Ma ke kumu e hiki ai iaʻu ke lawe iā Kapoten: nā ʻōlelo a me nā loiloi
ʻO ka lāʻau lapaʻau i loko o kāna hale hana he mau haneli mau haneli no ka hypertension. ʻO kekahi o nā lāʻau lapaʻau kaulana i Kapoten. Pehea e lawe ai ia me ke koko kiʻekiʻe a he kiʻekiʻe nā hopena o ka mālama ʻana?
ʻO ke hypertension ma ka honua hou ke ʻano he hanana maʻamau. Wahi a nā helu helu, ʻo kēlā me kēia hapakolu o ka honua me nā makahiki e hōʻike nei i nā pilikia me ke kahe o ke koko. Ke hana nei i kahi maʻi, he mea nui ia e hoʻomaka i ka mālama ʻana i ka manawa, ʻoiai ka maʻi e alakaʻi pinepine ai i nā hoʻopiʻi koʻikoʻi.
No ka maʻi conservative, nā lāʻau lapaʻau e hoʻomaʻamaʻa i ke kahe koko. Ma kēia hiʻohiʻona, ua hoʻokū pono ʻo ka lāʻau ʻo Kapoten iā ia iho. ʻO kēia kahi mākela o ACE hoʻopaʻa ʻia me ka hopena wikiwiki hypotensive.
Ua kapa ʻia ʻo Kapoten he ambulance, no ka mea, e hiki koke iā ia i ka hoʻohaʻahaʻa i ke koko i ka nui o ka piʻi.
Ua holo ʻia ka nui o nā haʻawina i kēia lāʻau lapaʻau, i hōʻoia i ka hopena maikaʻi i ka mālama ʻana i ka maʻi hypertension.
ʻO ka hiʻohiʻona o ka lāʻau lapaʻau
ʻO ka pā i ka papa keʻokeʻo (i kekahi manawa paha lākou he creamy tint) me kahi mea ʻono kikoʻī.
Ka pūlima o kahi papa hoʻokahi (25 mg) pili i ka captopril, ʻo ia ke kumu hoʻomohala nui. Mahalo iā ia, ke hopena o ka lāʻau lapaʻau e pili ana i 15 mau minuke ma hope o kona hoʻoponopono a hiki i ka hopena ke lōʻihi i nā hola 7-8.
No nā papa waiwai: kō, nā selulosa, octadecanoic acid, lactose.
Pehea ka paʻakikī
Ke hoʻoikaika nui nei, hoʻomaka ka wā e hoʻopili ai nā moku, ʻo ia ke kumu e hiki ʻole ai i ke koko ke neʻe maʻamau. ʻO nā papa o Kapoten e hoʻokaʻawale i nā kīʻaha koko i kahi pae maʻamau, e alakaʻi ana i ka emi ʻana o ke koko a me kahi hoʻomaikaʻi i ka maikaʻi.
ʻO kekahi hoʻomaikaʻi ʻē aʻe o ka lāʻau lapaʻau kona komo koke ʻana i ke koko. Ma kahi o 70 pakeneka o ka waihona waiwai ke kāʻili ʻia a laila hoʻopono ʻia me ka urine.
Hoʻomaka ʻo Kapoten e hana i kekahi mau minuke ma hope o ka hoʻokele ʻana.
Hiki ke noʻonoʻo ʻia ka hopena kūpono loa o kāna hana ma hope o 60-80 mau minuke. ʻAʻole ia e inu i nā pōpoki ma hope o kaʻai, me kēia hihia ua lohi ka hopena o ka lāʻau lapaʻau.
ʻO nā mea i kuhikuhi i ka lāʻau lapaʻau
Hoʻohana ʻia ʻo Kapoten e hoʻohana ʻia inā:
- Hoʻomaʻamaʻa pinepine ʻia nā ʻōkuhi BP, maʻamau pinepine ʻia.
- I ka hikiʻole mai o ka hana o ka naʻau. Inā hele mai kahi maʻi i kahi ʻano maʻi, a laila hiki ke kiʻi ʻia ka lāʻau e like me ka adjuvant e hoʻomaikaʻi maikaʻi i ka maikaʻi.
- Ua hoʻohuli mua ʻia ʻo Myocardial infarction,
- Me ka hoʻolālāʻana o ka nephropathy maʻi maʻi i hui pū me ka maʻi diabetes.
Ma hope o ka hoʻohana mau loa ʻana o ka lāʻau, hoʻopau ʻia ka hana mōʻaukala.
He aha ka hana e koi ai
Hāʻawi ʻia i ka vasodilator a me ka hopena hypotensive o ka lāʻau lapaʻau, hiki ke hoʻohana ʻia no kekahi hypertension.
Me Kapoten, hiki iā ʻoe ke hoʻololi i ka pilikia ma nā kūlana kūwaho i ka wā ʻaʻohe o nā lāʻau ʻē aʻe ma ka lima. Pēlā nō, kūpono hoʻi ka lāʻau lapaʻau no ka hoʻohana ʻana ma hope o ka loaʻa ʻana o kahi pilikia hypertensive a i ʻole nā mea like ʻē aʻe.
Pehea e lawe ai me ke koko koko kiʻekiʻe
A hāpai ʻia e hoʻohana i ka lāʻau lapaʻau ma hope o nā ʻōlelo kuhikuhi. Pono ia e nānā pono i ka dosle pololei e hilinaʻi i ka maʻi a me ke ʻano maʻamau.
No laila, inā e hoʻomaka ka neʻe koko, ua lawa ia e pipiʻi i kahi papa me ka dosis he 25 mg ma ka waha. I hoʻokahi hola ma hope o ka lawe ʻana, e hāʻule i ka iwakālua mau pakeneka.
Inā noho mau ʻia nā ʻōkuhi, a laila ma hope o ka hola ke lawe ʻoe i kahi pōpō i kahi ala like. I kēia hihia, mau nā ʻōnaehana i kahi pae maʻamau me ka ʻole o ka lawe ʻana i nā lāʻau lapaʻau hou me ke kāhea ʻole i kahi ambulance.
Nā ʻōkuhi no ka hoʻohana ʻana i ka hypertension
Pono ke ʻano o ka nui i noi ʻia e ke kauka, me ka nānā ʻana i nā mea e pili ana i ka ʻano o ka maʻi, nā hōʻailona maʻamau o ke koko a me ka pane ʻana o ke kino i ka lāʻau lapaʻau.
Nā ʻōkuhi no ka hoʻohana ʻana i ka hypertension
He mea kūpono ia e pono ke komo mua o ka lāʻau lapaʻau ma mua o ka papaʻaina. ʻOi aku ka maikaʻi ma 1 - mau hola 1,5, i loko o ka nui i hoʻokumu ʻia ai e ke kauka.
Inā hōʻike ʻia ka hypertension ma ke kahua mua, a laila lawa ka lāʻau lapaʻau e lawe i loko o hoʻokahi papa i ʻelua i ka lā. Inā holo ka maʻi, a laila e pono e lawe i ʻelua papa i ka manawa, ʻelua i ka lā.
Hoʻoiho i nā ʻōkuhi piha no ka hoʻohana ʻana i ka lāʻau lapaʻau
Ma ka hihia i ke ʻano o ka hypertension, pono e hoʻomaka i ka lawe ʻana mai ka hapalua papa i ʻelua mau lā i ka lā a e hoʻoulu mālie i ka dosage i ʻelua papa i ʻekolu mau manawa i ka lā.
Hiki iaʻu ke inu i ka wā o ka wā hāpai?
ʻO Kapoten hoʻohaʻahaʻa maikaʻi i ke koko, akā hiki ke mālama ʻia i ka wā hāpai? ʻAʻole hana ʻia nā ʻano like like ʻole. He nui nā kauka e hōʻike ana i ka hanana o ka pilikia hypertensive hiki ʻole, i ka wā ʻaʻole i kokoke nā lāʻau lapaʻau ʻē aʻe, hiki iā ʻoe ke inu i ka waiʻu liʻiliʻi - hapalua papa.
Akā no ka papa papa ma mua a ma hope o ka hānau keiki ʻana, pāpā ʻia. ʻAʻole ia i hāʻawi ʻia no ka lāʻau lapaʻau i nā mahina mua o ka hānau ʻana.
Ma mua o kou hoʻoholo ʻana e lawe i ka lāʻau lapaʻau iā ʻoe iho, pono ʻoe e nīnau i kāu kauka a loaʻa i kona ʻae ʻia.
Nā Hoʻohui
I kekahi mau manawa, ʻaʻole pono ka lāʻau e inu maoli.
- Inā nānā ʻia ka palaualelo i kāna mau ʻāpana,
- I ka wā hāpai a me ka lactation,
- ʻO nā keiki ma lalo o ka makahiki o ka hapa nui,
- Ma hope o nā hana hana i ka ʻeha,
- Me ka hoʻohaʻemi haʻahaʻa (hypotension),
- Inā loaʻa ka maʻi maʻi i ka palaualelo,
- Me ka hyperkalemia,
- Nā kānaka ʻōpio (inā wale nō i ʻae ke kauka i ka lāʻau lapaʻau)
- Me ka maʻi diabetes.
Nā hopena hopena
Loaʻa i ka lāʻau lapaʻau kekahi hopena, no laila pono ʻoe e lawe i ka lāʻau lapaʻau me ka mālama aka. Pono e nānā i nā dosage e pono ai a ʻaʻole hoʻi e hoʻonui ma ka ʻae ʻana o ke kauka.
Kuhi ʻia kēlā mau hiʻohiʻona maikaʻi:
- ʻO ka edema Peripheral a me nā pulima, maʻi ʻana,
- Hiki ke hōʻike ʻia o ka tachycardia,
- ʻO ka nāwaliwali ākea a me ka lethargy,
- ʻO nā maʻi Renal a me ka urinary
- Loaʻa paha kahi hoʻomohala o ka anemia,
- Kahi hōʻike o kahi alerine i nā hana o ka lāʻau lapaʻau (loaʻa paha ke ʻano, kaheʻe ʻana, ka holo ʻana, ka mālama ʻana ʻia, a pēlā aku).
- Hoʻopilikiaʻia nā hana o ka digestive (hōʻeha i ka momona, ke ʻeha ma ka ʻōpū, nā kīkī palaka, a i ʻole nā ʻokoʻa hoʻi, constipation, etc.)
Me kahi overdose o ka lāʻau, hiki i nā hōʻike hewa ke kū i ke ʻano: nā kaʻe o ke kaila o ka lolo, ka trombosis vein o nā haʻahaʻa haʻahaʻa, myocardial infarction. I kēia hihia, pono ke hoʻomau ʻia ke kōpana ma kahi maʻamau me kahi hopena o NaCl (0.9% intravenously). Pono ka mea maʻi e noho i kahi kūlana wahaheʻe, pono e hoʻāla ʻia nā wāwae liʻiliʻi.
ʻO ka pono o ka lāʻau
Aia kekahi mau pono nui o Kapoten:
- ʻO ka hoʻemi ʻana i ka pilikia o ka make mai nā hoʻopiʻi cardiovascular.
- Ka maikaʻi a me ka hana. Eia kekahi, ʻo ka pono o ka lāʻau lapaʻau ka hopena maʻalahi loa i ka kino. ʻAʻole pili i ka ʻōnaehana hoʻoweliweli.
- ʻO ka lāʻau lapaʻau a me nā lāʻau like ʻole e pale aku i ka hana o nā keiki maʻi. No laila, ua ʻae ʻia e lawe aku iā ia me nā ʻōnaehana renal.
- ʻO kahi kumu kūʻai hou kahi pono o ka lāʻau lapaʻau. ʻAʻole ia he mea momona loa, no laila hiki i ka poʻe me ke kumukūʻai palena liʻiliʻi ke kūʻai aku i ka lāʻau.
Nā mea kākau a Kapoten
ʻOiai ka hoʻonā ʻana ua hoʻonā ʻia ʻo ia iho he mea maikaʻi loa ʻoiai, he mau contraindications a me nā hopena ʻaoʻao ʻaʻole kūpono no nā mea a pau e loaʻa ana i ka hypertension.
A laila e nānā pono i ka lāʻau lapaʻau me ka hopena like. I kēia mau lāʻau lapaʻau he nui nā mea lapaʻau me ka hopena hypotensive like: Alkadil, Catopil, Copakea, Lisinopril, Vasolapril, etc.
ʻOiai he lāʻau lapaʻau hou, maʻamau i nā mea maʻi ke captopril. Hōʻike like ia me ka hana a Kapoten a kōkua i nā hihia i hāʻawi ʻole ʻia ai nā lāʻau lapaʻau i kahi hopena ʻike.
Hōʻike Hypertensive
Oksana, 31 makahiki, Krasnodar:“He maʻi hypertension hoʻoilina, no laila, ʻaʻole liʻiliʻi ka lāʻau lapaʻau. Eia naʻe, i ka manawa i kuhikuhi ʻia ai au e Kapoten no ka hoʻoluhi ʻana, ua ʻike au i nā loli maikaʻi. A hoʻomaikaʻi koke ke ola, a hoʻomaka ka waha koko. I kēia manawa, lawe aku au i kēia lāʻau lapaʻau, 2-3 mau manawa i ka makahiki, inu i nā papa, a no kekahi manawa ke piʻi nui ʻia ka nui o ke koko e hoʻopau iaʻu. ʻO ia wale nō ka mālama ʻia nei i kēia manawa. ʻOiai ʻaʻole hiki iaʻu ke hoʻopau loa i ka pilikia, hiki iaʻu ke mālama i koʻu olakino a ke manaʻo nei ua lawa wau. ”
Maxim, 38 makahiki, Voronezh: "Ua haʻi mua koʻu kauka ʻana i nā kauka i ka lāʻau" Kapoten ". A laila ua helu iki ʻo ia i kēlā me kēia noʻu iho, a mai ia manawa ua pili wau i kēia mālama ʻana. Ua mahalo wau ma hope o ka lawe ʻana i ka paila, hoʻōki koke ke kahe koko i ka mea maʻamau. ʻAʻole au i ʻike i nā hopena maikaʻi mai iā ia, ʻo ia hoʻi kekahi.
Ka lāʻau kūʻai lāʻau
Ka kūʻai aku ʻia ka lāʻau lapaʻau. Hoʻopilikia ʻia kona kumukūʻai e ke kahulona, ka maʻi a me ka nui o nā papa i ka pākaukau. I ka awelika, ʻo ka uku o kahi pākō he 150-200 mau rubles.
ʻO ia ke kumu kumu e hoʻopilikia ai i ka mea pono o ka lāʻau lapaʻau ua lōʻihi ka noi ʻana ma waena o ka heluna. Eia naʻe, pono ʻoe e noʻonoʻo i ka hopena hiki o kou kino i ka lāʻau lapaʻau! Ma mua o ka hoʻomaka ʻana e lawe iā ʻoe iā ʻoe iho, ʻoi aku ka maikaʻi o ka nīnau ʻana me kāu kauka.
NA HUI LOA
KAHOUKE ANA O KOKOHEOKE
ʻO nā kumukūʻai no nā hooda i nā lāʻau lapaʻau ma Moscow
ʻO nā pōpō | 25 mg | 28 kiʻi. | 169 ʻōpala. |
25 mg | 40 pcs. | ≈ 237.7 mau rubles | |
25 mg | 56 pcs. | 311 ʻōpala. |
Hōʻike nā kauka e pili ana i ka capoten
Ka Helu 4.6 / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
Pono ka pono o nā lāʻau i nā mea maʻi e loaʻa i loko o kā lākou mea kōkua mua, nā mea maʻi me ka maʻi hypertension e lawe pū me lākou, pono paha ke kōkua i kēlā me kēia manawa. E hoʻohana i ka wā pilikia ma lalo o ka alelo e hoʻolako i ke kōkua pilikino, inā pono, e hana hou ma hope o 20 mau minuke. No ka mea, ʻaʻole i ʻōlelo ʻia ka hoʻomau ʻana o ke ʻano, he manawa pōkole o ka hana.
Rating Rating / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
ʻO Kapoten kahi mea mālama maikaʻi ACE maikaʻi loa. Ua wikiwiki loa ka hopena, no laila ua hoʻohana ʻia ʻo ia ka lāʻau koho mua no ka mālama ʻana i nā kūlana hypertensive. Hoʻohana ʻia ia i nā pākeke a me nā hana hoʻomehana keiki, keu i nā keiki ʻōpio ma nā ʻano kū hoʻokahi.
Eia nō naʻe, aia kekahi mau laʻana e pili pono ana. ʻO ka wā pōkole ka hana.
Ka helu 2.5 / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
He mākaukau maikaʻi ʻo Kapoten, ʻaʻole ia e pili i nā maʻi āpau. Manaʻo wau i kēia lāʻau lapaʻau no ka hoʻokuʻuʻana i ke kahe o ke koko, hiki ke piʻi i 3 mau manawa i ka lā.
Ua hoʻopiʻi kekahi poʻe maʻi i ka mare.
ʻAʻole wau e koi i ka mālama ʻana i ka hypertension arterial. I ka hihia o ka hana renal maʻi, kuhikuhi i ka mālama pono.
Ka Helu 4.6 / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
Ma kaʻu hoʻomaʻamaʻa, hāʻawi wau i ka hoʻohana ʻana o kēia lāʻau lapaʻau. Hoʻomaʻamaʻa maikaʻi ʻia ka lāʻau lapaʻau, hana koke. ʻO kahi lāʻau lapaʻau maikaʻi maikaʻi loa.
ʻAʻole kūpono no ke hoʻohana lōʻihi. Hiki paha ke kau i nā maʻi. E hoʻonui i ka puʻuwai naʻau.
Aia nā hale kūʻai a pau o ke kūlanakauhale.
Kalaha 2.9 / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
Maikaʻi ka hopena o kēia lāʻau lapaʻau i ka mālama mālama ʻana i nā helu nui o ke koko, me ka haʻalele ʻana o kahi hui ambulance.
ʻAʻole paʻa mau ia me kona hoʻohana pinepine ʻia, me ka hina ʻole o ka naʻau.
Me ka mālama aka, pono ia e lawe i ia ma nā helu helu kiʻekiʻe a no ka manawa mua i kou ola, hiki ke hoʻonāukiuki i kēlā ʻano hōʻailona o ka peke pākē wikiwiki i ke "kukui" hiki ke hōʻeha i kahi maʻi hemorrhagic.
Ka Helu 3.3 / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
Kapoten - ka captopril mea kanu kumu mua. Aneane pili nā mea a pau a mākou e ʻike ai e pili ana i kēia waiwai. ʻO nā kumuhana a Kapoten, e like me nā mea maʻi, hana mediocre. ʻAʻole wau e kuhikuhi i nā hua o kēia lāʻau lapaʻau iaʻu iho, no ka mea ka makepona maoli a maʻalahi a me ka hiki, ʻoi aku ka mea no ka liʻiliʻi o ka hoʻohana ʻana inā he mea ia e mālama ai i ka piʻi nui o ke kahe koko. No ka mālamaʻana i ka hypertension paʻa, ʻaʻoleʻoluʻolu ʻo capoten, no ka mea e lawe mau ia i 3 mau lā o ka lā. Hoʻopili ka mea like i ka mālama ʻia ʻana o ka puʻuwai hemahema - inconvenient.
Maikaʻi nā mea a pau, akā ʻo ka pono e lawe iā ia i 3 mau lā i ka lā no ka mālama ʻana i nā maʻi maʻi i hiki ʻole ke hōʻoluʻolu, ʻoiai ka nui o nā mea āpau o ke ʻano lāʻau lapaʻau like no ia ʻo 1 ka manawa i lawa ka lā.
Rating Rating / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
E hana wikiwiki i ka hypertension arterial, me ka ʻokoʻa o ka makahiki a me nā pathology pili. ʻAʻole i ʻike ʻia nā hopena kūpono.
I kekahi manawa ke lawe i ka lāʻau lapaʻau, lohi ka lohi akā ke kūpaʻa mau (ʻaʻole koʻikoʻi). A ua maikaʻi nā mea a pau.
Maʻa ka lāʻau maikaʻi loa, maʻalahi i ka hoʻohana ʻia a ma ka dosage. Pono ʻoe e hoʻomaopopo he lāʻau lapaʻau pōpilikia kēia, inā he kanaka kiʻekiʻe ke koko, a laila pono e nīnau koke i kahi kauka. A mai hoʻolaʻa pono-iho.
Rating Rating / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
ʻO kahi lāʻau lapaʻau maikaʻi loa no ka mālamaʻana i nā kūlana hypertensive o nā ʻanoʻaoʻao i nā kūlana o ka hōʻemi a me ke ʻano paʻakikī. Hōʻoluʻolu ka hana a ka lāʻau lapaʻau. ʻO ka hopena haʻahaʻa i nā mea maʻi me ka pathology renal a me hypertension, i ka mea makua. Ke manaʻoʻiʻo nei wau, ma ke ʻano he kauka mālamaʻike, pono iā ia i loko o kāu keʻena lapaʻau lāʻau.
ʻAʻole au i hālāwai i kekahi hopena maikaʻi.
He kūpono loa ke kumukūʻai. Loaʻa koʻuʻike maikaʻi i ka mālama a me ka mālama ʻana no ka somatics, i ka narcology a me psychiatry, psychotherapy (ʻoiaʻiʻo hoʻi i ka panic attack a me nā kūlana psychosomatic). ʻO kahi hoʻomākaukau hoʻokolohua maikaʻi i ka wā e hoʻololi i ka lōʻihi.
Rating Rating / 5 |
Kaipuaoa |
Kūʻai / maikaʻi |
Nā hopena hopena |
ʻO kahi lāʻau lapaʻau mua kōkua maikaʻi.
ʻAʻole ia e hana mau, kūlohelohe. ʻO ka koa nui o nā maʻi me ka hiki ʻole o ka maikaʻi ʻole o ka pale. Akā i nā mea maʻi me ka moʻolelo kaumaha ʻole, ka waenakonu - hana ia ma ka 90% o nā hihia. Maikaʻi wikiwiki ka hopena. Akahi ka hopena o ka lāʻau lapaʻau, akā pili wale ia i ke ʻano.
ʻO kekahi o nā lāʻau lapaʻau nui i loko o kahi keʻena lāʻau lapaʻau koke.
Nā loiloi o nā mea maʻi e pili ana i ka capoten
ʻO ke hypertension ʻoi aku kahi maʻi lōʻihi a ua hoʻāʻo wau i ka nui o nā lāʻau lapaʻau. ʻAʻole nā hana like ʻole, ma hope o ka maʻi ʻana e pono e mālama ʻia. "Kapoten" mau nō wau me ke kumu e hana koke ana a hiki ke hoʻokahe i ke koko, hoʻohemo i nā hōʻeha. I ka hoʻomaka ʻana e hoʻomaopopo i ka ulu ʻana o ka paʻakikī, kau wau i ka hapalua papa i lalo o koʻu alelo a ʻoluʻolu hoʻi e pili ana i kaʻu ʻoihana. Noʻu, "Kapoten" he lāʻau lapaʻau pono no ka maopopo.
Ua lawe wau i Kapoten no kekahi mau makahiki i kēia manawa a me ka manaʻo piha piha ʻo kēia ka lāʻau maikaʻi loa ʻoi loa ka wikiwiki. Ua lawa ka waiho ʻana o ka hapalua i ka papa ma lalo o ka hola a i loko o ka hapalua hola ke hoʻi hou ke kahe i ka maʻamau. ʻAʻohe oʻu ʻike i nā hopena maikaʻi ʻole o ke kino mai ona. ʻO "Kapoten" kōkua mau a ʻaʻole i lanakila.
ʻIke wau e hoʻohana wale ʻo Kapoten no ka hoʻohaʻahaʻa koke ʻana i ke kaomi, ʻaʻole pono e mālama i ka hypertension. Mālama mau koʻu māmā i nā manawa neʻe i ka manawa, ke hoʻohaʻahaʻa ʻia ʻoe i kekahi manawa, ke kiʻekiʻe nei. ʻO ke kumu, ʻoiaʻiʻo, e kū pinepine. Lawe ʻo ia i nā lāʻau lapaʻau like ʻole e hoʻohaʻahaʻa i ke koko, akā ʻaʻole maʻamau. Akā me ke komo ʻana i ka manawa maʻamau, ua ʻike ʻia nā hoʻolāki ʻana. I kēlā mau kūlana, lawe iā Kapoten. Akā, no kekahi kumu, ʻaʻole kōkua ʻo ia iā ia. I kekahi mau manawa e lawe ai iā ʻoe i kekahi mau manawa i ka pō, ʻo ke ʻano o ka membrane mucous ma lalo o ka alelo.
"Kapoten" kope maikaʻi me kāna hana - e hoʻoikaika i ke kaomi inā pono. Hiki iā ʻoe ke lawe iā ia e like me ka mea e pono ai, ʻaʻohe oʻu hopena e pili ana i ka hopena, ʻoiai me ka maʻi o ka maʻi maʻi. Ua hōʻike kēia ma ka maʻamau ke ʻano.
Ua aʻo lākou e pili ana i kēia lāʻau lapaʻau i ka wā a hoʻomaka ai ka hānai kāne a kāna kāne "e lele" i ka pilikia. Ua hoʻomaka koke ka makuahōnōwai kāne e kamaʻilio me nā cardiologists, heluhelu i nā kumuwaiwai ma ka Pūnaewele e pili ana i ke koko kiʻekiʻe i loko o ka poʻeʻelemakule. I hui pū mākou, ua koho mākou i nā lāʻau lapaʻau e hoʻomaikaʻi i ke olakino wahine kupuna, a ua ʻike ʻia ʻo Kapoten i waena o lākou e like me ka lāʻau lapaʻau no ka hoʻohālikelike i ke kaumaha. I kēia manawa, ke piʻi hou aʻe nei kona haunaele, ʻike mau mākou me ka wikiwiki, a me ka mea nui, e kōkua lūlū i kona puʻuwai a me nā kīʻaha koko - e hāʻawi ana i ka hapalua o kahi pūpū ma lalo o kāna alelo - e kōkua mau nō ia.
ʻIke wau no ka nui o nā poʻe i ka hoʻonaninani o ka 140 ke kumu, akā noʻu nei ua nui ia: ua hoʻomaka koʻu poʻo e hōʻeha, e pōʻeleʻele i koʻu mau maka. Ua ʻōlelo aku koʻu kaikuahine iā Kapoten e inu i loko o ia mau ʻano, akā no ka hōʻole ʻole i ka mea, he nui o ka hapaha. ʻAe, kōkua koke ʻo ia. He mea hoʻohuli ʻole ʻia, akā naʻe, e uha i ka pākaukau, e helu ana i ka nui ʻōlelo. Ma ka manaʻo o ka hopena he hopena. Hoʻomaka ʻo ia e lawe pū me ia i loko o kāna pūpū - ʻaʻole pono ʻoe e inu ia, waiho wale ma lalo o koʻu alana.
Hana koʻu makuahine i nā pilima no ke koʻikoʻi i kēlā me kēia lā, akā inā kū mai ke koʻikoʻi, e hele mai ʻo Kapoten. Ua hana wikiwiki, lawa pālima nui ma lalo o ka alelo. Eia kekahi, he mea kūʻai wale.
ʻO Kapoten kahi lāʻau lapaʻau maikaʻi loa no nā kānaka āpau. Inā kū koke ka hoʻoweliweli ʻana, ʻo ia wale nō ka mea e kōkua iaʻu ai. ʻO nā koho palekana, ʻoiaʻiʻo. Ua aʻo ʻia e ia e ka mea maʻi maʻi ma kahi o 3 mau makahiki i hala. I kēia manawa wale nō, aia pū ka pale me aʻu inā pono wale nō. A ʻoi hou aʻe i hoʻopakele ʻia.
Ma hope o ka hānau ʻana o ka hānau mua ʻana o “ka waʻelemakule.” I ka wā i manaʻo ʻia nā mea a pau ma hope o mākou, ua ulu a nui ke keiki a kūʻē ke kūʻokoʻa, hoʻomaka wau i koʻu ʻano. Hele wau i ke kauka, ua noi ʻo ia e lawe iā "Kapoten" me kahi pīkī koi. He aha kaʻu e ʻōlelo aku ai? Ke hoʻomake maikaʻi nei ka lāʻau lapaʻau me kāna hana. ʻO ka hapalua ka lawa kūpono noʻu e hoʻohaʻahaʻa i ka pēpē i kahi maʻamau. Ua wikiwiki ʻo ia i ka hana, ʻaʻole i hopena i ka hopena. ʻIkolua.
Ma 24, ke lawe nei i nā lāʻau lapaʻau kaumaha, ua kūpono ia i ke neʻe ʻana o ka 160. No laila, pono wau e nānā i kahi lāʻau lapaʻau e hoʻohaʻahaʻa iki a me ka hoʻohaʻahaʻa iki i ke kahe. Ua koho wau no Kapoten. Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa liʻiliʻi liʻiliʻi i māhele ʻia i ʻāpana 4. I ke kaomi o 160, 1/2 papa ua lawa iaʻu no ka maʻa maʻamau. Hōʻike koke ka hopena - i nā minuke 5-8, a ʻaʻole emi ka neʻe nui, akā ma kahi ʻano āu e manaʻo ʻole ai, e hele mai ka hōʻoluʻolu. ʻAʻohe oʻu hopena pili i hōʻike ʻia i nā ʻōlelo kuhikuhi. Ua ho'ōki wau i ka lawe ʻana i kēia lāʻau lapaʻau ma muli o ka hāpai ʻana.
A hiki i ka makahiki 35, ʻaʻohe ola ʻē aʻe o nā pilikia olakino, e like me ka astronaut's 120/80. Akā ma hope o kekahi mau makahiki i hala aku nei, hoʻomaka nā hihia i ka wā i ʻole no ke kumu e hoʻomaka ai e lele, pēkē, koke ʻole. Nā ʻano like ʻole o ka naʻau i kēia manawa e lele ai ka naʻau mai ka umauma, ua hoʻomaka wau e ana i ke ana, ʻoi aku ka 250 kiʻekiʻe. Ua kāhea wau i kahi ʻalemona i nā manawa āpau, maikaʻi, hāʻawi lākou i nā injections, haʻalele, he aha ka mea hiki iā lākou ke hana. Paipai lākou iā "Kapoten" i ka inu like ʻole. Hāʻawi ʻo ia i ka mālama mālama pilikia, me ka ʻole o nā hopena ʻaoʻao. I kēia manawa lawe wau me aʻu i loko o kaʻu ʻeke, inā i kūwaha koke ke "uhi ʻia" ikaika, a laila aia pū kekahi kōkua.
ʻAʻole loa au i maʻi i ka maʻi me kekahi mea ʻē aʻe, ʻaʻole wau i inu i kekahi kīpala, ʻoiai i ka maʻi maʻi. Akā, e like me ka ʻōlelo, e hoʻopili ʻia ka wahine kahiko. Nawai i ʻōlelo mai iā "Kapoten", ʻaʻole wau i hoʻomanaʻo. Akā ke kōkua nui i ka nui o ka lele ʻana i ke kaomi.
“Kapoten” i kau ʻia ma iaʻu i koʻu hoʻomaka ʻana me ke ʻano o ke kaumaha ʻo ia me ka hōʻeha o ke poʻo koʻikoʻi. ʻO ka mea hoʻonāukiuki aia ma ka hana ma ke ʻano o kahi limahana, a manaʻo wau he mau ʻuhane ia. Hiki iā māua e ʻōlelo ʻo "Kapoten" koʻu kōkua mua loa, no ka mea ʻaʻole au i loiloi i ka maʻi hypertension, a i kekahi manawa ua lele pololei ke kaumaha, ua ʻaloʻī, hoʻomaka, hanilo, a ua hiki ʻole iaʻu ke kolo i ka hale. ʻAʻole wau e hoʻomanaʻo i ka hoʻomau ʻana o kaʻu moe. Ma hope o ka nānā pono ʻana, ua hoʻohuli ʻia ka piʻi o kaʻu mau uʻi i ke koʻikoʻi e kū i ka wā e kū mai ana i ka hoʻouka ʻana o ka pancreatitis. Ua kuhikuhi ʻia au i ka mālama ʻana a me ka meaʻai a ua kaomi ka hoʻokaumaha ʻana mai iaʻu. Ua kōkua nui kēia lāʻau lapaʻau iaʻu i ka wā o ka hoʻokolohua e kū i ka hōʻeha ʻana i nā hoʻouka ʻana. Nā manaʻo kūpono wale nō.
ʻAʻole loa i ʻeha ka paʻakikī i mua. Akā ma koʻu mau nīne, akaka, ua uhi mai ʻo ia iaʻu i ka hana. Ua lilo i kolohe kūpono loa. Ua hoʻopaʻi ʻia nā ʻāpana o ke koʻi - i kiʻekiʻe noʻu. ʻO kekahi hoa hana (ʻo ka wahine i nā makahiki a me ka lōʻihi o ka maʻi hypertonic) hāʻawi koke mai iaʻu i kahi pelu ma lalo o koʻu alapine a ma hope o 10 mau minuke maoli wau i ka prettier a ua hoʻi mai koʻu ʻano i ka maʻamau. A ma kēia hope iho, hoʻomaka ka male a meʻe i loko o ke kaumaha. Hoʻomaopopo koke wau ua hāʻawi lākou iā Kapoten iaʻu e hana. Ua kūʻai au i ka kāne. A maikaʻi ʻo ia a kōkua koke i ka lāʻau lapaʻau. ʻO ka mea nui e kōkua wikiwiki. Heluhelu wau i nā loiloi e pili ana iā ia - maikaʻi. E like me ka mea i huli mai - ua hoʻohana ikaika ʻia kēia lāʻau lapaʻau e nā kauka i kā lākou hana no nā makahiki he nui (nui). ʻO kaʻoiaʻiʻo, inā i ka wā e hiki mai ana ka piʻi nui o ke koko i ke ʻano maʻamau a i ʻole i ka nui o ka holo ʻana, a laila e hele mākou i ke kauka. I ka wā ʻokoʻa, ua māʻona lākou me ka hopena o ka lāʻau lapaʻau.
Maʻaneʻi ua noʻonoʻo wau ʻaʻole kekahi mea maʻi e lawe iaʻu. Akā me ka wā maopopo ʻoe, ʻaʻole naʻe, ʻaʻole pēlā. ʻO ka manawa nei, ua hoʻomaka wau e loaʻa nā hōʻeha. ʻAʻole kumu no ka hoʻomaka ʻana e hoʻomaikaʻi i loko o nā heiau. Hoʻomaka ka hana kaua hou mai i kaʻu hana. ʻO ka mea pōmaikaʻi, aia kahi paramedic i ka hana. Ua ana ʻo ia i ka pīpī a huli ʻia ke kiʻekiʻe. Hāʻawi ʻo ia i kahi pale a Kapoten ma lalo o kona alelo. Ma hope o 10-15 mau minuke maʻalahi. Ua ʻōlelo ka paramedic he mea pono ke ʻike i ke kauka no ka mea nāna i kuhikuhi i ke ʻano lapaʻau. ʻAʻole hiki iaʻu ke hele i ke kauka. ʻIke wau ʻaʻole lākou i ka leʻaole me ka puʻuwai. Akā i kaʻu ʻeke ua mālama mau wau i nā papa Kapoten no ka hihia.
Ua mahalo ʻia wau i ka "hood". Wahi a kaʻu mau ʻike, he nui nā mea nui o kēia mau papa. ʻO kahi paila keʻokeʻo liʻiliʻi i hoʻokaʻawale ʻia i nā ʻāpana (aia kekahi mau maka kūikawā). ʻAʻole pono ʻoe e inu i ka wai, ua waiho ʻia ma lalo o ka alelo (no laila, hiki ke lawe ʻia i kekahi mau kūlana). Hoʻomaka ia e hana mai nā minuke mua. ʻAʻole loaʻa iaʻu kahi ʻekahi. ʻĀ, inā maʻalahi kekahi mea ʻawaʻawa, akā ʻaʻole kēia he koʻikoʻi. .) Hoʻokomo ʻo ia iā ia iho a me kāna kāne i nā ʻeke no kēlā me kēia puhi ahi. ʻAʻole wau e ʻimi no kahi kahuli nona. ʻAʻole koho kahi kuʻuna i kēlā. Ma ke "Kapoten" ʻaʻohe mea nui i ka hoʻokūkū, a ua hōʻoia ʻia ka hana kūpono i nā makahiki. Eia kekahi, ʻaʻohe hopena o ka ʻaoʻao.
ʻO ka maikaʻi loa i hele mai me ka paʻakikī. Ua hōʻeha wau i ka maʻi hypertension no 6 mau makahiki, akā ʻaʻole mau, ʻaʻole ia paha e hoʻopilikia iaʻu no hoʻokahi mahina, a laila ka bam. Mai nā lāʻau āpau koe wale nō ʻo "Kapoten" ua hopena nā hopena ma ke ʻano o ka palpitations wikiwiki a i ʻole kūlike paha. Mai a "Kapoten" e wikiwiki koke a kina ʻole i kahi hopena i makemake ʻole ʻia.
ʻO wau kahi hypertonic me ka ʻike, no laila, e makaʻala mau. Ua lawe au i Kapoten no ka makahiki ʻelua, a ke emi koke nei koʻu koko. Ua lawa ka hapalua o ka papa papa, i nā hihia koʻikoʻi, ma hope o ka hapalua hola e lawe ai au i kahi ʻuhane ʻuhane. I kekahi hopena, ʻo Kapoten "ʻoi aku ka maikaʻi e hoʻohemo. He mea ʻala kēlā, akā hoʻomau. Inā inu wale ʻoe i ka wai, e holo lohi ana.
ʻO kaʻu loiloi o ka lāʻau lapaʻau 5. I kekahi manawa i nā kūlana koʻikoʻi e inu au i ka hapalua o kahi papa papa - a ma hope o nā minuke 15 he mea maʻamau. ʻAʻole i ʻike maka ʻia.
Loaʻa iaʻu kahi "Kapoten" i loko o kaʻu ʻeke i kahi hihia. ʻAʻole wau e ʻeha i ka ulu mau ʻana i ka neʻe, akā ma ke ʻano kaumaha e kū ana ia, ke piʻi aʻe ke kaumaha. He hana ʻeha wau, no laila inu wau iā Kapoten i nā kūlana, a ma hope o kekahi manawa ua hoʻi hou wau i ka maʻamau. Ua ʻōlelo ʻo Māmā, ua inu ʻo ia, he hopena maikaʻi.
Mahalo iā ʻoe i kāu pane, maikaʻi, e kākau no kāu mau manaʻo a me kou ʻike. E pili ana i kāu ʻōlelo a me ke kūkākūkā ʻana me kahi cardiologist, ua kūʻai au iā Kapoten, a ua kōkua kōkua ʻo ia iaʻu i ʻelua mau manawa. Aia he hoʻohālikelike ʻana, hapalua wau i kahi papa ma lalo o ka alelo a ma hope o 10 mau minuke aʻu i ana ai i ka puʻu, ua hoʻomaka ia e emi. Hoʻolaha ʻia ma 110 e 60.
I ka makahiki i hala iho nei, ma hope o ka luhi ʻana o ka nalo, hoʻomaka ka poʻo e ʻeha, piʻi ke koko. A laila hoʻokipa wau iā "Kapoten" - hapalua papa i lalo o ka alelo. A ma hope o kahi mau minuke 15 i ke ʻano o ka maʻalahi, e like me ka mea i wehe ʻia kona poʻo. He mau manawa i hala ʻole ka hapa, A laila ma hope o ka hapalua hola ua lawe wau i kekahi hapalua papa. ʻO ka mea nui nui ʻaʻole nā ʻāpana maikaʻi mai ia mai. He hopena maikaʻi ʻole kekahi o ka lāʻau iaʻu. Ma hope o ka lawe ʻana i ke poʻo a i ʻole ʻūlū e hoʻomaka ai e hōʻeha. Ka mea i huli: huli i kekahi, ʻokoʻa kekahi. Hoʻomaka wau e kānalua inā lawe i nā lāʻau lapaʻau a i ʻole. Inā hiki iā ʻoe ke hana me ka ʻole o lākou, e haʻalele. A ʻo "Kapoten" lawe wau i kēia mea me ka mālie. Kōkua ʻo ia iaʻu me ka hōʻeha ʻole i ka kino.
Maʻa ka maikaʻi "Kapoten." Hoʻohana ʻia i loko o kahi hale kūʻai, kahi pana i koi ai iā ia, maikaʻi, ua kokoke ka mea nona! Ua alakaʻi ʻo ia iaʻu i kahi mākaʻai kokoke, ma laila lākou i helu ai i ke kaumaha - 140/100. ʻO ia iho nei ke hakakā nei me ka paʻakikī, akā no ka piha, ke kaupaona nei ʻo ia i 180 kg, a ke ʻōpiopio nei au he 56 kg. Ua ʻōlelo ʻo ia ma kahi i loaʻa ai i ka ʻili i ke ʻano kiʻekiʻe o ke koko, ua hele ʻo ia, lawe mai ʻo ia iā Kapoten mai ke kaʻa. Hoʻokomo wau i kahi hapaha ma lalo o koʻu alima, ma hope o ka mau minuke 15-20 i maʻamau ko mākou, akā ua ʻōlelo koke ʻo ia inā ma hope o ka hoʻomaikaʻi ʻana, a hoʻomaka hou e hōʻeha hou, kahi ʻāpana ʻē aʻe i koʻu nānā ʻana i ka wai! Ma hope o kēlā, lawe mau nei wau i loko o kaʻu ʻeke!
Lawe mau wau i nā peni no ka hypertension - vamaset, i nā makahiki he 4 i hala. Ma ke kānāwai, paʻa ke kaomi. Akā i kekahi manawa, ma hope o ka laka ʻana o ka pō, a i ʻole ʻoe e ʻāʻī i ka hana, a lele ka lele i ka 180/90. A laila ke hoʻohana nei au iā Kapoten. Lawe au i 1 papa ma lalo o ka alelo, ma loko o nā minuke 15-20 mau minamina ke ʻano maʻamau. Hoʻokahi ia, ʻaʻole pinepine, hiki iā 1-2 manawa i nā mahina ʻeono. Noʻu, "Kapoten" kekahi ʻano o ka "kōkua mua." ʻAʻole au i nānā i nā hopena ʻaoʻao.
Aloha nui i nā poʻe a pau! Ua kuhikuhi ʻia au i kahi pānaʻi e like me kahi mea ambulance drug, ʻo ia hoʻi, no kekahi mau kumu, no ka laʻa, ke huhū ke koʻikoʻi, ke ala aʻe nei, ʻoiai ka hoʻohana mau ʻana i nā lāʻau antihypertensive. A ma ka mua āna i hana ai. Inā kū mālie loa ke kaomi, hapalua hapai ma lalo o ka alelo - ua kōkua - hoʻihoʻi ke ʻano i ka maʻamau. Ka wā hope loa, hoʻomaka ia e hana i kekahi mea ʻē aʻe: ua hāʻule ke kaumaha, akā ke ala hou aʻe ma hope o 20-30 mau minuke. He mea pono, ma ka ʻo kapoten, e lawe i nā lāʻau i inu pinepine au. ʻAʻole au i ʻike i nā hopena ʻaoʻao. ʻAe, kūpono ke kumukūʻai.
Me kēia lāʻau lapaʻau ʻānō wau e akahele nui loa. ʻO wau iho, ʻike wau i ka make ma hope o ka lawe ʻana i kēia lāʻau lapaʻau. Ua hoʻopilikia maikaʻi mai iaʻu. ʻAʻole ia i hoʻoluʻolu i ke koʻikoʻi, akā hoʻopuka ʻo ia koke a ikaika loa, ʻoiai nā mea aʻu i ʻike nui e ʻōlelo maikaʻi ana iā ia. ʻO kēia paha kaʻu hiʻohiʻona physiological. No laila ua koho wau i nā peni ʻē aʻe.
ʻO nā mekela mekini ʻo Kapoten ua hoʻouna iaʻu i ka honua ʻē aʻe! Ua lohe au i nā loiloi maikaʻi loa no kēia lāʻau lapaʻau. Hoʻolaha wikiwiki loa i ke koko, "palupalu" hana, hoʻāʻo ʻia i ka manawa, etc. ʻO ka hoʻāʻo ʻana i nā lāʻau lapaʻau he nui ʻole i kūpono no nā kumu like ʻole, ua hoʻoholo wau e hoʻāʻo iā ia iho. Ua hala ʻo ia ka hapalua ma mua, he hapalua o ka pūleʻa i ka pō: ua emi ke kaumaha, ua hele ʻo ka ʻāʻī o ka ʻāʻī ma ke ʻano ua lilo ia i mea maʻalahi loa. I ke kakahiaka, ua hoʻi mai ka manaʻo a loaʻa iaʻu ke ʻano i ka dosage. Ma ke ahiahi i hala kahi kilula, kahi aʻu i hōʻike ai i ke anuanu maʻamau. I ke ahiahi, ua loaʻa iaʻu ka hapakolu, hōʻeha loa au i ka hiamoe. I ke kakahiaka he ala aʻe wau mai kahi pākē ikaika, kahi a wau i huli wale ai. Ua huehue ka ai, ua ulaula ka maka, puka mai la ka ihu holo runny. Mai ka ʻōpio ʻana ua manaʻo wau e ʻau. Ua kāhea au i kahi ʻenehana, kau i ka edema ʻo Quincke. Hāʻawi ke kauka i kahi maʻi antihistamine. Ua ʻōleloʻo ia i nā hāʻule no nā maʻi bronchopulmonary kiʻekiʻe. ʻOi ma ka home ka Bromhexine 8, kahi i kōkua ma hope koke iho o ka hoʻomaha ʻana i ka ʻā. Ua mālama ʻia ma hope o ka lāʻau lapaʻau "Kapoten" no 5 mau lā. No laila e makaʻala i kēia lāʻau lapaʻau.
Lawe pū wau i nā hoods, ʻo ka maʻi o ka VVD he hypertonic. Kōkua ia iaʻu, ʻaʻole wau i ʻike hou i kekahi hopena. ʻOiaʻiʻo, he mea nui nō hoʻi e nānā i ke ʻano o ke ola a me ka meaʻai, akā i kekahi manawa pono ʻoe e hele i ka lāʻau lapaʻau, a maikaʻi ia e loaʻa ai nā hoʻomākaukau palupalu maikaʻi. Ke ʻae aku nei au he mea nui ka lua o ke ʻano ola, a me ka hahai i ka ʻai ʻana, a hana i ke koena, a hoʻohana i ka lāʻau lapaʻau wale nō ma kahi hopena hope loa, akā he mea hiki ʻole iā ʻoe ke hana me ka lāʻau ʻole. Akā ʻo kēia ka mea maʻamau i ka paʻakikī. A laila e koho ʻoe i nā lāʻau lapaʻau ʻoi aku ka liʻiliʻi. ʻO "Kapoten" kōkua maikaʻi, nā hopena liʻiliʻi, nā lāʻau lapaʻau maikaʻi no ka ulia.
ʻO ia iho, loaʻa pinepine iaʻu i nā pilikia me ke koko haʻahaʻa. A no kekahi mau makahiki i kēia manawa, ua ʻae koʻu makuakāne wahine iā Kapoten. I ka wā i puka mai ai nā pilikia me ke koko kiʻekiʻe, ua huli maila ia i ke kauka nāna i kuhikuhi i kēia lāʻau ʻai iā ia. Lawe ʻia ka paila i kēlā kakahiaka i kēia kakahiaka, a hiki i nā hihia ke kū koke ke keʻe. ʻO kēia manawa, i ke ahiahi inu au i ka wai mai ka mint a me ka hawthorn, a ma ke kakahiaka he nui ka paʻakikī o ia. No laila, ke kau nei wau i ka hoʻomaka ʻana o ka maʻi e hoʻāʻo e inu i nā lāʻau lapaʻau e kōkua ana i kēia hihia, ʻoiai ʻo ka mea maʻamau ʻaʻole kūpono ia i kēlā me kēia. A ʻo ka hoʻomākaukau ʻana o Kapoten, ʻaʻole hewa, ʻaʻohe ʻōhumu no ka lōʻihi.
ʻO ka lāʻau ʻo "Kapoten" i kuhikuhi ʻia iaʻu e kaʻu mea lapaʻau. ʻO kaʻoiaʻiʻo ʻo hoʻokahi manawa i kū hoʻokahi koko e piʻi nui koʻu poʻo a me ka hōʻeha nui o koʻu poʻo. Ua hōʻike ʻia me nā dystonia vegetative-vascular. Hoʻonohonoho ʻia ʻo Kapoten e kau i ka hapalua o ka paʻu ma lalo o ka alelo. I ka malama mua, ʻaʻole kōkua ka hapalua o ka pailuna. ʻO ka lua o ka manawa ua lawe wau i ka paila, huli hewa ia i ka mea like - ʻaʻohe hopena. No laila, ʻaʻole hiki iaʻu ke ʻōlelo i kekahi mea maikaʻi e pili ana iā Kapoten. Ke piʻi nei ka paʻakikī i ka 170, ʻaʻole ia e hōʻemi i ke kaomi o ka manawa, me he mea lā ʻaʻole wau i lawe i kekahi mea. ʻOiaʻiʻo, ʻoiaʻiʻo, he ʻano pilikino kēia o ke kino, akā ua make pono ka lāʻau lapaʻau.
Ua kōkua kōkua iā ia mai ka puʻuwai, hoʻoikaika i ka naʻau naʻau a me nā kīʻaha koko. ʻOi aku ka maikaʻi o kēia lāʻau lapaʻau i nā manawa 2 i ka lā, a laila e hoʻonui iki i ka hoʻoulu ʻia. ʻOiai, hilinaʻi kēia a pau i ke kūlana o ka mea maʻi a me kona kino. ʻO kekahi mea ʻole, me ke kau ʻole ʻana o ke kauka, ʻaʻole wau e kuhikuhi i ka lawe. Ke lawe ʻoi aku ka maikaʻi o ka hana ʻana i kahi hōʻaiʻē me kahi kauka. Maikaʻi nō ka lāʻau lapaʻau a hiki i ke kumu no ka ʻino ʻana inā ke lawe ʻole ʻia. Ua kōkua mai iaʻu i ka hoʻoikaika ʻana i koʻu puʻuwai a me ka pale ʻana i ka maikaʻi. Ma ke ala, i ka wā e lawe ai, pono ʻoe e makaʻala nui i ka papa ʻaina a hoʻāʻo e ʻai i nā meaʻai kīwī ʻole.
Ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana
- pio
- mikuleka
- ʻano keʻa mahina
- paukū huehue,
- liʻawaʻawa lactose.
Kuhi puka - i nā papa me ke kiʻi ʻāpana. Loaʻa iā lākou kahi kiko pakanā a me ke aniani keʻokeʻo.
ʻO ka nui o nā hāmeʻa ikaika no kēlā me kēia papa o 25 mg.
ʻO ka hana lāʻau lapaʻau, pharmacodynamics
ACE paleʻai. Ke lawe nei i ka lāʻau lapaʻau, e emi ka nui o ka nui, hoʻonui ʻia nā moku, ka nui o ka aldosterone i loko o nā kaila adrenal i emi iho, ma ke kāohi ʻia ʻana e ka angiotensin II.
Hoʻopili koke ʻia e ka digestive tract. Hoʻomohala ka hana ma hope o nā hola 2.5-3. Kuhi - me ka loli urine. 30% e hoʻopaʻa ʻia i nā protein koko. ʻO ka bioavailability o nā mea hana ikaika he 65-75%.
Hāʻawi ʻia ka lāʻau lapaʻau no ke koko kiʻekiʻe.
Nā ʻano hana o ke noi, ʻimi ʻia ʻana
Holoi ʻia nā papa ʻo Kapoten me kahi wai liʻiliʻi. Hōʻike - hapa hola ma mua o kahi pāʻina. Eia kekahi, hiki ke hoʻoholo ʻia ka lāʻau lapaʻau.
Hoʻomaʻamaʻa ʻia ka mālama ʻana me nā mea liʻiliʻi liʻiliʻi.
He haʻahaʻa hypertension - ʻelua mau lā i ka hapalua papa. Inā kūpono, hoʻonui ʻia ke dute, akā me ka wā o 14 a 30 lā.
ʻO kahi ʻano kaumaha o ka maʻi hypertension - i lawe mua ʻia i ka hapalua o kahi papa i ʻelua mau lā i ka lā. Hoʻonui ʻia ka dosage i kahi papa āpau, lawe ʻia ʻekolu mau manawa i kēlā lā.
Inā aia kahi mea e pono ai e mālama i ka hōʻeha o ka puʻuwai, aia ma lalo o ka nānā o kahi mea lapaʻau.Pono e kūʻai ʻia nā lā mua 3 ma ka nui o ka lāʻau lapaʻau. E hoʻonui iki i ka nui i loko o kahi papa āpau.
I ka maʻi ʻaʻai, ua mahele ʻia ka hoʻokele i ʻelua a ʻekolu mau manawa i ka lā. ʻOi aku ka dosis i ʻōlelo ʻia ma mua o 100 ml.
No ka poʻe maʻi me ka hōʻemi kino ʻana o ka maʻi, hoʻolaʻa ʻia i ka lāʻau i ʻekolu mau manawa i loko o kahi waihona o 75 ml. Inā he hopena nui ka kolohe, ʻaʻole pono e hoʻonui i ka lā i kēlā me kēia lā he 12.5 mg.
Ua kuhikuhi ʻia ka poʻeʻelemakule i ka lāʻau lapaʻau ʻokoʻa, me ka mālama ʻana i ke kūlana o nā maʻi maʻi ʻoihana hoʻohui. Hoʻomaʻamaʻa ʻia ka mālama ʻana me ka liʻiliʻi liʻiliʻi o ka lāʻau.
Hōʻike ʻia i ka wā hāpai a me ka lactation
Kapotenō a Kapoten i ka wā hāpai a i kēlā me kēia manawa. I ka trimester mua, ʻaʻole pono ka hopena o ka lāʻau i ka hopena o ke kuʻi, akā naʻe, ʻaʻole i emi ka hopena o ka hopena.
Inā aia kekahi e lawe i ka inhibitor ACE no nā poʻe maʻi e hoʻolālā nei e lilo i mau makuahine, ua hoʻololi ʻia lākou i kahi ʻano lapaʻau maʻamau.
Ua hōʻike ʻia nā noiʻi ʻana i ka lawe ʻana ʻana iā Kapoten ma ka trimesters lua a me ke kolamu i ka papa o nā hapai a me nā maʻi hoʻopiʻi. Inā ua lawe ka wahine i ka lāʻau lapaʻau, pono ia e hoʻokō i ke aʻo ʻana a me ka maʻi ultrasound e loiloi i ke ʻano o ka mea maʻi a me ke keiki. ʻO nā mea hoʻohālikelike i ka hoʻomohala o ka pūpū: underdevelopment o nā iwi o ka ʻōpū, renal failed, kiʻekiʻe koko kiʻekiʻe.
Ke hānai ʻia ka waiū waiū, komo ka waiwai ikaika i ke kino o ke keiki. Hoʻopilikia kēia i nā hopena koʻikoʻi. No laila, pāpā ʻia ka lāʻau lapaʻau i ka wā lactation.
Loaʻa nā hopena ʻaoʻao
- Palpitations puʻuwai
- haki
- nā hopena kūlohelohe
- edema loliania,
- huhū
- ʻōpū nui
- ka hoemi ana o na maka,
- ninini
- kūlana ʻilihā
- ka mahuahua ana o ka waihona o ke kalapika i ka urea,
- ʻinalelo angina pectoris
- maloʻo maloʻo
- ʻili kino ʻili,
- poʻomanaʻo
- ʻōpala
- kuʻe ʻana o ka hoʻāʻo
- ʻōpū duodenal, ʻōpū,
- kaʻeha cerebrovascular,
- kaomi ʻaʻā
- ka mumū o ka ʻāʻī
- hiamoe
No kekahi kipi, pono ʻoe e hoʻokaʻawale i ka lāʻau lapaʻau a ʻimi i ka ʻōlelo aʻo a kou kauka!
Hoʻopili me nā lāʻau lapaʻau ʻē aʻe
Hoʻonui ka hopena therapeutic o ka lāʻau i ka wā e lawe ana i ka diuretics.
Hoʻole ʻia i ka lawe pū ʻana i nā lāʻau lapaʻau ʻē aʻe e hōʻemi i ke koko.
Ke lawe ʻia me ka allopurinol, he piʻi nui ka hopena o ka hoʻomohala ʻana i ka neutropenia.
ʻO ka halaʻole o ke ʻano hematological e alakaʻi i ka hoʻokokoke o nā immunosuppressants.
Hoʻonui ka mea ikaika i ka paʻa o nā huahana-lithium, ʻo ia ka mea e hoʻopiʻi i nā hopena ʻokoʻa.
Nā ʻōlelo kikoʻī
Inā hoʻoholo pinepine ʻia ka lāʻau lapaʻau a i ʻole paha e lōʻihi, pono ia e nānā i nā hana o nā keiki.
Inā ʻike ʻia ka kōmākī, pono e hooki ʻia ka hoʻokipa ʻana.
Hoʻohui ka hoʻohana ʻana me ka waiʻona.
Hiki i ka lāʻau lapaʻau ke hōʻeha i kaʻeha, nāwaliwali, nā hūnā. No laila, pāpā ʻia i ka hana me nā mīkini e koi ai i ka paʻa ʻana, a hoʻokau i nā kaʻa.
Mālama ʻia ka huahana i kahi wahi i pale ʻia mai ka mālamalama, ma kahi mahana ʻaʻoleʻoi aku +26 degrees.
ʻOʻelima mau makahiki i hala mai ka lā i hōʻike ʻia e ka hui lāʻau lapaʻau ma ka pa.
Hoʻokuʻu ʻia kahi lāʻau lapaʻau.
Nā kaulana kaulana o Kapoten
- Nā Alcadil
- Kanakaole
- Vero-captopril,
- Golten
- Blockordil
- Epistron.
ʻEono mahina i hala aku nei, ua kuhikuhi ʻia au i ka lāʻau lapaʻau ʻo Kapoten. ʻO ka manawa hou nei, ua hoʻomaka koke ka neʻe o ke koko. Hoʻomaka ka hoʻomaʻamaʻa me nā mea liʻiliʻi ma ka liʻiliʻi, a laila hoʻonui pinepine ʻia. ʻE ʻekolu manawa wau i ka lā, hoʻokahi papa pā. Hoʻoulu ʻia ka hoʻomaikaʻi ʻana i loko o nā hebedoma. ʻO ka manawa hou i ʻike ʻia i loko o ka haukapila. Ua hōʻike ʻia koʻu maʻamau koʻu maʻamau. ʻAʻole wau i manaʻo i kēlā hopena, ʻoiai ua hoʻeha ʻia ka hypertension iaʻu mai koʻu wā ʻōpio. Inā wau e inu i nā ʻāpana o nā pōpoki, i kēia manawa hiki iaʻu ke kiʻi i nā decoction lau nahele. Nui ka lāʻau lapaʻau! ʻAʻole hoʻohewa ʻia nā hopena.
Lawe wau i ka lāʻau Kapoten. ʻAʻole hiki i nā huaʻōlelo ke hōʻike i kuʻu mahalo. Palauʻē He wahine au wai waena, 64 makahiki. No laila ua loaʻa kahi maʻi āpau i kahi maʻi. Ma hope o kahi papa o ka mālama ʻana me kēia lāʻau, ua hoʻomaka wau e manaʻo i ka 20 mau makahiki ʻōpio! Ua hoʻōla ʻia au i ke koko koko mau loa. Ua lilo wau i mea ikaika, e hele i ke pāʻani, holo i ke kakahiaka. Inā pili ka lāʻau lapaʻau iā ʻoe a ʻaʻole maopopo ʻoe i ke ʻano e hoʻōla ai i ka maʻi hypertension, hōʻoluʻolu e hoʻomaka i ka mālama ʻana. Ma ke ala, he mea maikaʻi a e pono no ka mālama ʻana i ka maʻi maʻi maʻi, akā ma lalo o ka mālama o kahi kauka.
Ma kahi o 15 mau makahiki i ka pā, ua lohe au i ka mālama maikaʻi loa o Kapoten. I ka hoʻomaka ʻana o ke koko i ka piʻi ʻana, kūʻai aku wau, heluhelu ia, a ʻike koke ka mea iaʻu. Ua lawe ʻo ia i ka piʻi ʻana o ke koʻikoʻi. ʻElua mau makahiki i hala aku nei, ua piʻi ka neʻe ʻana i nā pae kūpono ʻole. Kāhea lākou i kahi ʻenehana. Poke i ke kaomi a he mea maʻamau no hoʻokahi makahiki a me ka hapa, a laila moʻolelo hou kēlā moʻolelo. ʻO ka hopena, ua hoʻoholo wau e ʻike i ke kauka i nā mahina i hala aku nei. Ua komo wau i nā hoʻokolohua a me ka heluhelu ʻana o ka tonometer i nā lā 10. Ua kuhikuhi mai ke kauka iaʻu i kahi lāʻau lapaʻau peni, analapril. Ua nīnau au i ka lilo ʻole i kuʻi ʻana, a laila pehea lā kaʻu e hana ai? Kauoha ʻo ia iā Fedining he ʻoki loa. Lawe i ka wā e piʻi ai ke kaumaha. Manaʻo paha paha ka poʻe i kēia ʻano ke kau nei lākou i nā lāʻau lapaʻau nui. Akā aia ka poʻe iā lākou iho e kūʻai i nā lāʻau lapaʻau nui, mai hilinaʻi i ka maʻalahi. Mahalo iā ʻoe i kāu mau wikiō, heluhelu wau me ka leʻaleʻa. Mahalo i nā kauka, a ʻo ka poʻe e hala ʻole me mākou ke aupuni o ka lani. ʻO nā like like, nā kauka i kōkua nui.
E hoʻokuʻu i ke ʻano
Loaʻa ʻo Kapoten ma ke ʻano o nā papa pahu me nā kihi ākea. ʻO nā papa papa he biconvex, loaʻa kahi koki cruciform ma kekahi ʻaoʻao, a ma ka ʻaoʻao kekahi huaʻōlelo extruded "SQUIBB" a me ka helu "452". Loaʻa i nā papa ʻaina keʻokeʻo a i ʻole keʻokeʻo paha i kahi mea ʻala ʻona, ʻae ʻia ka māmā.
Hoʻopili ʻia nā papa i nā palaka o nā 10 a me 14 mau ʻāpana. Ma ka pahu pepa, hoʻopili ʻia nā pahu 2 a 4 paha paha.
Pharmacokinetics a me ka lāʻau lapaʻau
ʻO Kapoten kahi mea hoʻoweliweli ACE. ʻO Creensril, kahi ʻāpana o kēia lāʻau lapaʻau, e kāpae ana i ka hopena vasoconstrictor i nā moku venous a me nā arterial ma ke kāohi ʻana i ka angiotensin II. Ua hoʻemi ʻo Kapoten ma hope o ka lopa, e hōʻemi ana i ka OPSS, ka hoʻokuʻu o ka aldosterone i loko o nā lau adrenal, hoʻohaʻahaʻa i ke koko, ke kaomi ʻana i ka pulmonary circulation a me ka atrium kūpono.
Loaʻa ka bioavailability o ka captopril i ka 60-70%. ʻO ka ʻai like ʻana me ka lāʻau lapaʻau ka mea e hoʻolōʻihi i ka hoʻowalewale o ka captopril e 40%. Hoʻopili ka mea hana i ka protein koko i ka 25-30%. ʻO ka hoʻopauʻana hapalua-ola e hana i 2-3 mau hola. Hoʻohana ʻia ka hapa nui o ka lāʻau i loko o ka mimi, ʻo ka hapalua o ka nui o ka lāʻau i lawe ʻia e excreted i loli ʻole.
Hoʻomaka ka lāʻau lapaʻau e hana i nā minuke 10 ma hope o ka hoʻokele ʻana. Hōʻike ʻia ka hopena therapeutic loa ma hope o hoʻokahi hola a me ka hapa a hiki ke 6 mau hola.
Nā hōʻailona no ka hoʻohana ʻana
Hoʻolaha ʻia ʻo Kapoten no kēlā mau maʻi:
- myocardial infarction
- ke koko kiʻekiʻe (e like me monotherapy, a i hui pū me nā lāʻau lapaʻau ʻē aʻe).
- ka maʻi paʻakikī ʻana (ma ka hui pū ʻana)
- maʻi nephropathy maʻi i ka maʻi diabetes mellitus I.
ʻLoe a me ke kākele
Lawe ʻia nā papa pākuʻi hoʻokahi hola ma mua o ka ʻaina ʻai, hiki iā ʻoe ke inu me ka wai, a hiki iā ʻoe ke lawe ma lalo o ka alelo. Hoʻolako ʻia nā dole Therapeutic e ke kauka. Pono e hoʻomaka i ka mālama ʻana me nā liʻiliʻi liʻiliʻi.
Me ka hypertension moderate, pono ka hapalua ma mua o ka papa papaʻa - 12.5 mg 2 mau manawa i ka lā. Inā pono, e hoʻonui i ka ʻai, akā pono nō ia e mālama i kahi wā o 2-4 mau pule. ʻO ka hopena kūpono e 2 papa, i.e. 50 mg 2 mau manawa i kahi lā. I loko o ka hypertension koʻikoʻi, pono ka hapalua o ka lāʻau i ka hapalua papa, i.e. 12.5 mg 2 mau manawa i ka lā. Hoʻonui, hoʻoulu ʻia kahi pae hoʻokahi i 50 mg me ka neʻe o ka 3 mau manawa i ka lā.
Ma ka hana ʻole o ka naʻau, e hana wale ʻia ka hana ma lalo o ka mākaʻikaʻi koʻikoʻi o kahi kauka. Hoʻomaka ka mālamaʻana i kahi hapahā o ka papa papa, i.e. 6.25 mg ʻekolu mau lā i ka lā. ʻO ka lōʻihi o ka manawa, hoʻonui ʻia ke kinikini iā 1 papa 3 mau manawa i ka lā.
Ma ka nephropathy maʻi kamika, ʻo ka ʻōlelo i hōʻike ʻia e 75-100 mg, i.e. 3-4 papa, i hoʻokaʻawale ʻia i 2-3 mau pākahi.
Me ka hoʻomaʻamaʻa ʻana i ka renal moderate, he maʻa i kēlā me kēia lā he 75-100 mg, i.e. 3-4 papa, i hoʻokaʻawale ʻia i 3 mau pona e pono ai. I ka hopena o ka renal nui loa, ʻaʻole pono ka nui o ka posture ma mua o ka hapalua o ka paila - 12.5 mg. Akā ma luna o ka manawa, ke hoʻonui ʻia i ka dosis therapeutic e pono ai.
No nā poʻe maʻi nui ma mua o 65 mau makahiki, ua wae ʻia ka nui e ke kauka me ke kū hoʻokahi. E like me ka mea i manaʻoʻia, ʻoiaiʻo ia e hoʻomaka i ke papa o ka mālama ʻana me ka liʻiliʻi liʻiliʻi a hoʻāʻo e pili me ia i nā manawa a pau o ke hoʻohana ʻo Kapoten.
Pākuʻi a me nā ʻōlelo hoʻi
I ka wā mālama me kēia lāʻau lapaʻau, ʻaʻole pau ka hoʻohanaʻana i ka waiʻona. ʻO ka hui pūʻana o ka waiʻona a me Kapoten e alakaʻi i ka hypertension koʻikoʻi.
ʻO ka maʻi me ka puʻuwai puʻuwai e hele i lalo o ka lāʻau lapaʻau lāʻau ma lalo o ka mākaʻikaʻi koʻikoʻi o kahi kauka.
Ma mua o ka hoʻomaka ʻana, pono ʻoe e nānā i ka hana o nā kuli.
ʻO ka 3 mau mahina o ka maʻi, pono ia e kāohi i ka nui o ka leukocytes, creatinine a me urea.
Inā i hōʻeha ʻia ka hypotension arterial i ka wā e lawe ai iā Kapoten, a laila pono ʻoe e lawe i kahi kūlana i hāpai ai i luna a me kou mau wāwae.
Hiki i ka lāʻau lapaʻau ke'āpono i ka ʻike. No laila, i ka wā o ke kau ʻana o ka hood, pono ia e pale i nā hana kīnā ʻole, e lawe i nā kaʻa. Hiki mai paha ka popo ma hope o ka lawe ʻana i ka hopena mua.
Nā hopena ʻaoʻao:
Wahi a nā noiʻi a me nā ʻōlelo mai nā mea kūʻai aku, hiki iā Kapoten ke hōʻike i nā hopena like ʻole:
- hōloe, ataxia, maulele,
- hypotension, tachycardia, peripheral edema,
- ka huapau ʻana o nā wāwae, nā lehelehe, ka alelo, ka ʻili, ka membrane o ka larynx.
- anemia, agranulocytosis, neutropenia, thrombocytopenia,
- hyperkalemia, ka waikena, hyponatremia, proteinuria, he paʻuhū nui o ka urea nitrogen i loko o ke koko,
- apuhthitis aphthous,
- ka pale ʻana o ka ʻono, kipi ka leʻaleʻa, hoʻonui i nā enzyme o ke kua,
- i nā hanana ʻeha, ka ʻeha o ka ʻōpū, ka ʻōpū, ka hepatitis, gumplpl
- ʻula, manuahi a ʻeha, rashes, photosensitivity, flush.
I nā hōʻailona mua o nā hopena ʻaoʻao, pono e hoʻopau i ka lāʻau a ʻimi i nā ʻōlelo lapaʻau.
Ka kuʻikahi me nā lāʻau lapaʻau ʻē aʻe
Hoʻopuka i nā diuretics, ganglion blockers a me nā blockers adrenergic i ka hopena therapeutic o Kapoten.
ʻO ka Clonidine a me indomethacin e hōʻemi i ka hopena hypotensive o Kapoten.
ʻO ka hui pū ʻana o Kapoten me procainamide a me allopurinol hiki ke alakaʻi i ka maʻi Stevens-Johnson a me neutropenia.
Hiki i nā immunosuppressants me Kapoten ke alakaʻi i ka maʻi hematological.
Hoʻonui ʻo Kapoten i ka paʻa o ka hoʻomākaukau ʻana o ka lithium, e alakaʻi ana i ka hopena e pili ana i nā hopena kūpono i ka papa lithium.
Nā hoʻonohonoho hoʻonohonoho a hoʻokuʻu i nā palapala
Loaʻa ka manawa ʻo Kapoten i kahi palapala maʻi hoʻokahi. nā papa waha. ^ E Ha yM. ʻO ka papa papa ke ʻano biconvex ʻehā me nā kihi poʻo, i hoʻokeʻokeʻo a i ʻole aila ʻāʻī paha, ma kekahi ʻaoʻao i laila he kakal i kahi o ke kea, a me ka palapala "SQUIBB" a me nā helu "452" ma ka ʻaoʻao. Loaʻa i nā papa nā huaʻala a loaʻa mai i nā pūʻulu o 28, 40 a me 56 mau ʻāpana.
ʻOi ke ʻano ikaika ʻO nā papa kapoten i loaʻa i ka captopril i ʻelua mauʻu - 25 mg a me 50 mg. Ma nā mea kōkua ʻO nā papa ʻo Kapoten kekahi:
- ʻ stlelo ʻehala
- Lactose
- Miculocrystalline cellulose,
- Stearic acid.
Hoʻolaha hopena
ʻO Kapoten ka haʻahaʻa o ke koko a hōʻemi i ka luhi ma ka puʻuwai, ma muli o ia e hoʻohana ʻia i ka mālama ʻana i ka maʻi hypertension a me ka pohō o ka naʻau. ʻO ka hana a Kapoten ma muli o kona hiki ke kāohi i ka hana o ka angiotensin-hoʻohuli enima (ACE), ka mea e hōʻoia ai i ka neʻe ʻana o ka angiotensin I i ka angiotensin II. ʻO ka manaʻo ʻo ka angiotensin II he mauʻano hana biologically e loaʻa ana i kahi hopena vasoconstrictor ikaika, a pēlā hoʻi, e hoʻonui ai i ke koko. Ke kī ʻole ʻo angiotensin II, e noho palolo ke koko, a hemo ke koko, a ʻoi aku ka maʻalahi o ka hana o ka naʻau, ka mea e pono ai ka hoʻoikaika ʻana e hoʻomake i ke koko i loko o nā moku. Wahi a ia, Kapoten, ke kāohi nei i ka hoʻokumu ʻana o ka angiotensin II, e alakaʻi ana i ka hoʻonui ʻia o nā moku koko a me ka hoʻokahe ʻana i ke koko.
Me ka hoʻokomo pinepine o Kapoten, mālama pono ʻia ke kahe koko i loko o nā waiwai i ʻae ʻia. No ka hoʻokō ʻana i ke emi mau ʻana o ke kaomi, pono ke lawe ʻia i ka lāʻau no ka liʻiliʻi he 4 a me 6 hebedoma.
Eia kekahi, ma muli o ka hoʻonuiʻana o nā kahe koko, ke emi ka nui o ke kūlia o peripheral, e hoʻemi ana i ka ukana ma ka puʻuwai, ʻoi aku ka maʻalahi e pana i ke koko i ka aorta a me ka pulmonary artery. Ma ka hoʻemi ʻana i ka luhi ma ka puʻuwai, e hoʻonui ʻo Kapoten i ka hoʻomanawanui o ke kino a me nā kaumaha ʻē aʻe i loko o kahi kanaka e hōʻeha nei i ka hōʻeha ʻana o ka naʻau.
Hoʻomaikaʻi ʻo Kapoten i ke kahe koko ren a no laila hiki ke hoʻohana e mālama i ka nephropathy maʻi. Eia kekahi, ʻaʻole e hoʻonā ka lāʻau lapaʻau i ka edema, ka mea e hoʻokaʻawale iā ia mai i nā lāʻau lapaʻau antihypertensive'ē aʻe. I ka hopena, ʻaʻole pono ʻo Kapoten e hui pū me ka diuretics.
Pehea e lawe ai iā Kapoten?
Pono ʻo Kapoten e lawe waha, ʻūlū i ka papa a i ʻole ʻāpana āpau, me ka ʻaʻa ʻole, aikia a ʻāleʻa paha i nā ʻano ʻē aʻe, akā me ka wai huʻala ʻole (ʻelima kīʻaha ka lawa).
Koho ʻia ka ʻano o ka helu o Kapoten, a ua hoʻomaka ʻia ka intake me ka hapa haʻahaʻa o 6.25 a i ʻole ka 12.5 mg, ka mea e pālua i kēlā me kēia wiki 2 a hiki i ka hiki ke hoʻonui ʻia nā waiwai he nui - 300 mg i kēlā me kēia lā. ʻAʻole kuhikuhi ʻia e lawe i ka lāʻau lapaʻau ma loko o kahi āpau ʻoi aku ma mua o 300 mg i kēlā me kēia lā, no ka mea ʻaʻole i hoʻonui ʻia kona pono, a me ka hōʻeha o nā hopena ʻaoʻao, ma kēlāʻaoʻao, piʻi. ʻO ka dosage i kēlā me kēia lā nui, ʻaʻole ia e hoʻonā i ka ʻawaʻawa, ma kahi o 600 mg o Kapoten.
Kapoten dosage no nā maʻi like ʻole
No kekahi maʻi, hoʻomaka ʻo Kapoten e lawe ʻia me nā loli liʻiliʻi, e kiʻi iki iā lākou i nā dosis kākoʻo pono. ʻO ia ka dosage mālama e hiki ke loaʻa i nā maʻi like ʻole.
Me ka haina o ka hypertension Hoʻomaka ʻo Kapoten e lawe i ka hala o 12.5 mg (1/2 papa) 2 mau manawa i ka lā. I kēlā me kēia pule ʻelua, inā pono, e pāpālua ʻia ka nui, e lawe ʻia ana i ka mau loa, me ka mau ʻia o ka paʻu i loko o nā palena i hiki ʻia. Ma ke ʻano he kānāwai, me ka hōʻino ʻia o ka hōʻeha o ka hypertension arterial, ʻo ka mālama mālama pono ʻana o Kapoten he 25 mg 2 mau manawa i ka lā. Ma kahi maʻi hypertension koʻikoʻi, ʻo ka dosis mālama mālama i ka lāʻau e 50 mg 2-3 mau manawa i ka lā.
I loko o nā pūpū puʻuwai hema Hoʻohana ʻia ʻo Kapoten wale nō e hāʻawi ʻole ʻia me ka diuretics i kahi hopena therapeutic e pono ai. I ia mau hihia, hoʻomaka ka lāʻau lapaʻau e hōʻea i ka 6.25 mg (1/4 papa) 3 mau manawa i ka lā, e hoʻonui i ka nui ʻelua ma kēlā me kēia pule ʻelua a hiki i ka hopena pae maikaʻi loa, e hāʻawi ana i ka hopena i makemake ʻia.ʻO ka maʻamau, ʻo ka mālama mālama ʻia o Kapoten no ka mālama ʻole i ka naʻau ʻo 25 mg 2-3 mau manawa i ka lā. ʻO ka dosage ka palena no kēlā me kēia lā he 150 mg i kēlā me kēia lā.
I ka hihia o ka hoʻonāukiuki o ka ventricle hema ma hope o kahi kīkope myocardial Hiki ke hoʻomaka ʻo Kapoten e hala i nā lā ʻekolu ma hope o ka hōʻā ʻana o ka puʻuwai. Ma kēia hihia, hoʻomaka lākou e lawe i ka lāʻau lapaʻau ma 6.25 mg hoʻokahi manawa i ka lā, ma hope o ka hebedoma, e hoʻonui i ka dosage i 6.25 mg 2 mau manawa i ka lā. Ma hope o hoʻokahi pule, e hoʻonui ʻia ka dosage i 6.25 mg 3 mau manawa i ka lā. A laila e kūkulu i kahi pālua ʻelua a hoʻomaka e lawe i ka 12.5 mg 3 mau manawa i ka lā. Inā hiki i kēia dosage ke hoʻokō i ka hopena i makemake ʻia, a laila e manaʻo ʻia e kākoʻo a lawe i ka lāʻau lapaʻau i kahi manawa lōʻihi. Inā ʻaʻole pono ka nui o ka inika o 12,5 mg 3 mau manawa i ka lā, a laila hiki ke pāpālua ʻia a lawe ʻia, kēlā, kēia, 25 mg 3 mau manawa i ka lā. Ma ka ʻōlelo kuʻuna, ʻo ka nui e hiki ai ke hoʻololi ʻia no ka mau hewa ʻana o ka ventricle hema he 150 mg i kēlā me kēia lā.
Me ka nephropathy maʻi maʻi Noi ʻia ʻo Kapoten e lawe i 25 mg mau manawa 3 i ka lā a i ʻole 50 mg mau manawa 2 i ka lā. Hoʻomaʻamaʻa ʻia kēia dosage mālama mālama, e hoʻomaka i ka lāʻau lapaʻau ma 12.5 mg 3 mau manawa i ka lā. Ma hope oʻelua pule, ua pāpālua ʻia ka nui, a no laila, hoʻoponopono ʻia i ka hoʻoponopono mālama ʻia - 25 mg 3 mau manawa i ka lā. Inā hana ole kēia maʻa, a laila ma hope o 2 mau pule e hoʻonui ʻia a lawe ʻia i 50 mg 2 mau manawa i ka lā.
Inā hele pū ka nephropathy me ka microalbuminuria (ʻo ka nui o ka albumin i loko o ka urine he 30 - 300 mg i kēlā me kēia lā, laila pono ke hoʻoponopono ʻia nā maʻi mālama ʻia e 50 mg 2 mau manawa i ka lā. Me ka proteinuria (ka protein i loko o ka urine) ʻoi aku ma mua o 500 mg i kēlā me kēia lā, ʻo ka maʻi mālama mālama maikaʻi loa he 25 mg 3 mau manawa i ka lā.
Me ka maʻi laʻa me ka hana ma creinine o 30 - 80 ml / min, kahi mālama mālama ʻo Kapoten no nā maʻi he 75 - 100 mg i kēlā me kēia lā. A me nā hōʻeha koʻikoʻi o ka pūpū me kahi hoʻomaʻamaʻa creatinine o kahi o 30 ml / min, hoʻomaka ka lāʻau lapaʻau ma 12.5 mg 2 mau manawa i ka lā. A laila hoʻonui mālie ka nui o ka dosage a lawe mai i kahi kiʻekiʻe o 50 a 75 mg i kēlā me kēia lā.
No nā poʻeʻelemakule (ma mua o 65 mau makahiki), pono ke koho pono ʻia ke ʻano o ka nui o Kapoten, e hoʻomaka mau ʻia me 6.25 mg 2 mau manawa i ka lā. Pono e hakakā i ka hoʻonui ʻana i ka ʻoka i loko o nā ʻelemakule, akā, ma ka mea ʻē aʻe, e mālama ma ka pae haʻahaʻa - 6.25 mg 2 mau manawa i ka lā. Inā pono kekahi e hoʻonui i ka dosage, pono ʻoe e hoʻohui i ka hapakolu ʻekolu o kēlā me kēia lā, ʻo ia ka inu 6.25 mg 3 mau manawa i ka lā. Hiki wale ke hoʻonui ʻia kahi hoʻokahi o Kapoten e hoʻokō i ka hopena therapeutic makemake.
Kapoten i ka wā hapai a me ka umauma
Hoʻololi ʻia ʻo Kapoten i ka wā hāpai a me ka hoʻoulu ʻana i ka maʻi, no ka mea hiki i ka lāʻau ke loaʻa he hopena maikaʻi i ka ulu a me ka hoʻomohala ʻana o ka pūpū. I nā hoʻokolohua holoholona hōʻike, ua loaʻa ka Kapoten i embryotoxicity a hiki ke hoʻonāukiuki i ka make o ke keiki male ʻole, hoʻomāneʻe ʻia, etc. No laila, i ka manawa o ka wā hānau, ʻaʻole pono ka wahine i kahi ʻo Kapoten.
Inā lawe ka wahine iā Kapoten ma kahi o ka hana maʻamau, a laila e pono ke hoʻopau ʻia ka lāʻau i ka wā e ʻike ai ka hoʻomaka ʻana o ka hāpai ʻana. Inā hoʻoholo ʻia ka wahine hāpai, e haʻi aku ma mua o ka hoʻāʻo ʻana e hoʻohālua, huli i kekahi lāʻau lapaʻau antihypertensive hiki ke lawe ʻia e nā wahine hāpai (no ka laʻana, Nifedipine, etc.).
Hoʻopili pū me nā lāʻau ʻē aʻe
ʻO ka lawe ʻana iā Kapoten me ka immunosuppressants, cytostatics, procainamide, interferon alpha-2 a me interferon beta e hoʻonui i ka hopena o ka uluʻana i ka leukopenia (kahi i hoʻoliʻuli ʻia o ka nui o nā kelepona keʻokeʻo i loko o ke koko).
Ka hoʻohana ʻana o Kapoten me ka diuretics potassium-sparing (Veroshpiron, Triamteren, Amilorid, etc.), mākaukau kalepona (Asparkam, Panangin, etc.), pā paʻakai paʻakai pākaha, Trimethoprim a me ka heparin hiki ke hoʻonāukiuki i ka hyperkalemia (hoʻonui i nā kiʻekiʻe o ka paʻakai i loko o ke koko).
I ka lawe ʻana iā Kapoten me NSAIDs (Indomethacin, Ibuprofen, Nimesulide, etc.), piʻi i ka nui o ka hōʻeha ʻana o ka maʻi hanu, a me Cyclosporin, hiki i ka hopena ke hoʻomohala i ka hana renal a me ka oliguria (he liʻiliʻi liʻiliʻi o ka urine.
ʻO ka lawe ʻana iā Kapoten me ka thiazide a me ka diuretics loop (Chlortalidone, Indapamide, etc.), nā mea hoʻohālikelike anesthetic, NSAIDs (Indomethacin, Ibuprofen, Nimesulide, Aspirin, Paracetamol, etc.) a me interleukin-3, Minoxidil, Nitroprusside sodium hiki ke hoʻonāukiuki i ka hypotension ma muli o ka emi o ke kahe o ke kahe koko. Hoʻokomo pū ʻia ʻo Chlorpromazine me Kapoten i ka hypotension orthostatic, i ka wā e hoʻemi ʻoi ke kahe ana o ke koko i ka wā e neʻe mai ana mai kahi noho a noho ana paha i kahi kūlana.
ʻO ka lawe ʻana iā Kapoten me Azathioprine hiki ke hoʻonāukiuki i ka hoʻomohala ʻana o ka anemia a me leukopenia.
Allopurinol i hui pū me Kapoten e hoʻonui i ka hopena o ka hopena maʻi kūlohelohe, e like me Stevens-Johnson syndrome, etc.
Hoʻomoe ʻana i ka alumini hydroxide, magnesium hydroxide, magnesium carbonate hoʻemi i ka ʻike ʻana o Kapoten a, ma muli, i kona ʻano pono. Eia kekahi, ʻo ka hopena o Kapoten e hōʻemi iā Orlistat a me erythropoietins, ʻoiai e lawe pū me ia i ka pilikia hypertensive, hoʻonui i ke koko a i ʻole ka hemorrhage cerebral hiki mai.
ʻO ka lawe ʻana iā Kapoten me ka insulin, nā mālamalama hypoglycemic (Glibenclamide, Glyclazide, etc.) a me ka sulfonylurea hiki ke alakaʻi i ka hypoglycemia (hoʻohaʻahaʻa i ke koko haʻahaʻa).
Hoʻohui ʻo Kapoten me ka hoʻomākaukau ʻana lithium i ka hoʻonui ʻana o ka lithium i ke koko a hiki ke hoʻonāukiuki i ka hoʻomohala ʻana o nā hōʻailona o ka hoʻomōhā me kēia kumu.
ʻO ka wehewehe pōkole
ʻO Kapoten (kahi lāʻau lapaʻau ikaika - captopril) kahi lāʻau lapaʻau antihypertensive mai ka lāʻau lapaʻau ʻAmelika ʻAmelika ʻo Bristol-Myers Squibb, nona nā hui o ka angiotensin-hoʻohuli i ka hoʻoneʻe o ka enzyme (ACE inhibitors). ʻO kēia ka lāʻau mua a kēia lāʻau lapaʻau lāʻau, ua wehe i kahi wā hou i ka mālamaʻana o ka maʻi hypertension. ʻO ka hoʻokūkū o kona hopena antihypertensive ma muli o ka hiki ke hoʻopau i ka hana ACE, ka hopena ma kahi hōʻemi o ka neʻe o ka angiotensin I ka angiotensin II. ʻO ka mea hope, e like me kou ʻike, he ikaika ikaika o ka endogenous vasoconstrictor e hoʻoulu i ka hoʻokuʻu e pili ana i ka ald testosterone e ka adrenal cortex. Eia kekahi, ʻike pū ʻia ka captopril e pili ana i ka ʻōnaehana kinin-kallikrein, ma laila e pale ai i ka wāwahi ʻana i ka bradykinin (kahi nona kona ʻaoʻao maikaʻi ʻole i ke ʻano o nā hopena maikaʻi e like me ka umē a me ka angioedema e pili ana me ka hōʻiliʻili o ka bradykinin). ʻAʻole pili ka hopena antihypertensive o ka lāʻau i ka hana ʻo renin plasma. No laila, ʻo ka emi ʻana o ke kahe o ke koko i ʻike ʻia ʻaʻole wale nō i ka maʻamau, akā aia hoʻi i ka hoʻoliʻemi haʻahaʻa o kēia hormon, kahi i hoʻoneʻe ʻia e ka ʻike ʻana i ka ʻōnaehana renin-angiotensin-aldosterone. Ma muli o kona hopena vasodilating, hoʻōki ka capoten i ka nui o ke kūleʻa o peripheral a me pulmonary kūleʻa, neʻe kaomi i ka pulmonary artery, hoʻonui i ka kuhi cardiac a me ke ahonui. Me ka hoʻohana mau ʻana, hoʻemi ia i ka nui o ka hypertrophy ventricular hema, ke pale aku i ka holomua o ka puʻuwai naʻau a pale ʻana i ka hoʻomohala ʻana o ka hana ventricular hema. Hoʻemi i nā pae o ka sodium i nā maʻi me ka paʻakikī o ka naʻau. I kahi ākea hoʻonui nui aʻe i ka lumen o nā ʻehā aku ma mua o nā veins. Hoʻomaikaʻi i ka hāʻawi koko i nā wahi o ka myocardium i loaʻa i ka ischemia. Hōʻailona i nā platelet aggregation (gluing). Hoʻemi i ka leo o ka arterioles o ka glomeruli renal, a laila hoʻomaʻamaʻa i ka hemodynamics intracubular, a pale i ka hoʻomohalaʻana i ka nephropathy diabetes.
Ma hope o ka lawelawe waha, ma ka liʻiliʻi o 2/3 o ka mea ikaika e hana i ka hoʻowalewale wikiwiki ʻana i ka ʻeha gastrointestinal. ʻO ka inu ʻana o ka meaʻai i ka manawa maʻalahi e hōʻemi i nā waiwai o ka hoʻopili ʻana o ka capoten ma ka 30-40%. Kuhi ʻia ka paila plasma nui loa ma hope o 30-90 mau minuke. Kekahi i loko o ka ʻōnaehana hoʻonohonoho'ōnaehana, 25-30% o ka lāʻau lapaʻau ka mea paʻa i ka protein (ʻoi aku me ka albumin). Hoʻopili ʻia nā kapoten e nā hoʻonaninani molika mikrosomal e hana i ka metabolites aktif pharmacologically. ʻO ka hapalua o ka ola o ka lāʻau ua emi iho ma mua o 3 mau hola (me ka hihia o ka hopena o ka renal, hiki ke hoʻonui ʻia a hiki i 32 mau hola ma muli o ke ʻano o ka maʻi).
Loaʻa ʻia ka Kapoten i nā papa. Hiki ke loli ka hopena o ka lāʻau mua mai 6.25 a 12.5 mg 2-3 mau lā i ka lā. I ka hala ʻole a i ʻole nāwaliwali o ka pane hopena, e hoʻonui ka nui i ka 2550 mg 3 mau manawa i ka lā. ʻO nā poʻe e maʻi ana i ka maʻi ʻōpuhi e kuhikuhi ʻia i nā ʻōnohi o nā capoten hou aku. ʻO ka dosis kiʻekiʻe loa i kēlā me kēia lā o ka lāʻau lapaʻau ka 150 mg. Hoʻohui hou i nā contraindications, aia nō kekahi mau palena o ka mea e pono ai ke kuhikuhi i ke kapoten me ka nui loa. No ka laʻana, pili kēia i ka angioedema i hoʻoiho ʻia e ka ACE inhibitors, he stenosis aveic valve, cerebrovascular insufficiency, coronary heart heart, diabetes mellitus, hyperkalemia, renal a hepatic insufficiency, a me ka ʻelemakule. ʻAʻole ʻōlelo ʻo Kapoten e hoʻohana i ka pili me ka hoʻomākaukau ʻana i ka paʻakai me ka diuretics potassium-sparing (ma muli o kēia hopohopo e pili ana i nā mea maʻi me ka maʻi mellitus a me ka hana ʻole). Ua wehewehe ʻia kēia ma ka mahuahua o ka pilikia o ka hyperkalemia, no ka mea, ua hoʻoneʻe ʻo ACE i ka hōʻemi o ka ald testosterone, a me ia, ke kau nei i ka lohi ma ke kino o nā papa ʻai paʻakai. ʻO ka hoʻohana ʻana o ka capoten i nā keiki hiki wale nō i nā hihia i loaʻa ʻole nā ʻano lāʻau ʻē aʻe.
Nā ʻihi ʻaoʻao o Kapoten
ʻO Kapoten ka hopena o ka hopena pili mai nā kino a me nā ʻōnaehana:
1.Pūnaehana ʻōiwi a me nā ʻōpū sensory:
- Kaumaha,
- ʻʻAla
- Nā Aliʻi
- ʻEhaʻeha
- Hala
- Pūlā hou
- Hōʻikeʻike
- Ataxia (pūhui hoʻonā o nā neʻe),
- Nā uhi momona
- Paresthesia (ka ʻike ʻana o ka paʻila, tingling, "goosebumps" i nā wāwae)
- Hōʻalo ʻia nā ʻike,
- Haki ʻia ke ʻano o ka ʻala.
- Hypotension (hoʻohaʻahaʻa i ke koko haʻahaʻa)
- ʻO Orthostatic hypotension (kahi kī i ka pihi i ka neʻe ʻana i ka wā e neʻe ana mai ka noho a noho ana paha a kau i kahi kūlana kūpaʻa)
- Ana Angina pectoris,
- Myocardial infarction
- Naona Aria
- Kauʻuwai
- Acute cerebrovascular ulia,
- ʻO ka edema Peripheral,
- Lymphadenopathy
- Anemia
- ʻEha ʻeha
- ʻO ka Hōʻailona o Raynaud
- ʻO nā ʻalā
- Pallor o ka ʻili
- Pōhoihoi Cardiogenic,
- Hopu thromboembolism,
- ʻO Neutropenia (hoʻemi i ka nui o nā neutrophils i ke koko),
- ʻO Agranulocytosis (nalo piha i nā basophils, eosinophils a me neutrophils mai ke koko),
- ʻO ka thrombocytopenia (hoʻemi i ka helu o ka platelet ma lalo o ka maʻamau),
- Eosinophilia (hoʻonui i ka nui o nā eosinophils ma mua o ka maʻamau).
Lapaʻau
Hoʻopuka Antihypertensive, ACE inhibitor. Pili ka hana o ke hana antihypertensive e pili ana i ka hoʻokaʻawale ʻana i ka hana ACE, e alakaʻi ana i ka emi ʻana o ka huli ʻana o ka angiotensin I i ka angiotensin II (kahi i loaʻa ai ka hopena vasoconstrictor a hoʻoulu i ka mea huna o ka aldosterone i loko o ka adrenal cortex). Eia kekahi, ʻike ka captopril i ka hopena ma ka ʻōnaehana kinin-kallikrein, e pale ana i ka wāwahi o ka bradykinin. ʻAʻole paʻa nā hopena antihypertensive i ka hana o ka renin plasma, i ka kahaha ʻana o ke koko i ʻike ʻia ma ka wā maʻamau a hoʻemi ʻia hoʻi nā mea i hana ʻia o ka hormone, ʻo ia ka hopena i ka kiko RAAS. Hoʻonui nā coronary a me ka kahe koko.
Ma muli o kāna hopena vasodilating, e hōʻemi ana i ke OPSS (afterload), ka uha jamming i nā capillaries pulmonary (preload) a me ke kū'ē i nā moku pulmonary, hoʻonui i ka hopena cardiac a me ka hoʻohaʻahaʻa. Me ka hoʻohana ʻana i ka manawa lōʻihi, e hōʻemi ana i ka nui o ka hypertrophy myocardial hema hema, e pale ai i ka holo mua ʻana o ka puʻuwai naʻau a hoʻolohi i ka hoʻomohala ʻana o ka lau ventricular hema. Kōkua i ka hoʻoneʻe ʻana i ka sodium i nā mea maʻi me ka mālama ʻole o ka naʻau. E hoʻonui i nā arela i ka ʻoi aku ka nui ma mua o nā veins. Hoʻomaikaʻi i ka hāʻawi ʻana i ke koko i ka myocardium ischemic. Hoʻēmi i ka hoʻohui platelet.
Hoʻemi i ka leo o nā arterioles efferent o ka glomeruli o nā pūpū, hoʻomaikaʻi i ka hemodynamics intracubular, a pale i ka hoʻomohalaʻana i ka nephropathy maʻi maʻi.
Kapoten - nā kikowaena
ʻO Kapoten ka analogues o ʻelua mau ʻano - like pū me nā mea like, analogues. ʻO ka hua ʻōlelo like ʻole e like me nā lā ʻo Kapoten, he captopril ka mea ikaika. ʻO nā mea kikoʻī o Kapoten he mau lāʻau lapaʻau mai ka pūʻulu o nā ACE inhibitors e loaʻa i nā mea ikaika ʻē aʻe (ʻaʻole captopril), akā loaʻa kahi ʻano o ka hana therapeutic.
Nā hua ʻōlelo no Kapoten ʻO nā ʻōlelo noi
- ʻO Angiopril-25 papa,
- Nā papa papa ʻaina
- Nā papa papaʻi.
Nā mea kākau a Kapoten I kēia mau lā.
- ʻO nā kīpona Acupro
- Nā papa ʻōpiopio
- Nā papa ʻaina,
- ʻO nā papa papa Bagopril
- Burlipril 5, Burlipril 10, Burlipril 20 papa,
- ʻO Paola Wazolong,
- Nā pilama Hypernova,
- Hoplet mau kaleke,
- Nā papa papa palapala
- ʻO nā kapake Dilaprel,
- Nā papa papa lāʻau
- Nā papa kuhikuhi Diroton
- Zokardis 7.5 a me Zokardis 30 papa,
- Nā papa papa Zonixem
- Nā papa ʻaila,
- Nā papa ʻaina
- Nā papa ʻaina Quadropril
- ʻO nā papa ʻaina Quinafar,
- ʻO nā papa uhi,
- Nā papa ʻaila
- Nā papa lysacard,
- Nā papa lysigamma,
- Lisinopril papa,
- Nā Lisinotone papa,
- Nā papa lysiprex
- Nā papa lama,
- Nā papa lysoril
- Nā papa laka
- Nā papaka liten
- Methiapril tablet,
- Nā papa papa ʻaila
- ʻO Moex 7.5 a me Moex 15 mau papa,
- Nā papale a me nā ʻulaʻula,
- Nā papa papa perindopril
- Nā papa ʻula hāhi Perineva a me Perineva Ku-tab,
- Nā papa papa ʻaina
- Nā papa ʻramlelo
- Nā ʻulaʻula Pyristar,
- Pālani kala,
- Prestarium a me Prestarium ʻO nā papa,
- Nā lapuwale Ramigamma,
- Kapoʻi Ramicardia,
- Nā papa lāʻau Ramipril
- Nā papa ʻaila,
- ʻO nā papa papa ʻaina
- Nā papa papa renitec
- Rileys-Sanovel papa,
- ʻO nā papa papa Sinopril
- Nā Pahu Nahu,
- Nā papa paʻi,
- Nā papa paʻi,
- Nā papa ʻaina,
- Nā papa kīlao,
- Nā papa kīwī
- Nā ʻōlapa Hartil
- Nā papa ʻāpono,
- Nā papa papa ednit
- ʻO nā papa ʻaina Enalapril,
- Nā papa papa enama
- Hoʻopili iā Enap a me nā Pula Pap,
- Nā papa lāʻau ikaika
- Nā papa lāʻau enapharm,
- ʻO nā pōpō pili.
ʻO ka hapa nui o nā loiloi e pili ana iā Kapoten (ʻoi aku ma mua o 95%) e kūleʻa ana, ma muli o ka hopena wikiwiki a mākaʻi. No laila, ma nā loiloi ka mea i hōʻoki koke i ka lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko koko a, no laila, e hoʻomaʻamaʻa i ka pono. Pōmaikaʻi ʻo Kapoten ʻoiai i nā hihia i hiki ʻole i nā lāʻau lapaʻau ke hoʻopilikia i ka hana. He nui ka poʻe i loko o nā loiloi e hōʻike maikaʻi ana ka lāʻau lapaʻau no ka hoʻokuʻu ʻana i nā kūlike hypertensive.
ʻAʻohe nō nā loiloi maikaʻi ʻole e pili ana iā Kapoten, akā naʻe, e like me ke kānāwai, nā mea i hoʻomohala ʻia e nā hopena maikaʻi ʻole i ʻae ʻia, ka mea i koi i kekahi kanaka e hōʻole hou i ka hoʻohana hou ʻana i ka lāʻau lapaʻau.
ʻO Corinfar a i ʻole ʻo Kapoten?
ʻO Kapoten ka lāʻau lapaʻau mai ka pūʻulu o nā ACE inhibitors, a ʻo Corinfar he calcium channel blocker e loaʻa ana i ka nifedipine ma ke ʻano he mea ikaika. ʻO nā lāʻau lapaʻau ʻelua e hōʻemi i ke koko a hōʻemi i ka kaumaha i ka puʻuwai, akā naʻe, i ka like o ka hopena o ka hopena therapeutic, aia kekahi mau hiʻohiʻona koʻikoʻi ma waena o lākou e hana i kahi hoʻohālike maʻalahi.Loaʻa i kēlā me kēia olakino nā hoʻomaikaʻi a me nā pōʻino, a ʻo ia ka mea e hoʻoholo ai i nā wahi makemake nui loa o kā lākou noi.
No laila, hiki ke hoʻohana ʻia ʻo Corinfar i ka wā hāpai a me ka hoʻoulu wai ʻana, a ʻo Kapoten ua pāpā ʻole ʻia ka hoʻohana ʻana i ka wā o ka gestation. No laila, makemake ʻo nā wahine hāpai iā Corinfar no ka hoʻoponopono ʻana i ke koko.
Hoʻohana mālie ʻo Kapoten, e hoʻolilo i kahi helu liʻiliʻi a kūpono ia no ka hoʻohana ʻana i ka maʻi hiki ke hōʻemi i ke kaomi. ʻOi aku ka hana o Corinfar, ua ʻōlelo hou ʻia kona hopena, a ʻoi aku ka maikaʻi o nā hopena. ʻElua mau hopena i ka hoʻōla lohi ʻana i ka ikaika, akā ʻoi aku ka hopena o Kapoten ma mua o Corinfar. No laila, inā pono, e hōʻemi i ka paipai i ka manawa lōʻihi, ʻoi aku ka maikaʻi o ka lawe ʻana iā Kapoten. Inā pono ʻoe e wikiwiki wikiwiki, a me ka hoʻohiki i ke kīpē, a laila ʻoi aku ka maikaʻi o ka hoʻohana ʻana iā Corinfar.
Eia kekahi, hiki i Corinfar ke hoʻonāukiuki i ka tachycardia. No laila, me ka noʻonoʻo ʻana i nā palpitations, ʻoi aku ka maikaʻi o ke ʻoi aku iā Kapoten.
ʻO ka poʻe e ʻeha nei i ka maʻi mellitus a i ʻole ke hypertension ma muli o ka maʻi ʻeha e ʻoi aku ka maikaʻi ma Kapoten, no ka mea, ʻaʻole i maikaʻi ka Corinfar i ka hoʻoikaika kino i kēia mau maʻi o nā maʻi.