Ukulutheka kwe-opioid kuyinto eshintsha impilo futhi enzima. Kulabo kini abazama ukululama kulokhu, noma abacabanga ukusiza umuntu onjalo, bengicabanga ukuthi ngizokhuluma ngendlela yokwelapha etholakala kwisayensi yezokwelapha namuhla. Lona umjovo osebenza isikhathi eside obizwa ngokuthi i-Buprenorphine. Namuhla, sizokhuluma ngalokho okwenzayo, ukuthi usetshenziswa kanjani, nokuthi yiziphi izinto okufanele uziqaphele.
Kalula nje, uyini lo mjovo we-Buprenorphine?
I-Buprenorphine umuthi osetshenziselwa ukwelapha isifo sokusetshenziswa kwe-opioid. Ngokukhethekile, isebenza emzimbeni wakho ukunciphisa izimpawu zokuhoxa, njengobuhlungu bomzimba nokungahlaliseki, okwenzeka uma uyeka ukusebenzisa imithi ye-opioid. Iphinde isize ukulawula izifiso, okuyizifiso zokuphinda usebenzise imithi.
Into ebalulekile ukuthi lokhu akuyona imithi yokugoma yodwa, kodwa kuyindlela yokwelapha. Isebenza kahle kakhulu uma isetshenziswa kanye nokwelulekwa kanye nokwelashwa kokuziphatha . Kufana nenduku yokugomela esiza umuntu ukuhamba. Induku yokugomela iyasiza, kodwa kufanele usebenze kanzima ukuze uhambe. I-Sublocade igama lomkhiqizo elidumile lalo muthi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Kubalulekile ukuthi udokotela wakho azi kahle ngesimo sakho sempilo ukuze anqume ukuthi lokhu kwelashwa kukufanele yini futhi kuphephile. Ngakho-ke, uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngaphandle kokufihla lutho .
| Isimo/umkhuba wezokwelapha | Incazelo |
|---|---|
| Izinkinga zobuchopho, inhliziyo, namaphaphu | Isimila sobuchopho, ukulimala ekhanda, isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, isifo samaphaphu, i-asthma noma ezinye izinkinga zokuphefumula. |
| Izifo ezihlobene nesisu | Isifo sesibindi, isifo senyongo, isifo se-pancreatic, izinkinga zamathumbu. |
| Ezinye izimo zempilo kanye nemikhuba | Ukulutheka kwezinye izidakamizwa, ukuphuza utshwala njalo, ukusebenza kahle kwezindlala ze-adrenal, ukuxhuzula. |
| Eminye imithi ethathwayo | Uma uke wathatha umuthi we-MAOI njengoMarplan, Nardil, noma iParnate ezinsukwini ezingu-14 ezedlule. |
| Ukungezwani komzimba nokunye | Uma une-allergy ku-buprenorphine noma kunoma yimuphi omunye umuthi, ukudla, noma umbala. Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Lo muthi wokugoma unikezwa kanjani?
Lokhu kubaluleke kakhulu. Lo mjovo we-Buprenorphine uwumjovo ongaphansi kwesikhumba. Ngeke uvunyelwe ukuwuthatha uwuyise ekhaya. Unikezwa kuphela udokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo.
- Kuthiwani uma uphuthelwa umthamo? Uma ungakwazi ukuza ngomthamo wakho ohleliwe, ungawuvumeli ukuthi uphazamiseke. Shayela udokotela wakho noma umtholampilo ngokushesha ukuze uhlele kabusha.
- Kuthiwani uma umthamo unyuswa? Njengoba lokhu kunikezwa udokotela, amathuba okusebenzisa ngokweqile aphansi. Kodwa-ke, uma ucabanga ukuthi kukhona okwenzekile, kufanele uye ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze . Ungashayela ne-National Poison Information Centre e-Colombo National Hospital ukuze uthole iseluleko uma kudingeka.
Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, njengoba eminye imithi ingabangela imiphumela emibi eyingozi uma ihlanganiswa ne-Buprenorphine.
| Imithi okungafanele ithathwe ndawonye | |
|---|---|
| Imithi efana neCisapride, iDronedarone, iPimozide, iSafinamide, iSamidorphan, neThioridazine. | |
| Qaphela! Qiniseka ukuthi utshela udokotela wakho uma uthatha lezi zidakamizwa. | |
| Utshwala | Utshwala |
| Imithi yokulala nokukhathazeka | Imithi ethile yokukhathazeka noma yokulala |
| Imithi Yokucindezeleka | Imithi ethile yokucindezeleka noma izifo zengqondo |
| Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane | Ama-antihistamine okwelapha ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane |
| Amanye ama-antibiotic, ama-antifungal, kanye nama-antiviral | Isibonelo: i-Erythromycin, i-Ketoconazole |
| Amanye ama-painkiller noma ama-opioid okukhwehlela | Eminye imithi yezidakamizwa yobuhlungu noma ukukhwehlela |
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, ngisho nemikhiqizo yamakhambi oyithathayo.
Izinto okufanele uzinake kakhulu ngesikhathi sokwelashwa
- Ungathathi eminye imithi yokwelapha i-opioid: Ungazami ukusebenzisa eminye imithi yokwelapha i-opioid (isib. i-heroin) ukuze ulwe nemiphumela yalo muthi. Lokhu kuyingozi kakhulu futhi kungaholela ekufeni.
- Ungayeki ngokuzumayo: Umzimba wakho uzojwayela lo muthi. Ukuwuyeka ngokuzumayo kungabangela imiphumela emibi kakhulu. Uma udinga ukuyeka ukwelashwa, yenza kanjalo ngaphansi kweseluleko sikadokotela wakho, ngokunciphisa kancane kancane umthamo.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke gwema ukwenza imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi kukuthinta kanjani.
- Gwema utshwala: Ukuphuza utshwala kungandisa imiphumela emibi yemithi, ikakhulukazi ukozela nobunzima bokuphefumula.
- Ukuqunjelwa: Lokhu kuyimiphumela emibi evamile yalo muthi. Phuza amanzi amaningi futhi udle ukudla okune-fiber eningi (izithelo, imifino). Uma ungenawo umgudu wokugaya ukudla ngemva kwezinsuku ezintathu, shayela udokotela wakho.
- Qaphela i-Naloxone: I-Naloxone iwumuthi ophuthumayo osindisa impilo onikezwa uma kwenzeka uphuze kakhulu i-opioid. Buza udokotela wakho ngalokhu kanye nezimpawu zophuze kakhulu (ukozela okukhulu, ubunzima bokuphefumula, ukulahlekelwa ukwazi).
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kokuphefumula (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela okukhulu, kanye nokulahlekelwa ukwazi. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Izinkinga ezivamile | Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isicanucanu, ukuhlanza. |
| Ukungakhululeki endaweni yokujova | Ubuhlungu, ukubomvu, noma ukuvuvukala lapho kujovwe khona. |
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-buprenorphine uyindlela yokwelapha umlutha we-opioid. Unikezwa udokotela kuphela esibhedlela noma emtholampilo.
- Ngaphambi kokuqala ukwelashwa, kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyiphuzayo.
- Gwema utshwala kanye neminye imithi yokwelapha i-opioid ngokuphelele ngenkathi uthatha lo muthi. Kungaba yingozi empilweni.
- Ungalokothi uyeke ukwelashwa ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukozela okukhulu, noma ukudideka, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Awuwedwa kulolu hambo. Ukwelulekwa, kanye nokwelashwa, kuzosiza kakhulu ekunqobeni lo mlutha.
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