Noj qab haus huv, Npaj
"Teopek": kev xyuas. Mob ntsws - cov me nyuam. Cov lus qhia rau kev siv
Kev npaj "teopek" no yog rau cov kev kho mob ntawm lub ntsws kab mob. Tsawg zaus, nws yog siv rau edema txuam nrog lub plawv thiab raum kab mob. Tshuaj "teopek" xyuas ntsws uas yog heev heev thiab tsis meej xwm, yuav tsum tau ceev faj saib xyuas ua ntej yuav noj.
Los ntawm lub cev
Lub active ingredient ntawm cov tshuaj yog theophylline, uas muaj ib cov nyhuv rau ntau yam lub cev functions. Lub ntsiab nyhuv, kav lawv, - bronchiectasis. Qhov no tshwm sim vim cov thawj ntawm contractile kev ua ntawm tus mob. Nqaij ntshiv ntawm hauv nruab nrog cev thiab cov hlab ntsha so kom txaus, uas ua rau yus tshem tawm ntawm lub bronchi spasm (narrowing) ntsws. Nyob rau hauv tas li ntawd, nws tej lub contraction ntawm lub plawv mob, nkoos lub paj hlwb, ceev cov hlab ntsha (lub raum, lub plawv, thiab lwm yam).
Cov tshuaj muaj feem xyuam rau lub tsev ntawm calcium nyob rau hauv lub hlwb, tsub kom alveolar cua. Muaj ntsis diuretic nyhuv, tiv thaiv raws platelet tso tawm los ntawm mast hlwb ntawm tsis haum muab kev sib kho. Cov kev npaj muaj xws li excipient - puas polymeric cab kuj, uas txhawb nqa lub taub txua tawm ntawm theophylline nyob rau hauv lub plab. Tom qab 3-6 teev tom qab thawj coj cai nyob rau hauv cov ntshav concentration ncov. Ua nyob rau hauv lub cev kom txog thaum tiav tshem tawm - 12-24 lub sij hawm. Nws yog tsim nyog los tham nrog koj tus kws kho mob ua ntej koj pib tau txais cov tshuaj, nyeem txog "teopek" kev ntsws feem ntau cia lawv cov neeg mob.
indications
Cov tshuaj yog ib cov hlab ntsws qhib, uas yog, nthuav tawm cov lumen ntawm lub bronchi. Ntawv sau yuav tshuaj rau cov kev kho mob ntawm chua nrog emphysema - tej tus laus lub cev nqaij mos vim ib tug txo nyob rau hauv bronchial lumen. Pom zoo tshuaj rau cov kev kho mob ntawm tus kab mob obstructive ntsws. Nws yog ib tus mob o, nrog los ntawm ib tug yooj yim tso cai ntawm lub cua nyob rau hauv lub cev nqaij. Nws yuav pab thiab bronchial hawb pob.
Nyob rau hauv cov kab mob ntawm lub plawv thiab cov ob lub raum nws yog tej zaum kuj siv raws li ib tug diuretic, thiab siv los mus tswj o. Feem ntau yeej tsis muab rau ischemia. Txoj kev siv "teopek" yuav tsum tau pom zoo nrog koj tus kws kho mob. Independent ntawm nws siv yog fraught nrog phiv txim.
Contraindications mus rau yeeb tshuaj
Ua ntej tau txais cov nyiaj "teopek" kev qhia ntawv, tswv yim, thiab ib tug kws kho mob lub sij hawm teem tseg yuav tsum tau kawm kom huv si. Tom qab cov tshuaj muaj ntau yam contraindications. Tsis pom zoo rau kev siv yog hais tias tus neeg mob yog:
- Hyperthyroidism (tam cov kev ua ub).
- Npau taws me ntsis rau theophylline los yog koom haum pab Cheebtsam ntawm cov kev npaj (tus qhab polymer-txaus siab calcium stearate).
- Subaortic stenosis (lub plawv mob tus kab mob txuam nrog narrowing ntawm sab laug ventricular kab noj hniav).
- Heart attack myocardial infarction.
- Extrasystole (txawv txav plawv atherosclerosis).
- Qaug dab peg.
- Convulsive tej yam kev mob.
- Cev xeeb tub thiab lactation.
- Cov me nyuam muaj hnub nyoog - 14 xyoo.
Undesirable txais tos "teopek" mob plab kiav txhab los yog duodenal rwj.
Sab los "teopek"
Sab los tshwm sim nquag thaum tau txais "teopek" npaj: kev qhia ntawm daim ntawv thov, ua tim khawv thiab cov tswv yim ntawm cov kws kho mob tim khawv rau qhov no. Cov muaj xws li:
- pw tsaug zog teeb;
- mob taub hau;
- tsis muaj qab los noj mov;
- kiv taub hau;
- tshee mob, kev ntxhov siab vim;
- Tachycardia (sai plawv dhia);
- digestive mob (xeev siab, ntuav, mob plab mob).
Judging los ntawm cov kev txheeb xyuas ntawm cov neeg mob, cov tsis zoo los ntawm cov tshuaj muaj nyob rau hauv cov neeg uas muaj ib tug nyiam nyiam heev rau tej phenomena, raws li zoo raws li cov neeg uas raug kev txom nyem los ntawm daim siab tus kab mob, gastritis, qaug dab peg qaug dab peg, tachycardia. Yuav kom txhim kho txoj kev mob ntawm tus neeg mob resorting rau koob tshuaj yuav txo tau los yog ua kom tiav tshem tawm ntawm cov tshuaj.
overdose
Nrog ib tug tseem ceeb tshaj ntawm nws muab koob tshuaj nyob rau hauv ib tug neeg mob muaj yog ib tug ua txhaum nyob rau ib feem ntawm tus mob huam, lub paj hlwb, lub plawv ua si. Thaum tau txais txhais tau tias "teopek" xyuas ib co neeg mob muaj ib tug tsis zoo ua cim. Cov neeg hais tias nyob rau hauv feem ntau qhov no yog vim txoj kev siv cov tshuaj rau lwm cov laj, los yog nyob rau hauv excess ntawm lub cai. Txoj kev ntsuam xyuas hais tias cov overdose yog manifested los ntawm cov tsos mob:
- Zawv plab, tsis qab los noj mov.
- Ntuav (tejzaum nws nrog cov ntshav), ntshav los ntawm tus mob huam.
- Insomnia.
- Arrhythmia (lub plawv atherosclerosis ntxaug).
- Tachycardia (sai plawv dhia).
- Flushing ntawm daim tawv nqaij (cov ntshav glut).
- Convulsions.
- Tachypnea (sai ua tsis taus pa).
- Tremor (tuav tes).
- Ntxhov siab vim, photophobia, excitement.
Lwm yam views ntawm cov neeg mob hais tias nyob rau hauv kev mob loj lom "teopek" tshuaj rau ntsws zaum yuav tshwm sim zoo li no tsis tshwm sim:
- qaug dab peg;
- tsis meej pem;
- poob rau hauv cov ntshav siab.
Nyob rau hauv tas li ntawd, overdose tshwm sim raum tsis ua hauj lwm, muaj cai thiab cov ntshav cov teeb meem: hyperglycemia, hypokalemia, metabolic acidosis. Rau kev kho mob muaj ntaub ntawv pais plab lavage, cov tshuaj ntaus cev, enterosorbiruyuschee, diuretics. txhaj "Diazepam" los mus tshem tawm qaug dab peg. Yog hais tias koj muaj kev cov tsos mob no koj yuav tsum tam sim ntawd hu rau ib tug tsheb thauj neeg mob.
Yuav ua li cas tau "teopek"?
tso tawm hauv daim ntawv ntawm cov tshuaj "teopek" - cov ntsiav tshuaj. Teb qhia nquag tshwm sim mob tshwm sim. Yog li ntawd, cov tshuaj yuav tsum tau coj raws nraim li kws kho tus kws kho mob tswvyim. Ntsiav tshuaj ntxuav cia nrog dej uas tsis muaj kev zom khoom los yog crushing, tom qab ib tug noj mov. Raws li cov lus qhia, nyob rau hauv thawj ob hnub ntawm cov tshuaj siv los ntawm ib nrab ib ntsiav tshuaj ib zaug los yog ob zaug ib hnub twg. Lub caij nyoog nruab nrab koob tshuaj - 12-24 lub sij hawm. Tom ntej no, ua rau kom cov tshuaj rau tag nrho cov ntsiav tshuaj ib hnub ob zaug.
Rau txhua tus neeg mob, ib chav kawm ntawm kev kho mob thiab cov tshuaj yuav tsum tau tom ib lub zuj zus raws li tus soj ntsuam daim duab ntawm tus kab mob, lub xub ntiag ntawm comorbidities. Yuav tsum tau siv sij hawm mus rau hauv tus account tus neeg mob lub cev hnyav, rhiab heev rau cov tshuaj noj, concomitant siv lwm yam tshuaj. Thaum lub sij hawm kev kho mob, nws yog ntshaw kom txiav txim seb qhov theem ntawm theophylline nyob rau hauv cov ntshav los mus tiv thaiv overdose.
Sis "teopek"
Yuav ua li cas mus tham txog kev siv yeeb tshuaj "teopek" xyuas, qhov kev mob ntsws nws yog muab nyob rau hauv ua ke nrog lwm yam tshuaj. Yuav ua li cas yog nws nrog lawv? "Teopek" tsis haum rau simultaneous txais tos nrog anticonvulsants, barbiturates, methylxanthines. Txwv tsis pub ua ke nrog contraceptive tshuaj (hormonal), macrolide tshuaj tua kab mob, raws li tau zoo raws li "propranolol", "furosemide" "Verapamil". Cov tshuaj ua rau kom cov theem ntawm theophylline nyob rau hauv cov ntshav, uas ua rau yus lub overdose thiab qhov tshwm sim ntawm cov kev phiv. Dhau li barbiturates - lawv, on qhov tsis tooj, txo cov ntshav theem ntawm lub active ingredient.
"Cimetidine", "Lincomycin", "allopurinol", "Isoprenaline", "propranolol" thiab qhov ncauj contraceptives txo theophylline clearance tus nqi (redistribution thiab feem ntawm active tshuaj). Nws txo cov hauj lwm zoo ntawm beta-blockers thiab cov hlab ntsws qhib kev txiav txim "teopek". "Aminoglutethimide" tsub kom lub feem ntawm active tshuaj tshaj kom txhob muaj cov kho nyhuv. Pab kev ua ntawm theophylline tshwm sim thaum noj nws nrog "Furosemide", caffeine, beta 2-adrenoceptors. "Acyclovir", "Verapamil," "Diltiazem", "Felodipine," "Nifedipine", "Disulfiram" nce nyob rau hauv cov ntshav theem ntawm cov active tshuaj, yog li yuav ua tau tshwm sim.
Xyuas ntawm kev npaj
Cov neeg mob noj "teopek 'xyuas rau ntsws tseem tshuav tsis meej xwm. Muaj ob txoj kev, tsis zoo tswvyim. Tsis ntev los no tshwm sim los feem ntau ntawm cov heev heev phiv tias cov tshuaj provokes. Cov neeg siv yuav tsum tau mus raws li ib tug set ntawm cov kev cai uas yuav tsis ua mob rau koj kev noj qab nyob, tab sis nyob rau hauv tsis tooj, yuav rov qab tau:
- Tsis txhob noj "teopek" ntawm nws tus kheej, tsis muaj ib tug tshuaj.
- Thaum lub txais tos, ib tug kws kom paub tseeb tias koj qhia rau nws txog ntawm lub xub ntiag ntawm comorbidities thiab siv nyob rau hauv no lub sij hawm ntawd lwm yam tshuaj, qhia rau peb txog koj yog hypersensitive tshuaj, yog tias muaj.
- Nruj me ntsis raws li cov lus qhia kho los ntawm koj tus kws kho mob. Thaum lub ntxhov siab vim cov tsos mob sab laj rau nws. Nws yuav tau cov tshuaj los yog tsis txhob noj cov tshuaj zoo rau nws, hloov nws nrog lwm tus.
Puas yuav ua tau rau cov me nyuam?
Raws li qhov kev npaj ntawm lub "teopek" xyuas, qhov kev mob ntsws nws kuj yog tshuaj rau cov me nyuam, nyob rau hauv cov kev phem ntawm cov lus ceeb toom nyob rau hauv cov kev qhia ntawv. Ntau cov niam txiv qhia tam sim ntawd cov nyhuv ntawm cov kev kho mob thiab ib tug hais rov qab. Lawv cam tias tus me nyuam pib mus pw tsaug zog zoo dua nyob rau yav hmo ntuj, tsis muaj kev txom nyem fits ntawm hnoos, ua pa dawb do. Feem ntau, txais tos "teopek" yog muab ua ke nrog rau lwm cov tshuaj, cov sis uas yog tsis muaj teeb meem, thiab tej lub kho nyhuv. Piv txwv li, "Sumamed" ( "Azithromycin") - ib qho tshuaj tua kab mob-azalide.
Nws yog tsis tsim nyog mus xyaum ua tej thiab muab koj tus kheej xaiv tshuaj. Qhov no yuav ua rau loj txim nyob rau hauv daim ntawv ntawm cov mob tshwm sim. Qhov no yog tshwj xeeb tshaj yog muaj tseeb nyob rau hauv cov ntaub ntawv ntawm cov me nyuam. Muab lawv "teopek" yuav tsum nruj me ntsis raws li cov lus qhia. Teeb meem ces yuav tsum los ntawm cov niam txiv, yog qhov no: lawv tsis paub yuav ua li cas kom tau tus me nyuam nqos cov ntsiav tshuaj tag nrho, vim hais tias cov crush thiab yaj nyob rau hauv dej, nws yuav ua tsis tau. Nws yog zoo dua yog tias ib tug kws kho mob puas tau muab ib co lwm txoj. A "teopek" cia cov me nyuam xwb thaum tsim nyog kiag li. Tsis nyob rau hauv vain nyob rau hauv cov lus qhia tshuaj txwv lub hnub nyoog.
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