Umuthi 'Enap-N' - izici isicelo

Tablets "Enap-H" kunethonya nomphumela yabo antihypertensive, ngenxa yokuthi kukhona nokuvinjelwa ACE anaprilatom. Enalapril, oyingxenye wathi ukulungiselela ehilelekile zokunciphisa aldosterone futhi angiotensin II ekusakazeni igazi, njengoba kuvusa umzimba vasodepressor uhlelo pressor futhi kuvimbela (i-RAAS). Ngenxa it kwandisa kumiswa semithambo isici endothelial. Lokhu kwaziswa kunciphisa ukumelana neuropathy, ngakho irobhothi lula ventricle engakwesobunxele, okubangelwa ekuhlehleni ka hypertrophy, Ukuvuleka komlomo kunciphe umonakalo esivimba amanzi kweselula uvinjelwe. Okusho ukuthuthuka hemodynamics yenhliziyo, anda ukumelana hypoxia of imisipha yenhliziyo nemithambo ukunciphisa izinga lokuhlasela kwesifo esisongela ukuphila ventricular arrhythmias. Ngenxa yokuthi enalapril kuyehla necrosis zone emva isilethikusebenza ethuthukisiwe inhliziyo imisipha umzimba ukubunjwa amaphilisi "Enap-H". Nokho, noma ngabe singakanani isimo igazi akhishwa ngomzuzu, noma ukuvama ukusikwa imisipha yenhliziyo, musa ukushintsha. Kulezo zimo lapho kukhona nomfutho wegazi ophezulu okungamahlalakhona, isifo cerebrovascular, wathi izidakamizwa kunciphisa ukumelana renovascular, futhi uqhuba ukuze sikhuthaze kwegazi izinso, sodium namanzi excretion, glomerular filtration isilinganiso, lugcine potassium emzimbeni.

Ngezinye reception njalo ukulungiselela "Enap-H" isimo futhi kuthuthukisa impilo iziguli isifo senhliziyo kanye kakhulu kunciphisa nokushona khona congestive yokumelwa yinhliziyo. Waba yini umphumela wesibindi usebenzisa lokhu izidakamizwa akuxhomekile engu futhi ubulili isiguli. Wabuye akunamthelela omubi noma amafutha noma carbohydrate umzimba ebangela nhlobo nezinkinga zobulili zomzimba.

Umthelela zokwelapha ngemva isimiso sokuqondisa 'Enap-H "kwenzeka kungakapheli ihora futhi wathatha amahora angu-24.

izinkomba

Kunconywa ukusebenzisa lolu izidakamizwa e khona renovascular nomfutho wegazi ophezulu, umfutho ophakeme wegazi kubalulekile, futhi yebo, nanoma yiluphi degree ephethwe yisifo senhliziyo. Ukuze ukubambezela ukuthuthukiswa yinhliziyo ibuye Kunconywa ukuthatha izidakamizwa "Enap-H". Kuyasiza nje kuphela ekwelapheni, kodwa futhi ukuze ukunciphisa izinga lokuhlasela kwesifo angina engazinzile futhi kunciphisa ingozi isilethikusebenza, kunomthelela nokuvimbela myocardium ischemic.

Ukulungiselela "Enap-N" - indlela usebenzisa

Izibhebhe akuzona woketshezi, reception yabo ungaboshwa ukudla. umthamo kokuqala wathola izidakamizwa kumele singeqi 5 mg ngosuku, futhi kungase kancane kancane senyukela mg 20, futhi ezimweni ezinzima kakhulu, futhi 40 mg, okuyinto izigaba ezimbili. Uma isiguli decompensation inhliziyo noma umfutho wegazi ophakeme ezinzima, ingcindezi kungenzeka kakhulu ziyancipha ekuqaleni ukwelashwa. Yingakho kumelwe siqale athathe umthamo ezincane, futhi ngaso sonke isikhathi ngaphansi kokuqondisa kukadokotela.

Uma isiguli Welashwa nge isisu, ukusetshenziswa kwezidakamizwa "Enap-N" kungase kubangele ukwehla umthamo wegazi futhi kukhona ingozi okuvela hypotension. Kulokhu, umthamo kokuqala kungathatha futhi ngaphansi kuka-5 mg / usuku.

Isamba esidingekayo zomuthi ngengane ngayinye encenga ngamunye. Uma wengane isisindo 20-50 kg ke umthamo kokuqala akufanele bube ngaphezu kuka-2.5 mg.

Njengoba i- side effect zingavela isiyezi, ushintsho ukunambitheka, ukukhathala. Kungase kube nokwehla platelet count leukocyte, agranulocytosis futhi igazi. nesenzakalo olungenzeka ukusabela orthostatic, hypotension, okwandisa inani urea e le serum igazi, imisipha zibe.

Tablets "Enap-N" - mayelana nokubuyekezwa izidakamizwa

Abantu ababeka njalo thatha izidakamizwa, kusikisela ukuthi kunciphisa ingcindezi kahle, futhi asikho isidingo ukusetshenziswa yalo evamile. A Ububi eziningi iphuzu yokuthi izidakamizwa ukhethe bese ukhetha umthamo edingekayo may udokotela kuphela.