Kodi dokotala wanu wakupatsani mapiritsi a methadone chifukwa chakuti muli ndi ululu waukulu, wa nthawi yayitali kapena chifukwa chakuti simungathe kulekerera mankhwala ena ochepetsa ululu? Kapena mukugwiritsa ntchito mankhwalawa kuti akuthandizeni kuthetsa chizolowezi chanu cha opioid? Kaya chifukwa chake ndi chiyani, mankhwalawa ndi amphamvu kwambiri, choncho ndikofunikira kuwadziwa ndikuwagwiritsa ntchito mosamala. Choncho tiyeni tikambirane za izi mosavuta komanso mwaulemu lero.
Kodi Methadone kwenikweni ndi chiyani?
Mwachidule, methadone ndi mankhwala omwe amagwiritsidwa ntchito pazinthu ziwiri zazikulu.
1. Lamulirani ululu waukulu komanso wosatha: Madokotala amalemba izi pa ululu waukulu komanso wokhalitsa womwe sungathetsedwe ndi mankhwala ochepetsa ululu wamba. Zimagwira ntchito poletsa zizindikiro za ululu kufika muubongo.
2. Monga chithandizo cha chizolowezi cha opioid: Mankhwalawa amathandiza kuchepetsa zizindikiro zosiya kumwa mankhwala osokoneza bongo komanso chilakolako cha mankhwala osokoneza bongo pamene munthu ali ndi chizolowezi cha opioid, monga heroin. Komabe, chithandizochi chimakhala chothandiza kwambiri chikaphatikizidwa ndi uphungu ndi chithandizo cha khalidwe .
Methadone ndi mankhwala omwe ali m'gulu la mankhwala otchedwa opioids.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Kuti mukhale otetezeka, ndikofunikira kwambiri kuuza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi musanayambe kugwiritsa ntchito methadone. Izi ndizofunikira kwambiri.
| Mtundu wa mikhalidwe | Zomwe muyenera kudziwa |
|---|---|
| Mavuto okhudzana ndi ubongo | Zinthu monga kuvulala mutu, chotupa cha muubongo, kapena khunyu. |
| Matenda a mtima | Mtundu uliwonse wa matenda a mtima kapena zovuta za mtima. |
| Mavuto a dongosolo la kupuma | Mphumu, matenda a m'mapapo, kapena kuvutika kupuma. |
| Mavuto ena azaumoyo | Matenda a chiwindi, matenda a impso, matenda a chithokomiro, kuchepa kwa ntchito ya adrenal gland, kuthamanga kwa magazi, mavuto a m'mimba. |
| Moyo ndi mankhwala ena | Uzani dokotala wanu ngati mumamwa mowa nthawi zonse, mumagwiritsa ntchito mankhwala ena osokoneza bongo kapena mankhwala ena, muli ndi matenda amisala, kapena mwamwa mankhwala oletsa kuvutika maganizo a MAOI (monga Parnate) m'masabata awiri apitawa. |
| Matenda a ziwengo | Ngati muli ndi vuto la methadone, mankhwala ena ochepetsa ululu a opioid, mankhwala ena, zakudya, kapena zotetezera. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. |
Mankhwalawa ayenera kugwiritsidwa ntchito moyenera.
Imwani mankhwalawa ndi kapu ya madzi. Ngati mukumva kupweteka m'mimba, imwani ndi chakudya kapena mkaka. Chofunika kwambiri ndikumwa mlingo womwe dokotala wanu wakupatsani. Musamwe mankhwala opitirira muyeso womwe wakupatsani.
Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, musachedwe kuyimbira foni ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Izi zitha kukhala njira yopulumutsira moyo.
Mudzalandira kabuku kapadera kodziwitsa anthu za mankhwala anu (`MedGuide`) mukapatsidwa. Nthawi zonse werengani mosamala.
Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense pazifukwa zilizonse. Ndi owopsa kwambiri komanso osaloledwa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Kuyanjana ndi mankhwala ena
Methadone imatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera). Komanso, onetsetsani kuti mwauza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena.
Makamaka, muyenera kupewa kumwa methadone pamodzi ndi mankhwala otsatirawa:
- Mankhwala ena a matenda a bowa (monga ketoconazole)
- Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a mtima (monga quinidine, dronedarone)
- Mankhwala monga `Cisapride`, `Pimozide`, `Thioridazine`
Kuwonjezera pa mndandandawu, methadone imatha kuyanjana ndi mankhwala ena ambiri (monga mankhwala oletsa kuvutika maganizo, mapiritsi ogonetsa, mankhwala a HIV/AIDS, ndi maantibayotiki ena). Chifukwa chake, ndikofunikira kupatsa dokotala wanu kufotokozera kwathunthu.
Zinthu Zofunika Kuziganizira Mukamamwa Methadone
Musasiye kumwa mankhwala mwadzidzidzi!
Thupi lanu limazolowera mankhwala awa. Chifukwa chake, ngati musiya kumwa mwadzidzidzi, mungakhale ndi vuto lalikulu. Ngati mukufuna kusiya kumwa mankhwalawo, chitani izi pokhapokha mutalangizidwa ndi dokotala, komanso pochepetsa pang'onopang'ono mlingo .
Kugona ndi kuyendetsa galimoto
Mankhwalawa angakupangitseni kumva tulo, chizungulire, komanso kusokoneza luso lanu lopanga zisankho. Chifukwa chake, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Chiwopsezochi chimawonjezeka ngati mumwa mankhwalawa ndi mowa.
Dziwani za Naloxone
Naloxone ndi chithandizo chadzidzidzi chomwe chimaperekedwa kuti chichepetse zotsatira za kumwa mankhwala osokoneza bongo a opioid. Zizindikiro za kumwa mankhwala osokoneza bongo zimaphatikizapo kupuma pang'onopang'ono kapena pang'ono, kugona tulo tofa nato, komanso kulephera kudzuka. Kuuza banja lanu ndi okondedwa anu za zizindikirozi, komanso komwe Naloxone ili komanso momwe mungaigwiritsire ntchito, kungapulumutse moyo. Mukamaliza kumwa Naloxone, muyenera kuyimbira ambulansi nthawi yomweyo.
Mfundo zina zofunika
- Kudzimbidwa: Kudzimbidwa kumachitika kawirikawiri ndi mankhwalawa. Ngati simunachite chimbudzi kwa masiku atatu, lankhulani ndi dokotala wanu.
- Pakamwa pouma:Ngati pakamwa panu pali pouma, kutafuna chingamu chopanda shuga, kuyamwa maswiti osatsekemera, ndi kumwa madzi ambiri kungathandize.
- Mimba: Lankhulani ndi dokotala wanu ngati mukukonzekera kutenga pakati kapena mukuganiza kuti mwina muli ndi pakati. Kumwa mankhwalawa panthawi ya mimba kungayambitse mavuto aakulu obadwa nawo mwa mwana wanu.
Zotsatirapo zoyipa za mankhwalawa
| 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, chizungulire chachikulu, kumva kukomoka, komanso kuvutika kukhala maso. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, kupweteka pachifuwa, kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kumva kufooka, kusawona bwino. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Pakamwa pouma |
| Chizungulire | Mutu |
| Kugona tulo | Kusanza kapena kusanza |
Kodi mungasunge bwanji mankhwala otetezeka?
Mankhwala awa ndi amphamvu kwambiri , choncho sungani pamalo otetezeka omwe ana ndi ziweto sangafikire . Popeza mankhwalawa amatha kugwiritsidwa ntchito molakwika, sungani pamalo omwe angatetezedwe ku kuba.
Ndikofunikira kutaya mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito bwino. Aperekeni kumalo ovomerezeka otayira mankhwala. Ngati izi sizingatheke, atulutseni m'chimbudzi.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani methadone monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira mlingo woyenera.
- Musagawire mankhwala awa ndi wina aliyense pazifukwa zilizonse. Ndi owopsa kwambiri komanso osaloledwa.
- Patsani dokotala wanu mndandanda wathunthu wa mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Dziwani zizindikiro za kumwa mankhwala osokoneza bongo ndipo dziwitsani banja lanu za Naloxone kuti mugwiritse ntchito ngati pakufunika kutero.
- Ngati mwamwa mankhwala ochulukirapo mwangozi, pitani ku National Poison Information Centre kapena ku chipatala chapafupi cha Emergency Department (ETU).
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