Ukulutheka kwe-opioid kuyisimo esinzima kakhulu nesiyinkimbinkimbi umuntu angabhekana naso. Ukuze asize umuntu ozama ukululama kulokhu, udokotela angase akunike umuthi obizwa ngokuthi i-Buprenorphine. Ngakho-ke, uma uthola lo muthi, ungase ube nezinkinga eziningi. Ngakho-ke, namuhla sizoxoxa ngokuthi uyini lo muthi, ukuthi usetshenziswa kanjani kahle, nokuthi yiziphi izinto ezibaluleke kakhulu okudingeka uzazi ngawo.
Iyini ngempela i-Buprenorphine?
Kalula nje, i-Buprenorphine umuthi osetshenziselwa ukwelapha isifo sokusebenzisa i-opioid. Isiza ekunciphiseni izimpawu zokuhoxa (njengobuhlungu bomzimba, ukujuluka, kanye nokungahlaliseki) ezenzeka uma uyeka ngokuzumayo ukusebenzisa i-opioid. Iphinde isize ukulawula izifiso zokusebenzisa umuthi futhi.
Cabanga ngomlutha we-opioid njengokusemgodini ojulile. I-Buprenorphine ifana nentambo ongayisebenzisa ukuzikhipha kulowo mgodi. Ikunika amandla amaningi nokusekelwa. Kodwa kufanele ubambelele entanjeni bese uzikhipha. Yingakho kubaluleke kakhulu ukusebenzisa ukwelulekwa kanye nokwelashwa kokuziphatha kanye nalomuthi.
Ngaphambi kokuqala lo muthi, kufanele nakanjani utshele udokotela lezi zinto!
Lokhu kubaluleke kakhulu ukuze uphephe. Udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho ngaphandle kokufihla lutho .
| Isimo sempilo noma umkhuba | Okudingayo ukukwazisa |
|---|---|
| Izinkinga ezihlobene nekhanda nobuchopho | Izimo ezinjengokulimala ekhanda, isimila sobuchopho, noma ukuxhuzula. |
| Inhliziyo namaphaphu | Isifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, i-asthma noma ezinye izinkinga zokuphefumula. |
| Isibindi nezinye izitho zomzimba | Isifo sesibindi, isifo senyongo, isifo se-pancreatic, noma ukusebenza okuphansi kwezindlala ze-adrenal. |
| Imikhuba kanye nokulutha | Uma uphuza njalo noma umlutha wezinye izidakamizwa. |
| Izinkinga zomlomo nesisu | Izilonda zomlomo, isifo samazinyo noma sezinsini, noma iyiphi inkinga ngesisu noma emathunjini. |
| Ukusetshenziswa kweminye imithi | Uma uke wathatha umuthi wokucindezeleka we-MAOI njengoMarplan, Nardil, noma iParnate ezinsukwini ezingu-14 ezedlule. |
| Ukungezwani komzimba | Uma une-allergy ku-buprenorphine noma kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
| Ukukhulelwa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Kulungile, manje ake sibone ukuthi singawusebenzisa kanjani lo muthi ngqo.
Indlela osebenzisa ngayo lo muthi ibaluleke kakhulu. Kubalulekile ukuthatha umthamo ofanele ngesikhathi esifanele, njengoba nje udokotela esho.
- Awudingi amanzi ukuze ugwinye leli philisi. Leli philisi olibeka ngaphansi kolimi lwakho bese ulivumela ukuthi lincibilike .
- Beka ithebhulethi ngaphansi kolimi lwakho bese ulinda ize incibilike ngokuphelele. Ungalokothi uhlafune, usike, noma ugwinye ithebhulethi. Ukwenza kanjalo kungenza umuthi ungasebenzi kahle.
- Uma kufanele uphuze amaphilisi angaphezu kwelilodwa ngosuku, uma kungenzeka, beka wonke amaphilisi ngaphansi kolimi lwakho ngesikhathi esisodwa. Uma lokho kungenzeki, beka amaphilisi amabili ngaphansi kolimi lwakho bese uwavumela ancibilike.
- Qhubeka usebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Yini okufanele uyenze uma umthamo ukhuphuka (ukudlula umthamo)?
Uma ucabanga ukuthi usuthathe lo muthi omningi kunalokho okufanele ukuthathe, ungalibali. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze nawe. Lesi yisimo esiphuthumayo.
Okubalulekile: Lo muthi ungowokusetshenziswa kwakho kuphela. Ungabelani ngalo muthi nanoma ubani nganoma yisiphi isizathu. Lokhu akuvumelekile ngokomthetho futhi kungaba yingozi kakhulu komunye umuntu.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Buprenorphine iyisidakamizwa esingasebenzisana neminye imithi eminingi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
| Ungalokothi uthathe i-Buprenorphine nalomuthi! | |
|---|---|
| I-Cisapride, i-Dronedarone, i-Pimozide, i-Safinamide, i-Samidorphan, i-Thioridazine | |
| Izinkinga zingavela ngale mithi - yazisa udokotela wakho | |
| Utshwala | Ukozela nobunzima bokuphefumula kungaba nzima kakhulu. |
| Ama-antihistamine (imithi yokungezwani komzimba, ukukhwehlela, kanye nomkhuhlane) | Kwandisa ukozela. |
| Imithi yokucindezeleka, ukukhathazeka, noma ukulala | Ukuyithatha nemithi efana ne-benzodiazepines kungaba yingozi kakhulu. |
| Ama-antifungal, ama-antibiotic, eminye imithi ye-HIV noma i-Hepatitis | Isibonelo: I-Ketoconazole, i-Erythromycin. Lokhu kungashintsha imiphumela ye-Buprenorphine. |
| Imithi yokuquleka | Isibonelo: i-Carbamazepine, i-Phenytoin. |
| Amanye ama-painkiller noma ama-opioid okukhwehlela | Imiphumela emibi kakhulu ingase ivele. |
Qaphela kakhulu ngalezi zinto uma uthatha i-buprenorphine.
Ungayeki ukuthatha umuthi ngokuzumayo!
Umzimba wakho kancane kancane uyawujwayela lo muthi. Uma uyeka ukuwuthatha ngokuzumayo, ungase ube nokusabela okukhulu kokuhoxa , okuwumuzwa wokungakhululeki lapho uyeka ukuthatha umuthi. Ngakho-ke, ungayeki ukuthatha umuthi ngaphandle kokukhuluma nodokotela wakho. Uma udinga ukuyeka, udokotela wakho uzonciphisa kancane kancane umthamo futhi akubonise ukuthi ungayeka kanjani ukuwuthatha ngokuphephile.
Ukulala nokunaka
Ungase uzizwe ulele noma udidekile ngenkathi uthatha lo muthi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka endaweni yokuhlala noma uhlala phansi ngokuzumayo, ikakhulukazi uma usukhulile. Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi, ngoba utshwala bungenza lokhu kukozela kube kubi nakakhulu.
Qaphela i-Naloxone
I-Naloxone umuthi ophuthumayo onganikezwa ukuze kulungiswe ukudlula ngokweqile kwe-opioid. Kubalulekile ukuthi wena nomndeni wakho niqaphele i-Naloxone ngaphambi kokuthatha lo muthi. Khuluma nodokotela wakho mayelana nokuthi ungawuthola kanjani nokuthi ungawusebenzisa kanjani.
Ukuqunjelwa kanye nomlomo owomile
Umphumela ovamile walo muthi ukuqunjelwa. Uma ungenawo umgudu wokugaya ukudla ngemva kwezinsuku ezintathu, khuluma nodokotela wakho. Ungase ube nomlomo owomile. Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Buprenorphine ingabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uma kuvela lezi zimpawu, yazisa udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela okukhulu kokungezwani komzimba | Ukuqubuka, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kokuphefumula (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ukozela ngokweqile, ukungazi lutho, nobunzima bokuvuka. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba. |
| Izinto ezivame ukungabi yingozi, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isicanucanu, ukuhlanza. | |
Ungawugcina futhi uwulahle kanjani umuthi ngokuphephile?
Ngenxa yokuthi kunengozi yokusebenzisa kabi lo muthi, kubalulekile ukuwugcina endaweni ephephile kude nezingane nezilwane ezifuywayo . Uvikele ekwebiweni.
Kubalulekile futhi ukulahla kahle imithi ephelelwe yisikhathi noma engasadingeki. Le mithi ingabangela nokufa uma iwela ezandleni ezingafanele.
- Indlela engcono kakhulu,Zinikeze uhlelo lokubuyisela imithi . Buza udokotela wakho ngalokhu.
- Uma uhlelo olunjalo lungatholakali, umthombo uthi umuthi ungahlanzwa endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- I-Buprenorphine iyithuluzi elibalulekile ekusizeni abantu banqobe umlutha we-opioid. Kodwa-ke, ayisebenzi yodwa futhi kumele ihlanganiswe nokwelulekwa.
- Njalo thatha umthamo onqunyiwe njengoba uyalelwe udokotela wakho, uwubeke ngaphansi kolimi lwakho bese uwuvumela uncibilike. Ungalokothi uwuhlafune noma uwugwinye.
- Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
- Ungalokothi uyeke ukuthatha umuthi ngokuzumayo.
- Gcina umuthi uphephile kakhulu kude nezingane kanye nabanye.
- Qaphela imiphumela emibi engathi sína kanye nezimpawu zokusebenzisa ngokweqile. Esimweni esinjalo, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
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