Nws yog paub tias cov neeg uas muaj kev kub ntxhov ntev ntev yog qhov kev pheej hmoo ntawm kev noj ntshav, kev mob ntshav qab zib, kev hloov hauv cov hlab ntsha ntawm lub fundus thiab lub raum tsis ua haujlwm. Yog li ntawd, cov neeg mob uas muaj kev pheej hmoo siab ntxiv nyob rau hauv ntshav siab, qhia tau hais tias siv cov tshuaj antihypertensive. Raws li cov kev tshawb fawb soj ntsuam, ib qho tseem ceeb tshaj plaws thiab siv yeeb siv tshuaj rau qhov siab yog ntsiav tshuaj Lizinopril.
Cov kev qhia rau kev siv cov ntsiav tshuaj Lizinopril
Cov tshuaj yog pom zoo rau cov nram qab no:
- Arterial hypertension (raws li tus neeg saib xyuas yus tus kheej los yog nrog lwm cov tshuaj antihypertensive);
- mob plawv tsis ua hauj lwm (nyob rau hauv kev kho mob ua ke ntawm cov neeg mob uas mob plawv glycosides thiab diuretics);
- mob ua paug myocardial infarction (kev kho mob rau thawj hnub hauv cov neeg mob uas tsis ruaj khov kho hemodynamic tsis zoo los tswj cov kev txwv no, thiab kev tiv thaiv ntawm kev ua kom tsis muaj teeb meem hauv plawv thiab lub plawv tsis ua haujlwm);
- diabetic nephropathy (txo tus kab mob albuminuria rau cov neeg mob uas muaj hom 1 ntshav qab zib mellitus ntawm cov ntshav siab thiab cov neeg mob ntshav qab zib hom ntshav II nrog ntshav siab).
Muaj pes tsawg leeg thiab tshuaj ua lag luam ntawm lisinopril
Tus nquag khoom ntawm cov tshuaj ua lisinopril dihydrate. Cov khoom pab yog: lactose, starch, silicon dioxide colloid, talc, magnesium stearate, thiab lwm yam. Lizinopril yog tso tawm rau hauv cov ntsiav tshuaj ntawm 5, 10 thiab 20 mg.
Cov tshuaj muaj npe rau hauv chav kawm ntawm cov tshuaj tiv thaiv ntawm angiotensin-converting enzyme (ACE inhibitors). Muab cov cardioprotective (kho qhov lub cev ua haujlwm ntawm myocardium), vasodilator thiab natriuretic (tshem cov ntsev sodium ntsev nrog cov zis).
Dosage ntawm lisinopril
Raws li cov lus qhia rau siv, lisinopril ntsiav tshuaj yuav tsum noj ib hnub ib hnub, tsis hais txog khoom noj haus. Nws yog ib lub tswv yim muab tshuaj rau tib lub sijhawm (nyiam dua thaum sawv ntxov).
Qhov hnyav nyob ntawm seb hom pathology thiab txiav txim siab tau tus kheej los ntawm tus kws kho mob. Yog li, nrog rau kev kho mob siab, pib thawj zaug txhua hnub, raws li txoj cai, yog 10 mg, thiab qhov kev ntsuas txij nkawm yog 20 mg. Qhov txhaj tshuaj ntau tshaj ib hnub yuav tsum tsis pub tshaj 40 mg. Yog tias noj cov tshuaj Lisinopril ntawm qhov ntau tshaj plaws tsis muab cov txiaj ntsim yam xav tau, nws tuaj yeem sau tshuaj ntxiv.
Cov cwj pwm
Contraindications rau kev siv cov lisinopril:
- tus caj npab idiopathic edema, Quincke's edema ;
- angioedema hauv keeb kwm;
- cev xeeb tub thiab lactation;
- tus tib neeg tsis txaus ntseeg ntawm lub cheebtsam tshuaj.
Nrog ceev faj, cov tshuaj tau sau rau hauv cov nram qab no:
- ischemic plawv;
- coronary insufficiency;
- cov kab mob cerebrovascular;
- collagenoses (nrog rau kev mob lupus erythematosus, scleroderma);
- hyperkalemia lossis kev pheej hmoo siab ntawm nws tshwm sim (nrog rau ntshav qab zib, simultaneous siv diuretics, mob plab loj heev);
- hyponatremia lossis kev txwv ntsev hauv txoj kev noj haus;
- hyperuricemia;
- hloov transplanted raum;
- laus nyoog, thiab lwm yam.
Phiv los ntawm lisinopril:
- mob taub hau, kiv taub hau;
- pw tsaug zog mob;
- tachycardia;
- mob plawv dhia;
- hypotension;
- txo ntawm hemoglobin thiab hematocrit;
- hnoos;
- xeev siab, ntuav;
- zawv plab;
- impaired raus muaj nuj nqi;
- pob kab pob, thiab lwm yam.
Thaum lub sij hawm kho nrog lisinopril yuav tsum saib xyuas lub siab ua haujlwm, potassium thiab lwm yam electrolytes hauv cov ntshav siab, kuaj ntshav.