"Zilt": zifaniziro, mtengo, malangizo a ntchito

"Zilt" ndi gulu la mankhwala ophera antiplatelet. Mipata yaying'ono ndiyo magazi omwe amasonkhana palimodzi. Kuletsa kuthekera kwa kuphatikiza tizilombo toyambitsa matendawa, mankhwala oletsa antiplatelet amachepetsa chiopsezo cha mitsempha ya magazi (momwe amapangidwira amatchedwa thrombosis).

"Zilt" amatengedwa kuti athetse mapangidwe a magazi m'mitsempha ya mitsempha (mitsempha) yomwe imakhudzidwa ndi matenda a atherosclerosis. Mtheradi, womwe umakhalapo, ukhoza kuyambitsa matenda a stroke kapena matenda a mtima, kuphatikizapo kupha.

Dokotala amalembetsa "Zilt" pofuna kuchotsa magazi ndi kupewa matenda a stroke kapena matenda a mtima, chifukwa wodwalayo:

• Amakhala ndi matenda a atherosclerosis ndipo amatha kudwala matenda a mtima kapena kupwetekedwa mtima kapena akudwala matenda a mitsempha yowopsa.
• Wachititsa ululu woopsa mu chifuwa, wotchedwa "angina wosakhazikika," kapena matenda a mtima wamtundu wa myocardial.

Dokotala angapeze njira yabwino kwambiri yothandizira kuti aike stent mu mitsempha yotsekedwa kapena yopapatiza kuti abwezeretse magazi ozungulira. Wodwalayo amapatsidwa acetylsalicylic acid, mankhwalawa ndi mbali ya mankhwala ambiri omwe amathandiza kuchepetsa kupweteka, kuchepetsa kutentha ndi kuteteza kupweteka. Choncho, pamene "Zilt" atchulidwa, zizindikirozo zimaphatikizapo kugwiritsa ntchito aspirin.

Contraindications

Musatenge "Zilt" ngati:

• Muli ndi zovuta kapena kusagwirizana kwa clopidogrel kapena zigawo zina za mankhwala.
• Mukupezeka kuti muli ndi matenda kapena chikhalidwe chotsatiridwa ndi magazi (mwachitsanzo, zilonda zakumimba).
• Mukudwala matenda a chiwindi.

Ngati simukudziwa ngati mawu apamwambawa akugwiritsidwa ntchito, funsani dokotala.

Gwiritsani ntchito mosamala

Monga lamulo, anthu amatsatira kutsata kwa dokotala ndikuyamba "Zilt", mtengo umene umathandiza kuti akhalebe wathanzi, komanso kuti asawonongeke. Komabe, ngati chimodzi mwazinthu zotsatirazi ndi zoona kwa inu, onetsetsani kuwadziwitsa dokotala:

• Mutha kukhala ndi magazi (onani m'munsimu).
• Pa sabata lapitayi, mwasintha magazi mu ubongo kapena ubongo (ischemic stroke).
• Mukudwala matenda a chiwindi kapena impso.

Kutsekemera kumatsegulidwa pamene:

• Mukudwala matenda omwe angakhale ovuta ndi kutuluka m'magazi.
• Muli ndi matenda a magazi, omwe angayambitse magazi ( mkati mwa ziwalo, ziwalo kapena ziwalo).
• Posachedwa mwakhala mukuvulazidwa kwambiri.
• Pasanathe sabata, mumakonza opaleshoni (kuphatikizapo dokotala).

Kulandila kwa mankhwala

Kugwiritsa ntchito mankhwala "Zilt", muyenera kukumbukira:

• Ndikofunika kudziwitsa adokotala za opaleshoni yomwe yapangidwa kuti ichitike (kuphatikizapo kuyendera dokotala wa opaleshoni wa mano).
• Muyenera kuonana ndi dokotala mwamsanga ngati muli ndi thrombocytopenic purpura (TTP), yomwe imaphatikizapo kutentha kwa thupi ndi maonekedwe a ziwalo zochepa zomwe zimakhala zofiira. Ndi thrombotic thrombocytopenic purpura, kusadziwika bwino kwa kutopa kwakukulu, kusokonezeka nthawi ndi malo, ndi chikasu cha khungu kapena maso a mapulotini (jaundice) amatha kuwonetsedwanso (koma sangakhalepo konse). Zidzakhala zoyenera kuimitsa pulogalamuyi: "Zilt" sichiyenera kugwiritsidwa ntchito pakakhala zovuta zambiri.
• Ngati mwadzidzidzi mudula nokha kapena mwinamwake kuswa kwa khungu ndi ma capillaries, muwona kuti kutuluka kwa magazi kumatopa pang'onopang'ono kusiyana ndi nthawi zonse. Izi ndi chifukwa cha ntchito ya mankhwala yokonzera magazi. Zing'onoting'ono zazing'ono ndi kudula, kuphatikizapo kumeta, nthawi zambiri sizikudetsa nkhaŵa. Ngati chilonda chiri chachikulu, muyenera kuwona dokotala.
• Muyenera kutenga mayeso a magazi.

Mankhwalawa "Zilt" sapatsidwa kwa ana ndi achinyamata.

Kuyanjana ndi zinthu zina

Onetsetsani kuuza dokotala mankhwala omwe mukuwatenga kapena omwe mwatenga posachedwa, popeza katundu wawo akhoza kuchepetsa mphamvu ya Zilt, kapena mosiyana. Makamaka, kutchulidwa kuyenera kugwiritsidwa ntchito kwa mankhwala otsatirawa:

• Anticoagulants - zinthu zomwe zimatsitsa magazi;
• Mankhwala osagwiritsa ntchito mankhwala othandizira kupweteka kwa minofu ndi ziwalo;
• "Heparin" ndi jakisoni zina motsutsana ndi thrombosis;
• "Omeprazole", "Esomeprazole" kapena "Cimetidine" ndi mankhwala ochizira mimba;
• "Fluconazole", "Voriconazole", "Ciprofloxacin" kapena "Chloramphenicol" - antibacterial ndi mankhwala osokoneza bongo;
• "Fluoxetine", "Fluvoxamine" kapena "Moclobemide" - antidepressants;
• "Carbamazepine" kapena "Oxcarbamazepine" ndi mankhwala a khunyu.

"Zilt" ingatengedwe ngati nthawi ya chakudya, ndipo mosasamala kanthu za zakudya.

Mimba ndi kuyamwitsa

Pakati pa mimba, ndibwino kuti musagwiritse ntchito "Zilt 75": mtengo wa mankhwalawa ukhoza kukhala wapamwamba kwambiri.

Poyamba kutenga mimba, komanso ngati akuganiza kuti akugwidwa, ayenera kuuzidwa kwa dokotala asanayambe kumwa mankhwala. Ngati mimba imachitika panthawi ya mankhwala ndi Zilt, m'pofunika kufunsa dokotala mwamsanga, popeza amayi oyembekezera amatsutsana ndi clopidogrel.

Musamamwe mkaka pamene mukugwiritsa ntchito mankhwala.

Mfundo zofunika zokhudza zina mwa zigawozo

"Zilt" ili ndi lactose ndi hydrogenated castor mafuta.

Ngati mulibe kusagwirizana ndi shuga, muyenera kuyembekezera malangizo a dokotala musanayambe kumwa mankhwala.

Mafuta a hydrogenated castor angapangitse kudziletsa ndi kutsegula m'mimba. Ngati zotsatirapo zoterezi zingapangitse "Zilt" zenizeni, zizindikiro zingakhale zotetezeka.

Kupambana

Pambuyo pa kumwa mlingo umodzi (mapiritsi 4) ndi mlingo wokhazikika tsiku lililonse (piritsi 1), kuyamwa kwa clopidogrel kumafulumira. Mawindo ambiri osasinthika clopidogrel m'magazi a magazi amatha mphindi 45 mutalandira "Zilt". Poganizira kafukufuku wa odwala amkodzo, ndondomeko imodzi ya thupi imakhudzidwa ndi thupi.

Kusankha

Nthawi zonse muzimwa mankhwala muyezo womwe dokotala wanu akukupatsani.

Ngati mwavutika ndi angina kapena matenda a mtima, dokotala wanu amapereka 300 mg ZILTA (mapiritsi 4 75 mg) ngati mlingo umodzi kumayambiriro kwa chithandizo. Ndiye mumayenera kutenga mlingo woyenera - piritsi limodzi "Zilt 75" tsiku mkati - panthawi ya chakudya kapena mosadya chakudya. Mankhwala amwedzera tsiku lililonse panthawi imodzimodzi.

Kutha kwa maphunziro kumatsimikiziridwa ndi dokotala.

Kuchulukitsa

Ngati mwadula mopitirira muyeso, nthawi yomweyo funsani dokotala wanu kapena muitanitse ambulansi, monga kuchulukitsa kuchuluka kwa mankhwalawa kumabweretsa chiopsezo chochuluka cha magazi.

Ngati mukuiwala kumwa mapiritsi, kumbukirani izi mkati mwa maola 12 kuchokera nthawi yomwe mumamwa mankhwala osamwa, imwani "Zilt 75" ndikutsatira ndondomeko yanu mwachizolowezi. Ngati maola oposa 12 apitirira nthawi, perekani mlingo ndipo pitirizani kutenga mapiritsi monga mwachizolowezi. Musamamwe mapiritsi awiri kuti mupange nthawi yotayika.

Simungathe kusokoneza njira ya "Zilt" ku malangizo oyenerera a dokotala.

Chitetezo

Ku United States, kufufuza kwapadera kwa zotsatira za clopidogrel mu makoswe ndi nyama zamphongo zinachitidwa. Malingana ndi zotsatira za zoyesayesa, asayansi atsimikizira kuti kawirikawiri zovuta zinyama zinkakhala kusintha kwa chiwindi. Anomalies anachitika pokhapokha kuti chiwerengero cha anthu choposa chimawonjezeka ndi chiwerengero cha 25, ndipo chinali chifukwa cha kuchuluka kwa kuchulukitsidwa kwa mthupi. Mukalandira mankhwala opatsirana a 75 mg tsiku lililonse, zotsatira zotere pachiwindi zimadziwika kuti sizingatheke.

Zotsatira Zotsatira

Monga mankhwala onse, "Zilt", analogs ndi mankhwala ena omwe ali ndi clopidogrel, angayambitse zotsatira zambiri. N'zoona kuti si odwala onse amene amakumana ndi zotsatira zovuta za mankhwala. Muyenera kuonana ndi dokotala mwamsanga ngati muli:

• Kutentha, zizindikiro za matenda kapena kutopa kosafotokozedwa. Zotsatira zofanana zofanana zikhoza kuchitika chifukwa cha kuchepetsa chiwerengero cha maselo ena, koma izi zimachitika kawirikawiri.
• Zizindikiro za matenda a chiwindi: khungu la khungu ndi / kapena diso (jaundice), zomwe nthawi zina zimaphatikizapo kutuluka m'magazi ngati mawonekedwe ofiira ndi / kapena kusokonezeka nthawi ndi malo (thrombotic thrombocytopenic purpura).
• Kutupa m'kamwa mwachinsinsi kapena pakhungu pakhungu la mazira, kuyabwa kapena marapulo. Choncho mankhwala amatsenga amatha kuwonekera.

Zotsatira zofala kwambiri zimachotsa magazi. Amatha kutsegula mmimba, matumbo, pansi pa khungu ngati mawonekedwe a hematoma. Nthawi zina pamakhala magazi kuchokera kumphuno kapena kukhalapo kwa magazi mumtsuko. Nthawi zambiri, magazi amapezeka m'maso, ubongo, m'mapapo kapena m'magulu.

Zotsatira zina

Pali malipoti a zotsatira zina za mankhwala monga "Zilt" muziwerengero zamankhwala. Kawirikawiri kafukufuku amakhala ndi zidziwitso zokhudzana ndi ziphuphu zotsatirazi za thupi: kutsekula m'mimba, kupweteka pachifuwa, indigestion, kupweteka kwa mtima.

Zopanda phokoso zimakhala kupweteka kwa mutu, zilonda za m'mimba, kunyoza, kusanza, kudzimbidwa, kuwonjezeka kwa mpweya m'mimba kapena m'matumbo, kuthamanga kwa khungu, kuyabwa, chizungulire, kupweteka kapena kupweteka m'magulu osiyanasiyana.

Zotsatira zoopsa kwambiri: ululu wa jaundice, kupweteka kwamuyaya kophatikizapo kupweteka kwakumbuyo, malungo, kupuma kovuta ndi kutsokomola, kukhumudwa, kutupa pamlomo , kupweteka pakhungu, kupweteka kwa khungu, stomatitis, kuthamanga kwa magazi, kusokonezeka kwa nthawi ndi Malo, zokopa, kupweteka m'magulu kapena minofu, kusintha kwa kukoma.

Pakhoza kukhala kusintha m'magazi a biochemistry kapena mkodzo.

Kusungirako

Pitirizani "Zilt" pamalo osatheka kwa ana.

Musagwiritse ntchito mankhwala omwe atha. Tsiku lomaliza likuwonetsedwa pa katoni ndi pa blister pambuyo pa makalata EXP. Tsikuli limatanthauza kuti mankhwalawa amagwiritsidwa ntchito mpaka tsiku lomaliza la mwezi womwe watchulidwa.

Sungani "Zilt" m'mapangidwe oyambirira kuti muteteze kuwonongeka kwa chinyezi ndi kuwala.

"Zilt": zofanana ndi zomwe amakonda

Mankhwala otsatirawa angathe kusankhidwa ngati mafananidwe otchuka kwambiri a mankhwala:

• "Clopidex".
• "Plavix".
• "Lopyrel".
• "Trombeks".
• "Detromb".
• Clopidogrel.

Kawirikawiri, odwala ali ndi funso loti Zilt lingagwiritsidwe ntchito molunjika - mwinamwake ndi bwino kusankha mankhwala oyeretsa a Clopidogrel kapena Plavix, omwe akupezeka kutchuka padziko lonse lapansi. Yankho lake ndi lolunjika bwino: muyenera kugwiritsa ntchito mankhwala omwe adokotala anu adayankha. Ngati simukumasuka ndi ndalama zake, mukhoza kukambirana ndi adokotala zomwe mungachite kuti mutenge mankhwala oyenera omwe muli ndi mankhwala omwe ali otetezeka. Clopidogrel ilibe "Zilt" zokha, zifanana ndi "Plavix" zimagwiritsidwanso ntchito kuteteza kuchitika kwa magazi.

Kulipira, n'zovuta kufanizitsa mankhwala omwe ali ndi mankhwala ofanana, chifukwa malonda a mtengowo amasiyanasiyana kwambiri pamtundu wa opanga komanso pa masitepi a madera. Zotsika mtengo osati "Zilt" zokha - mtengo wa mankhwala ena ofanana ndi pafupifupi 500-600 ruble phukusi.

Chidule cha mtengo

Mankhwalawa angagulidwe mabokosi a mapiritsi 14, 28 kapena 84. Choncho, mtengo wake ndi:

• Kuyika mapiritsi 14 - ruble 500-590.
• Kuyika mapiritsi 28 - ruble 970-1050.
• Kuyika mapiritsi 84 - ma ruble 2100-2220.

Mitengo ya "Zilt" imayambira pa zopereka zapadera za apamadzi otchuka ku Moscow.