Kodi ndikugwira ntchito yotani Captopril?

Ntchito ya mtima wamtima imayesedwa ndi kuyesa kuthamanga kwa magazi. Ndi zosiyana zosiyana za chizindikiro ichi, mankhwalawa amatchedwa Captopril. Mu mtima wamaganizo amagwiritsidwa ntchito nthawi zambiri, ndipo ngakhale maziko a mankhwala a nthawi yayitali.

Ngakhale kuti kuchuluka kwa mankhwalawa kuli kwakukulu, si odwala onse omwe amadziŵa kuti amatha kutenga Captopril ndi momwe amachitira thupi.

Kuchepetsa kapena kuonjezera mavuto a Captopril?

Mankhwala omwe amawafotokozera amapangidwa chifukwa cha mphamvu yogwiritsira ntchito dzina lomwelo. Ali m'gulu la ATP-angiotensin yomwe imasintha mavitamini a enzyme. Izi zikutanthauza kuti captopril imapanganso kupanga mapangidwe apadera omwe amachititsa kuwala kwa mitsempha ya magazi. Pa nthawi yomweyi, chogwiritsidwa ntchito cholimbikitsana chimalimbikitsa kusonkhanitsa kwa bradykinin. Enzyme imeneyi imatulutsa mitsempha yambiri.

Choncho, mankhwalawa ali ndi mphamvu zowonongeka, ndipo n'zosavuta kudzidzimutsa kuti kuthamanga kwapadera kotenga Captopril - kwowonjezereka. Komanso, mankhwalawa amachititsa zotsatirazi:

• Kupititsa patsogolo kulekerera kwa minofu ya mtima ku katundu;
• kuchepetsa kuwonongeka kwa mitsempha ya magazi kupita ku magazi;
• kuwonjezereka kwa nthendayi ndi kupha magazi;
• kuchepa kwa kuchuluka kwa aldosterone kupanga mu adlandal glands;
• kuwonjezeka kwa mphindi imodzi ya mtima;
• kuchepetsa kuthamanga kwa magazi mu aortic danga;
• chiwerengero cha zovuta za kukwatirana mu mitsempha yaing'ono yamagazi ndi atrium yoyenera;
• kuchepetsa kwa platelet aggregation .

Pogwiritsira ntchito mankhwalawa nthawi yaitali, magazi omwe amagwiritsidwa ntchito m'galimoto yapamtunda amakula bwino pakakhala zovuta zamaganizo, kupweteka kwake kwa hypertrophy, komanso kuwonjezeka kwa mitsempha ya m'mitsempha ya chilengedwe, kumachepa.

Kodi msinkhu wa chitetezo cha magazi udzathandizira mapiritsi a capsopril?

Mankhwalawa amawasankha kuti azikonzekera mankhwala osamalidwa ndi mankhwala komanso nthawi zonse.

Mankhwalawa amathandiza kwambiri matenda opatsirana kwambiri, pamene magawo a tonometer sapitirira 179 ndi 109 mm Hg. Art. Pachifukwa ichi, mankhwalawa angagwiritsidwe ntchito komanso ngati mankhwala osokoneza bongo omwe amalepheretsa kudya ma sodium m'thupi.

Kugwiritsira ntchito captopril pangozi yowonjezera kwambiri, kuposa 180 mm 110 mm Hg. ayenera kukhala ogwirizana ndi kayendedwe ka thiazide diuretics (diuretics). Mlingo wa mankhwala ochepa amayamba pang'onopang'ono mpaka kufika pamtanda wotsekedwa - 150 mg wazakumwa patsiku.

Zitha kunenedwa kuti mankhwalawa amathandizira kuwonjezeka kwina kulikonse, makamaka kuphatikizapo mankhwala ovomerezeka.

Kodi ndizovuta zotani zomwe zizindikiro zogwiritsira ntchito Captopril?

Malingana ndi mfundo zomwe tafotokozazi, mankhwalawa amathandiza kuti onse akhale ofatsa komanso odzichepetsa pa chiwopsezo chachikulu cha matenda opatsirana, kuphatikizapo vuto la matenda oopsa kwambiri.

Kuwonjezera pa matendawa, captopril imasonyezedwa pofuna kuchiza zotsatirazi:

• kupweteka kwa myocardial ndi kuseri kwa ventricular kutayika, kupatula mkhalidwe wa wodwalayo uli wodekha;
• Renovascular hypertension;
• kupweteka kwa mtima kapena kupweteka kwa mtima (mankhwala osakaniza ovuta);
• matenda a shuga a mtundu wa 1 odwala matenda a shuga, ngati albuminuria siimachepera 30 mg / tsiku;
• Kusokonezeka maganizo kwa chiyambi chosiyana.