Yuav indapamide thiab lisinopril noj tib lub sijhawm?

Nrog lub hnub nyoog, ib tus neeg nce ntxiv tiv thaiv los ntawm cov ntshav siab. Feem ntau cov neeg mob siv tshuaj Lisinopril thiab Indapamide tib lub sijhawm. Lisinopril thiab Indapamide tuaj yeem sib txuam. Nws yog ib qho tseem ceeb uas tus kws kho mob tuaj koom paub txog qhov no. Tsuas yog tus kws kho mob tuaj yeem soj ntsuam tau txaus txhua qhov txaus ntshai, nyob ntawm kev txheeb xyuas ntawm tus neeg mob thiab lwm yam mob ntev.

Ua ntej noj ib qho tshuaj twg, koj yuav tsum ua tib zoo kawm cov lus qhia rau nws, nrog rau tshuaj xyuas qhov zoo thiab qhov tsis zoo ntawm kev siv. Txhawm rau kom nkag siab txog ob yam tshuaj yog dab tsi, xav txog lub rooj:

Koj yuav tsum nyeem: 2 feeb

"Lisinopril" thiab "Indapamide" yog npaj rau kev kho mob siab dua.

Kev ntsuas	Lisinopril	Indapamide
Cov Khoom Qhia	Kev siab siab, mob plawv sai	Arterial tawg.
Txoj kev ntawm daim ntawv thov	Nrog rau kev kub siab, 1 ntsiav tshuaj ntawm 10 mg ib hnub ib zaug, yog tias tsis muaj txiaj ntsig, nce rau 2-4 pieces (qee zaus txog 8). Nrog lub siab tsis haum, 1 koob tshuaj 2.5 mg 1 zaug ib hnub (qhov koob tshuaj yuav raug nce ntxiv rau 20 mg).	Ib zaug ib hnub, 1 ntsiav tshuaj.
Sab sij huam	arrhythmia, mob taub hau mob hauv siab o thaum cev xeeb tub, muaj peev xwm tsis xws luag hauv plab.	kiv taub hau mob taub hau kev nyuaj siab mob hlab ntsws mob ntsws npog.
Cov Yuav Tsum Muaj	Cev xeeb tub, lactation, laus laus thiab muaj hnub nyoog txog 18 xyoo, txhua yam mob ua xas, raws plab, ntuav.	Kev pliav tsis ua haujlwm, kev xeeb tub, lactation, hnub nyoog txog 18 xyoo.
Yeeb tshuaj sib cuam tshuam	Diuretics txhim kho cov nyhuv, indomethacin tsis muaj zog cov nyhuv ntawm cov tshuaj.	Tsis txhob siv nrog cov tshuaj muaj potassium.
Noj ntau dhau	Mob hypertension yog kho los ntawm kev qhia ntawm lub cev. kev daws.	Qhov pom kev ntuav, ntuav, txo cov ntshav siab heev. Nws raug kho los ntawm kev mob plab zom mov.
Daim ntawv tso tawm	Cov ntsiav tshuaj ntawm 2.5 mg, 5 mg, 10 mg ntawm 15 daim ib pob. Muaj xim daj.	2.5 mg lossis 10 mg ntsiav tshuaj. 30 daim ib pob. Xim dawb
Muaj pes tsawg leeg	Cov tshuaj muaj sia yog lisinopril (tus nqi sib piv rau hom ntsiav tshuaj), tus pabcuam yog cov hmoov txhuv nplej siab, talc, magnesium, thiab zas xim.	Cov tshuaj ua haujlwm nquag yog indap 2.5 mg, cov pabcuam yog hmoov txhuv nplej siab, lactose, magnesium.

"Lisinopril" thiab "Indapamide" tsis yog tuaj yeem nqa tib lub sijhawm, tab sis kuj tsim nyog. Lawv kev sib xyaw ua ke yog qhov siab thiab siab poob sai dua. Cov qauv hauv qab no yog kev pom zoo:

Thaum sawv ntxov koj yuav tsum noj "Indapamide" (nws yog ib qho tshuaj zoo tso tawm, yog li nws yuav zoo dua tsis txhob coj nws thaum hmo ntuj).
Nyob rau yav tsaus ntuj, "Lisinopril."
Yog tias lub siab tsis zuj zus lawm, tom qab ntawv nws yuav zoo dua yog haus 1 lub tshuaj ntawm txhua qhov tshuaj.

Txoj kev kho yuav tsum yog kws kho mob sau tseg, raws li cov cim qhia ntawm tus neeg mob.

Lisinopril thiab Indapamide sib txuam. Yog tias lub siab tau nce ntau dua (saum toj 180/120), tom qab ntawd koj yuav tsum sab laj nrog kws kho mob (tshwj xeeb yog tias muaj qhov ntxim yuav muaj mob stroke lossis lub plawv nres). Nyob rau tib lub sijhawm, tsis txhob nce lub koob tshuaj ntau dhau (Indapamy tsis muab qhov txiaj ntsig zoo dua thaum cov koob tshuaj nce ntxiv, thiab ntau ntawm Lisinopril tuaj yeem ua rau muaj kev tsis zoo ntawm tus mob).

Cov kab mob diuretic uas pab txhawb kom tshem tawm cov kua dej ntau dhau ntawm lub cev yog feem ntau kho rau kev kub siab. Ib qho tshuaj feem ntau ntawm cov kev taw qhia no yog Indapamide, cov lus qhia rau kev siv ntawm qhov twg, nrog rau thaum dab tsi siab nws yuav tsum tau ua, yuav tsum tau xav hauv kev nthuav dav.

Qhov tsuas yog Indapamide kev taw qhia yog txoj hlab ntshav tawg. Nws yog qhov tshwj xeeb tas li yog tias qhov nce ntawm cov ntshav siab yog nrog los ntawm kev mob hnyav thiab cov kua dej kom tsis txhob poob. Los ntawm kev tshem cov kua ntau dhau, ntshav siab poob qis.

Cov kev kho zoo li no feem ntau ua lub hauv paus ntawm kev kho mob. Lawv feem ntau ntxiv nrog lwm cov tshuaj tiv thaiv ntshav siab. Cov tshuaj yuav tsum muaj lub siab ua dab tsi? Feem ntau lawv tau txiav txim siab yog tias txoj kev hloov ntshav ntawm txoj hnyuv txuas ntxiv tas li, cov kev hloov pauv puv ntawm cov leeg muaj zog, cov cim ntsuas tas li kom siab tshaj 140 ib 100 qhov tseem ceeb.

Indapamide - diuretic los yog tsis? Vim tias qhov tshuaj no yog ib qho diuretic, nws muaj cov nyhuv diuretic, tshem tawm cov kua hauv lub cev. Nws yuav tsum tau yug los hauv lub siab tias nce ntxiv cov tshuaj tsis ua rau muaj kev nce siab hauv cov kev ua haujlwm hypotensive, txij li tsuas yog cov diuretic yog kho kom zoo. Yog li, tsis txhob overestimate qhov ntau npaum ntawm cov tshuaj no, tshwj xeeb ntawm nws tus kheej.

Tus nqi nruab nrab ntawm cov tshuaj yog 20-50 rubles, nyob ntawm lub khw muag tshuaj network. Cov tshuaj yog ib qho ntawm pheej yig tshuaj diuretics siv rau kev mob ntshav siab.

Tseem Ceeb! Nyob rau hauv tsis muaj qee yam yuav tsum tau koj pib noj tshuaj diuretics koj tus kheej, tshwj xeeb tshaj yog nrog cov cim ntawm lub raum tsis ua haujlwm.

Feem ntau cov tshuaj no noj ib hnub ib zaug, cov qauv tshuaj yog 2.5 mg ntawm cov tshuaj. Nws feem ntau tsis hloov - nws tuaj yeem hloov kho tsuas yog los ntawm kev ntxiv lwm tus neeg sawv cev nrog hypotensive nyhuv rau kev kho.

Yuav noj nws li cas - ua ntej noj mov lossis tom qab - tsis muaj teeb meem. Cov lus qhia rau cov tshuaj hais tias lub sijhawm nruab hnub thiab noj mov tsis cuam tshuam rau qhov cuam tshuam ntawm cov tshuaj, yog li tsis tas yuav ua kom pom tseeb ntawm lawv.

Feem ntau, kev kho mob nrog ntau yam tshuaj tiv thaiv kev tiv thaiv thaum lub sij hawm mob hnyav ntawm kev kub siab tsis tau ntev - txog ntau lub lis piam. Tom qab ntawd, thaum lub siab ntsig txog ntshav haum txaus, cov chav kawm rau kev kho mob raug tso tseg. Hauv lub neej tom ntej, txhawm rau tswj kom ceev lub siab hauv qhov tsis pub coj, nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov kom zoo thiab lwm tus kws khomob pom zoo.

Hais txog lub sijhawm noj tshuaj no, koj yuav tsum xub tham nrog koj tus kws kho mob. Hauv txhua kis, tus txheej txheem ntawm txoj kev kho yuav txawv - nws txhua tus nyob ntawm qhov mob hnyav thiab tus mob ntawm tus neeg mob thoob plaws.

Indapamide muaj ib tug xov tooj ntawm kev ncaj ncees contraindications. Siv cov tshuaj no yuav tsum tsis yog nrog lub raum lossis lub siab ua haujlwm. Thaum lub cev tsis ua haujlwm ntawm cov plab hnyuv siab raum no, lawv siv lub diuretic tshwj rau kev tswj hwm ntawm tus kws kho mob, soj ntsuam tas li qhov xwm txheej thiab qhov hloov ntawm qhov hloov.

Tsis tas li, cov tshuaj no yuav tsum tsis txhob siv rau hauv kev tsis haum rau cov khoom muaj pes tsawg leeg, feem ntau cov diuretic nws tus kheej, thiab lwm yam tshuaj uas tsim cov tshuaj.
Xws li, koj yuav tsum tsis txhob siv cov tshuaj rau lactose tsis haum, vim nws yog ib feem ntawm cov ntsiav tshuaj nws tus kheej.
Ib qho kev qhia nruj me nyuam yog hnub nyoog menyuam yaus. Txog thaum muaj hnub nyoog kaum yim xyoo, cov tshuaj tiv thaiv kab mob siab tshaj no yuav tsum tsis txhob siv, vim tias tsis muaj pov thawj nws muaj kev nyab xeeb rau menyuam yaus.
Indapamide yuav tsum tsis txhob siv thaum cev xeeb tub xws li: kev yug menyuam thiab lub sijhawm pub mis niam yog qhov tsis ncaj rau kev siv tshuaj.

Tseem Ceeb! Txais tos ntawm no diuretic rau cov neeg laus yog qhov tsim nyog yuav tau nqa tawm hauv kev tswj hwm ntawm tus kws kho mob nruj. Hauv cov laus neeg, cov tshuaj yuav cuam tshuam rau lub cev tsis zoo.

Cov diuretic no kuj muaj qee qhov kev mob tshwm sim. Lawv tsis tshwm sim ntau zaus yog tias koj siv Indapamide raws li cov lus qhia. Cov kev mob tshwm sim hauv qab no feem ntau yog qhov txawv:

kiv taub hau, mob taub hau, pw tsaug zog ntxhov siab, hawb pob, lwm yam cuam tshuam ntawm cov leeg hlwb,
hypotension, lub suab sib dhos cuam tshuam, lwm cov kev phiv los ntawm cov ntshav ncig,
mob hnyav hnoos, mob pharyngitis, mob ntsws,
ntau yam kab mob kis tau los ntawm cov neeg dhau los,
hematopoiesis, hloov ntshav kuaj,
txhua yam kev tsis haum tshuaj, tawm pob ntawm daim tawv nqaij, tso zis.

Cov kev mob tshwm sim no feem ntau tshwm sim thaum noj Indapamide. tab sis nrog kev nkag tau kom raug, qhov tshwm sim ntawm qhov tshwm sim yog tsawg heev.

Xav txog yam tshuaj twg Indapamide tuaj yeem hloov thiab yam tshuaj twg zoo dua.

Concor thiab Indapamide muaj kev sib xyaw zoo, lawv feem ntau tau sau tseg ua kev sib koom tes sib kho. Indapamide kuj tseem tuaj yeem ua ke zoo nrog lwm cov beta-blockers.

Lorista (angiotensin receptor antagonist) thiab indapamide tuaj yeem ua ke nrog kev tso cai los ntawm tus kws kho mob. Kuj ntau, ob hom tshuaj no yog sau ua ke rau kev kho zuaj.

Prestarium yog ib hom tshuaj siv rau kev kho mob siab thiab lub plawv tsis zoo. Nws tshwm sim hais tias nws yog kws kho nrog rau diuretics, tshwj xeeb - nrog Indapamide. Cov tshuaj no tau zoo ua ke.

Kev sib xyaw ntawm Lisinopril thiab Indapamide tso cai rau koj kom ntshav sai sai sai thiab muaj txiaj ntsig, thaum lawv tseem nyob rau qhov qub ntev ntev, thiab ntshav siab tsis zoo. Lisinopril yog ib qho ACE inhibitor. Hauv qhov no, koj yuav tsum tsis txhob pib noj xws li kev sib txuam tshuaj ntawm koj tus kheej - koj yuav tsum xub tham nrog cov kws tshaj lij.

Cov tshuaj tiv thaiv ncaj qha ntawm Indapamide yog lwm cov tshuaj diuretics raws li cov tib cov tshuaj nquag. Arifon yog feem ntau xa mus rau lawv. Koj tseem tuaj yeem siv lwm cov tshuaj diuretic tsom rau txo cov ntshav siab. Ua ntej siv cov analogue, nco ntsoov nyeem cov lus qhia rau kev siv.

Raws li cov nyhuv, koj tsuas yog piv cov tshuaj ntawm ib pawg - cov tshuaj diuretics, uas suav nrog Indapamide. Nws tsis yooj yim hais qhov twg yog qhov zoo dua: Indapamide lossis Concor. Cov tshuaj no muaj ntau yam tshuaj sib txawv thiab cuam tshuam rau lub cev ntawm qhov sib txawv. Nws tseem tsis tuaj yeem hais tias qhov twg yog qhov zoo dua: Indapamide lossis Enalapril. Qhov no yog lub cuab yeej txawv tag nrog cov kev sib txawv ntawm lub cev. Txawm li cas los xij, nws tsim nyog pom tias kev siv tshuaj diuretics yuav tsum xub saib xyuas yog tias kub siab yog los nrog kev o.

Arifon Retard tseem ua raws li kev ua ntawm cov tshuaj Indapamide, tab sis tus nqi ntawm cov tshuaj analogue no yog siab dua. Ib pob tshuaj ntawm tus nqi nce txog 300-350 rubles. Ntxiv mus, hais txog kev nqis tes ua, cov nyiaj no siv tsis sib txawv.

Txawm li cas los xij, nws tsim nyog txiav txim siab tias Arifon muaj tsawg dua qhov kev tiv thaiv. Thaum muaj hnub nyoog laus dua thiab muaj kab mob siab thiab raum, nws yog qhov zoo dua los xaiv nws. Indapamide muaj cov nyhuv ntau dua tsis zoo rau lub cev.

Veroshpiron kuj tseem muaj txiaj ntsig zoo diuretic hauv kev kub siab. Txawm li cas los xij, nws tsim nyog teev tias cov tshuaj no tuaj yeem siv rau ntau tus kab mob, thaum nws muaj tsawg dua qhov tsis muaj contraindications dua li Indapamide. Yog li no, thaum xaiv cov tshuaj, nws tsim nyog them rau nws, suav nrog.

Hypothiazide tseem yog ib qho tshuaj zoo rau qhov kub siab, uas feem ntau tau sau tseg rau tus kab mob no. Ntxiv mus, nws muaj qhov ntau dua ntawm kev siv. Los ntawm contraindications, cov tshuaj no zoo heev.

Nrog rau kev mob ntshav siab, nws yog qhov zoo dua los xaiv thawj lub tshuaj diuretic, vim tias cov tshuaj no yog npaj los kho tus mob no. Furosemide feem ntau yog siv rau lwm yam kabmob.

Hydrochlorothiazide kuj yog thiazide diuretic, zoo li yog Hypothiazide. Hauv kev nqis tes, cov tshuaj no zoo sib xws dua. Xaiv cov ntau haum pab pawg ntawm cov tshuaj yuav tsum nyob ntawm cov cim, cov chav kawm ntawm tus kab mob, concomitant pathologies.

Diuver yog qhov zoo dua nyob rau hauv cov nyhuv rau Furosemide, thaum nws tseem feem ntau kho kev mob ntshav siab.Qhov cuab yeej no tshwj xeeb tshaj yog pab nrog kev tsim kho ntawm edema. Nws muaj ntau dua contraindications, yog li ua ntej koj pib siv, koj yuav tsum nyeem cov lus qhia rau kev siv.

Hauv cov txheej txheem ntawm kev kho mob ntshav siab, tus kws kho mob yuav tsum sau tshuaj diuretics, txij li ntshav siab poob qis dua nrog kev tshem tawm cov dej tawm hauv lub cev. Txoj kev lag luam kws tshuaj tau tsim ntau cov tshuaj diuretic. Feem ntau, yog tias muaj edema, tus kws kho mob tau sau ntawv rau Indapamide rau qhov siab. Txawm li cas los xij, cov tshuaj muaj contraindications thiab cov yam ntxwv ntawm kev siv, yog li lawv xav tau kev koom tes nrog kev kho mob nrog kws kho mob.

Cov tshuaj belongs rau thiazide-zoo li diuretics ntawm lub sijhawm ua haujlwm ntev, muaj qhov qis me me ntawm cov ntshav siab. Indapamide yog siv rau kev mob ntshav txhaws, thaum lub siab pib dhau 140/90 hli Hg. Txuj ci., Thiab mob plawv nres, tshwj xeeb yog tus neeg mob o tuaj.

Cov tshuaj tau tawm hauv daim ntawv ntawm cov ntsiav tshuaj thiab tsiav tshuaj ntawm 1.5 thiab 2.5 mg. Lawv tau tsim nyob rau hauv Russia, Yugoslavia, Canada, Macedonia, Ixayees, Ukraine, Tuam Tshoj thiab Lub Tebchaws Yelemees. Cov tshuaj qaug tshuaj yeeb tshuaj yog Indapamide.

Indapamide yog tshuaj calcium uas khaws cia, uas yog qhov zoo rau cov neeg mob ntshav siab. Nws tuaj yeem siv los ntawm cov neeg muaj tus mob hemodialysis, mob ntshav qab zib, nrog hyperlipidemia. Hauv cov xwm txheej nyuaj, nws yuav tsum tswj hwm txog qib ntshav qabzib, poov tshuaj, lwm yam kev qhia tau pom zoo los ntawm tus kws kho mob.

Cov tshuaj ntsiav lossis ntsiav tshuaj los ntawm lub siab ua rau kub siab pib ua 30 feeb tom qab noj. Cov nyhuv hypotonic ntev li 23-24 teev.

Qhov txo qis hauv cov ntshav siab yog vim qhov kev tiv thaiv hypotensive, diuretic thiab vasodilating - cov qib ntshav pib poob vim muaj cov cawv ntawm cov tshuaj nquag, tshem tawm cov kua dej ntau dhau ntawm lub cev thiab nthuav cov hlab ntshav thoob plaws lub cev.

Indapamide tseem muaj cov cuab yeej cardioprotective - nws tiv thaiv myocardial hlwb. Tom qab kho, kub siab ho txhim kho kev mob ntawm cov leeg plawv ventricle. Cov tshuaj kuj maj mam txo qis tsis kam rau hauv cov hlab ntsha thiab cov hlab ntsha. Txij li nws nyob rau ntawm kev siv mentsis nce qhov ntau ntawm cov zis tsim nrog uas cov kua ntau dhau los, nws yog qhov tsim nyog los haus cov tshuaj yog tias muaj edematous syndrome.

Hauv kev kub siab (ntau dua 140/100 hli RT. Daim Duab.), Tus kws kho mob xaiv qhov ntau npaum li cas thiab kev kho ntev li cas ntawm nyias tus kheej. Feem ntau, Indapamide yuav tsum noj ib hnub ib zaug: thaum sawv ntxov, 1 ntsiav tshuaj. Nws raug tso cai rau haus dej ntawm lub plab khoob lossis tom qab noj mov - zaub mov tsis cuam tshuam rau qhov cuam tshuam ntawm cov tshuaj.

Txoj cai nkag mus kawm:

siv nyob rau lub sijhawm tau hais meej kom tswj tau ib ncua sijhawm 24 teev,
ntsiav tshuaj lossis tshuaj ntsiav tau nqos tag nrho
ntxuav cia nrog tseem dej hauv lub ntim ntawm tsawg kawg 150 ml,
tsuas yog nyob ntawm kev pom zoo ntawm tus kws kho mob, hloov cov tshuaj lossis tso tseg qhov kev kho mob.

Lub caij nyoog ntev ntawm Indapamide cuam tshuam nrog kev maj mam yaj ntawm cov tshuaj. Yog tias koj zom cov ntsiav tshuaj lossis tshuaj ntsiav ua ntej siv, ntau yam khoom uas nquag yuav nkag mus rau hauv cov ntaub so ntswg, vim tias lub siab yuav ua rau qis qis. Txoj kev poob siab hauv ntshav sai cuam tshuam rau kev ua haujlwm ntawm txhua qhov nruab nrog cev, uas yog qhov tsis zoo nrog lub txim phom sij.

Cov tshuaj hauv qab no raug tso cai kom noj nrog Indapamide:

Concor thiab lwm yam B-blockers,
Lorista (dab tiv thaiv angiotensin receptors)
Prestarium (rau lub plawv tsis ua haujlwm),
Lisinopril (ACE inhibitor),
lwm yam tshuaj uas koj tus kws kho mob sau tseg.

Lawm, tsuas yog tus kws kho mob yuav tsum khaws txhua yam tshuaj, txij li thaum muab cov tshuaj cais lawv tus kheej, qhov sib xyaw ntawm cov tshuaj yeeb dej caw feem ntau tsis tau suav nrog. Qhov no tuaj yeem ua rau kev kho mob tsis ua haujlwm lossis tshuaj lom, uas nyob rau hauv txhua kis yog muaj kev phom sij txog lub neej.

Ib tug neeg feem ntau raug yuam kom siv ntau cov tshuaj uas zwm rau ntawm cov pab pawg sib txawv.Lawv cov tshuaj nquag yuav txo qis lossis ua kom zoo dua ntawm Indapamide. Nws tsim nyog nyob hauv kev nthuav dav ntxiv ntawm qhov "kev cuam tshuam" li cas.

Cov nyhuv antihypertensive ntawm cov tshuaj nce ntxiv thaum siv ua ke nrog tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kev tawm tsam - qhov no tuaj yeem ua rau lub siab poob qis.

Thaum ua ke nrog erythromycin, ib tus neeg muaj tachycardia; hauv Cyclosporin complex, creatinine qib nce. Kev siv ib txhij ua ke nrog cov tshuaj, uas suav nrog iodine, tuaj yeem ua rau lub cev qhuav dej. Kev poob poov tshuaj yog nce siab los ntawm laxatives, saluretics thiab plauv mob glycosides.

Nws yuav tsum tau yug hauv siab tias corticosteroids thiab NSAIDs (cov tshuaj tsis-steroidal anti-inflammatory tshuaj) txo cov nyhuv hypotensive ntawm Indapamide - qhov no txo qis kev ua haujlwm ntawm cov tshuaj. Txhawm rau zam kev cuam tshuam nrog lwm cov tshuaj, tus kws kho mob yuav tsum muab cov npe ntawm txhua yam tshuaj thiab cov tshuaj ntsuab siv.

Cov neeg mob ntshav siab nrog cov kab mob tsis ua hauj lwm ntawm txoj kev tso zis, endocrine, plab zom mov thiab hlab plawv yuav tsum ntxiv mus ntsib kws kho mob. Rau qee qhov pathologies, cov tshuaj no muaj cov yam ntxwv ntawm kev siv lossis tag nrho yog contraindicated.

Indapamide yuav tsum tsis txhob siv rau cov menyuam yaus hnub nyoog qis dua 18 xyoo, cev xeeb tub. Yog tias cov tshuaj raug xaj rau tus pojniam thaum lactation, tom qab ntawd thaum kho tus menyuam yaus hloov mus rau qhov khoom noj khoom haus cuav.

Kev siv Indapamide yog contraindicated yog tias cov xwm txheej hauv qab no tau txheeb xyuas:

ib tug neeg intolerance,
lub raum tsis ua hauj lwm
galactosemia, lactose intolerance,
hepatic encephalopathy,
tab kaum kev cuam tshuam hauv lub hlwb,
hypokalemia
mob gout
anusia

Ua ntej yuav cov tshuaj, nws raug nquahu kom kawm cov ntaub ntawv ntawm cov kws tsim khoom cov lus qhia (ntim rau hauv pob ntawm cov tshuaj), vim nws qhia cov ntaub ntawv tiav txog cov tshuaj muaj pes tsawg leeg, cov yam ntxwv ntawm kev siv, contraindications, lwm cov ntaub ntawv.

Nrog rau kev siv cov tshuaj kom zoo hauv 97% ntawm cov neeg mob, cov tshuaj tsis ua rau lub cev tsis zoo. Hauv cov neeg teej tug rau tshuav 3%, Indapamide ua rau muaj kev phiv. Cov txiaj ntsig feem ntau yog ua txhaum ntawm cov dej-electrolyte tshuav: qib ntawm cov poov tshuaj thiab / lossis sodium tsawg dua. Qhov no ua rau lub cev qhuav dej (tsis muaj kua txaus) hauv lub cev. Tsis tshua muaj tshuaj, ib yam tshuaj tuaj yeem ua rau mob arrhythmia, hemolytic anemia, sinusitis thiab pharyngitis.

Lwm cov kev phiv ntawm Indapamide:

kev ua xua (urticaria, anaphylaxis, Quincke's edema, dermatosis, ua pob)
Lyell cov tsos mob
dryness ntawm lub qhov ncauj mucosa,
Stevens-Johnson mob
hnoos
tsis muaj zog
kiv taub hau
xeev siab, ntuav,
mob leeg
mob taub hau
kev tshee
daim siab ua hauj lwm
pancreatitis
cem quav
orthostatic hypotension.

Qee zaum indapamide hloov pauv kev hloov pauv ntawm cov ntshav thiab zis. Hauv kev tsom xam tuaj yeem tshawb pom qhov tsis muaj cov poov tshuaj, sodium, ntau ntxiv ntawm cov calcium, qabzib, creatinine thiab urea. Thrombocytopenia, leukopenia, anemia, agranulocytosis tshwm sim tsawg dua.

Hloov chaw ntawm Indapamide, Indap raug tso cai. Cov tshuaj no nrog tib lub qub, tab sis tsim tawm los ntawm lwm qhov chaw tsim khoom thiab kuj yuav muaj ntau yam sib txawv ntawm cov tshuaj nquag. Thaum muaj qhov sib txawv, tus kws kho mob mus koom yuav tsum kho cov tshuaj kom haum.

Tus kws kho mob tseem yuav pab koj nrhiav cov duab (analogues) uas muaj cov tshuaj lossis cov kev ua zoo sib xws. Ntawm kev sab laj ib leeg, tus kws kho mob yuav qhia koj tias yam tshuaj twg zoo siv: Indapamide lossis Hypothiazide, Arifon Retard, Veroshpiron, Hydrochlorothiazide, Diuver, Acripamide, Ionic, Retapres. Tej zaum teem sijhawm siv lwm cov tshuaj diuretics tswj los txo cov ntshav siab.

Cov tshuaj Indapamide maj mam txo qhov siab thoob plaws ib hnub. Nrog nws li niaj zaus thiab siv kom raug, ntshav cov ntshav qis dua li 7 hnub txij li hnub coj.Tab sis kev kho mob tsis tuaj yeem cuam tshuam nyob rau theem no, txij li kev kho tau mus txog nws qhov tshwm sim ntau tshaj plaws nyob rau hauv 2.5-3 lub hlis. Txhawm rau kom tau txais txiaj ntsig zoo tshaj plaws ntawm cov tshuaj, koj kuj yuav tsum ua raws li cov lus pom zoo rau kev kho mob: ua raws li kev noj haus rau kev kub siab, kho lub sijhawm so, lwm cov tshuaj noj.

Indapamide yog cov tshuaj nrov rau kev kho ntshav siab, nrog rau edema tshwm sim los ntawm lub plawv tsis ua hauj lwm lossis lwm yam ua. Qhov no yog diuretic, tab sis hauv kev coj nrog kub siab nws yog siv ua vasodilator. Hauv qab no koj yuav pom cov lus qhia siv Indapamide, sau ua lus qhuav. Kuaj xyuas nws cov cim qhia rau siv, contraindications thiab phiv. Kawm paub yuav ua li cas noj cov tshuaj no rau ntshav siab: hauv kev siv li cas, ua ntej lossis tom qab noj mov, sawv ntxov lossis yav tsaus ntuj, pes tsawg hnub kho mob ntxiv. Nyeem qhov sib txawv ntawm cov tshuaj qub Arifon thiab Arifon Retard, yog dab tsi pheej yig analogues lawv muaj. Nkag siab txog dab tsi koj yuav tsum tau noj: indapamide, furosemide, lossis hydrochlorothiazide (hypothiazide). Tsab xov xwm piav qhia txog vim li cas indapamide zoo rau cov neeg mob ntshav qab zib, cov laus thiab lwm pawg neeg mob. Ib daim ntawv teev npe muaj nrog lwm cov tshuaj siab nws tuaj yeem ua ke.

Cov lus qhia rau kev siv

Pharmacological kev txiav txim	Indapamide hais txog cov diuretics - thiazide-zoo li diuretics. Nws kuj tseem yog vasodilator (vasodilator). Hauv koob tshuaj me me ntawm 1.5-2.5 mg ib hnub txo cov lus teb ntawm cov hlab ntsha mus rau kev ua ntawm vasoconstrictor tshuaj: norepinephrine, angiotensin II thiab calcium. Vim qhov no, ntshav siab yog txo qis. Ntxiv nrog rau qhov muab qhov muaj txiaj ntsig zoo, nws txhim kho lub xeev ntawm vascular phab ntsa. Nws muaj cov teebmeem cardioprotective (tiv thaiv cov leeg mob plawv) hauv cov neeg mob ntshav siab. Ntawm kev siv ntau zog ntawm 2.5-5 mg ib hnub, nws txo edema. Tab sis los ntawm nce cov koob tshuaj ntawm cov tshuaj no, tswj ntshav siab feem ntau tsis tuaj yeem txhim kho.
Cov Tshuaj Pharmacokinetics	Noj nrog rau cov zaub mov ua rau poob qis dua qhov nqus tshuaj, tab sis tsis cuam tshuam rau nws qhov kev ua tau zoo. Yog li, koj tuaj yeem noj indapamide ntawm lub plab khoob lossis tom qab noj mov, raws li koj nyiam. Daim siab ua rau lub cev ua kom lub cev ua haujlwm ntawm cov tshuaj nquag hauv lub cev. Tab sis cov khoom hauv metabolic feem ntau yog tawm hauv lub raum, thiab tsis yog los ntawm daim siab. Yog li, kev tswj hwm ntawm indapamide tuaj yeem tsim teeb meem rau tib neeg kev txom nyem los ntawm cov kab mob siab ntawm daim siab lossis lub raum. Cov ntsiav tshuaj muaj txuas-tso tawm indapamide (kev tso tawm ntev) yog nrov heev. Qhov no yog Arifon Retard thiab nws cov analogues. Cov tshuaj no siv sijhawm ntev dua thiab yooj yim dua li cov ntsiav tshuaj tsis tu ncua.
Kev ntsuas rau siv	Indapamide yog siv los kho ntshav siab - thawj (qhov tseem ceeb) thiab theem nrab. Nws kuj tseem qee lub sijhawm rau kev kho mob edema los ntawm kev mob plawv lossis lwm yam laj thawj.
Cov Yuav Tsum Muaj	Kev ua xua rau indapamide lossis excipients hauv cov ntsiav tshuaj. Ib lub raum mob hnyav uas ua rau mob anuria yog qhov tsis tso zis txaus. Mob rau daim siab hnyav. Mob cerebrovascular mob. Cov ntshav poov tshuaj tsis muaj ntshav lossis sodium ntau ntau. Indapamide yog tsim rau cov neeg mob hauv qab no yog tias muaj kev qhia siv, tab sis yuav tsum ceev faj thaum ua qhov no: cov neeg laus nrog lub cev tsis tuaj yeem, gout, mob ntshav qab zib, thiab ntshav qab zib mellitus.
Cov lus qhia tshwj xeeb	Yog tias koj hnov zoo thiab koj cov ntshav siab yog qhov qub, tom qab ntawv qhov no tsis yog lub laj thawj uas tsis kam noj cov tshuaj indapamide thiab lwm yam tshuaj kho ntshav siab. Kav tsij niaj hnub noj txhua yam tshuaj uas koj tau sau tseg. Nquag soj ntsuam ntshav tas li rau potassium, creatinine, thiab lwm yam ntsuas uas koj tus kws kho mob yuav txaus siab. Yog tias koj xav kom tsis txhob noj tshuaj lossis txo qhov tsuas tshuaj, tham qhov no nrog koj tus kws kho mob. Tsis txhob hloov koj txoj kev kho mob yam tsis tau txais kev pom zoo.Pib noj cov tshuaj diuretic, hauv thawj 3-7 hnub, tsis pub tsav tsheb thiab cov txheej txheem phom sij. Koj tuaj yeem rov ua qhov no thaum koj muaj kev cia siab tias koj yeej pom zoo.
Tsuas tshuaj	Kev noj cov tshuaj indapamide rau kev kub siab yog 1.5-2.5 mg ib hnub. Kev pub nkag los ntawm kev txhaj tshuaj ntau dua tsis txhim kho kev tswj ntshav siab, tab sis nce qhov pheej hmoo ntawm cov kev mob tshwm sim. Txhawm rau txo edema tshwm sim los ntawm lub plawv tsis ua hauj lwm lossis lwm yam laj thawj, indapamide yog kho ntawm 2.5-5 mg rau ib hnub. Yog tias koj noj cov tshuaj no rau cov ntshav siab hauv cov tshuaj ncua ntxiv (Arifon Retard thiab nws cov analogues), koj tuaj yeem txo qhov kev noj tshuaj txhua hnub yam tsis muaj tshuaj txo cov nyhuv kho. Txawm li cas los xij, cov ntsiav tshuaj ntev ntev indapamide tsis tsim nyog rau kev tshem tawm edema.
Sab sij huam	Cov kev mob tshwm sim hauv qab no yog ua tau: muaj cov poov tshuaj tsawg hauv cov ntshav (hypokalemia), mob taub hau, kiv taub hau, qaug zog, tsis muaj zog, ua kom tsis muaj leeg, leeg nqaij mob los sis mob plab, ib ce loog ntawm nqua, tshee, txob taus, ntxhov siab. Txhua yam teeb meem teev saum no muaj tsawg. Indapamide yog cov tshuaj zoo dua li lwm cov tshuaj diuretics uas raug kho rau cov ntshav siab thiab o tuaj. Cov tsos mob uas tib neeg coj mus rau qhov tshwm sim tsis zoo ntawm indapamide feem ntau yog cov txiaj ntsig ntawm atherosclerosis, uas cuam tshuam rau cov hlab ntsha uas pub rau lub plawv, lub hlwb, thiab ceg.
Cev xeeb tub thiab pub niam mis	Tsis txhob noj indapamide tsis raug cai thaum cev xeeb tub los ntawm ntshav siab thiab o tuaj. Qee zaus kws kho mob muab cov tshuaj no rau cov poj niam cev xeeb tub yog tias lawv ntseeg tias cov txiaj ntsig zoo tshaj qhov muaj feem yuav ua mob. Indapamide, zoo li lwm cov tshuaj diuretics, tsis yog thawj qhov kev xaiv rau kev mob ntshav siab hauv cov poj niam cev xeeb tub. Ua ntej tshaj plaws, lwm yam tshuaj tau raug sau tseg, kev nyab xeeb ntawm kev ua pov thawj tau zoo. Nyeem kab lus "Ua kom muaj kev ntxhov siab thaum cev xeeb tub" hauv cov ncauj lus ntau ntxiv. Yog tias koj muaj kev txhawj xeeb txog edema, sab laj nrog tus kws kho mob, thiab tsis txhob maj mam noj cov tshuaj diuretic lossis lwm yam tshuaj. Indapamide yog sib kis rau kev pub niam mis, vim tias nws qhov kev kawm ntau txog cov kua mis tseem tsis tau tsim thiab kev nyab xeeb tseem tsis tau pom tseeb.
Kev cuam tshuam nrog lwm yam tshuaj	Indapamide tuaj yeem cuam tshuam qhov tsis zoo nrog ntau yam tshuaj, suav nrog cov tshuaj nrov uas muaj nyob hauv cov khw muag tshuaj tsis muaj tshuaj. Ua ntej koj tau noj tshuaj diuretic, qhia koj tus kws kho mob txog txhua yam tshuaj, khoom noj khoom noj, thiab tshuaj ntsuab koj tau noj. Indapamide cuam tshuam nrog lwm cov tshuaj rau ntshav siab, tshuaj digitalis, tshuaj tua kab mob, tshuaj hormones, tshuaj tua kab mob, NSAIDs, tshuaj insulin thiab ntshav qab zib. Nyeem cov lus qhia ntawm nom tswv kom siv nyob rau hauv ntau dua.
Noj ntau dhau	Cov tsos mob ntau dhau - xeev siab, tsis muaj zog, kiv taub hau, qhov ncauj qhuav, nqhis dej, mob leeg. Tag nrho cov tsos mob no muaj tsawg. Kev raug lom nrog indapamide ntsiav tshuaj yog qhov nyuaj tshaj li lwm cov tshuaj nrov diuretic. Txawm li cas los xij, pab neeg ua haujlwm xwm txheej ceev yuav tsum raug hu mus hauv. Ua ntej nws tuaj txog, ua kom lub plab zom mov thiab muab tus neeg mob qhib hluav ncaig.
Cov lus thiab cov xwm txheej ntawm kev cia	Cia rau qhov chaw qhuav, tsaus ntawm qhov kub ntawm 15 ° txog 25 ° C. Txee lub neej - 3-5 xyoos rau cov tshuaj sib txawv, cov tshuaj nquag ntawm uas yog indapamide.

Yuav ua li cas coj indapamide

Indapamide yuav tsum noj ntev, tej zaum txawm rau lub neej. Cov tshuaj no yog npaj rau kev siv lub sijhawm ntev. Tsis txhob cia siab tias muaj txiaj ntsig sai los ntawm nws. Nws pib txo qis ntshav siab tsis ntxov dua tom qab 1-2 lub lis piam ntawm kev noj txhua hnub. Haus koj cov tshuaj indapamide noj txhua hnub, 1 pc. Tsis txhob so hauv lawv qhov kev txais tos yam tsis tau txais kev pom zoo los ntawm kws kho mob. Koj tuaj yeem nqa tshuaj diuretic (vasodilator) ua ntej lossis tom qab noj mov, raws li koj nyiam.Nws raug nquahu kom ua qhov no tib lub sijhawm txhua hnub.

Indapamide yuav tsum siv txuas mus tas li, tshwj tsis yog kws kho mob hais kom koj tshem nws. Tsis txhob ntshai ntawm kev phiv. Nov yog tshuaj zoo rau ntshav siab thiab tiv thaiv lub plawv. Cov tsos mob tsis zoo uas tib neeg coj mus rau nws cov txiaj ntsig tsis zoo yog feem ntau ntawm kev mob atherosclerosis, uas cuam tshuam rau cov hlab ntsha uas pub rau lub plawv, lub hlwb thiab ceg. Yog tias koj tsum tsis noj tshuaj indapamide, tom qab ntawd cov tsos mob yuav tsis ploj, thiab kev pheej hmoo ntawm lub plawv thiab mob stroke yuav nce siab.

Coob leej xav tias kev noj indapamide thiab lwm yam tshuaj tuaj yeem nres tom qab lawv muaj ntshav siab. Qhov no yog tag nrho thiab txaus ntshai yuam kev. Kev tshem tawm txoj kev kho mob feem ntau ua rau muaj kev kub ntxhov, tawg siab, mob plawv thiab mob stroke. Tawg tshuaj yuav tsum noj txuas ntxiv, txhua hnub, tsis hais txog ntshav siab. Yog tias koj xav txo qhov tshuaj lossis txiav kev kho tag nrho - tham qhov no nrog koj tus kws kho mob. Kev hloov mus rau txoj kev noj qab haus huv muaj txiaj ntsig zoo pab qee tus neeg mob ntshav siab kom ua tau haujlwm zoo uas cov tshuaj tuaj yeem raug tshem tawm zoo. Tab sis qhov no tsis tshwm sim feem ntau.

Ua ke nrog Indapamide, lawv tab tom nrhiav rau:

Tshuaj Ntshav Siab: Cov lus nug thiab lus teb

Yuav ua li cas li cas ib txwm ntshav siab, ntshav qab zib thiab cov cholesterol
Cov tshuaj siab siab teev tseg los ntawm kws kho mob siv los pab kom zoo, tab sis tam sim no lawv tau qaug zog qis dua. Vim li cas?
Yuav ua li cas yog tias txawm tias qhov siv tshuaj kho mob muaj zog yuav tsis txo qhov siab
Yuav ua li cas yog tias cov tshuaj kho mob ntshav siab dhau ntshav siab
Ntshav siab ntshav siab, tawg kev kub ntxhov - cov yam ntxwv ntawm kev kho mob hluas, laus thiab laus

Indapamide rau siab

Indapamide tau dhau los ua kev kho mob ntshav siab vim tias nws muaj cov txiaj ntsig zoo. Cov tshuaj no txo cov ntshav siab tau zoo thiab nyab xeeb heev. Nws yog qhov tsim nyog rau yuav luag txhua tus neeg mob, suav nrog tus mob ntshav qab zib, nrog rau cov neeg mob gout thiab cov neeg laus laus. Nws tsis muaj qhov teebmeem tshwm sim hauv cov metabolism - nws tsis nce txog qib uas muaj piam thaj (piam thaj) thiab uric acid hauv cov ntshav. Cov txiaj ntsig teev saum toj no tau ua indapamide ib qho ntawm cov tshuaj ntawm kev xaiv thawj rau kub siab. Qhov no tsis txhais tau hais tias nws tuaj yeem siv rau kev siv tus kheej. Noj cov tshuaj siab tsuas yog qhia los ntawm koj tus kws kho mob.

Indapamide tsis haum rau cov xwm txheej uas koj xav tau kev pab sai sai nrog kev kub ntxhov. Nws pib ua kom sai dua tom qab 1-2 lub lis piam ntawm kev noj txhua hnub, thiab txo qis ntshav siab ntseeg nkaws. Muaj cov tshuaj sai dua thiab muaj zog rau cov ntshav siab dua cov tshuaj no. Tab sis cov tshuaj muaj zog ua rau ntau lub sij hawm ntau tshwm sim. Raws li txoj cai, indapamide tsis pab txaus nrog kub siab yog tias nws tau sau ib leeg, yam tsis muaj lwm yam tshuaj. Lub hom phiaj ntawm kev kho mob yog ua kom ntshav siab nyob qis dua 135-140 / 90 mmHg. Kos duab. Yuav kom ua tiav nws, koj feem ntau yuav tsum tau noj indapamide nrog rau lwm cov tshuaj uas tsis diuretics.

Kaum ob ntawm cov kev tshawb fawb tau ua txij thaum 1980s tau ua pov thawj tias indapmide txo txoj kev pheej hmoo ntawm lub plawv nres, mob hlab ntsha tawg, thiab lwm yam kev cuam tshuam ntawm kub siab. Nws yooj yim rau cov neeg mob noj tsuas yog ib ntsiav tshuaj rau lub siab hauv ib hnub, thiab tsis ntau hom tshuaj. Yog li, cov tshuaj muaj ob lossis peb cov khoom xyaw dhia hauv ib ntsiav tshuaj tau dhau los ua neeg nyiam. Piv txwv li, Noliprel thiab Co-Perineva yog cov tshuaj muaj indapamide + perindopril. Cov tshuaj Ko-Dalneva ib txhij muaj 3 yam khoom xyaw: indapamide, amlodipine thiab perindopril. Tham nrog koj tus kws kho mob txog kev siv tshuaj sib xyaw yog tias koj muaj ntshav siab li 160/100 mmHg. Kos duab. thiab.

Indapamide feem ntau yog kho rau cov neeg mob ntshav qab zib mellitus los ntawm ntshav siab nrog rau lwm yam tshuaj.Tsis zoo li ntau lwm cov tshuaj diuretic, cov tshuaj no feem ntau tsis ua rau cov ntshav cov ntshav qabzib. Nws tsis zoo li tias koj yuav tsum tau nce cov tshuaj ntawm cov tshuaj insulin thiab cov ntshav qab zib tom qab koj pib noj cov tshuaj no. Txawm li cas los xij, nws raug nquahu kom ntxiv dag zog rau kev tswj ntshav qab zib, feem ntau ntsuas qab zib nrog glucometer.

Raws li txoj cai, cov ntshav qab zib yuav tsum tau noj indapamide tsis yog ib leeg, tab sis ua ke nrog lwm yam tshuaj rau ntshav siab. Nrhiav rau ACE inhibitors thiab angiotensin II receptor blockers. Cov tshuaj uas zwm rau hauv cov pawg no tsis tsuas yog txo ntshav siab xwb, tab sis kuj tiv thaiv lub raum los ntawm cov teeb meem ntshav qab zib. Lawv muab ncua hauv kev txhim kho lub raum tsis ua haujlwm.

Hauv ntau qhov kev tshawb fawb soj ntsuam, cov neeg mob ntshav qab zib tau raug qhia txog indapamide + perindopril, uas yog ACE inhibitor. Qhov sib xyaw ua ke ntawm cov tshuaj tsis tsuas txo qis ntshav siab, tab sis kuj txo qis kev pheej hmoo ntawm cov hlab plawv. Nws txo cov protein nyob hauv cov zis. Qhov no txhais tau hais tias ob lub raum tsis tshua muaj kev mob ntshav qab zib. Ntawm cov neeg mob ntshav qab zib, Noliprel ntsiav tshuaj yog nrov, uas muaj indapamide thiab perindopril hauv qab ib lub plhaub. Lub hom phiaj ntshav siab rau cov neeg mob ntshav qab zib yog 135/90 hli Hg. Kos duab. Yog tias Noliprel tsis pub nws mus txog, tom qab ntawd amlodipine tseem tuaj yeem raug ntxiv rau hauv kev siv tshuaj.

Hauv qab no yog cov lus teb rau cov lus nug uas feem ntau tshwm sim hauv cov neeg mob txog cov tshuaj indapamide.

Puas yog indapamide thiab haus dej cawv sib xws?

Kev haus dej cawv ua kom muaj kev cuam tshuam ntau ntxiv ntawm cov tshuaj indapamide, uas feem ntau tsis tshua muaj siab. Koj tuaj yeem hnov mob taub hau, kiv taub hau, lossis tsaus muag yog tias lub zog poob ntau dhau. Txawm li cas los xij, tsis muaj kev txwv rau kev haus cawv rau cov neeg uas siv tshuaj indapamide. Kev haus cawv me me hauv nruab nrab yog tso cai. Thawj ob peb hnub ntawm kev noj cov tshuaj rau cov ntshav siab, cov kev mob tshwm sim saum toj no feem ntau yuav tshwj xeeb. Tsis txhob haus dej haus cawv hnub no, thiaj li tsis ua rau qhov teeb meem no. Tos li ob peb hnub kom txog thaum lub cev tau siv rau nws.

Lub npe ntawm cov tshuaj xub thawj indapamide yog dab tsi?

Cov tshuaj qub yog Arifon thiab Arifon Retard ntsiav tshuaj tsim los ntawm Servier. Tag nrho lwm cov ntsiav tshuaj uas muaj indapamide yog lawv cov analogues. Servier yog lub tuam txhab Fabkis. Tab sis qhov no tsis txhais tau tias Arifon thiab Arifon Retard tshuaj yuav tsum tau muab tawm hauv Fabkis. Qhia kom meej lub teb chaws ntawm keeb kwm los ntawm barcode rau ntawm pob.

Dab tsi yog qhov pheej yig cov tshuaj ntawm cov tshuaj no?

Lub hauv paus npaj tau Arifon (tsis tu ncua indapamide) thiab Arifon Retard (ncua ntev-tawm cov ntsiav tshuaj) muaj cov tshuaj ntau heev, ntau lossis tsawg pheej yig. Thov nco ntsoov tias Arifon thiab Arifon Retard ntsiav tshuaj tsis kim heev. Lawv tseem muaj txawm rau cov laus. Hloov cov tshuaj no nrog cov tshuaj tiv thaiv analogues yuav txuag koj nyiaj ntau heev. Hauv qhov no, qhov kev ua tau zoo ntawm kev kho mob yuav txo qis thiab qhov ntxim nyiam ntawm cov kev mob tshwm sim yuav nce. Hauv tebchaws Russia, cov ntsiav tshuaj indapamide pheej yig yog tsim los ntawm Akrikhin, Ozone, Tatkhimpharmpreparaty, Canonpharma, Alsi Pharma, Verteks, Nizhpharm thiab lwm tus. Lub teb chaws CIS kuj muaj lawv tus kheej hauv chaw tsim khoom ntawm pheej yig analogues ntawm cov tshuaj Arifon.

Cov npe ntawm cov tshuaj Indapamide:

Tus kws kho plawv paub zoo hauv kev sib tham tsis raws cai lees paub tias nws tsis pom zoo rau nws cov neeg mob noj tshuaj rau ntshav siab thiab mob plawv ua rau Lavxias thiab lub teb chaws CIS. Saib ntawm no kom paub meej ntxiv. Yog tias peb coj analogues, tom qab ntawd them sai sai rau indapamide, uas muaj nyob hauv Eastern Europe. Cov no yog Indap ntsiav tshuaj los ntawm lub tuam txhab PRO.MED.CS (Czech koom pheej) thiab cov tshuaj ua los ntawm Hemofarm (Serbia). Kuj tseem muaj indapamide-Teva, uas tej zaum yuav muaj nyob hauv Ixayees.Ua ntej yuav ib qho yeeb tshuaj twg, sau lub teb chaws ntawm nws cov keeb kwm los ntawm barcode rau ntawm pob.

Kuv puas tuaj yeem coj indapamide thiab Asparkam ua ke?

Kev siv Indapamide tsis tshem cov poov tshuaj tawm hauv lub cev. Yog li, feem ntau nws tsis tas siv Asparkam lossis Panangin nrog cov tshuaj no. Sib tham qhov no nrog koj tus kws kho mob. Tsis txhob noj Asparkam ntawm koj txoj kev pib. Kev nce qib ntawm cov poov tshuaj hauv cov ntshav tsis zoo, tab sis, tab sis txaus ntshai. Tej zaum yuav ua rau lub dag zog tsis zoo thiab tuag taus los ntawm kev ntes plawv. Yog tias koj xav tias koj tsis muaj cov poov tshuaj, tom qab ntawd coj mus kuaj ntshav rau qib theem ntawm cov pob zeb hauv av no thiab lwm yam tshuaj electrolytes, thiab tsis txhob maj maj noj tshuaj los yog tshuaj noj pab rau lub cev.

Puas yog indapamide cuam tshuam rau tus txiv neej potency?

Muab ob npaug rau dig muag, cov kev tshawb fawb tshuaj placebo tau pom tias indapamide tsis muaj zog txiv neej potency. Potency tsis zoo rau cov txiv neej noj tshuaj pab ntshav siab feem ntau yog los ntawm atherosclerosis, uas cuam tshuam cov hlab ntsha uas sau qhov chaw mos nrog ntshav. Kev tsuj kuj yog feem ntau tshwm sim los ntawm cov teeb meem ntshav qab zib, uas tus txiv neej tsis txawm tias ua xyem xyav thiab tsis raug kho rau. Yog tias koj tsum tsis noj cov tshuaj, ces cov potency yuav tsis zoo, thiab kev mob plawv lossis mob stroke yuav tshwm sim ntau xyoo dhau los. Lwm lwm cov tshuaj diuretic uas tau tsim rau kev kub siab thiab lub plawv tsis ua hauj lwm cuam tshuam rau txiv neej potency ntau dua indapamide

Tsis muaj qhov ua tsis taus pa ntau, mob taub hau, surges ntawm lub siab thiab lwm cov tsos mob ntawm HYPERTENSION! Peb cov neeg nyeem tau siv txoj hau kev no los kho lub siab.

Puas yog indapamide qis dua lossis ua kom muaj ntshav siab?

Indapamide txo qis ntshav siab. Npaum li cas - nws nyob ntawm tus cwj pwm ntawm txhua tus neeg mob. Nyob rau hauv txhua kis, cov tshuaj no tsis ua rau nce siab.

Kuv puas tuaj yeem noj cov indapamide hauv kev txo qis?

Nrog koj tus kws kho mob tham txog qhov koj yuav tsum tau txo qhov ntau npaum li cas lossis txawm tias tsum tsis siv indapamide. Tsis txhob tsis txhob hloov cov ntau thiab ntau zaus ntawm kev noj tshuaj rau kub siab, tshwj tsis yog thaum koj hnov zoo li tsis zoo vim tias muaj ntshav siab.

Kuv puas tuaj yeem noj cov tshuaj no rau gout?

Tej zaum hnub no indapamide yog qhov tshuaj nyab xeeb zoo tshaj plaws rau cov neeg mob gout.

Dab tsi pab indapamide?

Indapamide yog tsim rau kev kho mob ntshav siab, ntxiv rau txo kom tsis txhob mob edema los ntawm kev mob plawv lossis lwm yam laj thawj.

Kuv puas tuaj yeem noj cov tshuaj no txhua hnub?

Cov qauv ntawm kev noj cov indapamide txhua lwm hnub tsis tau kuaj nyob rau hauv kev tshawb fawb tshawb fawb. Tej zaum, cov qauv no yuav tsis tuaj yeem tiv thaiv koj zoo tiv thaiv lub plawv thiab mob stroke. Hauv cov hnub ntawd thaum koj yuav tsis noj tshuaj indapamide, ntshav siab yuav tshwm sim. Nws ua mob rau cov hlab ntshav. Kev kub siab hypertensive kuj muaj peev xwm ua tau. Tsis txhob sim noj cov tshuaj indapamide txhua hnub. Yog tias tus kws kho mob tau sau ntawv rau nws lub cev, yuav hloov nws nrog tus kws tshaj lij.

Indapamide 1.5 mg lossis 2.5 mg: uas yog ib qho zoo dua?

Kev npaj indapamide npaj muaj 2.5 mg ntawm cov tshuaj no, thiab cov ntsiav tshuaj tso tawm ntev (MB, retard) muaj 1.5 mg. Cov tshuaj maj mam tso tawm kom ntshav qis dua lub sijhawm ntev dua li cov ntsiav tshuaj tsis tu ncua thiab ua haujlwm zoo. Nws ntseeg tau hais tias vim qhov no, koob tshuaj txhua hnub ntawm indapamide tuaj yeem txo los ntawm 2.5 mus rau 1.5 mg yam tsis muaj kev cuam tshuam los ntawm kev ua kom tau zoo. Cov ntsiav tshuaj ntev ntev uas muaj 1.5 mg ntawm indapamide yog Arifon Retard thiab nws cov duab zoo. Thov nco ntsoov tias lawv tsis haum rau kev kho mob ntawm edema. Lawv kho tsuas yog rau mob ntshav siab. Los ntawm edema, indapamide yuav tsum tau noj raws li kws kho mob tau sau tseg ntawm 2.5-5 mg ib hnub twg. Tej zaum tus kws kho mob yuav muab tshuaj sai dua rau tus mob edema, lub voj diuretic.

Indap thiab indapamide: dab tsi yog qhov txawv? Los sis yog nws tib yam?

Indap yog lub npe lag luam rau cov tshuaj uas tsim los ntawm Czech lub tuam txhab PRO.MED.CS. Indapamide yog nws cov tshuaj nquag. Yog li, peb tuaj yeem hais tias Indap thiab indapamide yog ib qho thiab zoo ib yam. Ntxiv rau ntawm cov tshuaj Indap, ntau lwm cov ntsiav tshuaj muaj tib lub tshuaj diuretic (vasodilator) cov tshuaj muaj muag hauv cov tsev muag tshuaj. Cov khoom nrov tshaj plaws ntawm lawv hu ua Arifon thiab Arifon Retard. Cov no yog cov tshuaj kho mob thaum xub thawj, thiab Indap thiab tag nrho lwm cov kev npaj indapamide yog lawv cov analogues. Nws tsis tsim nyog tias Indap yog tsim hauv Czech koom pheej. Ua ntej yuav khoom, nws raug nquahu kom qhia lub tebchaws ntawm cov tshuaj no los ntawm lub thawv rau ntawm lub hnab.

Dab tsi yog qhov sib txawv ntawm kev nquag indapamide thiab indapamide MV Stad?

Indapamide MV Stad yog tsim los ntawm Nizhpharm (Russia). MB sawv cev rau "hloov kho tso tawm" - txuas ntxiv-tso cov ntsiav tshuaj uas muaj 1.5 mg ntawm cov khoom xyaw nquag, tsis yog 2.5 mg. Nws tau piav qhia nyob rau hauv cov ntsiab lus saum toj no yuav ua li cas cov tshuaj noj ntawm indapamide 1.5 thiab 2.5 mg ib hnub sib txawv, thiab tseem vim li cas nws tsis tsim nyog noj tshuaj ua nyob rau hauv Lavxias Federation thiab CIS lub teb chaws. Hauv kev kho mob hauv tsev txhua hnub koj tuaj yeem nrhiav cov lus pom tseeb tias indapamide MV Stada pab nrog kub siab tsis muaj qhov phem dua li thawj cov tshuaj Arifon Retard. Cov lus zoo li no tau luam tawm rau nyiaj, yog li koj yuav tsum tsis txaus siab txog lawv.

Qhov twg yog qhov zoo dua: indapamide lossis hydrochlorothiazide?

Hauv cov tebchaws hais lus Lavxias, nws yog ib txwm ntseeg hais tias hydrochlorothiazide (hypothiazide) txo qis ntshav siab ntau dua indapamide, txawm hais tias nws ua rau muaj kev phiv ntau dua. Thaum Lub Peb Hlis 2015, ib tsab xov xwm hais ua lus Askiv tau pom nyob rau hauv lub luag haujlwm ntshav siab tshaj tawm cov lus pom tseeb tias indapamide pab ua kom ntshav siab zoo dua li hydrochlorothiazide.

Tag nrho ntawm 14 qhov kev tshawb fawb tau ua rau ntau xyoo dhau los, uas piv nrog indapamide thiab hydrochlorothiazide. Nws tau muab tawm tias indapamide tso cai rau koj kom ua tiav cov ntshav siab los ntawm 5 hli RT. Kos duab. qis dua li hydrochlorothiazide. Yog li, indapamide yog ib qho kev kho zoo dua rau kev kub siab dua li hydrochlorothiazide hais txog qhov ua tau zoo, nrog rau ntau zaus thiab qhov mob ntawm cov kev mob tshwm sim. Tej zaum hydrochlorothiazide zoo dua li indapamide pab nrog edema. Txawm hais tias ob qho tib si ntawm cov tshuaj no suav hais tias tsis muaj zog. Lawv tsis tshua muaj kev coj los kho tus mob hnyav.

Indapamide lossis furosemide: uas yog qhov zoo dua?

Indapamide thiab furosemide yog cov tshuaj sib txawv kiag li. Furosemide feem ntau ua rau muaj kev phiv tshuaj, thiab lawv yog mob hnyav. Tab sis cov tshuaj no pab nrog edema ntau zaus thaum indapamide tsis muaj zog. Nrog rau kev kub siab, tsis muaj teeb meem los ntawm edema thiab lub plawv tsis ua haujlwm, tus kws kho mob zoo li yuav sau ntawv tshuaj indapamide. Tus kws kho mob ntse yog tsis zoo li los sau tshuaj furosemide rau kev siv txhua hnub rau kev kub siab vim muaj kev pheej hmoo siab ntawm kev phiv. Tab sis nrog lub plawv tsis ua haujlwm loj los ntawm indapamide kev pab me ntsis. Furosemide lossis lwm qhov kev siv lub cev ntev (Diuver) yog lub zog ua kom daws qhov o thiab ua tsis taus pa vim muaj cov kua dej ntau hauv cov ntsws. Qhov no tsis yog hais tias indapamide zoo dua li furosemide, lossis rov ua dua, vim hais tias cov tshuaj no tau siv rau lub hom phiaj sib txawv.

Indapamide lossis Noliprel: nws yog qhov zoo dua?

Noliprel yog cov tshuaj ua ke uas muaj cov tshuaj indapamide thiab lwm cov tshuaj ntxiv perindopril. Lawv txo cov ntshav siab ntau dua li yog tias koj tsuas noj tshuaj indapamide yam tsis muaj lwm yam tshuaj. Rau cov neeg mob rog thiab hom ntshav qab zib hom 2, Noliprel yog qhov kev xaiv zoo dua li indapamide tsis tu ncua. Rau cov neeg laus laus nyias, Noliprel tej zaum yuav muaj hwj chim ntau dhau los kho. Tej zaum lawv zoo dua noj Arifon Retard ntsiav tshuaj lossis lawv cov qauv. Tham nrog koj tus kws kho mob txog hom tshuaj twg zoo tshaj rau koj. Tsis txhob noj ib qho tshuaj twg uas teev rau saum toj ntawm koj tus kheej teg haujlwm.

Yuav indapamide thiab lisinopril noj tib lub sijhawm?

Yog koj ua tau.Qhov kev sib xyaw ua ke ntawm cov tshuaj rau kub siab yog ntawm qhov pom kev zoo. Yog tias indapamide thiab lisinopril ua ke tsis pub txo cov ntshav siab rau 135-140 / 90 hli RT. Txuj ci., Tom qab ntawd koj tuaj yeem ntxiv ntau amlodipine rau lawv. Sib tham qhov no nrog koj tus kws kho mob;

Indapamide lossis Lozap: uas yog qhov zoo dua? Cov tshuaj no puas sib haum?

Qhov no tsis yog hais tias indapamide zoo dua li Lozap, lossis rov qab tuaj ua ke. Ob leeg ntawm cov tshuaj no txo cov ntshav siab sib npaug. Lawv zwm rau pab pawg sib txawv ntawm cov tshuaj rau kub siab. Indapamide yog cov diuretic uas siv los ua vasodilator. Lozap yog ib qho tshuaj tiv thaiv angiotensin II. Cov tshuaj no tuaj yeem siv tib lub sijhawm. Nws zoo li tias thaum noj ua ke, lawv yuav txo cov ntshav siab ntau dua li ntawm lawv tus kheej ib leeg.

Puas yog indapamide thiab enalapril tshuaj siv tau?

Yog lawm, tuaj yeem coj mus rau tib lub sijhawm. Enalapril yog qhov tsis xis nyob hauv qhov yuav tsum tau noj 2 zaug ib hnub. Tham nrog koj tus kws kho mob txog kev hloov nws nrog ib qho tshiab xws li tshuaj tshiab, uas txaus noj ib ntsiav tshuaj ib hnub.

Tshawb nrhiav ntawm dab tsi siab Indapamide noj

Cov kab mob diuretic uas pab txhawb kom tshem tawm cov kua dej ntau dhau ntawm lub cev yog feem ntau kho rau kev kub siab. Ib qho ntawm txoj kev siv ntau tshaj plaws ntawm hom no - Indapamide, cov lus qhia rau kev siv, thaum dab tsi ceev yuav tsum tau txiav txim siab.

Cov tshuaj no puas raug siv rau?
Cov lus qhia rau kev siv
Kuv tuaj yeem coj ntev npaum li cas indapamide yam tsis muaj kev so?
Cov Yuav Tsum Muaj
Sab sij huam
Analogs thiab lawv sib piv
Qhov twg zoo dua coj?

Qhov tsuas yog qhia txog ntawm Indapamide yog mob ntshav siab, nws yog qhov tshwj xeeb tshaj yog muaj feem ntau yog tias qhov nce ntawm cov ntshav siab yog nrog los ntawm kev mob ntshav khov thiab cov kua dej tsis haum. Los ntawm kev tshem cov kua ntau dhau, ntshav siab poob qis.

Cov kev kho zoo li no feem ntau ua lub hauv paus ntawm kev kho mob. Lawv feem ntau ntxiv nrog lwm cov tshuaj tiv thaiv ntshav siab. Thaum twg siab siab yog cov tshuaj uas zoo sib xws? Feem ntau lawv tau txiav txim siab yog tias txoj kev hloov ntshav ntawm txoj hnyuv txuas ntxiv tas li, cov kev hloov pauv puv ntawm cov leeg muaj zog, cov cim ntsuas tas li kom siab tshaj 140 ib 100 qhov tseem ceeb.

Indapamide diuretic los yog tsis? Vim tias qhov tshuaj no yog ib qho diuretic, nws muaj cov nyhuv diuretic, tshem tawm cov kua hauv lub cev. Nws yuav tsum tau yug los hauv lub siab tias nce ntau npaum li cas tsis ua rau muaj kev nce siab hauv cov nyhuv hypotensive, tshwj xeeb cov diuretic ua kom nrov nrov. Yog li, tsis txhob overestimate qhov ntau npaum ntawm cov tshuaj no, tshwj xeeb ntawm nws tus kheej.

Tus nqi nruab nrab ntawm cov khoom no yog 20-50 rubles, nyob ntawm cov khw muag tshuaj lub npe. Cov tshuaj yog ib qho ntawm pheej yig tshuaj diuretics siv rau kev mob ntshav siab.

Tseem Ceeb! Nyob rau hauv tsis muaj qee yam yuav tsum tau koj pib noj tshuaj diuretics koj tus kheej, tshwj xeeb tshaj yog nrog cov cim ntawm lub raum tsis ua haujlwm.

Feem ntau cov tshuaj no noj ib hnub ib zaug, cov qauv tshuaj yog 2.5 mg ntawm cov tshuaj. Cov koob tshuaj tsis hloov pauv qhov feem ntau ntawm cov mob, nws tuaj yeem hloov kho tsuas yog los ntawm kev ntxiv lwm tus neeg sawv cev nrog hypotensive nyhuv rau kev kho.

TSEEM CEEB YUAV TSUM! Ib txoj kev kho uas yuav cawm koj los ntawm kev mob ntshav siab hauv ob peb lub tswv yim

Yuav noj nws li cas - ua ntej noj mov lossis tom qab, tsis muaj teeb meem. Cov lus qhia rau cov tshuaj hais tias lub sijhawm nruab hnub thiab noj mov tsis cuam tshuam rau qhov cuam tshuam ntawm cov tshuaj, yog li tsis tas yuav ua kom pom tseeb ntawm lawv.

Feem ntau, kev kho mob nrog ntau cov tshuaj tiv thaiv kev tiv thaiv thaum lub sij hawm mob hnyav ntawm kev kub siab tsis mob ntev, mus txog ntau lub lis piam. Tom qab ntawd, thaum lub siab ntsig txog ntshav haum txaus, cov chav kawm rau kev kho mob raug tso tseg. Yav tom ntej, txhawm rau kom tswj hwm qhov siab ntawm qhov tseem ceeb, nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov kom zoo thiab lwm tus kws kho mob cov lus pom zoo.

Feem ntau, hais txog lub sijhawm ua haujlwm ntawm cov tshuaj no, koj yuav tsum xub tham nrog koj tus kws kho mob. Hauv txhua kis, tus txheej txheem yuav txawv, nws txhua tus nyob ntawm tus mob hnyav, tus mob ntawm tus neeg mob thoob plaws.

Hauv daim ntawv ntawm cov tshuaj zoo rau kev kub siab. Nws raug nquahu kom noj cov tshuaj "Hypertonium". Qhov no yog ib qho kev kho mob ntuj tsim uas ua rau muaj tus kab mob, tiv thaiv txhua yam kev pheej hmoo ntawm lub plawv lossis mob stroke. Hypertonium tsis muaj contraindications thiab pib ua nyob rau hauv ob peb teev tom qab nws siv. Qhov ua tau zoo thiab kev nyab xeeb ntawm cov tshuaj tau rov ua pov thawj los ntawm kev tshawb fawb hauv kev tshawb nrhiav thiab ntau xyoo dhau los ntawm kev kho kom zoo. Lub tswv yim ntawm cov kws kho mob ... "

Indapamide muaj ib tug xov tooj ntawm kev ncaj ncees contraindications. Cov tshuaj no yuav tsum tsis txhob siv rau lub raum lossis hepatic qhov tsis txaus; thaum tsis muaj peev xwm ua haujlwm ntawm cov kabmob no, ib lub diuretic tsuas yog noj tshwj xeeb los ntawm kev saib xyuas nruj ntawm tus kws kho mob, tas li saib xyuas qhov xwm txheej thiab qhov hloov ntawm qhov hloov pauv.

Tsis tas li, cov tshuaj no yuav tsum tsis txhob siv rau hauv kev tsis haum rau kev sib xyaw, feem ntau cov diuretic nws tus kheej, thiab lwm yam tshuaj muaj nyob hauv cov tshuaj.
Xws li, koj yuav tsum tsis txhob siv lub cuab tam rau lactose intolerance, vim nws yog ib feem ntawm cov ntsiav tshuaj nws tus kheej.
Ib qho kev qhia nruj me nyuam yog hnub nyoog menyuam yaus. Mus txog kaum yim xyoo, cov tshuaj no tiv thaiv cov ntshav siab yuav tsum tsis txhob siv, tsis muaj pov thawj pom nws muaj kev nyab xeeb rau menyuam yaus.
Indapamide yuav tsum tsis txhob siv thaum cev xeeb tub, yug menyuam thiab lub sijhawm pub mis niam muaj ntau yam nruj heev rau kev noj tshuaj.

Tseem Ceeb! Nws raug nquahu kom noj cov tshuaj diuretic no rau cov laus hauv kev saib xyuas nruj ntawm kws kho mob, hauv cov neeg laus cov yeeb tshuaj tuaj yeem cuam tshuam loj rau lub cev.

Cov diuretic no muaj qee qhov kev phiv dhau los, lawv tsis tshwm sim ntau zaus yog tias koj noj Indapamide raws li cov lus qhia. Cov kev mob tshwm sim hauv qab no feem ntau yog qhov txawv:

kiv taub hau, mob taub hau, pw tsaug zog ntxhov siab, hawb pob, lwm yam cuam tshuam ntawm cov leeg hlwb,
hypotension, lub suab sib dhos cuam tshuam, lwm cov kev phiv los ntawm cov ntshav ncig,
mob hnyav hnoos, mob pharyngitis, mob ntsws,
ntau yam kab mob kis tau los ntawm cov neeg dhau los,
ntau cov kev tsis txaus siab ntawm hematopoiesis, hloov pauv hauv qhov ntsuas ntawm kev kuaj ntshav,
txhua yam kev tsis haum tshuaj, tawm pob ntawm daim tawv nqaij, tso zis.

Cov kev mob tshwm sim no feem ntau tshwm sim thaum noj Indapamide. Nrog rau kev lees paub kom raug, qhov tshwm sim ntawm qhov tshwm sim yog tsawg heev.

Xav txog yam tshuaj twg tuaj yeem hloov Indapamide, thiab qhov twg zoo dua.

Concor thiab Indapamide muaj qhov sib xyaw tau zoo, lawv tau coj los ua kev kho ntau yam ua ke. Indapamide kuj tseem tuaj yeem ua ke zoo nrog lwm cov beta-blockers.

Lorista, tus antagonist ntawm lub angitensin receptor, thiab indapamide tuaj yeem ua ke nrog kev tso cai los ntawm kws kho mob. Kuj ntau, ob hom tshuaj no yog sau ua ke rau kev kho zuaj.

Prestarium, cov tshuaj siv rau kev kub siab thiab lub plawv tsis ua haujlwm, qee zaum tau muab tshuaj nrog diuretics, tshwj xeeb nrog Indapamide. Cov tshuaj no tau zoo ua ke.

Kev sib xyaw ntawm Lisinopril thiab Indapamide tso cai rau koj kom ntsuas tau cov ntshav siab sai sai thiab muaj txiaj ntsig, thaum lawv tseem nyob rau ib lub sijhawm ntev, kev kub siab rov qab tshwm sim. Lisinopril yog ib qho ACE inhibitor. Hauv qhov no, koj yuav tsum tsis txhob pib noj xws li kev sib txuam tshuaj ntawm koj tus kheej, koj yuav tsum xub tham nrog cov kws tshaj lij.

Cov tshuaj tiv thaiv ncaj qha ntawm Indapamide yog lwm cov tshuaj diuretics raws li cov tib cov tshuaj nquag. Cov no muaj xws li Arifon, lwm yam khoom txawv ntawm Indapamide.Koj tseem tuaj yeem siv lwm cov tshuaj diuretic tsom rau txo cov ntshav siab. Ua ntej siv cov analogue, nco ntsoov nyeem cov lus qhia rau kev siv.

Hauv qhov no, qhov cuam tshuam tsuas yog piv rau cov tshuaj ntawm tib pab pawg - diuretics, uas suav nrog Indapamide. Nws tsis yooj yim hais qhov twg yog qhov zoo dua, Indapamide lossis Concor, vim hais tias cov tshuaj no muaj ntau hom tshuaj sib txawv thiab cuam tshuam rau lub cev ntawm qhov sib txawv. Nws kuj tseem tsis tuaj yeem hais tias qhov twg zoo dua, Indapamide lossis Enalapril, vim nws yog ib qho kev kho txawv tag nrog cov nyhuv txawv ntawm lub cev. Txawm li cas los xij, nws tsim nyog pom tias kev siv tshuaj diuretics yuav tsum xub saib xyuas yog tias kub siab yog los nrog kev o.

Arifon Retard tseem ua raws li kev ua ntawm cov tshuaj Indapamide, tab sis tus nqi ntawm cov tshuaj analogue no yog siab dua. Ib pob tshuaj ntawm tus nqi nce txog 300 - 350 rubles. Ntxiv mus, hais txog kev nqis tes ua, cov peev txheej no tsis txawv, qhov sib txawv ntawm lawv yog qhov tsawg.

Txawm li cas los xij, nws tsim nyog txiav txim siab tias Arifon muaj tsawg dua qhov kev tiv thaiv. Thaum muaj hnub nyoog laus dua, nyob rau ntawm daim siab thiab mob raum, nws yog qhov zoo dua los xaiv nws. Indapamide muaj cov yam ntxwv tsis zoo ntawm lub cev.

Veroshpiron tseem ua tau zoo heev rau kev kub siab nrog diuretic. Txawm li cas los xij, nws tsim nyog teev tias cov tshuaj no tuaj yeem siv rau ntau tus kab mob, thaum nws muaj tsawg dua qhov tsis muaj contraindications dua li Indapamide. Yog li no, thaum xaiv cov tshuaj, nws tsim nyog them rau nws, suav nrog.

Hypothiazide tseem yog ib qho tshuaj zoo rau qhov kub siab, uas feem ntau tau sau tseg rau tus kab mob no. Ntxiv mus, nws muaj kev xaiv ntau dua, muaj ntau cov pathologies uas koj tuaj yeem siv nws. Los ntawm contraindications, cov tshuaj no zoo heev.

Nrog rau kev mob ntshav siab, nws yog qhov zoo dua los xaiv thawj lub tshuaj diuretic, vim tias cov tshuaj no yog npaj los kho tus mob no. Furosemide feem ntau yog siv rau lwm yam kabmob.

Hydrochlorothiazide kuj tseem hais txog thiazide diuretics, zoo li hypothiazide. Hauv kev nqis tes, cov tshuaj no zoo sib xws dua. Xaiv cov ntau haum pab pawg ntawm cov tshuaj yuav tsum nyob ntawm cov cim, cov chav kawm ntawm tus kab mob, concomitant pathologies.

Diuver yog qhov zoo dua nyob rau hauv cov nyhuv rau Furosemide, thaum nws tseem feem ntau kho kev mob ntshav siab. Qhov cuab yeej no tshwj xeeb tshaj yog pab nrog kev tsim kho ntawm edema. Nyob rau tib lub sijhawm, nws muaj ntau yam contraindications, yog li ua ntej koj pib siv, koj yuav tsum tau nyeem cov lus qhia rau kev siv.

Raws li kev txheeb cais, kwv yees li 7 lab txhua xyoo cov neeg tuaj yeem tuag vim yog cov ntshav siab. Tab sis kev tshawb fawb qhia tias 67% ntawm cov neeg mob ntshav siab tsis txawm tias tsam lawv muaj mob! Koj yuav tiv thaiv koj tus kheej thiab kov yeej tus kabmob? Dr Alexander Myasnikov tau hais hauv nws qhov kev sib tham yuav ua li cas hnov qab kev mob ntshav siab tas mus li ... Nyeem ntxiv ... "

Kuv tuaj yeem noj cov ntsiav tshuaj indapamide ntev npaum li cas thiab cov kabmob twg yuav tsum tau kuaj xyuas tom qab siv sijhawm ntev, thiab kuv tseem xav paub txog cov tshuaj tiv thaiv ntawm lub cev mus rau nws tshem tawm?

Raws li kws kho mob tau sau tseg, indapamide tuaj yeem siv rau lub neej. Nws tsis tas yuav muaj qee qhov tshwj xeeb tshem tawm txoj cai, tsis muab qhov tshwm sim ntawm kev tswj hwm lub sijhawm ntev, raug tso tseg los ntawm kev pom zoo nrog tus kws kho mob. Ntsuas nqe lus teb 10 point 9 point 8 point 7 point 6 point 5 point 4 points 3 points 2 points 1 point

Lub hom phiaj tseem ceeb thaum muab tshuaj rau noj yog tswj ntshav siab, lub sijhawm ua haujlwm yog nyob ntawm lub sijhawm ntawm txoj kev mob ntshav siab. Nyob rau thawj theem, chav kawm ntawm kev kho yog tsawg kawg ib hlis, tom qab ntawd nrog kev saib xyuas tsis tu ncua ntawm cov ntshav siab li qub, kev tshem tawm yeeb tshuaj muaj peev xwm ua tau. Hauv theem ob thiab qib thib plaub ntawm kev kub siab, kev tswj hwm ntawm cov tshuaj tiv thaiv kev tiv thaiv yog lub neej; kev tshem tawm ntawm indapamide yog ua tau tsuas yog tias ntshav siab yog tswj los ntawm lwm cov tshuaj (piv txwv li ACE inhibitors, angiotensin receptor antagonists 2, B-blockers) thiab lub hom phiaj ntawm cov ntshav siab tseem nyob. Nrog rau siv ntev, tswj cov poov tshuaj, sodium, uric acid, qabzib, creatinine, OAK tsawg kawg ib zaug txhua 6 lub hlis yog qhov tsim nyog. Raws li kev tshem tawm ntawm cov tshuaj, qhov no yog ua tau yam tsis muaj kev maj mam txo cov tshuaj, nws tsis muab cov tsos mob thim rov qab.Ntsuas nqe lus teb 10 point 9 point 8 point 7 point 6 point 5 point 4 points 3 points 2 points 1 point

Cov kev sab laj yog rau saib nkaus xwb. Tom qab kev sab laj, thov sab laj nrog tus kws kho mob, suav nrog txhawm rau paub cov teeb meem muaj feem cuam tshuam.

Arterial hypertension yog ib qho ntawm cov kabmob uas nyiam tshaj plaws hauv lub ntiaj teb niaj hnub no. Siab yam cuam tshuam tau los ntawm ntau yam. Ntawm cov tseem ceeb, cov caj ces ua ntej, tsis muaj chaw so tsis txaus, kev ntxhov siab tas mus li thiab muaj teeb meem tom qab lwm yam kab mob tau txawv. Cov kws muag tshuaj tau tsim ntau cov tshuaj uas siv los kho cov cim no. Ib ntawm lawv yog Indap, cov lus qhia rau kev siv, thiab thaum muaj dab tsi ceev yuav tsum tau, yuav tau piav qhia hauv nqe lus.

Cov sib xyaw thiab daim ntawv ntawm tso tawm cov tshuaj
Indap los ntawm lub siab - mechanism ntawm kev txiav txim
Kev taw qhia rau kev siv cov tsiav tshuaj
Cov tshuaj tiv thaiv kom zoo rau kev siv tshuaj
Dosage ntawm yeeb tshuaj
Sab sij huam
Npaum li cas yog Indap thiab nws cov analogues

Indap yog ib qho tshuaj uas muaj tshuaj tiv thaiv thiab cov khoom ntiag tug. Lawv tsim nws nyob rau hauv daim ntawv ntawm loj tsiav tshuaj, nyob rau hauv pharmacology lawv yog nyob rau hauv No. 4. Lawv lub plhaub txaus tuab heev, ib nrab muaj xiav lossis xiav tint, thiab lwm yam dawb. Sab hauv daim tsiav tshuaj muaj hmoov, nws muaj xim dawb los yog daj me ntsis. Pawg qhuav feem ntau yog homogeneous, tab sis qee zaus nrhiav pom qog. Cov tshuaj tau tawm hauv lub thawv ntawv thawv. Txhua pob ntawv muaj 3 lub hlwv, lawv muaj 10 lub tshuaj ntsiav. Lub thawv kuj muaj cov lus qhia rau siv, uas yog ib qho tseem ceeb kom ua tib zoo kawm ua ntej pib kev kho.

Tseem Ceeb! Thaum twg lub siab yog cov tshuaj kho mob? Cov tshuaj muaj pes tsawg leeg suav nrog cov tshuaj uas ua cov diuretic ua haujlwm thiab txo cov ntshav siab.

Lub ntsiab nquag ua hauj lwm yog indapamide. Txhua lub tshuaj ntsiav muaj 2.5 mg, qhov nyiaj no txaus los ua kom ntshav siab thiab tshem tawm cov tsos mob tsis zoo. Indapa muaj ntau cov txheej txheem ntxiv uas tsim nyog rau cov kev cuam tshuam rau lub cev:

microcrystalline cellulose,
lactose
pob kws nplej siab
silica
magnesium stearate.

Rau lub txiaj ntsig ua rau lub cev, kws tshuaj tau tsim cov khoom muaj txiaj ntsig zoo ntawm cov tshuaj ntsiav nws tus kheej. Nws suav nrog cov tshuaj xws li indigo, gelatin, titanium dioxide.

Tseem Ceeb! Puas yog Indap nce lossis txo qis lub siab? Vim tias muaj cov tshuaj muaj txiaj ntsig zoo, cov tshuaj zoo txo cov ntshav siab.

Dab tsi pab thiab Indap cuam tshuam rau lub cev li cas? Nws yog qhov ua tau zoo thiab nrawm txaus, tuaj yeem txo cov ntshav siab. Cov cuab yeej no tau piav qhia los ntawm qhov tseeb tias cov nquag hloov maj mam nthuav cov hlab ntsha thiab tib lub sijhawm muaj cov diuretic. Vim qhov no, chlorine, sodium thiab magnesium sai sai tawm ntawm lub cev, uas cuam tshuam tsis zoo rau kev ua haujlwm puv ntoob ntawm cov hlab plawv. Kev noj tshuaj tsis tu ncua tso cai rau cov phab ntsa ntawm cov hlab ntsha ua kom ywj siab, cov calcium calcium raug thaiv, thiab qhov tsis kam ntawm cov hlab ntshav poob qis.

Cov tshuaj ua haujlwm li cas? Kev siv ntawm Indapa muaj qhov txiaj ntsig zoo ntawm keeb kwm hormonal ntawm lub cev. Cov khoom siv ua ke ntawm cov tshuaj ntsiav txo qhov mob siab ntawm cov vascular phab ntsa rau adrenal cov tshuaj hormones (norepinephrine) thiab cov tshuaj hormones uas ua rau vasoconstriction (angiotensin). Txawm li cas los xij, cov kws tshaj lij sau tseg tias qhov peev xwm no ntawm cov tshuaj tsis txo qhov lipids hauv plasma.

TSEEM CEEB YUAV TSUM! Ib txoj kev kho uas yuav cawm koj los ntawm kev mob ntshav siab hauv ob peb lub tswv yim

Kuv Yuav Tsum Ntev Li Cas Indap? Thawj qhov tshwm sim los ntawm kev kho mob yuav tsum xav tau nyob rau hauv 10-14 hnub. Qhov siab tshaj plaws tau tiav hauv txhua lub hli. Thaum ua tiav cov tshuaj, ib qho kev mob zoo tsim txom rau 2 lub hlis.Yog tias koj ua raws txhua tus kws kho mob cov lus pom zoo, tom qab ntawd cov txiaj ntsig txuas ntxiv ntev dua.

Dab tsi yog tshuaj kho mob rau? Raws li cov lus qhia qub, Indap ntsiav tshuaj pom zoo rau kub siab (ntshav siab). Feem ntau, cov tshuaj tau tawm rau cov neeg mob uas khaws cov ntsev thiab kua dej hauv lub cev. Qhov kev tsis zoo no yog vim lub plawv tsis ua haujlwm.

Tseem Ceeb! Indap thiab cawv tsis sib xws, vim kev ua txhaum loj yuav tshwm sim.

Indap yog ib qho yeeb tshuaj. Nws muaj tshuaj lom neeg thiab tshuaj lom neeg, yog li muaj ib pawg neeg txwv tsis pub noj cov tsiav tshuaj no. Cov tshuaj yog txwv rau cov neeg mob uas muaj cov kabmob xws li:

kev qaug tshuaj rau ib qho ntawm cov tshuaj,
circulatory dysfunction,
anusia
cov qauv nyuaj ntawm lub raum lossis lub siab ua haujlwm,
tsis muaj poov tshuaj nyob rau hauv lub cev,
kev sib koom tes nrog cov tshuaj uas ua kom muaj QT ntu sib,
cev xeeb tub thiab lactation,
cov me nyuam hnub nyoog qis dua 18 xyoo

Nrog kev ceev faj, cov tshuaj rau lub siab tau kho rau cov neeg mob ntshav qab zib. Nrog rau hyperuricemia thiab lwm yam kev hloov pauv dej-electrolyte, nws tsis pom zoo kom noj tsiav tshuaj. Yog tias tus neeg mob muaj lub siab thiab mob raum tsis ua haujlwm, Indap yuav tsum ua raws li kev saib xyuas los ntawm kws kho mob. Tib txoj cai yuav tsum ua raws li cov neeg muaj kab mob plawv thiab lub plawv tsis ua haujlwm.

Yuav ua li cas noj thaum muaj kev kub siab? Raws li txoj cai, cov kws kho mob pom zoo kom noj Indap thaum sawv ntxov kom tus neeg hnov zoo nyob ib hnub. Txhawm rau kom ua tiav cov txiaj ntsig zoo, nws txaus los haus 25 mg ib hnub, uas yog, 1 tshuaj ntsiav. Nws yuav tsum raug haus cawv tsis hais txog kev siv khoom noj khoom haus, txij li cov tshuaj yeeb dej caw tau nqus rau hauv cov ntshav. Cov tshuaj tsis tas yuav zom, nws yog nqos thiab ntxuav nrog dej huv. Lub sij hawm ntawm kev kho mob yog hais txog 2 lub hlis.

Yuav ua li cas yuav siv cov tshuaj? Feem ntau Indap raug pom zoo kom coj los ua monotherapy thiab hauv kev kho mob nyuaj nrog lwm cov tshuaj ntawm pawg neeg no (ACE inhibitors, B-blockers, BKK). Raws li txoj cai, qhov mob dav dav ntawm tus neeg mob txhim kho tom qab 2 lub hlis. Txawm li cas los xij, yog tias nyob rau lub sijhawm no nws tsis tau zoo, yog li cov kws kho mob tsis pom zoo kom ua kom ntau ntxiv, vim tias qhov kev pheej hmoo ntawm kev txhim kho cov nyom tshwm sim nce ntxiv. Feem ntau, antihypertensive tshuaj uas tsis diuretic ntxiv rau cov tsiav tshuaj. Piv txwv li, kev sib xyaw ntawm cov tshuaj Concor thiab Indap ua ke muaj kev cuam tshuam zoo heev rau lub cev thiab ua kom cov ntshav siab.

Tseem Ceeb! Cov neeg mob hauv lub hnub nyoog laus Indap tau sau ntawv ua tib zoo, vim nws cuam tshuam rau kev ua haujlwm ntawm lub raum. Hauv qhov no, qhov muab tshuaj yuav tsum yog tsawg heev. Nyob rau lub sijhawm no, tus neeg yuav tsum nyob hauv qab kev tswj hwm ntawm kws kho mob.

Raws li txoj cai, Indap zam tau zoo, txawm li cas los xij, txhua tus neeg mob sib txawv, yog li muaj kev cuam tshuam qee zaum tshwm sim. Lub ntsiab yog vim li cas rau lawv txoj kev txhim kho yog qhov tsis ua raws li cov tshuaj muab tshuaj. Muab cov ntsiab lus no, nws yog txwv tsis pub nws tus kheej noj tshuaj thiab xaiv ntau npaum li cas tshuaj ntsiav koj tuaj yeem noj. Cov txheej txheem kho yuav tsum tsuas yog kws kho mob sau tseg, raws li kev kuaj pom. Yog tias koj tsis saib xyuas qhov kev pom zoo los ntawm tus kws kho mob, ces qhov no tuaj yeem ua rau muaj kev phiv tshuaj los ntawm cov kabmob sib txawv thiab cov tshuab:

cov qog ntshav thiab ntshav - aplastic thiab hemolytic anemia, thrombocytopenia (feem ntau, cov teeb meem zoo li no tsis tshua muaj tshwm sim),
neurology - kiv taub hau thiab mob nyob rau ntau qhov chaw ntawm lub taub hau, tsaus muag, ib ce tsaug zog tas mus li thiab zoo li nkees,
lub plawv - arrhythmia thiab tachycardia,
lub plab zom mov - xeev siab, uas ua rau khaus ntuav, lub qhov ncauj qhuav, mob plab, ua tsis taus quav (quav tawv, raws plab), pancreatitis,
epidermis - ua pob liab liab, tawm pob, khaus thiab khaus (qhov ua txhaum tshwm sim feem ntau hauv kev fab tshuaj tiv thaiv),
qhov muag - pom pob ntseg, qhov muag tsis pom kev,
Cov kab mob genitourinary - nocturia, pliuria thiab kev pheej hmoo ntawm kev tsim kab mob.

Ntawm thawj qhov kev tshwm sim ntawm kev phiv, koj yuav tsum tam sim ntawd tsis txhob siv cov tshuaj ntsiav thiab sab laj nrog kws kho mob. Txawm li cas los xij, yog tias kev soj ntsuam ntawm qhov tshwm sim ntawm tus mob hnyav, nws yog ib qho maj nrawm hu rau pab neeg ua haujlwm hauv lub tsheb thauj neeg mob. Qee qhov tshwm sim ntawm cov nyom tshwm sim tuaj yeem ua rau tuag taus.

Raws li txoj cai, tus nqi ntawm Indap yog li ntawm 110-150 rubles. Txawm li cas los xij, tus nqi no kuj yuav txawv txav los ntawm ntau yam. Qhov zoo siab, hauv lub nroog txawv tus nqi ntawm tib cov tshuaj sib txawv. Cov tshuaj txau tsuas yog xa tawm los ntawm cov tshuaj noj, nws tsuas yog muab los ntawm tus kws kho mob tuaj koom.

Yuav hloov cov tsiav tshuaj li cas? Indap yog ib hom tshuaj muaj sib xws, tab sis yog tias koj tsis tuaj yeem nrhiav nws lossis xav nrhiav cov tshuaj ntxiv pheej yig dua, ces koj yuav tsum them sai sai rau cov tshuaj no:

Indap thiab Indapamide, dab tsi yog qhov txawv, uas yog qhov zoo dua? Tsis muaj qhov sib txawv ntawm cov tshuaj no. Lawv muaj cov qub tshuaj uas txo cov siab ua haujlwm. Qhov txawv tsuas yog tias lawv tau tsim los ntawm cov khoom sib txawv. Txawm li cas los xij, qhov no tsis cuam tshuam qhov zoo ntawm cov ntsiav tshuaj.

Kuv puas tuaj yeem haus Tizalud thiab Indap ua ke? Cov tshuaj no muaj ntau yam hauv lub cev. Thawj zaug tshem tawm cov leeg pob txha caj dab, ntau yam ua tsis tiav ntawm cov nqaj qaum thiab lub hlwb. Thib ob, txo qis ntshav siab. Kev kho raws cov tshuaj no yuav tsum yog kws kho mob sau tseg.

Indap lossis Arifon, uas yog qhov zoo dua? Ob qho tshuaj yeeb tshuaj no muaj ib qho thiab tib cov tshuaj muaj yees, yog li ntawd lawv tuaj yeem sib pauv hloov. Qhov sib txawv tsuas yog nyob rau hauv cov chaw tsim khoom, yog li qhov kev xaiv tseem nyob nrog tus neeg. Txawm li cas los xij, qhov kev ua tau zoo ntawm cov tshuaj no tseem nyob hauv theem zoo.

Dab tsi yog qhov zoo dua indap lossis verashpiron? Qhov tshuaj thib ob muaj qhov pom dav dav. Nws yog tshuaj rau lub plawv tsis ua haujlwm, kub siab, o, mob qog, mob ntshav qab zib. Indap tuaj yeem tshem tawm cov kua dej kom ntau dhau thiab txo cov ntshav siab xwb. Dab tsi yuav zoo dua rau tus neeg mob yuav tsum raug pom zoo los ntawm kws kho mob xwb, raws li cov ntaub ntawv tau. Kev sib xyaw ua ke ntawm cov tshuaj no tuaj yeem ua rau muaj kev txhaum ntawm cov piam thaj hauv cov ntshav, tshwj xeeb tshaj yog qhov no tau pom hauv cov neeg mob ntshav qab zib nephropathy.

Indapamide yog cov diuretic uas pab ua kom lub siab rov qab zoo li qub. Cov tshuaj, nrog rau cov zis, tshem tawm cov sodium, nrawm rau kev ua haujlwm ntawm cov calcium calcium, pab ua kom cov hlab ntsha phab ntsa ntau dua. Nws hais txog thiazide diuretics. Nws yog siv los kho ntshav siab thiab yog cov cuab yeej uas tuaj yeem tshem tawm edema los ntawm kev mob plawv.

Ib qho diuretic nrog cov tshuaj nquag yog indapamide.

Lub tom kawg zoo li thiazide diuretic hauv kev teeb tsa. Indapamide yog sulfonylurea derivative.

Vim yog cov yam ntxwv ntawm cov ua haujlwm ntawm qhov kev txiav txim, cov tshuaj tsis cuam tshuam loj npaum li cas ntawm kev tso zis.

Yog li tom qab tag nrho, dab tsi yog kho rau indapamide? Kev ua ntawm cov tshuaj nquag txo cov kev thauj khoom ntawm lub siab, nthuav tawm cov hlab ntsha, txo cov ntshav siab. Thiab tib lub sijhawm nws tsis cuam tshuam rau cov metabolism thiab lipid metabolism, txawm tias cov neeg mob ntshav qab zib.

Lwm qhov ntawm nws lub peev xwm yog qhov txo qis ntawm peripheral vascular tsis kam. Muaj peev xwm ua kom txo tau qhov ntim thiab qhov loj ntawm cov laug ventricle. Cov nyhuv hypotensive yog xav tau txawm tias los ntawm cov neeg mob uas xav tau kev kho mob hemodialysis ntev.

Lub bioavailability ntawm cov tshuaj yog 93%. Hauv cov ntshav hauv 1-2 teev muaj los txog lub sijhawm ntawm qhov siab tshaj plaws ntawm lub luag haujlwm. Indapamide tau faib zoo rau hauv lub cev. Nws tuaj yeem hla dhau qhov chaw tiv thaiv kab mob thiab sawv ntsug hauv niam mis.

Cov tshuaj khi rau cov ntshav protein los ntawm 71-79% - qhov ntsuas siab. Cov txheej txheem metabolic yuav tshwm sim nyob rau hauv daim siab nrog kev tsim cov khoom noj tsis muaj zog. Cov tshuaj ua kom nquag plias yog tawm ntawm lub cev nrog cov zis - 70%, tshuav 30% - nrog quav.

Ib nrab-lub neej ntawm indapamide yog 14-18 teev. Nws tsis paub meej tias lub sijhawm no pauv nrog lub raum thiab pob txha pob txha qia tsis txaus.

Indapamide belongs rau cov pawg pharmacological:

Thiazide thiab thiazide diuretic tshuaj,
Cov tshuaj uas muaj kev cuam tshuam ntawm renin-angiotensin system.

Indapamide: kev taw qhia rau kev siv

Qhov tseem ceeb arterial tawg

Tsis txhob haus ntau tshaj ib daim tsiav tshuaj ib hnub twg, noj ntawm qhov ncauj: koj yuav tsum nqos tag nrho, tsis txhob zom. Haus me ntsis kua.

Nws yog tau nce qhov ntau npaum li cas tsuas yog tom qab sab laj nrog kws kho mob. Koj yuav tsum tau npaj kom zoo dua rau cov nyhuv diuretic ntau dua, tab sis tib lub sijhawm, qhov nce ntawm cov nyhuv hypotensive tsis pom.

Siv cov tshuaj hauv cov tshuaj pom zoo kho mob, muaj qee cov kev mob tshwm sim. Hauv kev tshuaj ntsuam xyuas mus ntev ntev, cov kev mob tshwm sim tau qhia tias tsuas yog 2.5% ntawm cov neeg mob. Ntawm lawv, kev ua txhaum ntawm cov roj ntsha electrolyte yog qhov muaj ntau. Lwm cov kev phiv suav nrog:

Cov tawv nqaij thiab ua xua: Lyell syndrome, Stevens-Johnson syndrome, anaphylactic shock, urticaria, photodermatosis, tawv nqaij ua pob, purpura, Quincke edema.
Qhov cuam tshuam ntawm cov hlab ntsha: kiv taub hau, mob pob txha caj dab, poob siab, mob ib ce, mob taub hau, mob taub hau, mob taub hau, ua kom tsis muaj zog.
Qhov cuam tshuam ntawm lub plab zom mov yog pom los ntawm xeev ntuav, ntuav, lub qhov ncauj qhuav, ua haujlwm tsis ua haujlwm ntawm daim siab, pancreatitis, thiab cem quav.
Los ntawm ib sab ntawm lub siab thiab cov hlab ntshav yog muaj peev xwm: arrhythmia, txuas ntev ntawm QT ntu ntawm electrocardiogram, orthostatic arterial hypotension.
Ua rau kev kuaj ntshav kuaj mob: muaj tsawg zaus muaj mob thrombocytopenia, ua kom ntshav khov, mob leukopenia, agranulocytosis, hypercalcemia, hyponatremia, hypokalemia, hyperglycemia, nce ntawm urea thiab creatinine hauv cov ntshav.
Qhov yuav tshwm rau cov txheej txheem ua pa: hnoos, muaj mob pharyngitis, mob hlab plawv ntau zaus.

Nws tseem yuav tsum tau saib xyuas tas li ntawm qib theem ntawm cov pa nitrogen, cov piam thaj, uric acid, pH. Tus kws kho mob yuav tsum ua raws li kev saib xyuas nws nrog cov neeg mob plawv tsis txaus (daim ntawv mob ntev), mob plawv, mob plawv. Cov neeg mob tau teev tseg muaj feem ntau dua ntau dua li lwm cov kab mob metabolic alkalosis thiab hepatic encephalopathy tuaj yeem tsim kho.

Cov cwj pwm ntawm Lisinopril

Cov tshuaj no yog ACE inhibitor. Nws cov khoom ua haujlwm nquag yog lisinopril dihydrate. Cov tshuaj txwv tsis pub coj los ua ke ntawm cov tshuaj angiotensin octapeptide, uas ua rau kom ntshav siab. Tawm tsam keeb kwm yav dhau los ntawm kev siv tshuaj, cov hlab ntsha txhaws, lub siab poob thiab lub luag haujlwm ntawm lub siab yog txo qis.

Raws li qhov kev nqis tes los ntawm Lisinopril, lub cev pib siv ntau dua rau kev siv lub cev tawm tsam ntawm lub keeb kwm yav dhau los ntawm lub plawv nres.Cov tshuaj muaj cov tshuaj tiv thaiv kev ua kom tsis haum, tiv thaiv cov kab mob pathological ntawm myocardium thiab txo txoj kev pheej hmoo ntawm cov hlab plawv tsis zoo. Cov tshuaj yog ua tiav thiab nyob rau hauv lub sijhawm luv luv tau tuaj yeem nqus tau los ntawm cov hnyuv. Nws cov nyhuv pom ntawm 1-1.5 teev tom qab kev tswj hwm qhov ncauj thiab nce ntxiv thaum nruab hnub.

Kev Ua Indapamide

Cov tshuaj no yog siv tshuaj diuretic. Nws muaj cov qub tshuaj zoo. Cov tshuaj pab tshem cov magnesium, chlorine, calcium thiab sodium hauv lub cev. Thaum nws noj, muaj qhov nce ntxiv ntawm diuresis thiab txo qis ntawm qhov rhiab heev ntawm cov hlab ntsha phab ntsa mus rau qhov cuam tshuam ntawm angiotensin yam 2, vim cov txiaj ntsig ntawm ntshav siab poob qis.

Cov tshuaj lag luam txwv tsis pub tsim cov dawb radicals, txo cov ntsiab lus ntawm noo noo hauv cov nqaij thiab dilates cov hlab ntsha. Txawm li cas los xij, nws tsis cuam tshuam rau theem ntawm triglycerides, piam thaj thiab roj nyob rau hauv ntshav cov ntshav. Txog 25% ntawm indapamide yog nqus los ntawm txoj hlab pas. Tom qab ib daim ntawv thov ib qho, lub siab ua haujlwm tsis pub dhau 24 teev. Kev noj qab haus huv nyob zoo dua tom qab 1.5-2 lub lim tiam ntawm kev kho mob.

Cov Yuav Tsum Muaj

Cov tshuaj muaj ntau tus lej sib kis. Lawv tsis muaj haujlwm:

rau cov neeg mob hnub nyoog qis dua 18,
lub sijhawm pub niam mis thiab xeeb tub,
mob raum tsis ua haujlwm,
nrog kev fab tshuaj rau cov tshuaj tsis haum,
yog tias muaj keeb kwm ntawm Quincke's edema,
thaum laus
nrog lub cev tsis muaj peev xwm tig galactose rau hauv qabzib,
mob ntshav qab zib
thaum creatinine theem tsawg dua 30 mmol / l,
nrog rau qhov qis ntawm cov poov tshuaj hauv cov ntshav ntshav,
nrog rau kev nkag siab ntau ntxiv rau lactose.

Tawm tsam keeb kwm yav dhau los ntawm kev siv ntawm kev sib xyaw Indapamide + Lisinopril, nws yog txwv tsis pub siv cov tshuaj raws li aliskiren. Cov tshuaj tiv thaiv tau siv rau kev ua haujlwm siab ntawm uric acid nyob rau hauv cov ntshav dej, lub cev qhuav dej, lub plawv mob ischemia, ib daim ntawv mob raum thiab lub plawv tsis ua haujlwm.

Nws yog txwv tsis pub pib kho thaum tib lub sijhawm ntawm kev phais mob, siv cov tshuaj loog thiab tshuaj muaj poov tshuaj.

Qhov nruab nrab koob tshuaj kom ruaj khov siab yog 5.4 mg ntawm lisinopril dihydrate thiab 1.5 mg ntawm indapamide. Lub sijhawm siv yog li 14 hnub.

Yuav ua li cas coj lisinopril thiab indapamide ua ke

Koj tuaj yeem noj tshuaj thaum sawv ntxov lossis yav tsaus ntuj, tsis hais los ntawm cov zaub mov. Kev muab tshuaj rau noj yog xaiv rau hauv cov lus teb rau kev kho thiab qhov mob ntawm tus neeg mob lub cev.

Lisinopril tsis muaj tshuaj rau cov neeg mob hnub nyoog qis dua 18 xyoo.

Ua ntej siv cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob thiab tau kuaj mob tas li.

Phiv los ntawm lisinopril thiab indapamil

Thaum siv cov tshuaj sib txuas ua ke ntawm cov tshuaj no, cov kev mob tshwm sim tuaj yeem tshwm sim. Cov feem ntau tsis muaj xws li:

kev hnoos
kiv taub hau
kev tsis haum
tsaus muag
tshee hnyo
teeb meem ua pa
nce hauv plawv dhia,
ua kom txo tau cov tshuaj chloride ntau ntau,
angioedema,
hnov tsaug zog zoo
nce kev ua si ntawm daim siab enzymes,
mob taub hau
ua txhaum ntawm daim siab thiab lub raum.

Yog tias qhov kev tshwm sim zoo li no tshwm sim, cov tshuaj yuav tsum tau txiav thiab lub kws kho mob yuav tsum tau sab laj.

Lub tswv yim ntawm cov kws kho mob

Svetlana Bugrova (kws kho plawv), hnub nyoog 42 xyoos, Lipetsk

Kev sib xyaw ua ke ntawm tus tshuaj ACE inhibitor thiab diuretic. Hauv txhua qhov kuv xyaum, Kuv tseem tsis tau pom muaj cov duab zoo dua thiab muaj kev nyab xeeb dua. Ntshav siab thaum siv cov tshuaj no yog li qub nyob rau hauv 2-4 lub lis piam.

Arkady Vasilkov (kws kho plawv), 51 xyoo, Ivanovo

Cov tshuaj tsis tshua muaj ua rau muaj kev phiv tshuaj. Txawm li cas los xij, lawv cov kev sib xyaw ua ke tsis tau qhia rau cov neeg mob menyuam yaus. Cov neeg laus thiab nrog lub raum tsis zoo thiab lub siab ua hauj lwm yuav tsum tau hloov kho ntau npaum li cas.

Kev Ntsuam Xyuas Rau Neeg Mob

Irina Polosova, 41 xyoo, Voronezh

Rau kev kho mob tawg, nws pib noj cov tshuaj no tib lub sijhawm. Kuv haus tshuaj thaum sawv ntxov. Cov txiaj ntsig zoo tshwm sim tom qab 5-6 hnub. Tsis muaj qhov qhia tsis zoo. Kuv tsis tas yuav tsum kho qhov tsuas tshuaj. Txawm li cas los xij, kuv tus txij nkawm, uas tau coj ua ke ntawm Indapamide thiab Lisinopril, tau txo cov ntshav tawm thaum lub sijhawm kho.

Gennady Utyuzhin, 39 xyoo, Bryansk

Kuv siv cov tshuaj no nrog cov muaj ntshav siab. Nws tsis muaj qhov tshwm sim tsis zoo. Cov tshuaj raug muag ntawm txhua lub tsev muag tshuaj.

Cov kws kho mob Cov lus pom zoo

Yog tias tsis muaj ib qho txiaj ntsig nyob rau hauv ib hlis, tsis muaj ib qho twg tsis nce qhov ntau ntxiv ntawm indapamide - nws yuav ua rau muaj kev phiv. Hloov chaw, txoj cai kho yuav tsum tau tshuaj xyuas.
Cov tshuaj no feem ntau tau sau tseg ua ib feem ntawm kev kho mob dav.
Indapamide yog yeeb tshuaj rau siv sijhawm ntev. Cov nyhuv ruaj khov yog pom tshwm tom qab ob asthiv. Cov nyhuv siab tshaj plaws yog tom qab 12 asthiv. Qhov kev txiav txim ntawm ib qho kev siv tau tshwm sim tom qab ib mus rau ob teev.
Lub sijhawm zoo tshaj plaws los noj tshuaj thaum sawv ntxov ntawm lub plab khoob.

Thaum cov kev mob tshwm sim, cov kws kho mob tham txog ob txoj hauv kev yuav ua tau. Thawj yog kom tso tseg kev siv tshuaj. Qhov thib ob yog txo qhov koob tshuaj. Qhov kev xaiv thib ob yog qhov tsis tshua pom tseeb, vim tias qhov tshwm sim ntawm cov tshuaj txaus ntshai. Indapamide yuav ua rau lub siab ua haujlwm tsis zoo, hloov pauv hauv cov tshuaj lom neeg hauv cov ntshav, anorexia.

Yuav hloov li cas?

Yog tias lub tsev muag tshuaj tsis muaj cov tshuaj uas tau hais tseg, tom qab ntawd nws tuaj yeem hloov los ntawm lwm qhov uas muaj cov nyhuv zoo sib xws. Hauv qhov no, lawv tuaj yeem muaj ntau hom qauv: dragees, ntsiav tshuaj, tshuaj ntsiav. Tab sis qhov no tsis cuam tshuam rau lub zog pharmacological.

Cov cim ntawm indapamide - cov nyhuv zoo tib yam hauv kev npaj nrog lwm cov tshuaj nquag:

Ionik
Indopres
Enzix,
Arifon Retard,
Indapen
Indapamide perindopril.

Cov ntsiab lus ntawm cov tshuaj indapamide - siv yeeb siv tshuaj nrog muaj yam khoom zoo sib xws (INN):

Tsis tas tham nrog tus kws kho mob, thiab nrog kev pab ntawm tus kws muag tshuaj, koj tuaj yeem hloov tus kheej indapamide nrog lwm cov tshuaj phiv. Tab sis analogues yuav tsum tau yuav tsuas yog tom qab kev pom zoo ntawm kws kho mob!

Kev noj tshuaj ntawm 40 mg yog lom - nws ntau tshaj qhov tso cai ib koob los ntawm yuav luag 30 zaug. Cov tsos mob ntawm kev noj haus ntau yog: oliguria / polyuria, muaj lub siab xav pw tsaug zog, mob ntshav siab, xeev siab / ntuav, kiv taub hau. Kev siv tshuaj lom ua rau kom lub cev muaj zog sib xyaw ntsev thiab dej hauv lub cev.

Koj tuaj yeem tshem tawm cov tshuaj tawm hauv lub cev los ntawm kev ntxuav lub plab thiab haus dej haus cawv (ua kom hluav ncaig hluav ncaig). Qhov kev txiav txim siab ntxiv yog cov kev kho mob, uas tau ua tshwj xeeb hauv tsev kho mob.

Txawm hais tias cov ntsiav tshuaj indapamide tsis yog cov tshuaj ncaj qha uas tuaj yeem siv los ua cov tshuaj doping los txhim kho cov kev ua kis las. Tab sis tib lub sijhawm, Lub Tuam Txhab Txhawb Nqa Ntiaj Teb txwv tsis pub ncaws pob los ntawm kev siv tshuaj kho mob. Qhov laj thawj yog tias lawv pab zais qhov tseeb ntawm doping. Thiab cov cim ntawm indapamide nyob rau hauv lub cev ntawm kev ncaws pob thaum sib tw yuav ua rau nws tsis muaj peev xwm.

Koj yuav tsum tau ceev faj thaum noj tshuaj yog tias koj yog tus tsav lub tsheb lossis tau koom nrog ib qho ntawm cov kev phom sij uas yuav muaj kev phom sij. Cov tshuaj yog txwv tsis pub sau ntawv rau cov neeg uas ua haujlwm nyob rau hauv qhov tsis sib haum, nyob rau hauv lub xeev muaj kev xav mloog ntau ntxiv, rau tus neeg siv tshuaj tiv thaiv kab mob tseem ceeb.

Qhov tsis zoo: kev mob tshwm sim muaj peev xwm ua tau (tab sis qhov no feem ntau yog tus qauv ntau dua qhov tsis zoo).

Dmitry, hnub nyoog 52 xyoo. Tus kws kho mob hlwb ua rau kuv txoj kev hais daws no. Kuv noj nrog Losartan, vim tias lossi ntshav siab. Indapamide muaj cov nyhuv nrheev. Koj tuaj yeem sawv thaum sawv ntxov, ntsuas qhov siab, tab sis nws yog qhov ib txwm, tab sis koj tseem yuav tsum haus cov tshuaj, txwv tsis pub cov nyhuv ntawm cov tshuaj tsis zoo tuaj.

Kuv tsis raug kev txom nyem los ntawm tas li nce lub siab, qee zaum muaj jumps.Yog li no, Kuv noj cov tshuaj rau indapamide siab tsis txhua hnub, tab sis tsuas yog tsim nyog. Kuv pom nws qhov kev txiav txim rau ob peb teev. Tom qab jumps Kuv haus 10 hnub nyob rau hauv kab rau qhov zoo tshaj plaws thiab ruaj khov li qub tau ntawm cov ntshav siab. Xws li chav kawm yog qhov txaus rau kuv. Nws yog qhov yooj yim uas koj yuav tsum tau haus nws ib hnub ib hnub, thiab nws tsis nce qhov ntau ntawm kev mus rau hauv chav dej.

Cov tshuaj tau hem kuv nrog tus lej ntawm cov kev mob tshwm sim, Kuv nyeem hauv Is Taws Nem thiab kuv xav tias kuv yuav tsis yuav. Tab sis tus kws kho mob tau hais tseg, thiab kuv mloog kuv lus pib haus cawv. Rau kuv tus kheej, Kuv tau ua ntau qhov kev txiav txim siab:

Koj yuav tsum haus tag nrho cov kev kawm, txawm tias nws zoo li lub siab twb dhau los,
Cov tshuaj ua haujlwm sai,
Tsis muaj kev mob tshwm sim.

Indapamide li cas

Rau kev kho mob tawm ntawm txoj hlab ntshav txhaws, Indapamide feem ntau siv. Nws zwm rau cov chav kawm ntawm diuretics thiab muaj cov nyhuv diuretic. Pab pab txhawm rau nce cov haujlwm ntawm daim siab enzymes. Tsis cuam tshuam rau cov lipid metabolism, nrog rau cov neeg mob ntshav qab zib mellitus.

Tom qab kev tswj hwm ntawm qhov ncauj, nws nqus tawm ntawm txoj hnyuv kom sai. Kev khi rau cov ntshav plasma protein yog li 80%. Nws yog tawm hauv lub cev los ntawm lub raum.

Nrog kev lees paub tsis tu ncua, kho cov nyhuv tshwm sim tom qab 1-2 lub lis piam, nce mus txog qhov siab kawg yog 8-12 lub lis piam thiab kav ntev txog 2 hlis. Tom qab noj ib koob tshuaj, cov txiaj ntsig siab tshaj plaws yog pom tom qab 24 teev.

Kuv tuaj yeem coj ntev npaum li cas indapamide yam tsis muaj kev so?

Lisinopril thiab Indapamide: nws puas tuaj yeem coj tib lub sijhawm?

Qhov twg zoo dua coj?

Cov tshuaj tiv thaiv ncaj qha ntawm Indapamide yog lwm cov tshuaj diuretics raws li cov tib cov tshuaj nquag. Cov no muaj xws li Arifon, lwm yam khoom txawv ntawm Indapamide. Koj tseem tuaj yeem siv lwm cov tshuaj diuretic tsom rau txo cov ntshav siab. Ua ntej siv cov analogue, nco ntsoov nyeem cov lus qhia rau kev siv.

Arifon Retard lossis Indapamide

Arifon Retard tseem ua raws li kev ua ntawm cov tshuaj Indapamide, tab sis tus nqi ntawm cov tshuaj analogue no yog siab dua. Ib pob tshuaj ntawm tus nqi nce txog 300 - 350 rubles. Ntxiv mus, hais txog kev nqis tes ua, cov peev txheej no tsis txawv, qhov sib txawv ntawm lawv yog qhov tsawg.

Indapamide lossis Veroshpiron

Diuver lossis Indapamide

Diuver yog qhov zoo dua nyob rau hauv cov nyhuv rau Furosemide, thaum nws tseem feem ntau kho kev mob ntshav siab. Qhov cuab yeej no tshwj xeeb tshaj yog pab nrog kev tsim kho ntawm edema. Nyob rau tib lub sijhawm, nws muaj ntau yam contraindications, yog li ua ntej koj pib siv, koj yuav tsum tau nyeem cov lus qhia rau kev siv.

Kev kho cov yam ntxwv ntawm cov tshuaj yog txiav txim siab los ntawm ob lub tshuaj nquag: perindopril erbumin thiab indapamide. Raws li cov khoom xyaw pabcuam, kev npaj suav nrog pob kws hmoov txhuv nplej siab, colloidal silicon dioxide, microcrystalline cellulose, magnesium stearate thiab crospovidone. Hauv kev txhaj tshuaj me me, cov tshuaj muaj cov hlau oxides (liab thiab daj), polyvinyl cawv, talc, titanium dioxide thiab macrogol - cov no yog cov khoom sib xyaw ntawm cov zaj duab xis.

Kev sib xyaw ntawm ob yam khoom xyaw ua rau perindopril "ntxiv" indapamide ib qho tshuaj zoo kawg nkaus antihypertensive. Perindopril pab tswj kev ua haujlwm ntawm lub plawv: nws txo lub plawv dhia, txo qis ntshav siab rau sab xis thiab sab laug ventricles, zoo li pulmonary capillaries, txhim kho ntshav txaus hauv cov leeg. Indapamide txo cov kev tawm tsam tag nrho ntawm cov hlab ntsha, ua rau cov suab ntawm cov leeg ntshav. Cov kev sib koom ua ke ntawm cov khoom xyaw ua rau txo qis ntshav siab.

Lub ntsiab zoo ntawm cov khoom yog nws cov versatility. Kev lees paub yog qhia rau cov neeg mob ntawm txhua lub hnub nyoog thiab muaj kev ywj pheej ntawm tus neeg mob lub cev (kev dag lossis kev ua haujlwm), uas tso cai siv tshuaj yeeb hauv txhua qhov xwm txheej. Kev nplij siab ntawm tus mob pib 40-60 feeb tom qab kev tswj hwm, tom qab 4-6 teev cov nyhuv ntawm cov tshuaj nce mus txog qhov siab. Kev txiav txim ntawm cov ntsiav tshuaj tsub rau ib hnub.

"Perindopril-indapamide" tau txais kev hlub tshwj xeeb rau cov neeg laus. Kev noj cov tshuaj tsis ua rau tachycardia, thiab nws txoj kev tshem tawm tom qab siv sijhawm ntev tsis yog nrog los ntawm kev yaum siab.

Kev cais tawm

Cov ntaub so ntswg yog tso tawm ntawm indapamide los ntawm lub raum thiab cov hnyuv, cov khoom no tawm hauv lub cev tsis muaj teeb meem. Perindopril tsuas yog tawm hauv lub raum, thiab tsis yog tas li nrog qhov xav tau ceev. Qeeb qeeb yog pom nyob rau hauv cov neeg muaj lub raum thiab lub plawv tsis ua haujlwm, nrog rau cov neeg laus laus. Hauv cov xwm txheej zoo li no, qee zaum cov kws kho mob kho qhov koob.

Kev ntsuas rau siv

Perindopril ntxiv rau indapamide feem ntau yog kho rau cov neeg mob uas pom tias yog kev sib koom ua ke. Cov tshuaj kho tau cov kab mob zoo hauv qab no:

Arterial kub siab
Coronary mob plawv
Renovascular etiology tawg
Mob plawv nres.

Cov cuab yeej tseem siv rau kev tiv thaiv lub hom phiaj - nws txo txoj kev pheej hmoo ntawm rov mob stroke.

Tus nqi nruab nrab yog los ntawm 177 txog 476 rubles.

"Perindopril-indapamide" yog tsim hauv cov ntsiav tshuaj nkaus xwb. Cov xim ntawm lub plhaub nws txawv ntawm grey-ntsuab rau ntsuab-grey, sab hauv yog lub hauv paus dawb. Lub tshuaj ntsuab kheej, convex ntawm ob sab.

Rau qhov yooj yim ntawm kev siv thiab ua raws nrog qhov ntau tshaj qhov ntau npaum, peb daim ntawv tau ua:

0.625 mg indapamide xyaw nrog 2 mg perindopril erbumin
1.25 mg ntawm cov tshuaj thawj zaug thiab 4 mg ntawm ob
2.5 mg ntxiv rau 8 mg.

Ntim cov ntsiav tshuaj ntawm 10, 30, 60 thiab 90 pieces hauv ib lub thawv.

Txij li cov tshuaj muaj nyob rau ntau hom, nws tsis tas yuav siv ntau daim ntawm ib zaug. Feem ntau, tus kws kho mob sau ntawv rau ib ntsiav tshuaj ib hnub. Cov koob tshuaj yog xaiv raws li kev kuaj mob ntawm tus neeg mob, nws kev noj qab haus huv thiab lub raum ua haujlwm.

"Perindopril-indapamide" noj thaum sawv ntxov, zoo dua rau ntawm lub plab khoob, ntxuav nrog dej me me.Qee qhov xwm txheej, kev quav yeeb tshuaj rau cov tshuaj nrog kev tsaug zog thiab ua rau qaug zog zuj zus, yog li ntawd, thawj peb hnub raug tso cai noj thaum tsaus ntuj. Tom qab lub sijhawm no, lub cev yoog raws cov tshuaj, dua lawv hloov mus rau cov tshuaj thaum sawv ntxov.

Thaum cev xeeb tub thiab pub niam mis

Cov kws tsim khoom lag luam qhia txog cov kev phom sij rau cov tshuaj rau cov poj niam cev xeeb tub - cov tshuaj tsis tau muab tswj thoob plaws txhua qhov peb ntu. Yog hais tias tus poj niam pib kho thiab tom qab uas pom tawm txog kev xeeb tub, cov ntsiav tshuaj raug muab tso tseg thiab kev kuaj mob ultrasound ntawm tus me nyuam hauv plab. Thaum siv cov tshuaj kho, cov teeb meem kev mob nkeeg tshwm sim hauv tus menyuam:

Kev raum tsis zoo
Kev faib tawm ntawm pob txha taub hau maj mam poob
Thrombocytopenia zoo nkaus li
Kev mob ntshav siab ntshav qis
Hypotension tshwm sim
Txoj kev tsim kho tag nrho yog qeeb.

Perindopril ntxiv rau indapamide kuj tseem txaus ntshai rau kev saib xyuas neeg mob. Nws qhov indapamide cuam tshuam tsis zoo rau cov txheej txheem lactation. Tsis tas li ntawd, cov khoom siv no cuam tshuam rau lub cev ntawm tus menyuam: nws tuaj yeem tsim qhov mob rhiab sulfonamides, ua rau mob jaundice, thiab mob hypokalemia. Yog li, cov ntsiav tshuaj tsis raug sau rau cov niam laus saib xyuas, lossis, yog tias kho nrog tus neeg sawv cev no yog qhov tsim nyog, lawv txwv tsis pub niam mis.

Perindopril ntxiv rau indapamide yog txwv tsis pub noj yog tias muaj kev kuaj mob:

Kab mob siab Hepatic
Kev Hypokalemia
Cov hlaus tsis zoo thiab hepatic tsis txaus
Arterial hypotension
Kev Mob Nkeeg
Hyperuricemia
Idiopathic angioedema
Aortic stenosis
Azotemia
Mob plawv nres
Kev nkag siab zoo rau indapamide thiab perindopril
Kev Hyponatremia.

Txij li cov tshuaj muaj cov lactose me me, cov tshuaj yuav tsum tsis txhob muab rau cov neeg uas tsis ua siab ntev rau lactose, nrog rau kev txom nyem los ntawm glucose-galactose malabsorption syndrome thiab galactosemia. Cov menyuam yaus hnub nyoog qis dua 15 xyoos tsis kho cov tshuaj, nrog kev ceeb toom tshwj xeeb hauv cov xwm txheej zoo li no:

Lim ntshav rau cov neeg mob
Cov neeg mob ntshav qab zib, scleroderma, cov kab ke lupus erythematosus
Hauv hypovolemic tej yam kev mob (suav nrog raws plab thiab ntuav heev)
Cov neeg mob lub hnub nyoog qib siab.

Yog tias kev phais mob mus tom ntej, "Perindopril-indapamide" thiab nws cov analogues (perindopril arginine thiab lwm tus) raug muab tso tseg ib ntus. Kev siv kawg yog ua tau 12 teev ua ntej kev phais mob. Cov lus nug txog kev rov nkag mus txuas ntxiv yog tom qab tham nrog tus kws kho mob uas koom nrog.

Nrog cawv, cov ntsiav tshuaj no ua tsis tiav. Txawm hais tias kev poob dej cawv ua rau muaj kev phom sij ua rau muaj cawv txaus: cawv, nrog rau cov tshuaj, txo qis qis siab, ib tug neeg cia li nco dheev, txoj kev ntshav ntws cuam tshuam. Nws yog qhov nyuaj heev kom rov zoo tom qab tau txais kev tsis zoo rau lub plawv nres, ntshav tawm thiab lwm yam teeb meem.

Yog tias kev phooj ywg nrog cov tshuaj kav ntev dua ib hlis, koj yuav tsum mus saib ib puag ncig lub chaw kuaj ntshav coj mus kuaj. Yuav tsum tswj hwm ntshav qabzib, creatinine, uric acid thiab electrolyte ntau: Na +, K + thiab Mg2 +.

Perindopril ntxiv rau indapamide yog ib yam tshuaj uas muaj zog uas ib txwm tsis zam lwm cov tshuaj. Yog tias tus neeg mob twb siv qee txoj kev, koj yuav tsum qhia tus kws kho mob txog nws. Tau Nrog:

Cov tshuaj insulin - ua kom cov nyhuv hypoglycemic
Antipsychotics - mob hlwb hypotension txhim kho
Cyclosporine - lub raum tsis ua haujlwm
Glucocorticoids - cov nyhuv hypotensive poob qis
Kev npaj Sulfonylurea - cov nyhuv ntawm sulfonylurea yog kho kom zoo.

Cov tshuaj tsis tshua muaj tsis muaj qhov pom ntawm kev phiv, thiab perindopril ntxiv rau indapamide tsis muaj qhov tshwj xeeb. Ib qho khoom nruab nrog cev tuaj yeem muaj qhov tsis zoo:

Lub plab zom mov: qab los noj mov yuav txo qis, qhov ncauj qhuav, xeev siab yuav tshwm sim, dyspepsia thiab cem quav yog tau
Lub plawv thiab cov hlab ntshav: ntshav siab yuav poob qis dua qhov kev npaj
Daim tawv nqaij: cov pob khaus yuav tshwm sim, muaj qee zaus, mob caj dab
Tej leeg hauv lub paj hlwb: mob taub hau, pw tsaug zog, hloov pauv hloov pauv, kiv taub hau, qee zaum pheej xeeb txob
Broncho-pulmonary system: pheej pheej hnoos qhuav.

Yog tias txhua hnub ntawm cov tshuaj tau loj rau ntau lub hlis, agranulocytosis, pancreatitis, neutropenia, thrombocytopenia, thiab leukopenia yuav tshwm sim.

Cov tsos ntawm lub qhov ncauj qhuav tuaj yeem ua tsis yog los ntawm kev noj tshuaj xwb, tab sis kuj yog los ntawm ntau qhov laj thawj, nyeem ntxiv hauv kab lus: qhov ncauj qhuav.

Ntau dhau lawm koob tshuaj nws tus kheej tam sim:

Siab dauv
Mem tes qeeb
Kev ntsuas nyiaj hauv hluav taws xob tsis sib haum
Xeev siab thiab ntuav tshwm sim
Kiv taub hau pib
Mob raum tsis ua haujlwm
Ib tus neeg poob rau hauv kev ua txhaum lossis poob siab.

Yog tias tsis muaj kev pabcuam khomob tshwj xeeb nrog rau cov tsos mob no tsis tuaj yeem ua. Ua ntej cov kws kho mob tuaj txog, koj yuav tsum sim sim tshem cov tshuaj tawm ntawm lub cev: haus tus neeg mob nrog dej huv, ua rau qaug zog, muab cov ntsiav tshuaj ntawm cov hluav ncaig hluav taws xob. Yog tias cov ntshav siab poob qis, nteg tus neeg mob kom txhais ceg yog siab dua qib taub hau.

Txuas ntxiv mus kho cov kev kho mob feem ntau suav nrog kev siv cov tshuaj enterosorbents, hemodialysis, thiab kev kho ntawm qhov ntsuas hluav taws xob.

Cov ntsiav tshuaj tsis tas yuav muaj cov xwm txheej tshwj xeeb thiab cais chaw nyob, lawv yuav txaus siab nrog nyob hauv tsev tshuaj rau hauv tsev. Ib yam li nrog rau lwm cov tshuaj tiv thaiv kabmob nrog perindopril lossis arginine, cov tshuaj no muaj cov yam ntxwv zoo nkauj uas yaj ntawm kub dua 25 degrees. Khov khov, lub teeb ci ntsa iab thiab ya raws ua kom cov khoom.

Pheej Yig

TUS NEEG UA HAUJ LWM LABORATORIES Ltd, Fabkis
Nqi los ntawm 400 txog 700 rubles.

Antihypertensive tus neeg sawv cev raws li indapamide thiab arginine perindopril. Nws yog siv rau kev mob ntshav txhaws thiab cov kab mob ntawm cov hlab plawv.

Maj mam txo qhov siab nyob hauv 100% ntawm cov neeg mob
Tsis yog siv nrog siv ntev
Arginine txhawb cov leeg nqaij suab nrov

Kev cuam tshuam tsis zoo ntawm lub raum
Vim yog tus mob perindopril, uas yog ib feem ntawm arginine, nws ua rau muaj kev cuam tshuam nyob hauv qhov chaw mos.

Perindopril

Vertex, Russia, thiab lwm yam.
Nqi los ntawm 159 txog 266 rubles.

Ib tug nrov antihypertensive. Ib tug pheej yig analogue ntawm txoj kev npaj muaj, ntxiv rau perindopril, indapamide lossis arginine.

Tus nqi qis
Haum rau cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2
Txoj kev siv tshuaj yooj yim: ntsiav tshuaj ntawm 4, 5, 8 thiab 10 mg perindopril

Qhov loj ntawm cov kev mob tshwm sim piv nrog analogues
Tsis txhob coj menyuam yaus hnub nyoog qis dua 18 xyoo.

Rub cov lus qhia rau kev siv

Cov nyhuv sib xyaw ntawm lisinopril thiab indapamide

Nws ntseeg tau hais tias yog tias ob qho tshuaj noj ua ke, cov nyhuv antihypertensive ntawm cov tshuaj no tuaj yeem txhim kho. Vim nws cov nyhuv diuretic me me, Indapamide pab Lisinopril maj mam txo qhov siab.

Kev noj cov tshuaj no ib txwm ua rau koj muaj peev xwm tawm tsam kub siab thiab ruaj khov kho ntshav siab.

Txuam nrog indapamide:

Kev tsis zoo hauv lub raum (creatinine tshem tawm)
Kev mob siab rau lub siab ua haujlwm zoo thiab mob rau daim siab mob hlwb.
Hypokalemia (ntshav poov tshuaj ntshav
Ua ke ua ke nrog cov tshuaj tsis muaj zog uas tuaj yeem ua rau loj hlob ntawm paroxysmal ventricular tachycardia ntawm hom “pirouette”.
Kev pub niam mis.

Yuav siv Prestarium Arginine Combi li cas?

Txog kev tswj hwm qhov ncauj.

1 ntsiav tshuaj ntawm cov tshuaj Prestarium arginine Combi ib hnub, nyiam dua thaum sawv ntxov ua ntej noj mov.

Nyob ntawm qhov xwm txheej mob, nws yuav pom zoo kom pib kho nrog monotherapy nrog ib qho ntawm cov tshuaj sib txuas ntawm cov tshuaj (perindopril ntawm ib koob ntawm 2.5 - 5 mg).

Qhov siab tshaj plaws niaj hnub noj tshuaj yog 1 ntsiav tshuaj ntawm cov tshuaj Prestarium arginine Combi ib hnub.

Siv thaum cev xeeb tub thiab lactation.

Kev siv cov tshuaj nyob rau thawj lub hlis thaum cev xeeb tub tsis pom zoo. Thaum npaj lossis cev xeeb tub, tsim kev kho tshuaj yuav tsum tsis ua sai li sai tau.Kev siv cov tshuaj hauv ntu thib ob thiab thib peb ntawm cev xeeb tub yog contraindicated.

Kev siv cov indapamide thaum lub sijhawm lactation yog contraindicated, vim muaj cov ntaub ntawv ntawm nws nkag mus rau hauv niam cov kua mis. Tsis muaj ntaub ntawv qhia txog kev nkag mus ntawm perindopril mus rau niam mis.

Menyuam yaus thiab tub ntxhais hluas. Qhov ua tau zoo thiab kev nyab xeeb ntawm cov tshuaj rau cov menyuam yaus thiab cov hluas tsis tau tsim. Siv rau menyuam yaus thiab tub ntxhais hluas tsis pom zoo.

Ua ntej noj cov tshuaj thiab thaum siv nws, nws yog ib qhov tsim nyog los soj ntsuam cov ntshav siab, lub raum kev ua haujlwm (ntshav creatinine), potassium thiab sodium ntshav, tshwj xeeb tshaj yog nyob rau cov neeg laus thiab cov neeg mob uas muaj kev pheej hmoo.

Lub raum khiav tsis zoo. Yog tias muaj teeb meem lub raum ua rau lub cev tsis zoo (creatinine tshem tawm)

Lub siab ua haujlwm tsis zoo. Cov tshuaj no yog contraindicated nyob rau hauv kev muaj kab mob siab hnyav hnyav. Yog hais tias ua rau lub siab ua haujlwm tsis txaus ntawm qhov mob hnyav, cov tshuaj tuaj yeem raug kho nyob rau hauv txoj kev kho mob ib txwm.

Kev poob siab tam sim ntawd, hypovolemia, thiab txo qis hauv cov ntshav roj tsawg. Txoj kev pheej hmoo ntawm kev tsim kev mob sai sai hauv cov neeg mob hypovolemia, sodium tsis txaus (vim yog siv tshuaj diuretics ntev, noj ntsev tsis muaj ntsev), ntshav siab qis, raum artery stenosis, lub plawv tsis ua haujlwm, lossis lub siab ua haujlwm nrog edema thiab ascites. Txoj kev kho yuav tsum pib nrog qhov kev siv qis tshaj thiab nrog nce ntxiv tom qab. Ua ntej noj tshuaj thiab thaum siv nws, nws yog qhov tsim nyog los tswj cov dej-electrolyte tshuav nyiaj li cas. Kev hloov chaw qis tsis yog ib qho laj thawj rau kev tshem tawm tshuaj. Tom qab them nyiaj ntawm cov dej-electrolyte tshuav nyiaj, kev kho mob txuas ntxiv nrog qhov txo qis lossis ib qho ntawm cov tshuaj ntawm cov tshuaj.

Poov tshuaj plasma ntshav. Ua ntej noj cov tshuaj thiab thaum nws siv, nws yog ib qho tsim nyog los soj qab plasma poov tshuaj rau cov neeg mob los ntawm cov pab pawg muaj kev pheej hmoo rau kev tshwm sim ntawm hypo- lossis hyperkalemia (cov neeg laus, cov neeg mob tsis txaus los yog noj zaub mov tsis haum, nrog mob plawv, mob plawv tsis ua hauj lwm, cov neeg mob ntshav qab zib mellitus, cirrhosis ntawm daim siab nrog edema thiab ascites lossis cov neeg noj tshuaj ntxiv ntshav). Cov neeg mob uas muaj lub plawv tsis ua hauj lwm (IY degree) lossis mob ntshav qab zib insulin-tiv thaiv ntshav qab zib (vim qhov pheej hmoo tiv thaiv kev noj qab haus huv ntau ntxiv hauv cov ntshav ntshav) tau pom zoo kom pib kho hauv tsev kho mob nrog qhov tsawg kawg.

Vim tias muaj cov lactose hauv kev npaj, cov tshuaj no yuav tsum tsis txhob raug tshuaj yog tias muaj cov kabmob muaj keeb galactose tsis txaus ntseeg, lactase deficiency, tsis hnov qab cov ntshav qab zib / lossis galactose haum.

Perindopril Muaj Feem

Hnoos. Ib yam li lwm tus ACE inhibitors (ACE inhibitors), hnoos qhuav yuav tshwm sim, uas ploj tom qab nws tso tseg. Yog tias tsim nyog, kev kho tuaj yeem txuas ntxiv.

Cov neeg laus yuav tsum pib kho nrog qhov txhaj tshuaj tsawg kawg (saib tshooj “Yuav Siv Li Cas”), tshwj xeeb tshaj yog muaj qhov tsis muaj dej txaus thiab electrolytes, kom txo tau qhov phom sij sai. Thawj koob tshuaj, yog tias tsim nyog, tuaj yeem nce ntxiv nyob ntawm qhov lus teb rau kev kho mob.

Hauv cov neeg mob mob atherosclerosis. Txoj kev pheej hmoo ntawm kev ua haujlwm hypotension nce rau hauv cov neeg mob uas muaj mob rau cov hlab plawv lossis hlab ntshav tsis txaus. Rau cov neeg mob zoo li no, kev kho mob yuav tsum pib nrog qhov tsawg kawg nkaus (saib ntu "Yuav Siv Li Cas").

Renovascular tawg. Kev kho mob ntawm cov neeg mob zoo li no yuav tsum tau pib nrog cov koob tshuaj tsawg kawg nkaus (saib tshooj "Yuav siv li cas") hauv tsev kho mob tom qab kuaj xyuas lub raum kev ua haujlwm (ntshav creatinine) thiab ntshav poov tshuaj.

Mob Kev Plab Cov neeg mob tom qab hloov raum los yog lim ntshav muaj feem yuav muaj mob ntshav ເລືອດ txaus. Qhov kev txo qis no yog pom ntau dua nrog cov hauv paus loj dua hemoglobin cov lej. Cov nyhuv no yog koob tshuaj-ywj pheej thiab tej zaum yuav cuam tshuam nrog cov txheej txheem ntawm kev txiav txim ntawm ACE inhibitors.Kev txo qis hemoglobin yog qhov tseem ceeb, nws yuav tshwm sim thaum thawj 1-6 lub hlis, tom qab ntawd nws tswj tau. Kev kho mob ACE tuaj yeem txuas nrog kev soj ntsuam hemoglobin qib xwm yeem.

Txoj kev pheej hmoo ntawm neutropenia / agranulocytosis nyob rau hauv cov neeg mob uas txo qis kev tiv thaiv yog koob tshuaj thiab tej zaum yuav tshwm sim hauv tus neeg mob uas muaj qee yam mob raum ua haujlwm, tshwj xeeb tshaj yog tias nws cuam tshuam nrog collagenosis, xws li cov kab mob lupus erythematosus, scleroderma, thiab tshuaj tiv thaiv kab mob. Cov tshwm sim no ploj tom qab kev tso tseg ntawm ACE inhibitor txoj kev kho. Kev ua raws li cov kev cai ntau npaum li cas yog tus yuam sij rau kev tiv thaiv kev ua txhaum.

Yog tias tus neeg mob tau phais mob, nws yuav tsum tau qhia rau tus kws kho mob txog kev siv Prestarium arginine Combi. ACE kev kho mob yuav tsum tau txiav ib hnub ua ntej kev phais mob (saib ntu "Kev cuam tshuam nrog lwm cov tshuaj").

Hauv cov neeg mob uas nce qib qis ntawm cov lipoproteins uas tsis muaj ntau, plasmapheresis siv dextrasulfate nrog siv ACE inhibitors yuav ua rau muaj kev phom sij txog kev tiv thaiv lub neej. Kev txhim kho ntawm txoj kev tiv thaiv anaphylactic tuaj yeem zam dhau ib ntus kev kho ACE ua ntej plasmapheresis.

Kev phiv tshuaj muaj cuab kav yuav tshwm sim hauv cov neeg mob noj ACE inhibitors nrog cov tshuaj uas muaj cov tshuaj lom muv. Kev txhim kho ntawm cov tshuaj tiv thaiv no tuaj yeem tiv thaiv los ntawm kev txwv ib ntus siv ACE inhibitors. Cov kev cuam tshuam saum toj no yuav tshwm sim thaum sim kev sim.

Aortic stenosis / hypertrophic cardiomyopathy. ACE cov tshuaj tiv thaiv yuav tsum raug txiav txim nrog ceev faj rau cov neeg mob uas muaj qhov cuam tshuam ntawm txoj kev tawm ntawm txoj kev tawm mus sab laug.

Lub siab ua haujlwm tsis zoo. Tsawg. ACE inhibitors tau cuam tshuam nrog ib qho kev mob siab ntsws uas tau pib muaj mob siab tawv nqaij thiab nce mus rau lub siab sai sai necrosis, qee zaum kuj ua rau neeg tuag taus. Tus txheej txheem ntawm cov tsos mob no tsis meej. Cov neeg mob uas muaj lub ntsej muag daj nrog kev nce ntxiv hauv theem ntawm daim siab enzymes thaum noj ACE inhibitors yuav tsum tsis txhob noj ACE inhibitors thiab ua kom muaj kev saib xyuas kev noj qab haus huv.

Kev phiv los ntawm Prestarium Arginine Combi.

Feem ntau, kev kho nrog Prestarium arginine Combi zoo zam rau. Cov teebmeem tsis xav tau qee zaum tshwm sim, teev hauv qab no, siv txoj cai hauv qab no: feem ntau (> 1/10), feem ntau (> 1/100 thiab ≤ 1/10), tsis tsim nyog (> 1/1000 thiab ≤ 1/100), tsis tshua muaj (> 1 / 10,000 thiab ≤ 1/1000), tsis tshua muaj neeg (

Hematopoiesis: tsis tshua muaj tshwm sim, nrog kev siv ACE inhibitors, thrombocytopenia, leukopenia, agranulocytosis, mob ntshav qab zib tsis txaus, ntshav tsis txaus yuav tshwm sim, tshwj xeeb tshaj yog rau cov neeg mob tom qab hloov raum, hauv cov neeg mob ntawm hemodialysis.
Los ntawm ib sab ntawm lub paj hlwb: tsis tshua muaj - mob taub hau, paresthesia, asthenia, kiv taub hau, cuam tshuam ntawm lub siab thiab pw tsaug zog.
Los ntawm cov hlab ntshav mob: Orthostatic lossis tsis-orthostatic hypotension tsis tshua muaj neeg ua tau.
Los ntawm cov txheej txheem ua pa: ib qho hnoos qhuav tuaj yeem tshwm sim, uas ploj mus tom qab tsis siv tshuaj.
Los ntawm lub plab zom mov: feem ntau cem quav, qhov ncauj qhuav, xeev siab, tsis nco qab, mob nyob rau thaj tsam epigastric ntawm lub plab, saj ntxhias, tsis tshua muaj leeg mob, rau tus neeg mob lub siab tsis ua hauj lwm, mob hepatic encephalopathy yuav tshwm sim (saib Ntu 4.3 thiab 4.4) Cov.
Kev ua xua: tsis tshua muaj - feem ntau ua rau kev mob nqaij tawv, tshwj xeeb tshaj yog nyob rau cov neeg mob ua rau muaj kev tsis haum tshuaj: maculopapular pob, purpura, exacerbation ntawm cov kab mob lupus erythematosus, tsis tshua muaj tshwm sim - angioedema.
Los ntawm cov leeg nqaij: tsis tshua muaj - cramps.
Ntawm ib feem ntawm cov kev ntsuas ntsuas: hypokalemia yuav tshwm sim (tshwj xeeb tshaj yog rau cov neeg mob uas muaj kev pheej hmoo), hyponatremia (hauv cov neeg mob lub cev qhuav dej), nce ntshav ntshiab uric acid thiab piam thaj, nce me ntsis hauv plasma thiab zis creatinine (ib txwm muaj rau cov neeg mob raum mob raum) cov hlab ntsha, kev mob ntshav hauv kev kho mob ntawm diuretics, lub raum tsis ua haujlwm), uas ploj tom qab tsis siv tshuaj, nce qib ntawm cov tshuaj potassium (feem ntau ib ntus), tsis tshua muaj - nce qib ntawm ntshav altsium.

Txuam nrog indapamide.

Kev tsis zoo hauv lub raum (creatinine tshem tawm)
Kev mob siab rau lub siab ua haujlwm zoo thiab mob rau daim siab mob hlwb.
Hypokalemia (ntshav poov tshuaj ntshav
Ua ke ua ke nrog cov tshuaj tsis muaj zog uas tuaj yeem ua rau loj hlob ntawm paroxysmal ventricular tachycardia ntawm hom “pirouette”.
Kev pub niam mis.

Txuam nrog yeeb tshuaj Prestarium Arginine Combi:

Cov tshuaj tiv thaiv kab mob ua xua (kev ua xua) rau cov tshuaj yeeb dej caw (perindopril lossis indapamide) lossis rau ib qho twg ntawm cov tshuaj, hypersensitivity rau ACE inhibitor lossis rau sulfonamides hauv keeb kwm.

Vim tias tsis muaj kev soj ntsuam txaus, Prestarium Arginine Combi yuav tsum tsis txhob siv:

Cov neeg mob rau mob hemodialysis, Cov neeg mob tsis kho lub siab tsis ua haujlwm sai.

Yuav siv Prestarium Arginine Combi li cas?

Txog kev tswj hwm qhov ncauj.

1 ntsiav tshuaj ntawm cov tshuaj Prestarium arginine Combi ib hnub, nyiam dua thaum sawv ntxov ua ntej noj mov.

Nyob ntawm qhov xwm txheej mob, nws yuav pom zoo kom pib kho nrog monotherapy nrog ib qho ntawm cov tshuaj sib txuas ntawm cov tshuaj (perindopril ntawm ib koob ntawm 2.5 - 5 mg).

Qhov siab tshaj plaws niaj hnub noj tshuaj yog 1 ntsiav tshuaj ntawm cov tshuaj Prestarium arginine Combi ib hnub.

Siv thaum cev xeeb tub thiab lactation.

Kev siv cov tshuaj nyob rau thawj lub hlis thaum cev xeeb tub tsis pom zoo. Thaum npaj lossis cev xeeb tub, tsim kev kho tshuaj yuav tsum tsis ua sai li sai tau. Kev siv cov tshuaj hauv ntu thib ob thiab thib peb ntawm cev xeeb tub yog contraindicated.

Lub raum khiav tsis zoo. Yog tias muaj teeb meem lub raum ua rau lub cev tsis zoo (creatinine tshem tawm)

Poov tshuaj plasma ntshav.Ua ntej noj cov tshuaj thiab thaum nws siv, nws yog ib qho tsim nyog los soj qab plasma poov tshuaj rau cov neeg mob los ntawm cov pab pawg muaj kev pheej hmoo rau kev tshwm sim ntawm hypo- lossis hyperkalemia (cov neeg laus, cov neeg mob tsis txaus los yog noj zaub mov tsis haum, nrog mob plawv, mob plawv tsis ua hauj lwm, cov neeg mob ntshav qab zib mellitus, cirrhosis ntawm daim siab nrog edema thiab ascites lossis cov neeg noj tshuaj ntxiv ntshav). Cov neeg mob uas muaj lub plawv tsis ua hauj lwm (IY degree) lossis mob ntshav qab zib insulin-tiv thaiv ntshav qab zib (vim qhov pheej hmoo tiv thaiv kev noj qab haus huv ntau ntxiv hauv cov ntshav ntshav) tau pom zoo kom pib kho hauv tsev kho mob nrog qhov tsawg kawg.

Perindopril Muaj Feem

Hnoos. Ib yam li lwm tus ACE inhibitors (ACE inhibitors), hnoos qhuav yuav tshwm sim, uas ploj tom qab nws tso tseg. Yog tias tsim nyog, kev kho tuaj yeem txuas ntxiv.

Mob Kev Plab Cov neeg mob tom qab hloov raum los yog lim ntshav muaj feem yuav muaj mob ntshav ເລືອດ txaus. Qhov kev txo qis no yog pom ntau dua nrog cov hauv paus loj dua hemoglobin cov lej. Cov nyhuv no yog koob tshuaj-ywj pheej thiab tej zaum yuav cuam tshuam nrog cov txheej txheem ntawm kev txiav txim ntawm ACE inhibitors. Kev txo qis hemoglobin yog qhov tseem ceeb, nws yuav tshwm sim thaum thawj 1-6 lub hlis, tom qab ntawd nws tswj tau. Kev kho mob ACE tuaj yeem txuas nrog kev soj ntsuam hemoglobin qib xwm yeem.

Aortic stenosis / hypertrophic cardiomyopathy.ACE cov tshuaj tiv thaiv yuav tsum raug txiav txim nrog ceev faj rau cov neeg mob uas muaj qhov cuam tshuam ntawm txoj kev tawm ntawm txoj kev tawm mus sab laug.

Indapamide Muaj Feem xyuam

Hauv cov neeg mob uas muaj ncua QT ntu ntev, hypokalemia, zoo li bradycardia, tuaj yeem pab txhawb kev txhim kho cov mob plawv tsis zoo, suav nrog paroxysmal ventricular tachycardia ntawm pirouette hom, uas tuaj yeem ua rau tuag taus. Nyob rau hauv txhua kis, kev saib xyuas ntau txog qib ntawm cov poov tshuaj hauv cov ntshav yog tsim nyog. Kev txheeb xyuas thawj zaug yuav tsum tau ua thaum thawj lub lim tiam ntawm kev kho mob. Nrog rau kev txo qis hauv cov poov tshuaj qib, nws txoj kev kho yuav tsum ua tiav.

Ntshav calcium. Thiazide thiab thiazide-zoo li cov diuretics tuaj yeem txo cov calcium calcium kev nthuav tawm thiab ua rau me ntsis thiab hloov mus rau hauv plasma calcium ntau ntau. Nrog txoj kev nce ntxiv hauv plasma calcium, nws yog ib qho tsim nyog yuav tau ua ib qho kev soj ntsuam ntxiv thiab tsis suav tias muaj hyperparathyroidism hauv tus neeg mob.

Cov ncaws pob ncaws pob Thaum lub sijhawm siv cov tshuaj Prestarium arginine Combi, qhov tshwm sim zoo yog tau thaum lub sijhawm tswj cov tshuaj hauv cov neeg ncaws pob.

Cov neeg mob uas tau nce uric acid ntau ntau: tej zaum yuav muaj kev nce ntxiv ntawm kev mob gout.

Lub peev xwm los cuam tshuam cov tshuaj tiv thaiv tus nqi thaum tsav tsheb lossis lwm yam txheej txheem.

Prestarium arginine Combi tsis ua txhaum kev xav ntawm psychomotor. Cov tshuaj muaj peev xwm cuam tshuam rau kev muaj peev xwm tsav lub tsheb thiab ua haujlwm nrog cov txheej txheem tsuas yog thaum txo qis ntshav siab, tshwj xeeb thaum pib kho.

Kev phiv los ntawm Prestarium Arginine Combi.

Hematopoiesis: tsis tshua muaj tshwm sim, nrog kev siv ACE inhibitors, thrombocytopenia, leukopenia, agranulocytosis, mob ntshav qab zib tsis txaus, ntshav tsis txaus yuav tshwm sim, tshwj xeeb tshaj yog rau cov neeg mob tom qab hloov raum, hauv cov neeg mob ntawm hemodialysis.
Los ntawm ib sab ntawm lub paj hlwb: tsis tshua muaj - mob taub hau, paresthesia, asthenia, kiv taub hau, cuam tshuam ntawm lub siab thiab pw tsaug zog.
Los ntawm cov hlab ntshav mob: Orthostatic lossis tsis-orthostatic hypotension tsis tshua muaj neeg ua tau.
Los ntawm cov txheej txheem ua pa: ib qho hnoos qhuav tuaj yeem tshwm sim, uas ploj mus tom qab tsis siv tshuaj.
Los ntawm lub plab zom mov: feem ntau cem quav, qhov ncauj qhuav, xeev siab, tsis nco qab, mob nyob rau thaj tsam epigastric ntawm lub plab, saj ntxhias, tsis tshua muaj leeg mob, rau tus neeg mob lub siab tsis ua hauj lwm, mob hepatic encephalopathy yuav tshwm sim (saib Ntu 4.3 thiab 4.4) Cov.
Kev ua xua: tsis tshua muaj - feem ntau ua rau kev mob nqaij tawv, tshwj xeeb tshaj yog nyob rau cov neeg mob ua rau muaj kev tsis haum tshuaj: maculopapular pob, purpura, exacerbation ntawm cov kab mob lupus erythematosus, tsis tshua muaj tshwm sim - angioedema.
Los ntawm cov leeg nqaij: tsis tshua muaj - cramps.
Ntawm ib feem ntawm cov kev ntsuas ntsuas: hypokalemia yuav tshwm sim (tshwj xeeb tshaj yog rau cov neeg mob uas muaj kev pheej hmoo), hyponatremia (hauv cov neeg mob lub cev qhuav dej), nce ntshav ntshiab uric acid thiab piam thaj, nce me ntsis hauv plasma thiab zis creatinine (ib txwm muaj rau cov neeg mob raum mob raum) cov hlab ntsha, kev mob ntshav hauv kev kho mob ntawm diuretics, lub raum tsis ua haujlwm), uas ploj tom qab tsis siv tshuaj, nce qib ntawm cov tshuaj potassium (feem ntau ib ntus), tsis tshua muaj - nce qib ntawm ntshav altsium.

Kev sib cuam tshuam ntawm Prestarium Arginine Combi.

Thaum siv yeeb tshuaj Prestarium arginine Combi, nws yog ib qho tsim nyog yuav tsum nco ntsoov tias qhov no yog kev sib koom ua ke, yog li ntawd, rau qhov kev ntsuas dav dav ntawm qhov muaj peev xwm cuam tshuam nrog lwm cov tshuaj, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv ob qho tib si cov tshuaj xyaw ntawm cov tshuaj.

Qhov kev xav tsis sib xyaw txuam nrog tshuaj Prestarium arginine Combi

Lithium. Nrog rau kev siv tib lub sijhawm nrog lithium npaj, nws muaj peev xwm nce qib ntawm lithium hauv cov ntshav ntshav (vim tias cov roj ntsha tsis muaj lithium ntau dua) thiab cov tsos mob tshwm sim ntawm nws txoj kev noj ntau dhau. Yog tias tsim nyog, kev teem sij hawm ntawm kev sib koom ua ke no, nws yog qhov tsim nyog los tswj cov theem ntawm cov roj ntsha lithium hauv cov ntshav.

Txuam nrog perindopril.

Poov tshuaj-sparing diuretics (amiloride, spironolactone, triamteren hauv kev kho mob monotherapy lossis hauv kev sib xyaw), cov ntsev ntsev ntawm cov ntsev: tuaj yeem ua rau muaj kev nce siab ntxiv hauv cov qib poov tshuaj hauv ntshav plasma, uas tuaj yeem ua rau muaj kev phom sij rau lub neej. Cov tshuaj uas tuaj yeem nce ntxiv cov poov tshuaj yuav tsum tsis txhob siv cov tshuaj ACE inhibitors. Yog tias kev siv sib xyaw yog raug qhia vim muaj cov tshuaj tiv thaiv hypokalemia, lawv yuav tsum tau txiav txim siab nrog kev ceev faj thiab nrog kev soj ntsuam ntau ntxiv ntawm cov qib potassium thiab ECG.

Txuam nrog indapamide.

Suloprid. Txoj kev pheej hmoo ntawm ventricular arrhythmia, tshwj xeeb tshaj yog paroxysmal ventricular tachycardia ntawm pirouette hom, tau nce (hypokalemia yog qhov muaj kev pheej hmoo rau qhov tshwm sim no).

Zoo Tshaj Kawg Nkaus Ua Ke nrog Prestarium Arginine Combi

Baclofen txhim kho cov nyhuv antihypertensive ntawm cov tshuaj. Nws yog ib qho tsim nyog los saib xyuas ntshav siab thiab lub raum ua haujlwm.

Cov tshuaj tsis-steroidal los tiv thaiv cov tshuaj mob (tshwj xeeb indomethacin), cov tshuaj salicylates ntau ntau tuaj yeem ua rau txo qis cov diuretic, natriuretic thiab antihypertensive los ntawm cov tshuaj, qhov kev pheej hmoo ntawm mob raum tsis ua hauj lwm hauv cov neeg laus thiab cov neeg mob lub cev qhuav dej (vim muaj txo glomerular pom). Nws yog ib qho tsim nyog los tswj kev ua haujlwm lub raum thaum pib ntawm kev kho mob thiab rov qab tso dej-electrolyte tshuav nyiaj thiab kom ntseeg tau tias tus neeg mob siv dej txaus.

Tricyclic antidepressants (imipramin-like), tshuaj tiv thaiv kev tiv thaiv: muaj qhov nce ntawm cov nyhuv hypotensive thiab qhov kev pheej hmoo ntawm kev txhim kho orthostatic hypotension tau nce.

GCS, tetracosactide (kev ua haujlwm hauv lub cev) txo cov nyhuv hypotensive ntawm cov tshuaj vim tias kev tuav dej thiab sodium ions nyob hauv qab ntawm GCS

Lwm cov tshuaj tiv thaiv kabmob ua ke nrog perindopril / indapamide tuaj yeem ua rau txo ntshav nce ntxiv.

Perindopril-Hais Txog Sib Koom Ua Ke

Cov tshuaj qab zib-txo qis (insulin, piam thaj-txo sulfonamides). ACE inhibitors tuaj yeem txhim kho cov nyhuv hypoglycemic hauv cov neeg mob tau txais insulin lossis hypoglycemic sulfonamides. Qhov tshwm sim ntawm kev mob tshwm sim ntawm kev mob ntshav qab zib yog qhov tsawg heev thiab cuam tshuam nrog kev txhim kho hauv kev tso kua nplaum tawm.

Tshuaj rau tshuaj loog: ACE inhibitors tuaj yeem txhim kho hypotensive nyhuv ntawm qee cov tshuaj rau tshuaj loog.

Allopurinol, cytostatics, siv tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob corticosteroids, lossis procainamide siv nrog ACE inhibitors tuaj yeem ua rau muaj kev pheej hmoo ntawm leukopenia.

Diuretics (thiazide thiab ntxig). Pretreatment nrog kev txhaj tshuaj zoo ntawm kev siv tshuaj ntau dhau tuaj yeem ua rau lub cev qhuav dej, uas yuav ua rau muaj kev pheej hmoo ntawm hypotension thaum pib ntawm kev kho perindopril.

Noj ntau dhau ntawm Prestarium Arginine Combi.

Yog tias muaj kev noj ntau dhau (noj ntau dhau ntawm cov tshuaj), ib qho kev xav tsis zoo xws li mob ntshav lub hlwb yog qhov feem ntau pom, uas qee zaum tuaj yeem nrog xeev siab, ntuav, ntuag, kiv taub hau, tsaug zog, tsis meej pem, oliguria, uas tuaj yeem hloov mus rau anuria (vim yog hypovolemia).Kev ua txhaum ntawm cov dej-electrolyte tshuav nyiaj (txo qis hauv cov qib ntawm cov potassium thiab sodium hauv cov ntshav ntshav).

Kev Kho Mob. Nws yog ib qho tsim nyog yuav tsum tau tshem tawm cov tshuaj tawm ntawm lub cev: yaug lub plab, sau daim ntawv ua kom hluav ncaig hluav taws xob thiab rov qab ua kom cov dej-electrolyte sib npaug hauv tsev kho mob.

Hauv kev mob siab tshaj, tus neeg mob yuav tsum tau muab txoj haujlwm tav toj nrog lub taub hau qis. Suab kho kho siab Yog tias tsim nyog, ua haujlwm coj los kho cov tshuaj isotonic los yog siv lwm txoj hauv kev ntxiv ntshav ntim.

Perindoprilat tuaj yeem tshem tawm hauv lub cev los ntawm hemodialysis.

Hauv tsab xov xwm no, koj tuaj yeem nyeem cov lus qhia rau kev siv tshuaj yaj yeeb Perindopril Cov. Muab tswv yim los ntawm cov neeg tuaj saib rau ntawm thaj chaw - cov neeg tau txais kev pab ntawm cov tshuaj no, nrog rau kev xav ntawm cov kws kho mob tshwj xeeb txog kev siv Perindopril hauv lawv cov kev coj ua. Qhov kev thov loj yog nquag ntxiv kev tshuaj xyuas koj ntawm cov tshuaj: cov tshuaj tau pab lossis tsis pab ua kom tshem tawm ntawm tus kabmob, muaj dab tsi tshwm sim thiab cov kev mob tshwm sim, tejzaum nws tsis tshaj tawm los ntawm tus tsim khoom hauv cov lus piav qhia. Kev sib piv ntawm Perindopril nyob rau hauv muaj cov qauv txheej txheem. Siv rau kev kho mob ntshav siab thiab txo ntshav siab rau cov neeg laus, menyuam yaus, nrog rau thaum cev xeeb tub thiab lactation. Cov tshuaj muaj pes tsawg leeg.

Perindopril - ACE inhibitor. Nws yog cov prodrug los ntawm cov nquag metabolite perindoprilat tsim hauv lub cev. Nws ntseeg tau hais tias cov txheej txheem ntawm antihypertensive kev ua yog txuam nrog kev sib tw inhibition ntawm ACE kev ua si, uas ua rau txo qis kev hloov pauv ntawm angiotensin 1 rau angiotensin 2, uas yog vasoconstrictor haib. Raws li ib qho kev txo qis hauv kev ua haujlwm ntawm cov tshuaj angiotensin 2, qhov kev nce qib thib ob hauv plasma renin kev ua haujlwm tshwm sim vim yog kev tshem tawm cov lus tsis zoo thaum lub sijhawm tso tawm thiab muaj kev txo qis rau aldosterone secretion. Vim nws cov nyhuv vasodilating, nws txo OPSS (afterload), jamming siab nyob rau hauv cov hlab ntsws capillaries (preload) thiab tawm tsam hauv cov hlab ntsws, ua rau lub plawv tawm thiab ua rau lub cev muaj zog.

Cov nyhuv los tiv thaiv kev loj hlob thaum thawj teev tom qab noj perindopril, nce mus txog qhov siab kawg los ntawm 4-8 teev thiab kav ntev li 24 teev.

Perindopril erbumin + kev tshaj tawm.

Perindopril arginine + excipients.

Tom qab kev tswj hwm ntawm qhov ncauj, perindopril nrawm nrawm los ntawm lub plab zom mov. Bioavailability yog 65-70%. Hauv cov txheej txheem ntawm cov metabolism, perindopril yog biotransformed nrog kev tsim ntawm lub cev nquag metabolite - perindoprilat (li 20%) thiab 5 lub cev tsis siv lub zog. Kev khi ntawm perindoprilat rau cov ntshav plasma protein yog qhov tseem ceeb (tsawg dua 30%) thiab nyob ntawm qhov kev saib xyuas ntawm cov tshuaj nquag. Tsis cumulate. Rov tswj hwm txoj cai tsis coj mus rau tsub ntxiv (tsub zuj zuj). Thaum noj nrog zaub mov, perindopril metabolism ua rau kom qis. Perindoprilat ua tawm ntawm lub cev los ntawm lub raum. Hauv cov neeg mob laus, ntxiv rau lub raum thiab lub plawv tsis ua haujlwm, kev tawm ntawm perindoprilat qeeb qeeb.

arterial hypertension (txo hauv siab),
mob plawv tsis ua hauj lwm (CHF).

Ntsiav tshuaj 2 mg, 4 mg thiab 8 mg (suav nrog cov ntsiav tshuaj coated).

Cov lus qhia rau kev siv thiab ntau npaum li cas

Thawj koob tshuaj yog 1-2 mg ib hnub twg hauv 1 koob tshuaj. Cov koob tshuaj txij nkawm - 2-4 mg ib hnub rau cov mob plawv tsis txaus, 4 mg (tsawg zaus - 8 mg) - rau kev mob ntshav siab hauv 1 koob tshuaj.

Yog tias tsis pom lub raum kev ua haujlwm, yuav tsum kho cov tshuaj ntau npaum li cas raws li QC qhov tseem ceeb.

hnoos qhuav
dyspeptic tshwm sim
qhov ncauj qhuav
saj kev ntxhov siab
mob taub hau
pw thiab / lossis kev ntxhov siab ntxhov siab,
kiv taub hau
cramps
cov ntshav hemoglobin tsawg dua (tshwj xeeb thaum pib kho),
qhov ua rau cov ntshav liab tsawg thiab / lossis platelets txo,
thim rov qab tau nyob rau hauv creatinine thiab uric acid qib,
angioedema,
daim tawv nqaij ua pob
erythema
kev sib daj sib deev.

keeb kwm ntawm angioedema,
cev xeeb tub
kev pub mis
cov me nyuam muaj hnub nyoog
kev tso ntshav tawm rau perindopril.

Cev xeeb tub thiab lactation

Perindopril yog contraindicated nyob rau hauv cev xeeb tub thiab lactation (pub niam mis).

Siv rau menyuam yaus

Contraindicated nyob rau hauv thaum yau.

Siv nrog ceev faj nyob rau hauv raum tsis ua hauj lwm thiab mob ntshav siab arterial tawg.

Ua ntej pib kho nrog perindopril, kev kawm ntawm lub raum ua haujlwm raug pom zoo rau txhua tus neeg mob.

Thaum kho nrog perindopril, lub raum ua haujlwm, hepatic enzyme kev ua haujlwm hauv cov ntshav yuav tsum tau soj ntsuam tas li, kev kuaj ntshav peripheral yuav tsum tau ua (tshwj xeeb tshaj yog nyob rau cov neeg mob uas muaj kab mob sib kis ntawm cov nqaij mos, hauv cov neeg mob uas tau txais tshuaj tiv thaiv kab mob, allopurinol). Ua ntej pib kev kho mob, cov neeg mob sodium thiab kua dej tsis txaus yuav tsum raug kho rau cov dej-electrolyte cuam tshuam.

Thaum kho nrog perindopril, hemodialysis siv polyacrylonitrile daim nyias nyias tsis tuaj yeem ua (qhov kev pheej hmoo ntawm kev phiv tshuaj yog qhov nce ntxiv).

Perindopril yuav tsum tau siv nrog kev ceev faj ib txhij nrog cov tshuaj uas tuaj yeem ua rau muaj kev nce siab ntxiv hauv cov ntshav (indomethacin, cyclosporine). Tsis pom zoo siv nrog cov tshuaj potassium-sparing diuretics thiab potassium kev npaj tsis pom zoo.

Nrog rau kev siv ua ke nrog cov tshuaj tiv thaiv antihypertensive, cov leeg ua kom mob, ua kom loog, nws muaj peev xwm nce cov nyhuv antihypertensive.

Nrog tib lub sijhawm siv nrog lub voj diuretics, thiazide diuretics, ib qho kev nce ntawm antihypertensive nyhuv yog tau. Kev mob ntshav qis heev, tshwj xeeb tshaj yog tom qab noj thawj koob ntawm diuretic, zoo li yog vim muaj hypovolemia, uas ua rau muaj qhov hloov qis dua hauv cov nyhuv hypotensive ntawm perindopril. Nce kev pheej hmoo ntawm qhov tsis zoo lub raum.

Nrog rau kev siv tib lub sijhawm nrog sympathomimetics, qhov txo qis hauv cov nyhuv antihypertensive ntawm perindopril yog ua tau.

Nrog rau kev siv ua ke nrog tricyclic antidepressants, antipsychotics (antipsychotics), kev pheej hmoo ntawm kev txhim kho postural hypotension nce.

Nrog rau kev siv ib txhij nrog indomethacin, cov nyhuv antihypertensive ntawm perindopril poob qis, pom tseeb vim yog qhov inhibition ntawm cov synthesis ntawm prostaglandins nyob rau hauv kev cuam tshuam ntawm cov tshuaj tsis-steroidal anti-inflammatory (NSAIDs) (uas ntseeg tias ua lub luag haujlwm hauv kev txhim kho hypotensive nyhuv ntawm ACE inhibitors).

Nrog rau siv ua ke nrog cov tshuaj insulin, hypoglycemic agents, sulfonylurea derivatives, hypoglycemia yuav tshwm sim vim muaj kev tiv thaiv ntshav qabzib ntau dua.

Kev siv ua ke ntawm perindopril thiab ethanol (cawv) tsis pom zoo, tab sis tsis muaj qhov tshwm sim rau tib neeg lub cev.

Nrog rau kev siv ua ke nrog cov tshuaj potassium-sparing diuretics (suav nrog spironolactone, triamteren, amiloride), cov tshuaj potassium, cov ntsev hloov thiab cov tshuaj noj rau cov zaub mov muaj cov tshuaj potassium, hyperkalemia yuav muaj (tshwj xeeb yog cov neeg mob uas lub raum tsis ua haujlwm), vim tias ACE inhibitors txo cov ntsiab lus ntawm aldosterone, uas ua rau muaj kev ncua sijhawm ntawm cov poov tshuaj hauv lub cev tiv thaiv keeb kwm yav dhau los ntawm kev txwv qhov tsis txaus ntawm cov poov tshuaj lossis nws cov dej ntxiv.

Nrog tib lub sijhawm siv nrog lithium carbonate, qhov txo qis ntawm qhov tsis pom ntawm lithium los ntawm lub cev yog ua tau.

Cov tshuaj ntawm cov tshuaj Perindopril

Cov qauv ntawm cov qauv ua kom tau zoo (suav nrog kev sib xyaw nrog lwm yam):

Areentopres
Hypernik
Dalneva,
Coverex,
Ko Perineva,
Noliprel
Noliprel A
Noliprel Forte
Parnawel
Perindid
Perindopril Pfizer,
Perindopril Richter,
Perindopril arginine,
Perindopril erbumin,
Perindopril Indapamide Richter,
Perindopril ntxiv rau indapamide,
Perineva,
Piav,
Pyristar
Prestanz
Pheej Yig
Prestarium A
Nres.

Thaum tsis muaj cov tshuaj analogues ntawm cov tshuaj rau cov tshuaj yeeb dej caw, koj tuaj yeem ua raws cov txuas hauv qab no rau cov kab mob uas pab cuam rau cov tshuaj sib txuas thiab pom cov tshuaj muaj analogues rau kev kho mob nyhuv.

Indapamide muaj cov roj ntsha ntawm BP-txo qis, yog tias koj ua raws li cov cai rau nws kev tswj hwm, nws tsis tshua muaj kev phiv. Cov tshuaj belongs rau diuretic tshuaj.

Hauv cov txheej txheem ntawm kev kho mob ntshav siab, tus kws kho mob yuav tsum sau tshuaj diuretics, txij li ntshav siab poob qis dua nrog kev tshem tawm cov dej tawm hauv lub cev. Kev lag luam kws tshuaj tau tsim ntau heev. Feem ntau, yog tias muaj edema, tus kws kho mob tau sau ntawv rau Indapamide rau qhov siab. Txawm li cas los xij, cov tshuaj muaj contraindications thiab cov yam ntxwv ntawm kev siv, yog li lawv xav tau kev koom tes nrog kev kho mob nrog kws kho mob.

Indapamide rau kev kub siab

Cov tshuaj ntsiav lossis ntsiav tshuaj los ntawm lub siab ua rau kub siab pib ua 30 feeb tom qab noj. Cov nyhuv hypotonic ntev li 23-24 teev.

Qhov txo qis hauv cov ntshav siab yog vim qhov kev tiv thaiv hypotensive, diuretic thiab vasodilating - cov qib ntshav pib poob vim muaj cov cawv ntawm cov tshuaj nquag, tshem tawm cov kua dej ntau dhau ntawm lub cev thiab nthuav cov hlab ntshav thoob plaws lub cev.

Kev cuam tshuam nrog lwm yam tshuaj

Ib tug neeg feem ntau raug yuam kom siv ntau cov tshuaj uas zwm rau ntawm cov pab pawg sib txawv. Lawv cov tshuaj nquag yuav txo qis lossis ua kom zoo dua ntawm Indapamide. Nws tsim nyog nyob hauv kev nthuav dav ntxiv ntawm qhov "kev cuam tshuam" li cas.

Cov nyhuv antihypertensive ntawm cov tshuaj nce ntxiv thaum siv ua ke nrog cov tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob - qhov no tuaj yeem ua rau lub siab poob qis.

Thaum ua ke nrog erythromycin, ib tus neeg muaj kev tsim tachycardia; hauv Cyclosporin complex, creatinine qib nce. Kev siv ib txhij ua ke nrog cov tshuaj, uas suav nrog iodine, tuaj yeem ua rau lub cev qhuav dej. Kev poob poov tshuaj yog nce siab los ntawm laxatives, saluretics thiab plauv mob glycosides.

Kev ntsuas rau siv tib txhij

Kev sib xyaw ntawm Lisinopril thiab Indapamide ua tau zoo rau kev kho mob ntawm kev mob siab thiab mob ntev. Ntawm kev txiav txim siab ntawm tus kws kho mob, ob qho tshuaj yuav tuaj yeem kho rau lub plawv tsis ua haujlwm ntev.

Lisinopril ua ke nrog Indapamide ua hauj lwm zoo rau kev kho mob nyuaj rau mob siab thiab mob ntshav qab zib ntev.

Yuav noj Lisinopril thiab Indapamide li cas

Txhawm rau txhim kho tus mob thiab tsis tu ncua kom txo tau qhov siab, ob qho tshuaj yuav tsum siv sij hawm ntev, nyob rau qee kis. Yog li, qhov ntau npaum ntawm cov tshuaj yuav tsum tau xam los ntawm tus kws kho mob nyob ntawm seb daim duab soj ntsuam ntawm tus kab mob thiab cov yeeb yam ntawm tus neeg mob.

Feem ntau, qhov pib ntawm Lisinopril yog ib ntsiav tshuaj ntawm 5-10 mg, 2.5 mg ntawm Indapamide (1 ntsiav tshuaj) txaus.

Cov tshuaj yog noj ntawm qhov ncauj, tsis yog dag, muaj dej ntau.

Sab nyhuv ntawm indapamide

Lwm cov kev phiv ntawm Indapamide:

kev ua xua (urticaria, anaphylaxis, Quincke's edema, dermatosis, ua pob)
Lyell cov tsos mob
dryness ntawm lub qhov ncauj mucosa,
Stevens-Johnson mob
hnoos
tsis muaj zog
kiv taub hau
xeev siab, ntuav,
mob leeg
mob taub hau
kev tshee
daim siab ua hauj lwm
pancreatitis
cem quav
orthostatic hypotension.

Cov tshuaj "Lisinopril" thiab "Indapamide" yog dab tsi?

"Lisinopril" thiab "Indapamide" yog npaj rau kev kho mob siab dua.

Rov qab rau cov lus txheej txheem

Kuv tuaj yeem hloov pauv cov tshuaj licas

Xaus

Cov tshuaj Indapamide maj mam txo qhov siab thoob plaws ib hnub. Nrog nws li niaj zaus thiab siv kom raug, ntshav cov ntshav qis dua li 7 hnub txij li hnub coj. Tab sis kev kho mob tsis tuaj yeem cuam tshuam nyob rau theem no, txij li kev kho tau mus txog nws qhov tshwm sim ntau tshaj plaws nyob rau hauv 2.5-3 lub hlis. Txhawm rau kom tau txais txiaj ntsig zoo tshaj plaws ntawm cov tshuaj, koj kuj yuav tsum ua raws li cov lus pom zoo rau kev kho mob: ua raws li kev noj haus rau kev kub siab, kho lub sijhawm so, lwm cov tshuaj noj.

Niaj hnub no, cov kabmob uas nquag pom tshaj plaws yog mob ntshav siab lossis tawg. Hauv lwm lo lus, qhov no yog cov mob ntshav siab. Txoj kev mob no loj hlob tuaj vim yog los ntawm lwm qhov, piv txwv, kev ntxhov siab, ua haujlwm dhau, ua si lub cev, tsis muaj so, muaj kev hloov pauv ntawm huab cua lossis kab mob ntawm cov nruab nrog cev. Hmoov tsis zoo, cov kab mob no tsis tuaj yeem kho kom zoo - nws yog tus kab mob ntev.

Ntawm thawj cov cim ntawm kub siab, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Tus kws kho mob tshwj xeeb yuav xaiv cov kev kho mob ib leeg rau ib leeg twg uas yuav pab ua kom ntshav nce siab thiab tshem tawm cov tsos mob hnyav. Ib qho kev kho mob suav nrog diuretics. Cov tshuaj no muaj cov tshuaj sib txawv ntawm cov tshuaj, tab sis lawv txhua tus muaj txiaj ntsig tshem tawm cov dej tawm hauv lub cev. Cov tshuaj yog diuretic. Feem ntau, kws kho mob suav nrog cov tshuaj Indapamide hauv kev kho mob lub ntsiab, cov lus qhia rau kev siv ntawm qhov twg thiab nyob rau dab tsi tshuaj yuav tsum noj, peb yuav tham hauv tsab xov xwm no.

Cov yam ntxwv dav dav ntawm cov tshuaj

Indapamide yog ib qho paub zoo diuretic, uas nquag siv rau kev kho mob ntshav siab, nrog rau o tuaj ntawm lub plawv tsis ua haujlwm. Ntsiav tshuaj ua haujlwm zoo tshem tawm cov kua dej ntau dhau ntawm lub cev thiab ua kom zoo tsim cov hlab ntshav, uas yuav pab ua kom ntshav siab.

Cov tshuaj tau tso tawm hauv daim ntawv ntawm cov ntsiav tshuaj, uas tau lo nrog lub plhaub dawb saum taub hau. Hauv ib pob muaj peev xwm muaj 10 lossis 30 ntsiav tshuaj, uas tso cai rau ib tus neeg xaiv cov nqi tsim nyog rau nws tus kheej.

Cov tshuaj yog tsim los ntawm ntau lub tuam txhab pharmacological, tab sis lawv muaj pes tsawg leeg tsis hloov. Lub ntsiab nquag ua hauj lwm yog indapamide. Hauv ib ntsiav tshuaj nws muaj li 2.5 mg. Ntxiv rau cov tshuaj no, cov tshuaj muaj cov ntxiv kom muaj lub cev zoo. Cov tshuaj muaj cov khoom xyaw pabcuam:

cov hmoov txhuv nplej siab
collidone CL,
mis nyuj qab zib lossis lactose,
magnesium stearate,
povidone 30,
talcum hmoov
cellulose.

Tseem Ceeb! Dab tsi ntawm Indapamide pab tau? Cov tshuaj yog tawm rau txhawb ntshav siab. Nws lub cev ua haujlwm tau muaj peev xwm tshem tawm cov dej kom ntau dhau ntawm lub cev, thiab tseem tsim nyog nthuav cov hlab ntsha. Vim los ntawm cov nyhuv, cov tshuaj zoo normalizes ntshav siab.

Tus txheej txheem ntawm kev txiav txim ntawm lub cev

Cov tshuaj muaj kev cuam tshuam ntawm lub cev. Nws lub Cheebtsam tshem cov dej thiab cov dej qab ntsev ntxiv rau hauv lub cev. Lawv ntxias cov ntshav tawm sai, uas yuav pab tshem cov kua hauv cov nqaij thiab cov kab noj hniav kom tsawg.

Pharmacological kev txiav txim

Indapamide yog cov tshuaj zoo zoo hais txog thiazide zoo li diuretics. Tsis tas li ntawd, cov tshuaj yaj kho cov hlab ntsha thiab khi lawv cov phab ntsa. Ua ke, cov kev sib cuam tshuam no tuaj yeem kho ntshav siab thiab txhim kho cov neeg mob ib txwm muaj.

Yog tias qhov koob tshuaj txhua hnub yog 1.5-2.5 mg, tom qab ntawd qhov no txaus los tiv thaiv vasoconstriction. Qhov no txhais tau tias lub siab yuav nyob hauv qhov kev txwv ib txwm muaj. Tsis tas li ntawd, qhov ntau npaum no pab txhim kho lub phab ntsa ntawm cov hlab ntsha thiab tiv thaiv cov leeg mob hauv plawv los ntawm kev hloov pauv hauv ntshav siab. Hauv qhov xwm txheej ntawd, yog tias qhov ntau ntawm cov tshuaj tau nce rau 5 mg rau ib hnub, tom qab ntawv qhov nyiaj no yuav txaus kom txo tau o. Txawm li cas los xij, qhov kev nce ntxiv tsis cuam tshuam rau theem ntawm lub siab.

Nrog kev siv li niaj zaus, qhov ua kom pom tseeb tshwm sim tom qab 7-14 hnub tom qab noj tshuaj. Cov tshuaj muaj cov nyhuv siab tshaj plaws tom qab 2-3 lub hlis ntawm kev kho. Qhov ua tau zoo kav rau 8 lub lis piam. Yog tias cov ntsiav tshuaj noj ib zaug, tom qab ntawd cov txiaj ntsig xav tau tshwm sim hauv 12-24 teev.

Nws yog qhov zoo dua rau kev noj cov tshuaj rau ntawm lub plab khoob lossis tom qab noj mov, txij li thaum siv cov ntsiav tshuaj nrog zaub mov kom qeeb nws cov nyhuv rau hauv lub cev, tab sis tsis cuam tshuam rau nws qhov kev ua tau zoo. Cov nquag ua haujlwm ntawm Indapamide tau nrawm rau hauv lub plab zom mov, yog li lawv faib ncaj rau thoob plaws lub cev.

Lub siab ua kom lub cev huv ntawm cov tshuaj lom neeg lub cev ntawm cov ntsiav tshuaj. Lawv kuj tau ua tiav los ntawm lub raum thiab ua rau nrog rau cov zis (70-80%) tom qab kwv yees li 16 teev.Kev zam tawm los ntawm kev zom zaub mov yog li ntawm 20-30%. Lub ntsiab ua kom nquag plias nyob rau hauv nws daim ntawv ntshiab yog nthuav tawm los ntawm kwv yees li 5%. Txhua feem ntawm nws lub cev muaj qhov tsim nyog ua haujlwm ntawm lub cev.

Kuv puas tuaj yeem siv tib lub sijhawm?

"Lisinopril" thiab "Indapamide" tsis yog tuaj yeem nqa tib lub sijhawm, tab sis kuj tsim nyog. Lawv kev sib xyaw ua ke yog qhov siab thiab siab poob sai dua. Cov qauv hauv qab no yog kev pom zoo:

Thaum sawv ntxov koj yuav tsum noj "Indapamide" (nws yog ib qho tshuaj zoo tso tawm, yog li nws yuav zoo dua tsis txhob coj nws thaum hmo ntuj).
Nyob rau yav tsaus ntuj, "Lisinopril."
Yog tias lub siab tsis zuj zus lawm, tom qab ntawv nws yuav zoo dua yog haus 1 lub tshuaj ntawm txhua qhov tshuaj.

Txoj kev kho yuav tsum yog kws kho mob sau tseg, raws li cov cim qhia ntawm tus neeg mob.

Koj yuav tsum nyeem: 2 feeb

"Lisinopril" thiab "Indapamide" yog npaj rau kev kho mob siab dua.

arrhythmia,
mob taub hau
mob hauv siab
o thaum cev xeeb tub,
muaj peev xwm tsis xws luag hauv plab.

kiv taub hau
mob taub hau
kev nyuaj siab
mob hlab ntsws
mob ntsws npog.

"Lisinopril" thiab "Indapamide" tsis yog tuaj yeem nqa tib lub sijhawm, tab sis kuj tsim nyog. Lawv kev sib xyaw ua ke yog qhov siab thiab siab poob sai dua. Cov qauv hauv qab no yog kev pom zoo:

Thaum sawv ntxov koj yuav tsum noj "Indapamide" (nws yog ib qho tshuaj zoo tso tawm, yog li nws yuav zoo dua tsis txhob coj nws thaum hmo ntuj).
Nyob rau yav tsaus ntuj, "Lisinopril."
Yog tias lub siab tsis zuj zus lawm, tom qab ntawv nws yuav zoo dua yog haus 1 lub tshuaj ntawm txhua qhov tshuaj.

Txoj kev kho yuav tsum yog kws kho mob sau tseg, raws li cov cim qhia ntawm tus neeg mob.

Qhov tsuas yog Indapamide kev taw qhia yog txoj hlab ntshav tawg. Nws yog qhov tshwj xeeb tas li yog tias qhov nce ntawm cov ntshav siab yog nrog los ntawm kev mob hnyav thiab cov kua dej kom tsis txhob poob.Los ntawm kev tshem cov kua ntau dhau, ntshav siab poob qis.

Tus nqi nruab nrab ntawm cov tshuaj yog 20-50 rubles, nyob ntawm lub khw muag tshuaj network. Cov tshuaj yog ib qho ntawm pheej yig tshuaj diuretics siv rau kev mob ntshav siab.

Tseem Ceeb! Nyob rau hauv tsis muaj qee yam yuav tsum tau koj pib noj tshuaj diuretics koj tus kheej, tshwj xeeb tshaj yog nrog cov cim ntawm lub raum tsis ua haujlwm.

Tsis tas li, cov tshuaj no yuav tsum tsis txhob siv rau hauv kev tsis haum rau cov khoom muaj pes tsawg leeg, feem ntau cov diuretic nws tus kheej, thiab lwm yam tshuaj uas tsim cov tshuaj.
Xws li, koj yuav tsum tsis txhob siv cov tshuaj rau lactose tsis haum, vim nws yog ib feem ntawm cov ntsiav tshuaj nws tus kheej.
Ib qho kev qhia nruj me nyuam yog hnub nyoog menyuam yaus. Txog thaum muaj hnub nyoog kaum yim xyoo, cov tshuaj tiv thaiv kab mob siab tshaj no yuav tsum tsis txhob siv, vim tias tsis muaj pov thawj nws muaj kev nyab xeeb rau menyuam yaus.
Indapamide yuav tsum tsis txhob siv thaum cev xeeb tub xws li: kev yug menyuam thiab lub sijhawm pub mis niam yog qhov tsis ncaj rau kev siv tshuaj.

Cov diuretic no kuj muaj qee qhov kev mob tshwm sim. Lawv tsis tshwm sim ntau zaus yog tias koj siv Indapamide raws li cov lus qhia. Cov kev mob tshwm sim hauv qab no feem ntau yog qhov txawv:

kiv taub hau, mob taub hau, pw tsaug zog ntxhov siab, hawb pob, lwm yam cuam tshuam ntawm cov leeg hlwb,
hypotension, lub suab sib dhos cuam tshuam, lwm cov kev phiv los ntawm cov ntshav ncig,
mob hnyav hnoos, mob pharyngitis, mob ntsws,
ntau yam kab mob kis tau los ntawm cov neeg dhau los,
hematopoiesis, hloov ntshav kuaj,
txhua yam kev tsis haum tshuaj, tawm pob ntawm daim tawv nqaij, tso zis.

Cov kev mob tshwm sim no feem ntau tshwm sim thaum noj Indapamide. tab sis nrog kev nkag tau kom raug, qhov tshwm sim ntawm qhov tshwm sim yog tsawg heev.

Xav txog yam tshuaj twg Indapamide tuaj yeem hloov thiab yam tshuaj twg zoo dua.

Concor thiab Indapamide muaj kev sib xyaw zoo, lawv feem ntau tau sau tseg ua kev sib koom tes sib kho. Indapamide kuj tseem tuaj yeem ua ke zoo nrog lwm cov beta-blockers.

Lorista (angiotensin receptor antagonist) thiab indapamide tuaj yeem ua ke nrog kev tso cai los ntawm tus kws kho mob. Kuj ntau, ob hom tshuaj no yog sau ua ke rau kev kho zuaj.

Prestarium yog ib hom tshuaj siv rau kev kho mob siab thiab lub plawv tsis zoo. Nws tshwm sim hais tias nws yog kws kho nrog rau diuretics, tshwj xeeb - nrog Indapamide. Cov tshuaj no tau zoo ua ke.

Nrog rau kev mob ntshav siab, nws yog qhov zoo dua los xaiv thawj lub tshuaj diuretic, vim tias cov tshuaj no yog npaj los kho tus mob no. Furosemide feem ntau yog siv rau lwm yam kabmob.

Diuver yog qhov zoo dua nyob rau hauv cov nyhuv rau Furosemide, thaum nws tseem feem ntau kho kev mob ntshav siab. Qhov cuab yeej no tshwj xeeb tshaj yog pab nrog kev tsim kho ntawm edema.Nws muaj ntau dua contraindications, yog li ua ntej koj pib siv, koj yuav tsum nyeem cov lus qhia rau kev siv.

Cov tshuaj ntsiav lossis ntsiav tshuaj los ntawm lub siab ua rau kub siab pib ua 30 feeb tom qab noj. Cov nyhuv hypotonic ntev li 23-24 teev.

Qhov txo qis hauv cov ntshav siab yog vim qhov kev tiv thaiv hypotensive, diuretic thiab vasodilating - cov qib ntshav pib poob vim muaj cov cawv ntawm cov tshuaj nquag, tshem tawm cov kua dej ntau dhau ntawm lub cev thiab nthuav cov hlab ntshav thoob plaws lub cev.

Txoj cai nkag mus kawm:

siv nyob rau lub sijhawm tau hais meej kom tswj tau ib ncua sijhawm 24 teev,
ntsiav tshuaj lossis tshuaj ntsiav tau nqos tag nrho
ntxuav cia nrog tseem dej hauv lub ntim ntawm tsawg kawg 150 ml,
tsuas yog nyob ntawm kev pom zoo ntawm tus kws kho mob, hloov cov tshuaj lossis tso tseg qhov kev kho mob.

Cov tshuaj hauv qab no raug tso cai kom noj nrog Indapamide:

Concor thiab lwm yam B-blockers,
Lorista (dab tiv thaiv angiotensin receptors)
Prestarium (rau lub plawv tsis ua haujlwm),
Lisinopril (ACE inhibitor),
lwm yam tshuaj uas koj tus kws kho mob sau tseg.

Cov nyhuv antihypertensive ntawm cov tshuaj nce ntxiv thaum siv ua ke nrog tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kev tawm tsam - qhov no tuaj yeem ua rau lub siab poob qis.

Kev siv Indapamide yog contraindicated yog tias cov xwm txheej hauv qab no tau txheeb xyuas:

ib tug neeg intolerance,
lub raum tsis ua hauj lwm
galactosemia, lactose intolerance,
hepatic encephalopathy,
tab kaum kev cuam tshuam hauv lub hlwb,
hypokalemia
mob gout
anusia

Lwm cov kev phiv ntawm Indapamide:

kev ua xua (urticaria, anaphylaxis, Quincke's edema, dermatosis, ua pob)
Lyell cov tsos mob
dryness ntawm lub qhov ncauj mucosa,
Stevens-Johnson mob
hnoos
tsis muaj zog
kiv taub hau
xeev siab, ntuav,
mob leeg
mob taub hau
kev tshee
daim siab ua hauj lwm
pancreatitis
cem quav
orthostatic hypotension.

Cov ntaub ntawv dav dav

Ua ntej koj pib siv Lizinopril thiab Indapamide ua ke, koj yuav tsum paub koj tus kheej nrog txhua cov khoom lag luam tshuaj kom nyias muaj nyias kom muaj lub tswv yim dav dav ntawm lawv. Yog li, Lisinopril ua cov tshuaj tiv thaiv kab mob angiotensin-hloov pauv enzyme, uas yog pom los ntawm cov txiaj ntsig ntev. Cov tshuaj yog tsim hauv cov ntsiav tshuaj, cov khoom xyaw nquag yog lisinopril dihydrate. "Lysinropril" yog qhia txog kev siv rau hauv lub plawv tsis ua haujlwm thiab ntshav siab.

Thaum noj Lisinopril ntsiav tshuaj, cov kev xav tsis zoo hauv qab no tuaj yeem tsim:

mob taub hau, vertigo,
mob hauv siab tsis xis nyob
nqaj co,
hloov pauv, tsis qab los noj mov,
qaug zog,
txo hauv cov ntshav siab,
tsis meej pem,
mob raum tsis ua haujlwm
lub plawv dhia ceev, mob plawv.

Cov diuretic no feem ntau yog kho rau cov neeg mob ntshav siab.

Raws li rau Indapamide, cov tshuaj nquag nyob rau hauv nws yog indapamide, uas muab cov tshuaj diuretic, vasodilating thiab hypotensive zoo. Cov tshuaj yog muab coj los siv hauv cov tshuaj yeeb yaj kiab-yeeb yaj kiab. Lub ntsiab tseem ceeb rau kev noj "Indapamide" yog txoj hlab ntshav liab.

Yog tias nws tsis raug lossis ntev ntev los noj "Indapamide", ces tus neeg mob yuav pom tias muaj kev hloov tsis zoo hauv lub cev, xws li:

tsis muaj zog, nkees dhau,
kiv taub hau, mob hauv cov tuam tsev thiab caj dab,
lub siab ua ntxhov,
txo qis siab
txo hauv poov tshuaj nyob rau hauv cov ntshav,
muaj zog uric acid
daim siab ua hauj lwm teeb meem.

Rov qab rau cov lus txheej txheem

Lub hauv paus ntsiab lus ntawm kev ua haujlwm cais

Kev txiav txim ntawm cov tshuaj "Lisinopril" yog ua rau txo qis ntawm angiotensin 2 thiab kev loj hlob ntawm cov adrenal cortex hauv cov kua ntshav. Raws li qhov tshwm sim, PSS txo qis thiab ntshav siab poob, uas tshwm sim kwv yees li 1 teev tom qab noj ntawm cov tshuaj. "Indapamide" yog sulfonamide-hom diuretic uas ua rau kom tso zis ntau ntxiv rau cov tshuaj chlorides thiab sodium, uas ua rau muaj diuresis ntau ntxiv, thiab nrog nws, ntshav siab nce qis. Tsis tas li ntawd, Indapamide txo qis sab laug ventricular hypertrophy thiab tsis cuam tshuam rau cov metabolism hauv cov metabolism, tshwj xeeb hauv cov neeg mob ntshav qab zib mellitus, thiab kuj tsis hloov lipid metabolism.

Kuv tuaj yeem nqa tib lub sijhawm?

Indapamide thiab Lisinopril muaj kev sib txuam zoo heev, tab sis ua ntej siv cov tshuaj sib xyaw ua ke los ua kom ntshav siab, nws yog qhov zoo dua rau sab laj kws kho plawv kho mob uas yuav kho cov kev kho raws li cov cim qhia ntawm tus neeg mob.

Txhawm rau pib ua ke nrog txoj kev kho, koj yuav tsum xub tham nrog kws kho mob.

Cov tshuaj hauv cov lus nug tsis yog tsuas yog ua tau, tab sis kuj tsim nyog siv tib lub sijhawm, vim hais tias nyob rau hauv tandem cov nyhuv hypotensive yog ntau tshaj tawm thiab lub siab normalizes sai dua. "Indapamide" thiab "Lisinopril" ua kom sib txuam, thiab kom sai li ntshav nce siab tau nce, koj yuav tsum sab laj tus kws kho mob tam sim ntawd thiab pib noj tshuaj. Tsis txhob ntau tshaj cov koob tshuaj uas kws kho mob tshwj xeeb, qhov no yuav tsis nrawm rau poob ntshav siab, tab sis tsuas yog ua rau cov kev mob hnyav zuj zus thiab ua rau muaj kev cuam tshuam ntawm kev noj ntau dhau.

Nws yuav tsum nkag siab tias kev sib xyaw ua ke ntawm ACE inhibitor thiab lub tshuaj diuretic yog qhov cuam tshuam yog tias tus neeg mob tau mob ntshav tawm los nrog dej-electrolyte cuam tshuam lossis monotherapy los ntawm kev noj Lisinopril ib leeg yog qhov tsis muaj txiaj ntsig. Tsis txhob nqig txog kev kho mob ntshav siab nrog cov tshuaj muaj txiaj ntsig rau lub raum leeg ntshav hlab ntsha thiab thaum cev xeeb tub.

Kev poob hauv cov ntshav siab thaum noj "Lisinopril" ua ke nrog cov diuretic "Indapamide" yog vim muaj peev xwm tom kawg tshem tawm dej thiab sodium chloride, vim tias qhov ntim ntawm cov ntshav ncig thiab ntshav tawm mus tsawg, thiab tib lub sijhawm, cov ntshav vascular txo qis, OPSS thiab nres lub siab tawg. Raws li kev tshawb pom ntawm ntau yam, kev siv cov tshuaj ib txwm siv me me kom ntev yog nyab xeeb.

Yuav haus li cas?

Kev sib xyaw ntawm Lisinopril thiab Indapamide yuav tsum yog kws kho plawv xwb, raws li lub xeev cov ntshav raum tsis zoo. Txij li thaum lub zog tiv thaiv kev kho mob raug tshem tawm los ntawm kev ua haujlwm ntawm lub raum, muaj kev pheej hmoo ntawm kev tsim kho lub raum tsis ua haujlwm thaum kho mob, tshwj xeeb tshaj yog nyob rau cov neeg muaj ob leeg mob raum leeg mob leeg. Yog tias tsis muaj contraindications rau kev siv tshuaj, ces Indapamide yog 1 lub tshuaj rau ib hnub thaum sawv ntxov, thiab Lisinopril feem ntau yog sau tseg rau yav tsaus ntuj ntawm 10 mg ib hnub ib zaug. Yog tias tsim nyog, thiab raws li kev txiav txim siab ntawm tus kws kho mob, lub sijhawm noj tshuaj tuaj yeem hloov pauv, tab sis los ntawm nws tus kheej ua kev hloov kho yog nruj me ntsis.

Vim li cas nws thiaj li raug tshuaj

Tus nqi nruab nrab ntawm cov tshuaj yog 20-50 rubles, nyob ntawm lub khw muag tshuaj network. Cov tshuaj yog ib qho ntawm pheej yig tshuaj diuretics siv rau kev mob ntshav siab.

Tseem Ceeb! Nyob rau hauv tsis muaj qee yam yuav tsum tau koj pib noj tshuaj diuretics koj tus kheej, tshwj xeeb tshaj yog nrog cov cim ntawm lub raum tsis ua haujlwm.