"Co-Perineva": analog. "Co-Perineva": umarnin don amfani, real

Daga hauhawar jini a halin yanzu sha isasshe m yadudduka da jama'ar na daban-daban na zamantakewa halaye, samun kudin shiga, matakin ilimi. Kuma ba za mu ce wannan cutar da ake kawai biyar musu da tsofaffi, kamar yadda ya ce: a cikin karni na karshe. Modern rayuwa ne Mai gaggãwar, duniya matsaloli, high fasaha, da muradin ka yi kamar yadda zai yiwu a yau to gobe yi karin, ba da damar jiki zuwa cikakken shakata. A yanayi na m danniya da kuma aiki a iyaka da jiki iya aiki da kuma masu tasowa, hauhawar jini. Wanda na zamani mutane kula da cewa shi ne sau da yawa a ciwon kai? Ciwon wani yini ɗaya ko biyu, a mako, a wata, da kuma a lokacin da, a karshe, mutumin da ke zuwa wani likita, sa'an nan ya bayyana cewa hauhawar jini ya kasance wurin zama.

Modern magani iya bayar da nauyi hawan jinni kwayoyi don daidaita jini, daya daga wanda yake shi ne "Ko Perineva". Umurnai na amfani ƙunshi cikakken bayani game da yiwuwa, contraindications da illa.

Tsari da kuma abun da ke ciki

Babban aiki aka gyara daga cikin medicament ne indapamide da perindopril erbumine. Bugu da ƙari kuma, Allunan, kuma bugu da žari ba semifinished samfurin granules (as crospovidone, lactose monohydrate da alli chloride hexahydrate), da kuma da dama karin abubuwa.

Form da miyagun ƙwayoyi saki - zagaye biconvex fari Allunan. Harshe a dama dosages. Da mai saye iya saya daga Pharmacy medicament aiki abubuwa +2 kashi na 0,625 MG, bi da bi, 1.25 + 2.5 + 4 ko 8 MG.

A general, dole ne in ce cewa Faransa likitoci sun ci gaba da samu nasarar yi amfani da miyagun ƙwayoyi "Noliprel A", da Rasha da takwaransa - "Co-Perineva".

pharmacodynamics

Perindopril ne wani ACE hanawa, shi ya inganta vasodilatation, game da shi, rage hawan jini da kuma daidai da, da kaya ba rage zuciya. Bayan 4-6 hours bayan samun medicament tasowa matsakaicin sakamako da cewa za a iya kiyaye a ko'ina cikin yini. Indapamide nasa ne da rukuni na diuretics thiazide diuretics. Bugu da ƙari, wannan abu zai iya inganta elasticity na jijiyoyin bugun gini bango, wanda kuma taimaka wa raguwa a jini.

Yadda nisa wani na takwaransa, "Co-Perineva" yana da wani tasiri a kan matakai na kitse da kuma carbohydrate metabolism. Bugu da ƙari, kasancewar indapamide ba sa da yawa cutar da ruwa-gishiri balance na jiki, wanda ba za a iya ce da sauran diuretic magunguna. Jiyya tare da wannan hade nufin ( "Co-Perineva") bai gabatar da tachycardia, dattako da jihar cardiac tsoka, inganta da ikon kawo kaya.

Wa ya kamata dena ake ji?

Magani ne sosai tasiri domin lura da hauhawar jini, duk da haka, kuma yana da jerin contraindications. "Co-Perineva" analogs da ciwon da wani ɓangare na wannan aiki sinadaran ba za a dauka don mutanen da suke da hypersensitive zuwa wani gyara na cikin shirye-shiryen. Kuma an wajabta magunguna ga wadanda fama da rashin ha} uri, ko lactose rashi, glucose-galactose malabsorption, koda jijiya stenosis, hanta ko koda insufficiency. Contraindication ga yin amfani da "Co-Perineva" shi ne gaban a wani haƙuri, mai tsaurin hyperkalemia (potassium haddi a cikin jiki), a predisposition ga ci gaban angioneurotic edema (dauki ga alãmõmin sinadaran da nazarin halittu jamiái, shi ne sau da yawa sosai cikin rashin lafiyan yanayi).

Kada Ka sanya "Co-Perineva" da kuma marasa lafiyar da suka sha wahala azotemia (jini sama da iyaka dauke nitrogenous kayayyakin musayar, abin da ya kamata a nuna ta da kodan) da kuma anuria (fitsari ba ya daga ƙarƙashinsu a cikin mafitsara). Ba ya kafa inganci da kuma aminci "Co-Perineva" (kama da kwayoyi za a iya amfani da su a gaban gwajinsu) a cikin marasa lafiya, matasa, fiye da shekaru 18, ciki kuma lactating mata. Saboda haka, domin wadannan kungiyoyin na mutanen da shan magani da aka haramta.

Zai yiwu illa

Mafi na kowa illa cewa zai iya sa da medicament kanta ko cheap analogue "Ko Perineva" - Allunan "Perindopril da Indapamide" - za a iya kira wasu m events daga daban-daban gabobin da kuma jiki tsarin. A mafi m halayen na tsakiya m tsarin ne da ciwon kai, dizziness, wani rauni, azanci shine hasãra. Daga cikin hankula za ka iya ji da amo a kunnuwa na gani ji. Alama karu a jini - da yiwu dauki na zuciya da jijiyoyin jini tsarin.

Dry, irritating, wadanda ba m tari nuna wani numfashi dauki. A manyan isa jerin sabawa za a iya lura a kan wani ɓangare na gastrointestinal fili. A nan, game da mayar da martani ga miyagun ƙwayoyi "Co-Perineva" (analogues) sake bitar haƙuri magana game da tashin zuciya, amai, zawo, m maƙarƙashiya, ciki zafi da kuma epigastric, canji na iyawa, rage ci. Musculoskeletal tsarin iya tunatar da kanka cramps.

Daban-daban illa kamar fata rash mai sãɓãwar launukansa a tsanani, pruritus, fuska edema, mucous membranes na baka rami, palate ko harshe babba maƙogwaro.

dosing regimen

A sashi na medicament (ko dai analogue "Ko Perineva" iya samu ta hanyar wani rangadi) - daya kwamfutar hannu a lokacin da rana. Wannan ne mafi kyau yi da safe, kafin karin kumallo, shan ruwa. A mafi cigaban makirci na kirga rabo "indapamide / perindopril". Na farko, da marasa lafiya da aka gudanar da kwamfutar hannu da wani sashi na 0.625 / 2 MG. Idan bayan wata daya a cimma iko da jini ne ba zai yiwu, da kashi ne ya karu zuwa daya kwamfutar hannu a kashi na 1.25 / 4 MG. Don cimma tasiri da sakamakon, da sashi iya ƙara zuwa a kalla kullum - 2.5 / 8 MG.

Tsofaffi da marasa lafiya a fara jiyya da daya kwamfutar hannu a wani sashi na 0.625 / 2 MG. A far fara da aka gudanar a karkashin m iko da jini da kuma koda aiki.

Idan haƙuri shan wahala daga na koda gazawar matsakaici har, far ma ta fara da sashi na 0.625 / 2 MG, amma matsakaicin halal ne a gare wani yini kashi kada wuce 1.25 / 4 MG.

Wuce kima allurai: cututtuka, magani

Bayyanar cututtuka na wani yawan abin sama na magani ya faru ne a gaban tashin zuciya da amai, tsoka cramps ci gaba. Akwai drowsiness, juwa ko jiri, da ruɗewa, oliguria (fitsari girma raguwa, kodan), dakushe ruwa da kuma electrolyte balance, jini drop. Duk wani analog na "Co-Perineva" iya samun sauran cututtuka na wani yawan abin sama.

Don kawar da sakamakon shawarar ciki lavage da liyafar na absorbent kayayyakin. Shi ne kuma dole ya mayar da ruwa da kuma electrolyte balance. Idan akwai wani kaifi digo a cikin jini, da mãsu haƙuri yi ƙarya a kan mayar da tada kafafu. A halartar likita iya la'akari da shi wajibi ne don gabatar da 0.9% sodium chloride bayani. Akwai bayanai a kan tasiri na hemodialysis.

Ciki da kuma lactating mata

"Co-Perineva" umurci manual haramta mata masu ciki da masu jego. A amfani da wannan magani a lokacin gestation baby iya fararwa da ci gaban placental ischemia, da kuma yadda wani sakamako, karuwa hadarin fetal girma retardation. Idan muna magana ne game da mai shayar da mama, ya kamata ka tuna cewa indapamide aka excreted a nono. Idan, duk da haka, yin amfani da "Co-Perineva" lactation - wani gaggawa bukatar da ya ba up nono.

musamman umarnin

Amfani da unacceptably "Ko Perineva" a layi daya tare da wani magani lithium. Lokacin da Abuse koda aiki a matsayin mai medicament kamata ba a karɓa. Idan haƙuri ne bincikar lafiya tare da hauhawar jini a lokacin jiyya da nufin "Co-Perineva" bayyana koda gazawar bayyanar cututtuka, magani ya kamata a tsaya nan da nan. A kadan daga baya, za ka iya kokarin don ci gaba da shan miyagun ƙwayoyi a magangara mafi ƙasƙanci kashi ko canzawa zuwa monotherapy da indapamide da perindopril. A cikin irin wannan marasa lafiya kowane 2 makonni wajibi ne don saka idanu da matakin na potassium da kuma creatine a cikin jini.

A marasa lafiya da ciwon sukari mellitus ko na koda gazawar "Co-Perineva" (ciki har da analogs) zai iya haifar da hypokalemia ci gaba. Saboda haka, irin wadannan mutane bukatar m monitoring na matakin na potassium a cikin jini.

Hulda da sauran abubuwa

Kada ka yi amfani perindopril tare da potassium-sunã rãyar da diuretic kwayoyi da kuma potassium. Har ila yau, tare da babban taka tsantsan medicament kanta (da wani analog kwayoyi "Ko Perineva") anyishi da insulin ko wasu hypoglycemic jamiái. Co-gwamnati da miyagun ƙwayoyi da cytotoxic immunosuppressive kwayoyi na iya haifar da ci gaban leukopenia. Amfani da kwayoyi da kuma magunguna ga general maganin sa barci ne wata ila don ƙara hypotensive sakamako.

Indapamidsoderzhaschie magunguna wajabta tare da kulawa a cikin layi daya da neuroleptics da antiarrhythmics, benzamide buterofenonami. Har ila yau, "Ko Pireneva" ba ana gudanar da kwayoyi wanda zai iya tsokana hypokalaemia ci gaba da laxatives, stimulant ciwon hanji.

A amfani da bambanci jamiái da wani babban abun ciki na aidin iya samar da wani impetus ga ci gaban na koda gazawar.

magunguna analogues

Da aka fi amfani da yadu da aka sani a tsakanin masu amfani analogue "Co-Perineva" - "Noliprel A". Sashi (rabo "perindopril / indapamide" daga asali m "Servier" France) na iya zama 2.5 / 0.625 MG, 10 / 2.5 MG, 5 / 1.25 MG. Har ila yau, wannan magani da aka samar a cikin Rasha Federation ( "Serdiks") a cikin wannan sashi kamar yadda asali.

Wani sanannun irin wannan magani - "Perindopril da indapamide" daga Rasha manufacturer. Domin sama rabo ne yiwu sashi na 1.25 / 4 MG, 2.5 / 0.008 MG, 0.625 / 0.002 MG, 8 / 2.5 MG.

price kewayon

A sashi da kuma yawan Allunan a wani kunshin - babban dalilai da shafi farashin da miyagun ƙwayoyi, "Ko Perineva". Umurnai (analogs iya bambanta dan kadan a sashi) ya bayyana zažužžukan ga dangantakar da biyu main aka gyara - perindopril da indapamide. Alal misali, a hannu 30 da wani rabo daga 0.625 / 2 MG kudin da mai saye 350 rubles. Da miyagun ƙwayoyi a sashi na 1.25 / 4 MG zai kudin 390-440 rubles. The most rabo na 2.5 / 8 MG - 470 zuwa 510 rubles for 30 Allunan. Hakika, da kunshin na 90 Allunan za kudin saye mai yawa na adadin.

Faransa na asali "Noliprel A" kudin da masu amfani mai yawa fiye da tsada.

mabukaci ra'ayi

Medicament "Co-Perineva 'umarnin don amfani, haƙuri feedback, a mafi yawan lokuta, shi ne halin a matsayin wani zamani da matukar tasiri miyagun ƙwayoyi zuwa normalize jini. A miyagun ƙwayoyi ne sauki amfani: dauki daya kwamfutar hannu da safe, kuma shi ne free har sai gobe. Bugu da kari, da kudin na "Co-Perineva" m ga mai fadi da kewayon abokan ciniki tare da daban-daban kudi damar, ba za a ce game da "Noliprel A" daga Faransa manufacturer.

Duk da haka, shi ne ba na ɗai ɗai, da kuma mummunan feedback, wanda aka fi dangantawa da bayyanar illa a cikin nau'i na ciwon kai, kumburi fuska da extremities, halayen daga cikin gastrointestinal fili. A irin haka ne, yanke magani da kuma tuntubar likita. Bayan da dubawa da kuma kimantawa gwani zai yanke shawarar ko a ci gaba da shan miyagun ƙwayoyi, "Ko Perineva" a rage kashi, ko mafi alhẽri kula da wasu magunguna da irin wannan halaye da kuma sa ran sakamakon magani.