A cikin lura da hauhawar jini, likita na iya nada Telmista 40 MG. Hakanan ana amfani da maganin azaman prophylaxis na cututtuka da rigakafin mace-mace a cikin mutanen da ke da haɗarin cutar zuciya da ƙananan shekaru 55 da haihuwa.
Sunan kasa da kasa mai zaman kansa
Sunan da ba kasuwanci na miyagun ƙwayoyi shine Telmisartan. Hakanan ana kiran aikin aiki na miyagun ƙwayoyi, kuma a cikin girke-girke an nuna shi a Latin - Telmisartanum.
A cikin lura da hauhawar jini, likita na iya nada Telmista 40 MG.
ATX
C09CA07 Telmisartan
Saki siffofin da abun da ke ciki
Ana samun magungunan a cikin nau'ikan allunan 40 MG. Baya ga mai amfani da telmisartan mai aiki, abun da ke ciki ya ƙunshi kayan taimako:
- meglumine;
- lactose monohydrate;
- povidone K30;
- sodium hydroxide;
- sihiri;
- magnesium stearate.
Allunan cike suke da fim, suna biconvex, suna da sihiri mai kyau da launin fari. A cikin kunshin kwali, ana iya samun adadin kwamfutoci daban - 7 ko guda 10. a cikin 1 blister: 14, 28, 30, 56, 60, 84, 90 ko 98 Allunan.
Aikin magunguna
A miyagun ƙwayoyi yana da ikon daidaita al'ada hawan jini. A cikin marasa lafiya, duka systolic da diastolic hawan jini yana raguwa, yayin da Allunan ba sa shafar bugun zuciya.
Telmisartan takamaiman mai adawa ne na masu karɓar angiotensin 2. Yana haɗu da haɗin kawai tare da masu karɓar AT1, ba tare da tasiri da sauran hanyoyin ba. Ta hanyar waɗannan masu karɓar, angiotensin II yana haifar da tasirin sa a kan tasoshin, yana taƙaita su kuma yana haifar da ƙaruwa cikin matsin lamba. Telmisartan baya yarda angiotensin II ya shafi tsarin zuciya, yana raba shi daga mahaɗin da mai karɓa.
A miyagun ƙwayoyi yana da ikon daidaita al'ada hawan jini.
Haɗin haɗin da ke tattare da telmisartan tare da masu karɓa na daɗewa, saboda haka tasirin maganin zai iya zuwa awowi 48.
Aiki mai aiki na Telmista yana rage yawan aldosterone a cikin jini, amma baya hana renin da ACE.
Pharmacokinetics
Abun yana cikin hanzarin tunawa lokacin da aka sha shi a baki, gangar jikinsa shine kashi 50%. Magungunan yana da tsawon rabin rayuwa, ya wuce awanni 24. An kirkiro metabolites sakamakon haɗuwa tare da glucuronic acid, ba su da aikin magunguna. Juyin yana faruwa a hanta, to sai a fitar da kayan ta hanyar biliary fili a cikin hanji.
Alamu don amfani
An wajabta Telmista a cikin jiyya na hauhawar jini. Hakanan, ana amfani da miyagun ƙwayoyi azaman prophylaxis na cututtukan zuciya da na jijiyoyin jiki da rage mace-mace sakamakon haɓakarsu. Likita ya tsara allunan idan ya lura cewa mai haƙuri yana cikin haɗari saboda wani abu na sannesis, salon rayuwa da gado.
An wajabta Telmista a cikin jiyya na hauhawar jini.
Contraindications
Ba a wajabta Telmista ba don marasa lafiya tare da rikice-rikice zuwa manyan abubuwan da keɓaɓɓen taimako. Hakanan an sanya magungunan a cikin wasu yanayi:
- rauni mai yawa na hanta;
- bile karkatarwa;
- hypolactasia da fructose malabsorption;
- ciki da lactation.
Kada a rubanya magani yayin shan Fliskiren ta masu ciwon sukari tare da cutar koda.
Tare da kulawa
Idan mai haƙuri yana da hauhawar jini ta hanji saboda ƙarancin ƙwayar jijiya a garesu, shan miyagun ƙwayoyi na iya ƙara haɗarin mummunan hauhawar jini ko aikin nakasa mai aiki. Sabili da haka, yakamata a duba likita kuma a gyara idan ya cancanta.
A cikin gazawar koda, maganin yana tare da saka idanu akai-akai na plasma creatinine da electrolytes. Tare da taka tsantsan, an wajabta magunguna don:
- stenosis na aorta, aortic da mitral valve;
- matsataccen aiki na hanta;
- mummunan cututtuka na CVS, ciki har da cututtukan zuciya;
- rikicewar cututtukan gastrointestinal (alal misali, cututtukan peptic na ciki ko duodenum);
- hyponatremia da hauhawar jini yana yaduwa a sakamakon shan jini, tare da gudawa ko amai.
A cikin marasa lafiya tare da hyperaldosteronism na farko, ba a sanya magani ba saboda gaskiyar cewa tasirin warkewa yana nan ko kuma an ɗan bayyana shi.
Yadda za a ɗauki Telmista 40?
Ana ɗaukar allunan a baki, ko da abincin. Ya kamata a wanke magungunan da ruwa mai tsabta.
An tsara sashin ne ta hanyar likita bisa ga tarihin haƙuri. A cikin lura da hauhawar jini, mafi ƙarancin farko wajan girma shine kwamfutar hannu 1 wacce ke ɗauke da nauyin 40 na abu a rana. Idan babu sakamako mai mahimmanci, likita zai iya daidaita sashi ta hanyar kara shi zuwa allunan 2 na 40 MG kowace rana.
Tunda ana samun sakamako bayan watanni 1-2, bai kamata a ɗaga batun gyaran kashi ba daga kwanakin farko na jiyya.
Idan manufar shan maganin shine hana ci gaban cututtukan zuciya da na jijiyoyin jiki, shawarar da aka bayar shine 80 MG kowace rana.
Shan maganin don ciwon sukari
Lokacin da yake rubuta magani ga mai haƙuri da ciwon sukari, likita dole ne ya tuna yiwuwar latent hanya na cututtukan zuciya na zuciya a cikin irin wannan mai haƙuri. Sabili da haka, kafin fara magani, ya kamata a tura mai haƙuri don bincike don gano cututtukan ƙwayar jijiyoyin zuciya.
Idan ana yin haƙuri da ciwon sukari tare da insulin ko rage ƙwayar sukari a cikin jini, shan telmisartan na iya haifar masa da cutar kansa. Sabili da haka, yana da mahimmanci a kula da matakan glucose na jini a kai a kai kuma, idan ya cancanta, canza kashi na magungunan munafukai.
Ana ɗaukar allunan a baki, ko da abincin.
Side effects
A cikin nazarin illolin da ba a ke so, ba a aiwatar da daidaituwa tare da shekaru, jinsi da tsere. Lokacin da aka tantance ƙididdigar dakin gwaje-gwaje, an gano ƙananan matakan haemoglobin a cikin jini, kuma a cikin masu ciwon sukari, an kuma lura da cutar hypoglycemia. A lokaci guda, an sami karuwa a cikin uric acid, hypercreatininemia da kuma karuwa a cikin CPK a cikin jini. A lokuta da dama, ana ganin rikicewar gani.
Gastrointestinal fili
Abubuwan da ba a ke so ba a cikin tsarin narkewa sun haɓaka cikin ƙasa da 1% na lokuta. Waɗannan sune rikicewar dyspeptik, rashin jin daɗi da ciwon ciki, tashin zuciya, amai da gudawa. Wasu marasa lafiya sun lura da bushe bushe, canji na ɗanɗano, da haɓaka haɓakar gas. A cikin Jafananci, akwai lokuta da ke tattare da aiki hanta.
Hematopoietic gabobin
Rage matakan haemoglobin na iya haifar da alamun cutar hauka. A cikin jini, raguwar adadin platelet da karuwar eosinophils mai yiwuwa ne.
Tsarin juyayi na tsakiya
Karɓar Telmista wani lokacin (ƙasa da 1% na lokuta) na iya kasancewa tare da rashin bacci, damuwa da halin rashin ƙarfi. A lokacin jiyya, jin zuciya, ciwon kai da kasala na iya haɓaka.
Daga tsarin numfashi
Wani lokacin za'a iya samun raguwar juriya ga cututtukan da ke shafar huhun hanji. Sakamakon haka, alamomin da ke kama da mura sun bayyana, kamar tari ko gazawar numfashi. Kwayar cutar kumburi da kumburin huhu na iya haɓaka.
A ɓangaren fata
Shan Telmisartan na iya haifar da yawan cututtukan fuka, eczema, fatar fata (magani ko mai guba) da itching.
Telmisartan na iya haifar da erythema.
Daga gefen tsarin rigakafi
Abubuwan da ke tattare da rigakafi sun bayyana sau da yawa azaman cutar kansa. Wadannan na iya zama bayyana ga fata kamar su cutar urticaria, edema ko erythema. Lokacin da irin waɗannan bayyanar cututtuka suka bayyana, yana da gaggawa a tuntuɓi motar asibiti, saboda edema na Quincke na iya haifar da mutuwa.
Daga tsarin zuciya
A cikin wasu marasa lafiya, an yi canje-canje a cikin bugun zuciya - bradycardia ko tachycardia. Tasirin antihypertensive wani lokacin yakan haifar da raguwa mai yawa a cikin karfin jini da hauhawar jini na orthostatic.
Daga tsoka da kashin haɗin kai
Wasu marasa lafiya sun lura da jin zafi a cikin gidajen abinci (arthralgia), tsokoki (myalgia) da jijiyoyin ƙwaƙwalwa yayin jiyya. Da wuya a sami ciwo a cikin baya da kafafu, katsewa na tsokoki na kafa da alamomin kama da alamun ci gaban kumburi a cikin jijiyoyin.
Daga tsarin kare jini
Rage haƙuri ga ƙananan ƙwayoyin cuta na iya haifar da haɓakar kamuwa da cuta na tsarin ƙwayar cuta, alal misali, cystitis. Daga gefen kodan, an gano keta haddin ayyukansu har zuwa ci gaban lalacewar cutar koda.
Cutar Al'aura
Tare da rashin lafiyar da ba a bincika abubuwan da ke cikin maganin ba, halayen anaphylactic zai iya haɓaka, wanda aka bayyana a cikin raguwar hauhawar jini da haɓakar Quincke. Waɗannan halayen suna buƙatar kulawa da lafiya na gaggawa. Wani lokacin magani zai iya haifar da itching, fitsari, da jan launi akan fata.
Tare da rashin hankalin da ba a gano shi ba ga abubuwan da ke cikin miyagun ƙwayoyi, halayen anaphylactic, wanda aka bayyana a matsayin edema na Quincke, na iya haɓaka.
Umarni na musamman
Wasu marasa lafiya suna buƙatar alƙawarin dakatarwa guda biyu, i.e., amfani da lokaci mai amfani da antagonist mai karɓar angiotensin tare da masu hana ACE ko Aliskiren (madaidaiciyar renin inhibitor). Irin waɗannan haɗuwa zasu iya haifar da rikicewa a cikin aikin kodan, don haka yakamata a haɗa tare da kulawa na likita da gwaje-gwaje na yau da kullun.
Amfani da barasa
A lokacin teburin magani, barasa yana contraindicated, kamar yadda zai iya inganta orthostatic hypotension.
Tasiri kan ikon sarrafa abubuwan inji
Kodayake babu wani bincike game da wannan batun, saboda yuwuwar haɓakar halayen masu kama da rashin ƙarfi irin su nutsuwa da farin ciki, mutum yakamata ya yi taka tsantsan da jan hankali yayin tuki ko lokacin aiki da hanyoyin. Idan mara lafiya ya lura da raguwa a cikin taro, to lallai yana buƙatar dakatar da aiki.
Yi amfani da lokacin daukar ciki da lactation
A miyagun ƙwayoyi yana da fetotoxicity da neonatal mai guba, sabili da haka, an contraindicated a duk tsawon lokacin gestation. Idan mai haƙuri ya yi shirin yin juna biyu ko kuma gano abin da ya fara, likitan zai ba da shawarar madadin magani.
Tare da lactation, shan allunan yana contraindicated saboda gaskiyar cewa babu wani bayani game da ikon abu don shiga cikin madara.
Alƙawarin Telmist don yara 40
Nadin telmisartan ga yara 'yan ƙasa da shekaru 18 ba a nuna su ba, tunda babu shaidar aminci da tasirin irin wannan ilimin.
Ba a nuna alƙawarin telmisartan na yara masu shekaru 18 ba.
Yi amfani da tsufa
Magungunan magunguna a cikin tsofaffi iri ɗaya ne da na matasa marasa lafiya. Sabili da haka, ana aiwatar da daidaituwa na sashi akan waɗancan cututtukan da ke gudana a cikin haƙuri.
Aikace-aikacen aiki mara kyau
Babu buƙatar gyaran sashi a cikin irin waɗannan marasa lafiya. Hemodialysis baya cire maganin, don haka lokacin da aka tsara shi, allurai shima baya canzawa.
Amfani don aikin hanta mai rauni
Tare da rama da ɓarnaɗar hanta, kashi na yau da kullun ya kamata ya zama ƙasa da 40 MG. Mai rikicewar mummunar hanta da yanayin hana rikicewar biliary fili sune contraindications wa alƙawarin.
Yawan damuwa
Magungunan ƙarin yawan adadin Telmista 40 ba a yi rikodin ba. Wucewa adadin da aka yarda da shi na iya haifar da raguwar hauhawar jini, haɓakar bradycardia ko tachycardia. Jiyya don irin wannan yanayin shine don taimakawa bayyanar cututtuka.
Wucewa adadin da aka yarda da shi na iya haifar da haɓakar bradycardia.
Yin hulɗa tare da wasu kwayoyi
Gudanarwa na lokaci guda na telmisartan tare da wasu magunguna don hauhawar jini yana haifar da ƙarfin aikin (ko karuwar haɗin gwiwa a cikin sakamako lokacin da ake rubuta hydrochlorothiazide). Idan an wajabta haɗin magungunan potassium-preservation, hyperkalemia na iya haɓaka. Saboda haka, tare da taka tsantsan, an tsara telmisartan a hade tare da masu hana ACE, abubuwan da ke dauke da abubuwan gina jiki na sinadarai, NSAIDs, Heparin da potassium-sparing diuretics.
Telmista na iya haɓaka matakan digoxin a cikin jiki. Barbiturates da magungunan kwantar da hankali suna kara hadarin matsalar orthostatic hypotension.
Analogs
Baya ga Telmista, wasu magunguna waɗanda ke ɗauke da telmisartan za a iya rubuta su:
- Mikardis;
- Telmisartan-SZ;
- Telzap;
- Firimiya;
- Tanidol;
- Labarun
- Telsartan.
Ana amfani da sauran masu karɓa na AT1 masu karɓa kamar analogues:
- Valsartan.
- Irbesartan.
- Azilsartan Medoxomil.
- Kayani
- Losartan.
- Fimasartan.
- Olmesartan Medoxomil.
- Eprosartan.
Duk canje-canje na miyagun ƙwayoyi ya kamata a yi a ƙarƙashin kulawar likita.
Sharuɗɗan hutu Telmista 40 daga kantin magunguna
Za'a iya siye magunguna kawai tare da takardar sayan magani.
Zan iya saya ba tare da takardar sayan magani ba?
Kantin kantin magani na bukatar takardar sayan magani daga likita, don haka sayen magani ba tare da takaddar ba zai yi aiki ba. Ta hanyar sayar da telmisartan ba tare da takardar sayan magani ba, mai harhada magunguna yana karya doka.
Farashi
Kudin ya dogara da adadin allunan kuma yana cikin kewayon 218-790 rubles. Matsakaicin farashin kowane fakitin allunan 28 shine 300 rubles.
Yanayin Adanawa 35m
Ya kamata a adana maganin a cikin rufaffiyar marufi a zazzabi a cikin dakin ba fiye da + 25 ° C. Dole ne ka tabbata cewa yaron ba zai iya samun maganin ba.
Ranar karewa
Shekaru 3 daga ranar da aka nuna akan kunshin. Bayan karewar kayan aiki baza'a iya amfani dashi ba.
Mai masana'anta
KRKA, Slovenia.
Neman bita akan Telmista 40
Magungunan, wanda aka tsara bisa ga alamu kuma ya dace da anamnesis, yana ba da sakamako tare da ƙarancin halayen marasa illa. An tabbatar da wannan ta hanyar bita.
Likitoci
Anna, 27 years old, therapist, Ivanovo.
Wani ingantaccen magani don lura da matakan 1 da 2 na hauhawar jini, musamman a cikin matasa marasa lafiya. Rayuwa rabin rai ya kai awanni 24, wannan yana tabbatar wa mai haƙuri da haɗarin shigar da haɗari. Kodayake amfani da 1 sau ɗaya kowace rana yana rage yiwuwar tsallakewa zuwa mafi ƙaranci. Magungunan yana da kyau saboda hanta ta cire shi, wanda ke nufin za'a iya tsara shi ga marasa lafiya da matsalolin koda. Harsashin hankali shine monotherapy don mataki na hauhawar jini na 3 ba shi da tasiri.
Denis, dan shekara 34, likitan zuciya, Moscow.
A matsayin monotherapy, yana jimre wa matakin farko na hauhawar jini, a hade tare da wasu kwayoyi yana da tasiri a karo na biyu. Ba a lura da mummunan halayen ba don shekaru 8 na aikin har ma tare da tsawan amfani. Yin bita mara kyau na iya hadewa da ƙoƙarin magani na kai tsakanin marasa lafiya.
Marasa lafiya
Elena, 25 years old, Orenburg.
Na sayi magani ga mahaifiyata, sakamakon ya kasance, amma sai fatarta da mucous membranes na idanu sun zama rawaya. Lokacin da suka je wurin likita, ya ce mahaifiyar Telmista ta haɗu. Ina bayar da shawarar da miyagun ƙwayoyi, tunda tasirin yana da kyau, amma ba na ba da maganin kai.
Nikolay, ɗan shekara 40, St. Petersburg.
Na dogon lokaci, sun dauki maganin tare da likita, kafin Telmists suyi zaɓin zaɓuɓɓuka 6 ko 7. Wannan magani kawai yana taimakawa, yayin da babu halayen da ba daidai ba ko da bayan watanni 2 na amfani. A dacewa, wannan liyafar sau 1 a rana. Hanyar ba ta da arha, amma magani tana da inganci, kuma lafiyar ta fi mahimmanci.
