"Vals" (amaphilisi): yokusetshenziswa. Umuthi 'Valz ": analogue, ukubuyekezwa, intengo

Okubizela lesi sidakamizwa "Valz" (amaphilisi)? Lokhu Kuzoxoxwa. Izinto olunikezwa lesi sihloko, sizokutshela omayelana nokuthi lokhu imithi analogs, side effects kanye contraindications. Njengoba uzobe kuchazwe kobufakazi nesineke, futhi yokusetshenziswa zomuthi.

Ukwakheka, incazelo kanye izidakamizwa emaphaketheni

Uyini Ukwakheka has a izidakamizwa "Vals"? Izibhebhe aqukethe ketshezi asebenzayo ezifana valsartan. Futhi, zihlanganisa izingxenye ezengeziwe ngesimo talc, sodium croscarmellose, microcrystalline cellulose, monohydrate lactose, magnesium stearate, povidone K29-32, ne-silicon dioxide.

Umuthi e umthamo 40 mg ifilimu-camera, uba nombala ophuzi kanye okusaqanda ukuma biconvex. Ngakolunye uhlangothi izibhebhe ulotshwe «V», kanye nezinye - ingozi lateral. Futhi izidakamizwa itholakale emakhemisi ngo pink (80 160 mg).

Okubukwe imithi, "Valz" amaphilisi, phama amashashaza, okuyinto ezibekwe amakhadibhodi amabhokisi.

izici kwemithi

Uyini izidakamizwa "Vals"? Tablets esinikezwa antihypertensive vasodilating kanye neuropathy. Lokhu nomuthi uyakwazi ekuvimbeni AT1-receptor ka angiotensin II, kodwa awukwazi zivimbela ACE.

Ngaphansi kwethonya esebenzayo izidakamizwa izidakamizwa ayishintshi okuqukethwe glucose, inani TG, Xc futhi uric acid egazini.

Indlela siqala wenza izidakamizwa "Vals" ngokushesha? Izibhebhe esikuthola kunalokho ngokushesha. Ngemva kwamahora angu-2 emva ukungenisa (kufika emahoreni angu-5-6) beqala kungani leso senzo sabo.

Umthelela reception "Valz" izidakamizwa kuvame ukuthatha izinsuku. Nge yokwelapha ejwayelekile, amagugu esiphezulu wegazi ukwehlisa waphawula kuphela ngemva kwamasonto 2-4. Uma isiguli evele wayeka ukwelashwa, ukuhoxiswa asivelanga.

I izakhiwo pharmacokinetic amaphilisi

It is matasa ngokushesha ukwelapha "Vals" (amaphilisi)? Iziyalezo yokusetshenziswa uthi ngemuva kokuthola imali ngaphakathi uthi ke ukumuncwa kuhle okusheshayo. I bioavailability zomuthi cishe 23%. Kuyaqapheleka komugqa pharmacokinetic izakhiwo valsartan.

An asebenzayo ejenti ekwakhiweni kunalokho ezingeni lelisetulu sesibopho ukuthobisa plasma amaprotheni. Lesi isilinganiso kuyahlukahluka ngaphakathi 94-97%.

Uma amaphilisi "Valz" ukwamukela futhi nemingcele kinetic awushintshanga. Lapho yesikhathi esisodwa ekuphathweni zomuthi ngosuku isiguli olwenzeka elincane valsartan. I waphawula igazi lokuhlushwa ezincane gidroksimetabolita esingasebenzi.

Lapho ethola nemithi ku angaba ngu-83% we ketshezi esebenzayo egcina emathunjini (ku Bile), futhi namanje 13% izinso yayinjalo ukuboniswa.

izinkomba

Kungani akunikeze imithi "Vals"? Izibhebhe umfutho nomfutho wegazi ophezulu yilezi ngokushesha kakhulu futhi kahle. Ngaphezu kwalokho, lapho yamukelwa e ezingamahlalakhona senhliziyo (ekwelapheni kuhlangene) kanye ukwandisa amazinga okusinda zabantu abasinda acute isilethikusebenza.

Izimo

Ngaphansi kwaziphi izimo akufanele bathathe imithi "Vals" (amaphilisi)? ochwepheshe lezivakashi sincome Izimo ezilandelayo:

• esingamahlalakhona kwezinso (avuzayo ku ezinzima), kuhlanganise phakathi ukudlula hemodialysis;
• kahle isibindi umsebenzi, iphutha ngenxa ukuvimbela ipheshana biliary;
• ngesikhathi sokukhulelwa;
• malabsorption glucose noma galactose, ukungezwani ne-lactose, galactosemia;
• uncelisa ingane;
• kweminyaka eyi-18;
• ukungabekezelelani yezingxenye izidakamizwa.

Kumele kuqashelwe futhi ukuthi lesi sidakamizwa "Valz" kusetshenziswe ngokuqapha okukhulu e obstructive zenhliziyo hypertrophic, hypotension, hyperaldosteronism eyinhloko, kwezinso Umthambo stenosis, hyperkalemia, mitral futhi stenosis yomthambo i-aorta, hyponatremia.

Izidakamizwa "Vals" (amaphilisi): yokusetshenziswa

Ngaphambi ukuthatha imithi, isiguli kufanele uqinisekise ukuthi ufunda imiyalelo. Kuyadingeka ukuba bonana nodokotela wakho kuqala.

Indlela ukuthatha lesi sidakamizwa "Vals 80"? Tablets e Isikali enjalo iqondiswa iziguli nomfutho wegazi ophezulu. Yamukela nomuthi kufanele sinikezwe ngomlomo, kanye ngosuku, kungakhathaliseki ukuthi ukudla.

Ngemuva kokuqala ukwelashwa imiphumela hypotensive kusho "Valz" siqala ukuvela ngo ngowokuqala 2 amaviki. Umthelela omkhulu kunabo zomuthi kwenzeka inyanga eyodwa.

Uma umthamo wansuku zonke izidakamizwa 80 mg nomphumela ofiselekayo has kungenjalo, khona-ke lenyuka kabili.

Phakathi ukwelashwa kungase kube isiguli ebekiwe kokubili imithi eqeda abanomfutho wegazi ophakeme, ikakhulukazi isisu.

Njenganoma senhliziyo kumele athathwe, "Vals" (amaphilisi)? Ukufundiswa isetshenziswa medium, sihlinzeka ngokuthi lapho kokutshelwa ngokukhubazeka kwengane, ikakhulukazi ngesimo okungamahlalakhona, isiguli kumelwe athathe 40 mg ulapha kabili ngosuku. Uma lokhu umthamo alusebenti, khona-ke liyakhula kancane kancane kuze kufinyelele 80 mg ne kaningi efanayo.

Uphile kahle futhi umthamo kungenziwa lenyuke laba ngu-160 mg kabili ngelanga. Nokho, kusukela ekuqaleni ukwelashwa isikhathi lapho ukuba umthamo esiphezulu ezihambayo, kufanele kube okungenani amaviki amabili.

Inani eliphelele zomuthi ngelanga kuyinto mg 320. Ngesikhathi umthamo ofanayo, "Valz" ngaso sonke isikhathi kufanele ihlukaniswe izigaba ezimbili. Lapho co-zinikwa isisu, ngezinye izikhathi encishisiwe.

Kuleso simo, uma isiguli enenkinga isilethikusebenza, kanye nemingcele hemodynamic izinze, imithi baqale kungakapheli amahora angu-12 emuva kwalesi sigameko.

Eyokuqala izidakamizwa engayitholi kufanele kube 20 mg kabili ngelanga. Kancane kancane, senyuselwa 40 mg bese 80 mg. Lwathi luphela ngenyanga yesithathu ukwelashwa, umthamo wansuku zonke kufanele kube kakade 160 mg (ihlukaniswe 2 imithamo). Ngesikhathi esifanayo, babemkhulisa, qiniseka acabangele ukubekezelelana zomuthi.

Izimpawu ukweqisa izidakamizwa

Yini izimpawu ukweqisa izidakamizwa kungenzeka uma "Valz" okungalungile ukuthatha izidakamizwa? Ezimweni ezinjalo, umuntu ubelokhu ukwehla eqinile wegazi. Izimo ezinjalo ngokuvamile kubangela ukuwohloka futhi nokulahlekelwa ukwazi. Kuyaphuthuma ukuba afeze lavage esiswini kanye ukunikeza isiguli namalahle isebenze. Futhi, uma isiguli ngemithambo yegazi iqondiswa ukweqisa izidakamizwa of 0.9% isixazululo sodium chloride.

izidakamizwa ekuhlanganyeleni

Ukuthatha lesi sidakamizwa "Valz", kufanele kuphawulwe ukuthi ekuhlanganyeleni liphinyiselwe nezinye imithi ayifani. Kodwa uma isiguli kanyekanye ukuthatha ezinye antihypertensives futhi isisu, le inciphise umfutho wegazi ophakeme ka valsartan ungakwazi ukwandisa.

Ingozi hyperkalemia luyanda co-ekuphathweni esibhebheni kuncike potassium-engashiyi isisu, i-potassium supplements kanye izindlela ukuthi ukwandisa okuqukethwe yayo plasma yegazi.

Uma usebenzisa nomuthi ne ama-NSAID kunciphisa umphumela wawo antihypertensive.

Kufanele kuphawulwe ukuthi kukhona ubufakazi nemiphumela ezinobuthi futhi ukwanda esethola in lithium lokuhlushwa igazi amaphilisi ukwelashwa "Valz" futhi ACE inhibitor.

Ngokusho imiyalelo, it ovunyelwe ukuhlanganisa izidakamizwa yokubika neminye imithi ukuthi zisetshenziselwa ukwelapha yokumelwa yinhliziyo. Nokho, awukwazi ukusebenzisa leli thuluzi ngokuhlanganyela ACE inhibitor ne-beta-blocker.

Izixwayiso

Yini okudingeka ukwazisa isiguli ngaphambi linqume kuye imithi "Vals"? Amaphilisi ku ingcindezi (izibuyekezo ngazo izokwethulwa ngezansi) kufanele kuthathwe kuphela ngemva ezingeni uketshezi electrolyte emzimbeni wesiguli, buyobuyiselwa. Kunconywa ukunciphisa umthamo isisu.

Uma umuntu okade nomfutho wegazi ophezulu renovascular, kubalulekile ukuba wamnika zokuqapha njalo izinkomba urea kanye creatinine egazini.

Phakathi ukwelashwa nge "Valz", ikakhulukazi ezingamahlalakhona ukuhluleka kwenhliziyo, isiguli singase wehlise blood pressure. Ngakho-ke kuyinto zokuqapha kubaluleke kakhulu njalo lokhu inkomba.

Kulesi impatho nomuthi bangezwa izinguquko nezinso.

Izidakamizwa "Vals" (amaphilisi) analogs futhi intengo

Synonyms izindlela icatshangelwe ithi imithi ezilandelayo: "Valsafors" "Valsartan", "Diovan", "Valsakor", "Tantordio", "Nortivan", "Zentiva", "Tareg".

Kukhona futhi analogs, ezifanayo mshini wezenzo. Lezi zihlanganisa izidakamizwa ezifana "Aprovel", "Brozaar", "Bloktran", "Zisakar" "Losartan", "Irsar", "lackeys", "Kardost", "Teveten", "Makleodz" nabanye.

Intengo zomuthi phambi kwethu akulona eliphezulu kakhulu. amaphilisi 28 (40 mg), kuzodingeka ukuthi akhokhele ruble ngu-150.

nobufakazi

Iziguli eziningi ushiye okubuyayo mayelana izidakamizwa "Valz." Bathi izidakamizwa ngempumelelo ekunciphiseni umfutho wegazi.

amaphilisi Action iqala ukubonisa ngokushesha okukhulu. Abakwazi ukunciphisa imingcele blood pressure, kanjalo ngcono isimo jikelele isiguli.

Kusahlaziywa, kanye neziguli unesikhathi omuhle: esitobhini okungazelelwe yokwelashwa kungekho zokuqaleka.