Created at:1/13/2025
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Imithi yokuhlanganiswa kwe-analgesic equkethe kokubili i-acetaminophen ne-salicylate iyizidambisi zokucasuka ezisebenza ndawonye ukuhlinzeka ngokusizwa okuqinile kunanoma iyiphi ingxenye yodwa. Le mithi yokuhlanganiswa ihlanganisa amandla okulwa nobuhlungu obumnene be-acetaminophen nezinzuzo zokulwa nokuvuvukala kwama-salicylates (njenge-aspirin) ukubhekana nezinhlobo ezahlukene zokungakhululeki ngempumelelo.
Ungase uthole ukuthi le mithi iyasiza uma ubhekene nekhanda, izinhlungu zemisipha, noma izinhlungu ezincane ze-arthritis ezingaphendulanga kahle ezidambisayo zobuhlungu ezinengxenye eyodwa. Indlela yokuhlanganisa ingaba usizo ikakhulukazi ngoba iqondisa ubuhlungu ngezindlela ezimbili ezihlukene emzimbeni wakho, okungenzeka ukuthi ikunike imiphumela engcono ngemithamo ephansi yengxenye ngayinye.
Le mithi ihlanganisa izidambisi ezimbili ezaziwayo zobuhlungu zibe iphilisi elilodwa noma ithebhulethi. I-Acetaminophen isebenza ikakhulukazi ebuchosheni bakho ukunciphisa izimpawu zobuhlungu, kuyilapho ama-salicylates esebenza emzimbeni wakho wonke ukunciphisa ukuvuvukala futhi avimbele ubuhlungu emthonjeni.
Ukuhlanganiswa kudala umphumela we-synergistic, okusho ukuthi izingxenye ezimbili zisebenza kangcono ndawonye kunokuba zizimele. Lokhu kubambisana kuvumela ukukhululeka kobuhlungu okubanzi ngenkathi kungenzeka ukunciphisa inani lengxenye ngayinye oyidingayo ukuyithatha.
Amagama ajwayelekile emikhiqizo afaka imikhiqizo efana ne-Excedrin (equkethe ne-caffeine), nakuba izinhlobo eziningi ezivamile zitholakala. Le mithi ngokuvamile itholakala ngaphandle kwe-counter, okwenza ukuthi ifinyeleleke ekuphatheni izinhlungu zansuku zonke.
Lo muthi ohlanganisiwe usetshenziselwa ikakhulukazi ukwelapha ubuhlungu obuncane kuya kobumaphakathi nokunciphisa umkhuhlane. Usebenza kahle ikakhulukazi ekhanda, okuhlanganisa ikhanda elibangelwa ukungezwani kanye nezinhlobo ezithile zama-migraines, ngoba ibhekana nobuhlungu kanye nokuvuvukala okungaphansi.
Abantu abaningi bakuthola kuwusizo ekuphatheni ukungakhululeki kwansuku zonke okungaphazamisa imisebenzi yansuku zonke. Nawa amanye amaphuzu asetshenziswa kakhulu udokotela wakho angase awancomise:
Umuthi usebenza kahle ezimweni ezivuvukalayo ngoba ingxenye ye-salicylate isiza ukunciphisa ukuvuvukala, kuyilapho i-acetaminophen inikeza ukukhululeka kobuhlungu okwengeziwe nokunciphisa umkhuhlane.
Lo muthi ohlanganisiwe usebenza ngezindlela ezimbili ezihlukene ukuhlinzeka ngokukhululeka kobuhlungu okubanzi. Ingxenye ye-acetaminophen isebenza ikakhulukazi ebuchosheni bakho nasemgogodleni, ithinta indlela umzimba wakho oqhubula ngayo izimpawu zobuhlungu futhi ulawule izinga lokushisa.
Ingxenye ye-salicylate isebenza ngendlela efana ne-aspirin, ivimba ukukhiqizwa kwama-prostaglandins emzimbeni wakho wonke. Ama-prostaglandins yimichiza ebangela ukuvuvukala, ubuhlungu, nomkhuhlane, ngakho-ke ngokunciphisa ukukhiqizwa kwawo, ama-salicylates asiza ukunciphisa lezi zimpawu ezingakhululeki.
Lokhu kuthathwa njengomuthi okhulula ubuhlungu obunamandla amaphakathi, onamandla kune-acetaminophen yodwa kodwa ngokuvamile othambile kunezidakamizwa ze-opioid eziqeshwe ngudokotela. Indlela yokuhlanganisa isho ukuthi uthola kokubili ukukhululeka kobuhlungu obumaphakathi kanye nemiphumela ye-anti-inflammatory ye-peripheral, okwenza kube ngempumelelo ezinhlotsheni eziningi zobuhlungu.
Thatha lo muthi ngqo njengoba uqondiswe ephasheni noma njengoba umhlinzeki wakho wezempilo encoma. Umthamo ovamile wabantu abadala uvame ukuba amaphilisi angu-1-2 njalo ngamahora angu-4-6, kodwa ungalokothi udedele umthamo omkhulu wansuku zonke obhalwe kulebula.
Ungawathatha lawa maphilisi nokuthi unayo yini ukudla, nakuba ukuwathatha nokudla noma ubisi kungasiza ekuvikeleni isisu esicasukile. Uma uhlangabezana nokucasuka kwesisu, ukuba nesnakhi esilula noma ingilazi yobisi ngaphambi kokuthatha umuthi kungahlinzeka ngebhafa elivikelayo esiswini sakho.
Gwinya amaphilisi wonke nengilazi yamanzi egcwele. Gwema ukuchoboza noma ukuhlafuna amaphilisi ngaphandle uma uqondiswe ngqo, njengoba lokhu kungathinta indlela umuthi omonyelwa ngayo futhi kungase kwandise ingozi yokucasuka kwesisu.
Kubalulekile ukuhlukanisa imithamo yakho ngokulinganayo usuku lonke futhi ugweme ukuthatha ngaphezu kwenani elinconyiwe. Gcina umkhondo wayo yonke imithi oyithathayo ukuze ugweme ukweqa ngengozi imikhawulo ephephile ye-acetaminophen noma ama-salicylates emithonjeni eminingi.
Kubantu abaningi, lo muthi uhloselwe ukusetshenziswa kwesikhashana, ngokuvamile akudluli izinsuku eziyi-10 zokukhulula ubuhlungu noma izinsuku ezi-3 zokunciphisa umkhuhlane ngaphandle uma kuqondiswe ngenye indlela ngumhlinzeki wakho wezempilo. Ukuwusebenzisa isikhathi eside kwandisa ingozi yemiphumela emibi kanye nezinkinga ezingaba khona.
Uma uzithola udinga lo muthi njalo ngaphezu kwezinsuku ezimbalwa, kufanelekile ukuxoxa nodokotela wakho. Ubuhlungu obuqhubekayo noma imikhuhlane ebuyayo ingase ikhombe isimo esingaphansi esidinga ukwelashwa okuhlukile noma ukuhlolwa kwezokwelapha.
Ezimweni ezingamahlalakhona njenge-arthritis, udokotela wakho angase ancome ukusetshenziswa kwesikhathi eside kodwa uzofuna ukukuqapha njalo ukuze uthole imiphumela emibi engaba khona. Bangase baphakamise ukuphumula ngezikhathi ezithile emuthini noma ukwelashwa okuhlukile ukuze unike umzimba wakho ukuphumula.
Abantu abaningi bayayithola kahle le mithi ehlanganisiwe, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathí sina ayivamile uma imithi isetshenziswa njengoba kuqondisiwe.
Imiphumela emibi evame kakhulu ongase uyithole ngokuvamile imnene futhi ivamise ukuthuthuka njengoba umzimba wakho ujwayela imithi:
Lezi zimpawu zivame ukuba zesikhashana futhi zivame ukuncishiswa ngokuthatha imithi nokudla nokuhlala unamanzi kahle.
Imiphumela emibi engathí sina ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha uma kwenzeka:
Uma uhlangabezana nanoma yiziphi lezi zimpawu ezingathí sina, yeka ukuthatha imithi futhi ufune ukunakekelwa kwezokwelapha ngokushesha.
Abantu abathile kufanele bagweme le mithi ehlanganisiwe ngenxa yengozi eyengeziwe yezinkinga. Uma unesifo sesibindi, izilonda zesisu, noma izifo zokuphuma kwegazi, le mithi ingase ingaphephile kuwe.
Abantu abanezimo zempilo ezithile badinga ukuqapha ngokuqondile noma bagweme le mithi ngokuphelele:
Njalo hlola nodokotela wakho ngaphambi kokuqala lo muthi uma unezimo zempilo ezingapheli noma uthatha eminye imithi njalo.
Amagama amaningi emikhiqizo aqukethe le nhlanganisela yezithako, nakuba ukwakheka okuqondile kungahluka kancane. Umkhiqizo owaziwa kakhulu yi-Excedrin, ehlanganisa i-acetaminophen, i-aspirin (i-salicylate), ne-caffeine.
Eminye imikhiqizo nezinhlobo ezivamile zitholakala emathunjini amaningi emithi. Eminye imikhiqizo ingaqukatha izithako ezengeziwe njenge-caffeine, engathuthukisa ukukhululeka kobuhlungu kodwa futhi ingabangela imiphumela emibi eyengeziwe kubantu abazwelayo.
Uma uthenga le mithi, funa imikhiqizo eqoka ngokucacile kokubili i-acetaminophen ne-salicylate (njenge-aspirin) ezithakweni ezisebenzayo. Izinhlobo ezivamile zivame ukusebenza njengemikhiqizo yamagama futhi zivame ukubiza kancane kakhulu.
Uma le nhlanganisela ingasebenzi kahle kuwe noma ibangela imiphumela emibi engathandeki, ezinye izindlela zingase zifaneleke kakhulu. Udokotela wakho angakusiza ukhethe inketho engcono kakhulu ngokusekelwe esimweni sakho esithile nezidingo zempilo.
Izinketho zesithako esisodwa zihlanganisa i-acetaminophen yodwa (Tylenol) noma i-ibuprofen (Advil, Motrin), engase ibe mnene esiswini sakho. Ukuze uthole ukukhululeka kobuhlungu obuqinile, udokotela wakho angase ancome imithi kadokotela noma eminye imikhiqizo ehlanganisiwe.
Ezinye izindlela ezingezona zemithi nazo zingase zisebenze ezinhlotsheni eziningi zobuhlungu, okuhlanganisa ukusebenzisa ukushisa noma ukubanda, ukwelula kancane, ukubhucungwa, noma izindlela zokuphumula. Lezi zindlela zivame ukwengeza noma ngezinye izikhathi zithathe indawo yemithi yezinhlobo ezithile zokungakhululeki.
Zombili lezi zithako zemithi zinamandla azo, futhi ukuthi iyiphi esebenza kangcono kuncike ohlotsheni lwakho oluthile lobuhlungu kanye nokusabela komuntu ngamunye. Inhlanganisela ye-acetaminophen-salicylate ingase isebenze kangcono ekhanda kanye nezinhlobo ezithile zobuhlungu obuvuvukalayo ngoba ihlanganisa izindlela ezimbili ezihlukene zokulwa nobuhlungu.
I-Ibuprofen iyisidakamizwa esingavuvukali esingeyona i-steroidal (NSAID) esinesithako esisodwa esisebenza kahle kakhulu ngobuhlungu bemisipha, ukuqina, nokuvuvukala. Kungase kube mnene esiswini sakho kunezinhlanganisela eziqukethe i-salicylate futhi inesikhathi eside sokusebenza.
Umuthi ohlanganisiwe ungase usebenze kangcono ezimweni zobuhlungu eziyinkimbinkimbi njengama-migraines, lapho kokubili ukuvuvukala nokucubungula isignali yobuhlungu kuhilelekile. Kodwa-ke, i-ibuprofen ingase ikhethwe ezimweni ezilula zokuvuvukala noma uma ukhathazekile ngokuthatha izithako eziningi ezisebenzayo.
Ukukhetha kwakho okungcono kuncike ezimpawini zakho ezithile, umlando wezokwelapha, nokuthi ukubekezelela kahle kangakanani isidakamizwa ngasinye. Kufanelekile ukuzama zombili (ngezikhathi ezihlukene) ukuze ubone ukuthi iyiphi esebenza kangcono ezidingweni zakho ezithile.
Abantu abanesifo senhliziyo kufanele basebenzise lo muthi ngokucophelela futhi ngaphansi kokuqondiswa kwezokwelapha kuphela. Isithako se-salicylate singathinta ukujiya kwegazi futhi singase sisebenzisane nemithi yenhliziyo, ikakhulukazi izinciphisi zegazi.
Uma unesifo senhliziyo, umfutho wegazi ophezulu, noma usebenzisa imithi yenhliziyo nemithambo yegazi, khuluma nodokotela wakho ngaphambi kokusebenzisa le nhlanganisela. Bangase batusa izindlela zokudambisa ubuhlungu ezingcono kakhulu zesimo senhliziyo yakho noma balungise eminye imithi yakho ngokufanele.
Uma uthathe ngaphezu komthamo onconyiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Izimpawu zokweqisa umthamo zingase zingaveli ngokushesha, ikakhulukazi nge-acetaminophen, kodwa ukwelashwa kwasekuqaleni kubalulekile.
Izimpawu zokweqisa umthamo zingabandakanya isicanucanu, ukuhlanza, ubuhlungu besisu, ukudideka, ukukhala ezindlebeni, noma ubunzima bokuphefumula. Ungalindi ukuthi izimpawu zivele uma wazi ukuthi uthathe okuningi kakhulu - funa usizo lwezokwelapha ngokushesha.
Uma usebenzisa lo muthi ngeshejuli ejwayelekile futhi uphuthelwa umthamo, thatha ngokushesha lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise okungaphuthelwanga, ngoba lokhu kwandisa ingozi yakho yemiphumela emibi kanye nokweqisa umthamo okungenzeka. Uma uthatha imithi kuphela njengoba kudingeka ngenxa yobuhlungu, vele uyithathe lapho uba nokungakhululeki okulandelayo.
Ungayeka ukuthatha lo muthi lapho ubuhlungu bakho noma umkhuhlane wakho usuphelile futhi ungasadingi ukukhululeka kwezimpawu. Ngokungafani neminye imithi, akudingeki ukuthi unciphise noma unciphise kancane umthamo lapho uyeka le nhlanganisela.
Uma ubulokhu uyithatha njalo izinsuku ezingaphezu kwezimbili futhi izimpawu zakho ziqhubeka, thintana nomhlinzeki wakho wezempilo ngaphambi kokuyeka. Bangase bafune ukuhlola izimpawu zakho eziqhubekayo noma batusa indlela ehlukile yokwelapha.
Qaphela kakhulu ngokuhlanganisa le mithi nezinye izidambisi zinhlungu, ngoba ungase ngengozi udedele imingcele ephephile ye-acetaminophen noma ama-salicylates. Imithi eminingi etholakala ngaphandle kwemvume kadokotela iqukethe lezi zithako ezifanayo, okwenza kube lula ukuthatha okuningi ngaphandle kokukuqaphela.
Njalo funda amalebula ngokucophelela futhi gwema ukuthatha imikhiqizo eminingi equkethe i-acetaminophen noma i-aspirin/salicylates ngasikhathi sinye. Uma udinga ukukhululeka okwengeziwe kobuhlungu, thintana nosokhemisi wakho noma umhlinzeki wokunakekelwa kwezempilo mayelana nokuhlanganiswa okuphephile noma ezinye izinketho.