Diroton magani ne na yau da kullun a cikin kulawa da cututtukan zuciya, ciki har da hauhawar jijiya da kuma ƙarancin ƙwayar zuciya. Sau da yawa ana amfani dashi don keta wurare dabam dabam na jini a cikin tasoshin.
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C09AA03
Diroton magani ne na yau da kullun a cikin kulawa da cututtukan zuciya, ciki har da hauhawar jijiya da kuma ƙarancin ƙwayar zuciya.
Saki siffofin da abun da ke ciki
Akwai kawai a cikin allunan. Lokacin sayen, ya kamata ka kula da sashi, gwargwadon wane nau'in kwaya na iya zama daban, dukda cewa duk fararen fata ne. Rounded - 2.5 MG kowane, lebur (a cikin nau'i na diski) - 5 MG kowane, convex siffofin marasa daidaituwa - 10 MG da 20 MG kowane.
Tushen maganin shine lisinopril wanda aka inganta tare da magnesium stearate, sitaci, talc da alli hydrogen phosphate.
Siyarwar fakiti - blisters na musamman 14, kunshe-kunshe cikin kwali na kwali na 1-4 inji mai kwakwalwa.
Aikin magunguna
Magungunan maganin ACE mai hanawa ne (angiotensin yana canza enzyme). Lokacin da aka sha shi da baki, yana sha da sauri kuma yana shiga cikin jini. Yana taimaka daidaituwa da karfin jini, yana magance manyan tasoshin, wanda ke ba da gudummawa ga mafi kyaun jijiyar jijiyoyin jiki. Ikon zuciya don yin tsayayya da aikin jiki yana ƙaruwa.
Idan kun dauki miyagun ƙwayoyi a kai a kai, zai iya haifar da raguwar hanyoyin hauhawar jini a cikin myocardium.
Idan kun dauki miyagun ƙwayoyi a kai a kai, zai iya haifar da raguwar hanyoyin hauhawar jini a cikin myocardium. Abubuwan da ke cikin zuciya suna shafar ischemia suna ba da gudummawar jini sosai.
Tare da taimakon kayan aiki, yana yiwuwa a tsawanta rayuwar mutane waɗanda tarihinsu ya nuna gazawar zuciya. Ayyukan miyagun ƙwayoyi yana farawa a kan matsakaici bayan awa daya, kuma tasirin warkewa har zuwa rana guda.
Tare da katsewa mai ƙarfi a cikin liyafar, ciwon cirewar na iya bayyana, wanda hakan zai iya haifar da tashin hankali na tashin hankali.
Pharmacokinetics
Ba shi da matsala daga narkewa. Bayan haka, lisinopril kai tsaye a cikin jini yana ɗaukar tsari zuwa tsarin furotin. A bioavailability na miyagun ƙwayoyi ya kusan 30%. Yawan tsotsa ba ya canzawa ta kowace hanya yayin canza abincin.
Lisinopril ba batun metabolism bane, saboda haka an keɓance shi bayan sa'o'i 12 tare da fitsari mara canzawa.
Abinda ya taimaka
Baya ga rage matsin lamba, kayan yana taimakawa shawo kan wasu cututtuka:
- Hawan jini. An wajabta magungunan a matsayin ɓangaren magunguna masu rikitarwa tare da sauran magunguna.
- Rashin lafiyar zuciya. Ana amfani dashi a hade tare da kayan ado na dijital, hanya ta diuretics.
- Cutar masu fama da ciwon sukari. Ana amfani dashi idan ciwon sukari yana haɗuwa da jijiyoyin jini.
- Saukar jini na Myocardial. An wajabta don kula da karfin jini na yau da kullun da hana haɓakar ci gaban zuciya a cikin ventricle hagu.
Ya kamata a zabi zabin tiyata cikin kulawa.
A kan menene matsa lamba
Kowane mutum yana da alamu masu nuna ƙarfi. A cikin umarnin don amfani, babu alama a kan menene alamun matsa lamba ya kamata a cinye allunan. Sabili da haka, buƙatar shan magani, kuma sashi ya kamata likita ya ƙaddara.
Contraindications
An bayar da maganin ne kawai bayan karbar sakamakon cikakken binciken likita. Kafin fara magani, ya kamata kuyi nazarin umarnin, a hankali, tunda ƙwayar tana da contraindications:
- rashin jituwa ga wasu bangarorin;
- shekarun yaro har zuwa shekaru 6;
- rashin lafiyan (ba a cire yiwuwar cutar hurar Quincke);
- lokacin gestation da lactation.
Dole ayi taka tsantsan a gaban wasu cututtukan cututtukan da ke cikin asibiti:
- rashi mai aiki;
- stenosis na manyan jiragen ruwa;
- tsananin rashin ruwa;
- lokacin bayan dasawa da koda;
- na kullum da cututtukan zuciya;
- rage yawan matsin lamba;
- ischemia na zuciya;
- ciwon sukari mellitus;
- cututtukan da ke shafar ƙwayar haɗi;
- low maida hankali ne na potassium da sodium a cikin jini.
Duk waɗannan contraindications dole ne a la'akari dasu kafin ka fara ɗaukar.
Wataƙila haɓakar halayen da ba daidai ba da rikice-rikice marasa so waɗanda ke cutar da ayyukan gabobin jiki da yanayin yanayin jikin haƙuri.
Yadda ake ɗauka
Ana bada shawarar amfani da kashi ɗaya na magani a kowace rana. Don wanka da ruwa. Yin amfani da miyagun ƙwayoyi ba ya dogara da lokacin rana ko cin abinci ba, amma ya fi kyau ku sha shi da safe. Ga kowane rukuni na cututtuka akwai tsarin aikin magani:
- Tare da hauhawar jijiyoyin jini, ana sanya 10 MG kowace rana. Sannan sun canza zuwa kashi 20 na MG, wanda aka dauke shi mai taimako ne. A cikin mafi yawan lokuta masu rauni, haɓaka zuwa 40 MG kowace rana yana yiwuwa. Sakamakon ingantaccen amfani na dogon lokacin yana faruwa bayan makonni 2 na maganin dindindin.
- Tare da hauhawar hauhawar jini, mafi kyawun adadin yau da kullun kada ya zama ya wuce 5 MG. Sannan sashi zai dogara da tsananin tsananin alamun cutar hauhawar jini.
Idan tare da akai akai na matsakaicin kashi babu wani sakamako da ake so, to an maye gurbin maganin. Duk magungunan diuretic sai a soke su.
Idan an gano alamun rashin lafiyar zuciya na yau da kullun, to dole ne a haɗo lisinopril tare da diuretics. Amma sashi na karshen yana rage zuwa m.
Tare da rashin isasshen aiki na keɓaɓɓen, sashi zai ta'allaƙa ne akan yardawar keɓaɓɓiyar Valueimar ƙimar tsarkakewa, ƙananan zai zama kashi na lisinopril. Determinedarin ƙarin tabbatarwa ana tantancewa ta hanyar alamun nuna matsa lamba.
Shan maganin don ciwon sukari
An wajabta shi a cikin mafi ƙarancin ingancin sashi. A duk lokacin da ake yin magani, kuna buƙatar sarrafa kwantar da hankali na glucose a cikin jini.
Side effects
Ciwon kai da amai, gudawa, tashin zuciya, rauni na gaba daya, ciwon kirji, tsawan bushe bushe, rashin lafiyar fata.
Wasu alamu an ware su daban, saboda abin da ya faru shi ne ya haifar da hargitsi a cikin jihar na gabobin daban-daban.
Gastrointestinal fili
Ana lura da rikicewar tsarin. Babban bayyanar cututtuka shine zawo, amai, bakin bushe, zafin ciki, alamomin hepatitis, jaundice da pancreatitis.
Hematopoietic gabobin
Idan ba a sha maganin yadda yakamata ba, toshe jijiyar jiki shima zai iya wahala. Bayyanar cututtuka na haɓakawa: neutro- da leukopenia, anaemia, rage yawan haemoglobin a cikin jini.
Tsarin juyayi na tsakiya
Daga tsarin juyayi akwai damuwa, rikicewa mai lalacewa da daidaituwa na motsi, kumburin yanayi mai kaifi, karuwar nutsuwa, da rashin tausayi. A wasu halayen, raɗaɗi da paresthesias na iya faruwa.
A wani ɓangare na tsarin juyayi, ana haifar da sakamako masu illa na miyagun ƙwayoyi ta hanyar karkatar da hankali da nakasa taro.
Daga tsarin urinary
Halin da yake a cikin urinary tsarin yana bayyana ne ta hanyar uremia, oliguria, gazawar renal da kuma wasu raguwa a cikin maza.
Daga tsarin numfashi
Bayyanar cututtuka na rashin bacci: bayyanar tari da bushewar jijiyoyi. A wasu halaye, ana iya lura da dyspnea da apnea.
Daga tsarin zuciya
Rashin daidaituwa na tsarin zuciya da jijiyoyin jini yana bayyanuwa ta hanyar raguwar hauhawar jini da matsanancin raɗaɗi a cikin kirji. Tachycardia ko, a takaice, ana lura da wasu lokuta bradycardia. Wataƙila haɓakar infarction na zuciya daga myocardial.
A ɓangaren fata
A ɓangaren fata, ana iya ɗaukar halayen rashin lafiyan daukar hoto. Itching da amya mai yiwuwa ne.
Akwai gumi mai yawa da asarar gashi mai yawa.
Cutar Al'aura
Allergic halayen na iya haɓaka (har zuwa angioedema Quincke edema).
Umarni na musamman
Akwai wasu umarni na musamman a cikin umarnin likitan. Suna buƙatar yin nazari a hankali don guje wa rikice-rikice marasa so.
Amfani da barasa
Ba za a yarda da amfani da abin sha tare da abin sha mai sa maye ba, tunda duka maganin warkewar magani ya ɓace.
Kada a bada izinin amfani da miyagun ƙwayoyi tare da abin sha mai ɗauke da giya, tunda duk maganin warkewa.
Tasiri kan ikon sarrafa abubuwan inji
Magungunan yana da tasiri mai hana ruwa gudu akan tsarin jijiyoyi, rage taro kuma yana haifar da ƙaruwa da kasala, don haka ya fi kyau a bar tuki.
Yi amfani da lokacin daukar ciki da lactation
Ba a sanya wa mata ba yayin haihuwar ɗa. Lisinopril yana tsallake mahaifa da kyau kuma yawanci yakan haifar da cututtukan ci gaban mahaifa. Yin amfani da miyagun ƙwayoyi a cikin matakan na gaba na iya tayar da mutuwar tayin kafin haihuwarsa ko haɓakar rashin nasara game da yara a cikin yaran da aka Haifa.
Idan an dauki maganin kafin daukar ciki, kuna buƙatar sanar da likitan ilimin game da wannan. Irin waɗannan mata suna da rajista, ana sa musu idanu koyaushe kafin haihuwa.
Ba'a ba da shawarar shan magani ba lokacin shayarwa, saboda babu ingantaccen bayanai akan ko abu mai aiki ya shiga cikin madarar nono. Idan akwai bukatar magani, zai fi kyau a daina ciyar da su.
Adana Diroton ga yara
Ba a taɓa yin amfani da shi ta hanyar ilimin dabbobi ba.
Yi amfani da tsufa
Tare da matsanancin hankali.
Yawan damuwa
Idan baku lura da mahimmancin amfani da maganin ba, musamman tare da kulawa na dogon lokaci, alamun rashin gamsuwa game da yawan shayarwa zai iya faruwa:
- raguwa mai ƙarfi a cikin matsin lamba, raguwar jini a cikin tasoshin, rushewa;
- tachycardia;
- janye hankali, rage hankali;
- bushe bushe, tare da yawan ƙishirwa;
- lethargy da yuwuwar raguwa cikin halayen shakatawa.
Idan ba ku bi ka'idodin maganin da ake buƙata ba, musamman idan shan shi na dogon lokaci, bushewar bakin na iya bayyana, tare da ƙishirwa koyaushe.
Idan irin waɗannan bayyanar cututtuka sun faru, dole ne a gaggauta kai haƙuri zuwa asibiti. Shan magungunan nan da nan sai an soke shi. Ana amfani da yawan abin sama da ya wuce ta hanjin ciki. Sannan a bai wa mai haƙuri da allunan kwayar carbon karaf kuma ana wajabta maganin cututtukan, wanda ya kamata ya kasance har sai alamun ƙarin yawan abincisawa sun tafi.
Yin hulɗa tare da wasu kwayoyi
Lokacin da aka yi amfani da shi tare da diuretics na potassium, haɗarin hyperkalemia yana ƙaruwa. Tare da irin waɗannan infusions, aikin kodan da zuciya an hana su.
Idan ana amfani dashi tare da alpha-blockers, matsi ya ragu, don haka tsayayyar iko ya zama dole. Tasirin antihypertensive yana ƙaruwa tare da amfani da haɗin gwiwa tare da wasu magungunan rigakafi.
Sakamakon warkewa na lisinopril an rage shi da wasu magungunan anti-mai kumburi. Kasancewa ta bangon hanji yana lalacewa ne ta hanyar maganin antacid.
Matan da suke so su kare kansu daga shigar da ba a so ba suna buƙatar sanin cewa miyagun ƙwayoyi suna rage tasirin wasu maganin hana haifuwa.
Yadda za'a maye gurbin
Akwai da yawa analogues waɗanda suke da guda warkewa sakamako:
- Co. Diroton;
- Vitopril;
- Damuwa;
- Lysinocore;
- Lozap.
Kafin zabar wanda zai maye gurbin, yakamata ka nemi likitanka game da cancanta. Awararren masani ne kaɗai zai iya faɗi wane kayan aiki ne ya fi dacewa don amfani.
Magunguna kan bar sharuɗan
Sai kawai ta hanyar takardar sayan magani daga likita. Ba a samu kyauta.
Nawa ne Diroton ke kashewa
Farashi a kantin magunguna kusan 90 rubles.
Yanayin adana magungunan Diroton
Store a cikin duhu wuri a dakin da yawan zafin jiki.
Ranar karewa
Shekaru 3
Bayanin Diroton
Likitocin zuciya
Zhikhareva O. A., St. Petersburg: "Ya zama dole a rubuto takaddama akai akai tare da magungunan antihypertensive. Tare da ci gaba da hauhawar karfin jijiya, yakamata a sha maganin sosai akan teburin 1. Kafin a yi alƙawari, ya kamata a bincika yanayin kodan."
Zubov V. L., Penza: "Magungunan na da kyau, kusan ba sa bayar da wani mummunan sakamako. Yana aiki da sauri, amma bai dace da duk masu haƙuri ba .. Ga waɗanda ke da cutar hawan jini koyaushe, shan kwaya ɗaya ba ya taimaka wajen rage karfin jini. Ba na ba da shawara game da shan magunguna ga marasa lafiya da varicose veins. "
Marasa lafiya
Alexander, dan shekara 43, Saratov: "Magungunan ba su da kyau. Amma akwai wasu halayen masu illa. Shugaban kaina ya yi rauni, tari ne kawai da ba a iya jurewa ba kuma fatar jiki ta bayyana. Komai ya tafi da sauri bayan na daina shan maganin. Dole na zabi wani magani."
Valentina, 'yar shekara 52, Moscow: "Likita ya ba da shawarar shan shi a kowace safiya. Ina yin shi. Zai zama mafi kyau tare da kowane kashi. Matsalar ta koma al'ada, ƙwaƙwalwar ajiyar zuciya ta ɓoye.Makina ya fara rauni sosai. Yanayina na lafiya na gabaɗaya. Aikin likita bai ƙare ba tukuna. ci gaba da karba. "
Irina, mai shekara 48, Kursk: "Tare da amfani da kullun, ana iya ganin tasirin. Amma daga kwarewar kaina na fahimci cewa tare da kashi ɗaya don rage matsin, magani ba ya aiki. Matsin lamba ya kasance mai girma, har ma da ƙara yawan sashi da maimaita amfani bai taimaka ba. Dole ne in sake shan wani magani. "