Hadawa biyu masu saurin haushi na kan-da-counter
Yawancin lokaci, likitoci suna ƙoƙarin ƙuntata polypharmacy ko ɗaukar hotuna ga magungunan ko magunguna. Saboda haka, idan kun gabatar da ciwon makogwaro da ke buƙatar maganin rigakafi, za ku sami takardar izini don nau'in kwayoyin kwayoyi ba magani ba don yawancin maganin rigakafi. Amma wannan jagoran ya shafi magungunan magungunan ƙananan magunguna, ma?
Ƙarin Game da Polypharmacy
Dalilin dalilan polypharmacy kaucewa tsakanin likitoci yana da yawa.
Na farko, mafi magungunan da kake dauka, mafi girma shine hadarin mummunar tasiri ko magungunan miyagun ƙwayoyi. Magunguna daban-daban zasu iya hulɗa a cikin hanyoyi masu haɗari.
Abu na biyu, idan ya yiwu, likita yana ƙoƙari ya rubuta maganin da ke maganin cutar kuma ya kai ga tushen asibiti. Polypharmacy yana wakiltar wata hanyar da aka watsar don taimakawa bayyanar cututtukan cututtuka maimakon magance cutar kanta.
Na uku, kamar yadda yake a game da amfani da kwayoyin cutar, polypharmacy na iya haifar da hadari ga lafiyar jama'a. Musamman, shan maganin maganin rigakafi da yawa yanzu kuma ba a kammala aikin da ya shafi magani ba zai kara yiwuwa kwayoyin kwayoyin cutar za su yada a cikin mafi yawan jama'a. Kwayoyin cututtukan kwayoyin cutar mummunan labari ne saboda sunyi tsayayya da magani tare da maganin rigakafi.
Ɗaya daga cikin bambance-bambance na manufar maganin polypharmacy guje wa juna shine amfani da wasu magungunan ciwo kamar acetaminophen (Tylenol) da ibuprofen (Motrin).
Wadannan magunguna ba su damewa ba. Bugu da ƙari kuma, maganin zafi yana da wahala kuma hada hada-hadar acetaminophen da ibuprofen zai iya taimakawa wajen rage ciwo mai tsanani yayin da yake guje wa maganin opioids. Maganin Opioid yana kan tashi, kuma yanzu muna cikin rikici na rikicin rikici.
Bayan bayanin kula, masu amfani da kwayar cutar su ne magunguna waɗanda ke da haɗari masu illa masu haɗari ciki har da rashin ciki na numfashi da kuma yiwuwar zagi.
Bugu da ƙari kuma, wasu siffofin opioid kamar Vicodin ko Norco sun hada da haɗin hydrocodone-acetaminophen, kuma, saboda haka, idan aka dauki su tare da Tylenol, waɗannan opioids zasu iya bayyanawa zuwa acetaminophen. Mafi yawan acetaminophen zai iya haifar da lalata hanta.
Tylenol
Tylenol wani nau'i ne na analgesic da ke canza yanayin da muke gani da zafi kuma yana rage yanayin jikinmu (watau antipyretic). An haɗu da shi tare da wasu magunguna don bunkasa nau'i daban-daban.
Kodayake ainihin tsari na Tylenol bai riga ya zama wanda aka tayar da shi ba, mun yarda wannan magani yana aiki ta hanyar hana cyclo-oxygenase (musamman COX-2). Saboda tylenol yana haɓaka ta hanta, mutanen da ke fama da hanta za su guji wannan magani idan ya yiwu.
Motrin
Motrin shi ne maganin ƙwayar cuta mai cike da kumburi (NSAID), wanda, kamar Tylenol, ke yin tasirinsa a kan cyclo-oxygenase saboda haka hana hana prostaglandin. Prostaglandins yana fama da ciwo, ƙonewa, da zazzaɓi.
Tsanantawa a prostaglandin kira ma yana haifar da vasoconstriction da nakasawa wanda zai iya haifar da gazawar koda. Saboda haka, mutanen da ke fama da matsalolin koda ya kamata su janye Motrin.
A wani bayanin da ya dace, a wasu, Motrin zai iya haifar da ulcers da jini.
Haɗa Maɗaukaki biyu
Abin sha'awa, kodayake al'ada, an gudanar da bincike sosai don bincika gwamnatin Tylenol da Motrin.
Wasu daga cikin binciken farko game da batun an yi akan yara. Duk da haka, yana da wuya a zana daidai daidaituwa tsakanin zafi da zafin zazzaɓi a cikin yara idan aka kwatanta da na manya. Musamman, yara da aka ba su Tylenol da Motrin don zafi da zazzabi sukan karbi waɗannan magungunan kamar sauran kwayoyi.
Sakamako daga wani karamin binciken da aka wallafa a cikin Jaridar Birtaniya na Anesthesia ya nuna cewa a lokacin da Tylenol da Motrin suka haɗa su (a matsayin hanyar da ake kira Maxigesic) da marasa lafiya da suka yi maganin maganin, wannan haɗuwa ta haifar da taimako mai zafi.
Hakazalika, sakamakon binciken da aka yi na gwaji game da gwajin gwagwarmaya da aka buga a Pain Medicine ya nuna cewa "haɗuwa da paracetamol [acetaminophen] da NSAID sun fi tasiri fiye da paracetamol ko NSAID kadai a cikin 85% da kuma 64% na nazarin da suka dace."
Layin Ƙasa
Saboda haka yana da alama cewa-ba kamar haɗin aspirin da Motrin ba , wadanda duka su ne NSAIDs-shan acetaminophen da kuma ibuprofen tare suna da lafiya da inganci.
Amma kafin ka ba da buƙatar abubuwan da ake bukata na jinƙai, zan sami wannan amsar tare da koguna uku.
Na farko, idan kana da matsalolin hanta ko kuma koda, kada ka dauki acetaminophen ko Motrin (watau NSAIDs), bi da bi.
Na biyu, ana amfani da analgesics akan-da-counter kamar yadda Tylenol ko Motrin ke nufi don amfani da gajeren lokaci kawai. Don Allah a tuna cewa wannan baƙin ciki ba kawai alama ce ba amma har wata alama ta rauni ko cuta. Idan ciwo ya ci gaba, kana buƙatar ganin likita.
Na uku, za ka iya yin amfani da su a kan Tylenol da Motrin don haka ya zama wani kyakkyawan ra'ayi don samun magungunan wadannan magunguna da likita ke kulawa.
> Sources:
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Cliff KS et al. Haɗakar Paracetamol (Acetaminophen) tare da kwayoyin cututtuka na anti-inflammatory marasa nau'in tsinkar cuta: Tsarin Gwaninta na Gaskiya game da Lafiya na Analgesic don Raunin Lafiya. Ciwon Magunguna . 2010. > https://doi.org/10.1213/ANE.0b013e3181cf9281
Merry AF et al. Haɗakar Acetaminophen da Ibuprofen don Raunin Abin Raɗawa Bayan Yin Ta'idodin Maganganu a Adult: A Gudanar da Ƙarƙashin Ƙarƙwara. Jaridar British Journal of Anesthesia . 2010. https://doi.org/ > 10.1093 / bja / aep338
Olson KR. Babi na 4. Acetaminophen. A: Olson KR. eds. Cigaba da Drug Overdose, 6th . New York, NY: McGraw-Hill; 2012.