Iziyobisi ezili-10 akufuneki uzixube notywala

Ulwazi lweziyobisi Umdibaniso

Ixesha leholide lilapha, kwaye oko kuza namathuba amaninzi okuzonwabisa. Ukuphatha okumnandi, ukutyeba okucebileyo, iziselo zabantu abadala. Bonke babiza igama lakho. Kodwa ezinye iindlela zokuxolelwa — ezizezi, iziselo ezinxilisayo — azixubeki namayeza athile. Ngapha koko, ngokuka Iziko leLizwe leSizwe ngokuSetyenziswa gwenxa kotywala kunye notywala , kukho ikhulu lamayeza anokubangela ingozi xa edityaniswe notywala. Yongeza kuloo nto yokuba umndilili waseMelika uphinda phinda ukusela kwakhe utywala phakathi koMbulelo kunye noEva woNyaka oMtsha kwaye, ewe, ukubanakho ukusebenzisana notywala okungalunganga kunye nokunxibelelana ngamayeza phakathi kwamalungu eqela ngokubanzi elihamba liphezulu kakhulu.

Ukuxuba utywala kunye namayeza kunokubangela iziphumo ebezingalindelekanga ezinzulu kubandakanya isicaphucaphu, ukugabha, intloko ebuhlungu, ukozela, ukuphelelwa ngamandla, okanye ukunciphisa ulungelelwaniso. Inokonyusa umngcipheko wokuphuma ngaphakathi, ingxaki yokuphefumla kunye neengxaki zentliziyo.

Ukuguqula isiselo somthendeleko kunokuba ngathi bah humbug-kodwa, kuxhomekeke kumayeza owathathayo, inokuba kuphela kwendlela onokuthi ukhethe ngayo.

Nanini na xa usemayeza, kubalulekile ukuqonda unxibelelwano olwahlukeneyo olunokuba kunye nezinye izinto, utshilo uRamzi Yacoub, uFarm.D., Igosa eliyintloko kwikhemesti leSingleCare. Ukuba usela utywala… kubalulekile ukuba uxoxe ngale nto kunye nosokhemesti okanye umgqaliseli wakho ukuze bakucebise ngento osela okanye ongakwaziyo ukusela nayo.

Ngaba amayeza akho akukho kuluhlu? Asikhe sikhangele umphezulu kolu luhlu, kodwa kuya kufuneka ucinge kabini ngaphambi kokuba usele utywala kwezi ndidi zili-10 zokumiselwa kunye neziyobisi.

Amayeza okubulala iintsholongwane

Unokuziva ungcono nge-100% ngemini yethoba yeentsuku zakho ze-10 ye-antibiotics, kodwa oko akuthethi ukuba licebo elilungileyo ukubetha ibar evulekileyo kwiqela lakho lenkampani. Ukuba uyakwenza oko, amathuba okuba uphefumle isisu esibuhlungu, intloko ebuhlungu, isicaphucaphu kunye nokugabha. Ezinye i-antibiotics, njenge-metronidazole (ekwabizwa ngegama lophawu Iiflegi ), isenokudala ukushukuma okungathandekiyo xa kudityaniswe notywala. Yintoni egqithisile, ukusela utywala ngelixa uthatha ii-antibiotics unokunciphisa ukusebenza kwesiyobisi.

Amayeza okulwa noxinzelelo

Iiholide aziyonto ukuba ayinaxinzelelo. Kwaye ukuba uphakathi kwe- I-18.1% yabantu baseMelika abanengxaki yokuxhalaba , uxinzelelo olubangelwa yiholide unokuziva unganyamezeleki ngamanye amaxesha. Nangona kunjalo, ukuba uthatha benzodiazepine , NjengoXanax (alprazolam) okanye uAtivan (lorazepam), ukunceda ukulawula uxinzelelo lwakho, uya kufuna ukubususa utywala ngelixa ikwinkqubo yakho-indibaniselwano inokukhokelela kukudlula okubulalayo. Iimpawu zobunzima zibandakanya ukozela, ukuba nesiyezi, ukuphefumla nzima, kunye neengxaki zokuziphatha, utshilo uMichaelene Kedzierski, R.Ph., unjingalwazi wezonyango kunye nomcebisi wokusetyenziswa gwenxa kweziyobisi kwiYunivesithi yaseWashington School of Pharmacy. Ukuzigcina ukhuselekile, cwangcisa ukulinda ubuncinci iiyure ezingama-24 phakathi kokuthatha amayeza kunye nokusela (kunye nokunye).

Abacoci begazi

Isetyenziselwa ukunyanga ukuphazamiseka kwamathambo (anje nge-vein thrombosis okanye i-thrombophilia) kunye nokuthintela ukubetha kunye nokuhlaselwa sisifo sentliziyo, abancinci begazi iwarfarin (eyaziwa njenge Coumadin ) akufuneki uxutywe notywala, utshilo uGqirha Yacoub. Ukuba uyazidibanisa, unokuzifumana usengxakini enkulu kuba amayeza aphazamisa inkqubo yokujiya, utshilo. Utywala kanjalo iyaphazamisa ekunqandeni, xa udibanisa zombini, umngcipheko unyuka nangakumbi. Into elandelayo uyazi, unengxaki yokuphuma kwegazi ngaphakathi-kwaye usenokungazi nokuba ukuphuma kwegazi kwangaphakathi kunokungaqapheleki kude kube lixesha. Izinto ezoyikisayo, kwaye akufanelekanga ukuba utywala.

Iintlungu

Ukubhalwa okanye ukungagunyaziswanga, kubalulekile ukunqanda utywala ngelixa uthatha iipilisi zentlungu. Ngee-opioid, ezinje nge-oxycodone okanye i-hydrocodone, umngcipheko kukudakumba ngokuphefumla, ukozela kakhulu, ukungalawuleki kweemoto kunye nokudlula, utshilo uKedzierski. Kodwa nkqu Iipilisi zeentlungu ezingaphezulu kwekhawuntareni inokupela ingxaki. I-Acetaminophen, umzekelo, isenziwa sisibindi. Kunjalo ke nangotywala, kwaye xa ezi zinto zimbini zixubekile, ukonakala kwesibindi okanye nokusilela kwesibindi zinokwenzeka kakhulu. Ngokubhekisele kwi-ibuprofen, ukuthatha iyeza rhoqo kunxulunyaniswa nomngcipheko okhulayo wamathumbu kunye / okanye ukuphuma kwesisu. Utywala, utshilo uGqirha Yacoub.

Iipilisi zokulala

Ngokucacileyo, amayeza okulala amiselweyo anje Ambien (zolpidem), ILunesta (eszopiclone), kunye neRestoril (t emazepam ) yenzelwe ukukunceda ubambe ezinye zeZZZ. Utywala nabo buyadambisa. Sebenzisa zombini ngaxeshanye kwaye iziphumo zepilisi yokulala ziya kunyuka. Lindela ukufumana ubuthongo obugqithisileyo, isiyezi, ukuphefumla kancinci, kunye nokungalawuleki kweemoto, utshilo uGqirha Yacoub.

Amayeza okunyanga

Ama-antihistamines esizukulwana sokuqala anje UBenadryl ( diphenhydramine ), IKhlor-iTrimeton ( chlorpheniramine ), ITavist ( clemastine kunye Atarax ( hayidrooksini ) musa ukuyeka nje amehlo arhawuzelayo, ukuthimla, kunye nemingxunya ehlala ihamba kunye nezinto ezingafunekiyo-nazo zinokuphazamisa ukulawulwa kweemoto zakho, zibangele isiyezi, kwaye zikwenze wozele kakhulu. Ngenxa yokuba utywala bunokubangela iziphumo ezifanayo, uya kufuna ukuqinisekisa ukuba uyabuphepha xa uthatha ezi ukunyanga meds . Ngaphandle? Ukuba kunokwenzeka ukuba ube ne-anaphylactic reaction kwi-allergen emva kokuba usele-kwimeko enjalo, thatha i-antihistamine (kwaye ufune uncedo lonyango).

Ii-antihistamines zesizukulwana sesibini— Zyrtec (cetirizine), Allegra (fexofenadine), Claritin (loratadine), kunye Xyzal (levocetirizine) -ngokwesiqhelo ibangela iintlobo zeziphumo ebezingalindelekanga eziqiniswa butywala. Nangona kunjalo, kubalulekile ukuba uthethe nogqirha wakho okanye usokhemesti ngaphambi kokuzixuba kunye necocktail oyithandayo.

Khohlela iyeza

Ngamanye amaxesha ukukhwehlela okukruqulayo kuxhomeke ixesha elide kunazo naziphi na ezinye iimpawu eziza neentsholongwane ezicaphukisayo zonyaka. Kwaye kuba uziva ungcono, kungabonakala kusengqiqweni ukuthatha iyeza lokukhwehlela ngaphambi kokuba uphume uye kuloo msitho wokungcamla iwayini obukade ulindele. Ngelishwa, okoko ufuna iimeds, kuya kufuneka uyidlulise iwayini. Ngoba? Ewe, amayeza okukhohlela e-OTC athanda ukuba nomxube wezithako (njenge-dextromethorphan, i-acetaminophen, i-antihistamines, i-decongestants) nganye nganye inokunxibelelana kwayo notywala, utshilo uGqirha Yacoub. Baninzi nkqu ziqulathe Utywala, uyalumkisa, ke ukuba uyasela kunye nokuthatha iRobitussin yakho, ungabusela utywala kakhulu ungazi.

Ukunyanzelwa kokukhohlela ikhowudi-promine kwaye benzonatate ) zinamandla enkqubo ye-nervous depressants eneempembelelo ezinokuthi zonyuswe ngotywala, zikhokelela ekozeleni ngokweqile nakwisiyezi.

Kubaluleke kakhulu ukuqonda izithako ezikula mayeza kwaye uphephe utywala [ngelixa ubusela] njengoko zinokubangela ukozela, isiyezi, ukonakala kwesibindi kunye nobucaphucaphu, uyacacisa.

Izihlunu zezihluli

Loo spasm yemisipha entanyeni yakho okanye ukuqina emqolo kuye kwaphazamisa ubomi bakho kangangeentsuku ngoku. Ngelishwa, ukuba uthatha isithambisi semisipha ukujongana nentlungu, imalunga nokuphazamisa izicwangciso zakho zokucofa imimosa kule mpelaveki kwiholide yeholide oyena mntu ubamba naye. Njengoninzi lwee-meds ezikolu luhlu, izihlaziyi zemisipha ziyathanda Amrix / I-Fexmid / iFlexeril ( cyclobenzaprine ), Robaxin ( memocarbamol ) kunye neZanaflex (tizanidine) iza neziphumo ebezingalindelekanga ezinje ngokuba nesiyezi, ukozela, ukungalawuleki kweemoto kunye nokudakumba okuphefumla.

Ukudityaniswa kotywala kwezi ndidi zamayeza kunokunyusa ezi ziphumo bezingalindelekanga, utshilo uGqirha Yacoub.

Iiproton pump inhibitors kunye neyeza lokutshisa

Uxolo ngokwaphula iindaba, kodwa ukuba uthatha isigqibo sokuthatha Nexium (esomeprazole) okanye Iprilosec (omeprazole), okanye enye yee-PPI ezininzi okanye amayeza okutshisa entliziyweni apho, ukunciphisa isitshisa esibuhlungu emva kobusuku obunamargarita kunye ne-taco ngobusuku, zilungiselele ukufumana iziphumo ebezingalunganga, ezinje ngokuba isicaphucaphu, intloko ebuhlungu kunye nokozela, utshilo uGqr. Yacob. Kuyafana nakwabo bathatha elinye lala mayeza kwimicimbi engapheliyo ye-GI, efana ne-GERD okanye i-eosinophilic esophagitis. Ngapha koko, utywala buya kwandisa ukuveliswa kwesisu esiswini, sesinye sezizathu ezingunobangela wokuqaqanjelwa sisisu, ukungaginywa sisisu kunye nezilonda esiswini. Iiproton pump inhibitors kunye nesitshisa (iyeza kunye ne-OTC) zisetyenziselwa phatha isisu esivelisa imveliso, ke ngandlela thile unikezela amayeza akho engenanjongo xa uxuba notywala.

Kwiphepha elisecaleni, ukuba uthatha iZantac ngenxa yentlungu yentliziyo, thetha nogqirha wakho kunye nosokhemesti ASAP malunga nezinye iindlela— kutshanje kutsaliwe ezishelfini ngaphezulu kokukhathazeka ngokhuseleko .

Ezinxulumene: Ungasiphepha njani isitshisa seholideyi

Uxinzelelo lwegazi kunye namayeza esifo sentliziyo

Okokugqibela kodwa kungaphelelanga apho, ukuxuba uxinzelelo lwegazi kunye / okanye amayeza esifo sentliziyo (njenge-beta-blockers, i-ACE inhibitors, i-alpha blocker kunye nabanye abaninzi) ngotywala yinto 'engeyoyo' ngokukaKedzierski noGqirha Yacoub. Ingozi?

Ukudityaniswa kwala mayeza notywala kungakhokelela ekwehleni koxinzelelo lwegazi, ucacisa uGqirha Yacoub. Xa uxinzelelo lwegazi lusezantsi kakhulu, oko kunokukhokelela kwisidambisi, ukuba nesiyezi, ukuba nentloko elula, ukonyuka komngcipheko wazo zonke nokuphelelwa ngamandla.

Utywala kunye namayeza: Eyona nto iphambili

Ke ngeli xesha leholide qiniseka ukuba ucinga kabini ngaphambi kokuba unkqonkqoze abambalwa kwitheko lenkampani leholide-umzimba wakho (kunye nabantu osebenza nabo) baya kukubulela.

Ukuba wena okanye umntu omthandayo ufuna uncedo ukuze uyeke ukusela, zininzi izibonelelo zabantu abanengxaki yokusebenzisa utywala. Tsalela umnxeba woncedo lukazwelonke lwe-SAMHSA malunga nokuphazamiseka kokusetyenziswa kweziyobisi kwi-1-800-662-HELP. Okanye, sebenzisa isixhobo esikwi-intanethi kwiZiko leLizwe kuTywala kunye noTywala ukufumana izixhobo zonyango kufutshane nawe.