Usetyenziso olufanelekileyo luchazwe kakhulu ngeempembelelo ezingasemva
I-Tylenol (i-acetaminophen) luhlobo lonyango kunye neeplastiki ze- analgesic kunye ne-antipyretic. I-analgesic isetyenziselwa ukubonelela ngeentlungu zentlungu, ngelixa i-antipyretic inceda ukunciphisa umkhuhlane.
Kukho abantu abaninzi bakholelwa ukuba iTylenol yinto efana ne- aspirin , i- Advil (ibuprofen) , okanye iAleve (naproxen) , kodwa kukho enye impazamo eyintloko: ezi zintathu ziseklasini yezidakamizwa ezaziwa njenge- nonsteroidal anti-inflammatory iziyobisi (ii-NSAID) .
Ngelixa i-NSAID ibuye ibe neempembelelo ze-analgesic ne-antipyretic, zinokuphelisa ukuvuvukala okubangelwa zizimo ezifana ne-arthritis, bursitis, kunye ne-tendinitis. ITylenol ayikwazi.
Nangona le nzuzo idibeneyo, ii-NSAID zinemiba emalunga nemiphumo emibi engalindelekanga. Ngaloo ndlela, akukho iTylenol okanye ii-NSAID ezinokuthi zibheke "zingcono" kunezinye; zisebenzise ngokufanelekileyo.
Indlela iTylenol kunye ne-NSAID ezahlukileyo ngayo
I-Tylenol isetyenziselwa ukuphatha izinto ezinjengeentloko, umkhuhlane, u-muscle ache, i-backache, i-teeth, ne-colds. Ngoxa i-action ecacileyo yokusebenza ayisacacanga, iTylenol ikholelwa ukuba inqanda i-enzyme ebizwa nge- COX-2 ngendlela ekhuselekileyo kune-NSAID. Ngokwenza njalo, kuthintela ingqondo ukuba ikhulule iikhemikhali ezivuselela iimvumi zentlungu.
Nangona i-NSAID yenza ezininzi izinto ezifanayo, ziyakuchukumisa umveliso we- prostaglandin , i-hormone-like compound ekhuthaza ukuvuvukala.
I-Prostaglandins ikwahlukana nokukhusela isisu kwimiphumo emibi ye-acids digestive.
Kwaye, kukho enye yemingeni enkulu yokusetyenziswa kwe-NSAID: njengokuba izinga le-prostaglandin linciphisa, ngokunjalo, ngaba ukhuseleko luncedo kwisisu. Ngenxa yokuba iTylenol inefuthe elingaphantsi kwi-prostaglandin, iziphumo zayo zesisu zisisinde kakhulu.
Ukuthelekisa iimpembelelo ezisecaleni
Ukusetyenziswa kweTylenol kunye ne-NSAID ngokubanzi kuchazwe ngemiphumo yazo.
Imiphumo emibi yeTylenol yinto encinci kwaye ingabandakanyeka isisu, isisonguluko, ukulahleka kwesidlo, kunye nentloko. Ngesinye isihlandlo, ukutshabalala kunye nokugqithisa kungakhula.
Ngokwahlukileyo, ii-NSAID zingabangela ukugubha, ukuhlunguzeka kwesisu, kunye nezilonda zamapulpress . Ukusetyenziswa kwexesha elide okanye ngokugqithiseleyo kunokuchaphazela uxinzelelo lwegazi kunye nokuqhawula kunye nokwandisa umngcipheko wokuphuma kwegazi, umfutho wegazi ophezulu, i- edema yomlenze (ukuvuvukala komlenze), ukuhlaselwa kwintliziyo kunye nokubetha.
Ingxenye yayo, i-Tylenol ayinxulumene neengqondo zomzimba okanye ingozi yezilonda zesilonda. Noko ke, unokwenza umonakalo omkhulu wesibindi xa usetyenzisiwe (ngaphezu kwama-4 000 milligrams ngosuku) okanye uthathwe ngotywala.
Nangona i-NSAID inokubangela ukulimaza isibindi xa isetyenzisiwe, umngcipheko kakhulu. Kuyafana neentso kodwa kudla kuphela xa kukho ingxaki yengqondo ephantsi.
Ukuxolisa KuPainkillers
Njengomgaqo, awuyi kuphinda kabini kwi-NSAID ngenxa yengozi yokwanda kwamathumbu kunye nesifo somzimba. Ngokufanayo, awuyi kufuna ukwenza umkhwa wokuphindaphinda umthamo wakho weTylenol ukususela kwisibilini sesibindi sinokuphuhliswa ngomthamo wemihla ngemizuzu engama-3 000 i-milligram (okanye ezintandathu zeTylenol Extra Strength caplets).
Xa kuthethwa oko, akukho nto iphosakeleyo xa ugqiba ukongeza ii-NSAID zakho zemihla ngemihla ngeTylenol. Ukuba, umzekelo, i-Advil okanye i-Aleve yakho ayinakukunika uncedo lwe-arthritis oyifunayo, ungathatha iTylenol kamva ngosuku nje kuphela xa uhlala kwisilinganiso esinconywayo.
Ngakolunye uhlangothi, ukuba unesifo sengqondo senhliziyo okanye isifo sesibindi (njenge-hepatitis B okanye i-C), kufuneka usebenze nodokotela wakho ukuze usebenzise ukusetyenziswa kwakho okanye ufumane ezinye iindlela ezingayi kuba negalelo kumonakalo womzimba.
ILizwi
Ngexesha lokuqala kweempawu ze- arthritis , abantu baya kuhlala bezonyango kwaye basebenzise intlungu njengenqanaba elilodwa lonyango okanye oluncinane.
Nangona oku kuvame ukuba kungabangela iingxaki kwiinqanaba zokuqala, kunokuba yingxaki ukuba imeko ibuhlungu kwaye unonophelo olufanelekileyo lwezonyango alufunwa.
I-arthritis isifo esiza kulawulwa. Xa usebenza nogqirha, unokuphepha ukhuphaza unyango kwaye ufumane izicombululo zezoxuba kunye nezangezobisi eziza kunceda ngaphandle kokulimaza impilo yakho.
> Imithombo:
> Bally, M .; Dendukuri, M .; Ocebileyo, B. et al. "Ingozi ye-myocardial infarction kunye ne-NSAID kwi-real-use usetyenziso lomhlaba: uhlalutyo lwe-betaesi ye-betaesi yeenkcukacha zesigulane ngasinye." BMJ . 2017; 357: j1909. INGXELO: 10.1136 / bmj.j1909.
> Scheiman, J. "Ukunyanzeliswa kwe-NSAID-Incedished Gastrointestinal Injury: Ukuhlaziywa okugxilwe kwiCliniki." J Clin Gastroenterol. 2016; 50 (1): 5-10. INGXELO: 10.1097 / MCG.0000000000000432.
> Yoon, E .; Babar, A .; Choudhary, M. et al. "I-Acetaminophen-Yenza i-Hepatotoxicity: Ukuhlaziywa okupheleleyo." J Clin Uguqule iHepatol. 2016; 4 (2): 131-42. INGXELO: 10.14218 / JCTH.2015.00052.