Izidakamizwa eziyi-10 akufanele uzixube notshwala

Imininingwane Yezidakamizwa Ukuxuba

Isikhathi samaholide sesifikile, futhi ngalokho kufika amathuba amaningi okuzitika. Ukuphatha okumnandi, ama-hors d'oeuvres acebile, iziphuzo zabantu abadala. Bonke babiza igama lakho. Kodwa okunye ukuthethelelwa kwesimo — okungukuthi, imilutha yotshwala — akuhlangani nemithi ethile. Eqinisweni, ngokusho kwe- INational Institute on Alcohol Abuse and Alcoholism , kunamakhulu impela emithi engadala ingozi uma ihlanganiswe notshwala. Faka kulokho iqiniso lokuthi umMelika ojwayelekile uphinda kabili ukuphuza kwakhe utshwala phakathi kwe-Thanksgiving no-Eva Wonyaka Omusha futhi, kahle-hle, ithuba lokuhlangana kotshwala nemithi okungekuhle phakathi kwamalungu omphakathi ozihambela jikelele liphezulu impela.

Ukuxuba utshwala nemithi kungadala imiphumela emibi kakhulu kubandakanya isicanucanu, ukuhlanza, ikhanda elibuhlungu, ukozela, ukuquleka, noma ukunciphisa ukuxhumana. Kungakhuphula nobungozi bokuphuma ngaphakathi, inkinga yokuphefumula, nezinkinga zenhliziyo.

Ukulahla isiphuzo somkhosi kungahle kubonakale I-bah humbug-kodwa, kuya ngemithi oyiphuzayo, kungaba ukuphela kwakho ongakhetha kukho.

Noma kunini lapho usebenzisa umuthi, kubalulekile ukuqonda ukuxhumana okuhlukile okungahle kube nakho nezinye izinto, kusho uRamzi Yacoub, Pharm.D., Isikhulu samakhemisi esikhulu seSingleCare. Uma uphuza utshwala… kubalulekile ukuxoxa ngalokhu nosokhemisi noma nommemezeli wakho ukuze bakweluleke ngokuthi yini ongaphuza noma ongakwazi ukuphuza nayo.

Ngabe imithi yakho ayikho ohlwini? Sivele siklwebheke phezulu ngalolu hlu, kodwa kufanele ucabange kabili ngaphambi kokuphuza utshwala ngalezi zigaba eziyi-10 zemithi kadokotela nezithengelwe.

Imithi elwa namagciwane

Ungahle uzizwe kangcono ngo-100% ngosuku lwesishiyagalolunye lwezifundo zakho zezinsuku eziyi-10 zemithi elwa namagciwane, kodwa lokho akusho ukuthi kuwumqondo omuhle ukushaya ibha evulekile ephathini lenkampani yakho. Uma wenza kanjalo, maningi amathuba okuthi uzophefumula ngesisu esibuhlungu, ikhanda elibuhlungu, isicanucanu nokuhlanza. Amanye ama-antibiotic, njenge-metronidazole (eyaziwa nangokuthi igama lomkhiqizo I-Flagyl ), kungadala ukuphendula okungajabulisi lapho kuhlanganiswa notshwala. Yini enye, ukuphuza utshwala ngenkathi uthatha ama-antibiotics kunganciphisa ukusebenza komuthi.

Imithi yokulwa nokukhathazeka

Amaholide awalutho uma engenakucindezela. Futhi uma uphakathi kwe- Abangu-18.1% baseMelika abanenkinga yokukhathazeka , ukucindezeleka okubangelwa amaholide kungazizwa kungabekezeleleki ngezinye izikhathi. Kodwa-ke, uma uthatha i- benzodiazepine , NjengoXanax (alprazolam) noma i-Ativan (lorazepam), ukusiza ukuphatha ukukhathazeka kwakho, uzofuna ukunqanda utshwala ngenkathi busohlelweni lwakho — inhlanganisela ingaholela ekweqeni okweqile okubulalayo. Izimpawu zenkinga zibandakanya ukozela, isiyezi, ukuphefumula kanzima, nezinkinga zokuziphatha, kusho uMichaelene Kedzierski, R.Ph., uprofesa wezokwelapha kanye nomeluleki wokusebenzisa kabi izidakamizwa e-University of Washington School of Pharmacy. Ukuze uzigcine uphephile, hlela ukulinda okungenani amahora angama-24 phakathi kokuthatha umuthi wakho nokuphuza leso siphuzo (nokunye okuphambene nalokho).

Abanciphisa igazi

Isetshenziselwa ukwelapha ukuphazamiseka kwe-clotting (njenge-vein thrombosis ejulile noma i-thrombophilia) nokuvikela imivimbo nokuhlaselwa yinhliziyo, abanciphisi begazi bathanda warfarin (owaziwa kakhulu njenge I-Coumadin ) akufanele neze ixutshwe notshwala, kusho uDkt. Yacoub. Uma uzihlanganisa, ungazithola ususenkingeni enkulu ngoba umuthi uphazamisa inqubo yokujiya, kusho yena. Utshwala futhi kuthikameza ukujiya, ngakho-ke uma uxuba lokhu okubili, izingozi ziyanda kakhulu. Into elandelayo uyazi, uphethwe yigazi langaphakathi-futhi ungahle ungazi nakancane ngoba ukopha kwangaphakathi kungabonakala kuze kuphuze isikhathi. Izinto ezethusayo, futhi ezingakulungele lokho kubhiya.

Ama-painkillers

Imithi kadokotela noma okungeyona kadokotela, kubalulekile ukugwema utshwala ngenkathi uphuza amaphilisi ezinhlungu. Ngama-opioid, njenge-oxycodone noma i-hydrocodone, izingozi ukucindezelwa ukuphefumula, ukozela ngokweqile, ukungalawuleki kahle kwezimoto nokudlula ngokweqile, kusho uKedzierski. Kepha ngisho amaphilisi ezinhlungu atholwayo ingakwazi ukupela inkinga. I-Acetaminophen, isibonelo, ihlanganiswa nesibindi. Kanjalo notshwala, futhi lapho lokhu kuxubene, ukulimala kwesibindi noma ukwehluleka kwesibindi ngamathuba angokoqobo. Ngokuqondene ne-ibuprofen, ukuthatha umuthi njalo kuhlotshaniswa nengozi eyengeziwe yokuphuma kwamathumbu kanye / noma ukuphuma kwesisu. Utshwala, uDkt. Yacoub uthi, buyandisa le ngozi.

Amaphilisi okulala

Ngokusobala, imishanguzo kadokotela yokulala efana nayo Ambien (zolpidem), Lunesta (eszopiclone), neRestoril (t amazepam ) yenzelwe ukukusiza ukubamba ama-ZZZ athile. Utshwala futhi buyadambisa. Sebenzisa lokhu ngasikhathi sinye futhi nemiphumela yephilisi lokulala izokwanda. Lindela ukuzwa ubuthongo ngokweqile, isiyezi, ukuphefumula kancane, nokulawulwa kwezimoto okhubazekile, kusho uDkt. Yacoub.

Imithi yokungezwani komzimba

Ama-antihistamine esizukulwane sokuqala afana UBenadryl ( i-diphenhydramine ), IChlor-Trimeton ( I-chlorpheniramine ), ITavist ( clemastine , kanye ne-Atarax ( i-hydroxyzine ) ungagcini ngokuvimba amehlo alumayo, ukuthimula, kanye nemifantu evame ukuhambisana nomzimba wakho — nakho kungaphazamisa ukulawulwa kwezimoto zakho, kubangele isiyezi, futhi kukwenze uzilazeke kakhulu. Ngoba utshwala bungadala le miphumela emibi efanayo, uzofuna ukuqinisekisa ukuthi uyabugwema lapho uthatha lezi imithi yokungezwani komzimba . Okuhlukile? Uma kungenzeka ukuthi une-anaphylactic reaction ku-allergen ngemuva kokuphuza-kuleso simo, thatha i-antihistamine (bese ufuna usizo lwezokwelapha).

Ama-antihistamine esizukulwane sesibili— I-Zyrtec (cetirizine), I-Allegra (fexofenadine), UClaritin (loratadine), futhi Xyzal (i-levocetirizine) —emvamisa ayibangeli izinhlobo zemiphumela emibi eqiniswa wutshwala. Kodwa-ke, kusabalulekile ukukhuluma nodokotela wakho noma usokhemisi ngaphambi kokuwaxuba ne-cocktail oyikhonzile.

Umuthi wokukhwehlela

Kwesinye isikhathi lokho kukhwehlela okucasulayo kulenga isikhathi eside kakhulu kunanoma yiziphi ezinye izimpawu eziza namagciwane esizini acasulayo. Futhi njengoba uzizwa ungcono kakhulu, kungahle kubonakale kunengqondo ukuthatha umuthi womuthi wokukhwehlela ngaphambi kokuya kulowo mcimbi wokunambitha iwayini obekulangazelele. Ngeshwa, uma nje udinga ama-meds, uzodinga ukudlulisa iwayini. Kungani? Imithi yokukhwehlela ye-OTC ivame ukuhlanganisa ukuxubana kwezithako (njenge-dextromethorphan, i-acetaminophen, ama-antihistamine, ama-decongestants) ukuthi ngamunye abe nokuxhumana kwakhe notshwala, kusho uDkt. Yacoub. Abaningi ngisho aqukethe utshwala, uyaxwayisa, ngakho-ke uma uphuza kanye nokuthatha iRobitussin yakho, ungahle uphuze utshwala ngokweqile unganakile.

Izicindezeli zokukhwehlela kadokotela ( i-promethazine-codeine futhi benzonatate ) yizicindezeli zesistimu yezinzwa ezinamandla ezinemiphumela yazo ezonyuswa ngotshwala, okuholele ekozeleni ngokweqile nasesiyezi.

Kubaluleke kakhulu ukuqonda izithako ezikule mithi nokugwema utshwala [ngenkathi ubuthatha] njengoba kungadala ukozela, isiyezi, ukulimala kwesibindi, kanye nesicanucanu, uyachaza.

Iziphumuli zemisipha

Lokho kuphazamiseka kwemisipha entanyeni yakho noma ukuqina emhlane wakho bekuphazamisa impilo yakho izinsuku eziningi manje. Ngeshwa, uma uthatha i-relaxer yemisipha ukubhekana nobuhlungu, isizophazamisa izinhlelo zakho zokuphuza imimosa kule mpelasonto ku-brunch yeholide umngani wakho omkhulu akusingathile. Njengemithi eminingi kulolu hlu, izidambisi zemisipha zithanda Amrix / Fexmid / Flexeril ( cyclobenzaprine ), I-Robaxin ( methocarbamol kanye neZanaflex (tizanidine) iza nemiphumela emibi efana nesiyezi, ukozela, ukungalawuleki kahle kwezimoto nokudangala kokuphefumula.

Ukuhlanganiswa kotshwala nalezi zinhlobo zemithi kungakhuphula le miphumela emibi, kusho uDkt. Yacoub.

I-Proton pump inhibitors nemithi yesilungulela

Uxolo ukudlulisa izindaba, kodwa uma unquma ukuthatha I-Nexium (esomeprazole) noma Prilosec (i-omeprazole), noma enye yama-PPIs amaningi noma imishanguzo yesilungulela laphaya, ukudambisa isilungulela esibi ngemuva kobusuku obuyisiminzi se-margarita-ne-taco, ulungiselele ukuhlangabezana nemiphumela engemihle, njengesicanucanu, ukuphathwa ikhanda nokuzela, kusho uDkt. .Yacob. Okufanayo kuya kulabo abathatha omunye wale mithi ngezinkinga ezingama-GI ezingapheli, njenge-GERD noma i-eosinophilic esophagitis. Ngaphezu kwalokho, utshwala buzokhuphula ukukhiqizwa kwe-asidi esiswini, okungenye yezimbangela zesilungulela, ukugaya ukudla nezilonda zesisu. Ama-Proton pump inhibitors kanye nesilungulela (imithi kadokotela kanye ne-OTC) kusetshenziselwa phatha ukukhiqizwa kwe-asidi esiswini, ngakho-ke ngandlela thile unikeza umuthi wakho ungenanjongo lapho uwuxuba notshwala.

Kwiphepha eliseceleni, uma uthatha i-Zantac ngesilungulela, khuluma nodokotela wakho kanye nosokhemisi i-ASAP mayelana nezinye izindlela ongazenza— isanda kudonswa emashalofini ngenxa yezinkinga zokuphepha .

OKUSHIWO: Ungakugwema kanjani isilungulela seholide

Ukucindezelwa kwegazi nemithi yesifo senhliziyo

Okokugcina, ukuxuba imishanguzo yegazi kanye / noma isifo senhliziyo (njenge-beta-blockers, i-ACE inhibitors, i-alpha blocker nabanye abaningi) notshwala 'akuyona into' ecacile ngokusho kukaKedzierski noDkt. Yacoub. Ingozi?

Ukuhlanganiswa kwale mithi notshwala kungaholela ekwehleni ngokweqile kwengcindezi yegazi, kuchaza uDkt. Yacoub. Lapho umfutho wegazi lakho uphansi kakhulu, ungaholela ekuthambekeleni, isiyezi, ikhanda elikhanyayo, ingozi eyengeziwe yabo bonke nokuquleka.

Utshwala nemithi: Okubalulekile

Ngakho-ke le nkathi yamaholide qiniseka ukuthi ucabangisisa ngaphambi kokungqongqoza abambalwa ephathini yeholide lenkampani — umzimba wakho (kanye nabantu osebenza nabo) bazokubonga.

Uma wena noma othandekayo udinga usizo lokuyeka ukuphuza, kunezinsizakusebenza eziningi zabantu abanenkinga yokusebenzisa utshwala. Shayela ulayini wosizo kazwelonke we-SAMHSA ngezinkinga zokusetshenziswa kwezidakamizwa ngo-1-800-662-USIZO. Noma, sebenzisa i- ithuluzi online kusuka ku-National Institute on Alcohol Abuse and Alcoholism ukuthola izinsiza zokwelashwa eziseduze kwakho.