Icyo ukeneye kumenya ku binini bya Codeine!

Hari igihe tugira ububabare bukomeye imiti isanzwe igabanya ububabare idatuma bugabanuka. Tekereza kuri ibyo, ububabare buterwa no kubagwa, cyangwa ububabare buterwa n'indwara zimwe na zimwe. Ni bwo abaganga rimwe na rimwe baguha iyi miti igabanya ububabare yitwa Codeine. None se, uyu muti ni iki, ukora ute, kandi ni izihe ngamba ugomba gufata mu gihe uwukoresha? Ibi birambuye gato, ariko ni ingenzi cyane ku buzima bwawe, bityo rero ni ngombwa kubisoma witonze.

Kodeyine ni iki?

Muri make, Codeine igabanya ububabare. Itangwa iyo indi miti igabanya ububabare idashoboye kugenzura ububabare, cyangwa niba udashobora kwihanganira indi miti. Uyu muti ukora mu kuziba ibimenyetso by'ububabare mu bwonko bwawe. Codeine iri mu bwoko bw'imiti yitwa opioid . Ikunze gukoreshwa mu kuvura ububabare bukomeye.

Hari igihe uyu muti ushobora gukoreshwa mu bindi bintu, bityo niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe cyangwa umuntu wo muri farumasi.

Ni iki nabwira muganga mbere yo gufata uyu muti?

Mbere yo gutangira gufata kodeine, hari ibintu bike ugomba kubwira muganga wawe. Ntukabihishe kuko bishobora kugira ingaruka ku buzima bwawe.

Niba ufite kimwe muri ibi bibazo, bwira muganga wawe ibi bikurikira:

• Niba ufite ikibyimba cyo mu bwonko .
• Niba uri umuntu unywa ibiyobyabwenge (gukoresha nabi ibiyobyabwenge cyangwa kubikoresha nabi) , cyangwa se warigeze kubikora mu bihe byashize.
• Niba warakomeretse ku mutwe .
• Niba ufite indwara y'umutima .
• Niba ukunda kunywa inzoga buri gihe .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Imikorere mike y'uturemangingo tw'inkende .
• Niba ufite indwara y'ibihaha, asima, cyangwa ibibazo byo guhumeka .
• Niba ufite indwara yo gucika intege .
• Niba ufite ibibazo byo mu gifu cyangwa mu mara .
• Niba warafashe umuti witwa MAOI (Monoamine Oxidase Inhibitor), urugero nka Marplan, Nardil, cyangwa Parnate, mu minsi 14 ishize. Ibi ni ingenzi cyane.
• Niba warigeze kugira ikibazo kidasanzwe cyangwa kidasanzwe kuri kodeyine, undi muti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe.
• WoweNiba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Mu kukubwira ibi bintu neza gusa, ni bwo muganga azabasha gufata icyemezo niba uyu muti ukubereye cyangwa utakubereye, n'uko ukwiye gutangwa.

Ni gute ukoresha uyu muti neza?

Uyu muti ugomba gufatwa unyobwa, hamwe n'ikirahure cy'amazi. Niba umuti usa n'aho ugoye mu nda, fata hamwe n'ibiryo cyangwa amata make. Ufate neza neza nk'uko byavuzwe ku rupapuro rwa muganga. Ntugafate ibirenze urugero rwanditswe.

Iyo farumasi iguhaye uyu muti, izaguha agapapuro k'amakuru yihariye (MedGuide) . Ni ngombwa kuyisoma witonze igihe cyose uhawe umuti wongeramo cyangwa wongeramo. Irimo amakuru y'ingenzi cyane kuri uyu muti.

Vugana na muganga wawe ku bijyanye no guha abana uyu muti . Uyu muti ntusabwa ku bana bari munsi y'imyaka 12. Nanone, ntugahe umwana uri munsi y'imyaka 18 uyu muti nyuma yo kubagwa kugira ngo ukureho tonsils na/cyangwa adenoids. Ibi ni ingenzi cyane, kuko bishobora guteza ingaruka mbi zikomeye ku bana.

Kunywa umuti urenze urugero: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse. Uyu si umukino, ushobora gushyira ubuzima mu kaga.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu uwo ari we wese. Nubwo waba ukubereye, ushobora kwangiza undi muntu.

Bite se nintakaza dose?

Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose ikurikira hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri cyangwa zirenzeho. Kubikora byongera ibyago byo kugira ingaruka mbi.

Imiti ishobora kugira ingaruka kuri Codeine

Iki ni igice cy'ingenzi cyane. Kodeyine ni umuti ushobora kugira ingaruka ku yindi miti. Ibi bivuze ko iyo ufashwe n'indi miti, ingaruka za Kodeyine zishobora guhinduka cyangwa zigatera ingaruka mbi.

Ntugafate codeine hamwe n'uyu muti!

Ntukigere ufata Codeine hamwe n'imiti ikurikira:

• Linezolide
• Imiti ya MAOI (MAOI nka Marplan, Nardil, na Parnate) - Ibi byavuzwe mbere.
• Ubururu bwa Methylene
• Ozanimod
• Samidorphan
• Tedizolide

Kodeine ishobora kugira ingaruka kuri uyu muti.

Kodeyine ishobora kugira ingaruka ku miti ikurikira. Kubwibyo, menya neza ko wabibwiye muganga wawe niba ufata imwe muri iyi miti.

• Inzoga: Kunywa codeine hamwe n'inzoga bishobora kongera gusinzira, isereri, no kugorwa no guhumeka.
• Imiti imwe n'imwe ivura allergies, inkorora, n'ibicurane (Antihistamines): Iyi miti itera gusinzira, ishobora kwiyongera iyo ifashwe na codeine.
• Atropine
• Amwe mu matibayotike , urugero nka erythromycin, clarithromycin, rifampin.
• Imiti imwe n'imwe igabanya ubukana bwa virusi itera SIDA cyangwa umwijima.
• Imiti imwe n'imwe ivura guhangayika cyangwa gusinzira.
• Imiti imwe n'imwe ivura ibibazo by'inkari, urugero nka oxybutynin, tolterodine.
• Imiti imwe n'imwe ivura indwara yo kwiheba, urugero nka amitriptyline, bupropion, fluoxetine, paroxetine, sertraline.
• Imiti imwe ikoreshwa mu kuvura indwara z’ibihumyo, urugero nka ketoconazole, itraconazole, na posaconazole.
• Imiti imwe n'imwe ikoreshwa mu kuvura umutwe uterwa n'umutwe witwa migraine, urugero, almotriptan, eletriptan, na sumatriptan.
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara ya Parkinson, urugero nka benztropine na trihexyphenidyl.
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe, urugero nka carbamazepine, phenobarbital, na phenytoin.
• Imiti imwe n'imwe ivura indwara zo mu gifu, urugero nka dicyclomine na hyoscyamine.
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara yo kugenda, nka scopolamine.
• Imiti igabanya ubukana bw'inkari ( imiti ituma inkari nyinshi zisohoka).
• Imiti igabanya ububabare ikoreshwa mu gihe cyo kubaga, urugero, halothane na propofol.
• Ipratropium.
• Imiti iruhura imitsi yo kubagwa.
• Izindi miti igabanya ububabare ya opioid.
• Phenothiazine, urugero nka chlorpromazine, thioridazine.
• Quinidine.

Uru rutonde ntirwuzuye.Bwira muganga wawe imiti yose, ibyatsi, imiti idasaba muganga, vitamine, n'inyongeramusaruro ufata. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka kuri uyu muti.

Ibintu ugomba kuzirikana mugihe ufata uyu muti

Hari ibintu bike ugomba kwitondera mugihe ufata codeine:

• Niba ububabare bwawe budashira, niba burushijeho kwiyongera, cyangwa niba ugize ubundi bwoko bw'ububabare, bwira muganga wawe.
• Uko igihe kigenda gihita , umubiri wawe ushobora kwihanganira imiti. Ibi bivuze ko igipimo wafataga mbere gishobora kuba kidahagije kugira ngo ugabanye ububabare bwawe. Ibi ni ibisanzwe, cyane cyane niba umaze igihe kinini ufata uyu muti. Muganga wawe azahindura igipimo cyawe uko bikwiye.
• Iyo ufashe ubwoko butandukanye bw'imiti igabanya ububabare yitwa opioids icyarimwe, ushobora kugira ingaruka mbi nyinshi. Bwira muganga wawe imiti yose ufata. Azakubwira ingano yo gufata. Ntugafate ibirenze ibyo muganga wawe akubwira. Niba ufite ikibazo cyo guhumeka, hita ushakisha ubuvuzi bwihutirwa.
• Ntureke gufata uyu muti mu buryo butunguranye. Kubikora bishobora gutera ingaruka zikomeye . Ibi biterwa nuko umubiri wawe utangiye kumenyera umuti. Ibi ntibivuze ko uri imbata, sibyo? Ubusinzi ni igihe ukoresha umuti udafite impamvu z'uburwayi. Niba ubabara, ufite impamvu z'uburwayi zo gufata imiti igabanya ububabare. Muganga wawe azakubwira ingano y'umuti ugomba gufata. Muganga wawe nashaka ko uhagarika gufata umuti, azagabanya buhoro buhoro umuvuduko kugira ngo agabanye ingaruka mbi.
• Vugana na muganga wawe ibyerekeye naloxone n'uko wayifata. Naloxone ni umuti wihutirwa utangwa mu gihe wafashe opioid irenze urugero . Kunywa opioid nyinshi cyangwa kuyifata hamwe n'ibindi bintu nk'inzoga bishobora gutera kunywa inzoga irenze urugero. Menya ibimenyetso by'uko wafashe iyi miti irenze urugero, nko kunanirwa guhumeka, umunaniro ukabije cyangwa gusinzira, no kudakira. Bwira umuryango wawe n'abakwitaho aho uyu muti uri n'uko uwukoresha. Umaze guhabwa naloxone, ugomba guhita ujya kwa muganga. Ni ubuvuzi bw'igihe gito gusa. Ushobora gukenera gutanga doze nyinshi.
• Abana bashobora kuba bafite ibyago byinshi byo kugira ingaruka mbi. Niba umwana wawe ahumeka buhoro, avuza urusaku mu gihe ahumeka, afite urujijo, cyangwa asinziriye mu buryo budasanzwe,Hagarika gutanga uyu muti ako kanya, shakisha ubufasha bwihutirwa ku muganga.
• Ushobora kumva usinziriye cyangwa uzumva . Rero, kugeza igihe umenye uko uyu muti ukugiraho ingaruka , ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba ubwenge. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu za bukuru. Ibi bishobora kugabanya ibyago byo kuzumva no gucika intege. Kunywa inzoga bishobora kubangamira uburyo uyu muti ukora. Rero, irinde kunywa inzoga.
• Uyu muti ushobora gutera impatwe . Niba udafite icyo ukora nyuma y'iminsi 3, hamagara muganga wawe .
• Mu kanwa kawe hashobora kuba hari umunutse . Guhekenya ishinya ridafite isukari, kunywa bombo ikomeye idafite isukari, no kunywa amazi menshi bishobora gufasha mu kubirwanya. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, vugana na muganga wawe .

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Nk’uko imiti yose imeze, codeine ishobora gutera ingaruka zimwe na zimwe. Imwe ni mbi cyane, indi ikaba isanzwe.

Ingaruka mbi ugomba guhita ubibwira muganga wawe

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe vuba bishoboka:

• Indwara zo kugira ubwivumbure bw'uruhu - uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Guhumeka buhoro cyangwa buhoro, guhumeka nabi, kumva nta cyo ushoboye, isereri, urujijo, ingorane zo kuguma uri maso.
• Imikorere mibi y’uturemangingo tw’intanga ngore - isesemi, kuruka, kubura ubushake bwo kurya, intege nke cyangwa umunaniro udasanzwe, isereri.
• Umuvuduko w'amaraso uri hasi — isereri, kumva nta cyo ushoboye cyangwa ufite umutwe uhagaze neza, kutabona neza.

Ingaruka mbi akenshi zidasaba inama kwa muganga, ariko zigomba kugaragazwa niba zikomeje

Izi ngaruka mbi akenshi ntizisaba ubuvuzi. Ariko, niba zikomeje cyangwa zikakubangamira, bwira muganga wawe :

• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Umutwe
• Isesemi
• Kuruka

Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Baza muganga wawe inama ku ngaruka mbi.

Ni gute wabika uyu muti mu buryo butekanye?

Ibi ni ingenzi cyane. Kodeyine ni umuti ushobora guteza akaga iyo udakoreshejwe neza.

• Bika uyu muti ahantu abana n'amatungo batagera. Uyu muti ushobora gukoreshwa nabi. Kubwibyo, uwubike ahantu hatekanye kugira ngo uwurinde ubujura. Ntuwuhe undi muntu uwo ari we wese. Uyu muti ni uwo gukoresha wowe ubwawe gusa. Kugurisha cyangwa guha undi muntu uyu muti ni akaga gakomeye kandi binyuranyije n'amategeko.
• Bika ku bushyuhe bw'icyumba (dogere selisiyusi 20 kugeza 25, dogere selisiyusi 68 kugeza 77). Rinda urumuri n'ubushuhe. Icupa ry'umuti/agapaki kawe gafunze neza.
• Tata umuti wose usigaye nyuma y'itariki ntarengwa.

Uyu muti ushobora kwangiza cyangwa ukaba wakwica iyo ufashwe n'undi muntu mukuru, umwana, cyangwa itungo. Kubwibyo, ni ngombwa cyane kujugunya umuti neza igihe utagikenewe cyangwa wararangiye. Hari uburyo bubiri bwo kubikora:

* Baza farumasi cyangwa ikigo gishinzwe iyubahirizwa ry'amategeko niba hari gahunda yo gufata imiti .

* Niba ibi bidashoboka, jugunya nk'uko byavuzwe mu gapapuro k'amakuru yihariye (MedGuide) wakiriye.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Codeine ni umuti ugabanya ububabare ukomeye, bityo rero zirikana ibi bikurikira:

• Fata ingano gusa muganga wawe akubwira gufata. Ntukigere ufata izindi.
• Bwira muganga wawe indi miti yose ufata n'indwara iyo ari yo yose ufite.
• Ntugafate uyu muti hamwe n'inzoga.
• Umuti ushobora gutuma usinziriza, bityo rero witondere igihe utwaye imodoka cyangwa ukoresha imashini.
• Bibike ahantu hatekanye, kure y'abana n'amatungo.
• Ntugahagarike gufata umuti mu buryo butunguranye. Baza muganga wawe.
• Mu gihe urengeje urugero rw'umuti, shaka ubufasha bwihutirwa. Menya neza Naloxone.

Uru rupapuro rw'amakuru ni incamake gusa. Rushobora kuba rudafite ibisobanuro byose. Niba ufite ibindi bibazo kuri uyu muti, baza muganga wawe, umufarumasiye, cyangwa umuvuzi wawe. Ubuzima bwawe ni ingenzi kuri wowe nk'uko budufitiye akamaro!

Kodeyine , imiti igabanya ububabare, opioid, imiti, ingaruka mbi, ubuzima