hulɗa tare da abubuwan haɗin plasma kuma baya metabolized. Magunguna tare da fitsari ba su canzawa. Rabin kashi ana sarrafa shi yana barin jiki a cikin awanni 12.

Abin da aka wajabta

Alamu game da nadin Irumed sune:

• hauhawar jini (a matsayin wakili na warkewa ko kawai tare da wasu kwayoyi);
• rauni na zuciya (na hade tare da diuretics ko cardiac glycosides);
• yin rigakafi da lura da infarction na myocardial (a ranar farko, ana gudanar da maganin don kula da sigogin hemodynamic da hana girgiza zuciya);
• lalacewar koda (don rage yawan albumin da aka fitar a cikin fitsari a cikin mutane masu nau'in 1 da nau'in 2 na ciwon sukari).

An nuna fashewa da gajiyawar zuciya.

An wajabta Iramed don lalata cutar koda.

Harshen Quincke wanda aka canzawa baya shine saba wa alƙawarin Yin Irumed.

Contraindications

Ba ayi masa magani ba:

• halayen rashin lafiyan ga lisinopril da sauran hanawar ACE;
• gabata na edema na Quincke wanda ya haifar da shan magungunan antihypertensive;
• kwayoyin halittar angioedema;
• na lokaci guda na gudanar da magunguna dangane da aliskiren.

Tare da kulawa

Abubuwan da ke alaƙa da amfani da magungunan antihypertensive sune:

• rarrashi kunkuntar na jirgin ruwan koda.
• ƙwayar ƙwayar koda na kwanan nan;
• matakan haɓakawa na nitrogen da potassium a cikin jini;
• na jijiyoyin wuya
• hana ciwon zuciya;
• jijiyoyin jini;
• damuwa damuwa a cikin kwakwalwa;
• bugun jini;
• lalacewar ƙwayar zuciya
• decompensated na kullum zuciya rashin nasara.
• raunuka nama na rauni;
• manne wa abincin da ba a da gishiri;
• rashin ruwa a jiki.
• rushewa da tsarin bashin jini;
• kasancewa a kan cutar kansa;
• Shirye-shiryen fara aikin tiyata ko aka jinkirta.

Abinda ya danganci amfani da miyagun ƙwayoyi shine bushewar ruwa.

Kasancewa a kan hemodialysis shine dangi na gaba da alƙawarin yin Irumed.

Ba'a sanya magani ba don cutar raunuka guda biyu na zuciya.

Stroke contraindication ne don amfanin Irumed.

Tare da hypotension na jijiya, ba a sanya magani ba.

Ana amfani da allunan Iramed lokaci 1 a rana, suna lura da yanayin shigowa.

Yadda ake ɗaukar Irumed

Ana amfani da Allunan sau 1 a rana guda ɗaya, lura da tsarin shigarwar. Sashi ya dogara da nau'in cutar sankara:

1. Cutar hauhawar jijiya - a cikin farkon makonni na jiyya yana ɗaukar 10 MG kowace rana. Daga makonni 3, kashi yana farawa zuwa hankali a hankali zuwa kashi na tabbatarwa (20 MG). Yana iya ɗaukar akalla wata guda don inganta tasirin sakamako. Idan bayan wannan lokacin ba a lura da sakamako mai kyau ba, dole ne a maye gurbin maganin.
2. Renovascular hauhawar jini - fara farawa tare da 2.5-5 MG kowace rana. Ana haɗuwa da jiyya tare da aikin aikin koda.
3. Rashin bugun zuciya - kafin shan Magana, suna rage kashi na magungunan da aka sha a baya. Jiyya yana farawa da gabatarwar 2.5 mg na lisinopril kowace rana. A nan gaba, kashi na yau da kullun yana ƙaruwa zuwa 10 MG.
4. Babban myocardial infarction - ɗauki 5 MG a rana ta farko, ana yin daidai ɗin ɗin ana yin sa'o'i 48 bayan aikace-aikacen farko. A nan gaba, ana shan maganin a 10 MG kowace rana don kwanaki 45.

Tare da ciwon sukari

Nau'in 1 da nau'in masu ciwon sukari na 2 suna ɗaukar 10 mg na lisinopril kowace rana.

Sakamakon sakamako na Irumed

Gastrointestinal fili

Rashin narkewa na narkewa yayin ɗaukar Irumed, an bayyana su:

• bushe bakin
• yawan tashin zuciya da amai;
• rage cin abinci;
• lalacewar farji;
• rikicewar dyspeptic;
• jalestice cholestatic;
• kumburi da hanta;
• zafin ciki.

Alamomin akai-akai bayan shan kwayoyin suna dauke da zafin ciki.

Shan maganin yana iya hade da kumburin hanta.

A kan asalin shan miyagun ƙwayoyi, hare-hare na tashin zuciya da amai na iya faruwa.

Yayin shan Irumed, za a iya lura da rage yawan ci.

Irmed yana ba da gudummawa ga ci gaban anemia.

Sakamakon magani a cikin kwakwalwa yana bayyana ta matsalolin barci.

Yayin aikin jiyya, an lura da abin da ya faru irin wannan halayen mara kyau kamar cakudawar ƙwayoyin maraƙi.

Hematopoietic gabobin

A miyagun ƙwayoyi na iya ba da gudummawa ga lalacewar halayen jini da haɓaka da jini. Tare da yin amfani da dogon lokaci, anaemia yana haɓakawa kuma yana rage jini da jini.

Tsarin juyayi na tsakiya

Tasirin lisinopril akan kwakwalwa yana bayyana:

• canjin yanayi;
• rage ji na jiki;
• matsala barci;
• spasms na maraƙin ƙwayoyin maraƙi;
• rauni na tsoka.

Daga tsarin numfashi

A bangon gaba da shan miyagun ƙwayoyi, zazzagewa daga asma da gajeriyar numfashi na iya faruwa.

Daga tsarin zuciya

Alamun lalacewar zuciya da jijiyoyin jini wanda ke faruwa yayin shan Irum:

• matsanancin bugun kirji;
• raguwa cikin yaduwar jini;
• raguwa mai kaifi a cikin karfin jini;
• rushewar orthostatic;
• bradycardia;
• tachycardia;
• cin zarafin atrioventricular hanya;
• infarction na zuciya.

A bango na ɗaukar Irumed, bradycardia na faruwa.

Shan Irumed na iya haifar da tachycardia.

Bayan sun sha maganin, wasu marasa lafiya suna haɓaka infarction na zuciya.

An nuna rashin lafiyan ga miyagun ƙwayoyi ta hanyar rashes a cikin hanyar urticaria.

Shan maganin yana iya kasancewa tare da amafani da amarslactic.

Lokacin amfani da maganin, zaku iya haɗuwa da irin wannan bayyanar bayyanar mara kyau kamar zafin zuciya.

A bangon da shan miyagun ƙwayoyi, hare-haren asma na fata na iya faruwa.

Daga gefen metabolism

Lokacin ɗaukar Irumed, matakan jini na sodium, potassium, da bilirubin na iya ƙaruwa. Ayyukan hematic transaminases da wuya canje-canje.

Cutar Al'aura

An nuna rashin lafiyan ga miyagun ƙwayoyi:

• busa fuska da maƙogwaro;
• itching da redness na fata;
• rashes a cikin hanyar urticaria;
• amafflactic rawar jiki.

Tasiri kan ikon sarrafa abubuwan inji

A miyagun ƙwayoyi na iya haifar da dizziness, wanda ke rage taro. Sabili da haka, yayin lokacin jiyya, kuna buƙatar dena yin aiki tare da na'urori masu rikitarwa.

Umarni na musamman

Yi amfani da tsufa

A cikin lura da hauhawar jini a cikin mutane sama da 65, ana amfani da allunan tare da taka tsantsan.

Aiki yara

Abinda ke hana yin amfani da Irumed shine shekarun yara (har zuwa shekaru 18).

Lokacin da ciki ya faru, jiyya tare da Irumed an dakatar da shi nan da nan.

Iramed zai iya yin mummunan tasiri kan yanayin yarinyar, saboda haka ba za ku iya shan Allunan ba yayin shayarwa.

Abinda ke hana yin amfani da Irumed shine shekarun yara (har zuwa shekaru 18).

A cikin lura da hauhawar jini a cikin mutane sama da 65, ana amfani da allunan tare da taka tsantsan.

Lokacin amfani da babban adadin lisinopril, hawan jini ya ragu sosai.

Jiyya wani yawan abin sha daga cikin magunguna ya kunshi gudanar da aikin kwalliyar ruwan sha.

Yi amfani da lokacin daukar ciki da lactation

Lokacin da ciki ya faru, jiyya tare da lisinopril an dakatar da shi nan da nan. Abubuwan da ke aiki mai narkewa cikin madara kuma suna iya cutar da yanayin yaro sosai, don haka bai kamata ku sha Allunan ba yayin shayarwa.

Aikace-aikacen aiki mara kyau

Tare da raunin ƙwayar cuta mai mahimmanci, ɗaukar miyagun ƙwayoyi yana buƙatar kulawa da mahimmancin sigogi.

Amfani don aikin hanta mai rauni

A cikin cututtukan hanta mai tsanani, ba a sanya magani ba.

Yawan yawaitar Irumed

Lokacin amfani da babban kason na lisinopril, hawan jini ya ragu sosai, rushewar orthostatic yana tasowa. Akwai riƙe fitsari da feces, tsananin kishirwa. Babu wani abu da zai dakatar da sakamakon lisinopril. Jiyya ya ƙunshi yin amfani da sihirin da abubuwan maye, maganin shayarwa.

Za'a iya cire maganin ta hanyar maganin hemodialysis.

Yin hulɗa tare da wasu kwayoyi

Tare da amfani da lokaci daya na Irumed da:

• potassium-sparing diuretics da kuma cyclosporine yana ƙaruwa da yiwuwar lalacewar koda;
• beta-blockers yana haɓaka tasirin sakamako na lisinopril;
• shirye-shirye na lithium, kawar da na ƙarshen jinkirin;
• antacids, sha daga cikin antihypertensive miyagun ƙwayoyi ne mai illa;
• magunguna masu rage sukari suna kara hadarin cututtukan jini;
• magungunan anti-mai kumburi ba na hormonal ba yana rage karfin ingancin lisinopril.

Amfani da barasa

Yawan shan barasa yayin jiyya yana cutar da tsarin narkewa, tsarin juyayi da tsarin juyayi.

Analogs

Misalin magunguna na Irumed sune:

• Lisinopril;
• Diroton;
• Lisinotone;
• Lysiprex;
• Lysigamma.

Magunguna kan bar sharuɗan

Zan iya siye ba tare da takardar sayan magani ba

Ba zai yiwu a iya sayen magunguna ba tare da takardar sayan magani.

Farashi

Matsakaicin farashin 30 Allunan shine 220 rubles.

Yanayin ajiya na miyagun ƙwayoyi

Allunan an adana su a cikin sanyi, wuri mai bushe, ana kiyaye shi daga fuskantar haske.

Ranar karewa

Za a iya amfani da shi tsakanin watanni 36 daga ranar da aka ƙera shi.

Mai masana'anta

Kamfanin kera magunguna na kamfanin Belupo ne da ke kasar Croatia.

Tsarin kwalliyar Tsarin Ciki shine magani na Lisinopril.

Abubuwa masu canzawa tare da irin wannan hanyar aikin sun haɗa da miyagun ƙwayoyi Lysinoton.

Diroton yana da irin wannan sakamako a jiki.

Kuna iya maye gurbin maganin tare da magani kamar Lysigamma.

Nasiha

Sofia, shekara 55, Moscow: "Na dade ina fama da hauhawar jini. Matsin lamba a lokaci-lokaci yana tashi, wanda ke haifar da ciwon kai da rauni .. Bana son shan magunguna, don haka sai na gwada magunguna daban-daban na abinci wadanda basa bayar da sakamako .. Likitan likitan ya shawarci allunan allura. Na ga sakamako mai kyau a cikin wata daya. Kimanin rabin shekara an tsayar da matsin lambar a cikin iyaka. "

Tamara, mai shekara 59, Narofominsk: “Mama ta dade tana fama da cutar sankara, kuma saboda tsufa, cutar ta fara rikitar da jijiyoyin jini da kodan.Rashin matsin lamba yana ƙaruwa koyaushe, saboda abin da mahaifiyarta take yawan zuwa asibiti. Likita na likitan zuciya ya shawarce ni in sayi allunan Iramed. Mahaifiyata ce take shan maganin. "Sau ɗaya a rana - wannan ya isa don kula da matsin lamba na yau da kullun. Wannan magani mara tsada baya haifar da sakamako masu illa."