Ngaba ngamanye amaxesha ukhe ube neentlungu neentlungu ezinganyamezelekiyo? Ngamaxesha anjalo, kwanezithomalalisi zentlungu esizisebenzisayo zisenokunganiki ncedo. I-Fentanyl luhlobo oluthile lonyango olunikwa ukulawula iintlungu ezinzima kangaka, okanye ukukwenza ulale kancinci ngaphambi kotyando. Namhlanje, masithethe ngale injection ye-Fentanyl.
Yintoni le iyeza ebizwa ngokuba yiFentanyl?
Ngamafutshane, iFentanyl liyeza elisetyenziselwa ukuthomalalisa iintlungu ezinzima. Ngamanye amaxesha, ikwasetyenziselwa ukukuthomalalisa nokukwenza ulale ngaphambi kovavanyo olukhulu lwezonyango okanye utyando . Oogqirha badla ngokukunika iFentanyl xa ezinye iipilisi zentlungu zingasebenzi okanye xa ungakwazi ukuzinyamezela. Isebenza ngokuthintela imiqondiso yentlungu ukuba ingafikeleli engqondweni yakho. Ikwiqela lamayeza abizwa ngokuba yi-opioids. Eli yeza lingasetyenziselwa nezinye izinto. Ukuba unemibuzo ngayo, buza ugqirha wakho okanye ikhemisti.
Ndimele ndixelele iqela lezonyango ntoni ngaphambi kokuba ndithathe eli yeza?
Kulungile, ngoku ngaphambi kokuba uqale ukusebenzisa eli yeza leFentanyl, kukho izinto ezimbalwa ekufuneka iqela lakho lokhathalelo lizazi. Kubalulekile ukubaxelela ezi zinto, kuba yiyo loo ndlela abanokugqiba ngayo ukuba eli yeza likulungele na. Ukuba unayo nayiphi na kwezi meko, ngokuqinisekileyo kufuneka ubaxelele:
- Ukuba unesifo somhlaza engqondweni
- Ukuba uxhomekeke kwiziyobisi (Ukusebenzisa kakubi iziyobisi okanye ukuxhomekeka kuzo)
- Ukuba unesifo senyongo
- Ukuba unokwenzakala entloko
- Ukuba unesifo sentliziyo
- Ukuba usela rhoqo
- Ukuba unesifo sezintso
- Ukuba unesifo sesibindi
- Ukuba uxinzelelo lwegazi luphantsi
- Ukuba unesifo semiphunga, umzekelo, isifo sesifuba.
- Ukuba unesifo sengqondo
- Ukuba uneengxaki zokuchama
- Ukuba unesifo sokuxhuzula
- Ukuba uneengxaki zesisu okanye zamathumbu
- Ukuba wakha waba ne-allergy okanye i-reaction engaqhelekanga kwi-fentanyl, elinye iyeza, ukutya, idayi, okanye isithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa
- Ukuba ungumama oncancisayo
Ndingayisebenzisa njani le yeza?
Eli yeza, elibizwa ngokuba yiFentanyl, linikwa njengenaliti emthanjeni okanye emsipha. Lidla ngokunikwa esibhedlele okanye eklinikhi phantsi kweliso likagqirha.
Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana abancinci eli yeza, ngoko ke thetha neqela lakho lezonyango ngalo.
Okubaluleke kakhulu, eli yeza linokuba yingozi xa lisetyenziswe kakhulu (ukugqithisa). Ukuba ucinga ukuba ulisebenzise kakhulu iyeza, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.
Enye into, eli yeza lelakho wedwa. Ungaze ulinike abanye.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Eli asiloyeza oqhele ukulisebenzisa rhoqo, yonke imihla. Oko kukuthi, eli liyeza elinikwa kuphela xa lifuneka, njengoko kuyalelwe ngugqirha wakho. Ke ngoko, ibinzana elithi 'uphoswe yidosi' alisebenzi koku.
Ziziphi ezinye izinto ezinokusebenzisana nale mithi?
Kukho uhlobo olunye lwamayeza olungafanele lusetyenziswe neFentanyl. Olu ke:
- I-Mifepristone
Kwakhona, kukho amanye amayeza, ukutya, kunye nezinto ezinokusebenzisana neFentanyl, oko kuthetha ukuba zinokuchaphazelana. Ukuzithatha kunye kunokubangela iziphumo ebezingalindelekanga okanye kutshintshe indlela amayeza asebenza ngayo. Ngoko ke, ukuba usebenzisa nayiphi na kwezi zilandelayo, kufuneka uxelele iqela lakho lezempilo:
- Utywala
- Iintlobo zee-antihistamines ze-allergies, ukukhwehlela, kunye nomkhuhlane
- Amayeza okulwa nentsholongwane kaGawulayo okanye i-AIDS
- I-Atropine
- Amanye amayeza okubulala iintsholongwane, umzekelo i-clarithromycin, i-erythromycin, i-rifampin
- Amanye amayeza okunyanga ixhala okanye ukulala
- Amanye amayeza eengxaki zesinyi, umzekelo i-oxybutynin, i-tolterodine
- Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
- Amanye amayeza okudakumba, umzekelo i-amitriptyline, i-fluoxetine, i-sertraline
- Amanye amayeza asetyenziselwa isifo seswekile, umzekelo i-pioglitazone, i-troglitazone
- Amanye amayeza osulelo lwefungus, njenge ketoconazole kunye ne itraconazole
- Amanye amayeza asetyenziselwa intloko ebuhlungu ebuhlungu, umzekelo, i-almotriptan, i-eletriptan, i-frovatriptan, i-naratriptan, i-rizatriptan, i-sumatriptan, i-zolmitriptan
- Amanye amayeza okunyanga isicaphucaphu okanye ukuhlanza, umzekelo, i-aprepitant, i-dolasetron, i-granisetron, i-ondansetron
- Amanye amayeza asetyenziselwa ukuxhuzula, anjenge-phenobarbital, i-phenytoin, kunye ne-primidone
- Amanye amayeza eengxaki zesisu, umzekelo i-dicyclomine, i-hyoscyamine
- Amanye amayeza asetyenziswa ukunyanga isigulo sohambo, njenge-scopolamine
- Amanye amayeza asetyenziswa ukunyanga isifo sikaParkinson, anje nge-benztropine kunye ne-trihexyphenidyl
- I-Cimetidine
- I-Diuretics (amayeza anyusa ukukhutshwa komchamo)
- Ezinye iintlobo ze-anesthetics ngokubanzi, umzekelo i-halothane, i-isoflurane, i-methoxyflurane, i-propofol
- Ijusi yegrapefruit
- I-Ipratropium
- I-Linezolid
- Iintlobo ze-anesthetics zasekuhlaleni, umzekelo i-lidocaine, i-pramoxine, i-tetracaine
- Amayeza e-MAOI (umz., iCarbex, iEldepryl, iMarplan, iNardil, iParnate)
- Iziphumzi zemisipha zotyando
- I-Methylene eluhlaza okwesibhakabhaka
- Amanye amayeza e-narcotic eentlungu okanye ukukhwehlela
- IiPhenothiazines, umzekelo i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine
- I-wort yaseSt. John (le yimifuno)
- Amayeza e-steroid, anjenge-prednisone okanye i-cortisone
Olu luhlu aluphelelanga. Xelela iqela lakho lezempilo malunga nawo onke amayeza owasebenzisayo, kuquka amayeza esintu, amayeza athengiswa ngaphandle kwemvume kagqirha, kunye nezongezo zokutya. Baxelele ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.
Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?
Xa usebenzisa eli yeza, kukho izinto ezimbalwa ekufuneka uzazi.
- Ukuba intlungu ayipheli, ukuba iya isiba mandundu, okanye ukuba uneentlobo ezintsha zentlungu, xelela iqela lakho lezempilo. Usenokuba sele uqhelene nalo mayeza, oko kuthetha ukuba uyawaqhela. Ngamafutshane, ukunyamezela kuthetha ukuba udinga idosi ephezulu yamayeza kunangaphambili ukuze ufumane isiqabu esifanayo sentlungu. Kuqhelekile ukuba olu hlobo lokunyamezela lukhule ukuba ubusoloko usela eli yeza ixesha elide. Cinga ngako, abanye abantu banokwaneliseka yisiqingatha sekomityi yeti ekuqaleni, kodwa ekuhambeni kwexesha bafuna ikomityi epheleleyo ukuze bazive isiphumo esifanayo.
- Ungaze uyeke ukuthatha eli yeza ngequbuliso. Ukwenza njalo kunokubangela impendulo ebuhlungu. Oku kungenxa yokuba umzimba wakho sele uqhelene neyeza. Oku akuthethi ukuba ulikhoboka leyeza. Ukulutha kukuziphatha okubandakanya ukufumana nokusebenzisa iyeza ngesizathu esingesosezonyango. Ukuba uneentlungu, unesizathu sezonyango sokuthatha amayeza okudambisa iintlungu. Iqela lakho lezonyango liza kukuxelela ukuba kufuneka ulithathe kangakanani iyeza. Ukuba bafuna uyeke ukulithatha, baya kukwenza oko ngokunciphisa idosi kancinci kancinci ukuthintela iziphumo ebezingalindelekanga.
- Ukuba usebenzisa amanye amayeza akwenza ulale, afana namanye amayeza eentlungu ezibangela iintlungu, ii-benzodiazepines, okanye amanye amayeza akunceda ulale, unokuba nemiphumo emibi engaphezulu. Nika iqela lakho lezempilo uluhlu lwawo onke amayeza owasebenzisayo. Baza kukuxelela ukuba mawusele malini. Ungaze uthathe amayeza angaphezu kwalawo ugqirha wakho akuxelele wona. Ukuba unengxaki yokuphefumla, uzive udiniwe ngendlela engaqhelekanga, okanye uzive ulele, funa uncedo lwezonyango olungxamisekileyo ngoko nangoko.
- Buza iqela lakho lezempilo malunga ne-naloxone kunye nendlela yokuyifumana. I-Naloxone liyeza likaxakeka elinikwayo xa i-opioid igqithisile. I-overdose inokwenzeka ukuba uthatha i-opioid eninzi kakhulu. Okanye inokwenzeka ukuba uthatha i-opioid kunye namanye amayeza okanye izinto, ezinje ngotywala. Kubalulekile ukwazi iimpawu ze-overdose. Umzekelo, ubunzima bokuphefumla, ukudinwa okungaqhelekanga okanye ukulala, okanye ukungakwazi ukuphendula okanye ukuvuka. Yazisa usapho lwakho, abanakekeli, kunye nabantu obathandayo ukuba iphi i-naloxone kunye nendlela yokuyisebenzisa. Emva kokunika i-naloxone, ngokuqinisekileyo kufuneka utsalele iinkonzo zikaxakeka. I-Naloxone lunyango lwexeshana, kwaye inokufuna iidosi eziphindaphindwayo.
- Ungaziva ulele okanye unesizungu . Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukulumka engqondweni ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma okanye uhlale ngequbuliso, ingakumbi ukuba sele ukhulile. Oku kunciphisa umngcipheko wokuba nesizungu nokuwa. Utywala bunokuphazamisa indlela eli yeza elisebenza ngayo. Ngoko ke kuphephe ukusela utywala.
- Eli yeza linokubangela ukuqhina . Ukuba awuphumi esiswini emva kweentsuku ezintathu, fowunela iqela lakho lezempilo.
- Umlomo wakho womile.Ewe. Ukuhlafuna itshungama engenaswekile, ukufunxa iqhekeza lejinja, kunye nokusela amanzi amaninzi kunokunceda. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, nxibelelana neqela lakho lezonyango.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Unokufumana ezinye iziphumo ebezingalindelekanga ezivela kweli yeza leFentanyl. Ukuba ufumana naziphi na kwezi ziphumo bezingalindelekanga, kufuneka wazise iqela lakho lezempilo ngokukhawuleza:
- Iimpendulo ze-allergy — ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala
- Ukudakumba kweNkqubo yeNervous ephakathi (ukudakumba kwe-CNS) — ukuphefumla kancinci okanye kancinci, ukuphefumla kancinci, ukuziva utyhafile, isiyezi, ukudideka, ingxaki yokuhlala uphaphile
- Ukusebenza okuphantsi kwe-adrenal gland - isicaphucaphu, ukuhlanza, ukuphelelwa ngumdla wokutya, ubuthathaka okanye ukudinwa okungaqhelekanga, isiyezi
- Uxinzelelo lwegazi oluphantsi — isiyezi, ukuziva utyhafile okanye unentloko ebuhlungu, umbono ofipheleyo
- Ukuqina kwemisipha
Kukwakho nemiphumo emibi edla ngokungadingi nyango, kodwa ukuba iyaqhubeka okanye iba yingxaki, kufuneka uyixele kwiqela lakho lezonyango:
- Isiyezi
- Ukozela
- Isicaphucaphu
- Ukuhlanza
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuze ufumane ingcebiso yezonyango malunga neziphumo ebezingalindelekanga. Ungaxela iziphumo ebezingalindelekanga kwi-Food and Drug Administration (FDA) ku-1-800-FDA-1088 eMelika. ESri Lanka, ungazixela kwiziphathamandla zempilo ezifanelekileyo ngogqirha wakho.
Ndingaligcina njani iyeza?
Eli yeza leFentanyl ulinikwa esibhedlele okanye ekliniki, ngoko ke alilo iyeza omele uligcine ekhaya.
Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule
Kulungile, ngoku uyaqonda ukuba iFentanyl sisithomalalisi sentlungu esinamandla kakhulu . Isetyenziselwa iintlungu eziqatha kuphela, phantsi kweliso likagqirha.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo nokubazisa ngazo naziphi na iimeko zempilo onazo kunye namanye amayeza owasebenzisayo.
Eli yeza linokubangela ukozela kunye nesiyezi, ngoko ke lumka. Kwakhona, khumbula ukuba ayilocebo lilungileyo ukuyeka ukulisebenzisa ngequbuliso.
Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungoyiki ukubuza ugqirha wakho, umongikazi, okanye ingcali yezemithi. Bakhona ukukunceda. Impilo yakho yeyona nto ibalulekileyo!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba inaliti yeFentanyl yindlela eqhelekileyo yokuphelisa iintlungu?
Hayi suka! Le yeyona nto 'iyingozi kwaye inamandla' yokubulala iintlungu emhlabeni! Le yi-opioid eyenziweyo enamandla ngokuphindwe ka-50-100 kune-morphine sticks. Isetyenziselwa 'iintlungu ezibulalayo/ezimbi kakhulu zomhlaza' ezingenakupheliswa yiPanadol/iipilisi kwaye isetyenziselwa ulawulo lweentlungu eziqatha ngokupheleleyo ngexesha lotyando olukhulu.
💬 Eli yeza (iFentanyl) linceda njani ukunciphisa iintlungu emzimbeni?
Eli yeza lihlasela ngokuthe ngqo ii-pain receptors (ii-opioid receptors / ii-control panels) ezikwingqondo yethu nakwi-spinal cord, hayi kwenye indawo! Xa liqhagamshelwe, nokuba umlenze waphukile, isignali yentlungu ayihambi engqondweni. Endaweni yoko, umzimba wonke ufumana ukuphumla okumangalisayo, ulonwabo kunye nokunxila okunzulu (i-Euphoria kunye ne-Analgesia).
💬 Kutheni ndingenakuthenga eli yeza kwivenkile yezonyango? Zithini iingozi ezibulalayo zoku?
Eli liyeza elilawulwa ngokungqongqo kakhulu. Ukuba idosi inyuswe kancinci kwaye kubekho ukugqithisa, limisa ngokupheleleyo isandisi esiya engqondweni sokuphefumla (Ukudandatheka kokuphefumla). Emva koko isigulane siyayeka ukuphefumla size sife kwimizuzwana embalwa. Kwakhona, ekubeni umlutha walo umbi kune-heroin/powder, awunikwa rhoqo ezibhedlele.
i- fentanyl, i-painkiller, i-opioid, inaliti, iziphumo ebezingalindelekanga, amayeza, impilo, iintlungu, iingcebiso zonyango
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