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October 10, 2025
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I-Oxycodone kanye ne-naltrexone yimithi kadokotela ehlanganisa izingxenye ezimbili ezinamandla zokwelapha ubuhlungu obukhulu ngenkathi kunciphisa ubungozi bokusebenzisa kabi. Le mithi ehlanganisiwe iqukethe i-oxycodone, umuthi onamandla wokunciphisa ubuhlungu we-opioid, ohlanganiswe ne-naltrexone, into evimbela imiphumela ye-opioid uma imithi iphazanyiswa noma isetshenziswe kabi.
Umuthi wenzelwe ngqo abantu abadinga ukuphathwa kobuhlungu okungapheli futhi asebevele bethatha imithi ye-opioid njalo. Akuhloselwe ukukhulula ubuhlungu ngezikhathi ezithile noma abasebenzisi be-opioid okokuqala.
Lo muthi welapha ubuhlungu obukhulu, obuqhubekayo obudinga ukwelashwa okuqhubekayo, kwesikhathi eside kwe-opioid. Udokotela wakho uzoyibhala kuphela uma ezinye izindlela zokuphatha ubuhlungu zingazange zinikeze ukukhululeka okwanele.
Le nhlanganisela ivame ukubhalwa ngezimo ezingapheli njengobuhlungu obuthuthukile bomdlavuza, i-arthritis ebukhali, noma ubuhlungu obuqhubekayo ngemva kokuhlinzwa okukhulu. Iphinde isetshenziselwe abantu abanezinhlungu ezingapheli emhlane, i-fibromyalgia, noma izinhlungu zemizwa ezithinta kakhulu ukusebenza kwansuku zonke.
Okubalulekile, lokhu akuyona imithi yezinhlungu ezincane zekhanda, izinhlungu zamazinyo, noma ukungakhululeki kwesikhashana. Umhlinzeki wakho wezempilo uzohlola ngokucophelela ukuthi ngabe isimo sakho sobuhlungu siyalufanele yini lolu hlobo lokwelashwa.
Lona umuthi onamandla osebenza ngezindlela ezimbili ezihlukene. Ingxenye ye-oxycodone ibopha kuma-receptors e-opioid ebuchosheni bakho nasemgogodleni, ngempumelelo ivimbela izimpawu zobuhlungu ukuthi zingafinyeleli ezingqondweni zakho.
Ingxenye ye-naltrexone isebenza njengesici sokuphepha esakhelwe ngaphakathi. Uma uthatha imithi njengoba kunqunywe, i-naltrexone ihlala ingasebenzi futhi ayiphazamisi ukukhululeka kobuhlungu. Kodwa-ke, uma othile ezama ukuchoboza, ukuncibilikisa, noma ukujova imithi, i-naltrexone iba ngumsebenzi futhi ivimbele imiphumela ye-opioid.
Lo mklamo oqeda izinto ezimbili wenza ukuthi umuthi kube nzima kakhulu ukuwusebenzisa kabi uma uqhathaniswa nemithi ye-opioid yendabuko. I-naltrexone empeleni isebenza njengomqaphi, ivikela ezindleleni ezivamile zokuhlukumeza i-opioid.
Thatha lo muthi ngendlela eqondile udokotela wakho ayala ngayo, ngokuvamile njalo emahoreni angu-12. Gwinya amaphilisi wonke ngamanzi amaningi, futhi ungaligayi, ungalihlafuni, noma uliqhekeze, ngoba lokhu kungakhipha inani eliyingozi lomuthi ngesikhathi esisodwa.
Ungayithatha ngaphandle noma ngaphandle kokudla, kodwa ukuyithatha ngokudla kungasiza ukunciphisa isisu esibuhlungu. Uma uzwa isicanucanu, zama ukuyithatha ngokudla okulula noma ukudla okulula. Abanye abantu bathola ukuthi ukuyithatha ngezikhathi ezifanayo nsuku zonke kusiza ukugcina ukukhululeka kobuhlungu okuqhubekayo.
Ungalokothi ukhuphule umthamo wakho noma uyithathe kaningi kunokuba ubekiwe. Uma ubuhlungu bakho bungalawulwa ngokwanele, xhumana nomhlinzeki wakho wezempilo kunokuba ulungise umthamo ngokwakho. Bangashintsha ngokuphephile uhlelo lwakho lokwelashwa uma kudingeka.
Ubude besikhathi buxhomeke ngokuphelele esimweni sakho esithile nokuthi usabela kanjani ekwelashweni. Abanye abantu badinga lo muthi amasonto noma izinyanga, kanti abanye bangase badinge ukwelashwa kwesikhathi eside ngezimo ezingapheli.
Udokotela wakho uzobuyekeza njalo inqubekela phambili yakho futhi angase alungise uhlelo lwakho lokwelashwa ngokusekelwe ekutheni ubuhlungu bakho bulawulwa kahle kangakanani nokuthi uyawuthwala kanjani umuthi. Bazophinda baqaphele noma yiziphi izimpawu zokuncika noma ukubekezelelana.
Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo, ngisho noma uzizwa ungcono. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxiswa ezingakhululekile. Umhlinzeki wakho wezempilo uzokwenza uhlelo lokunciphisa kancane kancane uma sekuyisikhathi sokuyeka umuthi.
Njengazo zonke izidakamizwa ze-opioid, le nhlanganisela ingabangela imiphumela eminingi engemihle. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uyiphathise kangcono futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.
Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa:
Le miphumela ejwayelekile ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi, ngokuvamile phakathi neviki lokuqala noma amabili lokwelashwa.
Imiphumela emibi ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Lokhu kuhlanganisa izinkinga ezinkulu zokuphefumula, ikakhulukazi ukuphefumula kancane noma okungashoni, ukozela okukhulu lapho ungenakwazi ukuvuka kalula, noma ukudideka okukhulu nokulahlekelwa yisikhundla.
Izinkinga ezingavamile kodwa ezinzima zingahlanganisa ukusabela okukhulu komzimba okubangela ukuvuvukala kobuso, ulimi, noma umphimbo, ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile, nezimpawu zezinkinga zesibindi njengokuphuzi kwesikhumba noma amehlo. Ngenkathi lokhu kungavamile, kudinga ukunakekelwa kwezimo eziphuthumayo.
Lo muthi awuphephile kuwo wonke umuntu. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunika ukuze aqinisekise ukuthi kufanelekile esimweni sakho.
Akufanele uthathe lo muthi uma unezinkinga ezinkulu zokuphefumula, ukuvaleka esiswini sakho noma emathunjini, noma uma njengamanje uthatha imithi ethile esebenzisana ngendlela eyingozi nama-opioid. Abantu abanezifo ezinzima zesibindi noma izinso bangase badinge ezinye izindlela zokwelashwa.
Ukuqapha okukhethekile kuyadingeka uma unomlando wokusebenzisa izidakamizwa, izimo zempilo yengqondo, noma izimo ezithile zezokwelapha. Umhlinzeki wakho wezempilo uzohlola izinzuzo ngokumelene nezingozi zesimo sakho esithile.
Abesifazane abakhulelwe nabancelisayo badinga ukucatshangelwa ngokucophelela, njengoba imithi ye-opioid ingathinta kokubili umama nomntwana. Udokotela wakho uzohlola ezinye izindlela eziphephile uma uhlela ukukhulelwa noma uncelisa njengamanje.
Igama elivamile lomkhiqizo lalesi sithako esihlanganisiwe yi-Targiniq ER. Le fomula yokukhishwa okweluliwe yakhelwe ukuhlinzeka ngemithi yokwelapha ubuhlungu yamahora angu-12 ngenkathi ihlanganisa izakhiwo zokuvimbela ukusetshenziswa kabi kwe-naltrexone.
Ungase futhi uhlangane nezinhlobo ezivamile zalolu hlobo oluhlanganisiwe, oluqukethe izithako ezifanayo ezisebenzayo kodwa ezingase zibe nezingxenye ezingasebenzi ezihlukene. Umuthi wakho wemithi angakusiza ukuthi uqonde noma yikuphi ukwehluka phakathi kwezinhlobo zomkhiqizo nezivamile.
Imithi eminingana ehlukile ingase icatshangelwe uma le nhlanganisela ingakulungele. Ezinye izindlela zokuvimbela ukusetshenziswa kabi kwe-opioid zihlanganisa i-oxycodone ER yodwa, i-morphine ER, noma iziqeshana ze-fentanyl zobuhlungu obukhulu obungapheli.
Ezinye izindlela ezingezona i-opioid zihlanganisa imithi efana ne-gabapentin yobuhlungu bemizwa, ezinye izidambisi zokucindezeleka eziphatha nobuhlungu, noma izidambisi zobuhlungu obusebenzayo bokungakhululeki kwendawo. Udokotela wakho angase futhi ancome ukwelashwa ngokomzimba, ama-nerve blocks, noma ezinye izindlela zokuphatha ubuhlungu.
Enye indlela engcono kakhulu incike ohlotsheni lwakho oluthile lobuhlungu, umlando wezokwelapha, nokuthi usabele kanjani ekwelashweni kwangaphambilini. Ithimba lakho lezempilo lizosebenza nawe ukuthola inketho esebenza kahle kakhulu nephephile.
Le nhlanganisela inikeza izinzuzo ezinkulu ngaphezu kwe-oxycodone ejwayelekile, ikakhulukazi mayelana nokuphepha kanye nokusetshenziswa kabi okungenzeka. Ingxenye ye-naltrexone eyakhelwe ngaphakathi yenza kube nzima kakhulu kubantu ukusebenzisa kabi imithi ngokuchoboza, ukujova, noma ezinye izindlela eziyingozi.
Ukuze kukhululwe ubuhlungu, yomibili imithi ingasebenza ngokulinganayo uma isetshenziswa njengoba kunqunyiwe. Umehluko omkhulu usephrofayilini yokuphepha kanye nokunciphisa ingozi yokuhlukaniswa noma ukusetshenziswa kabi, okwenza le nhlanganisela ithandeke ezigulini eziningi nakubahlinzeki bezempilo.
Noma kunjalo, umuthi ohlanganisiwe ungase ubize ngaphezu kwe-oxycodone ejwayelekile futhi kungenzeka ukuthi awumbozwa yizo zonke izinhlelo zomshuwalense. Udokotela wakho uzokusiza ukuthi ulinganise izinzuzo nezindleko ukuze unqume ukuthi iyiphi inketho engcono kakhulu esimweni sakho.
Abantu abanezifo zenhliziyo bangavame ukuthatha lo muthi ngokuphepha, kodwa kudinga ukuqapha ngokucophelela. Umuthi ungathinta umfutho wegazi nesilinganiso senhliziyo, ngakho-ke udokotela wakho wezifo zenhliziyo nodokotela wakho wokuphatha ubuhlungu kuzodingeka basebenzisane ukuze baqinisekise ukwelashwa okuphephile.
Ithimba lakho lezempilo cishe lizoqala ngomthamo ophansi futhi liqaphe ukusebenza kwenhliziyo yakho eduze. Bangase futhi bancomise ukuhlolwa okuvame kakhulu ukuze baqinisekise ukuthi umuthi awuthinti impilo yakho yenhliziyo nemithambo yegazi.
Uma ngengozi uthatha okuningi kunokuqondisiwe, xhumana nezinsizakalo eziphuthumayo ngokushesha noma shayela i-Poison Control Center ku-1-800-222-1222. Ukuthatha okuningi kungabangela izinkinga zokuphefumula ezisongela impilo, ukozela okukhulu, nezinye izinkinga ezinzima.
Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe nokweqisa. Thola usizo lwezokwelapha ngokushesha, ngisho noma uzizwa ulungile ekuqaleni, njengoba izimpawu zingavela ngokuhamba kwesikhathi.
Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, kodwa kuphela uma kungasondeli isikhathi somthamo wakho olandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungaholela emiphumeleni emibi.
Uma sekusondele isikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Xhumana nomhlinzeki wakho wezempilo uma ungaqiniseki ngalokho okumele ukwenze noma uma ukuphuthelwa imithamo kuba yisimo.
Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kokuqondisa kukadokotela wakho. Noma ngabe ubuhlungu bakho buyathuthuka, ukuyeka kungazelelwe kungadala izimpawu zokuhoxa ezingakhululeki njengokucasuka, ukuqaqamba kwemisipha, ukukhathazeka, nezinkinga zokulala.
Umhlinzeki wakho wezempilo uzokwenza ishejuli yokunciphisa kancane kancane, anciphise kancane umthamo wakho emasontweni amaningana noma izinyanga. Lokhu kuvumela umzimba wakho ukuthi uzivumelanise kancane kancane futhi kunciphisa izimpawu zokuhoxa ngenkathi kuqinisekiswa ukuthi ubuhlungu bakho buyaqhubeka buphatheka.
Kufanele ugweme ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi ukuthinta kanjani. Abantu abaningi baba nobuthongo, isiyezi, noma izikhathi zokuphendula ezihamba kancane, ikakhulukazi lapho uqala ukuthatha umuthi noma ngemuva kokwanda komthamo.
Uma usuthatha umthamo ozinzile amasonto amaningana futhi wazi ukuthi usabela kanjani emuthini, ungase ukwazi ukushayela ngokuphepha. Kodwa-ke, hlala uqaphela futhi ugweme ukushayela uma uzizwa unobutho, isiyezi, noma ukhubazekile nganoma iyiphi indlela.
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