Dab tsi yog Bronchobos (syrup)? Cov lus qhia rau kev siv cov tshuaj mucolytic tau piav qhia hauv qab no. Tsis tas li nyob rau hauv cov ntaub ntawv ntawm tsab xov xwm no koj tuaj yeem nrhiav cov ntaub ntawv hais txog lub hom phiaj uas tau hais los siv, nws raug nqi npaum li cas, seb nws puas muaj kev phiv tshuaj, analogues thiab contraindications.
Kev sib xyaw thiab ntim khoom
Hauv pob dab tsi Bronchobos (syrup) mus muag? Cov lus qhia rau kev siv tus neeg sawv cev mucolytic tau muab ntim rau hauv ib lub thawv ntawv uas muaj ib rab diav ntsuas los ntawm polystyrene nrog cov cim, nrog rau lub raj mis xim av tsaus nti nrog lub hau txhuas nrog lub foob, kev tiv thaiv kev tiv thaiv thiab kev tswj xyuas thawj zaug.
Cov tshuaj nquag ntawm cov tshuaj no yog carbocysteine. Nws kuj muaj cov koom haum pabcuam hauv daim ntawv ntawm ethanol, glycerol, sodium hydroxide, citric acid monohydrate, sodium carmellose, methyl parahydroxybenzoate, propyl parahydroxybenzoate, sodium saccharinate, azorubine, raspberry tsw thiab purified dej.
Bronchobos phoov, tshuaj xyuas uas tau piav qhia hauv qab no, yog 2, 5% lossis 5% cov tshuaj pob tshab nrog cov kua nplaum me ntsiskev ntxhib los mos, raspberry tsw thiab ci liab xim.
Tshuaj pharmacodynamics
Mucolytic tshuaj, suav nrog Bronchobos phoov, muaj cov nyhuv expectorant. Cov nyhuv ntawm cov tshuaj no yog los ntawm kev ua kom cov enzyme - sialic transferase, uas yog tsim nyob rau hauv goblet hlwb nyob rau hauv lub bronchial mucosa.
Cov tshuaj normalizes tus lej ntawm cov kua qaub thiab nruab nrab sialomucins hauv bronchial secretions. Tsis tas li ntawd, nws restores viscosity ntawm mucus thiab nws elasticity.
Cov tshuaj mucolytic muaj dab tsi ntxiv? Lawv pab txhawb rau kev tsim kho ntawm cov mucous daim nyias nyias, normalize tus qauv, thiab tseem qhib kev ua haujlwm ntawm ciliated epithelium. Syrup "Bronhobos" restores lub secretion ntawm immunoglobulin A raws li ib tug tshwj xeeb kev tiv thaiv, raws li zoo raws li tus naj npawb ntawm sulfhydryl pawg nyob rau hauv cov hnoos qeev thiab nws cov khoom raws li ib tug tsis tshwj xeeb kev tiv thaiv. Nws kuj txhim kho mucociliary clearance.
Pharmacokinetic parameters of tshuaj
Cov tshuaj "Bronhobos", tus nqi uas yuav qhia hauv qab no, yog nqus tau sai thiab tag. Nyob rau tib lub sijhawm, nws muaj qhov tsis tshua muaj bioavailability (tsawg dua 10% ntawm cov tshuaj noj). Qhov siab tshaj plaws ntawm active carbocysteine tau nyob rau hauv cov mucous daim nyias nyias thiab cov ntshav yog mus txog tom qab 1.5-2 teev. Nws cov qib kho tau tswj tau li 8 teev. Cov tshuaj nyob twj ywm ntev tshaj plaws nyob rau hauv daim siab, cov hlab ntsha thiab nruab nrab pob ntseg. Ntawm qhov siab tshaj plaws, nws accumulates nyob rau hauv bronchial secretions (kwv yees li 17.5% ntawm cov txaiskoob).
Cov tshuaj yog metabolized hauv daim siab. Nws muaj cov nyhuv thawj zaug. Kwv yees li ntawm 60-90% ntawm cov tshuaj tau tawm los ntawm ob lub raum tsis hloov pauv.
Ib nrab-lub neej ntawm cov tshuaj yog 2-3 teev. Nws qhov kev tshem tawm tag nrho tshwm sim tom qab peb hnub.
Cov lus qhia rau kev siv syrup
Bronchobos tau muab rau cov menyuam yaus thiab cov neeg laus li cas? Raws li cov lus qhia, cov kua qab zib no pab tau zoo nrog:
- cov txheej txheem inflammatory tshwm sim nyob rau hauv paranasal sinuses thiab nruab nrab pob ntseg, suav nrog sinusitis, rhinitis thiab otitis media;
- mob ntev thiab mob bronchopulmonary nrog rau kev ua txhaum ntawm cov hnoos qeev thiab tso zis (piv txwv li, nrog mob ntsws, mob ntsws, mob ntsws asthma, tracheobronchitis thiab bronchiectasis).
Ntxiv rau cov lus saum toj no, cov tshuaj hauv nqe lus nug tau nquag siv thaum lub sijhawm npaj tus neeg mob rau bronchography lossis bronchoscopy.
Contraindications rau kev siv
Nyob rau hauv cov xwm txheej twg nws tsis pom zoo kom noj Bronchobos (syrup)? Cov lus qhia rau kev siv hais txog cov nram qab no contraindications rau tag nrho cov tshuaj:
- duodenal rwj thiab plab rwj (tshwj xeeb tshaj yog thaum exacerbation);
- hypersensitivity rau tshuaj tivthaiv;
- cystitis thiab mob glomerulonephritis (nrog rau exacerbation);
- hnub nyoog qis dua 15 xyoos.
Rau 2, 5% thiab 5% syrup:
- mob vwm;
- kab mob siab ntau,cawv;
- kab mob hlwb thiab kev raug mob ntawm lub cev;
- pub mis niam thiab cev xeeb tub.
Rau 2.5% syrup:
Kuv muaj 3 xyoos
Cov xwm txheej rau kev siv tshuaj ceev faj:
- muaj keeb kwm ntawm duodenal ulcer thiab plab rwj.
Tshuaj: "Bronhobos" (syrup): cov lus qhia rau kev siv
Raws li cov lus qhia txuas mus, cov tshuaj no yuav tsum tau noj ntawm qhov ncauj. Qhov ntau npaum ntawm cov tshuaj yuav tsum tau txiav txim siab siv ib rab diav.
Rau cov neeg laus, cov tshuaj tau sau rau hauv qhov nyiaj ntawm 15 ml, uas yog sib npaug rau 3 scoops ntawm 5% syrup (peb zaug hauv ib hnub).
Cov menyuam yaus hnub nyoog 3-6 xyoo 2.5% tshuaj yog muab 5 ml 2-4 zaug hauv ib hnub, uas yog, hauv qhov nyiaj ntawm 1 daus ib zaug.
Cov menyuam yaus hnub nyoog 6 xyoos raug tshuaj 5-10 ml ntawm 2.5% syrup peb zaug ib hnub, uas yog, 1-2 ntsuas diav.
Tshuaj ntau dhau
Thaum noj syrup ntau, tus neeg mob yuav mob plab, raws plab thiab xeev siab. Txhawm rau tshem tawm cov kev sib txawv no, cov kev kho mob tau sau tseg.
Side effects
Kev noj tshuaj Bronchobos tuaj yeem ua rau muaj kev cuam tshuam tsis zoo ntawm cov kabmob thiab cov kab ke hauv qab no:
- GIT: mob epigastric, xeev siab, los ntshav, ntuav, raws plab.
- Immune system: kev tsis haum tshuaj nyob rau hauv daim ntawv ntawm exanthema, urticaria, pruritus, angioedema.
- Lwm yam: kiv taub hau, qaug zog,malaise.
- Cov neeg mob hawb pob thiab cov neeg laus tuaj yeem ntsib kev cuam tshuam ntawm txoj hlab pa.
Kev Sib Tham Tshuaj
Thaum noj cov tshuaj ntau npaum li cas:
- Cov nyhuv bronchodilator ntawm cov tshuaj "Theophylline" nce.
- Nyob rau hauv kev kho cov kab mob sib kis thiab kab mob hauv cov kab mob hauv nruab nrab thiab sab sauv, tej zaum yuav muaj kev sib koom ua ke ntawm kev ua tau zoo ntawm glucocorticoid, nrog rau cov tshuaj tua kab mob cais.
- Nrog cov tshuaj zoo li atropine, cov nyhuv antitussive tsis muaj zog.
Thaum noj syrup:
- Siv ceev faj heev (vim muaj cov ethanol) nrog cov tshuaj uas ua rau kub taub hau, ntuav, liab thiab tachycardia.
- Nrog kev ceev faj heev (vim muaj ethanol), lawv tau noj nrog tshuaj xws li Cefamandol, Disulfiram, Cefoperazone, Latamoxef, Chloramphenicol, Glipizide, Glibenclamide, "Chlorpropamide, Tolbutamide, Griseofulvin, Metronidazole, Tinidazole,, Ornidazole, Procarbazine, Ketoconazole.
Special Recommendations
Bronchobos phoov muaj ethanol. Hauv qhov no, nws tau sau tseg nrog ceev faj rau cov menyuam yaus thiab cov neeg uas muaj kev quav dej quav cawv. Tom qab noj cov tshuaj, cov neeg mob muaj kev tsis txaus siab thiab ceev ntawm cov tshuaj tiv thaiv psychomotor. Hauv qhov no, kev siv cov tshuaj no tsis pom zoo rau cov neeg tsav tsheb thiab cov neeg ua haujlwm nrog cov txheej txheem nyuaj.
Cov ntsiab lus muag, khaws cia thiab txee lub neej
Muag tshuaj zoo li no hauv khw muag tshuaj yam tsis muaj kws kho mob sau ntawv. Nws yuav tsum tau khaws cia kom deb ntawm cov menyuam yaus, saib xyuas qhov kub ntawm 16-30 degrees. Cov kua txiv hmab txiv ntoo muaj lub neej txee ntawm peb xyoos (tsis muaj qhov kev ntseeg siab ntawm lub pob).
Bronhobos tshuaj: analogues thiab nqi
Tam sim no, muaj ntau yam analogues ntawm kev txiav txim siab txhais tau tias. Qhov ze tshaj plaws hauv kev ua haujlwm yog cov tshuaj "Fluifort" (syrup). Nws kuj yog ib qho zoo mucolytic. Tsis tas li ntawd, cov tshuaj uas tau nthuav tawm tuaj yeem hloov tau los ntawm kev siv xws li Fluditec, Bronkatar, Libeksin Muko, Mukopront thiab Mukosol.
Bronhobos nqi npaum li cas? Tus nqi ntawm cov tshuaj no nyob ntawm nws daim ntawv tso tawm. 5% syrup tuaj yeem muas tau rau 550-570 rubles, thiab 2.5% tshuaj - rau 420 rubles.
tshuaj tshuaj xyuas
Ib yam li Fluifort, Bronchobos phoov yog ib qho zoo thiab muaj txiaj ntsig mucolytic. Qhov no yog qhov kev xav ntawm feem coob ntawm cov neeg mob uas tau siv cov tshuaj no rau kev kho mob ntev thiab mob bronchopulmonary kab mob.
Raws li kev xav ntawm cov kws paub txog kev paub, cov tshuaj no tuaj yeem ua kom sai thiab ua tau zoo thiab tshem tawm cov hnoos qeev los ntawm bronchi. Lwm qhov zoo ntawm cov cuab yeej no yog tias nws tuaj yeem muab rau cov menyuam yaus txij li ob xyoos, raws li pom los ntawm ntau qhov kev tshuaj xyuas. Qhov no yog vim qhov tseeb tias cov kua qab zib hauv nqe lus nug tau xyaum tsis muaj kev phiv thiab contraindications.
Raws li qhov kev tshuaj xyuas tsis zoo, feem ntau lawv cuam tshuam nrog tus nqi ntawm cov tshuaj mucolytic. Txawm li cas los xij, cov kws muag tshuaj tau hais tias tus nqi ntawm cov tshuaj no yog qhov tseeb, vim nws yog ib qho tshuaj zoo tshaj plaws tiv thaiv kab mob bronchopulmonary.
