leej niam ua dab tsi thaum nws tus menyuam kub? Tau kawg, rau cov tshuaj antipyretic. Hauv tebchaws Russia thiab CIS lub tebchaws, feem ntau yog cov tshuaj hu ua Paracetamol. Nws kuj yog ib qho mob zoo. Nws yog nrov nyob rau hauv lub khw muag tshuaj network vim nws tus nqi qis thiab muaj. Qhov no yog ib qho zoo heev analogue ntawm cov tshuaj txawv teb chaws uas obsessively tshaj tawm hauv TV thiab hauv ntawv xov xwm. Paracetamol tsis muaj kev cuam tshuam rau cov tshuaj txawv teb chaws. Qhov cuam tshuam tseem ceeb ntawm paracetamol thaum muaj mob ntawm tus neeg laus lossis menyuam yaus pib nrog kev cuam tshuam ntawm lub paj hlwb: qhov mob tau txo qis thiab kev kho kom zoo dua qub. Yog li ntawd, kev kho mob tshem tawm cov tsos mob ntawm qhov mob thiab txo lub cev kub. Tab sis cov tshuaj no muaj ntau yam nta, thiab koj yuav tsum tau ceev faj nrog nws. Txhua tus paub txog cov tshuaj xws li paracetamol. "Overdose", "tuag" - cov lus no zoo dua rau cov tshuaj, tab sis tsis yog tshuaj. Hmoov tsis, qhov no tsis yog ib txwm muaj tseeb. Tsim nyog hais txog qee yamcov nuances ntawm no tshuaj.
thawj kauj ruam ntawm paracetamol
Hauv xyoo 1893, von Mehring tau luam tawm ib tsab xov xwm hauv xov xwm hauv zos, uas tau tshuaj xyuas kom meej qee qhov kev tshawb fawb thiab cov txiaj ntsig ntawm kev siv cov tshuaj paracetamol - thaum lub sijhawm ntawd cov tshuaj analogue tshiab ntawm aniline. Cov tom kawg tau dav siv los ua tshuaj tua kab mob thiab tshuaj tua kab mob, tab sis vim muaj kev phom sij ntawm kev siv, ntau tus neeg tuag los ntawm kev siv. Cov kws tshawb fawb ntawm paracetamol yog David Lester thiab Leon Greenberg (1947), nrog rau Julius. Axelrod, Bernard Brodie, Frederick Flynn (1948). Nyob rau xyoo ntawd, cov tshuaj "Phenacetin" tau nthuav dav hauv Asmeskas thiab Europe.
Cov kws tshuaj loj tshaj plaws Bayer lub sijhawm ntawd tsis paub txog kev tsim kho tshiab thiab tsis ntseeg txog kev tshawb pom. Ntau yam tshuaj yeej tsis pom qhov kaj ntawm hnub, thiab tsuas yog xyoo tom qab ntawd lawv tau nco qab thiab muab sijhawm thib ob.
Kev lees paub tshuaj tshiab
Thiab tsis tau, 1948 tuaj yeem raug suav hais tias yog hnub uas pom cov tshuaj no thiab nws cov lus qhia rau tib neeg lub neej. Nws yog lub xyoo no uas muaj qhov tseeb ntawm kev tshawb fawb xws li methemoglobinemia tau tshawb fawb pov thawj siv cov piv txwv ntawm kev sim nas noj nrog paracetamol. Cov mob no yog nrog los ntawm qhov txo qis hauv qhov kub thiab txias thiab txo qhov mob. Nws tau pom tias nyob rau hauv cov tshuaj no, cov nas tsis hnov mob "cov ntsiab lus". Ua li no, lawv muaj peev xwm ua neej nyob mus txog qhov mob tom ntej.
Thiab tsuas yog tom qab yuav luag kaum xyooLub tuam txhab Asmeskas tuam txhab tshuaj loj heev Sterling-Winthrop tau txiav txim siab muab tso rau hauv kev muag khoom, tab sis nrog kev siv zog zoo, ceg txheem ntseeg yog rau cov menyuam yaus thiab cov neeg laus, cov tshuaj tau nthuav tawm tsis muaj teeb meem. Nrog rau qhov muaj koob meej loj hlob ntawm paracetamol, Phenacetin tawm ntawm kev ua lag luam, muab txoj hauv kev rau cov tshuaj tshiab. Xyoo 1955, lwm lub tuam txhab tshuaj hauv Asmeskas - "M-si Neil Laboratories" - tso cov tshuaj no los ntawm lwm lub npe - "Tylenol". Kev tso siab rau tib neeg pib yuav ib qho tshiab rau cov nyiaj loj ua ib qho txuj ci kho mob. Tau kawg, ntau xyoo tom qab qhov kev dag ntxias tau tshwm sim, tab sis los ntawm lub sijhawm ntawd lub tuam txhab tau tswj hwm kom tau nyiaj ntau ntawm cov neeg tsis txaus ntseeg. Kev faib tawm thoob plaws ntawm cov tshuaj no hauv Tebchaws Europe xyoo 1956 (ntawm kev sib piv nrog Asmeskas) coj mus rau qhov Txij thaum ntawd los, ntau lub tuam txhab tshuaj hauv lawv "novelties" siv cov tshuaj paracetamol ua lub hauv paus rau cov tshuaj. Lawv rov ua txoj hmoo ntawm lub tuam txhab Asmeskas "Mr. Neil Laboratories". Txawm hais tias tib neeg ntseeg qhov txuj ci tseem ceeb ntawm cov tshuaj uas tau tshaj tawm, yog tias tsuas yog nws pab tau, qhov kev tshaj tawm zoo tshaj plaws txhua lub sijhawm tau ua thiab tseem yog lo lus ntawm qhov ncauj. Cov neeg mob, tau sim cov khoom kim heev thiab pom qhov txuj ci tseem ceeb, tsis tshua nyeem cov tshuaj muaj pes tsawg leeg, txawm hais tias feem ntau cov tshuaj paracetamol muaj nyob ntawd. Ib hom tshuaj muaj npe nrov, xws li Panadol, muaj cov tshuaj paracetamol, txawm hais tias nws raug nqi ntau npaum li cas kim dua. Yuav luag 500 qhov kev npaj sib txawv muaj cov tshuaj paracetamol ua lub hauv paus ntawm cov tshuaj nrog cov tshuaj ntxiv thiab cov khoom ntxiv.
Kev siv cov tshuaj paracetamol los ntawm cov neeg laus thiab menyuam yaus. koob tshuaj txhua hnub
Txhua Hnubkoob tshuaj rau ib tus neeg laus hnyav dua 70 kilograms yog 20-500 milligrams, uas yog sib npaug rau 1/2-2 ntsiav tshuaj. Cov koob tshuaj rau menyuam yaus rau tus menyuam hnyav 30-35 kg hnub nyoog 6-8 xyoo yog 1/2 ntsiav tshuaj.
Cov lus qhia rau kev siv cov tshuaj no hais tias qhov siab tshaj plaws ntawm ib hnub rau ib tus neeg laus yuav tsum yog 4 ntsiav tshuaj. Yog tias nws dhau lawm, kev noj tshuaj ntau dhau ntawm paracetamol tuaj yeem tshwm sim. Rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, qhov koob tshuaj no yog ib nrab, yog li ntawd, ntau tshaj 2 ntsiav tshuaj ib hnub! Qhov no yog lub ntsiab mob thaum noj cov ntsiav tshuaj sab hauv. Tsis txhob muab tshuaj rau tus menyuam uas tsis kam noj, txwv tsis pub koj yuav ua rau muaj kev noj ntau dhau. Cov niam txiv feem ntau, vim qhov tawv nqaij tsis poob rau hauv tus menyuam, pib muab nws nrog cov tshuaj no, tsuas yog coj nws mus. Qhov no yog ua tsis tau kiag li.
Thaum qhov ntsuas kub tsis poob, txawm tias cov tshuaj noj, koj yuav tsum sab laj nrog kws kho mob lossis hu rau lub tsheb thauj neeg mob kom paub tias yog vim li cas. Yog tias, yog tias xav tias mob ua pa nyuaj rau tus menyuam, kev siv tshuaj paracetamol tsis pab, koj yuav tsum xav txog nws. Tej zaum nws twb muaj mob hnyav dua, xws li mob caj pas lossis txawm mob ntsws, uas tau kho nrog cov tshuaj ntau dua. Thiab sai npaum li tus kws kho mob tau kuaj xyuas thiab pib muab cov tshuaj tsim nyog rau tus menyuam, qhov zoo dua. Qee lub sij hawm vim tias muaj kev noj tshuaj ntau dhau ntawm paracetamol, cov tsos mob ntawm kev lom thiab covkab mob sib tshooj. Qhov no ua rau cov kws kho mob nyuaj heev.
Thaum tus menyuam txiav txim siab noj tshuaj rau nws tus kheej
Tsawg koob tshuaj paracetamol rau tus neeg laus thiab ntau dua rau tus menyuam yog 10 ntsiav tshuaj! Tau kawg, tsis muaj ib tug neeg laus yuav muab tshuaj ntau npaum li cas rau nws tus menyuam. Tab sis muaj lub caij nyoog koj tsuas yog yuav tsis ua raws nws. Muaj qee zaus tus me nyuam nws tus kheej noj ob peb tshuaj, vim (raws li nws) nws xav tias nws yuav zoo dua, thiab nws niam yuav tsum tsis txhob tu siab.
Tshuaj yog tshuaj txaus ntshai heev yog tias koj tsis paub yuav ua li cas. Thawj qhov uas koj ua thaum koj muab tshuaj rau koj tus menyuam yog piav qhia rau nws tias nws yuav pab tau nws zoo. Qhia rau lawv tias ntau cov tshuaj los yog kua qab zib muaj teeb meem, txawm li cas los xij lawv yuav zoo thiab muaj txiaj ntsig. Tib yam yuav tsum tau hais txog cov vitamins.
Ib tug me nyuam yuav tsum tau saib xyuas tshwj xeeb
Yuav kom cov me nyuam nkag siab tias yog vim li cas ntau yam phem, muab piv txwv los ntawm ib tug tas luav nrog ib tug me me dawb aub. Nws xav tias yog mustard ua ib lub qhaub cij tastier, ces nws tsuas yog zoo heev, vim lawv muab nws me me rau hauv cov zaub mov. Yog li, yog tias koj muab tso rau ntau, nws yuav heev, qab heev. Thiab tom qab ntawd nws raug kev txom nyem los ntawm cov zaub mov ntsim heev. Cov menyuam yaus nco qab cov qauv ntxim nyiam zoo nkauj, thiab tej zaum cov lus qhia tas luav yuav tiv thaiv tus menyuam los ntawm kev ua si txaus ntshai nrog tshuaj.
Koj tuaj yeem hais kom tus kws qhia qib kindergarten npaj ib qho kev qhia nrog txhua tus menyuam hauv pab pawg. Tham cov khoom ua si lossis cov animators yuav piav qhia meej rau menyuam yaus yuav ua li castswj cov tshuaj.
Lwm yam ua rau overdose
Lwm nqe lus nug yog kev nyab xeeb ntawm kev khaws tshuaj. Feem ntau koj tuaj yeem pom (hauv cov duab tas luav thiab cov yeeb yaj kiab) uas muaj ntau cov tshuaj nyob ib sab ntawm tus neeg mob lub txaj. Thiab yog hais tias nyob rau hauv cov ntaub ntawv ntawm ib tug neeg laus qhov no yog tsim nyog, rau ib tug me nyuam qhov kev xaiv no yog txaus ntshai. Yog tias koj muab tshuaj rau nws, tam sim ntawd muab tso rau hauv lub txee tshuaj tom qab txhua koob tshuaj. Tau kawg, nws yog txoj haujlwm, tab sis kev nyab xeeb tseem ceeb dua li ob peb feeb hauv ib hnub siv zais tshuaj.
Thiab qhov kev xaiv noj tshuaj ntau dhau - cov niam txiv lawv tus kheej muab cov tshuaj ntau dhau rau tus menyuam. Nyob rau hauv cov ntaub ntawv ntawm ib tug ntev kub nyob rau hauv ib tug me nyuam, koj yuav tsum tsis txhob muab nws dua nrog paracetamol, txwv tsis pub, es tsis txhob sib ntaus sib tua kub, koj yuav sib ntaus rau nws lub neej nyob rau hauv kev saib xyuas hnyav!
Paracetamol overdose hauv menyuam yaus: cov tsos mob
Cov menyuam yaus lub cev tsis tsuas yog loj hlob thiab txhim kho ntawm qhov nrawm, nws kuj muaj cov metabolism sai dua. Yog tias kev noj tshuaj ntau dhau ntawm paracetamol tshwm sim, qhov tshwm sim tshwm sim vim qhov tseeb tias nws nyob ntawm lub cev, cuam tshuam lawv txoj haujlwm ib txwm muaj. Lub hauv paus tseem ceeb uas yog lub luag haujlwm rau sedimentation ntawm cov tshuaj no yog lub siab thiab lub raum. Tab sis kuj tseem muaj cov ntsiab lus zoo hauv zaj dab neeg no: paracetamol tsis hlawv lub plab mucosa. Txawm li cas los xij, puas tsim nyog xav txog tej yam no thaum tus menyuam mob?
Cov tsos mob tshwm sim xws li: xeev siab, ntuav, pallor ntawm tus menyuam lub ntsej muag, mob plab hauv plab, tawv nqaijua pob liab vog nyob rau hauv daim ntawv ntawm khaus, urticaria, los yog txawm Quincke's edema. Yog tias koj pom cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd. Txawm hais tias nws tsis yog paracetamol overdose, lwm yam ua rau tuaj yeem loj heev.
Yuav ua li cas yog tias koj ntsib cov tsos mob ntau dhau
Txawm hais tias koj yuav ceev faj npaum li cas, txawm tias koj tau tham ntau txog kev phom sij ntawm cov tshuaj ntau, kev noj tshuaj ntau dhau ntawm paracetamol tuaj yeem tshwm sim rau koj tus menyuam. Ua ntej ntawm tag nrho cov, tsis txhob sim ntshai thiab nrhiav kev pab los ntawm cov neeg nyob ze los yog pej xeem tshuaj, ua kom meej meej thiab sau. Koj tus menyuam lub neej yuav nyob ntawm koj. Yog tias noj tshuaj paracetamol ntau dhau lawm, cov tsos mob yuav tsis ua rau koj tos. Nov yog cov npe uas yuav tsum ua:
- muab dej ntau rau tus menyuam thiab sim ua kom lub plab;
- hu lub tsheb thauj neeg mob;
- muab activated charcoal - nws neutralizes copious ingestion ntawm cov tshuaj thiab absorbs ib feem ntawm cov ntshav;
- muab siab rau ib sab ntawm tus menyuam.
Tus me nyuam yuav ntshai ntawm nws tus kheej, nws yuav quaj thiab mob siab rau. Kev noj tshuaj ntau dhau ntawm paracetamol tuaj yeem ua rau mob plab. Txhob poob siab. Yog nws kuj pom koj lub siab thiab lub kua muag los nws kuj yuav ntshai heev.
Koj yuav tsum ua siab ntev, koj yuav tsum nrog tus menyuam tham. Tej zaum nws yuav nug txog qhov tshwm sim rau nws. Teb rau nws ncaj ncees, qhia nws tias yog vim li cas thiaj muaj cov tshuaj paracetamol ntau dhau, yuav ua li cas rau qhov xwm txheej zoo li no. Tej zaum,kev hais lus yuav cuam tshuam nws ntawm cov tsos mob thiab pab nws tos txog kev tuaj txog ntawm tus kws kho mob. Txhua yam kev ua ntxiv los pab tus menyuam raug tshuaj lom los ntawm paracetamol yuav tsum tau ua raws li kev saib xyuas ntawm tus kws tshaj lij.
Tus kws kho mob xav
Qhia rau koj tus kws kho mob tam sim yog tias koj xav tias paracetamol ua rau koj tsis xis nyob. Overdose - pes tsawg ntsiav tshuaj uas tus menyuam haus - qhov no yog cov ntaub ntawv tseem ceeb tshaj plaws. Tus kws kho mob yuav tsum paub txog qhov no txawm tias ua ntej koj qhia lub hnub nyoog thiab kev txhaj tshuaj ntawm tus menyuam. Kev noj tshuaj ntau dhau ntawm paracetamol hauv menyuam yaus kuj tuaj yeem tshwm sim los ntawm cov yam ntxwv ntawm lub cev, kab mob: rhiab heev rau cov tshuaj, mob plab, bronchial hawb pob, NSAIDs, raum los yog hepatic insufficiency. Ntau tus kws tshawb fawb thoob ntiaj teb ua pov thawj tias mob ntsws asthma muaj feem cuam tshuam nrog cov tshuaj paracetamol thiab nws siv los ntawm tus menyuam thaum kho mob khaub thuas lossis mob ua pa nyuaj, mob khaub thuas.
Summarize
Nws tsim nyog sau cov ntsiab lus saum toj no. Qhov tseem ceeb tshaj plaws yog kom nco ntsoov tias rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, qhov siab tshaj plaws ntawm cov tshuaj yog tsis pub ntau tshaj ob ntsiav tshuaj lossis ob dia kua syrup ib hnub, thiab nrog dej sov kom txaus. Cov niam pog kuj pom zoo kom haus cov tshuaj aspirin tsis yog nrog dej, tab sis nrog mis nyuj, txhawm rau ua kom tsis zoo rau lub siab thiab lub raum thaum kho tus menyuam.
Thaum muaj cov tsos mob ntawm kev noj tshuaj ntau dhau, thawj qhov uas yuav tsum tau ua yog hu rau lub tsheb thauj neeg mob thiab ua rau ntuav ntawm tus menyuam, thaum ntxuav lub plab thiab muab charcoal rau haus. Tau kawg, tus me nyuam mob yog ib qho kev tshwm sim tsis zoo hauv tsev neeg, tab sis kev txhawb nqa niam txiv thiab kev hlub niam txiv yuav pab tus menyuam kov yeej qhov mob,vim nws yuav paub tias nws yog tus hlub, thiab lub xeev no nyob ib ntus.
