Aspirin ndi Paracetamol: kuyerekezera ndi komwe njira yothetsera vutoli ndiyabwino
Aspirin ndi Paracetamol nthawi zambiri amatengedwa ndi anthu kuti achepetse kutentha kwawo. Mankhwala onsewa amapirira kutentha. Chifukwa chake, anthu ambiri amakhulupirira kuti mankhwalawa ndi amodzi ndi amodzi amodzi. Koma kodi zili choncho? Kodi aspirin ndi paracetamol ndi ofanana kapena ayi?
Kuyerekezera kwa Mankhwala
Paracetamol - antipyretic ndi analgesic a gulu la odwala. Mankhwala ali ndi antipyretic, analgesic ndi ofatsa odana ndi kutupa. Imalepheretsa kaphatikizidwe ka ma prostaglandins, okhudza cycloo oxygenases. Mankhwalawa amagwira ntchito pazothandizira kupweteka zomwe zimakhala mkati mwa dongosolo lamanjenje mpaka atafika ku ubongo. Ndi limagwirira awa, mankhwala ochititsa dzanzi ndi antipyretic kwenikweni amachitika.
Aspirin - Mankhwala acetylsalicylic acid okhala pagulu la NSAID. Ili ndi machitidwe ofanana ndi paracetamol, kupatula kuti Aspirin imakhala ndi mphamvu yotsutsa-yotupa, imatha kuchepetsa kutupa ndi edema pambuyo povulala. Paracetamol pankhaniyi siyothandiza. Aspirin imalepheretsanso kaphatikizidwe ka ma prostaglandins, koma nthawi yomweyo kuchita masewera a thromboxanes. Mosiyana ndi Paracetamol, asidi acetylsalicylic amachotsa ululu m'malo mwake osati mkati mwa mantha.
Kodi pali kusiyana kotani pakati pa Paracetamol ndi Aspirin:
- Njira zosiyanasiyana zoyeserera. Aspirin amachita mwachangu komanso motalika. Pankhani ya matenda opatsirana ndi ma virus, ndibwino kuti mutenge Paracetomol, komanso matenda a bakiteriya, kuti muchepetse kutentha, Aspirin
- Zochizira. Aspirin, mosiyana ndi Paracetamol, ali ndi mphamvu yoletsa kutupa. Kuphatikiza apo, acetylsalicylic acid imatha kuonda magazi, kuletsa mapangidwe amitsempha yamagazi.
- Chitetezo. Mankhwala onsewa ali ndi zofanana zofanana. Koma Aspirin nthawi yomweyo imakwiyitsa mucosa wam'mimba ndipo, ngati imagwiritsidwa ntchito molakwika, imatha kuyambitsa zilonda zam'mimba komanso magazi am'mimba. Chifukwa chake, Paracetamol ndiyotetezeka ndipo imagwiritsidwa ntchito pochiza ana.
Kodi nditha kumwa limodzi
Mankhwalawa onse ali ndi vuto lofananalo, kotero kutenga Aspirin ndi Paracetamol palimodzi ndikosatheka, komanso koopsa. Ntchito munthawi yomweyo zitha kuwonjezera ngozi, kukulitsa katundu pa chiwindi ndi impso.
Pali mankhwala monga Citramon, mu kapangidwe kake komwe mumakhala zinthu ziwiri izi, koma muyezo wotsika kuposa piritsi lonse la mankhwala palokha. Pankhaniyi, kugwiritsa ntchito mankhwala palimodzi ndikotheka.
Pogwiritsa ntchito imodzi mwanjira zopewa kupezeka kwa zizindikiro za bongo, ndikofunikira kuti pakhale pang'onopang'ono. Koma zimachitika kuti kutentha kumadumpha kale kuposa nthawi ino. Pankhaniyi, Paracetamol waledzera ndi Aspirin, motero, amachepetsa chiopsezo cha bongo.
Aspirin ndi Paracetamol ndi mankhwala osiyanasiyana. Kusankhidwa kwa mankhwalawa kumatengera matenda omwewo. Ngati limodzi ndi kutupa, ndiye kuti pakalibe zotsutsana, ndi bwino kutenga Aspirin. Ngati mwana wadwala, ndibwino kuti mumakonda Paracetamol.
Vidal: https://www.vidal.ru/d drug/aspirin__1962
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Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani
Kufotokozera kwathunthu kwa Aspirin
Monga gawo la mankhwalawo acetylsalicylic acid, chinthu china ndi cellulose kuchokera zazing'ono makhristali ndi wowuma chimanga. Gulu la pharmacological la mankhwalawa ndi mankhwala osapweteka a antiidal - NSAID. Muyenera kukhala osamala, malinga ndi WHO, pafupifupi anthu 2 miliyoni padziko lonse lapansi amafa ndi matenda ashuga komanso zovuta zake chaka chilichonse.
Matenda a shuga angayambitse maselo a khansa. Pakadali pano, dongosolo la fedulo likuchitika, chifukwa chake, kwa aliyense wodwala, mankhwala amapatsidwa kwaulere.
Mapiritsi awa ndi osiyana antipyretic ntchitoziletsa kuchuluka kwa magazi, kupewa, kuwonekera kwa magazi. Mwamsanga odzigaya m'mimba mwake ndikusinthidwa kukhala salicylic acid. Acetylsalicylic acid imalepheretsa kulumikizana kwa ma prostaglandins, koma imakhudza ma thromboxanes.
Fotokozani mankhwala mankhwalawa:
- Ululu wa syndromes - makamaka mutu ndi dzino.
- Rheumatoid nyamakazi ndi arthrosis.
- Matenda ophatikizika.
- Pachimake ndi matenda yotupa njira.
- Matenda zokhudza zonse kuwonongeka kwa mafupa a yotupa ndi malire a kusuntha kwawo.
- ARVI.
- Thrombosis yamitsempha yamagazi.
Momwe Paracetamol Imagwira
Kuyanjana kwa gulu - matenda. Chomwe chimagwira ndi paracetamol. Katundu wa analgesic ndi antipyretic wapezeka. Amagwiritsidwa ntchito ponseponse ngati mankhwala omwe amatha kubweretsa kutentha. Amadzipangira m'magazi, makamaka m'matumbo aang'ono. Amachotseredwa ndi chiwindi.
Ndi matenda ati omwe mankhwalawa amatenga:
- Ululu wa syndromes, makamaka mano ndi mutu, migraine.
- Thupi lokhala ndi chimfine.
- Neuralgia.
Zimatsimikiziridwa mwachipatala kuti mankhwalawa samakhudza kayendedwe ka magazi ndi kagayidwe kazinthu. Ngati mutenga kwa nthawi yayitali, ziwalo zam'mimba sizingawonongeke. Muli contraindication - kudziwa payekha kwa zigawo zikuluzikulu komanso uchidakwa.
Kodi mankhwala ofanana ndi omwe ndi ofanana ndi ati?
- Mankhwalawa ali ndi mankhwala omwewo.
- Mankhwalawa ndi abwino motsutsana ndi njira yotupa.
- Ali ndi katundu antipyretic.
- Zizindikiro zakugwiritsira ntchito ndizofanana.
- Mankhwala onsewa angagulidwe m'masitolo osokoneza bongo popanda mankhwala. Kupezeka konsekonse, kulikonse.
- Tithandizireni kuchepetsa ululu, kuchepetsa kutentha thupi komanso kukonza thanzi la wodwala.
- Mankhwalawa onse amatha kuyambitsa chiwindi ngati mutanyalanyaza mulingo woyenera ndipo musayang'ane nthawi yayitali pakati pa mulingo.
- Mankhwala osokoneza bongo amatha kuyambitsa tsankho.
Kusiyana pakati pa Paracetamol ndi Aspirin
- Aspirin yatchulanso ntchito zotsutsana ndi kutupa ndikuthandizira kuchepetsa kutupa ndi kutupa pambuyo pamavuto osiyanasiyana. Paracetamol ndiwopanda phindu panthawiyi.
- Acetylsalicylic acid imachotsa kupweteka nthawi yomweyo, osadikirira kuti ilowe mkati mwa mantha. Mankhwala ena amagwira pama receptors omwe amakhala mkati mwa dongosolo lamanjenje, amachepetsa ululu asanalowe mu ubongo.
- Zochita ndizosiyana. Aspirin amayamba kugwira ntchito mwachangu komanso kwanthawi yayitali.
- Mapiritsi a Acid amatha kuonda magazi, kupewa thrombosis. Paracetamol ilibe zotere.
- Aspirin amakwiyitsa mucosa wam'mimba, ngati sagwiritsira ntchito kutsegula amatha kupweteketsa zilondazo ndipo ungayambitse magazi m'matumbo am'mimba. Chifukwa chake, mankhwala ena amadziwika kuti ndi otetezeka ndipo amagwiritsidwa ntchito pochiza ana.
- Kusiyana kwa mtengo. Mtengo wa Aspirin ndi pafupifupi ma ruble 5-7 a mapiritsi 110 okhala ndi mulingo wa 500 mg. Mwachangu - pafupifupi 300 ma ruble. Paracetamol imawononga ma ruble 37-60.
- Paracetamol alibe pafupifupi contraindication, kupatula munthu tsankho, aimpso ndi mapapo.
Ndi mankhwala ati omwe ali bwino? Zoyenera kugula?
Mukamasankha mankhwala, muyenera kupanga pamatendawo matendawa. Kwa ma virus omwe ali ndi ma virus, ndibwino kugwiritsa ntchito Paracetamol, komanso njira zothandizira mabakiteriya ndi zotupa - Aspirin. Ngati mwana akudwala, pezani Paracetamol. Itha kuikidwa kuyambira miyezi itatu. Zochepa zimakhala ndi zotsutsana ndi thupi.
Komabe lingaliro liyenera kupangidwa ndi adokotala. Kudzichitira nokha mankhwala kungavulaze thupi, ndikofunikira kulabadira zotsutsana za mankhwalawa.
Kumbukirani kuti kumwa mankhwalawa limodzi sikuli koyenera, chifukwa zimathandizanso, kumwa mopitirira muyeso kumatha kupweteketsa m'mimba komanso matumbo, kumayambitsa kutentha kwa mtima, mseru komanso kusanza.
Kuchepetsa kutentha ndikuchotsa kutentha, ndikothandiza kwambiri kumwa Paracetamol mu piritsi limodzi la piritsi limodzi katatu patsiku. Kuwonetsedwa kwa Hypothermic kumathetsa vuto la kutentha.
Pofotokoza mwachidule zonse pamwambapa, tikuwona kuti Paracetamol ndi mankhwala otetezeka, makamaka pothandizira ana, amayi oyembekezera komanso amayi oyamwitsa.
Kodi paracetamol ndi aspirin amagwira ntchito bwanji?
Mankhwalawa onse amagwiritsidwa ntchito popangitsa kuti muchepetse kutentha komanso kutentha.
Alinso ndimayendedwe ofanana, ochita pakatikati wamanjenje. Zolinga zazikulu za mankhwalawa ndi ma cycloo oxygenase ndi ma prostaglandins. Poletsa zochita za ma prostaglandins mu ubongo, paracetamol ndi aspirin zimathandizira kutentha kwa thupi.
Kodi pali kusiyana kotani pakati pa aspirin ndi paracetamol?
Kusiyana koyamba amakhala kuti paracetamol alibe pafupifupi odana ndi kutupa. Chowonadi ndi chakuti mu minofu ndi zotumphukira zina za thupi, zochita za mankhwala zimatsekedwa ndi ma enzymes apadera - peroxidases.
Kumbali imodzi, chifukwa cha izi, timakhutitsidwa ndi zovuta zapakati - antipyretic ndi analgesic. Komabe, chifukwa cha kusowa kwa vuto la mucous m'mimba ndi matumbo, paracetamol imatha kutengedwa ndi gastritis.
Kusiyana kwachiwiri mu kuti aspirin imalepheretsa kaphatikizidwe ka ma thromboxanes - mamolekyulu ofunikira pakuchitika kwa magazi. Chifukwa chake, kugwiritsa ntchito nthawi yayitali mankhwala osokoneza bongo amachepetsa chiopsezo chamagazi (myocardial infarction, ischemic stroke).
Mosiyana ndi paracetamol, kumwa aspirin kungayambitse magazi.
Kodi mutenge aspirin (Upsarin) liti?
Mankhwalawa atha kuthandizidwa kuti muchepetse kupweteka komanso kutupa komwe kumayambitsa maphokoso. Ndikulimbikitsidwa kupweteka kwa minofu, ma sprains, kupweteka kwa msana, kupweteka kwa mutu, kupweteka mano, komanso kupweteka pakusamba.
Ntchito zizindikiro za chimfine ndi chimfine mwa akulu okha.
Mlingo wochepa, umapangidwira kupewa magazi kuundana.
Ndani sayenera kutenga Upsarin?
Aspirin angayambitse mavuto monga zilonda zam'mimba, kutuluka magazi, kuperewera, "mphumu ya" aspirin ", chiwindi ndi impso.
Acetylsalicylic acid sichigwiritsidwa ntchito kwa ana ochepera zaka 15!
• Hypersensitivity kuti salicylates
• Mphumu yoyambitsidwa ndi NSAIDs ndi acetylsalicylic acid
• Mikhalidwe yakonzekera kutaya magazi
• Zilonda zam'mimba kwambiri
• Kulephera kwa chiwindi kapena impso
• Kulephera kwa mtima
Aspirin ndiwowopsa ndi kuchepa kwa enzyme glucose-6-phosphate dehydrogenase.
Ndani sayenera kutenga Panadol?
Paracetamol amadziwika kuti ndiye otetezeka kwambiri kwa awiriwa. Mankhwalawa akamwa mankhwala mwachizolowezi, sayambitsa mavuto. Vuto lalikulu ndi chiwopsezo cha hepatotoxic - kuwonongeka kwa chiwindi pakudya waukulu.
Mankhwalawa amalekeredwa bwino mu mphumu, zilonda zam'mimba komanso zilonda zam'mimba.
M'mitundu yapadera amalembera ana kuyambira miyezi iwiri yokha!
• Mowa
• Zowopsa za chiwindi
• Hepatic ndi aimpso kulephera
• Matenda amadzimadzi (kuchepa magazi m'thupi)
• Hypersensitivity
Ndi mankhwala otani omwe ali otetezeka panthawi yoyembekezera komanso mkaka wa mkaka?
Kuponderezedwa kwa kaphatikizidwe ka prostaglandins mu zotumphukira zimakhala kungasokoneze chitukuko cha mwana wosabadwayo ndi mwana wosabadwayo, kotero kutenga NSAIDs panthawi yoyembekezera ndikosayenera.
Aspirin pa mimba sayenera kumwedwa, makamaka mu I ndi II trimester. Mu trimester yachitatu, acetylsalicylic acid ingayambitse kutsekeka msanga kwa ductus arteriosus ndi pulmonary.
Mapeto a mimba, mankhwalawa amatha kuletsa chiberekero cha uterine.
Aspirin wa mkaka wa m`mawere angathe kumwedwa popanda kupitiliza Mlingo woyenera komanso nthawi ya chithandizo. Mankhwalawa amadutsa mkaka wa m'mawere kwambiri. Zoipa zoyipa kuchokera kwa mwana sizinafotokozedwe.
Paracetamol pa nthawi yapakati itha kuchitika nthawi iliyonse ngati phindu lomwe likuyembekezeredwa limaposa chiwopsezo chomwe chingakhale. Mu maphunziro a vivo sanawululire zodetsa nkhawa zina zilizonse pakukula kwa mwana wosabadwa kapena zoyipa mthupi la mayi.
Paracetamol yonyamula mkaka Amawaganizira kuti ndi njira yabwino yopewera ululu komanso kutentha, ngati mumatsatira mosamala Mlingo woyenera ndi nthawi yayitali.
Kodi ma aspirin ndi paracetamol amaphatikizidwa bwanji ndi mankhwala ena?
Kuyanjana kosatheka ndi paracetamol:
• Warfarin
• Isoniazid
• Carbamazepine
• Phenobarbital
• Phenytoin
• Kusiyanitsa
Kumbukirani kuti mafakitala amagulitsa mazana a mankhwala omwe ali ndi paracetamol mumitundu yosiyanasiyana. Lumikizanani ndi dokotala kapena wamankhwala kuti mupewe kumwa mankhwalawa nthawi imodzi!
Kuyanjana kosatheka ndi aspirin:
• Methotrexate
• Mankhwala otupa
• ACE zoletsa (Captopril, enalapril, etc.)
• Warfarin ndi anticoagulants ena
• Beta-blockers (atenolol, metoprolol, etc.)
• Mankhwala ena osapweteka a antiidal
• Valproic acid (Depakine)
• Phenytoin, etc.
Mankhwala onse awiriwa saloledwa kuphatikizidwa ndi mowa!
Ubwino ululu ndi kutentha?
Zapweteka za kukonda, paracetamol chifukwa chazitetezo zabwino.
Acetylsalicylic acid yokha imakhala ndi anti-yotupa.
Monga antipyretic, mutha kusankha mankhwala aliwonse, kutengera kulolerana. Kwa amayi apakati ndi ana osakwana zaka 15, paracetamol ndi mankhwala a No. 1.
Ndi mphumu, gastritis, zilonda zam'mimba, chizolowezi chowukha magazi, kapena mankhwala othandizira, paracetamol ndiyotetezeka.
Mu matenda oopsa a chiwindi, ndikofunikira kumwa aspirin.
K. Mokanov: wasanthula-katswiri, wazachipatala wazachipatala komanso womasulira wazachipatala waluso
Kusokonekera kwa mmero ndi chifuwa chosakhalitsa pambuyo pazizira kwakhalapobe kwa milungu ingapo: kodi nkoyenera kuda nkhawa, komanso momwe mungathanirane ndi chifuwa chotsalira?
Ngati mukuyang'ana phindu la maphunziro apamwamba kwambiri (HIIT), pali umboni watsopano wothandizira pulogalamuyi.
- Zatsopano
- Zotchuka
Masiku ano, anthu ambiri ali ndi chidwi chofuna kudya zakudya zachilengedwe.
Asayansi aku America apeza chidendene chatsopano cha "Achilles" cha khansa, chomwe z.
Masiku ano, anthu ambiri ali ndi chidwi chofuna kudya zakudya zachilengedwe.
Makhalidwe a Paracetamol ndi Acetylsalicylic Acid
Zotsatira za acetylsalicylic acid pamthupi zimadalira mlingo, i.e. kutengera mlingo wa tsiku ndi tsiku, pharmacodynamics yamankhwala amasintha. Kulandila kwa ASA yaying'ono Mlingo (kuchokera 30 mpaka 325 mg) ndi mankhwala kuti apewe matenda amtima, omwe angayambike chifukwa cha kuchuluka kwa magazi. Mlingo uwu, ASA imalepheretsa kaphatikizidwe ka thromboxanes, kamene kamawonjezera kuphatikizana kwa maselo ndi kupangitsa vasoconstriction.
Kuchepetsa ululu ndi kuchepetsa kutentha kwa thupi panthawi ya malungo, pafupifupi milingo ya ASA imagwiritsidwa ntchito (kuyambira 1500 mpaka 2000 mg patsiku). Ndipo waukulu Mlingo wa mankhwalawa (4-6 g) ali ndi mphamvu yotsutsa-kutupa, chifukwa ASA imalepheretsa michere ya cycloo oxygenase (COX), kuletsa kaphatikizidwe ka prostaglandins ndi ma interleukins.
Pa mlingo wopitilira 4 g, uricosuric zotsatira za ASA zimatheka, ndipo mankhwala akapatsidwa mankhwala ochepa kapena apakatikati, uric acid excretion imachepa.
Kuchita kwa Paracetamol (acetaminophen), komwe ndi kotuluka kwa paraaminophenol, kumapangidwanso potseketsa ma enzymes a cycloo oxygenase komanso kuletsa kwa syntaglandin synthesis. Mankhwalawa amakhudza mbali yayikulu yokha yamanjenje.Nthawi yomweyo, ma peroxidases a cellular amalepheretsa mphamvu ya mankhwala pa COX, mwakutero akuchepetsa mphamvu yake yotsutsa-yotupa. Popeza mapangidwe a ma prostaglandins samachepa mu zotumphukira zake, palibe chiopsezo cha zilonda zam'mimba ndi zilonda zam'mimba.
Zochizira kupweteka pamutu, wodwala wamkulu amatha kutumikiridwa mankhwalawa nthawi imodzi, chifukwa ndi gawo la Citramon (paracetamol + ASA + caffeine) ndi ma analgesics ena ophatikizika.
Kuyerekezera Mankhwala
Mankhwala onsewa ndi a noncotic analgesics ndipo ali m'gulu la mankhwala osapatsa mankhwala a anti-yotupa (NSAIDs). Komanso, ali ndi ntchito zotsutsana ndi zotupa: Paracetamol - ofooka, ndi ASA - yotchulidwa.
Mankhwala nawonso ali ndi antipyretic. Ma NSAID awa amagwiritsidwa ntchito kwambiri m'zochitika zamankhwala pothandizira kupumula kwa malungo ndipo amagawidwa m'mafakitala popanda mankhwala.
Zomwe zimakhala zotsika mtengo
Mitengo ya mankhwala osokoneza bongo imadalira kwambiri opanga ndi mtundu wa mankhwala. Ngati tilingalira mitundu ya piritsi ya mankhwalawa pamtengo wokwera kwambiri wachuma, ndiye kuti imakhala yofanana: mtengo wa Paracetamol ndi ASA mu mlingo wa 500 mg, wonyamula mapepala kapena zotupa zamapiritsi 10, kuyambira ma ruble atatu mpaka 5.
Zomwe zili bwino - Paracetamol kapena Acetylsalicylic acid
Kusankha mankhwala kumadalira zinthu zambiri:
- mawonekedwe amatendawa (omwe ali ndi kachilombo koyambitsa matenda, ASA ndichotsutsana),
- m'badwo wa wodwala (mwanayo ndi Paracetamol)
- zolinga zamankhwala (kuchepa kwa kutentha kwa thupi kapena thrombosis, kupweteka kapena kutupa).
Pofuna kupewa matenda amtima, ASA imagwiritsidwa ntchito, yomwe Mlingo wocheperako umachepetsa kusakanikirana, kupendekera ndi kupindika chifukwa cha kuletsa kwa kaphatikizidwe ka thromboxane A2 m'mapulateleti. Paracetamol ilibe katundu.
Kugwiritsa ntchito mankhwala othandizira kupweteka kuyenera kuganiziranso za momwe ululu uliri. Ndi kupweteka kwamisempha komanso kuwonongeka kwa zotumphukira zotupa, Paracetamol siyothandiza, popeza mphamvu yake imangokhala pakati pa dongosolo lamanjenje. Zikatero, ndibwino kugwiritsa ntchito ASA.
Ngati pakufunika mpumulo wa zotupa, kugwiritsa ntchito ASA kudzaperekanso mphamvu.
Kutentha
Mankhwalawa onse ndi othandiza ngati antipyretic, koma zochita za Acetylsalicylic acid zimachitika kale kuposa zotsatira za kutenga Paracetamol. Ngati kutentha kwa pyrethic kumayambitsidwa ndi kachilombo koyambitsa matenda, ndiye kuti Paracetamol amatchulidwa kuti asatengere mavuto ku chiwindi. Kuchepetsa kutentha kwambiri kwa ana omwe ali ndi chimfine, kukonzekera komwe kumakhala ndi paracetamol ndi mankhwala (mankhwala ayenera kufotokozedwa ndi dokotala akamaganizira zaka)
Kodi paracetamol ikhoza kulowa ndi acetylsalicylic acid
Paracetamol adalembedwa kuti achepetse kutentha thupi. M'malo mwake ndi ASK ndikofunikira kuti pakufunika zotsatira mwachangu. Ndi hypothermia yoyambitsidwa ndi kachilombo ka ma virus, ma salicylates sagwiritsidwa ntchito: amatha kupweteka pachiwindi.
Monga analgesic, Paracetamol imathandizira kuchiza mutu ndi kupweteka kwam'mutu, migraines kapena neuralgia. Pofuna kuthetsa ululu wokhudzana ndi kupweteka kwamisempha komanso kuwonongeka kwa zotumphukira, ndikofunikira kugwiritsa ntchito ASA. Tiyenera kudziwa kuti ndi nyamakazi, mankhwalawa amangokhudza Zizindikiro za matendawa. Satha kuletsa kukula kwa njirayi, kuyambitsa chikhululukiro ndi kupewa kuphatikizika kwa mafupa. Onse Paracetamol ndi salicylates amatha kungochiritsa wodwalayo.
Ngati mukufunikira kuteteza kutupa, kutenga Paracetamol sikungakuthandizeni. Kugwiritsa ntchito ma salicylates pamenepa kumakhala kothandiza kwambiri.
Chifukwa chachikulu chokana Paracetamol ndi hepatotoxicity yake. Odwala omwe ali pachiwopsezo (mwachitsanzo, atalandira chithandizo cha nthawi yayitali ndi mankhwala omwe amachititsa hepatoenzymes, ali ndi kachilombo ka HIV, kapena atatha nthawi yayitali yanjala), kugwiritsa ntchito ≥ 5 g paracetamol kungayambitse chiwindi.
Kusinthana ndi Paracetamol ndi ASA, ziyenera kukumbukiridwa kuti salicylates imakhala ndi zotsutsana zambiri, monga:
- hemorrhagic diathesis,
- hypoprothrombinemia,
- strurified aortic aneurysm,
- kukokoloka kapena zilonda zam'mimba m'matumbo akuchulukirachulukira,
- Kutaya magazi kwa GI
- "Aspirin triad": tsankho kwa salicylates, pamphuno zammphuno ndi mphumu ya bronchial,
- mbiri ya ziwengo ku ASA (urticaria, rhinitis),
- hemophilia
- matenda oopsa a portal
- Vitamini K akusowa
- chiwindi, impso kapena mtima,
- shuga-6-phosphate dehydrogenase akusowa,
- Reye matenda
- zaka zaana (mpaka zaka 15),
- Ine ndi III oyesa kubereka,
- nyere
- Hypersensitivity kuti ASA.
Paracetamol sayenera kugwiritsidwa ntchito ngati munthu akudwala ndi uchidakwa. Odwala omwe amawononga chiwindi cha zakumwa zoledzeretsa, chiopsezo cha hepatotoxic cha mankhwalawa chimawonjezeka. Potere, chithandizo ndi NSAIDs zina, kuphatikizapo salicylates, ndikulimbikitsidwa.
Posintha mankhwala, mankhwala ena omwe atengedwa ayenera kuganiziridwanso. Kuti muchepetse kuopsa kwa zovuta komanso zovuta za matenda obanika, ndikofunikira kukaonana ndi dokotala musanapange chisankho.
Karpov R.I., dokotala wa urologist: "Paracetamol ndi antipyretic mankhwala ochepetsa mphamvu yochepa. Alinso ndi ma analgesic. Paracetamol imagwiritsidwa ntchito ngati ana ndipo imalembedwa kwa odwala omwe ali ndi pakati. Kusamalira kuyenera kuchitidwa limodzi ndi anticonvulsants - kuyang'anira nthawi zonse kumafunika "chifukwa cha chiwindi. Sindikugwirizana ndi kugwiritsa ntchito mankhwala okhala ndi mchere ngati antipyretic kapena analgesic chifukwa kuopsa kwa kuwonongeka kwa khoma m'mimba kapenanso kutuluka magazi mkati."
Popova I. A., phlebologist: "Mankhwalawa onse ochokera ku gulu la antipyretic amachepetsa kutentha kwa pyrethic bwino ndi masanjidwe otupa osakhudzana ndi kutentha kwa thupi .Paracetamol ndiyofunika ku ASA. Ndi yoyenera kugwiritsidwa ntchito m'mibadwo yonse. omwe ana amagwiritsa ntchito kuyimitsidwa ndi ma rectal supplementories. Mwa zochita zanga, sindinakumane ndi zovuta pambuyo nditatha Paracetamol, ndipo nthawi zambiri ndimawona zotsutsana chifukwa chotenga ASA. Mtengo wabwino kwambiri komanso kupezeka kwa mankhwala onsewa Comrade mu pharmacies. "
Olga, wazaka 38, Kazan: "Sindimamwa ASA kapena Aspirin chifukwa ndimadwala matenda opatsirana. Ndigula Paracetamol m'khabati yanga yamankhwala chifukwa ndimayesa magwiridwe antchito ndi chitetezo. Ndimagwiritsa ntchito antipyretic pokhapokha 39 ° C. osapitirira mphindi 10 mutamwa mapilitsi. Zotsatira zake zimatenga nthawi yayitali, kwa ine - pafupifupi maola 5. Chosokoneza chokha ndikutuluka thukuta, komwe kumayendera ndi kutsika kwa kutentha. "
Machitidwe a Paracetamol
Dzina lamankhwala omwe amagwiritsa ntchito mankhwalawa ndi para-acetaminophenol. Mankhwalawa ndi m'gulu la ophatikizira mankhwala osokoneza bongo. Para-acetaminophenol imalepheretsa magawo omwe ali muubongo omwe amachititsa kupweteka komanso kupweteka kwamphamvu.
Chizindikiro cha mankhwalawa ndikuyamwa mwachangu komanso kwathunthu m'matumbo. Komabe, 1% yokha ya yogwira ntchito imadutsa mkaka wa m'mawere. Amachotsedwa m'thupi pakatha maola 2-6.
Paracetamol imagwiritsidwa ntchito kuthetsa nkhawa zopweteka koma zotenga nthawi yayitali. Mankhwalawa amadziwika kuti ndiothandiza pazotsatira zotsatirazi:
- kupweteka kwa dzino
- mutu
- matenda oopsa
- spasms yamitsempha
- migraines
- neuralgia
- myositis
- kupweteka kwa molumikizana
- kuzunzika kowawa,
- amayaka
- zilonda zapakhosi,
- osteochondrosis,
- kupweteka kwakanthawi.
Kuphatikizidwa kwa zotsatira za analgesic ndi antipyretic kumapangitsa Paracetamol pofunafuna chimfine ndi chimfine.
Mankhwalawa amawonedwa ngati osavulaza, popanda contraindication. Ndi chizolowezi kuchigwiritsa ntchito pazaka zilizonse popanda kuganizira matenda osachiritsika ndi mawonekedwe a mkhalidwewo. Lingaliro ili lopanda vuto la mankhwalawa siowona. Paracetamol sayenera kudyedwa:
- mudakali ana (osakwana zaka 3),
- ndi chiwindi ndi kulephera kwa impso,
- ndi tsankho la munthu pazigawo za mankhwala.
Chizindikiro cha Paracetamol ndikuthiridwa kwake mwachangu komanso kwathunthu m'matumbo.
Mosamala, i.e., mu Mlingo yaying'ono yoyambirira, mankhwalawa amayenera kuthandizidwa ndi benign hyperbilirubinemia, hepatitis yamtundu uliwonse wam'mimba, pakati komanso kuyamwa. Kuphatikiza apo, mankhwalawa amatha kusokoneza thupi la okalamba.
Ngati simukuchulukitsa mlingo, ndiye kuti mavuto omwe amayankhidwa samayang'aniridwa. Nthawi zina mutha kuwona:
- thupi lawo siligwirizana mu urticaria, zotupa pakhungu, rhinitis, Quincke
- Stevens-Johnson ndi ma syndromes a Lyell,
- kuchepa magazi
- chizungulire
- nseru
- kupweteka m'mimba
- hepatonecrosis,
- chisangalalo
- kusowa tulo
- thrombocytopenia.
Nthawi zambiri, zotsatira zoyipa zimapezeka mwa anthu omwe ali ndi vuto la m'mimba komanso endocrine. Komabe, nthawi zina zochitika zachilendo zimatha kuonedwa mwa anthu athanzi.
Wachikulire ayenera kumwa mankhwalawa mu 0,5 mpaka 1 ga izi. Iyenera kuchitika mukatha kudya, kutsukidwa ndi madzi. Mulingo wovomerezeka tsiku lililonse ndi 4 g.
Mlingo wa ana amagawika m'magulu awiri. Ana aang'ono (zaka 3-6) akulimbikitsidwa kuti asatenge oposa 1 g ya para-acetaminophenol. Ana azaka za pakati pa 7 ndi 9 azisamba zosaposa 1.5 g patsiku. Ngati mwana ali ndi zaka 8-12, akhoza kumwa para-acetaminophenol mu mlingo wosaposa 2 g patsiku. Kuchulukitsidwa kwa kuvomerezeka ndi 1 nthawi pambuyo maola 4. Zotsatira zake, mwana samatha kumwa mapiritsi mopitilira 4 pa tsiku.
Makhalidwe acetylsalicylic acid
Izi zimagulitsidwa m'mafakisoni pansi pa dzina la Aspirin. Ichi ndi chizindikiro cha Bayer. Mosiyana ndi paracetamol, aspirin samangotanthauza painkiller ndi antipyretics, komanso mankhwala oletsa kutupa.
Aspirin amadziwika kuti ndi amodzi mwa omwe amayesedwa kwambiri ndikuphunzira mankhwala. Izi zidamulola kuti akhale nawo m'gulu la World Health Organisation ngati mankhwala ofunikira.
Aspirin amagwiritsidwa ntchito motere:
- kupweteka m'mano, mutu, mafupa, minofu,
- nyamakazi
- Matenda a Kawasaki
- pericarditis
- kutentha kwambiri kwa thupi
- kupweteka kwakanthawi mwa akazi
- chimfine.
Aspirin tikulimbikitsidwa kuti amatengedwa nthawi zonse kwa anthu azaka zopitilira 50. Imatha kuletsa mapangidwe amitsempha yamagazi m'mitsempha yamagazi. Katunduyu amalola kuti muchepetse chiopsezo cha kugwidwa ndi matenda a mtima ndikugwiritsa ntchito pafupipafupi. Kuphatikiza apo, pali umboni wa kugwiritsa ntchito mankhwalawa polimbana ndi mitundu ina ya khansa. Komabe, malo awa a Aspirin samamvekanso bwino.
Kuphatikiza kwa aspirin ndi tiyi kapena khofi kumawonjezera zotsatira. Mphamvu mapiritsi kuchepetsa nthawi mawonetseredwe achire zotsatira. Kuphatikiza apo, mapiritsi osungunuka mosavuta amachepetsa zotsatira zoyipa za mankhwala pamimba.
Aspirin sayenera kumwedwa ndi anthu omwe ali ndi vuto:
- tsankho kuti salicylate,
- matupi awo sagwirizana ndi naproxen kapena ibuprofen,
- gastritis
- zilonda zam'mimba
- kapamba
- hemophilia ndi kusayenda bwino kwa magazi,
- matenda okhudzana ndi ngozi yotaya magazi,
- kutentha kwa dengue
- gout
- Hyperuricemia
- matenda a impso ndi ngozi yotaya magazi.
Monga analgesic komanso antipyretic, achikulire amamwa kumwa 250 kapena 500 mg wa Aspirin nthawi.
Mndandanda woletsa uwu uyenera kuthandizidwa ndi wazaka 18. Ubale unawonedwa pakati pa kugwiritsidwa ntchito kwa Aspirin mwa ana ndi kupezeka kwa matenda osapatsirana a chiwindi ndi kusintha kwa maselo a chiwindi ndi maselo amafuta. Izi zikusonyeza kuti kugwiritsa ntchito acetylsalicylic acid kutsitsa kutentha kwa thupi mwa amayi omwe ali ndi pakati komanso anyama ndi osavomerezeka. Kuphatikiza apo, mankhwalawa sangathe kugwiritsidwa ntchito pa matenda a shuga a 2.
Piritsi limodzi la aspirin limakhala ndi 250 kapena 500 mg ya zomwe zimagwira. Monga zosakaniza zothandizira, starch ndi microcrystalline cellulose imagwiritsidwa ntchito.
Muyenera kumwa mapiritsi mukatha kudya. Monga analgesic komanso antipyretic, achikulire amamwa kumwa 250 kapena 500 mg nthawi imodzi. Mlingo wa tsiku ndi tsiku si oposa 4 mapiritsi. Nthawi yolandila ndi maola 4.
Ngati mankhwalawa amagwiritsidwa ntchito pochiza njira yotupa mu rheumatism, myocarditis, polyarthritis, ndiye kuti mlingo wa anthu akuluakulu tsiku lililonse umachokera ku 2 mpaka 4 g. Ana omwe ali ndi cholinga ichi amapatsidwa kuyambira 0,05 g (wazaka za 1-2 zaka) mpaka 0,2 g (3) -4 zaka). Pambuyo pazaka 5, kumwa kamodzi kumatha kufika theka la 05050 g.
Malingaliro a madotolo
Angelina Petrovna, dokotala wazaka 48, Chita
Kumbukirani - ndibwino kuti musapereke ana kwa aspirin. Pali mankhwala ambiri odana ndi kutupa, kuti muchepetse kutentha, mutha kupereka madzi ndi Paracetamol, ndipo Aspirin sakuvomerezedwanso kuti azichiritsa rheumatism.
Andrei Ivanovich, gastroenterologist, wazaka 42, Belgorod
Pali lingaliro kuti chilonda cham'mimba chimayamba mwa iwo omwe nthawi zambiri, makamaka paubwana, adatenga Aspirin. Hypothesis iyi siyotsimikiziridwa, koma idakhazikitsidwa pakuwunika kwa mbiri ya odwala omwe adachitiridwa chithandizo chazitali ndi gastroenterologists. Aspirin ndi othandiza, komanso ndi owopsa, chifukwa chake khalani osamala.
Ndemanga za Odwala pa Paracetamol ndi Acetylsalicylic Acid
Serafima Gennadievna, wa zaka 75, Dera la Amur
Ndi penshoni yaying'ono, simuyenera kusankha makamaka. Ndikuthira nyamakazi yanga ndi Aspirin. Ndipo chosangalatsa ndichakuti chimathandiza. Ndipo mtima umakwanitsa kukhalabe wabwino. Ndipo ndimachiritsa m'mimba ndi zitsamba. Chifukwa chake ndikuthokoza chifukwa cha mtengo wotsika mtengo komanso wotsika mtengo.
Andrey, wazaka 25, Pskov
Ndikufuna kuyamika Paracetamol mu madzi. Njira yabwino yochepetsera kutentha kwa ana aang'ono - mwachangu, moyenera komanso mosakwanira. Ndi amayi anga omwe adandiphunzitsa ndi mkazi wanga. Chifukwa chake ndimalimbikitsa kwa makolo onse achinyamata.
Makhalidwe a Acetylsalicylic Acid
Ndi mankhwala osagwiritsa ntchito mankhwala osokoneza bongo omwe amachotsa kupweteka, kutupa ndi kutentha thupi, komanso choletsa kuphatikizana kwa ma cell. Pangani izo mwanjira ya mapiritsi. Gawo lalikulu ndi acetylsalicylic acid. Makina amachitidwe amachitika chifukwa chakuchepa kwa ntchito ya COX - enzyme yomwe imayambitsa malungo, kutupa ndi kupweteka.
Mankhwala amachepetsa mwayi wokhala ndi myocardial infarction ngati angina osakhazikika amawonedwa.
Kapangidwa kaamba ka kupewa matenda amtima.
Zisonyezero zogwiritsidwa ntchito:
- kupweteka kwa chiyambi chilichonse
- kutupa kwam`mnyewa wamtima
- rheumatism
- nyamakazi
- malungo ndi matenda opatsirana komanso otupa,
- kupewa myocardial infarction, thromboembolism, thrombosis.
Contraindations akuphatikiza:
- "Aspirin" mphumu,
- kusowa kwa Vitamini K,
- magazi m'matumbo kapena m'mimba,
- kuchuluka kwa matenda akumitsempha ndi zilonda zam'mimba,
- mawa
- chiwindi kapena matenda a impso,
- matenda oopsa a portal
- hemorrhagic diathesis, hypoprothrombinemia, hemophilia,
- mimba
- nthawi yoyamwitsa,
- gouty, nyamakazi,
- kumva kwambiri zigawo za mankhwala.
Mu trimester yachiwiri, mankhwala amodzi amaloledwa. Ndi zoletsedwa kugwiritsa ntchito ana osakwana zaka 15.
- kutsekula m'mimba, kupweteka kwa epigastric, anorexia, kusanza, nseru,
- chiwindi ntchito, magazi kuchokera kumimba, matenda okhuthala ndi zotupa,
- mutu, chizungulire,
- nephrotic matenda, pachimake aimpso kulephera,
- "Aspirin triad", bronchospasm, edi la Quincke, zotupa pakhungu,
- Matenda a Reye.
Ana amatha kupatsidwa Acetylsalicylic acid kuyambira azaka 15 zokha.
Ngati mukufunika kuchotsa Zizindikiro za chimfine ndi matenda ena opatsirana mwa mwana, muyenera kudziwa kuti mankhwalawa amatha kuperekedwa kuyambira wazaka 15 zokha.
Kuyerekeza Paracetamol ndi Acetylsalicylic Acid
Kusankha zomwe ndizothandiza kwambiri - Paracetamol kapena Acetylsalicylic acid, ndikofunikira kuyerekeza mawonekedwe awo.
Mankhwala onse awiriwa ndi a noncotic analgesics a gulu la NSAID. Amathetsa ululu komanso amachepetsa kutentha. Kugulitsidwa kuzipatala popanda mankhwala. Mankhwala amapangidwa ku Russia. Mankhwala nthawi zambiri amayambitsa mavuto.
Zomwe zili bwino - Paracetamol kapena Acetylsalicylic acid
Pofuna kupewa matenda a mtima ndi a mtima, ASA imakonda kutumikiridwa, yomwe Mlingo wocheperako umachepetsa kupendekera ndimagazi. Paracetamol ilibe mikhalidwe yotere. Kuphatikiza apo, mankhwalawa amawonetsa kutsika kwapadera kwa kupweteka kwamisempha komanso kuwonongeka kwa zotumphukira. Pankhaniyi, Aspirin amagwiritsidwa ntchito. Nthawi zambiri amamulembera chimfine, chomwe chimatsatiridwa ndi kutentha kwambiri, chifukwa zotsatira zake zimatengera mwachangu.
Madokotala amawunika za Paracetamol ndi Acetylsalicylic acid
Vyachedlav, wazaka 48, wochita zamatsenga, Samara
Paracetamol ndi Aspirin si njira imodzi, koma onse amachepetsa ululu ndi kutentha thupi. Muzochita zanga, nthawi zambiri ndimalimbikitsa mankhwala oyamba kwa odwala anga, chifukwa nthawi zambiri samayambitsa chitukuko chamthupi. Koma kugwiritsa ntchito nokha palokha nkoletsedwa, makamaka kuphatikiza ndi mankhwala ena, chifukwa amathanso kuvulaza thanzi.
Elena, wazaka 54, wazachipatala, wa ku Moscow
Acetylsalicylic acid amathandizira kuthetsa zizindikiro za matenda opatsirana - kupweteka, kutentha thupi ndi kutupa. Komabe, mankhwalawo pawokha samakhudza zomwe zimayambitsa matendawa. Chida ichi ndi chotsika mtengo, chikuwonetsa kukwera kwambiri ndipo sichimayambitsa zotsatira zoyipa.