Ingabe i-Gabapentin iyingxenye yamajubane? Ukuqonda Umehluko

Cha, i-gabapentin akuyona i-barbiturate. Ingeyesigaba semithi esihlukile nhlobo, futhi ukuqonda lo mehluko kungakusiza uzizwe uqiniseka kakhudlwana ngalokho udokotela wakho akukisebenzisayo. I-Gabapentin imithi yobuhlungu bemisipha esebenza kumamukeli athile ohlelweni lwakho lokujiya, kanti ama-barbiturates ayakhipha amagciwane amadala asebenza ngendlela ehlukile kakhulu. Ake sihlole ukuthi i-gabapentin yini empeleni nokuthi kungani lo mbuzo uvame ukuvela.

Iyini I-Gabapentin?

I-Gabapentin yimithi eyasungulwa ekuqaleni ukuze ilaphe ukuququda. Odokotela manje bayisebenzisa ngezinye izimo, kuhlanganise nobuhlungu bemisipha nezinye izinkinga zokukhathazeka. Isebenza ngokuthulisa izimpawu zemisipha eziningi kakhulu ebuchosheni bakho nasemgogodleni wakho.

Ungase ukwazi i-gabapentin ngegama layo elisemakhemistini, i-Neurontin. Le mithitho isikhona kusukela ngawo-1990s futhi isize izigidi zabantu ukuthi ziphathe izimo ezibandakanya ukungakhululeki okuhlobene nemisipha. Ingeyesigaba semithi esibizwa ngokuthi ama-anticonvulsants noma ama-antiepileptics.

Ukudideka nge-gabapentin njenge-barbiturate cishe kuvela eqinisweni lokuthi zombili zingathinta uhlelo lwakho lokujiya. Kodwa-ke, ziyakwenza lokhu ngezinye izindlela ezihlukile ngokuphelele. Cabanga ngayo njengokufanisa ukhiye nembobo kunokusebenzisa ikhodi ukuvula umnyango. Zombili zikwenza uvuleke, kodwa zisebenza ngezindlela ezihlukile kakhulu.

Iyini Ama-Barbiturates, Ngakho?

Ama-Barbiturates ayisigaba semithi esidala kakhulu esingasetshenziswa odokotela namuhla. Ayesaziwa kusukela ekuqaleni kwawo-1900s kuze kube ngawo-1970s ukuze alaphe ukukhathazeka, ukungalali, nokuququda. Le mithitho isebenza ngokucindezela uhlelo lwakho lokujiya oluphakathi ngendlela ebanzi, ejwayelekile.

Amanye ama-barbiturates ongase ukwazi ukuthi i-phenobarbital, i-pentobarbital, kanye ne-secobarbital. Le mithitho yehlisa kakhulu umsebenzi wobuchopho, okungadala ukuthi zibe nomphumela wokulalisa kakhulu. Ngenxa yemiphumela yazo enamandla kanye nengozi enkulu yokuluthwa, odokotela sezibuyekele kakhulu ngezinye izindlela eziphephile.

Ama-Barbiturates asebenza ngokukhuphula imiphumela yechemikhali yobuchopho ebizwa nge-GABA, okusho ukuthi i-gamma-aminobutyric acid. Le chemikhali iyasiza ukuthulisa umsebenzi wokujiya kuwo wonke ubuchopho bakho. Noma i-gabapentin yeqeqelwa ukuba ibe nokufana ne-GABA, empeleni isebenza ngendlela ehlukile.

Isebenza Kanjani Empeleni I-Gabapentin Emzimbeni Wakho?

I-Gabapentin isebenza ngokuncishiselwa esigqizini esithile samakaneli e-calcium ohlelweni lwakho lokujiya. Lawa makaneli afana nezingosi ezilawula ukuthi izimpawu zemisipha zihamba kanjani. Lapho i-gabapentin incishiselwa kuzo, iyasiza ukwehlisa ukukhululwa kwamanye amakhemikhali aphethe izimpawu zobuhlungu nokuququda.

Le ndlela eqondile isho ukuthi i-gabapentin ithinta izinhlobo ezithile zemisipha. Ikakhulukazi iyasiza ngezinhlungu zemisipha ezivela emiphumeleni eyonakele noma ekujiyeni okuningi kakhulu. Lokhu kuyenza ilungele izimo ezifana nobuhlungu bezingulube, ubuhlungu bemisipha obubangelwa isifo sikashukela, nezinye izinhlobo zokungakhululeki okungapheli.

Le mithitho ayisebenzi ngqo kumamukeli e-GABA njengoba enza ama-barbiturates. Lokhu kuyinto ebalulekile ngoba kusho ukuthi i-gabapentin inezinga elihlukile lokuphepha kanye nengozi. Umzimba wakho uyiphatha ngendlela ehlukile, futhi amathuba emiphumela emibi emibi ngokuvamile ancane.

Kungani Odokotela Basebenzisa I-Gabapentin?

Odokotela basebenzisa i-gabapentin ngezinye izimo lapho izimpawu zemisipha zidinga ukuthulisa. Isizathu esivame kakhulu ubuhlungu bemisipha, obizwa odokotela ngokuthi ubuhlungu be-neuropathic. Lolu hlobo lobuhlungu luzwakala ngokuhlukile kunobuhlungu obujwayelekile ngoba luvela emiphumeleni eyonakele kunokuba luzosuleleka.

Nazi izimo eziyinhloko odokotela abalapha nge-gabapentin, besuka ezinhlosweni eziningi ezigunyaziwe ziye ezithathwa njengezingagunyaziwe:

• I-Postherpetic neuralgia, okuyibuhlungu bemisipha obuhlala ngemuva kokugqashuka kwezinyoka

• Ukuququda okuyingxenye lapho kusetshenziswa kanye neminye imithi yokuququda

• I-Diabetic peripheral neuropathy, ukulimala kwemisipha okungenzeka ngesifo sikashukela

• Isifo sezinyawo esingazinzile, esibanga imizwa engathandeki ezinyaweni zakho

• Ezinye izinhlobo zezimo zobuhlungu ezingapheli lapho okunye ukwelashwa kungazange kusize

• Ezinye izinkinga zokukhathazeka, nakuba lokhu kungewona umsebenzi ogunyazwe yi-FDA

• Ukushisa okungazelelwe ngesikhathi sokuya esikhathini kwabesifazane kwezinye izimo

Udokotela wakho ukhetha i-gabapentin lapho ecabanga ukuthi izinzuzo zidibanisa izingozi esimweni sakho esithile. Le mithitho isaziwa ngokwengxenye ngoba ngokuvamile iphephile kunemikhiqizo yakudala efana nama-barbiturates.

Yini Eyenza I-Gabapentin Ihluke kuma-Barbiturates Ngokuphepha?

I-Gabapentin inengozi encane kakhulu yokufa ngokuphuza umthamo omkhulu uma iqhathaniswa nama-barbiturates. Lena ingenye yezizathu eziyinhloko odokotela bazizwa benethemba kakhudlwana ngayo. Ama-Barbiturates anganciphisa ukuphefumula kwakho nokushaya kwenhliziyo kakhulu, ikakhulukazi kumathamo aphezulu noma lapho ihlanganiswa nezinye izidakamizwa zokulalisa.

Ingozi yokuluthwa ngokomzimba nayo iyahlukahluka phakathi kwale mithitho. Noma ungathola ukuluthwa okuthile kwi-gabapentin ngokusebenzisa isikhathi eside, izimpawu zokuyeka ngokuvamile ziba zincane kunezi-barbiturates. Ukuyeka i-barbiturate kungaba yingozi empilweni futhi ngokuvamile kudinga ukugadwa odokotela.

I-Gabapentin ayikhiqizi i-sedation enkulu efanayo eyenziwa ama-barbiturates kumathamo omuthi. Iningi labantu lingasebenza ngokujwayelekile nge-gabapentin uma umzimba wabo usujwayele. Ama-Barbiturates, ngakolunye uhlangothi, ayebanga ukulala okukhulu okwakuhlanganisa imisebenzi yansuku zonke.

Amathuba okusebenzisa kabi akhona nge-gabapentin, kodwa mancane kakhulu kunama-barbiturates. Ama-Barbiturates ayenoluhlu olunzima lokusebenzisa kabi futhi afaka isandla ekufeni okungazelelwe okuningi, yingakho ayaguga. I-Gabapentin inamathuba okusebenzisa kabi, ikakhulukazi lapho ihlanganiswa nama-opioids, kodwa le ngozi ingaphathwa kangcono.

Ingabe I-Gabapentin Ingabangela Imiphumela Eqeda Amandla?

Yebo, i-gabapentin ingabangela imiphumela eqeda amandla, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi kungakwenzakalani kukusiza ukuthi wazi ukuthi yini okufanele ubheke nokuthi nini okumele uxhumane nomunye wakho womndeni wakho womsebenzisi. Imiphumela eqeda amandla eminingi iyancane futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi.

Imiphumela eqeda amandla ejwayelekile ongase uyizwe ifaka:

• Ukuzulazula noma ukuzizwa ulula, ikakhulukazi lapho uvuka ngokushesha

• Ukulala noma ukukhathala, ikakhulukazi lapho uqala ukuyisebenzisa

• Ubunzima bokubambisana noma ukuzizwa ungazinzile ezinyaweni zakho

• Ukubuyisa emlenzeni wakho noma ezinyaweni kusuka ekubuyiseni uketshezi

• Umlomo owomile noma izinguquko ekudleni kwakho

• Ukufiphaza noma ukubona kabili kwezinye izimo

• Ubunzima bokugxilisa ingqondo noma izinkinga ezincane zenkumbulo

Le miphumela ejwayelekile ivame ukuncipha ngemuva kwamasonto okuqala. Udokotela wakho uvame ukuqala wena ngomthamo ophansi bese uyandisa kancane ukusiza ukunciphisa lezi zinsimbi.

Imiphumela eqeda amandla emibi kakhulu ayivamile kodwa kubalulekile ukuyiqaphela. Kumele uxhumane nodokotela wakho uma uqaphela izinguquko zesimo, ukudangala okwandisiwe, noma imicabango yokuzilimaza. Abanye abantu bayahlangabezana nezinguquko zokuziphatha ezingavamile noma ukukhathazeka okwandisiwe lapho beqala i-gabapentin.

Imiphumela engavamile kodwa emibi ingabandakanya izinsimbi ezinzima zokungezwani kahle ezinezimfihlo, umkhuhlane, nezithole ezivuvukile. Abanye abantu bathola izinkinga zokuphefumula, ikakhulukazi uma be se be nazo izinkinga zokuphefumula noma bethatha eminye imithi ethinta ukuphefumula. Lezi zimo zidinga usizo lwezokwelapha oluphuthumayo.

Ingabe I-Gabapentin Ibhekwa Kwi-Drug Tests?

I-Gabapentin ayivamisile ukubhekwa kumapaneli ajwayelekile okuhlolwa izidakamizwa. Izivivinyo eziningi zomsebenzi noma ezijwayelekile zihlole izinto ezifana nama-opioids, ama-barbiturates, ama-benzodiazepines, nezidakamizwa ezingekho emthethweni. I-Gabapentin ayifakwa kulezi zivivinyo ezijwayelekile.

Nokho, izivivinyo ezikhethekile zingathola i-gabapentin uma icelwa ngokuqondile. Eminye imitholampilo yokwelapha ubuhlungu kanye nezinhlelo zokuphulukisa ukuluthwa manje ziyayihlole ngoba bafuna ukuqinisekisa ukuthi abaguli bathatha imithi ebekiwe njengoba beyalelwe. Lokhu kusiza odokotela baqinisekise ukuthi izinhlelo zokwelapha ziyalandelwa.

Eqinisweni lokuthi i-gabapentin ayiyona into elawulwa yiMthetho ezingxenyeni eziningi zesifunda kusho ukuthi iphathwa ngokuhlukile kune-barbiturates neminye imithi efanayo. Ama-Barbiturates angabhekwa ezivivinyweni ezijwayelekile zezidakamizwa ngoba ayizinto ezilawulwa yiMthetho ezinezingozi ezinkulu zokuhlukumeza. Lokhu kubonisa omunye umehluko omkhulu phakathi kwalezi zigaba ezimbili zemithi.

Ingabe I-Gabapentin Iyathuthukisa Njengama-Barbiturates?

I-Gabapentin inezingozi ezincane zokuluthwa kune-barbiturates. Ngalokho kusho, umzimba wakho ungase uujwayele ngokusebenzisa njalo, futhi ukuphumula kungazelelwe kungabangela izimpawu zokuyeka. Lokhu kwehlukile ekuluthweni kwangempela, noma ngabe umugqa ungadideka ngezinye izikhathi.

Lapho odokotela bekhuluma ngokuluthwa, basho inqubo yokusebenzisa ngamandla noma ngabe kunezinkinga. Abantu abaningi abathatha i-gabapentin njengoba beyalelwe abathuthukisi le nqubo. Bayithatha ngoba isiza izimpawu zabo, hhayi ngoba bekhumbula imithi uqobo.

Ukuluthwa ngokomzimba kungathuthuka, okusho ukuthi umzimba wakho ujwayela ukuba nemithi khona. Uma uyeka kungazelelwe ngemuva kokuthatha i-gabapentin amasonto ambalwa noma izinyanga, ungase uhlangane nezimpawu zokuyeka. Lezi zingabandakanya ukukhathazeka, ukungalali, isicanucanu, ukujuluka, nobuhlungu.

Udokotela wakho uvame ukwehlisa umthamo wakho kancane lapho kufika isikhathi sokuphumula i-gabapentin. Lokhu kwehliswa kancane kunika umzimba wakho isikhathi sokuzilungisa kabusha ngaphandle kokubangela izimpawu zokuyeka. Ungalokothi uyeke i-gabapentin kungazelelwe ngokwakho, ikakhulukazi uma ubuyithatha yokuququda.

Abanye abantu bayasebenzisa kabi i-gabapentin, bavame ukuyihlanganisa nama-opioids ukuze baqinise imiphumela yabo. Lokhu kube nomphumela wokunakwa okwandisiwe kwengozi yokusebenzisa kabi i-gabapentin eminyakeni yakamuva. Kodwa-ke, ingozi iseyincane kakhulu kune-barbiturates, ezaziluthisa kakhulu.

Ungakwazi Ukuthatha I-Gabapentin Neminye Imithi?

I-Gabapentin ingasebenzelana neminye imithi, ngakho-ke udokotela wakho kufanele azi konke ongakuthatha. Lokhu kufaka phakathi imithi ebekiwe, imithi etholakala ngaphandle kwe-reception, izithako, nemikhiqizo ye-herbal. Ukuba ovulekile ngayo yonke imithi yakho kusiza ukuvimbela ukusebenzisana okubulalayo.

Imithi ethile ingandisa ukulala lapho ihlanganiswa ne-gabapentin. Lezi zihlanganisa ama-opioid pain relievers, imithi yokukhathazeka, izidakamizwa zokulala, kanye nama-antihistamines. Umphumela ohlangene ungakwenza ulale kakhulu futhi uthinte ukubambisana kwakho nokwahlulela kwakho.

Ama-Antacids anganciphisa ukuthi umzimba wakho ukhuthazeke kangakanani i-gabapentin. Uma udinga ukuthatha ama-antacids, udokotela wakho cishe uzokweluleka ukuthi uwahlehlise okungenani amahora amabili ukusuka kumthamo wakho we-gabapentin. Leli lungiselelo elilula lokuhlela liqinisekisa ukuthi uthola inzuzo egcwele yemithi yakho.

Ushukela ungathuthukisa imiphumela yokulalisa ye-gabapentin. Odokotela abaningi bayeluleka ukuthi bagweme noma banciphise utshwala ngenkathi bethatha le mithitho. Umhlangano ungakwenza ulale kakhulu futhi wandise ingozi yakho yokuwa nokulimala.

What Should You Know Before Starting Gabapentin?

Ngaphambi kokuthatha i-gabapentin, phatha ingxoxo eqotho nodokotela wakho mayelana nomlando wakho wezempilo. Izimo ezithile zidinga ukunakekelwa okwengeziwe noma ukulungiswa komthamo. Udokotela wakho uzokala izinzuzo ezibalulekile ngokumelene nanoma yiziphi izingozi ezithile esimweni sakho.

Tshela udokotela wakho uma unezinkinga zezinso. I-Gabapentin iphathwa ngezinso zakho, ngakho-ke ukunciphisa ukusebenza kwezinso kusho ukuthi imithi ihlala emzimbeni wakho isikhathi eside. Udokotela wakho angase adinge ukulungisa umthamo wakho noma akugade kakhudlwana.

Khuluma noma yimuphi umlando wokudangala, izimo zengqondo, noma imicabango yokuzibulala. I-Gabapentin ingathinta ingqondo kwabanye abantu, nakuba empeleni isiza ukukhathazeka kwabanye. Udokotela wakho udinga lolu lwazi ukuze akugade kahle futhi abone noma yiziphi izinguquko ezikhathazayo.

Uma ukhulelwe, uhlela ukukhulelwa, noma uyancelisa, khuluma nomunye wakho womndeni wakho womsebenzisi. Imiphumela ye-gabapentin ngesikhathi sokukhulelwa ayiqondwa ngokugcwele. Udokotela wakho uzokusiza ukuthi uhlole izingozi nezinzuzo zesimo sakho esithile.

Buza ngendlela yokuthatha i-gabapentin ngendlela efanele. Eminye imikhiqizo kufanele ithathwe ngokudla, kanti isikhathi sibalulekile kwabanye. Ukuqonda indlela efanele yokuthatha imithi yakho kusiza ukuqinisekisa ukuthi isebenza njengoba ihloselwe.

Kuthatha Isikhathi Esingakanani Ukuthi I-Gabapentin Isebenze?

I-Gabapentin ayisebenzi ngokushesha ezimweni eziningi. Umzimba wakho udinga isikhathi sokwakha amazinga omuthi. Le ndlela yokukhuphuka kancane iphinde isize ukunciphisa imiphumela eqeda amandla futhi inikeze uhlelo lwakho isikhathi sokuzilungisa.

Ngezinye izinhlungu zemisipha, ungase uqale ukuqaphela ukuthuthuka okuthile ngaphakathi kwesonto noma amabili. Kodwa-ke, inzuzo egcwele ngokuvamile ithatha amaviki ambalwa ukuba ikhule. Udokotela wakho uvame ukuqala wena ngomthamo ophansi bese uyandisa kancane kancane kuze kube yilapho ufika ezingeni elifanele lezimpawu zakho.

Ngenhloso yokuququda, isikhathi singahluka kuye ngesimo sakho esithile. Udokotela wakho uzokugada impendulo yakho ngokugcwele futhi alungise umthamo wakho njengoba udinga. Ukubekezela kubalulekile ngoba ukuthola umthamo ofanele kuthatha isikhathi.

Abanye abantu bazizwa belala noma bezulazula ngokushesha lapho beqala i-gabapentin. Le mikhuba esheshayo ingamiphumela eqeda amandla kunokuba ibe yinzuzo. Ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi emavikini okuqala.

Kwenzekani Uma Uphuthelwa Umthamo We-Gabapentin?

Uma uphuthelwa umthamo we-gabapentin, uwuthatha ngokushesha lapho uwukhumbula. Kodwa-ke, uma cishe sekuyisikhathi somthamo wakho olandelayo ohleliwe, yeqa owuphuthelwe bese uqhubeka nesimo sakho esijwayelekile. Ungaphindiphindi ukuze ulungise umthamo owuphuthelwe.

Ukuthatha imithamo emibili iseduze kakhulu kungandisa ingozi yakho yeziphumo ezifana nokuzulazula nokulala. Kungcono ukuphuthelwa umthamo owodwa kunokulayisha umzimba wakho nemithi eminingi ngasikhathi sinye. Umzimba wakho uphatha i-gabapentin kangcono lapho amazinga ehlala njalo.

Uma uvame ukukhohlwa imithamo, sicela uzame ukusetha izikhumbuzi zefoni noma usebenzise umhlelileli wepilisi. Isikhathi esingaguquguquki sisiza ukugcina amazinga omuthi emzimbeni wakho. Lokhu kungaguquguquki kuvame ukudala ukulawula kwezimpawu okungcono kanye nemiphumela eqeda amandla encane.

Khuluma nodokotela wakho uma uphuthelwa imithamo njalo. Angase akwazi ukwenza lula isimo sakho somthamo noma ukweluleka izindlela zokukusiza ukuthi ukhumbule. Ukuphuthelwa imithamo njalo kunganciphisa ukuthi imithi isebenze kangakanani kuwe.

Ungakwazi Ukuyeka Ukuthatha I-Gabapentin Noma Nini Lapho Ufuna?

Ungalokothi uyeke ukuthatha i-gabapentin kungazelelwe ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuphumula kungazelelwe kungabangela izimpawu zokuyeka futhi, kwezinye izimo, kubangele ukuququda noma ungazange uyithathe yokuququda. Lena ngozi ikhona ngoba uhlelo lwakho lokujiya selulungise ukuba nemithi khona.

Udokotela wakho uzokwakha isimo sokukhipha esinciphisa kancane umthamo wakho ngokuhamba kwesikhathi. Lokhu kungase kuthathe amaviki ambalwa noma ngisho izinyanga, kuye ngokuthi uwuthatha isikhathi esingakanani i-gabapentin nokuthi ngomthamo ongakanani. Le ndlela yokuhamba kancane inika uhlelo lwakho lokujiya isikhathi sokuzilungisa kabusha ngokuphepha.

Izimpawu zokuyeka zingabandakanya ukukhathazeka, ukungalali, isicanucanu, ubuhlungu, nokujuluka. Abanye abantu bathola izimpawu ezifana nezigqila noma bazizwe becasuka futhi bengazinzile. Le miphumela iyadlula kodwa ingaba yinkinga, yingakho ukukhishwa kancane kubalulekile.

Uma uthatha i-gabapentin yokuququda, ukuphumula kungazelelwe kungase kubangele ukuququda. Lena ngozi ikhona noma ngabe ubuyingeququde ngenkathi usemuthini. Njalo basebenzisane nodokotela wakho ukuze uyeke noma yimuphi umuthi wokuququda ngokuphepha.

I-Gabapentin Ihlukile Kanjani Kumithi Efana Nayo?

I-Gabapentin ingeyesigaba semithi esihlanganisa i-pregabalin, ongase uyazi njenge-Lyrica. Zombili zisebenza kumakaneli e-calcium ohlelweni lwakho lokujiya, kodwa i-pregabalin inamandla kakhulu futhi inemiphumela ehlukile kancane. Udokotela wakho ukhetha phakathi kwazo ngokusekelwe esimweni sakho esithile nokuthi uphendula kanjani.

Uma kuqhathaniswa nama-benzodiazepines, olunye uhlobo lwemithi ethinta i-GABA ebuchosheni bakho, i-gabapentin isebenza ngokuhlukile. Ama-Benzodiazepines anciphisa ngqo umsebenzi we-GABA, kanti i-gabapentin ithinta amakaneli e-calcium. Lo mehluko usho ukuthi banemiphumela eqeda amandla kanye nezingozi ezihlukile.

I-Gabapentin ayiyona i-opioid, nakuba ngezinye izikhathi ibekwa kanye nama-opioids ukuze kulawulwe ubuhlungu. Ama-Opioids asebenza kumamukeli ahlukene kakhulu ebuchosheni bakho futhi anezingozi ezihlukile. Odokotela abathile basebenzisa i-gabapentin ukusiza ukwehlisa inani lemithamo ye-opioid edingekayo ukuze kulawulwe ubuhlungu.

Ngokungafani nama-barbiturates, i-gabapentin ayiyona into elawulwa yiMthetho ezingxenyeni eziningi zesifunda. Lokhu kubonisa ingozi yayo encane yokusebenzisa kabi nokuluthwa. Izifunda ezimbalwa ziqale ukuyilawula kakhulu ngenxa yezinkathazo mayelana nokusebenzisa kabi, kodwa isatholakala kakhudlwana kunama-barbiturates ayezwe.

Isiphetho

Ukuqonda ukuthi i-gabapentin akuyona i-barbiturate kukusiza ukuthi ubhekane nokwelashwa kwakho ngezindaba ezicacile. Le mithitho iyinto eyinhloko ehlukile enezimo zokuphepha ezihlukile, izinhloso, nezingozi. I-Gabapentin imele indlela yesimanje yokwelapha ubuhlungu bemisipha nokuququda ngezingozi ezincane ezivame kakhulu kunezemikhiqizo yakudala.

Ubuhlobo bakho nomhlinzeki wakho wezempilo buyisihluthulelo sokuphumelela kokwelashwa. Buza imibuzo, ubike imiphumela eqeda amandla, futhi wabelane ngezinkathazo ngokuqotho. Ukuqonda kuka udokotela wakho mayelana nokuhlangenwe nakho kwakho, kulapho angakwazi khona ukulungisa ukwelashwa kwakho nezidingo zakho.

Khumbula ukuthi ukuthola imithi efanele nomthamo ngokuvamile kuthatha isikhathi nokubekezela. Lokho okusebenza kahle kumuntu oyedwa kungase kungasebenzi ngendlela efanayo kuwe. Hlala uxhumana nethimba lakho lezempilo, nikeza ukwelashwa isikhathi esanele sokusebenza, futhi nethembe inqubo.

Ufanele ukuqonda ukuthi yini oyibeka emzimbeni wakho nokuthi kungani. Unolwazi oluqondile mayelana ne-gabapentin, ungabamba iqhaza ngokugcwele ezinqubeni zakho zezempilo. Lolu lwazi lukwenza ukwazi ukusebenzisa imithi ngokuphepha nangempumelelo njengengxenye yesimo sakho sezempilo sonke.