Nnubɔnenom yɛ ɔhaw a anibere wom a nnipa pii hyia. Nsɛnkyerɛnne a ɛkyerɛ sɛ obi agyae ne akɔnnɔ a ɛba bere a ɔbɔ mmɔden sɛ obegyae no betumi ayɛ den yiye sɛ wobedi ho dwuma, ɛnte saa? Ɛtɔ da bi a ɛte sɛ nea wo nkutoo ntumi mfa akwantu yi mu. Nanso mma ɛnhaw wo, ayaresa ahorow bi wɔ hɔ a ebetumi aboa.
Aduru bɛn na eyi yɛ?
Methadone yɛ aduru a wɔde sa opioid a wɔde di dwuma ho haw (Opioid Use Disorder). Sɛ yɛbɛka no tiawa a, ɛyɛ adwuma denam nipadua mu sɛnkyerɛnne a ɛnyɛ dɛ (nsɛnkyerɛnne a ɛkyerɛ sɛ obi agyae aduru no) ne akɔnnɔ a ɛba bere a wugyae aduru no a wode di dwuma no so tew so. Ɛyɛ nea etu mpɔn kɛse bere a wɔde ka afotu ne nneyɛe ho ayaresa ho no . Ɛsan nso yɛ aduru bi a wɔfrɛ no opioid. Ɛtɔ da bi a, wobetumi de saa aduru yi nso adi dwuma wɔ nneɛma afoforo mu. Bisa wo duruyɛfo anaa nnuruyɛfo no eyi ho asɛm.
Edin a wɔtaa de di dwuma wɔ gua so ne Methadose.
Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na mede saa aduru yi adi dwuma?
Sɛ wowɔ tebea horow a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo:
- Amemene mu akisikuru
- Nnubɔne a wɔde di dwuma ɔkwammɔne so anaasɛ nea ɛma obi yɛ ade tra so
- Ti a wɔapirapira
- Koma mu yare
- Sɛ woyɛ obi a ɔnom nsa daa a
- Asaabo mu yare
- Mmɛn mu yare
- Adrenal gland no dwumadi a ɛba fam
- Mogya mmoroso a ɛba fam
- Ahurututu, ayamtu, anaa ɔhome mu haw
- Adwene mu akwahosan ho yare
- Akisikuru a ɛma obi ho kyere no
- Yafunu anaa dwensɔtwaa mu haw ahorow
- Sɛ woanom aduru bi afiri MAOI kuw no mu (e.g. Marplan, Nardil, Parnate) wɔ nnafua 14 a atwam no mu a
- Thyroid yareɛ
- Sɛ woanya methadone, opioid nnuru afoforo a wɔde kum ɛyaw, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma anaa nneɛma a wɔde siw ano ho adwene a ɛyɛ soronko anaasɛ wo ho nyɛ wo hyew a
- Sɛ worehwɛ kwan anaasɛ wususuw sɛ woanyinsɛn a
- Sɛ worema nufu a
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɛsɛ sɛ wɔde ano nom saa aduru yi. Di akwankyerɛ a ɛwɔ nnuru a wɔkyerɛw ma wo duruyɛfo de ama no so no akyi. Hwɛ nnuru dodow pɔtee a wuhia ma wo dodow a wode ma no.
Ɛsɛ sɛ wɔde saa nnuru yi gu nsu kuruwa biako mu, akutu nsu, citrus Tang, anaa Kool-Aid a ɛyɛ citrus dɛ mu.Wobɛkanyan no yiye bɛyɛ simma biako. Ebia wubehu sɛ tablet no bi aka wɔ ahwehwɛ no mu. Tablet no rensɛe koraa. Nanso ɛsɛ sɛ wonom nsu a ɛwɔ ahwehwɛ no mu nyinaa. Mma nwe tablet no anaasɛ nmene no nyinaa. Ɛsɛ sɛ wɔpete tablet no na wɔnom.
Wubetumi anom saa aduru yi bere a woadi aduan anaasɛ wunhia. Sɛ wo yafunu ayɛ wo yaw a, fa ka aduan ho. Nom w’aduru no wɔ bere a ɛfata mu. Mfa nea ɛboro nea wɔakyerɛw ama wo no. Nnyae aduru no nom a wunnya wo duruyɛfo afotu.
Wo nsa bɛka nnuru ho akwankyerɛ titiriw (MedGuide) a ɛka nnuru biara a wɔakyerɛw ama wo a wubenya afi nnurutɔnbea ne bere a woasan ahyɛ mu ma no ho. Kae bere nyinaa sɛ wobɛkenkan no yiye.
Wo ne w’akwahosan kuw no nkasa mfa saa aduru yi a wode bɛma mmofra no ho, efisɛ ebia ebehia sɛ wɔhwɛ so titiriw.
Dodo a wɔde di dwuma boro so
Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ ntɛm ara.
Nea ɛho hia: Saa aduru yi yɛ ma wo nkutoo. Mfa saa aduru yi nkyɛ obi foforo.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae ara pɛ. Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, fa saa bere no. Mfa nnuru mmɔho abien anaa nea ɛboro so.
Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?
Mfa Methadone nka nnuru a edidi so yi mu biara ho:
- Nnuru bi a wɔde sa fungal yareɛ, sɛ nhwɛsoɔ no itraconazole, ketoconazole, posaconazole, voriconazole
- Nnuru bi a wɔde sa koma a ɛbɔ a ɛnteɛ, sɛ nhwɛso no bepridil, bretylium, dronedarone, quinidine
- Cisapride na ɔkyerɛwee
- Halofantrine a wɔde yɛ aduru
- Mesoridazine a wɔde yɛ aduru
- Pimozide a wɔde yɛ nnuru
- Rasagiline a wɔde yɛ aduru
- Selegiline a wɔde yɛ aduru
- Thioridazine a wɔde ma
Ebia saa aduru yi ne nnuru a edidi so yi bedi nkitaho. Enti, sɛ worenom eyinom mu biara a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo:
- Nsaden
- Nnuru a ekum akisikuru a wɔde sa akisikuru, ɔfe, ne atiridiinini
- Nnuru a wɔde ko tia HIV anaa AIDS
- Arsenic trioxide a ɛwɔ nipadua no mu
- Atropine a wɔde di dwuma
- Nnuru bi a ekum ɔyare mmoawa, s.e. clarithromycin, aduru a ɛma mogya tu, rifampin
- Nnuru bi a wɔde sa dadwen anaa nna
- Nnuru bi a wɔde sa akisikuru mu haw te sɛ oxybutynin ne tolterodine
- Nnuru bi a wɔde sa kokoram, s.e. dasatinib, aduru a wɔde hyɛ nipadua mu
- Nnuru bi a wɔde sa adwenemhaw, te sɛ amitriptyline, fluoxetine, sertraline
- Nnuru bi a wɔde sa koma a ɛbɔ a ɛnteɛ te sɛ amiodarone ne sotalol
- Nnuru bi a wɔde sa asramma, s.e. chloroquine, mefloquine a wɔde yɛ aduru
- Nnuru bi a wɔde sa atiridiinini te sɛ sumatriptan
- Nnuru bi a wɔde sa akisikuru anaa ɔfe te sɛ ondansetron
- Nnuru bi a wɔde sa akisikuru te sɛ carbamazepine, phenobarbital, ne phenytoin
- Nnuru bi a wɔde sa yafunu a ɛyɛ yaw, te sɛ dicyclomine
- Nnuru bi a wɔde sa akwantu mu yare te sɛ scopolamine
- Nnuru bi a wɔde sa Parkinson yare no
- Fluconazole a wɔde ma
- Nnuru a wɔde kum nipadua no nyinaa (sɛ nhwɛso no, halothane, propofol) .
- Haloperidol a wɔde di dwuma
- Ipratropium a ɛyɛ aduru a wɔfrɛ no Ipratropium
- Linezolid a wɔfrɛ no linezolid
- Nnuru a wɔde kum nipadua no wɔ mpɔtam hɔ, s.e. lidocaine a wɔde di dwuma
- MAOIs (MAOIs) kuw a wɔyɛ nnuru, s.e. Marplan, Nardil, Parnate, ne wɔn a wɔka wɔn ho no
- Nnuru a ɛma ntini mu dwo a wɔde yɛ oprehyɛn
- Methylene bruu a ɛyɛ bruu
- Octreotide a wɔde yɛ aduru
- Nnuru afoforo a ɛma koma no yɛ adwuma a ɛnteɛ (ɛma QT ntam kwan kyɛ), te sɛ dofetilide, ziprasidone
- Nnubɔne afoforo a wɔde sa ɛyaw anaa ɔfe
- Peginterferon a wɔde yɛ aduru a wɔfrɛ no alfa-2b
- Phenothiazines, s.e. chlorpromazine a wɔde yɛ nnuru
- Ranolazine a wɔde yɛ nnuru
- Tacrolimus a wɔde di dwuma
- Vardenafil a wɔde yɛ aduru
Saa nsɛm a wɔahyehyɛ yi nka nneyɛe a ebetumi aba nyinaa ho. Ma wo duruyɛfo no nkyerɛw nnuru, nhabannuru, nnuru a wɔtɔn wɔ aduruyɛdan mu, anaa nnuru a wɔde ka aduan ho a worenom nyinaa. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi betumi ne w’aduru no adi nkitaho.
Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde aduru yi redi dwuma no?
Hwɛ w’akwahosan kuw no daa. Sɛ worenom aduru yi ama ɛyaw, sɛ wo yaw no ankɔ, sɛ wo yaw no mu yɛ den, anaa sɛ wowɔ ɛyaw foforo a, ka kyerɛ wo duruyɛfo. Sɛ worenom saa aduru yi a wɔde sa opioid a wɔde di dwuma ho haw (Opioid Use Disorder) a, kɔ afotu anaa mmoa akuw a wo duruyɛfo kamfo kyerɛ. Mmɔ mmɔden sɛ wubesiw aduru yi nkɛntɛnso ano denam nnubɔne pii a wobɛnom so. Eyi betumi de ɔhaw ahorow a emu yɛ den aba, a owu ka ho. Afei nso, sɛ wugyae aduru yi nom wie a, ebia wo nipadua no bɛte nka kɛse wɔ nnubɔne nketenkete mpo ho.
Nnyae aduru yi nom mpofirim. Saa a wobɛyɛ no betumi ama obi ayɛ n’ade a anibere wom. Wo nipadua no bɛsua aduru no. W’akwahosan kuw no bɛkyerɛ wo nnuru dodow a ɛsɛ sɛ wonom. Sɛ wosusuw sɛ ɛsɛ sɛ wugyae nom a, wɔbɛtew dodow no so nkakrankakra na ama nea efi mu ba no so atew.
Sɛ worenom nnuru afoforo a ɛma woda (te sɛ nnuru afoforo a ɛma ɛyaw ano brɛ ase, benzodiazepines, anaa nnuru afoforo a wɔde da a) a, ebia wubenya nsunsuanso bɔne pii. Fa nnuru a worenom nyinaa din ma wo duruyɛfo. Wɔbɛkyerɛ wo dodow a ɛsɛ sɛ wofa. Mfa nea ɛboro nea wɔakyerɛw ama wo no. Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wote nka sɛ woabrɛ anaasɛ woada wɔ ɔkwan soronko so a, kɔ ayaresabea ntɛm ara.
Wo ne w’akwahosan kuw no nkasa mfa naloxone ne sɛnea wubenya no ho. Naloxone yɛ aduru a wɔde ma ntɛm ara a wɔde sa opioid a wɔnom boro so. Sɛ wonom opioid pii anaasɛ wode ka nneɛma afoforo te sɛ nsa ho a, ebia wobɛnom boro so. Ɛho hia sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anom nnuru boro so. Sɛ nhwɛso no, ɔhome mu haw, ɔbrɛ anaa nna a ɛyɛ soronko, anaasɛ ontumi nyɛ ho hwee anaasɛ onnyane. Ma w’abusua ne w’adɔfo nhu baabi a naloxone aduru no wɔ. Ɛsɛ sɛ wohu sɛnea wɔde bedi dwuma nso. Sɛ wɔma wo naloxone wie a, ɛsɛ sɛ wokɔ ayaresa a egye ntɛmpɛ ntɛm ara. Naloxone yɛ bere tiaa mu ayaresa. Ebia ebehia sɛ wonom nnuru pii.
Ebia wobɛte nka sɛ woada anaasɛ w’adwene atu afra. Mfa kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so kosi sɛ wubehu sɛnea aduru yi ka wo. Nnyina hɔ anaa ntra ase mpofirim, titiriw sɛ woabɔ akwakoraa a. Eyi bɛma hokwan a ɛwɔ hɔ sɛ obi adwene tu fra anaasɛ ɔbɛtotɔ piti no so atew. Nsã betumi asiw ɔkwan a aduru yi fa so yɛ adwuma no kwan. Enti kwati nsa a wobɛnom.
Hyɛ aduruyɛ ho ID abɔso anaa nkɔnsɔnkɔnsɔn, na fa kratasin a wɔakyerɛw wo yare, nnuru, ne dodow a wode di dwuma ho nsɛm wom.
Saa aduru yi betumi ama obi anya akisikuru . Sɛ woankɔ wo dwensɔtwaa mu wɔ nnafua 3 akyi a, frɛ w’akwahosan kuw no.
Ebia w’ano ayɛ nwunu. Gum a asikre nnim a wobɛwe, ahwiesa a ɛyɛ den a asikre nnim a wobɛnom, ne nsu pii a wobɛnom betumi aboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, kɔ wo duruyɛfo nkyɛn.
Ɛsɛ sɛ mmea ka kyerɛ wɔn akwahosan ho kuw no sɛ wɔreyɛ nhyehyɛe anyinsɛn anaasɛ wosusuw sɛ ebia wɔanyinsɛn a. Ebetumi de nsunsuanso bɔne a emu yɛ den aba akokoaa a ɔhyɛ yafunu mu. Wo ne w’akwahosan kuw no nkasa fa mfaso ne asiane ahorow a ɛwɔ nufu a wobɛma so bere a worenom aduru yi ho. Saa aduru yi tumi kɔ nufusu mu. Wo ne w’akwahosan kuw no nkasa sɛ woreyɛ nhyehyɛe sɛ wubefi ase anaasɛ wubegyae saa aduru yi nom bere a worenom nufu, anaasɛ woreyɛ nhyehyɛe sɛ wubegyae nufu a.
Nsunsuanso bɔne bɛn na ebia menya afi aduru yi mu?
Ɛsɛ sɛ woka kyerɛ w’akwahosan kuw no ntɛm ara sɛ wunya nsunsuanso bɔne a edidi so yi mu biara a:
- Allergic reactions — honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon
- Central nervous system depression (CNS depression) — ɔhome a ɛyɛ brɛoo anaasɛ ɛnyɛ den, ɛyɛ den sɛ wobɛhome, ɔtotɔ piti, adwenemhaw, adwene a ɛyɛ basaa, ɛyɛ den sɛ wobɛda
- Koma mu nnyigyei sesa — koma bɔ ntɛmntɛm anaasɛ ɛnte saa, adwenemhaw, ɔtopae, koko mu yaw, ahome a ɛyɛ den
- Adrenal gland dwumadie a ɛba fam — akisikuru, ɔfe, aduane ho akɔnnɔ a ɛyera, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko, adwenemhaw
- Mogya mmoroso a ɛba fam — adwenemhaw, adwenemhaw, anisoadehu a ɛyɛ kusuu
Nneɛma bɔne a mpɛn pii no enhia sɛ wonya aduruyɛ mu afotu (nanso sɛ ɛkɔ so anaasɛ ɛhaw adwene a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ nnuruyɛfo kuw no):
- Ayamtim
- Adwene a ɛyɛ basaa
- Dae a ɛma obi da
- Ano a ɛyɛ nwunu
- Tipaeɛ
- Abofono
- Ɔfe a wɔfe
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Wo ne wo duruyɛfo nkasa na ɔmma wo aduruyɛ mu afotu wɔ nneɛma bɔne a efi mu ba ho.
Ɛhe na ɛsɛ sɛ mede m’aduru sie?
Fa sie baabi a mmofra ntumi nkɔ hɔ. Wobetumi de saa aduru yi adi dwuma ɔkwammɔne so (wɔde adi dwuma ɔkwammɔne so). Enti fa w’aduru no sie baabi a ɛhɔ yɛ dwoodwoo na abɔ ho ban afi korɔnbɔ ho. Mfa saa aduru yi nkyɛ obi foforo. Saa aduru yi a wɔbɛtɔn anaa wɔde ama afoforo no yɛ nea asiane wom na ɛne mmara nhyia.
Fa sie wɔ dan mu hyew, digrii Celsius 20 kosi 25 (digrii Fahrenheit 68 kosi 77). Fa nnuru toa no to mu denneennen.
Saa aduru yi betumi apira anaasɛ ebetumi akum obi mpo sɛ mpanyimfo, mmofra, anaa afieboa afoforo nom a. Fa nnuru a wɔmfa nni dwuma san kɔ baabi a aban de tow gu. Sɛ wopɛ sɛ wonya bi a, frɛ DEA wɔ 1-800-882-9539, anaa hwehwɛ wo kuropɔn/ɔman agyinatukuo mu. Sɛ wuntumi nsan mfa aduru no mma a, hohoro mu kɔ tiafi no mu. Mfa nnuru a ne bere atwam atwam nni dwuma.
Yɛsrɛ sɛ hyɛ no nsow: Krataa yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nkasa.
Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae
Ɛwom sɛ methadone yɛ aduru a ɛho hia a ɛboa ma obi nya nnubɔne de, nanso ɛsɛ sɛ wɔhwɛ yiye kɛse bere a wɔde redi dwuma no. Kae:
- Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Mma nnwene aduru no, nwe, anaa mmmene.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Ebia eyi ne nnuru bi bedi nkitaho.
- Nnyae aduru no nom mpofirim. Tew dodow a wode ma no so sɛnea wo duruyɛfo ka kyerɛ wo no.
- Hwɛ nneɛma te sɛ nna ne adwenemhaw. Hwɛ yiye bere a woreka kar no.
- Hwɛ yiye wɔ Naloxone ho. Ebetumi aboa ma wɔagye obi nkwa sɛ ɛba sɛ ɔnom boro so a.
- Fa nnuru sie baabi a ahobammɔ wɔ a mmofra ntumi nkɔ.
Ɛnsɛ sɛ wo nkutoo fa akwantu yi mu. Ɛdenam w’aduruyɛfo kuw, afotufo, ne w’abusua mmoa so no, wubetumi afa eyi mu. Tra hɔ pintinn!
` Methadone, nnubɔne a wɔde di dwuma, opioid, sɛnkyerɛnne a ɛkyerɛ sɛ obi gyae, akɔnnɔ, nnubɔne a ɛne ne ho di nkitaho, nea efi mu ba
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