Thursday, May 27, 2010

分享--PROVITON教训

这事发生得有点久了,资料早找了,只是现在才整理出来和大家分享。

那是个考试前的中午,考什么来着?pharmaceutical analysis。当时情况:吃饱饭,回到房,重新让目光回到那再不看看铁定完蛋的Notes。很闷,剩不到一小时半得进考场,心里有点慌。脑筋一转,对,吃颗supplement吧,五月到期了耶。而且panax ginseng 有助提高注意力嘛。

一颗proviton (软胶囊)放进嘴巴,喝水,吞。

完了!好像卡住了!

接下来是一连串的疯狂举动:灌水,吞食面包,甚至搞到呕吐==。。可终究还是觉得那proviton没下到去,一股proviton的味道弥漫口腔。那滋味很不好受,喉咙有点紧,吞口水很不舒服。满脑子乱了,注意力没了,Notes看不下了,宝贵的一小时半,没了!

接着进考场,有没有搞错?!居然拼不成dr.nornisah的formula!

又能怎样?无语。。写写写。。。喝口水。糟! proviton卡着的强烈感又回来了!根本专心不了嘛。就这样,在一个脑袋想两样事的情况下,考试结束。停笔。收卷。叹息。摇头。暗暗后悔(暗捶ngem dum)。

试后路经商店,禁不住走进pharmacy,跟里面的pharmacist说起我的问题,她说,吞潮州饭粥里边的软饭粒吧,不会像直接吞白饭那么难消化。可是,附近都没卖潮州粥啊。她又给我个‘绝世好桥’,就自己把白饭用热水泡软就行啦。

说实在,我有尝试,可没有照办,因为你会控制不了自己去嚼咬那些饭,不咬直接吞,太难了!我那想东想西的脑袋瓜又怕要直接吞吞不下会卡得更惨。。。想想。。打电话给家人。。想想想想。。嗯,看医生好了,不然真的读不下书。

在诊所,怎么那么多人生病啊?!满座咧。才想起第二波H1N1来了。

干等了两个多小时。终于,终于到我了。

’Pill ni…rasanye tersekat..’
’Apa?!!!’
’Ada makan dinner?’

’Da’
’Makan pe?’
’Nasi,sayur,ayam’
’Dapat telan?’
’Dapat’
’Buka mulut tengok,Arrr’
’Arrr’
*repeat Arr* ......

我想你在我说我能吞得下我晚餐时已经猜得出诊断结果吧。对,就什么也没有,那药胶囊早下去了。。。

回到去,有一点点不甘心。。就上网找相关资料(反正下一科考gastrointestinal tract :p)。

才发现吞服药片胶囊是个很普遍很多人面对的问题(不好意思,懒惰翻译成华文)。

“Schwarz Pharma Release:
40% Of American Adults Report Experiencing Difficulty Swallowing Pills 1/15/2004
40% of Americans have or have had pill swallowing problems - Most people that had problems taking pills described the sensations as having a pill stuck in their throat (80%), having a bad after taste in their mouth (48%), or gagging (32%)”
Adapted from http://www.biospace.com/news_story.aspx?storyid=14864620&full=1

其实药片/胶囊要卡/黏在喉咙(esophagus)都会逐渐溶解,变小,最后被吞下肚子。只是在停留于esophagus的阶段,它或会对esophageal tissue 起作用(react),或剥落时拉伤或拉落esophageal表层细胞,造成损伤(injury),使人在吞口水时感不舒服,及不断觉得药还卡在喉咙。
我也去找了esophageal diameter,一般为2-3cm。(因为一般参考书只提供esophagus 的长度。)

以下是十项帮助你好好吞服药片或胶囊的方法,个人认为前几项非常重要,至于那antichoking procedure,会是好,但有什么事时要能来得及求医,则求医最好,切勿做不必要的冒险或拖延时间:

1. Never rush your pill taking process. Trying to swallow a pill as you are running out the door to catch the carpool is a recipe for disaster. Plan to take your pills when you can be calm and undistracted.

2. Take any pills when you are sitting up or standing which will ease a smooth and quick passage down your throat. Start by taking a deep breath to instantly relax your body and throat.

3. Take your pill or tablets with cool water, milk or juice. Never down a pill with your morning Starbucks. A hot beverage may cause any medications to dissolve before it ever reaches your stomach.

4. Soften your throat in preparation for the pill by taking a few sips of your milk, water or juice before you actually take the pill. After taking a sip or took pop the pill in your mouth and take a big gulp from your liquid. Continue drinking until you have finished the process.

5. Never try to cram a whole handful of pills down your throat. Some people can take more than one pill at a time. You may not be one of those people. Pace your pills carefully so that you are relaxed and comfortable at all times.

6. be cautious not to toss a pill into your mouth like you would toss a peanut. It can have the same effect as a tossed peanut, which is causing you to choke. The best approach is to place the pill as far back on your tongue as you can reach.

7. If the pill doesn't seem to want to go down, stop forcing it. When in doubt spit the pill out. Pills are cheap and replaceable. Your life isn't.

8. Learn how to administer anti-choking treatments by using your fists or the back of a chair. If you know that you are prepared you will remove your fear of the pills and be able to swallow easier.

9. If a pill gets stuck use an anti-choking procedure. You might only think you are choking. Try drinking liquids first to make sure the pill is really stuck

10. Experiment with different pill easing methods that will make it easier for you to swallow. Some people do best by taking their pills while eating yogurt or other soft foods that help the throat stay moist and receptive to pills.
Adapted from:http://www.hairboutique.com/

果然,真相大白后,休息一晚,第二天,好多了;第三天,没事了。:)

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