Makonzedwe odziwika bwino a ACC amagwiritsidwa ntchito makamaka pofowoka sputum ndikuchotsa kupsinjika kwa mucous. Komabe, ndi anthu ochepa omwe amadziwa kuti chida ichi chimatha kupatsanso matenda amtima. Pankhani imeneyi, ACC nthawi zina imapangidwira matenda ashuga.
Kuchita izi kumalumikizidwa ndi kuchepa kwa kusokonekera kwa endothelial pomwa mankhwalawa. Komanso, madokotala ena amagwiritsa ntchito mankhwala ofanana a schizophrenia ndi kutchova juga.
Chifukwa chake, musachite mantha ngati dokotala endocrinologist wakupatsani mankhwala ochepetsa shuga, ndipo malangizowo akunena kuti mankhwalawa amagwira ntchito ngati chiyembekezero chazakudya ndi zakumwa. Mlingo wocheperako wokhala ndi maphunziro apafupi, ACC imawonetsedwa kwa odwala matenda ashuga ndipo alibe zotsutsana.
Kufotokozera kwa mankhwalawa
Mankhwala ACC amagulitsidwa monga mapiritsi, granules ndi madzi, omwe ndi abwino kuchitira ana. Nthawi zambiri, madokotala amatipatsa mankhwala ochizira matenda omwe amayambitsa chifuwa champhamvu. Acetylcysteine imagwira ngati chinthu chachikulu chopangira.
Katunduyu amasintha kapangidwe ka michere kaphatikizidwe kamene kamakhala m'mbali mwa bronchi ndi ma mucous kumtunda, chifukwa chomwe ntchofu imayamba kuonekera. Chifukwa cha izi, chifuwa chowuma chimafewa ndikuyamba kupanga zipatso, chifukwa cha zomwe mucous muchulukitsidwa.
Popeza zakumwa zochotsa mkaka mthupi lonse pakumwa mankhwalawo, ma sinus ndi ma pamphuno amatsukidwa. Komanso, yogwira mankhwala ACC yambitsa chitetezo cha mthupi. Kuyamwa kwa mankhwalawa kumachitika pompopompo, ndipo patatha maola awiri mphamvu yake ikuchitika.
Mtengo wa kulongedza mapiritsi olimbitsa thupi mu zidutswa 20 ndi ma ruble a 120-450, kutengera mtundu wa mankhwalawo. Zogulitsanso pali phukusi la zidutswa 10, manyuchi a ana ndi granles.
Yemwe amawonetsedwa ngati mankhwalawo
Madokotala amapereka mankhwala a matenda omwe amaperekedwa ndi chifuwa champhamvu. Makamaka, imagwira bwino matenda a bronchitis, bronchiectasis, mphumu, tracheitis.
Popeza chinthu chogwira ntchito chimagwira ntchito pazovuta za mphuno, ACC imagwiritsidwa ntchito ngati njira yowonjezera pochiza sinusitis ndi atitis media. Kuphatikiza apo, mankhwalawa ndi othandiza kwambiri pochiza cystic fibrosis.
Komanso, endocrinologist imatha kupereka mankhwala a matenda ashuga kusintha matenda a mtima. Nthawi yomweyo, mankhwalawa ali ndi ndemanga zabwino kwambiri pochiza chimfine komanso matenda ashuga.
Acetylcysteine amatulutsa matenda pambuyo pa kuwonongeka kwa ischemic ku ubongo chifukwa chogundidwa. Ngati mumwa 400-800 mg ya mankhwalawa tsiku lililonse kwa masabata 12, kuchuluka kwa glutathione mu erythrocyte kumawonjezeka kwambiri, ntchito za G6PD zimakulanso ndi 17 peresenti, zomwe ndizofunikira kwambiri kwa anthu omwe ali ndi matenda amtima komanso mtundu wa matenda ashuga 1.
Ndikofunikira kudziwa kuti mapiritsi ndi grunle zili ndi zolakwika zina, chifukwa chake mankhwalawa sayenera kumwedwa ndi:
- Kupatula kwa magazi pakutsokomola;
- Mimba ndi mkaka wa m`mawere;
- Kuchulukitsa kwa zilonda zam'mimba;
- Aliyense tsankho kwa mankhwala ndi ntchito zake;
- Pulmonary hemorrhage;
- Kuchulukana kwa zilonda zam'mimba za duodenum;
- Gawo lotsogola la shuga;
- Hypersensitivity kwa mankhwalawo ndi zomwe zimagwira.
Kugwiritsa ntchito mapiritsi amayi apakati ndikololedwa kokha pokhapokha, atakambirana ndi adokotala. Pa mkaka wa m'mbuyomu. Momwe mungayambire mankhwala, muyenera kusiyiratu kuyamwitsa mpaka mankhwalawo atha thupi lonse.
Ndi makonzedwe omwewo a Nitroglycerin, mphamvu ya ACC imawoneka bwino, yomwe iyenera kukumbukiridwa. Ngati wodwalayo akutenga kale Penicillin, Cephalosporin ndi Tetracycline, mankhwalawa sakhala otanganidwa, chifukwa chake sangakhale othandiza.
Ndi munthawi yomweyo kugwiritsa ntchito antitussive othandizira, kusokonekera kwa sputum mu bronchial lumen kumapangidwa. Pankhani yokhudza maantibayotiki ndi ma enzyme omwe amaphwanya mapuloteni, chithandizo ndi ACC ndizoletsedwa kwathunthu.
Ngati mulingo wambiri sulemekezedwa, ziwalo zogaya zimagwira ntchito, zomwe zimayambitsa matenda am'mimba, kutentha kwa mtima, kupweteka m'mimba, nseru, ndi kusanza.
Ngati zizindikirozi zimawonedwa, muyenera kutsuka m'mimba ndi mankhwala apadera.
Malangizo ogwiritsira ntchito mankhwalawa
Mapiritsi kapena granles amatengedwa kokha pambuyo chakudya. Mankhwalawa amaikidwa mu kapu, odzazidwa ndi madzi ndikuphatikizidwa bwino. Mlingo amasankhidwa payekha, kutengera zaka za wodwalayo.
Musanagwiritse ntchito mankhwalawa, ndikofunikira kuphunzira malangizo, komanso kuwunika kwa madokotala. Mankhwala a ana a zaka 10 mpaka zaka ziwiri, mlingo wa 50 mg ndi mankhwala katatu patsiku. Ana ochepera zaka zisanu amatha kumwa 100 mg ya mankhwala katatu patsiku.
Achinyamata osakwana zaka 14 amaloledwa kumwa 200-300 mg wa mankhwalawa kawiri pa tsiku. Odwala okalamba amagwiritsa ntchito 200 mg ya mankhwalawa kawiri kapena katatu patsiku kuchitira. Kutalika kwa mankhwalawa ndi sabata limodzi.
Mukamagwiritsa ntchito mankhwala, ndikofunikira kudziwa za mankhwalawa ACC.
- Mapiritsi samalepheretsa dongosolo lamkati, samayambitsa kugona, chifukwa amatha kugwiritsidwa ntchito poyendetsa magalimoto ndikuwongolera njira zowopsa.
- Mphumu ya bronchial matenda ashuga imatengedwa pakumwa, pogwiritsa ntchito chubu chapulasitiki chapadera kuti wodwalayo asapumire mpweya ndikupangitsa bronchospasm.
- Ngati muwerenga ndemanga zambiri kuti mukwaniritse mphamvu ya mankhwalawa, ndikofunikira kuti muzimwa mankhwalawo ndi madzi ambiri.
- Kutha mapiritsi, muyenera kugwiritsa ntchito zopangira galasi, kugwiritsa ntchito mphira, zitsulo ndi zinthu zowonjezera oxidizing saloledwa.
- Mukapezeka ndi kulephera kwa impso kapena kugwira ntchito kwa chiwindi, mankhwalawa amayenera kumwedwa mosamala ndi madokotala.
Mitu ya mankhwalawa
Mankhwala akukhosomola palokha ali ndi mitundu yambiri ya ma analogu omwe amafanananso ndi mankhwala. Odziwika kwambiri ndi Ambrol, Lazolvan, Fluimucil, Mukaltin. Mucosol, Bromhexine.
Komabe, mankhwalawa cholinga chake ndikuchotsera sputum ndikuchotsa chifuwa champhamvu. Zokhudza chithandizo cha matenda amtima komanso matenda a shuga, mankhwalawa omwe ali pamwambawa alibe mphamvu yofanana.
Mu kanema munkhaniyi, chilichonse chokhudza kukonzekera kwa ACC chikuwuzidwa.
