Telzap ke lithethefatsi tse fokotsang kotsi ea ho ba le lefu la pelo. Ho sebetsa hantle ho ipakile ho lekoa le liteko tsa bongaka.
Lebitso la Machaba le sa Tšoanelehang
Lebitso Telmisartan le sebelisoa e le ts'ebetso eo e seng ea machabeng.
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Telzap ke lithethefatsi tse fokotsang kotsi ea ho ba le lefu la pelo.
ATX
Khoutu ea ATX C09CA07.
Lokolla liforomo le sebopeho
Telzap 40 mg e fumaneha ka mokhoa oa litafole, e 'ngoe le e' ngoe ea eona e nang le sebopeho sa oblong biconvex. 'Mala oa litafole o ka ba o mosoeu kapa o mosehla. Mahlakore ka bobeli a kotsing.
Sesebelisoa sa mantlha se sebetsang ke telmisartan. Likahare tsa eona letlapeng ka leng le fihla ho 40 mg.
Moetso o thusang o kenyeletsa likarolo tse latelang:
- sorbitol;
- meglumine;
- magnesium stearate;
- sodium hydroxide;
- povidone.
Ketso ea pharmacological
Sesebelisoa se sebetsang sa telmisartan se na le litletlebo tsa Angiotensin II receptor antagonists. Ha a kenella, sethethefatsi se khona ho tlosa angiotensin II ho hokahana le eona le receptor. Ntle le moo, mabapi le receptor ena, ha se agonist. Telmisartan e sebelisana feela le li-receptors tsa angiotensin II ATl. Ntho e sebetsang ha e bonts'a thepa e tšoanang ho AT2 receptor le tse ling.
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Tlas'a tšusumetso ea lithethefatsi ho plasma ea mali, mahloriso a aldosterone a fokotseha. Ka nako e ts'oanang, ts'ebetso ea renin e lula e le boemong bo lekanang 'me liteishene tsa ion ha lia thibeloa.
Li-enzyme tse fetolelang tsa Angiotensin tse thusang ho timetsoa ha bradykinin ha li thibetsoe. Karolo ena e u lumella ho felisa kotsi ea litlamorao tse kang khohlela e omileng.
Ha u sebelisa litekanyetso tsa 80 mg ho bakuli, phello e matla ea angiotensin II e koetsoe. Tšusumetso e fihlella lihora tse 3 kamora ho ba tekanyetso ea pele. Ketso e nka lihora tse 24. E nkoa e sebetsa hantle tleleniking bakeng sa lihora tse 48. Ho ja matlapa khafetsa bakeng sa libeke tsa 4-8 ho lebisa ho phello e boletsoeng ea antihypertensive.
Tšebeliso ea Telzap ho bakuli ba nang le khatello ea mali ea methapo e ka fokotsa khatello ea mali ea diastolic le systolic. Khabareng, sekhahla sa pelo ha se fetohe.
Motsoako ona o sebelisetsoa ho phekola mafu a pelo le methapo. Ho bakuli ba tsofetseng ba nang le methapo ea methapo ea pelo, litafole li bile le phello ea ho fokotsa hangata:
- myocardial infarction;
- lichapo;
- lefu la motho ka lebaka la lefu la pelo.
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Mofumahali
Kamora ho tsamaisoa ka molomo, moriana o kenella ka potlako. Ka karolelano, bioavailability ea eona e fihla ho 50%. Ho ja ho ka fokotsa ho amoheloa ha moriana.
Telmisartan e hokahana le alpha-1 acid glycoprotein, albin le liprotheine tse ling tsa plasma.
Metabolism e etsahala nakong ea khokahano le glucuronic acid. Sesebelisoa sena ha se na tšebetso ea meriana. Ho tlosoa hoa likarolo ho etsahala ka mala. Maemong ana, boholo ba 'mele bo tloha bo sa fetohe. Ke 1% feela ea ntho ena e epeloang lipelong.
Matšoao a ho sebelisoa
Telzap e fuoa bakuli ba nang le ts'oaetso e latelang:
- khatello ea mali e hlokahalang;
- mofuta oa 2 lefu la tsoekere la mellitus (moo ho nang le liso tsa litho tsa thipa);
- lefu la pelo le methapo ea atherothrombotic ea tlhaho (lethathamong la maloetse a joalo, stroke, lefu la pelo le senyehileng, methapo ea methapo).
Matlapa a boetse a khothalletsoa e le prophylactic ea mafu a pelo le bakuli ba kotsing.
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Contraindication
Moriba o kopantsoe ka botlalo:
- ka maikutlo a eketsehang a karolo e ka sehloohong e sebetsang kapa sebopeho se thusang;
- haeba ho na le mafu a thibelang mafu a amang sethoathoa sa mali;
- nakong ea kemaro le ho anyesa;
- ka ho hloka mamello ho motho a le mong ho ba le fructose;
- bana ba ka tlase ho lilemo tse 18.
Ka tlhokomelo
Litaelong tsa tšebeliso, li-pathologies tse 'maloa li rehiloe lebitso leo ho lona Telzap e laetsoeng ka hloko haholo tlasa taolo e haufi ea ngaka:
- mosebetsi o sa sebetseng oa renal;
- renal artery stenosis;
- hyperkalemia
- hyponatremia;
- mitral kapa aortic valve stenosis;
- fokotseha molumo oa mali o potoloha ka mor'a ho nka lijo tse hlapollang, ho hlatsa, lets'ollo, kapa ho hloka letsoai lijong;
- hyperaldosteronism ea mantlha;
- nako ea ho hlaphoheloa kamora ho fetisoa ha meno;
- ho se sebetse hantle ha sebete (bonolo ho leka-lekana);
- lefu la pelo le matla;
- hypertrophic cardiomyopathy.
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Ho hlokahala tlhokomeliso ha u sebelisa lipilisi tsena kalafong ea bakuli ba morabe oa Negroid.
Mokhoa oa ho nka telzap 40 mg
Matlapa a etselitsoe ho tsamaisa molomo. Li metsoa ntle le ho hlafuna mme li hlatsuoa ka khalase ea metsi. Joaloka mofuta o tloaelehileng oa kalafo, ho khothalletsoa ho nka letlapa le le leng la Telzap ka letsatsi ntle le ho bua ka lijo. Litekanyetso li latela litšobotsi tsa tlhahlobo ea mafu.
Bakeng sa khatello ea mali ea methapo, lethal dose le khothalletsoang la pele ke 1 Letlapa 40 mg. Ha ho se na phello e hlokahalang, lethal dose le ka eketsoa ho 80 mg.
Ts'ebeliso e le prophylactic bakeng sa maloetse a pelo le methapo e sa tšoaneng ea litekanyetso. Tabeng ena, tekanyetso e nepahetseng ke 80 mg ka letsatsi.
Phekolo ea lefu la tsoekere
Matlapa a Telzap a ipakile e le tlatsetso e atlehang ea kalafo e rarahaneng ho bakuli ba nang le lefu la tsoekere la mofuta oa 2. Batho ba fumanang lithethefatsi tsa hypoglycemic ba lokela ho lekola maemo a bona a glycemia khafetsa. Maemong a mang, ho hlokahala hore ho lokisoe li-agents tsa hypoglycemic kapa insulin.
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Matlapa a Telzap a ipakile e le tlatsetso e atlehang ea kalafo e rarahaneng ho bakuli ba nang le lefu la tsoekere la mofuta oa 2.
Litlamorao
Ho bakuli ba bang, ho nka Telzap ho ka baka ponahalo ea litla-morao.
Phekolo ea ka mpeng
Ho tsoa ho tsamaiso ea tšilo ea lijo, lets'ollo, bohloko ba ka mpeng, ho hlatsa, bolutu le dyspepsia li etsahala hangata ho feta tse ling. Mathata a ho latsoa, ho se utloisehe hantle tikolohong ea epigastric, mucosa e omileng ka har'a molomo ha e bonoe ka seoelo.
Hematopoietic litho tsa ka hare
Ho na le bopaki ba nts'etsopele ea thrombocytopenia, eosinophilia le hemoglobin e tlase.
Tsamaiso ea methapo e bohareng
Bakuli ba bang ba tletleba ka ho hloka boroko, khatello ea maikutlo, ho tšoenyeha ho eketsehileng. Maemong a sa tloaelehang, ho na le ho akheha.
Ho tsoa ts'ebetsong ea moroto
Har'a litla-morao tse bitsoang ho holofala hoa tšebetso ea renal. E 'ngoe ea li-pathologies tsena ke ho hloleha ha liphio.
Ho tsoa tsamaisong ea phefumoloho
Dyspnea le khohlela lia hlaha. Khafetsa, lefu la matšoafong le hlaha.
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Karolong ea letlalo
Lethathamong la litla-morao tse joalo li lokela ho bitsoa hyperhidrosis, ho hlohlona ha letlalo, lekhopho. Eczema, angioedema, erythema, lekhopho la letlalo le nang le chefo le lithethefatsi ha le fumanoe seoelo.
Ho tsoa ts'ebetsong ea genitourinary
Ho basali, mafu a ts'oaetso a ts'ebetso ea kemolo a ka hlaha, maemong a sa tloaelehang, ho se sebetse hantle ha potoloho ea khoeli. Ho banna, ho se sebetse hantle ha erectile hoa khoneha.
Ho tsoa ho tsamaiso ea methapo ea pelo
Ts'ebetso ea pelo le pelo hangata ha e arabele liketsahalo tse bohloko ka kalafo ea Telzap. Khabareng, bakuli ba khonahala:
- ho akheha ho bakoang ke hypotension;
- fokotseha kapa keketseho ea sekhahla sa pelo;
- ho theola khatello ea mali le phetoho maemong a mmele.
Sistimi ea Endocrine
Ho sebelisa moriana ho ka etsa hore tsoekere ea mali le metabolic acid e fokotsehe.
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Karolong ea sebete le tsamaiso ea biliary
Mathata a amanang le gallbladder le sebete a fumaneha seoelo.
Allergie
Bakeng sa karabelo ea mefuta eohle ea lintho tse ling, ho ka etsahala se latelang:
- rhinitis;
- lekhopho la letlalo;
- laryngeal edema;
- Edema ea Quincke.
Litaelo tse khethehileng
Bakeng sa litla-morao life, khaotsa ho sebelisa meriana 'me u batle thuso ea bongaka. Ho fokotseha ho hoholo ha khatello ea mali ho ka baka stroke, ho nyekeloa ke pelo le sephetho se bolaeang.
Tekanyo ea joala
Ho noa joala ho thibetsoe ka thata nakong ea kalafo le Telzap. Ho sebelisana ha moriana le ethanol ho baka khatello e phahameng ea mali, e leng se ka lebisang ho akheha.
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Ho noa joala ho thibetsoe ka thata nakong ea kalafo le Telzap.
Tšusumetso ho bokhoni ba taolo ea methapo
Ha ho na litaelo tse khethehileng ntlheng ena, leha ho le joalo, tšebeliso ea moriana e ka baka litlamorao (ho akheha, ho tsekela, ho otsela). Ka lintlha tsena kelellong, khanna ka hloko.
Sebelisa nakong ea bokhachane le pelehi
Ka moriana, ha ho na datha mabapi le phello ea lithethefatsi ho lesea. Lithuto tsa kliniki ho liphoofolo li bontšitsoe hore li na le chefo ho lesea. Ka lebaka lena, lithethefatsi tse ling li laetsoe ho alafa basali baimana.
Ho trimester ea bobeli le ea boraro, tšebeliso ea lithethefatsi ho tsoa ho sehlopha sa bahanyetsi ba angiotensin e ka baka sebete sa lesea, liphio, ho liehisa ossation ea lehata, oligohydramnios.
Nakong ea lebone, ho khethoa ha Telzap ho thibetsoe ka thata. Ho seng joalo, ho anyesa ho tlameha ho emisoa.
Ho laela Telzap 40 mg ho bana
Bana ba ka tlase ho lilemo tse 18 ba thibetsoe ka thata ho sebelisa lipilisi tse nang le telmisartan.
Sebelisa botsofaling
Bakuli ba lilemo tse kaholimo ho tse 70 ha ba hloke phetoho ea litekanyetso. Kantle ho moo ke linyeoe tse nang le methapo ea methapo kapa sebete.
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Bakuli ba lilemo tse kaholimo ho tse 70 ha ba hloke phetoho ea litekanyetso.
Kopo ea ts'ebetso ea renal e senyehileng
Ho senyeha ha matla a renal, lethal dose le sa feteng 20 mg la moriana ka letsatsi le lokela ho sebelisoa.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Ho mafu a matla a sebete, Telzap ha e sebelisoe.
Bongata
Haeba tekanyetso e khothalelitsoeng e feta, matšoao a latelang a hlaha:
- ho theoha ha sekhahla sa pelo;
- Ho tsekela
- ho fokotseha ho hoholo ha khatello ea mali;
- matšoao a ho hloleha ha meno.
Ho sebelisana le lithethefatsi tse ling
Hangata Telzap e sebelisoa e le karolo ea kalafo e rarahaneng, kahoo ho hlokahala hore u nahane ka ho ts'oana ha matlapa le lithethefatsi tse ling.
Motsoako o kopantsoeng
Bakuli ba nang le lefu la tsoekere la mofuta oa 2 ha baa lumelloa ho nka telmisartan le li-inhibitors tse ling tsa ACE ka nako e le ngoe. Maemong a mangata, sena se baka hypoglycemia.
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Ha e khothalletsoe motsoako
Meriana e sa khothalletsoang hore e sebelisoe:
- heparin;
- immunosuppressants;
- lithethefatsi tse seng khahlanong le ho ruruha tsa lithethefatsi;
- li-addithine tsa lijo tse nang le potasiamo;
- diuretics tsa potasiamo;
- ho bolelang hore na ho na le hydrochlorothiazide.
Mekhaako e hlokang ho ba hlokolosi
Ho ka hlahlojoa khafetsa bongaka le phetoho ea litekanyetso ka tšebeliso e kopaneng ea telmisartan le meriana e latelang:
- asipirin;
- digoxin;
- furosemide;
- Lithethefatsi tse nang le lithium;
- barbiturates;
- corticosteroids.
Li-analog
Sebelisa Telzap le lithethefatsi tse tšoanang ka sebopeho le phello:
- Mehala
- Mikardis;
- Telsartan;
- Lozap.
Maemo a phomolo a Telzap 40 mg ho tsoa ho li-pharmacy
Telzap e ka rekoa k'hemisteng ka taelo ea ngaka.
A na nka reka ntle le lengolo la ngaka?
Meriana ea sehlopha sena e thibetsoe ho rekisa ntle le taelo ea ngaka.
Theko
Litsenyehelo tsa matlapa ke li-ruble tse 450-500.
Maemo a polokelo ea moriana
Boloka moriana ka mocheso o sa feteng 25 + C.
Letsatsi la ho felloa ke nako
Ho latela maemo a polokelo, matlapa a na le bophelo ba sephuthelo ba lilemo tse 2.
Moetsi oa Telzap 40 mg
Motsoako ona o etsoa Turkey ke k'hamphani ea meriana Zentiva Saglik Urunlegi Sanai ve Tijaret.
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Litlhahlobo mabapi le Telzap 40 mg
Lingaka
Ekaterina, ngaka ea methapo ea pelo, boiphihlelo litabeng tsa bongaka - lilemo tse 11
Telzap e itlhomme e le setlhare se sebetsang le se loketseng ha se sebelisoa. E na le ts'ebetso e telele, litlamorao tse 'maloa mme e theko e tlase.
Vladislav, ngaka ea pelo, boiphihlelo litabeng tsa bongaka - lilemo tse 16
Lipilisi tsena li thusa ho tlosa matšoao a lefu la pelo le ho fokotsa kotsi ea ho ba le stroke le pelo. Karolo ea bohlokoa ea matlapa ke palo e nyane haholo ea li-contraindication. Phekolo e mamelloa hantle ke bakuli ba tsofetseng le batho ba nang le lefu la tsoekere la mofuta oa 2.
Bakuli
Polina, ea lilemo li 52, Ufa
Ke na le lefu la pelo. Ho thibela mathata a teng, ngaka e laetse Telzap. Ke latela ka tieo litlhahiso tsa ngaka ea lefu la pelo. Ke ikutloa hantle, ho ne ho se na litla-morao.
Valery, ea lilemo li 44, Asbest
Ke lefu la tsoekere. Har'a matlapa a behiloeng, ho na le Telzap. Ngaka e hlokomelisitse hore litekanyetso li tlameha ho bonoa ka hloko. Ntle le moo, hangata ke hlahloba boemo ba glycemia. Ke khotsofetse ka sephetho ho fihlela joale.