Ukulutha iziyobisi ezifana notywala okanye i-heroin yimfazwe enzima kakhulu umntu ayilwa yedwa. Ukuzama ukwahlukana nolu hambo kufuna amandla amaninzi omzimba nengqondo. Ngoko ke kukho iindlela zonyango ezinokukunceda kwaye zikuqinise kolu hambo lunzima. Omnye umncedi onamandla ngolo hlobo sisiyobisi iNaltrexone. Kweli nqaku, siza kuthetha ngendlela esi sijovo esinokukunceda ngayo ukwahlukana nokulutha.
Ngamafutshane, yintoni iNaltrexone?
I-Naltrexone liyeza elisetyenziselwa ukunyanga ukuxhomekeka kwiziyobisi ezithile (ingakumbi ii-opioids) kunye notywala. Iyaziwa kakhulu ngegama lophawu lweVivitrol.
Into ekhethekileyo ngale nto kukuba iNaltrexone ayisiyosiyobisi. Oko kuthetha ukuba ayiyongxaki. Into eyenzayo kukuba, xa usela utywala okanye usebenzisa iziyobisi, isusa "ulonwabo" okanye "uvuyo" olufunyanwa yingqondo yakho kuyo. Ngokuchanekileyo, eli yeza livala iingcango zengqondo kwiziyobisi. Emva koko, ekubeni ungaziva 'ushushu' ngokusebenzisa ezo zinto, kancinci kancinci umnqweno wokusebenzisa ezo zinto uyaphela.
Into ebalulekileyo kukuba, le ayisiyonto yomlingo esebenza yodwa. Yinkxaso ebaluleke kakhulu oza kuyifumana kuhambo lwakho lonyango. Iziphumo ezilungileyo ziyafumaneka xa zidityaniswe neengcebiso kunye nezinye iinkonzo zenkxaso.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba uqale olu nyango, kubaluleke kakhulu ukwazisa ugqirha wakho ngemeko yakho yempilo epheleleyo. Ukuba kukho nayiphi na kwezi zilandelayo ezikukhathazayo, qiniseka ukuba umxelele ngayo.
- Ukuba okwangoku usebenzisa iziyobisi: ingakumbi ii-opioid painkillers okanye ii-narcotics ezifana ne-heroin, i-morphine, okanye i-tramadol. Kufuneka ungabi na-opioids kwaphela ngaphambi kokuba uqale eli yeza (ubuncinane iintsuku ezi-7-14). Ngaphandle koko, ukuthatha eli yeza kunokubangela iimpawu zokurhoxa ezinzulu (iimpawu zokurhoxa ngequbuliso) ezifana kakhulu nezo ubunazo ngaphambili.
- Izifo zesibindi: Ukuba unezifo ezinxulumene nesibindi ezifana ne-jaundice.
- Isifo sezintso: Ukuba kukho iingxaki ekusebenzeni kwezintso.
- Izifo zokopha: Ukuba unesifo esifana ne-hemophilia okanye inani eliphantsi leeplatelet.
- Amayeza athintela ukujiya kwegazi: Ukuba usebenzisa amayeza afana neWarfarin kunye neAspirin.
- Ukuba ukhulelwe okanye uzama ukukhulelwa: Le yinto omele uyixelele ugqirha wakho ngokuqinisekileyo.
- Ukuba ungumama oncancisayo.
- Iingxaki zokunganyamezelani komzimba:Ukuba ukhe waba ne-allergy kwi-Naltrexone ngaphambili, okanye nakweyiphi na enye iyeza, ukutya, okanye idayi.
Ulisebenzisa njani eli yeza kwaye yintoni omawuyenze xa kukho imeko engxamisekileyo?
Eli asiloyeza onokulithatha uye nalo ekhaya ulisebenzise.
- Olu luhlaselo olufakwa kwisihlunu (ngesiqhelo iimpundu) .
- Kwaye inikwa kuphela yingcali yezonyango eqeqeshiweyo esibhedlele okanye eklinikhi . Olu tyando ludla ngokwenziwa kube kanye ngenyanga.
- Ukuba awukwazi ukufumana inaliti yakho ngosuku olucwangcisiweyo, qiniseka ukuba ufowunela ugqirha wakho umxelele. Akuyonto ilungileyo ukungayisebenzisi le nto.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Oku kunikwa kwindawo yesibhedlele, ngoko ke amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba kukho into efana nale eyenzekileyo kuwe, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko . Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa iyeza
Ixesha olithathayo eli yeza lisiqalo sesahluko esitsha ebomini bakho, ngoko ke lumka ngezi zinto.
1. Musa ukulibazisa icebiso: Qiniseka ukuba uyaya nakweyiphi na ingcebiso okanye amaqela enkxaso acetyiswa ngugqirha wakho. Nangona inaliti inceda umzimba wakho, icebiso linokunceda ingqondo yakho. Kuxa ezi zinto zimbini zihamba kunye apho iziphumo ziphumelela khona.
2. Musa ukuzama "ukunqoba ipilisi" (iyingozi kakhulu!): Abanye abantu banokuzama ukusebenzisa ii-opioid ezininzi ukulwa nemiphumo yeNaltrexone. Oku kunokuba yingozi. Ekubeni iNaltrexone ivala ii-receptors zobuchopho, ukuthatha kakhulu kunokukhokelela ekumisweni kokuphefumla, kwi-coma, kwanasekufeni. Ungaze uzame oku.
3. Yazisa ngaphambi kotyando: Ukuba uza kutyandwa, qiniseka ukuba wazisa ugqirha wotyando kunye nogqirha we-anesthesiologist ukuba usebenzisa iNaltrexone.
4. Isazisi sezonyango: Kubaluleke kakhulu ukuze kukhuseleke ukusebenzisa ikhadi okanye isongo esichaza ukuba usela eli yeza.
5. Ukozela kunye nesiyezi: Eli yeza linokubangela ukozela kunye nesiyezi kwabanye abantu. Ngoko ke, hlala kude nemisebenzi eyingozi efana nokuqhuba okanye ukusebenzisa oomatshini de wazi kakuhle ukuba oku kukuchaphazela njani.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengayo nayiphi na iyeza, iNaltrexone inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi, ngelixa ezinye zixhaphakile. Funda ngakumbi ngazo kwitheyibhile engezantsi.
| Imiphumela | Inkcazo |
|---|---|
| Izinto omele uzixelele ugqirha wakho ngoko nangoko | |
| Iziphumo kwisibindi | Intlungu esiswini esingaphezulu ngasekunene, umchamo omnyama, ukutyheli kwamehlo okanye ulusu, kunye nendle ekhanyayo. |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Iimpendulo eziqatha kwindawo yokutofa | Intlungu ebuhlungu, amadyungudyungu, amaqhuma aqinileyo, inxeba elivulekileyo, ukudumba okukhulu, kunye nokwakheka koqweqwe olumnyama oluqinileyo. |
| Utshintsho lwengqondo | Ukudandatheka okukhulu, iingcinga zokuzibulala, okanye olunye utshintsho olungaqhelekanga lwengqondo. |
| Ezinye iimpawu ezinzulu | Iimpawu ezinje ngokopha okanye ukukrweleka okungaqhelekanga, ukudinwa kakhulu, ukuhlanza, kunye nomkhuhlane. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Iziphumo ebezingalindelekanga ezincinci | Intloko ebuhlungu, isiyezi, isicaphucaphu, ukuphelelwa ngumdla wokutya, ukudinwa, kunye nokubomvu okanye ukudumba okuncinci kwindawo yokufakwa inaliti. |
Umyalezo Wokuya Ekhaya
- I-Naltrexone yinaliti yenyanga nganye efakwa kwi-intramuscular enyanga umlutha wotywala kunye ne-opioid.
- Oku kuthintela "ulonwabo" oluvela kwiziyobisi, ngoko ke umnqweno wezo zinto uyancipha.
- Akufuneki ube nee-opioids (ezifana ne-heroin okanye i-tramadol) emzimbeni wakho ngaphambi kokuba uqale eli yeza.
- Ungaze uthathe iidosi eziphezulu zale chiza ukuzama ukulwa nemiphumo yeli chiza. Liyabulala.
- Ukuze ufumane iziphumo ezilungileyo, qiniseka ukuba uya kwiinkonzo zokunika iingcebiso kunye nokufakwa kwesitofu.
- Ukuba ufumana iimpawu zokonakala kwesibindi (ukutyheli kwamehlo, umchamo omnyama), utshintsho olukhulu engqondweni, okanye iimpendulo eziqatha kwindawo yokufakwa inaliti, yazisa ugqirha wakho ngoko nangoko.
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