Kuledzera ndi opioid ndi vuto losintha moyo komanso lovuta. Kwa inu omwe mukuyesera kuchira ku izi, kapena omwe mukuganiza zothandiza munthu amene ali ndi vutoli, ndimaganiza kuti ndilankhule za njira yothandizira yomwe ilipo mu sayansi ya zamankhwala masiku ano. Iyi ndi jakisoni wochita ntchito yayitali wotchedwa Buprenorphine. Lero, tikambirana za zomwe imachita, momwe mungagwiritsire ntchito, komanso zinthu zomwe muyenera kusamala nazo.
Mwachidule, kodi jakisoni wa Buprenorphine uwu ndi chiyani?
Buprenorphine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda obwera chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo. Makamaka, amagwira ntchito m'thupi lanu kuti achepetse zizindikiro zosiya kumwa mankhwala osokoneza bongo, monga kupweteka kwa thupi ndi kusakhazikika, zomwe zimachitika mukasiya kugwiritsa ntchito mankhwala osokoneza bongo. Zimathandizanso kuwongolera chilakolako, chomwe ndi chilakolako chofuna kugwiritsanso ntchito mankhwalawa.
Chofunika ndichakuti iyi si katemera wokha, koma ndi mankhwala. Imagwira ntchito bwino kwambiri ikagwiritsidwa ntchito limodzi ndi uphungu ndi chithandizo cha khalidwe . Ili ngati ndodo yothandizira munthu kuyenda. Ndodo yothandizira imathandiza, koma muyenera kugwira ntchito mwakhama kuti muyende. Sublocade ndi dzina lodziwika bwino la mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kulandira chithandizo
Ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu kuti adziwe ngati chithandizochi chili choyenera kwa inu komanso chotetezeka. Chifukwa chake, ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwauza dokotala wanu popanda kubisa chilichonse .
| Matenda/chizolowezi | Kufotokozera |
|---|---|
| Mavuto a ubongo, mtima, ndi mapapo | Chotupa cha muubongo, kuvulala mutu, matenda a mtima, kugunda kwa mtima kosakhazikika, matenda a m'mapapo, mphumu kapena mavuto ena opuma. |
| Matenda okhudzana ndi m'mimba | Matenda a chiwindi, matenda a ndulu, matenda a kapamba, mavuto a m'mimba. |
| Matenda ena ndi zizolowezi | Kuledzera ndi mankhwala ena osokoneza bongo, kumwa mowa pafupipafupi, kuchepa kwa ntchito ya adrenal glands, khunyu. |
| Mankhwala ena omwe akutengedwa | Ngati mwamwa mankhwala a MAOI monga Marplan, Nardil, kapena Parnate m'masiku 14 apitawa. |
| Matenda a ziwengo ndi zina | Ngati muli ndi vuto la buprenorphine kapena mankhwala ena aliwonse, chakudya, kapena utoto. Ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa. |
Kodi katemerayu amaperekedwa bwanji?
Izi ndizofunikira kwambiri. Jakisoni wa Buprenorphine uwu ndi jakisoni wopangidwa pansi pa khungu. Simudzaloledwa kupita nawo kunyumba. Umaperekedwa ndi dokotala kapena namwino wophunzitsidwa bwino kuchipatala kapena ku chipatala.
- Bwanji ngati mwaphonya mlingo? Ngati simungathe kubwera kudzatenga mlingo womwe mwakonza, musalole kuti ukulepheretseni. Imbani dokotala wanu kapena chipatala nthawi yomweyo kuti musinthe nthawi.
- Nanga bwanji ngati mlingo wawonjezeka? Popeza dokotala wapereka izi, mwayi woti munthu agwiritse ntchito mankhwala osokoneza bongo ndi wochepa. Komabe, ngati mukuganiza kuti china chake chachitika, muyenera kupita ku Emergency Treatment Unit (ETU) ya chipatala chapafupi . Muthanso kuyimbira National Poison Information Centre ku Colombo National Hospital kuti mukalandire malangizo ngati pakufunika kutero.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, chifukwa mankhwala ena angayambitse zotsatirapo zoopsa akaphatikizidwa ndi Buprenorphine.
| Mankhwala omwe sayenera kumwedwa pamodzi | |
|---|---|
| Mankhwala monga Cisapride, Dronedarone, Pimozide, Safinamide, Samidorphan, ndi Thioridazine. | |
| Samalani! Onetsetsani kuti mwauza dokotala wanu ngati mukumwa mankhwalawa. | |
| Mowa | Mowa |
| Mankhwala oletsa tulo ndi nkhawa | Mankhwala ena oletsa nkhawa kapena tulo |
| Mankhwala Othandizira Kuvutika Maganizo | Mankhwala ena a kuvutika maganizo kapena matenda amisala |
| Mankhwala a ziwengo, chifuwa, ndi chimfine | Mankhwala oletsa chifuwa, chimfine ndi matenda a allergy |
| Mankhwala ena opha tizilombo toyambitsa matenda, mavairasi, ndi mavairasi | Mwachitsanzo: Erythromycin, Ketoconazole |
| Mankhwala ena ochepetsa ululu kapena opioid a chifuwa | Mankhwala ena oletsa ululu kapena chifuwa |
Mndandandawu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse, mavitamini, komanso mankhwala azitsamba omwe mukumwa.
Zinthu zomwe muyenera kuziganizira kwambiri mukalandira chithandizo
- Musamwe mankhwala ena a opioid: Musayese kugwiritsa ntchito mankhwala ena a opioid (monga heroin) kuti muchepetse zotsatira za mankhwalawa. Izi ndi zoopsa kwambiri ndipo zitha kupha munthu.
- Musasiye mwadzidzidzi: Thupi lanu lidzazolowera mankhwala awa. Kusiya mwadzidzidzi kungayambitse zotsatirapo zoyipa kwambiri. Ngati mukufuna kusiya chithandizo, chitani izi motsatira malangizo a dokotala wanu, mwa kuchepetsa pang'onopang'ono mlingo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona komanso chizungulire. Choncho pewani kuchita ntchito zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani.
- Pewani mowa: Kumwa mowa kungapangitse kuti mankhwalawo ayambe kubweretsa mavuto, makamaka kugona tulo komanso kupuma movutikira.
- Kudzimbidwa: Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Imwani madzi ambiri ndipo idyani zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba). Ngati matumbo anu sakutulukanso patatha masiku atatu, imbani dokotala wanu.
- Dziwani Naloxone: Naloxone ndi mankhwala opulumutsa moyo omwe amaperekedwa mwadzidzidzi ngati munthu wamwa mankhwala owonjezera opioid. Funsani dokotala wanu za izi ndi zizindikiro za kumwa mankhwala owonjezera (kugona kwambiri, kupuma movutikira, kutaya chikumbumtima).
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvutika maganizo kwa CNS (kuvutika maganizo kwa kupuma) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona kwambiri, komanso kutaya chidziwitso. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto ofala | Kudzimbidwa, chizungulire, kugona, pakamwa pouma, mutu, nseru, kusanza. |
| Kusamva bwino pamalo obayira jakisoni | Ululu, kufiira, kapena kutupa komwe kunabayidwa jakisoni. |
Uthenga Wopita Nawo Kunyumba
- Jakisoni wa buprenorphine ndi mankhwala ochizira chizolowezi cha opioid. Amaperekedwa ndi dokotala kuchipatala kapena kuchipatala chokha.
- Musanayambe kulandira chithandizo, ndikofunikira kuti muuze dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Pewani mowa ndi mankhwala ena a opioid kotheratu mukamamwa mankhwalawa. Zitha kukhala zoopsa pa moyo.
- Musasiye chithandizo mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kugona tulo tofa nato, kapena kusokonezeka maganizo, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Simuli nokha paulendowu. Uphungu, pamodzi ndi chithandizo chamankhwala, zidzakuthandizani kwambiri kuthetsa chizolowezichi.
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