preparatis samedicino gamoyenebis instruqcia ko-reniteki
preparatis samedicino gamoyenebis instruqcia ko-reniteki
preparatis samedicino gamoyenebis instruqcia ko-reniteki
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Sratis kaliumi<br />
kaliumis dakargva Tiaziduri diurezulebis miRebis fonze, rogorc wesi, sustdeba<br />
enalaprilis moqmedebiT. sisxlis SratSi kaliumis <strong>ko</strong>ncentracia, rogorc wesi,<br />
normis farglebSi rCeba.<br />
kaliumi<br />
kaliumis damatebebis, kaliumis damzogveli diurezulebis an kaliumis Semcveli<br />
marilebis gamoyeneba, gansakuTrebiT, Tirkmlis ukmarisobis mqone pacientTa<br />
SemTxvevaSi, iwvevs SratSi kaliumis Semcvelobis mkveTr momatebas.<br />
liTiumis preparatebi<br />
liTiumis preparatebs, rogorc wesi, ar niSnaven diurezulebs, an agf<br />
inhibitorebTan erTad. diurezulebi da agf inhibitorebi asusteben Tirkmelebis<br />
mier liTiumis gamoyofas, ris Sedegadac imatebs liTiumiT intoqsikaciis riski.<br />
arasteroiduli anTebis sawinaaRmdego preparatebi (aasp)<br />
Tirkmlis funqciis moSlis mqone zogierTi im pacientis SemTxvevaSi, romlebic aasps<br />
Rebuloben, agf inhibitorebis gamoyenebam, SesaZloa, Tirkmlis funqciis gauareseba<br />
gamoiwvios. es cvlilebebi, rogorc wesi, Seqcevadia.<br />
aramadepolarizebeli miorelaqsantebi<br />
Tiaziduri diurezulebis Sedegad imatebs mgrZnobeloba tubokurarinis mimarT.<br />
hipotenziuri efeqtis Semcirebas xels uwyobs aasp, estrogenebi, eTanoli.<br />
imunodepresantebi, alopurinoli, citostaturebis miReba zrdis hematotoqsikurobis<br />
risks.<br />
gansakuTrebuli miTiTebebi<br />
arteriuli hipotenzia da wyal-eleqtrolituri balansis moSla<br />
rogorc nebismieri hipotenziuri Terapiis dros, zogierTi pacientis SemTxvevaSi,<br />
SesaZloa, ganviTardes arteriuli wnevis simptomaturi dacema. savaldebuloa<br />
pacientTa gamokvleva wyal-eleqtrolituri balansis – siTxis ukmarisobis,<br />
hipovolemiis, hipoanatriemiis, hipoqloremiuli alkalozis, hipomagniemiis an<br />
hipokalemiis moSlis klinikuri niSnebis dadgenis mizniT, romlebic, SesaZloa,<br />
diareis an Rebinebis Sedegad gaCndes. aseT pacientebs periodulad unda CautardeT<br />
eleqtrolitebis ganmsazRvreli gamokvleva. gansakuTrebuli yuradReba unda mieqces<br />
gulis iSemiuri daavadebis an cerebrovaskularuli daavadebis mqone pacientebs,<br />
romlebic <strong>ko</strong>-reniteks Rebuloben, rameTu arteriuli wnevis mkveTrma dawevam,<br />
SesaZloa, miokardis infarqti an insulti gamoiwvios.<br />
arteriuli wnevis gamoxatuli dacemis dros pacienti unda dawves loginSi da,<br />
saWiroebisamebr, gamoyenebul unda iqnas 0.9% natriumis qloridis xsnaris Sinagani<br />
infuzia. arteriuli wnevis droebiTi dacema rpeparatis daniSnvis dros ar uSlis<br />
xels mis Semdgom gamoyenebas. arteriul wnevasa da cirkulirebadi sisxlis<br />
moculobis normalizaciis Semdgom SesaZloa aRdgenil iqnas Terapia an<br />
Semcirebuli doziT, an <strong>preparatis</strong> <strong>ko</strong>mponentebis calkeuli <strong>gamoyenebis</strong> gziT.<br />
aortaluri stenozi / hipertrofiuli kardiomiopaTia<br />
rogorc sxva, vazodilatirebadi moqmedebis mqone preparatebi,<br />
agf inhibitorebi didi sifrTxiliT unda daeniSnos im pacientebs, romelTac<br />
garTulebuli aqvT gulis marcxena parkuWSi sisxlis cvla.<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. preparati ar unda<br />
daeniSnos Tirkmlis ukmarisobis mqone pacients (kreatininis klirensis 80 ml/wT-ze<br />
naklebi), sanam <strong>preparatis</strong> calkeuli <strong>ko</strong>mponentebis SerCevis Sedegad ar dadgindeba,<br />
romeli preparati Seicavs pacientisaTvis saWiro dozas. zogieT pacientTa<br />
SemTxvevaSi, romelTac ar aqvT Tirkmelebis raime daavadeba, mkurnalobis<br />
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