Ngezinye izikhathi ubuhlungu esibuzwayo buba bukhulu kangangokuthi abukwazi ukulawulwa ngama-painkiller avamile. Ikakhulukazi ukuhlala nobuhlungu obungapheli kunzima kakhulu. Ezimweni ezinjalo, lapho eminye imithi yobuhlungu ingasebenzi, umuthi okhethekile onconywa odokotela yiTramadol. Kodwa njengoba lo umuthi unamandla kakhulu, kudingeka siqaphele kakhulu lapho siwusebenzisa. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Iyini ngempela iTramadol?
Kalula nje, i-tramadol iyisidakamizwa esinamandla sokuqeda izinhlungu. Ingeyohlobo lwemithi ebizwa ngokuthi ama-opioid . Lo muthi usebenza ngokuvimbela ukudluliselwa kwezimpawu zobuhlungu ebuchosheni bethu.
Into ebaluleke kakhulu ukuthi isetshenziselwa ukulawula ubuhlungu obuhlala isikhathi eside nobunzima . Ngokuvamile lokhu kungamaphilisi noma ama-capsule akhishwa isikhathi eside. Ngakho-ke, ayifaneleki ubuhlungu obungazelelwe. Isibonelo, ayisetshenziselwa ubuhlungu obuvela ngokuzumayo ngemva kokulimala ekhanda. Kodwa-ke, udokotela wakho angase ayinike umuthi wesimo esifana nobuhlungu bamalunga besikhathi eside.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-tramadol, udokotela wakho kufanele abe nesithombe esiphelele sempilo yakho. Lokhu kungenxa yokuthi ukusebenzisa lo muthi ezimweni ezithile zezokwelapha kungaba yingozi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngazo.
| Isimo sakho sempilo | Kungani isaziso sibalulekile? |
|---|---|
| Ukulutheka kotshwala noma ezinye izidakamizwa | I-Tramadol ingandisa ingozi yokulutha kanye nemiphumela emibi. |
| Ukulimala ekhanda, isimila sobuchopho, noma ukuquleka | Kwandisa ingozi yokuquleka. |
| Isifo sezinso noma sesibindi | Imiphumela emibi inganda njengoba umuthi uthatha isikhathi eside ukuphuma emzimbeni. |
| Isifo samaphaphu, i-asthma, noma ezinye izinkinga zokuphefumula | Ngenxa yokuthi i-tramadol ingenza ukuphefumula kube buthaka, lezi zimo zingaba zimbi kakhulu. |
| Imicabango yokuzibulala noma ukucindezeleka | Akukho ndawo noma akukho ndawo yokuthi lolu hlobo lwemicabango lukhule. |
| Ukuthatha imithi ye-MAOI (isib. iMarplan, iNardil) ezinsukwini eziyi-14 ezedlule | Kungase kwenzeke ukusabela okubi kakhulu, okusongela ukuphila. |
| Ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lo muthi ungathinta ingane engakazalwa kanye nengane encelisayo. |
Uyisebenzisa kanjani kahle le mithi?
Lona umuthi onamandla, ngakho-ke kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Gwinya lonke: Gwinya ithebhulethi noma i-capsule lonke ngengilazi yamanzi. Ungalokothi uliphule, ulichoboze, noma ulihlafune ithebhulethi. Ukwenza kanjalo kungabangela ukuthi umthamo wonke womuthi umunceke emzimbeni ngesikhathi esisodwa, okungadala imiphumela emibi kakhulu.
- Yithathe ngesikhathi esifanele: Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Ungayithatha nokudla noma ngaphandle kokudla. Uma uzizwa ucasukile, yithathe nokudla.
- Thatha umthamo ofanele: Thatha umthamo oshiwo udokotela wakho kuphela, ngesilinganiso esishiwo udokotela. Ungathathi okungaphezu kwalokho ocabanga ukuthi kuyadingeka ukuze unciphise ubuhlungu.
- Ungayeki ngokuzumayo: Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Uma uyeka, udokotela wakho uzonciphisa kancane kancane umthamo.
Kuthiwani uma ngiphuthelwa 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. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu (umthamo oweqile)?
Lesi yisimo esiphuthumayo. Uma ucabanga ukuthi uphuze umuthi omningi kakhulu,Shayela i-National Poisons Information Centre ngokushesha e-Colombo National Hospital. Ngaphandle kwalokho, iya e -Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha.
Ezinye izinto ezingase zihlangane ne-tramadol
I-Tramadol iyisidakamizwa esingasabela kabi ngeminye imithi notshwala.
Ukuphuza i-tramadol notshwala kuyingozi kakhulu. Kungabangela ukozela ngokweqile, ukwehluleka kokuphefumula, ngisho nokufa. Ngakho-ke, gwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
Ngaphezu kwalokho, kufanele futhi utshele udokotela wakho nganoma yimiphi imithi oyithathayo, njenge:
- Imithi yohlobo lwe-MAOI (akufanele ithathwe ndawonye)
- Eminye imithi yokucindezeleka noma ukukhathazeka (isib., i-fluoxetine, i-amitriptyline)
- Imithi yokungezwani komzimba (ama-antihistamine) abangela ukozela
- Amaphilisi okulala
- Imithi yokulwa nokuxhuzula (isib. i-carbamazepine)
- Ama-antifungal (isb., i-ketoconazole)
- Amanye amaphilisi okudambisa izinhlungu anamandla
- Izinto zokunciphisa igazi (isib. i-Warfarin)
Lolu akulona uhlu oluphelele, ngakho-ke kubalulekile ukuze uphephe ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi, kanye nemithi yendabuko .
Qaphela lezi zinto uma uthatha imithi.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele kakhulu futhi unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini , uze wazi kahle ukuthi umuthi ukuthinta kanjani.
- Ukulutheka kanye nokulutheka: Uma uthatha lo muthi wezinhlungu isikhathi eside, umzimba wakho uncika kuwo. Yingakho kungafanele uyeke ngokuzumayo. Lokhu akuyona ukulutheka. Ukulutheka kwenzeka lapho uthatha umuthi ngendlela engafanele ngaphandle kwesizathu sezokwelapha. Unesizathu sezokwelapha sokuthatha umuthi ngoba unesihlungu. Uma unemibuzo ngalokhu, khuluma nodokotela wakho.
- Ukuqunjelwa: Lena inkinga evamile kubantu abaningi abasebenzisa i-tramadol. Ukuphuza amanzi amaningi nokudla ukudla okune-fiber eningi (izithelo, imifino) kungasiza. Uma ungakayi endlini yangasese izinsuku ezintathu, tshela udokotela wakho.
- Ukwelashwa ngokweqisa: Ukuthatha i-opioid ngokweqile kungaba yingozi empilweni. I-Naloxone iwumuthi osindisa impilo osetshenziswa ezimweni eziphuthumayo ezinjalo. Khuluma nodokotela wakho ngokuthi ungayithola kanjani, ukuthi uyisebenzisa kanjani, nokuthi yiziphi izimpawu zokusebenzisa ngokweqile.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-tramadol ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | Izinkinga ezivamile kodwa eziqhubekayo okufanele zibikwe kudokotela |
|---|---|
| Ukusabela okukhulu kokungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi) | Ukuqunjelwa |
| Ukuphefumula kuhamba kancane kakhulu, kuncane, futhi kuyakhandla. | Isiyezi |
| Ukulala ngokweqile, ukudideka, ukungakwazi ukuvuka | Ukozela |
| Umfutho wegazi ophansi (isiyezi, umbono ofiphele) | Umlomo owomile |
| Ukuquleka | Ikhanda elibuhlungu |
| Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni) | Isicanucanu nokuhlanza (Isicanucanu, Ukuhlanza) |
Umlayezo Wokuya Nawe Ekhaya
- I-Tramadol umuthi onamandla osetshenziswa kuphela ezinhlungwini ezibuhlungu zesikhathi eside. Awufaneleki ezinhlungwini eziphuthumayo.
- Ungalokothi uphule, uchoboze, noma uhlafune iphilisi. Ligwinye lonke.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi. Kuyingozi kakhulu.
- Uma uzizwa ulele ngemva kokuthatha umuthi, gwema ukushayela nokwenza imisebenzi edinga ukunakwa.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Lo muthi unamandla kakhulu, ngakho-ke gcina endaweni ephephile engakhiywa, kude nezingane nezilwane ezifuywayo . Ungabelani nanoma ubani.
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