Dzimwe nguva kurwadziwa kunogona kunzwa sekusingatsungiririki, handiti? Pane dzimwe nguva apo mishonga yekurapa marwadzo yakajairika—kana kuti mishonga inoshanda kwenguva refu yakanyorerwa nachiremba wako—haikwani kudzora kusimba kwemarwadzo. Kana izvozvo zvikaitika, tinofanira kukurukura mushonga wakagadzirirwa kudzora marwadzo anokurumidza, akasimba, anowanzonzi "kurwadziwa kukuru."
Mushonga uyu chii? (Kunzwisisa Mapiritsi eFentanyl Buccal)
Muchidimbu, Fentanyl iri muboka remishonga ine simba yekurwadziwa inozivikanwa seopioids . Inoshanda nekuvhara zviratidzo zvekurwadziwa muuropi hwako kuti ikurerutsire. Kana uri kutoshandisa mushonga wekurwadziwa unoshanda kwenguva refu asi uchiri kunzwa kurwadziwa kamwe kamwe, uko maitiro ako enguva dzose asingagone kugadzirisa, chiremba wako anogona kukurudzira izvi seimwe nzira. Inoshanda se "imwe layer" yekuderedza marwadzo anowedzera. Unogona kuzviziva nemazita emhando dzakadai seFentora. Zvisinei, nekuti vanachiremba dzimwe nguva vanogona kunyora mushonga uyu kune mamwe mamiriro ezvinhu, ndapota bvunza mupi wehutano wako kana wemishonga kana uine mibvunzo. Ndiyo nzira yakachengeteka nguva dzose.
Ruzivo rwakakosha kuna chiremba wako usati watanga
Usati watanga kushandisa Fentanyl, zvakakosha kuti uzivise chiremba wako kana uine chimwe chezvirwere zvinotevera. Kusanganisa mushonga uyu nematambudziko aya ehutano kunogona kuva nengozi kana kukanganisa mashandiro emushonga.
- Gomarara remuuropi
- Nhoroondo yekushandisa zvinodhaka zvisina kunaka kana kupindwa muropa
- Chirwere chenduru
- Nhoroondo yekukuvara kwemusoro
- Chirwere chemwoyo
- Kunwa doro nguva dzose
- Chirwere cheitsvo ( kana matambudziko akafanana )
- Chirwere chechiropa
- Kuderera kweropa
- Matambudziko emapapu kana kufema, akadai seasthma
- Matambudziko epfungwa
- Kuoma kwekuita weti
- Nhoroondo yepfari
- Matambudziko emudumbu kana emudumbu
- Chero allergy kana kusagadzikana kunokonzerwa neFentanyl, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa
Kupa ruzivo urwu kwakakosha kuitira kuti chiremba wako agone kuona kana mushonga uyu wakakodzera mamiriro ako ehutano.
Mashandisirwo emushonga uyu nemazvo
Mushonga uyu wakagadzirirwa kunwiwa nemuromo. Unofanira kutevedzera mirairo yakanyorwa papepa rako remushonga nemazvo. Usachinje mushonga wega chero zvodini.
Chengeta piritsi iri mupaketi yaro yemablister kusvika wagadzirira kurishandisa. Kana wagadzirira, bvisa zvinyoro nyoro chikamu cheshure chiri papaketi yemablister kuti ubvise piritsi racho. Usamboedza kusundidzira piritsi iri nepabhokisi remablister , sezvo izvi zvinogona kupwanya kana kupwanya mushonga.
Kana wangobvisa piritsi, isa piritsi pakati pedama rako nemazino worega richinyungudika zvachose. Kana chimwe chikamu chepiritsi chikasara mushure memaminitsi makumi matatu, unogona kumedza rasara negirazi remvura. Usambofa wakatora zvinopfuura huwandu hwemadosi akatenderwa nachiremba wako.
Kana wagamuchira mushonga uyu kubva ku pharmacy, uchapihwa gwara reMishonga (MedGuide) . Unofanira kuugamuchira pamwe chete netsamba itsva uye pese paunozouwanazve.Iva nechokwadi chekuverenga zvakadzama zviri mubhuku rino nguva dzese.
Kurukurai nezvekushandiswa kwemushonga uyu kuvana nechikwata chenyu chekuchengeta. Kunyange zvazvo paine zviitiko chaizvo apo ungashandiswa kune varwere vari pasi pemakore gumi nematanhatu, matanho akasimba ekudzivirira anodiwa.
Zvekuita kana munhu akawandisa
Kana uchifungidzira kuti watora mushonga unopfuura wawakarairwa, taura nebazi rezvekudzivirira chepfu kana kuti enda kuchipatara che emergency chiri pedyo nekukasika. Izvi zvakakosha.
Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usambougovana nemumwe munhu; zvine njodzi kuzviita.
Ko kana ndikarasikirwa nedosi?
Mushonga uyu unoshandiswa chete kana zvichidikanwa pakurwadziwa kwemuviri; hausi mushonga wezuva nezuva wakarongwa. Saka, kupotsa "mushonga" nenzira yechinyakare hakushande. Zvisinei, usamboushandisa nenzira inopesana nemirairo yakajeka yachiremba wako.
Kudyidzana kunogona kuitika nezvimwe zvinhu
Paunenge uchishandisa Fentanyl, haufanirwe kuishandisa nezvinhu zvinotevera:
- Mifepristone
Pamusoro pezvo, Fentanyl inogona kusangana nezvimwe zvinhu zvakasiyana-siyana. Ndapota iva nechokwadi chekuti wazivisa chiremba wako mishonga yese nezvimwe zvinovaka muviri zvauri kutora.
- Doro
- Mishonga inorwisa mabhakitiriya (inoshandiswa pakurapa allergies, kukosora, kana dzihwa)
- Mishonga inorwisa mavhairasi (inoshandiswa pakurapa HIV kana AIDS)
- Atropine
- Mamwe maantibiotic (semuenzaniso, clarithromycin, erythromycin, rifampin)
- Mimwe mishonga yekuzvidya mwoyo kana yekubatsira pakurara
- Mishonga yedundira (semuenzaniso, oxybutynin, tolterodine)
- Mimwe mishonga yekurapa BP yakakwira, chirwere chemwoyo, kana kurova kwemoyo kusina kurongeka
- Mishonga inorwisa kushushikana (semuenzaniso, amitriptyline, fluoxetine, sertraline)
- Mishonga yechirwere cheshuga (semuenzaniso, pioglitazone, troglitazone)
- Mishonga inorwisa fungus (semuenzaniso, ketoconazole, itraconazole)
- Mishonga yemigraine (semuenzaniso, almotriptan, eletriptan, sumatriptan)
- Mishonga yekusvotwa kana kurutsa (semuenzaniso, aprepitant, ondansetron)
- Mishonga yepfari (semuenzaniso, phenobarbital, phenytoin)
- Mishonga yemudumbu/yemudumbu (semuenzaniso, dicyclomine, hyoscyamine)
- Mishonga yekurwara nekufamba (semuenzaniso, scopolamine)
- Mishonga yechirwere cheParkinson (semuenzaniso, benztropine)
- Cimetidine
- Diuretics (mapiritsi emvura)
- Mishonga inorwisa marwadzo (semuenzaniso, halothane, propofol)
- Muto weGrapefruit
- Ipratropium
- Linezolid
- Mishonga inopedza marwadzo yemunzvimbo (semuenzaniso, lidocaine)
- MAOIs (semuenzaniso, Carbex, Eldepryl)
- Mishonga inozorodza tsandanyama inoshandiswa panguva yekuvhiyiwa
- Bhuruu reMethylene
- Mimwe mishonga yekurwadziwa kana yekukosora inodhaka
- Mishonga yePhenothiazines (semuenzaniso, chlorpromazine)
- St. John's wort (chinowedzerwa chemishonga)
- MaSteroid (semuenzaniso, prednisone, cortisone)
Rondedzero iyi haina kukwana. Nekuti zvinhu zvakawanda zvinogona kushanda pamwe chete neFentanyl, ndapota iva nechokwadi chekugovera runyorwa rwakakwana rwezvese zvaunoshandisa, kusanganisira mishonga yese yakanyorerwa nachiremba, mishonga inotengwa kunze kwemutero, mavhitamini, uye zvekudya zvinovaka muviri. Uyezve, zivisa chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa chero zvinhu zvekuzvivaraidza.
Ndezvipi matanho ekudzivirira aunofanira kutora paunenge uchishandisa mushonga uyu?
Kana marwadzo ako asingavandudzike, akawedzera kuipa, kana kuti ukasangana nerudzi rutsva rwemarwadzo, zivisa timu yako yezvekurapa nekukasika. Nekufamba kwenguva, unogona kutanga kusashivirira mushonga uyu, zvichireva kuti ungangoda mushonga wakakwira kuti uwane mwero wakafanana wekuderedza marwadzo. Izvi zvakajairika, kunyanya kana ukashandisa kwenguva refu.
Zvisinei, usarega kutora mushonga uyu kamwe kamwe , sezvo muviri wako wava kuvimba nawo; kurega kamwe kamwe kunogona kukonzera matambudziko makuru ekurega. Izvi hazvirevi hazvo kuti wava kupindwa muropa.Kupindwa muropa inzira yemaitiro inosanganisira kushandiswa kwechinhu chisiri chekurapa. Sezvo uri kushandisa izvi kudzora marwadzo ekurapa, tevera mirairo yachiremba wako zvakasimba. Kana yasvika nguva yekurega, timu yako yezvekurapa ichakutungamira kuti uderedze dose yako zvishoma nezvishoma nekufamba kwenguva kuti uderedze zviratidzo zvekurega.
Kana ukatora Fentanyl pamwe chete nezvimwe zvinonyaradza marwadzo—zvakadai semishonga ine simba yekuderedza marwadzo, benzodiazepines, kana mishonga inobatsira pakurara—njodzi yako yemigumisiro ine njodzi inowedzera zvakanyanya. Gara uchinyora runyorwa rwemishonga yako yauri kushandisa kuna chiremba wako. Usambofa wakatora mishonga inopfuura yawakarairwa. Kana ukasangana nematambudziko ekufema, kuneta zvakanyanya, kana hope dzakanyanya, fonera 911 kana masevhisi ekukurumidzira emunharaunda yako nekukasika.
Gadzirira neNaloxone
Taura nechikwata chako chezvekurapa nezvekushandisa Naloxone . Naloxone mushonga wekukurumidzira unoshandiswa kuderedza huwandu hweopioid, hunogona kuitika kana mushonga ukatorwa zvakanyanya kana kusanganiswa nezvimwe zvinhu zvakaita sedoro. Dzidza zviratidzo zvekudarika huwandu: kunetseka kufema, kuneta zvakanyanya, kutadza kumuka, kana kushaya mhinduro kana wataurwa naye. Ita shuwa kuti mhuri yako, vanokuchengeta, uye avo vari pedyo newe vanoziva kuti Naloxone yako inochengetwa kupi uye mashandisirwo ayo. Gara uchifonera masevhisi ekukurumidzira mushure mekupa Naloxone , sezvo iri danho renguva pfupi uye rinogona kuda madosi ekutevera.
Unogona kunzwa hope kana dzungu . Usatyaira motokari, kushandisa michina, kana kuita mabasa anoda kutarisisa kusvika waziva kuti mushonga uyu unokubatsira sei. Dzivisa kumira kana kugara nekukasira, kunyanya kana uri munhu mukuru, kuti uderedze njodzi yekufenda. Dzivisa doro , sezvo rinogona kukanganisa mushonga uyu zvine njodzi.
Mushonga uyu unogona kukonzera kuvimbiwa . Kana usina kubuda tsvina kwemazuva matatu, bvunza chiremba wako.
Muromo wako ungaoma . Kutsenga chingamu isina shuga, kusvuta masiwiti asina shuga, kana kunwa mvura yakawanda zvinogona kubatsira. Kana izvi zvikaramba zviripo kana kuti zvakanyanya, taura nachiremba wako.
Ndezvipi zvimwe zvinhu zvinogona kukukanganisa?
Bata timu yako yezvekurapa nekukasika kana ukasangana nezvinotevera:
- Kurwara nepfungwa: Mapundu eganda, kuvaviwa, mapundu, kana kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Kushungurudzika kweCNS: Kufema zvishoma nezvishoma kana zvishoma, kufema zvishoma, kunzwa kupera simba, dzungu, kuvhiringidzika, kana kunetseka kuramba wakamuka.
- Kusashanda zvakanaka kweadrenal gland: Kusvotwa, kurutsa, kurasikirwa nechido chekudya, kushaya simba kana kuneta kusingawanzoitiki, kana dzungu.
- Kuderera kweropa: Kunzwa dzungu, kunzwa kupera simba kana kushamisika, kana kuona zvisinganzwisisike.
- Maitiro enzvimbo yacho: Marwadzo, kushatirwa, kana maronda mumuromo umo mushonga unoiswa.
Migumisiro inotevera inowanzoonekwa haidi rubatsiro rwechiremba asi inofanira kutaurwa kana ikanyanya kana kuti ikaramba iripo:
- Kuzvimba
- Dzungu
- Kurara
- Muromo wakaoma
- Musoro
- Kusvotwa
- Kurutsa
Rondedzero iyi haibatanidzi migumisiro yese inogona kuitika. Taura nachiremba wako kuti uwane rumwe ruzivo. Unogona zvakare kuudza migumisiro yacho kuFDA panhamba 1-800-FDA-1088.
Mushonga uyu unofanira kuchengetwa kupi zvakachengeteka?
Ndapota chengetai mushonga uyu kure nevana nezvipfuyo. Nekuti mushonga uyu une njodzi yekushungurudzwa , zvakakosha kuuchengeta munzvimbo yakachengeteka, yakakiyiwa kudzivirira kuba. Musambogovana mushonga uyu nemunhu. Kutengesa kana kupa mushonga uyu kune vamwe hakuna njodzi chete asiwo kunopesana nemutemo.
Chengeta mushonga uyu patembiricha yemukamuri, pakati pe15°C ne30°C (59°F kusvika 86°F). Kana uine mushonga usina kushandiswa kana kuti wapera basa, ndapota urase nekukurumidza.
Chiyeuchidzo Chinokosha: Kumedzwa netsaona nevakuru, vana, kana mhuka dzinovaraidza kunogona kukonzera kukuvara kwakanyanya kana kutofa. Saka, kana usingachadi mushonga uyu kana kuti wapera, kuraswa kwakakodzera kunofanira kuitwa. Unogona kuita izvi nenzira mbiri:
- Shandisa purogiramu yekutora mishonga. Tarisa ne pharmacy yemuno kana sangano rezvemitemo kuti uwane nzvimbo yekuunganidzira mishonga iri pedyo newe.
- Kana pasina chirongwa chekutora mushonga, suka mushonga muchimbuzi.
Cherechedza: Chinyorwa chino ingori pfupiso chete uye hachina ruzivo rwese rwunogoneka. Kana muine mimwe mibvunzo nezvemushonga uyu, ndapota bvunzai chiremba wenyu, murapi wemishonga, kana mupi wehutano.
Zvinhu Zvinokosha Zvaunofanira Kuziva
Takurukura zvakawanda nezvemapiritsi eFentanyl Buccal. Heino pfupiso yezvaunofanira kuyeuka:
- Uyu mushonga une simba wekurapa marwadzo unonzi opioid wakagadzirirwa kuderedza marwadzo anorwadza zvakanyanya.
- Tevedzerai mirairo yachiremba wenyu maererano nekushandisa mushonga uye kuushandisa.
- Udza chiremba wako nezvemimwe mishonga yose yaunotora uye nhoroondo yako yese yezvekurapa kuti udzivise kusangana nemishonga ine njodzi.
- Ngwarira kana paine hope kana dzungu. Ngwarira paunenge uchityaira kana kuita mabasa anoda kunyatsoteerera.
- Usarega kutora mushonga uyu kamwe kamwe. Gara uchitevera mirairo yachiremba wako kuti uderedze zvishoma nezvishoma.
- Gadzirira kushandisa Naloxone , mushonga wekukurumidzira wekushandisa opioid yakawandisa.
- Chengeta mushonga wacho panzvimbo yakachengeteka kure nevana uye rasa zvinhu zvisina kushandiswa nemazvo.
- Kana muine kusava nechokwadi kana zvinokunetsai, musazeza kutaura nachiremba wenyu.
Tinovimba kuti ruzivo urwu kubva kuNirogi Lanka rwabatsira. Ramba uine hutano hwakanaka!
Fentanyl, Mishonga Inouraya Marwadzo, Opioids, Marwadzo Anobudirira, Migumisiro Yemushonga, Kudyidzana Kwemishonga, Naloxone
