Ake sifunde kabanzi ngalo muthi (i-Diphenhydramine; i-Phenylephrine oral suspension) wemikhuhlane kanye nokungezwani komzimba.

Ukhathele ukubanjwa umkhuhlane njalo, ukuba nekhala elicijile, kanye nokugeleza kwekhala eligobhozayo? Noma uyathimula futhi ube namehlo abomvu uma uthuthumela kancane? Ngezinye izikhathi awukwazi ukuma ikhanda lakho libheke phansi ngenxa yenkinga ye-sinus, akunjalo? Omunye wemithi odokotela abangasinika yona ngezinye izikhathi ezinjengalena yilo muthi woju oqukethe inhlanganisela ye-diphenhydramine kanye ne-phenylephrine. Lokhu kuvame ukuza ngesimo sesiraphu.

Kwenzekani ngempela ngalo muthi?

Kulungile, ake sibone ukuthi kwenzekani ngezithako ezikulo muthi. Lo muthi uqukethe izinhlobo ezimbili zamakhemikhali.

1. I-Diphenhydramine : Lokhu kungokweqembu lemithi ebizwa ngokuthi ama-antihistamine . Kalula nje, uma une-allergy, okungukuthi, uma uthinta okuthile, umzimba wethu ukhipha ikhemikhali ebizwa ngokuthi i-histamine. Kungenxa yaleyo histamine ukuthi kwenzeka izinto ezifana nekhala eligobhozayo, amehlo alumayo, kanye nobuhlungu bomzimba. Ngakho-ke, lokho okwenziwa yilo muthi obizwa ngokuthi i-diphenhydramine ukunciphisa umsebenzi waleyo histamine. Khona-ke lezo zimpawu zokungezwani komzimba ziyancipha kancane kancane.

2. I-Phenylephrine : Lolu uhlobo lomuthi olubizwa ngokuthi i-decongestant . Uma unesifo somkhuhlane noma i-sinus, ikhala lakho liyavaleka. Lokhu kwenzeka ngoba imithambo yegazi emincane engaphakathi kwekhala lakho iyavuvukala. Lokho okwenziwa yi-phenylephrine ukunciphisa leyo mithambo yegazi evuvukile. Lokhu kunciphisa ukuvaleka kwekhala lakho futhi kwenza kube lula ukuphefumula.

Ngakho-ke, ukuhlanganiswa kwale mithi emibili kuzokunikeza impumuzo ezimpawini zakho zokungezwani komzimba, ikhala elivalekile, kanye nekhala eligobhozayo elibangelwa umkhuhlane. Kodwa khumbula into eyodwa, lo muthi ulawula izimpawu kuphela, awulaphi ukutheleleka okubangele ukugula . Isibonelo, uma unesikhwehlela esibuhlungu ngenxa yokutheleleka ngamagciwane, lo muthi ungase wehlise isikhwehlela kanye nekhala elivalekile, kodwa kusazodingeka uthathe umuthi ohlukile wokubulala amagciwane.

Odokotela bangasebenzisa lo muthi ngezinye izizathu, ngakho-ke uma unemibuzo, buza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa lo muthi, kunezinto ezimbalwa okufanele uzitshele udokotela wakho noma umuntu osekhemisi okunikeza umuthi. Ngoba akuyona yonke imithi esebenzela wonke umuntu. Lo muthi ungase ungafaneleki kubantu abanezifo ezithile, noma kubantu abathatha eminye imithi. Noma kungase kube nezinye izinto okufanele uziqaphele.

Nazi izinto okufanele uzaziswe:

• Uma unesifo sikashukela (`i-Diabetes Mellitus`) . Lokho kusho isifo sikashukela.
• I-GlaucomaIsimo, okungukuthi, uma kukhona isifo esanda ukucindezeleka emehlweni.
• Uma unesifo senhliziyo .
• Uma une -high blood pressure .
• Uma unesilonda esiswini noma uvalekile emathunjini.
• Uma unesifo se-thyroid .
• Kufanele futhi utshele udokotela wakho uma usebenzise umuthi obizwa ngokuthi i-MAOI (njenge-`Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`) ezinsukwini eziyi-14 ezedlule . Le MAOI uhlobo lomuthi osetshenziselwa ukwelapha izifo ezithile zengqondo.
• Uma unenkinga yokuchama.
• Uma une-allergy ku-diphenhydramine, i-phenylephrine, noma yimuphi omunye umuthi, ukudla, udayi, noma isivikelo esikulesi sidakamizwa , noma uma uke waba ne-allergy esikhathini esidlule.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Uma usitshela lezi zinto ngokunembile, udokotela anganquma ukuthi uzokunika lo muthi noma cha, uma kunjalo, uzokunika malini, nokuthi yiziphi izinyathelo zokuphepha okufanele uzithathe.

Ngingawusebenzisa kanjani lo muthi?

Lokhu kuyi-suspension ephuzwayo. Ngokuvamile iphuzwa nengilazi yamanzi. Into ebaluleke kakhulu ukuyiphuza njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele, nangenani elifanele .

• Udinga ukunyakazisa ibhodlela lomuthi kahle ngaphambi kokulisebenzisa. Ngenxa yokuthi lokhu 'kuwukumisa', impuphu yomuthi ayincibiliki emanzini, kodwa iyalenga. Uma ungayinyakazi, ngeke uthole inani elifanele lomuthi.
• Uma ulinganisa umuthi, sebenzisa isipuni sokulinganisa esiklanyelwe ngokukhethekile, inkomishi, noma idropha eliza naso. Ungasebenzisi izipuni noma izipuni zerayisi ekhaya ukuze ulinganise. Azinembile. Uma wenza kanjalo, uzothola umuthi omncane kakhulu noma omningi kakhulu. Uma ungenayo idivayisi yokulinganisa ekusebenzelayo, cela eyodwa ekhemisi.
• Thatha imithi yakho ngesikhathi esinqunyiwe kanye nezikhawu ezinqunyiwe njengoba kunqunywe udokotela wakho. Ungathathi okungaphezu kwalokho okunqunywe udokotela, kaningi.

Uma inikezwa izingane ezincane:

Odokotela ngezinye izikhathi banikeza lo muthi izingane ezineminyaka emibili ubudala, kodwa kuphela ezimweni ezikhethekile kakhulu. Ngakho-ke uma unikeza ingane yakho lo muthi, qiniseka ukuthi ukhuluma nodokotela wezingane bese uwunikeza njengoba nje encoma, ngenani alincomayo . Kudingeka uqaphele kakhulu lapho unikeza izingane ezincane umuthi.

Abantu abangaphezu kweminyaka engama-65 ubudala:

Abantu abadala bangase bathole umphumela onamandla kancane walo muthi. Lokhu kusho ukuthi bangase babe nobuthongo obukhulu kanye nesiyezi. Ngakho-ke, udokotela wakho angakunika umthamo ophansi kancane.

Okubalulekile: Lo muthi unikezwe wena kuphela. Unganiki omunye umuntu umuthi wakho, noma ngabe unezimpawu ezifanayo nezakho.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu ngephutha noma ngokungazi, ungalibali umzuzu bese uya ngokushesha emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze, noma ushayele i-ambulensi ku-1990 . Noma ushayele isikhungo sokulawula ubuthi. Ukuthatha umuthi omningi kakhulu kungaba yingozi.

Kuthiwani uma ngiphuthelwa imithi yami?

Uma ukhohlwa ukuphuza umuthi wakho, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo lapho ukhumbula (isibonelo, ngaphansi kwamahora amabili), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu . Ukwenza kanjalo kungakwenza uzizwe sengathi uthathe umuthi omningi kakhulu.

Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)

Leli iphuzu elibaluleke kakhulu. Uma uthatha lesi siraphu se-diphenhydramine kanye ne-phenylephrine, singasebenzisana neminye imithi oyithathayo. Okusho ukuthi, imithi ingathinta indlela esebenza ngayo. Ngezinye izikhathi imiphumela yomuthi owodwa inganda, ngezinye izikhathi ingancipha, noma imiphumela emibi emisha ingavela.

Ungalokothi uthathe loluju kanye nemithi elandelayo:

• I-Bromocriptine
• Ama-alkaloid e-Ergot (isib. i-dihydroergotamine, i-ergonovine, i-ergotamine, i-methylergonovine)
• Imithi ye-MAOI (isib. `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`). (Sesishilo kakade ukuthi akufanele uthathe loluju izinsuku ezingu-14 ngemva kokusebenzisa lokhu.)
• Imithi yokuvuselela ingqondo inikezwa ngenxa yokuphazamiseka kokunaka, ukwehlisa isisindo, noma ukuhlala uphapheme.

Lo muthi ungase uhlangane nalokhu okulandelayo, ngakho-ke kufanele utshele udokotela wakho uma uthatha noma yikuphi kwalokhu:

• Utshwala ( bungabangela ukozela okukhulu uma buthathwa notshwala)
• I-Atropine
• Ama-Barbiturates (isib. i-phenobarbital) - Lena imithi ekwenza ulale.
• I-Bretylium
• I-caffeine (etholakala ekhofini, etiyeni, nakwezinye iziphuzo ezibandayo)
• I-Digoxin (umuthi wesifo senhliziyo)
• I-Linezolid (i-antibiotic)
• I-Mecamylamine
• Imithi yokucindezeleka, ukukhathazeka, noma ezinye izinkinga zengqondo.
• Eminye imithi ekusiza ulale ('imithi yokulala').
• Iziphumuli zemisipha.
• Imithi yokwelapha ubuhlungu (isib. i-tramadol, i-morphine).
• Eminye imithi yomkhuhlane, ukukhwehlela, noma ukungezwani komzimba (ingase futhi ibe nezithako ezifanayo).
• I-Procarbazine (umuthi wokulwa nomdlavuza)
• I-St. John's Wort (ikhambi lendabuko elisetshenziswa abanye ukuze bathuthukise inhlalakahle yengqondo)
• I-Theophylline (umuthi osetshenziselwa ukwelapha izifo zokuphefumula ezifana ne-asthma)

Lolu hlu alufaki yonke imithi. Ngakho-ke, kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, ethengwe ekhemisi, imithi ethengwa ngaphandle kwemithi kadokotela, amavithamini, ngisho nezithasiselo zokudla) . Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa ezingekho emthethweni. Lokhu kungathintana nalo muthi futhi kubangele imiphumela emibi.

Izinto okufanele uziqaphele lapho uthatha lo muthi

• Uma izimpawu zakho zingathuthuki ngemva kokuthatha lo muthi izinsuku ezimbalwa, noma uma zibonakala ziba zimbi kakhulu, bona udokotela wakho futhi ngokushesha .
• Ngesikhathi uthatha lo muthi, isikhumba sakho singase sizwele kakhulu elangeni (photosensitivity). Lokhu kusho ukuthi isikhumba sakho singase sishise, sibe bomvu, noma sishiswe yilanga ngokushesha. Ngakho-ke, gwema ukukhanya kwelanga okuqondile ngangokunokwenzeka. Uma uzoba selangeni, gqoka izingubo zokuzivikela, isigqoko, kanye ne-sunscreen . Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwesikhumba.
• Ungase uzizwe ulele noma unesizungu lapho uthatha lo muthi. Lokhu kuvamile. Ngakho-ke, ungashayeli, usebenzise imishini esindayo, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
• Ungavuki noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isiyezi kanye nokuwa (i-postural hypotension). Shintsha izikhundla njalo.
• Ukuthatha lo muthi notshwala kungenza ukozela kanye nesiyezi kube kubi kakhulu . Ngakho-ke, gwema ukuphuza utshwala ngenkathi uthatha lo muthi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi, yize kungebona bonke abantu abazoyithola. Eminye yayo imbi kakhulu, futhi uma uyibona, kufanele utshele udokotela wakho ngokushesha .

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukuqubuka okufana nokuqubuka, ukulunywa okukhulu, ukuvuvukala (ikakhulukazi kobuso, izindebe, ulimi), ubunzima bokuphefumula.
• Ukukhathazeka, ukwesaba, noma ukungahlaliseki.
• Izinkinga zokuphefumula .
• Izinguquko ekucindezelweni kwegazi (umfutho wegazi ophezulu noma ophansi ngokuzumayo).
• Izinguquko embonweni (njengokubona okufiphele, ukubona okukabili).
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile .
• Izinkinga ngokulinganisela, ukukhuluma, noma ukuhamba.
• Ukuquleka .
• Ubunzima bokuchama noma ukushintsha inani lomchamo.
• Ukopha noma ukuklwebheka okungajwayelekile.
• Ubuthakathaka noma ukukhathala ngendlela engavamile.

Imiphumela emibi engavamile ukudinga ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

• Amehlo noma umlomo owomile.
• Ikhanda elibuhlungu.
• Isicanucanu, ukuhlanza.
• Ukuphazamiseka kwesisu.
• Unenkinga yokulala.

Lolu hlu lungase lungabi nazo zonke imiphumela emibi. Uma uhlangabezana nanoma yimiphi yale miphumela, noma noma yimiphi imiphumela emibi engavamile engabhalwanga, ngemva kokuthatha lo muthi, khuluma nodokotela wakho ngakho. Ungase ufune futhi ukubika le miphumela emibi ezikhungweni ezifana ne-FDA (Food and Drug Administration).

Ngingawugcina kanjani lo muthi?

• Lomuthi kufanele ugcinwe kude nezingane futhi ungafinyeleleki kuzo . Lokhu kubaluleke kakhulu.
• Kungcono ukugcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit). Ungazivezi ekushiseni okukhulu, emakhazeni, noma emswakama. Ungagcini ezindaweni ezifana nendlu yokugezela.
• Gcina ibhodlela lemithi livaliwe kahle .
• Ungalokothi usebenzise imithi ephelelwe yisikhathi . Yilahle ngendlela efanele. Cela ikhemisi lakho ukuthi likunike imiyalelo yokuthi ungayilahla kanjani ngendlela efanele.

Sicela uqaphele: Lesi sihloko siyisifinyezo nje salo muthi. Asinazo zonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, sicela ubuze udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu esixoxe ngawo ngalesi sifutho sekhala esiqukethe i-diphenhydramine kanye ne-phenylephrine.

1. Landela imiyalelo kadokotela:Njalo thatha lo muthi njengoba nje udokotela wakho ekutshelile, ngenani elibekiwe, nangesikhathi esibekiwe. Ungawuthathi kaningi, kancane, noma kaningi.

2. Tshela udokotela wakho ngempilo yakho: Ungakhohlwa ukutshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (njengesifo sikashukela, isifo senhliziyo, umfutho wegazi ophakeme), kanye nanoma yimiphi eminye imithi oyiphuzayo (ngisho namavithamini).

3. Qaphela imiphumela emibi: Uma uhlangabezana nanoma yiziphi izimpawu noma imiphumela emibi engavamile, yazisa udokotela wakho ngazo, ikakhulukazi imiphumela emibi engathi sína esikhulume ngayo ekuqaleni.

4. Gcina kahle: Gcina imithi kude nezingane futhi uyigcine kahle. Ungayisebenzisi imithi ephelelwe yisikhathi.

5. Ungabelani ngalo muthi nabanye: Lo muthi ungowakho wedwa. Ungabelani ngawo nabanye.

Kalula nje, yize lo muthi unikeza impumuzo enhle ezimpawini zomkhuhlane, ukungezwani komzimba nezinkinga zama-sinus, udinga ukuqaphela kakhulu lapho uwusebenzisa. Sikufisela ukululama okusheshayo ngokusebenzisa umuthi ngendlela efanele!

I- Diphenhydramine, i-phenylephrine, umkhuhlane, ukungezwani komzimba, ukuminyana kwamakhala, umuthi wokukhulula ukuminyana, i-antihistamine, umuthi wokukhulula ukuminyana