hnoos qhuav yog ib qho tsos mob tsis zoo. Nws feem ntau tsim txom rau lub sijhawm ntev thiab ua rau cov xwm txheej hnyav zuj zus. Dextromethorphan hydrobromide tuaj yeem pab nrog hnoos qhuav. Cov ntawv luv rau cov khoom no yog DXM (piv txwv li Dextromethorphan).
Yuav ua li cas cov tshuaj ua haujlwm
Dextromethorphan belongs rau pawg ntawm cov tshuaj tiv thaiv kab mob. Kev siv tshuaj nrog cov tshuaj no yog qhia rau cov kab mob nrog hnoos qhuav (piv txwv li, pulmonary tuberculosis, pneumonia, hnoos hawb pob, thiab lwm yam).
Dextromethorphan, tom qab noj, kis mus rau txhua lub cev. Hauv lub hlwb, DXM ua haujlwm ntawm qhov chaw hnoos, inhibiting nws excitability. Qhov no suppresses mob hnoos.
Yuav ua li cas hauv lub cev tom qab noj
Dextromethorphan yog cov khoom xyaw hauv cov tshuaj hauv qhov ncauj. Thaum nws nkag mus rau hauv lub plab, cov tshuaj yog absorbed sai heev. TxogTom qab 10-30 feeb, DXM pib muaj cov nyhuv zoo. Cov nyhuv ntawm dextromethorphan rau lub cev kav ntev li 5-6 teev hauv cov neeg laus thiab rau 6-9 teev hauv cov menyuam yaus.
Kho koob tshuaj ntawm DXM tsis tsim cov tshuaj hypnotic, narcotic, analgesic nyhuv. Thaum noj cov koob tshuaj loj, cov tshuaj tiv thaiv pib muaj kev cuam tshuam rau tib neeg lub cev uas zoo ib yam li cov teebmeem ntawm dissociative thiab psychedelic tshuaj.
Cov metabolism ntawm ib yam khoom tshwm sim sai thiab hnyav hauv lub siab. Cov txheej txheem no tsim ib qho active metabolite hu ua dextrorphan. Kev tshem tawm ntawm cov tshuaj feem ntau yog ua los ntawm lub raum. Demethylated metabolites thiab dextromethorphan raug tshem tawm tsis hloov pauv ntawm tib neeg lub cev hauv cov zis.
Thaum DXM tuaj yeem tsim teeb meem
Dextromethorphan hydrobromide tau tshawb fawb. Cov txiaj ntsig tau pom tias cov tshuaj hauv qee kis tsis tuaj yeem siv. Contraindications rau kev siv:
- Bronchial hawb pob. DXM tsis siv rau tus mob no vim tias nws tuaj yeem ua rau cov hnoos qeev tsis zoo thiab ua rau cov pa ua pa tsis zoo.
- YBronchitis.
- Nyob rhiab heev rau cov khoom.
- Lub sijhawm noj tshuaj mucolytic.
Tsis muaj teeb meem koj yuav tsum sim siv cov tshuaj uas muaj dextromethorphan thaum cev xeeb tub thiab lactation. Cov tshuaj no tuaj yeem ua mob rau tus menyuam hauv plab lossis tus menyuam. DXM yuav tsum tsuas yog muab thaum tsim nyog kiag li nyob rau hauv cov xwm txheej uas qhov kev xav tau ntawm leej niam siab duaTej zaum yuav muaj kev pheej hmoo rau tus menyuam hauv plab lossis tus menyuam mos.
Tsis tas li ntawd, cov tshuaj DXM tej zaum yuav muaj contraindications ntxiv. Nws nyob ntawm qhov muaj pes tsawg leeg ntawm cov tshuaj.
Dab tsi tseem ceeb kom paub
Kev npaj nrog dextromethorphan hydrobromide yuav tsum tau siv nrog ceev faj hauv daim siab mob.
DXM tuaj yeem ua rau cov tsos mob ntawm kev noj tshuaj ntau dhau, yog li koj yuav tsum tsis txhob noj tshuaj nrog cov tshuaj no hauv cov koob tshuaj ntau dua li kev pom zoo. Cov neeg uas siv tshuaj ntau ntau tau ntsib kiv taub hau, ntxhov siab, tsis nco qab, ua pa nyuaj, txo cov ntshav siab, thiab tachycardia. Nyob rau hauv cov ntaub ntawv ntawm overdose, yuav tsum tau kev pab los ntawm cov kws tshwj xeeb. Cov neeg mob uas muaj cov tsos mob saum toj no yuav tsum tau kho cov tsos mob, kho tshuab ua pa.
Dextromethorphan tuaj yeem ua rau muaj kev phiv:
- los ntawm plab hnyuv - mob plab, xeev siab, ntuav;
- ntawm ib sab ntawm lub paj hlwb - kiv taub hau, tsaug zog.
Lwm cov tsos mob tshwm sim yog kev quav yeeb tshuaj. Txawm li cas los xij, nws tshwm sim nyob rau hauv tsawg zaus. Yog vim li cas rau qhov tsim ntawm kev vam khom nyob rau hauv lub sij hawm ntev ntawm kev siv loj koob tshuaj nrog DXM.
Thaum kho hnoos, nws tsis yog qhov tsis yooj yim rau tib neeg tsis nco qab noj lawv cov tshuaj dextromethorphan thiab txiav txim siab noj ob zaug kom tau txais txiaj ntsig zoo dua. Tsis muaj qhov xwm txheej yuav tsum ua li no. Ib koob tshuaj ob zaug muaj qhov tsis zoo rau lub cev, ua rauoverdose.
Dab tsi tshuaj muaj DXM
Cov npe tshuaj muaj DXM loj heev. Nov yog cov npe ntawm cov khoom lag luam nrog dextromethorphan hydrobromide (cov npe lag luam thiab cov ntaub ntawv ntau npaum):
- Glycodin, Coldrex Hmo Ntuj, Terasil-D, Tussin ntxiv - syrups.
- "Grippeks", "Kaffetin Cold", "Padeviks" - ntsiav tshuaj.
- "Toff plus" - capsules.
- "Influblock" - hmoov rau qhov ncauj tshuaj.
Cia peb xav txog qee yam tshuaj los ntawm cov npe no - Coldrex Hmo thiab Tussin Plus. Tab sis cia peb pib nrog Alex Plus. Cov tshuaj no tsis yog nyob rau hauv cov npe saum toj no, tab sis ntau tus neeg nco ntsoov cov tshuaj no. Yav dhau los, nws tau muag hauv khw muag tshuaj thiab tau muab los ntawm kws kho mob rau kev kho mob ntawm cov kab mob ua pa nyuaj thiab mob ntev uas tshwm sim nrog hnoos qhuav, khaus khaus.
Alex plus
Ntau xyoo dhau los, rau kev kho mob hnoos qhuav, qee cov neeg tau siv tshuaj "Alex plus". Cov tshuaj no muaj ib daim ntawv ntau npaum - lozenges. Cov muaj pes tsawg leeg suav nrog 3 cov khoom xyaw nquag - dextromethorphan hydrobromide, terpinhydrate, levomenthol. Ua tsaug rau cov tshuaj no, cov tshuaj muaj antitussive, expectorant thiab antispasmodic teebmeem.
"Alex plus" tau sau tseg hauv cov koob tshuaj hauv qab no:
- Cov Neeg Laus - 2 mus rau 5 lozenges 3 lossis 4 zaug hauv ib hnub. Qhov siab tshaj plaws ntawm cov lozenges yog 20 pcs. (ib hnub).
- Cov menyuam yaus hnub nyoog 4-6 xyoo - 1 lozenge 3 lossis 4 zaug hauv ib hnub. Qhov siab tshaj plawsib hnub twg ntawm lozenges - 4 pcs.
- Cov menyuam hnub nyoog 7-12, 1 mus rau 2 lozenges 3 lossis 4 zaug ib hnub. Qhov siab tshaj plaws noj txhua hnub yog 8 lozenges.
Cov tshuaj tau pom zoo siv tau. Txawm li cas los xij, tam sim no nws tsis tuaj yeem hnov nws txoj kev kho mob rau koj tus kheej. Alex ntxiv rau hnoos lozenges tsis tau muag hauv khw muag tshuaj Lavxias. Cov tshuaj no ploj lawm vim daim ntawv pov thawj sau npe tas sij hawm.
Coldrex Hmo ntuj
"Coldrex Hmo" yog ib qho tshuaj ua ke uas muaj nyob rau hauv daim ntawv ntawm cov kua qab zib. Nws yog tsim los tiv thaiv cov tsos mob ntawm tus mob khaub thuas, mob ua pa kab mob. Cov tshuaj tau tsim los ntawm 3 cov tshuaj nquag - dextromethorphan, promethazine hydrochloride thiab paracetamol. Dextromethorphan suppresses qhov tshwm sim hnoos qhuav. Promethazine relieves qhov ntswg congestion. Paracetamol txo qhov kub taub hau. Tsis tas li ntawd, cov khoom no muaj cov nyhuv analgesic, txo qhov mob hauv pob qij txha, cov leeg thiab mob taub hau.
Cov tshuaj noj ib hnub ib zaug thaum hmo ntuj, vim tias nws txo cov tsos mob thiab yog li ua kom tsaug zog. Ib koob tshuaj yog teem raws li nram no:
- rau cov neeg laus (nrog rau cov neeg laus) - 20 ml;
- rau menyuam yaus 6-12 xyoos - 10 ml;
- rau menyuam yaus hnub nyoog 12 xyoos - 20 ml.
tshuaj hnoos qhuav no tsis yog rau cov menyuam yaus hnub nyoog qis dua 6 xyoo. Tsis tas li ntawd, cov kua dej yog contraindicated nyob rau hauv kab mob raum, benign prostatic hypertrophy, ntshav kab mob, qaug dab peg, tsis muaj qabzib-6-phosphate dehydrogenase.
Txoj tshuaj no haus tau 3hnub. Yog tias cov tsos mob tshwm sim tom qab kev kho mob luv luv, tsis txhob noj cov tshuaj phoov thiab sab laj nrog kws kho mob.
Tussin plus
"Tussin plus" - hnoos syrup nrog cherry tsw. Qhov no kuj yog ib qho tshuaj sib xyaw ua ke uas muab cov tshuaj antitussive thiab expectorant. Lub antitussive tivthaiv nyob rau hauv lub syrup yog dextromethorphan hydrobromide. Kev ua haujlwm expectorant yog ua los ntawm guinefesin. Nws ua rau kom muaj kev ua haujlwm ntawm ciliated epithelium, nce qhov tso tawm ntawm cov kua dej ntawm cov hnoos qeev bronchial.
Tussin plus syrup yog qaug dej qaug cawv los txo cov tsos mob ntawm tus kab mob ua pa nyuaj, mob khaub thuas, mob khaub thuas, tshwm sim nrog hnoos. Noj cov tshuaj tom qab noj mov txhua 4 teev. Ib koob tshuaj:
- rau cov neeg laus - 2 teaspoons;
- rau cov menyuam yaus hnub nyoog 6-12 xyoos - 1 teaspoon;
- Cov menyuam yaus hnub nyoog qis dua 12 xyoos - 2 tsp.
tshuaj hnoos qhuav tsis haum rau cov menyuam yaus hnub nyoog qis dua 6 xyoo. Lwm yam contraindications yog gastric thiab duodenal rwj, cov kab mob loj heev ntawm lub hauv nruab nrab lub paj hlwb, keeb kwm ntawm gastric los ntshav, hnoos ntub, nyob rau hauv uas hnoos qeev yog plentiful. Nws tseem raug txwv tsis pub noj lwm cov tshuaj uas muaj dextromethorphan thiab / lossis guinefesin thaum kho nrog syrup.
Dextromethorphan kev sib cuam tshuam
Cov teebmeem tsis xav tau tuaj yeem tshwm sim thaum DXM nrog rau lwm yam tshuaj:
- ntau cov kev mob tshwm sim raug kaw thaum noj dextromethorphan thiab MAO inhibitors - ntxhov siab, kiv taub hau, los ntshav intracranial, nce ntshav siab, coma, thiab lwm yam.;
- serotonin syndrome thiab kev tuag muaj peev xwm ua tau thaum DXM thiab tricyclic antidepressants sib xyaw;
- thaum siv amiodarone, fluoxetine, quinidine, qhov concentration ntawm dextromethorphan hauv cov ntshav yuav nce;
- haus luam yeeb provokes nce hauv qog qog tawm tsam keeb kwm yav dhau los ntawm kev ua kom hnoos reflex;
- quinidine txhim kho thiab ua kom ntev dua cov teebmeem ntawm DXM.
Yog xav paub ntxiv txog kev sib cuam tshuam ntawm cov tshuaj, thov mus saib cov npe ntawm cov khoom uas muaj dextromethorphan. Piv txwv li, Coldrex Hmo tsis tuaj yeem ua ke nrog lwm cov tshuaj kho mob khaub thuas thiab ua pa uas muaj paracetamol. Nws tseem txwv tsis pub haus dej haus cawv thaum kho nrog cov kua qab zib no.
Nyob rau hauv xaus, nws yog tsim nyog sau cia hais tias nws yog undesirable siv tshuaj los kho tus mob hnoos tsis zoo ntawm koj tus kheej. Lawv yuav tsum tau muab tshuaj los ntawm kws kho mob ua ke nrog cov tshuaj ntxiv, vim tias nws yog ib qho tsim nyog tsis yog txhawm rau txhawm rau txo cov tsos mob no, tab sis kuj tseem cuam tshuam qhov ua rau nws tshwm sim, piv txwv li, kab mob uas twb muaj lawm.
