Dzimwe nguva tinogona kusangana nemarwadzo akakomba, asingaperi asingagone kudzorwa nemishonga yekurapa marwadzo yenguva dzose. Kana kuti, vamwe vanhu, nekuda kwekusaziva kana zvimwe zvikonzero, vanopindwa muropa nemishonga uye vanotambura zvikuru nekuti havagone kuibvisa. Muzviitiko zvakadaro, mushonga wakakosha wakanyorerwa navanachiremba unonzi Methadone. Saka nhasi, ngatitaurei nezvemushonga uyu, basa rawo, zvinhu zvekungwarira patinenge tichiushandisa, uye zvese nezvemigumisiro yawo.
Chii chinonzi Methadone? Chii chinoita kuti ishande?
Muchidimbu, Methadone mushonga une simba unoshandiswa pazvinangwa zviviri zvikuru. Uri muboka remishonga inonzi 'Opioids'.
1. Kudzora marwadzo akanyanya uye asingapere: Kana usingakwanise kushivirira mamwe mishonga inoderedza marwadzo, kana kuti kana vasingadzore marwadzo ako, vanachiremba vanogona kukupa mushonga uyu. Unoshanda nekudzivirira zviratidzo zvekurwadziwa kuuropi, zvichideredza marwadzo aunonzwa.
2. Semushonga wekurapa kupindwa muropa neopioid: Kana munhu akapindwa muropa nezvinodhaka zvakaita seheroin akarega kuzvishandisa, muviri unowana zviratidzo zvekurega kushandisa zvinodhaka uye chishuwo chekushandisa mushonga zvakare. Methadone inobatsira kuderedza zviratidzo izvozvo uye chishuwo uye inobatsira munhu kudzokera kuhupenyu huri nani. Zvisinei, kuti kurapwa uku kubudirire, zvakakosha kutora mushonga uyu pamwe chete nekupa mazano uye kurapwa kwemaitiro .
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati watanga kutora methadone, zvakakosha kuzivisa chiremba wako nezvezvirwere zvaunazvo, sezvo ruzivo urwu ruchasarudza mwero wemushonga nezvimwe zvinhu zvichakanganisa kurapwa kwako.
| Kana uine chimwe chezvinotevera, iva nechokwadi chekuudza chiremba wako: | |
|---|---|
| Matambudziko ane chekuita nehurongwa hwetsinga | Mabundu emuuropi, kukuvara kwemusoro, pfari |
| Nhoroondo yekupindwa muropa | Kupindwa muropa nezvimwe zvinodhaka kana doro, kunwa doro kakawanda |
| Mwoyo neBP | Chirwere chemwoyo, BP yakaderera |
| Sisitimu yekufema | Chirwere chemapapu, asthma, kana mamwe matambudziko ekufema |
| Mamwe mamiriro ezvinhu emuviri | Chirwere cheitsvo, chirwere chechiropa, chirwere chethyroid, kusashanda zvakanaka kweadrenal gland, matambudziko emudumbu kana mudumbu |
| Hutano hwepfungwa | Chero chirwere chepfungwa |
| Kushandisa mimwe mishonga | Kana wakambotora mishonga yeMAOI (semuenzaniso Marplan, Nardil) mukati memazuva gumi nemana apfuura |
| Zviitiko zvakakosha | Kana uri kuedza kubata pamuviri, une pamuviri, kana kuti uri amai vanoyamwisa |
| Kurwara | Kana uine allergy kune methadone, mimwe mishonga inouraya marwadzo, mimwe mishonga, chikafu, mishonga inochengetedza, kana kupenda |
Ndingashandisa sei mushonga uyu chaizvo?
Uyu mushonga unouya uri mushonga. Saka, rangarira mirairo iyi nokungwarira.
- Chiyero nemazvo: Yera chiyero chaicho chakanyorwa nachiremba wako, uchishandisa chipunu kana kapu chaiyo yakapihwa chinangwa ichocho. Usashandise zvipunu zvekushandisa pamba kana zvipunu.Kuyera kwavo hakuna kururama.
- Usati wadya kana kuti wapedza?: Mushonga uyu unogona kutorwa nechikafu kana usina. Zvisinei, kana ukasangana nedambudziko remudumbu, tora pamwe nechikafu.
- Kusanganisa: Kana uchida, unogona kusanganisa mushonga uyu kuita muto wemuchero kana chikafu wotora ipapo ipapo. Asi usachengete chikafu kana chinwiwa chine mushonga wacho kuti uzoshandisa gare gare .
- Inwa mushonga panguva yakatarwa: Inwa mushonga wakanyorwa panguva yakatarwa. Usatore mushonga unopfuura wawaudzwa nachiremba wako.
- Usarega kutora mushonga uyu kamwe kamwe: Usarega kutora mushonga uyu kamwe kamwe usina kupiwa mazano nachiremba. Kuita izvi kunogona kukonzera migumisiro yakaipa.
Zvakakosha: Ngwarirai zvakanyanya pakushandisa mushonga uyu kuvana. Taurai nachiremba wenyu nezvenyaya iyi.
Maiwe! Unoitei kana ukarasikirwa nemushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Izvi zvinogona kuisa hupenyu panjodzi.
Mimwe mishonga inobatanidzwa neMethadone (Kudyidzana Kwemishonga)
Ichi chikamu chakakosha zvikuru. Methadone mushonga unogona kupindirana nemimwe mishonga yakawanda. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorwa nachiremba, isingatengeswi nechiremba, mishonga yemishonga, mavhitamini).
| Mishonga isingafanirwe kutorwa neMethadone | |
|---|---|
| Mimwe mishonga yekurapa fungus | Semuenzaniso: itraconazole, ketoconazole, voriconazole |
| Mimwe mishonga yekurapa zvirwere zvemoyo | Semuenzaniso: dronedarone, quinidine |
| Mimwe mishonga | Cisapride, Pimozide, Thioridazine, Rasagiline, Selegiline |
| Mimwe mishonga nezvimwe zvinhu zvinogona kupindirana neMethadone | |
Doro, mishonga inorwisa mabhakitiriya, mishonga yeHIV/AIDS, mimwe mishonga inorwisa mabhakitiriya, kuora mwoyo, kuzvidya mwoyo, kana mishonga yekurara, mishonga yepfari, mimwe mishonga yekenza, mimwe mishonga yezvirwere zvemoyo, mishonga inoshandiswa kuregedza tsandanyama panguva yekuvhiyiwa, uye mimwe mishonga yekurapa marwadzo yeopioid. | |
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kushanya kwachiremba: Shanyirai chiremba wenyu pamazuva akarongwa kuti muone kufambira mberi kwekurapwa kwenyu.
- Kurara uye kungwarira: Mushonga uyu unogona kuita kuti unzwe hope uye dzungu. Unogonawo kuderedza kugona kwako kuisa pfungwa dzako pachinhu chimwe chete uye kuita sarudzo. Usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Kunwa doro kunogona kuwedzera dambudziko iri.
- Zivai nezveNaloxone: Naloxone mushonga unoponesa hupenyu unopihwa kana munhu anwa opioid yakawanda. Zvingave zvakakosha kuti munhu ari kutora methadone ave nawo uye kuti nhengo dzemhuri dzizive mashandisirwo awo. Taurai nachiremba wenyu nezvenyaya iyi.
- Kuzvimba: Kuzvimba kwakajairika pamushonga uyu. Kana usina kubuda tsvina mushure memazuva matatu, fonera chiremba wako.
- Muromo wakaoma: Muromo wakaoma unowanzoitikawo. Izvi zvinogona kudzorwa nekutsenga chingamu isina shuga, kusvuta masiwiti, uye kunwa mvura yakawanda.
- Kubata pamuviri: Udza chiremba wako kana uchironga kubata pamuviri, kana kuti watova nepamuviri. Kutora mushonga uyu panguva yekuzvitakura kunogona kukonzera matambudziko makuru ekuzvarwa kwemwana wako.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemishonga chero ipi zvayo, methadone inogona kukonzera migumisiro yakaipa.
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kurwara | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kurara zvakanyanya, kuvhiringidzika, uye hope dzisingamutswi. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva, kunetseka kufema. |
| Kuderera kweropa | Dzungu, kuona zvisipo, kufenda. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
Kuzvimba, dzungu, hope, muromo wakaoma, musoro, kuda kurutsa, kurutsa. | |
Nzira yekuchengetedza sei mishonga yakachengeteka?
Izvi zvakakosha zvikuru: Mushonga uyu unogona kushandiswa zvisina kunaka. Unogonawo kuuraya kana ukabatwa nemumwe munhu mukuru, mwana, kana chipfuwo.
- Chengeta kure nevana nezvipfuyo.
- Chengeta panzvimbo yakachengeteka kuti uidzivirire kubva pakubiwa.
- Usape vamwe mushonga uyu chero chikonzero chipi zvacho. Kuita izvozvo imhosva inorangwa uye chiito chine njodzi zvikuru.
- Chengeta patembiricha yemumba, kure nechiedza nehunyoro, uye chengeta chivharo chebhodhoro chakavharwa zvakasimba.
- Usashandise mushure mezuva rekupera kwemushonga. Bvunza chiremba wako kuti ungarasa sei mushonga wasara nemazvo.
Mharidzo Yekuenda Nayo Kumba
- Methadone mushonga une simba unoshandiswa kurapa marwadzo akanyanya uye kupindwa muropa neopioid. Unofanira kungowanikwa chete kana wanyorerwa nachiremba.
- Zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora uye matambudziko ese ehutano auri kusangana nawo.
- Dzivisa kutyaira kana kushandisa michina ine njodzi sezvo hope dzingangoitika paunenge uchitora mushonga. Dzivisa kunwa doro.
- Kana uchifungidzira kuti washandisa zvinodhaka zvakadarika mwero, enda kuchipatara (ETU) nekukurumidza.
- Usambogovana mushonga uyu nevamwe. Chengeta munzvimbo yakachengeteka iri kure nevana nezvipfuyo.
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