Arhente umfutho 'Enap'. Imiyalelo yokusebenzisa ichiza

"Enap" libhekisela ekulungiseleleni zidityanisiwe. Kuye isenzo esebenzayo iqinile yaye umchamo, ifumaneka emacwecweni, ezimhlophe (iiyunithi ezili-10 xa yempazamo ekupakishweni contour).

Enap. Ubungqina obubonakalayo buxela

Phakathi arhente umfutho, ezisetyenziswa namhlanje yezonyango, singene indawo iziyobisi ekhethekileyo "Enap". Imiyalelo ukusebenzisa amagama ezibonisa eziliqela injongo eyenzelwe yona:

- BP;

- ventricular kwekhono ekhohlo;

- ukusilela intliziyo.

Qaphela ukuba enap ingqalelo a prodrug, umsebenzi wayo uboniswe emva kokungena umzimba, xa amacandelo ichiza haydrolisis ukwenza enalaprilat, nto leyo abangaphangeliyo ACE.

Izinto esebenzayo yokulungiselela "Enap", ukongeza enalapril, hydrochlorothiazide ngowam, ngoweqela of womchamo thiazide. Indlela le intshukumo emanyeneyo ichiza kubangelwa kunciphise umthamo kunye sodium engamanzi imithambo yegazi, nto leyo ekhokelela ukuba ukuncipha imveliso ezesifuba noxinzelelo lwegazi.

Izigulane iposi engabalulekanga njengoko ichiza "Enap" yabelwa. Imiyalelo yokusebenzisa ibonisa ukuba yokwamkela medicament kwiimeko ezinjalo singanciphisa kwiindawo uchaphazelekayo womGaqo necrosis nokuphucula yokucolwa kwi imisipha entliziyweni.

Enap nempembelelo entle flow kwegazi kwezintso, ichiza akuthethi negalelo ekwandeni potassium idubule, nto leyo ibalulekileyo umfutho wegazi. Oku kuthintela uphuhliso umgangatho iziyobisi izigulane insufficiency kwezintso.

Izigulane kunye nesifo sentliziyo ngcono impilo kwi unyango lithetha "Enap". Imiyalelo yokusebenzisa ikhuthaza kweziyobisi ngenxa ekunciphiseni nokuyibulala kwabonwa izigulane kunye ukusilela ngentliziyo congestive. Ukuphumelela kuthetha ukuba kunciphise ngokuxhomekeke kwinqanaba renin kwi plasma yegazi, ubudala yesigulane, isini sakhe. akukho inkcazelo kumatyala nefuthe elibi amachiza "Enap" umsebenzi ngokwesondo yezonyango. Umyalelo nayo ibonisa ukuba ukungabikho nefuthe elibi nesiyobisi lipid kunye carbohydrate yokucolwa emzimbeni.

"Enap" iziyobisi. iipropati pharmacokinetic

Kukufakwa arhente esebenzayo kwenzeka ubukhulu becala ngenxa wokugaya (malunga nama-60%), inkqubo sokufunxa akaxhomekekanga ngexesha lesidlo. Kakade emva iyure-1, kukho sisiqalo "Enap" beziyobisi. Guide ubonisa ukusebenza ngokukhawuleza kwezonyango beziyobisi, olwenzeka emva ezona kweeyure ezi-6 emva kokuba kulawulo, isiphumo kweziyobisi esebenzayo kulwa iintsuku.

Izimo side effects

Izimo ukuba ukusetyenziswa kweziyobisi "Enap" imiyalelo kusebenza:

- landa Uvakalelo isigulane amacandelo yayo;

- porphyria;

- angioedema ;

- yokukhulelwa;

- zisanyisa.

Kukho inani side effects ezithi zenzeke kwezinye iimeko ezithatha ichiza, "Enap". Guide ulumkisa nxamnye unyango ngaxeshanye zezigulane ezinye womchamo enokukhokelela umsebenzi othile sezintso. kidney uyaqhubeka umsebenzi ukususa ichiza.

Kwiimeko ezinqabe kakhulu, kukho i hypotension esimbaxa (umlinganiswa elifutshane-term), izigulane ezikhala yintloko rhoqo. Kwezinye izigulane ezithatha ichiza kudale ukugabha kunye isicaphucaphu, amahlaba kwezihlunu kunye irhashalala.

Drug "Enap". libanda

Iimpawu eziphambili okubangelwa kukuvela kwemeko libanda ye isiyobisi "Enap", imiyalelo zokusetyenziswa ibhekisa iimpawu hypotension. Xa uphiwa ukubonakalalisa isigulane kufuneka abulawe, isicelo lavage esiswini kwaye wamalahle yasebenza. Ke kufanele kuthathwe ukubuyisela umthamo wegazi elijikeleza emzimbeni. Ukulungiselela le njongo, isigulana ilawulwa (yegazi) Isisombululo sodium chloride, ngoko kuyimfuneko ukuba ulawulo zonke inkqubo ebalulekileyo.

Ukuthintela Iingxaki ezinxulumene ne libanda, okanye imiphumela, "Enap" ukulungiselela kuyimfuneko ngaphambi kokuba udibane nogqirha wakho.