Yini i-Butabarbital: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Butabarbital iyimithi yokuthomalisa engaphansi kwezigaba zemithi ebizwa ngokuthi ama-barbiturates. Isebenza ngokwehlisa umsebenzi wobuchopho bakho ukukusiza uzizwe uzolile futhi ukhululekile. Le mithi isetshenziswe amashumi eminyaka ukwelapha ukukhathazeka nezinkinga zokulala, nakuba odokotela manje beyibhala kancane kakhulu kunakuqala ngenxa yezinye izindlela ezintsha, eziphephile.

Ukuqonda ukuthi i-butabarbital isebenza kanjani kungakusiza ukuthi wenze izinqumo ezinolwazi mayelana nokwelashwa kwakho. Udokotela wakho uzocabangela ngokucophelela ukuthi ngabe le mithi ilungile yini esimweni sakho esithile.

Yini i-Butabarbital Esetshenziselwa Yona?

I-Butabarbital ikakhulukazi ibhalelwe ukwelapha ukukhathazeka okukhulu nokuqwasha lapho eminye imithi ingasebenzi kahle kuwe. Kuthathwa njengokwelashwa komugqa wesibili, okusho ukuthi udokotela wakho uzovame ukuzama ezinye izinketho kuqala.

Le mithi ivame ukusetshenziselwa ukukhulula izimpawu zokukhathazeka zesikhashana eziphazamisa impilo yakho yansuku zonke. Abanye odokotela bangase futhi bayibhale njengosizo lokulala uma ubhekene nokuqwasha okuqhubekayo okungaphenduli kwezinye izindlela zokwelapha.

Ezimweni ezingavamile, i-butabarbital ingase isetshenziswe njengengxenye yezinqubo zokwelapha ukuhlaselwa noma ngaphambi kwezinqubo ezithile zezokwelapha ukukusiza ukuthi uphumule. Kodwa-ke, lokhu kusetshenziswa kuya ngokuya kungavamile njengoba imithi ephephile itholakala.

Isebenza Kanjani i-Butabarbital?

I-Butabarbital isebenza ngokuthuthukisa imiphumela yekhemikhali yemvelo ebuchosheni bakho ebizwa ngokuthi i-GABA (i-gamma-aminobutyric acid). I-GABA isebenza njengohlelo lwebhuleki lemvelo lobuchopho bakho, isiza ukwehlisa amasiginali emizwa asebenzayo.

Uma uthatha i-butabarbital, yenza i-GABA isebenze kahle ekuthuliseni uhlelo lwakho lwezinzwa. Lokhu kudala umphumela wokuthomalisa onganciphisa ukukhathazeka futhi ukhuthaze ukulala. Le mithi ithathwa njengeqinile ngokulinganisela phakathi kwama-barbiturates, iwa phakathi kwezinketho ezibuthakathaka neziqinile kulesi sigaba semithi.

Imiphumela yokuthulisa ngokuvamile iqala phakathi kwemizuzu engama-30 kuya kwengama-60 ngemva kokuthatha umuthi. Imiphumela ephezulu ngokuvamile yenzeka phakathi kwamahora ama-2 kuya kwangama-4, futhi umuthi ungaqhubeka usebenza emzimbeni wakho amahora ayi-6 kuya kwayi-8.

Kufanele Ngiyithathe Kanjani I-Butabarbital?

Thatha i-butabarbital ngendlela eqondile udokotela wakho ayikuyala ngayo, ngokuvamile ngomlomo ngengilazi yamanzi egcwele. Ungayithatha nokudla noma ngaphandle kokudla, nakuba ukuyithatha nokudla kungasiza ukunciphisa isisu uma uhlangabezana nanoma yini.

Uma uthatha i-butabarbital ukuze ulale, yithathe cishe imizuzu engama-30 ngaphambi kokulala kwakho okuhleliwe. Qiniseka ukuthi unamahora ayi-7 kuya kwayi-8 atholakalayo okulala, njengoba umuthi ungenza ukozela amahora amaningi.

Ngenxa yokukhathazeka, udokotela wakho cishe uzoqala ngomthamo ophansi futhi angawulungisa ngokusekelwe endleleni ozosabela ngayo. Ungalokothi ushintshe umthamo wakho ngaphandle kokukhuluma nodokotela wakho kuqala, njengoba lo muthi udinga ukuqashwa ngokucophelela.

Gwema utshwala ngokuphelele ngenkathi uthatha i-butabarbital, njengoba ukuhlanganisa kungaba yingozi. Futhi, ungachobozi noma uhlafune amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Butabarbital?

I-Butabarbital ngokuvamile inikezwa ukusetshenziswa kwesikhashana, ngokuvamile kungaphezu kwamasonto ama-2 kuya kwangama-4. Udokotela wakho uzofuna ukukhawulela ukuthi uyithatha isikhathi esingakanani ngoba umzimba wakho ungathuthukisa ukubekezela nokuncika ngokushesha.

Isikhathi esiqondile sincike esimweni sakho esithile nokuthi usabela kahle kangakanani ekwelashweni. Ngenxa yokukhathazeka, ungase uyithathe amasonto ambalwa ngenkathi usebenza kwezinye izindlela zokwelapha njengokwelashwa noma izinguquko zokuphila.

Uma uyisebenzisela izinkinga zokulala, udokotela wakho cishe uzofuna ukuhlonza nokubhekana nesizathu esiyisisekelo sokungalali kwakho. Lokhu kungabandakanya ukuthuthukisa imikhuba yakho yokulala noma ukwelapha ezinye izimo ezithinta ukuphumula kwakho.

Ungayeki ukuthatha i-butabarbital ngokuzumayo uma ubuthatha izinsuku ezingaphezu kwezimbili. Udokotela wakho uzokwenza uhlelo lokunciphisa kancane kancane umthamo wakho ukuvimbela izimpawu zokuhoxiswa.

Ziyini Imiphumela Eceleni ye-Butabarbital?

Njengayo yonke imithi, i-butabarbital ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kangcono futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa ukozela, isiyezi, nokuzizwa ungaqinile emilenzeni yakho. Le miphumela ivame ukuba milde futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi:

• Ukozela okungase kuqhubeke kuze kube usuku olulandelayo
• Isiyezi noma ukukhathala
• Ikhanda
• Isicanucanu noma isisu esibuhlungu
• Ukuzizwa udidekile noma ungazi ukuthi ukuphi
• Ubunzima bokugxilisa ingqondo

Le miphumela emibi ejwayelekile ngokuvamile iyancipha njengoba umzimba wakho ujwayela umuthi. Nokho, uma ziqhubeka noma ziba zimbi, kubalulekile ukukhuluma nodokotela wakho.

Abanye abantu bangase bathole imiphumela emibi kakhulu edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kungaba kubalulekile:

• Ukuphendula okukhulu komzimba okune-rash, ukuluma, noma ukuvuvukala
• Ubunzima bokuphefumula noma ukuqina kwesifuba
• Ushintsho olungavamile lwemizwa noma ukucindezeleka
• Izinkinga zenkumbulo noma ukudideka
• Ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
• Isiyezi esikhulu noma ukuquleka

Uma uthola noma iyiphi yale miphumela emibi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo. Ukuphepha kwakho kuhlala kuyinto eza kuqala.

Imiphumela emibi engavamile kodwa engaba yingozi ingahlanganisa izinkinga zesibindi, izifo zegazi, noma ukusabela okukhulu kwesikhumba. Nakuba lokhu kungavamile, udokotela wakho uzokuqapha nganoma yiziphi izimpawu zalezi zinkingo ngesikhathi sokwelashwa kwakho.

Ubani Ongafanele Athatha I-Butabarbital?

I-Butabarbital ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Ezinye izimo nezimo zenza lo muthi ungafaneleki noma uyingozi.

Akufanele uthathe i-butabarbital uma unomlando wokulutheka kotshwala noma izidakamizwa, njengoba ama-barbiturates enethuba elikhulu lokusetshenziswa kabi nokuncika. Udokotela wakho uzogwema ukuyinika uma unezifo ezinzima zesibindi noma izinso, njengoba umzimba wakho ungase ukwazi ukucubungula umuthi ngendlela efanele.

Ezinye izimo eziningi zenza i-butabarbital ingafaneleki ukusetshenziswa:

• Izinkinga ezinkulu zokuphefumula noma i-sleep apnea
• I-acute intermittent porphyria (isimo esingavamile sezakhi zofuzo)
• Ukucindezeleka okukhulu noma imicabango yokuzibulala
• Ukukhulelwa noma ukuncelisa
• Ukungezwani komzimba nama-barbiturates

Abantu abadala bangase bazwe kalula imiphumela ye-butabarbital futhi bangase badinge ukuqashwa okukhethekile noma izilinganiso ezihlukene. Ushintsho oluhlobene nobudala endleleni umzimba wakho ocubungula ngayo imithi lungakhuphula ingozi yemiphumela emibi.

Uma uthatha eminye imithi, ikakhulukazi leyo ethinta uhlelo lwakho lwezinzwa oluphakathi, udokotela wakho uzodinga ukucabangela ngokucophelela ukusebenzisana okungenzeka. Ama-blood thinners, imithi yokulwa nokuthuthumela, kanye neminye imithi yokucindezeleka ingase isebenzisane ne-butabarbital ngezindlela ezingase zilimaze.

Amagama Omkhiqizo we-Butabarbital

I-Butabarbital iyatholakala ngaphansi kwamagama amaningana omkhiqizo, nakuba ivame ukunikezwa njengomuthi ojwayelekile. Igama lomkhiqizo elivamile yi-Butisol, ebelitholakala iminyaka eminingi.

Ezinye izinhlanganisela zemikhiqizo ziqukethe i-butabarbital kanye nezinye izithako. Le mithi ehlanganisiwe ivame ukusetshenziselwa izimo ezithile lapho izithako eziningi zisebenza ndawonye ukuze zinikeze usizo.

Noma ngabe uthola i-butabarbital yegama lomkhiqizo noma ejwayelekile, isithako esisebenzayo nemiphumela iyafana. Umkhemisi wakho angakusiza uqonde ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo ngemithi yakho ethile.

Ezinye izindlela ze-Butabarbital

Imithi yesimanje inikeza ezinye izindlela eziningi ze-butabarbital ezivame ukuba ziphephe futhi zisebenze kahle. Udokotela wakho cishe uzocabangela lezi zinketho kuqala, ikakhulukazi ekwelashweni kwesikhathi eside kokukhathazeka noma izinkinga zokulala.

Ngokukhathazeka, imithi emisha efana ne-SSRIs (selective serotonin reuptake inhibitors) noma ama-benzodiazepines angase afaneleke kakhulu. Le mithi ivame ukuba nemiphumela emincane futhi ingozi ephansi yokuncika kune-barbiturates.

Ezinye izindlela ezivamile zokukhathazeka zifaka imithi efana ne-lorazepam, diazepam, noma izinketho zesikhathi eside ezifana ne-sertraline noma i-escitalopram. Ngezinkinga zokulala, imithi efana ne-zolpidem, eszopiclone, noma i-trazodone ingase ibe yizinqumo eziphephe kakhulu.

Izindlela ezingezona zemithi nazo zingase zisebenze kahle kakhulu kokubili ukukhathazeka nezinkinga zokulala. Ukwelashwa kokuziphatha kwengqondo, amasu okuphumula, kanye nemikhuba emihle yokuhlanzeka kokulala ngokuvamile kunikeza ukukhululeka okuhlala njalo ngaphandle kwezingozi ezihambisana nemithi.

Ingabe i-Butabarbital ingcono kune-Lorazepam?

Ukuqhathanisa i-butabarbital ne-lorazepam akulula, njengoba zisebenza ngendlela ehlukile futhi zinezinhlobo eziyingozi ezihlukile. Zombili lezi zithako zingase zisebenze kahle ekukhathazekeni nasezinkingeni zokulala, kodwa odokotela abaningi bakhetha i-lorazepam ngezizathu eziningana ezibalulekile.

I-Lorazepam, i-benzodiazepine, ngokuvamile ithathwa njengephephile kune-butabarbital ngoba inengozi ephansi yokweqisa kanye nokuxhumana okuyingozi okuncane neminye imithi. Futhi inemiphumela engapheli futhi kulula ukuyilinganisa ngokuphepha.

I-Butabarbital ingase ibe nemiphumela yokuthulisa ngaphezu kwe-lorazepam, okungase kube usizo ekuqwabeleni okukhulu kodwa futhi kungakhuphula ingozi yezingozi nokuwa. Isikhathi eside sokusebenza nge-butabarbital singaholela ekulaleni ngosuku olulandelayo kaningi kune-lorazepam.

Udokotela wakho uzocabangela izimpawu zakho ezithile, umlando wezokwelapha, kanye nezici eziyingozi lapho ekhetha phakathi kwale mithi. Akukho ngempela okuthi “kungcono” kunokunye, kodwa okukodwa kungase kufaneleke kakhulu esimweni sakho esithile.

Imibuzo Evame Ukubuzwa Mayelana ne-Butabarbital

Ingabe i-Butabarbital iphephile ezigulini zenhliziyo?

I-Butabarbital ingasetshenziswa ngokucophelela kubantu abanezifo zenhliziyo, kodwa idinga ukuqashwa ngokucophelela ngudokotela wakho. Umuthi ungathinta izinga lokushaya kwenhliziyo nomfutho wegazi, okungenzeka kungafaneleki kuzo zonke izimo zenhliziyo.

Uma unesifo senhliziyo, udokotela wakho uzodinga ukulinganisa izinzuzo nezingozi. Bangase baqale ngomthamo ophansi futhi bakuqaphele eduze kunokujwayelekile. Ezinye izimo zenhliziyo, ikakhulukazi lezo ezihilela ukushaya okungajwayelekile, zingenza i-butabarbital ingafaneleki kuwe.

Njalo yazisa udokotela wakho nganoma yiziphi izinkinga zenhliziyo ngaphambi kokuqala i-butabarbital, futhi ubike noma yikuphi ukucasuka esifubeni, ukuphefumula kanzima, noma ukushaya kwenhliziyo okungajwayelekile ngenkathi uthatha umuthi.

Ngingenzani uma ngiphuzile i-Butabarbital eningi ngengozi?

Uma ngengozi uphuza i-butabarbital eningi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukweqisa kwama-barbiturates kungaba kubi futhi kungase kubeke ukuphila engozini.

Izimpawu zokweqisa zingabandakanya ukulala ngokweqile, ukudideka, ukuphefumula kancane, noma ukulahlekelwa ukwazi. Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo, njengoba ukwelashwa ngokushesha kubalulekile.

Shayela u-911 uma wena noma omunye umuntu ethatha inani elikhulu le-butabarbital, ikakhulukazi uma benenkinga yokuphefumula noma yokuhlala beqaphele. Gcina ibhodlela lemithi nawe ukuze ubonise abahlinzeki bezempilo ukuthi yini ngqo ethathwe.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Butabarbital?

Uma uphuthelwa umthamo we-butabarbital, indlela engcono kakhulu incike ekutheni ukhumbula nini nokuthi uyithathani. Ngokukhathazeka, ngokuvamile ungafaka umthamo ophuthelwe ngokushesha nje lapho ukhumbula, ngaphandle uma useduze nomthamo wakho olandelayo ohleliwe.

Ngemithi yokulala, ungafaki umthamo ophuthelwe uma usuvele uye embhedeni noma uma sekuhlwile ebusuku. Ukuyithatha sekwephuzile kungadala ukozela ngosuku olulandelayo futhi kuphazamise uhlelo lwakho lokulala olujwayelekile.

Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise okushodayo, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi noma ukweqisa umthamo. Uma ungaqiniseki ukuthi wenzeni, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso.

Ngingayeka nini ukuthatha i-Butabarbital?

Akufanele uyeke ukuthatha i-butabarbital ngokuzumayo, ikakhulukazi uma ubuthatha isikhathi esingaphezu kwezinsuku ezimbalwa. Udokotela wakho uzokwenza uhlelo lokunciphisa kancane umthamo wakho ngokuhamba kwesikhathi ukuvimbela izimpawu zokuhoxisa.

Isikhathi sokuyeka sincike ekutheni ubuthatha isikhathi esingakanani imithi nokuthi usabela kanjani ngamunye. Udokotela wakho anganciphisa umthamo wakho ngama-25% njalo emva kwezinsuku ezimbalwa noma alandele uhlelo oluhlukile olususelwe ezidingweni zakho.

Izimpawu zokuhoxisa zingabandakanya ukukhathazeka, ukungazinzi, ukuhluleka ukulala, futhi ezimweni ezinzima, ukuquleka. Ngokusebenzisana nodokotela wakho ukuze unciphise kancane, ungenza lezi zingozi zinciphe futhi uyeke imithi ngokuphepha.

Ngingashayela ngesikhathi ngithatha i-Butabarbital?

Akufanele ushayele noma usebenzise imishini ngenkathi uthatha i-butabarbital, ikakhulukazi uma uqala ukuthatha imithi. Imiphumela yokuthulisa ingaphazamisa isikhathi sakho sokusabela, ukuxhumana, kanye nokwahlulela, okwenza ukushayela kube yingozi.

Noma ngabe uzizwa uqaphile, i-butabarbital ingathinta amakhono akho ngezindlela okungenzeka ungaziqapheli. Umuthi ungahlala emzimbeni wakho amahora amaningi, ngakho ukulala ngosuku olulandelayo nakho kuyakhathaza.

Xoxa nodokotela wakho mayelana nokuthi kungaba nini kuphephile ukuqhubeka nokushayela. Bazocabangela izinto ezinjengomthamo wakho, ukuthi usunesikhathi esingakanani usebenzisa umuthi, nokuthi ukuthinta kanjani wena siqu ngaphambi kokukunikeza isiqondiso mayelana nokuphepha kokushayela.