Nalbuphine Jekiseni

Zvemukati

• Usati wagamuchira nalbuphine,
• Jekiseni reNalbuphine rinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

Nalbuphine jekiseni inogona kunge iri tsika-inogadzira. Usashandise yakawanda yacho, ishandise kakawanda, kana kuishandisa neimwe nzira pane kutungamirirwa nachiremba wako. Udza chiremba wako kana iwe kana chero mumwe munhu mumhuri yako achinwa kana akambonwa doro rakawanda, akashandisa kana akamboshandisa zvinodhaka zvemumugwagwa, akashandisa zvakanyanya mishonga yekunwa, kana akambonyanyisa, kana iwe kana wakamboora mwoyo kana mumwe chirwere chepfungwa. Iko kune njodzi huru yekuti iwe unoshandisa zvakanyanya nalbuphine jekiseni kana iwe uine kana wakambove nechero yeaya mamiriro.

Jekiseni reNalbuphine rinogona kukonzera zvakakomba kana kutyisidzira hupenyu kufema matambudziko, kunyanya panguva yekutanga 24 kusvika maawa 72 ekurapwa kwako uye chero nguva dosi rako riwedzerwe. Chiremba wako achakutarisa zvakanyatsonaka panguva yekurapa kwako. Udza chiremba wako kana iwe wakambove kana wakambononoka kufema kana asima. Chiremba wako angangokuudza kuti usashandise nalbuphine jekiseni. Uyezve udza chiremba wako kana iwe kana wakambove nechirwere chemapapu senge chisingaperi obstructive pulmonary disease (COPD; boka rezvirwere zvinokanganisa mapapu nemumhepo), kukuvara kwemusoro, bundu repfungwa, kana chero mamiriro ezvinhu anowedzera huwandu hwe kumanikidzwa muuropi hwako. Njodzi yekuti iwe unozokudziridza matambudziko ekufema inogona kuve yakakwira kana iwe uri mukuru zera kana kushaya simba kana kushaya zvinovaka muviri nekuda kwechirwere. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, danaidza chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira: kunonoka kufema, kumbomira kumberi pakati pekufema, kana kufema kwekufema.

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukashandisa nalbuphine jekiseni nguva dzose panguva yako yepamuviri, mwana wako anogona kusangana nehupenyu hunotyisidzira kubvisa zviratidzo mushure mekuzvarwa. Udza chiremba wemwana wako ipapo ipapo kana mwana wako akasangana nechimwe chezviratidzo zvinotevera: kugumbuka, kusagadzikana, kurara zvisina kujairika, kuchema kwakakwira, kuzunza kusingadzoreki kwechikamu chemuviri, kurutsa, manyoka, kana kutadza kurema.

Jekiseni reNalbuphine rinogona kuwedzera njodzi yezvinetso zvekufema zvakakomba kana kutyisidzira hupenyu, kunyaradza, kana coma kana ikashandiswa pamwe chete nemimwe mishonga. Udza chiremba wako kana uri kutora kana kuronga kutora: benzodiazepines senge alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), uye triazolam (Halcion); mishonga yekurwara kwepfungwa kana kuda kurutsa, mimwe mishonga yekurwadziwa; tsandanyama relaxants; kunyaradza; mapiritsi ekurara; kana zvinodzivirira. Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukashandisa nalbuphine jekiseni nechero ipi yemishonga iyi uye ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukasira kana tsvaga kurapwa kwekukurumidzira: dzungu risina kujairika, huremu husina musoro, kurara zvakanyanya, kunonoka kana kunetseka 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.

Kunwa doro kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako nebalbuphine kunowedzerawo njodzi yekuti uchasangana nemhedzisiro iyi. Usanwa doro, tora chero mishonga yekunwa kana isina kunyoreswa ine doro, kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako.

Taura nachiremba wako nezve njodzi (s) yekushandisa nalbuphine jekiseni.

Nalbuphine jekiseni rinoshandiswa rinoshandiswa kudzikamisa zvine mwero kusvika pakurwadziwa kukuru. Inoshandiswa zvakare nemimwe mishonga uye maanesthesic vamiririri vasati, panguva, uye mushure mekuvhiyiwa uye mamwe marapirwo. Nalbuphine jekiseni iri mukirasi yemishonga inonzi opioid agonist-vanopikisa. Inoshanda nekushandura nzira iyo muviri unonzwa kurwadziwa.

Jekiseni reNalbuphine rinouya semhinduro (mvura) kupinza subcutaneously (pasi peganda), intravenously (kupinda mutsinga), kana intramuscularly (kuita mhasuru). Jekiseni reNalbuphine rinotarisirwa nachiremba kana mukoti. Inowanzojowa kamwe chete kwemaawa matatu kusvika matanhatu pazvinodiwa.

Chiremba wako anogona kugadzirisa dhizaini yako nalbuphine jekiseni panguva yekurapa kwako, zvinoenderana nekuti marwadzo ako anodzorwa sei uye pamhedzisiro iwe yaunosangana nayo. Taura nachiremba wako nezve manzwiro auri kuita panguva yekurapwa kwako nalbuphine jekiseni.

Unogona kugamuchira nalbuphine jekiseni muchipatara, kana unogona kushandisa mushonga kumba. Kana iwe uchizenge uchishandisa nalbuphine jekiseni kumba, chishandise panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana mumwe mupi wezvehutano kuti atsanangure chero chikamu chausinganzwisise. Shandisa nalbuphine jekiseni chaizvo sekurairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Kana iwe wakashandisa nalbuphine jekiseni kwenguva yakareba kupfuura mazuva mashoma, usamire kuishandisa kamwe kamwe. Kana iwe ukangoerekana warega kushandisa nalbuphine jekiseni, unogona kusangana nezviratidzo zvekuregera zvinosanganisira kusagadzikana; maziso ane misodzi; dzihwa; yawning; vangadikitira; chills; mhasuru, musana kana kurwadza kwemajoini; kuwedzera kwevadzidzi; kutsamwa; kushushikana; kushaya simba; kurwadziwa nemudumbu; kunetseka kurara kana kuramba wakarara; kusvotwa; kurasikirwa nenzara; kurutsa; manyoka; kukurumidza kufema; kana kukurumidza kurova kwemoyo. Chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati wagamuchira nalbuphine,

• udza chiremba wako uye wemishonga kana uri weergoria kune nalbuphine, chero mimwe mishonga, kana chero chinhu chinosanganiswa mu nalbuphine jekiseni. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: mishonga yemigraine misoro senge almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, muTreximet), uye zolmitriptan (Zomig, Zomig-ZMT); mirtazapine (Remeron); 5HT3 serotonin blockers senge alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), kana palonosetron (Aloxi, muAkynzeo); serotonin-reuptake inhibitors senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, muSymbyax), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), uye sertraline (Zoloft); serotonin uye norepinephrine reuptake inhibitors senge duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), uye milnacipran (Savella), venlafaxine (Effexor); tramadol; trazodone; uye tricyclic antidepressants ('mood elevators') senge amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vimactiline), . Uyezve udza chiremba wako kana wemishonga kana uri kutora kana kugamuchira zvinotevera monoamine oxidase (MAO) inhibitors kana kana warega kuzvitora mukati memavhiki maviri apfuura: isocarboxazid (Marplan), linezolid (Zyvox), methylene bhuruu, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kana tranylcypromine (Parnate). Mimwe mishonga yakawanda inogona zvakare kubatana ne nalbuphine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa. Uyezve udza chiremba wako kana wemishonga kana iwe uri kutora narcotic mishonga yekurwadziwa kana kana iwe uchangobva kutora iyi mishonga. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakamborwara nemwoyo, kana chiropa, kana chirwere cheitsvo.
• udza chiremba wako kana iwe uchiyamwisa.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino kana biliary turakiti kuvhiya, udza chiremba kana chiremba wemazino kuti urikushandisa nalbuphine.
• iwe unofanirwa kuziva kuti nalbuphine inogona kukuwisira iwe. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvarume nevakadzi. Taura nachiremba wako nezve njodzi dzekushandisa nalbuphine.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Jekiseni reNalbuphine rinogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• muromo wakaoma
• musoro

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi kana izvo zvakanyorwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

• kuneta zvakanyanya
• kusvotwa, kurutsa, kurasikirwa nechido, kushaya simba, kana dzungu
• 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.
• kutadza kuwana kana kuchengeta erection
• kumwedzi kuenda kumwedzi
• yakaderera chishuwo chepabonde

Jekiseni reNalbuphine rinogona kukonzera mimwe 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).

Paunenge uchishandisa nalbuphine jekiseni, 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 maitiro ekuziva kuwandisa, mashandisiro aizoita naloxone, uye zvekuita kusvikira rubatsiro rwechipatara 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.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

• kunonoka, kudzika, kana kusagadzikana kufema
• hope
• kutadza kupindura kana kumuka
• kutonhora, clammy ganda
• vadzidzi vadiki
• kunonoka kurova kwemoyo
• kusaona zvakanaka
• vakawedzeredzwa vadzidzi
• kujaira zvisina kujairika

Chengetedza zvese zvakagadzwa nachiremba wako.

Usati waita chero bvunzo yerabhoritari (kunyanya iyo inosanganisira methylene bhuruu), udza chiremba wako nevashandi veirabhoritari kuti urikushandisa nalbuphine.

Iyi mishonga haina kuzadzikiswa. Kana iwe uri kushandisa nalbuphine kudzora marwadzo ako kwenguva yakareba, ita shuwa yekuronga nguva dzekugadzwa nachiremba wako kuti usazopera mushonga. Kana iwe uri kushandisa nalbuphine kwenguva pfupi, fonera chiremba wako kana iwe uchiramba uchirwadziwa mushure mekupedza 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.

• Nubain^®¶

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