Ib yam tseem ceeb tshaj plaws hauv tib neeg lub cev yog lub cev ua pa. Ntxiv nrog rau kev koom tes hauv cov txheej txheem ntawm kev tsim lub suab, ua tsaug rau nws txoj kev sib koom ua haujlwm zoo, cov pa nqus tau nqus tau noo thiab tag nrho cov ntaub so ntswg thiab lub cev tau ntim nrog oxygen.
Tsis tas li, cov kab mob ua pa muaj feem cuam tshuam nrog kev tswj hwm thermoregulation, kev sib txuas ntawm cov tshuaj hormones thiab tiv thaiv tib neeg lub cev los ntawm cov xwm txheej sab nraud ntawm ib puag ncig nruj. Tias yog vim li cas cov kab mob ua pa ntau dua li lwm tus raug rau ntau yam kab mob. Tsis muaj ib tus neeg nyob hauv ntiaj teb uas yuav tsis ntsib tus mob khaub thuas lossis SARS, nrog rau cov mob hnyav xws li sinusitis, bronchitis thiab tonsillitis. Txhua yam kab mob uas tau teev tseg muaj nws cov tsos mob thiab, raws li, cov ntsiab cai ntawm kev kho mob.
Raws li kev txheeb xyuas kev kho mob, feem ntau hauv cov menyuam yaus thiab cov neeg laus muaj cov mob xws li mob ua pa, uas yog nrog los ntawm kev tso cov hnoos qeev los yog nyuaj rau nws tawm. Hauv cov xwm txheej zoo li no, cov kws tshaj lij feem ntau tau sau tshuaj Ambrobene rau lawv cov neeg mob. Yuav tsum muab pes tsawg tee rau cov neeg laus thiab menyuam yaus, yuav siv cov tshuaj no li cas, nws puas muajcontraindications thiab phiv tshwm sim nyob rau hauv qab no.
Cov tshuaj, nws daim ntawv tso tawm, piav qhia thiab ntim
"Ambrobene" - tee (kev daws teeb meem), uas yog cov kua tsis muaj xim tsis muaj pob tshab (tej zaum yuav daj daj), uas tau muab tso rau hauv cov iav tsaus nti los tiv thaiv kev puas tsuaj ntawm nws cov khoom xyaw hauv qab ntawm lub teeb. Cov khoom siv tshuaj suav nrog lub thawv ntsuas tshwj xeeb, uas ua kom yooj yim ntawm kev siv tshuaj thaum siv.
"Ambrobene" - tee rau kev nqus pa thiab tswj qhov ncauj. Ua ntej siv cov tshuaj no, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb. Yog tias tsim nyog, tus kws kho mob yuav muab tshuaj rau cov txheej txheem nqus pa. Xws li kev kho mob yuav tsum tau ua nrog kev pab los ntawm tshwj xeeb txhais tau tias - inhalers. Cov txheej txheem zoo li no ua rau muaj kev nkag mus zoo ntawm Ambrobene tee rau hauv lub ntsws thiab bronchi, qhov twg lawv cov khoom xyaw muaj txiaj ntsig zoo.
Cov khoom xyaw tseem ceeb ntawm cov tshuaj hauv nqe lus nug yog Ambroxol. Cov khoom xyaw no belongs rau pawg expectorants los yog hu ua mucolytics. Nws cov concentration hauv tee yog 7.5 mg / ml. Raws li rau excipients, lawv cov concentration hauv 1 ml yog raws li hauv qab no:
- 0.6 mg - hydrochloric acid;
- 1 mg - poov tshuaj sorbate;
- 991, 9mg purified dej.
Tshuaj kho mob
Ambrobene tee yog dab tsi? Raws li cov lus haisCov kws tshaj lij, cov tshuaj no yog ib qho zoo thiab muaj txiaj ntsig mucolytic thiab expectorant.
Ambroxol yog cov nquag metabolite ntawm Bromhexine. Cov tshuaj no pab txhim kho cov rheological zog ntawm cov hnoos qeev, txo nws cov viscosity thiab cov khoom nplaum, nrog rau kev tshem tawm ntawm lub ntsws.
Nkag mus rau hauv lub cev, Ambroxol txhawb nqa:
- tsim tawm cov enzymes uas rhuav tshem cov ntawv cog lus ntawm polysaccharides ntawm viscous secretion;
- kev ua haujlwm ntawm serous hlwb ntawm bronchial mucosa;
- surfactant tsim;
- nquag bronchial cilia (tiv thaiv kom tsis txhob ua ke).
Ambrobene tee pib sai npaum li cas? Cov lus qhia hais tias tom qab noj cov tshuaj sab hauv, cov nyhuv kho tau pom tom qab ib nrab teev thiab kav ntev li 6-12 teev (nyob ntawm qhov ntau npaum li cas).
nqus tau pa
Raws li cov lus qhia, Ambrobene tee siv rau kev nqus pa pab txhawb kev tsim cov secretomotor thiab secretolytic teebmeem. Raws li qhov tshwm sim ntawm qhov tshwm sim, expectoration ntawm hnoos qeev tshwm sim. Nyob rau hauv cov ntaub ntawv no, tus neeg mob hnoos yuav ntub dej maj mam. Ua ke nrog cov hnoos qeev, cov kab mob raug tso tawm, nrog rau lwm cov kab mob txawv teb chaws uas ua rau mob ntawm cov mucous daim nyias nyias ntawm bronchi thiab bronchioles.
Thaum siv Ambrobene tee rau kev nqus, cov nyhuv expectorant tau pom tom qab 10 feeb thiab kav li 8-10 teev.
YPharmacokinetickhoom
Dab tsi yog cov tshuaj pharmacokinetic muaj nyob hauv tee ntawm "Ambrobene"? Cov lus qhia rau kev siv hais tias tom qab ambroxol nkag mus rau tib neeg lub cev, nws yog metabolized nyob rau hauv daim siab. Hauv qhov no, cov khoom lag luam metabolic tau tsim, uas tom qab tso tawm los ntawm lub raum.
Ib nrab-lub neej ntawm cov tshuaj hauv nqe lus nug yog 6-12 teev. Cov khoom xyaw nquag ntawm cov tshuaj rau kev nqus pa thiab kev tswj qhov ncauj nkag mus rau hauv cov kua mis, uas yuav tsum tau coj mus rau hauv tus account thaum pub niam mis.
Cov lus qhia rau kev siv
Ambrobene tee rau cov menyuam yaus thiab cov neeg laus tau qhia rau kev siv txhawm rau txhawm rau txhim kho kev tshem tawm cov kua paug tawm ntawm lub cev ntawm cov kab mob ua pa hauv cov kab mob pathological uas nrog cov txheej txheem inflammatory, nrog rau cov hnoos qeev. Cov kab mob no suav nrog:
- Kab mob bronchitis, mob hnyav lossis mob ntev (mob ntawm cov kab mob bronchial mucosa tshwm sim los ntawm cov kab mob lossis cov kab mob, nrog rau kev tso tawm cov hnoos qeev thiab hnoos).
- mob hawb pob los ntawm kev ua xua, nrog rau kev tso tawm ntawm cov hnoos qeev thiab bronchospasm.
- Bronchiectasis lossis pathology ntawm bronchi ntawm qhov xwm txheej ntev nrog kev nthuav dav ntawm tsob ntoo bronchial, ua tsis taus pa sab nraud, tsim cov hnoos qeev tuab thiab rov kis tau.
- mob ntsws lossis mob ntsws ntawm lub ntsws ntawm qhov chaw kis kab mob.
- Tracheitis lossis o ntawm lub trachea ntawm lub hauv paus chiv keeb.
- Obstructive bronchitis lossis mob ntev ntawm lub bronchi uas tau tshwm sim los ntawmCov tshuaj lom los ntawm ntau yam tshuaj, suav nrog kev haus luam yeeb mus ntev.
- Cystic fibrosis lossis mob hnyav heev ntawm cov kab mob pathological uas qhov kev sib txuas ntawm cov hnoos qeev yog qhov tsis zoo, vim tias nws ua kom khov thiab tsis tu ncua hauv cov kab mob ua pa.
Contraindications rau kev siv
Tsuas yog tus kws tshaj lij paub tias yuav tsum siv Ambrobene ntau npaum li cas hauv qee kis. Nws yog txwv tsis pub siv xws li tshuaj ntawm koj tus kheej txiav txim siab. Nws tseem yog contraindicated nyob rau hauv cov ntaub ntawv hauv qab no:
- mob vwm;
- peptic rwj ntawm plab hnyuv (plab, duodenum);
- siab rhiab heev rau Ambroxol, nrog rau lwm yam tshuaj ntawm cov tshuaj.
Cov tshuaj hauv nqe lus nug yuav tsum tau siv nrog ceev faj rau cov neeg mob uas muaj lub raum tsis ua haujlwm lossis kab mob siab heev. Hauv cov xwm txheej zoo li no, nws raug nquahu kom txo cov koob tshuaj thiab nce lub sijhawm ntawm koob tshuaj (kev kho mob hauv cov xwm txheej zoo li no yuav tsum tau ua raws li tus kws kho mob saib xyuas).
Nrog kev ceev faj heev thiab tsuas yog hauv tsev kho mob "Ambrobene" yuav tsum tau siv rau kev ua haujlwm tsis zoo ntawm bronchial motility, nrog rau cov hnoos qeev loj (kom tsis txhob muaj kev loj hlob ntawm kev zais cia).
Tshuaj noj, txoj kev tswj hwm
Yuav siv Ambrobene li cas? Yuav muab pes tsawg tee rau cov neeg laus thiab menyuam yaus? Cov lus qhia hais tias xws li kev daws yuav tsum tau noj tsuas yog tom qab noj mov. Rau txoj cainoj tshuaj, nws raug nquahu kom siv lub khob ntsuas.
Muab qhov tseeb tias 1 ml ntawm cov tshuaj hauv nqe lus nug muaj 7.5 mg ntawm ambroxol, cov tshuaj "Ambrobene" tau muab rau hauv cov tshuaj hauv qab no:
- menyuam yaus hnub nyoog qis dua 2 xyoos - 1 ml, 2 r / d;
- ntawm 2 mus rau 6 xyoo - 1 ml, 3 r / d;
- ntawm 6 txog 12 xyoos - 2 ml, 2-3 r / d;
- ntawm 12 xyoos thiab cov neeg laus - thawj peb hnub, 4 ml, 3 r / d, thiab tom ntej - 4 ml, 2 r / d.
Kuv yuav tsum siv "Ambrobene" li cas hauv kev nqus pa? Yuav tsum muaj pes tsawg tee kom ua tiav cov txiaj ntsig xav tau? Rau kev kho mob zoo li no, yuav tsum siv cov cuab yeej niaj hnub no (tab sis tsis yog chav dej!).
Ua ntej cov txheej txheem nqus pa, cov tshuaj yuav tsum tau tov nrog 0.9% NaCl tov (kom pom dej zoo, cov tshuaj yog diluted hauv 1: 1 piv), thiab tom qab ntawd rhaub rau tus neeg mob lub cev kub.
Kev ntsuas kho yuav tsum tau ua hauv hom ua pa ib txwm, kom tsis txhob ua rau hnoos tawm.
Txhawm rau kom tsis txhob muaj qhov ua xua ntawm cov kab mob ua pa, nrog rau lawv cov spasm, cov neeg mob hawb pob yuav tsum tau siv cov tshuaj bronchodilators ua ntej nqus ambroxol.
Muaj pes tsawg tee (hauv ml) ntawm Ambrobene raug tshuaj rau cov txheej txheem nqus pa? Qhov ntau npaum li cas hauv qhov no yog raws li hauv qab no:
- Tus me nyuam mus txog 2 xyoos - 1 ml, 1-2 r / d.
- Los ntawm 2 mus rau 6 xyoo - 2 ml, 1-2 r / d.
- Los ntawm 6 xyoo thiab cov neeg laus - 2-3 ml, 1-2 r / d.
Cov tshuaj tiv thaiv tsis zoo tom qab thovpoob "Ambrobene"
Yuav tsum tau muab ntau npaum li cas tee (rau cov menyuam yaus thiab cov neeg laus) rau qee yam kab mob? Cov lus teb rau lo lus nug no tsuas yog tau los ntawm ib tus kws tshaj lij xwb. Yog tias kev mus ntsib kws kho mob raug ncua vim qhov laj thawj zoo, cov ntaub ntawv zoo li no muaj nyob rau hauv cov lus qhia txuas nrog. Nws kuj teev tag nrho cov kev mob tshwm sim uas yuav tshwm sim thaum siv cov tshuaj. Cov no suav nrog cov hauv qab no:
- xeev siab, urticaria, ntuav, mob plab, raws plab, hloov pauv saj;
- khaus ntawm daim tawv nqaij, dryness ntawm mucous daim nyias nyias ntawm lub pharynx thiab qhov ncauj, ncua-hom hypersensitivity, tsam plab, pob liab liab, Quincke's edema.
Thaum mob hnyav dua, tus neeg mob yuav muaj kev poob siab anaphylactic thaum siv cov tshuaj nug.
Cov mob ntau dhau nrog cov tshuaj Ambrobene
Cov lus qhia hais tias xws li cov tshuaj nquag xws li ambroxol tau txais txiaj ntsig zoo los ntawm cov neeg mob, tab sis tsuas yog thaum noj qhov ncauj ntawm qhov ntau npaum li 25 mg / kg ib hnub. Yog tias cov tshuaj tau siv ntau dua tus nqi teev tseg, tus neeg mob yuav ntsib cov tsos mob ntau dhau hauv qab no: xeev siab, nce salivation, ntuav thiab txo qis ntshav siab.
Rau kev kho mob ntawm cov xwm txheej zoo li no, tus neeg mob tau muab tshuaj rau plab hnyuv. Nws yog ntshaw kom ua raws li cov txheej txheem hauv thawj 1-2 teev tom qab noj cov tshuaj ntau dhau. Tsis tas li, tus neeg raug tsim txom tau pom zoo kom noj cov zaub mov rog.
Thaum noj tshuaj ntau dhau, nws yog ib qho tsim nyog los saib xyuas txhua qhov ntsuashemodynamics. Yog xav tau, kev kho mob yuav tsum tau ua.
Kev sib tham nrog lwm yam tshuaj
Ib txhij siv cov tshuaj Ambrobene nrog cov tshuaj uas muaj cov tshuaj tiv thaiv kab mob (xws li cov uas muaj cov codeine) yog qhov tsis xav tau vim qhov nyuaj ntawm kev tshem tawm cov kua paug tawm ntawm lub ntsws thaum txo qhov hnoos.
Kev siv tus neeg sawv cev sib luag hauv nqe lus nug nrog cov tshuaj tua kab mob (xws li Amoxicillin, Cefuroxime, Erythromycin thiab Doxycycline) ua rau muaj txiaj ntsig zoo ntawm qhov kawg mus rau hauv lub ntsws. Qhov kev sib cuam tshuam nrog "Doxycycline" yog siv rau kev siv tshuaj.
Tseem ceeb kom paub
Ua ntej siv cov tshuaj Ambrobene rau kev nqus pa thiab tswj qhov ncauj, koj yuav tsum ua tib zoo kawm cov lus qhia txuas nrog. Nws piav qhia txog cov yam ntxwv hauv qab no ntawm kev siv tshuaj:
- Cov tshuaj tsis xav tau rau lub plab khoob, txwv tsis pub nws tuaj yeem cuam tshuam rau cov mucous membrane ntawm txoj hnyuv.
- Cov menyuam yaus hnub nyoog qis dua 2 xyoos "Ambrobene" raug muab rau tus kheej.
- Lub sijhawm kho nrog tshuaj yuav tsum txiav txim siab los ntawm tus kws kho mob.
- Yog tias qhov tshwm sim tsis zoo tshwm sim, tsis txhob siv tshuaj.
- Tsis pom zoo rau leej niam pub niam mis.
- Kev siv cov mucolytic tsis cuam tshuam rau cov tshuaj tiv thaiv ntawm tus neeg mob nyob rau hauv ib txoj kev, yog li nws tuaj yeem siv tau txawm tias thaum ua haujlwm uas yuav tsum muaj cov tshuaj tiv thaiv sai thiab ua rau muaj kev saib xyuas ntxiv.
- Ambrobene yog ib qho tshuaj tom khw muag khoom, yog liNws muaj pub dawb hauv cov khw muag tshuaj.
Tshuaj xyuas txog cov tshuaj, nws cov nqi thiab cov khoom zoo sib xws
Cov neeg mob hais li cas txog kev daws Ambrobene? Kev tshuaj xyuas txog cov cuab yeej no feem ntau yog qhov zoo. Ob tus kws kho mob thiab cov neeg mob ntsuas cov txiaj ntsig ntawm cov tshuaj no siab heev (ntawm tsib-point scale - los ntawm 4, 5-4, 6 ntsiab lus).
Qhov txiaj ntsig tseem ceeb ntawm cov tshuaj hauv nqe lus nug suav nrog:
- kho sai sai;
- tshuaj muaj txiaj ntsig zoo;
- yooj yim siv;
- Nyob zoo rau me nyuam;
- siv tau rau thaum yau;
- ntau ntau hom tshuaj sib txawv (tshwj tsis yog cov tee, muaj cov ntsiav tshuaj, tshuaj ntsiav, tshuaj txhaj tshuaj, Ambrobene syrup).
Tsis tas li hauv World Wide Web muaj kev tshuaj xyuas tsis zoo thiab tsis zoo txog cov tshuaj. Cov yav tas yog txuam nrog qhov ua tau zoo ntawm cov tshuaj.
Dab tsi tuaj yeem hloov cov tshuaj "Ambrobene"? Cov tshuaj zoo sib xws (raws li cov txheej txheem ntawm kev ua) yog cov tshuaj xws li Ascoril, Bronchostop, Libeksin Muco, Acestine, Kofasma, Acetylcysteine, Erdomed, ACC, Fluimucil, "Bromhexine, Fluifort, Sinupret, Bronchosan, Fluditec, Bronhobos, Solvin, Joset, N-AC-Ratiopharm, Cashnol.
Tus nqi ntawm cov tshuaj Ambrobene rau kev nqus pa thiab tswj qhov ncauj yog li 176 rubles (ib 100 ml muaj peev xwm).
