Kodi mankhwala abwino kwambiri a chimfine ndi ati?
Zambiri ZamankhwalaPopeza chimfine chili ndi kachilombo, kupumula ndi madzi nthawi zambiri kumakhala njira yoyamba yodzitetezera osati maantibayotiki. Chimfine sichichiritsidwa; Komabe, mankhwala omwe akupezeka atha kufupikitsa nthawi ya zizindikilo, atero a Elizabeth Bald, Pharm.D., pulofesa wothandizira (zamankhwala) ku department of pharmacotherapy ku University of Utah.
Ngati mutapezeka kuti muli ndi chimfine, mwayi ndikuti njira yothandizira zaumoyo wanu ingakulimbikitseni kuti muzimwa madzi ambiri ndikukhala pabedi. Komabe, mankhwala ena owonjezera pa makalata ndi mankhwala angathandize kuchepetsa zizindikiro.
ZOKHUDZA: Zizindikiro za chimfine 101
Mankhwala owonjezera a chimfine
Palibe mankhwala owonjezera pa-kauntala (OTC) omwe angachiritse chimfine. Mankhwala omwe amadziwika kuti amachiza chimfine ndi chimfine amatha kungothandiza kuchepetsa zizindikilo zina - onetsetsani kuti mwapeza imodzi yokha ya zowawa zomwe mukukumana nazo.
Fuluwenza imatha kuyambitsa mavuto osiyanasiyana, kuyambira kukhosi mpaka kukhumudwitsa m'mimba. Ngati mungokhala ndi malungo, kuchuluka kwa Tylenol (acetaminophen) kumakwanira. Pa chifuwa chausiku ndi kupweteka kwa thupi, mankhwala osakaniza amatha kunyenga. Ngati muli panjira yopita kuchipatala ndikumangomva zonse zodzaza, decongestant ikhoza kukhala njira yabwino kwambiri.
Zingakhale zovuta kudziwa kuti ndi mankhwala ati a chimfine omwe ndi abwino kwambiri, makamaka mukamadwala. Gwiritsani ntchito tebulo ili kufananizira mankhwala omwe mungamwe pochiza matenda anu. Kenako, aphatikizeni ndi kupumula kwamadzi ambiri.
| Chizindikiro | Gulu la mankhwala osokoneza bongo | Dzina la mankhwala | Zoletsa ndi zoyipa zake | Kusungidwa kwa SingleCare |
| Kutentha thupi ndi kupweteka | Zotsatira | Tylenol (acetaminophen); Kutulutsa Motrin, Advil (ibuprofen) | Pewani kupereka Aspirin kwa ana chifukwa cha chiopsezo cha Matenda a Reye . Mankhwala ena kuphatikiza chimfine mulinso acetaminophen; samalani kuti musatenge oposa 4,000 mg wa acetaminophen tsiku limodzi. | Pezani coupon ya Tylenol Pezani coupon ya Motrin Pezani Advil coupon |
| Tsokomola | Cough suppressants | Robitussin, Robafen Chifuwa (dextromethorphan) | Osaphatikiza ndi mowa. Pewani kuyendetsa galimoto mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Mankhwalawa amatha kuyambitsa tulo, chizungulire, kapena kusawona bwino. | Pezani coupon |
| Chikhure | Zovala zapakhosi | Cepacol (benzocaine / menthol) | Kudya zochulukirapo kumatha kubweretsa zovuta m'mimba kapena m'mimba | Pezani coupon |
| Kuchulukana kwa mphuno kapena mphuno yodzaza | Odzichotsera | Kusokonezeka (pseudoephedrine); Peoded PE (phenylephrine) | Ngati muli ndi pakati, kapena muli ndi kuthamanga kwa magazi, muyenera kupewa mankhwalawa. Mankhwala ena ophatikizana a chimfine amakhalanso ndi ma decongestant, samalani kuti musamwe kwambiri. | Pezani coupon |
| Expectorant (kumasula mamina) | Mucinex (guaifenesin) | Mucinex sagwiritsidwa ntchito kuti athetse kutsokomola kuchokera kuzinthu zanthawi yayitali monga mphumu, emphysema, kapena bronchitis yanthawi yayitali. Funsani ndi dokotala ngati muli ndi pakati kapena mukuyamwitsa. | Pezani coupon | |
| Mphuno yothamanga | Antihistamines | Benadryl (diphenhydramine); Claritin (loratadine) | Mankhwalawa amatha kuyambitsa tulo. | Pezani coupon ya Benadryl Pezani Claritin coupon |
| Steroid nasal spray | Flonase (fluticasone propionate) | Steroid nasal sprays itha kuyambitsa mphuno kuyaka kapena kukwiya. | Pezani coupon | |
| Zonsezi pamwambapa | Mankhwala osakaniza | Dayquil (acetaminophen, dextromethorphan, phenylephrine); Nyquil (acetaminophen, dextromethorphan, doxylamine); Theraflu (acetaminophen, pheniramine, ndi phenylephrine) | Samalani kwambiri ndi dosing ya mankhwala osakaniza. Kutenga acetaminophen wambiri kumatha kubweretsa kuwonongeka kwa chiwindi kapena kufa. | Pezani coupon ya Dayquil Pezani coupon ya Nyquil Pezani coupon ya Theraflu |
| Kutsekula m'mimba | Kutsekula m'mimba | Imodium (loperamide); Pepto-Bismol, Kaopectate (bismuth subsalicylate) | Funsani dokotala wanu ngati kutsekula m'mimba kumatenga masiku opitilira 2 mukamamwa mankhwalawa. Bismuth subsalicylate iyenera kupewedwa mwa iwo omwe ali ndi mbiri yovuta yakutaya magazi. Funsani ndi dokotala ngati muli ndi pakati kapena mukuyamwitsa. | Pezani coupon ya Imodium Pezani coupon ya Pepto-Bismol Pezani coupon ya Kaopectate |
ZOKHUDZA: Benadryl wosasinza-ndi ziti zomwe ndingasankhe?
Malangizo a chimfine
Katemera ndi mankhwala olimbana ndi chimfine amapezeka kuti ateteze ndikuchiza chimfine.
Katemera
Njira yabwino kwambiri yothandizira chimfine ndikupewa kuyipeza konse. Katemera wa chimfine ndi njira yoyamba yodzitetezera. Katemerayu ndi njira yabwino kwambiri yodzitetezera komanso kuteteza ena ku chimfine, akutero Dr. Bald.
Kupeza chimfine ndikofunikira kwambiri chaka chino chifukwa zizindikiro za chimfine zimatha kusokonezedwa mosavuta ndi zizindikilo za coronavirus, ndipo makina athu azaumoyo ali kale olemedwa posamalira odwala omwe ali ndi COVID-19, atero Dr. Bald.
ZOKHUDZA: Chifukwa chomwe chimfine chimafunikira kuposa kale
Zosakaniza
Ngati muli pachiwopsezo chachikulu cha matenda a chimfine , Malo Othandizira Kuletsa ndi Kupewa Matenda (CDC) imalangiza mankhwala ochepetsa ma virus kuti achepetse kuopsa kwa zizindikilo komanso kutalika kwa matenda. Mankhwalawa atayambitsidwa mwachangu, awonetsa kuti amachepetsa kutalika kwa matenda a chimfine ndi theka mpaka masiku atatu, akufotokoza Dr. Bald.
ZOKHUDZA: Chimfine chimatenga nthawi yayitali bwanji?
Pali mankhwala asanu ndi limodzi ovomerezeka a FDA omwe othandizira omwe amakupatsani angakupatseni.
| Dzina la mankhwala osokoneza bongo | Mlingo woyenera | Kusungidwa kwa SingleCare |
| Tamiflu (oseltamivir) | 75 mg pakamwa kawiri patsiku kwa masiku 5 | Pezani coupon |
| Rapivab (peramivir) | 600 mg IV kulowetsedwa pamphindi 15-30 woperekedwa ndi katswiri wazachipatala | Pezani Rx khadi |
| Relenza (zanamivir) | 10 mg (ma 5 mg inhalations) kawiri tsiku lililonse kwa masiku 5 | Pezani coupon |
| Xofluza (marboxil) | 40 mg pakamwa ngati mlingo umodzi | Pezani coupon |
| Symmetrel (amantadine) | 200 mg pakamwa ngati muyezo umodzi kapena magawo awiri ogawanika | Pezani coupon |
| Flumadine (rimantadine) | 100 mg pakamwa kawiri tsiku lililonse kwa masiku 7 | Pezani coupon |
Ngati mukuganiza kuti mwina muli ndi chimfine, nthawi ndiyofunika kwambiri. Chithandizo cha ma virus chimatha kugwiritsidwa ntchito kwa odwala omwe sangakhale pachiwopsezo ngati angayambike mkati mwa maola 48 atayamba chizindikiro, Dr. Bald akuti. Mankhwala ena ophera tizilombo titha kugwiritsidwanso ntchito popewera fuluwenza mwa odwala… omwe adalumikizana kwambiri ndi munthu yemwe ali ndi fuluwenza yotsimikizika kapena yomuganizira m'maola 48 apitawa. Kuphatikiza apo, mankhwala ochepetsa mphamvu ya ma virus atha kukhala ndi phindu kwa odwala omwe ali ndi matenda ovuta, ovuta, kapena opita patsogolo, komanso odwala omwe ali mchipatala ngakhale atayamba mankhwalawa patadutsa maola 48 atadwala - kotero ndikofunikira kukaonana ndi dokotala ndikupeza dongosolo la chithandizo mosasamala kanthu.
Mwachiwonekere, palibe chithandizo chamankhwala onse. Matenda a chimfine aliwonse ndi apadera, momwemonso dongosolo lomwe amafunikira kuti awachiritse. Dr. Bald akufotokoza kuti, mwachizolowezi, oseltamivir amalimbikitsidwa ngati njira yoyamba yothandizira odwala kuchipatala omwe akukayikira kapena kutsimikizira fuluwenza, kwa odwala akunja omwe ali ndi zovuta kapena matenda opitilira patsogolo komanso omwe akukayikira kapena kutsimikizira fuluwenza, komanso odwala omwe akuyamwitsa. Tamiflu ndiyofunika kutenga kuti matendawa akhale ochepa komanso afupikitsa komanso kuti achepetse zovuta pazovuta zazikulu kapena zoopsa, Dr. Bald akuti.
Mafunso a mankhwala a chimfine
Chifukwa nyengo iliyonse ya chimfine - komanso mankhwala aliwonse a chimfine - ndi osiyana kwambiri, zimatha kukhala zovuta kumva ngati kuti muli ndi chidziwitso chokwanira chazomwe mukudziwa momwe mungachiritsire chimfine. Koma pali zina zomwe mungafotokozere zomwe zingakuthandizeni kudziteteza ndikukhala athanzi. Nawa mayankho pamafunso omwe amafunsidwa kawirikawiri (ndi malingaliro olakwika) okhudza kuchiza chimfine.
Kodi chimfine chingachiritsidwe?
Mankhwala ogulitsa amatha kuthandizira kuthetsa chizindikiritso, koma ngakhale mankhwala opatsirana pogonana sangachiritse chimfine.
Mankhwala omwe ali pamwambapa amatha kuchepetsa nthawi komanso kuopsa kwa chimfine, koma si mankhwala, akutero Wolemba James Wilk, MD , dokotala wamankhwala amkati ku UCHealth Primary Care - Steele Street ku Denver. Mwamwayi, chimfine chimatha pakadutsa sabata limodzi kapena awiri.
Kodi mankhwala abwino kwambiri a chimfine ndi ati?
Ili ndi funso lovuta chifukwa yankho limatha kusintha mwamphamvu kutengera momwe zinthu zilili. Chomwe chiri 'chabwino' chimadalira momwe zinthu ziliri-ngati wodwalayo akufuna IV kapena mankhwala opumira, Dr. Wilk akuti. Zimadaliranso kupezeka kwa mitundu ya chimfine yolimbana ndi oseltamivir m'deralo. Ngati palibe vuto losagonjetsedwa, oseltamivir ndichisankho chabwino kwambiri kwa anthu ambiri.
Kodi adokotala angakupatseni kena kake ka chimfine?
Chifukwa cha kuchuluka kwa COVID-19 (komanso kufanana kwake ndi chimfine), madotolo amalimbikitsa odwala kuti azikhala tcheru kwambiri pazizindikiro zonga chimfine chaka chino. Chaka chino, COVID-19 ikutiponyera tonse curveball, a Dr. Wilk akutero. Chifukwa fuluwenza ndi COVID-19 zimapezeka ndimatchulidwe ofanana, ndikofunikira kwa aliyense amene ali ndi zizindikiro ngati chimfine malungo , kuzizira, kupweteka mutu, kupweteka kwa minofu, kutsokomola, kusamva bwino ndi ena-kuti alumikizane ndi omwe amawapatsa chithandizo choyambirira kuti akayezetse chimfine komanso COVID-19 osangodikira kunyumba.
Kodi maantibayotiki angagwire ntchito chimfine?
Yankho lalifupi ndi ili: ayi.Chimfine chimayambitsidwa ndi kachilombo, Dr. Blad akuti. Maantibayotiki amagwiritsidwa ntchito pochiza matenda omwe amabwera chifukwa cha mabakiteriya ndipo sagwira bwino ntchito pochiza chimfine.
Dr.Wilkes akuvomereza, ndikuwonjezeranso kuti mankhwala ochepetsa mphamvu ya tizilombo ngati awa omwe atchulidwa pamwambapa amatha kusintha zizindikilo ndikuchepetsa mphamvu komanso nthawi yayitali ya fuluwenza.
Kodi Tamiflu ndiyofunika kutenga?
Zitha kutero. Anthu ambiri safuna mankhwala ngati akudwala chimfine; komabe, ngati muli pagulu lowopsa, mukudwala kwambiri, kapena mukudandaula za matenda anu, mankhwala opatsirana ndi ma virus (kuphatikizapo Tamiflu) ndi ofunika kumwa kuti matendawa akhale ochepa komanso ofupikira komanso kuti achepetse mavuto. Ndipo ndikofunikira kukumbukira Tamiflu ameneyoZimagwira bwino kwambiri mukayamba kumwa pasanathe maola 48 kuyambira pomwe zizindikiro zimayamba, ndichifukwa chake kufunafuna chithandizo chamankhwala koyambirira ndikofunika kwambiri, a Dr. Wilkes akuti.
ZOKHUDZA: Kodi Tamiflu ndiotetezeka?
Kodi chimachitika ndi chiyani ngati chimfine sichichiritsidwa?
Chimfine chimatha pakokha patatha masiku 7 mpaka 14, koma anthu ena amadwala kwambiri. Ngakhale kuti anthu ambiri amachira mosadukiza, anthu ambiri amadwala chibayo pambuyo pake ndipo ochepa amakhala ndi vuto la mtima kapena matenda amitsempha, monga matenda a Guillain-Barre, akufotokoza Dr.Wilks. Anthu pafupifupi 30,000 mpaka 50,000 aku America amamwalira chaka chilichonse ndi fuluwenza. Kuchiza ndi oseltamivir kapena mankhwala ena kumachepetsa chiopsezo chofunidwa kuchipatala ndikufa.











