"Khupha" okanye "Enalapril": yintoni engcono? Imiyalelo yokusetyenziswa "i-Enapa", intengo, ukuhlaziywa

Kwiminyaka yakutshanje, abantu abaninzi banokukhalaza ngokunyuka kwengcinezelo yegazi. Ukuze kuncitshwe, oogqirha banika iipilisi. Ngezinye iinkalo iintlobo zabo ezininzi zidibanisa. Phakathi kwala manani aphindaphindiweyo kuma-pharmacy abuzwa ngokuthi "Enap" okanye "Enalapril."

Kwaye ke wonke umntu unombuzo othi: "Ziyintoni umahluko phakathi kwezi zi yobisi?" "Enap" okanye "Enalapril" - kungcono?

Uwuphi umehluko phakathi kwe-Enap ne-Enalapril?

I-Enalapril yinto esebenzayo yeziyobisi, kwaye i-Enap yigama loshishino. Esi sidakamizwa singeqela le-angiotensin eguqulela i-enzyme inhibitors. I-Angiotensin yi-hormone evela kwisakhiwo seprotheni ngeefom ezahlukeneyo. Inyaniso kukuba i-angiotensin ibangela i-vasospasms kwaye ngexesha elifutshane likhokelela kwizifo zesifo senhliziyo. Iibhilethi "I-Enalapril" zinqanda ukuphuhliswa kwesifo senhliziyo. Misela kuphela iyeza kufuneka ugqirha, ngokusekelwe kwizikhombisi zakho.

Iipilisi ze-Enalapril zisetyenziswa kakhulu. A banceda:

• Uxinzelelo lwegazi oluphantsi.
• Ukunciphisa ixesha lokuhlaselwa kwe-angina.
• Ukuthintela ukuphuhliswa kwesifo senhliziyo kunye ne-cardiac arrhythmias.

Inap: isicelo

Ukunikezela kwesi sidakamizwa "Phunyezwa" kunye ne-blood pressure kunye ne-heart failure. La mayeza anceda izigulane ezinobungozi obunzima beklinikhi kunye ne-asymptomatic ye-ventricular dysfunction. Eli liyeza liboniswa kulo mzekelo, kuba liyakucotha ukuqhubeka kwesifo.

Kwakhona, "Ukukhupha" izibonakaliso zokusetyenziswa ngolu hlobo lulandelayo: ngesifo se-ischemic, isichengisiso sinciphisa kakuhle iziganeko zesifo kunye nesifo senhliziyo, sinceda kakuhle nge-angina pectoris.

Ziyasebenza njani iziyobisi?

Ngexesha apho "i-Enap" okanye "i-Enalapril" ingena emzimbeni, i-hydrolysis yecandelo eliphambili lenzeke, okubangele ukubunjwa kwe-enalaprilate - i-metabolite esebenzayo. Eli candelo livimba umsebenzi wee-enzymes, kwaye ngenxa yoko, kukho ukuphulwa kweenguqulelo ze-angiotensin. Ezi ziyobisi zinceda ukwanda kwemithambo yegazi, kunciphise kakhulu izinga le-aldosterone egazini.

Xa isilwanyana sisebenza ngomlomo, izinga lexinzelelo legazi liyehla , kodwa kungekhona ngokumangalisayo, kodwa ngokuthe ngcembe. Utshintsho kwisantya senhliziyo alugcinwa.

Kwakhona, ngokumkelwa, ukunyuka kwegazi kwe-renal kwanda, kwaye umsebenzi wezintso uphucula kakhulu. La mayeza akhusela ukuqhubela phambili kwe- nephropathy yesifo sikashukela. Ukuba uthetha "i-Enalapril" ngokucwangcisekileyo, kuphucula umgangatho wobomi kubantu abaneengcinezelo zengcinezelo kunye nokunciphisa inani lokufa kwintliziyo engaphumeleli.

Akukho miphumo emibi kwi-fat and carbohydrates metabolism, ayibangeli ukuphazamiseka komsebenzi wesondo. Impembelelo yesilwanyana ayixhomekeke kwisini kunye nobudala bomntu, ukuxinwa kwerenin egazini kunye nobukho bemikhuba emibi-ukutshaya.

Indlela yokufaka isilwanyana?

Ngoku malunga nendlela yokusebenzisa i- "Enap". Iibhulile zithathwa ngaphandle kokuhlafuna, kungakhathaliseki ukuba zithatha ukutya. Ngoxinzelelo lwe-blood pressure, luqala ngo-5 mg ngosuku, kodwa kuxhomekeke kwimeko kunye nesigqirha segqirha, umthamo unganyuswa ukuya kwi-20 mg. Kwaye kwimiba enzima kakhulu - kunye no-40 mg.

Ukuhluleka kwentliziyo kuqala ukuthatha nge-2.5 mg, kodwa i-dosage inganyuswa kuxhomekeke kwisilinganiso sesifo.

Kuzo zi gulane ezithatha i-diuretics, ingakumbi ukuba i-dose iphakamileyo, ukuthatha i-Enapa kunokunciphisa umthamo wegazi ojikelezayo, ongakhokelela ekubeni nomfutho wegazi ophezulu. Kungenxa yoko izigulane ezinjalo akufanele zidlule umthamo we-5 mg ngosuku.

Kodwa kulabo abanesifo esingapheliyo se-renal, i-dose kufuneka ikhethwe, ixhomekeke kwinqanaba lomdali. Ukuba i-30 ml / min, ke unako ukunika amacwecwe e-Enalapril kwisixa se-5 mg ngosuku, kwaye ukuba izinga liphantsi kwelo nani, kufuneka uqale nge-2.5 mg.

Ukunceda abantwana

Uninzi lwabazali banomdla ukuba ngaba kungenzeka ukuba abantwana bathathe i-Enap okanye i-Enalapril. Yintoni ebhetele kwaye yintoni ongakhetha kuyo?

Kumntwana ngamnye kubalulekile ukuba ukhethe umthamo weziyobisi ngokwawo, kuxhomekeke kwisiphi isifo kunye nantoni na. Kwakhona kuyimfuneko ukuqwalasela izinga lokunyanzeliswa komngcipheko nokunyamezela iyeza kumzimba. Kubantwana abanomlinganiselo ophakathi kwe-20-50 kg, i-dose yemihla ngemihla i-2.5 mg. Yaye ukuba ubunzima bungaphezu kwama-50 kg, ngoko uqala nge-5 mg ngosuku.

Ngokuphathelele zeziphi izidakamizwa ezimbini zokukhetha, akukho mmahluko. Ukuba uthatha isigqibo sokuthenga "I-Enap", ixabiso liya kuba liphezulu. Liliphi ikhambi elifanelekileyo ukukhetha, ugqirha uya kukuxelela.

Enalapril: ukuchasene

Khetha phakathi kwamachiza amabini - "Enap" okanye "Enalapril" - into engcono, ayiyi kuba nzima. Into ephambili kukuba ngaphambi kokuba uthathe iipilisi, kuyimfuneko ukuqhelana nokuchasene.

Ukungqinelana kwamachiza kubambalwa kakhulu, kodwa bafanele bawunakekele: oku kuvelisa ulwalamano okanye i-metabolite-enalaprilat. Kukho neemeko xa isiguli sine-angioedema kunye ne-porphyria ngexesha lokungeniswa.

Imiphumo emibi ye-Enalapril

Kubalulekile ukuba ufunde kuphela indlela yokuthatha kunye nokuphikisana nokusetyenziswa kweziyobisi "Enalapril". Kananjalo unemiphumo emibi, kwaye zininzi zazo. Ngabo kufuneka udinga ukuba ukuba babonakalisa umthamo ophantsi okanye bayeka ukuthatha amayeza. Xa uthatha isibisi kunokubonakalisa iimpawu ezinjalo:

• Umxinzelelo wegazi ohlahlayo wehla ngokukhawuleza;
• Isihlunu kunye nentloko;
• Angina pectoris;
• Utywala;
• Ukuhlaselwa kwentliziyo kunye ne-arrhythmia;
• Ubuthathaka nokulala;
• Ukukhathazeka;
• Ukukhathala ngokukhawuleza;
• Umsindo ezindlebeni;
• Umlomo omile, njl

Ngaphambi kokuba uthathe isilwanyana "i-Enalapril", imiphumo emibi ifanele ifundwe ukwenzela ukuba uyeke ukuyifumana kwaye ingabonakali imeko yakho kwiimeko ezinjalo.

Ukwamkelwa ngexesha lokukhulelwa

Abasetyhini abaya kuba ngumama kuphela, kungcono ukungathathi isilwanyana "Siphumelele". Kwaye abo bakhulelwe, kufuneka ukhethe iqhinga elifanelekileyo lokufumana isilungiso. Kwii-trimesters ze-II kunye ne-III, ukusetyenziswa kwesi sigulo kuvunyelwe ngokubanzi. Emva kokuba le ntokazi ibele kwaye iyakondla umntwana ngesifuba, imishanguzo ayilwanga. Kwaye ukuba ungeke ukwazi ukwenza ngaphandle kwalo, kufuneka uhlolisise i-blood pressure level, hlola umxholo we-potassium wegazi kunye nokusebenza kwezintso zentsana, umama onamncelisayo, ngelixa ethatha isilwanyana "Phuma".

Ukukhutshwa kwefomu kwezidakamizwa

Njengoko sithethile kwinqaku lethu, esinye isicatshulwa asifani nenye, zombini sinomzimba osebenzayo-i-enalapril. Ngako oko, ukuphendula umbuzo onomdla kubo abaninzi: "Enap" okanye "Enalapril" - yintoni engcono? "- ayiyi kuba nzima. Bobabini la mayeza alungileyo, kwaye indlela yokukhululwa nayo iyafana, kunye neengxaki zokulinganisa akufanele zibe. Ingxaki ethi "Enap" kunye ne "Enalapril" kwiipilisi ezine-2.5 ukuya kwi-20 mg yezinto ezisetyenziswayo.

Ukwahluke phakathi kwezi zimbini iziyobisi, kodwa kunjalo kunjalo, kunye nexabiso elibalulekileyo.

Iindleko zonyango

Into ephambili ebangela ukuba izigulane ezininzi zixhalabele ixabiso leziyobisi, kuba kudla ukuba kwenzeka ukuba unyango luyinkimbinkimbi, kwaye le nto ibiza kakhulu kwaye ayisoloko ifikeleleke kuwo wonke umntu. Ngokuphathelele iziyobisi "Enap" kunye ne "Enalapril", iindleko zabo aziphezulu kakhulu kwaye ziya kubhenela abathengi.

Ixabiso lentlawulo ye "Enap" ukusuka kuma-ruble angama-100 ukuya kuma-400, kuxhomekeke kumenzi kunye nenani lentsimbi esebenzayo. Iziyobisi zasekhaya zingabizi ngaphaya kwezilwanyana ezingenisekanga, kwaye akukho mmahluko: umphumo wezo zombini uhle kakhulu. Kodwa "i-Enalapril" ibiza amaxesha athile angabizi - ukusuka kuma-ruble angama-20 ukuya kuma-80. Iindleko zombini ezi zonyango ziphantsi, ngoko phantse zonke izigulane ziyaneliseka.

Iingxoxo ze "Enalapril"

Ukuba ngokukhawuleza akukho na mayeza kwiphemmesi, ngoko ungayifumana njani "i-Enalapril"? Kukho uluhlu olukhulu lwezidakamizwa ezifanayo. Ukongeza, uninzi lwazo ekubunjweni kukho ezinye izongezo ezongezelelweyo eziphucula ukusetyenziswa kwezinto ezisisiseko.

Abathengi abaninzi banelisekile ngexabiso kwi-Enalapril. Iingalogu zinokuhlawula amaxesha amaninzi, kwii-ruble eziyi-100, kodwa ngenxa yokuba zinamalungu amaninzi afanelekileyo akwandisa ukusebenza kakuhle. Kule meko, abaninzi abanakucalulela umahluko kumanani.

Iimpawu eziphambili ze "Enalapril" zi:

• Enam.
• "Vasolapril".
• "Enarenal".
• "Envas".
• Invor.
• "Bagopril";
• «Renitek».
• "I-Korandil."

Olu alukho uluhlu olupheleleyo, enyanisweni, kukho iziganeko ezintle ezi zizonyango, kwaye isigulane ngasinye sinokukhetha enye efanelekileyo ngakumbi. Zonke iimpawu eziza kunceda ukuvimba ukuveliswa kwe-angiotensin kwaye kunciphise kakhulu imithwalo yegazi nemithambo yegazi kunye nazo zonke izitho ze-cardiovascular system. Ngamanye amayeza adweliswe aneempawu zaso, kodwa izibonakaliso zokusetyenziswa zifana ngokufanayo.

Iimpawu ezikhoyo zonyango "Enap" zifana nokubunjwa. Ungongeza ezinye ezimbalwa, ezifumanekayo kwintengo, kwaye zintle kakhulu ekusebenzeni kakuhle:

• "Berlipril 10 okanye 20".
• "Renipril".

Elinye leziyobisi lilungile ngendlela yalo, kodwa ziqulethe izinto ezongezelelweyo ezandisa ukwenziwa kwamachiza. Khetha ukusuka kuloluhlu olukhulu lwezibhebhe ze "Enap" kunye nokutshintshwa akuyi kuba yinto enkulu. Kwaye kufuneka ukhethe, kuba umntu ngamnye unesifo esahlukileyo, kwaye uvakalelo kwiinkalo zonyango ngumntu ngamnye. Yenza olu khetho lukhuni luyakunceda ugqirha wakho.

Ukusebenzisana namanye amachiza

Amayeza angasetyenziswa ngaphambi okanye emva kokutya, njengoko kulungele isiguli. Ngo kwamkela i-"Enalapril" ukusebenza kwe-nitrate, ion i-potassium, i-prazosin iyabonwa. Ii-NSAID zinciphisa kakhulu umphumo walo.

Ukusetyenziswa ngokufanayo kwesi sidakamizwa kunye ne-diuretics kunye nomxholo we potassium kukhokelela ekuphuhliseni i-hyperkalemia.

Esi sidakamizwa sinciphisa izinga lokukhutshwa kwe-lithium, kunciphisa ixesha lokuphuma kwe-theophylline. "Cimetidine", ngokuchaseneyo, ukwandisa umphumo.

Isongelo sokuthi i- hypotension ye-arterial iyakhula ngexesha elifutshane , inyuka ukuba isigulane sinomzimba, okanye ukuba wayetywala. Yingakho kungcono ukunqanda utywala.

Yintoni engcono?

Ukuze uphendule ngokungabonakali umbuzo othi: "Enap" okanye "Enalapril" - yintoni engcono? "- iya kuba nzima kakhulu, kuba zombini la mayeza anesisombululo esisodwa. Akukho mahluko phakathi kwezi zi yobisi. Mhlawumbi umehluko kuphela kumanani. Kodwa, njengokuba umkhuba ubonise, isigulane ngasinye sizikhethela sona izidakamizwa eza kuye.

Ngamanye alezi zi yobisi, nangona kukho enye into esebenzayo, kodwa izongezo ezongezelelweyo zihlukileyo, oko kuthetha ukuba kwimeko nganye, ezimbini iindlela ezifanayo ezifanayo ziyakwenza ngendlela eyahlukileyo. Ngoko ke, kufuneka ukhethe ngokuchanekileyo le nkunkuma.

Uphononongo

Ngokubhekiselele kwimibono malunga neziyobisi "Enap" kunye ne "Enalapril", ezininzi izigulane ezenza iziphumo zamachiza ngokwazo, zithetha ngokuthe tye.

Abantu abaneengcinezelo zegazi ezinokuzondeka nabo banomdla kakhulu ngala mayeza amabini, njengoko ngokukhawuleza kwaye, ngokubalulekayo, ukunciphisa ngokunyanisekileyo ukunyuswa kwengcinezelo, kwaye ke ukuyigcina kwinqanaba elide ixesha elide.

Nangona oomama abanika la mayeza abantwana baxelela ukuba xa bengadluli umthamo, "u-Enap" uncedo olukhulu kwiimeko ezinzima kakhulu.

I-Enalapril ineempembelelo ezininzi, kodwa ukuba awuwuthathi umthamo kwaye uqwalasele zonke iinguqu zesifo sakho, unokuziphepha.