Umuthi 'Flomax ": nozakwabo. "Flomax": yokusetshenziswa futhi impendulo

Izidakamizwa "Flomax" analogs okuzokwenziwa wabuye ezichazwe kulesi sihloko, uyakwazi ukunikeza nokusekela esinokwethenjelwa iziguli nesifo (COPD) obstructive isifo samaphaphu e-acute, hhayi kuphela. Umkhiqizo ine ukusebenza kahle eliphezulu, kunciphisa iphika, ikakhulukazi asebekhulile, futhi kusiza inqubo ukuphefumula. Imithi akuyona ezishibhile, futhi kufanele liqoke Pulmonologist emva ngokucophelela isifundo spirography.

Sakhiwo Ukwakheka

I umuthi ngempela eqolo, ngakho kungenzeka ukuthi avunyelwe ukusebenzisa analogs yayo. "Spiriva" (a ukulungiselela iqukethe asebenzayo izidakamizwa tiotropium) ohlobene bronchodilator m nicotinic acetylcholine yokwamukela blocker. Futhi dragee iqukethe mayelana 5.5 mg monohydrate-lactose.

Umuthi itholakala ifomu amaphilisi ngoba ephefumula. Hard gelatin dragees ogqamile omnyama opaque futhi ube lokuqopha TI 01. I capsule kuyinto powder emhlophe. Aluminiyamu ibhamuza - 10 dragees, futhi ibhokisi kungenziwa ishumekwe kusuka 1 kuya 6 amabhamuza. Ukuze izidakamizwa enamathiselwe ekhethekile nesifutho HandiHaler futhi yokusetshenziswa. A uhlobo olufanayo ukukhululwa kanye zifana eziningi.

"Flomax" isetshenziswa iziguli ezine COPD, wenza zokwelapha, umsebenzi ongisekelayo uvikela kungenzeka eziya ziba zimbi lesi sifo. imithi njengoba uyalelwe iziguli ukucinana kwemithambo yomoya emaphashini futhi kubantu abaphethwe ne-emphysema.

"Flomax": yokusetshenziswa

Kuvele Analogue zomuthi lichaza ekwakheni akuyona, kodwa, naphezu kwalokhu, kukhona izidakamizwa ezithi azifane empeleni zabo emzimbeni futhi uyakwazi esikhundleni izidakamizwa ukuze kuvinjelwe Ukuwohloka isimo lesiguli zempilo.

Uma kungekho ezinye kokuphakanyiswa kwamagama, izidakamizwa isetshenziswa kanye ngosuku ngesimo zokwelapha imuncwe, okuyinto ukwenze nge nesifutho HandiHaler ekhethekile. Musa ukugwinya amaphilisi futhi wasebenzisa akukho ngaphezu kwesikhathi esisodwa ngosuku. Uma izidakamizwa awulungele yezizathu ezithile, le Pulmonologist ukhombe nozakwabo. "Flomax" (umthamo ezikhethiwe ngayinye isiguli ngasinye futhi ancike isimo sakhe sempilo) - umuthi okuyinto angaqoka udokotela, futhi uma kudingeka, ngesikhathi esifanele udokotela uzokwazi ukukhansela noma bayawushintsha imithi.

Asebekhulile, iziguli ezinemishini kahle izinso umsebenzi, kanye neziguli ne yokwehluleka kwesibindi nomuthi iqondiswa kuphela ngemithamo Kunconywa. Lapho ukwehluleka esindayo futhi isigaba maphakathi kwezinso kudinga kweso lwezokwelapha njalo. Amaphilisi Abonayo "Flomax" sivela kudivayisi HandiHaler kuphela. It lenzelwa lokhu izidakamizwa, futhi ngeke ukunikeza umzimba nezinye izidakamizwa.

HandiHaler nesifutho liqukethe:

• uthuli cap;
• ekamelweni emaphakathi;
• ngezizathu;
• isetshenziswa;
• Ukubhoboza inkinobho.

Ekuqaleni, isicelo kuvula cap uthuli inkinobho stop icindezelwa ukuba ukubhoboza, ngemva kwalokho ikhishwe. Khona-ke, cap uthuli ivulekile futhi wabuye wavuka. Ngaphezu kwalokho belethwa engenhla isikhundla isetshenziswa. Capsule "Flomax" esuswa emaphaketheni aluminium futhi ibekwe ekamelweni emaphakathi. Isetshenziswa uvaliwe kuze kube ukuchofozwa, nothuli cap ningathinti - kuba phakathi naleyo nqubo kumele ahlale evulekile.

Isetshenziswa nesifutho kufanele ihlale. Kuphela uma kufanele ucindezele ukubhoboza inkinobho stop, okuzodala kunesikhala for ukukhululwa zomuthi kusukela capsule ngesikhathi lapho ephefumula. Isiguli ke imithelela izindebe lidayizi ukugcina ikhanda lakho ngqo. Inhale kancane futhi ngokujulile ukuba. Phakathi ephefumula kumele uzizwe vibration we capsule. Ukuhogela uqhubeke kuze ukugcwaliswa ephelele ukukhanya. Uma ngezinye isikhathi esingcono kunazo zonke okudingeka ukubamba umoya wakho futhi ususe HandiHaler emlonyeni bese uqhubeke uphefumule kahle futhi ngomoya ophansi. Ngakho kudingeka wenze 6-7 izindlela njengoba nje capsule ayinalutho. Ekuphetheni umcimbi embule isetshenziswa ngiyonikeza capsule awunalutho.

Kanye ngenyanga, i inhaler kufanele ahlanze. Ngenxa yale njongo, base iyunithi ivulekile, futhi isetshenziswa nothuli cap. Thatha inkinobho, okuyinto kuhlaba capsule. Zonke izingxenye nesifutho sagezwa ngamanzi afudumele kuze ukunyamalala ngokuphelele powder. Idivayisi wesula eyomile ithawula iphepha yomiswa endaweni evulekile emini. Ngaphandle nesifutho Sula ngendwangu emanzi.

A strip we capsule is bathinteka emgqeni perforated. Dragees wavula nje ngaphambi inqubo lapho ephefumula. I capsule iqukethe izimpushana kancane bese ubukeka kuze kube sekupheleni nalutho. Ngephutha kokuvula capsule alahlwa, kusukela ezokwelapha ngaphansi kwethonya lomoya, ayikwazi ukusetshenziswa.

izindlela ezinjalo zokwelapha ezidinga ngokucophelela akubona bonke nozakwabo. "Flomax" (indlela nokusetshenziswa kwale izidakamizwa kuchazwa ngokuningiliziwe e imiyalelo) akuyona ifomu elula kakhulu ukukhululwa, futhi kwezinye iziguli eziningi ngesikhathi esisodwa akunakwenzeka ukuba sikwazi ukuphefumula kahle. Neminye imithi for iziguli COPD ube nohlobo ngaphezulu ezifanele: amaphilisi, amathonsi, powder.

nobufakazi

Imibono mayelana imithi "Flomax" njengoba we "ndlovu Spiriva Respimat ', ikakhulukazi omuhle. Iziguli kubika ngcono nge bronchospasm, lula inqubo ukuphefumula in iziguli COPD. Amanye amathuluzi ukusiza ukwelapha ukucinana kwemithambo yomoya emaphashini. Abantu bakhuluma nge- nekusebenta okusezingeni eliphezulu zomuthi, okuyinto abakwazi ukunikeza analogs. "Flomax" (izinkomba ukuqinisekisa ikhwalithi izidakamizwa) kwakwamukeleka okwengeziwe kulesi sigaba sama-iziguli.

Izibuyekezo sabantu abaphethwe COPD, khuluma hhayi kuphela mayelana yi ezinhle esinika izidakamizwa, kodwa futhi ukubaluleka ukusetshenziswa wayo elungile. Qaphela ukuthi zonke umoya kumele kube kancane futhi bushelelezi manipulation okusheshayo futhi ezinqala kungenziwa kuphela ubuhlungu noma uthole nhlobo umphumela.

Phakathi izici ezingezinhle isicelo zomuthi "Flomax" (analogue zomuthi akazange njalo ukusebenza ezifana), abantu bathi zibiza kakhulu futhi ngokuphazamiseka inqubo. Ngezinye izikhathi iziguli musa ukuya donsa izidakamizwa njengoba abhalwe imiyalelo.

Ingxenye encane yabantu iyaphendula kabi umuthi. Abanye bathi kufanele zibe izidakamizwa kuyize futhi akusizi. Abanye ungayiboni kwaba seqophelweni lokunikela kuye imali futhi uthanda nozakwabo eshibhile. Kanti abanye bangase baphikise ngokuthi, naphezu kwazo zonke amaphutha ayo, umuthi kuwufanele imali wachitha.

"Flomax": analogue, ejwayelekile

Umuthi akuyona ezishibhile, futhi ngezinye izikhathi eziningi ngabantu abaphethwe COPD, qala ufuna esikhundleni. Ingabe kukhona Analogue of "Spiriva"? Analogs kokuba ncamashi ukwakheka efanayo, kodwa kukhona izidakamizwa nemiphumela efanayo umzimba kusiza kakhulu isimo iziguli. Laba yibo ebekwe odokotela uma "Flomax 'ngasizathu simbe akazange silingane nesineke:

• "Daxas";
• "ARIS Brizhaler";
• "Troventol";
• "Ultibro";
• "Spiolto Respimat";
• "Anora elliptic";
• "Atrovent"
• "Foradil Combi";
• "Truvent";
• "Ipravent";
• "Ipratropium".

Lezi kanye nezinye analogs zifana ngezindlela nezici zabo. izindleko zabo akuyona ezahlukene kakhulu komunye nomunye. Abaningi babo ziyatholakala ephefumula ukwelashwa. Kodwa zikhona nezinye izinhlobo ukukhululwa ngesimo amaphilisi, izixazululo, amathonsi nokunye okunjalo. D.

Izidakamizwa "Daxas"

Ngenhla siye ohlwini ethandwa kakhulu umuthi okuthiwa "Spiriva Respimat" nozakwabo. isikhundla Oholela phakathi kwalezi izidakamizwa "Daxas." Umuthi itholakala amaphilisi, okuyinto okufanele zithathwe kanye ngosuku, okuyinto, ngokungafani kuya "Flomax" Kuyinto elula kakhulu.

Isetshenziselwa ukulondoloza isimo engaguquki in iziguli COPD nge ezifweni ezimbi abanemizimba exacerbations njalo. Yehlisa neutrophil e isikhwehlela futhi kuvimbela ukuthutheleka neutrophil futhi eosinophils e umgudu wokuphefumula.

Iziguli zingenza ukuthatha imithi ngaphandle kokuphazamiseka unyaka wonke.

It has a isici isinyathelo eqeda ukuvuvukala. Yena, njengo "Flomax" awusho bronchoconstriction - ukuyisebenzisa okungenanzuzo ngalezi zinhloso. Is contraindicated ezinganeni, wakhulelwa futhi abesifazane lactating. Ngo-tablet ngamunye 500 mg izidakamizwa esebenzayo - roflumilast.

Nobufakazi bathi umuthi onamandla kakhulu futhi kuwusizo, ngakho ngemva ukusetshenziswa isikhathi eside, iziguli eziningi ziqala ukubonisa engemihle. Phakathi izimpawu ezivamile: ukuqwasha, isicanucanu, uhudo, amawala, amathonsi okungazelelwe blood pressure.

Lesi sidakamizwa isetshenziswa akuvumelekile ngaphandle kadokotela, njengoba zikhuphuke njengoba ngokuzimela noma ukunciphisa umthamo. Ngokunakekela okukhulu Kumelwe athathe abantu ngemva kweminyaka engu-65.

Ikhambi iziguli COPD "ARIS Brizhaler"

Lokhu imithi kuyahluka ingxenye kuphela ngenkuthalo 'Spiriva Respimat "izidakamizwa. Analogs, kuhlanganise nalena, ngenye kucishe. Izidakamizwa "ARIS Brizhaler" itholakala amaphilisi nge powder for inhalation olulodwa. Ngo iphasela ngalinye ishunyekwa nesifutho ekhethekile esifanelana kuphela izidakamizwa.

capsule ngasinye siqukethe 63 mg glycopyrronium bromide. Umuthi, efana okuphikisana nalo, ohilelekile eziyinkimbinkimbi yokwelapha yesondlo in iziguli COPD. Ayenzelwanga ngempumuzo iziqephu okukhulu bronchospasm. kubekezelelwe kahle futhi ayivamile ukubangela engemihle. Lwenza kuphela ukusetshenziswa ephefumula isikhathi eside.

Inhalation lokhu kusho iziguli okudingeka zithathwe kanye ngosuku kanye ngokuqinile ulandele iziyalezo ezikuyo. Uma iphathwa "ARIS Brizhalerom" kuhambisana yonke imithetho Kunconywa, umuthi ngeke kube nomthelela inhliziyo nomfutho wegazi lazo wawungcono. Kungaba zithathwe iziguli ezivela engu-75 ubudala noma ngaphezulu.

Uphenyo "ARIS Brizhalere" omuhle kuphela. Iziguli ngemva inhalations eziningana kakade uzizwa ngcono khulu wamaphaphu umsebenzi, okuyinto kuvezwa obala ukuphefumula futhi ilula. Abanye baphikisa ngokuthi ngisho bayakhohlwa khona isifo. Kuphela ezimweni angawodwa aye abonakala ukuhlupheka amathonsi abukhali wegazi.

Esikhathini izidakamizwa has Izimo sina, ngakho ngaphandle somuthi nokusetshenziswa kwawo sikadokotela, lokhu imithi ayikwazi ukusetshenziswa.

Izidakamizwa "Troventol"

Enye Analogue "Flomax" elakhelwe iziguli obstructive wamaphaphu nesifo, ngokuthi "Troventol". Imithi wenabisa inesikhala kwamaphaphu futhi, ngokungafani ababengaphambi zabo, kususa futhi aqede bronchospasm.

Izindlela etholakala ekhethekile aerosol amathini ukuze ephefumula 12.5 ml kanye 25 ml. Kokunye ngokucindezela iyunithi umthamo iqukethe "troventola" - 40 micrograms futhi 80 micrograms, uma umthamo isitsha 25 ml. esiphezulu umthamo nsuku zonke 160 micrograms. Inhalation kumele kwenziwe kusukela ezikhathini 4 kuya ku-6 ngosuku.

Bronchodilation umphumela siyenzeka emva kwemizuzu 15-30 emva ephefumula futhi kuthathe amahora 4-5.

Umuthi kwamukeleka kahle main, kanye nezinye analogs. "Spiriva" Ngokwesibonelo, kungase kubangele imihlola engathandeki ngesimo ukoma ku ngalo ingaphakathi ngomlomo, ezincane umphimbo obuhlungu, amaphaphu yokuhlala ukwehluleka amandla - ezifana side effects ngezinye izikhathi waphawula reception "troventola". Kuye simo, umthamo kushintshwe noma ezelula isikhawu phakathi luyakhukhumeza, ngemva kwalokho, njengoba umthetho, imiphumela emibi. Uma izimpawu engathandeki kwandisa, ukusetshenziswa kwezidakamizwa imisiwe.

Umuthi akufanele kuthathwe nge engela-Ukuvalwa ukufiphala abesifazane ngesikhathi sokukhulelwa futhi uma hypersensitivity kuya "troventola".

Phakathi ukwelashwa, kungase kube i-emakamu engathandeki isikhwehlela. Kulokhu, ngoba kubukezwe umthamo noma waphawula imithi kufanele babonane nodokotela.

"Ultibro"

Umuthi omusha for iziguli COPD lidlule babhekana nokulingwa okuningi emitholampilo elihlangabezana nazo zonke namazinga omhlaba.

Liqukethe izingxenye ezimbili asebenzayo: a indacaterol umthamo kanye glycopyrronium 110 mg micrograms 50. Akhiqizwa amaphilisi, aqukethe isixazululo inhalation. Senziwa nesifutho ekhethekile eyenzelwe izicelo ezingu-30. Ngosuku Kunconywa ukuba enze omunye ephefumula.

Inqubo lapho ephefumula kufanele kwenziwe ngohlelo kuchazwa imiyalelo. Ayikwazi lisetshenziswe ezingaphezu kwesisodwa ngosuku lapho ephefumula. Ubude yokwelashwa zazisuka 1 kuya ku-15 izinyanga.

Umuthi is wadala silondoloze isimo komthwalo iziguli COPD isikhathi eside futhi ukunciphisa exacerbations. It akuhloselwe ukuba akhulule bronchospasm oyingozi. It kunomphumela enamandla anticholinergic. Uma isizinda ukusetshenziswa kwezidakamizwa eba bronchospasm ayindida, izidakamizwa ke kufanele inqanyulwe ngokushesha.

ukwelashwa isikhathi eside kungenzeka ukusabela ohlangothini. Ngokuvamile wabonakaliswa ukukhwehlela kanye umphimbo obuhlungu.

Umuthi kumele sisetshenziswe ukwelashwa kuphela ngemva kokuthintana nodokotela wakho.

Isici «Spiolto respimata"

Enye Analogue we "Flomax" kuyinto "Spiolto respimat". Lesi sidakamizwa ihlanganisa isinyathelo izithako ezimbili esebenzayo: bromide tiotropium futhi olodaterola. Iza ngesimo ephefumula umthamo alinganisiwe-isixazululo, sisetshenziswa kubo nesifutho. Igobolondo elilodwa iphakethe yakhelwe ngemithamo 60.

Ukusetshenziswa kwalesi izidakamizwa kakhulu kunciphisa amathuba exacerbations in iziguli COPD. Kuyasiza iziguli ukucinana kwemithambo yomoya emaphashini kanye ne-emphysema, ukuphefumula ngemva ukusetshenziswa kalula futhi ngokukhululeka. Kwandisa amandla ezibonisa ukuthi uhogele nesivinini awumoya okhishwa ngamakhala, ikakhulukazi ekuseni nantambama amahora. Against ngemuva yokwelapha eside in iziguli ekuthuthukiseni abalulekile bronchodilator umphumela. Encishisiwe isimiso sokuphefumula, ama dyspnea. Yehlisa inani exacerbations. Umuthi inyuka ukukhuthazela ngokomzimba, kakhulu eshintsha qualitative ukuphila ingxenye.

Umuthi Kunconywa ukuba kuthathwe kanye ngosuku isikhathi eside ngesikhathi esisodwa futhi ngesikhathi esifanayo. Kakade kuqala imizuzu emihlanu ngemva kokuhlinzwa ephefumula, kukhona ekwenteni ncono kusebenta uhlelo yamaphaphu.

Imithi kufanele sinikezwe kuphela udokotela. Wayefana "Flomax" emiphumeleni yayo obusebenzayo, ifomu ukukhululwa.

Analogue "Flomax" "Anora elliptic"

Lena enye ithuluzi esikhundleni uma kunesidingo izidakamizwa "Flomax". "Anora elliptic" kanye esasisandulele, itholakala powder for ephefumula. Umuthi has a inhaler ekhethekile, equkethe-umthamo owodwa amathathu 22 + 55 .mu.g / umthamo. I-apharathasi unikezwa esiphikisayo futhi isetshenziswa ephefumula.

I nomuthi iqukethe ukubunjwa yayo izingxenye ezimbili asebenzayo: vilanterol futhi bromide umeklidiniya. "Anor elliptic" iziguli aluleka ukuba silondoloze umphumela bronchodilator. Lezo kusiza kakhulu isimo iziguli COPD.

Umuthi esithathwayo uma nsuku zonke ngesikhathi umthamo 22 mg + 55 mg. Ezinye iziguli ebekiwe yezidakamizwa isamba 22 .mu.g + 113 UG / umthamo. izilinganiso senza okufanayo kwabathile iziguli, indlela omuhle kakhulu: banayo kukhona ekwenteni ncono kusebenta uhlelo yamaphaphu nezikhathi ukuncipha exacerbation lesi sifo.

Umuthi isetshenziswa kuphela kadokotela, kanye nemiyalelo kumele qiniseka uhlole ngaphambi ukusetshenziswa, njengoba ukuphefumula okungafanele phakathi inhalation kungabangela bronchospasm futhi okubi kakhulu lesi sifo.

Umuthi is hhayi Kunconywa ukuba isetshenziswe kubantu abaphethwe somoya. Iphinde kusho engasetshenziselwa ngempumuzo ukuhlaselwa bronchospasm.

Lokhu ekwakhiweni has a ukukhululwa ifomu inhalable ngakhoke uyakwazi ukubangela bronchospasm ayindida, njengabanye analogue. "Flomax" (imigomo yokusetshenziswa yalesi izidakamizwa kumele ngokucophelela kugujwe ukuze ugweme side effects) akufanele isetshenziswe uma lokhu uphawu kubonakala - kufanele ngokushesha ukuyeka impatho, ngoba ukusetshenziswa okuqhubekayo izimali kungaba okuyisimo esisongela ukuphila. Udokotela wakho kufanele uthole nozakwabo efanelekayo.

"Spiriva" (isitoreji ezingeni lokushisa kuphela umuthi ongase ufinyelelwe ngezindlela ifomu ingashintshiwe + 25 ° C noma ngaphansi) akufane nemiphumela yayo umzimba nge izidakamizwa eziningi, kodwa naphezu kwalokhu, esikhundleni the izidakamizwa kufanele kwenziwe kuphela ngudokotela. Zonke lezi izidakamizwa nemiphumela eqinile emzimbeni futhi usize abantu COPD ukuthuthukisa izinga lempilo. Kodwa kubalulekile ukukhumbula ukuthi zokuzelapha kufanele kugwenywe.