Umuti wo kuvura ubusinzi bw'ibiyobyabwenge: Reka twige ku binini bya Methadone Dispersible

Ubusinzi bw'ibiyobyabwenge ni ikibazo gikomeye abantu benshi bahura nacyo. Ibimenyetso byo kureka ibiyobyabwenge n'irari bizana no kugerageza kubireka bishobora kugorana cyane guhangana nabyo, sibyo? Hari igihe wumva udashobora kunyura muri uru rugendo wenyine. Ariko ntugahangayike, hari uburyo bwo kuvura bushobora gufasha.

Uyu ni ubwoko ki bw'umuti?

Methadone ni umuti ukoreshwa mu kuvura indwara yo gukoresha opioid (Opioid Use Disorder). Muri make, igabanya ibimenyetso bibi byo ku mubiri (ibimenyetso byo kureka) n'irari rigaragara iyo uhagaritse gukoresha uyu muti. Ugira akamaro cyane iyo ukoreshejwe hamwe n'ubujyanama n'ubuvuzi bw'imyitwarire . Ni ubwoko bw'umuti witwa opioid. Hari igihe uyu muti ushobora no gukoreshwa mu zindi ntego. Baza muganga wawe cyangwa umufarumasiye ibi.

Izina rikunze gukoreshwa ku isoko ni Methadose.

Ni iki nabwira muganga mbere yo gukoresha uyu muti?

Niba ufite kimwe muri ibi bikurikira, ugomba kubibwira muganga wawe:

• Ikibyimba cyo mu bwonko
• Gukoresha ibiyobyabwenge nabi cyangwa kuba imbata yabyo
• Gukomereka mu mutwe
• Indwara z'umutima
• Niba ukunda kunywa inzoga buri gihe
• Indwara y'impyiko
• Indwara y'umwijima
• Imikorere mike y'uturemangingo tw'inkende
• Umuvuduko w'amaraso uri hasi
• Ibibazo by'ibihaha, asima, cyangwa guhumeka
• Indwara z'ubuzima bwo mu mutwe
• Indwara zo mu mutwe
• Ibibazo by'igifu cyangwa amara
• Niba warafashe umuti wo mu itsinda rya MAOI (urugero: Marplan, Nardil, Parnate) mu minsi 14 ishize
• Indwara ya tiroyide
• Niba waragize ikibazo kidasanzwe cyangwa ufite ubwivumbure kuri methadone, indi miti igabanya ububabare ya opioid, indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe
• Niba utwite cyangwa utekereza ko utwite
• Niba wonsa

Uyu muti nkwiye kuwukoresha nte?

Uyu muti ugomba gufatwa unyobwa. Kurikiza amabwiriza ari ku rupapuro rwa muganga waguhaye. Reba umubare nyawo w'ibinini bikenewe kuri doze yawe.

Ibi binini bigomba gushongeshwa mu kirahuri cy'amazi, umutobe w'icunga, Tang y'indimu, cyangwa uburyohe bw'indimu bwa Kool-Aid.Kangura neza mu gihe cy'umunota umwe. Ushobora kubona bimwe mu binini bisigaye mu kirahuri. Ibinini ntibishobora gushonga burundu. Ariko ugomba kunywa amazi yose ari mu kirahuri. Ntukarye ibinini cyangwa ngo ubimire byose. Ibinini bigomba gushonga hanyuma binyobwe.

Ushobora gufata uyu muti uri mu biryo cyangwa utabiriye. Niba ufite ikibazo mu gifu, fata hamwe n'ibiryo. Fata umuti wawe ku gihe gikwiye. Ntugafate imiti irenze iyo wahawe na muganga. Ntugahagarike gufata umuti utabanje kugirwa inama na muganga.

Uzahabwa igitabo cyihariye cy’imiti (MedGuide) kiri kumwe n’umuti wose uhabwa muri farumasi n’igihe uzongera kuwuhabwa. Wibuke kugisoma witonze.

Vugana n'itsinda ry'abaganga bawe ku bijyanye no guha abana uyu muti, kuko ushobora gusaba ubwitonzi bwihariye.

Gukoresha ingano irenze urugero

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

Icy'ingenzi: Uyu muti ni uwawe gusa. Ntugasangire uyu muti n'undi muntu uwo ari we wese.

Wakora iki niba wabuze dose y'umuti?

Niba wabuze dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, fata icyo gihe. Ntugafate dose ebyiri cyangwa izindi dose.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?

Ntugafate Methadone hamwe n'indi miti ikurikira:

• Imiti imwe n'imwe ivura indwara z'ibihumyo, urugero nka itraconazole, ketoconazole, posaconazole, voriconazole
• Imiti imwe ikoreshwa mu kuvura indwara z'umutima zidakora neza, urugero nka bepridil, bretylium, dronedarone, quinidine
• Cisapride
• Halofantrine
• Mesoridazine
• Pimozide
• Rasagiline
• Selegiline
• Thioridazine

Uyu muti ushobora kugira ingaruka ku miti ikurikira. Kubwibyo, ugomba kubibwira muganga wawe niba ufata imwe muri iyi:

• Inzoga
• Antihistamines ku ndwara z'ubwivumbure, inkorora n'ibicurane
• Imiti igabanya ubukana bwa virusi itera SIDA cyangwa SIDA
• Arsenic trioxide
• Atropine
• Amwe mu matibayotike, urugero nka clarithromycin, erythromycin, rifampin
• 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 kanseri, urugero nka dasatinib, lapatinib
• Imiti imwe n'imwe ivura indwara yo kwiheba, nka amitriptyline, fluoxetine, sertraline
• Imiti imwe ikoreshwa mu kuvura indwara z'umutima zidakora neza, nka amiodarone na sotalol
• Imiti imwe ikoreshwa mu kuvura malariya, urugero nka chloroquine, mefloquine
• Imiti imwe ikoreshwa mu kuvura migraine, nka sumatriptan
• Imiti imwe n'imwe ivura isesemi cyangwa kuruka, nka ondansetron
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe, nka carbamazepine, phenobarbital, na phenytoin
• Imiti imwe n'imwe ivura indwara zo mu gifu, nka dicyclomine
• Imiti imwe ikoreshwa mu kuvura indwara y'ingendo, nka scopolamine
• Imiti imwe n'imwe ivura indwara ya Parkinson
• Fluconazole
• Imiti igabanya ububabare muri rusange (urugero: halothane, propofol)
• Haloperidol
• Ipratropium
• Linezolide
• Imiti igabanya ububabare mu gace runaka, urugero nka lidocaine
• Itsinda rya MAOIs (MAOIs) ryimiti, Marplan, Nardil, Parnate
• Imiti iruhura imitsi yo kubagwa
• Ubururu bwa Methylene
• Octreotide
• Indi miti itera imitsi y'umutima idasanzwe (ituma igihe cya QT kigabanuka), nka dofetilide, ziprasidone
• Izindi miti igabanya ububabare cyangwa inkorora
• Peginterferon alfa-2b
• Phenothiazine, urugero nka chlorpromazine
• Ranolazine
• Tacrolimus
• Vardenafil

Uru rutonde ntirurimo ingaruka zose zishobora kubaho. Ha muganga wawe urutonde rw'imiti yose, ibyatsi, imiti igurishwa mu kigo, cyangwa inyongeramusaruro urimo gufata. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?

Jyana n'itsinda ry'abaganga buri gihe. Niba ufata uyu muti wo kuvura ububabare, niba ububabare bwawe butarangiye, niba ububabare bwawe burushijeho kwiyongera, cyangwa niba ufite ubundi bwoko bw'ububabare, bwira muganga wawe. Niba ufata uyu muti wo kuvura indwara yo gukoresha opioid (Opioid Use Disorder), jya mu matsinda y'ubujyanama cyangwa inkunga agirwa inama na muganga wawe. Ntugerageze kurwanya ingaruka z'uyu muti ufata indi miti. Ibi bishobora guteza ibibazo bikomeye, harimo n'urupfu. Nanone, nyuma yo guhagarika uyu muti, umubiri wawe ushobora kwanga cyane no kugabanya ibiyobyabwenge bike.

Ntureke gufata uyu muti mu buryo butunguranye. Kubikora bishobora gutera ikibazo gikomeye. Umubiri wawe uzamenyera umuti. Itsinda ry'abaganga rizakubwira ingano y'umuti ugomba gufata. Niba babona ko ugomba kuwuhagarika, bazagabanya buhoro buhoro umuti kugira ngo bagabanye ingaruka mbi.

Niba ufata indi miti igutera gusinzira (nk'indi miti igabanya ububabare, benzodiazepines, cyangwa indi miti yo gusinzira), ushobora kugira izindi ngaruka mbi. Ha muganga wawe urutonde rw'imiti yose ufata. Azakubwira ingano yo gufata. Ntugafate irenze iyo wategetswe. Niba ufite ikibazo cyo guhumeka cyangwa wumva unaniwe bidasanzwe cyangwa usinziriye, hita ushakisha ubuvuzi bwihutirwa.

Vugana n'itsinda ry'abaganga ku bijyanye na naloxone n'uko wayihabwa. Naloxone ni umuti wihutirwa utangwa mu kuvura imiti irenze urugero ya opioid. Niba ufata opioid nyinshi cyangwa uyifata hamwe n'ibindi bintu nk'inzoga, ushobora kuba ufite iyi miti irenze urugero. Ni ngombwa kumenya ibimenyetso by'iyi miti irenze urugero. Urugero, guhangayika mu guhumeka, umunaniro udasanzwe cyangwa gusinzira, cyangwa kunanirwa gusubiza cyangwa gukanguka. Menyesha umuryango wawe n'abakunzi bawe aho umuti wa naloxone uri. Bagomba kandi kumenya uko bawukoresha. Umaze guhabwa naloxone, ugomba guhita ubona ubuvuzi bwihutirwa. Naloxone ni umuti w'agateganyo. Ushobora gukenera gufata doze nyinshi.

Ushobora kumva usinziriye cyangwa uzumva. Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu za bukuru. Ibi bizagabanya amahirwe yo kuzumva cyangwa gucika intege. Inzoga zishobora kubangamira uburyo uyu muti ukora. Rero irinde kunywa inzoga.

Ambara umukufi cyangwa umukufi w'indangamuntu yo kwa muganga, kandi witwaze ikarita iriho amakuru arambuye ku ndwara yawe, imiti yawe, n'ingano yayo.

Uyu muti ushobora gutera impatwe . Niba udafite icyo ukora nyuma y'iminsi 3, hamagara itsinda ry'abaganga.

Mu kanwa kawe hashobora kuba hari umunutse. Guhekenya ishinya ridafite isukari, kunywa bombo ikomeye idafite isukari, no kunywa amazi menshi bishobora gufasha. Iki kibazo nigikomeza cyangwa kikaba gikomeye, reba muganga wawe.

Abagore bagomba kubwira itsinda ry’abaganga niba bateganya gutwita cyangwa batekereza ko batwite. Bishobora gutera ingaruka mbi zikomeye ku mwana uri mu nda. Vugana n’itsinda ry’abaganga ku byiza n’ingaruka zo konsa mu gihe ufata uyu muti. Uyu muti ushobora kwinjira mu mashereka. Vugana n’itsinda ry’abaganga niba uteganya gutangira cyangwa guhagarika gufata uyu muti mu gihe wonsa, cyangwa niba uteganya guhagarika konsa.

Ni izihe ngaruka mbi nagira kuri uyu muti?

Ugomba kubibwira itsinda ry’abaganga vuba bishoboka niba ugize ingaruka mbi zikurikira:

• Ubwivumbure bw'uruhu - uduheri, uburyaryate, ibibyimba mu maso, iminwa, ururimi, cyangwa mu muhogo
• Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gucika intege, kuzungera, urujijo, kubura ubwenge, kugorwa no kuba maso
• Imihindagurikire y'umutima - umutima utera vuba cyangwa utari mwiza, isereri, gucika intege, kubabara mu gituza, guhumeka bigoranye
• Imikorere mibi y'uturemangingo tw'intanga - isesemi, kuruka, kubura ubushake bwo kurya, intege nke cyangwa umunaniro udasanzwe, isereri
• Umuvuduko w'amaraso uri hasi - isereri, gucika intege, 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 ntirukubiyemo ingaruka zose zishobora kubaho. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi zishobora kubaho.

Ni hehe nabika imiti yanjye?

Bika kure y'abana. Uyu muti ushobora gukoreshwa nabi (gukoreshwa nabi). Bityo rero , shyira umuti wawe ahantu hatekanye kugira ngo uwurinde ubujura. Ntugasangire uyu muti n'undi muntu uwo ari we wese. Kugurisha cyangwa guha abandi uyu muti ni akaga kandi biranyuranyije n'amategeko.

Bika ku bushyuhe bw'icyumba, hagati ya dogere selisiyusi 20 na 25 (dogere selisiyusi 68 na 77). Icupa ry'umuti rigomba gufungwa neza.

Uyu muti ushobora kwangiza cyangwa ukaba wakwica iyo unyowe n'abandi bantu bakuru, abana, cyangwa amatungo. Subiza imiti idakoreshejwe ahantu hemewe ho gutabwa. Kugira ngo uwubone, hamagara DEA kuri 1-800-882-9539, cyangwa ubaze inama njyanama y'umujyi/intara yawe. Niba udashobora gusubiza umuti, wusuke mu musarani. Ntugakoreshe umuti warengeje igihe wagenewe.

Icyitonderwa: Aka gatabo ni incamake gusa. Gashobora kuba kadafite amakuru yose. Niba ufite ikibazo kuri uyu muti, vugana na muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi.

Hanyuma, hari ibintu bike byo kwibuka

Nubwo methadone ari umuti w'ingenzi ufasha mu kurwara ibiyobyabwenge, ugomba kwitonda cyane mu gihe uwukoresha. Ibuka:

• Kurikiza amabwiriza ya muganga wawe neza. Ntugashonge ibinini, ntukabihekenya cyangwa ngo ubimire.
• Bwira muganga wawe indi miti yose ufata. Ibi bishobora kugira ingaruka ku yindi miti.
• Ntugahagarike gufata umuti mu buryo butunguranye. Gabanya ingano y'umuti nk'uko muganga wawe abikubwira.
• Menya ibintu nko gusinzira no kuzungera. Witondere igihe utwaye imodoka.
• Menya neza Naloxone. Ishobora kurokora ubuzima mu gihe umuntu yarenze urugero rw'umuti.
• Bika imiti ahantu hatekanye kure y'abana.

Ntabwo ari ngombwa ko unyura muri uru rugendo wenyine. Ubifashijwemo n'itsinda ry'abaganga bawe, abajyanama, n'umuryango wawe, ushobora kunyura muri ibi. Komera!

Methadone , ubusinzi bw'ibiyobyabwenge, opioid, ibimenyetso byo kubireka, irari ry'ibiyobyabwenge, ingaruka mbi