In acute and chronic obstructive lung disease often develops a cough with hard discharged viscous sputum. In order to clear his throat, the patient has to cough up long and hard. In such cases, appoint Mucosolvan - it will make the phlegm less viscous and facilitate its expectoration.

What Mucosolvan and how it works

Active ingredient is ambroxol Mucosolvan - product of metabolism (metabolism) bromhexine. Bromhexine in itself is used as an antitussive, but Mucosolvan operates faster and more efficiently. It increases the amount of phlegm and dilute it by stimulating the glands that secrete her while increasing the amount of enzyme liquefies phlegm.

In addition, Mucosolvan slightly dilates the bronchi and promotes the development of an additional amount of surfactant - a substance that prevents the alveoli wears off. Both of these properties are improved respiratory activity of bronchopulmonary system, promote better sputum discharge and faster recovery.

Mucosolvan available in three dosage forms: tablets, solutions and syrups. These dosage forms are ingested and the solution can also be used for inhalation.

Once in the gastrointestinal tract, Mucosolvan rapidly absorbed into the blood, where distributed in the body and begins to act after a half hour after administration. It decomposes in the liver, the products of its metabolism (metabolites) excreted in urine. The duration of Mucosolvan from 6 to 12 hours.

To appoint

Mucosolvan prescribed for inflammation of the respiratory tract. It is often required when receiving acute bronchitis if they are accompanied by a dry cough without phlegm intrusive. To translate this into a productive nonproductive cough, appoint Mucosolvan or into any dosage form, or by inhalation (in this case, the solution is applied Mucosolvan).

Dry non-productive cough may disturb patients and during exacerbation of chronic bronchitis, acute and chronic pneumonia. The hard times to cough sputum under such chronic bronchial obstuktivnaya as chronic lung disease and bronchiectasis Bronchiectasis - when the work light under threat   - In all these cases it will also help Mucosolvan.

Apply Mucosolvan and bronchial asthma Bronchial asthma - the body's response inadequate . But before ingestion or inhalation, the patient should take bronchodilators (drugs that enhance the bronchi) to facilitate sputum discharge and prevent irritation of the walls of the bronchial tubes.

How to take

Inside Mucosolvan can be taken at any dosage form after meals with water or any other liquid.

• Tablets (one tablet contains 30 mg of active substance) take one of three times per day. If necessary, the dose is increased to four tablets per day and take two tablets twice daily. Duration of the doctor determines the condition of the patient.
• The syrup (5 ml syrup or per teaspoonful contains 15 mg Mucosolvan) often prescribed to children, but it can be taken by adults and 10 ml (two teaspoons) three times a day. The dose of syrup for children depends on their age.
• A solution (1 ml containing 7. 5 mg) Mucosolvan can be taken orally or to do with them inhalation. Dosage is in both cases the same. Adults appoint 4 ml or 100 drops three times per day. For children there is a special dosage.
• Inhalation lasolvan performed its pre-diluted in the ratio 1: 1 with saline (0 9% sodium chloride solution - it is necessary to humidify the inhaled air). The solution should be slightly warm. To perform inhalations with lasolvan most commonly used nebulizer (a device that turns liquid medication into an aerosol). During inhalation, the patient's breathing should be quiet, otherwise may cause compulsive cough.

Are there any side effects from Mucosolvan and to whom it is contraindicated

Side effects when using Mucosolvan occur, but are rare. It may be uncomfortable with the digestive system - heartburn, stomach pain Abdominal pain: Types and Symptoms Nausea. It is sometimes even vomiting.

Allergic reactions: when receiving Mucosolvan manifested mainly in the form of various rashes.

Mucosolvan contraindicated in the first trimester of pregnancy and hypersensitive to the components of the drug by the body of the patient. Mucosolvan use caution in the second and third trimesters of pregnancy, while feeding the baby Breastfeeding - a personal choice   breast and severe liver and kidney diseases with severe violation of their functions.

Mucosolvan - it liquefies phlegm and expectorant, and is suitable for adults and children.

Galina Romanenko

Tuberculosis - is a common bacterial infection that is spread from person to person by droplet infection. Most people infected with TB bacteria are blocked by the immune system and remain in "sleep" state for many years. Approximately 5-10% of infected Mycobacterium lead to overt or active tuberculosis, and only a small number of them developing disseminated tuberculosis. This disease is most prone to people with weak immune systems, such as people with HIV, the elderly and children, patients taking immunosuppressive drugs.

For pulmonary tuberculosis disseminated on light there are numerous tubercular lesions (dissemination translates as "dispersion"). Disseminated TB can also affect other organs and tissues, such as:

• Bones and joints;
• Bronchitis;
• Eyes;
• Intestines;
• Larynx;
• The peritoneum;
• Meninges;
• The pericardium;
• The lymph nodes;
• The bodies of the genitourinary system;
• Leather;
• Stomach.

Types and symptoms of disseminated tuberculosis

Disseminated tuberculosis of the lungs can cause the same symptoms as a normal pulmonary tuberculosis, especially in the early stages of the disease. In addition, symptoms dissiminirovannogo tuberculosis depend on its shape. There are the following forms of the disease:

Acute disseminated tuberculosis, or miliary tuberculosis Miliary tuberculosis - when possible death? . This violation may occur symptoms such as fever, cough, fatigue, swollen lymph nodes, liver, spleen, pancreas inflammation, and diarrhea. If untreated, acute disseminated tuberculosis almost always leads to death. Previously, this disease is called galloping consumption, since no modern anti-TB drugs, patients have died within a few months after the first symptoms.

Subacute disseminirovanny tuberculosis. Typical symptoms of the disease are cough, expectoration, sometimes - hemoptysis, fever, wheezing in the chest. This form of disseminated tuberculosis is less dangerous than miliary tuberculosis, but if the patient does not receive timely treatment, it can lead to serious complications.

Chronic disseminated tuberculosis Tuberculosis - a full recovery is not guaranteed . In patients with this disease there is a decrease of endurance - even after the usual physical activities for them, they may feel extreme fatigue; shortness of breath, a slight increase in body temperature (usually not more than 37.5S), cough. The condition of patients deteriorates very slowly, and the symptoms can fade away for a while and then reappear. Thus tuberculosis gradually leads to the formation of multiple foci in the lungs or other organs, and in spite of the disease sluggish, it can also lead to the development of certain complications.

Diagnostics

Differential diagnosis of disseminated tuberculosis is a challenge because of the similarity of its symptoms to the symptoms of other diseases. In particular, it is necessary to eliminate such violations as pneumonia, sarcoidosis Sarcoidosis - how to protect themselves? , Alveolitis, pneumoconiosis, diffuse pulmonary adenomatosis, some types of granulomatosis.

For the diagnosis of disseminated tuberculosis, in addition to the tuberculin skin test, blood tests and sputum bronchoscopy is usually required Bronchoscopy - unpleasant but necessary   - It allows you to get more information on the state of the lungs than radiography. In some cases, it may be used and lung biopsy. To diagnose extrapulmonary tuberculosis dissemenirovanny may require computed tomography, magnetic resonance imaging, and biopsy of affected tissue. A complete blood count also helps to get a clear idea of ​​the extent to which disseminated tuberculosis affected the overall health of the patient.

Treatment of disseminated tuberculosis

In the treatment of disseminated tuberculosis is always used several drugs - this can significantly increase the likelihood that the treatment will be effective. If the treatment of disseminated pulmonary tuberculosis start on time, the disease can be cured without any serious consequences for health.

In some cases, such as when a strong pulmonary hemorrhage, which can not be stopped by other means, or with frequent relapses of the disease may require surgery.

Most often disseminated tuberculosis treated following drugs: isoniazid, rifampicin, pyrazinamide, ethambutol. In more rare cases used drugs such as amikacin, ethionamide, moxifloxacin, para-amino salicylic acid, streptomycin.

The duration of treatment for patients with disseminated tuberculosis is not less than six months, but in severe cases, medication is necessary to take more than a year.

Forecast

The most deadly of all forms of disseminated tuberculosis is acute disseminated tuberculosis. Despite the fact that in most cases it is well treatable by a die of 15% to 20% of affected children and 25-30% of adults. The main causes of death in this disease are late diagnosis, and a combination of tuberculosis with various diseases that weaken the immune system.

Patients with other forms of disseminated tuberculosis die much less.

Disseminated TB can cause the following complications:

• Respiratory failure;
• Acute respiratory distress syndrome;
• Recurrence of the disease.