Ngamanye amaxesha, xa unentlungu enzima engenakulawuleka ngeentlungu eziqhelekileyo, ugqirha wakho unokukunika i-painkiller ekhethekileyo. Eli yeza limanzi, eliyindibaniselwano yamayeza amabini abizwa ngokuba yi-Acetaminophen kunye ne-Codeine, lelinye lawo. Lidla ngokunikwa ukuba awukwazi ukunyamezela amanye amayeza e-painkiller okanye ukuba awayithomalalisi intlungu. Ngoko ke, namhlanje siza kuthetha ngeenkcukacha ezincinci kwaye ngokulula ngale yeza kunye nezinto ekufuneka uzilumkele xa ulisebenzisa.
Luhlobo luni lonyango olu?
Ngamafutshane, le yindibaniselwano yeentlobo ezimbini eziphambili zamayeza.
1. I-Acetaminophen: Isithomalalisi sentlungu esiqhelekileyo esisaziwa ngabaninzi bethu kumayeza afana ne-'Panadol', sinciphisa umkhuhlane kunye nentlungu.
2. I-Codeine: Le yipilisi enamandla yokubulala iintlungu ekwiklasi ye-opioid. Isebenza ngqo engqondweni, ithintele ukudluliselwa kwemiqondiso yentlungu.
Xa ezi zimbini zidityanisiwe, zibonelela ngolawulo olufanelekileyo kwiintlungu eziphakathi ukuya kwezinzima. Ekubeni eli yeza liza lisisombululo, kulula kakhulu ukulisebenzisa kwabo banengxaki yokuginya iipilisi.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuba ugqirha wakho abe nomfanekiso opheleleyo wempilo yakho. Ngoko ke, ngaphambi kokuba uqale eli yeza, qiniseka ukuba uxelele ugqirha wakho ukuba unenye yezi meko zilandelayo:
- Ukuba ukhe waba ne-allergy kwi-acetaminophen, i-codeine okanye ezinye ii-opioids, amanye amayeza, ukutya, iidayi okanye izithinteli.
- Ukuba usela rhoqo.
- Ukuba unesifo sesibindi okanye sezintso .
- Ukuba unesifo semiphunga, i-asthma, okanye ezinye iingxaki zokuphefumla .
- Ukuba unemeko efana nokwenzakala entloko, ithumba lobuchopho, okanye ukuxhuzula.
- Ukuba unembali yokulutha iziyobisi .
- Umsebenzi ophantsi we-adrenal gland.
- Ukuba uneengxaki zesisu okanye zamathumbu.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo.
- Ukuba ukhe wathatha i-MAOI (iMonoamine Oxidase Inhibitor) yokunciphisa uxinezeleko efana neMarplan, iNardil, okanye iParnate kwiintsuku ezili-14 ezidlulileyo.
Ngokusekelwe kolu lwazi, ugqirha wakho uya kugqiba ukuba eli yeza lifanelekile kuwe okanye ukuba kufuneka kutshintshwe idosi.
Ndingayisebenzisa njani le mithi?
Kufuneka ulumke kakhulu xa usebenzisa eli yeza.
- Linganisa ngokuchanekileyo:Ekubeni olu lululwelo, kufuneka ulinganise umlinganiselo ochanekileyo ochazwe ngugqirha wakho. Sebenzisa icephe okanye indebe ekhethekileyo eza namayeza oku. Musa ukusebenzisa iitisipuni okanye iitisipuni onazo ekhaya , kuba imilinganiselo yazo ayichanekanga.
- Yithathe xa usitya: Abanye abantu banokuba neengxaki zesisu xa bethatha eli yeza. Ukuba oku kuyenzeka, lithathe xa usitya okanye emva kokutya.
- Thatha kuphela ngexesha elimiselweyo: Musa ukuthatha ngaphezu koko ugqirha akuyaleleyo, kwaye ungasebenzisi amayeza ngaphambi kwexesha elimiselweyo.
Lumka kakhulu xa unika abantwana.
Eli yeza alifanelekanga ukusetyenziswa kubantwana abangaphantsi kweminyaka eli-12 ubudala. Kwakhona, musa ukunika eli yeza umntwana ongaphantsi kweminyaka eli-18 ubudala oye wenziwa utyando lokususa iitoni okanye ii-adenoids. Abantwana basengozini enkulu yokufumana iziphumo ebezingalindelekanga ezivela kweli yeza.
Ufanele wenze ntoni ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba unesikrokro sokuba usele kakhulu eli yeza, musa ukulithatha lula. Fowunela ngokukhawuleza iZiko loLwazi lweeTyhefu kwiSibhedlele sikaZwelonke saseColombo, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Eli yeza lelakho kuphela. Ungaze unike omnye umntu iyeza lakho.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
Eli yeza lisenokudibana namanye amayeza kwaye libangele iziphumo ebezingalindelekanga eziyingozi. Ngoko ke, kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
Ngokukodwa, ungaze uthathe eli yeza kunye namayeza alandelayo:
- I-Linezolid
- I-MAOIs (umz. Marplan, Nardil, Parnate)
- I-Methylene eluhlaza okwesibhakabhaka
- U-Ozanimod
- I-Samidorphan
Kwakhona, nceda wazise ugqirha wakho ukuba usebenzisa la mayeza alandelayo, kuba anokubangela iingxaki:
- Utywala
- Ii-Antihistamines (amayeza omkhuhlane, ukukhwehlela, kunye ne-allergies)
- Amayeza okudakumba, ixhala, okanye ukulala
- Amayeza okulwa nokuxhuzula (umz. i-carbamazepine, i-phenytoin)
- Ii-antifungal (umz. i-ketoconazole)
- Amanye amayeza okubulala iintsholongwane (umz. i-erythromycin)
- Iziphumzi zemisipha
- Nasiphi na esinye isithomalalisi sentlungu esine-acetaminophen (i-paracetamol).
Olu luhlu aluphelelanga, ngoko ke xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe xa usebenzisa amayeza
Kuthekani ukuba intlungu ayipheli?
Xa usela eli yeza ixesha elide, umzimba wakho unokuliqhela. Oku sikubiza ngokuba 'kukunyamezela'. Oku kuthetha ukuba idosi obuyisebenzisa ukunciphisa iintlungu isenokunganeli. Oku kuqhelekile. Ukuba oku kuyenzeka, ukuba iintlungu zakho azinciphi okanye azinyuki, musa ukunyusa idosi ngokwakho kwaye uthethe nogqirha wakho.
Umlutha kunye nokuqhelana nomzimba
Abantu abaninzi bayoyika ukuba likhoboka lamayeza anamandla kangaka okudambisa iintlungu. Nangona kunjalo, kukho izinto ezimbini ezibizwa ngokuba kukuxhomekeka emzimbeni kunye nokuba likhoboka. Xa usela amayeza ngesizathu sezonyango ezifana neentlungu, umzimba wakho uyawaqhela ngokuhamba kwexesha. Asikuko ukuba likhoboka. Ungaze uyeke ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela iimpawu zokurhoxa. Xa kufuneka uyeke ukuthatha amayeza, ugqirha wakho uya kunciphisa kancinci idosi aze akuxelele indlela yokuyeka.
Lumka ngamanye amayeza e-Acetaminophen.
Oku kubaluleke kakhulu. Eli yeza sele line-Acetaminophen. Ngoko ke ngelixa ulisebenzisa, musa ukulisebenzisa elinye iyeza eline-Acetaminophen (i-paracetamol). Uninzi lweyeza lomkhuhlane kunye nele-painkillers ezithengiswa ngaphandle kwekhawuntara zinokuba nazo. Funda ilebheli ngononophelo. Ukusela i-Acetaminophen kakhulu kunokubangela umonakalo omkhulu kwisibindi.
Ukozela kunye nesiyezi
Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba likuchaphazela njani. Ingakumbi ukuba sele ukhulile, musa ukuvuka ngequbuliso uhleli phantsi.
Ukuqhinwa kunye nomlomo owomileyo
Isiphumo esiqhelekileyo sale mithi kukuqunjelwa. Ukuba awuphumi esiswini emva kweentsuku ezi-3, xelela ugqirha wakho. Kwakhona, ukuba umlomo wakho uziva womile, sela amanzi amaninzi kwaye uhlafune itshungama engenaswekile.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
| Udidi lweziphumo ebezingalindelekanga | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukozela kakhulu, ukungabikho zingqondweni, ukudideka. |
| Ukulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle enombala okhanyayo, umchamo otyheli okanye omdaka omnyama, kunye nokutyheli kwamehlo okanye ulusu. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Ukudumba okanye ukuxobuka kwesikhumba | Ubomvu, amadyungudyungu, ulusu oluxobukayo (nangaphakathi emlonyeni). |
| Oku kuqhelekile, kodwa xelela ugqirha wakho ukuba kuyaqhubeka okanye kuyakhathaza. | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ukuqhinwa, isiyezi, ukozela, umlomo owomileyo, isicaphucaphu okanye ukuhlanza, isisu esibuhlungu, ukungalali. |
Umyalezo Wokuya Ekhaya
- Sela idosi kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ungaze uyitshintshe ngokwakho idosi.
- Eli yeza lelakho kuphela. Musa ukulinika abanye abantu nangasiphi na isizathu. Alisemthethweni kwaye liyingozi kakhulu.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela zonyango, iivithamini, kunye namayeza esintu owasebenzisayo.
- Xa usebenzisa eli yeza, musa ukuthatha amanye amayeza ane-Acetaminophen (paracetamol).
- Kuphephe ukuyeka amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Kuphephe ukuqhuba nokwenza imisebenzi efuna ingqalelo, kuba usenokuba nobuthongo.
- Gcina amayeza kwindawo ekhuselekileyo, kude nabantwana nezilwanyana zasekhaya.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni i-Acetaminophen kunye ne-Codeine (Acetaminophen; Codeine / Tylenol 3/4)?
Umxube onamandla kakhulu 'wamayeza amabini axutywe kunye' onika isiqabu ngokukhawuleza kwiintlungu eziphakathi ukuya kwezinzima (umz. emva kokukhutshwa kwezinyo/emva kotyando) olungasuswa yiPanadol eqhelekileyo (Acetaminophen/Paracetamol). I-'Codeine' ekule nto liyeza elinamandla (i-Opioid) elivela kwiqela leMorphine! Ke ngoko, alinakuthengwa kwikhemesti ngaphandle kokuba libhalwe ngugqirha.
💬 Ungazithomalalisa njani iintlungu eziqatha ngokudibanisa la mayeza mabini (i-Acetaminophen + i-Codeine)?
Ihlasela iintlungu ezivela kumacala omabini! 1. I-Acetaminophen - Oku kunciphisa iintlungu kunye neekhemikhali ezibangela umkhuhlane (i-COX / i-Prostaglandins) engqondweni kwaye kuthintele iintlungu ngokubanzi. 2. I-Codeine - Emva kokusela oku, isibindi siyiguqula ibe yi-'Morphine' enamandla. Emva koko iya ngqo engqondweni ize ivale onke amasango alawula iintlungu (ii-Mu-opioid receptors) apho, inika ingqondo 'intuthuzelo/uvuyo' olungeyonyani.
💬 Ingaba eli yeza (iCodeine) liyayibangela umlutha? Yeyiphi ingozi eyingozi kakhulu (Isilumkiso seBlack Box)?
Ewe! Le yipilisi yokunciphisa iintlungu ebangela umlutha kakhulu! Enye ingozi ebulalayo kakhulu 'kukudandatheka kokuphefumla'. Ukuba le pilisi ithathwa kunye neepilisi zotywala/zokulala, okanye inikwe abantwana, inokubangela umonakalo engqondweni, iyeke ukuphefumla ngokupheleleyo, kwaye ikhokelele ekufeni (iCodeine ayivumelekanga kwaphela kubantwana abancinci). Enye into kukuba i-Acetaminophen (iParacetamol) iphezulu kakhulu kwaye kukho ithuba eliyi-100% lokungasebenzi kakuhle kwesibindi!
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