Hari igihe dushobora kugira ububabare bukomeye kandi buhoraho budashobora gukemurwa n'imiti isanzwe igabanya ububabare. Cyangwa, bamwe mu bantu, bitewe n'ubujiji cyangwa izindi mpamvu, bahinduka imbata y'ibiyobyabwenge kandi bakababara cyane kuko badashobora kubikuraho. Muri ibyo bihe, umuti wihariye wanditswe n'abaganga witwa Methadone. None rero uyu munsi, reka tuvuge kuri uyu muti, imikorere yawo, ibintu tugomba kwitondera mu gihe tuwukoresha, n'ingaruka zawo zose.
Methadone ni iki? Ikora iki?
Muri make, Methadone ni umuti ukomeye ukoreshwa mu bintu bibiri by'ingenzi. Uri mu bwoko bw'imiti yitwa 'Opioids'.
1. Kugabanya ububabare bukomeye kandi buhoraho: Niba udashobora kwihanganira indi miti igabanya ububabare, cyangwa niba idakurwanya, abaganga bashobora kukwandikira uyu muti. Ukora mu kubuza ibimenyetso by'ububabare ku bwonko, ukagabanya ububabare wumva.
2. Mu kuvura ubusinzi bwa opioid: Iyo umuntu wasabitswe n'ibiyobyabwenge nka heroine aretse kubikoresha, umubiri ugira ibimenyetso byo kubireka no kwifuza kongera kubikoresha. Methadone ifasha kugabanya ibyo bimenyetso n'irari kandi igafasha umuntu gusubira mu buzima bwiza. Ariko, kugira ngo ubu buvuzi bugire icyo bugeraho, ni ngombwa gufata uyu muti hamwe n'ubujyanama n'ubuvuzi bw'imyitwarire .
Ibintu ugomba kubwira muganga wawe mbere yo gufata imiti
Mbere yo gutangira gufata methadone, ni ngombwa cyane kumenyesha muganga wawe indwara iyo ari yo yose ufite, kuko aya makuru azagena ingano n'ibindi bintu bigira ingaruka ku buvuzi bwawe.
| Niba ufite kimwe muri ibi bikurikira, menya neza ko wabibwiye muganga wawe: | |
|---|---|
| Ibibazo bifitanye isano n'imitsi | Ibibyimba byo mu bwonko, ibikomere byo mu mutwe, ibisebe |
| Amateka y'ubusinzi | Ubusinzi bw'ibindi biyobyabwenge cyangwa inzoga, kunywa inzoga kenshi |
| Umutima n'umuvuduko w'amaraso | Indwara z'umutima, umuvuduko w'amaraso uri hasi |
| Uruhushya rwo guhumeka | Indwara z'ibihaha, asima, cyangwa izindi ngorane zo guhumeka |
| Izindi ndwara z'umubiri | Indwara z'impyiko, indwara y'umwijima, indwara ya tiroyide, imikorere mibi y'uturemangingo tw'inkende, ibibazo byo mu mara cyangwa mu gifu |
| Ubuzima bwo mu mutwe | Indwara iyo ari yo yose yo mu mutwe |
| Gukoresha indi miti | Niba warafashe imiti ya MAOI (urugero: Marplan, Nardil) mu minsi 14 ishize |
| Ibirori byihariye | Niba urimo kugerageza gutwita, utwite, cyangwa uri umubyeyi wonsa |
| Allergie | Niba ufite ubwivumbure kuri methadone, indi miti igabanya ububabare ya opioid, indi miti, ibiryo, imiti irinda ubushyuhe, cyangwa irangi |
Ni gute neza neza nkoresha uyu muti?
Uyu ni umuti uza mu buryo bw'umuti. Rero, ibuka aya mabwiriza witonze.
- Pima neza: Pima igipimo nyacyo cyatanzwe na muganga wawe, ukoresheje ikiyiko cyangwa igikombe cyagenewe icyo gikorwa. Ntugakoreshe ibiyiko cyangwa ibiyiko byo mu rugo.Ibipimo byabo ntabwo ari byo.
- Mbere cyangwa nyuma yo kurya?: Uyu muti ushobora gufatwa n'ibiryo cyangwa utabirya. Ariko, niba urwaye igifu, fata hamwe n'ibiryo.
- Kuvanga: Niba ubishaka, ushobora kuvanga umuti mu mutobe w'imbuto cyangwa ibiryo hanyuma ukawufata ako kanya. Ariko ntubike ibiryo cyangwa ikinyobwa kirimo umuti kugira ngo uzakoreshe nyuma .
- Fata ku gihe: Fata igipimo cyatanzwe ku gihe cyatanzwe. Ntugafate ibirenze ibyo muganga wawe yagutegetse.
- Ntuhagarike gufata uyu muti mu buryo butunguranye: Ntuhagarike gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora guteza ingaruka mbi zikomeye.
Icy'ingenzi: Ugomba kwitonda cyane mu gihe ukoresha uyu muti ku bana. Vugana na muganga wawe kuri ibi.
Yewe! Wakora iki iyo ubuze umuti?
Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Bite ho iyo mfashe imiti myinshi? (Kuba narengeje urugero rw'umuti)
Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo, cyangwa ujye mu ishami ryita ku butabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe. Ibi bishobora gushyira ubuzima mu kaga.
Indi miti ikorana na Methadone (Imikorere y'imiti)
Iki ni igice cy'ingenzi cyane. Methadone ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ugomba kubwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine).
| Imiti idakwiye gufatwa na Methadone | |
|---|---|
| Imiti imwe n'imwe ivura indwara z'ibihumyo | Urugero: itraconazole, ketoconazole, voriconazole |
| Imiti imwe n'imwe ivura indwara z'umutima | Urugero: dronedarone, quinidine |
| Indi miti | Cisapride, Pimozide, Thioridazine, Rasagiline, Selegiline |
| Indi miti n'ibindi bishobora kugira ingaruka kuri Methadone | |
Inzoga, imiti igabanya ubukana bw'indwara zo mu mutwe, imiti igabanya ubukana bw'agakoko gatera SIDA, imiti imwe n'imwe igabanya ubukana bw'indwara zo mu mutwe, indwara yo kwiheba, guhangayika, cyangwa gusinzira, imiti yo gukubita ibisebe, imiti imwe n'imwe ivura kanseri, indi miti ivura indwara z'umutima, imiti ikoreshwa mu kugabanya ubukana bw'imitsi cyangwa kuruhuka mu gihe cyo kubagwa, n'indi miti igabanya ubukana bw'imitsi ikoreshwa mu kugabanya ubukana bw'imitsi mu gihe cyo kubagwa, hamwe n'indi miti igabanya ubukana bw'indwara ya opioid. | |
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusura muganga: Sura muganga wawe ku matariki yagenwe kugira ngo urebe aho ubuvuzi bwawe bugeze.
- Gusinzira no kuba maso: Uyu muti ushobora gutuma wumva usinziriye kandi uzumva umeze nk'ufite isereri. Ushobora kandi kugabanya ubushobozi bwawe bwo kwibanda no gufata ibyemezo. Ntugatware imodoka cyangwa ngo ukoreshe imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Kunywa inzoga bishobora gutuma iyi ndwara irushaho kuba mbi.
- Menya neza Naloxone: Naloxone ni umuti wihutirwa utangwa mu gihe umuntu afashe imiti irenze urugero ya opioid. Bishobora kuba ngombwa ko umuntu ufata methadone ayigira hafi kandi abagize umuryango we bakamenya uko ayikoresha. Vugana na muganga wawe kuri ibi.
- Kurya impatwe: Kurya impatwe ni ikintu gikunze kugaragara kuri uyu muti. Niba udafite icyo urya nyuma y'iminsi 3, hamagara muganga wawe.
- Umunwa wumye: Umunwa wumye nawo urakunze kugaragara. Ibi bishobora kugenzurwa no guhekenya ishinya ridafite isukari, kunywa bombo, no kunywa amazi menshi.
- Gutwita: Bwira muganga wawe niba uteganya gutwita, cyangwa niba usanzwe utwite. Gufata uyu muti mu gihe utwite bishobora gutera ubumuga bukomeye ku mwana wawe.
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
Kimwe n'indi miti iyo ari yo yose, methadone ishobora gutera ingaruka mbi.
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
|---|---|
| Allergie | 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, urujijo, no gusinzira bidashobora gukangurwa. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari mwiza, isereri, ububabare mu gituza, guhumeka bigoranye. |
| Umuvuduko w'amaraso uri hasi | Kuzungera, kutabona neza, gucika intege. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
Kurya impatwe, kuzungera, gusinzira, kuma mu kanwa, kuribwa umutwe, isesemi, kuruka. | |
Ni gute wakwirinda imiti?
Ibi ni ingenzi cyane: Uyu muti ushobora gukoreshwa nabi. Ushobora no kwica umuntu mukuru, umwana cyangwa itungo.
- Bika kure y'abana n'amatungo.
- Bibike ahantu hatekanye kugira ngo birindwe ubujura.
- Ntugahe abandi uyu muti kubera impamvu iyo ari yo yose. Kubikora ni icyaha gihanirwa kandi ni igikorwa kibi cyane.
- Bika ahantu hari ubushyuhe bw'icyumba, kure y'urumuri n'ubushuhe, kandi ufunge neza umupfundikizo w'icupa.
- Ntugakoreshe nyuma y'itariki ntarengwa. Baza muganga wawe uburyo bwo guta umuti usigaye neza.
Ubutumwa bwo kujyana mu rugo
- Methadone ni umuti ukomeye ukoreshwa mu kuvura ububabare bukomeye n'ubusinzi bw'ibiyobyabwenge bya opioid. Ugomba kuboneka gusa uhawe na muganga.
- Ni ngombwa kumenyesha muganga wawe imiti yose ufata n'indwara zose ufite.
- Irinde gutwara imodoka cyangwa gukoresha imashini zishobora guteza akaga kuko ushobora gusinzira mu gihe ufata imiti. Irinde kunywa inzoga.
- Niba ukeka ko wakoresheje imiti irenze urugero, jya ku bitaro byita ku barwayi ba ETU byihutirwa.
- Ntukagire uwo usangira n'abandi uyu muti. Ubike ahantu hatekanye kure y'abana n'amatungo.
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