Ezinye izidakamizwa zisebenza ngokungafani phakathi kwabantu abadala
Uma ungumuntu omdala, ungaba nemibuzo mayelana nokuphepha kwezidakamizwa. Imithi ewusizo kubantu asebekhulile kanye nabantu abadala abaneminyaka engama-50 ubudala ngezinye izikhathi bangenza umonakalo omkhulu kunabakhulile. Izinguquko zomzimba abantu abaningi asebekhulile ababhekana nazo, njengokukhula kwesisindo, ukunyuka kwezicubu ezinamafutha, nokunciphisa isibindi nemisebenzi yezinso kuthinta indlela izidakamizwa ezisebenza ngayo. Nansi i-rundown kwenye i-over-the-counter (i-OTC) evamile kanye nemithi yokwelashwa engaba yingozi kulabo abaphakathi kweminyaka engama-60 nangaphezulu, futhi iseluleko esithile ngokujwayelekile mayelana nokuphepha kwabantu abadala kanye nezidakamizwa.
Izidakamizwa kanye nezidakamizwa zokulwa nokukhathazeka
U-Elavil (amitriptyline): Umphumela omubi ovamile walolu kadakamizwa we-tricyclic wokuvimbela ukucindezeleka unciphisa amandla kagesi enhliziyweni, okungaholela ekuhleleni, okubizwa nangokuthi isifo senhliziyo esingavamile, ikakhulukazi kubantu abadala. Kulabo abaneminyaka engama-65 nangaphezulu, i-electrocardiogram, noma i-EKG, kufanele ithathwe ngaphambi kokuthatha i-Elavil. I-EKG inquma umsebenzi wegesi kagesi, okufanele uhlolwe njalo ngonyaka ngenkathi uthatha lesi sidakamizwa.
Abantu abadala ase-Elavil abathatha imishanguzo yegazi-ukuphuza imithi bayakwazi ukuhlaselwa ngokungazelelwe ekucindezelweni kwegazi lapho besuka endaweni yokuhlala (into ebizwa ngokuthi i-orthostatic hypotension), ngakho-ke ukuma kufanele njalo kwenziwe kancane ukuze ugweme ukuphelelwa amandla.
I-Prozac (i-fluoxetine): I-serotonin yokuqala i-reuptake inhibitor (i-SSRI) ekhethiwe, i-Prozac yesiguli ingaba nomthelela omubi njengobunhlobonhlobo noma isizungu , ikakhulukazi kubantu asebekhulile abane-dementia.
Le mithi ingaphakamisa ingozi yokuthuthukisa isifo sikashukela, ikakhulu kulabo abakhuluphele kakhulu noma abanomlando womndeni wesifo.
I-Librium (chlordiazepoxide): Imiphumela emibi ehlanganisa ukuhlukumeza, intukuthelo nokufutheka cishe kunabantu abadala abadinga ukwelashwa i-Librium, i-benzodiazepine ehlose ukuqeda ukukhathazeka kokukhathazeka kanye nezimpawu zokuphuza utshwala.
I-Valium (diazepam): Enye i-benzodiazepine, i-Valium, ingabangela ukugubha, ukungaqiniseki noma ukuphefumula kwabadala abanesibindi noma isifo sezinso ngoba le mithi ihlala emzimbeni isikhathi eside.
Ama-antibiotics
I-Macrodantin (i-nitrofurantoin): Iziguli ezindala zingase zibe nemiphumela emibi yale mithi yokuvimbela imithi, efaka ukukhathala, ukulala , ukuzulazula, ukugaya , ukushaywa isisu, ukulahlekelwa isifiso sokudla, isisindo sokudla, isifo sohudo, nokuhlanza.
Imithi Yezinhliziyo
I-Beta Blockers Inderal (i-propranolol) ne-Levatol (penbutolol): Ezigulini ezingaphezu kweminyaka engu-60, i-beta blockers kufanele isetshenziswe kuphela njenge-prescription ye-hypertension, ngoba ivela engozini enkulu yokushaywa yisifo sokushaya isisu, i-myocardial infarction (ukushaya kwenhliziyo) nokufa kunezinye imithi yegazi. Izimo ezinzima ezifana nokuhluleka kwenhliziyo noma ischemic isifo senhliziyo kungenzeka kusadingeka ukusetshenziswa beta blockers, ngisho nasebekhulile, ngoba izinzuzo zidlula izingozi.
I-Calcium Channel Blockers Norvasc (i-amlodipine) ne-Cardizem (diltiazem): Abavimbela isiteshi se-calcium ezinqunyelwe ukunciphisa ukucindezelwa kwegazi kungabangela ukwehluleka kwenhliziyo, isimo lapho inhliziyo ingakwazi ukusakaza igazi elanele ukuvimbela uketshezi okwakhiwa emzimbeni.
I-Coumadin (i-warfarin): Nakuba i-Coumadin noma enye ethi "i-blood thinner" ayifuni kakhudlwana kubantu abadala kunabo bonke abantu lapho kuthathwa yedwa, igazi elixhumayo kakhulu ukusebenzisana nemithi, noma ukusebenzisana nezinye izidakamizwa, kubangele ukuba isizathu esiyinhloko esenza abantu abangaphezu kweminyaka engu-65 bafune ukwelashwa ekamelweni lokuphuthuma.
Nakuba kuphephile ukuthatha le mithi nge-over-the-counter (i-OTC) noma i-acetaminophen kadokotela, njenge-Tylenol, cela udokotela wakho ngaphambi kokusebenzisa noma noma yikuphi isidakamizwa esingafuni ukuvuvukala (NSAID), okufaka i-Advil (ibuprofen) noma i-Aleve ( naproxen).
Ukuhlanganiswa kwala mithi neCoumadin noma imithi efanayo kungavimbela ukugaya igazi futhi kuholele ekukhenikeni esiswini nasemathunjini kwezinye iziguli ezinobungozi obuphezulu, okungaba yingozi. Ezinye izidakamizwa nemithi yokwelapha, njengeSt John's wart, zingabangela nokuphuma kwegazi kwangaphakathi ngokubambisana noCoumadin. Uma uthatha le mithi, vumela udokotela wakho wazi ngomuthi ngamunye omusha - kungakhathaliseki ukuthi i-OTC noma i-odokotela - ungase wengeze ohlelweni lwakho lwansuku zonke.
Ukungalali / Ukulwa Nemithi Yokulwa Nokungenwa Kwemithi
I-Benadryl ne-Simply Sleep (diphenhydramine): Lezi zidakamizwa ze-OTC zitholakala ngaphandle kwemithi ukuze kunqunywe izimpawu zokungenwa yilutho noma ukuleleka; zingabangela ukukhubazeka kwengqondo, ukuphazamiseka komjikelezo wokulala, ukugcinwa komchamo, ukuqotshwa kanye nemibono ephuthumayo kubantu abadala.
Okuqukethwe kokuqukethwe kwangempela okuhlelwe nguNaveed Saleh, MD, MS, ngo-2/10/2016.
Imithombo
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