ʻO Lozap a i ʻole Losartan: ʻo wai ka maikaʻi?

He koʻikoʻi koʻikoʻi ka maʻi hypertension, ma ka loaʻa ʻole o ka mālama kūpono ke alakaʻi i nā pilikia a me nā ala e pili ana. ʻOiai ka mea āpau i ʻike ʻia i kēia manawa e pili ana i kēlā maʻi like, a ua nui ka poʻe i loaʻa iā lākou ma ka ʻaoʻao, ʻaʻole nui ka poʻe maʻi e ʻike i ka pōʻino āpau o kēia ʻano. Me nā kiʻekiʻe hypertension koʻikoʻi, ma luna o ka manawa, ʻike ʻia nā hōʻailona o ka pōʻino:

• nā pā ʻāpana ʻē aʻe (pili i nā wāwae hāpana,
• nā kino āpau i loko, ka lolo),
• nā hui ʻole (hiki i ke myocardial necrosis e hele mai (neʻe coronary)
• kanoole kino (str stroke of any localization),
• retina (hemorrhages ākea i ka waihona kālā e alakaʻi ana i ka ʻike maka ʻana a i ʻole makapō piha).

Ke hāʻawi mau nei ka lāʻau lapaʻau hou i nā lāʻau lapaʻau hou e hiki ke kōkua i nā mea maʻi, akā naʻe me kēlā me kēia ʻano lāʻau like ʻole, ke koho ʻana i nā lāʻau lapaʻau hiki iā i kekahi manawa he hana paʻakikī no ke kauka.

ʻO ka ʻike nui e pili ana i ka laʻana ʻo Losartan

He lāʻau lapaʻau antihypertensive maikaʻi loa ʻo Losartan i hiki iā ia ke hakakā me ke kaua koko kiʻekiʻe ma o ka hoʻopaʻa ʻana i ke ʻano o ka mea taliaina o ka angiotensin. Ma muli o ka emi nui ʻana o ka ukana ma ka ʻākau a me nā hapa hema o ka puʻuwai, ʻaʻole kēia hakakā ʻana o kēia mea kūʻē i ka hypertension, akā ua hōʻemi ʻia nō hoʻi ka holo ʻana o ka naʻau hana hemahema ʻole.

Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa i lawe ʻia ʻia. Hoʻomaʻamaʻa pinepine, nā hui a hoʻohui i nā hoʻohui me nā lāʻau lapaʻau cardiological. Koho ʻia nā dosages pono e ʻike i nā helu o ke koko. Hoʻomaka ka hoʻonohonoho ʻana i nā papa me nā liʻiliʻi liʻiliʻi, e hoʻoulu iki i ka ʻike inā pono.

ʻO nā ʻōmole maʻamau i ka ʻaha hoʻokipa ʻana:

• āhāhuʻe
• nāwaliwali (ma muli o kahi emi o ke kahe koko),
• maʻi kūʻai o ka ʻano paʻakikī.

Nā Palepili a me nā mea wae

ʻO Losartan kahi lāʻau lapaʻau antihypertensive maʻamau, i kuhikuhi ʻia i ka nui o nā mea maʻi maʻi. ʻO kahi kūlana inā ʻaʻole kūpono kēia lāʻau lapaʻau no kekahi kumu. Eia nō naʻe, inā i pili kēia, a laila ʻaʻohe mau pilikia me ke koho ʻana i kahi mea pono, no ka mea ke hāʻawi nei ka mākeke lāʻau lapaʻau hou iā mākou i nā ʻano lāʻau like ʻole e kūpono ana i ka hoʻouluulu ʻana i ke koko koko kiʻekiʻe a me nā hōʻailona e ʻike ʻia me kēia pathology.

Hiki ke koho ʻia nā mele i ka hui like (ʻo nā mea hoʻopihapiha e hoʻāla ai i ka ʻāuna o ke kaomi, akā, ʻaʻole i aʻo ʻia kēia mau, no ka mea ke kūpaʻa pinepine ʻia nā mea kanu i nā mea āpau o nā hui āpau. Pono ke koho ʻana i ka hoʻohālikelike me ke nānā ʻana i nā ʻano pilikino o ka mea maʻi ma hope o ka loaʻa ʻana o nā kumu i alakaʻi ʻia ai ke kāpae ʻia o nā hana mua.

I nā hihia i kū ʻole ai ka lāʻau lapaʻau, pono e koho pū ʻia nā analogues no kāna hou hou me ke kauka hele mai. ʻAʻole hiki ke hoʻololi i ka lāʻau lapaʻau, ka hoʻoponopono o nā mea lapaʻau a i ʻole nā ​​mea i kuhikuhi i ke kūʻokoʻa, ʻoiai hiki i kēia ke alakaʻi i ka hoʻopiʻi ʻana i nā hoʻopiʻi olakino maikaʻi ʻole. E hoʻomanaʻo ʻoe i kēlā me kēia mole pharmacological āpau kona papa inoa inoa o nā hōʻailona a me nā contraindications, ʻoiai hoʻi nā kaona a me ka hoʻokipa, pono e noʻonoʻo ʻia me kahi papa hana komo a me ka ʻike ʻana i kekahi ʻike a me nā kūlike.

ʻO Lorista aiʻole Losartan: ʻoi aku ka maikaʻi

ʻO Lorista kahi mea hoʻohālike o ka hana a Slovenian kahi loaʻa o nā mea hoʻohālikelike pharmacological like, no ka mea, ʻo ka hana nui o kēia lāʻau lapaʻau ka potassium losartan. ʻO nā ʻōuli no kēia lāʻau lapaʻau e like me ka Losartan. Ma muli o kahi hoʻomaikaʻi o Lorista, hiki iā mākou ke hoʻolaha i ka mea ʻo ia ke loaʻa i nā ala ʻē aʻe o ka hoʻokuʻu i loaʻa i kahi diuretic hypothiazide (ʻo kēia mau lāʻau i kapa ʻia ʻo Lorista N a me Lorista ND). He mea kūpono paha kēia no kēlā mau maʻi i hōʻike ʻia i ka hoʻohana pinepine ʻana o nā mea antihypertensive a me nā diuretic. Pono nā lāʻau ʻelua i ka hoʻoponopono ʻana i nā maʻi no nā poʻe maʻi ma mua o kanahiku makahiki. Contendicated ʻo Lorista i nā kānaka me nā maʻi concomitant a me nā maʻi maʻi ʻāpana e alakaʻi ai i ka hana ʻole o kēia mau kino.

ʻOi aku ka haʻahaʻa o Lorista, akā ʻaʻole mea nui nāʻokoʻa ʻē aʻe hiki ke hilinaʻi ʻia i ka wā e koho ana i ka lāʻau lapaʻau.

ʻO Lozap a i ʻole Losartan: he aha e koho ai

He nui nā pono o Lozap, no ka mea ʻoi aku ka holomua o kāna mea ʻike. ʻO ka hana nui o nā lāʻau lapaʻau like ʻole ʻoi aku ka potassium losartan, nona nā pūʻulu o ka angiotensin inhibitor inhibitors o ke ʻano ʻelua. Akā ʻo Lozap pū kekahi me kahi diuretic (hydrochlorothiazide), e kōkua ana i ka hoʻohaʻahaʻa i ke koko, ma muli o ka emi ʻana o ka nui o ke koko kahe.

ʻO nā hoʻohālikelike hoʻohālikelike o Telmisartan a me Losartan

ʻO Telmisartan pū kekahi a me ka hui o ka ʻoniʻoni ʻoniʻoni o ka angiotensin. ʻO ka maopopo ʻana o nā lāʻau ʻelua i ka hui like ʻole e hoʻoholo i ko lākou ʻano like. Hiki ke kuhikuhi ʻia ka Telmisartan no ka hypertension kiʻekiʻe a me ke kiʻekiʻe. Akā e pono e pale ʻia kona kumu inā loaʻa i ka pathary tract pathology, hepatocellular a me / i ʻole ka renal lawelawe hoʻokō. Me ka mālama kūikawā a ma lalo o ka mālama mālama olakino kūikawā, ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā keiki a me nā ʻōpio.

ʻAʻole pono e hoʻohana ʻo Telmisartan i ka wā hapai no ka mea ua hōʻike ʻo ia i ka hopena pathological i ka pēpē a me ka embryo.

ʻO Enalapril kahi hoʻohālikelike

Aia ʻo Enalapril i ka hui o nā antagonist o ka enzyme-angiotensin-hoʻohuli o ka enzyme, no laila ʻo kēia lāʻau lapaʻau, ma o kekahi ʻano ʻē aʻe, ʻike maoli i kona hopena therapeutic i ke kino. A ʻo kahi hopena, hōʻemi hoʻi ka enalapril i ka pale kino peripheral no ka hoʻohālikelike ʻana i nā vasodilation, ʻoiai ʻaʻole e loli ka nui o ke kaila o ke koko a me ka hana cardiac. Eia kekahi, ʻike ʻia ka enalapril me kahi hopena cardioprotective, ʻo ka mea nui inā hiki aku i nā mea maʻi me ka pathology o ka ʻōnaehana cardiovascular.

ʻO Enalapril, e like me nā ʻelele āpau o ka inhibitors ACE, he ʻona like ʻole e like me ka hoʻomohala ʻana i ka ʻōpala maloʻo. Akā, ʻaʻole alakaʻiʻo losartan i kahi hoʻopiʻi like ʻole.

ʻO Valz a i ʻole Losartan: ʻoi aku ka maikaʻi

ʻO ka kumu nui o Valza he valsartan, nona nā pūʻulu o ka angiotensin receptor antagonist o ke ʻano lua. Ua hōʻike ʻia ʻo ia ka hopena hypotensive, ʻoiai ʻaʻole ka hopena i kekahi hopena ma ka hana o ka puʻuwai (ʻaʻole e loli i ka ikaika a me ka pinepine o nā maʻi ka naʻau). Hoʻohana ʻia ia i nā mea maʻi e koi ai i ka hui pū ʻana.

Aia i kahi puka hoʻokuʻu i kapa ʻia ʻo Valz N, a ma ka valsartan pū kekahi i ka diuretic thiazide. I kēia hihia, hōʻemi ke kaomi ʻaʻole wale ma muli o ka vasodilation, akā no ka hoʻolilo ʻana i kahi hoʻohaʻahaʻa o ka nui o ke kahawai.

ʻO Edarby ka mea pono o Losartan

ʻO Edarbi pū kekahi o ka hui o ka ʻĀina halepule a ka ʻāʻule me ka hoʻēmi ʻana i ka pume ma ke kāpae ʻana i nā hopena vasoconstrictor o nā palekōne hoʻoheni aono e kū nei i ka ʻaoʻao waena o ka pā vascular. Hoʻohana ʻia kēia lāʻau lapaʻau ma Iapana.

Pono ʻoe e lawe iā Edabri i hoʻokahi wale nō i ka lā (i ke kakahiaka), ka mea i hoʻomaʻamaʻa nui ʻia i ka mālama ʻana no nā maʻi a hoʻonui i ko lākou hoʻokō. He mea maʻalahi ke koho i ka kūpono kūpono no ka mea maʻi, akā naʻe, pono ʻoe e hoʻomanaʻo i ka wā kahiko o ka ulu ʻana i nā kūlana hypotonic, no laila pono ʻoe e hoʻomaka i ka titrating i ka dosis me ka haʻahaʻa o ka mea ikaika. I ka nui o nā hihia, hiki iā Edabri ke kikowaena kūpono.

Cozaar a me Losartan: Hoʻohālikelike Kuhi

ʻO Cozaar kahi lāʻau lapaʻau i hana ʻia ma ka Netherlands ʻo kāna mea hoʻohana koʻikoʻi ka losartan potassium. ʻO nā hopena therapeutic i ke kino he like no Cozaar a me Losartan. ʻAʻole hiki ke mālama ʻia nā noiʻi. Ma ka hoʻomaʻamaʻa, ua hōʻoia nā lāʻau ʻelua i mea kūpono loa a palekana hoʻi.

ʻO nā mea kikoʻī kahi i hoʻopili ʻia

Nui nā mea like me nā huahana i hana i waho. Aia ka uku o ka hapa nui o kēia mau lāʻau lapaʻau, akā ua hoʻāʻo ʻia kēia mau lāʻau lapaʻau iā lākou iho i mea ʻoi aku ka kiʻekiʻe a me ka palekana. Eia ka papa inoa o nā mea lapaʻau olakino kaulana loa i hana ʻia ma waho o ko mākou ʻāina:

• Losartan Teva - kahi lāʻau lapaʻau i hana ʻia ma Hungarian,
• ʻO Presartan, hana ʻia ma India,
• ʻO Lorista (hana ʻo Belarusia),
• Lozap - lāʻau lapaʻau Czech,
• ʻAmelika ʻAmelika
• Hana ʻia ʻo Azilsartan ma Iapana
• Telzap (ʻĀina hoʻokahua Turkey),
• ʻLelo Farani noliprel.

ʻO nā mea like o nā ʻike

Loaʻa nā ʻelua lāʻau i ke paʻi papa. Hoʻohālikelike ka hōʻuluʻulu o nā lāʻau lapaʻau, no ka mea e loaʻa ana i ka waiwai like - ka potassium losartan. Hoʻololi pū nā mea kōkua. ʻO ka magnesium stearate, silicon dioxide, macrogol (kahi waiwai e hāʻawi ai i ka hopena laxative), kahi uapo keʻokeʻo, kahi lōpose lactose.

Manaʻo ia i ke ʻano o nā kumu nui o nā lāʻau ʻelua, ʻo kā lākou mau hōʻailona no ka hoʻohana ʻole ʻana:

• hipertension aʻai,
• ka uha hopohopo,
• maʻi maʻamau nephropathy,
• hema hypertrophy,
• hyperkalemia (ma kēia hihia, ua kuhikuhi ʻia nā lāʻau lapaʻau ʻia me ka potoma diuretics),
• me ka prophylaxis e hōʻemi i nā hōʻeha o nā maʻi a me nā pathologies o ka puʻuwai naʻau a me ka ʻōnaehana vascular ma ke alo o nā mea hoʻonāukiuki.

Hoʻohana ʻia ka hopena o Lozap a me Lozartan ma ke kino - ke kōkua nui nei ka māhele koʻikoʻi e hoʻoheheʻe i ke koko, a laila e hōʻemi ana i ka pilikia o nā māka koko. Hoʻopili i ka pauna potasi losartan o ka hormones ald testosterone a me norepinephrine, ka mea, me ka hoʻokuʻu nui i ka koko, pili pono ka pili koko, e hoʻopili ana i ka lumen ma waena o lākou. Ua loaʻa lākou nā hopena diuretic.

Ua hoʻomau nā lāʻau lapaʻau i ka hoʻomohala ʻana i ka urea, hoʻohaʻahaʻa i ke koko, hoʻokaʻawale i kāna hana a ma laila e hōʻemi ai i ka ukana ma ka ʻōpū o ka naʻau a me ka ʻōnaehana vascular, ʻo ia kekahi o ka prophylaxis maikaʻi loa no nā maʻi a me nā maʻi vascular, e komo pū ana me ka puʻuwai a me nā puʻuwai. ʻAʻohe hopena o nā lāʻau lapaʻau ma ka kikowaena kūloko. ʻO ka hopena ma ka paʻa ʻana o ka waiwai norepinephrine, e hoʻopili ana i ka lumen ma waena o nā paia o nā kīʻaha koko, he pōkole i ka lāʻau lapaʻau.

ʻO nā ʻokoʻa ma waena o Lozap a me Lozartan

ʻOiai ke ʻano o nā lāʻau āpau like me ka papa mea like a me ka papa inoa like like o nā mea kōkua, aia kekahi mau ʻokoʻa ma waena o lākou.

Ma Losartan, aia kekahi mau mea hou aku, no laila ʻoi aku ka liʻiliʻi o nā hōʻailona ʻaoʻao a me ka kikoʻī o nā contraindications. ʻO nā mea hoihoi hou o Lozap i:

• konekena stearate,
• laktosa lactose,
• kalaka
• māhu.

Hāʻawi ʻia ka hopena diuretic o Lozap e ka waiwai mannitol, a i ka mākaukau lua - magnesium stearate. Ma muli o ka heleʻana o ka mannitol i ka lāʻau lapaʻau, Lozap ā pāpā ʻole ʻia e lawe like i nā lāʻau me nā lāʻau e loaʻa ai ka hopena diuretic. Eia kekahi, pono e hana pinepine ʻia nā hoʻokolohua laboratorium i ka wā o ka papa therapeutic e nānā pono i ka calcium o ka calcium a me ka kaulike wai-paʻakai.

ʻOkoʻa nā lāʻau lapaʻau e nā mea hana: Loaʻa ʻo Lozap i ka Czech Republic, Lozartan - i ka ʻIseraʻela, akā aia kahi koho kālā'ē aʻe a Belarus i hana ai.

ʻO ka manawa o ka hoʻomaka ʻana o ka hopena therapeutic ʻokoʻa i nā kālā. Hoʻomaka ʻo Lozapan e hana i loko o nā hola 2-3, i ka hopena ka lā 1-1,5 lā, Lozartan - mai nā hola 5 me ka mālama o ka hopena therapeutic i ka lā. Hoʻolaha kēia mau helu, no ka mea ʻo ka maikaʻi o nā lāʻau lapaʻau ka mea hilinaʻi i kēlā me kēia ʻano o ke kino a me ka nui o ke kūlana o ka mea maʻi, ka uka a me ka ikaika o ke kiʻi hōʻailona.

He ʻokoʻa nā mea i hōʻino ʻia a me ke ʻano o nā hōʻailona ʻaoʻao ma ka hoʻomākaukau, kahi i pili ʻia me kekahi mau ʻokoʻa i nā mea kūkaʻi i ka ʻano.

Nā Hoʻohui

Hoʻolā ʻia ʻo Losartan e lawe i kēia mau hihia:

• ka pilina ʻole o kēlā me kēia ʻāpana,
• hapai, lactation,
• uhaiki pohihihi
• kau palena makahiki - a hiki i ka 6 makahiki.

Nā maʻi hoʻohālikelike i ke koho ʻana iā Lozap:

• kahi maʻi kūlohelohe i ka mea nui a i ʻole nā ​​mea i hoʻomohala ʻia i ka ʻano,
• Hoʻomaopopo ka ʻohu naʻau poma
• hapai
• umauma umauma,
• palena makahiki - a hiki i ka 18 mau makahiki (ʻaʻohe ʻikepili i nā hiʻohiʻona o ka hopena o ka lāʻau ma ke kino o ke keiki).

Hoʻole ia paʻa i nā lāʻau lapaʻau ʻelua me ka lāʻau paʻakikī i nā lāʻau lapaʻau e pili ana i ka aliskiren (me ka nānā ʻole o kona kāohi) a me ACE inhibitors.

Pehea e lawe ai iā Lozap a me Losartan?

Lawe ʻia nā papa papaʻaina, me ko ka ʻaina. Nā keke no ka mālama ʻana iā Lozap:

1. Hypertension Arterial - pono ia e hoʻomaka i ka lāʻau maʻi me ka liʻiliʻi liʻiliʻi ma kahi o 50 mg (1 papa me 50 mg o ka pakanui a ʻole ʻehā papa 100 mg). No ka hoʻokō i kahi hopena maikaʻi aʻe, hiki ke hoʻonui iki ʻia ka nui i 100 mg i kēlā me kēia lā. ʻO ka nui o kēia lāʻau lapaʻau ka ʻenemi loa.
2. ʻO nā mea maʻi 75 mau makahiki a ʻoi aku ka nui (me nā abnormalities i loko o ka lāʻau thyroid) - ua hōʻemi ʻia ka nui i ka 25 mg a i ʻole ½ papa 50 mg.
3. Me ka hoʻomaʻamaʻa ʻana no ka pale ʻana o ka naʻau a me nā maʻi vascular - 50 mg i kēlā me kēia lā.
4. ʻO Nepropathy i nā poʻe me ka maʻi maʻi he 50 mg i kēlā me kēia lā. Ma hope o kekahi mau pule o ka papa, e ʻōlelo ʻia ke ʻano e hoʻonui ʻia i 100 mg.

ʻO nā loiloi no ka hoʻohana ʻana o ka losartan a me ka dosage, ma muli o ka hihia loiloi, e like me ka hoʻohana ʻana o ka lāʻau mua.

Nā hopena hopena o Lozap a me Lozartan

ʻO ka hopena ʻino o ke kino i ka hoʻokele o losartan:

• nā hōʻailona ʻaoʻao pinepine: ka ʻeha a me ka hiamoe.
• lymphatic system: anemia,
• nā hopena noʻonoʻo: ke kūlana kaumaha,
• kikowaena kikowaena kikowaena: nā hiamoe a me ka palaualelo, nā ʻeha a me ka ʻilihune, migraines,
• ka maʻi kūlohelohe: kaomi anaphylactic,
• ʻūnaehana hanu: ʻōpala maloʻo, pōkole o ka hanu,
• ʻili: ʻili a me ʻulaʻula, urticaria,
• nā ʻōpū o ka gastrointestinal tract: ʻeha i loko o ka ʻōpū, nausea, emi iki i ka luaʻi, ke ʻōpū ʻana,
• ʻōnaehana hanana: impotence, erectile kahi ʻāpana.

Hiki i nā hopena kūpono mai ka hoʻohana ʻana iā Lozap:

• ke koko a me ka papahana lymphatic: anemia, emi pinepine thrombocytopenia,
• ka hiʻona kūwaho: ke kākula o Quincke, allergy, līkē - loaʻa ana ka anaphylactic,
• lohi
• kikowaena o ka nenela kikowaena: migraine, hoʻololi i ka ʻono, ʻāhina, hopohopo, ke hiamoe nei,
• ka ʻike ʻana a me ka lohe: vertigo, huhū i nā pepeiao,
• puʻuwai: syncope, angina pectoris, ʻokoʻa loa: ka haunaele i loko o ka lolo,
• vascular system: hoʻohaʻahaʻa i ke koko,
• ʻūnaehana hanu: pōkole o ka hanu,
• hana kekeʻe: ʻāha a me ka luaʻi, ka ʻōpū ʻana o ka ʻōpū, ka ʻōpū o ke alo, a me ka ʻeha ma ka ʻōpū a me ka ʻōpū
• akeʻa: hepatitis, pancreatitis,
• ʻili: ʻili, urticaria.

Hiki i kahi overdose o Losartan a me Lozap ke hiki me ka mahaki a me ka tachycardia, hoʻemi i ke koko, nāwaliwali, a me ka hiolo. Ma ka hihia o kahi hoʻohana hoʻokahi o kahi lāʻau kiʻekiʻe loa o ka lāʻau lapaʻau me ka hōʻike ʻana o nā hopena ʻokoʻa, hana ʻia ke ʻano hōʻailona.

ʻO ke kōkua mua - e kau i ka mea pepehi ma kona kua, e hoʻokiʻekiʻe i kona wāwae. Inā pono, e hoʻolauna i ka hopena o 0.9% sodium chloride. Hoʻomaʻamaʻa ʻia nā lāʻau lapaʻau e hōʻoluʻolu i nā hōʻailona ʻaoʻao a hana i ke ʻano o ka mea maʻi. Manaʻo ʻia - lavage gastric, intake sorbent. Ma hope o ka hoʻonohonoho ʻana i ke kūlana o ka mea maʻi, pono ia e hoʻokū i ka kaohi o nā kumu nui o ka hana nui, i ka hihia, e hoʻokō i kā lākou hoʻoponopono maʻi.

Hōʻike nā kauka i nā kauka

Andrei, 35 mau makahiki, ʻoihana lapaʻau, Magnitogorsk: “Hiki iā mākou ke ʻōlelo iā lākou he 2 nā huahana like me nā inoa like ʻole. Hoʻohui like lākou i ka mālama ʻana a me ka pale ʻana i nā maʻi vascular, akā loaʻa i kahi hilahila maʻamau - he hopena maikaʻi mai ko lākou hoʻohana ʻana ke hiki wale nō ke kiʻi ʻia o ka hoʻomehana lōʻihi, inā he pōkole a neʻe paha ka papa o ka lawelawe ma mua o ka manawa, ʻaʻole lākou e kōkua. He aha ke koho e koho inā he mau mea like ia no ka makemake o ke kanaka maʻi. "

Svetlana, 58 makahiki, cardiologist, Ulyanovsk: "ʻAʻoheʻokoʻa o ka lāʻau lapaʻau. Ke koho nei i ka lāʻau lapaʻau, pono e noʻonoʻo i ka hiki ʻana o ka hoʻomākeʻaka i nā mea kōkua i loko o ka mea maʻi. Inā ʻaʻohe hui like ʻia, hiki iā ʻoe ke koho i kahi lāʻau lapaʻau e pili ana i kāna kumukūʻai. "

Nā Hōʻike Hoʻomaʻi

Marina, 48 makahiki, ʻo Kursk: "Kaukau aku ke kauka iā Lozapan mai ka hoʻomaka, akā ua hoʻoholo au e kūʻai iā Lozartan, no ka mea, ua emi iki kona kumukūʻai, ʻōlelo mai ka hale lapaʻau ma ka lāʻau kīhila ʻoi ʻaʻole ia he mea ʻoi aku ka hopena ma mua. Akā, e like me ka hōʻike i hōʻike ʻia, ʻaʻole lākou i like ʻole, no ka mea ʻaʻole wau i aʻo i kahi hopena kūikawā mai ia mea, a ma hope o kekahi mau pule i hoʻomaka ʻia nā allergy. Pono au e hoʻololi i kahi Lozap ʻoi aku ka maikaʻi, aʻu i hoʻomaopopo ai me ka maikaʻi, ʻaʻohe mea maʻi e ae a me nā hopena ʻē aʻe. "

ʻO Cyril, 39 makahiki, ʻo Ivanovo: "I ka wā mua ua lawe au iā Lozap, a laila e hoʻopakele i ke kālā, no ka mea ua lōʻihi ke ʻano o ka mālama ʻana, ua huli au iā Lozartan. ʻAʻole wau i manaʻo iki iki i kahi loli i ka loli ʻana i ka lāʻau lapaʻau. Ua hoʻoholo wau ʻaʻole ʻaʻole kūpono ke uku e ʻoi aku inā kōkua nā lāʻau ʻelua i nā wahi like ʻole a ʻoluʻolu loa, ʻaʻole loaʻa iaʻu nā hōʻailona ʻē aʻe. "

ʻOksana, 51 makahiki, Kiev: "ʻO kaʻu moʻolelo e pili ana i ka pehea aʻu i hoʻoholo ai he mea kūʻai ʻia ke kumu kūʻai kiʻekiʻe, no laila ua kūʻai au iā Lozap ma mua o Lozartan. Ua kōkua ʻo ia, akā ua hoʻomaka wale nō e hōʻeha i ka ʻeha, ka ʻawaʻawa, a me ka uha ʻo ka ʻili. I ke kau ʻana o ke kauka iā Lozartan, no ka haʻahaʻa haʻahaʻa ʻaʻole au i hilinaʻi i ka manawa mua, ʻaʻohe hopena o ka hopena. A ʻoiai ua ʻoi aku ka maikaʻi ma mua o Lozap. "

ʻO ke kumukūʻai o nā papa Lozap me ka nui o ka waiwai hana he 12.5 mg (pūpū o 30 pcs.) - mai 230 a 300 mau rubles, ke kumu kūʻai o Losartan me nā hiʻohiʻona like - mai 80 a 120 rubles.

Nā hiʻohiʻona o Lozap

He mau antihypertensive āpau mai ka hui o ka angiotensin II receptor antagonist, i hoʻolālā ʻia e hoʻemi i ke kaomi a mālama iā ia i loko o nā palena maʻamau. Loaʻa i nā palapala papa. ʻO ka hāmeʻa ikaika ka losartan potassium. Hoʻolālā ka hopena therapeutic o ka lāʻau lapaʻau e kāpae i ka hana a ACE, ka mea e hoʻohuli ai i ka angiotensin I i ka angiotensin II - kahi mea e hoʻopili ai i nā kīʻaha koko, e hoʻonui ai i ke koko.

Hoʻopili i ka angiotensin II alakaʻi i kahi vasodilation. Hāʻawi kēia i ka hōʻemi o ka pume a i ʻole ka waiho ʻana ma waena o ka maʻamau maʻamau.

Hoʻomaopopo ka hopena o ka lawe ʻana i ka lāʻau lapaʻau ma hope o 1-1,5 hola a mau nō i ka lā. Kuhi ʻia ka ʻaila kiʻekiʻe o ka metabolite ma hope o 3 mau hola. No ka hopena lōʻihi, pono ka lāʻau lapaʻau e lawe i 4-5 mau pule. Mahalo i ka hiki ʻana o nā kīʻaha koko, ua hoʻomaikaʻi ʻia nā hana o ka puʻuwai, e ʻae ana i nā poʻe me nā maʻi ʻehaʻeha e kū maikaʻi i ka naʻau a me ke kino. Hōʻike ʻo Lozap i ka hana pono i ka wā i lawe ʻia ai e nā poʻe ʻōpio a me nā poʻe kahiko e loaʻa nā maʻi hypertension arterial malignant.

Hiki i ka lāʻau lapaʻau ke hoʻomaikaʻi i ka nui o ke kahe koko o ka renal a me ka hāʻawi ʻana i ke koko i ka puʻuwai, no laila ua hoʻohana ʻia ka lāʻau lapaʻau e mālama i ka nephropathy maʻi a me ka pohō o ka naʻau. Loaʻa iā ia kahi hopena diuretic maʻalahi, ma muli o ke kīpē i hoʻopau ʻia i ke kino a ke kāohi ʻia ka nahu ʻana.

Nā hōʻailona no ka hoʻohana ʻana:

• haehae maʻi
• nephropathy maʻi maʻi me ka proteinuria a me ka hypercreatininemia i nā mea maʻi me ka maʻi diabetes type 2, ka mea i hele pū ʻia e ka arterial hypertension,
• ma ke ʻāpana o ka hoʻomaʻamaʻa ʻana o ka maʻi naʻau puʻuwai,
• e hōʻemi i ka hopena o ka maʻi cardiovascular (stroke, etc.) a hoʻemi ʻia ka make i ka poʻe i loaʻa i ka hypertrophy hema hema.

Pākuʻi ʻia nā maʻi:

• ka huhū nui loa i nā ʻāpana o ka huahana,
• makahiki i 18 makahiki
• hapai
• umauma umauma,
• lima hana hoʻopili hewa,
• anuria
• pilikia kūlohelohe.

Nā Contraindications Lozap e pili ana: ka naʻau nui loa i nā mea o ka lāʻau lapaʻau, ʻo ka makahiki o 18 mau makahiki.

ʻO ka lawe ʻana iā Lozap i hiki i ke alakaʻi ʻana i kēia ʻano hopena maikaʻi ʻole o ke kino:

• anemia, eosinophilia, thrombocytopenia,
• ʻO ka edema o Quincke, photosensitivity, urticaria, rash, pruritus, vasculitis,
• hopohopo, sciatica, haunaele, panic atake, hyperesthesia, peripheral neuropathy, ataxia, tremor, hoʻomanaʻo ʻana, hoʻomanaʻo ʻana, paresthesia, migraine, hiamoe kuapo, ke hiamoe ʻole, ʻehaʻeha, dizziness, ʻeha, hoʻoluhi.
• tinnitus, puhi maka i ka maka, blurred vision, vertigo, conjunctivitis, visual impairment, dysgeusia,
• palpitations, atrioventricular ālani o ka lua kahi, hōʻeha puʻuwai, bradycardia, nosebleeds, hypotension, pilikia cerebrovascular ulia, arrhythmia, nāwaliwali, ka angina pectoris,
• koikoi, dyspnea, ʻehaʻeha, bronchitis, laryngitis, pharyngitis, sinusitis, rhinitis, hōʻōloʻi nasal, pōkole o ka hanu,
• ʻōpū o ka ʻōpū, ka niho, ka waha maloʻo, anorexia, hana ʻole o nā aʻaluna, gastritis, hepatitis, pancreatitis, hōʻailona dyspeptic, maʻiʻa, nausea, constipation, ʻeha, ʻeha ʻana o ka ʻōpū,
• nā ʻeha a me nā ʻōpū kuʻuna, fibromyalgia, hōʻehaʻeha o ka naʻau, ka wāwae a me ka ʻeha hoʻi, hiki ke hōʻeha ʻia,
• impalired renal function, nocturia, urinary tract infection, hoʻemi i ka libido, impotence, pilikia ʻole,
• ka ulu ʻana o ka gout, ka ʻeha o ke kuli, ka huehue o nā ʻōpū a me ke alo, ka ʻōpū, ka palupalu, ka momona loa, ka ʻula maloʻo, ka ʻūlū ākea, nā nāwaliwali, nā asthenia.

I ka hihia o ka overdose, bradycardia a tachycardia, a me ke ʻano nui hoʻi hypotension, ulu paha.

Hōʻano hiʻohiʻona o ka losartan

He lāʻau lapaʻau antihypertensive kēia. Loaʻa i nā palapala papa. ʻO kāna mau hana ikaika ka potassium losartan, kahi mea antagonist pono i koho ʻia i nā receptors AT1 subtype i nā ʻano kikoʻī: nā puʻuwai, nā pūpū, nā ate, ka cortex adrenal, ka lolo, nā wahī hoʻonaninani maʻa, i pale i ka hoʻomohala ʻana o ka angiotensins II.

ʻO ka lāʻau lapaʻau ka hopena therapeutic ma hope koke o ka hoʻokele ʻana, hoʻohaʻahaʻa i ke koko. Ma hope o kahi lā, ua hoʻemi ʻia ka hopena o ka lāʻau. Loaʻa ka hopena hypotensive paʻa ma hope o 3-6 mau pule o ka hoʻokele pinepine ʻana o losartan. I nā mea maʻi me ka hypertension arterial, hōʻemi ka lāʻau lapaʻau proteinuria, ka hoʻopuka o ka immunoglobulin G a me ka albumin. Eia kekahi, ʻo ka hana ikaika e hoʻokūkū i ka ʻike i Urea i ka plasma koko.

Nā hōʻailona no ka hoʻohana ʻana:

• haehae maʻi
• nāwaliwali o ka puʻuwai
• maʻi maʻamau nephropathy,
• ka hopena o ka hoʻomohala ʻana o nā maʻi o ka ʻōnaehana cardiovascular, e like me ke kaʻe.

Pākuʻi ʻia nā maʻi:

• hapai
• umauma umauma,
• ka huhū nui loa i nā ʻāpana o ka huahana,
• makahiki i 18 makahiki.

Nā hōʻailona no ka hoʻohana ʻana o losartan: hypertension arterial, nephropathy maʻi.

Hiki i nā hopena hope aʻe ke ulu aʻe a lawe ʻia ka losartan:

• ʻeha i loko o ka ʻōpū a i ʻole peritoneum,
• āhāhuʻe
• uʻeha ʻeha, koko i ka urine,
• ʻaʻano pōkole
• nā manaʻo hoʻopilikia, nalo
• a me ka ili o ka ʻili,
• ʻūlū nui, hōʻā, coma,
• he ʻike hoʻopuka
• ʻeha i ka ʻeha,
• paila, mamaila,
• palpela puʻuwai,
• lie kanikela
• kaumaha ma nā wāwae
• nāwaliwali
• slurred haʻi ʻōlelo
• nahoa
• nā kuhi hewa
• tingling a ʻāʻī paha nā lehelehe, nā wāwae, nā lima,
• constipation
• vasculitis, arrhythmias, puʻuwai puʻe, bradycardia,
• hopohopo, hopohopo.

I kahi hihia o ka make overdose, hiki ke hoʻohaʻahaʻa nui ia, tachycardia, hiki i ka bradycardia ke ulu.

He aha e koho?

Manaʻo nā kauka e like like me kēia mau lāʻau. Hoʻohālikelike ka ʻano like o kēia mau lāʻau. ʻO ke ʻano ikaika i nā lāʻau ʻelua pāhare pāpaho losartan.

Loaʻa i nā lāʻau ʻelua ke ākea kahi ākea o ka hana, akā ko lākou kumu nui ka hoʻemi ʻana i ke kaomi. ʻOiai he hopena like ko lāua ʻelua i ka mālama ʻana i ka maʻi hypertension, i ʻike i ka mea i kūpono, ʻoi pono ke kūkākūkā kūkākūkā me kahi kanaka cardiologist.

ʻO nā ʻokoʻa nui ma waena o kēia mau lāʻau i nā inoa like ʻole, nā kumukūʻai a me nā ʻoihana hoʻonohonoho. Wahi a nā hiʻohiʻona ʻē aʻe, ʻo nā mākaukau he mau kikoʻī.

Loaʻa i nā palapala papa. He ʻano like ke ʻano o ke ʻano o ka lāʻau lapaʻau mua mai 230 mai 300 mau rubles i ka pāʻaiʻai (30 mau pcs.). ʻO ke kumu kūʻai o ka lua 80-120 mau rubles no ka huina like.

ʻO ka'āina kahi i Lozapa - Slowakia. Nā hana hana o ka ʻāina ʻelua: ʻO ʻIseraʻela, ʻo Rūsia, Belarus.

ʻO ka hana ikaika o nā lāʻau lapaʻau hoʻohālikelike e kāohi ana ʻo losartan.

Nā ʻōmai no kā lākou hoʻohana: hypertension, kahi maʻi maʻi maʻi decompensated myocardial dysfunction, vascular damage ma muli o ka hoʻopiʻi ʻana e pili ana i ka maʻi mellitus type 2, ʻo ka hōʻeha o nā maʻi lele. ʻO ka hoʻokuʻu ʻana i nā lāʻau lapaʻau, ʻoi aku ke kuhikuhi ʻana.

ʻO ka hopena paʻa o ka lawe ʻana i kēia mau lāʻau lapaʻau e hele mai i ka manawa 3-6 mau pule mai ka hoʻomaka ʻana o ka mālama ʻana. ʻO ka hoʻomaka ʻana o kā lākou hana i ʻike ʻia i loko o nā hola 5-6 a e ʻike ʻia i ka wā o ke ao.

Me ka hypertension, ka mea maikaʻiʻole, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i nā lāʻau lapaʻau i hui pū ʻia. ʻO ka hoʻohālikelike, ʻo Lozap Plus. Ma kahi o ka mea hana maʻamau, hoʻokomo pū kekahi mea like me ka hydrochlorothiazide. Ma muli o kāna hana, ʻoi aku ka hopena o ka lawe ʻana i ka wikiwiki, e lōʻihi ka lōʻihi ma luna o kahi manawa.

Inā mākou e hoʻohālikelike i ko Lozap Plus a me Lozartan, a laila me ka lāʻau lapaʻau, e ʻoi aku ka nui o ka hoʻohana ʻana iā Lozap Plus, no ka mea ʻoi aku ka wikiwiki a ʻoi aku ka lōʻihi.

Ka papa inoa o nā papa haʻahaʻa

Pono e hoʻokaʻawale ʻia nā lāʻau no ke koko kiʻekiʻe, ʻo ka mea wale nō i ka lā e mālama ai ka mālama ʻana i ke koko a me ka hakakā ʻana i ka hypertension. Hoʻoholo kēia mea ʻo i ka mea nui o ka uku o nā lāʻau i kuhikuhi ʻia ma muli o ke kumu o ke kālā i kūʻai ʻia ai e lilo i mau koina o kēlā me kēia mahina. No laila, i ke koho ʻana i nā lāʻau pono, pono e noʻonoʻo pono ke kauka ʻaʻole i ka hopena a me ka palekana o nā papa, akā pū nō hoʻi ma ko lākou kumukūʻai.

Ka papa inoa o nā mea kū aʻe pono no Losartan:

Hiki iā ʻoe ke ʻike i nā loiloi he nui e pili ana iā Losartan, no ka mea ua kauoha pinepine ʻia kēia lāʻau lapaʻau pinepine. ʻO ka hapanui o nā pane, he nui nā manaʻo e pili ana i ka loli ʻana o nā maʻi i kēia lāʻau mai nā poʻe inhibitor o ka enzyme the angitensin-converting, ma muli o kēia i hoʻomohala ai i kahi hoʻopiʻi e like me ka uʻi hōʻeha ʻeha. Eia nō naʻe, hiki nō iā ʻoe ke ʻimi i nā loiloi maikaʻi e pili ana i ka hoʻolālā ʻana o nā hopena ʻaoʻao i ka lāʻau lapaʻau, akā he nui nō kēia mau ʻōlelo.

Hoʻohālikelike o Lozap a me Lozartan

ʻO kēia mau lāʻau lapaʻau i hoʻohālikelike e like me ke kumu o ka hana. Kuhi lākou i ka waiwai like - potassium losartan, nona nā hana e kiki i ka pāpā ʻana i ka angiotensins, kahi e make ai ka vasoconstriction a me ka hoʻonui o ke kahe koko (BP). ʻO nā ʻokoʻa nui i lawe ʻia i ka wā o ke koho ʻana, ʻo ia nā waiwai o nā mea hou i hoʻohui ʻia i loko o ke ʻano, nā mea contraindications a me ka hōʻemi o ka hopena ʻokoʻa.

ʻO ke kumu nui o nā lāʻau ʻelua ke hoʻohaʻahaʻa i ke koko. ʻO ka hana a ka losartan potassium e hoʻonāukiuki i ka hakahaka o nā kanalapa o nā electrolytes renal, e hoʻonui ana i ka hoʻonui ʻana o ka khlorine a me ka sodium. Ma ke kumu o ka hydrochlorothiazide i hoʻohua ʻia e ke kino, ka nui o ka nui o ka aldosterone hoʻonui, hoʻonui ʻia ka renin i loko o ke koko koko, a hoʻonui ʻia ka pā paʻakai ma ka serum. Ke alakaʻi nei nā ʻōnaehana holoʻokoʻa, ma ka hopena hope loa, i nā hōʻailona aʻe i hōʻike ʻia:

• hoʻohālikelike ke koko
• hoʻoemi ka puʻuwai
• hoʻi mai ka nui o ka naʻau.

ʻO ka hana lāʻau lapaʻau o Lozap a me Lozartan:

• maʻalahi nā mea pili i nā lāʻau lapaʻau e nā ʻili o ka kūnao ʻana,
• ka hana ma ka ate,
• ka mea kiʻekiʻe loa i nā pona koko e nānā ʻia ma hope o hoʻokahi hola,
• ua hoʻōla ʻia ka lāʻau ma kahi ʻano i hoʻololi ʻole ʻia me ka urine (35%) a me ka bile (60%).

Nā hiʻohiʻona ʻē aʻe:

• ʻaʻole hiki i ka mea hoʻoikaika o ka potassium losartan ke komo i loko o ka GEF (ʻo ka kānana-ka lolo-koko) i loko o ka papa hana waena, e pale ana i nā kumuwaiwai sela mai nā palaualelo,
• ua ʻike ʻia ka hopena mai ke ala o ke ʻano i ka malama,
• e hoʻomau ka hopena no kekahi manawa lōʻihi,
• ʻO ka dosage kiʻekiʻe e ʻae ʻia he 200 mg i kēlā me kēia lā (i kekahi mau helu).

Loaʻa nā hopena ʻaoʻao e like me ka overdoses:

• ka hoʻomohala ʻana o ka ʻōpū (ma 2% o nā maʻi),
• myopathy - he maʻi o ka hoʻopili hoʻohui (1%),
• hoʻemi i ka libido.

ʻO nā hopena like like i ka wā i lawe aku ai i Losartan a me Lozap e loaʻa ka hoʻomohala ʻana o ka ʻalā.

ʻOkoʻa ka ʻokoʻa

ʻO nā ʻokoʻa ma waena o nā lāʻau lapaʻau he liʻiliʻi liʻiliʻi ma mua o nā mea like, akā pono e noʻonoʻo ʻia i ka wā e koho ai i ka lāʻau lapaʻau.

Mai ka mea ʻo Lozap i kahi diuretic mannitol, pono e nānā ʻia nā mea hōʻike e hoʻohana ai:

• ʻaʻole e lawe ʻia i ka hui pū me nā mea diuretic ʻē aʻe,
• Ma mua o ka papa o ka hana, pono ʻoe e hana i kahi loiloi o kahi ʻoihana unuhi o nā mālamalama o VEB (wai-hoʻoliʻelima wai-electrolyte).
• i ka wā o ka mālama ʻana iā ia iho, ua ʻōlelo ʻia e nānā pinepine ʻoe i nā paʻakai pālolo ma ke kino.

He pālahalaha ʻo Losartan o nā ʻāpana ʻē aʻe. No kēia kumu, loaʻa kahi hopena he nui o nā hōʻike alia, e like me:

• ʻaʻole i like ʻo Lozap, hōʻike ʻia ke koho nei no ka hoʻōla paʻakikī i kahi e hoʻohana ʻia ai nā lāʻau diuretic,
• He nui nā analogue, kahi ʻo Losartan e hoʻohana ai i ka kikoʻī o nā mea hoʻohui hou.
• ʻOi aku ka maʻalahi o Losartan.

Hoʻopuka i nā lāʻau a me nā mea hana. Hoʻokumu ʻia ʻo Lozap e ka lālani Slovak (hui Zentiva), ʻo Lozartan kahi lāʻau lapaʻau o ka mea hana hale ʻO Vertex (nā mea hoʻomohala i hoʻolako ʻia e Belarus, Polani, Hungary, India).

ʻOi ka uku

• 30 kiʻi 12.5 mg - 128 mau rubles.,
• 30 kiʻi 50 mg - 273 rub.,
• 60 pcs. 50 mg - 470 rub.,
• 30 kiʻi 100 mg - 356 rub.,
• 60 pcs. 100 mg - 580 rubles.,
• 90 pcs. 100 mg - 742 kahaki.

• 30 kiʻi 25 mg - 78 rub.,
• 30 kiʻi 50 mg - 92 mau rubles.,
• 60 pcs. 50 mg - 137 rub.,
• 30 kiʻi 100 mg - 129 rub.,
• 90 pcs. 100 mg - 384 ʻōpala.

He aha ka mea maikaʻi lozap a i ʻole losartan

Wahi a nā poʻe loea, he mau lāʻau lapaʻau kēia ma ke kumu o ka hana, ʻokoʻa wale nō i nā inoa, ke kumu kūʻai a me nā mea hana hana. Akā pono lākou e mālama e like me ka ʻōlelo a ke kauka, i ʻole e hoʻonāukiuki i ka hana o nā hana ʻalike o nā mea kōkua. ʻO nā mea hopohopo nui e pili ana i nā mea hoʻohui diuretic. Ma ke aʻo ʻana o Myasnikov A.L. (cardiologist), i ke koho ʻana i nā lāʻau antihypertensive, pono ia e alakaʻi i ka pae o ka uric acid i ke koko. Me kona hoʻonui nui a me ka hoʻohana ʻana i nā lāʻau lapaʻau me ka ʻole o ka diuretics, aia kahi pilikia o ka arthrosis.

He aha kēia mau lāʻau?

ʻO ka mea kūpono i Lozap ka pālato losartan. Hana ʻia kēia lāʻau lapaʻau i ke ʻano o nā papa i 3 mau keneta: 12.5, 50 a me 100 mg. ʻAe kēia i ka mea maʻi e koho i ke koho maikaʻi loa.

ʻO Lozap Plus kahi meaʻenehana paʻakikī ʻelua mau ʻāpana. Loaʻa ia mau mea 2 mau mea kanu - losartan potassium (50 mg) a me hydrochlorothiazide (12.5 mg).

ʻO ka hana lāʻau

ʻO ka hopena o kēia mau lāʻau lapaʻau ke hoʻohaʻahaʻa i ke koko, me ke neʻe ʻana i ka ukana ma ka puʻuwai. Hāʻawi ʻia kēia hopena e losartan, kahi mea hoʻoweliweli ACE. Pale ia i ka hoʻokumu ʻana o ka angiotensin II, ke kumu e hōʻeha ai ka vasospasm a me ke koko.. ^ E Ha yM. Ma muli o kēia, hoʻonui nā kī a hoʻi ko lākou mau paia i ke kaona maʻamau, ʻoiai e hoʻohaʻahaʻa ana i ke koko. Hāʻawi hoʻi nā moku i kālai ʻia mai ka naʻau. I ka manawa like, aia kahi holomua i ka hoʻomanawanui i ka noʻonoʻo o ke kino a me ke kino o ka maʻi i ka poʻe maʻi e loaʻa ana i ka lāʻau me kēia lāʻau lapaʻau.

Hoʻomaʻamaʻa ka hopena ma hope o ka lawe ʻana i ka lāʻau lapaʻau ma hope o nā hola 1-2 a kū hoʻokahi lā. Eia nō naʻe, no ka mālama paʻa ʻana o ka ikaika i loko o nā palena maʻamau, pono e lawe i ka lāʻau lapaʻau no 3-4 mau pule.

Hoʻonui ʻia nā hopena kūpono a pau o ka lawe ʻana i ka losartan e ka hoʻohui ʻana o ka hydrochlorothiazide ma Lozapa Plus. ʻO ka Hydrochlorothiazide kahi diuretic e hoʻoneʻe ana i nā kahe wai nui mai ke kino, e hoʻonui ana i ka pono o kahi inhibitor ACE. Pēlā, hōʻike kēia lāʻau lapaʻau i kahi hopena hypotensive i hoʻopiʻi ʻia ma mua o ka 2 mau mea ikaika.

Nā hōʻailona no ka hoʻohana ʻana

Loaʻa ʻia ʻo Lozap kahi hōʻike e hoʻouna ai:

• maʻi hypertension i nā pākeke a me nā keiki mai nā makahiki 6,
• maʻi maʻamau nephropathy,
• ka pilikia naʻau maʻi, ʻoi aku hoʻi i nā poʻe maʻi maʻi, ʻo ia hoʻi i kēlā mau mea maʻi ʻaʻole i kūpono no nā mea hou aku o ACE ma muli o nā hopena koʻikoʻi,
• ka hōʻemi o ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a me ka hoʻohaʻahaʻa i ka make ma ka maʻi i nā mea maʻi me ka hypertension.

ʻO ka lāʻau lapaʻau me ka hydrochlorothiazide i loko o ka mea hiki ke hoʻohana ʻia e mālama ai:

• hypertension arterial i nā maʻi nā mea i hōʻike ʻia ke hui pū ʻana;
• inā pono, hoʻemi i ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a hōʻemi i ka make ma nā maʻi me nā hypertension.

Ka hana lāʻau lapaʻau

ʻO ka lāʻau antihypertensive. Puka antagonist kūmole spesial angiotensin II (subtype AT1). ʻAʻole ia i pale i ka kininase II, kahi enzyme e hōʻiliʻili nei i ka hoʻololi ʻana o ka angiotensin I ka angiotensin II. Hoʻemi i ka OPSS, pae koko o ka adrenaline a me aldosterone, kahe koko, ke kaomi ana i ke kaila pulmonary, e hōʻemi ana ma hope o ka luʻu, he hopena diuretic. Kūleʻa ʻia me ka hoʻomohala ʻana o ka hypertrophy myocardial, hoʻonui i ka hoʻolahalaha ʻana i nā maʻi me nā maʻi ʻoi ʻole ka maʻi. ʻAʻole ʻo Lasartan e kālai i ka ACE kininase II a, no laila, ʻaʻole i pale i ka luku ʻana i ka bradykinin, no laila, ʻaʻole like ka hopena o nā ʻaoʻao i ka pili me bradykinin (no ka laʻana ka angioedema) he mea maʻamau ka maʻamau.

I nā mea maʻi me ka hypertension arterial me ka hapa ʻole o ka maʻi mellitus me ka proteinuria (ʻoi aku ʻoi aku ma mua o 2 g / lā), ka nui o ka hoʻohana ʻana i ka lāʻau lapaʻau he nui ka hoʻokaʻawale ʻana i proteinuria, ka ʻoihana o ka albumin a me ka immunoglobulins G.

Mālama i ka pae o ka urea i ka plasma koko. ʻAʻole pili i ka pōkole vegetative a ʻaʻohe i ka hopena lōʻihi i ka neʻe ʻana o ka norepinephrine i ka plasma koko. ʻO Losartan ma kahi o ka piʻi a hiki i ka 150 mg i kēlā me kēia lā ʻaʻole ia e hoʻopilikia i ka pae o ka triglycerides, ka nui o ka kolamu a me ka kolamu HDL i ka serum o ke koko i nā mea maʻi me ka hypertension arterial. Ma ka hopena like, ʻaʻole pili ʻo losartan i ka wikiwiki o ka glucose koko.

Ma hope o ka lawelawe waha hoʻokahi, ua emi ka hopena hypotensive (systolic a me ka diastolic blood pressure) a hiki i ka nui loa ma hope o 6 mau hola, a laila hoʻemi iki ʻia ma loko o 24 mau hola.

Hoʻopilikia ka hopena hypotensive kiʻekiʻe ma 3-6 mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau.

Lapaʻau lāʻau

I ka nānā ʻana, ua hoʻokomo maikaʻi ʻia ka losartan, a ua hoʻomōhala ʻia ʻo ia i ka metabolism i ka wā o ka "ʻōlelo mua" ma o ka ʻōpū ma ka carboxylation me ka komo ʻana o ka isoenzyme no ka cytochrome CYP2C9. ʻO ka bioavailability o ka'ōnaehana o losartan e pili ana i 33%. Cmax o losartan a me kāna metabolite ikaika e loaʻa i loko o ka serum koko ma hope o kahi o 1 hola a 3-4 mau hola ma hope o ka nānā ʻana, kēlā. ʻO ka ʻai ʻaʻole e pili i ka bioavailability o losartan.

ʻOi aku ma mua o ka 99% o losartan a me kāna metabolite hoʻoikaika e nakinaki ai i nā protein plasma, ʻoi loa me ka albumin. Vd losartan - 34 l. ʻAʻole ʻaʻole ʻo Losartan e komo i ka BBB.

Ma kahi o 14% o losartan i hāʻawi ʻia i loko o kahi metabolite ikaika.

ʻO ka wehe i ka plasma o ka losartan o 600 ml / min, a me ka metabolite ikaika e 50 ml / min. ʻO ka hoʻomaʻamaʻa kino ʻole o ka losartan a me kāna metabolite kaola i ka 74 ml / min a me 26 ml / min, kēlā. Ke hōʻike ʻia, ma kahi o 4% o ka nui i lawe ʻia e excreted e nā keiki i loli ʻole a ma kahi o 6% e hoʻopiʻi ʻia e nā keiki ma ke ʻano o kahi metabolite hoʻoikaika. Hōʻike ʻia ʻo Losartan a me kāna metabolite hoʻoikaika e ka linear pharmacokinetics i ka wā i lawe ʻia ai i ka waha o nā pona a hiki i ka 200 mg.

Ma hope o ka lawelawe waha, ua hōʻemi ʻia ka plasma o losartan a me kāna hoʻohaʻahaʻa metabolite me ka lōʻihi o ka T1 / 2 o ka losartan ma kahi o 2 mau hola, a me ka metabolite mau e pili ana i 6-9 mau hola. pili koko. Hoʻokumu ʻia ʻo Losartan a me kāna mau metabolites ma o ka ʻōpū a me nā ʻili. I nā mea olakino olakino, ma hope o ka nānā ʻana i ka 14C me ka isotope o ka losartan i hoʻopaʻa ʻia, ma kahi o 35% o ka hōʻailona radioactive e loaʻa ana i ka urine a ʻo 58% i nā feces.

ʻO ka pharmacokinetics i nā hihia lapaʻau kūikawā

I ka poʻe maʻi me ka cirrhosis waiʻona maʻalahi, ʻo ka 5 ʻana o ka lilo ʻana o losartan, ʻo 5 mau manawa, a ʻo ka metabolite ikaika e 1,7 mau manawa ma mua o nā mea hana manawaleʻa kāne maikaʻi.

Me ka clearance creatinine eʻoi aku ma mua o 10 ml / min, ʻo ka neʻe o ka losartan i loko o ke kaila koko he ʻokoʻa ʻole ia me ka hana maʻamau. I nā poʻe maʻi e pono ai i ka hemodialysis, ʻo AUC ma kahi kokoke i 2 mau manawa ke kiʻekiʻe ma mua o nā mea maʻi me ka hana maʻamau maʻamau.

ʻAʻole ʻo ka losartan a me kāna metabolite kūlohelohe i wehe ʻia i ke kino e ka hemodialysis.

ʻO ka nānā ʻana o losartan a me kāna metabolite hoʻoikaika i ka plasma koko i nā kāne ʻelemakule me ka hypertension arterial ʻaʻole ʻokoʻa loa nā kumu o kēia mau ʻiliʻili i nā ʻōpio a me ka hypertension arterial.

ʻO nā mea pili i ka plasma o losartan i loko o nā wahine me ka hypertension arterial he 2 mau manawa kiʻekiʻe ma mua o nā helu i pili i nā kāne me ka hypertension arterial. ʻOkoʻa nā ʻoliʻoli o ka metabolite ikaika i nā kāne a me nā wahine. ʻAʻole koʻikoʻi kēlā kapa lapaʻau pharmacokinetic.

ʻLoe a me ke kākele

Lawe ʻia ka lāʻau lapaʻau ma ke ʻano, me ke ʻano o ka ʻaina. Hoʻohui pinepine ʻia - 1 manawa i kēlā me kēia lā.

Me ka hypertension arterial, ʻo ka awelika o ka awelika o kēlā me kēia lā he 50 mg. I kekahi mau pilikia, ke hoʻokō i ka hopena therapeutic ʻoi aku, hiki ke hoʻonui ʻia i ka lā i kēlā me kēia lā ka 100 mg i ka 2 a i ʻole ka 1 dosis.

ʻO ka ʻōmua mua no nā mea maʻi me ka mālama pu ʻana i ka naʻau he 12.5 mg hoʻokahi i ka lā. Ma ke kānāwai, hoʻonui ʻia ke ʻano me ka wai hebedoma (i.e. 12.5 mg i kēlā me kēia lā, 25 mg i kēlā me kēia lā, 50 mg i kēlā me kēia lā) i kahi maʻi mālama mālama maʻamau o 50 mg 1 mau manawa i kēlā me kēia lā, e pili ana i ka ʻoluʻolu o ka lāʻau.

Ke kuhikuhi ʻana i ka lāʻau lapaʻau i nā mea maʻi e loaʻa ana i nā diuretics i nā helu kiʻekiʻe, pono e hoʻemi ʻia ka pualua mua iā Lozap® i 25 mg hoʻokahi i ka lā.

No nā poʻe maʻi maʻi, ʻaʻohe hewa o ka hoʻoponopono hoʻoponopono ʻia.

Ke koho ʻana i ka lāʻau lapaʻau i ka hōʻemi o ka hopena o ka hoʻomohala ʻana i nā maʻi cardiovascular (me ka maʻa pūpū) a me ka make ma ka poʻe maʻi me ka hypertension arterial a waiho aku i ka hypertrophy ventricular, ʻo ka iniha mua he 50 mg i kēlā me kēia lā. I ka wā e hiki mai ana, hiki ke hoʻohui ʻia kahi liʻiliʻi o ka hydrochlorothiazide a me / a i ʻole ka nui o ka hopena o ka hoʻomākaukau ʻana Lozap® e hoʻonui ʻia i 100 mg no kēlā me kēia lā ma 1-2 doses.

No ka poʻe maʻi me ka maʻi 'aʻai o ka maʻi mellitus type 2 me ka proteinuria, ʻo ka hopena mua o ka lāʻau lapaʻau he 50 mg i hoʻokahi lā i ka lā, i ka wā e hiki mai ana, hoʻonui ʻia ka nui i 100 mg i kēlā me kēia lā (e noʻonoʻo ana i ke ʻano o ka hoʻemi ʻana o ke koko) i loko o 1-2 doses.

ʻO nā mea maʻi me ka mōʻaukala o nā pepeka o ka ate, ka huhū, i ka wā o ka hana hemodialysis, me nā mea maʻi a ʻoi aku 75 makahiki o kona mau makahiki, e ʻōlelo ʻia nei he haʻahaʻa o ka wai o ka mua o ka lāʻau - 25 mg (1/2 papa o 50 mg) hoʻokahi i ka lā.

Loaʻa ka hopena

Ke hoʻohana ʻana i ka losartan no ka mālama ʻana i ke ʻano o ka hypertension koʻikoʻi i nā hoʻokolohua i hoʻomohala ʻia, ma waena o nā hopena āpau, ʻo ke ʻano o ka hilahila wale nō ka mea like i ka placebo e ʻoi aku ma mua o ka 1% (4.1% kūlike 2.4%).

ʻO ka hopena a me ka hopena o ka hopena o ka dosis a me nā hoʻohana a ka losartan i mālama ʻia ma kahi o 1% o nā mea maʻi.

Ka hopena o ka hopena o nā hopena ʻimi: pinepine pinepine (≥ 1/10), pinepine (> 1/100, ≤ 1/10), i kekahi manawa (≥ 1/1000, ≤ 1/100), loaʻa pinepine (≥ 1/10 000, ≤ 1 / 1000), me ka paʻakikī loa (≤ 1/10 000, me nā leka hoʻokahi).

Nā hopena pili i loaʻa me ke alapine e ʻoi aku ma mua o 1%:

ʻO nā papa Cozaar a me Lozap nā mahele maʻamau o nā lāʻau antihypertensive i hoʻolālā ʻia e hoʻohaʻahaʻa i ke koko, a i ʻole ke pale aku i kāna "huki" i loko o nā kānaka. I kēia manawa, ʻike nui ʻia nā kālā i koho ʻia i waena o nā mea maʻi hypertensive, me ka wikiwiki i ka hana a me ka hana. Eia kekahi, ʻo ke kumukūʻai o Cozaar a me Lozap ma kahi haʻahaʻa haʻahaʻa. Akā ʻo wai nā lāʻau lapaʻau ka mea maikaʻi loa i kāna mahele? E hoʻomaopopo mākou ma o ka kiko kikoʻī o kā lākou mau lāʻau lapaʻau a me ka hana pono.

Hōʻike, mea waiwai a hoʻokuʻu i ke ʻano o Kozaar

Cozaar - kahi lāʻau lapaʻau i haʻi i ka hopena hypotensive

ʻO Cozaar kahi lāʻau lapaʻau hypotensive e hoʻohaʻahaʻa i ke koko i kahi kanaka a hiki iā ia ke pale aku i nā hōʻeuʻeu ʻana. Hiki i kekahi hana like me ka lāʻau lapaʻau ka mea, i ka manawa i komo ai i ke kino, koho pono ia i nā ʻekena i mea e hoʻonāukiuki i ka hoʻokahe kahe o ke koko, ma muli o ia hopena e hiki ai ke hoʻokō i ka hopena mau loa i ke ʻano o ke kaomi mau.

Ma hope o hoʻokahi pākahi, hana ikaika ʻo Cozaar i nā hola 6-7 e hiki mai ana, a laila emi ka hopena o ka lāʻau lapaʻau ma ke kino. Hōʻike ka hana no ke ʻano ʻo Cozaar ma cardiology e hiki ke loaʻa ka hopena hypotensive nui loa o kēia lāʻau lapaʻau me kahi papa wiki o 3-4-pule.

Hoʻonui pinepine nā mākaukau o ka lawe ʻana iā Cozaar. I ka hoʻomaka o ke papa, ʻokoʻa pinepine nā dosages i ka 25-50 milligrams o ka lālani i kēlā me kēia lā, ma hope o nā hebedoma e lawe ai i ka lāʻau lapaʻau, make ʻia ʻo 100-125 milligrams i kēlā me kēia lā. He kūlohelohe, hoʻoholo ʻia ka nui loa e ka lāʻau kauka, no laila, ʻaʻole ʻae nā "cores" i kēia hana.

ʻO ka hui ʻana o Cozaar e loaʻa i kekahi mau māhele, ʻo ia hoʻi:

• pāheʻe losartan (māhele nui)
• pāki palaoa palaoa huahana
• paʻahau magnesium
• lactose
• carnauba wax
• hyprolose a me kekahi helu o nā mea hoʻohui ʻē aʻe

ʻO ke ʻano o ka hoʻokuʻu i ka lāʻau lapaʻau, e pili ana i nā papa me kahi kiʻi pale pale kiʻi. Aia ma ka nui o nā mea ikaika i ka lāʻau lapaʻau, 50- a me 100-milligram nā mea i loaʻa ke ʻano. Ke keʻokeʻo ka pōʻai me Cozaar, maʻa maʻamau i ʻelua papa o nā papa he 14 o kēlā me kēia.

ʻO ka hoʻonohonohoʻana o ka waiwai a me ke kūlana hoʻokuʻu o Lozap

ʻO Lozap kahi lāʻau lapaʻau antihypertensive

ʻO Lozap, e like me ka mea i ʻōlelo ʻia ma luna nei e Cozaar, he lāʻau lapaʻau pū kekahi ia, akā naʻe, he hoʻohui hui pū. Ma ke ʻāpana o kēia lāʻau lapaʻau, ʻelua mau mea ʻano nui:

Hoʻohui i ka hopena ikaika i nā mea receptors e hoʻonāukiuki i ka hoʻonui ʻana i ke koko, ʻo Lozap mau mea e hoʻopili maoli i ka pale ʻana i nā pae vascular. A ʻo kahi hopena, hoʻohemo ʻia ka ʻike ʻana o nā mea hoʻonaninani e hoʻolōʻihi i ke koko mai nā “ʻelua” i ka manawa hoʻokahi. ʻO ka lōʻihi o ka hana, nā ʻākena o ka lawe ʻana i ka lāʻau lapaʻau a me ke ʻano maʻamau o ke ʻano me ke kōkua ʻana iā Lozap i ka hana like ʻole i nā mea like like i hōʻike ʻia no Cozaar.

Hoʻokumu ʻia ʻo Lozap i kahi palapala like like. Hoʻopili ʻia nā papa i nā palepona i waiho ʻia i loko o nā paʻi keʻokeʻo o nā ʻāpana he 90 i kēlā me kēia. E like me Cozaar, Lozap i loaʻa ma 50- a me 100-milligram formations e like me nā kiko o nā mea hana nui. Ma ke kumu, ʻo kēia mau lāʻau lapaʻau, inā ʻaʻole like me ia, a laila like loa.

Hoʻomaopopo! He diuretic ikaika ʻo Lozap.

ʻO kēia ma muli o ka hiki i kona kāpiliʻana o ka hydrochlorothiazide, ka mea e hoʻopiʻi kūpono i ka pale ʻana o nā paia o nā kīʻaha koko, akā e hoʻonui nui i ka pae o ka hoʻokumu ʻana i ka urine. Malia paha ʻo kēia hiʻohiʻona kūikawā o Lozap e hoʻokaʻawale iā ia mai ke hoa paio o kēia lā.

I ka wā i kauoha ʻia ai nā lāʻau?

I ka manawa pinepine, ua kuhikuhi ʻia nā lāʻau lapaʻau no ka hypertension arterial

Koho ka Cozaar a me Lozap e hana i loko o ka cardiology ma ka hana o ka hypertension ma kekahi ano o kona hōʻike. ʻO nā hōʻailona maʻamau no ka lawe ʻana i kēia mau lāʻau lapaʻau nā:

1. paio
2. IHD o kekahi hoʻokau, i hōʻike pū ʻia me nā hōʻike o ka hana ʻole o ka naʻau
3. proteinuria
4. haʻalele hipertrophy ventricular

Hoʻopili i kahi hopena nui i ke kino, ʻo ia ka hoʻokaʻawale i ka piʻi o ke koko, ʻo Cozaar a me Lozap e hōʻemi hoʻi i nā mea e pili ana i kēia hanana i ka wā o ka hōʻā kino kino. Ma muli o kēia waiwai, kuhikuhi pinepine ʻia nā lāʻau lapaʻau e nīnau ʻia ana ma nā wahi liʻiliʻi i kēlā mau poʻe i makemake mua ʻia i ka hypertension, me ka manaʻo e pale i ka wā o nā haʻuki.

Ma ke ʻano he kānāwai, ʻo Cozaar lāua ʻo Lozap kekahi o nā papa hana o ka papa holoʻokoʻa piha no ka hōʻeha ʻana o ka puʻuwai, no laila, ua hāʻawi paʻa ʻia lākou i kauka loea. ʻO ka ʻōmaʻomaʻo nui e lawe i ka lāʻau lapaʻau e hoʻonui pinepine i kā lākou mau dosages a hiki i ka hoʻokō ʻia ʻana o ka hoʻokō ʻana. Inā ʻaʻole, ʻaʻohe mau hiʻohiʻona koʻikoʻi ma ka lāʻau antihypertensive.

ʻO wai lākou e hoʻohalike ai?

Ua hoʻopili like ʻia nā cozaar a me Lozap i nā contraindications e komo ai. I mea e kū pololei ai, ke kamaʻilio nei mākou no nā mea pale mai:

• allergy i nā māhele o nā lāʻau lapaʻau
• lolika lactose
• maʻi ʻino ʻeha
• makahiki i 16-18 mau makahiki
• kahi hui pū me nā lāʻau lapaʻau "Aliskiren" a me nā mea like
• hapai
• lactation

Me ka loaʻaʻole o ka lāʻau, hiki ke kiʻi wale ʻia nā lāʻau lapaʻau e like me ka alakaʻi ʻana i kahi kauka!

Ma Lozap, he māhuahua ka papa inoa o nā contraindications, no laila ua hoʻohui ʻia me ka hyperuricemia, ka maʻi gout, hyponatremia, hypokalemia a me hypercalcemia. Pākuʻi ʻia nā ʻāpana āpau i pili ʻia me ka waiwai diuretic o kēia lāʻau lapaʻau, no laila hiki ʻole ke maliu ʻia.

Me ka makaʻala, he mea nui nā Cozaar a me Lozap no nā poʻe e hōʻeha nei:

• nā ikaika ikaika o nā arrhythmias cardiac
• pilikia pilikia
• hoʻokahe koko liʻiliʻi ma ke kino
• haehae maʻi
• nā mea hoʻonāukiuki o ka pauna o ka wai-electrolyte o ke kino

I nā hihia ʻē aʻe āpau, ʻae ʻia ka hoʻohana ʻana i nā lāʻau lapaʻau i ka nīnau, ʻoiaʻiʻo, me kahi ʻōlelo hoʻopukapuka a kekahi kanaka akamai.

Nā hopena hopena

Me ka hoʻohana hewa ʻana o nā lāʻau antihypertensive a i ʻole ʻole e nānā aku i kā lākou mau contraindications, ʻaʻole i hoʻoholo ʻia nā hōʻike o nā ʻaoʻao. No Lozap, ka papa inoa o nā "ʻaoʻao ʻaoʻao" hiki i kēia:

• pālahalaha maʻi
• māhuahua nā nāwaliwali
• māhā ʻōiwi a me nā iwi ʻole
• ka ʻōpū ʻana o nā membrane mucous i ke kino
• nā pilikia ʻeha
• ka hoʻomohala ʻana o ka maʻi maʻamau
• nā kuʻuna a me ka ʻeha

Hiki ke loaʻa nā ʻike hou mai ka lāʻau lapaʻau Lozap ma video6

Ua ʻike ʻē paha ʻo Cozaar i nā hopena ʻokoʻa hou. ʻO kā lākou papa inoa kikoʻī:

• pilikia pilikia
• maikaʻi ka hana ʻana
• hikiwawe ka edema (ʻaʻole wale nō i loko o nā huaʻōlelo o nā membous mucous)
• ʻeha hōʻeha
• ninini
• mau hōʻeha
• nahoa
• ōlaila like ʻole
• ʻumiina
• ke hiʻohiʻona o ka umauma ikaika o kahi kumu ʻike ʻole
• nā hoʻohālikelike o nā huakaʻi a me nā pēpē
• hyperpigmentation o ka ʻili
• huu

Naturally, me ka overdoses o nā lāʻau lapaʻau, ʻo ka hopena nui he ikaika ikaika a paʻa i ka neʻe koko. Inā ʻike ʻia kekahi o nā wahi i hoʻomaopopo ʻia me ka mau manawa maʻamau, ʻo Cozaar a i ʻole Lozap e hoʻokuʻu ʻia, ma mua o ka kūkā ʻana me ke ʻano o ke kauka lapaʻau. Hiki i nā hopena ke hopena ke hōʻeha loa, mai poina e pili ana i ia mea.

ʻO kahi hea ka maikaʻi - Cozaar a Lozap paha?

ʻO nā lāʻau ʻelua ke hoʻohaʻahaʻa pono i ke koko.

I kēia manawa o ka loiloi pilikino e pili ana iā Cozaar a me Lozap i noʻonoʻo pono ʻia, ʻo ia ka manawa e pane i ka nīnau nui o ka ʻatikala o kēia lā - "ʻO wai ka lāʻau maikaʻi aʻe?".

E huhū nui ka poʻe, akā ʻaʻohe pane kūpono i kēia nīnau. Ua hilinaʻi ʻia kēlā ma ke ʻano o ka pili ʻana o nā lāʻau lapaʻau.

• Ma nā hua o ka wikiwiki a me ka ikaika o ka hana, ʻoi aku ka maikaʻi o Lozap, no ka mea e loaʻa ka hopena i nā mea hoʻokani o ka ʻōnaehana cardiac, a me kahi hopena diuretic. ʻAʻole hiki iā Cozaar ke kaena aku, eia nō naʻe nā hana ʻelua ke hana i ka manawa like, a he qualitatively.
• I nā ʻōlelo o nā contraindications a me ke kumukūʻai, ʻikea ʻoi aku ka maikaʻi o Cozaar, ʻoi aku ka liʻiliʻi a ua liʻiliʻi nā mea pili i kona hoʻohana ʻana.
• Inā mākou e huli i hiki i nā "hopena hopena", a laila ke ʻano like ke kūlana. ʻOiai ko lākou papa inoa laulā, ʻo ia hoʻi ka mea ʻo Cozaar, he mea nui ia e hoʻomaopopo he ʻaihue nā hopena, no laila ʻaʻole pono e lawe nui ʻia. Eia kekahi, me kahi koho maikaʻi o ka lāʻau.

ʻO ka mea maikaʻi loa iā ʻoe - ʻo Cozaar a i ʻole Lozap, e hoʻoholo nou iho. Hoʻololi ikaika kā mākou punaewele i ka lāʻau lapaʻau ponoʻī o nā pathological cardiological, a ma ko lākou mālama ʻana e hōʻeuʻeu iā ʻoe e ʻōlelo mau me kāu poʻe olakino olakino.

ʻO ke koho ʻana i nā lāʻau lapaʻau no ka mālama ʻana ʻaʻole ia he mea ʻole ma kēia, no laila, ma mua o ka lawe ʻana i Cozaar a ma mua o ka hoʻohana ʻana iā Lozap, e pono e kipa i kahi cardiologist. ʻO kēia aʻo ka pololei loa a palekana ʻole.

He aha hiki ke hoʻololi i kēia mau lāʻau?

I ka hopena o kēia moʻolelo, e makaʻala kākou i nā mea hoʻohui maikaʻi loa ʻo Cozaar a me Lozap. Ke hāʻawi nei ka mākeke lāʻau lapaʻau hou i kēia mau koho no ka hoʻopili ʻana i kēia mau lāʻau.

Ma mua o ka lawe ʻana i kekahi o nā kālā o luna, e noʻonoʻo pono e heluhelu i nā ʻōlelo i hiki mai me ia. Loaʻa paha ka papa inoa o nā contraindications, nā hopena hopena a me nā mea ʻē aʻe o ka lawe ʻana i kahi lāʻau lapaʻau kūikawā ʻē aʻe i kahi like ma ka mea i manaʻo ʻia i kēia lā.

ʻO kēia paha ka mea nui loa i ke kumuhana o ka ʻatikala i kēia lā i pau. Lana ko mākou manaʻo ua lilo i mea kōkua iā ʻoe a hāʻawi i nā pane i kāu mau nīnau. Makemake au iā ʻoe e ke olakino a me ka holomua ʻana o nā maʻi āpau!

Ua nānā paha ʻoe i kahi kuhi hewa? Koho ia a kaomi Ctrl + Kākaue ʻike iā mākou.

Kūkākūkā pūnaewele

ʻOi kahi lāʻau lapaʻau ʻoi aku ka maikaʻi: Lozap a i ʻole Lorista? ʻO nā lāʻau ʻelua ke loaʻa kahi ākea ākea o ka hana, akā ʻo kā lākou kumu nui o ka hōʻemi ʻana i ke koko kiʻekiʻe. Ke hoʻomaopopo nei i nā ʻokoʻa ma waena o nā lāʻau lapaʻau a hoʻoholo i ka mea kahi i ʻoi aku ka maikaʻi ma ka mālama ʻana i ka maʻi hypertension, pono ʻoe e heluhelu ʻokoʻa i nā ʻōkuhi no Lozapa lāua ʻo Lorista, me ke kūkākūkā pū me kahi loea e koho pilikino i nā dosage a hoʻopaʻa i ka lōʻihi o ka papa.

Ke hoʻohālikelike huakaʻi

No ka hana i ke koho kūpono, pono ʻoe e hoʻohālikelike i nā ʻano o nā lāʻau lapaʻau.

Loaʻa nā lāʻau ʻelua i nā palapala papa. Loaʻa iā lākou ka waiwai kaulike - potassium losartan - a me nā mea hoʻohui aʻe: macrogol, silicon dioxide, magnesium stearate. Loaʻa ʻo Lozapan lāua ʻo Losartan i nā hōʻailona like ʻole no ka hoʻohana. Loaʻa iā lākou kahi hopena like ma ke kino - ke hoʻonui ʻia nei lākou i nā kīʻaha koko, ma muli o ke ʻano o ka hoʻemi ʻana i ke kahakaha a emi mai ka ukana i ka ʻōnaehana cardiovascular, he mea nui ia no ka pale ʻana i nā maʻi e like me ka hōʻeha a me ka puʻuwai naʻau.

ʻO ka hopena i ka neʻe ʻana o ka norepinephrine (kahi kinaki hormonal), ka mea i hoʻopuka i ka lumen ma waena o nā paia o nā kīʻaha koko, he pōkole i loko o nā lāʻau ʻelua. Eia kekahi, hiki i nā lāʻau lapaʻau ke kumu i nā nui o nā hopena ʻaoʻao.

Hoʻohui a me ka hana

ʻO nā lāʻau lapaʻau "Lorista" a me "Lozap" e loaʻa ka losartan i mea waiwai. ʻO nā mea kōkua "Lorista":

• māhu
• meaʻai hou E572,
• hoʻokahe
• cellulose
• meaʻai kīnā E551.

ʻO nā mea hou aku i loko o ka lāʻau lapaʻau "Lozap" penei:

• haniailahion,
• sodium polio
• MCC
• povidone
• meaʻai hou E572,
• mannitol.

Hoʻohana ʻia ka hana o ka hāmeʻa Lozap ma ka hoʻohaʻahaʻa ʻana i ke koko, ke kūʻē kūʻokoʻa peripheral nui o nā moku koko, hoʻoemi i ka ukana ma ka puʻuwai, a me ka hoʻopau ʻana i ka nui o ka wai a me ka urine mai ke kino me ka urine. Mālama i ka lāʻau lapaʻau myocardial hypertrophy a hoʻonui i ke kūpaʻa o ke kino i ka poʻe me ka hana ʻole o ka maʻi o ka naʻau puʻuwai. Hāʻawi ʻo Lorista i nā mea hōʻemi o ka II II i nā pūpū, puʻuwai, a me nā kīʻaha koko, e kōkua ana i ka hōʻemi ʻana i ka leʻaleʻa o ka lumen arterial, hoʻohaʻahaʻa i ka OPSS, a, ma muli o ia, ke hoʻoliʻi nei i nā haʻahaʻa kiʻekiʻe o ke koko.

Hoʻi i ka papa o nā kikoʻī

Nā hōʻailona a me nā contraindications

Hoʻomaopopo ʻia ka hoʻomākaukau ʻana e pili ana i ka losartan e hoʻohana ʻia ma kēia mau pilikia:

I ka wā hāpai, ʻaʻole i ʻōlelo ʻia ka hoʻohana o nā lāʻau lapaʻau me nā mea ikaika like.

Ka mea i contraindicated e hoʻohana i ka hoʻomākaukau i ka lāʻau lapaʻau e loaʻa ana i ka nui o ka nui losartan i nā wahine i ke kūlana o nā makuahine hānai, i nā keiki ma lalo o 18 makahiki o ka makahiki, a me nā mea i hōʻike ʻia:

• haʻahaʻa mau koko
• ka ʻai kiʻekiʻe o ka paʻakai ma ke koko,
• huehue
• ka hoʻomaloka pilikino i ka lāʻau,
• lolika lactose.

Hoʻi i ka papa o nā kikoʻī

Nā huaʻōlelo ʻē aʻe

Inā no kekahi kumu ʻaʻole hiki ke hoʻohana "Lozap" a "Lorista", kaukaʻi nā kauka i kā lākou mauʻatikala:

ʻO kēlā me kēia lāʻau lapaʻau, kahi hoʻohālikelike o Lorista a me Lozapa pono loa i kahi palapala pono no ka hoʻohana ʻana, ʻo ia ka mea e lawe wale ʻia ma hope o ke kūkā ʻana me ke kauka ʻōlelo lapaʻau e kuhikuhi ana i kahi hoʻoponopono lapaʻau pilikino no kēlā me kēia maʻi. Me ka mālama pilikino, hoʻonui nui ka hopena o ka hoʻomohala ʻana i nā hōʻailona ʻaoʻao.

Ke lilo nei ka pilikia hypertension i mea pilikia no ka hoʻonui ʻana i kahi mahele o ke kanaka. No laila, loaʻa nā lāʻau hou he nui i kēlā me kēia makahiki e hakakā nei i kēia maʻi. ʻO kekahi o ia ʻano hana maʻamau ʻo Lozap a me kāna ʻano ʻōnaʻo Lozap Plus.

He aha kēia mau lāʻau?

ʻO ka mea kūpono i Lozap ka pālato losartan. Hana ʻia kēia lāʻau lapaʻau i ke ʻano o nā papa i 3 mau keneta: 12.5, 50 a me 100 mg. ʻAe kēia i ka mea maʻi e koho i ke koho maikaʻi loa.

ʻO Lozap Plus kahi meaʻenehana paʻakikī ʻelua mau ʻāpana. Loaʻa ia mau mea 2 mau mea kanu - losartan potassium (50 mg) a me hydrochlorothiazide (12.5 mg).

ʻO ka hopena o kēia mau lāʻau lapaʻau ke hoʻohaʻahaʻa i ke koko, me ke neʻe ʻana i ka ukana ma ka puʻuwai. Hāʻawi ʻia kēia hopena e losartan, kahi mea hoʻoweliweli ACE. Pale ia i ka hoʻokumu ʻana o ka angiotensin II, ke kumu e hōʻeha ai ka vasospasm a me ke koko.. ^ E Ha yM. Ma muli o kēia, hoʻonui nā kī a hoʻi ko lākou mau paia i ke kaona maʻamau, ʻoiai e hoʻohaʻahaʻa ana i ke koko. Hāʻawi hoʻi nā moku i kālai ʻia mai ka naʻau. I ka manawa like, aia kahi holomua i ka hoʻomanawanui i ka noʻonoʻo o ke kino a me ke kino o ka maʻi i ka poʻe maʻi e loaʻa ana i ka lāʻau me kēia lāʻau lapaʻau.

Hoʻomaʻamaʻa ka hopena ma hope o ka lawe ʻana i ka lāʻau lapaʻau ma hope o nā hola 1-2 a kū hoʻokahi lā. Eia nō naʻe, no ka mālama paʻa ʻana o ka ikaika i loko o nā palena maʻamau, pono e lawe i ka lāʻau lapaʻau no 3-4 mau pule.

Hoʻonui ʻia nā hopena kūpono a pau o ka lawe ʻana i ka losartan e ka hoʻohui ʻana o ka hydrochlorothiazide ma Lozapa Plus. ʻO ka Hydrochlorothiazide kahi diuretic e hoʻoneʻe ana i nā kahe wai nui mai ke kino, e hoʻonui ana i ka pono o kahi inhibitor ACE. Pēlā, hōʻike kēia lāʻau lapaʻau i kahi hopena hypotensive i hoʻopiʻi ʻia ma mua o ka 2 mau mea ikaika.

Nā hōʻailona no ka hoʻohana ʻana

Loaʻa ʻia ʻo Lozap kahi hōʻike e hoʻouna ai:

• maʻi hypertension i nā pākeke a me nā keiki mai nā makahiki 6,
• maʻi maʻamau nephropathy,
• ka pilikia naʻau maʻi, ʻoi aku hoʻi i nā poʻe maʻi maʻi, ʻo ia hoʻi i kēlā mau mea maʻi ʻaʻole i kūpono no nā mea hou aku o ACE ma muli o nā hopena koʻikoʻi,
• ka hōʻemi o ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a me ka hoʻohaʻahaʻa i ka make ma ka maʻi i nā mea maʻi me ka hypertension.

ʻO ka lāʻau lapaʻau me ka hydrochlorothiazide i loko o ka mea hiki ke hoʻohana ʻia e mālama ai:

• hypertension arterial i nā maʻi nā mea i hōʻike ʻia ke hui pū ʻana;
• inā pono, hoʻemi i ka hopena o ka hoʻomohala ʻana i ka maʻi cardiovascular a hōʻemi i ka make ma nā maʻi me nā hypertension.

Pehea e lawe ai i nā lāʻau

Hiki ke hoʻomaka ʻia kēia mau lāʻau ma hope o ka nīnau ʻana i kahi kauka. Ma hope o nā mea āpau, e like me nā lāʻau lapaʻau āpau, loaʻa iā lākou nā contraindications, nā hopena ʻaoʻao a me nā hiʻohiʻona o ka hoʻohana. No laila, hiki i ka lāʻau lapaʻau ponoʻī i hōʻino a ʻo ka mea hoʻoweliweli.

Hoʻohana ʻia ka lāʻau lapaʻau i ʻōlelo ʻia i hoʻokahi manawa i ka lā, maikaʻi loa i ke ahiahi. ʻAʻole hiki ke ʻoka a wāwahi ʻia paha nā papa. ^ E Ha yM. Pailele ʻia lākou pau, holoi ʻia me ka nui o ka wai maʻemaʻe. Ua kuhikuhi ʻia ke ʻano o ka lāʻau lapaʻau e ke kauka, i ka noʻonoʻo ʻana i ka pono o ka mālama ʻana a me ke ʻano o ka mea maʻi.

Hiki wale i ke kauka ke mālama i ka mea o 2 o nā ʻano ma Lozap ka mea maikaʻi loa i kēlā me kēia. Hiki ke hoʻomaopopo i ka hopena hypotensive nui wale ʻia o nā papa Lozap Plus, a me kahi maʻalahi o ka hoʻohana. ʻOiaʻiʻo, ma ka hihia o ke kauʻana o ke ʻano hui, ʻaʻole pono ʻoe e inu i kahi diuretic no ka mea, ʻo ka mea paʻa i loko o ka lāʻau lapaʻau.

ʻO Losartan ka lāʻau lapaʻau mua - he māka o ka papa o ka blockers receptor-angiotensin-II. I ke kaha ʻia ma ka makahiki 1988. Ua kaulana loa kēia lāʻau lapaʻau ma nā ʻāina e ʻōlelo nei ka Lūkini. Palapala ʻia a kūʻai aku ʻia ma lalo o nā inoa:

Nā Pihi Kūpono: Nā nīnau a me nā pane

• Pehea e hoʻoponopono mua ai i ke koko, ka lolo koko a me ka kolamu
• ʻO nā paila kaomi e kuhikuhi ana e ke kauka i kōkua maikaʻi, akā i kēia nāwaliwali. No ke aha la hoi?
• He aha ka hana inā ʻo nā pale ikaika loa ʻaʻole e hōʻemi i ke kaomi
• He aha ka hana inā he lāʻau haʻahaʻa nā haʻahaʻa o ka hypertension
• ʻO ke koko koko kiʻekiʻe, ke pilikia hypertensive - nā hiʻohiʻona o ka mālama ʻana i ka wā ʻōpio, waena a me ka ʻelemakule

ʻO nā papa hoʻohui o losartan a me ka diuretic drug hypothiazide (dichlothiazide) kūʻai ʻia ma lalo o nā inoa:

• Gizaar
• Gizaar Forte
• Lorista N,
• Lorista ND,
• Hoʻohui ʻia ʻo Lozap.

No ka ʻike hou aʻe e pili ana i ka hoʻomākaukau ʻana o ka losartan me nā ala a lākou i loaʻa ai, ʻike i ka papaʻaina "Angiotensin receptor antagonist i hoʻopaʻa ʻia a hoʻohana ʻia ma Lūkini" ma ka ʻatikala aoao "Angiotensin-II receptor blockers".

Ua hōʻike ʻia ka hopena o losartan i nā mea maʻi me ka hypertension arterial i hui pū me nā mea hou aku i nā pilikia kīpē no nā maʻi:

• hiʻona kiʻekiʻe
• haʻalele hypocular myocardial hypertrophy,
• nāwaliwali o ka puʻuwai
• myocardial infarction
• pilikia pilikia (nephropathy) ma muli o ke maʻi maʻi a i ʻole nā ​​kumu ʻē aʻe.

Nā Kūlana Kūleʻa e pili ana i ka ikaika a me ka palekana i Losartan