Miyala "tos-May": malangizo ntchito, Akhristu enieni

Mankhwala otetezeka kwambiri polimbana ndi chifuwa ndi "tos-May." Malangizo ntchito lilili ana kwa zaka ziwiri. Mankhwala ndi bwino analekerera ndi kawirikawiri amayambitsa zotsatira zoipa.

Zikuchokera ndi ma CD

Kukonzekera "tos-Mai" limapangidwa dextromethorphan hydrobromide mu kuchuluka kwa 2 mg, benzocaine - 0.2 mg wa Sodium benzoate - 15 mg, ndi 35 mg wa gvayyakolsulfonata potaziyamu. zinthu zina monga: mannitol (E421), menthol, povidone, sodium saccharine, tsabola kwenikweni, talc, magnesium stearate.

mapiritsi mwayera ndi olimba inclusions. Unazunguliridwa mu chithuza munali eyiti. phukusi lili 8 kapena 16 mapiritsi "tos-May", malangizo Buku.

Mankhwala uli gulu la antitussive ndi expectorant. ATC kachidindo ali R05F W. chogulitsidwa pharmacies popanda dotolo.

Pharmacological khalidwe medicament

Nthawi zambiri anatsimikizira kukopa kwake othandiza pa thupi la mankhwala "tos-May." Malangizo ntchito amapereka mucolytic ake, expectorant ndi katundu antitussive.

Dextromethorphan mu medicament zikuchokera ndi mphamvu pa chapakati mfundo mawonetseredwe chifuwa mu medulla oblongata wowonjezera antitussive nthawi. Komabe amakhudza zotumphukira unyolo chifuwa reflex chopinga kwa zikhumbo afferent akuwuka m'gulu ndi kupuma thirakiti mucosa. Chomwa mankhwalawa ndipo alibe zotsatira analgesic. Malinga ntchito antitussive ofanana ndi codeine wokwana, koma osati kuwasiya, mosiyana ndi masika. Zilibe ziletsa pakati kupuma ndi zochita za ciliated epithelium a dongosolo kupuma.

Benzocaine ndi mankhwala ochititsa m'dera ogwira padziko kukonzekera. Sayambitsa zotsatira resorptive pa thupi. Pamene ntchito mankhwala mu zovuta ndi zigawo zina amachepetsa chinyezimiro cha ululu, omwe nthawi zambiri amapezeka pansi amphamvu chifuwa youma.

potaziyamu Gvayyakolsulfonat ali expectorant kutchulidwa. Iwo imayendetsa maselo a bronchial ntchofu katulutsidwe ndi otsika kukhuthala nusu. Hydrolyses mucopolysaccharides ndi kuonjezera zimene cilia matenda airway zaminyewa minofu. Amachepetsa chapamwamba voteji ndi makhalidwe zomatira kudzipatula sputum, kupanga kukhuthala ake m'munsi. Kumathandiza ntchofu linanena bungwe la ziwalo thirakiti chapamwamba kupuma. Iwo ali mankhwala ochititsa otsika ndi katundu antiseptic.

Sodium benzoate ndi mwachindunji mucolytic wothandizila kukhudzana. Pamene ntchito pakamwa kumaonjezera katulutsidwe wa zopangitsa bronchial, liquefies ntchofu, amachotsa izo kwa Airways. Anapatsidwa pang'ono ntchito antibacterial ndi antifungal.

Pharmacokinetics mankhwala

Miyala "tos-Mai" (wosuta kwathunthu chimakwirira m'madera onse a ntchito) ndi ntchito yapamwamba ndipo mofulumira odzipereka mu m'mimba thirakiti khoma. katundu Antitussive proyavlyayutsyaspustya Mphindi 15-30 pambuyo ingestion wa phale. Iwo ntchito kwa maola 5-6. Ndende apamwamba mankhwala magazi anaona pambuyo maola awiri.

Patadutsa maola awiri, anthu ambiri dextromethorphan ku seramu kufika pazipita. Izo mofulumira zimapukusidwa mu chiwindi. Nthawi theka moyo wofanana maola asanu. Lembani makamaka impso. Mbali yaikulu akubwera mu maonekedwe a metabolites yotsalira ndi mlingo kakang'ono - mofanana unaltered mawonekedwe.

potaziyamu Guayyakolsulfonat yomweyo chosakanikirana ndi kapepala kakuti m'mimba. Atalandira mapiritsi ndende apamwamba yogwira pophika mu magazi kumachitika mwa maola angapo. Zotsatira achire kumatenga maola asanu. Nthawi theka moyo 2 hours. Excreted mu sputum ndi excreted mu mkodzo monga mankhwala metabolite mwina mu mawonekedwe unmodified.

Zikuonetsa ntchito mankhwala

Miyala "tos-Mai" (malangizo ntchito iyenera kuwerengedwa pamaso chithandizo) kulengeza ntchito symptomatic youma akutivutitsa chifuwa mucosa, nthawi zambiri amapezeka mu nyengo ya chimfine ndi chimfine. Iwo zingaoneke mu tracheitis pachimake, matenda osiyanasiyana mwamphamvu, laryngitis ndi kuphokosera chifuwa. ntchito mankhwala pa chithandizo zovuta za chibayo, pleurisy, TB. Madokotala mankhwala pamaso pa kukonzekeretsa mtima kwa bronchoscopy.

contraindications

Zotsatira zabwino kupereka mankhwala mankhwala "tos-May." Mapiritsi (wosuta amasamalirira kwa contra zizindikiro ndi mphamvu ya mankhwala), ngakhale mogwira awo, Simungathe kumwera ngati hypersensitivity kuti dextromethorphan ndi zinthu zina mu zikuchokera mankhwala. Kuletsa ntchito ndi kulephera kupuma, mphumu, ndiko kumayambitsa ana osaposera zaka ziwiri.

Ambiri osokoneza mankhwala zingachititse mavuto mantha, irritability kwambiri, ndi nkhawa komanso irritability, chisokonezo, kusanza. Ngati mwakumana ndi zizindikiro chimodzi kapena zingapo akhale chapamimba lavage ndipo siyani kumwa mankhwalawo.

Mapiritsi chifuwa "tos-May": malangizo ntchito

N'zimene ndi mlingo ndi kuchita masamu pa maziko a zaka wodwalayo. Choncho, zaka zapakati pa khumi ndi abambo akulu kumwa mankhwala zotchulidwa mapiritsi 1-2 ndi periodicity wa nthawi 4-6 tsiku. Mlingo tsiku sayenera upambana miyala khumi ndi zisanu ndi chimodzi.

Ana zaka 6 mpaka 12, mankhwala Kwalamulidwa piritsi limodzi kanayi pa tsiku, mlingo pazipita mapiritsi atatu. Ana zaka 2 mpaka 6 limasonyeza kutenga ½ matabuleti anayi pa tsiku. Mlingo tsiku sayenera upambana mapilisi anayi "tos-May."

Mapiritsi Buku limatichenjeza kuti kumeza ndi kupasuka pansi lilime. Choncho, mankhwala adzakhala bwino chosakanikirana ndi thupi, ndi mmene chikwaniritsidwa mofulumira.

sequela osafunika

Ngakhale mphamvu ya mankhwala, mavuto nthawi zina anati pambuyo mowa wa "tos-May." Mapiritsi (kalozera limati patsogolo ntchito pamafunika kukaonana ndi dokotala anu) lingachititse kusinza, nseru ndi ululu m'mimba, kugona. Nthawi zina, odwala ankadwala matenda otsegula m'mimba, flatulence ndi kudzimbidwa. matenda awa wonse adamangidwa yomweyo pambuyo kulipira mankhwalawa.

Kusamala

sayenera kumwedwa nthawi imodzi ndi wothandizila antidepressant (monoamine oxidase zoletsa) monga "nialamide" kapena "pirazidol" mankhwala "tos-Mai".

Malangizo ntchito (ndemanga za medicament zikunenedwa kuti athe kuchotsa chifuwa kwa masiku awiri) limalangiza kuti asapitirire mlingo chimenecho. Ngati mwakumana ndi mavuto mankhwala ayenera anasiya. N'zosatheka kuphatikiza kugwiritsa ntchito mankhwala ndi mowa, ndipo sayenera kugwiritsidwa ntchito mu chifuwa aakulu mu nthawi ya matenda ndi mphumu bronchial ndi ndiko kumayambitsa.

Pa mimba ndi mkaka wa m'mawere ayenera kuonana ndi dokotala pamaso mapiritsi ntchito. Pali mwayi kuti mankhwala adzayenera kusiya yoyamwitsa. Ndi mankhwala chachikulu chisamaliro Kwalamulidwa kwa matenda a chiwindi.

Pa mankhwala ena odwala taonera tulo, utachepa anachita. chizindikiro Last ayenera n'komwe pamene galimoto, ndi ntchito zokhudzana ndende makamaka.

Iwo akunena kuti ziyenera kusungidwa pa ozizira, youma kuchokera dzuwa ndi kuwerengedwa kwa ana mankhwala "tos-May" (mapiritsi), malangizo Buku.

Analogs mapiritsi chifuwa

Imalowetsamo mankhwala osankhidwa malamulo anadya (R05FB02) ndi mbali yogwira lokonzekera. Waukulu yogwira pophika mu "tos-May" ndi dextromethorphan hydrobromide. Apa analogues ofanana mu chikhazikitso achangu sanapezeke, ndi kuwombola malamulo muli mankhwala zotsatirazi:

• "Ambrobene".
• "Ambroxol 15".
• "Ambronol".
• "Ambrosan".
• "Ambrosprey".
• "Pektolvan Lekani".
• "Stoptussin".

Izi zikungofanana ndi yaing'ono mndandanda wa mankhwala ndi mavuto ofanana Ndipotu pali zambiri. chisankho m'malo mwa mankhwala wina Pasakhale ndikuphunzitsidwa. Self-mankhwala Pankhaniyi sapereka zotsatira zabwino koma kukulitsa nkhaniyo, kusokoneza njira ya matenda ndipo sachedwa ayambe.

Mankhwala "tos-May" - wina wothandizira odalirika polimbana ndi chifuwa. Iwo kumatha efficiently mwamsanga matenda ndipo sayambitsa zotsatira zina zoyipa. Izo kumathandiza chitukuko cha matenda.