Enam yog suav hais tias yog ib qho tseem ceeb tshaj plaws thiab muaj cov tshuaj antihypertensive. Cov kev qhia rau kev siv cov Enam raug txwv tsis pub, vim tias txoj kev khomob tau pom tias yuav tsum muaj kev tsom rau. Nws yog ua tsaug rau qhov no tias cov tshuaj tsis zoo tsuas yog siv tau, tab sis kuj operative.
Lub hom phiaj ntawm kev ua ntawm Enam
Lub ntsiab yam khoom tseem ceeb hauv kev npaj yog qhov kev xav tau txiv neej enalapril. Nws yog qhov no, ua rau hauv lub cev, metabolized thiab tig mus rau hauv ntau dua thiab ceev nrooj tshuaj - enalaprilat.
Ntxiv nrog rau kev pom kev enalapril, Enam muaj cov nram qab no:
- zinc stearate;
- txiv qaub;
- anhydrous lactose.
Cov yeeb tshuaj ua rau kev yooj yim: tom qab tso tawm ntawm tus kab mob enalaprilat, lub cev ua rau lub cev tsis muaj zog angiotensin-converting enzymes. Vim qhov no, qhov kev hloov ntawm angiotensin Kuv mus rau hauv angiotensin II yog tiv thaiv. Thiab raws li, txhua tus neeg peripheral tsis kam ntawm cov hlab ntsha txo, lub systolic thiab diastolic siab decreases. Qhov zoo tshaj plaws ntawm Enam yog tias nws daim ntawv thov tsis cuam tshuam rau kev txhim kho ntawm kev ua kom tiav tachycardia txhua txoj kev.
Tsim cov tshuaj thiab lwm yam teebmeem:
- ua kom koj cov ntshav khiav zoo nyob hauv ob lub raum;
- qhib cov kev xav nyuaj siab;
- oppressor xovxwm tshuab;
- txo cov hlab ntsig hypertrophy;
- ho txo cov kev xav tau rau myocardium hauv cov pa oxygen;
- txhim kho qhov mob ntawm lub plawv mob nrog hypoxia.
Nws yog ib qho tseem ceeb kom nco ntsoov qhov tseeb tias Enam tsis cuam tshuam rau cov roj ntsha lipid thiab carbohydrate. Rau qee cov neeg ntawm cov neeg mob, qhov kev ntsuas rau kev xaiv tshuaj yog ib qho tseem ceeb.
Txawm hais tias Enam ntsiav tshuaj npaum li cas, lawv pib ua haujlwm tom qab ob peb feeb tom qab noj tshuaj. Qhov siab tshaj plaws ntawm tus kab mob enalaprilat nyob rau hauv lub cev yog mus txog 3 mus rau 4 xuab moos. Qhov kev tshem tawm ntawm lub Cheeb Tsam Cheebtsam ntawm Enam hnov tau rau ob lub raum. Lub cev ntxuav tom qab 11-12 xuab moos.
Lub ntsiab tseem ceeb rau daim ntawv thov Enam
Enam yog ib qho yeeb tshuaj uas cov kws txawj tsis pom zoo siv los tswj tsis tau. Lub ntsiab tseem ceeb rau daim ntawv thov Enam - rau siab kom siab. Tsis ntev los no, ib tug zuj zus pes tsawg tus kws kho mob tau muab kev xaiv rau kev kho mob ntawm kev kub ntxhov nrog cov tshuaj no. Lub zog ntawm Enam tseem nyob rau hauv qhov tseeb tias nws tso cai rau koj mus sib ntaus nrog ntau hom kev kub siab, nrog rau cov neeg kho tshiab, thiab tseem ceeb hauv kev siab kub.
Cov tshuaj tau pov thawj nws tus kheej hauv kev kho mob ntawm cov kab mob xws li:
- mob plawv tsis ua haujlwm ;
- coronary ischemia.
Yuav kom tiv thaiv cov kab mob no, Enam yuav siv tau ua ib qho kev ywj siab, tab sis feem ntau cov tshuaj ua ib feem ntawm kev kho ua ke.
Kev xyaum kuj tau lees paub tias cov tshuaj siv tau zoo npaum li cas los tiv thaiv cov kab mob saum toj no.
Contraindications rau kev siv cov Enam
Ib qho tshuaj rau kev noj haus hauv qhov ncauj yog tsim. Qhov ntau hnub ntawm Enam yog 40 mg. Siv cov tshuaj yog pom zoo ib zaug ib hnub, tsis hais txog kev noj zaub mov noj.
Raws li nrog ntau cov kws kho mob, Enam tsis haum txhua tus neeg mob. Contraindicated yeeb tshuaj thaum:
- aortic stenosis;
- cev xeeb tub;
- pub niam mis;
- qhov tseem ceeb ntawm kev mob angioedema rau tom qab kev kho mob nrog ACE inhibitors;
- tus tib neeg tsis txaus ntseeg ntawm tus tib neeg lub cev ntawm kev tsim.
Nrog ceev faj, Enam xav tau cov neeg mob xws li:
- hypovolemia;
- ua txhaum dej-ntsev seem;
- stenosis ntawm cov hlab ntsha;
- syndrome ntawm malabsorption ntawm qabzib-galactose.