Kunzima ukuthola umuntu ongakaze abe nobuhlungu bomhlane ngesikhathi esithile empilweni yakhe, akunjalo? Kwabanye, lokhu kuyinkinga eqhubekayo. Ngakho-ke, uma kufika lobu buhlungu bomhlane , sonke siya ekhemisi ukuyothenga umuthi, noma sithathe umuthi onikezwe udokotela. Kodwa bewazi ukuthi akuyona yonke imithi yalobu buhlungu bomhlane efanayo, futhi ukusebenza kwayo kanye nemiphumela emibi kuhlukile kakhulu komunye nomunye? Namuhla, ake sixoxe ngalokhu.
Ake siqale sibheke i-Paracetamol (i-Acetaminophen).
I-Paracetamol ivame ukuba umuthi wokuqala udokotela azowunikeza ubuhlungu bomhlane. Lolu uhlobo lomuthi esiwaziyo sonke, njenge-Panadol. Kalula nje, ivimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bethu. Kodwa-ke, ayinciphisi ukuvuvukala emzimbeni.
Uma kuqhathaniswa nezinye izidakamizwa zokuqeda ubuhlungu, i-paracetamol ayinzima kangako esiswini. Ngakho-ke iwusizo kakhulu ezinhlungwini zamazinyo, ikhanda elibuhlungu, kanye nobuhlungu ngemva kokuhlinzwa. Kodwa uma sikhuluma iqiniso, abukho ubufakazi obuningi bokukhombisa ukuthi isebenza kangakanani ezinhlungwini zomhlane. Kodwa indlela ethinta ngayo umuntu ngamunye ingahluka. Ngakho-ke yize ucwaningo lungabonisi imiphumela emihle, lungase lukusize.
Izinto okufanele uziqaphele: Ukuthatha i-paracetamol eningi kakhulu kungabangela umonakalo omkhulu wesibindi. Yingakho odokotela beluleka ukuthi bangathathi ama-milligram angu-3,000 (mg) angaphezu kuka-3,000 ngosuku. Nakuba umthamo omkhulu ungama-mg angu-4,000, kungcono ukuhlala ngaphakathi kwebanga eliphephile.
Ama-NSAID (njenge-aspirin ne-ibuprofen)
Lezi ezinye izinhlobo eziyinhloko zama-painkiller ongazithenga ngaphandle kwe-paracetamol. Lezi zibizwa ngokuthi izidakamizwa ezingezona eze-steroidal anti-inflammatory, noma "ama-NSAID". Le mithi isiza ukunciphisa ubuhlungu futhi inciphise nokuvuvukala nomkhuhlane . Imithi efana ne-Ibuprofen, i-Diclofenac, ne-Mefenamic Acid ingeyaleli qembu.
Izinto okufanele uziqaphele: Lawa ma-NSAID angabangela izinkinga zokugaya ukudla njengokucanuzela kwesisu, ubuhlungu besisu, kanye nesilungulela. Akuvamile, angabangela imiphumela emibi njengezilonda zesisu kanye nokopha kwangaphakathi. Angathinta nezinso nenhliziyo ngokusetshenziswa isikhathi eside. Yingakho kubalulekile ukukhuluma nodokotela wakho ngaphambi kokusebenzisa lo muthi.
Iziphumuli Zemisipha
Ngezinye izikhathi, uma ubuhlungu bakho emhlane bubangelwa ukuqaqamba kwemisipha okungazelelwe, udokotela wakho angase akunike lolu hlobo lomuthi. Sibiza lokhu ngokuthi ama-muscle relaxants . Lokhu kusebenza ngokukhulula imisipha eqinile nokunciphisa ubuhlungu. Izibonelo zale mithi zifaka phakathi i-Cyclobenzaprine ne-Tizanidine.
Izinto okufanele uziqaphele: Omunye wemiphumela emibi eyinhloko yalo muthi ukozela kanye nesiyezi . Ngakho-ke, kufanele ugweme ukwenza imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, ngenkathi uthatha lo muthi.
| Uhlobo lomuthi | Ukusebenza okuyinhloko | Imiphumela emibi evamile |
|---|---|---|
| I-Paracetamol (i-Acetaminophen) | Ukuvimba izimpawu zobuhlungu. | Ukudlula umthamo kungabangela ukulimala kwesibindi. |
| Ama-NSAID | Ukunciphisa ubuhlungu nokuvuvukala. | Izinkinga zesisu, ukuvuvukala kwesifuba. Izingozi zesikhathi eside zesifo sezinso nesenhliziyo. |
| Iziphumuli Zemisipha | Ukukhulula imisipha eqinile. | Ukozela okukhulu, isiyezi. |
| Imithi yokucindezeleka | Ukulawula ubuhlungu be-neuropathic. | Ukozela, isiyezi, umlomo owomile, ukuqunjelwa. |
| Ama-opioid | Ukunikeza impumuzo yesikhashana ebuhlungwini obukhulu. | Isicanucanu, ukuqunjelwa, ukozela. Ingozi yokuba umlutha ngokuhamba kwesikhathi. |
Ama-antidepressants okwelapha ubuhlungu bomhlane?
Yebo, uzwile kahle. Ngezinye izikhathi imithi yokucindezeleka nayo inikezwa ubuhlungu bomhlane. Lokhu akunjalo kuzo zonke izinhlungu zomhlane. Uma ubuhlungu bakho bubuhlungu be-neuropathic, okusho ukuthi kuzwakala njengokushaqeka kukagesi noma umuzwa wokuqaqamba ohamba emlenzeni wakho , lo muthi ungaba usizo.
Kodwa awukwazi ukulindela imiphumela ngokushesha ngemva kokuthatha lo muthi. Ngokuvamile kuthatha amasonto ambalwa ngaphambi kokuba uqale ukuzwa impumuzo ebuhlungwini. Imithi efana ne -Amitriptyline ne-Nortriptyline isetshenziswa ngale ndlela.
Izinto okufanele uziqaphele: Imiphumela emibi efana nokozela, isiyezi, umlomo owomile, kanye nokuqunjelwa kungenzeka uma uthatha lo muthi.
Khumbula, kungaba yingozi kakhulu ukuphuza imithi ethengiswa ngaphandle kwemithi kadokotela ngaphandle kokuxilonga kahle imbangela yobuhlungu bakho emhlane. Hlala ucela iseluleko kudokotela oqeqeshiwe.
Ama-opioid, ama-painkiller anamandla
Lezi yizidakamizwa zokuqeda ubuhlungu ezinamandla kakhulu. Izidakamizwa ezifana ne-Tramadol zingaphansi kwaleli qembu. Odokotela ngezinye izikhathi banikeza le mithi yobuhlungu obukhulu emhlane. Kodwa ucwaningo olusha lukhombisile ukuthi le mithi inikeza impumuzo yesikhashana kuphela .
Futhi izingozi ziphezulu. Ngenxa yezinguquko zama-hormone kanye nengozi yokuncika ezidakamizweni, odokotela abavamile ukuzincoma lezi zinkinga ngenxa yobuhlungu obungapheli. Ngisho noma zinconywa, zinikezwa kanye nezinye izindlela zokwelapha, njengokuzivocavoca umzimba kanye nokushintsha indlela yokuphila. Futhi, udokotela wakho uzokuhlola njalo ukuqinisekisa ukuthi le mithi ayikubangeli ukulimala, inciphisa ubuhlungu bakho, futhi yandisa ikhono lakho lokwenza imisebenzi yansuku zonke.
Izinto okufanele uziqaphele: Kungase kube nemiphumela emibi yesikhashana njengesicanucanu nokuqunjelwa. Ukusetshenziswa isikhathi eside kungaholela nasezimweni ezinjengokucindezeleka kanye nokungasebenzi kahle kocansi.
Umlayezo Wokuya Nawe Ekhaya
- Ungasebenzisi noma yimuphi umuthi wokwelapha ubuhlungu bomhlane ngaphandle kokubonisana nodokotela wakho. Into ebaluleke kakhulu ukuthola imbangela eqondile bese uyelapha .
- Akuzona zonke izidakamizwa zobuhlungu ezifanayo. Zinezindlela ezahlukene zokusebenza nemiphumela emibi.
- Ungalokothi weqe umthamo onconywayo, ikakhulukazi emithini efana ne-paracetamol. Lokhu kungabangela ukulimala okukhulu kwesibindi.
- Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (isib. isifo sohudo, isifo sezinso, isifo senhliziyo) kanye nanoma yimiphi eminye imithi oyithathayo.
- Ngokuvamile, imithi iyingxenye eyodwa kuphela yokwelashwa. Ukuzivocavoca okufanele, ukugcina ukuma komzimba, kanye nokushintsha indlela yokuphila nakho kubalulekile ukuze umgogodla ube nempilo.
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