Qhov zoo tshaj plaws vasoconstrictor qhov ntswg te: npe, tshuaj xyuas

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Dab tsi yog qhov zoo tshaj plaws vasoconstrictor qhov ntswg tee mus yuav? Qhov no yog ib lo lus nug ntau. Cia wb mus saib kom ntxaws ntxiv.

Txawm li cas los xij ntawm tus mob khaub thuas, tib neeg feem ntau siv vasoconstrictor tee los kho nws, uas tuaj yeem txhim kho tus neeg mob tam sim ntawd los ntawm kev ua kom cov txheej txheem ua pa thiab tshem tawm qhov o ntawm cov sinuses. Kev siv cov vasoconstrictor tee thaum hmo ntuj pab kom pw tsaug zog, uas qee zaum dhau los ua teeb meem loj ntawm qhov ntswg.

Muab qhov ntswg ua pa, koj tuaj yeem tiv thaiv kev txhim kho ntawm qee yam kab mob. Txij li thaum lub qhov ncauj ua pa ntev ua rau cov ntaub so ntswg ntawm nruab nrab thiab sab pharynx, adenoids tuaj yeem loj hlob hauv menyuam yaus, thiab lwm yam kab mob loj hauv tus neeg laus.

Yog li, qhov tseem ceeb ntawm qhov ntswg vasoconstrictors tsis tuaj yeem kwv yees ntau dhau. Txawm li cas los xij, yuav tsum tau ceev faj thiab ntau npaum li cas ntawm kev siv cov tshuaj no.

Lub tshuab ua haujlwm ntawm vasoconstrictorstshuaj

Vasoconstrictive nasal drops yog adrenomimetics uas tuaj yeem ua rau cov hlab ntsha nyob hauv qhov ntswg thiab ua rau cov txheej txheem ntawm cov hnoos qeev qeeb. Vasoconstrictor tee txo qhov o ntawm qhov ntswg mucosa thiab congestion nyob rau hauv lub sinuses. Lawv ua tau zoo heev rau yuav luag txhua yam khaub thuas.

Adrenergic agonists, raws li txoj cai, tsis ua rau lub hauv paus ua rau cov kab mob pathological, tab sis tsuas yog txo nws cov tsos mob. Lawv lub luag haujlwm tseem ceeb yog ua kom ua pa zoo li qub thiab txhawb kev rov qab sai.

Txo cov teeb meem

Cov hnoos qeev ntau hauv lub qhov ntswg thiab qhov ua tsis taus pa hauv cov sinuses tsim cov kev mob zoo rau kev loj hlob ntawm ntau yam kab mob hauv cov kab mob uas tuaj yeem ua rau muaj teeb meem loj hauv daim ntawv ntawm sinusitis, sinusitis, thiab lwm yam. siv cov tshuaj vasoconstrictor uas muab qhov ntswg ua pa, kev pheej hmoo ntawm cov teeb meem tsis kaj siab tsis zoo. Hauv qhov no, tus kab mob feem ntau kis tau yooj yim thiab sai.

tuam txhab tshuaj tshuaj niaj hnub no tsim cov tshuaj vasoconstrictor qhov ntswg ntau ntau, tsim los rau cov dej hauv cov mucous thiab txo cov tsos mob ntawm qhov ntswg. Lawv yog:

• "Naphthyzinum";
• Otrivin;
• "Galazolin";
• "Nazik";
• "Rinorus";
• "Nazol" thiab ntau lwm tus.

Qhov zoo tshaj plaws vasoconstrictor qhov ntswg te rau menyuam yaus yuav tsumxaiv tus kws kho mob.

Mechanism of action of vasoconstrictor drug

Cov tshuaj no ua rau cov receptors tshwj xeeb uas nkag siab zoo rau adrenaline. Lawv reflexively ua rau lub excitation ntawm lub sympathetic paj hlwb, zoo ib yam li cov uas ua hauj lwm nyob rau hauv ib tug stressful teeb meem. Nyob rau hauv lub xeev ntawm kev ntxhov siab, cov hlab ntsha hauv lub cev pib nqaim sharply, thiab cov tshuaj tiv thaiv no txo cov ntshav poob thaum muaj qhov txhab. Lub cev kuj reacts rau cov teebmeem ntawm vasoconstrictor tshuaj. Cov ntshav muab rau hauv qhov ntswg tau txo qis, ua rau tsis muaj qhov o, mob thiab hnoos qeev.

Poob ntawm receptor rhiab heev

Cov tshuaj tiv thaiv rau ib zaug lossis luv luv siv vasoconstrictor tee hauv qhov ntswg yuav yog qhov ntawd. Txawm li cas los xij, yog tias adrenomimetics siv ntau dhau rau lub sijhawm ntev, cov receptors saum toj no poob lawv qhov kev xav, tag nrho lossis ib nrab. Qhov no yog li cas kev quav tshuaj rau cov tshuaj no tshwm sim, thiab lawv tshem tawm yog qhov nyuaj heev. Cov ntaub so ntswg ntawm nasopharynx rov pib o, txawm li cas los xij, tsis yog vim muaj tus kab mob, tab sis vim tsis muaj qhov cuam tshuam li niaj zaus ntawm cov tshuaj. Nyob rau tib lub sijhawm, kev vam khom rau vasoconstrictors yog tsim, kev siv uas tsis txo cov tsos mob pathological ntxiv lawm.

Ntxiv rau, nrog rau kev siv sijhawm ntev, cov hlab ntsha ntawm lub qhov ntswg ua thinned thiab tsis yooj yim.

Lwm yam khoom tsis zoo ntawm vasoconstrictor tee yog lawv qhuav ntawm qhov ntswg mucosa, uas yog npog.crusts, cuam tshuam qhov kev ncig ntawm huab cua. Xws li cov mucosa tau raug mob yooj yim, thiab qhov tshwm sim thib ob ntawm qhov ntswg qhov ntswg tuaj yeem txhim kho.

Cov npe ntawm vasoconstrictor tee hauv qhov ntswg tau muab hauv qab no.

Ntau yam ntawm vasoconstrictors

Nyob ntawm lub hauv paus ntawm cov tshuaj nquag ib yam tshuaj yog tsim, vasoconstrictors tuaj yeem muab faib ua ntau pawg:

Tshuaj nrog phenylephrine uas muab kev pab sai tab sis luv luv. Lawv qhuav tawm qhov ntswg mucosa tsawg dua lwm yam tshuaj. Lawv cov nyhuv me me yuav txo tau qhov tshwm sim ntawm kev quav tshuaj thiab kev phiv tshuaj. Yog li ntawd, cov kws tshaj lij pom zoo kom npaj cov khoom zoo li no rau kev kho mob khaub thuas hauv menyuam yaus thiab cov menyuam mos. Cov tshuaj vasoconstrictor no suav nrog: Nazol Baby, Nazol Kids. Muaj lwm cov tshuaj vasoconstrictor qhov ntswg rau cov menyuam yaus - "Dlyanos", "Rinonorm", "Galazolin"

• Tshuaj raws li indanazoline, uas ua rau muaj kev txhoj puab heev. Lub sijhawm ntawm lawv qhov kev ua yog kwv yees tib yam li cov tshuaj nrog phenylephrine. Cov tshuaj no suav nrog tshuaj "Farial".
• Naphazoline npaj ua lub sijhawm luv tab sis ntev me ntsis dua cov uas muaj phenylephrine. Txog niaj hnub no, muaj ntau cov pov thawj tias cov tshuaj no tuaj yeem cuam tshuam kev ua ntawm cilia ntawm ciliated epithelium ntawm qhov ntswg. Nyob rau hauv cov ntaub ntawv no, xws liCov tshuaj xws li Naphthyzin, Okumetil, Sanorin, Betadrin, Nafazolin. Yuav ua li cas lwm yam vasoconstrictor nasal tee zoo?
• Cov tshuaj muaj tetrizoline muaj cov nyhuv zoo ib yam li naphazoline. Cov no yog cov tshuaj "Tizin", "Vizin"
• Kev ua ntawm cov tshuaj nrog cov tshuaj nquag hauv daim ntawv ntawm xylometazoline ntev dua. Cov nyiaj no txo cov tsos mob tseem ceeb ntawm qhov ntswg qhov ntswg, tab sis qhuav tawm cov mucous ntawm qhov ntswg. Cov tshuaj xws li Xylometazoline, Xylen, Galazolin, Rinostop.
• Cov tshuaj uas muaj oxymetazoline muaj cov nyhuv ntev heev thiab ua kom qhov ntswg ua pa ntev txog 12 teev. Lawv maj mam cuam tshuam cov cilia hauv ciliated epithelium. Cov tshuaj no yog lub hauv paus ntawm cov vasoconstrictors xws li Knoxprey, Oxymetazoline, Afrin, Nazivin, Leconil. Cov npe ncauj lus kom ntxaws ntxiv ntawm vasoconstrictor nasal drops yog muab hauv qab no.

Nws yuav tsum tau muab sau tseg tias tag nrho cov tshuaj uas twb muaj lawm ntawm cov kev ua zoo sib xws yog tsim nyob rau hauv ntau ntau. Muaj kev npaj tsis muaj zog uas tsim los rau cov menyuam yaus hnub nyoog sib txawv. Yog li ntawd, tsuas yog tus kws kho mob yuav tsum tau sau cov tshuaj vasoconstrictor, uas txiav txim siab lub sijhawm kho. Nws yog txwv tsis pub tshaj qhov koob tshuaj ntawm cov tshuaj no.

Yuav ua li cas siv vasoconstrictor qhov ntswg kom raug?

YYuav siv cov vasoconstrictors li cas?

Siv tshuajvasoconstrictor nyhuv yog tsim nyog raws li ib tug tshwj xeeb tswvyim piav los ntawm tus kws kho mob. Nyob ntawm seb muaj pes tsawg tus kab mob, kev siv cov tshuaj muaj txiaj ntsig rau 6, 8 lossis 12 teev yuav raug pom zoo. Yog tias ua pa rov qab mus rau qhov qub thiab koj tuaj yeem ua yam tsis muaj cov tee ntawd, yog tias ua tau, nws yog qhov zoo dua tsis txhob siv lawv txhua.

rau hmo ntuj

Raws li kev zam, cov tshuaj vasoconstrictor tuaj yeem siv thaum hmo ntuj, vim tias ua pa nyuaj nrog mob khaub thuas tuaj yeem tiv thaiv tus neeg tsaug zog. Feem ntau, o ntawm qhov ntswg qhov ntswg tshwm sim tsuas yog tom qab tsaug zog, yog li nws yog qhov zoo dua los tso koj lub qhov ntswg ua ntej mus pw, tshwj xeeb tshaj yog tias peb tham txog tus menyuam muaj mob.

Cov lus qhia tseem ceeb rau kev siv tshuaj vasoconstrictor yog:

1. Kev thaiv qhov ntswg.
2. Tsis mob pob ntseg, nrog rau lawv cov congestion.
3. Lub qhov ncauj ua tsis taus pa.
4. Ua pa nyuaj vim ua npaws.

Siv cov tshuaj vasoconstrictor thaum muaj kev tsis haum rhinitis yuav tsum tsis txhob ua kiag li, vim tias cov tshuaj vasoconstrictor ua rau muaj qhov rhiab heev ntawm qhov ntswg mucosa rau cov tshuaj uas ua rau muaj kev tsis haum tshuaj. Lawv kuj txo lub cev lub peev xwm los tshem tawm qhov ntswg qhov ntswg ntawm irritants nrog kev pab los ntawm mucus secreted los ntawm rhinitis.

Cov lus qhia tshwj xeeb

Kev siv cov vasoconstrictor qhov ntswg te rau cov menyuam yaus thiab cov neeg laus yuav tsum tsis pub ntev tshaj li ib lub lim tiam, thiab cov tshuaj hauvnyob rau hauv daim ntawv ntawm tshuaj tsuag rau cov me nyuam hnub nyoog qis dua 5 xyoos yog tsis pom zoo. Qhov no yog vim muaj cov qauv tshwj xeeb ntawm cov menyuam yaus nasopharynx, thiab daim ntawv ntawm cov tshuaj no tuaj yeem ua rau mob ntawm cov hlab ntsha Eustachian. Yog li ntawd, nws yog qhov zoo tshaj plaws los siv cov tshuaj pipettes rau instillation ntawm cov tshuaj rau hauv lub qhov ntswg. Feem ntau, cov menyuam yaus cov tshuaj vasoconstrictor tau nruab nrog cov khoom siv tshwj xeeb, uas nws yooj yim heev rau instill cov tshuaj.

Thaum cev xeeb tub thiab lactation, cov tshuaj vasoconstrictor tsis pom zoo, vim tias lawv txoj kev nyab xeeb rau tus menyuam mos tseem tsis tau muaj pov thawj. Qee zaum, thaum cov tshuaj zoo li no tseem tsis tau muaj, tus kws kho mob yuav muab tshuaj raws li phenylephrine rau tus poj niam

Cov tshuaj tiv thaiv tsis zoo los ntawm vasoconstrictors

Zoo li lwm yam tshuaj, vasoconstrictor tee muaj qee qhov kev mob tshwm sim thiab, ntxiv rau kev quav, lawv tuaj yeem ua rau insomnia, cephalgia lossis xeev siab.

Ntxiv rau, lawv lub peev xwm ua kom ntshav siab tuaj yeem ua rau muaj kev phom sij rau cov neeg mob ntshav siab lossis glaucoma. Nws tsis pom zoo kom siv adrenomimetics rau atherosclerosis.

Fragility thiab fragility ntawm cov hlab ntsha me me ntawm lub qhov ntswg, nrog rau qhov qhuav ntawm cov mucous membrane tom qab siv cov vasoconstrictors mus ntev, tuaj yeem ua rau mob qhov ntswg. Kev tsim txom ntawm cov tshuaj no ua rau muaj qhov tshwm sim ntawm kev nyuaj siab, kev puas siab puas ntsws, kev chim siab. Txhawm rau txo qhov yuav tshwm simQhov tshwm sim ntawm cov kev mob tshwm sim, nws raug nquahu kom siv qee cov tshuaj pej xeem rau qhov ntswg congestion thaum ua ke nrog cov tshuaj vasoconstrictor, nrog rau cov kev daws tshwj xeeb uas moisturize cov mucous daim nyias nyias (piv txwv li, Aquamaris), uas yuav txo qhov mob thiab ua pa.

Cov lus qhia rau kev siv

Qhov taw qhia tseem ceeb rau kev teem caij vasoconstrictors rau lub qhov ntswg yog txhua yam kab mob uas muaj nrog los ntawm o ntawm qhov ntswg mucosa:

1. kab mob rhinitis.
2. Allergic rhinitis.
3. YSinusitis (sinusitis, ethmoiditis, frontal sinusitis).
4. Qee yam ntawm otitis.
5. ua ntej rhinoscopy.
6. Khob qhov ntswg.

Vasoconstrictive nose tee rau cov neeg laus thiab menyuam yaus tuaj yeem yuav ntawm txhua lub tsev muag tshuaj.

npe dav dav ntawm cov tshuaj vasoconstrictor

Daim ntawv teev npe no suav nrog:

• "Vibrocil";
• Polydex;
• "Rinza";
• "Nazol";
• "Afrin";
• Xymelin;
• "Sanorin";
• "Rinazolin";
• Leconil;
• Otrivin;
• "Dlyanos";
• "Snoop" thiab lwm tus.

Kev tshuaj xyuas ntawm vasoconstrictor nasal drops

Nyob rau hauv txhua yam ntawm cov tshuaj uas muaj vasoconstrictive nyhuv ntawm lub qhov ntswg mucosa, raws li kev tshuaj xyuas ntawm cov neeg uas siv lawv, muaj ob peb txhais tau tias los ntawm uas.feem ntau yog siv. Cov tshuaj xws li Xilen, Afrin, Otrivin, Dlyanos thiab lwm yam. Cov tee no tau ua pov thawj rau lawv tus kheej ntev ntev raws li cov tshuaj zoo thiab siv tau zoo rau kev kho mob rhinitis thiab kev ua pa ntawm qhov ntswg congestion. Lawv, raws li cov neeg siv khoom, txo qhov o ntawm nasopharynx zoo, tsis ua rau qhov ntswg qhuav, thiab yog cov tshuaj zoo heev rau kev siv sijhawm luv. Nyob rau hauv cov ntaub ntawv ntawm kev siv mus sij hawm ntev, cov tshuaj no feem ntau yog quav.

Neegative comments

Kev tshuaj xyuas tsis zoo cuam tshuam feem ntau yog cov tshuaj raws li phenylephrine, thiab qhov no yog vim lub sijhawm luv luv ntawm kev kis - 2-4 teev. Kev siv cov nyiaj no yog qhov tsis yooj yim heev, vim tias los ntawm instilling lawv ua ntej mus pw, tib neeg raug yuam kom sawv thaum hmo ntuj thiab rov ua cov txheej txheem no, txij li qhov ua pa ntawm qhov ntswg tau cuam tshuam dua. Txawm li cas los xij, cov kev kho no tseem zoo rau cov neeg uas muaj kev fab tshuaj thiab siv cov tshuaj no thaum nruab hnub. Cov tshuaj uas muaj tetrizoline yog cov tshuaj tseem ceeb kuj muaj cov nyhuv zoo ib yam li cov tshuaj saum toj no, yog li cov kev tshuaj xyuas txog lawv tsis zoo.

Peb tau tshuaj xyuas qhov zoo tshaj plaws vasoconstrictor nasal drops.