Ese muganga wawe yakwandikiye ibinini bya methadone kubera ko ufite ububabare bukomeye kandi bw'igihe kirekire cyangwa kubera ko udashobora kwihanganira indi miti igabanya ububabare? Cyangwa urimo gukoresha uyu muti kugira ngo utsinde ubusinzi bwawe bwa opioid? Impamvu iyo ari yo yose, uyu muti urakomeye cyane, bityo ni ngombwa kuwumenya no kuwukoresha mu buryo bwizewe. Reka tubiganireho mu buryo bworoshye kandi bw'ikinyabupfura uyu munsi.
Methadone ni iki mu by'ukuri?
Muri make, methadone ni umuti ukoreshwa mu bintu bibiri by'ingenzi.
1. Kugenzura ububabare bukomeye kandi buhoraho: Abaganga batanga iyi miti ku bubabare bukomeye kandi burambye budashobora gukemurwa n'imiti isanzwe igabanya ububabare. Ikora mu kubuza ibimenyetso by'ububabare kugera mu bwonko.
2. Mu kuvura ubusinzi bwa opioid: Uyu muti ufasha kugabanya ibimenyetso byo kureka kunywa ibiyobyabwenge no kwifuza ibiyobyabwenge iyo umuntu yatwawe na opioid, nka heroine. Ariko, ubu buryo bugira akamaro cyane iyo buhujwe n'ubujyanama n'ubuvuzi bw'imyitwarire .
Methadone ni umuti uri mu bwoko bw'imiti yitwa opioid.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Kugira ngo ugire umutekano, ni ngombwa cyane kumenyesha muganga wawe niba ufite imwe muri izi ndwara zikurikira mbere yo gutangira gukoresha methadone. Ibi ni ingenzi cyane.
| Ubwoko bw'imiterere | Icyo ukeneye kumenyesha |
|---|---|
| Ibibazo bifitanye isano n'ubwonko | Indwara nko gukomereka mu mutwe, ikibyimba cyo mu bwonko, cyangwa gucika intege. |
| Indwara z'umutima | Ubwoko ubwo aribwo bwose bw'indwara z'umutima cyangwa indwara z'umutima. |
| Ibibazo by'imitsi yo mu myanya y'ubuhumekero | Asima, indwara z'ibihaha, cyangwa ingorane zo guhumeka. |
| Ibindi bibazo by'ubuzima | Indwara z'umwijima, indwara z'impyiko, indwara ya tiroyide, imikorere mibi y'uturemangingo tw'inkende, umuvuduko muke w'amaraso, ibibazo by'amara. |
| Ubuzima n'indi miti | Bwira muganga wawe niba unywa inzoga buri gihe, wabaswe n'indi miti cyangwa ibindi biyobyabwenge, ufite indwara yo mu mutwe, cyangwa wafashe umuti wa MAOI wo kurwanya indwara zifata imitsi (urugero: Parnate) mu byumweru bibiri bishize. |
| Allergie | Niba ufite allergie kuri methadone, indi miti igabanya ububabare ya opioid, indi miti, ibiryo, cyangwa imiti irinda uburibwe. |
| Gutwita no konsa | Niba utwite, ugerageza gusama, cyangwa wonsa. |
Umuti ugomba gukoreshwa mu buryo bukwiye.
Fata uyu muti n'ikirahure cy'amazi. Niba ugize ikibazo mu gifu, fata hamwe n'ifunguro cyangwa ikirahure cy'amata. Icy'ingenzi ni ugufata dose neza neza nk'uko muganga wawe yabigutegetse. Ntukigere ufata ingano irenze iyategetswe.
Kunywa imiti irenze urugero: Niba ubona ko wafashe uyu muti urenze urugero ku makosa, ntutinde hanyuma uhamagare Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo, cyangwa ujye mu ishami ryita ku butabazi bwihuse (ETU) ry'ibitaro biri hafi yawe. Ibi bishobora kuba ingamba zo kurokora ubuzima.
Uzahabwa agapapuro k'amakuru yihariye (`MedGuide`) ku bijyanye n'umuti wawe igihe uzaba uwuhawe. Buri gihe ujye usoma witonze.
Uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu uwo ari we wese ku mpamvu iyo ari yo yose. Ni mubi cyane kandi bitemewe n'amategeko.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, uyifate 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.
Uburyo bwo gukorana n'indi miti
Methadone ishobora kugira ingaruka ku yindi miti myinshi. Kubwibyo, ha muganga wawe urutonde rwuzuye rw'imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro). Nanone, menya neza ko wabibwiye muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti.
By'umwihariko, ugomba kwirinda gufata methadone hamwe n'imiti ikurikira:
- Imiti imwe n'imwe ivura indwara z'ibihumyo (urugero: ketoconazole)
- Imiti imwe ikoreshwa mu kuvura indwara z'umutima (urugero: quinidine, dronedarone)
- Imiti nka 'Cisapride', 'Pimozide', 'Thioridazine'
Uretse uru rutonde, methadone ishobora kugira ingaruka ku yindi miti myinshi (urugero: imiti igabanya ubukana bw'imitsi, ibinini bisinziriza, imiti ya VIH/SIDA, hamwe na antibiyotike zimwe na zimwe). Kubwibyo, ni ngombwa guha muganga wawe ibisobanuro byuzuye.
Ibintu ugomba kuzirikana mugihe ufata Methadone
Ntureke gufata umuti mu buryo butunguranye!
Umubiri wawe umenyera uyu muti. Kubwibyo, iyo uhagaritse kuwufata mu buryo butunguranye, ushobora kugira ingaruka zikomeye. Niba ukeneye guhagarika gufata uyu muti, bikore gusa uyobowe na muganga, kandi ukagabanya buhoro buhoro urugero rw'umuti .
Gusinzira no gutwara imodoka
Uyu muti ushobora gutuma wumva usinziriye, uzungera, kandi ukagira ingaruka ku bushobozi bwawe bwo gufata ibyemezo. Kubwibyo, irinde gutwara imodoka cyangwa gukoresha imashini kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Izi ngaruka ziyongera iyo ufashe uyu muti hamwe n'inzoga.
Menya neza Naloxone
Naloxone ni ubuvuzi bwihutirwa butangwa kugira ngo busubizeho ingaruka zo kunywa imiti irenze urugero ya opioid. Ibimenyetso byo kunywa imiti irenze urugero birimo guhumeka buhoro cyane cyangwa buhoro, gusinzira cyane, no kunanirwa gukanguka. Kubwira umuryango wawe n'abakunzi bawe ibi bimenyetso, ndetse n'aho Naloxone iri n'uko ikoreshwa, bishobora kurokora ubuzima. Nyuma yo gukoresha Naloxone, ugomba guhita uhamagara imbangukiragutabara.
Izindi ngingo z'ingenzi
- Kurya impatwe: Kurya impatwe ni ikintu gikunze kugaragara kuri uyu muti. Niba udafite icyo urya mu nda mu gihe cy'iminsi 3, vugana na muganga wawe.
- Umunwa wumye:Niba umunwa wawe wumye, guhekenya ishinya ridafite isukari, kunywa bombo idasembuye, no kunywa amazi menshi bishobora gufasha.
- Gutwita: Vugana na muganga wawe niba uteganya gutwita cyangwa utekereza ko ushobora kuba utwite. Gufata uyu muti mu gihe utwite bishobora gutera ubumuga bukomeye ku mwana wawe.
Ingaruka mbi z'umuti
| Ingaruka mbi zikomeye 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, guhumeka bigoranye, isereri ikomeye, kumva nta cyo ushoboye, no kugorwa no kuguma uri maso. |
| Impinduka mu gipimo cy'umutima | Umutima utera vuba cyangwa utari umeze neza, ububabare mu gituza, guhumeka bigoranye. |
| Umuvuduko w'amaraso uri hasi | Kuzungera, kumva nta cyo ushoboye, kutabona neza. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Impatwe | Umunwa wumye |
| Kuzungera | Umutwe |
| Gusinzira | Isesemi cyangwa kuruka |
Ni gute wakwirinda imiti?
Uyu muti ni umuti ukomeye cyane , bityo uwubike ahantu hatekanye abana n'amatungo batagera . Kubera ko uyu muti ushobora gukoreshwa nabi, uwubike ahantu hashobora kurindwa ubujura.
Ni ngombwa kujugunya imiti itarakoreshejwe cyangwa ishaje neza. Ishyikirize ahantu hemewe ho kuyijugunya. Niba bidashoboka, isukure mu musarani.
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata methadone nkuko muganga yabigutegetse. Ntukigere ufata ikirenze urugero rw'igipimo cyagenwe.
- Ntugasangire uyu muti n'undi muntu uwo ari we wese ku mpamvu iyo ari yo yose. Ni mubi cyane kandi bitemewe n'amategeko.
- Ha muganga wawe urutonde rwuzuye rw'indi miti yose, vitamine, n'inyongeramusaruro ufata.
- Ntugahagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Menya ibimenyetso by'umuti urenze urugero kandi umenyeshe umuryango wawe ibyerekeye Naloxone kugira ngo uyikoreshe nibiba ngombwa.
- Niba ufashe imiti myinshi cyane wibeshye, jya ku kigo cy’igihugu gishinzwe amakuru ku burozi cyangwa ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe.
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