Inaliti yeNaloxone
-Delile
- Ngaphambi kokusebenzisa umjovo we-naloxone,
- Umjovo weNaloxone ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, thola ukwelashwa okuphuthumayo:
Umjovo weNaloxone ne-naloxone pre-auto-injection device (i-Evzio) kuyasetshenziswa kanye nokwelashwa okuphuthumayo ukuguqula imiphumela esongela impilo ye-opiate eyaziwayo noma esolwayo (ye-narcotic). Umjovo weNaloxone uyasetshenziswa ngemuva kokuhlinzwa ukuguqula imiphumela yama-opiates anikezwe ngesikhathi sokuhlinzwa. Umjovo weNaloxone unikezwa izingane ezisanda kuzalwa ukunciphisa imiphumela yama-opiates atholwe ngumama okhulelwe ngaphambi kokubeletha. Umjovo weNaloxone usesigabeni semithi ebizwa ngama-opiate antagonists. Isebenza ngokuvimba imiphumela yama-opiate ukukhulula izimpawu eziyingozi ezibangelwa amazinga aphezulu ama-opiates egazini.
Umjovo weNaloxone uza njengesisombululo (uketshezi) ukuze ujovwe ngemithambo yegazi (emthanjeni), ngaphakathi (emsipheni), noma ngaphansi (ngaphansi kwesikhumba). Kuza futhi njengedivayisi ekhethiwe yokujova ngokuzenzakalela equkethe isixazululo sokujovwa ngemisipha noma ngendlela engaphansi. Imvamisa inikezwa lapho kudingeka ukwelapha ama-opiate overdoses.
Cishe ngeke ukwazi ukuzelapha uma uhlangabezana nokudlula ngokweqile kwe-opiate. Kufanele uqiniseke ukuthi amalungu omndeni wakho, abanakekeli, noma abantu abachitha isikhathi nawe bayazi ukuthi bangatshela kanjani uma ubhekene nokudlula ngokweqile, ukuthi ungasebenzisa kanjani umjovo we-naloxone, nokuthi yini okufanele uyenze kuze kufike usizo oluphuthumayo lwezokwelapha. Udokotela wakho noma usokhemisi uzokukhombisa wena namalungu omndeni wakho ukuthi ungayisebenzisa kanjani le mithi. Wena nanoma ngubani ongadinga ukukunika umuthi kufanele ufunde imiyalelo eza nomjovo wamakhala. Buza usokhemisi wakho ukuthola imiyalo noma vakashela iwebhusayithi yomkhiqizi ukuthola imiyalo.
Umjovo weNaloxone awukwazi ukuguqula imiphumela yama-opiate athile afana ne-buprenorphine (Belbuca, Buprenex, Butrans) ne-pentazocine (Talwin) futhi ingadinga imithamo eyengeziwe ye-naloxone.
Cishe ngeke ukwazi ukuzelapha uma uhlangabezana nokudlula ngokweqile kwe-opiate. Kufanele uqiniseke ukuthi amalungu omndeni wakho, abanakekeli, noma abantu abachitha isikhathi nawe bayazi ukuthi bangatshela kanjani uma ubhekene nokudlula ngokweqile, ukuthi ungayijova kanjani naloxone, nokuthi yini okufanele uyenze kuze kufike usizo oluphuthumayo lwezokwelapha. Udokotela wakho noma usokhemisi uzokukhombisa wena namalungu omndeni wakho ukuthi ungayisebenzisa kanjani le mithi. Wena nanoma ngubani ongadinga ukukunikeza umuthi kufanele ufunde imiyalo eza nedivayisi futhi uzijwayeze nedivayisi yokuqeqesha enikezwe umuthi. Buza usokhemisi wakho ngemiyalo noma vakashela iwebhusayithi yomkhiqizi. Uma kunesimo esiphuthumayo, ngisho nomuntu ongakaqeqeshelwa ukujova i-naloxone kusamele azame ukujova umuthi.
Uma unikezwe umshini wokujova othomathikhi, kufanele ugcine idivayisi itholakala ngaso sonke isikhathi uma kwenzeka uhlangabezana nokudlula ngokweqile kwe-opioid. Yazi usuku lokuphelelwa yisikhathi kudivayisi yakho bese ushintsha idivayisi lapho lolu suku ludlula. Bheka isixazululo kudivayisi ngezikhathi ezithile. Uma ikhambi lishintshiwe noma liqukethe izinhlayiya, shayela udokotela wakho ukuthola idivayisi entsha yomjovo.
Idivayisi yomjovo othomathikhi inohlelo lwezwi lwe-elekthronikhi olunikeza izinkomba zezinyathelo ngezinyathelo zokusetshenziswa ezimeni eziphuthumayo. Umuntu okujova i-naloxone yakho angalandela lezi zinkomba, kepha kufanele azi ukuthi akudingeki ukuthi alinde uhlelo lwezwi luqede inkomba eyodwa ngaphambi kokuqala isinyathelo esilandelayo. Futhi, kwesinye isikhathi uhlelo lwezwi kungenzeka lungasebenzi futhi umuntu angahle angazizwa izinkomba. Kodwa-ke, idivayisi isazosebenza futhi izofaka umuthi noma ngabe uhlelo lwezwi alusebenzi.
Izimpawu zokudlula ngokweqile kwe-opioid zifaka ukulala ngokweqile; ukungavuki lapho kukhulunywa ngezwi elikhulu noma lapho maphakathi nesifuba sakho uhlikihlwa ngokuqinile; ukuphefumula okungajwayelekile noma okumile; noma abafundi abancane (imibuthano emnyama enkabeni yamehlo). Uma othile ebona ukuthi uhlangabezana nalezi zimpawu, kufanele akunikeze umthamo wakho wokuqala we-naloxone emisipheni noma ngaphansi kwesikhumba sethanga lakho. Imithi ingajova ngezingubo zakho uma kunesidingo esiphuthumayo. Ngemuva kokujova i-naloxone, umuntu kufanele abize u-911 ngokushesha bese ehlala nawe futhi akubuke eduze kuze kufike usizo oluphuthumayo lwezokwelapha. Izimpawu zakho zingabuya kungakapheli imizuzu embalwa ngemuva kokuthola umjovo we-naloxone. Uma izimpawu zakho zibuya, umuntu kufanele asebenzise umshini wokujova othomathikhi omusha ukukunikeza omunye umthamo we-naloxone. Imijovo eyengeziwe inganikezwa njalo emaminithini ama-2-3 uma izimpawu zibuya ngaphambi kokuba usizo lwezokwelapha lufike.
Idivayisi yomjovo othomathikhi ngamunye oyisebenzisayo kufanele isetshenziswe kanye kuphela bese ilahlwa.Ungazami ukufaka omunye unogada obomvu endaweni yomjovo ozenzakalelayo ngemuva kokuwususa, noma ngabe awujovanga umuthi. Esikhundleni salokho faka enye idivayisi esetshenzisiwe esimweni esingaphandle ngaphambi kokulahla. Buza udokotela wakho noma usokhemisi ukuthi ungawalahla kanjani ngokuphepha amadivayisi womjovo osetshenzisiwe.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokusebenzisa umjovo we-naloxone,
- Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-naloxone injection, noma imuphi omunye umuthi, noma iziphi izithako zomjovo we-naloxone. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Imithi eminingi ethinta inhliziyo yakho noma umfutho wegazi ingakhuphula ubungozi bokuthi uzoba nemiphumela emibi kakhulu yomjovo we-naloxone. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo.
- utshele udokotela wakho uma uke waba nesifo senhliziyo, sezinso, noma sesibindi.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma uthola umjovo we-naloxone ngesikhathi sokukhulelwa, udokotela wakho angadinga ukuqapha ingane yakho engakazalwa ngokucophelela ngemuva kokuthola umuthi.
Umjovo weNaloxone ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ubuhlungu, ukushiswa, noma ubomvu endaweni yomjovo
- ukujuluka
- ukushisa noma ukushisa
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, thola ukwelashwa okuphuthumayo:
- ukushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okungajwayelekile
- ukubona izinto noma ukuzwa amazwi angekho (ukusangana)
- ukulahlekelwa ukwazi
- isithuthwane
- izimpawu zokuhoxa kwe-opiate njengokuqaqamba komzimba, isifo sohudo, ukushaya kwenhliziyo okusheshayo, umkhuhlane, ikhala eligijimayo, ukuthimula, ukujuluka, ukuzamula, isicanucanu, ukuhlanza, ukwethuka, ukungahlaliseki, ukucasuka, ukuqhaqhazela noma ukuqhaqhazela, amajaqamba esiswini, ubuthakathaka, nokubukeka kwezinwele esikhumbeni sime emaphethelweni
- ukukhala ngaphezu kokujwayelekile (ezinganeni eziphathwe ngomjovo we-naloxone)
- enamandla ukwedlula ukucabanga okujwayelekile (ezinganeni eziphathwe ngomjovo we-naloxone)
Umjovo weNaloxone ungadala eminye imiphumela emibi. Tshela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola lo muthi.
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina umshini wokujova othomathikhi ekamelweni lokushisa kude nokukhanya. Uma unogada obomvu esusiwe, lahla ngokuphepha insiza yokujova okuzenzakalelayo.
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
- UNarcan®¶
- I-Evzio®
- N-Allylnoroxymorphone IHydrochloride
¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.
Kugcine ukubuyekezwa - 02/15/2016