Kodi pali Fentanyl Skin Patch yokhudza ululu wanu waukulu? Tiyeni tidziwe bwino lomwe kuti ichi ndi chiyani!

Mungakhale mukukumana ndi ululu waukulu komanso wautali. Pazochitika zotere, mankhwala ochepetsa ululu nthawi zonse sangagwire ntchito bwino, kapena simungathe kuwagwiritsa ntchito. Pamenepo madokotala amalangiza kugwiritsa ntchito fentanyl patch. Iyi ndi mankhwala amphamvu kwambiri ochepetsa ululu.

Kodi mankhwala awa ndi chiyani?

Mwachidule, Fentanyl ndi mankhwala omwe amaperekedwa kwa inu chifukwa cha ululu waukulu kapena wautali. Timatchanso ululu wosatha. Ganizirani za chigamba ichi mukamadzimva kuti simungathe kupirira mankhwala ena ochepetsa ululu kapena pamene simungathe kupirira ululu. Chimagwira ntchito poletsa zizindikiro za ululu zomwe zimapita ku ubongo wanu. Mankhwalawa ndi a gulu la mankhwala otchedwa opioids .

Iyi ndi mankhwala opha ululu omwe amagwira ntchito kwa nthawi yayitali . Izi zikutanthauza kuti mankhwalawa amalowa m'thupi pang'onopang'ono ndipo amawongolera ululu. Ndikofunikira kukumbukira kuti sagwiritsidwa ntchito pa ululu waukulu mwadzidzidzi.

Nthawi zina mankhwalawa angagwiritsidwe ntchito pazinthu zina. Ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala. Dzina lina lodziwika bwino la mankhwalawa ndi Duragesic.

Kodi muyenera kuuza chiyani gulu lanu lachipatala?

Musanayambe kugwiritsa ntchito mankhwalawa, muyenera kuuza gulu lanu lachipatala (monga madokotala ndi anamwino) zinthu zingapo. Popeza mankhwalawa si oyenera aliyense, ayenera kudziwa ngati muli ndi vuto lililonse mwa izi:

• Kodi muli ndi chotupa cha muubongo?
• Kodi mwakhalapo ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo kapena kuledzera?
• Kodi mwavulala mutu?
• Kodi muli ndi matenda a mtima?
• Kodi mumamwa mowa nthawi zonse?
• Kodi muli ndi matenda a impso?
• Kodi muli ndi matenda a chiwindi?
• Kodi muli ndi matenda a m'mapapo, mphumu, kapena mavuto opuma?
• Kodi munakhalapo ndi khunyu kale?
• Kodi muli ndi vuto la m'mimba kapena m'matumbo?
• Kodi mwagwiritsa ntchito mankhwala otchedwa MAOI (monga Marplan, Nardil, kapena Parnate) m'masiku 14 apitawa?
• Kodi munayamba mwakhalapo ndi vuto lachilendo la ziwengo chifukwa cha fentanyl, mankhwala ena, zakudya, utoto, kapena zosungira?
• Kodi muli ndi pakati? Kapena mukufuna kutenga mimba?
• Kodi mukuyamwitsa?

Ndikofunikira kwambiri kunena zinthu izi popanda kuzibisa, chifukwa ndi momwe mungachitiridwire bwino.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa ndi akunja kokha. Izi zikutanthauza kuti sangamwedwe pakamwa kapena kumezedwa mwanjira ina iliyonse. Kodi ndi zoona?

Umu ndi momwe mungagwiritsire ntchito chigamba:

Choyamba, sankhani malo oyera komanso ouma pakhungu pamwamba pa chiuno chanu, pachifuwa, kapena kumbuyo. Kwa ana aang'ono kapena anthu omwe ali ndi vuto losokonezeka pang'ono, ndi bwino kusankha malo omwe sangathe kuchotsa mosavuta chigambacho. Mwachitsanzo, kumbuyo kwapamwamba ndi bwino. Musamagwiritse ntchito chigambacho pakhungu lamafuta, lokwiya, lopsa, lodulidwa, kapena lowonongeka . Gwiritsani ntchito madzi okha kuyeretsa khungu. Musagwiritse ntchito sopo kapena mowa kuyeretsa khungu. Kuchita izi kungapangitse kuti mankhwalawo agwire bwino ntchito. Ngati pali tsitsi pamalopo, liduleni ndi lumo, koma musamete ndi lezala . Musadule kapena kuwononga chigambacho. Ndikoopsa kwambiri kugwiritsa ntchito chigamba chodulidwa kapena chowonongeka , chifukwa izi zingayambitse mankhwala ambiri kulowa m'thupi.

Chotsani chigambacho m'mabokosi ake ndikuchotsa tepi yoteteza kumbali ya guluu. Musagwiritse ntchito chigambacho ngati phukusi kapena kumbuyo kwa chigambacho kwawonongeka. Musakhudze mbali ya guluu ndi zala zanu. Ikani mbali ya guluu pakhungu ndikukanikiza mwamphamvu kwa masekondi pafupifupi 30. Kenako nthawi yomweyo sambani m'manja mwanu ndi sopo ndi madzi .

Muyenera kusamala kwambiri m'malo omwe muli ana aang'ono.

Sungani chigambacho kutali ndi ana. Musalole ana kukuonani mukuchipaka, ndipo musamachiike pamalo omwe ana angachione. Musatchule chigambachi kuti 'chomata', 'tattoo' kapena 'bandeji'. Kuchita zimenezi kungalimbikitse ana kuti akutsanzireni. Zigamba zomwe zagwiritsidwa ntchito zimakhalabe ndi mankhwala . Ngati mwana wamng'ono kapena chiweto chiyika chigamba chomwe chagwiritsidwa ntchito mkamwa mwawo kapena kuchiyika pathupi lawo, zotsatirapo zoyipa kapena imfa zimatha kuchitika.

Kumbukirani izi mukamasintha ma patches:

Musanagwiritse ntchito chigamba chatsopano, muyenera kuchotsa chigamba chakale . Ikani chigamba chatsopano chilichonse pamalo osiyana, osati pamalo omwe mudagwiritsa ntchito kale. Ngati chigamba chatuluka, kapena ngati chikuyambitsa kufiira kapena kuyabwa, chotsani ndikugwiritsa ntchito chigamba chatsopano pamalo ena. Ngati m'mphepete mwa chigambacho mwayamba kutuluka, ikani tepi yothandizira yoyamba m'mphepete. Ngati mukupitirizabe kukhala ndi vuto ndi chigambacho kuti sichimamatira bwino, ikani chovala chomatira chowonekera bwino (monga Bioclusive kapena Tegaderm) pamwamba pa chigambacho. Musaphimbe chigambacho ndi bandeji ina kapena tepi.

Malo ogulitsa mankhwala adzakupatsani 'MedGuide' yapadera mukalandira mankhwala anu komanso mukapita kukatenganso. Ndikofunikira kwambiri kuwerenga mosamala ndi kumvetsetsa zomwe zili mmenemo .

Lankhulani ndi gulu lanu lazaumoyo za kupereka mankhwalawa kwa ana aang'ono. Nthawi zina zapadera, angaperekedwe kwa ana aang'ono ngati zaka ziwiri, koma pali njira zodzitetezera zomwe ziyenera kutsatiridwa.

Chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo. Izi ndi zadzidzidzi, musazengereze.

Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.

Nanga bwanji ngati ndaphonya mlingo?

Ngati mwaphonya chigamba, chipakeni mwamsanga mukangokumbukira. Koma ngati nthawi yatsala pang'ono kuti mupange chigamba china, chipakeni nthawi yomweyo. Musagwiritse ntchito mlingo wowirikiza kawiri kapena mlingo wowonjezera.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Pali mankhwala ena omwe angayambitse mavuto ngati atagwiritsidwa ntchito limodzi ndi fentanyl patch iyi. Izi zikutanthauza kuti pali kuthekera kuti zotsatirapo zake ziwonjezeke kapena mphamvu ya mankhwalawa isinthe.

Musagwiritse ntchito Fentanyl pamodzi ndi mankhwala awa:

• Mifepristone
• Safinamide
• Samidorphan

Mankhwalawa amathanso kuyanjana ndi Fentanyl:

• Mowa
• Mitundu ya mankhwala oletsa chifuwa, chifuwa, ndi chimfine
• Atropine
• Maantibayotiki ena, monga clarithromycin, erythromycin, linezolid, ndi rifampin
• Mankhwala ena oletsa kachilombo ka HIV kapena chiwindi
• Mankhwala ena oletsa nkhawa kapena tulo
• Mankhwala ena a matenda a chikhodzodzo, monga oxybutynin ndi tolterodine
• Mankhwala ena ochizira kuvutika maganizo, monga amitriptyline, fluoxetine, sertraline, mirtazapine, trazodone
• Mankhwala ena a matenda a bowa, monga ketoconazole, itraconazole, posaconazole
• Mankhwala ena omwe amagwiritsidwa ntchito pa mutu wa mutu waching'alang'ala, monga almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
• Mankhwala ena ochizira nseru kapena kusanza, monga dolasetron, granisetron, ondansetron, palonosetron
• Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a Parkinson, monga benztropine, trihexyphenidyl
• Mankhwala ena a khunyu, monga carbamazepine, phenobarbital, phenytoin, ndi primidone
• Mankhwala ena a matenda am'mimba, monga dicyclomine, hyoscyamine
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda oyenda, monga scopolamine
• Mankhwala ochepetsa kukodza (mankhwala omwe amawonjezera kukodza)
• Mankhwala oletsa ululu, monga halothane, isoflurane, methoxyflurane, ndi propofol
• Ipratropium
• Mankhwala a MAOI, monga Marplan, Nardil, ndi Parnate
• Mankhwala opumulitsa minofu
• Buluu wa Methylene
• Mankhwala ena oletsa ululu kapena chifuwa
• Phenothiazines, mwachitsanzo chlorpromazine, mesoridazine, prochlorperazine, thioridazine

Mndandanda uwu mwina sungakhale wokwanira. Uzani gulu lanu lachipatala za mankhwala onse, zitsamba, mankhwala osaperekedwa ndi dokotala, kapena zowonjezera zakudya zomwe mumamwa. Komanso, auzeni ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala awa.

Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa

Uzani gulu lanu lachipatala ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati muli ndi ululu watsopano kapena wosiyana.

Kulekerera

Mungathe kuyamba kulekerera mankhwalawa. 'Kulekerera' kumatanthauza kuti mukufunika mlingo wokwera wa mankhwalawa kuposa womwe munkamwa kale kuti muchepetse ululu womwewo. Izi ndi zachilendo ndipo zimayembekezeredwa mukagwiritsa ntchito mankhwalawa kwa nthawi yayitali.

Musasiye kumwa mankhwala mwadzidzidzi.

Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse vuto lalikulu. Izi zili choncho chifukwa thupi lanu layamba kuzolowera 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, pang'onopang'ono adzachepetsa mlingo kuti apewe zotsatirapo zake.

Samalani ndi mankhwala ena omwe amakupangitsani kugona.

Ngati mukumwa mankhwala ena omwe amakupangitsani kugona, monga mankhwala ena ochepetsa ululu, benzodiazepines, kapena mankhwala ena opangitsa kugona, mungakhale ndi zotsatirapo zina. Patsani gulu lanu lachipatala mndandanda wa mankhwala onse omwe mukumwa. Adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe mopitirira muyeso womwe mwalangizidwa. Ngati mukuvutika kupuma, kumva kutopa kwambiri, kapena kugona,Imbani ogwira ntchito zadzidzidzi nthawi yomweyo.

Dziwani za Naloxone

Lankhulani ndi gulu lanu lazachipatala za naloxone ndi momwe mungazipezere. Naloxone ndi mankhwala odzidzimutsa omwe amaperekedwa ngati mankhwala a opioid achuluka kwambiri. Kuchuluka kwa mankhwala kungachitike mukamwa mankhwala a opioid ochulukirapo kapena mukamwa ndi mankhwala ena, monga mowa. Ndikofunikira kudziwa zizindikiro za kumwa mankhwala ochulukirapo. Mwachitsanzo: kupuma movutikira, kutopa kosazolowereka kapena kugona tulo, kapena kulephera kuyankha kapena kudzuka. Uzani osamalira anu ndi omwe ali pafupi nanu komwe mankhwalawa amasungidwa. Ayeneranso kudziwa momwe angagwiritsire ntchito. Mukapereka naloxone, muyenera kuyimbira ogwira ntchito zadzidzidzi. Naloxone ndi chithandizo chakanthawi. Mlingo wobwerezabwereza ungafunike.

Kugona ndi chizungulire

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. Pewani kumwa mowa.

Kudzimbidwa

Mankhwalawa angayambitse kudzimbidwa. Ngati simunachite chimbudzi kwa masiku atatu, imbani gulu lanu lazaumoyo.

Pakamwa pouma

Pakamwa panu pakhoza kukhala pouma. Kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba, ndi kumwa madzi ambiri kungathandize. Ngati vutoli likupitirira kapena likuipiraipira, funsani gulu lanu lachipatala.

Chigambachi chimakhudzidwa ndi kusintha kwa kutentha kwa thupi.

Chigamba ichi chimakhudzidwa kwambiri ndi kusintha kwa kutentha kwa thupi lanu. Ngati khungu lanu litatentha kwambiri, mankhwala ambiri angatuluke m'chigambacho, zomwe zingachititse kuti munthu adwale kwambiri. Imbani gulu lanu lachipatala ngati mukuyamba kutentha thupi. Musasambe m'madzi otentha. Musakhale padzuwa. Musagwiritse ntchito machubu otentha, ma sauna, makina oumitsira tsitsi, ma heating pad, mabulangeti amagetsi, malo osambiramo madzi otentha, kapena nyali zotenthetsera. Musachite masewera olimbitsa thupi m'njira yoti thupi lanu liwonjeze kutentha kwa thupi lanu.

Opaleshoni kapena mayeso ena azachipatala

Ngati mukuchitidwa opaleshoni, MRI scan, CT scan, kapena mayeso ena aliwonse azachipatala, uzani gulu lanu lachipatala kuti mukugwiritsa ntchito mankhwalawa. Mungafunike kuchotsa chigambacho musanayesedwe.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.

Uzani gulu lanu lachipatala mwamsanga ngati mukukumana ndi zotsatirazi:

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

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa gulu lachipatala ngati zikupitirira kapena zikuvutitsa):

• Kudzimbidwa
• Chizungulire
• Kugona tulo
• Pakamwa pouma
• Mutu
• Kusanza
• Kusanza

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala pankhani ya zotsatirapo zoyipa. Ku Sri Lanka, ndikofunikira kwambiri kudziwitsa dokotala wanu. M'maiko ena, mutha kunenanso za zotsatirapo zoyipa ku mabungwe monga FDA (mwachitsanzo, pa 1-800-FDA-1088).

Kodi muyenera kusunga kuti mankhwala anu?

Sungani pamalo omwe ana ndi ziweto sangafikire. Mankhwalawa akhoza kugwiritsidwa ntchito molakwika. Choncho sungani pamalo otetezeka kuti muwateteze ku kuba. Musagawane ndi wina aliyense. Izi ndi za inu nokha. Kugulitsa kapena kupereka mankhwala awa kwa ena n'koopsa komanso kotsutsana ndi lamulo.

Sungani kutentha kwa chipinda, pakati pa madigiri 20 ndi 25 Celsius (madigiri 68 ndi 77 Fahrenheit). Sungani mankhwalawa m'maphukusi ake oyambirira mpaka mutakonzeka kugwiritsa ntchito. Tayani mankhwala aliwonse osagwiritsidwa ntchito tsiku lotha ntchito litatha.

Mankhwalawa akhoza kukhala oopsa kapena kupha ngati atengedwa ndi akuluakulu ena, ana, kapena ziweto. Ndikofunikira kwambiri kutaya mankhwalawo pamene simukufunikiranso kapena pamene atha ntchito. Mutha kuchita izi m'njira ziwiri:

• Tengani mankhwala awa kupita nawo ku pulogalamu yobweza mankhwala. Mutha kuwapeza ku pharmacy yanu kapena kudzera mwa apolisi.
• Ngati simungathe kubweza mankhwalawo, nthawi zina mungalangizidwe kuti mutulutse mankhwala amphamvu ngati amenewa m'chimbudzi . Komabe, ndi bwino kufunsa dokotala wanu kapena wamankhwala kuti mutsimikizire.

Dziwani: Ichi ndi chidule chabe. Mwina sichingakhale ndi mfundo zonse. Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, takambirana zambiri za chigamba cha khungu cha Fentanyl. Popeza ichi ndi mankhwala amphamvu kwambiri ochepetsa ululu, ndikofunikira kutsatira malangizo a dokotala wanu molondola.

• Ikani bwino, itumizeni pa nthawi yoyenera.
• Onetsetsani kuti mwasunga bwino komanso kutali ndi ana ndi ziweto. Ngakhale zidutswa zomwe zagwiritsidwa ntchito kale ndi zoopsa.
• Ngati mukugwiritsa ntchito mankhwala ena, musaiwale kuuza dokotala wanu za mankhwalawo.
• Ngati mukukumana ndi zizindikiro zachilendo, makamaka kupuma movutikira kapena kugona tulo topitirira muyeso, funsani upangiri wa dokotala nthawi yomweyo.
• Musasiye kumwa mankhwala mwadzidzidzi. Chepetsani mlingo monga momwe dokotala wanu wanenera.
• Samalani ndi kutentha. Musalole kuti malo omwe chigambacho chaikidwapo chitenthe.

Ngati mutasamalira zinthuzi, mudzatha kugwiritsa ntchito mankhwalawa mosamala ndikuchepetsa ululu wanu. Musaope kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Iwo alipo kuti akuthandizeni.

Fentanyl , chigamba, mankhwala ochepetsa ululu, opioid, zotsatirapo zake, mankhwala, chigamba cha khungu