Ukuhoxiswa KweCodeine: Kuyini nokuthi Ungabhekana Kanjani Nakho

-Delile

• Izimbangela zokuhoxa
• Ukubekezelelana
• Ukuncika
• Ukuthembela kuqhathaniswa nokulutha
• Izimpawu zokuhoxa
• Kuhlala isikhathi eside kangakanani ukuhoxiswa
• Ukwelapha ukuhoxa
• Ubuhlungu obuncane nezinye izimpawu
• Ngezimpawu zokuhoxa ngokulingene
• Ngezimpawu zokuhoxa ezithuthukile
• Khuluma nodokotela wakho
• I-Q & A.
• Q:
• A:

Isingeniso

ICodeine ngumuthi kadokotela osetshenziselwa ukwelapha ubuhlungu obumaphakathi kuya kokulingene. Ifika kuthebhulethi. Futhi kwesinye isikhathi isetshenziswa kwezinye iziraphu zokukhwehlela ukwelapha ukukhwehlela. Njengamanye ama-opiate, i-codeine yisidakamizwa esinamandla futhi esilutha kakhulu.

Ungaba umlutha we-codeine noma ngabe uthatha umkhiqizo wenhlanganisela efana neTylenol neCodeine. Ukuqala lo mkhuba kungafaka umzimba wakho ekuhoxisweni. Ukudlula kukho kungaba nzima, kepha kuwufanele umzamo. Funda ukuze ufunde ngezimpawu zokuhoxa kwe-codeine nokuthi ungabhekana kanjani nakho.

Izimbangela zokuhoxa

Ukubekezelelana

Ngokuhamba kwesikhathi, ungaqala ukubekezelela imiphumela ye-codeine. Lokhu kusho ukuthi umzimba wakho udinga umuthi owengeziwe ukuzwa ukukhululeka kobuhlungu obufanayo noma eminye imiphumela oyifunayo. Ngamanye amagama, ukubekezelelana kwenza umuthi ubonakale ungasebenzi kahle emzimbeni wakho.

Ukushesha kanjani ukuhlakulela ukubekezelelana kwe-codeine kuncike ezintweni ezinjenge:

• ufuzo lwakho
• isikhathi esingakanani uphuze umuthi
• ungakanani umuthi obukade uwuthatha
• indlela oziphatha ngayo kanye nesidingo sakho somuthi

Ukuncika

Njengoba umzimba wakho ubekezelela i-codeine, amaseli akho aqala ukudinga umuthi ukuthi usebenze kahle. Lokhu ukuncika. Yilokho okuholela emiphumeleni emibi yokuhoxa uma ukusetshenziswa kwe-codeine kumiswa kungazelelwe. Olunye uphawu lokuncika ukuzwa ukuthi kufanele uthathe i-codeine ukuvikela izimpawu zokuhoxa.

Ukuncika kungenzeka uma uthatha i-codeine isikhathi esingaphezu kwamasonto ambalwa noma uma uthatha ngaphezu kwesilinganiso esinqunyiwe. Ngeshwa, kungenzeka futhi ukuthuthukisa ukuncika kwe-codeine noma ngabe uthatha umuthi ncamashi njengoba udokotela wakho ekuyalela.

Ukuthembela kuqhathaniswa nokulutha

Ukuncika nokulutha komuthi kubangela ukuhoxa lapho umuthi umisiwe, kepha akuyona into efanayo. Ukuncika emzimbeni ku-opiate enqunyiwe kuyindlela ejwayelekile yokuphendula ekwelashweni futhi kungalawulwa ngosizo oluvela kudokotela wakho. Ukulutha, ngakolunye uhlangothi, kungalandela ukuncika futhi kuhilela ukulangazelela izidakamizwa nokulahlekelwa ukulawula ekusebenziseni kwakho. Imvamisa kudinga ukwesekwa okwengeziwe ukuze kudlule.

Izimpawu zokuhoxa

Izimpawu zokuhoxa zingavela ngezigaba ezimbili. Isigaba sokuqala senzeka kungakapheli amahora ambalwa esilinganisweni sakho sokugcina. Ezinye izimpawu zingavela ngokuhamba kwesikhathi lapho umzimba wakho ulungela ukusebenza ngaphandle kwe-codeine.

Izimpawu zokuqala zokuhoxa zingafaka:

• ukuzizwa uthukuthele noma ukhathazekile
• inkathazo yokulala
• amehlo anezinyembezi
• ikhala eligijimayo
• ukujuluka
• kuzamula
• ubuhlungu bemisipha
• ukushaya kwenhliziyo ngokushesha

Izimpawu zakamuva zingafaka:

• ukulahlekelwa isifiso sokudla
• isicanucanu nokuhlanza
• amajaqamba esiswini
• isifo sohudo
• abafundi abakhulisiwe
• Ukugodola noma ukuqubuka

Izimpawu eziningi zokuhoxa ukuguqulwa kwemiphumela emibi ye-codeine. Isibonelo, ukusetshenziswa kwe-codeine kungadala ukuqunjelwa. Kepha uma uhamba ngokuhoxa, ungahle ube nesifo sohudo. Ngokufanayo, i-codeine ivame ukudala ubuthongo, futhi ukuhoxiswa kungaholela enkingeni yokulala.

Kuhlala isikhathi eside kangakanani ukuhoxiswa

Izimpawu zingahlala isonto lonke, noma zingaqhubeka izinyanga ngemuva kokumisa ukusetshenziswa kwe-codeine. Izimpawu zokuhoxa ngokomzimba zinamandla ezinsukwini ezimbalwa zokuqala ngemuva kokuyeka ukuthatha i-codeine. Izimpawu eziningi sezihambile kungakapheli amasonto amabili. Kodwa-ke, izimpawu zokuziphatha nezifiso zomuthi zingahlala izinyanga. Ezimweni ezingavamile, zingadlula neminyaka edlule. Okuhlangenwe nakho kwawo wonke umuntu ngokuhoxiswa kwe-codeine kuhlukile.

Ukwelapha ukuhoxa

Ngokuqondiswa ngudokotela, ngokujwayelekile ungagwema imiphumela emibi kakhulu yokuhoxa. Udokotela wakho cishe uzokweluleka ukuthi ususe ukusetshenziswa kwakho kwe-codeine kancane kunokumisa umuthi ngokungazelelwe. Ukwehlisa kancane kancane ukusetshenziswa kwakho kuvumela umzimba wakho ukuthi ujwayele ikhodi engaphansi nangaphansi kuze kube yilapho umzimba wakho ungasayidingi ukuthi isebenze ngokujwayelekile. Udokotela wakho angakusiza ngale nqubo noma akuthumele esikhungweni sokwelashwa. Futhi bangaphakamisa ukwelashwa kokuziphatha nokwelulekwa ukukusiza ukuthi ugweme ukubuyela emuva.

Udokotela wakho futhi angaphakamisa imishanguzo ethile kuye ngokuthi unezimpawu zokuhoxa ezimnene, ezilinganiselayo, noma ezithuthukile.

Ubuhlungu obuncane nezinye izimpawu

Udokotela wakho angase asikisele imithi engeyona eyezidakamizwa ukuze unciphise izimpawu zokuhoxa ezilula. Le mithi ingafaka:

• imishanguzo yobuhlungu efana ne-acetaminophen (Tylenol) ne-ibuprofen (Motrin, Advil) ukusiza ukunciphisa izinhlungu ezincane
• i-loperamide (Imodium) ukusiza ukunqanda uhudo
• i-hydroxyzine (Vistaril, Atarax) ukusiza ukunciphisa isicanucanu nokukhathazeka okuncane

Ngezimpawu zokuhoxa ngokulingene

Udokotela wakho angakunika imishanguzo enamandla. IClonidine (Catapres, Kapvay) ivame ukusetshenziselwa ukunciphisa ukukhathazeka. Kungasiza futhi ukudambisa:

• ubuhlungu bemisipha
• ukujuluka
• ikhala eligijimayo
• amajaqamba
• ukuyaluza

Udokotela wakho angaphinde anikeze i-benzodiazepine esebenza isikhathi eside njenge-diazepam (Valium). Lesi sidakamizwa singasiza ekwelapheni amajaqamba futhi sikusize ulale.

Ngezimpawu zokuhoxa ezithuthukile

Uma usuhoxe kakhulu, udokotela wakho angazama izinketho ezahlukahlukene. Isibonelo, bangakushintshela ku-codeine baye emithini ehlukile, njenge-opiate ehlukile. Noma bangahle banikeze omunye wemithi emithathu evame ukusetshenziselwa ukwelapha ukulutha kwe-opiate nezimpawu ezinzima zokuhoxa:

• I-Naltrexone ivimba ama-opioid ekusebenzeni ebuchosheni. Lesi senzo sisusa imiphumela emnandi yomuthi, esiza ukuvimbela ukubuyela emuva kokusebenzisa kabi. Kodwa-ke, i-naltrexone kungenzeka ingayeki ukufisa izidakamizwa ngenxa yokulutha.
• I-Methadone kusiza ukuvimbela izimpawu zokuhoxa kanye nezifiso. Ivumela ukusebenza komzimba wakho ukubuyela kokujwayelekile futhi kwenza ukuhoxa kube lula.
• I-Buprenorphine kuveza imiphumela ebuthakathaka efana ne-opiate, enjenge-euphoria (umuzwa wenjabulo enkulu). Ngokuhamba kwesikhathi, lo muthi unganciphisa ubungozi bokusebenzisa kabi, ukuncika, kanye nemiphumela emibi evela ku-codeine.

Khuluma nodokotela wakho

ICodeine inamandla kunamanye ama-opiate (njenge-heroin noma i-morphine), kepha isengadala ukuncika nokulutha. Udokotela wakho angakusekela ngokuhoxa nangokululama. Uma ukhathazekile ngokuhoxiswa kwe-codeine, khuluma nodokotela wakho bese ucela usizo. Nayi imibuzo embalwa ongayibuza:

• Ngingakugwema kanjani ukuba umlutha we-codeine?
• Ingabe zikhona ezinye izindlela ezingcono zokusetshenziswa kwe-codeine kimi?
• Kufanele ngiyeke kanjani ukuthatha i-codeine?
• Yiziphi izimpawu zokubekezelelana nokuncika kwe-codeine okufanele ngiziqaphele?
• Ngabe ngizohoxiswa uma ngiyeka ukusebenzisa i-codeine? Yiziphi izimpawu okufanele ngizilindele?
• Kuzothatha isikhathi esingakanani ukuhoxa nokululama kwami?

I-Q & A.

Q:

Ngingalutholaphi usizo lokuthola ukuhoxiswa kwe-codeine?

A:

Inombolo yosizo kazwelonke ye-Substance Abuse and Mental Health Services Administration (SAMHSA) inikeza abadluliselwe ukwelashwa mahhala nasebusuku. Ungathola futhi imininingwane mayelana nokuphazamiseka kwengqondo noma ukusetshenziswa kwezidakamizwa, ukuvimbela nokubuyisa kwiwebhusayithi yabo. Isayithi libuye libe nesiqondisi sezinhlelo zokwelashwa kwama-opioid ezweni lonke. I-Narcotic Anonymous ingenye imithombo enhle yabantu abayimilutha ye-opioid. Uma ufuna uhlelo lokwelashwa, khetha ngokucophelela. Cabanga ukubuza le mibuzo ephakanyiswe yiNational Institute on Drug Abuse:


1. Ngabe lolu hlelo lusebenzisa izindlela zokwelapha ezisekelwa ubufakazi besayensi?
2. Ngabe uhlelo luhambisana nokwelashwa ngezidingo zesiguli ngasinye?
3. Ngabe uhlelo luguqula ukwelashwa njengoba izidingo zesiguli zishintsha?
4. Ngabe isikhathi sokwelashwa sanele?
5. Ngabe izinyathelo eziyishumi nambili noma izinhlelo ezifanayo zokululama zingena kanjani ekwelashweni kwezidakamizwa?