Cov kab lus yuav muab cov lus qhia siv rau Ambroxol ntsiav tshuaj.
Lawv yog cov tshuaj mucolytic nrog cov nyhuv expectorant. Ua tsaug rau nws, kev thauj cov hnoos qeev yog txhim kho. Me ntsis suppresses hnoos. Ua nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, nyob rau hauv ib lub hlwv contour pob ntawm kaum ntsiav tshuaj, nyob rau hauv ib tug cardboard bundle - ob packs.
Pharmacological influence
Ambroxol yog ib qho expectorant thiab mucolytic neeg sawv cev, uas yog ib tug nquag N-demethylated bromhexine metabolism. Nws tsis tsuas yog expectorant, tab sis kuj secretolytic thiab secretomotor teebmeem. Nws nkoos lub serous hlwb ntawm cov qog ntawm lub bronchial mucosa, ua rau kom tus nqi ntawm mucous secretion thiab yog li hloov qhov cuam tshuam feem ntawm cov mucous thiabserous Cheebtsam ntawm cov hnoos qeev. Nyob rau tib lub sijhawm, muaj kev ua haujlwm ntawm hydrolyzing enzymes, nrog rau kev nce hauv kev tso tawm lysosomes los ntawm Clara hlwb, thiab qhov no ua rau txo qis hauv cov hnoos qeev viscosity. Cov tshuaj "Ambroxol" txhawb kev nce hauv cov ntsiab lus ntawm endogenous surfactant nyob rau hauv lub ntsws, cuam tshuam nrog kev nce hauv secretion thiab synthesis nyob rau hauv alveolar pneumocytes thiab tsis xws luag nyob rau hauv nws lwj. Surfactant yog ib qho chaw ua haujlwm saum npoo uas muab zawv zawg ntawm bronchial secretions nyob rau hauv lub lumen ntawm lub pa system.
Ua tsaug rau "Ambroxol" cov ntsiab lus ntawm cov serous tivthaiv hauv bronchial secretion nce, nws cov qauv txhim kho thiab cov viscosity ntawm cov hnoos qeev txo qis, nws liquefies; Raws li qhov tshwm sim, kev thauj mus los ntawm mucociliary yog txhim kho, hnoos qeev tau yooj yim dua los ntawm tsob ntoo bronchial. Tom qab siv Ambroxol, cov nyhuv ntawm qhov nruab nrab tshwm sim hauv ib nrab ib teev thiab kav li ntawm rau mus rau kaum ob teev, uas yog txiav txim los ntawm ib koob tshuaj.
YPharmacokinetics
Raws li cov lus qhia rau kev siv rau cov ntsiav tshuaj, "Ambroxol", nkag mus rau hauv, yog nqus tau sai thiab yuav luag tag. Lub sijhawm siab tshaj plaws yog los ntawm ib mus rau peb teev. Nws khi rau plasma proteins li ntawm 85%. Dhau los ntawm placental barrier thiab tawm nrog cov kua mis. Metabolization ntawm cov tshuaj yog nqa tawm nyob rau hauv daim siab, metabolites yog tsim (glucuronic conjugates, dibromanthranilic acid), excreted tsuas yog los ntawm ob lub raum (90% nyob rau hauv daim ntawv ntawm cov metabolites), tsis hloov - tsawg tshaj li kaum feem pua..
ntawm-vim muaj protein ntau khi, nrog rau tus nqi loj ntawm Vdthiab thim rov qab qeeb nkag mus rau hauv cov ntshav los ntawm cov ntaub so ntswg, thaum yuam diuresis lossis lim ntshav, tsis muaj qhov tseem ceeb ntawm ambroxol excretion.. Qhov kev tshem tawm tom kawg hauv cov neeg mob uas mob siab tsis ua haujlwm yog txo los ntawm 20-40%. Lub sijhawm metabolite nce ntxiv hauv lub raum tsis ua haujlwm hnyav.
Yuav ua li cas cov neeg laus yuav tsum siv Ambroxol ntsiav tshuaj raws li cov lus qhia rau kev siv?
Thaum muaj
Ambroxol ntsiav tshuaj yog siv rau cov kab mob ua pa thaum cov hnoos qeev tso tawm:
- mob ntev thiab mob bronchitis;
- kab mob obstructive pulmonary;
- bronchiectasis;
- bronchial hawb pob, uas ua rau nws nyuaj rau expectorate.
YContraindications
Raws li cov lus qhia rau kev siv, Ambroxol ntsiav tshuaj yog contraindicated nyob rau hauv:
- tus neeg mob rhiab heev rau ib yam ntawm cov tshuaj;
- first trimester ntawm cev xeeb tub;
- daim siab thiab / lossis lub raum tsis ua haujlwm;
- tsis tshua muaj kab mob caj ces tshwm sim los ntawm kev tsis haum rau ib qho ntawm cov koom haum pabcuam uas tsim cov tshuaj.
Nrog ceev faj siv tau los ntawm cov neeg mob thaum cev xeeb tub (thib ob thiab peb lub hlis twg) thiab pub niam mis, nrog rau cov neeg uas raug mob peptic rwjduodenum thiab plab. Qhov no tau lees paub los ntawm cov lus qhia siv rau Ambroxol 30 mg ntsiav tshuaj.
Kev tswj hwm nruj thiab tsim nyog cov kev tshawb fawb txog kev nyab xeeb ntawm kev siv tshuaj thaum cev xeeb tub thiab pub niam mis tsis tau ua. Cov tshuaj hla lub placental barrier. Thaum cov kev tshawb fawb tsiaj tau ua tiav, kev cuam tshuam ncaj qha lossis tsis ncaj qha rau kev xeeb tub, embryonic lossis postnatal kev loj hlob ntawm tus menyuam hauv plab tsis tau tsim. Kev kho mob ntau yam tau lees paub tias tsis muaj cov tsos mob ntawm qhov tsis zoo tom qab 28 lub lis piam ntawm cev xeeb tub. Txawm li cas los xij, muaj qee qhov kev ceev faj yooj yim uas siv rau txhua yam tshuaj thaum cev xeeb tub.
Ambroxol yog qhov tsis xav tau coj mus rau thawj peb lub hlis twg ntawm kev yug menyuam. Nws kuj nkag mus rau hauv niam cov kua mis, thiab txawm hais tias qhov tsis zoo ntawm cov tshuaj ntawm tus menyuam tsis xav tau, nws tsis pom zoo rau cov poj niam thaum pub niam mis.
Cov lus qhia siv rau cov ntsiav tshuaj Ambroxol tso cai rau menyuam yaus muab rau lawv.
Kev siv tshuaj thiab ntau npaum li cas
"Ambroxol" yog noj tom qab noj mov thiab ntxuav nrog kua. Cov menyuam yaus hnub nyoog kaum ob xyoos thiab cov neeg laus: ib ntsiav tshuaj peb zaug hauv ib hnub (30 mg). Qhov koob tshuaj no tuaj yeem txo qis tom qab 8-10 hnub - ob zaug ib hnub, ib ntsiav tshuaj ntawm Ambroxol.
Raws li cov lus qhia rau kev siv rau cov menyuam yaus hnub nyoog 3 xyoos, cov tshuaj tau muab rau hauv daim ntawv ntawm 7.5 mg ntawm cov tshuaj nquag. Qhov no sib raug rau 1 mlKev daws rau qhov ncauj, ib nrab ib diav ntawm cov tshuaj phoov uas muaj Ambroxol 15 mg / 5 ml lossis 1/4 ntsuas diav ntawm cov kua qab zib nrog ntau dua (30 mg / 5 ml)..
Cov Me Nyuam 6 txog 12: Ib nrab ib ntsiav tshuaj 2-3 zaug ib hnub (15mg). Lub sijhawm ntawm kev kho mob yog txiav txim siab los ntawm tus kws kho mob, nws nyob ntawm qhov mob hnyav. Yog tias ib lossis ob koob tshuaj tsis tuaj, ces nws tsis raug tso cai kom noj tshuaj ntau dua lwm zaus. Cov koob tshuaj uas ploj lawm yuav tsum tau noj rau hnub tom qab. Yog tias tsis ua raws li kev noj tshuaj, ces tej zaum yuav muaj qhov txo qis hauv kev kho mob.
Side effects
Raws li tau lees paub los ntawm cov lus qhia rau kev siv thiab tshuaj xyuas ntawm cov ntsiav tshuaj Ambroxol, cov kev mob tshwm sim tuaj yeem pom los ntawm txoj hnyuv: hauv qhov tsis tshua muaj - qhov ncauj qhuav, raws plab, cem quav; Yog tias cov tshuaj tau siv ntev thiab siv ntau zaus, ces ntuav, xeev siab, gastralgia thiab kub siab tshwm sim.
Cov tshuaj tsis haum: tawv nqaij pob, angioedema, urticaria, khaus; Ib tus neeg mob - kev tsis haum tshuaj dermatitis, cais tawm ntawm cov tshuaj tiv thaiv anaphylactic ntawm tus neeg mob.
Lwm cov kev mob tshwm sim: tsis tshua muaj - mob taub hau thiab qaug zog. Yog tias cov kev tshwm sim tsis zoo tshwm sim, nrog rau cov tsos mob tshwm sim uas tsis tau piav qhia hauv cov lus qhia, koj yuav tsum hu rau koj tus kws kho mob.
Ntau tshaj
Raws li cov lus qhia siv rau Ambroxol ntsiav tshuaj, nrogCov tsos mob ntawm overdose yog raws li nram no: dyspepsia, ntuav, xeev siab thiab raws plab. Kev kho mob yog nqa tawm nrog kev pab ntawm plab hnyuv hauv ib mus rau ob teev tom qab noj cov tshuaj, ua rau ntuav, siv cov khoom muaj roj, nrog rau kev kho mob.
Txoj kev cuam tshuam nrog lwm yam tshuaj
Kev siv ib txhij nrog cov tshuaj tiv thaiv kab mob ua rau nyuaj rau cov hnoos qeev tawm nrog qhov txo qis hauv qhov hnoos qeev. Pab kom nce qhov nkag mus ntawm doxycycline, erythromycin, cefuroxime thiab amoxicillin rau hauv lub zais zis ntawm bronchi.
Dab tsi ntxiv cov lus qhia rau kev siv rau Ambroxol ntsiav tshuaj hnoos qhia rau peb?
Kev Tiv Thaiv
Nws tsis pom zoo kom siv nws ib txhij nrog cov tshuaj tiv thaiv kab mob uas ua rau nws nyuaj rau expectorate. Ntau qhov xwm txheej ntawm cov tawv nqaij puas tsuaj loj tau raug tshaj tawm, suav nrog Stevens-Johnson syndrome thiab epidermal lom necrolysis cuam tshuam nrog kev siv cov expectorant Ambroxol. Cov xwm txheej no feem ntau tuaj yeem piav qhia los ntawm qhov hnyav ntawm kev sib kis lossis kev siv tib lub sijhawm ntawm lwm cov tshuaj.
Ntxiv rau, nyob rau theem pib ntawm cov tshuaj lom epidermal necrolysis thiab Stevens-Johnson syndrome, tib neeg tuaj yeem tsim cov tsos mob ntawm tus mob khaub thuas uas tsis yog tshwj xeeb: mob lub cev, ua npaws, hnoos, rhinitis, thiab mob caj pas. Yog ibcov tsos mob no tshwm sim, qhov no yuav ua rau tsis tsim nyog kho nrog tshuaj tiv thaiv khaub thuas. Yog li ntawd, yog hais tias muaj ntau yam mob ntawm cov mucous daim nyias nyias los yog daim tawv nqaij tshwm sim, koj yuav tsum sab laj nrog ib tug kws kho mob, thiab kev kho mob yuav tsum tau txiav kom ceev faj. Qhov no tau lees paub los ntawm cov lus qhia siv rau Ambroxol Hydrochloride ntsiav tshuaj.
Yog tias lub raum ua haujlwm tsis zoo, yuav tsum tau noj tshuaj tsuas yog tom qab tham nrog kws kho mob.
Cov khoom siv tshuaj no muaj lactose thiab yog li yuav tsum tsis txhob siv rau hauv cov neeg mob uas tsis tshua muaj hnub yug galactose intolerance, Lapp lactase deficiency lossis qabzib-galactose malabsorption.
"Ambroxol": analogues
Ambroxol tshuaj muaj cov nram qab no analogues rau cov khoom xyaw tseem ceeb: AmbroGEXAL, Halixol, Ambrobene, Flavamed, Ambroxol Vramed, Fervex, Ambroxol retard, Suprima-kof", "Ambroxol-Verte", "Remebrox", " Ambroxol-Vial, "Neo-Bronchol", "Ambroxol-Richter", "Mukobron", "Ambroxol-Teva", "Medox", "Bronchorus", "Ambroxol-Hemofarm", "Lazolvan", "Ambrolan", " Lazolangin, "Bronhoksol", "Ambrosan", "Bronhovern" (tee), "Ambrosol", "Deflegmin"
Reviews about tshuaj
Cov lus qhia txog kev siv "Ambroxol" yog qhov zoo tshaj plaws. Ntawm nws qhov zoo yog kev pheej yig, kev tshem tawm cov hnoos qeev zoo, zoo zoo, ua haujlwm zoo. Nws yoganalogue ntawm cov tshuaj kim txawv teb chaws. Ntau tus neeg mob xav tias Ambroxol yog cov tshuaj zoo tshaj plaws los tiv thaiv hnoos hawb pob. Cov ntsiav tshuaj tsis ua rau muaj kev tsis haum tshuaj, tsis muaj teeb meem, tsis muaj contraindications tseem ceeb. Nws tshem cov phlegm zoo thiab sai, pab txo hnoos, ob qho tib si ntub thiab qhuav. Cov nyhuv yog pom tom qab 3-4 hnub.
Ntawm qhov tsis txaus yog qhov tsis tshua muaj tshuaj nyob rau hauv qhov chaw pom tseeb hauv khw muag tshuaj. Qee qhov xwm txheej, nws tseem hloov mus ua tsis tau zoo, tab sis muaj tsawg dua qhov kev tshuaj xyuas tsis zoo tshaj qhov zoo.
Peb tau tshuaj xyuas cov lus qhia siv rau Ambroxol 30 mg ntsiav tshuaj.
