He aha ka maikaʻi a losap a i ʻole amlodipine

ʻO ke kaʻe koko kiʻekiʻe (BP) ke ʻano maʻamau a maʻamau kekahi o nā kumu nui o ka make i ke ao hou. Ma kēia e noʻonoʻo ai, he mea nui ia e kiaʻi mau ana i ke kahe o ke koko ma o ka lawe ʻana i nā lāʻau antihypertensive. ʻO ka hui pūʻana o ka amlodipine me losartan kekahi o ka maikaʻi loa e hiki ke hōʻemi i ke koko.

ʻO Amlodipine a me losartan i loko o lākou nā mea ikaika.

Ua loaʻa ʻia kēlā me kēia ʻokoʻa a ma ke ʻano o nā ʻāpana hui o ke ʻano o "Lortenza", "Amzaar", "Lozap AM".

Nā hana hana i ka hana

• Hoʻopili ʻia ka hana o ka hana a losartan me ka blockade o nā ʻĀina ʻae o ka ʻokiʻoki i ka ʻono. ʻO Angiotensin II kahi vasoconstrictor ikaika a, ma muli o ka emi ʻana o ka lumen i nā ʻalihi, ke alakaʻi nei i ka hoʻonui o ke kahe koko. Hoʻomaʻohiʻi ka hoʻokaʻawale o nā mea nānā i kona hopena ma ka paia vascular a alakaʻi i kahi emi o ke kahe o ke koko, ke hoʻemi ʻana i ke kaumaha ma ka puʻuwai, a me kahi hoʻoluhi nui i ke kumu o nā keiki o ka pūpū. Eia kekahi, pale aku ʻo losartan i ka hoʻokuʻu ʻana o aldosterone - kahi mea e paipai ana i ka mālama ʻana i nā wai a me nā koina sodium i loko o ke kino, kahi mea e kōkua ai i ka hōʻemi i nā helu o ke koko.
• Kōkua ʻo Amlodipine i ka hoʻokaʻawale i nā mea ʻalā ma o ka pale ʻana i nā poliona o nā calcium i ke komo ʻana i nā pona o ka naʻau. Ka hoʻonui ʻana o ka lumen o nā kīʻaha koko e kōkua i ka hoʻohaʻahaʻa i ke koko, hōʻemi i ka kaumaha ma ka puʻuwai, hoʻomaikaʻi i ke kahe koko i loko o ka myocardium, a hoʻohaʻahaʻa i ka ʻike o ka hoʻouka ʻana o angina (ʻeha ma hope o ka sternum i ka wā hana).

ʻO ka hui pū ʻana, ʻo kēia mau lāʻau ʻelua ke alakaʻi wale i ka emi ʻana o ke kaomi, akā, me ka hoʻohana mau ʻana, e alakaʻi i ka hoʻonui ʻana o ka manaʻo ola i nā poʻe me nā maʻi o ka ʻōnaehana cardiovascular.

Hoʻohana ʻia ka hoʻohana ʻana o ka amlodipine e pili ana i ka losartan no ka hypertension arterial i ka hihia ʻole o ka lāʻau lapaʻau me hoʻokahi lāʻau.

Nā Hoʻohui

ʻO ka hui pū ʻana o nā lāʻau lapaʻau e contraindicated ma ka ʻlā o:

• Ka lakou enololi,
• ʻO ka lawe ʻana iā Alkisiren e pili ana i ke ʻano o ka diabetes mellitus a i ʻole ka hopena ʻole o ka renal function,
• Hōʻeha pilikia hōʻole,
• ʻO ka hōʻokiʻana i ke kahe o ke koko mai ka naʻau (ka ʻāwili ʻana o ka aorta a i kāna kīpē),
• Hoʻonui i ka puʻuwai hemahema,
• Kaha ʻia ka loaʻa ʻana o ke koko,
• ʻŌpū a me ka lactation
• He 18 makahiki.

E hoʻokuʻu i nā palapala a me ke kumukūʻai

ʻO nā kumukūʻai no nā lāʻau lapaʻau me ka losartan a me ka amlodipine penei:

• Lozap AM:
  • 5 mg amlodipine + 50 mg losartan, 30 pcs. - 47 p
  • 5 mg + 100 mg, 30 pcs. - 550 r
• Lortenza:
  • 5 mg + 50 mg, 30 pcs. - 295 r
  • 5 mg + 100 mg, 30 pcs. - 375 r
  • 10 mg + 50 mg, 30 pcs. - 375 r
  • 10 mg + 100 mg, 30 pcs. - 385 p.

ʻO Losartan a i ʻole Amlodipine - ʻoi aku ka maikaʻi?

Inā ʻaʻohe pilikia me nā keiki, a laila e hōʻemi i ka hoʻoluhi ʻana, ʻoi aku ka maikaʻi e koho i ka losartan. A i ʻole, e hoʻomaka i ka mālama ʻana me Amlodipine. Eia naʻe, e like me nā ʻōlelo aʻoaʻo o kēia manawa, ʻoi aku ka maikaʻi ma ka hoʻemi ʻana i ke kaomi ʻana ma o ka hui ʻana o ʻelua mau lāʻau. ʻO kekahi o ka mea ikaika loa, me ka helu liʻiliʻi o nā contraindications a me nā hopena ʻaoʻao, ka hui pū ʻana o nā sartans (Losartan, Valsartan, Candesartan) a me nā kalaka pālima kalima (Amlodipine, Lacidipine, Lercanidipine). ACE inhibitors (Lisinopril, Perindopril) i hui pū ʻia me kahi blocker kalima kalima hiki ke hoʻohana like i ka like. No laila, ʻaʻole kūpono kahi hoʻohālikelike ʻana iā lākou iho i kēia lāʻau lapaʻau.

ʻO Losartan a me Amlodipine - kahi hui pū

ʻO ka nīnau no ke ʻano o kēia mau lāʻau ʻelua e hilinaʻi wale ʻia i ka mea maʻi. I kekahi hihia, pono e hāʻawi ʻia i ka hoʻopili hui ʻana, kahi i ʻelua mau lāʻau i ka manawa hoʻokahi - e maʻalahi kēia i ka ola o ka mea maʻi a ʻaʻole alakaʻi i ke kūlana "i ke kakahiaka e inu ʻoe i kahi ʻāpana papa". Hiki iā ʻoe ke koho i kahi lāʻau lapaʻau ponoʻī iā ʻoe iho e pili ana i nā helu o ke koko a me kahi kumukūʻai e pono ai. I kēia manawa hiki iā ʻoe ke loaʻa ka nui o nā metala e kōkua e hoʻokō i ka hopena maikaʻi loa i ka mālama ʻana i ke koko. Ma kahi kikoʻī, loaʻa ka hui ʻana o Amlodipine a me Losartan ma lalo o nā inoa "Lortenza", "Amzaar", "Lozap AM", "Amlotop Forte". Lawe ʻia ka lāʻau lāʻau 1 papa 1 manawa i ka lā. Inā he mea pili ka pīpī ma nā wāwae, a laila pono ʻoe e koho i kēlā mau papa i loaʻa ka liʻiliʻi ʻo Amlodipine a ʻoi aku ʻoi a ma Luartan. I nā hihia'ē aʻe, ua koho pono ʻia nā dosage āpau, e hoʻomaka me nā helu liʻiliʻi, e noʻonoʻo ana i ka hopena o nā helu koko e lawe pono i ka lāʻau.

Eia kekahi, loaʻa nā ʻano hui āpau mai kahi ACE inhibitor a i ʻole sartan i nā hui like ʻole me ka lākana channel kalaka, kahi diuretic (Indapamide, Hypothiazide) a me / a statin (Atorvastatin, Rosuvastatin). ʻO kēlā me kēia papa pālahalaha, e loaʻa iā 3 ka nui o nā mea ikaika, hiki ke hōʻoluʻolu nui i ke ola o nā mea maʻi hypertensive a koho i ka lāʻau lapaʻau maikaʻi loa.

Nā hiʻohiʻona o Lozap

ʻO ia ka lāʻau hope loa antihypertensive. ʻO ka papa hana ola he losartan potassium. Hoʻokumu ʻia ka hopena therapeutic i ka antagonism o ka paʻa ʻana o ka angiotensin 2 receptors ʻAʻohe mea pale o ACE. Loaʻa kekahi hopena diuretic unexpressed. Ma muli o kēia, aia nā hua lāʻau lapaʻau ʻo Lozap:

• hōʻemi i ke koko o ka adrenaline a me ka ald testosterone,
• hoʻemi i ka hoʻemi
• pale i kaʻala a me ka hoʻonui i ka myocardium,
• hoʻonui i ka pale ʻana i nā poʻe me nā ala poloka ma ka hoʻoikaika kino.

Loaʻa ma ke ʻano o nā papa keʻokeʻo elongated me ke kaula hoʻokaʻawale me kahi paena o 12,5, 50 a me 100 mg. ʻO ka paʻa ʻana o ka lāʻau a me kāna hana kūlohelohe i ke koko e loaʻa ai i ka hola 1 ma hope o ka hoʻokele ʻana.

Pehea e hana ai ka amlodipine?

ʻO ka mea nui o ka lāʻau lapaʻau ka waiwai o ka inoa like. Hoʻopili ke lāʻau lapaʻau i ka kahe ʻana o nā mea kalaiā i nā myocardium a me nā māi momona o ka pelu. Loaʻa iā ia kahi hopena hoʻomaha ma nā ʻiʻo o nā moku koko. ʻO nā hua lāʻau lapaʻau ʻo Amplodipine ka mea penei:

• hōʻemi iki i ka ischemia myocardial ma ka angina pectoris,
• hoʻonui ʻia i ka arterioles peripheral,
• hoʻemi kahe koko
• e hōʻemi ana i ka preload ma ka puʻuwai,
• hoonui i ka hāʻawi o ka oxygen i ka myocardium.

Ma kahi hopena, ʻoi aku ka maikaʻi o ka naʻau a pale ʻia ka pāloiana o ka angina pectoris. Hoʻomaopopo ka hopena therapeutic i loko o nā hola 6-10.

Hoʻopiliʻo Amplodipine i ka uluʻana o ka ischemia myocardial me ka angina pectoris.

E hoʻokuʻu i nā puka - nā papa me ka helu o nā 5 a me 10 mg.

Hoʻohui hewa o Lozapa a me Amlodipine

ʻO nā lāʻau ʻelua ke loaʻa ka hopena hypotensive. Hoʻopau ke Amplodipine i nā moku koko me ka hoʻēmi ʻana i ko lākou hakakā peripheral. Mālama ʻo Lozap i ka maʻi hypertension a pale i ka hopena o ka hoʻomohala ʻana i nā ala maʻi cardiovascular. No laila, ʻo ka hoʻohana pinepine ʻana o kēia mau papa i hiki ke hoʻohaʻahaʻa i ke koko.

Pehea e lawe ai iā Lozap a me Amlodipine?

Pono ke kauka e kuhikuhi i nā hens lapaʻau a me ka maʻi o nā papa ma hope o ka nānā ʻana a me ka nānā ʻana i nā loiloi a ka mea maʻi. ʻAe ʻia ka ʻano ʻōlelo ʻia e mālama ʻia ana me ka wai ʻole.

ʻO ke kumumanaʻo no ka lawe ʻana i ka lāʻau lapaʻau e like me nā ʻōlelo aʻoaʻo:

• mai ke kaomi: Amlodipine (5 mg) + Lozap (50 mg) i ka lā,
• no ka maʻi naʻau: 5 mg o Amlodipine a me 12,5 mg o Lozap i kēlā me kēia lā.

Hiki ke hoʻonui ʻia ka nui o nā hewa ma ke ʻano he kauka e hilinaʻi ʻia ana i ke ʻano a me ka paʻakikī o ka papa o ka maʻi.

Nā hopena hopena

I ka manawa e hoʻohana pū ʻia, hiki i nā hopena ʻino ke hopena:

• āhāhuʻe
• ua ʻeha nui
• nā wahi hiamoe hiamoe
• tachycardia
• luhi, luhi
• he ʻano hūnā
• ʻaʻano pōkole
• nā hōʻike kūloko i ke ʻano o ka itching, ʻulaʻulaʻula o ka ʻili, ka edema o Quincke,
• nā hoʻomaʻa pinepine ʻana
• anaphylactic pīhoihoi.

Ke kū nei kēia mau hōʻailona, ​​pono e hoʻihoʻi i ka lāʻau lapaʻau a ʻimi i nā ʻōlelo lapaʻau. I ka loiloi ʻana i ke kūlana, hiki iā ia ke hōʻemi i ka dosage a hoʻokaʻī i nā analogues.

ʻO ka manaʻo o nā kauka

ʻO Kristina, 42 makahiki, ʻoihana maʻi ʻo Nizhny Novgorod

Hoʻopili koke nā lāʻau. Hoʻopau maikaʻi lākou i kēlā me kēia. ʻOi aʻe ka ʻoi o ka hoʻokō ʻana me ko monotherapy o ka maʻi. Me nā hana hana o ka pūpū a me ka hoʻoneʻe ʻana o ka mea hana o 20 ml / min. ʻAʻole wau e'ōlelo i ka hoʻohana ʻana i nā lāʻau. Me ka makaʻala, kuhikuhi pū wau iā lākou i ka poʻe ʻelemakule a i ka wā hana ʻole o ka ʻōnaehana cardiovascular.

Svetlana, 46 makahiki, cardiorematologist, Kazan

ʻO ka hoʻohana like ʻana i nā lāʻau lapaʻau e hāʻawi i kahi hopena i ʻoi aku ma mua o ka placebo. Ma muli o kā lākou hoʻopalapiha hoʻopiʻi, hoʻemi ka nui o ke koko kiʻekiʻe a pale ʻia nā pilikia o ka hoʻoulu ʻana i nā maʻi ʻokoʻa a me ka maʻi vascular. Inā lawe ʻoe i ka lāʻau lapaʻau me ka kūpono kūpono, a laila e emi ka nui o nā hopena ʻino.

Nā Hōʻike Hoʻomaʻi

Stepan, 50 makahiki, ʻo St. Petersburg

Ua lōʻihi wau i ka maʻi ʻana i ka hypertension arterial. Hiki ke hoʻomoʻi pono i ke ʻano me ke ka hui pū ʻana o Lozap a me Amlodipine. Hoʻokahi hola ma hope o ka lawe ʻana i nā paila i loko, ua pau nā manaʻo hōʻeha a hoʻihoʻi ʻia ka naʻau. Ua inu wau i kēia mau lāʻau e like me ka papa i kuhikuhi ʻia e ke kauka. Maikaʻi ʻia ka hopena.

Ekaterina, 49 makahiki, Omsk

Ua 73 koʻu makahiki o koʻu makuahine, ua hoʻomaka ka piʻi ʻana o ka piʻi ʻana i ka 140/80. ʻAʻole i kōkua ke kumu i hāʻawi ʻia ma mua. Ua kuhikuhi i ke kauka e lawe pū iā Lozap a me Amlodipine. Ua makaʻu hoʻi ke lawe i 2 mau lāʻau i ka manawa like, akā pono. I kekahi manawa ma hope o ka lawe ʻana i ke ʻano o ka makuahine. Ua mālama ʻia mākou i kēia mau lāʻau wale nō.

Hōʻano hiʻohiʻona o ka losartan

ʻO ka lāʻau antihypertensive kahi hana antimonist synthet o ka receptors angiotensin II. ʻO ka hoʻonohonohoʻana o ka lāʻau lapaʻau ka hoʻohui pū me ka waiwai hinu losartan potassium a me nā mea kōkua: lactose, mais starch, talc.

1. Kēkē ʻia ma loko o ke kao hana ʻana. Loaʻa ka hopena i nā hola 6 ma hope o ka hoʻokele ʻana, e lōʻihi ana a hiki i 24 mau hola. Ke hōʻike ʻia nei ma o nā ʻōpū a a me nā pōpoki.
2. Hoʻokumu i ka hoʻihoʻi ʻana o ka wai, hoʻohaʻahaʻa i ka vasoconstriction arterial a pale i ka mālama o ka sodium i loko o ke kino.
3. Hoʻonui ka pale i ke kino i ka hoʻoikaika kino.
4. Mālama i ka pilikia o ka hoʻonāukiuki ʻana ma hope o kahi puʻuwai puʻuwai.

• puʻuwai paʻakikī
• haʻi maʻi
• nā maʻi ischemic.

Hiki ke hoʻohana pū e hui pū me nā lāʻau lapaʻau antihypertensive, e hoʻonui ana i kā lākou lāʻau lapaʻau. ʻAʻole hāpai ʻia kahi ʻano hui pū me nā hoʻomākaukau potassium.

I ka wā hapai, pono e hoʻokuʻu ʻia ka lāʻau lapaʻau ma muli o ke koʻikoʻi nui no ka hoʻomohala ʻana a me nā hana koʻikoʻi o ka wahine hāpai. I ka wā o ka umauma, pono ʻoe e hōʻole i ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ʻoe e hoʻōki i ka hānai.

Hoʻohana ʻia ʻo Losartan e mālama i ka hiki ʻole o ka puʻuwai, hypertension, ischemic disorders.

Hoʻolālā Amlodipine

ʻO ka lāʻau lapaʻau kahi hua puka o dihydropyridine a he hopena antianginal a me hypotensive. ʻO ka hui pū ʻana me nā isomers e hoʻohana ai i ka optom iscing e pale i ka komo ʻana o ka calcium i nā kiko a me nā pū me myocardial. Ma muli o ka hoʻomaha nuiʻana o nā māla kūpono o nā moku arterial, hele mai kahi hōʻemi i ke koko.

Hoʻonui ka waiwai o ka amlodipine lāʻau i ka kahe koko i loko o ke keiki, e hoʻonui i ka nui o nā aronika coronary a me nā arterioles myocardial.

ʻO ka lāʻau lapaʻau e hōʻemi i ka pinepine o ka hoʻouka ʻana o ka angina, e hoʻonui i ka kahe o ka oxygen i loko o nā pā a me nā kiko o ka myocardium, a pale aku i ka hoʻomohala ʻana o ka constriction o nā wahī coronary. Hoʻopilikia ka hopena therapeutic ma hope o 3 mau hola a kū i kahi lā.

Pehea e lawe pū ai i ka losartan a me amlodipine?

Hoʻopau ʻia nā lāʻau lapaʻau i ka manawa 1 i ka lā, 1 papa o 5 mg a me 50 mg, me ka manaʻo o ka meaʻai. I kekahi manawa hiki ke hoʻonui ʻia ka nui o ka lā e 5 mg a me 100 mg. Me ka loaʻaʻole o ka puʻuwai, ʻo ka dosage i ʻōlelo ʻia ma ka hoʻomaka ʻana o ka mālama ʻana he 1/4 papa i ka manawa i ka lā. ʻO nā maʻi maʻi kanaka e lawe ana i nā lāʻau lapaʻau ke kuhikuhi ʻia i ka hui pū ʻana o nā lāʻau lapaʻau me nā ʻano like like ʻole.

ʻO nā waiwai a me nā hana o ka hana

Hōʻano ʻia nā mea i nā waiwai antihypertensive. Hoʻopili lākou i kēlā me kēia, me ka hoʻomaikaʻi ʻana i ka hopena hypotensive. E hāʻawi i ka hoʻonui i nā kīʻaha koko a hōʻemi i nā paia o ka ventricle hema (ulu ka pathology ma muli o nā pihi pinepine o ke kahe koko.) Hoʻopili maikaʻi ke ʻano o nā mea kanu. Lawe ʻia ka metabolabolism i loko o ka Puhi.

Ma muli o ka mea i loaʻa ka losartan i ka RAAS a alakaʻi i ka pale ʻana o ka antigenogenesis II, a ʻo kahi amlodipine he mea paʻa o nā kahaki kalepona lohi, ua ʻike ʻia ka hopena hypotensive i haʻi ʻia.

ʻO kēiaʻano he mea na kahi o dihydropyridine a he hui optical passive o nā isomers i hoʻoikaika ʻia. Mālama i ka komo ʻana o ka calcium i loko o nā cell myocardial. ʻO ka emi ʻana o ke kahe o ke koko e hele ana ma muli o ka hoʻomaha ʻana o nā mākia palupalu o nā moku arterial. I kēia hihia, ʻaʻohe hopena maikaʻi o ka myocardial contractility a atrioventicular conduction.

Ke hoʻoluhi nei i loko o ke kino, kōkua ke amlodipine e hoʻomaikaʻi i ke kahe koko ma loko o ka pūpū a hoʻoemi i ke kūpaʻa vascular.

Ke hana o ka hana a amlodipine

Ua hana ka poʻe loea i kahi helu o nā haʻawina a ʻike ʻaʻole ka hopena o ka waiwai i ka hoʻomanawanui ʻana, a me ka hoʻoulu ʻia ʻana o nā lipid koko i loko o nā mea maʻi me ka puʻuwai puʻuwai (ma ka ʻano maʻi). Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, e pili ana i kēia mea, e hopena ka hopena ma hope o nā hola 2-3 a kū i kahi lā.

ʻO kēiaʻano no nā antagonist synthetic angiotensin. Holo mālie ia i nā ʻĀpana AT-1. Kōkua e hōʻemi i ka vasoconstriction arterial a pale i ka kahe a me ka sodium mālama i loko o ke kino. Hoʻohana ʻia ia i ka mālama ʻana o ka hoʻopiʻi o ka naʻau, hypertension, ischemic disorders. Mālama ka mea i ka holomua o ka naʻau ma hope o ka myocardial infarction.

Ke alakaʻi nei hoʻi i ka hoʻonui ʻana i ka hoʻohaʻahaʻa hoʻoliʻiliʻi. Hiki ke hopena o ka lawe ʻana i nā lāʻau lapaʻau ma hope o nā hola 5-6. Hōʻike kona emi i loko o 24 mau hola. Hoʻokomo ʻia ʻo Losartan i loko o nā lālā o ka pēpē o ka gastrointestinal. Ke hōʻike ʻia nei ma o nā ʻōpū a a me nā pōpoki.

Kūlike

Hoʻohui pinepine ʻia ka losartan a me amlodipine, no ka mea, he hopena like ʻole ka hui ʻana, ma muli o ka emi ʻana o ke kūpaʻa peripheral.

ʻOiai ka pili ʻana i ke kahe koko i nā ala like ʻole, e hoʻonui ʻia kā lākou mau hana a ʻoi aku ka wikiwiki o ka hopena i makemake ʻia. Hoʻohui maikaʻi ʻia kēia hui pū ʻana no ka maʻi maʻi.

ʻO nā lāʻau lapaʻau. Me ka hoʻohana like ʻana, ʻoi ka hopena o ka hōʻike ʻana i nā hopena maikaʻi ʻole o ke kino e hoʻomaʻamaʻa i nā ala e mālama ai.

He aha ka mea i ʻoi loa?

No ka mea me nā waiwai antihypertensive ʻelua, hoʻomaka pinepine nā mea maʻi i ka ʻoi aku ka maikaʻi. ʻO kaʻoiaʻiʻo, ʻoi aku ka paʻakikī. ʻO ka ʻoiaʻiʻo aia i nā hui ʻē aʻe a kōkua i ke ʻano o ke kaila o ke koko, e hoʻomaʻemaʻe i kekahi hopena ʻē aʻe.

Hoʻohana ʻia kēia mau mea e hui ai e hoʻokō i ka hopena maikaʻi loa. Hoʻonui lākou i kēlā me kēia hana i ka hoʻōla ʻana o ka hana hoʻōla.

Nā hōʻailona no ka hoʻohana ʻana

He aha ka mea e kōkua ai iā Lozap? Hoʻohana ʻia kēia lāʻau lapaʻau i nā maʻi like:

• koko koko kiʻekiʻe
• hōʻeha paʻa naʻau,
• i mea e pale ai i nā maʻi naʻau a me ka vascular, ʻoi aku i nā poʻe e loaʻa ana ka maʻi hypertension.

I ka ʻoiaʻiʻo, ua hoʻohana ʻia kēia lāʻau lapaʻau e hoʻomaʻamaʻa i ke ʻano o ke koko no ka maʻi hypertension.

ʻO ka hiʻohiʻona o ka lāʻau lapaʻau

Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa, nā mea i hui ʻia me ka ʻula hoʻonaninani. ʻO ka mea ikaika o kēia lāʻau lapaʻau ka losartan potassium. Eia kekahi, ʻo kāna mea hoʻohui e komo i nā mea kōkua:

Kuhi ʻia ʻo Lozap i kahi kīkia me ke ʻole ʻana o ka wai. ʻO ka awelika kumukūʻai o ka lāʻau lapaʻau ma Rūsia he 240 mau rubles. ʻO ka kumukūʻai Ukrainia o Lozap he 110 UAH.

Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau

Pehea e lawe pololei ai iā Lozap? Inā loaʻa kahi mea i ka hypertension arterial, a laila pono e hoʻopau iā 1 papa i ka lā. Pono ka lōʻihi o ka mālama ʻana ma mua o 6 mau mahina. ʻO ka pākaukau nui loa i kēlā me kēia lā he 2 papa, inā ʻaʻole i loaʻa ka hopena i makemake ʻia.

Pehea e lawe ai i ka lāʻau lapaʻau no ka loaʻaʻole o ka puʻuwai kino? ʻO ka laikini i kēlā me kēia lā no 1 mau ʻāpana o ka papa ʻaina, i hoʻokaʻawale ʻia i ka 4. ʻO ka lōʻihi o ke kāhea ʻana ʻaʻole e hana hou aku i nā hebedoma 3.

Pehea e lawe ai iā Lozap: kakahiaka a i ke ahiahi? ʻAʻole kēia he kumu koʻikoʻi, akā makemake ka nui o nā mea maʻi hypertensive e hoʻohana i nā papa Lozap i ke kakahiaka. Kōkua ia i ka maikaʻi o ke ao.

He mea nui e hoʻomanaʻo! Pono e holoi ʻia ka papa papa me ka wai nui me ka ʻole o ka huki ʻana! Mahalo i kēia, pono ka hopena o ka lāʻau i ka hopena.

Lozap a me ka waiʻona: kūponoʻole

ʻAʻole nui ka poʻe maʻi hypertensive e ʻike i kekahi mea koʻikoʻi i ka inu ʻana i ka waiʻona e like me ka lawe ʻana i kēia lāʻau lapaʻau, e kau ana i ko lākouʻike. Akā, palekana maoli paha? ʻAʻole pono e poina i nā ethanol i loko o ke koko i ka lā a pau. ʻO kēia kumu a ma hope o ka lawe ʻana i ka lāʻau lapaʻau, hoʻomaʻamaʻa ʻia me ka waiʻona. Hōʻike ʻia kēia kūlana e ka piʻi ikaika a ikaika i ke koko. Hoʻomaka ka mea maʻi e ʻike i kēlā mau hōʻailona:

• maʻi kaumaha,
• ka nawaliwali laulā o ke kino,
• nā maʻi ākea, e alakaʻi pinepine ana i ka luaʻi,
• kikowaena kikowaena
• ka hoʻolilo ʻana o nā ʻoihana hohonu a me ka haʻahaʻa haʻahaʻa.

He nui nā poʻe e lawe nei i kēia lāʻau lapaʻau e hoʻohālikelike i kēia ʻano i ka hoʻohuʻā waiʻona. I ka ʻoiaʻiʻo, ʻo kēia ka hopena o ka hopena o ka eulolo a me ka hana ikaika o ka lāʻau i loko o ke koko. No laila, e inu i ka waiʻona i ka wā e mālama ai me Lozap i ka liʻiliʻi loa i kūlike ʻole.

Nā hopena o ka lāʻau

ʻO ka maʻamau, ʻo ka hoʻohana ʻana i kēia hāmeʻa ʻaʻole ia i kahi i kahi ʻoluʻolu kūikawā. Akā me ka hoʻohana nui ʻana, ʻo ia hoʻi, me ka overdose, nā maʻi like ʻole e ʻike ʻia:

1. Mai ka ʻaoʻao o ka wahela: ka hele ʻana, ka pīhoihoi, ke hiamoe ʻana, e hoʻowalewale i ka ʻono, a me ka lohe.
2. Mai ka papa hana hanu: bronchitis, rhinitis a me nā maʻi ʻē aʻe o ka ʻōnaehana.
3. Mai ka ʻeha o ka gastrointestinal: hōʻeha ma ka ʻōpū o ka ʻōpū, constipation a i ʻole ka maʻi ʻōpū, ʻāʻī iki, ʻoluʻolu ʻole, i kekahi manawa me ka wīwī, makewai.
4. Mai ka ʻōnaehana musculoskeletal: ʻeha ma ke kua o lalo, nā ʻōpū, nā pui. I nā pilikia pinepine, ulu ka ʻatikala.
5. Mai ka pūnaehana cardiovascular: hypotension, palpitations puʻuwai, angina pectoris, anemia.
6. Mai ka ʻōnaehana genitourinary: nā pilikia me ka potency i nā kāne, ka hana o ka pūma i ʻole nui.

Hōʻike ʻia nā pilikia olakino i luna nei i nā hihia i loaʻa pinepine ʻole.

He mea nui e hoʻomanaʻo! Pono ia e hoʻokō pono i nā ʻōlelo aʻoaʻo no ka hoʻohana, a me nā mea i koho ʻia e ke kauka hele mai! E kōkua kēia i ka pale ʻana i ka hopena maikaʻi ʻole.

ʻO Lozap lāua ʻo Lozap a pehea e ʻokoʻa ai

ʻO Lozap Plus kahi lāʻau i hui pū ʻia e loaʻa ana kahi laulā nui o ka hana. ʻO ka ʻokoʻa nui o kēia hāmeʻa, ʻo ia ka nui o nā mea ikaika. ʻO Lozap maʻamau ka mea hoʻohana hoʻokahi wale nō. ʻOkoʻa nō hoʻi lākou i ke kumukūʻai: Lozap plus 2 mau manawa ke ʻoi aku ma mua o ka lāʻau lapaʻau maʻamau.

ʻO Prestarium a i ʻole Lozap

Hoʻohana pinepine ʻia ka Prestarium no nā maʻi maʻi, ʻo ia hoʻi me ka hana ʻino ʻana o ka ʻōnaehana cardiovascular. He hopena maikaʻi kēia ma ka wā hōʻola ma hope o ka hōʻeha ʻana o ka naʻau. He nui nā hopena ʻaoʻao, akā e kāohi me ke koko kiʻekiʻe. He haʻahaʻa liʻiliʻi ia.

ʻO Lozap a i ʻole Noliprel

ʻO ka hoʻonohonoho o Noliprel ka ʻelua o nā hana ikaika e loaʻa like nā hopena like. No laila, ʻaʻoleʻo ia wale e hōʻalo i ka hōʻailona, ​​akā he hopena maikaʻi hoʻi i ka ʻōnaehana cardiovascular.

Ma mua o ke koho ʻana i kahi ala kūikawā o ka mālama ʻana i ka maʻi hypertension, pono ʻoe e kamaʻilio i kāu kauka, no ka mea, ua hāʻawi aku i ka lāʻau lapaʻau hou i nā lāʻau he nui.

ʻOi aku ka paʻakikī o ka lāʻau “Amlodipine” a i ʻole "Lorista" ʻoi aku ka paʻakikī, ʻoiai ua pili lākou i nā hui lāʻau like ʻole a ʻōpuhi pinepine ʻia i loko o ka paʻakikī no ka mālama ʻana i ka maʻi hypertension koʻikoʻi. Akā aia kaʻokoʻa he nui. ʻO ka hoʻohālikelike, ʻoi aku ka wikiwiki o ka hopena o Amlodipine, no laila, pili ka lāʻau lapaʻau e hoʻopau i nā hōʻeha kaua e hōʻeha i ka hypertension, aʻo nā papa o Lorista e whai hua ai no ka hoʻohana lōʻihi. Akā i ka hiki ke hoʻohālikelike i nā lāʻau lapaʻau ʻelua, pono e noʻonoʻo i ka ʻike e pili ana iā lākou ma kahi kikoʻī.

Pili like kēia mau lāʻau?

ʻO "Amlodipine" a me "Lorista", e like me ka ʻōlelo ma luna aʻe o ka ʻōlelo i luna, nā lāʻau lapaʻau mai nā ʻāpana like ʻole o nā lāʻau antihypertensive. ʻO ka haʻalulu haʻalulu kalepona e hōʻemi i ka neʻe ʻana ma o ka hoʻonui ʻana i nā ʻehā, ʻo ia hoʻi, ma o ka hōʻemi ʻana i ko lākou pale ʻana. Ke pale aku nei kēia mau lāʻau i nā māla koko me ka hana ʻana a hoʻopaʻa i ka hoʻomohala ʻana o ka atherosclerosis, hoʻonui i ka hoʻomanawanui kino, a ke hōʻike nei i ka hopena maikaʻi i nā mea maʻi maʻi. I ka huli ʻana, e hoʻokaʻawale ke hana a sartans i nā mea ʻĀpana no ka angiotensin II a ʻaʻole ia e ʻae i ka hormone hoʻonāʻana i ka hypertension. Hoʻokomo ʻia nā blockers receptor II o Angiotensin i ka mālama ʻana i ka maʻi hypertension kūleʻa, mai hoʻonā i ka ʻohi maloʻo a me ka haʻalele hoʻi i ka maʻi, maikaʻi no ka maʻi hipertension. Ka mea, ʻaʻole hiki i kahi mea ke ʻōlelo like, ua like nā hana i wehewehe ʻia, ma muli o ka hoʻokae maikaʻi ʻana o ka hana a me nā ʻokoʻa i ka hopena i loaʻa.

Nā hōʻailona no ka hoʻohana ʻana

ʻO ka hoʻonui ʻana i ke kahe o ke koko ma mua o 140 a 90 mm RT i manaʻo ʻia he pathological. Art., A ina o ke kaomi ana he 160 a 90 mm RT. ʻAniā. a ma luna aʻe, pono i ke koho ʻana i nā lāʻau antihypertensive. ʻO "Amlodipine" ka mea i hoʻohana nui ʻia i nā poʻe maʻi me nā cerebral atherosclerosis, arrhythmias, angina pectoris. ʻO Lorista ka lāʻau lapaʻau e koho ai i nā mea maʻi ma ka hopena kiʻekiʻe no nā maʻi cardiovascular a me ka maʻi maʻi. He mea kūpono ia he kūpono wale ka monotherapy i ka hoʻomaka mua ʻana o ka maʻi hypertension. No laila, ʻo ka mea nui i ka mālama ʻana, ua hoʻohana ʻia nā hui ʻana o kekahi mau lāʻau mai nā ʻāpana like ʻole. Eia kekahi, ʻo kēia ala e hiki ai iā ʻoe ke hōʻemi i nā hopena o nā lāʻau a hōʻeha i nā hana āpau o ka hoʻokumu ʻana i ke koko kiʻekiʻe.

ʻO wai ka lāʻau maikaʻi loa, ʻo Amlodipine a i Lorista paha?

Koho ʻia ma kahi noiʻi o nā maʻi i lawe i nā lāʻau ʻelua, ke holo wikiwiki nei ʻo Amlodipine, ke hāʻule nei ke koko i nā helu kūpono a noho paʻa ma hope o ka hopena mua, a ʻaʻole ma hope o kekahi mau lā, e like me Lorista. He kūpono hoʻohālikelike o kēia mau lāʻau, a ke hoʻākāka pinepine ʻia lākou no ka mālama ʻana i ke hypertension paʻakikī a paʻakikī paha, ke ʻano hypertension. Akā no ka loiloi piha ʻana i ke kiʻi o ka lāʻau lapaʻau, i ka noʻonoʻo ʻana i nā hopena o ka hopena, nā hana o ka hana o nā lāʻau lapaʻau, nā ʻano pilikino o ka mea maʻi, ʻo ke kauka wale nō ka mea hiki. No laila, e ʻae mau ʻia ka lāʻau lapaʻau me kahi mea lapaʻau a i ʻole cardiologist.

Kūkākūkā pūnaewele

I nā makahiki i hala iho nei, ua hoʻonui nui ʻia ka nui o nā poʻe me nā maʻi o ka ʻōnaehana cardiovascular. ʻO ka hoʻonui ʻana i ke kaumaha ua lilo i wahi maʻamau o ke ola. Ma muli o kēia hana pōʻino e pili ana i ka hoʻopulapula, hypertension, puʻuwai naʻau, a me nā kūlana maikaʻi ʻole e ulu nei. E pale aku iā lākou, ke hoʻomohala nei nā lāʻau lapaʻau hou i nā mea hana hou a maikaʻi. ʻO kekahi o lākou i Lozap. E like me nā lāʻau he nui, he mau contraindications e pono e nānā. Akā he aha ka pilina o ka lāʻau lapaʻau me ka waiʻona, a hiki iā mākou ke kamaʻilio e pili ana i ka hoʻohui o Lozap a me ka waiʻona?

Nā hiʻohiʻona a me ke kumu o ka lāʻau lapaʻau

Hana ʻia ʻo Lozap ma ka Czech Republic a me Slovakia. Loaʻa ka lāʻau lapaʻau i ke ʻano o ka biconvex elongated hoʻokaʻawale papa, i hoʻohui ʻia me kahi ʻula keʻokeʻo.

ʻO Lozap ka lāʻau lapaʻau hou antihypertensive hou. Kuhi ʻia nā waiwai o ka therapeutic e pili ana i ka antagonism o ka hoʻopaʻa ʻana i ka ʻāpana o ka angiotensin 2. He hopena diuretic unexpressed. ʻO ka mea hana nui ka potassium losartan. E like me ka mea kōkua - mannitol, magnesium stearate, crospovedin a me nā mea'ē aʻe.

Lawe ʻia ka lāʻau lapaʻau ma mua, i ka lā hoʻokahi. ʻAʻole ma mua o ka ʻai ʻana, ma muli o ka loaʻa ʻole o nā hihia i mana ʻia o ka hopena o ka ʻimi ʻana a me ka hopena hopena i kau ʻia ma luna o lākou.

ʻAʻole ke kūʻai aku no ka lāʻau lapaʻau, koi ʻia kahi kauoha ke kūʻai aku. Pono e mālama i kahi pālahalaha ʻaʻole iʻoi aku ma mua o 30 ° C, pale ʻia mai ka lā maka. ʻO 2 mau makahiki kahi noho i ka pale o ka lāʻau.

Loaʻa i ka lāʻau Antihypertensive:

• Hiki i ka hoʻohaʻahaʻa i ke koko o nā adrenaline a me nā hormone aldosterone.
• Hoʻemi i ke kaomi ma ka laha pulmonary.
• Hoʻokumu i kahi hopena diuretic.
• Kāohi i ka hoʻonaninani nui a hoʻonui ʻia o ka myocardium.
• E hoʻonui i ka pale ʻana o nā poʻe me nā pilikia o ka naʻau i ka hoʻoikaika kino.

ʻO ka hopena kūpono loa o ka hōʻemi ʻana i ke kaomi ka hiki i nā hola 6 ma hope o kahi o hoʻokahi mau hua lāʻau. Ma hope o kēlā, i ka lā e hoʻohaʻahaʻa ka hana. Me ka hoʻokele ʻana o nā lāʻau lapaʻau, hiki i ka hōʻemi nui loa ka piʻi ʻana o ke koko ka hopena 3-6 mau pule ma hope o ka hopena mua.

ʻO ka komo ʻana o nā lāʻau lapaʻau mai ka gastrointestinal tract e hele wikiwiki ana. Ma ke ʻano he kānāwai, e pili ana i ka 33% o nā mea e hoʻoulu ʻia e ke kino. ʻO kona paʻa ʻana i ka pilahi koko a hiki i kāna waiwai nui i loko o hoʻokahi hola ma hope o ka lawe ʻana i ka paila. Hoʻohālikelike ʻia ka nui o nā metabolites ma hope o nā hola 3-4. Hoʻokuʻu ʻia ka lāʻau lapaʻau ma loko o nā ʻōpū (kokoke i 60%) a me ka urine (ma kahi o 35%) no nā hola 2-9.

Ua hōʻike ʻia ʻo Lozap no ka hāʻawi ʻana

• Me ke kahe koko kiʻekiʻe.
• Hoʻopau ʻole nā ​​puʻuwai naʻau. I kēia mau hihia, ua kuhikuhi ʻia ka lāʻau lapaʻau ma ke ʻano o ka mālama ʻana i ka wā i ʻike ʻia ai ka mea maʻi i ʻole palaualelo i nā mea o nā lāʻau lapaʻau ʻē aʻe, a i ke ʻano he mea ʻole paha.
• No ka pale ʻana i nā maʻi cardiovascular (me ka weliweli).
• I ka hihia o ka nephropathy a me ke kahe koko kiʻekiʻe i nā mea maʻi me ka maʻi diabetes type 2.

i nā mea i loko o raind Contraindications a me nā hopena hopena

E like me nā lāʻau lapaʻau, aia ka lāʻau i kona mau palena o ka hoʻokohu ʻana, ʻaʻole hiki ke lawe ʻia i nā hihia:

Ma ke kānāwai e nānā ai, ma ke ʻano o ka mālama ʻana me ka lāʻau lapaʻau, ʻaʻole i kūpono nā hopena ʻokoʻa. Inā ʻike mau ʻia lākou, a laila he mauʻano pōkole. No laila, ʻaʻohe mea pono e kāpae i ka lāʻau lapaʻau a me ka hōʻili ʻana i ka lāʻau lapaʻau.

Pane i nā manawa a pau, ʻike ʻia nā hana ma lalo nei:

• ʻO ka palupalu, nā ʻeha, i kekahi manawa i ka hanu, nā lūlū o ka hiamoe, nā maʻiʻeha o ka maʻi maʻamau. Kauka ʻia nā kauka i nā mea liʻiliʻi ma lalo o 1% o nā mea maʻi me ka luhi o ka hiamoe, ke hoʻomanaʻo ʻana, ka lohe, ka ʻike ʻana, ʻike ʻole, kahi kūlana noʻonoʻo kaumaha, a me ka migraines.
• Ma nā hanana maʻamau, hiki i ka bronchitis a i ʻole rhinitis ke ulu, a ʻike paha nā maʻi o ka maʻi ʻōpū o ke kino.
• Ka huhū ʻāwili (ʻeha a i ʻole constipation), ʻeha o ka ʻōpū, hoʻopuka, a me ka waha maloʻo.
• ʻEha ka ʻeha o ke kua, ke poʻohiwi a me ka ʻōpū, hiki i ke koi ʻana. Aia kekahi mau hihia o ka hoʻonāukiuki o ka maʻi lāʻau.
• Hiki i ka Lozap ke hoʻonui i ka potency, e hoʻolei i ka hana o kaʻeha.
• Hoʻomoʻa pū kekahi mau hōʻailona liʻiliʻi i ka hoʻonui ʻana, nā maʻi kūloko.

Hiki ke hōʻike ʻia kahi overdose o ka lāʻau i loko.

• Ka eha haʻahaʻa o ke kahe koko.
• ʻO ka hiʻohiʻona o ka tachycardia.
• Bracardia (hoʻemi i ka hoʻokaʻawale ʻana i nā puʻuwai i 30 mau beats / min.).

No ka laweʻana i kēia mau hanana, hoʻohana ʻia nā diuresis ikaika (hoʻoulu ʻia o ka urination me ka hoʻoliʻi ʻana o nā ʻano wai a me ka diuretics), maʻi lapaʻau maʻi.

i nā mea a pau ↑ Pili me ka waiʻona: nā pilikia kūpono

ʻAʻole ʻike kekahi mau mea maʻi i ka lawe ʻole ʻana i ka lāʻau a inu i ka waiʻona i ka manawa like. Hoʻokumu wale nō ma luna o ko lākouʻike iho, manaʻo lākou ke hiki iā ʻoe ke hoʻohana inā ʻaʻole koke, a laila i ka liʻiliʻi i ka lā.

Eia nō naʻe, pono e hoʻomanaʻo ʻia ka lāʻau lapaʻau ma hope o ka hoʻohana ʻana i ke koko i hoʻokahi lā, a i mea e hiki ai i ka hopena therapeutic pono e lawe ʻia i kahi manawa lōʻihi. ʻO ke ʻano kēia, i loko o kēia manawa hana e hoʻākoakoa ia me ka inu ʻona. Eia kekahi, inā huakaʻi kekahi poʻe maʻi a ʻaʻohe hopena hōʻino, ʻaʻole kēia ke manaʻo o ka poʻe ʻē aʻe. No laila, koi aku i ka hoʻopukapuka, a ʻoi aku ka nui o ke aʻo ʻana, i ka liʻiliʻi i ka hoʻonaninani ʻana.

ʻO Lozap, pū kekahi me Lozap Plus, e like me ia, he mau lāʻau antihypertensive, ʻo ia hoʻi, nā lāʻau lapaʻau i hoʻolālā ʻia e hoʻemi i ke koko kiʻekiʻe. ʻO kā lākou mea kūʻokoʻa i ka lōʻihi o ka hoʻohanaʻana, ʻo ia hoʻi, ʻo nā mea hana ikaika e kū mau nei i ke koko a loaʻa kahi hopena therapeutic. No laila, i ka wā o ka mālama ʻana, pono e mālama ʻia e mālama i ka pale ʻana i ke komo ʻana i nā mea i kū'ē ʻole aku ai e hāʻawi iā ia i kahi hopena hiki ʻole.

ʻOi loa kēia pili i ke aniani alkohol, ka mea i loaʻa ma nā mea inu ʻawaʻawa a pau, pū kekahi me nā lāʻau kūlohelohe a me nā mea pākuʻi. No laila, ʻo ka nīnau no ka hiki ke lawe i ka lāʻau Lozap a i Lozap Plus i ka manawa like me ka mea ʻawaʻawa ʻaʻole hopohopo wale nō i ka poʻe e hele nei e hana i kekahi hanana.

Ua ʻike ʻia ma hope o ke komo ʻana i ke koko, hoʻōla ka ʻākala i ka hoʻonui ʻana o nā kahe koko. A inā aia ke ʻano ikaika o ka lāʻau i loko o ke kino, hiki i ka waiʻona ke hoʻokaʻawale i kona hopena. Ka wikiwiki o ka hiki ʻana o nā kīʻaha koko, e hoʻonāukiuki i ka emi ʻana o ke kani vascular a me ka hina nui ʻana o ke kahe o ke koko. Hiki paha ke hāʻule o ke koi loa, a haʻahaʻa loa kona haʻahaʻa.

• ʻʻAla
• ʻO ka mākeke koke
• Kahula
• ʻO ka hapa o ka hoʻonohonoho ʻana
• Kakaumaha nā wāwae.

Eia kekahi, ʻo ka hoʻomohala ʻana o ka wāwahi o ka orthostatic, ka mea e hoʻoheheʻe i ka kahe nui o ke koko i ka lolo, ʻaʻole i hoʻoponopono ʻia. Hele ʻia ia i ka wā e hoʻololi nei i ke kūlana o ke kino, a me ke kū lōʻihi ʻana i kahi hoʻokahi.

I ka wā e launa pū me ka waiʻona, hiki i ka hopena adrenomimetic ke hoʻonui i ka ulu: e hoʻokuʻu ʻia ka hoʻokuʻu ʻana o ka hormone adrenaline. Hoʻ hoʻonāukiuki kēia i ka puʻuwai wikiwiki, hoʻonui i ke kao o ke koko, a hoʻonui pū i ka wāwahi o ka glycogen, e hoʻonui i ke kō o ke koko. Eia kekahi, aia kekahi pale o ka digestive tract.

Hiki ke hopena i ka hopena o ka waiʻai i ka urination. E hoʻonui ia, e hoʻemi i ka pono o ka lāʻau lapaʻau a me ka lōʻihi o kona hopena i ke kino.

ʻO nā ʻōlelo no ka lāʻau lapaʻau e pono pono e mālama ʻia e ka poʻe me ka cirrhosis, ʻo ka piʻi ʻana o ka loaʻa ʻana o nā mea hana i loko o ke ʻano. No laila, pono ke hoʻoponopono i ka nui o ka lāʻau i lalo. ʻO ka waiʻona lāka, ka mea pū aʻe i kona mau hopena make kino i ke kino, e hāʻawi ana i ka hōʻuluʻulu o ka pūlea lāʻau.He mea maʻalahi ke wānana i nā hopena maikaʻi ʻole no ke olakino, a ʻo ke ola hoʻi.

Pono ʻoe e lawe i ka lāʻau lapaʻau me ka mālama ʻana i nā poʻe i maʻi pūpū. I ka wā o ka papa hana, pono e hoʻomaʻamaʻa pinepine i nā ʻike pālolo ma ke kino. ʻO ka mea mua, pili kēia i nā poʻe maʻi.

Nā hiʻohiʻona Lozap Plus

I loko o nā hale kūʻai he ala hou aku nō hoʻi - Lozap Plus. Hana ʻia e nā mea hana like. Ua like nā kūlana no ka hoʻokele ʻana, nā hana o ka lāʻau lapaʻau, ka mālama ʻana a me ke ola o kahi noho. Hiki iā ʻoe ke hoʻokaʻawale i nā papa Lozap Plus ma waho, ua kākoʻa ʻia me kahi pōpoki ʻokoʻa - ʻāhinahina.

ʻO ka lāʻau Lozap Plus he mea hou aʻe i ka potassium losartan, ʻo ka lua o ka hana ikaika he hydrochlorothiazide, kahi hopena diuretic. Hoʻoikaika pū ʻia nā pūhui ʻelua i nā hana a kēlā me kēia, no laila e loaʻa ai i kahi hopena nui ke hōʻemi i ka neʻe ʻana ma mua o nā hana mua.

Ma muli o ka hana diuretic, hydrochlorothiazide:

• Hoʻonui mālie i ka nui o nā waika uric i ka plasma koko.
• Hoʻonui nā hopena o ka renin.
• Hoʻemi i ka nui o ka pāhare paʻakai.

Ma muli o ka hikiʻana o hydrochlorothiazide, aia kekahi mau kūlana no ka hoʻohana ʻana o Lozap Plus: ua contraindicated ma ka anuria (ka hapa o ka urine) a me hypovolemia.

I nā makahiki i hala iho nei, ua hoʻonui nui ʻia ka nui o nā poʻe me ka maʻi o ka naʻau a me ke koko kiʻekiʻe. ʻO kekahi o ke kumu ʻo ke kaumaha pinepine ʻana a me kahi ʻūhā paakiki o ke ola. No ka hoʻokō i ka pīʻīwī o ke neʻe, ua hoʻohana ʻia nā ʻano ʻoihana: mai ka waiʻona a hiki i ka hoʻokūkū paʻakikī. Eia naʻe, pono e hoʻomanaʻo ʻia he mea hiki ʻole ke hoʻohui i ka mālama a me ka waiʻona. ʻO ka alakika, ʻo ia iho kahi mea hoʻonāukiuki ikaika i ke kino, e hoʻololi i ke kaila o ka lāʻau lapaʻau i loko o ke kino, a hiki ke hāʻawi i kahi hopena hiki ʻole ke loaʻa. ʻO ka mea maikaʻi loa maikaʻi loa e hiki - hiki ke hoʻokaʻawale ʻia ka manawa no ka mālama ʻana.

Ua koho ʻia ʻo Lozap ma ka lāʻau lapaʻau antihypertensive. Me ke kōkua o ka lāʻau lapaʻau, hypertension a me ka hypertrophy i ka ventricle hema. Hoʻomaʻamaʻa ʻia ka lāʻau lapaʻau e ke kino, kahi e hiki ai ke hoʻohana ʻia e mālama i kekahi mau ʻano o nā maʻi.

I kēia mau makahiki i hala iho nei, ua ulu nui ka nui o nā poʻe e loaʻa ana i nā pilikia olakino, ʻo ia hoʻi o ke ʻano cardiovascular. ʻO ke koʻikoʻi ʻo Stress, i kēia lā, kahi mahele o ke ola. Ke hoʻomau ʻia nei nā ala hou e pale aku i kēlā mau maʻi. ʻO ka lāʻau Lozap ma kēia papa inoa. E like me nā lāʻau he nui, he mau contraindications e pono e nānā.

Nā hiʻohiʻona hana

No ka hōʻoia ʻana i ka hopena therapeutic kiʻekiʻe loa, ʻōlelo ʻia ka mea maʻi e hoʻohana i kahi lāʻau lapaʻau kuʻuna maʻa me nā ʻōkuhi. Inā hōʻike ka mea maʻi i ka hypertension arterial, a laila pono e hoʻohana ʻia ka lāʻau lapaʻau ʻelua i kēlā me kēia lā. ʻO kahi kiko hoʻokahi o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka hele mai.

Inā mālama ʻia ka maʻi hypertension me ka diuretics, a laila pono ʻia ka lāʻau i hoʻokahi manawa i ka lā, a me ke ʻano hoʻi i kuhikuhi ʻia e ke kauka. Inā loaʻa i ka maʻi maʻi o ka maʻi maʻi, a laila ke hana ʻia ke koho ʻana o ka lāʻau lapaʻau me ka hoʻohana ʻana i kahi hana kūikawā, ʻo ia e pono ai ka nui o ka nui o ka maʻi.

Inā mālama ʻia ka mālama ʻana o ka proteinuria maʻi diabetes, a laila hoʻokō ʻia ke koho ʻana i ka lāʻau lapaʻau me ka nānā pono i nā hiʻohiʻona pilikino. Hoʻolaha ʻia ka nui o ka laila e kēlā me kēia kauka. Inā pono, e hoʻonui. I kēlā me kēia kūlana, pono ka ulu ʻana o nā mea hoʻoponopono e ka neʻe ʻana i kauka, e pili ana i ka paʻakikī o ka papa hana.

Inā hoʻemi ʻia ka nui o ke koko o ka mea maʻi, a laila e hana pono ʻia ke koho ʻana i ka lāʻau lapaʻau me ka mea kūpono. Pono e hoʻoneʻe ʻia kahi papa hōʻemi o ka lāʻau inā he maʻi ka maʻi maʻi a i ʻole cirrhosis. Me ka maʻi maʻamau a me nā maʻi koʻikoʻi o nā kino like e like me ke kūpaʻa a me nā maʻi, pono e hoʻokau ʻia ka lāʻau me ka mālama mau ʻana o kahi kauka.

I ka nui o nā hihia, ʻokoʻa ke kino o ke kanaka i ka lāʻau lapaʻau ʻoiai e lawe pū me ia i nā lāʻau lapaʻau ʻē aʻe. ʻAe kēia i ka hoʻomaʻemaʻe piha ʻana o ka maʻi hypertension. Inā hoʻohana ʻia ka fluconazole a i ʻole rifampicin e hui pū me kēia lāʻau lapaʻau, a laila e nānā ʻia ke emi ʻana o ka nui o kāna mau ʻano hana. Ma hope o ka hoʻokuʻu ʻana i ka lāʻau lapaʻau, ʻae ʻia e hoʻohana ʻia no ka mālama ʻana i ka maʻi no 5 mau makahiki.

Papa inoa o nā lāʻau lapaʻau e pili ana i kēia mau mea

ʻO ka hui pū ʻana o kēia mau mea e hoʻomōhala ʻia i nā lāʻau lapaʻau i ka manawa hoʻokahi, he ʻano like ʻole o ka hana ma ke kino a hana i ke ʻano o ke kaila o ke koko. ʻOkoʻa paha lākou i kēlā me kēia i ka papa inoa o nā mea hoʻohui a me nā kumu kūʻai.

Hiki ke ʻike ʻia nā mea ʻelua i nā lāʻau lapaʻau e hiki mai ana: Amozartan, Lortenza, Lozap AM, Amzaar. Ua kuhikuhi ʻia nā lāʻau i hoʻopaʻa ʻia i nā poʻe maʻi me ka hoʻomohala ʻana o nā maʻi cardiovascular.

Manaʻo ka poʻe loea iā Lortensa, Amzaar, a me Lozap AM ka mea e ʻoi loa ai nā lāʻau i hoʻohui ʻia. ʻO nā lāʻau lapaʻau e hoʻōla i ke koko a pale i ka hoʻomohala ʻana o nā ʻōpiopio.

Ua kuhikuhi ʻia lākou no nā poʻe maʻi e pono ai ka mālama ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau hui. ʻOi aku ka maikaʻi o nā lāʻau hoʻohui ma mua o ka monotherapy. ʻOiai ke kīnā o nā lāʻau lapaʻau, he ʻano no lākou me ka nui o nā hiʻohiʻona a he mau liʻiliʻi ʻokoʻa.

Ke hele nei ka lāʻau hoʻohui i ke kūʻai ʻana ma ke ʻano o nā papa me nā ʻano like ʻole.

Kūlike ke kala o nā papa i ka dosage:

• 5 mg + 50 mg. Aia ka papa i kahi 6.94 mg o ka amlodipine besylate a me 163.55 mg o ka losartan (light brown),
• 10 mg + 50 mg. ʻO ka ratio o nā mea nui i ka 1 papa he 13.88 mg o ka amlodipine a me 163.55 mg o ka losartan (brown-red),
• 5 mg + 100 mg (6.94 mg / 327.1 mg, mau māpula ʻulaʻula),
• 10 mg + 100 mg: 13.88 mg / 327.1 mg (keʻokeʻo me kahi leʻe melemele liʻiliʻi).

Ke hoʻoluhi nei i loko o ke kino, nā mea hana a nā papa e hoʻomaka i ka hana. Hoʻopau kekahi i nā kahe koko, a ʻo ka lua ka hopena ma RAAS. ʻO ka hopena, he hopena ka emi ʻana o ke koko. ʻO ka kumu kumukūʻai he 300 mau rubles.

Loaʻa ka lāʻau lapaʻau i ka puka o nā papa no ka hoʻohana ʻana i ka waha, ke kala o ia mea e hilinaʻi nei i ka haku mele. ʻO kahi papa keʻokeʻo he 50 mg o losartan a me 5 mg o ka amlodipine. ʻO kahi papa pāula i loko o ka 5 mg o ka amlodipine a me 100 mg o losartan. Hoʻomau pū ʻia ka mākaukau a me nā mea kōkua: sodium carboxymethyl starch, microcrystalline cellulose, titanium dioxide, magnesium stearate, hypromellose, talc. Hoʻopili ʻia nā papa ʻula.

ʻO Amzaar e kuhikuhi ana i ka algorithm

Ua haʻi ʻia ka lāʻau lapaʻau i ka hopena hypotensive. Ua kuhikuhi ʻia no nā poʻe maʻi me nā hōʻailona o ka hypertension arterial. ʻO ke kumu kūʻai o ka lāʻau lapaʻau he 590 mau rubles.

I nā mākeke Lūkini, ua kūʻai ʻia ia ma ke ʻano o nā papa. Loaʻa kēia ala ukana i nā ʻanoʻokoʻa ʻē aʻe:

• 5 mg a me 50 mg
• 5 mg a me 100 mg.

ʻO ka papa inoa o nā māhele hoʻohui aʻe: microcrystalline cellulose, titanium dioxide, mannitol, crospovidone, magnesium stearate.

No ka hui hui pū ʻana i ka hui o nā lāʻau lapaʻau e kāohi ana i nā kahawai kalaiwa a hana i ke ʻano me ka antagonist receptor angiotensin. Hoʻokomo i loko o ke kino, kōkua nā mea kanu konoho e hōʻemi i nā hopena vasoconstrictive a pale i ka calcium mai ke komo ʻana i nā nui.

ʻAʻole pili ka hopena i ka neʻe i ka puʻuwai. ʻO ke kumukūʻai kūpono loa he 350-600 rubles, e hilinaʻi ana i ka dosis.

Nā hōʻailona a me nā contraindications

Ua kuhikuhi aku nā loea i nā maʻi i kūpono ʻole i monotherapy. Ke hōʻike nui nei no ka hoʻohana ʻana i nā lāʻau lapaʻau i kūkulu ʻia ma ke kumu o kēia mau mea he hypertension arterial i loko o nā mea maʻi me:

• maʻi maʻi
• pālahalaha
• uaua o ka rumi o na keiki,
• atherosclerosis.

Ma mua o ka lawe ʻana i nā lāʻau lapaʻau, pono ʻoe e familiarize iā ʻoe iho me nā contraindications:

• puʻuwai
• ʻano nui o ke hypertension,
• ? a me ke ʻano o nā mea ikaika.
• tachycardia
• brieociaia
• ka loaʻa ʻana o ka stenosis o ka waha o ka aorta.

Me ka makaʻala nui loa, ʻae ʻia e lawe i nā lāʻau lapaʻau, mālama pono i ka lāʻau i hoʻopaʻa ʻia e ke kauka, no nā mea maʻi me ka hyperkalemia, stenosis mitral, ma hope o ka ʻeha ʻana i kahi infococa myocardial.

ʻO ka ʻōpū hoʻi kekahi contraindication. ʻO kēia no ka hopena o nā abnormalities piha. Inā ua hōʻeha ʻia kahi wahine a ʻike iā ia e pili ana i ka hāpai ʻana, e pono koke ke hoʻokipa ʻia.

ʻAʻole ia e hāʻawi i nā lāʻau i ka wā o ka umauma. Ua hōʻike nā mea hōʻike i nā haʻawina e pili ana i nā holoholona a ʻike ʻia ka nui o nā mea o ka lāʻau lapaʻau e komo i ka waiū. I mea e hōʻino ʻole ai i ke olakino o kahi keiki hānau hou, pono ʻoe e haʻalele i ka papa o ka mālama ʻana me kēia mau lāʻau.

I nā maʻi ʻōpiopio, ʻaʻohe ʻike e pili ana i ka palekana o nā mea i hoʻohana ʻia e nā keiki ma lalo o ka makahiki o ka hapa nui. Ma kēia hana, kuhikuhi ʻia nā lāʻau i nā poʻe i ʻoi aku o 18 makahiki o kona mau makahiki.

Lawe ʻia Lozap a me ka Palaka

Manaʻo ka hapanui o nā maʻi e lawe ʻino ʻole lākou iā lākou i ka manawa o ka lāʻau lapaʻau. Akā, pono e hoʻohana ʻia ka hoʻohana ʻana i ka waiʻona ma hope o ka lā ma hope o ka lawe ʻana i nā papa. I kēia hihia, pono e ʻike nā mea maʻi i ka hopena o ka lāʻau ma hope o ka lawe ʻia ʻana i ka lā. No ka hōʻoia pono ʻana i ka hiki ke kūpono o ka lāʻau, pono nā lāʻau lapaʻau e mālama i kahi papa. ʻO ia ka mea e kūpono ʻole ai ʻo Lozap a me ka waiʻona.

I loko o ka wā o ka mālama like ʻana o ka lāʻau a me ka waiʻona, e ʻike ʻia ko lākou hopena maikaʻi. Wahi a nā loiloi o kekahi mau maʻi e pili ana i ka lāʻau lapaʻau, hiki ke hoʻopaʻi ʻia i loko o ka manawa o ka hoʻomohala ʻana i ka lāʻau a me ka waiʻona ʻaʻole lākou i ʻike i nā hopena maikaʻi ʻole. I kēia hihia, ua pōpilikia wale lākou. ʻAʻole hāʻawi kekahi mau huaʻelima i ka pono e hoʻopiʻi ai i ka inu ʻana i ka waiʻona a ua lāʻau maikaʻi ʻia ka lāʻau.

ʻO Lozap kahi lāʻau lapaʻau antihypertensive. ʻO ia ke kumu me kāna kōkua e hoʻemi i ke koko kiʻekiʻe. ʻO ka manaʻoʻokoʻa o ka lāʻau lapaʻau, pono ia e lawe ʻia no ka manawa lōʻihi. E nānā wale ʻia kona hopena inā ke kū ʻole mau nā mea o ka lāʻau lapaʻau. ʻAʻole i aʻo ʻia ka loli ʻana o ka waiʻona a me ka waiʻona, no laila, ʻaʻole hiki ke hoʻokō ʻia ka hopena o ke kino i kēia ʻano.

Ma hope o ke komo ʻana i ka wai i ke kahe, e hoʻoheheʻe ʻia ke kīʻaha koko. Inā loaʻa nā mea olakino i ke kino o ka lāʻau lapaʻau, ʻokoʻa ka ʻemi i ka hana. Ma muli o kēia, e hoʻonui koke nā moku, a e emi hou ka leo vascular. Me kēia noi, hiki i ke kahe koko ke emi i ka hōʻemi.

Hiki ke ʻike ʻia ke kūleʻa ʻana o Lozap a me ka waiʻona e nā loiloi maʻi wale nō, akā aia nō hoʻi e nā kauka. Ua ʻōlelo mai nā poʻe loiloi ua pāpā ʻole ʻia ka hoʻohana ʻana i ka lāʻau i ka manawa like me ka waiʻona.

Hoʻohui a me nā ʻano ʻē aʻe

Me ka hoʻohana pū ʻana o losartan a me amlodipine me nā mea kanu me nā waiwai hypotensive, hiki ke hoʻonui ʻia ka hopena. Ma muli o kēia, ua hoʻopaʻa ʻia ke koi a ikaika loa i ke kaʻe o ke koko, e hōʻeha ai i ka ʻehaʻeha i ka mea maʻi. No laila, mai hoʻohui i nā lāʻau lapaʻau nāu ponoʻī.

Ke papa ʻia ʻo Amlodipine e hui pū me:

• beta-blockers (hoʻonui i ka paʻakikī o nā hoʻopiʻi o ka hōʻemi o ka naʻau),
• nā mālamalama paʻa (alakaʻi i ka piʻi ʻana o ka ʻike o kahi mea i loko o ke koko),
• quinidine a me amiodarone (hoʻonui i ka hopena ionotropic maikaʻi ʻole).

ʻAʻole i hoʻohana ʻia ʻo Losartan me ka hui pū me:

• pāʻai-potassium sparing (hiki ke alakaʻi i ka hoʻonui ʻana i ka paʻakai pākeka),
• fluconazole (hoʻonui i ka nui o nā mea i loko o ke koko),
• rifampinum (kahi hopena maikaʻi o ka hopena o ka lāʻau lapaʻau).

Inā ke hana nei ka mea maʻi i ka lāʻau lapaʻau, pono e ʻike ʻia ke kauka ma ka kūkā mua ʻana.

Nā hōʻike a me nā loiloi o nā kauka a me nā maʻi

I kekahi mau hihia, pono ke hoʻololi i ka lāʻau lapaʻau. Pono ka poʻe loea e koho i kahi lāʻau like ʻole e kūpono loa no ka mea maʻi. I waena o lākou iho, hiki i nā analogues ke hoʻololi wale nei i ka kumukūʻai wale nō, akā i ka papa inoa o nā mea hoʻohui ʻē aʻe.

I nā mea pono e kūola ʻoi loa nā:

1. Reserpine (nā papa, 390-400 mau rubles). Hoʻokumu ʻia ma ka reserpine. Loaʻa ia he hōʻemi mau i ka neʻe koko. Nā poʻe aloha i ka hui o sympatholytics. Mālama i ka mea huna renin, hōʻeha nui ka naʻau.
2. Raunatin (100-110 rubles). Aia nā papa i ka hāmeʻa ikaika - ka alkaloid o Rauwolfia. Hōʻike ka LP me nā waiwai hypotensive, he hopena sedative ma ke kino.

ʻO ka hapa nui o nā poʻe maʻi i hoʻohana i nā lāʻau lapaʻau me kēia mau mea, uaʻona me ka hopena.

Ua hoʻomaopopo nā loea i nā mea kanu e hoʻopiha i kēlā me kēia, me ka wikiwiki a hoʻonui i ka hopena. Kūpono no nā poʻe maʻi o ka wā hoʻomaha.

ʻO Amlodipine a me losartan nā mea i hana i ka hui pū me kahi kiʻekiʻe kiʻekiʻe o ka hana pono. Hāʻawi i ka hoʻemi haʻahaʻa ʻana i ke kaomi me ka ʻole ʻana i kahi hopena maikaʻi ʻole i ke kino.

Kauhi Lozap Plus

Hōʻike ʻia ka mana o ka lāʻau lapaʻau hou aku nei i ka loaʻa ʻana o kahi lāʻau lapaʻau hou ʻo Lozap Plus. I nā hua o kona hopena a me ke ʻano o ka hoʻokuʻu ʻana, ua like ia me ka lāʻau mua. Hiki iā ʻoe ke hoʻokaʻawale i ke ʻano wale nō. ʻO ka pūnaʻina o kēia lāʻau lapaʻau ka ʻelua o nā mea nui - ka potassium losartan a me hydrochlorothiazide, kahi i hōʻike ʻia e ka hele ʻana o ka hopena diuretic. Ke hoʻoikaika nei kēia mau pūlea i ka hana a kēlā me kēia, i hoʻohālikelike ʻia i ka mālama ʻia ʻana o ka hypertension.

Hōʻike ka lāʻau lāʻau i ka hikiʻana o kahi hopena diuretic, kahi e alakaʻi ai i kahi liʻiliʻi o ka hana o ka uric acid i ka plasma koko. I ka wā o ka lāʻau o ka lāʻau lapaʻau, e lawe ʻia ana ka nui o ka hopena o ka renin a me kahi hoʻokaʻawale o ka nui o ka pāhare pākia. ʻAʻole pāpā loa ka lāʻau lapaʻau kuʻuna e hoʻohana no nā poʻe maʻi e loaʻa nei i ka hypovolemia. ʻO ka hoʻohālikelike ʻana i ka hoʻohana ʻana i ka lāʻau lapaʻau he anuria.

ʻO ka mea i hala koke nei, aia ke ulu ikaika o ka nui o nā poʻe e hoʻomau i ka maʻi o ka puʻuwai, a loaʻa pū kekahi. ʻO ka manawa pinepine, ʻike ʻia kēia mau pathological me ke ʻano pinepine o ke ʻano a me kahi ʻano lahilahi o ke ola.

I mea e hoʻopau ai i ke aʻa o nā aila, hoʻohana nā kānaka i kahi ʻano like ʻole - inu i ka wai inu, nā hana o waho, ua hoʻokūkū haʻuki. Akā, pono e hoʻomanaʻo kekahi kanaka i ka hoʻopili ʻana i ka inu ʻawaʻawa a ʻo ke ʻano me ka lāʻau lapaʻau me ka pāpā ʻole. ʻO kēia no ka mea huhū ka hopena o ka waiʻona. I ka wā o kona alakaʻi ʻana, ua ʻike ʻia kahi hoʻololi o ka neʻe o ka lāʻau i ke kino, hiki ke loaʻa i nā hopena i loaʻa ʻole ʻia. ʻO ka hopena maikaʻi loa o ka hoʻomaʻemaʻe ʻia o ka nele o kona pono.

ʻO ke kahe o ke koko kekahi o nā mea nui loa i ka wā e nānā ana i ka mea maʻi. Manaʻo pinepine ka poʻe he nui e pili ana i kona mau ʻeke, e lawe mai ai i nā ʻano he leʻaleʻa maikaʻi loa a hoʻopili ʻia me ke ola maʻamau. No laila, ke nānā nei nā mea a pau i ke ala maikaʻi loa o ka hoʻolaha ʻana i ke ʻano o ka paʻakikī. ʻO kekahi o ia mau ala ʻo Lozap, nā ʻōlelo e pili ana i ka hoʻohana ʻana, a pono hoʻi i ʻike ʻia me ka ʻōlelo kikoʻī, a e ʻike pū hoʻi i ke ʻano o ke kumu e pono ai e lawe ʻia.

Nā ʻōkuhi no ka hoʻohana iā Lozap

No kekahi mau makahiki, ʻaʻole kūleʻa hakakā i ka hypertension?

Ke poʻo o ka Institute: "E haʻihaʻo ʻoe i ka maʻalahi o ka hoʻopakele ʻana i ke maʻi hypertension ma ka lawe ʻana i kēlā me kēia lā.

Aia he 2 ʻano lāʻau lapaʻau i ka mākeke o ka lāʻau lapaʻau - Lozap (JSC Saneka Pharmaceutical, Slovakia) a me Lozap Plus (Zentiva LLC, Czech Republic).

Poke? I? O man?

ʻO "Lozap" kahi lāʻau lapaʻau hoʻokahi o ka losartan. ʻO kahi a blocker e hoʻohana kūwaho ʻo Losartan ma nā ʻĀina ʻ anglelo angiotensin II.

Ua hoʻohana maikaʻi kā mākou poʻe heluhelu iā ReCardio e mālama i ka hypertension. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.

ʻO Angiotensin II - kahi hormone me ka mea hana lima - hoʻonui i ke koko - ka hopena, i hoʻopuka mai ka angiotensin I ma lalo o ka hopena o ka hoʻouluulu ACE. ʻO ia ke kuleana no ka vasoconstriction, hoʻonui i ka hoʻihoʻi ʻana o ka paʻakai sodium i loko o nā ʻōpū, ka hoʻoulu ʻana i ka hoʻokumu ʻana o ka ald testosterone, a he wahi ia o ka ʻōnaehana hormonal o RAAS, kahi hoʻoponopono o ke koko a me ka nui o nā kaila holoʻokoʻa (koko, lymph) i loko o ke kino.

Hoʻopau ka Losartan i nā hopena maʻi a pau o ka angiotensin II, e hōʻemi ana i ka luhi, me ka ʻole o nā kūlana o ka ʻōnaehana RAAS.

ʻO ka lāʻau lapaʻau "Lozap Plus", i hoʻohui aʻe i ka losartan, aia i ka sangkap diuretic hydrochlorothiazide, kahi diuretic thiazide me saluretic (hoʻonui i ka hoʻōla o ka sodium a me ka klorine ma nā hana) nā hana. Kāohi ʻo Losartan i ka vasoconstriction a hōʻemi i ka hoʻoulu ʻana o ka puʻuwai o ka puʻuwai, a hoʻokau aku ka hydrochlorothiazide i ka nui o ka wai mai ke kino, e hoʻonui ai i ka hopena hypotensive o ka lāʻau.

Ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana

Loaʻa nā papa i loko o kahi kinikine.

Hōʻike ka hoʻohālikelike hoʻohālikelike o nā lāʻau lapaʻau i ka papaʻaina.

• ke hoʻomau nei ka hoʻonui nui ʻana i ke koko ma luna o 140/90 mm RT. ʻAniā. ma hope o ka hoʻokaʻawale ʻana i nā mea hoʻonāukiuki tuarua (pono hypertension) i nā pākeke a me nā keiki mai nā makahiki 6,
• hana maʻi i loko o ka pākeke me ke maʻi hypertension a me ke ʻano type type diabetes mellitus me ka protein i ka pā ʻana o ka nui o 500 mg / lā (i ka mālama ʻana o ka maʻi hypertension),
• pilikia paʻa ʻana i nā maʻi i nā ʻoi aku ma mua o 60 mau makahiki, i ka hihia o nā contraindications e lawe i ka ACE inhibitors,
• ka pilikia o ka hōʻeha ʻana o ka puʻuwai a me nā hōʻeha i nā pākeke me ka hypertension a me ka hoʻonui ʻana o ka ventricle hema o ka puʻuwai, i hōʻoia ʻia e ECG.

ʻO ka nele o ka hana pono o ka monotherapy me ka losartan a i ka hydrochlorothiazide, keʻole o kahi hoʻolohi mau o ka mau kumu hoʻoikaika. ʻAʻole ia e hana ma ke ʻano kumu nui o ka hoʻohaʻahaʻa ʻana i ke koko.

• ka hoʻokaho ʻana i kēlā me kēia i ʻole o nā mea hoʻokipa,
• maopopo ole poho ati

• ʻōpiopio a i kona hoʻolālā ʻana. Ua hōʻike ʻia ʻo Losartan me ka hopena teratogenic a alakaʻi i nā kuhihewa ʻole a i ʻole ka make ʻole ʻana o ke keiki, ʻaʻole i hoʻohana ʻia no ka ʻaihue,
• ka ʻae ʻana o ka hoʻolaʻa ʻana i nā lāʻau e pili ana i ka aliskiren no ka mellitus maʻi diabetes a me / a i ʻole hana o ka renal dysfunction (glomerular filtration ma mua o 60 ml / min).

ʻO ka Lozap a me nā hoʻohui'ē aʻe:

• ke kū ʻole i ka sulfonamides (hydrochlorothiazide - sulfonamide),
• ʻokoʻa mai ka palaualeka o ka electrolyte homeostasis - hypokalemia, hypercalcemia, hyponatremia (refractory),
• anuria (kahi o ka urine i loko o ka lāpapa),
• cholestasis (hoʻemi a hōʻemi paha i ka hana huna o ka bile)
• ka momona o ka uric i ke koko a i ʻole nā ​​hōʻailona gout,
• clearance hana (CC) ma mua o 30 ml / min,
• makahiki i 18 makahiki.

ʻOiaiʻo "Lozap"

Me ka hypertension koʻikoʻi, kuhikuhi ʻia ka 50 mg i kēlā me kēia lā me ka 1 papa, me ka loaʻa ʻole o ka hopena, akā, me ka hoʻomanawanui maikaʻi, hoʻonui ʻia ka ʻōʻai e 100 mg hoʻokahi i ka lā. Loaʻa ka hopena kiʻekiʻe ma hope o 3-6 mau pule o ka hoʻokele. Hiki ke hoʻohui ʻia ka lāʻau lapaʻau me ka diuretics. No nā kamaliʻi mai 6 mau makahiki ke kau ʻia i hoʻokahi mahele no kēlā me kēia lā o 25 mg. Inā kaupaona ka pākeke ma mua o 50 kg, e hāʻawi mua ʻia iā ia ma kahi o 25 mg.

I nā mea maʻi me ka maʻi paʻakikī (AH + type II diabetes + protein i loko o ka urine ma mua o 500 mg / lā), Lozap i loko o ka dosage i luna e hiki ke hui pū me ka diuretics, blockers (nā alaka kalaka, α- a i ʻole recept-receptors), insulin a me nā lāʻau hoʻohaʻahaʻa a me nā haʻahaʻa waiʻa. . ^ E Ha yM.

Inā he puʻuwai naʻau, lawe mua ʻia ka lāʻau ma 12.5 mg i kēlā me kēia lā, e hoʻonui nei i kēlā me kēia hebedoma a i ka 50 mg pākahi i kēlā me kēia lā, i hāʻawi ʻia ke ahonui.

I ka poʻe maʻi me ka piʻi o ka ventricle hema o ka puʻuwai, kahi ma ka mua mua he 50 mg i kēlā me kēia lā. Me ka emi ʻole o ke kaomi koko a me ka ʻole o nā hopena ʻaoʻao, pono e hoʻohui i kahi mea liʻiliʻi o ka hydrochlorothiazide a i ʻole e hoʻohui iā "Lozap" i 100 mg hoʻokahi i ka lā.

ʻO ka huahelu "Lozap Plus"

ʻO ka dosis mua maʻamau ma 50 mg hoʻokahi i kēlā me kēia lā. Inā ʻaʻole lawa ka emi ʻana o ke koko, hiki ke hoʻohana ʻia 100 mg hoʻokahi i ka lā. Loaʻa ka hopena therapeutic i ka lōʻihi ma hope o nā hebedoma 3-4 mai ka hoʻomaka ʻana o ka hoʻokele.

No nā maʻi maʻi hypertensive o ke kiʻekiʻe a me ke senile, ʻaʻole pono kahi loli ʻana. ʻAʻole i lawelawe ʻia nā noi ʻana e pili ana i ka hoʻohana ʻana i ka lāʻau i nā keiki, no laila ʻaʻole i kuhikuhi ʻia kēia lāʻau lapaʻau. ʻO nā mea maʻi me ka cleince clearance (CC) ma mua o 30 ml / min, ʻaʻole koi ʻia kahi hoʻoponopono hoʻoponopono mua. Me ka CC kahi emi mai o 30, ʻaʻole i kuhikuhi ʻia ka lāʻau lapaʻau.

Ke keu

Me ka hapa nui o losartan, ʻike ʻia nā mea aʻe:

• Ka hoʻemi ʻana o ka pilikia ma lalo o nā ʻano kaulike maʻamau,
• ka wikiwiki a i ʻole, ka lohi i ka loli ʻana o ka puʻuwai.

Me ka overdose o hypochlortiazide, ka wai nui a me ka neʻe ʻana o ka lilo o ka pauna o ka electrolyte o ke kino, e like me ka hopena o ka hopena:

• arrhythmias, pihoihoi,
• hoowalewale ʻōwili, nawaliwali, palaualulu
• uala, awaila, makewai.

No laila, ʻoi aku ka hopena hui i mea maʻalahi ma kēiaʻike. ʻAʻohe mea antidote kikoʻī i ka losartan; ʻaʻole ia i hoʻopā ʻia e hemodialysis. Hoʻokuʻu ʻia ka Hypochlorothiazide e ka hemodialysis, akā ʻaʻole i hoʻokū ʻia ka palena o kona neʻe ʻana.

I ka hihia o ka overdose, pono ʻoe e holoi koke i ka ʻōpū, e lawe i ka arika kōlea i loko o kahi o ka liʻiliʻi ma kahi o 1 papa no kēlā me kēia 10 kg o ke kaumaha o ke kino. Eia kekahi, hōʻailona ka lāʻau lapaʻau, e mālama ana i ka mālama ʻana i nā ʻōkuhi polu, e hoʻihoʻi hou i ka nui o ka wai e koi ana a hoʻihoʻi i ke kaulike o nā electrolytes.

ʻO nā hopena ʻoma kūpono paha o ka losartan:

• keʻokeʻo māmā, dizziness (1% a i ʻole)
• hōʻeha, pilikia no ka hiamoe a, inā paha, ka hiamoe (e pili ana i ka 1%),
• nā pīpī manuʻai, ʻoi aku ka nui o nā keiki bipi (1% a i ʻole)
• kaina pectoris, tachycardia (ma kahi o 1%),
• hypotension, a me ke anthostatic,
• ʻeha i ka peritoneum, dyspepsia, constipation (ʻoi aku ma mua o 1%).
• ka ʻuhū ʻana o ka wahaosa nasal (ʻoi aku ma mua o 1%), kōmū,
• nāwaliwali laulā
• ka hopena o ka lawaiʻa,

• maʻi pānaʻi, me ka Quema o ka edema,
• nā hoʻololi i ke ʻano o ke koko (anemia, hemolysis, thrombocytopenia),
• hoʻemi a hōʻalo paha i ka momona,
• E kani ana ka nui o nā urates i loko o nā kiko o ke kino (gout),
• hōʻaʻe ʻia o ka ate,
• ho'ēmi i ka drive sex, impotence.

Hiki i nā hopena ʻaoʻao o ka hydrochlorothiazide (i hōʻike pinepine ʻia i nā ʻōmole kiʻekiʻe):

• hematological pathologies (agranulocytosis, aplastic and hemolytic anemia, leukopenia, purpura, thrombocytopenia, neutropenia),
• nā maʻi komo, me ka pīhoihoi anaphylactic,
• ka huakaʻi metabolab a me ka electrolyte imbalance (hoʻonui i ke kō a me / a urea a / a i ʻole nā ​​lipids i loko o ke koko, ka nele o ka magnesium a i ʻole sodium, me nā mea he nui kalima)
• ʻāhewa, ʻeha,
• ʻike maka
• vasculitis (ʻōpio vascular),
• ʻeha pōpilikia
• hanaʻole o nā kohu salivary, hoʻonāukiuki i ka mucosa o ka gastric,

• ʻO ka alkalosis hypochloremic (kahi hapa o ka anela klorine e hoʻopaʻi ʻia e ka aniani bicarbonate),
• cholestasis intrahepatic, cholecystitis, pancreatitis,
• ke ʻano o ke kō i loko o ka urine, interstitial nephritis, renal dysfunction,
• hoʻonui i photosensitivity o ka ʻili,
• erectile dysfunction, impotence,
• Hōʻikeʻike

He mea weliweli loa ka papa inoa o nā hopena ʻaoʻao. Me he mea la i kuhi ʻia ka hiki o ka hoʻomohala ʻana ma mua o ka 1% a i ka hapanui o lākou he hoʻohuli i ka wā i pau ai ka lāʻau. Eia nō naʻe, ʻo ka ʻoihana me ka losartan a i ʻole losartan me ka hydrochlorothiazide e pono ma lalo o ka mākaʻi ʻana o ka lāʻau lapaʻau, inā manaʻo ʻoe e kū pono ʻole, pono ʻoe, me ka kānalua ʻole i ka nīnau ʻana i kāu kauka.

Hoʻohālikelike "Lozap" me nā lāʻau lapaʻau ʻē aʻe:

• "Rifampicin", "Fluconazole", nā lāʻau lapaʻau anti-inflammatory a hiki ke hōʻemi i ka hopena antihypertensive o losartan,
• hiki i ka losartan ke hoʻoikaika i ka hopena i hōʻemi ʻia i ka diuretics, nā mea paʻa block adrenergic, angiotensin-hoʻohuli i ka hoʻohui o ka enzyme (C hakuril, Enalapril),
• Me ka hoʻololi mau ʻana o ka hoʻomākaukau ʻana o ka pāhare paʻakai, e ulu ana nā paʻakai-sparing diuretics, hyperkalemia.

Ke lawe nei i "Lozap Plus" ma muli o hydrochlorothiazide, ua hoʻohui ʻia nā huaʻala aʻe i kēia mau lāʻau i hōʻike ʻia:

• barbiturates, painkillers narcotic, ethyl alkohol - hoʻonui i ka loli a me ka paʻakikī o ka hypotension orthostatic (me kahi loli koʻikoʻi i ke kūlana kino - lightheadedness, dizziness,
• nā lāʻau lapaʻau hypoglycemic, insulin - e koi paha i ka hoʻoponopono ʻana o nā ʻōpiopio,
• pau nā lāʻau antihypertensive e hoʻoikaika pū ʻia ana,
• ka colestyramine - pale i ka hoʻopili ʻana o ka māhele diuretic,
• corticosteroids, adrenocorticotropic hormone - hoʻonui i ka hoʻonui ʻana o nā electrolytes, koʻikoʻi ka pāhare
• hoʻomaha hoʻomaha paha - e hoʻonui paha i kā lākou hana,
• diuretics - kahawai wai (mākaukau o ka paʻakai litium) e hiki ai i ka lithium intoxication,
• ole nā ​​lāʻau lapaʻau anti-inflammatory e hiki ke hōʻemi i ka hopena hypotensive, a me ka hōʻemi ʻana i ka hoʻonui ʻana o ka sodium i loko o ka urine.

Hoʻokomo ʻia nā mea hana like ʻole i nā lāʻau like me ka like me nā mea like, ʻokoʻa wale nō nā mea kū hoʻokahi. Eia kekahi o lākou:

• "Blocktran", "Brozaar", "Vazotens", "Lorista", "Lortazan-Richter", "Lakea" - nā moʻolelo o "Lozap",
• "Blocktran GT", "Vazotens N", "Gizaar", "Lozarel plus", "Lorista N", "Lortazan - N Richter" nā mea kikoʻī o "Lozap plus".

Pane ka pane maikaʻi ʻole o nā maʻi: inā ʻaʻole "Lozap" i ka hoʻokake ʻole ʻana ma loko o nā palena i hiki ʻia, "Lozap plus" e hoʻoponopono i ke kūlana. Kuhi hewa nā hopena maikaʻi.

ʻO Lozap a me hypertension: nā rula no ka hoʻohana ʻana i ka lāʻau lapaʻau

ʻO ka lāʻau Lozap kahi hua hou o nā lāʻau antihypertensive. Hypertension arterial - kiʻekiʻe koko, ke hiki no 3 e ana i ka lula a 140/90 mm Hg. ʻAniā. e hoʻonui ʻia.

Aia ka pōʻino o kēia maʻi ma ka ʻoiaʻiʻo aia ka manawa pinepine ʻole o nā hōʻailona waho, akā e hoʻolōʻihi ʻia ka paʻakikī i ke kumu no ka hoʻonui ʻana i nā paia o nā kahe koko. a laila kua pā ka moku a i nā hihia maʻamau ke alakaʻi nei i nā hōʻeha a me nā hōʻeha.

Hāʻawi ʻia ka lāʻau lapaʻau i ka mākeke o ka lāʻau lapaʻau ma ke ʻano o nā papa kokoke i ke keʻokeʻo i loko o ka milligrams i ka 12.5, 50 a me 100. ʻO ka lāʻau lapaʻau ākea ākea e hōʻemi i ka pale ʻana i nā kahe koko o ka nui o ke koko, ke koko, adrenaline a me nā hopena destabilizing.

Hiki i kahi mea lawelawe maikaʻi loa ke hoʻopili ʻia i nā mea paʻa o ka mea kumu o nā kumu kumu kumu o ka hypertension arterial - angiotensin II. Loaʻa me ka māhele nui o ka hōʻike - losartanine. Hoʻokomo ʻia ka paʻakai losartan ma ke ʻano he mea ikaika, magnesium stearate, a me ka mannitol, a me nā mea hou aku.

Nā hiʻohiʻona o ka lāʻau lapaʻau

He hiʻohiʻona maikaʻi ʻo Lozap - maikaʻi me ka hoʻōla ʻana a me ka physiologically i ka hōʻemi i nā pae maʻamau, pale i nā hōʻeha, nā hōʻeuʻeu o nā naʻau a me nā mea maikaʻi ʻole. Me ke kōkua o ka lāʻau lapaʻau, hiki ke hoʻokō i ka lōʻihi o ke ola o nā poʻe maʻi e loaʻa ana i ka hypertension. No kahi lāʻau lapaʻau, lale, nā ʻōlelo aʻo e hoʻohana ai i nā hōʻailona ʻelua a me nā contraindications koʻikoʻi, he mea nui loa ia e ʻike a noʻonoʻo.

ʻO ka hopena antihypertensive koʻikoʻi ma hope o ka lawe ʻana i ka waiwai e nānā ma hope o nā hola 6 a emi mau i ka wā o ke ao. ʻO ka hopena hopena nui e loaʻa ma hope o ka hoʻomau ʻia ʻana ma ka liʻiliʻi ma kahi o 3 mau pule. He haʻahaʻa loa ka bioavailability o ka lāʻau lapaʻau, kahi e hōʻike ana ʻaʻohe hopena.

Eia kekahi, me ke kōkua o ka lāʻau hiki ke hoʻokō i kahi hōʻemi i kekahi o nā protein kūikawā e hana ana i nā hana immunological. ʻO ka hoʻoneʻe ʻana o ka protein i ka pāʻai, a me ka protein-type protein i ke koko, e hoʻemi ana.

Nā hōʻailona no ka lawe ʻana i ka lāʻau lapaʻau

Nui nā hōʻailona a me nā maʻi i loaʻa nā kuhikuhi no ka hoʻohana ke kuhikuhi ʻia kahi huahana antihypertensive like. No ke kumu o ka mālama lapaʻau ʻana, ʻo ka lapis ka mea e hōʻike nei i ka hōʻike nui ʻana:

• Hypertension arterial (hypertension) - kahi maʻi maʻamau o ka maʻi maʻamau, ma muli o ka hoʻonui ʻana o ke kahe koko. ʻAʻole hiki iā ia ke lau pū ʻia me nā hōʻailona kūikawā, me ka ʻokoʻa o ka malaise a me ka dizziness, akā inā hoʻomaʻamaʻa pinepine ʻia ka hoʻomaʻamaʻa ʻana i nā hōʻeha, ka puʻuwai o ka naʻau, nā pilikia a me nā hōʻeha.
• Hoʻolaha ka puʻuwai paʻakikī - Lozap i hui pū ʻia me nā lāʻau lapaʻau hou inā ʻaʻole lākou i lawa a i ʻole i ʻae ʻole ke kanaka i ka angiotensin-hoʻohuli i ka pale o ka enzyme. Hōʻike ʻia kēia maʻi e nā hiʻohiʻona hiʻohiʻona - ka pōkole o ka hanu, kahi momona nui, ka palu, ka nalowale o ka ikaika, etc.).
• ʻO Proteinuria, a me ka hypercreatininemia, i hele pū me ka patology o ka nephropathy maʻi - hōʻino o ka ʻalohi o ka pilikia, nā pilikia me nā tubula a me nā mea hoʻonāola ʻē aʻe i ka maʻi mellitus o ka lua. Hiki i kēia mau pilikia me ka hypertension arterial.

Hoʻohui ʻia i kēia mau mea noʻonoʻo, he ʻōlelo aʻo no ka losap o ka lāʻau lapaʻau kekahi hōʻailona hou no ka hoʻohana ʻana - he hōʻemi ia i ka hoʻoweliweli o nā maʻi o kahi ʻano cardiovascular, ʻo ia hoʻi ka pā. Hoʻopili i ka hopena o ka make no ka poʻe maʻi e hōʻeha nei ma ka hypertrophy left left. ʻO ke ʻano o ka make no ka poʻe i loaʻa i ka maʻi hypertension ua hōʻemi ʻia nō hoʻi.

Ua hoʻohana maikaʻi kā mākou poʻe heluhelu iā ReCardio e mālama i ka hypertension. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.

Nā pilina a me ke kūlike

ʻO Lozap i nā ʻōlelo kuhikuhi no ka hoʻohana ʻana he mau contraindications kūpono a pili hoʻi. Kūpono - hana kūpono a kamaʻilio e pili ana i ka mea pono ke hoʻohana ʻia ka lāʻau lapaʻau ma ke alo o ia mau contraindications i kekahi ʻano. ʻO nā contraindications piha loa no ka hoʻohana ʻana i kēia lāʻau lapaʻau:

1. ʻO ka hana ʻino a me ka hopena o ka lapz a hiki i ka makahiki 18 ʻaʻole i hoʻopaʻa ʻia, ʻoiai ma kēia ʻoihana o kēia makahiki, no ka hapa nui, ʻaʻohe hōʻailona no ka hoʻohana ʻana i ka lapz
2. Hana pono ka maʻi ʻeha poloka - ʻaʻohe kumu kūpono o nā hōʻike no ka poʻe maʻi me ke kumukūʻai e like me ke kāʻei o ke keiki-Pugh i luna aʻe o nāʻaoʻao 9,
3. ʻŌpū a me ka lactation
4. I ka hihia o ka maʻi diabetes mellitus, a me ka hopena o ka renal, i ʻole ke kahe o ke koko (clearance) e hele a hala ma lalo o ka 60 ml i hoʻokahi mau minuke, ʻaʻole hiki iā ʻoe ke hoʻohui pū i ka lorap me aliskiren,
5. Hoʻonui ka naʻau i kēlā me kēia ʻāpana o nā lāʻau.

ʻO nā kumulepule e hāʻule i ka māhele pili, he nui nā hihia kahi i kū ʻole ʻia ai ke kī, akā ʻo ka hoʻoholo hope loa i hoʻoholo ʻia e ke kauka kauka.ʻO ka pinepine, kūlohelohe nā contraindications i ke ʻano a ʻo ka wā a pau ka mea maʻi i ka ʻāʻī ʻana i nā kolo pili, hiki iā ia ke lawe i nā lapis, ma lalo o ka mākaʻi o ke kauka. Aia ka ʻano pili o ka ʻōpiopio contraindication ka ʻōlelo aʻe:

1. Hypotension Arterial - ke kahe ʻana o ke koko i kahi palena i ʻike ʻia i kekahi kanaka. ʻAʻole kōkua ʻia ke kahe koko e hoʻemi ma lalo o nā palena liʻiliʻi loa, ʻo ia hoʻi ʻo 110/70 mm Hg, ʻoiai me ka hypotension e hoʻemi ana kēia mākaukau ma o 15-20%.
2. ʻO ka hana pākahi, ka mea i hele pū ʻia e ka huni ʻoi loa.
3. ʻO ka Hyperkalemia kahi kūlana pili i hiki ke hoʻopaʻa i kahi paʻalā nui o ka paʻakai i loko o ke koko.

1. ʻO ka maʻi ʻeha Coronary.
2. ʻO ka hana ʻole o ka puʻuwai paʻakikī i nā papa hana 4 ʻano hana ikaika.
3. Nā maʻi cerebrovascular - ka hui nui o nā maʻi e hoʻopilikia ai i ka ʻōnaehana nerve, nā ʻuhane, nā kumu maʻi ma nā moku cerebral.
4. Ke kāʻili ʻana i kahi lāhui ʻeleʻele;
5. ʻO ka makahiki mai 75 mau makahiki a me nā mea'ē aʻe.

Nā mīkini e hōʻike ai, hoʻopili a me nā excretion

ʻO Angiotensin II kahi vasoconsitricator ikaika a me kahi hormon koʻikoʻi koʻikoʻi e pili ana i ka papahana renin-angiotensin-aldosterone. ʻO kēia ka hono nui o ka pathophysiological ma ke kaola o ka hypertension arterial.

Hiki i ka māhele ke koho i nā pili me ka ʻae ʻana o ka mea maʻamau i loko o nā pona adrenal, a me nā kīʻaha hoʻonaninani a me nā mea ʻē aʻe he nui. Eia kekahi, ʻo ia kahi mea e hoʻoikaika ai i ka hoʻomohala ʻana o nā ʻili mākeke palupalu.

Ma hope o ka lawe ʻana i nā papa, hoʻokomo maikaʻi ʻia, a hoʻokomo ʻia ka mea ikaika i kahi papa inoa o nā kaʻina metabola ma loko o ka pūpū a hana i kahi metabolite ikaika. Ma kahi o 14% o ka nui o ka hopena o ka losartan e hoʻohuli ʻia i loko o kahi metabolite ikaika, ʻaʻohe o ka intravenous a i ʻole ke ala o ka hoʻokele.

ʻAʻole hiki i Lozap ke komo i nā pā kūlohelohe e pale i ka lolo. He haʻahaʻa loa ka bioavailability o ka waiwai, ʻo ia ka mea e loaʻa ʻole nā ​​hopena ʻokoʻa. Ma hope o ka lawe lapoz e pili ana i 4% o ka nui o ka make e hoʻopili ʻia ma ke ʻano like me ka hoʻohana ʻana i nā pūpū. Ma kahi o 6% e hoʻopiʻi ʻia e nā keiki ma ke ʻano o ka metabolite hoʻoikaika.

ʻO nā hiʻohiʻona o ka pharmacokinetics e pili ana i ka atypicality o kahi hui o nā maʻi e like me kēia:

• ʻO nā mea maʻi i ka wā kahiko - no nā kāne, ke neʻe o ka lāʻau, a me ka metabolite ikaika hoʻi, ʻaʻole ʻokoʻa ʻole i nā ʻano o nā hōʻailona, ​​e like me nā poʻe ʻōpio kāne,
• ʻO ke kāne a me ka wahine - ke kahakaha pālua o ka losartan i loko o ke koko koko i nānā ʻia no nā poʻe maʻi wahine, akā ʻo kēlā ʻano ʻike like ʻole ia he hopena lapaʻau kūikawā.
• ʻO ka poʻe me ka hana aho o ka lapalapa i ke kino - ka poʻe e hōʻeha nei i ka cirrhosis alikaʻi i ke aniani o ka ate ua paʻa ke ʻano o 5 a aneane 2 mau manawa iʻoi aʻe ma mua o nā kumumanaʻo,
• ʻO nā mea maʻi me ka hana renal impaired - ʻaʻohe ʻano ʻokoʻa o ka neʻe ʻana o ka losartan.

ʻO ke kumukūʻai a me nā analog o ka lāʻau lapaʻau

Ma ka lapoz, e hoʻohālikelike ke kumukūʻai ma ka mea hana, a me ka nui o nā papa i loko o ka pāka a me ka nui o nā milligrams i kēlā me kēia papa. ʻO Czech lozap (Zentiva) ka uku o 300-350 mau rubles. no 30 pcs. a me 750-800 mau rubles. mau pāpau 90 90 pcs. He nui nā analogues o Lūkini a me nā kūkulu haole, me nā mea penei:

• Lorista
• Losartan
• Lakea
• Losartan Richter (Polani),
• Blocktran a me nā mea ʻē aʻe he nui.

ʻO Lorista kahi lāʻau lapaʻau i kauoha ʻia no ka mālama ʻana i ka hiki ʻole o ka puʻuwai naʻau a me nā hōʻailona ʻē aʻe i hōʻike ʻia no ka lapis o ka lāʻau lapaʻau. ʻO Lakea kahi lāʻau lapaʻau me ka hopena kūpono no ka mālama ʻana i ke maʻi hypertension, a me ka hoʻomaʻamaʻa maikaʻi ʻana i ka hoʻomohala ʻana o ka hana ʻole ʻana i ka pilikia.

Losartan - e hōʻemi ana i ka pilikia o ka ʻeha, ka mālama ʻana i nā ʻeha i nā mea maʻi e maʻi nei i ka maʻi maʻi. Hana ʻia ma Makedonia (Alkaloid JSC), Lūkini (Ozone LLC, Vertex CJSC, Canonpharma, etc.), Israel (Teva). 30 papa i loko o kahi pā hiki iā ʻoe ke kūʻai mai 100 a 300 mau rubles.

ʻO Blocktran kahi lāʻau lapaʻau i hoʻokomo ʻia i loko o ka waihona mālama no ka hoʻopau ʻana o ka naʻau i kahi ʻano maʻi. Kuhi ʻia e nā hui lāʻau lapaʻau Lūkini ʻo Leksredstva a me Pharmstandard. Hiki ke kūʻai aku i nā mea kūʻai aku ma ke kumu kūʻai o 150-300 rubles. kūlike ma ka mea hana a me ka helu o ka mg i 1 papa (12.5 a 50 mg).

Hoʻopili pū me nā lāʻau ʻē aʻe

E like me ka hapanui o nā kūlana, ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau losap me nā mea ʻē aʻe hiki ke alakaʻi i ka hoʻohaʻahaʻa ʻana a hoʻonui paha i ka hopena, a me nā hopena hopena paha. Inā ʻoe e lawe i nā palaʻai me nā beta-radar, e hoʻonui nui ʻia ka hopena o kēia.

I ka hui pū me ka diuretics, e hoʻonui ʻia nā hopena o nā lāʻau ʻelua. Hoʻohui ʻia ka hoʻohana ʻana me nā lāʻau lapaʻau e like me digoxin, warfarin a cimetidine ʻaʻohe mea i ka hopena atypical. ʻO ka hoʻohana ʻana i ka lozap i ka hui me ka diuretics o ka pānaehana potassium-sparing hiki ke alakaʻi i ka hoʻomohala ʻana o ka hyperkalemia.

Lawe i ka lāʻau lapaʻau i ka wā o ka umauma a i ka wā hāpai paha

ʻAʻole ia e kauoha i lawe i ka losap i ka trimester mua o ka hapai, a e contraindicated ma ka trimesters lua a me ke kolu. ʻO ka ʻikepili ma ke kumu o nā haʻawina e pili ana i ka hoʻokele ʻana o nā papa i ka wā mua o ka hānau ʻana o ka hapai i nā contraindications, akā, ʻaʻole i haʻalele iki ka nui o ka pūpū. Inā kūpono, hiki i ke kauka ke kuhikuhi i ka hoʻomau o ka mālama kūpono, inā naʻe, inā i ka mea maʻi ma ke ʻano o ka hoʻolālā ʻana o ka hapai, pono e hoʻoneʻe i kahi ʻano hana.

Inā loaʻa kahi lozap ma muli o kekahi mau kumu i ka 2nd trimester, e nānā ʻia kahi loiloi ultrasound no ka pūpū me ka nānā ʻana i nā hana o nā kolo, me ka ʻano o nā iwi cranial. ʻO nā makuahine e lawe nei i ka lozap i ka wā hāpai, loaʻa paha nā keiki me ka nui o ka hoʻoulu ʻana o ka hypotension arterial a mālama pono i ka mālama olakino maʻamau.