Dokotala wanu mwina adakupatsani mankhwalawa chifukwa cha ululu waukulu womwe umakhalapo kwa nthawi yayitali womwe sunathetsedwe ndi mankhwala ena ochepetsa ululu. Izi sizili ngati mankhwala wamba ochepetsa ululu. Ndicho chifukwa chake ndikofunikira kwambiri kudziwa momwe mungagwiritsire ntchito chigamba ichi, zomwe chingachite, komanso zomwe muyenera kusamala nazo. Tiyeni tikambirane za izi lero.
Kodi mankhwala awa otchedwa Buprenorphine ndi chiyani?
Mwachidule, Buprenorphine ndi mankhwala omwe amagwiritsidwa ntchito poletsa ululu waukulu komanso wokhalitsa. Sagwiritsidwa ntchito pa ululu wadzidzidzi. Ndi mankhwala omwe amagwira ntchito kwa nthawi yayitali. Amagwira ntchito poletsa zizindikiro zomwe ubongo wathu umalandira chifukwa cha ululu. Mankhwalawa ndi a gulu la mankhwala amphamvu ochepetsa ululu otchedwa 'Opioids' . Ku Sri Lanka, amapezeka pansi pa dzina la `Butrans`.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito chigamba ichi
Dokotala wanu asanakupatseni chigamba ichi, ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za vuto lililonse mwa izi, makamaka:
| Mkhalidwe/chizolowezi | Kufotokozera |
|---|---|
| Mavuto okhudzana ndi mutu ndi ubongo | Matenda monga zotupa muubongo, kuvulala mutu, ndi khunyu. |
| Zizolowezi Zoledzera | Ngati mwakhala mukugwiritsa ntchito mankhwala osokoneza bongo kapena kuledzera kapena mumamwa mowa pafupipafupi. |
| Matenda a ziwalo zamkati | Matenda a chiwindi, matenda a ndulu, matenda a kapamba, kuchepa kwa ntchito ya adrenal glands. |
| Mtima ndi dongosolo la kupuma | Matenda a mtima, kugunda kwa mtima kosakhazikika, matenda a m'mapapo, mphumu kapena mavuto ena opuma. |
| Kugwiritsa ntchito mankhwala ena | Ngati mwatenga mankhwala ochokera ku gulu la `MAOI` (monga Marplan, Nardil) mkati mwa masiku 14 apitawa. |
| Mfundo zina | Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa. Ngati mwakhalapo ndi vuto la buprenorphine kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
Kodi ndingagwiritse ntchito bwanji chigamba ichi?
Ichi ndi chigamba chomwe chimapakidwa kunja kwa khungu. Ndikofunikira kwambiri kutsatira malangizo ogwiritsira ntchito molondola.
1. Kusankha malo: Sankhani malo oyera, ouma, komanso osasweka pakhungu kuti mupake chigambacho. Malo abwino kwambiri opakira chigambacho ndi mkono wakunja pamwamba pa phewa, pachifuwa chapamwamba, kumbuyo kwapamwamba, kapena m'mbali mwa chifuwa. Kwa munthu amene ali ndi vuto la maganizo, ndi bwino kupaka chigambacho kumbuyo kwapamwamba, chifukwa izi zingamulepheretse kuchichotsa yekha.
2. Kutsuka khungu: Tsukani malo osankhidwa ndi madzi okha ndipo muumitse bwino. Musagwiritse ntchito sopo, mowa, kapena mafuta odzola. Kuchita zimenezi kungapangitse kuti mankhwala ambiri alowe m'thupi ndipo kungakhale koopsa. Ngati pali tsitsi pamalopo, liduleni ndi lumo, koma musagwiritse ntchito lezala.
3. Kuyika chigamba: Chotsani chigambacho m'mabokosi ake ndikuchotsa tepi yoteteza yomwe ili kumbali yomata. Musadule kapena kuwononga chigambacho. Kuchita izi kungayambitse kumwa mopitirira muyeso , zomwe zingakhale zoopsa kumoyo. Musakhudze mbali yomatayo ndi zala zanu. Kanikizani mkati mwa chikhatho chanu ndikuchigwira mwamphamvu pakhungu lanu kwa masekondi pafupifupi 15. Kenako sambitsani manja anu bwino ndi sopo ndi madzi.
4. Kusintha chigamba: Ikani chigamba chatsopano mukachotsa chakale. Ikani pamalo osiyana nthawi iliyonse. Musachiyike pamalo omwewo mobwerezabwereza.
5. Ngati chigamba chatuluka: Ngati m'mphepete mwa chigamba chayamba kutuluka, ikani tepi yothandizira yoyamba m'mphepete mwake. Ngati pali vuto losalekeza lochotsa khungu, phimbani chigambacho ndi chomatira choonekera bwino (monga Bioclusive, Tegaderm). Musaphimbe chigambacho ndi bandeji kapena tepi ina iliyonse.
Pewani ana ndi ziweto!
Ngakhale chigamba chogwiritsidwa ntchito chingakhalebe ndi mankhwala. Chikhoza kupha ngati mwana kapena chiweto chikachiika mkamwa mwawo kapena kuchiika pathupi lawo. Musachiike pamalo pomwe ana angachione. Komanso, musatitchule kuti "chomata" kapena "tattoo." Izi zingalimbikitse ana kuti achitsanzire.
Nanga bwanji ngati ndaphonya mlingo?
Ngati mwaiwala kusintha chigamba chanu, pakani chatsopano mwamsanga mukangokumbukira. Koma ngati nthawi yoti mutenge mlingo wotsatira yayandikira, pakani pokhapokha. Musagwiritse ntchito milingo iwiri nthawi imodzi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Mukamagwiritsa ntchito chigamba ichi, uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa, makamaka ngati mumamwa mowa.
Mankhwala ena amatha kusokonezana ndi chigamba ichi ndi kuyambitsa zotsatirapo zoyipa kwambiri. Mwachitsanzo:
- Mankhwala ena ochepetsa nkhawa, nkhawa, kapena tulo
- Mankhwala ena a ziwengo, chifuwa, ndi chimfine (Antihistamines)
- Mankhwala ena opha tizilombo toyambitsa matenda (monga ketoconazole) ndi maantibayotiki (monga erythromycin)
- Mankhwala ena a khunyu (monga carbamazepine)
- Zopumulitsa minofu
- Mowa
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito chigamba
- Zokhudza ululu: Uzani dokotala wanu ngati ululu wanu sukupita, ukukulirakulira, kapena ngati muli ndi mitundu yatsopano ya ululu. Pakapita nthawi, mlingo womwe munkamwa kale sungakhale wokwanira kulamulira ululu wanu. Izi zimatchedwa 'Kulekerera'. Izi ndi zachilendo.
- Kusiya kugwiritsa ntchito mankhwala: Musasiye kugwiritsa ntchito chigamba mwadzidzidzi. Thupi lanu limadalira mankhwala awa, kotero kusiya mwadzidzidzi kungayambitse zizindikiro zazikulu zosiya kumwa. Izi si chizolowezi. Ngati pakufunika, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, mpaka mutadziwa momwe izi zimakukhudzirani , musayendetse galimoto kapena kugwiritsa ntchito makina. Musadzuke mwadzidzidzi mutangokhala kapena kuyimirira.
- Kudzimbidwa: Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Ngati simunachite chimbudzi kwa masiku atatu, lankhulani ndi dokotala wanu.
- Kutentha kwa thupi: Izi ndizofunikira kwambiri. Ngati thupi lanu latentha, mankhwala ambiri amatha kutulutsidwa kuchokera ku chigambacho, zomwe zingayambitse kupha munthu kwambiri. Chifukwa chake, ngati muli ndi malungo, pitani kwa dokotala.Tiyerekeze kuti. Musasambe m'madzi otentha, musagone padzuwa, musagwiritse ntchito ma sauna, kapena ma heatsink pads. Pewani kuchita masewera olimbitsa thupi omwe amawonjezera kutentha kwa thupi.
- Ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) nthawi yomweyo kapena imbani National Poisons Information Centre ku Colombo National Hospital . Zizindikiro za kumwa mankhwala ochulukirapo ndi kupuma pang'onopang'ono , kugona tulo tofa nato, komanso kulephera kudzuka. Lankhulani ndi dokotala wanu za mankhwala opulumutsa moyo `Naloxone`, omwe amaperekedwa pazochitika zotere.
Kodi ndi zotsatirapo zotani zomwe ndingakumane 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) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo tochuluka, kusadziwa, kuvutika kudzuka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, khungu kapena maso kukhala achikasu, mkodzo wakuda. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
Kudzimbidwa, chizungulire, kugona, pakamwa pouma, mutu, nseru, kusanza, kuyabwa kapena kufiira komwe chigambacho chimayikidwa. | |
Uthenga Wopita Nawo Kunyumba
- Chigamba cha buprenorphine ndi mankhwala amphamvu ochizira ululu waukulu komanso wosatha. Gwiritsani ntchito pokhapokha ngati dokotala wanu wakupatsani upangiri.
- Mukapaka chigambacho, sankhani malo oyera, ouma, osasweka pakhungu, sambitsani ndi madzi okha, ndipo chipakeni bwino. Pakani nthawi zonse ndipo sungani pamalo omwe ana ndi ziweto sangafikire.
- Mankhwalawa angayambitse kugona ndi chizungulire. Choncho, pewani kuyendetsa galimoto. Pewani kumwa mowa kwathunthu.
- Kutentha kwambiri (malungo, kusamba ndi madzi otentha) kungapangitse kuti chigambacho chizimwa mankhwala ambiri, zomwe zingakhale zoopsa. Samalani kwambiri ndi izi.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kugona kwambiri, kapena kusazindikira, pitani ku Emergency Treatment Unit (ETU) nthawi yomweyo.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
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