Ultram (tramadol) inonzi analgesic (painkiller) inorayirwa kuti ienzanise kurwadziwa kukuru. Iropiate ( narcotic ) uyewo monoamine uptake inhibitor, izvo zvinoreva kuti zvinowedzera humwe hutachiona hwemaurotransmitter hunoonekwa muuropi yako.
Ultram inoshandiswawo kubata marudzi akawanda e-neuralgia (kurwadziwa kwehutano.) Dzimwe nguva inoshandiswa pamusana-label kune fibromyalgia , maziso emakumbo asingagadziriswi , migraines , uye kuora mwoyo-kusagadzikana kwepfungwa.
Ultram ER (yakasunungurwa kusunungurwa) inowanikwa mukudzora kurwadza kwakanyanya kwemaawa 24 pazuva.
Iyo Inoshanda Sei
Ultram inoratidzika kushanda nenzira dzinoverengeka:
- Inokonzera mamwe mapepa eopioid muuropi (zvinoreva kuti inoshandura nzira iyo marwadzo emitambo inopinda mumumasekiti europi).
- Inowedzera zviwanikwa zvinowanikwa neurotransmitters serotonin uye norepinephrine.
Izvozvo makemikari inogona kuva yakaderera kune vanhu vane fibromyalgia. Serotonin inobatanidzwa nekugadzirisa kurwadziwa uye kurara. Norepinephrine inobatsira muviri wako kutarisana nekuzvidya mwoyo. Vose vaviri vanotenda kuti vanoita basa muzviratidzo zvakawanda zvechiitiko ichi.
Shandisa muFibromyalgia Pain Treatment
Ultram haisi FDA inogamuchirwa mukurapa marwadzo e fibromyalgia , asi dzimwe nguva inorayirwa kure-label kune mamiriro acho ezvinhu.
Tine zvidzidzo zvishomanana zvichiratidza kuti zvinogona kuva zvakanaka, kusanganisira imwe inoratidza kuti ndiyo chete narcotic painkiller yakaratidzwa kubatsira nemhando dzakasiyana dzemarwadzo e fibromyalgia.
Chidzidzo chemhuka chakabudiswa munaJune 2009 chinoratidza kuti chinogona kunyanya kubudirira kurwisa hyperalgesia (kurwadziwa kwakanyanya) kwe fibromyalgia kana yakabatanidzwa na Savella (milnacipran) , asi izvi zvinoguma zvisati zvadzokororwa kuvanhu.
Chidzidzo che2015 chakabudiswa muCliniki Journal of Pain chakataura kuti tramadol yakatungamirira kushanyirwa kwechiremba kwevanhu vane fibromyalgia.
Kuongorora kwebhuku ra2015 pamushonga uyu kwakagumisa kuti kune humwe uchapupu huripo hunotsigira kushandiswa kwayo sechikamu chechipiri kurapwa kwevanhu vaida kurapwa kwakawanda kudarika madhadhi anogamuchirwa neDAA.
Dosage
Kuti kuderedze njodzi yemigumisiro, Ultram inowanzotanga pamwero we 25 mg pazuva uye yakawedzera zvishoma nezvishoma kusvika 100-200 mg pazuva.
Iva nechokwadi chekutevera chiremba wako nemirairo yemufarisi paunowedzera kuyerwa kwako. Anopfuura 400 mg pazuva anoonekwa seine ngozi kune vakawanda vakura. Kuchengetedzwa kwevamwe kune vakwegura vanopfuura 75 ndiko 300 mg pazuva.
Migumisiro Yechipfuva uye Manyevero
Kufanana nemishonga yose, Ultram inotakura mungozi yemigumisiro yakaipa. Zvikanganiso zvaunofanira kuudza chiremba wako pakarepo zvinosanganisira:
- kufema kunetseka kana kufamba
- kuvhiringidzika
- itching
- kuchena kana kupera
- mutsvuku, kusvetuka, kuongorora kana kusunungura ganda
- seizures
Migumisiro yakawanda iyo haigoni kudiwa nokukurumidza kurapwa inosanganisira:
- kuvimbiswa
- chizoro
- kugona
- headache
- kushungurudza kana kurutsa
Kana iyi migumisiro yechirwere ichi ichienderera mberi kana iri dambudziko kwauri, taura nachiremba wako pamusoro pavo.
Kana iwe une nhoroondo yezvinodhaka kana doro zvinodhaka, haufaniri kutora Ultram. Izvi zvinokonzera kukanganisa mune vamwe vanhu uye zvinogona kuita kuti zvive nyore kuti iwe uchatorerwa kana iwe une nhoroondo yekubatwa, kukuvadzwa musoro, chirwere chemagetsi, kana uri kutora mimwe mishonga (antidepressants, musikana vanozorodza, zvinodhaka nokuda kweshungu uye kurutsira.)
Iwe unogona kudikanwa murairo chaiwo kana kuti miedzo kuti uwane Ultram zvakanaka kana uine:
- kidyo chirwere
- chiropa chiropa
- chirwere chemudumbu
- nhoroondo yekuora mwoyo, chirwere chepfungwa, kana kuedza kuzviuraya
Uyewo cherechedza: Paunoronga kurega kutora Ultram, iwe uchafanira kurega maitiro zvishoma nezvishoma kuti urege kubvisa zviratidzo. Taura nachiremba wako kana mhizimisi nezvekunyatsochengetedza.
Shoko Rinobva
Kana uchida kuedza Ultram, taura nachiremba wako. Iwe unofanirwa kuenzanisa zvinogona kuita uye kunyatsozvidya mwoyo usati wasarudza. Kana iwe ukatanga kutora Ultram, iva nechokwadi chekutarisa zvinokonzerwa nemigumisiro uye taura nachiremba wako pamusoro pematambudziko aunayo.
Sources:
Huynh CN, Yanni LM, Morgan LA. Zvinyorwa zveMadzimai Health. 2008 Oct; 17 (8): 1379-87. Fibromyalgia: kuongororwa uye kutungamirirwa kwevanonyanya kutarisira utano hwehutano.
Kaneko K, et al. Neuroscience letters. 2014 Mar 6; 562: 28-33. Izvo zvinotyisa zvinokonzerwa ne tramadol mumhuka dzemhando dzehutano hwepfungwa uye fibromyalgia.
Kim SH, et al. Korean Journal ye Internal Medicine. 2009 Jun; 24 (2): 139-42. Migumisiro yekushandiswa pamwe chete kwe tramadol uye milnacipran pamarwadzo ekurwadziwa mumuenzaniso wemhuka we fibromyalgia.
MacLean AJ, Schwartz TL. Ongororo yekuongorora kweyeurotherapeutics. 2015 May; 15 (5): 469-75. Tramadol yekurapa fibromyalgia.
Peng X, et al. Clinical journal of pain. 2015 Jan; 31 (1): 7-13. Nguva yakareba kuongororwa kweapioid mushonga mu fibromyalgia.