Feem ntau, nyob rau hauv cov kab mob ntawm lub bronchopulmonary system, ib tug neeg raug tsim txom los ntawm spastic hnoos tawm tsam. Txhawm rau txwv lawv, cov kws kho mob pom zoo kom siv cov tshuaj inhalation siv cov tshuaj uas tsis yog tshuaj hormones, piv txwv li, nrog Berodual.
Cov txiaj ntsig ntawm kev kho yog raws li hauv qab no. Vim yog qhov nthuav dav ntawm cov bronchi me me, cov hnoos qeev tawm txhim kho, thiab kev tawm tsam hnoos qhuav raug txo. Txawm li cas los xij, cov tshuaj no tsuas yog siv tau raws li kws kho mob qhia. Hauv kab lus hauv qab no, peb yuav kawm paub meej txog cov cai rau kev nqus pa nrog Berodual thiab saline, qhov feem ntawm cov nyiaj no uas tau tso cai siv rau txhua lub hnub nyoog.
Pharmacological kev txiav txim ntawm "Berodual"
Qhov kev nqis tes tseem ceeb yog kev kho sai ntawm cov hlab ntsha ntawm lub ntsws thiab cov ntoo bronchial. Yog li ntawd, cov pa oxygen rau cov ntaub so ntswg txhim kho, thiab kev pheej hmoo ntawm carbon dioxide tsub zuj zuj zuj zus. Kev siv tshuaj raws li tus kws kho mob cov lus pom zoo tuaj yeem txo lub sijhawm thiab hnoos kom haum.
Nyob rau hauv cov tshuaj muaj pes tsawg leeg,uas belongs rau pab pawg neeg ntawm bronchodilators, suav nrog ob yam khoom xyaw:
- Ipratropium bromide - muab cov nyhuv hauv zos, neutralizes reflex constriction ntawm tsob ntoo bronchial, txo cov qib ntawm kev khaus ntawm lub paj hlwb, thaiv qhov hnoos reflex. Vim li ntawd, kev tsim cov mucous secretion yog txo.
- Fenoterol hydrobromide - thaiv kev tso tawm ntawm cov kab mob sib kis, txhawb nqa beta-2-adrenergic receptors, uas yog lub luag haujlwm rau lub suab ntawm cov leeg nqaij bronchial, thiab tseem txhim kho kev tiv thaiv kev ua haujlwm ntawm cov mucous daim nyias nyias ntawm lub ntsws.
Vim yog kev sib xyaw ua ke ntawm cov tshuaj saum toj no, nqus tau nrog Berodual thiab saline hauv qhov sib piv uas tus kws kho mob tau sau tseg muaj cov txiaj ntsig kho mob hauv qab no:
- ntsws lumen thiab bronchial hlab ntsha dilate;
- ua pa ua pa rov qab los;
- txo pulmonary edema, txo cov hnoos qeev;
- spasm dhau;
- ntsoos pulmonary nqaij yog relieved.
"Berodual" hauv menyuam yaus xyaum
Cov menyuam yaus raug rau cov kab mob ntawm cov kab mob ua pa sab saud, thiab hnoos tsis tshua muaj tshwm sim rau lawv. Pediatricians pom zoo kom nqus tau cov tshuaj no rau:
- emphysema;
- bronchospasm;
- pneumonia;
- laryngitis;
- obstructive syndrome;
- bronchial hawb pob;
- bronchitis;
- laryngotracheitis.
Inhalations nrog Berodual thiab saline hauv proportions pom zoo los ntawm tus kws kho mob ua rau cov hauv qab noeffect:
- phab ntsa ntawm cov hlab ntsha so;
- relieves bronchospasm;
- ua pa zoo;
- kev faib zais nce ntxiv.
Cov nyhuv ntawm cov tshuaj tshwm sim kaum tsib feeb tom qab noj thiab kav mus txog rau teev. Nws yog txwv tsis pub siv xws li cov cuab yeej hauv cov kab mob hauv qab no:
- tachyarrhythmia;
- mob ntshav qab zib mellitus;
- tsis ua haujlwm ntawm cov thyroid ua haujlwm;
- mob plawv;
- angle-kaw glaucoma;
- myocardial infarction;
- siab.
Lub sijhawm ntawm kev kho mob nrog tus neeg tsis yog tshuaj hormones yog nyob nruab nrab tsib hnub. Tus kws kho menyuam yaus, nyob ntawm lub hnub nyoog, xaiv cov tshuaj rau cov menyuam yaus. Inhalations nrog "Berodual" thiab saline yog nqa tawm siv ib tug tshwj xeeb ntaus ntawv - ib tug nebulizer.
Cov tshuaj uas kws kho mob tau sau tseg yog coj mus rau qhov xav tau ntim (3-4 milliliters) nrog saline. Cov txiaj ntsig sib xyaw tsis raug khaws cia thiab yuav tsum tau siv tam sim tom qab kev npaj. Qhov zaus ntawm kev nqus pa ib hnub yog nyob ntawm tus mob ntawm tus neeg mob me, thiab thaum mob hnyav nws tuaj yeem ncav cuag plaub. Nyob rau hauv ib txwm muaj tus kab mob no, ob inhalations ib hnub twg yog txaus.
Qee yam ntawm kev nqus pa hauv cov menyuam yaus
Cov txheej txheem raug suav hais tias yog ib qho txiaj ntsig zoo ntawm kev kis tus kab mob tshwm sim hauv qhov ua pa. Ntxiv nrog rau kev soj ntsuam qee qhov sib npaug ntawm saline thiab "Berodual" rau kev nqus tau rau tus menyuam, nws yog ib qho tseem ceeb kom ua raws li tag nrho cov kev ua haujlwm:
- Cov khoom xyaw rau cov tshuaj sib tov yog rhuab mus rau qhov kub thiab txiaslub cev.
- Npaj cov tshuaj tam sim ua ntej nqus pa. Cov khoom seem uas tsis siv tau muab pov tseg.
- Ua pa tob thiab tsis sib haum ua rau muaj qhov ua kom muaj zog, yog li koj yuav tsum tau nqus cov pa kom ntsiag to.
- Tus nqi ntawm "Berodual" yuav tsum sib haum rau lub hnub nyoog ntawm tus menyuam.
Kev xaiv tshuaj tsis raug tuaj yeem ua rau muaj kev cuam tshuam tsis zoo uas tshwm sim:
- dizzy;
- xeev siab, ntuav;
- mob plab;
- ua pob khaus;
- tsis ua haujlwm ntawm cov txheej txheem metabolic;
- dryness lossis o ntawm qhov ncauj;
- ntxub hnoos;
- caj pas khaus.
Kev nqus tau ua tiav rau 5-7 feeb, dhau lub sijhawm tso cai yog fraught nrog rau qhov tsis zoo rau cov hlab plawv thiab ua pa.
Txais tau ntau npaum ntawm Berodual rau menyuam yaus
Cov tshuaj tau pom zoo siv txij thaum muaj rau xyoo. Qhov kev txiav txim ntawm cov tshuaj pib kwv yees li kaum tsib feeb tom qab nws tswj hwm. Txhawm rau txo tus neeg mob me me, cov niam txiv yuav tsum paub yuav ua li cas kom nqus tau Berodual rau cov menyuam yaus, thiab yuav ua li cas dilute nrog saline. Txhawm rau ua tiav qhov kev tswj hwm, nws yog ib qho tsim nyog los npaj ib qho kev sib tov uas muaj cov tshuaj (qhov ntau npaum li cas nyob ntawm lub hnub nyoog) thiab saline:
- Kev siv tshuaj rau cov menyuam yaus hnub nyoog qis dua 6 xyoo tsuas yog tso cai yog tias cov txiaj ntsig ntawm cov tshuaj muaj ntau tshaj qhov kev pheej hmoo ntawm kev tsim cov tshuaj tsis zoo, thiab ntxiv rau, nws qhov hnyav tsis tsawg dua 22 kg. Rau ob kilograms ntawm tus me nyuam qhov hnyav lawv nojib tee ntawm kev daws thiab yaj nws nyob rau hauv ob milliliters ntawm saline. Qhov siab tshaj plaws pub koob tshuaj yog kaum tee. Tsis pub ntau tshaj peb qhov nqus pa hauv ib hnub.
- Los ntawm rau rau mus rau kaum ob xyoos - kaum tee ntawm Berodual ntxiv rau peb milliliters ntawm saline. Hauv kev tawm tsam hnyav lossis mob hnyav, koob tshuaj tuaj yeem nce mus rau plaub caug tee.
- Kaum ob mus rau kaum xya xyoo - kaum tee rau peb milliliters ntawm saline. Qhov siab tshaj plaws tso cai rau kev tso tseg kev tawm tsam txaus ntshai yog 80 tee.
Kev siv tshuaj rau kev kho mob mus sij hawm ntev yuav tsum tau hloov kho ntawm ib koob tshuaj, uas tseem yuav nyob ntawm qeb hnub nyoog.
Kev nqus nrog Berodual thiab saline rau menyuam yaus
Lub khw muag tshuaj muaj ntau yam tshuaj siv rau kev kho mob ntawm bronchopulmonary pathologies. Nyob rau hauv xyoo tas los no, cov tshuaj "Berodual" nyob rau hauv ntau npaum li cas cov ntaub ntawv tau txais qhov nrov tshaj plaws ntawm cov kws kho mob menyuam yaus. Ntawm qhov zoo yog:
- Kev nrawm ntawm qhov pib ntawm kev kho mob. Thawj cov cim qhia ntawm kev txhim kho yog pom kaum tsib feeb tom qab nqus tau pa. Lub sijhawm ua haujlwm mus txog rau teev.
- Siv hauv ob qho tib si thiab kev kho mob monotherapy.
- Tshuaj mob hawb pob thiab hnoos hauv obstructive bronchitis. Relieves bronchospasm, relaxes cov phab ntsa ntawm cov hlab ntsha, txhawb lub excretion ntawm secretions.
- Tsis cuam tshuam rau lwm yam txheej txheem tshwm sim hauv lub ntswssystem.
Qhov piv ntawm "Berodual" thiab kev daws lub cev rau kev nqus pa yog nyob ntawm lub hnub nyoog ntawm tus neeg me, nrog rau qhov mob hnyav.
Kev siv cov ntsev nqus pa thiab nws cov txiaj ntsig
Txoj kev nqus pa ntawm kev tswj hwm tshuaj xa cov tshuaj nquag mus rau qhov mob hauv ib feeb. Piv txwv li, rau kev kho mob ntawm cov kab mob ua pa, Berodual yog tshwj xeeb tshaj yog nrov rau inhalation nrog saline. Qhov ntau npaum ntawm cov tshuaj nyob ntawm ntau yam - lub hnub nyoog thiab qhov hnyav ntawm tus neeg mob tus mob.
Qhov zoo ntawm txoj kev nqus pa ntawm kev tswj hwm yog qhov muaj peev xwm siv tau rau txhua hnub nyoog. Ib qho hnyav yuav tsum tau npaj cov tshuaj kho mob lossis sib tov. Feem ntau, lawv siv cov physiological li ib txwm, piv txwv li, ntuj, tshuaj.
Hauv khw muag tshuaj, nws tau nthuav tawm hauv lub npe "Sodium chloride" 0.9%. Ntxiv mus, nws raug tso cai siv nws tus kheej. Thaum siv cov tshuaj no rau kev nqus pa hauv cov tib neeg, suav nrog cov poj niam cev xeeb tub thiab lactating, tsis muaj teeb meem tshwm sim. Mucosal hlwb, ua tsaug rau cov nyhuv moisturizing ntawm saline, rov qab sai dua los ntawm kev puas tsuaj los ntawm cov txheej txheem inflammatory.
YYuav ua li cas yug "Berodual" nrog saline rau nqus tau pa?
Saline tov yog cov kuab tshuaj siv rau kev nqus pa. Nws moisturizes txoj kev ua pa ntawm tus neeg, thiab cov hnoos qeev tawm yooj yim dua. "Berodual" yog diluted nyob rau hauv ib tug hnyav nyob rau hauv lub ratioib rau ib. Kev ua raws li kev faib ua feem yog ib qho tseem ceeb heev, vim hais tias txwv tsis pub muaj kev pheej hmoo siab ntawm cov xwm txheej tsis zoo.
Feem ntau, nqus tau nrog Berodual thiab saline yog muab rau hauv kev faib ua feem:
- Rau cov neeg laus - tus naj npawb ntawm cov tee yuav tsum tau ua raws li cov lus qhia, thiab cov ntsev ntau ntxiv kom lub ntim ntawm cov khoom tiav tsis pub tshaj 4 ml. Piv txwv li, yog tias koj xav tau 1 ml ntawm Berodual, ces ntxiv 3 ml ntawm saline.
- Cov menyuam yaus hnub nyoog 6 txog rau kaum ob xyoos - 0.5 ml thiab sodium chloride 2.5 ml, nrog rau cov kab mob hnyav - hauv qhov piv ntawm 1: 2.
Kev nqus pa ntawm kev tswj hwm tshuaj hauv kev kho mob bronchopulmonary
Inhalations nrog "Berodual" thiab saline rau cov neeg laus thiab cov menyuam yaus yog ib txoj hauv kev niaj hnub los kho cov kab mob ntawm cov kab mob bronchopulmonary. Cov nyhuv ntawm cov txheej txheem no tshwm sim nyob rau nruab nrab kaum tsib feeb tom qab nqus tau pa, thiab kav mus txog rau teev. "Berodual" yog qhov tshwj xeeb tshaj yog rau cov neeg mob hnoos qhuav, uas yog nrog los ntawm kev ua pa luv lossis mob hawb pob bronchial. Vim qhov nqus pa ntawm vapors, cov tshuaj tshuaj nquag nkag mus rau hauv txoj hlab pa, txhim kho cov pa tawm ntawm cov hnoos qeev thiab roj pauv. Ib zaug hauv lub cev ntawm cov tshuaj:
- Tiv thaiv cov tshuaj tiv thaiv bronchospastic, relieves bronchospasm, tshem tawm kev tawm tsam ntawm hnoos qhuav.
- Nthuav cov bronchi, moisturizes lub mucosa, vim li ntawd, hnoos qeev liquefies thiab nplooj zoo dua.
Kev nqus tau raws sijhawmtiv thaiv tsis taus pa. Thaum ua nws, nws yog ib qho tseem ceeb kom nco ntsoov tias cov tshuaj tsuas yog diluted nyob rau hauv saline, uas yuav tsum tau mus txog 4 ml. Cov txheej txheem yuav kav mus txog rau thaum cov kev npaj sib tov tiav. Cov koob tshuaj yog xaiv los ntawm tus kws kho mob nyob ntawm seb qhov mob hnyav npaum li cas. Cov proportions rau nqus tau nrog Berodual thiab saline rau cov neeg laus yog raws li nram no:
- mob hnyav heev - 80 tee tshuaj;
- nrog mob bronchospasm - 20 mus rau 50 tee;
- rau qhov mob hnyav lossis nruab nrab bronchospasm - 10 tee.
Kev kho mob yog los ntawm tsib mus rau kaum hnub, thiab lub sijhawm ua haujlwm siab tshaj plaws yog xya feeb.
Sib "Berodual" thiab "Lazolvan"
Ua ke, ob cov tshuaj no feem ntau pom zoo rau cov neeg mob uas muaj kab mob ntawm cov kab mob ua pa (emphysema, bronchitis, pneumonia, bronchial hawb pob, hnoos tsis meej etiology), nrog rau cov neeg mob siab rau cov khoom ntawm " Lazolvan ". Cov tshuaj no, ua ib qho mucolytic, txhawb nqa liquefaction thiab ceev cov hnoos qeev tawm, thiab Berodual tshem tawm bronchospasm. Ob tus neeg ua haujlwm sai sai thiab lawv cov txiaj ntsig tau ntev ntev tom qab nqus tau. Cov proportions ntawm Berodual, Lazolvan thiab saline yog raws li nram no:
- "Berodual". Nws tus nqi nyob ntawm qhov hnyav ntawm qhov kev tawm tsam. Pib txoj kev kho nrog tshuaj tsawg tsawg thiab, yog tias tsim nyog, nce lawv. Rau cov neeg mob los ntawm rau mus rau kaum ob xyoos - los ntawm 10 mus rau 40 tee; tshaj kaum ob xyoos, cov neeg laus, nrog rau cov neeg laus - los ntawm 20 mus rau 50 tee. Tus nqi ntawm cov tshuaj pom zoo los ntawm tus kws kho mob yog hloov mus rauntim 3-4 milliliters ntawm sodium chloride.
- "Lazolvan". Cov koob tshuaj mus txog rau xyoo - txog li 2 ml, tom qab rau rau xyoo thiab cov neeg laus - txog li 3 ml. Lub physiological saline yog ntxiv tib seem, piv txwv li qhov kev faib ua feem yog 1: 1.
- Thaum siv ua ke, cov tshuaj txhaj tshuaj yog nchuav rau hauv lub thawv ntsuas thiab hloov nrog saline rau ntim ntawm 3 ml.
Yog tias tsis tau noj ntau npaum li cas, tsis yog kev noj qab haus huv, kev puas tsuaj yuav ua tiav.
Dual tshuaj ua ke kev kho mob
Qee zaum, tus kws kho mob pom zoo kom nqus tau Berodual, Ambrobene thiab saline. Qhov feem ntawm cov tshuaj (hauv ml) tuaj yeem ua raws li hauv qab no:
- 0, 5 - Beroduala;
- 2 - "Ambrobene";
- 2 - physiological saline.
Txoj kev kho ua ke no siv tau rau cov mob ntsws thiab mob ntev, mob ntsws asthma, nrog rau cov kab mob uas muaj los ntawm kev tso tawm cov hnoos qeev. Thaum xub thawj, tus kws kho mob tuaj yeem sau ntawv kom nqus tau cov pa ntawm Berodual nrog tus kws kho lub cev. Tom qab ntawd "Ambrobene" ntxiv rau qhov muaj pes tsawg leeg, uas txhim kho cov khoom rheological ntawm cov hnoos qeev, txo nws cov viscosity. Kev nqus pa yog ua nrog kev ua pa ntsiag to kom tshem tawm qhov hnoos zoo.
Siv qhov xaus
Inhalations nrog "Berodual" thiab saline, qhov feem ntawm tus kws kho mob xaiv nyob ntawm txhua rooj plaub, tau nquag siv hauv kev kho mob ntawm lub ntsws. Qhov txawv ntawm "Berodual" thiab lwm yam tshuaj yog tias nws relieves bronchospasm, nkoos secretion, relaxes.cov phab ntsa vascular, ua kom ua pa thiab tib lub sijhawm tsis cuam tshuam rau lwm cov txheej txheem hauv tus neeg mob txoj kev ua pa.
