Nthawi zina ululu umene timakumana nawo umakhala waukulu kwambiri moti sungathetsedwe ndi mankhwala ochepetsa ululu wamba. Komanso, anthu ena amavutika kuchotsa zizolowezi zoopsa monga kugwiritsa ntchito mankhwala osokoneza bongo. Methadone ndi mankhwala amphamvu kwambiri omwe amalimbikitsidwa ndi madokotala pazochitika zapadera zotere. Popeza amaperekedwa ngati jakisoni, tikambirana momveka bwino lero.
Kodi Methadone ndi chiyani?
Mwachidule, Methadone ndi mankhwala omwe amagwiritsidwa ntchito pazifukwa ziwiri zazikulu.
1. Kuletsa ululu waukulu: Mankhwalawa amaperekedwa pamene mankhwala ena ochepetsa ululu sangathe kuletsa ululuwo kapena pamene thupi silingathe kupirira ululuwo. Amagwira ntchito poletsa zizindikiro za ululu kufika ku ubongo.
2. Kuchiza Matenda Ogwiritsa Ntchito Opioid: Mankhwalawa amaperekedwa kwa anthu omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo monga heroin kuti awathandize kusiya. Amagwira ntchito pochepetsa zizindikiro zosiya kugwiritsa ntchito mankhwala osokoneza bongo komanso chilakolako cha mankhwala osokoneza bongo.
Chofunika kwambiri ndichakuti mukagwiritsa ntchito izi ngati chithandizo cha chizolowezi, zotsatira zabwino zimapezeka mukaphatikizana ndi upangiri ndi chithandizo cha khalidwe.
Methadone ndi mankhwala omwe ali m'gulu la mankhwala a opioid ndipo ayenera kumwedwa pokhapokha ngati dokotala akuwayang'anira.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Chabwino, izi ndizofunikira kwambiri. Musanapatsidwe methadone, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Makamaka ngati muli ndi vuto lililonse pansipa, muyenera kuwauza za vutoli.
| Matenda/chizolowezi | Kufotokozera |
|---|---|
| Ubongo ndi dongosolo lamanjenje | Zinthu monga chotupa cha muubongo, kuvulala mutu, kapena khunyu. |
| Mtima ndi kuthamanga kwa magazi | Matenda a mtima, kuthamanga kwa magazi. |
| Mapumulo | Matenda a m'mapapo, mphumu, kapena mavuto ena opuma. |
| Chiwindi ndi impso | Matenda a chiwindi kapena impso. |
| Matenda ena | Matenda a chithokomiro, kuchepa kwa ntchito ya adrenal glands, ndi mavuto a m'mimba. |
| Zizolowezi ndi thanzi la maganizo | Kumwa mowa pafupipafupi, kugwiritsa ntchito mankhwala osokoneza bongo ena, matenda amisala. |
| Mankhwala ena omwe akutengedwa | Ngati mwamwa mankhwala a MAOI (monga Parnate) m'masiku 14 apitawa. |
| Zochitika zapadera | Ngati muli ndi pakati kapena mukufuna kutenga pakati, ngati mukuyamwitsa, kapena ngati mwakhala ndi vuto la methadone kapena mankhwala ena aliwonse kapena chakudya. |
Kodi katemerayu amagwiritsidwa ntchito bwanji?
Katemerayu amabayidwa pansi pa khungu, m'minofu, kapena m'mitsempha. Nthawi zambiri amaperekedwa kuchipatala kapena kuchipatala.
Komanso, ngati muyenera kugwiritsa ntchito mankhwalawa kunyumba, mudzaphunzitsidwa momwe mungakonzekerere ndikumwa moyenera. Gwiritsani ntchito monga momwe mwalangizidwira, nthawi yoyenera yokha. Musamwe mankhwala opitilira muyeso womwe mwalangizidwa nthawi imodzi.
Kodi mumatani ndi singano zogwiritsidwa ntchito kale?
Izi ndizofunikira kwambiri. Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala wamba. Ziyenera kuyikidwa mu chidebe chapadera chomwe chingachotsedwe. Ngati mulibe, funsani gulu lanu lazaumoyo momwe mungapezere imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, pitani ku Dipatimenti Yoona Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo .
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Methadone ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Izi zikutanthauza kuti akamwedwa ndi mankhwala ena, zotsatira za mankhwalawo kapena methadone zimatha kusintha, kapena zotsatirapo zake zoyipa zingachitike.
Makamaka, musamwe Methadone ndi mankhwala awa:
- Mankhwala ena a matenda a bowa (monga ketoconazole, voriconazole)
- Mankhwala ena a matenda a mtima (monga quinidine, dronedarone)
- Mankhwala monga Cisapride, Pimozide, ndi Thioridazine
Kuphatikiza apo, mavuto amatha kuchitika ndi mankhwala ena ambiri. Mwachitsanzo:
- Mowa
- Mankhwala a ziwengo, chifuwa, ndi chimfine
- Mankhwala oletsa kachilombo ka HIV kapena Edzi
- Mankhwala ochizira kuvutika maganizo, nkhawa, kapena kusowa tulo
- Mankhwala oletsa kupweteka kwa mutu (monga carbamazepine, phenytoin)
- Maantibayotiki ena (monga clarithromycin, erythromycin)
- Mankhwala opumulira minofu omwe amagwiritsidwa ntchito panthawi ya opaleshoni
- Mankhwala ena ochepetsa ululu a opioid kapena mankhwala a chifuwa
Mndandanda uwu si wokwanira. Chifukwa chake, onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya. Ndikofunikiranso kuuza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Pitani kuchipatala nthawi zonse: Pitani kuchipatala masiku omwe mwakonza kuti muwonetsetse kuti chithandizo chanu chikuyenda bwino.
- Uzani dokotala wanu za ululu: Ngati mukumwa izi chifukwa cha ululu, uzani dokotala wanu ngati ululuwo sutha, ngati ukukulirakulira, kapena ngati muli ndi mtundu wina wa ululu.
- Musasiye mwadzidzidzi: Thupi lanu limazolowera mankhwala awa. Choncho musasiye kumwa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse mavuto aakulu. Ngati musiya, chitani zimenezo motsatira upangiri wa dokotala wanu, mwa kuchepetsa pang'onopang'ono mlingo.
- Kuopsa kobwereranso ku matendawa:Ngati mukumwa mankhwalawa ngati mankhwala ochizira chizolowezi, musayese kumwa mankhwala ochulukirapo kuti muthane ndi zotsatira za mankhwalawa. Izi zitha kubweretsa imfa.
- Kugona ndi kukhala maso: Mankhwalawa angakupangitseni kugona ndi chizungulire. Kugona kwanu kungasokonezeke. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Samalani mukadzuka: Kuti mupewe chizungulire ndi kukomoka, imirirani pang'onopang'ono mukadzuka pakukhala kapena kugona.
- Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Ngati mukuvutika ndi matumbo kwa masiku opitilira atatu, lankhulani ndi dokotala wanu.
- Dziwani za Naloxone: Naloxone ndi mankhwala opulumutsa moyo omwe angaperekedwe ngati munthu wamwa mankhwala owonjezera opioid. Dziwani zizindikiro za kumwa mankhwala owonjezera (kupuma pang'onopang'ono , kugona tulo tofa nato, kulephera kudzuka). Ngati mwapatsidwa mankhwala awa, uzani banja lanu ndi okondedwa anu komwe ali komanso momwe angawagwiritsire ntchito. Mukamaliza kumwa naloxone, munthu amene wakupatsani ayenera kuyimbira ambulansi yadzidzidzi.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, methadone ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| 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, kupuma movutikira, kugona tulo tochuluka, kusokonezeka, komanso kuvutika kudzuka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Chizungulire ndi kugona |
| Pakamwa pouma | Mutu |
| Kusanza ndi kusanza | Ululu, kufiira, kapena kutupa komwe kunabayidwa jakisoni. |
Uthenga Wopita Nawo Kunyumba
- Methadone ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pochiza ululu waukulu komanso kugwiritsa ntchito mankhwala osokoneza bongo a opioid. Ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuwayang'anira.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala aliwonse omwe mumamwa.
- Musagawire mankhwala awa ndi wina aliyense, ndipo muwasunge pamalo otetezeka omwe ana ndi ziweto sangawafikire.
- Dziwani zizindikiro za kumwa mankhwala osokoneza bongo (kupuma pang'onopang'ono, kugona tulo tofa nato). Ngati muwona chilichonse mwa izi, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) nthawi yomweyo.
- Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
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