Ake sifunde ngomuthi wokukhwehlela i-Hydrocodone; i-Homatropine.

Nawe kungenzeka ukuthi uke wahlushwa ukukhwehlela ongakwazi ukukuvimba, ongakwazi ukulala ebusuku, futhi ongakwazi ukwenza lutho oluwusizo, akunjalo? Ukuze uthole ukukhwehlela okuvamile, ikhambi lasekhaya noma isiraphu evela ekhemisi izokwenza kahle. Kodwa ngezinye izikhathi ukukhwehlela kuba kubi kakhulu kangangokuthi kufanele ubone udokotela. Khona-ke udokotela angase akwazi ukukunikeza umuthi wokukhwehlela onamandla futhi okhethekile. Omunye umuthi onjalo yi-hydrocodone; i-Homatropine. Lo muthi uza ngesimo soketshezi.

Ake siqale sibone ukuthi lo muthi uyini?

Kalula nje, i-Hydrocodone; i-Homatropine iyisidakamizwa sokunciphisa ukukhwehlela . Inemisebenzi emibili eyinhloko.

1. I-Hydrocodone: Lokhu kungaba umuthi wokwelapha izinhlungu onamandla kancane kanye nokunciphisa ukukhwehlela (i-opioid). Kusebenza ngokuthulisa ingxenye yobuchopho bakho ebangela ukukhwehlela.

2. I-Homatropine: Lokhu kungokwesigaba semithi ebizwa ngokuthi ``Anticholinergics.'' Lokhu kusiza futhi ukulawula ezinye zezimpawu zokukhwehlela.

Ungawuthatha lo muthi kuphela uma unqunywe udokotela. Akusiwo umuthi ongawuthenga ekhemisi ngaphandle kwekhawunta. Ngezinye izikhathi ungasetshenziswa kwezinye izinto, ngakho buza udokotela wakho noma usokhemisi ngawo.

`I-Hycodan`, `I-Hydromet`, `I-Hydropane`, `I-Mycodone` ngamanye amagama emikhiqizo yalo muthi.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi

Kubaluleke kakhulu ukuthi udokotela wakho azi ngezimo zakho zempilo ngaphambi kokukunikeza lo muthi. Lokhu kungenxa yokuthi abanye abantu abanezimo ezithile zezokwelapha bangase bangakwazi ukuthatha lo muthi, noma imiphumela emibi ingase yande. Ngakho-ke, uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho ngokuqinisekile :

• Isifo sika-Addison (`(Isifo sika-Addison)`)
• Isimila sobuchopho
• Isifo senyongo (isifo senyongo)
• I-Glaucoma (i-Glaucoma)
• Ukulimala ekhanda
• Isifo senhliziyo (`(Isifo senhliziyo)`)
• Uma uke waba nomlando wokushaya kwenhliziyo okungajwayelekile (`(Umlando wokushaya kwenhliziyo okungajwayelekile)`)
• Uma uke waba nomlando wesifo sokusetshenziswa kwezidakamizwa (`(Umlando wesifo sokusetshenziswa kwezidakamizwa)`)
• Uma uphuza njalo
• Isifo sezinso
• Isifo sesibindi
• Uma umfutho wegazi uphansi (`(Umfutho wegazi ophansi)`)
• Uma unesifo samaphaphu noma sokuphefumula njenge-asthma
• Inkinga yempilo yengqondo (`(Isimo sempilo yengqondo)`)
• Isifo se-Pancreatic (`(Isifo se-Pancreatic)`)
• Uma uke waba nokuxhuzula ngaphambili
• Izinkinga zesisu noma zamathumbu
• Isifo se-thyroid
• Inkinga yokuchama
• Uma uke waba nokusabela okungavamile kokungezwani komzimba ne-hydrocodone, eminye imithi, ukudla, udayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa
• Uma ungumama oncelisayo

Kubalulekile ukuze uphephe ukukhuluma ngalezi zinto ngokukhululekile.

Ngingawusebenzisa kanjani lo muthi?

Lo muthi kufanele uphuzwe ngomlomo. Kufanele ulandele imiyalelo eselebula likadokotela njengoba nje udokotela wakho ekutshelile.

• Ungayithatha ngaphambi noma ngemva kokudla. Uma uzwa ubuhlungu besisu, yithathe kanye nokudla.
• Into ebaluleke kakhulu ukusebenzisa isipuni noma inkomishi ekhethekile enikezwa yikhemisi ukuze ulinganise umuthi. Ungalingani ngezipuni noma izipuni onazo ekhaya. Azinikezi isilinganiso esinembile. Uma wenza kanjalo, ungase ugcine unomuthi omningi kakhulu noma omncane kakhulu. Uma ungenayo idivayisi enjalo yokulinganisa, cela eyodwa ekhemisi.
• Uma ulinganisa, ungagcwalisi ngokweqile. Kala kahle.
• Hlanza njalo idivayisi yokulinganisa ngamanzi ngemva kokuthatha umuthi.
• Thatha inani elinqunyiwe ngesikhathi esinqunyiwe. Ungathathi okungaphezu kwalokho udokotela akutshele khona.

Ngezinye izikhathi ikhemisi lizokunikeza incwajana yolwazi ekhethekile (`(MedGuide)`) ngalo muthi. Lifunde ngokucophelela isikhathi ngasinye lapho uthola umuthi wakho.

Lo muthi awuvunyelwe ukusetshenziswa ezinganeni, ngakho khuluma nethimba lakho lezokwelapha mayelana nokuwusebenzisa ezinganeni.

Ukweqisa umthamo: Uma ucabanga ukuthi uphuze imithi eminingi kakhulu, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha noma ushayele isikhungo sokulawula ubuthi.

Okubalulekile: Lo muthi ungowakho kuphela. Ungabelani ngalo muthi nanoma ubani nganoma yisiphi isizathu .

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo njengoba kuhleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma umthamo owengeziwe.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Lo muthi ungase uhlangane neminye imithi kanye notshwala, okungaholela emiphumeleni emibi.

Ungalokothi uthathe lo muthi nalokhu okulandelayo:

• Utshwala (`(Utshwala)`)
• Ama-antihistamine okwelapha umkhuhlane, ukukhwehlela, kanye nokungezwani komzimba
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yokucindezeleka, isibonelo `(amitriptyline)`, `(fluoxetine)`, `(sertraline)`
• Eminye imithi esetshenziswa ekuhlaselweni yizinhlungu, njenge: `(carbamazepine)`, `(phenobarbital)`, `(phenytoin)`, `(primidone)`
• Izibulala-zinhlungu ezijwayelekile (isib. i-halothane, i-isoflurane, i-methoxyflurane, i-propofol)
• Izidambisi-zinhlungu zasendaweni (isib. i-lidocaine, i-pramoxine, i-tetracaine)
• Imithi ye-MAOI (isib. `(Carbex)`, `(Eldepryl)`, `(Marplan)`, `(Nardil)`, `(Parnate)`)
• Ezinye izidakamizwa (ama-opiate) zobuhlungu noma ukukhwehlela
• Ama-Phenothiazine (isib. i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine)

Lo muthi ungase futhi uhlangane nalokhu okulandelayo:

• Imithi yokulwa negciwane lengculazi kanye nengculazi
• I-Atropine (`(Atropine)`)
• Amanye ama-antibiotic (isib. i-clarithromycin, i-erythromycin)
• Eminye imithi yezinkinga zesinyi, njenge: `(oxybutynin)`, `(tolterodine)`
• Eminye imithi enikezwa izifo zesikhunta, isibonelo `(ketoconazole)`, `(itraconazole)`
• Eminye imithi esetshenziselwa isifo sikaParkinson (isib. i-benztropine, i-trihexyphenidyl)
• Eminye imithi enikezwa izinkinga zesisu, isibonelo `(dicyclomine)`, `(hyoscyamine)`
• Eminye imithi esetshenziswa ukwelapha isicanucanu sokunyakaza, njenge: `(scopolamine)`
• I-Ipratropium (`(Ipratropium)`)
• I-Rifampin (`(Rifampin)`)

Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi (enikezwe udokotela noma ethengwa ngaphandle kwemithi kadokotela), amakhambi, amavithamini, kanye nezithasiselo zokudla ozithathayo. Tshela nodokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye zalezi zinto zingase zihlangane nalo muthi.

Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?

• Sebenzisa lo muthi njengoba nje udokotela wakho ekutshelile. Ungathathi ngaphezu komthamo onconywayo. Uma usebenzisa lo muthi isikhathi eside, ungase ube nokubekezelelana ('ukubekezelelana'). Lokhu kusho ukuthi umuthi ungase ulahlekelwe ukusebenza kwawo ngokuhamba kwesikhathi. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.
• Uma usuthathe lo muthi isikhathi eside, ungayeki ngokuzumayo. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu. Lokhu kungenxa yokuthi umzimba wakho usujwayele umuthi. Lokhu akusho ukuthi "uyimilutha." Umlutha ukuziphatha kokuthatha nokusebenzisa umuthi ngesizathu esingeyona eyezokwelapha. Uma udokotela wakho efuna ukuyeka umuthi wakho, uzonciphisa kancane kancane inani ukuze anciphise imiphumela emibi.
• Kunezinhlobo eziningana zemithi eqenjini lezidakamizwa (`(ama-opiates)`). Imiphumela emibi inganda uma uthatha izinhlobo eziningana ngesikhathi esisodwa, noma uma uthatha lokhu nomunye umuthi okwenza ulale. Tshela udokotela wakho ngayo yonke imithi oyithathayo. Uzokutshela ukuthi kufanele uthathe malini. Ungathathi ngaphezu kwenani elibekiwe. Shayela izinsizakalo eziphuthumayo ngokushesha uma unenkinga yokuphefumula noma ulele ngendlela engavamile.
• Ungase uzizwe ulele futhi unesiyezi.Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa isiyezi kanye nokuquleka. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Gwema ukuphuza utshwala.
• Lo muthi ungabangela ukuqunjelwa. Hlola ukuthi uyathutha yini okungenani kanye njalo ezinsukwini ezimbili kuya kwezintathu. Uma ungazange uthuthe izinsuku ezintathu, shayela udokotela wakho.
• Umlomo owomile ungaba khona. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amaningi kungasiza ekunciphiseni lokhu. Uma inkinga iqhubeka noma inzima, khuluma nodokotela wakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ayibi yingozi kangako.

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukucindezeleka kwesimiso sezinzwa esiphakathi (ukucindezeleka kwe-CNS): ukuphefumula kancane noma ngokungajulile, ubunzima bokuphefumula, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme.
• Ukusebenza okuphansi kwezindlala ze-adrenal: Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, isiyezi.
• Umfutho wegazi ophansi: Isiyezi, ukuquleka noma ikhanda elikhanyayo, ukubona okufiphele.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ukudideka
• Ukuqunjelwa
• Isiyezi (`(Isiyezi)`)
• Ukozela (`(Ukozela)`)
• Umlomo owomile (`(Umlomo owomile)`)
• Ikhanda elibuhlungu (`(Ikhanda elibuhlungu)`)
• Isicanucanu (`(Isicanucanu)`)
• Ukuhlanza (`(Ukuhlanza)`)

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.

Kufanele uwugcine kanjani umuthi wakho?

Njengoba lo muthi unamandla kancane, kudingeka uqaphele ukuthi uwugcina kanjani.

• Gcina kude nezingane nezilwane ezifuywayo. Lo muthi ungasetshenziswa kabi. Ngakho gcina umuthi wakho endaweni ephephile ukuze uwuvikele ekwebiweni.
• Ungabelani ngalo muthi nanoma ubani. Ukuthengisa noma ukunikeza abanye lo muthi kuyingozi futhi kuphambene nomthetho.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30). Vikela ekukhanyeni.
• Okubalulekile:Lo muthi ungaba yingozi noma ubulale uma uthathwa abanye abantu abadala, izingane, noma izilwane ezifuywayo. Ngakho-ke kufanele uwulahle ngendlela efanele ngokushesha uma ungasawudingi noma uma usuphelelwe yisikhathi. Kunezindlela ezimbili zokwenza lokhu:
• Nikeza imithi ohlelweni lokubuyisela imithi. Buza ikhemisi lakho noma inhlangano yomthetho mayelana nohlelo olunjalo.
• Uma ungakwazi ukuyibuyisela ngaleyo ndlela, hlola ilebula ebhodleleni lomuthi noma ephepheni elingaphakathi ukuze ubone ukuthi kufanele yini ilahlwe kudoti noma ihlanzwe endlini yangasese. Uma ungaqiniseki, buza ithimba lakho lezempilo. Uma kuphephile ukuyilahla kudoti, khipha umuthi ebhodleleni. Xuba nento ongayidingi, njengodoti wekati, inhlabathi, noma ikhofi. Faka ingxube esikhwameni noma esitsheni, uyivale kahle, bese uyilahla kudoti.

Ulwazi olwengeziwe mayelana ne-'Hycodan'

I-'Hycodan®' ingenye yamagama okuhweba ngomuthi i-Hydrocodone; i-Homatropine.

Kuyini i-`Hycodan®`?

I-Hycodan® umuthi onikezwa ngodokotela osebenza ngokuthulisa ingxenye yesimiso sakho sezinzwa esibangela ukuba ukukhwehlela kwakho kume. Iqukethe imithi emibili, i-hydrocodone ne-homatropine. Le mithi emibili isebenza ndawonye ukusiza ekumiseni ukukhwehlela kwakho. Imithi exubile ibizwa nangokuthi imithi exubile.

I-Hydrocodone iyi -opioid engaba umlutha omkhulu. Udokotela wakho uzokunikeza i-Hycodan noma umuthi ofanayo kuphela ngemva kokucabangela lezi zici ezilandelayo:

• Uma izinzuzo zomuthi zidlula ezinye izingozi, okuhlanganisa nengozi yokuba umlutha.
• Ngaphandle kokuthi kungqubuzana neminye imithi noma izithasiselo ozithathayo.
• Ngaphandle kokuthi unesinye isimo sezokwelapha esibangela imiphumela eyingozi.

Njenganoma yimuphi umuthi, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo nokubuza ukuthi kukhona yini ongakuqondi.

Ungalinganisa kanjani uketshezi lwe-'Hycodan'?

Ungalokothi ulinganise i-Hycodan noma omunye umuthi owuketshezi ngethisipuni ekhaya. Kunalokho, sebenzisa idivayisi yokulinganisa eza nomuthi wakho. Izipuni ezivamile ngeke zilinganise ngokunembile. Uma wenza kanjalo, ungase ungasebenzi kahle umuthi uma uphuza kancane kakhulu, futhi ungase usebenzise ngokweqile uma uphuza kakhulu.

Ukweqisa i-opioid kuyisimo esiphuthumayo sezokwelapha esisongela impilo. Kungabangela ukucindezeleka kokuphefumula, ukwehluleka kokuphefumula, ngisho nokufa. Izimpawu eziyisixwayiso zifaka phakathi ukuphefumula okungajulile, okuhamba kancane, noma okuyekile, kanye nezindebe noma izinzipho eziluhlaza okwesibhakabhaka. Uma ucabanga ukuthi wena noma omunye umuntu kungenzeka ukuthi uke wasebenzisa i-opioid ngokweqile, funa usizo lwezokwelapha ngokushesha.

Lithini igama elijwayelekile le-`Hycodan`?

Igama elijwayelekile le-`Hycodan` lithi ``i-hydrocodone bitartrate kanye ne-homatropine methylbromide``. Ngezinye izikhathi libizwa nangokuthi ``i-hydrocodone kanye ne-homatropine``.

Ingabe i-`Hycodan` iqukethe i-codeine?

Cha, kodwa iqukethe i-hydrocodone. Leyo futhi i-opioid. Kokubili i-hydrocodone ne-codeine kuyi-opioids engabangela umlutha kanye nesimo esibizwa ngokuthi i-opioid use disorder. Kubaluleke kakhulu ukusebenzisa lo muthi ngaphansi kokuqondisa okuqinile kukadokotela.

Uma uzizwa sengathi usuqala ukuthembela ngokwengqondo noma ngokomzimba ku-Hycodan noma kunoma yimuphi omunye umuthi, khuluma nodokotela ngokushesha. Ukuthembela ngokwengqondo kusho ukuthi umuthi uthatha imicabango yakho, imizwa, kanye nemisebenzi yansuku zonke. Ungase uwufise lo muthi futhi uzizwe unesibopho sokuwuthatha. Ukuthembela ngokomzimba kusho ukuthi uhlangabezana nezimpawu zokuhoxa ezingathandeki lapho uyeka ukuthatha umuthi. Kunoma ikuphi, udokotela wakho angakusiza uthole ukwesekwa nokwelashwa okudingayo.

Ingabe iHycodan noma iCodeine ingcono ekukhwehleleni?

Ezinye izifundo zibonisa ukuthi i-hydrocodone (isithako esiyinhloko ku-Hycodan) inhle noma ingcono ekuvimbeleni ukukhwehlela kune-codeine. Kodwa okungcono kakhulu kuwe kuncike ezintweni eziningana, okuhlanganisa umlando wakho wezempilo kanye neminye imithi oyithathayo. Udokotela wakho nguyena ozokutshela ukuthi yimuphi umuthi wokukhwehlela ophephile kuwe.

Khumbula, kokubili i-hydrocodone ne-codeine akuphephile ezinganeni ezingaphansi kweminyaka engu-18. Zingabangela imiphumela emibi kakhulu, njengokuphefumula kancane kanye nobunzima bokuphefumula. Zingaholela nasekusetshenzisweni kabi, ekubeni umlutha, ukudlula ngokweqile, noma ngisho nokufa. Ngenxa yalezi zingozi, i-U.S. Food and Drug Administration (FDA) yakhipha isixwayiso ngo-2018 ngokumelene nokusebenzisa le mithi ezinganeni.

I-Hydrocodone ne-codeine nazo ziyingozi kubantu abadala. Izingozi ziyahlukahluka kuye ngeminyaka yakho kanye nezimo zezokwelapha eziyisisekelo. Yingakho odokotela benikeza ama-opioid kuphela ezimweni ezikhethekile lapho eminye imithi ingakasizi. Futhi inikezwa ngomthamo ophansi kakhulu ngesikhathi esifushane kakhulu.

I-Hydrocodone (i-opioid) kanye ne-Homatropine (i-opiate) zihlanganiswa ukwenza umuthi wokunciphisa ukukhwehlela njenge-Hycodan. Uma ukhwehlela, ikakhulukazi uma kunganikezi impumuzo noma kukwenza ulale, kuyaqondakala ukuthi ufuna ukuthola umuthi onamandla kakhulu. Kodwa ezimweni eziningi, ungaqeda ukukhwehlela kwakho ngaphandle kwezingozi ze-opioid ngemithi ethengiswa ngaphandle kwemithi kadokotela noma amakhambi asekhaya.

Uma udokotela wakho ecabanga ukuthi udinga lolu hlobo lomuthi, landela ngqo lokho akushoyo mayelana nokuthi uwuthatha kanjani futhi nini. Tshela udokotela wakho uma unemiphumela emibi noma uma unemibuzo mayelana nokuthi umuthi ukwenza uzizwe kanjani.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke besikhuluma kakhulu ngalomuthi obizwa ngokuthi i-Hydrocodone; i-Homatropine, akunjalo? Khumbula, lo umuthi wokukhwehlela onzima kancane, okhethekile.

Uma usebenzisa lokhu, kubaluleke kakhulu ukukuthatha njengoba nje udokotela wakho ekutshelile, ngenani eliqondile, nangesikhathi esiqondile. Ungakhohlwa ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.

Qaphela ngoba kungabangela ukozela kanye nesiyezi. Ungasebenzisi isikhathi eside kunalokho udokotela akutshele kona, ngoba kungaba umlutha. Futhi, gcina umuthi uphephile futhi ungafinyeleleki ezinganeni. Ulahle kahle uma usuqedile ukuwusebenzisa noma uma usuphelelwe yisikhathi.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, sicela ukhululeke ukubuza udokotela wakho noma usokhemisi.

I- Hydrocodone, i-Homatropine, Umuthi wokukhwehlela, i-Opioid, Imiphumela emibi, Ukusebenzisana kwezidakamizwa, i-Hycodan