Kuchotsa Codeine: Zomwe Zili ndi Momwe Mungachitire

Zamkati

• Zimayambitsa kusiya
• Kulolerana
• Kudalira
• Kudalira vs. kusuta
• Zizindikiro zosiya
• Kutaya kumatenga nthawi yayitali bwanji
• Kuchiza kuchotsedwa
• Kupweteka pang'ono ndi zizindikilo zina
• Pazizindikiro zakudzichotsera pang'ono
• Kwa zizindikiritso zapamwamba zakutha
• Lankhulani ndi dokotala wanu
• Mafunso ndi mayankho
• Funso:
• Yankho:

Chiyambi

Codeine ndi mankhwala omwe amagwiritsidwa ntchito kuti azitha kupweteka pang'ono. Ikubwera piritsi. Amagwiritsidwanso ntchito nthawi zina m'mankhwala ena a chifuwa kuti athetse chifuwa. Monga ma opiate ena, codeine ndi mankhwala osokoneza bongo komanso osokoneza bongo.

Mutha kukhala okonda codeine ngakhale mutenga mankhwala osakaniza monga Tylenol ndi Codeine. Kuthana ndi chizolowezi kumatha kupangitsa kuti thupi lanu lisiye. Kupyola muzovuta kumakhala kovuta, koma ndikofunika kuyesetsa. Pemphani kuti muphunzire za kuchotsedwa kwa codeine komanso momwe mungapirire.

Zimayambitsa kusiya

Kulolerana

Popita nthawi, mutha kukhala ololera pazotsatira za codeine. Izi zikutanthauza kuti thupi lanu limafunikira mankhwala ochulukirachulukira kuti mumve kupweteka komweko kapena zina zofunika. Mwanjira ina, kulolerana kumapangitsa mankhwalawa kuoneka ngati osagwira thupi.

Kukula msanga kwamomwe mumakhalira ndi codeine kumadalira pazinthu monga:

• chibadwa chanu
• mwakhala mukumwa mankhwalawa nthawi yayitali bwanji
• kuchuluka kwa mankhwala omwe mwakhala mukumwa
• khalidwe lanu ndi kuzindikira kufunika mankhwala

Kudalira

Thupi lanu likakhala lolekerera codeine, maselo anu amayamba kufuna kuti mankhwalawo azigwira ntchito moyenera. Uku ndiko kudalira. Ndizomwe zimabweretsa zovuta zoyipa ngati kugwiritsa ntchito codeine kuyimitsidwa mwadzidzidzi. Chizindikiro chimodzi chodalira ndikumva kuti muyenera kumwa codeine kuti mupewe kusiya.

Kudalira kumatha kuchitika ngati mutatenga codeine kwa milungu yopitilira milungu ingapo kapena mutatenga zochulukirapo kuposa momwe mungafunire. Tsoka ilo, ndizothekanso kukulitsa kudalira kwa codeine ngakhale mutamwa mankhwalawa monga momwe dokotala wakupangirirani.

Kudalira vs. kusuta

Kudalira komanso kuledzera kumayambitsa kusiya mankhwalawa, koma sizofanana. Kudalira thupi lanu pa opiate yovomerezeka ndikumayankha mwachizolowezi kuchipatala ndipo kumatha kuyang'aniridwa mothandizidwa ndi dokotala wanu. Kuledzera, kumbali inayo, kumatha kutsata kudalira ndikuphatikizira kulakalaka mankhwala osokoneza bongo ndikulephera kuwongolera momwe mukugwiritsira ntchito. Nthawi zambiri zimafuna kuthandizidwa kuti muthe.

Zizindikiro zosiya

Zizindikiro zobwerera mmbuyo zimatha kukhala mbali ziwiri. Gawo loyambirira limachitika patangopita maola ochepa kuchokera pa mlingo wanu womaliza. Zizindikiro zina zimatha kuchitika pambuyo pake pomwe thupi lanu lidzagwiranso ntchito popanda codeine.

Zizindikiro zoyambirira zakuchoka zitha kuphatikiza:

• kumva kukwiya kapena kuda nkhawa
• kuvuta kugona
• maso misozi
• mphuno
• thukuta
• kuyasamula
• kupweteka kwa minofu
• kuthamanga kwamtima mwachangu

Zizindikiro zamtsogolo zingaphatikizepo:

• kusowa chilakolako
• nseru ndi kusanza
• kukokana m'mimba
• kutsegula m'mimba
• kukulitsa ophunzira
• kuzizira kapena goosebumps

Zizindikiro zambiri zobwerera m'mbuyo zimasintha zotsatira zoyipa za codeine. Mwachitsanzo, kugwiritsa ntchito codeine kumatha kudzimbidwa. Koma ngati mukudutsa, mutha kuyamba kutsegula m'mimba. Momwemonso, codeine nthawi zambiri imayambitsa kugona, ndipo kusiya kumatha kubweretsa zovuta kugona.

Kutaya kumatenga nthawi yayitali bwanji

Zizindikiro zimatha kukhala sabata, kapena zimatha miyezi ingapo mutasiya kugwiritsa ntchito codeine. Zizindikiro zakutha mthupi ndizolimba m'masiku oyamba mutasiya kumwa codeine. Zizindikiro zambiri zimatha patatha milungu iwiri. Komabe, zizolowezi zamakhalidwe ndi zolakalaka za mankhwalawa zimatha miyezi ingapo. Nthawi zambiri, amatha zaka zingapo. Zomwe aliyense akumana nazo pochotsa codeine ndizosiyana.

Kuchiza kuchotsedwa

Ndi chitsogozo cha dokotala, mutha kupewa mavuto obwera chifukwa chosiya. Dokotala wanu angakulimbikitseni kuti muchepetse kugwiritsa ntchito codeine pang'onopang'ono m'malo moimitsa mwadzidzidzi mankhwalawo. Pang'ono ndi pang'ono kugwiritsa ntchito kwanu kumalola thupi lanu kusintha zizolowezi zochepa mpaka thupi lanu silifunikanso kuti lizigwira bwino ntchito. Dokotala wanu akhoza kukuthandizani pochita izi kapena kukutumizirani kuchipatala. Angathenso kukulangizani zamakhalidwe ndi upangiri kuti zikuthandizeni kupewa kuyambiranso.

Dokotala wanu amathanso kukupatsani mankhwala ena kutengera ngati muli ndi zizoloŵezi zofatsa, zolimbitsa thupi kapena zapamwamba.

Kupweteka pang'ono ndi zizindikilo zina

Dokotala wanu angakuuzeni mankhwala osagwiritsa ntchito mankhwala osokoneza bongo kuti muchepetse zizindikiritso zocheperako. Mankhwalawa atha kuphatikiza:

• mankhwala opweteka monga acetaminophen (Tylenol) ndi ibuprofen (Motrin, Advil) kuthandiza kuchepetsa kupweteka pang'ono
• loperamide (Imodium) yothandizira kutsekula m'mimba
• hydroxyzine (Vistaril, Atarax) yothandiza kuchepetsa kunyoza komanso nkhawa pang'ono

Pazizindikiro zakudzichotsera pang'ono

Dokotala wanu akhoza kukupatsani mankhwala amphamvu. Clonidine (Catapres, Kapvay) amagwiritsidwa ntchito pochepetsa nkhawa. Itha kuthandizanso kuchepetsa:

• kupweteka kwa minofu
• thukuta
• mphuno
• kukokana
• kubvutika

Dokotala wanu amathanso kukupatsani mankhwala a benzodiazepine oti azitenga nthawi yayitali monga diazepam (Valium). Mankhwalawa amatha kuthandizira kukokana kwa minofu ndikuthandizani kugona.

Kwa zizindikiritso zapamwamba zakutha

Ngati mwasiya kwambiri, dokotala wanu akhoza kuyesa njira zosiyanasiyana. Mwachitsanzo, atha kukusinthani kuchokera ku codeine kupita ku mankhwala ena, monga opiate ina. Kapenanso atha kupereka mankhwala amodzi mwa atatu omwe amagwiritsidwa ntchito pochiza opiate ndi zizolowezi zochira:

• Naltrexone amaletsa ma opioid kuti asamagwire ntchito muubongo. Izi zimachotsa zotsatira zabwino za mankhwala, zomwe zimathandiza kupewa kuyambiranso kugwiritsa ntchito molakwika. Komabe, naltrexone mwina siyingathetse kulakalaka mankhwala osokoneza bongo chifukwa chakumwa.
• Methadone Zimathandiza kupewa zizindikiritso zakusuta ndikulakalaka. Amalola kuti thupi lanu liziyenda bwino ndipo limapangitsa kuti kuchoka kwanu kukhale kosavuta.
• Buprenorphine imapanga zovuta zofananira ndi opiate, monga euphoria (kumverera kwachimwemwe chachikulu). Popita nthawi, mankhwalawa amachepetsa chiopsezo chanu chogwiritsa ntchito molakwika, kudalira, komanso zoyipa kuchokera ku codeine.

Lankhulani ndi dokotala wanu

Codeine ndiwofatsa kuposa ma opiate ena (monga heroin kapena morphine), komabe imatha kuyambitsa kudalira komanso kuzolowera. Dokotala wanu akhoza kukuthandizani kudzera mukuchira ndikuchira. Ngati mukuda nkhawa ndi kuchotsedwa kwa codeine, lankhulani ndi dokotala wanu ndikupempha kuti akuthandizeni. Nawa mafunso angapo omwe mungafunse:

• Kodi ndingapewe bwanji chizolowezi cha codeine?
• Kodi pali njira zina zabwino zondigwiritsira ntchito codeine?
• Ndingasiye bwanji kumwa codeine?
• Zizindikiro ziti zakulekerera codeine ndikudalira zomwe ndiyenera kuyang'anira?
• Kodi ndidzasiya ndikasiya kugwiritsa ntchito codeine? Kodi ndiyenera kuyembekezera zizindikiro ziti?
• Kodi kuchoka kwanga ndikubwezeretsa kudzatenga nthawi yayitali bwanji?

Mafunso ndi mayankho

Funso:

Kodi ndingapeze kuti thandizo kuti ndithane ndi kuchotsedwa kwa codeine?

Yankho:

Nthambi yothandizira ya National Sub Abuse Abuse and Mental Health Services Administration (SAMHSA) imapereka chithandizo chamasiku onse kwaulere komanso mwachinsinsi. Muthanso kupeza zambiri zamatenda amisala kapena zovuta zakugwiritsa ntchito mankhwala, kupewa, ndi kuchira patsamba lawo. Tsambali lilinso ndi chikwatu cha mapulogalamu opioid mdziko lonselo. Narcotics Anonymous ndi chinthu china chabwino kwa anthu omwe ali ndi vuto la opioid. Mukamafuna pulogalamu yamankhwala, sankhani mosamala. Taganizirani zofunsa mafunso awa omwe National Institute on Abuse Abuse adapereka:


1. Kodi pulogalamuyi imagwiritsa ntchito chithandizo chothandizidwa ndi umboni wasayansi?
2. Kodi pulogalamuyi imagwirizana ndi zosowa za wodwala aliyense?
3. Kodi pulogalamuyi imasintha mankhwalawa ngati zosowa za wodwalayo zimasintha?
4. Kodi mankhwalawa amakhala okwanira?
5. Kodi magawo 12 kapena mapulogalamu ena otere amalumikizana bwanji ndi mankhwala osokoneza bongo?