Ingabe ngezinye izikhathi uzwa ubuhlungu nezinhlungu ezingabekezeleleki? Ngezikhathi ezinjalo, ngisho nemithi yokwelapha izinhlungu esivame ukuyithatha ingase ingakuniki impumuzo. I-Fentanyl uhlobo olukhethekile lomuthi olunikezwa ukulawula ubuhlungu obukhulu kangaka, noma ukukwenza ulale kancane ngaphambi kokuhlinzwa. Namuhla, ake sixoxe ngalo mjovo we-Fentanyl.

Iyini le mithi ebizwa ngokuthi i-Fentanyl?

Kalula nje, i-Fentanyl iyisidakamizwa esisetshenziselwa ukuqeda ubuhlungu obukhulu. Ngezinye izikhathi, isetshenziselwa ukukuthulisa nokukwenza ulale ngaphambi kokuhlolwa okukhulu kwezokwelapha noma ukuhlinzwa . Odokotela bavame ukukunikeza i-Fentanyl lapho eminye imithi yobuhlungu ingasebenzi noma uma ungakwazi ukuyibekezelela. Isebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bakho. Ingowesigaba semithi ebizwa ngokuthi ama-opioid. Lo muthi ungasetshenziswa nakwezinye izinto. Uma unemibuzo ngawo, buza udokotela wakho noma usokhemisi.

Yini okufanele ngiyitshele ithimba lezokwelapha ngaphambi kokuthatha lo muthi?

Kulungile, manje ngaphambi kokuba uqale ukuthatha lo muthi we-Fentanyl, kunezinto ezimbalwa ithimba lakho lokunakekela okudingeka lizazi. Kubalulekile ukubatshela lezi zinto, ngoba yileyo ndlela abanganquma ngayo ukuthi lo muthi ukulungele yini. Uma unezinye zalezi zimo, kufanele ubatshele nakanjani:

• Uma unesimila sobuchopho
• Uma umlutha wezidakamizwa (Ukusebenzisa kabi izidakamizwa noma umlutha)
• Uma unesifo senyongo
• Uma ulimele ekhanda
• Uma unesifo senhliziyo
• Uma uphuza njalo
• Uma unesifo sezinso
• Uma unesifo sesibindi
• Uma une-blood pressure ephansi
• Uma unesifo samaphaphu, isibonelo, i-asthma.
• Uma unesifo sengqondo
• Uma unezinkinga zokuchama
• Uma unesifo sokuwa
• Uma unezinkinga zesisu noma zamathumbu
• Uma wake waba nokusabela okungavamile kokungezwani komzimba noma i-fentanyl, omunye umuthi, ukudla, udayi, noma isilondolozi.
• Uma ukhulelwe noma uzama ukukhulelwa
• Uma ungumama oncelisayo

Ngingawusebenzisa kanjani lo muthi?

Lo muthi, obizwa ngokuthi i-Fentanyl, unikezwa njengomjovo emthanjeni noma emisipheni. Ngokuvamile unikezwa esibhedlela noma emtholampilo ngaphansi kokuqashwa kwezokwelapha.

Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni ezincane, ngakho khuluma nethimba lakho lezokwelapha ngakho.

Okubaluleke kakhulu, lo muthi ungaba yingozi uma uphuzwa ngokweqile (ukudlula umthamo). Uma ucabanga ukuthi usuphuze umuthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Okunye, lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.

Kuthiwani uma ngiphuthelwa umthamo wemithi?

Lona akuyona imithi ovame ukuyithatha njalo, nsuku zonke. Okusho ukuthi, lo umuthi onikezwa kuphela uma kudingeka, njengoba kuqondiswe udokotela wakho. Ngakho-ke, inkulumo ethi 'uphuthelwe umthamo' ayisebenzi kulokhu.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Kukhona uhlobo olulodwa lwemithi okungafanele lusetshenziswe neFentanyl. Yilo:

• I-Mifepristone

Futhi, kuneminye imithi, ukudla, nezinto ezingasebenzisana ne-Fentanyl, okusho ukuthi zingathintana. Ukuzithatha ndawonye kungabangela imiphumela emibi engafuneki noma kushintshe indlela umuthi osebenza ngayo. Ngakho-ke, uma usebenzisa noma yikuphi kwalokhu okulandelayo, kufanele utshele nethimba lakho lezempilo:

• Utshwala
• Izinhlobo zama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane
• Imithi yokulwa negciwane lengculazi noma ingculazi
• I-Atropine
• Amanye ama-antibiotic, isibonelo i-clarithromycin, i-erythromycin, i-rifampin
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yezinkinga zesinyi, isibonelo i-oxybutynin, i-tolterodine
• Eminye imithi yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
• Eminye imithi yokwelapha ukucindezeleka, isibonelo i-amitriptyline, i-fluoxetine, ne-sertraline
• Eminye imithi esetshenziswa kwesifo sikashukela, isibonelo i-pioglitazone, i-troglitazone
• Eminye imithi yokwelapha izifo zesikhunta, njenge-ketoconazole ne-itraconazole
• Eminye imithi esetshenziselwa ikhanda elibuhlungu, isibonelo, i-almotriptan, i-eletriptan, i-frovatriptan, i-naratriptan, i-rizatriptan, i-sumatriptan, i-zolmitriptan
• Eminye imithi yokwelapha isicanucanu noma ukuhlanza, isibonelo, i-aprepitant, i-dolasetron, i-granisetron, i-ondansetron
• Eminye imithi esetshenziselwa ukuxhuzula, isibonelo i-phenobarbital, i-phenytoin, i-primidone
• Eminye imithi yezinkinga zesisu, isibonelo i-dicyclomine, i-hyoscyamine
• Eminye imithi esetshenziswa ukwelapha isicanucanu sokuhamba, njenge-scopolamine
• Eminye imithi esetshenziswa ukwelapha isifo sikaParkinson, njenge-benztropine kanye ne-trihexyphenidyl
• I-Cimetidine
• Imithi yokwehlisa umchamo (i-diuretics)
• Ezinye izinhlobo zemithi yokubulala izinzwa ejwayelekile, isibonelo i-halothane, i-isoflurane, i-methoxyflurane, i-propofol
• Ijusi le-Grapefruit
• I-Ipratropium
• I-Linezolid
• Izinhlobo zemithi yokubulala izinzwa yendawo, isibonelo i-lidocaine, i-pramoxine, i-tetracaine
• Imithi ye-MAOI (isib., i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate)
• Iziphumuli zemisipha zokuhlinzwa
• I-Methylene eluhlaza okwesibhakabhaka
• Eminye imithi yezidakamizwa yobuhlungu noma ukukhwehlela
• Ama-phenothiazine, isibonelo i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine
• I-wort kaSt. John (lena isitshalo)
• Imithi ye-steroid, njenge-prednisone noma i-cortisone

Lolu hlu aluphelele. Tshela ithimba lakho lezempilo ngayo yonke imithi oyithathayo, okuhlanganisa imithi yamakhambi, imithi ethengwa ngaphandle kwemithi kadokotela, kanye nezithasiselo zokudla. Batshele uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.

Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?

Uma usebenzisa lo muthi, kunezinto ezimbalwa okufanele uziqaphele.

• Uma ubuhlungu bungapheli, uma buba bubi kakhulu, noma uma unezinhlobo ezintsha zobuhlungu, tshela ithimba lakho lezempilo. Kungenzeka ukuthi usukwazile ukubekezelela lo muthi, okusho ukuthi usuwujwayele. Kalula nje, ukubekezelela kusho ukuthi udinga umthamo omkhulu womuthi kunangaphambili ukuze uthole ukukhululeka kobuhlungu okufanayo. Kuyinto evamile ukuthi lolu hlobo lokubekezelela lukhule uma usuthathe lo muthi isikhathi eside. Cabanga ngakho, abanye abantu baqala ukuphuza itiye futhi baneliseke ngesigamu sendebe ekuqaleni, kodwa ngokuhamba kwesikhathi badinga indebe egcwele ukuze bazizwe ngendlela efanayo.

• Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Lokhu kungenxa yokuthi umzimba wakho usujwayele umuthi. Lokhu akusho ukuthi usuwumlutha womuthi. Umlutha uwukuziphatha okuhilela ukuthola nokusebenzisa umuthi ngesizathu esingesona esezokwelapha. Uma uzwa ubuhlungu, unesizathu sezokwelapha sokuthatha imithi yobuhlungu. Ithimba lakho lezokwelapha lizokutshela ukuthi kufanele uthathe umuthi ongakanani. Uma befuna ukuthi uyeke ukuthatha umuthi, bazokwenza lokho ngokunciphisa kancane kancane umthamo ukuze bavimbele imiphumela emibi.

• Uma uthatha eminye imithi ekwenza ulale, njengeminye imithi yobuhlungu yezidakamizwa, i-benzodiazepines, noma eminye imithi ekusiza ulale, ungase ube nemiphumela emibi eminingi. Nikeza ithimba lakho lezempilo uhlu lwazo zonke imithi oyithathayo. Bazokutshela ukuthi kufanele uphuze malini. Ungalokothi uthathe imithi engaphezu kwalokho udokotela wakho akutshele kona. Uma unenkinga yokuphefumula, uzizwa ukhathele ngendlela engajwayelekile, noma uzizwa ulele, funa usizo lwezokwelapha oluphuthumayo ngokushesha.

• Buza ithimba lakho lezempilo mayelana ne-naloxone nokuthi ungayithola kanjani. I-Naloxone umuthi ophuthumayo onikezwa uma kwenzeka uphuze i-opioid ngokweqile. Uphuze kakhulu kungenzeka uma uphuze i-opioid eningi kakhulu. Noma kungenzeka uma uphuze i-opioid neminye imithi noma izinto, njengotshwala. Kubalulekile ukwazi izimpawu zophuze kakhulu. Isibonelo, ukuphefumula kanzima, ukukhathala okungavamile noma ukulala, noma ukungakwazi ukuphendula noma ukuvuka. Tshela umndeni wakho, abanakekeli, kanye nabathandekayo bakho ukuthi i-naloxone ikuphi. Qiniseka ukuthi bayazi ukuthi bayisebenzisa kanjani. Ngemva kokunikeza i-naloxone, kufanele nakanjani ushayele izinsizakalo eziphuthumayo. I-Naloxone iyindlela yokwelapha yesikhashana, futhi ingadinga imithamo ephindaphindwayo.

• Ungase uzizwe ulele noma unesizungu . Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqaphelisisa kwengqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunciphisa ingozi yokuba nesizungu nokuwa. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Ngakho gwema ukuphuza utshwala.

• Lo muthi ungabangela ukuqunjelwa . Uma ungenawo umgudu wokugaya ukudla ngemva kwezinsuku ezintathu, shayela ithimba lakho lezempilo.

• Umlomo wakho womile.Yebo. Ukuhlafuna itshungama engenashukela, ukumunca ucezu lwejinja, nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka noma iba nzima, xhumana nethimba lakho lezokwelapha.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Ungase ube nemiphumela emibi evela kulo muthi we-Fentanyl. Uma uhlangabezana nanoma yimiphi yale miphumela emibi, kufanele wazise ithimba lakho lezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo
• Ukucindezeleka Kwesistimu Yezinzwa Ephakathi (ukucindezeleka kwe-CNS) — ukuphefumula kancane noma ngokungajulile, ukuphefumula okufushane, ukuzizwa ubuthakathaka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme
• Ukusebenza okuphansi kwe-adrenal gland - isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, isiyezi
• Umfutho wegazi ophansi — isiyezi, ukuzizwa ubuthakathaka noma ukhathazekile, umbono ofiphele
• Ukuqina kwemisipha

Kukhona nemiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha, kodwa uma iqhubeka noma iba yinkinga, kufanele uyibike eqenjini lakho lezokwelapha:

• Isiyezi
• Ukozela
• Isicanucanu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi. Ungabika imiphumela emibi ku-Food and Drug Administration (FDA) ku-1-800-FDA-1088 e-United States. ESri Lanka, ungazibika kuziphathimandla zezempilo ezifanele ngodokotela wakho.

Ngingawugcina kanjani umuthi?

Lo muthi we-Fentanyl unikezwa esibhedlela noma emtholampilo, ngakho-ke akuyona imithi okufanele uyigcine ekhaya.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule

Kulungile, manje usuyaqonda ukuthi i-Fentanyl iyisiqeda -zinhlungu esinamandla kakhulu . Isetshenziselwa ubuhlungu obukhulu kuphela, ngaphansi kokuqashwa ngudokotela.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokubazisa nganoma yiziphi izimo zempilo onazo kanye neminye imithi oyiphuzayo.

Lo muthi ungabangela ukozela kanye nesiyezi, ngakho-ke qaphela. Futhi, khumbula ukuthi akuwona umqondo omuhle ukuyeka ukuwuthatha ngokuzumayo.

Uma unemibuzo noma ukukhathazeka, ungesabi ukubuza udokotela wakho, umhlengikazi, noma usokhemisi. Bakhona ukuzokusiza. Impilo yakho iyona ebalulekile!

i- fentanyl, umuthi wokuqeda izinhlungu, i-opioid, umjovo, imiphumela emibi, imithi, impilo, ubuhlungu, iseluleko sezokwelapha