Ukulungiswa okwaziwa kabanzi kwe-ACC kusetshenziselwa ukwenza umsebenzi wokunciphisa isikhafu kanye nokususa ukucinana kwe-mucous emgudwini wokuphefumula. Kodwa-ke, bambalwa abantu abaziyo ukuthi leli thuluzi liyakwazi futhi ukuqeda izifo ezithinta inhliziyo. Kulokhu, kwesinye isikhathi i-ACC ibekelwa ushukela.
Lesi senzo sihambisana nokuncipha kokuqina kokuqina kwe-endothelial ngenkathi uthatha lesi sidakamizwa. Futhi, abanye odokotela basebenzisa umuthi ofanayo we-schizophrenia nokugembula.
Ngakho-ke, ungesabi uma udokotela we-endocrinologist ekuyalele ukuthi kunikezwe umuthi emazingeni kashukela ongezansi, nemiyalo ithi umuthi usebenza njenge-sporum ye-expectorant ne-liquefies. Kumthamo omncane onezifundo ezimfishane, i-ACC iboniswa kwabanesifo sikashukela futhi ayinakho ukuphambana.
Incazelo yesidakamizwa
I-ACC yezidakamizwa ithengiswa ngohlobo lwamathebulethi, imicwecwe nesiraphu, okuyinto enhle yokwelapha izingane. Imvamisa, odokotela banquma umuthi wokwelapha izifo ezibangela ukukhwehlela okuqinile. I-Acetylcysteine isebenza njengesithako esiyisisekelo esisebenzayo.
Le nto ishintsha ukwakheka kwama-mucous aggregations asendaweni ye-bronchi kanye ne-mucous surface yawo, ngenxa yalokho umphuthu uvumbuka kakhulu. Ngenxa yalesi senzo, ukukhwehlela owomile kuthambisa futhi kukhiqize, ngenxa yalokho okunqwabelana kwe-mucous kuthululiwe.
Njengoba imichilo ye-mucus emzimbeni wonke ngenkathi uphuza umuthi, ama-sinuse nezindinyana zamakhala nakho kuyahlanzwa. Futhi, into esebenzayo yesidakamizwa i-ACC isebenzisa amasosha omzimba. Ukufakwa kwesidakamizwa kwenzeka ngaso leso sikhathi, futhi ngemuva kwamahora amabili ukusebenza kwawo okuphezulu kwenzeka.
Intengo yokupakisha amaphilisi we-effeedcent ngenani lezingcezu ezingama-20 ama-ruble ayi-120-450, ngokuya ngohlobo lomuthi. Okunye futhi okuthengiswayo yiphakethe lezingcezu eziyi-10, isiraphu yezingane nemifino.
Uboniswa ngubani umuthi
Odokotela banquma umuthi wezifo ezihambisana nokukhwehlela okuqinile. Ikakhulu, iphatha ngempumelelo i-bronchitis, i-bronchiectasis, i-asthma, i-tracheitis.
Njengoba into esebenzayo isebenza ngesimo sezono zekhala, i-ACC isetshenziswa njengokwelashwa okwengeziwe ngesikhathi sokwelashwa kwe-sinusitis kanye nabezindaba ze-otitis. Ngaphezu kwalokho, umuthi usebenza kakhulu ekwelapheni i-cystic fibrosis.
Futhi, i-endocrinologist ingabeka umuthi wesifo sikashukela ukwenza umsebenzi wesistimu yethambo futhi usebenze ngokwejwayelekile. Ngaso leso sikhathi, umuthi unezibuyekezo ezinhle kakhulu ekwelapheni amakhaza nasoshukela.
I-Acetylcysteine iguqula isimo ngemuva kokulimala kwe-ischemic ebuchosheni njengesifo sohlangothi. Uma uthatha i-400-800 mg yesidakamizwa nsuku zonke emavikini ayi-12, inani lama-glutathione ku-erythrocyte landa kakhulu, umsebenzi we-G6PD nawo unyuka ngamaphesenti angama-17, okubaluleke kakhulu kubantu abanezifo zenhliziyo futhi lapho kuthayipha isifo sikashukela esingu-1.
Kubalulekile ukubheka ukuthi amaphilisi kanye nemifino ine-contraindication ethile, ngakho-ke umuthi akufanele uphathwe:
- Ukuhlukaniswa kwegazi ngesikhathi sokukhwehlela;
- Ukukhulelwa nokukhulelwa;
- Ukwanda kwesilonda esiswini;
- Ukungabekezelelani komuntu ngamunye kulo muthi nezinto zawo ezisebenzayo;
- I-hemorrhage ye-Pulmonary hemorrhage;
- Ukwanda kwesilonda se-peptic se-duodenum;
- Isigaba esithuthukile sikashukela;
- I-Hypersensitivity kulo muthi kanye nento yawo esebenzayo.
Ukusetshenziswa kwamatafula ngabesifazane abakhulelwe kuvunyelwe kuphela esimweni esiyingqayizivele, ngemuva kokubonisana nodokotela ohambelayo. Ngesikhathi sokukhulelwa ngaphambili. Ungaqala kanjani ukwelashwa, kufanele ushiye okwesikhashana ukuncelisa ibele kuze kube yilapho umuthi uphume ngokuphelele emzimbeni.
Ngokuphathwa kanyekanye kweNitroglycerin, umphumela we-ACC uyathuthukiswa ngokubonakalayo, okumele unakwe. Uma isiguli sesivele sithatha i-Penicillin, i-Cephalosporin ne-Tetracycline, le mishanguzo izoncipha kakhulu, ngakho-ke, izosebenza kancane.
Ngokusetshenziswa kanyekanye kwama-ejenti agwebayo, kusungulwa isikhohlela ku-lumen ye-bronchial. Endabeni yokuthatha imishanguzo nama-enzyme aqhoboza amaprotheni, ukwelashwa nge-ACC kuvinjelwe ngokuphelele.
Uma umthamo ungahlonishwa, izitho zokugaya ziyaphazamiseka, okubangela isifo sohudo, ukushaya kwenhliziyo, izinhlungu esiswini, isicanucanu, nokuhlanza.
Uma lezi zimpawu ziqashelwa, kufanele uhlanze isisu ngemithi ekhethekile.
Imiyalo yokusebenzisa umuthi
Amathebulethi noma imicwecwe ithathwa kuphela emva kokudla. Umuthi ubekwa engilazini, ugcwaliswe ngamanzi futhi uxutshwe kahle. Umthamo ukhethwa ngamunye, kuya ngeminyaka yesiguli.
Ngaphambi kokusebenzisa umuthi, kubalulekile ukutadisha imiyalo, kanye nokubuyekezwa kodokotela. Ekwelapheni kwezingane ezineminyaka eyi-10 kuye eminyakeni emibili, kuthathwa umthamo ka-50 mg kathathu ngosuku. Izingane ezingaphansi kweminyaka emihlanu zingaphuza umuthi ongu-100 mg kathathu ngosuku.
Intsha engaphansi kweminyaka engu-14 yobudala ivunyelwe ukuthatha u-200-300 mg wesidakamizwa kabili ngosuku. Iziguli ezindala zisebenzisa i-200 mg yesidakamizwa amahlandla amabili kuya kathathu ngosuku ukwelapha. Isikhathi sokwelashwa siviki elilodwa.
Uma usebenzisa umuthi, kufanelekile ukwazi ngezici zomuthi i-ACC.
- Amathebulethi awavimbeli uhlelo oluphakathi lwezinzwa, awubangeli ukozela, ngakho-ke angasetshenziswa ngenkathi ushayela izimoto nokulawula izindlela eziyingozi.
- Lapho i-asthma ye-bronchial ku-mellitus yesifo sikashukela ithathwa ngesikhathi sokuphefumula, kusetshenziswa ishubhu elikhethekile lepulasitiki ukuze isiguli singakwazi ukudonsa umoya futhi sivuse i-bronchospasm.
- Uma ufunda ukubuyekezwa okuningi ukuze uzuze umphumela omkhulu wokwelapha, kunconywa ukuphuza umuthi ngamanzi amaningi.
- Ukuqeda amaphilisi, udinga kuphela ukusebenzisa i-glassware, ukusetshenziswa kwerabha, insimbi nezinto oxidizing akuvunyelwe.
- Lapho kutholakala ukuthi wehlulekile ukusebenza kwezinso noma ukusebenza kwesibindi okusebenzayo, umuthi kufanele uphuzwe ngokuqinile ngaphansi kokuqashwa kodokotela.
Ukufana kwezidakamizwa
Umuthi wokukhwehlela uqobo unenombolo enkulu yama-analogues anomthelela ofanayo we-pharmacological. Abadume kakhulu yi-Ambrol, Lazolvan, Fluimucil, Mukaltin. IMucosol, Bromhexine.
Kodwa-ke, le mishanguzo ihloselwe ikakhulukazi ukuqeda isikhohlela nokuqeda ukukhwehlela okuqinile. Ngokuqondene nokwelashwa kwezifo zenhliziyo nesifo sikashukela i-mellitus, le mithi engenhla ayinawo umphumela ofanayo.
Kwividiyo ekulesi sihloko, kutshelwa konke mayelana nokulungiswa kwe-ACC.
