IHartil Amlo umuthi ohlanganyelwe wezenzo osetshenziselwa ukwengeza umfutho wegazi nokubuyisa ukujikeleza kwegazi.
Igama Lezwe elingafanele
NgesiLatin, umuthi ubizwa nge-HARTIL AMLO futhi ubhaliswe ngaphansi kwe-INN enjalo.
IHartil Amlo isidakamizwa esiyinhlanganisela.
I-ATX
Ikhodi yomhlaba C09AA05.
Khipha amafomu nokwakheka
Umuthi uyatholakala ngesimo samaphilisi we-gelatin we-5 mg no-10 mg wesithako esisebenzayo esisebenzayo. Into esebenzayo yi-ramipril (Ramiprilum). Leli yindawo yamakhemikhali eyi-soluble emhlophe emhlophe ekuxazululeni izixazululo ze-buffer kanye ne-organic sol sol. Abahambeli - i-amlodipine, i-microcellulose, i-crospovidone, i-hypromellose.
Isenzo se-Pharmacological
Umuthi ungowe-ACE inhibitors (angiotensin ACF) Lezi yizinto ezivimba ukuguqulwa kwe-angiotensin 1 kuya ku-angiotensin 2. Ngenxa yalokho, ngenqubo ende yokwelashwa ngomuthi, umfutho wegazi uyancipha kanti nomthwalo emisipha yenhliziyo uyancipha. Ngenxa yalokhu, izidakamizwa zivimbela izifo zenhliziyo futhi zilondoloze ukuqina kwe-myocardial.
I-Pharmacokinetics
Ngemuva kokuphathwa ngomlomo, into esebenzayo igxila ngaphakathi kwamahora we-1-2. Inani eliphakeme kakhulu lokuvezwa lifinyelelwa ngemuva kwamahora ama-4, bese umuthi usebenza emzimbeni cishe usuku. Ngakho-ke, ngenkambo yokwelashwa kanye nokusetshenziswa nsuku zonke kweHartil, ukugcwala kwe-plasma ye-ramipril kukhuphuka, okunomphumela we-antihypertensive futhi kuvimbela imiphumela yokwehluleka kwenhliziyo.
Ngenkambo ende yokwelashwa ngeHartil Amlo, umfutho wegazi uyancipha kanti nomthwalo osemisipha yenhliziyo uyancipha.
I-metabolism esebenzayo yenzeka emgodini wokugaya ukudla, futhi into iyakhishwa yizinso namathumbu. Ukuqedwa kwesigamu sempilo kungamahora angama-24. Ukusebenza kahle kwe-bioavailability kuncike ezicini eziningi, kufaka phakathi iminyaka yesiguli nokuba khona noma ukungabikho kwezifo ezingamahlalakhona. Ihlanganiswe kuma-hepatic esterases, igazi, amathe, ubisi, ama-pancreas.
Izinkomba zokusetshenziswa
Amaphilisi anesibalo esikhulu sezenzo ze-ramipril futhi anqunywa ngokuya izinkomba ezilandelayo:
- i-arterial hypertension - isimo somfutho wegazi ophezulu;
- i-mitral valve prolapse;
- isetshenziselwe i-hyperthermia ebulalayo ukudambisa isimo;
- ukwehluleka kwenhliziyo, lapho umsebenzi womzimba wonke uphazamiseka ngenxa yokunganele kwegazi nokutholwa kwe-oxygen yezitho nezinhlelo;
- angina pectoris, ischemia;
- umphumela we-myocardial infarction ukuvimbela ukuhlaselwa kwesibili kanye nokunciphisa umthwalo emisipha yenhliziyo;
- ukuvimbela ukuhlaselwa yisifo senhliziyo.
Contraindication
Ukuze ungalimazi umzimba wakho, ngaphambi kokusebenzisa lesi sidakamizwa, udinga ukuzijwayela ngenani lemibango ethile:
- ukungabekezelelani ngakunye ezingxenyeni zokwakheka;
- umsebenzi wezinso ongonakalisiwe;
- ukwephulwa kwesibindi nohlelo lwe-urogenital;
- lupus;
- i-renal aortic stenosis;
- hypotension;
- ukungahambi kahle komzimba;
- isikhathi sokuzala nengane;
- iminyaka efinyelela kwengu-15.
Ngokunakekela
Sebenzisa ngokuqapha ku-gynecomastia kanye nezinye izifo ze-gynecological.
Ungamthatha kanjani uHartil Amlo
Udokotela ubeka lo muthi, ngokuya ngezici zomzimba wesiguli ngamunye.
Ngoshukela
Esikhathini sikashukela, umthamo omncane ubekiwe uma umphumela ongaba khona udlula ukulimala okungenzeka.
Imiphumela emibi yeHartila Amlo
Njenganoma yimuphi umuthi, iHartil ibangela ukusabela okuningana okungajwayelekile uma kwenzeka kungabekezelelwa noma ukuphathwa okungalungile.
Amapheshana wesisu
I-Stomatitis, isicanucanu, ukugabha, ukushisa kwenhliziyo, i-pancreatitis, i-edema yamathumbu, isifo sohudo, izinhlungu zamathumbu namanyikwe, yehla isifiso sokudla.
Ukusuka kwipheshana lesisu, iHartil ingadala isicanucanu.
Izitho zeHematopoietic
I-anemia, ukwephulwa kwenombolo yemizimba yegazi, i-thrombocytopenia, i-leukocytopenia, ukwehla kwamangqamuzana egazi abomvu ne-hemoglobin protein, inhibition of marow.
Isistimu yezinzwa ephakathi
Ukuxineka, ukuqwasha, ukucindezelwa, isiyezi, ukuqina kwemisipha, ukwehla kokusebenza kahle, ukukhathala ngemuva kokulala.
Kusuka ohlelweni lokuphefumula
Ukuphefumula, ukukhwehlela owomile, ukuthuthukiswa kwe-asthma ye-bronchial, indlela yesifo se-sinusitis esingamahlalakhona.
Kusuka ohlelweni lwezitho zofuzo
Ukuthuthukiswa kokuhluleka kwe-renal, kunciphile umthamo womchamo, ukuphazamiseka kwe-metabolic.
Allergies
Ukulunywa kwesikhumba, i-urticaria, i-edema ye-Quincke's, i-conjunctivitis, ukucwilisa isikhumba.
Umthelela ekhonweni lokulawula izindlela
Umuthi ungathinta isistimu yezinzwa ephakathi, ubangele ukozela, unciphise ukugxila. Kulokhu, kufanele ube ungekho emsebenzini wemishini ezenzakalelayo noma izimoto zokushayela.
IHartil Amlo ingathinta amandla akho okushayela imoto.
Imiyalo ekhethekile
Ukuthatha umuthi kanye nomthamo kuncike ezintweni eziningi - uhlobo lwesifo, ubudala kanye nesimo sesiguli, ukuba khona kwe-pathologies engapheli, isisindo somzimba. Ngokuhluleka kwenhliziyo kanye nomfutho wegazi ophakeme, 2,5 mg wesidakamizwa sithathwa ngosuku. Njalo emavikini ama-2, umthamo ungakhuphuka kancane kancane. Amaphilisi ahlanzwa phansi ngenani elikhulu lamanzi.
Sebenzisa ebudaleni
Abantu ngemuva kweminyaka engama-70 kufanele baqale ukuthatha i-Hartil ngomthamo ongu-1.25 mg. Umthamo ulungiswa ngawodwana, ngokuya ngamandla ezinguquko ekucindezelweni kwegazi kanye nesimo somzimba jikelele.
Ukuqokwa kweHartil Amlo ezinganeni
Kuze kube yiminyaka eyi-15, izingane zivunyelwe ngokuphelele ukuthatha lo muthi, ngoba izifundo azenziwanga.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Kwi-trimester ye-II ne-III, lesi sidakamizwa sinqatshelwe ukuthatha. Ngesikhathi trimester yokuqala, ungasebenzisa Hartil kuphela uma kunesimo esiphuthumayo. Lapho ulapha ngesikhathi sokuqunjelwa, kunconywa ukushintshela kokuphakelayo okufakwayo.
Izingane ezingaphansi kweminyaka engu-15 zenqatshelwe ngokuphelele ukuthatha lo muthi, ngoba izifundo azenziwanga.

Ukweqisa kweHartil Amlo
Uma kwenzeka kusetshenziswa i-overdose, kuzoba nezimpawu ezilandelayo:
- ukwehlisa umfutho wegazi;
- ikhanda, i-tinnitus;
- isicanucanu, ukuhlanza, ubuhlungu besisu;
- ukwephulwa kwemali esele ye-electrolyte.
Uma uzizwa ungasasebenzi, kudingeka uphuze isisu sakho ngokuphuthumayo, thatha i-sorbent (i-activated Carbon noma i-Enterosgel) bese ufuna usizo lodokotela.
Ukuxhumana nezinye izidakamizwa
Ngokuphathwa kanyekanye ngama-diuretics neminye imishanguzo yegazi, ukwehla ngokweqile kwengcindezi yegazi kungenzeka.
Uma uhlanganisa izidakamizwa ze-antihypertensive nezidakamizwa ezingezona ze-steroidal ezilwa nokuvuvukala, umphumela uyancishiswa, futhi ngeke kube khonahlomula ngomuthi.
Lapho uthatha izidakamizwa eziqukethe i-lithium ezihlanganiswa neHartil, ukugcwala kwe-lithiamu egazini kuyakhuphuka.
Akunconyelwe ukusebenzisa ndawonye nezimali eziqukethe i-potassium ekwakhiweni, ukuze ungeqi izinga le-potassium emzimbeni.
Ama-Analog
Uma amaphilisi ngesizathu esithile engeke athathwe, ungawafaka esikhundleni sezidakamizwa zaseHungary, zaseMelika noma ezaseRussia ezinomphumela ofanayo:
- kususelwa ku-ramipril ne-amlodipine: amakhompiyutha i-Bi-Ramag, iSumilar, iTritace-A;
- kususelwa ku-amlodipine ne-lisinopril: Amapil-L, Amlipin, amaphilisi we-Equator;
- kusekelwe ku-perindopril: i-Amlessa, Bi-Prestarium, Viakoram;
- kususelwa ku-lercanidipine ne-enalapril: I-Coriprene, i-Lerkamen, i-Enap L Combi.
Ochwepheshe abakukhuthazi ukushintsha imishanguzo ngokwabo, ukuze kungalimazi impilo. Ngaphambi kokubuyisela esikhundleni kuyadingeka ukubonana nodokotela.
Imibandela yekhefu lekhemisi
Amaphilisi athengiswa kuphela ngomuthi.
Ngingakwazi ukuthenga ngaphandle kadokotela
I-over-the-counter ingathengwa ekhemisi online. Kubalulekile ukuthenga izimpahla kwizinsizakusebenza ezifakazelwe ukuze ungaweli emaqingeni ama-scammers.
Intengo yeHartil Amlo
Izindleko zomuthi zincike ohlotsheni lokukhululwa nephoyinti. Intengo ephakathi yeRussia Federation ingama-ruble ayi-15-30.
Amaphilisi athengiswa kuphela ngomuthi.
Izimo zokugcina zomuthi
Gcina endaweni emnyama endaweni yokushisa yasekamelweni. Ngenxa yezizathu zokuphepha, hlukana nezingane.
Isikhathi sokuphelelwa yisikhathi
Ungagcina izidakamizwa izinyanga ezingama-24 kusukela ngosuku lokukhiqizwa.
Umkhiqizi
I-OJSC "I-EGIS yePhemithi". 1106, Budapest, ul. I-Keresturi, 30-38, iHungary.
Ukubuyekezwa kweHartil Amlo
Kuyo yonke le minyaka, lo muthi ubukhombisa ukusebenza kwawo ngempumelelo kanye nokusebenza kwawo, njengoba kufakazelwa ukubuyekezwa kongoti hhayi kuphela, kepha futhi neziguli.
Izazi zezenhliziyo
Alexander Ivanovich, eMoscow
Umuthi ungenye ephumelela kakhulu ekwelashweni nasekuvimbeleni izifo zenhliziyo kanye nokubuyiselwa kwengcindezi yegazi. Uma zingekho izingqinamba, ngihlala ngikuyalela ukuvimbela ukweqiwa okuvamile kwe-myocardial kanye nesifo sohlangothi.
Iziguli
UTamara Nikolaevna, oneminyaka engama-70 ubudala, uKrasnodar
Sobabili nomyeni wami sihlangabezana nokuhluleka kwenhliziyo. Iminyaka eminingana, besiphuza izifundo zikaHartil kabili ngonyaka sindawonye. Umuthi uyasebenza, awubangeli imiphumela emibi, wehlise ngokushesha umfutho wegazi, wehlise ikhanda, ukuvuvukala. Inhliziyo isebenza ngaphandle kokuphazamiseka, sizizwa sineminyaka engama-20 isencane.
