I-Fentanyl Skin Patch yobuhlungu bakho obukhulu? Ake sithole ukuthi iyini ngempela le!

Ungase ubhekane nobuhlungu obukhulu, besikhathi eside. Ezimweni ezinjalo, amaphilisi obuhlungu avamile angase angasebenzi kahle, noma ungase ungakwazi ukuwasebenzisa. Yilapho odokotela bencoma khona ukusebenzisa i-fentanyl patch. Lesi isiqeda-zinhlungu esinamandla kakhulu.

Uyini lo muthi?

Kalula nje, i-Fentanyl umuthi onikezwa wona ngenxa yobuhlungu obukhulu noma besikhathi eside. Siphinde sibize lokhu ngokuthi ubuhlungu obungapheli. Cabanga ngale patch uma uzizwa sengathi awukwazi ukubekezelela ezinye izidakamizwa zobuhlungu noma uma ungakwazi ukubekezelela ubuhlungu. Isebenza ngokuvimbela izimpawu zobuhlungu eziya ebuchosheni bakho. Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-opioid .

Lona umuthi wokuqeda izinhlungu osebenza isikhathi eside . Lokhu kusho ukuthi umuthi umuncwa kancane kancane emzimbeni futhi ulawula ubuhlungu. Kubalulekile ukukhumbula ukuthi awusetshenziselwa ubuhlungu obukhulu obungazelelwe.

Ngezinye izikhathi lo muthi ungasetshenziswa kwezinye izinto. Uma unemibuzo ngalokhu, kungcono ukubuza udokotela wakho noma usokhemisi. Elinye igama lomkhiqizo elivamile lalo muthi yiDuragesic.

Yini okudingeka uyitshele ithimba lakho lezokwelapha?

Ngaphambi kokuthi uqale ukusebenzisa lo muthi, udinga ukutshela ithimba lakho lezokwelapha (okungukuthi odokotela nabahlengikazi) izinto ezimbalwa. Ngenxa yokuthi lo muthi awufanele wonke umuntu, badinga ukwazi ukuthi unanoma yiziphi zalezi zimo ezilandelayo:

• Ingabe unesimila sobuchopho?
• Ingabe wake wasebenzisa kabi izidakamizwa noma walutheka?
• Uke waba nokulimala ekhanda?
• Unesifo senhliziyo?
• Ingabe uphuza utshwala njalo?
• Unesifo sezinso?
• Unesifo sesibindi?
• Ingabe unesifo samaphaphu, i-asthma, noma izinkinga zokuphefumula?
• Wake waba nesifo sokuwa ngaphambili?
• Unezinkinga zesisu noma zamathumbu?
• Uke wasebenzisa umuthi obizwa ngokuthi i-MAOI (isibonelo, i-Marplan, i-Nardil, noma i-Parnate) ezinsukwini eziyi-14 ezedlule?
• Wake waba nokusabela okungavamile kokungezwani komzimba ne-fentanyl, eminye imithi, ukudla, udayi, noma izithasiselo?
• Ukhulelwe? Noma uzama ukukhulelwa?
• Uyancelisa?

Kubaluleke kakhulu ukusho lezi zinto ngaphandle kokuzifihla, ngoba yileyo ndlela ongaphathwa ngayo ngokuphephile.

Ngingawusebenzisa kanjani lo muthi?

Lomuthi ungowokusetshenziswa kwangaphandle kuphela. Lokho kusho ukuthi awukwazi ukuthathwa ngomlomo noma ukugwinywa nganoma iyiphi enye indlela. Ingabe lokho kulungile?

Nansi indlela yokusebenzisa i-patch:

Okokuqala, khetha indawo ehlanzekile neyomile yesikhumba ngaphezu kwesinqe sakho, isifuba, noma umhlane. Ezinganeni ezincane noma kubantu abadidekile kancane, kungcono ukukhetha indawo lapho bengenakukwazi ukususa khona kalula i-patch. Isibonelo, umhlane ongaphezulu ungcono kakhulu. Ungafaki i-patch esikhumbeni esinamafutha, esicasukile, esishile, esisikiwe, noma esonakele . Sebenzisa amanzi kuphela ukuhlanza isikhumba. Ungasebenzisi insipho noma utshwala ukuhlanza isikhumba. Ukwenza kanjalo kungandisa ukusebenza kahle komuthi. Uma kukhona izinwele endaweni okufanele zisetshenziswe, zisike ngesikele, kodwa ungashefi nge-razor . Ungasisiki noma ulimaze i-patch. Kuyingozi kakhulu ukusebenzisa i-patch esisikiwe noma esonakele , njengoba lokhu kungabangela ukuthi umuthi omningi ungene emzimbeni.

Susa i-patch ephaketheni layo bese ususa i-tape yokuvikela ohlangothini lwe-adhesive. Ungasebenzisi i-patch uma iphakethe noma ingemuva le-patch lonakele. Ungathinti uhlangothi lwe-adhesive ngeminwe yakho. Beka uhlangothi lwe-adhesive esikhumbeni bese ucindezela ngokuqinile cishe imizuzwana engama-30. Bese ugeza izandla zakho ngokushesha ngensipho namanzi .

Kufanele uqaphele kakhulu ezindaweni lapho kunezingane ezincane.

Gcina isiqephu kude nezingane. Ungavumeli izingane zikubone ufaka isiqephu, futhi ungasibeki lapho izingane zingasibona khona. Ungabizi lesi siqephu ngokuthi 'isitikha', 'i-tattoo' noma 'ibhandishi'. Ukwenza kanjalo kungakhuthaza izingane ukuba zikulingise. Ama-patches asetshenzisiwe asaqukethe umuthi . Uma ingane encane noma isilwane sifaka isiqephu esisetshenzisiwe emlonyeni wabo noma sibeka emizimbeni yabo, imiphumela emibi emibi noma ngisho nokufa kungenzeka.

Khumbula lezi zinto uma ushintsha ama-patches:

Ngaphambi kokufaka i-patch entsha, kufanele ususe i-patch endala . Faka i-patch ngayinye entsha endaweni ehlukile, hhayi endaweni efanayo lapho uyisebenzise khona ngaphambili. Uma i-patch iphuma, noma uma ibangela ukubomvu noma ukulunywa, yisuse bese ufaka i-patch entsha endaweni ehlukile. Uma imiphetho ye-patch iqala ukuphuma, faka i-tape yosizo lokuqala emaphethelweni. Uma uqhubeka nokuba nenkinga nge-patch enganamatheli kahle, faka i-glue ecacile yokunamathela (njenge-Bioclusive noma i-Tegaderm) phezu kwe-patch. Ungalokothi umboze i-patch nge-bandage noma i-tape enye.

Ikhemisi lizokunikeza i-'MedGuide' ekhethekile uma uthola imithi yakho nalapho uya khona ukuyoyithatha futhi. Kubaluleke kakhulu ukufunda nokuqonda ulwazi olukuyo ngokucophelela njalo .

Khuluma nethimba lakho lezempilo mayelana nokunikeza lo muthi ezinganeni ezincane. Kwezinye izimo ezikhethekile, unganikezwa izingane ezineminyaka engu-2 ubudala, kodwa kunezinyathelo zokuphepha okufanele zithathwe.

Kwenzekani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha. Lesi yisimo esiphuthumayo, ungalibali.

Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu.

Kuthiwani uma ngiphuthelwa umthamo?

Uma uphuthelwa yi-patch, yifake ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi se-patch yakho elandelayo, yifake kuphela lapho. Ungasebenzisi imithamo ephindwe kabili noma imithamo eyengeziwe.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Kunemithi ethile engabangela izinkinga uma ithathwa kanye nale fentanyl patch. Lokhu kusho ukuthi kungenzeka ukuthi imiphumela emibi inganda noma ukusebenza kahle komuthi kushintshe.

Ungasebenzisi i-Fentanyl kanye nale mithi:

• I-Mifepristone
• I-Safinamide
• I-Samidorphan

Le mithi ingasebenzisana neFentanyl:

• Utshwala
• Izinhlobo zama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane
• I-Atropine
• Amanye ama-antibiotic, isibonelo i-clarithromycin, i-erythromycin, i-linezolid, i-rifampin
• Amanye ama-antiviral e-HIV noma i-hepatitis
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Eminye imithi yezinkinga zesinyi, njenge-oxybutynin ne-tolterodine
• Eminye imithi yokucindezeleka, njenge-amitriptyline, i-fluoxetine, i-sertraline, i-mirtazapine, ne-trazodone
• Eminye imithi yokwelapha izifo zesikhunta, njenge-ketoconazole, i-itraconazole, ne-posaconazole
• Eminye imithi esetshenziselwa ikhanda elibuhlungu, njenge-almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
• Eminye imithi yokwelapha isicanucanu noma ukuhlanza, njenge-dolasetron, i-granisetron, i-ondansetron, i-palonosetron
• Eminye imithi esetshenziswa isifo sikaParkinson, isibonelo i-benztropine, i-trihexyphenidyl
• Eminye imithi yokwelapha ukuxhuzula, njenge-carbamazepine, i-phenobarbital, i-phenytoin, ne-primidone
• Eminye imithi yezinkinga zesisu, isibonelo i-dicyclomine, i-hyoscyamine
• Eminye imithi esetshenziswa ukwelapha isicanucanu sokuhamba, njenge-scopolamine
• Imithi yokwehlisa umchamo (i-diuretics)
• Imithi yokubulala izinzwa evamile, isibonelo i-halothane, i-isoflurane, i-methoxyflurane, i-propofol
• I-Ipratropium
• Imithi ye-MAOI, njengeMarplan, iNardil, neParnate
• Imithi ephumuza imisipha
• I-Methylene eluhlaza okwesibhakabhaka
• Ezinye izidakamizwa zobuhlungu noma ukukhwehlela
• Ama-phenothiazine, isibonelo i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine

Lolu hlu lungase lungaphelele. Tshela ithimba lakho lezempilo ngayo yonke imithi, amakhambi, imithi engekho ngaphansi kukadokotela, noma izithasiselo zokudla ozithathayo. Futhi, batshele uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nalo muthi.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Tshela ithimba lakho lezokwelapha uma ubuhlungu bakho bungapheli, uma buba bubi kakhulu, noma uma unezinhlobo ezintsha noma ezahlukene zobuhlungu.

Ukubekezelelana

Ungase ube nomuzwa wokubekezelela lo muthi. 'Ukubekezelela' kusho ukuthi udinga umthamo omkhulu womuthi kunalowo owawuwuthatha ngaphambili ukuze uthole ukukhululeka kobuhlungu okufanayo. Lokhu kuyinto evamile futhi kulindeleke uma usebenzisa lo muthi isikhathi eside.

Ungayeki ukuthatha umuthi ngokuzumayo.

Ungayeki ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Lokhu kungenxa yokuthi umzimba wakho usujwayele umuthi. Lokhu akusho ukuthi uyisigqila salo muthi. 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 lo muthi, bazonciphisa kancane kancane umthamo ukuze bavimbele imiphumela emibi.

Qaphela eminye imithi ekwenza ulale.

Uma uthatha eminye imithi ekwenza ulale, njengeminye imithi yokunciphisa izinhlungu, ama-benzodiazepine, noma eminye imithi ebangela ubuthongo, ungase ube nemiphumela emibi eminingi. Nikeza ithimba lakho lezempilo uhlu lwazo zonke imithi oyithathayo. Bazokutshela ukuthi kufanele uthathe malini. Ungaphuzi ngaphezu komthamo onconywayo. Uma unenkinga yokuphefumula, uzizwa ukhathele ngendlela engajwayelekile, noma ulele,Shayela izinsizakalo eziphuthumayo ngokushesha.

Qaphela i-Naloxone

Khuluma nethimba lakho lezempilo mayelana ne-naloxone nokuthi ungayithola kanjani. I-Naloxone umuthi ophuthumayo onikezwa uma umuthi we-opioid uphuze kakhulu. Ukweqisa kungenzeka uma uphuza umuthi we-opioid omningi noma uma uwuphuza neminye imithi, njengotshwala. Kubalulekile ukwazi izimpawu zokweqisa kakhulu umuthi. Isibonelo: ubunzima bokuphefumula, ukukhathala okungavamile noma ukulala, noma ukungakwazi ukuphendula noma ukuvuka. Yazisa abanakekeli bakho nalabo abaseduze nawe ukuthi lo muthi ugcinwa kuphi. Kufanele futhi bazi ukuthi bawusebenzisa kanjani. Ngemva kokunikeza i-naloxone, kufanele nakanjani ushayele izinsizakalo eziphuthumayo. I-Naloxone iyindlela yokwelapha yesikhashana. Kungadingeka imithamo ephindaphindwayo.

Ukozela kanye nesiyezi

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 nesiyezi nokuwa. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Gwema ukuphuza utshwala.

Ukuqunjelwa

Lo muthi ungabangela ukuqunjelwa. Uma ungenaso isisu izinsuku ezintathu, shayela ithimba lakho lezempilo.

Umlomo owomile

Umlomo wakho ungase wome. Ukuhlafuna itshungama engenashukela, ukumunca uswidi oqinile, nokuphuza amanzi amaningi kungasiza. Uma le nkinga iqhubeka noma iba yimbi kakhulu, xhumana nethimba lakho lezokwelapha.

I-patch iyazwela ezinguqukweni zokushisa komzimba.

Le patch ibucayi kakhulu ezinguqukweni zokushisa komzimba wakho. Uma isikhumba sakho sishisa kakhulu, kungaphuma imithi eminingi kakhulu kule patch, okubangela ukudlula ngokweqile okubulalayo. Shayela ithimba lakho lezokwelapha uma uba nomkhuhlane. Ungagezi ngamanzi ashisayo. Ungahlali elangeni. Ungasebenzisi ama-hot tub, ama-sauna, ama-hairdryer, ama-heating pad, ama-electric blankets, ama-waterbed afudumele, noma izibani zokushisa. Ungazivivinyi ngendlela ekhulisa izinga lokushisa lomzimba wakho.

Ukuhlinzwa noma ezinye izivivinyo zezokwelapha

Uma uhlinzwa, uhlolwa nge-MRI, uhlolwa nge-CT, noma olunye uhlobo lokuhlolwa kwezokwelapha, tshela ithimba lakho lezokwelapha ukuthi usebenzisa lo muthi. Kungase kudingeke ukuthi ukhiphe i-patch ngaphambi kokuhlolwa.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.

Tshela ithimba lakho lezokwelapha ngokushesha okukhulu uma uhlangabezana nale miphumela emibi:

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) — ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme.
• Ukusebenza okuphansi kwezindlala ze-adrenal - isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile, isiyezi.
• Umfutho wegazi ophansi — isiyezi, ukuquleka noma ukuba nekhanda elibuthakathaka, ukubona okufiphele.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe eqenjini lezokwelapha uma iqhubeka noma ikhathaza):

• Ukuqunjelwa
• Isiyezi
• Ukozela
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi. ESri Lanka, kubaluleke kakhulu ukwazisa udokotela wakho. Kwamanye amazwe, ungabika nemiphumela emibi ezinhlanganweni ezifana ne-FDA (isibonelo, ku-1-800-FDA-1088).

Kufanele uyigcine kuphi imithi yakho?

Gcina kude nezingane nezilwane ezifuywayo. Lo muthi ungasetshenziswa kabi. Ngakho-ke uwugcine endaweni ephephile ukuze uwuvikele ekwebiweni. Ungabelani ngalokhu nanoma ubani omunye. Lokhu kungokwakho kuphela. Ukuthengisa noma ukunikeza abanye lo muthi kuyingozi futhi kuphambene nomthetho.

Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-20 no-25 (ama-degree Fahrenheit angu-68 no-77). Gcina lo muthi ephaketheni lawo lokuqala uze usukulungele ukuwusebenzisa. Lahla noma yimuphi umuthi ongasetshenziswanga ngemva kosuku lokuphelelwa yisikhathi.

Lo muthi ungaba yingozi noma ubulale uma uthathwa abanye abantu abadala, izingane, noma izilwane ezifuywayo. Kubaluleke kakhulu ukulahla umuthi uma ungasawudingi noma uma usuphelelwe yisikhathi. Ungakwenza lokhu ngezindlela ezimbili:

• Thatha lo muthi uye ohlelweni lokubuyisela umuthi. Ungawuthola ekhemisi lakho noma ngokusebenzisa abomthetho.
• Uma ungakwazi ukubuyisela umuthi, ngezinye izikhathi ungase welulekwe ukuthi ukhiphe imithi enamandla kangaka endlini yangasese . Kodwa-ke, kungcono ukubuza udokotela wakho noma usokhemisi ukuze uqiniseke.

Qaphela: Lokhu kuyisifinyezo nje. Kungase kungabi nalo lonke ulwazi. Uma unemibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke sesikhulume kakhulu nge-Fentanyl skin patch. Njengoba lokhu kuyisidakamizwa esinamandla kakhulu sokuqeda izinhlungu, kubalulekile ukulandela imiyalelo kadokotela wakho ngqo.

• Namathisela kahle, uyidlulisele ngesikhathi esifanele.
• Qiniseka ukuthi uyigcina iphephile futhi ikude nezingane nezilwane ezifuywayo. Ngisho neziqeshana ezisetshenzisiwe ziyingozi.
• Uma usebenzisa eminye imithi, ungakhohlwa ukutshela udokotela wakho ngayo.
• Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ikakhulukazi ubunzima bokuphefumula noma ukozela ngokweqile, funa iseluleko sezokwelapha ngokushesha.
• Ungayeki ukuthatha umuthi ngokuzumayo. Nciphisa umthamo njengoba udokotela wakho ekutshelile.
• Qaphela ukushisa. Ungavumeli indawo lapho kufakwa khona ishise.

Uma unakekela lezi zinto, uzokwazi ukusebenzisa lo muthi ngokuphephile futhi ulawule ubuhlungu bakho. Ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bakhona ukukusiza.

I- Fentanyl, i-patch, umuthi wokuqeda izinhlungu, i-opioid, imiphumela emibi, imithi, i-patch yesikhumba