Ngaba ufuna iFentanyl Skin Patch ukuze ufumane iintlungu zakho eziqatha? Masifumanise ukuba yintoni kanye kanye le!

Usenokuba ujongene neentlungu ezinzima, ezihlala ixesha elide. Kwiimeko ezinjalo, amayeza okuthomalalisa iintlungu aqhelekileyo asenokungasebenzi kakuhle, okanye usenokungakwazi ukuwasebenzisa. Kulapho oogqirha bacebisa khona ukusebenzisa i-fentanyl patch. Le yi-painkiller enamandla kakhulu.

Lithini eli yeza?

Ngamafutshane, iFentanyl liyeza elinikwa wena ngenxa yentlungu enzima okanye yexesha elide. Sikwabiza eli gama ngokuba yintlungu engapheliyo. Cinga ngale patch xa uziva ngathi awukwazi ukunyamezela ezinye iintlungu okanye xa ungakwazi ukunyamezela intlungu. Isebenza ngokuthintela imiqondiso yentlungu eya engqondweni yakho. Eli yeza lilodidi lwamayeza abizwa ngokuba yi-opioids .

Le yipilisi yokubulala iintlungu esebenza ixesha elide . Oku kuthetha ukuba iyeza lingena emzimbeni kancinci kancinci kwaye lilawula iintlungu. Kubalulekile ukukhumbula ukuba eli yeza alisetyenziselwa iintlungu eziqatha ngequbuliso.

Ngamanye amaxesha eli yeza lingasetyenziselwa ezinye izinto. Ukuba unemibuzo malunga noku, kungcono ubuze ugqirha wakho okanye ingcali yezemithi. Elinye igama eliqhelekileyo leli yeza yiDuragesic.

Yintoni ekufuneka uyixelele iqela lakho lezonyango?

Ngaphambi kokuba uqale ukusebenzisa eli yeza, kufuneka uxelele iqela lakho lezonyango (oko kukuthi oogqirha kunye nabahlengikazi) izinto ezimbalwa. Ngenxa yokuba eli yeza alifanelekanga kuye wonke umntu, kufuneka bazi ukuba unayo nayiphi na kwezi meko zilandelayo:

• Ngaba unesifo somhlaza ebuchotsheni?
• Ngaba ukhe wasebenzisa okanye wakha wasebenzisa iziyobisi kakubi okanye wakha wasebenzisa utywala?
• Ngaba ukhe wenzakala entloko?
• Ngaba unesifo sentliziyo?
• Ngaba usela utywala rhoqo?
• Ngaba unesifo sezintso?
• Ngaba unesifo sesibindi?
• Ngaba unesifo semiphunga, i-asthma, okanye iingxaki zokuphefumla?
• Ngaba wakha waxhuzula ngaphambili?
• Ngaba uneengxaki zesisu okanye zamathumbu?
• Ngaba ukhe wasebenzisa iyeza elibizwa ngokuba yi-MAOI (umzekelo, iMarplan, iNardil, okanye iParnate) kwiintsuku ezili-14 ezidlulileyo?
• Ngaba wakha waba ne-allergy engaqhelekanga kwi-fentanyl, amanye amayeza, ukutya, iidayi, okanye izithinteli?
• Ngaba ukhulelwe? Okanye uzama ukukhulelwa?
• Ngaba uyancancisa?

Kubaluleke kakhulu ukutsho ezi zinto ngaphandle kokuzifihla, kuba yindlela onokuphathwa ngayo ngokukhuselekileyo.

Ndingayisebenzisa njani le yeza?

Eli yeza lelokusetyenziswa ngaphandle kuphela. Oko kuthetha ukuba alinakuthathwa ngomlomo okanye liginywe ngenye indlela. Ingaba kunjalo?

Nantsi indlela yokufaka i-patch:

Okokuqala, khetha indawo ecocekileyo neyomileyo yesikhumba ngaphezu kwesinqe sakho, esifubeni, okanye emqolo. Kubantwana abancinci okanye abantu abadidekileyo kancinci, kungcono ukhethe indawo apho bangenakukwazi ukususa khona ibala. Umzekelo, umqolo ongasentla ungcono. Musa ukufaka ibala kwisikhumba esinamafutha, esicaphukileyo, esitshileyo, esinqunyiweyo, okanye esonakeleyo . Sebenzisa amanzi kuphela ukucoca ulusu. Musa ukusebenzisa isepha okanye utywala ukucoca ulusu. Ukwenza njalo kunokunyusa ukusebenza kweyeza. Ukuba kukho iinwele kwindawo ekufuneka zisetyenziswe, zichebe ngesikere, kodwa ungachebi nge-razor . Musa ukusika okanye ukonakalisa ibala. Kuyingozi kakhulu ukusebenzisa ibala elinqunyiweyo okanye elonakeleyo , njengoko oku kunokubangela ukuba amayeza amaninzi angene emzimbeni.

Susa ipatch kwiphakheji yayo kwaye ususe iteyiphu yokukhusela kwicala lokuncamathelisa. Musa ukuyisebenzisa ipatch ukuba ipakethe okanye umva wepatch yonakele. Musa ukuyichukumisa icala lokuncamathelisa ngeminwe yakho. Beka icala lokuncamathelisa eluswini kwaye ucinezele ngokuqinileyo malunga nemizuzwana engama-30. Emva koko hlamba izandla zakho ngesepha namanzi ngoko nangoko .

Kufuneka ulumke kakhulu kwiindawo apho kukho abantwana abancinci.

Gcina ipatshi kude nabantwana. Musa ukuvumela abantwana bakubone uyifaka ipatshi, kwaye ungayibeki apho abantwana banokuyibona khona. Musa ukubiza le patshi ngokuthi 'isitikha', 'itattoo' okanye 'ibhandishi'. Ukwenza njalo kunokukhuthaza abantwana ukuba bakuxelise. Ipatshi ezisetyenzisiweyo zisenamayeza . Ukuba umntwana omncinci okanye isilwanyana sasekhaya sifaka ipatshi esetyenzisiweyo emlonyeni wabo okanye siyifake emzimbeni wabo, iziphumo ebezingalindelekanga ezibi okanye kwanokufa kunokwenzeka.

Khumbula ezi zinto xa utshintsha iipatches:

Ngaphambi kokufaka ipetshi entsha, kufuneka ususe ipetshi endala . Faka ipetshi nganye entsha kwindawo eyahlukileyo, kungekhona kwindawo efanayo naleyo wawuyifake kuyo ngaphambili. Ukuba ipetshi iyaphuma, okanye ukuba ibangela ukuba bomvu okanye ukurhawuzelela, yisuse kwaye ufake ipetshi entsha kwindawo eyahlukileyo. Ukuba imiphetho yepetshi iqala ukuphuma, faka iteyipu yoncedo lokuqala emiphethweni. Ukuba uqhubeka unengxaki yokuba ipetshi inganamatheli kakuhle, faka i-adhesive dressing ecacileyo (efana neBioclusive okanye iTegaderm) phezu kwepetshi. Ungaze uyigqume ipetshi ngebhandishi okanye iteyipu enye.

Ikhemesti iza kukunika i-'MedGuide' ekhethekileyo xa ufumana amayeza akho naxa usiya kuwafumana kwakhona. Kubaluleke kakhulu ukuba uhlale ufunda kwaye uqonde ulwazi olukuwo ngononophelo .

Thetha neqela lakho lezempilo malunga nokunika abantwana abancinci eli yeza. Kwezinye iimeko ezikhethekileyo, linokunikwa abantwana abaneminyaka emi-2 ubudala, kodwa kukho amanyathelo okhuseleko ekufuneka athathwe.

Kwenzeka ntoni ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngoko nangoko. Le yingxamiseko, ungalibazisi.

Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye abantu.

Kuthekani ukuba ndiphoswa yidosi?

Ukuba uphoswe yipetshi, yifake kwangoko xa ukhumbula. Kodwa ukuba sele kusondele ixesha lepetshi yakho elandelayo, yifake kuphela ngoko. Musa ukusebenzisa iidosi eziphindwe kabini okanye iidosi ezongezelelweyo.

Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)

Kukho amayeza athile anokubangela iingxaki xa esetyenziswa kunye nale fentanyl patch. Oku kuthetha ukuba kukho ithuba lokuba iziphumo ebezingalindelekanga zinokwanda okanye ukusebenza kakuhle kwamayeza kutshintshe.

Musa ukusebenzisa iFentanyl kunye nala mayeza:

• I-Mifepristone
• I-Safinamide
• I-Samidorphan

La mayeza anokusebenzisana neFentanyl:

• Utywala
• Iintlobo zee-antihistamines ze-allergies, ukukhwehlela, kunye nomkhuhlane
• I-Atropine
• Amanye amayeza okubulala iintsholongwane, umzekelo i-clarithromycin, i-erythromycin, i-linezolid, i-rifampin
• Amanye amayeza okubulala iintsholongwane e-HIV okanye i-hepatitis
• Amanye amayeza okunyanga ixhala okanye ukulala
• Amanye amayeza eengxaki zesinyi, njenge-oxybutynin kunye ne-tolterodine
• Amanye amayeza okudakumba, anjenge-amitriptyline, i-fluoxetine, i-sertraline, i-mirtazapine, kunye ne-trazodone
• Amanye amayeza osulelo lwefungus, njenge ketoconazole, itraconazole, posaconazole
• Amanye amayeza asetyenziselwa intloko ebuhlungu ebuhlungu, njenge-almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
• Amanye amayeza okunyanga isicaphucaphu okanye ukuhlanza, afana ne-dolasetron, i-granisetron, i-ondansetron, i-palonosetron
• Amanye amayeza asetyenziswa kwisifo sikaParkinson, umz. i-benztropine, i-trihexyphenidyl
• Amanye amayeza okuxhuzula, anjenge-carbamazepine, i-phenobarbital, i-phenytoin, i-primidone
• Amanye amayeza eengxaki zesisu, umz. i-dicyclomine, i-hyoscyamine
• Amanye amayeza asetyenziswa ukunyanga isigulo sohambo, njenge-scopolamine
• I-Diuretics (amayeza anyusa ukuchama)
• Ii-anesthetics eziqhelekileyo, umz. i-halothane, i-isoflurane, i-methoxyflurane, i-propofol
• I-Ipratropium
• Amayeza e-MAOI, afana neMarplan, iNardil, iParnate
• Amayeza aphumza izihlunu
• I-Methylene eluhlaza okwesibhakabhaka
• Ezinye iziyobisi ezithintela iintlungu okanye ukukhwehlela
• IiPhenothiazines, umz. i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine

Olu luhlu lusenokungaphelelanga. Xelela iqela lakho lezempilo malunga nawo onke amayeza, iziqholo, amayeza angagunyaziswanga ngugqirha, okanye izongezo zokutya ozithathayo. Kwakhona, baxelele ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela eli yeza.

Izinto ekufuneka uzilumkele xa usebenzisa eli yeza

Xelela iqela lakho lezonyango ukuba intlungu yakho ayipheli, ukuba iba mandundu, okanye ukuba uneentlobo ezintsha okanye ezahlukeneyo zentlungu.

Ukunyamezelana

Usenokwahlulwa kukunyamezela eli yeza. 'Ukunyamezela' kuthetha ukuba udinga idosi ephezulu yeli yeza kunaleyo ubuyithatha ngaphambili ukuze ufumane isiqabu esifanayo sentlungu. Oku kuqhelekile kwaye kulindelekile xa usebenzisa eli yeza ixesha elide.

Musa ukuyeka ukuthatha iyeza ngequbuliso.

Musa ukuyeka ukuthatha eli yeza ngequbuliso. Ukwenza njalo kunokubangela impendulo ebuhlungu. Oku kungenxa yokuba umzimba wakho uyaliqhela eli yeza. Oku akuthethi ukuba ulikhoboka lalo yeza. 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 eli yeza, baya kulinciphisa kancinci kancinci idosi ukuthintela iziphumo ebezingalindelekanga.

Lumka ngamanye amayeza akwenza ulale.

Ukuba usebenzisa amanye amayeza akwenza ulale, afana nezinye izithomalalisi zentlungu ezibangela iintlungu, ii-benzodiazepines, okanye amanye amayeza abangela ubuthongo, unokuba nemiphumo emibi engaphezulu. Nika iqela lakho lezempilo uluhlu lwawo onke amayeza owasebenzisayo. Baza kukuxelela ukuba kufuneka uwathathe kangakanani. Musa ukuthatha ngaphezu kwedosi ecetyiswayo. Ukuba unengxaki yokuphefumla, uzive udiniwe ngendlela engaqhelekanga, okanye ulele,Fowunela iinkonzo zongxamiseko ngoko nangoko.

Qaphela iNaloxone

Thetha neqela lakho lezempilo malunga ne-naloxone kunye nendlela yokuyifumana. I-Naloxone liyeza likaxakeka elinikwayo xa uthatha amayeza e-opioid ngokugqithisileyo. Ukugqithisa kunokwenzeka xa uthatha amayeza e-opioid amaninzi okanye xa uwathatha kunye namanye amayeza, afana notywala. Kubalulekile ukwazi iimpawu zokugqithisa. Umzekelo: ubunzima bokuphefumla, ukudinwa okungaqhelekanga okanye ukulala, okanye ukungakwazi ukuphendula okanye ukuvuka. Yazisa abanakekeli bakho kunye nabo basondeleyo kuwe ukuba ligcinwa phi eli yeza. Bafanele bazi nendlela yokulisebenzisa. Emva kokunika i-naloxone, ngokuqinisekileyo kufuneka utsalele iinkonzo zikaxakeka. I-Naloxone lunyango lwexeshana. Iidosi eziphindaphindwayo zinokufuneka.

Ukozela kunye nesiyezi

Ungaziva ulele okanye unesizungu. Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama kwengqondo 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. Kuphephe ukusela utywala.

Ukuqhinwa

Eli yeza linokubangela ukuqhina. Ukuba awuphumi mathumbu kangangeentsuku ezi-3, fowunela iqela lakho lezempilo.

Umlomo owomileyo

Umlomo wakho usenokuba womile. Ukuhlafuna itshungama engenaswekile, ukufunxa iilekese eziqinileyo, kunye nokusela amanzi amaninzi kunokunceda. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, nxibelelana neqela lakho lezonyango.

Ipatshi iyachaphazeleka kutshintsho lobushushu bomzimba.

Le patch ibuthathaka kakhulu kutshintsho lobushushu bomzimba wakho. Ukuba ulusu lwakho lushushu kakhulu, amayeza amaninzi angaphuma kwipatch, nto leyo enokubangela ukuba udlule kakhulu kwi-overdose. Fowunela iqela lakho lezonyango ukuba unesifo somkhuhlane. Musa ukuhlamba ngamanzi ashushu. Musa ukuhlala elangeni. Musa ukusebenzisa iibhafu ezishushu, ii-sauna, ii-hairdryer, ii-heating pads, iingubo zombane, ii-waterbeds ezishushu, okanye izibane ze-tanning. Musa ukuzilolonga ngendlela eya kunyusa ubushushu bomzimba wakho.

Utyando okanye olunye uvavanyo lwezonyango

Ukuba utyando, i-MRI scan, i-CT scan, okanye naluphi na olunye uvavanyo lwezonyango, xelela iqela lakho lezonyango ukuba usebenzisa eli yeza. Kusenokufuneka ukhuphe i-patch ngaphambi kovavanyo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke amayeza, le inokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.

Xelela iqela lakho lezonyango ngokukhawuleza ukuba ufumana ezi ziphumo bezingalindelekanga:

• Iimpendulo ze-allergy — ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ukudakumba kwenkqubo yemithambo-luvo ephakathi (CNS depression) — ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphaphile.
• Ukusebenza okuphantsi kwe-adrenal gland — isicaphucaphu, ukuhlanza, ukungabi namdla wokutya, ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga, isiyezi.
• Uxinzelelo lwegazi oluphantsi — isiyezi, ukuquleka okanye ukuba nentloko ebuhlungu, ukubona okufipheleyo.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa kufuneka zixelwe kwiqela lezonyango ukuba ziyaqhubeka okanye ziyakhathaza):

• Ukuqhinwa
• Isiyezi
• Ukozela
• Umlomo owomileyo
• Intloko ebuhlungu
• Isicaphucaphu
• Ukuhlanza

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuze ufumane ingcebiso yezonyango malunga neziphumo ebezingalindelekanga. ESri Lanka, kubaluleke kakhulu ukwazisa ugqirha wakho. Kwamanye amazwe, ungaxela iziphumo ebezingalindelekanga kwiiarhente ezifana ne-FDA (umzekelo, ku-1-800-FDA-1088).

Ufanele uwagcine phi amayeza akho?

Gcina kude nabantwana nezilwanyana zasekhaya. Eli yeza lingasetyenziswa gwenxa. Ngoko ke ligcine kwindawo ekhuselekileyo ukuze ulikhusele ekubiweni. Musa ukwabelana ngalo nabanye abantu. Eli yelakho kuphela. Ukuthengisa okanye ukunika abanye eli yeza kuyingozi kwaye kuchasene nomthetho.

Gcina kubushushu begumbi, phakathi kwama-20 ukuya kuma-25 degrees Celsius (ama-68 kunye nama-77 degrees Fahrenheit). Gcina eli yeza kwiphakheji yalo yokuqala ude ulungele ukulisebenzisa. Lahla naliphi na iyeza elingasetyenziswanga emva komhla wokuphelelwa.

Eli yeza linokuba yingozi okanye libulale xa lisetyenziswa ngabanye abantu abadala, abantwana, okanye izilwanyana zasekhaya. Kubaluleke kakhulu ukulahla iyeza xa ungasalidingi okanye xa liphelelwe lixesha. Ungakwenza oku ngeendlela ezimbini:

• Yisa eli yeza kwinkqubo yokubuyisela amayeza. Ungalifumana ekhemesti yakho okanye ngokusebenzisa amapolisa.
• Ukuba awukwazi ukubuyisela amayeza, ngamanye amaxesha unokucetyiswa ukuba uhlambe amayeza anamandla anjalo endlwini yangasese . Nangona kunjalo, kungcono ubuze ugqirha wakho okanye ikhemisti ukuze uqiniseke.

Qaphela: Esi sisishwankathelo nje kuphela. Sisenokungabi nalo lonke ulwazi. Ukuba unemibuzo malunga nale yeza, thetha nogqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo.

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, ngoko ke sithethe kakhulu ngeFentanyl skin patch. Ekubeni le inamandla kakhulu ekuthomalaliseni iintlungu, kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

• Yincamathisele ngokuchanekileyo, uyithumele ngexesha elifanelekileyo.
• Qiniseka ukuba uyigcina ikhuselekile kwaye ikude nabantwana kunye nezilwanyana zasekhaya. Kwaneziqwenga ezisetyenzisiweyo ziyingozi.
• Ukuba usebenzisa amanye amayeza, ungalibali ukuxelela ugqirha wakho ngawo.
• Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, ingakumbi ubunzima bokuphefumla okanye ukozela kakhulu, funa ingcebiso kagqirha ngokukhawuleza.
• Musa ukuyeka ukuthatha iyeza ngequbuliso. Nciphisa umthamo njengoko ugqirha wakho ekuxelela.
• Lumka ngobushushu. Musa ukuvumela indawo apho ipetshi isetyenziswa khona ukuba ishushu.

Ukuba uyazinyamekela ezi zinto, uya kukwazi ukusebenzisa eli yeza ngokukhuselekileyo kwaye ulawule iintlungu zakho. Ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Bakho ukuze bakuncede.

I- Fentanyl, ipetshi, isithomalalisi sentlungu, i-opioid, iziphumo ebezingalindelekanga, amayeza, ipetshi yesikhumba