"Flomax" nosawoti ephefumula izingane: Umhlahlandlela, ukubuyekezwa

Ngo ekwindla nasebusika ukwenza izifo ezihlobene abandayo, okuyinto zivame ukuhambisana ukukhwehlela, isimiso bronchial ngaphandle. "Flomax" nge nosawoti ephefumula kumane esisemqoka izingane ngalesi sikhathi. Aqede zibe wamaphaphu, ifa izakhiwo bronchodilatory.

Khipha ifomu kanye nokwakheka izidakamizwa

"Flomax" nge nosawoti ephefumula izingane buyisidakamizwa inhlanganisela bronchodilator. The main izinto asebenzayo yilezi: anhydrous ipratropium bromide e isamba 250 mg fenoterol hydrobromide futhi ngezinye lokuhlushwa micrograms 500.

Umuthi ikhiqizwa ngesimo isixazululo inhalation umbala okusobala. Ayinaphunga. Zahlanganiswa ngo amabhodlela amnyama umbala onsundu nge ukhokho weThrojani.

imiphumela kwemithi

"Flomax" nosawoti ephefumula izingane has a bronchodilator umsebenzi evelele. Kuhlanganisa ezisebenzayo: ipratropium bromide oyibamba njengoba m-holinoblokatorov futhi fenoterol hydrobromide kuzibonakalisa njengoba beta2-agonists.

Fenoterol kunciphisa imisipha ukucindezeleka kakhulu ze- bronchi. It kuvimbela zibe ngokuphindaphindiwe ukuthi avuse histamine, methacholine kanye nomzimba umoya ohlanzekile ezinhlobo ezehlukene. Ukuthola nomuthi ukukhululwa balamuli amangqamuzana ukuvuvukala, kanye ebulilini ke uyakwazi ukuthuthukisa ezokuthutha mucociliary. Futhi ingxenye kuvusa inqubo zokuphefumula.

Fenoterol nomthelela inhliziyo. It sithuthukisa isivinini namandla ukusikwa, okuyinto kucushiwe β2-adrenergic uhlelo inhliziyo, futhi nge ngokweqile lobuKhristu umthamo kuyinto ingcindezi ezishukumisayo β1-adrenergic.

Anhydrous ipratropium bromide izenzo njengoba okuvimba ka-receptor m-cholinergic. Ikhipha bronchospasm, okuyinto lihlotshaniswa imisebenzi emsipheni vagus. Kunciphisa uketshezi we nezindlala zasezindaweni ezihlukahlukene, kuhlanganise bronchial.

Isingeniso ingxenye by ephefumula yakha bronchodilation. It akakubangeli imiphumela emibi phezu zokuphefumula ipheshana isikhwehlela, imvume mucociliary noma negesi lokushintshisana.

Ukuxhumana izidakamizwa ematasa kusiza ukwakha umphumela bronchodilator, okuyinto etholwe isenzo izindlela ezihlukahlukene. Icacisa umphumela ukwelapha izifo bronchopulmonary. Ukuze ekwelapheni isifo ngemithamo ngokwanele ongaphakeme we-beta-agonist, okuvumela ukuba balahle inombolo okuba nemiphumela engemihle.

ubufakazi

"Flomax" nosawoti ephefumula izingane isetshenziswa ukuze kuvinjelwe futhi kwelashwe izifo bronchopulmonary nge bronchospasm emuva. Kungaba futhi ezingalapheki obstructive isifo samaphaphu ezifana ukucinana kwemithambo yomoya emaphashini, isifuba somoya kanye ne-emphysema. It uncoma ukusetshenziswa "Flomax" uma ukhwehlela.

umuthi ngokuvamile esetshenziswa ukulungiselela umgudu wokuphefumula ukwethulwa mucolytics, izinhlobo ezahlukene corticosteroids nemithi elwa namagciwane kuphethwe aerosol.

contraindication

Reception "Flomax" isixazululo izidakamizwa (umthamo kufanele njengoba ezinikezwe imiyalelo) kumele udokotela, ngoba izidakamizwa has Izimo.

Lezi izifo esimiso senhliziyo nemithambo yegazi, njenge zenhliziyo, tachyarrhythmia. It is hhayi Kunconywa ukusebenzisa izidakamizwa ngozwelo ngokwedlulele izithako ezisebenzayo zomuthi kanye nezakhi zalo ezincane.

Okumele kuqashelwe kukhishelwa isixazululo nge-engeli-Ukuvalwa ukufiphala abantu nge esingamahlalakhona senhliziyo futhi umfutho wegazi ophakeme emithanjeni. Xhumana nodokotela ngaphambi kokusebenzisa izidakamizwa kufanele abantu abanesifo sikashukela kanye isilethikusebenza. Isexwayiso prodelyvat ukwelashwa imuncwe "Berodual 'kufanele izifo okunzima esimiso senhliziyo nemithambo yegazi, le ndlala yegilo, ephula wendlala yabesilisa, ukuvuvukala kwesinye, kanye phakathi nokukhulelwa kanye lactation. Ngo umbuzo okufanele izingane ezingaphansi kweminyaka engu-eminyakeni eyisithupha.

Amazinga zomuthi

It ikhiqizwa kuphela njengoba isixazululo of kwezidakamizwa ephefumula "Berodual".

Isikali abadala kanye nezingane abangaphezu kweminyaka engu-nambili lapho ukuhlaselwa yesifuba somoya okuncane kobukhulu 20 amathonsi, noma omunye ngemililitha. Ifomu ezinzima sifo ebekiwe ngemithamo ephakeme - kuze kufinyelele amathonsi 50 noma 2.5 ml. Ngo olunzima ikakhulukazi uma isiguli esibhedlela, esiphezulu umthamo watusa 80 amathonsi, noma 4 ml.

Izingane abangontanga zeminyaka kusukela eziyisithupha kuya nambili, isifuba somoya bronchial ngoba cupping okusheshayo at ukukhanya naphakathi ngefomu ebekiwe ebhalwe yonke kusuka 10 kuya 20 amathonsi (0,5-1 ml). Ifomu ezinzima zalesi sifo kokuba elibekelwe 40 amathonsi (2 ml). Ifomu ezinzima kakhulu lesi sifo lapho isiguli ngaphansi iwashi kweso lwezokwelapha, kudinga esenikwe-60 amathonsi isixazululo noma 3 ml.

Aphatha exchange izidakamizwa ezinqunyiwe abadala nentsha kusukela ngineminyaka engu-amathonsi nambili 20-40 noma 1-2 ml kane ngosuku. Umkhawulo Kunconywa lemali - 8 ml. Lapho eneminyaka engu-eminyakeni eyisithupha kuya kwabayishumi nambili izingane ezindala kokuba elibekelwe 0.5-1 ml kuyinto 10-20 sehla kane ngosuku. esiphezulu umthamo kuvunyelwe kufanele kube hhayi ningi than namamililitha ezine.

Ngezinye ifomu emaphakathi noma spasm bronchus ngoba ukupholisa ezengeziwe abadala kanye nezingane yobudala iqembu labayishumi nambili, futhi izingane ezineminyaka engu-eziyisithupha kuya nambili, umuthi libonisa amathonsi eziyishumi noma 0.5 ml.

Ulwazi mayelana nokusetshenziswa kwezidakamizwa izingane abangontanga babengagwetshwa iminyaka engaze ibe eziyisithupha ubudala futhi enesisindo esingaphansi 22 kg sincane kakhulu, ngakho lapha kufanele lisetshenziswe ngokuqapha. Ngakho, ngaphansi kweso lwezokwelapha belulekwa ukuba baphuze 25 mg ipratropium bromide futhi fenoterol hydrobromide 50 mg ngayinye amakhilogramu isisindo isidumbu sengane. Okuvamile - 0.5 ml (10 amathonsi). Thatha isixazululo inhalation akufanele kube izikhathi ezingaphansi kwezintathu ngosuku. Umthamo esiphezulu kumele singeqi - 1.5 ml.

Indlela inhalation "Berodual"

Endabeni "Berodual" kubalulekile hhayi kuphela ukuze ihambisane namazinga ngenhla, kodwa futhi ukusebenzisa isixazululo kahle. Ngakho, umthamo edingekayo kumele buhlanjululwe nosawoti ku 3-4 ml. Isixazululo is busuka nge nebulizer. Khumbula, osokhemisi Izibuyekezo kule ukugcizelela ukuthi isixazululo inhalation ngaphansi kwanoma yiziphi izimo buhlanjululwe ngamanzi distilled. Kuyadingeka ukulungiselela isixazululo ngokushesha ngaphambi inqubo. isitoreji izinsalela akuzona kuncike izidakamizwa.

Dose Kufanele sizimisele ngokuhambisana:

• ngeminyaka;
• uhlobo lwesifo;
• ngu ephefumula;
• Buka nebulizer.

Isikhathi senzo kunqunywa inani elisele uketshezi kule umamukeli.

"Flomax" ezifanelekile onobuhle ezahlukene nebulizers. Ezimweni lapho kulungiselelwa iqukethe isixazululo odongeni-mpilo esetshenziswa kwimodi ngesivinini 6-8 l / imiz. Uma kudingekile, ukuphinda inqubo, kodwa amahora ngaphambili kuka ezine.

side effects

"Berodual" (isixazululo inhalation) kubangela cishe akukho engemihle, ikakhulukazi uma esetshenziswa ulandele iziyalezo ezikuyo.

Iziguli libike ukuthi kwezinye izimo, kungenzeka imisipha ukuzamazama waphawula ngemva nokuphathwa izidakamizwa, ukwethuka okuncane, isiyezi, nomlomo owomile kanye nezinguquko ukunambitheka izintandokazi. Ezimweni ezingavamile ukubonwa ikhanda, kahle inhliziyo umsebenzi ngesimo tachycardia futhi palpitations.

Kwathiwa waphawula ukuhlukumeza umgudu wokuphefumula (ukukhwehlela, ukucasuka bronhovyvodyaschih izindlela). Ngezinye izikhathi kukhona bronchospasm ayindida, isicanucanu, ukuhlanza, ukungasebenzi pheshana emathunjini. ukwehla emakiwe wegazi nokwanda ukubukeka systolic ka arrhythmias.

isixazululo Eye kungase ccomodation, mydriasis, waqinisa intraocular, ukuqubuka kwesikhumba, isifuba nokuvuvukala.

Side-imiphumela ziyabonakala ngesimo ukujuluka ngokweqile, ubuthakathaka, hypokalemia, ukuphazamiseka kohlelo urogenital, miralgii, amajaqamba imisipha.

Izixwayiso

Ukusetshenziswa "Berodual" ephefumula uphoqa iziguli ukuze kuqashwe impilo yabo. Uma uhlangabezana iphika kufanele ngokushesha kudokotela. Kwezinye izimo, e ezingamahlalakhona obstructive ifomu isifo yokusetshenziswa gqwa ezibonisa ukuthi uhogele kungaba nezithelo Yiqiniso isicelo.

Abantu abahlushwa somoya bronchial, ezinzima, kumelwe ukhumbule ukubamba futhi ukwandisa ukushuba izinqubo zokwelapha ukuze bengamele ukuvuvukala bronchopulmonary uhlelo kanye ukulawula Yiqiniso lesi sifo.

Ukusetshenziswa njalo izidakamizwa, ukuba ukubunjwa yayo agonists beta2-adrenergic, njengokuthi "Flomax" zomuthi, ukucindezela isimiso bronchial kwezinye izimo kuphakamisa Ukuwohloka isifo, kuyingozi ngakho ukwandisa umthamo watusa. Ukuvimbela Esimweni esinjalo, sibuyekezwe ukwelashwa lesiguli lwemithi ngoba omuhle ephefumula ukuchayeka.

Ukwabelana "Berodual" nge bronchodilators sympathomimetic kuphela ngaphansi kweso lwezokwelapha esiqinile.

Wonke umuntu ngaphambi kokufaka isicelo isixazululo inhalation kufanele ufunde ngokucophelela imiyalelo kanye nodokotela. Uma usebenzisa izidakamizwa kufanele ukugwema ukuthintana ngamehlo. Lokhu kungase kuvuse ukuthuthukiswa glaucoma.

Isixazululo kufanele imuncwe ngokusebenzisa nebulizer isetshenziswa ekhethekile noma buso esikhethekile inhalations.

Ukusebenzisana neminye imithi

"Berodual" (amaconsi) lihambisana beta-adrenergic bronchodilators ahlukahlukene agonist ngcono izakhiwo zomuthi. A nomphumela ofanayo siyenzeka ekwelapheni eziyinkimbinkimbi nge anticholinergics futhi xanthine nemikhiqizo.

Ukunciphisa bronchodilators izici "Berodual" mhlawumbe lihambisana beta-blocker. Inhlanganisela izidakamizwa ne xanthine nemikhiqizo ithuthukisa hypokalemia. Lesi sici kumele inake umuntu nge esiteji ezinzima kohlelo isifo bronhodyhatelnoy.

Ukubukeka hypokalemia yena, wenza ukubukeka arrhythmias ezigulini usebenzisa digoxin enqubeni ukwelashwa, futhi hypoxia kwandisa imiphumela omubi inhliziyo isigqi. Kulesi simo belulekwa ukuba silondoloze control njalo phezu kwesilinganiso egazini potassium.

babelwe ngokucophelela abenzi izidakamizwa mao inhibitor futhi tricyclic antidepressant iqembu. izidakamizwa ezinjalo ukuthuthukisa umphumela izidakamizwa beta-adrenergic. Inhalation of halogenated hydrocarbon imithi yokubulala izinzwa inqubo kwandisa umthelela imikhiqizo okune-beta-adrenergeny, phezu kwenhliziyo. Umphumela yokwelapha kungenziwa ngcono usebenzisa cromoglicic acid kanye glucocorticoids.

Lehla ephefumula "Flomax": Intengo

Thenga bronchodilators kungaba ngasiphi ekhemisi. Lapha, amabanga amancane ngaphakathi ukubaluleka "Flomax" lisho ukuthini. Intengo salo ruble 250-300.

Analogs isixazululo inhalation

Ngokuphindaphindiwe wazibonakalisa ekulenzeni libe namandla ekulweni ekhwehlela "Flomax". Analogs cishe lingekho. Okungabalulwa lesi sidakamizwa "Berodual H".

Eminye imithi zifana eqenjini kwemithi ne amathonsi "Flomax". Analogue kule ndawo kukhona agonist beta-adrenergic futhi lisetshenziswa lihambisana yokwelapha. La mathuluzi zihlanganisa: "Biasten", "Intal plus", "Ditek", "Kashnol", "Foradil Combi", ". Sereda" Abayona engathatha isikhundla sokufunda izindlela isixazululo, "Flomax", kodwa ingaba umuthi omuhle okunye uma kunesidingo.