Maka nsogbu ọbara ọgbụgba, ndị dọkịta depụtara ọgwụ kwesịrị ekwesị iji nyere aka kwalite ya. Ọtụtụ mgbe, a na-enye Diroton na Lisinopril iwu maka nzube a. Ọgwụ ndị dị otú ahụ nwere ọtụtụ ihe jikọrọ ha, mana enwere ụfọdụ ọdịiche. Nweghị ike ị were ha n’ejighi ndenye dọkịta.
Njirimara Diroton
Ọgwụ a bụ ọgwụ mgbochi ACE dị irè nke na-ebelata mgbali ọbara ma na-eme ka akwara ọbara dị. Ngwakọta ọrụ ya bụ lisinopril, nke na -ebelata olu nke aldosterone na angiotensin na plasma. N'ihi ya, enwere mbelata nke nguzo na -akpata ihe na mmụba nke olu nke na-agafere obi n’otu nkeji. Nke a anaghị ebute obi ụsọ ọrịa.
Maka nsogbu ọbara ọgbụgba, ndị dọkịta depụtara ọgwụ kwesịrị ekwesị iji nyere aka kwalite ya. Ọtụtụ mgbe, a na-enye Diroton na Lisinopril iwu maka nzube a.
Mwepụta weputara - mbadamba. Nchịkọta kachasị nke lisinopril dị n'ọbara na-apụta mgbe awa 6-7 gachara.
Ihe ngosi maka iji Diroton:
- ọbara mgbali;
- nnukwu myocardial infarction;
- ọrịa mamịrị nephropathy;
- ike ọgwụgwụ nke obi.
Amachibidoro ị medicationụ ọgwụ n'ọnọdụ ndị dị ka:
- anabataghị ihe mejupụtara ya;
- warara nke lumen akwara akwara;
- ihe mgbochi sitere na nkọlọ nke Quincke;
- mgbanwe na biochemical ọbara parampat;
- stenosis nke aortic orifice;
- aldosteronism nke mbụ;
- afọ ruo afọ iri na isii.
Amachibidoro Diroton mgbe ị na-amụ nwa, n'ihi na ihe ndị dị na ya na-abanye na Plasenta. Ojiji nke ndị ACE na ngụkọta ọnwa atọ na-emetụtaghị nwa ebu n'afọ na-etolite, na-eduga n'ọnwụ nke nwa ebu n'afọ. A isaghị ọgwụ ahụ n'oge a na-enye ya ara.
Ojiji nke ogwu a na-eduga na mmeghachi omume ojoo dị iche iche site na ọtụtụ sistem ahụ:
- akụkụ iku ume: bronchospasm, mkpụmkpụ ume, ụkwara na-enweghị sputum;
- akwara obi: infarction myocardial, ihe mgbu sternum, mbelata nke obi, ike karia;
- urogenital: uremia, ọgbụgba mmekọahụ na-ebelata, ọrụ na-arụ ọrụ ezinaụlọ;
- ọbara: n'ọbara haemoglobin dị ala, anaemia, neutropenia;
- ụjọ etiti: nhụjuanya, ike ọgwụgwụ, ụra, obi ọgbụgba, enweghị ike itinye uche n'ihe ọ bụla;
- digestive: mbufụt pancreatic, ịba ọcha n'anya, aghara aghara, afọ ọsịsa, mwakpo mgbu nke afọ, ọnụ akọrọ, vomiting;
- akpụkpọ ahụ: itching, isi nkwọcha, ihe nkwọcha, ịchabiga ihe ókè.
Onye mepụtara ọgwụ ahụ bụ Gideon Richter OJSC, Budapest, Hungary.
Ihe njirimara nke Lisinopril
Lisinopril bụ ihe mgbochi ACE. Akụkụ bụ isi ya bụ lisinopril (n'ụdị mmiri mmiri). Ọgwụ a na-eme ka ọbara mgbali belata, na-agbasa akwara, na-arụ ọrụ myocardial, ma na-ewepụ nnu sodium. Site n'iji ọgwụ ahụ ogologo oge, mgbidi myocardium na arịa ọbara na-ebuwanye ibu, mgbasa ọbara na-adịwanye mma. A na-ewepụta ọgwụ n’ụdị mbadamba.
Lisinopril nwere ụdị ngosipụta maka iji ya dịka:
- nnukwu myocardial infarction;
- ọrịa mamịrị nephropathy;
- ọrịa obi na-adịghị ala ala;
- ọbara mgbali elu.
A machibidoro ị medicationụ ọgwụ ahụ n'ọnọdụ ndị dị ka:
- mitral stenosis;
- hypertrophic cardiomyopathy;
- hemodynamic aortic stenosis;
- idiopathic angioedema;
- anabataghị ume na ụkọ nke lactose;
- anabataghị ihe ndị mejupụtara ngwaahịa a;
- afọ ruo afọ 18;
- ime na lactation.
Ọgwụgwọ na-esokarị mmepe nke hyperkalemia. Ihe ndị nwere ike ibute ya bụ: shuga mellitus, afọ karịrị afọ 70, na-arụ ọrụ ezumike n’ọrụ.
Lisinopril na -ebilata ọbara mgbali elu n'ụzọ dị irè, mana ọ nwere ike ibute ọnụọgụ mmetụta dị iche iche. Ọ nwere ike ịbụ:
- ụkwara na sputum na-enweghị atụ, ike ọgwụgwụ, ọgbụgbọ, dizzness, afọ ọsịsa, isi ọwụwa;
- palpitations, ihe mgbu na sternum, tachycardia, infarction myocardial;
- nleda anya, ogwe aka n’ọkpụ ụkwụ na ogwe aka;
- dyspnea, bronchospasm;
- mbufụt nke pancreas na imeju, jaundice, mgbanwe uto, ihe mgbu n’afọ, akpịrị akpọre, anorexia;
- Akpụkpọ ahụ na-egbu mgbu, oke imepụta nke ọsụsọ, isi nkwọcha;
- uremia, nnukwu akwara renal, oliguria, anuria, ọrụ ezughi oke;
- ọrịa ogbu na nkwonkwo, myalgia, vasculitis.
Site na sistemụ hemopoietic, anaemia, thrombocytopenia na-eme. Ahụhụ na-etolite n'ụdị angioedema nke akụkụ ahụ niile na ụkwara anaphylactic nke akụkụ akwara. Otutu mgbe enwere oghom na aru, urticaria, fever, leukocytosis.
Site n'iji lisinopril na sodium aurothiomalate na-eme n'otu oge, ihe mgbaàmà ndị a nwere ike ime: ọbara mgbali elu, ọgbụgbọ, ọbara ọbara nke ihu. Theakingụ ọgwụ ahụ na-egosi mwepu nke ike anụ ahụ, ebe ọ bụ na akpịrị ịkpọ nkụ nwere ike ịmalite. Lisinopril na njikọta akwara na - ewepu potassium n’ahụ.
Onye mepụtara ọgwụ ahụ bụ CJSC Skopinsky Pharm.zavod, Russia.
Tụnyere nke Diroton na Lisinopril
Ọgwụ abụọ ahụ nwere ọtụtụ ihe jikọrọ ha, mana enwere ọdịiche n'etiti ha.
Gịnị bụ ihe zuru ebe nile
Diroton na Lisinopril bụ ọgwụ antihypertensive ma nweekwa otu akụkụ arụ ọrụ - lisinopril. Edere ha maka ọbara mgbali elu, maka na ha nwere otu mmetụta. Ọ dị n'ụdị mbadamba. Mmetụta kachasị mgbe ị na-ewere ya bụ mgbe izu 2-4 gachara.
Ekwesighi ịugsụ ọgwụ n’oge afọ ime na mgbe a na-enye nwa ara. Mgbe iwechara ha, ọtụtụ mmetụta ndị ọzọ nwere ike ịmalite.
Kedu ihe dị iche
Isi ihe dị iche n'etiti Diroton na Lisinopril bụ na ndị ọrịa nwere ọrịa ọdịnala kpụrụ akpụ nke Quincke, na nke abụọ - nye ndị ọrịa na-anabataghị lactose. Enwere ọdịiche na usoro onunu ogwu. Ekwesịrị ịroụ Diroton na 10 mg otu ugboro n'ụbọchị, yana Lisinopril - naanị 5 mg. Ha nwere ndị nrụpụta dị iche iche.
Kedu nke dị ọnụ ala
Ọnụ ahịa ọgwụ ọjọọ dị ka ndị a:
- Diroton - 360 rubles.
- Lisinopril - 101 rubles.
Kedu nke ka mma - Diroton ma ọ bụ Lisinopril
Mgbe ị na-ahọrọ ọgwụ dị mma - Diroton ma ọ bụ Lisinopril, dọkịta na-atụle ọtụtụ isi:
- ọrịa ọrịa;
- contraindications
- ọnụ ahịa ọgwụ.
Nyocha nke ndị ọkachamara ọgwụ
Olga, kadiologist, 56, Moscow: "Diroton ka enyere ndị ọrịa nwere nkụda mmụọ obi na ọbara mgbali elu. M na-ahọrọ otu onye. Ogologo oge ọgwụgwọ a na-adabere na ọnọdụ. Mmeghachi omume ọjọọ anaghị eme."
Sergey, onye na-agwọ ọrịa, dị afọ 44, Syzran: "Ana m ede ọgwụ Lisinopril ọgwụ maka ndị ọrịa nwere ọbara mgbali elu. Ọ na-ebelata ọbara mgbali ngwa ngwa. Ma na monotherapy, ọgwụ ahụ anaghị enyere mmadụ niile aka, ya mere a ga-ejikọ ya na ọgwụ ndị ọzọ."
Nyocha ndị ọrịa gbasara Diroton na Lisinopril
Vera, 44 afọ, Omsk: “Nrụgide ahụ malitere ịbawanye elu mgbe niile site na ihe dị ka afọ 40. Uru dị elu ruru 150. Dọkịta nyere Lisinopril mmetụta ahụ anaghị adị ngwa ngwa dịka anyị chọrọ. Nrụgide sitere na 150 belatara ruo 120 mgbe naanị awa 8. Mmetụta ọgwụ ahụ cumulative - ka ị theụrụ ya, ị ga-enwe ike nrụgide. Achọrọ m iwepụta iro ụra na ike ọgwụgwụ n'ihi mmetụta. A ga-anagide nke a, n'ihi na ọgwụ ekwesịghị ịkagbu ma drugụọ mmanya.
Oksana, onye gbara afọ 52, Minsk: “Ana m ewere Diroton dịka dọkịta nyere ya maka nkụchi obi. Ọ bụrụ na e jiri ya na ọgwụ ndị ọzọ, ọ na-akachasị uru ma dịkwa mma. Diroton nwere obere nsonaazụ: akpịrị ịkpọ nkụ, ọgbụgbọ dị nro, ọgbụgbọ. belata nrụgide n'ime otu awa. "
