Kuopsa Kwambiri Kwambiri
Anthu omwe ali ndi ululu ndi zizindikiro zina zambiri za fibromyalgia (FMS) ndi matenda otopa ( ME / CFS ) nthawi zambiri amatha kumwa mankhwala osiyana, omwe ali ndi akuluakulu odwala painkillers. Mankhwalawa angakuthandizeni kuti muzigwira bwino ndikumverera bwino, koma onse amabwera ndi zoopsa.
Mukhoza kupeza mitundu yambiri ya mankhwala opatsirana pogwiritsa ntchito mankhwalawa (OTC), ndipo ambiri a ife omwe tiri ndi matendawa amatenga mankhwala osokoneza bongo nthawi zina.
Mmodzi mwa mankhwala awa-kuphatikizapo OTC-ali ndi zotsatira zake zokha ndi zoopsa.
Mmodzi mwa anthu odwala matenda opatsirana, onse oTC ndi mankhwala, ndi acetaminophen. Amadziwika bwino ndi dzina lakuti Tylenol, ndipo amadza ndi mankhwala osokoneza bongo kuphatikizapo Vicodin (acetaminophen hydrocodone) ndi Percocet (acetaminophen oxycodone) .
Asayansi samvetsa bwino momwe acetaminophen amagwirira ntchito. Sizotsutsana ndi zotupa ndipo si opiate. Zimakhulupirira kuti acetaminophen imachepetsa kupweteka kudzera m'katikatikati mwa mitsempha mwa njira zosiyanasiyana.
Acetaminophen Risks
Acetaminophen kawirikawiri imakhala ngati "yotetezeka" chifukwa chakuti imatha kukhala ndi mankhwala ambiri ndipo sizingatheke kuti zipangitse zotsatira zoyambitsa matenda zomwe zimapezeka ndi anti-inflammatories (ngakhale zingatheke). Zakudya zoposa 100 zili ndi acetaminophen, kaya zokha kapena zosakaniza ndi mankhwala ena.
Komabe, overtose ya acetaminophen yakula kwambiri. Malingana ndi American Liver Foundation, ndilo vuto lodziwika bwino la vuto la chiwindi mwadzidzidzi ku United States Vuto ndi lalikulu kwambiri moti mu 2009, a FDA ankaganiza kuti amaletsa mankhwala osokoneza bongo. M'malo mwake, adachepetsa kuchuluka kwa acetaminophen omwe angathe kukhala nawo ndipo amafunika kuti machenjezo a chiwindi-alephera kuwonjezeredwa pazomwe akulemba.
Pofuna kupewa mwangozi wa acetaminophen overdose, ndikofunika kutsimikiza kuti simutenga ndalama zowonjezera komanso kuti simulandira mankhwala oposa limodzi. Mwachitsanzo, ngati mutenga ululu ndikuwotcha chimfine, muyenera kuonetsetsa kuti mankhwala anu ozizira alibe acetaminophen. Ambiri a iwo amachita. Onetsetsani kuti muwone kawiri kabuku kali konse kamene kamapangidwa ndi ululu kapena kuchepetsa kutentha thupi.
Muyeneranso kudziwa kuti acetaminophen nthawi zina amatchedwa APAP, yomwe imayimira acetyl-para-amino-phenol.
Zizindikiro Zowonjezereka
Zizindikiro za overtose a acetaminophen zimafuna kuchipatala mwamsanga. Zikuphatikizapo:
- kunyoza ndi kusanza
- kutsekula m'mimba
- kusowa kwa njala
- chisokonezo
- thukuta
- kutopa kwakukulu
- kutuluka mwachilendo kapena kuvulaza
- kupweteka kwa m'mimba, makamaka kumtunda kwabwino
- jaundice (khungu lakasu ndi maso)
- zizindikiro zofanana ndi chimfine
- kupsa mtima kwapadera
Zambiri mwa zizindikirozi- chisokonezo , kutukuta , kutopa kwambiri, zizindikiro zofanana ndi chimfine-zingakhale zovuta kuziwona chifukwa zimapezeka mu FMS ndi ME / CFS. Ndikofunika kuzindikira kusintha kulikonse kwa zizindikiro zomwe zingakhale zokhudzana ndi mankhwala.
Mndandandawu ungakuthandizeni kudziwa kuti ndi mankhwala ati omwe ali ndi acetaminophen:
- Mndandanda wa FDA wa Acetaminophen yomwe ili ndi mankhwala olembedwa
Zotsatira Zotsatira ndi Kuyanjana
Ngakhale mutatsatira malangizo a mlingo woyenera, acetaminophen ikhoza kuwononga zotsatira. Zovuta kwambiri, zomwe muyenera kulengeza kwa dokotala mwamsanga, ziphatikizapo zizindikiro zingapo zomwe tazitchula pamwambapa, kuphatikizapo:
- kupweteka, kuyamwa, ming'oma; nkhope yotupa, milomo kapena lilime)
- mavuto opuma
- kupweteka kwa chifuwa, kupwetekedwa mutu, kupwetekedwa, kunyowa kapena kusanza
- mavuto oyendayenda kapena kusintha kwa mkodzo wanu wamba
- zofooka kapena kutopa
Zotsatira zochepa zazing'ono, zomwe sizikusowa chithandizo chamankhwala, kuphatikizapo:
- mutu
- kunyoza
Mbali ya kutchuka kwa acetaminophen ndikuti imasakanikirana bwino ndi mankhwala ambiri.
Komabe, kuzilumikiza ndi mankhwala otsatirawa kungakhale koopsa:
- mowa
- Gleevec (imatinib)
- Tubizid (isoniazid)
Kuchepetsa Vuto Lanu
Mungathe kuchepetsa vuto la mavuto a acetaminophen mwakumamwa mankhwala nthawi zonse, kuonetsetsa kuti simutenga mankhwala oposa acetaminophen, komanso osamwa mowa mukatenga acetaminophen.
Dokotala wanu ndi wamankhwala ayenera kuzindikira zonse zomwe mukuzitenga, kuphatikizapo OTC ndi mankhwala a nthawi yayitali, kotero amatha kuona mavuto omwe angakhale nawo chifukwa chowopsa kapena kuyanjana.
Kodi Acetaminophen Ndi Yoyenera?
Muyenera kugwira ntchito ndi dokotala wanu kuti muone ngati mankhwala a acetaminophen ndi abwino kwa inu. Zosankhazi ziyenera kukhazikitsidwa pa zinthu monga matenda, zizindikiro, thanzi labwino komanso moyo wanu.
Ngati simukumva mankhwala a acetaminophen akuthandizani kuchepetsa kupweteka kwanu, lankhulani ndi dokotala wanu za zoopsa ndi zopindulitsa komanso njira zina zotheka.
Zotsatira:
Larson AM, ndi al. Hepatology. 2005 Dec; 42 (6): 1364-72. Acetaminophen-inachititsa kuti chiwindi chikhale chovuta kwambiri: zotsatira za multicenter wa United States, wophunzira akuyembekezera.
Rowden AK, ndi al. Zipatala zamankhwala othandizira odwala. 2006 Mar 26 (1): 49-65, viii. Acetaminophen poizoni.
US Food and Drug Administration. Zatsopano zokhudzana ndi Kutseka Ngozi ku Acetaminophen.
US Food and Drug Administration. Mankhwala Acetaminophen Products kuti akhale Ochepa kwa 325 mg Pa Unit Mlingo; Chenjezo lotsekedwa Lidzasintha Zomwe Zingatheke Kulephera Kwambiri kwa Chiwindi.