"Valz": umarnin don amfani, shaidu da alamomi. Analog "Valza" ana amfani da ita

Rawan jini na hawan jini shine cuta na miliyoyin mutane a zamaninmu. Domin shekaru da yawa, an gina daruruwan kwayoyi wanda zai iya sauri da kuma dogon lokaci don magance matsalolin cutar karfin jini, musamman ma hadari wanda shine rikici na jini wanda zai iya haifar da mummunan ciwo da kuma mutuwar mutum. Abin takaici, duk abubuwa da zasu iya warkar da mu, ta wata hanya ko kuma wani, za su iya cutar. Wannan na musamman ya shafi magunguna, musamman magungunan magani "Valz", yana shafi jiki duka. Saboda haka, wani lokaci sai ya zama dole ya zabi ma'anar "Valza", idan bai dace da kowane sigogi ba.

Bayani na shirin

Ana fitar da miyagun ƙwayoyi a cikin nau'i na oval biconvex a harsashi na fim, tare da lalata da kuma lakabi V a wani fuska. Launi ya dogara da abun ciki na aiki. Yellow yana nufin kasancewar 40 ko 160 MG na valsartan, kuma ruwan hoda yana nufin 80 MG na sashi mai aiki.

Ƙananan matakan sun hada da lactose monohydrate, microcristalline cellulose, croscarmellose sodium, magnesium stearate, povidone K29-32, talc da sillo colloidal dioxide.

Kungiyar Pharmacological

Magungunan magani "Valz" na nufin haɗin jini na jiki, wato, fadada jini, yana haifar da raguwar karfin jini. Wannan sakamako ne saboda abu mai aiki - valsartan, wanda shine ainihin mabudin masu karɓar AT1 na angiotensin II, ba su hana ACE ba, ba zai shafi yawan adadin cholesterol na jini ba, glucose, acid uric acid da matakan triglyceride.

An fara aikin farko a cikin sa'o'i 2 bayan an yi amfani da miyagun ƙwayoyi, ta kai matsakaicin sakamako a cikin sa'o'i 4-6. Halin magani zai iya wucewa fiye da awa 24. Yin amfani da Allunan akai-akai zai kai ga mafi yawan rage rage saukar karfin jini bayan 2-4 makonni. Idan akwai bukatar buƙatar ƙwayar miyagun ƙwayar cuta, ba a kiyaye ciwo na cirewa ba.

Tsarin aikin

Bayan yin magana ta tsakiya, mai saurin amfani da abu mai aiki ya faru ne a kan ƙananan nau'o'in nauyin haɓaka. Mai nuna alama mai cikakkiyar bayani mai kyau shine a kan matsakaici 23%. Bayan gwargwadon maganganun, ya danganta ga sunadaran plasma jini ta kusan kashi 97%. Da yake kasancewa abokin gaba na angiotensin II, abu mai karfi yana haifar da fadada ganuwar jini, wanda zai haifar da ragewa a cikin karfin jini. An yi amfani da miyagun ƙwayoyi tare da wani tsari na enzyme musamman na sa'o'i 9, bayan haka an cire shi ta kashi 70% ta hanyar motsa jiki na intestinal kuma ta hanyar 30% tare da taimakon tsarin urinary a cikin sauƙi kaɗan.

Yin amfani da jinsin yau da kullum zai haifar da ƙananan ƙungiya mai aiki a jiki.

Indiya don amfani

Ana amfani da miyagun ƙwayoyi "Valz N", waɗanda aka kwatanta da su a cikin irin wannan pathologies, ana amfani dasu:

A kara yawan matsa lamba;

• a cikin rashin ciwo na zuciya kullum a matsayin hanyar kula da lafiya;

• bayan wani mummunan infarction m (wanda aka sanya a cikin lokaci daga sa'o'i 12 zuwa 10), da rikitarwa ta hanyar farawa na rashin nasarar ventricular hagu, systolic dysfunction na ventricle hagu a kan tushen barga hemodynamics.

Contraindications

Ana amfani da analogues na shiri "Valz", kamar kansa, ba:

• Sashin kamfanoni ga mai aiki ko masu haɗaka;
• A cin zarafi cikin aikin hanta (musamman a ci gaban cholestasis ko biliary cirrhosis);
• Tare da rabuwar nau'o'in nau'i a cikin aikin kodan;
• A lokuta daban-daban na ciki da kuma lokacin shan nono;
• A cikin yara a karkashin shekara 18;
• Tare da galactosemia saboda rashin illa ga karuwanci da laushi rashin haƙuri.

Rage karfin jini, rashin daidaituwa da potassium da sodium a cikin jiki, cin hanci da rashawa na tsofaffin suturar daji, cututtuka da magunguna, cututtukan zuciya da magungunan hyperaldosteronism sun buƙatar yin amfani da ƙwayar magani "Valz". Analogues Rasha kuma suna da takamaiman aikace-aikacen, wanda ke buƙatar shawara mai basira don tsara lafiyar lafiya.

Hanyar gefe

Kamar kowane wakili na tsarin jiki, miyagun ƙwayoyi "Valz" na iya haifar da mummunar tasiri a kan ɓangarorin gabobin daban daban:

• Halaye a cikin aikin zuciya da jini zai iya nunawa kamar tsinkaye na al'ada, ƙananan ƙwayoyin cuta sukan fara girma, zubar da jini wani lokaci yakan faru;
• Cigaba a cikin numfashi na numfashi wanda ke haifar da rikitattun tari ba su da yawa;
• Wani lokacin zazzaɓi da zafi na ciki zai iya faruwa;
• Wata mummunan tasiri a kan tsarin mai juyayi na iya nunawa ta hanzari ta hanzari, taguwar jiki, rashin barci, wani lokaci ko kuma ciwon kai;
• Neutropenia da wani lokacin thrombocytopenia;
• Ƙaddamar da halayen rashin lafiyan;
• Abun baya ko tsofaffin ƙwayoyin tsoka, kazalika da arthritis da myalgia;
• Sau da yawa maganin miyagun ƙwayoyi yana taimakawa wajen raunana kare jiki, wanda ya sa ya riga ya kai ga kamuwa da cututtuka (sinusitis, pharyngitis conjunctivitis);
• Babu shakka akwai jin dadin wahala, asthenia, edema tasowa.

Hannar irin wannan tasiri na iya buƙatar yin shawarwari tare da likita don zabar wani magungunan miyagun ƙwayoyi "Valz".

Yankewa da hanya na gwamnati

Dauke kwayoyin cikin ciki tare da isasshen ƙarar ruwa, ko da kuwa abincin abinci. Sashin ya dogara ne akan hanyar aikace-aikacen, tun lokacin shirya "Valz N", ana amfani da analogus "Valsakor", "Valsartan", "Valz" da sauransu ba kawai don hawan jini ba.

Don rage yawan jini, ana ba da allunan a cikin kashi 80 MG (guda da kullum a lokaci guda). Harkokin magani ya karu da ƙaruwa a cikin makonni biyu na farko, ya kai gagarumin bayyanar bayan bayan wata daya. Idan wannan bai yi aiki ba kashi, shi za a iya ƙara zuwa 160 MG a rana, domin mafi tasiri magani daga complementing diuretics. Maganar "Valza" - shiri "Valz N" - baya buƙatar irin wannan hade, tun da yake an riga ya ƙunshi, ban da ɓangaren valsartan, da kuma diuretic hydrochlorothiazide.

Tare da ci gaba na rashin ciwo na zuciya (CHF), farfurin fara da kashi 40 na MG, yana sanya shi sau 2 a rana. Idan ba a tabbatar da wani sakamako mai kyau ba, an yi haƙuri zuwa "Valz 80" - kamar misalin "Valz 40", kuma tare da sau biyu a kowace rana (matsakaicin adadin har zuwa 320 MG ga biyu). Har ila yau za'a iya haɗa shi tare da wasu wakilan da aka tsara don shawo kan rashin cin nasara na zuciya.

Dangane da ƙananan ƙananan ƙwayar cuta a cikin madaran a cikin matakin barga na jini, farfesa tare da valsartan na iya farawa cikin sa'o'i 12 bayan taimako daga wani mummunan yanayin. Sanya lokaci guda rabin rabi na "Valz 40" da safe da maraice, karawa hankali (na makonni da dama) zuwa kashi 160 mg sau biyu a rana, yana wucewa ta hanyar 40 da 80 mg na asali, bi da bi. Suna daidaitawa ne a yanayin rashin lafiya, matakin da ya dace da miyagun ƙwayoyi. Ana sauya zuwa kashi 80 na MG a karshen mako na biyu na jiyya, kai kashi 160 mg na aiki a ƙarshen watanni na uku.

Marasa lafiya marasa lafiya, amma tare da QC fiye da 10 ml / min, kada ku yi gyare-gyare. Magunguna masu fama da rashin hanta da zazzabi (ba tare da cholestasis ba, a gaban wanda shiri "Valz", analogues Rasha, da kuma kasashen waje, ba a rubuta su), ana amfani da nauyin yau da kullum na wannan miyagun ƙwayar zuwa 80 MG na mai aiki.

Aikace-aikacen Bayanai

Tun da yake wannan abu yana da isasshen takaddama da sakamako masu illa, ya kamata a yi amfani da hankali tare da bin duk shawarwarin likita da kuma bin adadin da aka tsara, musamman ma idan akwai wasu abubuwan haɗari a cikin aikin wasu kwayoyin jiki da kuma tsarin jiki.

Idan mai hakuri yana da ƙananan sodium da aka rage tare da ragewa a BCC (wanda zai iya faruwa saboda yawancin diuretics), magani tare da "Valz N" (ma'anar "Valza") zai iya haifar da gurbin jini a yanzu a farkon farfadowa , Wanda zai cutar da lafiyar mai lafiya. Don kauce wa irin wannan tasiri a gaban wani matsala irin wannan, dole ne a sake mayar da matakin masu zafin jiki da rabo a jiki kafin amfani da kwayoyi.

A matsin lamba mai mahimmancin ƙwayar renovascular, ƙididdiga akai-akai game da matakin urea da creatinine yana da muhimmanci.

Ƙungiyar co-administration na kwayoyi da ke dauke da potassium ko salts, da kuma kudaden da ake danganta da diuretics na potassium, yana buƙatar saka idanu akai akai na potassium a cikin plasma.

Yin amfani da shirye-shirye "Valz 160", wanda ba'a ba da umarni ga wannan cutar, don maganin marasa lafiya tare da CHF, zai iya haifar da digocin jini, wanda ke buƙatar saka idanu game da alamunta.

Ga marasa lafiya da ke fama da lalata ko raɗaɗɗɗen ɓacin ƙwayoyin katako, wajibi ne a kafa ma'auni na yau da kullum da nitrogen da kuma creatinine a cikin jini.

A lokacin jiyya da wannan magani kana bukatar ka zama wary na motocin tuki da kuma sauran ayyuka, yana ambaton wani ƙara taro na hankali da kuma gudun dauki.

Aikace-aikacen lokacin ciki da lactation

Yin amfani da allunan "Valz" a lokacin gestation ko nono yana da alaƙa. Wannan shi ne saboda gaskiyar cewa ba a gudanar da nazarin ilimin valsartan akan tayin ba. Duk da haka, akwai shawarwari da cewa saboda lalacewa na furotin na ƙwayar tayin, wanda ya dogara ne akan samuwar tsarin renin-angiotensin, wanda ya fara aiki ne kawai a cikin shekaru uku na ciki, ciki har da kashi biyu da uku na uku. Sabili da haka, tabbatar da gaskiyar daukar ciki shine alamar kawar da magani tare da miyagun ƙwayoyi "Valz". Analogues, sake dubawa game da magani sune yanayi mai kyau, sai kawai mata za a zaba domin mata waɗanda ke da bambancin gestation. Hakan zai dace, ba tare da cutar da tayin ba, don taimakawa mai haƙuri ya shawo kan matsalar.

Nazarin kan yadda za a shigar da sashin mai aiki a madara madara ba ma auku ba, don haka idan lokuta da ke buƙatar takardar maganin kwayoyi wanda ya rage karfin jini yayin lactation, za a zabi tsakanin sokewa da magani da katsewar nono.

Tsarin yawa

Samun ƙetare iyakar iyaka ko amfani da wasu magungunan ƙwayoyi na iya haifar da overdose na wannan abu. Wannan yanayin yana nuna kansa a cikin karuwar jini a cikin karfin jini, har zuwa asarar sani da rushewa.

An rage jiyya don wanke ciki, ɗauke da adadin yawan allunan da aka kunna da gawayi ko ingancin intravenous na 0.9% sodium chloride bayani.

Yin hulɗa tare da wasu kwayoyi

Yin amfani da "Valz", wanda aka kwatanta da su kamar irin wannan aikin, yana buƙatar yin la'akari da hankali yayin da ake tsara kwayoyi na sauran kungiyoyin pharmacological.

Abubuwa daga rukuni na tsire-tsire masu tsire-tsire masu potassium, da kuma shirye-shirye na potassium, da salts, wakilai wadanda suka kara girman wannan sifa a cikin jini (misali, "Heparin"), na iya haifar da hyperkalemia.

Ƙungiyar hadin gwiwar wasu magungunan kwayoyi ko diuretics yana ƙaruwa sakamakon ƙwayar miyagun ƙwayoyi "Vals". Har ila yau akwai alamun ana magana da shi kamar irin wannan hulɗar.

Yin amfani da magungunan anti-inflammatory marasa steroidal na iya haifar da tasirin cutar.

Co-gwamnati na ACE hanawa da kuma kwayoyi dauke da lithium iya haifar da wani reversible karuwa a cikin taro na alama kashi a jini, har da ci gaban mai guba tsari.

Analogues don babban bangaren

Zai gaya muku abin da sashi mai aiki shine wani ɓangare na shiri "Valz", umarnin don amfani. Sakamakon irin wannan fasalin ta hanyar wannan sifa, suna da irin wannan sakamako akan jiki - Allunan "Valsafors" (Jamus), "Valaar", "Valsakor" (Slovenia), "Valsartan" (Switzerland), "Diovan" (Switzerland), "Tareg" (Switzerland ), Nortivan (Hungary), Valsartan Zentiva (Czech Republic), Tantordio (India). Abinda ke da tasirin waɗannan kwayoyi shine tsarin renin-angiotensin.

Shirin "Valz": analog na Allunan ta ƙungiyar pharmacological

Wannan yana nufin dangantaka da blockers na angiotensin II rabe kan wanda da miyagun ƙwayoyi a iya zabar mafi kama da inji na aikin da sakamako yana bayyana. Har zuwa yau, yawancin analogues na wannan miyagun ƙwayoyi suna samuwa, mafi yawa daga kamfanonin kasashen waje.

Yawancin magungunan kwayoyi suna samuwa akan asalin losartan, wasu lokuta a hade tare da hypothiazide diuretic. Wadannan kwayoyi suna "Cosaar", "Gisaar", "Lorista", "Lozap da", "Vazotens" da "Prozartan".

Magungunan "Valz" shine analog na Allunan "Diovan", "Co-Diovan", "Exforge", "Valsakor" don aiki na valsartan.

Abinda yake aiki na eprosartan yana daga cikin shirye-shirye na "Teveten" da "Teveten Plus".

Wannan bangaren na kommisartan yana cikin maganin "Micardis" da "Mikardis da".

Hannun kayan aiki yana cikin ɓangare na miyagun ƙwayoyi "Aprovel", wanda yana da muhimmancin duniya.

Waltz N: analogues Rasha

Daga cikin magungunan gida na wannan ƙungiyar pharmacological, yana yiwuwa a raba wakilin antihypertensive "Anghiakand" wanda ke dauke da candesartan a matsayin mai aiki. Wannan kamfani ne aka samar a Moscow ta kamfanin "Canonfarma". Saya za'a iya sayar da shi daga 400 zuwa 700 rubles, dangane da abun ciki na mai aiki da kuma yawan allunan a cikin kunshin.

Wani wakili na kasuwar samfurin Rasha shi ne maganin "Bloktran", bisa ga aikin losartan. An gabatar da Pharmstandard a Kursk. A cikin Pharmacies, za'a iya saya a cikin 150-200 rubles ta kunshin.

Wannan kayan aiki (misalin "Valza") da duk sauran, kama da shi, suna da irin wannan sakamako da kuma dacewa mai kyau, wanda ya ba mu damar bada shawarar amfani da su don rage yawan jini. Farashin miyagun ƙwayoyi "Bloktran" na iya zama kyakkyawa, duk da haka, bai kamata ya kamata a yi la'akari da ita ba akan kudin, yana da muhimmanci don la'akari da tasiri na miyagun ƙwayoyi, gabanin sakamako masu illa da wasu dalilai masu yawa, saboda haka za a ba da izini na musamman ga likita.

Sabili da haka, wannan ƙungiyar pharmacological na vasodilators ya nuna kyakkyawan tasiri a rage yawan karfin jini a kan bayanan ƙananan illar sakamako. Amfanin amfani da miyagun ƙwayoyi "Valz" da analogues sun haɗa da rashin samun ciwon sikila, da yiwuwar ɗaukan allunan kawai sau ɗaya a rana (zai fi dacewa a lokaci ɗaya), babu wani sakamako mai mahimmanci.