Ingozi Ephezulu Yokudlula Kokudlwengula
Abantu abaphila nobuhlungu kanye nezinye izimpawu ze- fibromyalgia (i-FMS) kanye nesifo esingapheliyo sokukhathala ( ME / CFS ) bavame ukuqeda imithi eminingi ehlukene, kanye nabaphathi be-painkillers phakathi kwabo. Izidakamizwa zingakusiza ukuthi usebenze futhi uzizwe ungcono, kodwa zonke ziza nezingozi.
Ungathola izinhlobo eziningana zama-painkillers ngaphezu kwe-counter (OTC), futhi abaningi bethu nalezi zifo bathatha ama-anti-anti-medication esikhathini esithile.
Ngayinye yalezi zidakamizwa-kuhlanganise ne-OTC-inezinkinga zayo ezikhona kanye nezingozi zayo.
Elinye lama-painkillers ajwayelekile, kokubili i-OTC kanye nemithi kadokotela, i-acetaminophen. Iyaziwa kakhulu yi-brand brand iTylenol, futhi ibuye ihlangene nezidakamizwa ezibandakanya i- Vicodin (i-acetaminophen hydrocodone) ne- Percocet (i-acetaminophen oxycodone) .
Ososayensi abaqondi ngokugcwele ukuthi i-acetaminophen isebenza kanjani. Akuyona i-anti-inflammatory futhi ayiyona i-opiate. Kukholelwa ukuthi i-acetaminophen iyanciphisa ubuhlungu nge-system central yezinzwa ngokusebenzisa izindlela eziningi.
I-Acetaminophen Risks
I-Acetaminophen ngokuvamile ibhekwa ngokuthi "iphephile" ngoba ikwazi ukuhlanganiswa ngokuphepha nemithi eminingi futhi ayikho amathuba okubangela ukulimala okuvame ukulwa namagciwane (nakuba kungenzeka). Imikhiqizo engaphezu kwengu-100 iqukethe i-acetaminophen, kungaba yedwa noma ihlanganiswe nezinye izidakamizwa.
Kodwa-ke, ukweqa ngokweqile kwe-acetaminophen sekuye kwaba yinkinga enkulu. Ngokusho kwe-American Liver Foundation, yiyona imbangela ebonakalayo ebonakalayo yokuhluleka okunamandla (okungazelelwe) kwesibindi e-US Inkinga ingathí sina kangangokuthi ngonyaka ka-2009, i-FDA ibhekwa njengokuqeda ngokuphelele izidakamizwa. Esikhundleni salokho, kuncishisiwe inani le-acetaminophen elingaba nalo futhi lidinga ukuthi izixwayiso zesibindi-ukwehluleka zingeziwe kwimininingwane yokupakisha.
Ukugwema ukudlula ngokweqile kwe-acetaminophen, kubalulekile ukuqinisekisa ukuthi awuthathi okwedlula inani eliphakanyisiwe nokuthi awuthathi emithini engaphezu kweyodwa. Isibonelo, uma uthatha u-Vicodin ubuhlungu bese ubamba umkhuhlane, uzofuna ukuqinisekisa ukuthi imithi yakho ebandayo ayinayo i-acetaminophen, futhi. Abaningi babo benza. Qiniseka ukuthi kabili hlola noma yimuphi umkhiqizo ohloselwe ubuhlungu noma ukunciphisa umkhuhlane.
Kumele futhi wazi ukuthi i-acetaminophen ngezinye izikhathi ibizwa nge-APAP, okumele i-acetyl-para-amino-phenol.
Izimpawu zokudlula ngokweqile
Izimpawu ze-acetaminophen overdose zidinga ukwelashwa ngokushesha. Zihlanganisa:
- isicanucanu nokuhlanza
- isifo sohudo
- ukulahlekelwa ukudla
- ukudideka
- ukuthuthumela
- ukukhathala okukhulu
- ukuphapha okungavamile noma ukulimaza
- ubuhlungu besisu, ikakhulukazi engxenyeni engenhla kwesokudla
- i-jaundice (isikhumba esiphuzi namehlo)
- izimpawu ezinjenge-flu
- ukushaya kwenhliziyo okungavamile
Eziningana zalezi zimpawu- ukudideka , ukujuluka , ukukhathala ngokweqile, izimpawu ezifana ne-flu-kungase kube nzima ukubona ngoba kuvamile ku-FMS naku-ME / CFS. Kubalulekile ukuphawula noma yikuphi ukuguquka kwezibonakaliso zakho ezingahle zihlobene nezidakamizwa.
Lolu hlu lungakusiza ukuthi ulandele ukuthi yimiphi imithi equkethe i-acetaminophen:
- Uhlu lwe-FDA lwe-Acetaminophen-EneMikhiqizo yokubhalisa
Imiphumela emibi nokusebenzisana
Ngisho noma ulandela imilayezo yesilinganiso kahle, i-acetaminophen ingabangela imiphumela emibi. Okubaluleke kunayo yonke, okumele uyibike ngokushesha kudokotela wakho, faka izinhlamvu ezimbalwa ezibalwe ngenhla, futhi:
- ukusabela okweqile (ukuqhuma; ukushaywa; ukuvuthwa; ubuso obuvuvukile, izindebe noma ulimi)
- izinkinga zokuphefumula
- umkhuhlane ngomkhuhlane, ikhanda, ukuqhuma, isisindo noma ukuhlanza
- izinkinga zokugeleza noma ushintsho emvelweni wakho ojwayelekile
- ubuthakathaka obungavamile noma ukhathala
Imiphumela engathí sina engathí sina, engavame ukudinga ukunakekelwa kwezempilo, faka:
- ikhanda
- isiyaluyalu
Ingxenye ye-acetaminophen ithandwa kakhulu ukuthi ixubana kahle nezidakamizwa eziningi.
Noma kunjalo, ukuhlanganisa nayo nemikhiqizo elandelayo kungaba yingozi:
- utshwala
- I-Gleevec (imatinib)
- U-Tubizid (isoniazid)
Ukunciphisa Ingozi Yakho
Unganciphisa ingozi yezinkinga ezihlobene ne-acetaminophen ngokuthatha njalo imithi njengoba kunqunyiwe, uqiniseke ukuthi awuthathi umkhiqizo ongaphezu kweyodwa we-acetaminophen, futhi ungaphuzi utshwala ngenkathi uthatha i-acetaminophen.
Udokotela wakho kanye nomklami kufanele aqaphele konke okuthathayo, kuhlanganise ne-OTC kanye nemithi yesikhathi esifushane, ngakho bangakwazi ukuthola izinkinga ezingenzeka ngezinkinga zokudlula ngokweqile noma ukusebenzisana.
Ingabe I-Acetaminophen Ilungele Wena?
Kufanele usebenze nodokotela wakho ukuze unqume ukuthi imikhiqizo equkethe i-acetaminophen ikulungele yini. Lesi sinqumo kufanele sisekelwe ezintweni ezinjengokuxilongwa kwakho, izimpawu, impilo yonke kanye nezici zokuphila.
Uma ungazizwa umkhiqizo oqukethe i-acetaminophen usiza ukunciphisa ubuhlungu bakho, khuluma nodokotela wakho ngezingozi nezinzuzo kanye nezinye izindlela ezingenzeka.
Imithombo:
Larson AM, et al. I-Hepatology. 2005 Dec; 42 (6): 1364-72. Ukwehluleka kwesibindi esikhulu se-Acetaminophen: imiphumela ye-United States ehlukahlukene, okuzofundwa.
Rowden AK, et al. Imitholampilo emithi yokwelapha. 2006 Mar; 26 (1): 49-65, viii. Acetaminophen ubuthi.
Ukuphathwa kwe-US nokuDrug. Izinyathelo Ezintsha ezihloswe ekunqumeni izingozi kusuka ku-Acetaminophen.
Ukuphathwa kwe-US nokuDrug. Imikhiqizo ye-Acetaminophen ye-prescription engeke ibe yi-325 mg ngayinye yeyunithi yeDosage; Isixwayiso se-Boxed Sichaza ukuthi kungenzeka Ukuhluleka Kwebindi Okukhulu.