Ngezinye izikhathi ubuhlungu esibuzwayo bungaba bukhulu kangangokuthi ama-painkiller avamile awakwazi ukubulawula. Ingabe nawe uzwa ubuhlungu obukhulu kangaka? Lapho amanye ama-painkiller engasebenzi noma ungakwazi ukububekezelela, udokotela angase akunike umuthi onamandla njengalona. Lokhu kuyinhlanganisela yemithi emibili ebizwa ngokuthi i-oxycodone ne-aspirin. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezimbili zemithi.
1. I-Oxycodone: Lona umuthi onamandla wokuqeda izinhlungu. Kwezokwelapha, lokhu sikubiza ngokuthi uhlobo "lwe-opioid". Usebenza ngokuvimbela izimpawu zobuhlungu ebuchosheni. Kufana nokuvala indlela ethwala umyalezo wobuhlungu.
2. I-aspirin: Kungenzeka ukuthi uke wezwa ngayo. Ingaphansi kwesigaba "sama-NSAID". Lokho kusho umuthi ongeyona i-steroidal anti-inflammatory. Umsebenzi wayo oyinhloko ukunciphisa ukuvuvukala nokuvuvukala emzimbeni.
Ngakho-ke uma lezi ezimbili zihlanganiswa, zinekhono elikhulu lokulawula ubuhlungu obukhulu . Lo muthi ungabonakala emakethe ngaphansi kwamagama anjengokuthi `(Endodan)`, `(Percodan)`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokusebenzisa lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
| Isimo | Incazelo |
|---|---|
| Ukopha | Izinkinga zokopha noma izinkinga zokujiya kwegazi. |
| Ikhanda nobuchopho | Izimila zobuchopho, ukulimala ekhanda, ukuxhuzula. |
| Uhlelo lokugaya ukudla | Izilonda zesisu, izifo zamathumbu, ukuqunjelwa okuvamile. |
| Uhlelo lokuphefumula | Isifo samaphaphu, i-asthma, noma ezinye izinkinga zokuphefumula. |
| Ezinye izimo zezokwelapha | Isifo senhliziyo, ukungasebenzi kahle kwezindlala ze-adrenal. |
| Indlela Yokuphila | Ukuphuza utshwala njalo, ukusebenzisa ezinye izidakamizwa (isifo sokusetshenziswa kwezidakamizwa). |
| Eminye imithi | Uma uke wathatha imithi ye-MAOI (isib. i-Parnate, i-Nardil) ezinsukwini ezingu-14 ezedlule. |
| Ukungezwani komzimba | Uma une-allergy ku-aspirin, i-oxycodone, noma eminye imithi, ukudla, noma udayi. |
| Imicimbi ekhethekile | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Ungayisebenzisa kanjani le mithi ngendlela efanele?
- Phuza leli philisi nengilazi yamanzi .
- Yithathe njengoba nje udokotela ekuyalele, ngesikhathi esifanele.
- Uma uzizwa isisu sibuhlungu, sithathe kanye nokudla . Noma akunandaba ukuthi uthatha ngaphambi noma ngemva kokudla.
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo.
- Abantu abangaphezu kweminyaka engama-65 bangase babe nomuzwa ongcono ngemiphumela yalo muthi, ngakho-ke bangase banikezwe umthamo ophansi.
- Lo muthi awuvunyelwe ukusetshenziswa ezinganeni . Ngakho-ke, gwema ukuwunika izingane.
Isexwayiso: Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Yini okufanele uyenze uma umthamo ukhuphuka (ukudlula umthamo)?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, thatha isinyathelo ngokushesha . Uma kungenzeka, shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu. Lokhu kuyinto okungafanele ibambezeleke.
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, impela. Kunethuba elikhulu lokuthi lo muthi ungase uhlangane neminye imithi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini nemikhiqizo yamakhambi.
| Ungalokothi uyithathe nale mithi! | |
|---|---|
| I-Cidofovir | I-Defibrotide |
| I-Ketorolac | I-Methotrexate |
| I-Probenecid | |
| Qaphela kakhulu lapho usebenzisa le mithi ndawonye. | |
| Utshwala | Ubuthongo obukhulu kanye nobunzima bokuphefumula kungase kube khona. |
| Amanye amaphilisi okudambisa izinhlungu | Ama-NSAID afana ne-Ibuprofen ne-Naproxen, kanye nezinye izidakamizwa zokunciphisa ubuhlungu ze-opioid. |
| Ama-anticoagulant | Izidakamizwa ezifana neWarfarin, i-Apixaban, neRivaroxaban. |
| Imithi yokugula kwengqondo | Imithi yokucindezeleka nokukhathazeka. |
| Imithi yokungalali | Ubuthongo kanye nokuphefumula kancane kungase kwenzeke. |
| Imithi yokwelapha ukungezwani komzimba | Imithi eminingi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (ama-antihistamine). |
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uzicabangele lapho uthatha imithi
Mayelana nomthamo wobuhlungu kanye nemithi
Uma uthatha lo muthi isikhathi eside, umzimba wakho ungawujwayela (ukubekezelelana). Lokhu kusho ukuthi ungadinga umthamo ophakeme kancane ukulawula ubuhlungu bakho kunangaphambili. Lokhu kuvamile. Lokhu akusho ukuthi "uyisigqila" somuthi. Ukulutheka kuwukusebenzisa umuthi ngaphandle kwesizathu sezokwelapha. Ngenxa yokuthi usezinhlungwini, unesizathu sezokwelapha sokuthatha lo muthi.
Into ebaluleke kakhulu ukungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungabangela izimpawu ezinkulu zokuhoxa. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho uzowunciphisa kancane kancane umthamo.
Ukozela, ubunzima bokuphefumula kanye ne-Naloxone
Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , gwema ukushayela noma ukusebenzisa imishini ngenkathi uthatha lo muthi. Ukuphuza utshwala kungenza lesi simo sibe sibi kakhulu.
Uma uthatha eminye imithi ekwenza ulale (isib. amaphilisi okulala, ama-tranquilizer), kunengozi yokuphefumula kancane kakhulu (ukucindezeleka kwe-CNS). Uma unenkinga yokuphefumula, ukukhathala okungavamile, noma ulele kakhulu kangangokuthi awukwazi ukuvuka , kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha. `(Naloxone)` iyindlela yokwelapha ephuthumayo yokudlula ngokweqile kwe-`(opioid)`. Buza udokotela wakho ngalokhu.
Izinkinga zesisu
- Ukuqunjelwa: Lona umphumela ovamile ongemuhle walo muthi. Uma ungazange uphume isisu izinsuku ezintathu, shayela udokotela wakho.
- Izilonda zesisu kanye nokopha:Lo muthi ungabangela izilonda esiswini kanye nokopha. Lokhu kungenzeka ngaphandle kwesixwayiso . Uma unezinhlungu esiswini, uhlanza igazi, uhlanza into efana nekhofi, noma indle emnyama, funa iseluleko sezokwelapha ngokushesha.
Amanye amaphuzu abalulekile
- Ukusabela kwesikhumba: Ngezinye izikhathi, ngisho namasonto ambalwa ngemva kokuqala umuthi, kungase kube nama-blister ansomi noma abomvu noma isikhumba esiqhekekayo kanye nomkhuhlane, ubuhlungu bomzimba, kanye nokuqubuka. Uma lokhu kwenzeka, bona udokotela ngokushesha.
- Ukukhulelwa: Ukuthatha lo muthi ngesikhathi sokukhulelwa kungabangela izinkinga ezinkulu zokuzalwa komntwana. Ngakho-ke, abesifazane abakhulelwe kanye nalabo abanethemba lokukhulelwa kufanele bakhulume nodokotela wabo ngalokhu.
- Umlomo owomile: Uma umlomo wakho womile, ukuhlafuna itshungama engenashukela, ukumunca amaswidi angafakwanga ushukela, noma ukuphuza amanzi amaningi kungasiza.
Yimiphi imiphumela emibi engaba khona?
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukopha | Indle emnyama noma enegazi, ukuhlanza igazi noma into efana nekhofi eligayiwe, umchamo onsundu omnyama/obomvu. |
| Ubunzima bokuphefumula | Ukuphefumula kancane, ubunzima bokuphefumula, ukozela okukhulu, ukungazi lutho. |
| Izinkinga zezinso noma zesibindi | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, nezinyawo, ukuphuzi kwamehlo noma isikhumba, kanye nobuhlungu ohlangothini oluphezulu lwesokudla lwesisu. |
| Ukulahlekelwa ukuzwa | Ukukhala ezindlebeni noma ukulahlekelwa ukuzwa. |
| Okuvamile (kodwa tshela udokotela wakho uma kuqhubeka noma kuyakhathaza) | |
| Ukuqunjelwa | Isiyezi, ukozela |
| Umlomo owomile | Ikhanda elibuhlungu, ukulahlekelwa yisifiso sokudla |
| Isicanucanu, ukuhlanza | Ukungakhululeki kwesisu |
Umlayezo Wokuya Nawe Ekhaya
- Lona umuthi onamandla wobuhlungu obukhulu. Sebenzisa njengoba uqondiswe udokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izifo onazo.
- Ungalokothi wabelane ngalo muthi nanoma ubani omunye, futhi uwugcine endaweni ephephile kude nezingane nezilwane ezifuywayo.
- Uma uhlangabezana nezimpawu ezinkulu njengobunzima bokuphefumula, indle emnyama, noma ukuhlanza igazi, funa iseluleko sezokwelapha ngokushesha.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Kubaluleke kakhulu ukuze uphephe ukugwema ukuphuza utshwala nokushayela ngenkathi uthatha lo muthi.
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