Izidakamizwa "Capoten": yini nokuthi ukusisebenzisa

Ukulungiselela "Capoten" - umuthi esiwumfanekiso inhibitor ka-enzyme angiotensin-eziswini, libhekisela zokwenziwa kwemithi. Ngo ngezithako zawo likhona captopril oyibamba isici nezinsizasenzo ezifana stearic acid, i-lactose, microcrystalline cellulose, corn isitashi. Empeleni, "Capoten" prescribers ne ukwephula inhliziyo. Kusukela lokho ngokuqondile isetshenziswa? Ake sibheke ephepheni.

ukukhululwa Ifomu

Uyekele izidakamizwa ngesimo square esimhlophe biconvex amaphilisi. Ngamunye sibhebhe sinamaphutha 25 mg captopril. Kokunye ibhamuza - 10 noma 14 amaphilisi. Iphakethe - 2 noma 4 ibhamuza.

Izidakamizwa "Capoten", kusukela lisetshenziswe kusiphi isimo?

Imithi kadokotela ngenxa izimo ezifana nalezi:

• nephropathy sikashukela, okuyinto eba ngenxa ngifundise ngesifo sikashukela (uhlobo 1);
• postinfarction inkathi nge kahle ukusebenza kwesokunxele ventricle;
• nomfutho wegazi ophezulu (renovascular futhi kubandakanya).

Ngo ezingamahlalakhona senhliziyo (CHF) nomuthi "Capoten" kuyinto ukwelashwa.

imiphumela kwemithi

Esikhathini esifushane yesikhathi kungaba ukunciphisa ingcindezi, uma uthatha lo muthi (kusuka "Capoten" ingcindezi enqunyiwe njalo ngokwanele). Ngesikhathi esifanayo incipha esivimba amanzi nomoya-mpilo funa, ukuthuthukiswa tachycardia ayenzeki. Umkhawulo zokwelapha umphumela kufinyelelwa, ngokuvamile ihora elilodwa. Kwemisebenzi yoMnyango ukubaluleka ingatholakala nge eside ukusetshenziswa imithi ngemva ambalwa amasonto. Ngo nephropathy sikashukela, ukusetshenziswa kwezidakamizwa kusiza kancane phambili isifo sezinso.

Izimo ukusetshenziswa imithi

Kusho ukuthini "Capoten" iphilisi ezinqunyiwe, sithole, futhi manje ukubhekana contraindications ukusetshenziswa kwalesi izidakamizwa. Musa akunikeze imithi uma isiguli sithi okulandelayo:

• stenosis yomthambo i-aorta nezinye pathologies ezinjalo obstructive nesobunxele outflow ventricular wegazi kunzima;
• hyperkalemia;
• yokutakula isikhathi ngemva izinso ukufakelwa;
• evelele iziyaluyalu kwesibindi nezinso;
• angioedema ;
• zamazwe amabili kwezinso Umthambo stenosis kanye stenosis ka Umthambo elilodwa (kuphela) e khona okuqhubekayo azotemia kwezinso.
• hypersensitivity kuya izingxenye nomuthi;
• sokukhulelwa, ibele.

Umuthi akufanele isetshenziswe e Pediatrics nezingane 18 iminyaka, njengoba kunesidingo emitholampilo uvivinyo akuzange sezenziwe.

Ngokulungiselela ngokucophelela "Capoten" lisetshenziswa ezimweni ezinjalo:

• hyperaldosteronism eyinhloko;
• izifo ezinzima sokuhlasela kwamasosha omzimba sezicubu zezinzwa;
• nokucindezela umnkantsha hematopoiesis (njengoba ukuthuthukiswa okungenzeka agranulocytosis futhi neutropenia);
• ischemic isifo senhliziyo noma ischemia cerebral;
• abagcina ukudla ephansi usawoti noma malosolevoy;
• kakhulu eminyakeni yokuguga.

Yokusetshenziswa

Izidakamizwa "Capoten" kusuka noma yini wamiswa ukuba sehora ngaphambi yokudla. Umthamo izidakamizwa okungukuthi uzimisele ngamunye kuye ngohlobo nobukhali sifo.

Umthamo kokuqala ophakeme wegazi kuyinto 12,5 mg, ukuphuza imithi izikhathi 2 ngosuku. Kancane kancane ukwandisa umthamo, isikhawu phakathi likhuphuka kungenzeka amasonto ambalwa. Ngezinye nomfutho wegazi ophezulu ngokulinganisela kuthathwe kabili ngosuku izibhebhe ezimbili izidakamizwa Ubuningi bamahora kungathatha 4 amaphilisi. Ngo ezinzima nomfutho wegazi ophezulu ekuqaleni umthamo okungukuthi 12.5 mg kabili ngosuku, kancane kancane elandayo ukuze isibalo esilinganisiwe amazinga okukhishwa - kathathu ngosuku, 2 amaphilisi.

Ngo CHF, umuthi ezinqunyiwe kuleli cala, ngaphandle kukhona umphumela omuhle isisu. Ekuqaleni ekuthatheni 6,25 mg kuze kube kathathu ngosuku, ngemuva - kathathu ngosuku ukuze 25 mg, umthamo esiphezulu amahora angu-24 - amaphilisi 6. Dose Kunconywa ukwandisa njalo emavikini 2.

Ngo postinfarction isikhathi isimo esitebeleni ngosuku ngokuthatha 6,25 mg. Kancane kancane, ungakwazi ulethe umthamo esiphezulu.

Ngo sikashukela nephropathy nsuku azithathe kuze kufinyelele 3-4 amaphilisi ehlukanisiwe eshiwo lemali ku 2-3 Ukweqiwa.

Lapho kahle umsebenzi kwezinso ngefomu emaphakathi noma omnene ekutholeni 75-100 mg ngosuku, e ezinzima - 2 amaphilisi ngosuku.

Labo abasebenzisa izidakamizwa "Capoten" ku ingcindezi, beshiya reviews ikakhulukazi omuhle. Nokho, lokhu kwenziwa kuphela uma zonke imiyalelo kadokotela.

side effects

Nomuthi "Capoten" ungaba nemiphumela engemihle, esizibonakalisa:

• edema neuropathy, hypotension orthostatic, tachycardia;
• yamaphaphu edema noma bronchospasm;
• angioedema nolwelwesi lwamafinyila sezindebe, ulimi, ubuso, amalaka, nomphimbo, nemilenze;
• ukozela, ikhanda elibuhlungu, ataxia, esilufifi umbono, isiyezi;
• agranulocytosis, neutropenia, thrombocytopenia, ukuntuleka kwegazi emzimbeni.

Ekuphetheni

Ngemva kokufunda lesi sihloko, uzofunda kabanzi mayelana izidakamizwa "Capoten", kusukela esetshenziswa njengoba elungile ukusetshenziswa, imiphumela engemihle. Ngaphambi kokufaka isicelo imithi kufanele uthintane nge onguchwepheshe.