So wo duruyɛfo akyerɛw wo methadone nnuru esiane ɛyaw a emu yɛ den a ɛtra hɔ kyɛ anaasɛ wuntumi nnyina nnuru afoforo a wɔde kum ɛyaw ano nti? Anaasɛ wode saa aduru yi redi dwuma de aboa wo ma woadi wo opioid a ɛka wo hɔ no so? Ɛmfa ho nea enti a ɛte saa no, saa aduru yi wɔ tumi kɛse, enti ɛho hia sɛ wuhu na wode di dwuma dwoodwoo. Enti momma yɛnka ho asɛm tiawa ne nidi mu nnɛ.
Dɛn ankasa ne Methadone?
Sɛ yɛbɛka no tiawa a, methadone yɛ aduru a wɔde yɛ nneɛma atitiriw abien.
1. Di ɛyaw a emu yɛ den a enni sabea so: Nnuruyɛfo kyerɛw eyi ma ɛyaw a emu yɛ den a ɛtra hɔ kyɛ a wontumi mfa nnuru a wɔde kum ɛyaw daa nni dwuma. Ɛyɛ adwuma denam ɛyaw ho nsɛnkyerɛnne a esiw ano sɛ ɛnkɔ amemene no mu no so.
2. Sɛ́ aduru a wɔde sa opioid a wɔde di dwuma ɔkwammɔne so no: Saa aduru yi boa ma nipadua mu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi gyae nnubɔne ne nnubɔne ho akɔnnɔ so tew bere a obi de opioid te sɛ heroin ayɛ ne su no. Nanso, saa ayaresa yi tu mpɔn kɛse bere a wɔde ka afotu ne nneyɛe ho ayaresa ho no .
Methadone yɛ aduru a ɛka nnuru kuw a wɔfrɛ no opioids ho.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Sɛnea ɛbɛyɛ a wubenya ahobammɔ no, ɛho hia yiye sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara ansa na woafi ase de methadone adi dwuma. Eyi ho hia paa.
| Tebea horow no su | Nea ɛsɛ sɛ wobɔ amanneɛ |
|---|---|
| Ɔhaw ahorow a ɛfa amemene ho | Tebea horow te sɛ ti a opira, amemene mu akisikuru, anaa akisikuru. |
| Koma mu yare | Komayare biara anaa koma bɔ a ɛnyɛ ne kwan so. |
| Ɔhome nhyehyɛe mu haw ahorow | Akisikuru, ahurututu mu yare, anaa ɔhome a ɛyɛ den. |
| Akwahosan ho haw afoforo | mmerɛbo mu yare, asaabo mu yare, thyroid yare, adrenal gland dwumadi a ɛba fam, mogya mmoroso a ɛba fam, dwensɔtwaa mu haw. |
| Asetra kwan ne nnuru afoforo | Sɛ wonom nsa daa, wonom nnubɔne anaa nnuru afoforo, wowɔ adwenemyare, anaasɛ woanom MAOI aduru a ekum adwenemhaw (e.g., Parnate) wɔ adapɛn abien a atwam no mu a, ka kyerɛ wo duruyɛfo. |
| Nneɛma a ɛma obi ho yɛ no hyew | Sɛ wowɔ methadone, opioid nnuru afoforo a wɔde kum ɛyaw, nnuru afoforo, nnuan, anaa nneɛma a wɔde siw ɛyaw ano ho akisikuru a. |
| Nyinsɛn ne nufu a wɔde ma | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a. |
Ɛsɛ sɛ wɔde aduru no di dwuma wɔ ɔkwan a ɛfata so.
Fa saa aduru yi ne nsu kuruwa biako. Sɛ wo yafunu yɛ wo yaw a, fa ka aduan anaa nufusu kuruwa biako ho. Ade a ɛho hia sen biara ne sɛ wobɛfa dodow no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Mfa dodow a wɔakyerɛw ato hɔ no nnnom da.
Dodow a ɛboro so: Sɛ wususuw sɛ woadi mfomso anom aduru yi dodo a, ntwentwɛn wo nan ase na frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital, anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no. Eyi betumi ayɛ ade a egye nkwa.
Wo nsa bɛka nsɛm krataa soronko bi (`MedGuide`) a ɛfa w'aduru ho bere a wɔde ama wo no. Kenkan no yiye bere nyinaa.
Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa mma obi foforo biara esiane biribiara nti. Ɛyɛ asiane kɛse na mmara mma ho kwan.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom 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.
Nkitahodi a ɛda nnuru afoforo ntam
Methadone tumi ne nnuru afoforo pii di nkitaho. Enti, ma wo duruyɛfo no nkyerɛw nnuru a wonom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho). Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnuru foforo di dwuma a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.
Titiriw no, ɛsɛ sɛ wokwati sɛ wode methadone ka nnuru a edidi so yi ho:
- Nnuru bi a wɔde sa fungal yare (e.g., ketoconazole) .
- Nnuru bi a wɔde sa koma a ɛyɛ den (e.g. quinidine, dronedarone) .
- Nnuru te sɛ `Cisapride`, `Pimozide`, `Thioridazine`
Wɔ saa nsɛm a wɔahyehyɛ yi akyi no, methadone tumi ne nnuru afoforo pii (sɛ nhwɛso no, nnuru a ekum adwenemhaw, nnuru a wɔde da, nnuru a wɔde HIV/AIDS, ne nnuru bi a ekum ɔyare mmoawa) adi nkitaho. Enti, ɛho hia sɛ wode nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wususuw ho bere a worenom Methadone no
Nnyae aduru no nom mpofirim!
Wo nipadua no de saa aduru yi yɛ ne su. Enti, sɛ wugyae nom mpofirim a, ebia wo ho bɛtɔ wo denneennen. Sɛ ɛho hia sɛ wugyae aduru no nom a, yɛ saa wɔ aduruyɛfo afotu nkutoo ase, na fa nkakrankakra a wobɛtew dodow no so nkutoo so .
Dae a obi da ne karka
Ebia saa aduru yi bɛma woate nka sɛ woada, w’adwene atu afra, na aka sɛnea wutumi si gyinae. Enti, kwati sɛ wobɛka kar anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Sɛ wo ne nsa ka saa aduru yi ho a, asiane yi yɛ kɛse.
Hwɛ yiye wɔ Naloxone ho
Naloxone yɛ ayaresa a egye ntɛmpɛ a wɔde ma de dan opioid a wɔnom boro so no nkɛntɛnso. Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anom boro so ne ɔhome a ɔhome brɛoo anaasɛ ɔhome a emu nnɔ, nna a ɛtra so, ne nea ontumi sɔre. Sɛ woka saa sɛnkyerɛnne ahorow yi ho asɛm kyerɛ w’abusua ne w’adɔfo, ne baabi a Naloxone wɔ ne sɛnea wɔde di dwuma a, ebetumi agye wo nkwa. Sɛ wode Naloxone ma wie a, ɛsɛ sɛ wofrɛ ambulance ntɛm ara.
Nsɛntitiriw afoforo a ɛho hia
- Akisikuru: Akisikuru abu so wɔ aduru yi mu. Sɛ woankɔ wo dwensɔtwaa mu nnafua 3 a, wo ne wo duruyɛfo nkasa.
- Ano a ɛyɛ nwunu:Sɛ w’ano yɛ nwunu a, anom a asikre nnim a wobɛwe, ahwiesa a wɔannom, ne nsu pii a wobɛnom betumi aboa.
- Nyinsɛn: Sɛ woreyɛ nhyehyɛe anyinsɛn anaa wususuw sɛ ebia woanyinsɛn a, wo ne wo duruyɛfo nkasa. Saa aduru yi a wobɛnom bere a wonyinsɛn no betumi ama wo ba no anya awo mu dɛmdi a emu yɛ den.
Nsunsuanso bɔne a aduru no de ba
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ 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, adwenem naayɛ a emu yɛ den, ɔte nka sɛ wayɛ mmerɛw, ɛyɛ den sɛ ɔbɛda. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, koko mu yaw, ahome a ɛyɛ den. |
| Mogya mmoroso a ɛba fam | Adwene a ɛyɛ basaa, te nka sɛ wo ho ayɛ wo hyew, n’ani a ɛyɛ kusuu. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Ayamtim | Ano a ɛyɛ nwunu |
| Adwene a ɛyɛ basaa | Tipaeɛ |
| Dae a ɛma obi da | Akisikuru anaa ɔfe |
Ɔkwan bɛn so na wobetumi ama nnuru ayɛ nea asiane biara nni ho?
Eyi yɛ aduru a ano yɛ den yiye enti fa sie baabi a ahobammɔ wɔ a mmofra ne afieboa ntumi nkɔ hɔ . Esiane sɛ aduru yi tumi de di dwuma ɔkwammɔne so nti, fa sie baabi a wobetumi abɔ ho ban afi korɔnbɔ ho.
Ɛho hia sɛ wɔtow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam no gu yiye. Fa ma beae bi a aban de tow gu. Sɛ eyi ntumi nyɛ yiye a, hohoro wɔn kɔ tiafi no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Fa methadone sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ bere nyinaa. Mfa nea ɛboro dodow a wɔkamfo kyerɛ no da.
- Mfa aduru yi nkyɛ obi foforo biara esiane biribiara nti. Ɛyɛ asiane kɛse na mmara mma ho kwan.
- Ma wo duruyɛfo no nkyerɛw nnuru afoforo, vitamin ahorow, ne nnuru a wɔde ka aduan ho a worenom nyinaa ho kyerɛwtohɔ a edi mũ.
- Nnyae aduru no nom mpofirim a wunni aduruyɛ mu afotu.
- Hu sɛnkyerɛnne a ɛkyerɛ sɛ woanom boro so na ka Naloxone ho asɛm kyerɛ w’abusua sɛ sɛ ɛho hia a, wɔmfa nni dwuma.
- Sɛ wodi mfomso nom nnuru pii a, kɔ National Poisons Information Center anaa ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara.
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