Analog "Charter": wongororo uye mifananidzo. The Russian nerokuti "Hart": wongororo kuti Cardiology

NeBP - denda vanogara ano panyika. Vanoverengeka yaivhuvhuta zvimwewo zvinoitika, murombo zvakatipoteredza, kugara mupfungwa, murombo muviri uye kutadza pave preconditions kuti pave zvemwoyo chirwere uye chitarisiko ichi chirwere inotyisa.

Modern Pharmacy anoedza kusika mishonga yakadaro, izvo, kana kwete kuporesa munhu kubva neBP zvachose, ipapo zvinenge, achachengeta neBP yako pasi kuzvidzora, nokudaro kurerutsa ngozi myocardial infarction uye sitiroko.

Pari yakakwirira kudiwa yevatengi vanoshandisa antihypertensive mishonga izvi zvakadai "Hart", analogs zvinodhaka ichi, izvo kwakasimbiswa zvizhinji.

"Charter"

Mugadziri "bumbiro" zvinodhaka chinhu Hungarian kambani EGIS Pharmaceuticals PLC. Vatengi vari vatatu akasiyana zvinodhaka ichi, "Hart," "Hart D" uye "Hart Amlo."

The chikuru vanoshingaira chezvinonhuwira kuti "Charter" ari fuma ramipril. Chinokosha zvairatidza kuti kushandisa zvinodhaka ichi kwevanhu pamberi zvirwere zvakadai BP, chirwere cheshuga nephropathy, chirwere cheitsvo, diffuse akapfeka refu. Uyewo, "Charter" mirayiridzo kushandiswa (zvakafanana kazhinji kacho achapawo kunobatsirawo) rinokurudzira kuderedza mukana wokuti myocardial infarction, "cardiac rufu", nokurova mune vanhu vane nechirwere chemwoyo (nechirwere chemwoyo). Uyewo, Tsika paakagadza "bumbiro" vaya vanotambura cardiac insufficiency zvayo chisingaperi Danho uye vakava pashure murwere aiva chakasimba myocardial infarction (a chinodiwa kuti kushandisa "Charter" - mudanga hemodynamic parameters).

The medicament "Hart D" (maererano analogs kukanganisa chero) inoumbwa vaviri vanoshingaira zvinoriumba - Ramipril uye hydrochlorothiazide. Wokutanga chinoumba lowers BP, nokudaro achidzikisa Batsiranai mabasa pamwoyo. The fuma wechipiri ari diuretic, anotokonya muitiro vachibvisa munyu uye mvura netsvo, uye kufanana ramipril ezasi BP. Saka, "Hart D" nachiremba kurapa neBP apo akaratidza kunzwisisa kurapwa pamwe ACE FIs, diuretics nevamiririri.

Drug antihypertensive mushonga "Hart Amlo" (zvakafanana sezvamunoita uye simba chemishonga ano iripo) rine huru mbiri zvinhu - ramipril uye amlodipine. Chinangwa zvinodhaka izvi kwaiitwa kuti kurapa neBP pavarwere vane yakafanana ramipril uye amlodipine Vane pesvedzero inobatsira vose mumwe nomumwe uye yakasanganiswa.

"Ramipril-C3"

Drug "Ramipril-C3" - ane analogue kuti "Hart" muRussia. "Northern Star" rinowanika muMoscow ikozvino. Huru achishingaira chirungiso - ramipril. Ebetsero protrude magnesium stearate uye lactose monohydrate.

Mishonga ushandiswe kuvanhu diagnoses akadai BP, cardiac insufficiency (chirwere chimiro uye kukudziridza pashure chakasimba myocardial infarction).

In zvirwere chinodiwa zvakadaro kugadzwa "Ramiplila-C3" - akatsiga hemodynamics. Ndechimwezve chiratidzo kutora analogue mahwendefa "bumbiro" ndiyo kuvapo ari murwere ane chirwere cheshuga uye zvisiri shuga nephropathy. Pamwe taitarisira mugumisiro wakanaka ushandiswe "Ramipril-C3" vanhu pashure kuvhiyiwa transluminal coronary angioplasty uye coronary tsinga yokunzvenga kusonanidzwa (kana akaora kugadzikana murwere yakamira).

Sezvo contraindications pakugamuchira medicament vanoita munhu hypersensitivity kuti zvikuru kana yechipiri zvinoumba rekugadzirira, nhoroondo mashoko kare akatamisira angioneurotic edema, kushatiriswa zvinodhaka, ACE FIs. Contraindicated "Ramipril -C3" varwere pasi nemakore 18, nokuti hapana ruzivo pamusoro wayo vakachengeteka uye kushanda.

"Dilaprel"

Antihypertensive mushonga "Dilaprel" anoratidzwa sezvo Russian nerokuti "Hart" iri mishonga pamusika. Huru achishingaira chirungiso - ramipril. Ebetsero protrude karusiyamu stearate uye colloidal nesilicon dioxide.

Zvairatidza kuti kushandiswa zvinodhaka: kuvapo pavarwere zvirwere zvakadai zvinokosha BP, vanotaura pamusoro cardiac basa iri chirwere Danho (akabatana nevamwe zvinodhaka, kunyanya ane diuretic).

Varwere tsika nephropathy (chirwere cheshuga, non-chirwere cheshuga), kusanganisira kana pamwe proteinuria, BP. Anodei kugamuchira "Dilaprel" uye avo nguva apo pashure pemazuva mashoma (2-9 mazuva) pashure chakasimba myocardial infarction yakatanga cardiac kukundikana.

Migumisiro yakanaka vanopiwa mishonga kune varwere vane mamiriro utano kunoratidzwa yakakwirira zvemwoyo ngozi (kamwe kutanga chakasimba myocardial infarction, sitiroko).

Nezvigadziko kuti varege vanyorese kugamuchira analoginen ( "Hart" kunoratidzwa substantially chete contraindications), vaiona nhoroondo angioneurotic edema, hemodynamically zvaikosha renal tsinga stenosis, stenosis pamusoro kutsemuka kana mitral vharafu, hypotension (yakaderera BP), kukundikana renal nerevane kudiwa dialysis. haushandi kugamuchira "Dilaprela" varwere kukwana cardiac basa iri hronichesoy muchimiro DEKOM rwakazara ensatsii uye pamberi nephropathy. Mugore rikwanise chokutambudzika chemwoyo zvinodhaka haungopiwi kusagadzikana angina, pulmonary mwoyo uye zvakakomba ventricular cardiac arrhythmias.

"Vazolong"

analoginen ichi ( "Hart" ane chete inokosha uchishandisa chikamu - ramipril) rine zvinotevera zvairatidza kuti: neBP (arterial, refractory, nyanyisa, renovascular), nephropathy (chirwere cheshuga uye kukura pane mamiriro echirwere diffuse renal chirwere).

Kunochinja cardioprotective kushanda uye kuderedza platelet aggregation. The medicament anovandudza nehanya kuti munyama kuti jekiseni. Maawa Hypotensive mugumisiro uriko nehafu pashure pakugamuchira medicament, kufadza mugumisiro kunoitwa pashure maawa 5-9 dzokupisa nguva - maawa 24.

Mikuru contraindication kuti kushandisa zvinodhaka ichi vangazivikanwa hypersensitivity kune zvinoriumba (chikuru uye ebetsero) kuti medicament kana chero ACE FIs, kuvapo nhoroondo ruzivo pamusoro kare vaitama angioneurotic edema, kushatiriswa kurapwa pamwe ACE FIs.

Kana pamuviri iri contraindicated kutora mushonga uyu, uyewo "Charter". Mirayiridzo yokushandisa, chaicho (analogues ari "Charter", ine chikamu ramipril, haagoni kupiwa pamuviri), nyanzvi dzoutano dzinokurudzira munhu pre-kurapwa kuitira asipo pamuviri. Kana murwere pamuviri panguva mushonga anofanira kusimudzwa pakarepo zvinodhaka ramipril uye sarudza mimwe nzira kurapwa.

"Amprilan"

In wakadaro ACE inhibitor, se "Amprilan", uyewo zvineringanidzo "bumbiro", zvose akafanana uye kushanda. The chikuru vanoshingaira wemafuta Medicine - ramipril. Mune chikamu zvinoriumba protrude yavaibvisa bicarbonate, lactose monohydrate, croscarmellose yavaibvisa, starch.

Zvairatidza kuti kushandiswa kwezvinodhaka zvarwo, anenge kufanana kune kare anorondedzerwa "Vazolongu", "Dilaprelu" ramipril-C3 ": BP, chirwere chemwoyo mabasa, nephropathy, zvinoderedza verooyatnosti kugadzira zvemwoyo zvokurwara.

Enumeration kuti contraindications kuti kushandisa zvinodhaka ndiko zvikuru yakakura. "Amprilan" zvakaoma ushandiswe varwere kutambura kubva zvakakura zvirwere zvakadai kaviri madziro renal tsinga stenosis ari hemodynamically zvinokosha stenosis pamusoro arteries uye dzinoumba woga itsvo, renal insufficiency mabasa, ezvinhu pashure itsvo transplantation uye dialysis. The mushonga haabvumirwi dzinoshanda varwere inotevera mwoyo matambudziko: kutsemuka uye / kana mitral stenosis, chisingaperi cardiac kukundikana (decompensation rwakazara), obstructive cardiomyopathy uye BP.

Zvisingagamuchirwi dose kurapwa mune vakadzi panguva pamuviri uye kuyamwisa mwana. Contraindication iri pasi pemakore 18.

"Ramikardiya"

Drug analogues "bumbiro" zvino zvakasimba zvakakwana nomuti mishonga musika. Chimwe rinozivikanwa analogue - "Ramikardiya". Zvairatidza uye contraindications kurapwa vari zvinenge kufanana kuti kare kukurukurwa "Amprilanom".

Asati atanga kurapwa pamwe ichi zvinodhaka nyanzvi dzinokurudzira zvakasimba kuongorora mamiriro itsvo, nekuti zvichienderana mamiriro mitumbi izvi yasarudzwa nomumwe dose kuti marapirwo (kana zvinodhaka haana kuramba). Panguva kurapwa, chokushandisa iyi anenge kufanana kuti medicament "bumbiro", mirayiridzo kushandiswa (analogues, anenge zvose zvinogona kukuvadza kuti itsvo) inokurudzirwa kudzora mamiriro nezvezvimwe zvinetso zvedundira, ropa electrolyte akafanana, uwandu itsvo makemikari uye peripheral ropa mufananidzo.

varwere vaya pane mvura dhefisiti, yavaibvisa usati watanga kutora "Ramikardiyu",, zvakakodzera kubvisa mvura yose uye electrolyte abnormalities. Panguva kurapwa uyu mushonga zvisingagamuchirwi mufambiro dialysis kushandisa membranes pamusoro polyacrylonitrile, nekuti pane mukana anaphylactic siyana.

"Ramigamma"

Kwakapararira analogues "Hart" muRussia. Chimwe mushonga wakadaro anonzi "Ramigamma". Huru achishingaira chirungiso - ramipril. Zvairatidza uye contraindications yakafanana neiya ayo kuburikidza kumusoro zvinorondedzerwa zvinodhaka inozivikanwa. Zvipatara pamwe muiti ichi pasi kutarisira kupinda chiremba.

Paakatyaira dose wokutanga "Ramigammy", kana kuwedzera uwandu husingakuvadzi murwere achitora diuretics, pamusoro rinotevera 8:00 sezvo kazhinji sezvinobvira zvinokosha kuyera BP. Izvi zvinokosha kuti kudzivisa chido uye nokukurumidza hypotensive maitiro (inodonha BP). Attention zvinoda varwere vanenge chakakomba cheitsvo uye kumwoyo.

Panguva kurapwa zvakafanira kudzora padanho ropa masero machena, kuti arege kutadza nechinguvana leucopenia.

"Hart" analogs zvinodhaka (kusanganisira "Remigammu") havafaniri kupiwa kune varwere panguva ino akapa desensitizing kurapwa (nokuti yokuderedza neutachiona kuti zvipembenene ikaruma). Pamunhu yaizoshanda panguva ACE FIs uye sensitizing vamiririri zvinogona kukonzera pave chakakomba, (kufema kukundikana, kuderedza BP, kurutsa, etc.) anaphylactic maitiro muviri zvinouraya

"Kardipril"

Tyoni mumwe nokururama inozivikanwa zvinodhaka - imwe analogue kuti "Hart" - "Kardipril". Active zvinoriumba - ramipril. Huru zvairatidza kuti kushandiswa kwezvinodhaka - neBP, congestive mwoyo kukundikana (somunhu chezvinonhuwira mubatanidzwa mishonga), nephropathy (kwayo kwokutanga Danho uyewo), cardiac insufficiency pashure myocardial infarction.

Contraindications pakushandisa "Kardiprila" zvikuru yakakura. Mishonga hakufaniri ushandiswe kubvuma pamberi renal uye chiropa kukundikana, chinonzi systemic lupus erythematosus, renal tsinga stenosis, pamwe hyperkalemia uye hyponatremia, kudzvinyirirwa mwongo hematopoiesis. Regai taurira mushonga panguva pamuviri, lactation uye varwere pasi pemakore 18.

Nechinyoreso ovhadhozi kuti "Kardiprilom" anogona kuva zvikuru hypotension (donhwe BP), itsvo kukundikana, zvikuru electrolyte abnormalities, kuvhunduka. Kubvisa migumisiro zvakafanira kuita kuramba zvichiongororwa uye kutevera-up rutsigiro zvinokosha mabasa. Kana simba kumanikidzwa Madonhwe zvinogona kupiwa mamwe yakawanda yavaibvisa uye zvinwiwa. Hemodialysis chero chinokosha chaizvoizvo hauchazopi.

"Tritatse"

Chiizve ndiyo analogue kuti "Hart"? Mumwe anozivikanwa uye zvinowanzoshandiswa zvinodhaka varwere - "Tritatse". Mishonga inowanikwa muGermany uye France. Huru achishingaira chirungiso - ramipril. Zvairatidza kuti chikumbiro Zvisinei, sezvo, uye contraindications inenge yakafanana nezvose kare anotsanangurwa chipimo chemushonga kunoreva ACE-FIs. Treatment ne "Tritatse" kazhinji zvinoda yakareba, izvo neimwe nyaya iri pakutsvaga kupinda chiremba.

Usati watanga kurapwa pamwe mishonga iyi, zvinokosha kuziva kusavapo ezvinhu akadai hyponatremia uye hypovolemia. Kuri kuti murwere kare vakagamuchira mishonga ipi, diuretics, vanofanira kukanzura kana kuderedza uwandu husingakuvadzi zvavo mazuva 2-3 risati mharuro kurapwa nokushandiswa kwe "Tritatse".

Mushure dose wokutanga kana kuwedzera diuretics navanachiremba vanofanira hazvo kupa kuchenjerera vachiongorora murwere kwemaawa dzinenge 8. Izvi zvinokosha kuti chiito chakakodzera panguva yakanyanya nokukurumidza vanowira BP.

Kana murwere ane mwoyo nokukundikana kana nyanyisa nzira neBP, kurapa ne "Tritatse" akabvumira kutanga chete muchipatara.

Munguva yose nguva kurapwa pamwe mishonga iyi inofanira kuongorora renal basa, padanho wevasungwa pamusoro electrolytes, hematology (Chizenga, platelet count, leucocytes, erythrocytes, leukocyte fomura).

Nyanzvi mafungiro pamusoro ACE

Sei pamusoro chero chakakomba somushonga chigadzirwa iyo zvinoita zvinosanganisira "bumbiro" uye ake yakanakisisa analogues wongororo cardiologist, chiremba imwe specialization kana murwere anogona kusiya zvose zvakanaka uye kunaka nzira.

Varwere vakawanda tsanangura pachake "Hart" uye ruzhinji nevezera yayo sechinhu chaizvo nokukurumidza kuita zvinodhaka, inoshanda kunyange yakakwirira chaizvo BP. Nguva yokuwana zvinodhaka kuti boka iri kunosvika maawa 24. Kunyange zvazvo mitengo mishonga izvi zvinosiyana zvikuru, uye kwete mishonga zvose zvinowanikwa zvakasiyana-siyana vatengi.

Ikoko, vari Zvisinei, nepfungwa pamusoro zvinodhaka "Hart". Analogs anodzokorora varwere uyewo dzimwe nguva rinorondedzera akaipa divi. Chikonzero ndechokuti vose mishonga iyi inogona kukonzera kukura rose boka yaivhuvhuta zviitiko, zvimwe zvacho zvikuru rinorema. On nyaya iyi, vanachiremba unomira yokubatana kwavo varwere. Kunyange zvazvo vakawanda utano nyanzvi dzinodavira kuti mishonga yakadaro ndakaponesa mazana upenyu, uye vane zvakakodzera chaizvo kuti vanhu. Chinhu chikuru hachisi basa pachako pamwero dzokuzvirapa, uye pane zvinotaurwa dzinoenda ari kupinda chiremba.