Antihypertensive wothandizila 'Enap. Malangizo ntchito mankhwala

"Enap" amatanthauza kukonzekera pamodzi. Ilinso yogwira hypotensive ndi diuretic kanthu, lilipo mapiritsi, woyera (10 mayunitsi mu CD mizere).

Enap. zikuonetsa

Pakati pa nthumwi antihypertensive, ankagwiritsa ntchito lero mu yochizira matenda, izo ali ndi wapadera malo mankhwala "Enap". Malangizo maina ntchito zizindikiro zingapo cholinga chake:

- matenda oopsa;

- kumanzere yamitsempha yamagazi kukanika;

- mtima kulephera.

Onani kuti enap ankaona prodrug, ntchito zake zikusonyezedwa atachita thupi, pamene zigawo zikuluzikulu za mankhwala ndi hydrolysis kupanga enalaprilat, womwe kumabwezera mmbuyo Ace.

Pakuti yogwira tsiku lokonzekera "Enap", kuwonjezera enalapril, hydrochlorothiazide ake, cha gulu la kukodzakodza thiazide. Limagwirira cha zochita ophatikizana a mankhwala ndi choikidwa yafupika buku ndi sodium wochuluka madzi m'zotengera magazi, imbaenda ku kuchepa linanena bungwe mtima ndi kuthamanga kwa magazi.

Odwala infarction m'mnyewa wamtima ngati mankhwala "Enap" akapatsidwa. Malangizo ntchito limasonyeza kuti phwando medicament mu Zikatero kungachepetse m'madera akhudzidwa wa necrosis ndi kusintha kagayidwe mu mnofu mtima.

Enap zabwino zotsatira pa otaya aimpso magazi, mankhwala si zimathandiza kuti kuwonjezeka mu potaziyamu excreted, chimene chiri chofunika mu wolumikizira oopsa. Zimenezi zimathandiza kuti chitukuko cha khalidwe la mankhwala odwala ndi insufficiency aimpso.

Odwala matenda a mtima bwino thanzi mankhwala kumabweretsa "Enap". Malangizo ntchito limalimbikitsa mankhwala chifukwa kuchepetsa mu imfa unkachitika odwala ndi kulephera congestive mtima. Mwachangu zikutanthauza yafupika malingana mlingo wa renin mu madzi a m'magazi, m'badwo wodwala, kugonana wake. palibe mafotokozedwe a milandu kungasokoneze mankhwala "Enap" ntchito zogonana yochizira matenda. Malangizo Ikufotokozanso kwa pakalibe zoyipa za mankhwala pa zamadzimadzi ndi zimam'patsa kagayidwe mu thupi.

"Enap" mankhwala. katundu pharmacokinetic

Mayamwidwe woukitsa limapezeka ambiri kudzera thirakiti m'mimba (pafupifupi 60%), ndondomeko suction sadalira pa nthawi ya chakudya. Kale pambuyo ola 1, pali chiyambi cha "Enap" mankhwala. Guide limasonyeza kutchulidwa achire zotsatira za mankhwala, amene amapezeka pambuyo pazipita 6 maola pambuyo makonzedwe zotsatira yogwira mankhwala amalimbikira masiku.

Contraindications ndi zotsatira zake zoyipa

Contraindications ntchito mankhwala "Enap" malangizo ntchito:

- kuchuluka tilinazo wodwalayo zigawo zake;

- porphyria;

- angioedema ;

- mimba;

- mkaka wa m'mawere.

Pali mavuto amene amakhalapo zina kutenga mankhwala, "Enap". Guide amatichenjezanso mankhwala munthawi yomweyo odwala okodzetsa zina zimene zingachititse kuti ntchito mkhutu aimpso. impso tikupitiriza ntchito kuchotsa mankhwala.

Nthawi zina, pali ndi wolumikizira hypotension (a khalidwe yochepa), odwala amadandaula mutu pafupipafupi. Odwala ena kutenga mankhwala amakwiya kusanza, nseru, omangana minofu totupa pakhungu.

Mankhwala "Enap". ambiri osokoneza

Zizindikiro zazikulu chifukwa cha munthu ambiri osokoneza wa mankhwala "Enap", malangizo ntchito amatanthauza zizindikiro za hypotension. Pamene chiwonetsero cha mtima chiyenera kuikidwa, ntchito chapamimba lavage ndi kupereka adamulowetsa makala. Ndiye miyeso ayenera kumwedwa kubwezeretsa buku la magazi kufalitsidwa mu thupi. Chifukwa chaichi, wodwalayo chikuyendetsedwera (m'nsinga) sodium kolorayidi njira, motero m'pofunika kuti atenge ulamuliro wa dongosolo zonse zofunika.

Kupewa hassles kugwirizana ndi ambiri osokoneza kapena mankhwalawo, "Enap" kukonzekera n'kofunika asanadye dokotala anu.