Created at:1/13/2025
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Inhlanganisela ye-Butalbital ne-aspirin iyimithi kadokotela ehlanganisa i-barbiturate (butalbital) ne-pain reliever (aspirin) ukwelapha ikhanda elibangelwa ukungezwani kwemisipha kanye nezinhlobo ezithile zobuhlungu. Le fomu esebenza kabili isebenza ngokukhulula ukungezwani kwemisipha ngenkathi inciphisa ukuvuvukala nezimpawu zobuhlungu emzimbeni wakho.
Abantu abaningi bathola ukuthi le nhlanganisela iyasiza ikakhulukazi ngamakhanda angaphenduli kahle kuma-pain relievers angathengwa ngaphandle kwemvume kadokotela. Imithi ivame ukunqunywa lapho ukwelashwa okulula kungazange kunikeze ukukhululeka okwanele kumaphethini ekhanda eliphindaphindayo.
Le mithi inqunyelwe ikakhulukazi amakhanda abangelwa ukungezwani kwemisipha, okuyizinhlobo ezivame kakhulu zekhanda abantu abahlangabezana nalo. Udokotela wakho angase akuncome uma unezinhlungu zekhanda ezivama ukuphazamisa imisebenzi yakho yansuku zonke futhi ezingaphenduli kahle emithini ejwayelekile yokwelapha ubuhlungu.
Le nhlanganisela ngezinye izikhathi isetshenziselwa ezinye izinhlobo zekhanda, okuhlanganisa ama-migraines athile namakhanda abangelwa ukungezwani kwemisipha entanyeni yakho namahlombe. Nokho, kubalulekile ukuqonda ukuthi lokhu akuyona imithi yokuqala yokwelapha izimo eziningi zekhanda.
Abanye odokotela bangase banqume le nhlanganisela ezinye izimo zobuhlungu, ikakhulukazi lapho ukungezwani kwemisipha kunomthelela ekungakhululekeni kwakho. Isinqumo sokusebenzisa le mithi sincike ezimpawini zakho ezithile, umlando wezokwelapha, nokuthi usabele kanjani ekwelashweni okuhlukile.
Le mithi isebenza ngezindlela ezimbili ezihlukene ukunikeza ukukhululeka ebuhlungwini bekhanda lakho. Ingxenye ye-aspirin inciphisa ukuvuvukala futhi ivimbele izimpawu zobuhlungu, kuyilapho i-butalbital isiza ukukhulula imisipha eqinile futhi inemiphumela emnene yokuthulisa.
I-Butalbital ingeyodwa yeqembu lemithi ebizwa ngokuthi ama-barbiturates, athathwa njengemithi enamandla aphakathi nendawo ethinta isimiso sakho sezinzwa esiphakathi. Isiza ukunciphisa ukungezwani kwemisipha okuvame ukuba nomthelela ebuhlungwini bekhanda, ikakhulukazi ekhanda elibangelwa ukungezwani.
Ingxenye ye-aspirin isebenza ngokuvimba ama-enzyme athile abangela ukuvuvukala nobuhlungu emzimbeni wakho. Ngokuhlangene, lezi zithako ezimbili zingahlinzeka ngosizo olubanzi kakhulu kunanoma iyiphi imithi engayinikeza yodwa, ikakhulukazi ngamakhanda ahlanganisa kokubili ubuhlungu nokungezwani kwemisipha.
Kufanele uthathe lo muthi ngendlela eqondile njengoba unqunywe udokotela wakho, ngokuvamile ngenkomishi yamanzi egcwele. Abantu abaningi bakuthola kuwusizo ukuwuthatha nokudla noma ubisi ukunciphisa ithuba lokucasuka kwesisu, njengoba i-aspirin ngezinye izikhathi ingacasula umugqa wesisu sakho.
Isikhathi sokuthatha imithamo yakho sibaluleke kakhulu ngalo muthi. Ngokuvamile isebenza kahle kakhulu uma ithathwa ekuqaleni kophawu lwekhanda, kunokulinda kuze kube yilapho ubuhlungu buqina. Udokotela wakho uzokunikeza imiyalelo ethile mayelana nokuthi uzoyithatha nini futhi kaningi kangakanani.
Nawa amanye amathiphu abalulekile okufanele uwakhumbule lapho uthatha lo muthi:
Uma uthambekele ekuzweleni kwesisu, ukudla ukudla okulula ngaphambi kokuthatha umuthi kungahlinzeka ngokuvikela okwengeziwe. Udokotela wakho angase futhi ancome ukudla okuthile okufanele ukugweme ngenkathi uthatha le nhlanganisela.
Lo muthi uvame ukunikezwa ukusetshenziswa kwesikhashana, ngokuvamile akudluli izinsuku ezimbalwa kuya emavikini ngesikhathi. Udokotela wakho uzonquma ubude obufanele ngokuya ngohlobo lwakho oluthile lwekhanda nokuphendula ekwelashweni.
Ukusetshenziswa kwansuku zonke kwalesi sihlanganisi isikhathi eside kungaholela emakhanda abangelwa ukusetshenziswa ngokweqile kwemithi, lapho amakhanda akho eqinisweni eba njalo futhi abe makhulu. Lokhu kwenzeka ngoba umzimba wakho ungancika emuthini, futhi ukuhoxiswa phakathi kwemithamo kungabangela amakhanda okuziphindela.
Abahlinzeki bezempilo abaningi batusa ukusebenzisa lo muthi izinsuku ezingaphezu kuka-2-3 ngesonto ukugwema ukuthuthukisa ukubekezelelana noma ukuncika. Uma uzithola udinga kaningi, kubalulekile ukuxoxa ngezindlela zokwelapha ezingezinye nodokotela wakho.
Ingxenye ye-butalbital ingakha umkhuba ngokusebenzisa njalo, ngakho-ke udokotela wakho uzobheka ukusetshenziswa kwakho ngokucophelela. Bangase baphakamise ezinye izindlela zokwelapha zokuvimbela uma uhlangabezana namakhanda avamile adinga imithi eqhubekayo.
Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ithambekele ekuthuthukiseni njengoba umzimba wakho ujwayela umuthi.
Nansi imiphumela emibi ongase uyithole, ihlelwe kusukela kwabavamile kakhulu kuya kwabavamile:
Le miphumela emibi ejwayelekile ivame ukungabonakali ngemva kokuthatha umuthi izikhathi ezimbalwa. Kodwa-ke, uma ziqhubeka noma ziba yinkinga, udokotela wakho angakusiza ukuthi uzilawule noma ulungise uhlelo lwakho lokwelapha.
Kukhona nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezempilo ngokushesha:
Uma uhlangabezana nanoma yiziphi zalezi zinkinga ezingathi sína, xhumana nomhlinzeki wakho wezempilo ngokushesha. Nakuba kungavamile, lezi zimpawu zingabonisa izinkinga ezidinga ukuhlolwa kwezokwelapha okusheshayo.
Lo muthi awuphephile kuwo wonke umuntu, futhi kunezimo eziningana ezibalulekile lapho kufanele zigwenywe khona. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyala le nhlanganisela.
Akufanele uthathe lo muthi uma unezimo ezithile zezempilo ezingase zibe zimbi ngenxa yanoma iyiphi ingxenye:
Ukuqapha okukhethekile kuyadingeka uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa. Umuthi ungangena enganeni yakho futhi ungase ubangele izinkinga, ngakho-ke udokotela wakho uzodinga ukulinganisa izinzuzo nezingozi ezingaba khona.
Izingane nentsha ngokuvamile akufanele bathathe le nhlanganisela, ikakhulukazi uma benokutheleleka ngegciwane, ngenxa yengozi yesimo esingavamile kodwa esibi esibizwa ngokuthi i-Reye's syndrome evela engxenyeni ye-aspirin.
Uma uthatha eminye imithi, ikakhulukazi ama-blood thinners, imithi yesifo sikashukela, noma ezinye izidambisi zokucasuka, udokotela wakho uzodinga ukucabangela ngokucophelela ukusebenzisana okungenzeka ngaphambi kokuyala le nhlanganisela.
Lezi zinhlanganisela zemithi zitholakala ngaphansi kwamagama amaningi emikhiqizo, i-Fiorinal ingesinye sezinhlobo ezivame kakhulu ukunconywa. Amanye amagama emikhiqizo afaka i-Axotal, i-Fiormor, ne-Fortabs, nakuba ukutholakala kungahluka ngendawo.
Ezinye izindlela zokwakheka zifaka i-caffeine njengesithako sesithathu, esingathuthukisa imiphumela yokunciphisa ubuhlungu. Lezi zinhlobo eziqukethe i-caffeine zinamagama emikhiqizo ahlukile kancane futhi zingase zisebenze kahle kakhulu ezinhlotsheni ezithile zekhanda.
Izinhlobo ezivamile zale nhlanganisela nazo ziyatholakala futhi zisebenza ngempumelelo njengezinhlobo zemikhiqizo. Umuthi wakho wemithi angakusiza ukuthi uqonde ukuthi yiluphi uhlobo olutholayo kanye nanoma yiziphi izinto ezihlukile phakathi kwemikhiqizo.
Uma le nhlanganisela ingakulungele, kunezindlela eziningi zokwelapha ezingase zicatshangelwe udokotela wakho ekhanda lakho. Enye indlela engcono kakhulu incike ohlotsheni lwakho oluthile lwekhanda, umlando wakho wezokwelapha, nokuthi usabele kanjani kwezinye izindlela zokwelapha.
Nge-tension headaches, udokotela wakho angase ancome ezinye izinketho ezinjenge-acetaminophen ehlanganiswe ne-caffeine, i-ibuprofen, noma imithi kadokotela efana ne-triptans ye-migraine-type headaches. Ama-muscle relaxants angase acabangelwe uma ukungezwani kwemisipha kuyisici esibalulekile.
Izindlela ezingezona zemithi nazo zingase zisebenze kahle kakhulu kubantu abaningi abanezinhlungu zekhanda eziphindaphindayo. Lokhu kungase kufake phakathi izindlela zokuphatha ukucindezeleka, ukuzivocavoca njalo, imikhuba yokulala ethuthukisiwe, noma i-physical therapy ukuze kubhekwane nokungezwani kwemisipha entanyeni yakho namahlombe.
Udokotela wakho angase futhi ancome imithi yokuvimbela uma unezinhlungu zekhanda ezivame ukwenzeka, kunokuthembela emithini yokwelapha izinhlungu zekhanda ngemuva kokuthi ziqale. Le ndlela ivame ukunikeza imiphumela engcono yesikhathi eside enemiphumela emincane.
Ukuqhathanisa kuncike ngokuphelele ohlotsheni lwakho oluthile lwekhanda kanye nokuphendula komuntu ngamunye emithini. Inhlanganisela ye-Butalbital ne-aspirin ngokuvamile iqinile kune-acetaminophen yodwa futhi ingasebenza kangcono ekhanda elibangelwa ukungezwani okubandakanya ukungezwani kwemisipha.
I-Acetaminophen ivame ukuba yinto yokuqala yokukhetha ezinhlotsheni eziningi zobuhlungu ngoba inemiphumela emincane kanye nokusebenzisana kwemithi. Kodwa-ke, ayibhekiseli engxenyeni yokungezwani kwemisipha evame ukufaka isandla ekhanda elibangelwa ukungezwani, yilapho ingxenye ye-butalbital inikeza khona inzuzo eyengeziwe.
I-aspirin ekule nhlanganisela futhi inikeza imiphumela elwa nokuvuvukala engatholakali yi-acetaminophen. Lokhu kungasiza ikakhulukazi uma ukuvuvukala kufaka isandla ebuhlungwini bekhanda lakho.
Kodwa-ke, inhlanganisela ye-butalbital ne-aspirin futhi inezingozi eziningi, okuhlanganisa amathuba okuncika kanye nemiphumela emibi kakhulu. Udokotela wakho uzocabangela izinto ezinjengobuningi bekhanda lakho, ubukhulu, kanye nomlando wezokwelapha lapho enquma ukuthi imuphi umuthi ofaneleka kakhulu kuwe.
Uma unesifo senhliziyo, lo muthi udinga ukucatshangelwa ngokucophelela kanye nokuqapha eduze ngudokotela wakho. Ingxenye ye-aspirin ingaba usizo ezimweni ezithile zenhliziyo, njengoba isiza ukuvimbela ukujiya kwegazi, kodwa ingxenye ye-butalbital ingathinta izinga lokushaya kwenhliziyo yakho nomfutho wegazi.
Udokotela wakho uzodinga ukuhlola isimo sakho senhliziyo esithile, imithi yamanje, kanye nesimo sempilo esiphelele ngaphambi kokunquma ukuthi le nhlanganisela iphephile yini kuwe. Bangase badinge ukulungisa umthamo wakho noma bakuqaphe eduze ngenkathi uyithatha.
Uma uthathe ngaphezu kwalokho okubekiwe, xhumana nodokotela wakho, isikhungo sokulawula ubuthi, noma funa ukunakekelwa kwezimo eziphuthumayo ngokushesha. Ukuthatha okuningi kwalolu hlobo kungaba yingozi, okungenzeka kubangele izinkinga ezinkulu zokuphefumula, ukulimala kwesibindi, noma ukuphuma kwegazi ngokweqile.
Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini - izimpawu zokweqisa zingabandakanya ukozela okukhulu, ukudideka, ukuphefumula okuhamba kancane noma okunzima, ubuhlungu besisu, noma ukuphuma kwegazi okungavamile. Isikhathi sibalulekile ekwelapheni ukweqisa, ngakho funa usizo ngokushesha.
Njengoba lo muthi ngokuvamile uthathwa njengoba kudingeka ngezinhlungu zekhanda kunokuba ngeshejuli ejwayelekile, ukuphuthelwa umthamo ngokuvamile akuyona into ekhathazayo. Uma uwuthatha ngeshejuli ejwayelekile futhi uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula.
Nokho, uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho yokulinganisa ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi.
Ngokuvamile ungaqeda ukuthatha lo muthi lapho izinhlungu zakho zekhanda zithuthuka noma lapho udokotela wakho enquma ukuthi awusadingeki. Njengoba ngokuvamile kubekelwe ukusetshenziswa kwesikhashana, ukuyeka kuvame ukuba yingxenye yenqubo yokwelapha ehleliwe.
Uma ubulokhu uwuthatha njalo amasonto angaphezu kwambalwa, udokotela wakho angase ancome ukunciphisa umthamo wakho kancane kancane kunokuyeka kungazelelwe. Lokhu kusiza ekuvikeleni izimpawu zokuhoxisa kanye nezinhlungu zekhanda ezingavela lapho ama-barbiturates eyekwa kungazelelwe.
Lo muthi ungenza ukozela, isiyezi, kanye nokugxila okungahambisani kahle, okungathinta ikhono lakho lokushayela ngokuphepha. Kufanele ugweme ukushayela noma ukusebenzisa imishini uze wazi ukuthi umuthi ukuthinta kanjani wena uqobo.
Noma ngabe uzizwa uqaphile, isikhathi sakho sokusabela nokwahlulela kungase kuthinteke. Kuphephe kakhulu ukuthi omunye umuntu akuqhubele noma usebenzise ezinye izindlela zokuthutha, ikakhulukazi uma uqala ukuthatha imithi noma uma umthamo wakho ushintshiwe.