"Flomax" neefsasho biyaha cusbada ee carruurta: guide, dib u eegista

In xilliga dayrta iyo jiilaalka maqnaan cudurada qabow la xiriira, oo waxaa inta badan la socda qufac, xirma bronki. "Flomax" la neefsado biyaha cusbada si fudud waa maarmaan carruurta inta lagu jiro xilliga this. Fayda dubaaxin ee sambabada, hantiyi guryaha bronchodilatory.

foomka Release iyo Halabuurka daroogada

"Flomax" la neefsado biyaha cusbada loogu talagalay carruurta waa daroogada bronchodilator isku dhafan. Walxaha ugu weyn ee firfircooni waa: bromide ipratropium ammooniya qadarkuu of 250 mg ah hydrobromide fenoterol iyo uruuray of 500 micrograms.

Daawada waxaa soo saaray qaab xal neefsasho midabka hufan. Ur. Baakadeeyey ee dhalooyinka midabka madow cawlan la guf-walax.

saamaynta pharmacological

"Flomax" neefsasho biyaha cusbada ee carruurta ayaa hawl a bronchodilator fahmayaan. Waxaa ka mid ah sinji, jilitaanka bromide ipratropium sida m-holinoblokatorov iyo hydrobromide fenoterol muuqato sida beta2-agonister.

Fenoterol yaraynaysaa muruqyada stress ee bronkie. Waxay ka hortagtaa dubaaxin joogto in ka cadhaysiinina histamine, methacholine iyo xasaasiyadda hawo cusub oo kala duwan. Qaadashada dhex dhexaadinta sii daayo medicament ka unugyada bararka, iyo in qaadasho sare waa inay awoodaan inay kor loogu qaado gaadiidka mucociliary. Sidoo kale wuxuu kobciyaa qayb habka neefsashada.

Fenoterol saamayn on wadnaha. Waxa ay wanaajisaa xawaaraha iyo xoog of foosha, kaas oo la shaqeysiin nidaamka wadnaha β2-adrenergic, iyo xad-dhaaf ah oo la taaban karo oo ah qiyaasta waa cadaadiska saaran kicinta β1-adrenergic ah.

Anhydrous bromide ipratropium falalka sida xanibaha ah receptors m-cholinergic. Bixisaa bronchospasm, kaas oo si dhow u la xiriira hawlaha dareemaha vagus. Waxay yaraynaysaa dheecaan ah ee qanjidhada ee asal ahaan kala duwan, oo ay ku jiraan dalka Portuqal.

qayb Hordhac by neefsasho foomamka bronchodilation. Waxa aanu keeni saamaynta xun ku xab ku neef-mareenka, ansixin mucociliary ama sarrifka gaaska.

Dhexgalka ee walxaha firfircoon ka caawisaa si ay u abuuraan saamayn bronchodilator ah, kaas oo la helay by tallaabada ee habab kala duwan. Rizqiga saamaynta daawaynta cudurada bronchopulmonary. Waayo, daaweynta cudurka qaadasho ku filan yar ee beta-agonist, kaas oo u ogolaanaya in laga takhaluso of tiro ka mid ah waxyeelo.

maragga

"Flomax" neefsasho biyaha cusbada ee carruurta loo isticmaalo ka hortagga iyo daaweynta cudurrada bronchopulmonary la bronchospasm karo. Waxay noqon kartaa iyo chronic obstructive pulmonary disease sida boronkiitada chronic, neefta iyo emphysema. Waxay ku talinaysaa isticmaalka "Flomax" marka aad qufacayso.

daroogada inta badan loo isticmaalaa si ay u diyaariyaan qaabka neefsashada si hordhaca ah ee mucolytics, noocyada kala duwan ee corticosteroids iyo antibiotics maamula buufis.

contraindication

Reception "Flomax" Xalka daroogada (qiyaasta waa in sida siiyey tilmaamaha) waa in la dhakhtar soo qoray, maxaa yeelay, daroogada uu leeyahay sababo.

Kuwani waa cudurada nidaamka wadnaha iyo, sida cardiomyopathy, tachyarrhythmia. Waxaa laguma talinayo in la isticmaalo daroogada la dareen aad u daran in la sinji ah daroogada iyo qaybaha yar.

Taxadarka saaro xal oo qaba gulukooma xagal-xidho, dadka kaafi wadnaha iyo dhiig-karka halbowlaha. La tasho dhakhtarka ka hor inta la isticmaalayo daawada waa in dadka qaba sonkorowga iyo Wadnaxanuun myocardial. prodelyvat digniin daaweyn neefsado "Berodual" waa in cudurrada ba'an ee nidaamka wadnaha ah, qanjirka thyroid, xadgudub ku ah 'prostate', barar ah kaadi haysta, iyo sidoo kale xilliga uurka iyo nuujinta. In su'aashan waa in carruurta da'doodu ka yar tahay lix sannadood.

Heerarka daroogada

Waxaa la soo saaray oo kaliya sidii xal of daroogada neefsasho "Berodual".

Qiyaasta ee dadka waaweyn iyo caruurta da'doodu ka weyn tahay laba iyo toban markii weeraro xiiqda khafiif ama dhexdhexaad ah darnaanta waa 20 dhibcood, ama hal mililitir. Foomka daran cudurka la qoray dhoos sare - ilaa 50 dhibcood ama 2.5 ml. In si gaar ah u daran marka bukaanka waa in isbitaalka, ugu badnaan dose lagu taliyay ee 80 dhibcood, ama 4 mL.

Kooxda Ilmaha da'da lix ilaa laba iyo toban sannadood, neefta bronki for cupping degdeg ah ee iftiinka iyo foomka dhexdhexaad qoray min 10 ilaa 20 dhibcood (0,5-1 ml). Foomka daran cudurka loo qoray in 40 dhibcood (2 ml). Foomka A gaar ahaan u daran cudurka marka bukaanka waa iyada oo ay kormeerayaan saacad caafimaadka, waxay u baahan tahay qaadasho ah ilaa 60 dhibcood oo xal ama 3 ml.

In daaweynta sarrifka daroogada waxaa qoray ee dadka waaweyn iyo dhalinyarada laga bilaabo da'da laba iyo toban 20-40 dhibcood ama 1-2 ml afar jeer maalintii. ugu badnaan xadiga lagu taliyay - 8 ml. At da'da lix ilaa laba iyo toban sannadood carruurta jir loo qoro si 0.5-1 ml waa 10-20 dhibciyo afar jeer maalintii. The dose la ogolaan karo ugu badnaan waa in ay wax ka badan afar millilitir.

At foomka dhexdhexaad ah ama sambabbada dabac for hawo dheeraad ah ee dadka waaweyn iyo carruurta da'da laba iyo toban, iyo carruurta lix ilaa laba iyo toban sannadood, daroogada muujinaysaa toban dhibcood ama 0.5 ml.

Macluumaad ku saabsan isticmaalka mukhaadaraadka ee carruurta ku jirta da'da ah ilaa lix sano jir ah oo miisaankeedu yahay iyo in ka yar 22 kg waa mid aad u xadidan, sidaas darteed halkan waa in la isticmaalaa si taxadir leh. Sidaas darteed, iyada oo ay kormeerayaan caafimaad lagula talinayaa in ay qaataan 25 mg ah bromide ipratropium iyo hydrobromide fenoterol 50 mg halkii miisaanka jidhka kiilo ee ilmaha. Normal - 0.5 ml (10 dhibcood). Qaado neefsasho xal waa in aanay noqon wax ka yar saddex jeer maalintii. Qiyaasta ugu badan waa in aan ka badnayn - 1.5 ml.

Sida loo neefsado "Berodual"

In the case of "Berodual" waxaa muhiim ah ma aha oo kaliya in ay u hoggaansamaan heerarka kor ku xusan, laakiin sidoo kale si ay si sax ah u isticmaasho xalka. Sayidka, qiyaasta loo baahan yahay waa in lagu qasi jiray biyaha cusbada si ay 3-4 ml. Xalka la soo bandhigo gelin via nebulizer. Maskaxda ku hay, farmashiistayaasha dib u eegista on this xoogga saaraan in xal neefsasho xaalad kasta lagu qasi jiray biyo debeda. Waxa kale oo loo baahan yahay in si deg deg ah u diyaariso xal ka hor howlqabadka. kaydinta harta ma ku xiran yihiin daroogada.

Qiyaasta waa in la go'aamiyaa iyadoo la raacayo:

• da'da,
• nooca cudurka,
• by neefsasho,
• View nebulizer.

Muddada tallaabo waxaa lagu go'aamiyaa tirada dareere haray qadanayo.

"Flomax" ku haboon yahay in lagu daydo kala duwan ee nebulizers. Mararka ay dhacdo diyaarinta ka kooban yahay xal derbi-oxygen waxaa loo isticmaalaa in hab-xawaaraha sare 6-8 l / min. Haddii loo baahdo, ku celi, laakiin ma hore ka badan afar saacadood.

waxyeellooyin

"Berodual" (xal neefsasho) wuxuu sababaa ku dhawaad waxyeelo ma laha, gaar ahaan marka loo isticmaalo si waafaqsan tilmaamaha.

Bukaan-socodka ayaa sheegay in xaaladaha qaarkood, gariir muruqa lagu arkay waxaa laga yaabaa in dib markii maamulka of daroogada, yar isku yaacsanaan ah, dawakhaad, afka oo qalala iyo isbeddel ah ee la door dhadhan. Marar dhif ah arkin madax xanuun, shaqada wadnaha oo yaraada qaab tachycardia iyo wadno garaac.

Waxaa sidoo kale xusay xadgudub ku ah nidaamka neef-mareenka (qufac, siyaabo bronhovyvodyaschih cuncun). Mararka qaarkood waxaa jira bronchospasm a wada socda, lallabo, matag, cillad of mareenka caloosha iyo mindhicirka. hoos u calaamadeysan ee cadaadiska dhiigga iyo kororka muuqaalka systolic baarutaan.

xal Eye ccomodation laga yaabaa, mydriasis, kordhay cadaadiska intraocular, finan maqaarka ah, finan iyo barar.

Dhibaatooyinka soo raaca waxaa lagu muujiyey qaab dhidid xad-dhaaf ah, daciifnimo, hypokalemia, rabshooyin nidaamka Fistula, miralgii, maroojis muruqyada ku.

ganaaxyada

Isticmaalka neefsasho "Berodual" waajib bukaanka si ay ula socdaan caafimaadkooda. Haddii aad isku aragto neefta oo ku qabata, waa in isla markiiba la tasho dhakhtar. Xaaladaha qaarkood, qaab chronic obstructive cudurka isticmaalka wareegsan ee neefsasho laga yaabaa fruitfully Dabcan codsiga.

Dadka ka cabanaya neefta bronki, aad u daran, waa in la xasuusto in ay qabtaan iyo in la kordhiyo xoogga nidaamka daweynta iyo dhowritaanka nadaamka bronchopulmonary bararka iyo in la xakameeyo koorsada cudurka.

Isticmaalka joogtada ah ee dawooyinka, isagoo in ay ka kooban of agonister beta2-adrenergic, sida "Flomax" daroogada, si loo xakameeyo xirma bronki mararka qaarkood dhirfinaya sii daraysa ee cudurka, si khatar ah in la kordhiyo qiyaasta lagu taliyey. Si looga hortago xaalad noocaas ah, dib u eegay daawada bukaan-socodka ee soo-gaadhista ah neefsasho wanaagsan.

Wadaagista "Berodual" la bronchodilators sympathomimetic oo keliya ka yar kormeer caafimaad adag.

Qof kasta oo ka hor codsanaya xal neefsasho waa in si taxadar leh u akhri tilmaamaha iyo la tasho dhakhtar. Marka la isticmaalayo daroogada waa inay ka fogaadaan xiriirka indhaha la. Tani waxay keeni kara horumarinta gulukooma.

Xalka waa in la neefsado iyada oo afka nebulizer gaar ah ama maaskaro gaar ah ku neefsasho.

Isdhexgalka daawooyin kale

"Berodual" (dhibco) isku dhafan oo bronchodilators agonist beta-adrenergic kala duwan loo hagaajiyo sifooyinka daroogada. Saameyn la mid ah ayaa lagu arkay daaweynta adag la anticholinergics iyo taagayo xanthine.

Yaraynta sifooyinka bronchodilators "Berodual" suurto gal ah in lagu daro beta-blockers. daroogada A daro taagayo xanthine wanaajisaa hypokalemia. Habkaani waa in ay tixgeliyaan qofka qaba stage daran nidaamka bronhodyhatelnoy cudurka.

muuqaalka kore ee hypokalemia, markeeda, dhirfinaya muuqaalka baarutaan in bukaanka la isticmaalayo digoxin in habka daaweynta, iyo hypoxia kordhiyaa saamaynta xun ku garaaca wadnaha. Xaaladdan oo kale waxaa lagula talinayaa inay gacanta ku hayaan joogto ah gacanta heerka in potassium dhiigga.

Si taxaddar leh loo xilsaaray sameeyayaal daroogada MAO inhibitors iyo murugada tricyclic group. daawooyin sida kor loogu qaado saamaynta daroogada beta-adrenergic. Neefsasho ee halogenated habka suuxinta hydrocarbon kordhiyaa saameynta ay ku jiraan waxyaabaha beta-adrenergeny, on wadnaha. Natiijada daaweynta daweynta la casriyeeyay karaa iyadoo la isticmaalayo acid cromoglicic iyo glucocorticoids.

Dhibciyo for neefsasho "Flomax": Qiimaha

bronchodilators Buy noqon kartaa farmashiyaha kasta. Halkan, in safafka yar qiimaha macnihiisu yahay "Flomax" gudahood. qiimihiisa waa 250-300 rubles.

Analogs xal neefsasho

Si joogta ah cadaato ay ku oolnimada in dagaalka ka dhanka ah qufaca "Flomax". Analogs waa shiidaa maqan. marka laga reebo waa daroogada "Berodual H".

Daawooyinka qaarkood ayaa la mid ah in kooxda pharmacological la dhibcood "Flomax" waa. Analogues ee ku yaala goobahan yihiin agonist beta-adrenergic iyo waxa loo isticmaalaa in lagu daro daaweynta ku-daweyn. qalab ka mid ah: "Biasten", "Tilade daray", "Ditek", "Kashnol", "Foradil Combi", ". Sereda" Waxay yihiin ma bedel xal, "Flomax", laakiin waxay noqon kartaa a daroogada kale oo wanaagsan haddii loo baahdo.