Fentanyl Skin Patch igufasha kubabara cyane? Reka turebe neza icyo ari cyo!

Ushobora kuba uhanganye n'ububabare bukomeye kandi bw'igihe kirekire. Muri ibyo bihe, imiti igabanya ububabare isanzwe ishobora kudakora neza, cyangwa se ntushobora kuyikoresha. Ni bwo abaganga bakugira inama yo gukoresha fentanyl patch. Iyi ni imiti ikomeye cyane igabanya ububabare.

Uyu muti ni uwuhe?

Muri make, Fentanyl ni umuti uhabwa ububabare bukomeye cyangwa igihe kirekire. Ubu bubabare budakira kandi twita ububabare buhoraho. Tekereza kuri ubu bubabare igihe wumva udashobora kwihanganira indi miti igabanya ububabare cyangwa igihe udashobora kwihanganira ububabare. Bukora mu guhagarika ibimenyetso by'ububabare bijya mu bwonko bwawe. Uyu muti ni uwo mu bwoko bw'imiti yitwa opioid .

Uyu ni umuti ugabanya ububabare ukora igihe kirekire . Ibi bivuze ko umuti winjira mu mubiri buhoro buhoro kandi ukagenzura ububabare. Ni ngombwa kwibuka ko uyu muti udakoreshwa mu kubabara cyane bitunguranye.

Hari igihe uyu muti ushobora gukoreshwa no mu bindi bintu. Niba ufite ikibazo kuri ibi, ni byiza kubaza muganga wawe cyangwa umufarumasiye. Irindi zina rizwi cyane kuri uyu muti ni Duragesic.

Ni iki ugomba kubwira itsinda ryawe ry'abaganga?

Mbere yo gutangira gukoresha uyu muti, ugomba kubwira itsinda ry’abaganga bawe (ni ukuvuga abaganga n’abaforomo) ibintu bike. Kubera ko uyu muti udakwiriye buri wese, bagomba kumenya niba ufite kimwe muri ibi bikurikira:

• Ufite ikibyimba cyo mu bwonko?
• Ese warigeze cyangwa warigeze gukoresha ibiyobyabwenge cyangwa kuba imbata yabyo?
• Ese waba waragize ikibazo mu mutwe?
• Urwaye indwara y'umutima?
• Ese unywa inzoga buri gihe?
• Urwaye impyiko?
• Urwaye umwijima?
• Ese ufite indwara y'ibihaha, asima, cyangwa ibibazo byo guhumeka?
• Ese wigeze ugira ibisebe mbere?
• Ufite ibibazo byo mu gifu cyangwa mu mara?
• Ese wigeze ukoresha umuti witwa MAOI (urugero, Marplan, Nardil, cyangwa Parnate) mu minsi 14 ishize?
• Ese wigeze ugira ikibazo kidasanzwe cyo kugira ubwivumbure kuri fentanyl, indi miti, ibiryo, amarangi, cyangwa imiti irinda ubushyuhe?
• Uratwite? Cyangwa urimo gushaka gutwita?
• Urimo konsa?

Ni ingenzi cyane kuvuga ibi bintu utarinze kubihisha, kuko ni ko ushobora kuvurwa mu mutekano.

Uyu muti nkwiye kuwukoresha nte?

Uyu muti ni uwo gukoreshwa inyuma gusa. Bivuze ko udashobora gufatwa mu kanwa cyangwa ngo unyorwe mu bundi buryo ubwo aribwo bwose. Ese nibyo?

Uku ni ko gukoresha agace k'umukandara:

Ubwa mbere, hitamo ahantu humutse kandi hasukuye hejuru y'ikibuno cyawe, igituza, cyangwa umugongo. Ku bana bato cyangwa abantu batazi neza, ni byiza guhitamo ahantu badashobora gukuraho icyo gitambaro byoroshye. Urugero, igice cyo hejuru cy'umugongo ni cyo cyiza. Ntugashyire icyo gitambaro ku ruhu rufite amavuta, rwashaririye, rwahiye, rwaciwe, cyangwa rwangiritse . Koresha amazi gusa kugira ngo usukure uruhu. Ntugakoreshe isabune cyangwa inzoga kugira ngo usukure uruhu. Kubikora bishobora kongera imikorere y'umuti. Niba hari ubwoya ku gice ugomba gusigwa, gabanya ukoresheje imikasi, ariko ntukogoshe ukoresheje urwembe . Ntugace cyangwa ngo wangize icyo gitambaro. Ni bibi cyane gukoresha icyo gitambaro cyaciwe cyangwa cyangiritse , kuko bishobora gutuma umuti winjira mu mubiri cyane.

Kuraho agapapuro mu gipfunyika cyako hanyuma ukureho agapapuro karinda ku ruhande rw'agapapuro. Ntugakoreshe agapapuro niba agapapuro cyangwa inyuma y'agapapuro byangiritse. Ntugakore ku ruhande rw'agapapuro n'intoki zawe. Shyira uruhande rw'agapapuro ku ruhu hanyuma ukande cyane mu gihe cy'amasegonda 30. Hanyuma oza intoki zawe ako kanya n'isabune n'amazi .

Ugomba kwitonda cyane ahantu hari abana bato.

Bika agace gato kure y'abana. Ntukareke abana bakubona ushyira agace gato, kandi ntugashyire aho abana bashobora kubibona. Ntukavuge aka gace ko gushushanya 'sticker', 'tatouage' cyangwa 'bandage'. Kubikora bishobora gutuma abana bakwigana. Agace kakoreshejwe karacyarimo imiti . Iyo umwana muto cyangwa itungo rishyize agace kakoreshejwe mu kanwa kabo cyangwa rikagashyira ku mubiri wabo, ingaruka mbi zikomeye cyangwa ndetse n'urupfu bishobora kubaho.

Ugomba kwibuka ibi bintu mu gihe uhindura uduce:

Mbere yo gushyiramo agace gashya, ugomba gukuramo agace gashaje . Shyira buri gace gashya ahantu hatandukanye, atari ahantu hamwe wagashyize mbere. Niba agace gaturutse, cyangwa niba gatera umutuku cyangwa uburyaryate, kakureho hanyuma ushyire agace gashya ahandi. Niba impande z'agace gatangiye kuvaho, shyiramo kaseti y'ubutabazi bw'ibanze ku mpande. Niba ukomeje kugira ikibazo cy'uko agace kadafata neza, shyiramo agapfundikizo gasobanutse (nka Bioclusive cyangwa Tegaderm) hejuru y'agace. Ntuzigere upfuka agace n'ikindi gipfundikizo cyangwa kaseti.

Farumasi izaguha 'MedGuide' yihariye igihe uzaba umaze kubona imiti yawe n'igihe uzaba ugiye kuyigura. Ni ngombwa cyane gusoma no gusobanukirwa amakuru arimo witonze .

Vugana n'itsinda ry'abaganga ku bijyanye no guha uyu muti abana bato. Mu bihe bimwe na bimwe byihariye, ushobora guhabwa abana bafite imyaka 2, ariko hari ingamba zo kwirinda.

Bigenda bite iyo ufashe imiti myinshi? (Ingano irenze urugero)

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse. Iki ni ikibazo cyihutirwa, ntutinde.

Uyu muti ni uwawe gusa. Ntuwusangire n'undi muntu uwo ari we wese.

Bite se nintakaza dose?

Niba wabuze agace gato, kashyiremo ako kanya ubyibuka. Ariko niba igihe cyo gufata agace gato kawe kigeze, kashyiremo ako kanya. Ntugakoreshe doze ebyiri cyangwa doze z'inyongera.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Hari imiti imwe n'imwe ishobora guteza ibibazo iyo ifashwe hamwe n'iyi fentanyl patch. Ibi bivuze ko hari amahirwe ko ingaruka mbi zishobora kwiyongera cyangwa imikorere y'umuti igahinduka.

Ntugakoreshe Fentanyl hamwe n'iyi miti:

• Mifepristone
• Safinamide
• Samidorphan

Iyi miti ishobora kandi kugira ingaruka kuri Fentanyl:

• Inzoga
• Ubwoko bw'imiti igabanya ububabare mu mubiri (antihistamines) ivura indwara z'ubwivumbure, inkorora n'ibicurane
• Atropine
• Amwe mu matibayotike, urugero nka clarithromycin, erythromycin, linezolid, rifampin
• Imiti imwe n'imwe igabanya ubukana bwa virusi itera SIDA cyangwa umwijima
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
• Imiti imwe n'imwe ivura ibibazo by'inkari, nka oxybutynin na tolterodine
• Imiti imwe n'imwe ivura indwara yo kwiheba, nka amitriptyline, fluoxetine, sertraline, mirtazapine, trazodone
• Imiti imwe n'imwe ivura indwara z'ibihumyo, nka ketoconazole, itraconazole, posaconazole
• Imiti imwe n'imwe ikoreshwa mu kuvura umutwe uterwa n'umutwe witwa migraine, nka almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
• Imiti imwe n'imwe ivura isesemi cyangwa kuruka, nka dolasetron, granisetron, ondansetron, palonosetron
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara ya Parkinson, urugero nka benztropine, trihexyphenidyl
• Imiti imwe n'imwe ivura indwara zo mu mutwe, nka carbamazepine, phenobarbital, phenytoin, primidone
• Imiti imwe n'imwe ivura ibibazo byo mu gifu, urugero nka dicyclomine, hyoscyamine
• Imiti imwe ikoreshwa mu kuvura indwara y'ingendo, nka scopolamine
• Imiti igabanya ubukana bw'amaraso (Diuretics)
• Imiti igabanya ububabare muri rusange, urugero: halothane, isoflurane, methoxyflurane, propofol
• Ipratropium
• Imiti ya MAOI, nka Marplan, Nardil, Parnate
• Imiti iruhura imitsi
• Ubururu bwa Methylene
• Izindi miti igabanya ububabare cyangwa inkorora
• Phenothiazine, urugero: chlorpromazine, mesoridazine, prochlorperazine, thioridazine

Uru rutonde rushobora kuba rutuzuye. Bwira itsinda ryawe ry’ubuvuzi imiti yose, ibyatsi, imiti idasaba muganga, cyangwa inyongeramusaruro ufata. Nanone, babwire niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n’amategeko. Hari ibintu bishobora kugira ingaruka kuri uyu muti.

Ibintu ugomba kwitondera mu gihe ukoresha uyu muti

Bwira itsinda ry'abaganga niba ububabare bwawe butarangiye, niba burushijeho kwiyongera, cyangwa niba ufite ubwoko bushya cyangwa butandukanye bw'ububabare.

Ukwihanganirana

Ushobora kwanga uyu muti. 'Kwihanganira' bivuze ko ukeneye ingano iri hejuru y'umuti wafataga mbere kugira ngo ugabanye ububabare nk'ubwo. Ibi ni ibisanzwe kandi ni ibisanzwe iyo ukoresheje uyu muti igihe kirekire.

Ntugahagarike gufata umuti mu buryo butunguranye.

Ntureke gufata uyu muti mu buryo butunguranye. Kubikora bishobora gutera ingaruka zikomeye. Ibi biterwa nuko umubiri wawe utangiye kumenyera uyu muti. Ibi ntibivuze ko uri imbata y'uyu muti. Ubusinzi ni imyitwarire isaba gufata no gukoresha umuti ku mpamvu zitari iza muganga. Niba ubabara, ufite impamvu z'ubuvuzi zo gufata imiti igabanya ububabare. Itsinda ry'abaganga bazakubwira ingano y'umuti ugomba gufata. Niba bashaka ko uhagarika gufata uyu muti, bazagabanya buhoro buhoro umuvuduko kugira ngo hirindwe ingaruka mbi.

Witondere indi miti igutera gusinzira.

Niba ufata indi miti igutera gusinzira, nk'indi miti igabanya ububabare, benzodiazepines, cyangwa indi miti itera gusinzira, ushobora kugira ingaruka mbi nyinshi. Ha itsinda ry'abaganga urutonde rw'imiti yose ufata. Bazakubwira ingano yo gufata. Ntugafate irenze urugero rw'umuti wagenwe. Niba ufite ikibazo cyo guhumeka, wumva unaniwe bidasanzwe, cyangwa usinziriye,Hamagara serivisi zihutirwa ako kanya.

Menya neza Naloxone

Vugana n'itsinda ry'abaganga ku bijyanye na naloxone n'uko wayihabwa. Naloxone ni umuti wihutirwa utangwa mu gihe umuti wa opioid urenze urugero. Kurenza urugero bishobora kubaho iyo ufashe imiti ya opioid nyinshi cyangwa iyo uyifashe hamwe n'indi miti, nka inzoga. Ni ngombwa kumenya ibimenyetso by'umuti urenze urugero. Urugero: kugorwa no guhumeka, umunaniro udasanzwe cyangwa gusinzira, cyangwa kudashobora gusubiza cyangwa gukanguka. Menyesha abakwitaho n'abakwegereye aho uyu muti ubitswe. Bagomba kandi kumenya uko bawukoresha. Nyuma yo gutanga naloxone, ugomba guhamagara inzego zihutirwa. Naloxone ni ubuvuzi bw'agateganyo. Gusubiramo urugero bishobora kuba ngombwa.

Gusinzira no kuzungera

Ushobora kumva usinziriye cyangwa usinziriye. Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikindi kintu cyose gisaba ubwenge kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu zabukuru. Ibi bigabanya ibyago byo kurwara isereri no kugwa. Inzoga zishobora kubangamira uburyo uyu muti ukora. Irinde kunywa inzoga.

Impatwe

Uyu muti ushobora gutera impatwe. Niba udafite icyo kiyobyabwenge mu minsi 3, hamagara itsinda ry’abaganga.

Umunwa wumye

Umunwa wawe ushobora kuba wumye. Guhekenya ishinya ridafite isukari, kunywa bombo ikomeye, no kunywa amazi menshi bishobora gufasha. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, hamagara itsinda ry’abaganga bawe.

Agace k'umuti gashobora kwanduzwa n'impinduka mu bushyuhe bw'umubiri.

Iyi patch irakomeye cyane iyo habayeho impinduka mu bushyuhe bw'umubiri wawe. Iyo uruhu rwawe rushyushye cyane, imiti myinshi ishobora kuva muri patch, bigatera indwara ikomeye. Hamagara itsinda ry'abaganga niba ugize umuriro. Ntukajye wiyuhagira ushyushye. Ntukagume ku zuba. Ntugakoreshe ubwogero bushyushye, sauna, imashini zumisha umusatsi, udupira dushyushya, amabati akoresha amashanyarazi, amazi ashyushye, cyangwa amatara yo kwisiga. Ntugakore siporo mu buryo bwo kongera ubushyuhe bw'umubiri wawe.

Kubagwa cyangwa ibindi bipimo by'ubuvuzi

Niba urimo kubagwa, gupimwa na MRI, gupimwa na CT, cyangwa ikindi kizamini icyo ari cyo cyose cy’ubuvuzi, bwira itsinda ry’abaganga ko urimo gukoresha uyu muti. Ushobora gukenera gukuramo agace k’umuti mbere yo gupimwa.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.

Bwira itsinda ry'abaganga bawe vuba bishoboka niba uhuye n'izi ngaruka mbi:

• 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 bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• Imikorere mibi y’uturemangingo tw’intanga ngore - isesemi, kuruka, kubura ubushake bwo kurya, kumva ufite intege nke cyangwa umunaniro udasanzwe, isereri.
• Umuvuduko w'amaraso uri hasi — isereri, gucika intege cyangwa kubabara umutwe, kutabona neza.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa itsinda ry’abaganga niba zikomeje cyangwa zibangamiye):

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

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi. Muri Sri Lanka, ni ngombwa cyane kubimenyesha muganga wawe. Mu bihugu bimwe na bimwe, ushobora kandi gutanga raporo ku bigo nka FDA (urugero, kuri 1-800-FDA-1088).

Ni hehe wagombye kubika imiti yawe?

Bika kure y'abana n'amatungo. Uyu muti ushobora gukoreshwa nabi. Rero uwubike ahantu hatekanye kugira ngo uwurinde ubujura. Ntugasangize undi muntu uwo ari we wese. Ibi ni ibyawe gusa. Kugurisha cyangwa guha abandi uyu muti ni akaga kandi binyuranyije n'amategeko.

Bika ku bushyuhe bw'icyumba, hagati ya dogere selisiyusi 20 na 25 (dogere selisiyusi 68 na 77). Bika uyu muti mu ipaki yawo y'umwimerere kugeza igihe uzaba witeguye kuwukoresha. Tata umuti wose utakoreshejwe nyuma y'itariki ntarengwa.

Uyu muti ushobora kwangiza cyangwa ukaba wakwica iyo ufashwe n'abandi bantu bakuru, abana, cyangwa amatungo. Ni ngombwa cyane kujugunya umuti mu gihe utagikeneye cyangwa igihe warangiye. Ushobora kubikora mu buryo bubiri:

• Jyana uyu muti muri gahunda yo gufata imiti. Ushobora kuwubona muri farumasi yawe cyangwa unyuze mu nzego z'umutekano.
• Niba udashobora gusubiza umuti, hari igihe ushobora kugirwa inama yo gusukura imiti ikomeye nk'iyo mu musarani . Ariko, ni byiza kubaza muganga wawe cyangwa umufarumasiye kugira ngo umenye neza.

Icyitonderwa: Iyi ni incamake gusa. Ishobora kuba idafite amakuru yose. Niba ufite ikibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi.

Amaherezo, ibintu byo kwibuka

Sawa, twavuze byinshi kuri Fentanyl skin patch. Kubera ko iyi ari umuti ukomeye cyane wo kugabanya ububabare, ni ngombwa gukurikiza amabwiriza ya muganga wawe neza.

• Shyiramo neza, wohereze mu gihe gikwiye.
• Menya neza ko ubishyize mu mutekano kandi kure y'abana n'amatungo. Ndetse n'udukingirizo twakoreshejwe ni akaga.
• Niba ukoresha indi miti, ntukibagirwe kuyibwira muganga wawe.
• Niba ubonye ibimenyetso bidasanzwe, cyane cyane kugorwa no guhumeka cyangwa gusinzira cyane, shaka ubufasha kwa muganga byihutirwa.
• Ntugahagarike gufata umuti mu buryo butunguranye. Gabanya ingano y'umuti nk'uko muganga wawe abikubwira.
• Witondere ubushyuhe. Ntureke ngo ahantu hashyizwemo agace gashyushye.

Nufata neza ibi bintu, uzashobora gukoresha uyu muti mu mutekano no kugenzura ububabare bwawe. Ntutinye kuvugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite. Barahari kugira ngo bagufashe.

Fentanyl , agace, umuti ugabanya ububabare, opioid, ingaruka mbi, umuti, agace k'uruhu