Ungasebenzisa iGabapentin neTizanidine Ngokufanayo?

I-Gabapentin ne-tizanidine zingasetshenziswa ngokufanayo, kodwa kuphela ngaphansi kokuqondiswa kukadokotela. Imithi yomibili ithinta isimiso sakho sezinzwa esimaphakathi, ngakho ukuhlanganisa le mithini kwandisa ingozi yemiphumela engemihle njengokulala kakhulu, isiyezi, nokuduma kwengcindezi yegazi. Udokotela wakho angase akubhalisele ngisho nangokufanayo uma izinzuzo zidlula izingozi, avamise ukuqala ngemithamo ephansi bese elungisa ngokucophelela.

Ake sihlole ukuthi umuthi ngamunye usebenza kanjani, kwenzeka ini uma uwahlanganisa, nokuthi yini okufanele uyibheke.

Umlinganiselo ngamunye womuthi wenzeni?

Le mithamo emibili iphathela izinkinga ezahlukene, kodwa ziyafana ngokuthi zithinta kanjani umzimba wakho.

I-Gabapentin iyinhlamvu yokuvimbela (umuthi wokuvimbela ukujova) ophinde uphathe ubuhlungu bezinzwa. Odokotela bayibhalisela izimo ezifana ne-postherpetic neuralgia (ubuhlungu bezinzwa ngemuva kwe-shingles), i-diabetic neuropathy, nokuthi isetshenziswe njengesithako sokwelashwa kwezikhathi ezithile. Isebenza ngokuthulisa izimpawu zezinzwa ezisebenza kakhulu ebuchosheni nasentongeni yakho yomgogodla. Imiphumela engemihle ejwayelekile ngokwayo ihlanganisa isiyezi, ukulala kakhulu, nokungahlangani kahle kwezihluthu.

I-Tizanidine iyinhlamvu yokwelula imisipha. Isetshenziswa ukuphatha ukudonswa kwemisipha, okuyinto eqinile futhi eqinile ehambisana nezimo ezifana ne-multiple sclerosis, ukulimala emgogodleni, noma izifo ezithile ze-neurological. Isebenza njenge-alpha-2 adrenergic agonist, okusho ukuthi ivimba izimpawu zezinzwa ezibangela imisipha ukuba idonswe. Imiphumela engemihle ejwayelekile ihlanganisa umlomo owomile, ukulala kakhulu, nesisiyezi.

Imithi yomibili ibangela i-sedation ngokwayo. Lo mphumela ofanayo uyisizathu esikhulu sokuthi ukuhlanganisa lokhu kudinga ukucophelela.

I-Gabapentin ne-Tizanidine Zisebenza Kanjani?

Ukusetshenziswa phakathi kwale mithamo emibili kubhalwe njengokulinganiselayo. Lokho kusho ukuthi ayibonakali ingozi kakhulu ukuze igwenywe nhlobo, kodwa idinga ukuphathwa ngokucophelela.

Uma usebenzisa i-gabapentin ne-tizanidine ndawonye, imiphumela yabo yokulala iyakhula. Ubuchopho bakho buthola isignali ethulile enamandla kunalokho obezoyithola kunoma yimuphi umuthi eyedwa. Lokhu kungaholela ekulaleni okwengeziwe nokukhathala, ubunzima bokugxilisa ingqondo nokucabanga ngokucacile, ukungahlangani kahle kwezihluthu nokulungisa okubambezelekile, isiyezi noma ukuzizwa ukuthi uyalulama, nokudideka, ikakhulukazi kwabadala.

Kukhona futhi umphumela owengeziwe ocindezelweni legazi. I-Tizanidine inganciphisa kakhulu ingcindezi yegazi ngokwayo. Izifundo zibonisa ukuthi umthamo owodwa wama-8 mg ubangela ukwehla okungu-20% kwengcindezi yegazi cishe kwabathathu kwabathathu abantu abagulayo. I-Gabapentin ingakwazi ukuphazamisa ushintsho lwengcindezi yegazi. Ndawonye, ungase uhlangabezane nokwehla okubonakalayo kwengcindezi yegazi, ikakhulukazi lapho usuka esihlalweni noma ulala. Lokhu kubizwa nge-orthostatic hypotension, futhi kungabangela ukuzizwa ukuthi uyalulama noma ukuwa.

Le miphumela ivamise ukuba namandla lapho uqala ukuhlanganisa, ngemuva kokwanda komthamo, noma lapho ukwelashwa kuqala kabusha ngemuva kwekhefu.

Kungani Udokotela Angase Nikhanise Bobabili?

Ngaphandle kokuxhumana, kunezizathu zezokwelapha zokusebenzisa imithi yomibili ngokufanayo. Abanye abantu abagulayo banezimo ezihlanganisa ubuhlungu bezinzwa nokudonswa kwemisipha. Isibonelo, umuntu olimele umgogodla angaba nobuhlungu obushayo obuphendula ku-gabapentin kanye nokuqinisa imisipha okwenzeka ku-tizanidine.

Kulezi zimo, ukusebenzisa imithi yomibili kuvumela ngayinye ukuba ibhekise ingxenye ehlukile yenkinga. Ukuhlanganisa kungase kuhlinzeke ngcono kakhulu ukukhululeka kwezimpawu kunomunye umuthi eyedwa, ngezinye izikhathi ngemithamo ephansi ngabanye.

Odokotela ababhala lokhu kuhlangana bavame ukuqala imithamo ephansi kakhulu efanele. Ngemuva kwalokho bayandisa imithamo kancane nangokwehlukana ukuze bakwazi ukulandelela ukuthi umzimba wakho uphendula kanjani kuwo wonke ushintsho. Le nqubo yokulinganisa ngokucophelela kusiza ekunciphiseni ingozi ye-sedation enkulu noma ukwehla kwengcindezi yegazi.

Ubani Okufanele Acoce Kakhulu?

Amaqembu athile abhekene nezingozi eziphakeme lapho behlanganisa le mithamo.

Abadala bayizicabha kakhulu ku-central nervous system depression. Ukuhlanganisa kungandisa kakhulu ingozi yokuwa kulolu hlangana, okungaholela ekulimaleni okubi njengokuphuka komlenze.

Abantu abanezinkinga zezinso badinga ukunakekelwa okwengeziwe ngoba i-gabapentin ikhishwa ngezinso. Uma izinso zakho zingasebenzi kahle, i-gabapentin ingakwazi ukukhula emzimbeni wakho futhi yandise ukuxhumana kwe-sedative.

Abantu abanezinkinga zesibindi badinga ukuqondiswa ngoba i-tizanidine idluliselwa esibindini. I-Tizanidine ihlotshaniswa nokwanda kwamajaji esibindi kwabanye abantu abagulayo, futhi ezimweni ezingavamile, ukulimala okubi kwesibindi. Udokotela wakho cishe uzo-oda izivivinyo zokusebenza kwesibindi ekuqaleni kokwelashwa kanye ngezikhathi ezithile.

Noma ubani osebenzisa imithi enye ye-sedating kufanele aqaphele kakhulu. Ukungeza ama-opioids, ama-benzodiazepines, imithi yokulala, noma utshwala ekuhlanganisweni kwe-gabapentin tizanidine kungakwenza i-sedation ifike emazingeni engozi, okuhlanganisa ingozi yokuphefumula okubambezelekile.

Yini Okufanele Uyigweme Ngesikhathi Usebenzisa Bobabili?

Iziqalo ezimbalwa zingakusiza ukuthi uzivikele ngenkathi usebenzisa lokhu kuhlangana.

Gwema utshwala. Utshwala buye ubuchopho obuthulisa isimiso sezinsizwa. Ukungeza lokhu ku-gabapentin ne-tizanidine kwakha umphumela wokulala kathathu ongadala ukwahlulela kwakho, ukungahlangani, nokuphefumula.

Ungashayeli noma usebenzise imishini uze wazi ukuthi lokhu kuhlangana kukuthinta kanjani. Izinsuku ezimbalwa zokuqala nanoma yiziphi izikhathi zokushintsha komthamo yizona lapho uvame ukuzizwa ulala kakhulu noma ungahlangani kahle.

Ungayeki omunye umuthi ngokungazelelwe. I-Gabapentin ne-tizanidine zingabangela izimpawu zokukhipha uma zinqunywa ngokungazelelwe. Ukukhipha i-gabapentin kungahlanganisa ukukhathazeka, ukungalali, nokuhlanza. Ukukhipha i-tizanidine kungabangela ukwanda kwengcindezi yegazi nokwanda kwenhliziyo. Njalo yeka kancane ngaphansi kokuqondiswa kukadokotela wakho.

Sukuma kancane. Imiphumela yokwehlisa ingcindezi yegazi yalesi sihlangano ingakwenza uzizwe ukuthi uyalulama lapho ushintsha izikhundla. Thatha isikhashana ukuze uhlale emaphethelweni embhedeni ngaphambi kokuma, bese ubamba into eqinile uze uzizwe uqine.

Nini Okufanele Ushayele Udokotela Wakho?

Thintana nodokotela wakho uma uhlangabezana nokulala kakhulu okwenza kube nzima ukusebenza emini, ukudideka noma ubunzima bokucabanga ngokucacile, ukuwa noma izimo zokuwa, isilinganiso senhliziyo esizwakala sibambezelekile ngokungajwayelekile, noma izimpawu zezinkinga zesibindi njengokuguga kwesikhumba, umchamo omnyama, noma ukuhlanza njalo.

Lezi zimpawu zingase zisho ukuthi umthamo wakho udinga ukulungiswa noma ukuthi ukuhlanganisa akulungile kuwe.

Isiphetho

I-Gabapentin ne-tizanidine zingasebenza kahle ndawonye kubantu ababhekene nobuhlungu bezinzwa kanye nokudonswa kwemisipha. Kodwa ukuhlanganisa kudinga ukuqondiswa kukadokotela. Qala phansi, wandise kancane, gwema utshwala nezinye izinto ezithulisa umzimba, bese uxhumana nodokotela wakho njalo. Ngokuqondiswa okulungile, abantu abaningi basebenzisa imithi yomibili ngokuphepha nangempumelelo.