"Zilt": analogue, ixabiso, nemiyalelo yokusebenzisa

"Zilt" loluka kwiqela antiplatelet imithi. Zegazi - amasuntswana amancinane igazi abaqhagamshelwe kwenye nenye coagulation igazi. Uvimba uxhumo ezi amasuntswana, iziyobisi antiplatelet ukunciphisa ingozi amahlwili egazi (inkqubo nokudaleka kuthiwa thrombosis).

"Zilt" ukuze ukuthintela ukuyilwa egazi kwimikhumbi yegazi (imithambo) banokuchaphazeleka yi yegazi. Atherothrombosis, ke, kungakhokelela ekubeni ukufa icala okanye ukuhlaselwa yintliziyo, kuquka abafayo.

Ugqirha umisele "Zilt" ithinasi igazi ukuthintela ukufa icala okanye ukuhlaselwa yintliziyo, ngenxa yokuba isigulane:

• Ehlupheka evela yamafutha kwaye sele babeye nangentliziyo uhlaselo okanye istroke okanye ukubandezeleka ukusuka yoluvo lwemithambo sifo.
• Akavumela esifubeni intlungu eyaziwa njenge 'iyahlozinga angina' okanye engabalulekanga iposi (entliziyweni kuhlaselwa).

Ugqirha uya kufumana eliphezulu ufakelo unyango stent xa umthambo etywiniweyo okanye iingqameko ukubuyisela ukuhamba kwegazi eqhelekileyo. Isigulane Umba acetylsalicylic acid, iyeza yahlanganisa kuhlanganiselo Maninzi kakhulu amachiza kwenzelwa ukunciphisa intlungu, ungawuhlisa umlilo kunye zinqande thrombosis. Ngoko, xa emiselweyo "Zilt" kwakunye ngokuqhelekileyo kuquka ukusetyenziswa aspirin.

Izimo

Musa ukuthatha "Zilt" ukuba:

• Unayo aleji okanye isici clopidogrel okanye namanye amacandelo ichiza.
• Kufuneka ukufumanisa isifo okanye imeko ezinxulumene ukopha yangaphakathi (ezifana isilonda isisu).
• Ngaba unesifo isifo sesibindi ifomu kakhulu.

Ukuba akuqinisekanga ukuba wena unguye ngasentla kwiingxelo, bonana nogqirha.

Ukusebenzisa ngokuqaphela

Ngokuqhelekileyo, abantu badla ukulandela ukuqeshwa likagqirha uthabathe "Zilt", ixabiso leyo eyenza kube lula nje kuphela ukugcina impilo, kodwa musa ukuya alinamali. Noko ke, ukuba ubuncinane enye yezi nkcazelo zilandelayo zinyaniseke kangakanani kuwe, qiniseka ukuba wazise ugqirha wakho:

• Uyakwazi ukuvula ukopha (bona. Ezantsi).
• Kule veki iphelileyo uye baba igazi ihlwili ngendlela kwemithambo okanye ingqondo (stroke kobuchopho).
• Wena uphethwe isibindi okanye isifo sezintso.

Ukopha iya kuvulwa kwiimeko apho:

• Wena sigula zizigulo ukuba ibe nzima yophela ngaphakathi.
• Wena kwafunyaniswa ukuba izifo igazi apho kunokwenzeka ukopha yangaphakathi (zomzimba, amalungu okanye amalungu).
• Usanda yenzakala kakhulu.
• Kwezi veki isicwangciso wenze utyando (kubandakanya kugqirha wamazinyo).

ichiza

Ukusebenzisa amayeza "Zilt", kufuneka ikhunjulwe:

• Kufuneka uxelele ugqirha wakho malunga nayiphi ezicwangcisiweyo uqhaqho (kuquka utyelelo wamazinyo-ugqirha).
• Kufuneka ngoko nangoko qhagamshelana wakho ugqirha ukuba ngaba a thrombotic thrombocytopenic purpura (TTP), iimpawu ekungabalwa awongezelelekileyo umzimba lobushushu ukubonakala ongama hematoma ngohlobo ezibomvu amabala. Xa thrombotic thrombocytopenic purpura kunokuphinda kuvele (kodwa kungangabikho ngokupheleleyo) imvakalelo kunzima ka ukudinwa ngokugqithiseleyo, nokudideka ngexesha kunye nendawo, yellowing ulusu okanye abantu abamhlophe kwamehlo (senyongo). Kufuneka uyeke nangoko ukusetyenziswa "Zilt" ayenzelwanga ukusetyenziswa xa kuvela iingxaki ezinzulu.
• Ukuba ngempazamo wagawulwa ngokwakho, okanye ngenye iyangqubana ingqibelelo ulusu kunye emithanjeni, oko kuqatshelwe ukuba ukopha siyeka esisezantsi kunesiqhelo. Oku kungenxa yintshukumo ichiza, Yayilwa lokuhlambulula igazi. imikrwelo ezincinane cuts, kubandakanywa utsheva, ngokuqhelekileyo musa ukuba inkathazo. Ukuba inxeba esinzulu, kufuneka udibane nogqirha.
• Kusenokufuneka ukuba iimvavanyo kwegazi.

Ichiza "Zilt" akukho ilawulwa abantwana nabafikisayo.

Intsebenziswano kunye nezinye izinto

Qiniseka ukuba uxelele ugqirha elo amayeza okanye iipilisi okanye baye kutshanje, njengeepropati yabo ukunciphisa ukusebenza "Zilta", okanye ngolunye uhlobo. Ngokukodwa, kukhankanywa kufuneka senziwe isicelo amayeza zilandelayo:

• anticoagulants - agents, ithinasi igazi;
• nonsteroidal anti-ukudumba amachiza asetyenziswa ngenxa iintlungu zezihlunu namalungu;
• "LweeHedfowuni" kunye nezinye lwezitofu ngokuchasene thrombosis;
• "Omeprazole" "esomeprazole" okanye "cimetidine" - amayeza okunyanga isisu;
• "Fluconazole", "Voriconazole" "ciprofloxacin" okanye "Chloramphenicol" - antibacterial nokubola arhente;
• "Fluoxetine", "fluvoxamine" okanye "Moclobemide" - yokunciphisa;
• "Carbamazepine" okanye "oxcarbamazapine" - unyango ukuxhuzula.

"Zilt" singathathwa esidlweni, nokuba kukweyiphi isidlo.

Ukukhulelwa ibele

Ngexa lokukhulelwa, kuyacetyiswa ukuba ukusebenzisa i "Zilt 75": ixabiso impatho enjalo kungaba kukhulu kakhulu.

Xa bekhulelwe kwenzeka, kwakunye ingane yakhe ekhubekisayo kufuneka azise wakho ugqirha phambi ezithatha ichiza. Ukuba kwesisu yenzekile ngexesha unyango "Ziltom" imfuneko engxamisekileyo ukuba udibane nogqirha, kuba clopidogrel into contraindicated ngayo abafazi abakhulelweyo.

Musa ibele ngexesha ukusebenzisa iziyobisi.

ulwazi olubalulekileyo malunga amanye amacandelo

"Zilt" iqulethe ioli kukaCastor lactose kunye hydrogenated.

Ukuba une wayengabunyamezeli ngamnye kwezinye iswekile, ufanele ulinde ngokwezindululo kagqirha phambi kokuba uthathe amayeza.

oyile kukaCastor Hydrogenated kunokubangela isisu kunye norhudo. Ukuba le imiphumela ukumqumbisa kuyo "Zilt" analogs ukuze zikhuseleke.

sokufunxa

Emva kokufumana nokuba idosi enye (tablets-4) kunye nedosi yesiqhelo yemihla ngemihla (1 icwecwe), onokufunxa ngokukhawuleza clopidogrel. inqanaba Umyinge ubuninzi clopidogrel zingatshintshi plasma busisigxina nemizuzu engama-45 emva kokuba "Zilta". Based ekuhlaziyeni nomonde umchamo, ngokuchanekileyo isiqingatha sempahla kukuthi ngokupheleleyo zifunxwe ngumzimba izakhamzimba nto.

kugecwa

Kufuneka uwave ke iyeza kwi ngokwemithamo ecetyiswayo ngugqirha.

Ukuba uthe waba angina obungazinzanga okanye ndamelwa yintliziyo, ugqirha uyakukumisela 300 mg "Zilta" (macwecwe 4 ka-75 mg) njenge idosi enye ekuqaleni konyango. Wandule ke uthabathe ithamo yesondlo - elinye icwecwe "Zilt 75" usuku ngaphakathi - esidlweni okanye ngaphandle ukutya. Medicine kusela yonke imihla ngexesha elifanayo.

Lokuqhubeka kwekhosi umiselwa ngugqirha.

libanda

Kwimeko libanda, ngoko nangoko qhagamshelana nogqirha wakho okanye ufowunele "uncedo lokuqala", kuba ukwanda isixa ichiza kukhokelela ungcipheko nangakumbi ukopha.

Ukuba ungalibali ukuthatha ipilisi, kodwa khumbula ukuba kwiiyure ezili-12 ngexesha eliqhelekileyo ezithatha ichiza, asele "Zilt 75" uze ulandele ucwangciso wakho njngesiqhelo. Ukuba luthe ngaphezulu kwama-12 ukususela amaxesha ngamaxesha, ngokuqakatha idosi uze qalisa nangokwamkela macwecwe kwi oqhelekileyo mode. Musa ukusela iipilisi ezimbini ukuba abuyise ixesha elilahlekileyo.

Awukwazi ukuphazamisa ikhosi "Zilta" kukagqirha efanelekileyo.

ukuphepha

EUnited States baqhuba izifundo preclinical na inyathelo clopidogrel kumabuzi kunye neemfene. Ngokusekelwe kwiziphumo amalinge, izazinzulu ziye zagqiba ukuba ezingaqhelekanga kakhulu rhoqo izilwanyana baqalisa utshintsho esibindini. Okungahambi kwenzeka phantsi imeko elingaphezu ithamo eqhelekileyo yabantu izihlandlo 25 ngokuphindaphindiweyo kwenzeka ngenxa yeziphumo zenziwa nge ukutya hepatic. Xa uthatha umthamo kwezonyango-75 mg yonke imihla nefuthe ofanayo ophezu kwesibindi azinakwenzeka.

imiphumela emibi

Njengawo onke amayeza, "Zilt" analogue kunye namanye amayeza eziqulathe clopidogrel, kunokubangela eziliqela yeziphumo ebezingalindelekanga. Kakade ke, asizizo zonke izigulane ziye zaba neziphumo ezibi zonyango. Kufuneka ngoko nangoko qhagamshelana nogqirha wakho ukuba une:

• Fever, iimpawu zosulelo okanye ukudinwa kwesizathu. Ezi imiphumela esinokubakho ngenxa Ukunciphisa inani elithile igazi iiseli, kodwa oku kuyenzeka kakhulu kunqabile.
• Iimpawu ingxaki zesibindi: yellowing ulusu kunye / okanye nabamhlophe kwamehlo (senyongo), nto leyo kwezinye iimeko ukuze ezinxulumene ukopha ongama ngohlobo amachokoza abomvu kunye / okanye nokudideka ngexesha kunye nendawo (thrombotic thrombocytopenic purpura).
• Kukukrala em- okanye ulusu amanxeba yomlomo ngohlobo irhashalala, urhawuzelelwa okanye kumadyunguza. Ngoko uyakwazi ukubonakalisa i uxabane.

Isiphumo ixhaphakileyo - loo nto ukopha. It iya kuvulwa esiswini, amathumbu, phantsi kwesikhumba ngokohlobo ukugruzuka. Maxa wambi kukho wopha impumlo, okanye ubukho igazi nomchamo. Kwiimeko ezinqabe kakhulu, ukopha kwenzeka emehlweni, ingqondo, kwemiphunga okanye amalungu.

Eminye imiphumela emibi

I-arhente manani zonyango ziye iingxelo malunga ezinye iziphumo ebezingalindelekanga eli chiza, njengoko "Zilt". Ukuphonononga kakhulu ziqulathe rhoqo ulwazi malunga ukunyhashwa zilandelayo ephilayo: urhudo, iintlungu apha kwentamo, isisu, heartburn.

Ngaphantsi rhoqo ebuhlungu, isisu nezilonda, isicaphucaphu, ukugabha, ukuqhina, flatulence esiswini okanye emathunjini, irhashalala, ukurhawuzelela, ukuba nesiyezi, uza antsi okanye ukuluma ezahlukeneyo amalungu omzimba.

imiphumela ezinqabe kakhulu kwicala: senyongo, kakhulu intlungu kwentamo , kudityaniswe iqolo, ifiva, ukuphelelwa umoya kunye ukukhohlela, negazi, nangokurhala emlonyeni, namadyungudyungu ulusu, isikhumba nokwaliwa, stomatitis, sinciphise uxinzelelo lwegazi, nokudideka ixesha isithuba, nemibono, iintlungu kwamalunga okanye izihlunu, utshintsho incasa.

Unako utshintsho egazini chemistry okanye yokuchama.

indawo yokubeka

Gcina "Zilt" kufuneka aphume kude ebantwaneni.

Awukwazi ukusebenzisa iyeza, ngoku lixesha. Umhla wokuphelelwa kwi ibhokisi naphezu blister emva EXP iileta. Umhla kuthetha ukuba ichiza simlungele kakuhle ukuya kutsho wokugqibela usuku lwenyanga.

Ukugcina i "Zilt" kwi kwikhava yayo yoqobo nokuthintela ukuba oku umonakalo evela ukufuma kunye nokukhanya.

"Zilt": nabalingani kunye nokukhethwa

I-analogue edume ichiza ziquka amayeza zilandelayo:

• "Klopideks".
• "Plavix".
• "Lopirel".
• "Trombeks".
• "Detromb".
• "Clopidogrel".

Kaninzi izigulane ebuza ukuba singakwazi ukusebenzisa ngqo "Zilt" - mhlawumbi kungcono ukuba ukhetha i "ezihlambulukileyo" imveliso "Clopidogrel" okanye kakhulu zithanda "Plavix". Impendulo Kucacile: Kufuneka usebenzise kuphela ichiza ubuwasekele ugqirha. Ukuba awanelisekanga indleko, nixoxe iinketho nogqirha otyunjwe endaweni kweziyobisi ukuba ubuncinane afumane isiyobisi kunye neziphumo ezifanayo. Clopidogrel ke iqulethe nje "Zilt" analogue ezifana "Plavix" ekwasetyenziselwa ukuthintela egazi.

Njengoko iindleko, kunzima ukuba bathelekise ichiza kunye namachiza afanayo, njengoko tags ixabiso zahlukile kakhulu zombini kwinqanaba yomvelisi kwaye kwinqanaba kwiikhemesti zesithili. Kakhulu cheap, "Zilt" hayi kuphela - ixabiso ezinye amachiza afanayo ngumlinganiselo engange 500-600 pack nganye.

Price isishwankathelo

Ichiza iyafumaneka iibhokisi 14, 28 okanye 84 iipilisi. Ngako oko, izindleko:

• Packaging 14 tablets - 500-590 engange.
• Packaging 28 tablets - 970-1050 engange.
• Packaging 84 tablets - engange 2100-2220.

Amaxabiso for "Zilt" banikwe ngokusekelwe sisibonelelo kawonke kwiikhemesti ezithandwayo eMoscow.