Methadone, Piritsi Yamlomo

Zamkati

• Mfundo zazikulu za methadone
• Kodi methadone ndi chiyani?
• Momwe imagwirira ntchito
• Zotsatira zoyipa za Methadone
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Momwe mungatengere methadone
• Mitundu ya mankhwala ndi mphamvu
• Mlingo wa kupweteka kwakanthawi kochepa pang'ono
• Mlingo wothana ndi vuto la opioid
• Mlingo wosamalira mankhwala osokoneza bongo a opioid
• Chenjezo lofunikira
• Nthawi yoti muyitane dokotala wanu
• Tengani monga mwalamulidwa
• Machenjezo a Methadone
• Machenjezo a FDA
• Chenjezo la kugona
• Chenjezo la ziwengo
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Methadone imatha kulumikizana ndi mankhwala ena
• Mankhwala omwe simuyenera kugwiritsa ntchito ndi methadone
• Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo
• Kuyanjana komwe kumapangitsa kuti mankhwala anu asamagwire bwino ntchito
• Zofunikira pakumwa methadone
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Chilolezo chisanachitike
• Kodi pali njira zina?

Mfundo zazikulu za methadone

1. Piritsi lamlomo la Methadone ndi mankhwala achibadwa. Ipezeka ngati piritsi losungunuka pakamwa pansi pa dzina lake Methadose.
2. Methadone imabwera ngati piritsi, piritsi lomwe lingathe kusungunuka (piritsi lomwe lingathe kusungunuka ndi madzi), njira yothetsera, komanso yankho. Mumatenga iliyonse ya mafomuwa pakamwa. Zimabweranso ngati jakisoni yemwe amangopatsidwa ndi dokotala.
3. Piritsi lamlomo la Methadone limagwiritsidwa ntchito pochiza ululu. Amagwiritsidwanso ntchito pochotsa kapena kukonza mankhwala osokoneza bongo a opioid.

Kodi methadone ndi chiyani?

Methadone ndi mankhwala akuchipatala. Ndi opioid, yomwe imapangitsa kuti ikhale chinthu cholamulidwa. Izi zikutanthauza kuti mankhwalawa amatha kugwiritsa ntchito molakwika ndipo angayambitse kudalira.

Methadone imabwera ngati piritsi lokamwa, piritsi lomwe limatha kusungunuka (piritsi lomwe lingathe kusungunuka ndi madzi), yankho la m'kamwa, ndi yankho lamlomo. Methadone imabweranso mu mawonekedwe amitsempha (IV), omwe amangoperekedwa ndi othandizira azaumoyo.

Methadone imapezekanso ngati dzina la mankhwala osokoneza bongo Methadose, yomwe imabwera piritsi losungunuka pakamwa.

Piritsi lam'kamwa la Methadone limagwiritsidwa ntchito kuthana ndi kupweteka pang'ono. Zimaperekedwa pokhapokha ngati mankhwala ena opweteka kwakanthawi kochepa kapena opioid sakukuthandizani kapena ngati simungathe kuwalekerera.

Methadone imagwiritsidwanso ntchito kuthana ndi vuto lokonda kugwiritsa ntchito mankhwala osokoneza bongo. Ngati mumamwa mankhwala ena opioid, adokotala angakupatseni methadone kuti muteteze kuti musakhale ndi zizindikilo zoopsa.

Momwe imagwirira ntchito

Methadone ndi gulu la mankhwala otchedwa opioids (narcotic). Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Methadone imagwira ntchito zolandilira zopweteka m'thupi lanu. Amachepetsa kupweteka komwe mumamva.

Methadone imatha kusinthanso mankhwala ena opioid omwe mumakonda. Izi zidzakuthandizani kuti musakhale ndi zizindikilo zoopsa zakusiya.

Mankhwalawa amatha kukupangitsani kugona. Simuyenera kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zomwe zimafuna kukhala tcheru mutamwa mankhwalawa.

Zotsatira zoyipa za Methadone

Methadone imatha kuyambitsa zovuta kapena zoyipa. Mndandanda wotsatirawu muli zovuta zina zomwe zingachitike mukamamwa methadone. Mndandandawu sungaphatikizepo zovuta zonse zomwe zingachitike.

Kuti mumve zambiri pazomwe zingachitike chifukwa cha methadone, kapena maupangiri amomwe mungachitire ndi zovuta zina, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zofala kwambiri

Zotsatira zofala kwambiri za methadone zitha kuphatikiza:

• kudzimbidwa
• nseru
• kugona
• kusanza
• kutopa
• mutu
• chizungulire
• kupweteka m'mimba

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi zachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Kulephera kupuma (osatha kupuma). Zizindikiro zimatha kuphatikiza:
  • kupuma movutikira
  • kupweteka pachifuwa
  • mutu wopepuka
  • kumva kukomoka
  • kupuma pang'ono
  • kupuma pang'ono (kuyenda pang'ono pachifuwa ndikupuma)
  • chizungulire
  • chisokonezo
• Orthostatic hypotension (kuthamanga kwa magazi mukamanyamuka mutakhala pansi kapena kugona). Zizindikiro zimatha kuphatikiza:
  • kuthamanga kwa magazi
  • chizungulire kapena mutu wopepuka
  • kukomoka
• Kudalira kwakuthupi ndikudziletsa mukamasiya mankhwalawa. Zizindikiro zimatha kuphatikiza:
  • kusakhazikika
  • kupsa mtima kapena kuda nkhawa
  • kuvuta kugona
  • kuthamanga kwa magazi
  • kupuma mwachangu
  • kuthamanga kwa mtima
  • ophunzira otambasuka (kukulitsa malo amdima amaso)
  • maso misozi
  • mphuno
  • kuyasamula
  • nseru, kusanza, ndi kusowa kwa njala
  • kutsegula m'mimba ndi kukokana m'mimba
  • thukuta
  • kuzizira
  • kupweteka kwa minofu ndi kupweteka kwa msana
• Kugwiritsa ntchito molakwika kapena kusuta. Zizindikiro zimatha kuphatikiza:
  • kumwa mankhwala ambiri kuposa momwe adanenera
  • kumwa mankhwalawa nthawi zonse ngakhale simukuwafuna
  • kupitiliza kugwiritsa ntchito mankhwalawa ngakhale mutakhala ndi mavuto ndi anzanu, abale, ntchito yanu, kapena malamulo
  • kunyalanyaza ntchito zanthawi zonse
  • kumwa mankhwala mobisa kapena kunama kuti mumamwa zochuluka motani
• Kugwidwa.

Momwe mungatengere methadone

Mlingo wa methadone omwe dokotala amakupatsani umadalira pazinthu zingapo. Izi zikuphatikiza:

• mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito methadone kuchiza
• zaka zanu
• mawonekedwe a methadone omwe mumatenga
• matenda ena omwe mungakhale nawo

Nthawi zambiri, dokotala wanu amakupangitsani muyeso wochepa ndikusintha pakapita nthawi kuti mufike pamlingo woyenera kwa inu. Potsirizira pake adzapereka mankhwala ochepetsetsa omwe amapereka zomwe mukufuna.

Chidziwitso chotsatirachi chimalongosola miyezo yomwe amagwiritsidwa ntchito kwambiri kapena amalimbikitsidwa. Komabe, onetsetsani kuti mwatenga mlingo womwe dokotala akukulemberani. Dokotala wanu adzazindikira mlingo woyenera kuti ugwirizane ndi zosowa zanu.

Mitundu ya mankhwala ndi mphamvu

Zowonjezera: methadone

• Mawonekedwe: piritsi yamlomo
• Mphamvu: Mamiligalamu 5 (mg), 10 mg
• Mawonekedwe: piritsi lomwazika pakamwa
• Mphamvu: 40 mg

Mtundu: Methadose

• Mawonekedwe: piritsi lomwazika pakamwa
• Mphamvu: 40 mg

Mlingo wa kupweteka kwakanthawi kochepa pang'ono

Mlingo wa akulu (zaka 18-64 zaka)

• Mlingo woyambira: 2.5 mg amatengedwa maola 8 kapena 12 aliwonse.
• Mlingo ukuwonjezeka: Dokotala wanu amachulukitsa mlingo wanu pang'onopang'ono masiku atatu kapena asanu kapena kupitilira apo.

Mlingo wa ana (zaka 0-17 zaka)

Chitetezo ndi mphamvu ya mankhwalawa sizinakhazikitsidwe mwa ana. Sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso zanu sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Mlingo wothana ndi vuto la opioid

Mlingo wa akulu (zaka 18-64 zaka)

• Mlingo woyambira: 20-30 mg.
• Mlingo ukuwonjezeka: Mukadikirira 2 mpaka maola 4, dokotala wanu akhoza kukupatsaninso 5-10 mg.
• Mlingo wodziwika: Pochotsa kwakanthawi kochepa, mulingo woyenera ndi 20 mg womwe umatengedwa kawiri patsiku kwa masiku awiri kapena atatu. Dokotala wanu amachepetsa pang'onopang'ono mlingo wanu ndikukuyang'anirani.
• Zolemba malire mlingo: Patsiku loyamba, simuyenera kutenga zoposa 40 mg okwanira.

Mlingo wa ana (zaka 0-17 zaka)

Chitetezo ndi mphamvu ya mankhwalawa sizinakhazikitsidwe mwa ana. Sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso zanu sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Mlingo wosamalira mankhwala osokoneza bongo a opioid

Mlingo wa akulu (zaka 18-64 zaka)

Mulingo woyambira umakhala pakati pa 80-120 mg patsiku. Dokotala wanu adzakupatsani mlingo woyenera kwa inu.

Mlingo wa ana (zaka 0-17 zaka)

Chitetezo ndi mphamvu ya mankhwalawa sizinakhazikitsidwe mwa ana. Sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso zanu sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Chenjezo lofunikira

Osaphwanya, kupasuka, kufwenthera, kapena kubaya mapiritsi am'kamwa a methadone chifukwa izi zitha kukupangitsani kumwa mopitirira muyeso. Izi zitha kupha.

Nthawi yoti muyitane dokotala wanu

1. Itanani dokotala wanu ngati mlingo wa methadone womwe mukuutenga sungathe kupweteka kwanu.

Tengani monga mwalamulidwa

Piritsi lamlomo la Methadone limagwiritsidwa ntchito pochiza kwakanthawi. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse: Zowawa zanu sizingayang'aniridwe ndipo mutha kuthana ndi opioid. Zizindikiro zakudziphatikiza ndi izi:

• kung'amba maso anu
• mphuno
• kuyetsemula
• kuyasamula
• thukuta lolemera
• ziphuphu
• malungo
• kuzizira kusinthasintha ndi kutsuka (kufiira ndi kutentha kwa nkhope kapena thupi lanu)
• kusakhazikika
• kupsa mtima
• nkhawa
• kukhumudwa
• kunjenjemera
• kukokana
• kupweteka kwa thupi
• kugwedeza ndi kukankha mwangozi
• nseru
• kusanza
• kutsegula m'mimba
• kuonda

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Muthanso kukhala ndi zisonyezo zakusiya.

Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo za mankhwalawa zingaphatikizepo:

• kutayika kwa minofu
• ozizira, khungu lowundana
• ophunzira ochepa (ochepa)
• kugunda pang'onopang'ono
• kuthamanga kwa magazi, komwe kumatha kubweretsa chizungulire kapena kukomoka
• kupuma pang'ono
• kutha kwambiri komwe kumabweretsa chikomokere (kukhala opanda chidziwitso kwanthawi yayitali)

Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo:

Ngati mukumwa mankhwalawa kuti muzitha kupweteka: Musatenge zochuluka kuposa momwe mumakulamulirani mu maola 24. Ngati mumamwa mankhwalawa chifukwa cha ululu ndikuphonya mulingo, imwani mwamsanga. Kenako tengani mlingo wanu wotsatira pambuyo pa maola 8 mpaka 12 monga mwauzidwa ndi dokotala wanu.

Ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndipo mubwerere ku dongosolo lanu la dosing.

Ngati mukumwa mankhwalawa kuti muchotsere poizoni ndikukhalitsa: Tengani mlingo wanu wotsatira tsiku lotsatira monga momwe mwakonzera. Musatenge mankhwala owonjezera. Kutenga mopitilira muyeso woyenera kumatha kukupangitsani kuti muwonjeze chifukwa mankhwalawa amakula mthupi lanu pakapita nthawi.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Mukuyenera kuti muchepetse kupweteka, kapena zizindikiritso zanu zakutha ziyenera kuchoka.

Machenjezo a Methadone

Mankhwalawa amabwera ndi machenjezo osiyanasiyana.

Machenjezo a FDA

• Kuledzera ndi kuchenjeza molakwika: Methadone imabwera ndi chiopsezo chomwa mankhwala osokoneza bongo ngakhale ikagwiritsidwa ntchito moyenera. Izi zitha kubweretsa kugwiritsa ntchito mankhwala osokoneza bongo. Kukhala ndi chizolowezi chomwa mankhwalawa mosagwiritsa ntchito mankhwala kungapangitse kuti mukhale ndi mwayi wopitirira muyeso komanso kufa.
• Kufufuza Zowopsa ndi Njira Zochepetsera (REMS): Chifukwa cha kuopsa kwa mankhwala osokoneza bongo, a FDA amafuna kuti wopanga mankhwalawo apereke pulogalamu ya REMS. Malinga ndi zofunikira za pulogalamu iyi ya REMS, wopanga mankhwalawa ayenera kupanga mapulogalamu ophunzitsira za kugwiritsa ntchito mankhwala opioid kwa dokotala wanu
• Kuchenjeza mavuto opuma: Kutenga ma opioid omwe akhala akuchita kwa nthawi yayitali, monga methadone, kwapangitsa kuti anthu ena asiye kupuma. Izi zitha kupha (kuyambitsa imfa). Izi zitha kuchitika nthawi iliyonse mukamalandira chithandizo, ngakhale mutagwiritsa ntchito mankhwalawa moyenera. Komabe, chiopsezo chimakhala chachikulu kwambiri mukayamba kumwa mankhwalawa komanso mutachuluka. Chiwopsezo chanu chitha kukhalanso chachikulu ngati mwakalamba kapena muli ndi vuto la kupuma kapena mapapo.
• Ana ambiri osokoneza bongo amachenjeza: Ana omwe amamwa mwangozi mankhwalawa amakhala pachiwopsezo chachikulu chomwalira chifukwa chogwiritsa ntchito mopitirira muyeso. Ana sayenera kumwa mankhwalawa.
• Kuchenjeza mavuto a mtima: Mankhwalawa amatha kuyambitsa vuto lalikulu la mtima, makamaka ngati mumamwa mankhwala opitilira 200 mg patsiku. Komabe, izi zitha kuchitika pamlingo uliwonse. Zitha kuchitika ngakhale ngati mulibe mavuto amtima kale.
• Mimba ndi neonatal opioid kuchotsa syndrome chenjezo: Ana omwe amabadwa kwa amayi omwe adagwiritsa ntchito mankhwalawa kwa nthawi yayitali ali ndi pakati ali pachiwopsezo cha matenda obereka ana osabadwa. Izi zitha kukhala zowopsa kwa mwanayo.
• Chenjezo lothandizira Benzodiazepine: Kutenga methadone pamodzi ndi mankhwala omwe amakhudza dongosolo lamanjenje, kapena mankhwala omwe amatchedwa benzodiazepines, atha kuyambitsa tulo, kupuma, kukomoka, kapena kufa. Zitsanzo za benzodiazepines ndi lorazepam, clonazepam, ndi alprazolam. Mankhwalawa ayenera kugwiritsidwa ntchito ndi methadone pomwe mankhwala ena sagwira ntchito mokwanira.

Chenjezo la kugona

Mankhwalawa amatha kukupangitsani kugona. Simuyenera kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zomwe zimafuna kukhala tcheru mutamwa mankhwalawa.

Chenjezo la ziwengo

Methadone imatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• kuvuta kupuma
• kutupa pakhosi kapena lilime

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Kugwiritsa ntchito zakumwa zomwe zili ndi mowa kumatha kukulitsa chiopsezo chokhala pansi, kupuma pang'ono, kukomoka (kukhala wopanda chidziwitso kwa nthawi yayitali), komanso kufa ndi methadone.

Mukamwa mowa, lankhulani ndi dokotala wanu. Mungafunike kuyang'aniridwa ndi kuthamanga kwa magazi, kupuma movutikira, ndi kutopa.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi vuto la impso: Ngati muli ndi mavuto a impso kapena mbiri ya matenda a impso, mwina simungathe kuchotsa mankhwalawa mthupi lanu. Izi zitha kuwonjezera milingo ya methadone mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akuyenera kuyang'anitsitsa mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi vuto la chiwindi: Ngati muli ndi vuto la chiwindi kapena mbiri ya matenda a chiwindi, mwina simungathe kukonza mankhwalawa bwino. Izi zitha kuwonjezera milingo ya methadone mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akuyenera kuyang'anitsitsa mukamamwa mankhwalawa.

Kwa anthu omwe ali ndi vuto la kupuma: Mankhwalawa amatha kuyambitsa kupuma. Zingathenso kukulitsa mavuto omwe mumakhala nawo kale. Izi zitha kupha (kuyambitsa imfa). Ngati muli ndi vuto la kupuma, mphumu yayikulu, kapena matenda a mphumu, muyenera kukambirana ndi dokotala ngati mankhwalawa ndiabwino kwa inu.

Kwa anthu omwe ali ndi vuto la m'mimba (GI): Mankhwalawa amatha kuyambitsa kudzimbidwa ndikuwonjezera chiopsezo chanu cholepheretsa GI. Ngati muli ndi mbiri yoletsa ma GI kapena muli nayo, muyenera kukambirana ndi dokotala ngati mankhwalawa ndiabwino kwa inu. Ngati muli ndi leus lopuwala (kusowa kwa minofu m'matumbo yomwe imatha kuyambitsa zovuta za GI), simuyenera kumwa mankhwalawa.

Kwa anthu ogwidwa: Mankhwalawa angayambitse matenda a khunyu kwa anthu omwe ali ndi khunyu. Ngati kulanda kwanu kukukulirakulira mukamamwa mankhwalawa, itanani dokotala wanu.

Kwa anthu omwe avulala mutu: Mankhwalawa amatha kuyambitsa mavuto muubongo wanu. Izi zitha kukulitsa chiopsezo cha zovuta kapena kupha. Ngati mwapwetekedwa mutu posachedwa, zimawonjezera mavuto anu kupuma kuchokera ku methadone. Lankhulani ndi dokotala wanu ngati mankhwalawa ndi abwino kwa inu.

Machenjezo kwa magulu ena

• Kwa amayi apakati: Palibe kafukufuku wazotsatira za methadone mwa amayi apakati. Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo likutsimikizira kuwopsa kwake. Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo. Ana omwe amabadwa kwa amayi omwe adagwiritsa ntchito mankhwalawa kwa nthawi yayitali ali ndi pakati ali pachiwopsezo cha matenda obereka ana osabadwa. Izi zitha kukhala zowopsa kwa mwanayo.
• Kwa amayi omwe akuyamwitsa: Methadone imatha kulowa mkaka wa m'mawere ndipo imatha kuyambitsa zovuta kwa mwana yemwe akuyamwitsa. Zotsatirazi zimaphatikizapo kupuma pang'ono komanso kusungunuka. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa mankhwalawa.
• Kwa okalamba: Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.
• Kwa ana: Chitetezo ndi mphamvu ya mankhwalawa sizinakhazikitsidwe mwa ana. Sayenera kugwiritsidwa ntchito kwa ana ochepera zaka 18. Ana omwe amamwa mwangozi mankhwalawa amakhala pachiwopsezo chachikulu chomwalira chifukwa chogwiritsa ntchito mopitirira muyeso.

Methadone imatha kulumikizana ndi mankhwala ena

Methadone imatha kuyanjana ndi mankhwala ena angapo. Kuyanjana kosiyanasiyana kumatha kubweretsa zovuta zosiyanasiyana. Mwachitsanzo, ena amatha kusokoneza momwe mankhwala amagwirira ntchito, pomwe ena amatha kuyambitsa zovuta zina.

M'munsimu muli mndandanda wa mankhwala omwe angagwirizane ndi methadone. Mndandandawu mulibe mankhwala onse omwe angagwirizane ndi mankhwala a X.

Musanagwiritse methadone, onetsetsani kuti muwauze adotolo ndi asayansi wanu zamankhwala onse, pa-counter ndi mankhwala ena omwe mumamwa. Auzeni za mavitamini, zitsamba, ndi zowonjezera zilizonse zomwe mumagwiritsa ntchito. Kugawana izi kungakuthandizeni kupewa kuyanjana komwe kungachitike.

Ngati muli ndi mafunso okhudzana ndi mankhwala omwe angakukhudzeni, funsani dokotala kapena wamankhwala.

Mankhwala omwe simuyenera kugwiritsa ntchito ndi methadone

Musamamwe mankhwala otsatirawa ndi methadone. Kuchita izi kumatha kubweretsa zovuta m'thupi lanu.

• Pentazocine, nalbuphine, butorphanol, ndi buprenorphine. Mankhwalawa amatha kuchepetsa kupweteka kwa methadone. Izi zitha kuyambitsa zizindikiritso zakudzipatula.

Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo

• Kuchuluka mavuto obwera chifukwa cha mankhwala ena: Kutenga methadone ndi mankhwala ena kumadzetsa chiopsezo cha zotsatirapo za mankhwalawa. Zitsanzo za mankhwalawa ndi monga:
  • Benzodiazepines, monga diazepam, lorazepam, clonazepam, temazepam, ndi alprazolam. Zowonjezera zoyipa zimatha kuphatikiza kugona, kuchepa kapena kusiya kupuma, kukomoka, kapena kufa. Ngati mukufuna kumwa imodzi mwa mankhwalawa ndi methadone, dokotala wanu adzakuyang'anirani mosamala zotsatira zake.
  • Zidovudine. Zotsatira zoyipazi zingaphatikizepo kupweteka mutu, kutopa, kusowa njala, nseru, ndi kusanza.
• Zotsatira zoyipa za methadone: Kutenga methadone ndi mankhwala ena kumadzetsa chiopsezo chanu chotsatira cha methadone. Izi ndichifukwa kuchuluka kwa methadone mthupi lanu kumakulitsidwa. Zitsanzo za mankhwalawa ndi monga:
  • Cimetidine. Kutenga mankhwalawa ndi methadone kumatha kuyambitsa kuwodzera komanso kupuma pang'ono. Dokotala wanu amatha kusintha mlingo wa methadone, kutengera momwe mavuto anu aliri.
  • Maantibayotiki, monga clarithromycin ndi erythromycin. Kutenga mankhwalawa ndi methadone kumatha kuyambitsa kuwodzera komanso kupuma pang'ono. Dokotala wanu amatha kusintha mlingo wa methadone, kutengera momwe mavuto anu aliri.
  • Mankhwala osokoneza bongo, monga ketoconazole, posaconazole, ndi voriconazole. Kutenga mankhwalawa ndi methadone kumatha kuyambitsa kuwodzera komanso kupuma pang'ono. Dokotala wanu amatha kusintha mlingo wa methadone, kutengera momwe mavuto anu aliri.
  • Mankhwala a HIV, monga ritonavir kapena indinavir. Kutenga mankhwalawa ndi methadone kumatha kubweretsa kugona kozizira komanso kupuma pang'ono. Dokotala wanu amatha kusintha mlingo wa methadone, kutengera momwe mavuto anu aliri.
• Zowonjezera zoyipa kuchokera ku mankhwala onsewa: Kutenga methadone ndi mankhwala ena kumawonjezera chiopsezo chanu. Izi ndichifukwa choti methadone ndi mankhwala enawa amatha kuyambitsa zovuta zomwezo. Zotsatira zake, zotsatirazi zitha kukulitsidwa. Zitsanzo za mankhwalawa ndi monga:
  • Mankhwala osokoneza bongo, monga diphenhydramine ndi hydroxyzine. Kumwa mankhwalawa ndi methadone kungayambitse kusungidwa kwa mkodzo (osatha kutulutsa chikhodzodzo chanu), kudzimbidwa, komanso kuchepa kwa kuyenda m'mimba mwanu ndi m'matumbo. Izi zitha kupangitsa kuti matumbo atseke kwambiri.
  • Mankhwala osokoneza bongo, monga tolterodine ndi oxybutynin. Kumwa mankhwalawa ndi methadone kungayambitse kusungidwa kwa mkodzo (osatha kutulutsa chikhodzodzo chanu), kudzimbidwa, komanso kuchepa kwa kuyenda m'mimba mwanu ndi m'matumbo. Izi zitha kupangitsa kuti matumbo atseke kwambiri.
  • Benztropine ndi amitriptyline. Kumwa mankhwalawa ndi methadone kungayambitse kusungidwa kwa mkodzo (osatha kutulutsa chikhodzodzo chanu), kudzimbidwa, komanso kuchepa kwa kuyenda m'mimba mwanu ndi m'matumbo. Izi zitha kupangitsa kuti matumbo atseke kwambiri.
  • Antipsychotic, monga clozapine ndi olanzapine. Kumwa mankhwalawa ndi methadone kungayambitse kusungidwa kwa mkodzo (osatha kutulutsa chikhodzodzo chanu), kudzimbidwa, komanso kuchepa kwa kuyenda m'mimba mwanu ndi m'matumbo. Izi zitha kupangitsa kuti matumbo atseke kwambiri.
  • Mankhwala osokoneza bongo, monga quinidine, amiodarone, ndi dofetilide. Kumwa mankhwalawa ndi methadone kungayambitse vuto la mtima.
  • Amitriptyline. Kutenga mankhwalawa ndi methadone kumatha kuyambitsa vuto la mtima.
  • Diuretics, monga furosemide ndi hydrochlorothiazide. Kugwiritsa ntchito mankhwalawa palimodzi kungasinthe magawo anu a electrolyte. Izi zitha kuyambitsa mavuto a nyimbo.
  • Mankhwala otsekemera. Kugwiritsa ntchito mankhwalawa palimodzi kungasinthe magawo anu a electrolyte. Izi zitha kuyambitsa mavuto a nyimbo.

Kuyanjana komwe kumapangitsa kuti mankhwala anu asamagwire bwino ntchito

Methadone ikagwiritsidwa ntchito ndi mankhwala ena, sizingagwire bwino ntchito pochiza matenda anu. Izi ndichifukwa choti kuchuluka kwa methadone mthupi lanu kumatha kutsika. Zitsanzo za mankhwalawa ndi monga:

• Anticonvulsants, monga phenobarbital, phenytoin, ndi carbamazepine. Mankhwalawa amatha kupangitsa methadone kusiya kugwira ntchito. Izi zitha kuyambitsa matenda obwera chifukwa chosiya. Dokotala wanu akhoza kusintha mlingo wanu wa methadone mukamamwa mankhwalawa.
• Mankhwala a HIV monga abacavir, darunavir, efavirenz, nelfinavir, nevirapine, ritonavir, ndi telaprevir. Dokotala wanu adzakuyang'anirani mosamala ngati zizindikiro zakusowa kwanu. Adzasintha mlingo wanu pakufunika kutero.
• Maantibayotiki, monga rifampin ndi rifabutin. Mankhwalawa amatha kupangitsa methadone kusiya kugwira ntchito. Izi zitha kubweretsa zizindikiritso zakutha. Dokotala wanu akhoza kusintha mlingo wanu wa methadone ngati mukufunikira.

Zofunikira pakumwa methadone

Kumbukirani izi ngati adokotala akukupatsani methadone.

Zonse

• Mutha kutenga methadone kapena wopanda chakudya. Kutenga ndi chakudya kungathandize kuchepetsa kukhumudwa m'mimba.
• Tengani mankhwalawa panthawi yomwe dokotala akukulangizani.
• Osaphwanya, kupasuka, kufufuma, kapena kubaya mapiritsi amlomo a methadone. Izi zitha kukupangitsani kuti mugwiritse ntchito mopitirira muyeso, zomwe zitha kupha.

Yosungirako

• Piritsi lapakamwa: Sungani kutentha kwapakati pakati pa 68 ° F mpaka 77 ° F (20 ° C ndi 25 ° C).
• Piritsi lomwe limasindikizidwa pakamwa: Sungani pa 77 ° F (25 ° C). Mutha kuyisunga mwachidule pakati pa 59 ° F mpaka 86 ° F (15 ° C mpaka 30 ° C).
• Sungani mapiritsi onsewo kutali ndi kuwala.
• Osasunga mapiritsiwa m'malo onyowa kapena achinyezi, monga zimbudzi.

Zowonjezeranso

Chithandizo cha mankhwalawa sichikubwezeretsanso. Inu kapena mankhwala anu muyenera kulumikizana ndi dokotala wanu kuti akupatseni mankhwala atsopano ngati mukufuna mankhwalawa.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kudziyang'anira pawokha

Osameza piritsi lomwe lingathe kumwazika lisanathetsedwe ndi madzi. Muyenera kusakaniza ndi madzi atatu kapena 4 (90 mpaka 120 milliliters) amadzi kapena madzi a zipatso musanamwe. Zimatenga pafupifupi mphindi kuti zisakanike.

Kuwunika kuchipatala

Inu ndi dokotala muyenera kuyang'anira zovuta zina zaumoyo. Izi zitha kuthandizira kuti mukhale otetezeka mukamamwa mankhwalawa. Izi zikuphatikiza:

• ntchito ya impso
• chiwindi chimagwira
• kupuma (kupuma) mlingo
• kuthamanga kwa magazi
• kugunda kwa mtima
• mulingo wopweteka (ngati mukumwa mankhwalawa chifukwa cha ululu)

Chilolezo chisanachitike

Pali zoletsa pakupereka methadone ka mapulogalamu ochotsera poizoni kapena kukonza. Osati mankhwala aliwonse omwe amatha kupereka mankhwalawa kuti athetse poizoni ndi kukonza. Lankhulani ndi dokotala wanu za komwe mungapeze mankhwalawa.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zomveka bwino, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.