I-Acetaminophen-Tramadol, Ithebhulethi Yomlomo

-Delile

• Okuvelele kwe-acetaminophen / tramadol
• Yini i-acetaminophen / tramadol?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Acetaminophen / tramadol
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Acetaminophen / tramadol ingaxhumana neminye imithi
• Izidakamizwa ezibangela ukozela
• I-Acetaminophen
• Izidakamizwa ezingadala ukuquleka
• Izidakamizwa ezithinta i-serotonin yobuchopho
• Izidakamizwa ezithinta ukusebenza kwesibindi
• Izinzwa zokubulala izinzwa
• Imithi yokuquleka
• Imithi yenhliziyo
• I-blood thinner (i-anticoagulant)
• Ungayithatha kanjani i-acetaminophen / tramadol
• Isilinganiso sokwelashwa kwesikhashana kobuhlungu obunzima
• Ukucatshangelwa okukhethekile komthamo
• Thatha njengoba kuqondisiwe
• Izexwayiso ze-Acetaminophen / tramadol
• Isexwayiso sokudlikiza
• Isixwayiso sokuzibulala
• Isexwayiso se-Serotonin syndrome
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kokudla
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ukucatshangelwa okubalulekile kokuthatha i-acetaminophen / tramadol
• Jikelele
• Isitoreji
• Ukuvakasha
• Ukuqapha komtholampilo
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-acetaminophen / tramadol

1. Ithebhulethi yomlomo yeTramadol / acetaminophen iyatholakala njengesidakamizwa esinegama lomuthi kanye nomuthi ojwayelekile. Igama lomkhiqizo: Ultracet.
2. I-Tramadol / i-acetaminophen iza kuphela njengethebhulethi oyiphuza ngomlomo.
3. I-Tramadol / acetaminophen isetshenziselwa ukwelapha ubuhlungu. Ijwayele ukusetshenziselwa isikhathi esingeqile ezinsukwini ezi-5.

Yini i-acetaminophen / tramadol?

I-Tramadol / i-acetaminophen yinto elawulwayo, okusho ukuthi ukusetshenziswa kwayo kulawulwa nguhulumeni.

I-Tramadol / i-acetaminophen ngumuthi kadokotela. Kuza kuphela njengethebhulethi yomlomo.

Lesi sidakamizwa siyatholakala njengesidakamizwa esinegama lomkhiqizo I-Ultracet. Itholakala futhi ngendlela ejwayelekile.

Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengesidakamizwa esinegama lomkhiqizo.

Lesi sidakamizwa siyinhlanganisela yezidakamizwa ezimbili noma ngaphezulu ngendlela eyodwa. Kubalulekile ukwazi ngayo yonke imishanguzo esehlanganisweni ngoba umuthi ngamunye ungakuthinta ngendlela ehlukile.

Kungani kusetshenziswa

I-Tramadol / i-acetaminophen isetshenziselwa ukwelapha ubuhlungu obulinganiselayo kuze kube sezinsukwini ezi-5. Kungasebenza kangcono ebuhlungu kunokusebenzisa i-tramadol noma i-acetaminophen kuphela.

Lesi sidakamizwa singasetshenziswa esikhundleni se-acetaminophen egcwele umthamo, izidakamizwa ezingezona ukuvuvukala (ama-NSAID), nezinhlanganisela ze-opioid ezisetshenziselwa izinhlungu.

Isebenza kanjani

Lo muthi uqukethe i-tramadol ne-acetaminophen. I-Tramadol ingeyesigaba semithi yezinhlungu ebizwa ngama-opioid (izidakamizwa). I-Acetaminophen iyi-analgesic (iqeda izinhlungu), kepha ayikho ezigabeni zemithi ye-opioid noma ye-aspirin.

I-Tramadol ilapha ubuhlungu ngokusebenza ohlelweni lwezinzwa oluphakathi. Kunganciphisa nobuhlungu ngokusebenza ku-norepinephrine ne-serotonin ebuchosheni bakho.

I-Acetaminophen ilapha ubuhlungu futhi yehlise imfiva.

Ithebhulethi yomlomo ye-Acetaminophen / tramadol ingadala ukozela. Ungashayeli noma usebenzise imishini esindayo uze wazi ukuthi umzimba wakho uphendula kanjani kulo muthi.

Imiphumela emibi ye-Acetaminophen / tramadol

I-Acetaminophen / tramadol ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engaba khona ngenkathi uthatha i-acetaminophen / tramadol. Lolu hlu alufaki yonke imiphumela emibi engaba khona.

Ukuthola eminye imininingwane ngemiphumela engemihle ye-Acetaminophen / tramadol, noma amathiphu wokuthi ungabhekana kanjani nemiphumela emibi ekhathazayo, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka ngalo muthi uma uyiphuza izinsuku ezi-5 ifaka:

• ukuzwa ukozela, ukulala noma ukukhathala
• kunciphise ukuhlushwa nokuxhumanisa
• ukuqunjelwa
• isiyezi

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela ku-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Ukusabela okweqile, okungasongela impilo. Izimpawu zingafaka:
  • ukuqubuka
  • ukulunywa
• Ukulimala kwesibindi nokuhluleka kwesibindi. Izimpawu zokulimala kwesibindi zingafaka:
  • umchamo omnyama
  • indle ephaphathekile
  • isicanucanu
  • ukuhlanza
  • ukulahlekelwa isifiso sokudla
  • ubuhlungu besisu
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• Ukudlikiza
• Ingozi eyengeziwe yokuzibulala
• I-Serotonin syndrome, engabulala uma ingalashwa. Izimpawu zingafaka:
  • ukuyaluza
  • ukusangana
  • ikhoma
  • ukukhuphuka kwenhliziyo noma ukushaya kwenhliziyo okusheshayo
  • izinguquko kumfutho wegazi
  • imfiva
  • ukucabanga okwengeziwe
  • ukuntuleka kokuxhumana
  • isicanucanu
  • ukuhlanza
  • isifo sohudo
  • isithuthwane
• Ukuphefumula kancane
• Izimpawu ezengeziwe zokucindezeleka
• Ukuhoxa (kuthinta abantu abathathe lo muthi isikhathi eside noma abenza umkhuba wokuphuza umuthi). Izimpawu zingafaka:
  • ukungahlaliseki
  • inkathazo yokulala
  • isicanucanu nokuhlanza
  • isifo sohudo
  • ukulahlekelwa isifiso sokudla
  • ukwanda kwengcindezi yegazi, ukushaya kwenhliziyo, noma izinga lokuphefumula
  • ukujuluka
  • Ukugodola
  • ubuhlungu bemisipha
  • abafundi abanzi (mydriasis)
  • ukucasuka
  • ubuhlungu emuva noma ngokuhlanganyela
  • ubuthakathaka
  • amajaqamba esiswini
• Ukungasebenzi kahle kwe-adrenal. Izimpawu zingafaka:
  • ukukhathala okuhlala isikhathi eside
  • ubuthakathaka bemisipha
  • ubuhlungu esiswini sakho
• Ukushoda kwe-Androgen. Izimpawu zingafaka:
  • ukukhathala
  • inkathazo yokulala
  • amandla anciphile

I-Acetaminophen / tramadol ingaxhumana neminye imithi

I-Acetaminophen / tramadol ingaxhumana neminye imithi eminingi. Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ezinye zingaphazamisa ukuthi usebenza kanjani umuthi, kanti ezinye zingadala imiphumela emibi eyengeziwe.

Ngezansi kunohlu lwemithi engasebenzisana ne-acetaminophen / tramadol. Lolu hlu alunazo zonke izidakamizwa ezingasebenzisana ne-acetaminophen / tramadol.

Ngaphambi kokuthatha i-acetaminophen / tramadol, qiniseka ukuthi utshela udokotela kanye nosokhemisi ngayo yonke imishanguzo kadokotela, i-counter-counter, nezinye izidakamizwa oziphuzayo.

Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

Izibonelo zezidakamizwa ezingadala ukusebenzisana ne-tramadol / acetaminophen zibalwe ngezansi.

Izidakamizwa ezibangela ukozela

I-Tramadol / i-acetaminophen ingase ibe yimbi kakhulu imiphumela le mithi enayo ohlelweni lwakho lwezinzwa noma ekuphefumuleni. Izibonelo zale mithi zifaka:

• imithi esetshenziselwa ukulala
• izidakamizwa noma ama-opioid
• izidakamizwa zezinhlungu ezisebenza ohlelweni lwezinzwa oluphakathi
• imithi yokuguqula ingqondo (psychotropic)

I-Acetaminophen

Ukusebenzisa lo muthi nezinye izidakamizwa eziqukethe i-acetaminophen kungakhuphula ubungozi bokulimala kwesibindi.

Ungathathi i-tramadol / acetaminophen ngemithi efakwa kuhlu i-acetaminophen, noma isifinyezo se-APAP, njengesithako.

Izidakamizwa ezingadala ukuquleka

Ukuhlanganisa lo muthi nale mithi elandelayo kukhulisa ubungozi bokuquleka:

• imishanguzo efana ne:
  • i-serotonin reuptake inhibitors ekhethiwe (SSRIs)
  • ama-tricyclics
  • i-monoamine oxidase (MAO) inhibitors
• ama-neuroleptics
• amanye ama-opioid (izidakamizwa)
• imithi yokwehlisa isisindo (i-anorectics)
• thembela
• cyclobenzaprine
• imithi eyehlisa umkhawulo wokubanjwa
• naloxone, engasetshenziswa ukwelapha ukweqisa izidakamizwa kwe-tramadol / acetaminophen

Izidakamizwa ezithinta i-serotonin yobuchopho

Ukusebenzisa lo muthi ngezidakamizwa ezisebenza nge-serotonin ebuchosheni kungakhuphula ubungozi be-serotonin syndrome, engabulala. Izimpawu zingabandakanya ukuyaluza, ukujuluka, ukudikiza kwemisipha nokudideka.

Izibonelo zale mithi zifaka:

• i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs) efana ne-fluoxetine ne-sertraline
• i-serotonin ne-norepinephrine reuptake inhibitors (SNRIs) efana ne-duloxetine ne-venlafaxine
• i-tricyclic antidepressants (TCAs) efana ne-amitriptyline ne-clomipramine
• i-monoamine oxidase inhibitors (i-MAOIs) efana ne-selegiline ne-phenelzine
• imishanguzo ye-migraine (triptans)
• linezolid, isibulala-magciwane
• lithium
• I-wort yaseSt. John, umuthi

Izidakamizwa ezithinta ukusebenza kwesibindi

Izidakamizwa ezishintsha ukuthi isibindi sehla kanjani i-tramadol zingakhuphula ubungozi be-serotonin syndrome. Izibonelo zemithi okungafanele isetshenziswe ne-tramadol / acetaminophen zifaka:

• i-quinidine, esetshenziselwa ukulawula ukushaya kwenhliziyo
• ukudana noma izidakamizwa zokukhathazeka njenge-fluoxetine, i-paroxetine, noma i-amitriptyline
• imishanguzo elwa namagciwane efana ne-ketoconazole noma i-erythromycin

Izinzwa zokubulala izinzwa

Ukusebenzisa le mithi ngemithi yokubulala izinzwa namanye ama-opioid kunganciphisa ukuphefumula kwakho.

Imithi yokuquleka

I-Carbamazepine iguqula indlela isibindi sakho esidiliza ngayo i-tramadol, enganciphisa ukuthi i-tramadol / acetaminophen ibuphatha kahle kanjani ubuhlungu bakho.

ICarbamazepine ingasetshenziselwa ukwelapha ukuquleka. Ukuyisebenzisa ne-tramadol kungafihla ukuthi uyaquleka.

Imithi yenhliziyo

Isebenzisa I-digoxin nge-tramadol kungakhuphula amazinga we-digoxin emzimbeni wakho.

I-blood thinner (i-anticoagulant)

Ukuthatha warfarin nge-tramadol / acetaminophen kungadala ukuthi wophe kakhulu uma unesilonda.

Ungayithatha kanjani i-acetaminophen / tramadol

Umthamo we-acetaminophen / tramadol odonswa ngudokotela wakho uzoncika ezicini ezithile. Lokhu kufaka phakathi:

• uhlobo nobukhali besimo osisebenzisayo ukwelapha i-acetaminophen / tramadol
• iminyaka yakho
• uhlobo lwe-acetaminophen / tramadol oyithathayo
• ezinye izimo zezokwelapha ongahle ube nazo

Imvamisa, udokotela wakho uzokuqala ngomthamo ophansi futhi awulungise ngokuhamba kwesikhathi ukufinyelela umthamo okulungele wena. Ekugcineni bazonquma isilinganiso esincane kunazo zonke esihlinzeka ngomphumela oyifunayo.

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Yonke imithamo namafomu okungenzeka angafakwa lapha.

Isilinganiso sokwelashwa kwesikhashana kobuhlungu obunzima

Okujwayelekile: I-Tramadol / i-acetaminophen

• Ifomu: ithebhulethi yomlomo
• Amandla: 37.5 mg tramadol / 325 mg acetaminophen

Umkhiqizo: I-Ultracet

• Ifomu: ithebhulethi yomlomo
• Amandla: 37.5 mg tramadol / 325 mg acetaminophen

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: Amaphilisi ama-2 athathwa njalo emahoreni ama-4-6 njengoba kudingeka.
• Umthamo omkhulu: Amaphilisi ama-8 ngamahora angama-24.
• Isikhathi sokwelashwa: Lo muthi akufanele uphuzwe isikhathi esingaphezu kwezinsuku ezi-5.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi lo muthi uphephile noma uyasebenza ezinganeni ezingaphansi kweminyaka eyi-18.

Ukucatshangelwa okukhethekile komthamo

Kubantu abanomsebenzi wezinso owehlisiwe: Uma unciphise ukusebenza kwezinso, isikhathi esiphakathi kwamanani akho singashintshwa sibe njalo emahoreni ayi-12.

Kubantu abathatha ukucindezeleka kwesistimu yezinzwa noma utshwala: Umthamo wakho ungadinga ukwehliswa uma usebenzisa utshwala noma omunye wale mithi elandelayo:

• ama-opioid
• izinto ezibulala izinzwa
• izidakamizwa
• ama-phenothiazines
• izidakamizwa
• ukuluthisa okuluthayo

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo ye-Acetaminophen / tramadol isetshenziselwa ukwelashwa kwesikhashana okungafika ezinsukwini ezi-5. Uma usebenzisa i-tramadol isikhathi eside, ungahle ubekezelele imiphumela yayo.

Kungaba nokwakha umkhuba, okusho ukuthi kungadala ukuncika kwengqondo noma komzimba. Lokhu kungadala ukuthi ube nezimpawu zokuhoxa lapho uyeka ukuyisebenzisa.

Lesi sidakamizwa siza nezingozi ezinkulu uma ungathathi njengoba kuchazwe ngudokotela wakho.

Uma uthatha kakhulu: Akufanele uthathe amaphilisi angaphezu kwesishiyagalombili esikhathini samahora angama-24. Lesi silinganiso esiphezulu singaba sincane uma unezimo ezithile zempilo. Ukuthatha kakhulu lo muthi kungakhuphula ubungozi bokuncipha kokuphefumula, ukuquleka, ukulimala kwesibindi nokufa.

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Uma uyeka ukuthatha ngokuzumayo: Lo muthi ungaba umkhuba uma uwuthatha isikhathi eside. Ungahlakulela ukuncika ngokomzimba. Uma uyeka ngokungazelelwe ngemuva kokukuthatha isikhathi eside, ungahle ube nezimpawu zokuhoxa. Izimpawu zokuhoxa zingabandakanya:

• ukungahlaliseki
• inkathazo yokulala
• isicanucanu nokuhlanza
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ukwanda kwengcindezi yegazi, ukushaya kwenhliziyo, noma izinga lokuphefumula
• ukujuluka
• Ukugodola
• ubuhlungu bemisipha

Ukwehla kancane kwemithamo nokwandisa isikhathi phakathi kwamanani kunganciphisa ingozi yezimpawu zokuhoxa.

Ungasho kanjani ukuthi umuthi uyasebenza: Ubuhlungu bakho kufanele banciphe.

Izexwayiso ze-Acetaminophen / tramadol

Lesi sidakamizwa siza nezixwayiso ezahlukahlukene.

Isexwayiso sokudlikiza

Ungaba nokuquleka lapho uthatha imithamo ye-tramadol ejwayelekile noma ephakeme kunokujwayelekile. I-Tramadol ingenye yezidakamizwa kulo muthi wokuhlanganiswa. Ingozi yakho yokuqothuka iyanda uma:

• thatha imithamo ephakeme kunaleyo enconyiwe
• ube nomlando wokuquleka
• thatha i-tramadol neminye imithi, njenge-anti-depressants, amanye ama-opioid, noma ezinye izidakamizwa ezithinta ukusebenza kobuchopho

Isixwayiso sokuzibulala

Ukuhlanganiswa kwe-tramadol ne-acetaminophen kungandisa ingozi yokuzibulala. Ingozi yakho ingaba phezulu uma unengcindezi, ucabanga ngokuzibulala, noma usebenzise kabi imithi esikhathini esedlule.

Isexwayiso se-Serotonin syndrome

Ukuhlanganiswa kwe-tramadol ne-acetaminophen kungakhuphula ubungozi be-serotonin syndrome. Le ngozi kungenzeka uma unezinkinga ezithile zezokwelapha noma uthatha imithi ethile. Izimpawu ze-serotonin syndrome zingafaka:

• ukuyaluza
• ukukhuphuka kwenhliziyo noma ukushaya kwenhliziyo okusheshayo
• izinguquko kumfutho wegazi
• ubuthakathaka bemisipha
• imfiva
• ukudlikiza

Isexwayiso somzimba

Ungathathi lo muthi uma ngabe uke waba nokungezwani komzimba ngaphambi kwe-tramadol, i-acetaminophen, noma isigaba semithi ye-opioid. Ukuyithatha okwesibili ngemuva kokuphendula okweqile kungadala ukufa.

Lo muthi ungadala ukusabela okweqile komzimba. Yeka ukuthatha umuthi zisuka nje bese ushayela udokotela wakho uma unanoma iyiphi yalezi zimpawu ngemuva kokuyiphuza:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi
• ukulunywa kanye nesifuba
• ukushwabana, ukuxebuka, noma ukuqubuka kwesikhumba okubomvu
• ukuhlanza

Yize kuyivelakancane, abanye abantu baba nokungezwani okukhulu okuholela ekufeni ngemuva komthamo wabo wokuqala we-tramadol.

Isexwayiso sokusebenzisana kokudla

Ukuthatha lo muthi ngokudla kungakwenza kuthathe isikhathi eside ukudambisa izinhlungu zakho.

Isexwayiso sokusebenzisana kotshwala

Ukusebenzisa utshwala ngenkathi uthatha lo muthi kungadala umphumela wokuthambisa ongaba yingozi. Kungadala ukucabanga okuhamba kancane, ukwahlulela okungafanele, nokulala.

Uma usetshenziswa ngotshwala, lo muthi unganciphisa nokuphefumula futhi udale ukulimala kwesibindi. Uma usebenzisa kabi utshwala ngenkathi usebenzisa lo muthi, unengozi enkulu yokuzibulala.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanenkinga yezinso. Izinso zakho zingasusa i-tramadol emzimbeni wakho kancane. Lokhu kwandisa ubungozi bakho bemiphumela emibi eyingozi. Ungadinga ukuthatha le mithi kaningi ngosuku.

Kubantu abanesifo sesibindi. Le mithi ingakhuphula ubungozi bokuhluleka kwesibindi. Akufanele usebenzise le mithi uma unesifo sesibindi.

Eyabantu abanesithuthwane. Lo muthi ungakhuphula ubungozi bakho bokuquleka uma unesifo sokuwa (isithuthwane) noma umlando wokuquleka. Lokhu kungenzeka uma uthatha imithamo ejwayelekile noma ephakeme. Kungakhuphula nengozi yakho yokuquleka uma:

• ukuhlukumezeka ekhanda
• unenkinga nge-metabolism yakho
• baphuza utshwala noma izidakamizwa
• unokutheleleka ebuchosheni bakho (uhlelo oluphakathi lwezinzwa)

Okwabantu abanokudangala. Le mithi ingakhulisa ukudangala kwakho uma uyiphuza nemithi esiza ngama-anti-depressants, ukulala (i-sedative hypnotics), i-tranquilizers, noma i-relaxers yemisipha. Lesi sidakamizwa singakhuphula nobungozi bokuzibulala uma:

• imizwa yakho ayizinzile
• ucabanga noma uzame ukuzibulala
• usebenzise kabi izidambisi, utshwala, noma eminye imithi esebenza ebuchosheni

Uma ucindezelekile noma ucabanga ngokuzibulala, tshela udokotela wakho. Bangaphakamisa umuthi wezinhlungu ovela esigabeni esihlukile sezidakamizwa.

Kubantu abanokwehla kokuphefumula. Le mithi inganciphisa ukuphefumula kwakho uma wehlile ukuphefumula noma usengozini yokwehlisa ukuphefumula. Kungaba ngcono kuwe ukuthi uphuze umuthi wezinhlungu ovela esigabeni esihlukile sezidakamizwa.

Kubantu abanengcindezi yobuchopho noma ukulimala ekhanda. Uma ulimele ekhanda noma ucindezelwe ngokwengeziwe ebuchosheni bakho, lo muthi unga:

• ukwenza ukuphefumula kwakho kube kubi ngokwengeziwe
• khulisa ingcindezi kuketshezi lwakho lwe-cerebrospinal
• yenza abafundi bamehlo akho babe mncane
• kubangele izinguquko zokuziphatha

Le miphumela ingafihla noma yenze kube nzima ngodokotela wakho ukuthi ahlole ukulimala kwakho ekhanda. Kungenzeka futhi bakwenze kube nzima ukusho uma izinkinga zakho zezokwelapha ziba zimbi noma zingcono.

Kubantu abanomlando wokulutha. Le mithi ingakhuphula ingozi yokweqisa ngokweqile noma yokufa uma unenkinga yokulutha, noma usebenzise kabi ama-opioid, izidakamizwa, noma ezinye izidakamizwa.

Kubantu abanezinhlungu esiswini: Uma unesimo esibangela ubuhlungu esiswini sakho, njengokuqunjelwa noma ukuvinjelwa okukhulu, lo muthi ungabunciphisa lobo buhlungu. Lokho kungenza kube nzima kakhulu kudokotela wakho ukuthola isimo sakho.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe. I-Tramadol, enye yezidakamizwa kulo muthi, idluliselwa embungwini ngesikhathi sokukhulelwa. Ukusetshenziswa kwesikhathi eside kwalo muthi ngesikhathi sokukhulelwa kungadala ukuncika emzimbeni kanye nezimpawu zokuhoxa enganeni lapho izalwa. Izimpawu zokuhoxa enganeni zingafaka:

• isikhumba esimnyama
• isifo sohudo
• ukukhala ngokweqile
• ukucasuka
• imfiva
• ukungondli kahle
• isithuthwane
• izinkinga zokulala
• ukuthuthumela
• ukuhlanza

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Lesi sidakamizwa kufanele sisetshenziswe kuphela ngesikhathi sokukhulelwa uma inzuzo engaba khona iqinisekisa ubungozi obungaba khona. Akufanele isetshenziswe ngaphambi noma ngesikhathi sokubeletha.

Kwabesifazane abancelisayo. Kokubili i-tramadol ne-acetaminophen kudlula obisini lwebele. Le nhlanganisela yezidakamizwa ayizange ifundwe ezinganeni. Imithi akufanele isetshenziswe ngaphambi noma ngemuva kokubeletha ukuphatha izinhlungu uma uhlela ukuncelisa.

Okwabadala. Sebenzisa ngokuqapha uma umdala kuneminyaka engama-65. Umthamo wakho ungadinga ukuguqulwa uma unesibindi, izinso, noma izinkinga zenhliziyo, ezinye izifo, noma uthatha imishanguzo engasebenzisana nalo muthi.

Okwezingane: Gcina lo muthi ungatholakali ezinganeni. Ingane ethatha lo muthi ngephutha noma ukweqisa ngokweqile kungenzeka yehle ukuphefumula, ukulimala kwesibindi, ngisho nokufa.

Shayela isikhungo sakho sendawo sokulawula ubuthi uma ingane yakho ithathe lo muthi ngephutha, noma ngabe izizwa iphilile. Isikhungo sizokusiza unqume ukuthi udinga ukuya egumbini labezimo eziphuthumayo.

Ukucatshangelwa okubalulekile kokuthatha i-acetaminophen / tramadol

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-tramadol / acetaminophen.

Jikelele

• Ungasika noma uqede ithebhulethi.

Isitoreji

• Gcina ezingeni lokushisa eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
• Ungawuqandi lo muthi.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Ukusiza ukukugcina uphephile ngenkathi welashwa ngalo muthi, udokotela wakho angahlola:

• ukwenziwa ngcono kobuhlungu
• ukubekezelelana kobuhlungu
• izinkinga zokuphefumula
• isithuthwane
• ukudana
• izinguquko zesikhumba
• izinguquko kubafundi bakho
• izinkinga zesisu noma zamathumbu (njengokuqunjelwa noma uhudo)
• izimpawu zokuhoxa lapho umuthi umiswa
• izinguquko ekusebenzeni kwezinso

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Amanye angahle akulungele wena kunamanye. Izinketho zingafaka i-acetaminophen yedosi ephelele, izidakamizwa ezingezona ukuvuvukala (ama-NSAID), nezinye izinhlanganisela ze-opioid.

Uma unengozi enkulu yokwehla kokuphefumula, ucindezelekile noma uzibulala, noma unomlando wokulutha, kungaba ngcono ukuthatha umuthi wezinhlungu ovela esigabeni esihlukile semithi.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.