I-Naloxone Nasal Spray

-Delile

• Ukunikeza i-inhaler, landela lezi zinyathelo:
• Ngaphambi kokuthola isifutho samakhala se-naloxone,
• Isifutho seNaloxone nasal singadala 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:

I-Naloxone nasal spray isetshenziswa kanye nokwelashwa okuphuthumayo ukuguqula imiphumela esongela impilo ye-opiate eyaziwayo noma esolwayo (i-narcotic). I-Naloxone nasal spray isesigabeni semithi ebizwa ngama-opiate antagonists. Isebenza ngokuvimba imiphumela yama-opiate ukukhulula izimpawu eziyingozi ezibangelwa amazinga aphezulu ama-opiates egazini.

INaloxone iza njengesisombululo (uketshezi) ukufafaza amakhala. Imvamisa inikezwa lapho kudingeka ukwelapha ama-opiate overdoses. Isifutho ngamakhala ngasinye se-naloxone siqukethe umthamo owodwa we-naloxone futhi kufanele sisetshenziswe kanye kuphela.

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 i-naloxone nasal spray, 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 nesifutho samakhala. Buza usokhemisi wakho ukuthola imiyalo noma vakashela iwebhusayithi yomkhiqizi ukuthola imiyalo.

Kufanele ugcine isifutho samakhala sitholakala ngaso sonke isikhathi uma kwenzeka uhlangabezana nokudlula ngokweqile kwe-opioid. Qaphela usuku lokuphelelwa yisikhathi kudivayisi yakho bese ushintsha isifutho lapho lolu suku ludlula.

Isifutho se-Naloxone nasal asikwazi ukuguqula imiphumela yama-opiate athile afana ne-buprenorphine (Belbuca, Buprenex, Butrans) kanye ne-pentazocine (Talwin) futhi ingadinga imithamo eyengeziwe ye-naloxone nge-nasal spray ngaso sonke isikhathi.

Izimpawu zokudlula ngokweqile kwe-opioid zifaka ukulala ngokweqile, ukungavuki lapho kukhulunywa ngezwi elikhulu noma lapho maphakathi nesifuba sakho kuhlikihlwa ngokuqinile, ukungajulile noma ukumisa ukuphefumula, noma abafundi abancane (imibuthano emnyama enkabeni yamehlo). Uma othile ebona ukuthi uhlangabezana nalezi zimpawu, kufanele akunikeze umthamo wakho wokuqala we-naloxone bese ushayela u-911 ngokushesha. Ngemuva kokuthola isifutho samakhala se-naloxone, umuntu kufanele ahlale nawe akubuke eduze kuze kufike usizo oluphuthumayo lwezokwelapha.

Ukunikeza i-inhaler, landela lezi zinyathelo:

1. Beka umuntu emhlane ukunikeza umuthi.
2. Susa i-naloxone nasal spray kusuka ebhokisini. Hlanza ithebhu ukuvula isifutho.
3. Ungafaki kuqala isifutho samakhala ngaphambi kokuyisebenzisa.
4. Bamba isifutho samakhala se-naloxone ngesithupha sakho phansi kweplunger neminwe yakho yokuqala naphakathi nhlangothi zombili zombhobho.
5. Ngenisa ngobumnene ichopho lombhobho emakhaleni owodwa, kuze kube yilapho iminwe yakho ohlangothini ngalunye lombhobho iphikisana nezansi kwekhala lomuntu. Nikeza ukusekelwa ngemuva kwentamo yomuntu ngesandla sakho ukuze uvumele ikhanda libuyele emuva.
6. Cindezela i-plunger ngokuqinile ukukhipha umuthi.
7. Susa umbhobho wesifutho wamakhala emakhaleni ngemuva kokunikeza umuthi.
8. Phendulela umuntu ohlangothini lwabo (indawo yokutakula) bese ubiza usizo lwezokwelapha oluphuthumayo ngokushesha ngemuva kokunikeza umthamo wokuqala we-naloxone.
9. Uma umuntu engaphenduli ngokuvuka, ukukhuluma noma ukuthinta, noma ukuphefumula ngokujwayelekile noma aphendule bese ebuyela emuva, nikeza omunye umthamo. Uma kudingeka, nikeza imithamo eyengeziwe (uphinda izinyathelo 2 kuye ku-7) njalo emaminithini amabili kuya kwamathathu emakhaleni angaguquki ngesifutho samakhala esisha isikhathi ngasinye kuze kufike usizo oluphuthumayo lwezokwelapha.
10. Faka isifutho namakhala esetshenzisiwe emuva esitsheni futhi lapho izingane zingafinyeleleki khona uze ukwazi ukusilahla ngokuphepha.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthola isifutho samakhala se-naloxone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-naloxone, noma imiphi eminye imishanguzo, noma ezinye izithako ze-naloxone nasal spray. Buza usokhemisi wakho 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 ngokusebenzisa i-naloxone nasal spray. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo.
• utshele udokotela wakho uma uke waba nesifo senhliziyo noma wake waba naso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma uthola i-naloxone nasal spray ngesikhathi sokukhulelwa, udokotela wakho angadinga ukuqapha ingane yakho engakazalwa ngokucophelela ngemuva kokuthola umuthi.

Isifutho seNaloxone nasal singadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukoma kwamakhala, ukuvuvukala kwamakhala, noma ukuminyana
• ubuhlungu bemisipha

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, thola ukwelashwa okuphuthumayo:

• izimpawu zokuhoxa kwe-opiate njengokuqaqamba komzimba, isifo sohudo, ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile, umkhuhlane, ikhala eligijimayo, ukuthimula, ukujuluka, ukuzamula, isicanucanu, ukuhlanza, ukwethuka, ukungahlaliseki, ukucasuka, ukuqhaqhazela, ukuthuthumela, isisu, ubuthakathaka, ukuvela kwezinwele esikhumbeni kumile ekugcineni
• isithuthwane
• ukulahlekelwa ukwazi
• ukukhala ngaphezu kokujwayelekile (ezinganeni eziphathwe nge-naloxone nasal spray)
• enamandla ukwedlula ukucabanga okujwayelekile (ezinganeni eziphathwe nge-naloxone nasal spray)

Isifutho se-naloxone nasal singadala eminye imiphumela emibi. Shayela 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. Ukugcine ekamelweni lokushisa kude nokukhanya, ukushisa okweqile nomswakama (hhayi endlini yangasese). Ungafaki iqhwa lesifutho se-naloxone.

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

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.

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