Phakathi kwezinhlobo ezahlukahlukene zemithi ezingasetshenziswa ukulungisa ingcindezi ye-arterial and intracranial, kunzima ukuthola umuthi onikeza ukusabela okuncane okuvela eceleni. I-Telmisartan Teva ibhekisela kulawo makhambi. Ngalo muthi, awukwazi ukwengeza umfutho wegazi ngokwejwayelekile, kepha futhi unganciphisa ingozi yokuba nemivimbo kanye nokuhlaselwa yinhliziyo kube okuncane ngokucindezela ngesikhathi esifanele i-arterial stenosis.
Igama Lezwe elingafanele
I-Telmisartan Amagama Wokuhweba:
- I-Prirator;
- I-Telzap;
- UTanidol et al.
NgeTelmisartan Teva, ungaguqula ingcindezi yakho ye-arterial and intracranial.
I-ATX
C09CA07
Khipha amafomu nokwakheka
Umuthi ukhiqizwa ngendlela yamathebulethi, aqukethe i-80 noma 40 mg yesithako esisebenzayo - i-telmisartan. Izithako ezingeziwe:
- i-magnesium stearate;
- i-meglumine;
- i-sodium hydrochlorothiazide;
- i-mannitol;
- i-povidone;
- hydroxypropyl methylcellulose.
Isenzo se-Pharmacological
Umuthi uwukuphikisana ne-angiotensin receptors ii. Inokusebenzisana okuhle kwezidakamizwa ne-Amlodipine, ngakho-ke kuvame ukuhlanganiswa ndawonye.
Cishe amahora angama-2,5 ukuya kwema-2 ngemuva kokuthatha umuthi, kwehla umfutho wegazi. Ukwehla okukhulu komphumela wako kwenzeka emavikini ama-4 ngemuva kwekhambi lokwelashwa.
Ngokuncipha kwengcindezi, lo muthi awunawo umphumela wesilinganiso senhliziyo kanye nesimo semithambo yezinso. Umfutho wegazi we-diastolic ne-systolic kuphela ovezwa emiphumeleni yemithi. Lesi ngesinye sezici zento esebenzayo.
Ngokuncipha kwengcindezi, lo muthi awunawo umphumela wesilinganiso senhliziyo.
I-Pharmacokinetics
Ngokuphathwa ngomlomo, umuthi udonswa ngokushesha kusuka emgudwini wesisu. Umuthi unama-50% we-bioavailability. Isidakamizwa senziwa ngokusebenzisana ne-glucuronic acid. Kulokhu, ama-metabolites angasebenzi ayakhishwa.
Izinkomba zokusetshenziswa
Umuthi ubekelwe iziguli ezinomfutho wegazi ophakeme. Ngaphezu kwalokho, abakhi bomzimba abaqeqeshiwe bavame ukuyisebenzisa ngenxa yokwanda njalo kwengcindezi yegazi.
Inkambo yokwelashwa nomuthi ivumela hhayi ukuqinisa ingcindezi kuphela, kepha futhi ithuthukisa inhlala-kahle yozinze kohlelo lwe-aldosterone. Ngokusetshenziswa kwalo muthi, ukuvimbela i-atherosulinosis kanye nesifo sohlangothi kuyenziwa, okuhambisana nomphumela omuhle ekusebenzeni nasendleleni ye-GM (ubuchopho).
Lawa mathebhulethi asetshenziswa kaningi ngabantu abafuna ukukhipha amaphawundi angeziwe, ngoba izinto zawo ezisebenzayo zinomphumela we-metabolic.
Isidakamizwa kwesinye isikhathi sisetshenziswa ngabantu abafuna ukukhipha amaphawundi angeziwe.
Contraindication
Ngaphambi kokusebenzisa umuthi, udinga ukutadisha ngokucophelela imikhawulo yokuwusebenzisa. Umuthi awunqwenelekayo ukuthatha ngesikhathi sokukhulelwa.
Omama Abaphathe ngokusetshenziswa kwayo, kuyadingeka ukushiya ibele.
Umuthi unezinye izingqinamba:
- ukungabekezelelani ngakunye kwezinto ezisizayo nezisebenzayo zomuthi;
- ukulimazeka okukhulu kwezinso;
- ukungasebenzi kahle kwesibindi;
- ukuthinteka kwe-gallbladder.
Ngokunakekela
Ukuqapha kunikezwa iziguli ezinendlela yokuvuselela umfutho wegazi ophakeme noma isifo senhliziyo. I-contraindication ehlobene ne-stenosis ye-aortic ne-mitral valve, nokululama ngemuva kokufakelwa.
Ungayithatha kanjani iTelmisartan
Umuthi wenzelwe ukuphathwa ngomlomo. Umthamo wansuku zonke wabantu abadala uvela ku-20 kuye ku-40 mg kanye ngosuku. Umthamo omkhulu wansuku zonke ngu-80 mg. Umuthi usetshenziselwa ukungakhathaleli ukudla.
Umuthi usetshenziselwa ukungakhathaleli ukudla.
Ukuthatha umuthi wesifo sikashukela
Ezigulini ezinesifo sikashukela ezisebenzisa lo muthi, ingozi yokuthola uhlobo olubulalayo lwe-myocardial infarction iyanda. Ngakho-ke, lezi ziguli zidinga ukuhlolwa kokuxilongwa kokuthola kuqala.
Imiphumela emibi
Lapho usebenzisa umuthi, imiphumela emibi ethile ingavela, kufaka phakathi ukuthuthukiswa kwezimpawu zokuphuma ngemuva kokusetshenziswa.
Amapheshana wesisu
- ukuqhakaza;
- isifo sohudo noma ukuqunjelwa;
- isicanucanu nokuhlanza
- umsebenzi owengeziwe wama-hepatic transaminases,
Isifo sohudo singenye yemiphumela emibi yephepha lesisu.
Izitho zeHematopoietic
Kwehliswe amazinga we-hemoglobin we-plasma. Akuvamile - anemia.
Isistimu yezinzwa ephakathi
- Isiyezi
- ikhanda
- ukuphazamiseka kokulala;
- ukukhuphuka kokukhathazeka;
- amazwe acindezelayo, njll.
Kusuka ohlelweni lomchamo
- izifo
- ukukhukhumala kwe-peripheral;
- i-hypercreatininemia, njll.
Kusuka ohlelweni lokuphefumula
- pharyngitis;
- umsebenzi wamaphaphu ongasebenzi;
- ukukhwehlela okungapheli.
Ekuphendukeni okungekuhle kusuka ohlelweni lokuphefumula, ukukhwehlela okungapheli kuyimpawu.
Kusuka ohlelweni lwe-musculoskeletal
- i-arthralgia;
- i-myalgia;
- usizi nokungakhululeki emhlane ongezansi.
Kusuka ohlelweni lwezinhliziyo
- Ubuhlungu esifubeni;
- i-arrhythmia ne-tachycardia;
- ukwehla komfutho wegazi.
Allergies
- isikhumba esikhanyayo;
- imishayo;
- I-edema kaQuincke (kuyaqabukela).
Isikhumba se-Itch kungenye yezindlela ezingezinhle zokuphendula umuthi.
Imiyalo ekhethekile
Kuyinto engathandeki ukuthi iziguli zisebenzisa umuthi esigabeni sokuqala se-aldosteronism kanye ne-hypotension enzima. Umzimba weziguli ezinjalo awunawo umuthi onjalo.
Lapho ulungisa umthamo, kufanele kukhunjulwe ukuthi umphumela we-hypotensive womuthi uthola ukuqina emasontweni ama-4-7 ngemuva kokuthatha umuthi.
Ukuhambisana notshwala
Kuyinto engathandeki ngesikhathi sokulashwa ngamathebulethi okuphuza iziphuzo eziqukethe utshwala.
Umthelela ekhonweni lokulawula izindlela
Amandla wokulawula izindlela eziyinkimbinkimbi nokuhamba komgwaqo kuhlolwa ngokuya ngokwendlela umzimba osabela ngayo. Okufanayo kusebenza emisebenzini edinga ukukhuphuka okukhulu kokuqina kanye nokusabela okukhulu kwe-psychomotor.
Kuyinto engathandeki ngesikhathi sokulashwa ngamathebulethi okuphuza iziphuzo eziqukethe utshwala.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Umuthi awuchaziwe ngesikhathi sokukhulelwa. Ngokukhishwa kwesisu nokuqokwa komuthi, ukuncelisa ibele kufanele kumiswe.
Ukunquma iTelmisartan ezinganeni
Azikho izifundo ezenziwa emtholampilo ezenziwayo mayelana nokusebenza ngempumelelo nokuphepha kwezidakamizwa ezinganeni.
Imiyalo yomuthi ithi ngemithamo emincane ingasetjenziswa eneminyaka eyi-6 neli-18.
Sebenzisa ebudaleni
Iziguli zokuguga azidingi ukulungisa umthamo womuthi. Ukuphela kokuphela kweziguli ezihluleka ukuhluleka kwenhliziyo, nge-hypertension ye-arterial kanye ne-pathologies yesistimu yenhliziyo.
Iziguli zokuguga azidingi ukulungisa umthamo womuthi.
Ukweqisa
Akuzange kube namacala abhaliwe okufa kwabantu nokubonakaliswa okubi okungathi sína ngokweqile komuthi womuthi. Ezimweni ezingavamile, kungahle kube nokwenyuka kwemiphumela emibi encike kumthamo kanye nokukhuphuka kwephimbo le-vascular. Izimpawu ze-overdose ziyanyamalala ezinsukwini eziyi-1-2.
Ukuxhumana nezinye izidakamizwa
Ngokuhambisana ne-Digoxin, ukugcwala kokugcina kuyi-plasma yegazi kuyakhuphuka. Kuyinto engathandeki ukuhlanganisa umuthi ne-diuretics.
Ukuhlanganiswa komuthi namanye ama-ejenti ukunciphisa umfutho wegazi kungadala ukwehla okukhulu kumfutho wegazi.
Ukuhlanganiswa komuthi namanye ama-ejenti ukunciphisa umfutho wegazi kungadala ukwehla okukhulu kumfutho wegazi.
Ngokuhambisana ne-corticosteroids, umphumela we-antihypertensive wesidakamizwa uyancishiswa. Ngokuqokwa kanyekanye kwe-ACE inhibitors, isiguli sidinga ukuqashelwa kwemingcele yemitholampilo.
Ama-Analog
Izithonjana zezidakamizwa zaseRussia nezangeniswa kwamanye amazwe:
- I-Prirator;
- Lezi;
- I-Losartan;
- IValsartan;
- UMikardis;
- I-Tsart
- I-Telpres
- I-Hipotel.
Imibandela yekhefu lekhemisi
Umuthi kadokotela uyathengiswa.
Intengo yeTelmisartan
Umuthi ubiza ama-ruble ayi-6,000 ngepakethe elilodwa lamathebulethi angama-98.
Izimo zokugcina zomuthi
Kuyadingeka ukugcina endaweni evikelwe amanzi nokukhanya, lapho izilwane ezifuywayo nezingane ezincane zingafinyeleli khona.
Isikhathi sokuphelelwa yisikhathi
Iminyaka emi-3 ngemuva kokukhiqizwa.
Umkhiqizi
Inkampani yemithi yaseRussia "North Star".
Ubufakazi obuvela kodokotela neziguli ngeTelmisartan
Ngokuyisisekelo, umuthi uphendulwa kahle. Uma imiphumela emibi ivela, udokotela ukhetha umuthi wokufaka esikhundleni ukuze wehlise umfutho wegazi.
ULarisa Korovina (udokotela wenhliziyo), oneminyaka engama-40, u-Izhevsk
Naphezu kwezindleko eziphakeme (uma uyiqhathanisa neminye imithi yaseRussia), ngivame ukunquma lesi simanga se-receptor kwiziguli zami nge-gout, hyperazotemia, nezinye izifo eziningi. Imiphumela emibi lapho uyithatha ayenzeki, futhi ingcindezi ijwayelekile ngokushesha okukhulu.
UVictoria Askerova, oneminyaka engama-38, uLipetsk
I-Telmisartan Plus inqunywe yisazi sezinhliziyo. Ingcindezi ibuyele kokujwayelekile ngemuva kwamaviki awu-1-1.5 ngemuva kokuqala kokudla kwabo, kepha kwavela isiyezi. Ngisakwazi ukunquma ukuthi ngizoqhubeka nokwelapha ngokuqhubekayo noma esikhundleni somuthi. Kepha ngami, kunzima ukuthola umuthi okwehlisa ngasikhathi sinye umfutho wegazi futhi ongathinti ukusebenza kwemisipha yenhliziyo. Futhi lo muthi unomphumela onjalo.
U-Alena Kovrina, oneminyaka engama-45, uSochi
Usebenzise lo muthi isikhathi esingaphezu konyaka, akubange kusabonakala lutho olubi ngalo, yize bekukhona izifo eziningi (kusukela ematsheni ezinso kuye ekwelapheni i-gastritis kanye nesifo sokuzwa kwezitho zomzimba). U-HELL wayeka "ukuqaqa" amaviki ambalwa ngemuva kokuqala kwemithi. Ngiphuza iphilisi elilodwa ngosuku.
