Masifunde ngale mithi ikhethekileyo yentloko? (Butalbital; Acetaminophen; Caffeine; Codeine)

Molo! Ngaba ngamanye amaxesha ukhe ube nentloko ebuhlungu evakala ngathi intloko yakho icinezelwa ngaphakathi, okanye ngathi ibhanti ibotshelelwe entlokweni yakho? Oku sikubiza ngokuba yintloko ebuhlungu . Ngamanye amaxesha kunokuba nzima ukuyinyamezela. Ngoko ke, xa iintlungu eziqhelekileyo zinganiki ncedo, oogqirha basebenzisa iyeza elikhethekileyo kwezi ntlobo zentloko ebuhlungu. Namhlanje siza kuthetha ngelinye lamayeza anjalo, eliyi-capsule eyenziwe ngokudibanisa izithako ezine: `(Butalbital)`, `(Acetaminophen)`, `(Caffeine)` kunye `(Codeine)`.

Yintoni le yeza? Ngamafutshane...

Eli yeza (iButalbital; iAcetaminophen; iCaffeine; iCodeine) lisetyenziselwa ukunciphisa iintloko ezibuhlungu kakhulu, ingakumbi iintloko ezibuhlungu ezixineneyo . Kodwa khumbula, eli asiloyeza lokuthintela iintloko ezibuhlungu. Linikwa kuphela ukuba ezinye iintlungu zentlungu azisebenzanga.

Eli yeza linezithako ezine eziphambili:

• `(Butalbital)` (Butalbital): Le yiklasi yeziyobisi ze`(Barbiturate). Ngamafutshane, ikunceda ucoce ingqondo yakho kwaye ikuphumze.
• `(Acetaminophen)` (Acetaminophen): Le, njengoko mhlawumbi usazi, sisithomalalisi sentlungu kunye nesithomalalisi somkhuhlane.
• I-Caffeine: I-Caffeine iphucula iipropati zokunciphisa iintlungu ze-acetaminophen. Ikwanceda ekunciphiseni ukozela okubangelwa yi-butylbarbital kunye ne-codeine.
• I-Codeine: Le yi-opioid class ye-painkillers. Isebenza ngokunciphisa imiqondiso yentlungu engqondweni.

Eli yeza lisenokuba phantsi kwamagama eempawu ezifana nelithi ``Fioricet eneCodeine'', kodwa igama leyeza elinikwa ngugqirha wakho libalulekile. Ngamanye amaxesha eli yeza lingasetyenziselwa ezinye izinto, ngoko buza ugqirha wakho okanye ikhemisti ngalo.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza?

Ngaphambi kokuba uqale ukusebenzisa eli yeza, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:

• Ukuba unesifo somhlaza ebuchosheni.
• Ukuba usela rhoqo.
• Ukuba uneenzakele entloko.
• Ukuba unesifo sentliziyo.
• Ukuba unesifo sesibindi.
• Ukuba unengxaki yokuphefumla efana nesifo semiphunga okanye i-asthma.
• Ukuba ukhe waxhuzula ngaphambili.
• Ukuba uneengxaki zesisu okanye zamathumbu.
• Ukuba unengxaki yokusebenzisa iziyobisi.
• Ukuba ukhe wathatha iyeza kwiqela le-`(MAOI)` (umz. `(Marplan)`, `(Nardil)`, `(Parnate)`) kwiintsuku ezili-14 ezidlulileyo.
• Ukuba une-aleji kwi-acetaminophen, i-butylbutyral, i-caffeine, i-codeine, okanye amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu ukuxelela ugqirha wakho ngezi zinto ngaphandle kokuzifihla, kuba kulapho kuphela apho unokunyangelwa khona ngokukhuselekileyo.

Ndingayisebenzisa njani le yeza?

• Eli yeza lifanele lithathwe ngomlomo neglasi yamanzi.
• Sela amayeza owanikwe ngugqirha wakho kanye njengoko etshilo kwileyibhile kagqirha, ngomlinganiselo ochanekileyo nangexesha elichanekileyo . Musa ukuwasela amaxesha amaninzi okanye ngaphezulu kunokuba ugqirha wakho ekuxelela.
• Xa ufumana eli yeza kwikhemesti, uza kunikwa incwadana yemiyalelo ekhethekileyo ethi ``(MedGuide)` `. Lifunde ngononophelo ngalo lonke ixesha ufumana eli yeza, naxa ufumana ukuphinda ulizalise. Liqulethe ulwazi olubalulekileyo.
• Malunga nokunika abantwana eli yeza:
• Akukhuthazwa ukunika eli yeza abantwana abangaphantsi kweminyaka eli-12 ubudala.
• Musa ukunika eli yeza umntwana ongaphantsi kweminyaka eli-18 ubudala oye wenziwa utyando lokususa iitoni okanye ii-adenoids.
• Ngokubanzi, thetha nogqirha wakho ngononophelo uze ufumane iingcebiso malunga nokunika abantwana eli yeza.
• Abantu abangaphezu kweminyaka engama-65 ubudala: Eli yeza linokuba luncedo ngakumbi kuwe. Ngoko ke idosi ephantsi ingakufanelekela.
• Ukugqithisa amayeza: Ukuba ucinga ukuba uwasele kakhulu la mayeza, fowunela iziko lolawulo lwetyhefu okanye igumbi likaxakeka elikufutshane ngoko nangoko.

Okubaluleke kakhulu: Eli yeza lelakho wedwa. Ungaze ulinike omnye umntu. Liyingozi.

Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?

Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Kodwa ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Oku kubaluleke kakhulu. Xa usela eli yeza, musa ukulisebenzisa kwaphela eli yeza lilandelayo :

• `(Elbasvir; grazoprevir)`
• `(I-Linezolid)`
• `(MAOIs)` (umz. `(Carbex)`, `(Eldepryl)`, `(Marplan)`, `(Nardil)`, `(Parnate)`)
• `(I-Methylene eluhlaza okwesibhakabhaka)`
• `(Nifedipine)`
• `(I-Praziquantel)`
• `(Ranolazine)`
• `(I-sodium oxybate)`
• `(Voriconazole)`

Kwakhona, kukho inani lamanye amayeza anokusebenzisana nalo mayeza . Oko kukuthi, anokuchaphazela indlela eli chiza elisebenza ngayo okanye anyuse iziphumo zalo. Nazi imizekelo embalwa:

• Utywala okanye nantoni na equlethe utywala.
• Ezinye iintlobo ze-"Antihistamines" zinikwa iintloko ezibuhlungu, ukukhwehlela, kunye nomkhuhlane.
• Amayeza okulwa nentsholongwane anikwa `(HIV)` okanye `(AIDS).`
• Amayeza afana ne-`(Atropine)`.
• Ezinye iintlobo zee-antibiotics, umzekelo `(Erythromycin)`, `(Clarithromycin)`.
• Amayeza okunyanga ixhala okanye ubuthongo.
• Amayeza eengxaki zesinyi (umz. i-oxybutynin, i-tolterodine).
• Amayeza okudakumba (umz. i-amitriptyline, i-fluoxetine, i-sertraline).
• Amayeza osulelo lwefungus (umz., i-ketoconazole, i-itraconazole).
• Amayeza anikwa ukunyanga ukubetha kwentliziyo okungahambelaniyo (umz. i-amiodarone, i-quinidine).
• Amanye amayeza okunyanga iintloko ezibuhlungu (umz., i-almotriptan, i-eletriptan, i-sumatriptan).
• Amayeza esifo sikaParkinson (umz., i-benztropine, i-trihexyphenidyl).
• Amayeza okulwa nokuxhuzula (umz. i-carbamazepine, i-phenobarbital, i-phenytoin).
• Amayeza okuthintela isisu (umz. i-dicyclomine, i-hyoscyamine).
• Amayeza asetyenziselwa ukuthintela isicaphucaphu xa useluhambeni (umz., `(scopolamine)`).
• `(Ii-Diuretics)` (amayeza asusa amanzi emzimbeni).
• Ii-anesthetics eziqhelekileyo (umz., i-halothane, i-propofol).
• Ijusi yegrapefruit.
• `(Ipratropium)`.
• Ii-anesthetics zasekuhlaleni (umz. i-lidocaine).
• Iziphumzi zemisipha zotyando.
• Ezinye izinto ezithomalalisa iintlungu okanye ezinciphisa umkhuhlane ezine-acetaminophen.
• Amanye amayeza ohlobo lwe-`(Opioid)` eentlungu okanye ukukhwehlela.
• `(IiPhenothiazines)` (umz. `(i-chlorpromazine)`).
• `(I-Rifampin)`.

Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (umyalelo kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, izongezo zesondlo - yonke into). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokudibana nalo mayeza.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa amayeza?

Kufuneka unikele ingqalelo ekhethekileyo kwezi zinto zilandelayo xa usebenzisa eli yeza:

Ukuba intlungu ayipheli...

Ukuba intlungu yakho ayipheli, ukuba iba mandundu, okanye ukuba unentlungu entsha, xelela ugqirha wakho. Ngamanye amaxesha umzimba wakho unokuqhelana nale yeza (`(Ukunyamezelana)`). Oku kuthetha ukuba ungadinga idosi ephezulu kunaleyo ubuyithatha ngaphambili ukuze ufumane isiqabu esifanayo sentlungu. Oku kuqhelekile ukuba uthatha eli yeza ixesha elide.

Kuthekani ukuba ndithatha iintlobo ezahlukeneyo zeepilisi zokuthomalalisa iintlungu ngaxeshanye?

Kukho iintlobo ngeentlobo zamayeza entlungu. Ukuba uthatha ezininzi zezi ntlobo ngaxeshanye, iziphumo ebezingalindelekanga zinokwanda. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo. Ugqirha wakho uza kukuxelela ukuba mawuthathe malini. Ungaze uthathe amayeza angaphezu kwalawo ugqirha wakho akuxelele wona. Ukuba unengxaki yokuphefumla, fowunela iinkonzo zongxamiseko ngoko nangoko.

Musa ukuyeka ukuthatha iyeza ngequbuliso!

Akufanele uyeke ukuthatha eli yeza ngequbuliso. Ukwenza njalo kunokubangela impendulo enzima yokurhoxa. Oku kungenxa yokuba umzimba wakho sele uqhelene neyeza. Oku akuthethi ukuba ulikhoboka lalo. Ukulutha kukusebenzisa iyeza ngesizathu esingesosezonyango. Ukuba uneentlungu, eso sisizathu sezonyango sokuthatha i-painkiller. Ugqirha wakho kufuneka akuxelele ukuba uthatha amayeza angakanani kwaye nini na ukuyeka. Ukuba ugqirha wakho ufuna uyeke ukuthatha eli yeza, uya kunciphisa kancinci kancinci idosi. Oku kuya kunciphisa iziphumo ebezingalindelekanga.

Masiqaphele i-'Naloxone'

I-Naloxone lunyango olungxamisekileyo lokusebenzisa i-opioid ngokugqithisileyo (i-codeine nayo yi-opioid). Ukugqithisa kunokwenzeka xa i-opioid ithathwa ngobuninzi okanye xa ithathwa nezinye iziyobisi, ezifana notywala. Iimpawu zokugqithisa ziquka ubunzima bokuphefumla, ukudinwa kakhulu okanye ukozela, okanye ukungaphenduli ekuthetheni okanye ukungakwazi ukuvuka. Ukuba uphethe i-Naloxone, xelela usapho lwakho kunye nabantu obathandayo ukuba ikuphi, indlela yokuyisebenzisa, kunye nendlela yokuyisebenzisa. Emva kokusebenzisa i-Naloxone, umntu oyinike yona kufuneka atsalele iinkonzo zongxamiseko. I-Naloxone lunyango lwexeshana. Kusenokufuneka iphinde inikwe.

Kufuneka ulumke kakhulu xa unika abantwana eli yeza.

Abantwana basengozini enkulu yokufumana iziphumo ebezingalindelekanga ezivela kweli yeza. Ukuba umntwana wakho uphefumla kancinci, esenza ingxolo ngelixa ephefumla, ubonakala edidekile, okanye elele ngendlela engaqhelekanga, yeka ukunika eli yeza ngoko nangoko kwaye utsalele iinkonzo zongxamiseko.

Musa ukuyisebenzisa kunye namanye amayeza aqulethe `(Acetaminophen)`!

Eli yeza liqulathe `(Acetaminophen)`. Ngoko ke, musa ukuthatha naliphi na elinye iyeza eliqulathe `(Acetaminophen)` (umz. iParacetamol) kunye neli yeza. Amayeza amaninzi afumaneka kwikhemesti anokuba ne `(Acetaminophen). Ngoko ke, soloko ufunda ilebheli ngononophelo. Ukuba unemibuzo, buza ugqirha wakho okanye ikhemesti.

Ukusela kakhulu i-`(Acetaminophen)` kuyingozi kakhulu. Kunokubangela umonakalo kwisibindi. Ukuba ucinga ukuba usele kakhulu, nokuba awunazo iimpawu, funa ingcebiso kagqirha ngokukhawuleza.

Ukuqhuba nokusebenzisa oomatshini

Eli yeza linokunciphisa ulungelelwaniso lwakho, ixesha lokuphendula, okanye ukugweba. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Hlala phantsi ume kancinci ukuze unciphise isiyezi kunye nokuba buhlungu. Ukusela eli yeza kunye notywala kunokunyusa ezi ziphumo ebezingalindelekanga.

Ezinye iziphumo: ukuqhina, umlomo owomileyo

• Eli yeza linokubangela ukuqhina . Ukuba awuphumi esiswini emva kweentsuku ezi-3, xelela ugqirha wakho .
• Umlomo wakho womile.Ewe. Ukuhlafuna itshungama engenaswekile, ukufunxa iilekese ezingenaswekile, kunye nokusela amanzi amaninzi kunokunceda. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, xelela ugqirha wakho .

Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?

Njengazo zonke amayeza, le inokuba nemiphumo emibi. Eminye iyingozi, eminye iqhelekile.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu , kufuneka uxelele ugqirha wakho ngoko nangoko :

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukudakumba kwenkqubo yemithambo-luvo ephakathi (CNS depression): Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphaphile.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kolusu okanye amehlo, ubuthathaka okanye ukudinwa okungaqhelekanga.
• Ukusebenza okuphantsi kwe-adrenal gland: Ukucaphuka, ukuhlanza, ukuphelelwa ngumdla wokutya, ubuthathaka okanye ukudinwa okungaqhelekanga, isiyezi.
• Uxinzelelo lwegazi oluphantsi: Ukuba nesiyezi, ukuquleka, ukubona izinto ezingaqondakaliyo.
• Ubomvu, ukudumba, kunye nokuxobuka kolusu nako kunokwenzeka ngaphakathi emlonyeni.

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

Ezi ziziphumo ebezingalindelekanga ezihlala zingadingi nyango. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho :

• Ukuqhinwa
• Isiyezi
• Ukozela
• Umlomo owomileyo
• Isicaphucaphu
• Intlungu yesisu
• Ukuhlanza

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Buza ugqirha wakho ngolwazi oluthe kratya malunga neziphumo ebezingalindelekanga. Ungaxela neziphumo ebezingalindelekanga kwi-FDA (eSri Lanka, ungazixela kwiSebe lezeMpilo ngogqirha wakho).

Ufanele uwagcine njani amayeza akho?

• Gcina kude nokufikelela ebantwaneni. Eli yeza lingasetyenziswa gwenxa (lingasetyenziswa gwenxa). Ngoko ke, ligcine kwindawo ekhuselekileyo ukuze ulikhusele ekubiweni.
• Ungaze unike omnye umntu eli yeza. Ukuthengisa okanye ukunika omnye umntu eli yeza kuyingozi kakhulu kwaye kuchasene nomthetho.
• Eli yeza linokubangela ukuba umntu asebenzise amayeza ngokugqithisileyo ngengozi aze afe nokuba lisetyenziswe ngomnye umntu omdala, umntwana, okanye isilwanyana sasekhaya. Ukuba unayo nayiphi na iyeza ongasetyenziswanga, yixube nenkunkuma yekati okanye ikofu, uyifake kwibhegi evalwe kakuhle okanye kwitini yekofu enesiciko, uze uyilahle.
• Musa ukusebenzisa amayeza aphelelwe lixesha.
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius / 59 kunye ne-86 degrees Fahrenheit).

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, nazi izinto eziphambili ekufuneka uzikhumbule koko sithethe ngako:

• Thatha eli yeza kanye njengoko ugqirha eliyalele, ngokwemilinganiselo emiselweyo, nangexesha elimiselweyo .
• Xelela ugqirha wakho ngazo naziphi na ezinye izifo onazo kunye nazo zonke ezinye amayeza owasebenzisayo (athengiswa ngaphandle kwemvume kagqirha, emveli, iivithamini, yonke into).
• Qaphela iziphumo ebezingalindelekanga xa usebenzisa eli yeza. Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu, xelela ugqirha wakho ngoko nangoko.
• Musa ukuyisebenzisa kunye neminye imithi equlethe `(i-Acetaminophen)`. Ukugqithisa umthamo kunokubangela umonakalo kwisibindi.
• Gcina eli yeza ngokukhuselekileyo kude nabantwana.
• Ungaze wabelane ngamayeza akho nomnye umntu.
• Kuphephe ukuthatha eli yeza kunye notywala.
• Musa ukuyeka amayeza ngequbuliso, yehlisa umthamo kancinci kancinci ngokwemiyalelo kagqirha wakho.

Le ncwadana sisishwankathelo kuphela. Isenokungabi nalo lonke ulwazi. Ukuba unemibuzo engaphezulu malunga nale yeza, nceda ubuze ugqirha wakho, ikhemisti okanye umboneleli wezempilo. Sikunqwenelela impilo entle!

I- Butalbital, i-Acetaminophen, i-Caffeine, i-Codeine, iintlungu zentlungu, intloko ebuhlungu, intloko ebuhlungu yoxinzelelo, amayeza, iziphumo ebezingalindelekanga, amayeza, i-codeine