Captopril 25 bụ ihe eji egbochi ACE maka ọgwụgwọ dị mgbagwoju anya nke ọbara mgbali elu. Ogwu a nwere obere ọrụ, ejighi ya maka ọgwụgwọ na-adịgide adịgide nke ọbara mgbali elu.
International Nonproprietary Aha
Captopril (Kaptopril).
Captopril 25 bụ ihe eji egbochi ACE maka ọgwụgwọ dị mgbagwoju anya nke ọbara mgbali elu.
Ata
Co 9AA01 Captopril.
Ha weputara udi ya na ihe mebere ya
Mbadamba ụrọ ahụ nwere agba ọcha, isi pụrụ iche, ọdịdị dị larịị. N'etiti ndị na-egbochi, ọgwụ ahụ kwụpụrụ maka ikike ya iji belata mbufụt nke vaskụl ma na-enwe mmetụta pụtara mma na mgbidi akwara.
A na - etinye ihe dị n'ọrụ dị na 25 mg.
Mwepụta weputara - mbadamba, 25 mg, 10 PC. Mbukota ngwongwo, ekwentị, nwere ntuziaka maka ojiji. 20 nkp. A na-etinye mbadamba mbadamba n’ime ite a na-etinye n’ime kaadiboodu.
A na-emepụta ọgwụ ahụ na ọgwụ nke 12.5 mg na 50 mg. Ọgwụ nwere otu sulfhydryl na - egbochi mmerụ myocardium.
Ọgwụ nwere otu sulfhydryl na - egbochi mmerụ myocardium.
Omume ọgwụ
Ọgwụ ahụ na-ewepụ ọrụ ACE, n'ihi ya, ọnụego mgbanwe nke enzyme m na angiotensin II, nke nwere mmetụta vasoconstrictor na-ebelata.
N'ime eriri afọ nke adrenal, mmepụta nke aldosterone na-abawanye. Ọgwụ ahụ na-emetụta usoro kinin-kallikrein, na-echekwa bradykinin.
Mlọ ọgwụ
Mgbe i jiri otu ọgwụ ọgwụ kemịkalụ mee ihe, a na-ewepụ 75% nke ọgwụ ahụ na usoro nri. Nri na-emetụta nnabata nke ọgwụ, na -ebelata mmetụta ya na 40%.
Na plasma ọbara, ọgwụ ahụ na-ejikọ aka na protein (albumin) ma na-apụpụ ya na mmiri ara.
Ọgwụ na-agbari n’ime sel akwara, mejupụtara ogige ndị a:
- mebilata ihe eji eme ihe;
- ọgba aghara cysteine.
Ngwaahịa ndị na-emebi emebi anaghị arụ ọrụ. Ọkara ndụ nke ọgwụ ahụ anaghị agafe 3 awa. Na ọdịda akụrụ, ọgwụ na-agbakọ n'ime ahụ, n'ihi nke a, ịta urea na creatinine n'ọbara ọbara na-abawanye.
Ihe Captopril nyere aka 25
A na-egosi ọgwụ kemịkal maka ọrịa ndị dịka:
- ọbara mgbali ọbara (dịka akụkụ nke ọgwụgwọ njikọta);
- mgbanwe n ’ọrụ ventricular ọrụ aka n’ihi infarction myocardial;
- ọrịa mamịrị nephropathy;
- obi obara.
Ntuziaka maka iji onye na-ahụ maka ọgwụgwọ na-egosi mgbochi mgbochi, mmetụta vaskụla nke ihe mgbochi ahụ. A na-eji ọgwụ ahụ eme ihe maka nlekọta mberede maka ịba ụba ọbara mgbali elu n'oge prehospital.
A na-eji ọgwụ ahụ eme ihe maka nlekọta mberede maka ịba ụba ọbara mgbali elu n'oge prehospital.
Ego ole ka nrụgide na-ebelata
Ndị na - egbochi ACE ruo 150 mg kwa ụbọchị, ejiri ya na usoro ọgwụgwọ ọdịnala yana cardiac glycosides na diuretic, belata ihe ize ndụ nke ọnwụ 40%.
Startingmalite ịmalite nke 6.25 mg jiri nwayọ rute 25 mg 2-3 ugboro n'ụbọchị. Iji gbochie mbelata ọbara mgbali elu, mmụba na ọnụọgụ ọgwụ a na-eme ya ruo ọtụtụ ụbọchị (a na-anabata ọgwụ ugboro abụọ na mgbali ọbara systolic karịa 90 mm Hg abụghị ihe karịrị 1 oge kwa izu).
Akụkụ dị elu nke ọgwụ ngwa ngwa belata ọbara mgbali, ma na-eduga n'ịzụlite nsonaazụ, ruo na myocardial infarction ma ọ bụ ọrịa strok.
Ihe ngbanwe
Edeghị ọgwụ ma ọ bụrụ na ozi gbasara ọrịa dị ka:
- nsogbu anaphylactic (akụkọ ihe mere eme);
- arụ ọrụ ezumike;
- ọbara mgbali elu nitrogen;
- ịwa ahụ akụrụ;
- warara nke aorta;
- mitral valve stenosis;
- ịba ọcha n'anya;
- n'ọbara;
- hypotension akwara;
- kadiogenic ujo na infarction myocardial.
Agwaghị ọgwụ ka ọ bụrụ na egosipụtara ozi gbasara akụrụngwa ezighi ezi na akụkọ banyere ahụ ike.
Ọrịa hypotension na ngosipụta izizi nke ezughi oke akụrụ abụghị contraindications zuru oke maka nhọpụta ọgwụ.
Captopril onunu ogwu 25
A na-ewere ọgwụ ọgwụ na ọnụ na 6.25-12.5 mg ugboro abụọ n'ụbọchị. Ọ bụrụ na ọ gaghị ekwe omume rụpụta nsonaazụ a na-ahụ anya, ọnụego ọgwụ na-abawanye ruo 25-30 mg ma were ya ugboro atọ n'ụbọchị. Oke kachasị kwa ụbọchị bụ 150 mg.
Site na infarction myocardial
Edere ọgwụ ahụ n'oge mbido, nwere mmetụta ndị a:
- na-ebelata ibu dị na obi;
- belata ihe ize ndụ nke fibrosis;
- normalizes ọrụ endothelial;
- na - eme ka ndị na - anabata ndị na - ewe peptide na - agbachasị akwara ọbara.
A drunkụrụma ọgwụ n’okpuru nchịkwa ọbara mgbali maka izu ise. Mgbe ị theụsịrị ọgwụ ahụ, a na-ahụ ọnụ ọgụgụ kachasị nke mmetụta hypotensive mgbe awa 3-5 gachara.
Usoro mbu nke ogwu ahu bu 6.25 mg.
Edere ọgwụ ahụ maka ụbọchị 3 ruo 16 mgbe nnukwu ọgbụgba myocardial infarction. Ka elekere abụọ gachara, ọnụọgụ nke ndị na - egbochi ACE na-abawanye ruo 12.5 mg ma were ya ugboro atọ n'ụbọchị.
Ọgwụ dị ogologo oge, ana - arụ ya n'okpuru nchịkwa nke ọbara mgbali (mgbali systolic nke onye ọrịa ekwesịghị ịda n'okpuru 100 mm Hg. Art.).
Captopril, nke enyere ya n’oge, na - enyere aka belata obi mgbakasị ahụ.
N'okpuru nrụgide
Usoro mbụ nke ọgwụ bụ 25 mg 2 ugboro n'ụbọchị. Ọ bụrụ na ọ dị mkpa bilitere, ọnụọgụ ọgwụ a na-abawanye ruo ụbọchị 14-28 ruo mgbe ọ ga-emezu nsonaazụ.
Site n'ọbara mgbali ogo nke II-, a na-eme ọgwụgwọ site na iji ndị mgbochi ACE na dose 25 mg 2 ugboro kwa ụbọchị. Ọnụ ego ọgwụ kachasị kwa ụbọchị bụ 100 mg.
Na oke ọbara ọgbụgba, a na-ahapụ ọgwụ nke 30 mg ugboro atọ kwa ụbọchị. Mgbe ị na-ede ọgwụ, ohere nke ịda ọbara mgbali na-abawanye ma ọ bụrụ na onye ọrịa ahụ nwere nnukwu obi obi, nwere ọbara mgbali ala.
Na nkụda mmụọ obi na-adịghị ala ala
Maka ọgwụgwọ nke nkụda obi, a na-atụ aro ọgwụ ahụ ma ọ bụrụ na ọgwụgwọ ya na diuretics enweghị mmetụta ụlọ ọgwụ. Ọgwụ izizi bụ 6.25 mg ugboro atọ n'ụbọchị.
Ego mmezi nke ọgwụ agaghị agafe 25 mg ugboro atọ n'ụbọchị.
Oke kachasị nke mgbochi ahụ bụ 150 mg kwa ụbọchị.
Na-arịa ọrịa shuga nephropathy
N'ihe banyere ọrụ akụrụ na - arụ ọrụ, nke tolitere na onye ọrịa nwere ọrịa mellitus, ya na klọọkụ mmiri nke 30 ml / min, a na-enye ọgwụ ahụ na ọgwụ nke 75-100 mg / ụbọchị.
Ọgwụ na-a drunkụbiga mmanya oke mgbe otu awa tupu nri.
Uzo esi ewere captopril 25
Ọgwụ na-a drunkụbiga mmanya oke mgbe otu awa tupu nri. Ofzọ itinye n'ọrụ nke onye na-ahụ maka ọgwụgwọ na-adabere n'ọnọdụ onye ọrịa.
A naghị akwado ka mbadamba ihe ahụ ghee ma ọ bụ taa.
A na-eji mmiri ọgwụ dị 125mm sachaa ọgwụ ahụ.
N’okpuru ire ma ọ bụ drinkụọ ihe ọ .ụ .ụ
Site na nsogbu ọbara ọgbụgba, ị nwere ike idobe mbadamba nkume n'okpuru ire. Mgbe ị 6ụchara ọgwụ 6.25 mg ma ọ bụ 12.5 mg nke ọgwụ ahụ, a na-atụle ọbara mgbali mgbe nkeji 30 maka awa 3. Site na mmụba nke dose, a na-atụ aro ka ijikwa nrụgide 1 otu oge mgbe nchịkwa gasịrị.
Ugboro ole ka m nwere ike ị drinkụ
Onye setịpụrụ usoro usoro ọgwụgwọ nke dọkịta. Oke ọgwụ a na-enye ọgwụ anaghị agafe 300 mg kwa ụbọchị. Thebawanye ọgwụ ahụ na-eduga na mmebi nke ọdịmma onye ọrịa yana mmepe nke mmetụta.
Ogologo oge ole ka ọ na-ewe
Mgbali ahụ na-ebelata awa 1-1.5 ka ị ofụ otu ọgwụ ọgwụ. Mmetụta na-adịgide adịgide na-apụta na izu asatọ mgbe ị ofụ ọgwụ antihypertensive kwa mgbe.
Usoro ọgwụgwọ nke Captopril 25 bụ nke dọkịta kpebiri.
Nsonaazụ
Mmetụta njikọ nke mbadamba nkume ahụ anaghị emetụta nsonye ya na listi ọgwụ ndị dị mkpa, n'ihi na ekwuru banyere ọgwụ ahụ na nchekwa data Pubucol ugboro 12,500.
Ọkpụkpụ afọ
Mgbe ị na-eji ọgwụ ahụ, ị nwere ike izute ụdị ngosipụta ndị dị ka:
- ọgbụgbọ
- enweghị agụụ;
- mgbanwe uto;
- ihe mgbu epigastric;
- afọ ntachi
- ịba ọcha n'anya;
- ọria umeji;
- imebi mmepụta nke bile;
- akpụkpọ anụ
- nro na hypochondrium ziri ezi.
Ahụhụ Hematopoietic
Ihe a na-ahụkarị maka iji ọgwụ ahụ eme ihe bụ:
- anaemia;
- ibelata na ọnụ ọgụgụ platelet;
- ọbara ọgbụgba nke ọbara dị ala.
Maximumgwọ ọgwụ kachasị na ndị mmadụ karịa afọ 65 na-eduga n'ịbelata ọnụ ọgụgụ ọbara ọcha, mmụba nke ọrịa ọrịa fungal, nke dị ize ndụ karịsịa nye ndị ọrịa nwere ọrịa autoimmune.
Sistemụ akwara Central
N'oge ọgwụgwọ, ọdịdị nke mmeghachi omume ọjọọ ndị dị ka:
- Dizziness
- ike ọgwụgwụ
- nhazi nke nhazi;
- mgbanwe na anụ ahụ anụ ahụ.
N'ime ndị ọrịa agadi, enweghi ike ịhụ ụzọ, ụra, isi ọwụwa, nkwarụ ọgbụgba, mbibi orthostatic ga-ekwe omume.
N'oge ọgwụgwọ, a na-ahụ anya akpịrị.
Site na usoro urinary
Mmeghachi ahụ n'ahụ ezughị oke na-egosipụta dịka:
- arụ ọrụ ezumike;
- polyuria;
- mmụba na ụba protein na mmamịrị;
- mụbara sclerotic usoro ke anụ ahụ nke urinary ngwa.
N'ime ndị ọrịa nwere ọdịda akụrụ ala na-adịghị ala ala, ohere nke ịmalite microalbuminuria na-abawanye, ọnụ ọgụgụ nke creatinine na-abawanye karịa 30% site na ọkwa mbụ. Somefọdụ ndị ọrịa, akụrụ akwara na-akawanye njọ, yana ischemic nephropathy na-etolite.
Site na sistem iku ume
N'oge ọgwụgwọ, ọdịdị nke mmeghachi omume ọjọọ ndị dị ka:
- ọla;
- ụkwara na-egbu mgbu;
- ntughari-obi na idi-nma nke olu;
- mgbakasị ahụ na akpịrị;
- mkpụmkpụ ume mgbe m na-edina ala.
- laryngeal stenosis;
- eriri afọ.
Newmụ amụrụ ọhụrụ na-etolite nkwarụ na akwara ozi.
Captopril nwere ike ibute ụkwara akpọnwụ, na-egbu mgbu.
Na anụahụ
Mgbe ị na-eji ihe mgbochi ACE, onye ọrịa ahụ nwere ike ị nweta ụdị ngosipụta ndị dị ka:
- mẹ iphe dụ ẹji, ẹphe meru;
- itching na-egbu mgbu;
- icha mmirimmiri pink.
Ihe na egosiputa akpukpọ aru na-eme oge ole na ole mgbe takingrechara ọgwụ, ihe mgbaàmà ahụ na-amalite mgbe ị theụsịrị ọgwụ ọzọ.
Ihe ahu na –emebi aru nke ukwu aka, ukwu aputa, akpukpo ahu adighi ariri, nke ahu akpukpo ahu adighi nma ogologo oge site n’iji mkpịsị aka na-eme ihe.
Site na usoro mkpụrụ ndụ ihe nketa
Ọgwụ mgbe agbatịchara ogologo oge nwere ike ibute enweghi ike, ọrụ akwara nwere nsogbu.
Ahụhụ
Ndi mmadu gosiputara ihe omuma ya mgbe iwere ogwu a ka ahuru oria nke aru na urticaria. Mmeghari mmeghachi omume anaphylactoid sokwa ya na ọdịdị nke itchy n'ụdị elu na ala, ihu, oghere ọnụ, akụkụ akụkụ akụkụ elu na akụkụ azụ.
Onye na-egosipụta ngosipụta mgbe ị afterụsịrị ọgwụ ahụ bụ ọdịdị nke mmịpụta.
Onye ọrịa ahụ nwere mgbaama ndị a:
- aphonia;
- ume iku ume;
- gbua;
- ihe na-egbu egbu.
Mmetụta ikike ịchịkwa usoro
N'oge ị na-eji ọgwụ na-ahụ maka ọgwụ mgbochi ọgụ, ọ dị mkpa izere ịnya ụgbọ ala na usoro ndị ọzọ chọrọ nlebara anya.
Ntụziaka pụrụ iche
N'oge ọgwụgwọ, a chọrọ ịkpachara anya na ndị ọrịa nwere ọrịa akụrụ. Ndị mmadụ na-arịa ọrịa nkụda mmụọ n'oge ọgwụgwọ nọ n'okpuru nlekọta dọkịta. Utionkpachara anya na-emetụta ndị ọrịa nwere ọrịa anụ ahụ jikọrọ ọnụ ma ọ bụrụ na ha ewere Allopurinol ma ọ bụ Cyclophosphamide.
Jiri n'oge ime na lactation
N'ime nne na-eme n'ọdịnihu, a na-eji ọgwụ Methyldopa ọgwụ ọgwụgwọ ọgwụgwọ ọbara mgbali elu.
Edeghị onye na-egbochi ihe, n'ihi ọ kpọrọ:
- ọdịda odida na nwa amụrụ ọhụrụ;
- nkwarụ aka na nkwarụ ihu;
- mmebi nke akpukpo aru;
- ọnwụ nke nwa ebu n'afọ.
Ọgwụ na mmiri ara ara nwere mmetụta adịghị mma na ahụike nke nwa.
Mmanya ndakọrịta
Agaghị a takenụ ọgwụ ahụ n’otu oge na ihe ọ containingụ containingụ nwere mmanya ethyl, iji zere mmepe nke nsonaazụ.
N'ihe banyere nsí Captopril, onye ọrịa ahụ nwere nsogbu nke anya.
Dodoụbiga ya ókè
N'ihe banyere nsi nke onye na - egbochi ACE, onye ọrịa malitere:
- hypotension;
- infarction myocardial;
- ọnya;
- thromboembolism;
- ọdịda odida;
- mmebi anya.
Maka ọgwụgwọ, a na-atụ aro ka ịsacha eriri afọ ya, dezie injevenous injections nke ọgwụ vasoconstrictor. Maka ọgwụgwọ, ọgwụ colloidal, ọgwụ Dopamine na Norepinephril na-eji.
Mmekọrịta na ọgwụ ndị ọzọ
Ogwu ejikọtara ya na ọgwụ vasodilator na-ebute mmụba na mmetụta hypotensive.
Ojiji nke ọgwụ mgbochi ACE nwere ọgwụ mgbochi mkpali ma ọ bụ clonidine na-eduga n'ịbelata ịdị irè nke ọgwụ.
Iji ọgwụ ahụ nwere ihe ọ diụ causesụ na-eme ka mmadụ nwee ike doụbiga mmanya ókè.
Ekwesịrị iji nlezianya gosipụta nnu nnu nke lithium na onye nwere ume, ebe ọ bụ na mkpokọta mkpoko inorganic n'ime ọbara ọbara na-abawanye.
Ojiji nke captopril nwere ọgwụ mgbochi Steroidal na-akpata mbufụt na-eduga n'ịbelata ịdị irè nke ọgwụ.
Ndị ọrịa na-ewere Allopurinol na AC inhibitor nọ n'ihe ize ndụ nke ịmalite ọrịa mgbaàmà Stevens-Johnson.
Analogs
Dịka dochie anya ndị na-ahụ maka mmiri ọgwụ, jiri:
- Angiopril;
- Blockordil;
- Normopress;
- Kapịl;
- Kapoten;
- Burlipril;
- Ahapu;
- Renetek.
Onye na-egbochi ụlọ ọrụ Sandoz (Germany) nwere 6.25 mg nke ihe ndị na-arụ ọrụ n'ime mbadamba 1. A na-eji ọgwụ ahụ maka ọgwụgwọ ọbara mgbali ọria, nkụchi obi, ọrịa nephropathy na-arịa ụdị 1.
Alkadil nwere ike ime dị ka onye dochie ọgwụ ma bụrụ ọgwụ dị irè. Edere ọgwụ a maka ọdịda nke ọgwụ ọkọlọtọ.
Angiopril nwere mmetụta yiri ya na ihe mgbochi ACE. Edere ọgwụ ahụ maka ịrụ ọrụ LV nke obi, mgbe ọ gbasịrị myocardial infarction, na albuminuria agaghị akarị 30 mg / ụbọchị.
You nwere ike iji ọgwụ dịka Kapoten dochie ọgwụ ahụ. A na-ewere ọgwụ ahụ dị ka dọkịta si kwuo 1 awa tupu nri.
Ahịa ọgwụ na-ahapụ okwu
A na-enye ndenye ọgwụ ọgwụ.
Enwere m ike ịzụta na ndenye ọgwụ
Enweghị ike ịzụta ọgwụ ahụ na-enweghị ikike ederede nke dọkịta.
Ọnụ ego maka captopril 25
Mbadamba 25 mg, 40 PC. ree na ọnụahịa nke 12 rubles. (mmepụta OZON OO, Russia). Ihe mgbochi ACE, mbadamba 25 mg, pcs iri abụọ. na-eri 8 rubles. (mmepụta OZON OO, Russia).
Ọnọdụ nchekwa maka ọgwụ
A na-echekwa ọgwụ ahụ n’ebe akọrọ, nke nwere ikuku dị mma, na-enwe ọnọdụ okpomọkụ karịa 30 Celsius.
Bọchị mmebi
Ogwu ahụ dabara adaba maka afọ 3.
Ogwu ahụ dabara adaba maka afọ 3.
Emeputa
A na-emepụta ọgwụ ahụ:
- Ozone OO, (Russia);
- Borisov Plant of ọgwụ (JSC "BZMP"), Belarus.
Nyocha maka Captopril 25
Vasily dị afọ 67, Voronezh
Enwere m ọbara mgbali elu. N'afọ gara aga, enwere nsogbu ọgbụgba ọbara ugboro abụọ. Ihe ọ bụla funahụrụ ahụ nrụgide ahụ, ọbụlagodi mgbe ọgwụ ịgba ọgwụ n'ụlọ ọgwụ adịghị mfe. Echetara m ọgwụ ahụ, tinye mbadamba 25 mg n'okpuru ire m, mgbe oge 30 gasịrị, nrụgide ahụ belatara. Ana m edobe ọgwụ ahụ mgbe niile na ụlọ ọrụ ọgwụ.
Margarita, 55 afọ, Cheboksary
N'abalị, mgbali ahụ dị 230 ruo 115. Etinye m mbadamba ọgwụ abụọ nke ọgwụ n'okpuru ire m, mgbe ahụ n'abalị n'abalị ọzọ 2. N'ụtụtụ, nrụgide ahụ gbadara 160 na 100. Dọkịta ahụ gbara ọgwụ diuretic na nrụgide ahụ laghachiri na nkịtị. Ekwenyere m na ọ ka mma iji ọgwụ mbụ Kapoten maka ọgwụgwọ.
Tamara, 57 afọ, Derbent
Ana m ewere ihe mgbochi ACE afọ 15, 1 mbadamba 0.25 mg otu ugboro kwa ụbọchị. Usoro a na-eme kwa ụbọchị agbanweela, ọrụ moto belatara, yabụ ana m a tabletsụ mbadamba ọgwụ abụọ na ọgwụ kwa ụbọchị. Enweghị mmetụta ọ bụla. Ọgwụ dị irè.
