Ezinye iziyobisi ziSebenzi ezahlukeneyo phakathi kwabantu abadala
Ukuba ungumdala, unokuba nemibuzo malunga nokukhuselwa kweziyobisi. Amachiza anceda abantu abadala kunye nabantu abaneminyaka ephakathi kwamanye amaxesha banokuyingozi ngakumbi kunokuba bahle kubantu abadala. Utshintsho olusenziwa ngabantu abaninzi abantu abadala, njengento yokulahleka kwesisindo, ukwanda kweethambo, kunye nokunciphisa isibindi kunye nemisebenzi yezintso kuthintela indlela yokusebenza kweziyobisi. Nantsi ingqungquthela kwezinye izinto eziqhelekileyo kwi-counter-counter-counter (i-OTC) kunye nemithi yonyango engabangela ingozi kulabo abaphakathi kweminyaka engama-60 nangaphezulu, kunye neengcebiso ngokubanzi malunga nabadala kunye nokukhuselwa kweziyobisi.
Izidakamizwa kunye neziTywala zokuXhatshazwa
Elavil (amitriptyline): Impembelelo engavamile yolu kadakamizwa i-tricyclic antidepressant iyancipha imiphumo yombane entliziyweni, nto leyo ingakhokelela ekubeni i-arrhythmia, eyaziwa ngokuba yintliziyo engaqhelekanga, ngakumbi kubantu abadala. Kwabo abaneminyaka engama-65 nangaphezulu, i-electrocardiogram, okanye i-EKG, kufuneka ithathwe ngaphambi kokuthatha u-Elavil. I-EKG ilinganisa umbane wentliziyo, okufuneka ihlolwe rhoqo ngonyaka ngelixa lithatha le nkunkuma.
Abantu abadala kwi-Elavil nabo bathabatha uxinzelelo lwegazi-ukunyusa imishanguzo kunokubangela ukuhlaselwa ngokukhawuleza kwixinzelelo legazi xa kuphakama kwiindawo ezihleliyo (into ebizwa ngokuba yi-orthostatic hypotension), ngoko ukuma kufuneka kuhlale kuyenzeka ngokukhawuleza ukuphepha.
Iprozac (i-fluoxetine): I-serotonin yokuqala ye-inhibitor (SSRI) ekhethiweyo yokuqala, i-Prozac ye-prescription ingaba nemiphumo emibi efana nobunzima bokuhamba okanye utywala , ngokukodwa kubantu abadala abakhubazekile ngengqondo.
La mayeza angaphakamisa umngcipheko wokuhlakulela isifo sikashukela, ngakumbi kulabo abagqithiseleyo okanye abanokwimeko yesibini yesi sifo.
I-Librium (chlordiazepoxide): Imiphumo emibi ebandakanya ulwaphulo, intukuthelo kunye nentukuthelo kunokwenzeka kakhulu kubantu abadala abakhathaza imithi yeLibrium, i-benzodiazepine ekujoliswe ekunciphiseni ukukhathazeka kwexhala kunye neempawu zokurhoxiswa kotywala.
I-Valium (diazepam): Olunye uhlobo lwe-benzodiazepine, i-Valium, lunokubangela ukulala, ukungaqiniseki okanye ukuphefumula kwabadala abanesibindi okanye isifo sesifo ngenxa yokuba le nyanga ihlala ihlala emzimbeni.
Antibiotics
I-Macrodantin (nitrofurantoin): Izigulane ezindala ziyakwazi ukufumana imiphumo emibi yalo myalelo wokulwa neyeza, ezibandakanya ukukhathala, ukulala , ukuxakeka, ukuxhamla, ukukhawuleza, ukulahleka kwesidlo, ukukhwabanisa, isifo sohudo kunye nokuhlanza.
Iimvo zengqondo
I-Beta i-Blockers Inderal (propranolol) kunye ne-Levatol (penbutolol): Kwizigulane ezingaphezu kweminyaka engama-60, i-beta blockers kufuneka isetyenziswe kuphela njengemithi yomsindo ophezulu, ngenxa yokuba ifikeleleke ingozi yokubetha, isifo se-myocardial (isifo senhliziyo) nokufa kunokunye uxinzelelo lwegazi. Iimeko ezinzulu ezifana nokuhluleka kwentliziyo okanye isifo senhliziyo yesistimic kusenokufuna ukuba kusetyenziswe i-beta blockers, nakwixesha elide, kuba iingenelo zigqithise ingozi.
I-Calcium Channel Blockers i-Norvasc (i-amlodipine) kunye neCardizem (diltiazem): Iimpawu ze-calcium zesalathisi ezinqunyiwe ezinqunyiwe ukunciphisa uxinzelelo lwegazi zingabangela ukukhubazeka kwentliziyo, imeko apho intliziyo ayikwazi ukupompa igazi elaneleyo ukuze ikhuphe umkhuhlane owakhiwe emzimbeni.
I-Coumadin (i-warfarin): Nangona i-Coumadin okanye enye echazwe ngokufanayo "igazi elincincileyo" aliyona yingozi kubadala kunokuba abanye abantu xa bathatyathwa ngokwabo, abaxhamli begazi abaninzi ukusebenzisana ngamachiza, okanye ukusebenzisana nezinye iziyobisi, benze ukuba Isizathu esibalulekileyo sokuba abantu abangaphezu kweminyaka engama-65 bafune unyango lwezonyango.
Nangona ikhuselekile ukuthatha la mayeza kunye ne-over-counter-counter (i-OTC) okanye i-acetaminophen kadokotela, njengeTylenol, cela udokotela wakho ngaphambi kokusebenzisa okanye nayiphina imithi engeyiyo-antisteroidal anti-inflammatory (NSAID), equka i-Advil (ibuprofen) okanye i-Aleve ( naproxen).
Ukuhlanganiswa kwala mayeza kunye neCourmadin okanye imishanguzo efana nayo inokuvimbela i-blood clotting kwaye iholele ekuphumeni kwegazi esiswini kunye namathumbu kwezinye izigulane ezinobungozi obuphezulu, ezinokubulawa. Ezinye ezinye iziyobisi kunye nemithi yendalo, njengeSt John's wart, inokubangela ukuba kuphapheke ngaphakathi kwangaphandle kunye neCourmadin. Ukuba uthabatha le nyilisi, vumela ugqirha wakho azi malunga neyeza ngalinye elitsha-ingaba i-OTC okanye umyalelo-unokuba ungeze kwi-regimen yakho yemihla ngemihla.
Ukungabikho kweNtsholongwane / iMishanguzo
I-Benadryl kunye ne-Simply Sleep (diphenhydramine): Ezi ziyobisi ze-OTC ziyafumaneka ngaphandle komyalelo wokunciphisa iimpawu zokungabikho komzimba okanye ukulala; zinokubangela ukuphazamiseka kwengqondo, ukuphazamiseka komjikelezo wokulala, ukugcinwa kwamanzi, ukumbomboza kunye nemibono ephazamisekileyo kubantu abadala.
Umxholo wenkcazo we-Original edalwe nguNaveed Saleh, MD, MS, ngomhla we-2/10/2016.
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