Irume ke lithethefatsi tse matlafatsang tse sebelisoang ho phekola khatello ea mali le methapo e meng ea pelo le methapo ea mali e amanang le khatello e eketsehang ea methapo ea kutlo. Haeba e sebelisoa hampe, e ka lebisa liphellong tse behang bophelo kotsing, ka hona, o ka qala ho nka moriana ona feela ka tumello ea ngaka.
Lebitso la Machaba le sa Tšoanelehang
Lisinopril - lebitso la ntho e sebetsang ea lithethefatsi.
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Irume ke lithethefatsi tse matlafatsang tse sebelisoang ho phekola khatello ea mali le methapo e meng ea pelo le methapo ea mali.
ATX
С09АА03 - khoutu ea sehlopha sa lik'hemik'hale tsa anatomical-therapeutic
Lokolla liforomo le sebopeho
Setlhare se na le foromo ea pompo ea ho lokolla. Sebopeho sa letlapa ka leng le kenyelletsa:
- lisinopril dihydrate (10 kapa 20 mg);
- mannitol;
- litapole tsa litapole;
- calcium phosphate dihydrate;
- tšepe oxide e mosehla;
- silicon dioxide e nang le lerootho;
- litapole starch pregelatinized;
- magnesium stearate.
Matlapa a fanoa ka liseleng tsa polymeric tse 30, tse kentsoeng ka har'a liphutheloana tsa karete hammoho le litaelo.
Ketso ea pharmacological
Lisinopril ke inhibitor ea ACE e nang le thepa e latelang:
- eketsa palo ea li-vasodilator tsa kahare tsa vasodilator;
- e liehisa nako ea karabelo ea lik'hemik'hale nakong eo mofuta oa 1 angiotensin o fetoloang ho mofuta oa angiotensin, o thusang ho eketseha ha khatello ea mali;
- e fokotsa vasopressin le endothelin, tse nang le thepa ea vasoconstrictor;
- e fokotsa khatello ea capillary le khatello ea methapo;
- normalizing mosebetsi oa contractile ea mesifa ea pelo, e eketsa mamello ea pelo ho imeloa kelellong ho batho ba nang le ho nyekeloa ke pelo;
- E na le phello e phatlalalitsoeng ea hypotensive, e lulang bonyane ka letsatsi;
- e thibela tšebetso ea sistimi ea renin-angiotensin ea myocardium, e thibela ho fifala ha mesifa ea mesifa le ho atoloha ha ventricle e ka letsohong le letšehali;
- e fokotsa khatello ea methapo ea methapo ea methapo;
- e fokotsa palo ea batho ba shoang har'a bakuli ba nang le lefu la ho nyekeloa ke pelo, ho sitisoa ha phallo ea mali ka methapong e kholo ea methapo ea pelo kapa lefu la pelo.
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Irume e tloaela mosebetsi oa contractile oa mesifa ea pelo.
Mofumahali
Ha o sebelisa mofuta oa pompo ea Irume, ntho e sebetsang e kenella ka potlako setsing sa potoloho ea mali. Ho ja ha ho fetole litekanyetso tsa pharmacokinetic ea lisinopril. Metsoako e phahameng ka ho fetisisa ea ntho e maling e khethoa kamora lihora tse 6. Lisinopril ha e sebelisane le likarolo tsa plasma ebile ha e tšeloe metso. Setlhare se nang le moroto ha se fetohe. Halofo ea lethal dose e fanoang e tsoa 'meleng pele ho feta lihora tse 12.
Se laetsoeng
Matšoao a ho khethoa ha Irume ke:
- khatello ea mali (e le eona feela moemeli oa phekolo kapa hammoho le lithethefatsi tse ling);
- lefu la pelo le sa foleng (hammoho le diuretics kapa pelo glycosides);
- thibelo le kalafo ea infarction ea myocardial (ka letsatsi la pele, moriana o laetsoe ho boloka litekanyetso tsa hemodynamic le ho thibela ho thothomela hoa pelo);
- tšenyo ea meno ea lefu la tsoekere (ho fokotsa palo ea albin e pepesitsoeng moroto ho batho ba nang le lefu la tsoekere la mofuta oa 2).
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Contraindication
Lithethefatsi ha li fuoe bakeng sa:
- karabelo ea allergic ho lisinopril le li-inhibitors tse ling tsa ACE;
- edema ea Quincke ea pejana e susumetsoang ke ho nka lithethefatsi tsa antihypertensive;
- genetic angioedema;
- ka nako e tšoanang Tsamaiso ea lithethefatsi thehiloeng aliskiren.
Ka tlhokomelo
Lits'ebetso tse amanang le tšebeliso ea lithethefatsi tse felisang kalafo ke:
- phatlalatsoe e fokotsitse lijana tsa renal;
- transplant ea haufinyane ea menoana;
- maemo a phahameng a naetrojene le potasiamo maling;
- coronary artery stenosis;
- cardiomyopathy e thibelang;
- arterial hypotension;
- ho senyeha hoa mali bokong;
- stroke:
- tšenyo ea ischemic ho mesifa ea pelo;
- ho hlohlona ha pelo ho sa foleng;
- autoimmune connective tision;
- khomarela lijo tse se nang letsoai;
- ho felloa ke metsi 'meleng;
- ho sitisoa ha tsamaiso ea hematopoietic;
- ho ba le hemodialysis;
- merero ea ts'ebetso e reriloeng kapa e chechisetsoang morao.
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Mokhoa oa ho nka Irreg
Matlapa a sebelisoa nako e le 'ngoe ka letsatsi, ho shebella mekhoa ea ho amoheloa. Tekanyo e itšetlehile ka mofuta oa pathology:
- Hypertension ea methapo - libekeng tsa pele tsa kalafo nka 10 mg ka letsatsi. Ho tloha libeke tse 3, lethalinyana le qala hanyane ka hanyane ho ea ho lethal dose (20 mg). Ho ka nka bonyane khoeli ho theha litlamorao tsa hypotensive. Haeba kamora nako ena phello e ntle e sa bonoe, moriana o tlameha ho nkeloa sebaka.
- Tekanyo ea khatello ea methapo ea kutlo - qala kalafo ka 2,5-5 mg ka letsatsi. Phekolo e kopantsoe le ho lekola ts'ebetso ea renal.
- Ho nyekeloa ke pelo - pele ba nka Iruse, ba fokotsa tekanyetso ea lithethefatsi tse neng li nkuoa pele. Phekolo e qala ka ho hlahisoa ha 2,5 mg ea lisinopril ka letsatsi. Nakong e tlang, tekanyetso ea letsatsi le letsatsi e eketsoa ho 10 mg.
- Acute myocardial infarction - nka 5 mg ka letsatsi la pele, tekanyetso e ts'oanang e fanoa lihora tse 48 kamora ts'ebeliso ea pele. Nakong e tlang, moriana o nooa ka 10 mg ka letsatsi ka matsatsi a 45.
Le lefu la tsoekere
Bakuli ba mofuta oa 1 le ba mofuta oa 2 ba nang le lefu la tsoekere ba nka 10 mg ea lisinopril ka letsatsi.
Litla-morao tsa Irume
Phekolo ea ka mpeng
Mathata a amanang le ho ja a hlahang nakong ea ha u nka Irume, a bonahala:
- molomo o omileng
- ho khothatsoa ke ho nyekeloa le pelo le ho hlatsa;
- takatso e fokotsehileng;
- tšenyo ea manyeme;
- mathata a dyspeptic;
- cholestatic jaundice;
- ho ruruha ha sebete;
- bohloko ba ka mpeng.
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Hematopoietic litho tsa ka hare
Moriana o ka tlatsetsa ho senyeheng ha boleng le boleng ba mali. Ka tšebeliso ea nako e telele, phallo ea mali ea mali ea hlaha 'me ho putlama ha mali hoa fokotseha.
Tsamaiso ea methapo e bohareng
Matla a lisinopril bokong a bonahala:
- maikutlo a fetoha;
- ho fokotseha ha litho tsa maoto le matsoho;
- bothata ba ho robala;
- mesifa ea mesifa ea namane;
- bofokoli ba mesifa.
Ho tsoa tsamaisong ea phefumoloho
Khahlano le semelo sa ho sebelisa lithethefatsi, litlhaselo tsa asthma ea bronchial le ho hema hanyane li ka hlaha.
Ho tsoa ho tsamaiso ea methapo ea pelo
Matšoao a ho lematsa methapo ea pelo le methapo ea mali e etsahalang nakong ea ho tsuba:
- ho hatella bohloko ba sefuba;
- fokotseha ha molumo oa mali o potoloha;
- ho fokotseha ho hoholo ha khatello ea mali;
- orthostatic falling;
- bradycardia;
- tachycardia;
- tlolo ea infuction ea atrioventricular;
- myocardial infarction.
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Ho tloha ka lehlakoreng la metabolism
Ha u nka Irume, methapo ea mali ea sodium, potasiamo le bilirubin e ka eketseha. Ts'ebetso ea li-transaminase tsa hepatic hangata ha e fetohe.
Allergie
Ho allergy ho lithethefatsi ho bontšoa:
- ho ruruha ha sefahleho le larynx;
- ho hlohlona le ho fokola ha letlalo;
- rashes ka mokhoa oa urticaria;
- anaphylactic makala.
Tšusumetso ho bokhoni ba taolo ea methapo
Lithethefatsi li ka baka tsitsipano, e fokotsang khatello ea maikutlo. Ka hona, nakong ea kalafo, o hloka ho hana ho sebetsa ka lisebelisoa tse thata.
Litaelo tse khethehileng
Sebelisa botsofaling
Molemong oa phekolo ea khatello ea mali ho batho ba ka holimo ho lilemo tse 65, matlapa a sebelisoa ka hloko.
Mosebetsi ho bana
Tlolo ea molao mabapi le ts'ebeliso ea Irume ke lilemo tsa bana (ho fihlela lilemo tse 18).
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Sebelisa nakong ea bokhachane le pelehi
Ha ho ima ho hlaha, kalafo le lisinopril e emisoa hang-hang. Sesebelisoa se sebetsang se tšeloa ka lebeseng mme se ka ama boemo ba ngoana hampe, ka hona ha ua lokela ho noa matlapa nakong ea ho nyekeloa.
Kopo ea ts'ebetso ea renal e senyehileng
Ka ts'oaetso e matla ea a reculing, ho e sebelisa ho hloka hore motho a lule a shebile methapo ea bohlokoa.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Ka mafu a matla a sebete, sethethefatsi ha se khethoe.
Tekanyetso e fetelletseng ea Irume
Ha u sebelisa lethal e le leholo la lisinopril, khatello ea mali e theoha haholo, 'me ho putlama ha orthostatic ho ba teng. Ho na le mokokotlo oa moroto le makhopho, lenyora le matla. Ha ho na ntho e hatellang litlamorao tsa lisinopril. Phekolo e kenyelletsa tšebeliso ea litlolo le litlolo tsa tlhaho tse laxative, tsamaiso ea methapo ea letsoai.
Moriana o ka tlosoa ka hemodialysis.
Ho sebelisana le lithethefatsi tse ling
Ka tšebeliso e tšoanang ea Irunt le:
- diuretics tse sireletsang potasiamo le cyclosporine li eketsa menyetla ea ho senya menoana;
- beta-blockers e ntlafatsa phello ea hypotensive ea lisinopril;
- Litokisetso tsa li-lithium, li-excretion tsa morao li lieha ho theoha;
- li-antacid, ho monya ha sethethefatsi sa antihypertensive hoa senyeha;
- lithethefatsi tse theolelang tsoekere li eketsa kotsi ea hypoglycemia;
- lithethefatsi tse e seng tsa hormonal tse thibelang ho ruruha tse sebetsang hantle tsa lisinopril li fokotsehile.
Tekanyo ea joala
Tšebeliso ea lino tse tahang nakong ea kalafo e ama boemo ba methapo ea lijo, tsamaiso ea methapo ea mmele le tsamaiso ea methapo.
Li-analog
Litekanyetso tsa meriana tsa Irume ke:
- Lisinopril;
- Diroton;
- Lisinotone;
- Lysiprex;
- Lysigamm.
Lipehelo tsa khefu ea khemisi
A na nka reka ntle le lengolo la ngaka?
Ho ke ke ha khonahala ho reka lipilisi ntle ho lengolo la ngaka.
Theko
Litsenyehelo tse tloaelehileng tsa matlapa a 30 ke li-ruble tse 220.
Maemo a polokelo ea moriana
Matlapa a bolokiloe sebakeng se pholileng, se ommeng, a sirelelitsoeng hore a se ke a pepesetsoa leseli.
Letsatsi la ho felloa ke nako
E ka sebelisoa nakong ea likhoeli tse 36 ho tloha ka letsatsi la tlhahiso.
Moqapi
Setlhare sena se etsoa ke k'hamphani ea litlama ea litlama ea Belupo naheng ea Croatia.
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Litlhahlobo
Sofia, ea lilemo li 55, Moscow: "Ke khale ke tšoeroe ke lefu la khatello ea mali ka nako e telele. Khatello e phahama khafetsa, e bakang hlooho le bofokoli. Ke ne ke sa batle ho noa meriana, ka hona ke lekile lipilisi tse fapaneng tsa phepo e sa faneng ka litholoana. ka khoeli. Bakeng sa halofo ea selemo khatello e bolokiloe maemong a tloaelehileng. "
Tamara ea lilemo li 59, Narofominsk o re: "'M'e o bile le lefu la tsoekere nako e telele,' me ka lebaka la botsofaling ba hae, lefu lena le ile la qala ho thatafatsa methapo ea mali le liphio. Khatello e lula e eketseha, ke ka lebaka leo 'm'ae a neng a lula a isoa sepetlele. "Hang ka letsatsi - hona ho lekane ho boloka khatello e tloaelehileng. Motsoako ona o theko e tlaase ha o bake litlamorao."