Mankhwala 'Diovan. Malangizo ntchito ndi kufotokoza mwachidule

"Diovan" ndi yeniyeni yogwira angiotensin II cholandilira antagonist. Chinali cholinga cha utsogoleli m'kamwa. Chifukwa chakuti Ufumuyo mankhwala malangizo 'Diovan, wosuta aphunzire njira ya kanthu. midadada mankhwala a AT1 zolandilira, udindo angiotensin II. Chifukwa cha zimenezi, madzi a m'magazi ndende ya angiotensin II, amene kumapangitsa omasulidwa AT2 cholandilira subtype, umachuluka.

Pali zizindikiro zingapo ntchito "Diovan" mankhwala. Malangizo ntchito amalola kuwawerenga. Ali:

- mtima kulephera (aakulu);

- matenda oopsa.

"Diovan" mapiritsi ali kutumikiridwa mu dongosolo kuonjezera Mwina kupulumuka odwala ndi pachimake m'mnyewa wamtima infarction, amene kobvuta ndi kumanzere yamitsempha yamagazi kukanika, systolic kapena kumanzere yamitsempha yamagazi insufficiency, geodynamic zizindikiro bata.

Zotsatira za mankhwala kulephera mtima zachokera umatha kuthetsa

- selo kuchulukana imatsogolera ku kukonzanso kwa mtima, mitsempha, impso;

- madzimadzi posungira mu thupi;

- vasoconstriction;

- kukondoweza kwambiri kaphatikizidwe mahomoni monga aldosterone, endothelin, vasopressin ndi catecholamine ena.

Mu mankhwala a matenda oopsa kanthu "Diovan" mankhwala anati pambuyo maola awiri. The kuchepetsa kuthamanga dontho zimawonedwa pambuyo pa 5 maola. Mapiritsi kanthu amalimbikira kwa maola oposa 24. Mobwerezabwereza ntchito "diovan" kuthamanga pazipita yafupika pafupifupi ndi sabata wachiwiri kapena wachitatu, ndipo anakhalabe pa mlingo kwa nthawi yaitali. Tikumbukenso kuti malinga ndi deta anapereka Ufumuyo mankhwala "Diovan" malangizo, mwadzidzidzi kutha kwa ntchito mankhwala sichichititsa kuwonjezeka mwadzidzidzi kuthamanga kapena chokhwima zotsatira matenda.

Nthawi kumene "Diovan" mapiritsi ntchito pambuyo infarction m'mnyewa wamtima, ndi yogwira mankhwala mankhwala - Valsartan - kuchepetsa 25% mu chiopsezo cha imfa.

Patsogolo ntchito mankhwala ayenera kukhala bwino ndi contraindications kulandira "Diovan" mankhwala. Malangizo kwa mankhwala muli mndandanda wa iwo:

- mimba;

- mkaka wa m'mawere;

- ndi kulingalira wapadera kuti alipo aliyense chigawo zikuchokera mankhwala.

Komanso, ndi changu chisamaliro ayenera kumwedwa "Diovan" mapiritsi:

• ndi chakudya womangika sodium;

• odwala amene anawulula amgwirizano mtsempha wamagazi aimpso stenosis ;

• mu kulephera kwa chiwindi, chinachitika ndi maziko a kutsekeka biliary;

• Odwala insufficiency aimpso;

• pa kutsegula m'mimba, kusanza.

Nditawerenga za mankhwala 'Diovan' ndemanga, mungaphunzire za zotsatira ngati wamba mbali monga:

- matenda tizilombo,

- Neutropenia,

- postrualnoe chizungulire,

- orthostatic hypotension.

Nthawi zina kawirikawiri zambiri kumachitika chapamwamba kupuma thirakiti matenda, hyperkalemia, sinusitis, kusowa tulo, kukomoka, zilonda zapakhosi, imfa ya libido, matenda a mtima, hypotension, chifuwa, ndi ululu pamimba, kutsekula m'mimba, vertigo, kupweteka kwa msana, asthenia, kumverera wotopa , edema. kawirikawiri, koma angayambe rhinitis, thrombocytopenia, pruritus, zotupa, kupweteka kwa mutu, nseru, vasculitis, angioedema, arthralgia, aimpso kukanika, myalgia.

Amafotokozedwa mwachidule komanso zizindikiro ndi ambiri osokoneza za mankhwala. Popewa izi, pamaso kutsatira "Diovan" kukonzekera malangizo ntchito yake ayenera mosamala ndi ogula. Izo zimasonyeza njira kutenga mankhwala ndi mlingo, komanso za zizindikiro zonse cha mankhwala osokoneza bongo ndi thandizo miyeso.