Kuledzera ndi opioid ndi vuto lovuta komanso lopweteka kwambiri lomwe munthu angakumane nalo. Kuyesa kulichotsanso ndi vuto lalikulu. Koma pali njira zamankhwala ndi mankhwala omwe angakuthandizeni paulendowu. Lero tikulankhula za mankhwala ofunikira kwambiri, kuphatikiza mankhwala otchedwa Buprenorphine ndi Naloxone. Nthawi zambiri mupeza izi pansi pa mayina monga Suboxone ndi Zubsolv.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda obwera chifukwa cha kugwiritsa ntchito mankhwala a opioid. Ili ndi ntchito ziwiri zazikulu.
1. Buprenorphine: Izi zimagwiritsidwa ntchito poletsa zizindikiro zosasangalatsa zomwe zimachitika mukasiya kugwiritsa ntchito ma opioid, otchedwa 'zizindikiro zosiya kugwiritsa ntchito mankhwala osokoneza bongo.' Zimathandizanso kuchepetsa chilakolako chofuna kugwiritsanso ntchito ma opioid.
2. Naloxone: Mbali ina ya izi. Izi ndi kupewa kugwiritsa ntchito molakwika mankhwala awa (monga kuwabaya jakisoni). Izi zikutanthauza kuti, zimateteza mankhwalawo.
Chofunika kwambiri ndichakuti zotsatira zabwino kwambiri zipezeke ngati mankhwalawa aphatikizidwa ndi uphungu ndi chithandizo cha khalidwe, m'malo mongogwiritsa ntchito okha.
Zinthu zoti muuze dokotala wanu musanamwe mankhwala
Dokotala wanu ayenera kumvetsetsa bwino thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mtundu wa mikhalidwe | Kufotokozera |
|---|---|
| Mavuto okhudzana ndi mutu ndi ubongo | Zinthu monga chotupa cha muubongo, kuvulala mutu, kapena khunyu. |
| Mavuto a mtima ndi mapapo | Matenda a mtima, kugunda kwa mtima kosakhazikika, matenda a m'mapapo, mphumu, kapena mavuto ena opuma. |
| M'mimba ndi m'mimba | Matenda a chiwindi, matenda a ndulu, matenda a kapamba, mavuto am'mimba kapena m'matumbo. |
| Matenda ena | Kuchepa kwa ntchito ya adrenal glands, matenda a mano kapena chiseyeye, zilonda pakamwa. |
| Moyo ndi mankhwala ena | Kugwiritsa ntchito mowa pafupipafupi, kuledzera ndi mankhwala ena osokoneza bongo, kumwa mankhwala a MAOI monga Marplan, Nardil, kapena Parnate m'masiku 14 apitawa. |
| Zochitika zapadera | Kukhala ndi pakati kapena kuyesa kutenga pakati, kuyamwitsa mwana, kukhala ndi vuto la ziwengo ku Buprenorphine, Naloxone kapena mankhwala ena, zakudya, kapena utoto. |
Kodi njira yabwino kwambiri yogwiritsira ntchito mankhwalawa ndi iti?
Momwe mumagwiritsira ntchito mankhwalawa ndi kofunika kwambiri. Yesetsani kumwa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzani.
- Piritsi ili liyenera kuyikidwa pansi pa lilime ndikuloledwa kuti lisungunuke . Silifunikira madzi.
- Musatafune, kudula, kapena kumeza piritsi. Liyenera kusungunuka kwathunthu pansi pa lilime ndikulowa m'thupi.
- Ngati muyenera kumwa mapiritsi opitilira awiri nthawi imodzi ndipo zimakhala zovuta kuwasunga onse pansi pa lilime lanu nthawi imodzi, mutha kuyika mapiritsi awiri pansi pa lilime lanu ndikusiya kuti asungunuke.
- Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.
Nanga bwanji ngati mlingo wa mankhwala wawonjezeka? (Kupitirira muyeso)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha . Musagawane ndi wina aliyense pazifukwa zilizonse. Ndi owopsa komanso osaloledwa.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaiwala kumwa mankhwala anu pa nthawi yake, imwani mlingo umenewo mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yatsala pang'ono kufika, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.Musamwe mankhwala awiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena amatha kusokonezana ndi mankhwalawa ndikuyambitsa matenda oopsa. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse . | |
|---|---|
| Cisapride | Dronedarone |
| Pimozide | Safinamide |
| Samidorphan | Thioridazine |
| Mankhwala ena ndi zinthu zomwe zingagwirizane | |
| Mowa | Mankhwala a ziwengo, chifuwa, ndi chimfine (Antihistamines) |
| Maantibayotiki ena, ma fungal, ma virus | Mankhwala ochepetsa nkhawa, kuvutika maganizo, ndi tulo |
| Mankhwala ena a khunyu | Mankhwala ena omwe amakhudza kugunda kwa mtima (QT interval) |
| Mankhwala oletsa ululu | Mankhwala ena ochepetsa ululu kapena chifuwa a opioid (mankhwala osokoneza bongo) |
Mndandandawu sunathe. Uzani dokotala wanu za mankhwala onse, mavitamini, zitsamba, ndi zowonjezera zomwe mukumwa. Komanso, uzani dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kukaonana ndi Dokotala: Pitani kwa dokotala wanu pa masiku omwe akonzedwa. Pitani ku chithandizo chilichonse choperekedwa.
- Musasiye kumwa mankhwalawa mwadzidzidzi: Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse mavuto aakulu. Popeza thupi lanu lazolowera mankhwalawa, ngati musiya, chitani zimenezo motsatira malangizo a dokotala wanu, pang'onopang'ono kuchepetsa mlingo.
- Kugona: Mankhwalawa angakupangitseni kugona komanso chizungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe akukukhudzirani.
- Mowa: Pewani kumwa mowa. Mowa ungasokoneze mphamvu ya mankhwala ndikuwonjezera zotsatirapo zake.
- Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Ngati simunatuluke m'mimba patatha masiku atatu, imbani dokotala wanu.
- Pakamwa pouma: Pakamwa pouma ndi zotsatira zina zoyipa. Izi zitha kuthetsedwa potafuna chingamu chopanda shuga, kumwa supu, ndi kumwa madzi ambiri.
- Thanzi la mano: Uzani dokotala wanu wa mano kuti mukumwa mankhwala awa. Sungani mano anu aukhondo.
Zotsatirapo zomwe mungakumane nazo
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| 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) | KupumaKupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona tulo tochuluka, komanso kusokonezeka maganizo. |
| Kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu/bulauni, khungu kapena maso achikasu. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (uzani dokotala ngati zikupitirira) | |
| Kudzimbidwa | Chizungulire |
| Kugona tulo | Pakamwa pouma |
| Mutu | Kusanza ndi kusanza (Kusanza, Kusanza) |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi othandiza kwambiri paulendo wochira ku chizolowezi cha opioid. Ayenera kumwedwa pamodzi ndi mankhwala ena, monga uphungu, kuti zotsatira zake zikhale zabwino.
- Sungunulani pansi pa lilime monga momwe dokotala wanu wanenera. Musamatafune, kumeza, kapena kuphwanya.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Zingayambitse zotsatirapo zoopsa.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa. Pewani mowa kotheratu.
- Sungani mankhwalawa pamalo otetezeka, omwe ana ndi ziweto sangawafikire . Kugawana kapena kugulitsa mankhwalawa n'kosaloledwa komanso koopsa.
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