Ke koko koko kiʻekiʻe, hoʻonāukiuki i ka hypertension, pili i ka 20-30% o ka lehulehu. Hiki i kēia mau helu ke piʻi i 70% me ka hoʻonui pinepine ʻana. ʻO nā lāʻau loina Lozap a me Concor e pili i nā hui i ka wā lapaʻau like ʻole, akā ua hoʻākāka pinepine ʻia i ka hui ʻana e hoʻohaʻahaʻa i ke koko a mālama pono i ka hana naʻau. Hāʻawi kēia hōʻaha i nā hopena maikaʻi i nā pilikia o ka puʻuwai, pale i ka stroke ischemic a me ka ʻeha ʻana o ka naʻau.
Kāhea Lozap
ʻO ka lāʻau lapaʻau mai ka hui o ka lāʻau laʻa o ka angiotensin II blocker blockers a me ka diuretics. ʻO kāna koho mua, ʻo ka wehe ʻana o ka hypertension arterial. ʻO ka mea hoʻohana ikaika ma Lozap he losartan potassium:
- Hoʻomaha i ka wīwī vascular peripheral;
- e hoʻoponopono i ka ikaika;
- ua hāʻawi ka hopena i ka diuretic;
- ho'ēmi i ka hana o adrenaline a me ald testosterone, i hoʻopili ʻia me ka wai o ka wai;
- hōʻemi i ka luhi ma ka myocardium, pale i kona hypertrophy.
ʻO Lozap kahi lāʻau lapaʻau no ka hoʻopauʻana i ka maʻi hypertension arterial.
ʻO ka hopena kiʻekiʻe loa mai ka hoʻokele mau ʻana o ka lāʻau lapaʻau e nānā ʻia ma hope o 2-6 mau pule, a noho mau ka hopena therapeutic no kahi manawa lōʻihi a ʻoiai ma hope o ka hopena. Kahi i loko o ka ʻeha gastrointestinal, maʻalahi nā mea o Lozap i ka maʻalahi, a hoʻoneʻe i loko o nā loko o ke akeʻa, a hoʻopili ʻia ma o nā ʻāpana (ma kahi nui nui) a i loko o ka wai. ʻAʻole ia e hele i ka mea neʻe i ka kānana-kahe koko mai ke koko a hiki i ka lolo lolo, e pale aku i kā lākou mau pehu i nā maʻi a me nā huahana lapuwale.
Hoʻokomo ʻia ʻo Lozap i nā palapala pākaukau (12.5, 50 a me 100 mg i kēlā me kēia), i kuhikuhi ʻia i ka manawa 1 i kēlā me kēia lā, me ka manaʻo ʻole o ka meaʻai.
Hoʻonui ka huahana, i ka hoʻohui ʻana i ka pāhare losartan:
- kaloli (silbent);
- cellulose (hānai meaʻai);
- crospovidone (kahi ʻāpana hana i hana ʻia e hoʻopiʻi hou aku i nā ʻano mea kaha mai nā papa);
- magnesium stearate (emulsifier);
- hypromellose (plasticizer);
- macrogol (laxative);
- titanium hômole (ka ʻula ʻaina kai keʻokeʻo, hoʻohui ʻia E171);
- mannitol (diuretic);
- ka leʻaleʻa talcum.
Ua kuhikuhi ʻia ka lāʻau lapaʻau:
- e hōʻoluʻolu i ke kaomi a haʻalele i nā hoʻopiʻi vascular;
- ma ka hoʻopili paʻa ʻana i nā maʻi myocardial ʻole;
- me ka nephropathy (maʻi maʻi);
- me ka hypertrophy hema hema.
Nā pālua:
- nā kikoʻī o nā moku o nā ʻāpana renal (stenosis);
- ke hoʻomaloka ʻana i nā ʻāpana;
- hapai a lactation;
- makahiki i 18 makahiki.
Ke hōʻike nei i ka maʻi maʻi hepatic a me ka renal, i kuhikuhi ʻia ke kāʻei ma lalo o ka mālama ʻana o ke kauka, e hoʻomaka ana i ka lawe ʻana i nā papa me nā papa liʻiliʻi. Ma mua o ke koho ʻana iā Lozap, ua hoʻoponopono ʻia nā hōʻailona o ka pauna wai-electrolyte. I ka wā o ka papa hana, ua ʻōlelo ʻia e nānā i nā kiko o K (potassium) i ke kino o nā mea maʻi maʻi.
Nā mea hana noʻonoʻo
No ka lāʻau lapaʻau e pili ana i ka lāʻau lapaʻau a me ka ʻoihana pharmacological o nā blockers beta1-adrenergic selektif, he hopena maikaʻi loa i ka ikaika o ka pūlike puʻuwai (inotropic effect). ʻO ke kumu hana a Concor he bisoprolol fumarate:
- hoʻohaʻahaʻa i ka hana o ka ʻōnaehana sympathoadrenal e hoʻoponopono i ka hoʻoili ʻana i nā hoʻopulapula o nā nerve ma ka hypothalamus;
- poloka ana i ka adrenoreceptors cardiac e hoʻopili ai i ka adrenaline, norepinephrine, catecholamines, ka kāohi ʻana i kā lākou pharmacological a me nā hana physiological;
- komo i ka hana huna a me ka hana hoʻokalakupua.
Concor - kahi lāʻau lapaʻau e kū pono ai i ka ulu ʻana o ka naʻau puʻuwai.
Kuhi ka nui o ka lāʻau i loko o nā ʻili ma hope o 3 mau hola, e mālama ʻia ka hopena therapeutic i loko o ke ao. Ma hope o ke komo ʻana i ka hana gastrointestinal, hoʻopili ʻia ka bisoprolol e ka meaʻoi aku ma mua o 90% o nā ʻōnaehana koko a ke kahele ʻia i nā mea āpau a me nā kō. Hoʻokuʻu ʻia ia i hoʻololi ʻia ma ka urine ma hope o 11-14 hola. ʻO ka hoʻolōʻihi mau ʻana i ka neʻe koko ke nānā ʻia ma hope o kahi hapalua mahina o ka hoʻolālā o ka hoʻolālā. Ke hoʻohana ʻia nei he 1 papa wale nō i ka lā i nā maʻi e nānā:
- ke emi ʻana o ka pale vip i peripheral;
- ka wehe ʻana i ka hana nui o ka polypeptide renin (kahi haki koko e hoʻoikaika ana i ka vasoconstrictor element angiotensin);
- ka hoʻololi ʻana o ka puʻuwai aloha;
- ka hoʻihoʻi ʻana o ke koko.
ʻO nā papa manaʻo, i kahi hoʻohui i nā mea nui (bisoprolol fumarate), kahi:
- silica;
- cellulose;
- crospovidone;
- magnesium stearate;
- huki;
- macrogol;
- titanium dioxide;
- iron oxide (ʻeleʻele melemele, ʻai meaʻai E172);
- dimethicone (ʻaila silicone);
- kaleka ka hydrogen phosphate (kumu o Ca);
- māhu.
Hoʻomaʻamaʻa ʻia ʻo Concor ma kahi prophylactic e kūʻē i ka hōʻeha ʻana o ka puʻuwai, e hakakā i ka hōʻeha ʻana o ka naʻau me ke ʻole o ka exacerbation a i nā kūlana e like me:
- hypertension arterial;
- ischemia;
- ʻectorlelo angina pectoris.
Hoʻomaʻamaʻa ʻia ʻo Concor ma kahi prophylactic e kūʻē i ka hōʻeha ʻana o ka puʻuwai, e hakakā i ka loaʻa ʻole o ka naʻau.
Ke loaʻa nei ka lāʻau i nā contraindications i lalo:
- pilikia hōʻeha;
- kūlohelohe cardiogenic;
- bradycardia (a 60 mau beats i minute);
- nā hoʻohaʻahaʻa haʻahaʻa kiʻekiʻe (a hiki i 100 mmHg)
- ka nui bronchial hika;
- maʻi kino huhū;
- ʻO ka maʻi Raynaud (kahe koko a abnormal ʻole i loko o nā moku peripheral);
- kahi kumupaʻa i nā kihi adrenal o ka medulla (pheochromocytoma);
- kaʻole o ka huiʻana a me ke kaulike alkaline;
- kahi maʻi kūlohelohe i nā māhele o ka lāʻau lapaʻau;
- makahiki i 18 makahiki.
Hōʻike ʻia ke koho ʻana iā Concor i ka wā hāpai ʻana i ka wā o nā pono o ia mau lāʻau no ka wahine i ʻoi aku i nā hopena maikaʻi aʻe paha no ke kūkulu ʻana i ka pēpē. I ka wā o ka umauma, ua manaʻo ʻia e kāpae i ka lāʻau. A ua Hoʻohana ʻia ʻo Concor i ka manawa:
- diabetes mellitus;
- hyperthyroidism (kahi hana thyroid);
- pilikia koʻikoʻi a me ka hoʻonāukiuki hepatic;
- me nā psoriasis;
- maʻi maʻi ʻeha.
ʻO ka lōʻihi ka lōʻihi o ka lāʻau. Hoʻomaka lākou me nā dosis liʻiliʻi, hoʻonui i ka nui inā e hoʻopili ana ka mea maʻi i ka hana no ka bisoprolol.
Loaʻa nā papa i ka 2,5, 5 a me 10 mau dona a ua kuhikuhi ʻia me ka hapa o ka nui o ka waiū, e hoʻomau i ka keke (nui) i ka nui aʻe (ʻoi aku ka nui) ma mua o 2 mau pule hope. Hoʻolaha ʻia ka lāʻau ma lalo o ka mālama ʻana i ke kahe o ke koko, i mua o nā hoa hoʻohālikelike, hoʻēmi ʻia ka nui i ka nui o mua, me kona neʻe ʻana a me ka wehe ʻole ʻana o ka lāʻau.
ʻO ka hoʻohālikelike o Lozap a me Concor
Ke loaʻa nei kēia mau lāʻau i nā hopena therapeutic ʻē aʻe. Ke hana nei nā hana o nā mea Concor i ka hoʻoponopono ʻana i ka hana o ka puʻuwai, a hoʻoponopono ʻo Lozap i ke kaomi o nā moku. Akā ʻo kā lākou hana maʻamau o ka hoʻemi ʻana i ke kaomi ʻana i nā moku a me nā ʻaluna. Hoʻolakoʻo ka hana hoʻokaʻawale i ka hana pono o ke ʻano lapaʻau, akā pono e lawe ʻia nā lāʻau lapaʻau e like me ka kuhikuhi a ma lalo o ka mākaʻi ʻana o ka loea.
Hoʻohālike
ʻO nā lāʻau ʻelua ke mau lāʻau hōʻeha a ua loaʻa nā ʻano like like:
- i nā lāʻau lapaʻau ke loaʻa nā puka hoʻokuʻu (ma ke ʻano o nā papa);
- ua hoʻokuʻu ʻia lākou ma ke kau leʻaila;
- hōʻike ākea no ka hoʻohana ʻana - i ke kaua kūʻē i ka hypertension;
- like i like me ka pinepine o ka hoʻokele - 1 manawa i kēlā me kēia lā;
- hooikaika i ka hana a kekahi;
- kākau ʻia i loko o kahi paʻakikī i ka loaʻa ʻole o ka hana o kekahi hopena;
- koi i kahi lōʻihi o ka papa lāʻau;
- koi i ka hoʻomalu ʻana a me ka helu ʻana o ka neʻe koko;
- ʻaʻole i hāʻawi ʻia i nā keiki.
Pono e lawe iā Lozap a me Concor e like me ka kuhikuhi a ma lalo o ka mākaʻi o ka loea.
ʻOkoʻa ka ʻokoʻa
Nā ʻano hiʻohiʻona:
- mea hana Lozap - Czech Republic; hana ʻo Concor iā Kelemania;
- ma ke ʻano he ʻano waiwai like ʻole (lazortan a me bisoprolol), e hoʻolako ana i ko lākou iho (kaʻina) hana hana;
- ka nui o ka papa o nā mea kōkua i loko o Concor, ʻoi aku ka nui, a me ke ʻano, i ka wā i lawe ʻia ai, kiʻekiʻe ka hopena o nā maʻi kūlohelohe;
- aia he mau ʻokoʻa i ka contraindications (ma mua o ka hoʻohana ʻana i kēlā me kēia lāʻau lapaʻau, pono ʻoe e aʻo i ka annotation i hoʻopili ʻia i ka pākeke);
- ʻokoʻa ma ka laulā papa (ke kaumaha o ke kumu nui a me nā mea waiwai hou).
ʻOi ka uku
ʻO ka kumukūʻai kūʻai no nā papa Lozap:
- 12.5 mg ʻAʻole. 30 - 120 rubles;
- 50 mg ʻAe 30 - 253 mau rubles .;
- 50 mg ʻAiʻao 60 - 460 rubles;
- 100 mg ʻAiʻao 30 - 346 rubles .;
- 100 mg ʻAi 60 - 570 rubles .;
- 100 mg ʻAʻole 90 - 722 mau rubles.
ʻO ka kumukūʻai kūʻai no nā papa Concor:
- 2,5 mg ʻAe 30 - 150 rubles;
- 5 mg ʻAe 30 - 172 mau rubles .;
- 5 mg ʻAʻole 50 - 259 rubles .;
- 10 mg ʻAe 30 - 289 rubles .;
- 10 mg ʻAʻole 50 - 430 mau rubles.
ʻO ka mea maikaʻi aʻe: Lozap a i ʻole Concor
ʻO wai kekahi ʻoi lāʻau maikaʻi loa no ka lawe ʻana, e hoʻoholo ka kauka hele. E kūʻai ʻia nā kālā ʻelua e ke kumu kūʻai, ʻaʻole ʻae ʻia kā lākou hoʻohana kūʻokoʻa. ʻO ka koho o ka lāʻau lapaʻau ka mea e ulu ʻia e:
- nā hōʻike pilikino no ka hoʻohana ʻana;
- maʻi maʻi;
- ka hopena i nā meaʻala;
- makahiki o ke ahonui.
Hōʻalo wale ʻo Bisoprolol i ka pinepine o ka hopena o ka hopena o ka puʻuwai, a hoʻonui ʻia ʻo lazortan i ka diameter o nā arterioles (nā lālā o nā ʻāpana nui), ma muli o ke kahe o ke kīʻaha o nā moku peripheral. Kēia mau ʻōhua hana o nā hana o nā ʻano lāʻau like ʻole e hoʻokaʻawale i ka puʻuwai naʻau. No laila, ʻo ke koho lapaʻau maikaʻi loa me ka hoʻonui ʻana i ka ukana ma ka myocardium he mea hui pū ʻana o kēia mau lāʻau ʻelua me ka hoʻomaikaʻi maikaʻi ʻana.
Nā Hōʻike Hoʻomaʻi
Kristina, 41 makahiki, Krasnodar
Ua lawe wau iā Lozap no keu hoʻokahi mahina mai ka hypertension. ʻAʻohe hopena, a loaʻa nā hopena like paha i hiki i like me nā ʻōlelo aʻoaʻo (arrhythmia, pain in back and back the sternum hoʻohui). Hoʻonui mau ʻia ka paʻakikī Systolic. ʻOiai ke ʻōlelo a ke kauka he ʻeha nā hopena ʻaoʻao o kēia lāʻau lapaʻau. No laila ua kūʻokoʻa nā mea āpau.
Valentina, 60 makahiki, Kursk
Ua inu wau ʻo Concor 10 mau makahiki ma ka liʻiliʻi liʻiliʻi. ʻAʻole hōʻeha ka naʻau, akā mau ka mea kiʻekiʻe ke koko (160/100). Hoʻokomo hou ʻia ka luna lapaʻau iā Lozap, a ma hope i loli ai i Dalneva, no ka mea, ua puka mai nā contraindications.
Sergey, 45 makahiki, Pskov
Aia kahi pulse kiʻekiʻe a me kahi puʻuwai wikiwiki. ʻO ka paʻakikī o Losartan me Concor i kuhikuhi ʻia e ke kauka. Ua holomua ke ʻano, akā no kēia mea pono wau e inu i ka lāʻau lapaʻau ma mua o hoʻokahi mahina (i kēlā me kēia lā 1 papa i ke kakahiaka). ʻAʻohe hopena hopena.
No laila ua kūʻai ʻia ʻo Lozap a me Concor e ka ʻālinā, ʻaʻole ʻae ʻia kā lākou hoʻohana kūʻokoʻa.
Nā Hōʻikeʻike a nā kauka e pili ana iā Lozap a me Concor
Sergeeva S.N., ka mea aʻoaʻo nui, Perm
Hiki ke hoʻohana ʻia nā hoʻohana ʻana o kēia mau lāʻau antihypertensive. Mālama ʻia ka lāʻau lapaʻau i hiki iā ʻoe ke lawe iā lākou i hoʻokahi lā i ka lā, akā he lōʻihi ka papa a ʻaʻole ʻia ke kue ʻia.
Moskvin P.K., cardiologist, Oryol
Ke ʻoi aku ka paʻakikī ma mua o ka maʻamau - Ke kuhikuhi nei wau e lawe pū iā Lozap a me Concor. He kūpono kūpono nā lāʻau lapaʻau, e hoʻomaikaʻi ana i ka hopena therapeutic o kekahi i kekahi. He mea nui ia e mālama ma lalo o ka nānā ʻana ʻaʻole wale ke kiʻekiʻe a me ke koi haʻahaʻa, akā ka pulse. Loaʻa nā hōʻemi o nā lāʻau lapaʻau: ʻaʻole ke kumukūʻai haʻahaʻa (hoʻokahi pākahi no ka hopena kūpono ʻaʻole e lawa) a me nā contraindications weliweli. Inā ʻaʻohe mea pili i hope, a laila e hoʻihoʻi ka paʻakikī i kēlā me ka naʻau i 2 mau mahina.
ʻO Kirsanova T.M., hoʻokōkuhi, Korolev
Pono e noʻonoʻo e pili ana i nā komo ʻelua nā diuretic. Hoʻomaopopo ʻia ka kiʻi ʻana i ke kakahiaka, no ka mea, i ka pō ke hoʻolake i ka urinate e hōʻeha i ka pilikia. ʻO ka hui maikaʻi, kākuhi.
