The mushonga 'Enap-N' - kushanda zvinhu

Mahwendefa "Enap-H 'kushanda kwavo antihypertensive zvazviri, nokuti kuti pane blockade kuna ACE anaprilatom. Enalapril ndiro chikamu akati gadziriro, rinobatanidzwa rutapudzo pamusoro aldosterone uye angiotensin II muropa murukova, sezvo kunomutsa muviri vasodepressor pressor maitiro uye kuchititadzisa (neRAAS). Pamusana nayo anowedzera paumbwe vascular endothelial chinhu. Izvi zvinhu kunoita peripheral nemishonga, saka robhoti iri akwanise kuruboshwe ventricle, akagarisa regression pamusoro hypertrophy, dilation uye zvinoderedza kukuvara myocardial Sero iri kudziviswa. Kuvandudzika pamusoro coronary hemodynamics, zvakawedzera kuramba hypoxia mwoyo tsandanyama uye kuderedza kuitika upenyu pangozi ventricular arrhythmias. Nokuda kuti enalapril ipfupi necrosis mapazi mushure myocardial infarction uye nani cardiac tsandanyama muviri zviri murwiyo mahwendefa "Enap-H '. Zvisinei, hapana chitsama ropa pumped paminiti, kana kuti kakawanda marwadzo kwomwoyo tsandanyama handishanduki. Muzviitiko pane chirwere neBP, cerebrovascular chirwere, akati fuma kunoderedza renovascular nemishonga, uye anoitisa havi kweropa iri netsvo, yavaibvisa uye mvura excretion, glomerular filtration zvazvingava, rinochengeta kuti potassium mumuviri.

Nguva kugamuchira kugadzirira "Enap-H 'nehurumende uye anovandudza utano varwere zvemwoyo chirwere uyewo yekudyidzana zvinoderedza hunofa pamberi congestive mwoyo kukundikana. Mugumisiro kushandisa zvinodhaka ichi hakunei nezera uye kurara murwere. Uyewo haana kunambwa kana mafuta kana carbohydrate muviri uye anoita zvachose hapana dzepabonde dysfunction rwomuviri.

The kuchirapa Mugumisiro pashure kutarisira "Enap-H" rinowanika mukati neawa uye kwakatora maawa anenge 24.

zvairatidza

Zvinokurudzirwa kushandisa zvinodhaka izvi pamberi renovascular neBP, zvinokosha BP, uye chokwadi, chero mwero mwoyo kukundikana. Kuti sipidhi kukura mwoyo kukundikana riri Dzakamukurudzirawo kutora zvinodhaka "Enap-H '. Zvinobatsira kwete kurapwa, asi kuderedza kuitika kusagadzikana angina uye kunoderedza ngozi myocardial infarction, zvinobatsira kuti kudzivirira ischemic myocardium.

Kugadzirira "Enap-N" - nzira yokushandisa

Mahwendefa havasi emura, uye kugamuchirwa kwavo haina akasunganidzwa kudya. Initial dose vakagamuchira mushonga haafaniri kupfuudza 5 MG pazuva, uye zvingaita zvishoma nezvishoma ngazviwedzerwe 20 MG, uye yakanyanya kuoma ezvinhu, uye kuti 40 MG, iyo rakakamurwa matanho maviri. Kana murwere ane cardiac decompensation kana BP yakakwirira, kumanikidza anogona yekudyidzana kuderedzwa pakutanga kurapwa. Ndokusaka tichifanira kutanga kutora chiduku dose, uye nguva dzose pasi pokudzora chiremba.

Kana murwere aiitirwa pamwe diuretics, kushandisa zvinodhaka "Enap-N" anogona kukonzera kudzikisa inzwi ropa uye pane njodzi panowanikwa hypotension. Panyaya iyi, kutanga dose anogona kutora uye zvishoma pane 5 MG / zuva.

The inodiwa chitsama zvinodhaka kuti mwana mumwe nomumwe achipemha nomumwe. Kana mwana wacho uremu 20-50 makirogiramu, ipapo kwokutanga dose hakufaniri anopfuura 2,5 MG.

Somunhu divi maturo kuonekwe dzungu, shanduko kuravira, kurukutika. Kungavawo zvinoderedza platelet count uye leukocyte, agranulocytosis uye kupererwa neropa. Possible panowanikwa orthostatic siyana, hypotension, kuwedzera uwandu urea iri muropa serum, kwetsandanyama.

Mahwendefa "Enap-N" - pamusoro zvinodhaka wongororo

Vanhu vanogara kutora mushonga, anoratidza kuti kunoderedza kufurirwa zvakanaka, uye hapana chikonzero chacho dzose kushandiswa. A zvakaipira zhinji pfungwa yokuti mushonga kugadza uye sarudza runodiwa dose arege chiremba chete.