Mankhwala 'Enap-N' - kugwiritsa ntchito mbali

Miyala "Enap-H" kumasintha mmene antihypertensive, chifukwa chakuti pali anatseka misewu ya Ace anaprilatom. Enalapril, omwe ali mbali ya anati lokonzekera, kumatanthauza kuchepetsa aldosterone ndi angiotensin II mu mtsempha wa magazi, monga kumapangitsa thupi vasodepressor dongosolo pressor ndi kumabwezera mmbuyo (RAAS). Ndiyamika izo kumawonjezera mapangidwe mtima za indofeliyamu china. Zinthu zimenezi kumachepetsa kukana zotumphukira, kotero Makina ndi ntchito kumanzere ventricle chifukwa mgwirizano wa hypertrophy, dilation ndi amachepetsa kuwonongeka m'mnyewa wamtima selo kupewedwa. Kusintha kwa hemodynamics inatsekeratu, kuchuluka kukaniza kuti hypoxia a minofu mtima ndi kuchepetsa kufala kwa arrhythmias yamitsempha yamagazi moyo pachiswe. Chifukwa chakuti enalapril yafupika zone necrosis pambuyo infarction m'mnyewa wamtima ndi zapamwamba mtima minofu kagayidwe mu zikuchokera miyala "Enap-H". Komabe, palibe kuchuluka kwa magazi amawapopa pa mphindi, kapena pafupipafupi chidule cha minofu mtima, sizimasintha. Nthawi anthu kumene aakulu oopsa, matenda cerebrovascular, anati mankhwala kumachepetsa renovascular kukana, ndipo akuchititsa yotithandiza magazi aziyenda bwino mu impso, sodium ndi madzi excretion, mlingo glomerular kusefera, zimasunga ndi potaziyamu mu thupi.

Pa zonse phwando kukonzekera "Enap-H" boma ndi bwino thanzi la odwala matenda a mtima komanso kwambiri amachepetsa imfa pamaso pa kulephera congestive mtima. The chifukwa cha ntchito mankhwala sikudalira msinkhu ndi kugonana wodwala. Iye alibe zotsatira zoipa kapena mafuta kapena zimam'patsa kagayidwe ndipo amachititsa alibiretu kukanika kugonana kwa thupi.

Zotsatira achire pambuyo makonzedwe "Enap-H" amapezeka mkati ola inatenga maola 24.

zikuonetsa

Ndi bwino kugwiritsa ntchito mankhwala pamaso renovascular oopsa, n'kofunika matenda oopsa, ndi kumene, ndi digiri aliyense kulephera mtima. Kuti m'mbuyo chitukuko cha matenda a mtima izo analimbikitsanso kutenga mankhwala "Enap-H". Amathandiza osati mankhwala, komanso kuchepetsa kufala kwa wosakhazikika angina ndi amachepetsa chiopsezo infarction m'mnyewa wamtima, kumathandiza kupewa myocardium ischemic.

Kukonzekera "Enap-N" - njira ya ntchito

mapiritsi sali madzi, ndi phwando awo si womangidwa kudya. Koyamba mlingo analandira mankhwala sayenera upambana 5 mg pa tsiku, ndipo pang'ono ndi pang'ono ziwonjezeke kwa 20 mg, ndi zinthu kwambiri, ndi 40 mg, amene lagawidwa masitepe awiri. Ngati wodwalayo mtima decompensation kapena matenda oopsa kwambiri, kuthamanga akhoza kwambiri yafupika pa chiyambi cha mankhwala. N'chifukwa chake choyamba tiyenera kutenga muyezo waung'ono, ndipo nthawizonse kuyang'aniridwa ndi dokotala.

Ngati wodwalayo ndi woyesedwa ndi okodzetsa, kugwiritsa ntchito mankhwala "Enap-N" zikhoza kuchepa mu Volume magazi ndipo pali chiopsezo zosayembekezereka wa hypotension. Pankhaniyi, mlingo woyambilira mukhoza kutenga ndi osachepera 5 mg / tsiku.

Chofunika kuchuluka kwa mankhwala kwa mwana aliyense akupempha payekha. Ngati mwana kulemera 20-50 makilogalamu, ndiye mlingo woyambilira sayenera oposa 2.5 mg.

Monga mbali zotsatira zingaoneke chizungulire, kusintha kukoma, kutopa. Zingakhalenso kuchepetsa kupatsidwa zinthu za m'mwazi kuwerengedwa ndi leukocyte, agranulocytosis ndi magazi m'thupi. N'zotheka yatsoka mosiyanasiyana orthostatic, hypotension, kuwonjezera kuchuluka kwa urea mu wa seramu magazi, spasms minofu.

Miyala "Enap-N" - za ndemanga mankhwala

Anthu amene amakonda kutenga mankhwala, zikutanthauza kuti kumachepetsa kuthamanga bwino, ndipo palibe ntchito zake zonse. A sangathe za mfundo zambiri chakuti mankhwala akapitawo ndi kusankha chofunika mlingo mulole dokotala yekha.