Yini i-Tapentadol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Tapentadol iyikhambi elibhalwe ngudokotela elinikezwa odokotela ngenxa yezinhlungu eziphakathi nendawo kuya kwezinkulu lapho ezinye izindlela zokwelapha zingasebenzi kahle ngokwanele. Cabanga ngayo njengenketho enamandla ethuluzini likadokotela wakho lokulawula izinhlungu ezithinta kakhulu impilo yakho yansuku zonke.

Lo muthi usebenza ngendlela ehlukile kunamanye amakhambi ezinhlungu ngoba ubhekana nezinhlungu ngezindlela ezimbili ezihlukene emzimbeni wakho. Udokotela wakho angase acabangele i-tapentadol uma ubhekene nezimo zezinhlungu ezingapheli noma ululama emsebenzini ohlinzayo lapho ukulawulwa okwanele kwezinhlungu kubalulekile ekupholiseni.

Yini i-Tapentadol?

I-Tapentadol ingeyeqembu lemithi ebizwa ngokuthi ama-opioid analgesics, kodwa yakhelwe ukuba ibe mnene ngandlela thize ohlelweni lwakho kunama-opioid esintu. Itholakala ngamaphilisi akhishwa ngokushesha ngenxa yezinhlungu zesikhashana namaphilisi akhishwa isikhathi eside ngenxa yokulawulwa kwezinhlungu eziqhubekayo.

Lo muthi wenzelwe ukuhlinzeka ngokuqeda izinhlungu ngempumelelo ngenkathi kungenzeka ukuthi ubangele imiphumela emibi emincane yokugaya kuneminye imithi enamandla yezinhlungu. Udokotela wakho uzonquma ukuthi iyiphi ifomu elilungile esimweni sakho esithile ngokusekelwe ohlotsheni nobude bezinhlungu ozozizwa.

Isetshenziselwani i-Tapentadol?

Odokotela babhala i-tapentadol ngenxa yezinhlungu eziphakathi nendawo kuya kwezinkulu ezidinga ukwelashwa okuzungezile ubusuku nemini isikhathi eside. Lokhu kuhlanganisa kokubili izinhlungu ezingamahlalakhona ezivela ekulimaleni noma emisebenzini yokuhlinza kanye nezimo zezinhlungu ezingapheli ezingazange zisabele kahle kwezinye izindlela zokwelapha.

Lo muthi ulusizo ikakhulukazi ezinhlotsheni ezithile zezinhlungu zemizwa, okuhlanganisa izinhlungu zemizwa yesifo sikashukela ezinyaweni nasezandleni zakho. Abanye abantu bathola ukukhululeka nge-tapentadol lapho eminye imithi yezinhlungu ibangele imiphumela eminingi emibi noma ingazange inikeze induduzo eyanele.

Umhlinzeki wakho wokunakekelwa kwezempilo angase futhi acabangele i-tapentadol ngezinhlungu ezihlobene nokwelashwa komdlavuza, i-arthritis ebucayi, noma izinhlungu zomhlane ezinomthelela omkhulu ezingeni lakho lempilo. Okubalulekile ukuthi izinhlungu zakho zidinga ukuba zibe zinkulu ngokwanele ukuze kufaneleke leli zinga lemithi.

Isebenza Kanjani I-Tapentadol?

I-Tapentadol isebenza ngezindlela ezimbili ezihlukene emzimbeni wakho, okuyenza ibe yinto eyingqayizivele phakathi kwemithi yokwelapha izinhlungu. Okokuqala, ibopha kuma-receptors e-opioid ebuchosheni bakho nasemgogodleni, ngendlela efana ncamashi nokuthi eminye imithi ye-opioid isebenza kanjani ukuvimba izimpawu zezinhlungu.

Okwesibili, futhi ithinta amakhemikhali ebuchosheni bakho abizwa ngokuthi i-norepinephrine, esiza ukunciphisa ukuzwa izinhlungu ngendlela ehlukile. Lesi senzo esiphindwe kabili sisho ukuthi i-tapentadol ingasebenza ezinhlotsheni ezahlukene zezinhlungu, okuhlanganisa izinhlungu zemizwa ezingaphenduli kahle kuma-opioid endabuko.

Uma iqhathaniswa neminye imithi eqinile yokwelapha izinhlungu, i-tapentadol ithathwa njengeqine ngokulinganisela. Iqine kunezinhlobo zemithi efana ne-tramadol kodwa ngokuvamile ithathwa njengeqine kancane kune-morphine noma i-oxycodone, nakuba izimpendulo zomuntu ngamunye zingahluka kakhulu.

Kufanele Ngiyithathe Kanjani I-Tapentadol?

Thatha i-tapentadol ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile njalo ngamahora angu-4-6 ngamaphilisi akhishwa ngokushesha noma njalo ngamahora angu-12 ngamaphilisi akhishwa isikhathi eside. Ungayithatha nokudla noma ngaphandle kokudla, nakuba ukuyithatha nokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uhlangabezana nanoma yikuphi.

Gwinya amaphilisi akhishwa isikhathi eside wonke ngaphandle kokuwachoboza, ukuwaqhekeza, noma ukuwahlafuna. Lokhu kubalulekile ngoba ukushintsha ithebhulethi kungakhipha imithi eningi ngesikhathi esisodwa, okungaba yingozi. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izindlela.

Zama ukuthatha imithamo yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine ukulawulwa kwezinhlungu okuqhubekayo. Uma uthatha uhlobo olukhishwa isikhathi eside, ungayeki ngokuzumayo ukuyithatha ngaphandle kwesiqondiso sikadokotela wakho, ngoba lokhu kungabangela izimpawu zokuhoxiswa.

Ngizothatha isikhathi esingakanani i-Tapentadol?

Isikhathi ozosithatha ngaso i-tapentadol sincike ngokuphelele esimweni sakho esithile nokuthi umzimba wakho usabela kanjani ekwelashweni. Ngezinhlungu ezinzima ngemva kokuhlinzwa noma ukulimala, ungase idinga kuphela izinsuku ezimbalwa kuya emavikini ambalwa.

Ezimweni zobuhlungu obungapheli, abanye abantu bangase badinge ukwelashwa isikhathi eside, kodwa udokotela wakho uzobuyekeza njalo ukuthi ngabe iseyona yini inketho engcono kakhulu kuwe. Bazohlola ukuthi ngabe izinzuzo zisaqhubeka yini ukwedlula noma yiziphi izingozi nokuthi ngabe imigomo yakho yokuphatha ubuhlungu iyafezeka yini.

Umhlinzeki wakho wezempilo uzosebenza nawe ukuthola isikhathi sokwelashwa esifushane esisebenzayo. Bangase banciphise kancane kancane umthamo wakho uma sekuyisikhathi sokuyeka, ikakhulukazi uma ubuthatha isikhathi esingaphezu kwamasonto ambalwa, ukuze ugweme izimpawu zokuhoxiswa.

Yiziphi Imiphumela Eceleni ye-Tapentadol?

Njengayo yonke imithi, i-tapentadol ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa isicanucanu, isiyezi, ukozela, nokuqina kwesisu. Lokhu kuvame ukuthuthuka njengoba umzimba wakho ujwayela umuthi, ngokuvamile ezinsukwini zokuqala noma emasontweni okuqala okwelashwa.

Nansi imiphumela emibi ongase uhlangabezane nayo:

• Isicanucanu nokuhlanza, ikakhulukazi lapho uqala umuthi
• Isiyezi noma ukukhathala, ikakhulukazi lapho usukuma ngokushesha
• Ukozela noma ukuzizwa ukhathele ngokungavamile
• Ukuqina kwesisu, okungalawulwa ngezinguquko zokudla noketshezi
• Ikhanda
• Umlomo owomile

Le miphumela emibi evamile ivame ukulawuleka ngamasu alula, futhi ithimba lakho lezempilo lingakusiza ukuthi unciphise umthelela wayo empilweni yakho yansuku zonke.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba lokhu kungenzeki kubantu abaningi, kubalulekile ukukwazi ukuze ukwazi ukufuna usizo uma kudingeka.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezikhathazayo:

• Ubunzima obukhulu bokuphefumula noma ukuphefumula kancane, okungashoni
• Ukozela okukhulu noma ubunzima bokuhlala uphapheme
• Ukudideka noma izinguquko ezingavamile emizweni noma ekuziphatheni
• Ukungezwani komzimba okukhulu njengokuqubuka, ukuluma, noma ukuvuvukala
• Izimpawu ze-serotonin syndrome, okuhlanganisa ukucasuka, ukucabanga okungamanga, noma ukushaya kwenhliziyo okusheshayo
• Ukuqunjelwa okukhulu okungathuthuki ngokwelashwa

Khumbula ukuthi imiphumela emibi ebucayi ayivamile, kodwa ukwazi ukuthi yini okufanele uyibheke kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okusheshayo uma kudingeka.

Ezimweni ezingavamile kakhulu, abanye abantu bangase bahlangabezane nokuhlaselwa, ikakhulukazi uma benomlando wezifo zokuhlaselwa noma bethatha eminye imithi enciphisa umkhawulo wokuhlaselwa. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze ahlulele le ngozi ngaphambi kokukuyala ukuthi usebenzise i-tapentadol.

Ubani Ongafanele Athathwe I-Tapentadol?

I-Tapentadol ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyala. Zikhona izimo ezithile lapho lo muthi ungalimaza noma ungasebenzi kahle.

Akufanele uthathe i-tapentadol uma unezinkinga ezinkulu zokuphefumula, ukuvaleka esiswini sakho noma emathunjini, noma uma uke waba nokungezwani komzimba ne-tapentadol noma imithi efanayo esikhathini esidlule. Lezi zimo zingenza umuthi ube yingozi kuwe.

Udokotela wakho uzophinda aqaphele ngokuyala i-tapentadol uma unezimo zempilo ezithile ezingakhuphula ingozi yakho yezinkinga:

• Isifuba esikhulu noma ezinye izinkinga zokuphefumula ezinzima
• Ukwelashwa ekhanda noma umdlavuza wobuchopho
• Isifo sesibindi noma sezinso
• Umlando wokulutheka kwezidakamizwa noma utshwala
• Izimo zempilo yengqondo, ikakhulukazi ukucindezeleka
• Ukuphazamiseka kokuthuthumela
• Izinkinga ze-thyroid, adrenal, noma prostate

Lezi zimo akudingeki ukuthi zisho ukuthi awukwazi ukuthatha i-tapentadol, kodwa udokotela wakho uzodinga ukukugada eduze futhi mhlawumbe alungise umthamo wakho noma akhethe indlela yokwelapha ehlukile.

Uma ukhulelwe noma uncelisa, i-tapentadol ngokuvamile ayinconywa ngoba ingamthinta umntwana wakho. Udokotela wakho uzoxoxa ngezindlela eziphephile zokuphatha ubuhlungu ngesikhathi sokukhulelwa noma ngenkathi uncelisa.

Amagama Omkhiqizo we-Tapentadol

I-Tapentadol itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Nucynta iyona evame kakhulu ukukhishwa ngokushesha futhi i-Nucynta ER iyona enguqulo yokukhishwa okwandisiwe. Lawa magama omkhiqizo asiza ukuhlukanisa phakathi kwamafomula ahlukene namandla.

Ikhemisi lakho lingase futhi lithwale izinguqulo ezivamile ze-tapentadol, eziqulathe isithako esifanayo esisebenzayo kodwa singase sibize kancane. Noma ngabe uthola umkhiqizo wegama noma umuthi ojwayelekile, ukusebenza kahle kufanele kufane.

Njalo qiniseka ukuthi uthatha ifomula eqondile udokotela wakho ayincomile, njengoba ukushintsha phakathi kwezinguqulo zokukhishwa ngokushesha nokukhishwa okwandisiwe kudinga ukugadwa kwezokwelapha ngokucophelela nokulungiswa komthamo.

Ezinye izindlela ze-Tapentadol

Uma i-tapentadol ingakulungele noma inganikezi ukukhululeka okwanele kobuhlungu, udokotela wakho unezinye izinketho eziningana okufanele azicabangele. Enye indlela engcono kakhulu incike ohlotsheni lwakho oluthile lobuhlungu, umlando wezokwelapha, nokuthi usabele kanjani kwezinye izindlela zokwelapha.

Ngezinhlungu eziphakathi nendawo kuya kwezinkulu, ezinye izindlela zingabandakanya eminye imithi ye-opioid efana ne-oxycodone, i-hydrocodone, noma i-morphine. Ngamunye unokuzuzisa kwawo kanye nephrofayili yemiphumela emibi, ngakho-ke udokotela wakho uzokusiza ukuthi uthole okufanelana nesimo sakho.

Ezinye izindlela ezingezona ze-opioid ezingase zisebenze ezinhlotsheni ezithile zobuhlungu zihlanganisa:

• I-Gabapentin noma i-pregabalin yobuhlungu bemizwa
• I-Duloxetine yezimo ezithile zobuhlungu obungapheli
• I-Tramadol yobuhlungu obumaphakathi
• Imithi elwa nokuvuvukala yobuhlungu obuhambisana nokuvuvukala
• Izidambisi zobuhlungu ezigcotshwayo zobuhlungu bendawo

Umhlinzeki wakho wezempilo angase futhi asikisele izindlela ezingezona zemithi njenge-physical therapy, ama-nerve blocks, noma ezinye izindlela zokwelapha zokungenelela, kuye ngokuthi yini ebangela ubuhlungu bakho.

Ingabe i-Tapentadol ingcono kune-Tramadol?

I-Tapentadol ne-tramadol yomibili imithi yokudambisa ubuhlungu esebenza kabili, kodwa i-tapentadol ngokuvamile ithathwa njengeqinile futhi isebenza kahle ngobuhlungu obumaphakathi kuya kobukhulu. Ngenkathi i-tramadol ivame ukuzanywa kuqala ngobuhlungu obuncane kuya kobumaphakathi, i-tapentadol ngokuvamile igcinelwa ubuhlungu obudinga ukwelashwa okuqinile.

I-Tapentadol ingase ibangele imiphumela emibi emincane yokugaya ukudla kune-tramadol kwabanye abantu, ikakhulukazi ukungabi namandla nokuhlanza okuncane. Kodwa-ke, njengomuthi oqinile, i-tapentadol ithwala ingozi enkulu yokuncika nokucindezelwa kokuphefumula.

Udokotela wakho uzocabangela izinto ezinjengobukhulu bobuhlungu bakho, izimpendulo zemithi yangaphambilini, kanye nezici eziyingozi lapho enquma phakathi kwalezi zinketho. Akukho muthi ongcono ngempela - ukukhetha okulungile kuncike ezimweni zakho ngazinye nezidingo.

Imibuzo Evame Ukubuzwa Nge-Tapentadol

Ingabe i-Tapentadol iphephile kubantu abanezifo zenhliziyo?

I-Tapentadol ingasetshenziswa kubantu abanezifo zenhliziyo, kodwa idinga ukuqashwa ngokucophelela ngumhlinzeki wakho wezempilo. Umuthi ngokuvamile awubangeli izinkinga ezinkulu zesigqi senhliziyo, kodwa ungasebenzisana nemithi ethile yenhliziyo.

Udktela wakho uzobukeza yonke imithi yakho yenhliziyo futhi akuqaphele eduze uma unesifo senhliziyo nemithambo yegazi. Bangase baqale ngomthamo ophansi bese bewulungisa kancane kancane ukuqinisekisa ukuthi isimo senhliziyo yakho sihlala sizinzile ngenkathi belawula ubuhlungu bakho ngempumelelo.

Kufanele ngenzeni uma ngithatha i-Tapentadol eningi ngengozi?

Uma uthathe i-tapentadol eningi kunaleyo ebekiwe, funa usizo lwezokwelapha ngokushesha ngokushayela u-911 noma ukuya egumbini eliseduze labezimo eziphuthumayo. Ukweqisa kungabangela izinkinga ezinkulu zokuphefumula, ukozela okukhulu, noma nokulahlekelwa ukwazi.

Ungazami ukuzenza uhlanze noma ulinde ukubona ukuthi izimpawu ziyavela yini. Noma ngabe uzizwa ulungile ekuqaleni, i-tapentadol eningi kakhulu ingabangela izinkinga ezihlehlayo kodwa ezinzima. Ochwepheshe bezokwelapha abaphuthumayo bangahlinzeka ngemithi efanele futhi bakuqaphe ngokuphepha.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Tapentadol?

Uma uphuthelwa umthamo we-tapentadol okhishwe ngokushesha, yithathe ngokushesha lapho ukhumbula ngaphandle kwalapho sekuyisikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile - ungalokothi uthathe imithamo emibili ngasikhathi sinye.

Nge-tapentadol ekhishwe isikhathi eside, umthetho ofanayo uyasebenza, kodwa isikhathi sibaluleke kakhulu njengoba la mathebulethi aklanyelwe ukusebenza amahora angu-12. Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho ngamasu okukusiza ukuthi ukhumbule, njengokusetha ama-alamu ocingo noma ukusebenzisa umhleli wamaphilisi.

Ngingayeka nini ukuthatha i-Tapentadol?

Kufanele uyeke kuphela ukuthatha i-tapentadol ngaphansi kwesiqondiso sikadokotela wakho, ikakhulukazi uma ubuthatha isikhathi esingaphezu kwamasonto ambalwa. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa njengokukhathazeka, ukujuluka, isicanucanu, nobuhlungu obubi kakhulu.

Udktela wakho ngokuvamile uzokwenza ishejuli yokunciphisa enciphisa kancane kancane umthamo wakho ezinsukwini ezimbalwa noma amasonto ambalwa. Lokhu kuvumela umzimba wakho ukuthi ulungise kancane futhi kunciphisa izimpawu zokuhoxisa ngenkathi kuqinisekiswa ukuthi ubuhlungu bakho buhlala bulawuleka ngoshintsho.

Ngingashayela Ngesikhathi Ngithatha I-Tapentadol?

I-Tapentadol ingabangela ukozela nesiyezi, okungase kuphazamise ikhono lakho lokushayela ngokuphepha. Akufanele ushayele noma usebenzise imishini uze wazi ukuthi umuthi ukuthinta kanjani wena uqobo.

Abanye abantu bajwayela le miphumela emibi ngemva kwezinsuku ezimbalwa futhi bangashayela ngokuphepha, kanti abanye bangase badinge ukugwema ukushayela ngesikhathi sokwelashwa kwabo. Udokotela wakho angakusiza ukuthi uhlole ukuthi kungaba nini kuphephile ukuqala kabusha ukushayela ngokusekelwe ekuphenduleni kwakho komuntu siqu emuthini.