Ukudlula ngokweqile kweMethadone

IMethadone isibulala zinhlungu esinamandla kakhulu. Ibuye isetshenziselwe ukwelapha ukulutha kwe-heroin. Ukudlula ngokweqile kweMethadone kwenzeka lapho othile ngephutha noma ngenhloso ethatha okungaphezu kwenani elijwayelekile noma elinconyiwe lalo muthi. Lokhu kungaba ngengozi noma ngenhloso.

Ukudlulela ngokweqile kweMethadone kungenzeka futhi uma umuntu ethatha i-methadone enezinhlungu ezithile zokuphuza izinhlungu. Lawa ma-painkillers afaka i-oxycontin, i-hydrocodone (i-Vicodin), noma i-morphine.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukuphatha noma ukuphatha ukweqisa ngokweqile kwangempela. Uma wena noma umuntu onaye udlula ngokweqile, shayela inombolo yakho ephuthumayo yasendaweni (efana ne-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.

I-Methadone ingaba nobuthi obukhulu.

Imithi enala magama omkhiqizo iqukethe i-methadone:

• I-Dolophine
• IMethadose
• I-Physeptone

Eminye imithi ingaqukatha ne-methadone. Lokhu okungenhla kufaka phakathi imikhiqizo ye-methadone egwinyiwe noma efakwe emthanjeni, imisipha, noma ngaphansi kwesikhumba.

Ngezansi kunezimpawu zokudlula ngokweqile kwe-methadone ezingxenyeni ezihlukene zomzimba.

AMEHLO, IZINDLEBE, IKHALA NOMQOLO

• Abafundi abancane

ISisu kanye namathumbu

• Ukuqunjelwa
• Isicanucanu nokuhlanza
• Ukuqaqamba kwesisu noma kwamathumbu

INHLIZIYO NEGAZI

• Umfutho wegazi ophansi
• I-pulse ebuthakathaka

Amaphaphu

• Izinkinga zokuphefumula, kufaka phakathi ukuphefumula, ukusebenza kanzima, noma ukuphefumula okungajulile
• Akukho ukuphefumula

UHLELO LWE-NEERVOUS

• I-Coma (ukwehla kwezinga lokwazi nokuntuleka kokuphendula)
• Ukudideka
• Ukudideka
• Isiyezi
• Ukozela
• Ukukhathala
• Imisipha iyashwiba
• Ubuthakathaka

ISIKHUMBA

• Izinzipho nezindebe eziluhlaza okwesibhakabhaka
• Isikhumba esibandayo, esimnyama

Funa usizo lwezokwelapha ngokushesha. UNGAMENZI umuntu alahle amanzi ngaphandle kokuthi ulawulwe ubuthi noma umnakekeli wezempilo ekutshela ukuthi wenze kanjalo.

Lungisa lolu lwazi:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomuthi (amandla, uma aziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo kazwelonke izokuvumela ukuthi ukhulume nochwepheshe bokufaka ushevu. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isiqukathi uhambe naso uye esibhedlela, uma kungenzeka.

Umhlinzeki uzolinganisa futhi aqaphe izimpawu zakho ezibalulekile, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• Iskena se-CT
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)

Ukwelashwa kungafaka:

• Uketshezi ngomthambo (ngu-IV)
• Imithi yokubuyisa imiphumela ye-methadone (i-antidote) nokwelapha ezinye izimpawu
• Amalahle avuliwe
• I-Laxative
• Ukwesekwa kokuphefumula, kufaka phakathi ithubhu ngomlomo futhi kuxhunywe kumshini wokuphefumula (umshini wokuphefumula)

Ukuthi umuntu wenza kahle kangakanani kuncike enanini likashevu ogwinyiwe nokuthi ukwelashwa kusheshe kutholakale kanjani. Usizo lwezokwelapha olusheshayo lunikezwa, kuba ngcono ithuba lokululama.

Uma i-antidote inganikezwa, ukululama ekudleni ngokweqile kuqala khona lapho. Kodwa-ke, njengoba imiphumela ye-methadone ingahlala cishe usuku lonke, umuntu uvame ukuhlala esibhedlela ubusuku bonke. Bangathola imithamo eminingana ye-antidote.

Abantu abathatha ukweqisa izidakamizwa okukhulu bangayeka ukuphefumula. Bangaba nokuquleka uma bengayitholi ngokushesha le makhambi. Izinkinga ezifana ne-pneumonia, ukulimala kwemisipha ngokulala endaweni eqinile isikhathi eside, noma ukulimala kwengqondo ngenxa yokushoda komoya-mpilo kungadala ukukhubazeka unomphela.

Ukufa kungenzeka ezimweni ezinzima.

U-Aronson JK. Ama-agonists we-opioid receptor. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 348-380.

UKowalchuk A, uMhlanga BC. Ukuphazamiseka kokusebenzisa izidakamizwa. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 50.

UNikolaides JK, uThompson TM. Ama-opioid. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 156.