Ingabe i-bisoprolol ne-lisinopril zingasetshenziswa ngasikhathi sinye?

Ukwehlisa umfutho wegazi, iLisinopril neBisoprolol zinqunywa ngasikhathi sinye. Zombili lezi zidakamizwa zisetshenziswa ekwelapheni izifo zenhliziyo. Izindlela zihlanganiswe kahle futhi zibe nomphumela omenyezelwe lapho zisetshenziswa ndawonye. Ngesikhathi sokulashwa, umthamo kumele ubhekwe ukugwema ukwehla okukhulu kwengcindezi.

Isimo seBisoprolol

IBisoprolol ingeqembu le-beta-blockers. Umuthi ukhulisa ukugeleza kwegazi enhliziyweni, wehlise isidingo somoya-mpilo enhliziyweni, ubuyisela izinga lokushaya kwenhliziyo futhi unciphise ukumelana okuvamile kwegazi. Ithuluzi linciphisa ukucindezela kwamazinga ajwayelekile kungakapheli amahora angama-2-3 ngemuva kokuphathwa. Isenzo sithatha amahora angama-24.

IBisoprolol ingeqembu le-beta-blockers.

Kanjani i-lisinopril

ILisinopril iyi-inhibitor ye-ACE. Umuthi uvimba ukwakheka kwe-angiotensin 2 kusuka ku-angiotensin 1. Ngenxa yalokho, imikhumbi iyanda, ingcindezi iyancipha iye ezingeni elijwayelekile, izicubu zenhliziyo zibekezelela kangcono umsebenzi womzimba. Inikeza ukufakwa okusheshayo nokuphelele kwento esebenzayo. Ngemuva kokuthatha, ubungozi bokuqhamuka nezinkinga ezinzima zenhliziyo ziyancishiswa. Umphumela ubonwa ngehora eli-1 futhi uthatha amahora angama-24.

Umphumela ohlangene we-bisoprolol ne-lisinopril

Amaphilisi wokucindezela abuyisela ukusebenza kwemisipha yenhliziyo. Ekwelashweni okuyinkimbinkimbi, ukusebenza ngempumelelo kuyanda kanye nengozi yokuthuthukisa i-myocardial hypertrophy neminye imiphumela ye-hypertension kuncishisiwe. Ukusetshenziswa njalo kusiza ukufeza umphumela ongapheli futhi ohlala njalo.

Izinkomba zokusetshenziswa ngasikhathi sinye

Ukwemukelwa kukhonjiswa ngokwehluleka kwenhliziyo okungapheli kanye nomfutho wegazi ophakeme. Ukusetshenziswa kwama-diuretics noma ama-glycosides enhliziyo kungadingeka ngaphezu kwalokho.

Ukuthatha iBisoprolol neLisinopril kuboniswa ngokwehluleka kwenhliziyo okungapheli.

Contraindication eBisoprolol neLisinopril

Kuphikisiwe ekuthini kuqalwe ukwelashwa kwezifo ezithile nemibandela, kufaka phakathi:

• ukukhulelwa
• isikhathi sokuncelisa;
• okuzenzakalelayo angina pectoris;
• ukukhuphuka kwamazinga ama-hormone egilo emzimbeni wakho;
• i-metabolic acidosis;
• ukungahambisani nezakhi zezidakamizwa;
• umfutho wegazi ophansi;
• isimo sokwehlisa umoya;
• ukuba khona kwe-pheochromocytoma;
• Isifo sikaRaynaud esigabeni sekwephuzile;
• i-ricochet arterial hypertension;
• isifuba somoya esibuhlungu;
• ukwehla kwenhliziyo;
• ukwephula ukwakheka noma amandla e-pulse ku-sinus node;
• ukwethuka kwe-cardiogenic;
• ukwehluleka kwenhliziyo okukhulu;
• umlando we-edema kaQuincke;
• i-hypertrophic cardiomyopathy enokulimala kokuhamba kwegazi emithanjeni;
• ukuncishiswa kwe-aortic orifice, imithambo yezinso, noma i-mitral valve;
• ukwabiwa ngokweqile kwe-aldosterone;
• izingane ezingaphansi kweminyaka engu-18;
• sebenzisa nezidakamizwa eziqukethe i-Aliskiren;
• umsebenzi wezinso ongonakalisiwe nenqanaba le-creatinine elingaphansi kwama-220 μmol / l;
• ukungabekezelelani kokuzala kwe-galactose;
• ukuntuleka kwe-lactase.

Ukwephula umthetho wokuthatha i-Bisoprolol neLisinopril kuyinto yokungezwani nezakhi zemithi.

Ukwephula umthetho wokuthatha i-Bisoprolol neLisinopril ukukhuphuka kwezinga lama-hormone egilo egazini.

Ukwephula umthetho wokuthatha iBisoprolol neLisinopril isikhathi sokuncelisa ibele.

Ukwephula umthetho wokuthatha iBisoprolol neLisinopril umfutho wegazi ophansi.

Ukwephula umthetho wokuthatha iBisoprolol neLisinopril ukukhulelwa.

Ukwephula umthetho wokuthatha iBisoprolol neLisinopril ngumlando we-edema kaQuincke.

Ukuxhunyaniswa nokuthathwa kokuthathwa kweBisoprolol neLisinopril ku-angina pectoris okuzenzakalelayo.

Ngesikhathi sokwelashwa, i-hemodialysis isebenzisa ulwelwesi oluphezulu olugelezayo ayivunyelwe.

Ungayithatha kanjani i-bisoprolol ne-lisinopril

Udinga ukuthatha izibhebhe ngaphakathi, ngaphandle kokuhlafuna nokuphuza ngenani elincane loketshezi. Umthamo onconyiwe weBisoprolol neLisinopril we-hypertension ye-arterial yi-5 mg kanye ngosuku. Ngokubekezelela okuhle, umthamo ungakhuphuka kancane kancane. Ngokuhluleka kwezinso, umthamo kufanele wehliswe ku-2,5 mg.

Ekuhlulekeni kwenhliziyo okungapheli, umthamo wokuqala ngu-1.25 mg we-bisoprolol no-2,5 mg we-lisinopril. Umthamo wanda kancane kancane.

Ngoshukela

Ngomfutho owandayo wokulwa nesizinda se-mellitus engavikeleki nge-insulin, ama-10 mg weLisinopril no-5 mg weBisoprolol athathwa.

Imiphumela emibi

Imiphumela emibi ingenzeka ngesikhathi sokwelashwa:

• ukukhwehlela okomile;
• I-edema kaQuincke;
• ukwehlisa umfutho wegazi;
• izinhlungu esifubeni
• ukuzindla kwenhliziyo;
• ukukhathala;
• izicubu zomsipha;
• i-bronchospasm;
• ukwehla kwenani lamaseli egazi amhlophe namaplatelethi egazini;
• i-anemia
• i-bradycardia;
• Ukugaya ukudla kuyacasuka;
• ukuvuvukala kwamanyikwe;
• Ubuhlungu besisu
• ukuqubuka kwesikhumba nokulunywa;
• umsebenzi wokulimala we-renal kanye we-hepatic;
• amazinga aphezulu e-potassium ne-sodium, i-creatinine, i-urea kanye nama-enzyme wesibindi egazini;
• ukuqaqamba kwemisipha;
• ikhanda
• Isiyezi
• isimo sokudangala;
• ukuthikamezwa kwezindlebe;
• ukuqunjelwa;
• isicanucanu
• ukuqunjelwa
• ukungasebenzi kahle kwe-erectile.

Imiphumela emibi yokuthatha iLisinopril neBisoprolol kungenzeka ukuthi ukulahleka kwezindlebe.

Umphumela omubi wokuthatha uLisinopril neBisoprolol ungaba buhlungu esifubeni.

Imiphumela emibi yokuthatha iLisinopril neBisoprolol ingaba yi-bradycardia.

Umphumela omubi wokuthatha iLisinopril neBisoprolol kungaba yi-bronchospasm.

Umphumela omubi wokuthatha iLisinopril neBisoprolol kungenzeka ukuthi une-anemia.

Umphumela omubi wokuthatha iLisinopril neBisoprolol kungaba ukukhwehlela komile.

Ukulimala kwemisipha kungaba ngumphumela omubi wokuthatha iLisinopril neBisoprolol.

Uma imiphumela emibi ivela, kuyadingeka ukunciphisa umthamo noma ukuyeka ukwelashwa. Ngemuva kokuyeka umuthi, izimpawu ziyanyamalala.

Umbono wodokotela

Elena Antonyuk, udokotela wezifo zenhliziyo

IBisoprolol inemiphumela ye-antianginal ne-antiarrhythmic. Umphumela we-antihypertensive uphinyiselwa ngokusetshenziswa kanyekanye ne-lisinopril. Kungakapheli amasonto angama-2-2 elashwa, ingcindezi iyeka ukwanda futhi isimo sesiguli siyathuthuka. I-Arrhasmia iyanyamalala, imikhumbi iyanda, futhi ukusebenza kwe-myocardium kuyathuthuka. Ngaphambi kokuqala ukwelashwa, kubalulekile ukubonana nodokotela wezinhliziyo.

Anastasia Eduardovna, udokotela wezokwelapha

Izidakamizwa zinomphumela we-antihypertensive. Ziyahambelana futhi zisetshenziselwa umfutho wegazi ophakeme. Intengo yezidakamizwa engabizi ingenye yezinzuzo. Ukwelashwa kunciphisa ingozi yokulimala kwenhliziyo.

Ukubuyekezwa kweziguli

U-Oleg, oneminyaka engama-41

Wathatha inhlanganisela yezidakamizwa ngokuya ngemiyalo ye-arterial hypertension. Umphumela wazwakala kungakapheli isonto. Ingcindezi ayisakhuphuki kumanani aqinile, inhliziyo yayeka ukugwaza futhi ishaya ngokuthula. Ngikwazi futhi ukubona ukwehla kwe-potency, yize ngemuva kokuqedwa kokwelashwa uphawu lwanyamalala.

UChristina, oneminyaka engama-38

Sekuphele iminyaka ngiphethwe umfutho wegazi ophakeme. Ngemuva kokusebenzisa izidakamizwa ezimbili, lesi simo saba ngcono ezinsukwini ezingama-2-3. Kwakungekho ukusabela okungekuhle, noma ngesinye isikhathi ngangizizwa ngibuthakathaka futhi ngilambe. Ngikholwa ukuthi amaphilisi kufanele aphuzwe kumthamo okungenani nangemva kokufunda ukusebenzisana nezinye izidakamizwa. Ungafunda izakhiwo zezidakamizwa kulwazi kumasayithi akhethekile, kepha udinga ukunika amandla i-Java.