Ukulutheka kwe-opioid kuyinto enzima kakhulu futhi ebuhlungu umuntu okufanele abhekane nayo. Ukuzama ukuyiqeda nakho kuyinselele. Kodwa kunezindlela zezokwelapha kanye nemithi engakusiza kulolu hambo. Namuhla sikhuluma ngesidakamizwa esibaluleke kakhulu, inhlanganisela yemithi ebizwa ngokuthi i-Buprenorphine kanye ne-Naloxone. Ngokuvamile uzothola lokhu ngaphansi kwamagama emikhiqizo afana ne-Suboxone kanye ne-Zubsolv.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo umuthi osetshenziselwa ukwelapha isifo sokusetshenziswa kwe-opioid. Unezinto ezimbili eziyinhloko eziwusizo.
1. I-Buprenorphine: Lokhu kusetshenziselwa ukulawula izimpawu zomzimba ezingathandeki ezenzeka uma uyeka ukusebenzisa ama-opioid, abizwa ngokuthi 'izimpawu zokuhoxa.' Futhi kunciphisa isifiso sokusebenzisa ama-opioid futhi.
2. I-Naloxone: Enye ingxenye yalokhu. Lokhu kwenzelwa ukuvimbela ukusetshenziswa kabi kwalomuthi (isibonelo, ukuwujova). Okusho ukuthi, kuqinisekisa ukuphepha komuthi.
Into ebaluleke kakhulu ukuthi imiphumela emihle kakhulu itholakala uma lo muthi uhlanganiswa nokwelulekwa kanye nokwelashwa kokuziphatha, kunokuba uwusebenzise wodwa.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Udokotela wakho kuzodingeka abe nokuqonda okuphelele ngempilo yakho ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Uhlobo lwezimo | Incazelo |
|---|---|
| Izinkinga ezihlobene nekhanda nobuchopho | Izimo ezifana nomdlavuza wobuchopho, ukulimala ekhanda, noma ukuxhuzula. |
| Izinkinga zenhliziyo namaphaphu | Isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, isifo samaphaphu, i-asthma, noma ezinye izinkinga zokuphefumula. |
| Isisu kanye nesistimu yokugaya ukudla | Isifo sesibindi, isifo senyongo, isifo se-pancreatic, izinkinga zesisu noma zamathumbu. |
| Ezinye izimo zempilo | Ukusebenza okuphansi kwezindlala ze-adrenal, isifo samazinyo noma sezinsini, izilonda emlonyeni. |
| Indlela yokuphila kanye neminye imithi | Ukusebenzisa utshwala njalo, ukulutheka kwezinye izidakamizwa, ukuthatha uhlobo lwemithi ye-MAOI efana ne-Marplan, i-Nardil, noma i-Parnate ezinsukwini ezingu-14 ezedlule. |
| Imicimbi ekhethekile | Ukukhulelwa noma ukuzama ukukhulelwa, ukuncelisa ingane, ukuba nokusabela kokungezwani komzimba ne-Buprenorphine, i-Naloxone noma eminye imithi, ukudla, noma udayi. |
Iyiphi indlela engcono kakhulu yokusebenzisa umuthi?
Indlela osebenzisa ngayo lo muthi ibaluleke kakhulu. Zama ukuwuthatha ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekutshelile.
- Leli philisi kufanele libekwe ngaphansi kolimi bese livunyelwa ukuthi lincibilike . Alidingi amanzi.
- Ungahlafuni, usike, noma ugwinye iphilisi. Kufanele lincibilike ngokuphelele ngaphansi kolimi bese limuncwa emzimbeni.
- Uma kufanele uphuze amaphilisi angaphezu kwamabili ngesikhathi futhi kunzima ukuwagcina wonke ngaphansi kolimi lwakho ngesikhathi esisodwa, ungawagcina amabili ngamabili ngaphansi kolimi lwakho bese uwavumela ukuthi ancibilike.
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Kuthiwani uma umthamo womuthi ukhushuliwe? (Umthamo oweqile)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi unikezwe wena kuphela . Ungawabelani nanoma ubani nganoma yisiphi isizathu . Uyingozi futhi awuvunyelwe.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Uma ukhohlwa ukuphuza umuthi wakho ngesikhathi, thatha lowo mthamo ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo olandelayo ngesikhathi esihleliwe.Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi ingathintana nalo muthi futhi ibangele izimo eziyingozi. Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
| Ungawuthathi lo muthi kanye nanoma yimuphi omunye umuthi. | |
|---|---|
| I-Cisapride | I-Dronedarone |
| I-Pimozide | I-Safinamide |
| I-Samidorphan | I-Thioridazine |
| Ezinye izidakamizwa nezinto ezingase zihlangane | |
| Utshwala | Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine) |
| Amanye ama-antibiotic, ama-antifungal, ama-antiviral | Imithi yokucindezeleka, ukucindezeleka, kanye nokulala |
| Imithi ethile yokwelapha ukuquleka | Eminye imithi ethinta izinga lokushaya kwenhliziyo (isikhawu se-QT) |
| Izinzwa ezivamile | Eminye imithi yokwelapha ubuhlungu noma yokukhwehlela equkethe ama-opioid (izidakamizwa) |
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuvakashelwa Odokotela: Vakashela udokotela wakho ngezinsuku ezihleliwe. Yiya kunoma yiziphi izinsizakalo zokwelulekwa ezihleliwe.
- Ungayeki ukuthatha lo muthi ngokuzumayo: Ungayeki ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Njengoba umzimba wakho usujwayele lo muthi, uma uyeka, yenza kanjalo ngokwemiyalelo kadokotela wakho, wehlise kancane kancane umthamo.
- Ukozela: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi ikuthinta kanjani.
- Utshwala: Gwema ukuphuza utshwala. Utshwala bungaphazamisa ukusebenza kahle komuthi futhi bukhulise imiphumela emibi.
- Ukuqunjelwa: Lo muthi ungabangela ukuqunjelwa. Uma ungenawo umgudu wokuhamba kwamathumbu ngemva kwezinsuku ezintathu, shayela udokotela wakho.
- Umlomo owomile: Umlomo owomile ungomunye umphumela omubi. Lokhu kungalawulwa ngokuhlafuna ushungamu ongenashukela, ukuphuza isobho, nokuphuza amanzi amaningi.
- Impilo yamazinyo: Tshela udokotela wamazinyo ukuthi uthatha lo muthi. Gcina amazinyo akho ehlanzekile.
Imiphumela emibi ongase ube nayo
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | UkuphefumulaUkuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela ngokweqile, kanye nokudideka. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama, ukuphuzi kwesikhumba noma amehlo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (tshela udokotela wakho uma iqhubeka) | |
| Ukuqunjelwa | Isiyezi |
| Ukozela | Umlomo owomile |
| Ikhanda elibuhlungu | Isicanucanu nokuhlanza (Isicanucanu, Ukuhlanza) |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uwusizo olubalulekile ohambweni lokululama ekuluthweni yi-opioid. Kufanele uthathwe kanye nezinye izindlela zokwelapha, njengokwelulekwa, ukuze uthole imiphumela emihle kakhulu.
- Ncibilikisa ngaphansi kolimi njengoba kuqondiswe udokotela wakho. Ungalokothi uhlafune, ugwinye, noma uchoboze.
- Gwema ukuyeka umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Kungabangela ukusabela okubi kakhulu.
- Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo. Gwema utshwala ngokuphelele.
- Gcina lo muthi endaweni ephephile, kude nezingane nezilwane ezifuywayo . Ukwabelana noma ukuthengisa ngawo akuvumelekile futhi kuyingozi.
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