Ngaba ugqirha wakho ukunike iipilisi ze-methadone kuba unentlungu enzima, ehlala ixesha elide okanye kuba ungakwazi ukunyamezela ezinye iintlungu zentlungu? Okanye ngaba usebenzisa eli yeza ukukunceda woyise umlutha wakho we-opioid? Nokuba siyintoni na isizathu, eli yeza linamandla kakhulu, ngoko ke kubalulekile ukuliqaphela kwaye ulisebenzise ngokukhuselekileyo. Ngoko ke masithethe ngalo ngokulula nangendlela ehloniphekileyo namhlanje.
Yintoni kanye kanye iMethadone?
Ngamafutshane, i-methadone liyeza elisetyenziselwa izinto ezimbini eziphambili.
1. Lawula iintlungu ezinzima nezingapheliyo: Oogqirha banika le ntlungu inzima nehlala ixesha elide engenakulawulwa ngeentlungu eziqhelekileyo. Isebenza ngokuthintela imiqondiso yeentlungu ukuba ingafiki engqondweni.
2. Njengonyango lomlutha we-opioid: Eli yeza linceda ekunciphiseni iimpawu zokurhoxa emzimbeni kunye nokunqwenela iziyobisi xa umntu exhomekeke kwi-opioids, njenge-heroin. Nangona kunjalo, olu nyango lusebenza kakhulu xa ludityaniswe neengcebiso kunye nonyango lokuziphatha .
I-Methadone sisiyobisi esikudidi lweziyobisi ezibizwa ngokuba zii-opioids.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ukuze ukhuseleke, kubaluleke kakhulu ukuxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo ngaphambi kokuba uqale ukusebenzisa i-methadone. Oku kubaluleke kakhulu.
| Uhlobo lweemeko | Oko kufuneka ukwazise |
|---|---|
| Iingxaki ezinxulumene nobuchopho | Iimeko ezinje ngokwenzakala entloko, umhlaza wobuchopho, okanye ukuxhuzula. |
| Isifo sentliziyo | Naluphi na uhlobo lwesifo sentliziyo okanye ukubetha kwentliziyo okungaqhelekanga. |
| Iingxaki zenkqubo yokuphefumla | Isifuba, isifo semiphunga, okanye ubunzima bokuphefumla. |
| Ezinye iingxaki zempilo | Isifo sesibindi, isifo sezintso, isifo se-thyroid, ukusebenza okuphantsi kwe-adrenal gland, uxinzelelo lwegazi oluphantsi, iingxaki zamathumbu. |
| Indlela yokuphila kunye namanye amayeza | Xelela ugqirha wakho ukuba usela utywala rhoqo, uxhomekeke kwezinye iziyobisi okanye amayeza, unesifo sengqondo, okanye ukhe wathatha i-MAOI antidepressant (umz., iParnate) kwiiveki ezimbini ezidlulileyo. |
| Ii-aleji | Ukuba une-allergy kwi-methadone, ezinye ii-opioid painkillers, amanye amayeza, ukutya, okanye izithinteli. |
| Ukukhulelwa kunye nokuncancisa | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
Iyeza lifanele lisetyenziswe ngendlela eyiyo.
Sela eli yeza neglasi yamanzi. Ukuba uziva uphazamisekile esiswini, lise kunye nesidlo okanye iglasi yobisi. Eyona nto ibalulekileyo kukuthatha idosi kanye njengoko ugqirha wakho ekuyalele. Ungaze uthathe ngaphezu komlinganiselo omiselweyo.
I-Overdose: Ukuba ucinga ukuba uthathe eli yeza kakhulu ngempazamo, ungalibazisi kwaye utsalele umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Oku kungaba yindlela yokusindisa ubomi.
Uza kufumana incwadana yolwazi ekhethekileyo (`MedGuide`) malunga namayeza akho xa uwanikwa. Yifunde ngononophelo rhoqo.
Eli yeza limiselwe wena wedwa. Musa ukulinika omnye umntu nangasiphi na isizathu. Liyingozi kakhulu kwaye alivumelekanga.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Kodwa ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Ukusebenzisana nezinye iziyobisi
I-Methadone inokusebenzisana namanye amayeza amaninzi. Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo (kuquka iivithamini, amayeza ezityalo, kunye nezongezo). Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Ngokukodwa, kufuneka uphephe ukusebenzisa i-methadone kunye namayeza alandelayo:
- Amanye amayeza osulelo lwefungus (umz., i-ketoconazole)
- Amanye amayeza asetyenziswa ukunyanga iingxaki zesingqisho sentliziyo (umz. i-quinidine, i-dronedarone)
- Amayeza afana ne-'Cisapride', 'Pimozide', 'Thioridazine'
Ukongeza kolu luhlu, i-methadone inokusebenzisana namanye amayeza amaninzi (umz., amayeza okudakumba, iipilisi zokulala, amayeza e-HIV/AIDS, kunye namanye amayeza okubulala iintsholongwane). Ngoko ke, kubalulekile ukunika ugqirha wakho ingcaciso epheleleyo.
Izinto ekufuneka uziqwalasele xa usebenzisa iMethadone
Musa ukuyeka ukuthatha iyeza ngequbuliso!
Umzimba wakho uyawuqhela lo mayeza. Ngoko ke, ukuba uyeka ukuwasebenzisa ngequbuliso, unokuba nemiphumo emibi kakhulu. Ukuba kufuneka uyeke ukuwasebenzisa, yenza oko kuphela phantsi kwengcebiso kagqirha, kwaye kuphela ngokunciphisa umthamo kancinci kancinci .
Ukozela nokuqhuba
Eli yeza linokukwenza uzive ulele, unesiyezi, kwaye lichaphazele amandla akho okwenza izigqibo. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Le ngozi iyanda ukuba ulithatha eli yeza kunye notywala.
Qaphela iNaloxone
I-Naloxone lunyango olungxamisekileyo olunikezelwayo ukuze kulungiswe imiphumo yokugqithisa i-opioid. Iimpawu zokugqithisa ziquka ukuphefumla kancinci okanye kancinci, ukozela kakhulu, kunye nokungakwazi ukuvuka. Ukuxelela usapho lwakho kunye nabantu obathandayo ngezi mpawu, kunye nokuba iphi i-Naloxone kunye nendlela yokuyisebenzisa, kunokusindisa ubomi. Emva kokusebenzisa i-Naloxone, kufuneka ubize i-ambulensi ngokukhawuleza.
Amanye amanqaku abalulekileyo
- Ukuqhina: Ukuqhina kuqhelekile kweli yeza. Ukuba awuphumi mathumbu kangangeentsuku ezi-3, thetha nogqirha wakho.
- Umlomo owomileyo:Ukuba umlomo wakho womile, ukuhlafuna itshungama engenaswekile, ukufunxa iilekese ezingenaswekile, kunye nokusela amanzi amaninzi kunokunceda.
- Ukukhulelwa: Thetha nogqirha wakho ukuba uceba ukukhulelwa okanye ucinga ukuba ukhulelwe. Ukusela eli yeza ngexesha lokukhulelwa kunokubangela iziphene ezinkulu ekuzalweni komntwana wakho.
Iziphumo ebezingalindelekanga zeyeza
| 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, isiyezi esiqatha, ukuziva utyhafile, ubunzima bokuhlala uphaphile. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, iintlungu esifubeni, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukuba nesiyezi, ukuziva utyhafile, umbono ofipheleyo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuqhinwa | Umlomo owomileyo |
| Isiyezi | Intloko ebuhlungu |
| Ukozela | Isicaphucaphu okanye ukuhlanza |
Ungayigcina njani imithi ikhuselekile?
Eli liyeza elinamandla kakhulu , ngoko ke ligcine kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya . Ekubeni eli yeza linokuxhaphazwa, ligcine kwindawo enokukhuselwa ekubiweni.
Kubalulekile ukulahla amayeza angasetyenziswanga okanye aphelelwe lixesha ngokufanelekileyo. Wanike indawo yokulahla imithi esemthethweni. Ukuba oku akunakwenzeka, wahlambe ngamanzi acocekileyo endlwini yangasese.
Umyalezo Wokuya Ekhaya
- Soloko usela i-methadone njengoko ugqirha wakho ekuyalele. Ungaze uthathe ngaphezu komlinganiselo ocetyisiweyo.
- Musa ukwabelana ngeli yeza nabanye abantu nangasiphi na isizathu. Liyingozi kakhulu kwaye alivumelekanga.
- Nika ugqirha wakho uluhlu olupheleleyo lwazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
- Qaphela iimpawu zokusebenzisa i-overdose kwaye wazise usapho lwakho malunga neNaloxone ukuze uyisebenzise ukuba kuyimfuneko.
- Ukuba usela amayeza amaninzi ngempazamo, yiya kwiZiko loLwazi lweTyhefu leSizwe okanye kwiSebe leNgxamiseko lesibhedlele elikufutshane (ETU).
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