Isiyobisi saseHartil - isilwanyana esiliqela le-ACE inhibitors. Iveliswa ngendlela yamacwecwe. Esi sidakamizwa sinokuba nomxholo ohlukileyo we-ramipril-isisitha esisebenzayo. Yingakho ngaphambi kokusebenzisa iHartil kufuneka udibane nodokotela ukuze ufumane isilinganiselo esifanelekileyo ngokuchanekileyo.
Imiqondiso yokusetyenziswa kweHartil
Ngenxa yeengxenye zamacandelo asebenzayo, eli chiza linemiphumo echasayo kunye nefuthe le-cardioprotective. Izimpawu zokusetyenziswa kweHartil zi:
- yingozi yengozi yomshushu;
- Ukungaphumeleli kwentliziyo (ifomu elingapheliyo);
- ukungaphumeleli kwentliziyo, eyenzeka emva kokuphazamiseka okukhulu kwezigulane ezinezityalo ezizinzileyo;
- ukusabalalisa isifo sesifo (iifom ezingapheliyo);
- nephropathy yesifo seswekile.
I-Hartil kwizigulane ezine-infarction zikhawulela ngokukhawuleza indawo ye-necrosis. Siyabulela oku, baphucula ixesha lokuphila. Ukongezelela, ukusetyenziswa kweyeza kaHartil kuboniswe kulabo abasengozini yokuphulukana nokunyuswa kwama-myocardial okuphindaphindiweyo. Inciphisa kakhulu umngcipheko wokuphuhliswa kwesi sifo kunye nokunciphisa ubunzima babo malunga nantoni zonke zokungaphumeleli kwentliziyo.
Iipilisi zeHartil zisetyenzisiwe ekuthinteleni "ukufa kwe-coronary" kunye nokubetha kwezigulane ezine-IHD. Bangathathwa nanjengabo ba gulane abaye bafumana utyando lwe-aortocoronary bypass okanye i-angioplasty ye-coronary yangaphakathi.
Indlela yokuthatha iHartil?
Ngokwemiyalelo yokusetyenziswa kweepilisi zeHartil kufuneka zithathwe ngomlomo, ngaphandle kokuhlafuna, kunye namanzi adibeneyo (ubuncinane ubuncinane beelitha ezingama-0.2). Ixesha lokutya alinandaba.
Umyinge weHartil uzimisele ngokuxhomekeka kwisifo. Ngokomzekelo, ngesifo somfutho wegazi, umlinganiselo omnye weziyobisi u-2.5 mg ngosuku. Kodwa xa ukungaphumeleli kwentliziyo kunconywa ukuba kuthathe iHartil kwi-1.25 mg imihla ngemihla.
Ukuba kuyimfuneko, i-dose yemihla ngemihla inokuphindwa kabini, kodwa isilinganisi esiphezulu saso nasiphi isigulane singama-10 mg.
Emva kokusebenzisa iHartil, imiphumo emibi ingenzeka. Izigulane ezininzi zine-hypotension ye-orthostatic kunye noxinzelelo lwegazi oluphantsi. Kwiimeko ezinqabileyo, kukho ukulungelelaniswa kweemeko kunye nokukhubazeka kwamalungu. Kwakhona, ngokutya rhoqo eHartil, umntu unokuzibona:
- kuncipha kumthamo womchamo;
- ukuxhalaba;
- buthathaka;
- ukuphazamiseka kwengqondo kunye nokuphazamiseka kwesifo;
- ukukhwehlela;
- kunciphisa ukutya;
- zixhala.
Ngexesha lokusetyenziswa kwesi sidakamizwa, ulawulo lwezonyango luyimfuneko kakhulu. Lo mgaqo usebenza ngokukhethekileyo ekutholeni kokuqala kweHartil nokwandisa umyinge wayo. Kubalulekile ukuphindaphinda ngokuphindaphindiweyo BP. Ngaba uhlala uthabatha eli liyeza? Qiniseka ukuyeka ukwenza imisebenzi efuna ukuxinwa.
Ukungqinelana nokusetyenziswa kweHartil
Ngaphandle kwimiqondiso yokusetyenziswa kweHartil, akuvumelekanga ukuba ayisebenzise kunyango kunye:
- i-edema engioneurotic kwi-anamnesis;
- Ukuqonda okukhulu kwiinqununu ezahlukeneyo zokuqulunqa;
- i-stenosis ye-artery (ukuba iinjongo ziphela kuphela);
- hemodynamics engaqinisekanga;
- i-hypotension;
- ukhulelwe kwaye ngexesha lokuncelisa.
Kwakhona, ukuchasene kwesi siza kukungaphumeleli kwintonga kunye ne-hyperaldosteronism. Qaphela kwaye kuphela phantsi kolawulo lwezonyango kufuneka kuthathe izigulane zaseHartil ezisebekhulile, abantwana kunye nabaselula (ngaphantsi kweminyaka eyi-18 ubudala), kuba kula maxesha, iipilisi ezinjalo azikwazi ukusebenza kwaye zingakhuselekanga.