Munyori: Janice Evans
Zuva Rekusika: 23 Chikunguru 2021
Gadziridza Zuva: 14 Mbudzi 2024
Anonim
Fentanyl: An epidemic of addiction made worse by the COVID-19 pandemic | DW News
Vhidhiyo: Fentanyl: An epidemic of addiction made worse by the COVID-19 pandemic | DW News

Zvemukati

Fentanyl inogona kunge iri tsika yekuumba, kunyanya nekushandisa kwenguva refu. Shandisa fentanyl chaizvo sekurairwa. Usashandise muhombe muhombe wefentanyl, shandisa mushonga kazhinji, kana kuushandisa kwenguva yakareba kupfuura yakatemwa nachiremba wako. Paunenge uchishandisa fentanyl, kurukura nemupi wako wekuchengeta hutano zvinangwa zvako zvekurwadziwa, kureba kwekurapwa, uye dzimwe nzira dzekugadzirisa marwadzo ako. Udza chiremba wako kana iwe kana chero mumwe munhu mumhuri yako achinwa kana akambonwa doro rakawanda, akashandisa kana akamboshandisa zvinodhaka mumugwagwa, kana kushandisa zvakanyanyisa mishonga yekunwa, kana kuve nekuwedzeredza, kana iwe kana wakamboora mwoyo kana chimwe chirwere chepfungwa. Pane njodzi huru yekuti unoshandisa zvakanyanya fentanyl kana iwe uine kana imwe yemamiriro aya. Taura nemubatsiri wako wezvehutano nekukurumidza uye kumbira hutungamiriri kana iwe uchifunga kuti une opioid kupindwa muropa kana kufonera iyo US Substance Abuse uye Mental Health Services Administration (SAMHSA) National Helpline pa1-800-662-HELP.

Fentanyl inongofanirwa kupihwa navanachiremba vane ruzivo mukurapa marwadzo mune varwere vegomarara. Inofanirwa kushandiswa chete kurapa kupera kwekenza kurwadziwa (kamwe-kamwe zvikamu zvekurwadziwa zvinoitika kunyangwe yakatenderedza-iyo-wachi kurapwa nemarwadzo ekurapa) mune varwere vegomarara vane makore angangoita gumi nemasere (kana angangoita makore gumi nematanhatu ekuberekwa kana vachishandisa Actiq brand lozenges ) varikutora madhizaini akarongwa eimwe narcotic (opiate) mishonga yekurwadziwa, uye ndiani anoshivirira (anoshandiswa kumhedzisiro yemushonga) kumarwadzo ekurwadziwa narcotic. Mushonga uyu haufanire kushandiswa kurapa marwadzo kunze kwekurwadziwa nekenza kusingaperi, kunyanya kurwadziwa kwenguva pfupi senge migraines kana mamwe marwadzo emusoro, kurwadziwa nekukuvara, kana kurwadziwa mushure mekurapwa kana mazino maitiro. Fentanyl inogona kukonzera matambudziko akakomba ekufema kana kufa kana ikashandiswa nevanhu vasiri kurapwa nemimwe mishonga yekudhakwa kana vasingashiviriri kumishonga yekurapa.


Fentanyl inogona kukonzera kukuvara kwakakomba kana kufa kana ikashandiswa netsaona nemwana kana nemunhu mukuru asina kupihwa mushonga. Kunyangwe fentanyl yakashandiswa zvishoma inogona kuve nemishonga yakakwana yekukuvadza zvakanyanya kana kufa kune vana kana vamwe vanhu vakuru. Chengeta fentanyl pasingasvikike nevana, uye kana urikushandisa lozenges, bvunza chiremba wako kuti ungawana sei kit kubva kumugadziri ine zvekuchengeteka kwevana uye zvimwe zvekudzivirira vana kuwana mishonga. Rasa lozenges ashandisirwa zvishoma zvinoenderana nemagadzirirwo emugadziri ipapo paunenge wabvisa mumuromo mako. Kana fentanyl ichishandiswa nemwana kana munhu mukuru asina kupihwa mushonga, edza kubvisa mushonga kubva mumuromo wemunhu uye uwane rubatsiro rwechimbichimbi.

Fentanyl inofanira kushandiswa pamwe chete nemimwe mishonga inorwadza (s). Usarega kutora mamwe marwadzo ekurapa paunotanga kurapwa kwako ne fentanyl. Kana iwe ukarega kutora yako mamwe marwadzo ekurapa (s) iwe uchafanirwa kumira kushandisa fentanyl.


Kana iwe uchine marwadzo mushure mekushandisa imwe lozenge kana piritsi, chiremba wako anogona kukuudza iwe kuti ushandise wechipiri lozenge kana piritsi. Unogona kushandisa wechipiri lozenge (Actiq) maminetsi gumi nemashanu mushure mekupedza lozenge yekutanga, kana kushandisa yechipiri piritsi (Abstral, Fentora) maminetsi makumi matatu mushure mekunge watanga kushandisa piritsi rekutanga. Usashandise wechipiri lozenge kana piritsi yekurapa iyo yakafanana episode yekutambudzika kunze kwekunge chiremba wako akuudza kuti iwe unofanirwa. Kana iwe uri kushandisa fentanyl firimu (Onsolis), haufanire kushandisa yechipiri dosi yekurapa iyo yakafanana episode yekurwadziwa. Mushure mekurapa chikamu chekurwadziwa uchishandisa 1 kana maviri madhizaini e fentanyl sezvakarairwa, iwe unofanirwa kumirira kweanenge maawa maviri mushure mekushandisa fentanyl (Abstral kana Onsolis) kana maawa mana mushure mekushandisa fentanyl (Actiq kana Fentora) usati wabata chimwe chiitiko chekenza yekubudirira. kurwadziwa.

Kutora mimwe mishonga ne fentanyl kunogona kuwedzera njodzi yekuti iwe unozokudziridza zvakakomba kana kutyisidzira hupenyu matambudziko ekufema, sedation, kana coma. Udza chiremba wako kana uri kutora chero ipi yemishonga inotevera: amiodarone (Nexterone, Pacerone); mamwe maantibhakitiriya akadai secacithromycin (Biaxin, muPrevPac), erythromycin (Erythocin), telithromycin (Ketek), uye troleandomycin (TAO) (isingawanikwe muUS); mamwe maantifungal akadai fluconazole (Diflucan), itraconazole (Onmel, Sporanox), uye ketoconazole (Nizoral); aprepitant (Simbisa); benzodiazepines senge alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), uye triazol cimetidine (Tagamet); diltiazem (Cardizem, Taztia, Tiazac, nevamwe); mimwe mishonga yehutachiona hwehutachiona hwehutachiwana hweHIV (HIV) senge amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase); mishonga yekurwara kwepfungwa uye kuda kurutsa; tsandanyama relaxants; nefazodone; kunyaradza; mapiritsi ekurara; tranquilizers; kana verapamil (Calan, Covera, Verelan). Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukashandisa fentanyl nechero ipi yemishonga iyi uye ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukurumidza kana kutsvaga kurapwa kwekukurumidzira: dzungu risina kujairika, huremu husina musoro, kurara zvakanyanya, kunonoka kana kuoma kufema, kana kusapindura. Ive neshuwa kuti uyo anokuchengeta kana nhengo dzemhuri vanoziva zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana kurapwa kwekukurumidzira kana iwe usingakwanise kutsvaga kurapwa wega.


Fentanyl inouya sezvinhu zvina zvakasiyana zvekuparadzira zvigadzirwa uye akati wandei mamwe marudzi ezvigadzirwa. Mushonga muchigadzirwa chimwe nechimwe unobatwa zvakasiyana nemuviri, saka chigadzirwa chimwe hachigoni kuchinjirwa kune chero chimwe chigadzirwa chefentanyl. Kana iwe uchichinja kubva kune chimwe chigadzirwa uchienda pane chimwe, chiremba wako anokupa dosi yakakunakira iwe.

Chirongwa chakagadzirirwa yega yega fentanyl chigadzirwa kudzikisa njodzi yekushandisa mushonga. Chiremba wako anozoda kunyoresa muchirongwa kuitira kuti anyore fentanyl uye iwe unozofanirwa kunge uine mushonga wako wakazadzwa kukemisi yakanyoreswa muchirongwa ichi. Sechikamu chechirongwa, chiremba wako achataura newe nezve njodzi uye mabhenefiti ekushandisa fentanyl uye nezve nzira yekushandisa zvakachengeteka, kuchengetedza, uye kurasa mishonga. Mushure mekutaura nachiremba wako, iwe uchasaina fomu uchibvuma kuti iwe unonzwisisa njodzi dzekushandisa fentanyl uye kuti iwe unozoteedzera zvirevo zvechiremba wako kushandisa mushonga zvakachengeteka. Chiremba wako achakupa rumwe ruzivo nezvechirongwa uye kuti ungawana sei mushonga wako uye anopindura chero mibvunzo yauinayo nezvechirongwa uye kurapwa kwako ne fentanyl.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Medication Guide) paunotanga kurapwa ne fentanyl uye pese paunowana imwe mishonga. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/drugs/drugsafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu.

Fentanyl inoshandiswa kurapa kupera kwekurwadziwa (episodes epakarepo ekurwadziwa kunoitika kunyangwe kutenderera nguva yekurapa nemushonga wemarwadzo) mune varwere vegomarara vane makore gumi nemasere (kana angangoita makore gumi nematanhatu kana vachishandisa Actiq brand lozenges) vari kutora nguva zhinji akarongwa madosi eimwe narcotic (opiate) inorwadza mishonga, uye ndiani anoshivirira (anoshandiswa kumhedzisiro yemushonga) kumarwadzo ekurwadziwa narcotic. Fentanyl iri mukirasi yemishonga inonzi narcotic (opiate) analgesics. Izvo zvinoshanda nekushandura nzira iyo huropi uye huta hurongwa hunopindura pakurwadziwa.

Fentanyl inouya se lozenge pachibato (Actiq), chidiki (pasi pe rurimi) piritsi (Abstral), firimu (Onsolis), uye buccal (pakati pegamu nedama) piritsi (Fentora) kuparara mumuromo. Fentanyl inoshandiswa pazvinodikanwa kurapa kurwadziwa, asi kwete kazhinji kanopfuura kana pazuva. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

Chiremba wako angangotanga iwe pane yakaderera dosi yefentanyl uye zvishoma nezvishoma wedzera yako dosi kusvikira iwe wawana iyo dosi iyo inodzikamisa yako yekubudirira kurwadziwa. Kana iwe uchiri nemarwadzo maminetsi makumi matatu mushure mekushandisa fentanyl mafirimu (Onsolis), chiremba wako anogona kukuudza kuti ushandise mumwe mushonga wemarwadzo kuti ubvise marwadzo iwayo, uye anogona kuwedzera dhizaini yako yefentanyl mafirimu (Onsolis) kurapa chikamu chako chinotevera chekurwadziwa. Taura nachiremba wako nezvekuti mushonga urikushanda zvakadii uye kuti urikusangana nemimwe mhedzisiro kuitira kuti chiremba wako agone kusarudza kuti dhosi yako igadziriswe.

Usashandise fentanyl kanopfuura kanomwe pazuva. Fonera chiremba wako kana iwe uchinge uchinge uchinge uchinge uchingopfuura zvikamu zvina zvekurwadziwa kwekubuda pazuva. Chiremba wako angangoda kugadzirisa muyero wemimwe mishonga yekurwadziwa (s) kuti unyatsogadzirisa marwadzo ako.

Medza iyo buccal piritsi yakazara; usatsemure, kutsenga, kana kupwanya. Zvakare usatsenga kana kuruma lozenge pachibato; sveta chete pamushonga uyu sekurairwa.

Usarega kushandisa fentanyl usina kutaura nachiremba wako. Chiremba wako anogona kudzora dosi rako zvishoma nezvishoma. Kana iwe ukangoerekana warega kushandisa fentanyl, unogona kusangana nezvisingafadzi zvekusiya zviratidzo.

Kuti ushandise fentanyl lozenges (Actiq), tevera nhanho idzi:

  1. Tarisa blister package uye mubato we lozenge kuti uone kuti lozenge ine muyero wemishonga iwe waunyorerwa.
  2. Shandisa chigero kucheka kuvhura blister package uye kubvisa lozenge. Usavhure blister package kusvika wagadzirira kushandisa mushonga.
  3. Isa lozenge mumuromo mako, pakati pedama rako negamu. Shingairira kuyamwa lozenge, asi usatsvage, kuipwanya, kana kuiruma. Fambisa lozenge uchitenderedza mumuromo mako, kubva kune rimwe divi kuenda kune rimwe, uchishandisa mubato. Tenderedza mubato kazhinji.
  4. Usadye kana kunwa chero chinhu iyo lozenge iri mumuromo mako.
  5. Pedzisa lozenge mumaminitsi gumi nemashanu.
  6. Kana iwe ukatanga kunzwa dzungu, kurara zvakanyanya, kana kusvotwa usati wapedza lozenge, bvisa kubva pamuromo wako. Rirase nekukasira sekutsanangurwa pazasi kana riise mubhodhoro rekuchengetera kwechinguva kuitira kuraswa kwekupedzisira
  7. Ukapedza lozenge rose, rasa mubato kure mugaba remarara risingakwaniswi nevana. Ukasapedza lozenge rose, bata mubato pasi pemvura inopisa yekumwa kuti unyungudise mishonga yese, uye wozokanda mubato mugaba remarara risingakwaniswi nevana nezvipfuyo.

Kushandisa fentanyl buccal mahwendefa (Fentora), tevera nhanho idzi:

  1. Paradzanisa imwe blister unit kubva kune blister kadhi nekubvarura pamwe chete nezvakanaka. Dzorerazve chidimbu kuti uzarure blister unit. Usaedze kusundira piritsi kuburikidza nepepa. Usavhure blister unit kusvikira wagadzirira kushandisa piritsi.
  2. Isa hwendefa iri mumuromo mako pamusoro peimwe remazino ako ekumusoro epakati padama rako uye chingamu.
  3. Siya hwendefa iri panzvimbo kusvikira yanyungudika zvachose. Unogona kucherechedza kupfava kunzwa pakati petama rako uye chingamu sezvo piritsi racho richinyungudika. Zvinogona kutora maminetsi gumi nemana kusvika makumi maviri nemashanu kuti piritsi rinyungudike. Usaparadzanise, kutsenga, kuruma, kana kuyamwa piritsi.
  4. Kana chero piritsi racho rikasara mumuromo mako mushure memaminitsi makumi matatu, richimedza nekunwa mvura.
  5. Kana iwe ukatanga kunzwa dzungu, kurara zvakanyanya, kana kusvotwa piritsi risati ranyungudika, sukurudza muromo wako nemvura uye pfira zvidimbu zvakasara zvehwendefa musingi kana chimbuzi. Shenesa chimbuzi kana sukurudza singi kuti ubvise zvidimbu zvepiritsi.

Kuti ushandise fentanyl sublingual mahwendefa (Abstral), tevera nhanho idzi:

  1. Tora sipo yemvura kuti unyorove muromo wako kana pakaoma. Svipa kana kumedza mvura. Ita shuwa kuti maoko ako akaoma usati wabata piritsi.
  2. Paradzanisa imwe blister unit kubva kune blister kadhi nekubvarura pamwe chete nezvinonhuwira. Dzorerazve chidimbu chacho kuti uzarure blister unit.Usaedze kusundira piritsi kuburikidza nepepa. Usavhure blister unit kusvikira wagadzirira kushandisa piritsi.
  3. Isa iyo piritsi pasi perurimi rwako kure kure sezvaungagone. Kana paine inodarika piritsi rimwe chete pahudhi yako, vaparadzire pasi pevhu pasi pemuromo wako pasi porurimi rwako.
  4. Siya hwendefa iri panzvimbo kusvikira yanyungudika zvachose. Usayamwa, kutsenga, kana kumedza hwendefa.
  5. Usadye kana kunwa chero chinhu kusvikira piritsi racho ranyungudika zvachose uye usisazvinzwe mumuromo mako.

Kuti ushandise fentanyl mafirimu (Onsolis), tevera nhanho idzi:

  1. Shandisa chigero kucheka pamwe nemiseve yeiyo foil package kuti uzarure. Paradzanisa zvidimbu zveiyo foil package uye bvisa iyo firimu. Usavhure iyo foil pasuru kusvikira wagadzirira kushandisa mushonga. Usacheke kana kubvarura iyo firimu.
  2. Shandisa rurimi rwako kunyorovesa mukati medama rako, kana zvichidikanwa, sukurudza muromo wako nemvura kunyorovesa nzvimbo yauchazoisa firimu.
  3. Bata iyo firimu pamunwe wakachena, wakaoma, nerutivi rwepinki rakatarisa mudenga. Isa iyo firimu mumuromo mako, nerutivi rwepinki rwakatarisana nemukati wedama rako rakanyoroveswa. Nemunwe wako, pinda firimu yakanangana nedama rako kwemasekonzi mashanu. Wobva wabvisa chigunwe chako uye iyo firimu inonamira mukati medama rako. Kana paine anopfuura imwe firimu inodiwa padosi rako, usaise mafirimu pamusoro peumwe neumwe. Iwe unogona kuisa iwo mafirimu kune ese mativi emuromo wako.
  4. Siya iyo firimu iri panzvimbo kusvikira yanyungudika zvachose. Iyi firimu ichaburitsa minty flavour painoparara. Zvinogona kutora maminetsi gumi nemashanu kusvika makumi matatu kuti firimu rinyungudike. Usatsvage kana kumedza iyo firimu. Usabata kana kufambisa firimu painenge ichinyungudika.
  5. Unogona kunwa zvinwiwa mushure memaminitsi mashanu, asi usadya chero chinhu kusvikira iyo firimu yanyungudika zvizere.

Mushonga uyu haufanire kupihwa mamwe mashandisiro; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa fentanyl,

  • udza chiremba wako uye wemishonga kana uri weergisi kune fentanyl zvigamba, jekiseni, nasal pfapfaidzo, mapiritsi, lozenges, kana mafirimu; chero mimwe mishonga; kana chimwe chezvinhu zvinosanganiswa mumafiritsi efentanyl, lozenges, kana mafirimu. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero anotevera mishonga: antihistamines; barbiturates senge phenobarbital; buprenorphine (Buprenex, Subutex, muSuboxone); butorphanol (Stadol); carbamazepine (Carbatrol, Epitol, Tegretol); efavirenz (Sustiva, muAtripla); modafinil (Provigil); nalbuphine (Nubain); naloxone (Evzio, Narcan); nevirapine (Viramune); muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); oxcarbazepine (Trileptal); pentazocine (Talwin); phenytoin (Dilantin, Phenytek); pioglitazone (Actos, muActoplus Met, muDuetact); rifabutin (Mycobutin); uye rifampin (Rifadin, Rimactane, muRifamate, muRifater). Uyezve udza chiremba wako kana wemishonga kana uri kutora ipi yemishonga inotevera kana kuti warega kuinwa mukati memavhiki maviri apfuura: monoamine oxidase (MAO) inhibitors inosanganisira isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam , Zelapar), uye tranylcypromine (Parnate). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
  • udza chiremba wako kana iwe kana chero munhu mumhuri yako achinwa kana akambonwa doro rakawanda kana kushandisa kana akamboshandisa zvinodhaka zvemumugwagwa kana zvakawandisa mishonga yemishonga. Uyezve udza chiremba wako kana iwe wakambove nekukuvara kwemusoro, bundu repfungwa, sitiroko, kana chero imwe mamiriro akakonzera kumanikidza kwakanyanya mukati mehenya rako; pfari; kunonoka kurova kwemoyo kana mamwe matambudziko emoyo; yakaderera BP; matambudziko epfungwa senge kushushikana, schizophrenia (chirwere chepfungwa chinokanganisa kufunga kana kujairika kufunga, kurasikirwa nefariro muhupenyu, uye kusimba kana kusanzwisisika manzwiro), kana kuona zvisipo (kuona zvinhu kana kunzwa manzwi zvisipo); zvinetso zvekufema senge asthma uye chisingaperi obstructive pulmonary chirwere (COPD; boka rezvirwere zvemapapu izvo zvinosanganisira chisingaperi bronchitis uye emphysema); kana hosha yeitsvo kana yechiropa.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchishandisa fentanyl, dana chiremba wako.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa fentanyl.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikushandisa fentanyl.
  • iwe unofanirwa kuziva kuti fentanyl inogona kukuita iwe kukotsira kana kuita dzungu. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
  • iwe unofanirwa kuziva kuti fentanyl inogona kukonzeresa dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Izvi zvinowanzoitika kana iwe ukatanga kushandisa fentanyl. Kuti udzivise dambudziko iri, simuka pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.
  • kana uine chirwere cheshuga, iwe unofanirwa kuziva kuti yega fentanyl lozenge (Actiq) ine anenge 2 magiramu eshuga.
  • kana iwe uchizenge uchishandisa lozenges (Actiq), taura nachiremba wako wezve nzira yakanakisa yekutarisira mazino ako panguva yekurapwa kwako. Iwo lozenges ane shuga uye anogona kukonzera kuora kwemeno nemamwe matambudziko emazino.
  • iwe unofanirwa kuziva kuti fentanyl inogona kukonzera kupatira. Taura nachiremba wako nezvekushandura chikafu chako uye kushandisa mimwe mishonga kurapa kana kudzivirira kupatirwa.

Usadye grapefruit kana kunwa muto wemuzambiringa paunenge uchishandisa mushonga uyu.

Mushonga uyu unowanzo shandiswa sekudikanwa zvinoenderana nezvakarairwa.

Fentanyl inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kutsimwaira
  • kurwadziwa nemudumbu
  • gasi
  • chirungurira
  • kuonda
  • kunetseka kuita weti
  • shanduko pane zvakaratidzwa
  • kushushikana
  • kuora mwoyo
  • kufunga zvisina kujairika
  • kujairika kurota
  • kunetseka kurara kana kuramba wakarara
  • muromo wakaoma
  • kamwe kamwe kutsvuka kwechiso, mutsipa, kana chepamusoro chifuva
  • kuzunza kusingadzoreki nhengo yemuviri
  • kurwadziwa shure
  • kurwadziwa pachipfuva
  • kurwadziwa, maronda, kana kutsamwa mumuromo munzvimbo yawakaisa mushonga
  • kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

  • shanduko mukurova kwemoyo
  • kushungurudzika, kuona zvisizvo (kuona zvinhu kana kunzwa manzwi zvisipo), fivha, kudikitira, kuvhiringidzika, kurova kwehana nekukurumidza, kudedera, kuomarara kwemhasuru kana kupunzika, kurasikirwa nekubatana, kuda kurutsa, kurutsa, kana manyoka.
  • kusvotwa, kurutsa, kurasikirwa nechido, kushaya simba, kana dzungu
  • kutadza kuwana kana kuchengeta erection
  • kumwedzi kuenda kumwedzi
  • yakaderera chishuwo chepabonde
  • pfari
  • mikoko
  • mapundu
  • kuvava

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona

  • kunonoka, kufema zvishoma
  • kuderera kwekuda kufema
  • kunetseka kufema kana kumedza
  • kukotsira zvakanyanya
  • dzungu
  • kuvhiringidzika
  • kufenda

Fentanyl inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchishandisa mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza mushonga uyu mupakeji yakapinda mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Chengeta fentanyl munzvimbo yakachengeteka kuitira kuti pasave neumwe munhu anogona kuishandisa netsaona kana nechinangwa. Shandisa makiyi anodzivirira vana uye zvimwe zvinopihwa nemugadziri kuti uchengetedze vana kure ne lozenges. Chengetedza kuti yakawanda sei fentanyl yasara kuti iwe uzive kana paine isipo. Chengetedza fentanyl pakushambidzika kwemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usaisa chando fentanyl.

Unofanirwa kurasa chero mishonga yechinyakare kana isingachadiwi kuburikidza nechirongwa chekudzorera kumashure .. Kana usina chirongwa chekudzosa padyo kana icho chaunokwanisa kuwana nekukasira, chiisa fentanyl pasi pechimbuzi saka kuti vamwe havazozvitora. Rasa lozenges dzisingadiwe nekubvisa lozenge yega kubva mublister package, wobata lozenge pamusoro pechimbuzi, uye nekucheka mushonga unopera nevacheka waya kuitira kuti iwire muchimbuzi. Kanda masara ekubata mune imwe nzvimbo isingawanikwe nevana nezvipfuyo, uye pukuta chimbuzi kaviri kana chiine lozenges shanu. Rasa mahwendefa asina kufanira kana mafirimu nekuabvisa kubva mumapakeji nekuapuruzira muchimbuzi. Kanda fentanyl kurongedza kana makatoni mumudziyo wemarara; usatsveta zvinhu izvi muchimbuzi. Fonera wemishonga wako kana mugadziri kana iwe uine mibvunzo kana uchida rubatsiro kurasa mishonga isingadiwe.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana paine ovhadhozi, bvisa fentanyl kubva pamuromo weanotambudzwa uye fonera emuno emergency services ku911.

Paunenge uchishandisa fentanyl, iwe unofanirwa kutaura nachiremba wako nezvekuva nemishonga yekununura inonzi naloxone inowanikwa zvirinyore (semuenzaniso, kumba, hofisi). Naloxone inoshandiswa kudzosera zvinokonzeresa hupenyu mukuwandisa. Inoshanda nekudzivirira mhedzisiro yemaopi kubvisa zviratidzo zvine njodzi zvinokonzerwa neakakwira maopiates muropa. Chiremba wako anogona zvakare kukuraira naloxone kana uchigara mumba mune vana vadiki kana mumwe munhu akamboshandisa zvisina kunaka mumugwagwa kana mishonga yemishonga. Iwe unofanirwa kuve nechokwadi chekuti iwe nenhengo dzemhuri yako, vanokuchengeta, kana vanhu vanopedza nguva newe vanoziva nzira yekuudza kuziva kuwandisa, kushandisa naloxone, uye zvekuita kusvikira rubatsiro rwekurapwa rwechimbichimbi rwasvika. Chiremba wako kana wemishonga anokuratidza iwe uye nhengo dzemhuri yako mashandisiro emishonga. Kumbira mushonga wako wemishonga kuti uwane rairo kana kushanyira webhusaiti yemugadziri kuti utore rairo. Kana zviratidzo zvekuwedzeredza zvikaitika, shamwari kana nhengo yemhuri inofanirwa kupa dosi rekutanga reiyoxone, kufonera 911 nekukasira, uye gara newe uye kukutarisa padyo kusvikira rubatsiro rwechipatara rwechimbichimbi rwasvika. Zviratidzo zvako zvinogona kudzoka mukati memaminetsi mashoma mushure mekugamuchira naloxone. Kana zviratidzo zvako zvikadzoka, munhu wacho anofanira kukupa imwe muyero weiyoxone. Mimwe mibairo inogona kupihwa yega 2 kusvika 3 maminetsi, kana zviratidzo zvichidzoka rubatsiro rwekurapa rusati rasvika.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • Kukotsira kana kurara
  • dzungu
  • kuvhiringidzika
  • kunonoka, kufema zvishoma kana kumira kufema
  • kunetseka kufema
  • vadzidzi vadiki (denderedzwa dema pakati pemeso)
  • kutadza kupindura kana kumuka

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega chero munhu upi zvake achishandisa mushonga wako, kunyangwe aine zviratidzo zvakafanana nezvako. Kutengesa kana kupa uyu mushonga kunogona kukonzera kukuvadza kwakanyanya kana kufa kune vamwe uye zvinopesana nemutemo.

Iyi mishonga haina kuzadzikiswa. Ive neshuwa yekuronga nguva dzekugadzwa nachiremba wako nguva nenguva kuitira kuti usazopera mushonga.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Kubvisa®
  • Actiq®
  • Fentora®
  • Onsolis®

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 01/15/2021

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