Ke huahana Telzap 40: nā ʻōkuhi no ka hoʻohana pono ʻana

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ʻO ke Telzap kahi lāʻau lapaʻau e hōʻemi i ka hopena o ka hoʻomohalaʻana i ka maʻi cardiovascular. Ua hōʻike ʻia ka holomua i nā hoʻokolohua lapaʻau a me ka hoʻomaʻamaʻa lāʻau lapaʻau.

Inoa Kūʻai ʻole honua

Hoʻohana ka inoa ʻo Telmisartan ma ke ʻano he hoʻoili waiwai ʻole ka honua.

ʻO ke Telzap kahi lāʻau lapaʻau e hōʻemi i ka hopena o ka hoʻomohalaʻana i ka maʻi cardiovascular.

ATX

ATX code C09CA07.

E hoʻokuʻu i nā palapala a me ka ʻano

Loaʻa ka Telzap 40 mg i ke ʻano o nā papa, ʻo kēlā me kēia he me ke ʻano he oblong biconvex. ʻO ke keʻokeʻo paha a he melemele paha ke kala o nā papa. Ua pōpilikia nā ʻaoʻao ʻelua.

ʻO ke kumu hana nui o ka telmisartan. ʻO kona kinona i loko o kēlā me kēia papa pālaha a hiki i ka 40 mg.

Hoʻopili pū ʻia nā mea hoʻohui i nā ʻano mea:

  • sorbitol;
  • meglumine;
  • magnesium stearate;
  • sodium hydroxide;
  • povidone.

Ka hana lāʻau lapaʻau

ʻO ka telmisartan hāmeʻa ikaika ka waiwai o nā antagonist reseptor angiotensin II. Ke nānā ʻia, hiki i ka lāʻau lapaʻau ke hōʻole i ka angiotensin II mai kāna pilina me ka mea nāna i hopu. Eia kekahi, e pili ana i kēia mea i kēia mea manaʻo, ʻaʻole ia he agonist. Hoʻopili wale ʻia ʻo Telmisartan me nā ʻoniʻoni me ka angiotensin II ATl. ʻAʻole ia e hōʻike i ka waiwai i nā mea like me ko ka ʻĀpana AT2 a me kekahi.

ʻO ka telmisartan hāmeʻa ikaika ka waiwai o nā antagonist reseptor angiotensin II.
Hoʻopili wale ʻia ʻo Telmisartan me nā ʻoniʻoni me ka angiotensin II ATl.
Ke hoʻohana nei i kahi maʻa o 80 mg i nā maʻi, ua pāka ʻia ka hopena hypertensive o ka angiotensin II.

Ma lalo o ka hopena o ka lāʻau i ka plasma koko, e emi ana ke ʻano o ka ald testosterone. I ka manawa like, noho ka hana renin i ka pae like a ʻaʻole i ʻae ʻia nā neʻe ion.

ʻO Angiotensin-hoʻohuli i ka enzyme e hoʻopili ai i ka luku ʻana i ka bradykinin ʻaʻole i kālai ʻia. Hāʻawi kēia hiʻohiʻona iā ʻoe e kāpae i ka paʻakikī o nā hopena maikaʻi e like me ka pau ʻana.

Ke hoʻohana nei i kahi maʻa o 80 mg i nā maʻi, ua pāka ʻia ka hopena hypertensive o ka angiotensin II. Loaʻa ka hopena i nā hola 3 ma hope o ka hopena mua. Hana ka hana i 24 mau hola. Hoʻāʻo ʻia ia e paʻa pono ma nā hola 48. ʻO ka hoʻohana pinepine ʻana i nā papa no 4-8 mau wiki e alakaʻi i ka hopena antihypertensive.

ʻO ka hoʻohanaʻana o Telzap i nā maʻi me ka hypertension arterial hiki ke hoʻemi i ka hoʻokahe koko diastolic a me ka systolic. I kēia manawa, ʻaʻole e loli ka puʻuwai puʻuwai.

Hoʻohana ʻia ka lāʻau lapaʻau e mālama i nā maʻi cardiovascular. I nā poʻe maʻi maʻi me nā pathologies o ka ʻōnaehana cardiovascular, ua loaʻa i nā papa nā hopena o ka hōʻemi ʻana i ka pinepine:

  • myocardial infarction;
  • nā ʻoka;
  • make kino ma muli o ka maʻi cardiovascular.
Hiki i ka hoʻohana ʻana o Telzap ke hōʻemi i ka pehu koko diastolic a me ka systolic.
Hoʻohana ʻia ka lāʻau lapaʻau e mālama i nā maʻi cardiovascular.
ʻO ka peni ka hopena o ka hōʻemi ʻana i nā miki o nā hakakā.
He hopena ka papa ma ka hōʻemi ʻana i ka pinepine o ka infarction myocardial.

Lapaʻau lāʻau

Ma hope o ka lawelawe waha, ua paʻa koke ka lāʻau. Ka awelika, hōʻea kona bioavailability 50%. Hiki i ka ʻai ke hoʻolōʻihi i ka inu o ka lāʻau lapaʻau.

Hoʻopili ka Telmisartan i nā glycoprotein acid alpha-1, ka albumin, a me nā ʻōmole plasma.

Lā ka Metabolism i ka wā o ka conjugation me glucose aciduronic. ʻAʻole kēia ʻano lāʻau lapaʻau e lawelawe ai. ʻO ka huki ʻana o nā mea i ulu ʻia ma o nā ʻōpū. I kēia hihia, ʻaʻole loli ka hapanui o ke kino. Hoʻokahi wale nō 1% o ka waiwai i hoʻopā ma o nā keiki.

Nā hōʻailona no ka hoʻohana ʻana

Hoʻolālā ʻia ʻo Telzap i nā maʻi me nā maʻi ma lalo nei:

  • pono hypertension;
  • type 2 diabetes mellitus (ma mua o nā leona o nā ʻenemi kūpono);
  • maʻi maʻi cardiovascular o ka atherothrombotic kumu (i ka papa inoa o ia mau maʻi, ka hōʻeha, ka maʻi naʻau coronary, hoʻopōʻino i nā māla peripheral).

Noi pū ʻia kekahi mau papa e like me ke prophylactic o nā maʻi cardiovascular no nā mea maʻi i pilikia.

Hāʻawi ʻia ʻo Telzap no nā maʻi maʻi e like me ka hypertension koʻikoʻi.
Ua kuhikuhi ʻia ʻo Telzap no kēlā mau maʻi like me ka maʻi diabetes mellitus type type 2 (i ka laʻe o nā leʻaleʻa o nā hui kūpono).
Ua kuhikuhi ʻia ʻo Telzap no kēlā mau maʻi like me nā maʻi cardiovascular o ka hopena atherothrombotic.
Noi pū ʻia kekahi papa pākaukau ma ke ʻano he prophylactic no nā maʻi cardiovascular.
I ka hihia o nā maʻi e pau i pili i ka ʻili biliary, ua paʻa ka maʻi o Telzap.
Telzap piha loa i ka hihia o ka intolerance fructose pilikino.
ʻO ke telzap a piha hoʻi i ka wā o ka ʻōpū.

Nā Hoʻohui

Hoʻopiʻi nui ka lāʻau.

  • me ka hoʻonui nui ʻana i ka hana ikaika a i ʻole ka mea hana hui;
  • ma ka hihia o ka maʻi e pili ana i ka maʻi biliary;
  • i ka wā hāpai a me ka hoʻoulu;
  • me ka hoʻolauleʻa ʻana o kekahi i kahi fructose;
  • keiki malalo o 18 makahiki.

Me ka mālama pono

I nā ʻōlelo haʻawina no ka hoʻohana ʻana, ua kapa ʻia kekahi mau ʻōkuhi hana, ma Telzap i kuhikuhi pono ʻia ma lalo o ka mākaʻi loea olakino.

  • hana ʻole;
  • stenosis hāmeʻa;
  • hyperkalemia
  • hyponatremia;
  • stenosis mitral aorta paha aortic;
  • hoʻemi i ka nui o ke koko e ulu ana ma hope o ka lawe ʻana i ka diuretics, holo a me ka hoʻomehana, ke kuʻuna, a i ʻole hema ʻole i ka paʻakai i ka meaʻai;
  • hyperaldosteronism kumu mua;
  • hoʻōla ʻia ma hope o ka hoʻololi ʻana i ka keiki;
  • ka hana hewaʻana o ka ate (maʻalahi i ka maʻalahi);
  • nāʻeha kaumaha o ka naʻau;
  • obrainive hypertrophic cardiomyopathy.
Me ka mālama aka, ua kuhikuhi ʻia ʻo Telzap i nā poʻe maʻi me ka hōʻeha ʻole o ka naʻau.
Me ka makaʻala, kuhikuhi ʻia ʻo Telzap i nā maʻi i nā hana ʻoi ʻole kīnā ʻole.
Me ka mālama aka, ua kuhikuhi ʻia ʻo Telzap i nā poʻe maʻi me ka stenosis arela renal.
Me ka makaʻala, kuhikuhi ʻia ʻo Telzap i nā maʻi i nā hana maʻi lēwa ʻole (e hōʻoluʻolu i ke ʻano).
ʻO kahi maʻi hypertrophic cardiomyopathy kahi ala a ka Telzap i kuhikuhi ʻia me ka akahele nui.
ʻO ka maʻa Mitral a iortic stenosis paha kahi ala i kuhikuhi ʻia ai ʻo Telzap me ka akahele nui.
Pono ʻia ka mālama ʻana inā hoʻohana ʻia kēia mau peni i ka mālama ʻia ʻana o nā mea maʻi o ka lāhui Negroid.

Pono ʻia ka mālama ʻana inā hoʻohana ʻia kēia mau peni i ka mālama ʻia ʻana o nā mea maʻi o ka lāhui Negroid.

Pehea e lawe ai i ka telzap 40 mg

Kuhi ʻia nā papa no ka hoʻokele waha. Puke ʻia lākou me ka ʻaʻa ʻole a holoi ʻia me ka ipu wai. Ma ke ʻano he hoʻoponopono lāʻau maʻamau, e hoʻolako ʻia e lawe i ka papaʻaina o Telzap i kēlā me kēia lā me ka ʻole o ka hoʻolaha ʻana i ka meaʻai. Hoʻokomo ka dosis i nā hiʻohiʻona o ka hopena maʻi.

No ka hypertension arterial, ʻo ka ʻōlelo mua aʻoi aku ka 1 papa 40 mg. I ka loaʻa ʻole o ka hopena e pono ai, hiki ke hoʻonui ʻia ka nui i ka 80 mg.

ʻO ka hoʻohana ʻana ma ke ʻano he prophylactic no nā maʻi cardiovascular e loaʻa i kahi regimen dosis ʻē aʻe. I kēia hihia, ʻo ka hopena maikaʻi loa he 80 mg i kēlā me kēia lā.

Hoʻohana ʻia i ka maʻi maʻi

Ua hōʻoia ʻia nā papa Telzap i hoʻohui pono i ka hōʻulapule i ka maʻi paʻakikī i nā maʻi me nā maʻi diabetes mellitus type 2. ʻO ka poʻe e loaʻa ana i nā lāʻau hypoglycemic pono e kiaʻi pinepine i kā lākou glycemia level. I kekahi mau hihia, pono ke hoʻoponopono ʻia i nā ʻoihana hypoglycemic a i ʻole insulin.

Ua hōʻoia ʻia nā papa Telzap i hoʻohui pono i ka hōʻulapule i ka maʻi paʻakikī i nā maʻi me nā maʻi diabetes mellitus type 2.

Nā hopena hopena

I kekahi mau mea maʻi, lawe i Telzap hiki ke hoʻonāukiuki i ka ʻano o nā hopena o nā ʻaoʻao.

ʻŌpala Gastrointestinal

Mai ka pūnaʻi ʻana o ka ʻōpū, ka ʻeha, ka ʻeha o ka ʻōpū, ka luaʻi ʻana, ka lemulewa a me ka dyspepsia e hele pinepine ʻia ma mua o nā mea'ē aʻe. ʻO ka maʻi ʻeha, hoʻonāukiuki i ka wahi o ka epigastric, ka mucosa maloʻo i ka waha waha i ʻike pinepine ʻia.

Hematopoietic mau hui

Aia kahi hōʻike o ka hoʻolālāʻana o ka thrombocytopenia, eosinophilia a me ka hemoglobin haʻahaʻa.

Pūnaehana pīhoihoi waena

Hoʻopiʻi kekahi poʻe maʻi i ka insomnia, ke kaumaha, hoʻonui nui i ka hopohopo. I nā hihia pinepine ʻole nā ​​luhi.

Mai ka pūnaehana urinary

I waena o nā hopena hopena i kapa ʻia ʻo ka fāaline renal function. I waena o kēia mau papa ʻaia he hāʻule ʻole.

Mai ka papa huhū

Hoʻopele pinepine ʻia ka dyspnea a me ka ʻopa. Inā loaʻa pinepine ʻia ka maʻi maʻi interstitial.

Ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau, pilikia ka dyspnea a me ka ʻōpala.
Hoʻokahi hopena o ka hoʻohana ʻana i ka lāʻau lapaʻau, mai ka papa hana ʻana, ʻoi aku ka nui o ka ʻeha, ʻaʻohe ʻeha o ka ʻōpū.
ʻO ka hopena hopena o ka hoʻohana ʻana i ka lāʻau lapaʻau, mai ke kaomi o ka digestive, maʻi pinepine ka maʻi maʻamau ma mua o nā mea ʻē aʻe.
Ma hope o ka hoʻohana ʻana i ka lāʻau, hoʻopiʻi kekahi poʻe maʻi i ke kaumaha.
Ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau, hoʻopiʻi kekahi mau mea maʻi i ka insomnia.
I waena o nā hopena hopena i kapa ʻia ʻo ka fāaline renal function.
Hiki i Telzapa ke hōʻeha i nā hopena ʻaoʻao, e like me ka hoʻomohala ʻana o ka thrombocytopenia.

Ma ka ʻāpana o ka ʻili

I ka papa inoa o nā hopena like ʻole e kapa ʻia ʻo hyperhidrosis, ʻehaʻeha, ʻeha. ʻO ka eczema, angioedema, erythema, toxic a me nā lāʻau lapaʻau ʻokoʻa ke nānā pinepine ʻia.

Mai ka pūnaehana genitourinary

I nā wahine, hiki ke hōʻeha nā maʻi maʻi o ka ʻōnaehana helu, ma nā hihia liʻiliʻi, ʻike ʻia kahi maʻi hānai kāne. I nā kāne, hiki i kahi neʻe erectile.

Mai ka pūnaehana cardiovascular

Kuhi pinepine ka ʻōnaehana cardiovascular i nā hanana pōʻino me ka ʻoihana Telzap. I ka manawa, hiki i nā mea maʻi:

  • nāwaliwali i hele ʻia e ka hypotension;
  • hōʻemi a hoʻonui paha i ka piʻi o ka naʻau;
  • hoʻohaʻahaʻa i ke koko i ka hoʻololi ʻana i ke kūlana o ke kino.

ʻŌnaehana Endocrine

Hiki i ka lāʻau lapaʻau ke kumu i ka emi ʻana o ke kō koko a me ka hoʻoneʻe metabolic.

Hiki i ka lāʻau lapaʻau ke kumu i ka emi ʻana o ke kō koko a me ka hoʻoneʻe metabolic.
I ka papa inoa o nā hopena like ʻole o ka Telzap, ʻoi ʻia ka hyperhidrosis.
I nā wahine, ma hope o ka lawe ʻana i ka lāʻau, hiki mai nā maʻi maʻi o ka ʻōpiopio.
Kuhi pinepine ka ʻōnaehana cardiovascular i nā hanana pōʻino me ka ʻoihana Telzap.
Ma hope o ka lawe ʻana i Telzap, gallbladder a me nā maʻi ʻehaʻā he ʻilihune loa.
Ma hope o ka lawe ʻana i ka ʻaoʻao Telzap ma ke ʻano mai nā hopena kūloko, hiki i ka edema o Quincke.

Ma ka ʻāpana o ka ate a me ka pāpaʻi biliary

ʻO nā maʻi āpau o ka puʻuwai a me nā puʻuwai ke loaʻa pinepine loa.

Allergies

No nā hopena kūloko, hiki i nā mea penei:

  • rhinitis;
  • ʻili kino ʻili;
  • laryngeal edema;
  • ʻO ka edema ʻo Quincke.

Nā ʻōlelo kikoʻī

No kēlā me kēia hopena, kāpae i ka lawe ʻana i ka lāʻau lapaʻau a ʻimi i ke kōkua olakino. ʻO ka hoʻoluhi haʻahaʻa o ke kahe koko ke kumu i kahi hōʻeha, kahi puʻuwai pu me ka hopena hōʻeha.

Hoʻolaha ka waipuna

ʻO ka inu ʻawaʻawa e pāpā ʻia i ka wā o ka mālama ʻana me Telzap. ʻO ka pilina o ka lāʻau lapaʻau me ka ethanol e hōʻemi ai i ka hoʻemi ʻana i ke koko, e hiki ai i ka coma.

ʻO ka inu ʻawaʻawa e pāpā ʻia i ka wā o ka mālama ʻana me Telzap.

Hoʻopilikia i ka hiki ke mālama i nā mīkini

ʻAʻohe mea aʻo i ke ʻano o kēia mea, eia naʻe, ʻo ka hoʻohana ʻana i ka lāʻau lapaʻau ke hiki i nā hopena ʻaoʻao (palupalu, kūlohelohe, ʻelemela). Me kēia mau hiʻohiʻona i ka noʻonoʻo, ke kaʻa me ka akahele.

Hoʻohana i ka wā hāpai a me ka lactation

I ka lāʻau lapaʻau, ʻaʻohe data e pili ana i ka hopena o ka lāʻau lapaʻau i ka pēpē. Ua hōʻike ʻia nā haʻawina Clinical i nā holoholona i loaʻa ka hopena o ka make i ka pēpē. No kēia kumu, ua kauoha ʻia nā lāʻau lapaʻau e mālama i nā wahine hāpai.

I ka wā 2 a me 3 trimester, ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau mai ka pūʻulu o nā antagonist angiotensin e hiki ai i ka pūpū o ka maʻi fetal, kidney, a pēpē i ka ossification o ka ʻōpala, oligohydramnios.

I ka wā lactation, ʻaʻole pāpā loa ke koho ʻana iā Telzap. A i ʻole, pono e laʻa ke pale umauma.

Kuhi ʻana ma Telzap 40 mg i nā keiki

Ke pāpā ʻia ʻole ʻia nā keiki ma lalo o ka 18 makahiki o ka tango ʻana i nā lāʻau ʻai e pili ana me ka telmisartan.

Hoʻohana i ka wā kahiko

ʻO nā maʻi i ʻoi aku ma mua o 70 mau makahiki, ʻaʻohe pono e hoʻoponopono ʻia. ʻO nā mea kū'ē loa he mau hihia me nā ala o nā keiki a me nā pēpē paha.

ʻO nā maʻi i ʻoi aku ma mua o 70 mau makahiki, ʻaʻohe pono e hoʻoponopono ʻia.

Ke noi no ka hana renal haukapole

Ma kahi o ka hoʻonā kino ʻana, pono e hoʻohana ʻia kahi nui o ka 20 aku o ka lāʻau lapaʻau i kēlā me kēia lā.

Hoʻohana no ka hana lawelawe lēwa

I nā maʻi hōʻeha o ka puʻu, ʻaʻole i hoʻohana ʻia ʻo Telzap.

Ke keu

Inā loaʻa ke ʻano, ʻoi aku ka hopena o kēia mau maʻi:

  • ua emi ka nui o ka naʻau;
  • ʻʻAla
  • kahi emi o ke kahe koko;
  • nā hōʻailona o ka maikaʻiʻole o ka pūpū.

Hoʻopili pū me nā lāʻau ʻē aʻe

Hoʻohana pinepine ʻia ʻo Telzap ma ke ʻano o ka hoʻomaʻamaʻa paʻakikī, no laila pono ʻoe e noʻonoʻo e pili ana i ka like ʻana o nā papa me nā lāʻau ʻē aʻe.

Hoʻohui hui like ʻole

ʻAʻole ʻae ʻia nā mea maʻi me ka maʻi type type 2 e lawe telmisartan me nā mea ʻē aʻe ACE kekahi i ka manawa like. I ka nui o nā hihia, hoʻonā kēia i ka hypoglycemia.

Hiki ke koi ʻia ka mālama olakino maʻamau a me ka hoʻoponopono ʻana o ka dosage me ka hoʻohana pū ʻana o telmisartan a me asperin.
ʻAʻole ʻae ʻia nā mea maʻi me ka maʻi type type 2 e lawe telmisartan me nā mea ʻē aʻe ACE kekahi i ka manawa like.
ʻAʻole ʻōlelo ʻia ke Telzap e lawe pū ʻia me ka heparin.

ʻAʻole i hāʻawi ʻia

ʻAʻohe nā lāʻau lapaʻau i hoʻohana ʻia no ka hoʻohana ʻana:

  • heparin;
  • immunosuppressants;
  • nā huahana-anti-inflammatory stidal;
  • Pākuʻi meaʻai me ka pā paʻakai;
  • diuretics pākoleka-paʻakai;
  • ʻo ia ka mea i loaʻa ai ka hydrochlorothiazide.

ʻO nā hui e koi ana i ka mālama

Hiki ke koi ʻia ka mālama ʻana i nā lāʻau lapaʻau pinepine a me ka hoʻoponopono ʻia o ka dosage me ka hoʻohana pū ʻana o ka telmisartan a me nā lāʻau lapaʻau e hiki mai ana:

  • aspirin;
  • digoxin;
  • huluhulu;
  • ka lāʻau-lithium e loaʻa ana;
  • pāpale;
  • corticosteroids.

Nā kuʻina

Hoʻohili iā Telzap me nā lāʻau lapaʻau e like me ka hoʻoili ʻana a me nā hopena:

  • Telpres
  • Mikardis;
  • Telsartan;
  • Lozap.
Nā hiʻohiʻona o ka mālamaʻana i ka maʻi hypertension me ka lāʻau lapaʻau Lozap

ʻO nā kūlana hoʻomaha ʻo Telzap 40 mg mai nā lāʻau lapaʻau

Hiki ke kūʻai aku i Telzap ma kahi lāʻau lapaʻau ma ka lāʻau lapaʻau.

Hiki iaʻu ke kūʻai me ke kī ʻole

Ke papa ʻia nei nā lāʻau lapaʻau ma kēia pūʻulu mai ke kūʻai aku ʻole a ʻaʻohe kumukūʻai.

Kūʻai

ʻO ke kumu kūʻai o nā papa he 450-500 rubles.

Ke waiho nei i nā kūlana no ka lāʻau lapaʻau

E mālama i ka lāʻau lapaʻau i kahi mahana ʻaʻole iʻoi loa + 25 ° C.

ʻO ka lā kau

Kuhi i nā kūlana o ke waiho ʻana, he ola papa no nā papa he 2 mau makahiki.

Mea Hana Telzap 40 mg

ʻO ka lāʻau lapaʻau i hana ʻia ma Turkey e ka hui lāʻau lapaʻau ʻo "Zentiva Saglik Urunlegi Sanai ve Tijaret".

ʻO ka analogue o Telzap ʻo Telsartan.
Nā kikowaena o Telzap - Lozap.
ʻO ke kūlike o Telzap ʻo Mikardis.
ʻO ka hoʻohālikelike o Telzap ʻo Telpres.

ʻO nā hōʻike e pili ana iā Telzap 40 mg

Kauka

Ekaterina, cardiologist, ka ʻike ma ke ʻano lapaʻau - 11 mau makahiki

Ua hoʻokumu ʻo Telzap iā ia iho he lāʻau kūpono a maikaʻi hoʻi i ka hoʻohana ʻana. He hana lōʻihi, he liʻiliʻi nā hopena a hiki ke kūpono.

ʻO Vladislav, cardiologist, he ʻike maʻamau i ka hana lapaʻau - 16 mau makahiki

Kōkua kēia mau paila i ka hoʻopau ʻana i nā hōʻailona o ka maʻi cardiovascular a hōʻemi i ka hopena o nā hōʻeha a me nā puʻuwai puʻuwai. ʻO kahi mea nui o nā papa he helu liʻiliʻi o nā contraindications. Hoʻomaʻamaʻa maikaʻi ka lāʻau lapaʻau e nā poʻe maʻi me nā poʻe me ka maʻi diabetes type 2.

ʻO nā maʻi maʻi

Polina, 52 makahiki, Ufa

Hoʻopilikia wau iā ʻoe i ka maʻi ʻeha coronary. I mea e pale ai i nā hoʻopiʻi, ʻōlelo ke kauka iā Telzap. Hoʻopili pololei wau i nā loiloi a kahi kaila maʻi. Maikaʻi wau, ʻaʻohe hopena hopena.

Valery, 44 makahiki, Asbest

ʻO wau kekahi maʻi maʻi (type diabetes type 2). I waena o nā papa i kuhikuhi ʻia, aia ʻo Telzap. Ua hōʻike aku ke kauka e pono e mālama pono ʻia ka lāʻau. Eia kekahi, nānā pinepine wau i ka pae o ka glycemia. Ua hauʻoli wau i ka hopena a hiki i kēia wā.

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