Kupindwa muropa nezvinodhaka idambudziko guru rinosangana nevanhu vazhinji. Zviratidzo zvekurega zvinodhaka uye zvishuwo zvinouya nekuedza kurega zvinogona kuoma kugadzirisa, handiti? Dzimwe nguva zvinoita sekunge haugone kufamba rwendo urwu uri wega. Asi usazvidya mwoyo, kune mishonga inogona kubatsira.
Mushonga werudzii uyu?
Methadone mushonga unoshandiswa kurapa chirwere chekushandisa opioid (Opioid Use Disorder). Muchidimbu, unoshanda nekuderedza zviratidzo zvisingafadzi zvemuviri (zviratidzo zvekurega kushandisa) uye zvishuwo zvinoitika kana ukarega kushandisa mushonga uyu. Unonyanya kushanda kana ukashandiswa pamwe chete nekupa mazano uye kurapa maitiro . Imhando yemushonga unonziwo opioid. Dzimwe nguva mushonga uyu unogona kushandiswawo kune zvimwe zvinangwa. Bvunza chiremba wako kana wemishonga nezveizvi.
Zita rinowanzoshandiswa pamusika ndiMethadose.
Chii chandinofanira kuudza chiremba ndisati ndashandisa mushonga uyu?
Kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako nezvazvo:
- Bundu reuropi
- Kushandisa zvinodhaka zvisina kunaka kana kupindwa muropa
- Kukuvara kwemusoro
- Chirwere chemwoyo
- Kana uri munhu anonwa doro nguva dzose
- Chirwere cheitsvo
- Chirwere chechiropa
- Kushanda kweadrenal gland kwakaderera
- Kuderera kweropa
- Matambudziko emapapu, asthma, kana kufema
- Chirwere chepfungwa
- Kubatwa nepfari
- Matambudziko emudumbu kana ura
- Kana wakambotora mushonga kubva kuboka reMAOI (semuenzaniso Marplan, Nardil, Parnate) mukati memazuva gumi nemana apfuura
- Chirwere chethyroid
- Kana wakambova nedambudziko risingawanzoitika kana kuti rakakuwira nekuda kwemethadone, mimwe mishonga inoderedza marwadzo yeopioid, mimwe mishonga, chikafu, madhayi kana mishonga inochengetedza
- Kana uri nepamuviri kana kuti uchifunga kuti une pamuviri
- Kana uchiyamwisa
Ndinofanira kushandisa mushonga uyu sei?
Mushonga uyu unofanira kunwiwa nemuromo. Tevedzera mirayiridzo yakanyorwa papepa remushonga rakapihwa nachiremba wako. Tarisa huwandu chaihwo hwemapiritsi anodiwa pamushonga wako.
Mapiritsi aya anofanira kunyungudutswa mugirazi remvura, muto weorenji, citrus Tang, kana citrus flavour yeKool-Aid.Kurunga zvakanaka kweinenge miniti. Unogona kuona imwe piritsi yasara mugirazi. Piritsi harizonyungudike zvachose. Asi unofanira kunwa mvura yese iri mugirazi. Usatsenga piritsi kana kurimedza rese. Piritsi rinofanira kunyungudika ronwiwa.
Unogona kutora mushonga uyu uine chikafu kana usina. Kana une dambudziko remudumbu, tora pamwe chete nechikafu. Inwa mushonga wako panguva yakakodzera. Usatore mushonga unopfuura wawakanyorerwa. Usarega kutora mushonga usina kurairwa nachiremba wako.
Uchawana gwaro remushonga rakakosha (MedGuide) rine mushonga wese waunowana kubva ku pharmacy uye kana wawana mushonga wekuwedzera. Gara uchiyeuka kuriverenga nokungwarira.
Taura nechikwata chako chehutano nezvekupa mushonga uyu kuvana, sezvo ungangoda kutarisirwa kwakakosha.
Kupfuura mwero wemushonga
Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera nzvimbo inodzora chepfu kana imba yekukurumidzira nekukasika.
Zvakakosha: Mushonga uyu ndewako chete. Usagovane mushonga uyu nevamwe vanhu.
Chii chaunofanira kuita kana ukarasikirwa nemushonga?
Kana ukarasikirwa nedosi, itore nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti utore dosi rinotevera, itore panguva iyoyo. Usatore dosi mbiri kana kuti yakawedzerwa.
Ndezvipi zvimwe zvinhu zvinogona kupindirana nemushonga uyu?
Usatore Methadone pamwe chete nemimwe yemishonga inotevera:
- Mimwe mishonga yekurapa hutachiona hwefungus, semuenzaniso itraconazole, ketoconazole, posaconazole, voriconazole
- Mimwe mishonga inoshandiswa kurapa kurova kwemoyo kusina kurongeka, semuenzaniso bepridil, bretylium, dronedarone, quinidine
- Cisapride
- Halofantrine
- Mesoridazine
- Pimozide
- Rasagiline
- Selegiline
- Thioridazine
Mushonga uyu unogona kukanganisana nemishonga inotevera. Saka, unofanira kuudza chiremba wako kana uri kutora chero ipi zvayo yeiyi:
- Doro
- Mishonga inorwisa mabhakitiriya yekurwisa allergies, kukosora, uye dzihwa
- Mishonga yekurwisa utachiona hweHIV kana AIDS
- Arsenic trioxide
- Atropine
- Mamwe maantibiotic, semuenzaniso clarithromycin, erythromycin, rifampin
- Mimwe mishonga yekuzvidya mwoyo kana kurara
- Mimwe mishonga yekurapa matambudziko edundira, senge oxybutynin netolterodine
- Mimwe mishonga yegomarara, semuenzaniso dasatinib, lapatinib
- Mimwe mishonga yekurapa kushungurudzika, yakaita seamitriptyline, fluoxetine, sertraline
- Mimwe mishonga inoshandiswa kurapa kurova kwemoyo kusina kurongeka, senge amiodarone nesotalol
- Mimwe mishonga inoshandiswa pakurapa malaria, semuenzaniso chloroquine, mefloquine
- Mimwe mishonga inoshandiswa kurapa migraines, yakadai sesumatriptan
- Mimwe mishonga yekurapa kuda kurutsa kana kurutsa, senge ondansetron
- Mimwe mishonga inoshandiswa pakurapa pfari, yakaita secarbamazepine, phenobarbital, uye phenytoin
- Mimwe mishonga yekurapa dumbu rakakanganisika, senge dicyclomine
- Mimwe mishonga inoshandiswa kurapa kurwara nekufamba, senge scopolamine
- Mimwe mishonga yekurapa chirwere cheParkinson
- Fluconazole
- Mishonga inorwisa marwadzo (semuenzaniso halothane, propofol)
- Haloperidol
- Ipratropium
- Linezolid
- Mishonga inopedza marwadzo yemuno, semuenzaniso lidocaine
- MAOIs (MAOIs) boka remishonga, semuenzaniso. Marplan, Nardil, Parnate
- Zvinozorodza tsandanyama pakuvhiyiwa
- Bhuruu reMethylene
- Octreotide
- Mimwe mishonga inokonzera kurova kwemoyo zvisina kujairika (inorebesa nguva yeQT), yakaita sedofetilide, ziprasidone
- Zvimwe zvinodhaka zvekurwadziwa kana kukosora
- Peginterferon alfa-2b
- Mishonga yePhenothiazines, semuenzaniso chlorpromazine
- Ranolazine
- Tacrolimus
- Vardenafil
Rondedzero iyi haibatanidzi zvese zvinogona kuitika. Ipa chiremba wako runyoro rwemishonga yese, miriwo, mishonga inotengwa kunze kwemutemo, kana zvekudya zvauri kutora. Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Zvimwe zvinhu zvinogona kukanganisa mushonga wako.
Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?
Ona timu yako yehutano nguva dzose. Kana uri kutora mushonga uyu wekurwadziwa, kana kurwadziwa kwako kusingapere, kana kurwadziwa kwako kukawedzera, kana kana uine rudzi rutsva rwekurwadziwa, udza chiremba wako. Kana uri kutora mushonga uyu wekushandisa opioid disorder (Opioid Use Disorder), enda kumapoka ekupa mazano kana ekutsigira anokurudzirwa nachiremba wako. Usaedze kurwisa migumisiro yemushonga uyu nekutora mishonga yakawanda. Izvi zvinogona kukonzera matambudziko akakomba, kusanganisira rufu. Zvakare, mushure mekurega kutora mushonga uyu, muviri wako unogona kunzwa zvakanyanya kunyange huwandu hudiki hwemishonga.
Usarega kutora mushonga uyu kamwe kamwe. Kuita izvi kunogona kukonzera matambudziko makuru. Muviri wako uchajaira mushonga wacho. Chikwata chako chehutano chichakuudza kuti unofanira kutora mushonga wakawanda sei. Kana vachifunga kuti unofanira kurega kuutora, vachaderedza zvishoma nezvishoma mushonga wacho kuti vaderedze migumisiro yakaipa.
Kana uri kutora mimwe mishonga inokuita kuti unzwe hope (yakadai semimwe mishonga inonyaradza marwadzo, benzodiazepines, kana mimwe mishonga yekurara), unogona kuva nemigumisiro yakawanda. Ipa chiremba wako runyoro rwemishonga yese yauri kutora. Vachakuudza kuti unofanira kunwa yakawanda sei. Usatore kupfuura yawakarairwa. Kana uchinetseka kufema kana kunzwa kuneta zvisina kujairika kana kuti hope, tsvaga rubatsiro rwekukurumidzira nekukurumidza.
Taura nechikwata chako chehutano nezve naloxone uye kuti ungaiwana sei. Naloxone mushonga wekukurumidzira unopiwa kurapa opioid yakawandisa. Kana ukatora opioid yakawandisa kana ukaitora nezvimwe zvinhu zvakaita sedoro, unogona kunge wakanyanya. Zvakakosha kuziva zviratidzo zvekunyanya. Semuenzaniso, kunetseka kufema, kuneta kusingawanzoitiki kana kurara, kana kutadza kupindura kana kumuka. Udza mhuri yako nevadikanwi vako kuti mushonga we naloxone uri kupi. Vanofanirawo kuziva mashandisirwo awo. Mushure mekunge wapihwa naloxone, unofanirwa kuwana kurapwa kwekukurumidzira nekukasika. Naloxone mushonga wenguva pfupi. Ungangoda kutora mishonga yakawanda.
Unganzwa hope kana dzungu. Usatyaira motokari, kushandisa michina, kana kuita chero chinhu chinoda kutarisisa kusvika waziva kuti mushonga uyu unokubatsira sei. Usamira kana kugara wakamira kamwe kamwe, kunyanya kana wakwegura. Izvi zvinoderedza mukana wekuita dzungu kana kupera simba. Doro rinogona kukanganisa mashandiro emushonga uyu. Saka dzivisa kunwa doro.
Pfeka chitupa chekurapwa kana cheni, uye takura kadhi rine ruzivo nezvehurwere hwako, mishonga, uye mwero wekushandisa.
Mushonga uyu unogona kukonzera kuvimbiwa . Kana mukasabuda tsvina mushure memazuva matatu, fonerai timu yenyu yehutano.
Muromo wako ungave wakaoma. Kutsenga chingamu isina shuga, kusveta masiwiti akaoma asina shuga, uye kunwa mvura yakawanda zvinogona kubatsira. Kana dambudziko iri rikaramba riripo kana kuti rakakomba, ona chiremba wako.
Vakadzi vanofanira kuudza timu yavo yehutano kana vachironga kuva nepamuviri kana kuti vachifunga kuti vangave nepamuviri. Izvi zvinogona kukonzera migumisiro yakaipa kumwana asati aberekwa. Taura nechikwata chako chehutano nezvemabhenefiti nenjodzi dzekuyamwisa paunenge uchitora mushonga uyu. Mushonga uyu unogona kupinda mumukaka wezamu. Taura nechikwata chako chehutano kana uchironga kutanga kana kurega kutora mushonga uyu paunenge uchiyamwisa, kana kuti uri kuronga kurega kuyamwisa.
Ndezvipi zvimwe zvinhu zvingandikanganisa kubva pamushonga uyu?
Unofanira kuudza timu yako yehutano nekukurumidza kana ukasangana nemhedzisiro inotevera:
- Kurwara nepfungwa — mapundu eganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro
- Kushungurudzika kwetsinga dzemutsinga (CNS depression) — kufema zvishoma nezvishoma kana zvishoma, kunetseka kufema, kupera simba, dzungu, kuvhiringidzika, kuoma kuramba wakamuka
- Kuchinja kwemoyo — kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kupera simba, kurwadziwa pachipfuva, kuoma kufema
- Kusashanda zvakanaka kweadrenal gland - kuda kurutsa, kurutsa, kurasikirwa nechido chekudya, kushaya simba kana kuneta kusingawanzoitiki, dzungu
- Kuderera kweropa - dzungu, kupera simba, kuona zvisipo
Migumisiro isingawanzodi mazano echiremba (asi inofanira kuziviswa kuchikwata chekurapa kana ikaramba iripo kana kuti ichinetsa):
- Kuzvimba
- Dzungu
- Kurara
- Muromo wakaoma
- Musoro
- Kusvotwa
- Kurutsa
Rondedzero iyi haina zvese zvinogona kukonzera migumisiro yakaipa. Taura nachiremba wako kuti akupe mazano ekurapa nezvemigumisiro yakaipa.
Ndinofanira kuchengeta kupi mushonga wangu?
Chengeta kure nevana. Mushonga uyu unogona kushandiswa zvisizvo (zvisizvo). Saka chengeta mushonga wako panzvimbo yakachengeteka kuti udzivirirwe kubva mukubiwa. Usagovane mushonga uyu nevamwe vanhu. Kutengesa kana kupa vamwe mushonga uyu kune njodzi uye zvinopesana nemutemo.
Chengeta patembiricha yemukamuri, pakati pe20 ne25 degrees Celsius (68 ne77 degrees Fahrenheit). Chengeta bhodhoro remushonga rakavharwa zvakasimba.
Mushonga uyu unogona kukuvadza kana kutouraya kana ukatorwa nevamwe vakuru, vana, kana zvipfuyo. Dzosera mushonga usina kushandiswa panzvimbo yepamutemo inoraswa. Kuti uwane mumwe, fonera DEA panhamba 1-800-882-9539, kana bvunza kanzuru yeguta/dunhu renyu. Kana musingakwanise kudzorera mushonga, usuke muchimbuzi. Musashandise mushonga wapfuura zuva rawo rekupera.
Ndapota cherechedzai: Kapepa aka ndekepfupiso chete. Kanogona kunge kasina ruzivo rwese. Kana muine mibvunzo nezvemushonga uyu, taurai nachiremba wenyu, murapi wemishonga, kana mumwe mupi wehutano.
Pakupedzisira, zvinhu zvishoma zvekurangarira
Kunyangwe methadone iri mushonga unobatsira pakupindwa muropa nezvinodhaka, kungwarira kukuru kunofanira kutorwa pakushandisa methadone. Yeuka:
- Tevedzera mirairo yachiremba wako nemazvo. Usanyungudutsa mapiritsi, kuanzvenga, kana kuamedza.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora. Izvi zvinogona kukanganisa mimwe mishonga.
- Usarega kutora mushonga kamwe kamwe. Deredza mushonga sezvawaudzwa nachiremba wako.
- Ziva zvinhu zvakaita sehope nedzungu. Chenjerera paunenge uchityaira.
- Ngwarira Naloxone. Inogona kubatsira kuponesa hupenyu kana munhu akashandisa zvinodhaka zvakanyanya.
- Chengeta mishonga panzvimbo yakachengeteka kure nevana.
Hamufanirwe kufamba rwendo urwu muri mega. Nerubatsiro rwechikwata chenyu chekurapa, vanachipangamazano, nemhuri, munogona kupfuura neizvi. Rambai makasimba!
Methadone , kupindwa muropa nezvinodhaka, maopioid, zviratidzo zvekurega kushandisa zvinodhaka, zvishuwo, kusangana kwemishonga, migumisiro yakaipa
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