Mankhwala osokoneza bongo - mankhwala osokoneza bongo omwe ali m'gulu la ACE inhibitors. Amapangidwa ngati mapiritsi. Mankhwalawa akhoza kukhala ndi zinthu zosiyanasiyana za ramipril. Ndicho chifukwa musanagwiritse ntchito Hartil muyenera kukaonana ndi dokotala kuti mudziwe molondola mlingo woyenera.
Zizindikiro za kugwiritsidwa ntchito Hartil
Chifukwa cha zigawo zikuluzikulu za zigawo zikuluzikulu, mankhwalawa ali ndi antihypertensive ndi cardioprotective zotsatira. Zizindikiro za kugwiritsidwa ntchito kwa Hartil ndi:
- matenda oopsa kwambiri;
- kuperewera kwa mtima (mawonekedwe osatha);
- Kulephera kwa mtima, komwe kunachitika pambuyo poyambitsa matenda aakulu kwa odwala okhala ndi zida zowonongeka;
- Matenda a impso omwe amatha kufa;
- nthenda ya matenda a shuga.
Hartil pa odwala omwe ali ndi infarction amalepheretsa kwambiri malo a necrosis. Chifukwa cha izi, amatha kusintha moyo wawo. Kuwonjezera apo, kugwiritsa ntchito mankhwala a Hartil akuwonetsedwa kwa omwe ali ndi chiopsezo chokhala ndi ziwalo zobwereza za myocardial. Izi zimachepetsera chiopsezo chotenga matendawa ndi kuchepetsa kuopsa kwa pafupifupi mawonetseredwe a mtima wosalimba.
Mapiritsi a Hartil akhala akugwiritsidwa ntchito popewera "imfa yowonongeka" ndi kupweteka kwa odwala omwe ali ndi IHD. Amatha kutengedwa ngakhale odwala omwe adwalapo opaleshoni kapena opaleshoni ya angioplasty.
Kodi mungatenge bwanji Hartil?
Malinga ndi malangizo okhudzana ndi kugwiritsa ntchito mapiritsi a Hartil ayenera kutengedwa pamlomo, popanda kutafuna, ndi madzi ofiira (osachepera 0,2 malita). Nthaŵi ya kudya palibe kanthu.
Mlingo wa Hartil umatsimikiziridwa malinga ndi matendawa. Mwachitsanzo, ndi matenda oopsa kwambiri, mlingo umodzi wa mankhwala ndi 2.5 mg pa tsiku. Koma pamene mtima umalimbikitsidwa kutenga Hartil pa 1.25 mg tsiku ndi tsiku.
Ngati kuli koyenera, mlingo wa tsiku ndi tsiku ukhoza kuwirikiza, koma mlingo waukulu wa wodwala aliyense ndi 10 mg.
Pambuyo pa kugwiritsa ntchito Hartil, zotsatirapo zingayambe. Odwala ambiri ali ndi hypotension orthostatic ndi kutsika kwa magazi. Nthawi zambiri, zimakhala zovuta kuti ziwalo ziziyenda bwino. Komanso, ndi kudya kwa Hartil nthawi zonse, munthu amatha kuona:
- kuchepetsera mu mphamvu ya mkodzo;
- mantha;
- kufooka;
- malingaliro olakwika komanso zovuta;
- chifuwa chouma;
- kuchepetsa chilakolako;
- kupweteka.
Pogwiritsiridwa ntchito mankhwalawa, chithandizo chamankhwala n'chofunikira kwambiri. Lamuloli limagwiritsidwa ntchito makamaka pa kudya koyamba kwa Hartil ndikuwonjezera mlingo wake. Ndikofunika kuwerengera mobwerezabwereza BP. Kodi mumamwa mankhwalawa nthaŵi zonse? Onetsetsani kuti musamachite zinthu zomwe zimafuna kuti musamangidwe.
Zotsutsana ndi kugwiritsa ntchito Hartil
Ngakhale pamaso pa zizindikiro zogwiritsiridwa ntchito kwa Hartil, izo siziletsedwa kuzigwiritsa ntchito kuchiza ndi:
- edema ya angioneurotic mu anamnesis;
- kumvetsetsa kwakukulu kwa zigawo zosiyanasiyana za chiphunzitso;
- stenosis ya mitsempha (ngati impso ndi yokhayo);
- hemodynamics yosakhazikika;
- choyimitsa;
- mimba ndi nthawi yoyamwitsa.
Komanso, zotsutsana ndi mankhwalawa ndizolephera kuchepetsa chiwindi ndi hyperaldosteronism. Mosamala ndipo pokhapokha ngati woyang'aniridwa ndi chithandizo cha mankhwala ayenera kutenga a Hartil okalamba odwala, ana ndi achinyamata (osakwana zaka 18), chifukwa m'mayeserowa, mapiritsiwa sangakhale othandiza komanso osatetezeka.