Ese urimo kubabara cyane? Reka tuvuge ku miti igabanya ububabare ya Acetaminophen na Hydrocodone (Acetaminophen; Hydrocodone Solution)!

Hari igihe bigorana guhangana n'ububabare buterwa na bwo, si byo se? Iyo imiti isanzwe igabanya ububabare idafashije, cyangwa iyo imiti imwe n'imwe itagufitiye akamaro, muganga wawe ashobora kukwandikira umuti wihariye nk'uyu. Uyu ni umuti w'amazi ukoreshwa mu kugabanya ububabare bworoheje. Urimo ibintu bibiri byitwa acetaminophen na hydrocodone .

Uyu muti ni iki? Ukora ute ku mibiri yacu?

Muri make, uyu muti ukoreshwa mu kugabanya ububabare buri hagati y’ububabare bukabije. Muganga wawe ashobora kuwuguha, cyane cyane niba indi miti igabanya ububabare itagufashije cyangwa niba udashobora kuyikoresha. Ukora mu kubuza ibimenyetso by’ububabare kugera mu bwonko bwawe. Uyu muti mu by’ukuri ni uruvange rwa acetaminophen na hydrocodone, umuti ugabanya ububabare wa opioid.

Uyu muti ushobora kugurishwa mu mazina atandukanye ku isoko nka `(Hycet)`, `(Liquicet)`, `(Lortab)`, `(Zamicet)`, `(Zolvit)`. Ariko ibi byose birimo ibintu bibiri bimwe. Abaganga bashobora no gukoresha uyu muti ku zindi ndwara. Niba ufite ikibazo kuri wo, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ibintu by'ingenzi ugomba kubwira muganga wawe mbere yo gufata uyu muti!

Mbere yo gutangira gukoresha uyu muti, ugomba kubwira muganga wawe cyangwa umuforomo amakuru akurikira, kuko izi ndwara zishobora guteza ibibazo mu gihe ukoresha uyu muti.

• Niba ufite ikibyimba cyo mu bwonko .
• Niba waratwawe n'ibiyobyabwenge, cyangwa wigeze kuba imbata yabyo .
• Niba warakomeretse umutwe cyane .
• Niba ufite indwara y'umutima .
• Niba uri umuntu ukunda kunywa inzoga .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba ufite imikorere mike y'uturemangingo tw'inkende .
• Niba ufite indwara y'ibihaha, asima, cyangwa ibibazo byo guhumeka .
• Niba ufite indwara yo gucika intege, nk'igicuri .
• Niba ufite ibibazo byo mu gifu cyangwa mu mara .
• Niba warakoresheje ubwoko bw'umuti wa `(MAOI - Monoamine Oxidase Inhibitor)` (urugero: `(Marplan)`, `(Nardil)`, `(Parnate)`) mu minsi 14 ishize .
• Ufite ubwivumbure kuri acetaminophen, hydrocodone, indi miti, ibiryo, amabara y'ubukorano, cyangwa imiti irinda ubushyuhe.Niba ufite ikibazo cy'ubwivumbure.
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Ni ingenzi cyane ku mutekano wawe kubwira muganga ibi bintu utamuhishe, urabyumva?

Ni gute neza neza nkoresha uyu muti?

Uyu muti ni amazi anyobwa. Ugomba kuwukoresha neza neza nk'uko byavuzwe ku rupapuro rwa muganga waguhaye.

• Igipimo gikwiye: Koresha ikiyiko cyabugenewe cyangwa igikombe kiri kumwe n'umuti kugira ngo ugipime. Ntugapime ukoresheje ibiyiko bisanzwe byo mu gikoni, kuko atari byo. Niba udafite igikoresho nk'icyo cyo gupimisha, saba farumasi ikigupimire.
• Uramutse uriye cyangwa udafite?: Uyu muti ushobora gufatwa mbere cyangwa nyuma yo kurya. Ariko, niba urwaye igifu, ni byiza kuwufata hamwe n'ibiryo.
• Igipimo: Ntukanywe ibirenze urugero rwanditswe na muganga cyangwa ngo unywe kenshi kuruta uko wanditswe.

Igihe cyose ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye ka "MedGuide". Wibuke kuwusoma witonze.

Mu gihe uha abana: Uyu muti ushobora guhabwa abana barengeje imyaka 2 mu bihe bimwe na bimwe byihariye. Ariko ugomba kubivuganaho na muganga wawe kandi ugakurikiza amabwiriza ye neza. Ni ikintu cyo kwitonda cyane.

Wakora iki iyo ufashe imiti myinshi cyane wibeshye?

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi kiri hafi yawe vuba. Ibi ni ingenzi cyane.

Icyitonderwa: Uyu muti wanditswe kuri wowe gusa. Ntugahe undi muntu uwo ari we wese uyu muti kubera impamvu iyo ari yo yose.

Wakora iki niba wabuze dose y'umuti?

Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Uyu muti ushobora kugira ingaruka ku bindi bintu, bityo rero bwira muganga wawe kimwe muri ibi bikurikira:

• Inzoga
• Imiti igabanya ubukana bwa virusi itera SIDA cyangwa SIDA
• Atropine
• Antihistamines ku ndwara z'ubwivumbure, inkorora n'ibicurane
• Amwe mu ma antibiyotike, urugero nka Erythromycin, Clarithromycin
• Imiti imwe n'imwe ivura guhangayika cyangwa gusinzira
• Imiti ivura ibibazo by'inkari, urugero: Oxybutynin, Tolterodine
• Imiti imwe n'imwe ivura indwara yo kwiheba, nka amitriptyline, fluoxetine, na sertraline
• Imiti imwe n'imwe ivura indwara z'ibihumyo, urugero nka Ketoconazole, Itraconazole
• Imiti imwe n'imwe ivura indwara ya Parkinson, urugero: Benztropine, Trihexyphenidyl
• Imiti ivura igicuri, nka Carbamazepine, Phenobarbital, Phenytoin, Primidone
• Imiti ivura ibibazo byo mu gifu, urugero nka Dicyclomine, Hyoscyamine
• Imiti ivura indwara yo kurakara, urugero nka Scopolamine
• Imiti igabanya ububabare, urugero: Halothane, Isoflurane, Methoxyflurane, Propofol
• Ipratropium
• Imiti igabanya ububabare mu gace runaka, urugero nka Lidocaine, Pramoxine, Tetracaine
• Imiti ya MAOI, urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate
• Imiti iruhura imitsi yo kubagwa
• Indi miti irimo acetaminophen
• Indi miti igabanya ububabare cyangwa inkorora
• Imiti yo mu bwoko bwa Phenothiazine, urugero: Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine
• Rifampine

Uru rutonde ntabwo rurambuye. Bwira muganga wawe imiti yose (itangwa ku giciro cya muganga, itangwa ku giciro cya muganga), ibyatsi, vitamine, n'inyongeramusaruro ufata. Bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Bimwe muri ibi bintu bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?

• Niba ububabare bwawe butarangiye: Niba ububabare bwawe butarangiye, cyangwa burushijeho kwiyongera, cyangwa niba ufite ubwoko bushya bw'ububabare, bwira muganga wawe. Nyuma yo gukoresha uyu muti igihe runaka, urugero wafataga rushobora kuba rudahagije kugira ngo ugabanye ububabare bwawe. Ibi byitwa kwihanganira . Ibi ni ibisanzwe, cyane cyane iyo ufashe uyu muti igihe kirekire.
• Imiti myinshi: Gufata imiti irenze imwe (opioid) icyarimwe bishobora kongera ingaruka mbi. Bwira muganga wawe imiti yose ufata. Muganga wawe azakubwira ingano yo gufata.Ntuzigere ufata imiti irenze iyo muganga wawe yagutegetse. Niba ugize ikibazo cyo guhumeka, hamagara inzego z'ubutabazi bwihuse.
• Ntureke gufata umuti mu buryo butunguranye: Ntureke gufata uyu muti mu buryo butunguranye. Kubikora bishobora gutera ingaruka zikomeye. Ibi biterwa nuko umubiri wawe wamenyereye umuti. Ibi ntibivuze ko wabaye imbata y'umuti. Ubusinzi ni imyitwarire yo gushaka no gukoresha umuti ku mpamvu zitari iza muganga. Niba ubabara, iyo ni impamvu y'ubuvuzi yo gufata umuti ugabanya ububabare. Muganga azakubwira ingano y'umuti ugomba gufata. Niba muganga ashaka ko ureka gufata umuti, azagabanya buhoro buhoro umuti kugira ngo wirinde ingaruka mbi.
• Menya Naloxone: Naloxone ni ubuvuzi bwihutirwa ku miti irenze urugero ya opioid. Iyi miti irenze urugero ishobora kubaho iyo ufashe opioid nyinshi cyangwa iyo ufashe opioid hamwe n'ibindi bintu, nka alcool. Menya ibimenyetso by'iyi miti irenze urugero (kugorwa no guhumeka, gusinzira cyane, kudakira). Menyesha umuryango wawe n'inshuti zawe aho Naloxone iherereye. Ubigishe uko bayikoresha. Ugomba guhamagara inzego zihutirwa nyuma yo gutanga Naloxone. Naloxone ni ubuvuzi bw'igihe gito gusa. Ushobora gukenera gutanga doze nyinshi.
• Indi miti irimo acetaminophen: Ntugafate indi miti (wandikiwe cyangwa utayihawe na muganga) irimo acetaminophen mu gihe ufata uyu muti. Imiti myinshi irimo acetaminophen. Bityo soma witonze ku byapa biri ku miti yose. Niba ufite ikibazo, baza muganga wawe cyangwa umufarumasiye.

Niba ufata acetaminophen nyinshi: Ibi nibibaho , shaka ubufasha bwa muganga vuba. Gufata acetaminophen nyinshi bishobora guteza akaga gakomeye kandi bigatera kwangirika k'umwijima. Nubwo nta bimenyetso ufite, ni ngombwa gushaka ubufasha ako kanya.

• Gusinzira/Kuzungera: Ushobora kumva usinziriye cyangwa uzungera. Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahaguruke cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu za bukuru. Ibi bishobora kugabanya ingaruka zo kuzungera no gucika intege. Inzoga zishobora kubangamira uburyo uyu muti ukora. Rero irinde kunywa inzoga.
• Kwihagarika: Uyu muti ushobora gutera impatwe. Niba udafite impatwe nyuma y'iminsi 3, hamagara muganga wawe.
• Umunwa wumye: Umunwa wawe ushobora kuba wumye. Guhekenya ishinya ridafite isukari, kunywa bombo zitarimo isukari, no kunywa amazi menshi bishobora gufasha. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira muganga wawe .

Ingaruka mbi zishobora guterwa n'uyu muti

Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.

Ingaruka mbi ugomba guhita umenyesha muganga wawe :

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe vuba bishoboka:

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Ihungabana ry'Imitsi yo mu Mutwe (CNS depression): Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• Gukomereka k'umwijima: Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, umunaniro udasanzwe cyangwa intege nke.
• Imikorere mibi y'uturemangingo tw'intanga ngabo: isesemi, kuruka, kubura ubushake bwo kurya, umunaniro udasanzwe cyangwa intege nke, isereri.
• Umuvuduko w'amaraso uri hasi: Kuzunguza, gucika intege, kutabona neza.
• Gutukura, uduheri, gukurura, cyangwa gukurura uruhu (bishobora no kugaragara mu kanwa).

Ingaruka mbi akenshi atari ikibazo gikomeye, ariko niba zikomeje, ugomba kubwira muganga wawe :

Ibi akenshi ni ibintu bidasaba inama za muganga. Ariko niba bikomeje cyangwa bikakubangamira, bwira muganga wawe .

• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Umutwe
• Isesemi
• Ikibazo cyo gusinzira
• Inda ibabaye
• Kuruka

Uru rutonde ntirukubiyemo ingaruka zose zishobora kubaho. Baza muganga wawe amakuru arambuye ku ngaruka mbi.

Uyu muti nawubika nte? Nawukuramo nte?

• Ubishyire ahantu hatekanye: Ubishyire kure y'abana n'amatungo. Uyu muti ushobora gukoreshwa nabi. Rero uwubike ahantu hatekanye kugira ngo uwurinde ubujura. Ntugasangire uyu muti n'undi muntu uwo ari we wese. Kugurisha cyangwa guha undi muntu uyu muti ni akaga kandi bitemewe n'amategeko.
• Ububiko: Bika ku bushyuhe bw'icyumba (dogere selisiyusi 20 kugeza 25 / dogere selisiyusi 68 kugeza 77).
• Gutabwa: Uyu muti ushobora guteza ingaruka mbi cyangwa urupfu mu gihe ufashwe ku bw'impanuka n'abandi bantu bakuru, abana, cyangwa amatungo. Kubwibyo , ni ngombwa cyane kuwuta vuba, waba utawukeneye cyangwa wararangiye. Hari uburyo bubiri bwo kubikora:

1. Jyana uyu muti muri gahunda yo gufata imiti. Baza farumasi yawe cyangwa inzego z'umutekano ibyerekeye ahantu nk'aho.

2. Niba udafite uburyo bwo gusubiza umuti, wusuke mu musarani .

Ubutumwa bwa nyuma bwo kujyana mu rugo

None se, twaganiriye cyane kuri uyu muti ugabanya ububabare witwa Acetaminophen na Hydrocodone Solution, si byo se? Reka dusubiremo bimwe mu bintu by'ingenzi tugomba kwibuka:

• Koresha neza nk'uko muganga wawe akubwira: fata igipimo gikwiye, mu gihe gikwiye. Ntugafate kinini cyane.
• Ntugahishe amakuru yawe y'ubuzima: Mbere yo gufata imiti, banza ubwire muganga wawe uko indwara yawe imeze n'indi miti ufata.
• Menya ingaruka mbi: Nubona ingaruka mbi zikomeye, bwira muganga wawe ako kanya.
• Icyitonderwa: Ntugafate indi miti irimo acetaminophen mu gihe ufata uyu muti. Soma neza ibyapa byanditseho.
• Gusinzira: Kubera ko gufata umuti bishobora gutera gusinzira, witondere igihe utwaye imodoka cyangwa urimo gukora indi mirimo isaba kuba maso.
• Nta nzoga zikoreshwa: Ntukanywe inzoga mu gihe ufata uyu muti.
• Bika neza kandi ujugunye neza: Bika kure y'abana. Shyira neza urangije. Ntugahe undi muntu uwo ari we wese uyu muti.

Iyi ni incamake gusa. Niba ufite ibindi bibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi wawe. Bashobora kugufasha kurushaho.

Acetaminophen , Hydrocodone, imiti igabanya ububabare, opioid, igabanya ububabare, imfashanyigisho y'imiti, ingaruka mbi, uburyo imiti ikoreshwa