Aprovel o se vailaʻau ua fuafuaina mo le togafitia o le toto maualuga ma le nephropathy. Ua faʻatagaina e faʻaaoga se vailaʻau mo le maʻi suka. I lenei tulaga, o le vailaʻau e le mafua ai le toe foʻi i tua pe a maeʻa le togafitiga. O loʻo avanoa le vailaʻau ile laupepa lea, e mafai ai e fomaʻi ona aua nei pulea le vailaʻau. O tagata gasegase lava latou e mafai ona fetuʻutuʻunaʻi le faʻasologa o vailaʻau togafitiga i se taimi talafeagai mo latou.
Suafa Faʻavaomalo Igoa
Irbesartan.
![](http://img.diabetesentity.com/img/sayd-2020/1541/kak-pravilno-ispolzovat-preparat-aprovel.jpg)
Aprovel o se vailaʻau ua fuafuaina mo le togafitia o le toto maualuga ma le nephropathy.
ATX
I04K04.
Faʻamatuʻu pepa ma le faʻavae
O loʻo iai le vailaʻau ile laupepa enteric-coated. O le iunite o vailaʻau o loʻo iai 150, 300 mg o le gaosi mea - irbesartan. I le faʻaaogaina o vaega i le gaosiga:
- susu suka;
- hypromellose;
- colloidal dehydrated silicon dioxide;
- magnesium stearate;
- croscarmellose sodium.
O le ata ata e aofia ai carnauba wax, macrogol 3000, hypromellose, titanium dioxide ma le suka suka. O papamaa e iai se biconvex oval foliga ma vali paepae.
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Vailaau gaioiga
O gaioiga a Aprovel e faʻavae i luga o le irbesartan, o se malosi malosi o tagata filifilia angiotensin II receptors. Ona o le taofiofia o le taliaina tagata gaioiga, o le totoʻo o le aldosterone i le toto plasma ua faaitiitia. E le suia le tulaga o ion sodium i le toto toto pe a le faʻaaoga e le tagata maʻi le vailaʻau ma ave naʻo le fua fautuaina i aso uma.
O le iʻuga o le gaioiga o le vailaʻau o le vailaʻau, ua maitauina ai le faʻaitiitia o le toto maualuga (BP). I lenei tulaga, e leai se faʻaititia o le tata fatu. Faatasi ai ma le naʻo le tui e oʻo atu ile 300 mg, ole paʻu ile toto toto e faʻalagolago tasi ile suʻega na inu. Faatasi ai ma le faʻaopopoina o aso uma o le gaioiga malosi, e leai ni suiga malosi i faʻailoga toto.
Le maualuga maualuga hypotensive aafiaga na matauina 3-6 itula pe a uma ona inu le pulu. Ole togafitiga e tumau mo 24 itula. Ina ua maeʻa se aso mai le taimi o le taumafaina o se faʻasao se tasi, toto miti na o le 60-70% o le maualuga maualuga.
Ole faʻafitauli ole vailaau o Aprovel alualu i luma na atiaʻe ile vaitaimi ole 7-14 aso, aʻo le tapulaʻa maualuga ole tau togafitiga e maitauina pe a maeʻa le 4-6 vaiaso. I lenei tulaga, o le hypotensive aafiaga e tumau. A le toe faʻaaogaina le togafitiga, e faʻasolosolo malie lava le toto toto i lona tulaga muamua.
Togafitiga vailaau
I le maeʻa o le tuʻufofoga, ua vave ona faʻaaogaina le vailaʻau i le laʻititi laititi e le 60-80% o le fualaʻau. A ulufale atu i le toto toto, o le mea malosi gaosi i le plasma protein i le 96% ma, faʻafetai i le faʻavae na fausia, e tufatufa atu i luga o aano.
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Ole vailaʻau o loʻo ausia le maualuga ole maualuga toto i le 1.5-2 itula pe a maeʻa le faʻatautaiga.
Le faʻamutaina o le afa-ola faia 11-15 itula. Itiiti ifo nai lo le 2% o le gaosi tino i lona tulaga muamua faʻatoʻese atu e ala i le urinary system.
Faailoga mo faʻaaoga
O le vailaʻau ua fuafua mo le togafitiga ma le puipuia o le toto maualuga e pei o monotherapy poʻo le tuʻufaʻatasia ma isi vailaʻau ma antihypertensive aafiaga (beta-adrenergic poloka, thiazide diuretics). Fomaʻi tagata faʻatonu fomaʻi Aprovel mo nefropathy i luma o le maʻisuka ituaiga 2, faʻatasi ai ma le toto maualuga. I se mea faapena, e le faia se monotherapy, ae o se togafitiga lavelave e faatonuina e faʻaititia ai le toto maualuga.
Anotusi
Ole vailaʻau e le fautuaina pe faʻasaina mo le faʻaaogaina i mea nei:
- faateleina le faʻaititia o 'aʻai i vaega faʻavae o le vailaʻau;
- faapaleni i le lactose, lactase;
- malabsorption o monosaccharides - galactose ma kulukose;
- ogaoga le ate.
Ona o le le lava o fomaʻi suʻesuʻega, o vailaʻau faasaina mo tagata i lalo o 18 tausaga.
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Ma le faʻaeteete
Lapataiga fautuaina i tulaga nei:
- stenosis o le aorta po o le mitral alatoto, alatoto neula;
- toe totoina o fatugaʻo;
- CHD (faʻamaʻi o le fatu);
- ma le faʻaletonu o fatugaʻo, e tatau ona puleaina le maualuga o le potassium ma le creatinine i le toto;
- cerebral arteriosclerosis;
- taumafa e leai se masima, faʻatasi ai ma le manava manava, puaʻi;
- faʻalavelave i le cardiomyopathy;
- hypovolemia, le leai o se sodium i luga o le talaʻaga o vailaʻau togafitiga ma diuretics.
E taua le mataituina o le tulaga o tagata gasegase ile hemodialysis.
Auala e ave ai Aprovel
Ole fualaau faasaina ua faamoemoe mo tuʻufofoga. I le taimi lava e tasi, le saoasaoa ma le malosi o le faʻaaogaina o meaola i totonu o le laʻititi laʻititi e tutoʻatasi i taumafa taumafa. Pusa e tatau ona inu atoa e aunoa ma le ulaula. O le faʻasologa masani ile amataga togafitiga o le 150 mg ile aso. O tagata gasegase e moʻomia le maualuga o le antihypertensive togafitiga e maua ai le 300 mg i le aso.
Faatasi ai ma le le lava le faʻaititia i le toto toto, tuʻufaʻatasia togafitiga ma Aprovel, beta-blockers, calcium ion antagonists o loʻo faʻaaoga e ausia ai sini.
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E taua le manatua o le fua ma le umi ole togafitiga e faʻavae naʻo le fomaʻi faʻapitoa e faʻavae i luga o uiga patino o le tagata maʻi, faʻataʻitaʻiga o faʻataʻitaʻiga ma suʻega tino.
O le inuina mo le maʻi suka
Faʻafeiloaʻiga mo le maʻisuka ituaiga 1 e tatau ona talanoaina ma lau fomaʻi, o le e faʻasaina le faʻaaogaina o le Aprovel poʻo le faia o se fetuunaiga o fomaʻi i aso uma. Ile ituaiga 2 e le o inisalini le faalagolago ile ma isuka, ole fua fautuaina ile 300 mg ile aso tasi.
O tagata e maua ile ma isuka ua tele le avanoa e maua ai i le hyperkalemia.
Faʻafefea ona mumusu e talia
Faaleaogaina kanesa ina ua mavae le taofia vave o le ave Aprovel e le o matauina. E mafai ona vave liliu i seisi vailaʻau togafitiga pe taofi le inuina o le vailaʻau.
Aafiaga itu o Aprovel
O le saogalemu o le vailaʻau na faʻamaonia i suʻesuʻega falemaʻi na auai tagata 5,000. 1300 volenitia mafatia i le toto maualuga ma inu le vailaʻau mo 6 masina. Mo 400 tagata gasegase, o le umi o togafitiga na sili atu i le tausaga. Ole faʻaletonu ole aʻafia e le faʻalagolago ile saʻiliga na ave, itupa ma le matua ole gasegase.
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I se placebo-faʻatonutonuina suʻesuʻega, 1965 tagata volenitia na mauaina le irbesartan togafitiga mo le 1-3 masina. I le 3.5% o mataupu, o tagata gasegase na faamalosia e lafoai togafitiga ma Aprovel ona o le le lelei metotia tapulaa. 4.5% na mumusu e ave le placebo, aua latou te le lagonaina le alualu i luma.
Gastrointestinal tract
O faʻaletonu le faʻaalia ile faʻaogaina o faʻaʻupuga e pei o:
- manava manava, manava masuasua, niniva;
- vevesi, puaʻi;
- faʻaleleia le gaioiga o aminotransferases i hepatocytes;
- dispepsia;
- lotomaʻi.
I le itu o le ate ma le biliary tract, ono tupu le hepatitis, o se siitaga i le plasma συγκέντina o le bilirubin, lea e tau atu i le kolestatic jaundice.
Ogatotonu o le tino
Faʻalavelave i le fesoʻotaʻiga o neula ona o le faʻaaogaina o vailaʻau antihypertensive e masani ona faʻaalia i foliga o le niniva ma le ulu. I mataupu e seasea, fenumiai, mala sili, maso cramps, maso vaivai, ma vertigo na matauina. O nisi gasegase na faʻalogoina tinnitus.
Mai le manava faiga
Pau le itu itu o le manava o le faʻaleagaina.
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Mai le genitourinary system
I tagata i se tulaga lamatia o le atiaʻe fatu fatu, fatu mafai ona fatuina fatu.
Mai le cardiovascular system
Ole Orthostatic hypotension e masani ona faʻaalia.
Alergi
I totonu o faʻaaliga o aʻafiaga teteʻe, e i ai:
- Quincke edema;
- anafaila faʻaletonu;
- mageso, vevela, erythema;
- ureticaria;
- angioedema.
Tagata gasegase faigofie i se anaphylactic tali atu e manaʻomia se suʻega alergi. Afai o le faʻaiuga e lelei, o le vailaʻau e tatau ona suia.
Aʻafiaga i le mafai ona pulea masini
Ole fualaau faasaina e le afaina ai le poto ole tagata. I lenei tulaga, e mafai ona atiaeina se tali le lelei mai le ogatotonu ma le vaega o neura, ona o lea e fautuaina ai e aloese mai le aveina o se taʻavale, galulue ma mea lavelave faʻamalosi ma mai isi gaioiga e manaʻomia vave tali atu ma mafaufau loloto i le vaitaimi o vailaʻau togafitiga.
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Faapitoa faatonuga
O tagata gasegase e le mafai ona faʻatinoina le faʻamaʻi o le cardiovascular poʻo le ogaoga o le faʻaleagaina o le fatu e faʻateleina le faʻaletonu o le faʻatupuina o le maualuga o le hypotension, oliguria, ma faʻateleina nitrogen i le toto. Ile malosi ole faʻaitiitia ole toto maualuga ona ole ischemia, e ono tupu ai le afaina o le myocardial poʻo le cerebral vascular stroke.
Faʻaaoga i le taimi o maitaga ma faʻasusu
Le vailaʻau faasaina e faʻaaogaina i le vaitaimi o le maʻitaga. E pei foi o isi vailaʻau e aʻafia ai le renin-angiotensin-aldosterone, irbesartan saoloto i totonu o le pa puipui. Ole vaega galue e mafai ona aʻafia ai le atinaʻeina ole intrauterine i soo se vaega o le maʻitaga. I le tulaga lea, e aveina le irbesartan i le susu susu, e fesoʻotaʻi ma le mea e tatau ai ona taofi le faʻasusu.
Tofiga o apolo i fanau
E le fautuaina i tagata gasegase i lalo ole 18 tausaga, ona e leai ni faʻamaumauga ile aʻafiaga o le vailaʻau ile atinaʻe ile laititi ma le talavou.
Faʻaaoga i le loomatua
E le manaʻomia se faʻasaʻoina faʻaopoopo o le aso masani mo tagata pe a maeʻa le 50 tausaga.
Talosaga mo le afaina o fatugaʻo
Naʻo le 2% o le vailaʻau e tuʻua le tino e ala i fatugaʻo, ma e le manaʻomia e tagata o loʻo i fatugaʻo e faʻaititia le fua.
Faʻaaoga mo le afaina o le ate
I le ogaoga afaina ai hepatocytes, e le fautuaina le aveina o le fualaau.
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Naʻo le 2% o le vailaʻau e tuʻua le tino e ala i fatugaʻo, ma e le manaʻomia e tagata o loʻo i fatugaʻo e faʻaititia le fua.
Ua ova i le Aprovel
I suʻesuʻega falemaʻi, pe a aveina i luga o 900 mg i le aso e se tagata matua mo 8 vaiaso, e leai ni faʻailoga o le onana o le tino.
Afai e aliali mai faʻailoga fainumera o le ova tele mea i le taimi o le faʻaaogaina o vailaʻau, ona e manaʻomia lea e saili fesoasoani faʻafomaʻi ma taofi le inuina o le fualaau. E leai se mea faʻapitoa faʻapitoa ai, o le mea lea, togafiti e faʻataʻitaʻia ia tineia le faʻailoga foliga.
Fegalegaleaiga ma isi fualaau
I le taimi e tasi o le faʻaaogaina o le Aprovel ma isi vailaʻau, o loʻo matau mai mea nei.
- Synergism (faʻalauteleina aʻafiaga fofo o vailaʻau uma) faʻatasi ma vailaʻau antihypertensive, calcium channel inhibitors, thiazide diuretics, beta-adrenergic blockers.
- Ole maualuga ole potassium ole toto e oso i luga ole heparin ma vailaʻau o iai le potassium.
- Irbesartan faʻateleina le oona o le lithium.
- I le tuʻufaʻatasia ma vailaʻau e leai ni vailaʻau e puipuia ai, o le faʻafitauli o le fatugaʻo, o le hyperkalemia ua faateleina, ma o lea, e tatau ona mataituina galuega o fatugaʻo i togafitiga o fualaau.
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Ole vaega aoga ole Aprovel e le afaina ai le aafiaga ole Digoxin.
Ava malosi
Antihypertensive sooupu e faʻasaina ona ave faʻatasi ma oloa inu ava malosi. Ethyl ava e mafai ona mafua ai faʻaputuputu o sela mumu o le toto, o le tuʻufaʻatasiga o mafai ona pupuni le lumen o le vaʻa. E faigata le alu atu o le toto, e mafua ai le faʻaletonu ole tata ole fatu ma le faʻateleina ole toto. I le tala feagai o le vailaʻau togafitiga, o lenei tulaga o le a mafua ai le malepe vascular.
Tala faatusa
Faatasi ai ma auiliiliga analog, o le gaioiga o loʻo faʻavae i luga o le vaega malosi o le irbesartan, o loʻo i ai vailaʻau o le Lusia ma fafo gaosi. E mafai ona suia le laupepa Aprovel i le vailaʻau nei:
- Irbesartan
- Ibertan;
- Firmastoy;
- Irsar;
- Irbesan.
E taua le manatuaina aʻo le i fesuiaʻi i se vailaʻau fou e manaʻomia ona talanoa ma lau fomaʻi. E le faʻatagaina oe lava le suia o le tagata.
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Fale Talavai tuʻu vaitaimi
O le fualaau faasaina ua faatauina atu i se talavai.
Tau mo aprovel
O le averesi tau o se atigipusa pusa o loʻo iai 14 papaa o 150 mg eseese mai 310 i 400 rubles.
Teuina o tulaga mo le fualaau faasaina
E manaʻomia le i ai o le vailaʻau i se mea matutu e le mafai ona malamalama i tamaiti ma tamaiti ile vevela e oʻo atu ile 30 ° C.
Le aoga o le aso
3 tausaga
Tagata gaosi
Sanofi Winthrop Alamanuia, Farani.
Iloiloga ia Aprovel
O tala lelei i le aafiaga o le fualaau faasaina i luga ole laiga i luga ole laiga e fesoasoani e faamalosia le tulaga o Aprovel i le maketi o vailaau.
Cardiologists
Olga Zhikhareva, fomaʻi, Samara
O se fofo aoga mo le faʻaitiitia o le toto maualuga. Ou te faʻaaogaina i fomaʻi faʻapitoa togafitiga o le monotherapy poʻo togafitiga faigata. Ou te leʻi iloa le vaisu. E le fautuaina e gasegase le sili atu ile 1 taimi ile aso.
Antonina Ukravechinko, fomai loto, Ryazan
Lelei le aoga mo le tupe, ae ou te fautua atu le faʻaeteete i tagata na maua i le mitral poʻo aortic valve stenosis. Tamaiti ma fafine maitaga ua matua faasaina e ave Aprovel papa. I ni aʻafiaga, ua aliaʻe ai aʻafiaga. I le taimi lava e tasi, e ui lava i le tele o auga tali mai le tino, o le vailaʻau na fesoasoani e faʻaititia le toto maualuga.
![](http://img.diabetesentity.com/img/sayd-2020/1541/kak-pravilno-ispolzovat-preparat-aprovel-59.jpg)
Afai ua amata ona aliali mai faʻailoga fainumera o le ova tele o vailaʻau, ona e manaʻomia lea e saili se fesoasoani faʻafomaʻi.
Gasegase
Cairo Airam, 24 tausaga, Kazan
Ua ou maua ile maualuga toto. I le taeao e alu i le 160/100 mm Hg. Faiva. Na tele ana vailaʻau na ave i lalo e toto ai le toto, ae na o Apovel tablet na fesoasoani. A maeʻa le talosaga, ona faʻafaigofie ai lea ona manava, le leo o le toto i totonu o malumalu e pasi. O le mea taua o le aoga pe a uma ona inu le vailaʻau umi le umi. E manaʻomia le inu vai ma asiasi e le aunoa lau fomaʻi. Na ou le matauina ni itu taua.
Anastasia Zolotnik, 57 tausaga, Moscow
E leʻi ofi i loʻu tino le vailaʻau. Ina ua maeʻa fualaau, mageso, fulafula ma tiga matuitui na aliali mai. Sa ou taumafai e toe faʻafouina mo le vaiaso, ona ua faʻaititia le faʻamalosi, peitaʻi e leʻi teʻa ese le alergi. Na tatau na ou alu i le fomaʻi e filifili seisi fualaau. Na ou fiafia e le tulai mai le faʻafomaʻi o faʻamaʻi, ese mai ai isi auala e faʻaititia ai le toto maualuga.