Uma izinhlungu zobuhlungu ezivamile ezitholakala ngaphandle kwemithi zinganele ukuphatha ubuhlungu obuphakathi kuya kobunzima, udokotela wakho angase akunike umuthi okhethekile. Lo muthi owuketshezi uhlanganisa i-Acetaminophen ne-Codeine. Ngokuvamile ugcinwa ezimweni lapho eminye imithi yobuhlungu ingasebenzi noma ingenakubekezelelwa. Kwa-Nirogi Lanka, sifuna ukuqinisekisa ukuthi uyawuqonda lo muthi, ukuthi ungawusebenzisa kanjani ngokuphephile, nokuthi yiziphi izinyathelo zokuphepha okudingeka uzithathe.
Uyini lo muthi?
Kalula nje, lokhu kuyinhlanganisela yezithako ezimbili ezisebenzayo ezihlukile:
1. I-Acetaminophen: Umuthi ovamile wokudambisa ubuhlungu kanye nowokulwa nokuvuvukala okungenzeka ukuthi uyawubona njengomuthi ojwayelekile wokwelapha umkhuhlane kanye nobuhlungu obuncane.
2. I-Codeine: Umuthi onamandla wokudambisa ubuhlungu we-opioid. Isebenza ngqo ohlelweni lwezinzwa oluphakathi ukuze ivimbele izimpawu zobuhlungu, izivimbele ekufinyeleleni ebuchosheni.
Ndawonye, zinikeza impumuzo ephumelelayo ebuhlungwini obuphakathi kuya kobunzima. Ngenxa yokuthi inikezwa njengesixazululo esiwuketshezi, iwusizo kakhulu uma unenkinga yokugwinya amaphilisi.
Ulwazi olubalulekile kudokotela wakho
Kubalulekile ukuthi udokotela wakho abe nesithombe esiphelele ngesimo sakho sempilo. Ngaphambi kokuqala lo muthi, kufanele udalule ukuthi unanoma yiziphi izimo noma izinkinga zempilo ezilandelayo. Ukunikeza lolu lwazi kuqinisekisa ukuphepha kwakho.
- Uma une- allergy ebangelwa yi-acetaminophen, i-codeine, eminye imithi ye-opioid, noma eminye imithi, ukudla, amadayi, noma izithasiselo.
- Uma uphuza utshwala njalo.
- Uma unezinkinga zesibindi noma zezinso.
- Uma unesifo samaphaphu, i-asthma, noma ezinye izinkinga zokuphefumula.
- Uma unomlando wokulimala ekhanda, izimila zobuchopho, noma ukuxhuzula.
- Uma unomlando wokusebenzisa kabi izidakamizwa.
- Uma unomsebenzi ophansi we-adrenal gland.
- Uma unenkinga yesisu noma yamathumbu.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma uncelisa.
- Uma uke wathatha umuthi wokucindezeleka i -MAOI (Monoamine Oxidase Inhibitor) (njengeMarplan, Nardil, noma iParnate) ezinsukwini ezingu-14 ezedlule.
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi lo muthi ukufanele yini noma ukuthi umthamo wakho udinga ukulungiswa.
Kufanele uwusebenzise kanjani lo muthi?
Kubalulekile ukulandela inqubo eqinile lapho uthatha lo muthi.
- Kala ngokucophelela: Njengoba lokhu kuwuketshezi, kufanele ulinganise ngokunembile umthamo obekwe udokotela wakho. Sebenzisa isipuni noma inkomishi ekhethekile enikezwe nomuthi. Ungasebenzisi izipuni noma izipuni zasekhaya , njengoba kungezona amathuluzi okulinganisa anembile.
- Yithathe kanye nokudla: Abanye abantu bazizwa bengakhululekile esiswini ngalo muthi. Uma lokhu kwenzeka kuwe, yithathe kanye nokudla noma ngemva kokudla.
- Landela isimiso: Ungathathi ngaphezu komthamo onqunyiwe noma uwusebenzise kaningi kunalokho udokotela wakho akuyalele.
Izinyathelo zokuphepha ezikhethekile zezingane
Lo muthi awufanele izingane ezingaphansi kweminyaka eyi-12 ubudala. Ngaphezu kwalokho, unganiki lo muthi kunoma yimuphi umntwana ongaphansi kweminyaka eyi-18 ubudala osanda kuhlinzwa ukuze kususwe ama-tonsils noma ama-adenoids. Izingane zisengozini enkulu yokuthola imiphumela emibi kakhulu.
Okufanele ukwenze uma kwenzeka ukudlula ngokweqile
Uma usola ukuthi usuthathe lo muthi omningi kakhulu, ungawuthathi kalula. Shayela ngokushesha i-National Poison Information Centre noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze nawe (ETU). Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
Ukusebenzisana Kwezidakamizwa
Ukuthatha lo muthi nezinye izinto kungaholela ekusebenzelaneni okuyingozi. Kumelwe wazise udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo zamakhambi.
Ngokuqondile, ungalokothi uthathe lo muthi nalokhu okulandelayo:
- I-Linezolid
- I-MAOIs (isb, i-Marplan, i-Nardil, i-Parnate)
- I-Methylene eluhlaza okwesibhakabhaka
- U-Ozanimod
- I-Samidorphan
Ngaphezu kwalokho, yazisa udokotela wakho uma uthatha noma yikuphi kwalokhu okulandelayo, njengoba kungase kube nokuxhumana:
- Utshwala
- Imithi yomkhuhlane, ukukhwehlela, noma yokungezwani komzimba (ama-antihistamine)
- Imithi yokukhathazeka, ukucindezeleka, noma usizo lokulala
- Imithi yokuqunjelwa (isib. i-carbamazepine, i-phenytoin)
- Ama-antifungal (isb., i-ketoconazole)
- Ama-antibiotic athile (isb., i-erythromycin)
- Iziphumuli zemisipha
- Noma yimuphi omunye umuthi wokuqeda izinhlungu oqukethe i-Acetaminophen (i-Paracetamol).
Lolu hlu aluphelele. Yazisa udokotela wakho njalo ngayo yonke imithi oyisebenzisayo.
Izinto Ezibalulekile Okufanele Uzicabangele
Kuthiwani uma ubuhlungu bakho buqhubeka?
Ngokuhamba kwesikhathi, umzimba wakho ungase uzizwe ukhululekile kulo muthi, okusho ukuthi umthamo wangaphambilini ungase ungasasebenzi kahle. Lokhu kuvamile. Uma ubuhlungu bakho bungehli noma buqala ukuba bubi, ungawunyusi umthamo wena; xhumana nodokotela wakho esikhundleni salokho.
Umlutha vs. Ukuthembela Emzimbeni
Iziguli eziningi zikhathazeka ngokulutha imithi enamandla yokuqeda ubuhlungu. Kodwa-ke, ukuthembela ngokomzimba kuhlukile ekuluthekeni. Lapho uphatha ubuhlungu bezokwelapha, umzimba uyazivumelanisa ngokwemvelo nemithi. Lokhu akufani nokulutha. Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho , njengoba kungabangela izimpawu zokuhoxa. Udokotela wakho uzokusiza ukuthi unciphise ngokuphephile umuthi uma isikhathi sivuma.
Qaphela eminye imithombo ye-Acetaminophen
Lokhu kubalulekile: Njengoba lo muthi usuvele uqukethe i-Acetaminophen, ungathathi eminye imikhiqizo equkethe i-Acetaminophen (i-Paracetamol). Imithi eminingi yomkhuhlane neyomkhuhlane ethengiswa ngaphandle kwemithi kadokotela noma imithi yokunciphisa izinhlungu inawo. Funda njalo amalebula. Ukudla i-Acetaminophen ngokweqile kungabangela ukulimala okukhulu kwesibindi.
Ukozela kanye nesiyezi
Lo muthi ungabangela ukozela noma isiyezi. Ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Uma ungumuntu omdala, gwema ukusukuma ngokushesha kakhulu uhleli noma ulele.
Ukuqunjelwa kanye nomlomo owomile
Ukuqunjelwa kuyimiphumela emibi evamile yalo muthi. Uma ungazange uphume isisu ezinsukwini ezintathu, xhumana nodokotela wakho. Uma uzwa umlomo owomile, hlala unamanzi anele futhi uhlafune ushungamu ongenashukela.
Imiphumela Engase Ibe Khona
| Isigaba | Izimpawu |
|---|---|
| Funa Ukunakekelwa Kwezokwelapha Okusheshayo | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, noma ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. |
| Ukucindezeleka kwe-CNS | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela okukhulu, ukuzizwa uphelelwe amandla, noma ukudideka. |
| Ukulimala Kwesibindi | Ubuhlungu besisu esingenhla kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle ekhanyayo, umchamo omnyama, noma ukuphuzi kwesikhumba/amehlo (i-jaundice). |
| Umfutho Wegazi Ophansi | Isiyezi, ikhanda elikhanyayo, noma ukubona okufiphele. |
| Ukusabela Kwesikhumba | Ubomvu, amaqhubu, noma isikhumba esixebukayo (kufaka phakathi nangaphakathi komlomo). |
| Imiphumela Evamile Engemihle (Yazisa udokotela wakho uma iqhubeka noma iba yinkinga) | |
| Izinkinga Ezivamile | Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, isicanucanu/ukuhlanza, ukungakhululeki esiswini, noma ukungakwazi ukulala. |
Iseluleko Esibalulekile Sokuthatha Uhambe Naso Ekhaya
- Thatha lo muthi njengoba nje uyalelwe udokotela wakho waseNirogi Lanka. Ungalungisi umthamo ngokwakho.
- Lo muthi ungowakho kuphela. Ukuwabelana nabanye akuphephile futhi akuvumelekile ngokomthetho.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, noma izithasiselo zamakhambi ozithathayo.
- Gwema ukuthatha noma yimiphi eminye imikhiqizo equkethe i-Acetaminophen ngenkathi usebenzisa lo muthi.
- Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho.
- Ngenxa yokuthi lo muthi ungabangela ukozela, gwema ukushayela noma ukusebenzisa imishini esindayo uze wazi ukuthi kukuthinta kanjani.
- Gcina lo muthi endaweni ephephile, kude nezingane nezilwane ezifuywayo.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Zisetshenziselwani i-Acetaminophen ne-Codeine (Tylenol 3/4)?
Lona umuthi onamandla ohlanganisiwe onikezwa ubuhlungu obuphakathi kuya kobunzima i-acetaminophen ejwayelekile (i-paracetamol) engakwazi ukuyilawula, njengokululama ngemva kokuhlinzwa noma ukukhishwa kwamazinyo. Uhlanganisa imithi emibili ibe umthamo owodwa onamandla. Ngenxa yokuthi iqukethe i-Codeine—i-opioid emndenini ofanayo wamakhemikhali njenge-morphine—ilawulwa kakhulu futhi idinga ngokuqinile umuthi kadokotela ovela eNirogi Lanka noma kumhlinzeki wakho wezempilo.
💬 Le nhlanganisela (i-Acetaminophen + Codeine) ibuphatha kanjani ubuhlungu obukhulu ngempumelelo?
Ihlasela ubuhlungu ngezindlela ezimbili ezahlukene: 1. I-Acetaminophen isebenza ngokunciphisa ukukhiqizwa komzimba kwamakhemikhali (ama-prostaglandins) abonisa ubuhlungu nomkhuhlane ebuchosheni bakho. 2. I-Codeine iguqulwa yisibindi sakho ibe yi-morphine, bese ibopha kuma-mu-opioid receptors ebuchosheni bakho. Lokhu kuvimbela ngempumelelo izimpawu zobuhlungu futhi kunikeze umuzwa wenjabulo noma impumuzo ukukusiza ukuphatha ukungakhululeki okukhulu.
💬 Ingabe lo muthi uyalutha, futhi yiziphi izixwayiso zokuphepha eziyinhloko (Isexwayiso Sebhokisi Elimnyama)?
Yebo, lo muthi uyalutha kakhulu. Ingozi enkulu yokuphepha ukucindezeleka kokuphefumula, okusho ukuthi kunganciphisa noma kumise ukuphefumula kwakho ngendlela eyingozi. Ukuhlanganisa lokhu notshwala noma imithi yokudambisa ukuphefumula, noma ukukunikeza izingane (okungavunyelwe ngokuphelele), kungaba yingozi. Ngaphezu kwalokho, ukudlula umthamo onconywayo we-acetaminophen kungabangela ukwehluleka kwesibindi okungenakuguqulwa futhi okusongela impilo. Uma ubhekene nobunzima bokuphefumula, funa usizo oluphuthumayo noma ushayele u-911 ngokushesha.
