Ulwazi Ngeli Philisi Yokulala Okungekho Emthethweni
Sibutsetelo
Imithi ye-over-the-counter diphenhydramine itholakala kumaphilisi amaningi alele ahloselwe ukwelashwa kokungazinzi . Yisici esibangela ukulala emithini yemithi esetshenziswa njengezinsiza zokulala ezifana Simply Sleep, Unisom, Tylenol PM, Advil PM, Aleve PM, ZzzQuil, noBenadryl. Ukusetshenziswa kwalo akudingi imithi, ngakho-ke kungase kube yindlela yokuqala yokukhipha ukulala okukhulu ukusiza ukuqala nokugcina ubuthongo.
Ngenxa yemiphumela emibi, ikakhulukazi kubantu asebekhulile, kungase kutholakale ezinye izinto uma ukulala nokulala okungapheli kungaqhubeka.
Ukusetshenziswa
I-Diphenhydramine inokusetshenziswa okuningi okungenzeka. Njengoba kubangela ukulala, kuphumelela ekwelapheni kwesikhashana sokulala noma ukulahla okukhulu. Kungakusiza ukuba ulale noma ulale. Kodwa-ke, kunobunye ubufakazi bokuthi i-diphenhydramine empeleni yenza ngcono ukulele, futhi kungabangela ubuthongo ngosuku ngemuva kokuyithatha. Ngokusekelwe ocwaningweni, ngokwesilinganiso nje kwenza kube ngokushesha ukulala ngamaminithi angu-8 futhi lanezela nje amaminithi angu-12 kuphela isikhathi sokulala. Odokotela abacebisi ukujwayela noma ukusebenzisa okungapheli kwe-diphenhydramine ukuphatha ukuleleka.
Ngaphandle kokusetshenziswa kwayo njengesizo sokulala, i-diphenhydramine ivame ukuphathwa ukuze ikhululeke ukuphefumula noma ilawule ukusabela kwemizwa, futhi ingasiza ekuvimbeleni ukugula okuhambayo. Ibuye isetshenziselwe ukunciphisa izimpawu ze-extrapyramidal, ezingase zenzeke njengomthelela ohlangothini wezinye imithi.
Indlela Esebenza ngayo
I-Diphenhydramine iyingxenye yekilasi lemithi ebizwa ngokuthi i-antihistamines. Isebenza ezingeni lezi-neurotransmitters, eziyizithunywa zamakhemikhali ngaphakathi kobuchopho. Ivumela i-neurotransmitter ebizwa ngokuthi i-histamine ekwakheni ezindaweni ezibizwa ngokuthi i-synapses ekhona phakathi kwamaseli we-nerve.
Lokhu kuholela emiphumeleni yokudambisa futhi kufezwa ngokuvimbela ukutholakala kwalo kumaseli aseduzane. I-Diphenhydramine isebenza kokubili ngaphakathi kwebuchopho kanye nasezingqamuzaneni zezinzwa zomzimba kwezinye izingxenye zomzimba. Unayo eminye imiphumela futhi inganciphisa ukukhwehlela, ukucabangela, nokunyakaza okungalawulwa okubizwa ngokuthi i-dyskinesis.
Ngubani Okungafanele Awusebenzise?
Izingane ezingaphansi kweminyaka emibili ubudala akufanele zisebenzise i-diphenhydramine. Ukwengeza, ukuqapha kufanele kusetshenziswe uma le mithi isetshenziswa izingane ezineminyaka engaphansi kwengu-6 ubudala kanye nabadala . Uma usukhulile ukucindezela kwe-intraocular, njenge-glaucoma, kufanele usebenzise i-diphenhydramine ngokucophelela. Ezinye izimo zingase zidinga ukuqapha, kufaka phakathi nabantu abanezinkinga ezihlukahlukene: i-hyperthyroidism, isifo senhliziyo, isifo somfutho wegazi ophezulu, isifo se-asthma, isifo esingenasifo se-pulmonary epneumonia, isifo se-peptic isilonda, ukukhuliswa kwesisu, isisu noma isithiyo sesisu. Uma unezimo, ungase ufise ukuxoxa ngengozi yakho nodokotela wakho ngaphambi kokuqala ukusebenzisa imithi.
I-Diphenhydramine inekhono lokusebenzisana nezinye izidakamizwa, ikakhulukazi lezo ezithinta ubuchopho, ngakho-ke ungase ufise ukubukeza imithi yakho nodokotela wakho noma ummithi ngaphambi kokuyisebenzisa.
Okuqhamuka uma udla imishanguzo
Ezinye imiphumela emibi engase ivele nge-diphenhydramine ifaka phakathi:
- Delirium (ukudideka)
- Ukunciphisa ukusebenzisana noma umsebenzi wokuqonda
- Ukulala
- Isizungu
- Ukwanda kwe-intraocular (efana ne-glaucoma)
- Izinwele
- Ukukhathazeka kwesisu
- Iminyango yokuphunga emaphaphu
- Umlomo omile noma impumu
- Ukungaqondakali
- Ukuqokwa
- Kunzima ukuchama
- Umfutho wegazi ophansi
- I-Blurry noma umbono kabili
- Ukushaya kwenhliziyo okusheshayo noma okungavamile
- Ukuzwela ukukhanya
- Ukuphunga
- Ukungasebenzi kahle kwe-Erectile (ukungabi namandla)
Ukuphendula Okujulile
Ngokusetshenziswa kwanoma imuphi umuthi, kukhona nezingozi zemiphumela emibi kakhulu. Lokhu kwenzeka okungavamile kakhulu. Uma usebenzisa i-diphenhydramine, lokhu kungafaka:
- I-Anaphylaxis (ukusabela okunzima kakhulu okubandakanya ukuphefumula okunzima)
- Ukubalwa kwe-cell cell (i-agranulocytosis, i-anemia, i-thrombocytopenia, ne-leukopenia)
- Izinhliziyo ezingavamile
- Ukuzizwa
- I-psychosis enobuhlungu
- I-labyrinthitis enamandla (izinkinga zendlebe zangaphakathi)
Izixwayiso zokuphepha
Njengoba kuphawuliwe ngenhla, abantu abathile kufanele basebenzise i-diphenhydramine ngokuqapha, noma cha. I-anti-the-counter imithi, ngakho-ke izingozi zicatshangelwa ukuthi ziphansi kancane uma kuqhathaniswa neminye imithi yokwelashwa. Ukulimaza ingane ekhulayo ngesikhathi sokukhulelwa kungenzeka kodwa kungenakwenzeka, futhi i-diphenhydramine cishe iphephile ekukhenizeni nasekunceliseni, nakuba kuqapha iseluleko.
Izwi kusuka
Uma uhlangabezana nanoma yikuphi ubunzima, kufanele uxhumane eduze nomhlinzeki wakho wezempilo oyinhloko. Uma unesifo sokulala okungapheli okwenzeka okungenani ubusuku obuthathu ngesonto futhi kuqhubeka okungenani amasonto amabili, cabangela ukusetshenziswa kwe- cognitive therapy yokwelapha (i-CBTI) ukuxazulula isimo esikhundleni.
Imithombo:
"I-Diphenhydramine." I-Epocrates Rx Pro. Inguqulo 16.4, 2016. Epocrates, Inc. I-San Mateo, California.
> Sateia, MJ et al . " Umhlahlandlela Wokuzivocavoca Ngokwemitholampilo ye-Pharmacologic Treatment of Chronic Insomnia kubantu abadala: i-American Academy of Sleep Medicine Guideline Practice Guideline ." I-Journal ye-Clinical Sleep Medicine . 2017; 13 (2): 307-349.