Yini i-Acetylcysteine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Acetylcysteine iyimithi esiza ukwehlisa amafinyila aqinile, anamathelayo emaphashini akho nasemoyeni. Ungase uyazi kangcono njenge-NAC (N-acetylcysteine), futhi ilusizo ikakhulukazi kubantu ababhekene nezimo zokuphefumula lapho amafinyila eba yinkinga.

Le mithi isebenza njengomsizi omnene ohlelweni lwakho lokuphefumula. Yenza amafinyila aqinile esifubeni sakho abe mancane futhi kube lula ukuwakhwehlela, okunganikeza impumuzo yangempela uma ulwa nokuminyana noma izimo ezithile zamaphaphu.

Yini i-Acetylcysteine?

I-Acetylcysteine iyisithako se-mucolytic, okusho ukuthi yenzelwe ngqo ukwehlisa amafinyila. Cabanga ngayo njengomuntu ohlanzekile wemvelo ohlelweni lwakho lokuphefumula olusiza ukususa izimfihlo eziqinile, ezinamathiselayo ezingenza ukuphefumula kungakhululeki.

Le mithi ivela ku-amino acid ebizwa nge-cysteine, umzimba wakho osuvele uyisebenzisa ngokwemvelo. Ifomu lomlomo olithatha ngomlomo lihlukile kunguqulo ye-intravenous esetshenziswa ezibhedlela ngokuqina kwe-acetaminophen, nakuba zombili ziqukethe isithako esifanayo esisebenzayo.

Ngokuvamile uzothola i-acetylcysteine etholakala njengamaphilisi, amaphilisi, noma izixazululo zomlomo. Isetshenziswe ngokuphepha amashumi eminyaka futhi ithathwa njengenketho ethembekile yokuphatha izimpawu zokuphefumula.

Isetshenziselwani i-Acetylcysteine?

I-Acetylcysteine ngokuyinhloko isiza abantu abanezimo ezibangela amafinyila aqinile, anamathelayo emaphashini abo nasemoyeni. Udokotela wakho angase akubhalele uma ukukhwehlela okuvamile kunganele ukususa lezi zimfihlo ngempumelelo.

Izimo ezivamile ezizuzayo ku-acetylcysteine zihlanganisa i-chronic bronchitis, lapho imigudu yakho yomoya ihlala ivuvukile futhi ikhiqiza amafinyila amaningi. Abantu abanesifo sokuvinjelwa kwamaphaphu esingamahlalakhona (COPD) bavame ukukuthola kusiza ekuphatheni izimpawu zabo zansuku zonke.

Nawa amaphuzu amakhulu lapho i-acetylcysteine inganikeza khona impumuzo:

• I-bronchitis engapheli kanye nezifo zokuphefumula eziphindaphindayo
• I-COPD (isifo sokuvimbela umoya esingapheli)
• I-Cystic fibrosis, lapho amafinyila aqinile evimba imigudu yomoya
• I-Bronchiectasis, isimo lapho imigudu yomoya ilimala futhi yanda
• Ukwelulama ngemva kokuhlinzwa lapho ukususwa kwamafinyila kubalulekile

Abanye odokotela baphinda banikeze i-acetylcysteine ngezimo ezingavamile njenge-primary ciliary dyskinesia noma izinhlobo ezithile ze-pneumonia lapho amafinyila eba yinkinga. Umhlinzeki wakho wezempilo uzonquma ukuthi ilungile yini isimo sakho esithile.

Isebenza Kanjani I-Acetylcysteine?

I-Acetylcysteine isebenza ngokwephula izibopho zamakhemikhali ezibamba amafinyila ndawonye, ​​iyenze ibe mncane kakhulu futhi ibe lula ukuyikhipha. Ithathwa njengomuthi osebenza kahle ngokulinganisela onikeza impumuzo emnene kodwa enengqondo kubantu abaningi abawusebenzisayo.

Uma uthatha i-acetylcysteine, iya emaphashini akho nasemigudwini yomoya lapho ihlangana khona ngokuqondile namafinyila. Umuthi uqukethe izinhlanganisela zesulfure eziphula amaketanga amaprotheni ekukhishweni okuqinile, empeleni “ziwa” zibe yizingcezu ezincane, eziphathekayo.

Le nqubo ivamise ukuqala phakathi nemizuzu engama-30 kuya ehora elilodwa ngemva kokuthatha umuthi. Ungase uqaphele ukuthi ukukhwehlela kwakho kuba nokukhiqiza okwengeziwe, okusho ukuthi uyakwazi ukukhipha amafinyila kalula kunakuqala.

Umuthi futhi unezindawo ezithile ze-antioxidant, okusho ukuthi ungasiza ukuvikela izicubu zamaphaphu akho ekulimaleni okubangelwa ukuvuvukala. Le nzuzo eyengeziwe yenza ibaluleke kakhulu kubantu abanezimo zokuphefumula ezingapheli.

Kufanele Ngiyithathe Kanjani I-Acetylcysteine?

Thatha i-acetylcysteine ngendlela eqondile udokotela wakho ayinikezayo, ngokuvamile nengilazi yamanzi egcwele ukuze usize umuthi usebenze ngempumelelo. Abantu abaningi bakuthola kulula ukuyithatha nokudla ukuze kuncishiswe noma yikuphi ukuphazamiseka kwesisu.

Isikhathi sokuthatha imithamo yakho sibalulekile ukuze uthole imiphumela engcono kakhulu. Hlukanisa imithamo yakho ngokulinganayo usuku lonke njengoba uqondisiwe, okusiza ukugcina amazinga aqhubekayo omuthi emzimbeni wakho.

Nansi indlela yokuthatha i-acetylcysteine ​​ngendlela efanele:

• Gwinya amaphilisi noma ama-capsules wonke ngamanzi okungenani angama-8 ounces
• Thatha nokudla uma uhlangabezana nokucasuka kwesisu
• Uma usebenzisa isixazululo somlomo, linganisa ngokucophelela ngedivayisi yokulinganisa enikeziwe
• Ungachobozi noma uhlafune amaphilisi akhishwe isikhathi eside
• Hlala unamanzi kahle usuku lonke ukuze usize umuthi usebenze kangcono

Abanye abantu baqaphela iphunga noma ukunambitheka kwe-sulfur okuncane, okuvamile ngokuphelele futhi okukhombisa ukuthi umuthi uyasebenza. Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, kodwa unga-double up uma sekuseduze isikhathi somthamo wakho olandelayo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Acetylcysteine?

Ubude bokwelashwa nge-acetylcysteine ​​buncike esimweni sakho esithile nokuthi usabela kahle kangakanani emuthini. Abanye abantu bayayidinga amasonto ambalwa nje ngesikhathi seziqephu ezinzima, kanti abanye abanezimo ezingapheli bangayithatha izinyanga noma isikhathi eside.

Ezimweni zokuphefumula ezinzima njenge-bronchitis, ungase udinge i-acetylcysteine ​​amasonto angu-1-2 kuphela. Udokotela wakho ngokuvamile uzoqala ukukufundisa inkambo bese ehlola kabusha ngokuya ngokuthi izimpawu zakho zithuthuka kanjani.

Abantu abanezimo ezingapheli njenge-COPD noma i-cystic fibrosis bavame ukuthatha i-acetylcysteine ​​njengengxenye yohlelo lwabo oluqhubekayo lokwelapha. Kulezi zimo, udokotela wakho uzoqapha intuthuko yakho njalo futhi alungise ukwelashwa njengoba kudingeka.

Ungayeki ukuthatha i-acetylcysteine ​​ngokuzumayo ngaphandle kokukhuluma nomhlinzeki wakho wezempilo kuqala. Bazokusiza ukuthi unqume isikhathi esifanele sokuyeka umuthi nokuthi ngabe udinga ukunciphisa kancane kancane.

Yiziphi Imiphumela Eceleni Ye-Acetylcysteine?

Abantu abaningi bayakwazi ukumelana ne-acetylcysteine ​​kahle, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi kwabanye abantu. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, futhi iningi lezinkinga zithambile futhi zilawuleka.

Imiphumela emibi evame kakhulu ongase uyithole ihlobene nohlelo lwakho lokugaya ukudla. Lokhu kuvame ukwenzeka lapho uqala ukuthatha umuthi futhi kuvame ukuthuthuka njengoba umzimba wakho uzivumela.

Nansi imiphumela emibi ebikwa kaningi:

• Ukucasuka kwesisu noma isisu esicasukile, ikakhulukazi esiswini esingenalutho
• Ukuphalaza noma ukuzwa ukugula ngemva kokuthatha imithamo
• Ukuqunjelwa noma izitulo ezixekile
• Ukuvuvukala komlomo noma ukunambitheka kwensimbi
• Ukuphuma kwamakhala noma ukuminyana kwamakhala

Abanye abantu nabo baba nemiphumela emibi yokuphefumula, engase ibonakale ikhathaza kodwa ngokuvamile imane ingeyesikhashana. Lokhu kungabandakanya ukukhwehlela okwandayo (njengoba umuthi usiza ukususa amafinyila) noma ukucasuka komphimbo okuncane.

Imiphumela emibi engavamile kodwa engathi sína ihlanganisa ukusabela okukhulu komzimba, ubunzima obukhulu bokuphefumula, noma izinkinga zesisu eziqhubekayo. Xhumana nodokotela wakho ngokushesha uma uzwa ukuqina esifubeni, ubunzima bokugwinya, noma ubuhlungu obukhulu besisu.

Ubani Ongafanele Athatha I-Acetylcysteine?

Abantu abathile kufanele bagweme i-acetylcysteine ​​noma bayisebenzise kuphela ngaphansi kokugadwa kwezokwelapha okuseduze. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi ukuze aqinisekise ukuthi uphephile kuwe.

Abantu abanezibazi zesisu ezisebenzayo ngokuvamile kufanele bagweme i-acetylcysteine ​​ngoba ingacasula uhlelo lokugaya ukudla futhi ingase yenze izimpawu zesilonda zibe zimbi kakhulu. Uma unomlando wezinkinga zesisu, udokotela wakho uzohlola izinzuzo ngokumelene nezingozi.

Kufanele uqaphele ikakhulukazi ukuthatha i-acetylcysteine ​​uma unezinye zalezi zimo:

• Izilonda eziqhubekayo ze-peptic noma i-gastritis eqinile
• Isifuba esiqinile esingalawuleki kahle
• Ukungezwani okwaziwayo ku-acetylcysteine noma izinhlanganisela ezihlobene
• Isifo esiqinile sezinso noma sesibindi
• Umlando we-esophageal varices (imithambo ekhulisiwe e-esophagus)

Abesifazane abakhulelwe nabancelisayo kufanele baxoxe nge-acetylcysteine nodokotela wabo, njengoba idatha yokuphepha kulezi zimo ilinganiselwe. Udokotela wakho angasiza ekunqumeni ukuthi izinzuzo zidlula yini noma yiziphi izingozi ezingaba khona.

Amagama Omkhiqizo we-Acetylcysteine

I-Acetylcysteine ​​itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Mucomyst ingomunye owaziwa kakhulu. Ungase futhi uhlangane nayo njenge-NAC noma i-N-acetylcysteine ​​ngesimo sokwengeza, nakuba izinguqulo zokwelapha zivame ukulawulwa kakhulu futhi zihlelelwe.

Amagama ajwayelekile omkhiqizo afaka i-Mucomyst, i-Acetadote (okusetshenziswa ngemithambo), kanye namafomula ahlukahlukene ajwayelekile. Amakhemisi amaningi aphinde athwale izithasiselo ze-NAC ezingaphezu kwe-counter, kodwa lezi azihlali zilingana ne-acetylcysteine ​​yokwelapha.

Lapho uthola umuthi wakho ogcwalisiwe, qiniseka ukuthi uthola ifomula ethile udokotela wakho ayibhalile. Amabhrendi ahlukene angase abe namazinga ahlukene okumuncwa noma izithako ezengeziwe ezingase zithinte ukuthi umuthi usebenza kahle kangakanani kuwe.

Ezinye izindlela ze-Acetylcysteine

Eminye imithi eminingi ingasiza ekususweni kwamafinyila uma i-acetylcysteine ​​ingakulungele. Udokotela wakho angase aphakamise ezinye izindlela ezisekelwe esimweni sakho esithile nokuthi usabela kanjani ekwelashweni okuhlukene.

I-Guaifenesin iyisithako esivamile esingaphezu kwe-counter esisiza ukunciphisa amafinyila, nakuba sisebenza ngendlela ehlukile kune-acetylcysteine. Abanye abantu bayayithola ithambile esiswini sabo kodwa ayisebenzi kahle ekukhishweni okukhulu kakhulu.

Ezinye izindlela udokotela wakho angazicabangela zihlanganisa:

• Izixazululo ze-saline ye-hypertonic zokuphefumula
• I-Dornase alfa (Pulmozyme) ye-cystic fibrosis
• Ama-bronchodilators ukusiza ukuvula imigudu yomoya
• I-physiotherapy yesifuba kanye nezindlela zokususa umoya
• Ukuphefumula ngomusi nokwanda kokuthatha uketshezi

Enye indlela engcono kakhulu incike esimweni sakho sokuphefumula kanye nempilo yakho yonke. Umhlinzeki wakho wezempilo uzokusiza ukuthi uthole indlela esebenza kahle kakhulu yokuphatha izimpawu zakho.

Ingabe i-Acetylcysteine ingcono kune-Guaifenesin?

I-Acetylcysteine ne-guaifenesin zisebenza ngendlela ehlukile ukubhekana nezinkinga zamafinyila, ngakho-ke akukho okukodwa okungcono kunomunye kuwo wonke umuntu. Ukukhetha kuncike esimweni sakho esithile nokuthi amafinyila akho makhulu kangakanani.

I-Acetylcysteine ngokuvamile isebenza kahle kakhulu kuma-mucus aqinile, anamathelayo ngoba iqondisa ngqo amabhondi amaprotheni abamba izimfihlo ndawonye. I-Guaifenesin isebenza ngobumnene ngokwandisa okuqukethwe kwamanzi kuma-mucus, okwenza kube lula ukukhipha.

Ezimweni ezingapheli njenge-COPD noma i-cystic fibrosis, i-acetylcysteine ivame ukunikeza imiphumela engcono ngoba lezi zimo ngokuvamile zibandakanya izimfihlo eziqinile kakhulu. Kodwa-ke, i-guaifenesin ingase yanele ezimweni ezithambile noma ukuminyana ngezikhathi ezithile.

Abanye abantu bathola ukuthi i-guaifenesin kulula ukuyibekezelela ngoba ibangela imiphumela emibi yokugaya ukudla embalwa. Udokotela wakho angakusiza ukuthi unqume ukuthi yimuphi umuthi ofaneleka kakhulu esimweni sakho, futhi ungase usebenzise zombili ngezikhathi ezihlukene.

Imibuzo Evame Ukubuzwa Mayelana ne-Acetylcysteine

Ingabe i-Acetylcysteine iphephile ezigulini zenhliziyo?

I-Acetylcysteine ngokuvamile iphephile kubantu abanezifo zenhliziyo, futhi ezinye izifundo zikhomba ukuthi ingase inikeze ngisho nezinzuzo zenhliziyo nemithambo yegazi. Umuthi ngokuvamile awuthinti izinga lokushaya kwenhliziyo noma umfutho wegazi ngezindlela ezingaba ngukukhathazeka ezigulini eziningi zenhliziyo.

Noma kunjalo, kufanele uhlale wazisa udokotela wakho wenhliziyo ngemithi emisha oyithathayo. Bangahlola isimo sakho senhliziyo esiqondile kanye nemithi yamanje ukuze baqinisekise ukuthi akukho ukuxhumana noma okukhathazayo.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Acetylcysteine ​​Eningi Kakhulu?

Uma ngengozi uthatha i-acetylcysteine ​​eningi kakhulu, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ngenkathi ukweqisa kungavamile ukusongela impilo, ungase uhlangabezane nesicanucanu esibi, ukuhlanza, noma isifo sohudo.

Ungazami ukuzenza ukuthi uhlanze ngaphandle uma uqondiswe ngqo uchwepheshe wezempilo. Kunalokho, phuza amanzi amaningi futhi ufune iseluleko sezokwelapha mayelana nokuthi ngabe udinga yini ukuhlolwa mathupha.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Acetylcysteine?

Thatha umthamo owuphuthelwe ngokushesha lapho ukhumbula, kodwa kuphela uma kungasondeli isikhathi somthamo wakho olandelayo ohleliwe. Uma usondela esikhathini somthamo wakho olandelayo, weqa umthamo owuphuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owuphuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha ama-alamu ocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni.

Ngingayeka Nini Ukuthatha I-Acetylcysteine?

Ngokuvamile ungaqeda ukuthatha i-acetylcysteine ​​lapho izimpawu zakho zithuthukile futhi udokotela wakho enquma ukuthi akusadingeki. Ezimweni eziphuthumayo, lokhu kungaba ngemva kwamasonto ambalwa, ngenkathi izimo ezingapheli zingadinga ukwelashwa isikhathi eside.

Ungayeki ukuthatha imithi kungazelelwe ngaphandle kokubonisana nomhlinzeki wakho wezempilo, ikakhulukazi uma ubuthatha isikhathi eside. Udokotela wakho uzokusiza ukuthi unqume isikhathi esifanele sokuyeka ukwelashwa nokuthi ngabe udinga yini ukuyeka kancane kancane.

Ngingayithatha I-Acetylcysteine ​​Neminye Imithi?

I-Acetylcysteine ingase ihlangane neminye imithi, ngakho kubalulekile ukutshela udokotela wakho ngayo yonke imithi kanye nezithasiselo ozithathayo. Ukuxhumana okukhulu kwenzeka nge-nitroglycerin kanye neminye imithi elwa namagciwane.

Uma uthatha i-nitroglycerin ngezifo zenhliziyo, i-acetylcysteine ingase ithuthukise imiphumela yayo, okungenzeka kubangele ukuthi umfutho wegazi wehle kakhulu. Udokotela wakho uzokuqapha ngokucophelela uma udinga yomibili imithi futhi angase alungise imithamo ngokufanele.