Created at:1/13/2025
Ama-suppositories e-Belladonna ne-opium ayimithi kadokotela ehlanganisa imithi emibili enamandla esekelwe ezitshalweni ukwelapha ubuhlungu obukhulu besinye nomgudu wokugaya ukudla. Le nhlanganisela isetshenziswe isikhathi esingaphezu kwekhulu leminyaka ukusiza abantu ukuba balawule ukungakhululeki okukhulu lapho ezinye izindlela zokwelapha zinganikezanga usizo olwanele.
Umuthi usebenza ngokugxila ebuhlungwini nasekuhambeni kwemisipha ngezindlela eziqondile. Nakuba ingabhaliwe njalo namuhla ngenxa yezinye izindlela ezintsha, iseyindlela ebalulekile ezimweni ezithile zezokwelapha lapho imithi yobuhlungu bendabuko ingaphumeleli khona.
Ama-suppositories e-Belladonna ne-opium aqukethe ama-alkaloids amabili emvelo asebenza ndawonye ukulawula ubuhlungu nokuhamba kwemisipha. I-Belladonna ivela esitshalweni esibulalayo sasebusuku futhi isebenza njenge-antispasmodic, kuyilapho i-opium inikeza usizo olunamandla lobuhlungu ngokuqukethwe kwayo kwe-morphine.
Lo muthi ohlanganisiwe uhlukaniswa njengento elawulwayo ngenxa yengxenye ye-opium. Udokotela wakho uzoyibhala kuphela uma izinzuzo ziqeda izingozi, ngokuvamile ezimweni ezinzima ezingaphendulanga kwezinye izindlela zokwelapha.
Ifomu le-suppository livumela umuthi ukuba umuncwe ngokuqondile ngezicubu ze-rectal. Le ndlela ingasiza ikakhulukazi uma ungenakukwazi ukuthatha imithi yomlomo noma uma udinga usizo oluqondiwe endaweni ye-pelvic.
Lo muthi ubhalwa ikakhulukazi ngezinhlungu ezinzima zesinye kanye nobuhlungu be-rectal ezingakwazanga ukulawulwa ngempumelelo ezinye izindlela zokwelapha. Ivame ukusetshenziswa ngemva kwezinqubo ezithile zokuhlinzwa noma ezimweni ezithile zezokwelapha ezithinta umgudu wokuchama ongezansi.
Udokotela wakho angase ancome lo muthi uma uhlangabezana nobuhlungu obukhulu nokuhamba kwemisipha okuhlobene nalokhu:
Kubalulekile ukuqonda ukuthi lokhu akuyona indlela yokwelapha yokuqala. Umhlinzeki wakho wokunakekelwa kwezempilo ngokuvamile uzozama ezinye izinketho kuqala futhi acabange ngalo muthi kuphela uma udinga ukukhululeka okuqinile ngezimpawu ezinzima.
Lo muthi usebenza ngezindlela ezimbili ezihlukene kodwa ezigcwalisanayo ukuze unikeze ukukhululeka. Ingxenye ye-belladonna ivimba izimpawu ezithile zemizwa ezibangela ukuquleka kwemisipha, kuyilapho ingxenye ye-opium inciphisa ngokuqondile ukuzwa ubuhlungu ebuchosheni bakho.
I-Belladonna iqukethe ama-alkaloids asebenza njenge-anticholinergics, okusho ukuthi avimba ama-acetylcholine receptors emsipheni obushelelezi. Lesi senzo sisiza ukuphumuza imisipha engazithandeli esithweni sakho somchamo nase-rectum, sinciphisa ukuquleka okubuhlungu nokucindezela.
Ingxenye ye-opium iqukethe i-morphine namanye ama-opioid alkaloids abopha kuma-receptors obuhlungu ohlelweni lwakho oluphakathi nendawo. Lokhu kudala ukukhululeka okunamandla kobuhlungu, nakuba futhi kuza nethuba lokuncika neminye imiphumela emibi ehlobene ne-opioid.
Ngokuhlangene, lezi zingxenye ezimbili zakha umuthi oqinile oqondise kokubili ukuquleka kwemisipha kanye nomuzwa wobuhlungu. Lesi senzo esiphindwe kabili senza sisebenze ezimweni lapho uhlangabezana nazo zombili izinhlobo zokungakhululeki ngasikhathi sinye.
Njalo landela imiyalelo ethile kadokotela wakho yokusebenzisa lo muthi, njengoba umthamo nemvamisa kuzolungiswa esimweni sakho nezidingo zakho. I-suppository kufanele ifakwe nge-rectally, ngokuvamile kanye noma kabili ngosuku, kuye ngokuthi imiyalelo yakho.
Ngaphambi kokufaka i-suppository, qiniseka ukuthi izandla zakho zihlanzekile futhi i-suppository isezingeni lokushisa legumbi. Uma ithambe kakhulu ngenxa yokushisa, ungalifaka esiqandisini ngesikhashana ukuze kube lula ukulifaka.
Nansi indlela yokusebenzisa i-suppository ngendlela efanele:
Zama ukugcina i-suppository okungenani imizuzu engu-15-30 ukuvumela ukumuncwa okufanele. Uma uzwa isifiso sokuba nokuhamba kwamathumbu ngemva nje kokufaka, zama ukulinda uma kungenzeka.
Ubude bokwelashwa nge-belladonna ne-opium ngokuvamile busesikhathini esifushane, ngokuvamile busuka ezinsukwini ezimbalwa kuya emavikini ambalwa. Udokotela wakho uzoqoka ubude bokwelashwa obufanele ngokuya ngesimo sakho esithile nokuthi usabela kahle kangakanani emuthini.
Lo muthi wenzelwe ukuphathwa kobuhlungu obukhulu kunokusebenzisa isikhathi eside. Ingxenye ye-opium inezingozi zokubekezelelana nokuncika, ngakho-ke umhlinzeki wakho wezempilo uzofuna ukukhawulela ukuchayeka kwakho esikhathini esifushane esisebenzayo.
Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ikakhulukazi uma ubuwusebenzisa isikhathi esingaphezu kwezinsuku ezimbalwa. Umhlinzeki wakho wezempilo kungadingeka ukuthi anciphise kancane kancane umthamo wakho ukuvimbela izimpawu zokuhoxisa.
Uma izimpawu zakho ziqhubeka ngaphezu kwesikhathi sokwelashwa esinqunyiwe, xhumana nodokotela wakho ukuze uxoxe ngezinketho zokwelashwa ezingezinye kunokuqhubeka nokuthatha lo muthi isikhathi eside kunokunconywa.
Njengazo zonke izidakamizwa, i-belladonna ne-opium zingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuhlanganiswa kwalezi zinto ezimbili ezinamandla kungathinta izinhlelo eziningi zomzimba, ngakho-ke kubalulekile ukuqaphela ukusabela okungenzeka.
Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:
Le miphumela emibi ngokuvamile iyalawuleka futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Kodwa-ke, abanye abantu bangase babe nokusabela okungathi sína okudinga ukunakekelwa kwezempilo ngokushesha.
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yimiphi yale miphumela emibi engathi sína:
Ngokuvamile, abanye abantu bangase babe nemiphumela emibi kakhulu ye-anticholinergic evela engxenyeni ye-belladonna, njengomkhuhlane ophezulu, ukucasuka okukhulu, noma i-delirium. Lezi zimpawu zidinga ukunakekelwa kwezempilo eziphuthumayo.
Lo muthi awulungele wonke umuntu, futhi kunezimo eziningana nezimo okufanele zigwenywe ngokuphelele. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.
Akufanele usebenzise i-belladonna ne-opium uma une:
Ukuqapha okukhethekile kuyadingeka uma unezimo ezithile zezokwelapha ezingenza lo muthi ube yingozi kuwe. Udokotela wakho uzohlola izingozi nezinzuzo ngokucophelela uma unomlando wokusebenzisa kabi izinto, izimo zokuphefumula, noma izinkinga zenhliziyo.
Abesifazane abakhulelwe nabancelisayo ngokuvamile kufanele bagweme lo muthi ngenxa yezingozi ezingaba khona kumntwana. Ingxenye ye-opioid ingawela i-placenta futhi ingase ibangele izimpawu zokuhoxisa ezinganeni ezisanda kuzalwa.
Igama elivamile lomkhiqizo we-belladonna ne-opium suppositories yi-B&O Supprettes. Lokhu bekuyilungiselelo elijwayelekile lezentengiso iminyaka eminingi, nakuba izinhlobo ezivamile zingase zitholakale.
Amanye amakhemisi angase abe namanye amagama omkhiqizo noma amafomula ajwayelekile alo muthi ohlanganisiwe. Izithako ezisebenzayo namandla kufanele afane kungakhathaliseki umenzi, kodwa ngaso sonke isikhathi qinisekisa kumakhemisi akho uma unemibuzo mayelana nomuthi wakho othile.
Ngenxa yesimo esilawulwayo salo muthi, ngokuvamile utholakala kuphela ngamakhemisi akhethekile noma amakhemisi esibhedlela. Udokotela wakho uzodinga ukuhlinzeka ngomuthi othile ohlanganisa imiyalelo enemininingwane yokusetshenziswa.
Imithi eminingi ehlukile ingasetshenziswa ukwelapha izimo ezifanayo, nakuba ukukhetha kuncike ezimpawini zakho ezithile nesimo sezokwelapha. Udokotela wakho angase acabangele lezi zinketho ngaphambi kokubhala i-belladonna ne-opium noma uma ungenakukwazi ukubekezelela lo muthi.
Ngezikhathi ze-bladder, ezinye izindlela zingabandakanya:
Ngezinhlungu ezinzima zangasese, udokotela wakho angase ancome ama-anesthetics asetshenziswa endaweni, imithi elwa nokuvuvukala, noma ezinye izidambisi zokuhlunguha ze-opioid ngezindlela ezahlukene. Enye indlela engcono kakhulu incike embangweni obangela ubuhlungu bakho kanye nesimo sakho sempilo esiphelele.
Izindlela ezingezona zemithi ezifana ne-pelvic floor physical therapy, i-heat therapy, noma ama-nerve blocks nazo zingase zicatshangelwe kuye ngesimo sakho esithile.
Noma ngabe i-belladonna ne-opium ingcono kunezinye izidambisi zobuhlungu kuncike ngokuphelele esimweni sakho esithile kanye nokuphendula komuntu ngamunye ekwelashweni. Le mithi inezakhiwo eziyingqayizivele eziyenza isebenze ikakhulukazi ezinhlotsheni ezithile zobuhlungu, kodwa akudingeki ukuthi idlule zonke ezinye izinketho.
Inhlanganisela yezithako ze-antispasmodic kanye ne-opioid yenza le mithi ibe usizo ikakhulukazi ezimweni ezibandakanya kokubili ukuhlangana kwemisipha nobuhlungu obukhulu. Ngokuqina kwe-bladder ngemuva kokuhlinzwa, kungase kusebenze kangcono kunokusebenzisa noma yiluphi uhlobo lomuthi wedwa.
Kodwa-ke, imithi emisha ivame ukuba nemiphumela emincane kanye namaphrofayili asezansi obungozi. Imithi yesimanje ye-anticholinergic yezimo ze-bladder ivame ukubekezelelwa kangcono futhi inemiphumela eqagulekayo kune-belladonna-containing products.
Udokotela wakho uzocabangela izinto ezinjengobunzima bezimpawu zakho, umlando wakho wezokwelapha, kanye nokuphendula kwakho ekwelashweni kwangaphambilini lapho enquma ukuthi le mithi iyona engcono kakhulu esimweni sakho.
Iziguli ezindala zidinga ukuqapha okukhethekile uma zisebenzisa i-belladonna ne-opium ngenxa yokwanda kokuzwela kuzo zombili lezi zithako zomuthi. Abantu abadala kungenzeka ukuthi bazothola ukudideka, isiyezi, nokuwa ngenxa yemiphumela ye-anticholinergic ye-belladonna.
Isithako se-opioid singabangela nokucindezelwa kokuphefumula okukhulu ezigulini ezindala. Udokotela wakho cishe uzoqala ngomthamo ophansi futhi akuqaphele eduze uma uneminyaka engaphezu kwengama-65.
Uma usola ukuthi udlulile umthamo, funa usizo lwezempilo oluphuthumayo ngokushesha ngokushayela u-911 noma ukuya egumbini eliphuthumayo eliseduze. Izimpawu zokudlula umthamo zingabandakanya ukozela okukhulu, ukudideka, ubunzima bokuphefumula, nokulahlekelwa ukwazi.
Ungazami ukwelapha ukudlula umthamo ekhaya. Kokubili i-belladonna ne-opium kungabangela izimpawu ezisongela impilo uma zithathwa ngokweqile, futhi uzodinga ukunakekelwa kwezempilo okuchwepheshile ukuze uphathe lesi simo ngokuphepha.
Uma weqa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oweqiwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi noma ukudlula umthamo. Uma ungaqiniseki ngesikhathi, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso.
Yeka kuphela ukuthatha lo muthi uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Uma ubulokhu uwusebenzisa izinsuku ezingaphezu kwezimbili, udokotela wakho kungadingeka ukuthi anciphise umthamo wakho kancane kancane ukuze avimbele izimpawu zokuhoxiswa.
Ungayeki ngokuzumayo wedwa, ngisho noma uzizwa ungcono. Ukuyeka ngokuphazima kweso imithi ye-opioid kungabangela izimpawu zokuhoxiswa ezingakhululekile, futhi isimo sakho esingaphansi singase sidinge ukwelashwa.
Akufanele ushayele noma usebenzise imishini ngenkathi uthatha lo muthi, ngoba ungenza ukozela, isiyezi, nombono ongacacile. Le miphumela ingalimaza kakhulu ikhono lakho lokushayela ngokuphepha.
Linda uze wazi ukuthi umuthi ukuthinta kanjani ngaphambi kokuzama ukushayela. Noma ngabe uzizwa uqaphile, izikhathi zakho zokuphendula nombono wakho kungase kuhlale kulinyazwe ngezindlela ezenza ukushayela kube yingozi.