Uninzi lwabantu luya kumachiza amaninzi xa lifumana ukuhlaselwa kwamagrafra okanye i - headache -type headache . Oku kunengqiqo, njengamayeza angaphezulu kwe-counter-tylenol (acetaminophen) kunye ne-nonsteroidal anti-inflammatories (ii-NSAID ezifana ne-ibuprofen okanye i-aspirin) zifumaneka ngokulula, zingabizi, kwaye azidingi ukutyelela ugqirha. Kukho uphando lwezenzululwazi oluxhasa inkxaso yabo kunye nokukhusela ekuphatheni i-epradic migraine okanye intloko ye-headache.
Oko kwathiwa, xa usebenzisa i-eisle ye-pharmacy yakho yendawo, mhlawumbi uye waphawula omnye umthwalo wokubuyisela ubuhlungu kwi-migraines kunye neentloko ze-headset-Excedrin. Ingxube ye-analgesic equle iTylenol (i-acetaminophen), i-aspirin kunye ne-"agent-opening" ye-caffeine.
Ngaloo ndlela, unokuba uzibuze ukuba i-Excedrin iyinto enhle (okanye ingcono) kuneTylenol yodwa, i-aspirin yodwa, okanye ibuprofen yedwa ekunciphiseni iintloko kunye nemigraines.
Makhe sihlolisise lo mbuzo ngcaciso ethile, njengoko impendulo ayikho ngqo njengoko ungayilindela. Ngamanye amazwi, kukho ukuphakanyiswa kunye neentsikelelo zokuqwalasela xa ukhetha i-Excedrin njengamayeza akho "ukuya" ukuya kwiintlobo zentlungu okanye i-migraines.
I-Upside
Kuphononongo lokuphonononga kwi -Journal of Headache and Pain, ukudibanisa kwe-caffeine kunye ne-analgesic njengeTylenol (acetaminophen), i-aspirin (i-acetylsalicylic acid), kunye ne-ibuprofen, yayiphumelele ngakumbi ekuphatheni i-migraines kunye neentlobo zeentlobo zentlungu, xa kuthelekiswa isilumkiso semithi kuphela.
Nangona kunjalo, unokumangaliswa xa ufumanisa ukuba i-caffeine, ngokwayo, ayiyiyo intlungu. Kunoko, iyakwandisa umphumo we-analgesics, njenge-aspirin neTylenol, kwaye yenza oku ngokuphucula ukutshatyalaliswa kwabo ngaphakathi kwamathambo.
Uphando lubonisa ukuba i-caffeine isiphumo esisongezayo kubonakala kuma-130mg okanye ngaphezulu kwiintsholongwane zentlobo kunye no-100mg okanye ngaphezulu kwi-migraine.
Ekubeni i-anti-counter-counter-counter-caffeine ene-medication iqulethe i-64 ukuya kwi-65mg ye-caffeine (kuquka i-Excedrin), nceda uqaphele ukuba kuya kufuneka uthathe iipilisi ze-Excedrin ezimbini ukuze ufumane inzuzo ye-caffeine (eyona nto ifom).
Njengebhonasi eyongeziweyo, kubalulekile ukukhankanya ukuba i-caffeine eneentloko zentlungu ehlaziyekileyo inokuba nayo enye into. I-caffeine iyakhuthaza, ithetha ukuba kuphucula imvakalelo, ukuphaphazela, ukucwangciswa kolwazi, ukuqaphela, ukuqwalasela, kunye nexesha lokuphendula.
Ngoko xa uziva unxinzekile okanye ucocekile ngentloko yakho, i-Excedrin inokuthi inganciphise intlungu yakho kodwa inokunceda uzive unamandla ngakumbi.
Ukongezelela, i-caffeine iphucula i-motility gastric motility (ukunyakaza ngokomzimba ngokutya kwindlela yakho yokutya). Oku kunokuba luncedo kakhulu kwiimigraineurs, njengokuba isantya sesantya sinokuncitshiswa ngexesha lokuhlaselwa kwe-migraine, okukhokelela kwisicongciso kunye / okanye ukuhlanza .
Ngaphandle
Ukunyamekela unyango ngokuqhelekileyo akumnyama kwaye kumhlophe. Ngamanye amazwi, ubugcisa obuyinkimbinkimbi, njengoko kungekhona wonke umzimba womntu kunye nembali yonyango ifanayo. Ukuqinisekisa ukuba imithi ethile ilungile kuwe, kubalulekile ukuthetha yokuqala nodokotela wakho.
Imiphumela
Elinye icala lokuthatha i-Excedrin esikhundleni seTylenol, i-aspirin, okanye i-ibuprofen yedwa kukuba unokufumana imiphumo emibi kwi caffeine.
Imiphumo echaphazelekayo yile:
- Isisu esimoshakele
- Utywala
- Ukhathazeka
- I sizathu
Oko kwathiwa, ezi ziphumo zempembelelo zihlala zincinci kwaye zifutshane. Nangona kunjalo, ukuba awukwazi ukunyamezela inkompo eqinileyo yekhofi okanye ukuba ungene entlanganisweni kwaye ukhathazekile ngokufumana ingqungquthela, i-Excedrin ayinakukhetha okulungileyo kunaloo xesha.
Caffeine Paradox
Nangona i-caffeine inokunciphisa i-migraines kunye ne-head-type-headaches, uphando lubonise ukuba i-caffeine inxulumene nophuhliso lwe-migraines kunye noshintsho oluvela kwi-episodic ukuya kwi-migraines engapheliyo (i-migraines engama-15 okanye ngaphezulu ngenyanga). .
Ukongezelela, ukuhoxisa i-caffeine kungabangela ukuba ihlolwe intloko kunye nokukhokelela ekunciphiseni umsebenzi wokuqonda, ukukhankanya, kunye nokuhlanza (konke ngexesha elifutshane). Nangona, kwixesha elide, (kwaye ukuba lingabalulekisi umfanekiso), ukuphela kwe-caffeine kuya kuba luncedo kubantu abaneentloko.
Ekugqibeleni, ukuba unomdla kwi-caffeine, ke ukufaka i-Excedrin kwindlela oqhelekileyo akuvumelekanga ukuba kube yinto ekhethekileyo yokuya kwinqununu.
Khangela Udokotela oyiNtloko
Kungcono ukuza nesicwangciso kunye nogqirha wakho oyintloko okanye ugqirha wezintloko malunga neyonyango ongayithatha xa uhlakulela ikhanda. Oku kungenxa yokuba nangona iTylenol, Excedrin, kunye ne-NSAID zifumaneka ngaphandle komyalelo, azikhuseli kuwo wonke umntu.
Ngokomzekelo, i- NSAID kufuneka isetyenziswe kuphela phantsi kolawulo olusondeleyo ngugqirha ukuba unesifo se-asthma okanye isifo, intliziyo, okanye ingxaki yesibindi. Ukongezelela, ii-NSAID zingabangela ukucasula isisu nokuphuma kwegazi, akufanele zisetyenziswe ngabantu kwiinkonzo zokunciphisa igazi okanye ngabantu abaneembali zezilonda zesisu.
I-Aspirin, nayo, okanye iimveliso eziqukethe i-aspirin (njenge-Excedrin), akufanele zinikezelwe abantwana, njengoko zinokunyusa ingozi yomntwana ekuphuhliseni isifo esibi esibizwa ngokuba yi- Reye's syndrome .
Ukongezelela, amayeza angaphantsi kwe-counter angasebenzisana nemishanguzo yakho yonyango. Yingakho kubalulekile ukuxelela ugqirha wakho kuwo onke amayeza owathathayo, kuquka nawaphi na amavithamini okanye izongezelelo.
Ekugqibeleni, amayeza amaninzi angaphezulu kwe-counter- container aqukethe iTylenol (acetaminophen) , njengamachiza abandayo kwaye, kunjalo, i-Excedrin. Ugqirha wakho unokuqinisekisa ukuba awukho ngaphezu kweTylenol enzulu kwaye ingakhokelela ekuphelelweni kwesibindi .
ILizwi
Nangona uphando lubonisa i-caffeine equkethe ama-analgesics afana ne-Excedrin asebenza ngokuthe tye ekunciphiseni i-migraines kunye neentlobo zeentlobo zentlungu kunokuthatha uTylenol, aspirin, okanye ibuprofen yodwa, okungenjalo kuwe. Ekugqibeleni, themba umthambo wakho kwaye wenze okukusebenzayo (nge "OK" ngogqirha wakho).
Ekugqibeleni, kungakhathaliseki ukuba usebenzisa imichiza engaphezu kwe-counter-therapy, qaphela ukuba unciphise ukuba ungaphantsi kweentsuku ezimbini ukuya kwethathu ngeveki. Ngaloo ndlela unokuphephelela unyango lwentloko olungaphaya kweyonyango , apho umntu akhula iintloko ze-headaches-i-double whammy, kunye nengxaki ephosakeleyo ngokunyanga.
> Imithombo:
> Derry CJ, uDerry S, Moore RA. I-caffeine njenge-analgesic adjuvant ngenxa yeentlungu ezinzima kubantu abadala. Cochrane Database Syst Rev. 2014 I-11 ye-11; (12): CD009281.
> Lee MJ, Choi HA, Choi H, Chung CS. Ukucinywa kwe-caffeine kuphucula unyango olufudumeleyo: unyango olusekelwe kwiklinikhi. J Ubuhlungu bentloko. 2016; 17 (1): 71. i-doi: 10.1186 / s10194-016-0662-5.
> Lipton RB, Diener HC, Robbins MS, Garas SY, Patel K. Caffeine ekulawuleni izigulane ezineentloko. J Ubuhlungu bentloko. 2017; 18 (1): 107. i-doi: 10.1186 / s10194-017-0806-2.
> Phambi kweMJ, uCodispoti JR, Fu M. Uvavanyo oluthile olungaphendulwanga, olulawulwa yi-placebo lwe-acetaminophen unyango lwe-headache ye-migraine. Intloko . 2010; 50 (5): 819-833. i-doi: 10.1111 / j.1526-4610.2010.01638.x.
> Taylor FR. (2017). Uhlobo lweentloko zentloko kubantu abadala: unyango olunzulu. UShanson JW, uhleli. Isemgangathweno. Waltham, MA: UpToDate Inc.