Tritace rukuni ne na jami'ai na rigakafi. Magungunan yana da tasirin gaske akan tsarin zuciya. Wannan tasirin yana tabbatar da kasancewar ɓangarorin aiki guda ɗaya kaɗai. Hakanan zaka iya ɗaukar magani tare da aikin nakasa mai rauni. Akwai ƙuntatawa masu yawa a kan yin amfani da su, wanda saboda mummunan sakamako ne akan jiki.
Sunan kasa da kasa mai zaman kansa
Ramipril. Sunan miyagun ƙwayoyi a Latin shi ne Tritace.
Tritace rukuni ne na jami'ai na rigakafi.
ATX
C09AA05 Ramipril.
Saki siffofin da abun da ke ciki
Zaka iya siyan magungunan cikin tsari mai kauri. Babban bangaren a cikin abun da ke ciki shine ramipril. A cikin kwamfutar hannu 1, sinadarin yana ƙunshe a cikin taro na 2.5 MG. Akwai sauran zaɓin sashi don maganin: 5 da 10 MG. A cikin duk juyi, ƙananan kayan aikin iri ɗaya ne. Wadannan abubuwa ba su nuna aikin antihypertensive ba. Wadannan sun hada da:
- hypromellose;
- pregelatinized sitaci;
- microcrystalline cellulose;
- sodium stearyl fumarate;
- dyes.
A cikin kwamfutar hannu 1, sinadarin yana ƙunshe a cikin taro na 2.5 MG.
Kuna iya siyar da maganin a cikin kunshin wanda ya ƙunshi blister 2, a cikin kowane allunan guda 14.
Aikin magunguna
Wakilin da ake tambaya shine angiotensin wanda ke canza enzyme inhibitor, ko ACE. Babban aikinta shine daidaita yanayin cikin zuciya da gajiyawar koda. Haka kuma, kawai kashi wanda baya bada gudummawa ga raguwar matsin lamba za'a iya la'akari dashi warkewa. Tare da shigar azzakari cikin farji da miyagun ƙwayoyi a cikin hanta, canji yakan faru, tare da sakin mai aiki na metabolite - ramiprilat. Wannan fili yana samarda mafi kyawun tasiri don hana aikin angiotensin da ke canza enzyme.
ACE yana haɓaka rushewar bradykinin, wanda ke haifar da bayyanar alamun bayyanar cututtuka tare da rage matsin lamba.
ACE yana haɓaka rushewar bradykinin, wanda ke haifar da bayyanar alamun bayyanar cututtuka tare da rage matsin lamba. Yayin aikin jiyya tare da wakili a ƙarƙashin kulawa, an hana wannan tsari. Sakamakon tarin bradykinin, karuwa a cikin ƙwayar ƙwayar jini da raguwar matsin lamba an lura. Bugu da ƙari, yayin shan magungunan, ana kunna aikin haɗin prostaglandins. A sakamakon haka, ana bayar da sakamako mai illa.
Wani tasirin babban abu a cikin kayan wannan kayan aikin shine rage samar da maganin angiotensin II. Tare da wannan, an lura da karuwar taro na ion potassium a cikin jini na jini.
Tare da amfani da wannan magani ba tare da kulawa ba, haɗarin haɓaka hyperkalemia yana ƙaruwa.
Pharmacokinetics
Magunguna a cikin tambaya yana farawa minti 60-120 bayan shan kwamfutar hannu ta farko. Babban ganima na faruwa ne bayan wasu 'yan sa'o'i (daga 3 zuwa 9). Sakamakon sakamako yana kiyaye tsawon kwana 1. Tare da magani na dogon lokaci, za a iya samun kwanciyar hankali a cikin 'yan makonni, a ƙarshen hanya, kyakkyawan sakamako ya kasance har zuwa wani lokaci.
Magungunan yana dauke da ganuwar mucous na narkewa a cikin adadin wanda bai wuce 60% na jimlar ba.
Magungunan yana dauke da ganuwar mucous na narkewa a cikin adadin wanda bai wuce 60% na jimlar ba. Allunan za'a iya ɗauka a kowane lokaci (kafin da bayan abinci). Wannan baya tasiri matakin ingancin maganin, amma yana rage jinkirin shaye-shaye. Wannan yana nufin cewa za a iya samun kyakkyawan sakamako ɗan lokaci kaɗan tare da amfani da miyagun ƙwayoyi a lokacin ko kuma nan da nan bayan abinci.
A bioavailability na babban bangaren a cikin abun da ke ciki ya bambanta tsakanin 15-28%, wanda aka ƙaddara ta sashi. An cire abu a cikin matakai, duka tsari na iya ɗaukar kwanaki 4-5. A lokaci guda, maida hankali ne a hankali a hankali yana raguwa. Metabolites na miyagun ƙwayoyi da ake tambaya ana keɓe shi ta hanjin kodan yayin fitar urin.
Abin da aka wajabta
Da dama alamomi na amfanin miyagun ƙwayoyi:
- hauhawar jini (na kullum da kuma m);
- gazawar zuciya, a wannan yanayin, an wajabta magungunan a matsayin wani ɓangare na hadaddun farjin cuta;
- tsarin gurguwa mara lalacewa, ya haifar da ciwon sukari;
- rigakafin cututtukan cututtukan cututtukan zuciya (bugun jini, infarction na zuciya, da sauransu) a cikin marasa lafiya da babban haɗarin irin wannan rikice-rikice;
- card isac ischemia, musamman, magungunan sun zama dole ga mutanen da suka sha wahala kwanan nan na infitar su ta hanyar myocardial infarction, na jijiyoyin zuciya jijiya grafting ko angioplasty na arteries;
- yanayin pathological tsokani da canje-canje a cikin tsarin ganuwar da na gefe arteries.
Contraindications
Rashin dacewar wannan kayan aikin ya ƙunshi ƙuntatawa masu yawa akan amfanin:
- hali don haɓakar angioneurotic edema tare da halayen marasa kyau iri-iri;
- kunkuntar ƙwayar hanji na kodan, aortic ko mitral valve, an lura da kuzari;
- jijiyoyin jini;
- na farko hyperaldosteronism;
- nephropathy, da cewa a wannan yanayin ana amfani da regimen magani tare da kwayoyi na GCS, NSAIDs da sauran magungunan cytotoxic.
Tare da kulawa
Da dama dangi contraindications an lura:
- canje-canje atherosclerotic a bangon arteries;
- rauni na zuciya;
- m cutar tsoka;
- kunkuntar ƙwayar ƙwayar jijiyoyin ƙwayoyin cuta a cikin ayyukan kuzari, idan wannan tsari yana faruwa ne kawai a gefe ɗaya;
- kwanan nan gwamnati na maganin diuretic;
- karancin ruwa a jiki a game da amai, gudawa da sauran cututtuka;
- hyperkalemia
- ciwon sukari mellitus.
Yadda ake ɗaukar Tritace
Allunan cinya bai kamata ba. An zaɓi tsarin kulawa don yin la'akari da yanayin cutar. A mafi yawancin lokuta, yawan ƙwayar abu mai aiki a hankali yana ƙaruwa. Sau da yawa ana tsara 1.25-2.5 MG na wannan bangaren 1 lokaci a rana. Bayan ɗan lokaci, adadin ƙwayar yana ƙaruwa. A wannan yanayin, an ƙayyade adadin daban-daban ga kowane mai haƙuri, la'akari da kuzarin cutar. Kasa da sau da yawa, suna fara hanya tare da 5 MG na magani.
Tare da ciwon sukari
Ana amfani da kayan aiki a cikin adadin da ba ya wuce miliyan 1.25 a kowace rana. Idan ya cancanta, ana ƙaruwa da wannan adadin. Koyaya, maganin yana sake komawa cikin makonni 1-2 bayan fara gudanarwa.
Tare da ciwon sukari, ana amfani da miyagun ƙwayoyi a cikin adadin da ba ya wuce miliyan 1.25 a kowace rana.
Side effects
Wasu halayen suna ci gaba sau da yawa, wasu ma sau da yawa. A lokacin jiyya, wakilin da aka ɗauka yana rinjayar tsarin daban-daban da gabobin. Wani lokacin akwai haɓaka a cikin jijiyoyin jiki, yanayin febrile yana faruwa.
Gastrointestinal fili
Cutar cututtukan ciki, raunin narkewa, raɗaɗin ciki, tashin zuciya da amai, yashwa na ciki, kujerun wuya, huhun hanji, ƙasa da yawanci.
Tsarin juyayi na tsakiya
Ciwon kai, tsananin zafin zuciya, rawar jiki daga sassan jikinsa, rage raunin hankali, asarar daidaituwa a madaidaiciyar matsayi, cututtukan jijiyoyin zuciya, tare da raunin jijiyoyin jini.
Daga gefen tsarin juyayi na tsakiya, ana iya samun ciwon kai bayan ɗaukar Tritace.
Daga tsarin urinary
Canje-canje a matakin creatinine da urea a cikin jini, dysfunction na koda, haɓaka da yawaitar samar da fitsari.
Daga tsarin numfashi
Haƙiƙa, tonsillitis, sinusitis, mashako, gazawar numfashi saboda ambaliyar hanci da hanji.
A ɓangaren fata
Harshe, kumburi, alerji tare da toshewar hanya, cututtukan ƙwayar cuta, ƙwanƙwasa hanji, daukar hoto.
A ɓangaren fata, za'a iya samun fashewa bayan ɗaukar Tritace.
Daga tsarin kare jini
Eacile dysfunction, a bangonda wanda rashin ƙarfi yake tasowa, an lura da raguwar libido. A cikin maza, ƙwayar mammary na iya ƙaruwa.
Daga tsarin zuciya
Zuciyar zuciya, tashin zuciya, cututtukan zuciya na zuciya, kumburi saboda riƙewar ruwa, raguwa matsanancin ƙarfi, yaduwar jini.
Tsarin Endocrin
Keta cinikin kwayoyin halitta: akwai raguwa ko karuwa a cikin taro na wasu abubuwa (sodium, potassium, magnesium, alli).
Daga tsarin jijiyoyin wuya, ana iya samun murƙushe tsoka bayan ɗaukar Tritace.
A wani ɓangaren hanta da ƙwayar biliary
Canza a cikin adadin conirugin bilirubin da kuma hanta enzymes a cikin jini, jaundice, hepatitis, hanta gazawar.
Daga cikin tsarin musculoskeletal da nama mai hadewa
Murmushi na jijiya, arthralgia, myalgia.
Daga gefen metabolism
Alkawarin mahaifa.
Daga tsarin rigakafi
Abun da ke cikin ƙwayoyin antinuclear yana ƙaruwa, halayen anaphylactoid yana haɓaka.
Ba'a ba da shawarar fitar da mota ba saboda haɗarin mummunan halayen da ba daidai ba.
Cutar Al'aura
Cutar mahaifa, tare da itching, amai, jan wasu sassan sassan jikin na waje da kumburi.
Tasiri kan ikon sarrafa abubuwan inji
Ba'a ba da shawarar fitar da mota ba saboda haɗarin mummunan halayen da ba daidai ba.
Umarni na musamman
Ba a dauki diuretics lokaci guda tare da miyagun ƙwayoyi da ke tambaya ba. Suna buƙatar a soke su kwanaki 2-3 kafin fara karatun.
Kafin fara magani, ya kamata a bincika ko yanayin cututtukan cuta irin su hyponatremia da hypovolemia suna haɓaka.
Don guje wa bayyanar halayen da ba su da kyau, bayan fara karatun kuma tare da karuwa a cikin kashi, wajibi ne a kula da yanayin mai haƙuri.
A yayin jiyya, ana sa ido kan cutar hawan jini koyaushe, musamman ma cikin masu haɗarin.
Don guje wa bayyanar halayen da ba su da kyau, bayan fara karatun kuma tare da karuwa a cikin kashi, ya zama dole don saka idanu kan yanayin haƙuri.
A cikin yanayi mai tsanani (cututtukan zuciya), ana bayar da maganin ne kawai bayan asibiti.
Yi amfani da lokacin daukar ciki da lactation
Ba a amfani da kayan aikin lokacin ɗaukar yaro da shayarwa.
Adana Tritace ga Yara
Babu wani gogewa game da amfani da miyagun ƙwayoyi don kula da marasa lafiya waɗanda basu kai shekarun rinjaye ba.
Yi amfani da tsufa
Marasa lafiya a cikin wannan rukunin ya kamata su mai da hankali, saboda akwai haɗarin raguwa mai ƙarfi a cikin matsin lamba.
Aikace-aikacen aiki mara kyau
Contraindications sune matsanancin ƙwayoyin cuta na wannan sashin. Ba a sanya magani ba tare da raguwa game da keɓantaccen izinin creatinine zuwa 20 ml / min.
A cikin tsufa, ya kamata a yi taka tsantsan, tun da akwai haɗarin raguwar ƙarfi a cikin ƙarfi.
Amfani don aikin hanta mai rauni
Ana amfani da maganin a ƙarƙashin kulawar likita, idan ya cancanta, ana sake dawo da maganin yau da kullun.
Yawan damuwa
Idan ya wuce kima, yawan jini ya ragu sosai, rawar jiki, raguwar zuciya (bradycardia) na iya haɓaka. Bayyanar cututtuka na canje-canje a ma'aunin ruwa-electrolyte, gazawar renal.
Da farko dai, kuna buƙatar cire wuce haddi na miyagun ƙwayoyi daga ciki, wanda aka yi wanka. Sannan kuna buƙatar ɗaukar adsorbent. Bayan wannan, ana wajabta maganin warkewa.
Yin hulɗa tare da wasu kwayoyi
Bayar da mummunar tasiri na miyagun ƙwayoyi da ake tambaya, yakamata a yi taka tsantsan lokacin zabar magunguna don tasirin magani.
Idan wani yawan abin sama da ya kamata, cutar mahaifa zata iya ci gaba.
Abubuwan haɗin gwiwa
Kada kuyi amfani da sulfate deateran, polyacrylonitrile membranes.
Ba da shawarar haɗuwa ba
Idan za ta yiwu, za a zaɓi wasu ƙwayoyi da abubuwa. Ba'a ba da shawarar yin amfani da miyagun ƙwayoyi a cikin tambaya tare da salts na lithium, potassium da diuretics, waɗanda ke haɓaka taro na potassium, har da magungunan bacci.
Haɗuwa yana buƙatar taka tsantsan
Wannan rukuni ya haɗa da kwayoyi waɗanda ke haifar da raguwa a cikin matsin lamba. Wajibi ne a lura da yanayin jikin yayin amfani da heparin, ethanol da sodium chloride.
Ba'a bada shawarar shan giya-giya tare da samfurin da ake tambaya ba.
Amfani da barasa
Ba'a bada shawarar shan giya-giya tare da samfurin da ake tambaya ba.
Analogs
M canza kwayoyi:
- Hartil;
- Dilaprel;
- Enap;
- Diroton;
- Lipril, da sauransu.
Wajibi ne a zaɓi magunguna waɗanda ƙananan halayen cuta ke ɗauke da su, amma a lokaci guda suna ba da gudummawa ga daidaiton jihar tare da hauhawar jini kuma yana haifar da tayar da jijiyoyin jini na zuciya.
Yanayin hutu Tritace daga kantin magani
Magunguna rukuni ne na kwayoyi.
Zan iya siye ba tare da takardar sayan magani ba
Babu irin wannan damar.
Magunguna rukuni ne na kwayoyi.
Farashi akan Tritac
Matsakaicin matsakaici ya bambanta tsakanin 1000-1250 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Shawarar dakin zazzabi - har zuwa + 25 ° С.
Ranar karewa
Allunan da ke dauke da 2.5 da 5 MG za'a iya adana su har tsawon shekaru 5. Ana amfani da wakili tare da maida hankali kan abu mai aiki na 10 MG a cikin kwamfutar hannu 1 ba za a iya amfani da shi ba shekaru 3 daga ranar da aka bayar.
Mai masana'antar Tritace
Aventis Pharma Deutschland GmbH, Jamus.
Reviews game da Tritac
An ba da shawarar ku sami duk bayanan da yawa game da tasiri na miyagun ƙwayoyi. Wannan yana taimakawa kimantawa na masu amfani da ƙwararru.
Likitoci
Zafiraki V.K., likitan zuciya, 39 years, Krasnodar
Tare da hanyoyin sarrafawa na tsarin zuciya da jijiyoyin jini, wannan magani yana aiki da kyau: yana daidaita karfin jini kuma baya haifar da sakamako masu illa. Koyaya, a cikin mafi yawan marasa lafiya, ana gano cututtukan haɗin gwiwa, wanda shine matsala don sanya magani - ana buƙatar saka idanu akai-akai game da yanayin jikin.
Alanina E. G., therapist, 43 years old, Kolomna
Dole ne a dauki wannan magani a allurar, ba za ku iya ƙara yawan adadin yau da kullun ba, dole ne ku kula da lafiyar ku. Lokacin da alamun farko marasa kyau suka bayyana, an katse hanyar kulawa. Ba zan yi karo da tasiri na miyagun ƙwayoyi ba, amma na yi ƙoƙari in tsara shi sau da yawa, saboda akwai haɗarin girma mafi girma na rikice rikice.
Marasa lafiya
Maxim, dan shekara 35, Pskov
Wani lokacin nakan sha magani, domin na dade da fama da hauhawar jini. Yana aikatawa da sauri. Likita ya ba da ɗan ƙaramin kashi, saboda ba ni da mummunan yanayin. A saboda wannan dalili, sakamako masu illa basu faru ba tukuna.
Veronika, shekara 41, Vladivostok
Sakamakon matsaloli tare da tasoshin, yawanci matsawa. Na lokaci-lokaci na canza magungunan rigakafin ƙwayoyi akan shawarar likita. Na yi ƙoƙarin shan kwayoyi daban-daban. Magunguna a cikin tambaya yana da inganci sosai, saboda sakamakon yana bayyane da sauri. Amma wannan kayan aiki ne mai tayar da hankali. Ina amfani dashi ba sau da yawa fiye da analogues.
