preparatis samedicino gamoyenebis instruqcia ko-reniteki
preparatis samedicino gamoyenebis instruqcia ko-reniteki
preparatis samedicino gamoyenebis instruqcia ko-reniteki
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xdeba fexmZime qalisTvis, mkurnalobis procesSi nayofis mdgomareobis dasadgenad<br />
regularulad ultrabgeriTi gamokvleva unda tardebodes. gamokvleul unda iqnas<br />
aseve intraamnionuri sivrce oligohidramnionis sawyis stadiaSi gamosavlenad.<br />
oligohidramnionis gamovlenisTanave unda Sewydes <strong>ko</strong>-<strong>reniteki</strong>s miReba, garda im<br />
SemTxvevebisa, rodesac <strong>preparatis</strong> miRebas sasicocxlo mniSvneloba aqvs dedisaTvis.<br />
Tumca, rogorc eqimebma, aseve pacientebma unda icodnen, rom oligohidramnioni<br />
SesaZloa ganviTardes, rodesac ukve adgili aqvs nayofis Seuqcevad dazianebas.<br />
axalSobilebi, romelTa dedebi preparats Rebulobdnen, saWiroeben regularul<br />
<strong>ko</strong>ntrols arteriuli wnevis dacemis, oliguriisa da hiperkaliemiis mxriv.<br />
enalaprili, romelic placentaSi aRwevs, SesaZloa gamoyvanil iqnas axalSobilis<br />
sisxlismimoqcevidan peritonealuri dializis saSualebiT. Teoriulad,<br />
SesaZlebelia <strong>preparatis</strong> sisxlidan gamodevna sisxlis cvladi gadasxmis gziT.<br />
dResdReobiT ar arsebobs hidroqloroTiazidis nayofis sisxlismimoqcevidan<br />
gamodevnis klinikuri gamocdileba.<br />
miReba ZuZuTi kvebis dros<br />
rogorc enalaprili, aseve Tiaziduri diurezulebi xvdeba dedis rZeSi. <strong>preparatis</strong><br />
<strong>gamoyenebis</strong> aucileblobis SemTxvevaSi, pacientma ZuZuTi kveba unda Sewyvitos.<br />
miRebis wesi da dozireba<br />
<strong>preparatis</strong> SigniT miRebaze ar moqmedebs sakvebis miReba.<br />
arteriuli hipertenzia:<br />
Cveuli doza Seadgens 1 tablets dRe-RameSi erTxel. saWiroebisamebr, SesaZlebelia<br />
dozirebis gazrda – 2 tableti dRe-RameSi.<br />
adreuli mkurnaloba diurezulebiT:<br />
<strong>ko</strong>-<strong>reniteki</strong>T mkurnalobis dasawyisSi SesaZloa ganviTardes arteriuli wnevis<br />
simptomaturi dacema. es xSirad vlindeba im pacientTa SemTxvevaSi, romlebsac<br />
diurezulebis gamoyenebiT Catarebulma Terapiam daarRvia wyal-eleqtrolituri<br />
balansi. Terapia diurezulebis gamoyenebiT Sewyvetil unda iqnas <strong>ko</strong>-<strong>reniteki</strong>T<br />
mkurnalobis dawyebamde 2-3 dRiT adre.<br />
Tirkmlis ukmarisoba<br />
Tiaziduri diurezulebi xSirad arasakmarisad efeqturia Tirkmlis funqciis<br />
moSlis mqone pacientTa SemTxvevaSi da sruliad araefeqturia kreatininis<br />
klirensis 30ml/wT-mde da qvemoT (zomieri da gamoxatuli Tirkmlis ukmarisoba)<br />
dawevis dros, rac gasaTvaliswinebelia Terapiis SerCevis dros. im pacientTa<br />
SemTxvevaSi, romelTa SemTxvevaSi kreatininis klirensis diapazoni 30-dan 80 ml/wTmde<br />
aRwevs, <strong>ko</strong>-<strong>reniteki</strong> gamoiyeneba mxolod <strong>preparatis</strong> TiToeuli <strong>ko</strong>mponentis dozis<br />
saguldagulo SerCevis Semdeg. enalaprilis re<strong>ko</strong>mendebuli doza zomieri Tirkmlis<br />
ukmarisobis dros 5-10 mg Seadgens.<br />
gverdiTi movlenebi<br />
<strong>ko</strong>-<strong>reniteki</strong>, rogorc wesi, advilad gadasatania. klinikuri gamokvlevebis dros<br />
gverdiTi movlenebi, rogorc wesi, zomieri iyo da umetes SemTxvevaSi, mkurnalobas<br />
ar saWiroebda.<br />
gverdiT movlenebs Soris yvelaze gavrcelebulia Tavbrusxveva da Warbi<br />
moTenTiloba, romlebic, rogorc wesi, swrafad qreboda da iSviaTad saWiroebda<br />
<strong>preparatis</strong> moxsnas.<br />
sxva gverdiTi movlenebi (1-2%): kunTebis krunCxva, Rebineba, asTenia orTostaturi<br />
efeqtebi, maT Soris, orTostaturi hipotenzia, Tavis tkivili, xvela da impotencia.<br />
iSviaTad gvxvdeba Semdegi arasasurveli movlenebi, romlebic aRiniSna an<br />
<strong>ko</strong>ntrolirebadi klinikuri gamokvlevebis, an farTo <strong>gamoyenebis</strong> procesSi:<br />
sisxlismimoqcevis organoTa sistema:<br />
gulyra, arteriuli wnevis gamoxatuli dacema, gulis aCqareba, taqikardia, tkivili<br />
gulis areSi.<br />
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