Kuledzera ndi opioid ndi vuto lovuta kwambiri komanso lovuta lomwe munthu angakumane nalo. Pofuna kuthandiza munthu amene akuyesera kuchira ku vutoli, dokotala angakupatseni mankhwala otchedwa Buprenorphine. Chifukwa chake, mukalandira mankhwalawa, mungakhale ndi mavuto ambiri. Chifukwa chake, lero tikambirana za mankhwala awa, momwe amagwiritsidwira ntchito, komanso zinthu zofunika kwambiri zomwe muyenera kudziwa za iwo.
Kodi Buprenorphine kwenikweni ndi chiyani?
Mwachidule, Buprenorphine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda obwera chifukwa cha kugwiritsa ntchito opioid. Amathandiza kuchepetsa zizindikiro zosiya kumwa mankhwala (monga kupweteka kwa thupi, thukuta, komanso kusakhazikika) zomwe zimachitika mukasiya kumwa mankhwala a opioid mwadzidzidzi. Amathandizanso kuchepetsa chilakolako chofuna kugwiritsanso ntchito mankhwalawa.
Ganizirani za chizolowezi cha opioid ngati kukhala m'dzenje lakuya. Buprenorphine ili ngati chingwe chomwe mungagwiritse ntchito kudzitulutsa mu dzenjelo. Imakupatsani mphamvu zambiri komanso chithandizo. Koma muyenera kugwira chingwecho ndikuchitulutsa. Ndicho chifukwa chake ndikofunikira kwambiri kugwiritsa ntchito upangiri ndi chithandizo cha khalidwe limodzi ndi mankhwalawa.
Musanayambe kumwa mankhwalawa, muyenera kuuza dokotala zinthu izi!
Izi ndizofunikira kwambiri pa chitetezo chanu. Dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za vutoli popanda kubisa chilichonse .
| Matenda kapena chizolowezi | Zomwe muyenera kudziwa |
|---|---|
| Mavuto okhudzana ndi mutu ndi ubongo | Zinthu monga kuvulala mutu, chotupa cha muubongo, kapena khunyu. |
| Mtima ndi mapapo | Matenda a mtima, kugunda kwa mtima kosakhazikika, mphumu kapena mavuto ena opuma. |
| Chiwindi ndi ziwalo zina | Matenda a chiwindi, matenda a ndulu, matenda a kapamba, kapena ntchito yochepa ya adrenal glands. |
| Zizolowezi ndi zizolowezi | Ngati mumamwa mowa pafupipafupi kapena muli ndi chizolowezi chogwiritsa ntchito mankhwala ena osokoneza bongo. |
| Mavuto a pakamwa ndi m'mimba | Zilonda pakamwa, matenda a mano kapena chiseyeye, kapena vuto lililonse la m'mimba kapena m'matumbo. |
| Kugwiritsa ntchito mankhwala ena | Ngati mwamwa mankhwala oletsa kuvutika maganizo 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. |
| Mimba | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Chabwino, tsopano tiyeni tiwone momwe tingagwiritsire ntchito mankhwalawa molondola.
Momwe mumagwiritsira ntchito mankhwalawa ndi kofunika kwambiri. Ndikofunikira kumwa mlingo woyenera panthawi yoyenera, monga momwe dokotala wanenera.
- Simukusowa madzi kuti mumeze piritsi ili. Ili ndi piritsi lomwe mumayika pansi pa lilime lanu ndikulisiya kuti lisungunuke .
- Ikani piritsi pansi pa lilime lanu ndipo dikirani mpaka litasungunuka kwathunthu. Musamatafune , kudula, kapena kumeza piritsilo. Kuchita zimenezi kungapangitse kuti mankhwalawo asagwire ntchito bwino.
- Ngati mukuyenera kumwa mapiritsi oposa limodzi patsiku, ngati n'kotheka, ikani mapiritsi onse pansi pa lilime lanu nthawi imodzi. Ngati sizingatheke, ikani mapiritsi awiri pansi pa lilime lanu ndipo muwasiye asungunuke.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Kodi mungachite chiyani ngati mlingo ukuwonjezeka (kupitirira muyeso)?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa momwe muyenera kukhalira, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi nanu. Izi ndi zadzidzidzi.
Chofunika: Mankhwalawa ndi a inu nokha. Musagawire mankhwalawa ndi wina aliyense pazifukwa zilizonse. Izi n'zosaloledwa ndipo zingakhale zoopsa kwambiri kwa munthu winayo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Buprenorphine ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba.
| Musamwe Buprenorphine ndi mankhwalawa! | |
|---|---|
| Cisapride, Dronedarone, Pimozide, Safinamide, Samidorphan, Thioridazine | |
| Mavuto angachitike ndi mankhwala awa - dziwitsani dokotala wanu | |
| Mowa | Kugona ndi kuvutika kupuma kungakhale kovuta kwambiri. |
| Mankhwala oletsa kugwidwa ndi ziwengo, chifuwa, ndi chimfine (antihistamines) | Kumawonjezera kugona. |
| Mankhwala ochepetsa nkhawa, nkhawa, kapena tulo | Kumwa ndi mankhwala monga benzodiazepines kungakhale koopsa kwambiri. |
| Mankhwala oletsa bowa, maantibayotiki, mankhwala ena a HIV kapena Hepatitis | Mwachitsanzo: Ketoconazole, Erythromycin. Izi zitha kusintha zotsatira za Buprenorphine. |
| Mankhwala a khunyu | Mwachitsanzo: Carbamazepine, Phenytoin. |
| Mankhwala ena ochepetsa ululu kapena opioid a chifuwa | Zotsatirapo zoyipa kwambiri zingachitike. |
Samalani kwambiri ndi zinthu izi mukamamwa buprenorphine.
Musasiye kumwa mankhwala mwadzidzidzi!
Thupi lanu limazolowera pang'onopang'ono mankhwala awa. Ngati musiya kumwa mwadzidzidzi, mungakhale ndi vuto lalikulu losiya kumwa , lomwe ndi kumva kusasangalala mukasiya kumwa mankhwalawo. Chifukwa chake, musasiye kumwa mankhwalawo popanda kulankhula ndi dokotala wanu. Ngati mukufunika kusiya, dokotala wanu adzachepetsa pang'onopang'ono mlingo ndikukuwonetsani momwe mungasiyire kumwa mankhwalawa mosamala.
Kugona ndi kusamala
Mungamve tulo kapena chizungulire mukamamwa mankhwalawa. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka kuchokera pamalo okhala kapena kukhala pansi mwadzidzidzi, makamaka ngati ndinu okalamba. Pewani mowa kwathunthu mukamamwa mankhwalawa, chifukwa mowa ungapangitse kuti tulo tiwonjezeke.
Dziwani za Naloxone
Naloxone ndi mankhwala ofunikira omwe angaperekedwe mwachangu kuti achepetse kugwiritsa ntchito mankhwala osokoneza bongo a opioid. Ndikofunikira kuti inu ndi banja lanu mudziwe za Naloxone musanamwe mankhwalawa. Lankhulani ndi dokotala wanu za momwe mungawapezere komanso momwe mungawagwiritsire ntchito.
Kudzimbidwa ndi pakamwa pouma
Zotsatira zoyipa za mankhwalawa ndi kudzimbidwa. Ngati simunatuluke m'mimba patatha masiku atatu, lankhulani ndi dokotala wanu. Muthanso kumva kuuma pakamwa. Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Buprenorphine ingayambitse zotsatirapo zina. Zina ndi zoopsa, zina ndizofala.
| Ngati zizindikirozi zichitika, dziwitsani dokotala wanu nthawi yomweyo. | |
|---|---|
| Zotsatira zoopsa za ziwengo | Ziphuphu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvutika maganizo kwa CNS (kuvutika maganizo kwa kupuma) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo tochuluka, kusadziwa, kuvutika kudzuka. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Zinthu zomwe nthawi zambiri sizili zoopsa, koma ziyenera kunenedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa, chizungulire, kugona, pakamwa pouma, mutu, nseru, kusanza. | |
Kodi mungasunge bwanji ndikutaya mankhwala mosamala?
Popeza pali chiopsezo chogwiritsa ntchito molakwika mankhwalawa, ndikofunikira kuwasunga pamalo otetezeka omwe ana ndi ziweto sangawafikire . Tetezani kuti asabedwe.
Ndikofunikanso kutaya bwino mankhwala omwe atha ntchito kapena omwe sakufunikanso. Mankhwalawa amatha kupha ngakhale atagwa m'manja olakwika.
- Njira yabwino kwambiri ndi,Perekani izi kwa pulogalamu yoti mubwezeretse mankhwala . Funsani dokotala wanu za izi.
- Ngati pulogalamu yotereyi singapezeke, gwero limati mankhwalawo akhoza kutsukidwa m'chimbudzi.
Uthenga Wopita Nawo Kunyumba
- Buprenorphine ndi chida chofunikira kwambiri pothandiza anthu kuthana ndi vuto la opioid. Komabe, sichigwira ntchito yokha ndipo chiyenera kugwirizanitsidwa ndi uphungu.
- Nthawi zonse imwani mlingo womwe mwapatsidwa monga mwalangizidwira ndi dokotala, ikani pansi pa lilime lanu ndipo mulole kuti usungunuke. Musamatafune kapena kumeza.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mumamwa.
- Musasiye kumwa mankhwala mwadzidzidzi.
- Sungani mankhwalawo pamalo otetezeka kwambiri kwa ana ndi ena.
- Dziwani zotsatirapo zake zoopsa komanso zizindikiro za kumwa mankhwala mopitirira muyeso. Ngati zili choncho, pitani kuchipatala mwamsanga ku Emergency Treatment Unit (ETU).
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