Yini i-Acamprosate: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Acamprosate iyimithi kadokotela esiza abantu ukuthi bagcine ukuzithiba ngemva kokuyeka ukuphuza utshwala. Isebenza ngokubuyisela ukulinganisela kumakhemikhali obuchopho aphazamiseka ngesikhathi sokusetshenziswa kotshwala isikhathi eside, okwenza kube lula ukumelana nesifiso sokuphuza futhi.

Le mithi ayikwelaphi ukuncika otshwaleni, kodwa ingaba yithuluzi elibalulekile ohambweni lwakho lokululama. Cabanga ngayo njengengxenye eyodwa yendida enkulu ehlanganisa ukwelulekwa, amaqembu okusekela, kanye nezinguquko zokuphila.

Yini i-Acamprosate?

I-Acamprosate iyimithi eyenzelwe ngqo ukusekela ukululama kotshwala ngokusiza ubuchopho bakho ukuthi bujwayele ukusebenza ngaphandle kotshwala. Ingowesigaba semithi ebizwa ngokuthi ama-alcohol deterrents, nakuba isebenza ngendlela ehlukile kweminye imithi ekulesi sigaba.

Lo muthi waqala ukuthuthukiswa eYurophu futhi ususiza abantu ukuthi bagcine ukuzithiba amashumi eminyaka. Ilusizo ikakhulukazi kubantu abaye bayeka ukuphuza ngempumelelo kodwa abahlushwa izifiso noma izici zengqondo zokuhlala beqotho.

Ngokungafani neminye imithi yokululama kotshwala, i-acamprosate akukwenzi ukuthi ugule uma uphuza utshwala. Kunalokho, isebenza buthule ngemuva ukunciphisa ukungakhululeki kwengqondo okuvame ukuhambisana nokuzithiba ekuqaleni.

Yini i-Acamprosate Esizwa Ngayo?

I-Acamprosate isetshenziswa ikakhulukazi ukusiza abantu abanokuphazamiseka kokusetshenziswa kotshwala ukuthi bagcine ukuzithiba kwabo ngemva kokuyeka ukuphuza. Ayihloselwe ukukusiza ukuthi uyeke ukuphuza ekuqaleni, kodwa kunalokho ukukusiza ukuthi uhlale uyekile uma usenze leso sizibopho.

Udkt wakho ngokuvamile uzokunika lo muthi njengengxenye yohlelo olubanzi lokwelashwa oluhlanganisa ukwelulekwa, amaqembu okusekela, noma ezinye izindlela zokwelapha. Umuthi usebenza kahle kakhulu uma uhlanganiswe nalezi ezinye izinhlobo zokusekela.

Abanye abantu bathola ukuthi i-acamprosate iyasiza ikakhulukazi ezinyangeni zokuqala zokuyeka ukuphuza, lapho ukulangazelela nokungakhululeki ngokwengqondo kungaba kubi kakhulu. Kungasiza ukuthambisa ezinye zezinto ezingokomzwelo eziphakama futhi zehle ezivamile ngesikhathi sokululama ekuqaleni.

Isebenza Kanjani I-Acamprosate?

I-Acamprosate isebenza ngokusiza ukubuyisela ibhalansi yemvelo yamakhemikhali obuchopho aphazanyiswa ukusetshenziswa kotshwala isikhathi eside. Ngokuqondile, ithinta ama-neurotransmitters abizwa ngokuthi i-glutamate ne-GABA, adlala indima ebalulekile endleleni ubuchopho bakho obusabela ngayo ekucindezelekeni nasemivuzweni.

Uma uphuza utshwala njalo ngokuhamba kwesikhathi, ubuchopho bakho buyavumelana ngokushintsha indlela la makhemikhali asebenza ngayo. Ngemva kokuyeka ukuphuza, kuthatha isikhathi ukuthi ubuchopho bakho buqale ukusebenza ngaphandle kotshwala, okungabangela ukulangazelela, ukukhathazeka, neminye imizwa engakhululekile.

Lo muthi uthathwa njengosebenza kahle ngokulinganisela kunokuba kube ukungenelela okuqinile. Unikeza ukusekela okuthambile kunokushintsha okukhulu, okusho ukuthi ungase ungaboni imiphumela yawo ngokushesha. Abantu abaningi bayichaza njengokusiza ukuba bazizwe bezinzile futhi bengakhathazeki kakhulu ngemicabango mayelana nokuphuza.

Kufanele Ngiyithathe Kanjani I-Acamprosate?

I-Acamprosate ivame ukuthathwa kathathu ngosuku ngesikhathi sokudla, ngokuvamile ekuseni, emini, nakusihlwa. Ukuyithatha nokudla kusiza umzimba wakho ukuba umunce umuthi ngempumelelo futhi kunganciphisa ithuba lokuthi isisu singakhathazeki.

Kufanele uthathe umthamo ngamunye ngenkomishi yamanzi egcwele. Amaphilisi kufanele agwinywe wonke futhi angachotshwa, ahlafunwe, noma aphulwe, ngoba lokhu kungathinta indlela umuthi okhululwa ngayo emzimbeni wakho.

Kubalulekile ukuthatha i-acamprosate ngisho noma ungafuni ukuthi isebenze ngokushesha. Umuthi udinga isikhathi sokwakheka emzimbeni wakho, futhi ungase ungaboni imiphumela yawo ephelele amasonto amaningana. Ukuqina kubalulekile ekutholeni inzuzo enkulu kulo muthi.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Acamprosate?

Abantu abaningi bathatha i-acamprosate cishe unyaka owodwa, nakuba abanye bengase bazuze ekuyithatheni isikhathi eside. Udokotela wakho uzosebenza nawe ukuze anqume ubude obufanele ngokuya ngesimo sakho somuntu ngamunye nokuthi usabela kahle kangakanani emithini.

Umuthi usiza kakhulu ngonyaka wokuqala wokuyeka ukuphuza utshwala, lapho ingozi yokubuyela emuva ivame ukuba phezulu kakhulu. Abanye abantu bathola ukuthi banganciphisa kancane kancane umthamo wabo noma bayeke ukuwuthatha njengoba bethuthukisa amakhono amaningi okubhekana nezinto ezinzima futhi amakhemikhali obuchopho babo aqhubeka nokululama.

Udokotela wakho uzohlala ekuhlolisisisa ukuze ahlulele ukuthi umuthi usebenza kanjani nokuthi usukulungele yini ukucabangela ukuyeka. Lesi sinqumo kufanele senziwe ngaso sonke isikhathi kanye nomhlinzeki wakho wezempilo kunokuba uzenzele wena.

Yiziphi Imiphumela Eceleni ye-Acamprosate?

Njengayo yonke imithi, i-acamprosate ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiswe kangcono futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi evame kakhulu ivamise ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi:

• Ukuqunjelwa (lokhu kuwumphumela oceleni obikwa kaningi)
• Isicanucanu noma ukuqaqamba kwesisu
• Igesi noma ukuqunjelwa
• Ukulahlekelwa isifiso sokudla
• Ikhanda
• Isiyezi
• Ukukhathala noma ubuthakathaka
• Umlomo owomile
• Ubuhlungu bemisipha
• Izinkinga zokulala

Le miphumela emibi evamile ivame ukunyamalala emasontweni ambalwa okuqala okwelashwa. Uma ziqhubeka noma ziba yizithiyo, udokotela wakho uvame ukulungisa umthamo wakho noma aphakamise izindlela zokuphatha zona.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Ushintsho olukhulu lwemizwa noma imicabango yokuzilimaza
• Izimpawu zezinkinga zezinso (ushintsho ekuchameni, ukuvuvukala emilenzeni noma ezinyaweni)
• Ukungezwani komzimba okukhulu (ukuqubuka, ukuvuvukala, ubunzima bokuphefumula)
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ubuhlungu obukhulu besisu noma ukuhlanza okuqhubekayo

Uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi, xhumana nodokotela wakho ngokushesha noma funa ukwelashwa okuphuthumayo. Khumbula ukuthi imiphumela emibi emibi ayivamile, futhi abantu abaningi bangathatha i-acamprosate ngokuphepha ngaphansi kokuqondiswa okufanele kwezokwelapha.

Ubani Ongafanele Athathwe I-Acamprosate?

I-Acamprosate ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile zezempilo noma izimo zenza lo muthi ungafaneleki noma uyingozi.

Akufanele uthathe i-acamprosate uma unezifo ezinzima zezinso noma ukwehluleka kwezinso. Umuthi ucutshungulwa ngezinso zakho, ngakho ukungasebenzi kahle kwezinso kungaholela ekwakhekeni okuyingozi komuthi emzimbeni wakho.

Abantu abasaphuzayo utshwala akufanele baqale ukuthatha i-acamprosate. Umuthi wenzelwe ukusiza ukugcina ukuzithiba, hhayi ukukusiza ukuyeka ukuphuza ekuqaleni. Udinga ukuba ngaphandle kotshwala ngaphambi kokuqala ukwelashwa.

Ezinye izimo lapho i-acamprosate ingase ingafaneleki zihlanganisa:

• Ukukhulelwa noma ukuncelisa (ukuphepha akukamiswanga)
• Isifo sesibindi esibi
• Umlando wokucindezeleka okukhulu noma imicabango yokuzibulala
• Ukungezwani komzimba ne-acamprosate noma yiziphi izithako zayo

Udokotela wakho uzobheka futhi iminyaka yakho, eminye imithi oyithathayo, kanye nesimo sakho sempilo esiphelele lapho enquma ukuthi i-acamprosate ikufanele yini.

Amagama Omkhiqizo we-Acamprosate

I-Acamprosate ivame ukuthengiswa ngaphansi kwegama lomkhiqizo elithi Campral e-United States. Leli igama lomkhiqizo wokuqala womuthi futhi lihlala liyinguqulo eyaziwa kakhulu.

Izinhlobo ezivamile ze-acamprosate nazo ziyatholakala, eziqukethe isithako esifanayo esisebenzayo kodwa zingabiza ngaphansi kwenguqulo yegama lomkhiqizo. Umkhemisi wakho angakusiza ukuthi uqonde umehluko phakathi kwegama lomkhiqizo nezinketho ezivamile.

Noma ngabe uthatha inguqulo yegama lomkhiqizo noma ejwayelekile, umuthi usebenza ngendlela efanayo futhi unempumelelo efanayo. Ukukhetha kuvame ukwehla ekuhlinzekweni komshuwalense nasekubhekeni izindleko.

Ezinye izindlela ze-Acamprosate

Uma i-acamprosate ingakulungele noma ingasebenzi kahle ngokwanele, eminye imithi eminingi ingasiza ekululameni kotshwala. Ngamunye usebenza ngendlela ehlukile, ngakho udokotela wakho angakusiza ukuthi uthole inketho engcono kakhulu yesimo sakho.

I-Naltrexone ngomunye umuthi ovame ukunqunywa odambisa ukulangazelela utshwala. Ngokungafani ne-acamprosate, ingathathwa njengepilisi yansuku zonke noma umjovo wanyanga zonke, futhi isebenza ngokuvimba imiphumela emnandi yotshwala.

I-Disulfiram (Antabuse) ithatha indlela ehlukile ngokukwenza uzizwe ugula uma uphuza utshwala. Lokhu kungasebenza kwabanye abantu, kodwa kudinga ukugadwa kwezokwelapha ngokucophelela futhi akulungelwe wonke umuntu.

Izinketho ezintsha zifaka i-topiramate ne-gabapentin, okuyimithi eyenzelwe ezinye izimo kodwa ekhombise isithembiso sokusiza ekulangazeleleni utshwala. Udokotela wakho angaxoxa ngokuthi lezi zingase zifanele yini isimo sakho.

Ingabe i-Acamprosate ingcono kune-Naltrexone?

Kokubili i-acamprosate ne-naltrexone ziyimithi esebenzayo yokusekela ukululama kotshwala, kodwa zisebenza ngezindlela ezihlukene futhi zingase zifaneleke kangcono kubantu abahlukene. Akukho noyedwa

I-Naltrexone ingase isebenze kangcono kubantu abaneziphambeko ngezikhathi ezithile noma labo abahlushwa yizici eziklomelisayo zotshwala. Inganciphisa kokubili ukulangazelela nenjabulo oyitholayo ekuphuzeni, okungasiza ekuqhekeni umjikelezo wokusebenzisa utshwala.

Abanye abantu basabela kangcono emuthini owodwa kunomunye, futhi kwezinye izimo, odokotela bangase bancomise ukusebenzisa womabili ndawonye. Udokotela wakho uzocabangela isimo sakho esithile, umlando wezokwelapha, kanye nemigomo yokwelashwa lapho ekusiza ukuthi ukhethe phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Acamprosate

Ingabe i-Acamprosate iphephile kubantu abanesifo sikashukela?

I-Acamprosate ngokuvamile ithathwa njengephephile kubantu abanesifo sikashukela, njengoba ingayithinti ngokuqondile amazinga kashukela egazini. Kodwa-ke, ukuyeka ukusebenzisa utshwala ngezinye izikhathi kungashintsha indlela ushukela wakho wegazi osabela ngayo, ikakhulukazi uma ubuphuza njalo ngaphambili.

Udokotela wakho uzofuna ukuqapha ushukela wakho wegazi eduze lapho uqala i-acamprosate, ikakhulukazi emasontweni ambalwa okuqala okwelashwa. Lokhu ikakhulukazi kungenxa yokuthi impilo yakho yonke namaphethini okudla kungashintsha njengoba uzivumelanisa nokungaphuzi, kunokuba ngenxa yomuthi ngokwawo.

Ngingenzani uma ngiphuzile i-Acamprosate eningi ngengozi?

Uma ngengozi uphuze i-acamprosate eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuphuza okuningi kungakhuphula ingozi yakho yemiphumela emibi, ikakhulukazi isifo sohudo nezinkinga zesisu.

Ungazami ukuthi "ulungise" umthamo owengeziwe ngokweqa umthamo wakho olandelayo ohleliwe. Kunalokho, buyela esimisweni sakho sokulinganisa esivamile futhi wazise udokotela wakho ngalokho okwenzekile. Bangakunikeza iseluleko sokuthi uqhubeke kanjani ngokuphepha.

Ngingenzani uma ngiphuthelwe umthamo we-Acamprosate?

Uma uphuthelwe umthamo we-acamprosate, yithathe ngokushesha lapho ukhumbula, uma nje kungesona isikhathi esicishe sibe sesikhathini somthamo wakho olandelayo ohleliwe. Uma iseduze nesikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owuphuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi ocingweni lwakho noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni.

Ngingayeka nini Ukuthatha i-Acamprosate?

Isinqumo sokuyeka ukuthatha i-acamprosate kufanele senziwe ngaso sonke isikhathi ngesiqondiso sikadokotela wakho. Abantu abaningi bayayithatha cishe unyaka owodwa, kodwa abanye bangazuza ekwelashweni isikhathi eside, kanti abanye bangase bakulungele ukuyeka ngokushesha.

Udokotela wakho uzocabangela izinto ezinjengokuthi usunesikhathi esingakanani ungaphuzi, ukuthi ubhekana kanjani nokulangazelela, uhlelo lwakho lokusekela, nokuzinza kwakho konke ekululameni. Ukuyeka ngokushesha kungakhuphula ingozi yokuphindela emuva, ngakho-ke kubalulekile ukuba nale ngxoxo evulekile nomhlinzeki wakho wezempilo.

Ngingakwazi yini Ukuphuza Utshwala Ngenkathi Ngithatha i-Acamprosate?

Ngenkathi i-acamprosate ngeke ikwenze ugule uma uphuza utshwala (ngokungafani neminye imithi), ukuphuza ngenkathi uyithatha kuphambanisa injongo yokwelashwa. Umuthi wenzelwe ukukusiza ukuthi ugcine ukungaphuzi, hhayi ukunika amandla ukuqhubeka nokuphuza.

Uma uphuza ngenkathi uthatha i-acamprosate, yiba qotho nodokotela wakho ngakho. Abakho lapho ukukwahlulela, kodwa ukukusiza ukuthi ubuyele emgwaqeni ngezinhloso zakho zokululama. Bangase badinge ukulungisa uhlelo lwakho lokwelashwa noma banikeze ukwesekwa okwengeziwe.