Ubusinzi bwa opioid ni ikintu gihindura ubuzima kandi kigoye. Ku bagerageza gukira ibi, cyangwa abatekereza gufasha umuntu ubirwaye, natekereje ko navuga ku buryo bwo kuvura buboneka mu buvuzi muri iki gihe. Uru ni urushinge rukora igihe kirekire rwitwa Buprenorphine. Uyu munsi, turaganira ku cyo rukora, uko rukoreshwa, n'ibintu byo kwitondera.
Mu magambo make, uru rushinge rwa Buprenorphine ni iki?
Buprenorphine ni umuti ukoreshwa mu kuvura indwara yo gukoresha opioid. By'umwihariko, ikora mu mubiri wawe kugira ngo igabanye ibimenyetso byo kureka kunywa opioid, nko kubabara umubiri no kubura amahoro, bikunze kubaho iyo uhagaritse gukoresha imiti ya opioid. Ifasha kandi kugenzura irari, ari na ryo rari ryo kongera gukoresha iyo miti.
Icy'ingenzi ni uko uru rukingo atari urukingo rwonyine, ahubwo ni uburyo bwo kuvura. Rugira akamaro cyane iyo rukoreshejwe hamwe n'ubujyanama n'ubuvuzi bw'imyitwarire . Ni nk'inkingi ifasha umuntu kugenda. Imbago irafasha, ariko ugomba gukora cyane kugira ngo ugende. Sublocade ni izina rizwi cyane ry'uyu muti.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira kuvurwa
Ni ngombwa ko umuganga wawe amenya neza uko ubuzima bwawe buhagaze kugira ngo amenye niba ubu buryo bugukwiriye kandi bufite umutekano. Kubwibyo, niba ufite kimwe mu bibazo biri hepfo, menya neza ko ubibwiye umuganga wawe nta kintu na kimwe uhisha .
| Indwara/akamenyero | Ibisobanuro |
|---|---|
| Ibibazo by'ubwonko, umutima n'ibihaha | Ikibyimba cyo mu bwonko, igikomere cyo mu mutwe, indwara y'umutima, umutima utera nabi, indwara y'ibihaha, asima cyangwa ibindi bibazo byo guhumeka. |
| Indwara ziterwa n'igifu | Indwara z'umwijima, indwara y'agasabo k'inkari, indwara ya pancreas, ibibazo byo mu mara. |
| Izindi ngeso z'ubuzima n'imico | Kuba imbata y'ibindi biyobyabwenge, kunywa inzoga kenshi, kudakora neza kw'uturemangingo tw'inkende, gucika intege. |
| Indi miti ifatwa | Niba warafashe umuti wa MAOI nka Marplan, Nardil, cyangwa Parnate mu minsi 14 ishize. |
| Allergies n'ibindi | Niba ufite ubwivumbure kuri buprenorphine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi. Niba utwite, ugerageza gutwita, cyangwa wonsa. |
Uru rukingo rutangwa rute?
Ibi ni ingenzi cyane. Uru rushinge rwa Buprenorphine ni urushinge rwo munsi y'umubiri. Ntuzigera wemererwa kurujyana mu rugo. Rutangwa gusa n'umuganga cyangwa umuforomo wabyigiye mu bitaro cyangwa ivuriro.
- Bite ho niba wabuze dose? Niba udashobora kuza ku dose wateganyije, ntukayireke igutere ikibazo. Hamagara muganga wawe cyangwa ivuriro ryawe ako kanya kugira ngo wongere igihe cyo kuyifata.
- Bite ho iyo dose yongerewe? Kubera ko ibi bitangwa na muganga, amahirwe yo kunywa ibirenze urugero aba make. Ariko, niba utekereza ko hari ikintu cyabaye, ugomba guhita ujya mu Kigo cyita ku Buvuzi bwihutirwa (ETU) cy’ibitaro biri hafi yawe . Ushobora kandi guhamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu Bitaro by’Igihugu bya Colombo kugira ngo ubagire inama niba bibaye ngombwa.
Uyu muti wanditswe kuri wewe gusa. Ntuwusangire n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ngombwa cyane kumenyesha muganga wawe imiti yose ufata, kuko imwe mu miti ishobora gutera ingaruka mbi iyo ivanze na Buprenorphine.
| Imiti idakwiye gufatwa hamwe | |
|---|---|
| Imiti nka Cisapride, Dronedarone, Pimozide, Safinamide, Samidorphan, Thioridazine. | |
| Witondere! Menya neza ko wabibwiye muganga wawe niba ufata ibi. | |
| Inzoga | Inzoga |
| Imiti ivura gusinzira no guhangayika | Imiti imwe n'imwe ivura guhangayika cyangwa gusinzira |
| Imiti yo kuvura indwara yo kwiheba | Imiti imwe n'imwe ivura indwara zo mu mutwe cyangwa ihungabana |
| Imiti ivura allergie, inkorora, n'ibicurane | Antihistamines zo kurwanya allergie, inkorora n'ibicurane |
| Amwe mu matiyopiya, imiti yica udukoko, n'imiti igabanya ubukana bw'indwara | Urugero: Erythromycin, Ketoconazole |
| Indi miti igabanya ububabare cyangwa opioid yo kuvura inkorora | Indi miti igabanya ububabare cyangwa inkorora |
Uru rutonde ntirwuzuye, bityo rero menya neza ko wabwiye muganga wawe imiti yose, vitamine, ndetse n'ibikomoka ku bimera ufata.
Ibintu ugomba kwitondera cyane mu gihe cyo kuvurwa
- Ntugafate indi miti ya opioid: Ntugagerageze gukoresha indi miti ya opioid (urugero: heroine) kugira ngo urwanye ingaruka z'uyu muti. Ibi ni bibi cyane ndetse bishobora no gutuma umuntu apfa.
- Ntugahagarike giturumbuka: Umubiri wawe uzamenyera uyu muti. Kuwuhagarika giturumbuka bishobora gutera ingaruka mbi zikomeye. Niba ukeneye guhagarika imiti, bikora ukurikije inama za muganga wawe, ugabanya buhoro buhoro urugero rw'umuti.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Rero irinde gukora imirimo iteje akaga nko gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye ingaruka bikugiraho.
- Irinde inzoga: Kunywa inzoga bishobora kongera ingaruka mbi z'imiti, cyane cyane gusinzira no guhumeka nabi.
- Kurya impatwe: Iyi ni ingaruka mbi zikunze kugaragara z'uyu muti. Nywa amazi menshi kandi urye ibiryo bikungahaye kuri fibre (imbuto, imboga). Niba udafite icyo urya nyuma y'iminsi 3, hamagara muganga wawe.
- Menya Naloxone: Naloxone ni umuti wihutirwa utanga mu gihe umuntu afashe imiti irenze urugero ya opioid. Baza muganga wawe ibi n'ibimenyetso by'umuti urenze urugero (gusinzira cyane, guhumeka nabi, guta ubwenge).
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni zikomeye, izindi ni izisanzwe.
| Ingaruka mbi zikomeye ugomba guhita umenyesha muganga wawe | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ihungabana ry'ubuhumekero (CNS depression) | Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gusinzira cyane, no guta ubwenge. |
| Gukomereka k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye/umukara, amaso cyangwa uruhu bigahinduka umuhondo. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, ububabare mu gituza. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibibazo bisanzwe | Kurya impatwe, kuzungera, gusinzira, kuma mu kanwa, kuribwa umutwe, isesemi, kuruka. |
| Kubabara aho bateye inshinge | Ububabare, gutukura, cyangwa kubyimba aho bateye urushinge. |
Ubutumwa bwo kujyana mu rugo
- Urushinge rwa Buprenorphine ni uburyo bwo kuvura ubusinzi bwa opioid. Rutangwa gusa na muganga mu bitaro cyangwa mu ivuriro.
- Mbere yo gutangira kuvurwa, ni ngombwa ko ubwira muganga wawe indwara zawe zose n'imiti yose ufata.
- Irinde inzoga n'indi miti ya opioid burundu mu gihe ufata uyu muti. Bishobora gushyira ubuzima mu kaga.
- Ntugahagarike kuvurwa mu buryo butunguranye utabanje kugirwa inama na muganga.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, gusinzira cyane, cyangwa urujijo, jya kwa muganga wita ku barwayi ba ETU byihutirwa.
- Ntabwo uri wenyine muri uru rugendo. Ubujyanama, hamwe n'ubuvuzi, bizagufasha cyane mu gutsinda ubu businzi.
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