Hoʻohana pinepine ʻo Telzap i ka loaʻa ʻana o ka maʻi hypertension. Eia kekahi, ua kuhikuhi ʻia e hoʻoponopono i ke ʻano o nā mea maʻi me ka maʻi mellitus a me nā pono mokala.
Inoa Kūʻai ʻole honua
INN o ka lāʻau lapaʻau ʻo Telmisartan.
Ua hōʻike ʻia ka lāʻau lapaʻau ʻo Telzap e hoʻomaʻamaʻa i ke ʻano o nā mea maʻi me ka maʻi mellitus me ka myocardial infarction.
ATX
KAUKU ATX: Telmisartan - C09CA07.
E hoʻokuʻu i nā palapala a me ka ʻano
ʻO ka lāʻau lapaʻau ma ke ʻano o nā papa. 1 hapai (40 mg) loaʻa:
- nā lālā hana (telmisartan) - 40 mg;
- Nā kumuwaiwai hou: sodium hydroxide (3.4 mg), sorbitol (16 mg), meglumine (12 mg), magnesium stearate (2.4 mg), povidone (25 a 40 mg).
I loko o nā papa o 80 mg, like ka mea like, akā ʻoi aku ka nui o ka nui o nā mea kōkua a me nā mea ikaika.
Ka hana lāʻau lapaʻau
Ke hōʻemi nei ka lāʻau lapaʻau i ke kiʻekiʻe o ka aldosterone i loko o ke koko koko, ʻaʻole i pale i ka hana o nā kahe e mālama ana i ke kahawai, kininase II a ʻaʻole i kōkua i ka pale ʻana o renin. Ma muli o kēia, ʻaʻohe hopena pili e pili ana i ka hopena o ka bradykinin. I ka poʻe me ke olakino maʻamau, ʻoi aku ka hopena o ka lāʻau lapaʻau i ka hopena o nā ʻāpena II-angiotensin. Lalo kēia hopena ma mua o 24 mau hola a lōʻihi i nā hola 50.
Hoʻomaka ka hopena antihypertensive o ka lāʻau i nā hola 1-3 ma hope o kona hoʻohana. Me ka hypertension arterial, hōʻemi ka lāʻau lapaʻau i ke koko, ʻelua diastolic a me systolic, me ka hoʻopi ʻole ʻana i ka puʻuwai puʻuwai. Me ka hoʻolōʻihi o ka hoʻomaʻamaʻaʻana i kēia mau hōʻino, ke hoʻi kahe koko i ka maʻamau. ʻAʻole ʻike ka mea maʻi i ka maʻi haʻalele.
Lapaʻau lāʻau
Hoʻoholo koke ʻia ka receptor antagonist mai ka gastrointestinal tract ma hope o ke alakaʻi waha ʻana. Loaʻa ka kiʻekiʻe loa o ka plasma koko ma hope o 30-90 mau minuke ma hope o ka hoʻokele ʻana.
Hoʻokuʻu ʻia ka lāʻau lapaʻau ma loko o nā ʻōpū (e pili ana iā 97%) a me nā keiki (2-3%).
ʻO ka hoʻopau hapa hapa-ola e ʻoi aku ma mua o 21 mau hola.
Nā hōʻailona no ka hoʻohana ʻana
Lako ʻia ka lāʻau lapaʻau i loko o ia mau ʻano:
- me nā mea pono a me nā ʻano ʻē aʻe o ke ʻano o ka hypertension;
- e hōʻemi i ka loaʻa ʻana o nā maʻi o ka ʻōnaehana cardiovascular, ka atherothrombotic kumu a me ka make ma nā maʻi me nā maʻi mellitus (2 mau ʻano).
Hoʻomaopopo ʻia ka lāʻau lapaʻau e hōʻemi i ka loaʻa ʻana o nā maʻi o ka ʻōnaehana cardiovascular.
Nā Hoʻohui
ʻO ka pale ʻana i ka lawe ʻana i nā pōpoki:
- hui pū me aliskiren i loko o ka pilikia nui o ka maʻi nui a me nā ʻano maʻi like ʻole;
- hui pū me ACE inhibitors ma ke ʻano like ʻole o ka nephropathy;
- maʻi hoʻopunipuni o nā maʻi maʻa biliary;
- maʻi momona i loko o ka fructose;
- hana hewa nui i ka hana o ka nalo
- lactation (hana umauma) a me ka wā hāpai;
- ahonui a emi mai ka 18 makahiki;
- ka mālama ʻole ʻana o nā mea āpau i nā mea o ke ʻano o ka lāʻau lapaʻau.
Me ka mālama pono
Hoʻomaʻamaʻa maikaʻi ʻia ka lāʻau lapaʻau no kēia mau ala a me nā ʻano:
- stenosis o nā mākaukau i ka lolo;
- nā hiʻohiʻona maʻalahi a me ka leʻaleʻa;
- kau palena ma ka hoʻohana ʻana i ka paʻakai (papaʻaina);
- hyponatremia;
- hypotension koʻikoʻi;
- paau a me ka maʻi;
- cardiomyopathy (puka hypertrophic).
- ʻano kikoʻī o ka huhū naʻau;
- ʻO ka stenosis valve mitral / aortic.
Eia kekahi, pono e mālama pono ʻia ka lāʻau lapaʻau no ka hemodialysis a me nā mea maʻi e pili ana i ka lāhui Negroid.
Pehea e lawe ai i ke telzap
Lawe ʻia ka lāʻau lapaʻau ma mua (hoʻokahi lā) i ka lā hoʻokahi, me ka loaʻa ʻole o ka manawa ʻai. Pono e holoi ʻia nā papa ʻōlelo me kahi aniani o ka wai.
I nā maʻi me ka hypertension arterial, ʻo ka nui o ka nui o ka ʻōlelo no 40 mg / lā. Ua kuhikuhi ʻia kekahi mau maʻi e 20 mg o ka lāʻau. Hiki iā ʻoe ke hoʻokō i kēia helu ma ka wāwahi i ka pale ma ka hapalua. Inā ʻaʻole i loaʻa ka hopena therapeutic, a laila hoʻonui ka nui o ka lāʻau lapaʻau. ʻO ka palena nui loa he 80 mg / lā.
E hoʻohaʻahaʻa i ka helu naʻau, pono e lawe ʻia ka lāʻau lapaʻau ma kahi o 80 mg.
I kēia hihia, pono ka mea maʻi e nānā pono ana i nā hōʻailona o ka lāʻau lapaʻau.
Hoʻohana ʻia i ka maʻi maʻi
I ka poʻe maʻi me ka maʻi mellitus maʻi mellitus a me CVD nā mea kūpono, i ka wā e hoʻohana ai i ka lāʻau lapaʻau, hōʻeha i ka make koke a i ʻole e hōʻemi ʻia ka infococent myocardial infarction. No laila, pono e lawe ʻia ka lāʻau lapaʻau ma lalo o ka mālama ʻana i nā kauka. Eia kekahi, ʻo kēia mau mea maʻi e hana i kahi hoʻokolohua hou, e like me nā hopena o ke koho ʻana i ka lōʻihi o ka lāʻau a me ke ʻano o ka lāʻau lapaʻau.
ʻO ka lāʻau lapaʻau e hōʻemi i ka nui o ke kō i loko o ke koko, no laila me ka maʻi diabetes, pono ʻoe e lawe ma lalo o ka mālama pono ʻana o ka glucose. I kēlā mau kūlana, pono ia e hoʻoponopono i ka nui o ka insulin.
Nā hopena hopena
Ke hoʻohana nei i ka lāʻau lapaʻau, hiki iā ʻoe ke hālāwai i nā hōʻike ʻino ʻole o kahi ʻano ʻē.
ʻŌpala Gastrointestinal
- huahuʻi / constipation;
- utuka
- uluwauwa a hoonui ka mahuahua;
- hoʻowahāwahā ʻaʻa;
- ka malo maloʻo.
Hematopoietic mau hui
- eosinophilia (luhi);
- anemia (i nā hihia koʻikoʻi);
- thrombocytopenia.
Pūnaehana pīhoihoi waena
- hiamoe hiamoe;
- Kuhi kaumaha
- poʻomanaʻo
- hiamoe
- mai nā kahalule.
Mai ka pūnaehana urinary
- ka hana hewa ʻana o nā pūpū (me ke ʻano o ke ʻano o ka hana o ka pilikia ʻole).
Mai ka papa huhū
- ua mai
- ʻeha ka ʻāʻī;
- ʻaʻano pōkole.
Ma ka ʻāpana o ka ʻili
- rashes a me ka ʻeha;
- ʻO ka makeʻe o Quincke;
- urticaria;
- erythema a me ka eczema;
- huʻipiʻi a me nā lāʻau lapaʻau.
Mai ka pūnaehana genitourinary
- huakai
- hoʻemi i ka libido.
Mai ka pūnaehana cardiovascular
- haʻi ʻia ʻana i ka emi o ke koko;
- bradycardia;
- tachycardia;
- hypotension o nā ʻano orthostatic.
ʻŌnaehana Endocrine
- hypoglycemia;
- hyperkalemia
- Kōkuhi hormonal;
- hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi maʻi.
Ma hope o ka lawe ʻana i Telzap, hiki mai paha ke nānā ʻana i ka hormonal.
Ma ka ʻāpana o ka ate a me ka pāpaʻi biliary
- lesi a me ka hana lēwa.
Allergies
- kahi hōʻike anaphylactic;
- haaheo.
Nā ʻōlelo kikoʻī
Ma mua o ka hoʻohana ʻana i nā papa, kuhikuhi ke kauka i ka mea maʻi i kahi noiʻi, ka mea e hoʻoholo ai i ka pae o ka pāhana ma loko o ke kaila koko. Inā aiai kēia mākaia, a laila kau ʻia ka pāpā holoʻokoʻa ma ka hoʻohana ʻana i ka lāʻau antihypertensive.
Hoʻolaha ka waipuna
ʻO nā mea i loaʻa i nā mea inu waiʻona he hopena koʻikoʻi loa nā pili o ke koko. ʻO ka hui pūʻana o ka lāʻau me nā mea hiki ke alakaʻi i nā hopena i hiki ʻole ke hāpai ʻia, no laila ʻaʻole pono e hui pū me ka waiʻona.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Mālama i nā ʻenehana mīkini paʻakikī a me nā kaʻa i ka wā e lawe pono ai i ka lāʻau lapaʻau e like me ka manawa kūpono, ʻoiai i loko o kēia manawa ke hālāwai nei ʻoe me ka hiamoe a me ka nahā.
Hoʻohana i ka wā hāpai a me ka lactation
Lā ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau i ka wā hapai. I ka wā lactation, i ka wā e hoʻohana ai i ka lāʻau, pono e oki ʻia ka umauma.
Waihoia o Telzap i na keiki
Hōʻike ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau i nā mea maʻi i nā makahiki ʻōpio i keu aku nā makahiki.
Hoʻohana i ka wā kahiko
ʻAʻole koi nā maʻi maʻi i ka hoʻoponopono hoʻoponopono ʻia.
Ke noi no ka hana renal haukapole
ʻO nā maʻi me ka maʻi palaualelo maʻalahi a me ka malia pono e hoʻoponopono i ka hoʻoponopono dosis. I nā maʻi lahilahi, ua contraindicated nā lāʻau lapaʻau. I kēia hihia, pono i ka mea maʻi e hoʻomalu i ka pae o CC ma ka kaila koko.
Hoʻohana no ka hana lawelawe lēwa
Hāʻawi ʻia ka lawe ʻia ʻana o nā pōpoki ma mua o nā maʻi obplive o ka ʻili biliary. Eia kekahi, ua pāpā ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana e ka poʻe me ka maikaʻi ʻole o ka ate a me kekahi mau hana maikaʻi ʻole o ka ate.
Ke keu
ʻO nā hōʻailona o ka nui o ka nui o ke ʻano o ka lāʻau lapaʻau e hōʻike i ka tachycardia a me kahi manawa i hoʻokaʻawale ʻia i ke koko. ʻO ka popo a me ka bradycardia e hele pū kekahi. Hoʻomaʻamaʻa ka hoʻomaʻamaʻa.
Inā hele ʻole nā hopena maikaʻiʻole, e kāpae i ka lawe ʻana i nā papa a nīnau aku i kāu kauka.
Hoʻopili pū me nā lāʻau ʻē aʻe
I ka hoʻohui ʻana i kahi lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe, hiki ke ʻike ʻia nā hopena kūlike.
Hoʻohui hui like ʻole
ʻAʻole pāpā i ka hoʻohui ʻana i ka lāʻau lapaʻau me ka ACE inhibitors i loko o nā mea maʻi me ka nephropathy maʻi. Eia kekahi, pāpā ia i ka hoʻohui pū me ia me aliskiren.
I ka hoʻohui ʻana i kahi lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe, hiki ke ʻike ʻia nā hopena kūlike.
ʻAʻole i hāʻawi ʻia
He mea pono ʻole e hoʻohui i nā papa a me kahi diuretic thiazide (hydrochlorothiazide a me ka furosemide), no ka mea, he hui like ʻole e hoʻonāukiuki i ka hypovolemia.
ʻO nā hui e koi ana i ka mālama
Me ka hoʻohana pū ʻana o kahi lāʻau lapaʻau me ka hoʻomākaukau ʻana o lithium, e pono ai ke kaohi ʻana o ka pae o lithium ma ka plasma koko. Pēlā i pili i nā lāʻau lapaʻau, ʻo ia hoʻi, i ka wā e hui pū ʻia ai lākou me ka lāʻau lapaʻau e nīnau ʻia ai, pono e hoʻomanawanui ka mea maʻi i ka manaʻo o ka potassium ma loko o ke koko koko. Kēia maoli nō kēia no nā poʻe maʻi me ka hana aho lēwa.
Nā kuʻina
ʻO nā ʻano ʻoniʻoni ʻoni hou loa:
- Hoʻolālā Telzap;
- Losartan;
- Nortian;
- Valz;
- Lozap;
- Naviten;
- Telmista;
- Mikardis.
Waihue huaʻōlelo waiho nā huaʻōlelo
ʻAʻole i loaʻa ka lāʻau lapaʻau no ke kūʻai aku.
Hiki iaʻu ke kūʻai me ke kī ʻole
Hoʻokuʻu wale ʻia ka lāʻau lapaʻau inā he lāʻau lapaʻau ka lāʻau lapaʻau.
Ehia kālā a Telzap
Hoʻomaka ke kumukūʻai o kahi lāʻau lapaʻau mai 313 rubles i 1 pā me ka papa 30.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Pono e mālama ʻia ka lāʻau lapaʻau mai ka hiki ʻole o nā holoholona a me nā keiki liʻiliʻi. ʻO ka wela kūpono - ʻaʻole ma mua o + 25 ° C.
ʻO ka lā kau
Aʻae i ka 2 mau makahiki mai ka lā i hana ai.
Mea hana
ʻOihana hui "Zentiva" ("ZENTIVA SAGLIK URUNLERI SANAYI VE TICARET").
ʻO ka keʻena māka Lūkini ka hui lāʻau lapaʻau ʻo Sanofi.
Hoike e pili ana iā Telzap
E pili ana i ka lāʻau lapaʻau e pane maikaʻi ana. Ma muli o kāna hana pono a loaʻa i ka loaʻa.
Kauka
Sergey Klimov (cardiologist), 43 makahiki, Severodvinsk
Ke kuhikuhi nei wau i kēia mau peni no nā mea maʻi me ka hypertension. Hoʻomaopopo lākou i ka hana wikiwiki o ka telmisartan (ʻo ka mea hana o ka lāʻau lapaʻau) a me ke kumukūʻai kūpono. ʻO ka mea hou nei, ua aʻo aku ʻo ia i kona makuahine e hoʻohana i ka lāʻau lapaʻau. Eia kekahi, ua ʻohi au i kāna mau kīʻaha meaʻai maikaʻi, ʻoiai ʻo ia ka maʻi maʻi maʻi.
ʻO Anna Kruglova (ʻoihana), 50 makahiki, ʻo Ryazhsk
He maʻalahi ka lāʻau lapaʻau - 1 mau lā i ka lā. He lawa kēia i ka hoʻololi maoli i ke koko no ka 1 papa o ka lāʻau lapaʻau. No ka hopena o ka hopena, hōʻike ka poʻe maʻi i ka hiamoe wale nō, no laila ke hoʻohana ʻia nei i ka lāʻau lapaʻau e aʻo ʻia e pale aku i nā hana e hoʻopilikia ʻia e makemake ai i ka nui o ka makaʻala.
ʻO nā maʻi maʻi
Dmitry Nebrosov, 55 makahiki, Moscow
He hypotension arterial wau, no laila ua hoʻomaka wau e "kākoki" ikaika i loko o koʻu mau pā. Ma muli o kēia pilikia, ʻaʻole ka hana pono, ua kū ka mau ʻeke ma lalo o nā maka. Ua kuhikuhi ke kauka i kēia mau lāʻau. Ua hoʻomaikaʻi maoli koʻu olakino ma ka 1 wiki i ka lawe ʻana iā lākou. ʻO kēia ke lawe mau nei wau, no ka mea he pale maikaʻi kēia.
Igor Kondratov, 45 makahiki, Karaganda
Ua kōkua ka lāʻau lapaʻau i koʻu hoahānau pili i ke ola mai ka myocardial infarction. Loaʻa iā ia kahi hiʻohiʻona olakino.
