Ngezinye izikhathi ubuhlungu esibuzwayo abuqedwa yimithi yobuhlungu eyodwa noma ezimbili ezivamile, akunjalo? Uma unobuhlungu obungabekezeleleki obungabekezeleleki, kanti ezinye izidakamizwa zobuhlungu azikusebenzeli noma azikakusizi, udokotela wakho angase akunike umuthi wokuqeda ubuhlungu onamandla. I-Celecoxib ne-Tramadol ziyinhlanganisela yemithi emibili enikezwa ezimweni ezinjalo. Ake sixoxe ngalokhu kalula.
Iyini le mithi ebizwa ngokuthi i-Celecoxib ne-Tramadol?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezimbili eziyinhloko zemithi yobuhlungu. Kungase kube ngaphansi kwegama lomkhiqizo elithi SEGLENTIS.
1. I-Celecoxib: Lokhu kungokwesigaba semithi ebizwa ngokuthi i-NSAID (Nonsteroidal Anti-inflammatory Drug) . Isebenza ngokunciphisa ukuvuvukala, okubangela ubuhlungu nokuvuvukala emizimbeni yethu.
2. I-Tramadol: Lona umuthi onamandla wokuqeda izinhlungu ongowesigaba se -opioid . Usebenza ngokunciphisa umuzwa wobuhlungu ngokulawula izimpawu zobuhlungu ezihamba ngqo ebuchosheni.
Ukuhlanganiswa kwale mithi emibili kuvame ukusiza ukulawula ubuhlungu obukhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokusebenzisa lo muthi, kufanele utshele udokotela wakho uma unezinye zezimo ezilandelayo. Ezinye zalezi zingabangela imiphumela emibi eyingozi ngalo muthi.
| Isimo sakho sempilo noma umkhuba wakho | Kungani kufanele wazise udokotela ngakho? (Kalula nje) |
|---|---|
| Izinkinga zokopha | Lo muthi ungandisa ingozi yokopha. |
| Isimila sobuchopho noma ukulimala kwekhanda | Kukhona ingozi yokwanda kwengcindezi ebuchosheni. |
| Ukuhlinzwa kwe-bypass kwakamuva (i-CABG) | Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi inganda. |
| Umlutha wezidakamizwa noma utshwala | I-Tramadol iyi-opioid, ngakho-ke kunengozi enkulu yokuba umlutha. |
| Isifo senhliziyo, umfutho wegazi ophakeme | Ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi inganda. |
| Isifo sezinso noma sesibindi | Umuthi ungase ube nzima ukuwususa emzimbeni futhi ungandisa imiphumela emibi. |
| Ukopha noma izilonda esiswini noma emathunjini | Lo muthi ungase ubhebhethekise lezi zimo. |
| I-asthma noma ezinye izifo zamaphaphu (i-asthma, i-COPD) | Kungase kube nobunzima bokuphefumula. |
| Ukuphuza utshwala, ukubhema | Kwandisa ingozi yokopha esiswini kanye neminye imiphumela emibi. |
| Ukukhulelwa, ukuzama ukukhulelwa, ukuncelisa | Lo muthi ungalimaza ingane engakazalwa. |
| Eminye imithi (ikakhulukazi imithi yokunciphisa igazi, imithi yengqondo, ama-steroid, ama-MAOI) | Kungase kube nokuxhumana okuyingozi neminye imithi. |
| Ukungezwani komzimba nanoma yini | Ngoba lo muthi ungabangela nokungezwani komzimba. |
Ngingawusebenzisa kanjani lo muthi?
- Thatha lo muthi nengilazi yamanzi .
- Yithathe njengoba nje udokotela wakho ekuyalele, ngesikhathi esibekiwe . Kungcono ukuyithatha ngesikhathi esifanayo nsuku zonke.
- Ungayithatha nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu noma isilungulela, yithathe nokudla.
- Ungathathi ngaphezu komthamo obekwe udokotela wakho nganoma yisiphi isizathu.
- Uma uneminyaka engaphezu kwengu-65 ubudala, ungase uzizwe imiphumela yalo muthi kakhulu. Ngakho-ke, unganikezwa umthamo ophansi.
Okubaluleke kakhulu: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungalibali. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lo muthi unikezwe wena wedwa. Ungalokothi wabelane ngalo muthi nanoma ubani omunye. Uyingozi futhi awuvumelekile ngokomthetho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Lo muthi ungasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
| Ungalokothi uthathe lezi zinto nawe! | |
|---|---|
| I-Ketorolac (enye i-NSAID enamandla) | I-MAOI (uhlobo oludala lwemithi yokwelapha isifo sengqondo) |
| I-Linezolid (i-antibiotic) | I-Methylene eluhlaza okwesibhakabhaka |
| Qaphela kakhulu lapho uthatha lezi zinto ndawonye (ngokusebenzisa iseluleko sikadokotela kuphela) | |
| Utshwala | Amanye ama-opioid painkillers |
| Amanye ama-NSAID afana ne-Aspirin, i-Ibuprofen, ne-Naproxen | Imithi evimbela ukujiya kwegazi (njengeWarfarin, Apixaban) |
| Imithi yokucindezeleka nokukhathazeka | Amaphilisi okulala |
| Imithi yokwelapha ukuxhuzula | Ama-steroid afana ne-Prednisone |
| Imithi yokuhlanza | Ama-antifungal kanye namanye ama-antibiotic |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Ukulala nokunaka
Lomuthi ungakwenza uzizwe ulele noma unesizungu . Ngakho-ke ungashayeli noma usebenzise imishini uze wazi ukuthi kukuthinta kanjani. Ikakhulukazi uma usukhulile, ungavuki endaweni ohleli kuyo ngokuzumayo. Lokhu kungakwenza uzizwe unesiyezi bese uwe.
Ukuphuza utshwala
Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi. Ukuhlanganisa lo muthi notshwala kungabangela izimo eziyingozi njengokuphelelwa umoya, ukozela ngokweqile, nokulahlekelwa ukwazi.
Ukuqunjelwa
Ukuqunjelwa kuyimiphumela emibi evamile yeTramadol. Uma ungazange uphume esiswini izinsuku ezintathu, khuluma nodokotela wakho. Ukuphuza amanzi amaningi nokudla ukudla okune-fiber eningi (izithelo, imifino) kungasiza.
Ukopha kwesisu
I-Celecoxib (i-NSAID) kulo muthi ingabangela izilonda noma ukuphuma kwegazi esiswini nasemathunjini. Lokhu kungenzeka ngaphandle kwesixwayiso .Ukubhema, ukuphuza utshwala, ukuguga, kanye nempilo embi kwandisa le ngozi. Uma uzwa ubuhlungu obukhulu esiswini, ukuhlanza okufana nekhofi, noma indle emnyama, ephuzile , bheka udokotela ngokushesha.
Ukujwayela umuthi nokuwuyeka wonke ngesikhathi esisodwa
Uma uthatha lo muthi isikhathi eside, umzimba wakho uzowujwayela (ukubekezelela). Lokhu kusho ukuthi ungadinga umthamo ophakeme kancane ukuze uthole ukukhululeka kobuhlungu njengakuqala. Lokhu kuvamile.
Into ebaluleke kakhulu ukuthi, ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu ezinkulu zokuhoxa. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho uzowunciphisa kancane kancane umthamo.
Ukusabela okukhulu kwesikhumba okungenzeka
Nakuba kungavamile, abanye abantu bangase babe nokusabela okukhulu kwesikhumba kulo muthi. Lokhu kungenzeka ngisho namasonto ambalwa ngemva kokuqala umuthi. Uma uzwa umkhuhlane, ubuhlungu bomzimba, kanye nokuqubuka okubomvu, amabhamuza, noma isikhumba esixebukayo, funa iseluleko sezokwelapha ngokushesha.
Yimiphi imiphumela emibi elindelekile?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ijwayelekile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi, ubunzima bokuphefumula. |
| Ubunzima bokuphefumula (Ukucindezeleka kwe-CNS) | Ukuphefumula kancane , okungajulile, ukozela ngokweqile, ukungazi lutho. |
| Izimpawu zokopha | Umnyama, indle ephuzile, ukuhlanza okufana nokudla okucoliwe, igazi emchameni, kanye namabala abomvu/onsomi esikhumbeni. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu besifuba, ukuqina, ubuhlungu obuphuma ehlombe/engalweni/emhlathini. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukuba ndikindiki, ubuthakathaka, ubunzima bokukhuluma ohlangothini olulodwa lobuso/ingalo/umlenze. |
| Ukulimala kwesibindi/izinso | Ubuhlungu esiswini esingaphezulu kwesokudla, ukuphuzi kwamehlo/isikhumba, ukwehla kokukhishwa komchamo, kanye nokuvuvukala kwemilenze. |
| Kujwayelekile, kodwa uma kuyinkinga, tshela udokotela wakho. | |
| Ukuqunjelwa | Isicanucanu/ukuhlanza |
| Ukozela/isiyezi | Isifiso sokudla |
| Umlomo owomile | Ikhanda elibuhlungu |
Umlayezo Wokuya Nawe Ekhaya
- Thatha lo muthi njengoba nje udokotela emyalile .
- Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
- Ungabelani ngalo muthi nanoma ubani omunye nganoma yisiphi isizathu. Gcina kude nezingane nezilwane ezifuywayo.
- Uma ubhekene nobunzima bokuphefumula, ubuhlungu obukhulu besisu, indle emnyama, noma ukuqubuka kwesikhumba okukhulu, funa iseluleko sezokwelapha ngokushesha.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
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