Ngezinye izikhathi uzizwa sengathi umsipha emhlane wakho ubambekile, akunjalo? Noma umsipha emlenzeni wakho uyadonseka bese uzwa ubuhlungu obungabekezeleleki. Ngezikhathi ezinjengalezi, udokotela angase akunike umuthi 'wokuphumula imisipha', umuthi ophumuza imisipha. Ngakho-ke, yimiphi le mithi? Isebenza kanjani ngempela? Yiziphi izinto okudingeka siziqaphele lapho siyisebenzisa? Ake sixoxe ngakho konke lokhu ngendlela elula namuhla.
Ziyini lezi zi-Muscle Relaxer?
Kalula nje, lezi uhlobo lwemithi olunikezwa udokotela. Zisetshenziswa kakhulu ukuthinta ukusebenza kwemisipha yethu nokwelapha izinkinga eziningana ezihlobene.
- Ukuqaqamba kwemisipha: Isimo esibuhlungu lapho imisipha iqina khona ngokuzumayo futhi ifinyela.
- I-Spasticity: Isifo sezinzwa esibangela ukuba imisipha iqine unomphela futhi ingakwazi ukugoba noma ukunwebeka.
- Ubuhlungu bemisipha: Ubuhlungu obuhambisana namathambo, amalunga, kanye nemisipha , ikakhulukazi ubuhlungu bomhlane.
Kunezinhlobo ezimbili eziyinhloko zemithi ngaphakathi kwalesi sigaba ezibizwa ngokuthi 'i-Muscle Relaxants'. Ziyi-"Antispasmodics" kanye ne-"Antispastics". Izenzo, ukusetshenziswa, kanye nemiphumela emibi yalezi ezimbili kuhlukile.
Okubalulekile, kulesi sihloko sikhuluma ngemithi enikezwa 'imisipha yamathambo' esingayilawula ngendlela esifisa ngayo. Okusho ukuthi, imisipha esisiza sishukumise izitho zethu nokuhamba. Imithi enikezwa 'imisipha ebushelelezi', esezindaweni ezifana namathumbu ethu nesisu, futhi esingenakuyilawula, ihlukile.
Ngingazithola yini lezi ekhemisi ngaphandle kwencwadi kadokotela?
Lutho neze. Lena imithi enikezwa udokotela kuphela. Udokotela wakho kuphela ongahlonza izimpawu zakho ngokunembile futhi akunike imithi kanye nomthamo ofanele wesimo sakho sempilo.
Uma ubuhlungu bemisipha buvamile, ngezinye izikhathi ungasebenzisa umuthi wokuqeda ubuhlungu, isibonelo, umuthi obizwa ngokuthi "ama-NSAID" (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala). Kodwa-ke, "ama-Muscle Relaxers" uhlobo oluhlukile lomuthi, olungaba nemiphumela emibi kanye nezingozi, ngakho-ke kufanele luthathwe kuphela ngaphansi kweseluleko sikadokotela.
Yiziphi izinhlobo eziyinhloko zeziphumuli zemisipha?
Ithebula elingezansi libala eminye yale mithi kanye namagama emikhiqizo ahlobene nayo. Eminye yale mithi ivame ukusetshenziswa eSri Lanka.
| Isigaba Sezidakamizwa | Imithi (Igama Elijwayelekile) |
|---|---|
| Imithi yokunciphisa izinhlungu | I-Carisoprodol, i-Chlorzoxazone, i-Cyclobenzaprine, i-Metaxalone, i-Methocarbamol, i-Orphenadrine |
| Ama-antispastiki | I-Baclofen, i-Dantrolene |
| Izinhlobo ezinemisebenzi yomibili engenhla (Yomibili Imiphumela) | I-Tizanidine, i-Diazepam (Valium®) |
Kuziphi izimo lapho lo muthi usetshenziswa khona?
Izinhlobo ezimbili zemithi esixoxe ngazo ekuqaleni zisetshenziselwa izinjongo ezahlukene.
Umuthi wokulwa nokuvuvukala kwemisipha (i-antispasm)
Lokhu kusetshenziselwa kakhulu ukwelapha isimo esibizwa ngokuthi i-spasticity. I-Spasticity yisimo lapho eminye imisipha iba lukhuni futhi ifinyele ngenxa yomonakalo ebuchosheni noma emgogodleni. Isibonelo, lapho umuntu ezama ukwelula ingalo yakhe, imisipha ekuleyo ngalo iyaqina ngokuzumayo futhi ayikwazi ukwenza kanjalo. Lesi simo singabonakala ezifweni ezifana nalezi:
- Ukukhubazeka kobuchopho
- I-Multiple sclerosis (MS)
- Ukulimala komgogodla
- Isifo sohlangothi
- Ukulimala ebuchosheni noma ekhanda
- "I-Amyotrophic lateral sclerosis (ALS)"
I-Antispasmodic (umuthi wokuqaqamba kwemisipha nobuhlungu)
Lolu uhlobo lomuthi odokotela abawunikeza abantu abaningi ngenxa yobuhlungu bomhlane kanye nobuhlungu bentamo. Kodwa kukhona into ebaluleke kakhulu sonke okudingeka siyazi lapha.
Le mithi ayivame ukunikezwa njengokwelashwa kokuqala kwesimo esifana nobuhlungu bomhlane. Okusho ukuthi, odokotela bazophendukela kulaba 'Abaphumuli Bemisipha' kuphela uma beke bazama imithi yokubulala izinhlungu, ukuzivocavoca, kanye nokwelashwa ngokomzimba kuqala kodwa behluleka. Isizathu esiyinhloko salokhu imiphumela emibi kanye nengozi yokulutha kwezinye izinhlobo.
Lomuthi usebenza kanjani ngempela?
Ama-muscle relaxer amaningi asebenza ngokuthinta isimiso sethu sezinzwa esiyinhloko, okuwubuchopho kanye nomgogodla. Anciphisa ukusebenza kwesimiso sethu sezinzwa (ama-depressants). Yingakho umzimba uzizwa ulele futhi ukhululekile. Eminye imithi ivimba ngqo izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
Kalula nje, lo muthi usebenza ngokwenza buthaka izimpawu ubuchopho bethu obuzithumela emisipheni yethu ukuze "buqine, zizwe ubuhlungu." Lokhu kubangela ukuthi imisipha iphumule futhi ubuhlungu bunciphe.
Yiziphi imiphumela emibi yalokhu?
Njengayo yonke imithi, lokhu kungaba nemiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngemiphumela emibi ethile engase ivele ngemithi oyinikezwe.
Nazi ezinye zemiphumela emibi evamile:
- Ukozela nokukhathala ngokweqile
- Isiyezi
- Isicanucanu
- Ikhanda elibuhlungu
- Umlomo owomile
Ezinye zalezi, ikakhulukazi ukozela, zenzeka kubantu abaningi. Kodwa uma uhlangabezana nemiphumela emibi kakhulu, njengokuzungeza noma ukubona okufiphele, tshela udokotela wakho ngokushesha.
Ingabe ukuthatha lo muthi kukwenza ulale?
Yebo, nakanjani. Lona umphumela oyinhloko novame kakhulu walolu hlobo lomuthi. Ngenxa yokuthi lo muthi wehlisa ukusebenza kwesimiso sezinzwa, ukunaka kwakho kanye nekhono lakho lokusabela kuyancishiswa.
Ngakho-ke, ngenkathi uthatha lo muthi, gwema imisebenzi edinga ukuqapha nokuphepha, njengokushayela, ukusebenzisa imishini esindayo, nokusebenza ezindaweni eziphakeme. Lokhu kubaluleke kakhulu ekuphepheni kwakho nokwabanye.
Izingozi ezinkulu: umlutha, uphuzo oludakayo, kanye nokweqisa izidakamizwa
Kunezingozi eziningana eziyingozi okufanele siziqaphele ikakhulukazi lapho sisebenzisa lo muthi.
Ungaba umlutha wale mithi?
Yebo. Ezinye izidakamizwa zokuphumula imisipha zingabangela umlutha. Ikakhulukazi, i-Carisoprodol ne-Diazepam (Valium®) zibhekwa njengezinto ezilawulwayo. Ngokusetshenziswa okuqhubekayo, umzimba ungathembela kuzo futhi uthembele kuzo.
Uma wena noma othile emndenini wakho enomlando wokulutheka kwezidakamizwa, khuluma nodokotela wakho ngale mithi. Uma uzizwa sengathi usuyalutheka kule mithi, ungalokothi uthathe okungaphezu komthamo udokotela wakho akunike wona. Khuluma nodokotela wakho ngalokhu ngokushesha.
Ingabe kuyingozi ukuphuza utshwala ngemithi yokuphumula imisipha?
Uma lokhu kunjaloAkuyona into enhle ukwenza noma yini, futhi kungasongela ngisho nokuphila. Kokubili 'ama-Muscle relaxers' kanye notshwala 'kuyimithi yokucindezeleka' ebambezela isimiso sethu sezinzwa. Uma lokhu kokubili kuhlanganiswa, umphumela ungaphindaphindwa kabili noma kathathu, okuholela emiphumeleni eyingozi efana nalokhu:
- Isiyezi esingabekezeleleki
- Ukulala ngokweqile
- Umbono ofiphele
- Umfutho wegazi ophansi kakhulu
- Ukulahlekelwa ingqondo nokuwa
- Izinkinga zememori
- Ukulimala kwesibindi
- Ingozi ephezulu yokufa ngenxa yokudlula ngokweqile
Kuthiwani uma ngithatha imithi ngokweqile?
Ngenxa yokuthi le mithi ingaba umlutha, abanye abantu bayayisebenzisa kabi ngezizathu ezingezona ezokwelapha, njengokuphuza utshwala noma ukuvusa esinye isimo sengqondo. Lokhu kuyingozi kakhulu.
Ukudlula izidakamizwa ngokweqile kungabangela izimpawu ezinzima ezifana nalezi:
- Ukushintsha kokuqonda, ukulahlekelwa ukwazi
- Ukuphupha izinto ezingekho
- Ukuquleka
- Ukucindezeleka kokuphefumula
- Ukuboshwa kwenhliziyo
- I-Coma
- Ukufa
Uma wena noma othile omaziyo eba nanoma yiziphi zalezi zimpawu, ungalibali bese umyisa ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Futhi, uma usola ukuthi uphuze ngokweqile, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Ama-muscle relaxer uhlobo lomuthi okufanele uthathwe kuphela ngomuthi kadokotela. Ungalokothi usebenzise umuthi onikezwe omunye umuntu noma wabelane ngemithi yakho nabanye.
- Le mithi ingabangela ukozela ngokweqile. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini eyingozi ngenkathi uyithatha.
- Okubaluleke kakhulu: Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi. Kungaba nemiphumela eyingozi kakhulu.
- Ezinye izinhlobo zinengozi yokuba umlutha. Uma uzizwa sengathi usuqala ukuthembela emithini, khuluma nodokotela wakho ngokushesha.
- Uma imiphumela emibi ikuphazamisa noma izimpawu zakho zingathuthuki, bona udokotela wakho futhi. Gwema ukushintsha umthamo ngokwakho.
- Uma kuvela izimpawu zokusebenzisa ngokweqile (ukozela ngokweqile, ukulahlekelwa ukwazi, ubunzima bokuphefumula), hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo esibhedlela (ETU).
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