"ACC" Khwehlela: yokusetshenziswa. "ACC 200": ukubuyekezwa, intengo

Kaningi, odokotela akunikeze imithi ezigulini zazo, "ACC" ( "ACC") ukukhwehlela. Yokusetshenziswa kwaleli thuluzi, kanye namavukelambuso-izinkomba zayo kanye nemiphumela engemihle izokwethulwa kulesi sihloko. Ngaphezu kwalokho, thina uzokutshela mayelana kwindlela ukukhululwa imithi ukuthi iziguli ukukhuluma ngakho, kangakanani kuyakufanelekela nokuningi.

Okufakiwe umkhiqizo, injalo ukukhululwa, isakhiwo

Ingabe uyazi ukuthi yini ifomu ukukhululwa nomuthi "ACC" ( "ACC"), ukukhwehlela? Yokusetshenziswa usitshela ukuthi lokhu izidakamizwa ikhiqizwa amafomu ezimbili ezihlukene. Ake sixoxe ngazo ngokuningiliziwe:

• I nomuthi "ACC" - powder (luyimbudumbudu) ukulungiswa isixazululo okuhloswe obuphelele. Lo muthi kufanele kuphela ayiswe. Isikhwama 3 amalutshwana kusiya powder ingaqukatha 200, 100 noma 600 mg acetylcysteine. Babephethe amakhadibhodi 10, 6 noma 20 izikhwama.
• Izidakamizwa "ACC" - amaphilisi effervescent. Aluminiyamu noma amakhadibhodi amashubhu kungenzeka 20, 10, 100 noma 50 izingcezu. Omunye sibhebhe sinamaphutha 600, 200 noma 100 mg acetylcysteine. Ngokuqondene izingxenye elisizayo, ke zihlanganisa citric anhydride, sodium Bicarbonate, ascorbic acid, mannitol, anhydride lactose, sodium citrate, isithokela ijikijolo kanye saccharin.

Isenzo kwemithi zomuthi

Yini kuyindlela yokuthola "ACC" ( "ACC"), ukukhwehlela? Iziyalezo yokusetshenziswa Lithi kuyinto umuthi mucolytic. Kusukela isakhiwo se-elithwala acetylcysteine sulfhydryl etholakalayo iqembu, lokhu kubangela ukudabuka disulfide izibopho mucopolysaccharides (esidi) isikhwehlela. Ngenxa umthelela lesiguli isikhwehlela viscosity kakhulu incipha.

izidakamizwa Okubukwe has umphumela mucolytic, futhi kusiza expectoration ka isikhwehlela ngenxa yethonya ngqo ku rheology yayo. Ithuluzi azigcina umsebenzi wayo ngisho naphambi purulent isikhwehlela.

Medicine "ACC", ukulaya lapha ngenzansi, zivame kakhulu asetshenziswa njengoba isilinganiso izifo. Kulokhu, it imakwe ukwehla imvamisa nobukhali exacerbations ezigulini ezine-cystic fibrosis futhi ukucinana kwemithambo yomoya emaphashini.

Pharmacokinetics

Yiziphi izindawo pharmacokinetic isidakamizwa "ACC"? Ukufundiswa ayiqukethe ukwaziswa okunjalo. Lokhu kungenxa yokuthi i-izifundo pharmacokinetic zomuthi ungazange sezenziwe.

Umuthi 'ACC ": Ubufakazi

Kubhekwe umuthi engabelwe lokuchezuka ezilandelayo:

• sinusitis oyingozi futhi ezingalapheki;
• nezifo zokuphefumula zazo sihambisane trudnootdelyaemoy kwetinhlavu kanye isikhwehlela viscous (isib bronchiectasis, ukucinana kwemigudu yokuphefumula oyingozi futhi ezingalapheki, cystic fibrosis, ukucinana kwemigudu yokuphefumula obstructive, inyumoniya, isifuba somoya kanye bronchiolitis);
• abezindaba otitis.

Izimo

Uma kukhona noma iyiphi ukuphambuka kunoma isiphi isimo akufanele ebekiwe imithi, "ACC" (powder kanye amaphilisi effervescent)? Izimo ukusetshenziswa kwaleli thuluzi yilezi ezilandelayo uthi:

• Hawking igazi;
• isilonda 12 isilonda duodenal nasesiswini (ikakhulukazi esigabeni acute);
• ukopha yamaphaphu;
• ngesikhathi sokukhulelwa;
• hypersensitivity kuya izidakamizwa izidakamizwa;
• ngesikhathi sokuncelisa ibele.

Kufanele kuqashelwe ukuthi le izidakamizwa ngokuqapha ukhombe iziguli ezine varicose emithanjeni (varicose) we emphinjeni, isifo adrenal, kwezinso kanye / noma esingamahlalakhona hepatic.

nokushintsha kokudla nokufakwa

kufanele Ngithatha kanjani "ACC" ukukhwehlela? Yokusetshenziswa iqukethe iziqondiso ezilandelayo kulolu daba. Intsha kanye nabantu abadala iqondiswa at 200 mg kathathu ngosuku. Izingane ezineminyaka engu-6 kuya ku-14, umuthi kumele zithathwe nge 100 mg kathathu ngosuku. Izinsana engu-2 kuya 5 nomuthi ebekiwe 1 ithebhulethi (100 mg) kabili ngelanga. Nge nalokhu kwenqaba njengoba cystic fibrosis, ingane abaneminyaka engama 6 2 izibhebhe izidakamizwa (100 mg) kathathu ngosuku. Njengoba izingane ezineminyaka engu-2 kuya ku-6 ubudala, Kufanele ngiphuze imithi, 100 mg kane ngosuku.

Iziguli enesisindo esingamakhilogremu angaphezu 30 kg e-cystic fibrosis kungenzeka ukwandisa umthamo kuya 800 mg ngosuku.

Lapho imikhuhlane yesikhathi esifushane uhlobo isikhathi yokwelapha ethulwa imithi izinsuku 5-7. Ngo-cystic fibrosis futhi ukucinana kwemithambo yomoya emaphashini kusho udinga ukusebenzisa isikhathi eside (ukuvimbela ukutheleleka).

kufanele Ngithatha kanjani imithi, "ACC 200"? Ukufundiswa uthi izidakamizwa kufanele kusetshenziswe kuphela emva kokudla (ukugwema nomthelela ongemuhle le mucosa esiswini). Kumele waphawula ikakhulukazi ukuthi i uketshezi eyengeziwe ithuthukisa umphumela mucolytic ka nomuthi.

Ngaphambi ukusebenzisa, amaphilisi effervescent kufanele ziyoncibilika isigamu ingilazi yamanzi plain. Isixazululo sokugcina kumele kusetshenziswe ngokushesha. Emacaleni angakajayeleki kokuthi ushiye amahora ama-2.

ukweqisa izidakamizwa

Lapho ngabomu noma eyiphutha overdosing isiguli izimpawu ezifana ukuhlanza, ubuhlungu esiswini, uhudo, isilungulela nesicanucanu. Kuze kube namuhla, noma yikuphi esisongela ukuphila okunzima kanye nemiphumela engemihle babonakala.

izidakamizwa ekuhlanganyeleni

Kwenzekani uma ngesikhathi esifanayo ukuthatha noma yisiphi imithi futhi lisho "ACC"? ochwepheshe lezivakashi bathi ukwelashwa inhlanganisela kungabangela ukusabela okuhlukahlukene ezingezinhle. Cabanga kubo kancane okunye.

Ngekusetjentiswa ngesikhathi esisodwa acetylcysteine nezinye antitussives kungaba ingozi empilweni yokujama tsi isikhwehlela (ngenxa nokucindezela ukukhwehlela reflex).

Phakathi ukuphatha ngesikhathi esisodwa nitroglycerine, futhi acetylcysteine kungenzeka sithole lokuqala vasodilating umphumela.

Acetylcysteine imakwe synergism nge ukusetshenziswa ngesikhathi esisodwa bronchodilators.

Acetylcysteine uyakwazi ukunciphisa ukumuncwa penicillins, cephalosporins ne-tetracycline. Ngakho-ke kufanele kube udle ngokusebenzisa 2 amahora ngemva kokuthola kuqala.

Acetylcysteine ayihambelani ngezilapha magciwane ezifana "penicillin", "Erythromycin" "cephalosporin", "tetracycline" futhi "Amphotericin B" kanye enzyme proteolytic.

Lapho contact nge sulphides acetylcysteine iraba nensimbi akhiwa, okuyinto abe iphunga isici.

Izixwayiso

Lapho ukucinana kwemigudu yokuphefumula obstructive futhi bronchial somoya yokubika izidakamizwa kumele kusetshenziswe ngokuqapha okukhulu. Lokhu kudinga ukuzithiba esihleliwe isimiso bronchial.

Uma emva ngokuthatha izidakamizwa isiguli eba side effects, kufanele ayeke ukuthatha imali futhi ngokushesha uxhumane nodokotela wakho.

Lapho Ukuqedwa noma yiluphi uhlobo imithi Kunconywa ukuba asebenzise isitsha ingilazi. Kuyadingeka ukuba zigweme ukuthintana irabha, izinsimbi, umoya-mpilo, izakhi kalula oxidizable.

Ekwelapheni iziguli sikashukela kufanele kuphawulwe ukuthi esinye isibhebhe sibonisa effervescent oluhambisana 0,006 xe.

Kuze kube manje, ulwazi ngomthelela omubi izidakamizwa (at ngemithamo ezinconyiwe) ku ikhono ukushayela futhi zenze neminye imisebenzi edinga ukugxilisa ingqondo ethile, akukho.

Impilo kanye isitoreji izindlela

Kubhekwe umuthi kufanele agcinwe endaweni eyomile futhi aphume kufinyelela khona izingane ezincane. Kulokhu izinga lokushisa kufanele ingabi ngaphezu 25 ° C. Impilo eshalofini zomuthi sekuyiminyaka emithathu. Emva kwalesi sikhathi, ukusetshenziswa imithi akuvunyelwe.

Ngemva kokuba lo effervescent ithebhulethi plastic noma aluminium tube kufanele ivalwe uvalwe.

Inani kanye analogue zomuthi

Intengo "ACC" amaphilisi zingase zihluke, kuncike inethiwekhi ekhemisi, kanye uphawu-up on izimpahla. Nokho, ngokwesilinganiso, kutholakala into imithi enjalo kubiza ruble Russian mayelana 75-150. Inani granulated powder efana amaphilisi effervescent.

Yini kubhekwe indlela ukufaka esikhundleni? I chain ikhemisi has lenqwaba analogue zomuthi, nezidakamizwa nge isenzo efanayo (expectorant, mucolytic). Phakathi ethandwa kakhulu ungathanda ukugqamisa imithi ezilandelayo: "Atsestin", "Acetylcysteine", "Emaviki Hamba EkspektoMed", "Mukobene", "Mukomist", "Mukoneks", "H-AC-Ratiopharm," "Fluimucil", "Ekzomyuk 200" "Atsestad", "Lasolvan", "Ambrobene", "Ambroxol", "Mukosol", "Bronkatar", "Solvin", "Bromhexine", "Gedeliks", "Mukaltin", "Prospan", "Stoptussin" " Ascoril "," Linkus "nabanye.

Nobufakazi mayelana isikhungo sokwelapha

Manje ngoba sewuyazi ukuthi lokho "ACC" analogue izidakamizwa futhi ngaleyo ntengo. Tablets kanye powder for isixazululo ukubhekana kunalokho ngempumelelo kulo msebenzi. It is lokhu umbono olwabiwa iningi iziguli. I umuthi ngokushesha ephatha sinusitis oyingozi futhi ezingalapheki, kanye nezinye izifo umgudu wokuphefumula. Siyabonga kuye, futhi isikhwehlela viscous isuka kalula kusukela bronchi, kakhulu ekuthuthukiseni isimo umuntu ogulayo.

Akunakwenzeka ukuba uqaphele yokuthi ithuluzi kubhekwa hhayi kuphela ephumelela kakhulu, kodwa futhi izindleko ayibizi kakhulu. Leli qiniso iziguli ujabule kakhulu abangakwazi ukuthenga imithi ebizayo.