Dzimwe nguva, kana uine marwadzo akanyanya asingagone kudzorwa nemishonga yenguva dzose inoderedza marwadzo, chiremba wako anogona kukupa mushonga wekuderedza marwadzo. Mushonga uyu wemvura, unosanganisa mishonga miviri inonzi Acetaminophen neCodeine, ndeimwe yacho. Unowanzo kunyorerwa kana usingakwanise kutsungirira mimwe mishonga inoderedza marwadzo kana kuti isingaderedzi marwadzo. Saka, nhasi tichataura zvakadzama nezvemushonga uyu nezvinhu zvaunofanira kungwarira paunenge uchiushandisa.
Mushonga werudzii uyu?
Zvichitaurwa zviri nyore, uyu musanganiswa wemhando mbiri huru dzemishonga.
1. Acetaminophen: Mushonga unowanzo shandiswa nevakawanda vedu mukurapa marwadzo watinoziva kubva mumishonga yakaita se'Panadol', unoderedza fivha nekurwadziwa.
2. Codeine: Uyu mushonga une simba wekuderedza marwadzo uri muboka reopioid. Unoshanda zvakananga pauropi, uchivharira kutapurirana kwezviratidzo zvekurwadziwa.
Kana izvi zviviri zvikabatanidzwa, zvinopa simba rakanaka pakurwadziwa kuri pakati nepakati kusvika kwakanyanya. Sezvo mushonga uyu uchiuya semushonga, zviri nyore kushandisa kune avo vanonetseka nekumedza mapiritsi.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakakosha kuti chiremba wako ave neruzivo rwakakwana rwehutano hwako. Saka, usati watanga mushonga uyu, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Kana wakambova neallergy ye acetaminophen, codeine kana mamwe ma opioid, mimwe mishonga, chikafu, madhayi kana zvinochengetedza.
- Kana uri munhu anonwa doro nguva dzose.
- Kana uine chirwere chechiropa kana cheitsvo .
- Kana uine chirwere chemapapu, asthma, kana mamwe matambudziko ekufema .
- Kana uine chirwere chakadai sekukuvara mumusoro, bundu muuropi, kana pfari.
- Kana wakambopindwa muropa nezvinodhaka .
- Kushanda kweadrenal gland kwakaderera.
- Kana uine matambudziko emudumbu kana ura.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vari kuyamwisa.
- Kana wakambotora mushonga weMAOI (Monoamine Oxidase Inhibitor) unoderedza kushushikana wakaita seMarplan, Nardil, kana Parnate mumazuva gumi nemana apfuura.
Zvichibva paruzivo urwu, chiremba wako achasarudza kana mushonga uyu wakakunakira iwe kana kuti kana muyero wacho uchifanirwa kuchinjwa.
Ndinofanira kushandisa mushonga uyu sei?
Unofanira kungwarira zvikuru pakushandisa mushonga uyu.
- Chiyera nemazvo:Sezvo iri mvura, unofanira kuyera mwero chaiwo wakanyorerwa nachiremba wako. Shandisa chipunu kana kapu chaiyo inouya nemushonga weizvi. Usashandise zvipunu kana zvipunu zvaunazvo kumba , sezvo zviyero zvazvo zvisiri zvechokwadi.
- Tora mushonga uyu panguva yekudya: Vamwe vanhu vanogona kurwadziwa mudumbu pavanenge vachitora mushonga uyu. Kana izvi zvikaitika, tora mushonga wacho panguva yekudya kana mushure mekudya.
- Tora mushonga panguva yakatarwa chete: Usatore mushonga unopfuura wakanyorwa nachiremba, kana kutora mushonga usati wasvika nguva yakatarwa.
Chenjererai zvikuru pakupa vana.
Mushonga uyu haukodzeri kushandiswa kuvana vari pasi pemakore gumi nemaviri ekuberekwa. Uyewo, musapa mushonga uyu kumwana ari pasi pemakore gumi nemasere akavhiyiwa kubvisa matonsi kana adenoids. Vana vari panjodzi huru yekukanganiswa nemishonga iyi.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa? (Kunyanya kushandisa mushonga)
Kana muine fungidziro yekuti makatora mushonga uyu wakawandisa, musautore sewere. Fonerai National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Mushonga uyu ndewako chete. Musambopa mumwe munhu mushonga wenyu.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Mushonga uyu unogona kukanganisana nemimwe mishonga uye kukonzera migumisiro yakaipa. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
Zvikuru, usambofa watora mushonga uyu nemishonga inotevera:
- Linezolid
- MAOIs (e.g. Marplan, Nardil, Parnate)
- Bhuruu reMethylene
- Ozanimod
- Samidorphan
Uyewo, ndapota zivisai chiremba wenyu kana muri kutora mishonga inotevera, sezvo inogona kukonzera matambudziko:
- Doro
- Mishonga inorwisa mabhakitiriya (mishonga yedzihwa, kukosora, uye allergies)
- Mishonga yekuora mwoyo, kuzvidya mwoyo, kana kurara
- Mishonga inorwisa pfari (semuenzaniso carbamazepine, phenytoin)
- Mishonga inorwisa fungus (semuenzaniso ketoconazole)
- Mamwe maantibiotic (semuenzaniso erythromycin)
- Zvinozorodza tsandanyama
- Chero mimwe mishonga inoderedza marwadzo ine acetaminophen (paracetamol).
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese yauri kutora.
Zvinhu zvakakosha zvekufunga nezvazvo kana uchitora mushonga
Ko kana marwadzo akasapera?
Kana ukatora mushonga uyu kwenguva yakareba, muviri wako unogona kuujaira. Tinoti izvi 'kushivirira'. Izvi zvinoreva kuti mushonga wawaimbotora kuderedza marwadzo ungasakwana. Izvi zvakajairika. Kana izvi zvikaitika, kana marwadzo ako asingaderedzi kana kuwedzera, usawedzera mushonga iwe pachako uye taura nachiremba wako.
Kupindwa muropa uye tsika yemuviri
Vanhu vazhinji vanotya kupindwa muropa nemishonga ine simba yakadai yekurwadziwa kwemuviri. Zvisinei, pane zvinhu zviviri zvinonzi physical dependence uye kupindwa muropa. Paunotora mushonga wekurapa senge kurwadziwa, muviri wako unojaira nekufamba kwenguva. Hazvisi kupindwa muropa. Usamborega kutora mushonga kamwe kamwe usina zano rachiremba wako. Kuita izvi kunogona kukonzera zviratidzo zvekurega. Kana uchida kurega kutora mushonga, chiremba wako anoderedza dose zvishoma nezvishoma uye anokuudza kuti ungarega sei.
Chenjerera nemimwe mishonga yeAcetaminophen.
Izvi zvakakosha zvikuru. Mushonga uyu watova neAcetaminophen. Saka paunenge uchitora uyu, usatore mimwe mishonga ine Acetaminophen (paracetamol). Mishonga yakawanda inotorwa nevanorapa dzihwa uye vanonyaradza marwadzo inogona kunge iine izvi. Verenga zviri papepa racho nokungwarira. Kutora Acetaminophen yakawandisa kunogona kukonzera kukuvara kwechiropa zvakanyanya.
Kurara nedzungu
Mushonga uyu unogona kuita kuti unzwe hope kana dzungu. Saka, usatyaira kana kushandisa michina kusvika waziva kuti zvinokubata sei. Kunyanya kana wakwegura, usamuka kamwe kamwe kubva panzvimbo yawakagara.
Kuzvimba uye muromo wakaoma
Chimwe chinowanzoitika mushure memushonga uyu kuvimbiwa. Kana usina kubuda tsvina mushure memazuva matatu, udza chiremba wako. Uyewo, kana muromo wako uchinzwa wakaoma, inwa mvura yakawanda uye tsenga chingamu chisina shuga.
Migumisiro inogona kuitika nekuda kwemishonga
| Chikamu chemigumisiro yakaipa | Hunhu |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kuoma kufema, hope dzakanyanya, kusaziva, kuvhiringidzika. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kushaya chido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero kana yero, uye maziso kana ganda richitsvuka. |
| Kuderera kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Kubuda kwemapundu kana kukwenya ganda | Kutsvuka, matumbu, ganda riri kusvuuka (kunyangwe mukati memuromo). |
| Izvi zvakajairika, asi udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. | |
| Migumisiro yakajairika | Kuzvimba, dzungu, hope, muromo wakaoma, kuda kurutsa kana kurutsa, dumbu rakavhiringika, kushaya hope. |
Mharidzo Yekuenda Nayo Kumba
- Inwa mushonga wacho sezvawakarairwa nachiremba wako, panguva chaiyo. Usambofa wakachinja mushonga wacho wega.
- Mushonga uyu ndewako chete. Usaupe vamwe chero chikonzero chipi zvacho. Hazvibvumirwi nemutemo uye zvine njodzi zvikuru.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, nemishonga yechivanhu yauri kutora.
- Paunenge uchitora mushonga uyu, usatore mimwe mishonga ine Acetaminophen (paracetamol).
- Dzivisai kurega mushonga kamwe kamwe musina kurairwa nachiremba.
- Dzivisa kutyaira mota uye kuita mabasa anoda kutarisirwa, sezvo hope dzingangoitika.
- Chengeta mushonga uyu panzvimbo yakachengeteka, kure nevana nezvipfuyo.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Acetaminophen neCodeine (Acetaminophen; Codeine / Tylenol 3/4)?
Musanganiswa wakasimba kwazvo we'mishonga miviri yakasanganiswa' unopa zororo nekukurumidza kubva pakurwadziwa kuri pakati nepakati kusvika kwakanyanya (semuenzaniso mushure mekubviswa kwezino/mushure mekuvhiyiwa) usingarerutsirwe nePanadol yenguva dzose (Acetaminophen/Paracetamol). 'Codeine' iri mumushonga une simba (Opioid) kubva kuboka reMorphine! Saka, haugone kutengwa kubva kupharmacy kunze kwekunge wanyoreswa nachiremba.
💬 Ungaderedza sei kurwadziwa kwakanyanya nekushandisa mishonga iyi miviri (Acetaminophen + Codeine)?
Inorwisa marwadzo kubva kumativi ese! 1. Acetaminophen - Izvi zvinoderedza marwadzo uye makemikari anokonzera fivha (COX / Prostaglandins) muuropi uye zvinomisa marwadzo ese. 2. Codeine - Mushure mekunwa iyi, chiropa chinoichinja kuita 'Morphine' ine simba. Inobva yaenda zvakananga kuuropi uye inovhara magedhi ese anodzora marwadzo (Mu-opioid receptors) ipapo, zvichiita kuti uropi huve 'nyaradzo/mufaro' wenhema.
💬 Mushonga uyu (Codeine) unopindwa muropa here? Ndeipi njodzi ine njodzi huru (Black Box Yambiro)?
Ehe! Uyu mushonga unorwisa marwadzo zvakanyanya! Imwe njodzi inouraya zvikuru ndeye 'Respiratory depression'. Kana piritsi iri rikatorwa nemapiritsi edoro/ekurara, kana kupihwa vana, rinogona kukonzera kukuvara kweuropi, kumira kufema zvachose, uye kutungamira kurufu (Codeine haibvumidzwe zvachose kuvana vadiki). Chimwe chinhu ndechekuti Acetaminophen (Paracetamol) yakakwira zvakanyanya uye pane mukana we100% wekutadza kushanda kwechiropa!
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