Odwala ambiri omwe ali ndi matenda ashuga, akamapita kwa dokotala, amamufunsa funso ngati Paracetamol mu shuga akhoza kugwiritsidwa ntchito kuchepetsa kutentha kwa thupi.
Funsoli likugwirizana ndi chakuti mankhwalawa, wokhala antipyretic ndi analgesic, amawonedwa ngati otetezeka kuyerekeza, mwachitsanzo, mankhwala wamba ngati Aspirin.
Pakadali pano, paracetamol ndiyotchuka kwambiri kotero kuti opanga amagwiritsa ntchito ngati gawo limodzi la mankhwala ambiri omwe amapangidwa pochizira chimfine, mutu kapena kutupa.
Nthawi zambiri, malangizo amakonzekera, omwe ali ndi paracetamol, ndipo amagwiritsidwa ntchito pochiza matenda osiyanasiyana omwe amatsatidwa ndi kutentha komanso ululu, samakhala ndi chidziwitso ngati angagwiritsidwe ntchito ngati wodwala ali ndi matenda ashuga.
Zimavomerezeka kuti Paracetamol ya matenda ashuga, omwe amagwiritsidwa ntchito kuchepetsa kutentha kwa thupi ndikuchepetsa ululu, itha kugwiritsidwa ntchito popanda vuto kuvulaza thupi la wodwalayo. Matenda a shuga sikuti sikukulepheretsa kugwiritsa ntchito Paracetamol.
Komabe, ziyenera kukumbukiridwa kuti kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kapena kugwiritsa ntchito mankhwala ena osakanikirana ndi Paracetamol, ndizotheka kuvulaza thupi la munthu lomwe limadwala matenda a shuga.
Pamaso pa matenda a shuga, munthu amakhala ndi kuchepa kwa chitetezo, kuphatikiza apo, zovuta zomwe zimapangitsa impso, chiwindi, mtima ndi mtima zimatha kukhazikika.
Zoterezi zikachitika, mankhwala osokoneza bongo omwe amagwiritsidwa ntchito ndi Paracetamol ndi owopsa.
Kuphatikiza apo, shuga nthawi zambiri imaphatikizidwa ndi mankhwala omwe ali ndi antipyretic ndi analgesic katundu, omwe angapangitse kuchuluka kwa shuga m'magazi a magazi.
Malingaliro onsewa amafunika kugwiritsa ntchito mosamala mankhwala omwe amagwiritsidwa ntchito kuti muchepetse kutentha, musanagwiritse ntchito mankhwalawa ndibwino kukaonana ndi dokotala ndikuwonana naye pazomwe mumagwiritsa ntchito mankhwalawa.
Zotsatira zoyipa za Paracetamol pa thupi la odwala matenda ashuga
Ndi kukula kwa shuga m'thupi la wodwalayo, kukula kwa zovuta zomwe zimasokoneza kugwira ntchito kwa chiwindi ndi impso zimawonedwa.
Kuphatikiza apo, pakukula kwa matendawa, kusintha kwamagazi kungawonedwe.
Pogwiritsa ntchito Paracetamol kamodzi, palibe chomwe mungachite mantha. Komabe, pankhani yogwiritsa ntchito mankhwalawa kwa nthawi yayitali mthupi la wodwala yemwe ali ndi matenda osokoneza bongo, kusintha kwa mavuto osiyanasiyana ndi zovuta zimatheka.
Zotsatira zoyipa zomwe zimapezeka ndikugwiritsidwa ntchito kwa nthawi yayitali ndi Paracetamol ndi izi:
- kuwonongeka kwa poizoni;
- kupezeka ndi kupitirira kwa aimpso Kulephera;
- kuchepa kwa kapangidwe ka magazi ka chiwerengero cha leukocytes ndi mapulateleti;
- Kukula kwa zizindikiro za hypoglycemia m'thupi la wodwalayo;
- kuwoneka kwa ululu pamimba;
- kuwoneka kwa kukakamiza kusanza ndi kutsegula m'mimba.
Kuwonongeka kwakukulu kwa zotsatira zoyipa mukamagwiritsa ntchito Paracetamol kwa odwala omwe ali ndi matenda ashuga kumafunika kugwiritsa ntchito mankhwalawa mosamala. Mankhwalawa ayenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala komanso pafupipafupi shuga.
Pakufunika kwakanthawi, mankhwalawa amatha kuledzera nthawi 1-2 osawopa kuphwanya kwakukulu pakugwira ntchito kwa thupi la munthu odwala matenda ashuga.
The zikuchokera ndi mankhwala a Paracetamol ndi kumasulidwa mawonekedwe
Chothandizira cha Paracetamol ndicho pawiri yogwira ya dzina lomweli.
Piritsi limodzi lili ndi 200 mg yogwira ntchito.
Kuphatikiza pazomwe zimagwira, mankhwalawa ali ndi zowonjezera zomwe zimagwira ntchito yothandiza.
Zigawo zothandiza za mankhwalawa ndi:
- Gelatin
- Wowuma wa mbatata.
- Stearic acid.
- Shuga wamkaka - lactose.
Mapiritsi a mankhwalawa amakhala osalimba komanso okongola ndipo chiopsezo chimayikidwa pansi.
Mapiritsiwa amapaka utoto woyera kapena wowawasa wowoneka bwino ndi utoto wa zonona. Mankhwala ndi a gulu la mankhwala a analgesic omwe si a narcotic.
Kuchita kwa paracetamol kumakhazikitsidwa ndi chuma cha wopangidwira mankhwala kuti atseke kaphatikizidwe ka prostaglandins, kamene kamachitika chifukwa cha kuletsa kwa cycloo oxygenase 1 ndi cycloo oxygenase 2.
Paracetamol imathamanga ndipo pafupifupi imatengedwa kwathunthu kuchokera m'mimba. Chithandizo chogwira mankhwalawa chimatha kumangiriza mapuloteni a plasma. Mlingo womangiriza umafika 15%.
Paracetamol imatha kulowa mu zotchinga magazi-ubongo. Pafupifupi 1% ya mlingo wotengedwa umatha kudutsa mkaka wa m'mawere poyamwitsa mwana.
Hafu ya moyo wa mankhwala kuchokera mthupi imachokera ku 1 mpaka maola 4. Mu thupi, paracetamol imasintha kusintha kwa kagayidwe kachakudya ka minyewa ndipo imatsitsidwa ndi impso ndi mkodzo.
Kuchuluka kwa mankhwalawa amachotsedwa m'thupi la wodwalayo momwe amapangira glucuronides ndi conjugates, ndipo pafupifupi 5% yokha ya mankhwala omwe amapezeka mthupi ndi omwe amachotsedwa pamkodzo.
Malangizo ogwiritsira ntchito mankhwalawa
Chizindikiro chogwiritsa ntchito mankhwalawa ndi kupezeka kwa mutu m'mutu mwa wodwala, kuphatikiza ululu wammbuyo, mano, kupweteka pakukonzekera neuralgia. Mankhwalawa amagwiritsidwanso ntchito kuti athetse ululu pakhungu ndi kuwotcha.
Mankhwala tikulimbikitsidwa kuti agwiritsidwe ntchito kuchepetsa kutentha kwa thupi pakukula kwa chimfine kapena chimfine.
Paracetamol ali ndi zotsutsana zingapo pakugwiritsa ntchito mankhwalawa.
Mfundo zazikuluzikulu ndi izi:
- wodwalayo amakhala ndi chidwi chochulukirapo pazigawo za mankhwala;
- The kukhalapo kwa wodwala wa kuphwanya kugwira ntchito kwa zimakhala za impso ndi chiwindi;
- ana osakwana zaka zitatu.
Kusamala mukamagwiritsa ntchito paracetamol kuyenera kuwonetsedwa ngati wodwala ali ndi vuto la hyperbilirubinemia, hepatitis yovulala, chiwopsezo cha chiwindi. Kukhalapo kwa kuchepa kwa shuga-6-phosphate dehydrogenase m'thupi kumafunikanso kusamala mukamagwiritsa ntchito mankhwalawa.
Mankhwalawa saloledwa kugwiritsidwa ntchito pochiza matenda pakagwiritsidwe ntchito kazovuta pogwiritsa ntchito mankhwala ena, omwe amaphatikizapo paracetamol monga imodzi mwazinthu.
Mukamagwiritsa ntchito Paracetamol pochizira chimfine, mulingo wa mankhwalawa umachokera ku 0,5 mpaka 1 gramu. Mankhwalawa amayenera kumwedwa atatha kumwa maola 1-2. Kumwa mankhwalawa kuyenera kutsagana ndi kugwiritsa ntchito madzi ambiri ngati chakumwa.
Mlingo wokwanira wa mankhwalawa sayenera kupitirira 4 magalamu patsiku.
The pakati pakati Mlingo wa mankhwala ayenera osachepera 4 maola.
Tiyenera kukumbukira kuti simuyenera kumwa mapiritsi oposa 8 tsiku lonse.
Wodwala akakhala kuti ali ndi zodwala m'chiwindi komanso impso, mlingo wa mankhwalawa umayenera kuchepetsedwa, ndipo pakati pazomwe mankhwalawo amalowa.
Ndemanga za mankhwala, mtengo wake ndi kufanana kwake
Paracetamol ndi mankhwala otchuka kwambiri ogwiritsira ntchito mankhwala osokoneza bongo komanso kutentha pang'ono. Kutengera ndi malingaliro omwe apezeka, mankhwalawa ndi mankhwala ogwira mtima omwe amatha kuthana ndi ntchito yake mosavuta.
Paracetamol iyenera kusungidwa pamalo otetezedwa ndi kuwala kwa dzuwa, komwe sikungatheke ndi ana.
Pamalo osungirako mankhwalawo, kutentha kwa mpweya sikuyenera kupitirira 25 digiri Celsius.
Alumali moyo wa mankhwala 3 zaka. Pomaliza nthawi ino, kugwiritsa ntchito mankhwalawa ndizoletsedwa. Mankhwalawa atha kugulidwa ku mankhwala aliwonse popanda mankhwala a dokotala.
Mtengo wa Paracetamol pamapiritsi ku Russia uli mkati mwa ma ruble 15.
Kuphatikiza pa mankhwalawa, mutha kugwiritsa ntchito mankhwalawa mwachitsanzo,
- Acetylsalicylic acid;
- Chuma;
- Coficil;
- Askofen;
- Baralgin;
- Analgin ndi ena.
- Fervex ndiyopanda shuga (chifukwa cha chimfine, chimfine, ndi kutentha kwambiri).
Tiyenera kukumbukira kuti kugwiritsa ntchito Paracetamol kapena mawonekedwe ake kumafunikira upangiri wa udokotala. Vidiyo yomwe yatchulidwa munkhaniyi ifotokoza za momwe chimfine chingachiritsire matenda a shuga.
