Currently, e like me ka World Health Organization, i ka Hoʻohaku kulana i loko o ka papa inoa o ka poe mai, i mea e make ai o ke kanaka, lawe i ka pathology o ka mea'ōnaehana mānowai koko'ōnaehana, ke kiʻekiʻe o worsening i ka pono o ke ola, a alakai ai i ka eventual pio o nā mea a pau'ē aʻe na nā loko.
Ke urgency o ka pilikia
A ma laila nō hypertension a me ka atherosclerosis hele pū ana kokoke i na lua o ka makua, o ka oi aku ma hope o nā makahiki hoʻokahi kanahā. Ka hapanui o kanaka i kapa ai i kēia mau maʻi ka loa superficial, wehewehe i ko lakou prevalence, a pehea ia mea ia ia pilikia loa. Naʻe, i ka make ana o kēpau complications. He He myocardial infarction, ischemic a me ka hemorrhagic hahauʻana, aortic aneurysm, cardiac a me kaʻaʻa puʻuwai 'ole. Hypertension a me ka atherosclerosis pinepine pili ana i kekahi i kekahi, e like me ka mua o ia kūpono aʻe trofiku moku, e alakai e ho'ōla i ka lua.
Ano o ka pharmacological pūʻulu
Ka loa, he pono ole ohe. No ka'aloʻahiʻa-hoʻopale mau diuretics - ai 'i māhuahua urination, a ilaila hoemi koko ka leo a me ka puʻe moku. Penei, hypertensive nā mea maʻi i ia pololei nāʻikepili. "Indapamide HI STADA" "Indap" "Akripamid" "Arindap" "Arifon", "Ravel" - he kuai ka inoa o ka ia lāʻau, mai kēia mau ai 'i i ke kanaka ma muli o kekahi hana waiwai - indapamide, a oko wale manufacturing poe, auxiliaries, a, o ka papa, kumukuai. Ka mea, hai aku i ka pharmacological pūʻulu o thiazide diuretics, a, e like me ka loop ( "Furosemide", ethacrynicʻakika, "bumetanide") 'aʻole i komo i ka ikaika diuretic hana, akā, aka hypertension ua i komo i loko o kā lākou nāʻikepili. "Indapamide" a he nui kona mau loa.
pono pū nō ia o ka lāʻau
Ua hoʻokāʻoi aʻe ana i ka elasticity o na moku koko, hiki hoemi ka huinaʻike ākea e kū'ē'ē mai. Ua hiki aku ma ka huli ana i ka emi ana ma ka haawe ana ma ka ventricle hema o ka naau, a leie aku ia i emi ke kanana nei i ka expulsion pae. Keia mea aie a hiki i ka hiki o ka indapamide e like me ka mea e wae wahi o ke kali amo kaha no kalipuna, me ka i vasospasm 'ōlelo. Ua hoi ho'ēmi i kā ka vascular pā lonoaʻili i catecholamines, a kiola contraction o ko lākou mau pā, a me ka stimulates lākou relaxant - prostaglandin E2. Ma keia hihia, indapamideʻaʻohe kanawai ma lipid a me ka carbohydrate pūnao, ka mea hiki ke hoʻohana i nā mea maʻi i mimikō. Penei, ka mea i he ākea huahelu o ka 'ole ma luna o ka mea'ōnaehana mānowai koko'ōnaehana, no ia mea, "Indapamide" nāʻikepili no ka hoʻohana a loaʻaʻo ia nui hypertension, mea he pono ka lapaau a me ka ho'ēmi i kā i ka pilikia o ka naau hoouka a me ka hahau ana.
nana e hooleʻaoʻao
O ka holo ana, e like kekahi lāʻau, ka mea, i ole wale i ka hoike ana i ka hoʻohana 'ana o "Indapamide" akā, contraindications, a i pili i ka helu pono nui o kaʻaoʻao loa. Mua, ka mea e loli ai ka Central ko mākou hopohopo'ōnaehana, e kauoha ana noho'na makaainana i ulu nervousness a me ka irritability, uunu nui, a me ka headaches pōniuniu, drowsiness paha, conversely, Kanikani'āʻula (no kēlā me kēia hoomanawanui), hiki kaumaha, luhi. Ma muli o ka inhibition o ka hana ana o catecholamines paha e ka 'aʻe' ana o ka naau pāpana, a e hōʻike palpitations. Nō hoʻi, ma muli o ia i ka lōpū diuretic ia a me ka indapamide lilo o ka mimi ole wale paʻakai a me ka chlorine, akā, potasiuma a me ka makanekiuma e hoʻomōhala gipokaliemicheskogo maʻi pale.
Hopena ma ka hui, nenoai
I keia k e loli ai i ka kanaka digestive'ōnaehana, ma o na la nausea, ka luaʻi, abdominalʻeha, make o ka ikaika loa ka makemake a anorexia, dyspeptic kāna hana noho (diarrhea / constipation). Kākaʻikahi ka hiki hoʻoʻino loli ma ka mucous membranes o ka naehana'āpana a me ka hooulu ana o ka cough, rhinitis, pharyngitis a me ka sinusitis. A ma muli o ia ka pololei 'ana o indapamide hoomanawanui, e' ike pinepine urination, a me i ka po, a me ka manao ana o dryness i loko o ka waha (polyuria, nocturia). Ma ke alo o ka māpuna allergic kūlana o ka hoʻomanawanui 'ole hypersensitivity i ka lāʻau kānāwai me ka maneo poʻe noʻonoʻoʻole, urticaria, a hoʻomōhala hemorrhagic vasculitis. He loa pohihihi, akā, ia mea he kīnā o indapamide hopena ma luna o kanaka hematopoietic'ōnaehana i loko o ka palapala o hemolytic maʻi anaemia, leukopenia a thrombocytopenia, agranulocytosis, iwi lolo aplasia'aʻaʻa.
Contraindications
Aie i kaʻaoʻao 'ole o ka lāʻau pololei contraindications i kona hoʻohana hoʻohikiʻia hepatic aʻaʻa puʻuwai insufficiency, hypersensitivity i kekahi o na nā mea hoʻohui komo i loko o kona haku mele' ana, nā 'ōpio makahiki (18 makahiki), hypokalemia (nānā' ole o ka ho omaka), i ka moku'āina o gestation paha lactation manawa. Eia hou, ua hoʻohana 'lōʻihi malama makaukau i loko o nä aʻe' ana o ka wai-electrolyte kaulike,ʻaʻa puʻuwai a hepatic hana, hyperparathyroidism, mimikō (decompensated ke kahua), hyperuricemia (oi loa i loko o kaʻike, o ka gout a uricʻakika nephrolithiasis). Ua mea i nui, e noonoo kona hopena ma ka hui Inc o ka maʻi.
Pono!
IeAUPIIe, IAa IO lawa kela la i keia laʻau heluna o ka lāʻau i loko o ka helu o ka "Indapamide" huaale. Nāʻikepili no ka hoʻohana ana i ka lāʻau '- arterial hypertension a me ka naʻau' ole. Ka mea, i malamaia lakou nei, me ka luna ', a no laila ia mea mau Kuleana e pono hui pu iho ai' pu. Inā ka hoomanawanui, ka oi aku o ka poʻeʻelemākule, oia ke launa mai cardiac glycosides paha laxatives, pono ikaika ka mālamaʻana kreatinemii a me ka potasiuma like hoʻi me paʻakai a me ka makanekiuma pae, monakō koko a me ka uricʻakika i loko o ke koko wai koko. A pau kēia mau kāohi ana i nona i pale i ke kūpono 'ana o ka huʻiʻaʻa puʻuwai ka hoʻokō' ole 'ole loa' aʻe 'o electrolyte kaulike. Ua E hoi e hoomanao i keia k i he hiohiona hypotensive hookoia, akā, no ka mea, ke emi i ka lehulehu o kanaka akamai, no laila, ia oe e kipaku i ke kaa ma hope o ka lawe "Indapamide".
mea, ua ulu
Penei, hoʻowahāwahā i ka mea i ka lāʻau he nui kona mauʻaoʻao 'ole, a he ololi i ka laulā o nāʻikepili no ka pono, "Indapamide" ia mea he lahui ka hoʻokō lapaʻau no ka nui hypertension a me ka haumāna hypertension. Kēia mea ma muli o ia mau wahi o kona pharmacological haʻawina, kokololio, a ke hoʻokō 'ia kona absorbability mai ka gastrointestinal'āpana, e like me kiʻekiʻe bioavailability. Mau ano e ka mea e ku mai, mai ka helu ana o diuretics, a e nui i Hopu ma ka iapaau ana o ka maʻi o ka mea'ōnaehana mānowai koko nenoaiu.