Chirwere cheHartil - chirwere chiri cheboka reACE inhibitors. Iyo inobudiswa nenzira yehwendefa. Ichi chinodhaka chinogona kuva nezvimwe zvakasiyana zve ramipril - inoshanda inoshanda. Ndicho chikonzero usati washandisa Hartil iwe unoda kubvunza chiremba kuti uone dhiyo yakakodzera zvakakodzera.
Zviratidzo zvekushandiswa Hartil
Nemhaka yezvikamu zvezvinhu zvinoshanda, izvi zvinodhaka zvine antihypertensive uye cardioprotective madhara. Zviratidzo zvekushandiswa kweHartil ndezvi:
- dambudziko rekurwisana nehutano;
- kukanganiswa kwemoyo (chimiro chisingaperi);
- kukanganiswa kwemwoyo, kwakaitika mushure mekurwa kwechirwere muvarwere vane hutodynamics hwakasimba;
- chinokonzera chirwere chepfungwa (chisingagumi mafomu);
- nephropathy yechirwere cheshuga.
Hartil mune varwere vane infarction vanokurumidza kukonzera nzvimbo ye necrosis. Kuvonga izvi, vanovandudza tarisiro yehupenyu. Mukuwedzera, kushandiswa kwemishonga yeHartil kunoratidzwa kune avo vane ngozi yekuvandudza kupererwa kwemyocardial. Iyo inobatsira zvikuru kuderedza ngozi yekuvandudza chirwere ichi uye inoderedza kuoma kwezvinhu zvinenge zvose zvinoratidzika zvekushaya mwoyo.
Hartil mapiritsi ave achishandiswa mukudzivirira kwe "rufu rwechirwere" uye kurwara kune varwere vane IHD. Vanogona kutorwa kunyange nevarwere ivavo avo vakatambura chirwere chinonzi aortocoronary kuburikidza nekuvhiyiwa kana percutaneous transluminal coronary angioplasty.
Nzira yekutora sei Hartil?
Maererano nemirairo yekushandiswa kweHartil mahwendefa inofanira kutorwa nemuromo, pasina tsvina, uye mvura yakasimwa (inenge 0.2 litres). Nguva yekudya haina basa.
Muyero weHartil unotsanangurwa zvichienderana nehosha. Somuenzaniso, nehutachiona hwehutachiona, chirwere chimwe chete chechirwere ndeichi 2.5 mg pazuva. Asi apo kushaya mwoyo kunorudzirwa kutora Hartil pa 1.25 mg zuva nezuva.
Kana zvichidikanwa, muwandu wezuva nezuva unogona kuvirirwa, asi huwandu hwemadhora kune chero murwere ndewe 10 mg.
Mushure mekushandisa Hartil, migumisiro inogona kuitika. Varwere vazhinji vane orthostatic hypotension uye kuderedza ropa. Muzviitiko zvisingawanzoitiki, kune urongwa hwemagetsi uye kusakatika kwezvikamu. Uyewo, nekudya nguva dzose kweHartil, munhu anogona kuona:
- kuderera muhuwandu hwemuti;
- kunetseka kwekutya;
- kushaya simba;
- kukanganisika kwemaonero uye kushungurudzika kwemaziso;
- akadzikama;
- kuderedza chido chekudya;
- kunetseka.
Panguva yekushandiswa kwechirwere ichi, kurapwa kweutano kunokosha zvakanyanya. Mutemo uyu unonyanya kushanda kune kudya kwekutanga kweHartil uye kuwedzerwa kuyerwa kwaro. Zvakakosha kudzokorora BP zvakare. Iwe unogara uchitora mushonga uyu here? Iva nechokwadi chekurega kuita mabasa anoda kukanganisa.
Contraindications kushandiswa kweHartil
Kunyange muhupo hwezviratidzo zvekushandiswa kweHartil, zvinorambidzwa zvachose kuishandisa mukurapa ne:
- animeoneurotic edema in the anamnesis;
- kunyatsonzwisisa kune zvikamu zvakasiyana-siyana zvekugadzirisa;
- stenosis ye arteri (kana iroyi iga chete);
- hemodynamics isingachinji;
- arterial hypotension;
- pamuviri uye munguva yekuyamwisa.
Uyezve, zvinopesana nemutemo uyu zvinodhaka kusakunda uye hyperaldosteronism inokosha. Nokuchenjerera uye chete pasi pekutarisirwa kweutano kunofanirwa kutora Hartil vakwegura vakwegura, vana nevechiri kuyaruka (pasi pemakore gumi nemana), nokuti mumatambudziko awa, mapiritsi akadaro angasave akabudirira uye asina ngozi.