Ngezinye izikhathi ubuhlungu esibuzwayo bukhulu kangangokuthi abukwazi ukuncishiswa ngephilisi noma i-capsule ejwayelekile yokubulala izinhlungu. Cabanga ngobuhlungu obuvela ngemva kokuhlinzwa okukhulu noma ingozi enkulu. I-Nalbuphine iwumjovo okhethekile, onamandla wokubulala izinhlungu osetshenziswa ezibhedlela ukulawula ubuhlungu obukhulu kangaka. Namuhla, sizoxoxa ngalokhu.
Iyini le Nalbuphine?
Kalula nje, iNalbuphine iyisidakamizwa esinamandla sokuqeda izinhlungu . Ngokwezokwelapha, ingeyesigaba sama-opioid sama-painkiller. Odokotela bavame ukunikeza lo muthi lapho eminye imithi yokuqeda izinhlungu inganele ukulawula ubuhlungu.
Lokhu kusebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bethu. Lokhu kunciphisa inani lobuhlungu esibuzwayo. Ngaphezu kokunciphisa ubuhlungu, lo mjovo ngezinye izikhathi usetshenziselwa ukwenza isiguli silale futhi sizole ngaphambi kokuhlinzwa noma olunye ukuhlolwa kwezokwelapha.
Into ebalulekile ukuthi, lo muthi awusiwo ongawuthenga ekhemisi bese uwusebenzisa ekhaya. Umjovo weNalbuphine unikezwa esibhedlela noma emtholampilo kuphela, ngudokotela noma umhlengikazi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngaphambi kokuba unqume ukukunikeza lo muthi wokugomela, udokotela wakho kufanele aqaphele umlando wakho wezempilo ophelele. Ngoba ezinye izimo zezokwelapha zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngaphandle kokumfihla.
| Isimo sakho sezokwelapha | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isimila sobuchopho noma ukulimala okukhulu ekhanda | Ngoba lezi zinhlobo zemithi zingashintsha ingcindezi ebuchosheni. |
| Ubunzima bokuphefumula (njenge-asthma) | Ngoba i-nalbuphine inganciphisa ukuphefumula. |
| Umlando wokuluthwa izidakamizwa noma utshwala | Ukulawula ingozi yokuthembela kulo muthi. |
| Isifo sezinso noma sesibindi | Umthamo ungadinga ukulungiswa ngoba kungathatha isikhathi ukuthi umuthi uphume emzimbeni. |
| Isifo senhliziyo | Ngoba kungathinta umfutho wegazi kanye nokushaya kwenhliziyo. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Ngoba umuthi ungadluliselwa kusuka kumama uye enganeni. |
| Ukungezwani komzimba neNalbuphine noma eminye imithi noma ukudla | Ukuvimbela ukusabela okukhulu kokungezwani komzimba. |
Indlela yokusebenzisa umuthi
Lo muthi unikezwa njengomjovo. Unganikezwa ngemithambo yegazi, nge-intramuscular, noma ngaphansi kwesikhumba . Lokhu kuzonqunywa udokotela wakho.
Okubalulekile: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, okungukuthi, uma ususebenzise ngokweqile, kufanele wazise abasebenzi besibhedlela ngokushesha. Noma kufanele ushayele iNational Poison Information Centre eColombo National Hospital . Kubaluleke kakhulu futhi ukuya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Ezinye izinto ezingase zihlangane ne-Nalbuphine
Kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo ngenkathi uthatha i-Nalbuphine, njengoba eminye ingase ihlangane nalo muthi, okungandisa ingozi yemiphumela emibi noma kushintshe indlela umuthi osebenza kahle ngayo.
Kufanele uqaphele kakhulu uma usebenzisa i-Nalbuphine nalezi zinto:
- Utshwala: Ungalokothi uphuze utshwala ngenkathi uthatha lo muthi. Kungabangela ukozela ngokweqile, ubunzima bokuphefumula, futhi kungaba yingozi ngisho nokuphila.
- Eminye imithi ebangela ukozela: Lokhu kufaka phakathi imithi yokungezwani komzimba (isib. i-Piriton), ama-tranquilizer (isib. i-Diazepam), eminye imithi yokucindezeleka, kanye namaphilisi okulala.
- Amanye amaphilisi okudambisa izinhlungu anamandla:Amanye ama-opioid painkiller.
- Imithi yokubulala izinzwa: Imithi enikezwa ukuze kuqalwe ukubulala izinzwa ngaphambi kokuhlinzwa.
- Eminye imithi esetshenziselwa ukuxhuzula: Isibonelo, imithi efana ne-`(Phenobarbital)`.
Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, amavithamini, ngisho nemikhiqizo yamakhambi oyithathayo. Kubaluleke kakhulu ekuphepheni kwakho.
Izinto okufanele uzikhumbule lapho uthatha lo muthi
- Umehluko phakathi kokubekezelelana nokulutha: Uma uthatha lo muthi isikhathi eside, umthamo wangaphambilini ungase unganeli ukuqeda ubuhlungu bakho. Udokotela uzokwandisa umthamo kancane. Lokhu sikubiza ngokuthi ukubekezelelana . Lokhu kuyinto evamile, hhayi ukulutha. Ukulutha yisifiso sokusebenzisa umuthi ukuze ujabule ngaphandle kwesizathu sezokwelapha. Akulona umlutha uma uwuthatha ngoba usezinhlungwini.
- Ukuyeka umuthi: Akuyona into enhle ukuyeka ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Uma udokotela wakho enquma ukuyeka umuthi, uzowunciphisa kancane kancane umthamo.
- Ukozela kanye nesiyezi: Ungase uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini ngemva kokuthatha lo muthi. Ikakhulukazi uma usukhulile, ungavuki endaweni ohleli kuyo noma uvuke embhedeni ngokuzumayo. Yenza lezi zinto kancane kancane.
- Ukuqunjelwa: Lo muthi ungabangela ukuqunjelwa. Uma ungakwazi ukuya endlini yangasese izinsuku ezingu-2-3, tshela udokotela wakho noma umhlengikazi.
- Umlomo owomile: Umlomo owomile nawo uvamile. Ungakunciphisa lokhu ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
Imiphumela emibi engaba khona ye-Nalbuphine
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye yayo iyingozi, eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Izinto okufanele uzitshele udokotela wakho noma umhlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi, ubuso noma umphimbo. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kuhamba kancane noma kungajulile, ukulala ngokweqile, ukulahlekelwa ukwazi, isiyezi esikhulu. |
| Ukwehla komsebenzi we-adrenal | Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ukukhathala okungavamile, isiyezi. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Izinto ezingavamile ukuba bucayi, kodwa okufanele zibikwe uma ziqhubeka | |
| Imiphumela emibi evamile | Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isicanucanu, ukuhlanza. |
Umlayezo Wokuya Nawe Ekhaya
- I-Nalbuphine iwumjovo onamandla wokuqeda izinhlungu onikezwa esibhedlela kuphela ngenxa yobuhlungu obukhulu.
- Ngaphambi kokuthatha lo muthi, kubalulekile ukuthi utshele udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Kuvamile ukuthi kudingeke wandise umthamo ngemva kokuthatha umuthi isikhathi esithile (ukubekezelela), futhi akuyona into ebangela umlutha.
- Uma ubhekene nobunzima bokuphefumula, ukozela okukhulu, noma izimpawu ezinkulu zokungezwani komzimba, yazisa abasebenzi bezokwelapha ngokushesha.
- Khumbula njalo ukuthi lokhu akuyona imithi ongayithatha uye nayo ekhaya uyoyisebenzisa.
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