Created at:1/13/2025
I-Acetaminophen-caffeine-dihydrocodeine iyimithi ebhalwe ngudokotela yokwelapha ubuhlungu ehlanganisa izithako ezintathu ezisebenzayo ukunikeza ukukhululeka kobuhlungu obuqinile kunezinketho ezingaphezu kwe-counter zodwa. Le mithi ehlanganisiwe ivame ukubhalwa ngenxa yobuhlungu obumaphakathi nobukhulu lapho ezinye izindlela zokwelapha zinganikezanga ukukhululeka okwanele.
Umuthi usebenza ngokugxila ebuhlungwini ngezindlela eziningi emzimbeni wakho. Isithako ngasinye sinendima ethile ekuphatheni ukungakhululeki kwakho, okwenza le nhlanganisela isebenze ikakhulukazi ezinhlotsheni ezithile zezimo zobuhlungu.
Lo muthi uyisidambisi sobuhlungu esihlanganisa kathathu esihlanganisa i-acetaminophen (isidambisi sobuhlungu nesinciphisa umkhuhlane), i-caffeine (ethuthukisa ukukhululeka kobuhlungu), kanye ne-dihydrocodeine (umuthi wokwelapha ubuhlungu we-opioid). Ungase uqaphele igama lomkhiqizo elithi Synalgos-DC, elingenye yezindlela ezivamile zale nhlanganisela.
Izithako ezintathu zisebenza njengeqembu ukunikeza ukukhululeka kobuhlungu okubanzi kakhulu kunanoma iyiphi isithako esisodwa esingakunikeza sodwa. I-Acetaminophen inciphisa izimpawu zobuhlungu ebuchosheni bakho, i-caffeine yandisa le miphumela futhi isize eminye imithi isebenze kangcono, kuyilapho i-dihydrocodeine ivimba izimpawu zobuhlungu ohlelweni lwakho lwezinzwa.
Lokhu kuthathwa njengento elawulwayo ngoba iqukethe i-dihydrocodeine, okuyimithi ye-opioid. Udokotela wakho uzoqapha ukusetshenziswa kwakho kwalo muthi ngokucophelela ukuqinisekisa ukuthi usebenza ngokuphepha nangempumelelo esimweni sakho esithile.
Odokotela babhala lo muthi ngenxa yobuhlungu obumaphakathi nobukhulu obungaphendulanga kahle kwezinye izindlela zokwelapha. Kuyasiza ikakhulukazi ngobuhlungu obubandakanya ukuvuvukala nokuzwela kwezinzwa, okwenza kube ngempumelelo ezimweni ezihlukahlukene.
Le nhlanganisela ivame ukusetshenziselwa izinhlobo eziningana zezimo zobuhlungu, ngasinye sidinga ukuhlolwa kwezokwelapha okucophelelayo:
Udokotela wakho uzoqaphela ukuthi lo muthi ulungele uhlobo lwakho oluthile lobuhlungu. Bazocabangela izinto ezinjengobukhulu bobuhlungu bakho, umlando wezokwelapha, nokuthi usabele kanjani kwezinye izindlela zokwelapha ngaphambi kokubhala le nhlanganisela.
Lo muthi uthathwa njengomkhululi wobuhlungu onamandla aphakathi nendawo osebenza ngezindlela ezintathu ezihlukene emzimbeni wakho. Indlela yokuhlanganisa yenza kube ngcono kunokusebenzisa noma iyiphi into eyodwa yodwa, kodwa ayinamandla njengeminye imithi enamandla ye-opioid.
I-Acetaminophen isebenza ebuchosheni bakho ukunciphisa izimpawu zobuhlungu nokwehlisa umkhuhlane. Ivimba ama-enzyme athile adala izimpawu zobuhlungu nokuvuvukala, okusiza ukuthulisa izimpawu zobuhlungu ubuchopho bakho obuzitholayo.
I-Caffeine isebenza njenge-booster kwezinye izithako ezimbili. Yandisa ukugeleza kwegazi futhi isiza umzimba wakho ukuba umunce umuthi ngempumelelo. I-caffeine futhi inikeza umphumela omncane wokuvuselela ongase usize ukulwa nanoma yikuphi ukulala okuvela engxenyeni ye-opioid.
I-Dihydrocodeine iyisithako se-opioid esibophezela kuma-receptors athile ebuchosheni bakho nasemgogodleni. Ishintsha indlela uhlelo lwakho lwezinzwa oluqonda ngayo futhi lusabela ngayo ebuhlungwini, lunikeza umphumela oqinile wokukhulula ubuhlungu wezithako ezintathu.
Thatha lo muthi njengoba nje udokotela wakho ekuyala ngayo, ngokuvamile njalo ngamahora angu-4 kuya kwangu-6 uma kudingeka ngenxa yobuhlungu. Ungawuthatha nokudla noma ngaphandle kokudla, nakuba ukuwuthatha nesnakhi esincane noma ukudla kungasiza ekuvikeleni isisu esibuhlungu.
Gwinya amaphilisi wonke ngamanzi agcwele. Ungawachobozi, uwahlafune, noma uwaphule amaphilisi, ngoba lokhu kungathinta indlela umuthi omuncwa ngayo futhi kungase kwandise ingozi yakho yemiphumela engemihle.
Uma uzwa isicanucanu lapho uthatha lo muthi, zama ukuwuthatha nokudla noma ubisi. Abanye abantu bathola ukuthi ukudla isnakhi esilula njengama-crackers noma isinkwa esosiwe cishe imizuzu engama-30 ngaphambi kokuthatha umuthi kusiza ukunciphisa ukungakhululeki kwesisu.
Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi, ngoba kungandisa ingozi yemiphumela engemihle engathi sína okuhlanganisa izinkinga zokuphefumula eziyingozi nokulimala kwesibindi. Inhlanganisela yama-opioids notshwala ingaba yingozi ikakhulukazi.
Gcina umkhondo wokuthi uthatha nini umthamo ngamunye nokuthi ukuthola kangakanani ukukhululeka kobuhlungu. Lolu lwazi luzosiza udokotela wakho ukuthi anqume ukuthi umuthi uyasebenza yini ngempumelelo kuwe nokuthi ngabe kukhona yini okudingeka kulungiswe.
Ubude bokwelashwa buhlukahluka kakhulu kuye ngesimo sakho esithile nezidingo zokuphatha ubuhlungu. Ngezinhlungu ezingamahlalakhona njengokungakhululeki ngemva kokuhlinzwa, ungase udinge lo muthi izinsuku ezimbalwa kuya evikini.
Ngezimo zobuhlungu ezingamahlalakhona, udokotela wakho angase akuyalele lo muthi isikhathi eside, kodwa bazohlola njalo ukuthi usawuyona yini inketho engcono kuwe. Ukusetshenziswa kwesikhathi eside kudinga ukuqapha ngokucophelela ngenxa yengxenye ye-opioid kanye nokwenzeka kokuncika.
Udokotela wakho uzofuna ukukubona njalo ukuze ahlulele ukuthi umuthi usebenza kahle kangakanani nokuthi abheke noma yimiphi imiphumela engemihle ekhathazayo. Bangase balungise umthamo wakho noma baphakamise ezinye izindlela zokwelapha njengoba isimo sakho sishintsha.
Ungayeki ukuthatha lo muthi kungazelelwe uma ubuwusebenzisa izinsuku ezingaphezu kwezithile. Udokotela wakho uzokwenza uhlelo lokunciphisa kancane kancane ukusiza ukuvimbela izimpawu zokuhoxisa futhi aqinisekise ukunethezeka kwakho ngesikhathi sokushintsha.
Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi ivela kuzo zonke izithako ezintathu futhi ingahluka kusukela kokulula kuya kokubucayi.
Imiphumela emibi ejwayelekile abantu abaningi abayitholayo ihlanganisa:
Le miphumela emibi ejwayelekile ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziba yisicefe, khuluma nodokotela wakho ngezindlela zokuzilawula.
Imiphumela emibi ebucayi idinga ukunakekelwa kwezempilo ngokushesha futhi ihlanganisa:
Uma uhlangabezana nanoma iyiphi yale miphumela emibi ebucayi, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha. Lezi zimpawu zingabonisa izinkinga ezingase zibe yingozi ekuphileni ezidinga ukwelashwa ngokushesha.
Lo muthi awuphephile kuwo wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zenza kungafaneleki noma kube yingozi. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuchazela le nhlanganisela.
Akufanele uthathe lo muthi uma unezimo ezithile zempilo ezingenza kube yingozi:
Ukuqapha okukhethekile kuyadingeka uma unezinye izimo zezokwelapha ezingathinteka yilo muthi. Udokotela wakho uzoqhathanisa izinzuzo nezingozi zezimo ezinjengezinkinga zesibindi ezilula, isifo senhliziyo, umfutho wegazi ophezulu, noma umlando wokuhlukunyezwa kwezinto.
Abesifazane abakhulelwe nabancelisa ngamabele kufanele bagweme lo muthi ngaphandle uma beqondiswa ngqo ngudokotela wabo. Ingxenye ye-opioid ingawela i-placenta futhi idlulele obisini lwebele, okungenzeka ukuthi ithinte ingane.
Abantu abadala bangase bazwe kalula imiphumela yalo muthi, ikakhulukazi ukozela nemiphumela yokuphefumula. Udokotela wakho angase aqale ngomthamo ophansi futhi akuqaphele eduze.
Igama elivamile lomkhiqizo lale nhlanganisela yi-Synalgos-DC, ebelitholakala iminyaka eminingi. Leli gama lomkhiqizo lisiza ukuliqondanisa nezinye izinhlanganisela zemithi yokwelapha ubuhlungu ezingase zibe nezithako ezifanayo.
Amanye amakhemisi angase futhi athwale izinguqulo ezivamile zale nhlanganisela, ezinokuqukethwe okufanayo okusebenzayo ngamanani afanayo kodwa angase abe ashibhile. Izinguqulo ezivamile zisebenza kahle njengomuthi wegama lomkhiqizo.
Njalo hlola nomuthi wakho uma unemibuzo mayelana nokuthi ngabe uthola yini uhlobo lomkhiqizo noma olujwayelekile. Zombili izinhlobo kumele zihlangabezane namazinga afanayo e-FDA okuphepha nokusebenza.
Imithi eminingi ehlukile inganikeza ukukhululeka okufanayo kobuhlungu, kuye ngezidingo zakho ezithile nesimo sakho sezokwelapha. Udokotela wakho angase acabangele lezi zinketho uma le nhlanganisela ingakulungele.
Ezinye izindlela ezingezona ze-opioid ezingase zisebenze zihlanganisa:
Ezinye izinhlanganisela ze-opioid zingase zicatshangelwe uma udinga ukukhululeka kobuhlungu obuqinile noma unezidingo ezithile zezokwelapha. Lokhu kufaka phakathi izinhlanganisela ne-codeine, hydrocodone, noma i-oxycodone, ngalinye linenzuzo yalo nezingozi zalo.
Udokotela wakho uzokusiza ukuthi uthole enye indlela efanele kakhulu ngokusekelwe ohlotsheni lwakho lobuhlungu, umlando wakho wezokwelapha, kanye nemigomo yokwelashwa. Ngezinye izikhathi inhlanganisela yezindlela ezihlukene isebenza kangcono kunokuncika emuthini owodwa.
Yomibili imithi iyasebenza ngobuhlungu obumaphakathi, kodwa isebenza ngendlela ehlukile futhi inezinzuzo nobubi obuhlukile. Ukukhetha phakathi kwazo kuncike esimweni sakho esithile, umlando wezokwelapha, nokuthi usabela kanjani ezinhlotsheni ezihlukene zemithi yokwelapha ubuhlungu.
I-Acetaminophen-caffeine-dihydrocodeine ingase isebenze kangcono ngobuhlungu obukhulu ngoba iqukethe i-opioid yendabuko ehlanganiswe ne-acetaminophen ne-caffeine. Le nhlanganisela ephindwe kathathu inganikeza ukukhululeka kobuhlungu okubanzi kakhulu ezimweni ezithile.
I-Tramadol isebenza ngezindlela ezahlukene futhi ingase ibe ngcono kubantu abafuna ukugwema ama-opioid esintu noma labo abanezimo ezithile zezokwelapha. Inengozi ephansi yokucindezelwa kokuphefumula futhi ingase iphephe kubantu abanezinkinga zokuphefumula.
I-caffeine ekwelapheni okuhlanganisiwe ingaba usizo kwabanye abantu kodwa ibe yinkinga kwabanye. Uma uzwela ku-caffeine noma unezinkinga zenhliziyo, i-tramadol ingase ibe yindlela engcono.
Udokotela wakho uzocabangela izinto ezinjengobunzima bokuzwa ubuhlungu bakho, umlando wakho wezokwelapha, eminye imithi oyithathayo, kanye nezinto eziyingozi zokuthola imiphumela emibi lapho ekhetha phakathi kwalezi zinketho.
Le mithi ngokuvamile ingasetshenziswa ngokuphepha ngabantu abanesifo sikashukela, kodwa idinga ukuqapha ngokucophelela nokucatshangelwa kwesimo sakho sempilo esiphelele. Umuthi ngokwawo awuthinti ngokuqondile amazinga kashukela egazini, kodwa ezinye izici zokuyithatha zingase zithinte ukuphathwa kwesifo sakho sikashukela.
Ukozela kanye nezinguquko ezingaba khona zesifiso sokudla ezivela kulo muthi kungase kuthinte isimiso sakho sokudla noma ikhono lakho lokuhlola ushukela wakho wegazi njalo. Uma uhlangabezana nesicanucanu noma ukuhlanza, lokhu kungase kuthinte ikhono lakho lokudla ukudla ngesikhathi esithile noma ukugcina imithi phansi.
Xoxa nodokotela wakho oqoke imithi yokwelapha ubuhlungu kanye nethimba lakho lokunakekela isifo sikashukela. Bangakusiza ukuthi udale uhlelo lokuphatha ubuhlungu bakho ngenkathi ugcina ukulawula okuhle kwesifo sikashukela.
Uma usola ukuthi uphuze umuthi omningi kakhulu, funa ukunakekelwa kwezokwelapha ngokushesha ngokushayela izinombolo eziphuthumayo noma ukuya egumbini eliphuthumayo eliseduze. Ukweqisa kungaba yingozi ekuphileni ngenxa yengxenye ye-opioid kanye ne-acetaminophen.
Izimpawu zokweqisa umthamo zingabandakanya ukozela okukhulu, ubunzima bokuphefumula, ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile, isikhumba esibandayo noma esimanzi, ukudideka, noma ukulahlekelwa ukwazi. Lezi zimpawu zidinga ukungenelela kwezokwelapha ngokushesha.
Ukweqisa umthamo we-Acetaminophen kungabangela umonakalo omkhulu esibindini, kanti ukweqisa umthamo we-opioid kungabangela izinkinga eziyingozi zokuphefumula. Zombili zidinga ukwelashwa okuthile kwezokwelapha okusebenza kahle kakhulu uma kuqala ngokushesha.
Gcina ibhodlela lemithi unawe lapho ufuna ukunakekelwa kwezokwelapha ukuze abahlinzeki bezempilo bazi kahle ukuthi yini nokuthi ungakanani okuthathile. Ungalindi ukubona ukuthi izimpawu ziyavela yini – funa usizo ngokushesha.
Uma uphuthelwa umthamo futhi uthatha lo muthi ngeshejuli ejwayelekile, thatha umthamo ophuthelwe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho yokulinganisa ejwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi engathí sina ehlanganisa ukweqisa umthamo. Inhlanganisela yezithako yenza kubaluleke kakhulu ukugwema ukuthatha okuningi ngesikhathi esisodwa.
Uma uthatha lo muthi kuphela uma kudingeka ngenxa yobuhlungu, akudingeki ukhathazeke ngemithamo ephuthelwe. Vele uthathe umthamo wakho olandelayo lapho uzwa ubuhlungu, ulandela imihlahlandlela yesikhathi enikezwe udokotela wakho.
Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi ocingweni lwakho noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni ngeshejuli yakho yemithi.
Ungayeka ukuthatha lo muthi lapho ubuhlungu bakho buhambe kahle kangangokuthi awusadingi, kodwa lesi sinqumo kufanele senziwe ngokubonisana nodokotela wakho. Uma ubuthatha izinsuku ezimbalwa kuphela ngenxa yobuhlungu obukhulu, ungase ukwazi ukuyeka uma uzizwa ungcono.
Uma ubulokhu usebenzisa lo muthi njalo isikhathi esingaphezu kwesonto elilodwa, ungayeki kungazelelwe. Udokotela wakho uzokusiza ukuthi unciphise umthamo kancane kancane ukuvimbela izimpawu zokuhoxisa, ezingabandakanya ukungazinzi, ubuhlungu bemisipha, isicanucanu, nokukhathazeka.
Ezimweni zobuhlungu obungapheli, udokotela wakho uzosebenza nawe ukunquma ukuthi kufanele nini ukuyeka noma ukushintshela ekwelashweni okuhlukile. Bazocabangela ukuthi ubuhlungu bakho bulawulwa kahle kangakanani nokuthi ngabe ezinye izindlela zokwelapha zingase zifaneleke kakhulu ekusetshenzisweni kwesikhathi eside.
Njalo xoxa ngezinhlelo zakho zokuyeka ukuthatha lo muthi nomhlinzeki wakho wezempilo, noma ngabe uzizwa sengathi awusawudingi. Bangakunikeza isiqondiso sendlela ephephe kakhulu yokuyeka umuthi futhi baphakamise amasu okuphatha ubuhlungu ehlukile uma kudingeka.
Akufanele ushayele noma usebenzise imishini lapho uqala ukuthatha lo muthi noma lapho umthamo wakho ushintshwa, ngoba ngokuvamile kubangela ukozela futhi kungalimaza isikhathi sakho sokusabela nokwahlulela. Ingxenye ye-opioid ingathinta kakhulu ikhono lakho lokushayela ngokuphepha.
Noma ngabe uzizwa uqaphile, lo muthi ungalambisa imizwa yakho futhi ulimeze ikhono lakho lokwenza izinqumo ngokushesha ngenkathi ushayela. Inhlanganisela yezithako ingathinta abantu ngendlela ehlukile, futhi kungenzeka ungaboni ukuthi ukhubazeke kangakanani.
Uma usuwuthatha umuthi isikhashana futhi uqonda ukuthi ukuthinta kanjani, xoxa ngokushayela nodokotela wakho. Abanye abantu bangashayela ngokuphepha ngomthamo ozinzile, kanti abanye kufanele bagweme ukushayela ngokuphelele ngenkathi bethatha lo muthi.
Cabangela ezinye izinketho zokuthutha njengezinsizakalo zokwabelana ngemoto, ezokuthutha zomphakathi, noma ukucela umndeni nabangane ukuthi bakugibele ngenkathi uthatha lo muthi. Ukuphepha kwakho nokuphepha kwabanye emgwaqeni kufanele kube yinto eza kuqala.