Nthawi zina ululu umene timakumana nawo umakhala woopsa kwambiri moti sungathetsedwe ndi mankhwala wamba ochepetsa ululu. Makamaka kukhala ndi ululu wosatha kumakhala kovuta kwambiri. Pazochitika zotere, pamene mankhwala ena ochepetsa ululu sakugwira ntchito, mankhwala apadera omwe madokotala amalangiza ndi Tramadol. Koma popeza uwu ndi mankhwala amphamvu kwambiri, tiyenera kusamala kwambiri tikamagwiritsa ntchito. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane lero.
Kodi Tramadol ndi chiyani kwenikweni?
Mwachidule, tramadol ndi mankhwala amphamvu ochepetsa ululu. Ili m'gulu la mankhwala otchedwa opioid . Mankhwalawa amagwira ntchito poletsa kutumiza kwa zizindikiro za ululu ku ubongo wathu.
Chofunika kwambiri ndichakuti chimagwiritsidwa ntchito poletsa ululu waukulu komanso wautali . Izi nthawi zambiri zimakhala mapiritsi kapena makapisozi otulutsidwa nthawi yayitali. Chifukwa chake, sichiyenera kupweteka mwadzidzidzi. Mwachitsanzo, sichigwiritsidwa ntchito pa ululu womwe umabwera mwadzidzidzi mutu ukavulala. Komabe, dokotala wanu angakupatseni mankhwala pa vuto monga kupweteka kwa mafupa kwa nthawi yayitali.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kugwiritsa ntchito tramadol, dokotala wanu ayenera kudziwa bwino thanzi lanu. Izi zili choncho chifukwa kugwiritsa ntchito mankhwalawa ndi matenda ena kungakhale koopsa. Ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za matendawa.
| Matenda anu | N’chifukwa chiyani chidziwitso chili chofunika? |
|---|---|
| Kuledzera mowa kapena mankhwala ena osokoneza bongo | Tramadol ikhoza kuwonjezera chiopsezo cha kuledzera ndi zotsatirapo zake. |
| Kuvulala mutu, chotupa cha muubongo, kapena khunyu | Zimawonjezera chiopsezo cha khunyu. |
| Matenda a impso kapena chiwindi | Zotsatirapo zake zingachuluke pamene mankhwalawa amatenga nthawi yayitali kuti achoke m'thupi. |
| Matenda a m'mapapo, mphumu, kapena mavuto ena opuma | Popeza tramadol imatha kufooketsa kupuma, matenda amenewa akhoza kukhala ovuta kwambiri. |
| Maganizo odzipha kapena kuvutika maganizo | Palibe malo okwanira kapena palibe malo okwanira kuti maganizo amtunduwu apitirire kukula. |
| Kumwa mankhwala a MAOI (monga Marplan, Nardil) mkati mwa masiku 14 apitawa | Zinthu zoopsa kwambiri, zomwe zingaike moyo pachiswe zingachitike. |
| Ali ndi pakati, akuyesera kutenga pakati, kapena akuyamwitsa | Mankhwalawa angakhudze mwana wosabadwayo komanso mwana woyamwa. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwala awa ndi amphamvu, choncho ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Mezani piritsi lonse: Mezani piritsi lonse ndi kapule wa madzi. Musaswe, kuphwanya, kapena kutafuna piritsi. Kuchita izi kungapangitse kuti mlingo wonse wa mankhwala ulowe m'thupi nthawi imodzi, zomwe zingayambitse zotsatirapo zoyipa kwambiri.
- Imwani panthawi yoyenera: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Mutha kumwa ndi chakudya kapena ayi. Ngati mukumva kukhumudwa, imwani ndi chakudya.
- Imwani mlingo woyenera: Imwani mlingo wokhawo womwe dokotala wanu wakupatsani, pafupipafupi. Musamwe mankhwala ochulukirapo kuposa momwe mukuganizira kuti ndi ofunikira kuti muchepetse ululu.
- Musasiye mwadzidzidzi: Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zizindikiro zosiya kumwa. Ngati musiya, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo (overdose)?
Izi ndi zadzidzidzi. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo,Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital. Apo ayi, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) mwamsanga.
Zinthu zina zomwe zingagwirizane ndi tramadol
Tramadol ndi mankhwala omwe amatha kusokoneza kwambiri mankhwala ena ndi mowa.
Kumwa tramadol pamodzi ndi mowa n'koopsa kwambiri. Kungayambitse kugona kwambiri, kulephera kupuma, komanso imfa. Choncho, pewani kumwa mowa kotheratu mukamamwa mankhwalawa.
Kuphatikiza apo, muyeneranso kuuza dokotala wanu za mankhwala aliwonse omwe mukumwa, monga:
- Mankhwala amtundu wa MAOI (awa sayenera kumwedwa pamodzi)
- Mankhwala ena ochizira kuvutika maganizo kapena nkhawa (monga fluoxetine, amitriptyline)
- Mankhwala a ziwengo (antihistamines) omwe amayambitsa kugona
- Mapiritsi ogonetsa
- Mankhwala oletsa kupweteka kwa mutu (monga carbamazepine)
- Mankhwala oletsa bowa (monga ketoconazole)
- Mankhwala ena amphamvu ochepetsa ululu
- Mankhwala ochepetsa magazi (monga Warfarin)
Iyi si mndandanda wathunthu, kotero kuti mukhale otetezeka, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala achikhalidwe .
Samalani ndi zinthu izi mukamamwa mankhwala.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kumva tulo tofa nato komanso chizungulire. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina , mpaka mutadziwa bwino momwe mankhwalawa akukukhudzirani.
- Kuledzera ndi kudalira: Mukamwa mankhwala opweteka awa kwa nthawi yayitali, thupi lanu limayamba kudalira. Ndicho chifukwa chake simuyenera kusiya mwadzidzidzi. Ichi si chizolowezi. Kuledzera ndi pamene mwamwa mankhwala molakwika popanda chifukwa chachipatala. Muli ndi chifukwa chachipatala chomwa mankhwalawo chifukwa mukumva ululu. Ngati muli ndi mafunso okhudza izi, lankhulani ndi dokotala wanu.
- Kudzimbidwa: Ili ndi vuto lofala kwa anthu ambiri omwe akumwa tramadol. Kumwa madzi ambiri ndi kudya zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba) kungathandize. Ngati simunapite kuchimbudzi kwa masiku atatu, uzani dokotala wanu.
- Chithandizo cha mankhwala opitirira muyeso: Kumwa mankhwala owonjezera a opioid kungawononge moyo. Naloxone ndi mankhwala opulumutsa moyo omwe amagwiritsidwa ntchito pazidzidzidzi zotere. Lankhulani ndi dokotala wanu za momwe mungawapezere, momwe mungawagwiritsire ntchito, komanso zizindikiro za kumwa mankhwala opitirira muyeso.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, tramadol ikhoza kukhala ndi zotsatirapo zake. Zina ndi zoopsa, zina ndizofala.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | Matenda ofala koma osatha omwe ayenera kufotokozedwa kwa dokotala |
|---|---|
| Matenda oopsa kwambiri (matuza pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime) | Kudzimbidwa |
| Kupuma kumakhala kochedwa kwambiri, kosazama, komanso kovuta. | Chizungulire |
| Kugona tulo tochuluka, kusokonezeka, kulephera kudzuka | Kugona tulo |
| Kuthamanga kwa magazi kotsika (chizungulire, kusawona bwino) | Pakamwa pouma |
| Kugwidwa ndi khunyu | Mutu |
| Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa) | Kusanza ndi kusanza (Kusanza, Kusanza) |
Uthenga Wopita Nawo Kunyumba
- Tramadol ndi mankhwala amphamvu omwe amagwiritsidwa ntchito kokha pa ululu waukulu komanso wautali. Sikoyenera pa ululu wadzidzidzi.
- Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani lonse.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Ndi oopsa kwambiri.
- Ngati mukumva tulo mutamwa mankhwala, pewani kuyendetsa galimoto ndi kuchita ntchito zofunika kusamalidwa.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda malangizo a dokotala.
- Mankhwala awa ndi amphamvu kwambiri, choncho sungani pamalo otetezeka omwe angatsekedwe, komwe ana ndi ziweto sangafikire . Musagawire ndi aliyense.
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