Ultram (tramadol) ndi analgesic (painkiller) yomwe imaperekedwa kuti muvutike kwambiri. Ndi opiate ( mankhwala osokoneza bongo ) komanso monoamine inhibit inhibitor, zomwe zimatanthawuza kuti zimapangitsa kuti ubongo wanu ukhale wambiri.
Ultram imagwiritsidwanso ntchito pochitira mitundu yambiri ya neuralgia (ululu wa mitsempha.) Nthawi zina imagwiritsidwa ntchito pamtundu wa fibromyalgia , matenda a miyendo yopanda phokoso , migraines , ndi matenda osadziletsa.
Ultram ER (kumasulidwa kwowonjezereka) amapezeka kuti athetse ululu wopweteka kwambiri maola 24 pa tsiku.
Momwe Ikugwirira Ntchito
Ultram ikuwoneka kugwira ntchito m'njira zingapo:
- Zimakhudza opioid receptors mu ubongo (kutanthauza kuti amasintha momwe mauthenga opweteka amayenderera mumaselo a ubongo).
- Imawonjezera kuchuluka kwa maselo a neurotransmitters serotonin ndi norepinephrine.
Mankhwalawa akhoza kukhala otsika kwambiri kwa anthu omwe ali ndi fibromyalgia. Serotonin imakhudzidwa ndi kupwetekedwa ndi kupweteka. Norepinephrine imathandiza thupi lanu kuthana ndi nkhawa. Onse akukhulupirira kuti amachititsa zizindikiro zambiri za matendawa.
Gwiritsani ntchito Fibromyalgia Pain Treatment
Ultram si FDA yomwe imavomereza kupweteka kwa fibromyalgia , koma nthawi zina imatchulidwa kuchoka pamalopo chifukwa cha vutoli.
Tili ndi maphunziro angapo omwe amasonyeza kuti zingakhale zogwira mtima, kuphatikizapo chimodzi chomwe chimasonyeza kuti ndi mankhwala okhaokha omwe amachititsa kuthandizidwa ndi mitundu yapadera ya ululu wa fibromyalgia.
Phunziro la nyama lomwe linatulutsidwa mu June 2009 likusonyeza kuti lingakhale lothandiza makamaka pa hyperalgesia (ululu wopwetekedwa) wa fibromyalgia pamodzi ndi Savella (milnacipran) , koma zotsatirazi sizinafotokozedwe mwa anthu.
Phunziro la 2015 lofalitsidwa mu Clinical Journal of Pain linanena kuti tramadol inachititsa kuti madokotala apite kukachezera anthu omwe ali ndi fibromyalgia.
Buku la 2015 lolemba mabuku pa mankhwalawa linanena kuti panali umboni wodalirika wogwirizanitsa ntchito yake ngati chithandizo chachiwiri kwa anthu omwe amafunikira kupwetekedwa kwambiri kuposa mankhwala ovomerezeka a FDA.
Mlingo
Pochepetsa kuchepetsa mavuto, Ultram nthawi zambiri amayamba pa mlingo wa 25 mg pa tsiku ndikuwonjezeka pang'onopang'ono kufika 100-200 mg pa tsiku.
Onetsetsani kuti muzitsatira malangizo a dokotala komanso mankhwala anu poonjezera mlingo wanu. Oposa 400 mg pa tsiku amaonedwa kuti ndi owopsa kwa ambiri achikulire. Kupewa chitetezo kwa anthu oposa 75 ndi 300 mg patsiku.
Zotsatira zoyipa ndi machenjezo
Monga mankhwala onse, Ultram imakhala ndi chiopsezo cha zotsatira zosautsa. Zotsatira zomwe muyenera kulengeza kwa dokotala nthawi yomweyo ndizo:
- kupuma kapena kupuma
- chisokonezo
- kuyabwa
- kumutu kapena kutaya
- zofiira, kupukuta, kupukuta kapena kumasula khungu
- kugwidwa
Zotsatira zoyipa zomwe sizimasowa mwamsanga zamankhwala ndi izi:
- kudzimbidwa
- chizungulire
- kugona
- mutu
- kunyoza kapena kusanza
Ngati zotsatirazi zikupitirira kapena ziri vuto kwa inu, lankhulani ndi dokotala wanu za iwo.
Ngati muli ndi mbiri ya mankhwala osokoneza bongo kapena mowa, simuyenera kutenga Ultram. Mankhwalawa amachititsa kuti anthu ena asagwidwe ndi matendawa ndipo amatha kupweteka kwambiri ngati muli ndi vuto la kugwa, kuvulazidwa pamutu, matenda osokoneza bongo, kapena kumwa mankhwala enaake (antidepressants, miser relaxers, mankhwala osokoneza bongo chifukwa chotsutsa ndi kusanza.)
Mungafunike mlingo wapadera kapena mayesero kuti mutenge bwinobwino Ultram ngati muli:
- matenda a impso
- matenda a chiwindi
- matenda a m'mimba
- mbiri ya kuvutika maganizo, matenda a maganizo, kapena kuyesayesa kudzipha
Onaninso kuti: Pamene mukukonzekera kuletsa kutenga Ultram, muyenera kusiya pang'onopang'ono mlingo kuti mupewe zizindikiro za kuchotsa. Lankhulani ndi dokotala wanu kapena wazamankhwala za momwe mungatetezere bwinobwino.
Mawu Ochokera
Ngati mukufuna kuyesa Ultram, kambiranani ndi dokotala wanu. Muyenera kuyeza zowonjezereka ndikusamala bwino musanapange chisankho. Ngati mutayamba kutenga Ultram, onetsetsani kuti mukuyang'ana zotsatirapo ndikuyankhula ndi dokotala wanu za mavuto omwe muli nawo.
Zotsatira:
Huynh CN, Yanni LM, Morgan LA. Journal of Women's Health. 2008 Oct; 17 (8): 1379-87. Fibromyalgia: kuyezetsa ndi kasamalidwe kwa chithandizo choyamba chaumoyo.
Kaneko K, et al. Makalata a sayansi. 2014 Mar 6; 562: 28-33. Zotsatira za tramadol mu zitsanzo zamtundu wa ululu wa ubongo ndi fibromyalgia.
Kim SH, et al. Korea Journal ya Internal Medicine. 2009 Jun; 24 (2): 139-42. Zotsatira za kugwiritsidwa ntchito pamodzi kwa tramadol ndi milnacipran pamtundu wa ululu m'thupi la fibromyalgia.
MacLean AJ, Schwartz TL. Kufufuza kwa akatswiri a matenda a ubongo. 2015 May; 15 (5): 469-75. Tramadol pofuna kuchiza fibromyalgia.
Peng X, et al. Buku la Clinical of pain. 2015 Jan; 31 (1): 7-13. Kufufuza kwa nthawi yaitali za mankhwala opioid mu fibromyalgia.