I-Ultram (tramadol) iyisilathisi (i-painkiller) enqunyiwe ukuba ivelise intlungu ephakathi. I-opiate (i- narcotic ) kunye ne-monoamine inhibitor inhibitor, oku kuthetha ukuba yenza ezinye ze- neurotransmitter ezithile zifumaneke kwingqondo yakho.
I-Ultram isetyenziselwa ukunyanga ezininzi iintlobo ze-neuralgia (intlungu yesifo.) Maxa wambi kusetyenziswa i-label ye- fibromyalgia , imilenze yokuphumla imilenze , i- migraines , kunye nokukhathazeka okunyanzelekileyo.
I-Ultram ER (ukukhululwa okwandisiweyo) iyafumaneka ukulawula intlungu engapheliyo iiyure ezingama-24 ngosuku.
Ingaba isebenza kanjani
Ultram ibonakala isebenza ngeendlela ezimbalwa:
- Ichaphazela i-opioid receptors ezithile kwingqondo (ithetha ukuba iyatshintsha indlela imiyalezo yentlungu ehamba ngayo kwiiseli zengqondo).
- Ukwandisa inani elikhoyo le-neurotransmitters serotonin kunye ne-norepinephrine.
Ezi ziikhemikhali zingaba ziphantsi kubantu abane-fibromyalgia. I-Serotonin ibandakanyeka ekusebenziseni ubuhlungu kunye nomjikelezo wokulala. I-Norepinephrine inceda umzimba wakho uphathe uxinzelelo. Bobabini bakholelwa ukuba badlala indima kwimpawu ezininzi zeli meko.
Sebenzisa kwi-Fibromyalgia Pain Treatment
I-Ultram ayiyiyo i-FDA evunyelwe ukunyanga intlungu ye-fibromyalgia , kodwa ngamanye amaxesha ichongwe ngaphandle-ilebula kwimeko.
Sinezifundo ezimbalwa ezibonisa ukuba zingasebenza, kubandakanye ubuncinane obubonisa ukuba yiyo kuphela i-painkiller ye-narcotic ebonakaliswe ukunceda ngeentlobo zentlungu ekhethekileyo ye-fibromyalgia.
Ucwaningo lwesilwanyana olushicilelwe ngoJuni 2009 lubonisa ukuba lunokuba luncedo ngokuthe ngqo kwi- hyperalgesia (intlungu ebuhlungu) ye-fibromyalgia xa ihlanganiswe no- Savella (milnacipran) , kodwa ezi ziphumo azikabikwa kwakhona kubantu.
Uphononongo luka-2015 olupapashwe kwi- Clinical Journal of Pain lucacise ukuba i-tramadol yakhokelela ekutyelelweni kwamagqirha ambalwa kubantu abane-fibromyalgia.
Ukuhlaziywa kweencwadi zango-2015 kwisigqirha saphetha ukuba kukho ubungqina obungqina obuxhasa ukusetyenziswa kwayo njengonyango lwangowesibini kubantu abafuna intlungu engakumbi kunokuba izidakamizwa ezivunyiweyo ze-FDA zibonelela.
Isistim
Ukunciphisa ubungozi bemiphumo emibi, i-Ultram iqala ngokubanzi kwi-dose eyi-25 mg ngosuku kwaye yanda kancane ukuya kwi-100-200 mg ngosuku.
Qinisekisa ukuba ulandelele ugqirha wakho kunye nemiyalelo yekhemisti ekwandiseni umlinganiselo wakho. Ngaphezu kwe-400 mg ngosuku libhekwa njengengozi kubantu abaninzi abadala. Ukunqunyulwa kokhuseleko kulabo badala kunama-75 ngu-300 mg ngosuku.
Iziphumo eziPhakathi kunye nezilumkiso
Njengawo onke amayeza, i-Ultram inomngcipheko weempembelelo ezingathandekiyo. Imiphumo emibi ekufuneka uyixelele ugqirha wakho ngokukhawuleza iquka:
- ubunzima bokuphefumla okanye ukuhamba
- kudideka
- kubetha
- ukukhawuleza okanye ukuphelelwa amandla
- obomvu, ukuxubha, ukukhangela okanye ukukhupha isikhumba
- ukuxhamla
Imiphumo engaphantsi ayifuni imfuno yonyango ngokukhawuleza ibandakanya:
- ukuqothulwa
- ukungcola
- kulala
- intloko
- isicupunu okanye ukuhlanza
Ukuba ezi ziphumo zempembelelo ziyaqhubeka okanye ingxaki kuwe, xela nodokotela wakho ngabo.
Ukuba unembali yezilwelo zotywala okanye utywala, akufanele uthathe i-Ultram. Esi sidakamizwa siye sabangelwa abanye abantu kwaye singenza ukuba kube lula ukuba uya kuba nexinzelelo xa unembali yokuthintela, ukulimala kwentloko, ingxaki yokuxilonga, okanye uthabatha amayeza athile (ukuxhatshazwa kwemithi, ukuxhamla imithi, iziyobisi ukucabisa nokuhlanza.)
Ungadinga i-dose ekhethekileyo okanye iimvavanyo ukuze uthathe u-Ultram ngokuphepha ukuba unayo:
- isifo sesifo
- isifo sesibindi
- ingxaki yesisu
- imbali yokudandatheka, ukugula kwengqondo, okanye ukuzama ukuzibulala
Kwakhona qaphela: Xa ucwangcisa ukuyeka ukuthatha i-Ultram, kuya kufuneka unqande ama-dose ngokukhawuleza ukuze ugweme iimpawu zokurhoxa. Thetha ugqirha okanye ophmemesi malunga nendlela yokuphepha ngokukhuselekileyo kuyo.
ILizwi
Ukuba ufuna ukuzama u-Ultram, xela ugqirha wakho. Kufuneka ulinganise ubuchule kunye nokuqhawula ingqalelo ngaphambi kokuba wenze isigqibo. Ukuba uqala ukuthatha i-Ultram, qiniseka ukuba ubukele imiphumo emibi kwaye uthethe ugqirha wakho malunga nayiphi na ingxaki onayo.
Imithombo:
Huynh CN, Yanni LM, Morgan LA. Umbhalo weMpilo yabasetyhini. 2008 Oct; 17 (8): 1379-87. I-Fibromyalgia: ukuxilongwa kunye nokulawulwa komboneleli wezempilo oyintloko.
Kaneko K, et al. Iileta zesayensi. 2014 uMatshi 6; 562: 28-33. Iimpembelelo zesifo se-tramadol kwiimpawu zezilwanyana zentlungu ye-neuropathic kunye ne-fibromyalgia.
Kim SH, et al. INgxelo YaseKorea Yonyango Lwangaphakathi. 2009 Juni; 24 (2): 139-42. Umphumo wokusetyenziswa okuhlangeneyo kwe-tramadol kunye ne-milnacipran kwintlungu yesilwanyana kwimifanekiso yezilwanyana ye-fibromyalgia.
MacLean AJ, uStwartz TL. Uphononongo lweengcali ze-neurotherapeutics. 2015 NgoMeyi; 15 (5): 469-75. I-Tramadol yokunyangwa kwe-fibromyalgia.
Peng X, et al. Ingxelo yonyango yeentlungu. 2015 Jan; 31 (1): 7-13. Ukuvavanywa kwexesha elide lwe-opioid unyango kwi-fibromyalgia.