Chon thuoc tri ho dung cach

Tags: co tac dung, duong ho hap, tac dung phu, thuoc long dom, tri ho, co the, thu the, tuy nhien, tre em, rat nhieu, lam, gay, benh, chat, phoi


Co rat nhieu cac loai thuoc tri ho. Tuy nhien, phai chon dung loai thuoc phu hop voi benh thi moi co the tri ho dut diem.

  Chon thuoc tri ho dung cach

Thuoc long dom giup lam tang the tich cac dich tiet duong ho hap de chung de bi bat ra ngoai, tranh vuong co gay kho chiu. Thuoc co the gay cac cuc dom, doi khi lam tac nghen duong tho. Khong dung loai nay cho nhung nguoi suy ho hap, hen suyen, tre em va phu nu nuoi con bu.

 

Ho la dong tac tho hat manh, bat phat qua thanh mon dong kin mot cach cuong buc, lam thanh mon dot ngot mo ra, tong khong khi cung voi nhung chat khong mong muon (gay vuong mac kho chiu) ra ngoai khi quan. Do la mot co che sinh ly bao ve co the, nhung cung la trieu chung cua mot so benh.

 

Cac nguyen nhan gay ho gom lao phoi, viem phoi, hen suyen, tam phe man, ung thu phoi, phoi tac nghen man (COPD), gian phe quan, ap-xe phoi, tran khi mang phoi, benh do virus, hut thuoc... Phan lon truong hop ho do viem nhiem vi khuan cap tinh (tai mui hong, rang ham mat, phe quan, phoi...), do kich ung, di ung va ca di vat.

 

Hien co nhieu loai thuoc tri ho (chua ke Dong duoc), co the phan ra cac nhom chinh sau:

 

1. Thuoc tri ho co tac dung trung tam

 

Qua he than kinh trung uong, thuoc lam tang nguong cua trung tam ho o nao doi voi phan xa gay ho; hoac qua he than kinh ngoai bien lam giam do nhay cam cua cac thu the o khi quan.

 

Mot so thuoc co tac dung lam te hay giam dau tren thu the, bao ve thu the chong cac kich thich hoac gay gian phe quan. Cac thuoc do la: codein, pholcodin, dextromethorphan, clobutanol, dropropizin, eprazinon, voi cac biet duoc Terpicod, Paderyl, Nospan, Maxcom... Cac thuoc nhom nay, nhat la codein, pholcodin, dextromethorphan, khong duoc dung cho nguoi suy ho hap, hen suyen, tre em, nguoi nuoi con bu.

 

2. Thuoc long dom

 

Gom ipecacuanha, muoi amoni, muoi iod, mot so tinh dau nhu cajiput, bac ha, gung, natri benzoat, terpin. Cac biet duoc: Ho long dom, Acodin, Terpicod, Passedyl, Pulmonal, Terpin...

 

3. Thuoc tieu chat nhay

 

Lam thay doi cau truc niem dich, giam do nhot, de dao thai. Do la cac hoat chat autylcystein, carbocystin, metylcystein, mesna... Cac biet duoc: ACC, Acemuc, Turant, Rhinathiol, Mucusan... Nhom thuoc nay co the gay tran dich phoi (ngap) va pha hong lop chat nhay bao ve niem mac da day.

 

Can than trong voi nguoi co tien su loet da day - ta trang. Thuoc cung khong nen dung cho nguoi co thai 3 thang dau thai ky va nguoi nuoi con bu.

 

4. Thuoc giong giao cam

 

Co tac dung chu van alpha, gay nen co mach niem mac mui, tri sung huyet. Thuoc dung toan than nhu phenylephrin, pseudoephedrin... hoac tai cho nhu naphazolin.

 

5. Cac thuoc khang histamin

 

Co tac dung lam diu, tri ho va lam giam dan truyen than kinh cholinergic, lam giam tiet dich mui (viem mui, chay nuoc mui vao hong khi quan gay ho). Nhom thuoc nay co diphenhydramin, chlorpheniramin... Cac biet duoc: Toptusan, Toplexil, Tiffy, Rhumenol...

 

Thuoc co tac dung phu la gay ngu ban ngay, rat bat loi cho nhieu cong viec nhu van hanh may, lai tau xe, lam viec tren cao hoac noi nguy hiem. Tuy nhien, dung ve dem lai co loi. Thuoc khong dung cho nguoi ho co dom vi co the gay ra nhung cuc dom tac nghen, khong dung cho nguoi hen suyen.

 

6. Cac thuoc lam diu

 

Co tac dung ngoai bien gian tiep, bao lay cac thu the than kinh cam giac o hong nhu cam thao, mat ong, sucrose siro. Noi chung cac thuoc nay dung an toan. Tuy nhien, khong nen dung bat ky loai mat ong nao cho tre em duoi 1 tuoi.

 

7. Cac thuoc te

 

Tac dung gian tiep tren cac thu the cam giac. Duoc dung qua duong hit, ngam trong truong hop ho kho chua nhu viem duong ho hap tren, ung thu. Thuoc co the lam mat tat ca cac phan xa co tac dung bao ve phoi va gay co that phe quan, tam thoi lam mat phan xa nuot; vi vay phai than trong khi dung.

 

8. Thuoc tri ho phoi hop nhieu thanh phan

 

Day la van de ma cac nha dieu tri hoc con nhieu ban cai va nhieu nguoi cho la phi logic, mang lai nhieu tac dung phu. Cac chat phoi hop gom khang sinh, vitamin, sat khuan (guaifenesin), opioid, cac chat lam long dom, tieu chat nhay, dac biet phai ke den cac chat giong giao cam va khang histamin. Hai thuoc nay co rat nhieu tac dung phu nang ne voi nhung nguoi tang huyet ap, dai thao duong, benh mach vanh, benh tuyen giap, glaucoma, u phi dai tuyen tien liet, ho co dom, nguoi mang thai, tre con va nguoi cao tuoi, nguoi suy ho hap, benh tim, benh ly duong ho hap va tai bien mach mau nao.

 

Can can nhac va than trong voi cac biet duoc nhu Actifed, Actitab, Ameflu, Ametussin, Atussin, Codepect, Contac, Dicolsin, Tiffy, Rhumenol... Chung deu la nhung thuoc phoi hop tu 3 den 5 chat, ngoai tac dung phu lai con tuong tac bat loi voi cac thuoc khac dung cung luc. Dang dung thuoc lai vui chen voi ban be thi kho luong het nhung dot bien sau do.

 

Ho co the chi la mot trieu chung gay kho chiu, nhung cung co the bieu hien mot benh ly nghiem trong, dac biet voi tre em va nguoi cao tuoi. Phai de chung khi ho co kem theo sot, kho tho, tim tai, ho keo dai, suy kiet...; benh nhan can duoc kham xet can than. Lieu phap duoc lua chon phai dua vao dac diem ho khan hay ho co dom. Ho khan thuong do cam lanh, cum, viem nhiem duong ho hap tren, chay nuoc mui vao trong hoac do kich ung; co the dung codein, pholcodin, dextromethorphan va khang histamin ve dem.

 

Ho co dom thuong lien quan den cac benh duong ho hap man tinh. Viec dung cac thuoc long dom, tieu chat nhay, gian phe quan ket hop voi corticoid, cac enzym (serrapeptase hoac chymotrypsin) va khang sinh la kha huu ich. Co it bang chung cho thay, cac thuoc ho tac dung trung tam co hieu qua trong truong hop ho nang.

 

DS Pham Thiep

Viet Bao (Theo SK& DS)

Tìm hiểu: co tac dung, duong ho hap, tac dung phu, thuoc long dom, tri ho, co the, thu the, tuy nhien, tre em, rat nhieu, lam, gay, benh, chat, phoi

Xem Bản Tiếng Việt Có Dấu: Chọn thuốc trị ho đúng cách

Ban co the doc ban tieng Viet co dau cua bai viet Chọn thuốc trị ho đúng cách bang cach nhan chuot vao duong dan tren.

Lien he ve tin Chon thuoc tri ho dung cach

Nhan xet, hay lien he ve tin Chon thuoc tri ho dung cach co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Chon thuoc tri ho dung cach de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

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