Analog "Yarjejeniya": reviews da kuma hotuna. A Rasha kwatankwacin "Hart": reviews na Cardiology

Hauhawar jini - bũlãlar zamani al'ummar duniya. A yawan m waje dalilai, matalauta yanayi, m danniya, talakawa abinci mai gina jiki da kuma sababbu haifar preconditions ga ci gaban da cututtukan zuciya da kuma bayyanar da wannan mummunan cuta.

Modern Pharmacy jihãdin don ƙirƙirar irin kwayoyi, wanda, idan ba warkar da mutum daga hauhawar jini gaba daya, to a kalla, za su ci gaba da jini a karkashin iko, game da shi minimizing hadarin tsokar zuciya infarction da kuma bugun jini.

A halin yanzu, babban bukatar masu amfani da amfani da wadannan antihypertensive magunguna kamar "Hart", analogs wannan miyagun ƙwayoyi, wanda ya ci gaba mai yawa.

"Yarjejeniya"

M of "shatan" da miyagun ƙwayoyi ne a Hungarian kamfanin EGIS Pharmaceuticals PLC. Masu amfani da su uku irin wannan magani, "Hart," "Hart D" da "Hart Amlo."

Babban aiki bangaren na "Yarjejeniya" shi ne wani abu ramipril. Da muhimman hakkokin alamomi domin ya yi amfani da wannan magani a cikin mutane shi ne gaban cututtuka irin su hawan jini, da ciwon sukari nephropathy, koda cuta, yaxuwa saka kullum. Bugu da kari, da "Yarjejeniya" umarnin don amfani da (irin wannan a mafi yawan lokuta ma ba kyau sakamako) ya bada shawarar rage da alama na tsokar zuciya infarction, "cardiac mutuwa", shanyewar jiki a cikin mutane tare da jijiyoyin zuciya da cututtukan zuciya da (jijiyoyin zuciya da cututtukan zuciya). Har ila yau, da al'adar nada "shatan" ga wadanda suka sha wahala cardiac insufficiency a kullum mataki da kuma ci gaba bayan da haƙuri da wani m tsokar zuciya infarction (a bukata kafun domin su yi amfani da "Yarjejeniya" - a barga hemodynamic sigogi).

A medicament "Hart D" (bisa analogs shafi wani) kunshi biyu aiki aka gyara - Ramipril da hydrochlorothiazide. A farko bangaren lowers hawan jini, sa'an nan rage workload a kan zuciya. Na biyu abu ne mai diuretic, stimulating kan aiwatar da cire gishiri da kuma ruwan da kodan, kuma wannan matsayin ramipril ƙananan jini. Saboda haka, "Hart D" wajabta domin lura da hauhawar jini inda ya nuna hadaddun lura da ACE hanawa, diuretics da kuma jamiái.

Drug antihypertensive miyagun ƙwayoyi "Hart Amlo" (irin wannan a cikin abun da ke ciki da kuma tasiri na zamani kantin akwai) ya ƙunshi biyu main abubuwa - ramipril da amlodipine. Manufar wannan magani aka aikata domin lura da hauhawar jini a marasa lafiya da suke yi a layi daya ramipril da amlodipine da kyau tasiri biyu akayi daban-daban da kuma a hade.

"Ramipril-C3"

Drug "Ramipril-C3" - shi ne wani analogue na "Hart" a Rasha. "Northern Star" yana samuwa a cikin Moscow yanzu. Babban aiki sashi - ramipril. Kamar yadda karin protrude magnesium stearate da lactose monohydrate.

Magani wajabta wa mutane da irin wannan diagnoses kamar yadda hauhawar jini, cardiac insufficiency (na kullum tsari da kuma ci gaba bayan m tsokar zuciya infarction).

A cututtuka irin wannan alamomin for ganawa "Ramiplila-C3" - barga hemodynamics. Shi ne kuma mai nuni zuwa ga sama da analogue Allunan "shatan" shi ne gaban a cikin haƙuri na ciwon sukari da kuma wadanda ba m nephropathy. Tare da tsammani mai kyau sakamakon wajabta "Ramipril-C3" mutane bayan tiyata ga transluminal jijiyoyin zuciya angioplasty da jijiyoyin zuciya jijiya kewaye grafting (idan asibiti barga haƙuri a tsaye).

Kamar yadda contraindications domin karbar medicament yi mutum hypersensitivity zuwa firamare ko sakandare aka gyara daga cikin shirye-shiryen, a tarihin bayanai a baya canjawa wuri angioneurotic edema, tsokane ta da kwayoyi, ACE hanawa. Contraindicated "Ramipril -C3" marasa lafiya karkashin shekaru 18 da haihuwa, saboda babu bayani a kan ta aminci da kuma tasiri.

"Dilaprel"

Antihypertensive miyagun ƙwayoyi "Dilaprel" da aka gabatar a matsayin Rasha kwatankwacin "Hart" a cikin Pharmaceutical kasuwar. Babban aiki sashi - ramipril. Kamar yadda karin protrude alli stearate da colloidal silicon dioxide.

Alamomi ga yin amfani da miyagun ƙwayoyi: gaban a marasa lafiya na cututtuka irin muhimmanci hauhawar jini, hanawa na cardiac aiki a kullum mataki (a hade tare da sauran kwayoyi, musamman tare da wani diuretic).

Danganci ayyuka nephropathy (m, wadanda ba m), ciki har da lokacin da a hade tare da proteinuria, hauhawar jini. Bukatar yarda "Dilaprel" a kuma waɗannan lokuta, idan bayan 'yan kwanaki (2-9 kwana) bayan m tsokar zuciya infarction ɓullo da cardiac gazawar.

Good sakamakon da aka bã magani a cikin wadanda marasa lafiya wanda jihar kiwon lafiya ne halin high zuciya da jijiyoyin jini hadarin (kwatsam farko na m tsokar zuciya infarction, bugun jini).

Sansanonin domin kada su yi rajista don karɓar analog ( "Hart" ne halin da ma guda contraindications), dauke da wani tarihi na angioneurotic edema, hemodynamically gagarumin koda jijiya stenosis, stenosis na aortic ko mitral bawul, hypotension (low jini), kuma gazawar koda aiki da kuma bukatar dialysis. mara liyafar "Dilaprela" marasa lafiya da kasa cardiac aiki a hronichesoy form DEKOM mataki ensatsii kuma a gaban nephropathy. A cikin m lokaci na zuciya da miyagun ƙwayoyi ba a wajabta m angina, na huhu zuciya da kuma tsanani na ramin zuciya cardiac arrhythmias.

"Vazolong"

Wannan analog ( "Hart" yana da guda na asali aiki bangaren - ramipril) yana da wadannan alamomi for: hauhawar jini (na jijiya, mai tsaurin, m, renovascular), nephropathy (m da kuma tasowa a kan bango na kullum yaxuwa koda cuta).

Yana exerts a cardioprotective sakamako da kuma rage platelet tari. A medicament inganta ƙwarai daga kyallen takarda zuwa insulin. Hypotensive sakamako akwai daya da rabi hours bayan samun medicament, matsakaicin sakamako aka samu bayan 5-9 hours daukan hotuna lokaci - har zuwa 24 hours.

Daga cikin manyan contraindication ga yin amfani da wannan magani za a iya gano hypersensitivity to gyara (main kuma karin) da medicament ko zuwa wani ACE hanawa, kasancewar wani tarihi bayani game da baya hijira angioneurotic edema, tsokane ta lura da ACE hanawa.

Lokacin da ciki ne contraindicated dauki wannan magani, kazalika da "Yarjejeniya". Umarnin don amfani, real (analogues na "Yarjejeniya", dauke da wani bangare na ramipril, ba za a iya sanya wa mata masu ciki), kiwon lafiya kwararru bayar da shawarar a pre-jiyya don tabbatar da rashi na ciki. Idan haƙuri zama ciki a lokacin far kamata a dauke nan da nan kwayoyi ramipril da kuma zabi wani Hanyar magani.

"Amprilan"

A irin wannan ACE hanawa, kamar yadda "Amprilan", kuma kwatanci ne ga "shatan", duka a abun da ke ciki da kuma a sakamako. Babban aiki sashi na Medicine - ramipril. A wani na biyu aka gyara protrude sodium bicarbonate, lactose monohydrate, croscarmellose sodium, sitaci.

Alamomi ga yin amfani da miyagun ƙwayoyi a general, kusan m zuwa baya aka bayyana "Vazolongu", "Dilaprelu" ramipril-C3 ": hauhawar jini, na kullum zuciya maye ayyukan, nephropathy, saukarwa verooyatnosti ci gaba da cututtuka na zuciya Pathology.

Enumeration na contraindications ga yin amfani da wannan magani ne quite m. "Amprilan" wuya wajabta wa marasa lafiya fama da tsanani cututtuka irin su biyu mai gefe na koda jijiya stenosis a hemodynamically gagarumin stenosis na arteries da kuma samar da wata Kadaitaccen koda, koda insufficiency ayyukan, yanayin bayan koda dasawa da dialysis. Da miyagun ƙwayoyi ba a yarda ya shafi marasa lafiya da wadannan zuciya matsaloli: aortic da / ko mitral stenosis, na kullum cardiac gazawar (decompensation mataki), obstructive cardiomyopathy da hauhawar jini.

Unacceptable kashi na magani a mata a lokacin daukar ciki da nono-ciyar da wata baby. Contraindication ne kasa da shekaru 18 da shekaru.

"Ramikardiya"

Drug analogues "shatan" yanzu m isa cikakken pharmaceutical kasuwar. Wani sanannun analogue - "Ramikardiya". Alamomi da kuma contraindications magani ne kusan m zuwa baya tattauna "Amprilanom".

Kafin fara jiyya da wannan magani masana bayar da shawarar karfi don gano jihar da kodan, saboda dangane da matsayi na wadannan jikuna zabi mutum kashi na magani (ko da miyagun ƙwayoyi ba ki). A lokacin jiyya, wannan kayan aiki ne kusan m zuwa medicament "shatan", umarnin don amfani (analogues, kusan duk zai iya sa tsanani cutar da kodan) bada shawarar don sarrafa jihar na urinary tsarin, jini electrolyte abun da ke ciki, yawan koda enzymes da kuma na gefe jini hoto.

Wadanda marasa lafiya a wanda bãbu wani ruwa gaira, sodium, kafin ka fara shan "Ramikardiyu", shi wajibi ne don cire duk ruwa da kuma electrolyte munanan. A lokacin jiyya da wannan magani unacceptable hali dialysis amfani membranes na polyacrylonitrile, saboda akwai wani hadarin anaphylactic halayen.

"Ramigamma"

Tartsatsi analogues "Hart" a Rasha. Wani irin miyagun ƙwayoyi da ake kira "Ramigamma". Babban aiki sashi - ramipril. Alamomi da kuma contraindications masu kama da wadanda wanda aka halin da sama bayyana kwayoyi. Far da wannan wakili ya zama karkashin kulawa da halartar likita.

Bayan shan na farko kashi na "Ramigammy", ko kara da sashi a haƙuri shan diuretics, a kan gaba 8:00 kamar yadda sau da yawa yadda zai yiwu wajibi ne don gwada jini. Wannan shi ne zama dole domin ya hana uncontrolled da m hypotensive dauki (sauke a jini). Hankali bukatar marasa lafiya fama da tsanani koda cutar da kuma zuciya da jijiyoyin jini tsarin.

A lokacin jiyya da shi wajibi ne don sarrafa matakin na fari da maikacin jini, don haka kamar yadda ba miss a lokacin da leucopenia.

"Hart" analogs da miyagun ƙwayoyi (ciki har da "Remigammu") kamata ba za a gudanar don marasa lafiya da suke a wannan lokaci ya desensitizing magani (domin rage rashin lafiyan halayen ga cizon kwari). Lokaci guda ACE hanawa da kuma sensitizing jamiái zai iya sa da ci gaban mai tsanani, rai-barazanar anaphylactic dauki jiki (numfashi rashin cin nasara, a drop a jini, amai, da dai sauransu)

"Kardipril"

Bushiya daya fairly sanannun magani - wani analogue na "Hart" - "Kardipril". Active bangaren - ramipril. Babban alamomi ga yin amfani da miyagun ƙwayoyi - hauhawar jini, congestive zuciya rashin cin nasara (as wani bangaren na hade far), nephropathy (ta farko a matsayin kyau), cardiac insufficiency bayan tsokar zuciya infarction.

Contraindications ga yin amfani da "Kardiprila" quite m. Magani ya kamata ba za a wajabta shi a yarda da kasancewar koda da hanta gazawar, tsari lupus erythematosus, koda jijiya stenosis, tare da hyperkalemia da hyponatremia, da kuma zalunci na bargo hematopoiesis. Kada rubũta da miyagun ƙwayoyi a lokacin daukar ciki, lactation, kuma a cikin marasa lafiya a karkashin shekaru 18 da haihuwa.

Tare da wani yawan abin sama na "Kardiprilom" iya ci gaba mai tsanani hypotension (drop a jini), koda gazawar, mai tsanani electrolyte munanan, bugu. Don kawar da effects zama dole don gudanar da wani m lura da kuma bi-up goyon bayan asali ayyuka. Idan wani karfi matsa lamba saukad da za a iya gudanar da ƙarin adadin sodium da kuma ruwaye. Hemodialysis wani gagarumin sakamako zai ba.

"Tritatse"

Me kuma yake da analogue na "Hart"? Wani da aka sani kuma yadu used miyagun ƙwayoyi marasa lafiya - "Tritatse". A magani ne samuwa a Jamus da Faransa. Babban aiki sashi - ramipril. Alamomi ga aikace-aikace, kamar yadda, duk da haka, da kuma contraindications kamar irin wannan da dukkan baya aka bayyana sashi na nufin ACE-hanawa. Jiyya tare da "Tritatse" yawanci daukan dogon lokaci, wanda a kowane hali ne m da halartar likita.

Kafin ka fara lura da wannan magani, shi wajibi ne don tabbatar da babu yanayi kamar hyponatremia da hypovolemia. A cikin taron cewa haƙuri a baya ya samu wani magani, diuretics, suna da soke ko akalla rage sashi na kwanaki 2-3 kafin qaddamarwa na lura tare da yin amfani da "Tritatse".

Bayan na farko kashi ko karuwa diuretics kiwon lafiya dole ne dole samar da mai da hankali da sa idanu da haƙuri ga akalla 8 hours. Wannan shi ne zama dole domin ya dauki dace mataki a ma m fall a jini.

Idan wani haƙuri yana da zuciya rashin cin nasara ko m siffofin hauhawar jini, far da "Tritatse" yarda ka fara kawai a wani asibiti.

Cikin dukan zamanin da magani tare da wannan magani dole ne saka idanu na koda aiki, matakin maida hankali Wutan, Hematology (haemoglobin, platelet count, leucocytes, erythrocytes, leukocyte dabara).

Gwani ra'ayi a kan ACE

Ta yaya game da duk wani tsanani magani samfurin to wanda shi ne mai yiwuwa a hada da "shatan" kuma ya fi kyau analogues reviews likitan zuciyar, likita na wani specialization ko haƙuri iya barin duka biyu tabbatacce kuma korau kwatance.

Mafi yawan marasa lafiya bayyana kansa "Hart" kuma yawancin ta takwarorina matsayin sosai da sauri-aiki da kwayoyi, tasiri ko a sosai hawan jini. A tsawon lokaci da daukan hotuna zuwa kwayoyi na wannan kungiya kuma ta kai 24 hours. Ko da yake da farashin wadannan kayayyakin bambanta ƙwarai, kuma ba duk kwayoyi suna samuwa ga mai fadi da kewayon masu amfani da.

Akwai, duk da haka, mummunan da ra'ayinta game da miyagun ƙwayoyi "Hart". Analogs sake bitar marasa lafiya ma wani lokacin bayyana korau gefe. Dalilin shi ne, duk wadannan magunguna zai iya sa da ci gaban dukan bunch of m events, wasu daga waxanda suke quite nauyi. A wannan batun, likita kwararru tsaya a Solidarity tare da su marasa lafiya. Ko da yake mafiya yawa kiwon lafiya kwararru yi imani da cewa irin wannan kwayoyi ajiye daruruwan rayuka, da kuma su ne sosai zama dole ga mutane. Babban abu ne ba don sanya kanka a matakin na kai-magani, da kuma tsananin bi da shawarwarin da halartar likita.