Ake sifunde ngalo muthi okhethekile wekhanda? (Butalbital; Acetaminophen; Caffeine; Codeine)

Sawubona! Ingabe ngezinye izikhathi uphathwa yikhanda elizwakala sengathi ikhanda lakho liyacindezelwa ngaphakathi, noma sengathi ibhande liyaqiniswa ekhanda lakho? Lokhu sikubiza ngokuthi ikhanda elibuhlungu lokucindezeleka . Kungaba nzima ukubekezelela ngezinye izikhathi. Ngakho-ke, lapho izinhlungu ezivamile zinganikezi impumuzo, odokotela basebenzisa umuthi okhethekile walezi zinhlobo zekhanda elibuhlungu. Namuhla sizokhuluma ngomuthi owodwa onjalo, okungukuthi i-capsule eyenziwe ngokuhlanganisa izithako ezine: `(Butalbital)`, `(Acetaminophen)`, `(Caffeine)` kanye `(Codeine)`.

Uyini lomuthi? Kalula nje...

Lo muthi (i-Butalbital; i-Acetaminophen; i-Caffeine; i-Codeine) usetshenziselwa ukuqeda izinhlungu zekhanda ezinzima, ikakhulukazi izinhlungu zekhanda ezihambisana nokucindezeleka . Kodwa khumbula, lokhu akuwona umuthi wokuvimbela i-migraines. Unikezwa kuphela uma ezinye izinhlungu zekhanda zingasebenzi.

Lo muthi unezithako ezine eziyinhloko:

• `(Butalbital)` (Butalbital): Lokhu kungokwesigaba semithi `(Barbiturate)`. Kalula nje, kuyasiza ekuhlanzeni ikhanda lakho futhi kukuphumuze.
• `(Acetaminophen)` (Acetaminophen): Lokhu, njengoba kungenzeka uyazi, kunciphisa izinhlungu nomkhuhlane.
• I-Caffeine: I-Caffeine ithuthukisa izakhiwo zokuqeda ubuhlungu ze-acetaminophen. Iphinde isize ekunciphiseni ukozela okubangelwa yi-butylbarbital kanye ne-codeine.
• I-Codeine: Lokhu kungokwesigaba sama-opioid sama-painkiller. Kusebenza ngokunciphisa izimpawu zobuhlungu ebuchosheni.

Lo muthi ungase ube ngaphansi kwamagama omkhiqizo anjenge-"Fioricet ene-Codeine", kodwa igama lomuthi udokotela wakho akunika lona libalulekile. Ngezinye izikhathi lo muthi ungasetshenziswa kwezinye izinto, ngakho buza udokotela wakho noma usokhemisi ngawo.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha imithi?

Ngaphambi kokuba uqale ukusebenzisa lo muthi, kufanele utshele udokotela wakho uma unezinye zalezi ezilandelayo:

• Uma unesimila sobuchopho.
• Uma uphuza njalo.
• Uma ulimale ekhanda.
• Uma unesifo senhliziyo.
• Uma unesifo sesibindi.
• Uma unezinkinga zokuphefumula njengesifo samaphaphu noma i-asthma.
• Uma uke waba nesifo sokuwa ngaphambili.
• Uma unezinkinga zesisu noma zamathumbu.
• Uma unenkinga yokusebenzisa izidakamizwa.
• Uma uke wathatha umuthi eqenjini le-`(MAOI)` (isb. `(Marplan)`, `(Nardil)`, `(Parnate)`) ezinsukwini eziyi-14 ezedlule.
• Uma une-allergy ku-acetaminophen, i-butylbutyral, i-caffeine, i-codeine, noma eminye imithi, ukudla, amadayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Kubaluleke kakhulu ukutshela udokotela wakho ngalezi zinto ngaphandle kokuzifihla, ngoba yilapho kuphela lapho ungelashwa khona ngokuphephile.

Ngingawusebenzisa kanjani lo muthi?

• Lomuthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi.
• Thatha umuthi udokotela wakho awunikeza njengoba nje kusho kulebula kadokotela, ngenani eliqondile nangesikhathi esiqondile . Ungathathi kaningi noma kaningi kunalokho udokotela wakho akutshele khona.
• Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile ethi ``(MedGuide)` `. Yifunde ngokucophelela njalo uma uthola umuthi, nalapho uthola ukugcwalisa kabusha. Iqukethe ulwazi olubalulekile.
• Mayelana nokunikeza izingane lo muthi:
• Akukhuthazwa ukunikeza lo muthi ezinganeni ezingaphansi kweminyaka eyi-12 ubudala.
• Unganiki lo muthi ingane engaphansi kweminyaka eyi-18 ubudala eye yahlinzwa ukuze kususwe ama-tonsils noma ama-adenoids.
• Ngokuvamile, khuluma nodokotela wakho ngokucophelela bese uthola iseluleko mayelana nokunikeza lo muthi ezinganeni.
• Abantu abaneminyaka engaphezu kwengu-65 ubudala: Lo muthi ungase usebenze kangcono kuwe. Ngakho-ke umthamo ophansi ungase ufaneleke kuwe.
• Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo eliseduze ngokushesha.

Okubaluleke kakhulu: Lo muthi ungowakho wedwa. Ungalokothi uwunike omunye umuntu. Uyingozi.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Lokhu kubaluleke kakhulu. Uma uthatha lo muthi, ungayithathi nhlobo imithi elandelayo :

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

Futhi, kuneminye imithi eminingi engasebenzisana nalo muthi . Okusho ukuthi, ingathinta indlela lo muthi osebenza ngayo noma yandise imiphumela yawo emibi. Nazi izibonelo ezimbalwa:

• Utshwala noma yini equkethe utshwala.
• Ezinye izinhlobo "ze-Antihistamine" zinikezwa ngenxa yekhanda elibuhlungu, ukukhwehlela, kanye nomkhuhlane.
• Imithi yokulwa namagciwane enikezwa `(HIV)` noma `(AIDS).`
• Imithi efana ne-`(Atropine)`.
• Ezinye izinhlobo zama-antibiotic, isibonelo `(Erythromycin)`, `(Clarithromycin)`.
• Umuthi wokukhathazeka noma ukulala.
• Imithi yezinkinga zesinyi (isib. i-oxybutynin, i-tolterodine).
• Imithi yokucindezeleka (isib. i-amitriptyline, i-fluoxetine, i-sertraline).
• Imithi yokutheleleka kwesikhunta (isb., i-ketoconazole, i-itraconazole).
• Imithi enikezwa ukwelapha ukushaya kwenhliziyo okungajwayelekile (isib. i-amiodarone, i-quinidine).
• Eminye imithi yokwelapha i-migraines (isb., i-almotriptan, i-eletriptan, i-sumatriptan).
• Imithi yesifo sikaParkinson (isib. i-benztropine, i-trihexyphenidyl).
• Imithi yokulwa nokuxhuzula (isib. i-carbamazepine, i-phenobarbital, i-phenytoin).
• Imithi yokwelapha ukuphazamiseka kwesisu (isib. i-dicyclomine, i-hyoscyamine).
• Imithi esetshenziswa ukuvimbela isicanucanu sokunyakaza lapho uhamba (isb., `(scopolamine)`).
• `(Imithi yokwehlisa umfutho wegazi)` (imithi ekhipha amanzi emzimbeni).
• Izibulala-zinhlungu ezijwayelekile (isib. i-halothane, i-propofol).
• Ijusi le-grapefruit.
• `(Ipratropium)`.
• Izidambisi-zinhlungu zendawo (isib. i-lidocaine).
• Iziphumuli zemisipha zokuhlinzwa.
• Ezinye izidakamizwa zokunciphisa ubuhlungu noma zokunciphisa umkhuhlane eziqukethe i-acetaminophen.
• Eminye imithi yohlobo lwe-`(Opioid)` yobuhlungu noma ukukhwehlela.
• `(Ama-Phenothiazine)` (isb. `(i-chlorpromazine)`).
• `(I-Rifampin)`.

Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, izithasiselo zokudla - konke). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nalo muthi.

Yiziphi izinto okufanele uziqaphele lapho uthatha umuthi?

Kufanele uqaphele kakhulu okulandelayo ngenkathi usebenzisa lo muthi:

Uma ubuhlungu bungapheli...

Uma ubuhlungu bakho bungapheli, uma buba bubi kakhulu, noma uma unohlobo olusha lobuhlungu, tshela udokotela wakho. Ngezinye izikhathi umzimba wakho ungajwayela lo muthi (`(Ukubekezelelana)`). Lokhu kusho ukuthi ungadinga umthamo ophezulu kunalowo owawuwuthatha ngaphambili ukuze uthole ukukhululeka kobuhlungu okufanayo. Lokhu kuvamile uma uthatha lo muthi isikhathi eside.

Kuthiwani uma ngithatha izinhlobo eziningana zemithi yobuhlungu ngesikhathi esisodwa?

Kunezinhlobo eziningi ezahlukene zemithi yobuhlungu. Uma uthatha eziningana zalezi zinhlobo ngesikhathi esisodwa, imiphumela emibi inganda. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Udokotela wakho uzokutshela ukuthi kufanele uthathe engakanani. Ungalokothi uthathe imithi engaphezu kwalokho udokotela wakho akutshele kona. Uma unenkinga yokuphefumula, shayela izinsizakalo eziphuthumayo ngokushesha.

Ungayeki ukuthatha umuthi ngokuzumayo!

Akufanele uyeke ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okukhulu kokuhoxa. Lokhu kungenxa yokuthi umzimba wakho usujwayele umuthi. Lokhu akusho ukuthi usuwumlutha wawo. Umlutha uwukusebenzisa umuthi ngesizathu esingeyona esezokwelapha. Uma uzwa ubuhlungu, leso yisizathu sezokwelapha sokuthatha umuthi wokuqeda izinhlungu. Udokotela wakho kufanele akutshele ukuthi umuthi ongakanani okufanele uwuthathe nokuthi uwuyeke nini. Uma udokotela wakho efuna ukuthi uyeke ukuthatha umuthi, uzonciphisa kancane kancane umthamo. Lokhu kuzonciphisa imiphumela emibi.

Masiqaphele i-'Naloxone'

I-Naloxone iyindlela yokwelapha ephuthumayo yokweqisa i-opioid (i-codeine nayo iyi-opioid). Ukweqisa kungenzeka uma i-opioid ithathwa ngobuningi noma uma ithathwa neminye imithi, njengotshwala. Izimpawu zokweqisa zifaka phakathi ubunzima bokuphefumula, ukukhathala okukhulu noma ukozela, noma ukungasabeli ekukhulumeni noma ukungakwazi ukuvuka. Uma uphethe i-Naloxone, tshela umndeni wakho nabathandekayo bakho ukuthi ikuphi, ukuthi isetshenziswe kanjani, nokuthi isetshenziswa kanjani. Ngemva kokunikeza i-Naloxone, umuntu oyinikezile kufanele ashayele izinsizakalo eziphuthumayo. I-Naloxone iyindlela yokwelapha yesikhashana. Kungadingeka ukuthi iphinde inikezwe.

Kudingeka uqaphele kakhulu lapho unikeza izingane lo muthi.

Izingane zisengozini enkulu yokuthola imiphumela emibi evela kulo muthi. Uma ingane yakho iphefumula kancane, yenza umsindo ngenkathi iphefumula, ibonakala ididekile, noma ilele ngendlela engavamile, yeka ukunikeza lo muthi ngokushesha bese ushayela izinsizakalo eziphuthumayo.

Ungayisebenzisi neminye imithi equkethe `(Acetaminophen)`!

Lo muthi uqukethe `(Acetaminophen)`. Ngakho-ke, ungathathi omunye umuthi oqukethe `(Acetaminophen)` (isb. iParacetamol) kanye nalo muthi. Imithi eminingi etholakala ekhemisi ingaba ne `(Acetaminophen). Ngakho-ke, funda ilebula ngokucophelela njalo. Uma unemibuzo, buza udokotela wakho noma usokhemisi.

Ukuthatha i-`(Acetaminophen)` eningi kakhulu kuyingozi kakhulu. Kungabangela ukulimala kwesibindi. Uma ucabanga ukuthi uphuze kakhulu, noma ngabe awunazo izimpawu, funa iseluleko sezokwelapha ngokushesha.

Ukushayela nokusebenzisa imishini

Lomuthi unganciphisa ukuhlangana kwakho, isikhathi sokusabela, noma ukwahlulela. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Hlala phansi ume kancane ukuze unciphise isiyezi kanye nobuthakathaka. Ukuthatha lo muthi notshwala kungandisa le miphumela emibi.

Eminye imiphumela: ukuqunjelwa, umlomo owomile

• Lo muthi ungabangela ukuqunjelwa . Uma ungenawo umgudu wokukhipha isisu ngemva kwezinsuku ezintathu, tshela udokotela wakho .
• Umlomo wakho womile.Yebo. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka noma iba nzima, tshela udokotela wakho .

Yimiphi imiphumela emibi engaba khona yomuthi?

Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ijwayelekile.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu , kufanele utshele udokotela wakho ngokushesha :

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukucindezeleka kwesimiso sezinzwa esiphakathi (ukucindezeleka kwe-CNS): Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme.
• Ukulimala kwesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
• Ukusebenza okuphansi kwezindlala ze-adrenal: Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, isiyezi.
• Umfutho wegazi ophansi: Isiyezi, ukuquleka, ukubona okufiphele.
• Ubomvu, ukuqubuka, kanye nokuqhekeka kwesikhumba nakho kungavela emlonyeni.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

Lezi yimiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho :

• Ukuqunjelwa
• Isiyezi
• Ukozela
• Umlomo owomile
• Isicanucanu
• Ubuhlungu besisu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Cela udokotela wakho ulwazi olwengeziwe mayelana nemiphumela emibi. Ungabika futhi imiphumela emibi ku-FDA (eSri Lanka, ungayibika kuMnyango Wezempilo ngodokotela wakho).

Kufanele uwugcine kanjani umuthi wakho?

• Gcina kude nezingane. Lo muthi ungasetshenziswa kabi (ungasetshenziswa kabi). Ngakho-ke, uwugcine endaweni ephephile ukuze uwuvikele ekwebiweni.
• Ungalokothi unike omunye umuntu lo muthi. Ukuthengisa noma ukunikeza omunye umuntu lo muthi kuyingozi kakhulu futhi kuphambene nomthetho.
• Lo muthi ungabangela ukudlula ngokweqile ngengozi ngisho nokufa uma uthathwa ngomunye umuntu omdala, ingane, noma isilwane esifuywayo. Uma unemithi engasetshenziswanga, yixube nodoti wekati noma ikhofi, uwufake esikhwameni esivalwe kahle noma ebhodleleni lekhofi elinesivalo, bese uwulahla.
• Ungasebenzisi umuthi ophelelwe yisikhathi.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit).

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, nazi izinto eziyinhloko okudingeka uzikhumbule kulokho esikhulume ngakho:

• Thatha lo muthi njengoba nje udokotela emyalile, ngesilinganiso esinqunyiwe, nangesikhathi esinqunyiwe .
• Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nayo yonke eminye imithi oyithathayo (ngaphandle kwemithi kadokotela, yendabuko, amavithamini, konke).
• Qaphela imiphumela emibi uma uthatha lo muthi. Uma uhlangabezana nanoma yimiphi imiphumela emibi emibi, tshela udokotela wakho ngokushesha.
• Ungakusebenzisi lokhu kanye neminye imithi equkethe `(i-Acetaminophen)`. Ukweqisa umthamo kungabangela ukulimala kwesibindi.
• Gcina lo muthi ngokuphephile kude nezingane.
• Ungalokothi wabelane ngemithi yakho nanoma ubani omunye.
• Gwema ukuthatha lo muthi notshwala.
• Ungayeki umuthi ngokuzumayo, yehlisa umthamo kancane kancane ngokwemiyalelo kadokotela wakho.

Leli pheshana liyisifinyezo kuphela. Lingase lingabi nalo lonke ulwazi. Uma uneminye imibuzo mayelana nalomuthi, sicela ubuze udokotela wakho, usokhemisi noma umhlinzeki wezempilo. Sikufisela impilo enhle!

I- Butalbital, i-Acetaminophen, i-Caffeine, i-Codeine, ama-painkiller, ikhanda elibuhlungu, ikhanda elibuhlungu lokucindezeleka, izidakamizwa, imiphumela emibi, umuthi, i-codeine