"Izixhobo zeBron" (isiraphu): imiyalelo yokusetyenziswa, ukuhlaziywa, iifaneli, amaxabiso

Kuphi umthamo isilwanyana "i-Bronhobos" (isiraphu) esimiselweyo? Imiyalelo yokusetyenziswa kwezidakamizwa ze-pocolytic ichazwe ngokucacileyo ngezantsi. Kwakhona kwizinto ezikule nqaku unokufumana ulwazi malunga neenjongo zokusetyenziswa kweyeza, ingaba libiza kangakanani, ingaba linempendulo yecala, izifaniso kunye nokuchasene.

Ukubunjwa kunye nokupakishwa

Kukuphi ukupakishwa i-Bronchobos (isiraphu) ithengiswa? Imiyalelo yokusetyenziswa kwee- pocolytic agents zifakwe kwipakethi yekhadibhodi apho ipoli yokulinganisa ye-polystyrene eneebhile, kunye nebhotile yeglasi emnyama ebomvu kunye nesimbozo se-aluminium esine-sealant, indlela yokukhusela kunye nokulawula kokuqala.

Into esebenzayo yale nkunkuma yi-carbocysteine. Iqulethe i-ethanol, i-glycerol, i-sodium hydroxide, i-citric acid monohydrate, i-carmellose sodium, i-methylparahydroxybenzoate, i-propyl parahydroxybenzoate, i-saccharinate ye-sodium, i-azorubin, i-flavour flavour and water purified.

I-"Bronhobos" isiraphu, echazwe ngezantsi, i-2.5% okanye u-5% ulungelelaniso olubala, oluneenkqubela ezihambelanayo, i-flavour flavour kunye nombala obomvu obomvu.

I-Pharmacodynamics yeziyobisi

Izidakamizwa zeMucolytic, kubandakanya isiraphu "zeBronhobos", zineempembelelo zokuhlaziya. Esi siphumo sonyango ngenxa yokusebenza kwe-enzyme - ifalic transferase, eveliswa kwiiseli zobunjani bombhobho kwi-mucosa ye-bronchial.

Isilwanyana simele silinganise inani leenombolo ze-acidic acidic, kunye ne-sialomucins engathathi hlangothi kwi-secret bronchial. Ukongeza, ibuyisela i-viscosity ye-mucus kunye ne-elasticity yayo.

Ziziphi ezinye iimpawu ezinokusetyenziswa kweziyobisi? Ziyakhuthaza ukuhlaziywa kwakhona kweembrane ezinqamlekileyo, ukulungelelanisa isakhiwo, kunye nokwenza umsebenzi we-ciliary epithelium. Isiraphu yeBronhobos ibuyisela ukukhutshwa kwe-immunoglobulin A njengokhuselo oluthile, kunye nenani lamaqela e-sulfhydryl kwi-mucus kunye neengxenye zalo njengokhuseleko olungezo. Kwakhona le nkunkuma iphucula ukuxhaswa kobuqabane.

Iziphazamiso ze-Pharmacokinetic zonyango

Isilwanyana "i-Bronhobos", ixabiso eliza kuboniswa ngezantsi, lithathwa ngokukhawuleza kwaye ngokupheleleyo. Ngaphezu koko, unobungozi obuncinane (ngaphantsi kwe-10% yesithathi esithathiweyo). Inqanaba eliphezulu le-carbocisteine esebenzayo kwiimbumba zegazi kunye negazi lifikile emva kokuphela kweeyure eziyi-1.5-2. Izinga layo lokunyanga liqhubeka lihora ezili-8. Isilwanyana eside kakhulu silibazisekile esibindi, ukuhamba kwegazi kunye nendlebe ephakathi. Kwiindawo eziphezulu, iqokelela ekusithekeni kwe-bronchi (malunga ne-17.5% yesithathi esithathiweyo).

Isilwanyana sisetyenziswe kwisibindi. Ibonakala ngempembelelo yeyokuqala. Phantse i-60-90% yonyango iyaxutywa yizintso ngendlela engatshintshiyo.

Isiqingatha-zobomi beziyobisi iiyure ezingama-2-3. I-excretion epheleleyo iyenzeka emva kweentsuku ezintathu.

Imiqondiso yokusetyenziswa kwesiraphu

Ziziphi iinjongo zeBronhobo zezingane kunye nabantu abadala? Ngokwemiyalelo, esi siviki sinceda ngoku:

• Iinkqubo ezivuthayo ezivela kwiimpazamo ze-paranasal kunye nendlebe ephakathi, kubandakanya i-sinusitis, i-rhinitis kunye ne-otitis media;
• Izifo ezingapheliyo kunye nezigulane ze-bronchopulmonary, ezihamba kunye nokuphulwa kwe-mucus kunye nokugcinwa kwayo (umzekelo, i-bronchitis, tracheitis, i-bronchial asthma, tracheobronchitis kunye ne- bronchiectasis).

Ukongezelela koku ngasentla, imveliso ekuthethwa ngayo iyasetyenziswa ngexesha lokulungiselela isigulane nge-bronchography okanye i-bronchoscopy.

Ukungqinelana kokusetyenziswa

Kwiziphi iimeko akukhuthazwa ukuthatha "izixhobo zeBron" (isiraphu)? Imiyalelo yokusetyenziswa ibonisa ukuchasana okulandelayo kuzo zonke iifom zezilingo:

• Ulcer ye duodenum kunye nesisu (ngokukodwa ngokuxhatshazwa);
• Ukunyanzeliswa kwamanzi kumacandelo eziyobisi;
• I-Cystitis kunye ne-glomerulonephritis engapheliyo (kubandakanya ukukhushulwa okukhulu);
• Kudala ukuya kwi-15 iminyaka.

I-2.5% ne-5% isiraphu:

• Ukuxhamla;
• Izifo ezininzi zesibindi, utywala;
• Izifo zobuchopho kunye nokulimala kweli candelo;
• Ukubeleka nokukhulelwa.

I-2.5% isiraphu:

• Uneminyaka engama-3.

Iimeko zokusetyenziswa ngokufanelekileyo kweziyobisi:

• Ubukho besilonda se duodenum nesisu esiswini se-anamnesis.

Ukulungiselela: i-Bronhobos (isiraphu): imiyalelo yokusetyenziswa

Ngokomyalelo odibeneyo, eli gama kufuneka lithathwe ngomlomo. Umlinganiselo wesilwanyana kufuneka uchongwe ngokusebenzisa isamba sokulinganisa.

Kubantu abadala, isiqulatho sichazwe kwisixamali se-15 ml, okuyi-3 e-syops ye-syrup yesi-5% (kathathu ngosuku).

Iintsana ezineminyaka engama-3 ukuya kweyesi-2 ukuya kwe-2,5% amayeza anika ama-5 ml ama-2-4 ngeentsuku, ekulinganisweni kwe-1 ye-spoon yokumkela enye.

Abantwana abavela kwiminyaka engama-6 banqunywe u-5-10 ml we-2.5% isiraphu kathathu ngosuku, oko kukuthi, 1-2 ukulinganisa iipuni.

Ukugqithisa kweziyobisi

Xa uthatha isisindo esiphakamileyo sesiraphu, isigulane sinokuva ubuhlungu besisu, isifo sohudo kunye nesicefe. Ukuphelisa ukungaqhelekanga okunjalo kubonelela unyango olungumqondiso.

Iziganeko ezimbi

Ukuthatha imithi "i-Bronhobos" kunokudala imiphumo engathandekiyo kwinxalenye yezi ziko kunye neenkqubo:

• Isondlo sesisu: isifo se-epigastric, isicupunu, ukuphuma, ukuhlanza, isifo sohudo.
• I-immune system: ukuphendulwa kwemizimba ngendlela ye-exanthema, i-urticaria, i-skin itching, i-angioedema.
• Olunye: utywala, ukubonakala kobuthathaka, i-malaise.
• Kubantu abane-asthma kunye nezigulane ezisebekhulile, ukuphazamiseka kwamanzi kungenzeka.

Ukusebenzisana kwezidakamizwa

Xa uthatha naziphi na iifom yezilwanyana zonyango:

• Ukwandisa umphumo we-bronchodilator weziyobisi "Theophylline".
• Kwonyango lweenkqubo ezithathelwanayo kunye nokuvuvukala kwindlela esezantsi kunye nokuphefumula okuphezulu, kunokukho ukwanda okwenyukayo kwi-glucocorticoid esebenzayo, kunye nomthelela olwahlukileyo we-antibacterial.
• Ngeziyobisi ezinjenge-atropine, isiphumo sokuxhatshazwa sinamandla.

Xa uthatha isiraphu:

• Unonophelo olukhethekileyo (ngenxa yobukho be-ethanol) lisetyenziselwa iziyobisi ezibangelwa ngumkhuhlane, ukuhlanza, ubomvu kunye ne-tachycardia.
• Ukulumkisa ngokugqithiseleyo (ngenxa yobukho be-ethanol) kuthathwa ngamachiza anjenge "Cefamandol", "Disulfiram", "Cefoperazone", "Latamoxef", "Chloramphenicol", "Glipizide", "Glibenclamide", "Chlorpropamide", iTolbutamide "," Griseofulvin "," Metronidazole "," Tinidazol "," Seknidazol "," Ornidazole "," Procarbazine "," Ketoconazole ".

Iingcebiso ezizodwa

Isiraphu "Izixhobo zeBron" ziqukethe i-ethanol. Ngokumalunga nalokhu, unqunywe ngokucophelela kubantwana nakubantu abajongene notywala. Emva kokuthatha iziyobisi kwizigulane, ingqwalasela kunye nokukhawuleza kweempendulo zengqondo ziphazamiseka. Kule nto, sebenzisa le nyanga alikhuthazwa kubaqhubi bezithuthi kunye nalabo basebenza ngeendlela ezinzima.

Imigaqo yokuthengisa, usuku lokugcina nokuphelelwa yisikhathi

Ukuthengiswa kwesi sidakamizwa kwii-pharmacy ngaphandle komyalelo wesigqirha. Yigcine kwindawo engenafikeleleki kubantwana, ukugcina ulawulo lweqondo lokushisa lama-16-30 degrees. Ubomi beshefu yesiraphu yiminyaka emithathu (ngaphandle kokuyekethisa ukuthembeka kwepakethe).

Ukulungiselela "i-Bronhobos": ezifanayo kunye neendleko

Okwangoku, kukho ezininzi iimpawu zendlela ekuqwalaselwa ngayo. Okusondeleyo kwindlela yokusebenza isilwanyana "Fluviert" (isiraphu). Kwakhona i-mucolytic enhle. Ukongezelela, iyeza elinikeziweyo lingatshintshwa ngeendlela ezifana ne "Fluiditek", "Bronkatar", "Libexin Muko", "Mukopron" kunye ne "Mukosol".

Ingakanani "i-Bronhobo" indleko? Ixabiso leliyeza lixhomekeke kwindlela yalo yokukhululwa. Isiraphu ye-5% ingathengwa i-ruble ka-550-570, kunye ne-2.5% yesirya-i-rubriki engama-420.

Uphononongo malunga neziyobisi

Njengoko ulungiselelo lwe "Fluviert", isiraphu ye "Bronhobos" yinto esemgangathweni kwaye iphumelelayo. Lo uluvo olugcinwe zizigulane ezininzi ezisetyenziswe la mayeza ukuba aphathe izifo ezingapheliyo kunye nezigulane ezinzima.

Ngokweengcamango zeengcali ezinolwazi, olu lungiselelo luyakwazi ukuphucula ngokukhawuleza nangokuphumelelayo, kunye nokurhoxisa i-phlegm kwi-bronchi. Esinye isidibaniso sale sixhobo kukuba singanikwa abantwana abancinci kwiminyaka emibili, njengoko kuboniswe ngabaphononongo abaninzi. Oku kubangelwa kukuba isiraphu ekubhekiselwe kuyo ayinayo imiphumo emibi kunye nokuchasene.

Ngokubhekiselele kuhlaziyo olubi, bahlala bexhamla kunye nexabiso leziyobisi. Nangona kunjalo, oogqirha baxela ukuba iindleko zalo mqathango zichanekile ngokupheleleyo, kuba lililo lamanye amayeza asebenzayo ngokuchasene nezifo ze-bronchopulmonary.