Ɛtɔ mmere bi a, yebetumi anya ɛyaw ne ɛyaw a emu yɛ den a ɛkɔ so daa a yentumi mfa nnuru a wɔde kum ɛyaw a ɛnyɛ den nni so. Anaasɛ, nnipa binom, esiane nimdeɛ a wonni anaa nneɛma afoforo nti, nnubɔne de wɔn ho hyɛ mu na wohu amane pii esiane sɛ wontumi nyi mfi hɔ nti. Wɔ tebea horow a ɛtete saa mu no, wɔfrɛ aduru titiriw bi a nnuruyɛfo kyerɛw ma obi no Methadone. Enti ɛnnɛ, momma yɛnka saa aduru yi, ne dwumadi, nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma, ne ne nsunsuanso bɔne biara ho asɛm.
Dɛn ne Methadone? Dɛn na ɛyɛ?
Sɛ yɛbɛka no tiawa a, Methadone yɛ aduru a ano yɛ den a wɔde di dwuma wɔ nneɛma atitiriw abien mu. Ɛka nnuru kuw bi a wɔfrɛ no ‘Opioids’ ho.
1. Sɛnea ɛbɛyɛ a wubedi ɛyaw a emu yɛ den a enni sabea so: Sɛ wuntumi nnye nnuru afoforo a wɔde kum ɛyaw ano, anaasɛ enni wo yaw no so a, nnuruyɛfo betumi akyerɛw saa aduru yi ama wo. Ɛyɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a esiw kɔ amemene no so, na ɛtew ɛyaw a wote no so.
2. Sɛ́ opioid a wɔde di dwuma ɔkwammɔne so ayaresa: Sɛ obi a nnubɔne te sɛ heroin ayɛ ne su gyae no a, nipadua no nya sɛnkyerɛnne a ɛkyerɛ sɛ wagyae nnubɔne no na ɔpɛ sɛ ɔde nnubɔne no bedi dwuma bio. Methadone boa ma saa sɛnkyerɛnne ne akɔnnɔ ahorow no so tew na ɛboa ma onipa no san kɔ asetra pa mu. Nanso, sɛ ayaresa yi betumi ayɛ yiye a, ɛho hia sɛ wɔnom saa aduru yi ka afotu ne nneyɛe ho ayaresa ho .
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wubefi ase anom methadone no, ɛho hia yiye sɛ wobɔ wo duruyɛfo amanneɛ wɔ ayaresa tebea biara a wowɔ ho, efisɛ saa nsɛm yi na ɛbɛkyerɛ dodow a wode bɛma ne nneɛma afoforo a ɛbɛka w’ayaresa.
| Sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ: | |
|---|---|
| Ɔhaw ahorow a ɛfa ntini ahorow ho | Amemene mu akisikuru, ti a opira, akisikuru |
| Abakɔsɛm a ɛfa nneɛma a ɛma obi yɛ ade tra so ho | Nnubɔne foforo anaa nsa a wɔde di dwuma, a wɔtaa nom nsa |
| Koma ne mogya mmoroso | Koma mu yare, mogya mmoroso a ɛba fam |
| Ɔhome nhyehyɛe | Ahurututu mu yare, ayamtu, anaa ɔhome mu haw afoforo |
| Honam fam tebea afoforo | Asaabo mu yare, mmerɛbo mu yare, thyroid yare, adrenal gland dwumadi a ɛba fam, dwensɔtwaa anaa yafunu mu haw |
| Adwene mu akwahosan | Adwene mu yare biara |
| Nnuru afoforo a wɔde di dwuma | Sɛ woanom MAOI nnuru (e.g. Marplan, Nardil) wɔ nnafua 14 a atwam no mu a |
| Mmere titiriw | Sɛ worebɔ mmɔden sɛ wubenyinsɛn, woanyinsɛn, anaa woyɛ ɛna a ɔma nufu a |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wo ho nyɛ wo hyew wɔ methadone, opioid nnuru afoforo a wɔde kum ɛyaw, nnuru afoforo, nnuan, nneɛma a wɔde siesie nneɛma, anaa kɔla ahorow ho a |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Eyi yɛ aduru a ɛba wɔ aduruyɛ mu. Enti, kae akwankyerɛ ahorow yi yiye.
- Susuw yiye: Susu dodow pɔtee a wo duruyɛfo akyerɛw ama wo no, fa nsenia anaa kuruwa soronko a wɔde ama saa atirimpɔw no di dwuma. Mfa ofie teaspoons anaa tablespoons nni dwuma.Wɔn susuw nyɛ pɛpɛɛpɛ.
- Ansa na wɔadi aduan anaasɛ wɔadi akyi?: Wobetumi anom saa aduru yi bere a wɔadi aduan anaasɛ wɔmfa nni dwuma. Nanso, sɛ wo yafunu mu yɛ wo yaw a, fa ka aduan ho.
- Afrafra: Sɛ wopɛ a, wubetumi de aduru no afra nnuaba nsu anaa aduan mu na woafa no ntɛm ara. Nanso mfa aduan anaa anonne a aduru no wom no nsie na wode adi dwuma akyiri yi .
- Fa no bere ano: Fa dodow a wɔakyerɛw ama no wɔ bere a wɔahyɛ no mu. Mma nnnom pii nsen nea wo duruyɛfo ka kyerɛ wo no.
- Nnyae aduru yi nom mpofirim: Nnyae saa aduru yi nom mpofirim a wunni aduruyɛ mu afotu. Saa a wobɛyɛ no betumi de ɔhaw ahorow a emu yɛ den aba.
Nea ɛho hia: Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi redi dwuma wɔ mmofra mu no. Wo ne wo duruyɛfo nka eyi ho asɛm.
Oh me! Sɛ wopa nnuru dodow bi a, dɛn na 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 no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Na sɛ menom nnuru pii nso ɛ? (Nnuru a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital no ntɛm ara, anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no. Eyi betumi de nkwa ato asiane mu.
Nnuru afoforo a ɛne Methadone di nkitaho (Drug Interactions) .
Eyi yɛ ɔfã a ɛho hia paa. Methadone yɛ aduru a etumi ne nnuru afoforo pii di nkitaho. Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa (wɔakyerɛw ama wo, a wɔmfa nnuru nhyɛ mu, nhabannuru, vitamin ahorow) kyerɛ wo duruyɛfo.
| Nnuru a ɛnsɛ sɛ wɔde Methadone ka ho da | |
|---|---|
| Nnuru bi a wɔde sa fungal infections | Sɛ nhwɛso no: itraconazole, ketoconazole, voriconazole a wɔde di dwuma |
| Nnuru bi a wɔde sa koma a ɛyɛ den | Sɛ nhwɛso no: dronedarone, quinidine a wɔde di dwuma |
| Nnuru afoforo | Cisapride, Pimozide, Thioridazine, Rasagiline, Selegiline a wɔde yɛ aduru |
| Nnuru afoforo ne nneɛma a ebetumi ne Methadone adi nkitaho | |
Nsã, nnuru a ekum histamine, HIV/AIDS nnuru, nnuru bi a ekum ɔyare mmoawa, adwenemhaw, dadwen, anaa nna ho nnuru, nnuru a ɛma obi ho kyere no, kokoram nnuru bi, nnuru afoforo a wɔde sa koma a ɛyɛ mmerɛw, nnuru a wɔde ma ntini no yɛ mmerɛw anaasɛ ɛma ɛyɛ mmerɛw bere a wɔreyɛ oprehyɛn no, ne nnuru afoforo a wɔde kum ɛyaw a wɔfrɛ no opioid. | |
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
- Oduruyɛfo nsrahwɛ: Kɔ wo duruyɛfo nkyɛn wɔ nna a wɔahyɛ ato hɔ mu na woahwɛ sɛnea w’ayaresa no rekɔ so.
- Dae a wobɛda na w’ani da hɔ: Ebia saa aduru yi bɛma woate nka sɛ woda na w’adwene tu fra. Ebetumi nso atew tumi a wutumi de w’adwene si biribi so na wusi gyinae no so. Mfa kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Nsã a wɔnom betumi ama tebea yi asɛe kɛse.
- Hwɛ yiye wɔ Naloxone ho: Naloxone yɛ aduru a egye nkwa a egye ntɛmpɛ a wɔde ma bere a wɔnom opioid boro so a. Ebia ɛho behia sɛ obi a ɔnom methadone nya eyi wɔ ne nsam na abusua mufo hu sɛnea wɔde di dwuma. Wo ne wo duruyɛfo nka eyi ho asɛm.
- Akisikuru: Akisikuru abu so wɔ aduru yi mu. Sɛ woankɔ wo dwensɔtwaa mu wɔ nnafua 3 akyi a, frɛ wo duruyɛfo.
- Ano a ɛyɛ nwunu: Ano a ɛyɛ nwunu nso abu so. Wobetumi adi eyi so denam anom a asikre nnim a wɔbɛwe, ahwiesa a wɔnom, ne nsu pii a wɔbɛnom so.
- Nyinsɛn: Sɛ woreyɛ nhyehyɛe sɛ wobɛnyinsɛn, anaasɛ woanyinsɛn dedaw a, ka kyerɛ wo duruyɛfo. Saa aduru yi a wobɛnom bere a wonyinsɛn no betumi ama wo ba no anya awo mu dɛmdi a emu yɛ den.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ nnuru biara no, methadone betumi de ɔhaw ahorow aba.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no 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 ɔhome brɛoo anaa nea emu nnɔ, nna a ɛtra so, adwene a ɛyɛ basaa, ne nna a wontumi nkanyan. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw, ahome a ɛyɛ den. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, aniwa a ɛyɛ kusuu, akisikuru. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
Akisikuru, adwenemhaw, nna a ɛyɛ den, ano a ɛyɛ kusuu, tiyɛ, akisikuru, ɔfe. | |
Ɔkwan bɛn so na wobetumi ama nnuru ayɛ nea asiane biara nni ho?
Eyi ho hia yiye: Saa aduru yi tumi de di dwuma ɔkwammɔne so. Sɛ ɛkɔ ɔpanyin, abofra, anaa afieboa foforo nsa a, ebetumi akum obi nso.
- Twe wo ho fi mmofra ne afieboa ho.
- Fa sie baabi a ɛhɔ yɛ dwoodwoo na abɔ ho ban afi korɔnbɔ ho.
- Mfa saa aduru yi mma afoforo esiane biribiara nti. Saa a wɔbɛyɛ no yɛ bɔne a ɛsɛ sɛ wɔtwe aso na ɛyɛ adeyɛ a asiane wom paa.
- Fa sie wɔ dan mu hyew mu, baabi a hann ne nsu ntumi nkɔ mu, na fa toa no ano nto mu denneennen.
- Mfa nni dwuma bere a da a ɛbɛba awiei no akyi. Bisa wo duruyɛfo sɛnea wobɛtow nnuru biara a aka no agu yiye.
Nkrasɛm a Wɔde Kɔ Fie
- Methadone yɛ aduru a tumi wom a wɔde sa ɛyaw a emu yɛ den ne opioid a wɔde di dwuma ɔkwammɔne so. Ɛsɛ sɛ wonya no bere a oduruyɛfo akyerɛw ama no nkutoo.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a wonom nyinaa ne ayaresa tebea horow a wowɔ nyinaa ho.
- Kwati sɛ wobɛka kar anaa wode mfiri a ɛyɛ hu bedi dwuma efisɛ nna betumi aba bere a worenom nnuru no. Kwati nsa a wobɛnom.
- Sɛ wususuw sɛ woanom boro so a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara.
- Mfa saa aduru yi nkyerɛ afoforo da. Fa sie baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ.
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