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Ibuprofen thiab Acetaminophen

Ibuprofen thiab acetaminophen


Ibuprofen, zoo li naproxen, belongs rau arylpropionic acid antipyretic thiab analgesic tshuaj, muaj pom tseeb los tiv thaiv inflammatory, antipyretic thiab analgesic teebmeem, thiab nws lub zog yog sib npaug rau cov tshuaj aspirin, thiab muaj ib tug tej yam inhibitory nyhuv ntawm platelet muaj nuj nqi, muaj peev xwm ncua lub sij hawm los ntshav. , tab sis thaum siv cov tshuaj kho cov pa, qhov tshwm sim ntawm qhov tshwm sim tsis zoo yog tsawg, thiab kev kam rau siab zoo ib yam li cov tshuaj acetaminophen.


Acetaminophen (Acetaminophen, Paracetamol), tseem hu ua acetaminophen, paracetamol, Panadol, Tylenol, Fortolin, thiab lwm yam yog tag nrho cov tshuaj, uas yog aniline antipyretic thiab analgesic tshuaj, thiab lawv cov antipyretic thiab analgesic nyhuv zoo ib yam li cov tshuaj aspirin, tab sis cov tshuaj tiv thaiv. Cov nyhuv inflammatory tsis tshua muaj zog (tej zaum yuav cuam tshuam rau qhov sib txawv ntawm qhov rhiab heev ntawm cov tshuaj rau cov enzymes sib txawv hauv lub cev), thiab tsis muaj kev cuam tshuam rau lub coagulation mechanism. Acetaminophen muaj kev phiv tsawg dua thiab yooj yim dua rau zam. Nws yog ib qho tshuaj antipyretic uas muaj kev nyab xeeb, thiab nws muaj nyob rau hauv ntau cov tshuaj txias ntawm cov tshuaj sib xyaw ua ke.


Puas muaj qhov sib txawv ntawm cov nyhuv antipyretic ntawm ibuprofen thiab acetaminophen?


Ob leeg ibuprofen thiab acetaminophen yog non-steroidal antipyretic thiab analgesic tshuaj, uas ua si antipyretic thiab analgesic los ntawm inhibiting lub synthesis ntawm prostaglandins, thiaj li yuav txo tau kub taub hau thiab txo qhov tsis xis nyob los ntawm qhov mob. Kev hnov ​​​​qab thiab lwm yam teebmeem, tab sis nws tsis muaj kev cuam tshuam rau cov neeg uas muaj lub cev kub, thiab yuav tsis txo lawv lub cev kub. Cov teebmeem antipyretic ntawm ob qhov zoo sib xws, tab sis kuj muaj qee qhov sib txawv. Hais txog hais lus, cov nyhuv antipyretic ntawm ib koob tshuaj ibuprofen kuj muaj zog, thiab lub sij hawm txias kuj ntev, tab sis qhov ceev ntawm acetaminophen lub cev kub poob yog pom tseeb dua li ntawm ibuprofen ib nrab ib teev tom qab noj qhov ncauj.


Puas yog ibuprofen thiab acetaminophen muaj kev nyab xeeb li ua npaws hauv menyuam yaus?


Tsis muaj cov tshuaj tua kab mob muaj kev nyab xeeb kiag li, thiab muaj peev xwm ua xua. Tab sis feem ntau, ibuprofen thiab acetaminophen muaj cov kev mob tshwm sim me me thiab muaj kev nyab xeeb rau cov menyuam yaus. Cov menyuam yaus muaj kev ua siab ntev rau ibuprofen thiab acetaminophen, thiab qhov tshwm sim ntawm qhov tsis zoo tshwm sim tsis muaj dab tsi cuam tshuam nrog lub hnub nyoog. Yog tias tsis muaj contraindications, ibuprofen thiab acetaminophen tuaj yeem siv los ua cov tshuaj tua kab mob rau cov menyuam yaus. nyiam.


Ibuprofen thiab acetaminophen tau siv dav hauv kev kho mob. Cov kws kho mob thiab cov niam txiv yuav tsum tau saib xyuas lawv cov kev tsis zoo, thiab tsis txhob siv lawv ntawm qhov xav tau. Yog tias tsim nyog, lawv yuav tsum tau suav ua tiav raws li lub hnub nyoog thiab qhov hnyav ntawm tus menyuam (qhov twg qhov hnyav yog qhov tseem ceeb) qhov tshwj xeeb ntau npaum li cas, yuav tsum tsis txhob noj ntau dhau thiab noj ntau dhau.


Puas muaj qhov sib txawv ntawm cov kev mob tshwm sim ntawm ibuprofen thiab acetaminophen?


1. Ibuprofen kev phiv


Feem ntau cov kev cuam tshuam tsis zoo ntawm lub plab zom mov (qhov tshwm sim: 5 feem pua ​​​​rau 15 feem pua ​​​​), noj nws nrog zaub mov tuaj yeem txo qhov mob ntawm plab hnyuv.


Cov kev phiv tsis zoo no suav nrog kev zom zaub mov, kub siab, mob plab, xeev siab, ntuav, satiety, thiab lwm yam, thiab feem ntau mob me. Tsis tas li ntawd, tsawg dua 1 feem pua ​​​​tau muaj cov kab mob hauv plab thiab cov hnyuv los ntshav, thiab li ntawm 1 mus rau 3 feem pua ​​​​tau muaj kev cuam tshuam rau cov paj hlwb xws li mob taub hau, tsaug zog, kiv taub hau, thiab tinnitus. Lwm yam kev phiv tsis tshua muaj xws li qis qis qis qis, lub raum tsis txaus, ua pob liab liab, mob ntsws asthma, mob siab ua haujlwm, thiab leukopenia.


2. Cov tshuaj tsis haum rau acetaminophen


Nws yog feem ntau tshwm sim los ntawm kev rov ua dua thiab siv ntau dhau, thiab tib lub sijhawm, nws yooj yim ua rau kab mob siab vim yog qhov sib xyaw ntawm cov kab mob sib kis.


Piv txwv li, nrog rau cov tshuaj kho mob ntawm acetaminophen, tsuas muaj qee qhov kev phiv xws li xeev siab, ntuav, tawm hws, thiab mob plab, thiab qee qhov ntawm lawv yuav ua rau muaj kev tsis haum dermatitis / pob liab liab, agranulocytosis, thiab thrombocytopenia. Txawm li cas los xij, rov qab siv cov tshuaj kho mob, tshwj xeeb tshaj yog siv cov koob tshuaj ntev ntev, tuaj yeem ua rau muaj kev hloov pauv siab hauv siab, tab sis tsis tau pom tias daim siab tsis ua haujlwm thiab tuag; Kev siv tshuaj ntau dhau tuaj yeem ua rau pom qhov txawv txav hauv daim siab ua haujlwm, thiab qee zaum ua rau lub siab tsis ua haujlwm lossis tseem ceeb tshaj txog kev tuag.


Puas muaj kev ceev faj tshwj xeeb thaum siv ibuprofen thiab acetaminophen?


Ibuprofen thiab aspirin muaj kev ua xua, yog li cov menyuam yaus uas tsis haum rau tshuaj aspirin yog contraindicated. Cov menyuam yaus uas muaj keeb kwm ntawm peptic ulcer, plab hnyuv los ntshav, plawv tsis txaus, mob siab thiab lub raum tsis txaus, kub siab, coagulation mechanism lossis platelet tsis ua haujlwm (xws li hemophilia) yuav tsum tau siv ceev faj. Kev siv ibuprofen los txo qhov kub taub hau hauv cov menyuam yaus uas muaj hypovolemia xws li lub cev qhuav dej lossis tsis muaj dej ntxiv tuaj yeem ua rau muaj kev pheej hmoo ntawm lub raum ua haujlwm. Tsis tas li ntawd, kev siv ibuprofen hauv cov menyuam yaus uas muaj kab mob khaub thuas ua rau muaj kev pheej hmoo ntawm kab mob A streptococcal.


Cov neeg uas ua xua rau cov tshuaj aspirin feem ntau tsis ua xua rau acetaminophen, tab sis<5% of children with aspirin allergy may develop mild bronchospasm after taking acetaminophen. Dosage should not exceed the recommended dose, otherwise it may cause headache, vomiting, fatigue, low blood pressure and skin rash. Severe liver and kidney insufficiency is contraindicated. It should be used with caution in children with liver disease or viral hepatitis, mild to moderate hepatic and renal insufficiency, and severe cardiopulmonary disease. Liver function tests should be performed immediately if the child develops symptoms of jaundice.


Yog tias nrog ntuav ntuav, raws plab lossis haus dej tsis txaus, cov neeg uas muaj lub cev qhuav dej yuav tsum tau kho raws sijhawm kom kho cov dej thiab cov electrolyte sib npaug. Yog hais tias tus me nyuam muaj sunken fontanel, daim di ncauj qhuav, sunken qhov muag qhov (sockets), kua muag tsawg, tsis muaj zog, thiab lwm yam, nws txhais tau hais tias nws yog lub cev qhuav dej. Yog tias pom tias tus menyuam lub cev qhuav dej, yuav tsum tau saib xyuas kom rov ua dej dua. Rau cov menyuam uas pub niam mis, cov kua dej uas tsim nyog tshaj yog cov kua mis.


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