Kupindwa muropa neOpioid chiitiko chinochinja hupenyu uye chakaoma. Kune avo vari kuedza kupora kubva pane izvi, kana vari kufunga kubatsira mumwe munhu ari kudaro, ndaifunga kuti ndaizotaura nezvenzira yekurapa inowanikwa mune zvesainzi yekurapa nhasi. Iyi ijekiseni reBuprenorphine rinogara kwenguva refu. Nhasi, tichataura nezvezvinoita, mashandisirwo aro, uye zvinhu zvekungwarira.
Zvichitaurwa zviri nyore, chii chinonzi jekiseni reBuprenorphine iri?
Buprenorphine mushonga unoshandiswa kurapa chirwere chekushandisa opioid. Zvikuru sei, unoshanda mumuviri wako kuderedza zviratidzo zvekurega kushandisa zvinodhaka, zvakaita sekurwadziwa kwemuviri uye kusagadzikana, zvinoitika kana ukarega kushandisa zvinodhaka zveopioid. Unobatsirawo kudzora havi, inova ndiyo shungu dzekushandisa zvinodhaka zvakare.
Chinhu chakakosha ndechekuti iyi haisi mushonga wekudzivirira chete, asi mushonga. Inonyanya kushanda kana ikashandiswa pamwe chete nekupa mazano uye kurapa maitiro . Yakafanana netsvimbo yekubatsira munhu kufamba. Tsvimbo yekubatsira inobatsira, asi unofanira kushanda nesimba kuti ufambe. Sublocade izita rinozivikanwa remushonga uyu.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga kurapwa
Zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako kuti aone kana kurapwa uku kwakakunakira uye kwakachengeteka. Saka, kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekuudza chiremba wako usingavanzi chero chinhu .
| Matambudziko/tsika yekurapa | Tsananguro |
|---|---|
| Matambudziko europi, mwoyo, nemapapu | Gomarara remuuropi, kukuvara kwemusoro, chirwere chemwoyo, kurova kwemoyo kusina kurongeka, chirwere chemapapu, asima kana mamwe matambudziko ekufema. |
| Zvirwere zvine chekuita nedumbu | Chirwere chechiropa, chirwere chenduru, chirwere chepancreas, matambudziko emudumbu. |
| Mamwe matambudziko ehutano netsika | Kupindwa muropa nemimwe mishonga, kunwa doro kakawanda, kusashanda zvakanaka kweadrenal gland, uye pfari. |
| Mimwe mishonga iri kutorwa | Kana wakambotora mushonga weMAOI wakaita seMarplan, Nardil, kana Parnate mukati memazuva gumi nemana apfuura. |
| Kurwara nezvimwe | Kana uine allergies kune buprenorphine kana chero imwe mishonga, chikafu, kana kupenda. Kana uine pamuviri, uri kuedza kubata pamuviri, kana kuyamwisa. |
Jekiseni iri rinopihwa sei?
Izvi zvakakosha zvikuru. Jekiseni reBuprenorphine iri jekiseni rinoiswa pasi peganda. Hauzombotenderwi kuriendesa kumba. Rinongopihwa nachiremba kana mukoti akadzidziswa muchipatara kana kiriniki chete.
- Ko kana ukarasikirwa nedosi? Kana usingakwanise kuuya kuzotora dosi yako yakarongwa, usairega ichikukanganisa. Fonera chiremba wako kana kiriniki nekukasika kuti urongezve nguva.
- Ko kana mushonga wacho ukawedzerwa? Sezvo chiremba achikupa mukana wekuti mushonga uyu uwedzere kunwa, mukana wekuti mushonga uyu uwedzere kunwa wakaderera. Zvisinei, kana uchifunga kuti pane chaitika, unofanira kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo newe . Unogona zvakare kufonera National Poison Information Centre kuColombo National Hospital kuti uwane mazano kana zvichidikanwa.
Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora, sezvo mimwe mishonga inogona kukonzera migumisiro yakaipa kana ikasanganiswa neBuprenorphine.
| Mishonga isingafanirwe kutorwa pamwe chete | |
|---|---|
| Mishonga yakaita seCisapride, Dronedarone, Pimozide, Safinamide, Samidorphan, Thioridazine. | |
| Chenjerera! Iva nechokwadi chekuudza chiremba wako kana uri kutora mishonga iyi. | |
| Doro | Doro |
| Mishonga yekurara nekuzvidya mwoyo | Mimwe mishonga yekuzvidya mwoyo kana kurara |
| Mishonga yeKuora Mwoyo | Mimwe mishonga yekurapa kuora mwoyo kana matambudziko epfungwa |
| Mishonga yekurapa allergies, kukosora, uye dzihwa | Antihistamines yekurwisa allergy, kukosora uye dzihwa |
| Mamwe maantibiotics, antifungals, uye antivirals | Semuenzaniso: Erythromycin, Ketoconazole |
| Mimwe mishonga inoderedza marwadzo kana maopioid ekukosora | Mimwe mishonga inodhaka yekurwadziwa kana kukosora |
Rondedzero iyi haina kukwana, saka iva nechokwadi chekuudza chiremba wako nezvemishonga yese, mavhitamini, uye kunyange mishonga yemiti yauri kutora.
Zvinhu zvaunofanira kunyatsoteerera panguva yekurapwa
- Usatore mimwe mishonga yeopioid: Usaedze kushandisa mimwe mishonga yeopioid (semuenzaniso heroin) kudzivirira migumisiro yemushonga uyu. Izvi zvine njodzi zvikuru uye zvinogona kutokonzera rufu.
- Usamira kamwe kamwe: Muviri wako uchajaira mushonga uyu. Kumira kamwe kamwe kunogona kukonzera migumisiro yakaipa. Kana uchida kurega kurapwa, ita izvozvo uchitungamirirwa nachiremba wako, nekuderedza zvishoma nezvishoma mushonga wacho.
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope nedzungu. Saka dzivisa kuita mabasa ane njodzi akadai sekutyaira kana kushandisa michina kusvika waziva kuti zvinokukanganisa sei.
- Dzivisa doro: Kunwa doro kunogona kuwedzera migumisiro yemushonga, kunyanya hope uye matambudziko ekufema.
- Kuzvimba: Uyu ndiwo mhedzisiro inowanzo konzerwa nemushonga uyu. Inwa mvura yakawanda uye idya chikafu chine fiber yakawanda (michero, miriwo). Kana usina kubuda tsvina mushure memazuva matatu, fonera chiremba wako.
- Ngwarira Naloxone: Naloxone mushonga unoponesa hupenyu unopihwa kana munhu anwa opioid yakawanda. Bvunza chiremba wako nezveizvi uye zviratidzo zvekunwa doro zvakanyanya (hope dzakanyanya, kunetseka kufema, kurasikirwa nepfungwa).
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuora mwoyo kwekufema (CNS depression) | Kufema zvishoma nezvishoma kana zvishoma, kufema zvakaoma, hope dzakanyanya, uye kurasikirwa nepfungwa. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kushaya chido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero/brown yakasviba, maziso kana ganda richitsvuka. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Matambudziko akajairika | Kuzvimba, dzungu, hope, muromo wakaoma, musoro, kuda kurutsa, kurutsa. |
| Kusagadzikana panzvimbo yekubaiwa jekiseni | Marwadzo, kutsvuka, kana kuzvimba panzvimbo yakapihwa jekiseni. |
Mharidzo Yekuenda Nayo Kumba
- Jekiseni reBuprenorphine mushonga wekurapa kupindwa muropa neopioid. Rinongopihwa nachiremba muchipatara kana kukiriniki chete.
- Usati watanga kurapwa, zvakakosha kuti uudze chiremba wako nezvezvirwere zvako zvese uye mishonga yauri kutora.
- Usanwa doro nemamwe maopioid zvachose paunenge uchitora mushonga uyu. Izvi zvinogona kuisa upenyu panjodzi.
- Usambofa wakangoerekana warega kurapwa usina kupiwa mazano nachiremba.
- Kana ukasangana nematambudziko akakomba akadai sekuoma kwekufema, hope dzakanyanya, kana kuvhiringidzika, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Hausi wega uri parwendo urwu. Kupiwa mazano, pamwe chete nekurapwa, zvichabatsira zvikuru mukukunda kupindwa muropa uku.
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