Ungakwazi Ukuphuza iFlexeril NeGabapentin? Isiqondiso Esicacile Sokuphepha Nokulindela

Yebo, ungaphuza iFlexeril (cyclobenzaprine) neGabapentin, kodwa kuphela ngaphansi kokuqondiswa kukadokotela wakho. Odokotela abaningi banikeza le mithi ndawonye ukuphatha izimo ezinjengobuhlungu obungapheli noma ukushuba kwemisipha. Kodwa-ke, le nhlanganisela idinga ukuqashwa ngokucophelela ngoba womabili la machopho athinta isimiso sakho sezinzwa esiyinhloko, okungandisa imiphumela emibi ethile.

Iyini iFlexeril NeGabapentin, Futhi Kungani Iphathwa Ngokuhlangene?

IMFlexeril yikhemistri leyo esiza imisipha ukuthi iphumule, isebenza ngokuthulisa imiyalezo ebuchosheni nasemgogodleni wakho. Odokotela bavame ukuyinikeza izinkinga zemisipha zesikhashana ezivela ekulimaleni noma ekucindezelweni ngokomzimba. Lemithi iyasiza imisipha yakho ukuthi iphumule ukuze ukwazi ukuhamba kalula futhi uphole kahle.

IGabapentin ingeyesigaba samakhemistri okuthiwa ama-anticonvulsants, kodwa iphatha izimo eziningi ngaphezu kwezinkinga. Ishintsha indlela izinso zakho ezidlulisela ngayo imiyalezo yobuhlungu ebuchosheni bakho. Odokotela bavame ukuyinikeza ubuhlungu bezinso (neuropathy), i-fibromyalgia, nezinye izinhlobo zezimo zobuhlungu ezingapheli.

Odokotela ngezinye izikhathi banikeza le mithi ndawonye ngoba isebenza ngezindlela ezihlukene. IMFlexeril iphatha ubuhlungu nokucindezeleka okuhlobene nemisipha, kuyilapho iGabapentin iqondisa ubuhlungu bezinso. Ndawonye, zingakha ukukhululeka okugcwele kunalokho eyodwa yazo ingakwenza, ikakhulukazi lapho ubhekana nezinkinga zobuhlungu ezihlangene ezihlanganisa imisipha nezinso.

Le nhlanganisela iyasiza **ezimweni ezinjenge-fibromyalgia, lapho kokubili ukushuba kwemisipha nokuzwela kwezinso kunomthelela ekungakhululeki.** Udokotela wakho angase futhi abanikeze ndawonye ngemuva kokulimala okuthile lapho imisipha iba nomfutho futhi izinso zicasuke ngesikhathi esifanayo.

Kwenzekani Emzimbeni Wakho Lapho Uphuza Le Mithi Ndawonye?

Womabili la machopho athinta isimiso sakho sezinzwa esiyinhloko, esihlanganisa ubuchopho bakho nomgogodla wakho. Lapho uziphuzela ndawonye, ​​imiphumela yazo ingandisa omunye. Lokhu kukhuphuka akubona ubungozi ngaso sonke isikhathi, kodwa kusho ukuthi ungahlangabezana nokulala nokukhululeka okunamandla kakhulu kunalokho ongakuthola kwenye yazo eyedwa.

IMFlexeril ingasebenza kakhulu esigqokweni semisipha ngokusebenza esibhakelweni sobuchopho. Inciphisa umsebenzi omningi wemisipha ngaphandle kokuthi iphumule ngqo izicubu zemisipha. Cabanga ngakho sengathi ucisha ivolumu yemiyalezo edlula kakhulu etshela imisipha yakho ukuthi icindezeleke.

IGabapentin isebenza ngendlela ehlukile ngokuthinta iziteshi zekalsiyamu esimweni sakho sezinzwa. Lezi ziteshi zidlala indima ekuxhumaneni kwezicubu zezinso mayelana nobuhlungu. Ngokuhlanganisa le nxoxo, iGabapentin inganciphisa ubukhulu bemilayezo yobuhlungu efika ebuchosheni bakho.

Lapho ihlangene, le miqeqeshi emibili ayiphazamani komunye nomunye ngokwekhemistri. Umzimba wakho uphatha njalo imithi ngayinye ngezindlela ezahlukene. IMFlexeril iqala ukuhlakazeka esibindini sakho, kuyilapho izinso zakho zikhipha iGabapentin ingashintshile. Lokhu kusho ukuthi abaqhudelani ngendlela efanayo yokuphela.

Yiziphi Imiphumela Emibi Okufanele Uyiqaphele Ngale Nhlanganisela?

Okukhathazayo kakhulu lapho uphuza le mithi ndawonye ukulala nokuzungeza okwandisiwe. Zombili lezi zidakwa zingakwenza ulale, futhi lo mphumela uba namandla kakhulu lapho uziphuzela ndawonye. Lokhu kwenzeka ngoba zombili zisebenza ekuthuliseni umsebenzi esimweni sakho sezinzwa esiyinhloko, zakha umphumela wokudangala wokuhlanganisa.

Nansi imiphumela emibi kakhulu ongase uhlangabezane nayo lapho uphuza iFlexeril neGabapentin ndawonye:

• Ukulala okungase kube namandla kunaleyo eyodwa yale mithi eyedwa, ikakhulukazi phakathi nezinsuku ezimbalwa zokuqala zokwelashwa.

• Ukuzungeza noma ukuzizwa ulula, ikakhulukazi lapho uvuka ngokushesha ngokuhlala noma ngokulala.

• Umlomo owomile, ovame kakhulu ngeFlexeril kodwa ungazwakala kakhulu lapho uhlanganiswa neGabapentin.

• Ubunzima ekugxileni noma ukuzizwa ucindezelekile ngokwengqondo, ngoba womabili la makhemistri anganciphisa isivinini sokucabanga kwakho.

• Izinkinga zokubambisana noma ukuzizwa ungazinzile ezinyaweni zakho, okwandisa ingozi yakho yokuwa.

• Ukubona okuyisibhakabhaka okujwayele ukuthuthuka njengoba umzimba wakho uvumelana namakhemistri.

Le miphumela ijwayele ukuzwakala kakhulu lapho uqala ukunaphuza le mithi ndawonye noma lapho udokotela wakho elungisa imithamo yakho. Abantu abaningi bathola ukuthi imizimba yabo iyavumelana ngemuva kwezinsuku ezimbalwa kuya kuviki, futhi imiphumela emibi iyancipha.

Ngaphandle kwalokho, abanye abantu bahlangabezana nemiphumela emibi kakhulu edinga ukunakwa kwezokwelapha ngokushesha. Yize lezi zingavamile, kubalulekile ukuzibona ukuze ukwazi ukuthola usizo ngokushesha uma kudingeka.

Qaphela lezi zibonakaliso eziyisixwayiso ezimbi kakhulu:

• Ukudideka okwedlulele noma ukudideka okudlula ukucindezeleka okuncane kwengqondo.

• Ukulala okwedlulele lapho ulwa nokuhlala uvukile phakathi nemisebenzi ejwayelekile.

• Ubunzima bokuphefumula noma ukuzizwa sengathi awukwazi ukuphefumula ngokugcwele.

• Ukuvuvukala emilenzeni yakho, ezinqulwini, noma ezinyaweni zakho okwenzeka ngokushesha.

• Imicabango engavamile noma izinguquko zezimo zengqondo, kufaka phakathi ukucindezeleka noma ukukhathazeka okuzwa sengathi kuyinto entsha noma eyanda.

• Ubuthakathaka bemissipha obuhluke kakhulu kokuphumula ongakulindela kuFlexeril.

Uma uhlangabezana nanoma yiziphi lezi zimpawu ezimbi kakhulu, thintana nodokotela wakho ngokushesha. Angakusiza ukuthi unqume ukuthi udinga yini ukulungisa imithamo yakho noma uzame indlela ehlukile yokwelashwa.

Ingabe Kukhona Izinhlamvu Ezingavamile Kodwa Ezibalulekile Okufanele Uzazi?

Yize abantu abaningi bevumelana nale nhlanganisela yemithi kahle, ezinye izinkinga ezingavamile zifanele ukunakwa kwakho. Lezi azivami ukwenzeka, kodwa ukwazi ngazo kukusiza ukuthi uhlale uphephile futhi unolwazi.

Ukudangala kokuphefumula kungenye yezingozi ezingavamile kodwa ezimbi kakhulu. Lokhu kusho ukuthi ukuphefumula kwakho kungacishi kakhulu kunalokho okufanele kube njalo, ikakhulukazi uma uphinde uphuza ezinye izidakwa ezidala ukulala noma unezinkinga zokuphefumula ezikhona. Abantu abane-sleep apnea noma izinkinga zamaphaphu ezingapheli bahlangabezana nengozi enkulu yalokhu kuphazamiseka.

I-Serotonin syndrome iyenzeka enye into engavamile kodwa ebucayi. Yize iGabapentin neFlexeril zingandisi ngqo amazinga e-serotonin kakhulu, ingozi iyanda uma uphinde uphuza ama-antidepressants noma amanye amakhemistri athile. Lesi simo senzeka lapho i-serotonin eningi kakhulu iqoqana emgqonyeni wakho.

Izibonakaliso ze-serotonin syndrome zihlanganisa ukukhathazeka, isivinini senhliziyo esisheshayo, umkhuhlane ophezulu, ukujuluka okunamandla, ukudlidiza, nokucindezeleka kwemisipha. Lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukunakwa ngokushesha. Izindaba ezinhle ukuthi ihlala ingavamile kakhulu lapho le mithi emibili isetshenziswa ndawonye ngaphandle kwamanye amakhemistri athinta i-serotonin.

Abanye abantu bangahlangabezana nemikhuba eyephikisanayo lapho amakhemistri abangela imiphumela ephambene nalokho okulindelekile. Kunokuzizwa uthulile futhi uphumule, ungazizwa ucindezelekile, ukhathazekile, noma uhlangabezana nokushuba kwemisipha okwanda. Le mikhuba ayivamile kodwa ingenzeka, ikakhulukazi kwabantu abadala noma abantu abanezinkinga ezithile.

Izinkinga zenkumbulo noma ukuphazamiseka kwengqondo ngaphezu kokucindezeleka okujwayelekile kungase kwenzeke ezimweni ezingavamile. Abanye abantu babika ubunzima bokwakha izinkumbulo ezintsha noma ukudideka kwesikhashana okuzwa sengathi kuyinto enkulu kunemiphumela emibi ejwayelekile yemithi. Lokhu kuvame ukudlula lapho imithamo ilungiswa noma imithi iyeka.

Ubani Okufanele A Cokele Kakhulu Ngale Nhlanganisela Yemithi?

Izigaba ezithile zabantu zidinga ukuqashwa okwengeziwe lapho uphuza iFlexeril neGabapentin ndawonye. Uma ungaphakathi kweminye yalezi zigaba, udokotela wakho cishe uzokuqala ngemithamo ephansi futhi akubheke kakhulu.

Abantu abadala bavame ukuthola imiphumela enamandla kokubili le mithi. Njengoba sikhula, imizimba yethu iphatha kancane kancane amakhemistri, futhi siba nomuzwa wokuzwela kakhulu emakhubeni athinta isimiso sezinzwa esiyinhloko. Ukuwa kuba umbuzo okhethekile ngoba womabili la makhemistri angathinta ibhalansi nokubambisana.

Abantu abanezinkinga zezinso badinga ukucatshangelwa okhethekile ngoba iGabapentin ikhutshwa ngezinso zakho. Uma izinso zakho zingasebenzi ngokugcwele, iGabapentin ingaqoqelana emgqonyeni wakho futhi ibangele imiphumela enamandla. Udokotela wakho uzolungisa imithamo yakho yeGabapentin ngokusekelwe ekusebenzeni kwezinso zakho.

Uma unesifo sesibindi, iFlexeril idinga ukunikezwa ngokucophelela njengoba sibindini sakho siyihlakaza. Ukuncishiswa kokusebenza kwesibindi kusho ukuthi imithi ihlala isikhathi eside emgqonyeni wakho, ingabanga imiphumela enamandla noma eqhubekayo. Udokotela wakho angase anikeze imithamo ephansi noma ancome esikhundleni se-muscle relaxant.

Noma ubani ophuza amanye amakhemistri adala ukulala udinga ukucophelela okwengeziwe. Lokhu kufaka phakathi imithi yokubulala ubuhlungu ophuthumayo, ama-benzodiazepine wokukhathazeka, imithi yokulala, noma ngisho nama-antihistamines athile. Ukuhlanganisa amakhemistri amaningi adala ukulala kwandisa ingozi yakho yokulala okuyingozi kanye nezinkinga zokuphefumula.

Abantu abanomlando wokusebenzisa izidakamizwa ngokungahambisani komthetho kufanele baxoxe ngalokhu ngokuvulelekile nodokotela wabo. Yize iGabapentin noma iFlexeril zingenawo amandla amakhulu okuqalisa kunama-opioids noma ama-benzodiazepines, iGabapentin isetshenziswe kabi kwezinye izimo, ikakhulukazi ngemithamo ephezulu kakhulu.

Isikhathi Esingakanani Uzodinga Ukuthatha Le Nhlanganisela Yemithi?

Isikhathi sokwelashwa ngeFlexeril neGabapentin ndawonye sincike ngokuphelele ekutheni yiziphi izimo oziphathayo. IMFlexeril ivame ukunikezwa ukusetshenziswa kwesikhashana, ngokuvamile amasonto amabili kuya kwamathathu, ngoba ukushuba kwemisipha okuvela ekulimaleni okubukhali kuvame ukuthuthuka ngaleso sikhathi.

IGabapentin, ngakolunye uhlangothi, ivame ukusetshenziswa izikhathi ezide lapho uphatha izimo ezingapheli njengobuhlungu bezinso noma i-fibromyalgia. Ungase uyiphuzu izinyanga noma ngisho neminyaka uma iphatha kahle isimo esingapheli.

Udokotela wakho cishe uzohlela ukuqeda iFlexeril kuqala uma ubuziphuzela zombili le mithi. Uma nje ukushuba kwemisipha okubukhali sekudlule, ukuqhubeka neGabapentin eyedwa kungase kunikeze ukukhululeka kobuhlungu okwanele. Le ndlela yesinyathelo iyasiza ukuthi uphuze amakhemistri amancane kakhulu adingekayo ukuze ulawule izimpawu kahle.

Ungalokothi uyeke enye imithi ngokuphazima kweso ngaphandle kokukhuluma nodokotela wakho kuqala. IGabapentin ikakhulukazi idinga ukuncishiswa kancane kancane ukuze ugweme izimpawu zokuhoxa njengokukhathazeka, ukulala, isicanucanu, kanye nobuhlungu. Udokotela wakho uzodala uhlelo lokuncishiswa oluphephile uma sekuyisikhathi sokuphumula.

Isiphetho

Ukuphuza iFlexeril neGabapentin ndawonye kungaba kuphephile futhi kuyasebenza lapho kwenziwa ngaphansi kokuqondiswa kwezokwelapha okufanele. Abantu abaningi bavumelana nale nhlanganisela kahle, behlangabezana nokukhululeka kobuhlungu okuhle nemiphumela emibi elawulekayo evame ukuthuthuka ngokuhamba kwesikhathi.

Hlala uxhumene nodokotela wakho kuyo yonke imithi yakho. Ukuhlola njalo kuvumela ukulungiswa kwemithamo, ukuqapha imiphumela emibi, nokuhlela ukuthi unganciphisa noma uyeke nini imithi. Le ngxoxo eqhubekayo iqinisekisa ukuthi uthola ukunakekelwa okuphephile, okusebenza kakhulu ngangokunokwenzeka.