"Flomax" sesaline inhalation vana: richitungamirira, wongororo

In Mumatsutso nechando kuita pasina chando-ukama zvirwere, izvo kazhinji achiperekedzwa ane chikosoro, Árbol mhingaidzo. "Flomax" pamwe sesaline inhalation rinongova kushaika vana panguva iyi. Unotsigira kurwadza kwacho vari zvemapapu, nhaka bronchodilatory ehupfumi.

Release chimiro uye Kuronga zvinodhaka

"Flomax" pamwe sesaline inhalation vana kunosanganisira bronchodilator zvinodhaka. Huru vanoshingaira zvinhu vari: anhydrous ipratropium bromide mune imwe mari 250 MG ose fenoterol hydrobromide uye wevasungwa 500 micrograms.

The mushonga anogadzirwa muchimiro inhalation mhinduro segirazi ruvara. Odorless. Mumapepa ari hombodo dzemvura shava ruvara aine koko-dropper.

Pharmacological migumisiro

"Flomax" sesaline inhalation vana ane raidudzwa bronchodilator basa. Rinosanganisira unorapa: ipratropium bromide nokuita sezvo M-holinoblokatorov uye fenoterol hydrobromide kunoratidza pacharo sezvo beta2-agonists.

Fenoterol kunoderedza kufungisisa tsandanyama yacho principales. Rinovatadzisa kuramba kurwadza kwacho kuti vanotsamwisa histamine, methacholine uye allergens mhepo yakachena siyana. Kugamuchira medicament kusunungurwa nevamiririri kubva masero anogumbura, uye pamatunhu mishonga zviri kukwanisa kuvandudza mucociliary senga. Uyewo chikamu zvinoita kufema muitiro.

Fenoterol zvainoita mwoyo. It runogonesa kumhanya uye nesimba marwadzo, iro kusashanda β2-adrenergic cardiac hurongwa, uye ane nouchapupu kupfuura dose ndiyo vomanikidza β1-adrenergic dzishande.

Anhydrous ipratropium bromide mabasa ave blocker kuti M-cholinergic receptors. Kunobvisa bronchospasm, iyo chokuita basa vagus etsinga. It akazoita secretion ari mumasero dzakasiyana-siyana mavambo, kusanganisira Árbol.

chinoumba sumo inhalation rinoumbwa bronchodilation. It haakonzeri Migumisiro pamusoro kufema turakiti madzihwa, mucociliary Clearance kana gasi exchange.

Kudyidzana kwezvinhu vanoshingaira zvinhu kunobatsira kuti pave bronchodilator Chaizvoizvo izvo yaunganidzwa kuitwa zvigadziriswe siyana. Anotowedzera kumukomborera zvinoita mishonga bronchopulmonary zvirwere. Nokuti pakurapa chirwere zvakakwana yakaderera mishonga kuti Beta-agonist, izvo anobvumira kubvisa zvinoverengeka nemishonga.

umboo

"Flomax" sesaline inhalation vana rinoshandiswa kuti kudzivirira uye vabatwe bronchopulmonary zvirwere pamwe reversible bronchospasm. Zvinogona uye chisingaperi obstructive pulmonary chirwere akadai chisingaperi bronchitis, asima uye emphysema. It rinorumbidza kushandiswa "Flomax" kana vangakosora.

mushonga raiwanzoshandiswa agadzirire kufema gadziriro pakatanga mucolytics,-siyana corticosteroids uye mishonga kutarisirwa aerosol.

contraindication

Kugamuchirwa "Flomax" chinodhaka mhinduro (the chipimo chemushonga inofanira wakapiwa mumirayiridzo) inofanira ushandiswe nachiremba, nokuti mushonga une contraindications.

Ava zvirwere kumwoyo, akadai cardiomyopathy, tachyarrhythmia. Hazvina yakarumbidza kushandisa mushonga chete yokunyanyisa nehanya kuti unorapa zvinodhaka uye ayo zviduku zvinoriumba.

Zvokungwarira pauri mhinduro chete angled-kuvhara yemaziso, vanhu coronary insufficiency uye chirwere cheBP. Bvunza chiremba vasati kushandisa zvinodhaka anofanira vanhu vane chirwere cheshuga uye myocardial infarction. Kungwarira prodelyvat inhaled kurapwa "Berodual" vanofanira kwazvo zvirwere kumwoyo, ari thyroid shwanu, ari kutyora prostate, kuzvimba dundira, uyewo panguva yepamuviri uye lactation. In mubvunzo vanofanira vana pasi makore matanhatu.

Standards zvinodhaka

Anogadzirwa chete sezvo kugadzirisa zvinodhaka nokuda inhalation "Berodual".

Chipimo chemushonga nokuti vakuru nevana pamusoro makore gumi apo kurwisa kuti asima nyoro kuti zvive nomwero nekuomarara ndiyo 20 madonhwe, kana mumwe milliliter. The chakakomba chimiro maperembudzi ushandiswe yepamusoro mishonga - kusvika 50 madonhedza kana 2.5 Rine mamiririta. Mune yakanyanya kuoma kana murwere ari muchipatara, kufadza yakarumbidza dose 80 madonhwe, kana 4 ML.

Babies zera boka kubva vatanhatu nemaviri, Árbol asima kuti nokukurumidza cupping pa chiedza uye svikiro ushandiswe chimiro kubva 10 kusvika 20 Madonhwe (0,5-1 Rine mamiririta). The chakakomba chimiro chirwere kuitwa ushandiswe 40 Madonhwe (2 Rine mamiririta). A yakanyanya kuoma chimiro chirwere kana murwere ari pasi wachi zvokurapa cherechedzo, zvinoda mishonga anosvika 60 madonhedza kugadzirisa kana 3 Rine mamiririta.

Mukutsinhana kurapika iri nachiremba vakuru uye kuyaruka vanamakore gumi 20-40 Madonhwe kana 1-2 Rine mamiririta mana kanomwe pazuva. Kufadza rakarumbidza mari - 8 Rine mamiririta. Pazera matanhatu kusvika gumi namaviri vana makumi kuitwa ushandiswe kuti 0.5-1 Rine mamiririta ndiyo 10-20 anosiya runa pazuva. Kufadza bvumidzwa dose vanofanira kuva kupfuura milliliters mana.

At mwero chimiro kana spasm bronchus okuwedzera kufefetedza kuti vakuru nevana vezera boka gumi, uye vana vatanhatu nemaviri, mushonga rinoratidza Madonhwe gumi kana 0.5 Rine mamiririta.

Information pamusoro kushandiswa kwezvinodhaka vana muzera boka makore anosvika matanhatu okukura uye haaremi pane 22 makirogiramu ipfupi chaizvo, saka pano zvinofanira kushandiswa nokungwaririra. Saka, pasi zvokurapa achitarisirwa zano rokuti kutora 25 MG pakati ipratropium bromide uye fenoterol hydrobromide 50 MG paminiti kilogram muviri kurema mwana. Normal - 0.5 Rine mamiririta (10 madonhwe). Tora mhinduro inhalation hakufaniri asingasviki katatu pazuva. The kunonyanyisa dose haafaniri kupfuudza - 1.5 Rine mamiririta.

Sei inhalation "Berodual"

Kana "Berodual" zvakakosha kwete chete zvinoenderana pamusoro mitemo, asi kushandisa kugadzirisa zvakarurama. Saka, zvinodiwa dose anofanira rakasanganiswa sesaline kuti 3-4 Rine mamiririta. The inotoda chakaunzwa Via nebulizer. Yeuka, vemishonga wongororo iyi zvinosimbisa kuti inhalation mhinduro chero zvaita kuti rakasanganiswa kwakadonhera mvura. Zvinokoshawo kuti kugadzirira mhinduro pakarepo pamberi nzira. Residues okuchengetera havasi pasi zvinodhaka.

Dose tinofanira kutsunga maererano:

• nezera;
• rudzi chirwere;
• kubudikidza inhalation;
• View nebulizer.

Ya zvinoitwa pakutsvaga nhamba kwokuramba emura ari receiver.

"Flomax" zvakakodzera kuti akasiyana yemashoko nebulizers. Muzviitiko apo kugadzirira rine rusvingo-okisijeni mhinduro rinoshandiswa pamatunhu-nokukurumidza muoti 6-8 l / min. Kana zvakakodzera, kudzokorora nzira, asi maawa asiri kwokutanga pane ina.

nemishonga

"Berodual" (mhinduro nokuti inhalation) kunokonzera anenge asina nemishonga, kunyanya kana kushandiswa maererano nemirayiridzo.

Varwere yakashuma kuti mune zvimwe zviitiko, tsandanyama chakamira pakunodengenyeka zvine anogona kuonekwa mushure kwokubatsira zvinodhaka, zvishoma kutya, dzungu, yakaoma muromo uye kuchinja kunaka zvavanosarudza. Mune zvisingawanzoitiki Muzviitiko kuona nemusoro, havachanyatsogoni mwoyo basa iri muchimiro tachycardia uye palpitations.

Rakanga yakataurawo kutyora kufema ino (chikosoro, nokushatiriswa bronhovyvodyaschih nzira). Dzimwe nguva pane gangaidzo bronchospasm, kuda kurutsa, kurutsa, atadze kushanda zvakanaka pamusoro nemudumbu. Nemuumbi kuderera BP uye kuwedzera systolic chimiro arrhythmias.

Ziso mhinduro anogona ccomodation, mydriasis, ikawanda intraocular kumanikidzwa, ganda mapundu, mikoko uye kuzvimba.

Side-zvinokonzerwa zvinozarurwa muchimiro kunyanya vangadikitira, utera, hypokalemia, nenyonganiso ari urogenital ezvinhu, miralgii, chinyamunhari chinorwadza mune tsandanyama.

Zvokungwarira

Kushandiswa "Berodual" inhalation anoita varwere kuti akuteerere utano hwavo. Kana mukawana kupfupika kufema hwobva kubvunza chiremba. Mune zvimwe zviitiko, mune chirwere obstructive chirwere chimiro nguva nenguva kushandisa inhalation kungava fruitfully Zvechokwadi kushanda.

Vanhu vari kutambura Árbol asima, zvakakomba, anofanira kurangarira kuti ikwane uye kuwedzera kusimba kuchirapa nzira atarisire anogumbura bronchopulmonary hurongwa uye kudzora weboka chirwere.

The Kugara Kushandisa zvinodhaka, une ayo Zvinoumba beta2-adrenergic agonists, akadai "Flomax" zvinodhaka, kudzvinyirira Árbol mhingaidzo mune zvimwe zviitiko chinokurwadzai kuderera kwechirwere chacho, saka ngozi kuwedzera inokurudzirwa dose. Kuti adzivise mamiriro ezvinhu akadaro, akadzokorora murwere kurapwa zvaiitwa kuti yakanaka inhalation chokupfeka.

Kugoverana "Berodual" pamwe sympathomimetic bronchodilators chete pasi kuzviomesera zvokurapa achitarisirwa.

munhu wese usati kushandisa mhinduro kuti inhalation vanofanira kunyatsoongorora verenga mirayiridzo chiremba. Kana kushandisa zvinodhaka vanofanira kudzivisa kuonana nameso. Izvi zvinogona kukonzera kukura yemaziso.

The Kugadzirisa inofanira inhaled kuburikidza rinokosha nebulizer itaure kana rinokosha masiki kuti inhalations.

Aiita zvimwe zvinodhaka

"Berodual" (mumate) akabatana siyana Beta-adrenergic agonist bronchodilators kuvandudza ehupfumi zvinodhaka. A ndozvinoitawo ari kuchengetwa ari kunzwisisa kurapwa pamwe anticholinergics uye xanthine nomukaka.

Kuderedza bronchodilators unhu "Berodual" zvichida akabatana Beta-blockers. Mubatanidzwa mushonga chete xanthine nomukaka kunonatsiridza hypokalemia. Nyaya iyi vanofanira kufunga munhu wakaoma pavaipfuura chirwere bronhodyhatelnoy hurongwa.

Chimiro hypokalemia, uyewo, chinokurwadzai chimiro arrhythmias Varwere vachishandisa digoxin ari kurapwa kwacho, uye hypoxia Anowedzera Migumisiro mwoyo mutinhimira. In izvi vari zano kuramba kuramba kudzora mwero muropa potassium.

Achingwarira basa mushonga Vagadziri Mao FIs uye tricyclic antidepressants boka. mishonga yakadaro hunowedzera mugumisiro Beta-adrenergic zvinodhaka. Inhalation pamusoro halogenated yeHydrocarbon dzokutindivadza kwacho kunowedzera kushanda mishonga ine Beta-adrenergeny, pamwoyo. Mugumisiro yokurapwa kunogona upgraded vachishandisa cromoglicic asidhi uye glucocorticoids.

Anosiya nokuti inhalation "Flomax": mutengo

Buy bronchodilators kunogona chero chemishonga. Pano, mu neeSultan diki mukati zvinokosha "Flomax" zvinoreva. mutengo waro 250-300 rubles.

Analogs mhinduro nokuti inhalation

Ataurazve akaratidza kugona kwaro mukurwisa kukosora "Flomax". Analogs dzinenge vasipo. An Kusara ndiye chinodhaka "Berodual H".

Vamwe zvinodhaka zviri zvakafanana pharmacological boka samadonhwe "Flomax". Analogues munharaunda iyi ndiyo Beta-adrenergic agonist uye ikashandiswa pamwe yokurapwa. Ezvemutauro izvi zvinosanganisira: "Biasten", "Intal ndinoiitawo", "Ditek", "Kashnol", "Foradil Combi", ". Sereda" Haatsivi kuti mhinduro, "Flomax", asi anogona kuva nzira mushonga kana zvakakodzera.