Bronchodilators ukucinana kwemigudu yokuphefumula: uhlu imithi, imiyalelo

Asiqale nge incazelo yalokho lesi sifo nokuthi kuzibonakalisa abantu. Eqinisweni, cishe ukucinana kwemigudu yokuphefumula wezwa eziningi. Kuyinto inkinga evamile kuphakama lapho umkhuhlane abandayo noma idluliselwe imilenze, noma umuntu ongawamukeli ukwelashwa okufanelekile. Ukugula, ngakolunye uhlangothi, umuntu owaziwa futhi elula, futhi ngakolunye, kuba omshoshaphansi kakhulu. In the ukungabikho ukwelashwa okufanelekile ke kuba amahlala khona. Bese uthole ukuhlukana kuyoba nzima ukusuka kuye.

Kuyini

Esikhathini zakudala okufushane ukucinana kwemigudu yokuphefumula - kuyinto ukuvuvukala kule bronchi. It walibiza igciwane noma amagciwane. It ehlupheka yonke imigudu yokuphefumula, ngoba ukuvuvukala encompasses izindonga mucosal bronchial. Asikhumbule anatomy womuntu ke uyakuqonda sikhuluma ngawe. Bronchi - kuyinto inethiwekhi ye amashubhu, umsebenzi jikelele - ukuqhuba emoyeni kusukela amalaka emaphashini. Ukugula kubuhlungu ngempela. Ngisho noma kukhona ukwelashwa okuphumelelayo ngokushesha uthole ukukhululeka kunzima. Isifo sibuya ukufinyelela emoyeni emaphashini ngenxa ukuvuvukala amashubhu bronchial kanye ukwehlukana esiningi isikhwehlela. Bronchodilators ukucinana kwemigudu yokuphefumula ungakwazi kakhulu lula isimo lesiguli. Namuhla sizoxoxa yibo ephumelela kunazo.

izinhlobo ukucinana kwemigudu yokuphefumula

Eqinisweni, kunezinhlobo ezimbili ukucinana kwemigudu yokuphefumula. Odokotela izifo ukucinana kwemigudu yokuphefumula oyingozi noma ezingamahlalakhona. Nokho, ochwepheshe ukwazi olunye uhlobo, okuyinto has ukubhekana kaningi. Lokhu ukucinana kwemigudu yokuphefumula obstructive, kuba ifomu ekhethekile, okubandakanya amashubhu bronchial ukuvaleka ngenxa ukuvuvukala ulwelwesi lwamafinyila. Okwakuhlalwa kuzo lapho kusaqalwa ke ingelapheka kalula ngokwanele, kodwa akunakwenzeka uyephuza ukwelashwa. Ngezinye izigaba kamuva iba isimiso engelapheki ngenxa ukusonteka odongeni futhi ukuvaleka ze- bronchi.

It bronchodilators nge ukucinana kwemigudu yokuphefumula obstructive kukhona abasizi lokuqala okukuvumela ukususa ukuvuvukala ukwazi umoya wakhe. Lokhu kubalulekile ikakhulukazi ebusuku, lapho ukuhlaselwa kwakhe isifuba somoya beswela ubuthongo.

Kwavulwa ikilasi ebanzi izidakamizwa

Kungani ukucinana kwemigudu yokuphefumula kunosongo ekuphileni nasempilweni yabantu? Kulula ngokwanele. Edema kanye bronchospasm phambili yokuthi izimpawu Ukuphelelwa ukuthuthukisa. Izinga yokukhuluma zabo zingase zehluke, kodwa ezimweni eziningi, lezi zimpawu abadinga ukulungiswa. Bronchodilators ukucinana kwemigudu yokuphefumula usizo ngokushesha ukuqeda izimpawu ngenxa yokungawutholi umoya futhi iphika. Yingakho lesi sigaba izidakamizwa isetshenziswa umkhuba zokwelapha kanye ezingane kabanzi. Siqukethe amaqembu amathathu izidakamizwa. Bonke welaphe imbangela spasm futhi kuthinte imisipha bronchi eziphumulele emisipheni yazo kanye nokwenza lula ukubhekwa outflow ka isikhwehlela. Ungakhohlwa ukuthi injongo ungenza udokotela. Bronchodilators ukucinana kwemigudu yokuphefumula zikhishwa ngokuqinile on kadokotela, njengoba kungabangela kokubili inzuzo kanye nokulimala.

Iqembu lokuqala - honolitiki

Lena ikilasi enkulu izidakamizwa, okuyinto abe nomthelela Imininingwane emzimbeni. Honolitiki - compounds okuyinto ukuvimba neuropathy kwalapho kuhlangana khona imizwa. Lezi bronchodilators ukucinana kwemigudu yokuphefumula esetshenziselwa ephefumula. inzuzo yabo enkulu ukuthi musa ukungena emgudwini wegazi. Ngu sishaye izidakamizwa izidakamizwa esebenzayo silethwa bronchi. Leli qembu kuhlanganisa eziningi izidakamizwa, kodwa sizocabangela labo zikufakazela ngokwabo abasizi ngempumelelo ekulweni nesifo kuphela.

"Atrovent" izingane kanye nabantu abadala

Lona ukulungiselela lokuqala amaqembu ngenhla okuyinto kuyabekwa kaningi impela. Ngakho, kuyini nokuthi "Atrovent" ephefumula? Yokusetshenziswa kusikisela ukuthi kuyinto yesimanje bronchodilator kwezidakamizwa amabhlogo ngababili nerve futhi ngaleyo ndlela kunciphisa ukuvuvukala futhi kusiza outflow ka isikhwehlela nomoya ukunyakaza. Umuthi kuvimbela bronchospasm, okuyinto kuphakama ngenxa ukuhogela intuthu, noma umoya abandayo.

Kanjani ukuthi kuziveza "Atrovent" ephefumula? Yokusetshenziswa igcizelela ukuthi izidakamizwa has cishe awekho umphumela letindzala. Okwazekayo, kungaholela ukuthuthukiswa tachycardia, kodwa umkhuba lokhu kuzodinga imithamo engaba ngu-500. Ngisho nalapho udle it is cishe hhayi ugxile emathunjini.

Sebenzisa silula. Ukuze wenze lokhu, thatha yokungena ezijulile eside futhi ngesikhathi esifanayo cindezela ekhanda valve bese ufaka aerosol. Ngemva kwalokho umoya kumele babambe umoya amasekhondi 10, bese kancane uphefumula ekhaleni. Ngesinye isikhathi udinga ukwenza eyodwa kuphela umphini actuation, futhi akukho izifutho lemine ngosuku.

Effect zomuthi iqala emva cishe 15 imizuzu emva sishaye we aerosol. Umthelela obuyisilinganiselo nengxenye noma amahora amabili. isikhathi isilinganiso umphumela, ngisebenza amahora angaba ngu-6. "Atrovent" (aerosol) - ingenye izidakamizwa ethandwa kakhulu ekwelapheni ukucinana kwemigudu yokuphefumula ezinzima. Lokhu kungenxa nje kuphela ekulenzeni libe namandla. Odokotela kahle kangakanani ubuthongo omuhle lesiguli. Ngakho-ke, isikhathi eside esebenza bronchodilators ezisetshenziswa kusihlwa.

Isixazululo for inhalation "Ipratropium bomdabu"

Esanda kutholakala, ngabe ezihlongozwayo ukuyisebenzisa ukuze ephefumula classical, okuyinto ngokwako ngempela ephumelelayo ulwe ukucinana kwemigudu yokuphefumula. "Ipratropium bomdabu" - buyindlela ephumelelayo futhi engabizi esisiza ukuba sibhekane ngokuphumelelayo izinhlobo ezahlukene kwalesi sifo.

Namuhla isendalini khona nebulizers, okukuvumela sishaye ezinhlayiyeni ezincane zomuthi ngqo bronchi. Alveoli wathola ukusabalala nomuthi kulo lonke uhlelo zokuphefumula. Ababona ezishibhile, kodwa ukwandisa ukuphumelela ukwelashwa.

Umthamo isidakamizwa for imijovo ngazinye, ungakhohlwa bonana nodokotela wakho kuqala.

agonists Group

Siphendukela iqembu lesibili ezinkulu zezidakamizwa ezingasetshenziswa ukubhekana ngokuphumelelayo nge ahlukahlukene etiologies ukucinana kwemigudu yokuphefumula. Abamele lesi sigaba ngokukhetha kuthinte receptor zokuphefumula. Zitholakala e kumasayiraphu kanye amaphilisi, umjovo, kodwa indlela yabo eyinhloko yokwelashwa - kuyinto ephefumula. Nokho, cishe aerosols siye kakade wakwazi ukukhuluma kancane, ngakho ake sicabangele lo izidakamizwa njengesibonelo.

"Fenoterol" amaphilisi

Lokhu umuthi ukuchayeka ngokushesha futhi isikhathi eside. It uyakwazi ukuqeda bronchospasm kumaminithi 10-15. Umthelela iqhubeka cishe amahora ayisithupha, ngemva kwalokho umthamo kufanele liphindwe. Lena bronchodilator ngempumelelo ukuze kuvinjelwe futhi esiqoshiwe ukuhlaselwa bronchospasm. Umuthi kuvimbela bushelelezi imisipha futhi usiza Bronchodilator umphumela. Ngaphezu kwalokho, kuyasiza ukunciphisa ukuvuvukala.

"Fenoterol" isetshenziselwa ukulungiswa ukuhlaselwa yesifuba somoya bronchial, ukuvuvukala emaphashini, kanye ejenti bronchodilatory phambi ephefumula mucolytics noma imithi elwa namagciwane. I Isikali is kushintshwe ngamunye, umthamo standard edonsa 1-2 amaphilisi, izikhathi 4 ngosuku. Umthamo esiphezulu amaphilisi 8 ngosuku.

Bronchodilators "Flomax"

It kungokwalabo iqembu elifanayo njengoba izidakamizwa odlule. It ahluke kuphela ngesimo, kulesi simo, akusiwona ithebhulethi, isixazululo inhalation. Esiphethweni esicacile, cishe kungekho nto enemibala emihle, ne iphunga ngokulambisa lizwakale. Izimpawu I-eyamukelayo iyona nokwelashwa ezingamahlalakhona obstructive yomoya isifo. Lokhu kungaba isifuba somoya, ukucinana kwemigudu yokuphefumula okungamahlalakhona.

Ukwelashwa is best kwenziwa esibhedlela noma egunjini ukwelashwa. Ekhaya, ukuphathwa usungaqala kuphela emva kokubonisana onguchwepheshe. Ngokuvamile, aerosol ukwakhiwa (uma isetshenziswe ngendlela efanele) ukunikeza izilinganiso ezincane we ketshezi esebenzayo. Ngakho-ke, kukhona izilimi ezifunwa ngabasebenzi. Nokho, uma ungakwazi ukwandisa umthamo, futhi ukwelashwa akuyona ngempumelelo, bese usebenzisa imuncwe "Flomax".

Izingane kuze iminyaka 6, lokhu izidakamizwa alinikeziwe noma umthamo is kushintshwe ngamunye nge udokotela ukuba khona. Abafundi ezineminyaka engu-6 kuya ku-12 ingelashwa nge ephefumula nale isixazululo. Ngalesi Isikali ngeke ifane kusuka 10 kuya 40 amathonsi inqubo ngamunye. Kubantu abadala kanye nabantu abadala, umthamo owodwa zokwelapha kuyinto amathonsi 20 kuya 50. Emacaleni angu-olunzima, kungaba sifinyelele ku-80 amathonsi.

Izingane ukucinana kwemigudu yokuphefumula kudinga indlela ekhethekile

Ngempela, lapho ingane iyagula, udinga indlela ngokucophelela ukuze ukulungiswa lokhu isimo, njengoba izidakamizwa engahlula kungathikameza ukukhula umzimba abasha. Ngesikhathi esifanayo beqisa kungaholela yokuthi lesi sifo ingena ifomu ezingamahlalakhona. ngaphezulu okungcono Kulokhu isiraphu "Clenbuterol" kuwo wonke amafomu umthamo. Yokusetshenziswa izingane ugcizelela ukuthi kufika ku-6 ubudala, kodwa iqiniso liwukuthi akayikhokhi esimisiwe. Okudala kuka ecacisiwe ubudala izidakamizwa sikhishwa umthamo 15 ml 2-3 izikhathi ngosuku. Uma ekuphuculeni umthamo yesondlo, isb 10 ml, izikhathi 2 ngosuku. Isiraphu - kuba ifomu esikahle kakhulu ekwelapheni izingane, ngoba ukunambitheka emnandi, yingakho azikho izinkinga ngokungenisa lokhu imithi.

Lesi sidakamizwa ngowomnikazi agonists eside esebenza. Umthelela siyenzeka emva kwemizuzu engaba ngu-30 ngemva kokuphathwa, futhi uyaqhubeka kuze amahora 8-10. Odokotela bezingane ukuncoma ukuyisebenzisa ebusuku ukuze amajaqamba nokukhwehlela ubuhlungu abahlushwa ingane ebusuku.

methylxanthines Izidakamizwa iqembu

In iziguli zokwelapha kanye ezingane ikakhulukazi asetshenziselwa ingasaphathwa njalo. Isizathu sisobala - okungekuhle side effects ohlelweni senhliziyo nemithambo yegazi. Lokhu kubonakala ikakhulukazi palpitations, umfutho ophezulu wegazi kanye nokuqwasha. Elinye lamalungu ethandwa kakhulu kuleli qembu - theophylline. Wamiswa odokotela uma bronchodilators ephephile ungayeki umphumela oyifunayo. Noma kukhona okunye ukukhetha kokusebenzisa, njengenhlangano Ngaphezu i anticholinergic, ukuvimbela nokuquleka ebusuku.

amakhambi abantu

Kufanele kuqashelwe ngokushesha ukuthi ngokushesha ukuqeda spasm uhlu lwezingozi zokusebenzisa amakhambi kanye infusions behluleka. Nokho, uma ukuphathwa isikhathi eside futhi esihleliwe okwelapha zezinkambi engamakhambi nethonya elihle empilweni yomuntu. Njengoba spasmolytics ngokuvamile ebekiwe chamomile futhi valerian, wort iSt John sika. Nokho, abelaphi eyaziwa iqoqo zinkulu, esiza kahle ngisho nasezimweni ezinzima ngendlela exakile. Ukupheka ke udinga chamomile kanye peppermint, cyanosis okwesibhakabhaka, futhi wort iSt John sika, motherwort kanye valerian. Eyokuqala izingxenye ezintathu ukuthatha izingxenye 2, kanti owokugcina uyoba ngo - eyodwa.

Isipuni ingxube kuthululwe 200 yamanzi abilisiwe, ingxube okuholela kwaba imizuzu 40. I kwaphumela ingilazi ukumnika iziphuzo emini, ihlukaniswe 4 ngemithamo. bomshado lakho ukulwa ukucinana kwemigudu yokuphefumula nazo calendulakuva marjoram, dandelion kanye burdock, Lilac kanye currant kanye pine. Ungakhohlwa ukuthi ukubonisana wezokwelapha ngaphambi kokuba baqale ukwelashwa Kuphoqelekile. Self-uphethwe kanye nokuqokwa ngokwayo nemithi kungaholela edabukisayo.