Ngamanye amaxesha sinokuba neentlungu ezinzima nezingapheliyo ezingenakulawulwa ngamayeza aqhelekileyo okudambisa iintlungu. Okanye, abanye abantu, ngenxa yokungazi okanye ezinye izizathu, baba ngamakhoboka eziyobisi baze babandezeleke kakhulu kuba bengenakukwazi ukuzisusa. Kwiimeko ezinjalo, iyeza elikhethekileyo elinikwe oogqirha libizwa ngokuba yiMethadone. Ngoko ke namhlanje, masithethe ngale yeza, umsebenzi walo, izinto ekufuneka ziqwalaselwe xa ulisebenzisa, nayo yonke into malunga nemiphumo yalo emibi.
Yintoni iMethadone? Yintoni eyenzayo?
Ngamafutshane, iMethadone sisiyobisi esinamandla esisetyenziselwa iinjongo ezimbini eziphambili. Sikwiqela lamayeza abizwa ngokuba yi-'Opioids'.
1. Ukulawula iintlungu ezinzima nezingapheliyo: Ukuba awukwazi ukunyamezela ezinye iintlungu, okanye ukuba azilawuli iintlungu zakho, oogqirha banokukunika eli yeza. Lisebenza ngokuthintela imiqondiso yeentlungu engqondweni, linciphisa iintlungu ozivayo.
2. Njengonyango lokulutha i-opioid: Xa umntu oxhomekeke kwiziyobisi ezifana ne-heroin eyeka ukuzisebenzisa, umzimba ufumana iimpawu zokurhoxa kunye nomnqweno wokusebenzisa esi sidakamizwa kwakhona. I-Methadone inceda ekunciphiseni ezo mpawu kunye nomnqweno kwaye inceda umntu ukuba abuyele ebomini obungcono. Nangona kunjalo, ukuze olu nyango luphumelele, kubalulekile ukuthatha eli yeza kunye neengcebiso kunye nonyango lokuziphatha .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba uqale ukusebenzisa i-methadone, kubaluleke kakhulu ukwazisa ugqirha wakho ngazo naziphi na iimeko zempilo onazo, njengoko olu lwazi luza kumisela idosi kunye nezinye izinto eziza kuchaphazela unyango lwakho.
| Ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho: | |
|---|---|
| Iingxaki ezinxulumene nenkqubo yemithambo-luvo | Iithumba zobuchopho, ukwenzakala entloko, ukuxhuzula |
| Imbali yokulutha | Ukulutha ezinye iziyobisi okanye utywala, ukusela utywala rhoqo |
| Intliziyo kunye noxinzelelo lwegazi | Isifo sentliziyo, uxinzelelo lwegazi oluphantsi |
| Inkqubo yokuphefumla | Isifo semiphunga, i-asthma, okanye ezinye iingxaki zokuphefumla |
| Ezinye iimeko zomzimba | Isifo sezintso, isifo sesibindi, isifo se-thyroid, ukusebenza okuphantsi kwe-adrenal gland, iingxaki zamathumbu okanye isisu |
| Impilo Yengqondo | Nasiphi na isifo sengqondo |
| Ukusetyenziswa kwamanye amayeza | Ukuba ukhe wathatha amayeza e-MAOI (umz. uMarplan, uNardil) kwiintsuku ezili-14 ezidlulileyo |
| Iziganeko ezikhethekileyo | Ukuba uzama ukukhulelwa, ukhulelwe, okanye ungumama oncancisayo |
| Ii-aleji | Ukuba une-aleji kwi-methadone, ezinye iipilisi zokunciphisa iintlungu ze-opioid, amanye amayeza, ukutya, izithinteli zokuthintela ukudumba, okanye imibala |
Ndingayisebenzisa njani kanye kanye le yeza?
Eli liyeza eliza ngendlela yesisombululo. Ngoko ke, khumbula le miyalelo ngononophelo.
- Linganisa ngokuchanekileyo: Linganisa umlinganiselo ochanekileyo ochazwe ngugqirha wakho, usebenzisa icephe okanye ikomityi ekhethekileyo elungiselelwe loo njongo. Musa ukusebenzisa iitisipuni zasekhaya okanye iitisipuni.Imilinganiselo yabo ayichanekanga.
- Ngaphambi okanye emva kokutya?: Eli yeza lingasetyenziswa nokutya okanye ngaphandle kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, lisebenzise nokutya.
- Ukuxuba: Ukuba uyafuna, ungaxuba iyeza libe yijusi yeziqhamo okanye ukutya uze ulithathe ngoko nangoko. Kodwa ungagcini ukutya okanye isiselo esinalo iyeza ukuze ulisebenzise kamva .
- Yithathe ngexesha: Thatha idosi emiselweyo ngexesha elimiselweyo. Musa ukuthatha okungaphezulu koko ugqirha wakho akuxelele kona.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu.
Kubalulekile: Kufuneka kuthathwe ingqwalasela ekhethekileyo xa kusetyenziswa eli yeza ebantwaneni. Thetha nogqirha wakho ngale nto.
Hayi bo! Wenza ntoni ukuba uphoswe lidosi leyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Oku kunokuba yingozi ebomini.
Amanye amayeza asebenzisana neMethadone (Ukusebenzisana kwamayeza)
Le yinxalenye ebaluleke kakhulu. I-Methadone liyeza elinokusebenzisana namanye amayeza amaninzi. Ngoko ke, kufuneka uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini).
| Amayeza angafanele asetyenziswe ngeMethadone | |
|---|---|
| Amanye amayeza osulelo lwefungus | Umzekelo: i-itraconazole, i-ketoconazole, i-voriconazole |
| Amanye amayeza okuthintela iingxaki zesingqisho sentliziyo | Umzekelo: i-dronedarone, i-quinidine |
| Amanye amayeza | ICisapride, iPimozide, iThioridazine, iRasagiline, iSelegiline |
| Amanye amayeza kunye nezinto ezinokusebenzisana neMethadone | |
Utywala, ii-antihistamines, amayeza e-HIV/AIDS, amanye amayeza okubulala iintsholongwane, ukudakumba, ixhala, okanye amayeza okulala, amayeza okuxhuzula, amanye amayeza omhlaza, amanye amayeza okuphazamiseka kwentliziyo, amayeza asetyenziselwa ukuthomalalisa okanye ukuphumza izihlunu ngexesha lotyando, kunye namanye amayeza okubulala iintlungu kwi-opioid. | |
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukutyelelwa ngugqirha: Ndwendwela ugqirha wakho ngemihla emiselweyo ukuze ujonge inkqubela phambili yonyango lwakho.
- Ukozela nokuphapha: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Linokunciphisa nokukwazi kwakho ukugxila nokwenza izigqibo. Musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Ukusela utywala kunokuyenza ibe mandundu le meko.
- Lumka ngeNaloxone: INaloxone liyeza elingxamisekileyo elisindisa ubomi elinikwa xa kukho i-opioid overdose. Kungabalulekanga ukuba umntu osebenzisa i-methadone abe nalo kwaye amalungu osapho azi ukuba ayisebenzise njani. Thetha nogqirha wakho ngalo mba.
- Ukuqhina: Ukuqhina kuqhelekile kweli yeza. Ukuba awunayo intshukumo yokuhambisa isisu emva kweentsuku ezi-3, tsalela umnxeba ugqirha wakho.
- Umlomo owomileyo: Umlomo owomileyo nawo uqhelekile. Oku kunokulawulwa ngokuhlafuna itshungama engenaswekile, ukufunxa iilekese, nokusela amanzi amaninzi.
- Ukukhulelwa: Xelela ugqirha wakho ukuba uceba ukukhulelwa, okanye ukuba sele ukhulelwe. Ukusela eli yeza ngexesha lokukhulelwa kunokubangela iziphene ezinkulu ekuzalweni komntwana wakho.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengayo nayiphi na imithi, i-methadone inokubangela iziphumo ebezingalindelekanga.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ukozela kakhulu, ukudideka, kunye nokulala okungenakuvuswa. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, iintlungu zesifuba, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukubona izinto ezingaqondakaliyo, ukuquleka. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
Ukuqhinwa, isiyezi, ukozela, umlomo owomileyo, intloko ebuhlungu, isicaphucaphu, ukuhlanza. | |
Ungayigcina njani imithi ikhuselekile?
Oku kubaluleke kakhulu: Eli yeza linokuba yingozi xa lingena ezandleni zomnye umntu omdala, umntwana, okanye isilwanyana sasekhaya.
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Yigcine kwindawo ekhuselekileyo ukuze uyikhusele ekubiweni.
- Musa ukunika abanye eli yeza nangasiphi na isizathu. Ukwenza njalo lulwaphulo-mthetho oluya kuhlawuliswa kwaye sisenzo esiyingozi kakhulu.
- Gcina kubushushu begumbi, kude nokukhanya nokufuma, kwaye ugcine isiciko sebhotile sivaliwe kakuhle.
- Musa ukuyisebenzisa emva komhla wokuphelelwa kwayo. Buza ugqirha wakho indlela yokulahla amayeza aseleyo ngokufanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Methadone liyeza elinamandla elisetyenziselwa ukunyanga iintlungu ezinzima kunye nokuxhomekeka kwi-opioid. Lifanele lifunyanwe kuphela ngomyalelo kagqirha.
- Kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo kunye nazo zonke iimeko zempilo onazo.
- Kuphephe ukuqhuba okanye ukusebenzisa oomatshini abayingozi kuba unokuba nobuthongo ngelixa usebenzisa amayeza. Kuphephe ukusela utywala.
- Ukuba ukrokrela ukuba uthatha i-overdose, yiya kwicandelo lezonyango ezingxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ungaze wabelane ngeli yeza nabanye. Ligcine kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya.
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