Imithi yezinhlungu emuva

Ubuhlungu obubuhlungu emuva buhlala buhamba bodwa ngaphezu kwamasonto ambalwa. Kwabanye abantu, ubuhlungu beqolo buyaqhubeka. Kungenzeka kungapheli ngokuphelele noma kungabuhlungu kakhulu kwesinye isikhathi.

Imithi ingasiza futhi ezinhlungwini zakho zasemhlane.

IZIKHULULEKI ZOBUHLUNGU PHEZU KWESIKHATHI

I-counter-the-counter isho ukuthi ungazithenga ngaphandle kwemithi kadokotela.

Abahlinzeki abaningi bezempilo bancoma i-acetaminophen (efana neTylenol) kuqala ngoba inemiphumela emibi embalwa kunezinye izidakamizwa. Ungathathi ngaphezu kuka-3 amagremu (3,000 mg) nganoma yiluphi usuku olulodwa, noma ngaphezu kwamahora angama-24. Ukweqisa i-acetaminophen kungadala umonakalo omkhulu esibindini sakho. Uma usuvele unesifo sesibindi, cela udokotela wakho ukuthi ngabe i-acetaminophen ikulungele yini ukuyithatha.

Uma ubuhlungu bakho buqhubeka, umhlinzeki wakho angaphakamisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID). Ungathenga ama-NSAID, afana ne-ibuprofen ne-naproxen, ngaphandle kwemithi kadokotela. Ama-NSAID asiza ukunciphisa ukuvuvukala okuzungeze idiski yokuvuvukala noma i-arthritis ngemuva.

Ama-NSAID kanye ne-acetaminophen ngemithamo ephezulu, noma uma kuthathwe isikhathi eside, kungadala imiphumela emibi kakhulu. Imiphumela emibi ifaka phakathi ubuhlungu besisu, izilonda noma ukopha, nokulimala kwezinso noma kwesibindi. Uma kwenzeka imiphumela emibi, yeka ukuthatha umuthi zisuka bese utshela umhlinzeki wakho.

Uma uthatha ukudambisa izinhlungu isikhathi esingaphezu kwesonto, tshela umhlinzeki wakho. Ungadinga ukubhekelwa imiphumela emibi.

IZIBHAMBI ZE-NARCOTIC

Ama-narcotic, abizwa nangokuthi ama-opioid pain relievers, asetshenziselwa izinhlungu ezinzima kuphela futhi ezingasizwa ezinye izinhlobo zamaphilisi ezinhlungu. Zisebenza kahle ukuthola usizo lwesikhashana. Ungazisebenzisi ngaphezu kwamasonto amathathu kuya kwayisi-4 ngaphandle kwalapho umyaleli wakho ekuyalile ukuthi enze njalo.

Ama-narcotic asebenza ngokuzibophezela kuma-receptors ebuchosheni, okuvimba umuzwa wezinhlungu. Le mithi ingasetshenziswa kabi futhi yakha imikhuba. Zihlotshaniswe nokudlula ngokweqile ngengozi nokufa. Uma isetshenziswe ngokucophelela nangaphansi kokunakekelwa okuqondile komhlinzeki, zingasebenza ekunciphiseni ubuhlungu.

Izibonelo zezidakamizwa zibandakanya:

• ICodeine
• I-Fentanyl - itholakala njenge-patch
• I-Hydrocodone
• I-Hydromorphone
• I-Morphine
• I-Oxycodone
• I-Tramadol

Imiphumela emibi engaba khona yale mithi ihlanganisa:

• Ukozela
• Ukwahlulela okungalungile
• Isicanucanu noma ukuhlanza
• Ukuqunjelwa
• Ukulunywa
• Ukuphefumula kancane
• Umlutha

Lapho uthatha izidakamizwa, ungaphuzi utshwala, ungashayeli, noma usebenzise imishini esindayo.

Abaziphumulele ngemisipha

Umhlinzeki wakho anganikeza umuthi obizwa ngokuthi i-relaxant yemisipha. Ngaphandle kwegama layo, ayisebenzi ngqo kwimisipha. Esikhundleni salokho, kusebenza ngokusebenzisa ubuchopho bakho kanye nentambo yomgogodla.

Lesi sidakamizwa sivame ukunikezwa kanye nokunciphisa izinhlungu ezithengiswayo ukukhulula izimpawu zobuhlungu beqolo noma ukuqubuka kwemisipha.

Izibonelo zokuphumula kwemisipha zifaka:

• I-Carisoprodol
• ICyclobenzaprine
• I-Diazepam
• I-Methocarbamol

Imiphumela emibi yokuphumula kwemisipha ivamile futhi ifaka ukozela, isiyezi, ukudideka, isicanucanu nokuhlanza.

Le mithi ingaba ukwakheka komkhuba. Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi. Bangasebenzisana neminye imithi noma benze izimo ezithile zezempilo zibe zimbi kakhulu.

Ungashayeli noma usebenzise imishini esindayo ngenkathi uthatha izinto zokuphumula zemisipha. Ungaphuzi utshwala ngenkathi usebenzisa le mithi.

ABASEBENZISI BOKUPHEPHA

Ama-anti-depressants ngokuvamile asetshenziselwa ukwelapha abantu abanokudangala. Kepha, imithamo ephansi yale mithi ingasiza ngobuhlungu obungapheli obuya emuva, noma ngabe umuntu akazizwa edabukile noma ecindezelekile.

Le mithi isebenza ngokushintsha amazinga amakhemikhali athile ebuchosheni bakho. Lokhu kuguqula indlela ubuchopho bakho obubona ngayo ubuhlungu. Ama-anti-depressants asetshenziselwa kakhulu ubuhlungu obungapheli obuya emuva futhi akusiza ulale.

Ama-anti-depressants avame ukusetshenziselwa izinhlungu zangemuva yilezi:

• Amitriptyline
• I-Desipramine
• I-Duloxetine
• Imipramine
• I-Nortriptyline

Imiphumela emibi ejwayelekile ifaka umlomo owomile, ukuqunjelwa, ukungaboni kahle, ukukhuluphala, ukulala, izinkinga zokuchama nezinkinga zocansi. Ngaphansi kokujwayelekile, eminye yale mithi ingadala nezinkinga zenhliziyo namaphaphu.

Ungayiphuzi le mithi ngaphandle kokuthi unakekelwa ngumhlinzeki. Ungayeki ukuthatha le mithi ngokuzumayo noma ushintshe umthamo ngaphandle kokukhuluma nomhlinzeki wakho.

IMITHI YOKULWA NOKUTHUTHUKISWA NOMA UKUPHIKISANA NAYO

Imithi ye-anticonvulsant isetshenziselwa ukwelapha abantu abanesithuthwane noma isithuthwane. Zisebenza ngokubangela ushintsho kwizimpawu zikagesi ebuchosheni. Zisebenza kahle kakhulu ezinhlungwini ezibangelwa ukulimala kwezinzwa.

Le mithi ingasiza abanye abantu abanobuhlungu besikhathi eside emuva obenze kwaba nzima ukuthi basebenze, noma ubuhlungu obuphazamisa imisebenzi yabo yansuku zonke. Futhi zingasiza ekunciphiseni ubuhlungu obuqhamukayo obuvamile ngezinkinga zasemhlane.

Ama-anticonvulsants avame ukusetshenziselwa ukwelapha ubuhlungu obungapheli yilawa:

• ICarbamazepine
• UGabapentin
• I-Lamotrigine
• I-Pregabalin
• I-Valproic acid

Imiphumela emibi ejwayelekile ifaka phakathi ukuzuza kwesisindo noma ukwehla kwesisindo, isisu esidangele, ukulahlekelwa isifiso sokudla, ukuqubuka kwesikhumba, ukozela noma ukuzizwa udidekile, ukudangala, kanye nekhanda.

Ungayiphuzi le mithi ngaphandle kokuthi ungaphansi kokunakekelwa ngumhlinzeki. Ungayeki ukuthatha le mithi ngokuzumayo noma ushintshe umthamo ngaphandle kokukhuluma nomhlinzeki wakho.

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UDixit R. Ubuhlungu obuphansi emuva. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelly noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; I-2017: isahluko 47.

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