Buprenorphine Transdermal Patch

Zamkati

• Kuti mugwiritse ntchito chigamba, tsatirani izi:
• Musanagwiritse ntchito buprenorphine patch,
• Zigawo za Buprenorphine zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Ziphuphu za Buprenorphine zimatha kukhala chizolowezi, makamaka zikagwiritsidwa ntchito kwa nthawi yayitali. Gwiritsani ntchito zigamba za buprenorphine monga momwe zanenera. Musagwiritse ntchito zigamba zambiri, onetsetsani zigamba pafupipafupi, kapena gwiritsani ntchito zosiyanazo mosiyana ndi zomwe dokotala akukuuzani. Mukamagwiritsa ntchito zigamba za buprenorphine, 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 chiwopsezo chachikulu choti mugwiritse ntchito buprenorphine 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.

Ziphuphu za Buprenorphine zimatha kubweretsa mavuto owopsa kupuma, makamaka mkati mwa maola 24 mpaka 72 oyamba a chithandizo chanu komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Uzani dokotala wanu ngati mwakhalapo ndi vuto la kupuma, mphumu, matenda otsekemera am'mapapo (COPD; gulu la matenda omwe amakhudza m'mapapo ndi mlengalenga), kapena matenda ena am'mapapo. Dokotala wanu angakuuzeni kuti musagwiritse ntchito zigamba za buprenorphine.

Kumwa mankhwala ena okhala ndi zigamba za buprenorphine kumawonjezera chiopsezo cha mavuto opumira kapena owopsa, kupuma, kapena kukomoka. Uzani dokotala wanu komanso wamankhwala ngati mukumwa atazanavir (Reyataz); benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), triazolion, triazol mankhwala a matenda amisala ndi nseru; mankhwala ena opweteka; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mugwiritsa ntchito buprenorphine transdermal ndi iliyonse yamankhwalawa ndipo mukukhala ndi zizindikilo zotsatirazi, itanani dokotala wanu nthawi yomweyo kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kovuta, 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 kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala a buprenorphine transdermal kumawonjezeranso chiopsezo choti 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.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Kuwonetsedwa mwangozi, makamaka kwa ana, kumatha kubweretsa zoopsa kapena kufa. Sungani zigamba za buprenorphine pamalo otetezeka kuti wina asazigwiritse ntchito mwangozi kapena mwadala. Samalani kwambiri kuti zigamba za buprenorphine zisapezeke kwa ana. Onetsetsani kuti ndi zingati zomwe zatsala kuti mudziwe ngati pali zina zomwe zikusowa.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati.Ngati mumagwiritsa ntchito zigamba za buprenorphine pafupipafupi mukakhala ndi pakati, mwana wanu amatha kukhala ndi ziwopsezo zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi zigamba za buprenorphine ndipo nthawi iliyonse mukadzaza mankhwala anu. 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.

Ziphuphu za Buprenorphine zimagwiritsidwa ntchito kuti zithetse ululu waukulu kwa anthu omwe akuyembekezeredwa kuti azifuna mankhwala opweteka usiku ndi nthawi yayitali komanso omwe sangalandire mankhwala ena. Ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Transdermal buprenorphine imabwera ngati chigamba chogwiritsa ntchito pakhungu. Chigamba chimagwiritsidwa ntchito pakhungu kamodzi masiku asanu ndi awiri. Sinthani chigamba chanu nthawi yofananira tsiku lililonse mukasintha. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Ikani zigamba za buprenorphine ndendende momwe mwalangizira.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa buprenorphine chigamba ndikuwonjezerani pang'onopang'ono mlingo wanu, osati kangapo kamodzi masiku atatu. Ngati kuwonjezeka kumeneku kukuphatikizapo kugwiritsa ntchito zigamba ziwiri, chotsani chigamba chanu chamakono ndipo nthawi yomweyo, ikani zigamba ziwirizo pafupi wina ndi mnzake patsamba latsopano. Ngati dokotala akukuuzani kuti mugwiritse ntchito zigamba ziwiri, muyenera kusintha nthawi zonse ndikuzigwiritsa ntchito nthawi yomweyo. Dokotala wanu akhoza kuchepetsa mlingo wanu ngati mukukumana ndi zovuta. Lumikizanani ndi dokotala wanu ngati mulingo womwe mukumwawo sukuteteza ululu wanu. Lankhulani ndi dokotala wanu za momwe mukumvera mukamachiritsidwa ndi zigamba za buprenorphine.

Zigulu za khungu za Buprenorphine zimangogwiritsidwa ntchito pakhungu. Osayika zigamba pakamwa panu kapena kutafuna kapena kumeza zigamba.

Osasiya kugwiritsa ntchito zigamba za buprenorphine osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Mukasiya mwadzidzidzi kugwiritsa ntchito zigamba za buprenorphine mutha kukhala ndi zizindikilo zakusiya. Itanani dokotala wanu ngati mukukumana ndi chimodzi mwazizindikiro zakusiyiraku: kusakhazikika, maso akuthothoka, mphuno yothamanga, kuyasamula, kutuluka thukuta, kuzizira, tsitsi litaima, kupweteka kwa minofu, ana akulu (magulu akuda pakatikati pa maso), kukwiya, kutsegula m'mimba, nseru, kusanza, nkhawa, kupweteka m'malo olumikizana mafupa, kufooka, kugunda kwamtima, kapena kupuma mwachangu.

Musagwiritse ntchito buprenorphine chigamba chomwe chimadulidwa, kuwonongeka, kapena kusinthidwa mwanjira iliyonse. Ngati mugwiritsa ntchito zigamba zodulidwa kapena zowonongeka, mutha kulandira mankhwala ambiri kapena onse nthawi imodzi, m'malo modekha masiku opitilira 7. Izi zitha kubweretsa mavuto akulu, kuphatikiza kuchuluka kwa bongo komanso kufa.

Ngati chigamba chanu cha buprenorphine chitha kutentha kwambiri, chimatha kutulutsa mankhwala ochulukirapo m'thupi lanu nthawi imodzi. Izi zimatha kuyambitsa matenda oopsa kapena owopsa. Musatenge nthawi yayitali, malo osamba otentha kapena kutentha dzuwa pamene mwavala chigamba.

Mutha kusamba kapena kusamba mutavala chigamba cha buprenorphine. Ngati chigamba chiwonongeka panthawiyi, chitayeni bwino. Ndiye youma khungu lanu kwathunthu ndi ntchito chigamba latsopano. Siyani chigamba chatsopano m'malo mwa masiku 7 mutachigwiritsa ntchito.

Mutha kuyika chigamba cha buprenorphine m'manja anu akunja, pachifuwa chapamwamba, kumbuyo kumbuyo, kapena mbali ya chifuwa chanu. Sankhani malo akhungu lathyathyathya komanso lopanda ubweya. Osayika chigamba kumadera amthupi omwe amakwiya, kuthyoka, kudula, kuwonongeka, kapena kusintha mwanjira iliyonse. Ngati pali tsitsi pakhungu, gwiritsani ntchito lumo kuti muzimeta tsitsilo pafupi ndi khungu momwe mungathere. Osameta m'deralo. Dikirani osachepera masabata atatu musanagwiritse ntchito chigamba chatsopano patsamba lomwelo.

Kuti mugwiritse ntchito chigamba, tsatirani izi:

1. Sambani malo omwe mukufuna kupaka chigambacho ndi madzi omveka ndikuphimba kwathunthu. Musagwiritse ntchito sopo, mafuta odzola, kapena mafuta.
2. Gwiritsani ntchito lumo kuti mutsegule thumba lomwe muli chikho cha buprenorphine pamzere wotsatira. Chotsani chigamba m'thumba ndikuchotsani chovala choteteza kumbuyo kwake. Yesetsani kuti musakhudze mbali yomata ya chigamba.
3. Nthawi yomweyo kanikizani mbali yomata ya chigamba kudera losankhidwa ndi chikhato cha dzanja lanu.
4. Sakanizani chigamba mwamphamvu kwa masekondi 15. Onetsetsani kuti chidutswacho chimamatira pakhungu lanu, makamaka kuzungulira m'mbali. Osapaka chigamba.
5. Ngati chigamba sichikumamatira bwino kapena chimatuluka pambuyo poti chagwiritsidwa, tambitsani m'mbali mwa khungu lanu ndi tepi yothandizira yoyamba. Ngati chigambacho sichikumamatira bwino, mutha kuchiphimba ndi mavalidwe a Bioclusive kapena Tegaderm. Osaphimba chigamba ndi mitundu ina yamabandeji kapena tepi. Lankhulani ndi dokotala wanu kapena wamankhwala ngati chigamba chanu chikupitilizabe kukhala ndi mavuto okutsalira pakhungu lanu.
6. Ngati chigamba chikugwa nthawi yake yochotsa isanakwane, tulutsani bwino ndipo chotsani chigamba china pakhungu lina. Siyani chigamba chatsopano m'malo mwa masiku 7.
7. Mukamaliza kupaka chigamba, sambani m'manja ndi madzi oyera nthawi yomweyo.
8. Lembani tsiku ndi nthawi yomwe chigambacho chagwiritsidwa.
9. Nthawi yakwana yoti musinthe chigamba chanu, pezani chigamba chakale ndikuthira chigamba chatsopano pakhungu lina.
10. Mukachotsa chigamba chanu, gwiritsani ntchito Chigawo Chotayira Patch chomwe wakupatsani ndi wopanga kuti ataye bwino chigamba chomwe chidagwiritsidwa ntchito mu zinyalala. Tsekani Chigawo Chotayira Patch pindani mbali zomata palimodzi, kenako dinani mwamphamvu ndikuyendetsa bwino gawo lonse kuti chigamba chisindikizidwe mkati. Osayika zigamba zogwiritsidwa ntchito pazinyalala musanazisindikize mu Patch Disposal Unit. Kapenanso, mutha kupindaphatikizira mbali zomata za chigamba chomwe mudagwiritsa ntchito ndikuchiponyera mchimbudzi. Magulu omwe agwiritsidwa ntchito atha kukhala ndi mankhwala ndipo atha kukhala owopsa kwa ana, ziweto, kapena achikulire omwe sanapatsidwe zigamba za buprenorphine.

Buprenorphine sayenera kugwiritsidwa ntchito pochiza kupweteka pang'ono kapena pang'ono, kupweteka kwakanthawi, kapena kupweteka komwe kumatha kuyang'aniridwa ndi mankhwala omwe amatengedwa ngati akufunikira.

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

Musanagwiritse ntchito buprenorphine patch,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la buprenorphine, mankhwala ena aliwonse, kapena chilichonse chosakaniza mu chigamba cha buprenorphine. Funsani dokotala wanu kapena wamankhwala kapena onani malangizo a Medication kuti muwone mndandanda wa zosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena osakulemberani, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa kapena kugwiritsa ntchito. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mu CHENJEZO CHOFUNIKA ndi mankhwala aliwonse awa: anticholinergics (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, ndi scopolamine); cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); okodzetsa ('mapiritsi amadzi'); mankhwala ena osagunda pamtima kuphatikiza amiodarone (Cordarone, Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (ku Nuedexta), ndi sotalol (Betapace, Betapace AF, Sorine, Sotylize, ; lifiyamu (Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); mankhwala ena ogwidwa monga carbamazepine (Tegretol, Teril, ena), phenobarbital, phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); 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 duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), ndi venlafaxine (Effexor); trazodone; kapena tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ndi trimipramine. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa a monoamine oxidase (MAO) kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi buprenorphine, chifukwa chake onetsetsani kuti muwauze adotolo 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.
• auzeni adotolo ngati mwakhala mukukhalapo ndi gawo lotchulidwa m'GWIRITSO LOFUNIKA KWAMBIRI kapena leus wodwala manjenje (momwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musagwiritse ntchito zigamba za buprenorphine.
• auzeni adotolo ngati inu kapena wachibale wanu wina mwakhalapo ndi matenda a QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kudzetsa chidziwitso, kapena kufa mwadzidzidzi); kapena ngati mwakhala mukudwala fibrillation; mtima kulephera; kugwidwa; kuvulala pamutu, chotupa muubongo, sitiroko kapena china chilichonse chomwe chimayambitsa kuthamanga mkati mwa chigaza chanu; biliary thirakiti matenda; kuchepa kwa mtima; kuthamanga kwa magazi; potaziyamu wochepa; mavuto pokodza; kapena kapamba, chithokomiro, mtima, impso, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito zigamba za buprenorphine.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukugwiritsa ntchito buprenorphine patch.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zoopsa mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti zigamba za buprenorphine zimatha kuyambitsa chizungulire, kupepuka mutu, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito chigamba cha buprenorphine. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• Muyenera kudziwa kuti zigamba za buprenorphine zimatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamagwiritsa ntchito zigamba za buprenorphine.
• muyenera kudziwa kuti ngati muli ndi malungo kapena mutatentha kwambiri mukatha kuchita masewera olimbitsa thupi, kuchuluka kwa buprenorphine komwe mumalandira kuchokera pachigamba kumatha kuwonjezeka ndipo mwina kumayambitsa mankhwala ochulukirapo. Pewani zolimbitsa thupi zomwe zingakupangitseni kutentha kwambiri. Itanani dokotala wanu nthawi yomweyo ngati muli ndi malungo. Dokotala wanu angafunikire kusintha mlingo wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mukaiwala kuyika kapena kusintha buprenorphine patch, ikani chidutswacho mukangokumbukira. Onetsetsani kuti muchotse chigamba chanu musanagwiritse ntchito chigamba chatsopano. Valani chigamba chatsopano kwa nthawi yomwe dokotala wanu (nthawi zambiri masiku 7) kenako ndikusintha. Musamavale zipsera ziwiri nthawi imodzi pokhapokha dokotala atakuwuzani kuti muyenera kutero.

Zigawo za Buprenorphine zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuvuta kugona kapena kugona
• mutu
• pakamwa pouma
• kupweteka m'mimba
• khungu, kuyabwa, kutupa, kapena kufiyira mdera lomwe mumavala chigamba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kuvuta kupuma kapena kumeza
• kupuma movutikira
• 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
• kupweteka pachifuwa
• kutupa kwa nkhope yanu, lilime kapena mmero
• zidzolo
• ming'oma
• kuyabwa

Zigawo za Buprenorphine zimatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

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 patali ndi ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Chotsani zigamba zilizonse zomwe zatha ntchito kapenanso zikafunika kumene. Gwiritsani ntchito Chigawo Chotayira Patch chomwe wakupatsani ndi wopanga kuti ataye mosavomerezeka zigamba zosafunikira kapena zachikale mu zinyalala. Osayika zigamba za buprenorphine zosafunikira kapena zachikale mumtengowu osazisindikiza mu Patch Disposal Unit. Kapenanso, mutha kutaya zigambazo pochotsa mosamala zomata, pindani mbali zomata za chigamba chilichonse kuti zizidziphatika zokha, ndikutsitsa zosewerera mchimbudzi. 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 zigamba za buprenorphine, muyenera kukambirana ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, kuofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta 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:

• ang'onoang'ono, onetsetsani ophunzira (mabwalo akuda pakati pa diso)
• kugona kwambiri kapena kugona
• Kuchepetsa kapena kupuma movutikira
• osakhoza kuyankha kapena kudzuka

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku buprenorphine.

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito buprenorphine.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Buprenorphine ndichinthu cholamulidwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.

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.

• Ma Butrans^®