Indapamide rau cov ntshav siab
Indapamide yog nyob rau qhov thib ob, feem ntau niaj hnub, tiam ntawm thiazide-zoo li diuretics. Cov nyhuv tseem ceeb ntawm cov tshuaj yog qhov txo nrawm, khov kho thiab lub sijhawm txo qis hauv cov ntshav siab. Nws pib ua haujlwm tom qab ib nrab teev, tom qab 2 teev cov nyhuv ua qhov siab tshaj plaws thiab nyob rau qhov siab kawg rau tsawg kawg 24 teev. Qhov zoo tseem ceeb ntawm cov tshuaj no yog qhov tsis muaj txiaj ntsig rau cov metabolism, lub peev xwm los txhim kho cov mob ntawm ob lub raum thiab lub siab. Zoo li txhua yam tshuaj diuretics, Indapamide tuaj yeem ua ke nrog cov neeg nyiam tshaj plaws thiab muaj kev nyab xeeb txhais tau tias kev muaj siab: sartans thiab ACE inhibitors.
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 Tau Ua | 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.
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 diuretic ntawm pab pawg thiazide, uas muaj kev ua haujlwm hypotensive, vasodilator thiab diuretic (diuretic) ua haujlwm.
Cov tshuaj yog siv rau hauv kev kho mob ntawm kev kub siab, thiazide-zoo li thiab thiazide diuretics yog siv dav hauv kev kho mob antihypertensive. Lawv siv ua thawj cov tshuaj nyob hauv kev kho kab mob hlwb, thiab ua ib feem ntawm kev sib koom ua ke, lawv txoj kev siv tau los pab txhim kho txoj hauv kev muaj kab mob plawv.
Ntawm nplooj ntawv no koj yuav pom txhua cov ntaub ntawv hais txog Indapamide: cov lus qhia ua tiav rau kev siv rau cov tshuaj no, tus nqi nruab nrab hauv cov khw muag tshuaj, ua tiav thiab ua tsis tiav cov tshuaj noj, nrog rau kev tshuaj xyuas cov tib neeg uas twb tau siv Indapamide. Xav tawm koj lub tswv yim? Thov sau hauv cov lus.
Diuretic. Cov tshuaj antihypertensive.
Nws yog tso rau ntawm lub hwj tshuaj.
Npaum li cas yog indapamide? Tus nqi nruab nrab hauv cov khw muag tshuaj yog ntawm qib 25 rubles.
Muaj nyob rau hauv daim ntawv ntawm tsiav tshuaj thiab ntsiav tshuaj nrog lub ntsiab nquag muaj - indapamide, cov ntsiab lus ntawm uas tuaj yeem nyob rau hauv:
- 1 tshuaj ntsiav - 2.5 mg
- 1 txheej txheej-coated ntsiav tshuaj 2.5 mg
- 1 ntsiav tshuaj ntawm lub caij nyoog ntev hauv kev ua yeeb yaj kiab zaj duab xis - 1.5 mg.
Cov lus sib xyaw ntawm cov tshem tawm ntawm Indapamide ntsiav tshuaj, zaj duab xis-txheej, suav nrog lactose monohydrate, povidone K30, crospovidone, magnesium stearate, sodium lauryl sulfate, talc. Lub plhaub ntawm cov ntsiav tshuaj no muaj hypromellose, macrogol 6000, talc, titanium dioxide (E171).
Ntu cov khoom siv txhawb kev tso tawm cov ntsiav tshuaj: hypromellose, lactose monohydrate, silicon dioxide, colloidal anhydrous, magnesium stearate. Cov hnab riam zaj duab xis: hypromellose, macrogol, talc, titanium dioxide, zas tropeolin.
Hauv cov khw muag tshuaj network, Indapamide npaj tau txais:
- Cov tshuaj ntsiav - hauv cov thawv polymer ntawm 10, 20, 30, 40, 50, 100 daim lossis hauv cov hlwv ntim 10 lossis 30 pieces,
- Ntsiav tshuaj - hauv blisters ntawm 10 daim.
Indapamide belongs rau chav kawm ntawm thiazide diuretic tshuaj thiab muaj cov teebmeem pharmacological hauv qab no:
- Txo tsis kam ua nyob rau hauv cov hlab ntsha,
- Lowers ntshav siab (cov nyhuv hypotensive),
- Txo txo tag nrho cov peripheral vascular tsis kam,
- Nthuav cov hlab ntshav (yog vasodilator)
- Pab txo qis qib ntawm hypertrophy ntawm sab laug ventricle ntawm lub siab,
- Nws muaj cov nyhuv diuretic (diuretic) muaj ntsis.
Cov nyhuv antihypertensive ntawm Indapamide tshwm sim thaum noj hauv tshuaj (1.5 - 2.5 mg ib hnub), uas tsis ua rau muaj cov nyhuv diuretic. Yog li, cov tshuaj no tuaj yeem siv los txo cov ntshav siab thaum lub sijhawm ntev. Thaum noj Indapamide ntawm kev noj ntau dua, cov nyhuv hypotensive tsis nce, tab sis muaj txiaj ntsig diuretic tshwm sim. Nws yuav tsum nco ntsoov tias qhov txo qis ntshav siab tau ua tiav tsuas yog ib lub lim tiam tom qab noj cov tshuaj Indapamide, thiab cov txiaj ntsig zoo tau tshwm sim tom qab siv 3 lub hlis.
Indapamide tsis cuam tshuam rau cov rog thiab carbohydrate metabolism, yog li ntawd, nws tuaj yeem siv los ntawm cov neeg muaj kev mob ntshav qab zib, mob ntshav siab, thiab lwm yam.Ib qho ntxiv, Indapamide ua haujlwm zoo txo cov neeg mob siab rau cov neeg uas muaj ib lub raum lossis mob rau ntawm hemodialysis.
Dab tsi pab? Cov tshuaj yog npaj rau kev kho mob tawg nyob rau hauv cov neeg laus cov neeg mob.
Nws yog txwv tsis pub noj cov tshuaj nrog cov cim ntawd:
- hypokalemia
- cev xeeb tub
- kev pub mis
- lub raum tsis ua haujlwm (theem ntawm anuria),
- hnub nyoog txog 18 xyoo (qhov ua tau zoo thiab kev nyab xeeb tsis tau tsim tsa),
- muaj lub cev tsis haum rau lub tshuaj,
- ua kom poob rau lwm qhov sulfonamide derivatives,
- hepatic encephalopathy lossis lub siab ua haujlwm tsis zoo,
- lactose intolerance, lactase deficiency lossis glucose / galactose malabsorption syndrome.
Nrog kev ceev faj, cov tshuaj yuav tsum raug kho rau lub raum thiab lub siab ua haujlwm, mob ntshav qab zib mellitus nyob rau theem ntawm decompensation, tsis muaj dej-electrolyte tshuav, hyperuricemia (tshwj xeeb nrog kev mob gout thiab urinary nephrolithiasis), hyperparathyroidism, hauv cov neeg mob uas ncua ECT QT lossis tau txais kev kho mob, raws li qhov tshwm sim ntawm qhov kev ncua sijhawm ntawm QT ncua sij hawm tuaj yeem (astemizole, erythromycin (iv), pentamidine, sultopride, terfenadine, vincamine, antiarrhythmic tshuaj ntawm chav kawm IA (quinidine, disopyramide) thiab chav kawm III. (amiodarone, bretilia tosylate)).
Kev siv ntawm indapamide hauv cov poj niam cev xeeb tub tsis pom zoo. Nws siv tau ua rau kev loj hlob ntawm cov placental ischemia, uas tuaj yeem ua rau me nyuam hauv plab loj hlob tuaj.
Txij li indapamide kis tau rau hauv niam cov kua mis, nws yuav tsum tsis txhob raug tshuaj thaum lactation. Yog tias nws yuav tsum tau noj cov tshuaj no los ntawm cov neeg mob pub mis, pub mis rau noj yuav tsum tsis ua ntxiv.
Cov lus qhia rau kev siv qhia tau tias Indapamide noj ntawm qhov ncauj, tsis hais txog ntawm cov zaub mov noj, nyiam dua thaum sawv ntxov. Cov ntsiav tshuaj yuav tsum tau nqos yam tsis muaj kev ntxo thiab haus dej kom ntau.
- Nrog rau cov hlab ntsha o, qhov kev pom zoo ntawm cov tshuaj yog 2.5 mg 1 zaug / hnub.
Kev nce ntxiv ntawm lub koob tshuaj tsis ua rau nce ntxiv hauv cov nyhuv antihypertensive.
Thaum noj Indapamide, kev txhim kho cov kev mob tshwm sim muaj peev xwm ua tau:
- Exacerbation ntawm systemic lupus erythematosus,
- Hnoos, sinusitis, pharyngitis, tsis tshua muaj - rhinitis,
- Urticaria, khaus, tawm pob, hemorrhagic vasculitis,
- Orthostatic hypotension, palpitations, arrhythmia, hypokalemia,
- Feem ntau mob txeeb zig, mob polyuria, nocturia,
- Xeev siab, ntuav, quav tawv, zawv plab, qhov ncauj qhuav, mob plab, qee zaum muaj mob txha caj qaum, tsis tshua muaj mob txhawm,
- Kev nkees nkees, kiv taub hau, mob taub hau, poob siab, asthenia, kev nyuaj siab, insomnia, vertigo, tsis tshua muaj - malaise, kev ua kom tsis muaj zog, tsis muaj zog, leeg, leeg, ntxhov siab, chim siab,
- Glucosuria, hypercreatininemia, muaj ntshav ntau ntxiv ntshav urea nitrogen, hypercalcemia, hyponatremia, hypochloremia, hypokalemia, hyperglycemia, hyperuricemia,
- Tsis tshua muaj heev - kev mob ntshav qab zib (hemolytic anemia), pob txha hlwb pob txha aplasia, agranulocytosis, mob leukopenia, thrombocytopenia.
Thaum tus neeg noj ntau dhau, ntuav, tsis muaj zog thiab xeev siab tuaj yeem tshwm sim, ntxiv rau, tus neeg mob tau ua txhaum txoj haujlwm ntawm txoj hnyuv thiab cov dej-electrolyte sib npaug.
Tej zaum muaj kev nyuaj siab ua pa thiab poob ntshav siab kuj yuav tshwm sim. Thaum noj ntau dhau, tus neeg mob yuav tsum yaug lub plab, thov kho tus mob, thiab kho qhov dej-electrolyte sib npaug.
Thaum lub sijhawm kho mob, yuav tsum tau saib xyuas thaum tsav tsheb thiab koom nrog lwm yam kev phom sij uas yuav tsum muaj kev ntseeg ntau ntxiv thiab ceev ntawm cov kev tiv thaiv psychomotor.
Peb khaws qee cov kev tshuaj xyuas ntawm cov neeg hais txog cov tshuaj Indapamide:
- Valya. Tus kws kho mob tau hais rau Indapamide ntau xyoo dhau los ua ke nrog lwm cov tshuaj 3-4, thaum nws tau mus ntsib kws kho mob nrog kev tsis txaus siab ntawm ntshav siab thiab mob taub hau.Maj mam lawv pib siv nws nkaus xwb, Kuv haus ib ntsiav tshuaj txhua hnub thaum sawv ntxov, thaum kuv tsum tsis noj nws hnub tom qab kuv lub ntsej muag o, hnab muag tshwm hauv qab kuv lub qhov muag. Kuv hnov tias kev siv sijhawm ntev tuaj yeem ua rau kom muaj kua dej caw thiab magnesium los ntawm lub cev, qee zaum yog them nyiaj Kuv haus Asparkam.
- Lana. 53 xyoo, muaj kev kub siab txog 4 xyoos dhau los, kev kub siab 2 tbsp., Tus kws kho mob tau sau indapamide 2.5 mg, enalapril 5 mg, thiab bisoprolol, vim tias tachycardia feem ntau, Kuv haus cov tshuaj no tas li thaum sawv ntxov. Bisoprolol thaum pib haus cawv, thiab tom qab ntawd pib hnov mob hauv lub plawv tom qab noj, tam sim no tsuas yog indapamide thiab enalapril. Qhov siab thaum sawv ntxov yog 130 txog 95, thaum yav tsaus ntuj nws poob qis, ua tsaug rau cov ntsiav tshuaj nws dhau los ua 105 rau 90, thiab thaum nws yog 110 rau 85, tab sis qee yam qaug zog thiab qaug zog lub siab. Lub sijhawm kawg yeej yog ib qho mob ntawm lub siab.
- Tamara Tus pog no tau kuaj pom tias mob ntshav dhau los thiab, kom txo tau nws tus mob, tus kws kho mob tau kho Indapamide. Kuv yuav cov ntawv yuav tshuaj hauv lub tsev muag tshuaj thiab muab cov neeg mob thaum sawv ntxov muab dej rau haus. Raws li daim ntawv thov, nws pog tus mob zoo tuaj tsis pub dhau 10 hnub, lub siab tsis dhia zoo li, tab sis poob qis rau li qub (coj mus rau hauv nws lub hnub nyoog). Feem ntau, cov tshuaj yeej pab. Pom zoo.
Raws li kev txheeb xyuas, Indapamide yog cov tshuaj siv tau zoo heev. Ob tus kws kho mob thiab cov neeg mob kub siab nco ntsoov tias feem ntau cov tshuaj no zoo rau. Kev phiv tshuaj yog qhov tsis tshua muaj thiab muaj qhov mob tsis muaj zog. Ntau tus neeg mob kuaj mob ntshav siab tau noj tshuaj tag lawv lub neej.
Indapamide ntsiav tshuaj muaj cov qauv qhia tau muaj nyob hauv cov tshuaj nquag. Cov no yog cov tshuaj los kho tus mob ntshav siab:
- Acripamide
- Acripamide rov qab los,
- Arindap, Arifon,
- Arifon Retard (Fabkis sib npaug),
- Vero-Indapamide,
- Indapamide MV-Stad (sib npaug Lavxias),
- Indapamide Retard (sib npaug ntawm Lavxias),
- Indapamide stad,
- Indapres
- Indapsan
- Indipam
- Ionik
- Ionic Retard
- Ipres ntev
- Lorvas SR,
- Cov ntawv SR,
- Rov
- SR-Indamed.
Ua ntej siv analogues, sab laj nrog koj tus kws kho mob.
Indapamide yuav tsum muab cia rau hauv qhov chaw qhuav tiv thaiv los ntawm lub teeb, tawm ntawm qhov chaw ncav cuag tus menyuam ntawm qhov kub ntawm 25 degrees.
Txee lub neej yog 36 lub hlis, tom qab lub sijhawm no, cov tshuaj no yog txwv tsis pub siv.
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 huab cua hloov pauv, lossis muaj kab mob hauv cov nruab nrog cev. Hmoov tsis zoo, tus kab mob no tsis tuaj yeem kho kom zoo, nws yog tus 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. Txhua yam kev kho mob suav nrog diuretics, cov tshuaj no muaj cov tshuaj sib txawv ntawm cov tshuaj, tab sis lawv txhua tus ua tau zoo tshem tawm cov dej tawm hauv lub cev. Cov tshuaj yog diuretic. Feem ntau tus kws kho mob suav nrog cov tshuaj Indapamide hauv kev kho mob lub ntsiab, cov lus qhia rau kev siv thiab ntawm kev nyuaj siab dab tsi rau kev noj tshuaj yuav sib tham hauv cov lus no.
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 tso tawm rau hauv daim ntawv ntawm cov ntsiav tshuaj, uas yog coated saum, dawb. 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 ua tshuaj tseem ceeb yog indapamide, hauv ib ntsiav tshuaj nws muaj txog 2.5 mg. Ntxiv rau cov tshuaj no, cov tshuaj muaj cov ntxiv uas 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 cov 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.
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.
Indapamide yog cov zoo diuretic uas yog los ntawm thiazip zoo li diuretics. Tsis tas li ntawd, cov tshuaj cuam tshuam rau cov hlab ntsha thiab tones lub vascular 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 txoj kev nqaim ntawm cov hlab ntsha, uas txhais tau hais tias lub siab yuav nyob rau hauv qhov kev txwv ib txwm muaj. Tsis tas li ntawd, qhov kev cai no yuav pab txhawm rau txhim kho lub phab ntsa ntawm cov hlab ntsha thiab tiv thaiv cov leeg 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. Txawm li cas los xij, lawv ua tiav los ntawm lub raum thiab ua ke 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 haujlwm tseem ceeb hauv nws daim ntawv ntshiab yog nthuav dav kwv yees li 5%, tag nrho lwm feem ntawm nws muaj cov nyhuv tsim nyog ntawm lub cev.
Indapamide yog cov tshuaj zoo uas tau siv dav hauv tshuaj los kho kom ntshav siab. Raws li txoj cai, cov kws kho mob pom zoo nws rau cov kabmob ntawm lub cev:
- kub siab ntawm 1 thiab 2 degrees,
- o tuaj ntawm lub plawv tsis ua haujlwm.
Indapamide pom zoo kom noj tshuaj (2.5 mg) ib hnub ib zaug. Nws yuav tsum tau noj kom puv tsis tas yuav zom, thiab ntxuav nrog kom muaj dej ntau. Txawm li cas los xij, yog tias kev kho mob tsis tiav qhov tshwm sim tsim nyog tom qab 1-2 lub hlis, tom qab li cov tshuaj noj tau txwv yog txwv tsis pub nce ntxiv, txij li kev pheej hmoo ntawm kev phiv ntxiv tuaj. Hauv qhov xwm txheej no, tus kws kho mob yuav pom zoo kom hloov cov tshuaj los yog ntxiv nws nrog lwm cov tshuaj.
Cov tshuaj yuav tsum tsuas yog kws kho mob tau sau tseg, vim tias muaj ntau tus lej ntawm cov kabmob sib kis uas yog qhov tseem ceeb uas yuav tau xav txog thaum noj Indapamide. Raws li txoj cai, cov ntsiav tshuaj yog txwv tsis pub sau ntawv rau hauv cov xwm txheej zoo li no:
- mob raum (mob raum tsis ua haujlwm),
- daim siab mob
- poov tshuaj tsis txaus nyob rau hauv tib neeg lub cev,
- kev qaug tshuaj rau ib qho ntawm cov tshuaj,
- cev xeeb tub thiab lactation,
- cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo,
- mob ntshav qab zib
- Cov kua dej tsis txaus hauv lub cev,
- yog muaj gout
- tuav tswj hwm kev siv tshuaj pab cuam ncua sijhawm QT luv.
Tseem Ceeb! Indapamide yuav tsum yog tus kws kho mob sau kom tsum xwb. Tus kws tshwj xeeb paub tus yam ntxwv ntawm tus neeg mob thiab qee tus yam ntxwv txawv ntawm cov tshuaj.
Cov tshuaj kho mob hauv lub siab ib txwm ua tau zoo, tab sis txhua tus tib neeg sib txawv, yog li qhov tsis zoo tshwm sim qee zaum tuaj yeem pom. Thaum kho, cov Cheebtsam ntawm Indapamide tsim hauv lub cev, uas tuaj yeem ua rau cov kev tsis haum tshwm sim tsis zoo. Ntawm cov cim tseem ceeb, cov kws kho mob sau tseg:
- cov kab mob hauv lub plab (xeev siab, ntuav, raws plab, quav tawv, ziab tawm hauv cov kab noj hniav),
- cov leeg hlab hlwb (mob taub hau, pw tsis tsaug zog, tsaug zog tag nrho, poob siab),
- cov leeg nqaij (mob leeg mob),
- cov kab mob ua pa (pharyngitis, sinusitis, hnoos qhuav),
- kev mob plawv rau lub plawv (lub suab ntawm lub plawv kev ua txhaum yog ua txhaum),
- tso zis (muaj feem yuav muaj mob ntawm ntau yam mob, mob ntsws),
- kev ua xua (khaus, liab, khaus, ua pob).
Tseem Ceeb! Ntawm thawj qhov tshwm sim ntawm qhov tshwm sim tsis zoo, ib tus neeg yuav tsum tsum tsis txhob noj cov tshuaj thiab tam sim ntawd sab laj nrog kws kho mob.
Qee zaum, tus neeg mob tuaj yeem txiav txim siab txog kev noj tshuaj, uas ua rau muaj kev haus ntau dhau. Yuav ua li cas kom raug, qhov kev ua txhaum no ib txwm ua rau cov kev mob tshwm sim hnyav:
- xeev siab
- tsis muaj zog
- ntuav
- ua txhaum ntawm cov quav (raws plab, cem quav),
- mob taub hau thiab kiv taub hau,
- ntshav siab poob qis
- spasm hauv lub bronchi.
Txhawm rau kom kho tib neeg txoj kev noj qab haus huv, tus kws kho mob pom zoo kom kho ib qho tshwj xeeb rau tus neeg mob. Yaug lub plab kom huv si thiab muab cov pa hluav taws ua kom sov. Haus dej kom txaus kom rov muaj dej hauv lub cev.
Tseem Ceeb! Kuv tuaj yeem coj ntev npaum li cas indapamide yam tsis muaj kev so? Raws li txoj cai, cov tshuaj tau tso cai rau hauv 1-2 lub hlis. Txawm li cas los xij, tus kws kho mob tuaj yeem pom zoo kom noj cov tshuaj no tsis tu ncua.
Txoj kev tso dag cev rau neeg yog cev xeeb tub! Nws yuav tsis nplij o thiab tsis rov ua kom ntshav siab thaum cev xeeb tub. Cov tshuaj ua haujlwm tsis zoo ntawm cov tshuaj yuav tsuas cuam tshuam qhov qub kev loj hlob ntawm tus me nyuam hauv plab. Lawv ua rau tsis muaj ntshav txaus, uas yuav ua rau lub hlwb thiab lub hlwb kev loj hlob qeeb.
Thaum pub niam mis, Indapamide yeej tsis pom zoo. Txhua feem ntawm cov ntsiav tshuaj no kis tau sai thoob plaws hauv lub cev ntawm tus poj niam thiab nqus mus rau niam mis. Yog li, cov tshuaj tuaj yeem nkag rau hauv cov kua mis mus rau hauv tus menyuam lub cev. Qhov kev yuam cai no cuam tshuam tsis zoo rau kev txhim kho tus menyuam.
Thaum lub caij noj cov diuretic Indapamide, cov tsos mob tau pom tias ua rau txo cov ntshav siab. Muab qhov nuance no, tus neeg mob yuav tsum tsis kam tsav lub tsheb thiab ua haujlwm nrog cov tshuab.
Tus nqi ntawm cov tshuaj yog nyob ntawm ntau yam, piv txwv li, cov chaw tsim khoom lag luam, tus naj npawb ntawm cov ntsiav tshuaj hauv pob, nrog rau cov yam ntxwv ntawm qee lub nroog. Qhov nruab nrab, tus nqi ntawm Indapamide yog li ntawm 50-120 UAH.
Cov chaw muag tshuaj niaj hnub tsim tawm ntau cov tshuaj uas zoo sib xws thiab muaj pes tsawg leeg ua tiav lawv lub zog. Hauv txhua lub tsev muag tshuaj, koj tuaj yeem yuav cov tshuaj analogues ntawm cov tshuaj diuretic:
- Arifon Retard,
- Vasopamide, indabru,
- Indap, Indapamide,
- Indapen, Indapres,
- Indatens, Nyob Sab Hauv Tsev,
- Lorvas, Ravel,
- Softenzin, Hemopamide.
Pom tseeb, muaj ntau ntawm cov analogues ntawm cov tshuaj, yog li koj tuaj yeem xaiv rau ib qho twg. Tag nrho lawv muaj tib lub ntsiab tivthaiv. Qhov sib txawv hauv cov tuam txhab tsim tshuaj pharmacological thiab cov khoom siv ntxiv ntawm cov tshuaj.
Cov chaw muag tshuaj niaj hnub tsim muaj ntau cov tshuaj zoo diuretic. Txawm li cas los xij, ib qho twg xaiv los coj cov txiaj ntsig zoo rau lub cev? Hauv qab no yog qee qhov kev xaiv.
Indapamide Retard hauv ib ntsiav tshuaj muaj 1.5 mg ntawm cov tshuaj nquag (indapamide). Cov tshuaj ua kom rov ua kom ntshav siab thiab ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntshav. Indapamide Retard muaj tib yam contraindications thiab kev phiv tshuaj tiv thaiv tib yam li Indapamide. Qhov txawv yog tsuas yog hauv cov nyiaj ntawm cov tshuaj nquag. Nws yog tsim nyob rau hauv Russia.
Indap yog tsim hauv tshuaj ntsiav, txhua tus muaj 2.5 mg ntawm lub ntsiab tseem ceeb xyaw. Cov tshuaj yog cov tshuaj diuretic me ntsis, yog li nws tau tsim tawm rau kev mob ntshav siab. Cov tshuaj muaj tib yam contraindications thiab phiv tshuaj li Indapamide. Nws tau ua hauv Prague.
Verashpiron zwm rau cov tshuaj pleev poov tshuaj zoo ntxiv tshuaj. Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog spironolactone (25 mg). Cov tshuaj muaj qhov dav dua ntawm qhov ntsuas. Nws yog siv rau kev kub siab, edematous syndrome thaum lub siab mob plawv, kab mob siab, Conn's syndrome. Cov tshuaj tiv thaiv thiab qhov tshwm sim tsis zoo yog tib yam li nrog Indapamide. Chaw Tsim Tshuaj Hungary.
Arifon tsim nyob rau hauv cov ntsiav tshuaj, txhua ntawm lawv muaj 2.5 mg ntawm lub ntsiab tseem ceeb tshuaj (indapamide). Cov tshuaj yog diuretic, yog li nws feem ntau pom zoo rau kev mob ntshav siab. Lub ntsiab contraindications thiab phiv tshuaj tiv thaiv yog tib yam li nrog Indapamide. Chaw Tsim Tshuaj Fabkis.
Rau txhua yam kev mob nkeeg, nws yog ib qho tseem ceeb kom sab laj nrog tus kws kho mob raws sijhawm. Tsis txhob xaiv tus kheej noj tshuaj thiab xaiv cov tshuaj, txoj kev no tsuas tuaj yeem cuam tshuam lub cev uas twb muaj mob lawm. Nws yog ib qho tseem ceeb kom ntseeg koj txoj kev noj qab haus huv rau cov kws kho mob uas tau ntsib dhau los uas yuav xaiv txoj kev kho kom zoo thiab kho kom noj qab haus huv.
Rau leej twg Indapamide tshuaj
Txhua tus neeg mob uas kub siab yuav tsum tau kho lub neej, uas muaj cov tshuaj txhua hnub. Cov lus no tau ntev tsis tau nug nyob hauv cov kws khomob. Nws tau tsim tsa hais tias cov tshuaj tswj hwm kev haus tshuaj tsawg kawg 2 zaug txo qhov ntxim nyiam ntawm cov hlab plawv pathologies, nrog rau cov ploj tuag. Tsis muaj kev sib cav txog lub siab uas pib noj tshuaj. Thoob plaws ntiaj teb, qib tseem ceeb rau cov neeg mob feem ntau xam tias yog 140/90, txawm tias lub siab ceev asymptomatically thiab tsis ua rau muaj kev tsis yooj yim. Zam kev noj tshuaj tsuas yog mob ntshav siab me me xwb. Ua li no, koj yuav tau poob phaus, muab luam yeeb thiab dej cawv, hloov kev noj haus.
Qhov tsuas yog qhia txog kev siv ntawm Indapamide qhia hauv cov lus qhia yog mob ntshav liab. Ntshav siab feem ntau ua ke nrog cov kab mob ntawm lub siab, lub raum, cov hlab ntsha, yog li, cov tshuaj uas tau hais kom txo nws, yuav tsum tau kuaj kom muaj kev nyab xeeb thiab ua tau zoo hauv cov pab pawg ntawm cov neeg mob no.
Dab tsi pab Indapamide:
- Qhov nruab nrab txo qis hauv lub siab thaum noj Indapamide yog: sab sauv - 25, qis dua - 13 hli Hg
- Cov kev tshawb fawb tau tsim tawm tias qhov haujlwm tiv thaiv kev kub ntxhov ntawm 1.5 g ntawm indapamide yog sib npaug rau 20 mg ntawm enalapril.
- Lub sij hawm ntev nce siab ua rau nce ntxiv ntawm sab laug ventricle ntawm lub plawv. Cov kev hloov pauv pathological no yog fraught nrog cov lus sib dhos cuam tshuam, mob stroke, plawv nres. Indapamide ntsiav tshuaj pab txhawb kom txo qis hauv sab laug ventricular myocardial loj, ntau dua li enalapril.
- Rau cov mob raum, Indapamide tsis muaj tsawg. Nws cov hauj lwm zoo tuaj yeem txiav txim los ntawm kev poob qis ntawm 46% hauv theem ntawm albumin hauv cov zis, uas yog suav tias yog ib qho ntawm cov cim ntxov ntawm kev ua haujlwm raum tsis ua haujlwm.
- Cov tshuaj tsis muaj kev cuam tshuam zoo rau cov piam thaj, poov tshuaj thiab ntshav roj, yog li ntawd, nws tuaj yeem siv dav kho mob ntshav qab zib.Txhawm rau kho ntshav siab hauv ntshav qab zib, tshuaj diuretics raug kho nyob rau hauv ib qho tshuaj me me, ua ke nrog ACE inhibitors lossis Losartan.
- Cov cuab yeej tshwj xeeb ntawm Indapamide ntawm cov tshuaj diuretics yog nce ntxiv ntawm cov qib "zoo" roj cholesterol HDL los ntawm qhov nruab nrab ntawm 5.5%.
Cov tshuaj ua haujlwm li cas?
Cov cuab yeej tseem ceeb ntawm diuretics yog nce ntxiv ntawm cov zis cia. Tib lub sijhawm, cov kua dej hauv cov ntaub so ntswg thiab cov hlab ntshav poob, thiab lub siab poob qis dua. Hauv lub hlis ntawm kev kho mob, qhov tso dej ntxiv ua kom tsawg dua li ntawm 10-15%, qhov hnyav vim cov dej tsis tuaj yeem yog kwv yees li 1.5 kg.
Indapamide hauv nws pab pawg nyob qhov chaw tshwj xeeb, cov kws kho mob hu nws ua cov diuretic tsis muaj cov nyhuv diuretic. Cov lus no tsuas siv tau rau koob tshuaj me me. Cov tshuaj no tsis cuam tshuam rau qhov ntim ntawm cov zis, tab sis nws muaj kev cuam tshuam ncaj qha rau cov hlab ntsha tsuas yog thaum siv ntawm koob tshuaj ≤ 2.5 mg. Yog tias koj noj 5 mg, cov zis yuav nce ntxiv 20%.
Vim dab tsi siab dauv:
- Cov kav hlau calcium yog qhov thaiv, uas ua rau txo qis qhov kev mloog khoom ntawm calcium nyob hauv phab ntsa ntawm cov hlab ntsha, thiab tom qab ntawd mus rau kev nthuav dav ntawm cov hlab ntshav.
- Cov poov tshuaj tso tawm yog qhib kom ua haujlwm, yog li ntawd, kev nkag mus ntawm calcium nyob rau hauv cov hlwb poob qis, kev sib txuas ntawm nitric oxide hauv cov vascular phab ntsa nce, thiab cov hlab ntsha so.
- Qhov tsim los ntawm prostacyclin yog tsa, vim tias lub peev xwm ntawm platelets los ua cov ntshav txhaws thiab txuas rau cov phab ntsa ntawm cov hlab ntsha poob qis, thiab cov suab ntawm cov leeg ntawm cov leeg ntshav ntsa poob qis.
Daim ntawv tso tawm thiab ntau npaum li cas
Cov tshuaj xub thawj uas muaj cov roj ntsha indapamide yog tsim los ntawm Servier Pharmaceutical Company nyob rau hauv hom tshuaj npe Arifon. Ntxiv rau qhov qub Arifon, ntau cov generics nrog indapamide tau sau npe nyob hauv Russia, suav nrog tib lub npe Indapamide. Arifon analogs yog ua nyob rau hauv daim ntawv ntawm tsiav tshuaj los yog zaj duab xis-ntsiav tshuaj. Tsis ntev los no, cov tshuaj nrog hloov kho tawm ntawm indapamide los ntawm ntsiav tshuaj tau nrov.
Cov ntaub ntawv dab tsi yog Indapamide tsim thiab ntau npaum li cas:
Daim ntawv tso tawm | Tsuas tshuaj mg | Chaw tsim tshuaj paus | Ncig Teb Chaws | Nqe ntawm ib hlis ntawm kev kho mob, tshiav. |
Cov tshuaj ntsiav Indapamide | 2,5 | Pranapharm | Lavxias | los ntawm 18 |
AlsiPharma | ||||
Cov Kws Muag Tshuaj | ||||
Tus kws tshuaj biochemist | ||||
PromomedRus | ||||
Ozoov | ||||
CUA | ||||
Avva-Rus | ||||
Canonpharma | ||||
Obolenskoe | ||||
Valenta | ||||
Nizhpharm | ||||
Teva | Ixayees | 83 | ||
Hemofarm | Seev | 85 | ||
Capsules Indapamide | 2,5 | Ozoov | Lavxias | los ntawm 22 |
Vertex | ||||
Teva | Ixayees | 106 | ||
Ua ntev ntsiav tshuaj indapamide | 1,5 | PromomedRus | Lavxias | los ntawm 93 |
Tus kws tshuaj biochemist | ||||
Izvarino | ||||
Canonpharma | ||||
Tathimpharmaceuticals | ||||
Obolenskoe | ||||
AlsiPharma | ||||
Nizhpharm | ||||
Krka-Rus | ||||
MakizPharma | ||||
Ozoov | ||||
Hemofarm | Seev | 96 | ||
Kide-oo Richter | Hungary | 67 | ||
Teva | Ixayees | 115 |
Raws li kws kho plawv, nws yog qhov zoo dua los yuav Indapamide zoo tib yam hauv tshuaj ntsiav. Cov tshuaj nyob rau hauv tsiav tshuaj khaws cia ntev dua, muaj ntau dua ntawm bioavailability, yog nqus sai dua, muaj cov khoom siv tsawg dua, uas txhais tau tias nws ua rau kev ua xua tsawg dua.
Cov qauv niaj hnub ntawm indapamide yog cov ntsiav tshuaj ntev dhau los. Cov tshuaj nquag los ntawm lawv tau tso tawm qeeb dua vim siv tshuab tshwj xeeb: me me ntawm indapamide tau muab faib rau hauv cov cellulose. Ib zaug hauv cov hnyuv, cellulose maj mam hloov mus rau hauv ib lub gel. Nws yuav siv txog 16 teev kom yaj lub ntsiav tshuaj.
Piv nrog rau cov ntsiav tshuaj zoo, ua ntev ntev indapamide muab lub zog ntxiv thiab muaj zog antihypertensive, txhua hnub hloov pauv siab thaum noj tsawg dua. Los ntawm lub zog ntawm kev ua, 2.5 mg ntawm Indapamide zoo tib yam yog 1.5 mg ntev. Feem ntau cov kev mob tshwm sim yog koob tshuaj, uas yog, lawv qhov ntau zaus thiab mob heev ntxiv nrog nce koob tshuaj. Kev noj tshuaj Indapamide ntev ntev tuaj yeem txo qhov kev pheej hmoo ntawm kev phiv, feem ntau yog poob hauv cov ntshav poov tshuaj.
Tshwj xeeb sib cais ncua ntev tuaj yeem tuaj yeem yog ntau npaum li 1.5 mg. Ntawm pob ntawv yuav tsum tau ua pov thawj ntawm "kev ncua ntev", "hloov kho tso tawm", "tswj kev tso tawm", lub npe yuav muaj "rov qab", "MV", "ntev", "SR", "CP".
Yuav noj li cas
Kev siv cov indapamide los txo qis tsis tas yuav tsum maj mam nce ntxiv hauv qhov koob tshuaj. Cov ntsiav tshuaj tam sim ntawd pib haus hauv ib qho kev muab tshuaj. Cov tshuaj accumulates nyob rau hauv cov ntshav maj, yog li nws muaj peev xwm los txiav txim nws cov hauj lwm tsuas yog tom qab 1 lub lim tiam ntawm kev kho mob.
Nkag tau txais txoj cai los ntawm cov lus qhia rau kev siv:
Noj thaum sawv ntxov lossis yav tsaus ntuj | Cov lus qhia pom zoo rau kev txais tos thaum sawv ntxov, tab sis yog tias tsim nyog (piv txwv li, ua haujlwm hmo ntuj lossis nyiam ua kom muaj zog ntau ntxiv thaum sawv ntxov), cov tshuaj yuav ua rau qaug cawv thaum yav tsaus ntuj. |
Muaj ntau lub sijhawm nkag nyob rau ib hnub | Ib zaug. Ob daim ntawv ntawm cov tshuaj ua haujlwm tsawg kawg 24 teev. |
Noj ua ntej los yog tom qab noj mov | Nws tsis muaj teeb meem. Khoom noj khoom haus me ntsis ua rau maj mam nqus ntawm indapamide, tab sis nws tsis txo nws cov hauj lwm zoo. |
Daim ntawv thov nta | Pa Indapamide ntsiav tshuaj tuaj yeem faib thiab phua. Ntev mus Indapamide yuav tsuas haus cawv kom tag nrho xwb. |
Txheem tshuaj rau txhua hnub | 2.5 mg (lossis 1.5 mg rau lub sijhawm ntev) rau txhua pawg ntawm cov neeg mob. Yog tias qhov tshuaj no tsis txaus rau lub siab qhov ib txwm, lwm tus neeg mob tau muab 1 tshuaj. |
Puas yuav ua tau kom nce lub koob tshuaj | Nws yog qhov tsis tsim nyog, vim tias qhov nce ntxiv ntawm koob tshuaj yuav ua rau kom tso zis ntau ntxiv, ua rau muaj kev phom sij. Hauv qhov no, qhov ua kom hypotensive ntawm Indapamide yuav nyob rau tib theem. |
Thov nco ntsoov: ua ntej pib kho nrog ib qho tshuaj diuretics, nws raug nquahu los soj ntsuam qee cov ntshav: potassium, qab zib, creatinine, urea. Yog tias cov ntawv ntsuas pom qhov txawv ntawm qhov tsis zoo, tham nrog koj tus kws kho mob, vim tias kev noj tshuaj diuretics tuaj yeem yog txaus ntshai.
Kuv tuaj yeem coj ntev npaum li cas indapamide yam tsis muaj kev so
Indapamide siab tshuaj tau tso cai haus lub sijhawm tsis pub dhau, muab hais tias lawv muab lub hom phiaj ntawm qib siab thiab zoo tiv thaiv, uas yog, tsis txhob ua rau muaj kev phiv uas tsim kev puas tsuaj rau kev noj qab haus huv. Tsis txhob tsum tsis txhob noj cov tshuaj, txawm tias lub siab rov qab zoo li qub.
Tsawg dua li 0.01% ntawm cov neeg mob ntshav siab nrog kev kho mob mus ntev nrog Indapamide ntsiav tshuaj thiab nws cov tshuaj sib hloov, cov kev hloov hauv cov ntshav tshwm tuaj: qhov tsis muaj zog ntawm leukocytes, platelets, hemolytic lossis aplastic anemia. Txhawm rau kom paub lub sijhawm ua txhaum ntawm qhov kev yuam cai no, cov kev qhia pom zoo kom kuaj ntshav txhua 6 lub hlis.
Indapamide, rau qhov tsawg dua li lwm cov tshuaj diuretics, txhawb kev tshem tawm cov poov tshuaj hauv lub cev. Txawm li cas los xij, kev mob ntshav siab rau cov neeg mob uas yuav muaj kev pheej hmoo rau kev siv tshuaj ntsiav ntev mus ntev yuav ua rau tus mob hypokalemia. Tej yam txaus ntshai muaj xws li cov laus laus, mob ntsws, mob edema, mob plawv. Cov cim ntawm hypokalemias yog nkees, mob leeg. Hauv kev txheeb xyuas ntawm cov neeg mob ntshav siab uas tau ntsib tus mob no, lawv kuj hais txog qhov tsis muaj zog txaus - "tsis tuav lawv sab ceg", nquag cem quav. Kev tiv thaiv ntawm hypokalemia yog kev noj zaub mov ntau nyob hauv cov poov tshuaj: legumes, zaub, ntses, txiv hmab txiv ntoo qhuav.
Muaj kev phiv ntau
Kev tsis xav ua ntawm Indapamide thiab lawv cov teeb meem tshwm sim:
Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva
Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.
Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib mellitus kom zoo. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.
Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!
Zaus% | Kev phiv tshuaj |
mus txog 10 | Kev ua xua Maculopapular pob khaus liab feem ntau pib nrog lub ntsej muag, xim txawv ntawm paj yeeb-liab doog kom saturated burgundy. |
mus txog 1 | Ntuav |
Ntshav yog ua pob khaus rau ntawm daim tawv nqaij, ua rau cov ntshav tawm hauv cov leeg. | |
mus txog 0.1 | Mob taub hau, qaug zog, tingling hauv tus taw lossis txhais tes, kiv taub hau. |
Kev zom plab zom mov: xeev siab, cem quav. | |
nce mus txog 0.01 | Hloov ntshav sib xyaw. |
Arrhythmia. | |
Tus nqi siab dhau heev. | |
Pancreatic o. | |
Kev ua xua nyob rau hauv daim ntawv ntawm urticaria, Quincke's edema. | |
Tsis hlauv. | |
Raug rho tawm cov teeb meem, ntau zaus tsis tau txiav txim | Kev Muaj Hypokalemia, hyponatremia. |
Pom kev tsis pom kev. | |
Kab mob siab. | |
Qog Ntshav. | |
Nce ntau ntau ntawm daim siab enzymes. |
Cov lus qhia rau kev siv qhia tau tias kev ntxim siab ntawm kev phiv tshuaj ntau dua nrog kev siv ntau tshaj ntawm Indapamide ntsiav tshuaj, qis dua thaum siv daim ntawv ntev.
Cov Yuav Tsum Muaj
Daim ntawv ntawm contraindications rau Indapamide yog luv heev. Cov tshuaj tsis tuaj yeem noj:
- yog tias tsawg kawg ib qho ntawm cov khoom siv cuam tshuam kev tsis haum,
- rau kev ua xua rau sulfonamide derivatives - nimesulide (Nise, Nimesil thiab lwm tus), celecoxib (Celebrex),
- nrog mob raum lossis mob siab tsis txaus,
- nyob rau hauv cov ntaub ntawv ntawm tsim hypokalemia,
- nrog hypolactasia - ntsiav tshuaj muaj lactose.
Cev xeeb tub, menyuam yaus, pub mis niam tsis txiav txim siab nruj me ntsis. Hauv cov rooj plaub no, kev noj Indapamide yog qhov tsis tsim nyog, tab sis tuaj yeem ua tau los ntawm kev teem caij thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob nruj.
Cov lus qhia rau kev siv Indapamide tsis qhia txog kev muaj peev xwm nqa nws nrog cawv. Txawm li cas los xij, hauv kev tshuaj xyuas ntawm kws kho mob, kev sib xyaw ntawm cawv nrog cov tshuaj tau soj ntsuam tias muaj kev phom sij rau kev noj qab haus huv. Ib qho kev siv cov tshuaj ethanol tuaj yeem ua rau ntau tshaj tawm hauv lub siab. Kev tsim txom tsis tu ncua hnyav ua rau muaj kev pheej hmoo ntawm hypokalemia, nullifies nyhuv hypotensive ntawm Indapamide.
Kev sib piv thiab hloov chaw
Cov tshuaj yog kiag li rov ua dua nyob rau hauv muaj pes tsawg leeg thiab ntau npaum li cas, uas yog, cov tshuaj hauv qab no sau npe hauv Lavxias Federation yog tag nrho cov tshuaj tiv thaiv ntawm Indapamide:
Npe | Daim Ntawv | Chaw tsim tshuaj paus | Nqi rau 30 pcs., Rub. | |
zoo tib yam | retard | |||
Arifon / Arifon Retard | tab. | tab. | Servier, Fab Kis | 345/335 |
Indap | lub kaus mom. | — | ProMedCs, Czech koom pheej | 95 |
SR-Indamed | — | tab. | EdgeFarma, Is Nrias teb | 120 |
Ravel SR | — | tab. | KRKA, RF | 190 |
Lorvas SR | — | tab. | Torrent Tshuaj, Is Nrias teb | 130 |
Ionic / Ionic Retard | lub kaus mom. | tab. | Obolenskoe, Lavxias Federation | tsis muaj khw muag tshuaj |
Tenzar | lub kaus mom. | — | Ozone, RF | |
Indipam | tab. | — | Balkanpharma, Bulgaria | |
Indiur | tab. | — | Polfa, Poland | |
Akuter-Sanovel | — | tab. | Sanovel, Qaib ntxhw | |
Rov | — | tab. | Biopharm, Is Nrias teb | |
Ipres Ntev | — | tab. | SchwartzFarma, Tebchaws Poland |
Lawv tuaj yeem hloov los ntawm Indapamide yam tsis muaj kev sab laj ntxiv ntawm kws kho mob. Raws li kev tshuaj xyuas ntawm cov neeg mob noj cov tshuaj, qhov zoo tshaj plaws ntawm daim ntawv no yog Arifon thiab Indap ntsiav tshuaj.
Piv nrog tshuaj zoo sib xws
Ntawm cov thiazide thiab thiazide-zoo li diuretics, indapamide tuaj yeem sib tw nrog hydrochlorothiazide (tshuaj Hydrochlorothiazide, Hypothiazide, Enap tivthaiv, Lorista thiab ntau lwm cov tshuaj tiv thaiv kabmob) thiab chlortalidone (Oxodoline ntsiav tshuaj, ib qho ntawm cov khoom ntawm Tenorik thiab Tenoretik).
Piv cov yam ntxwv ntawm cov tshuaj no:
- lub zog ntawm 2.5 mg ntawm indapamide yog sib npaug li 25 mg ntawm hydrochlorothiazide thiab chlortalidone,
- hydrochlorothiazide thiab chlortalidone hloov pauv tsis tau rau cov kab mob indapamide hauv lub raum. Lawv raug tawm los ntawm lub raum tsis hloov, yog li ntawd, nrog lub raum tsis ua haujlwm, kev siv ntau dhau yog qhov muaj peev xwm heev. Indapamide yog cov tshuaj tiv thaiv lub siab, tsis pub ntau tshaj 5% yog tawm hauv daim foos nquag, yog li nws muaj peev xwm ua kom qaug cawv mus rau qhov tsis txaus siab ntawm lub raum tsis ua haujlwm,
- Piv nrog hydrochlorothiazide, indapamide muaj cov tiv thaiv zoo rau lub raum. Tshaj li 2 xyoos ntawm nws qhov kev nkag, GFR nce rau thaj tsam li 28%. Thaum noj hydrochlorothiazide - txo los ntawm 17%,
- chlortalidone ua haujlwm ntev txog 3 hnub, yog li nws tuaj yeem siv rau hauv cov neeg mob uas tsis tuaj yeem siv tshuaj kho mob rau lawv tus kheej,
- Indapamide ntsiav tshuaj tsis cuam tshuam loj heev rau cov metabolism hauv kev ua kom yuag, yog li ntawd, lawv tuaj yeem siv rau cov ntshav qab zib. Hydrochlorothiazide ua rau muaj zog tiv thaiv cov tshuaj insulin.
Pharmacodynamics thiab pharmacokinetics
Los ntawm nws lub zog pharmacological, cov tshuaj nyob ze thiazide diureticsCov. Tsub kom tau ntau ntxiv ntawm cov sodium, chlorine, potassium thiab magnesium ions hauv cov zis. Nce kev ua kom ywj pheej ntawm phab ntsa ntawm cov hlab ntsha, maj mam muab qis dua qhov tsis kam ntawm cov hlab ntsha ib thaj. Nws tsis muaj kev cuam tshuam carbohydrate metabolism thiab cov ntsiab lus lipids hauv cov ntshav, pab txo qis sab laug ventricular hypertrophy.
Indapamide yog kev tsim khoom ntawm ntau lawm prostaglandin E2, muaj qhov tshwj xeeb zoo rau kev tsim cov pa oxygen dawb.
Cov tshuaj pib ua 30 feeb tom qab kev coj noj coj ua (kev siv tshuaj lom neeg txog li 93%), kev ua kom zoo li mob tau ntev txog ib hnub. Qhov siab tshaj plaws hauv cov ntshav yog 12 teev tom qab lub ntsiav tshuaj yaj rau hauv lub zom zaub mov. Kev tshem tawm ib nrab-lub neej yog 18 teev. Noj yuav ntev me ntsis txuas ntxiv lub sijhawm nqus, tab sis cov tshuaj, txawm li cas los xij yog tag nrho nqus. Lub raum cia txog li 80% ntawm cov tshuaj hauv daim ntawv metabolitestxoj hnyuv - nce txog 20%.
Sab sij huam
Cov tshuaj, raws li lub diuretic, tuaj yeem ua rau txo qis ntshav poov tshuaj potassium, txo qis hauv sodium concentration, uas ua rau lub cev lub cev qhuav dejCov. Hauv qhov no, cov tsos mob xws li qhov ncauj qhuav, cem quav, xeev siab, mob taub hau, kev fab tshuaj tsis haum.
Tsis tshua muaj kev phiv - lub siab tuaj cuam tshuam tuaj, hemolytic anemia.
Indapamide ntsiav tshuaj, cov lus qhia rau kev siv
Cov ntsiav tshuaj tau noj ncaj qha raws li cov lus qhia - ib hnub ib zaug, nyiam dua thaum sawv ntxov, ib ntsiav tshuaj lossis tshuaj ntsiav.
Cov tshuaj tuaj yeem ua ke nrog lwm cov tshuaj tiv thaiv kev tiv thaiv, tab sis tsuas yog tus kws kho mob koom nrog tuaj yeem txiav txim siab yuav ua li cas thiaj li noj cov tshuaj nyob hauv ntau yam kev sib txuas.
Cov lus qhia siv Indapamide Retard thiab cov lus qhia rau kev siv Indapamide MV Stad (ua nyob rau hauv lub teb chaws Yelemees) tsis muaj qhov sib txawv txog cov kev tswj hwm thiab kev noj ntau npaum li cas. Txawm li cas los xij, cov tshuaj Pauj Nws yog tus yam ntxwv ntev dua, thiab, tib lub sijhawm, kev ua haujlwm me me ntawm qhov reagent, vim yog maj mam tso tawm ntawm cov tshuaj nquag.
Ntev npaum li cas Kuv tuaj yeem siv Indapamide, tus kws kho mob txiav txim siab, muab qib ntshav siab, tab sis hauv kev kho mob kev kho mob qhov kev kho mob no hais txog cov tshuaj uas tau muab tshuaj kho mus ntev (suav nrog lub sijhawm ua neej).
Noj ntau dhau
Cov kev mob toxicity ntawm cov tshuaj tshwm sim ntawm ib koob ntawm 40 mg. Cov cim qhia ntawm kev lom - tsaug zog, xeev siab, ntuav, ntse kev nyuaj siab, qhov ncauj qhuav.
Kev ntsuas maj nrawm - lub plab zom mov, rov qab kho cov electrolyte tshuav nyiaj li cas, lub cev (tsuas yog hauv tsev kho mob chaw).
Kev cuam tshuam nrog lwm yam tshuaj
- Cov tshuaj tiv thaiv kev ntxhov siab thiab tshuaj tiv thaiv kab mob txhim kho cov nyhuv hypotensive, ua rau kom muaj kev txhim kho ntxiv orthostatic hypotension.
- Aluretics, mob glycosides, laxatives ua rau kom muaj kev pheej hmoo ntawm kev tsim poov tshuaj tsis txaus.
- Erythromycin tej zaum yuav ua rau muaj kev txhim kho tachycardia nrog ventricular fibrillation.
- Nonsteroidal anti-inflammatory tshuaj, glucocorticosteroids txo cov nyhuv hypotensive.
- Npaj muaj iodinetej zaum yuav ua rau lub cev tsis muaj kua hauv lub cev.
- Cyclosporin txhawb kev tsim kho hypercreatininemia.
Cov npe ntawm Indapamide
Zoo tshuaj: Indapen, Lorvas, Acrylamide, Indopres, Hydrochlorothiazide, Oxodoline, Cyclomethiazide.
Indapamide thiab nws cov analogues tau noj nruj me ntsis raws li kws kho mob hais.
Kev txheeb xyuas txog Indapamide
Xyuas txog Indapamide Retard, feem ntau, taw qhia tias qhov ua tau zoo ntawm cov tshuaj. Cov neeg mob siab siab, feem ntau, zam cov tshuaj kho kom zoo.Kev tshuaj xyuas ntawm cov kws kho mob thiab cov neeg mob, nrog rau cov kev sib tham uas kho cov ntshav siab yog tham, kom ntseeg tau tseeb txog qhov tseeb no.
Cov kev mob tshwm sim tsis tshua muaj, thiab yog tus yam ntxwv tsis muaj zog. Coob tus neeg kuaj mob ntshav siab tau noj tshuaj rau lub neej.
Kev siv online
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.
Indapamide nqe, qhov twg yuav
Tus nqi nyob ntawm 26 txog 170 rubles rau ib pob.
Nqi Indapamide Retard - txij li 30 txog 116 rubles (tus nqi nce nyob ntawm txoj cai tswjfwm tus nqi muag tshuaj, thiab cov khw).
Nqe ntawm ntsiav tshuaj Indapamide Retard-Teva nrog kev tswj hwm tso tawm ntawm cov tshuaj nquag, ntawm qhov nruab nrab, siab dua li cov tshuaj nrog cov txheej txheem ib txwm muaj ntawm kev ua.
Indapamide siv ua tshuaj rau cov ntshav siab.
Nyob zoo cov phooj ywg, nrog rau cov neeg siv ntawm thaj chaw Otzovik. Ntshav siab yog qhov teeb meem mus ib txhis thiab mob hauv kuv tsev neeg. Muaj ntau cov tshuaj tawm tsam qhov no tam sim no koj qee zaum tuaj yeem ntxhov siab rau hauv lawv. Oh ...
Ua tau zoo thiab pheej yig
Antihypertensive cov neeg sawv cev qee zaum yuav tsum tau hloov pauv, vim tias lub cev tau siv rau nws, thiab cov tshuaj poob qhov nws ua haujlwm tau ntev ntev. Tsis ntev los no, Kuv tau noj cov tshuaj indapamide rau cov ntshav siab. Ib ntsiav tshuaj tom qab noj hmo thiab nplua, qhov ntsuas siab yog qhov ib txwm. Cov nyhuv diuretic ntawm ...
feem ntau pab cov ntshav siab
ib txwm tsis tuav ruaj khov
Cov tshuaj no tau dhau los ua rau kuv paub zoo vim tias nws tau raug sau tsis ntev dhau los los ntawm tus kws kho mob hauv zos kom tswj hwm lub suab hauv lub suab. Feem ntau, ob qho kev kho plawv thiab kws kho mob tau kho ntau yam tshuaj muaj feem cuam tshuam rau qhov ib txwm muaj siab ...
Txo cov siab, ua pa tsawg, yuav tsum haus ib zaug xwb 1 hnub, nyob rau qhov muaj cov tshuaj
Nws pab nrog lub siab tsis pub tshaj 150/80,
Kuv niam muaj kub siab. Tus kab mob yog qhov txaus ntshai, tab sis txog thaum tsis ntev los no, Kuv, pom kuv niam yuav luag txhua hnub, tsis pom nws cov txiaj ntsig ntawm lub cev, tsuas yog qee zaum muaj mob taub hau, uas kuv niam yws yws qee lub sijhawm. Txawm li cas los xij, nyob rau lub caij ntuj sov muaj qhov xwm txheej uas ...
kuv lub siab tsis nce ntxiv los ntawm kev kub siab, tab sis vim yog vim li cas ntawm cov leeg ntshav txhaws khov, yog li indapamide tsis haum rau kuv, lossis kho tau zoo! Lub siab poob ntau dhau, thiab lub siab tsis muaj zog txaus. Txawm hais tias kuv tsis ...
Pheej yig, yooj yim los nqa
ua tsis haum, mob taub hau
Qhov no pheej yig diuretic feem ntau yog kws kho mob sau tseg. Indapamide yog ib qho yooj yim noj 1 ntsiav tshuaj 1 zaug hauv ib hnub, tsis hais noj mov dabtsi. Nws yog qhia txog kev pom cov ntshav liab. Muaj ntau cov kev mob tshwm sim hauv cov lus qhia, tab sis pom tau qhov no tsis muaj leej twg ...
pheej yig thiab ua tau zoo, tsis tsuas yog ua diuretic
soj qab poov tshuaj thiab magnesium thaum noj cov tshuaj no
Tsawg kawg rau kuv. Cov tshuaj no tau raug sau tseg rau kuv raws li siv tshuaj diuretic rau kuv hydronephrosis. Nws thiaj li tau tshwm sim hais tias nws yog qhov tsim nyog los haus ib yam dab tsi diuretic. Ntawm kuv qhov kev thov, cov kws kho mob xav tau - pheej yig, nrog qhov tsawg kawg ntawm kev phiv ...
Kuv niam muaj kev nyuaj siab ntshav siab. Kev kub siab kuj nce ntawm kua stagnation hauv lub cev. Edema kuj tseem los ntawm qhov no. Thiab nyob rau hauv nws cov txee tshuaj muaj ib txwm diuretic tus neeg sawv cev Indapamide. Tus kws kho mob tau sau ntawv rau haus nws 1 ...
Pheej yig, siv yeeb siv tshuaj zoo.
Cov kev kho mob yuav tsum tau muaj txhij txhua, nws ib leeg tsis zoo li los pab
Nws thiaj li tau tshwm sim hauv kuv lub sijhawm 40s kuv tau kawm tias qhov kev cia siab zoo li cas. Kuv yeej tsis tau xav tias qhov no yuav tshwm sim rau kuv.Kuv ua raws li kev noj haus kom zoo, ua lub neej nquag, tom qab ua yeeb yaj kiab ...
Diuretic, pab txo kom ntshav siab, tus nqi ib lub npib.
Tus nqi qis, txo qis ntshav ntshav, cov nyhuv diuretic
Lub diuretic nyhuv tsis tshwm sim tam sim ntawd
Kuv niam kuv txiv siv cov diuretic no "Indapamide" ntawm kev kub siab. Haus 1 lub tshuaj ntawm 2.5 mg ib hnub ib zaug thaum sawv ntxov. Yog tias koj haus thaum sawv ntxov, ces cov diuretic effect pib thaum tsaus ntuj. Tus downside yog tias nws cuam tshuam ...
Ib tug ntau ntawm contraindications.
Nyob zoo nyeem, nyob zoo! Yog li kuv txiav txim siab sau ib qho kev soj ntsuam ntawm Indapamid. Kuv tus txiv tau raug mob plawv xyoo dhau los, nws muaj ntshav qab zib, thiab ntshav siab. Tus kws kho mob tau muab nws cov tshuaj no, nrog rau lwm tus, suav nrog cov tshuaj mitroformin ...
muaj cov contraindications thiab cov kev mob tshwm sim.
Kuv yuav tsis hu nws tsuas yog ib lub diuretic. Tseeb, kom yuav tsum paub tseeb, indapamide yog diuretic. Tab sis nyob rau hauv xws li ntau npaum, uas yog siv nyob rau hauv cov ntsiav tshuaj, qhov kev txiav txim siab los ntawm nws kuj yog antihypertensive thiab vasodilator ...
Ntev mus ntev kev sib deev.
Kuv tsis tau siv cov tshuaj diuretics hauv kuv lub neej (tsis suav nrog lub duav duav), tab sis tom qab ntawd kuv tau kawm txog ib qho ntawm lawv qhov kev nthuav qhia tshwj xeeb rau kev siv rau txiv neej. Kuv tsis paub cov ntsiab lus ntawm cov txheej txheem, tab sis kev siv cov diuretics tso cai rau koj txuas lub sijhawm sib deev, los "thawb" rau qee qhov ...
Ib yam li nrog txhua yam tshuaj.
Cov tshuaj antihypertensive Indapamide muaj cov nyhuv diuretic. Indapamide muaj kev cuam tshuam hypotensive hauv kev txhaj tshuaj uas tsis muaj kev cuam tshuam lub zog diuretic. Nws zoo rau cov neeg uas muaj ib lub raum. Nrog rau kev siv tsis tu ncua, cov nyhuv hypotensive ntawm Indapamide tshwm sim hauv 1-2 lub lis piam, nce mus txog ...
Nws du ua kom tsis txhob muaj kev kub ntxhov, txo qhov o, thiab tus nqi yog qhov pheej yig.
Cov tshuaj no tsis kim, qhov tseeb muaj cov kev mob tshwm sim, Kuv tus kheej noj nws, nrog edema, kuv qhov teeb meem yog, kuv ob txhais ceg tau o tuaj tsis zoo, tshwj xeeb tshaj yog thaum lub caij ntuj sov sov, thaum sawv ntxov nyob rau ntawm lub plab khoob 1 ntsiav tshuaj ib hnub, tab sis kuv twv yuav tsum haus aspark rau ...
Diuretics lossis diuretics. Hnub no kuv xav qhia koj txog indapamide. Tsis yog kuv nyiam siv tshuaj. Tab sis zoo heev. Tsuas yog qhov qhia tau rau qhov kev hais daws no xwb yog arterial hypertension (ntshav siab). Kuv coj nws thaum kuv tau o ...
Thawj thawj zaug kuv tau muaj kev kub ntxhov, qhov xwm txheej tsis txaus ntseeg heev, uas txhawj xeeb yuav nkag siab kuv.
Tus kws kho mob hauv kev kho cov tshuaj uas kuv tau haus los ntawm kev txiav txim siab siab Indapamide.
Kuv tau haus nws rau ib lub lim tiam, noj nws txhua lwm hnub, ib ntsiav tshuaj thaum sawv ntxov.
Niaj hnub no nws tau rov qab ntsib tus kws kho mob lub sijhawm, nws tau hais rau tus kws kho mob tias kuv tsis xav tias nws zoo li diuretic.
Lawv tau piav qhia rau kuv tias txij li kuv lub siab nce ntxiv thawj zaug, Kuv tau siv tshuaj yaj yeeb thiab nws muaj teebmeem txhua hnub, nws muaj cov nyhuv diuretic me ntsis.
Tab sis kuv hnov qee qhov tsis muaj zog, tab sis kuv tsis nkag siab yog tias cov tshuaj no ua rau kuv muaj kev phiv? Kuv hloov ntau yam tshuaj, yog li kuv tseem tsis nkag siab.
Raws li kev piav qhia thiab tshuaj xyuas, cov tshuaj tsis yog phem. Zoo, haus txhais tau tias haus, nyob rau hauv kuv cov ntaub ntawv nws yog tej zaum tsis muaj lwm txoj kev.
Indapamide yog qhov pheej yig heev thiab raws li kev txheeb xyuas cov kev siv tshuaj zoo heev. Tab sis peb txhua tus. Hauv ib qhov kev txheeb xyuas kuv nyeem hais tias nws tsis muaj kev cuam tshuam ntawm cov txheej txheem diuretic ...
2 Xyoos, 10 lub hlis dhau los Rathone
Antihypertensive cov neeg sawv cev qee zaum yuav tsum tau hloov pauv, vim tias lub cev tau siv rau nws, thiab cov tshuaj poob qhov nws ua haujlwm tau ntev ntev. Tsis ntev los no Kuv tau noj cov tshuaj indapamide rau cov ntshav siab ....
2 xyoos, 11 lub hlis dhau los Cursembled
Kuv niam mob ntshav siab, ntshav siab, mus cuag kws kho mob, kws kho mob tau sau rau indapamide thiab lwm yam tshuaj tiv thaiv kab mob, uas kho tau ntev heev ...
3 Xyoos dhau los Glimbinging
Kuv niam muaj kev nyuaj siab ntshav siab. Kev kub siab kuj nce ntawm kua stagnation hauv lub cev. Edema kuj tseem los ntawm qhov no. Thiab nws ib txwm muaj daim diu hauv nws cov txee tshuaj ...
3 xyoos, 1 lub hlis dhau los Peacego
Indapamide raug pom zoo los ntawm kws kho mob hlwb kom rov ua kom ntshav siab. Cov lus qhia hauv qhov ntsuas rau kev siv hais li ntawd: o ntshav nce ntshav. Indapam ...
3 xyoos, 1 lub hlis dhau los Kaw
Kuv tus txij nkawm muaj teeb meem nrog lub siab, tau txais me ntsis poob siab lossis hloov pauv hauv huab cua, mob taub hau tshwm thiab tonometer qhia peb tias lub siab nce ntxiv. Ib zaug yog ...
3 xyoos, 2 lub hlis dhau los Sundolfinessurses
Tsis ntev los no, kuv tus poj niam pib txhawj xeeb txog kev ntxhov siab. Tig mus rau hauv tsev kho mob, tus kws kho mob tau sau nws tshuaj diuretic Indapamide. Nws yog muag hauv cardboard ntim ntawm tus nqi ...
3 xyoos, 3 lub hlis dhau los Actumnanion
Qhov no pheej yig diuretic feem ntau yog kws kho mob sau tseg. Indapamide yog ib qho yooj yim noj 1 ntsiav tshuaj 1 zaug hauv ib hnub, tsis hais noj mov dabtsi. Nws yog qhia txog kev pom cov ntshav liab. ...
3 xyoos, 3 lub hlis dhau los Purpossided
Kuv yeej tsis tau paub txog cov tshuaj no txog thaum kuv tau txais kev kho plawv nrog kev kub siab. Kws kho plawv tawm tswv yim kuv indapamide hauv txoj kev kho mob los ua kom lub siab hloov. Qhov no pr ...
3 xyoos, 3 lub hlis dhau los Aboundery
Diuretics lossis diuretics. Hnub no kuv xav qhia koj txog indapamide. Tsis yog kuv nyiam siv tshuaj. Tab sis zoo heev. Qhov tsuas yog qhia txog ntawm cov tshuaj no yog ...
3 xyoos, 4 lub hlis dhau los Strewel
Cov tshuaj no tsis kim, qhov tseeb muaj cov kev mob tshwm sim, Kuv tus kheej noj nws, nrog edema, kuv qhov teeb meem yog, kuv ob txhais ceg tau o tuaj tsis zoo, tshwj xeeb tshaj yog thaum lub caij ntuj sov sov, thaum sawv ntxov ntawm lub khoob khoob 1 ntsiav tshuaj hauv ...
3 xyoos, 4 lub hlis dhau los
Thaum kuv tus txiv txiav txim siab sim hloov mus rau kuv cov tshuaj siab hu ua Amlodipine (Kuv tsis tau sau txog lawv li cas?). Thaum xub thawj kuv zoo siab nrog cov txiaj ntsig. Cov tshuaj ua tiag tiag ...
3 xyoos, 10 lub hlis dhau los Notate
Kuv noj indapaimide rau ib xyoos raws li tus neeg sawv cev hypotensive. Ua ntej ntawd, Kuv yuav tsum sim ntau lwm yam tshuaj rau lub sijhawm ntev. Tag nrho cov ntawm lawv tsis haum vim muaj ntau yam phiv ...
3 xyoos, 10 lub hlis dhau los Devourgirl
kuv lub siab tsis nce ntxiv los ntawm kev kub siab, tab sis vim yog vim li cas ntawm cov leeg ntshav txhaws khov, yog li indapamide tsis haum rau kuv, lossis kho tau zoo! Lub siab tau poob qis me ntsis ...
4 xyoos, 3 lub hlis dhau los Guartlyinger
Kuv noj indapamide ntev li 2.5 mg, nws pab kuv zoo. Kuv txom nyem los ntawm kub siab. Cov tshuaj ua rau rov zoo tuaj thiab txo kev tuaj yeem siab. Siv sijhawm kom xis nyob-sijhawm sijhawm thaum sawv ntxov. Tsis txhob them nyiaj rau rau ...
4 xyoos, 4 lub hlis dhau los Saturnere
Tsawg kawg rau kuv. Cov tshuaj no tau raug sau tseg rau kuv raws li siv tshuaj diuretic rau kuv hydronephrosis. Nws thiaj li tau tshwm sim hais tias nws yog qhov tsim nyog los haus ib yam dab tsi diuretic. Hauv kuv txoj kev xav ...
4 xyoos, 5 lub hlis dhau los Wheeple
Kuv yuav cov tshuaj no rau tus neeg txheeb ze. nws raug kev txom nyem los ntawm kev kub siab ntawm thawj theem me. Cov tshuaj tsis tshua muaj nqi, tsis zoo li lwm yam tshuaj ntawm tib pab pawg ...
4 xyoos, 7 lub hlis dhau los Binded
Cov tshuaj antihypertensive Indapamide muaj cov nyhuv diuretic. Indapamide muaj kev cuam tshuam hypotensive hauv kev txhaj tshuaj uas tsis muaj kev cuam tshuam lub zog diuretic. Nws tseem zoo ...
4 xyoos, 8 lub hlis dhau los Mastim
Kuv tsis tau siv cov tshuaj diuretics hauv kuv lub neej (tsis suav nrog lub duav duav), tab sis tom qab ntawd kuv tau kawm txog ib qho ntawm lawv qhov kev nthuav qhia tshwj xeeb rau kev siv rau txiv neej. Kuv tsis paub cov ntsiab lus ntawm lub mechanism, tab sis…
4 xyoos, 10 lub hlis dhau los Marambs
Qee zaum lub siab nce, tshwj xeeb tshaj yog qis dua. Tam sim no peb muaj te nyob rau 40 degrees, yog li lub cev ua raws li. Kuv niaj hnub noj cov tshuaj uas tsim nyog. Thaum twg koj ...
Kev siab thiab tawg surges yuav yog ib yam ntawm yav dhau los - pub dawb
Kev mob plawv thiab mob nkees yog qhov ua rau kwv yees li 70% ntawm tag nrho cov neeg tuag hauv ntiaj teb. Xya tawm ntawm kaum tus neeg tuag vim kev txhaws ntawm cov hlab ntsha ntawm lub plawv lossis paj hlwb. Yuav luag txhua qhov teeb meem, qhov laj thawj rau qhov txaus ntshai kawg no yog qhov qub - lub siab surges vim kub siab.
Nws yog qhov ua tau thiab tsim nyog kom txo qis siab, txwv tsis pub tsis muaj dab tsi. Tab sis qhov no tsis kho tus kab mob nws tus kheej, tab sis tsuas yog pab txhawm rau txhawm rau tshawb xyuas, thiab tsis yog qhov ua kom muaj tus kab mob.
Cov tshuaj nkaus xwb uas raug pom zoo rau kev kho mob tawg thiab nws kuj yog siv los ntawm kev kho plawv hauv lawv txoj haujlwm yog NORMIO.
Qhov ua tau zoo ntawm cov tshuaj, suav raws li tus qauv txheej txheem (tus naj npawb ntawm cov neeg mob uas tau zoo mus rau tag nrho cov neeg mob hauv pawg 100 ntawm cov neeg tau txais kev kho mob) yog:
- Normalization ntawm siab - 97%
- Kev tshem tawm ntawm cov hlab ntshav thrombosis - 80%
- Ntaus tau ntawm lub plawv dhia muaj zog - 99%
- Kom tshem tau mob taub hau - 92%
- Ntxiv dag zog rau nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj - 97%
NORMIO cov tuam txhab tsis yog cov koom haum ua lag luam thiab tau nyiaj los ntawm kev txhawb nqa hauv xeev. Yog li tam sim no, txhua tus neeg nyob hauv tsev kawm ntawv muaj lub sijhawm los tau ib pob khoom ntawm cov tshuaj dawb.
Cov ntaub ntawv dab tsi yog Indapamide tsim thiab ntau npaum li cas:
Indapamide - cov lus qhia rau kev siv, tshuaj xyuas, sib piv thiab cov ntawv tso tawm (2.5 mg thiab 1.5 mg ntsiav tshuaj ntawm retard, MV thiab Stad, tsiav tshuaj 2.5 mg ntawm Verte) diuretic rau kev kho mob ntshav siab hauv cov neeg laus, menyuam yaus thiab cev xeeb tub
Hauv tsab xov xwm no, koj tuaj yeem nyeem cov lus qhia rau kev siv tshuaj yaj yeeb IndapamideCov. 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 cov diuretic Indapamide 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. Cov cim qhia ntawm Indapamide nyob rau hauv muaj cov qauv txheej txheem qauv. Siv rau kev kho mob ntshav siab hauv cov neeg laus, menyuam yaus, nrog rau lub sijhawm cev xeeb tub thiab lactation. Ntev npaum li cas nws yuav tsum tau noj cov tshuaj.
Indapamide - antihypertensive tus neeg sawv cev, thiazide-zoo li diuretic nrog muaj mob hauv nruab nrab lub zog thiab kav ntev, cov benzamide derivative. Nws muaj ntsis saluretic thiab diuretic teebmeem, uas cuam tshuam nrog kev thaiv kev rov ua kom rov qab los ntawm sodium, chlorine, hydrogen ions, thiab kom tsawg dua cov potassium ions hauv qhov ze ntawm tubules thiab cortical ntu ntawm distal tubule ntawm nephron. Cov teebmeem vasodilating thiab ib qho kev txo qis ntawm tag nrho peripheral vascular tsis kam yog ua raws li cov txheej txheem hauv qab no: ib qho kev txo qis ntawm cov reactivity ntawm phab ntsa vascular rau norepinephrine thiab angiotensin 2, nce ntxiv ntawm cov synthesis ntawm prostaglandins nrog vasodilator kev ua si, thiab inhibition ntawm calcium ntws mus rau hauv cov leeg ntshav phab ntsa ntawm cov hlab ntshav.
Txo cov suab ntawm cov leeg ntawm cov hlab ntsha, txo qis tag nrho cov kev tawm tsam ntawm cov hlab ntshav. Pab txo qis sab laug ventricular hypertrophy. Hauv kev siv tshuaj, nws tsis cuam tshuam rau lipid thiab carbohydrate metabolism (suav nrog rau cov neeg mob uas muaj kab mob ntshav qab zib mellitus).
Cov nyhuv antihypertensive tshwm sim thaum kawg ntawm thawj zaug / pib ntawm lub lim tiam thib ob nrog kev siv tshuaj tsis tu ncua thiab kav ntev li 24 teev los tiv thaiv keeb kwm ntawm ib koob tshuaj.
Cov Tshuaj Pharmacokinetics
Tom qab lub qhov ncauj tswj hwm, nws tau nrawm thiab nqus tag nrho los ntawm cov hnyuv, kev ua haujlwm kom zoo dua qub (93%). Noj noj kom tsawg dua qhov txo qhov nqus, tab sis tsis cuam tshuam rau qhov ntau ntawm cov tshuaj nqus dej. Nws muaj cov khoom lag luam muaj ntau faib, hla los ntawm keeb kwm kev txwv (suav nrog placental), kis mus rau hauv niam mis. Cov tshuaj txiav tawm hauv daim siab. 60-80% yog tawm los ntawm lub raum hauv daim ntawv ntawm cov tshuaj ua kom muaj zog (li 5% yog tawm tsis hloov), los ntawm txoj hnyuv - 20%. Hauv cov neeg mob uas mob raum tsis ua haujlwm, cov khw muag tshuaj tsis hloov pauv. Tsis cumulate.
Cov Khoom Qhia
Tso Tawm Cov Ntawv
2.5 mg zaj duab xis-coated ntsiav tshuaj.
Coated ntsiav tshuaj 2.5 mg Stad.
1.5 mg txheej ntsiav tshuaj Indapamide MV.
1.5 mg retard coated ntsiav tshuaj.
Cov tshuaj ntsiav 2.5 mg Werth.
Cov lus qhia rau kev siv thiab ntau npaum li cas
Cov ntsiav tshuaj yuav noj ntawm qhov ncauj tsis tau ntxo. Qhov tshuaj rau txhua hnub yog 1 ntsiav tshuaj (2.5 mg) ib hnub (thaum sawv ntxov). Yog tias tom qab 4-8 lub lis piam ntawm kev kho mob qhov xav tau txoj kev kho mob tsis tiav, nws tsis pom zoo kom nce qhov ntau ntxiv ntawm cov tshuaj (nce kev pheej hmoo ntawm kev mob tshwm sim uas tsis muaj kev txhim kho los tiv thaiv kev mob ntshav siab).Hloov chaw, nws raug pom zoo tias lwm cov tshuaj tiv thaiv tshuaj tiv thaiv kab mob uas tsis yog diuretic yuav suav nrog hauv cov tshuaj regimen.
Thaum muaj kev kho mob yuav tsum tau pib nrog ob cov tshuaj, cov koob tshuaj ntawm Indapamide tseem nyob ntawm 2.5 mg ib hnub ib zaug thaum sawv ntxov.
Sab hauv, tsis tas yuav zom, haus dej kom ntau, tsis hais kev noj zaub mov, feem ntau yog sawv ntxov ntxov ntawm koob tshuaj 1.5 mg (1 ntsiav tshuaj) ib hnub.
Yog tias tom qab 4-8 lub lim piam ntawm kev kho mob qhov xav tau txoj kev kho mob tsis tiav, nws tsis pom zoo kom nce qhov ntau ntxiv ntawm cov tshuaj (qhov kev pheej hmoo ntawm kev mob tshwm sim tsis muaj ntau ntxiv los tiv thaiv cov nyhuv antihypertensive). Hloov chaw, nws raug pom zoo tias lwm cov tshuaj tiv thaiv tshuaj tiv thaiv kab mob uas tsis yog diuretic yuav suav nrog hauv cov tshuaj regimen. Thaum muaj kev kho mob yuav tsum tau pib nrog ob cov tshuaj, cov koob tshuaj ntawm Indapamide retard tseem sib npaug li 1.5 mg ib hnub ib zaug thaum sawv ntxov.
Hauv cov neeg mob laus, lub plasma concentration ntawm creatinine yuav tsum tau tswj hwm rau hauv kev txiav txim hnub nyoog, lub cev nyhav thiab poj niam txiv neej, cov tshuaj yuav siv tau rau hauv cov neeg laus laus uas lub cev tsis zoo lossis ua haujlwm me ntsis.
Sab sij huam
- xeev siab, ntuav,
- kev tsis nco qab
- qhov ncauj qhuav
- mob ncauj plab,
- zawv plab
- cem quav
- asthenia
- kev tshee
- mob taub hau
- kiv taub hau
- tsaug zog
- insomnia
- kev nyuaj siab
- qaug zog,
- feem ntau tsis muaj zog
- malaise
- mob leeg pob
- txob taus
- pom mob pob txha
- pom kev pom
- hnoos
- pharyngitis
- mob hlab ntsws
- mob ntsws npog
- orthostatic hypotension,
- arrhythmia,
- lub plawv dhia
- hmo ntuj
- polyuria
- ua pob
- urticaria
- khaus
- hemorrhagic vasculitis,
- hyperglycemia, hypokalemia, hypochloremia, hyponatremia, hypercalcemia,
- khaub thuas zoo li mob aws
- mob hauv siab
- rov qab mob
- tsawg potency
- txo qis libido
- rhinorrhea
- hws
- poob phaus
- tingling hauv nqua.
Cov Yuav Tsum Tau Ua
- anusia
- hypokalemia
- Hepatic heev (suav nrog mob encephalopathy) thiab / lossis lub raum tsis ua haujlwm,
- cev xeeb tub
- kev pub mis
- hnub nyoog txog 18 xyoo (qhov ua tau zoo thiab kev nyab xeeb tsis tau tsim tsa),
- ib txhij tswj hwm tshuaj uas txuas ntxiv QT luv,
- hypersensitivity rau cov tshuaj thiab lwm yam sulfonamide derivatives.
Cev xeeb tub thiab lactation
Contraindicated nyob rau hauv cev xeeb tub thiab lactation.
Cov lus qhia tshwj xeeb
Hauv cov neeg mob noj cov mob glycosides, laxatives, tiv thaiv keeb kwm ntawm hyperaldosteronism, zoo li hauv cov neeg laus, kev saib xyuas tas li ntawm cov ntsiab lus ntawm cov potassium ions thiab creatinine yog qhia.
Thaum noj indapamide, kev saib xyuas cov poov tshuaj, sodium, magnesium ions nyob rau hauv cov ntshav plasma (hluav taws xob tsis zoo tuaj yeem loj hlob), pH, cov concentration ntawm cov piam thaj, uric acid thiab residual nitrogen yuav tsum tau soj ntsuam kom tsis muaj kab ke.
Kev tswj xyuas tau zoo tshaj plaws yog qhia hauv cov neeg mob uas muaj mob qog ntshav (tshwj xeeb nrog kev mob edema lossis ascites - qhov kev pheej hmoo ntawm kev txhim kho metabolic alkalosis, uas ua rau muaj kev mob tshwm sim ntawm hepatic encephalopathy), mob plawv, mob plawv tsis ua hauj lwm zoo, thiab hauv cov neeg laus. Cov pab pawg muaj kev pheej hmoo ntxiv kuj suav nrog cov neeg mob uas muaj QT ntu ntxiv ntawm cov electrocardiogram (kev xeeb los yog tsim tawm ntawm keeb kwm ntawm cov txheej txheem pathological).
Kev ntsuas thawj zaug ntawm kev saib xyuas cov poov tshuaj hauv cov ntshav yuav tsum tau ua thaum thawj lub lim tiam ntawm kev kho mob.
Rau kev siv tshuaj diuretic thiab antihypertensive nyhuv, cov tshuaj yuav tsum tau noj rau lub neej, nyob rau hauv qhov tsis muaj kev phiv thiab contraindications.
Hypercalcemia nrog indapamide tuaj yeem yog vim yav dhau los ua tsis tau kuaj pom hyperparathyroidism.
Hauv cov neeg mob ntshav qab zib mellitus, nws yog qhov tseem ceeb heev los tswj cov theem ntawm cov piam thaj hauv cov ntshav, tshwj xeeb tshaj yog nyob ntawm hypocapemia.
Lub cev qhuav dej tseem ceeb tuaj yeem ua rau txoj kev txhim kho ntawm lub raum tsis ua haujlwm (txo qis glomerular pom). Cov neeg mob yuav tsum tau them nyiaj rau cov dej tsis tau thiab ua tib zoo saib lub raum thaum pib kho.
Indapamide tuaj yeem muab qhov txiaj ntsig zoo thaum ua rau kev tswj hwm doping.
Cov neeg mob uas muaj mob ntshav tawm ntshav thiab mob hyponatremia (vim yog noj tshuaj diuretics) yuav tsum tsis txhob noj cov tshuaj diuretics 3 hnub ua ntej siv ACE inhibitors (yog tias tsim nyog, tshuaj diuretics tuaj yeem rov ua qee yam tom qab), lossis lawv raug txiav tawm thaum pib qis ntawm ACE inhibitors.
Cov kev tsim kho ntawm sulfonamides tuaj yeem ua rau lub zog ntawm cov kab mob lupus erythematosus (yuav tsum tau muab tso rau hauv lub siab thaum sau cia indapamide).
Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab
Thaum lub sijhawm kho mob, yuav tsum tau saib xyuas thaum tsav tsheb thiab koom nrog lwm yam kev phom sij uas yuav tsum muaj kev ntseeg ntau ntxiv thiab ceev ntawm cov kev tiv thaiv psychomotor.
Yeeb tshuaj sib cuam tshuam
Saluretics, mob glycosides, gluco- thiab mineralocorticoids, tetracosactide, amphotericin B (txhaj tshuaj), tshuaj laxatives yuav ua rau muaj kev pheej hmoo ntawm hypokalemia.
Nrog rau kev tswj hwm ib txhij nrog kev mob plawv glycosides, qhov ntxim nyiam ntawm kev tsim digitalis intoxication nce, nrog kev npaj calcium - hypercalcemia, nrog metformin - nws muaj peev xwm ua rau hnyav dua lactic acidosis.
Nws tsub kom cov concentration ntawm lithium ions hauv cov ntshav plasma (txo qis hauv cov zis), lithium muaj cov nyhuv nephrotoxic.
Astemizole, erythromycin intramuscularly, pentamidine, sultopride, terfenadine, vincamine, chav kawm 1a tshuaj antiarrhythmic (quinidine, disopyramide) thiab chav kawm 3 (amiodarone, bretilium, sotalol) tuaj yeem ua rau txoj kev loj hlob ntawm cov tsis tuaj yeem ntawm cov "torsades de point".
Cov tshuaj nonsteroidal anti-inflammatory, glucocorticosteroid tshuaj, tetracosactide, sympathomimetics txo cov nyhuv hypotensive, baclofen txhim kho.
Kev sib xyaw nrog cov tshuaj potassium-sparing diuretics tuaj yeem ua tau zoo rau qee pawg ntawm cov neeg mob, txawm li cas los xij, kev muaj peev xwm ntawm kev txhim kho hypo- lossis hyperkalemia, tshwj xeeb tshaj yog nyob rau cov neeg mob ntshav qab zib mellitus thiab lub raum tsis ua haujlwm, tsis tau txiav txim siab kiag li.
ACE inhibitors tsub kom muaj kev pheej hmoo ntawm kev tsim muaj txoj hlab ntshav hypotension thiab / lossis mob raum tsis ua haujlwm (tshwj xeeb tshaj yog nrog cov raum leeg ntshav uas twb muaj lawm).
Ntau qhov kev pheej hmoo ntawm kev txhim kho lub raum thaum siv cov tshuaj iodine uas muaj cov tshuaj zoo sib xws hauv cov chaw siab (lub cev qhuav dej). Ua ntej siv cov tshuaj iodine uas muaj cov tshuaj tiv thaiv zoo sib xws, cov neeg mob yuav tsum rov qab tso dej kom tsawg.
Imipramine (tricyclic) cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob nce siab tshaj qhov mob hypotensive thiab ua rau muaj kev pheej hmoo ntawm orthostatic hypotension.
Cyclosporine nce kev pheej hmoo ntawm kev tsim hypercreatininemia.
Txo cov txiaj ntsig ntawm kev tiv thaiv tsis tau tus kabmob (coumarin lossis indandion derivatives) vim qhov nce ntawm cov khoom ntawm coagulation vim qhov txo qis hauv cov ntshav ntawm cov ntshav ncig thiab ib qho kev nce ntxiv hauv lawv cov los ntawm lub siab (yuav tsum tau txhaj tshuaj kom haum).
Ntxiv dag zog rau kev thaiv kev ntawm neuromuscular kis, txhim kho nyob rau hauv qhov kev txiav txim ntawm tsis-depolarizing nqaij relaxants.
Cov tshuaj Analogues ntawm cov tshuaj Indapamide
Cov qauv ntawm cov qauv ua haujlwm:
- Acripamide
- Acripamide rov qab los,
- Akuter-Sanovel,
- Arindap,
- Arifon
- Arifon Retard,
- Vero-Indapamide,
- Indap,
- Indapamide MV Stad,
- Indapamide qeeb qeeb,
- Indapamide Stada,
- Indapamide-obl,
- Indapamide Werth,
- Indapamide teva,
- Indapres
- Indapsan
- Indipam
- Indiur
- Ionik
- Jonik Retard
- Ipres Ntev
- Lorvas SR,
- Pam vov
- Cov ntawv SR,
- Rov
- SR-Indamed,
- Lub Tensar.
Indapamide yog thiazide-zoo li diuretic uas tseem muaj vasodilating cov yam ntxwv. Siv los kho cov ntshav liab.Thiazide thiab thiazide-zoo li diuretics tseem nyob ntawm thawj qhov kev tiv thaiv kev kho mob. Lawv siv ua thawj kab tshuaj ob qho tib si hauv kev kho mob hauv tshuaj tua kab mob thiab hauv kev sib koom ua ke, thiab lawv suav nrog hauv chav kho mob tshuaj tiv thaiv kab mob tsis haum rau lub plawv kev ua kom zoo ntxiv.
Tus txheej txheem ntawm kev ua ntawm indapamide yog ze rau ntawm thiazides, uas tsis yog qhov xav tsis thoob, vim hais tias ob pawg tshuaj yog derivatives ntawm sulfonamides. Cov tshuaj yeeb yaj kiab ua rau qhov pib ntawm distal tubules, qhov twg nyob rau hauv ib txwm mob, 5-10% ntawm sodium thiab chlorine ions raug lim rau hauv thawj cov zis yog rov nkag, inhibiting qhov kev nqus no zoo heev. Txawm tias muaj kev sib tham tsis tu ncua txog qhov zoo thiab qhov tsis zoo ntawm thiazide thiab thiazide zoo li diuretics hauv kev sib piv nrog lwm tus, tsis ntev los no, mus rau lub luag haujlwm, ntxiv dag zog rau nws cov kev tawg nrog cov txiaj ntsig ntawm kev soj ntsuam ntau, nws yog qhov tseeb thiazod zoo li tshuaj. Piv txwv li, cov kws tshaj lij Askiv tam sim no pom zoo thiazide-zoo li cov diuretics thaum kho cov neeg mob ntshav siab.
Vim qee qhov tshwj xeeb tsis xws luag, indapamide tsuas yog tawm txawm hauv nws pawg lag luam pharmacological. Nws tau paub tseeb tias nws muaj kev cuam tshuam vasodilating, uas coj nws txoj kev txiav txim siab ntau rau qhov ua tiav ntawm cov txiaj ntsig antihypertensive. Cov vasodilating kev ua haujlwm ntawm cov tshuaj yog vim qhov ib txwm ua haujlwm ntawm kev sib raug zoo ntxiv ntawm cov hlab ntshav mus rau qhov kev ua ntawm ntau tus vasopressor yam (norepinephrine, angiotensin II, thromboxane A2) thiab txo qis hauv kev mloog zoo ntawm cov dawb radicals, uas tshwm sim hauv t.
suav nrog vim yog inhibition ntawm peroxidation ntawm "phem" cov cholesterol. Indapamide tseem muaj qee cov khoom ntawm calcium calcium blocker. Lwm qhov sib txawv ntawm cov tshuaj, uas pom qhov txawv ntawm kev nyiam thiazide thiab thiazide-zoo li diuretics, yog peculiar dissociation ntawm nws cov antihypertensive kev ua ub no thiab diuretic nyhuv, uas pom meej meej los ntawm qhov tseeb tias cov nyhuv antihypertensive hauv cov neeg mob uas mob raum ntev tseem tsis hloov. Cov lipophilicity (muaj peev xwm yaj hauv cov rog) hauv indapamil yog ib qho kev txiav txim siab ntawm qhov ntau dua li lwm cov thiazides, uas muab nws lub peev xwm los ua ke hauv cov leeg nqaij vascular hlwb yooj yim.
Qhov kawg ntawm lub xyoo pua xeem, cov ntsiab lus meej tau tsim los rau cov tshuaj zoo tshaj plaws tshuaj tiv thaiv kab mob: lub sijhawm ntev ntawm cov nyhuv yog tsawg kawg 24 teev (nyob rau ntawm kev txhaj tshuaj ib zaug) thiab kev tsis sib xws ntawm cov nyhuv antihypertensive, ntxiv dag zog los ntawm qhov tsis muaj qhov txawv txav ntawm lub siab ntawm cov tshuaj yeeb yam hauv cov ntshav. Yuav kom daws tau (tsawg kawg ntawm ib feem) qhov teeb meem no, qeeb-tso cov ntaub ntawv ntau npaum ntawm indapamide (lub npe hu ua qeeb ntev) tau tsim. Cov txheej txheem ntawm nws nqus hauv cov hnyuv yog qhov tseem ceeb kom ntseeg tau tias kev sib thooj ntawm kev ua ntawm cov tshuaj. Ib qho kev tiv thaiv tus neeg sawv cev yuav tsum tsis txhob nqus tag nrho ib zaug, vim tias Hauv qhov no, qhov txo qis hauv cov ntshav siab yuav tshwm sim. Daim foos tsis zoo tso cai ua kom tsis txhob hais txog qhov sib txawv ntawm kev saib xyuas ntawm cov tshuaj hauv ntshav thiab qhov tsis xwm ntawm cov nyhuv pharmacological dhau sijhawm. Indapamide hauv daim ntawv tso tawm no tuaj yeem pom hauv cov khw muag tshuaj hu ua "indapamide retard."
Cov tshuaj Stada Indapamide MV STADA - tshuaj xyuas
Ib qho ntawm cov tshuaj uas tau pom zoo rau kuv los ntawm tus kws kho mob rau txoj kev kuaj no (thiab hauv txoj cai muaj ntau ntawm lawv) yog cov tshuaj no. Kuv twb tau swm rau kev hloov pauv thiab kev quav yeeb tshuaj los ntawm lub sijhawm ntawm ntau yam tshuaj nootropics, cia nyob ib leeg diuaretics thiab lwm yam tshuaj, qhov twg qee zaum muaj cov kev mob tshwm sim uas nws zoo dua tuaj nyob rau koj lub hnub nyoog yam tsis muaj tshuaj ib zaug li.
Kuv tab tom cia.
lub thawv dawb-liab tsis muaj kev cuam tshuam vim tias nws yuav tsum yog siv tshuaj loj.
Idapamide NQE - 150 rubles.
Kev xaiv cov peev nyiaj zoo xaiv seb cov naj npawb yuav loj npaum li cas rau cov tshuaj txawv teb chaws thiab tshuaj zoo.
Cov ntsiav tshuaj yog dawb, me, coj qhov chaw me me tso rau hauv lub hnab.
Lawv nkaum thiab nyob hauv qab cov ntawv ci, uas tau yooj yim khaws nrog cov rau tes. Kuv txhob txwm nco txog ib khub ntawm cov khub uas zais cov ntsia thawv cov ntaub ntawv, tab sis tsis muaj dab tsi pov rau hauv lub hnab pleev.
Nrog kev nqos, raws li txoj cai, tsis muaj teeb meem; koj kuj tsis muaj lub sijhawm los hnov qhov saj. Tus kheej, Kuv muaj nws li ntawd.
Indapamide kom tsawg: peb nco meej tias lub koob tshuaj thiab lub sijhawm tau muab rau peb TSWV nkaus xwb los ntawm tus kws kho mob tom qab sab laj, tom qab lawv ntsuas lub siab, saib kev tshuaj xyuas, kos nrog cov tshuaj uas twb muaj hauv koj lub neej, nrog rau suav txog kev cuam tshuam hauv lub cev, hnub tseem ceeb thiab ua haujlwm ..
TSIS TXHOB muab tej yam rau koj tus kheej. Indapamide yog cov tshuaj diuretic rau lub cev thiab cov ntshav siab li qub.
LUS QHIA
Me ntsis txog kev phiv
mob khaub thuas zoo li mob khaub thuas, mob hauv siab, mob nraub qaum, kis mob, tsis tuaj yeem muaj tsawg, txo qis libido, rhinorrhea, tawm hws, poob phaus, tingling ntawm nqua, pancreatitis, exacerbation ntawm kab mob lupus erythematosus.
TUS KHEEJ HAIS TXUJ CI THIAB DAIM NTAWV THOV.
Cov lus nug ntau tshaj plaws yog lub zog ntawm diuretics thaum kuv tau txais lub npov liab liab hauv kuv txhais tes. Kuv tsis xav npaj txhua qhov kev sib ntsib thiab ua haujlwm nyob ntawm kuv tus phooj ywg ze tshaj plaws.
Kuv tau txhawj xeeb hauv qhov tsis muaj qab hau, qhov kev npaj tau yog tus muag, muag muag thiab tsis ua rau muaj xwm txheej lossis kev ntshaw hauv kuv rooj plaub, cheb txhua yam ntawm txoj kev, khiav mus rau chav dej.
Lub siab poob tsis poob tam sim ntawd, tsis muaj dab tsi zoo li ntawd. Nws tsis yog li 15 feeb, tej zaum ntau. Kuv haus ib ntsiav tshuaj thiab tos. Txawm hais tias kuv tsis paub, leej twg tuaj yeem ceev nrooj qhov kev cuam tshuam?
Muaj teeb meem nrog qhov sib txuam ntawm lwm cov tshuaj thiab tus kws kho mob tso tseg qee yam rau kuv.
Yog li nruj me ntsis ua raws qhov no thiab qhia, qhia cov npe ntawm txhua yam uas koj haus.
Nws tsis muaj qhov video thematic rau kab lus no.Video (nyem mus ua si). |
Txhua yam kev noj qab haus huv thiab lub caij sov zoo! Saib xyuas koj txoj hlab ntshav thiab tsis txhob hnov qab yuav tsum tau kuaj xyuas kev tiv thaiv los ntawm cov kws kho mob!
Okorokov, A.N. Kev kuaj mob ntawm cov kab mob hauv nruab nrog cev. Ntim 8. Kev kuaj mob ntawm cov kab mob ntawm lub plawv thiab cov hlab ntshav / A.N. Hams. - M.: Cov ntaub ntawv kho mob, 2015. - 432 c.
Vogelson, L.I. Kab mob ntawm lub plawv thiab cov hlab ntshav / L.I. Vogelson. - M .: Ntseeg "Cov txiaj ntsig kho mob", 1975. - 384 p.
Yakovleva, N.G. Kub siab: Lub neej yam tsis muaj kev ntshai: Cov niaj hnub, txoj kev zoo tshaj plaws ntawm kev kuaj mob, kho mob, prof / N.G. Yakovleva. - Moscow: IL, 2011 .-- 160 p.
Cia kuv qhia kuv tus kheej - Ivan. Kuv ua haujlwm li tsev neeg tus kws kho mob rau ntau tshaj 8 xyoo. Xav txog kuv tus kheej tshaj lij, kuv xav qhia txhua tus neeg tuaj saib lub vev xaib kom daws tau ntau yam teeb meem. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua haujlwm kom thiaj li xa tau ntau li ntau tau ntawm txhua cov ntaub ntawv tsim nyog. Ua ntej thov cov dab tsi uas tau piav qhia hauv lub vev xaib, kev sab laj nrog cov kws tshaj lij yog ib txwm tsim nyog.
Indapamide rau kev txo qis
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.
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.
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.
Indapamide contraindications
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:
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.
Sab nyhuv ntawm indapamide
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.
Kuv tuaj yeem hloov pauv cov tshuaj licas
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.
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.
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.
Pharmacological kev txiav txim thiab pharmacokinetics
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.
Cov Tshuaj Pharmacokinetics
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.
Thov
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.
Indapamide siab ntsiav tshuaj: contraindications
- Kev ua txhaum nyob rau hauv daim siab.
- Kev Mob Nkeeg
- Ua xua rau cov tshuaj muaj yees.
- Gout
- Cov menyuam yaus hnub nyoog qis dua 18 - tsis muaj kev sim rau pawg neeg no.
- Cev xeeb tub, sijhawm lactation. Thaum lub sij hawm kev xeeb tub ntawm menyuam yaus, kev siv cov tshuaj tsis raug cai. Indapamide tuaj yeem ua rau me nyuam hauv plab tsis zoo. Yog tias thaum lub sijhawm pub niam mis rau kev siv mis yog qhov tsim nyog tiag tiag, ces nws tsim nyog rau kev pub mis los ntawm leej niam cov kua mis. Cov tshuaj yuav kis tau los ntawm nws mus rau tus menyuam.
- Kev tuaj ncig hauv lub hlwb (tsis ntev los no lossis mob hnyav).
- Kev Hypokalemia.
- Siv nrog cov tshuaj uas ua kom tus Q-T luv.
Ua ntej yuav sau cov tshuaj, tus neeg mob feem ntau dhau txhua yam kev sim. Tshwj xeeb tshaj yog yog muaj kev ua xyem xyav tias cov tshuaj yuav ua rau dej-ntsev pauv. Yog tias cov tshuaj tseem tau sau tseg, tom qab ntawv nws tsim nyog soj ntsuam cov ntsiab lus hauv cov ntshav ntshav devoid ntawm fibrinogen, sodium, potassium thiab magnesium.
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.
Indapamide + lwm yam tshuaj
- Cov nyhuv hypotensive ntawm cov tshuaj yog cuam tshuam los ntawm cawv ntawm salicylates hauv kev txhaj tshuaj siab thiab cov kab mob uas tsis yog tshuaj steroidal los tiv thaiv.
- Yog tias tus neeg mob lub cev qhuav dej, siv cov indapamide yuav ua rau lub raum tsis ua haujlwm. Kev daws yog rov tso kua dej rau hauv lub cev.
- Kev sib xyaw nrog cov tshuaj uas muaj cov roj ntsha lithium ua rau cov roj ntsha ntau ntxiv ntawm cov ntshav vim muaj cov tshuaj txo qis hauv lub hauv paus. Yog tias qhov kev sib txuas tsis txav, tus neeg mob yuav tsum tau saib xyuas qib ntawm lithium hauv cov ntshav.
- Glucocorticosteroids thiab tetracosactides neutralize cov nyhuv hypotensive ntawm cov tshuaj. Qhov laj thawj yog vim tias cov dej thiab sodium ions yog khaws cia rau hauv lub cev.
- Cov paum raws li kev mob plab hnyuv yog provocateurs ntawm hypokalemia. Yog tias cov tshuaj zoo li no siv thooj txhij, koj yuav tsum soj ntsuam cov poov tshuaj hauv ntshav cov ntshav txhawm rau txhawm rau saib xyuas ntshav hypokalemia tsis tu ncua.
- Hyperkalemia yog tshwm sim los ntawm kev sib txuas ntawm cov piav qhia diuretic nrog diuretics, nyob rau hauv uas khaws cia ntawm poov tshuaj yog muab.
- Txoj kev pheej hmoo ntawm kev tsim kev mob raum tsis zoo thiab cov hlab ntsha hypotension nce ntxiv nrog kev siv tshuaj ACE inhibitors.
- Cyclosporine nrog indapamide ua rau muaj kev nce ntxiv ntawm cov ntshav creatinine ntshav.
- Cov tshuaj radiopaque ua rau lub raum tsis ua haujlwm.
- Cov tshuaj estrogen tso tshuaj neutralize cov nyhuv hypotensive. Qhov laj thawj yog tias muaj dej khaws cia rau hauv lub cev.
- Hypercalcemia yog ua tau vim kev noj cov zaub mov ntsev ntsev.
- Cov tshuaj tiv thaiv kev ntxhov siab ntawm tricyclic series ua rau ob peb-ntau qhov nce hauv cov nyhuv hypotensive.
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!
Nco ntsoov ncaws pob
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.
Ua rau cov tshuaj tiv thaiv
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.
Kev Xyuas Indapamide
- Qhov zoo ntawm cov tshuaj no: cov diuretic me me, ua haujlwm kho lub siab.
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.
Cov kws kho mob muab tshuaj diuretics rau cov neeg mob kub siab. Lawv pab tshem tawm cov kua dej ntau dhau ntawm lub cev.
Ib hom tshuaj feem ntau yog Indapamide. Nws tsim nyog kawm cov lus qhia rau kev siv ua ntej siv tshuaj.
Thaum twg Indapamide sau tseg?
Indapamide yog tsim rau kev kho mob tawg. Cov tshuaj yog tawm rau cov ntshav siab uas pheej, uas ua rau o thiab khaws kua dej hauv lub cev.
Thaum tshem cov kua ntau dhau, ntshav siab normalizes (txo qis).
Cov ntsiav tshuaj siab Indapamide yog cov khoom tseem ceeb hauv kev kho kub siab. Ntxiv rau nws cov kws kho mob tau sau ntawv rau lwm cov tshuaj tsim los kho kev mob ntshav siab.
Dab tsi ntawm Indapamide pab tau? Cov tshuaj yog tawm rau cov ntshav siab, uas ua rau txoj kev txhim kho ntawm cov ntshav puv puv ntawm cov hlab ntsha. Lub harbinger ntawm arterial tawg yog 142/105.
Indapamide yog cov diuretic, lub luag haujlwm tseem ceeb yog tshem cov kua ntau ntawm lub cev. Cov tshuaj no suav hais tias yog diuretic.
Yog tias koj noj tshuaj nyob rau hauv cov tshuaj loj, nws tsis txhim kho cov nyhuv hypotensive ntawm lwm yam tshuaj. Nyob rau tib lub sijhawm, diuretic zog tau txhim kho. Vim tias qhov no, cov kws kho mob tsis pom zoo kom nce cov tshuaj rau lawv tus kheej.
Tus nqi ntawm Indapamide yog nyob rau nruab nrab ntawm 25 txog 55 rubles.
Thaum twg koj yuav tsum tsis txhob noj cov tshuaj indapamide?
Indapamide yog txwv rau cov neeg mob nrog:
- lub siab ua tsis taus haujlwm,
- anuria (ua tiav tso zis rau hauv lub zais zis),
- kev tsis haum tshuaj rau cov tshuaj nquag ntawm cov tshuaj no,
- cov kab mob metabolic
- kev puas hlwb,
- muaj qis potassium potassium ions nyob rau hauv cov ntshav,
Cov kws kho mob tsis pom zoo kom noj cov tshuaj rau cov poj niam cev xeeb tub thiab thaum pub mis. Cov tshuaj ua kom nquag ntawm cov tshuaj tsis zoo cuam tshuam rau txoj kev txhim kho intrauterine thiab tuaj yeem ua rau me nyuam hauv plab tsis zoo.
Yog tias, raws li cov lus pov thawj, ib tug poj niam yuav tsum tau noj cov tshuaj thaum lactation, tus me nyuam raug hloov mus ib ntus rau kev pub mis.
Nws kuj tseem tsis pom zoo kom noj cov tshuaj rau cov menyuam yaus hnub nyoog qis dua 18 xyoo.
Ua ntej muab tshuaj Indapamide rau tus neeg mob, tus kws kho mob yuav tsum xa nws mus kuaj qee yam. tshwj xeeb, qhov no siv rau lub caij thaum tus neeg mob muaj qhov nyiam rau dej-ntsev pauv.
Yog tias tus kws kho mob tau sau cov tshuaj, tus neeg mob pub ntshav txhua ob lub lis piam kom tus kws kho mob tuaj yeem saib xyuas cov ntsev, potassium thiab magnesium qib siab hauv cov ntshav ntshav. Qib theem ntawm cov pa paug nitrogen, uric acid thiab cov kua nplaum tseem tau saib tas li.
Thaum cov tshuaj tau tawm rau cov neeg mob uas kuaj mob lub plawv tsis ua hauj lwm ntawm cov theem mob ntev, mob plawv, mob ntshav siab, ntshav qab zib, tus neeg mob tau nyob hauv nws txoj kev tswj hwm nruj. Hauv cov xwm txheej zoo li no, tus neeg mob muaj kev pheej hmoo ntau los txhim kho cov teeb meem metabolic alkalosis thiab hepatic encephalopathy.
Kev kho mob ntev npaum li cas?
Thaum cov tshuaj antihypertensive raug kho rau cov neeg mob tawg, chav kawm ntawm kev kho mob yog ob peb lub lis piam.Tom qab ntshav siab normalizes, koj tuaj yeem nres tsis noj tshuaj.
Tsuas yog tus kws kho mob uas tuaj koom thiaj daws tau qhov teeb meem no. Txhawm rau tiv thaiv kev rov qab nce ntshav siab, tus neeg mob yuav tsum ua raws li cov khoom noj kom zoo thiab txhua cov lus qhia ntawm tus kws kho mob koom nrog.
Lub sijhawm kawm kom yog txiav txim los ntawm kws kho mob. Rau txhua tus neeg mob, txoj kev kho mob yuav txawv dhau. Txhua yam no yog nyob ntawm tus neeg tus yam ntxwv ntawm lub cev thiab ntawm qhov kub siab.
Cov lus qhia tshwj xeeb
Yog tias, ntxiv rau Indapamide, tus neeg mob noj tshuaj los tawm tsam lub plawv tsis ua haujlwm, ib qho tshuaj laxative, tom qab ntawd ib zaug txhua ob lub lis piam nws yuav tsum tau ua qhov kev ntsuam xyuas uas saib xyuas cov ntsiab lus ntawm cov potassium ion thiab creatinine hauv cov ntshav. Tus kws kho mob tswj cov poov tshuaj, magnesium thiab sodium ntau ntau hauv cov ntshav ntshav.
Nyob rau hauv kev tswj hwm nruj ntawm kws kho mob yog cov neeg mob kuaj ntshav, mob plawv, mob ntshav qab zib, ua kom lub plawv tsis ua haujlwm, nrog rau cov neeg laus laus.
Ntawm kev pheej hmoo yog cov neeg mob uas muaj ntu Q-T luv. Nws yog txiav txim siab siv electrocardiogram. Lub sijhawm luv no tuaj yeem raug ntxiv thaum yug, thiab tuaj yeem tshwm sim los ntawm cov txheej txheem pathological.
Thawj zaug tus kws kho mob tau sau ib qho kev soj ntsuam rau cov poov tshuaj concentration hauv cov ntshav ob peb hnub tom qab kev kho mob.
Txhawm rau kom tus neeg mob kom tshem tawm cov kua dej ntau dhau ntawm lub cev thiab ntsuas qhov ntsuas ntshav kom muaj cov nuj nqis li qub, Indapamide noj thoob plaws lub neej Tab sis, yog tias tus neeg mob tsis muaj kev mob tshwm sim.
Txhawb cov ntshav calcium ntau ntau yog tshwm sim los ntawm yav dhau los ua tsis tau soj ntsuam hyperparathyroidism. Hauv cov neeg mob kuaj mob ntshav qab zib, cov kws kho mob soj ntsuam cov ntshav qabzib.
Tawm tsam cov keeb kwm ntawm lub cev qhuav dej, lub raum tsis ua hauj lwm muaj peev xwm, glomerular pom kev poob qis. Rau qhov no, cov neeg mob them nyiaj rau qhov tsis muaj kua hauv lub cev nrog tshuaj.
Yuav kom ua tiav cov nyhuv, cov neeg mob yauv tiv thaiv doping. Cov neeg mob ua mob ntshav liab, ua ntej pib kev kho mob, yuav tsum tso tseg kev kho mob nrog diuretics. Yog tias koj tuaj yeem ua yam tsis muaj diuretics, tom qab ntawd koj tuaj yeem kho lawv kom tsawg tom qab. Hauv cov xwm txheej zoo li no, cov kws kho mob tau sau ntawv qis tshaj plaws ntawm angiotensin-hloov pauv enzyme inhibitors.
Cov tshuaj no txo cov cwj pwm thiab kev tawm tsam, yog li koj yuav tsum tsis txhob tsav tsheb thiab koom nrog kev ua haujlwm txaus ntshai thaum lub sijhawm kho.
Kev sib cuam tshuam ntawm indapamide nrog cov tshuaj
- Kev ua txhaum ntawm cov nyhuv hypotensive raug pom thaum noj Indapamide nrog cov koob tshuaj salicylates siab thiab muaj cov tshuaj tiv thaiv tsis muaj zog tiv thaiv kev tiv thaiv tsis zoo.
- Thaum ib tug neeg mob mob lub cev qhuav dej, Indapamide ua rau lub raum tsis ua haujlwm. Hauv cov rooj plaub no, koj yuav tsum tau ntxiv cov kua dej.
- Cov qib lithium hauv cov ntshav yuav nce siab yog tias cov tshuaj muaj lithium ntsev noj nrog Indapamide. Qhov no yog vim muaj qhov txo qis ntawm cov khoom. Yog tias tus neeg mob yuav tsum noj tshuaj ntau, ces koj yuav tsum kuaj cov ntawv xeem.
- Tshuaj nrog glucocorticosteroid thiab tetracosactide cov teebmeem tuaj yeem kho lub ntsej muag hypotensive. Qhov no yog vim muaj kev tuav dej ntsev thiab dej ions hauv lub cev.
- Cov tshuaj kho nrog qhov tsis xis plab yuav cuam tshuam hyperkalemia. Yog tias tus kws kho mob tau sau cov tshuaj no rau hauv ib txoj hauv kev nyuaj, ces koj yuav tsum tau saib xyuas cov poov tshuaj ntau ntau hauv cov ntshav kom tsis txhob muaj kabmob.
- Hyperkalemia kuj tseem tuaj yeem txhim kho tau vim kev sib txuam ntawm diuretics nrog lub diuretic uas khaws cov poov tshuaj hauv lub cev.
- Yog tias Indapamide siv nrog ua ke nrog angiotensin-hloov ua enzyme inhibitors, mob raum tsis ua haujlwm thiab mob ntshav liab tuaj yeem txhim kho.
- Qib ntshav plasma creatinine qib yuav nce ntxiv vim yog kev sib xyaw ntawm indapamide nrog cyclosporine.
- Kev siv cov tshuaj radiopaque ua rau lub raum tsis ua haujlwm.
Cov kws kho mob pom zoo li cas?
Yog tias koj pom tias kev noj cov tshuaj rau ib hlis nws tsis muab cov txiaj ntsig xav tau, tom qab ntawd tsis muaj ib qho twg tsis nce qhov koob tshuaj, txwv tsis pub, muaj kev phiv loj heev tuaj yeem tshwm sim.
Tham nrog koj tus kws kho mob, nws yuav sau ntawv rau lwm txoj kev kho mob.
Indapamide noj nrog cov tshuaj, cov nyhuv ua tiav suab.
Cov chav kawm ntawm kev kho mob nrog Indapamide suav hais tias yog ib ntawm ntev. Koj tuaj yeem pom cov txiaj ntsig tom qab 10-14 hnub, thiab cov txiaj ntsig siab tshaj plaws - tom qab peb lub hlis. Cov tshuaj nquag pib ua ob peb teev tom qab noj tshuaj.
Yog tias muaj qhov tshwm sim tsis zoo tshwm sim thaum kho, ces sab laj nrog koj tus kws kho mob. Muaj ob txoj hauv kev los rhuav tshem lawv:
- Tus kws kho mob tshem tawm cov tshuaj no.
- Qhov muab tshuaj kom tsawg dua.
Cov kws kho mob feem ntau siv thawj qhov kev xaiv, txij li qhov tshwm sim tsis zoo hauv Indapamide yog mob hnyav.
Hauv tsab xov xwm no, koj tuaj yeem nyeem cov lus qhia rau kev siv tshuaj yaj yeeb IndapamideCov. 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 cov diuretic Indapamide 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. Cov cim qhia ntawm Indapamide nyob rau hauv muaj cov qauv txheej txheem qauv. Siv rau kev kho mob ntshav siab hauv cov neeg laus, menyuam yaus, nrog rau lub sijhawm cev xeeb tub thiab lactation. Ntev npaum li cas nws yuav tsum tau noj cov tshuaj.
Indapamide - antihypertensive tus neeg sawv cev, thiazide-zoo li diuretic nrog muaj mob hauv nruab nrab lub zog thiab kav ntev, cov benzamide derivative. Nws muaj ntsis saluretic thiab diuretic teebmeem, uas cuam tshuam nrog kev thaiv kev rov ua kom rov qab los ntawm sodium, chlorine, hydrogen ions, thiab kom tsawg dua cov potassium ions hauv qhov ze ntawm tubules thiab cortical ntu ntawm distal tubule ntawm nephron. Cov teebmeem vasodilating thiab ib qho kev txo qis ntawm tag nrho peripheral vascular tsis kam yog ua raws li cov txheej txheem hauv qab no: ib qho kev txo qis ntawm cov reactivity ntawm phab ntsa vascular rau norepinephrine thiab angiotensin 2, nce ntxiv ntawm cov synthesis ntawm prostaglandins nrog vasodilator kev ua si, thiab inhibition ntawm calcium ntws mus rau hauv cov leeg ntshav phab ntsa ntawm cov hlab ntshav.
Txo cov suab ntawm cov leeg ntawm cov hlab ntsha, txo qis tag nrho cov kev tawm tsam ntawm cov hlab ntshav. Pab txo qis sab laug ventricular hypertrophy. Hauv kev siv tshuaj, nws tsis cuam tshuam rau lipid thiab carbohydrate metabolism (suav nrog rau cov neeg mob uas muaj kab mob ntshav qab zib mellitus).
Cov nyhuv antihypertensive tshwm sim thaum kawg ntawm thawj zaug / pib ntawm lub lim tiam thib ob nrog kev siv tshuaj tsis tu ncua thiab kav ntev li 24 teev los tiv thaiv keeb kwm ntawm ib koob tshuaj.
Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm ntawm qhov ncauj, nws tau nrawm thiab nqus tag nrho los ntawm txoj hnyuv plab, kev siv lub cev ua kom zoo dua (93%). Noj noj kom tsawg dua qhov txo qhov nqus, tab sis tsis cuam tshuam rau qhov ntau ntawm cov tshuaj nqus dej. Nws muaj cov khoom lag luam muaj ntau faib, hla los ntawm keeb kwm kev txwv (suav nrog placental), kis mus rau hauv niam mis. Cov tshuaj txiav tawm hauv daim siab. 60-80% yog tawm los ntawm lub raum hauv daim ntawv ntawm cov tshuaj ua kom muaj zog (li 5% yog tawm tsis hloov), los ntawm txoj hnyuv - 20%. Hauv cov neeg mob uas mob raum tsis ua haujlwm, cov khw muag tshuaj tsis hloov pauv. Tsis cumulate.
Cov Khoom Qhia
Tso Tawm Cov Ntawv
2.5 mg zaj duab xis-coated ntsiav tshuaj.
Coated ntsiav tshuaj 2.5 mg Stad.
1.5 mg txheej ntsiav tshuaj Indapamide MV.
1.5 mg retard coated ntsiav tshuaj.
Cov tshuaj ntsiav 2.5 mg Werth.
Cov lus qhia rau kev siv thiab ntau npaum li cas
Cov ntsiav tshuaj yuav noj ntawm qhov ncauj tsis tau ntxo.Qhov tshuaj rau txhua hnub yog 1 ntsiav tshuaj (2.5 mg) ib hnub (thaum sawv ntxov). Yog tias tom qab 4-8 lub lis piam ntawm kev kho mob qhov xav tau txoj kev kho mob tsis tiav, nws tsis pom zoo kom nce qhov ntau ntxiv ntawm cov tshuaj (nce kev pheej hmoo ntawm kev mob tshwm sim uas tsis muaj kev txhim kho los tiv thaiv kev mob ntshav siab). Hloov chaw, nws raug pom zoo tias lwm cov tshuaj tiv thaiv tshuaj tiv thaiv kab mob uas tsis yog diuretic yuav suav nrog hauv cov tshuaj regimen.
Thaum muaj kev kho mob yuav tsum tau pib nrog ob cov tshuaj, cov koob tshuaj ntawm Indapamide tseem nyob ntawm 2.5 mg ib hnub ib zaug thaum sawv ntxov.
Sab hauv, tsis tas yuav zom, haus dej kom ntau, tsis hais kev noj zaub mov, feem ntau yog sawv ntxov ntxov ntawm koob tshuaj 1.5 mg (1 ntsiav tshuaj) ib hnub.
Yog tias tom qab 4-8 lub lim piam ntawm kev kho mob qhov xav tau txoj kev kho mob tsis tiav, nws tsis pom zoo kom nce qhov ntau ntxiv ntawm cov tshuaj (qhov kev pheej hmoo ntawm kev mob tshwm sim tsis muaj ntau ntxiv los tiv thaiv cov nyhuv antihypertensive). Hloov chaw, nws raug pom zoo tias lwm cov tshuaj tiv thaiv tshuaj tiv thaiv kab mob uas tsis yog diuretic yuav suav nrog hauv cov tshuaj regimen. Thaum muaj kev kho mob yuav tsum tau pib nrog ob cov tshuaj, cov koob tshuaj ntawm Indapamide retard tseem sib npaug li 1.5 mg ib hnub ib zaug thaum sawv ntxov.
Hauv cov neeg mob laus, lub plasma concentration ntawm creatinine yuav tsum tau tswj hwm rau hauv kev txiav txim hnub nyoog, lub cev nyhav thiab poj niam txiv neej, cov tshuaj yuav siv tau rau hauv cov neeg laus laus uas lub cev tsis zoo lossis ua haujlwm me ntsis.
Sab sij huam
- xeev siab, ntuav,
- kev tsis nco qab
- qhov ncauj qhuav
- mob ncauj plab,
- zawv plab
- cem quav
- asthenia
- kev tshee
- mob taub hau
- kiv taub hau
- tsaug zog
- insomnia
- kev nyuaj siab
- qaug zog,
- feem ntau tsis muaj zog
- malaise
- mob leeg pob
- txob taus
- pom mob pob txha
- pom kev pom
- hnoos
- pharyngitis
- mob hlab ntsws
- mob ntsws npog
- orthostatic hypotension,
- arrhythmia,
- lub plawv dhia
- hmo ntuj
- polyuria
- ua pob
- urticaria
- khaus
- hemorrhagic vasculitis,
- hyperglycemia, hypokalemia, hypochloremia, hyponatremia, hypercalcemia,
- khaub thuas zoo li mob aws
- mob hauv siab
- rov qab mob
- tsawg potency
- txo qis libido
- rhinorrhea
- hws
- poob phaus
- tingling hauv nqua.
Cov Yuav Tsum Tau Ua
- anusia
- hypokalemia
- Hepatic heev (suav nrog mob encephalopathy) thiab / lossis lub raum tsis ua haujlwm,
- cev xeeb tub
- kev pub mis
- hnub nyoog txog 18 xyoo (qhov ua tau zoo thiab kev nyab xeeb tsis tau tsim tsa),
- ib txhij tswj hwm tshuaj uas txuas ntxiv QT luv,
- hypersensitivity rau cov tshuaj thiab lwm yam sulfonamide derivatives.
Cev xeeb tub thiab lactation
Contraindicated nyob rau hauv cev xeeb tub thiab lactation.
Cov lus qhia tshwj xeeb
Hauv cov neeg mob noj cov mob glycosides, laxatives, tiv thaiv keeb kwm ntawm hyperaldosteronism, zoo li hauv cov neeg laus, kev saib xyuas tas li ntawm cov ntsiab lus ntawm cov potassium ions thiab creatinine yog qhia.
Thaum noj indapamide, kev saib xyuas cov poov tshuaj, sodium, magnesium ions nyob rau hauv cov ntshav plasma (hluav taws xob tsis zoo tuaj yeem loj hlob), pH, cov concentration ntawm cov piam thaj, uric acid thiab residual nitrogen yuav tsum tau soj ntsuam kom tsis muaj kab ke.
Kev tswj xyuas tau zoo tshaj plaws yog qhia hauv cov neeg mob uas muaj mob qog ntshav (tshwj xeeb nrog kev mob edema lossis ascites - qhov kev pheej hmoo ntawm kev txhim kho metabolic alkalosis, uas ua rau muaj kev mob tshwm sim ntawm hepatic encephalopathy), mob plawv, mob plawv tsis ua hauj lwm zoo, thiab hauv cov neeg laus. Cov pab pawg muaj kev pheej hmoo ntxiv kuj suav nrog cov neeg mob uas muaj QT ntu ntxiv ntawm cov electrocardiogram (kev xeeb los yog tsim tawm ntawm keeb kwm ntawm cov txheej txheem pathological).
Kev ntsuas thawj zaug ntawm kev saib xyuas cov poov tshuaj hauv cov ntshav yuav tsum tau ua thaum thawj lub lim tiam ntawm kev kho mob.
Rau kev siv tshuaj diuretic thiab antihypertensive nyhuv, cov tshuaj yuav tsum tau noj rau lub neej, nyob rau hauv qhov tsis muaj kev phiv thiab contraindications.
Hypercalcemia nrog indapamide tuaj yeem yog vim yav dhau los ua tsis tau kuaj pom hyperparathyroidism.
Hauv cov neeg mob ntshav qab zib mellitus, nws yog qhov tseem ceeb heev los tswj cov theem ntawm cov piam thaj hauv cov ntshav, tshwj xeeb tshaj yog nyob ntawm hypocapemia.
Lub cev qhuav dej tseem ceeb tuaj yeem ua rau txoj kev txhim kho ntawm lub raum tsis ua haujlwm (txo qis glomerular pom). Cov neeg mob yuav tsum tau them nyiaj rau cov dej tsis tau thiab ua tib zoo saib lub raum thaum pib kho.
Indapamide tuaj yeem muab qhov txiaj ntsig zoo thaum ua rau kev tswj hwm doping.
Cov neeg mob uas muaj mob ntshav tawm ntawm cov leeg ntshav thiab sponatremia (vim yog noj tshuaj diuretics) yuav tsum tau tsum tsis pub noj tshuaj diuretics 3 hnub ua ntej siv ACE inhibitors (yog tias tsim nyog, tshuaj diuretics tuaj yeem rov ua qee yam tom qab), lossis lawv raug txiav tawm thaum pib qis ntawm ACE inhibitors.
Cov kev tsim kho ntawm sulfonamides tuaj yeem ua rau lub zog ntawm cov kab mob lupus erythematosus (yuav tsum tau muab tso rau hauv lub siab thaum sau cia indapamide).
Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab
Thaum lub sijhawm kho mob, yuav tsum tau saib xyuas thaum tsav tsheb thiab koom nrog lwm yam kev phom sij uas yuav tsum muaj kev ntseeg ntau ntxiv thiab ceev ntawm cov kev tiv thaiv psychomotor.
Yeeb tshuaj sib cuam tshuam
Saluretics, mob glycosides, gluco- thiab mineralocorticoids, tetracosactide, amphotericin B (txhaj tshuaj), tshuaj laxatives yuav ua rau muaj kev pheej hmoo ntawm hypokalemia.
Nrog rau kev tswj hwm ib txhij nrog kev mob plawv glycosides, qhov ntxim nyiam ntawm kev tsim digitalis intoxication nce, nrog Ca2 npaj - hypercalcemia, nrog metformin - kev ua kom tsis haum ntawm lactic acidosis yog ua tau.
Nws tsub kom cov concentration ntawm lithium ions hauv cov ntshav plasma (txo qis hauv cov zis), lithium muaj cov nyhuv nephrotoxic.
Astemizole, erythromycin intramuscularly, pentamidine, sultopride, terfenadine, vincamine, chav kawm 1a tshuaj tiv thaiv kab mob (quinidine, disopyramide) thiab chav kawm 3 (amiodarone, bretilium, sotalol) tuaj yeem ua rau txoj kev loj hlob ntawm arrhythmias ntawm "hom torsades de pointes.
Cov tshuaj nonsteroidal anti-inflammatory, glucocorticosteroid tshuaj, tetracosactide, sympathomimetics txo cov nyhuv hypotensive, baclofen txhim kho.
Kev sib xyaw nrog cov tshuaj potassium-sparing diuretics tuaj yeem ua tau zoo rau qee pawg ntawm cov neeg mob, txawm li cas los xij, kev muaj peev xwm ntawm kev txhim kho hypo- lossis hyperkalemia, tshwj xeeb tshaj yog nyob rau cov neeg mob ntshav qab zib mellitus thiab lub raum tsis ua haujlwm, tsis tau txiav txim siab kiag li.
ACE inhibitors tsub kom muaj kev pheej hmoo ntawm kev tsim muaj txoj hlab ntshav hypotension thiab / lossis mob raum tsis ua haujlwm (tshwj xeeb tshaj yog nrog cov raum leeg ntshav uas twb muaj lawm).
Ntau qhov kev pheej hmoo ntawm kev txhim kho lub raum thaum siv cov tshuaj iodine uas muaj cov tshuaj zoo sib xws hauv cov chaw siab (lub cev qhuav dej). Ua ntej siv cov tshuaj iodine uas muaj cov tshuaj tiv thaiv zoo sib xws, cov neeg mob yuav tsum rov qab tso dej kom tsawg.
Imipramine (tricyclic) cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob nce siab tshaj qhov mob hypotensive thiab ua rau muaj kev pheej hmoo ntawm orthostatic hypotension.
Cyclosporine nce kev pheej hmoo ntawm kev tsim hypercreatininemia.
Txo cov txiaj ntsig ntawm kev tiv thaiv tsis tau tus kabmob (coumarin lossis indandion derivatives) vim qhov nce ntawm cov khoom ntawm coagulation vim qhov txo qis hauv cov ntshav ntawm cov ntshav ncig thiab ib qho kev nce ntxiv hauv lawv cov los ntawm lub siab (yuav tsum tau txhaj tshuaj kom haum).
Ntxiv dag zog rau kev thaiv kev ntawm neuromuscular kis, txhim kho nyob rau hauv qhov kev txiav txim ntawm tsis-depolarizing nqaij relaxants.
Cov tshuaj Analogues ntawm cov tshuaj Indapamide
Cov qauv ntawm cov qauv ua haujlwm:
- Acripamide
- Acripamide rov qab los,
- Akuter-Sanovel,
- Arindap,
- Arifon
- Arifon Retard,
- Vero-Indapamide,
- Indap,
- Indapamide MV Stad,
- Indapamide qeeb qeeb,
- Indapamide Stada,
- Indapamide-obl,
- Indapamide Werth,
- Indapamide teva,
- Indapres
- Indapsan
- Indipam
- Indiur
- Ionik
- Jonik Retard
- Ipres Ntev
- Lorvas SR,
- Pam vov
- Cov ntawv SR,
- Rov
- SR-Indamed,
- Lub Tensar.
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 yog cov tshuaj diuretic ntawm pab pawg thiazide, uas muaj kev ua haujlwm hypotensive, vasodilator thiab diuretic (diuretic) ua haujlwm.
Cov tshuaj yog siv rau hauv kev kho mob ntawm kev kub siab, thiazide-zoo li thiab thiazide diuretics yog siv dav hauv kev kho mob antihypertensive. Lawv siv ua thawj cov tshuaj nyob hauv kev kho kab mob hlwb, thiab ua ib feem ntawm kev sib koom ua ke, lawv txoj kev siv tau los pab txhim kho txoj hauv kev muaj kab mob plawv.
Ntawm nplooj ntawv no koj yuav pom txhua cov ntaub ntawv hais txog Indapamide: cov lus qhia ua tiav rau kev siv rau cov tshuaj no, tus nqi nruab nrab hauv cov khw muag tshuaj, ua tiav thiab ua tsis tiav cov tshuaj noj, nrog rau kev tshuaj xyuas cov tib neeg uas twb tau siv Indapamide. Xav tawm koj lub tswv yim? Thov sau hauv cov lus.
Tso tawm daim ntawv thiab muaj pes tsawg leeg
Muaj nyob rau hauv daim ntawv ntawm tsiav tshuaj thiab ntsiav tshuaj nrog lub ntsiab nquag muaj - indapamide, cov ntsiab lus ntawm uas tuaj yeem nyob rau hauv:
- 1 tshuaj ntsiav - 2.5 mg
- 1 txheej txheej-coated ntsiav tshuaj 2.5 mg
- 1 ntsiav tshuaj ntawm lub caij nyoog ntev hauv kev ua yeeb yaj kiab zaj duab xis - 1.5 mg.
Cov lus sib xyaw ntawm cov tshem tawm ntawm Indapamide ntsiav tshuaj, zaj duab xis-txheej, suav nrog lactose monohydrate, povidone K30, crospovidone, magnesium stearate, sodium lauryl sulfate, talc. Lub plhaub ntawm cov ntsiav tshuaj no muaj hypromellose, macrogol 6000, talc, titanium dioxide (E171).
Ntu cov khoom siv txhawb kev tso tawm cov ntsiav tshuaj: hypromellose, lactose monohydrate, silicon dioxide, colloidal anhydrous, magnesium stearate. Cov hnab riam zaj duab xis: hypromellose, macrogol, talc, titanium dioxide, zas tropeolin.
Hauv cov khw muag tshuaj network, Indapamide npaj tau txais:
- Cov tshuaj ntsiav - hauv cov thawv polymer ntawm 10, 20, 30, 40, 50, 100 daim lossis hauv cov hlwv ntim 10 lossis 30 pieces,
- Ntsiav tshuaj - hauv blisters ntawm 10 daim.
Cov nyhuv Pharmacological
Indapamide belongs rau chav kawm ntawm thiazide diuretic tshuaj thiab muaj cov teebmeem pharmacological hauv qab no:
- Txo tsis kam ua nyob rau hauv cov hlab ntsha,
- Lowers ntshav siab (cov nyhuv hypotensive),
- Txo txo tag nrho cov peripheral vascular tsis kam,
- Nthuav cov hlab ntshav (yog vasodilator)
- Pab txo qis qib ntawm hypertrophy ntawm sab laug ventricle ntawm lub siab,
- Nws muaj cov nyhuv diuretic (diuretic) muaj ntsis.
Cov nyhuv antihypertensive ntawm Indapamide tshwm sim thaum noj hauv tshuaj (1.5 - 2.5 mg ib hnub), uas tsis ua rau muaj cov nyhuv diuretic. Yog li, cov tshuaj no tuaj yeem siv los txo cov ntshav siab thaum lub sijhawm ntev. Thaum noj Indapamide ntawm kev noj ntau dua, cov nyhuv hypotensive tsis nce, tab sis muaj txiaj ntsig diuretic tshwm sim. Nws yuav tsum nco ntsoov tias qhov txo qis ntshav siab tau ua tiav tsuas yog ib lub lim tiam tom qab noj cov tshuaj Indapamide, thiab cov txiaj ntsig zoo tau tshwm sim tom qab siv 3 lub hlis.
Indapamide tsis cuam tshuam rau cov rog thiab carbohydrate metabolism, yog li ntawd, nws tuaj yeem siv los ntawm cov neeg muaj kev mob ntshav qab zib, mob ntshav siab, thiab lwm yam. Ib qho ntxiv, Indapamide ua haujlwm zoo txo cov neeg mob siab rau cov neeg uas muaj ib lub raum lossis mob rau ntawm hemodialysis.
Sab sij huam
Thaum noj Indapamide, kev txhim kho cov kev mob tshwm sim muaj peev xwm ua tau:
- Exacerbation ntawm systemic lupus erythematosus,
- Hnoos, sinusitis, pharyngitis, tsis tshua muaj - rhinitis,
- Urticaria, khaus, tawm pob, hemorrhagic vasculitis,
- Orthostatic hypotension, palpitations, arrhythmia, hypokalemia,
- Feem ntau mob txeeb zig, mob polyuria, nocturia,
- Xeev siab, ntuav, quav tawv, zawv plab, qhov ncauj qhuav, mob plab, qee zaum muaj mob txha caj qaum, tsis tshua muaj mob txhawm,
- Kev nkees nkees, kiv taub hau, mob taub hau, poob siab, asthenia, kev nyuaj siab, insomnia, vertigo, tsis tshua muaj - malaise, kev ua kom tsis muaj zog, tsis muaj zog, leeg, leeg, ntxhov siab, chim siab,
- Glucosuria, hypercreatininemia, muaj ntshav ntau ntxiv ntshav urea nitrogen, hypercalcemia, hyponatremia, hypochloremia, hypokalemia, hyperglycemia, hyperuricemia,
- Tsis tshua muaj heev - kev mob ntshav qab zib (hemolytic anemia), pob txha hlwb pob txha aplasia, agranulocytosis, mob leukopenia, thrombocytopenia.
Yeeb tshuaj sib cuam tshuam
- Cyclosporin txhawb txoj kev loj hlob ntawm hypercreatininemia.
- Erythromycin tuaj yeem ua rau txhim kho tachycardia nrog ventricular fibrillation.
- Kev npaj muaj iodine tuaj yeem ua rau lub cev tsis muaj peev xwm ntawm lub cev.
- Aluretics, mob glycosides, laxatives ua rau kom muaj kev pheej hmoo ntawm cov poov tshuaj tsis txaus.
- Nonsteroidal anti-inflammatory tshuaj, glucocorticosteroids txo cov nyhuv hypotensive.
- Cov tshuaj tiv thaiv kev ntxhov siab thiab tshuaj tiv thaiv kab mob txhim kho cov nyhuv hypotensive, ua rau muaj kev pheej hmoo txhim kho orthostatic hypotension.
Peb khaws qee cov kev tshuaj xyuas ntawm cov neeg hais txog cov tshuaj Indapamide:
- Valya. Tus kws kho mob tau hais rau Indapamide ntau xyoo dhau los ua ke nrog lwm cov tshuaj 3-4, thaum nws tau mus ntsib kws kho mob nrog kev tsis txaus siab ntawm ntshav siab thiab mob taub hau. Maj mam lawv pib siv nws nkaus xwb, Kuv haus ib ntsiav tshuaj txhua hnub thaum sawv ntxov, thaum kuv tsum tsis noj nws hnub tom qab kuv lub ntsej muag o, hnab muag tshwm hauv qab kuv lub qhov muag. Kuv hnov tias kev siv sijhawm ntev tuaj yeem ua rau kom muaj kua dej caw thiab magnesium los ntawm lub cev, qee zaum yog them nyiaj Kuv haus Asparkam.
- Lana. 53 xyoo, muaj kev kub siab txog 4 xyoos dhau los, kev kub siab 2 tbsp., Tus kws kho mob tau sau indapamide 2.5 mg, enalapril 5 mg, thiab bisoprolol, vim tias tachycardia feem ntau, Kuv haus cov tshuaj no tas li thaum sawv ntxov. Bisoprolol thaum pib haus cawv, thiab tom qab ntawd pib hnov mob hauv lub plawv tom qab noj, tam sim no tsuas yog indapamide thiab enalapril. Qhov siab thaum sawv ntxov yog 130 txog 95, thaum yav tsaus ntuj nws poob qis, ua tsaug rau cov ntsiav tshuaj nws dhau los ua 105 rau 90, thiab thaum nws yog 110 rau 85, tab sis qee yam qaug zog thiab qaug zog lub siab. Lub sijhawm kawg yeej yog ib qho mob ntawm lub siab.
- Tamara Tus pog no tau kuaj pom tias mob ntshav dhau los thiab, kom txo tau nws tus mob, tus kws kho mob tau kho Indapamide. Kuv yuav cov ntawv yuav tshuaj hauv lub tsev muag tshuaj thiab muab cov neeg mob thaum sawv ntxov muab dej rau haus. Raws li daim ntawv thov, nws pog tus mob zoo tuaj tsis pub dhau 10 hnub, lub siab tsis dhia zoo li, tab sis poob qis rau li qub (coj mus rau hauv nws lub hnub nyoog). Feem ntau, cov tshuaj yeej pab. Pom zoo.
Raws li kev txheeb xyuas, Indapamide yog cov tshuaj siv tau zoo heev. Ob tus kws kho mob thiab cov neeg mob kub siab nco ntsoov tias feem ntau cov tshuaj no zoo rau. Kev phiv tshuaj yog qhov tsis tshua muaj thiab muaj qhov mob tsis muaj zog. Ntau tus neeg mob kuaj mob ntshav siab tau noj tshuaj tag lawv lub neej.
Indapamide ntsiav tshuaj muaj cov qauv qhia tau muaj nyob hauv cov tshuaj nquag. Cov no yog cov tshuaj los kho tus mob ntshav siab:
- Acripamide
- Acripamide rov qab los,
- Arindap, Arifon,
- Arifon Retard (Fabkis sib npaug),
- Vero-Indapamide,
- Indapamide MV-Stad (sib npaug Lavxias),
- Indapamide Retard (sib npaug ntawm Lavxias),
- Indapamide stad,
- Indapres
- Indapsan
- Indipam
- Ionik
- Ionic Retard
- Ipres ntev
- Lorvas SR,
- Cov ntawv SR,
- Rov
- SR-Indamed.
Ua ntej siv analogues, sab laj nrog koj tus kws kho mob.
Cia rau cov neeg mob thiab txee lub neej
Indapamide yuav tsum muab cia rau hauv qhov chaw qhuav tiv thaiv los ntawm lub teeb, tawm ntawm qhov chaw ncav cuag tus menyuam ntawm qhov kub ntawm 25 degrees.
Txee lub neej yog 36 lub hlis, tom qab lub sijhawm no, cov tshuaj no yog txwv tsis pub siv.
Indapamide yog cov tshuaj uas nrov rau kev kho mob tawg. Qhov no yog daim diuretic, muaj peev xwm nyob rau hauv lub zog, kav ntev hauv nws cov nyhuv.
Nws muaj cov vasodilating siv tau, txo qhov lawv qhov kev tawm tsam tag nrho. Ib qho ntawm cov txiaj ntsig zoo ntawm Indapamide yog nws lub peev xwm los txo qis sab laug ventricular hypertrophy.
Cov tshuaj tsis cuam tshuam rau tus neeg mob carbohydrate, lipid metabolism (cov neeg mob ntshav qab zib tsis muaj qhov tshwj xeeb). Raws li rau cov nyhuv antihypertensive, nrog kev siv cov tshuaj tsis tu ncua, nws qhia nws tus kheej los ntawm qhov kawg ntawm thawj / pib ntawm lub lim tiam thib ob.
Thoob plaws hnub, cov nyhuv no tau tshwj tseg nrog ib ntsiav tshuaj nkaus xwb. Cov neeg mob ntshav siab feem ntau nyiam rau lo lus nug - yuav ua li cas thiab thaum twg coj Indapamide kom nws qhia tag nrho nws cov txiaj ntsig zoo tshaj plaws. Thiab qhov no yog qhov zoo, vim hais tias ua raws li cov lus qhia yog qhov yuav tsum tau maj nrawm nrawm ntawm kev noj qab haus huv.
Cov tshuaj no yog sau ntawv noj ib ntsiav tshuaj ib hnub. Nws qhov hnyav yog 2.5 mg, cov tshuaj yuav tsum tau noj thaum sawv ntxov. Lub sijhawm tswj yog 4-8 lub lis piam, lub sijhawm no qhov kev kho kom zoo yuav tsum tshwm sim.
Qee lub sij hawm nws tsis pom, tab sis cov koob tshuaj yuav tsum tsis txhob nce ntxiv. Nrog rau kev nce ntxiv hauv cov kev cai, muaj qhov pheej hmoo ntawm phiv. Txawm li cas los xij, muaj ib txwm yog ib txoj kev tawm - cov kws kho mob yuav muab tshuaj ntxiv rau lwm cov tshuaj tiv thaiv kabmob ntshav uas tsis yog diuretic.
Muaj qee lub sijhawm thaum kev kho mob pib tam sim ntawd nrog ob yam tshuaj. Cov koob tshuaj ntawm Indapamide hauv qhov no tseem tseem tsis hloov pauv - ib ntsiav tshuaj ib hnub thaum sawv ntxov.
Nrog ntshav qab zib
Cov tshuaj no feem ntau tau qhia rau cov neeg mob ntshav qab zib thaum lawv cov ntshav siab nce siab. Noj cov tshuaj kom sib xyaw nrog lwm cov ntsiav tshuaj.
Ntau cov diuretics nce ntshav qab zib, uas tsis yog teeb meem nrog Indapamide.
Cov xwm txheej zoo li no thaum noj cov tshuaj no tsis tshua muaj mob. Tab sis tus neeg mob tseem tseem qhia txog kev siv ntsuas ntau npaum li cas, ntsuas ntsuas qabzib. Indapamide siv nrog rau lwm cov tshuaj.
ACE inhibitors, angiotensin II receptor blockers qis dua cov ntshav siab, tiv thaiv ob lub raum los ntawm cov teeb meem. Cov neeg mob ntshav qab zib tau noj cov tshuaj Indapamide thiab Perindopril, uas yog ACE inhibitors. Xws li kev sib koom ua ke txo qis ntshav siab, txo cov kev pheej hmoo ntawm cov kab mob plawv.
Raws li kev txiav txim ntawm cov tshuaj, cov protein nyob hauv cov zis tseem nyob ruaj khov, ob lub raum tsis mob ntshav qab zib.
Ntawm cov neeg mob, Noliprel, muaj indapamide nrog perindopril, yog qhov tshwj xeeb hauv kev xav tau.
Lawv lub hom phiaj yog txo qis dua qhov siab thiab nws cov kev txhawb zog nyob rau theem ntawm 135/90 hli RT. Kos duab. Thaum Noliprel tsis pub nws mus txog, Amlodipine ntxiv rau hauv kev noj tshuaj.
Cev xeeb tub thiab lactation
Indapamide yog cov diuretic. Thaum tus poj niam cev xeeb tub tau kub siab lossis edema, lo lus nug tshwm sim - nws puas muaj peev xwm noj cov tshuaj no?
Cov kws kho mob teb cov lus tsis sib xws - noj Indapamide thaum cev xeeb tub yog qhov ua tsis tiav.
Cov tshuaj tuaj yeem ua rau tsis txaus ntseeg tus menyuam-plab placental ntshav txaus, thiab qhov no, cuam tshuam kev loj hlob ntawm me nyuam hauv plab tsis zoo.
Yog tias thaum lub sijhawm lactation leej niam mob ntshav siab thiab tsis tuaj yeem ua yam tsis tau noj tshuaj, cov kws kho mob tuaj yeem sau tshuaj rau cov tshuaj no. Hauv qhov no, kev pub niam mis rau menyuam noj yog muab tso tseg tamsis ntawd kom tsis txhob kis rau tus menyuam lub cev.
Kev phiv tshuaj
Indapamide yog tshuaj muaj txiaj ntsig. Nws txoj kev tswj hwm feem ntau tsis tshua pom nrog cov tsos mob tshwm sim, lawv tau sau tseg tsuas yog hauv 2.5% ntawm cov neeg mob. Feem ntau qhov no feem ntau yog ua txhaum ntawm cov roj ntsha roj ntsha tsis txaus.
Ntawm cov kev mob tshwm sim muaj cai:
Kev siv tshuaj (tsis tshua muaj heev) muaj feem cuam tshuam kev sim hauv chaw kuaj, piv txwv li, nce qib ntawm creatinine, urea, hauv cov ntshav.
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Yuav noj Indapamide ntawm kev kub siab li cas:
Indapamide yog cov tshuaj siv rau kev siv mus ntev, kev kuaj hauv tsev kawm yuav txiav txim siab lub sijhawm ntawm kev txais neeg kawm.
Yuav ua li cas los yeej kub siab hauv tsev?
Txhawm rau tshem tawm kev kub siab thiab ntxuav cov hlab ntsha, koj xav tau.
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.