Ngezinye izikhathi ubuhlungu bungazwakala bungabekezeleleki ngempela, akunjalo? Kunezikhathi lapho imithi ejwayelekile yokudambisa izinhlungu—noma ngisho nemithi esebenza isikhathi eside enikezwe udokotela wakho—inganele ukulawula ukuqina kwayo. Uma lokho kwenzeka, sidinga ukuxoxa ngomuthi okhethekile oklanyelwe ngqo ukulawula ukwanda okukhulu kobuhlungu ngokuzumayo, okuvame ukubizwa ngokuthi “ubuhlungu obuphambili.”
Uyini lo muthi? (Ukuqonda Amaphilisi e-Fentanyl Buccal)
Kalula nje, i-Fentanyl ingeyesigaba semithi enamandla yobuhlungu eyaziwa ngokuthi ama-opioid . Isebenza ngokuvimbela izimpawu zobuhlungu ebuchosheni bakho ukuze ikunikeze impumuzo. Uma usuvele usebenzisa umuthi wobuhlungu osebenza isikhathi eside kodwa usabhekene nobuhlungu obungazelelwe, obuqhubekayo obungenakukwazi ukubulawula, udokotela wakho angancoma lokhu njengethuluzi elengeziwe. Isebenza "njengesendlalelo esengeziwe" sokukhululeka kulokho kuphakama kobuhlungu. Ungase uyibone ngamagama omkhiqizo afana ne-Fentora. Kodwa-ke, ngoba odokotela ngezinye izikhathi bangase bakunike lo muthi kwezinye izimo, sicela uxhumane nomhlinzeki wakho wezempilo noma usokhemisi uma unemibuzo. Leyo yindlela ephephile njalo.
Ulwazi olubalulekile kudokotela wakho ngaphambi kokuthi uqale
Ngaphambi kokuthi uqale ukusebenzisa i-Fentanyl, kubalulekile ukuthi wazise udokotela wakho uma unezinye zezimo ezilandelayo. Ukuhlanganisa lo muthi nalezi zinkinga zempilo kungaba yingozi noma kuphazamise indlela osebenza ngayo umuthi.
- Isimila sobuchopho
- Umlando wokusebenzisa kabi izidakamizwa noma umlutha
- Isifo senyongo
- Umlando wokulimala ekhanda
- Isifo senhliziyo
- Ukusetshenziswa kotshwala njalo
- Isifo sezinso ( noma izinkinga ezihlobene )
- Isifo sesibindi
- Umfutho wegazi ophansi
- Izinkinga zamaphaphu noma zokuphefumula, njenge -asthma
- Izimo zempilo yengqondo
- Ubunzima bokuchama
- Umlando wokuquleka
- Izinkinga zesisu noma zamathumbu
- Noma yikuphi ukusabela okungezwani komzimba noma okungajwayelekile ku-Fentanyl, eminye imithi, ukudla, udayi, noma izithasiselo
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa
Ukunikeza lolu lwazi kubalulekile ukuze udokotela wakho akwazi ukunquma ukuthi lo muthi uyafaneleka yini esimweni sakho sempilo.
Indlela yokusebenzisa lo muthi ngendlela efanele
Lo muthi wenzelwe ukuthathwa ngomlomo. Kumelwe ulandele imiyalelo ebhalwe ilebula lakho likadokotela ngqo. Ungawushintshi umthamo ngokwakho ngaphansi kwanoma yiziphi izimo.
Gcina ithebhulethi ephaketheni layo lama-blister uze ulungele ukuyisebenzisa. Uma usukulungele, susa kancane ingemuva lephakethe lama-blister ukuze ukhulule ithebhulethi. Ungalokothi uzame ukusunduza ithebhulethi nge-foil backward , ngoba lokhu kungaphula noma kuchoboze umuthi.
Uma usususukile, beka ithebhulethi phakathi kwesihlathi sakho nensini bese uyivumela ukuthi incibilike ngokuphelele. Uma kukhona ingxenye yethebhulethi esele ngemva kwemizuzu engama-30, ungagwinya okusele ngengilazi yamanzi. Ungalokothi uthathe imithamo engaphezu kwenani elivunyelwe udokotela wakho.
Uma uthola lo muthi ekhemisi, uzonikezwa uMhlahlandlela Wemithi (i-MedGuide) . Kufanele uwuthole kanye nomuthi ngamunye omusha kanye nokugcwalisa konke.Qiniseka ukuthi ufunda imininingwane ekulesi siqondiso kahle isikhathi ngasinye.
Xoxa ngokusetshenziswa kwalo muthi ezinganeni nethimba lakho lokunakekela. Nakuba kunezimo ezithile lapho ungasetshenziswa khona ezigulini ezingaphansi kweminyaka engu-16, kudingeka izinyathelo zokuphepha eziqinile.
Okufanele ukwenze uma kwenzeka ukudlula ngokweqile
Uma usola ukuthi uphuze ngaphezu komthamo owubekiwe, xhumana nesikhungo sokulawula ubuthi noma uye ekamelweni eliphuthumayo eliseduze ngokushesha. Lokhu kubalulekile.
Inothi Elibalulekile: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngawo nanoma ubani omunye; kuyingozi ukwenza kanjalo.
Kuthiwani uma ngiphuthelwa umthamo?
Lo muthi usetshenziswa kuphela uma kudingeka ngenxa yobuhlungu bokuqaqamba kwesisu; akuyona imithi ehleliwe yansuku zonke. Ngakho-ke, ukuphuthelwa "umthamo" ngomqondo wendabuko akusebenzi. Kodwa-ke, ungalokothi uwusebenzise ngendlela ephambuka emiyalweni ecacile kadokotela wakho.
Ukusebenzisana okungenzeka nezinye izinto
Uma usebenzisa i-Fentanyl, akufanele uyisebenzise nalokhu okulandelayo:
- I-Mifepristone
Ngaphezu kwalokho, i-Fentanyl ingasebenzisana nezinye izinto ezahlukahlukene. Sicela uqiniseke ukuthi udalula yonke imithi kanye nezithasiselo ozithathayo kudokotela wakho.
- Utshwala
- Ama-antihistamine (asetshenziselwa ukungezwani komzimba, ukukhwehlela, noma umkhuhlane)
- Imithi yokulwa namagciwane (esetshenziselwa i-HIV noma i-AIDS)
- I-Atropine
- Ama-antibiotic athile (isb., i-clarithromycin, i-erythromycin, i-rifampin)
- Imithi ethile yokukhathazeka noma yokusiza ukulala
- Imithi yesinyi (isib. i-oxybutynin, i-tolterodine)
- Imithi ethile yokucindezeleka kwegazi okuphezulu, isifo senhliziyo, noma ukushaya kwenhliziyo okungajwayelekile
- Ama-antidepressants (isb., i-amitriptyline, i-fluoxetine, i-sertraline)
- Imithi yesifo sikashukela (isib., i-pioglitazone, i-troglitazone)
- Imithi yokulwa nesikhunta (isb., i-ketoconazole, i-itraconazole)
- Imithi ye-migraine (isb., i-almotriptan, i-eletriptan, i-sumatriptan)
- Imithi yokucanuzela noma yokuhlanza (isib. i-aprepitant, i-ondansetron)
- Imithi yokuquleka (isb., i-phenobarbital, i-phenytoin)
- Imithi yesisu/yesisu (isib. i-dicyclomine, i-hyoscyamine)
- Imithi yokugula okuhambayo (isb., i-scopolamine)
- Imithi yesifo sikaParkinson (isb., i-benztropine)
- I-Cimetidine
- Ama-diuretics (amaphilisi amanzi)
- Izibulala-zinhlungu ezijwayelekile (isib. i-halothane, i-propofol)
- Ijusi le-Grapefruit
- I-Ipratropium
- I-Linezolid
- Izidambisi-zinhlungu zendawo (isb. i-lidocaine)
- Ama-MAOI (isib., i-Carbex, i-Eldepryl)
- Iziphumuli zemisipha ezisetshenziswa ngesikhathi sokuhlinzwa
- I-Methylene eluhlaza okwesibhakabhaka
- Eminye imithi yobuhlungu noma yokukhwehlela edakisayo
- Ama-phenothiazine (isb., i-chlorpromazine)
- I-St. John's wort (isengezo semifino)
- Ama-steroid (isb., i-prednisone, i-cortisone)
Lolu hlu aluphelele. Ngenxa yokuthi izinto eziningi zingasebenzisana ne-Fentanyl, sicela uqiniseke ukuthi wabelana ngohlu oluphelele lwakho konke okusebenzisayo, okuhlanganisa yonke imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, kanye nezithasiselo zokudla. Ngaphezu kwalokho, yazisa udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa noma yiziphi izinto zokuzijabulisa.
Yiziphi izinyathelo zokuphepha okufanele uzithathe ngenkathi usebenzisa lo muthi?
Uma ubuhlungu bakho bungathuthuki, buba bubi kakhulu, noma uma uzwa uhlobo olusha lobuhlungu, yazisa ithimba lakho lezokwelapha ngokushesha. Ngokuhamba kwesikhathi, ungase ube nokubekezelela lo muthi, okusho ukuthi ungadinga umthamo ophezulu ukuze ufinyelele izinga elifanayo lokuqeda ubuhlungu. Lokhu kuvamile, ikakhulukazi uma usetshenziswa isikhathi eside.
Kodwa-ke, ungayeki ukuthatha lo muthi ngokuzumayo , njengoba umzimba wakho usuncike kuwo ngokomzimba; ukuyeka ngokuzumayo kungaholela ekuphenduleni okukhulu kokuhoxa. Lokhu akusho ukuthi usuyilutha.Ukulutheka kuyindlela yokuziphatha ehilela ukusetshenziswa kwento ethile ngezizathu ezingezona ezezokwelapha. Njengoba usebenzisa lokhu ukulawula ubuhlungu bezokwelapha, landela imiyalelo kadokotela wakho ngokuqinile. Uma sekuyisikhathi sokuyeka, ithimba lakho lezokwelapha lizokuqondisa ukuthi wehlise umthamo wakho kancane kancane ngokuhamba kwesikhathi ukuze unciphise izimpawu zokuhoxa.
Uma uthatha i-Fentanyl kanye nezinye izinto ezidambisa ubuhlungu—njengezinye izidakamizwa ezinamandla zokunciphisa ubuhlungu, ama-benzodiazepine, noma izinsiza zokulala—ingozi yakho yemiphumela emibi eyingozi iyanda kakhulu. Gcina njalo uhlu lwamanje lwemithi yakho kudokotela wakho. Ungalokothi uthathe okungaphezu kwesilinganiso esinqunyiwe. Uma ubhekene nobunzima bokuphefumula, ukukhathala okukhulu, noma ukozela ngokweqile, shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni yakho ngokushesha.
Lungela nge-Naloxone
Khuluma nethimba lakho lezokwelapha mayelana nokuthola i-Naloxone . I-Naloxone iyindlela yokwelapha ephuthumayo esetshenziselwa ukuguqula i-overdose ye-opioid, engenzeka uma umuthi uphuzwa ngokweqile noma uxutshwe nezinye izinto ezifana notshwala. Funda izimpawu ze-overdose: ubunzima bokuphefumula, ukukhathala okukhulu, ukungakwazi ukuvuka, noma ukuntuleka kwempendulo lapho kukhulunywa nawe. Qinisekisa ukuthi umndeni wakho, abanakekeli, kanye nalabo abaseduze nawe bayazi ukuthi i-Naloxone yakho igcinwa kuphi nokuthi isetshenziswa kanjani. Shayela njalo izinsizakalo eziphuthumayo ngemuva kokunikeza i-Naloxone , njengoba kuyisinyathelo sesikhashana futhi kungadinga imithamo yokulandelela.
Ungase ube nobuthongo noma isiyezi . Ungashayeli, usebenzise imishini, noma wenze imisebenzi edinga ukugxila uze wazi ukuthi lo muthi uthinta kanjani wena. Gwema ukuma noma ukuhlala ngokushesha kakhulu, ikakhulukazi uma ungumuntu omdala, ukuze unciphise ingozi yokuquleka. Gwema utshwala , njengoba bungathintana nemithi ngendlela eyingozi.
Lo muthi ungabangela ukuqunjelwa . Uma ungenaso isisu izinsuku ezintathu, xhumana nodokotela wakho.
Ungase ube nomlomo owomile . Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, noma ukuphuza amanzi amaningi kungasiza. Uma lokhu kuhlala kuqhubeka noma kukubi, xhumana nodokotela wakho.
Yimiphi imiphumela emibi ongase ube nayo?
Xhumana nethimba lakho lezokwelapha ngokushesha uma uhlangabezana nalokhu okulandelayo:
- Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, noma ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Ukucindezeleka kwe-CNS: Ukuphefumula kancane noma kancane, ukuphefumula kancane, ukuzizwa ubuthakathaka, isiyezi, ukudideka, noma ubunzima bokuhlala uphapheme.
- Ukusebenza okuphansi kwe-adrenal gland: Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, noma isiyezi.
- Umfutho wegazi ophansi: Isiyezi, ukuzizwa ubuthakathaka noma unekhanda elibuhlungu, noma umbono ofiphele.
- Ukusabela kwendawo: Ubuhlungu, ukucasuka, noma izilonda emlonyeni lapho kusetshenziswa khona umuthi.
Imiphumela emibi elandelayo evamile ngokuvamile ayidingi ukungenelela kwezokwelapha kodwa kufanele ibikwe uma iba mibi noma iqhubeka:
- Ukuqunjelwa
- Isiyezi
- Ukozela
- Umlomo owomile
- Ikhanda elibuhlungu
- Isicanucanu
- Ukuhlanza
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe. Ungabika futhi imiphumela emibi ku-FDA ku-1-800-FDA-1088.
Kufanele uwugcine kuphi lo muthi ngokuphephile?
Sicela ugcine lo muthi kude nezingane nezilwane ezifuywayo. Ngenxa yokuthi lo muthi unobungozi bokusetshenziswa kabi , kubalulekile ukuwugcina endaweni ephephile, ekhiyiwe ukuze uvimbele ukwebiwa. Ungalokothi wabelane ngalo muthi nanoma ubani. Ukuthengisa noma ukunikeza lo muthi kwabanye akugcini nje ngokuba yingozi kodwa futhi kuphambene nomthetho.
Gcina lo muthi ezingeni lokushisa legumbi, phakathi kuka-15°C no-30°C (59°F kuya ku-86°F). Uma unemithi engasetshenziswanga noma ephelelwe yisikhathi, sicela uyilahle ngokushesha.
Isikhumbuzo Esibalulekile: Ukugwinya ngengozi ngabantu abadala, izingane, noma izilwane ezifuywayo kungaholela ekulimaleni okukhulu noma ngisho nasekufeni. Ngakho-ke, uma ungasawudingi lo muthi noma usuphelelwe yisikhathi, ukulahla kahle kuyadingeka. Ungakwenza lokhu ngezindlela ezimbili:
- Sebenzisa uhlelo lokubuyisela imithi. Hlola nekhemisi yangakini noma i-ejensi yokuphoqelela umthetho ukuthola indawo yokuqoqa imithi eduze kwakho.
- Uma kungekho uhlelo lokubuyisela umuthi endlini yangasese, geza umuthi endlini yangasese.
Qaphela: Lesi sihloko siyisifinyezo nje futhi asinayo yonke imininingwane engaba khona. Uma uneminye imibuzo mayelana nalo muthi, sicela uxhumane nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.
Izinto Ezibalulekile Okufanele Uzicabangele
Sihlanganise ulwazi oluningi mayelana namaphilisi e-Fentanyl Buccal. Nasi isifinyezo esifushane salokho okudingeka ukukhumbule:
- Lona umuthi onamandla we-opioid we-analgesic owenzelwe ukuphatha ubuhlungu obukhulu bokuqaqamba.
- Landela ngokuqinile imiyalelo kadokotela wakho mayelana nomthamo kanye nokuphathwa kwawo.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nomlando wakho wezokwelapha ophelele ukuze ugweme ukusebenzisana okuyingozi kwemithi.
- Qaphela ukozela noma isiyezi esingaba khona. Qaphela lapho ushayela noma wenza imisebenzi edinga ukugxila ngokugcwele.
- Ungayeki ukuthatha lo muthi ngokuzumayo. Landela njalo imiyalelo kadokotela wakho ukuze wehlise kancane kancane.
- Lungela nge-Naloxone , ukwelashwa okuphuthumayo kokudlula ngokweqile kwe-opioid.
- Gcina imithi endaweni ephephile kude nezingane futhi ulahle izinto ezingasetshenziswanga ngendlela efanele.
- Uma unemibuzo noma ukukhathazeka, ungangabazi ukuxhumana nodokotela wakho.
Sithemba ukuthi lolu lwazi oluvela eNirogi Lanka lube usizo. Hlala uphilile!
I-Fentanyl, Ama-Painkillers, Ama-Opioid, Ubuhlungu Obuqhubekayo, Imiphumela Engemihle, Ukusebenzisana Kwezidakamizwa, I-Naloxone
