"Enap" kana "enalapril": riri nani? Mirayiridzo kushandiswa "Enap", mutengo, wongororo

Mumakore achangopfuura, vanhu vakawanda anonyunyutirei cheBP. Kuti kuderedza payo, vanachiremba akarayira mapiritsi. Ivo siyana dzimwe nguva inovhiringidza hombe. Pakati guru iri kuwanda kuwedzera kubvunza "Enap" mu drugstores kana "Enalapril".

Zvadaro mumwe mubvunzo: "Musiyano pakati izvi zvinodhaka miviri?" "Enap" kana "Enalapril" - inova nani?

Musiyano uri pakati "Enap" uye "enalapril"?

Enalapril - ndiro basa wemafuta zvinodhaka, uye "Enap" - wezvokutengeserana zita. Rinoreva boka kupiwa zvinodhaka angiotensin rokutendeutsa enzayemu FIs. Angiotensin - hormone mapuroteni hurongwa pamwe zvakasiyana siyana. The ndechokuti angiotensin kunokonzera vasospasm, uye nekukurumidza kungaita kuti zvirwere kumwoyo. "Enalapril" mapiritsi tunodzivisa kukura mwoyo chirwere. Chete varayire mushonga anofanira chiremba, yakavakirwa maitiro ako.

Mahwendefa "Enalapril" chikumbiro zvikuru rwakafara. Vanobatsira kuita:

• kuderedza BP.
• kuderedza kakawanda anginal kurwiswa.
• kudzivirira kukura mwoyo kurwisa uye cardiac arrhythmias.

"Enap": kushanda

Prescribers "Enap" iri zvinokosha uye renovascular neBP uye mwoyo nokukundikana. Zvinonzi zvakare mushonga wakanaka inobatsira varwere zvikuru kunotoda kukundikana uye asymptomatic rworuboshwe ventricular dysfunction. The mushonga chinoratidzwa iyi, sezvo anogona kuderedza kuchinja chirwere.

Uyewo, "Enap" zvairatidza kuti kushandiswa ndeinotevera: mune coronary chirwere, mushonga kunoderedza kuitika sitiroko akanaka uye kurwisa mwoyo, zvakanaka inobatsira vane angina.

Sei zvinodhaka sei?

Panguva apo "Enap" kana "Enalapril" kupinda muviri, iri hydrolyzed chikuru zvinoriumba, enalaprilat achiumbwa pakupedzisira - ndiwo chinoshingaira metabolite. chinhu ichi kuchititadzisa nezvebasa makemikari uye nokudaro ari kuchinja angiotensin kutyora. zvinodhaka izvi kubatsira kuwedzera midziyo, kuderedza padanho aldosterone muropa.

In kushandisa mushonga kuva zvinoderedza padanho BP, asi kwete payakakurudzirwa, asi zvishoma nezvishoma. Changes mumoyo zvazvingava yaiitwa.

Uyewo, kana kugamuchira ichiwedzerwa ropa kuyerera renal uye renal nerevane iri yekudyidzana hwakavandudzika. zvinodhaka izvi zvisaitika kuchiita shuga nephropathy. Kana tikatora 'Enalapril' zvichiitika, anovandudza woupenyu vanhu vane BP uye akazoita nhamba yevanofa mumwoyo kukundikana.

Haana kunaka zvinosuruvarisa lipid uye carbohydrate muviri, haakonzeri kurara dysfunction. Kubata zvinodhaka hakunei zvepabonde uye makore munhu, renin wevasungwa muropa uye kuvapo zvinokuvadza - kusvuta.

How kushandisa zvinodhaka?

Zvino sei kushandisa "Enap". Mahwendefa havasi emura, pasinei kudya. Kana neBP ndiko kutanga 5 MG pazuva, asi zvichienderana ezvinhu uye chiremba aida dose anogona ngazviwedzerwe 20 MG. Uye dzainge dzakaoma - uye kusvika 40 MG.

In mwoyo kutadza kutanga kugamuchira 2.5 MG, asi uwandu husingakuvadzi anogona ngazviwedzerwe zvichienderana mwero chirwere.

Nokuti avo varwere vari diuretics, kunyanya kana dose yakanga yakakwirira, mabiko "Enap" anogona kuderedza Vhoriyamu achiparadzira ropa, saka anogona kutanga neBP. Ndokusaka varwere chakadaro haapfuuri munhu dose 5 MG pazuva.

Asi vaya vane chirwere renal kukundikana, asi dose zvinofanira kusarudzwa inobva creatinine chechetere. Kana 30 Rine mamiririta / Maminitsi, ipapo munhu anogona basa "Enalapril" mahwendefa ane chitsama 5 MG pazuva, uye kana padanho iri pazasi apa nhamba anofanira kutanga 2.5 MG.

"Enap" vana

Vabereki vakawanda vanonetseka kana vana inogona kutorwa, "Enap" kana "Enalapril". Ndezvipi zviri nani uye akakukonesai sarudzo?

Nokuti mwana mumwe nomumwe anofanira osimudza dose nomumwe, zvichienderana worudzii chirwere uye chii dhigirii zvayo. Uyewo munokosha kufunga BP uye tolerability zvinodhaka nomuviri. Nokuti vana vane uremu yemakomo 20-50 makirogiramu, nezuva dose iri 2.5 MG. Asi kana kurema ari pamusoro 50 makirogiramu zvino vanogona kutanga 5 MG pazuva.

Kana ndeupi maviri mishonga kusarudza, hapana musiyano. Kana ukasarudza kutenga "Enap", mutengo ichava zvishoma kwirirei. Chii mushonga unofanira kusarudza, iwe uchava kuudza chiremba.

"Enalapril": contraindications

Sarudza pakati mishonga miviri - "Enap" kana "Enalapril" - zviri nani kuva nyore. Chinhu chikuru, asati atora mahwendefa, zvinokosha tinyatsoziva contraindications.

Contraindications zvinodhaka iduku kwazvo, asi vanofanira kuteerera: kuti aikanganiswa enalapril kana ayo metabolite - enalaprilat. Paivawo zviitiko apo murwere kana kugamuchira zvakaitika angioedema uye porphyria.

Marwadzo "Enalapril"

Zvinofanira kurahwa chete sei kutora uye chii contraindications pakushandisa "Enalapril" chinodhaka. Marwadzo nayo anewo, uye vazhinji. Kwavari zvakafanira kuziva kuti kana kuratidzwa yavo kuderedza dose kana kunwa mishonga. Zviratidzo izvi zvinogona kuitika apo achitora zvinodhaka:

• BP zvikuru zvinoderedza;
• svoto uye kurwadziwa nemusoro;
• angina;
• dzungu;
• chomwoyo uye arrhythmia;
• simba uye kushaya hope;
• kufunganya nyonganyonga;
• nekuneta;
• tinnitus;
• muromo yakaoma uye t. d.

Usati kutora zvinodhaka "enalapril" nemishonga zvaunofanira kudzidza kuti, muna Pakadaro, kunwa uye kwete sembura mamiriro.

Womuchato panguva pamuviri

Vakadzi vari chete kuenda vanova vanaamai, zviri nani kuti varege kutora mushonga, "Enap". Uye vaya vari kare nepamuviri, unofanira kusarudza chiremba nzira yakarurama kuti kugamuchira mari. In trimesters II uye III kazhinji wairambidza achitora zvinodhaka. Pashure mukadzi anosununguka uye zamu zvokudya mwana wakowo mishonga haungopiwi. Uye kana iwe uchiri kuita pasina izvozvo, zvakakodzera nguva akuteerere BP, tarisa zviri potassium muropa uye itsvo functionality ari mwana ane amai achiyamwa, apo achitora chinodhaka, "Enap".

Form kusunungurwa vehurumende

Sezvataona munyaya ino, mumwe mushonga hapana rakasiyana nemamwe, ivo vaviri vane chimwe vanoshingaira fuma - enalapril. Naizvozvo, mhinduro dzemibvunzo yakawanda: "Enap" kana "Enalapril" - inova nani "- richava nyore. Vose zvinodhaka izvi zvakanaka, uye chimiro vari zvakare chete, pamwe chipimo chemushonga inofanira kuva nematambudziko. Ichibereka "Enap" uye "Enalapril" pamahwandefa ane pakati 2,5 uye 20 MG kuti basa fuma.

Kusiyana zvinodhaka maviri riri duku, asi zvakadaro zviri ikoko, uye rinonyatsooneka - mutengo.

Mari mishonga

Chinhu chikuru kuti matambudzo varwere vakawanda, zviri mutengo chinodhaka, nekuti zvikuru kazhinji zvinoitika kuti kurapa kunoitika muna kunzwisisa, uye zvinodhura chaizvo uye haisi nguva dzose vose mari. Panyaya zvinodhaka "Enap" uye "Enalapril", ipapo mari haisi kukwirira uye vatengi vanonakidzwa.

Mutengo "Enap" zvichisiyana rubles 100 kusvika 400, zvichienderana mugadziri uye uwandu yezviri chirungiso. Domestic zvigadzirwa vari isingadhuri zvikuru pane kutorwa, uye hapana musiyano; migumisiro avo uye vamwe kwazvo. Asi "Enalapril" Takauyira kanoverengeka isingadhuri - kubva 20 kusvika 80 rubles. Mari vaviri zvinodhaka izvi zviri pasi, saka zvinenge varwere zvose zvawana.

Analogs "Enalapril"

Kana iwe pakarepo usingagoni kuwana pane chemishonga chinodhaka ichi, zvino vari ne "Enalapril"? Pane rakakura mazita zvinodhaka zvakafanana. Uyezve, vakawanda vavo varipo mune Zvinoumba vamwe mamwe zvinoriumba izvo hunowedzera kubudirira chikuru fuma.

Vazhinji vatengi vanogutsikana chii kuti "Enalapril" mutengo. Analogs uyewo hungada kakawanda kupfuura, mukati 100 rubles, asi nokuti vane zvakawanda zvimwe zvinoriumba kuti tiwedzere kunyatsoshanda. Asi muchiitiko ichi, vanhu vakawanda havana kuteerera musiyano mutengo.

"Enalapril" The chikuru dzomuzana ndiwo:

• "NeEnami".
• "Vazolapril".
• "Enarenal".
• "Envas".
• "Invorio."
• "Bagopril";
• 'Renitec'.
• "Korando".

Ichi hachisi chinhu mishoma, rinoratidza Ringanidzo zvinodhaka ichi zvizhinji zvakanaka, uye mumwe murwere anogona kusarudza ndiye nani kwaari. analogues All kubatsira kumisa angiontenzina kugadzirwa kuderedza zvikuru kunetseka midziyo ropa uye nhengo dzose kumwoyo. chigadzirwa mumwe dzakanyorwa ane nomumwe maitiro ayo, asi zvairatidza kuti kushandiswa vari kushanda zvakafanana.

Huripo zvinodhaka nokuti "Enap" dzomuzana vari zvakakura sezvamunoita. Unogona kuwedzera mashomanana kuti anowanika uye mutengo, uye kuita zvakanaka kwazvo;

• "Berlipril 10 kana 20 '.
• "Renipril".

Mumwe nomumwe zvigadzirwa izvi yazvo zvakanaka, asi rwiyo wavo kunosanganisirawo ayo mamwe zvinoriumba izvo hunowedzera kubudirira mishonga. Sarudza kubva ichi yakakura zvakarongwa kuti mahwendefa "Enap" analogues yokutsiva haatori zvikuru. A kunhonga vacharamba kuti, nokuti chirwere kuitika mumwe munhu nenzira dzakasiyana, uye aikanganiswa munhu zvinoumba chezvinodhaka. Ita sarudzo iyi yakaoma uchabatsira chiremba wako.

Kudyidzana nevamwe zvinodhaka

The mushonga inogona kushandiswa asati kana pashure zvokudya, zviri nyore kuti murwere. Kana kugamuchira "Enalapril" akacherechedza antihypertensive efficacy pamusoro nitrates, potassium ions, prazosin. NSAIDs kuderedza ayo zvakwakanakira.

Mawa kushandiswa diuretic mumiririri uye potassium tigutsikane kazhinji kunotungamirira kune kukura hyperkalemia.

The medicament kunoderedza lithium Clearance zvinoderedza munguva kubviswa theophylline. "Cimetidine" nekusiyana, anowedzera kuti goho.

A nengozi kuti pfupi anogona kuva hypotension, yakawedzera kana murwere yakaitwa rufimbi, kana dai akanga achitora doro. Ndokusaka kubva doro anofanira kusiyiwa.

Kuti zviri nani?

mhinduro Simple kuti mubvunzo: "Enap" kana "Enalapril" - inova nani "- zvichaita zvakaoma chaizvo, nokuti zvose zvinodhaka izvi chimwe kushingaira fuma. Kusiyana mishonga miviri haisi. Zvichida musiyano chete - mutengo. Zvisinei, zvakaitika zvinoratidza kuti murwere ose anosarudza akazvimutsira mushonga kuti akauya iye pachake.

Mumwe nomumwe zvinodhaka izvi, kunyange pane imwe kushingaira chirungiso, asi mamwe zvinoriumba vakasiyana, izvo zvinoreva kuti neimwe nyaya mbiri dzakada kufanana nzira inogona kuita nenzira dzakasiyana. Saka, tinofanira kunyatsoongorora tinofanira kusarudza zvinodhaka.

Reviews

Kana siyana nezve "Enap" zvinodhaka uye "Enalapril", ruzhinji varwere, uyo pachake vakaedza kufungidzira mugumisiro mishonga iyi, taura zvakanaka nezvavo chete.

Vanhu vane kusagadzikana BP kuri kugutsikana zvikuru izvi zvinodhaka maviri, sezvo ivo vari kutsanya uye, Chikurukuru, zvinyoronyoro lowers yakakwirira kumanikidzwa, uye ipapo kwenguva refu, kuiita nenguva imwe optimum chechetere.

Kunyange vanamai vanopa vana vavo zvinodhaka izvi, vanoti kuti kana musingadi kusapfuudza dose, ari "Enap" rubatsiro zvikuru dzainge dzakaoma.

Side migumisiro kubva "Enalapril" zvikuru zvakawanda, asi kana iwe kuitisa Kugamuchirwa pasina kuwedzera dose uye kurangarira zvose nuances nehosha, vanogona kudziviswa.