Acetaminophen, caffeine, na dihydrocodeine (inzira yo mu kanwa)
Amoko ahari
Panlor-DC, Panlor-SS, Trezix, Zerlor
Ibyerekeye uyu muti
Ikiyikoresho gifatanye acetaminophen, caffeine, na dihydrocodeine gikoreshwa mu kugabanya ububabare buciriritse kugeza ku bubabare bukomeye. Acetaminophen ikoreshwa mu kugabanya ububabare no kugabanya umuriro mu barwayi. Ntiteranya iyo ikoreshwa igihe kirekire. Ariko acetaminophen ishobora gutera ingaruka zindi zitari nziza iyo ifashwe mu biyiko byinshi, harimo no kwangirika kwijwi. Caffeine ni stimulant ya CNS ikoreshwa hamwe n'imiti igabanya ububabare kugira ngo yongere ingaruka zayo. Yakoreshejwe kandi mu kubabara umutwe wa migraine. Dihydrocodeine ibarizwa mu itsinda ry'imiti yitwa narcotic analgesics (imiti igabanya ububabare). Ikora kuri central nervous system (CNS) kugira ngo igabanye ububabare. Iyo dihydrocodeine ikoreshwa igihe kirekire cyangwa mu biyiko byinshi, ishobora guteranya, itera ubumwe bw'umutima cyangwa umubiri. Ariko abantu bafite ububabare buhoraho ntibagomba kureka gutinya guterana kubabuza gukoresha imiti igabanya ububabare kugira ngo bagabanye ububabare bwabo. Ubumwe bw'umutima (ubumuga) ntabwo bushobora kubaho iyo imiti igabanya ububabare ikoreshwa muri ubu buryo. Ubumwe bw'umubiri bushobora gutera ingaruka zo kubura imiti iyo ivuriro rihagaritswe gitunguranye. Ariko, ingaruka zikomeye zo kubura imiti zishobora kwirindwa binyuze mu kugabanya umwanya buhoro buhoro mu gihe runaka mbere yuko ivuriro rihagaritswe burundu. Uyu muti uboneka gusa ufite resept ya muganga. Iyi miti iboneka mu buryo bukurikira bwo gutanga umuti:
Mbere yo gukoresha uyu muti
Mu gufata icyemezo cyo gukoresha imiti, ibyago byo gufata imiti bigomba guhanurwa n'akamaro bizagira. Iki ni icyemezo wowe na muganga wawe muzafatanya. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uburwayi butunguranye cyangwa ubwo kwangirika kw'umubiri kuri iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite ubundi bwoko bw'uburwayi, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku rupapuro rw'ibikoresho. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano y'imyaka ku ngaruka za Trezix ™ ku bana. Ntigomba gukoreshwa ku bana bafite imyaka 12 cyangwa munsi yaho. Ubuziranenge n'ingaruka ntabwo byarangiye. Trezix ™ ntigomba gukoreshwa mu kugabanya ububabare nyuma yo kubaga ukuramo amara cyangwa amashyira mu bana. Ibibazo bikomeye byo guhumeka n'impfu byatangajwe muri bamwe mu bana bahawe codeine nyuma yo kubaga amara cyangwa amashyira. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abakuze byagabanya ingaruka za acetaminophen, caffeine, na dihydrocodeine muri abakuze. Ariko kandi, abarwayi bageze mu zabukuru bafite ibyago byinshi byo kugira ibibazo by'ibihaha, umwijima, impyiko, cyangwa umutima bijyanye n'imyaka, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata acetaminophen, caffeine, na dihydrocodeine kugira ngo birinde ingaruka mbi zishobora kubaho. Ubushakashatsi ku bagore bonsa bwarerekanye ingaruka mbi ku bana. Ikindi kintu kigomba kwandikwa cyangwa ugomba kureka konsa mugihe ukoresha iyi miti. Nubwo imiti imwe ntigomba gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ikibazo gishobora kubaho. Muri uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufashe iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe nimiti ikurikira ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugomba iyi miti cyangwa guhindura imiti imwe mu yindi ufashe. Gukoresha iyi miti hamwe nimiti ikurikira ntibisanzwe byemewe, ariko bishobora gusabwa mubihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe nimiti ikurikira bishobora gutera ibyago byiyongereye byingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wewe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya ibiryo bimwe na bimwe kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe nimiti imwe bishobora gutera ibibazo. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe nimiti ikurikira ntibisanzwe byemewe, ariko bishobora kuba bitashoboka mubihe bimwe na bimwe. Niba ikoreshwa hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha, cyangwa akaguha amabwiriza yihariye yerekeye ikoreshwa ryibiryo, inzoga cyangwa itabi. Gukoresha iyi miti hamwe nimiti ikurikira bishobora gutera ibyago byiyongereye byingaruka zimwe na zimwe ariko bishobora kuba bitashoboka mubihe bimwe na bimwe. Niba ikoreshwa hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha, cyangwa akaguha amabwiriza yihariye yerekeye ikoreshwa ryibiryo, inzoga cyangwa itabi. Kuba hari ibindi bibazo byubuzima bishobora kugira ingaruka ku ikoreshwa ryiyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo byubuzima, cyane cyane:
Uburyo bwo gukoresha uyu muti
Fata iyi miti gusa nkuko muganga wawe yabikuyeho. Ntugatware ibiri hejuru yayo, ntuyifate kenshi, kandi ntuyifate igihe kirekire kurusha igihe muganga wawe yategetse. Ibi ni ingenzi cyane ku barwayi bageze mu za bukuru, bashobora kuba bafite ubushobozi bwo kwakira imiti igabanya ububabare. Niba hari imiti myinshi yafashwe igihe kirekire, ishobora kuba umuco (iterwa no kwishingikiriza mu mutwe cyangwa umubiri) cyangwa itera overdose. Nanone, amafaranga menshi ya acetaminophen ashobora gutera ibibazo by'umwijima. Iyi miti igomba kuza hamwe na gahunda y'imiti. Soma kandi ukurebere neza aya mabwiriza. Baza muganga wawe niba ufite ikibazo icyo aricyo cyose. Iyi miti ifatanye irimo acetaminophen (Tylenol®). Suzuma neza ibikoresho byose by'imiti indi ukoresha, kuko bishobora kandi kuba birimo acetaminophen. Ntabwo ari byiza gukoresha arenga garama 4 (miligramu 4.000) za acetaminophen mu munsi umwe (amasaha 24), kuko ibi bishobora kongera ibyago byo kugira ibibazo bikomeye by'umwijima. Igipimo cyiyi miti kizaba kitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku kimenyetso. Amakuru akurikira arimo gusa ibipimo by'iyi miti. Niba igipimo cyawe kitandukanye, ntukiguhindura keretse muganga wawe akubwiye kubikora. Ingano y'imiti ufata iterwa n'imbaraga z'imiti. Nanone, umubare w'ibipimo ufata buri munsi, igihe cyemererwa hagati y'ibipimo, n'igihe ufata imiti biterwa n'ikibazo cy'ubuzima uri gukoresha imiti. Niba ubuze igipimo cyiyi miti, sipa igipimo cyabuze kandi usubire ku gahunda yawe isanzwe yo gufata imiti. Ntukarebe ibipimo bibiri. Kubika imiti mu gikombe gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'umucyo udasanzwe. Kwirinda gukonjesha. Kwirinda abana. Ntukagumane imiti ishaje cyangwa imiti idakenewe ukundi. Jyana imiti yose idakoreshwa ya narcotic ahantu hagenewe gufata imiti vuba. Niba udafite ahantu hagenewe gufata imiti hafi yawe, suka imiti yose idakoreshwa ya narcotic mu musarani. Suzuma farumasi yawe yaho na kliniki kugira ngo ubone ahantu hagenewe gufata imiti. Urashobora kandi kureba urubuga rwa DEA kugira ngo ubone ahantu. Dore ihuza rya FDAsafe ry'imiti: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.