Ekukhulelweni bangakwazi izinhlungu zikhona ngezinhlobo eziningi zezizathuKwesinye isikhathi lezi zinhlungu zingahlotshaniswa nokukhulelwa uqobo, njengobuhlungu beqolo noma ubuhlungu bomlenze. Yize ngezinye izikhathi kungenzeka noma kanjani ngaphandle kokuthintana nokukhulelwa okufana nekhanda noma ukulimala okushaywayo.
Kepha kunjalo, owesifazane okhulelwe akakwazi ukuphuza umuthi Ngaphandle kokuthi udokotela akubhalele futhi bavame ukukwenza kuphela ezimweni ezinesidingo esikhulu. Ngakho-ke yini owesifazane okhulelwe angayenza ukubhekana nanoma yibuphi ubuhlungu abuzwayo?
Yini okufanele uyenze ngobuhlungu?
Ukubhekana nezinye izinto ngaphandle kwemithi efana nayo phumula, faka iqhwa noma ukushisa kwendawo, ukuthambisa amanzi, ukwelula kancane, kanye namasu okuphumula kuyisiqalo esihle. Bangasiza futhi ukubhucungwa ngaphambi kokubeletha, ukuhlanzeka kwangemuva, ukusebenzisa imicamelo lapho ulele, kanye nokuqondisa umzimba okungenamthelela omncane (njengokuhamba noma ukubhukuda). Lezi zinyathelo ezingezona ezemithi ziwumugqa wokuqala we ukungakhululeki kwe-musculoskeletal izimpawu zokukhulelwa ezivamile.
Kodwa uma ubuhlungu bukhulu kakhulu, ungase ucabange ukuthi udinga ukukhululeka okunamandla, njengamaphilisi ezinhlungu, ukuze unqobe ukungakhululeki okubangelwa izinhlungu. Kuningi imithi etholakalayo yezinhlungu kodwa iningi kakhulu banqatshelwe ngokuphelele ngesikhathi sokukhulelwa ngoba kungadala izinkinga enganeni yakho esakhula. Khumbula ukuthi konke kwenzeka i-placenta kanye nenkaba, ngakho noma yikuphi ukwelashwa kufanele kuhlolwe ngemibandela yezokwelapha.
Futhi, imfiva ephezulu engelashwa kanye nobuhlungu obukhulu bubuye buthwale izingozi komama kanye nengane. Ngakho-ke, umgomo uwukuthi bhalansisa izingozi nezinzuzo ngokwesekwa uchwepheshe wakho wezempilo, usebenzisa umthamo osebenza ngempumelelo ophansi kakhulu kanye nesikhathi esifushane kakhulu lapho umuthi udingeka.
Ngabe ukuthatha iTylenol kuphephile?
Okwamanje ITylenol ithathwa njengephephile kuwo womathathu amakota, yize kufanele ngikutshele nokuthi akukho muthi ophephe ngo-100%, ngoba uma uwuthatha ngaphandle kokuyalelwa ngudokotela noma ngaphandle kokugadwa ngudokotela kunengozi ephansi kakhulu yokuthi izothinta ingane yakho ngesikhathi sokukhulelwa. Umbono omuhle ngaphambi kokuthatha noma imuphi umuthi uwedwa uwukuthi khuluma nodokotela wakho ukuchaza kahle ukuthi buyini ubuhlungu bakho ukuze akwazi ukukunikeza umuthi ongcono kakhulu kuwe.
Ubufakazi obukhona besayensi nezincomo ze iziphathimandla zezempilo kanye nemiphakathi yesayensi efana ne-AEMPS, EMA/PRAC, MHRA, ACOG kanye neNhlangano Yemithi Yomama-Ingane iyavuma ukuthi i-paracetamol (i-acetaminophen) ingasetshenziswa ngesikhathi sokukhulelwa lapho kunenkomba yomtholampilo, usebenzisa umthamo ophansi osebenzayo, isikhathi esifushane kanye nemvamisa encane ngangokunokwenzeka. Amasethi edatha amakhulu kwabesifazane abakhulelwe abonisa ukwenyuka ukungasebenzi kahle, kanye nocwaningo lwe-neurodevelopmental lunikeza imiphumela okungaphelele. Amanye ama-ejensi, ngentshisekelo yokubeka izinto obala, aveze ukuthi imininingwane yezidakamizwa ikhombisa ukuhlangana okungase kube khona kokuqaphela kanye nokuphazamiseka okufana ne-autism noma i-ADHD, ngaphandle kokuba khona ubudlelwano obusungulwe yimbangela.
Khumbula lokho akufanele uthathe noma imuphi umuthi ngokwakho ngoba uzobe ubeka impilo yengane yakho engcupheni. Hlala uthintana uma udinga ukwelapha imfiva, ikhanda elibuhlungu noma ezinye izimpawu ezingaphenduli emakhambi asekhaya.
Ngingayithatha yini iTylenol?
Ungayithatha uma ubonana nodokotela wakho kuqala, nakuba ngikweluleka ukuthi ukhethe ezinye izinketho. Abesifazane abakhulelwe bathatha ukuze basekele ubuhlungu emuva, the ikhanda noma i umkhuhlane wesokunxele ngesikhathi sokukhulelwa.
Phatha i- umkhuhlane kungase kubaluleke kakhulu, njengoba kuhlotshaniswa nengozi eyengeziwe yezinkinga ezithile ze-fetus. Kwezinye izimo zomtholampilo, i-paracetamol isetshenziswa njenge ukuhlolwa kokwelapha ukuhlola ukuthi ikhanda liyadamba yini futhi ngaleyo ndlela kukhishwe izimbangela ezingathi sÃna, njengalezo ezihlobene nomfutho wegazi ophakeme wokukhulelwa, njalo ngaphansi kokuqondisa kodokotela.
Khumbula njalo: umthamo omncane osebenzayo, izikhathi ezimfushane, nokuhlolwa komuntu ngamunye kophawu. Uma umkhuhlane/ubuhlungu bungapheli noma buphindelela njalo, kubalulekile ukubuyekezwa komtholampilo ukukhipha izimbangela eziwumsuka.
Ngingayithatha noma kunini lapho ngifuna khona?
Yilapho okumele uqaphe khona; awukwazi ukuyithatha noma nini lapho ufuna noma ngaphandle kokulawula. Ukusetshenziswa njalo kungahlotshaniswa ne amakhono olimi ampofu kanye nezinkinga zokuziphatha ezinganeni. Ngaphezu kwalokho, iTylenol iye yafundwa maqondana nokuzalwa ngaphambi kwesikhathi nokukhulelwa kwesisu kepha abanakho ukuxhumana okuqondile okungathiwa lesi sidakamizwa se-OTC siyimbangela yaso.
Nakuba kuwufanele ukukhumbula ukuthi umehluko phakathi kwethamo elisebenzayo kanye nethamo eliyingozi ngoba umntwana mncane kakhulu, ngakho-ke kubalulekile ukuthi uma ufuna ukuphuza lo muthi, udokotela akweluleke futhi akuqondise ngokusetshenziswa kwawo ukuze ukhulule izinhlungu zakho. Kufanele futhi ugweme ukuphindaphinda okungahlosiwe ngemithi yomkhuhlane noma yomkhuhlane ehlanganisa i-paracetamol ekubunjweni kwayo.
Eminye imiphumela yokuthatha iTylenol ukhulelwe
Kungenzeka futhi ukuthi iTylenol ingaba nesibopho sokuthi izingane zabesifazane abathathe le mithi okungenani izinsuku ezingu-28 ngesikhathi sokukhulelwa zingase zihlupheke. amakhono emoto ampofu, into engenzeki komama abangazange baphuze lo muthi ngisho nakanye ngesikhathi bekhulelwe. Ngaphezu kwalokho, izingane zingaletha a ukubambezeleka ekuhambeni, izinkinga zokuxhumana, ulimi futhi njengoba ngike ngasho, izinkinga zokuziphatha. Kungenzeka ukuthi i- i-acetaminophen equkethe iTylenol iyimbangela yalezi zinkinga.
Kwengezwe kulokhu kunemibono emayelana isifuba somoya sobuntwana, i-cryptorchidism (isende elingaphansi uma ukuchayeka kuqhubeka isikhathi eside ezigabeni zokuqala) kanye namandla ukuvalwa kwe-ductus arteriosus i-fetus. Uchungechunge lwezinsana ezisanda kuzalwa ezine i-pulmonary hypertension kanye nokuhluleka kwenhliziyo ngemva kokuchayeka esibelethweni nokuvalwa kwe-ductus arteriosus, kuyilapho i-paracetamol ibonise ukusebenza kahle ekuvaleni kokwelapha kwe-patent ductus arteriosus ezinganeni ezizalwa ngaphambi kwesikhathi. Nokho, zonke lezi zinhlangano ngokuyinhloko ngenxa izifundo zokubuka kanye nemibiko yamacala nge ukulinganiselwa, ngakho abasunguli imbangela.
Isimo sama-ejensi alawulayo sicacile: uphenyo ngomthelela ongaba khona ukuthuthukiswa kwe-neurodevelopment es okungaphelele. Ngakho-ke, umlayezo oyinhloko ukuthi ukusetshenziswa ngobuhlakani lapho kukhonjisiwe futhi ngaphansi kokuqondisa kochwepheshe, njalo kuhlolwa ibhalansi yenzuzo yengcuphe.
Kuhlobene ne-ADHD?
Ngaphezu kwalokho futhi sengathi lokho bekunganele, ukuthatha iTylenol ekukhulelweni Kungabuye kuhlotshaniswe ne-ADHD ezinganeni. Kepha UTara Haelle esifundweni sakhe Mayelana ne-ADHD, uphawula ukuthi ubungozi buncane kakhulu ngoba iningi labesifazane abafunde futhi abathatha iTylenol izingane zabo abanayo i-ADHD, nezinto eziningi ezididayo ezingenziwa nokuthi lobu budlelwano bunganqatshwa.
Izinhlangano eziyinhloko zochwepheshe kwezokubelethisa kanye nezifo zezingane zikhomba ukuthi isisindo sobufakazi kubudlelwano obuyimbangela nezinkinga ze-neurobehavioral akwaneleIzifundo eziningi zisekelwe ukuzibika ukusetshenziswa, ngaphandle kokunemba komthamo noma ubude besikhathi, noma ekuxilongweni okungaqinisekisiwe ngokomtholampilo, okukhawulela iziphetho. Eminye imibuzo evulekile ukuthi isixhumanisi esibukiwe sibangelwa yini isidakamizwa noma ku umkhuhlane/inqubo ebuhlungu eyagqugquzela ukusetshenziswa kwayo.
Ingakanani i-Tylenol engingayithatha ngesikhathi sokukhulelwa?
Kungcono ukuthi usebenzise i- umthamo ophansi ngangokunokwenzeka lokho okusebenzayo (inani elincane elisiza ekwehliseni imfiva noma ekudambiseni ikhanda lakho). Njengereferensi yelebula evamile: i-capsule ngayinye ye I-Tylenol Amandla Engeziwe Iqukethe 500 mg; Amaphilisi ama-2 avame ukuthathwa njalo emahoreni ayi-6 ngenkathi izimpawu zihlala, hhayi ngaphezu kwe-3.000 mg ngosuku (amaphilisi ama-6) ngaphandle uma kunqunywe futhi kugadwe udokotela. Abanye ochwepheshe bangase bagunyaze kufikela ku-4.000 mg/ngosuku ezilungiselelweni ezithile zomtholampilo futhi ngaphansi kokugadwa okuseduze, kodwa ukuze uzitholele ngokwakho, umthamo ophephile ulondoloza kakhulu.
Khumbula ukuthi I-paracetamol nayo ikhona emithini yomkhuhlane neyomkhuhlane. Hlola ilebula ukuze ugweme imithamo ephindwe kabili futhi ugweme izinhlanganisela utshwala noma ezinye izidakamizwa ze-hepatotoxic. Uma unayo isifo sesibindi (isb., i-hepatitis engapheli), udokotela ngokuvamile uncoma ubuningi be-2.000 mg / ngosuku izinsuku ezimbalwa; nge-cirrhosis encishisiwe, akufanele isetshenziswe ngaphandle uma kunqunywe uchwepheshe.
Ngingathatha iTylenol PM ngesikhathi sokukhulelwa?
Yebo, ngokuqapha nangokuqondisa. I-Tylenol PM ihlanganisa i-acetaminophen 500 mg con i-diphenhydramine 25 mg, i-antihistamine enomphumela wokulalisa ocatshangelwayo umshwalense wesikhashana ngesikhathi sokukhulelwa. Ngokuvamile, ungathatha amaphilisi angu-1-2 ngaphambi kokulala uma unezinhlungu zasebusuku noma ukungalali ngezikhathi ezithile. Gwema ukuyixuba nayo amanye ama-sedative futhi uhlale uthintana uma ukuqwasha kuqhubeka noma uma uzwa ukuhona okunamandla noma ukuma kancane lapho uphefumula.
Ama-NSAID nezinye izidambisi zobuhlungu: yini okufanele uyigweme futhi kungani
I-Los izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs) njenge-ibuprofen, i-naproxen, nemithamo ephezulu ye-aspirin ayiwona ama-analgesics akhethwa kuqala ngesikhathi sokukhulelwa. Bahlanganiswe ingozi yokuphuphuma kwesisu ezigabeni zokuqala futhi nge ukuvalwa ngaphambi kwesikhathi kwe-ductus arteriosus, i-oligohydramnios kanye nezinkinga zezinso ze-fetus ezigabeni ezithuthukisiwe. Uma kuhlolwa nganoma yisiphi isizathu, kufanele njalo ngaphansi kokuqondisa kodokotela futhi emafasiteleni anemingcele kakhulu. I-Prednisone ezimweni ezithile ingase yandise ingozi udebe/ulwanga oludabukile Uma isetshenziswa ngezikhathi ezibucayi, kufanele inqunywe kuphela lapho inzuzo idlula ingozi.
Ngenxa yazo zonke lezi zizathu, imiphakathi yesayensi incoma lokhu i-paracetamol njengomugqa wokuqala ngenxa yobuhlungu nomkhuhlane ngesikhathi sokukhulelwa, ukuhlukanisa icala ngalinye kanye nokugwema ukusetshenziswa isikhathi eside noma imithamo ephezulu.
Yini okufanele uzibuze yona?
Into yokuqala okufanele uzibuze yona ngaphambi kokuthatha lo muthi (noma yimuphi omunye) ukuthi ingabe kunjalo ngempela iphephile kuwe noma ingane yakhoKodwa umbuzo wesibili okufanele uzibuze wona ubaluleke nakakhulu: Uma ngikhulelwe futhi ngisezinhlungwini, yini engingayenza ukuze ngizizwe ngingcono?
Uma uzwa ubuhlungu into yokuqala ongayizama amakhambi asekhaya ukuzama ekhaya, njengokumisa izinyawo, ukuphumula, noma ukujabulela ukubhucungwa kahle. Kodwa uma usezinhlungwini kakhulu futhi ufuna ngempela ukuphuza imithi, kuzofanele wenze isikhathi sokubonana nodokotela wakho umvumele akhiphe okufanele ukwenze nokuthi ngaphezu kwalokho, bayayilawula futhi benze okulandelwayo okuhle ukuze bazi ukuthi konke kuhamba kahle. Lokhu kuzonciphisa ubungozi buncane.
- Chaza uphawu: ukushuba, ukuqala, izici eziwukhululayo/eziwenza zibe zimbi kakhulu, umkhuhlane ohambisana nawo.
- Buza mayelana nomthamo nesikhathi: malini, kangaki, izinsuku ezingaki futhi yiziphi izimpawu ezidinga ukumiswa.
- Hlola ukusebenzisana: ezinye izidakamizwa noma izithasiselo ozithathayo.
- Xwayisa ngerekhodi lobugebengu: izinkinga zesibindi, umfutho wegazi ophakeme, i-preeclampsia, ukungezwani nezidakamizwa.
Yini ongayithatha ngobuhlungu?
Ngemva kwakho konke okukhulunywe ngakho kulesi sihloko, kubonakala sengathi okuthile engenabulungiswa Ukusho ukuthi i-Tylenol icishe ibe yi-diabolical ukuthatha, ngoba kunemithi eminingi engeyona ingozi nokuthi sonke siye sathatha okungenani kanye ngesikhathi sokukhulelwa ukuze sikhulule ukungakhululeki.
Mhlawumbe okungcono kakhulu ubambe isikhashana ngaphandle kokuthatha imithi, kodwa-ke, lokhu kuzosebenza kuphela kwabanye besifazane ngoba konke kuzoncika ku- umkhawulo wezinhlungu ukuthi wonke owesifazane okhulelwe unayo.
Nakuba ngingeke ngikhathale ukuphinda lokho uma ufuna ukuphuza umuthi noma uqiniseke ukuthi iTylenol noma omunye umuthi ofanayo uphephile kuwe noma kumntanakho (noma okungenani wazi imithamo ongeke uyidlule), kuyodingeka njalo uye kudokotela wakho ukuze uthole incwadi kanye nesiqondiso. Futhi, khumbula lezi imihlahlandlela yokusebenzisa kahle:
- Umthamo omncane, isikhathi esincane: inhloso yokulawula izimpawu ngaphandle kokusetshenziswa okungapheli.
- Ungahlanganisi ukwakheka: gwema imikhiqizo enezimpawu eziningi ngaphandle uma uyalwe ngokuqondile.
- Gwema utshwala: ivikela isibindi futhi inciphisa ingozi yobuthi.
- Uma kungathuthuki: ukuhlolwa okusha komtholampilo ukuze kukhishwe izimbangela eziwumsuka.
Iziphathimandla ezilawulayo zase-Europe zifake olwazini lomkhiqizo izifundo ezikulo ukuthuthukiswa kwe-neurodevelopment ngemuva kokuvezwa kwe-intrauterine kukhombisa imiphumela engagculisi futhi, ngasikhathi sinye, gcina ukuthi inani elikhulu idatha kwabesifazane abakhulelwe ayibonisi ukwanda kokukhubazeka. Ngokwengxenye yabo, izinhlangano zemitholampilo kwezokubelethisa zincoma i-paracetamol njenge isinyathelo sokuqala ngokumelene nomkhuhlane kanye nobuhlungu ngesikhathi sokukhulelwa, njalo nge ukusetshenziswa ngobuhlakaniImfiva engelashiwe kanye nobuhlungu obukhulu nakho kuholela izingozi zangempela, ngakho ukwelashwa akufanele kuhlehliswe lapho kukhonjisiwe.
Ukuvala umbuthano: ukuxhumana nochwepheshe bakho Iyithuluzi elinamandla kakhulu. Veza okukukhathazayo, yabelana ngezimpawu zakho ngokuningiliziwe, futhi nihlangene nizenzele uhlelo oluphephe kakhulu lwenu nengane yakho. Ngokubona, ukuqapha, kanye nemithamo ehlakaniphile, i-paracetamol ihlala iyindinganiso eyigolide yokudambisa izinhlungu ngesikhathi sokukhulelwa lapho kudingeka.