Mahwendefa "tos-May": mirayiridzo kushandiswa, chaicho dzomuzana

Imwe zvikuru mishonga pakurwisa chikosoro ndiye "tos-May." Mirayiridzo kushandiswa kunoita kuti kupa vana makore maviri. The mushonga zvakanaka akashivirira uye chaizvo kashoma kunokonzera Migumisiro.

Kuronga uye kavha

Kugadzirira "tos-mai" unotora dextromethorphan hydrobromide mune imwe mari 2 MG, benzocaine - 0.2 MG Sodium benzoate - 15 MG, uye 35 MG kuti potassium gvayyakolsulfonata. Zvimwe zvinhu zvinosanganisira: mannitol (E421), menthol, povidone, yavaibvisa saccharine, anise chaizvoizvo, talc, magnesium stearate.

Mahwendefa vane chena uye zvakasimba inclusions. Akanyudzwa mukati mhoni raiva masere. The pasuru rine 8 kana 16 Mahwendefa "tos-May", murayiridzo Chinyorwa.

Mishonga ndohwaJehovha boka antitussive uye expectorant. ATC Bumbiro akaita R05F W. inotengeswa Pharmacies pasina mushonga.

Pharmacological yepamusoro medicament

Kakawanda akasimbisa ayo inobudirira rokuchinja muviri zvinodhaka "tos-May." Mirayiridzo kushandiswa anomupa kwayo mucolytic, expectorant uye antitussive zvivako.

Dextromethorphan ari medicament nziyo ane zvainoita nechepakati pfungwa zvinozonzi chikosoro ari medulla oblongata, kuwedzera antitussive kumwedzi. Asi zvinokanganisawo peripheral cheni chikosoro dzepanguva chinovhiringidza pamusoro afferent nomunhu yomuka yaisanganisira pamwe kufema turakiti mucosa. Marwadzo uye hakuna unonyaradza marwadzo maturo. Maererano antitussive mabasa akafanana codeine, asi kwete muropa, kusiyana yokupedzisira. Hazvina tunodzivisa kufema nepakati uye zvinoitwa ciliated epithelium ari kufema hurongwa.

Benzocaine ari munharaunda rufimbi anobudirira penyika kugadzirira. It haakonzeri resorptive migumisiro iri muviri. Kana kushandisa fuma ichi vari kunzwisisa nevamwe zvinoriumba zvinoderedza kupenya marwadzo, izvo kazhinji anooneka pasi simba yakaoma chikosoro.

potassium Gvayyakolsulfonat ane raidudzwa expectorant. Zvaanopa simba masero Árbol madzihwa secretion ane pasi viscosity hacho. Hydrolyses mucopolysaccharides uye anowedzera kuitwa cilia atrial yemweya epithelial tishu. Zvinoderedza yokumusoro voltage uye namira unhu wakasuduruka sputum, zvichiita viscosity kwayo yakaderera. Anotsigira madzihwa goho ari nhengo rokumusoro kufema turakiti. Rine pasi rufimbi uye akambozvishandisa kuuraya utachiona zvivako.

Yavaibvisa benzoate ndiye rakananga mucolytic mumiririri chokupfeka. Kana kushandiswa nomuromo kunowedzera secretion pamusoro Árbol omumuviri, liquefies madzihwa, anobvisa nayo kubva Airways. Rusununguko zvishoma antibacterial uye antifungal basa.

Pharmacokinetics zvinodhaka

Mahwendefa "tos-mai" (mushandisi zvachose chinofukidza munzvimbo dzose chikumbiro) vane yakakwirira basa uye vari kukurumidza kunakidzwa zvomudumbu turakiti rusvingo. Antitussive ehupfumi proyavlyayutsyaspustya maminitsi 15-30 mushure ingestion yacho piritsi. Vanoshandira kwemaawa 5-6. The soro wevasungwa zvinodhaka muropa vakachengeta pashure maawa maviri.

Kwapera maawa maviri, wevasungwa kuti dextromethorphan mune serum rinosvika vaifanira. Zvinonzi kukurumidza rinoita mune chiropa. The hafu-upenyu nguva akaenzana maawa matanhatu. Nyora kazhinji neitsvo. Huru Chikamu anouya ari muchimiro residual metabolites uye dose diki - mune imwe unaltered chimiro.

potassium Guayyakolsulfonat pakarepo yokuita zvinoitwa zvomudumbu turakiti. Pashure pokugamuchira mahwendefa soro Kuwanda basa pazvokudya ropa kunoitika mukati vaviri maawa. The kuchirapa kushanda rinovapo kwemaawa matanhatu. The hafu-upenyu nguva 2 maawa. Yabudiswa muna sputum uye yabudiswa muna weti sezvo metabolite zvigadzirwa pamwe mu unmodified chimiro.

Zvairatidza yokushandisa zvinodhaka

Mahwendefa "tos-mai" (mirayiridzo kushandiswa anofanira kuverengwa pamberi kurapwa) kutokurudzira kushandiswa symptomatic chakaoma kunovhiringidza chikosoro mucosa, izvo kazhinji kunoitika munguva furuu uye chikosoro. Inogona kuchengetwa rikwanise tracheitis, bronchitis yakaipa zvakaoma kwazvo, laryngitis uye whooping chikosoro. Kushandiswa kwezvinodhaka panguva yakaoma kurapwa nemabayo, pleurisy, tiibhii. Doctors mishonga asati pakugadzirira murwere nokuda bronchoscopy.

Contraindications

Migumisiro yakanaka kupa kurapika "tos-May." Mahwendefa (mushandisi anoteerera kuna contra-zvairatidza uye divi Migumisiro zvinodhaka), pasinei kushanda kwavo, haagoni kunwa kana hypersensitivity kuti dextromethorphan uye zvimwe zvinhu zviri Kuronga zvinodhaka. Kurambidza kushandisa vari kufema kukundikana, asima, emphysema, vana pasi pemakore maviri.

Ovhadhozi zvinodhaka kungaita huta Zvinetso, kunyanya kushatirwa, kufunganya uye kushatirwa, kuvhiringidzika, kurutsa. Kana mukawana chimwe kana kupfuura Zviratidzo vanofanira kuva gastric lavage uye kunwa mishonga.

Mahwendefa kukosora "tos-May": mirayiridzo kushandiswa

Dosing uye dose rinowanikwa pahwaro romurwere zera. Saka, pakati pemakore gumi uye vakuru vakuru mushonga waakaudzwa mahwendefa 1-2 ane periodicity pamusoro 4-6 kanomwe pazuva. The daily dose haafaniri kupfuudza mahwendefa gumi navatanhatu.

Vana vane makore 6 kusvika 12 makore, kuti mushonga wacho ushandiswe chimwe piritsi kanokwana rimwe zuva, kufadza dose mahwendefa masere. In vana makore 2 kusvika 6 makore zvinoratidza tora ½ piritsi kanokwana rimwe zuva. The daily dose haafaniri kupfuudza mapiritsi ina "tos-May."

Mahwendefa Chinyorwa rinokurudzira kwete kumedza nokusunungura pasi rurimi. Saka, mishonga achapiwa nani kunyura nomuviri, uye mugumisiro zvichabviswa kubudirira nokukurumidza.

sequela pasingadiwi

Pasinei kubudirira mishonga, marwadzo dzimwe nguva kwakacherechedzwa pashure kudyiwa ari "tos-May." Mahwendefa (gwaro rinotaura kuti chikumbiro pamberi zvakakodzera kubvunza chiremba wako) kungamutsawo hope, kuda kurutsa uye kurwadziwa mudumbu, kushaya hope. Mune zvimwe zviitiko, varwere airwara manyoka, flatulence uye kupatira. zvirwere zvose izvi yaiitwa pakarepo mushure kudzimwa zvokurapa ichi.

Zvokungwarira

hazvifaniri kutorwa panguva imwe chete antidepressant mumiririri (monoamine oxidase FIs) akadai "nialamide" kana "pirazidol" zvinodhaka "tos-mai".

Mirayiridzo yokushandisa (wongororo kuti medicament anonzi kukwanisa kubvisa chikosoro kwemazuva maviri) rinokurudzira kusapfuudza donongodzo dose. Kana mukawana nemishonga mapiritsi zvinofanira vakarega. Hazvibviri nokubatanidza kushandiswa kwezvinodhaka nedoro, uye hazvifaniri kushandiswa chisingaperi chikosoro munguva chirwere pamwe Árbol asima uye emphysema.

Panguva pamuviri uye lactation vanofanira kuona chiremba vasati kushandiswa pamahwendefa. Pane mikana kuti mushonga achafanira kusiya achiyamwa. With hanya zvikuru mushonga nachiremba zvirwere chiropa.

Panguva kurapwa, vamwe varwere akacherechedza nehope, ungaderedza zvakaitwa. Last chiratidzo zvinofanira kufungwa kana uchityaira, uye basa chokuita imwe pfungwa.

Panoti kuti chinofanira kuchengetwa nenzira inotonhorera, nzvimbo yakaoma kubva chiedza chezuva uye dzisingambosvikiki vana zvinodhaka "tos-May" (Mahwendefa), kudzidziswa Chinyorwa.

Analogs Mahwendefa chikosoro

Sevamiririri mishonga vakasarudzwa kuti vakadya bumbiro (R05FB02) uye tichishingaira zvinoumba kugadzirira. Huru vanoshingaira pazvokudya "tos-May" riri dextromethorphan hydrobromide. Pano analogues yakafanana iri rinobata fuma haina kuwanikwa, uye mukutsinhana bumbiro rine zvinotevera mishonga:

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

Izvi chete duku mazita zvinodhaka zvakafanana zvinokonzerwa Chaizvoizvo pane zvakawanda. Chisarudzo kutsiva vamwe mishonga mumwe anofanira chete kutora chiremba. Self-mishonga iyi nyaya haapi nemigumisiro yakanaka asi chete kutowedzera mamiriro ezvinhu, kuomesa weboka chirwere uye kunonotsa pakupora.

The mushonga "tos-May" - yakavimbika mubatsiri pakurwisa chikosoro. It anobvisa zvakanyanya uye nokukurumidza chirwere uye haakonzeri marwadzo. Rinovatadzisa kukura chirwere.