Acetaminophen, caffeine, ne-dihydrocodeine (indlela yokumathwa ngomlomo)
Imikhiqizo etholakalayo
Panlor-DC, Panlor-SS, Trezix, Zerlor
Mayelana naleli khambi
Ukuhlanganiswa kwe-Acetaminophen, i-caffeine, ne-dihydrocodeine kusetshenziswa ukuqeda ubuhlungu obuphakathi nendawo noma obukhulu. I-Acetaminophen isetshenziswa ukuqeda ubuhlungu nokunciphisa ubushushu kubantu abagulayo. Ayikhi umlutha uma ithathiwe isikhathi eside. Kodwa-ke i-acetaminophen ingabangela ezinye izingozi uma ithathiwe ngamandla amakhulu, okuhlanganisa nokulimala kwesibindi. I-caffeine iyisidakamizwa se-CNS esisetshenziswa nezinye izidakamizwa zokuqeda ubuhlungu ukuze zikhulise amandla azo. Iye yasetshenziswa nasezinhlungwini ze-migraine. I-Dihydrocodeine iyingxenye yemithi ebizwa ngokuthi yi-narcotic analgesics (imithi yokuqeda ubuhlungu). Isebenza ohlelweni oluphakathi lolwemi (CNS) ukuqeda ubuhlungu. Uma i-dihydrocodeine isetshenziswa isikhathi eside noma ngamandla amakhulu, ingaba umlutha, ibangele ukuncika ngokwengqondo noma ngokomzimba. Noma kunjalo, abantu abanezinhlungu eziqhubekayo akufanele bavumele ukwesaba ukuncika kubavimbe ekusebenziseni izidakamizwa zokuqeda ubuhlungu babo. Ukuncika ngokwengqondo (ukuba nomlutha) akunakwenzeka uma izidakamizwa zisetshenziswa ngenjongo le. Ukuncika ngokomzimba kungabangela imiphumela emibi uma ukwelashwa kuphelile ngokuzumayo. Noma kunjalo, imiphumela emibi yokuncika ingavimbeka ngokunciphisa kancane inani lemithi phakathi nesikhathi ngaphambi kokuba ukwelashwa kuphele ngokuphelele. Lolu lwemi luyatholakala kuphela ngomyalo wodokotela. Lo mkhiqizo uyatholakala ngezindlela zokulinganisela ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-Trezix™ kubantu abancane. Akufanele isetshenziswe ezinganeni ezineminyaka eyi-12 noma ngaphansi. Ukuphepha nokuphumelela akukaqiniswa. I-Trezix™ akufanele isetshenziswe ukuqeda ubuhlungu ngemuva kokusilela kokusilela kwetonsils noma ama-adenoids kunoma yiliphi ingane. Izinkinga zokuphefumula ezinzima nokufa kubikwe kwezinye izingane ezithole i-codeine ngemuva kokuhlinzwa kwetonsils noma ama-adenoids. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezithile zabantu abadala ezingakhawulela ukusetshenziswa kwe-acetaminophen, i-caffeine, kanye nokuhlanganiswa kwe-dihydrocodeine kubantu abadala. Noma kunjalo, iziguli ezikhulile zinezinkinga ze-lung, isibindi, ikidini, noma inhliziyo ezihlobene nobudala, okungadinga ukuqapha nokulungiswa komthamo kwabaguli abamukela i-acetaminophen, i-caffeine, kanye nokuhlanganiswa kwe-dihydrocodeine ukuze kugwenywe imiphumela emibi enokuba yingozi. Izifundo kwabesifazane abancelisa zibonise imiphumela emibi yengane. Okunye ukwelashwa kufanele kunikezwe noma kufanele uyeke ukuncelisa ngenkathi usebenzisa le mithi. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlu lwezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yemiphumela emibi ethile, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshako nanoma iyiphi imithi kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungase kungenzeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshako. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yemiphumela emibi ethile kodwa kungase kungenzeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshako. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemithi njengoba nje udokotela wakho ekuqondisa. Ungalithathi ngaphezulu, ungalithathi kaningi, futhi ungalithathi isikhathi eside kunalokho udokotela wakho akuqondile. Lokhu kubaluleke kakhulu kubantu abadala, abangase babe nomuzwa kakhulu wemithi yokwelapha ubuhlungu. Uma kuthathwa okuningi kule mithi isikhathi eside, kungase kube yimikhuba (kubangele ukuxhomeka kwengqondo noma komzimba) noma kubangele ukudlula. Futhi, izilinganiso ezinkulu ze-acetaminophen zingalimaza isibindi. Le mithi kufanele ifike ne-Medication Guide. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Le mithi ehlanganisiwe inama-acetaminophen (Tylenol®). Hlola ngokucophelela imibhalo yayo yonke eminye imithi oyisebenzisayo, ngoba ingase futhi ibe nama-acetaminophen. Akuphephile ukusebenzisa ngaphezulu kwamagremu angu-4 (amamilligrams angu-4,000) we-acetaminophen ngosuku olulodwa (amahora angu-24), njengoba lokhu kungase kukhulise ingozi yezinkinga ezinkulu zesibindi. Inani lemithi leli lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemibhalweni. Ulwazi olulandelayo luhlanganisa kuphela izilinganiso ezimaphakathi zale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukwenza kanjalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lezingxenye oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezingxenye, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa yingxenye yale mithi, suka kuleyo ngxenye oyiphothile bese ubuyela esikhathini sakho sokuthola imithi. Ungawandisi ama-doses. Gcina imithi esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayigandayi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasasetshenziswa. Yiyekeze noma iyiphi imithi ye-narcotic engasetshenziswanga endaweni yokuthatha imithi ngokushesha. Uma ungenayo indawo yokuthatha imithi eduze kwakho, sula noma iyiphi imithi ye-narcotic engasetshenziswanga esithunzini. Hlola esitolo sakho semithi sasekhaya nakwezinye izikhungo zokuthola izindawo zokuthatha imithi. Ungahlola futhi iwebhusayithi ye-DEA ukuze uthole izindawo. Nanka ikhonkco le-FDA yokulahla imithi ngokuphepha: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.