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Форум лікарів • ІПП при кашлі
Сторінка 1 з 1

ІПП при кашлі

Додано: 13 травня 2018, 21:11
Музичишена
Хтось чув, щоб при хронічному кашлі призначали інгібітори протонної помпи, які використовують при лікуванні гастритів, езофагіальних рефлюксів і т. п.?

Re: ІПП при кашлі

Додано: 13 травня 2018, 21:56
Darmidon

Re: ІПП при кашлі

Додано: 14 травня 2018, 10:42
Лорік
Існує так званий симптом постназального затікання, при якому назальні виділення стікають по задній стінці глотки і викликають кашель.

Re: ІПП при кашлі

Додано: 15 травня 2018, 11:26
Музичишена
А при чому тут це?

Re: ІПП при кашлі

Додано: 15 травня 2018, 12:21
Лорік
Вибачте, не було часу дописати. Є дані про те, що ІПП виявляються досить ефективними в лікуванні кашлю, викликаного цим симптомом. Як вище сказано, хронічний кашель іноді буває викликаний ГЕРХ і в цьому випадку лікування за допомогою ІПП буде цілком виправдано і ефективно.

Re: ІПП при кашлі

Додано: 15 травня 2018, 22:55
dr.Viktor
Для "логичності" в темі, ось харьківська методичка, по якій навчаються молоді лікарі:
"«Гастроезофагеальна рефлюксна хвороба (ГЕРХ)»--:
http://repo.knmu.edu.ua/bitstream/12345 ... %D0%B0.pdf

Re: ІПП при кашлі

Додано: 17 травня 2018, 14:59
Gaster
Постназальне затікання і гастроезофагеальна рефлюксна хвороба викликають факультативну обструкцію дихальних шляхів і кашель після їжі і в положенні лежачи, що часто супроводжується печією. Лікування ГЕРХ, що включає застосування інгібіторів протонної помпи, призводить до зменшення кашлю, що викликається хімічним подразненням дихальних шляхів, але тільки цього кашлю.

Re: ІПП при кашлі

Додано: 17 травня 2018, 15:02
Gaster
Проводилось дослідження в яке включили хворих із зазначеним синдромом і відсутністю синуситу або алергії. Призначили їм по 30 мг 2р/день лансопразола або плацебо. Правда, обумовлено, що дослідження фінансувалося виробником цього препарату. За їхніми даними вийшло, що в порівнянні з плацебо ІПП можуть бути ефективними в лікування кашлю, якщо він викликаний постназальним затіканням.