"Flomax" saline inhalation yabantwana: isikhokelo, ncomo

Ekwindla nasebusika ngaphandle nezifo ezinxulumene-ebandayo, adla ikhatshwe ukukhohlela, kokuphazanyiswa inyumoniya. "Flomax" kunye saline inhalation nje buyafuneka ukuze abantwana ngeli xesha. Kuwukhulula ziba e kwemiphunga, nilime iipropati bronchodilatory.

ifomu Ukukhululwa kunye nokwakhiwa ichiza

"Flomax" kunye saline inhalation abantwana sisiyobisi udibaniso bronchodilator. Izinto eziphambili esebenzayo zezi: anhydrous ipratropium ibromide isixa 250 mg fenoterol hydrobromide kwaye iqela micrograms 500.

Ichiza iveliswa ngokohlobo sisombululo inhalation umbala ngaphaya. Esha. Zahlanganiswa iibhotile ngombala emnyama omdaka kunye nale-dropper.

imiphumela kwemithi

"Flomax" saline inhalation abantwana abe umsebenzi bronchodilator ngokukhawuleza. Oku kuquka izithako ezisebenzayo: ipratropium bromide obambe njengoko m-holinoblokatorov kunye fenoterol hydrobromide kubonakala njengoko beta2-agonists.

Fenoterol kunciphisa izihlunu ntshikilelo wa bronchi. Oku kuthintela aqaqambayo ephindiwyo bandiqumbisayo histamine, methacholine kunye zamavumba umoya omtsha kweentlobo ezahlukeneyo. Ukufumana ukukhululwa ngabalamli medicament kwiiseli ukudumba, kwaye ngokwemithamo eziphakamileyo iyakwazi ukuphucula izithuthi mucociliary. Kwakhona candelo eshukumisa inkqubo sokuphefumla.

ukusebenza Fenoterol entliziyweni. It kwandisa isantya amandla nokurhwaqela, nto leyo iyasebenza inkqubo kwentliziyo β2-adrenergic, yaye ezithile enkulu iidosi uxinzelelo kwi β1-adrenergic inkanuko.

Anhydrous bromide ipratropium izenzo njenge blocker of receptors m-cholinergic. Osusa bronchospasm, nto leyo ngokusondeleyo enxulumene nemisebenzi ye-luvo vagus. Oku kunciphisa secretion kwamadlala of imvelaphi ezahlukahlukeneyo, kuquka inyumoniya.

Icandelo Isingeniso inhalation neefomu bronchodilation. Oku akuthethi ukuba iziphumo ezingalunganga kwi yencindi iphecana yokuphefumla, kugqitywe mucociliary okanye ubize igesi.

Intsebenziswano kwezinto esebenzayo kunceda ukwenza isiphumo bronchodilator, efunyanwa sisenzo iindlela ezahlukeneyo. Inyusa isiphumo unyango lwezifo bronchopulmonary. Kuba unyango lwesifo ngeedosi ephantsi ngokwaneleyo ibeta-agonist, nto leyo evumela balahle inani yeziphumo ebezingalindelekanga.

ubungqina

"Flomax" saline inhalation abantwana isetyenziselwa nokuthintela kunye nokunyanga izifo bronchopulmonary kunye bronchospasm ingathityazwa. Kusenokuba kwaye ezingapheliyo obstructive sifo yemiphunga ezifana kwemigudu yomoya, isifuba kunye emphysema. Lucebisa ukusetyenziswa "Flomax" xa ukhohlela.

ichiza wayedla ukulungiselela isixokelelwano sokuphefumla kokwaziswa mucolytics, iintlobo ezahlukeneyo corticosteroids elwa ezilawulwa yi zetoti.

contraindication

Reception "Flomax" solution ichiza (idosi kufuneka enikwe kwi imiyalelo) kufuneka amiselwe ngugqirha, kuba chiza Izimo.

Ezi zifo yenkqubo sentliziyo, ezifana cardiomyopathy, tachyarrhythmia. Ayikhuthazwa ukusebenzisa ichiza ngovakalelo kakhulu ukuba izithako ezisebenzayo beziyobisi kwanangamacandelo alo ezingephi.

Amanyathelo alahlwa isisombululo kunye engile-ukuvalwa glaucoma, abantu insufficiency nemithambo kunye umfutho wegazi. Bonisana nogqirha weengxaki zomzimba phambi ngokusebenzisa ichiza ukuba abantu abanesifo seswekile kunye iposi engabalulekanga. Isilumkiso prodelyvat Unyango ukurhogele "Berodual" kufuneka abe izifo kakhulu yenkqubo sentliziyo, le ndlala lengqula, waphula umthetho yesinye, ukudumba esinyini, kwakunye ngethuba lokukhulelwa zisanyisa. Kumbuzo Abantwana abangaphantsi kweminyaka engama emithandathu.

Imigangatho beziyobisi

Oveliswa kuphela nje nesisombululo kweziyobisi ngenxa inhalation "Berodual".

Esithathwa abadala kunye nabantwana abangaphezu kweminyaka elishumi xa ukuhlaselwa sisifo sombefu ngobulali ukumodareyitha obubungqongo amathontsi-20, okanye milliliter omnye. Ifom kakhulu zesi sifo kumiselwe amathamo aphezulu - up to amathontsi 50 okanye 2.5 ml. In a kakhulu ingakumbi xa isigulana esibhedlele, ubuninzi idosi abawacebisayo ngamathontsi 80, okanye ml-4.

Babies kwiqela lobudala beminyaka ukusuka ezintandathu ukuya kwezilishumi, isifuba inyumoniya ukuba cupping ngokukhawuleza kwi ukukhanya kunye nefom emiselweyo eliphakathi ukusuka ngamathontsi-10 ukuya ku-20 (0,5-1 ml). Ifom kakhulu zesi sifo ukuba emiselweyo ukuba ngamathontsi-40 (2 ml). Ifomu kakhulu kwesi sifo xa isigulana phantsi kweliso elibukhali likagqirha clock, kufuna imithamo ukuya ku-60 ngamathontsi isisombululo okanye ml-3.

Xa unyango exchange ichiza ezimiselweyo abadala kunye intsha ukususela kwiminyaka elishumi 20-40 amachaphaza okanye 1-2 ml amane amaxesha ngemini. Le ubuninzi Imali ekucetyiswa - 8 ml. Eneminyaka engama-kwiminyaka emithandathu ukuya elinambini abantwana ukuba emiselweyo ku 0.5-1 ml 10-20 lehla kane ngemini. Ithamo eliphezulu ngokuvunywe kufuneka abe ngaphezulu ngeemililitha ezine.

Xa uhlobo eliphakathi okanye spasm bronchus yokuphefumla eyongezelelweyo abadala kunye nabantwana iqela eneminyaka elishumi, nabantwana ukusuka kwiminyaka emithandathu ukuya elinambini, ichiza ubonisa amathontsi ezilishumi okanye 0.5 ml.

Ulwazi malunga ukusetyenziswa kweziyobisi kubantwana kwiqela lobudala leminyaka ukuya kwemithandathu ubudala nezinobunzima ngaphantsi kwama-22 kg banqongophele kakhulu, ngoko apha kufuneka isetyenziswe ngobulumko. Ngenxa yoko, phantsi kweliso elibukhali likagqirha bayacetyiswa ukuba bazise 25 mg ipratropium bromide kunye fenoterol hydrobromide 50 mg ikhilogramu ubunzima umzimba umntwana ngamnye. Normal - 0.5 ml (10 amathontsi). Thatha nesisombululo inhalation kufuneka ungabi amaxesha ngaphantsi kwe kathathu ngemini. Ithamo esiphezulu kufuneka ingadluli - 1.5 ml.

Indlela inhalation "Berodual"

Kwimeko "Berodual" kubalulekile nje ukuba athobele le migangatho apha ngasentla, kodwa ukusebenzisa isisombululo ngokuchanekileyo. Ngenxa yoko, ithamo efunekayo kufuneka exutywe saline ukuya 3-4 ml. Isisombululo yaziswa i nge డొమైన్ idomeyini. Khumbula, oosokhemisti lohlolo kweli igxininiswe into yokuba ukuze isisombululo inhalation phantsi kwazo naziphi na iimeko exutywe ngamanzi enkolo. Kuyimfuneko ukuba kulungiselelwe isisombululo ngokukhawuleza phambi kokuba inkqubo. are yokugcina kwiintsalela abawuthobeli ichiza.

Ithamo kufuneka malimiselwe ngokungqinelana ne:

• kunye nobudala;
• uhlobo lwesifo;
• yi inhalation;
• View డొమైన్ idomeyini.

Ubude yemisebenzi emiselwe inani eseleyo ulwelo kwisamkeli.

"Flomax" ilungele wayifanisa ezahlukeneyo nebulizers. Kwiimeko apho yokulungiselela iqulethe isisombululo eludongeni-oxygen isetyenziswa imo-high speed 6-8 l / min. Ukuba kuyimfuneko, phinda inkqubo, kodwa kwiiyure hayi ngaphambi kwe ezine.

imiphumela emibi

"Berodual" (isisombululo inhalation) ebangela phantse akukho ziziphumo ebezingalindelekanga, ingakumbi xa kusetyenziswa ngokwemiyalelo.

Izigulane ingxelo yokuba kwezinye iimeko, iingcangcazela kwezihlunu ukuze babonwe emva ulawulo ichiza, a uvalo kancinane, isiyezi, umlomo owomileyo kunye yotshintsho kwizinto ezifunwa incasa. Kwiimeko ezinqabe kakhulu ukubona intloko ebuhlungu, umsebenzi intliziyo kakuhle ngokohlobo tachycardia kunye iyangongoza.

Kwathiwa yaphawula ukugxojwa isixokelelwano sokuphefumla (ukukhohlela, iindlela ukuluma bronhovyvodyaschih). Maxa wambi kukho bronchospasm ngamazwi, isicaphucaphu, ukugabha, ukungasebenzi kakuhle iphecana zesisu. ukuncipha ko- uxinzelelo lwegazi kunye nokwanda imbonakalo iSystolic of arrhythmias.

isisombululo Eye ukuze ccomodation, mydriasis, ukwanda koxinzelelo intraocular, irhashalala, ezindlwini kunye nokudumba.

Icala elingenzi nto-zibonakale ngokohlobo ukubila ngokugqithisileyo, ubuthathaka, hypokalemia, ukuphazamiseka kwenkqubo enzala, miralgii, mde izihlunu.

oyi

Ukusetyenziswa inhalation "Berodual" ngokunyanzela izigulane ukuba iliso impilo yabo. Ukuba ngaba wehlelwa uphelelwa ngumphefumlo kufuneka ngoko nangoko udibane nogqirha. Kwezinye iimeko, ekwimo isifo obstructive esingapheliyo lokusetyenziswa ngamaxesha lwe inhalation isenokuba nangokuvakalayo ikhosi isicelo.

Abantu ababandezelekileyo asthma inyumoniya, kakhulu, kufuneka ukhumbule ukuba ukubamba kwaye andise amandla iinkqubo zonyango ukuba yongamele inkqubo bronchopulmonary yokukrala kwaye ukulawula ikhondo sifo.

Ukusetyenziswa rhoqo iziyobisi, ukuba kumafa wayo beta2-adrenergic agonists, ezifana "Flomax" beziyobisi, ukucinezela isithintelo inyumoniya kwezinye iimeko kuphakamisa ukuvuthuluka sifo, kuyingozi kakhulu ukwandisa idosi ekhuthazwayo. Ukuze kungavimbela isimo esinjalo, iphonononge irejimeni yonyango yomguli ukuba sesichengeni inhalation entle.

Ukwabelana "Berodual" kunye bronchodilators sympathomimetic kuphela phantsi kweliso zonyango olungqongqo.

Wonke umntu ngaphambi kokuba isicelo isisombululo inhalation kufuneka ufunde ngenyameko imiyalelo aze adibane nogqirha. Xa usebenzisa ichiza kufuneka musa ukudibanisa ngamehlo. Oku ivule kuphuhliso glaucoma.

Isisombululo kufuneka imuncwe ngokusebenzisa akabafuni డొమైన్ idomeyini eyodwa okanye imaski ekhethekileyo inhalations.

Unxibelelwano namanye amachiza

"Berodual" (amathontsi) kunye bronchodilators ezahlukeneyo beta-adrenergic agonist ukuphucula iimpawu ichiza. A isiphumo esifanayo iqatshelwe unyango entsonkothileyo kunye anticholinergics nezakhi xanthine.

Ukuncitshiswa bronchodilators iimpawu "Berodual" mhlawumbi nodibaniso beta-blocker. Ukudibana kweziyobisi kunye nezakhi xanthine luyayiphucula hypokalemia. Olu phawu kufuneka ithathele ingqalelo umntu abanenqanaba kakhulu kwinkqubo bronhodyhatelnoy sifo.

Imbonakalo hypokalemia, nayo, kuphakamisa ukuvela arrhythmias kwizigulane usebenzisa digoxin kule nkqubo yonyango, kunye hypoxia kwandisa ezingalunganga kwisingqi intliziyo. Kule meko bayacetyiswa ukuba ukugcina ulawulo rhoqo phezu izinga potassium egazini.

Ngononophelo babelwa abenzi bamachiza Mao inhibitors kunye lakhula tricyclic qela. iziyobisi ezifana nokukhuthaza ifuthe iziyobisi beta-adrenergic. Inhalation kwenkqubo ezizizembiwa iintlungu halogenated kwandisa impembelelo iimveliso eziqulathe beta-adrenergeny, entliziyweni. Ngenxa yokuba bekukho unyango unyango zingaphuculwa usebenzisa cromoglicic acid kunye glucocorticoids.

Kuncipha for inhalation "Flomax": ixabiso

Thenga bronchodilators Singafumana na ekhemesti. Apha, ku kumaqondo ezincinane phakathi kwexabiso "Flomax" lithetha. ixabiso layo ngu 250-300 engange.

Analogs isisombululo for inhalation

Ngokuphindaphindiweyo yaba impumelelo yayo ekulweni ekhohlela "Flomax". Analogs cishe bengekho. An Okungumahluko ichiza "Berodual H".

Amanye amachiza afana kwiqela amayeza kunye ngamathontsi "Flomax". Analogue kule ndawo zezona agonist beta-adrenergic kunye esetyenziswa kunye nezo unyango ngamayeza nokunyanga. Ezi zixhobo ziquka: "Biasten", "Intal dibanisa", "Ditek", "Kashnol", "Foradil Combi", ". Sereda" Bathi akukho indawo isisombululo, "Flomax", kodwa kunokuba yinto enye iziyobisi elungileyo xa kuyimfuneko.