Ngezinye izikhathi udokotela unikeza umuthi onegama elingavamile esingakaze sizwe ngalo ngaphambili. I-Gabapentin ingaba ngomunye wemithi enjalo. Mhlawumbe unikezwe lo muthi ngenxa yesimo esifana nokuquleka, noma ubuhlungu obukhulu bemizwa ngemva kwe-shingles, noma imilenze engaphumuli ebusuku. Kungakhathaliseki ukuthi siyini isizathu, kubaluleke kakhulu empilweni yakho ukwazi kahle ukuthi yimuphi umuthi owuthathayo. Ngakho-ke namuhla, ake sixoxe nge-Gabapentin ngendlela elula ongayiqonda.
Uhlobo luni lomuthi iGabapentin?
Kalula nje, ubuchopho bethu buqukethe amangqamuzana ezinzwa (ama-neurons). Ngezinye izikhathi, lapho lawa maseli ezinzwa ekhuthazwa ngokweqile, kuvela izimo ezifana nokuquleka noma ubuhlungu obukhulu. Imizimba yethu ngokwemvelo ikhiqiza isithunywa samakhemikhali esibizwa ngokuthi i-GABA (i-Gamma Aminobutyric Acid) . Lokhu kusebenza ngokuzolisa lawo maseli ezinzwa akhuthazwa ngokweqile.
I-Gabapentin umuthi olingisa isenzo se-GABA. Okusho ukuthi, ilawula ukukhuthazwa okungafuneki kwesimiso sethu sezinzwa, ithulisa amangqamuzana ezinzwa, futhi ilawula ukudlula kokuxhuzula kanye nezibonakaliso zobuhlungu ebuchosheni. Yingakho lo muthi ungowesigaba sezokwelapha 'semithi yokulwa nokuxhuzula'. Okusho ukuthi, uhlobo lomuthi olunikezwa ukulawula izimo ezifana nokuxhuzula/ukuquleka.
Yiziphi izinzuzo zokusebenzisa i-Gabapentin?
I-Gabapentin inqunywa kakhulu odokotela njengendlela yokwelapha izimo eziningana zezokwelapha.
| Isimo sesifo | Incazelo elula |
|---|---|
| Ukulawula ukukhubazeka (Ukuquleka Okungaphelele) | Ukulawula nokuvimbela ukuxhuzula (ukuquleka) okuqala engxenyeni eyodwa yobuchopho. Kusetshenziswa ezinganeni ezingaphezu kweminyaka emi-3 ubudala kanye nabantu abadala. |
| I-postherpetic neuralgia (PHN) | Ngemva kokuphathwa yi-shingles, abanye abantu basala nobuhlungu obukhulu bemizwa endaweni. Kuzwakala njengokushaqeka kukagesi, njengokuzwa kokushisa, futhi akubekezeleleki. Lokhu yilokho esikubiza ngokuthi i-Postherpetic Neuralgia (PHN) . I-Gabapentin iyasiza kakhulu ekulawuleni lobu buhlungu. |
| Isifo Semilenze Engaphumli | Abanye abantu, ikakhulukazi ebusuku lapho bephumule, babhekana nokungaphumuli okungajwayelekile emilenzeni yabo, isifiso esingalawuleki sokunyakaza imilenze yabo. Lokhu kungaphazamisa nokulala. I-Gabapentin nayo iyanconywa kulesi simo. |
Ngiyisebenzisa kanjani ngempela le mithi?
Kubaluleke kakhulu ukuthatha isilinganiso esifanele, ngesikhathi esifanele, njengoba kunqunywe udokotela wakho. Qaphela nalezi zinto.
- Iningi lemikhiqizo ye-Gabapentin lingathathwa nokudla noma ngaphandle kokudla. Kodwa-ke, eminye imikhiqizo, njenge-Gralise®, iyanconywa ukuthi ithathwe nokudla kwakusihlwa. Ngakho buza udokotela wakho ngalokhu.
- Uma uthatha iphilisi, ligwinye lonke ngengilazi yamanzi. Ungalihlafuni, uliphule, noma ulichoboze amaphilisi akhishwa isikhathi eside, ikakhulukazi uma esebenza isikhathi eside. Ukwenza kanjalo kungashintsha indlela umuthi osebenza ngayo.
- Uma uthatha umuthi oqeda i-asidi oqukethe i-aluminium noma i-magnesium, njenge-Maalox® noma i-Mylanta®, we-gastritis, kufanele ulinde okungenani amahora amabili ngemva kokuwuthatha ngaphambi kokuthatha i-Gabapentin. Ngaphandle kwalokho, i-Gabapentin ingase ingamuncwa kahle ngumzimba.
- Uma umuthi uluketshezi (isixazululo somlomo), sebenzisa idivayisi yokulinganisa (isirinji noma inkomishi) eza nayo. Ungalinganisi ngezipuni noma izipuni, ngoba lokhu kungabangela umthamo ongalungile.
- Okubaluleke kakhulu: Thatha umthamo owunikiwe wena kuphela, ngesikhathi owunikiwe. Ungalokothi ushintshe umthamo noma uyeke ukuthatha umuthi ngaphandle kokubuza udokotela wakho.
Ingabe i-Gabapentin inemiphumela emibi kakhulu?
Njenganoma yimuphi umuthi, i-Gabapentin ingabangela imiphumela emibi kwabanye abantu. Nakuba iningi lalezi zincane, kubalulekile ukuqaphela izimpawu ezithile ezimbi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Uhlobo lomphumela ongemuhle | Izici okufanele uziqaphele |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukuqubuka, ukulunywa, ukuqubuka kwesikhumba, ukuxebuka kwesikhumba noma ngabe kunomkhuhlane noma cha, ubunzima bokuphefumula noma ukugwinya, ukuvuvukala kobuso, izindebe, umphimbo, ulimi. |
| Izinguquko zengqondo nezokuziphatha | Ukucindezeleka okusha noma okubi kakhulu, imicabango yokuzibulala, ukukhathazeka, ukungahlaliseki, ukuqwasha, intukuthelo engazelelwe, ukuziphatha okungazelelwe, ukudideka, izinkinga zokukhumbula. |
| Izinkinga zesibindi | Ukuphuzi kwesikhumba noma amhlophe emehlweni, umchamo omnyama, indle enombala okhanyayo, ukuhlanza, kanye nokulunywa noma ukuphuma kwegazi okungavamile. |
| Izinkinga zezinso | Ubunzima bokuchama, izinguquko enanini lomchamo owukhiphayo, igazi emchameni wakho, ukuvuvukala emilenzeni yakho ngenxa yokugcinwa koketshezi emzimbeni, kanye nokukhuluphala. |
Uma ubona noma yiziphi izimpawu ezingathi sína ezifana nalezi, ungalindi nje ubone, kodwa yazisa udokotela wakho ngokushesha. Ngezinye izikhathi kungadingeka uye e-ETU (Emergency Treatment Unit).
Imiphumela emibi evamile
Lokhu ngokuvamile akukubi kangako futhi kuyaphela ezinsukwini ezimbalwa.
- Ukozela, ukukhathala
- Isiyezi
- Ikhanda elibuhlungu
- Isicanucanu nokuhlanza
- Imfiva
- Ubunzima bokukhuluma
- Ukulahlekelwa yinkumbulo
- Ukwanda kwesisindo
- Ukuhamba okungalawuleki, ukuthuthumela
- Izinkinga zokubona okukabili
Uma le miphumela emibi emincane iqhubeka noma ikukhathaza, khuluma nodokotela wakho ngayo.
Ingabe i-Gabapentin ibangela izinkinga ngeminye imithi?
Yebo, leli iphuzu elibaluleke kakhulu. Uma uthatha i-Gabapentin kanye neminye imithi ebangela ukozela noma enciphisa ukuphaphama (isib., ama-opioid anezidakamizwa, ama-tranquilizer, kanye neminye imithi yokungezwani komzimba),Kungase kube nezinkinga ezinkulu zokuphefumula.
Le ngozi iphezulu kakhulu kubantu abaneminyaka engaphezu kwengu-65 kanye nalabo abanezifo zamaphaphu (isib. i-COPD).
Funa iseluleko sezokwelapha ngokushesha!
Uma wena noma omunye umuntu othatha i-Gabapentin ngokuzumayo nihlangabezana nokudideka, isiyezi esikhulu, ukuphefumula kancane noma okunzima, ubunzima bokuvuka, noma izindebe noma iminwe eluhlaza okwesibhakabhaka, hamba uye ekamelweni eliphuthumayo ngokushesha.
Futhi, gwema ukuphuza utshwala ngokuphelele . Ukuhlanganisa utshwala neGabapentin kungabangela ukozela okukhulu kanye nesiyezi.
Eminye imibuzo evame ukubuzwa
Ingabe i-Gabapentin iyisidakamizwa?
Cha. I-Gabapentin ayiyona isidakamizwa. Futhi ayiyona i-opioid. Kodwa-ke, kube nemibiko yokuhlukunyezwa ngabanye abantu.
Kwenzekani uma uyeka ukuthatha umuthi ngokuzumayo?
Ungalokothi uyeke ukuthatha i-Gabapentin ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungenza ukuxhuzula kwakho kube kubi kakhulu uma ukusebenzisela ukuxhuzula. Uma ukusebenzisela esinye isimo, izimpawu zakho zingase zibuye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kwenzekani uma uphuza ngokweqile?
Izimpawu zokusebenzisa ngokweqile i-Gabapentin zifaka phakathi ukubona kabili, ukukhuluma okungacacile, kanye nokozela ngokweqile. Uma usola ukuthi othile uphuze kakhulu lo muthi, myise e -ETU (Emergency Treatment Unit) ngokushesha. Uma kudingeka, ungashayela ne-National Poisons Information Center e-Colombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Gabapentin umuthi osetshenziswa kakhulu ukulawula ukuxhuzula kanye nobuhlungu bezinzwa.
- Thatha umthamo oqondile njengoba udokotela wakho ewushilo. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nokusabela okukhulu kokungezwani komzimba, izinguquko zengqondo, noma ubunzima bokuphefumula.
- Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi. Qaphela kakhulu lapho uthatha eminye imithi ebangela ukozela ngokweqile.
- Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo, noma yiziphi ezinye izimo zezokwelapha onazo, kanye nokuthi ukhulelwe noma uncelisa.
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