Lisinopril 20 - magani don sauƙin bayyanar cututtuka na hauhawar jijiya.
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Lisinopril.
Lisinopril 20 - magani don sauƙin bayyanar cututtuka na hauhawar jijiya.
ATX
Lambar ATX ita ce C09AA03.
Saki siffofin da abun da ke ciki
Akwai magungunan a cikin kwamfutar hannu. Allunan suna dauke da lisinopril a cikin nau'in dihydrate. Abun cikin abubuwan da ke aiki na iya bambanta. Tabletaya daga cikin kwamfutar hannu ya ƙunshi 5 MG, 10 MG ko 20 MG na lisinopril.
Aikin magunguna
Abubuwan da ke aiki na wakili suna cikin rukunin angiotensin-juyawa masu hana enzyme enzyme. A ƙarƙashin tasirin miyagun ƙwayoyi, abun ciki na angiotensin 2 da aldosterone a cikin jini yana raguwa.
Hawan jini kuma yana raguwa saboda ƙarin aiki mai ƙarfi na bradykinin, abu wanda ke da tasirin vasodilating. Vasodilation yana haifar da raguwa a cikin jijiyoyin bugun jini na gefe. Sauƙaƙe akan ƙwayar zuciya yana raguwa, wanda zai iya jawo adadin jini guda ɗaya tare da ƙanƙanun raguwa. Intensarfin kwararar jini a cikin tasoshin koda kuma yana ƙaruwa da ɗan ɗan lokaci.
Lokacin ɗauka ta baka, matakin hawan jini yana raguwa bayan awa 1. Ana samun ingantaccen sakamako a cikin awanni 6.
Lokacin ɗauka ta baka, matakin hawan jini yana raguwa bayan awa 1. Ana samun ingantaccen sakamako a cikin awanni 6. Tsawon lokacin aikin ya dogara da adadin kayan aiki da aka ɗauka. Lokacin da aka yi amfani da shi a madaidaiciyar allurai, aikin yana kusan kwana guda.
Lisinopril yana da ingantaccen sakamako mai narkewa a duk tsawon lokacin amfani. Cutar da kai tsaye ba zai haifar da raguwar hauhawar jini ba.
Duk da gaskiyar cewa lisinopril yana hana ayyukan aikin enzyme na angiotensin-canzawa, yana tasiri metabolism na tsarin angiotensin-aldosterone, tare da tsawaita amfani da shi, ƙwayar ta kuma rage matsin lamba a cikin marasa lafiya da ƙananan matakan renin.
Baya ga cutarwa, cutar ta kuma rage yawan albumin da ke cikin fitsari. Lisinopril baya tasiri matakan glucose na jini.
Pharmacokinetics
Rashin aiki na wakili yana faruwa ta hanyar cikin mucosa na karamin hanji. A bioavailability na miyagun ƙwayoyi ya dogara da halaye na jikin mai haƙuri. Yana daga 5 zuwa 50%.
Matsakaicin ingantaccen taro a cikin jini yayin da aka sha shi a baki bayan an lura 7 hours. Haɗuwa ba ta dogara da lokacin cin abinci ba.
Matsakaicin ingantaccen taro a cikin jini yayin da aka sha shi a baki bayan an lura 7 hours.
Abubuwan da ke aiki basu da alaƙa da peptides na jigilar plasma. Bingin yana faruwa ne kawai tare da angiotensin yana canza enzyme. Lisinopril na iya wucewa ta BBB cikin ƙananan kima.
Abubuwan da ke aiki ba sa shan jikewar rayuwa. Drawacewa ta faru a cikin tsari na asali. Fitsari ne a kebe. Rabin rayuwar shine awa 12.
Tabbatar da ainihin al'ada na renin creatinine shine 50 ml / min. Wani ɓangare na miyagun ƙwayoyi an keɓe shi da sauri, wani ɓangaren da ya danganta da ACE ya kasance cikin jini a cikin dogon lokaci.
Alamu don amfani
An wajabta Lisinopril don magance cututtukan masu zuwa:
- mahimmancin hauhawar jini;
- bugun zuciya;
- AMI a cikin marasa lafiya tare da daidaitattun ma'aunin hemodynamic;
- nephropathy wanda ya haifar da rikicewar metabolism a cikin mellitus-non-insulin-dogara da ciwon sukari, hawan jini.
An wajabta magunguna don raunin zuciya.
A wani matsin lamba
Magani tare da angiotensin-wanda ke juya masu inzyme na enzyme, wanda ya haɗa da lisinopril, an nuna shi ga duk marasa lafiya da ke fama da hauhawar jijiya. An wajabta su duka biyu tare da ƙarancin hauhawar hauhawa a cikin jini, kuma tare da matsakaici da matsanancin hauhawar jini.
An dauki matakin farko na hauhawar jini a matsayin karuwa a cikin matsin lamba na systolic zuwa 140-159 mm Hg. da kuma matsi na diastolic har zuwa 90-99 mm Hg
Bayan gano karuwa a hawan jini zuwa lambobin da ke sama, kada ku sami magani na kai. ACE ya kamata likita ya tsara masu inhibitors.
Contraindications
Ba a tsara Lisinopril ba a cikin waɗannan halayen:
- maras lafiya yana da yanayin nuna damuwa game da abin da ke aiki ko wasu abubuwan da ke kunshe da abun da ke ciki;
- angioedema;
- hadin gwiwar biyu na koda na kashin dan adam;
- karancin lalacewa;
- karancin bcc;
- bugun zuciya;
- marasa lafiya bayan dasawa da koda;
- gazawar koda
- kunkuntar lumen;
- bugun zuciya;
- mitral valve stenosis;
- hyperaldosteronism.
An contraindicated don ɗaukar ƙwayar don infarction na myocardial.
Yadda ake ɗaukar Lisinopril 20
Ana amfani da kayan aiki 1 lokaci ɗaya kowace rana. Shan maganin ba ya dogara da lokacin cin abinci ba. Ana ɗaukar kwamfutar hannu da safe.
Da likitan likitan mata ya zabi sashi da tsawon lokacin da yake yin la'akari da su, yana yin la’akari da halaye na kowane haƙuri. Ana la'akari da yanayin kodan, magungunan da aka dauka, da kuma matakin karuwar hawan jini.
Satin yau da kullun shine 2.5 MG. Haɓaka mai yiwuwa ne bayan makonni 2-4, lokacin da bayyanar tasirin farfajiya tana iya gani. Mayarin na iya ƙaruwa har sai magani zai samar da tsayayyen sarrafa hawan jini. Matsakaicin yawan shawarar yau da kullun shine 40 MG.
A cikin raunin zuciya, farawa yana farawa da guda ɗaya na yau da kullun, wanda zai iya kaiwa zuwa matakin 20 MG.
A cikin lalataccen myocardial infarction, an wajabta 5 mg na lisinopril. Bayan haka, kashi ya hau zuwa daidaitaccen 10 MG. Farfesa na tsawon makonni 6. Idan hawan jini na systolic na jini ya kasance ƙasa da 120 mm Hg, an rage yawan zuwa sau 2.
Da likitan likitan mata ya zabi sashi da tsawon lokacin da yake yin la'akari da su, yana yin la’akari da halaye na kowane haƙuri.
Tare da ciwon sukari
Ana bada shawarar mafi ƙarancin maganin yau da kullun. Outararrawar ana gudanar da ita a ƙarƙashin kulawar likita.
Marasa lafiya tare da nau'in ciwon sukari na 2 da nephropathy na matakin farko suna karɓar 10 mg na maganin. Matsakaicin adadin yau da kullun shine 20 MG.
Side effects
A mafi yawan halayen, ana iya jure magungunan cikin sauƙin. Mafi kyawun alamun bayyanar cututtuka sune: hypotension, ƙarancin zuciya, asarar sani, rushewar orthostatic. Bayyanar bayyanar cututtuka kamar anaphylaxis ko kumburin fuska zai iya faruwa.
Gastrointestinal fili
A yayin jiyya, waɗannan alamomin maras so na iya bayyana:
- bushe bakin
- canza canji;
- bloating;
- anorexia;
- gurbataccen aikin hepatic;
- hepatitis;
- maganin ciwon huhu
- tashin zuciya
- amai
- ciwon ciki.
Hematopoietic gabobin
Wadannan bayyanar cututtukan cututtukan cututtukan cututtuka suna yiwuwa:
- thrombocytopenia;
- raguwa a cikin adadin farin jinin sel;
- anemia
- pancytopenia;
- Pathology na nono;
- eosinophilia.
Tsarin juyayi na tsakiya
Zai iya amsa jiyya tare da bayyanar alamun bayyanannan masu zuwa:
- tashin hankalin bacci;
- haushi;
- nutsuwa
- rikicewar damuwa;
- rikicewar hankali;
- tinnitus;
- na gefe neuropathy;
- katsewa
- hangen nesa biyu
- rawar jiki
- paresthesia;
- daidaituwa mai daidaituwa.
Daga tsarin numfashi
Wadannan alamu na iya faruwa:
- tari
- kumburi da bronchi;
- fuka
- sinusitis
- rhinitis;
- hawan jini;
- spasm na m tsokoki na bronchi;
- wahalar numfashi.
A ɓangaren fata
Fata zai iya amsawa ga jiyya tare da bayyanar:
- hyperhidrosis;
- hankali na UV haskoki;
- rashes;
- psoriasis-kamar canje-canje;
- stratification na ƙusa faranti.
- alopecia;
- pemphigus;
- erythema;
- dermatitis.
Daga tsarin kare jini
Zai iya bayyana:
- oliguria;
- rashin lafiya
- kumburi da ƙwayar koda;
- furotin;
- Kamawa;
- rage jima'i drive;
- gynecomastia.
Tsarin Endocrin
Kwayar cutar sankarau tana yiwuwa.
Kwayar cutar sankarau tana yiwuwa.
Umarni na musamman
ACE inhibitors na iya haifar da hyperkalemia da raguwar matakan sodium a cikin jini. Wannan yana buƙatar saka idanu na lokaci-lokaci na matakan electrolyte yayin farwa.
Yi amfani da tsufa
Matsakaicin ingantaccen taro na ƙwayar cuta a cikin jini na jini a cikin tsofaffi ya wuce wannan alamar a cikin marasa lafiya matasa ta hanyar 1.5-2. Wannan na iya zama dalilin gyara yanayin maganin yau da kullun.
Tasiri kan ikon sarrafa abubuwan inji
Yakamata a yi taka tsantsan yayin shan wannan magani, tunda yana iya haifar da bayyanar alamun bayyanar cututtuka daga tsarin juyayi. Mai yiwuwa keta rikicewar motsi da tattara hankali, wanda zai haifar da matsaloli a cikin tuki motocin da keɓaɓɓun hanyoyin.
Wataƙila cin zarafin daidaituwa da motsi, wanda zai iya haifar da matsaloli a cikin tuƙi.
Yi amfani da lokacin daukar ciki da lactation
Kulawa tare da lisinopril yana contraindicated lokacin daukar ciki. Ba da shawarar sanya magani don shayarwa ga mata masu shayarwa ba.
Adana Lisinopril ga yara 20
An gudanar da bincike game da amfani da miyagun ƙwayoyi don lura da hypotension a cikin yara masu shekaru 6-18. Matsayin sha a cikin wannan rukuni na marasa lafiya shine kusan 30%. Matsakaicin ingantaccen taro a cikin ƙwayar al'ada da aikin hanta bai bambanta da wannan a cikin manya.
Idan babu contraindications, ana iya tsara lisinopril ga yara.
Yawan damuwa
Doaukar yawan magunguna zai iya haifar da rushewa, yanayin girgizawa, rashin daidaituwa a ma'aunin lantarki, asarar hankali, da gazawar cutar koda.
Idan ana zargin yawan abin sama da ya kamata, ya zama dole a shafa ruwan mai, a rubuta masu sihirin. Idan mai haƙuri yana da alamun cututtukan cututtukan ƙwayar cuta, asibiti wajibi ne. A asibiti, kuna buƙatar saka idanu akan aikin zuciya da aikin huhu, maido da cc, daidaita ma'aunin lantarki.
Yawan shan magungunan ƙwayar cuta na iya haifar da asarar hankali.
Yin hulɗa tare da wasu kwayoyi
Haɗin maganin lisinopril an haɗa shi da:
- Aliskiren - saboda haɗarin mutuwa.
- Estramustine - yana ƙaruwa da haɗarin mummunan sakamako daga tsarin rigakafi.
- Baclofen - yana inganta tasirin lisinopril, wanda zai haifar da raguwa mai yawa a cikin karfin jini.
- Sympathomimetics - rage tasirin magani.
- Magungunan rigakafin Tricyclic.
- Kwayarwa.
- Magunguna don maganin ƙonewa baki ɗaya.
Tare da kulawa
Haɗin lisinopril tare da daskararren ƙwayoyin potassium zai iya haifar da haɓaka matakin wannan samfurin a cikin jini. Irin wannan haɗin yana buƙatar saka idanu akai-akai game da matakan lantarki.
Magungunan yana amfani da ƙarfin hypoglycemic na magungunan da aka dauka don ciwon sukari. Rage sukari na jini na iya buƙatar daidaita sashi.
Ba a ba da shawarar shan giya ga mutanen da ke da hauhawar jini.
Amfani da barasa
Ba a ba da shawarar shan giya ga mutanen da ke da hauhawar jini. Haɗuwa tare da masu hana ACE na iya ƙara yawan haɗarin sakamako masu illa.
Haɗuwa tare da magungunan anti-mai kumburi marasa ƙarfi na steroidal suna rage tasiri na jiyya. Hakanan ana iya samun tabarbarewa a aikin koda har zuwa haɓakar ƙarancin waɗannan gabobin.
Analogs
Misalan wannan kwayoyi sune:
- Aurolyza;
- Vitopril;
- Dapril;
- Diroton;
- Zonixem;
- Haushi;
- Lysigamma;
- Lisighexal;
- Scopril;
- Solipril.
Yanayin hutu na Lisinopril 20 daga kan magunguna
Sanya da takardar sayan magani
Zan iya siye ba tare da takardar sayan magani ba
A'a.
Farashi
Ya dogara da wurin siye.
Yanayin ajiya na miyagun ƙwayoyi
Dole ne a adana shi a zazzabi baya wuce + 25 ° C.
Ranar karewa
Ba a wuce shekaru 3 ba daga ranar fitarwa.
Akwai magunguna a kan takardar sayan magani.
Masana'antu Lisinopril 20
Kamfanin Ratiopharm ne ya yi shi.
Neman bita game da Lisinopril 20
Likitoci
Maxim Pugachev, likitan zuciya, Moscow
Lisinopril magani ne mai inganci don hauhawar jini. Na sanya shi ga majinyata duka biyu a matsayin maganin tauhidi, kuma a hade tare da wasu jami'ai. Ga marasa lafiya da mummunan nau'in cutar, Ina ba da shawarar magani tare da diuretics tare da lisinopril. Tare da kulawa ta dace da likita, irin wannan tsarin kulawa ba kawai yana da tasiri ba, har ma yana da aminci. Wannan duk game da zaɓin daidai ne na yawan ƙwayoyi.
Yawancin lokaci ina amfani da lisinopril + hydrochlorothiazide 12.5 mg regimen. Ya kamata a tuna kawai cewa diuretic yana cire sodium, wanda na iya buƙatar saka idanu akan abubuwan da ke cikin sa a cikin jini. Ana yin wannan ta hanyar daidaita adadin gishiri a abinci.
Alla Galkina, likitan zuciya, Moscow
Magungunan da aka saba da kowane likita. An wajabta masu hana ACE zuwa duk mutanen da ke da hauhawar jini, saboda suna taimakawa wajen shawo kan cutar hawan jini. Wannan ita ce kawai hanyar da za a fita, tunda har yanzu ba zai yiwu a magance cutar baki ɗaya ba.
Shan Lisinopril ya dace. Tabletaya daga cikin kwamfutar hannu guda ɗaya kawai kowace rana zai taimaka wajen kula da karfin jini na al'ada. Kawai kana buƙatar zaɓar sashin da ya dace. Wasu lokuta ya zama dole don tsara ƙarin magunguna, amma a lokuta masu tsauri.
An hana shi gudanar da liyafa tare da Aliskiren, kamar yadda akwai hadarin mutuwa.
Marasa lafiya
Pavel, dan shekara 67, Ufa
Na kasance ina fama da matsananciyar ciwon zuciya da hauhawar jini sama da shekara guda. Na gwada magunguna da yawa, amma ban sami wani abin da ya fi Lisinopril kyau ba. Kwayoyin marasa tsada waɗanda ke taimakawa ci gaba da cutar hawan jini. Kada ku yi shakka a sayi wannan magani, analogues na kasashen waje ba su da kyau. Wannan shine sauƙaƙewar kuɗi.
Zhanna, shekara 54, Irkutsk
Ina rashin lafiya da hauhawar jini na daga digiri na biyu. Ta fara lura da alamun bayyanar shekaru 3 da suka gabata, lokacin da ciwon kai, tsananin rauni, rauni, palpitations suka bayyana. Na je wurin likita wanda ya gano kuma ya ba ni magani. Tun daga wannan lokacin nake shan Lisinopril. Kayan aiki yana yin amfani da aikinsa, Ban lura da wani sakamako ba. Na ƙaddamar da duk gwaje-gwaje a cikin lokaci kuma in je likita don shawara. Yayinda magani ya gamsu.
Gennady, ɗan shekara 59, Samara
Ina ɗaukar Lisinopril na kimanin watanni 3. Aikin jiyya ya fara ne kai tsaye bayan likita ya gano hauhawar jini. A lokacin farwa, sau 2 dole ya kara sashi na miyagun ƙwayoyi. Yanzu shan 10 MG kowace rana. Ina bi wannan sashi don makonni 2 yanzu. Matsin lamba ya koma al'ada. Ina fatan cewa maganin zai taimaka wajen kiyaye shi a cikin iyakokin al'ada da kuma nan gaba.
