Mertenil magani ne na roba wanda aka yi amfani dashi a hade tare da maganin rage cin abinci wanda yake rage cholesterol "mara kyau" a cikin jinin mutum. Har ila yau, yana daidaita rikicewar cututtukan ƙwayar ƙwayar cuta ta jiki kuma shine wakili da wakili a cikin kula da atherosclerosis. Ana iya ɗauka a hade tare da bitamin da ake buƙata don mayar da ko kula da ayyukan hanta da ƙodan, tare da tallafawa tsarin rigakafi.
Yana da zaɓi mai hanawa na inzyme na enzyme wanda ke aiwatar da HMG-CoA zuwa mevalonate, babban tasirin abin da ya samo asali daga haɗin cholesterol da LDL catabolism. Metabolism yana iyakance - kashi 10 kawai.
Rage matakin ƙananan ƙwayoyin lipoproteins da ƙarancin cholesterol suna ba da gudummawa ga ƙwaƙwalwar rosuvastatin alli wanda shine ɓangaren samfuran. Abubuwan an cire su daga jiki ta hanjin ciki da kodan. Sashi yana ƙaruwa gwargwadon karuwa a cikin lokacin aikinsa. An ba shi izinin amfani ba tare da la'akari da shekaru da jinsi ba, azaman jiyya don hypercholesterolemia. Mintuna biyar bayan gudanarwa, maida hankali ga aiki mai ƙarfi ya kai matsakaicinsa, ana kunna shi cikin jini. Adadin cikakken bioavailability ne 20.
Sakamakon mutum zai zama sananne a cikin farkon makon farko na maganin Mertenil, kuma an nuna sakamako mafi girma bayan wata na gudanarwa na yau da kullun. Ana iya faɗaɗa tasirin sa ƙarƙashin yanayin amfani da tsari.
Ana samun magani a cikin nau'ikan allunan da aka lullube a cikin kwasfa. Kunshin ya ƙunshi blister 3, 10 a kowane. Kayan aiki kamar Mertenil yana da tsayayyen umarni don amfani, farashi mai dacewa, sake dubawa mai kyau da wasu analogues.
Farashin magungunan a cikin Tarayyar Rasha ya kasance daga 400 zuwa 700 rubles. Sashin farashin ya bambanta da kantin magunguna da kuma magunguna, kuma ana samunsa ne kawai kan sayan magani.
An tsara wannan maganin daidai da umarnin a haɗe tare da abinci na musamman.
Wa'adin da miyagun ƙwayoyi za a iya aiwatar da shi kawai daga halartar likita.
Gudanar da kai na miyagun ƙwayoyi an haramta shi sosai.
An wajabta don:
- hypertriglyceridemia - nau'in na huɗu bisa ga Fredrickson;
- familial homozygous hypercholesterolemia;
- hypercholesterolemia, hadewar cututtukan cututtukan ƙwayar cuta. Sai kawai a cikin yanayin rashin daidaituwa na sauran hanyoyin.
Hakanan yana rage jinkirin ci gaban atherosclerosis kuma yana daya daga cikin hanyoyin farko na rigakafin bugun jini, bugun zuciya da sauran cututtuka na tsarin zuciya. An wajabta shi kawai in babu alamun kai tsaye a cikin tsofaffi.
Kamar yawancin magunguna, akwai wasu maganganun waɗanda suka hana magungunan shan giya daidai-tsaye. Masana sun yi magana a kan contraindications:
- Lokacin haihuwar yaro da shayarwa. Hakanan yana shafar matan da suka kai shekarun haihuwa kuma basa amfani da hanyoyin ingantattun maganin hana haihuwa.
- Idan akwai wata dabi'ar halittar jini ta rikitarwa.
- Kasancewar cutar sankarar mama.
- Tarihi game da gazawa.
- Amincewar da cyclosporine da fibrates.
- Idan akwai gurbata hanta.
- Kowane rashin haƙuri ga aiki aka gyara na miyagun ƙwayoyi.
- Rashin haquri na Lactose.
- Glucose-galactose malabsorption.
- Mutanen da ke ƙasa da shekara 18.
Bi umarnin a cikin kunshin, don amfani da miyagun ƙwayoyi a 40 MG a wasu yanayi an tsaurara matakan. Haramcin zai iya zama:
- cutar hanta a cikin mawuyacin lokaci;
- hypothyroidism;
- sha'awar giya;
- tarihin tsofaffin tsokoki. Wannan kuma ya shafi tarihin mutum da na iyali.
Mutanen tsere na Mongoloid, kafin amfani, ya kamata su nemi likita, saboda halayyar wasu cututtuka.
Ya kuma yana da contraindications.
Dole ne a sha magungunan tare da taka tsantsan lokacin da:
- Babban haɗarin haɗarin kamuwa da cuta.
- Epilepsy na nau'in rashin tsari.
- Kwayar cuta mai zurfi na rayuwa, endocrine, tsarin lantarki.
- Kasancewar tarihin cutar hanta, ko rashin lafiyar wannan sashin.
- Rukunin shekaru 65+.
- Kasancewar raunin da ya faru.
- Kasancewar tarihin hauhawar jini.
- Cutar cutar kansa.
- Tiyata na ɗimbin yanayi.
Dole ne a tuna cewa ya kamata ku sha miyagun ƙwayoyi kawai a kan shawarar likita.
Kafin magani, ana lasafta mai haƙuri tare da abinci na musamman wanda ya ƙunshi abinci mai ƙarancin cholesterol. Irin wannan abincin ya kamata ya kasance tare da ƙarin ilimin. Likita ya zabi adadin maganin ga marassa lafiya gaba daya, bisa la’akari da anamnesis, yanayin lafiyar gaba daya da kuma abubuwanda suka faru a yanayin rayuwa. Hakanan, lokacin zabar sashi, makasudin magani da amsawar jiki ga magani ana la'akari dasu. Dole ne gwani ya bi shawarwarin likita na yau don cimma burin cimma burin lipid.
Umarnin don amfani da maganin kamar haka: zaka iya sha maganin a kowane lokaci da ya dace. An hadiye kwamfutar hannu ba tare da taunawa ba, gaba daya, bayan wannan an wanke shi da ruwa kawai.
Baƙon farko ya zama bai wuce 10 MG ba, ba tare da la'akari da ko mara lafiya ya sha shan satin ba.
Lokacin zabar mafi kyau matakin farko na magani, kwararru sun dogara da jimlar kwayar cholesterol ta wani mai haƙuri da haɗarin rushewar tsarin zuciya. Lokacin zabar, suna kuma jagora ta hanyar yiwuwar sakamako masu illa da tsananin ƙarfin su. Ana yin gyaran, idan ya cancanta, bayan wata daya na shan magungunan yau da kullun.
Idan ba'a cimma burin ba, kuna buƙatar ƙara yawan ci zuwa 40 MG. Irin wannan buƙatar sau da yawa ta taso tare da mummunan yanayin hypercholesterolemia da babban haɗarin cututtukan cututtukan zuciya. Ikon likita yayin rubuta magungunan kwayar cutar a cikin wannan girman ya kamata ya zama cikakke sosai, tunda a wannan yanayin akwai haɗarin haɓaka cututtukan cuta. Don nau'in 70+, an tsara kashi a cikin adadin 5 MG kuma, dangane da yanayin, ya kamata a daidaita shi.
Adadin farko ga marasa lafiya da gazawar ƙwayar cuta shine 5 MG, ana ba da izinin ƙara ƙarancin yawa, amma amfani da 40 MG ya haɗu da gaske. Idan mara lafiya yana fama da rauni na koda, amfanin wannan magani a kowace girma yana da haɗari. A wannan yanayin, akwai cikakken haramta amfani da kudade.
Wani keɓaɓɓe na hanta na iya aiki azaman ya zama cikakke ga amfani da miyagun ƙwayoyi. A wannan yanayin, yakamata a sarrafa aikin da cikakkiyar aikin hanta, kuma cututtukan wannan sashin a cikin aiki yakamata su kasance cikakkiyar contraindication don ɗaukar Mertenil.
Binciken Mertenil ya ce yana da tasiri fiye da ɗaya gefen. Ana ganin waɗannan bayyananniyar sau da yawa, amma, duk da wannan, ana rarrabawa kansu da gajeru.
Idan an sha ta a magani na 5 zuwa 20 MG, to akwai haɗarin kamuwa da nau'in 2 na ciwon suga, tashin zuciya, amai, amai, ciwon asthenic, matattarar tashin zuciya, ciwon mara na ciki, ana lura da myalgia.
Allergies, fitsarin fata da itching mai tsanani, urticaria, pancreatitis, rhabdomyolysis sune kadan kadan lokacin da ake jiyya.
Tare da yin amfani da 40 ko fiye da milligram na abu, yana yiwuwa:
- ci gaban myalgia;
- karuwar glucose da bilirubin;
- abin da ya faru na furotin na tubular;
- take hakkin glandar thyroid;
- abin da ya faru na myopathy.
Marasa lafiya suna jin matukar wuya wasu bayyanannu, saboda tasirin sakamako sune sakamakon rage rigakafi, halayen mutum. Bayyanar bayyanannun sun hada da:
- Ciwon mara.
- Hematuria.
- Arthralgia.
- Harshen ciki na ciki.
- Amnesia
- Abincin murfi
- Jaundice.
- Haushi.
- Rage numfashi.
- Kwayar cutar ciwon sukari.
- Karafarini.
- Rashin damuwa da daddare.
- Rashin yanayin yanayin jima'i.
- Stevens-Johnson Syndrome.
- Jin zafi a kai.
- Jihohin rashin nutsuwa.
- Yanayin baqin ciki.
- Activityara ayyukan hanta transaminases.
- Kasancewar yawan jini a cikin fitsari na mara lafiya.
Dalilin tuntuɓar ƙwararren likita yakamata ya kasance kasancewar yanayin febrile, rauni na tsoka, da mala'iku gaba ɗaya. A wannan yanayin, dole ne likitan likita ya soke amfani da maganin ko kuma daidaita maganin.
Hakanan, idan yawan abin sama da ya kamata ya faru, ya kamata a yi maganin tiyata. A wannan yanayin, kuna buƙatar sarrafa aikin hanta da aikin CPK.
Ba a buƙatar ciwon kai ba, saboda ba shi da tasiri a cikin irin wannan yanayin.
Don maganin Mertenil don cin nasara, kuna buƙatar sanin game da wasu fasalolin tasirin sa.
Kamar yadda ka sani, haramun ne a yi amfani da shi don mutanen da ba su cika shekara 18 da masu juna biyu ba.
Bugu da kari, amfani da wannan magani yakamata a aiwatar dashi kawai akan shawarar kwararrun masu halartar.
Lokacin zartarwa, kuna buƙatar tuna cewa ya:
- Yana cutar da kodan. An lura da kasancewar proteinuria a cikin marasa lafiya ta amfani da allunan a cikin adadin 40 MG. Idan babu ƙarin dalilai, to, zai zama na ɗan gajeren lokaci ne kuma ba a bayyana shi ta bayyananniyar bayyanar cututtuka. Kasancewar irin wannan cin zarafin ba ya nufin mummunan aiki mai tsawo da cutar koda. Yayin aikin jiyya tare da wannan magani, wannan sashin jiki da aikin sa ya kamata a sa ido sosai. Kowane karkacewa ya kamata ya haifar da dakatarwa, ko raguwa akan sashi.
- Yana tasiri tsarin musculoskeletal. Tare da yin amfani da kwayoyi daga 20 MG, ci gaban myopathy, myalgia, wasu lokuta ana lura da rhabdomyolysis. Wani fasalin na gudanarwa shine kulawa da hankali game da wannan magani tare da Ezithimibe, tunda suna hulɗa sosai da juna kuma, a wasu halayen, suna haifar da ci gaba da cutar. Theara kashi zuwa 40 MG yana haifar da haɗari mafi girma na rhabdomyolysis.
Kafin rubuta magani, likita dole ne ya bincika mai haƙuri don haɗarin haɗari. Idan karkacewa ta kasance, a zahiri, annabta tasiri da haɗari. Tun kafin aiwatar da ayyukan warkewa, ya zama dole don sarrafa abubuwan da ke tattare da wannan enzyme kamar su phosphokinases creatine.
Idan matakinsa a karon farko ya wuce matsayin da ya wuce sama da sau biyar, yakamata a sake auna shi bayan ɗan lokaci. Aimar sakandare zai nuna yiwuwar shan maganin. Idan mai nuna alama na biyu ya wuce na al'ada sau biyar, ya kamata a watsar da miyagun ƙwayoyi a ilmin likita.
Yayin aikin likita, likita ya kamata ya umarci mai haƙuri ya ba da rahoton lalacewa, ko kuma canji a yanayin kiwon lafiya. Musamman tare da rauni da rauni na tsoka, zazzabi. Halin kiwon lafiya da aikin ƙodan baki ɗaya sun dogara da shi.
A wasu halaye, an yarda da maganin ga yara 'yan shekaru 10. Wannan shi ne banda dokar.
Ba za ku iya tsara shi da kanku ba, saboda zai iya haifar da rikitarwa masu yawa.
Wannan magani yana da ƙari fiye da ɗaya ingantaccen magani.
Sun bambanta kawai a wasu lambobi a farashin.
An nuna farashin musanya a rubles.
Kuna iya maye gurbin Metrinil:
- Klivas 10, Klivas 20. - daga 135.
- Rosuvastatin Sandoz - daga 330.
- Giciye - daga 392.
- Roxeroi - daga 450.
- Rosart - daga 298.
- Rosucard 10, Rosucard 20, Rosucard 30 - daga 575.
- Tevastor - daga 341.
- Fastrong - daga 200.
- Rosulip - daga 133.
- Atorvastatin Technomedom - daga 70.
Kowannensu yana da masana'anta daban, amma kusan suna da kama iri ɗaya a cikin aiki da babban bangaren aiki.
Kafin amfani da kowane magani, ya kamata ka nemi ƙwararren masani. Likita ne kawai wanda yasan sifofin tarihin likitanci da lafiyar gaba ɗaya ya kamata su rubuta magani mai dacewa.
Gudanar da kai na kwayoyi na wannan nau'in na iya haifar da haɓaka cututtuka masu rikitarwa. Abubuwan da ke aiki suna da tasirin gaske akan hanta da ƙodan.
Sabili da haka, a gaban cututtukan cututtukan waɗannan gabobin, ya kamata a gudanar da aikin likita kawai a ƙarƙashin kulawa na likita, kuma ga kowane bayyanar tasirin sakamako, ana buƙatar taimako na musamman.
Ana ba da bayani game da gumaka a cikin bidiyon a cikin wannan labarin.
