Antihypertensive yomuchipatara 'Enap'. Mirayiridzo kushandiswa kwezvinodhaka

"Enap" rinoreva gadziriro vasanganiswa. It ane basa hypotensive uye diuretic chiito, inowanika pamahwendefa, chena (10 inokwana zviyero ari gandiwa kavha).

Enap. zvairatidza

Pakati antihypertensive vamiririri, anoshandiswa nevakawanda nhasi okurapa, izvozvo ane nzvimbo chaiyo nzvimbo zvinodhaka "Enap". Mirayiridzo dzokushandisa mazita zvairatidza akawanda kuti chinangwa chahwo:

- neBP;

- kuruboshwe ventricular dysfunction;

- mwoyo kutadza.

Cherechedza kuti enap vaitirei prodrug, kwayakaita unoratidzwa tapinda muviri, kana zvinoumba mushonga nokuda hydrolysis kuti aumbe enalaprilat, izvo zvinozoita kuchititadzisa ACE.

Nokuti basa zvinhu kwegadziriro "Enap", kunze enalapril, hydrochlorothiazide ndezvaiye, kuva boka thiazide diuretics. Mashandiro ari kuita akabatana zvinodhaka kwakakonzerwa kuderedzwa vhoriyamu uye nemvura yavaibvisa nemidziyo ropa, zvinoita kuti vasanyanye cardiac goho uye BP.

Varwere myocardial infarction sezvo mushonga "Enap" riri basa. Mirayiridzo yokushandisa kunoratidza kuti negashiro imwe medicament Muzviitiko zvakadaro kunogona kuderedza njodzi nzvimbo necrosis uye kuvandudza muviri mumwoyo tsandanyama.

Enap kunobatsirawo ropa aibuda renal, mushonga asingadi kubatsira kuwedzera potassium yabudiswa, riri chinokosha chirwere cheBP. Kanoita kukura kunaka zvinodhaka vari varwere renal insufficiency.

Varwere zvemwoyo chirwere kunonatsiridza utano mukurapa rinoreva "Enap". Mirayiridzo dzokushandisa inokurudzira zvinodhaka nokuda rutapudzo munyama yaiitwa varwere congestive mwoyo nokukundikana. Kunyatsoshanda kunoreva haana kuderedzwa zvichienderana padanho renin mu plasma ropa, murwere zera, hwake pabonde. hapana kurondedzerwa Muzviitiko inokanganisa mishonga "Enap" pabonde basa iri okurapa. Instruction Hunotaurawo nezvenguva pasina kunambwa zvinodhaka pamusoro lipid uye carbohydrate muviri mumuviri.

"Enap" chinodhaka. pharmacokinetic ehupfumi

Absorção de Água yezviri mumiririri kunoitika runonyanya kuburikidza zvomudumbu turakiti (vanenge 60%), asi kubvisa kwacho hakutsamiri panguva kudya. Nechekare pashure 1 awa, pane kutanga "Enap" zvinodhaka. Guide rinoratidza raidudzwa kuchirapa mugumisiro zvinodhaka, kunoitika pashure vaifanira 6 maawa pashure nehurumende, kushingaira zvinodhaka mugumisiro zvikaramba kwemazuva.

Contraindications uye divi migumisiro

Contraindications pakushandisa zvinodhaka "Enap" mirayiridzo anoshanda:

- zvakawedzera aikanganiswa murwere kuti yenhengo dzayo;

- porphyria;

- angioedema ;

- pamuviri;

- Lactation.

Pane zvinhu zvinoverengeka nemishonga kuti kuitika dzimwe nguva kutora zvinodhaka, "Enap". Guide anoyambira pamusoro mawa kurapwa wevarwere zvimwe diuretics zvingakonzera havachanyatsogoni renal ushande. itsvo Tinoenderera mberi mashandiro kubvisa zvinodhaka.

Mune zvisingawanzoitiki kacho pane imwe arterial hypotension (a pfupi-rokuti hunhu), varwere chokunyunyuta pamusoro kakawanda nomusoro. Mune dzimwe varwere kutora zvinodhaka chinokurwadzai kurutsa uye kuda kurutsa, tsandanyama chinyamunhari chinorwadza uye ganda rashes.

Drug "Enap". ovhadhozi

Huru zviratidzo zvinokonzerwa ane ovhadhozi ane mushonga "Enap", mirayiridzo kushandiswa anoreva nezviratidzo hypotension. Kana kuratidzwa murwere inofanira kuiswa, shandisa gastric lavage uye kupa neactivated charcoal. Zvadaro matanho anofanira kutorwa kudzorera vhoriyamu ropa achiparadzira pamuviri. Nokuti chinangwa ichi, murwere chinotarisirwa (nomutsinga) yavaibvisa chloride mhinduro, saka zvakakosha kuti kudzora zvose zvinokosha hurongwa.

Kuti tidzivise hassles chokuita ovhadhozi kana nemishonga, "Enap" gadziriro zvinokosha asati kutora kubvunza chiremba wako.