Ingabe udokotela wakho ukunike amaphilisi e-methadone ngoba unesihlungu esinzima, sesikhathi eside noma ngoba awukwazi ukubekezelela ezinye izidakamizwa zobuhlungu? Noma ingabe usebenzisa lo muthi ukukusiza unqobe umlutha wakho we-opioid? Kungakhathaliseki ukuthi yisiphi isizathu, lo muthi unamandla kakhulu, ngakho-ke kubalulekile ukuwuqaphela futhi uwusebenzise ngokuphephile. Ngakho-ke ake sixoxe ngawo kalula nangendlela enesizotha namuhla.
Iyini ngempela iMethadone?
Kalula nje, i-methadone umuthi osetshenziselwa izinto ezimbili eziyinhloko.
1. Lawula ubuhlungu obukhulu nobungapheli: Odokotela banikeza lokhu ubuhlungu obukhulu nobuhlala isikhathi eside obungenakulawulwa ngamaphilisi obuhlungu avamile. Kusebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
2. Njengokwelashwa kokulutheka kwe-opioid: Lo muthi usiza ekunciphiseni izimpawu zokuhoxa ngokomzimba kanye nezifiso zezidakamizwa lapho umuntu elutheka kuma-opioid, njenge-heroin. Kodwa-ke, lokhu kwelashwa kusebenza kakhulu uma kuhlanganiswa nokwelulekwa kanye nokwelashwa kokuziphatha .
I-Methadone umuthi ongowesigaba semithi ebizwa ngokuthi ama-opioid.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ukuze uphephe, kubaluleke kakhulu ukutshela udokotela wakho uma unezinye zezimo ezilandelayo ngaphambi kokuqala i-methadone. Lokhu kubaluleke kakhulu.
| Uhlobo lwezimo | Okudingayo ukukwazisa |
|---|---|
| Izinkinga ezihlobene nobuchopho | Izimo ezinjengokulimala ekhanda, isimila sobuchopho, noma ukuxhuzula. |
| Isifo senhliziyo | Noma yiluphi uhlobo lwesifo senhliziyo noma ukukhubazeka kwenhliziyo. |
| Izinkinga zesistimu yokuphefumula | Isifuba somoya, isifo samaphaphu, noma ubunzima bokuphefumula. |
| Ezinye izinkinga zempilo | Isifo sesibindi, isifo sezinso, isifo se-thyroid, ukusebenza okuphansi kwezindlala ze-adrenal, umfutho wegazi ophansi, izinkinga zamathumbu. |
| Indlela yokuphila kanye neminye imithi | Tshela udokotela wakho uma uphuza utshwala njalo, umlutha wezinye izidakamizwa noma imithi, unesifo sengqondo, noma uke wathatha umuthi wokucindezeleka we-MAOI (isib. i-Parnate) emasontweni amabili edlule. |
| Ukungezwani komzimba | Uma une-allergy ku-methadone, eminye imithi yokwelapha ubuhlungu be-opioid, eminye imithi, ukudla, noma izithasiselo. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. |
Umuthi kufanele usetshenziswe ngendlela efanele.
Thatha lo muthi nengilazi yamanzi. Uma uzwa ubuhlungu besisu, thatha kanye nokudla noma ingilazi yobisi. Into ebaluleke kakhulu ukuthatha umthamo njengoba nje udokotela wakho ekuyalile. Ungalokothi uthathe okungaphezu kwenani eliyalelwe.
Ukweqisa umthamo: Uma ucabanga ukuthi uthathe lo muthi omningi kakhulu ngephutha, ungalibali bese ushayela iNational Poisons Information Centre eColombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lokhu kungaba yindlela yokusindisa impilo.
Uzothola incwajana yolwazi ekhethekile (`MedGuide`) mayelana nomuthi wakho uma uwunikwa. Lifunde ngokucophelela njalo.
Lo muthi unikezwe wena wedwa. Ungawuniki omunye umuntu nganoma yisiphi isizathu. Uyingozi kakhulu futhi awusemthethweni.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ukusebenzisana nezinye izidakamizwa
I-Methadone ingasebenzisana neminye imithi eminingi. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo). Futhi, qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Ikakhulukazi, kufanele ugweme ukuthatha i-methadone kanye nemithi elandelayo:
- Eminye imithi yokwelapha izifo zesikhunta (isb., i-ketoconazole)
- Eminye imithi esetshenziswa ukwelapha izinkinga zesigqi senhliziyo (isib. i-quinidine, i-dronedarone)
- Imithi efana ne-'Cisapride', 'Pimozide', 'Thioridazine'
Ngaphezu kwalolu hlu, i-methadone ingasebenzisana neminye imithi eminingi (isib., imithi yokucindezeleka, amaphilisi okulala, imithi ye-HIV/AIDS, kanye neminye imithi elwa namagciwane). Ngakho-ke, kubalulekile ukunikeza udokotela wakho incazelo ephelele.
Izinto okufanele uzicabangele lapho usebenzisa i-Methadone
Ungayeki ukuthatha umuthi ngokuzumayo!
Umzimba wakho uyawujwayela lo muthi. Ngakho-ke, uma uyeka ukuwuthatha ngokuzumayo, ungase ube nokusabela okubi kakhulu. Uma udinga ukuyeka ukuthatha umuthi, yenza lokho kuphela ngaphansi kweseluleko sikadokotela, futhi ngokunciphisa kancane kancane umthamo .
Ukozela nokushayela
Lomuthi ungakwenza uzizwe ulele, unesizungu, futhi uthinte ikhono lakho lokwenza izinqumo. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Le ngozi iyanda uma uphuza lomuthi notshwala.
Qaphela i-Naloxone
I-Naloxone iyindlela yokwelapha ephuthumayo enikezwa ukuguqula imiphumela yokudlula ngokweqile kwe-opioid. Izimpawu zokudlula ngokweqile zifaka phakathi ukuphefumula okuhamba kancane noma okungajulile, ukozela okukhulu, kanye nokungakwazi ukuvuka. Ukutshela umndeni wakho nabathandekayo ngalezi zimpawu, kanye nokuthi ikuphi i-Naloxone nokuthi isetshenziswa kanjani, kungasindisa impilo. Ngemva kokunikeza i-Naloxone, kufanele ushayele i-ambulensi ngokushesha.
Amanye amaphuzu abalulekile
- Ukuqunjelwa: Ukuqunjelwa kuvame kakhulu kulo muthi. Uma ungenawo umgudu wokukhipha isisu izinsuku ezintathu, khuluma nodokotela wakho.
- Umlomo owomile:Uma umlomo wakho womile, ukuhlafuna itshungama engenashukela, ukumunca amaswidi angafakwanga ushukela, nokuphuza amanzi amaningi kungasiza.
- Ukukhulelwa: Khuluma nodokotela wakho uma uhlela ukukhulelwa noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe. Ukuthatha lo muthi ngesikhathi sokukhulelwa kungabangela ukukhubazeka okukhulu kokuzalwa kwengane yakho.
Imiphumela emibi yomuthi
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, isiyezi esinzima, ukuzizwa uphelelwe amandla, ubunzima bokuhlala uphapheme. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, uzizwa ubuthakathaka, umbono ofiphele. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | Umlomo owomile |
| Isiyezi | Ikhanda elibuhlungu |
| Ukozela | Isicanucanu noma ukuhlanza |
Ungayigcina kanjani imithi iphephile?
Lona umuthi onamandla kakhulu , ngakho-ke gcina endaweni ephephile kude nezingane nezilwane ezifuywayo . Njengoba lo muthi unamandla okusetshenziswa kabi, gcina endaweni engavikeleka ekwebiweni.
Kubalulekile ukulahla imithi engasetshenziswanga noma ephelelwe yisikhathi ngendlela efanele. Yinikeze endaweni yokulahla imithi esemthethweni. Uma lokhu kungenzeki, yihlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha i-methadone njengoba nje udokotela wakho ekuyalele. Ungalokothi uthathe okungaphezu komthamo onconywayo.
- Ungabelani ngalo muthi nanoma ubani omunye nganoma yisiphi isizathu. Uyingozi kakhulu futhi awuvunyelwe ngokomthetho.
- Nikeza udokotela wakho uhlu oluphelele lwazo zonke ezinye izidakamizwa, amavithamini, kanye nezithasiselo ozithathayo.
- Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Qaphela izimpawu zokudlula ngokweqile futhi wazise umndeni wakho nge-Naloxone ukuze uyisebenzise uma kudingeka.
- Uma uphuza umuthi omningi kakhulu ngephutha, shesha uye e-National Poisons Information Centre noma eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU).
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