Hypertension thiab plawv tsis ua hauj lwm yog ib qho mob heev nyob rau hauv lub ntiaj teb no niaj hnub no. Ob tus neeg laus thiab cov neeg mob hnub nyoog peb caug xyoo yws txog lawv. Niaj hnub no, cov kab mob no tau rov zoo dua. Tau kawg, muaj ntau qhov laj thawj rau lawv nyob rau niaj hnub no. Kev ntxhov siab, kev noj zaub mov tsis zoo, ntxhov siab, kev ua haujlwm dhau los yeej tsis muaj txiaj ntsig zoo rau kev noj qab haus huv.
Hypertension: kev cuam tshuam zoo
Kev kho cov kab mob ntawm cov hlab ntshav yuav tsum tau saib xyuas tshwj xeeb. Thaum lub siab dhia sharply, ntsuas yuav tsum tau coj, los ntawm nws tus kheej nws yuav tsis stabilize. Yog tias qhov no tsis ua tiav, tus neeg tuaj yeem tau txais myocardial infarction lossis mob stroke, qhov tshwm sim uas tuaj yeem tu siab heev.
Hypertension thiab lwm yam kab mob cuam tshuam nrog lub siab tsis ruaj khov yuav tsum tau kho raws li tus kws kho mob saib xyuas. Txhua yam kev ua ub ua no tsis tsim nyog nyob rau hauv rooj plaub no.
Ntau zaus, txhawm rau ua kom lub siab rov qab mus rau qhov qub, cov neeg mob tau muab tshuaj kim heev "Perindopril". Analogues, synonyms ntawm noCov tshuaj kuj tsis yog tshuaj pheej yig. Txawm li cas los xij, paub txog txhua yam khoom ntawm cov tshuaj, koj tseem tuaj yeem pom qhov hloov pauv tsis tshua kim rau nws hauv khw muag tshuaj niaj hnub.
Cov khoom ntawm cov tshuaj "Perindopril"
Qhov no yog ib qho tshuaj zoo uas pom zoo los ntawm ntau tus kws tshaj lij. Yog li, ua ntej nrhiav ib qho analogue ntawm "Perindopril", cia peb tshawb xyuas me ntsis tias nws yog dab tsi.
Qhov no yog ib yam tshuaj los ntawm pab pawg ACE inhibitors uas cuam tshuam rau kev kho cov leeg nqaij ntawm cov hlab ntsha, vim tias lub siab rov qab los. Pharmacological nta boil mus rau qhov tseeb hais tias perindopril, decomposing rau perindopilate, txo cov ntsiab lus nyob rau hauv cov ntshav ntawm cov ntsiab lus uas ua rau cov hlab ntsha inoperative. Los ntawm kev nthuav dav lawv, nws muaj peev xwm ua kom lub ntim ntim ntawm cov ntshav thiab lub siab ntev ntawm lub plawv yog tsim nyob rau hauv xws li ib tug load. Cov lus piav qhia ntxaws ntxiv tau qhia hauv cov lus qhia rau cov tshuaj.
Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj uas muaj cov active tshuaj perindopril nyob rau hauv tus nqi ntawm 4 mg, 5 mg, 8 mg, 10 mg.
Cov nyhuv ntawm cov tshuaj yog pom tau ib teev tom qab noj nws. Tom qab plaub teev, nws ncav cuag nws qhov siab tshaj plaws concentration thiab normalizes lub siab rau tag nrho ib hnub. Nws tsis cuam tshuam rau kev xav, txhawb lub hlwb, mloog zoo. Tawm ntawm lub cev los ntawm lub raum.
Kev txais tos yog qhov yooj yim heev, ib ntsiav tshuaj (cov koob tshuaj uas kws kho mob tau sau tseg) yog qaug cawv ib hnub ua ntej noj mov. Yog tias koj noj tshuaj tom qab noj mov, nws yuav maj mam ua.
Tsim tawm hauv Tebchaws Yelemees thiab Hungary. Nqentim cov ntsiav tshuaj txawv ntawm 500 txog 600 rubles.
Tshuaj zoo ib yam li "Perindopril" (analogues), cov lus qhia rau kev siv tsis piav qhia. Cia wb mus saib lawv hauv qab no.
Cov lus qhia rau kev siv
tshuaj no haum rau kev kho mob hom 1 thiab hom 2 mob ntshav qab zib, yog vim li cas nws thiaj li nrov.
Cov tshuaj "Perindopril" yog tshuaj rau cov hlab ntshav siab, nrog rau lub plawv tsis ua haujlwm ntev, yog siv los tiv thaiv kev mob plawv thiab mob stroke.
YContraindications
Nws tsis pom zoo kom sau cov tshuaj no rau cov menyuam yaus, cov niam mos ab, yog tias muaj kev tsis haum rau perindopril, nrog rau cov kab mob raum, nrog thrombocytopenia, leukopenia.
Muaj kev phiv tshwm sim
Cov tshuaj no muaj cov npe dav dav ntawm cov kev mob tshwm sim. Tshuaj: hnoos qhuav, mob taub hau, insomnia, qaug zog nrog mob hauv siab, convulsions, pruritus, bronchospasm, rhinitis, ua tsis taus pa luv, nqaij spasms, kev sib deev teeb meem, kev nyuaj siab, mob ntsws, saj cuam tshuam.
Tshuaj "Prestarium A": perindopril + arginine
Cov tshuaj "Perindopril" suav nrog: cov tshuaj nquag perindopril, erbumine ntsev thiab cov khoom siv pabcuam - magnesium stearate, anhydrous colloidal silicon dioxide, sib xyaw ntawm cov hmoov txhuv nplej siab thiab lactose, acesulfame potassium.
Txij li thaum muaj pes tsawg leeg ntawm cov tshuaj tau txhim kho ntau xyoo, cov tshuaj Prestarium A, ib qho analogue ntawm Perindopril, tau tshwm sim hauv khw muag tshuaj. Yog li qhov sib txawv ntawm lawv yog nyob rau hauv lub lag luam lub npe ntawm cov tshuaj thiab ib tugtiv thaiv. Cov tshuaj "Prestarium A" es tsis txhob erbumine ntsev suav nrog arginine. Lawv cov nyhuv rau tib neeg lub cev yog tib yam. Arginine tsuas yog tso cai rau cov tshuaj khaws cia ntev dua peb xyoos.
Tab sis Prestarium A yog kim dua Perindopril, nws tus nqi yog 700 rubles ib pob.
Ntau tus kws kho mob qhia cov neeg mob siv rau hauv kev kho mob ntshav siab ib qho pheej yig analogue ntawm Perindopril (li no, Prestarium A tshuaj) - Perinev ntsiav tshuaj, uas kuj suav nrog perindopril. Nws tus nqi txawv ntawm 200 txog 300 rubles.
Pab pawg ntawm cov tshuaj analogues "Perindopril" suav nrog cov tshuaj xws li "Parnavel" (tus nqi 300 rubles), "Hypernik" (300 rubles), "Piristar" (250-400 rubles), "Stopress" (360 rubles), "Arentopres" (400 rubles), "Parnavel" (280 rubles).
Yog tias koj xaiv cov tshuaj hloov pauv xws li Prestarium A, uas muaj arginine ntxiv rau perindopril, cov analogs tau teev saum toj no kuj tsim nyog los hloov lawv.
pheej yig analogues ntawm "Perindopril" uas tsis muaj perindopril
Yog tias cov tshuaj hloov pauv zoo ib yam hauv cov tshuaj muaj pes tsawg leeg thiab muaj txiaj ntsig rau tus neeg mob lub cev, ces lwm cov tshuaj zoo sib xws yuav muaj lwm cov tshuaj, tab sis muaj cov txiaj ntsig zoo ib yam hauv kev kho mob plawv thiab ntshav siab.
Piv txwv li, cov tshuaj "Lizinopril" yog ib qho analogue ntawm "Perindopril", uas muaj cov tshuaj nquag zoo ib yam li kev ua rau perindopril - lisinopril. nwskuj yog ib qho tshuaj los ntawm pab pawg ntawm ACE inhibitors.
Tus nqi nruab nrab ntawm qhov analogue no yog 200 rubles. Nws kuj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Koj tuaj yeem nrhiav tau hauv khw muag tshuaj "Lizinopril" ntawm Ukrainian ntau lawm, German lossis Israeli. Cov neeg yuav khoom muab qhov kev nyiam rau cov khoom tsim nyob rau hauv lub teb chaws Yelemees.
tshuaj kho no zoo tagnrho rau cov neeg rog rog thiab ntshav qab zib uas nyuaj heev los nrhiav tshuaj kom txo cov ntshav siab, vim muaj ntau ntawm lawv muaj cov npe loj ntawm cov kev mob tshwm sim uas ua rau muaj kev phom sij rau cov neeg mob li no.
Cov tshuaj "Lizinopril" yog siv dav hauv kev kho mob ntawm cov neeg mob uas muaj kab mob pathological ntawm lub plawv thiab vascular system.
Tau kawg, qhov tshuaj no, nrog rau nws qhov zoo, kuj muaj qhov tsis zoo, nws tuaj yeem ua rau kiv taub hau, xeev siab, hnoos qhuav, raws plab.
Cov tshuaj no yog contraindicated rau siv rau hauv cov kab mob ntawm lub raum thiab daim siab, thaum cev xeeb tub, pub niam mis, cov me nyuam hnub nyoog qis dua 18 xyoo, nrog rau keeb kwm ntawm Quincke's edema, nrog intolerance rau lisinopril thiab lwm yam tshuaj ntawm cov tshuaj.
Xaiv cov analogues rau cov tshuaj "Perindopril", koj tuaj yeem nres ntawm cov tshuaj "Enalapril". Nws muaj pes tsawg leeg muaj xws li ib yam khoom uas zoo sib xws nyob rau hauv lub cev ntawm tus neeg mob nrog perindopril, enalapril maleate. Cov tshuaj no kuj yog ib qho ACE inhibitor, yog li ntawd, txo cov ntshav siab thiab tib lub sijhawm txo cov haujlwm ntawm lub plawv, tiv thaiv cov teeb meem nyuaj ntawm kev kub siab.
In productiontshuaj hauv Serbia, Macedonia. Cov tshuaj tau tsim nws tus kheej hauv kev kho mob raws li kev ntseeg tau. Daim ntawv tso tawm - ntsiav tshuaj. Tus nqi ntawm ib pob tshuaj yog los ntawm 100 mus rau 200 rubles.
Yuav tsum tau xyuam xim rau qhov tseeb tias cov tshuaj no yog contraindicated hauv ntshav qab zib mellitus, cev xeeb tub, raum thiab mob siab tsis txaus, pub niam mis, thiab tsis yog npaj rau kev kho menyuam yaus.
Tswj yuav ua rau cov kev mob tshwm sim hauv qab no: kiv taub hau, asthenia, daim tawv nqaij ua pob khaus thiab khaus khaus, qaug zog, tsaug zog, ntxhov siab, hnoos qhuav. Tsis tas li ntawd, cov tshuaj no tuaj yeem ua rau lub siab poob qis, yog li nws yuav tsum tau siv nrog kev saib xyuas ntawm tus kws kho mob, vim tias cov tshuaj tsis raug tuaj yeem ua rau muaj kev noj ntau dhau, thiab yog li ntawd ua rau tus neeg mob hnyav dua.
Ntau yam hloov pauv rau cov tshuaj "Perindopril". Analogues ntawm cov tshuaj kuj tuaj yeem raug xaiv los ntawm pawg ACE inhibitors uas muaj nyob rau hauv lawv cov tshuaj muaj zog captopril, zoo ib yam li perindopril. Xws li cov tshuaj "Captopril", uas yog siv rau hauv kev kho mob ntawm arterial hypertension, coronary heart disease thiab lub plawv tsis ua hauj lwm.
Cov tshuaj yog tsim nyob rau hauv Slovenia thiab Ukraine. Tus nqi nruab nrab ntawm cov tshuaj no yog 300 rubles.
Capotopril tsis tau sau tseg thaum cev xeeb tub, pub niam mis, menyuam yaus hnub nyoog qis dua 18 xyoo, muaj lub raum thiab lub siab ua haujlwm tsis zoo, mob plawv, thaum muaj kev cuam tshuam ntawm cov ntshav tawm ntawm sab laug ventricle ntawm lub plawv, edema. Quincke.
Cov tshuaj no kuj yuav ua rau muaj kev phiv xws li qhov muag tsis pom kev, qaug zog, mob taub hau, thrombocytopenia, tsis qab los noj mov, stomatitis, pruritus, tachycardia, acidosis.
Ua ntej siv cov tshuaj pheej yig ntawm cov tshuaj "Perindopril", koj yuav tsum ua tib zoo kawm cov lus qhia rau lawv. Tsuas yog tus kws kho mob tuaj koom yuav tsum tau sau ntawv rau lawv. Txhua tus ntawm lawv muaj nws tus kheej cov npe ntawm cov kev mob tshwm sim thiab ib daim ntawv teev cov contraindications uas yuav tsum tsis txhob underestimated.
Kev kho mob ntshav siab tsis yooj yim, txhua tus neeg mob muaj nws tus kheej nyiam zam ib lossis lwm yam tshuaj, thiab nws tsis yooj yim rau xaiv cov tshuaj uas yuav tsis ua rau tsis xis nyob thaum kho.
tib txoj hauv kev los xaiv tus neeg kho mob yog los ntawm kev sim tshuaj.
Noliprel, Co-Pyreneva: perindopril + indapamide
Rau ntau tus neeg mob, nws tsis txaus los ua kom lub siab zoo li qub los ntawm kev noj cov tshuaj "Perindopril", kev kho yog ntxiv nrog ntau txoj kev zoo dua. Txhawm rau pab txhawb kev ua haujlwm ntawm cov kws kho mob, cov kws muag tshuaj tau tsim kev npaj ua ke nrog lub hauv paus ntawm perindopril.
Yog li, perindopril + indapamide analogs ntawm perindopril nrog cov txiaj ntsig zoo ntawm tus neeg mob lub cev muaj xws li "Noriprel" thiab "Co-Pyreneva". Lawm, kev npaj ua ke yog kim dua li perindopril ntshiab. Tus nqi ntawm cov tshuaj "Noriprel" (perindopril + arginine + indapamide) yog 800 rubles, cov tshuaj "Co-Pyreneva" (perindopril +erbumine + indapamide) - 650 rubles.
Tus nqi pheej yig dua, muaj indapamide thiab perindopril, analogues-sib piv los ntawm pab pawg ntawm cov tshuaj sib xyaw: Cov ntsiav tshuaj Pralamid nqi ntawm 200 txog 400 rubles, Co-Prenessa ntsiav tshuaj - 400 rubles, Perindid - 300 rubles. Qhov txawv ntawm tus nqi, raws li koj tau pom, yog palpable.
Rau kev sib xyaw ua ke "perindopril ntxiv rau indapamide" analogues kuj tseem tuaj yeem xaiv los ntawm pawg ACE inhibitors, uas suav nrog lwm cov tshuaj nquag. Piv txwv li, Ampril Hd ntsiav tshuaj (ramipril + hydrochlorothiazide) raug nqi 400 rubles, thiab cov ntsiav tshuaj Euroramipril zoo sib xws raug nqi 200 rubles.
Qhov zoo ntawm cov tshuaj analogues uas muaj perindopril + indapamide tsis tau sau tshwj xeeb. Tus nqi qis tsis yog ib txwm lav tias cov khoom ntawm cov tshuaj qub yuav raug khaws cia.
Tshuaj "Prestans", "Dalneva": perindopril + amlodipine
Qhov kev sim tsis xaus nrog indapamide, vim tias perindopril qhia tau hais tias nws cov txiaj ntsig zoo heev hauv kev sib xyaw nrog amlodipine. Tsis ntev los no, cov tshuaj ua ke Prestans (perindopril + arginine + amlodipine) tau tshwm sim, lawv cov nqi yog los ntawm 700 txog 900 rubles, thiab Dalneva (perindopril + erbumine + amlodipine) - 500 rubles.
Muaj perindopril + amlodipine analogues ntawm kev txiav txim pheej yig dua tuaj yeem xaiv los ntawm cov pab pawg hloov pauv, piv txwv li, Amlessa ntsiav tshuaj, lawv tus nqi yog 400 rubles, thiab los ntawm pawg ACE inhibitors uas tsis muaj perindopril thiab amlodipine. Piv txwv li, ntsiav tshuaj "Akkupro" (quinapril) ntawm tus nqi ntawm 200-300 rubles.
Yuav ua li cas tshuajkev sib txuas ua ke tsim nyog rau tus neeg mob, tsuas yog tus kws kho mob paub, leej twg muaj ua ntej nws ob lub qhov muag pom ib daim duab ntawm kev kuaj mob tom qab kev kuaj mob zoo. Yog tias koj xav tau xaiv cov tshuaj pheej yig dua rau cov tshuaj "Perindopril", tom qab ntawd tus kws kho mob koom nrog ua haujlwm nrog rau txoj haujlwm no, vim nws tsuas yog tuaj yeem ntsuas qhov kev ua tau zoo ntawm kev ua ntawm ib qho tshuaj.
Tshuaj xyuas cov kws kho mob thiab cov neeg mob txog cov tshuaj "Perindopril"
Lub khw muag tshuaj tau dhau los nrog ACE inhibitors. Ntawm cov no, muaj ntau cov tshuaj uas hloov cov tshuaj "Perindopril". Analogues thiab kev hloov pauv, raws li koj tau pom, tuaj yeem zoo tib yam ob qho tib si hauv kev sib xyaw thiab cuam tshuam rau lub cev. Tab sis, txawm hais tias muaj ntau yam pheej yig hloov pauv rau cov tshuaj hauv nqe lus nug, ntau tus neeg mob tseem xav tau kev kho nrog tus thawj, raws li pov thawj los ntawm lawv cov kev tshuaj xyuas.
Tau kawg, yog tias tus neeg mob tsis tuaj yeem them tus nqi kho thawj zaug, ces muaj kev hloov pauv mus rau cov tshuaj pheej yig ua ke, ntawm cov kws kho mob tau xaiv ntau dua lossis tsawg dua cov khoom zoo. Lawm, txawm tias ntawm cov tshuaj pheej yig, cov kws kho mob xaiv cov tshuaj ua nyob sab Europe, ntawm cov uas muaj suab tsis muaj fakes.
Cov tshuaj "Perindopril" hauv kev kho mob tau ua pov thawj kom ntseeg tau thiab siv tau zoo, ua tsaug rau nws, cov kws kho mob niaj hnub no tswj hwm kev noj qab haus huv ntawm 80% ntawm cov neeg mob ntshav siab thiab lub plawv tsis ua haujlwm, thiab tseem tiv thaiv cov teeb meem hauv lub plawv. daim ntawv ntawm myocardial infarction hauv 50% ntawm lawv thiab mob stroke.
Muaj, tau kawg, paub txog yam tshuaj twg tuaj yeem hloov cov tshuaj"Perindopril" yog qhov yooj yim dua rau kev taug hauv cov npe loj ntawm cov tshuaj ACE inhibitor. Thiab thaum muab tshuaj, nws yooj yim to taub dab tsi tus kws kho mob qhia tshwj xeeb rau kev kho mob - thawj cov tshuaj los yog nws pheej yig analogue.
