Fentanyl, Chidutswa Chosintha

Zamkati

• Zowonetsa za Fentanyl
• Kodi fentanyl ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Fentanyl
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Momwe mungatenge fentanyl
• Mafomu ndi mphamvu
• Mlingo wa ululu wopweteka kwambiri
• Maganizo apadera
• Tengani monga mwalamulidwa
• Machenjezo a Fentanyl
• Machenjezo a FDA
• Chenjezo la ziwengo
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Fentanyl amatha kulumikizana ndi mankhwala ena
• Mankhwala omwe simuyenera kumwa ndi fentanyl
• Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo
• Kuyanjana komwe kumapangitsa kuti mankhwala asamagwire bwino ntchito
• Malingaliro ofunikira pakutenga fentanyl
• Yosungirako
• Kutaya
• Zowonjezeranso
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Malingaliro azakudya
• Kupezeka
• Chilolezo chisanachitike
• Kodi pali njira zina?

Zowonetsa za Fentanyl

1. Fentanyl transdermal patch imapezeka ngati mankhwala wamba komanso ngati dzina lodziwika. Dzina la dzina: Duragesic.
2. Fentanyl imabweranso ngati piritsi lokhazika mtima pansi komanso laling'ono, lozenge ya m'kamwa, kutsitsi pang'ono, kupopera kwamkati, ndi jakisoni.
3. Fentanyl transdermal patch imagwiritsidwa ntchito pochiza ululu wopweteka mwa anthu olekerera opioid.

Kodi fentanyl ndi chiyani?

Fentanyl ndi mankhwala akuchipatala. Zimabwera motere:

• Chigamba cha Transdermal: chigamba chomwe mumayika pakhungu lanu
• Piritsi la Buccal: piritsi lomwe mumasungunula pakati pa tsaya lanu ndi m'kamwa
• Piritsi laling'ono: piritsi lomwe mumasungunula pansi pa lilime lanu
• Zilankhulo ziwiri: yankho lomwe mumapopera pansi pa lilime lanu
• Kutsegula pakamwa: lozenge lomwe mumayamwa mpaka litasungunuka
• Kutulutsa mphuno: yankho lomwe mumapopera m'mphuno mwanu
• Jekeseni: yankho la jakisoni lomwe limangoperekedwa ndi wothandizira zaumoyo

Fentanyl transdermal patch imapezeka ngati dzina lodziwika mankhwala Kutalika. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, mankhwala omwe amatchulidwa ndi mtunduwu akhoza kupezeka m'njira zosiyanasiyana komanso mphamvu.

Fentanyl transdermal chigamba chitha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kuzigwiritsa ntchito ndi mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Fentanyl transdermal patch imagwiritsidwa ntchito pochiza ululu wopweteka mwa anthu olekerera opioid. Awa ndi anthu omwe atenga mankhwala ena opioid opweteka omwe sagwiranso ntchito.

Momwe imagwirira ntchito

Fentanyl ali mgulu la mankhwala otchedwa opioid agonists. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Fentanyl amagwira ntchito muubongo wanu kuti asinthe momwe thupi lanu limamverera ndikuyankha zowawa.

Zotsatira za Fentanyl

Fentanyl imatha kuyambitsa zovuta zoyipa kapena zoyipa. Mndandanda wotsatirawu muli zina mwazovuta zomwe zingachitike mukatenga fentanyl. Mndandandawu sungaphatikizepo zovuta zonse zomwe zingachitike.

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

Fentanyl amathanso kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi fentanyl ndi monga:

• kufiira ndi kuyabwa kwa khungu lanu pomwe mumagwiritsa ntchito chigamba
• nseru
• kusanza
• kutopa
• chizungulire
• kuvuta kugona
• kudzimbidwa
• thukuta lowonjezeka
• kumva kuzizira
• mutu
• kutsegula m'mimba
• kusowa chilakolako

Zotsatirazi zitha kutha masiku angapo kapena masabata angapo. 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 kapena pitani kuchipinda chanu chadzidzidzi ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukudwala mwadzidzidzi.

Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Mavuto akulu kupuma. Zizindikiro zimatha kuphatikiza:
  • kupuma pang'ono (kuyenda pang'ono pachifuwa ndikupuma)
  • kukomoka, chizungulire, kapena kusokonezeka
• Kuthamanga kwambiri kwa magazi. Zizindikiro zimatha kuphatikiza:
  • chizungulire kapena kupepuka, makamaka ngati mwaimirira mwachangu
• Kuledzera kwakuthupi, kudalira, ndikuchoka pakusiya mankhwalawa. Zizindikiro zimatha kuphatikiza:
  • kusakhazikika
  • kupsa mtima kapena kuda nkhawa
  • kuvuta kugona
  • yonjezerani kuthamanga kwa magazi
  • kupuma mwachangu
  • kuthamanga kwa mtima
  • ophunzira otakasuka (malo amdima amaso anu)
  • nseru, kusanza, ndi kusowa kwa njala
  • kutsegula m'mimba ndi kukokana m'mimba
  • thukuta
  • kuzizira, kapena tsitsi m'manja mwanu "imirirani"
  • kupweteka kwa minofu ndi kupweteka kwa msana
• Kulephera kwa adrenal. Zizindikiro zimatha kuphatikiza:
  • kutopa kwanthawi yayitali
  • kufooka kwa minofu
  • kupweteka m'mimba mwako
• Kulephera kwa Androgen. Zizindikiro zimatha kuphatikiza:
  • kutopa
  • kuvuta kugona
  • kuchepa mphamvu

Kudzimbidwa (kuyenda pafupipafupi kapena kuyenda molimba) ndizofala kwambiri za fentanyl ndi mankhwala ena opioid. Sizingatheke kuti achoke popanda chithandizo.

Pofuna kupewa kapena kudzimbidwa mukamamwa fentanyl, lankhulani ndi dokotala wanu zakusintha kwa zakudya, mankhwala ofewetsa tuvi tolimba (mankhwala oletsa kudzimbidwa), ndi zofewetsa m'mipando. Dokotala amatha kupereka mankhwala otsegulitsa m'mimba ndi ma opioid kuti ateteze kudzimbidwa.

Pambuyo pa mlingo wanu woyamba komanso pamene dokotala akuwonjezera kuchuluka kwanu kwa fentanyl, mutha kukhala ndi kutsika kwa magazi. Dokotala wanu angakuuzeni kuti muwone kuthamanga kwa magazi kwanu munthawi imeneyi.

Momwe mungatenge fentanyl

Mlingo wa fentanyl omwe dokotala wanu akukulemberani udalira pazinthu zingapo. Izi zikuphatikiza:

• mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito fentanyl kuchiza
• zaka zanu
• mawonekedwe a fentanyl omwe mumatenga
• matenda ena omwe mungakhale nawo
• ngati mudagwiritsapo ntchito ma opioid m'mbuyomu
• kulekerera kwanu

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.

Mafomu ndi mphamvu

• Zowonjezera: fentanyl
  • Mawonekedwe: chigamba chopatsirana
  • Mphamvu: 12.5 micrograms (mcg) / hour, 25 mcg / hour, 37.5 mcg / hour, 50 mcg / hour, 62.5 mcg / hour, 75 mcg / hour, 87.5 mcg / hour, ndi 100 mcg / hour
    
• Mtundu: Kutalika
  • Mawonekedwe: chigamba chopatsirana
  • Mphamvu: 12.5 mcg / ora, 25 mcg / ora, 37.5 mcg / ora, 50 mcg / ora, 75 mcg / ora, ndi 100 mcg / ola

Mlingo wa ululu wopweteka kwambiri

Mlingo wa akulu (zaka 18-64 zaka)

• Dokotala wanu adzakupatsani mlingo woyambira pamtundu wa mankhwala ndi mlingo womwe mumamwa pakadali pano kuti muchepetse ululu. Dokotala wanu adzakupatsani fentanyl yocheperako kuti muchepetse ululu wanu, ndizovuta zochepa.
• Dokotala wanu akhoza kukulitsa mlingo wanu kutengera mtundu wa ululu wanu. Mlingo wanu sudzawonjezeka posachedwa kuposa masiku 3 mutamwa mankhwala anu oyamba. Pambuyo pake, dokotala wanu akhoza kukulitsa mlingo wanu masiku asanu ndi limodzi pakufunika.
• Dokotala wanu amayang'ana pafupipafupi kuti awone ngati mukufunikirabe kugwiritsa ntchito mankhwalawa.
• Muyenera kusintha chigamba chanu maola 72 aliwonse.

Mlingo wa ana (zaka 2-17 zaka)

• Dokotala wanu adzakhazikitsa mlingo woyambira wa mwana wanu pamtundu wa mankhwala ndi mlingo womwe mwana wanu amatenga pakali pano kuti athetse ululu. Dokotala wanu adzakupatsani fentanyl yochepetsetsa kuti muchepetse ululu wa mwana wanu, osakhala ndi zotsatirapo zochepa.
• Dokotala wanu akhoza kuwonjezera mlingo wa mwana wanu malingana ndi msinkhu wa ululu wa mwana wanu. Mlingowo sudzawonjezeka posachedwa kuposa masiku atatu mwana wanu atalandira mlingo woyamba. Pambuyo pake, dokotala wanu akhoza kuwonjezera mlingo uliwonse masiku asanu ndi limodzi pakufunika.
• Dokotala wanu amayang'ana pafupipafupi kuti awone ngati mwana wanu angafunikirebe kugwiritsa ntchito mankhwalawa.
• Muyenera kusintha chigamba cha mwana wanu maola 72 aliwonse.

Mlingo wa ana (zaka 0-1 zaka)

Fentanyl transdermal chigamba sichinakhazikitsidwe ngati chitetezo kapena chothandiza kuti chitha kugwiritsidwa ntchito kwa ana ochepera zaka 2.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena dongosolo lina la dosing. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Maganizo apadera

• Kwa anthu omwe ali ndi matenda a chiwindi: Dokotala wanu akhoza kuyamba ndi theka la mankhwala wamba kapena kupewa kugwiritsa ntchito, kutengera kukula kwa matenda anu.
• Kwa anthu omwe ali ndi matenda a impso: Dokotala wanu ayenera kuyamba ndi theka la mankhwala wamba kapena kupewa kugwiritsa ntchito, kutengera kukula kwa matenda anu.

Tengani monga mwalamulidwa

Fentanyl transdermal chigamba chimagwiritsidwa ntchito pochiza matendawa kwakanthawi. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Mukasiya kumwa mankhwalawa kapena osamwa konse: Ngati simutenga konse, mupitiliza kumva ululu. Mukasiya kumwa mankhwala mwadzidzidzi, mutha kukhala ndi zizindikilo zakusiya, komwe kungaphatikizepo:

• kusakhazikika
• kupsa mtima kapena kuda nkhawa
• kuvuta kugona
• yonjezerani kuthamanga kwa magazi
• kupuma mwachangu
• kuthamanga kwa mtima
• ana opunduka amaso anu
• nseru, kusanza, ndi kusowa kwa njala
• kutsegula m'mimba ndi kukokana m'mimba
• thukuta
• kuzizira kapena tsitsi m'manja mwanu "imirirani"
• kupweteka kwa minofu ndi kupweteka kwa msana

Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.

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

• kupuma pang'ono kapena kusintha kwa kapumidwe kabwino
• kuyankhula molakwika
• chisokonezo
• kupsa mtima
• kutopa kwambiri ndi kugona
• khungu lozizira komanso lolira
• khungu limasanduka buluu
• kufooka kwa minofu
• onetsetsani ophunzira
• kugunda kwa mtima pang'ono
• mavuto owopsa amtima
• kuthamanga kwa magazi
• chikomokere

Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Ikani chigamba chanu chatsopano mukakumbukira. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Muyenera kumva kupweteka pang'ono.

Machenjezo a Fentanyl

Mankhwalawa amabwera ndi machenjezo osiyanasiyana.

Machenjezo a FDA

• Mankhwalawa ali ndi machenjezo. Awa ndi machenjezo ovuta kwambiri ochokera ku Food and Drug Administration (FDA). Chenjezo la nkhonya limachenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
• Kuledzera ndi kuchenjeza molakwika. Mankhwalawa amatha kubweretsa chizolowezi komanso kugwiritsa ntchito molakwika, zomwe zingayambitse kumwa mopitirira muyeso ndi kufa. Dokotala wanu adzayesa chiopsezo chanu chomwa mowa mwauchidakwa ndi kugwiritsa ntchito molakwika mankhwala asanafike komanso mukamalandira chithandizo cha fentanyl transdermal patch.
• Kuchepetsa chenjezo la kupuma. Fentanyl ikhoza kukupangitsani kupuma pang'onopang'ono. Izi zitha kupangitsa kupuma kupuma komanso kufa. Chiwopsezo chanu chimakhala chachikulu ngati mwakalamba, muli ndi matenda am'mapapo, kapena mumapatsidwa mankhwala oyambira oyamba. Zimakhalanso zapamwamba ngati mumagwiritsa ntchito fentanyl ndi mankhwala ena omwe angakhudze kapangidwe kanu ka kupuma.
• Chenjezo lakutentha. Mukamagwiritsa ntchito fentanyl patch pakhungu lanu, pewani kuwonetsa kutentha. Izi zitha kupangitsa thupi lanu kuyamwa fentanyl kuposa momwe muyenera. Izi zitha kubweretsa mankhwala osokoneza bongo ngakhale imfa.
• Kuchotsa kwa opioid mu chenjezo la ana akhanda. Ngati mayi atenga mankhwalawa kwa nthawi yayitali ali ndi pakati, amatha kubweretsa matenda opioid a mwana wakhanda. Izi zitha kukhala zowopsa kwa mwana. Zizindikiro zakutha zimatha kupsa mtima, kusachita bwino komanso magonedwe osazolowereka, komanso kulira kwambiri. Zitha kuphatikizanso kunjenjemera, kusanza, kutsegula m'mimba, komanso kulephera kunenepa.

Chenjezo la ziwengo

Fentanyl imatha kuyambitsa vuto lalikulu. Zizindikiro zimatha kuphatikiza:

• zidzolo
• kutupa kwa nkhope yako
• kukhazikika pakhosi
• kuvuta kupuma

Ngati simukugwirizana nazo, pitani kuchipatala nthawi yomweyo. Ngati matenda anu akukulira, 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 kuwonjezera chiopsezo chanu chazovuta zochokera ku fentanyl. Mwina zingachititse kuti muyambe kukomoka kapena kufa. Simuyenera kumwa mowa mukamamwa fentanyl.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi vuto la kupuma: Fentanyl ikhoza kuchepetsa kupuma kwanu. Gwiritsani ntchito mankhwalawa mosamala kwambiri ngati mwapezeka kuti muli ndi vuto la kupuma, monga matenda osokoneza bongo (COPD). Musagwiritse ntchito fentanyl ngati muli ndi mphumu.

Kwa anthu omwe ali ndi kutsekeka m'mimba ndi kudzimbidwa: Fentanyl atha kukulitsa izi. Musagwiritse ntchito fentanyl ngati muli ndi izi.

Kwa anthu omwe avulala mutu kapena kugwidwa: Fentanyl imatha kubweretsa mavuto ambiri muubongo wanu ndikupangitsa kupuma.

Kwa anthu omwe ali ndi matenda a chiwindi: Thupi lanu limatha kupanga mankhwala pang'onopang'ono. Zotsatira zake, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.

Kwa anthu omwe ali ndi matenda a impso: Ngati muli ndi matenda a impso kapena mbiri ya matenda a impso, simungathe kuchotsa mankhwalawa mthupi lanu. Izi zitha kuwonjezera milingo ya fentanyl mthupi lanu ndikupangitsa zovuta zina.

Kwa anthu omwe alibe Adrenal: Kutenga mankhwalawa kumatha kuchepetsa kuchuluka kwa mahomoni omwe adatulutsa ma gland anu. Ngati mulibe mphamvu ya adrenal, kumwa mankhwalawa kumatha kukulitsa.

Kwa anthu omwe ali ndi vuto la kapamba ndi ndulu: Kutenga mankhwalawa kumatha kuyambitsa ma spasms omwe angapangitse kuti zizindikilo za matenda monga biliary tract and pancreatitis ziwonjezeke.

Kwa anthu omwe ali ndi mavuto okodza: Kutenga mankhwalawa kumatha kupangitsa kuti thupi lanu lisunge mkodzo. Ngati muli ndi vuto kukodza, dokotala wanu akhoza kukupatsani mankhwala ochepa.

Kwa anthu omwe amagunda pang'onopang'ono: Kumwa mankhwalawa kumachedwetsa kugunda kwa mtima wanu. Ngati muli ndi vuto la mtima wocheperako (bradycardia), mankhwalawa amatha kukulitsa. Gwiritsani ntchito fentanyl mosamala. Dokotala wanu akhoza kukupatsani mlingo wochepa ndikukuyang'anirani mosamala zotsatira zake.

Machenjezo kwa magulu ena

Kwa amayi apakati: Sipanakhale maphunziro okwanira omwe anachitidwa mwa anthu kuti asonyeze ngati fentanyl imabweretsa chiopsezo kwa mwana wosabadwa. Kafukufuku wazinyama wasonyeza zowopsa kwa mwana wosabadwa mayi atamwa mankhwalawo. Komabe, maphunziro a nyama samaneneratu nthawi zonse momwe anthu angayankhire.

Ngati mayi atenga mankhwalawa kwa nthawi yayitali ali ndi pakati, amatha kubweretsa matenda opioid kuchotsa mwana wakhanda. Izi zitha kukhala zowopsa kwa mwana. Zizindikiro zakutha zimatha kupsa mtima, kusachita bwino komanso magonedwe osazolowereka, komanso kulira kwambiri. Zitha kuphatikizanso kunjenjemera, kusanza, kutsegula m'mimba, komanso kulephera kunenepa.

Kwa amayi omwe akuyamwitsa: Fentanyl amadutsa mkaka wa m'mawere ndipo amatha kuyambitsa mavuto kwa mwana yemwe akuyamwitsa. 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, mankhwala ambiri amakhala mthupi lanu kwa nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.

Kwa ana: Fentanyl transdermal patch sichinakhazikitsidwe kuti ndi yotetezeka kapena yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 2.

Fentanyl amatha kulumikizana ndi mankhwala ena

Fentanyl amatha 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 fentanyl. Mndandandawu mulibe mankhwala onse omwe amatha kulumikizana ndi fentanyl.

Musanatenge fentanyl, onetsetsani kuti mumauza dokotala komanso wamankhwala zonse zamankhwala, 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 kumwa ndi fentanyl

Musamamwe mankhwalawa ndi fentanyl. Kutenga fentanyl ndi mankhwalawa kumatha kubweretsa zovuta m'thupi lanu. Zitsanzo za mankhwalawa ndi monga:

• Buprenorphine.
  • Kutenga mankhwalawa ndi fentanyl kumatha kuchepetsa mphamvu ya fentanyl, kuyambitsa zizindikiritso zakutha, kapena zonse ziwiri.
• Mankhwala osokoneza bongo monga monoamine oxidase inhibitors (MAOIs).
  • Kutenga mankhwalawa ndi fentanyl kumatha kubweretsa nkhawa, kusokonezeka, kupuma pang'ono, kapena kukomoka. Musatenge fentanyl ngati mutenga MAOIs kapena mwatenga MAOIs m'masiku 14 apitawa.

Kuyanjana komwe kumawonjezera chiopsezo cha zotsatirapo

Kutenga fentanyl ndi mankhwala ena kumatha kubweretsa zotsatira zoyipa. Zitsanzo za mankhwalawa ndi monga:

• Zotulutsa minofu, monga baclofen, cyclobenzaprine, ndi methocarbamol.
  • Mutha kukhala ndi mavuto owonjezera kupuma.
• Hypnotics, monga zolpidem, temazepam, ndi estazolam.
  • Mutha kukhala ndi mavuto ampweya, kuthamanga magazi, kugona kwambiri, kapena kukomoka. Dokotala wanu akhoza kukulemberani mlingo wochepa.
• Mankhwala a anticholinergic, monga atropine, scopolamine, ndi benztropine.
  • Mutha kukhala ndi mavuto ochulukirapo pokodza kapena kudzimbidwa kwambiri, komwe kumatha kubweretsa zovuta zamatumbo.
• Voriconazole ndi ketoconazole.
  • Mankhwalawa atha kukulitsa kuchuluka kwa fentanyl mthupi lanu, zomwe zitha kukulitsa chiopsezo chanu chazovuta. Dokotala wanu amatha kukuyang'anirani pafupipafupi ndikusintha mulingo wanu momwe zingafunikire.
• Mankhwalawa.
  • Mankhwalawa atha kukulitsa milingo ya fentanyl mthupi lanu, zomwe zimatha kuwonjezera chiopsezo chanu. Dokotala wanu amatha kukuyang'anirani pafupipafupi ndikusintha mulingo wanu momwe zingafunikire.
• Ritonavir.
  • Mankhwalawa atha kukulitsa milingo ya fentanyl mthupi lanu, zomwe zimatha kuwonjezera chiopsezo chanu. Dokotala wanu amatha kukuyang'anirani pafupipafupi ndikusintha mlingo wanu momwe mungafunikire.

Kuyanjana komwe kumapangitsa kuti mankhwala asamagwire bwino ntchito

Fentanyl ikagwiritsidwa ntchito ndi mankhwala ena, sizingagwire bwino ntchito pochiza matenda anu. Zitsanzo za mankhwalawa ndi monga:

• Rifampin.
  • Mankhwalawa amachepetsa milingo ya fentanyl mthupi lanu, ndikupangitsa fentanyl kukhala yothandiza kwambiri kuti muchepetse ululu wanu. Dokotala wanu amatha kukuyang'anirani nthawi zambiri ndikusintha mlingo wanu ngati mukufunikira.
• Carbamazepine, phenobarbital, ndi phenytoin.
  • Mankhwalawa amachepetsa milingo ya fentanyl mthupi lanu, ndikupangitsa fentanyl kukhala yothandiza kwambiri kuti muchepetse ululu wanu. Dokotala wanu amatha kukuyang'anirani nthawi zambiri ndikusintha mlingo wanu ngati mukufunikira.

Malingaliro ofunikira pakutenga fentanyl

Kumbukirani izi ngati dokotala akukulemberani fentanyl transdermal patch.

Yosungirako

• Sungani mankhwalawa kutentha kwapakati pakati pa 68 ° F ndi 77 ° F (20 ° C ndi 25 ° C).
• Sungani mankhwalawa muthumba loyambirira.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.
• Tetezani fentanyl ku kuba. Sungani mu kabati kapena kabati yokhoma.

Kutaya

Samalani potaya zigamba za fentanyl. Mukamaliza ndi chigamba, chitani izi:

• Pindani chigamba kuti zomatira zizidzimata.
• Sambani chigamba chopindidwa kuchimbudzi.

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 bokosi loyambirira lomwe muli nalo.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kudziyang'anira pawokha

• Lankhulani ndi dokotala kapena wamankhwala momwe mungagwiritsire ntchito bwino ndikugwiritsira ntchito fentanyl patch. Zotsatira zoyipa, kuphatikizaponso imfa, zimatha kuchitika ngati mwapezeka ndi mankhwala ambiri.
• Pewani zochitika zina zomwe zimawonjezera kutentha kwa thupi lanu pogwiritsa ntchito chigamba cha fentanyl. Kuwonjezeka kwa kutentha kumeneku kumatha kuyambitsa kuchuluka kwa fentanyl komwe kumatha kubweretsa imfa. Zitsanzo za zinthu zomwe muyenera kupewa ndi izi:
  • Osatenga malo osambira otentha.
  • Osatenthedwa ndi dzuwa.
  • Musagwiritse ntchito malo osambira otentha, ma sauna, mapadi otenthetsera, mabulangete amagetsi, mabedi otentha, kapena nyali zofufutira.
  • Osachita masewera olimbitsa thupi omwe amawonjezera kutentha kwa thupi lanu.

Kuwunika kuchipatala

Inu adokotala muyenera kukuyang'anirani mukamamwa mankhwalawa. Zomwe dokotala wanu adzafufuza zikuphatikizapo:

• Kupuma kwanu. Dokotala wanu adzawona zosintha zilizonse m'mapumidwe anu, makamaka mukayamba kumwa mankhwalawa komanso mutatha kuchuluka kwa mankhwala.
• Kuthamanga kwa magazi anu. Dokotala wanu ayenera kuyang'ana kuthamanga kwa magazi kwanu pafupipafupi.
• Ntchito yanu ya chiwindi ndi impso. Dokotala wanu akhoza kuyezetsa magazi kuti awone momwe impso zanu ndi chiwindi zikugwirira ntchito. Ngati impso ndi chiwindi sizikuyenda bwino, dokotala wanu atha kusankha kuchepetsa mlingo wa mankhwalawa.
• Kaya muli ndi zizindikiro zosokoneza bongo. Dokotala wanu amakudziwitsani ngati muli ndi chizolowezi chomwa mankhwalawa.

Malingaliro azakudya

Musadye zipatso zamphesa kapena kumwa madzi amphesa mutatenga fentanyl. Izi zitha kubweretsa ma fentanyl owopsa mthupi lanu.

Kupezeka

Osati mawonekedwe amtundu uliwonse wamphamvu ndi mphamvu ya mankhwalawa omwe angakhalepo. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa mankhwala anu kuti muwone kuti ali ndi mawonekedwe enieni ndi mphamvu zomwe dokotala wakupatsani.

Chilolezo chisanachitike

Makampani ambiri a inshuwaransi amafuna chilolezo choyambirira cha mankhwalawa. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

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.