Captopril 25 shine mai hana ACE amfani da hadaddun hanyoyin magance cutar hawan jini. Magunguna yana da ɗan gajeren mataki kuma ba'a amfani dashi don maganin dindindin na hauhawar jini.
Sunan kasa da kasa mai zaman kansa
Kyaftin (Kaptopril).
Captopril 25 shine mai hana ACE amfani da hadaddun hanyoyin magance cutar hawan jini.
Wasanni
Co 9AA01 Captopril.
Saki siffofin da abun da ke ciki
Allunan suna da fararen launi, ƙamshi na musamman, siffar-ɗakin silima. Daga cikin masu toshe, magungunan sun shahara ga iyawarta don rage juriya da bugun jini a jikin ganuwar jijiya.
Abubuwan da ke aiki suna ƙunshe cikin adadin 25 MG.
Siffar saki - Allunan, 25 MG, 10 inji mai kwakwalwa. Kunshin kwano, tantanin halitta, sanye take da umarni don amfani. Guda 20. Allunan an tattara su a cikin tukunyar da aka sanya a cikin kwali.
Ana samar da miyagun ƙwayoyi a kashi 12.5 MG da 50 MG. Magungunan ya ƙunshi ƙungiyar sulfhydryl wanda ke hana lalacewar myocardium.
Magungunan ya ƙunshi ƙungiyar sulfhydryl wanda ke hana lalacewar myocardium.
Aikin magunguna
Magungunan yana kawar da ayyukan ACE, a sakamakon haka, ƙimar canjin enzyme I zuwa angiotensin II, wanda ke da tasirin vasoconstrictor, yana raguwa.
A cikin adrtal bawo, samar da aldosterone yana ƙaruwa. Magungunan yana shafar tsarin kinin-kallikrein, yana kiyaye bradykinin.
Pharmacokinetics
Bayan amfani da kashi ɗaya na wakili mai guba, an cire kashi 75% na maganin daga narkewa. Cin abinci yana shafar shaye shayen, rage tasirinsa da kashi 40%.
A cikin jini (plasma) na jini, maganin yana danganta ga sunadarai (albumin) kuma an kebe shi a cikin madara.
Magungunan yana karyewa a cikin hanta hanta, yana samar da wadannan mahadi:
- lalata dimin abu mai aiki;
- cysteine disulfide.
Abubuwan da aka lalata ba su da aiki. Rabin rayuwar miyagun ƙwayoyi bai wuce awanni 3 ba. Tare da gazawar koda, ƙwayar ta tara a jikin mutum, a sakamakon haka, haɗuwar urea da creatinine a cikin ƙwayar jini yana ƙaruwa.
Abinda Captopril ya taimaka 25
Ana nuna wakilin sinadarai ga cututtuka irin su:
- hauhawar jini (a matsayin wani ɓangare na haɗakar magani);
- wani canji a cikin aikin ventricular hagu saboda lalacewa ta ƙasa;
- mai ciwon sukari mai ciwon sukari;
- bugun zuciya.
Umarnin don yin amfani da wakili na warkewa yana nuna alamar anti-ischemic, sakamakon jijiyoyin bugun. Ana amfani da miyagun ƙwayoyi don ba da kulawa ta gaggawa don kara karfin jini a matakin prehospital.
Ana amfani da miyagun ƙwayoyi don ba da kulawa ta gaggawa don kara karfin jini a matakin prehospital.
Nawa ne matsa lamba ke raguwa
ACE inhibitors har zuwa 150 MG kowace rana, wanda aka yi amfani dashi a cikin maganin gargajiya tare da glycosides na zuciya da diuretic, rage haɗarin mutuwa da 40%.
Yawan farawa daga 6.25 MG sannu a hankali yakan tashi zuwa 25 MG sau 2-3 a rana. Don hana raguwa a cikin karfin jini, haɓaka yawan adadin miyagun ƙwayoyi da aka ɗauka ana yin su na kwanaki da yawa (ana iya yin amfani da kashi biyu cikin haɓaka tare da karfin jini na systolic sama da Hg 90 mm Hg kuma ba fiye da 1 lokaci a mako).
Manyan sassan miyagun ƙwayoyi da sauri suna rage karfin jini, amma suna haifar da haɓaka sakamako masu illa, har zuwa lalatawar jini ko bugun jini.
Contraindications
Ba a sanya magani ba idan bayanai kan cututtuka irin su:
- girgiza anaphylactic (tarihi);
- rashi mai aiki;
- cutar hawan jini;
- kamuwa da cutar koda;
- kunkuntar bakin aorta;
- mitral valve stenosis;
- hepatitis;
- cirrhosis na hanta;
- jijiyoyin jini;
- cardiogenic rawar da myocardial infarction.
Ba a ba da magani ba idan aka nuna bayani game da aikin nakasa mai rauni a tarihin likita.
Hypotension da kuma farkon bayyanar cututtuka na renal dysfunction ba cikakkar contraindications wa alƙawarin da miyagun ƙwayoyi.
Suturar Captopril 25
Ana amfani da miyagun ƙwayoyi a baki a 6.25-12.5 mg sau 2-3 a rana. Idan ba zai yiwu ba a cimma sakamako mai yuwuwar, ana samun adadin magunguna zuwa 25-30 MG kuma ana shan shi sau 3 a rana. Matsakaicin adadin yau da kullun shine 150 MG.
Tare da infarction myocardial
An tsara miyagun ƙwayoyi a farkon matakan, yana da sakamako masu zuwa:
- yana rage nauyi a zuciya;
- rage hadarin cutar fibrosis;
- normalizes endothelial aiki;
- yana kunna masu karɓar peptide wanda ke lalata tasoshin jini.
Magungunan sun bugu a ƙarƙashin kulawar karfin jini na makonni 5. Bayan ɗaukar magunguna, ana lura da mafi girman tasirin sakamako bayan sa'o'i 3-5.
Maganin farko na maganin shine 6.25 MG.
An wajabta magunguna don kwanaki 3-16 bayan tsananin infarction myocardial m. Bayan sa'o'i 2, ana kara yawan adadin inhibitors na ACE zuwa 12.5 MG kuma ana shan shi sau 3 a rana.
Jiyya yana da tsayi, ana aiwatar da shi a ƙarƙashin ikon hawan jini (matsi na systolic haƙuri bai kamata ya faɗi ƙasa da 100 mm Hg ba. Art.).
Captopril, wanda aka ba da wuri, yana taimakawa rage yawan tashin zuciya.
A karkashin matsin lamba
Maganin farko na maganin shine 25 MG 2 sau a rana. Idan buƙatar ta tashi, an ƙara adadin ƙwayar don kwanaki 14-28 har sai an sami sakamako na asibiti.
Tare da hauhawar jini na digiri na I-II, ana gudanar da jiyya ta amfani da inhibitors na ACE a ƙimar 25 mg 2 sau a rana. Matsakaicin adadin maganin yau da kullum shine 100 MG.
A cikin hauhawar jini, ana ba da izinin magani na 30 MG sau 3 a rana. Lokacin da yake rubuta magani, haɗarin raguwa cikin hawan jini yana ƙaruwa idan mara lafiya yana fama da matsanancin rauni na zuciya, yana da ƙarancin jini.
A cikin raunin zuciya
Don lura da raunin zuciya, ana bada shawarar magani idan magani tare da diuretics bashi da tasiri a asibiti. Maganin farko shine 6.25 mg sau 3 a rana.
Yawan kiyayewar maganin ba ya wuce 25 MG sau 3 a rana.
Matsakaicin adadin mai toshe shine 150 MG kowace rana.
Tare da ciwon sukari nephropathy
Game da aiki na nakasa mai rauni, wanda aka haɓaka a cikin haƙuri tare da ciwon sukari mellitus, tare da keɓancewar creatinine na 30 ml / min, an tsara maganin a kashi 75-100 mg / rana.
Magungunan sun bugu a matsanancin matsin lamba 1 sa'a kafin cin abinci.
Yadda ake ɗaukar captopril 25
Magungunan sun bugu a matsanancin matsin lamba 1 sa'a kafin cin abinci. Hanyar aikace-aikacen wakili na warkewa ya dogara da yanayin mai haƙuri.
Ba a ba da shawarar kwamfutar hannu yin niƙa ko cizo ba.
Ana wanke magungunan da ruwan 125 na ruwan da aka dafa.
A karkashin harshe ko sha
Tare da rikicewar hauhawar jini, zaku iya sanya kwamfutar hannu a ƙarƙashin harshen. Bayan shan 6.25 MG ko 12.5 na maganin, ana auna karfin jini bayan minti 30 na tsawon awanni 3. Tare da karuwa a cikin kashi, ana bada shawara don sarrafa matsin lamba 1 sa'a bayan gudanarwa.
Sau nawa zan iya sha
Likita ne ya saita tsarin sashi. Matsakaicin adadin maganin ba ya wuce 300 MG kowace rana. Theara yawan kashi yana haifar da lalacewa a cikin lafiyar mutum mai haƙuri da haɓaka sakamako masu illa.
Har yaushe ze dauka?
Matsin lamba yana raguwa sa'o'i 1-1.5 bayan amfani da kashi ɗaya na miyagun ƙwayoyi. Sakamakon magani mai zurfi yana faruwa makonni 8 bayan yin amfani da magunguna na yau da kullun.
A tsarin likita na Captopril 25 likita ne ya ƙaddara shi.
Side effects
Sakamakon rikice-rikice na allunan ba su shafi haɗuwarsa a cikin jerin mahimman magunguna ba, saboda an ambaci maganin a cikin bayanan Pubucol sau 12,500.
Gastrointestinal fili
Lokacin amfani da maganin, zaku iya haɗuwa da irin waɗannan bayyanannun bayyanannun abubuwa kamar:
- tashin zuciya
- rashin ci;
- canjin ɗanɗano;
- zafin epigastric;
- maƙarƙashiya
- hepatitis;
- kumburin koda;
- keta cinikin bile;
- fata mai ƙyalli;
- tashin hankali a cikin madaidaiciyar hypochondrium.
Hematopoietic gabobin
Abubuwa na yau da kullun bayan amfani da miyagun ƙwayoyi ana ɗauka su zama:
- anemia;
- raguwa cikin ƙididdigar platelet;
- ƙananan matakan keɓaɓɓun jini a cikin jini.
Matsakaicin yawan maganin a cikin mutane sama da 65 yana haifar da raguwa a cikin adadin ƙwayar farin jini, haɓaka mai saurin kamuwa da cututtukan fungal, wanda ke da haɗari musamman ga marasa lafiya da cututtukan autoimmune.
Tsarin juyayi na tsakiya
A lokacin jiyya, bayyanar irin wannan halayen mara kyau kamar:
- Dizziness
- gajiya
- rashin daidaituwa;
- canza canjin fata.
A cikin marasa lafiya tsofaffi, raunin gani, barci, ciwon kai, raunin hankali, rushewar orthostatic mai yiwuwa ne.
A lokacin jiyya, an lura da wahala.
Daga tsarin urinary
Rashin amsa halayen jiki sun bayyana kamar:
- rashi mai aiki;
- polyuria;
- haɓaka yawan adadin furotin a cikin fitsari;
- ƙara yawan ƙwayoyin cuta a cikin kasusuwa na ƙwayar urinary.
A cikin marasa lafiya da rauni na koda, hadarin haɓakar microalbuminuria yana ƙaruwa, adadin creatinine yana ƙaruwa fiye da 30% daga matakin farko. A cikin wasu marasa lafiya, aikin jijiyoyin jijiyoyi suna ƙaruwa, kuma ischemic nephropathy yana haɓaka.
Daga tsarin numfashi
A lokacin jiyya, bayyanar irin wannan halayen mara kyau kamar:
- bronchospasm;
- bushe ciwo mai zafi;
- tsananin kawaici da matsanancin murya;
- rashin jin daɗi a cikin makogwaro;
- karancin numfashi yayin da yake kwance.
- stenosis na laryngeal;
- huhun ciki.
Sabuwar jarirai suna haɓaka oliguria da rikicewar jijiyoyin jini.
Captopril na iya haifar da bushe, tari mai zafi.
A ɓangaren fata
Lokacin amfani da inhibitor na ACE, mai haƙuri na iya haɗuwa da irin waɗannan bayyanannun bayyanannun abubuwa kamar:
- infiltrated m papules;
- itching mai zafi;
- kodadde ruwan hoda blisters.
Bayyanar fata yana faruwa 'yan mintoci kaɗan bayan shan maganin, alamomin sun sake farawa bayan ɗaukar kashi na gaba na magani.
Tashin hankali yana faruwa ne daga asalin dunƙu yatsun hannu, zazzabi ya bayyana, fatar jiki tayi nauyi, wanda yayi rauni sosai, fossa baya yin madaidaiciya na dogon lokaci ta latsa tare da yatsa.
Daga tsarin kare jini
Magunguna bayan an yi amfani da tsawan lokaci na iya haifar da rashin ƙarfi, aikin nahaifa.
Cutar Al'aura
Bayanan mutum ɗaya bayan shan miyagun ƙwayoyi an kwatanta shi da jijiyoyin bugun gini na ciki da na ciki. Haɓakar halayen anaphylactoid yana haɗuwa tare da bayyanar ƙaiƙayi na ƙashi a saman babba da ƙananan baya, fuska, bakin ciki, ɓangaren ƙananan ɓangaren hanji na hanji da na hanji.
Bayanan mutum ɗaya bayan ɗaukar miyagun ƙwayoyi suna bayyanar da bayyanar shaƙa.
Mai haƙuri yana da alamu masu zuwa:
- aphonia;
- numfashi mai zurfi;
- sara;
- m sakamako.
Tasiri kan ikon sarrafa abubuwan inji
A yayin jiyya tare da wakili na rigakafi, ya zama dole a guji tuki da sauran hanyoyin da ke buƙatar ƙara kulawa.
Umarni na musamman
A lokacin jiyya, ana buƙatar taka tsantsan a cikin marasa lafiya da cutar koda. Mutanen da ke fama da rashin zuciya yayin jiyya suna ƙarƙashin kulawar likita. Musamman hankali ya shafi marasa lafiya da cututtukan nama na haɗin kai idan sun dauki Allopurinol ko Cyclophosphamide.
Yi amfani da lokacin daukar ciki da lactation
A cikin mahaifiyar da zata zo nan gaba, ana yin magani ta hauhawar jijiya ta amfani da maganin Methyldopa.
Ba a tsara mai katange ba, saboda yana kira:
- gazawar na koda a jariri.
- kwancen hannu da nakasar kwanyar kafa;
- rashin ci gaba na huhun huhu;
- mutuwar tayin.
Magunguna a cikin madarar nono yana da mummunar tasiri akan lafiyar jariri.
Amfani da barasa
Ba za a iya sha miyagun ƙwayoyi lokaci guda tare da abubuwan sha waɗanda ke ɗauke da ethyl barasa ba, don guje wa ci gaban sakamako.
Game da guba na Captopril, mai haƙuri yana haɓaka raunin gani.
Yawan damuwa
Game da guba da mai hana ACE, mara lafiya ya ci gaba:
- hypotension;
- karancin lalacewa;
- bugun jini;
- thromboembolism;
- gazawar koda
- karancin gani.
Don magani, ana bada shawara don tsabtace hanji, sanya allurar rigakafin magungunan vasoconstrictor. Don magani, magungunan colloidal, ana amfani da kwayoyi Dopamine da Norepinephril.
Yin hulɗa tare da wasu kwayoyi
Haɗin magunguna tare da vasodilator yana haifar da haɓaka sakamako mai illa.
Yin amfani da inhibitor na ACE tare da magungunan anti-inflammatory marasa steroidal ko clonidine yana haifar da raguwar tasirin maganin.
Yin amfani da miyagun ƙwayoyi tare da diuretic yana haifar da yawan adadin ions na potassium.
Yakamata a yi taka tsantsan tare da yin amfani da salts na lilin tare da wakili na bakin ciki, tunda maida hankali a cikin inorganic fili a cikin jijiyar jini yana ƙaruwa.
Yin amfani da captopril tare da magungunan anti-inflammatory marasa steroidal yana haifar da raguwa a cikin tasirin maganin.
Marasa lafiya suna ɗaukar Allopurinol da ACN inhibitor suna cikin haɗarin haɓaka alamar Stevens-Johnson.
Analogs
Azaman madadin wakili mai guba, yi amfani da:
- Angiopril;
- Blockordil;
- Normopress;
- Capril;
- Kapoten;
- Burlipril;
- Enap;
- Renetek.
Mai hana kamfanin Sandoz (Jamus) ya ƙunshi 6.25 MG na kayan mai aiki a cikin kwamfutar hannu 1. Ana amfani da maganin don warkar da hauhawar jini, tashin zuciya, bugun zuciya mai narkewa a cikin nau'in 1 na ciwon sukari.
Alkadil na iya zama madadin magani kuma magani ne mai tasiri. An wajabta magunguna don gazawar daidaitaccen ilimin warkarwa.
Angiopril yana da irin wannan sakamako tare da mai hana ACE. An wajabta maganin don maganin LV mai rauni na zuciya, bayan infarction na zuciya, tare da albuminuria ba fiye da 30 mg / rana.
Kuna iya maye gurbin maganin ta hanyar magani kamar Kapoten. Ana ɗaukar maganin kamar yadda likita ya umarta 1 hour kafin abinci.
Magunguna kan bar sharuɗan
Ana ba da magani tare da takardar sayan magani.
Zan iya siye ba tare da takardar sayan magani ba
Ba za a iya siyan magungunan ba tare da rubutaccen izinin likita ba.
Farashi don kwalliya 25
Allunan 25 MG, pcs 40. sayar a farashin 12 rubles. (samar da OZON OO, Russia). ACE inhibitor, Allunan 25 MG, 20 inji mai kwakwalwa. kudin 8 rubles. (samar da OZON OO, Russia).
Yanayin ajiya na miyagun ƙwayoyi
An adana maganin a cikin busassun wuri, da iska mai kyau, a zazzabi ƙasa da 30 ° C.
Ranar karewa
Magungunan sun dace don amfani na shekaru 3.
Magungunan sun dace don amfani na shekaru 3.
Mai masana'anta
An samar da maganin:
- Ozone OO, (Rasha);
- Borisov Shuka na Magunguna (JSC "BZMP"), Belarus.
Neman bita don Captopril 25
Vasily, shekara 67, Voronezh
Ina fama da cutar hawan jini. A bara, an sami matsalar hauhawar jini sau biyu. Ba a rasa matsin lambar komai ba, koda bayan allura a asibiti bai zama da sauƙi ba. Na tuna da miyagun ƙwayoyi, sanya kwamfutar hannu na 25 MG a ƙarƙashin harshe na, kuma bayan minti 30 matsin lamba ya ragu. A koyaushe ina sa magani a cikin ɗakin magani.
Margarita, shekara 55, Cheboksary
A cikin dare, matsin lamba ya kasance 230 zuwa 115. Na sa allunan 2 na miyagun ƙwayoyi a ƙarƙashin harshe na, sannan da dare wani 2. Da safe, matsanancin ya ragu zuwa 160 cikin 100. Likita ya allurar da diuretic sannan matsawar ta koma al'ada. Na yi imani cewa ya fi kyau amfani da Kapoten na farko don magani.
Tamara, shekara 57, Derbent
Ina ɗaukar inhibitor ACE na tsawon shekaru 15, 1 kwamfutar hannu 0.25 MG sau ɗaya a rana. Ayyukan yau da kullun sun canza, ayyukan motsi ya ragu, don haka ina sha Allunan 2 na miyagun ƙwayoyi kowace rana. Babu sakamako masu illa. Magungunan suna da tasiri.
