Ntau zaus, cov kws kho mob tau sau lawv cov neeg mob cov tshuaj "ACC" ("ASS") rau hnoos. Cov lus qhia rau kev siv cov tshuaj no, raws li zoo raws li nws contraindications, indications thiab phiv yuav tsum tau nthuav tawm nyob rau hauv tsab xov xwm no. Tsis tas li ntawd xwb, peb yuav qhia rau koj paub txog daim ntawv uas tau hais los saum no, cov neeg mob hais txog dab tsi, nws raug nqi npaum li cas, thiab lwm yam.
Ntim cov tshuaj, nws daim ntawv tso tawm, muaj pes tsawg leeg
Koj puas paub tias cov tshuaj "ACC" ("ACC") ua rau hnoos yog dab tsi? Cov lus qhia rau kev siv qhia peb tias cov tshuaj no yog tsim nyob rau hauv ob hom sib txawv. Xav txog lawv kom ntxaws ntxiv:
- Tshuaj "ACC" - hmoov (granular), npaj rau kev npaj cov tshuaj. Cov tshuaj no yuav tsum tau noj xwb. Ib 3 gram sachet ntawm hmoov yuav muaj 200, 100 lossis 600 mg ntawm acetylcysteine . Muaj 10, 6 lossis 20 hnab hauv ib lub thawv.
- Kev Npaj "ASS" - effervescent ntsiav tshuaj. Aluminium lossis cardboard raj tuaj yeem muaj 20, 10, 100 lossis 50 daim. Ib ntsiav tshuaj muaj 600, 200 lossis 100 mgacetylcysteine . Raws li rau cov koom haum pab, lawv suav nrog citric anhydride, sodium bicarbonate, ascorbic acid, mannitol, lactose anhydride, sodium citrate, blackberry tsw thiab saccharin..
Pharmacological kev txiav txim ntawm cov tshuaj
"ACC" ("ACC") tshuaj kho hnoos yog dab tsi? Cov lus qhia rau kev siv hais tias nws yog tshuaj mucolytic. Vim lub fact tias muaj sulfhydryl pawg nyob rau hauv cov qauv ntawm cov acetylcysteine molecule, qhov no ua rau ib tug so nyob rau hauv lub disulfide bonds ntawm mucopolysaccharides (acidic) sputum. Raws li qhov tshwm sim ntawm qhov tshwm sim no, tus neeg mob pom zoo txo qhov viscosity ntawm cov hnoos qeev.
Cov tshuaj nyob rau hauv nqe lus nug muaj cov nyhuv mucolytic, thiab tseem pab txhawb cov hnoos qeev tawm vim muaj kev cuam tshuam ncaj qha rau nws cov khoom rheological. Cov cuab yeej no tseem ua haujlwm txawm tias muaj cov hnoos qeev purulent.
Cov tshuaj ACC, cov lus qhia uas tau nthuav tawm hauv qab no, feem ntau siv rau kev tiv thaiv. Hauv qhov no, muaj qhov txo qis hauv qhov hnyav thiab zaus ntawm exacerbations hauv cov neeg mob uas muaj cystic fibrosis thiab mob bronchitis.
Pharmacokinetics ntawm cov tshuaj
Dab tsi yog cov tshuaj pharmacokinetic ACC muaj? Phau ntawv no tsis muaj cov ntaub ntawv no. Qhov no yog vim qhov tseeb tias kev tshawb fawb pharmacokinetic ntawm cov tshuaj no tsis tau ua.
Drug "ACC": indications
Cov tshuaj nyob rau hauv kev txiav txim siab yog sau rau cov kev sib txawv hauv qab no:
- mob hnyav thiab mob ntev;
- kab mob hauv lub cevua pa, uas yog nrog los ntawm kev tsim cov hnoos qeev nyuaj thiab khov (piv txwv li, nrog bronchiectasis, mob ntsws thiab mob ntev, cystic fibrosis, obstructive bronchitis, pneumonia, bronchial hawb pob thiab bronchiolitis);
- otitis media.
YContraindications
Yog tias muaj qhov sib txawv, tsis muaj qhov yuav tsum tau muab tshuaj "ACC" (cov hmoov thiab cov ntsiav tshuaj effervescent)? Cov xwm txheej hauv qab no yog contraindications rau kev siv cov tshuaj no:
- xov ntshav;
- duodenal rwj thiab plab rwj (tshwj xeeb tshaj yog nyob rau theem mob);
- ntshav pulmonary;
- lub sijhawm cev xeeb tub;
- hypersensitivity rau yeeb tshuaj;
- lub sijhawm pub mis niam.
Nws tseem yuav tsum tau sau tseg tias cov tshuaj no tau sau tseg nrog ceev faj rau cov neeg mob uas muaj kab mob varicose veins (varicose veins), kab mob ntawm cov qog adrenal, raum thiab / lossis lub siab tsis ua haujlwm.
Yuav siv li cas
Kuv yuav tsum noj ACC li cas kom hnoos? Cov lus qhia rau kev siv muaj cov lus qhia hauv qab no hauv qhov no. Cov tub ntxhais hluas thiab cov neeg laus raug muab 200 mg peb zaug ib hnub. Cov menyuam yaus hnub nyoog 6 txog 14 xyoos yuav tsum noj tshuaj 100 mg peb zaug ib hnub. Rau cov menyuam yaus hnub nyoog 2 txog 5 xyoos, cov tshuaj tau muab tshuaj 1 ntsiav tshuaj (100 mg) ob zaug ib hnub. Nrog rau qhov sib txawv li cystic fibrosis, tus menyuam hnub nyoog tshaj 6 xyoo tau muab 2 ntsiav tshuaj ntawm cov tshuaj (100 mg txhua) peb zaug ib hnub. Raws li cov menyuam yaus hnub nyoog 2 txog 6 xyoos, lawv yuav tsum noj tshuaj 100 mg plaub zaugib hnub.
Cov neeg mob hnyav dua 30 kg nrog cystic fibrosis tuaj yeem nce qhov ntau npaum li 800 mg ib hnub.
Yog tias mob khaub thuas luv luv, lub sijhawm kho nrog cov tshuaj qhia yog 5-7 hnub. Hauv cystic fibrosis thiab mob ntsws bronchitis, cov tshuaj yuav tsum tau siv rau lub sijhawm ntev (kom tiv thaiv kev kis kab mob).
ACC 200 yuav tsum noj li cas? Cov lus qhia hais tias cov tshuaj no yuav tsum tau siv tsuas yog tom qab noj mov (kom tsis txhob muaj qhov tsis zoo ntawm lub plab mucosa). Nws yuav tsum raug sau tseg tshwj xeeb tshaj yog tias kev noj cov kua dej ntxiv txhim kho cov nyhuv mucolytic ntawm cov tshuaj.
Ua ntej siv, cov ntsiav tshuaj effervescent yuav tsum tau yaj hauv ib nrab khob dej. Cov tshuaj npaj yuav tsum tau siv tam sim ntawd. Hauv qhov tshwj xeeb, nws tuaj yeem tso rau 2 teev.
Ntau tshaj
Thaum siv tshuaj ntau dhau los yog ua yuam kev, tus neeg mob ntsib cov tsos mob xws li ntuav, mob plab, raws plab, kub siab thiab xeev siab. Txog niaj hnub no, tsis muaj qhov tshwm sim hnyav thiab ua rau muaj kev phom sij rau lub neej.
Kev Sib Tham Tshuaj
Yuav ua li cas yog tias koj noj cov tshuaj thiab ACC tib lub sijhawm? Kev tshuaj xyuas ntawm cov kws tshaj lij hais tias kev kho mob sib xyaw ua ke tuaj yeem ua rau muaj ntau yam tsis xav tau. Wb saib lawv me ntsis ntxiv.
Kev siv acetylcysteine thiab lwm yam tshuaj tiv thaiv yuav ua rau muaj kev phom sij rau kev noj qab haus huvcongestion ntawm cov hnoos qeev (vim kev tiv thaiv ntawm hnoos reflex).
Thaum lub sijhawm tswj hwm ib txhij ntawm nitroglycerin thiab acetylcysteine, muaj peev xwm ua kom cov nyhuv vasodilating qub.
Ceeb toom kev sib koom ua ke ntawm acetylcysteine nrog kev siv cov tshuaj bronchodilators ib txhij.
Acetylcysteine tuaj yeem txo qhov nqus ntawm penicillins, cephalosporins thiab tetracyclines. Hauv qhov no, lawv yuav tsum tau noj 2 teev tom qab noj thawj zaug.
Acetylcysteine tsis sib haum nrog cov tshuaj tua kab mob xws li Penicillin, Erythromycin, Cephalosporin, Tetracycline thiab Amphotericin, nrog rau cov enzymes proteolytic.
Thaum acetylcysteine los rau hauv kev sib cuag nrog roj hmab thiab hlau, sulfides tsim, uas muaj cov yam ntxwv tsw.
Cov lus qhia tshwj xeeb
Nyob rau hauv obstructive bronchitis thiab bronchial hawb pob, cov tshuaj nyob rau hauv nqe lus nug yuav tsum tau sau nrog ceev faj heev. Qhov no yuav tsum tau saib xyuas ntawm bronchial patency.
Yog tus neeg mob muaj kev phiv tom qab noj cov tshuaj, tsis txhob noj cov tshuaj thiab mus ntsib kws kho mob tam sim ntawd.
Thaum muab tshuaj txhuam cov tshuaj, nws raug nquahu kom siv khob iav. Tib lub sijhawm, kev sib cuag nrog roj hmab, hlau, oxygen thiab cov ntsiab lus oxidizing yooj yim yuav tsum zam.
Thaum kho cov neeg mob ntshav qab zib, nws yuav tsum coj mus rau hauv tus account tias 1 ntsiav tshuaj effervescent sib raug rau 0.006 XE.
Txog hnub tim, cov ntaub ntawv hais txog qhov tsis zoo ntawm cov tshuaj (hauv cov tshuaj pom zoo) raumuaj peev xwm tsav tsheb, nrog rau ua lwm yam dej num uas yuav tsum tau saib xyuas tshwj xeeb, tsis yog.
Hnub tas sij hawm thiab txoj hauv kev cia
Cov tshuaj nyob rau hauv nqe lus nug tsuas yog yuav tsum muab cia rau hauv qhov chaw qhuav kom deb ntawm cov me nyuam me. Hauv qhov no, huab cua kub yuav tsum tsis txhob siab tshaj 25 ° C. Lub txee lub neej ntawm cov tshuaj yog peb xyoos. Tom qab lub sijhawm no, txwv tsis pub siv tshuaj.
Tom qab noj cov ntsiav tshuaj effervescent, lub raj yas lossis txhuas yuav tsum kaw kom nruj.
Nqe thiab analogues ntawm cov tshuaj
Tus nqi ntawm ACC ntsiav tshuaj yuav txawv, nyob ntawm cov khw muag tshuaj, nrog rau cov cim ntawm cov khoom. Txawm li cas los xij, qhov nruab nrab, cov tshuaj no raug nqi txog 75-150 rubles. Tus nqi ntawm cov hmoov granular zoo ib yam li cov ntsiav tshuaj effervescent.
Dab tsi tuaj yeem hloov kho cov lus nug? Cov khw muag tshuaj muaj ntau cov analogues ntawm cov tshuaj, nrog rau cov tshuaj uas muaj cov nyhuv zoo sib xws (expectorant, mucolytic). Ntawm cov neeg nyiam tshaj plaws, kuv xav qhia cov tshuaj hauv qab no: "Acestin", "Acetylcysteine", "Vicks Active ExpectoMed", "Mukobene", "Mukomist", "Mukoneks", "N-AC-Ratiopharm", "Fluimucil ", "Exomyuk 200", "Atsestad", "Lazolvan", "Ambrobene", "Ambroxol", "Mukosol", "Bronkatar", "Solvin", "Bromhexin", "Gedelix", "Muk altin","Prospan", "Stoptussin", "Ascoril", "Linkas" thiab lwm yam.
Kev tshuaj xyuas cov neeg mob txog cov cuab yeej kho mob
Tam sim no koj paub dab tsi analogues ACC muaj thiab nws tus nqi yog dab tsi. Cov ntsiav tshuaj thiab hmoov rau kev npaj ib qho kev daws teeb meem zoo heev nrog rau txoj haujlwm. Qhov no yog qhov kev xav ntawm cov neeg mob feem ntau. Cov tshuaj sai sai kho mob thiab mob sinusitis, nrog rau lwm yam kab mob ua pa. Ua tsaug rau nws, nkig thiab nyuaj rau cais cov hnoos qeev yooj yim txav deb ntawm lub bronchi, txhim kho tus neeg mob zoo.
Nws tsis tuaj yeem tsis nco qab qhov tseeb tias cov cuab yeej hauv nqe lus nug tsis yog tsuas yog kev ua haujlwm siab, tab sis kuj yog tus nqi pheej yig. Qhov tseeb no txhawb nqa cov neeg mob uas tsis tuaj yeem them cov tshuaj kim.
