Yuav siv cov tshuaj Hartil li cas? > Kev khomob thiab kev tiv thaiv

Hartil - ib qho tshuaj uas siv los kho cov kab mob ntawm cov hlab plawv, tiv thaiv thiab kho myocardial infarction. Cia peb saib cov yam ntxwv ntawm cov tshuaj no, kev qhia txog kev siv nws, kev noj thiab cov txheej txheem ntawm kev tswj hwm, lub ntsiab contraindications thiab kev phiv, nrog rau tag nrho cov ntaub ntawv uas tus neeg mob yuav tsum paub txog Hartil.

Hartil muaj nyob rau hauv nws cov muaj pes tsawg leeg yam tshuaj ramipril, uas yog hais txog inhibitors ntawm angiotensin-hloov mus rau hauv cov enzyme. Cov tshuaj yog tawm rau kev kho mob ntawm cov kab mob uas pom tus cwj pwm ntshav siab. Hartil pab nrog cov teeb meem ntawm cov mob myocardial infarction, nrog lub plawv tsis ua hauj lwm thiab glomerular qhov mob ntshav qab zib. Hartil tseem siv rau cov kab mob ntawm txoj hlab zis thiab lub raum.

Hartil muaj ntau tus lej ntawm cov kev npaj ua ntej uas muaj cov cim qhia tib yam rau kev siv, tab sis txawv hauv lawv cov muaj pes tsawg leeg. Raws li txoj cai, thaum tsis muaj Hartil hauv lub tsev muag tshuaj, koj tuaj yeem yuav khoom nyab xeeb: Amprialan, Tritace, Rampiril, Pyramil, Corpril thiab lwm yam tshuaj uas tuaj yeem hais los ntawm tus kws muag tshuaj lossis kws kho mob.

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Cov Khoom Taw Qhia Hartil

Kev qhia rau kev siv Hartil cuam tshuam nrog kev ua haujlwm ntawm cov tshuaj nquag ntawm cov tshuaj no thiab nws cov nyhuv hauv lub cev. Hartil tau raug teem rau cov neeg mob uas muaj kab mob xws li:

Nws tsis pom zoo kom noj tshuaj Hartil yam tsis muaj kev qhia rau nws siv. Txij li thaum ua ntej sau cov tshuaj, tus kws kho mob kuaj pom tus neeg mob tus mob, muaj nyob rau ntawm cov kab mob ntev thiab contraindications. Kev tswj hwm tus kheej ntawm Hartil tuaj yeem ua rau muaj kev phiv tshuaj loj thiab tsuas yog ua rau tus neeg mob muaj kev noj qab haus huv ntau ntxiv.

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Daim ntawv tso tawm

Daim ntawv tso tawm ntawm cov tshuaj Hartil yog ntsiav tshuaj. Ib pob tshuaj muaj 2 lub hlwv rau 14 ntsiav tshuaj lossis 4 lub hlwv rau 28 ntsiav tshuaj. Nco ntsoov tias Hartil tsim tawm 1.25 thiab 2.5 cov khoom xyaw nquag. Dawb cov ntsiav tshuaj los ntawm dawb mus rau daj nrog lub ntsej muag. Tsis tas li, Hartil raug tso tawm hauv 5 mg thiab 10 mg, qhov no, cov ntsiav tshuaj tej zaum yuav muaj xim xim daj thiab lub qe kheej.

Cov tshuaj ntawm Hartil yog xaiv los ntawm tus kws kho mob, tshwj xeeb rau txhua tus neeg mob. Nws tsis pom zoo kom noj cov tshuaj no ntawm koj tus kheej. Txij li thaum qhov kev xaiv tsis raug ntau npaum, kev tswj tsis tau thiab kev tsis haum tshuaj tuaj yeem tshwm sim.

Cov Tshuaj Hauv Tshuaj

Cov chaw muag tshuaj ntawm Hartil ua tau raws li kev ua haujlwm ntawm cov tshuaj nquag ntawm cov tshuaj. Cov tshuaj nquag Hartil - ramipril, inhibits ACE, vim tias ib qho tshuaj tiv thaiv hypotensive tshwm sim. Cov tshuaj txo cov theem ntawm angiotensin, uas ua rau txo qis ntawm qhov tsis sib haum xeeb ntawm aldosterone. Ramipril cuam tshuam cov txheej txheem ntawm cov ntshav ncig hauv cov ntaub so ntswg thiab leeg ntsa. Nrog rau kev siv lub sijhawm ntev ntawm cov tshuaj, ramipril dhau los ua qhov teeb meem thiab cov kab mob hauv cov neeg mob ntshav siab.

Kev siv cov ramipril ua rau txo qis kev mob siab hauv portal kev mob siab rau hauv cov hlab ntsha portal, ua rau qeeb ntawm cov txheej txheem ntawm microalbuminuria, thiab hauv cov neeg mob ntshav qab zib ua kom tsis zoo rau lub xeev ntawm kev ua haujlwm lub raum.

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Cov Tshuaj Pharmacokinetics

Cov chaw muag tshuaj ntawm Hartil yog cov txheej txheem uas tshwm sim nrog cov tshuaj tom qab noj, uas yog, kev nqus, kev faib tawm, cov metabolism thiab excretion. Tom qab noj Hartil, cov tshuaj tau sai sai los ntawm kev mob plab thiab nce mus txog nws qhov ntshav siab tshaj plaws tom qab 1-1.5 teev. Cov qib ntawm kev nqus ntawm cov tshuaj yog nyob rau theem ntawm 60% ntawm kev muab koob tshuaj. Hartil yog tshuaj tiv thaiv hauv lub siab, ua rau lub cev ua haujlwm thiab tsis muaj zog.

Thov nco ntsoov tias lub tshuaj nquag Hartil ramipril muaj qhov ua kom sib luag ntawm kws kho mob. Tom qab siv cov tshuaj, kwv yees li 60% yog tawm hauv cov zis, thiab tshuav 40% yog tawm tawm, thaum kwv yees li 2% tshuaj tau tawm tsis hloov pauv. Yog tias cov tshuaj no tshwm sim los ntawm cov neeg mob lub raum tsis ua haujlwm, ces tus nqi ntawm nws qhov kev tshem tawm tau txo qis. Txo cov kev ua si enzymatic thaum lub cev ua haujlwm tsis zoo ua rau lub siab ua haujlwm qeeb hauv cov txheej txheem ntawm kev ua cov tshuaj Hartil rau hauv ramiprilat. Qhov no tuaj yeem ua rau nce hauv ramipril thiab ua rau cov tsos mob overdose.

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Kev siv hartil thaum cev xeeb tub

Kev siv ntawm hartil thaum cev xeeb tub yog contraindicated. Cov tshuaj ua haujlwm tsis zoo hauv lub cev cuam tshuam kev txhim kho thiab tsim cov raum hauv cov me nyuam hauv plab, ua kom cov ntshav qis, ua rau hypoplasia thiab deformation ntawm tus menyuam pob txha taub hau. Nws yog nruj me ntsis txwv tsis pub noj Hartil nyob rau thaum ntxov ntawm cev xeeb tub, txij li kev noj cov tshuaj yog ib qho kev hem thawj rau lub neej ntawm tus menyuam. Hauv ntau tus neeg mob, Hartil ua rau me nyuam hauv plab thiab ntshav tawm hauv thawj peb hlis.

Hauv lub hlis thib ob, kev noj cov tshuaj muaj peev xwm ua tau, tom qab ntawd tsuas yog rau kev kho mob. Nyob rau tib lub sijhawm, tus pojniam yuav tsum nkag siab tias kev kho mob nrog Hartil yog qhov kev hem thawj rau kev txhim kho ib txwm muaj ntawm nws tus menyuam hauv plab. Kev siv tshuaj ntev rau lub sijhawm thib ob yog qhov ua rau muaj kev nkag los ntawm tus me nyuam hauv plab. Yog tias koj noj cov tshuaj nyob rau lub caij nyoog kawg ntawm cev xeeb tub, qhov no yuav ua rau ischemia ntawm tus me nyuam hauv plab thiab cov me nyuam, ua rau kev ncua ntawm kev loj hlob thiab kev loj hlob ntawm tus menyuam. Cov poj niam leej twg coj Hartil thaum cev xeeb tub yuav tsum tau kuaj mob ultrasound kuaj xyuas lawv cov menyuam pob txha taub hau thiab raum.

Hartil yog txwv tsis pub nqa tawm thaum lub sijhawm lactation. Cov tshuaj muaj zog ramipril tau tawm hauv niam cov kua mis. Tsis tas li ntawd, kev noj cov tshuaj ua rau kev ua tsis muaj mis ntxiv. Hauv qhov no, kev kho mob yog nqa tawm nrog cov tshuaj muaj txiaj ntsig zoo dua qub thiab tsis kam pub niam mis.

Cov Yuav Tsum Muaj

Cov kev txwv tsis pub siv rau Hartil yog ua raws ib tus neeg tsis kam txais rau cov tshuaj ntawm cov tshuaj. Cov tshuaj yog txwv tsis pub noj thaum cev xeeb tub thiab lactation, nyob rau hauv muaj cov kab mob ntev thiab muaj ntau cov tsos mob uas tus kws kho mob tuaj yeem txiav txim siab. Cia peb xav txog lub ntsiab contraindications rau kev siv Hartil.

Cev xeeb tub thiab lactation
Kev siv tshuaj tiv thaiv kab mob rau ramipril thiab lwm yam tshuaj,
Tsis hlauv
Kab mob siab
Plab leeg mob leeg,
Tsis ruaj khov hemodynamics.

Nrog rau kev ceev faj, cov tshuaj yog noj nrog mitral stenosis, vim tias kev txo qis hauv cov ntshav siab yuav tshwm sim. Cov tshuaj tsis pom zoo rau cov neeg mob uas ua rau lim ntshav, vim tsis muaj cov ntaub ntawv qhia tseeb txog yuav ua li cas Hartil yuav cuam tshuam rau lub cev.

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Sab Sij Huam Hartil

Kev phiv los ntawm Hartil yuav tshwm sim vim kev noj ntau dhau ntawm cov tshuaj, hypersensitivity rau lub active tivthaiv Hartil thiab nyob rau hauv muaj contraindications. Cia peb saib cov tsos mob tseem ceeb ntawm kev phiv thaum noj cov tshuaj no.

Txo cov ntshav siab
Myocardial ischemia,
Mob taub hau thiab kiv taub hau,
Kev tsis tsaug zog, tsis muaj zog, tsaus muag,
Kev ua tsis ncaj ntawm lub tshuab xaws khaub ncaws,
Ua txhaum ntawm kev hnov ntxhiab tsw, pom kev, hnov lus thiab hnov qab,
Bronchospasm thiab hnoos,
Xeev siab, raws plab, ntuav,
Stomatitis
Mob taub hau jaundice,
Ua xua rau tawv nqaij,
Txo cov hemoglobin concentration,
Vasculitis
Tawm hws thiab cramps
Neuropenia thiab lwm cov tsos mob.

Yog tias muaj kev mob tshwm sim ntawm Hartil, nws yog ib qho tsim nyog yuav tsum tsis txhob noj nws thiab nrhiav kev pab kho mob.

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Tsuas tshuaj thiab tswj hwm

Cov txheej txheem ntawm kev tswj hwm thiab kev siv tshuaj ntau ntxiv nyob ntawm tus kabmob thiab nws cov tsos mob. Tsis tas li ntawd, kev siv cov tshuaj nyob ntawm qhov muaj contraindications, hnub nyoog ntawm tus neeg mob thiab lwm tus neeg cov yam ntxwv ntawm lub cev. Cov tshuaj noj yog noj ntawm qhov ncauj, thiab qhov kev nqus yuav tsis nyob ntawm lub sijhawm ntawm kev noj zaub mov. Cov ntsiav tshuaj tsis pom zoo muab zom, lawv tau ntxuav nrog ntau cov dej haus. Qhov ntau npaum ntawm cov tshuaj tau teeb tsa raws li lub siab tawv ntawm Hartil thiab cov txiaj ntsig kho qhov xav tau.

Nrog rau cov hlab ntsha o, noj 2.5 Hartil ib zaug ib hnub. Lub sijhawm tiv thaiv yog los ntawm 7 txog 14 hnub.
Hauv kev kho thiab tiv thaiv lub siab tsis ua haujlwm coj 1.25 mg ntawm Hartil ib zaug ib hnub. Lub sijhawm kho yuav raug xaiv ib tus kheej, tab sis tsis pub dhau 3 lub lis piam.
Kev kho mob tom qab myocardial infarction cuam tshuam nrog noj 2.5 Hartil ntawm ib hnub rau 3-10 hnub.
Hauv kev kho mob ntawm nephropathy (mob ntshav qab zib thiab tsis mob ntshav qab zib) noj 1.25 mg ntawm Hartil ib hnub. Txoj kev kho mob yuav siv sijhawm 5-10 hnub.

Thaum noj Hartil hauv cov neeg laus, cov neeg mob lub raum tsis ua haujlwm, lub raum tsis ua haujlwm thiab nrog diuretic txoj kev kho, qhov tshuaj ntawm cov tshuaj tau xaiv ib tus zuj zus.

Noj ntau dhau

Kev noj tshuaj ntau dhau ntawm Hartil tshwm sim nrog kev siv qhov siab ntawm cov tshuaj thiab lub sijhawm ntev siv cov tshuaj no. Cov tsos mob tseem ceeb ntawm kev siv ntau tshaj yog qhia raws li kev ntshav qis, ua tsis taus dej-electrolyte tshuav, bradycardia, lub raum tsis ua haujlwm.

Nrog kev siv tshuaj ntau dhau ntawm Hartil, mob plab zom zaub mov yog nqa tawm thiab adsorbents tau tshwm sim. Rau cov tsos mob ntawm kev siv ntau dhau, nrhiav kev kho mob. Hauv qhov no, kev saib xyuas ntawm cov haujlwm tseem ceeb thiab lawv txoj kev tswj hwm, nrog rau kev kho mob, yog tau ua.

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Kev sib cuam tshuam nrog lwm yam tshuaj

Kev cuam tshuam ntawm Hartil nrog lwm cov tshuaj yog nqa tawm los ntawm kev kho mob. Yog li, kev siv Hartil nrog corticosteroids, cytostatics ua rau muaj kev hloov ntshav thiab ua rau muaj qhov tsis sib haum xeeb hauv cov ntshav hematopoiesis. Thaum Hartil cuam tshuam nrog insulin thiab sulfaurea derivatives, uas yog, tshuaj tiv thaiv kab mob, ua rau muaj ntshav thiab ntshav qab zib tsawg. Qhov no yog vim qhov tseeb tias cov tshuaj nquag ua haujlwm ntawm Hartil nce lub cev lub cev rhiab rau insulin.

Thaum kho nrog kev siv tshuaj Hartil, nws raug nquahu kom tso tseg txoj kev haus cawv, vim tias cov tshuaj tsub zuj zus qhov dej cawv zoo. Tej kev sib cuam tshuam txog yeeb tshuaj nrog Hartil yuav tsum tau saib xyuas los ntawm tus kws kho mob kom tsis txhob muaj kev phiv.

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Cia rau cov neeg mob

Kev Khaws Cia Hartil yuav tsum ua raws li cov lus pom zoo uas tau hais hauv kev qhia nrog tshuaj. Hartil yuav tsum tau muab cia rau qhov chaw txias thiab qhuav uas muaj kev tiv thaiv los ntawm tshav ntuj thiab tawm ntawm cov menyuam yaus. Cia qhov kub thiab txias yuav tsum tsis pub tshaj 25 ° C.

Kev tsis ua raws li kev khaws cia ua rau lub cev ploj ntawm qhov tshuaj thiab qhov ploj ntawm nws cov khoom uas muaj mob. Yog tias tsis khaws cov kev mob, cov tshuaj Hartil kuj tseem hloov nws lub cev nqaij daim tawv - xim, tsw thiab ntau dua.

Yuav ua li cas noj thiab nyob li cas siab, noj ntau npaum li cas

Raws li cov lus qhia, ntsiav tshuaj noj noj ntawm qhov ncauj. Tsis muaj qhov txuas ntxiv rau lub sijhawm tshwj xeeb ntawm hnub lossis khoom noj. Cov ntsiav tshuaj tsis tas yuav tsum tawg lossis ntxo; nws yog qaug cawv tag nrho, ntxuav nrog ib cov dej txaus - tsawg kawg 200 ml.

Tus kws kho mob teeb tsa qhov muab ib koob zuj zus rau txhua tus neeg mob. Qhov kev siv tshuaj thawj zaug feem ntau yog 1.25 - 2.5 mg 1 - 2 zaug hauv ib hnub, qhov ntau ntawm cov tshuaj nce ntxiv raws li qhov tsim nyog. Cov koob tshuaj txij nkawm yog xaiv nyob ntawm qhov xwm yeem thiab mob ntawm cov kab mob pathology. Cov ntsiav tshuaj tau tso cai thaum muaj kev pheej hmoo raug faib ib nrab.

Nrog rau cov hlab ntsha o, nws pom zoo kom noj 2.5 mg ib hnub twg. Qhov yuav tsum tau nce ntxiv qhov koob tshuaj yog nyob ntawm cov txiaj ntsig tau txais, tus kws kho mob tuaj yeem muab ob npaug rau hauv 2 lub lis piam. Qhov nruab nrab cov tshuaj rau nruab hnub ib zaug yog 2.5 - 5 mg, qhov ntau tshaj - 10 mg.

Tshuaj kho mob nkeeg

Hauv lub plawv tsis ua haujlwm, kev muab tshuaj thawj zaug yog 1.25 mg. Raws li qhov tshwm sim, tus kws kho mob tuaj yeem nce nws. Yog tias koj xav noj ntau dua 2.5 mg ib hnub, tom qab ntawd cov koob tshuaj yuav muab faib ua 2 lossis 3 koob tshuaj.

Kev sib txuam

Hartil cuam tshuam nrog lwm cov tshuaj raws li hauv qab no:

NSAIDs thiab sodium chloride cuam tshuam cov txiaj ntsig ntawm ramipril,
Kev npaj lithium nce cov tshuaj lom rau hauv lub raum thiab lub plawv,
Heparin thiab potassium npaj ua ke nrog Hartil provoke kev txhim kho ntawm hyperkalemia,
Antihypertensive tshuaj thiab diuretics tseem ceeb paug cov hauj lwm zoo ntawm Hartil,
Kev siv tshuaj tiv thaiv ntshav qab zib ntau heev txo cov ntshav qab zib,
Cytostatics, allopurinols, corticosteroids ua rau kom muaj kev pheej hmoo ntawm cov ntshav tsis zoo.

Cov analogues ntawm Hartil suav nrog:

Txhua tus analogues sib txawv hauv tus nqi. Nws tau teem nyob ntawm qhov chaw tsim khoom thiab daim ntawv ntawm cov tshuaj. Feem ntau, tus nqi ntawm Hartil lub analogues yog qee qhov qis dua. Tsuas yog Ampril tsim nyob rau hauv Slovenia yog ntau kim. Tus kws kho mob yuav tsum xaiv cov tshuaj uas hloov.

Yog li, Hartil yog ib txoj kev kho mob ntshav siab, uas ua rau nws ua tau sai sai thiab ua tau zoo rau tus tib neeg lub neej. Thaum kho, cov mem tes tsis nce ntxiv, cov haujlwm ntawm cov hlab ntsha thiab lub siab tsis tuaj yeem ua kom tsis zoo. Cov tshuaj ntsiav tau yooj yim hauv qhov lawv siv yog khoom noj ywj siab. Txhawm rau ua kom qhov xwm txheej tsis zoo, kev kawm ntev ntawm kev kho mob nrog Hartil raug kho, nrog kev tshem tawm, txoj kev kho mob tseem muaj nyob rau qee lub sijhawm.

Yuav noj li cas?

Hartil yog qhia rau kev tswj hwm ntawm qhov ncauj. Qhov tshuaj thawj zaug yog 2.5 mg rau ib hnub.

Peb lub lis piam tom ntej, yog tias tsim nyog, nws tuaj yeem ua ob npaug. Qhov ntau kawg ntawm cov tshuaj yuav tsum tsis pub tshaj 10 mg. Cov ntsiav tshuaj nrog Hartil cov lus qhia rau kev siv ntawm dab tsi lub siab tsis qhia qhov siv tshuaj.

Hauv lub plawv tsis ua haujlwm, 1.25 mg ntawm cov tshuaj tau pib ua haujlwm ib hnub nrog ib nyuag ob npaug ntawm nws cov nyiaj. Qhov ntau tshaj plaws yog 10 mg rau ib hnub.

Sab sij huam

Ib qho kev mob tshwm sim ntawm kev kho mob Hartil yog orthostatic hypotension. Nws yog tus cwj pwm los ntawm kev txo qis hauv cov ntshav siab.

Qee qhov xwm txheej, kev noj tshuaj tuaj yeem nrog:

arrhythmia, circulatory mob ntawm ntau yam plab hnyuv siab raum, ischemia ntawm myocardium thiab lub hlwb,
lub raum tsis ua haujlwm, txo qis libido, tso zis ntim tsawg dua,
mob taub hau, tsaug zog, hnov zoo li tsis muaj zog, tshee hnyo ntawm tes. Tus neeg mob yuav tuaj yeem tiv thaiv kev poob siab ntawm lub paj hlwb, hloov pauv sai sai ntawm kev xav, ntxhov siab,
kev ua txhaum ntawm cov plab hnyuv siab raum ntawm tsis hnov tsw, tsis pom kev, hnov lus. Tus neeg mob yuav saj tsis qab.
tsis qab los noj mov, xeev siab, ntuav, quav tawv, lossis tso quav poob. Hauv cov neeg mob pancreatitis, qhov xwm txheej feem ntau yuav loj tuaj,
ua tsis taus pa ntawm lub ntsws: mob ntsws, mob ntsws, txha nqaj qaum, hnoos qhuav,
ntau yam kev phiv rau daim tawv nqaij, tso tawm qhov ntswg, khaus,
sib koom tes thiab leeg mob, o.

Ib tug neeg mob noj Hartil tej zaum yuav muaj hemoglobin poob rau hauv cov ntshav, pom mob txhaws qa thiab mob thuv thiav, mob hlwb, ua kom tawm hws, nce hws, hyperkalemia. Hauv tus neeg mob lub tso zis, qib ntawm urea nitrogen qee zaum nce.

Hartil cuam tshuam loj heev cuam tshuam kev loj hlob ntawm tus me nyuam hauv plab ntawm leej niam yav tom ntej. Nws muaj teeb meem nrog kev ua haujlwm ntawm lub raum, nws cov ntshav siab poob qis, nws lub ntsws hypoplasia loj tuaj, thiab nws lub pob txha taub hau deformed.

Kev nyab xeeb ntawm overdose

Ib qho kev noj tshuaj ntau dhau ntawm Hartil yog qhov txaus ntshai heev rau tib neeg.

Txo qhov siab tuaj yeem ua rau qeeb qeeb hauv lub plawv lub plawv, qhov kev poob siab, tus neeg mob lub cev tsis muaj dej-ntsev tsis txaus, ob lub raum pib ua haujlwm tsis zoo.

Thaum cov tsos mob no tshwm sim, tus neeg mob pw nrog sawv ceg thiab tshuaj uas ua kom ntshav siab ntxiv yog muab rau nws.

Analogues ntawm cov tshuaj

Hartil muaj cov qauv hauv qab no:

Hauv cov chaw muag tshuaj Hartil, koj tuaj yeem yuav nws thaum tus nqi ntawm 300 rubles rau ib pob. Hauv cov khw muag tshuaj online, tus nqi ntawm cov tshuaj yog qis dua me ntsis.

Qee cov neeg mob txiav txim siab nws yog qhov tshuaj tsis ua hauj lwm. Lawv nco ntsoov tias lawv pheej nce siab. Qhov no yog vim kev xaiv tshuaj tsis haum.

Kev txheeb xyuas txog Hartil feem ntau yog qhov zoo. Qee tus pib tsim cov tawv nqaij ua xua raws kev ua pob, thaum lwm tus ua rau koj tsaug zog thiab tsis muaj zog. Hauv txhua kis, tus kws tshaj lij yuav xaiv cov qhov tsim nyog lossis hloov cov tshuaj nrog lwm qhov.

Q&A

Cov lus nug tshaj plaws txog kev tsis txaus siab ntawm kev noj tshuaj Hartil thiab cov lus teb rau lawv:

Tus txiv neej puas tuaj yeem coj Hartil cuam tshuam rau kev noj qab haus huv ntawm tus menyuam hauv plab? Teb: Tsis tau. Cov noob caj noob ces tau lees tias cov tshuaj lom cuam tshuam rau cov tshuaj ntawm lub cev xeeb menyuam tsuas yog thaum nws raug noj los ntawm tus poj niam cev xeeb tub,
Puas yog nws tuaj yeem noj tshuaj yam tsis muaj kws kho mob sau yog tias tus neeg mob lub siab nce siab zuj zus? Teb: Tsis yog, tsis yog kiag li. Nrog rau txoj kev kho tsis raug xaiv, tus neeg mob ntshav siab tuaj yeem txo qis, kev ua haujlwm hauv lub siab tsis tuaj yeem tshwm sim, thiab mob hnyav, nrog kev noj ntau dhau, qhov tshwm sim yuav ua rau tuag taus
Puas yog hnoos cuam tshuam nrog kev siv Hartil? Teb: hnoos tau muaj nyob rau hauv daim ntawv teev cov kev mob tshwm sim thaum noj tshuaj, tab sis rau qhov lus qhia tseeb rau lo lus nug no, koj yuav tsum tau kuaj mob txhua yam, hu rau tus kws kho mob tshwj xeeb kom pab.

Cov lus qhia rau kev siv Hartila

Raws li cov lus qhia rau Hartil, cov tshuaj yog muab ntawm qhov ncauj. Tsis muaj kev qhia txog sijhawm noj mov. Cov ntsiav tshuaj yuav tsum tsis txhob txhaws, txawm li cas los xij, nws yog qhov tsim nyog los haus nrog ib qho kua tsawg kawg ntawm 200 ml. Kev noj tshuaj ntawm Hartil rau txhua tus neeg mob tau teem ib lub zuj zus los ntawm tus kws kho mob tuaj koom, thaum muaj kev pom zoo koob tshuaj ntawm cov tshuaj uas nyob ntawm cov mob tshwj xeeb.

Nrog rau kev mob ntshav tawm ntawm cov roj ntsha, koj yuav tsum pib nrog ib koob tshuaj 2.5 mg ntawm Hartil nyob rau ib hnub. Yog tias tsim nyog, nce cov koob tshuaj txhua 2-3 lub lis piam, ua ob npaug. Hauv qhov no, qhov ntau kawg noj yuav tsum tsis txhob siab dua 10 mg ntawm cov tshuaj ib hnub.

Thaum lub plawv tsis ua haujlwm hauv daim ntawv ntev, nws raug nquahu kom pib noj Hartil nrog 1.25 mg txhua hnub. Cov koob tshuaj tuaj yeem muab ob npaug rau txhua 2-3 asthiv. Qhov ntau tshaj plaws kuj yog 10 mg rau ib hnub.

Thaum kho tom qab muaj myocardial infarction, noj Hartil raug pom zoo kom pib ob peb hnub tom qab (los ntawm 2 txog 9) tom qab mob khov kho theem ntawm tus kab mob. Thawj qhov ntau npaum li cas yog nyob ntawm qhov mob ntawm tus neeg mob thiab lub sijhawm dhau los txij li theem mob hnyav thiab, raws li txoj cai, yog 2 ntsiav tshuaj ntawm 2.5 mg ob zaug ib hnub (lossis sib npaug tshuaj ntawm 1,25 mg). Yog tias tsim nyog, cov tshuaj txhua hnub tuaj yeem muab ob npaug. Qhov siab tshaj plaws tau tso cai tau noj txhua hnub yog 10 mg.

Txog nephropathies (mob ntshav qab zib thiab tsis mob ntshav qab zib), cov lus qhia rau Hartil sau ntawv noj tshuaj ntawm 1.25 mg ib hnub ib zaug. Cov koob tshuaj muaj peev xwm yuav nce tau nce los ntawm ob zaug ntxiv txhua 2-3 lub lis piam. Nws raug nquahu kom tsis txhob ntau tshaj 5 mg ntawm cov tshuaj ib hnub.

Hauv kev tiv thaiv mob stroke, myocardial infarction lossis kev tuag los ntawm kev mob plawv, thawj koob tshuaj Hartil yog 2.5 mg. Nrog rau kev tiv thaiv zoo ntawm cov tshuaj, cov koob tshuaj tau hloov kho ob npaug tom qab ib lub lim tiam ntawm kev tswj hwm, tom qab peb lub lis piam nws tuaj yeem hloov siab ntxiv ob npaug. Qhov ntau tshaj ib hnub twg yog 10 mg.

Kev tiv thaiv kev nyab xeeb

Thaum siv Hartil thiab analogues, kev saib xyuas kev kho mob tas li yog qhov xav tau ceev. Qhov no yog qhov tseeb tshwj xeeb rau cov xwm txheej ntawm thawj zaug kev tswj hwm tshuaj thiab nce nws ntau npaum li cas. Hauv 8 teev txij li lub sijhawm ntawm kev noj tshuaj, ntau qhov kev ntsuas ntshav siab pom zoo.

Ua ntej noj cov tshuaj, nws yog ib qho tsim nyog yuav tau kho hypovolemia thiab lub cev qhuav dej.

Cov neeg mob uas lub raum tsis zoo, lub raum tsis ua haujlwm thiab tom qab hloov raum yuav tsum tau saib xyuas tshwj xeeb thaum noj Hartil.

Muaj cov ntaub ntawv tsis txaus hais txog kev siv Hartil hauv cov menyuam yaus thiab cov neeg mob thaum lub sijhawm lim ntshav.

Thaum poob hauv ntshav siab, cov neeg mob noj Hartil tau qhia kom tso tseg cov haujlwm no uas yuav tsum muaj kev kub siab ntxiv.

Nws ua haujlwm li cas?

Hartil ntsiav tshuaj yog ua rau chav kawm ntawm inhibitory ACE tshuaj. Nyob rau hauv tus ntawm yam Cheebtsam, qhov hloov ntawm thawj angiotensin rau hauv lub thib ob yog inhibited. Cov txheej txheem yog ywj siab ntawm plasma renin. Kev siv ntawm cov lus tsis sib xws ua rau lub suab nrov ntawm lub siab. Qhov ntsuas yog txo ob qho tib si thaum tus neeg mob sawv, thiab thaum pw. Txoj kev no tsis yog nrog los ntawm kev nce ntxiv hauv zaus ntawm cov lus cog lus ntawm cov leeg plawv. Hauv qab ntawm tshuaj, qhov ntau ntawm aldosterone ua rau lub cev txo qis.

Cov ntsiav tshuaj Hartil pab txo qis tom qab, thau tawm, ua ntej thauj, txo qhov tsis kam ntawm cov hlab ntawm cov hlab cua. Lub peev xwm ntawm cov hlab plawv txhawm rau tiv taus lub nra hnyav zuj zus, nce siab dua ntawm IOC. Lub sijhawm ntev ntawm kev siv cov tshuaj pab txhawm rau thim rov qab hypertrophic cov txheej txheem hauv myocardium, vim muaj ntshav siab. Qhov tseeb ntawm kev siv ntawm cov muaj pes tsawg leeg txo txoj kev pheej hmoo ntawm kev rov ua dua ntawm ntu ntawm arrhythmia, uas tshwj xeeb tshaj yog hais tawm tsam ntawm keeb kwm ntawm myocardial reperfusion. Raws li kev cuam tshuam ntawm ramipril, ntshav ntws hauv thaj chaw ntawm lub plawv mob cuam tshuam los ntawm ischemia ua tau zoo dua. Cov tshuaj txwv tsis pub hloov ntawm vascular endothelium tiv thaiv keeb kwm ntawm kev noj ntau dhau ntawm cov roj cholesterol nrog zaub mov.

Kws tshuaj thiab ua tau zoo

Qhov kev nqis tes ua ntawm Hartil raug txheeb xyuas yog cardioprotective. Qhov no yog vim kev hloov kho ntawm cov txheej txheem tsim tawm ntawm Pg, TSIS MUAJ. Lub kallikrein-kinin system yuav muaj kev ua haujlwm ntau dua, kev rhuav tshem ntawm bradykinin yog tiv thaiv, vim tias cov tshuaj no ntau nyob hauv lub cev nce. Raws li qhov tshwm sim, kev fab tshuaj ntawm Pg ntau lawm tau ua kom rov qab. Nyob hauv kev cuam tshuam ntawm cov txheej txheem no, cov ntshav ntws hauv lub siab thiab lub siab ua haujlwm ntau, platelet aggregation tsawg dua.

Lub ramipril tam sim no hauv kev npaj Hartil nce qhov rhiab heev ntawm cov organic ua rau cov kua dej. Nrog rau qhov no, cov ntsiab lus ntawm fibrinogen tab tom loj hlob, plasminogen ntau lawm tau ua haujlwm. Tag nrho cov no yog qhov tsim nyog rau ua kom muaj lub zog thrombolysis.

Kev Ua Neej Nuances

Hauv cov lus qhia rau kev siv Hartil, cov neeg tsim khoom lag luam qhia lub sijhawm ua haujlwm rau kev ua haujlwm ntawm cov tshuaj. Kev ntsuam xyuas pom tau tias cov lus hais tawm los tiv thaiv kev muaj peev xwm pom tau tias twb nyob hauv ib teev thiab ib nrab tom qab noj cov tshuaj ntawm qhov ncauj. Qhov ua tau zoo tshaj plaws yog pom tom qab 5-9 teev. Lub sijhawm ntawm kev ua haujlwm ntawm ib koob yog ib hnub. Cov tshuaj tsis muaj tus mob thim rov qab.

Kev siv tsis tsim nyog raws li cov lus qhia rau kev siv "Hartila" tso cai rau koj kom txo qis kev pheej hmoo ntawm kev tuag los ntawm kev mob plawv. Qhov no siv tsis tas rau thaum ntxov, tab sis kuj rau lub sijhawm nyob deb. Qhov yuav ua rau rov muaj dua lub plawv nres tsawg, qhov pheej hmoo ntawm lub plawv tsis tuaj yeem tsawg. "Hartil" pab txhawm rau nce cov kev ciaj sia nyob rau hauv kev mob plawv ntev, txhim kho lub neej zoo ntawm tib neeg kev txom nyem los ntawm cov kab mob no.

Hais txog kev kho: mob siab

Nyob rau hauv cov lus qhia rau kev siv "Hartil", cov chaw tsim khoom lag luam tsom tawm cov txiaj ntsig ntawm kev noj tshuaj rau lub siab tsis xws luag, tau txais los ntawm ntau yam, nrog rau cov uas tau los ntawm kev yug los. Ramipril pab txhawm rau txo kev kub siab, cuam tshuam rau lub voj voog me me ntawm cov ntshav khiav. Kev ua tau zoo yog pom nrog rau chav kawm uas muaj rau lub hlis ntawm kev siv tas mus li lossis siv sijhawm ntev dua.

Raws li cov lus qhia los ntawm cov lus qhia rau kev siv, "Hartil" tuaj yeem siv rau kev kub siab hauv lub portal daim ntawv. Cov tshuaj pabcuam pab ua kom ruaj khov, txo siab. Qib ntawm microalbuminuria yog txo qis yog tias txoj kev mob pathological tab tom pib tsim. Tus nqi ntawm kev nce qib ntawm kev ua tsis tau zoo ntawm lub siab poob qis nrog qhov tsis ua haujlwm ntawm cov khoom nruab nrog no thaum lub caij hlwb tiv thaiv ntshav qab zib. "Hartil" tshwj xeeb tshaj yog siv tau yog tias tus mob no nrog los ntawm kev ua tsis zoo ntawm lub raum, hloov khoom nruab nrog.

Tsis muaj zog!

Hartil contraindications suav nrog hypersensitivity rau ramipril thiab ntu sib xyaw siv los ntawm tus tsim nyob rau hauv kev tsim cov tshuaj. Koj tuaj yeem siv tsis tau cov ntsiav tshuaj no yog tias yav dhau los, ACE inhibitors tau nrog los ntawm cov kev tiv thaiv kev tsis haum. Nws yog txwv tsis pub siv cov muaj pes tsawg leeg yog tias angioneurotic edema tau yav tas los pauv. Nws yog qhov tshwj xeeb tshaj yog rau soj ntsuam qhov kev txwv no yog tias tus mob tshwm sim los ntawm ACE inhibitor lossis tau pom thaum noj cov tshuaj no.

Koj tuaj yeem siv tsis tau qhov muaj pes tsawg leeg nrog rau lub raum tsis ua haujlwm, thaum kev ua kom tsis muaj rog yog kwv yees li 20 ml / min lossis tsawg dua. Cov tshuaj tsis haum rau kev kho mob ntawm cov poj niam cev xeeb tub thiab cov niam cev xeeb tub. Categorically tsis ua ke "Hartil" thiab cawv. Thaum lub sijhawm kho, koj yuav tsum tsis pub cais tawm ib qho cawv los ntawm koj txoj kev ua haujlwm txhua hnub.

Puas tsim nyog nws thov?

Raws li tuaj yeem pom los ntawm kev txheeb xyuas "Khartil", cov neeg uas tau txais kev kho mob nrog cov muaj pes tsawg leeg, feem ntau dhau los, tau txaus siab rau chav kawm ntawm txoj kev kho mob. Cov cuab yeej pab ua kom tswj kev nyeem ntawv nias siab, ua kom lub siab ua haujlwm ntawm lub plawv, cov hlab ntshav. Tib lub sijhawm, tsuas yog tshuaj xyuas txog Hartil sab laug los ntawm cov neeg uas siv tshuaj muaj pes tsawg leeg raws li kev saib xyuas ntawm tus kws kho mob tau zoo. Cov neeg mob uas xaiv nws rau lawv tus kheej lawv tus kheej, tsis muaj lus qhia kho mob, feem ntau yuav ntsib cov kev mob tshwm sim, feem ntau tseem ceeb txaus yog li txuas ntxiv tswj hwm cov ntsiav tshuaj tsis tuaj yeem ua.

Hauv cov ntawv xa nrog, cov chaw tsim khoom lag luam qhia tau qhov tseeb ntawm kev faib tshuaj Hartila nruj me ntsis raws li cov ntawv sau tshuaj, qhov tsis muaj peev xwm coj cov tshuaj yam tsis muaj kev saib xyuas ntawm tus kws kho mob tsim nyog. Los ntawm cov kev tshuaj xyuas nws hais tias cov kev cai ntawm kev so hnyav tsis pom nyob hauv txhua lub tsev muag tshuaj. Txawm li cas los xij, nws raug nquahu kom tsis txhob muaj kev phom sij rau koj kev noj qab haus huv thiab kom siv ACE inhibitors tsuas yog tom qab sab laj nrog kws kho mob.

Yuav siv li cas?

Nws yog ib qho tseem ceeb tsis yog yuav tsum coj cov lus pov thawj ntawm Hartil, tabsis tseem yuav tsum noj cov tshuaj kom raug, hauv kev noj tshuaj kom yog. Cov neeg tsim khoom lag luam tso siab rau qhov yuav tsum tau nqos cov tshuaj ntsiav kom meej, yam tsis muaj qhov zom me me. Txais tos yog tsis khi rau cov mov noj. Nws yog qhov tsim nyog los haus txhua ntsiav tshuaj nrog tsawg kawg ib nrab khob khob dej ntshiab uas tsis muaj ib qho ntxiv ntxiv.

Thaum hais txog ntawm cov hlab ntsha txhaws, kev noj tshuaj ntawm "Hartil" yog raws li nram no: thawj zaug ntim yog 2.5 mg hais lus ib hnub ib zaug. Yog tias hom kev kho no tsis qhia cov txiaj ntsig xav tau, tom qab 2-3 lub lis piam koj tuaj yeem nce qhov ntau ntxiv. Txog li 10 mg ntawm cov tshuaj tuaj yeem tawm cov tshuaj rau ntau tshaj 24 teev. Raws li kev txhawb nqa kev pom zoo ntawm 2.5-5 mg.

Thaum tsis ua haujlwm ntawm lub siab hauv daim ntawv ntev mus, "Hartil" yog siv ntau npaum li ntawm 1.25 mg rau ib hnub. Yog tias hom ntawv no tsis muab qhov xav tau ntawm lub neej, qhov ntim tau ob npaug. Nyob nruab nrab ntawm cov koob tshuaj nce, nws yog ib qho tsim nyog los tiv ncua ntu ntawm 7-14 hnub. Yog tias nws raug qhia siv 2.5 mg ntawm cov tshuaj lossis ntau dua ib hnub, koj tuaj yeem siv cov nyiaj no ib zaug lossis faib ua ob zaug. Koj tuaj yeem siv tsis tau ntau tshaj 10 mg ntawm cov tshuaj ib hnub.

Kuaj cov nuances: ua haujlwm tsis txaus ntawm kev kho plawv

Tus kws kho mob, sau ntawv ntawm qhov muaj pes tsawg leeg, piav qhia txog vim li cas "Hartil" tau sau tseg hauv qee kis, yuav ua li cas cov ntsiav tshuaj yuav pab ua kom tus neeg mob nyob ruaj khov thiab yuav siv li cas thiaj li zam lub siab rau. Nws yog ib qho tseem ceeb uas yuav tsum tau them sai sai rau qhov kev piav qhia no rau txhua yam kev kuaj mob uas yuav tsum tau siv Hartil, tab sis cov neeg mob uas lub plawv tsis ua hauj lwm, suav nrog cov mob ntev ntev ntawm tus mob no, yuav tsum tau ceev faj tshwj xeeb.

Yog tias ib tug neeg tau mob plawv thaum lub siab mob plawv, Hartil siv nrog 5 mg txhua hnub, faib cov ntim no ua ob zaug, uas lawv sawv ntsug rau nruj me ntsis 12 teev. Yog tias kev thev taus tsis muaj zog, qhov koob tshuaj yog ib nrab halved, noj 1.25 mg ntawm cov tshuaj ib hnub ob zaug. Cov hom ntawv no yog txhawb rau ob hnub, tom qab uas koj tuaj yeem rov nce qhov ntim siv tau. Yog tias nws tau txiav txim siab nce qhov koob tshuaj, thawj peb hnub ntawm kev txais lub zog tshiab yuav tsum tau muab faib ua ob ntu, khaws cia 12-teev rau ib qho. Tom qab thawj peb hnub, qhov ntim txhua hnub tuaj yeem siv tau ib lub sijhawm. Qhov siab tshaj plaws nyob rau ib hnub yog siv tsis ntau tshaj 10 mg ntawm qhov tshuaj. Hauv kev mob hnyav ntawm HF, "Hartil" yog thawj zaug tau sau tseg nyob rau hauv qhov ntau npaum li ntawm 1.25 mg rau ib hnub, maj mam nce lub cev muaj zog yav tom ntej, ua tib zoo saib xyuas tus neeg mob cov lus teb rau kev kho.

Lwm yam kev kuaj mob thiab nuances ntawm kev siv

Raws li cov lus qhia, cov tshuaj pab nrog nephropathy vim muaj ntshav qab zib thiab lwm yam ua rau. Nrog rau kev txheeb xyuas no, cov tshuaj tshwm sim ntawm 1.25 mg rau ib hnub, maj mam nce ntau npaum li cas, yog tias muaj pov thawj rau qhov no. Cov koob tshuaj txij nkawm zoo tshaj plaws tau txiav txim siab yog 2.5 mg. Yog tias koj xav tau nce qhov koob, ob npaug feem ntau yog xyaum nrog kev ncua sij hawm 2-3 lub lis piam nruab nrab ntawm kev hloov pauv ntawm qhov ntau. Qhov siab tshaj plaws ntawm 5 mg yog pub siv cov tshuaj no.

Raws li kev tiv thaiv kev tiv thaiv los tiv thaiv mob stroke, mob plawv, mob tuag ntshav, Hartil tau sau tseg hauv 2.5 mg ib zaug rau ib hnub. Yog tias tsim nyog, ib zaug ib lim tiam, koj tuaj yeem tsa qhov tsuas tshuaj, txhua zaus nce ntim ntau npaum li ib nrab. Koj tuaj yeem siv tsis tau qhov muaj pes tsawg leeg hauv qhov nyiaj ntau tshaj 10 mg rau ib hnub.

Koob tshuaj nta

Yog tias kuaj pom lub raum tsis ua haujlwm, thaum lub sijhawm tshem tawm creatinine txawv ntawm 20-50 mg / min, thawj Hartil siv nyob rau hauv cov nyiaj ntawm 1,25 mg rau ib hnub. Qhov ntau ntau rau txhua hnub yog 5 mg. Yog tias lub raum tsis ua haujlwm rau ib hnub, nws raug tso cai siv tsis pub ntau tshaj 2.5 mg ntawm cov tshuaj.

Yog tias tus neeg mob tau siv cov tshuaj diuretics dhau los, thawj zaug "Hartil" yog tau xaj yuav tsum yog li 1,25 mg. Kev tsis kam los ntawm diuretics yuav tsum tshwm sim 3 hnub ua ntej pib siv ACE inhibitors.

Yog tias nws tsis tuaj yeem tshem tawm cov kev ua tsis tiav hauv qhov sib npaug ntawm electrolytes thiab dej hauv lub cev tiv thaiv keeb kwm ntawm kev mob ntshav siab, cov tshuaj siv nrog 1.25 mg rau ib hnub. Qhov zoo sib xws thaum xub thawj pom zoo nyob rau hauv ib qho xwm txheej uas qhov txo qis hauv lub siab yog cuam tshuam nrog nce kev pheej hmoo.

Kev tiv thaiv tsis zoo

Cov tshuaj tsim cov ntsiav tshuaj hauv cov ntaub ntawv xa nrog ua txhua qhov tshwm sim tsis zoo ntawm Hartil. Nws paub tias cov tshuaj muaj peev xwm ua rau lub zog qis dhau, ischemia, lub plawv nres, tsaus muag, ib qho kev ua tsis xws luag hauv lub siab thiab nrawm ntawm lub plawv dhia nrawm, mob stroke, thiab o. Ntau dua, kev muaj peev xwm ntawm kev muaj sia ntawm cov lus teb tau yog qhov txais tos tsis raug cai ntawm kev siv tshuaj thiab dhau ntawm cov koob tshuaj pom zoo.

"Hartil" tuaj yeem ua rau txoj kev txhim kho lossis kev ua kom tiav ntawm lub raum mob tsis ua haujlwm, tso zis ntau, ua haujlwm tsis zoo hauv qhov chaw mos. Muaj qee kis thaum cov neeg mob muaj teeb meem ntawm kev tswj hwm kev sib npaug, lawv tau mob thiab kiv taub hau, lawv tus mob tau poob siab thiab tsis txaus ntseeg, txhawj xeeb, lawv lub siab tsis meej pem.Muaj kev pheej hmoo ntawm kev tsis txaus siab, muaj kev siab ntsws ntawm lub hlwb, pw tsaug zog ntxhov siab, qaug zog. Ua tau ntuav thiab xeev siab, tso quav tawm txawv, nqhis dej haus, ua kom lub siab ua haujlwm tsis zoo.

"Hartil" tuaj yeem ua rau los ntswg, hnoos, spasm ntawm lub ntsws, cuam tshuam hauv kev xav ntawm saj, ntxhiab tsw, suab, pom duab. Muaj kev pheej hmoo ntawm kev ua xua ntawm lub cev, kev cuam tshuam ntawm cov kab mob hematopoietic. Nyob rau hauv muaj cov mob psoriasis, qhov mob yuav loj dua tuaj. Paub tias plaub hau poob, ua npaws. Kuaj ntshav tuaj yeem qhia pom qhov nce hauv cov ntsiab lus ntawm creatinine, ammonium, bilirubin, poov tshuaj, cov qauv protein raug kuaj pom nyob hauv cov zis, thiab lub siab ua haujlwm hauv lub siab yog qhov ua haujlwm. Hauv cov neeg mob ntshav qab zib, Hartil hauv qee kis mob uas ua rau ua rau muaj ntshav qab zib tsawg.

Hartil thiab cev xeeb tub

Hauv lub sijhawm ntawm kev coj tus menyuam, cov tshuaj hauv nqe lus nug tsis raug tso cai siv. Nws tau tsim tau hais tias cov neeg ua haujlwm sib xyaw ua ke tsis sib haum ua rau lub raum tsis zoo ntawm lub cev. Tus me nyuam poob qis hauv cov ntshav siab, qhov xwm txheej no mob tsawv tom qab yug. Vim tias yog Hartil, lub raum ua haujlwm tsis zoo, tsis muaj cov poov tshuaj hauv lub cev, txoj haujlwm qias neeg yog ua tau. Cov kab mob cranial deformity, hypoplasia paub. Hartil tuaj yeem ua rau mob ntsws pulmonary hypoplasia thiab oligohydramnios.

Nqi thiab kev xaiv

Tam sim no, rau ib pob ntawm "Khartil" hauv cov khw muag tshuaj lawv nug ntawm 225 rubles lossis ntau dua. Yog tias nws tsis tuaj yeem them taus cov tshuaj no, koj yuav tsum sab laj nrog tus kws kho mob txog kev xaiv los hloov. Raws li txoj cai, lawv pom zoo rau Lavxias analogues ntawm Khartil: lawv cov nqi pheej yig dua. Koj yuav tsum tsis txhob xaiv cov tshuaj rau koj tus kheej dua li cov tshuaj uas tus kws kho mob tau sau tseg - qhov no cuam tshuam nrog kev pheej hmoo ntawm chav kawm tsis muaj txiaj ntsig, qhov tshwm sim ntawm kev phiv tshuaj ntau.

Lavxias analogues ntawm Hartila:

Thawj cov tshuaj raug nqi txog tib yam li cov tshuaj hauv nqe lus nug, tus nqi thib ob yog qis dua - txog 90 rubles.

Ib qho tuaj yeem hloov rau cov tshuaj tau piav kuj yog:

Kev Nyab Xeeb Ua Ntej: Nkag Muaj Nta

Cov chaw tsim khoom hauv cov ntaub ntawv pov thawj qhia tias yuav tsum tau ua tib zoo saib xyuas tus mob ntawm tus neeg mob tom qab siv thawj cov tshuaj Hartil, ntxiv rau tom qab nce qhov ntau ntawm cov tshuaj lossis pib noj tshuaj loj ntawm diuretics ua ke nrog cov tshuaj hauv cov lus nug. Yam tsawg kawg yim teev, nws yog qhov yuav tsum tau soj ntsuam tus neeg mob lub chaw hauv chaw kho mob kom pom tus neeg mob hypotensive hauv lub sijhawm, xav tau kev pab sai sai.

Nrog CHF, kev siv cov ntsiav tshuaj tuaj yeem ua rau mob ntshav siab dua. Muaj qee tus neeg mob thaum tus mob no nrog tus mob azotemia, oliguria, thiab txawm lub raum tsis ua haujlwm, tab sis tom kawg tsis tshua muaj mob.

Nrog rau lub plawv nres thaum ntxov, systole tsawg kawg rau kev kho mob siab yog 100 units. Nrog rau daim ntawv ua haujlwm ntawm kev mob ntshav siab lossis decompensated ntev dhau los HF, nws yog ib qho tsim nyog yuav tau pib noj Hartil tsuas yog nyob rau hauv chaw nyob ruaj khov, nyob rau hauv kev saib xyuas ntawm kws kho mob.

Cov kev qhia tshwj xeeb ntawm kev kho

Ua ntej koj pib siv Hartil, koj yuav tsum xeem ntawv los soj ntsuam cov kev mob ntawm cov ntshav ncig, hematopoietic systems. Nws yog ib qho tseem ceeb kom kwv yees cov leukocytes, kom laij cov mis leukocyte. Yav tom ntej, cov tshev yuav tsum tau kuaj ib zaug txhua 1-6 lub hlis. Nws yog ib qho tseem ceeb uas tsis tu ncua ntsuas ntsuas ntawm cov tib neeg uas qhov tshwm sim ntawm kev loj hlob neutropenia raug kwv yees siab dua qhov nruab nrab. Yog tias neutropenia paub tseeb, nws yog qhov yuav tsum tso sai sai ACE inhibitors.

Thaum noj cov tshuaj uas tau piav txog, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas saib qib siab, lub raum, cov ntshav hluav taws xob, poov tshuaj ions, thiab cov haujlwm ua rau lub siab ua haujlwm.

Kev tshawb xyuas kabmob kis tau hais tias kev sib xyaw ntawm ACE inhibitors thiab tshuaj insulin, nrog rau txhais tau tias ntawm kev tswj ntshav qab zib hauv daim ntawv rau kev tswj hwm qhov ncauj tuaj yeem ua rau mob ntshav qab zib. Tshaj siab txaus ntshai ntawm tus kab mob pathological no hauv thawj ob peb lub lis piam ntawm kev sib koom ua ke ntawm cov tshuaj. Qhov teeb meem loj txaus ntshai rau tus neeg mob, nws lub raum ua haujlwm nrog rau qhov txawv txav. Tus kab mob ntshav qab zib tau qhia ua ntu zus rau saib glycemia. Qhov no yog qhov tshwj xeeb tshaj yog nyob hauv thawj lub hlis ntawm kev siv Hartil.

Cov yam ntxwv ntawm kev mob thiab kev coj ntawm cov tshuaj

Yog tias Hartil tau raug rau cov neeg uas yuam kom noj nrog ntsev tsawg kawg, thiab tseem tawm tsam keeb kwm ntawm kev tsis lees txais ntsev tag nrho, kev noj cov tshuaj yuav tsum ceev faj tshwj xeeb, vim tias qhov phom sij ntawm hypotension tseem ceeb dua rau lwm pab pawg neeg mob. Nrog ib qho kev txo qis hauv BCC, uas feem ntau pom tias tiv thaiv keeb kwm yav dhau los ntawm kev siv tshuaj diuretic, nrog kev siv tsawg ntsev, ntuav, tso quav xoob thiab xav tau lim ntshav, qhov txaus ntshai ntawm hypotension tau nce.

Nws yog ib qho tseem ceeb kom nco ntsoov tias transistor hypotension tsis yog qhov laj thawj uas tsis kam rau Hartil ntsiav tshuaj. Cov tshuaj txuas ntxiv tseem siv tau thaum lub siab ruaj khov. Yog tias tus mob tshwm sim dua, qhov tshuaj tau txo lossis qhov kev noj tshuaj hloov tag nrho.

Yog tias leej niam siv Hartil thaum cev xeeb tub, tom qab yug me nyuam nws yog ib qho tsim nyog los soj ntsuam tus me nyuam hauv tsev kho mob. Muaj feem ntau ntawm cov poov tshuaj ntau ntxiv hauv lub cev, ua kom cov ntshav qis, oliguria. Nrog hom tom qab ntawm cov kab mob pathological, kev txhawb nqa siab thiab lub raum zoo nkauj yog xyaum los ntawm kev qhia ntawm vasoconstrictor tus neeg sawv cev thiab kua dej.

Kev sib xyaw thiab kev ua

Cov tshuaj muaj pes tsawg leeg suav nrog:

ramipril (5 lossis 10 mg),
sodium bicarbonate,
lactose monohydrate,
cov hmoov txhuv nplej siab
hla kev,
stearyl sodium
hlau oxide yog xim liab.

Cov tshuaj nquag muaj cov yam ntxwv li nram no:

Txhawb ACE kev ua si. Ntshav siab poob tsis nce lub siab. Kev txhawb nqa ntawm ACE ua rau txo qis ntawm angiotensin ntau ntau, uas yog nrog los ntawm kev nce ntxiv ntawm cov renin hauv cov ntshav ntshav. Ramipril cuam tshuam ACE pom nyob hauv cov ntshav thiab vascular phab ntsa.
Txo cov tsis kam ntawm cov hlab ntsha peripheral, txo qhov siab nyob rau hauv cov hlab ntsha pulmonary.
Tsub plawv ntxiv. Qhov no ua rau lub siab ua haujlwm lub cev kom tiv taus lub cev tawm.
Nrog lub sijhawm tswj hwm ntev, nws qeeb kev txhim kho ntawm dystrophic hloov hauv lub siab hauv cov neeg mob ntshav liab.
Txo txoj kev pheej hmoo ntawm arrhythmias thaum rov qab muab cov ntshav mus rau cov chaw ischemic. Txwv txoj kev loj hlob ntawm myocardial infarction.
Tiv thaiv kev puas tsuaj ntawm bradykinin, txhawb kev tso tawm ntawm nitric oxide hauv endothelium.

Daim ntawv thov thiab qhov ntau thiab tsawg ntawm Hartil

Ntsiav tshuaj yog noj ntawm qhov ncauj tsis tau ntxo. Nws raug nquahu kom haus cov tshuaj nrog dej ntau. Haus tshuaj yam tsis noj mov.

Kev kho mob yog txiav txim los ntawm hom mob:

Arterial kub siab. Kev kho mob pib nrog kev qhia txog 2.5 mg ntawm ramipril ib hnub. Txhua 14 hnub, qhov koob tshuaj tau nce ntxiv 2 zaug. Tsis txhob noj ntau tshaj 2 ntsiav tshuaj ntawm Hartil Amlo ib hnub.
Lub plawv tsis ua hauj lwm. Hauv thawj 2 lub lis piam, 1.25 mg ntawm cov tshuaj muaj zog yog txhaj ib hnub. Nyob ntawm cov txiaj ntsig ntawm kev kho mob, nws yog ob npaug rau txhua 14-28 hnub. Qhov nyiaj pab ntau tshaj txhua hnub yog 10 mg.
Cov teeb meem tom qab infarction. Cov tshuaj pib tau noj 3-10 hnub tom qab raug mob hnyav. Qhov pib koob tshuaj yog 5 mg, nws tau faib ua 2 daim ntawv thov. Tom qab 10 hnub, qhov koob tshuaj tau nce ntxiv 2 zaug. Thaum cov tsis xav pom muaj tshwm sim, nws raug txo kom tsawg.
Mob raum. Cov koob tshuaj rau txhua hnub yog 1.25 mg. Tom qab 3 lub lis piam, nws tau nce ntxiv txog 2.5 mg. Yog tias tsim nyog, koob tshuaj txhua hnub faib ua 2 daim ntawv thov.