Nthawi zina ululu umene timakumana nawo ukhoza kukhala woopsa kwambiri moti mankhwala opha ululu wamba sangathe kuuletsa. Pali mankhwala apadera omwe madokotala amagwiritsa ntchito pochiza ululu woopsa ngati umenewu, kaya umabwera pambuyo pa ngozi, opaleshoni, kapena matenda ena. Buprenorphine ndi jakisoni wamphamvu wopha ululu womwe umagwiritsidwa ntchito pamene mankhwala ena opha ululu alephera kupereka mpumulo. Uwu ndi mankhwala omwe amaperekedwa kuchipatala kapena kuchipatala chokha. Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane lero.
Kodi Buprenorphine ndi mankhwala otani?
Mwachidule, Buprenorphine ndi mankhwala omwe amagwiritsidwa ntchito pochepetsa ululu waukulu . Dokotala wanu nthawi zambiri amakulemberani mankhwalawa ngati simungathe kulekerera mankhwala ena ochepetsa ululu kapena ngati sakuchepetsa ululu wanu.
Imagwira ntchito poletsa zizindikiro za ululu muubongo mwathu. Izi zikutanthauza kuti imachepetsa ululu womwe timamva. Mankhwalawa ndi a gulu la mankhwala otchedwa opioid . Awa ndi mankhwala amphamvu ochepetsa ululu ndipo ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuyang'anira. Musagwiritse ntchito mankhwalawa pazinthu zina kupatula zomwe dokotala wanu wakupatsani.
Zinthu zomwe muyenera kuuza dokotala wanu musanapereke mankhwala awa
Popeza mankhwalawa ndi amphamvu, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwawauza musanalandire jakisoni uyu.
| Udindo | Kufotokozera |
|---|---|
| Mavuto okhudzana ndi ubongo | Matenda monga chotupa cha muubongo ndi kuvulala kwambiri mutu. |
| Zizolowezi ndi zizolowezi | Ngati muli ndi mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo kapena mumamwa mowa pafupipafupi. |
| Matenda a ziwalo zamkati | Matenda a chiwindi, matenda a ndulu, matenda a kapamba. |
| Matenda a mtima | Matenda aliwonse a mtima, kugunda kwa mtima kosakhazikika. |
| Mavuto a dongosolo la kupuma | Matenda a m'mapapo, mphumu, kapena mavuto ena opuma. |
| Matenda ena | Kuchepa kwa ntchito ya adrenal gland, khunyu, mavuto a m'mimba. |
| Kugwiritsa ntchito mankhwala ena | Ngati mwamwa mankhwala a MAOI monga Marplan, Nardil, kapena Parnate m'masiku 14 apitawa. |
| Matenda a ziwengo | Ngati muli ndi vuto la buprenorphine kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Zochitika zapadera | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Kodi mungagwiritse ntchito bwanji mankhwalawo ndi choti muchite pakagwa ngozi?
Mankhwalawa amaperekedwa kwa inu ngati jakisoni mumtsempha kapena mu minofu . Nthawi zonse amaperekedwa ndi ogwira ntchito zachipatala kuchipatala kapena kuchipatala.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwapatsidwa mankhwala ochulukirapo, kapena ngati mukuganiza kuti mwapatsidwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Izi ndizofunikira kwambiri, chifukwa awa ndi mankhwala amphamvu.
Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwalawa ndi wina aliyense. Kuchita izi n'koopsa ndipo kungakhale chilango malinga ndi lamulo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Buprenorphine imatha kuyanjana ndi mankhwala ena ambiri, choncho ndikofunikira kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ochepetsa ululu).
| Mankhwala omwe sayenera kumwedwa ndi buprenorphine | |
|---|---|
| Cisapride | Dronedarone |
| Pimozide | Safinamide |
| Samidorphan | Thioridazine |
Kuphatikiza apo, imatha kuyanjana ndi mankhwala ena ambiri. Mwachitsanzo:
- Mowa
- Mankhwala oletsa chifuwa, chimfine, ndi ziwengo
- Mankhwala ochizira kuvutika maganizo, nkhawa, ndi kusowa tulo
- Mankhwala ena oletsa mavairasi a HIV kapena Hepatitis
- Mankhwala ena a matenda a bowa (monga Ketoconazole)
- Mankhwala oletsa kupweteka kwa mutu (monga Carbamazepine)
- Mankhwala oletsa ululu
- Zopumulitsa minofu
- Mankhwala ena ochepetsa ululu kapena chifuwa a opioid
Mndandanda uwu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa. Musaiwale kumuuza ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Nenani za ululu: Uzani dokotala wanu ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati muli ndi mtundu wina wa ululu.
- Kuleza mtima kumakula:Mukatenga mankhwalawa kwa nthawi yayitali, mlingo womwe unkagwira ntchito kale sungawonekenso wokwanira. Izi ndi zomwe timatcha kulekerera . Izi ndi zachilendo, musadandaule. Dokotala wanu adzasintha mlingo ngati pakufunika.
- Kulekerera mankhwala osokoneza bongo ndi chizolowezi: Mukapitiriza kumwa mankhwalawa, thupi lanu limazolowera. Chifukwa chake ngati musiya kumwa mwadzidzidzi, mutha kukumana ndi zizindikiro zosiya kumwa. Izi sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwala osokoneza bongo. Chizolowezi ndi pamene mugwiritsa ntchito mankhwala popanda chifukwa chachipatala. Chifukwa chakuti mukumva ululu, chimenecho ndi chifukwa chachipatala. Ngati dokotala akufuna kusiya kumwa mankhwalawo, pang'onopang'ono adzachepetsa mlingo.
- Dziwani za Naloxone: Naloxone ndi chithandizo chadzidzidzi cha kumwa mankhwala osokoneza bongo a opioid. Funsani dokotala wanu za izi.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena kuzunguzika . Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita ntchito zina zomwe zimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kudzuka kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba.
- Mowa: Pewani mowa kotheratu mukamamwa mankhwalawa.
- Kudzimbidwa: Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Ngati simunapite kuchimbudzi kwa masiku atatu, uzani dokotala wanu.
- Pakamwa pouma: Ngati mukumva ngati pakamwa panu pauma, kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu 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, kusadziwa. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kusawona bwino, kukomoka. |
| Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo (koma uzani dokotala ngati zikupitirira) | |
| Zotsatira zoyipa zofala | Kudzimbidwa, chizungulire, kugona, pakamwa pouma, mutu, nseru, kusanza. |
Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, lankhulani ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Buprenorphine ndi jakisoni wamphamvu wochepetsa ululu womwe umaperekedwa kuchipatala kapena ku chipatala kokha chifukwa cha ululu waukulu.
- Musanamwe mankhwalawa, ndikofunikira kuti muuze dokotala wanu za matenda onse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Pewani kuyendetsa galimoto mukumwa mankhwalawa chifukwa zingayambitse kugona ndi chizungulire. Pewani kumwa mowa kwathunthu.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku chipinda chadzidzidzi (ETU) nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
- Ngati muli ndi mafunso kapena zizindikiro zachilendo, lankhulani ndi dokotala wanu nthawi yomweyo.
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