Mahwendefa "Zilt": mirayiridzo kushandiswa

Zvemwoyo chirwere (CVD) iri migumisiro kuvhiringidzika cardiac basa uye ropa midziyo. For zvemwoyo chirwere zvinosanganisira nechirwere chemwoyo (mwoyo kurwiswa), BP (neBP), cerebrovascular chirwere (sitiroko), rheumatic mwoyo chirwere, peripheral arterial chirwere, mwoyo kukundikana, uye mwoyo chirwere (vachiberekwa). CVD kukura somugumisiro fodya, nokusarovedza muviri, hakuvaki madyiro.

CVD vabatwe nenzira dzakasiyana. Somuenzaniso, chirwere chemwoyo vari vakabudirira kurapwa nemishonga. The chikuru chinangwa kurapwa iri yokuderedza mutoro pamwoyo uye kuvandudza ayo kupomba chaitika. Zvirwere zvakadai ischemic sitiroko uye myocardial infarction uyewo zvinobvira kurapa gadziriro. Drug "Zilt" rave zvakananga akagadzirirwa chinangwa ichi.

"Zilt": mirayiridzo kushandiswa

"Zilt" inowanika sezvo mahwendefa film-zvemapuranga, kavha zvinogona kupatsanurwa nenhamba mahwendefa - kushoma 14, kunonyanyisa pamusoro 90. Hwendefa neimwe ine 75 magiramu ose clopidogrel.

By ongororo, "Zilt" piritsi nyasha kudzorerwa platelet mashandiro pashure pemazuva mashomanana (7 kusvika 10) pashure murwere akarega kushandisa zvinodhaka. The mushonga yaishandiswa kurapa zvemwoyo chirwere, ane antiagregatsionnym vasiri kushanda. The chikuru vanoshingaira wemafuta kugadzirira "Zilt" User chikumbiro anodana clopidogrel kunodzivisa nokusungwa ADP kuti platelet receptors, chinoguma chinovhiringidza pakati ADP-nemataundi platelet aggregation.

The chipimo chemushonga nevakura - rimwe piritsi (75 MG) kuti zuva rimwe, kudya hakutsamiri. Duration kurapwa kazhinji kwazvinogumira 12 months asi anogona kugadziridzwa kwakavakirwa Chirwere chacho kukuvadza. The kunonyanyisa mugumisiro angatarisirwa pashure 3 months.

Tora zilt mirayiridzo kushandiswa yakarumbidza kuti kudzivirira zvemwoyo chirwere: ischemic sitiroko, zvemwoyo rufu varwere kwazvo kuratidzirwa atherosclerosis, myocardial infarction. Uyewo, "Zilt" unoratidzwa varwere peripheral arterial chirwere.

mushonga uyu contraindicated pamberi hypersensitivity kuti clopidogrel kana zvimwe zvinoumba kugadzirira. Uyezve, chikonzero contra kunogona kuva pathological ropa, chiropa dysfunction (rinorema), pamuviri uye lactation, uyewo makore 18.

Kungwarira inofanira kushandiswa zilt kugadzirira ane warfarin, heparin kana zvimwe thrombolytic vamiririri, zvimwe mukana ropa. No akaora zvinokosha migumisiro zvakadyiwa zvinodhaka pamwe nifedipine, atenolol, digoxin, cimetidine, phenobarbital, theophylline kana estrogens. Safe kushandisa tolbutamidom uye fenotionom. Mukuwedzera, nemhute Absorção de Água kuti clopidogrel sei antacids.

Yakashuma chete nyaya ovhadhozi "Zilt" gadziriro: akatorwa pamahwendefa 14 (1050 MG kuti clopidogrel). Matambudziko uye zviratidzo kudhaka munyika iyi haana kuchengetwa, uye pakanga pasina kudikanwa vavashandire. Nokuti mushonga hapana chaicho mushonga. Kana zvakakodzera kubvisa migumisiro clopidogrel, platelet Kuwedzerwa gobvu akabudiswa.

Zilt murayiridzo Chinyorwa anokurudzira yokuchengetera mune inotonhorera, nzvimbo yakaoma, yakadzivirirwa kubva chezuva. Zvinobvumidzwa okuchengetera tembiricha iri 25 ° C. Kugadzirira rakakodzera kwemakore matatu. Wana zilt mirayiridzo kushandiswa yakarumbidza chete pamusoro uchapupu chiremba - hakufaniri kuzvidzora medicate.