Ingabe kuyingozi ukunikeza ingane yakho i-paracetamol eningi kakhulu? (Ubuthi be-Acetaminophen) Ake sithole ukuthi kuyini ngempela lokhu!

Uma ingane yakho inomkhuhlane noma ubuhlungu bomzimba, sivame ukuyinika i-paracetamol, akunjalo? Kungakhathaliseki ukuthi uya kudokotela noma uthenga umuthi ekhemisi, uzohlala uthola le paracetamol. Eqinisweni, uma inikezwa ngendlela efanele, iphephile futhi inenzuzo. Kodwa-ke, bewazi ukuthi ngezinye izikhathi, ngenxa yokungazi noma iphutha elincane, uma ingane ithola i-paracetamol eningi kakhulu, ingadala inkinga enkulu? Yilokho esikubiza ngokuthi `(Acetaminophen Toxicity)` noma ubuthi be-paracetamol.

Iyini le "Acetaminophen Toxicity"?

Kalula nje, i-paracetamol umuthi odokotela abawunika izingane ezincane ukuze banciphise umkhuhlane futhi banciphise ubuhlungu. Kungenzeka ukuthi uke wezwa ngawo ngokuthi "i-Tylenol®". Uphephile kakhulu uma unikezwa ngesilinganiso esifanele. Odokotela bakhetha ukunikeza i-paracetamol esikhundleni se-aspirin, ngoba i-aspirin ingabangela isimo esingavamile kodwa esiyingozi esibizwa ngokuthi "i-Reye's syndrome" kwezinye izingane (esingathinta ubuchopho nesibindi sengane).

Kodwa-ke, uma noma ubani, ikakhulukazi ingane encane, ethatha okungaphezu kwesilinganiso esinconywayo se-paracetamol, yilapho inkinga iqala khona. Okusho ukuthi, ubuthi be-paracetamol (i-Acetaminophen Toxicity) bungenzeka. Lesi yisimo esiyingozi ngempela . Uyazi ukuthi kwenzekani? Isibindi sethu yisona esihlunga le mithi futhi sisuse izinto eziyingozi emzimbeni. Ngakho-ke, uma uthatha i-paracetamol eningi kakhulu ngesikhathi esisodwa, isibindi asikwazi ukubhekana nayo. Uma ingane ithatha i-paracetamol eningi kakhulu (noma uma ithatha isikhathi eside), ubuthi buqala ukuqongelela emzimbeni. Lokhu kubuthi kungabangela ukuhlanza, ukulimala kwesibindi, ngisho nokufa . Ngakho-ke, uma kwenzeka into efana nale, kubaluleke kakhulu ukuthatha isinyathelo ngokushesha.

Ungazi kanjani kahle umthamo ofanele we-paracetamol (Tylenol) okufanele uwunike ingane encane?

Lona umbuzo obaluleke kakhulu. Isilinganiso esinikezwa ingane ngayinye asifani. Kuncike ezintweni eziningana:

• Isisindo somntwana kanye nobudala bakhe: Lena yinto ebaluleke kakhulu.
• Indlela yokunikeza i-paracetamol: Okusho ukuthi, njengoketshezi, njengephilisi, noma njengephilisi elincibilikayo.
• Eminye imithi ingane eyisebenzisayo ngaleso sikhathi: I-Paracetamol ingase ingahambisani neminye imithi, noma umthamo ungadinga ukushintshwa.

Ngakho-ke, wena nodokotela wengane yakho nizonquma ndawonye umthamo oqondile we-paracetamol okufanele niwunike ingane yakho.

Okubalulekile: Khumbula, eminye imithi oyinika ingane yakho, ikakhulukazi imithi yomkhuhlane ethengiswa ngaphandle kwemithi kadokotela, ingase ibe ne-paracetamol. Ngakho-ke, qiniseka ukuthi ufunda ilebula elisephaketheni lomuthi womkhuhlane noma we-sinus ukuze ubone ukuthi iqukethe i-paracetamol engakanani.

Njalo uma unikeza ingane yakho i-paracetamol, kuwumqondo omuhle ukubhala phansi umthamo nesikhathi endaweni ethile.

Kuvame kangakanani lokhu kushelwa kwe-paracetamol?

Eqinisweni, ukweqisa i-paracetamol kanye nobuthi kuvame kakhulu kunalokho ongakucabanga. Noma ubani angathola imiphumela emibi ngokuthatha i-paracetamol eningi kakhulu. Ezweni elifana ne-United States, kulinganiselwa ukuthi abantu ababalelwa ku-50,000 ngonyaka baya egumbini lezimo eziphuthumayo benezinkinga ezibangelwa ukuthatha i-paracetamol eningi kakhulu. Lobu buthi be-paracetamol buyimbangela enkulu yokulimala kwesibindi (i-hepatotoxicity).

Abanye abantu basengozini enkulu yokulimala kwesibindi kunabanye. Isibonelo, izinsana nezingane ezincane esezinesifo sesibindi, noma ezine-hepatitis A, B, noma C, kungenzeka kakhulu ukuthi zibe nezimpawu ezinkulu uma ziphuza i-paracetamol eningi kakhulu. Isibindi sazo sinenkinga yokususa umuthi kahle, okungaholela ekuhlulekeni kwesibindi.

Yiziphi izimbangela zobuthi be-paracetamol ezinganeni ezincane?

Kalula nje, isibindi sengane yakho sisebenza njengesihlungi somzimba. Sihlanza imithi futhi sisuse ubuthi emzimbeni. Kodwa-ke, uma isibindi sengane yakho kufanele sihlanze imithi eminingi ngesikhathi esisodwa, noma uma kufanele sihlanze imithi njalo isikhathi eside, isibindi singayeka ukusebenza. Ubuthi be-paracetamol bungabangela ingane yakho ukuthi:

• Uma uthatha umthamo ongaphezu kobekiwe, noma uma uthatha imithamo eminingana ilandelana isondelene kakhulu.
• Uma uthatha umthamo onqunyiwe ngokuqhubekayo izinsuku eziningana zilandelana.

Ziyini izimpawu zobuthi be-paracetamol ezinganeni ezincane?

Ngisho noma uphuza i-paracetamol eningi kakhulu, izimpawu zingase zingaqali ngokushesha. Kungathatha amahora angama-24 ukuthi noma yiziphi izimpawu zinyamalale. Ngakho-ke, kubaluleke kakhulu ukukhumbula ukuthi wayinika nini ingane yakho i-paracetamol nokuthi wayinika kanjani (kungakhathaliseki ukuthi kwakuyi-liquid, ithebhulethi, noma i-capsule/tablet ekhishwa isikhathi).

Ezinye izimpawu zobuthi be-paracetamol yilezi:

• Ukucanuzela nokuhlanza njalo.
• Ukuzwa ubuhlungu ohlangothini lwesokudla lwesisu, ngaphansi kwezimbambo .
• Ukudla akunambitheki .
• Ukuzizwa ukhathele ngaso sonke isikhathi (ukukhathala).
• Umchamo omnyama, mhlawumbe onegazi , noma ukwehla kwenani noma ukuvama kokuchama.
• Ukudideka, ukozela, kanye nokulahlekelwa ukwazi .
• Ukuphuzi kwesikhumba namehlo (sikubiza ngokuthi i-jaundice).
• Ubunzima bokuphefumula .
• Umbono ofiphele .

Uma ingane yakho inesinye noma ngaphezulu salezi zimpawu, futhi usola ukuthi kungenzeka ukuthi iphuze i-paracetamol eningi kakhulu, shayela u-911 ngokushesha, noma uyise ingane yakho emnyangweni wezimo eziphuthumayo esibhedlela esiseduze. Noma, shayela i-Poison Control Center yangakini. ESri Lanka, ungashayela i-Poison Information Center kahulumeni.

Yiziphi izinkinga ezingaba khona ngenxa yobuthi be-paracetamol?

Ukweqisa i-paracetamol kuyisimo esiphuthumayo esisongela impilo. Uma ukweqisa kungelashwa ngokushesha, okulandelayo kungenzeka:

• Ukulimala okukhulu kwesibindi kanye nokwehluleka kwesibindi .
• Ukwehluleka kwezinso .
• I-pancreatitis (ukuvuvukala kwe-pancreas).
• Ngisho nokufa kungenzeka.

Odokotela banquma kanjani ukuthi ingane inobuthi be-paracetamol?

Udokotela uzohlola ingane yakho futhi akubuze imibuzo mayelana nanoma yimiphi imithi osanda kuyithatha. Isibonelo:

• Uthathe malini?
• Cishe isikhathi osithathe ngaso?
• Uhlobo luni lomuthi oluthathiwe? (Njengoketshezi, iphilisi, noma uhlobo oluncibilika emanzini).

Ukuze kuqinisekiswe ukuthi ingane yakho ayiphuzanga i-paracetamol eningi kakhulu, ingane yakho izokwenza ukuhlolwa kwegazi okuningana. Lokhu kuhlolwa kwegazi kuzohlola:

• Amazinga e- paracetamol egazini lengane.
• Umsebenzi wesibindi , okungukuthi, ukuthi isibindi sisebenza kahle kangakanani.

Yiziphi izindlela zokwelapha ubuthi be-paracetamol?

Ukwelashwa kuncike ekutheni sekuphele isikhathi esingakanani kusukela ingane yakho ithathe umthamo ongalungile. Kuye ngokuthi kwenzeke nini ukudlula umthamo, ukwelashwa kungafaka:

• Ukumpompa isisu sabo / Ukuhlanza isisu: Uma ingane iza ukuzokwelashwa kungakapheli imizuzu engama-30 ngemva kokuthatha umuthi, odokotela bazozama ukususa umuthi esiswini sengane. Lokhu kwenziwa ngokufaka ipayipi emlonyeni bese ugeza isisu. Lokhu kuphumelela kuphela uma ingane iza ukuzokwelashwa ngokushesha ngemva kokuthatha umuthi.
• Amalahle Asebenzayo: Kungakapheli amahora amane ethathe umuthi, odokotela banganika ingane yakho amalahle asebenzayo (impuphu exutshwe noketshezi). Lokhu kubangela ukuthi amakhemikhali anobuthi asemgudwini wokugaya ukudla kwengane yakho anamathele kumalahle, okuwavumela ukuthi adlule emathunjini futhi aphume emzimbeni ngaphandle kokumuncwa.
• I-N-acetylcysteine ​​​​(NAC): Lona umuthi oyinhloko ongavimbela ukulimala kwesibindi ngenxa yokudlula ngokweqile kwe-paracetamol. Kodwa-ke, awukwazi ukubuyisela emuva ukulimala kwesibindi osekwenzekile. Udokotela wakho angakunika lo muthi ngomlomo noma nge-intravenous (IV). Usebenza kahle kakhulu uma unikezwa zingakapheli amahora ayisishiyagalombili ngemuva kokudlula ngokweqile kwe-paracetamol. I-N-acetylcysteine ​​​​(NAC) ingabangela isicanucanu nokuhlanza. Ingane yakho kungadingeka ithathe imithamo eminingana ye-NAC esikhathini esingamahora angaba ngu-72. Umthamo unqunywa amazinga e-paracetamol egazini lengane.
• Ukufakelwa kwesibindi:Uma umonakalo wesibindi umkhulu, ingane ingadinga ukufakelwa isibindi. Udokotela uzokuchazela imininingwane.

Sinjani isimo sempilo sezingane ezifakwe ubuthi nge-paracetamol?

Ukubikezela kuncike ekutheni ingane ithathe i-paracetamol engakanani nokuthi isheshe kangakanani ukwelashwa. Izingane ezithola ukwelashwa okusheshayo ngenxa yobuthi be-paracetamol zinamathuba amaningi okululama ngaphandle kwezinkinga zempilo zesikhathi eside, njengokulimala kwesibindi.

Ungakuvimbela kanjani ubuthi be-paracetamol ezinganeni?

Ukuze ugweme izingozi zokunikeza i-paracetamol eningi kakhulu, landela umthamo onqunyiwe kahle. Khuluma nodokotela wakho ngesilinganiso esifanele sesisindo nobudala bengane yakho. Unganiki imithi engaphezu kowodwa equkethe i-paracetamol ngesikhathi esisodwa.

Nazi ezinye izindlela zokuvimbela ubuthi be-paracetamol:

• Gcina imithi kude nezingane. Gcina imithi kude nezingane. Gcina izivalo ezingangenwa izingane zivaliwe njalo.
• Funda amalebula. Unganiki ngaphezu komthamo onqunyiwe. Amanye ama-brand e-paracetamol angase abe namazinga ahlukene. Ngakho-ke funda ilebula ebhodleleni ngalinye ngokucophelela. Uma unemibuzo mayelana nokuthi kufanele unikeze malini, buza udokotela wakho.
• Gwema ukuthatha umthamo ophindwe kabili . Imithi eminingi (njengemithi ebandayo) iqukethe i-paracetamol exutshwe neminye imithi. Funda ilebula ukuze ubone ukuthi umuthi usuvele unayo yini i-paracetamol.
• Landela imiyalelo kadokotela wakho. Unganiki ingane yakho i-paracetamol isikhathi eside kunalokho okunconywa udokotela. Ungashiyi isikhathi esiningi phakathi kwemithamo, futhi njalo ulandele imiyalelo yemithamo efanele. Uma unikeza umuthi owuketshezi, sebenzisa idivayisi yokulinganisa enikezwe ephaketheni ukuze ulinganise umthamo oqondile.
• Bhala phansi ulwazi lomthamo. Gcina irekhodi lesikhathi umuthi onikezwe ngaso kanye nenani elinikeziwe.
• Kala umuthi endaweni ekhanyiswe kahle. Ungawunikezi umuthi egumbini elimnyama. Uma wenza kanjalo, cishe uzonikeza umthamo ongalungile.

Kufanele ukhulume nini nodokotela mayelana nobuthi be-paracetamol?

Ubuthi be-paracetamol buyisimo esiphuthumayo esisongela impilo. Uma ucabanga ukuthi ingane yakho iphuze i-paracetamol ngokweqile, kufanele ushayele u-911 ngokushesha (eSri Lanka, inombolo ephuthumayo efana no-1990), uye egumbini lezimo eziphuthumayo, noma ushayele isikhungo sokulawula ubuthi ngokushesha.

Odokotela babheka iTylenol njengomuthi ophephile nosebenzayo wengane yakho wokuqeda ubuhlungu nokunciphisa umkhuhlane uma unikezwa ngokwemiyalelo esephaketheni. Kodwa-ke, ngenxa yokuthi iTylenol itholakala emithini eminingi, ungase unike ingane yakho okuningi kakhulu ngaphandle kokuqaphela. Lokhu kungaba yingozi. Ukuthatha iTylenol eningi kakhulu kungabangela ukulimala kwesibindi ngisho nokufa. Uma ucabanga ukuthi ingane yakho iphuze iTylenol eningi kakhulu, ngisho nangephutha, funa iseluleko sezokwelapha ngokushesha. Ingane yakho ingase ingabi nazimpawu, kodwa kubalulekile ukuthola usizo noma kunjalo.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Ngakho-ke, yize i-paracetamol ingumuthi ovamile esiwusebenzisela umkhuhlane nobuhlungu, kubaluleke kakhulu ukuyisebenzisa ngendlela efanele nangokucophelela. Ikakhulukazi uma uyinika izingane ezincane, khumbula ukuyinika kuphela ngomthamo onqunyiwe, ngesikhathi esinqunyiwe, kanye nenani elinqunyiwe lezinsuku njengoba kunqunywe udokotela. Hlola futhi ukuthi eminye imithi iqukethe i-paracetamol.

Uma usola kancane ukuthi ingane yakho iphuze i-paracetamol eningi kakhulu, ungangabazi ukuyisa ingane yakho esibhedlela esiseduze ngokushesha. Ngoba ukwelashwa okusheshayo kungasindisa impilo yengane futhi kuvimbele ukulimala okwengeziwe esibindini.

Sonke sifisa ukuthi ingane yakho ibe nempilo futhi ijabule!

I- Paracetamol, i-acetaminophen, impilo yengane, ubuthi bezidakamizwa, isibindi, umthamo, ukuphepha