Ngamanye amaxesha iintlungu esizivayo zinokuba nzima kakhulu kangangokuba ii-painkillers eziqhelekileyo azikwazi ukuzilawula. Kukho amayeza akhethekileyo asetyenziswa ngoogqirha ukunyanga olu hlobo lwentlungu enzima, nokuba ifika emva kwengozi, utyando, okanye ezinye iimeko zonyango. I-Buprenorphine yinaliti enamandla yokubulala iintlungu esetyenziswa xa ezinye ii-painkillers zingaphumeleli ukunika uncedo. Eli liyeza elinikwa esibhedlele okanye eklinikhi kuphela. Ngoko ke, masithethe ngalo ngeenkcukacha ezithe vetshe namhlanje.
Luhlobo luni lweyeza iBuprenorphine?
Ngamafutshane, iBuprenorphine liyeza elisetyenziselwa ukulawula iintlungu eziqatha . Ugqirha wakho uhlala ekunika eli yeza xa ungakwazi ukunyamezela ezinye iintlungu okanye xa zingayithomalalisi intlungu yakho.
Isebenza ngokuthintela imiqondiso yentlungu engqondweni yethu. Oko kukuthi, inciphisa ubuninzi bentlungu esiyivayo. Eli yeza likwiqela lamayeza abizwa ngokuba yi-opioids . La ngamayeza okudambisa iintlungu anamandla kwaye kufuneka asetyenziswe kuphela phantsi kweliso likagqirha. Musa ukusebenzisa eli yeza kuyo nayiphi na into ngaphandle kwaleyo ugqirha wakho akunike yona.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Ekubeni eli liyeza elinamandla, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo yemeko yakho yempilo. Ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba umxelele ngaphambi kokuba ufumane eli chiza.
| Imeko | Inkcazo |
|---|---|
| Iingxaki ezinxulumene nobuchopho | Iimeko ezinje ngethumba lobuchopho kunye nokwenzakala okukhulu entloko. |
| Ukulutha kunye nemikhwa | Ukuba unembali yokulutha iziyobisi okanye usela rhoqo. |
| Izifo zezitho zangaphakathi | Isifo sesibindi, isifo senyongo, isifo se-pancreatic. |
| Isifo sentliziyo | Nasiphi na isifo sentliziyo, ukubetha kwentliziyo okungahambelaniyo. |
| Iingxaki zenkqubo yokuphefumla | Isifo semiphunga, i-asthma, okanye ezinye iingxaki zokuphefumla. |
| Ezinye iimeko zonyango | Ukusebenza okuphantsi kwe-adrenal gland, ukuxhuzula, iingxaki zamathumbu. |
| Ukusetyenziswa kwamanye amayeza | Ukuba ukhe wathatha amayeza e -MAOI afana neMarplan, iNardil, okanye iParnate kwiintsuku ezili-14 ezidlulileyo. |
| Ii-aleji | Ukuba une-allergy kwi-buprenorphine okanye naliphi na elinye iyeza, ukutya, okanye idayi. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Uyisebenzisa njani le mithi kwaye yintoni omawuyenze xa kukho imeko engxamisekileyo?
Eli yeza linikwa wena njengenaliti emthanjeni okanye kwisihlunu . Lihlala linikwa ngabasebenzi bezonyango esibhedlele okanye eklinikhi.
Ukugqithisa
Ukuba ucinga ukuba unikwe amayeza amaninzi kakhulu, okanye ukuba ukrokrela ukuba unikwe amaninzi kakhulu, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko . Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Oku kubaluleke kakhulu, kuba eli liyeza elinamandla.
Inqaku elibalulekileyo: Eli yeza limiselwe wena wedwa. Ungaze wabelane ngeli yeza nomnye umntu. Ukwenza njalo kuyingozi kwaye kunokohlwaywa ngumthetho.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
I-Buprenorphine inokunxibelelana nezinye iziyobisi ezininzi, ngoko ke kubalulekile ukuxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (kuquka iivithamini, iimveliso zezityalo, kunye neentlungu).
| Amayeza angafanele asetyenziswe ne-buprenorphine | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Pimozide | I-Safinamide |
| I-Samidorphan | I-Thioridazine |
Ukongeza, inokusebenzisana namanye amayeza amaninzi. Umzekelo:
- Utywala
- Ii-antihistamines zokukhwehlela, umkhuhlane, kunye ne-allergies
- Amayeza okudakumba, ixhala, kunye nokungalali kakuhle
- Amanye amayeza e-antiviral e-HIV okanye i-Hepatitis
- Amanye amayeza osulelo lwefungus (umz. iKetoconazole)
- Amayeza okulwa nokuxhuzula (umz. iCarbamazepine)
- Ii-anesthetics eziqhelekileyo
- Iziphumzi zemisipha
- Amanye amayeza okuthomalalisa iintlungu okanye amayeza okukhwehlela e-opioid
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo. Ungalibali ukumxelela ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Izinto ekufuneka ziqwalaselwe xa usebenzisa amayeza
- Xela intlungu: Xelela ugqirha wakho ukuba intlungu yakho ayipheli, ukuba iba mandundu, okanye ukuba unentlungu entsha.
- Ukunyamezelana kuyakhula:Xa usela eli yeza ixesha elide, idosi eyayisebenza ngaphambili isenokungabonakali yanele. Oku sikubiza ngokuba kukunyamezela . Oku kuqhelekile, ungakhathazeki. Ugqirha wakho uza kulungisa idosi njengoko kufuneka.
- Ukunyamezela iziyobisi kunye nokuba likhoboka lazo: Xa uqhubeka nokusela la mayeza, umzimba wakho uyawaqhela. Ngoko ke ukuba uyeka ukuwasela ngequbuliso, unokufumana iimpawu zokurhoxa. Oku akuthethi ukuba ulikhoboka lazo. Ukuba likhoboka kuxa usebenzisa amayeza ngaphandle kwesizathu sezonyango. Kuba uneentlungu, eso sisizathu sezonyango. Ukuba ugqirha ufuna ukuyeka amayeza, uya kunciphisa kancinci kancinci umthamo.
- Funda ngeNaloxone: INaloxone lunyango olungxamisekileyo lokusebenzisa i-opioid ngokugqithisileyo. Buza ugqirha wakho ngale nto.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele okanye unesizungu . Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza eminye imisebenzi efuna ukugxila ude wazi ukuba eli yeza likuchaphazela njani. Kuphephe ukuvuka okanye ukuhlala phantsi ngokukhawuleza, ingakumbi ukuba sele ukhulile.
- Utywala: Kuphephe ngokupheleleyo utywala xa usebenzisa eli yeza.
- Ukuqhinwa: Esi sisiphumo esiqhelekileyo sale mithi. Ukuba awukayi kwindlu yangasese kangangeentsuku ezi-3, xelela ugqirha wakho.
- Umlomo owomileyo: Ukuba uziva ngathi umlomo wakho womile, ukuhlafuna itshungama engenaswekile kunye nokusela amanzi amaninzi kunokunceda.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | 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, ukungabikho zingqondweni. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, iintlungu zesifuba. |
| Ukulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo otyheli/omdaka omnyama. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukubona izinto ezingaqondakaliyo, ukuquleka. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga (kodwa xelela ugqirha wakho ukuba ziyaqhubeka) | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ukuqhinwa, isiyezi, ukozela, umlomo owomileyo, intloko ebuhlungu, isicaphucaphu, ukuhlanza. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana into engaqhelekanga, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-Buprenorphine yinaliti enamandla yokubulala iintlungu enikwa esibhedlele okanye eklinikhi kuphela xa kukho iintlungu eziqatha.
- Ngaphambi kokuba usebenzise eli yeza, kubalulekile ukuba uxelele ugqirha wakho ngazo zonke iimeko zempilo onazo kunye nawo onke amayeza owasebenzisayo.
- Kuphephe ukuqhuba imoto ngelixa usebenzisa eli yeza kuba linokubangela ukozela kunye nesiyezi. Kuphephe ukusela utywala ngokupheleleyo.
- Ukuba ukrokrela ukuba usela kakhulu, yiya kwigumbi likaxakeka (ETU) ngokukhawuleza.
- Eli yeza lelakho wedwa. Ungaze ulinike omnye umntu.
- Ukuba unemibuzo okanye iimpawu ezingaqhelekanga, thetha nogqirha wakho ngokukhawuleza.
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