"Kaptopres" i raro i tetahi pēhanga ki te tango? "Kaptopres": tohutohu mō te whakamahi, utu

Ko taea te maimoatanga o te takawhita me te ngakau kore mai i te kitea o inhibitors o angiotensin tahuri whākōkī. Ko tētahi o nga māngai o tenei rōpū ko te taonga Captopril. Teuteu i runga i tona pūtake kua whakamahia whānuitia ki raro te pēhanga toto tiketike, me te withdrawal o raruraru hypertensive.

Whakaahuatanga o te faaineineraa

Medicine "Kaptopres" e pā ana ki te tikanga matatini, i roto i nei te hanganga i reira e rua matū kaha: captopril - ACE inhibitor me hydrochlorothiazide diuretic. whakaaturia te tarukino he hypotensive tohua me ngā pānga diuretic. Kei te hanga te reira i roto i te puka o papa ingestible kamupene ho'oraa Ukrainian "Darnitsa".

E rua pota o te medicament, āhuatanga e te nui o te wāhanga diuretic. Papa i "Kaptopres" Pressure roto i 50 mg o hydrochlorothiazide, captopril me 12.5 mg ranei 25. wāhanga atu he povidone, reihuka, Aerosil, māngaro potato me stearate konupora.

utu o

Ko te tarukino "awhe utu Kaptopres 'i 180 moni ia mōkihi. Ko nui i raro i te tahi atu rongoa kē te utu, te whakaiti i te pēhanga e kore e whakaiti i tona whai huatanga. I roto i te whenua o te kaiwhakanao o ngā rongoā "Kaptopres" utu ko e pā ana ki 89 moni ia mōkihi ki 20 papa.

Ka rite ki mahi tarukino

meinga wāhanga Active te huarahi o te mahi tarukino "Kaptopres", i nei tei mo tona pānga haumanu i runga i te tinana tangata.

Na roto i te hëoi angiotensin tahuri inhibition whākōkī ki captopril puta ariā o te momo angiotensin 2. I raro i te mahi o tenei oligopeptide taiaki oko kuiti, whakaongaonga te hanga o aldosterone i te uho adrenal.

Whakaiti angiotensin momo tuarua whakaiti te pēhanga i roto i te pera ki te marae tika, oko toto whakatu te tohanga pūkahukahu, tāpeke tohu ātete iaia piringa, kawenga i runga i te uaua ngakau. E matau nga āhuatanga o te captopril taea e fakapapau'i mahi "Kaptopres" tarukino i aha pēhanga tango tarukino hohe.

Na roto i kawea he hydrochlorothiazide diuretic āhua pānga i runga i te pūnaha mimi tika ki te whakakorenga o ngā rāpoi ngota wai o pūhaumāota, pāhare pāporo me te konutai katote i te tinana. Ko te taonga ahei o te whakaiti i te taumata o te konutai i te taiepa o oko toto, hanga reira iti tairongo ki te mana vasoconstrictor me te whakarei ake i te pānga antihypertensive o captopril.

"Kaptopres" papa te āwhina i ai ratou?

faaore te tarukino ngā momo o takawhita, tae atu ātete ki ētahi atu raau taero o te takawhita.

E tenei tikanga whakamana i te āwhina tuatahi kei roto i te raruraru hypertensive.

pänuitanga matua

No te tauturu i rongoa, kia inu ai i muri anake pēhanga inenga.

He mea nui ki te mohio, no te ki te tango i te papa 'Kaptopres ". Tuhinga hoki te whakamahi o te raau taero ngā:

• takawhita faufaa, e whanake rite ki te hua o ngā āhuatanga, e kore e pā ana ki te mate;
• takawhita symptomatic, i te mea he tohumate o tini o nga mate;
• takawhita mārere ki angina kore ngakau ranei mahi;
• takawhita renovascular e pā ana ki ngā raruraru iaia tākihi;
• renoparenhimnuyu takawhita ngā ki glomerulonephritis ma'i whakapeka ranei, etiologies tuatahi me te tuarua;
• takawhita ki huangō;
• nephropathy mate huka;
• kore ngakau congestive, mahi painga glycosides ka cardiac;
• mate a Conn ki te ahua tuatahi o te hyperaldosteronism.

Kei te whakamahia te tarukino mo te whawhati tata āwhina tuatahi mō te raruraru hypertensive.

Me pēhea te ki te tango i

E koe ki te kia tino tupato ki te pire 'Kaptopres ". He aha te pēhanga ki te tango i rongoā, kia rite kore ki te kino hauora? ui ana tēnei pātai e maha tūroro ki takawhita tou tākuta.

Tikanga, Kei te whakaaro tohu pēhanga noa 120/80 mm HG. Art. I uara teitei hinaaro i te rave mehua e hāngai ana te whakaiti pēhanga toto. Ki te whakaritea tūroro medicament "Kaptopres" pēhanga, he mea e tika ana ki te inu hoki 60 meneti i mua i te kai, kia rite kore ki te whakakorikoria te absorbability o nga wae hohe.
whakaritea te inenga i runga i te āhua o te takawhita me te pakeke o ia manawanui takitahi rānei.

kia tīmata Maimoatanga ki te hawhe papa, i roto 25 mg o captopril me 12.5 mg o hydrochlorothiazide. 1 inu reira kotahi te ra. Hoki atu therapy tiaki tango i te ra mo te tau katoa o te papa captopril ki te 50 mg o hydrochlorothiazide me 25 mg. Te pānga haumanu mōrahi kitea i muri i 1.5-2 marama i whakamahi tuatahi. kawea Wkakariteritenga o te dosing i roto i te whakamahi i te wā 6-wiki i roto i te ngaro o te hiahia mo tona huringa tere.

whakaiti iti o te pēhanga toto pea he take mo whakauru i roto i te therapy o captopril me te nui atu o te hydrochlorothiazide, e tango i tetahi wahi i roto i te taka tetahi-wae. Ko te nui o te captopril horopeta rā e kore e nui ake 150 mg, me te ihirangi hydrochlorothiazide - e kore neke atu i te 50 mg.

Hoki te tauturu o te raruraru hypertensive te whakamahi i tetahi papa kokokiko, e te ka puritia i raro i te arero.

Abnormalities i roto i te pūnaha mimi

kawea excretion o captopril me hydrochlorothiazide i roto i te whakamahi i te whatukuhu. Malfunctions o tenei tinana (ki te whakawātea creatinine o 30-80 ml mō te 1 meneti) arata'i ki nui haere ngā taumata o kai kaha i roto i te papa serum.

Hei whakatika i te horopeta o nga kai kaha ki kuputohu haumanu tango he ra mo te poltabletki e hāngai ana ki te nui o te captopril 25 mg, me hydrochlorothiazide 12.5 mg. Ko te tikanga tango rongoā i roto i te ata 1 haora i mua i te parakuihi.

Ko te whai huatanga o te tarukino

Pire "Kaptopres" hamani takawhita me te ngakau kore, rite ratou wāhanga matua o te captopril i whakamahia tuatahi i roto i nga 70 o te rau tau whakamutunga. He maha tūroro mea e pā ana ki te painga o te tarukino, i ki reira tere heke te pēhanga toto i roto i te raruraru hypertensive. He mea nui ki te tango auau pire ki te tiki hua whai hua.

I roto i te maha tamataraa haumanu o raau taero i runga i te pūtake o te captopril i whakamatauria ai e hifo ratou pēhanga toto, me te whakaiti i te maha o ngā matenga i mate o te pūnaha Cardiovascular.

contraindicated tēnei maimoatanga te

I medicament "Kaptopres" ā-ako ngā he maha o contraindications, e ngā he nui haere te tūtohutanga ki te takitahi matū kaha o papa, angiotensin tahuri inhibitors paru me pärönaki sulfa.

e kore e taea te tango i tetahi o nga pera tarukino stenosis whakawhānui ki te tākihi kotahi whatukuhu e rua ranei, i muri i transplantation o te okana, i roto i disorders nui i roto i te mahi, ka ko te auau o te toto whakawātea o creatinine 30 ml ia 1 meneti, me tona kukū wē he iti iho i te 1, 8 mg ia 100 ml.

E kore te te tarukino whakamahia, tūroro e whai tohu o hyperaldosteronism tuatahi, taumata iti o te pāhare pāporo me te konutai katote i roto i te toto, hypovolemia, me hypercalcemia kauti, ki huringa taunutia wahapū me stenosis te pūtahi o ki matamua waimaero o te toto kei roto i te ana roro maui.
Whakaaetia te tarukino i roto i te mate ate kino, hapu me te wahine lactating. Kei te contraindicated mō ngā tamariki i raro i te tau o 18 tau.

mutu Diuretics tango 3 ra i mua i te tono tuatahi o te medicament i runga i te pūtake o te captopril me diuretic.

Hiahia tūpato ngā kaumātua, taraiwa o waka immunocompromised tūroro e whai i te whakawātea creatinine o 30-60 ml mo te 1 meneti, nui haere ihirangi pūmua mimi, me te nui ona tohu 1000 mg ia ra.

He mea tika ki kia tino tupato i te fariiraa i procainamide, iti hoki cardiac, disorders tākihi, mate huka, te pēhanga toto tiketike i roto i te pera tākihi. Ki te aroturuki i te mana o te manawanui kei te nuinga o whakaritea inenga wā o te pēhanga i te tākihi me te toto te taumata o ngā katote -hiko.

sequela hiahiatia

I tango te raau taero, whakaahua ana "Kaptopres" ā-ringa te tupu i roto i te tahi mau tūroro o ngā ngā kino e pā nga ngā pūnaha rerekē o te tinana.

A, no te heke pānga kino i runga i te wahi kūnatu me te ate hiahia, riro maroke mucosa-waha, e taea te kite whakapairuaki, ruaki, te mamae puku, kumete kōhikohiko, te whanaketanga stomatitis o keha keté, te mana o te jaundice, kakā, nui haere bilirubin i te toto.

Tākiekina i runga i te ngakau, oko toto me whēkau o te hematopoiesis taea puta tachycardia, angina, pēhanga whakaiti, syndrome o Raynaud, whero ranei ataahua kiri, ru cardiogenic, neutropenia, agranulocytosis, thrombocytopenia, pancytopenia, anemia aplastic ranei puka hemolytic.

pānga CNS tarukino ofati moe, titiro me te reka, rere toto kaka, meinga pāhoahoa, āmai, lability aronganui, whakama, te kōpā o pito.

Kei te kitea te maremare i te mana pūnaha romahā, mahi waimaero o te pūnaha romahā, bronchospasm, Rhinitis pāwera.

pānga te taha i runga i te pūnaha mimi e whakahuatia i roto i te mate täkihi, polyuria, oliguria, syndrome nephrotic.

Kia whakawhanake mate pāwera pērā i ponana kiri, pruritus, urticaria, angioedema, Stevens-Johnson syndrome, photosensitivity, erythema.

Āhuatanga o te maimoatanga

No te tūroro tokomaha, he mea nui ki te mohio me pehea ki te tarukino "Kaptopres" i aha pēhanga manako reira. Ko te tikanga he haurangi rite pēhanga toto nui haere, e kore te mea e tika te rongoā. Me hoki whakahaere pūnahanaha o te rongoā rite ki tūtohutanga o te tākuta.

I roto i te maimoatanga he mea e tika ana ki te tirohia i te nohanga kawehiko, ngā katote pāhare pāporo, te nui o te creatinine me te tiomimi, ka aroturuki i te mahi o te toto piringa o tari.

I roto i te maimoatanga Me ki te karo i ngā kai ki te konutai iti, contraindicated waipiro te.

Ki te mahi diuretic, kia exacerbate te tarukino te huru o te wai ohorere me te toenga kawehiko e pā ana ki therapy diuretic, korere, ruaki, he kai ki te nui iti o te konutai, tātari toto, ai te whakawhanake hypotension. I mua i therapy antihypertensive kia whakarite i te taumata o electrolytes i te tinana.

Tūroro ki disorders cardiac me te iwi kaumātua ki te tiaki whakahau pire "Kaptopres". He aha te pēhanga ki te tango i te tarukino ki tona mahi e kore e riro iti rawa? I mua i te tango i tēnei rongoā, tirohia te pēhanga toto, Me hoki koe ki te aroturuki mahi tākihi, tiaki o katote faufaa.

Negroid whakaaro ātete ki te mahi o te raau taero e tautāwhi i whākōkī angiotensin-tahuri, i te mea he aha captopril kua iti iho pānga i runga i taua tūroro.

Hua "Kaptopres" papa

• Teuteu i runga i te pūtake o te captopril whakaiti reiti tahuti mo mate o te pūnaha Cardiovascular.
• Papa "Kaptopres" taea patoto pēhanga toto tiketike. Ka taea te whakamahi ratou i roto i tau waenganui, me te koroheke.
• I roto i te maimoatanga o te medicament heke whara tākihi, tae atu nephropathy huka me te mate pukupuku.
• e kore e whakaiti libido i roto i tane, e taea te whakaatu mahi antioxidant.
• pire maimoatanga "Kaptopres" Ko iti te akoranga he mea whakarite ki te whakamahi o ētahi atu rongoa hou e raro pēhanga toto.