Sɔmtɛm de pen wae wi kin gɛt kin so tranga dat wi nɔr kin ebul fɔ kɔntrol am wit ɔdinari pen kil. Dɔn bak, sɔm pipul dɛn kin tray tranga wan fɔ pul bad bad adikshɔn lɛk fɔ tek drɔgs. Mɛtadɔn na wan mɛrɛsin we rili pawaful ɛn we dɔktɔ dɛn kin advays pan dɛn kayn spɛshal kes dɛn de. Bikɔs dɛn kin gi am as injɛkshɔn, wi go tɔk bɔt am klia wan tide.
Wetin na Mɛtadɔn?
Fɔ tɔk am simpul wan, Mɛtadɔn na mɛrɛsin we dɛn kin yuz fɔ tu men tin dɛn.
1. Kɔntrol siriɔs pen: Dɛn kin gi am we ɔda mɛrɛsin dɛn we de mek pɔsin fil pen nɔ ebul fɔ kɔntrol di pen ɔ we di bɔdi nɔ ebul fɔ bia wit am. I de wok bay we i de blok di pen signal fɔ mek i nɔ rich na di bren.
2. Trit Opioid Use Disorder: Dɛn kin gi dis mɛrɛsin to pipul dɛm wae gɛt adikshɔn to drɔgs lɛk heroin fɔ ɛp dɛm fɔ kɔmɔt pan am. I de wok bay we i de ridyus di simptom dɛm fɔ lɛf fɔ tek di mɛrɛsin ɛn di krayv fɔ di drɔg.
Di tin we impɔtant pas ɔl na dat we yu de yuz dis as tritmɛnt fɔ adikshɔn, di bɛst rizɔlt kin kam we dɛn jɔyn am wit advays ɛn bihayvya tɛrapi.
Mɛtadɔn na mɛrɛsin we de insay di opioid klas fɔ drɔgs ɛn dɛn fɔ tek am ɔnda di sɔpɔtishɔn fɔ dɔktɔ nɔmɔ.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Okay, dis na tin we rili impɔtant. Bifo dɛn gi yu mɛtadɔn, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri. Ɛspɛshali if yu gɛt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya, yu fɔ rili tɛl dɛn bɔt am.
| Wɛlbɔdi kɔndishɔn/abit | Tɔk bɔt |
|---|---|
| Bren ɛn di nervɔs sistɛm | Kכndishכn dεm lεk bren tכmכro, ed injury, כ seiz. |
| At ɛn blɔd prɛshɔn | At sik, blɔd prɛshɔn we de dɔŋ. |
| Di sistɛm we de mek pɔsin ebul fɔ blo | Lɔng sik, asma, ɔ ɔda tin dɛn we nɔ kin izi fɔ yu fɔ blo. |
| Liva ɛn kidni dɛn | Liva ɔ kidni sik. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Tayrɔyd sik, di adrenal gland nɔ de wok fayn, ɛn prɔblɛm wit di intestinal. |
| Abit ɛn maynd wɛlbɔdi | Fɔ drink rɔm ɔltɛm, adikshɔn to ɔda drɔgs, maynd sik. |
| Ɔda mɛrɛsin dɛn we dɛn de tek | If yu dɔn tek wan MAOI mɛrɛsin (e.g. Parnate) insay di las 14 dez. |
| Speshal okasiɔn dɛn | If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, if yu de gi pikin in bɛlɛ, ɔ if yu dɔn gɛt alɛji fɔ mɛtadɔn ɔ ɛni ɔda mɛrɛsin ɔ it. |
Aw dɛn kin yuz dis vaysin?
Dɛn kin injɛkt dis vaysin ɔnda di skin, insay wan mɔsul, ɔ insay wan vein. Dɛn kin gi am na ɔspitul ɔ klinik.
Dɔn bak, if yu fɔ yuz dis mɛrɛsin na os, dɛn go tich yu aw fɔ pripia ɛn tek am fayn. Yuz am jɔs lɛk aw dɛn tɛl yu fɔ yuz am, na di rayt tɛm nɔmɔ. Nɔ ɛva tek pas di mɔni we dɛn tɛl yu fɔ tek ɛni wan tɛm.
Wetin yu kin du wit nidul we yu dɔn yuz?
Dis rili impɔtant. Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti we yu kin trowe ɔltɛm. Dɛn fɔ put dɛn na spɛshal kɔntena we gɛt shap tin dɛn we dɛn kin pul. If yu nɔ gɛt wan, aks yu wɛlbɔdi tim bɔt aw fɔ gɛt wan.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek fɔ dis mɛrɛsin, go to di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Mɛtadɔn na mɛrɛsin wae kin miks wit bɔrku ɔda mɛrɛsin dɛm. Dis min se we dɛn tek am wit ɔda mɛrɛsin, di tin dɛn we dɛn mɛrɛsin ɔ mɛtadɔn kin du kin chenj, ɔ siriɔs sayd ɛfɛkt kin apin.
Na mɔtalman, nɔ ɛva tek Mɛtadɔn wit dɛn mɛrɛsin ya:
- Sɔm mɛrɛsin fɔ fungal infɛkshɔn (e.g. ketoconazole, voriconazole) .
- Sɔm mɛrɛsin fɔ at ritm dizayd (e.g. quinidine, dronedarone) .
- Drug dɛn lɛk Cisapride, Pimozide, Thioridazine
Apat frɔm dat, prɔblɛm kin apin wit bɔku ɔda mɛrɛsin dɛn. Fɔ ɛgzampul:
- Rum
- Alɛji, kɔf, ɛn kol mɛrɛsin
- Antiretroviral drɔgs fɔ HIV ɔ AIDS
- Mɛrɛsin fɔ pwɛl hat, wɔri, ɔr nɔr de slip
- Mεdikeshכn dεm fכ antikonvulsant (e.g. carbamazepine, phenytoin) .
- Sɔm antibayɔtiks (e.g. klarithromycin, erythromycin) .
- Mɔsul rilaksant dɛn we dɛn kin yuz we dɛn de du ɔpreshɔn
- Ɔda opioid pen kil ɔ kɔf srɔp
Dis list nɔ de ɔlsay. So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn tin dɛn we de ɛp yu fɔ it. I impɔtant bak fɔ tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Si yu dɔktɔ ɔltɛm: Go na di klinik di de dɛn we dɛn dɔn sɛtul fɔ mek shɔ se yu tritmɛnt de go fayn.
- Tɛl yu dɔktɔ bɔt pen: If yu de tek dis fɔ pen, tɛl yu dɔktɔ if di pen nɔr de go, if i de wɔs, ɔr if yu gɛt nyu kayn pen.
- Nɔ stɔp wantɛm wantɛm: Yu bɔdi kin yus to dis mɛrɛsin. So nɔ ɛva stɔp fɔ tek am wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, i kin mek yu gɛt siriɔs riakshɔn. If yu stɔp, du am lɛk aw yu dɔktɔ tɛl yu, bay we yu de ridyus di doz smɔl smɔl.
- Risk fɔ mek yu gɛt di sik bak:If yu de tek dis as tritmɛnt fɔ adikshɔn, nɔ tray fɔ tek mɔ pan di mɛrɛsin fɔ pul di tin dɛn we dis mɛrɛsin de du. Dis kin ivin mek pɔsin day.
- Fɔ slip ɛn fɔ wach: Dis mɛrɛsin kin mek yu fil lɛk se yu de slip ɛn yu ed de tɔn. Sɔntɛm yu nɔ go ebul fɔ wach. So, nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu.
- Tek tɛm we yu de grap: Fɔ mek yu nɔ gɛt diziz ɛn nɔ fɔdɔm, tinap smɔl we yu de grap we yu sidɔm ɔ ledɔm.
- Kɔnstipɛshɔn: Dis mɛrɛsin kin mek pɔsin gɛt kɔnstipɛshɔn. If i nɔ izi fɔ yu fɔ muv yu bɔdi fɔ pas 3 dez, tɔk to yu dɔktɔ.
- No bɔt Naloxone: Naloxone na mɛrɛsin we de sev pɔsin in layf we dɛn kin gi am if dɛn tek di opioid pasmak. Yu fɔ no di sayn dɛm we de sho se yu tek am pasmak ( yu de blo sloslo , yu de slip bad bad wan, yu nɔ ebul fɔ wek). If dɛn dɔn gi yu dis mɛrɛsin, tɛl yu famili ɛn di wan dɛn we yu lɛk usay i de ɛn aw fɔ yuz am. Afta dɛn dɔn gi am naloxone, di pɔsin we gi am fɔ kɔl imejensi ambulans.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, mɛtadɔn kin mek pɔsin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Sɛntral nervɔs sistɛm diprɛshɔn (CNS Dipreshɔn) . | Fɔ blo sloslo ɔ shalɔ, i nɔ kin izi fɔ blo, i kin slip pasmak, i kin kɔnfyus, ɛn i nɔ kin izi fɔ wek. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fɔdɔm, yu de fil pen na yu chɛst. |
| Lɔw blɔd prɛshɔn | Diziz, faint, blurred vishɔn. |
| Kɔmɔn sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Banbɛlɛ | Diziz ɛn slip |
| Dray mɔt | Ed de at |
| Nɔs ɛn vɔmit | Pen, rɛd, ɔ swel usay dɛn gi di injɛkshɔn. |
Mɛsej we dɛn kin kɛr go na os
- Mɛtadɔn na wan rili pawaful mɛrɛsin we dɛn kin yuz fɔ mɛn bad bad pen ɛn opioid adikshɔn. Na ɔnda dɔktɔ in sɔpɔtishɔn nɔmɔ dɛn fɔ yuz am.
- Tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni mɛrɛsin we yu de tek.
- Nɔ ɛva sheb dis mɛrɛsin wit ɔda pɔsin, ɛn kip am na say we sef we pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Yu fɔ no di sayn dɛm we de sho se yu tek am pasmak (we yu de blo sloslo, yu de slip pasmak). If yu notis ɛni wan pan dɛn tin ya, go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
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