Uma isidakamizwa sitholakalayo phezu kwe-counter, kufanele iphephile, akunjalo? Hhayi ngempela, ikakhulukazi uma ukhulelwe. Eqinisweni, izidakamizwa ze-counter (OTC) ezibangelwa ukuphuma kwesisu noma ukukhubazeka kokubeletha zingase zibe ikhabhinethi yakho yemithi noma isikhwama ngaphandle kwakho ngisho nokuyiqonda. Sebenzisa lo mhlahlandlela ukuze ugcine wena nomntanakho uvikelekile ngesikhathi ukhulelwe.
Gwema i-Aspirin
Kulinganiselwa ukuthi amaphesenti angu-10 kuya ku-45 amaphesenti abesifazane besifazane abakhulelwe ku- trimester yokuqala , abazi ukuthi bakhulelwe, bafinyelele emithini ejwayelekile ye-OTC, i-aspirin.
I-aspirini nezinye izidakamizwa eziqukethe i-salicylate azikhuthazwa ngesikhathi sonke sokukhulelwa, ikakhulukazi ezinyangeni ezintathu ezedlule, ngaphandle kokuqondiswa udokotela. I-Acetylsalicylate, isithako esivamile kubantu abaningi ngaphezu kwamaphilisi okubulala, angase akhulise ukukhulelwa futhi abangele ukuphuma ngokweqile ngaphambi nangemva kokubeletha.
Lalela Amalebula Wesixwayiso
Konke, ezinye izidakamizwa eziningi ze-OTC zingasetshenziswa ngesikhathi sokukhulelwa nokuqondiswa udokotela. Nakuba ososayensi abazi imiphumela emntwaneni wezo zonke izidakamizwa ze-OTC nemithi kadokotela, abanye bayaziwa ngokubangela ukukhubazeka kokuzalwa futhi kufanele bagwenywe.
Kusukela ngo-1984, yonke imikhiqizo yezidakamizwa ze-OTC yenze lesi sixwayiso esilandelayo: "Njenganoma imuphi omunye umuthi, uma ukhulelwe noma uhlengikazi, funa iseluleko sezempilo ngaphambi kokusebenzisa lo mkhiqizo."
Ngo-Julayi 1990, i-US Food & Drug Administration yanikeze umthethonqubo odinga yonke aspirin yomlomo engekho emthethweni neyomlomo engenawo wonke ama-aspirin okufaka isixwayiso esengeziwe "Kubaluleke kakhulu ukuthi ungasebenzisi i-aspirin ezinyangeni ezintathu zokugcina zokukhulelwa ngaphandle uma kuqondiswe ngqo yenza kanjalo udokotela ngoba kungabangela izinkinga enganeni engakazalwa noma izinkinga ngesikhathi sokubeletha. "
Okungeyona i-OTC izidakamizwa okufanele zigweme
Esinye isidakamizwa somuthi esingabangela ukukhubazeka okunzima yi-Accutane, noma i-isotretinoin. I-Accutane, ivela ku-vitamin A, iyisidakamizwa esinamandla kakhulu esingasula imishanguzo ye-cystic kodwa ingabangela ukukhubazeka kokuzalwa (okufana nokukhubazeka kwenhliziyo, umhlathi omncane, i-palate ne-skull kanye nokukhubazeka kwesibuso) cishe kwezingu-4 ezine ezifakiwe .
I-Accutane nayo ingabangela ukuhlukunyezwa.
Kusukela ekuvunyweni kwayo, i-Accutane ibhalwe ngokuthi ikhulelwe isigaba X, okusho ukuthi akufanele isetshenziswe ngesikhathi sokukhulelwa. Kodwa-ke, ngenxa yemibiko eqhubekayo yokukhubazeka okuzalwa okuhlobene nokusetshenziswa kwezidakamizwa ngo-1988, umkhiqizi, uHoffman-La Roche, waqala ukufaka ulwazi olwengeziwe lwesiguli emaphaketheni, kufaka phakathi umdwebo wengane eneziphambeko zokuzalwa ezihlobene nomuthi. Ngaphambi kokuba kuvunyelwe ukuthatha i-Accutane, owesifazane oneminyaka yobudala yokubeletha kumele asayine ifomu lokuvuma elichaza ukuthi uye waziswa ngokugcwele ngemiphumela emibi yezidakamizwa.
Enye i-vitamin A, etretinate, noma i-Tegison, yamukelwa phakathi nawo-1980 ukuphatha i-psoriasis. Lesi sidakamizwa sinqatshelwe ukusetshenziswa kwabesifazane abakhulelwe noma abangase bakhulelwe noma ngenkathi besithatha noma esikhathini esithile ngemuva kokuba bayeke ukuyithatha.
Bobabili u-Accutane noTegison bafika ngezixwayiso eziqinile kakhulu futhi akunakwenzeka ukuthi uzobe unqunywe noma ngabe ukhulelwe, kodwa akulimazi ukuqonda izingozi.
Okubalulekile
Ngaphandle kwe-aspirin, izidakamizwa eziningi ze-OTC zilungile ukuzithatha ngesikhathi ukhulelwe. Khuluma nodokotela wakho mayelana nanoma yiziphi izidakamizwa ze-OTC noma izithako ozithathelayo noma uhlele ukuthatha ngenkathi ukhulelwe ukuqinisekisa ukukhulelwa okuphephile nengane enempilo.