I-Tylenol, ebizwa ngokuthi i- acetaminophen , iyisidakamizwa ethandwa kakhulu futhi esisebenzayo esithathwe ekunciphiseni ubuhlungu nokunciphisa umkhuhlane. Ngenxa yokuthi yaziwa kahle (itholakale kusukela ngawo-1950) futhi ivame kakhulu (ihlanganiswa kakhulu neminye imithi), ngezinye izikhathi isetshenziselwa ukunganaki okungabangela ukulimala kwesibindi .
Ingabe i-Tylenol iphephile?
I-Tylenol iphephile kakhulu uma isetshenziswe njengoba kunconywa.
Abantu abaningi abane- hepatitis engapheli nezinye izinhlobo zezifo zesibindi (abangahlali baphuze utshwala) bangathatha ngokucophelela ukulinganiselwa okuphakanyisiwe kwe-Tylenol; Nokho, kufanele nakanjani uhlole nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi uma unesifo sesibindi.
Kubantu abane- cirrhosis ephakeme (i- cirrhosis ephoqelekile), mhlawumbe iTylenol ngeke isetshenziswe ngenxa yomonakalo omkhulu wesibindi okhona. Uma unesifo esibi kakhulu sesibindi, xoxa nodokotela wakho mayelana nokulungisa okufanelekile kanye nezindlela ezingcono zokwelapha ubuhlungu noma amaphuphu.
Kungani Isibindi Sithinta iTylenol?
I-Tylenol isheshe igxilwe egazini ngokusebenzisa umkhondo wamathumbu. Uma usendaweni egazini, uqala ukunciphisa ubuhlungu ngokukhulisa umthamo womzimba wakho wonke ebuhlungu futhi kunciphisa umkhuhlane ngokusiza ukuqeda ukushisa okukhulu. Ekugcineni, igazi lihlunga ngaphakathi kwesibindi lapho iningi lomuthi lihlanganiswe khona (liphukile phansi) nezingxenye zalo zidonswa emcinini.
Ukulimala Kanjani Kwebindi Ku-Tylenol Kuyenzeka?
Isibindi siphula phansi ingxenye enkulu yezidakamizwa zibe izingxenye eziphephile ezingasuswa emzimbeni kumchamo. Kodwa-ke, inani elincane le-Tylenol kulindeleke ukuba lihlelwe ngendlela engumonakalo ngomkhiqizo okuthiwa yi-NAPQI (okusho i-N-acetyl-p-benzoquinoneimine).
Lapho i-Tylenol ithathwa ngokulinganisa okunconywayo, umzimba wakho ungasusa masinyane lesi sakhi esinobuthi emgqeni. Kodwa-ke, lapho isibindi sidinga ngokuzumayo ama-overdose ama-Tylenol, inqwaba ye-NAPQI enobuthi yenziwa futhi iqala ukulimaza amangqamuzana asemqoka esibindi (i-hepatocytes).
Indlela Yokuphepha Ngokuthatha iTylenol
Uma isetshenziswe kudokotela okuphakanyisiwe, ukuthatha iTylenol kuphephile, ngisho nakubantu abaningi abanesifo sesibindi abangaphuzi utshwala. Ukulimala kwesibindi kusuka eTylenol kuncike ezintweni eziningana. Ezinye zazo ziyi:
- Inani le-Tylenol oyithathayo (uma uthatha okungaphezu kwesamba esinconywayo)
- Inani lophuza ophuzayo (utshwala lungandisa ukwanda kwe-NAPQI enobuthi)
- Uma uthatha ezinye izidakamizwa noTylenol (ezinye izidakamizwa, kufaka phakathi izithako zokudla, zingase zihlanganyele kahle ngeTylenol bese zandisa ingozi yokulimala kwesibindi)
- Izinga lakho lokudla (kungakhathaliseki ukuthi uzila ukudla noma uma unomsoco obuthakathaka obunzima ungandisa ingozi yokulimala kwesibindi)
Ukugqithiswa KweTylenol Kuthathwa Kanjani?
Ukudlula ngokweqile kwe-Tylenol kungaba kungaba ngenhloso noma ngengozi. Ngenye yezinyosi ezivame kakhulu ezenzeka emhlabeni wonke. Uma kungelashwa ngokushesha, i- Tylenol ukudlula ngokweqile ingaba yingozi.
Abantu abadlula ngokweqile ku-Tylenol bangathola izimpawu ezilandelayo:
- isifo sohudo
- ukuxuba
- ukucasuka
- i-jaundice
- isiyaluyalu
- ukuthuthumela
- ukuhlanza
- i-coma
- ukulahlekelwa ukudla
Ngokuphawula, kungathatha amahora angaphezu kuka-12 ngemuva kokungenisa izimpawu ze-Tylenol ukudlula ngaphezulu.
Ukudlula ngokweqile kweTylenol kuyisimo esiphuthumayo. Ngenhlanhla, i-antidote yeTylenol ukudlula ngokweqile ikhona futhi ibizwa nge-N-acetylcysteine. Le antidote iphumelela kakhulu uma inikezwa ngamahora angu-8 eTylenol ngokweqile, futhi ingavimbela ukuhluleka kwesibindi .
Imithombo
Burns MJ, Friedman SL, uLarson AM. I-Acetaminophen Poisoning kubantu abadala: i-Pathophysiology, i-Presentation, ne-Diagnosis. Ku: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2009.
ITylenol Inkampani Yenkampani. Imibuzo evame ukubuzwa iTylenol.
I-Desk Reference Desk Physicians (PDR). Umhlaka 63 Montvale, NJ: Thomson PDR; 2009: 1915-16.