ʻO ke kahe koko kiʻekiʻe (arterial hypertension) kekahi o nā maʻi maʻamau. ʻO ka manawa pinepine kēia ʻano i mea e pono ai no ka hoʻomohala ʻana i nā maʻi like ʻole o ka ʻōnaehana cardiovascular, hiki ke alakaʻi i ka make. No ka hana maʻamau i ke koko, ke hoʻohana ʻia nā lāʻau lapaʻau, ʻoi aku ka pinepine o nā kauka i ke kahie iā Kapoten a i Cucksril.
Pehea e hana ai nā lāʻau?
I ka ʻike ʻana o Kapoten a me Cucksril, ʻo captopril ka mea hoʻohana nui o ka lāʻau, no laila ua like kā lākou ʻano lāʻau lapaʻau.
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila.jpg)
I ka ʻike ʻana o Kapoten a me Cucksril, ʻo captopril ka mea hoʻohana nui o ka lāʻau, no laila ua like kā lākou ʻano lāʻau lapaʻau.
Kapoten
ʻO ka lāʻau Kapoten ka mea pili i ka hui o nā lāʻau antihypertensive. Kuhi puka - nā papa. Hoʻohana ʻia ia e hoʻohaʻahaʻa i ke koko. ʻO ka mea hana pono a captopril.
No Kapoten ka i hui o ka ACE inhibitors. Kōkua ka lāʻau lapaʻau e pale i ka hana ʻana o ka angiotensin. Hāpau ka hana o ka lāʻau i ke kāohi ʻana i nā mea ikaika o ACE. Hoʻomau ka lāʻau lapaʻau i nā kīʻaha koko (ʻelua mau uaua a me nā ʻalihi), e kōkua i ke kāpae ʻana i ka nui o ka wai a me ka sodium mai ke kino.
Inā hoʻohana mau ʻia ka lāʻau lapaʻau, a laila e hoʻomaikaʻi ka lehulehu nui o kahi kanaka, hoʻonui ka hoʻomanawanui, a hoʻonui ʻia ka manaʻolana. Nā hana hou aku e loaʻa:
- holomua i ke kūlana maʻamau ma hope o ka hoʻoikaika kino kino, wikiwiki hou;
- ka mālama ʻana i nā kīʻaha koko ma ke ʻano maikaʻi;
- ka hoʻohanohano o ka ʻāwili o ka puʻuwai;
- ka hoʻomaikaʻi ʻana i ka hana holoʻokoʻa o ka naʻau.
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I ka wa e lawe waha aku ai, lawe ʻia ke ʻano o ka komo ʻana i ka pānaʻi ʻana. ʻO ka anaʻoi loa o ka waihona o ke koko e loaʻa ai i hoʻokahi hola. ʻO ka bioavailability o ka lāʻau e pili ana i ka 70%. ʻO ka hoʻopau hapa-hapalua ke ola a hiki i ka 3 hola. Hōʻalo ka lāʻau lāʻau i nā ʻāpana o ka ʻōnaehana urinary, me ka hapalua o ka nui o nā waiwai i loli ʻole, a me ke koena o nā huahana degradation.
Kanakaole
Aia ʻo Captril ma ka pūʻulu o nā lāʻau antihypertensive. Hoʻomaopopo ia i ka hoʻohaʻahaʻa i ke koko i nā ala āpau o ka puʻuwai, ʻōnaehana kaila, nā pūnaehana nūnū, nā maʻi endocrine (no ka laʻana, ka maʻi mellitus maʻi diabetes). Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa no ka hoʻokele waha. ʻO ka hana nui o Creensril ka hoʻohuiʻana o ka inoa like.
ʻO ka waiwai he angiotensin e hoʻohuli ana i ka enzyme inhibitor. Mālama i ka hana ʻana o kahi mea e kumu ai ka hoʻololi ʻana o ka angiotensin i kahi ʻano hana biologically, nāna i hoʻonāukiuki i nā pīpī o nā kīʻaha koko me ka emi ʻana o ko lākou lumen a me ka hoʻonui ʻana i ke koko.
Hoʻopau ka Cucksril i nā kīʻaha koko, hoʻomaikaʻi i ke kahe koko, hōʻemi i ke kaumaha ma ka naʻau. Ma muli o kēia, ua hōʻemi ʻia ka hopena o ka hoʻomohala ʻana i nā hoʻopiʻi cardiovascular e pili ana me ka hypertension.
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-8.jpg)
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ʻO ka bioavailability o ka lāʻau aia ka liʻiliʻi loa 75%. Ka nui o ka nui o nā mea i loko o ke koko ua 50 mau minuke ma hope o ka lawe ʻana i nā papa. Ke wāwahi ia i ka palupalu. ʻO ka hoʻopauʻana hapa-ola e hana i 3 mau hola. Hoʻokuʻu ʻia ia ma o ka urinary system.
Hoʻohālikelike o Kapoten a me Creensril
ʻOiai nā inoa inoa like ʻole, ua like like ʻo Kapoten lāua ʻo Creensril i nā ʻano like ʻole. ʻO lākou ka mea hoʻohālikelike.
Hoʻohālike
ʻO ka mea like ma waena o Captopril lāua ʻo Kapoten, ua like lāua i ka hui like o nā lāʻau lapaʻau - ACE inhibitors.
Ke hōʻike nei nā ʻōhumu no ka hoʻohana ʻana i kēia mau lāʻau.
- hypertension arterial;
- cardiovascular gagal;
- pilikia ʻole;
- maʻiila nephropathy maʻi;
- myocardial infarction;
- hypertension ʻole;
- hana o ka wahī hema o ka puʻuwai.
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-12.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-13.jpg)
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ʻO ka lāʻau ʻona no ka pilikia hypertensive i hoʻokahi a like. Manaʻo ʻia e lawe i ka lāʻau lapaʻau i hoʻokahi hola ma mua o ka pāʻina. Ua papa ʻia ia nā kūpalapa ʻana i nā papa, nāʻau wale wale nō me kahi aniani o ka wai. Ua kuhikuhi ʻia ke ʻano e ke kauka no kēlā me kēia, i hāʻawi ʻia i ke ʻano o ka maʻi, kona ʻehaʻeha, ke ʻano maʻamau o ka mea maʻi. ʻO ka lōʻihi loa i kēlā me kēia lā he 25 g. I ka wā o ka maʻi lapaʻau, hiki ke hoʻonui ʻia e 2 mau manawa.
Inā kūpono, hiki ke hoʻohui pū i nā lāʻau lapaʻau me ka glycosides cardiac, diuretics, sedatives.
Akā ʻaʻole e ʻae ʻia i ka hoʻohana ʻana i nā lāʻau lapaʻau. ʻO Kapoten lāua ʻo Creensril kekahi mau like pū like ʻole:
- ke ala o nā kuʻuna a me ke ake;
- ke koko haʻahaʻa;
- nāwaliwali nāwaliwali;
- ka ae ʻana o kēlā me kēia kīnā i ka lāʻau a i ʻole nā mea i hana ʻole;
- hapai a me ka umauma.
ʻAʻole kuhikuhi ʻia nā keiki ma lalo o 16 mau makahiki i nā lāʻau lapaʻau.
ʻOkoʻa ka ʻokoʻa
Ua like like me Cucksril a me Kapoten i ka hoʻopili ʻana. Akā ʻo ka hopena nui loa nā mea hoʻohui o ka pilina. ʻO Kapoten ka huina palaoa, stearic acid, microcrystalline cellulose, lactose. He nui nā mea kōkua o Creensril: starch potato, magnesium stearate, polyvinylpyrrolidone, lactose, talc, microcrystalline cellulose.
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-24.jpg)
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![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-26.jpg)
He ʻoi aku ka hopena o Kapoten ma ke kino ma mua o Creensril. Akā ikaika nā lāʻau ʻelua, no laila ʻaʻole hiki ke lawe ʻia ʻole. E like me nā hopena ʻokoʻa, hiki iā Creensril penei:
- nā kuʻuna a me ka maʻi lahilahi;
- luhi;
- hoʻonui ulu naʻau;
- nele i ka ʻaihue, ʻeha o ka ʻōpū, kaʻeha huehue;
- maluhia maloʻo;
- anemia
- ʻili ka ʻili.
Hiki i Kapoten ke hoʻopiʻi i kēia mau hopena ʻaoʻao:
- hiamoe
- ʻʻAla
- hoʻonui ulu naʻau;
- ka ʻōpū o ka alo, nā wāwae a me nā lima;
- hōʻeha o ka alelo, nā pilikia me ka ʻono;
- maloʻo ana mai ka membrane ma ka ʻāʻī, maka, ihu;
- anemia
I ka hoʻomaka ʻana o nā hopena ʻaoʻao, pono e hoʻōki i ka hoʻohana ʻana i nā lāʻau lapaʻau a hele i ka haukapila.
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-30.jpg)
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ʻOi ka uku
Ua ʻoi aku ke kumu o ke kumukūʻai o Kapoten. No kahi pākuhi o 40 mau papa me ka noʻonoʻo o ka māhele nui o 25 mg, ke kumukūʻai ʻo 210-270 mau rubles ma Russia. ʻO ka pahu like o nā papa captopril e kūʻai ʻia ma kahi o 60 rubles.
No nā poʻe e hoʻohana mau nei i nā inhibitor ACE, he mea nui kēia ʻano ʻokoʻa. I ka manawa like, hōʻike pinepine nā cardiologists iā Kapoten, e hōʻike ana e ʻoi aku ka ikaika o kāna hopena therapeutic.
ʻO ka mea maikaʻi loa: Capoten a i Cucksril
ʻO nā lāʻau ʻelua ka maikaʻi. He mau analogue lākou, ʻoiai he mau mea ikaika a lākou (captopril). Ma kēia mea, loaʻa i nā lāʻau like nā hōʻailona a me nā contraindications. ʻO nā hopena ʻaoʻao ka mea liʻiliʻi wale nō ma muli o nā mea hoʻohui o ka mea kōkua i ka hoʻopili ʻana. Akā ʻaʻole pili kēia i ka hopena o ka lāʻau lapaʻau.
Ke koho ʻana i kahi lāʻau lapaʻau, pono ʻoe e hoʻomanaʻo i kēia:
- I nā lāʻau lapaʻau ke loaʻa hoʻokahi mea kanu - captopril. Ma muli o kēia, nā like a nā hōʻailona a me nā contraindications no lākou, a me ka hoʻohui ʻana me nā lāʻau ʻē aʻe, ka ʻano hana o ke ʻano ma ke kino.
- Pono nā lāʻau ʻelua no ka mālama lōʻihi ʻana o ka hypertension.
- He mau mea maikaʻi nā lāʻau ʻelua, akā aia wale nō e lawe maʻamau iā lākou a hele i ka dosage.
![](http://img.diabetesentity.com/img/sayd-2020/1394/otlichie-kapotena-ot-kaptoprila-44.jpg)
Ke koho nei i kahi lāʻau lapaʻau, pono ia e noʻonoʻo i nā loiloi o ke kauka.
Ke koho nei i kahi lāʻau lapaʻau, pono ia e noʻonoʻo i nā loiloi o ke kauka. Inā manaʻo ʻo ia ʻo Kapoten ke koho maikaʻi loa, mai hoʻohana i nā mea hoʻohālikelike. Inā ʻaʻohe mea kūʻē iā ke kauka a laila, hiki iā ʻoe ke koho i ka lāʻau lapaʻau ʻoi aku ka liʻiliʻi.
Hōʻike nā kauka i nā kauka
Izyumov OS, cardiologist, Moscow: "ʻO Kapoten kahi lāʻau lapaʻau no ka mālamaʻana i ke kūlana maʻi i ka hoʻololi ʻana i ke ʻano hypertensive i kumu ʻia e nā ʻano like ʻole. He hopena ia, akā akahai naʻe ka hopena ʻokoʻa o ka poʻe maʻi me nā maʻi ʻula, a me kekahi poʻe ʻelemakule. "e mālama ʻia kēlā mea hana i loko o kahi keʻena lāʻau lapaʻau home. ʻAʻole au i ʻike i nā ʻano ʻino maikaʻi loa i kaʻu hana."
ʻO Cherepanova EA, cardiologist, Kazan: "I ka hapanui o ka hoʻohana ʻana ʻo Cikaʻakika he kōkua no ke pilikia o ka maʻi hypertensive. He kūpono loa ia, a ʻae ʻia ke kumukūʻai. ua hoʻonui. No nā kumu ʻē aʻe, ʻoi aku ka maikaʻi o ke koho ʻana i nā lāʻau lapaʻau me ka hopena lōʻihi aku. "
ʻO nā loiloi hoʻomanawanui no ka Capoten a me Creensril
ʻO Oleg, 52 makahiki, ʻo Irkutstk: "He hypertension me koʻuʻike, no laila ke mākaʻikaʻi mau nei au iā Kapoten no ke kolu o ka makahiki. Mahalo iā ia, ua hiolo koke koʻu koko koko.ʻO ka hapalua ka papa i lawa. Ma kahi hihia nui, ma hope o ka hapalua hola ka lawe ʻana i ka ʻāpana ʻelua ʻoi aku ka maikaʻi. "A inā e inu ʻoe i ka wai, e maloʻo nō ia."
ʻO Marianna, he 42 makahiki, ʻo Omsk: "E piʻi ke kaomi ma kēlā me kēia manawa. Ke hoʻāʻo nei wau e pale i nā lāʻau āpau i ka manawa hiki ʻole. Akā, i ka makahiki i hala, ma muli o nā huakaʻi pinepine a me nā loli ʻana o nā kahua. A laila e aʻo ʻia ai ʻo Creensrilka 2 mau papa - a ma hope o ke mau minuke 40 i hoʻomaka ai ka emi ʻana o ka pīpī. Hoʻomaʻi ʻia ke ao aʻe.