ʻO Ibertan ka hui o ka lāʻau antihypertensive. He nui nā contraindications i ka lāʻau, e hoʻonui ana i ke ʻano o kāna palapala noi. ʻO ka haʻahaʻa o nā hopena ʻaoʻao i ka wā o ka mālamaʻana he haʻahaʻa. ʻO ka maikaʻi o ka lāʻau lapaʻau ka hiki ke mālama i ka hopena i loaʻa i ka wā lapaʻau no 1 lā ma hope o ka lawe ʻana i ka paila.
Inoa Kūʻai ʻole honua
Irbesartan
ʻO ka inoa makemake ʻole honua ʻo Ibertan ʻo Irbesartan.
ATX
C09CA04
E hoʻokuʻu i nā palapala a me ka ʻano
Hiki iā ʻoe ke kūʻai i kahi mea antihypertensive i loko o nā papa līlū ʻia. ʻO ka hana o ka hana ikaika he irbesartan. ʻO ka mea hana hoʻokahi-pū me ia mea, ʻo ia hoʻi o nā koena o ke koena i ka pūpū, ʻaʻole ia e hōʻike i ka hana antihypertensive. ʻO ka paʻa ʻana o irbesartan i 1 papa: 75, 150 a 300 mg. Hiki iā ʻoe ke kūʻai i ka huahana i nā palaka (14 pcs.). ʻO ka pahu pepa kahi 2 mau puʻupuʻu cell.
Ka hana lāʻau lapaʻau
Hāʻawi ka lāʻau lapaʻau i ka hopena hypotensive. ʻO ka mea nui i ka hoʻopili ʻana e hana ai he ʻano antagonist receptor. Hoʻolilo kēia me irbesartan i ka hana o nā ʻenemi neʻe o ka angiotensin II, e kōkua ana i ka mālama ʻana i nā paia vascular i loko o ke kani (hoʻemi i ka lumen o nā veins, nā kīlaha). ʻO ka hopena, hoʻemi iki ka nui o ka kahe koko.
ʻO ka hana o ka angiotensin type 2 ʻaʻole wale ʻo ka ʻāʻili ʻana o nā kīʻaha koko me ka hoʻonui aʻe o ka neʻe ʻana ma ke ʻano, akā ke hoʻololi ʻana i ka platelet agregation a me kā lākou adhesion. ʻO ka hui pū aku o nā mea receptors a me kēia hakahaka e pale i ka hana o ka nitric oxide, he mea vasorelaxating. Ma lalo o ka hopena o Ibertan, ua lohi ana nā kaʻina i wehewehe ʻia.
Eia kekahi, aia ka emi o ka neʻe o ka ald testosterone. ʻO kēia kahi hiʻohiʻona o ka hui mineralocorticoid. Kuhi ʻia e ka adrenal cortex. ʻO kāna hana nui, ʻo ia ka hoʻoponopono ʻana i ka lawe ʻana i nā sodium a me nā cation potassium a me nā anion chlorine. Kākoʻo kēia hormon i kekahi waiwai o nā ʻili e like me ka hydrophilicity. Ua hana ʻia ʻo Aldosterone me ke komo ʻana o ka angiotensin type 2. No laila, me ka hoʻohaʻahaʻa i ka hana o nā hana hope, i keʻae ʻia ka hana o ka ʻā o ka mua o nā hormones.
Hāʻawi ka lāʻau lapaʻau i ka hopena hypotensive.
Eia naʻe, ʻaʻohe hopena maikaʻi i ka kinase II, ka mea i pili i ka luku ʻia ʻana o ka bradykinin a kōkua i ka hoʻokumu ʻana o ka angiotensin type 2. ʻAʻole kahi hopena koʻikoʻi ʻo Irbesartan ma ka puʻuwai naʻau. ʻO ka hopena, ʻaʻole i hoʻonui ʻia ka hopena o nā hoʻopiʻi mai ka ʻōnaehana cardiovascular. Hoʻomaopopo ia ʻaʻole pono ka lāʻau i ka nīnau i ka hana o nā triglycerides, kolamu.
Lapaʻau lāʻau
ʻAʻole hoʻomaka ka lāʻau lapaʻau e hana koke. Hiki ke ʻike ʻia nā loli maikaʻi i nā hola 3-6 ma hope o ka lawe ʻana i ka lāʻau lapaʻau. Ma muli o kēia, ʻaʻole nā koi ikaika o ka maʻi. ʻO ka hoʻohaʻahaʻa ʻana i ke koko ke hele pono loa. ʻAʻole i hoʻokō ʻia ka hopena paʻa i ka manawa koke, akā ma hope o ka 2 mau pule mua o ka hoʻomaka ʻana o ka mālama ʻana. Pale ka hoʻomaikaʻi ʻia ʻana o ka piʻi ʻana o kekahi wā lōʻihi. Loaʻa nā hopena maikaʻi loa me ka lāʻau antihypertensive ma hope o 1-1.5 mau mahina.
Ma hope o ka lawe ʻana i hoʻokahi pākahi o irbesartan, ua hōʻea ka piʻi ʻana o ka plasma kiʻekiʻe ma hope o 2 mau hola. ʻAʻoleʻoi aku ka bioavailability o kēia mau mea ma mua o 80%. Hiki ke kiʻi ʻia ka lāʻau i kekahi manawa kūpono. ʻAʻole hoʻolohi ka ʻai i kaʻai ʻana a ʻaʻole i kau i ka nui o ka hoʻolaha ʻana i ka lāʻau.
Me ka hoʻomaʻamaʻa ʻana, ʻaʻole nui e hōʻiliʻili ʻo irbesartan i ka serum koko. Hoʻopiʻi kēia mea i ka hoʻololi me ka hoʻokuʻu o hope i ka 1 metabolite - glucuronide. Hōʻalo kēia kaʻina ma muli o ka hopena o ka maʻi oxidation. ʻO nā ala nui o ka hoʻopili ʻana i ka mea: me ka bile, i ka wā urination. I ka hihia o nā pale kīnā ʻole a me ka hana o ka ʻōpū, ʻaʻohe hoʻololi nui o nā mea pharmacokinetic.
Hoʻomaʻamaʻa ʻia ka lāʻau lapaʻau no ka mālama ʻana o ka nephropathy, i hoʻomohala ʻia e pili ana i ka mua o ka maʻi o ka maʻi diabetes.
Nā hōʻailona no ka hoʻohana ʻana
ʻO ke kumu nui o ka hoʻohanaʻana i ka lāʻau arertial hypertension. Eia kekahi, hiki ke hoʻohana ʻia ka lāʻau lapaʻau i kahi kūlana pathological e like me ka nephropathy (hōʻino i ka renal parenchyma). Hoʻohana ʻia inā inā hoʻomohala kēia maʻi mai ke ʻano o ke ʻano maʻi diabetes mellitus a i ʻole hypertension.
Nā Hoʻohui
He mea liʻiliʻi nā palena o ke kau ʻana o ka lāʻau lapaʻau i ka nīnau ʻana: intolerance i ka mea ikaika, lactase deficiency, lēʻaheʻe o ka maʻi o ka galactose, ka glucose.
Me ka mālama pono
Kēia ʻia nā helu o nā contraindications relatif, kahi e pono ai ke hōʻike i ke koʻikoʻi nui, me nā ʻano:
- ka haki ʻana o ka lawe ʻana i nā cium o ka sodium;
- ka paʻakai-paʻakai;
- hana aho ʻole, i loko o ka lumen o ka renal artery;
- hoʻonui wikiwiki 'ia o ka wai mai loko o ke kino, me nā kūlana patologis, e hele pū ana e ka luaʻi;
- ka hoʻohana ʻana i ka diuretics thiazide;
- hoʻōla ʻia ma hope o kahi hoʻololi o ke keiki;
- e hoʻolohi ana i ka kahe o ke koko ma o ka mitral, a me nā kīlei aortic, i hiki ke hōʻeha ʻia e nā stenosis;
- ka manawa like me ka hoʻomākaukau me ka lithium;
- nā maʻi endocrine e pili ana i ka hoʻohuihui aldoster synta;
- nā hoʻololi atherosclerotic i loko o nā moku cerebral;
- nā maʻi o ka ʻōnaehana cardiovascular: ischemia, lawa ʻole o ka hana o kēia ʻano.
Me ka mālama aka, ua kau ʻia ka lāʻau no kahi maʻi o ka ʻōnaehana cardiovascular.
Pehea e lawe ai iā Ibertan?
I ka hoʻomaka mua o ka hoʻōla, ʻo ka maʻa o ke irbesartan ka liʻiliʻi (150 mg). Hoʻohui pinepine ʻia - 1 manawa i kēlā me kēia lā. Hiki ke kiʻi ʻia ka lāʻau ma luna o ka ʻōpū ʻole, i ka wā a ma hope o ka ʻaina. Eia naʻe, i kekahi mau hihia, pono ke hoʻemi ʻia o ka ʻoi aku ka hopena - a hiki i ka 75 mg i kēlā me kēia lā. He hōʻailona no kēia ka dehydration, he hoʻohaʻahaʻa i ka nui o ke koko i hoʻokaʻawale, ka lawe ʻana i nā lāʻau lapaʻau e hoʻolauleʻa ai ka excretion wai, a me ka pā paʻakai paʻakai.
Inā pane ʻole ka kino i ka hōʻemi ma ka liʻiliʻi, a laila e hoʻonui ka nui o irbesartan i 300 mg pākahi. Kuhi ʻia ʻo ka lawe ʻana i nā hala i loko o 300 mau mea ʻaʻole e hoʻonui i ka hopena antihypertensive o ka lāʻau. Ke hoʻololi nei i ka nui o ka lāʻau i kahi kuhikuhi nui, pono nā hana o ka hoʻomaha (a hala 2 mau pule).
ʻO ka hopena o ka nephropathy: ua kauoha ʻia ka lāʻau lapaʻau ma 150 mg i kēlā me kēia lā. Inā makemake, e hoʻonui ʻia ka nui o ka hana a i ka 300 mg (ʻaʻole iʻoi aʻe ma mua o 1 manawa o ka lā).
Me ka maʻi diabetes
Ua ʻae ʻia ka lāʻau lapaʻau no ka hoʻohana. Pono ka papa o ka mālama ʻana me ka liʻiliʻi liʻiliʻi (150 mg). Inā hoʻolaʻa maikaʻi ʻia ka lāʻau lapaʻau, nui ka nui o ka mea kanu ikaika e hoʻonui.
Hoʻoholo kū hoʻokahi ka lōʻihi o ka mālama ʻana.
Nā ʻihi ʻaoʻao o Ibertan
I ka wā o nā mea lapaʻau, ua ʻike ʻia kekahi helu o nā maʻi lapaʻau, ʻo ka piʻi ʻana o nā mea e pili ana i ke ʻano o ka mea maʻi, ka mua o nā maʻi ʻē aʻe.
Ma ka ʻāpana o ka io o ka hihiʻo
ʻAʻole mālama ʻia.
Mai ka musculoskeletal a me ka hoʻopili pili
ʻO ka ʻeha ma ka umauma, nā ʻuhane, a me nā iwi.
ʻŌpala Gastrointestinal
Naila, holo ae lae, he papa kee, he naau ohua, indigestion.
Hematopoietic mau hui
I ka hoʻonui ʻia o nā mea i kū i ka phosphokinase, potasi, a me ka hoʻohaʻahaʻa i ka hemoglobin.
Pūnaehana pīhoihoi waena
ʻO ka ʻeha, ka ʻeha, ka pilikia o ka noʻonoʻo, e hele pū ana me ka māhuahua o ka momona, ka huhū, ka hopohopo.
Mai ka pūnaehana urinary
Hola huehue hana.
Mai ka papa huhū
ʻIke ʻia kahi huhū maloʻo.
ʻOiai e lawe ana i ka lāʻau, hoʻomaka ka paʻapū maloʻo.
Mai ka pūnaehana genitourinary
Hoʻolilo maikaʻi.
Mai ka pūnaehana cardiovascular
Hoʻololi i ka puʻuwai puʻuwai, sensation no ka ʻili i ka ʻili o ka maka.
Allergies
Urticaria, vasculitis.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Ma muli o ka hoʻonui nui o ka hopena o ka hopena mai ke kikowaena kūloko, pono e hoʻomaʻamaʻa i ka wā o ka hoʻokele ʻana i nā kaʻa. ʻAʻole i mālama ʻia nā haʻawina palekana.
Nā ʻōlelo kikoʻī
I ka wā maʻi e kū'ē ana i kahi kūlana o ka make o ka wai, ʻike ʻia kahi hōʻole ʻole ʻana o ka pauna wai-electrolyte. I kēia hihia, hiki i ka lawe ʻana iā Ibertan ke hoʻonāukiuki i ka hoʻoemi ʻana o ka pume.
I ka hihia o ka hana renal kūwaho, ua hōʻike ʻia e kāohi i ka manaʻo o ka paʻakai, creatinine.
E kū'ē i ke ʻano o ke stenosis renal arela, kūpono kahi ulu kiʻekiʻe o ka hypotension.
I ka hihia o ka hana renal kūwaho, ua hōʻike ʻia e kāohi i ka manaʻo o ka paʻakai, creatinine.
Hoʻohana ʻia ka haʻahaʻa haʻahaʻa o Ibertan i ka mālamaʻana i nā poʻe maʻi me ka maʻi maʻamau ʻo ka hyperaldosteronism.
Inā he kuhi i nā hoʻopiʻi mai ka ʻōnaehana cardiovascular, pono ʻoe e nānā mau i ke kaʻau o ke koko i ka wā o ka mālama ʻana, no ka mea e hoʻonui aʻe ai kēia i ka maʻi myocardial infarction.
Hoʻohana i ka wā kahiko
Manaʻo ʻia nā mea maʻi ma mua o 75 mau makahiki e lawe i ka lāʻau lapaʻau ma ka liʻiliʻi liʻiliʻi - 75 mg i kēlā me kēia lā.
Koha i na keiki
ʻAʻole hoʻohana.
Hoʻohana i ka wā hāpai a me ka lactation
ʻAʻole makemake ʻia.
Ke noi no ka hana renal haukapole
ʻAʻole ʻo Renal ke kumu o ka hoʻokuʻu ʻana i ka ʻoihana. ʻOiai e lawe ana i ka lāʻau lapaʻau e pili ana i ke kua o kēia ʻano pathological, pono e mālama ʻia.
ʻAʻole ia ke kumu o ka hōʻemi ʻana i nā lāʻau lapaʻau mālie.
Hoʻohana no ka hana lawelawe lēwa
ʻAʻole ia ke kumu o ka hōʻemi ʻana i nā lāʻau lapaʻau. ʻO ka palekana o ka lawe ʻana i ka lāʻau lapaʻau e pili ana i kahi papa o ka hōʻili ʻana o ka puʻuwai ʻaʻole i ʻike ʻia. No laila, ʻoi aku ka maikaʻi e hōʻole i ka mālama ʻana me ka lāʻau lapaʻau i ka nīnau ʻana i kēia ʻano pathological.
ʻO ʻO Ibertan Overdose
ʻO ka pinepine, ʻo nā mea maʻi e hoʻohaʻahaʻa i ke koko, ʻoi aku ka liʻiliʻi o ka hoʻomohala ʻana i ka tachycardia. Ma nā hihia kaʻawale, loaʻa i nā hōʻailona o ka bradycardia. ʻO Gastric lavage, ke koho ʻana i nā mea hoʻohālikelike (i hoʻolako ʻia ua lawe ʻia ka lāʻau lapaʻau) e kōkua i ka hōʻemi ʻana i ka nui o nā hōʻike maikaʻi ʻole. E hoʻopau i nā ʻōmaʻomaʻo pilikino, ua kuhikuhi ʻia nā lāʻau lapaʻau kūikawā, no ka laʻana, e hoʻohālikelike i ka ʻōpū o ka puʻuwai, ke kumu kiʻekiʻe.
Hoʻopili pū me nā lāʻau ʻē aʻe
ʻAʻole kōkua ʻo Hydrochlorothiazide i kahi hoʻololi i loko o nā lāʻau lapaʻau a me ka pharmacokinetics o Ibertan. Loaʻa kekahi hopena like me ka hoʻopili o ka lāʻau lapaʻau i nīnau ʻia a me Warfarin.
Hoʻohui hui like ʻole
Me Ibertan, nā lāʻau lapaʻau e kōkua ana i ka hōʻemi o ke kaomi ʻole i kuhikuhi ʻia.
Mai hoʻohana i nā hoʻomākaukau i loaʻa ka lithium. I kēia hihia, hoʻonui ke ʻano o ka lāʻau i ka nīnau.
ʻO Hydrochlorothiazide me Ibertan i hoʻopili pū me ka colestiramine.
ʻAʻole i hāʻawi ʻia
Ua hoʻonāukiuki nā NSAID i ka hiki ʻana o ka hana ʻole i ka pilikia, hyperkalemia.
ʻO Hydrochlorothiazide me Ibertan i hoʻopili pū me ka colestiramine.
Hoʻopili ʻo Fluconazole i ke kaʻina hoʻololi o ka lāʻau lapaʻau ma ka nīnau.
ʻO nā hui e koi ana i ka mālama
Hāʻawi ia e hoʻohana i nā beta-blockers, diuretics o ka thiazide pūʻulu, nā ʻāpana kalaka me nā mea huna ʻo Ibertan.
Pono e hoʻomaʻamaʻa ʻia i ka wā e hoʻohana ana i ka lāʻau lapaʻau i ka nīnau a me nā lāʻau lapaʻau e pili ana i ka potassium.
Hoʻolaha ka waipuna
Hāʻawi i kēlā me ka eʻokiʻoki i ka hoʻonui ʻana o nā moku koko, ʻaʻohe pono e hoʻohana i nā mea ʻona ʻawaʻawa i ka wā o ka maʻi me Ibertan. Ma kēia hihia, hoʻonui ka hana antihypertensive o ka lāʻau.
Hāʻawi i kēlā me ka eʻokiʻoki i ka hoʻonui ʻana o nā moku koko, ʻaʻohe pono e hoʻohana i nā mea ʻona ʻawaʻawa i ka wā o ka maʻi me Ibertan.
Nā kuʻina
Nā koho kūpono no ka hoʻopili ʻana i ka lāʻau lapaʻau ma ka nīnau ʻana:
- Irbesartan
- Irsar;
- Aprovel;
- Telmisartan.
ʻO ke koho mua he mea kūi ʻole no Iberta. Aia kēia mea hana i ka lako hana like ʻole. ʻO kāna dosage ka 150 a 300 mg i 1 papa. Wahi a nā ʻāpana koʻikoʻi, ʻaʻole ʻokoʻa ʻo Irbesartan mai Ibertan.
ʻO Irsar kekahi mea hoʻohālikelike o ka lāʻau lapaʻau i nīnau ʻia. ʻAʻohe ʻokoʻa i ka hoʻonohonoho ʻana, ka hewa o ka mea ikaika, nā hōʻike a me nā contraindications. Aia kēia mau kālā i ka māhele kumukūʻai like. ʻO kekahi mea hoʻohana (ʻo Aprovel) iʻoi aku ka liʻiliʻi (600-800 rubles). Kuhi puka - nā papa. A 1 pc piha ka 150 a me 300 mg o irbesartan. Wahi a, hiki ke kuhikuhi ʻia i ka lāʻau ma mua o ka lāʻau no ka nīnau.
ʻO Telmisartan ka waihona o ka inoa like. ʻO kāna waiwai he 40 a me 80 mg i ka papa hana 1. Kuhi ʻia ka mea nui o ka hana o ka lāʻau lapaʻau e kāohi ana i ka hana o nā mea pale o ka hui pū me ka angiotensin II. ʻO ka hopena, ua hoʻomaopopo ʻia ka emi ʻana o ke kaomi. No laila, e like me ke ʻano o nā hana, ʻo Telmisartan a me ka lāʻau lapaʻau i nīnau ʻia he like. Nā hōʻailona no ka hoʻohana: hypertension, pale i ka hoʻomohala ʻana o nā hoʻopiʻi (me ka make) i nā maʻi o ka ʻōnaehana cardiovascular.
He nui nā contraindications a Telmisartan. ʻO ka papa ma ka hoʻohana ʻana i ka lāʻauʻeha i ka wā hāpai, lactation, i ka wā kamaliʻi, me nā mea hōʻino o ka biliary tract, ʻike ʻia ka ate. ʻAʻole ia e kūpono i hoʻohui i ia me nā lāʻau lapaʻau mai ka pūʻulu o ka angiotensin-e hoʻololi ai i ka enzyme inhibitors. No nā kālā i manaʻo ʻia, ʻo Telmisartan wale nō ka mea i hiki ke hoʻohana ʻia ma kahi o Ibertan, i hoʻolako ʻia i kēlā kikowaena i ka mea hana, irbesartan, hoʻomohala.
Waihue huaʻōlelo waiho nā huaʻōlelo
ʻO ke ʻano lāʻau ka lāʻau lapaʻau.
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
ʻAʻole, pono ʻoe e kiʻi i kahi lāʻau lapaʻau e kauka ai e kūʻai i ka lāʻau lapaʻau.
Kumukuai no Ibertan
ʻO ka kumu kumukūʻai he 350 rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Kūleʻa paʻa ʻana i ke kūlana kikowaena - ʻaʻole kiʻekiʻe aʻe ma mua o + 25 ° С.
ʻO ka lā kau
Mālama ka lāʻau lapaʻau i loko o kāna mau waiwai no 36 mau mahina mai ka lā i hoʻokuʻu ʻia ai.
Mea hana
Polpharma (Polani).
ʻO ke ʻano lāʻau ka lāʻau lapaʻau.
Hoike no Ibertan
Daria, he 45 makahiki, Saratov
Ua hōʻike pinepine mākou i nā maʻi hypertension i kekahi manawa lōʻihi. Mai kēlā manawa ke ʻimi nei au i ka lāʻau e hoʻōki a hoʻoweliweli a hāʻawi i ka hopena therapeutic maikaʻi. Ua hoʻāʻo wau i nā meaʻai lako a me nā huahana pākola. Makemake wau i ka hopena o ka lāʻau ʻo Ibertan. ʻOiai wau e hoʻokau nei, maikaʻi wau.
Veronika, 39 makahiki, Krasnodar
Hoʻomaka ʻo ia i kahi papa o ka mālama ʻana ma ke kua o kahi meaʻai hypochloride. No kēia kumu, ʻaʻole ʻōlelo ke kauka i ka lawe ʻana i ka paona maʻamau, akā ua kauoha ʻia ʻo 75 mg i kēlā me kēia lā. ʻAʻole ʻike wau i ka hopena. I ka manawa e ʻae ai ke kauka e hoʻonui i ka nui o ka lāʻau lapaʻau ma 2 mau manawa, hoʻemi ka nui o ke kaumaha, ua hoʻi i ka maʻamau. Ma mua o kēia, aia ka lele mau o ka neʻe koko, a me luna.
