Enam imaonedwa kuti ndi imodzi mwa mankhwala amphamvu kwambiri komanso othandiza kwambiri. Zizindikiro zogwiritsiridwa ntchito kwa Enam ndizochepa, chifukwa mankhwalawa akuwoneka kuti akuyang'anitsitsa. Ndi chifukwa ichi kuti mankhwalawa si othandiza kwambiri, komanso amagwira ntchito.
Njira yokha ya Enam
Chinthu chofunikira kwambiri pakukonzekera ndi kulemetsa kwa enalapril. Ndicho chigawo ichi, kulowa mu thupi, kumagwiritsidwa ntchito mophiphiritsira ndikukhala chinthu chogwira ntchito mofulumira komanso mofulumira.
Kuphatikiza pa kulemetsa, Enam ili ndi zigawo zotsatirazi:
- zitsulo;
- maleic acid;
- lactose anhydrous.
Mankhwalawa amangochita mwachidule: atatulutsa mphamvu yotchedwa enalaprilat, thupi limaletsa kupanga mavitamini a angiotensin. Chifukwa cha ichi, kusintha kwa angiotensin Ine ku angiotensin II kumaletsedwa. Ndipo malinga ndizimenezi, kukana kwa ziwiyazi kumachepa, kupweteka kwa systolic ndi diastolic kuchepa. Ubwino waukulu wa Enam ndikuti ntchito yake siilimbikitsa chitukuko cha reflex tachycardia m'njira iliyonse.
Zimapanga mankhwala ndi zotsatira zina:
- kulimbikitsa kufalikira kwa magazi mu impso;
- kuyambitsa machitidwe opondereza;
- opondereza pressor systems;
- kumachepetsa kumbuyo kwa ventricular hypertrophy;
- kumachepetsa kwambiri kufunika kosakanikirana ndi mpweya wa okosijeni;
- kumalimbikitsa chikhalidwe cha minofu ya mtima ndi hypoxia.
Ndikofunika kuzindikira kuti kudya kwa Enam sikukukhudzani ndi mankhwala a lipid ndi makhahydrate. Pazinthu zina za odwala, njira iyi yosankhira mankhwala ndi imodzi mwa zofunika kwambiri.
Ziribe kanthu kuti mapiritsi a Enam amatengedwa, amayamba kuchita maminiti angapo atatha kudya. Momwe thupi limagwirira ntchito m'thupi mumatha maola atatu kapena anayi. Kuchotsa zigawo zazikulu za Enam zikufanana ndi impso. Thupi limatsuka pambuyo pa maola 11-12.
Zisonyezero zazikulu zogwiritsira ntchito Enam
Enam ndi imodzi mwa mankhwala amphamvu omwe akatswiri samalangiza kuti azigwiritsa ntchito osayendetsedwa. Chizindikiro chachikulu cha kugwiritsidwa ntchito kwa Enam - pamakanikidwe apamwamba. Posachedwapa, madokotala ochulukirapo apereka chithandizo chamankhwala opatsirana kwambiri ndi mankhwalawa. Mphamvu ya Enam imanenanso kuti imakuthandizani kumenyana ndi mitundu yosiyanasiyana ya matenda oopsa kwambiri, kuphatikizapo omwe ali ndi matenda opatsirana pogonana komanso oyenera kuthamanga kwambiri.
Mankhwalawa atsimikiziridwa okha pa chithandizo cha matenda monga:
- kuperewera kwa mtima ;
- chiwonongeko chakumidzi.
Pofuna kuthana ndi matendawa, Enam ingagwiritsidwe ntchito ngati chithandizo chodzipangira yekha, koma kawirikawiri mankhwalawa amakhala mbali ya mankhwala othandizira.
Zomwe zimayambitsanso zatsimikiziranso kuti mankhwalawa ndi othandizira kupewa matenda otchulidwa pamwambapa.
Zotsutsana ndi ntchito ya Enam
Mankhwala othandizira pakamwa amatengera. Mlingo waukulu wa tsiku ndi tsiku wa Enam ndi 40 mg. Gwiritsani ntchito mankhwalawa akulimbikitsidwa kamodzi pa tsiku, mosasamala kanthu kuti chakudya chimadya.
Mofanana ndi mankhwala ambiri, Enam sagwirizana ndi odwala onse. Mankhwala ofanana ndi:
- aortic stenosis;
- mimba;
- kuyamwitsa;
- kuthekera kwa chitukuko cha angioedema kumbuyo kwa chithandizo ndi ACE inhibitors;
- kusagwirizana kwa munthu payekha zigawo zake za kulongosola.
Mosamala kwambiri, Enam amafuna anthu omwe ali ndi matendawa:
- hypovolemia;
- kuswa kwa mchere wa madzi;
- stenosis ya mitsempha yamphongo;
- Matenda a malabsorption ya shuga-galactose.