"Zilt": analogues, mutengo, mirayiridzo kushandiswa

"Zilt" ndorwevaya boka antiplatelet mishonga. Maplatelet - vari duku tudonhwe ropa chokuita mumwe neropa coagulation. Ichivharira connectivity pamusoro nezvimedu izvi, mishonga antiplatelet yekuzvidzivirira thrombus inotungamirwa (muinonzi thrombosis inotungamirwa yavo).

"Zilt" kutora kudzivirira paumbwe clots mumidziyo ropa (arteries) kukanganiswa atherosclerosis. Atherothrombosis, akavapindurawo, kungaita kuti sitiroko kana chemwoyo, kusanganisira fatalities.

Chiremba prescribes "Zilt" thinners ropa uye kudzivirira ronda kana chemwoyo, nekuti murwere:

• Anotambura kubva atherosclerosis uye vaitova mwoyo kurwisa kana sitiroko, kana peripheral arterial chirwere.
• Akatambudzwa zvikuru muchipfuva marwadzo rinozivikanwa 'kusagadzikana angina' kana myocardial infarction (mwoyo kurwisa).

Chiremba anogona kuwana Zvakanyanya Kunaka Panguva Yepamuviri kurapwa chokugadza stent mune tsinga chisimbiso kana kujekesa kudzorera ropa chokubuda chakaipa. Murwere zvakare ngaateme acetylsalicylic acid, nefuma muBumbiro murwiyo mishonga yakawanda chinangwa kuderedza marwadzo, kuderedza kupisa uye kudzivirira thrombosis. Saka, apo ushandiswe "Zilt" kuverengwa uye yemanyorero zvinosanganisira kushandisa asipurini.

Contraindications

Musatora "Zilt" kana:

• Une chisimbwa kana idiosyncrasy clopidogrel kana zvimwe zvinoumba chezvinodhaka.
• Unofanira kuziva kuti chirwere kana ezvinhu chokuita munyika ropa (akadai kwomudumbu urikanwi).
• Ko iwe chirwere chiropa zvirwere zvikuru chimiro.

Kana usina chokwadi kana uri pamusoro apa, bvunza chiremba wako.

Kushandiswa nokungwarira

Kazhinji, vanhu vanowanzofunga kutevera chiremba agadzwa uye tora "Zilt", mutengo izvo zvinoita kwete chete kuramba utano, asi usaenda akaputsa. Zvisinei, kana pane mumwe zvinotevera mashoko ichokwadi here, ivai nechokwadi kuti vazivise chiremba wako:

• Unogona kuzarura ropa (ona. Below).
• Over rokupedzisira svondo imi vakaumba ropa clot munguva tsinga kana uropi (ischemic sitiroko).
• Imi vanotambura chiropa kana chirwere cheitsvo.

Ropa anogona kuvhurwa muzviitiko apo:

• Imi vanotambura nezvirwere zvinogona kuoma nokuda pezviri kubuda ropa.
• Iwe nechirwere ropa zvirwere zvinogona kuitika womukati ropa (mu munyama, nhengo kana majoini).
• Uchangobva atambura zvikuru kukuvara.
• Panguva vhiki aunoda kuvhiyiwa (kusanganisira nachiremba wemazino).

mushonga

Kushandisa mushonga "Zilt", zvinofanira kurangarirwa:

• Unofanira kuudza chiremba wako pamusoro chero vakaronga Kuvhiya (kusanganisira kushanyira wamazino-chiremba).
• Unofanira pakarepo kutaura chiremba wako kana uine thrombotic thrombocytopenic purpura (ttp), zviratidzo izvo zvinosanganisira nefivhiri uye chitarisiko subcutaneous hematoma muchimiro duku dzvuku makwapa. Kana thrombotic thrombocytopenic purpura zvinogonawo kuitika (asi kungava chose ndisipo) hazvitaurwi simba kunzwa kuneta, nekuvhiri- ngika muchadenga uye nguva, yellowing ganda kana maziso (jaundice). Vanofanira pakarepo kumisa kushandiswa "Zilt" haina arongera kushandiswa kana zvikuru yematambudziko muka.
• Kana iwe netsaona cheka pachako, kana zvimwe kuputsa kuvimbika ganda uye capillaries, izvozvo zvinogona kuonekwa kuti ropa rinomira nomumugwagwa kwaitora nguva pane dzose. Izvi imhaka Zvakaitwa zvinodhaka, zvakagadzirirwa kuti mutete ropa. anokwenya Small uye maronda, kusanganisira ndebvu, kazhinji regai kukonzera dambudziko. Kana ronda rakakura, unofanira kubvunza chiremba.
• Ungafanira kuongororowa ropa.

The mushonga "Zilt" haisi raitongwa kuvana kuyaruka.

Kudyidzana nevamwe zvinhu

Iva nechokwadi kuudza chiremba nemushonga uri kutora kana mukawana nguva ichangodarika, sezvo nzvimbo yavo inogona kuderedza kubudirira "Zilta", kana vakutarisire. Zvikurukuru, kududzwa kunofanira kuitwa pokushandisa zvinotevera mishonga:

• anticoagulants - nevasori, ropa thinners;
• nonsteroidal Anti-anogumbura mishonga inoshandiswa kurwadziwa kuti tsandanyama uye mapfundo;
• "Heparin" uye dzimwe majekiseni pamusoro thrombosis;
• "Omeprazole" "esomeprazole" kana "cimetidine" - mishonga yokurapa dumbu;
• "Fluconazole", "Voriconazole" "Ciprofloxacin" kana "Chloramphenicol" - antibacterial uye antifungal vamiririri;
• "Fluoxetine", "fluvoxamine" kana "Moclobemide" - antidepressants;
• "Carbamazepine" kana "oxcarbamazapine" - wokurapa tsviyo.

"Zilt" rinogona kutorwa munguva kudya, uye pasinei kudya.

Pregnancy uye achiyamwa

Panguva pamuviri, zvinokurudzirwa kwete kushandisa "Zilt 75": mutengo kurapa kwakadaro kunogona kukwirira.

Kana pamuviri kunoitika, uyewo vanofungidzirwa wake tsamwisa anofanira kuudza chiremba wako usati achitora zvinodhaka. Kana pakunambwa kwakaitika panguva kurapwa "Ziltom" yaida kuti chiremba, nekuti clopidogrel iri contraindicated vakadzi vane pamuviri.

Regai breastfeed panguva kushandisa zvinodhaka.

mashoko anokosha pamusoro zvimwe zvinoumba

"Zilt" rine lactose uye hydrogenated mafuta anonzi Castor.

Kana uine munhu asingashiviriri dzimwe shuga, unofanira kumirira chiremba kunenge asati achitora mushonga.

Hydrogenated mafuta Castor kunogona kukonzera mudumbu agumbuka uye manyoka. Kana izvi nemishonga Penina izvozvo "Zilt" analogs zvingava nani.

kubvisa

Pashure pokugamuchira kana mumwe dose chete (4 mahwendefa) uye nguva dzose, zuva rimwe nerimwe dose (1 hwendefa), akurumidze Absorção de Água kuti clopidogrel. Avhareji kunonyanyisa pamwero kuchinja clopidogrel mu yeplasma ndee pana maminitsi 45 mushure "Zilta". Kwakavakirwa Kuongororwa nokushivirira weti, chaizvo hafu fuma wefodya nokuda muviri zvachose.

batching

Unofanira kugara kutora mushonga iri mishonga ndakarumbidzwa nachiremba.

Kana waifanira kusagadzikana angina kana chemwoyo, chiremba vanonyorera 300 MG "Zilta" (4 mahwendefa 75 MG) sezvo rimwe dose pakutanga kurapwa. Zvino utore kwerunyararo dose - imwe piritsi "Zilt 75" zuva mukati - panguva kudya kana pasina chikafu. Medicine anwe ose zuva panguva iyoyowo.

Duration kosi kunotemwa nachiremba.

ovhadhozi

Kana zvikashandiswa zvakapfurikidza, pakarepo taura chiremba wako kana kudana "rubatsiro wokutanga", nokuti kuwedzera chitsama zvinodhaka kunotungamirira rakawedzera mukana ropa.

Kana ukakanganwa kutora piritsi, asi rangarira mukati maawa 12 yenguva dzose nguva kutora zvinodhaka, kunwa "Zilt 75" uye zvadaro kutevera purogiramu yako senguva dzose. Kana yave maawa anopfuura 12 kubva yakarongwa nguva, tisangosiya dose uye kutangazve negashiro namahwendefa dzose nzira. Usanwa mapiritsi maviri kuti kutsiva nguva.

Haukwanisi kudimburira upenyu "Zilta" kuna chiremba rakakodzera.

chengetedzo

MuUnited States aiitisa zvidzidzo preclinical zviri clopidogrel mune makonzo uye makudo. Zvichienderana migumisiro kuedza, masayendisiti vakagumisa kuti kupfuura kakawanda abnormality kwemhuka vakatanga kuchinja chiropa. Anomalies yakaitika pasi mamiriro kwazvo kuipa kwevanhu dose ka25 uye akaramba chakaitika nokuda kunowedzera migumisiro iri hepatic muviri. Kana kutora mishonga dose ine 75 MG ose zuva kunodarowo chiropa vaiona zvisingaiti.

nemishonga

Kufanana mishonga zvose, "Zilt" analogues nedzimwe mishonga ine clopidogrel, zvinogona kukonzera zvinoverengeka nemishonga. Zvechokwadi, kwete varwere vose kuona nemigumisiro kurapwa. Unofanira pakarepo kutaura chiremba wako kana uine:

• Fivha, hurwere kana hazvitaurwi kuneta. Izvi nemishonga kunogona kuitika somugumisiro kuderedza zvimwe masero eropa, asi izvi zvinoitika chaizvo kashoma.
• Zviratidzo chiropa matambudziko: yellowing ganda uye / kana maziso (icterus), izvo dzimwe nguva angaperekedzwa subcutaneous ropa sezvo tsvuku Dots uye / kana nekuvhiri- ngika munguva uye nzvimbo (thrombotic thrombocytopenic purpura).
• The kuzvimba iri nemumuromo mhango kana ganda maronda muchimiro rashes, kuvaviwa kana Maronda akasiyana. Saka anogona kuratidza munhu sema kuita.

The inonyanya divi chaizvoizvo - zviri kubuda ropa. Inogona kuvhurwa mudumbu, ura, pasi ganda dziri mhaka. Dzimwe nguva pane iri ropa mumhuno, kana pamberi ropa weti. Mune zvisingawanzoitiki Muzviitiko, ropa rinowanikwa mumaziso, uropi, zvemapapu kana majoini.

Other nemishonga

The dzokurapa nhamba masangano kunge mishumo vamwe mhiri kukanganiswa zvinodhaka ichi, sezvo "Zilt". Reviews kazhinji ane mashoko anotevera kutyorwa nhengo: manyoka, marwadzo ari sternum, dumbu kugumbuka, chirungurira.

Zvishoma kakawanda nomusoro, mudumbu maronda, kuda kurutsa, kurutsa, kupatira, flatulence mudumbu kana ura, ganda mapundu, kuvaviwa, dzungu, manzwiro ose chiveve kana tingling munzvimbo dzakasiyana-siyana dzomuviri.

Apo neapo nemishonga: jaundice, yakanyanya marwadzo ari sternum akabatana kurwadziwa musana, fivha, kupfupika mweya uye chikosoro, neutachiona, kuzvimba ari nemumuromo mhango, ganda Maronda akasiyana, ganda Kurwara, chirwere, BP, nekuvhiri- ngika munguva nzvimbo, aone zvinhu zvisipo, marwadzo majoini kana tsandanyama, kuchinja kuravira.

Possible kuchinja ropa kemisitiri kana weti.

chengetedzo

Ramba "Zilt" unofanira kuva pasingasvikirwi nevana.

Haukwanisi kushandisa mushonga, zvino musi. The yapfuura musi atorwa uye pamusoro mhoni pashure Exp tsamba. Date zvinoreva kuti mushonga zvakakodzera kushandiswa kusvikira pazuva rokupedzisira romwedzi.

Chengetera "Zilt" iri kavha yaro yokutanga kukumisa kubva nechinhu unyoro uye chiedza.

"Zilt": dzomuzana uye zvaunofarira

The analogues inozivikanwa akawanda zvinodhaka zvinosanganisira zvinotevera mishonga:

• "Klopideks".
• "Plavix".
• "Lopirel".
• "Trombeks".
• "Detromb".
• "Clopidogrel".

Kazhinji varwere zvinomutsa mubvunzo wokuti tinogona kushandisa zvakananga "Zilt" - zvichida nani vanosarudza munhu "zvakachena" chigadzirwa "Clopidogrel" kana zvikuru kuwedzera kukurumbira "Plavix". Mhinduro iri zvakajeka: Unofanira chete kushandisa mushonga kuti iwe wakagadza mumwe chiremba. Kana usiri kugutsikana mutengo, unogona kurukura nzira ane chiremba akagadzwa kuzvitsinhanisa zvinodhaka kanenge kuwana mushonga pamwe zvimwechetezvo. Clopidogrel haina chete rine "Zilt" analogues se "Plavix" anoshandiswawo kudzivirira ropa.

Kana mutengo, zvakaoma kuenzanisa mushonga zvinodhaka zvakafanana, sezvo mutengo Tags siyana zvikuru zvose pamusoro mugadziri sandara uye pachiyero Pharmacies eruwa. Vashoma chisingakoshi, kwete chete "Zilt" - mutengo dzimwe zvinodhaka chakafanana 500-600 rubles por rongedza paavhareji.

Price pfupiso

The mushonga inowanika mabhokisi 14, 28 kana 84 Mahwendefa. Nokudaro, mutengo ndiwo:

• Kavha 14 Mahwendefa - 500-590 rubles.
• Kavha Mahwendefa 28 - 970-1050 rubles.
• Kavha 84 Mahwendefa - 2100-2220 rubles.

Mitengo nokuti "Zilt" anopiwa pachishandiswa pachena pfupiro mukurumbira Moscow Pharmacies.