Muganga wawe ashobora kuba yarakwandikiye uyu muti ku bubabare bukomeye bw'igihe kirekire kandi butarakemutse n'indi miti igabanya ububabare. Ibi ntabwo bimeze nk'imiti isanzwe igabanya ububabare. Niyo mpamvu ari ingenzi cyane kumenya neza uburyo bwo gukoresha iyi patch, icyo ishobora gukora, n'icyo ugomba kwitondera. Reka tubiganireho uyu munsi.
Uyu muti witwa Buprenorphine ni uwuhe?
Mu magambo make, Buprenorphine ni umuti ukoreshwa mu kugabanya ububabare bukomeye cyane kandi buhoraho. Ntabwo ukoreshwa mu kuvura ububabare butunguranye. Ni umuti ukora igihe kirekire. Ukora mu kubuza ibimenyetso ubwonko bwacu bwakira bitewe n'ububabare. Uyu muti ni uw'itsinda ry'imiti ikomeye igabanya ububabare yitwa 'Opioids' . Muri Sri Lanka, uboneka ku izina rya `Butrans`.
Ibintu ugomba kubwira muganga wawe mbere yo gukoresha iki gipapuro
Mbere yo kuguha iki gikoresho, muganga wawe agomba kumenya amateka y’ubuzima bwawe bwose. Menya neza ko umubwiye kimwe muri ibi bikurikira, cyane cyane:
| Imiterere/akamenyero | Ibisobanuro |
|---|---|
| Ibibazo bijyanye n'umutwe n'ubwonko | Indwara nk'ibibyimba byo mu bwonko, ibikomere byo mu mutwe, n'ibisebe. |
| Ibiyobyabwenge | Niba warigeze kunywa ibiyobyabwenge cyangwa kuba imbata yabyo cyangwa ukanywa inzoga kenshi. |
| Indwara z'ingingo z'imbere | Indwara z'umwijima, indwara y'agasabo k'inkari, indwara ya pancreas, imikorere mibi y'uturemangingo tw'inkende. |
| Umutima n'uburyo bwo guhumeka | Indwara z'umutima, umutima utera nabi, indwara z'ibihaha, asima cyangwa izindi ngorane zo guhumeka. |
| Gukoresha indi miti | Niba warafashe umuti wo mu itsinda rya `MAOI` (urugero: Marplan, Nardil) mu minsi 14 ishize. |
| Izindi ngingo | Niba utwite, ugerageza gutwita, cyangwa wonsa. Niba waragize ubwivumbure kuri buprenorphine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi. |
Ni gute neza neza nkoresha iki gikoresho?
Iki ni agace gashyirwa ku ruhu inyuma. Ni ngombwa cyane gukurikiza amabwiriza yo kugakoresha neza.
1. Guhitamo ahantu: Hitamo ahantu heza ho gushyira uruhu, humutse kandi hatavunitse. Ahantu heza ho gushyira uruhu ni ukuboko kw'inyuma hejuru y'urutugu, igituza cyo hejuru, umugongo wo hejuru, cyangwa uruhande rw'igituza. Ku muntu ufite ubumuga bwo mu mutwe, ni byiza gushyira uruhu ku mugongo wo hejuru, kuko bishobora kumugora kurwikuraho ubwe.
2. Gusukura uruhu: Oza ahantu watoranyije n'amazi gusa hanyuma uhasukure neza. Ntukigere ukoresha isabune, inzoga cyangwa amavuta yo kwisiga. Kubikora bishobora gutuma umuti mwinshi winjira mu mubiri kandi bikaba byangiza ubuzima. Niba hari ubwoya muri ako gace, kata ukoresheje imikasi, ariko ntugakoreshe urwembe.
3. Gushyiramo agace: Kuraho agace mu gipfunyika cyako hanyuma ukureho agapapuro karinda ku ruhande gafata. Ntugakate cyangwa ngo wangize agace. Kubikora bishobora gutuma ukoresha ibirenze urugero , bishobora gushyira ubuzima mu kaga. Ntugakore ku ruhande gafata ukoresheje intoki zawe. Kanda imbere mu kiganza cyawe hanyuma ugifate neza ku ruhu rwawe mu gihe cy'amasegonda 15. Hanyuma karaba intoki zawe neza ukoresheje isabune n'amazi.
4. Guhindura agace: Shyira agace gashya gusa nyuma yo gukuraho aka kera. Kagashyire ahandi hantu hatandukanye buri gihe. Ntugashyire ahantu hamwe inshuro nyinshi.
5. Niba agace gacitse: Niba impande z'agace gatangiye kuvaho, shyira agace k'ubutabazi bw'ibanze ku nkengero. Niba hari ikibazo kidashira cyo gukuraho, pfuka agace gafata ubutabazi bw'ibanze gusa (urugero: Bioclusive, Tegaderm). Ntugapfuke agace n'ikindi gitambaro cyangwa agapapuro.
Irinde abana n'amatungo!
Ndetse n'agace kakoreshejwe gashobora kuba karimo umuti. Gashobora kwica umwana cyangwa itungo rigashyira mu kanwa kabo cyangwa rikagashyira ku mubiri wabo. Ntugashyire agace aho abana bashobora kubibona. Nanone, ntukabyite "sticker" cyangwa "tatouage." Ibi bishobora gutuma abana babyigana.
Bite se nintakaza dose?
Niba wibagiwe guhindura agace kawe, shyiramo akandi gashya ukimara kwibuka. Ariko niba igihe cyo gufata agace kawe gakurikira kigeze, shyiramo ako kanya. Ntukigere ukoresha doze ebyiri icyarimwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)
Mu gihe ukoresha iki gikoresho, bwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata, cyane cyane niba unywa inzoga.
Imiti imwe n'imwe ishobora kugira ingaruka kuri iki gikoresho kandi igatera ingaruka mbi zikomeye. Urugero:
- Imiti imwe n'imwe ivura kwiheba, guhangayika, cyangwa gusinzira
- Imiti imwe n'imwe ivura allergies, inkorora, n'ibicurane (Antihistamines)
- Imiti imwe n'imwe irwanya udukoko (urugero: ketoconazole) na antibiyotike (urugero: erythromycin)
- Imiti imwe n'imwe ivura igicuri (urugero: carbamazepine)
- Imiti iruhura imitsi
- Inzoga
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe imiti yose ufata.
Ibintu ugomba kuzirikana mu gihe ukoresha agapapuro
- Ku bijyanye n'ububabare: Bwira muganga wawe niba ububabare bwawe butagiye bushira, burushaho kwiyongera, cyangwa niba ufite ubwoko bushya bw'ububabare. Uko igihe kigenda gihita, urugero wafataga mbere rushobora kuba rutagihagije kugira ngo rugenzure ububabare bwawe. Ibi byitwa 'Kwihanganira'. Ibi ni ibisanzwe.
- Guhagarika umuti: Ntugahagarike gukoresha umuti mu buryo butunguranye. Umubiri wawe ushingiye kuri uyu muti, bityo kuwuhagarika mu buryo butunguranye bishobora gutera ibimenyetso bikomeye byo kuwureka. Ibi si ukuba imbata. Nibiba ngombwa, muganga wawe azagabanya buhoro buhoro urugero rw'umuti.
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Rero, kugeza igihe umenye uko ibi bikugizeho ingaruka , ntugatware imodoka cyangwa ngo ukoreshe imashini. Ntugahaguruke uvuye mu mwanya wicaye cyangwa uhagaze giturumbuka.
- Kurya impatwe: Iyi ni ingaruka mbi zikunze kugaragara z'uyu muti. Niba udafite icyo urya mu nda mu gihe cy'iminsi 3, vugana na muganga wawe.
- Ubushyuhe bw'umubiri: Ibi ni ingenzi cyane. Iyo umubiri wawe ushyushye, imiti myinshi ishobora gusohoka mu gitambaro, bishobora gutuma unywa ibirenze urugero. Niba ufite umuriro, gana muganga wawe.Tuvuge. Ntugafate ubwiherero bushyushye, ntugume ku zuba, ntukoreshe sauna, cyangwa ibikoresho bishyushya. Irinde imyitozo ngororamubiri yongera ubushyuhe bw'umubiri.
- Mu gihe wafashe imiti irenze urugero: Niba ubona ko wafashe uyu muti urenze urugero, jya mu Ishami ryita ku Butabazi bw'Ibanze (ETU) ako kanya cyangwa uhamagare Ikigo cy'Igihugu gishinzwe Amakuru ku Burozi mu Bitaro by'Igihugu bya Colombo . Ibimenyetso byo gufata imiti irenze urugero birimo guhumeka buhoro , gusinzira cyane, no kunanirwa gukanguka. Vugana na muganga wawe ku miti ikiza ubuzima `Naloxone`, itangwa muri bene ibyo bihe.
Ni izihe ngaruka mbi nshobora kugira?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ihungabana ry'imitsi yo hagati (CNS depression) | Guhumeka buhoro cyangwa buhoro, gusinzira cyane, kutamenya, kugorwa no kubyuka. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, isereri, ububabare mu gituza. |
| Ibimenyetso by'indwara y'umwijima | Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, uruhu cyangwa amaso bigahinduka umuhondo, inkari zijimye. |
| Ubusanzwe ntabwo ari ikibazo gikomeye (ariko bwira muganga wawe niba kigikomeje) | |
Kurya impatwe, kuzungera, gusinzira, kuma mu kanwa, kuribwa umutwe, isesemi, kuruka, kuribwa cyangwa gutukura aho agace gashyirwa. | |
Ubutumwa bwo kujyana mu rugo
- Umuti wa buprenorphine ni umuti ukomeye ku bubabare bukomeye kandi buhoraho. Uwukoreshe gusa ukurikije inama za muganga wawe.
- Mu gihe ushyiramo agace k'uruhu, hitamo ahantu hasukuye, humutse kandi hatavunitse, karaba n'amazi gusa, hanyuma ushyiremo neza. Buri gihe shyiramo kandi ubibike kure y'abana n'amatungo.
- Uyu muti ushobora gutera gusinzira no kuzerera. Kubwibyo, irinde gutwara imodoka. Irinde kunywa inzoga burundu.
- Ubushyuhe bwinshi (umuriro, kwiyuhagira mu mazi ashyushye) bishobora gutuma agace k'umuti gafata imiti myinshi, ibyo bikaba byateza akaga. Witondere ibi cyane.
- Niba ugize ingaruka mbi zikomeye nko kugorwa no guhumeka, gusinzira cyane, cyangwa kutamenya, jya mu Kigo cyita ku Buvuzi bwihutirwa (ETU) vuba.
- Bwira muganga wawe indi miti yose ufata.
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