Ukuba isilwanyana sifumaneka kwi-counter, kufuneka sikhuselekile, akunjalo? Akunjalo, ngakumbi xa ukhulelwe. Enyanisweni, izidakamizwa ze-counter (OTC) ezibangelwa ukulahleka kwesisu okanye ukukhubazeka kokuzalwa zingabakho kwiikhabhinethi yakho okanye isikhwama ngaphandle kwakho. Sebenzisa lesi sikhokelo ukugcina wena kunye nosana lwakho ukhuselekile ngexesha lokukhulelwa.
Gwema i-Aspirin
Kulinganiselwa kwipesenti ezili-10 ukuya kuma-45 ekhulwini kwabasetyhini abakhulelweyo kwi- trimester yokuqala , abazi ukuba bakhulelwe, bafikelele kwi-OTC yezidakamizwa eziqhelekileyo, i-aspirin.
I-Aspirin kunye nezinye iziyobisi ezine-salicylate azinconywa ngexesha lokukhulelwa, ingakumbi kwiinyanga ezintathu zokugqibela, ngaphandle kolawulo lwegqirha. I-Acetylsalicylate, isithako esiqhelekileyo kwiinkcukacha ezininzi kwi-counter painters, inokulondoloza ixesha lokukhulelwa kwaye kubangele ukuphuma kwegazi ngaphambi nangemva kokunikezelwa.
Mvalela iilebhendi zokulumkisa
Ngokubanzi, ezinye ezininzi izidakamizwa ze-OTC zingasetyenziswa ngexesha lokukhulelwa kunye nolawulo lwegqirha. Nangona izazinzulu azizi iimpembelelo zentsholongwane yazo zonke i-OTC kunye nezidakamizwa zamachiza, ezinye ziyaziwa ngokubangela ukukhubazeka kokuzalwa kwaye kufuneka ziphetshwe.
Ukususela ngo-1984, zonke iimveliso zonyango ze-OTC zenze isilumkiso esilandelayo: "Njengaye naziphi na ezinye iziyobisi, ukuba ukhulelwe okanye unesi, funa icebiso lezempilo ngaphambi kokuba usebenzise le mveliso."
NgoJulayi 1990, i-US Food & Drug Administration yanikezela ummiselo ofuna ukuba yonke i-aspirin yomlomo kunye ne-rectal engabhaliswanga ngenye indlela ne-aspirin ukuba ifake isilumkiso esongezelelweyo "Kubaluleke kakhulu ukuba ungasebenzisi i-aspirin ngeenyanga ezintathu zokukhulelwa ngaphandle kokuba uqondiswe ngqo yenza njalo ngugqirha kuba kunokubangela iingxaki kumntwana ongakazalwa okanye iingxaki ngexesha lokunikezelwa. "
Abangenayo i-OTC Izidakamizwa Ukugwema
Esinye isidakamizwa somthetho esenza ukuba izifo ezinzima zokuzalwa zi-Accutane, okanye i-isotretinoin. I-Accutane, isiqhamo se-vitamin A, sisisigxina esinamandla semithi esinokuthi sicime i-cystic acne esinamandla kodwa singabangela iziphene zokuzalwa (ezinjengeentsilelo zentliziyo, umhlathi omncinci, i-palate ne-crake kunye ne-facial disfigurements) malunga neyodwa kwimizimba emine. .
I-Accutane inokubangela nokulahleka kwamathambo.
Ukususela ekuvunyelweni kwayo, i-Accutane ibhalwe njengokukhulelwa kwecandelo X, oku kuthetha ukuba akufanele isetyenziswe ngexesha lokukhulelwa. Nangona kunjalo, ngenxa yeengxelo eziqhubekayo zokukhubazeka ezizalwe kunye nokusetyenziswa kwezidakamizwa ngo-1988, umenzi wezolimo, uHoffman-La Roche, waqala ukubandakanya ulwazi olongezelelweyo lwesigulane kwiphakheji, kubandakanywa umzobo wengane eneziphene zokuzalwa ezihambelana neziyobisi. Ngaphambi kokuvunyelwa ukuba kuthathe i-Accutane, ibhinqa lokudala abantwana kufuneka lisayine ifomu yokuvuma echaza ukuba sele ikwazisiwe ngokupheleleyo ngeziphumo zecala leziyobisi.
Olunye uveliso lwe-vitamin A, etretinate, okanye iTegison, lwavunywa phakathi kwee-1980 ukunyanga i-psoriasis. Esi sigqirha sinqatshelwe ukuba sisetyenziswe ngabasetyhini abakhulelweyo okanye abayakuthi bakhulelwe nokuba bathathe ixesha okanye emva kwexesha elithile emva kokuba bayeke ukuthabatha.
Bobabini i-Accutane neTegison beza kunye nezilumkiso eziqinileyo kwaye akunakwenzeka ukuba unokumiselwa omnye ukuba ukhulelwe, kodwa akunakonakalisa ukuqonda ingozi.
Ngaphantsi
Ngaphandle kwe-aspirin, ininzi i-OTC iziyobisi zilungile ukuthabatha xa ukhulelwe. Thetha ugqirha wakho malunga nayiphi na iidakamizwa ze-OTC okanye izongezelo ozithathayo okanye ucwangcise ukuthatha xa ukhulelwe ukuqinisekisa ukukhulelwa okukhuselekileyo kunye nosana oluphilileyo.