"Mikardis": kunezixhobo kunye uthelekiso yazo

Impilo - njengesipho, ukuba akakwazi ukuzithenga okanye umyalelo, kodwa ke elowo kuthi unethuba iyaxhaswa ngoncedo izixhobo ezikhethekileyo. Xa amayeza bebizwa iziyobisi. Baya zinganikezelwa iifom ezahlukeneyo woyekelelo, kodwa rhoqo sisebenzisa eli cwecwe kuba unyango lwe nantoni na engaqhelekanga emzimbeni.

Kutheni ufuna iyeza "Mikardis"?

Wonke iyeza na injongo yayo. Bambalwa kakhulu Ayinabutyebi ngokubanzi. Ngapha koko, iinkqubo zabantu kunye namaziko zilungiswe ngeendlela ezahlukeneyo, kwaye ke iintsholongwane ezahlukeneyo ngokupheleleyo. Kuba unyango kweenkqubo ezininzi zophendlo lwezifo liphuhlise iziyobisi ezithile.

Ukulungiselela "Mikardis" lisetyenziswa ngokubonakalayo ukunyanga esimbaxa girpertenzii, isifo apho noxinzelelo lwegazi. Ukongeza, lithetha "Mikardis" analogs nabo ethintela noxinzelelo lwegazi, i ichiza othintelo esibalaseleyo lunciphisa ubungozi izifo kwenkqubo sentliziyo kunye nokufa isilumkiso kubaguli ezindala ngaphezu kweminyaka engama-55.

wenza ichiza kwinqanaba bokuphila njani?

Medicament "Mikardis" i blocker of angiotensin receptor II. ukusebenza kwalo amayeza kukuba ukuthoba izinga aldosterone emzimbeni. Ichiza akuthethi ukuvala imiphantsi ion kwaye ithintela iimpembelelo renin kunye kininazy II (i okwaziyo enzyme azibhubhise bradykinin). Drug "Mikardis" (isasetyenziswa Russian amaxesha ezahlukeneyo kancinane kumafa) iqulethe telmisartan. Le into eziphilayo esebenzayo kunempembelelo kwezonyango emzimbeni.

Ngamagama alula, isiphumo ichiza ngolu hlobo lulandelayo: "Mikardis" analogue zayo bayakwazi ukubuyisela iSystolic kunye noxinzelelo lwegazi ukuzala, ukuphucula ubume bradycardia kunye tachycardia. Ichiza kwandisa uxinzelelo lwegazi ngaphandle kokuphazamisa izinga intliziyo, ngoko olu unyango kufanelekile ukuba izigulane ezininzi.

In ezibukhali returns inqanaba xi liyekiswe nokusebenza sokuqala. Akunamsebenzi ukuba uphuhliso ngomonde onaso. Enye salathisi, iliphawu soxinzelelo lwegazi oluphezulu nesifo sentliziyo i khohlo. Oku - owomileyo, ebizwa ngokuba "intliziyo" khohlo. Ngexesha isicelo of "Mikardisa" le uphawu kubonakala ukuba ngokufuthi kangangoko phambi kokuba unyango telmisartanovoy.

Ukufumana ngaphakathi ichiza wendele izitho zokugaya kwi-50%. Kulo mzekelo, 99,5% enxulumene protein plasma. Isiphumo lokuqala ezithatha ichiza kwenzeka kwisithuba seeyure ezi-3 kwaye sihlala iiyure ezingama-24. Kwiimeko ezinqabe kakhulu, isiphumo iqinile eyathatha ukuya kwiintsuku-2 (okanye iiyure ezingama-48). Kunye nokusetyenziswa rhoqo legalelo unyango kuyafikelelwa iiveki 4-8.

Ukuba isigulane banesifo ukuphazamiseka ezintso, kufuneka umana ukubeka iliso ukusebenza creatine kunye potassium kule serum egazini. Kuyimfuneko ukuba ngaphandle amanzi kunye electrolyte yokuphazamiseka kumzimba ngokunxulumene umguli nolawulo iziyobisi. Kwakhona, isilumkiso kufuneka kuthathwe "Mikardis" ukuba kukho umahluko phecana biliary. Emva into telmisartan kwazona ikakhulu kwi enyongweni.

Ixesha kukhuthaza ichiza ukusuka eziphilayo

Ukurhoxiswa amaxesha "Mikardisa" ye umzimba eziyi-20. Inxalenye yale ichiza iyavezwa kunye endleni kule fomu apho kwinkqubo yokwetyisa. Malunga ne-1-2% of telmisartan bungaveli nge nezintso. Kwinqanaba sezingeni eliphezulu ogcina kugqitywe plasma. umgangatho wayo ml 900 / min xa kuthelekiswa esibindini nokuphuma kwegazi, nto leyo igcinwe kwi 15000 ml / min.

Izigulane ezithatha "Mikardis" analogue beziyobisi, kufuneka kukhunjulwe ukuba telmisartan akuthethi bathembele olugqitha esikhumbeni. amayeza Terms nokususwa asixhomekeki ubudala umguli. Ichiza ngesantya esifanayo njengoko imveliso ye inkunzi zikwamzimba ababhinqileyo.

Ubungqina obubonakalayo buxela ukuba kusetyenziswe isixhobo yezonyango

Inceda imithetho ongaka Orient "Mikardis" umyalelo ukuze zisetyenziswe. Ukuphononongwa, analogue iziyobisi kuxoxwa ngezantsi. Yayibubungqina ezingundoqo ikhondo unyango ukuphazamiseka sentliziyo komzimba. Yena kakuhle kunyango tachycardia, bradycardia, lwegazi, oko kukuthi, ukuphazamiseka uxinzelelo lwegazi, eziquka kakhulu lwegazi. unendlela ebalaseleyo lokunqanda kuboniswa ukwamkela abantu abadala ngaphezu kweminyaka engama-55, le "Mikardis Plus". Analogue amachiza ekwasetyenziselwa ukunciphisa amathuba izifo eziyingozi kakhulu kwinkqubo sentliziyo, emi indawo ephambili ngokwemiqathango yokufa.

Le umthamo ichiza

Ichiza sithathwa ngomlomo. Ukwamkelwa akaxhomekekanga indlela yokudla. Ukunciphisa uxinzelelo oluphezulu lwegazi kufuneka uqale ukuthatha ipilisi enye (40 mg) kanye ngemini. Xa wavakalisa isiphumo zaneleyo konwaywa ithamo kufuneka kwandiswe ukuze mg 80 ngosuku. Ezinye izigulane ezingekhoyo mg-20 ngosuku, kodwa kule meko kufuna maxa wambi ukwenza umlinganiselo uxinzelelo lwegazi reference, ukuze kuphoswa amaxabiso aphezulu. Ngaphambi kokuba uqale ukuthatha ichiza ngenjongo imfundo kuyimfuneko kuqala ukuhlola ulwazi olupheleleyo ichiza "Mikardis". Imiyalelo yokusebenzisa (efana amachiza asetyenziswa kwezinye iimeko, zibe nefuthe efanayo) kuya kukunceda ubone yonke umfanekiso yonyango sifo.

Esithathwa avareji malunga nokuthintelwa kwezifo sentliziyo 80 mg / ngosuku. Kwezinye iimeko, unyango kwangoko baya kufuna ukwamkeleka iziyobisi ezongezelelweyo ezenza kube yinto uxinzelelo lwegazi. Izikali I oyidlayo umiselwa nonoklinikhi emva kokuba uphando olwenziwe ephilayo karhulumente. Kule mihla emva ukuqeshwa "Mikardisa" kufuneka benze umlinganiso uxinzelelo kusasa nangokuhlwa. Oku kwenzelwa ukuqinisekisa impendulo umzimba ukuba ichiza kunye nokusebenza kwayo. Kufuneka kuqatshelwe ukuba kwiimeko ezininzi ingafuneki ulungiso idosi, kodwa izigulane ziphazamiso ekusebenzeni kwesibindi, akunakwenzeka ukuba zinyule yedosi ngaphezulu kwama-40 mg. Ubude unyango kunye eli chiza uzimisele ngamnye. Ugqirha ivavanya ukusebenza konyango emiselweyo kunye nohlobo inkqubo zophendlo lwezifo emzimbeni lomguli.

Xa yezonyango, overdosing akachongwanga, kodwa kwakubekwe ukuze avele ezifana ithi emzimbeni njengoko tachycardia, libya uxinzelelo lwegazi, bradycardia.

akufunekanga ukuba isetyenziswe Le iziyobisi?

Ngononophelo kwaye silandele zonke iimfuno oogqirha kufuneka ibe 'Mikardis "(analogue, izithetha-ntonye, generics), abantu abanesifo sesibindi kunye phecana biliary. Nodidi ekulo ichiza contraindicated ngokucacile azithumela nini na izigulane kunye ukunyamezelana ngamnye fructose (njengoko ichiza kumafa waso isixa esikhulu sorbitol), imibala sucrose, ukuphazamiseka yokucolwa of galactose kunye glucose. Abantwana abangaphantsi kweminyaka eli-18 contraindicated ngokungqongqo lolwamkelo esikolweni "Mikardisa" kunye nefuthe layo emzimbeni yomntwana ayaziwa namhlanje.

Ichiza kufuneka zithathwe ngononophelo olukhulu:

• nokuphola ukufakelwa kwezintso;
• giiperkaliemii;
• stenosis mitral nesivalo aortic;
• izifo zesibindi;
• pyelonephritis;
• hyponatremia;
• mazwe stenosis kwemithambo sezintso;
• senhliziyo ezigulo ezondeleyo.

Ukusetyenziswa kweziyobisi ngethuba lokukhulelwa zisanyisa

Ichiza akavumelekanga ukuba ukwamkela abafazi xa ukhulelwe kwaye ngexesha lokwaphusa (lokuncancisa), njengoko oku kuchaphazela ngokungalunganga imeko jikelele umntwana nonina. Ngexesha lokukhulelwa ucwangciso kuyimfuneko ukubuyisela kwindawo yonyango "Mikardis" analogue yayo (kodwa ingengabo bonkel) uya kwenza ngempumelelo ngakumbi kwimpilo umama okhulelwe. Ukuba Kwathi ukuze ngexesha ukuthatha amayeza wamitha kwangoko kufuneka ugcwalise irisithi yayo kwaye wazise ugqirha wakho malunga namayeza owasebenzisayo ngexesha lokukhulelwa. Oku kungenxa yokuba xa usebenzisa ichiza nga ha kombisa fetotoxicity yayo (kakuhle umsebenzi kwezintso, enze kade kwamathambo baby cranium, hypotension, hyperkalaemia).

Ziziphi iindlela wavelisa "Mikardis"?

Le mveliso amayeza inikwa emacwecweni ezimhlophe lume, nto leyo ithathwa ngomlomo. Amacwecwe kufuneka abizwa ngokuthi "51H" Izikali zikhona iintlobo ezimbini - enye elucwecweni 80 mg-40 mg. Xa ukuphakheja khona 2 - namadyungudyungu 4 amacwecwe-7 (14 okanye 28 pieces).

Yintoni analogue beziyobisi?

Ukuba unomdla kwi "Mikardis" isasetyenziswa ichiza, ixabiso amayeza, sicebisa ukuba ukufumana ulwazi Pharmacy omzi wakho. Emva amaxabiso zonke womnatha kwikhemesti yahlukile, ngoko ke ixabiso ichiza kunye lokunye ziyahluka kakhulu. Ntonye ye echiza "Praytor", "Mikardis Plus". Analogs owayengowokugqibela ichiza - a amachiza ngakumbi ebambeleyo ekhankanyiweyo nemithambo yegazi. Ezi ziquka "Gizaar Forte", "Atacand Plus", "Valzap Plus", "Teveten Plus", "Co-Diovan," kunye nabanye. Lezithako telmisartan esebenzayo ukuxhasa umsebenzi wentliziyo, oko kuyinxalenye ichiza "Mikardis Plus". Analogue, apho intengo kancinane iindleko ichiza, ube sisincoko eyahlukileyo.

Ixabiso ichiza kunye analogue yayo

Nokubiza iziyobisi inokuba nomahluko kwimimandla ehlukeneyo yelizwe. Oku kungenxa awohluke le kokuziswa kwekhithi, kwizikolo ezikude kakhulu kuloo dolophana ukusuka mveliso, imfuno iziyobisi bendawo ethile. Ngokubanzi, ichiza ukuba zihlelwe izixhobo zonyango ezikhoyo. ixabiso layo isusela ukusuka 800-900 p. Ichiza "Mikardis Plus" is a bit imali eninzi: ukusuka 900 ukuya 1100 engange. Eqinisekisiweyo eRashiya and Ukraine iziyobisi "Mikardis". nucleoside Russian abe avareji nokuba ixabiso efanayo naleyo imveliso okanye ngezantsi.

Drug "Mikardis" (tablets) - ncomo, iingcaciso amanyathelo zizigulane

Izigulane ezininzi ingxelo ukuba ukusebenza "Mikardisa" kuxhomekeke imeko yesigulane. Ukuba isifo siqhubeka, oko kuyimfuneko ukusebenzisa nalo eli yeza kwakhona nabanye abathile, nto leyo eya kukunceda ukuzinzisa le meko. Ekubeni eli chiza luchaphazela yegazi, kufuneka atyumbe oyingcali yonyango kuphela. Isigulane aziyi neziqu ukuvavanya imeko yakhe linyanzelise idosi eyaneleyo.

Njengoko amanye ala machiza, ichiza "Mikardis" liye ukujikeleza kwalo ukusetyenziswa. Kuba isigulane ngasinye ophuhlisa isicwangciso ngamnye unyango ngokungqinelana izikhalazo kunye notshintsho kwimpilo.