"Flomax" saline nqus tau pa rau cov me nyuam: phau ntawv no, xyuas

Nyob rau hauv lub caij nplooj zeeg thiab lub caij ntuj no ua tsis tau txias-txog kab mob, uas yog feem ntau nrog los ntawm ib tug hnoos, bronchial dab tsi thaiv. "Flomax" nrog saline nqus tau pa tsuas yog indispensable rau cov me nyuam thaum lub sij hawm lub sij hawm no. Relieves chua nyob rau hauv lub ntsws, muaj bronchodilatory zog.

Tso daim ntawv thiab muaj pes tsawg leeg ntawm cov tshuaj

"Flomax" nrog saline nqus tau pa rau cov me nyuam yog ib tug ua ke cov hlab ntsws qhib tshuaj. Lub ntsiab active tshuaj yog: anhydrous ipratropium bromide nyob rau hauv ib tug npaum li ntawm 250 mg ntawm fenoterol hydrobromide thiab ib lub concentration ntawm 500 micrograms.

Cov tshuaj no yog ua nyob rau hauv daim ntawv ntawm nqus tau pa tshuaj tshab xim. Ntxhiab. Ntim rau hauv hwj uas tsaus nti xim av xim nrog ib tug cork-dropper.

pharmacological los

"Flomax" saline nqus tau pa rau cov me nyuam muaj ib tug qhia cov hlab ntsws qhib kev ua si. Nws muaj xws li active cov khoom xyaw: ipratropium bromide acting li m-holinoblokatorov thiab fenoterol hydrobromide manifests nws tus kheej raws li beta2-agonists.

Fenoterol thiaj li nyuaj siab nqaij ntshiv ntawm lub bronchi. Nws tiv thaiv kev rov chua uas ntxias histamine, methacholine thiab allergens huab cua ntshiab ntawm ntau hom. Tau txais medicament tso kev sib kho los ntawm inflammatory hlwb, thiab nyob rau hauv siab koob tshuaj nws muaj peev xwm lug txhim khu mucociliary thauj. Tsis tas li ntawd feem nkoos ua pa txheej txheem.

Fenoterol nyhuv rau hauv lub plawv. Nws tej cov kev ceev thiab quab yuam ntawm contraction, uas yog tshuab txais β2-adrenergic mob system, thiab nrog ib tug ntau yam pauv loj tshaj ntawm cov tshuaj yog cov siab nyob rau β1-adrenergic stimulation.

Anhydrous ipratropium bromide ua raws li ib tug blocker ntawm m-cholinergic receptors. Tuskheej bronchospasm, uas yog zoo txuam nrog cov kev ua ub ntawm lub vagus paj. Nws thiaj li tso pa tawm ntawm lub qog ntawm ntau yam keeb kwm, nrog rau bronchial.

Introduction tivthaiv los ntawm nqus tau pa ntaub ntawv bronchodilation. Nws tsis ua rau tsis zoo los rau hauv lub pa ib ntsuj av tau hnoos qeev, mucociliary clearance los yog nkev pauv.

Sis ntawm active tshuaj yuav pab tau tsim ib tug hlab ntsws qhib nyhuv, uas yog tau ua los ntawm kev txiav txim ntawm ntau yam mechanisms. Amplifies cov nyhuv ntawm cov kev kho mob ntawm bronchopulmonary kab mob. Rau cov kev kho mob ntawm tus kab mob no sufficiently uas tsis muaj koob tshuaj beta-agonist, uas tso cai rau kom tshem tau ntawm ib tug xov tooj ntawm cov kev phiv.

zaj lus tim khawv

"Flomax" saline nqus tau pa rau cov me nyuam yog siv rau kev tiv thaiv thiab kev kho mob ntawm cov kab mob bronchopulmonary nrog reversible bronchospasm. Nws yuav ua tau thiab mob obstructive koj muaj teebmeem kev kab mob xws li mob ntsws, mob hawb pob thiab mob hawb pob. Nws xav siv ntawm "Flomax" thaum hnoos.

ib tug yeeb tshuaj feem ntau siv los mus npaj cov pa system rau cov kev taw qhia ntawm mucolytics, ntau hom ntawm corticosteroids thiab tshuaj tua kab mob siv los ntawm aerosol.

contraindication

Txais tos "Flomax" tshuaj tov (cov tshuaj yuav tsum tau raws li nyob rau hauv cov lus qhia) yuav tsum tau muab los ntawm ib tug kws kho mob, vim hais tias cov tshuaj muaj contraindications.

Cov no yog cov kab mob ntawm cov hlab plawv system, xws li cardiomyopathy, tachyarrhythmia. Nws tsis pom zoo kom siv cov tshuaj nrog huab rhiab heev rau lub active cov khoom xyaw ntawm cov tshuaj thiab nws cov me Cheebtsam.

Ceev faj tawm tov nrog lub-kaw glaucoma, cov tib neeg uas coronary insufficiency thiab arterial tawg. Nrog ib tug kws kho mob ua ntej yuav siv cov tshuaj yuav tsum cov neeg uas muaj mob ntshav qab zib thiab myocardial infarction. Ceev faj prodelyvat nqus tau cov pa kev kho mob "Berodual" yuav tsum nyob rau hauv mob loj heev cov kab mob ntawm cov hlab plawv system, cov thyroid caj pas, nyob rau hauv yuam cai ntawm lub prostate, o ntawm lub zais zis, raws li zoo raws li thaum lub sij hawm cev xeeb tub thiab lactation. Nyob rau hauv nqe lus nug yuav tsum cov me nyuam nyob rau hauv lub hnub nyoog ntawm rau xyoo.

Standards ntawm cov tshuaj

Nws yuav ua tau tsuas yog raws li ib tug tov ntawm tshuaj rau nqus tau pa "Berodual".

Ntau npaum rau cov neeg laus thiab cov me nyuam uas muaj hnub nyoog ntawm kaum ob thaum tawm tsam tus mob hawb pob me ntsis heev yog 20 tee, los yog ib tug milliliter. Cov mob loj heev hauv daim ntawv ntawm cov kab mob no yog kho siab txhaj koob tshuaj - mus txog rau 50 dauv los yog 2.5 ml. Nyob rau hauv ib tug tshwj xeeb mob loj heev thaum tus neeg mob yog nyob rau hauv lub tsev kho mob, lub siab tshaj plaws pom zoo koob tshuaj ntawm 80 dauv, los yog 4 mL.

Cov me nyuam mos uas muaj hnub nyoog pab pawg neeg ntawm los ntawm rau mus rau kaum ob xyoos, bronchial hawb pob rau sai cupping ntawm lub teeb thiab medium tshuaj daim ntawv los ntawm 10 mus rau 20 tee (0,5-1 ml). Cov mob loj heev hauv daim ntawv ntawm tus kab mob no raug tua tau 40 ncos (2 ml). Ib tug tshwj xeeb mob loj heev hauv daim ntawv ntawm tus kab mob thaum tus neeg mob yog nyob rau hauv lub moos kho mob saib xyuas, yuav tsum tau txhaj koob tshuaj uas mus txog rau 60 dauv ntawm ib tug tov los yog ntawm 3 ml.

Nyob rau hauv kev sib pauv kev kho mob tshuaj no yog tshuaj rau cov neeg laus thiab cov me nyuam hluas los ntawm lub hnub nyoog ntawm kaum ob 20-40 dauv los yog 1-2 ml plaub zaug ib hnub twg. Qhov siab tshaj plaws pom zoo npaum li cas - 8 ml. Thaum muaj hnub nyoog ntawm rau mus rau kaum ob xyoos cov me nyuam yaus raug tshuaj rau 0.5-1 ml yog 10-20 dauv plaub zaug ib hnub twg. Qhov siab tshaj plaws permissible koob tshuaj yuav tsum tau tsis muaj ntau tshaj plaub milliliters.

Thaum mob loj tsawv daim ntawv los yog spasm bronchus ntxiv cua rau cov neeg laus thiab cov me nyuam muaj hnub nyoog li ntawm kaum ob, thiab cov me nyuam los ntawm rau mus rau kaum ob xyoos, cov tshuaj qhia tau hais tias kaum dauv los yog 0.5 ml.

Ntaub ntawv hais txog cov kev siv ntawm cov tshuaj rau cov me nyuam nyob rau hauv hnub nyoog pab pawg neeg ntawm mus txog rau xyoo ntawm lub hnub nyoog thiab weighing tsawg tshaj li 22 kg yog heev tsawg, yog li ntawd no nws yuav tsum tau siv nrog ceev faj. Yog li, nyob rau hauv kev kho mob saib xyuas kom koj noj 25 mg ntawm ipratropium bromide thiab fenoterol hydrobromide 50 mg rau ib kilogram lub cev hnyav ntawm tus me nyuam. Qhov - 0.5 ml (10 ncos). Siv cov tshuaj nqus tau pa yuav tsum tsis txhob yuav tsawg tshaj li peb lub sij hawm ib hnub twg. Qhov siab tshaj plaws tshuaj yuav tsum tsis txhob ntau tshaj - 1.5 ml.

Yuav ua li cas mus nqus tau pa "Berodual"

Nyob rau hauv cov ntaub ntawv ntawm "Berodual" nws yog ib qho tseem ceeb tsis tau tsuas yog ua raws li cov saum toj no cov qauv, tab sis kuj yuav siv cov tshuaj kom raug. Yog li, qhov yuav tsum tau txhaj koob tshuaj yuav tsum tau diluted nrog saline rau 3-4 ml. Cov tshuaj yog tswvcuab rau hauv lub ntawm Cav Tshuab Pa Tshuaj. Khaws nyob rau hauv lub siab, kws muab tshuaj xyuas rau qhov no qhia hais tias rau nqus tau pa tshuaj nyob rau hauv txhua yam yuav diluted nrog dej distilled. Nws tseem yog tsim nyog los npaj cov tshuaj sai li sai tau ua ntej cov txheej txheem. Residues cia yog tsis raug mus rau yeeb tshuaj.

Koob yuav tsum tau txiav txim nyob rau hauv raws li:

• nrog lub hnub nyoog;
• lub hom ntawm tus kab mob;
• los ntawm nqus tau pa;
• Saib Cav Tshuab Pa Tshuaj.

Lub caij ntawm kev txiav txim yog txiav txim los ntawm tus xov tooj ntawm seem kua nyob rau hauv lub receiver.

"Flomax" no yog tsim rau ntau cov qauv ntawm cov nebulizers. Nyob rau hauv tus neeg mob qhov twg hauv kev npaj muaj phab ntsa-pa tshuaj no yog siv nyob rau hauv high-ceev hom 6-8 l / min. Yog hais tias tsim nyog, rov hais dua cov txheej txheem, tab sis tsis ntxov tshaj plaub teev.

phiv

"Berodual" (tov rau nqus tau pa) ua rau yuav luag tsis muaj kev phiv, tshwj xeeb tshaj yog thaum uas siv raws li cov lus qhia.

Cov neeg mob tau qhia hais tias nyob rau hauv tej rooj plaub, nqaij tshee tej zaum yuav muaj cai tom qab thawj coj ntawm cov tshuaj, ib tug me ntsis nervousness, kiv taub hau, qhov ncauj qhuav thiab hloov nyob rau hauv saj nyiam. Nyob rau hauv tsawg tus neeg mob pom mob taub hau, impaired lub plawv muaj nuj nqi nyob rau hauv daim ntawv ntawm tachycardia thiab palpitations.

Nws twb tseem sau tseg ib tug ua txhaum ntawm lub pa system (hnoos, voos bronhovyvodyaschih txoj kev). Tej zaum kuj muaj yog ib tug paradoxical bronchospasm, xeev siab, ntuav, malfunction ntawm lub hnyuv ib ntsuj av. Ntaus cim txo nyob rau hauv cov ntshav siab thiab nce rau hauv systolic tsos ntawm arrhythmias.

Qhov muag tshuaj tej zaum ccomodation, mydriasis, nce intraocular siab, daim tawv nqaij ua pob liab vog, ua xua thiab o.

Sab-los yog manifested nyob rau hauv daim ntawv ntawm cov tawm fws, tsis muaj zog, hypokalemia, teeb ntawm lub urogenital system, miralgii, tu-sauv nyob rau hauv cov nqaij.

ceev faj

Txoj kev siv "Berodual" nqus tau pa obliges cov neeg mob mus saib xyuas lawv kev noj qab nyob. Yog hais tias koj muaj kev tsis taus ua tsis taus pa yuav tsum tam sim ntawd sab laj ib tug kws kho mob. Nyob rau hauv tej rooj plaub, nyob rau hauv mob obstructive kab mob hauv daim ntawv ntawm periodic siv nqus tau pa tej zaum yuav fruitfully kawg daim ntawv thov.

Cov tib neeg uas raug kev txom nyem los ntawm bronchial hawb pob, mob, yuav tsum nco ntsoov los tuav thiab ua rau kom cov kev siv ntawm kho cov txheej txheem los saib xyuas inflammatory bronchopulmonary system thiab tswj tau hauv chav kawm ntawm tus kab mob no.

Lub tas mus li siv cov tshuaj, muaj nyob rau hauv nws muaj pes tsawg leeg ntawm beta2-adrenergic agonists, xws li "Flomax" ntawm cov tshuaj, mus suppress bronchial rhuav txhua nyob rau hauv tej rooj plaub provokes tus deterioration ntawm tus kab mob, li ntawd, yus yuav ua tau kom pom zoo koob. Yuav kom tiv thaiv xws li ib tug teeb meem no, saib tus neeg mob txoj kev kho mob regimen rau ib tug zoo nqus tau pa raug.

Sib koom "Berodual" nrog sympathomimetic bronchodilators xwb nyob rau hauv nruj kho mob saib xyuas.

Txhua tus neeg ua ntej thov kev pab tshuaj rau cov nqus tau pa yuav tsum ua tib zoo nyeem cov lus qhia thiab tham ib tug kws kho mob. Thaum siv cov tshuaj yuav tsum tsis txhob sib cuag nrog ob lub qhov muag. Qhov no yuav ua rau txoj kev loj hlob ntawm glaucoma.

Cov tshuaj yuav tsum tau nqus tau cov pa los ntawm ib tug tshwj xeeb Cav Tshuab Pa Tshuaj ncauj npog ncig sab los yog ib tug tshwj xeeb daim npog qhov ncauj rau inhalations.

Sib tshuam nrog lwm yam tshuaj

"Berodual" (mob) nyob rau hauv ua ke nrog nrog ntau yam beta-adrenergic agonist bronchodilators txhim kho thaj chaw ntawm cov tshuaj. Ib tug zoo xws li cov nyhuv yog pom nyob rau hauv txoj kev kho mob nrog anticholinergics thiab xanthine derivatives.

Txo bronchodilators yam ntxwv "Berodual" tejzaum nyob rau hauv ua ke nrog nrog beta-blockers. Ib tug ua ke yeeb tshuaj nrog xanthine derivatives tej hypokalemia. Qhov no feature yuav tsum coj mus rau hauv tus account ib tug neeg uas mob loj heev theem ntawm tus kab mob bronhodyhatelnoy system.

Cov tsos ntawm hypokalemia, nyob rau hauv lem, provokes cov tsos ntawm arrhythmias nyob rau hauv cov neeg mob siv digoxin nyob rau hauv txoj kev kho mob, thiab hypoxia tsub kom qhov tsis zoo los rau lub plawv atherosclerosis. Nyob rau hauv no qhov teeb meem no yuav tsum kom muaj qhov tswj tus nqi nyob rau hauv cov ntshav potassium.

Ua tib zoo muab tshuaj makers Mao inhibitors thiab tricyclic antidepressants pab pawg neeg. Tej tshuaj txhim khu cov nyhuv ntawm beta-adrenergic tshuaj. Nqus tau pa ntawm halogenated hydrocarbon anesthetics txheej txheem tsub kom tej yam ntawm cov khoom uas muaj beta-adrenergeny, nyob rau hauv lub plawv. Tshwm ntawm kho kev kho mob yuav tsum upgraded siv cromoglicic acid thiab glucocorticoids.

Ncos rau nqus tau pa "Flomax": tus nqi

Muas bronchodilators yuav yuav nyob rau hauv tej chaw muag tshuaj. Ntawm no, nyob rau hauv me me yog hom twg nyob rau hauv lub nqi "Flomax" txhais tau tias. nws tus nqi yog 250-300 rubles.

Analogs tov rau nqus tau pa

Pheej muaj pov thawj nws cov hauj lwm zoo nyob rau hauv sib ntaus tawm tsam hnoos "Flomax". Analogs yog zoo tsis tuaj kawm ntawv. Tsuas yog ib tug yog cov tshuaj "Berodual H".

Ib co tshuaj zoo sib xws nyob rau hauv pharmacological pab pawg neeg nrog rau "Flomax". Analogues nyob rau hauv cov cheeb tsam no yog lub beta-adrenergic agonist thiab yog siv nyob rau hauv ua ke nrog nrog lub tshuaj kho mob. Cov cuab yeej xws li: "Biasten", "Intal plus", "Ditek", "Kashnol", "Foradil combi", "Sereda." Lawv yog cov tsis muaj kev hloov rau ib tug daws, "Flomax", tab sis yuav ua tau ib tug zoo lwm txoj kev siv yeeb tshuaj yog tias tsim nyog.