Kodi inunso mukumva ululu waukulu? Tiyeni tiphunzire za jakisoni wa Fentanyl!

Kodi nthawi zina mumamva ululu wosapiririka komanso kupweteka? Nthawi zina, ngakhale mankhwala ochepetsa ululu omwe timamwa nthawi zambiri sangachepetse ululu. Fentanyl ndi mtundu wapadera wa mankhwala omwe amaperekedwa kuti achepetse ululu waukulu, kapena kuti akupangitseni kugona pang'ono musanachite opaleshoni. Lero, tiyeni tikambirane za jakisoni wa Fentanyl.

Kodi mankhwala otchedwa Fentanyl ndi chiyani?

Mwachidule, Fentanyl ndi mankhwala omwe amagwiritsidwa ntchito pochepetsa ululu waukulu. Nthawi zina, amagwiritsidwanso ntchito kukutonthozani ndikukupangitsani kugona musanayesedwe kapena kuchitidwa opaleshoni yayikulu. Madokotala nthawi zambiri amakupatsirani Fentanyl ngati mankhwala ena ochepetsa ululu sakugwira ntchito kapena ngati simungathe kuwalekerera. Amagwira ntchito poletsa zizindikiro za ululu kuti zisafike muubongo wanu. Ndi wa gulu la mankhwala otchedwa opioids. Mankhwalawa angagwiritsidwenso ntchito pazinthu zina. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu kapena wamankhwala.

Kodi ndiyenera kuuza chiyani gulu lachipatala ndisanamwe mankhwalawa?

Chabwino, tsopano musanayambe kumwa mankhwala a Fentanyl awa, pali zinthu zingapo zomwe gulu lanu losamalira odwala liyenera kudziwa. Ndikofunikira kuwauza izi, chifukwa ndi momwe angasankhire ngati mankhwalawa ndi oyenera kwa inu. Ngati muli ndi vuto lililonse mwa izi, muyenera kuwauza:

• Ngati muli ndi chotupa cha muubongo
• Ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo (kugwiritsa ntchito mankhwala osokoneza bongo molakwika kapena chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo)
• Ngati muli ndi matenda a ndulu
• Ngati mwavulala mutu
• Ngati muli ndi matenda a mtima
• Ngati mumamwa mowa nthawi zonse
• Ngati muli ndi matenda a impso
• Ngati muli ndi matenda a chiwindi
• Ngati muli ndi kuthamanga kwa magazi kotsika
• Ngati muli ndi matenda a m'mapapo, mwachitsanzo, mphumu.
• Ngati muli ndi matenda amisala
• Ngati muli ndi vuto lokodza
• Ngati muli ndi khunyu
• Ngati muli ndi vuto la m'mimba kapena m'matumbo
• Ngati munakhalapo ndi vuto la ziwengo kapena lachilendo chifukwa cha fentanyl, mankhwala ena, chakudya, utoto, kapena mankhwala osungira.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba
• Ngati ndinu mayi woyamwitsa

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa, otchedwa Fentanyl, amaperekedwa ngati jakisoni mumtsempha kapena minofu. Nthawi zambiri amaperekedwa kuchipatala kapena kuchipatala motsogozedwa ndi dokotala.

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana aang'ono, choncho lankhulani ndi gulu lanu lachipatala za izi.

Chofunika kwambiri, mankhwalawa akhoza kukhala oopsa ngati atengedwa mopitirira muyeso (overdose). Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Chinanso, mankhwalawa ndi a inu nokha. Musagawane ndi ena.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Iyi si mankhwala omwe nthawi zambiri mumatenga nthawi zonse, tsiku lililonse. Izi zikutanthauza kuti, iyi ndi mankhwala omwe amaperekedwa pokhapokha ngati pakufunika, monga momwe dokotala wanu wanenera. Chifukwa chake, mawu oti 'ndaphonya mlingo' sakugwira ntchito pa izi.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Pali mtundu umodzi wa mankhwala womwe sayenera kumwedwa ndi Fentanyl. Ndiwo:

• Mifepristone

Komanso, pali mankhwala ena, zakudya, ndi zinthu zina zomwe zingagwirizane ndi Fentanyl, zomwe zikutanthauza kuti zimatha kukhudzana. Kuzitenga pamodzi kungayambitse zotsatira zoyipa kapena kusintha momwe mankhwala amagwirira ntchito. Chifukwa chake, ngati mukugwiritsa ntchito chilichonse mwa izi, muyeneranso kuuza gulu lanu lazachipatala:

• Mowa
• Mitundu ya mankhwala oletsa chifuwa, chifuwa, ndi chimfine
• Mankhwala oletsa mavairasi a HIV kapena Edzi
• Atropine
• Maantibayotiki ena, monga clarithromycin, erythromycin, ndi rifampin
• Mankhwala ena oletsa nkhawa kapena tulo
• Mankhwala ena a mavuto a chikhodzodzo, monga oxybutynin, tolterodine
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala ena ochizira kuvutika maganizo, monga amitriptyline, fluoxetine, ndi sertraline
• Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a shuga, mwachitsanzo pioglitazone, troglitazone
• Mankhwala ena a matenda a bowa, monga ketoconazole ndi itraconazole
• Mankhwala ena omwe amagwiritsidwa ntchito pa mutu wa mutu waching'alang'ala, mwachitsanzo, almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
• Mankhwala ena a nseru kapena kusanza, mwachitsanzo, aprepitant, dolasetron, granisetron, ondansetron
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu, mwachitsanzo phenobarbital, phenytoin, primidone
• Mankhwala ena a matenda am'mimba, monga dicyclomine, hyoscyamine
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda oyenda, monga scopolamine
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a Parkinson, monga benztropine ndi trihexyphenidyl
• Cimetidine
• Mankhwala ochepetsa mphamvu ya mkodzo (Diuretics)
• Mitundu ina ya mankhwala oletsa ululu, mwachitsanzo halothane, isoflurane, methoxyflurane, ndi propofol
• Madzi a mphesa
• Ipratropium
• Linezolid
• Mitundu ya mankhwala oletsa ululu am'deralo, mwachitsanzo lidocaine, pramoxine, tetracaine
• Mankhwala a MAOI (monga Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Mankhwala opumulira minofu ochitidwa opaleshoni
• Buluu wa Methylene
• Mankhwala ena oletsa ululu kapena chifuwa
• Phenothiazines, mwachitsanzo chlorpromazine, mesoridazine, prochlorperazine, ndi thioridazine
• Wort wa St. John (uyu ndi chomera)
• Mankhwala a steroid, monga prednisone kapena cortisone

Mndandandawu suli wokwanira. Uzani gulu lanu lachipatala za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba, mankhwala ogulitsidwa kunja kwa chipatala, ndi zowonjezera zakudya. Auzeni ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingasokoneze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Mukamagwiritsa ntchito mankhwalawa, pali zinthu zingapo zomwe muyenera kudziwa.

• Ngati ululu sutha, ngati ukukulirakulira, kapena ngati muli ndi mitundu yatsopano ya ululu, uzani gulu lanu lachipatala. Mwina mwayamba kulekerera mankhwala awa, zomwe zikutanthauza kuti mukuyamba kuwazolowera. Mwachidule, kulekerera kumatanthauza kuti mukufunika mlingo wokwera wa mankhwalawo kuposa kale kuti muchepetse ululu womwewo. Ndizachilendo kuti mtundu uwu wa kulekerera ukhalepo ngati mwakhala mukumwa mankhwalawa kwa nthawi yayitali. Taganizirani izi, anthu ena amayamba kumwa tiyi ndipo amakhutira ndi theka la kapu poyamba, koma pakapita nthawi amafunika kapu yonse kuti amve chimodzimodzi.

• Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse vuto lalikulu. Izi zili choncho chifukwa thupi lanu lazolowera mankhwalawo. Izi sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwalawo. Kuledzera ndi khalidwe lomwe limaphatikizapo kupeza ndi kugwiritsa ntchito mankhwala pazifukwa zina zomwe si zachipatala. Ngati mukumva ululu, muli ndi chifukwa chachipatala chomwa mankhwala ochepetsa ululu. Gulu lanu lachipatala lidzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Ngati akufuna kuti musiye kumwa mankhwalawa, adzatero pochepetsa pang'onopang'ono mlingo kuti apewe zotsatirapo zake.

• Ngati mukumwa mankhwala ena omwe amakupangitsani kugona, monga mankhwala ena ochepetsa ululu, benzodiazepines, kapena mankhwala ena omwe amakuthandizani kugona, mungakhale ndi zotsatirapo zina. Patsani gulu lanu lachipatala mndandanda wa mankhwala onse omwe mukumwa. Adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakuuzani. Ngati mukuvutika kupuma, mukutopa kwambiri, kapena mukugona tulo, pitani kuchipatala nthawi yomweyo.

• Funsani gulu lanu lazaumoyo za naloxone ndi momwe mungayipezere. Naloxone ndi mankhwala odzidzimutsa omwe amaperekedwa ngati opioid yagwiritsidwa ntchito mopitirira muyeso. Kupitirira muyeso kungachitike ngati mwamwa opioid yochuluka kwambiri. Kapena kungachitike ngati mwamwa opioid ndi mankhwala ena kapena zinthu zina, monga mowa. Ndikofunikira kudziwa zizindikiro za kumwa mopitirira muyeso. Mwachitsanzo, kuvutika kupuma, kutopa kosazolowereka kapena kugona, kapena kulephera kuyankha kapena kudzuka. Uzani banja lanu, osamalira, ndi okondedwa anu komwe naloxone ili. Onetsetsani kuti akudziwa momwe angagwiritsire ntchito. Mukapereka naloxone, muyenera kuyimbira ogwira ntchito zadzidzidzi. Naloxone ndi chithandizo chakanthawi, ndipo chingafunike mlingo wobwerezabwereza.

• Mungamve tulo kapena chizungulire . Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita china chilichonse chomwe chimafuna tcheru mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zimachepetsa chiopsezo cha chizungulire ndi kugwa. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho pewani kumwa mowa.

• Mankhwalawa angayambitse kudzimbidwa . Ngati simunatuluke m'mimba patatha masiku atatu, imbani gulu lanu la zaumoyo.

• Pakamwa panu pauma.Inde. Kutafuna chingamu chopanda shuga, kuyamwa ginger, ndi kumwa madzi ambiri kungathandize. Ngati vutoli likupitirira kapena litakula kwambiri, funsani gulu lanu lachipatala.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Mungakhale ndi zotsatirapo zina chifukwa cha mankhwala a Fentanyl awa. Ngati mukukumana ndi zotsatirapo zilizonsezi, muyenera kudziwitsa gulu lanu lazachipatala mwamsanga momwe mungathere:

• Matenda a ziwengo - ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi
• Kuvutika maganizo kwa CNS (CNS depression) — kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kumva kufooka, chizungulire, chisokonezo, kuvutika kukhala maso
• Kuchepa kwa ntchito ya adrenal gland - nseru, kusanza, kusowa chilakolako cha chakudya, kufooka kapena kutopa kosazolowereka, chizungulire
• Kuthamanga kwa magazi kotsika - chizungulire, kumva kufooka kapena mutu wopepuka, kusawona bwino
• Kuuma kwa minofu

Palinso zotsatirapo zina zomwe nthawi zambiri sizifuna thandizo lachipatala, koma ngati zikupitirira kapena kukhala zovuta, muyenera kuziuza gulu lanu lachipatala:

• Chizungulire
• Kugona tulo
• Kusanza
• Kusanza

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala okhudza zotsatirapo zake. Mutha kunena za zotsatirapo zake ku Food and Drug Administration (FDA) pa 1-800-FDA-1088 ku United States. Ku Sri Lanka, mutha kunena izi kwa akuluakulu azaumoyo oyenerera kudzera mwa dokotala wanu.

Kodi ndiyenera kusunga bwanji mankhwalawo?

Mankhwala a Fentanyl awa amaperekedwa kwa inu kuchipatala kapena kuchipatala, kotero si mankhwala omwe muyenera kusunga kunyumba.

Pomaliza, chinthu chofunikira kwambiri chomwe muyenera kukumbukira

Chabwino, tsopano mwamvetsa kuti Fentanyl ndi mankhwala amphamvu kwambiri ochepetsa ululu . Amagwiritsidwa ntchito pa ululu waukulu kokha, moyang'aniridwa ndi dokotala.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola ndikuwauza za matenda aliwonse omwe muli nawo komanso mankhwala ena omwe mukumwa.

Mankhwalawa angayambitse kugona ndi chizungulire, choncho samalani. Komanso, kumbukirani kuti si bwino kusiya kumwa mwadzidzidzi.

Ngati muli ndi mafunso kapena nkhawa, musaope kufunsa dokotala wanu, namwino, kapena wamankhwala. Iwo alipo kuti akuthandizeni. Thanzi lanu ndilofunika!

Fentanyl , mankhwala ochepetsa ululu, opioid, jakisoni, zotsatirapo zake, mankhwala, thanzi, ululu, upangiri wa zachipatala