Udokotela wakho kungenzeka ukuthi ukunikeze lo muthi ngenxa yobuhlungu besikhathi eside, obukhulu obungaqedwanga ngezinye izidakamizwa zobuhlungu. Lokhu akufani nomuthi ovamile wokuqeda ubuhlungu. Yingakho kubaluleke kakhulu ukwazi kahle ukuthi ungayisebenzisa kanjani le patch, ukuthi ingenzani, nokuthi yini okudingeka uyiqaphele. Ake sixoxe ngalokho namuhla.
Uyini lo muthi obizwa ngokuthi i-Buprenorphine?
Kalula nje, i-Buprenorphine umuthi osetshenziselwa ukulawula ubuhlungu obukhulu kakhulu, obungapheli. Awusetshenziselwa ubuhlungu obungazelelwe. Umuthi osebenza isikhathi eside. Usebenza ngokuvimbela izimpawu ezitholwa ubuchopho bethu ngenxa yobuhlungu. Lo muthi ungoweqembu lama-painkiller anamandla abizwa ngokuthi 'ama-Opioids' . ESri Lanka, utholakala ngaphansi kwegama lomkhiqizo elithi 'Butrans'.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lesi siqephu
Ngaphambi kokukunikeza lesi sitshalo, udokotela wakho kufanele aqaphele umlando wakho wezempilo ophelele. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi:
| Isimo/umkhuba | Incazelo |
|---|---|
| Izinkinga ezihlobene nekhanda nobuchopho | Izimo ezifana nezimila zobuchopho, ukulimala ekhanda, kanye nokuquleka. |
| Ukulutheka | Uma uke wasebenzisa kabi izidakamizwa noma umlutha noma uphuza utshwala njalo. |
| Izifo zezitho zangaphakathi | Isifo sesibindi, isifo senyongo, isifo se-pancreatic, ukusebenza okuphansi kwezindlala ze-adrenal. |
| Inhliziyo kanye nesistimu yokuphefumula | Isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, isifo samaphaphu, i-asthma noma ezinye izinkinga zokuphefumula. |
| Ukusetshenziswa kweminye imithi | Uma uke wathatha umuthi eqenjini le-`MAOI` (isib. uMarplan, uNardil) ezinsukwini eziyi-14 ezedlule. |
| Amanye amaphuzu | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. Uma uke waba nokusabela kokungezwani komzimba ne-buprenorphine noma yimuphi omunye umuthi, ukudla, noma idayi. |
Ngilisebenzisa kanjani kahle leli patch?
Lesi isichibi esifakwa ngaphandle esikhumbeni. Kubaluleke kakhulu ukulandela imiyalelo yokusisebenzisa kahle.
1. Ukukhetha indawo: Khetha indawo ehlanzekile, eyomile, engaphukile yesikhumba ukuze ufake i-patch. Izindawo ezinhle kakhulu zokufaka i-patch yingalo engaphandle engaphezulu kwehlombe, isifuba esiphezulu, umhlane ongaphezulu, noma uhlangothi lwesifuba. Kumuntu okhubazekile ngengqondo, kungcono ukufaka i-patch emhlane ongaphezulu, ngoba lokhu kungenza kube nzima ngaye ukuyisusa yena.
2. Ukuhlanza isikhumba: Geza indawo ekhethiwe ngamanzi kuphela bese uyomisa kahle. Ungalokothi usebenzise insipho, utshwala, noma ama-lotion. Ukwenza kanjalo kungabangela ukuthi umuthi omningi umunceke emzimbeni futhi kube yingozi. Uma kukhona izinwele endaweni, zisike ngesikele, kodwa ungasebenzisi i-razor.
3. Ukusebenzisa i-patch: Susa i-patch ephaketheni layo bese ususa i-tape yokuvikela ohlangothini olunamathelayo. Ungayisiki noma uyilimaze i-patch. Ukwenza kanjalo kungabangela ukudlula ngokweqile , okungaba yingozi empilweni. Ungathinti uhlangothi olunamathelayo ngeminwe yakho. Cindezela ingaphakathi lesandla sakho bese usibamba ngokuqinile esikhumbeni sakho cishe imizuzwana eyi-15. Bese ugeza izandla zakho kahle ngensipho namanzi.
4. Ukushintsha i-patch: Faka i-patch entsha kuphela ngemva kokususa endala. Yifake endaweni ehlukile isikhathi ngasinye. Ungayifaka endaweni efanayo ngokuphindaphindiwe.
5. Uma i-patch iphuma: Uma imiphetho ye-patch iqala ukuphuma, faka ucezu lwetheyiphu yosizo lokuqala emaphethelweni. Uma kunenkinga eqhubekayo yokuxebuka, mboza i-patch nge-adhesive dressing ebonayo kuphela (isib. i-Bioclusive, i-Tegaderm). Ungambozi i-patch nganoma iyiphi enye i-bandage noma i-tape.
Gcina kude nezingane nezilwane ezifuywayo!
Ngisho ne-patch esetshenzisiwe ingase ibe nomuthi. Kungaba yingozi uma ingane noma isilwane siyifaka emlonyeni noma siyibeka emzimbeni wayo. Ungabeki i-patch lapho izingane zingayibona khona. Futhi, ungayibizi ngokuthi "i-sticker" noma "i-tattoo." Lokhu kungakhuthaza izingane ukuba ziyilingise.
Kuthiwani uma ngiphuthelwa umthamo?
Uma ukhohlwa ukushintsha i-patch yakho, faka entsha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, faka kuphela lapho. Ungalokothi usebenzise imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Uma usebenzisa lesi sitshalo, tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo, ikakhulukazi uma uphuza utshwala.
Eminye imithi ingathintana nalesi sici futhi ibangele imiphumela emibi kakhulu. Isibonelo:
- Eminye imithi yokucindezeleka, ukukhathazeka, noma ukulala
- Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (ama-Antihistamine)
- Amanye ama-antifungal (isb., i-ketoconazole) kanye nama-antibiotic (isb., i-erythromycin)
- Eminye imithi yesifo sokuwa (isib. i-carbamazepine)
- Iziphumuli zemisipha
- Utshwala
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uzikhumbule uma usebenzisa i-patch
- Mayelana nobuhlungu: Tshela udokotela wakho uma ubuhlungu bakho bungapheli, buba bubi kakhulu, noma uma unezinhlobo ezintsha zobuhlungu. Ngokuhamba kwesikhathi, umthamo owawuwuthatha ngaphambilini ungase ungasanele ukulawula ubuhlungu bakho. Lokhu kubizwa ngokuthi 'ukubekezelelana'. Lokhu kuvamile.
- Ukuyeka umuthi: Ungayeki ukusebenzisa i-patch ngokuzumayo. Umzimba wakho uthembele kulo muthi, ngakho-ke ukuwuyeka ngokuzumayo kungabangela izimpawu ezinkulu zokuhoxa. Lokhu akuyona into ebangela umlutha. Uma kudingeka, udokotela wakho uzonciphisa kancane kancane umthamo.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, uze wazi ukuthi lokhu kukuthinta kanjani , ungashayeli noma usebenzise imishini. Ungasukumi endaweni yokuhlala noma yokuma ngokuzumayo.
- Ukuqunjelwa: Lona umphumela ovamile wecala walo muthi. Uma ungenawo umgudu wokugaya ukudla izinsuku ezintathu, khuluma nodokotela wakho.
- Izinga lokushisa lomzimba: Lokhu kubaluleke kakhulu. Uma umzimba wakho ushisa, kungakhishwa imithi eminingi esikhumbeni, okungaholela ekweqiseni ngokweqile okubulalayo. Ngakho-ke, uma unomkhuhlane, bona udokotela wakho.Ake sithi. Ungagezi ngamanzi ashisayo, uhlale elangeni, usebenzise ama-sauna, noma ama-heating pad. Gwema ukuvivinya umzimba okwandisa izinga lokushisa komzimba.
- Uma kwenzeka uphuze kakhulu: Uma ucabanga ukuthi usuphuze kakhulu lo muthi, iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha noma ushayele iNational Poisons Information Centre eColombo National Hospital . Izimpawu zophuze kakhulu zifaka phakathi ukuphefumula kancane , ukozela okukhulu, kanye nokungakwazi ukuvuka. Khuluma nodokotela wakho ngomuthi osindisa impilo othi 'Naloxone', onikezwa ezimweni ezinjalo.
Yimiphi imiphumela emibi engingayithola?
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) | Ukuphefumula kancane noma kancane, ukozela ngokweqile, ukungazi lutho, nobunzima bokuvuka. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, umchamo omnyama. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isicanucanu, ukuhlanza, ukulunywa noma ukubomvu lapho kufakwa khona i-patch. | |
Umlayezo Wokuya Nawe Ekhaya
- I-buprenorphine patch iyimithi enamandla yobuhlungu obukhulu, obungapheli. Yisebenzise kuphela ngokweseluleko sikadokotela wakho.
- Uma ufaka i-patch, khetha indawo ehlanzekile, eyomile, engaqhekekile yesikhumba, ugeze ngamanzi kuphela, bese uyifaka kahle. Faka njalo futhi uyigcine kude nezingane nezilwane ezifuywayo.
- Lomuthi ungabangela ukozela kanye nesiyezi. Ngakho-ke, gwema ukushayela. Gwema ukuphuza utshwala ngokuphelele.
- Ukushisa ngokweqile (umkhuhlane, ukugeza ngamanzi ashisayo) kungabangela ukuthi i-patch imunce umuthi omningi kakhulu, okungaba yingozi. Qaphela kakhulu ngalokhu.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukozela ngokweqile, noma ukungazi lutho, iya e-Emergency Treatment Unit (ETU) ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
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