"Teopek": ukubuyekezwa. Ukucinana kwemigudu yomoya emaphashini - izingane. Yokusetshenziswa

Ukulungiselela "teopek" senzelwe ekwelapheni izifo zamaphaphu. Ngaphansi ngokuvamile, isetshenziselwa edema elihlobene ne inhliziyo nesifo sezinso. Izidakamizwa "teopek" libuyekeza ukucinana kwemigudu yokuphefumula okuyinto baningi futhi edidayo, kudinga ukucatshangelwa ngokucophelela ngaphambi kokuthatha.

Imiphumela emzimbeni

Isithako asebenzayo we umuthi theophylline, okuyinto kuba nethonya imisebenzi ezihlukahlukene zomzimba. Umthelela main, nikeza them, - bronchiectasis. Lokhu kwenzeka ngenxa Ukwehla contractile umsebenzi imisipha abushelelezi. Imisipha yezitho zangaphakathi futhi imithambo yegazi uphumule, okuholela ekususweni spasm bronchi (ukuvaleka) ukucinana kwemigudu yokuphefumula. Ngaphezu kwalokho, sithuthukisa ukusikwa imisipha yenhliziyo, kuvusa isimiso sezinzwa, dilates imithambo yegazi (izinso, inhliziyo, njll).

Umuthi sithinta ukusatshalaliswa kwe-calcium kumaseli, kwandisa alveolar ukupholisa. Ingabe umphumela isisu ngokulinganisela, kuvimbela ababambelela platelet ukukhululwa insika amaseli balamuli nomzimba. Ukulungiswa zihlanganisa excipient - esiyinhlanganisela yenethiwekhi polymeric, ekhuthaza ukukhululwa alinganisiwe ka theophylline esiswini. Ngemva ngemuva kwamahora 3-6 ekuphathweni ebonwe igazi lokuhlushwa ezimatasa. Ukuba emzimbeni kuze nokuqedwa ephelele - amahora 12-24. Kuyadingeka ukuba bonana nodokotela wakho kuqala ngaphambi kokuba uqale ethola izidakamizwa, funda mayelana "teopek" izilinganiso ukucinana kwemigudu yokuphefumula ngokuvamile ashiye iziguli zabo.

izinkomba

Umuthi kuyinto bronchodilator, okungukuthi, ekwandiseni inesikhala ze- bronchi. Ezinqunyelwe ekwelapheni izinhlungu zibe ne-emphysema - wehlise izicubu ithoni umzimba ngenxa ukwehla inesikhala bronchial. izidakamizwa ezinconyiwe ekwelapheni ezingamahlalakhona ukucinana kwemigudu yokuphefumula obstructive. Yisishiso, ephelezelwa ndima nzima air kwezicubu zomzimba. Kuyasiza kanye somoya bronchial.

Ngo izifo zenhliziyo kanye nezinso ngezinye izikhathi isetshenziselwa njengoba isisu futhi esetshenziswa ukulawula ukuvuvukala. Akuvamile engabelwe ischemia. Ukusetshenziswa "teopek" kufanele kuvunyelwane nodokotela wakho. Independent yokusetshenziswa kwawo igcwele nemiphumela enqabayo.

Izimo izidakamizwa

Ngaphambi kokuthola imali "teopek" imfundo, impendulo, kanye kudokotela kufanele okucwaningwe ngokuphelele. Ngemva izidakamizwa has Izimo eziningi. Akunconyelwe ukusetshenziswa uma isiguli:

1. Hyperthyroidism (kwagcizelela imisebenzi yayo).
2. Hypersensitivity ukuze theophylline noma izingxenye asizayo ekulungisweni (i-esiyinhlanganisela polymer asekelwa calcium stearate).
3. stenosis Subaortic (isifo senhliziyo-omunye umsipha elihlobene ne ukuvaleka kwesokunxele ventricular ingaphakathi).
4. isilethikusebenza.
5. Extrasystole (normal inhliziyo isigqi).
6. Isifo sokuwa.
7. izimo Convulsive.
8. Nokukhulelwa kanye lactation.
9. yobudala Wezingane - engu-14.

Engathandeki reception "teopek" ogulayo esiswini noma isilonda duodenal.

Side Effects "teopek"

Imiphumela engemihle zenzeka njalo lapho ithola "teopek" ukulungiselela: ukufundiswa isicelo, izinkomba kanye neziphakamiso odokotela ukusekela lokhu. Lezi zihlanganisa:

• thuthuva ubuthongo;
• ukuphathwa ikhanda;
• yokuntuleka esesuthi;
• isiyezi;
• yokwehluleka kwemizwa, ukukhathazeka;
• Tachycardia (okusheshayo inhliziyo beat);
• iziyaluyalu wokugaya ukudla (isicanucanu, ukuhlanza, ubuhlungu besisu).

Ukwahlulela ngokubukeka ukubuyekezwa iziguli, imiphumela emibi izidakamizwa zitholakala kubantu nge Ukuthanda izenzakalo ezinjalo, kanye labo abaphethwe isifo sesibindi, kolwelwesi, ukuquleka isithuthwane, tachycardia. Ukuze uthuthukise ngezimo zesiguli asesebenzisa ulapha zincishiswe noma ukuqedwa ngokuphelele zomuthi.

ukweqisa izidakamizwa

With ngokweqile abalulekile umthamo yayo zinikwa isiguli kukhona ukwephulwa phezu ingxenye pheshana emathunjini, isimiso sezinzwa, umsebenzi inhliziyo. Lapho ethola izindlela "teopek" libuyekeza ezinye iziguli abe umlingisi ezimbi. Abantu bathi ezimweni eziningi lokhu kungenxa ukusetshenziswa kwezidakamizwa nezinye izinjongo, noma okweqa kuyinsakavukela. Ukubuyekezwa uthi ukweqisa izidakamizwa livezwa zimpawu:

1. Uhudo, ukungakuthandi ukudla.
2. Ukuhlanza (mhlawumbe ngegazi), ngopha pheshana emathunjini.
3. Insomnia.
4. Arrhythmia (inhliziyo isigqi ukuphazamiseka).
5. Tachycardia (okusheshayo inhliziyo beat).
6. Flushing kwesikhumba (igazi glut).
7. Ngibanjwe.
8. Tachypnea (ukuphefumula okusheshayo).
9. Eliqhaqhazelayo (ukuxhawulana).
10. Ukukhathazeka, photophobia, injabulo.

Okunye ukubukwa iziguli ukuthi e ubuthi ezinzima "teopek" kwezidakamizwa ukucinana kwemigudu yokuphefumula kungenzeka imihlola enjalo engemihle:

• isithuthwane;
• ukudideka;
• bebek blood pressure.

Ngaphezu kwalokho, ukweqisa izidakamizwa kwenzeka ukwehluleka kwezinso, kuyagcinwa nezinkinga igazi: Hyperglycemia, hypokalemia, lactic umzimba. Ukuze ukwelashwa isicelo lavage esiswini laxatives, enterosorbiruyuschee, isisu. injected "Diazepam" ukuqeda nokuquleka. Uma uhlangabezana lezi zimpawu kufanele ngokushesha shayela i-ambulense.

Indlela "teopek"?

Ukukhululwa uhlobo lesi sidakamizwa "teopek" - amaphilisi. Izimpendulo ibonisani njalo ezenzeka engemihle. Ngakho-ke, lo muthi kufanele kuthathwe udokotela ngokufana ncamashí enqunyiwe isikimu. Iphilisi beyihlanza ngamanzi ngaphandle ukuhlafuna noma kwasani, emva kokudla. Ngokusho imiyalelo, ezinsukwini ezimbili zokuqala ukusebenzisa imithi ngesigamu esibhebheni kanye noma kabili ngosuku. Isikhawu phakathi ngemithamo - amahora 12-24. Ngokulandelayo, thuthukisa umthamo ukuze wonke ithebhulethi kabili ngosuku.

Ukuze isiguli ngasinye, inkambo ukwelashwa kanye umthamo kumele kushintshwe ngabanye ngokwezenzo isithombe emitholampilo ye isifo, khona comorbidities. Kufanele futhi acabangele esisindo lesiguli, luvelo imithi, ukusetshenziswa concomitant nezinye izidakamizwa. Phakathi ukwelashwa, kuyinto efiselekayo kutholakale izinga theophylline egazini ukuvimbela yokweqisa.

Ukuxhumana "teopek"

Ungakhuluma kanjani ngama-izidakamizwa "teopek" ukubuyekezwa, ukucinana kwemigudu yokuphefumula iqondiswa ngokuhlanganyela neminye imithi. Usebenzelana kanjani nawo? "Teopek" asihambisani reception kanyekanye ne anticonvulsants, barbiturates, methylxanthines. inhlanganisela Kwenqatshelwe nge amaphilisi umuthi (hormone), imithi elwa namagciwane macrolide, kanye "propranolol", "furosemide" "Verapamil". Le mithi ukwandisa ezingeni theophylline egazini, okuholela ukweqisa izidakamizwa kanye nesenzakalo amathuba okuba nemiphumela engemihle. Ngaphandle barbiturates - bona, kunalokho, ukunciphisa amazinga egazi isithako esebenzayo.

"Cimetidine", "Lincomycin", "allopurinol", "Isoprenaline", "propranolol" kanye nezindlela zokuvimbela ukukhulelwa temlomo ukunciphisa theophylline imvume isilinganiso (ukwabiwa kabusha komhlaba kanye excretion lomcebo esebenzayo). It kunciphisa ukusebenza kwe-beta-blocker futhi bronchodilator isenzo "teopek". "Aminoglutethimide" kwandisa excretion lomcebo asebenzayo kuka ukunciphisa nomphumela oqabulayo. Ukuthuthukisa umsebenzi theophylline kwenzeka uma nithatha ngayo "Furosemide", i-caffeine, beta 2-adrenoceptors. "Acyclovir", "Verapamil," "Diltiazem", "Felodipine," "Nifedipine", "Disulfiram" ukwanda ezingeni igazi efana asebenzayo, senze neminye imiphumela emibi.

Izibuyekezo sokulungiselela

Iziguli ukuthatha "Izibuyekezo teopek 'ngoba ukucinana kwemigudu yokuphefumula ishiywa edidayo. Kukhona zombili zibe phozithivu, imicabango yabantu ezimbi. Kwakamuva kubangelwa iningi eziningi side effects ukuthi izidakamizwa kuphakamisa. Abasebenzisi belulekwa ukuba banamathele iqoqo imithetho ngeke ukulimaza impilo yakho, kodwa kunalokho, ukuze siphinde sithole:

1. Ungathathi "teopek" ngokuzimela, ngaphandle kadokotela.
2. Ngesikhathi reception, onguchwepheshe uqiniseke amtshele khona comorbidities nokusetshenziswa kulesi sikhathi neminye imithi, usitshele wena hypersensitive izidakamizwa, uma ikhona.
3. Strictly ulandela imiyalelo enqunywe udokotela wakho. Lapho izimpawu ukukhathazeka uthintane kuye. Ngeke sinciphise umthamo noma ayeke ukuthatha izidakamizwa ngokuphelele, esikhundleni salo kube nokuthile omunye.

Kungenzeka yini ukuba izingane?

Njengoba ukulungiswa "teopek" ukubuyekezwa, ukucinana kwemigudu yokuphefumula ibuye elibekelwe izingane, naphezu izixwayiso imfundo. Abazali abaningi ukubika ngokushesha ukwelashwa futhi ukululama okusheshayo. Bathi ingane iqala ukulala kangcono ebusuku, lingalimali isifuthefuthe ukukhwehlela, ukuphefumula ngokukhululekile. Ngokuvamile, reception "teopek" inikezwa ndawonye nezinye izidakamizwa, ukuxhumana engesiyo eziyingozi, futhi sithuthukisa umphumela zokwelapha. Ngokwesibonelo, "Sumamed" ( "Azithromycin") - ama-antibiotic-azalide.

Akubalulekile ukuba ulinge futhi zinike imithi ekhethiwe. Lokhu kungadala nemiphumela ebuhlungu ifomu amathuba okuba nemiphumela engemihle. Lokhu kuyiqiniso ikakhulukazi uma izingane. Ebanikeza "teopek" kufanele kube ngokuqinile ulandele iziyalezo ezikuyo. Izinkinga ngabazali, yilesi: abazi indlela uthole ingane ukugwinya wonke ithebhulethi, ngoba uchoboze chaza emanzini, ngeke kube. Kungcono uma udokotela benza linqume ezinye okunye. A "teopek" nikeza izingane uma ngiphoqelekile ngempela. Hhayi ize imiyalelo ebekiwe yobudala mkhawulo.