Ngaba ukhathazwa ziintlungu ezihlala ixesha elide nezingenakunyamezeleka? Ngamanye amaxesha, amayeza esiwasebenzisayo awanelanga ukulawula iintlungu ezinzima kangaka. Kwiimeko ezinjalo, ugqirha wakho unokukunika iyeza elikhethekileyo nelinamandla lokubulala iintlungu. Namhlanje siza kuthetha ngelinye iyeza elinjalo, iBuprenorphine, elisetyenziswa ngokulifaka ngaphakathi esidleleni.

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Yintoni le iyeza ekuthiwa yiBuprenorphine?

Ngamafutshane, iBuprenorphine liyeza elisetyenziselwa ukunyanga iintlungu ezinzima nezingapheliyo. Oogqirha badla ngokulinika xa ezinye izithomalalisi zentlungu zingasebenzi okanye xa umzimba ungakwazi ukunyamezela eli yeza. Likudidi lwamayeza abizwa ngokuba yi-opioids . Lisebenza ngokuthintela imiqondiso yentlungu ukuba ingafiki engqondweni, linciphisa uvakalelo lwentlungu.

Eyona nto ibalulekileyo kukuba eli liyeza elisebenza ixesha elide . Oku kuthetha ukuba alisetyenziselwa iintlungu ezikhawulezileyo. Linikwa ukulawula iintlungu ezingapheliyo ezihlala imini yonke.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza

Ngaphambi kokuba uqalise eli yeza, kubaluleke kakhulu ukwazisa ugqirha wakho ngembali yakho epheleleyo yempilo . Qiniseka ukuba uyamxelela ukuba unayo nayiphi na kwezi meko zilandelayo:

Imeko yempilo	Inkcazo
Iingxaki ezinxulumene nobuchopho	Iimeko ezinje ngethumba lobuchopho kunye nokwenzakala entloko.
Iingxaki zomlomo	Isifo samazinyo okanye seentsini, izilonda emlonyeni.
Isibindi, inyongo, ipancreas	Isifo sesibindi, isifo senyongo, isifo se-pancreatic.
Iingxaki zenkqubo yokuphefumla	Isifo semiphunga, i-asthma, okanye iingxaki zokuphefumla.
Isifo sentliziyo	Isifo sentliziyo, ukubetha kwentliziyo okungaqhelekanga.
Ezinye iimeko	Ukuxhomekeka kwiziyobisi okanye utywala, ukusebenza okuphantsi kwe-adrenal gland, ukuxhuzula, iingxaki zamathumbu.
Amanye amayeza athathwayo	Ukuba ukhe wathatha amayeza e-MAOI (umz. iMarplan, iNardil) kwiintsuku ezili-14 ezidlulileyo.
Iziganeko ezikhethekileyo	Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa.
Ii-aleji	Ukuba une-aleji kwi-buprenorphine okanye naliphi na elinye iyeza, ukutya, okanye idayi.

Ndingayisebenzisa njani kanye kanye le yeza?

Ekubeni le yifilimu esetyenziswa ngaphakathi esidleleni, kufuneka kuqatshelwe ngakumbi indlela esetyenziswa ngayo.

1. Ukulungiselela: Ngaphambi kokuba uthathe iyeza, hlambulula umlomo wakho ngamanzi uze ulisuse. Okanye, manzisa ingaphakathi lesidlele sakho ngolwimi lwakho.

2. Ukuvula ipakethi: Vula ipakethi ngezandla ezomileyo . Vula ipakethi kuphela ngaphambi kokuba uthathe iyeza.

3. Faka ifilimu: Thatha ifilimu ngencam yomnwe wakho owomileyo uze uyibeke ngaphakathi esidleleni sakho icala elimthubi lichukumisa isidleleni .

4. Cinezela imizuzwana emi-5: Yibambe ngolo hlobo uze ucinezele ngobunono ngomnwe wakho malunga nemizuzwana emi-5.

5. Yiyeke inyibilike: Emva koko susa umnwe wakho uze uvumele ifilimu inyibilike. Oku kudla ngokuthatha malunga nemizuzu engama-30.

6. Kubalulekile: Musa ukuyichukumisa okanye ukuyishukumisa ifilimu ngolwimi okanye ngeminwe yakho ide inyibilike. Kwakhona, kuphephe ukutya okanye ukusela ide inyibilike ifilimu. Musa ukuyisika, ukuyihlafuna, okanye ukuyiginya le filimu.

Qhubeka usebenzisa eli yeza njengoko kuyalelwe de ugqirha wakho akuxelele ukuba uyeke.

Umthamo ogqithisileyo

Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko , okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.

Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.

Ukusebenzisana nezinye iziyobisi

Ngenxa yokuba i-buprenorphine liyeza elinamandla, linokusebenzisana namanye amayeza owasebenzisayo. Ngoko ke, kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).

Musa ukuthatha iBuprenorphine kunye nala mayeza!
I-Cisapride	I-Dronedarone
I-Pimozide	I-Safinamide
I-Samidorphan	I-Thioridazine
Lumka ngakumbi xa usebenzisa iBuprenorphine nezi zinto.
Utywala, ii-antihistamines, ezinye ii-antibiotics , amayeza e-HIV /Hepatitis, amayeza okuxhalaba okanye okulala, amayeza engqondo, amayeza okulwa ne-fungus, amayeza e-migraine , amayeza okuxhuzula (umz., i-Carbamazepine), amayeza okudambisa iintlungu, ezinye ii-opioid painkillers, iziphumzi zemisipha, kunye nezinye ezininzi.

Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza

Intlungu kunye nokunyamezelana

Xelela ugqirha wakho ukuba intlungu yakho ayipheli, ukuba iba mandundu, okanye ukuba unentlungu entsha. Emva kokusela eli yeza okwethutyana, idosi obuyithatha ngaphambili isenokungabi sanele ukulawula intlungu yakho. Oku kubizwa ngokuba kukunyamezela . Oku kuqhelekile kwaye akuyongxaki yokulutha. Ukulutha yingxaki yokuziphatha apho usebenzisa iyeza ngaphandle kwesizathu sezonyango. Ugqirha wakho uya kulungisa idosi yakho njengoko kufuneka.

Ukuyeka amayeza

Ungaze uyeke ukuthatha eli yeza ngequbuliso. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu ( iimpawu zokurhoxa). Ukuba kufuneka uyeke ukuthatha eli yeza, ugqirha wakho uya kulinciphisa kancinci kancinci idosi.

Ukulala kunye notywala

Eli yeza lingakwenza uzive ulele kwaye unesiyezi . Ngoko ke , musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama ude wazi ukuba ikuchaphazela njani. Ingakumbi ukuba umdala, musa ukuphakama kwindawo ohleli kuyo ngequbuliso, kuba oku kunokubangela isiyezi nokuwa. Kuphephe ukusela utywala ngokupheleleyo.

Ukuqhinwa

Ukuqhinwa sisiphumo esiqhelekileyo esibangelwa yile mithi. Ukuba unengxaki yokuphuma kwamathumbu kangangeentsuku ezingaphezu kwe-3, yazisa ugqirha wakho.

I-Opioid Overdose kunye neNaloxone

Ukugqithisa amayeza e-opioid kuyingozi kakhulu. Iimpawu zokugqithisa ziquka ubunzima bokuphefumla, ukozela kakhulu, kunye nobunzima bokuvuka. I-Naloxone liyeza elingxamisekileyo elinikwa ukuguqula olu hlobo lokugqithisa. Kubalulekile ukuba usapho lomntu osele eli yeza luqaphele oku. Nokuba i-Naloxone inikwe, sisisombululo sexeshana nje. Isigulana kufuneka sisiwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko.

Iziphumo Ezingalindelekanga Okufanele Uzazi

Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ii-aleji	Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala.
Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS)	Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukozela kakhulu, ukudideka.
Utshintsho kwisantya sentliziyo	Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, iintlungu zesifuba.
Ukulimala kwesibindi	Intlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, ukutyheli kolusu okanye amehlo, umchamo otyheli/omdaka omnyama.
Ukuncipha komsebenzi we-adrenal	Isicaphucaphu, ukuhlanza, ukungabi namdla wokutya, ukudinwa kakhulu, isiyezi.
Ukubola kwamazinyo	Ukutshintsha kombala wamazinyo, umoya onukayo, ukungakwazi kwamazinyo okanye ukuva iintsini.
Iziphumo eziqhelekileyo ekufuneka uxelele ugqirha wakho ngazo ukuba ziyakukhathaza
Ukuqhinwa	Isiyezi
Ukozela	Umlomo owomileyo
Intloko ebuhlungu	Isicaphucaphu/ukuhlanza

Umyalezo Wokuya Ekhaya

I-Buprenorphine sisithomalalisi se-opioid esinamandla esisetyenziselwa iintlungu ezinzima nezingapheliyo. Ayisetyenziselwa iintlungu ezingxamisekileyo.
Ngaphambi kokuba usebenzise eli yeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
Namathisela ifilimu ngqo ngaphakathi esidleleni sakho. Musa ukuyihlafuna, ukuyiginya, okanye ukuyisika.
Kuphephe ukuqhuba imoto kunye neminye imisebenzi efuna ukulumka ngelixa usela eli yeza kuba linokubangela ukozela kunye nesiyezi. Kuphephe ukusela utywala ngokupheleleyo.
Lumka ngemiphumo emibi kakhulu (ubunzima bokuphefumla, ukozela kakhulu, utshintsho kwisantya sentliziyo). Ukuba kukho nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
Gcina eli yeza kwindawo ekhuselekileyo, kude nabantwana nezilwanyana zasekhaya. Ungaze wabelane ngalo nabanye.