Phunzirani za kuopsa kwa chizolowezi chomwa mankhwala a chifuwa

Zambiri Zamankhwala

Ndizodziwika kuti mankhwala osokoneza bongo akhoza kukhala osokoneza. Koma kodi mumadziwa kuti mankhwala ochokera kuntchito angagwiritsidwe ntchito molakwika ndi kuzunzidwa? Madzi a chifuwa ndi otetezeka kwathunthu (ndipo ndi othandiza) akagwiritsidwa ntchito monga momwe amafunira. Mukamwa kwambiri — mwadala kapena mwangozi — imadzetsa mankhwala ambiri, monga mankhwala osokoneza bongo. Mitundu ina ndi yoopsa kuposa ina, makamaka ngati muli ndi achinyamata kapena ana ang'ono kunyumba. Nazi zomwe muyenera kudziwa kuti muzitha kuzizira ndipo khalani otetezeka.

Kodi mankhwala a chifuwa amakhala oledzera?

Zimatengera.Pali mitundu ingapo ya chifuwa ndi mankhwala ozizira pamsika, ndipo ena atha kukhala ndi zosakaniza zomwe zimawoneka ngati zotetezeka komanso zowopsa kukhala nazo kunyumba.

Pali njira ziwiri zosiyana zomwe mankhwala a chifuwa angachitire kutengera ndi mankhwala omwe mumamwa, akufotokoza Kimberly Brown, MD , dokotala wadzidzidzi ku Memphis, Tennessee. Njira imodzi ndikupondereza chifuwa (suppressant), ndipo inayo ndikuthandizira kumasula mamina kuti athandize kukhosomola (expectorant). Kutengera ndi zomwe amachita, zosakaniza zomwe zidagwiritsidwa ntchito ndizosiyana-ndipo chiwopsezo cha kumwa chizolowezi chomwa ndi chizolowezi ndichosiyana.

Cough suppressants

Zomwe zimagwiritsidwa ntchito popanga mankhwala a chifuwa zimaphatikizapo codeine ndi dextromethorphan [DXM], atero a Kristi Torres, Pharm.D., Wazamalonda Chipatala cha Austin Diagnostic Clinic komanso membala wa board yowunikira zamankhwala a SingleCare. Zosakaniza zonsezi zimatha kuyambitsa tulo ndi kuwonongeka, komanso kuthekera kochitira nkhanza.

(Ma codeine a chifuwa cha chifuwa amapezeka kokha pa kauntala m'maiko ena, ndipo ngakhale pamenepo ma pharmacies ambiri amangopereka mankhwala.)

Ngati wodwala ali ndi chifuwa chosalekeza chomwe chimasokoneza tulo, kapena kulepheretsa magwiridwe antchito tsiku ndi tsiku komanso kuchita bwino, dokotala wawo amatha kupereka mankhwala amphamvu a chifuwa. Mankhwala a chifuwa cha mphamvu ya chifuwa akhoza kukhala ndi codeine kapena hydrocodone, omwe ndi ma opioid omwe amatha kukhala osokoneza bongo.

Mankhwala ambiri a chifuwa amakhalanso ndi mowa, kotero odwala omwe ali ndi vuto lakumwa mowa mwauchidakwa kapena omwe amamvetsetsa mowa ayenera nthawi zonse kuyang'ana mndandanda wazowonjezera, atero Dr. Torres.

Oyembekezera

Expectorants nthawi zambiri amakhala ndi guaifenesin, yomwe ndi mankhwala omwe amakhala ndi chiopsezo chochepa kwambiri choti wina azitha kumwa mankhwalawa, a Dr Brown akutero.

Kodi chimachitika ndi chiyani mukatenga mankhwala ochuluka a chifuwa?

Cough suppressants ndi ma expectorants amapangidwa kuti athetse chifuwa chosakhalitsa, monga chimfine , pang'ono pang'ono. Akatengedwa motalika kwambiri, kapena atakhala okwera kwambiri, zovuta zimayamba.

Mankhwala opatsirana a chifuwa amakhala ndi mankhwala otchedwa dextromethorphan (DXM), omwe amafanana ndi codeine, a Dr. Brown atero. Akazunzidwa, dextromethorphan imatha kuyambitsa chizungulire, kupotoza malingaliro, ndi kuyerekezera zinthu m'maganizo. Ndikofunika kuti ngati mukumwa mankhwala owonjezera a chifuwa, muwatenge monga akuwuzira, ndikuti mukudziwa kuthekera kozunza komanso kusokoneza bongo monga dextromethorphan, akufotokoza Dr. Brown.

Kodi mankhwala a chifuwa ndi owopsa?

Kugwiritsa ntchito chifuwa molakwika kapena kumwa madzi ozizira kungakhale koopsa kapenanso kupha. DXM imakhudza ubongo monga momwe ma hallucinogens amathandizira, kuphatikiza ketamine ndi PCP, zomwe zimayambitsa kuyerekezera pang'ono kapena kutulutsa zochitika mthupi limodzi ndi chisangalalo, akuti Wolemba Stephen Loyd, MD , dokotala wamkati komanso pulofesa wothandizana naye ku East Tennessee State University. Pa zomwe ogwiritsa ntchito ena angatchule ngati 'ulendo woyipa,' DXM imatha kupangitsa ogwiritsa ntchito kuti adzivulaze, kudwala kwambiri, kapena kugunda kwamtima mwachangu.

Ndi mankhwala ati a chifuwa omwe ali otetezeka?

Mitsuko ya chifuwa iyenera kugwiritsidwa ntchito ngati chifuwa chachikulu, atero Dr. Torres. Madontho a chifuwa, uchi, ndi zakumwa zotentha ndi njira zina zomwe amalangizira asanafike pamiyeso ya chifuwa.

Chitsanzo cha mankhwala omwe alipo osaphatikizapo DXM ndi omveka Mucinex (onetsetsani kuti mwatenga bokosi lomwe likuti Mucinex, osati Mucinex DM, yomwe ili ndi DXM), expectorant yomwe imakhala ndi guaifenesin. Dr.Brown amalimbikitsanso benzonatate ngati njira ina, mankhwala opatsirana chifuwa omwe amagwira ntchito kuti atseke pakhosi.

Ndi mankhwala ati a chifuwa omwe angagwiritsidwe ntchito molakwika?

Zina mwazotheka zosakaniza zowonjezera omwe angapezeke mu chifuwa ndi madzi ozizira amaphatikiziradextromethorphan (DXM),hydrocodone, ndi codeine. Mndandanda womwe uli pansipa ukuphatikizira ena mwa chifuwa ndi mankhwala ozizira omwe amakhala ndi izi.

• Codeine : Robitussin AC, Promethazine yokhala ndi codeine, Promethazine VC yokhala ndi codeine
• Hydrocodone : Tussionex, Hycodan
• Dextromethorphan : Robitussin DM, Mucinex DM, Delsym, NyQuil, TsikuQuil

Achinyamata ndi chizolowezi chomwa mankhwala a chifuwa: Chenjezo

Ngati mwana wanu wadwala, mwina simungachite mantha mukawona botolo la Robitussin DM mu chikwama chake komanso zinthu za kusukulu. Koma, pali chifukwa chodera nkhawa. 3.2% ya achinyamata akuchita nkhanza zamatsenga, malinga ndi 2018 Kuwunika Kafukufuku Wamtsogolo , kutanthauza kuti akugwiritsa ntchito chifuwa ndi mankhwala ozizira kuti akwere. Madzi okhwima akhala akupezeka kwazaka zambiri, ndipo vuto la mankhwala osokoneza bongo, makamaka achinyamata, lakhala vuto lomwe likupitilira.

National Institute on Abuse Abuse akuti zisonyezo zofala za matenda a chifuwa zimaphatikizaponso: kusagwira bwino ntchito, kufooka, kumva kudwala m'mimba, kusangalala, kusintha kwa masomphenya, komanso kusowa kwa mpweya kuubongo-zomwe zimatha kuwononga ubongo. Kusakaniza mankhwala okhala ndi DXM ndi mankhwala osangalatsa kapena mowa ndizofala komanso koopsa.

Chifukwa kafukufuku akuwonetsa kuti achinyamata ali pachiwopsezo chogwiritsa ntchito mankhwala a chifuwa, khalani tcheru ngati muli ndi mankhwala a chifuwa mnyumba mwanu komanso muli ndi ana kapena achinyamata.