Kodi mumavutika ndi ululu wa nthawi yayitali komanso wosapiririka? Nthawi zina, mankhwala ochepetsa ululu omwe timamwa nthawi zonse sakwanira kuchepetsa ululu waukulu wotere. Pazochitika zotere, dokotala wanu angakulembereni mankhwala apadera komanso amphamvu ochepetsa ululu. Lero tikambirana za mankhwala amodzi otere, Buprenorphine, omwe amagwiritsidwa ntchito popaka mkati mwa tsaya.
Kodi mankhwala otchedwa Buprenorphine ndi chiyani?
Mwachidule, Buprenorphine ndi mankhwala omwe amagwiritsidwa ntchito pochiza ululu waukulu komanso wosatha. Madokotala nthawi zambiri amalemba mankhwalawa ngati mankhwala ena ochepetsa ululu sakugwira ntchito kapena ngati thupi silingathe kupirira mankhwalawa. Ndi a gulu la mankhwala otchedwa opioids . Amagwira ntchito poletsa zizindikiro za ululu kufika ku ubongo, kuchepetsa kumva ululu.
Chofunika kwambiri ndichakuti mankhwalawa amagwira ntchito kwa nthawi yayitali . Izi zikutanthauza kuti sagwiritsidwa ntchito pochiza ululu wadzidzidzi. Amaperekedwa kuti achepetse ululu wosatha womwe umakhalapo tsiku lonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yonse ya thanzi lanu. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse mwa izi:
| Mkhalidwe wa thanzi | Kufotokozera |
|---|---|
| Mavuto okhudzana ndi ubongo | Zinthu monga chotupa cha muubongo ndi kuvulala mutu. |
| Mavuto a pakamwa | Matenda a mano kapena chiseyeye, zilonda pakamwa. |
| Chiwindi, ndulu, kapamba | Matenda a chiwindi, matenda a ndulu, matenda a kapamba. |
| Mavuto a dongosolo la kupuma | Matenda a m'mapapo, mphumu, kapena mavuto opuma. |
| Matenda a mtima | Matenda a mtima, kugunda kwa mtima kosasinthasintha. |
| Zochitika zina | Kumwa mankhwala osokoneza bongo kapena mowa, kuchepa kwa ntchito ya adrenal glands, khunyu, mavuto a m'mimba. |
| Mankhwala ena omwe akutengedwa | Ngati mwamwa mankhwala a MAOI (monga Marplan, Nardil) mkati mwa masiku 14 apitawa. |
| Zochitika zapadera | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
| Matenda a ziwengo | Ngati muli ndi vuto la buprenorphine kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Popeza iyi ndi filimu yomwe imayikidwa mkati mwa tsaya, chisamaliro chapadera chiyenera kutengedwa pa momwe imagwiritsidwira ntchito.
1. Kukonzekera: Musanamwe mankhwala, tsukani pakamwa panu ndi madzi ndikuchotsa. Kapena, nyowetsani mkati mwa tsaya lanu ndi lilime lanu.
2. Kutsegula paketi: Tsegulani paketi ndi manja ouma . Tsegulani paketiyo musanamwe mankhwala.
3. Kupaka filimu: Tengani filimuyo ndi nsonga ya chala chanu chouma ndikuyiyika mkati mwa tsaya lanu ndi mbali yachikasu ikukhudza tsaya .
4. Kanikizani kwa masekondi 5: Gwirani choncho ndipo kanikizani pang'onopang'ono ndi chala chanu kwa masekondi pafupifupi 5.
5. Lolani lisungunuke: Kenako chotsani chala chanu ndipo lolani kuti filimuyo isungunuke. Izi nthawi zambiri zimatenga pafupifupi mphindi 30.
6. Chofunika: Musakhudze kapena kusuntha filimuyo ndi lilime kapena zala zanu mpaka itasungunuka. Komanso, pewani kudya kapena kumwa mpaka filimuyo itasungunuka. Musadule, kutafuna, kapena kumeza filimuyi.
Pitirizani kugwiritsa ntchito mankhwalawa monga momwe mwalangizidwira mpaka dokotala wanu atakuuzani kuti musiye.
Kuchuluka kwa mankhwala
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Kuyanjana ndi mankhwala ena
Popeza buprenorphine ndi mankhwala amphamvu, imatha kuyanjana ndi mankhwala ena omwe mukumwa. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Musamwe Buprenorphine pamodzi ndi mankhwalawa! | |
|---|---|
| Cisapride | Dronedarone |
| Pimozide | Safinamide |
| Samidorphan | Thioridazine |
| Samalani kwambiri mukamagwiritsa ntchito Buprenorphine ndi zinthu izi. | |
Mowa, mankhwala oletsa kutupa, maantibayotiki ena, mankhwala a HIV / Hepatitis, mankhwala a nkhawa kapena ogona, mankhwala amisala, mankhwala oletsa kutupa, mankhwala a mutu waching'alang'ala , mankhwala a khunyu (monga Carbamazepine), mankhwala oletsa ululu, mankhwala ena ochepetsa ululu a opioid, mankhwala ochepetsa minofu, ndi mankhwala ena ambiri. | |
Zinthu zofunika kukumbukira mukamamwa mankhwalawa
Ululu ndi kulekerera
Uzani dokotala wanu ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati muli ndi mtundu wina wa ululu. Mutamwa mankhwalawa kwa kanthawi, mlingo womwe munkamwa kale sungakhale wokwanira kulamulira ululu wanu. Izi zimatchedwa kulolera . Izi ndi zachilendo ndipo si chizolowezi. Kuledzera ndi vuto la khalidwe lomwe mumagwiritsa ntchito mankhwala popanda chifukwa chachipatala. Dokotala wanu adzasintha mlingo wanu ngati pakufunika.
Kuletsa mankhwala
Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse zotsatirapo zoyipa ( zizindikiro zosiya kumwa). Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
Kugona tulo ndi mowa
Mankhwalawa angakupangitseni kumva tulo komanso chizungulire . Choncho , musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe zimakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi mutakhala pansi, chifukwa izi zingayambitse chizungulire ndi kugwa. Pewani kumwa mowa kwathunthu.
Kudzimbidwa
Kudzimbidwa ndi zotsatira zoyipa kwambiri za mankhwalawa. Ngati mukuvutika ndi matumbo kwa masiku opitilira atatu, dziwitsani dokotala wanu.
Kuchuluka kwa Opioid ndi Naloxone
Kumwa mankhwala ochulukirapo a opioid ndi koopsa kwambiri. Zizindikiro za kumwa mankhwala mopitirira muyeso zimaphatikizapo kupuma movutikira, kugona tulo tofa nato, komanso kuvutika kudzuka. Naloxone ndi mankhwala odzidzimutsa omwe amaperekedwa kuti athetse vutoli. Ndikofunikira kuti banja la munthu amene wamwa mankhwalawa lidziwe izi. Ngakhale Naloxone atapatsidwa, ndi yankho la kanthawi kochepa chabe. Wodwalayo ayenera kutengedwera ku Emergency Treatment Unit (ETU) nthawi yomweyo.
Zotsatirapo Zoyenera Kudziwa
| Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo! | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona tulo tochuluka, kusokonezeka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa mimba, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Kuchepa kwa ntchito ya adrenal | Kusanza, kusanza, kusowa chilakolako cha chakudya, kutopa kwambiri, chizungulire. |
| Kuwola kwa dzino | Kusintha mtundu wa dzino, mpweya woipa m'kamwa, kuvutika ndi chingamu kapena dzino. |
| Zotsatira zoyipa zomwe muyenera kuuza dokotala wanu ngati zikukuvutitsani | |
| Kudzimbidwa | Chizungulire |
| Kugona tulo | Pakamwa pouma |
| Mutu | Kusanza/kutuluka nseru |
Uthenga Wopita Nawo Kunyumba
- Buprenorphine ndi mankhwala amphamvu ochepetsa ululu omwe amagwiritsidwa ntchito pochiza ululu waukulu komanso wokhalitsa. Sagwiritsidwa ntchito pochiza ululu wadzidzidzi.
- Musanamwe mankhwalawa, uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Ikani filimuyo mwachindunji mkati mwa tsaya lanu. Musaitafune, kumeza, kapena kudula.
- Pewani kuyendetsa galimoto ndi zinthu zina zomwe zimafuna kusamala mukamamwa mankhwalawa chifukwa zingayambitse kugona ndi chizungulire. Pewani kumwa mowa kwathunthu.
- Dziwani zotsatirapo zake zoopsa (kuvutika kupuma, kugona tulo topitirira muyeso, kusintha kwa kugunda kwa mtima). Ngati chilichonse mwa izi chichitika, funsani upangiri wa dokotala nthawi yomweyo.
- Sungani mankhwalawa pamalo otetezeka, omwe ana ndi ziweto sangawafikire. Musagawane ndi ena.
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