Enam inonzi inonyanya kushandiswa uye inorwisa mishonga inopisa simba. Zviratidzo zvekushandiswa kweEnam hazvina kukwana, sezvo mushonga wacho unofungidzirwa kuti unonyatsotarisa. Icho chikonzero nekuda kwekuti mushonga hausi wekuti unoshanda chete, asiwo unoshanda.
Iyo nzira yekuita kweEnam
Icho chikuru chakakosha chinhu mukugadzirira is enalapril maleate. Icho chikamu, kupinda mumuviri, kunoshandiswa uye kunoshandiswa kuva chinhu chinoshanda uye chinokurumidza-kuita-enalaprilat.
Mukuwedzera kune enalapril, Enam ine zvinhu zvinotevera:
- zinc stearate;
- maleic acid;
- anhydrous lactose.
Mushonga unoita zvakanyatsojeka: mushure mekubudiswa kwemaalaprilat, muviri unodzivisa kushandiswa kweiiiotensin-kuchinja maitiro enzymes. Nokuda kweizvi, kushandurwa kwe angiotensin I mu angiotensin II inodziviswa. Uye maererano naizvozvo, kushandiswa kwese kumativi ose emidziyo kunoderera, systolic uye diastolic simba inoderera. Kubatsira kukuru kweEnam ndechokuti kushandiswa kwayo hakubatsiri kukurudzirwa kwetacycardia nenzira ipi zvayo.
Inobereka mishonga nezvimwe zvinetso:
- kusimbisa kupararira kweropa muitsvo;
- inoshandisa depressor systems;
- vadzvinyiriri vemapurisa;
- kunoderedza kusara kwe ventricular hypertrophy;
- kunonyanya kuderedza kudiwa kwemakiriniyamu mumhepo yakisi;
- inovandudza mamiriro emuviri wemutsipa ne hypoxia.
Zvakakosha kucherechedza chokwadi chokuti kudya kwaEnam hakusi kunetseka nekodhi uye yehydrohydrate metabolism. Kune mamwe mapoka evarwere, chirongwa ichi chokusarudza mishonga ndechimwe chezvinhu zvakakosha.
Hazvina mhosva kuti Enam mapiritsi anotorwa sei, anotanga kuita mukati maminitsi mashomanana mushure mekudya. Mafungiro akawanda ealaprilat mumuviri anowanikwa mukati maawa matatu kana mana. Kubviswa kwezvikamu zvikuru zveEnam zvinofanana neitsvo. Muviri unoshambidza mushure memakore anenge 11 kusvika ku12.
Zviratidzo zvikuru zvekushandiswa kwaEnam
Enam ndiyo imwe yemishonga yakanyanya iyo nyanzvi haitauri kushandisa kusadzora. Chiratidzo chikuru chekushandiswa kwaEnam - pakudzvinyirirwa kwakakwirira. Munguva pfupi yapfuura, nhamba inokura yechiremba yakasarudza kurapwa kwehutano hwepfungwa nemishonga iyi. Simba reEnam rinorevawo mune izvo zvinokubvumira kurwisana nemhando dzakasiyana dzehuwandu hwehutachiona, kusanganisira avo vane renovascular, uye inokosha inokonzerwa nehutachiona hwehutano.
Chirwere ichi chakazviratidza pachavo mukurapwa kwezvirwere zvakadai se:
- chronic heart failure ;
- coronary ischemia.
Kuti varwise zvirwere izvi, Enam inogona kushandiswa sekuzvimiririra, asi kazhinji mishonga inova chikamu chekubatanidza kurapa.
Kudzidzira kwakasimbisawo kubudirira kwemishonga senzira yekudzivisa zvirwere zvinorondedzerwa pamusoro apa.
Kupindirana kwekushandiswa kweEnam
Mishonga yekutonga mumuromo inotarisirwa. Nhamba yakawanda yezuva rimwe yeEnam is 40 mg. Shandisa chirwere chinokurudzirwa kamwe chete pazuva, zvisinei nokuti zvokudya zvinowanikwa sei.
Sezvakaita nemishonga yakawanda, Enam haikwani nevarwere vose. Contraindicated drug apo:
- aortic stenosis;
- pamuviri;
- kunwisa;
- mukana wekuvandudzwa kwe angioedema pamashure ekurapa neACE inhibitors;
- kusagamuchirwa kwemunhu mumwe nomumwe zvikamu zvekuumbwa.
Nokuchenjerera kwakanyanya, Enam inoda vanhu vane zvirwere zvakadaro:
- hypovolemia;
- kukanganisa kwemvura-munyu kuenzaniswa;
- stenosis ye renal arteries;
- syndrome of malabsorption ye glucose-galactose.