So wuhu amane wɔ ɛyaw a ɛtra hɔ kyɛ a wuntumi nnyina ano mu? Ɛtɔ mmere bi a, nnuru a yɛtaa de kum ɛyaw no nnɔɔso sɛ yebedi ɛyaw a emu yɛ den saa so. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi akyerɛw wo aduru titiriw bi a ano yɛ den a wɔde kum ɛyaw. Ɛnnɛ yɛrebɛka aduru a ɛte saa biako, Buprenorphine, a wɔde di dwuma denam hwene mu a wɔde gu so no ho asɛm.
Dɛn ne aduru yi a wɔfrɛ no Buprenorphine?
Sɛ yɛbɛka no tiawa a, Buprenorphine yɛ aduru a wɔde sa ɛyaw a emu yɛ den a enni sabea. Nnuruyɛfo taa kyerɛw ma bere a nnuru afoforo a wɔde kum ɛyaw ntumi nyɛ adwuma anaa bere a nipadua no ntumi nnye nnuru no ano no. Ɛka nnuru kuw bi a wɔfrɛ no opioids ho . Ɛyɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a esiw ano sɛ ɛnkɔ amemene no mu, na ɛtew ɛyaw nka no so.
Nea ɛho hia sen biara ne sɛ eyi yɛ aduru a ɛyɛ adwuma bere tenten . Eyi kyerɛ sɛ wɔmfa nni dwuma mma ɛyaw a ɛba mpofirim. Wɔde ma sɛnea ɛbɛyɛ a wobedi ɛyaw a enni sabea a ɛtra hɔ da mũ no nyinaa so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ w’akwahosan ho abakɔsɛm a edi mũ ho . Hwɛ hu sɛ wobɛka akyerɛ no sɛ wowɔ tebea horow a edidi so yi mu biara a:
| Akwahosan tebea | Nkyerɛmu |
|---|---|
| Ɔhaw ahorow a ɛfa amemene ho | Tebea horow te sɛ amemene mu akisikuru ne ti a opira. |
| Ano mu haw ahorow | Nsõ anaa anom yare, ano mu akuru. |
| Mmɛn, akisikuru, dwensɔtwaa | Mmɛn mu yare, akisikuru yare, dwensɔtwaa mu yare. |
| Ɔhome nhyehyɛe mu haw ahorow | Ahurututu mu yare, ayamtu, anaa ɔhome mu haw. |
| Koma mu yare | Komayare, koma a ɛbɔ a ɛnteɛ daa. |
| Tebea afoforo | Nnubɔne anaa nsa a obi de di dwuma, adrenal gland dwumadi a ɛba fam, akisikuru, dwensɔtwaa mu haw. |
| Nnuru afoforo a wɔrenom | Sɛ woanom MAOI (e.g. Marplan, Nardil) aduru wɔ nnafua 14 a atwam no mu a. |
| Mmere titiriw | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo hyew wɔ buprenorphine anaa aduru foforo biara, aduan, anaa ade a wɔde yɛ ade ho a. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Esiane sɛ eyi yɛ sini a wɔde gu afono mu nti, ɛsɛ sɛ wɔhwɛ yiye titiriw wɔ sɛnea wɔde di dwuma no mu.
1. Ahosiesie: Ansa na wobɛnom aduru no, fa nsu hohoro w’ano na yi fi hɔ. Anaasɛ, fa wo tɛkrɛma fa wo hwene mu nsuo.
2. Packet no a wobɛbue: Fa nsa a ɛyɛ dry bue packet no . Bue packet no nkutoo ansa na woanom aduru no.
3. Sini no a wode bɛhyɛ: Fa wo nsateaa a ayow no ano fa sini no na fa gu wo hwene mu a ɔfã kɔkɔɔ no ka hwene no .
4. Mia so sikɔne 5: Kura mu saa na fa wo nsateaa mia so brɛoo bɛyɛ sikɔne 5.
5. Ma ɛnwo: Afei yi wo nsateaa na ma sini no nwo. Eyi taa gye bɛyɛ simma 30.
6. Nea ɛho hia: Mfa wo tɛkrɛma anaa wo nsateaa nka sini no anaasɛ ntutu kosi sɛ ɛbɛtetew. Afei nso, kwati sɛ wubedi anaa wobɛnom kosi sɛ sini no bɛbɔ. Ntwitwa, nwe, anaa nmene sini yi.
Kɔ so fa saa aduru yi di dwuma sɛnea wɔakyerɛ wo no kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
Dodo a wɔde di dwuma boro so
Sɛ wususuw sɛ woanom saa aduru yi dodo a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara , anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛho Hia Ntɛmntɛm (ETU) .
Wɔakyerɛw saa aduru yi ama wo nkutoo. Mma nnkyɛ obi foforo biara esiane biribiara nti.
Nkitahodi a ɛda nnuru afoforo ntam
Esiane sɛ buprenorphine yɛ aduru a ano yɛ den nti, ebetumi ne nnuru afoforo a worenom no adi nkitaho. Enti, ɛho hia sɛ woka nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo.
| Mfa Buprenorphine nka nnuru yi ho! | |
|---|---|
| Cisapride na ɔkyerɛwee | Dronedarone a wɔfrɛ no Dronedarone |
| Pimozide a wɔde yɛ nnuru | Safinamide a wɔde yɛ aduru |
| Samidorphan na ɔkyerɛwee | Thioridazine a wɔde ma |
| Hwɛ yiye titiriw bere a worenom Buprenorphine ne saa nneɛma yi. | |
Nsã, nnuru a ekum ɔyare mmoawa, nnuru bi a ekum ɔyare mmoawa , HIV /Hepatitis nnuru, dadwen anaa nna ho nnuru, adwenemyare nnuru, nnuru a ekum fungal, nnuru a wɔde sa atiridiinini , nnuru a wɔde kum akisikuru (e.g., Carbamazepine), nnuru a ɛma obi dwensɔ, opioid nnuru afoforo a ɛma ɛyaw ano brɛ ase, nnuru a ɛma ntini dwo, ne nnuru afoforo pii. | |
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom aduru yi
Ɛyaw ne abodwokyɛre
Sɛ wo yaw no ankɔ, sɛ ɛyɛ kɛse, anaa sɛ wowɔ ɛyaw foforo a, ka kyerɛ wo duruyɛfo. Sɛ wonom saa aduru yi kakra a, ebia dodow a na wonom kan no rentumi nni wo yaw no so bio. Wɔfrɛ eyi abodwokyɛre . Eyi yɛ ade a ɛfata na ɛnyɛ ade a ɛma obi yɛ ade tra so. Addiction yɛ suban ho haw a wode aduru bi di dwuma a wonni aduruyɛ mu ntease biara. Wo duruyɛfo no bɛsakra wo dodow a wode ma no sɛnea ɛho hia.
Aduru no a wobegyae
Nnyae saa aduru yi nom mpofirim da. Saa a wobɛyɛ no betumi de ɔhaw ahorow a emu yɛ den aba ( nsɛnkyerɛnne a ɛkyerɛ sɛ obi agyae aduruyɛ ). Sɛ ɛho hia sɛ wugyae aduru no nom a, wo duruyɛfo no bɛtew dodow no so nkakrankakra.
Dae ne nsa a wɔnom
Ebia saa aduru yi bɛma woate nka sɛ woada na w'adwene atu afra . Enti , nka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ehia sɛ woma w’ani da hɔ kosi sɛ wubehu sɛnea ɛka wo. Titiriw sɛ woabɔ akwakoraa a, nsɔre mfi baabi a wotena mpofirim, efisɛ eyi betumi ama woayɛ basaa na woahwe ase. Kwati sɛ wobɛnom nsa koraa.
Ayamtim
Akisikuru yɛ aduru yi mu nsunsuanso bɔne a abu so yiye. Sɛ ɛyɛ den ma wo sɛ wobɛma wo dwensɔtwaa bɛboro nnafua 3 a, ma wo duruyɛfo nhu.
Opioid a Wɔnom boro So ne Naloxone
Opioid a wɔnom boro so no yɛ asiane kɛse. Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anom boro so no bi ne sɛ ɛyɛ den sɛ ɔbɛhome, ɔdae kɛse, na ɛyɛ den sɛ ɔbɛsɔre. Naloxone yɛ aduru a wɔde di dwuma ntɛm ara a wɔde ma de dan saa nnuru a wɔde di dwuma boro so yi. Ɛho hia sɛ obi a wanom aduru yi abusua hu eyi. Sɛ wɔde Naloxone ma mpo a, ɛyɛ bere tiaa mu ano aduru ara kwa. Ɛsɛ sɛ wɔde ɔyarefo no kɔ Emergency Treatment Unit (ETU) ntɛm ara.
Nsunsuanso bɔne a Ɛsɛ sɛ Wuhu
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara! | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Ntini a ɛwɔ mfinimfini no mu adwenemhaw (CNS adwenemhaw) . | Ɔhome a ɛyɛ brɛoo anaasɛ ɛnyɛ den, ɛyɛ den sɛ ɔbɛhome, nna a ɛtra so, adwene a ɛyɛ basaa. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw. |
| Mmɛn a wɔapirapira | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, nsu a ɛyɛ kɔkɔɔ/biribiri tuntum. |
| Adrenal dwumadi a ɛso tew | Akisikuru, ɔfe, aduan ho akɔnnɔ a ɛyera, ɔbrɛ a ɛtra so, adwenemhaw. |
| Nse a ɛporɔw | Ɛse kɔla a ɛsakra, ahome bɔne, anom anaa sẽ a ɛyɛ mmerɛw. |
| Nneɛma bɔne a ɛtaa ba a ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ ɛhaw adwene a | |
| Ayamtim | Adwene a ɛyɛ basaa |
| Dae a ɛma obi da | Ano a ɛyɛ nwunu |
| Tipaeɛ | Akisikuru/akisikuru |
Nkrasɛm a Wɔde Kɔ Fie
- Buprenorphine yɛ opioid aduru a ano yɛ den a wɔde kum ɛyaw a wɔde sa ɛyaw a emu yɛ den a enni sabea. Wɔmfa nni dwuma mma ɛyaw a egye ntɛmpɛ.
- Ansa na wobɛnom saa aduru yi no, ka w’ayaresa tebea nyinaa ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Fa sini no bata wo hwene mu tẽẽ. Nwe, nmene, anaa ntwitwa.
- Kwati karka ne nneɛma afoforo a ɛhwehwɛ sɛ woma w’ani da hɔ bere a worenom aduru yi efisɛ ebetumi ama woada na woayɛ basaa. Kwati sɛ wobɛnom nsa koraa.
- Hu nneɛma bɔne a anibere wom (ɔhome a ɛyɛ den, nna a ɛtra so, nsakrae a ɛba koma a ɛbɔ mu). Sɛ eyinom mu bi ba a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Fa saa aduru yi sie baabi a ahobammɔ wɔ, baabi a mmofra ne afieboa ntumi nkɔ hɔ. Mfa nkyerɛ afoforo da.
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