Fentanyl Sublingual Spray

Zamkati

• Musanatenge fentanyl,
• Fentanyl ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Fentanyl sublingual spray akhoza kukhala chizolowezi, makamaka pogwiritsa ntchito nthawi yayitali. Gwiritsani ntchito fentanyl sublingual spray kutsata monga mwalamulidwa. Musagwiritse ntchito fentanyl wokulirapo, gwiritsani ntchito mankhwalawa pafupipafupi, kapena muwagwiritse ntchito kwa nthawi yayitali kuposa momwe adalangizira dokotala. Mukamagwiritsa ntchito fentanyl tinthu tating'onoting'ono tomwe timakambirana, kambiranani ndi omwe amakuthandizani pazithandizo zanu zopweteka, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukudwala kapena matenda ena amisala. Pali chiopsezo chachikulu choti mutha kugwiritsa ntchito fentanyl timapepala tating'onoting'ono ngati mwakhalapo kapena mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Fentanyl sublingual spray ingayambitse kupuma kapena kufa, makamaka ngati imagwiritsidwa ntchito ndi anthu omwe sanalandire mankhwala ena osokoneza bongo kapena omwe sangalekerere (zomwe zimachitika chifukwa cha mankhwalawo) ndi mankhwala osokoneza bongo. Fentanyl sublingual spray ayenera kulamula ndi madotolo omwe amadziwa kuthana ndi ululu wa odwala khansa. Iyenera kugwiritsidwa ntchito kokha kuchiza kupwetekedwa kwa khansa (zopweteka mwadzidzidzi zomwe zimachitika ngakhale atalandira chithandizo cham'maso ndi mankhwala opweteka) mwa odwala khansa osachepera zaka 18 omwe amatenga mankhwala amtundu wina wamankhwala ena opatsirana (opiate) mankhwala, ndi omwe ali ololera (ogwiritsidwa ntchito ndi zotsatira za mankhwalawo) ndi mankhwala opweteka a narcotic. Mankhwalawa sayenera kugwiritsidwa ntchito pochiza ululu kupatula kupweteka kwa khansa, makamaka kupweteka kwakanthawi kochepa monga migraines kapena kupweteka kwa mutu, kupweteka kwa kuvulala, kapena kupweteka pambuyo potsatira njira zamankhwala kapena mano.

Fentanyl sublingual spray akhoza kuvulaza kapena kufa ngati agwiritsidwa ntchito mwangozi ndi mwana kapena wamkulu yemwe sanapatsidwe mankhwalawo. Ngakhale zidebe zamafuta za fentanyl zolembedwerako pang'ono zimatha kukhala ndi mankhwala okwanira kuvulaza kapena kupha ana kapena akulu ena. Sungani utsi wa fentanyl wa zilankhulo zochepa patali ndi ana. Funsani dokotala wanu momwe mungapezere zida kuchokera kwa wopanga zomwe zili ndi maloko otetezera ana ndi zina zoteteza ana kuti asamwe mankhwala. Kutaya mankhwala osagwiritsidwa ntchito a fentanyl molingana ndi malangizo a wopanga. Ngati fentanyl sublingual spray imagwiritsidwa ntchito ndi mwana kapena wamkulu yemwe sanapatsidwe mankhwalawo, pitani kuchipatala mwadzidzidzi.

Fentanyl sublingual spray ayenera kugwiritsidwa ntchito limodzi ndi mankhwala ena opweteka. Osasiya kumwa mankhwala ena opweteka mukamayamba mankhwala anu ndi fentanyl timalingaliro tating'ono. Mukasiya kumwa mankhwala ena opweteka muyenera kusiya kugwiritsa ntchito fentanyl sublingual spray.

Kumwa mankhwala ena ndi fentanyl timalingaliro tating'onoting'ono tating'onoting'ono kumatha kuonjezera chiopsezo kuti mungakhale ndi mavuto opumira kapena owopsa. Uzani dokotala wanu ngati mukumwa mankhwala aliwonse awa: maantibayotiki ena monga clarithromycin (Biaxin, mu PrevPac), erythromycin (Erythocin, Eryc, Erythrocin, ena), telithromycin (Ketek), ndi troleandomycin (TAO) (osapezeka mu United States); ma antifungal ena monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox) ndi ketoconazole; Aprepitant (Emend); benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazol diltiazem (Cardizem, Taztia, Tiazac, ena); mankhwala ena a kachilombo ka HIV (monga kachilombo ka HIV) monga amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); mankhwala a matenda amisala ndi nseru; zotsegula minofu; nefazodone; mankhwala ogonetsa; mapiritsi ogona; zotetezera; kapena verapamil (Calan, Covera, Verelan, ku Tarka). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mumagwiritsa ntchito fentanyl ndi iliyonse mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa mankhwala ndi fentanyl kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa izi. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe muli ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Fentanyl amabwera monga mitundu ingapo yazogulitsa. Mankhwalawa amatengera mosiyanasiyana thupi, motero chinthu chimodzi sichingalowe m'malo mwa chinthu china chilichonse cha fentanyl. Ngati mukusintha kuchokera kuzinthu zina kupita kwina, dokotala wanu adzakupatsani mlingo woyenera kwa inu.

Pulogalamu yakhazikitsidwa yochepetsa chiopsezo chogwiritsa ntchito mankhwalawa. Dokotala wanu adzafunika kulembetsa nawo pulogalamuyi kuti alembetse fentanyl ndipo muyenera kudzaza mankhwala anu ku pharmacy yomwe yalembetsedwa pulogalamuyi. Monga gawo la pulogalamuyi, dokotala wanu amalankhula nanu za kuopsa ndi maubwino ogwiritsa ntchito fentanyl komanso momwe mungagwiritsire ntchito mosamala, kusunga, ndi kutaya mankhwalawo. Mutatha kukambirana ndi dokotala wanu, mudzasaina chikalata chovomereza kuti mukumvetsetsa kuopsa kogwiritsa ntchito fentanyl ndikuti mutsatira malangizo a dokotala kuti mugwiritse ntchito mankhwala mosamala. Dokotala wanu akupatsirani zambiri za pulogalamuyi komanso momwe mungapezere mankhwala anu ndipo adzayankha mafunso aliwonse omwe mungakhale nawo pulogalamuyi ndi chithandizo chanu ndi fentanyl.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi fentanyl ndipo nthawi iliyonse mukalandira mankhwala ambiri. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/drugs/drugsafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Fentanyl sublingual spray amagwiritsidwa ntchito pochiza kupweteka kwakanthawi (zopweteketsa mwadzidzidzi zomwe zimachitika ngakhale atadwala nthawi ndi mankhwala opweteka) mwa odwala khansa azaka 18 kapena kupitilira apo omwe amamwa mankhwala amtundu wina wamankhwala amankhwalawa (opiate), ndi omwe ali ololera (omwe amagwiritsidwa ntchito ndi zotsatira za mankhwala) ndi mankhwala opweteka a narcotic. Fentanyl ali mgulu la mankhwala otchedwa narcotic (opiate) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Fentanyl amabwera ngati yankho (madzi) opopera sublingually (pansi pa lilime). Amagwiritsidwa ntchito ngati pakufunika kuti muchepetse kupweteka koma osatero kawirikawiri kuposa momwe dokotala angakuuzireni. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Dokotala wanu mwina angakuyambitseni pamlingo wochepa wa fentanyl sublingual spray ndipo pang'onopang'ono muwonjezere mlingo wanu mpaka mutapeza mankhwala omwe angathetsere kupweteka kwanu. Gwiritsani ntchito mlingo umodzi wa fentanyl timagulu ting'onoting'ono tomwe timapweteka. Ngati mukumva kuwawa mutatha kumwa koyamba, gwiritsani ntchito mlingo wachiwiri mphindi 30 mutatha kumwa mankhwala oyamba. Osagwiritsa ntchito magawo opitilira awiri pa nthawi yopweteka. Mukamachita zowawa pogwiritsa ntchito mankhwala amodzi kapena awiri a fentanyl sublingual spray, dikirani osachepera maola 4 mutagwiritsa ntchito fentanyl timagulu ting'onoting'ono musanathetse vuto latsopano. Ngati muli ndi magawo opitilira anayi opweteka a khansa tsiku limodzi, itanani dokotala wanu.

Lankhulani ndi dokotala wanu za momwe mankhwalawa akugwirira ntchito komanso ngati mukukumana ndi zovuta zina kuti dokotala athe kusankha ngati mulingo wanu ungasinthidwe. Tengani fentanyl ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Osasiya kugwiritsa ntchito fentanyl sublingual spray popanda kulankhula ndi dokotala. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono. Mukasiya kugwiritsa ntchito fentanyl tinthu tating'onoting'ono tating'onoting'ono, mutha kukhala ndi zizindikilo zosasangalatsa zakusiya.

Kuti mugwiritse ntchito mankhwala opopera pakamwa, tsatirani malangizo awa ndi omwe amapezeka phukusi la phukusi:

1. Chotsani fentanyl timagulu ting'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono todula pamzere wodukiza ndi lumo.
2. Kumeza malovu aliwonse mkamwa mwako.
3. Gwirani fentanyl timagulu ting'onoting'ono tomwe timagwiritsa ntchito molunjika pogwiritsa ntchito index yanu ndi zala zapakati ndi chala chachikulu.
4. Lowetsani mphuno mkamwa mwanu ndi pansi pa lilime lanu.
5. Finyani zala zanu ndi chala chanu palimodzi kupopera mankhwala pansi pa lilime.
6. Gwiritsani mankhwalawa pansi pa lilime lanu kwa masekondi 30 mpaka 60. Osatulutsira mankhwalawo kapena kutsuka pakamwa panu. Fentanyl sublingual spray ndi chida chogwiritsira ntchito kamodzi ndipo chimakhalabe chokhoma mutagwiritsa ntchito.
7. Ikani fentanyl sublingual spray spray mu ntchito imodzi mwazikwama zomwe mwapereka. Chotsani chithandizocho pazomata ndikudula chopachikacho kuti musindikize chikwamacho.
8. Taya thumba losindikizidwa mu zinyalala pomwe ana sangakwanitse.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge fentanyl,

• auzeni dokotala ndi wazamankhwala ngati simukugwirizana ndi zigamba za fentanyl, jakisoni, mankhwala amphuno, mapiritsi, lozenges, kapena makanema; mankhwala ena aliwonse; kapena chilichonse chophatikizira mu fentanyl sublingual spray. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO LA CHENJEZO ndi mankhwala aliwonse awa: antihistamines; barbiturates monga phenobarbital; buprenorphine (Buprenex, Subutex, mu Suboxone); kachilombo; dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); efavirenz (ku Atripla, Sustiva); lifiyamu (Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); mankhwala ogwidwa monga carbamazepine (Tegretol, Teril), oxcarbazepine (Trileptal), ndi phenytoin (Dilantin, Phenytek); modafinil (Provigil); nalbuphine; naloxone (Evzio, Narcan); nevirapine (Viramune); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); pioglitazone (Actos); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); rifabutin (Mycobutin); 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); trazodone (Oleptro); tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimontramine; kapena troglitazone (Rezulin). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala aliwonse otsatirawa kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi fentanyl, chifukwa chake onetsetsani kuti mumauza dokotala za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri kapena amamwa mankhwala osokoneza bongo kapena kumwa mankhwala osokoneza bongo. Komanso muuzeni dokotala ngati mwakhalapo ndi zilonda, zilonda zam'mimba, kapena kutupa pakamwa panu, kuvulala pamutu, chotupa muubongo, sitiroko, kapena vuto lina lililonse lomwe limayambitsa kuthamanga mkati mwa chigaza chanu; kuchepa kwa mtima kapena mavuto ena amtima; zovuta kukodza; mavuto opuma monga mphumu ndi matenda osokoneza bongo (COPD; gulu la matenda am'mapapo omwe amaphatikizapo bronchitis ndi emphysema); kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito fentanyl, itanani dokotala wanu.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito fentanyl timalingaliro tating'ono tating'ono.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito fentanyl.
• muyenera kudziwa kuti fentanyl imatha kukupangitsani kugona kapena chizungulire. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti fentanyl imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito fentanyl. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti fentanyl sublingual spray ingayambitse kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu ndikugwiritsa ntchito mankhwala ena kuchiza kapena kupewa kudzimbidwa.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Mankhwalawa amagwiritsidwa ntchito ngati pakufunika kutengera malangizo.

Fentanyl ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuyabwa
• Kusinza
• kupweteka kumanja kwa mimba yako
• pakamwa pouma
• mutu
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kuvuta kugona kapena kugona
• nkhawa
• kupweteka kwa msana
• kuyabwa
• chifuwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:

• kusintha kwa kugunda kwa mtima
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana

Ngati mukumane ndi izi, siyani kugwiritsa ntchito fentanyl ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• Kusinza ndi kupuma pang'onopang'ono
• wodekha, kupuma pang'ono
• kuchepa kulakalaka kupuma
• kuvuta kupuma kapena kumeza
• kukomoka

Fentanyl imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Ngati mukukumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration (FDA) ya MedWatch Adverse Event Reporting pa intaneti [http://www.fda.gov/Safety/MedWatch] kapena patelefoni [1-800-332-1088].

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwalawa mu phukusi lotsekedwa, lotsekedwa mwamphamvu, komanso kuti ana asafikire. Sungani fentanyl pamalo abwino kuti pasapezeke wina wogwiritsa ntchito mwangozi kapena mwadala. Gwiritsani ntchito maloko osagwira ana ndi zinthu zina zopangidwa ndi wopanga kuti ana asakhale kutali ndi mankhwalawa. Onetsetsani kuti fentanyl yatsala bwanji kuti mudziwe ngati palibe yomwe ikusowa. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri ndi chinyezi (osati kubafa).

Kutaya fentanyl tizilomboti tating'onoting'ono titagwiritsidwa ntchito kapena sikufunikanso. Ikani kagwiritsidwe kogwiritsira ntchito mu thumba lotayika. Sindikiza chikwama ndikutaya mu chidebe chosafikira ana. Ngati simunagwiritse ntchito utsi mayunitsi, tsegulirani malowa molingana ndi malangizo. Dulani zomwe zili mu chipindacho mu botolo lomwe mwapatsidwa. Bwerezani ndi chidebe chilichonse chomwe sichinagwiritsidwe ntchito. Tsekani chidebe chomutayira ndikugwedeza. Ikani chidebe chomutayira m'thumba lomwe mutha kutaya ndikutaya mu chidebe cha zinyalala. Lankhulani ndi wamankhwala wanu za momwe mungagwiritsire ntchito mankhwala anu.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Mukamagwiritsa ntchito fentanyl tinthu tating'onoting'ono tating'onoting'ono, muyenera kuyankhula ndi dokotala kuti mupeze mankhwala opulumutsa otchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kuthana ndi zoopsa zomwe zimadza chifukwa cha kuchuluka kwa mankhwala osokoneza bongo Imagwira ndikuletsa zovuta za ma opiate kuti zithetse zizindikilo zowopsa zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• wosakwiya, wosaya, kapenanso kusiya kupuma
• kuvuta kupuma
• kugona
• osakhoza kuyankha kapena kudzuka
• chisokonezo
• ana ang'onoang'ono (mabwalo akuda pakati pa maso)

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira kwa fentanyl.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwalembera kuti mukumwa fentanyl.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu, ngakhale ali ndi zizindikiro zomwezo zomwe muli nazo. Kugulitsa kapena kupereka mankhwalawa kumatha kuvulaza kapena kupha ena ndipo ndikosemphana ndi lamulo.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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