Dzimwe nguva marwadzo atinosangana nawo anova akanyanya zvekuti haagone kudzorwa nemishonga yekurapa marwadzo yakajairika. Zvakare, vamwe vanhu vanonetseka kubvisa kupindwa muropa kwakanyanya kwakadai sekushandisa zvinodhaka. Methadone mushonga une simba zvikuru unokurudzirwa navanachiremba muzviitiko zvakadaro. Sezvo uchipihwa sejekiseni, tichataura nezvazvo zvakajeka nhasi.
Chii chinonzi Methadone?
Muchidimbu, Methadone mushonga unoshandiswa pazvinangwa zviviri zvikuru.
1. Dzora marwadzo akanyanya: Inopihwa kana mimwe mishonga inoderedza marwadzo isingakwanise kudzora marwadzo kana muviri usingakwanise kuashivirira. Inoshanda nekudzivirira zviratidzo zvekurwadziwa kusvika kuuropi.
2. Kurapa Opioid Use Disorder: Mushonga uyu unopiwa vanhu vakapindwa muropa nezvinodhaka zvakaita seheroin kuti uvabatsire kurega. Unoshanda nekuderedza zviratidzo zvekurega kushandisa zvinodhaka uye chishuwo chemushonga wacho.
Chinhu chinonyanya kukosha ndechekuti kana ukashandisa izvi semushonga wekupindwa muropa, mhedzisiro yakanaka inowanikwa kana zvikasanganiswa nekupa mazano uye kurapwa kwemaitiro.
Methadone mushonga uri muboka remishonga yeopioid uye unofanirwa kutorwa chete pasi pekutarisirwa kwachiremba.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakanaka, izvi zvakakosha zvikuru. Usati wapihwa methadone, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Kunyanya kana uine chimwe chezvirwere zviri pazasi, unofanira kuvaudza nezvazvo.
| Hutano/tsika | Tsananguro |
|---|---|
| Uropi nehurongwa hwetsinga | Zvirwere zvakaita sebundu remuuropi, kukuvara kwemusoro, kana pfari. |
| Mwoyo neBP | Chirwere chemwoyo, BP yakaderera. |
| Sisitimu yekufema | Chirwere chemapapu, asthma, kana mamwe matambudziko ekufema. |
| Chiropa neitsvo | Chirwere chechiropa kana cheitsvo. |
| Zvimwe zvirwere | Chirwere chethyroid, kusashanda zvakanaka kweadrenal gland, uye matambudziko emudumbu. |
| Tsika nehutano hwepfungwa | Kunwa doro kakawanda, kupindwa muropa nezvimwe zvinodhaka, kurwara nepfungwa. |
| Mimwe mishonga iri kutorwa | Kana wakambotora mushonga weMAOI (semuenzaniso Parnate) mukati memazuva gumi nemana apfuura. |
| Zviitiko zvakakosha | Kana uine pamuviri kana kuti uri kuedza kubata pamuviri, kana uri kuyamwisa, kana kuti wakambova neallergy yemethadone kana chero imwe mishonga kana chikafu. |
Mushonga uyu unoshandiswa sei?
Mushonga uyu unobayiwa pasi peganda, mutsandanyama, kana mutsinga. Unowanzopihwa muchipatara kana kiriniki.
Uyewo, kana uchifanira kushandisa mushonga uyu kumba, uchadzidziswa kugadzirira nekuutora nemazvo. Ushandise sezvakarairwa, panguva dzakakodzera chete. Usambofa wakatora zvinopfuura huwandu hwakatarwa panguva imwe chete.
Unoitei netsono dzakamboshandiswa?
Izvi zvakakosha zvikuru. Usamborasa tsono nemasirinji akamboshandiswa mumarara. Anofanira kuiswa mumudziyo wesimbi unopinza unogona kubviswa. Kana usina, bvunza timu yako yehutano kuti ungawana sei.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifungidzira kuti watora mushonga uyu unopfuura mwero wakatarwa, enda kuEmergency Department (ETU) iri pedyo nekukasika. Kana, fonera National Poisons Information Centre kuColombo National Hospital .
Mushonga uyu wakanyorerwa iwe chete. Usambougovana nemumwe munhu.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Methadone mushonga unogona kushanda pamwe chete nemimwe mishonga yakawanda. Izvi zvinoreva kuti kana ukatorwa pamwe chete nemimwe mishonga, mhedzisiro yemishonga iyoyo kana methadone inogona kuchinja, kana kuti migumisiro yakaipa inogona kuitika.
Zvikuru, usambofa watora Methadone pamwe chete nemishonga inotevera:
- Mimwe mishonga yekurapa fungus (semuenzaniso ketoconazole, voriconazole)
- Mimwe mishonga yekurapa zvirwere zvemoyo (semuenzaniso quinidine, dronedarone)
- Mishonga yakaita seCisapride, Pimozide, Thioridazine
Pamusoro pezvo, matambudziko anogona kuitika nemimwe mishonga yakawanda. Semuenzaniso:
- Doro
- Mishonga yeAllergy, kukosora, uye dzihwa
- Mishonga yekudzivirira hutachiona hweHIV kana AIDS
- Mishonga yekuora mwoyo, kuzvidya mwoyo, kana kushaya hope
- Mishonga inorwisa pfari (semuenzaniso carbamazepine, phenytoin)
- Mamwe maantibiotic (semuenzaniso clarithromycin, erythromycin)
- Mishonga inozorodza tsandanyama inoshandiswa panguva yekuvhiyiwa
- Mimwe mishonga yekurapa marwadzo emudumbu kana manyuchi ekukosora
Rondedzero iyi haina kukwana. Saka, iva nechokwadi chekuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yemiti, uye zvekudya zvinovaka muviri. Zvakakoshawo kuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Ona chiremba wako nguva dzose: Enda kukiriniki pamazuva akarongwa kuti uve nechokwadi chekuti kurapwa kwako kuri kufamba zvakanaka.
- Udza chiremba wako nezvekurwadziwa: Kana uri kutora mushonga uyu nekuda kwekurwadziwa, udza chiremba wako kana kurwadziwa kusingapere, kana kukawedzera, kana kuti kana uine rudzi rutsva rwekurwadziwa.
- Usamira kamwe kamwe: Muviri wako unojaira mushonga uyu. Saka usamborega kuutora kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera matambudziko makuru. Kana ukarega, ita saizvozvo sezvakataurwa nachiremba wako, nekuderedza zvishoma nezvishoma mushonga wacho.
- Njodzi yekudzokera shure:Kana uri kutora mushonga uyu semushonga wekupindwa muropa, usaedze kutora mushonga wakawanda kuti uderedze migumisiro yemushonga uyu. Izvi zvinogona kutokonzera rufu.
- Kurara uye kungwarira: Mushonga uyu unogona kuita kuti unzwe hope uye dzungu. Kungwarira kwako kunogona kunge kusina kunaka. Saka, dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei.
- Chenjerera paunomuka: Kuti usanzwa dzungu uye kupera simba, simuka zvishoma nezvishoma paunomuka kubva pakagara kana kurara pasi.
- Kuzvimba: Mushonga uyu unogona kukonzera kuvimbiwa. Kana uchinetseka nekuita zvechikafu kwemazuva anopfuura matatu, taura nachiremba wako.
- Ziva nezveNaloxone: Naloxone mushonga unoponesa hupenyu unogona kupihwa kana munhu anwa opioid yakawanda. Ziva zviratidzo zvekunwa mushonga wakawandisa (kufema zvishoma nezvishoma , hope dzakanyanya, kutadza kumuka). Kana wakapihwa mushonga uyu, udza mhuri yako nevadikanwi vako kuti uri kupi uye kuti ungaushandisa sei. Mushure mekupa naloxone, munhu akakupa mushonga uyu anofanira kufonera amburenzi yekukurumidzira.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemishonga yese, methadone inogona kukonzera migumisiro yakaipa. Mimwe yakakomba, mimwe yakajairika.
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kufema zvakaoma, hope dzakanyanya, kuvhiringidzika, uye kuoma kumuka. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kupera simba, kurwadziwa pachipfuva. |
| Kuderera kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Migumisiro inowanzo fanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kuzvimba | Dzungu uye hope |
| Muromo wakaoma | Musoro |
| Kusvotwa nekurutsa | Marwadzo, kutsvuka, kana kuzvimba panzvimbo yakapihwa jekiseni. |
Mharidzo Yekuenda Nayo Kumba
- Methadone mushonga une simba zvikuru unoshandiswa kurapa marwadzo akanyanya uye kupindwa muropa neopioid. Unofanira kushandiswa chete pasi pekutarisirwa kwachiremba.
- Udza chiremba wako nezvezvimwe zvirwere zvaunazvo uye chero mishonga yaunotora.
- Usambogovana mushonga uyu nemumwe munhu, uye uchengete panzvimbo yakachengeteka kure nevana nezvipfuyo.
- Ziva zviratidzo zvekunwa doro zvakanyanya (kufema zvishoma nezvishoma, hope dzakanyanya). Kana ukaona chimwe cheizvi, enda kuEmergency Department (ETU) nekukasika.
- Usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako.
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