Created at:1/13/2025
I-Hydrocodone ne-acetaminophen yimithi ebhalwe ngudokotela yokwelapha ubuhlungu ehlanganisa izithako ezimbili ezinamandla zokudambisa ubuhlungu ethebhulethini elilodwa. Udokotela wakho angase akubhalele lo muthi uma ubhekene nobuhlungu obumaphakathi nendawo kuya kobukhulu obungakwazanga ukulawulwa ngamanye amaphilisi okudambisa ubuhlungu. Le nhlanganisela isebenza ngokugxila ebuhlungwini ngezindlela ezimbili ezihlukene emzimbeni wakho, okunganikeza ukukhululeka okuphelele kakhulu kunanoma imuphi umuthi ongawo wedwa.
Lo muthi uqukethe izithako ezimbili ezisebenzayo ezisebenza ndawonye ukulawula ubuhlungu bakho. I-Hydrocodone iyisidambisi sobuhlungu se-opioid esithinta indlela ubuchopho bakho obuqhuba ngayo izimpawu zobuhlungu, kuyilapho i-acetaminophen (isithako esifanayo ku-Tylenol) inciphisa ubuhlungu nomkhuhlane ngendlela ehlukile. Uma kuhlanganiswe, le mithi emibili inganikeza ukukhululeka kobuhlungu okuqinile kunanoma iyiphi ingathola yona yodwa.
Le nhlanganisela itholakala ngamandla ahlukene, okuvumela udokotela wakho ukuthi akubhalele inani eliqondile elihambisana nezinga lobuhlungu bakho nezidingo zakho zezokwelapha. Umuthi wakho uzokhipha amandla athile udokotela wakho anqume ukuthi alungele isimo sakho.
Udokotela wakho ubhala lo muthi ukwelapha ubuhlungu obumaphakathi nendawo kuya kobukhulu obudinga ukuphathwa ubusuku nemini. Lokhu kungabandakanya ubuhlungu ngemva kokuhlinzwa, izinqubo zamazinyo, noma ukungakhululeki okuhlobene nokulimala okungazange kuphendule kahle eminye imithi yokudambisa ubuhlungu.
Iphinde ibhalwe kakhulu ekuphatheni izimo zobuhlungu ezingapheli lapho ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele. Umhlinzeki wakho wezempilo uzohlola ngokucophelela ukuthi lo muthi ulungele yini uhlobo lwakho oluthile lobuhlungu nesimo sempilo yakho yonke.
Lo muthi ngokuvamile ugcinelwe izimo lapho izinzuzo zokunciphisa ubuhlungu zidlula izingozi ezingase zibe khona, ikakhulukazi ngoba iqukethe isithako se-opioid esidinga ukuqashwa ngokucophelela.
Lo muthi usebenza ngendlela yokusebenza kabili ekunciphiseni ubuhlungu. Isithako se-hydrocodone sibopha kuma-receptors athile ebuchosheni bakho nasemgogodleni, sishintsha indlela uhlelo lwakho lwezinzwa oluqonda ngayo futhi lusabela ngayo ezimpawini zobuhlungu. Okwamanje, i-acetaminophen isebenza ebuchosheni bakho ukunciphisa imizwa yobuhlungu nokwehlisa umkhuhlane.
Le nhlanganisela ithathwa njengomuthi wokunciphisa ubuhlungu olunamandla amaphakathi. Inamandla kunemithi yokunciphisa ubuhlungu etholakala ngaphandle kwe-oda, njenge-ibuprofen noma i-acetaminophen yodwa, kodwa ayinamandla njengamanye ama-opioid kadokotela asetshenziselwa ukuphatha ubuhlungu obukhulu.
Imiphumela ngokuvamile iqala phakathi kwemizuzu engama-30 kuya kwengama-60 ngemva kokuthatha umuthi, ngokuqeda ubuhlungu okwenzeka cishe ihora elingu-1 kuya kwama-2 ngemva kokuthi uwuthathile. Imiphumela yokunciphisa ubuhlungu ingahlala cishe amahora angu-4 kuya kwangu-6, kuye ngokuthi usabela kanjani ngamunye kanye nokwakheka okuthile.
Thatha lo muthi ngendlela enembile udokotela wakho akuyale ngayo, ulandela isikhathi esithile nemiyalelo yokulinganisa ebhaliwe ebhokisini lakho. Ungawuthatha ngaphandle kokudla noma ngaphandle kokudla, nakuba ukuwuthatha ngemali encane yokudla noma ubisi kungasiza ukunciphisa isisu uma uhlangabezana nanoma yini.
Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungawachobozi, uwaphule, noma uwahlafune amaphilisi, ngoba lokhu kungathinta indlela umuthi okhululwa ngayo emzimbeni wakho futhi kungakhuphula ingozi yakho yemiphumela emibi.
Uma uthola ukuthi umuthi uphazamisa isisu sakho, zama ukuwuthatha ngesidlo esilula noma ukudla. Ukugwema utshwala ngokuphelele ngenkathi uthatha lo muthi kubalulekile, njengoba ukuwahlanganisa kungaba yingozi futhi kungase kubeke ukuphila engozini.
Ungathathi ngaphezu kwalokho okubekiwe noma ukuthathe kaningi kunokuyalelwe. Uma ubuhlungu bakho bungalawulwa ngokwanele ngomthamo obekiwe, xhumana nodokotela wakho kunokuthi ulungise inani ngokwakho.
Ubude bokwelashwa buhlukahluka kakhulu ngokuya ngesimo sakho sezokwelapha esithile nohlobo lobuhlungu. Ngezinhlungu ezingamahlalakhona ngemva kokuhlinzwa noma ukulimala, ungase udinge kuphela lo muthi izinsuku ezimbalwa kuya emavikini ambalwa. Ezimweni zobuhlungu obungamahlalakhona, udokotela wakho angase akubekele imithi isikhathi eside ngokuhlolwa njalo.
Umhlinzeki wakho wezempilo uzohlola njalo ukuthi usawudinga yini lo muthi nokuthi uqhubeka yini nokuhlinzeka ngokuqeda ubuhlungu okusebenzayo. Bazokuqapha futhi nganoma yiziphi izimpawu zokuncika noma imiphumela emibi engase idinge ukulungiswa kohlelo lwakho lokwelapha.
Ungayeki ukuthatha lo muthi kungazelelwe uma ubuwusebenzisa isikhathi esingaphezu kwezinsuku ezimbalwa. Udokotela wakho uzohlinzeka ngemiyalelo ethile yokunciphisa kancane umthamo ukuze ugweme izimpawu zokuhoxiswa, ezingakhululeki futhi ezingaba yingozi.
Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.
Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukuzizwa ukozela, unesiyezi, noma ukukhathala, ikakhulukazi uma uqala ukuthatha umuthi noma uma umthamo wakho wenyusiwe.
Le miphumela emibi ivamile kodwa ivame ukulawuleka futhi ingase ithuthuke njengoba umzimba wakho ujwayela umuthi:
Iningi lalemiphumela yisikhashana futhi lijwayele ukuncipha njengoba umzimba wakho ujwayela umuthi. Ukuhlala unamanzi futhi udla ukudla okunothile ngama-fiber kungasiza ekuphatheni ukuqina kwesisu, okungenye yemiphumela emibi eqhubekayo.
Noma ingavamile, eminye imiphumela emibi idinga ukunakekelwa kwezokwelapha ngokushesha ngoba ingabonisa ukusabela okukhulu noma inkinga:
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu. Le miphumela, noma ingavamile, ingabonisa izinkinga zesibindi ezivela engxenyeni ye-acetaminophen noma ukusabela okukhulu engxenyeni ye-opioid.
Ezimweni ezingavamile kakhulu, lo muthi ungabangela ukusabela okukhulu komzimba noma ezinye izinkinga ezingathi sína ezidinga ukunakekelwa kwezokwelapha eziphuthumayo:
Noma lezi zinkinga zingavamile kakhulu, ukuzazi kuzokusiza ukuthi ubone ukuthi nini okufanele ufune ukunakekelwa kwezokwelapha ngokushesha. Udokotela wakho uqapha lezi zingozi ngokuhlolwa okuvamile kanye nokubuyekezwa kwemithi.
Lo muthi awufanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunika. Ezinye izimo zezempilo nezimo zenza lo muthi ube yingozi noma ungafaneleki ukusetshenziswa.
Abantu abanezinkinga ezinkulu zokuphefumula, okuhlanganisa isifuba esikhulu noma ezinye izimo zokuphefumula, akufanele bathathe lo muthi ngoba ungenza ukuphefumula kuhambe kancane. Ngokufanayo, uma unokuvaleka esiswini sakho noma emathunjini, lo muthi ungenza lesi simo sibe sibi kakhulu.
Udokotela wakho uzobheka nezinye izinto ezingenza lo muthi ungafaneleki kuwe:
Ngaphezu kwalokho, uma uthatha eminye imithi ethile, ikakhulukazi ezinye izidakamizwa ze-opioid, i-benzodiazepines, noma utshwala, le nhlanganisela ingase ingaphephile kuwe. Nqamula unikeze udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa nezithasiselo ozithathayo.
Le nhlanganisela yomuthi itholakala ngaphansi kwamagama amaningi ebhrendi, nakuba inguqulo ejwayelekile isebenza ngempumelelo. Amagama ajwayelekile ebhrendi afaka i-Vicodin, i-Norco, ne-Lortab, ngalinye liqukethe izithako ezifanayo ezisebenzayo kodwa ezingase zibe namandla ahlukene.
Ikhemisi lakho lingase linikeze inguqulo yegama lebhrendi noma ejwayelekile, kuye ngokuthi umshwalense wakho uhlanganisa ini nokutholakala. Zombili izinhlobo ziqukethe izithako ezifanayo ezisebenzayo futhi zihlangabezana namazinga afanayo ekhwalithi, ngakho ungalindela ukusebenza kahle okufanayo kungakhathaliseki ukuthi yikuphi okutholayo.
Uma ukhathazekile ngokushintsha phakathi kwezinhlobo ezinophawu kanye nezinhlobo ezivamile, xoxa ngalokhu nomphathi wakho wamaphilisi noma udokotela. Bangakunikeza isiqondiso esiqondene nesimo sakho futhi baqinisekise ukuqina ekuphathweni kwakho ubuhlungu.
Kunezindlela eziningi zokwelapha ubuhlungu obumaphakathi nobukhulu, futhi udokotela wakho uzosiza ukunquma ukuthi iyiphi inketho engasebenza kangcono esimweni sakho esithile. Ukukhetha kuncike ohlotsheni lwakho lobuhlungu, umlando wezokwelapha, nokuthi usabele kahle kangakanani kwezinye izindlela zokwelapha.
Ezinye izindlela ezingezona i-opioid zingabandakanya ama-NSAID anamandla amakhulu njenge-ibuprofen kadokotela noma i-naproxen, ikakhulukazi ubuhlungu obuhambisana nokuvuvukala. I-acetaminophen enamandla kadokotela yodwa ingasebenza kahle nasezinhlotsheni ezithile zobuhlungu ngaphandle kwengxenye ye-opioid.
Ezinye izindlela ze-opioid zihlanganisa i-codeine ene-acetaminophen (ngokuvamile ibuthakathaka), i-tramadol (esebenza ngendlela ehlukile kune-opioids yendabuko), noma ama-opioids anamandla njenge-morphine noma i-oxycodone yobuhlungu obukhulu. Udokotela wakho uzohlola ngokucophelela izinzuzo nezingozi zenketho ngayinye.
Izindlela ezingezona imithi njenge-physical therapy, ama-nerve block, noma ezinye izindlela zokuphatha ubuhlungu eziphakathi zingase zifaneleke ngokuya ngesimo sakho esithile nomthombo wobuhlungu.
Zombili lezi zithako ziyasebenza ekuqondiseni ubuhlungu obumaphakathi nobukhulu, kodwa zisebenza kancane kancane futhi zingase zifaneleke kangcono ezimweni ezihlukene. Ukukhetha phakathi kwazo kuncike ekuphenduleni kwakho ngakunye, umlando wezokwelapha, nezidingo zakho ezithile zokuphatha ubuhlungu.
I-Hydrocodone ene-acetaminophen ivame ukuthathwa njengenketho emaphakathi enhle yokuphatha ubuhlungu. Ngokuvamile ayinamandla kune-oxycodone, okungenzeka ukuthi kuyenza ifaneleke kakhulu ubuhlungu obumaphakathi noma kubantu abangazange basebenzise imithi ye-opioid ngaphambili.
I-Oxycodone ngokuvamile iqinile futhi ingase ifaneleke kakhulu ngobuhlungu obukhulu noma uma i-hydrocodone inganikezanga ukukhululeka okwanele. Kodwa-ke, ngamandla andisiwe kuza ingozi eyandisiwe yemiphumela emibi nokuncika.
Udkt wakho uzocabangela izinto ezifana nobukhulu bobuhlungu bakho, izimpendulo zangaphambilini zemithi, izici eziyingozi zokulutheka, nezinye izimo zempilo lapho enquma ukuthi imuphi umuthi ongase usebenze kangcono kuwe. Akukho ngisho esisodwa esivamile "esingcono" - kumayelana nokuthola okufanelana nezidingo zakho ezithile.
Lo muthi ngokuvamile ungasetshenziswa ngokuphepha ngabantu abanesifo sikashukela, kodwa udinga ukuqashwa ngokucophelela. Umuthi ngokwawo awuthinti ngokuqondile amazinga kashukela egazini, kodwa ubuhlungu nokucindezeleka kokugula ngezinye izikhathi kungathinta ukulawulwa kwe-glucose.
Abanye abantu abanesifo sikashukela bangase bahlangabezane nobuthongo noma isiyezi kulomuthi, okungase kuthinte ikhono labo lokubona izimpawu zikashukela ophansi. Kubalulekile ukuqapha amazinga kashukela egazini lakho njalo futhi ugcine umkhuba wakho ovamile wokuphatha isifo sikashukela.
Uma unesifo sikashukela, qiniseka ukuthi udkt wakho uyazi ngesimo sakho nazo zonke izidakamizwa zesifo sikashukela ozithathayo. Bangakunikeza isiqondiso esithile mayelana nokuqapha nanoma yiziphi izinguquko okungenzeka udinga ukuzenza ngenkathi uthatha lo muthi wokubulala ubuhlungu.
Uma uthathe okuningi kunokunqunyiwe, xhumana nodkt wakho, isikhungo sokulawula ubuthi, noma izinsiza eziphuthumayo ngokushesha, ngisho noma ungezwa ugula okwamanje. Ukuthatha okuningi kungaba yingozi ngenxa yezinto zombili ze-opioid ne-acetaminophen.
Ukweqisa kwe-Acetaminophen kungabangela umonakalo omkhulu esibindini, kanti ukuthatha i-hydrocodone eningi kunganciphisa ukuphefumula kwakho kube sezingeni eliyingozi. Ukwelashwa ngokushesha kubalulekile ukuvimbela izinkinga ezinzima, ngakho-ke ungalindi ukubona ukuthi izimpawu ziyavela yini.
Uma ucela usizo, lungisa ibhodlela lakho lemithi ukuze ukwazi ukubatshela kahle ukuthi uthatheni nokuthi uthathe kangakanani. Uma omunye umuntu enaye, mcele ahlale eduze uma kwenzeka ukozela noma udideke.
Uma weqa umthamo, wuthathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho yokuthatha imithi ejwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oweqiwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi kanye nokweqisa. Uma ungaqiniseki ngesikhathi, xhumana nomkhemisi wakho noma udokotela wakho ukuze uthole isiqondiso.
Uma uvame ukukhohlwa imithamo, cabanga ngokumisa ama-alamu ocingweni noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni. Isikhathi esiqhubekayo sisiza ukugcina ukulawulwa kobuhlungu okuqhubekayo futhi kunciphisa ingozi yobuhlungu obuqhubukayo.
Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kwesiqondiso sikadokotela wakho, ikakhulu uma ubuthathe izinsuku ezingaphezu kwezimbili. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa ezinjengokucasuka, ukujuluka, ukukhathazeka, nobuhlungu obukhulu.
Udokotela wakho ngokuvamile uzokwenza ishejuli yokunciphisa, anciphise kancane umthamo wakho ezinsukwini eziningana noma emasontweni. Lokhu kuvumela umzimba wakho ukuthi uzivumelanise kancane futhi kunciphisa izimpawu zokuhoxisa ezingakhululeki.
Xhumana nodokotela wakho lapho ubuhlungu bakho bulawulwa kahle futhi uzizwa ukulungele ukuxoxa ngokunciphisa noma ukuyeka umuthi. Bazohlola intuthuko yakho futhi banqume indlela ephephe kakhulu yokushintsha emithini noma kwenye indlela yokulawulwa kobuhlungu.
Akufanele uqhube imoto noma usebenzise imishini ngenkathi usebenzisa lo muthi, ikakhulukazi uma uqala noma uma umthamo wakho ukhuphuka. Umuthi ungadala ukozela, isiyezi, nezikhathi zokuphendula ezihamba kancane ezenza ukushayela kube yingozi.
Noma ngabe uzizwa uqaphile, imizwa yakho nokwahlulela kungase kuphazamiseke ngezindlela ongaziqapheli. Lokhu kuphazamiseka kungahlala amahora amaningana ngemuva kokuthatha umuthi, ngakho-ke hlela ngokufanele izidingo zokuthutha.
Uma umzimba wakho usujwayele umuthi futhi udokotela wakho eqinisekisa ukuthi kuphephile, ungahle ukwazi ukuqhubeka nokushayela. Kodwa-ke, ngaso sonke isikhathi yenza ngokucophelela futhi uhlele ezinye izindlela zokuthutha uma unokungabaza ngamandla akho okushayela ngokuphepha.