Mafi yawanci ana amfani da Telzap wajen maganin hauhawar jini. Bugu da kari, an wajabta shi don daidaita yanayin marasa lafiya da ciwon sukari mellitus da infarction na zuciya.
Sunan kasa da kasa mai zaman kansa
INN na maganin shine Telmisartan.
An tsara maganin na Telzap don daidaita yanayin marasa lafiya da ciwon sukari mellitus da infarction na zuciya.
ATX
Tsarin ATX: Telmisartan - C09CA07.
Saki siffofin da abun da ke ciki
Maganin yana cikin nau'ikan allunan. Kwaro 1 (40 MG) ya ƙunshi:
- bangaren aiki (telmisartan) - 40 MG;
- ƙarin sinadaran: sodium hydroxide (3.4 mg), sorbitol (16 mg), meglumine (12 mg), magnesium stearate (2.4 mg), povidone (25 zuwa 40 mg).
A cikin allunan 80 MG, abun da ke ciki daidai ne, amma yawan adadin kayan taimako da na aiki ya fi yawa.
Aikin magunguna
Magungunan yana rage matakin aldosterone a cikin jini na plasma, baya hana aikin tashoshin sarrafa ion, kininase II kuma baya bada gudummawa ga hanawar renin. Sakamakon wannan, babu wasu sakamako masu illa da suka shafi sakamakon bradykinin. A cikin mutanen da ke da lafiyar al'ada, ƙwayar ta kusan dakatar da tasirin masu karɓar II-angiotensin. Wannan tasiri ya wuce sama da awanni 24 kuma yana ɗaukar tsawon sa'o'i 50.
Tasirin antihypertensive na miyagun ƙwayoyi yana farawa awanni 1-3 bayan amfani dashi. Tare da hauhawar jini na jijiya, ƙwayar ta rage karfin jini, duka biyu da na ciki da na systolic, ba tare da an rage yawan ƙarfin zuciya ba. Tare da katsewar jiyya tare da waɗannan kwayoyin, hawan jini a hankali ya dawo al'ada. Marasa lafiya ba ya haɗuwa da ciwon cirewa.
Pharmacokinetics
Ana karɓar mai karɓar mai karɓa da sauri daga hanji bayan jijiyoyin baka. Matsakaicin mafi yawan hankali a cikin jini na jini ya kasance bayan minti 30-90 bayan gudanarwa.
An cire maganin a cikin hanji (kusan kashi 97%) da kodan (2-3%).
Cire rabin rayuwar rayuwa ya fi awanni 21.
Alamu don amfani
Ana ba da shawarar magungunan ƙwayoyi a cikin irin waɗannan yanayi:
- tare da mahimmanci da sauran siffofin hauhawar jini;
- don rage aukuwar cututtuka na tsarin zuciya da jijiyoyin jini, asalin atherothrombotic da mace-mace a cikin marasa lafiya da ke fama da cutar sankara (mellitus 2).
Ana ba da shawarar magani don rage yawan cututtukan cututtukan zuciya.
Contraindications
Ricuntatawa akan shan kwayoyin:
- haɗuwa tare da aliskiren a cikin raunin ƙwayar cuta mai yawa da nau'ikan cututtukan cututtukan sukari;
- haɗuwa tare da masu hana ACE a cikin nau'in ciwon sukari na nephropathy;
- hanyoyin hana cutar cututtukan biliary fili;
- rashin kwanciyar hankali ga fructose;
- mahimmancin malfunctions a cikin aikin hanta
- lactation (shayarwa) da ciki;
- shekarun haƙuri ba ƙasa da shekaru 18 ba;
- mutum bijirewa ga abubuwan da ke ciki a cikin abun da magani.
Tare da kulawa
An tsara miyagun ƙwayoyi a hankali don irin wannan cututtukan da yanayin:
- stenosis na arteries a kodan;
- matsakaici / m siffofin na hanta dysfunction;
- hani akan amfani da gishiri (tebur);
- hyponatremia;
- matsananciyar yanayin jijiya;
- amai da gudawa;
- cardiomyopathy (nau'in hauhawar jini).
- m nau'i na zuciya tsoka gazawar;
- mitral / aortic valve stenosis.
Bugu da ƙari, an sanya magani a hankali don maganin hemodialysis da marasa lafiya waɗanda ke cikin tseren Negroid.
Yadda zaka dauki telzap
Ana shan maganin a baki (sau ɗaya a rana) sau ɗaya a rana, ba tare da lokacin cin abinci ba. Allunan ya kamata a wanke ƙasa da gilashin ruwa.
A cikin marasa lafiya tare da hauhawar jini, jijiyoyin farko shine 40 mg / rana. An tsara wasu marasa lafiya 20 MG na miyagun ƙwayoyi. Zaka iya cimma wannan adadin ta hanyar fasa kwaya a rabi. Idan ba a sami sakamako na warkewa ba, to yawan maganin yana ƙaruwa. Matsakaicin sashi shine 80 mg / rana.
Don rage ƙimar zuciya, yakamata a sha magani a cikin adadin 80 MG.
A wannan yanayin, mai haƙuri yana buƙatar kulawa da hankali game da alamun alamun asibiti.
Ciwon sukari
A cikin marasa lafiya da ciwon sukari mellitus da abubuwan CVD, yayin amfani da maganin, haɗarin mutuwa kwatsam ko faruwar infarction na myocardial. Sabili da haka, ya kamata a sha maganin a karkashin kulawar likita. Bugu da ƙari, irin waɗannan marasa lafiya suna fuskantar ƙarin jarrabawa, gwargwadon sakamakon abin da aka zaɓa tsawon lokacin aikin jiyya da kashi na maganin.
Magungunan yana rage adadin sukari a cikin jini, don haka tare da ciwon sukari, kuna buƙatar ɗaukar shi ƙarƙashin kulawa ta kusa da glucose. A irin waɗannan yanayi, ya zama dole don daidaita sashin insulin.
Side effects
Lokacin amfani da maganin, zaku iya haɗuwa da bayyanannun bayyanannun yanayi.
Gastrointestinal fili
- zawo / maƙarƙashiya;
- amai
- bloating da ƙara ƙarancin wuta;
- Lafiya;
- bushe bakin.
Hematopoietic gabobin
- eosinophilia (da wuya);
- anemia (a cikin matsanancin yanayi);
- thrombocytopenia.
Tsarin juyayi na tsakiya
- barci mara nauyi;
- Damuwa
- ciwon kai
- nutsuwa
- fainting seizures.
Daga tsarin urinary
- rashin aiki da kodan (ciki har da babban nau'in rashin nasara na koda).
Daga tsarin numfashi
- tari
- ciwon makogwaro;
- karancin numfashi.
A ɓangaren fata
- rashes da itching;
- Harshen Quincke na edema;
- urticaria;
- erythema da eczema;
- mai guba da rashes magani.
Daga tsarin kare jini
- rashin ƙarfi
- rage libido.
Daga tsarin zuciya
- bayyana raguwar karfin jini;
- bradycardia;
- tachycardia;
- hypotension na nau'in orthostatic.
Tsarin Endocrin
- hypoglycemia;
- hyperkalemia
- rashin daidaituwa na hormonal;
- hadarin kamuwa da cuta ya karu.
Bayan shan Telzap, rashin daidaituwa na hormonal na iya faruwa.
A wani ɓangaren hanta da ƙwayar biliary
- raunuka da kuma nakasa aikin hanta.
Cutar Al'aura
- bayyanar anaphylactic;
- yawan tashin hankali.
Umarni na musamman
Kafin amfani da allunan, likita ya ba da haƙuri ga binciken, wanda ke ƙayyade matakin potassium a cikin jini. Idan wannan ƙididdigar ta wuce, to, an sanya cikakkiyar haramci game da amfani da magungunan antihypertensive.
Amfani da barasa
Abubuwan da ke cikin abubuwan sha suna da mummunar tasiri ga tasoshin jini. Haɗin maganin tare da irin waɗannan abubuwa na iya haifar da sakamakon da ba a iya faɗi ba, don haka bai kamata a haɗa shi da giya ba.
Tasiri kan ikon sarrafa abubuwan inji
Gudanar da na'urorin haɗin keɓaɓɓun da motocin lokacin ɗaukar maganin a hankali yadda zai yiwu, tunda a wannan lokacin zaku iya haɗuwa da nutsuwa da farin ciki.
Yi amfani da lokacin daukar ciki da lactation
Haramun ne a yi amfani da maganin yayin daukar ciki. Yayin shayarwa, lokacin amfani da miyagun ƙwayoyi, dole ne a dakatar da shayarwa.
Alƙawarin Telzap ga yara
Haramun ne a yi amfani da maganin a cikin marassa lafiyar da shekarunsu bai wuce 18 ba.
Yi amfani da tsufa
Marasa lafiya tsofaffi ba sa buƙatar gyaran sashi.
Aikace-aikacen aiki mara kyau
Marasa lafiya tare da matsakaici / ƙarancin ƙwayar cutar koda ba sa buƙatar daidaita sashi. A cikin m cuta, magani ne contraindicated. A wannan yanayin, mai haƙuri yana buƙatar sarrafa matakin CC a cikin jini.
Amfani don aikin hanta mai rauni
An haramta shan kwayoyin cutar a gaban cututtukan cututtukan cuta na biliary fili. Bugu da kari, an haramta amfani da miyagun ƙwayoyi don amfani da mutanen da ke fama da gazawar hanta da wasu ƙwaƙwalwar hanta.
Yawan damuwa
Kwayar cutar cututtukan ƙwayar cuta tana nuna tachycardia da raguwar hauhawar jini. Dizziness da bradycardia kuma na faruwa. Jiyya na nuna alama ce.
Idan mummunan halayen ya faru, dakatar da shan Allunan kuma shawarci likitanka.
Yin hulɗa tare da wasu kwayoyi
Lokacin haɗuwa da magani tare da sauran magunguna, ana iya lura da halayen halayen daban-daban.
Abubuwan haɗin gwiwa
Haramun ne a hada magungunan tare da masu hana ACE a cikin marasa lafiya masu fama da cutar sankarar hanta. Bugu da kari, an hana shi hada shi da aliskiren.
Lokacin haɗuwa da magani tare da sauran magunguna, ana iya lura da halayen halayen daban-daban.
Ba da shawarar haɗuwa ba
Ba a so a hada Allunan da thiazide diuretic (hydrochlorothiazide da furosemide), saboda irin wannan haɗuwa na iya tayar da hankalin hypovolemia.
Haɗuwa yana buƙatar taka tsantsan
Yin amfani da magani a lokaci guda tare da shirye-shiryen lithium, ana buƙatar sarrafa matakin lithium a cikin jini jini. Hakanan yana amfani da magungunan potassium, shine, lokacin da aka haɗu da su tare da magani a cikin tambaya, mai haƙuri yana buƙatar sarrafa abun da ke cikin potassium a cikin jini. Wannan gaskiyane musamman ga marasa lafiya da nakasa aikin hanta.
Analogs
Mafi ingancin maganganun magunguna:
- Telzap Plus;
- Losartan;
- Nortian;
- Valz;
- Lozap;
- Naviten;
- Telmista;
- Mikardis.
Magunguna kan bar sharuɗan
Ba a sayar da magani ba.
Zan iya siye ba tare da takardar sayan magani ba
Magungunan zazzabi ne kawai idan mai haƙuri yana da takardar sayen magani.
Nawa ne Telzap
Farashin magani yana farawa daga 313 rubles a 1 fakitin tare da allunan 30.
Yanayin ajiya na miyagun ƙwayoyi
Dole ne a adana magungunan ba tare da isa ga dabbobi da ƙananan yara ba. Mafi kyawun zazzabi - ba fiye da + 25 ° C ba.
Ranar karewa
Har zuwa shekaru 2 daga ranar samarwa.
Mai masana'anta
Kamfanin kasar Turkiyya "Zentiva" ("ZENTIVA SAGLIK URUNLERI SANAYI VE TICARET").
Ofishin wakilin Rasha shine kamfanin samar da magunguna Sanofi.
Ra'ayoyi game da Telzap
Game da miyagun ƙwayoyi amsa mafi yawan gaske. Wannan ya faru ne saboda inganci da wadatar sa.
Likitoci
Sergey Klimov (likitan zuciya), dan shekara 43, Severodvinsk
Ina wajabta waɗannan magungunan don marasa lafiya tare da hauhawar jini. Sun lura da saurin matakin telmisartan (sashin maganin yana aiki) da farashi mai araha. Kwanan nan, har ma ya shawarci mahaifiyarsa da ta yi amfani da maganin. Bugu da kari, na dauko mata kayan abinci masu kyau, tunda ita mai cutar siga ce.
Anna Kruglova (therapist), shekara 50, Ryazhsk
Theauki magani yana da sauki - 1 lokaci ɗaya kowace rana. Wannan ya isa ya daidaita jinin jini a zahiri don 1 hanya na magani. Daga cikin tasirin sakamako, marasa lafiya suna ba da rahoton kawai nutsuwa, don haka lokacin amfani da maganin ana bada shawara don guji aikin da ke da haɗari wanda ke buƙatar ƙara yawan kulawa.
Marasa lafiya
Dmitry Nebrosov, ɗan shekara 55, Moscow
Ina da jijiyoyin jiki, don haka kwanan nan na fara "buga" karfi a cikin tempelina. Saboda wannan matsalar, ba ma aiki, jaka ta bayyana a idanun. Likita ya tsara waɗannan kwayoyin. My kiwon lafiya inganta a zahiri a cikin 1 mako na shan su. Yanzu koyaushe ina ɗauka da ni, saboda wannan rigakafi ne mai kyau.
Igor Kondratov, dan shekara 45, Karaganda
Magani ya taimaki dangi na murmurewa daga lalacewa daga cikin ta. Yanzu tana da koshin lafiya.
