"Enalapril": kuhi no ka hoʻohana a me ka manaʻo. Analogs "Enalapril"

Inā 'oe i pilikia a me ke koko,, he nui loaa mai kauka koi, e lawe i ka lāʻau "enalapril" (papa). Mai mea kōkua pakele o keia lapaʻau? Mai ka waiwai o ka maʻi ( 'o ia hoʻi,' ana mai kiʻekiʻe ke koko,), a me ka mea, ua hana ma luna o kekahi mau fronts, hoihoi i ka maʻamau hana o ka mea'ōnaehana mānowai koko'ōnaehana, e kauoha ana i ke koko, hoike i ka maʻamau? E maopopo pehea papa e "Enalapril" puʻe pono no ka ike me ka oihana alakaʻi ma luna o ka hana o keia ka lapaʻauʻia. Eia hou kekahi, he helu o analogs o keia k ma kaʻeleu 'Oponopono mākou noonoo a mai ka hopena.

Description o ka la hoomalolo, i ke kalaʻana aku palapala, o ka oi aku pūnaewele a me ka dispensing ana o nā keʻena kūʻai lāʻau lapaʻau

Akala "Enalapril" puʻe hua mai ma na mea he nui mea lāʻau lapaʻau poʻe a puni ka honua. I ka papa kuhikuhiEʻeleu 'Oponopono o keia ka lapaʻauʻia ka enalapril maleate, a ma kona hui affiliation pili i ka ACE-blockers. Currently, eia nā papa me kaʻeleu 'Oponopono maʻiʻo o ka 5, 10 a me 20 mg. Aie i ka mea i ka makaukau ana o "Enalapril" puʻe 'ana e loli ai i ka functioning o ka CCC, a me ka helu o nā nenoai i loko o ke kino, i kona hoʻokuʻu mai keʻena kūʻai lāʻau lapaʻau hana e kuhikuhi.

Helu 'o ka manaʻo a me ka pono o keia k e kaupalena' i 3 makahiki, mai ka la aku o kona? Iecaianoaaiiuo. Penei na papa io mai e lilo aku i ko lakou pākōlea waiwai ka wā waiho waho rula. Manufacturers Paipai 'ka malama ana i ka medicament i ka maloo, palekana mai ka pololei Map, i ka wela o ka ole e emi malalo o 15 a me ka ole oi aku mamua o 25 degere.

Analogs "Enalapril" i ka ia waiwai, no laila, koi pili ana i ka lāʻau, a me ka hiki ke mālama i kā lākou waho pūnaewele.

Pharmacodynamics medicament

Enalapril maleate (ʻeleu 'Oponopono papa) e iho, aole ia e pili i ke kaʻina hana i loko o ke kanaka kino keʻano o ka hanaʻana. Ka mea i keia hui ua manaoia e lilo i kekahi ano o ka "prodrug" i mea he hopena o ka uuku helu o ka hydrolysis reactions ho okumu i ka loa hou waiwai - enalaprilat.

He He e kaumaha ana ia ma luna o ACE ha awina ma mua o ka hoʻonāukiukiʻana o ka nui emi i loko o ka nui o ka aldosterone i loko o ke kanaka kino. Ma pōkole, i ke kanawai o ka "Enalapril" ninoieo i hookuu iho ke koko, (nā diastolic a me ka systolic) a me ka hōʻemiʻana haawe ana ma luna o ka naʻau Muscle (myocardium).

E like me ka hopena, lōʻihi-manawa loina mākou i loaʻa mai ia, hoʻowahāwahā i ke ka ho'ēmiʻana i loko o ke koko, ma hope o kona lawe ana i ka lāʻau "enalapril" nā mea maʻi i Ua i nele o ka nui o ke koko holo i loko o ka lolo. Eia kekahi,? Eaia papa hoʻokāʻoi i kaʻaʻa puʻuwai a me ka coronary koko pele.

Lōʻihi-manawa hoʻohana ana i ka lāʻau 'hōʻike kiʻekiʻe hopenaʻoi loa i loko o hypertrophic'aʻaʻa, IIeEeAIEUIeXAIIUE ma ka ventricle hema o ka naau Muscle, ma mua o kōkua e pale aku i ka holomua o ka naau ole. Eia hou, i ka Inc "enalapril" no 6 mahina, e hoʻoikaika i kaʻano o nā mea maʻi me ka hema ventricular dilatation a Circulatory kāna hana i loko o ka myocardium, mai ana ischemia.

Kaʻeleu lāʻau waiwai ua loaʻa i loko o ke koko, wai koko ma hope o 1 hola hope? Eaia o ka papa, a ma hope o 4-6 hola ihoiho kona i kā mākou. Ke hypotensive ia mau no i ke 24 hola.

ʻO ia pharmacological waiwai a me ka noho analogs "Enalapril" o ka hana hope.

Pharmacokinetics

E like me kūkā luna, omo o ka mea hana lāʻau waiwai i wahi lawa koke. Ke kemu wale ma kahi o 60% o ka enalapril maleate, ka buke kūpono kou holoʻokoʻa e hoopaa ana i ka wai koko nā polokina. Hoʻomalu huki nā mea kūʻai mai 'noonoo i ka mea i ke omo o ka hui mea i kalele iho ma ka aiʻai ana.

Ke kiʻekiʻe anal uku o ka enalapril ma-GHB nā pale kaʻa aie i ka hakakino 'ole o ka hana' Oponopono. No hoi ia mea hiki ke lanakila i ka placental ke'ākeʻakeʻa mai, a ua loaʻa i loko o ka umauma'aʻaʻa a me ka umauma waiu ma lactating wahine.

Excretion o ka lāʻau ua lawe maiʻano nui ma nā puʻupaʻa (60%). Ke'ōlelo mai ua hoʻololiʻia e hōʻike 'ia ma kahi o 20%, 40% - like me ka metabolite. I koeʻeleu waiwai mai ma ka naʻau liʻiliʻi, ai ka lākiō o ka enalapril / enalaprilat i nā hoailona 6-8% / 25-27%.

Nāʻikepili a me contraindications

ʻO nāʻikepili no ka hoʻohanaʻana i ka medicament "Enalapril" mea he paakiki mahuahua i loko o ke koko, kena ae la ia e maʻi e like me scleroderma a me ka CHF. Eia hou, i ka lāʻau ua pinepine hoʻohana 'ia i loko o prophylactic Inc i loko o nā mea maʻi me diagnosed coronary ischemia, haʻalele ventricular dysfunction (me asymptomatic). E like me lakou nei i ka lāʻau "enalapril" nāʻikepili no ka hoʻohana, akā, i ka pakiko-lapaʻau ma kekahi hihia ua i paipai. Wale i ka hoʻomalu hiki e i ka pololei lapaau regimen, a e hooholo i ka laʻau heluna.

Iloko o keia hookolokolo ana, ke kauka e no hoi e hiki ke hookupaa aku i ke alo a me ka wa e kaawale aku o ka hiki contraindications. Mau nā maʻi a me kāna hana o ka functioning o nā loko:

1. Mahuahua pā lonoaʻili i ka hana 'Oponopono o ka lāʻau (like i "Enalapril" i ka ia manawa makemake no hoi e ana, e like me ka mea, i loko o ka hapanui manawa like i keia k hoʻomanaʻo).
2. Hāpai keiki, lactation a me na keiki ma lalo makahiki 18.
3. Previous hihia angioedema i lapaau hoomakaukau ana, mai ka pae ana o ACE-nā mea kūpale.
4. Cerebrovascular insufficiency, a me nā cerebrovascular maʻi.
5. Cerebrovascular hematopoiesis.
6. ʻaʻa puʻuwai maʻi, me kaʻaʻa puʻuwai artery stenosis (unilateral aʻeluaʻaoʻao),ʻaʻa puʻuwai ka hoʻokō 'ole, i ke alo o ka transplanted hui,.
7. ake maʻi.
8. Maʻi o ka gastrointestinal'āpana, pu ma ka diarrhea a me ka luai.
9. Scleroderma a me nā autoimmune maʻi ka heluna i ka connective nā'aʻaʻa.
10. 'Aʻe' ana o metabolic keʻano o ka hanaʻana i loko o ke kino, a me ka hyperkalemia.
11. Mimikō mellitus.

Komo "Enalapril" i loko o ka wahi, i hiki a pau i ho'ākāka 'ia ma luna pono e hoopau ia, a ua lawe Inc mai ma lalo o ka ikaika nā limahana o ka hoʻomalu.

Ka lāʻau "enalapril": i ka papa inoa o kaʻaoʻao loa

Ma naʻe o ka pomaikai nui o ka lāʻau, i ka wā o ka hiki aku o nā mea maʻi i 'ike i keʻano o kaʻaoʻao' ole e aloha ia Aneane pau hui, nenoai. Information ma adverse hanana ua loaʻa ma loko o ka papaʻaina ma lalo nei.

Kuhikuhi mauʻike manaʻo hoʻonāukiuki aku ma ka pololei keiki ma ke kino ka papa kuhikuhi hana lāʻau waiwai "Enalapril". Analogs (olelo ao no ka hoʻohana ana i ia na ike piha ma luna o ke kumuhana) hiki no hoi i like kāna hana. Ke ahonui, a me kona kauka mea nui, e hai i ka hoailona o kaʻaoʻao waiwai, e like me ignoring ia ke alakai i nui ka haunaele ma ka functioning o ke kino.

Pehea e lawe i ka papa "enalapril": ki ina hana like a me ka laʻau heluna

E stabilize ke koko, hoʻomalu waiho aku lōʻihi-makahiki hoʻohana ana i ka lāʻau '(me analogues a pau, no ka laʻana, "hexane Enalapril" lāʻau). Ma ka loiloi mua ke kahua o ka iapaau ana o ka hypertension ka mea, ua waiho, e lawe i ka lāʻau ma ka mahele lāʻau o ka 5 mg no ka lā. Ke kahua hoʻonohonohoʻana mahuahua ana o ka puʻe i ka elua pule o ka Inc ka laʻau heluna ua mahuahua ka 5 mg. He waiwai 'ana i kumumanaʻo ka mua 2-3 hola ma hope o ka hoʻomaka' ana o ka lapaʻau, e ia i ka hoomanawanui ma lalo o 'inikua hooponopono. Kēia kōkua e hōʻikeʻaoʻao 'ole i loko o kā lākou ulu. ʻO kā mākou mahele lāʻau E i oi aku mamua o 40 mg i ka lā, akā, i ka hoʻohana 'ana i ka nui o ka lāʻau mea hiki wale ina loa nō a me ka kupono tolerability o ka medicament.

Mahope o 2-3 pule ma hope o ka hoʻomaka 'ana o ka monotherapy "Enalapril" lāʻau, e hoolilo nā mea maʻi i ke kākoʻo lāʻau? Eaia? Aaeei. I loko o kēia wā, ke kela la i keia mahele lāʻau mea 10-40 mg lāʻau. Papa Pono e inu 1-2 manawa i ka lā. Paipai i lapaʻau mau ana ke koko,.

Ka mea ma luna o nā manaʻo paipai pili i ka poe e hoomanawanui i ka poe e ole e ae mai ka concomitant maʻi e like me hyponatremia a me renovascular hypertension. Ma ka nā māhele ka mea, e lawe i ka waiʻona? E like me ka rula, e hilinaʻi nui ma luna o na ano kanaka o ke ahonui, a me ka nui o ka maʻi. Ka loiloi mua mahele lāʻau i loko o kekahi hihia hiki ke ho omaulia wale ma ka hele kauka.

Duration o? Eaia o ka medicament hilinaʻi nui ma luna o kekahi mau aʻe, a loaʻa i ka hoʻomanawanui ka ana a me ka hopena o ke keʻena hoʻokolohua ho'āʻo ma. Mau loea, e hoailona oukou i ka abrupt withdrawal o ka lāʻau i alakai i ka io hopena. Nolaila, a hiki ina excessive hakumakuma o ke koko, i loko o ka hoʻomanawanui iki mai ka loaa ana i ka lāʻau "enalapril" E ke kiʻekiʻe o emi i ka laʻau heluna.

Symptoms a me ka lapaʻau o ka lāʻau overdose

No laila, nānā mākou i ka walaʻauʻana ano o ka lāʻau "enalapril" (papa), mai a ka mea kōkua, a me ka hopena o ko lākou? Eaia i loko o ka hopena. Ua ka manawa e neʻe ana i ke kūkākūkā o keia ninau, he overdose o keia k. Pinepine hoʻomanawanui iki mai kamaʻilioʻana, e lawe nui nā māhele o ka ai 'ma ka manaolana o ka pakele o kaʻawaʻawa loa symptoms. Ma ia hihia, ina e hana e lawe ka lapaʻauʻia "Enalapril" kanaka, i ka hopena hiki ia mea nui. Me ka ka ho'ēmiʻana o ke koko,'opi kānāwai i loko o nā mea maʻi i pinepine ana hiki aku ai i ka mea myocardial infarction a cerebral holo kāna hana.

Nō kāu, o ka mua symptoms o overdose i lilo o ka ike paka i, i ka noho ana o, nanea ana paha i keʻano o ke kāʻili 'ana. No hoi, aole e e hoi na hana mana o ka lesion o ka cerebral koko a me ka cardiac abnormalities: paleʻili, loa headache, eha ma ke kua o ka breastbone.

Lapaau o ka hoʻomanawanui me ka overdose o "Enalapril" symptomatic ka lapaʻauʻia. I ka mehana kaʻapu kōheoheo ua hōʻike loaa ana Saline a me gastric lavage. I hou loa na hihia i koi intravenous ka pahu kui o ka Saline a me ka wai koko ae pani ai, e like me hemodialysis.

lāʻau hana kūleʻa

Papa "Enalapril" hiki ke hana atypically, oiai o ka hiki aku a me nā lāʻau. Nonsteroidal Anati-hoʻoʻino ai '( "Ibuprofin" a me ka m. P.) A estrogensoderzhashie ai' pili kēia ho'ēmi i kona hypotensive hana. Blockers, nitratsoderzhaschie ai ', anesthetics a me ethanol hoomahuahua i ka hopena o ka lāʻau "enalapril". Diuretic ai 'i lawe pu me huaale i lalo, puʻe, hiki i hyperkalemia ulu. Me ka lōʻihi mālama nui e e lawe ia ai 'o ka pae mai o immunosuppressants, no ka mea, ma ka mea ami? Eaia me ka laau i loaʻa ka enalapril me ka nui loa ka hōʻoi' kona haematotoxicity.

ka lapaʻauʻia Reviews

I ka lā e pili ana i ka lāʻau 'hiki ke lohe nā maikaʻi a me ka io manaʻo. Ka mea mua nui ia Morohiha o "Enalapril" huaale - ke kumu kuai (20-25 rubles no pack) i ole e wahi hiki i ka mea kiʻekiʻe. Eia hou, nui mahalo i loko o ka makaukau a me kona laulā. Ke kūlana o ka papa kuhikuhiE drawbacks i ka nuiʻaoʻao reactions, a me ka pilikia kiʻekiʻe o complications ma ke alo o concomitant ka maʻi.

Ka hapanui o nā mea maʻi 'Enalapril' huaale kokua kiʻi pohaku uinihepa, o ke kahua hoʻonohonohoʻana mahuahua i loko o ke koko,. No nā mea kūʻai mai, ka poe i ko lakou hookohu ia ua kena ae la o ka haunaele ma ka functioning o likeʻole nā loko, ka mea, i ka haawi mai i wale ma luna o ka lāʻau, akā, no hoi, mai kona analogues, e like me ia ma ka hapanui o na hihia, ka mea iloko o ka iaʻeleu waiwai a me ka e like enalapril indapamide. A no ke aha la poe akamai i ka mea,ʻaʻole loa waiho aku e lawe mau ai 'lakou ma ke koko,.

Analogs "Enalapril": na oko, pono a me keakea

Ma neia manawa, ua nui loa ai 'ana e like me ka lāʻau "enalapril" ke ao nei mea lāʻau lapaʻau market. Loa pinepine, ka mea, i ka oi aku waiwai e lilo aku, i 'aʻole i mau kumu i ka wa e kaawale aku o adverse reactions a oi aku lāʻau hopenaʻoi loa. E noonoo i ka papa inoa o ka ai 'ana i haku o kaʻeleu waiwai, like me ka mea i loaʻa ma loko o ka "Enalapril" papa. Nō kāu, o ka mea lāʻau lapaʻau keʻena hoʻokolohua ma Western aina ua hoʻohana 'ia e like me ka papa kuhikuhiE ke keʻena amplodipin enalapril, i ÿokoÿa o enalapril maleate mea wale nō i loko o ka hakakino' ole. I ole ia ka mea, i ka ia 'ano a me ka waiwai.

Ma ka Lūkini mea lāʻau lapaʻau market ma laila nō nā kēia mau analogs "Enalapril":

1. Papa a me nā capsules no injectable "Enap" ma Kolewenia poe KRKA. Lākou kumukuai hoomaka ma ka 280 a me ka pii ana ae i ka 4000 rubles no ka'ōpala o ka papa, a me ka 500 rubles no 10 ehiku huewai i ka pāʻoihana. I hiki ke ike, ma ka Akä naÿe i ka "Enalapril" lāʻau, i ke kumu kūʻai o he kiʻekiʻe, aʻo nā huahana o keia momoku ahi inaccessible i ka helu nui o nā mea kūʻai mai. I ka Ia manawa, poe akamai i nana i ka mea kiʻekiʻe ma Hawaiʻi o ka Analog.
2. Papa "Enalapril hexane" mai ka German Hookah SANDOZ. Wahi lulu lāʻau no kona laulā mea i emi iki mahope o ia i ka haawiia mai medicament. Ke kāki o ka mea like, ke'ōlelo mai iki ma luna ma mua o ka uku o ka "Enalapril" a me ka mea e pili ana i 78-100 rubles no pack.
3. Papa "Berlipril" hua mai la ia e Kelemānia mea lāʻau lapaʻau poe, "Pelelina-Chemie". I ka papa kuhikuhiEʻeleu 'Oponopono o ka lāʻau mea amlodipine, enalapril. Aie i ka mea i ka loaa ana o ka hui i oi huikau a me ka pipiʻi, papa kāki mea e pili ana i 140-180 rubles no pack.
4. Papa "Renitek" mai MERCK, ke kumukuai o ka i mea he iwaena konu o ka huahelu a me ka mea 80-150 rubles no pack.

Nō hoʻi i loko o nā keʻena kūʻai lāʻau lapaʻau 'oe e huli i na like me ka' ole a me ka hoʻokō 'ana i ka lāʻau' analogues "Enalapril" like "Kalpiren", "Miopril", "Envas", "Vazopren" a me ka "Miopril". Poe akamai, nae, e olelo aku i ua ole mau oleloia ai 'hiki ke hoʻohana i ka hope i ole kokoke i ke ahonui, no ka mea kumu, na wahi lulu lāʻau. Ka mea o ia i loko o kona haku mele 'ana ka mea, kokoke haʻi hou aku mākou "Enalapril", a' o ia hoʻi i ka mea hiki no hoi i keʻano o nā complications. Nō hoʻi, ua aʻo aku ai iā kauka, e hoʻolohe i ka haku mele 'ana i lawe wale aku lāʻau. Amplodipin enalapril, i ÿokoÿa o enalapril maleate mea uuku, e hiki no hoi ia hana he kūlana ma ke kino. Ma kekahi hihia, mamua, e hoʻohana i ka iniiaiie lāʻau o kekahi o na hua analogs, ia mea pono, e kukakuka pu me ke kauka.