Okwangoku, ngokutsho World Health Organization, ukuma ebhudla kuluhlu lwezifo ezibangela ukufa yomntu, uthabathe ngezifo kwenkqubo sentliziyo, ngokuthe ngcembe mandundu umgangatho wobomi kwaye kungakhokelela ukoyiswa ekugqibeleni lwazo zonke ezinye izigqeba zangaphakathi.
Ukungxamiseka ngxaki
Ngoko ke akukho lwegazi kunye yamafutha ehamba phantse bonke abantu abadala yesibini, ingakumbi emva kweminyaka engamashumi amane. Abantu abaninzi zibhekisela ezi zifo kukha kakhulu, echaza yolwaphulo kwaye oko kubonakala kubo yingozi. Noko ke, ukufa kubunzima abakhokelayo. Esi iposi engabalulekanga, kobuchopho kwaye ukopha nobetho, kwemithambo aortic, ezesifuba ukusilela kwezintso. Lwegazi kunye yamafutha asoloko ehamba omnye njengoko wokuqala kubo gqolo iphula iimpahla trofiku, nto leyo ekugqibeleni owesibini.
Iimpawu eqela imithi
Unyango oluqhelekilyo uxinzelelo-resistant na womchamo - iziyobisi ukwandisa ukuchama kwaye ngoko kuncitshiswa imithambo umthamo wegazi kunye noxinzelelo. Ngenxa yoko, izigulane unesifo babe nazo zikhombisa ngqo. "Indapamide MI STADA" "Indap" "Akripamid" "Arindap" "Arifon", "Ravel" - igama zorhwebo ziyobisi, kuba la machiza zenziwa ngokusekelwe enye into esebenzayo - indapamide, zahluke kuphela mveliso iinkampani, nezincedisi kunye, Kakade ke, ixabiso. Umalunga iqela amayeza of womchamo thiazide, leyo, ngokungafaniyo yomtya ( "Furosemide", ethacrynic acid, "bumetanide") angenayo inyathelo umchamo ezifana onamandla, kodwa kunjalo lwegazi kwakhona zibandakanyiwe ezibonisa zabo. "Indapamide" kwaye neziphumo ezininzi.
iinzuzo beziyobisi
It kwandisa luthambe kwemithambo yegazi, nto leyo eye yanciphisa ukuxhathisa iyonke peripheral. Oku kukhokelela nayo yokuncipha kwenani umthwalo phezu ventricle lasekhohlo entliziyweni kwaye ivumela ukuba uhlobo ngaphantsi ngexesha lesigaba nobudlelwano. Oku kungenxa nokukwazi indapamide ezifana ikwaxina uyakhetha ndlela zothutho kade calcium, ngaphandle apho vasospasm ziyakupheliswa. Oku kunciphisa kananjalo uvakalelo nemithambo ukuya catecholamines, ibangela yindibanisela kweendonga zawo, kudaleke relaxant lwabo - E2 prostaglandin. Kulo mzekelo, indapamide alunasiphumo kwi lipid kunye carbohydrate ukutya, oko ingasetyenziswa kwizigulane kunye seswekile. Ngenxa yoko, ukuba sele uluhlu olubanzi iziphumo yegazi, apho "Indapamide" ezibonisa zokusetyenziswa eziquka lwegazi angala kubalulekile, kuba unyango olusebenzayo kwaye kunciphisa ingozi yesifo sentliziyo kunye stroke.
reverse side
Kakade ke, njengaye nawuphi na isiyobisi, kube bubungqina kungekuphela ukusetyenziswa "Indapamide" kodwa Izimo, ezi zinto zinxulumene inani elikhulu ngokwaneleyo yeziphumo ebezingalindelekanga. Okokuqala, ichaphazela inkqubo luvo, ibangela uvalo ezizenzekelayo nochuku, ixhala, ebuhlungu kunye nesiyezi, ukozela okanye, icala, efuna (ukuba isigulane ngasinye), ukudandatheka kunokwenzeka, ukudinwa. Ngenxa inhibition elo of catecholamines inokuba yaphula isingqi kwentliziyo, eya kuvela iyangongoza. Kwakhona, ngenxa nempembelelo eliphakathi umchamo kunye nelahleko indapamide umchamo kuphela isodiyam kunye chlorine, kodwa potassium nezinki lisenokuba gipokaliemicheskogo syndrome.
Impembelelo kwiinkqubo zomzimba
Kwakhona eli chiza kuchaphazela inkqubo yokucola yabantu, ibangela isicaphucaphu, ukugabha, iintlungu esiswini, ukungabi namdla kude ukudla, dyspeptic ukuphazamiseka isitulo (isisu / ukuqhina). Ayifane utshintsho kunokwenzeka ukudumba kwi kwiinwebu phecana nokuphefumla kunye nophuhliso ukukhohlela, nokuthimliswa, pharyngitis kunye sinusitis. Kwaye ngenxa yokuba isenzo ngqo isigulane indapamide uya kufumana Ukuchama rhoqo, kuquka ebusuku, kunye nokuziva ukoma emlonyeni (polyuria, nocturia). Phambi yemeko komzimba yawo kumguli okanye hypersensitivity ukuba ichiza zingenzeka kunye ukurhawuzelela irhashalala, urticaria, okanye ukuphuhlisa ukopha vasculitis. Inqabile kakhulu, kodwa ke njengokubonisa legalelo indapamide kwindlela hematopoietic yabantu ngohlobo igazi hemolytic, leukopenia okanye thrombocytopenia, agranulocytosis, ithambo ngumongo aplasia kwithishyu.
Izimo
Ngenxa yeziphumo ebezingalindelekanga ichiza Izimo ngqo ukusetyenziswa kwayo ichazwa insufficiency hepatic okanye kwezintso, hypersensitivity kuyo nayiphi na izithako engena nokubunjwa kwayo, iminyaka zoLutsha (eyi-18), hypokalemia (kungakhathaliseki imvelaphi), imeko yokumitha okanye lokwaphusa thuba. Ukongeza, ukulungiselela care kakhulu isetyenziswa ekuchongeni Kukwaphula balance yamanzi-electrolyte, umsebenzi kwezintso okanye hepatic, hyperparathyroidism, seswekile (isigaba decompensated), hyperuricemia (ingakumbi lokufunyaniswa sifo okanye uric acid nephrolithiasis). Kubalulekile kwakhona ukuba siqwalasele ifuthe layo kunyango idibene sifo.
Ngokucophelela!
oyidlayo Ngokuqhelekileyo esaneleyo mihla le beziyobisi eziliqela "Indapamide" iipilisi. Iimpawu zibonisa ukuba ukusetyenziswa kweziyobisi - umfutho wegazi kunye nokungaphumeleli intliziyo. Bona iphathwa kunye nezintsonkothileyo, yaye ngako oko ke kunyanzelekile ukuba ukudibanisa kakuhle iziyobisi kunye. Ukuba isigulane, ingakumbi abantu abadala, ifumana glycosides senhliziyo okanye laxatives, kufuna esweni kreatinemii rhoqo potassium kwakunye sodium nezinki amanqanaba, glucose uric acid kwi plasma yegazi. Zonke ezi amanyathelo othintelo ajoliswe ekuthinteleni uphuhliso ukusilela renal okanye okunzima of balance electrolyte. Kufuneka kukhunjulwe ukuba eli chiza nesiphumo esiphawulweyo kuniko iqinile, kodwa kuba oko ukunciphisa ekwakugquba ngayo ngabantu, ukuze ukuba aqhube isithuthi emva kokuthatha "Indapamide".
iziphumo
Ngaloo ndlela, nangona eli chiza lineziphumo ebezingalindelekanga ezininzi kwaye ezinciphisa ububanzi ezibonisa ukusetyenziswa, "Indapamide" kuyinto unyango olusebenzayo kakhulu lwegazi eziyimfuneko kunye noxinzelelo lwegazi eziziisekondari. Oku kungenxa kwiindawo ezininzi zemisebenzi yayo amayeza, ekhawulezileyo uze ugqibezele absorbability wayo ukusuka iphecana zesisu, kwakunye bioavailability eliphezulu. Ezi mpawu zenza ivelele eziliqela womchamo kwaye wenze idabi ebalulekileyo unyango lwezifo kwenkqubo sentliziyo.