Isidakamizwa iHartil - isidakamizwa esiseqembu le-ACE inhibitors. Ikhiqizwa ngendlela yamathebulethi. Lesi sidakamizwa singaba nokuqukethwe okuhlukile kwe-ramipril - isithako esisebenzayo esisebenzayo. Yingakho ngaphambi kokuba usebenzise i-Hartil udinga ukubonana nodokotela ukuze unqume ukuthi imitha efanele inikeze kahle.
Izinkomba zokusebenzisa i-Hartil
Ngenxa yezingxenye zezingxenye ezisebenzayo, lesi sidakamizwa sinemiphumela emibi kakhulu ye-antihypertensive and cardioprotective. Izimpawu zokusetshenziswa kweHartil yizi:
- isifo sofuba esinamandla kakhulu;
- ukuhluleka kwenhliziyo (ifomu elingapheli);
- ukuhluleka kwenhliziyo, okwenzeka ngemva kokuhlukunyezwa okukhulu kweziguli ezine-hemodynamics;
- ukusakaza isifo sezinso (amafomu angapheli);
- uhlobo lwe-nephropathy lwesifo sikashukela.
Ukuhlukumeza iziguli ezine-infarction ngokushesha kuzikhawulela indawo ye-necrosis. Ngenxa yalokhu, bathuthukisa isikhathi sokuphila. Ngaphezu kwalokho, ukusetshenziswa kwemithi kaHartil kuboniswa kulabo abasengozini yokuthuthukisa ukuhlukunyezwa kwe-myocardial okuphindaphindiwe. Lokhu kunciphisa kakhulu ingozi yokuthuthukisa lesi sifo futhi kunciphise ubukhulu cishe konke ukubonakaliswa kwehluleka kwenhliziyo.
Amaphilisi e-Hartil asetshenziswe ekuvimbeleni "ukufa kwe-coronary" nokushaywa iziguli ngeziguli ezine-IHD. Bangathathwa ngisho nalabo abagulayo abaye babhekana nokuhlinzeka nge-aortocoronary bypass noma angioplasty ye-coronary engapheliyo.
Ungathatha kanjani i-Hartil?
Ngokweziqondiso zokusetshenziswa kwamaphilisi okuHartil kufanele athathwe ngomlomo, ngaphandle kokuhlafuna, namanzi okufakwe (okungenani amalitha angu-0.2). Isikhathi sokudla asinandaba.
Isilinganiso seHartil sinqunywa kuye ngesifo. Isibonelo, nge-hypertension ye-arterial, isilinganiso esisodwa salesi sidakamizwa ngu-2.5 mg ngosuku. Kodwa uma kunconywa inhliziyo ukwehlisa iHartil ku-1.25 mg nsuku zonke.
Uma kunesidingo, isilinganiso sezinsuku nsukuzonke singaphindwa kabili, kodwa isilinganiso esiphezulu saso sonke isiguli singama-10 mg.
Ngemuva kokusebenzisa iHartil, imiphumela emibi ingenzeka. Iziguli eziningi zine-orthostatic hypotension nomfutho wegazi ophansi. Ezimweni ezingavamile, kukhona ukujikeleza kokuhleleka kokukhubazeka kwezitho. Futhi, ngokudla njalo eHartil, umuntu angazibona:
- kwehla emthamo womchamo;
- ukuzwakalisa ukwesaba;
- ubuthakathaka;
- ukuphazamiseka okubonakalayo kanye nokuphazamiseka kwe-vestibular;
- ukukhwehlela owomile;
- ukunciphisa ukudla;
- ukuxuba.
Ngesikhathi ukusetshenziswa kwalesi sidakamizwa, ukulawulwa kwezokwelapha kuyadingeka kakhulu. Lo mthetho usebenza ngokukhethekile ekudleni kokuqala kweHartil nokwandisa umthamo wayo. Kudingekile ukuphindaphinda ngokuphindaphindiwe BP. Ingabe njalo uthatha lo muthi? Qinisekisa ukugwema ukwenza imisebenzi efuna ukuhlushwa.
Ukungafani kokusetshenziswa kwe-Hartil
Ngisho nalapho kukhona izinkomba zokusetshenziswa kweHartil, akuvunyelwe ukuyisebenzisa ngokukwelashwa nge:
- i-edema ye-angioneurotic ku-anamnesis;
- ukuzwela okukhulu ezingxenyeni ezehlukene zokwakhiwa;
- ukuqina kwesifo (uma izinso ziphela kuphela);
- i-hemodynamics engazinzile;
- i-hypotension ye-arterial;
- ukukhulelwa kanye nokubeletha.
Futhi, ukungqinelani kwalesi sidakamizwa ukuhluleka kwenkunzi kanye ne-hyperaldosteronism eyinhloko. Ngokuqapha futhi ngaphansi kokulawulwa kwezokwelapha kufanele kuthathe iziguli ezigugile zeHartil, izingane kanye nentsha (engaphansi kweminyaka engu-18 ubudala), ngoba kulezi zimo, amaphilisi anjalo angeke asebenze futhi angaphephile.