Icyo Acetaminophen (inzira yo mu mitsi) aricyo: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Acetaminophen yo mu mitsi ni umuti uvura ububabare kandi ugabanya umuriro utererwa mu mitsi yawe unyuze mu muyoboro wa IV. Ni umuti umwe nk'uwa acetaminophen ushobora gufata mu buryo bw'ibinini, ariko utererwa mu maraso yawe iyo udashobora gufata imiti yo kunywa cyangwa ukeneye ubufasha bwihuse.

Ubu bwoko bwa acetaminophen bukora neza cyane mu bitaro aho abarwayi bakeneye kuvurwa ububabare neza ariko ntibashobore kumira ibinini bitewe n'ibibazo byo kubagwa, indwara, cyangwa izindi ndwara. Itsinda ry'abaganga bakuvura rishobora kugenzura urugero rw'imiti neza kandi rikurikirana uko ubisangamo.

Ni iki Acetaminophen yo mu mitsi aricyo?

Acetaminophen yo mu mitsi ni ubwoko bw'umuti usanzwe uvura ububabare uca mu maraso yawe unyuze mu mutsi. Bitandukanye n'ibinini bigomba kubanza gushonga, IV acetaminophen itangira gukora mu minota mike kuko yirengagiza rwose sisitemu yawe yo mu gifu.

Uyu muti urimo ibintu bikora kimwe nka Tylenol isanzwe, ariko yateguwe by'umwihariko kugira ngo ibe nziza kandi ikore neza iyo itewe unyuze mu muyoboro wa IV. Umuti usobanutse utegurwa neza mu buryo butuma nta mikorobe yinjira kugira ngo birinde icyorezo icyo aricyo cyose.

Abaganga bakoresha ubu buryo iyo udashobora gufata imiti unyuze mu kanwa, nko nyuma yo kubagwa, mu gihe cy'indwara zikomeye, cyangwa iyo utazi ibikubaho cyangwa urimo gukoreshwa imiti igabanya ubwenge.

Ni iki Acetaminophen yo mu mitsi ikoreshwa?

IV acetaminophen ivura ububabare buringaniye kandi igabanya umuriro iyo imiti yo kunywa idakwiriye cyangwa idakora neza. Ikoreshwa cyane mu bitaro ku barwayi bari gukira kubagwa, bahanganye n'indwara zikomeye, cyangwa bafata imiti ivura indwara zidakira zituma kumira bigorana.

Muganga wawe ashobora kugusaba acetaminophen ya IV igihe ukeneye imiti igabanya ububabare buri gihe ariko ntushobore kumira imiti yo mu kanwa bitewe no kuruka, guhitwa, cyangwa ibibazo byo mu gifu. Bifasha kandi iyo ukeneye ko ububabare bugabanuka vuba ugereranije n'imiti yo mu kanwa.

Uyu muti ukora neza ku bwoko butandukanye bw'ububabare burimo ububabare nyuma yo kubagwa, kubabara umutwe, kubabara imitsi, n'ububabare bwa arthrite. Akenshi ni igice cy'umugambi wo kuvura ububabare urimo n'indi miti cyangwa ubuvuzi.

Ni gute Acetaminophen ya Intravenous ikora?

Acetaminophen ya IV ikora ibuza imisemburo imwe n'imwe mu bwonko bwawe itera ububabare n'umuriro. Ifatwa nk'umuti ugabanya ububabare bwo hagati, ukomeye kuruta kutagira icyo ufata ariko ntukomeye nk'imiti ya opioïde nka morphine.

Iyo umuti winjiye mu maraso yawe, ujya mu bwonko bwawe no mu mugongo aho uvangira inzira z'ububabare. Ibi bifasha kugabanya ubukana bw'ibimenyetso by'ububabare ubwonko bwawe bwakira, bigatuma wumva umeze neza.

Ingaruka zo kugabanya umuriro zibaho kuko acetaminophen igira ingaruka ku gice cy'ubwonko bwawe kigenzura ubushyuhe bw'umubiri. Bifasha gusubiza thermostat y'umubiri wawe isanzwe igihe ufite umuriro.

Bitandukanye n'indi miti igabanya ububabare, acetaminophen ntigabanya ububyimbirwe mu mubiri wawe. Ibyibanda gusa ku kugabanya ububabare no kugabanya umuriro, bituma yorohera igifu cyawe n'impyiko iyo ikoreshejwe neza.

Nkwiriye gufata nte Acetaminophen ya Intravenous?

Ntiwifatira acetaminophen ya IV wenyine - buri gihe itangwa n'abakozi b'ubuzima babihuguriwe mu kigo cy'ubuvuzi. Uyu muti uza mu mazi asobanutse asukwa buhoro mu urwungano rwawe mu minota 15 kugeza kuri 20 binyuze mu murongo wa IV.

Umuforomo wawe cyangwa muganga bazategura urugero nyarwo rishingiye ku kuremera kwawe, uburwayi bwawe, n'urwego rw'ububabare. Bazagukurikiranira hafi mugihe cyo gutera umuti kugirango barebe ko urimo gusubiza neza kandi utagira ingaruka mbi.

Bitandukanye na acetaminophen yo kunywa, ntugomba guhangayika ku bijyanye no kuyifata hamwe n'ibiryo cyangwa amazi. Uburyo bwa IV bunyura mu nzira yo mu gifu cyawe rwose, bityo kurya cyangwa kunywa ntibigira icyo byongera ku buryo ikora neza.

Uburyo bwo kuyinjiza muri rusange buraryoshye, nubwo ushobora kumva umwuka ukonjesha gato mu kuboko kwawe cyangwa urwungano rw'amaraso aho umuti uri gutangwa. Ibi ni ibisanzwe kandi akenshi birashira vuba.

Nzamara Igihe Kingana Iki Ndafashe Acetaminophen yo mu rwungano rw'amaraso?

Igihe cyo kuvura na IV acetaminophen giterwa rwose n'uburwayi bwawe n'imikorere yo gukira. Abarwayi benshi bayihabwa iminsi mike kugeza ku cyumweru bari mu bitaro, hanyuma bagahindukirira imiti yo kunywa iyo bashoboye kongera kumira.

Itsinda ryawe ry'ubuzima rizakurikirana urugero rw'ububabare bwawe n'imikorere muri rusange kugirango bamenye igihe utazakenera IV acetaminophen. Bazagabanya buhoro buhoro inshuro cyangwa bakwimurire ku buryo bwo kunywa uko imikorere yawe igenda irushaho.

Ku barwayi bavuwe, IV acetaminophen ikoreshwa cyane mu masaha 24 kugeza kuri 72 nyuma yo kubagwa, hanyuma igasimbuzwa imiti yo kunywa uko ukira. Igihe nyacyo gitandukana bitewe n'ubwoko bw'ubuvuzi n'imikorere yawe yo gukira.

Muganga wawe ntazigera ahagarika IV acetaminophen ako kanya niba umaze kuyihabwa buri gihe. Bazakora gahunda yo kureba ko ububabare bwawe bukomeza kugenzurwa neza mu gihe cyose cyo guhinduka.

Ni Iyihe Miterere Y'ingaruka za Acetaminophen yo mu rwungano rw'amaraso?

Abantu benshi bakira neza IV acetaminophen, ariko nk'indi miti yose, irashobora gutera ingaruka ku bantu bamwe. Inkuru nziza ni uko ingaruka zikomeye zitaba zisanzwe iyo umuti utanzwe neza n'abakora mu rwego rw'ubuzima.

Ingaruka zisanzwe ushobora guhura nazo zirimo isesemi rito, kuribwa n'umutwe, cyangwa isereri. Ibi bimenyetso mubisanzwe ni iby'igihe gito kandi akenshi birakosoka uko umubiri wawe wimenyereza umuti cyangwa uko imikorere y'ibanze itera ububabare irushaho.

Ibi ni bimwe mu ngaruka zisanzwe zigaragara ku barwayi bamwe:

• Kuruka gake cyangwa kutamererwa neza mu gifu
• Kuribwa umutwe cyangwa kumva uruhuka
• Umutwe
• Kugira umunaniro cyangwa gusinzira
• Kugabanuka gake kw'umuvuduko w'amaraso
• Uruhu ruto rwo ku gice cyashyizweho urushinge

Izi ngaruka zisanzwe zikunda gukira zonyine kandi ntizisaba guhagarika imiti. Itsinda ry'abaganga bakwitaho bazakugenzura neza kandi bashobora guhindura imiti yawe niba bibaye ngombwa.

Ingaruka zikomeye ni gake zibaho ariko zisaba ubufasha bwihuse bw'abaganga. Izi ngaruka zitamenyerewe zirimo ibisubizo bikomeye by'uburwayi, impinduka zikomeye ku muvuduko w'amaraso, cyangwa ibibazo bijyanye n'umwijima iyo bikoreshejwe igihe kirekire.

Ingaruka zikomeye ariko zitabaho kenshi zirimo:

• Uburwayi bukomeye bwo kwibasirwa n'umubiri bigoranye guhumeka cyangwa kubyimba
• Kugabanuka gukomeye kw'umuvuduko w'amaraso
• Ukwangirika kw'umwijima iyo hakoreshejwe imiti myinshi cyane cyangwa igihe kirekire
• Uruhu rukomeye rwo ku mubiri
• Ibibazo by'impyiko ku barwayi bafite ibibazo

Mu bitaro hatangwa umutekano wihariye kuko itsinda ry'abaganga bakwitaho rishobora kwihutira gukemura ibimenyetso byose biteye impungenge no guhindura gahunda yawe y'imiti uko bikwiye.

Ninde utagomba gufata Acetaminophen yo mu maraso?

Mugihe acetaminophen yo mu maraso isanzwe ikoreshwa ku bantu benshi, hari abantu bamwe bakeneye kwitabwaho by'umwihariko cyangwa bakwiye kuyirinda rwose. Muganga wawe azasuzuma neza amateka yawe y'uburwayi mbere yo kugusaba iyi miti.

Abantu bafite indwara ikomeye y'umwijima bakwiye kwirinda acetaminophen mu buryo ubwo aribwo bwose kuko umwijima wabo ushobora kutabasha gukora imiti neza. Ibi birimo abantu bafite cirrhosis, hepatite, cyangwa izindi ndwara zikomeye z'umwijima.

Ukwiye kumenyesha itsinda ry'abaganga bakwitaho ibi bibazo by'ingenzi mbere yo guhabwa acetaminophen yo mu maraso:

• Indwara ikomeye y’umwijima cyangwa kunanirwa kw’umwijima
• Amateka y’uburwayi bwo kwibasirwa n’ibintu byose (allergies) kuri acetaminophen
• Uburwayi bwo kunywa inzoga buhoraho
• Indwara ikomeye y’impyiko
• Kubura kwa Glucose-6-phosphate dehydrogenase (G6PD)
• Imirire mibi cyangwa uburwayi bwo kurya

Ibi birwayi ntibisobanura ko udashobora guhabwa acetaminophen yo mu maraso, ariko muganga wawe azagomba guhindura urugero rwawo cyangwa akugenzure neza mugihe uvurwa.

Abagore batwite n’abonsa mubisanzwe bashobora guhabwa acetaminophen yo mu maraso neza, ariko muganga wawe azagereranya inyungu n’ibishobora guteza akaga. Uyu muti mubisanzwe ufashwe nk’umutekano mugihe cyo gutwita iyo ukoreshejwe neza.

Amazina y’ubwoko bwa Acetaminophen

Ubwoko bwa acetaminophen yo mu maraso buzwi cyane nka Ofirmev muri Leta Zunze Ubumwe z’Amerika. Iri naryo rikoreshwa cyane n’ibitaro n’ibigo by’ubuvuzi mukugenzura acetaminophen yo mu maraso.

Ushobora kandi kumva abaganga bavuga gusa “acetaminophen yo mu maraso” cyangwa “intravenous Tylenol,” nubwo Tylenol ubwayo idakora urugero rwa IV. Izina rusange ni acetaminophen, hatitawe ku bwoko.

Ibindi bihugu bishobora kugira amazina y’ubwoko butandukanye bwa acetaminophen yo mu maraso, ariko ibikoresho bikora n’ingaruka biracyasa. Itsinda ryawe ry’ubuvuzi rizakoresha ubwoko ubwo aribwo bwose buboneka mu kigo cyawe cy’ubuvuzi.

Uburyo bwo gusimbuza Acetaminophen

Imiti myinshi isimbura ishobora gutanga ubufasha bwo kurwanya ububabare n’igabanuka ry’umuriro iyo acetaminophen yo mu maraso idakwiriye cyangwa itaboneka. Muganga wawe azahitamo uburyo bwiza bushingiye ku byo ukeneye mu buvuzi n’uburwayi bwawe.

Ibuprofen yo mu maraso (Caldolor) ni ubundi buryo butari ubw’ibiyobyabwenge bugabanya kandi umuvumo, ibyo acetaminophen itakora. Ibi bishobora gukundwa niba ufite indwara zifata imitsi nka arthrite cyangwa ubwoko bumwe bwo kubabara nyuma yo kubagwa.

Kugira ngo uruhuke kurushaho, muganga wawe ashobora kugusaba imiti ikoresha ibiyobyabwenge nka morphine, fentanyl, cyangwa oxycodone. Iyi miti irakomeye kurusha acetaminophen ariko iza n'ingaruka zitandukanye n'ibibazo, harimo n'ishoboka ryo kuyoboka.

Izindi nzira abaganga bashobora gutekereza harimo:

• Ibuprofen ya IV kugira ngo igabanye ububabare
• Ketorolac ya IV kugira ngo igabanye ububabare bukomeye bw'igihe gito
• Acetaminophen yo kunywa iyo ushobora kumira neza
• Imiti yo gusiga igabanya ububabare kugira ngo igabanye ububabare bw'ahantu hamwe
• Uburyo butakoresha imiti nka barafu, ubushyuhe, cyangwa imyitozo ngororamubiri

Uburyo bwiza buterwa n'urugero rw'ububabare ufite, amateka yawe y'ubuzima, n'ubushobozi bwo gufata izindi miti. Itsinda ryawe ry'abaganga rizakorana nawe kugira ngo ribone uburyo bwiza kandi bwizewe.

Ese Acetaminophen yo mu maraso iruta Acetaminophen yo kunywa?

Acetaminophen ya IV ntabwo ari ngombwa ko "iruta" acetaminophen yo kunywa, ariko ifite ibyiza byihariye mu bihe bimwe na bimwe. Inyungu nyamukuru ni uko ikora vuba kandi ikagira urugero rw'imiti mu maraso ruzwi neza.

Iyo ufata acetaminophen unywa, igomba gukoreshwa n'inzira yo mu gifu, bishobora gufata iminota 30 kugeza kuri 60 kugira ngo itangire gukora. Acetaminophen ya IV itangira gukora mu minota 10 kugeza kuri 15 kuko ijya mu maraso yawe.

Ubwoko bwa IV bufite agaciro cyane iyo udashobora gufata imiti yo kunywa kubera isesemi, kuruka, kubagwa, cyangwa kutagira ubwenge. Itanga kandi ubufasha burambye bw'ububabare kuko urugero nyarwo rugera mu maraso yawe hatitawe ku bibazo byo mu gifu.

Ariko, acetaminophen yo kunywa ikunze gukundwa iyo bishoboka kuko byoroshye, bihendutse, kandi ntibisaba gukurikiranwa n'abaganga. Abantu benshi bashobora guhangana n'ububabare bwabo neza niba bashobora kumira neza.

Ibibazo bikunze kubazwa kuri Acetaminophen yo mu maraso

Ese Parasetamoli yo mu mitsi ifite ubuziranenge ku barwayi b'indwara z'umutima?

Parasetamoli yo mu mitsi muri rusange ifite ubuziranenge ku bantu barwaye indwara z'umutima kandi akenshi ikundwa kurusha izindi miti igabanya ububabare ishobora kugira ingaruka ku mikorere y'umutima. Bitandukanye n'imiti imwe igabanya ububabare, parasetamoli ntizana umuvuduko w'amaraso cyangwa ngo ibangamire imiti y'umutima.

Umuvuzi w'umutima wawe n'ikipe y'ubuvuzi bazagukurikiranira hafi niba ufite indwara z'umutima, ariko parasetamoli ikunze gufatwa nk'imwe mu nzira z'ububabare zifite ubuziranenge ku barwayi b'umutima. Ntabwo igira ingaruka ku kuvura amaraso cyangwa ngo igire icyo ihuriyeho n'imiti myinshi y'umutima.

Nkwiriye gukora iki niba mbonye parasetamoli yo mu mitsi ku buryo butunguranye?

Kubera ko parasetamoli yo mu mitsi ihabwa buri gihe n'abakora mu buvuzi, kwirenza urugero ku buryo butunguranye ni gake cyane. Ikipe yawe y'ubuvuzi ibara neza kandi ikagenzura doze yose kugira ngo ibone ko ibi bitabaho.

Niba ufite impungenge ku rugero rwawe cyangwa wumva ibimenyetso bidasanzwe, bwire umuforomo wawe cyangwa muganga ako kanya. Barashobora kureba amateka yawe y'imiti no gusuzuma niba hari icyahinduka. Ntugire impungenge zo kuvuga ku mpungenge z'imiti mu bitaro.

Nkwiriye gukora iki niba nciwe doze ya parasetamoli yo mu mitsi?

Ntabwo ukeneye guhangayika ku bijyanye no kubura doze ya parasetamoli yo mu mitsi kuko ikipe yawe y'ubuvuzi icunga gahunda yose y'imiti. Niba doze yatindijwe kubera impamvu z'ubuvuzi, bazahindura igihe gikwiye.

Abaforomo bawe n'abaganga bahuza imiti yawe yose kugira ngo bakubone ububabare bukwiriye nta gihombo mu kuvurwa. Bazakumenyesha niba hari impinduka zikenewe ku ngengabihe yawe y'imiti.

Nshobora kureka gufata parasetamoli yo mu mitsi ryari?

Ikipe yawe y'ubuvuzi izafata icyemezo cyo kureka parasetamoli yo mu mitsi ishingiye ku rwego rw'ububabare bwawe, ubushobozi bwo gufata imiti yo kunywa, n'iterambere ryo koroherwa muri rusange. Abantu benshi bahindukira ku miti igabanya ububabare yo kunywa mu minsi mike.

Icyemezo cyo guhagarika giterwa n'ibintu bitandukanye birimo uko wagarutse nyuma yo kubagwa, ubushobozi bwo kurya no kunywa, n'uko ububabare bwawe bugenzurwa neza. Muganga wawe azareba ko ufite imiti ihagije yo kugabanya ububabare mbere yo guhagarika urukingo rwa IV.

Nshobora gutwara imodoka nyuma yo guhabwa Acetaminophen yo mu maraso?

IV acetaminophen yonyine akenshi ntigira uruhare mu bushobozi bwawe bwo gutwara imodoka, ariko akenshi urayihabwa uri mu bitaro aho gutwara imodoka bidafite akamaro. Uyu muti ushobora gutera isereri ryoroheje kuri bamwe, rishobora kugira ingaruka ku mikoranire.

Iyo usezerewe mu bitaro, muganga wawe azakugira inama yo gutwara imodoka bitewe n'ubuzima bwawe muri rusange, indi miti ufata, n'uko wagarutse. Jya ukurikiza inama zidasanzwe z'ikipe yawe y'ubuzima ku bijyanye no gusubukura ibikorwa bisanzwe.