Panopa, bungwe loona zaumoyo padziko lonse udindo lalikulu mu mndandanda wa matenda amene imfa ya munthu, tenga kudwala a dongosolo mtima, pang'onopang'ono akuchuluka khalidwe la moyo ndi kutsogolera kugonjetsedwa m'kupita kwa ziwalo zina zonse za mkati.
Kufunika kwa vuto
Choncho pali matenda oopsa ndipo atherosclerosis m'munsili pafupifupi wamkulu chachiwiri, makamaka patapita zaka makumi anai. Anthu ambiri amanena kuti matenda amenewa ndi kungotengeka kwambiri, kufotokoza kuwanda awo ndi momwe izo zikuwoneka kuti iwo ndi owopsa. Komabe, imfa ya mavuto patsogolo. Izi ndi infarction m'mnyewa wamtima, ischemic ndi hemorrhagic sitiroko, kung'ambika aneurysm, mtima ndi kulephera aimpso. Matenda oopsa ndipo atherosclerosis zambiri limodzi monga woyamba wa iwo zonse kumaphwanya ziwiya trofiku, zikubweretsa m'kupita kwa wachiwiri.
Zochita za gulu pharmacological
The mankhwala ambiri a kuthamanga zosagwira ndi okodzetsa - mankhwala kuwonjezera pokodza ndipo potero kuchepetsa magazi voliyumu ndi kuthamanga ziwiya. Choncho, odwala hypertensive nazo zizindikiro mwachindunji. "Indapamide MI STADA" "Indap" "Akripamid" "Arindap" "Arifon", "Ravel" - ntchito dzina la mankhwala chomwecho, kuyambira mankhwala anapangidwa pamaziko a munthu yogwira mankhwala - indapamide, ndipo amasiyana okha zotsimikizira makampani, auxiliaries ndipo, ndithudi, mtengo. Zokhudza gulu pharmacological wa okodzetsa thiazide, amene, mosiyana ndi kuzungulira ( "Furosemide", asidi ethacrynic, "bumetanide") alibe cholimba diuretic kanthu, komabe oopsa ali m'gulu zizindikiro zawo. "Indapamide" ndi mavuto ambiri zina.
ubwino mankhwala
Iwo timapitiriza elasticity Mitsempha, potero kuchepetsa okwana kukana zotumphukira. Zimenezi zimabweretsa iwonso kuchepa katundu pa ventricle kumanzere kwa mtima ndipo walola kuti mavuto zochepa pa gawo athamangitsidwe. Ichi ndi chifukwa luso indapamide monga Letsani kusankha njira pang'onopang'ono zoyendera chifukwa calcium, popanda zomwe vasospasm kutsazikana. Komanso kumachepetsa tilinazo mtima kuti makatekolamaini, kuchititsa chidule cha makoma awo, ndipo kumapangitsa anasiya awo - prostaglandin E2. Pankhaniyi, indapamide alibe mphamvu pa zamadzimadzi ndi zimam'patsa kagayidwe, zikhoza kugwiritsidwa ntchito mu odwala matenda a shuga. Chotero, uli osiyanasiyana zotsatira pa dongosolo mtima, umene "Indapamide" zikuonetsa ntchito monga ndicho zofunika matenda oopsa, ndi mankhwala ndipo kumachepetsa kufala kwa matenda a mtima ndiponso sitiroko.
mbali n'zosiyana
Kumene, monga mankhwala iliyonse, ali ndi umboni za kugwiritsa ntchito "Indapamide" koma contraindications, amene anagwirizana ndi chiwerengero mokwanira lalikulu mavuto. Choyamba, sukhala chapakati mantha dongosolo, kuchititsa mowiriza mantha ndi irritability, nkhawa, mutu ndi chizungulire, tulo kapena, Tikawonetsetsa tulo (kwa wodwala aliyense), nkotheka maganizo, kutopa. Chifukwa chopinga zimene zafotokozedwa makatekolamaini angakhale kuphwanya kayendedwe mtima, amene adzaoneka palpitations. Komanso, chifukwa zolimbitsa zotsatira diuretic ndi imfa indapamide ya mkodzo yekha ndi sodium osati ndi chlorine, koma potaziyamu ndi magnesium angathe syndrome gipokaliemicheskogo.
Impact pa machitidwe limba
Komanso mankhwala amakhudza anthu m'mimba dongosolo, kuchititsa nseru, kusanza, kupweteka m'mimba, kusowa chilakolako mpaka anorexia, dyspeptic matenda chopondapo (m'mimba / kudzimbidwa). Kawirikawiri zotheka yotupa kusintha mu nembanemba mucous wa kapepalako kupuma ndi chitukuko cha chifuwa, rhinitis, pharyngitis ndi sinusitis. Ndipo chifukwa cha mwachindunji mtima indapamide adzaona pafupipafupi pokodza, kuphatikizapo usiku, ndi maganizo dryness mkamwa (polyuria, nocturia). Pamaso pa chipwirikiti udindo matupi awo sagwirizana wodwala kapena hypersensitivity kuti mankhwala kumachitika ndi kuyabwa zidzolo, urticaria, kapena kukhala hemorrhagic vasculitis. N'kovuta kwambiri, koma kumasonyeza mmene indapamide dongosolo hematopoietic anthu mu mawonekedwe a hemolytic magazi m'thupi, leukopenia kapena thrombocytopenia, agranulocytosis, mafupa aplasia minofu.
contraindications
Chifukwa mavuto a mankhwala contraindications molunjika ku ntchito ake anasonyeza kwa chiwindi kapena aimpso insufficiency, hypersensitivity kuti aliyense wa zosakaniza adalowa kapangidwe kake, zaka zaumbanda (zaka 18), hypokalemia (kaya anayambira), boma la gestation kapena mkaka wa m'mawere nthawi. Komanso mosamala kwambiri kukonzekera ntchito kudziwa kuyan'anila za bwino madzi-electrolyte, ntchito aimpso kapena kwa chiwindi, hyperparathyroidism, shuga (decompensated siteji), hyperuricemia (makamaka matenda a gout kapena uric asidi nephrolithiasis). N'kofunikanso kuganizira mmene iye mu ophatikizana mankhwala a matenda.
Mosamala!
Imakhala yokwanira tsiku mlingo wa mankhwala zingapo za "Indapamide" mankhwala. Zikuonetsa ntchito mankhwala - wolumikizira matenda oopsa ndi matenda a mtima. Asonyezedwa zovuta, choncho m'pofunika bwino kuphatikiza mankhwala pamodzi. Ngati wodwala, makamaka achikulire, alandira glycosides mtima kapena mankhwala ofewetsa tuvi zimafuna nthawi zonse polojekiti kreatinemii na potassium komanso ndi sodium ndi magnesium misinkhu, shuga ndi asidi uric mu madzi a m'magazi. zonsezi onse njira Cholinga chake popewa chitukuko cha kulephera pachimake aimpso kapena kuyan'anila choopsa cha bwino electrolyte. Tiyeneranso kukumbukira kuti mankhwala ali ndi Amowabu hypotensive zotsatira, koma chifukwa akhoza kuchepetsa ndende luso anthu, kotero kuti sayenera kuyendetsa galimoto atakhala "Indapamide".
anapezazo
Choncho, ngakhale kuti mankhwala mavuto ambiri mbali ndi kuchepetsa kuchuluka kwa zikuonetsa ntchito, "Indapamide" ndi mankhwala kwambiri ochiza matenda oopsa zofunikira ndipo oopsa sekondale. Ichi ndi chifukwa mbali zosiyanasiyana za ntchito yake pharmacological, mofulumira ndipo malizitsani absorbability ake kwa mundawo m'mimba, komanso mkulu bioavailability. makhalidwe amenewo kuoneka osiyana angapo okodzetsa ndi kupanga yojambula zofunika mankhwala a matenda a dongosolo mtima.