No nā pilikia o ke kahe koko, ke kauka nei nā kauka i nā lāʻau kūpono e kōkua i ka hoʻopōmaikaʻi ʻana iā ia. I ka hapanui pinepine, ʻo Diroton a me Lisinopril i kuhikuhi ʻia no kēia kumu. ʻO nā lāʻau lapaʻau he nui loa i ka maʻamau, akā aia kekahi mau ʻokoʻa. ʻAʻole hiki iā ʻoe ke lawe iā lākou me ke koho ʻole ʻana o ke kauka.
Pūnaewele Diroton
ʻO kēia lāʻau lapaʻau kahi mea hoʻoweliweli ACE maikaʻi e hoʻohaʻahaʻa i ke koko a hoʻokaʻawale i nā moku koko. ʻO kāna mea hana ʻona lisinopril, e hōʻemi ana i ka nui o ke ald testosterone a me ka angiotensin i loko o ka plasma. I ka hopena, ua emi iho nei ke kū'ē o peripheral vascular a me ka hoʻonui o ka nui o ke koko e kahe ana i ka puʻupu i hoʻokahi minuke. ʻAʻole kēia e hōʻeha i ka maluhia o ka puʻuwai.
No nā pilikia o ke kahe koko, ke kauka nei nā kauka i nā lāʻau kūpono e kōkua i ka hoʻopōmaikaʻi ʻana iā ia. I ka hapanui pinepine, ʻo Diroton a me Lisinopril i kuhikuhi ʻia no kēia kumu.
Kuhi puka - nā papa. ʻO ka paona kiʻekiʻe o ka lisinopril i ke koko e hele ma hope o 6-7 mau hola.
Nā hōʻailona no ka hoʻohana ʻana o Diroton:
- hypertension arterial;
- molaki ʻaococial myocardial;
- maʻiila nephropathy maʻi;
- nāwaliwali o ka puʻuwai.
ʻAʻole pāpā ʻia ka lawe ʻana i ka lāʻau lapaʻau i loko o ia mau hihia e like me:
- ke hoʻomaloka ʻana i nā ʻāpana;
- hinikipiki i ka lumen o ka aria keaka;
- ka hoʻoilina hoʻoilina no ka edema Quincke;
- hoʻololi i nā ʻōnaehana koko biochemical;
- stenosis o nā orifice aortic;
- aldosteronism maʻamau;
- makahiki i 16 makahiki.
Hoʻowahāwahā ʻia ʻo Diroton i ka wā o ka hānau ʻana o ke keiki, no ka mea, ua komo kāna mau ʻāpana i ka plasenta. Hoʻohana maikaʻi ka hoʻohana ʻana o ka ACE inhibitors i loko o ka trimester hope loa i ka ulu ʻana o ka pūpū, e alakaʻi ana i ka make o nā keiki. ʻAʻole lawe ʻia ka lāʻau lapaʻau i ka wā o ka lactation.
ʻO ka hoʻohanaʻana i ka lāʻau lapaʻau e alakaʻi i nā ʻano hopena ʻē aʻe mai nā ʻōnaehana kino nui:
- ʻūhā: bronchospasm, pōkole o ka hanu, pōkole me ka huʻu ʻole;
- cardiovascular: myocardial infarction, hōʻeha i ka sternum, hōʻemi i ka manawa o ka puʻuwai, hoʻonui i ka nui o ka naʻau;
- urogenital: uremia, hoʻoneʻe i ka moʻo ʻana i loko o ka moemoe, ka hana pilikia ʻole;
- helehelena: pae haʻahaʻa hemoglobin, anemia, neutropenia;
- kikowaena waena: nā hōʻeha, nā momona nui, ka hiamoe, ke kaumaha ʻana i ke ʻano, ka hikiʻole ke nānā pono i kekahi mea;
- kūwili ʻana: huapalapala pancreatic, hepatitis, ʻeha ʻole, ʻeha, ʻeha ʻo ka hōʻeha o ka ʻeha ma ka ʻōpū, waha maloʻo, luaʻi;
- ʻili: ʻili, ʻōwili, wela, wela.
ʻO ka mea hana o ka lāʻau lapaʻau ʻo Gideon Richter OJSC, Budapest, Hungary.
Characterization o Lisinopril
ʻO Lisinopril kahi mea hoʻoweliweli o ACE. ʻO kāna mea nui i ka lisinopril (ma ke ʻano o kahi dihydrate). ʻO ka lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko, e hoʻolōʻihi i nā hāhā, hoʻoponopono i ka hana myocardial, a kāpae i ka paʻakai sodium. Me ka hoʻohana mau ʻana o ka lāʻau lapaʻau, hoʻonui ʻia nā paia o ka myocardium a me nā kīʻaha koko, nā ʻano o ke kahe koko. Hoʻokuʻu ʻia kahi lāʻau lapaʻau ma ke ʻano o nā papa.
Lisinopril
- molaki ʻaococial myocardial;
- maʻiila nephropathy maʻi;
- pilikia hemahema;
- koko koko kiʻekiʻe.
Paʻi ʻia ka lāʻau lapaʻau i loko o nā hihia penei:
- stenosis mitral;
- hypertrophic cardiomyopathy;
- stenosis aortic aortic stenosis;
- idiopathic angioedema;
- intolerance a me ka nele o ka lactose;
- ke kealoli i na mea e ae ana i ka huahana;
- makahiki a hiki i ke 18 mau makahiki;
- hapai a me lactation.
Hoʻohana pinepine ʻia ka lāʻau maʻi e ka hoʻomohala ʻana o ka hyperkalemia. Hoʻokomo ʻia nā mea i pili i ka hanana: ka mellitus o ka maʻi mole, ʻoi aku ma mua o 70 mau makahiki, he hana ʻole.
Maikaʻi ʻo Lisinopril i ka hoʻokaʻawale ʻana i ke koko kiʻekiʻe, akā hiki iā ia ke hōʻemi i kahi nui o nā hopena kūpono. Hiki iā ia:
- huhū me ka huelo ʻole i hoʻokaʻawale, ʻeha, ʻōpū, maʻi a ʻeha, ʻeha, ʻeha;
- palpitations, ʻeha i ka sternum, tachycardia, myocardial infarction;
- ka hoʻemi ʻana o ke nānā ʻana, nā māi ʻana ma ka wāwae a me nā lima;
- dyspnea, bronchospasm;
- ka mumū o ka pancreas a me ka puʻuwai, ka maʻiʻai, ke hoʻololi ʻana i ke ʻono, ʻeha i ka ʻōpū, ka maloʻo maloʻo, anorexia;
- ka ʻuhu ʻawaʻawa, hana ka nui o ka palau, kaldness;
- uremia, hana oleia maoli hana ole, oliguria, anuria, hana hooikaika kino;
- ʻōpū, myalgia, vasculitis.
Mai ka pūnaehana hemopoietic, anemia, thrombocytopenia e hele ana. Hoʻokumu kekahi alowale i ke ʻano o ka angioedema o nā piʻi a me ka edema anaphylactic o ka larynx. ʻO ka pinepine he hāhaka ma ka ʻili, urticaria, maʻi, ka leukocytosis.
Me ka hoʻohana pinepine ʻana o ka lisinopril a me ka sodium aurothiomalate, hiki ke kū i nā hōʻailona like ʻole: ka maʻi o ka arterial, maʻi ʻula, ʻulaʻula o ka ʻili o ka maka. ʻO ka lawe ʻana i ka lāʻau lapaʻau ka mea hoʻopiʻi o ka hōʻino kino, no ka mea e hoʻomohala ka dehydration. Hoʻopili ʻo Lisinopril me ka diuretics ka hoʻopau ʻana i ka paʻakai mai ke kino.
ʻO ka mea hana o ka lāʻau lapaʻau ʻo ZAO Skopinsky Pharm.zavod, Rusia.
Hoʻohālikelike o Diroton a me Lisinopril
Uaʻike pinepine nā lāʻau lapaʻau ʻelua, akā ʻokoʻa nā ʻokoʻa ma waena o lāua.
ʻO ka mea maʻamau
ʻO nā Diroton a me Lisinopril ka lāʻau antihypertensive a he pū i ka waihona like - lisinopril. Ua kuhikuhi ʻia lākou no ka hypertension, no ka mea ke ʻano like lākou. Loaʻa i nā palapala papa. ʻO ka hopena kūpono loa i ka wā e lawe ai iā lākou ua nānā ʻia ma hope o 2-4 mau pule.
ʻAʻole pono ka lālama e lawe ʻia i ka wā ʻo ka hapai a ʻo ka umauma. Ma hope o ka lawe iā lākou, hiki i nā hopena ʻaoʻao ke ulu.
ʻOkoʻa ka ʻokoʻa
ʻO ka ʻokoʻa nui ma waena o Diroton a me Lisinopril, ʻaʻole hiki ke lawe ʻia ka lāʻau lapaʻau mua e nā poʻe maʻi me ka predisposition hoʻoilina i ka edema ʻo Quincke, a me ka lua - i nā poʻe maʻi ʻaʻole i ʻae i ka lactose. Aia kekahi ʻokoʻa ma o dosages. Pono ka Diroton e lawe i ka nui o 10 mg hoʻokahi i ka lā, a me Lisinopril - 5 mg wale nō. ʻAʻohe mea hana ʻē aʻe.
ʻOi ka uku
E like me nā hua lāʻau lapaʻau penei:
- ʻO Diroton - mau rubles 360.
- Lisinopril - 101 mau rubles.
Ka ʻoi aku ka maikaʻi - Diroton a i ʻole Lisinopril
I ke koho ʻana i ka pono ʻoi aku ka maikaʻi - Diroton a i Lisinopril, noʻonoʻo pono ke kauka i nā nui he nui:
- maʻi maʻi;
- mau ʻōlelo hoʻohālikelike
- ke kumukuai o ka pono ole.
Nā loiloi o nā loea lapaʻau
ʻO Olga, cardiologist, 56 mau makahiki, ʻo Moscow: "Ua kuhikuhi pinepine ʻia ʻo Diroton i nā mea maʻi me ka puʻuwai naʻau a me ke koko nui. Ke koho nei au i kahi maʻi kū hoʻokahi. ʻO ke ʻano lōʻihi o ka mālama ʻana i ke ʻano o ka hopena ʻino. ʻAʻole hiki ke hana."
Sergey, lapaau, 44 mau makahiki ʻo Syzran: "'Aʻo wau e kuhikuhi pinepine i ka lāʻau Lisinopril no nā maʻi me ka maʻi hypertension. Hoʻololi koke ia i ke kahe o ke koko. Akā i ka monotherapy, ʻaʻole kōkua ka lāʻau lapaʻau i nā mea āpau, no laila e hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe."
ʻO nā loiloi maʻi maʻi e pili ana iā Diroton a me Lisinopril
ʻO Vera, 44 makahiki, ʻo Omsk: "Hoʻomau pinepine ka piʻi ʻana mai ka ulu ʻana mai ka makahiki 40. Ua hiki ke koʻikoʻi o ke kumu kiʻekiʻe i ka makahiki 150. Ua kuhikuhi aku ke kauka iā Lisinopril. ʻAʻole i like ka hopena i ka hopena. ʻoi aku ka lōʻihi - ka lōʻihi o kou lawe ʻana, ʻoi aku ka ikaika o ke kaomi. Makemake au i ke ʻano o ka hiamoe a me ka palupalu i nā hopena ʻaoʻao. Pono wau e hoʻokau me kēia, no ka mea ʻaʻole pono e oki ʻia ka lāʻau a inu. "
ʻOksana, 52 makahiki, Minsk: "Lawe wau iā Diroton e like me ke kauka ʻana e ka maʻi lapaʻau. ʻApōpili i nā lāʻau lapaʻau ʻē aʻe, ʻoi aku ka maikaʻi o ka palekana. ka hoʻemi ʻana o ka hoʻokaumaha i hoʻokahi hola. "
