"Mikardis": dzomuzana vavo kuenzanisa

Utano - sechipo, unogona kutenga kana kuti, asi mumwe nomumwe wedu ane mukana vanoritsigira uchibatsirwa dzinokosha zvishandiso. In mushonga dzinonzi zvinodhaka. Vanogona anounzwa siyana resununguro, asi zvikuru kazhinji tinoshandisa iri pahwendefa kuti kurapwa chero abnormalities pamuviri.

Sei uchifanira kuva mushonga "Mikardis"?

mishonga yose ine chinangwa chawo. Vashoma vane pfuma generalist. Pashure pezvose, dzevanhu gadziriro uye nhengo vanosarudzirwa munzira dzakasiyana, uye vari tusingaoneki akasiyana zvachose. Nokuti pakurapa pathological dzakawanda pezvakaitwa yakatanga zvimwe zvinodhaka.

Kugadzirira "Mikardis" achishingaira kushandiswa Mabatirwo arterial girpertenzii, chirwere umo yakawedzera BP. Uyezve, zvinoreva "Mikardis" analogs idzo kudzivirira wakawedzera BP, chinhu chakanakisisa chokudzivirira zvinodhaka kuti kunoderedza ngozi zvirwere kumwoyo uye yambiro kufa pavarwere vakuru makore 55.

Sei mushonga pane vasiri pamwero?

Medicament "Mikardis" ari blocker kuti angiotensin II receptors. Its pharmacological nezvinozoitika kuderedza padanho aldosterone pamuviri. The mushonga hazvirevi adzikatidza Ion hova uye DZEMUNHU DZINODZORA migumisiro renin uye kininazy II (imwe enzayemu anokwanisa kuparadza bradykinin). Drug "Mikardis" (dzomuzana Russian dzimwe siyanei mu sezvamunoita) rine telmisartan. Izvi pakugadzira kushingaira fuma ine kuchirapa zvainoita muviri.

Zviri nyore, kubata zvinodhaka riri sezvinotevera: "Mikardis" analogues ayo vanokwanisa normalize ari systolic uye diastolic BP, kuvandudza mamiriro bradycardia uye tachycardia. The mushonga lowers BP pasina kukanganisa mwoyo zvazvingava, saka kurapa ichi zvakakodzera kuti varwere vazhinji.

Kusiyana discontinuation nevezera pamwero unodzokera kwokutanga unongotaura. It haakonzeri murwere kuvandudzika syndrome. Imwe chakarurama, chimwe chiratidzo cheBP uye mwoyo chirwere ane chikosoro. It - akaoma, vanonzi "mwoyo" chikosoro. Munguva kushanda "Mikardisa" chiratidzo ichi hworatidza pacharo kwete kazhinji pamberi telmisartanovoy mishonga.

Kuwana mukati mushonga wefodya mune zvomudumbu neduku 50%. Muchiitiko chino, 99,5% akabatanidza yeplasma. The mugumisiro kutora zvinodhaka wokutanga kunoitika mumaawa 3 uye kunotora maawa 24. Mune zvisingawanzoitiki pacho hypotensive mugumisiro dzakapfuura kusvika 2 mazuva (kana maawa 48). With Kushandiswa kuchirapa mugumisiro wenguva kunokwanisika kwevhiki 4-8.

Kana murwere chirwere kusagadzikana itsvo, unofanira nguva nenguva kuongorora chokupika creatine uye potassium mu muropa serum. Zvinokoshawo kuti asava mvura uye electrolyte nenyonganiso mumuviri murwere ukama kuti zvinodhaka kutarisira. Uyewo, kungwarira zvinofanira kutorwa "Mikardis" kana paine kutsaudzira iri biliary turakiti. Pashure telmisartan fuma yabudiswa kunyanya bile.

Riini excretion zvinodhaka kubva muviri

WIthdrawal nguva "Mikardisa" wemuviri maawa anenge 20. The chikuru Chikamu zvinodhaka unoratidzwa pamwe mutsvina yadzo rokuti iri raiva zvomudumbu ino. About 1-2% kubva telmisartan yakapedza vachishandisa neitsvo. Pamusangano zvakakwana yakakwirira yakati sandara anochengeta plasma Clearance. pamwero wayo 900 Rine mamiririta / Maminitsi sezvo zvichienzaniswa chiropa ropa aibuda, iyo wakachengetwa 15000 ML / min.

Varwere achitora "Mikardis" analogues zvinodhaka, zvinofanira kurangarirwa kuti telmisartan haavimbi hemodialysis. Terms Kubviswa mishonga regai kuvimba nemakore murwere. The mushonga panguva iyoyo nokukurumidza sezvo goho ngakuite uye munhukadzi muviri.

Zvairatidza kuti kushandisa zano wezvokurapa

Zvinobatsira dzokumabvazuva dosing mitemo "Mikardis" mirayiridzo kushandiswa. Reviews, mushonga analogues inokurukurwa pazasi. Huru zvairatidza kuti yawapiwa vari zvemwoyo zvirwere mumuviri. Ndiye akanaka panguva kurapa tachycardia, bradycardia, BP, kureva, BP zvirwere, izvo zvinosanganisira anonyanya neBP. Excellent chokudzivirira nzira inoratidzwa kugamuchira vanhu vakura kupfuura makore 55, ndiye "Mikardis Plus". Analogues zvinodhaka anoshandiswawo kuderedza mukana wokuti hosha dzose kumwoyo, iyo anopindura nzvimbo vaitungamirira nemashoko hwenyama zvikuru ngozi.

The chipimo chemushonga zvinodhaka

The mushonga chinobviswa nomuromo. Mabiko hakutsamiri chimiro kudya. Kuderedza cheBP anofanira kutanga kutora rimwe piritsi (40 MG) kamwe pazuva. Kana akaratidza kukwana kuchirapa mugumisiro wacho dose vanofanira ngazviwedzerwe 80 MG pazuva. Vamwe varwere zvisipo MG 20 pazuva, asi muchiitiko chino zvinoda dzimwe nguva kuti bhuku BP kuyerwa, saizvozvo musingateereri kurasikirwa yakakwirira tsika. Usati watanga nokutora mushonga nechinangwa dzidzo kunokosha kutanga kuongorora mashoko azere pamusoro zvinodhaka "Mikardis". Mirayiridzo kushandiswa (zvakafanana mishonga inoshandiswa dzimwe nguva, kunodarowo) ichakubatsira kuona mufananidzo yose pakurapa chirwere.

Paavhareji chipimo chemushonga kuti kudzivirira zvirwere zvemwoyo 80 MG / zuva. Mune zvimwe zviitiko, mangwanani kurapwa zvinoda kubvuma zvimwe zvinodhaka kuti normalize BP. Chipimo chemushonga The chipimo chemushonga vagara vandifungira nevarapi pashure zvidzidzo mamiriro muviri zvidzidzo. Mumazuva okutanga pashure kugadzwa "Mikardisa" vanofanira kuyera kumanikidzwa mangwanani uye manheru. Izvi zvinoitwa kuona muviri achipindura mushonga wayo efficacy. Zvinofanira kucherechedzwa kuti kakawanda kuti dose kururamisa haina zvaida, asi varwere vane kuvhiringidzika kushanda chiropa, hazvibviri kurongera dose kupfuura 40 MG. Ya kurapwa pamwe zvinodhaka ichi akatsunga nomumwe. Chiremba Anoongorora kubudirira ushandiswe kurapwa uye yezvakaita pathological kwacho mumuviri murwere.

In okurapa, overdosing haina kuzivikanwa, asi hunonzi chiratidzwe kuti mune zvakadai muviri inoti sezvo tachycardia, pasi BP, bradycardia.

mushonga uyu haafaniri kushandiswa?

Nokungwarira uye kutevera zvose zvinodiwa vanachiremba vanofanira "Mikardis" (analogues, anoreva zvakafanana, generics), vanhu vane chiropa chirwere uye biliary turakiti. Muchikwata uko mushonga wacho contraindicated categorically kureva varwere nomumwe kusashivirirana kuti fructose (sezvo mushonga waro sezvamunoita ane yakawanda sorbitol), sucrose kushaikwa, metabolic kusagadzikana galactose uye shuga. Vana vari pasi pemakore 18 ari zvachose contraindicated kugamuchira "Mikardisa" uye nezvainoita raro muviri wemwana nhasi haina kuzivikanwa.

The mushonga zvinofanira kutorwa nokunyatsongwarira mu:

• nokupora itsvo nokuisazve;
• giiperkaliemii;
• mitral stenosis uye kutsemuka vharafu;
• chiropa zvirwere;
• pyelonephritis;
• hyponatremia;
• bilateral renal tsinga stenosis;
• chirwere chemwoyo.

Kushandisa zvinodhaka panguva yepamuviri uye lactation

The mushonga haabvumirwi kugamuchira vakadzi pamuviri uye panguva lactation (achiyamwa), sezvo izvi kunogona kukanganisa mukuru mamiriro ezvinhu mwana uye namai. Panguva pamuviri Kuronga zvakafanira kutsiva zvokurapa chivako "Mikardis" analogues ayo (asi kwete vose) achaita zvakawanda zvinobudirira utano amai vanepamuviri. Kana zvakadaro zvakaitika kuti panguva kutora mishonga akava nepamuviri pakarepo anofanira kupedzisa chionekeso kwayo uye kuudza chiremba wako pamusoro chero mishonga yauri kutora panguva yepamuviri. Izvi imhaka yokuti kana uchishandisa mushonga vangapikisa fetotoxicity kwayo (vasingadzoreki renal basa, anonoke Ossificação em mwana cranium, hypotension, hyperkalaemia).

In chii siyana anobudiswa "Mikardis"?

Izvi chigadzirwa somushonga chinopiwa pamahwandefa oblong chena, iyo chinobviswa nomuromo. Mahwendefa vanofanira rokuti "51H" chipimo chemushonga zviripo mhando mbiri - hwendefa 80 MG uye 40 MG. In kavha ipapo 2 - 4 Maronda akasiyana zvemahwendefa 7 (14 kana 28 zvidimbu).

Ndezvipi analogues zvinodhaka?

Kana uchifarira mushonga "Mikardis" dzomuzana, mutengo mishonga, tinoratidza kuti iwe uzive mashoko ari Pharmacies reguta renyu. Pashure PRICING ose chemishonga Network yakasiyana, saka mutengo zvinodhaka uye Sevamiririri ayo anogona siyana yekudyidzana. Anoreva zvakafanana zvinodhaka zviri "Praytor", "Mikardis Plus". Analogs ari wokupedzisira zvinodhaka - a yanyatsosimba zvinodhaka kuita kumwoyo. Izvi zvinosanganisira "Gizaar Forte", "Atacand Plus", "Valzap Plus", "Teveten Plus", "Co-Diovan," nevamwe. The rinoita chirungiso telmisartan ari kutsigira basa mwoyo, ndiko chikamu zvinodhaka "Mikardis Plus". Analogues, izvo mutengo akaderera zvishoma pane mari chinodhaka, vane yakasiyana sezvamunoita.

Mutengo zvinodhaka uye ayo analogues

The Pricing zvinodhaka zvingava zvakasiyana siyana dziri munyika. Izvi nokuda peculiarities ari delivery, iyo remoteness musha kubva fekitari, ari kudiwa zvinodhaka mune imwe munharaunda. Kazhinji, mushonga inogona semhosva iripo zvokurapa namano. mutengo wayo anoda kubva 800-900 p. The mushonga "Mikardis Plus" ndiyo zvishoma anodhura: kubva 900 kusvika 1100 rubles. Vanopupurirwa muRussia uye Ukraine zvinodhaka "Mikardis". analogues Russian vane avhareji kana zvakafanana mutengo sezvo kuti ari chigadzirwa kana pazasi.

Drug "Mikardis" (Mahwendefa) - wongororo, kurondedzerwa chiito nevarwere

Varwere vakawanda vanotaura kuti kubudirira "Mikardisa" kunobva murwere ezvinhu. Kana hosha mberi, zvakakodzera kushandisa mushonga uyu zvakare nevamwe, izvo zvichakubatsira kudzikamisa ezvinhu. Sezvo chinodhaka ichi chinobata kumwoyo, inofanira kugadza chiremba chete. Murwere arege vanokodzera kuongorora mamiriro ake uye vanonyorera yakakwana dose.

Sezvo zvimwe zvinodhaka izvi, mumwe mushonga "Mikardis" ine kushandiswa redunhu. Nokuti mumwe murwere hwapedyo ane zano nomumwe yokurapa maererano zvichemo nokuchinja utano.