Ngozi Yakakwirira yekuwedzerwa
Vanhu vanorarama nemarwadzo uye nezvimwe zviratidzo zvakawanda zve fibromyalgia (FMS) uye isingagumi kuneta ( syndrome) ( ME / CFS ) vanowanzoguma vachitora mishonga yakasiyana-siyana, nevanorwara painkillers pakati pavo. Mishonga iyi inogona kukubatsira kuti ushande uye unzwe zviri nani, asi vose vanouya nekutengesa.
Iwe unogona kuwana mamiriyoni emhando dzepainkillers pamusoro pekambani (OTC), uye vazhinji vedu vane zvirwere izvi vanotora mishonga yepamusoro paine painkillers pane imwe nguva.
Chimwe nechimwe chemishonga iyi-kusanganisira OTC-ine zvayo zvinogona kuitika uye ngozi.
Chimwe chezvinhu zvinowanzovhiringidzika, zvose zveOTC uye nemishonga, ndiyo acetaminophen. Zvinonyatsozivikanwa nezita rokuti Tylenol, uye rinouyawo mune narcotics pamwe chete Vicodin (acetaminophen hydrocodone) uye Percocet (acetaminophen oxycodone) .
Masayendisiti haanyatsonzwisisi kuti acetaminophen inoshanda sei. Haisi anti-inflammatory uye haisi opiate. Zvinotendwa kuti acetaminophen inoderedza marwadzo kuburikidza nenheyo yenheyo inoshandisa nzira dzakawanda.
Acetaminophen Risks
Acetaminophen inowanzoonekwa se "yakachengeteka" mishonga nokuti inogona kuve yakachengetedzwa zvakachengetwa nemishonga yakawandisa uye haisiyo inokonzera kugadzirisa migumisiro yakawanda inowanikwa ne anti-inflammatories (kunyange inogona). Zvinodarika zana zvakagadzirwa neacetaminophen, zvichida kana kuti pamwe chete nemimwe mishonga.
Zvisinei, kudarika kweAcetaminophen kwawedzera kuva dambudziko guru. Maererano neAmerican Liver Foundation, ndicho chikonzero chinonyanya kuziva chinokonzerwa nekushaya simba kwechiropa (United States) Dambudziko rakakura zvakakwana kuti muna 2009, FDA inofungidzirwa kubvisa kusanganiswa narcotics zvachose. Pane kudaro, yakaderedza huwandu hweAcetaminophen inogona kuva uye inoda kuti chiropa-kusakanganiswa kunyeverwa kuwedzerwa kuhupupuri hwemashoko.
Kuti urege kuerekana wakaita acetaminophen kudarika, zvakakosha kuve nechokwadi kuti hausi kutora zvinopfuura mari yakakurudzirwa uye kuti hausi kuitora mune mishonga inopfuura imwe chete. Semuenzaniso, kana uri kutora Vicodin kurwadziwa uye wobva watora chando, iwe unoda kuva nechokwadi chokuti mushonga wako wekotonhora hauuna acetaminophen, zvakare. Vakawanda vavo vanoita. Iva nechokwadi chekuongorora kaviri chero chinhu chipi nechipi chakagadzirirwa kurwadziwa kana kuderedza fever.
Iwe unodawo kuziva kuti acetaminophen dzimwe nguva inonzi APAP, iyo inomirira acetyl-para-amino-phenol.
Overdose Zviratidzo
Zviratidzo zveAcetaminophen kudarika zvakanyanya zvinoda kurapwa nokukurumidza. Dzinosanganisira:
- kushungurudza uye kurutsa
- chirwere
- kurasikirwa nechido
- kuvhiringidzika
- sweating
- kunyanya kuneta
- kubuda ropa kunoshamisa kana kuputika
- kurwadziwa kwepamuviri, kunyanya mukumusoro kwakakwana chikamu
- jaundice (yellow skin nemeso)
- chirwere cheputi-kufanana
- kusagadzikana kwepfungwa
Zvimwe zvezviratidzo izvi- kuvhiringidzika , kutuka , kuneta zvakanyanya, zviratidzo zvakadai semaguru-zvinogona kuva zvakaoma kuona nokuti zvinowanzoitika muFMS ne ME / CFS. Zvakakosha kucherechedza chero kuchinja kwezviratidzo zvako zvingave zvine chokuita nemishonga.
Urongwa urwu hunogona kukubatsira kuchengetedza kuti ndezvipi zvinodhaka zvine acetaminophen:
- FDA Nhamba yeAkatengesa Acetaminophen-ine Zvinyorwa Zvirongwa
Migumisiro Yechiratidzo uye Kubatana
Kunyangwe iwe uri kutevera mirayiridzo yakakodzera, acetaminophen inogona kukonzera madhara. Iyo yakanyanya kukura, iyo yaunofanira kuudza chiremba wako nokukurumidza, inosanganisira yakawanda yezviratidzo zvakanyorwa pamusoro apa, pamwe:
- zvinokonzera kuitika (rash; itching; mikoko; kutuka chiso, miromo kana rurimi)
- kufema zvinetso
- gumbo nefivhiri, musoro wepamusoro, kuputika, kusuruvara kana kurutsa
- zvinetso zvinokonzera kana kuchinja muhuwandu hwemuti wako
- kusava nesimba kunoshamisa kana kuneta
Kusapinda migumisiro yakakomba, iyo isingawanzodi kurapwa, inosanganisira:
- headache
- nausea
Chikamu chekuzivikanwa kwaAcetaminophen ndechekuti inosanganiswa zvakanaka nemishonga yakawanda.
Zvisinei, kuibatanidza nemiti inotevera inogona kuva nengozi:
- doro
- Gleevec (imatinib)
- Tubizid (isoniazid)
Kuderedza Dambudziko Rako
Iwe unogona kuderedza dambudziko rako rezvinetso zve-acetaminophen zvine chokuita nekugara uchishandisa mishonga sezvaunenge wataurwa, kuve nechokwadi kuti hausi kutora zvinopfuura rimwechete acetaminophen-rine chigadzirwa, uye kwete kunwa doro uchishandisa acetaminophen.
Chiremba wako uye wemhizha anofanira kunge achiziva zvose zvauri kutora, kusanganisira OTC uye mishonga yenguva pfupi, saka vanogona kutarisa zvinetso zvinokonzerwa nehuwandu hwehuwandu hwehutano kana kusangana.
Iko Acetaminophen Yakakunakira Iwe Here?
Iwe unofanirwa kushanda nachiremba wako kuti uone kana acetaminophen-ine mishonga yakakunakira iwe. Iyi sarudzo inofanira kunge yakavakirwa pazvinhu zvakadai sekuongororwa kwako, zviratidzo, hutano hutano uye mararamiro ezvinhu.
Kana iwe usingafungi kuti acetaminophen-ine chigadzirwa chiri kubatsira kuderedza marwadzo ako, taura nachiremba wako pamusoro pehungwaru uye zvibatsiro pamwe chete nezvimwe zvinogona kuitwa.
Sources:
Larson AM, et al. Hepatology. 2005 Dec; 42 (6): 1364-72. Acetaminophen-induced acute chiropa kukundikana: migumisiro yeUnited States yakawanda, inotarisira kudzidza.
Rowden AK, et al. Makiriniki mune mushonga wera laboratory. 2006 Mar; 26 (1): 49-65, viii. Acetaminophen poisoning.
US Food and Drug Administration. Zvitsva Zvitsva zvakagadzirirwa kuvhara njodzi kubva kuAcetaminophen.
US Food and Drug Administration. Prescription Acetaminophen Products kuti isakwanike kusvika 325 mg Pasi Dosage Unit; Bhokisi Renyevero Richajekesa Zvingaita Kuti Usanyanya Kuipa Kwechiropa.