Ngezinye izikhathi izinhlungu esizizwayo aziqedwa yimithi evamile, akunjalo? Ubuhlungu obuvela ngemva kokuhlinzwa noma ukulimala okukhulu abubekezeleleki. Namuhla sikhuluma ngomuthi okhethekile, onamandla wokuqeda izinhlungu odokotela abawunikezayo ngezikhathi ezinjengalezi, lapho eminye imithi yokuqeda izinhlungu ingasebenzi noma ingasetshenziswa.
Luhlobo luni lomuthi lolu?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezimbili zemithi. Lokho kusho ukuthi iphilisi elilodwa liqukethe izinhlobo ezimbili zemithi yobuhlungu.
1. I-Hydrocodone: Lona umuthi onamandla wokuqeda izinhlungu we-opioid . Uma sikhuluma iqiniso, usebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bethu. Lokhu kusho ukuthi kunciphisa inani lobuhlungu esibuzwayo.
2. I-Ibuprofen: Lona umuthi ongowesigaba se -NSAID (Nonsteroidal Anti-inflammatory Drug) . Usebenza ngokunciphisa ukuvuvukala nokuvuvukala endaweni yobuhlungu.
Uma lezi ezimbili zihlanganiswa, zinekhono elikhulu lokulawula ubuhlungu obukhulu. Kodwa khumbula, lokhu akuyona nje imithi yekhanda elivamile. Lona umuthi okufanele usetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Kulungile, lokhu kubaluleke kakhulu manje. Kubalulekile ukuthi udokotela wakho azi kahle ngesimo sakho sempilo ngaphambi kokukunikeza lo muthi. Ngoba lo muthi ungase ungafaneleki kubantu abanezimo ezithile zezokwelapha, noma kungadingeka unikezwe ngokuqapha okukhulu. Ngakho-ke uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho.
| Isimo/umkhuba wezokwelapha | Kungani lokho kubalulekile? |
|---|---|
| Isifo senhliziyo, umfutho wegazi ophakeme, ukuhlaselwa yinhliziyo, isifo sohlangothi, noma ukuhlinzwa kwamuva nje (CABG) | Lo muthi ungandisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi. |
| Izilonda zesisu, ukopha esiswini, noma ezinye izifo zesisu/amathumbu | I-Ibuprofen ingenza lezi zimo zibe zimbi kakhulu futhi yandise ingozi yokopha. |
| I-asthma noma ezinye izinkinga zokuphefumula | I-Hydrocodone ingenza kube nzima ukuphefumula. |
| Isifo sezinso noma sesibindi | Inqubo yokususa imithi emzimbeni ingase ithinteke. |
| Ukuphuza utshwala njalo, ukubhema, noma ukuba umlutha wezidakamizwa | Ingozi yemiphumela emibi iphezulu kakhulu. |
| Ukuthatha imithi yokunciphisa igazi | Kukhulisa kakhulu ingozi yokopha. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo | Lo muthi ungase ube yingozi enganeni (ikakhulukazi ngemva kwamasonto angama-20 okukhulelwa). |
| Ngaphezu kwalokho: ikhanda elibuhlungu, ukuxhuzula, ukucindezeleka, ukuqunjelwa, ukungezwani komzimba. | Kubalulekile ukwazisa udokotela nganoma yiziphi zalezi zimo. |
Ngingawusebenzisa kanjani umuthi?
- Lomuthi kufanele uphuzwe ngomlomo njengephilisi. Ungalokothi uwuphule, uwuchoboze, noma uwuhlafune. Gwinya iphilisi lonke ngamanzi.
- Yithathe njengoba nje udokotela ekuyalele, ngesikhathi esifanele.
- Uma uzizwa ungakhululekile ngemva kokuthatha umuthi, yidla ukudla.
- Lo muthi uvame ukunikezwa abantu abaneminyaka engaphezu kwengu-16. Uma uneminyaka engaphezu kwengu-65, udokotela angase anciphise umthamo ngoba imiphumela yomuthi ingase ibe namandla kancane.
Qaphela: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Noma shayela iNational Poisons Information Centre eColombo National Hospital .
Lomuthi ungowakho kuphela. Umuthi owunikezile ubuhlungu bakho, uwunike omunye umuntu ozwa ubuhlungu naye.Ungalokothi . Lokho kuyingozi kakhulu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ungumuntu ophuza lokhu ngesikhathi esifanayo nsuku zonke, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Yiziphi ezinye izinto ezingahambisani nalo muthi?
Kudingeka uqaphele kakhulu ukuthi yimiphi eminye imithi neziphuzo oziphuzayo ngenkathi uthatha lo muthi, ngoba ungasabela kwezinye izinto futhi ubangele imiphumela emibi kakhulu.
- Utshwala: Ungaphuzi utshwala nalomuthi nganoma yisiphi isizathu . Ukwenza kanjalo kungabangela ukozela ngokweqile, ubunzima bokuphefumula, ngisho nokufa.
- Amanye ama-painkiller: Ungathathi amanye ama-NSAID painkiller njenge-Ibuprofen, i-Aspirin, noma i-Naproxen kanye nalo muthi. Ukwenza kanjalo kwandisa kakhulu ingozi yokopha esiswini. Ngisho nemithi ethengwa ngaphandle kwemithi kadokotela oyithenga ekhemisi ingase ibe nalezi zidakamizwa, ngakho funda ilebula ngokucophelela.
- Eminye imithi ebangela ukozela: Ukuthatha lokhu namaphilisi okulala, imithi yokukhathazeka, kanye neminye imithi yokungezwani komzimba (ama-antihistamine) kungenza ukozela kube kubi nakakhulu.
- Izinto zokunciphisa igazi: Uma kuthathwa nemithi efana neWarfarin ne-Apixaban, ingozi yokopha iyanda.
Ngaphezu kwalokho, ingasebenzisana nezinye izinto eziningi, njengemithi yokucindezeleka, imithi yokuxhuzula, kanye nemithi yokukhuhla. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemikhiqizo yamakhambi .
Izinto okufanele uzicabangele lapho uthatha imithi
- Uma ubuhlungu bungapheli: Ngokuhamba kwesikhathi, kungase kuzwakale sengathi umuthi wezinhlungu awusebenzi kahle njengoba wawusebenza ngaphambili. Lokhu kubizwa ngokuthi ukubekezelela. Lokhu kuvamile. Uma lokhu kwenzeka, khuluma nodokotela wakho. Ungalokothi wandise umthamo ngokwakho.
- Ukuyeka ngokuzumayo: Akuwona umqondo omuhle ukuyeka ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Uma kudingeka, udokotela wakho uzonciphisa kancane kancane umthamo.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi ikuthinta kanjani.
- Ingozi yokopha esiswini: Le ngozi iphezulu kubantu ababhemayo, abantu abaphuza utshwala kanye nabantu asebekhulile. Uma unezinhlungu zesisu ezinzima, ukuhlanza okufana nekhofi, noma igazi esitulweni sakho (isitulo simnyama), tshela udokotela wakho ngokushesha.
- Ukuqunjelwa:Ukuqunjelwa kuvame kakhulu ngalo muthi. Uma ungakwazi ukuya endlini yangasese izinsuku ezintathu, tshela udokotela wakho. Phuza amanzi amaningi futhi udle ukudla okune-fiber eningi.
- Ukusabela okukhulu kwesikhumba: Nakuba kungavamile, ukusabela okukhulu kwesikhumba kungenzeka. Uma uzwa umkhuhlane, izinhlungu zomzimba, kanye nesikhumba esibomvu, esilumayo, amabhamuza, noma isikhumba esixebukayo, funa usizo lwezokwelapha ngokushesha.
Imiphumela emibi engaba khona yomuthi
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (CNS Depression) | Ukuphefumula kancane noma kancane, ukozela ngokweqile, ukungazi lutho, kanye nobunzima bokuvuka. |
| Izimpawu zokopha | Indle emnyama noma ephuzile, ukuhlanza okufana nekhofi eligayiwe, umchamo obomvu/onsundu omnyama, amabala abomvu/onsomi esikhumbeni. |
| Ukuhlaselwa yinhliziyo/i-Stroke | Isifuba, ihlombe, ubuhlungu bengalo, ubunzima bokuphefumula, ukungakhululeki ebusweni/esandleni/emlenzeni, ubunzima bokukhuluma. |
| Ukulimala kwesibindi/izinso | Ubuhlungu esiswini esingaphezulu kwesokudla, ukuphuzi kwamehlo/isikhumba, ukwehla kokukhishwa komchamo, kanye nokuvuvukala kwemilenze. |
| Okuvamile (uma kuqhubeka, tshela udokotela wakho ) | |
| Imiphumela emibi evamile | Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isisu esibuhlungu, isicanucanu. |
Umlayezo Wokuya Nawe Ekhaya
- Lona umuthi oqinile wokuqeda izinhlungu ezibuhlungu. Sebenzisa kuphela ngaphansi kweseluleko sikadokotela.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo ngaphambi kokuqala umuthi.
- Ungaphuzi utshwala ngenkathi uthatha lo muthi nganoma yisiphi isizathu. Qaphela eminye imithi engakwenza ulale.
- Gwinya iphilisi lonke ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna.
- Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, ubuhlungu obukhulu besisu, indle emnyama, noma ukulahlekelwa ukwazi, funa iseluleko sezokwelapha ngokushesha.
- Gcina lo muthi endaweni ephephile kude nezingane nezilwane ezifuywayo. Ungalokothi uwunike abanye.
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