Uzwa Ubuhlungu Obunzima? Ake Sifunde Ngemijovo Ye-Fentanyl | Nirogi Lanka

Ingabe ngezinye izikhathi uzwa ubuhlungu obuzwakala bungabekezeleleki ngempela? Ngezikhathi ezinjalo, ngisho nemithi yokwelapha ubuhlungu ejwayelekile ingase ingakuniki impumuzo oyidingayo. I-Fentanyl umuthi onamandla osetshenziselwa ukuphatha ubuhlungu obukhulu kangaka noma ukukusiza uzizwe uzolile futhi ulele ngaphambi kwenqubo yezokwelapha noma ukuhlinzwa. Namuhla e-Nirogi Lanka, ake sibheke ngokujulile umjovo we-Fentanyl.

Iyini i-Fentanyl?

Kalula nje, i-Fentanyl umuthi onamandla osetshenziselwa ukuphatha ubuhlungu obukhulu. Ivame ukusetshenziswa ukukusiza uzizwe uzolile futhi ulele ngaphambi kokuhlolwa noma ukuhlinzwa okukhulu kwezokwelapha. Odokotela bavame ukucabanga nge-Fentanyl lapho eminye imithi yobuhlungu ingasebenzi kahle noma ibangela imiphumela emibi engabekezeleleki. Isebenza ngokuvimbela izimpawu zobuhlungu eziya ebuchosheni bakho. Lo muthi ungowesigaba semithi ye-opioid. Uma unemibuzo mayelana nokusetshenziswa kwawo ngqo ohlelweni lwakho lokwelashwa, sicela uxhumane nodokotela wakho noma usokhemisi.

Yini okufanele uyitshele ithimba lakho lokunakekela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uthole i-Fentanyl, kubalulekile ukuthi ithimba lakho lokunakekela eNirogi Lanka libe nesithombe esiphelele somlando wakho wezokwelapha. Ukwabelana ngalolu lwazi kubalulekile ekuphepheni kwakho, njengoba kusiza ithimba lakho ukuthi linqume ukuthi lo muthi ukufanele yini. Sicela wazise udokotela wakho uma unezinye zezimo ezilandelayo:

• Isimila sobuchopho
• Umlando wokusebenzisa kabi izidakamizwa noma umlutha
• Isifo senyongo
• Ukulimala ekhanda kwakamuva
• Isifo senhliziyo
• Ukuphuza utshwala njalo
• Isifo sezinso
• Isifo sesibindi
• Umfutho wegazi ophansi
• Izimo zokuphefumula, njenge-asthma
• Izimo zempilo yengqondo
• Ubunzima bokuchama
• Umlando wokuquleka
• Izinkinga zesisu noma zamathumbu
• Noma yikuphi ukusabela okungavamile kwe-allergy noma i-Fentanyl, eminye imithi, ukudla, udayi, noma izithasiselo
• Uma ukhulelwe noma uhlela ukukhulelwa
• Uma okwamanje uncelisa

Lo muthi kufanele usetshenziswe kanjani?

I-Fentanyl inikezwa njengomjovo , kungaba emthanjeni (ngokufakwa ngaphakathi kwemithambo) noma emsipheni (ngokufakwa ngaphakathi kwemisipha). Lokhu kwenziwa esibhedlela noma emtholampilo ngaphansi kokuqashwa okuqinile kwezokwelapha.

Uma lo muthi unikezwa ingane, kudingeka izinyathelo zokuphepha ezikhethekile. Sicela uxoxe ngalezi zidingo ezithile nethimba lakho lokunakekela.

Kubalulekile ukuqonda ukuthi ukudlula ngokweqile kwalo muthi kungaba yingozi empilweni. Uma usola ukuthi unikezwe umuthi omningi kakhulu, funa usizo olusheshayo ezinsizeni eziphuthumayo noma uye egumbini lezimo eziphuthumayo eliseduze.

Ngaphezu kwalokho, lo muthi unikezwe wena ngqo. Ungalokothi wabelane ngawo nanoma ubani omunye.

Kuthiwani uma uphuthelwa umthamo?

I-Fentanyl ngokuvamile ayiyona imithi yokunakekela yansuku zonke. Inikezwa yithimba lakho lezokwelapha kuphela uma kudingeka, ngaphansi kwesiqondiso sochwepheshe. Ngakho-ke, umqondo "wokuthi umthamo awukho" awusebenzi ngokuvamile kulokhu kwelashwa.

Yiziphi ezinye izinto ezingase zihlangane nalo muthi?

Kukhona umuthi owodwa othize okungafanele uthathwe ngaphansi kwanoma yiziphi izimo ngenkathi usebenzisa i-Fentanyl:

• I-Mifepristone

Ngaphezu kwalokho, eminye imithi, ukudla, kanye nezinto ezisetshenziswayo kungasebenzisana ne-Fentanyl. Ukuthatha lokhu ndawonye kungaholela emiphumeleni emibi eyingozi noma kushintshe ukusebenza kahle kokwelashwa. Sicela wazise ithimba lakho lokunakekela uma usebenzisa noma yikuphi kwalokhu okulandelayo, ukuze bakwazi ukuqinisekisa ukuphepha kwakho.

• Utshwala
• Ama-antihistamine (avame ukusetshenziswa ekwelapheni ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane)
• Imithi yokulwa negciwane lengculazi noma ingculazi
• I-Atropine
• Ama-antibiotic athile (isb., i-clarithromycin, i-erythromycin, i-rifampin)
• Imithi ethile yokukhathazeka noma yokusiza ukulala
• Imithi ethile yesinyi (isib. i-oxybutynin, i-tolterodine)
• Imithi ethile yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, noma ukungalingani kwenhliziyo
• Amanye ama-antidepressants (isb., i-amitriptyline, i-fluoxetine, i-sertraline)
• Imithi ethile yesifo sikashukela (isb., i-pioglitazone, i-troglitazone)
• Imithi ethile yokulwa ne-antifungal (isb., i-ketoconazole ne-itraconazole)
• Imithi ethile ye-migraine (isb., i-almotriptan, i-eletriptan, i-frovatriptan, i-naratriptan, i-rizatriptan, i-sumatriptan, i-zolmitriptan)
• Imithi ethile yokulwa nesicanucanu noma yokuhlanza (isb., i-aprepitant, i-dolasetron, i-granisetron, i-ondansetron)
• Imithi ethile yokuxhuzula (isb., i-phenobarbital, i-phenytoin, i-primidone)
• Imithi ethile yesisu (isb., i-dicyclomine, i-hyoscyamine)
• Imithi ethile yokugula okuhambayo (isb., i-scopolamine)
• Imithi ethile yesifo sikaParkinson (isb., i-benztropine, i-trihexyphenidyl)
• I-Cimetidine
• Ama-diuretics (amaphilisi amanzi)
• Izibulala-zinhlungu ezijwayelekile (isib. i-halothane, i-isoflurane, i-methoxyflurane, i-propofol)
• Ijusi le-Grapefruit
• I-Ipratropium
• I-Linezolid
• Izidambisi-zinhlungu zasendaweni (isib. i-lidocaine, i-pramoxine, i-tetracaine)
• Ama-MAOI (isib., i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate)
• Iziphumuli zemisipha ezisetshenziswa ekuhlinzweni
• I-Methylene eluhlaza okwesibhakabhaka
• Eminye imithi yezidakamizwa yobuhlungu noma ukukhwehlela
• Ama-Phenothiazine (isib., i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine)
• I-wort kaSt. John (isengezo semifino)
• Ama-steroid (isb., i-prednisone noma i-cortisone)

Lolu hlu aluphelele. Sicela uveze obala nethimba lakho lezokwelapha laseNirogi Lanka mayelana nayo yonke imithi oyisebenzisayo, okuhlanganisa imithi kadokotela, imithi ethengwa ngaphandle kwemithi kadokotela, kanye nezithasiselo zokudla. Ngaphezu kwalokho, bazise uma ubhema, uphuza utshwala, noma usebenzisa noma yiziphi izinto ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho ngendlela eyingozi.

Yini okufanele uyikhumbule lapho uthatha lo muthi?

Uma usebenzisa i-Fentanyl, sicela ukhumbule okulandelayo okubalulekile kokuphepha:

• Uma ubuhlungu bakho bungathuthuki, buba bubi kakhulu, noma uma uba nohlobo olusha lobuhlungu, xhumana nethimba lakho lezokwelapha. Ungase ube nokubekezelelana , okusho ukuthi umzimba wakho uyajwayela umuthi. Kalula nje, ukubekezelelana kwenzeka lapho udinga umthamo ophezulu kunangaphambili ukuze uthole ukukhululeka kobuhlungu okufanayo. Uma uthatha lo muthi isikhathi eside, izinga elithile lokubekezelelana livamile—kufana nendlela umuntu oqala ukuphuza itiye angase azizwe anelisekile ngayo ngesigamu sendebe, kodwa ekugcineni adinge indebe egcwele ukuze azizwe ngendlela efanayo.

• Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okunamandla ngokomzimba ngoba umzimba wakho usujwayelene nawo. Lokhu akusho ukuthi usuwumlutha . Umlutha ubhekisela endleleni yokuziphatha yokufuna nokusebenzisa umuthi ngezizathu ezingezona ezezokwelapha. Njengoba unesifo esibangela ubuhlungu, unesizathu esisemthethweni sezokwelapha sokwelashwa. Landela njalo imiyalelo yethimba lakho lezokwelapha. Uma udinga ukuyeka, bazonciphisa kancane kancane umthamo wakho ukuze bagweme izimpawu zokuhoxa.

• Uma uthatha eminye imithi ebangela ukozela—njengeminye imithi yokunciphisa ubuhlungu, ama-benzodiazepine, noma izinsiza zokulala—imiphumela yakho emibi ingase ibe mibi kakhulu. Nikeza ithimba lakho lezokwelapha uhlu oluphelele lwemithi yakho. Landela njalo imiyalelo yabo yomthamo ethile, futhi ungalokothi weqe umthamo onqunyiwe. Uma ubhekene nobunzima bokuphefumula, ukukhathala okukhulu, noma ukozela okukhulu, funa usizo lwezokwelapha oluphuthumayo ngokushesha.

• Buza ithimba lakho lezokwelapha nge-Naloxone nokuthi ungayithola kanjani. I-Naloxone iyikhambi eliphuthumayo elisetshenziselwa ukuhlehlisa ukudlula ngokweqile kwe-opioid. Ukudlula ngokweqile kungenzeka uma ngephutha uphuza imithi yakho eningi kakhulu, noma uma uyihlanganisa notshwala noma ezinye izinto. Kubalulekile ukuqaphela izimpawu zokudlula ngokweqile , njengokuphefumula kancane, ukucobeka okukhulu, noma ukungakwazi ukuphendula noma ukuvuka. Qinisekisa ukuthi amalungu omndeni wakho nabanakekeli bayazi ukuthi i-Naloxone igcinwa kuphi nokuthi isetshenziswa kanjani. Ngemva kokunikeza i-Naloxone, kufanele ushayele izinsizakalo eziphuthumayo ngokushesha. I-Naloxone inikeza impumuzo yesikhashana kuphela futhi ukunakekelwa kwezokwelapha okulandelayo kuyimpoqo.

• Lo muthi ungabangela ukozela noma isiyezi . Ungashayeli, usebenzise imishini, noma wenze noma yimiphi imisebenzi edinga ukugxila engqondweni uze wazi kahle ukuthi lo muthi uthinta kanjani wena. Gwema ukuma noma ukuhlala ngokushesha kakhulu , ikakhulukazi uma ungumuntu omdala, ukuze unciphise ingozi yokuba nesiyezi nokuwa. Njengoba utshwala bungaphazamisa indlela lo muthi osebenza ngayo, sicela ugweme ukuphuza utshwala.

• Lo muthi ungabangela ukuqunjelwa . Uma ungazange uphume isisu izinsuku ezintathu, sicela uxhumane nethimba lakho lezokwelapha.

• Ungase ube nomlomo owomile . Ukuhlala unamanzi emzimbeni, ukuhlafuna itshungama engenashukela, noma ukumunca amaswidi aqinile angenashukela kungasiza. Uma lokhu kuqhubeka noma kuba kubi kakhulu, sicela uxhumane nethimba lakho lezokwelapha.

Yimiphi imiphumela emibi engaba khona yalo muthi?

I-Fentanyl ingabangela imiphumela emibi ethile. Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, sicela wazise ithimba lakho lezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, noma ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukucindezeleka Kwesistimu Yezinzwa Ephakathi (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, ikhanda elikhanyayo, noma ukubona okufiphele.
• Ukuqina kwemisipha.

Eminye imiphumela emibi ngokuvamile iyalawuleka, kodwa kufanele usazise ithimba lakho lezokunakekelwa kwempilo uma iqhubeka noma iba yinkinga:

• Isiyezi
• Ukozela
• Isicanucanu
• Ukuhlanza

Lolu hlu aluphelele. Sicela uxhumane nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi. Uma use-United States, ungabika imiphumela emibi ku-FDA ku-1-800-FDA-1088. Uma use-Sri Lanka, sicela ubike lokhu kuziphathimandla zezempilo ezifanele ngodokotela wakho ozokulapha.

Lo muthi kufanele ugcinwe kanjani?

I-Fentanyl inikezwa wena kuphela esibhedlela noma endaweni yokwelapha. Ngakho-ke, lokhu akuyona imithi ozoyigcina ekhaya.

Amanothi okugcina abalulekile kuwe

Njengoba ubona, i-Fentanyl iyisidambisi-zinhlungu esinamandla kakhulu . Isetshenziswa kuphela ezinhlungwini ezinzima futhi ngaphansi kokuqashwa okuqinile kwezokwelapha.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo futhi umgcine enolwazi oluphelele mayelana nezimo zakho zempilo kanye nanoma yimiphi eminye imithi oyiphuzayo.

Ngenxa yokuthi lo muthi ungabangela ukozela noma isiyezi, sicela uqaphele. Khumbula, akufanele neze uyeke lo muthi ngokuzumayo.

Uma unemibuzo noma ukukhathazeka, sicela ukhululeke ukubuza udokotela wakho, umhlengikazi, noma usokhemisi. Bakhona ukukusiza. Impilo yakho iza kuqala kithi eNirogi Lanka!

Amagama angukhiye: i-fentanyl, imithi yokubulala izinhlungu, i-opioid, umjovo, imiphumela emibi, imithi, impilo, ubuhlungu, iseluleko sezokwelapha