Kutheni abantu abadala bengafanele basebenzise i-Diphenhydramine Iipilisi zokunceda ukulala

UBenadryl kunye ne-'P 'i-'Aids' Aids Aids Kungabangela Ukudideka, Ukugcinwa Kwee-Urinary

Ubunzima bokulala okanye ukulala ubuthongo obunokubangela ukungazinzi kunokukhokelela abantu abaninzi ukuba bafumane isisombululo kwi-aisles ekhemisi. Ukusetyenziswa kwezixhobo zokulala ezingaphezu kwe-counter-counter, ngokukodwa ezo ziqukethe i- diphenhydramine (njengeBenryryl), ayiqhelekanga. Nangona kunjalo, kukho ezinye zezizathu zokuba abantu abadala kunye nabalupheleyo akufanele basebenzise amayeza ane-diphenhydramine ukunceda ukulala.

Funda ukuba kutheni abantu asebekhulile baqhekeza ukusetyenziswa kweepilisi zokulala eziqulethe ixabiso ngenxa yemingcipheko yeziphumo ezinjengokudideka, ukugula kwengqondo, ukugcinwa kwemiphunga, kunye nesondlo.

Yintoni i-Diphenhydramine eBenadryl kunye ne "PM" Iipilisi zokulala?

I-Diphenhydramine iyona isithako esiqhelekileyo esitholakalayo kwiipilisi zokulala ezingaphezulu kwe-counter. Yona isithako esiyinhloko eBenadryl, kwaye ibangele ukulala njengempembelelo yecala. Ngoko ke ngokuqhelekileyo ifakwe kwi-"PM" amalungiselelo asetyenziswa ukunyanga, kuquka uTylenol PM, Advil PM, kunye noZzzQuil .

Njenga- doxylamine , isithako esilumkileyo sepilisi yokulala eNyquil nase-Unisom, i-diphenhydramine yiphilisi ye-antihistamine. Oku kunokuba luncedo ukuphelisa iimpendulo ezithintekayo. Kwakhona kuvimbela indlela yokuguqula i-histaminergic engqondweni. Le yindlela eqhubekayo esuka kwi-brainstem ukuya kwenye ingqondo. Bakha ukuphakama. Ngoko ke, amayeza anqanda indlela angabangela ubuthongo.

Ngaba i-Diphenhydramine isebenza kakuhle ukuze iphathe ukungabikho kokulahla?

Ukusebenza kwe-diphenhydramine akufundanga kakuhle. Kukho ubungqina bokuba, xa kusetyenziswa ixesha elifutshane (ngaphantsi kweeveki ezimbini), i-diphenhydramine ingaphucula ukuqhubeka nokulala. Ngamanye amazwi, kubonakala ngathi akukho ukuvuka okumbalwa ebusuku. Ngamanye amaxesha kuthethwa ngumbono obizwa ngokuba ngumsebenzi wokulala .

Ukulala ngokusemgangathweni ngumlinganiselo wokulala ulwahlula isixa-mali esichithwa ebhedini. Njengoko kubalwe ngabantu abasebenzisa leyeza, kubonakala kuphucula.

Ixesha elithathayo ukulala (okubizwa ngokuba yi- latency sleep ) okanye inani elililo lichitha ixesha lokulala alibonakali liphucula ngokufanayo. Oku kunxulumene nexesha elithathayo ukuba iyeza liqale ukusebenza kwaye lihlala ixesha elingakanani emzimbeni. Ngokubanzi, i-diphenhydramine isebenza iiyure ezingama-4-6 kwaye malunga nesiqingatha sayo isuswa kwiiyure ezingama-4-8. Nangona kunjalo, iimpembelelo zangokusasa ezifana nokulala kokulala okanye i-hangover ziyakwenzeka, nangona oku kuphuculwe emva kweentsuku ezi-4 zobusuku basebusuku.

Xa uvavanywa ngesifundo sokulala, ubuthongo bokulala, ubuthongo bokulala, kunye nexesha lokulala ixesha elipheleleyo alibonakalisi ukungafani okukhulu phakathi kwe-diphenhydramine kunye nemifuno yemvelo ebizwa ngokuthi i- valerian .

Kuhlolisiso lwabantu abadala, isilingo ekuthelekeni nokusetyenziswa kwe- temazepam kunye ne-diphenhydramine kubonise ukunciphisa ukuvuswa kodwa kungekhona ekuphumeni kokulala, ixesha lokulala, okanye izinga lokulala kunye nokusetyenziswa kwe-diphenhydramine. Ukubaluleka okubalulekayo kule ndawo kubangelwa ingozi yemiphumo emibi.

Iimpembelelo eziPhambili zeDiphenhydramine zibandakanya iDementia

Kukho ubungqina bokuba ukusetyenziswa kwe-diphenhydramine kubantu abadala okanye abakhulileyo kunokubangela iziphumo ezibi kakhulu.

Ezi ziphumo zingakhokelela ukuba ucinge kabini malunga nokusetyenziswa kwayo.

Okokuqala, ubani obonwa ngokuba ngumdala omdala? Ngokubanzi, oku kubandakanya abantu abaneminyaka engaphezu kwama-65 ubudala. Nangona kunjalo, umntu omdala uba ngumntu omkhulu, umngcipheko wemiphumo emibi. Abantu abadala kuphela abaxhomekeke kwimiphumo efanayo njengoko bonke abantu, kodwa nabo banokufumana iingxaki ezingaphezulu.

I-Diphenhydramine ibangela i-side side yeempembelelo eziqhelekileyo ezibandakanya ukulala nokuhla kwexesha lokuphendula. Kwakhona kunokubangela ukuba utywala. Phakathi kwabantu abadala kunye nezinye iingxaki zezokwelapha okanye ukukhubazeka ngokomzimba, oku kunokukhokelela ekuwa okanye kwiingozi.

Oku kunokwenzeka xa umntu evuka ukuvuthwa ebusuku kwaye avuke.

I-Antihistamines efana ne-diphenhydramine ingaba nemiphumo ye-anticholinergic. Oku kuthetha ukuba unyango lusebenza malunga nokusetyenziswa kwemichiza ebizwa nge-acetylcholine. Oku kuya kuba nemiphumo ebalulekileyo. Enye yeyona nto ibaluleke kakhulu ukuphazamiseka kwengqondo, njengokuba kunokwenzeka nge-dementia okanye i-delirium. Oku kungabonwa njengokudideka. Kukho ubungqina obukhulayo bokusetyenziswa okungapheliyo kwezi zonyango zingabandakanywa nokuphuhliswa kwexesha elide kwengqondo.

Kukho kwakhona "ukumisa iziphumo" ngenxa yoko. Oku kungabonakalisa njengomlomo owomileyo, ukuzitywa, umbono obonakalayo, kunye nokugcinwa kwamanzi. Ukugcinwa kwee-urinary kunokunyusa umngcipheko wokukhuselwa kwezifo zogcino (i-UTIs) okanye ukuchaphazela umsebenzi wezintso.

Abantu abakhulileyo akufanele basebenzise i-diphenhydramine ukuba benembali ye-glaucoma evaliweyo, i-constipation, i-urinary retention, i-asthma, okanye isifo esiqinileyo sesibindi. Ku nokuba nefuthe elide kwiimemori ezandisa ingozi yokugula kwengqondo. Ngenxa yengozi yezinye iziphumo ezichaphazelekayo ezichaphazela ukucinga nokulinganisela, kubalulekile ukuba ugweme ukusebenzisa i-diphenhydramine ngokubanzi.

ILizwi

Ngethamsanqa, kukho ezinye iindlela zokwelapha ezifumanekayo ngenxa yokulala kwabantu abadala kunye nabadala. Ukusetyenziswa kweepilisi ezongezelelweyo zingasetyenziselwa, kodwa ukwelashwa kwengqondo yokuziphatha yokungakwazi ukulala (CBTI) inokuba yinto engcono kakhulu ngaphandle kwengozi yeyiphi na imiphumo emibi yeyeza. Xa zikhoyo, ukugula okuphazamisayo kubuthongo kufuneka kuphawulwe kwaye kuphathwe, kwaye oku kunokunceda ekuphucululeni ukuvuswa nokuphazamiseka.

> Imithombo:

> Basu, R et al . Ukusetyenziswa okuthandwayo kwe-diphenyhydramine kwindawo yasemaphandleni, abadala asebekhulile, i-community-based based group: iziphumo ekuqondeni. " Am J Geriatr Psychiatry . 2003: 11: 205-213.

> I-Glass JR et al . "Iimpembelelo zonyango lweeveki ezimbini kunye ne-temazepam kunye ne-diphenhydramine kuma-insomniac asebekhulile: inzululwazi elawulwa yi-placebo." J Clin Psychopharmacol. 2008; 29: 182-188.

> Kudo Y, Kurihara M. "Uvavanyo lwezonyango lwe-diphenhydramine hydrochloride ukwenzela unyango lokungazinzi kwizigulane zengqondo: i-study-blind-study." J Clin Pharmacol . 1990; 30: 1041-1048.

> Kryger, MH et al. "Imigaqo kunye nokuSebenza kweMithi yokulala." U- Elsevier , u-6 th edition, ngo-2017.

> Rickels K et al . "I-Diphenhydramine kwiintsapho ezingenayo i-insomniac zenza izigulane: uphando oluphindileyo." J Clin Pharmacol . 1983; 23: 234-242.