Umuthi unqunywe ngomfutho wegazi ophakeme. Ithuluzi livimbela ukuthuthukiswa kwezinkinga zenhliziyo kubantu asebekhulile. Lapho ilawulwa, umphumela we-vasoconstrictor we-angiotensin 2 uvaliwe Ekupheleni kokwelashwa, ukuhoxiswa kwesifo akwenzeki.
I-ATX
C09CA07
Ithuluzi livimbela ukuthuthukiswa kwezinkinga zenhliziyo kubantu asebekhulile.
Khipha amafomu nokwakheka
Umenzi ukhipha isidakamizwa ngesimo samathebulethi. Isithako esisebenzayo yi-telmisartan ngenani lama-80 mg.
Amaphilisi
Amacwecwe ahlanganiswe kuma-pcs ayi-14 noma angama-28. emaphaketheni.
Amaconsi
Uhlobo olungekho ukukhishwa.
Isixazululo
Ifomu lomthamo ngendlela yesisombululo noma isifutho alikho.
Amakhandlela
Umenzi akakhululi umkhiqizo ngesimo samaphilisi.
Amafutha
Amafutha kanye nejeli kuyizindlela ezingekho emthethweni zokukhishwa.
Amakhandlela
Umuthi awuqhubeki uthengiswa ngamakhandlela.
Amacwecwe ahlanganiswe kuma-pcs ayi-14 noma angama-28. emaphaketheni.
Isenzo se-Pharmacological
Isithako esisebenzayo sibopha ama-receptors e-AT1 isikhathi eside futhi sinqande isenzo se-angiotensin 2. Iyanciphisa inani le-hormone ye-adrenal cortex ye-aldosterone egazini. Akunamphumela kumarenin we-renin, bradykinin nase-ion. Ithuluzi lisiza ekunciphiseni imithambo yegazi kanye nomfutho wegazi ophansi.
I-Pharmacokinetics
Imunca ngokushesha ivela emgudwini wokugaya ukudla. Ibopha ngokuphelele amaprotheni e-plasma futhi i-biotransformed ngokubopha i-glucuronic acid. Ukuqedwa kwesigamu sempilo emzimbeni kusuka okungenani amahora angama-24. Igcotshwe emgodini nomchamo. Idatha ye-Pharmacokinetic ezinganeni ezineminyaka eyi-6 kuye kweli-18 ayihlukile kwiziguli zabantu abadala.
Izinkomba zokusetshenziswa
Umuthi ubekelwe ukwanda okuqhubekayo komfutho wegazi.
Contraindication
Ithebula alinqunyelwe phambi kwezifo nemibandela elandelayo:
- ukungezwani komzimba ezakhiweni zomuthi;
- ukuvinjwa kwemigqa ye-bile;
- ukwehluleka kwezinso kanye nesibindi;
- isikhathi sokuncelisa kanye nokukhulelwa;
- izingane ezingaphansi kweminyaka engu-18.
Umuthi akufanele uphuzwe uma kwenzeka kungabekezelelwa ifa le-fructose.
Ungayithatha kanjani iMikardis 80?
Kuyadingeka ukuthatha umuthi ngaphakathi ngaphakathi nenani elincane lamanzi. Kungcono ukuthatha ngesikhathi sokudla noma ngemuva kokudla.
Kwabadala
Umthamo ophakanyiselwe abantu abadala, ngokwemiyalo yokusebenzisa, ungama-40 mg (isigamu sethebhulethi) kanye ngosuku. Ezinye iziguli zingabekwa ngama-20 mg (ikota lethebhulethi) kanye ngosuku. Isilinganiso esiphezulu ngamathebhulethi amabili ngosuku. Lapho kukhona umfutho wegazi omkhulu onamandla we-arterial, i-Hydrochlorothiazide ingahle inqunyelwe ngenani le-12,5-25 mg / ngosuku. Ezinyangeni ezi-1-2 zokudla okujwayelekile, ukwehla kwengcindezi kuya ezingeni elijwayelekile kuyaphawulwa.
Okwezingane
Ebuntwaneni, umuthi akufanele uqale.
Ingabe iMikardis 80 mg ingahlukaniswa ngesigamu?
Ithebhulethi, uma kunesidingo, ihlukaniswe ngesigamu noma izingxenye ezine.
Ukuthatha umuthi wesifo sikashukela
Ithuluzi lingathathwa nesifo sikashukela. Ukuvimbela ukukhula kwe-hypoglycemia, udokotela kufanele alungise umthamo.
Ithuluzi lingathathwa nesifo sikashukela.
Imiphumela emibi
Ngesikhathi sokwelashwa, kuvela okungekuhle okuvela ezinhlotsheni nasezinhlelweni ezahlukahlukene kungavela.
Amapheshana wesisu
Imvamisa kuba nomuzwa ongathandeki esifundeni se-epigastric, ukuqhuma, izihlalo ezikhululekile nobuhlungu besisu. Umsebenzi wama-enzyme wesibindi ungakhuphuka.
Izitho zeHematopoietic
Ukuthatha umuthi kungadala ukwehla kwengcindezi yegazi, ukwephula isigqi senhliziyo nobuhlungu endaweni yesifuba.
Isistimu yezinzwa ephakathi
Kukhona ukungasebenzi kwemisipha okungahleliwe, i-migraine, isiyezi, ukozela, ukunganaki.
Kusuka ohlelweni lomchamo
Ukuvuvukala kuvela ngenxa yokuqothuka koketshezi kwezicubu. Ezimweni ezingavamile, ukutheleleka kwethamo lomchamo kwenzeka.
Kusuka ohlelweni lokuphefumula
Ipheshana lokuphefumula elingaphezulu lithathwa kalula yizifo ngesikhathi sokwelashwa. Ukukhwehlela kungenzeka.
Ngemuva kokuthatha umuthi, ukukhwehlela kungenzeka, njengomunye wemiphumela emibi.
Allergies
Endabeni yokwaliwa yizakhi zomuthi, kuvela ukuqubuka esikhunjeni, i-urticaria noma i-edema yeQuincke.
Imiyalo ekhethekile
Uma ukuhlushwa kwe-sodium egazini kuncishisiwe, umthamo uyancishiswa. ISorbitol ikhona ekwakhiweni, ngakho-ke, ukwamukela akuqali ngokwabiwa ngokweqile kwe-aldosterone kanye nokungabekezelelani kwe-fructose. Ukuqapha kufanele kusetshenziswe uma kwenzeka kune-pathologies yesisu esiswini, i-mitral valve stenosis, ukuhluleka kwenhliziyo, ukulimala okuyisisekelo kwemisipha yenhliziyo, i-bilateral renal artery stenosis, i-aortic stenosis, izinkinga zezinso nezinso.
Ukuhambisana notshwala
I-Ethanol ithuthukisa umphumela walesi sidakamizwa futhi ingaholela ekwehlekeni okukhulu kwengcindezi yegazi. Ukusetshenziswa okuvumelanayo ku-contraindified.
Umthelela ekhonweni lokulawula izindlela
Imiphumela emibi ingenzeka ngendlela yesiyezi nobuthakathaka, ngakho-ke kungcono ukulahla ukuphathwa kwezindlela eziyinkimbinkimbi.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Abesifazane abakhulelwe futhi abancelile akufanele baphuze umuthi. Ukuncelisa amabele kufanele kungaphazanyiswa ngaphambi kokuqala ukwelashwa.
Ukweqisa
Ukungezelela umthamo onconyelwayo emiyalweni kuholela ekuqothulweni kwe-arterial hypotension. Ngokuncipha okukhulunyiwe kwengcindezi, isiyezi, ubuthakathaka, ukujuluka, umuzwa wokubanda ezingalweni nasemilenzeni kwenzeka. Kuyadingeka ukuyeka ukuthatha lo muthi futhi ubonane nodokotela.
Isiyezi singenye yezimpawu zomuthi okweqisa izidakamizwa.
Ukuxhumana nezinye izidakamizwa
Ngaphambi kokusebenzisa umuthi, kubalulekile ukutadisha ukuxhumana neminye imishanguzo. Ingxenye esebenzayo yalesi sidakamizwa isiza ukwandisa ukugcwala kwe-lithium egazini kanye ne-digoxin.
Inhlanganisela ayinconywa
Ama-inhibitors e-ACE, ama-potureum-sparing diuretics, kanye nezithasiselo zokudla eziqukethe i-potassium, uma kungenziwa ndawonye, kungaholela ekwandeni kwamazinga e-potassium egazini.
Ngokunakekela
Ngokusebenzisa kanyekanye i-telmisartan ne-ramipril, ukwanda kokuhlushwa kwe-plasma yegazi kwenzeka.
Ngesikhathi sokuphatha, umphumela we-hydothlorothiazide nezinye izidakamizwa uyathuthukiswa ukuze kuncishiswe ingcindezi. Ukuqapha kufanele kusetshenziswe lapho kunqunywa ngamalungiselelo e-lithium.
Analogues of Mikardis 80
Ekhemisi ungathenga izidakamizwa ezifanayo ezenzakalweni ze-pharmacological:
- I-Irbesartan
- Aprovel;
- I-blocktran;
- ULorista
- UMikardis 40.
I-Telmista, iTelzap neTelsartan ziyizithonjana ezishibhile zalo muthi. Izindleko zabo zivela kuma-ruble angama-300 kuye kwangama-500. Ngaphambi kokubuyisela umuthi, kufanele uvakashele udokotela futhi uhlolwe.
Imibandela yekhefu lekhemisi
Ngaphambi kokuthenga umuthi, kufanele ulethe incwadi kadokotela wakho.
Intengo
Intengo ephakathi kwephakeji ngalinye ingama-ruble angama-900.
Izimo zesitoreji iMikardissa 80
Amathebulethi kufanele agcinwe emaphaketheni awo okuqala kumazinga okushisa afinyelela ku- + 25 ... + 30 ° C.
Isikhathi sokuphelelwa yisikhathi
Isikhathi sokugcina - iminyaka emi-4.
Ukubuyekezwa mayelana neMikardis 80
UMikardis 80 mg - ithuluzi elisebenzayo lokulawula ingcindezi. Iziguli zibika umphumela ozinzile wamahora angama-24. Odokotela batusa ukuphuza iphilisi lelo futhi ngaphansi kokuqondisa kwabezokwelapha.
Odokotela
U-Igor Lvovich, udokotela wezifo zenhliziyo, eMoscow.
Ithuluzi lilinganisa ukucindezelwa futhi livimbela ukwanda kwalo. Inomphumela omncane wokugaya futhi ikhuthaza ukuphuma kwe-sodium emzimbeni. Umphumela wenzeka kungakapheli amahora angama-2-3 ngemuva kokuthatha iphilisi. Umuthi unciphisa ukufa kwabantu futhi uvimbela ukuthuthukiswa kwezinkinga ngenxa yezifo zohlelo lwethambo nenhliziyo. Nginquma ukuqaphela ekwehlulekeni kwezinso.
U-Egor Sudzilovsky, udokotela wezokwelapha, uTyumen.
Nikeza umuthi owenzelwe umfutho wegazi ophezulu. Isithako esisebenzayo sisusa i-angiotensin, kepha asithinti i-bradykinin. Imiphumela emibi incisheke kunezinye izidakamizwa ze-antihypertensive. Ngemuva kokuphathwa, i-vasodilation kanye nokucindezela kwehla, kepha isilinganiso senhliziyo sihlala singashintshiwe. Inkambo yokwelashwa kufanele ibe okungenani inyanga. Umthamo ukhethiwe ngamunye futhi, uma kunesidingo, wanda kancane kancane.
Ngenkathi uphuza umuthi, kungcono ukuyeka ukuphathwa kwezindlela eziyinkimbinkimbi.
Iziguli
UCatherine, oneminyaka engama-44, uTogliatti.
Umuthi uqala ukusebenza ngemuva kwamahora ama-2-3. Kungakapheli amahora angama-24, akukho ukucindezela okugcotshwayo okubhekwa uma kuthathwa ngasikhathi sinye ngokwemiyalo. Uma ukwamukelwa kwemukelwa kuphuthelwe, awudingi ukuwuthatha kumthamo ophindwe kabili ngenxa yokuqhamuka nemiphumela engathandeki. Ezinyangeni eziyi-1.5 zokwelashwa, bekunokwenzeka ukulengisa ingcindezi.
UPavel, oneminyaka engama-27 ubudala, uSaratov.
Umuthi ubekezelelwa kahle ngumzimba. Ngathenga ubaba ukuzehlisa ingcindezi. Inesenzo eside. Kwadingeka ukuthi ngithathe umthamo omncane (20 mg) ngenxa yokulimala kwesibindi. Kujabulile ngomphumela.
U-Ana, oneminyaka engama-37, uKurgan.
UMikardis Plus wasiza ukubhekana nomfutho wegazi ophakeme ngemuva komfutho we-arterial hypertension. Ngemuva kokuvuma, ukuchama kaningi kuyabonakala. Ekuqaleni kokwelashwa, kwaphazamiseka ikhanda, i-tachycardia, kanye nenausea. Ukuqhubeka nokuthatha, futhi ngemuva kokunciphisa umthamo kuya ku-40 mg, imiphumela emibi yanyamalala. Ngiyayincoma.
