Chiremba wako akakunyorera mapiritsi emethadone here nekuti une marwadzo akasimba kwenguva refu kana kuti haugone kushivirira mimwe mishonga inoderedza marwadzo? Kana kuti uri kushandisa mushonga uyu kuti ukubatsire kukunda kupindwa muropa neopioid? Chero chikonzero chipi zvacho, mushonga uyu une simba guru, saka zvakakosha kuti uzive nezvawo uye uushandise zvakachengeteka. Saka ngatitaure nezvazvo zviri nyore uye zvine hunhu nhasi.
Chii chaizvo chinonzi Methadone?
Muchidimbu, methadone mushonga unoshandiswa pazvinhu zviviri zvikuru.
1. Dzora marwadzo akanyanya uye asingaperi: Vanachiremba vanopa izvi pakurwadziwa kwakanyanya uye kwenguva refu kusingagone kudzorwa nemishonga inonyaradza marwadzo nguva dzose. Inoshanda nekudzivirira zviratidzo zvekurwadziwa kusvika kuuropi.
2. Sekurapa kupindwa muropa neopioid: Mushonga uyu unobatsira kuderedza zviratidzo zvekurega kushandisa zvinodhaka mumuviri uye kuda zvinodhaka kana munhu akapindwa muropa neopioid, senge heroin. Zvisinei, kurapwa uku kunoshanda zvakanyanya kana kukasanganiswa nekupa mazano nekurapa maitiro .
Methadone mushonga uri muboka remishonga inonzi opioids.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Kuti uchengetedzeke, zvakakosha kuudza chiremba wako kana uine chimwe chezvirwere zvinotevera usati watanga kushandisa methadone. Izvi zvakakosha zvikuru.
| Rudzi rwemamiriro ezvinhu | Zvaunofanira kuzivisa |
|---|---|
| Matambudziko ane chekuita nehuropi | Zvirwere zvakaita sekukuvara mumusoro, bundu muuropi, kana kuti pfari. |
| Chirwere chemwoyo | Chero rudzi rwechirwere chemwoyo kana kusashanda zvakanaka kwemoyo. |
| Matambudziko ekufema | Asthma, chirwere chemapapu, kana matambudziko ekufema. |
| Mamwe matambudziko ehutano | Chirwere chechiropa, chirwere cheitsvo, chirwere chethyroid, kusashanda zvakanaka kweadrenal gland, BP yakaderera, matambudziko emudumbu. |
| Mararamiro nemimwe mishonga | Udza chiremba wako kana uchinwa doro nguva dzose, wakapindwa muropa nemimwe mishonga kana mishonga, une chirwere chepfungwa, kana kuti wakambotora mushonga weMAOI antidepressant (semuenzaniso, Parnate) mukati memavhiki maviri apfuura. |
| Kurwara | Kana uine allergy ne methadone, mimwe mishonga inouraya marwadzo yeopioid, mimwe mishonga, chikafu, kana mishonga inochengetedza. |
| Kubata pamuviri nekuyamwisa | Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa. |
Mushonga uyu unofanira kushandiswa nemazvo.
Inwa mushonga uyu negirazi remvura. Kana uchinzwa kurwadziwa mudumbu, inwa nekudya kana girazi remukaka. Chinhu chakakosha ndechekutora mushonga wacho sezvawakarairwa nachiremba wako. Usambofa wakatora mushonga unopfuura huwandu hwawakarairwa.
Kutora mushonga wepamusoro: Kana uchifunga kuti watora mushonga uyu wakawandisa netsaona, usanonoka wofonera National Poisons Information Centre paColombo National Hospital, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Izvi zvinogona kuva nzira yekuponesa hupenyu.
Uchagamuchira kapepa keruzivo rwakakosha (`MedGuide`) nezvemushonga wako kana waupihwa. Gara uchiverenga nokungwarira.
Mushonga uyu wakanyorerwa iwe chete. Usaupe kune mumwe munhu chero chikonzero chipi zvacho. Une njodzi huru uye haubvumirwi nemutemo.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Kudyidzana nemimwe mishonga
Methadone inogona kushanda pamwe chete nemimwe mishonga yakawanda. Saka, ipa chiremba wako runyoro rwakakwana rwemishonga yese yaunotora (kusanganisira mavhitamini, mishonga yemiti, uye zvinowedzera). Uyewo, iva nechokwadi chekuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Kunyanya, unofanira kudzivisa kutora methadone pamwe chete nemishonga inotevera:
- Mimwe mishonga yekurapa fungus (semuenzaniso, ketoconazole)
- Mimwe mishonga inoshandiswa kurapa zvirwere zvemoyo (semuenzaniso quinidine, dronedarone)
- Mishonga yakaita se'Cisapride', 'Pimozide', 'Thioridazine'
Pamusoro perunyorwa urwu, methadone inogona kushanda pamwe chete nemimwe mishonga yakawanda (semuenzaniso, mishonga inorwisa kushushikana kwepfungwa, mapiritsi ekurara, mishonga yeHIV/AIDS, uye mimwe mishonga inorwisa mabhakitiriya). Saka, zvakakosha kupa chiremba wako tsananguro yakazara.
Zvinhu zvekufunga nezvazvo kana uchitora Methadone
Usarega kutora mushonga kamwe kamwe!
Muviri wako unojaira mushonga uyu. Saka, kana ukarega kuutora kamwe kamwe, unogona kuva nedambudziko guru. Kana uchida kurega kutora mushonga, ita izvozvo chete kana wapiwa zano nachiremba, uye nekuderedza zvishoma nezvishoma mushonga wacho .
Kurara uye kutyaira
Mushonga uyu unogona kuita kuti unzwe hope, dzungu, uye kukanganisa kugona kwako kusarudza. Saka, dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Njodzi iyi inowedzera kana ukatora mushonga uyu nedoro.
Ngwarira Naloxone
Naloxone mushonga wekukurumidzira unopihwa kuderedza migumisiro yekunwa doro zvakanyanya. Zviratidzo zvekunwa doro zvakanyanya zvinosanganisira kufema zvishoma nezvishoma kana kuti zvisina kudzika, hope dzakanyanya, uye kutadza kumuka. Kuudza mhuri yako nevadikanwi nezvezviratidzo izvi, pamwe nekuti Naloxone iri kupi uye mashandisirwo ayo, zvinogona kuponesa hupenyu. Mushure mekushandisa Naloxone, unofanira kufonera amburenzi nekukasika.
Dzimwe pfungwa dzakakosha
- Kuzvimba: Kuzvimba kwakajairika pamushonga uyu. Kana usina kubuda tsvina kwemazuva matatu, taura nachiremba wako.
- Muromo wakaoma:Kana muromo wako wakaoma, kutsenga chingamu isina shuga, kusveta masiwiti asina shuga, uye kunwa mvura yakawanda zvinogona kubatsira.
- Kubata pamuviri: Taura nachiremba wako kana uchironga kubata pamuviri kana kuti uchifunga kuti ungave nepamuviri. Kutora mushonga uyu panguva yekuzvitakura kunogona kukonzera matambudziko makuru ekuzvarwa kwemwana wako.
Migumisiro yemushonga
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kufema zvakaoma, dzungu rakasimba, kunzwa kupera simba, kunetseka kuramba wakamuka. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, kurwadziwa pachipfuva, kuoma kufema. |
| Kuderera kweropa | Kunzwa dzungu, kunzwa kupera simba, kuona zvisipo. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kuzvimba | Muromo wakaoma |
| Dzungu | Musoro |
| Kurara | Kusvotwa kana kurutsa |
Nzira yekuchengetedza sei mishonga yakachengeteka?
Uyu mushonga une simba guru , saka chengeta munzvimbo yakachengeteka iri kure nevana nezvipfuyo . Sezvo mushonga uyu uchigona kushandiswa zvisina kunaka, chengeta munzvimbo inogona kudzivirirwa kubva pakubiwa.
Zvakakosha kurasa mishonga isina kushandiswa kana yapera basa nemazvo. Iendese kunzvimbo yepamutemo yekurasa mishonga. Kana izvi zvisingakwanisike, isuke muchimbuzi.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora methadone sezvakarairwa nachiremba wako. Usambofa wakatora zvinopfuura mwero unokurudzirwa.
- Usagovane mushonga uyu nemumwe munhu chero chikonzero chipi zvacho. Une njodzi huru uye haubvumirwi nemutemo.
- Ipa chiremba wako runyoro rwakakwana rwemishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora.
- Usarega kutora mushonga kamwe kamwe usina kupiwa mazano nachiremba.
- Zivai zviratidzo zvekunwa mushonga wakawandisa uye zivisai mhuri yenyu nezveNaloxone kuti mushandise kana zvichidikanwa.
- Kana ukatora mushonga wakawandisa netsaona, enda kuNational Poisons Information Centre kana kuchipatara chiri pedyo neEmergency Department (ETU).
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