Ngezinye izikhathi ubuhlungu esibuzwayo bungaba bukhulu kangangokuthi imithi yokwelapha ubuhlungu evamile ayikwazi ukubulawula. Bungaba ubuhlungu obukhulu ngemva kokuhlinzwa okukhulu noma ngenxa yesimo esithile sezokwelapha. Ezimweni ezinjalo, odokotela bazokunikeza umuthi wokubulala izinhlungu okhethekile oqukethe inhlanganisela yemithi emibili ebizwa ngokuthi i-Acetaminophen ne-Oxycodone. Njengoba lokhu kunamandla kakhulu, kubaluleke kakhulu ukukwazi nokukusebenzisa kahle. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Luhlobo luni lomuthi lolu?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezimbili eziyinhloko zama-painkiller.
1. I-Acetaminophen: Lona umuthi wokulawula ubuhlungu nomkhuhlane, ofana kakhulu ne-paracetamol eyaziwayo.
2. I-Oxycodone: Lesi isithako esinamandla kakhulu kulokhu. Singeseqembu lama-painkiller anamandla abizwa ngokuthi ama-opioid. Lawa asetshenziselwa ukulawula ubuhlungu obuphakathi kuya kobunzima.
Esinye isici esikhethekile sala maphilisi ukuthi enziwa njenge-"Extended-Release" (XR). Lokhu kusho ukuthi ngemva kokuthatha iphilisi, umuthi okulo ukhishwa kancane kancane emzimbeni isikhathi esingamahora. Ngakho-ke awudingi ukuthatha umuthi kaningi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Uma ukhuluma nodokotela wakho ngalo muthi, qiniseka ukuthi ukhuluma nganoma yiziphi izimo ezingezansi. Lokhu kubaluleke kakhulu ngenxa yokuphepha kwakho.
- Uma uke waba nokusabela kokungezwani komzimba kule mithi (i-Acetaminophen, i-Oxycodone) noma yimuphi omunye umuthi noma ukudla.
- Uma uke waba umlutha wezidakamizwa noma utshwala noma uke waba umlutha wazo.
- Uma uphuza njalo.
- Uma unesifo sesibindi noma sezinso.
- Uma unesifo samaphaphu, i-asthma, noma ubunzima bokuphefumula.
- Uma unesifo esifana nekhanda elibuhlungu noma ukuxhuzula.
- Uma unezinkinga zamathumbu (isib. ukuqunjelwa).
- Umsebenzi ophansi we-adrenal gland.
- Uma uke wathatha umuthi wokucindezeleka we-MAOI (isib. iMarplan, iNardil, iParnate) ezinsukwini ezingu-14 ezedlule.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ungamfihli udokotela wakho lolu lwazi. Ukunikeza ulwazi olunembile kuzokusiza kakhulu ekutholeni ukwelashwa okuphephile.
Umuthi kufanele usetshenziswe ngendlela efanele.
Qaphela kakhulu ngalezi zinto uma usebenzisa lo muthi.
- Indlela yokugwinya iphilisi: Okukhethekile ngalokhu ukuthi liyiphilisi elikhishwa isikhathi eside elenzelwe ukumuncwa emzimbeni ngokuhamba kwesikhathi.Ungalokothi uliphule, ulichoboze, noma ulihlafune leli philisi. Gwinya lonke iphilisi ngengilazi yamanzi. Uma ungakwenzi lokho, wonke umuthi ungangena emzimbeni wakho ngesikhathi esisodwa futhi ubangele imiphumela emibi eyingozi.
- Ukuthatha kanye nokudla: Uma uzwa ubuhlungu besisu, thatha lo muthi ngesikhathi sokudla noma ngemva kokudla. Noma ungawuthatha ngaphandle kokudla.
- Yithathe ngesikhathi esifanele: Thatha umthamo ofanele, ngesikhathi esifanele, njengoba udokotela wakho ekuyalele. Unganciphisi umthamo ngoba ucabanga ukuthi ubuhlungu buncane, noma uthathe omningi ngoba ucabanga ukuthi ubuhlungu bukhulu.
- Uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Bese uthatha umthamo olandelayo emahoreni ayi-12. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
- Uma kwenzeka uphuze kakhulu: Uma ucabanga ukuthi usuphuze kakhulu lo muthi, kuyisimo esiphuthumayo. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital (inombolo yocingo 0112 686 143), noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ungabelani: Lo muthi ungowakho kuphela. Ngisho noma omunye umuntu ezwa ubuhlungu obufana nobakho, ungalokothi unike omunye umuntu lo muthi. Awusemthethweni futhi uyingozi kakhulu.
Izinto okufanele uzikhumbule lapho uthatha lo muthi
Ukubekezelelana Nokulutheka
Njengoba uqhubeka nokuthatha lo muthi, ungathola ukuthi umthamo owuthathayo awanele ukulawula ubuhlungu obukade ubuzwa ngaphambilini. Lokhu kubizwa ngokuthi ukubekezelela . Lokhu kuvamile ngalolu hlobo lomuthi futhi akulona umlutha. Uma uzizwa ngale ndlela, khuluma nodokotela wakho mayelana nokulungisa umthamo wakho.
Futhi, lo muthi ungabangela ukuthembela ngokomzimba. Lokhu akuyona umlutha. Umlutha umuzwa wokufisa ukusebenzisa umuthi ngaphandle kwesizathu sezokwelapha. Uwuthatha ngesizathu sezokwelapha, njengobuhlungu. Ngakho-ke , ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Uma udinga ukuyeka, udokotela wakho uzonciphisa kancane kancane umthamo.
Ukusebenzisana neminye imithi
Kudingeka uqaphele kakhulu ngokusebenzisa eminye imithi lapho uthatha lo muthi.
| Uhlobo lomuthi/into ethile | Umthelela ongaba khona |
|---|---|
| Utshwala | Isiyezi, ukozela, kanye nobunzima bokuphefumula kungaba nzima kakhulu futhi kusongela ngisho nokuphila. |
| Eminye imithi equkethe i-paracetamol (i-Acetaminophen) | Ngenxa yokuthi lo muthi usuvele uqukethe i-Acetaminophen, ukuthatha amanye ama-paracetamol kungaholela ekweqisweni ngokweqile kwe-Acetaminophen kanye nokulimala okukhulu kwesibindi . |
| Imithi yokulala, ukukhathazeka, nokucindezeleka | Kukhulisa kakhulu imiphumela efana nokozela, ukudideka, kanye nokwehla kwesivinini sokuphefumula. |
| Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine) | Kwandisa ukozela nokuncipha kokunaka. |
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Imiphumela Engase Ibe Khona
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi.
| Umphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Ubunzima bokuphefumula | Ukuphefumula kuhamba kancane kakhulu noma kunzima. |
| Ukulimala Kwesibindi | Ukuphuzi kwamehlo noma isikhumba, umchamo ophuzi/onsundu omnyama, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukukhathala okukhulu. |
| Ukudideka | Ukulahlekelwa ingqondo, ukulahlekelwa yinkumbulo yendawo nesikhathi. |
| Ngokuvamile akuyona ingozi, kodwa uma iqhubeka, tshela udokotela wakho. | |
| Ukuqunjelwa | Lesi yisimo esivame kakhulu esibangelwa yilo muthi. Uma ungahambi kahle izinsuku ezintathu, tshela udokotela wakho . |
| Ukozela, isiyezi | Lesi simo singase siqhubeke kuze kube yilapho umzimba usujwayele umuthi. |
| Isicanucanu, ukuhlanza | Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla. |
| Umlomo owomile | Phuza amanzi amaningi. Ukuhlafuna itshungama engenashukela kungasiza. |
Ungawugcina futhi uwulahle kanjani umuthi ngokuphephile?
Ngenxa yokuthi lo muthi unamandla kakhulu, udinga futhi ukucabanga ngendlela yokuwuvikela.
- Indawo yokugcina ephephile: Gcina endaweni ephephile, kude nezingane nezilwane ezifuywayo. Lo muthi ungabulala uma ugwinywa ngumntwana noma omunye umuntu.
- Ukulahlwa: Uma unemithi esele noma ephelelwe yisikhathi, kufanele ilahlwe ngendlela efanele. Amanye amakhemisi anezinhlelo ezamukela imithi emidala. Buza udokotela wakho ngayo. Noma, buza udokotela wakho ukuthi ungayilahla kanjani ngokuphephile. Ungalokothi ulahle le mithi enamandla emgqonyeni kadoti nganoma yisiphi isizathu.
Umlayezo Wokuya Nawe Ekhaya
- Lona umuthi wokuqeda izinhlungu onamandla onikezwa kuphela ubuhlungu obukhulu. Sebenzisa njalo njengoba udokotela wakho ekuyalele.
- Ungalokothi uphule, uchoboze, noma uhlafune iphilisi. Ligwinye lonke.
- Gwema ukuphuza utshwala ngenkathi uthatha lo muthi. Kuyingozi kakhulu.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Ungayithathi eminye imithi equkethe i-paracetamol (i-Acetaminophen) kanye nalena.
- Uma usola ukuthi wena noma omunye umuntu uphuze imithi ngokweqile, funa ukwelashwa okuphuthumayo (ETU) ngokushesha.
- Gcina imithi endaweni ephephile njalo lapho izingane nezilwane ezifuywayo zingayifinyeleli khona.
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