Zambiri Zokhudza Kugonjetsa Piritsi Yoyenera
Mwachidule
Mankhwala owonjezera a diphenhydramine amapezeka m'mapiritsi ambiri ogona omwe amawathandiza kuti asagone . Ndilo kugwiritsira ntchito kugona monga mankhwala ogona monga Simply Sleep, Unisom, Tylenol PM, Advl PM, Aleve PM, ZzzQuil , ndi Benadryl. Kugwiritsiridwa ntchito kwake sikukufuna mankhwala, kotero mwina kungakhale koyambirira koyenera kuti mupeze mankhwala osokoneza bongo kuti athandize kuyamba ndi kugona tulo.
Chifukwa cha zotsatira zowononga, makamaka pakati pa anthu okalamba, njira zina zingagwiritsidwe ngati kugona kosatha kumapitirirabe.
Ntchito
Diphenhydramine imagwiritsidwa ntchito zambiri. Chifukwa chimayambitsa kugona, zimakhala zothandiza pafupipafupi mankhwala osagona tulo kapena kusowa tulo. Zingakuthandizeni kugona kapena kugona. Komabe, pali umboni wochepa wakuti diphenhydramine kwenikweni imapangitsa kugona, ndipo imayambitsa tulo tsiku litatha. Malingana ndi kafukufuku, pafupipafupi zimangowonjezera msanga ndi mphindi zisanu ndi zitatu ndipo zimangowonjezera mphindi khumi ndi ziwiri zokha kuti agone nthawi. Madokotala samalimbikitsa kuti nthawi zonse azigwiritsa ntchito diphenhydramine kuti athetse vuto la kusowa tulo.
Kuwonjezera pa kugwiritsira ntchito kwake monga matenda ogona, diphenhydramine nthawi zambiri imathandizidwa kuti athetse matendawa kapena kuchitapo kanthu, ndipo zingakhale zothandiza popewera matenda oyendayenda. Amagwiritsidwanso ntchito kuchepetsa zizindikiro za extrapyramidal, zomwe zingachitike ngati zotsatira za mankhwala ena.
Momwe Ikugwirira Ntchito
Diphenhydramine ndi gawo la mankhwala omwe amatchedwa antihistamines. Zimagwira pa mlingo wa odwala matendawa, omwe ali amithenga amkati mkati mwa ubongo. Zimathandiza kuti tizilombo toyambitsa matenda tizitchula kuti histamine kumanga m'malo omwe amatchedwa synapses omwe ali pakati pa maselo a mitsempha.
Izi zimayambitsa kusokoneza ndipo zimachitidwa mwa kulepheretsa kukwera kwake kumaselo oyandikira. Diphenhydramine imagwira ntchito pakati pa ubongo komanso m'mitsempha ya mitsempha m'madera ena a thupi. Icho chimakhala ndi zotsatira zina ndipo zingathetsere chifuwa, kunyozetsa, ndi kayendedwe kosalamulirika kotchedwa dyskinesis.
Amene Saliyenera Kuligwiritsa Ntchito
Ana osakwana zaka ziwiri sayenera kugwiritsa ntchito diphenhydramine. Kuwonjezera pamenepo, chenjezo liyenera kugwiritsidwa ntchito pamene mankhwalawa akugwiritsidwa ntchito ndi ana osakwana zaka zisanu ndi chimodzi komanso okalamba . Ngati mwakhala mukuwonjezeka kwambiri, monga glaucoma, muyenera kugwiritsa ntchito diphenhydramine mosamala. Mavuto ena angafunikire kukhala osamala, kuphatikizapo anthu omwe ali ndi: hyperthyroidism, matenda a mtima, kuthamanga kwa magazi, mphumu, matenda osokoneza bongo, chibayo, matenda a zilonda zam'mimba, kukulitsa ma prostate, kutseka kwa chifuwa kapena chikhodzodzo. Ngati muli ndi izi, mungakonde kukambirana za chiopsezo chanu ndi dokotala musanayambe kugwiritsa ntchito mankhwala.
Diphenhydramine ikhoza kuthandizana ndi mankhwala ena, makamaka omwe amakhudza ubongo, kotero mungafune kuti muwerenge mankhwala anu ndi dokotala kapena mankhwala musanagwiritse ntchito.
Zotsatira Zotsatira
Zotsatira zina zomwe zimachitika kawirikawiri ndi diphenhydramine ndizo:
- Delirium (chisokonezo)
- Kusagwirizana kapena kugwira ntchito
- Kugona
- Chizungulire
- Kuwonjezeka kwa pathupi (monga glaucoma)
- Mutu
- Kusokonezeka kwa m'mimba
- Mitsempha yambiri yamapapu
- Dry pakamwa kapena mphuno
- Kusasamala
- Kutsekedwa
- Kuvuta kukodza
- Kuthamanga kwa magazi
- Masomphenya a Blurry kapena awiri
- Mwamsanga kapena osasinthasintha pamtima mtima
- Chisamaliro kuunika
- Kukwapula
- Kulephera kwa Erectile (kusowa mphamvu)
Zochitika Zazikulu
Ndi kugwiritsa ntchito mankhwala alionse, palinso zoopsa za zotsatira zoyipa. Izi zimachitika kawirikawiri. Pogwiritsira ntchito diphenhydramine, izi zingaphatikizepo:
- Anaphylaxis (zoopsa zowonongeka kuphatikizapo kupuma kovuta)
- Kachilombo ka magazi kakang'ono (agranulocytosis, kuchepa magazi, thrombocytopenia, ndi leukopenia)
- Mtima wosayenerera
- Kugonjetsa
- Kusokoneza maganizo maganizo
- Zovuta labyrinthitis (mavuto amkati a khutu)
Malangizo a Chitetezo
Monga tanena kale, anthu ena ayenera kugwiritsa ntchito diphenhydramine mosamala, kapena ayi. Ndi mankhwala osokoneza bongo, kotero kuti ziwopsezo zimakhala zochepa poyerekezera ndi mankhwala ena a mankhwala. Kuvulaza mwana yemwe ali ndi kachilomboka pamene ali ndi mimba ndi kotheka, koma diphenhydramine ikhoza kukhala yotetezedwa ku lactation ndi kuyamwitsa, ngakhale kuti akuchenjezedwa.
Mawu ochokera
Ngati mukukumana ndi mavuto aliwonse, muyenera kukhala pafupi kwambiri ndi wothandizira odwala. Ngati mukudwala matenda osabisala omwe amapezeka mausiku atatu pa sabata ndikukhala osachepera masabata awiri, ganizirani kugwiritsa ntchito njira zamaganizo zokhala ndi vuto la kusowa tulo (CBTI) kuthetsa vutoli m'malo mwake.
Zotsatira:
"Diphenhydramine." Epocrates Rx Pro. Version 16.4, 2016. Epocrates, Inc. San Mateo, California.
> Sateia, MJ ndi al . Malangizo Okhudza Zipatala Zothandizira Mankhwala Osokoneza Bongo a Insomnia Osatha: A American Academy of Sleep Medicine Guide Guide Practice Practice . " Journal of Clinical Sleep Medicine . 2017; 13 (2): 307-349.