Fentanyl

-Delile

• Yenzelwe ini
• Isetshenziswa kanjani
• 1. Isiqephu seTransdermal
• 2. Isixazululo somjovo
• Ngubani ongafanele asebenzise
• Imiphumela emibi engaba khona

I-Fentanyl, eyaziwa nangokuthi i-fentanyl noma i-fentanyl, umuthi osetshenziselwa ukudambisa ubuhlungu obungapheli, ubuhlungu obukhulu kakhulu noma obusetshenziselwa ukwengeza i-anesthesia ejwayelekile noma yendawo noma ukulawula izinhlungu zangemva kokuhlinzwa.

Le nto itholakala nge-transdermal patch, ngemithamo ehlukahlukene, futhi ingasetshenziswa ngumuntu noma ifakwe ngomjovo, eyokugcina kufanele ilawulwe ngungoti wezempilo.

Yenzelwe ini

I-Transdermal adhesive fentanyl iyisidakamizwa esikhonjiswe ekwelapheni ubuhlungu obungapheli noma ubuhlungu obunzima kakhulu obudinga i-opioid analgesia futhi abungelashwa ngokuhlanganiswa kwe-paracetamol ne-opioid, i-non-steroidal analgesics noma ne-opioid yesikhashana.

I-fentanyl enomjovo ikhonjiswa lapho kunesidingo esikhathini esisheshayo sangemva kokuhlinzwa, ukuze isetshenziswe njengengxenye ye-analgesic noma yokunciphisa i-anesthesia ejwayelekile kanye nokwengeza i-anesthesia yendawo, yokuphathwa ngokuhlanganyela ne-neuroleptic in premedication, ukuze isetshenziswe njenge-ejenti eyodwa yokubulala izinzwa ene-oxygen engcupheni ethile yobungozi iziguli, kanye nokuphathwa kwe-epidural ukulawula ubuhlungu be-postoperative, isigaba se-cearean noma okunye ukuhlinzwa kwesisu. Funda kabanzi mayelana ne-epidural anesthesia.

Isetshenziswa kanjani

I-posology ye-fentanyl incike kwifomu lokulinganisa elisetshenziswayo:

1. Isiqephu seTransdermal

Kukhona imithamo eminingana yama-transdermal patches atholakalayo, angakhishwa i-12, 25, 50 noma i-100 mcg / ihora, ngamahora angama-72. Umthamo obekiwe uncike ekuqineni kobuhlungu, isimo somuntu jikelele kanye nemithi esivele ithathiwe ukudambisa izinhlungu.

Ukufaka isichibi, khetha indawo yesikhumba ehlanzekile, eyomile, engenaboya, eqinile esifubeni esingenhla noma engalweni noma emuva. Ezinganeni kufanele ibekwe emhlane ongenhla ukuze angazami ukuyisusa. Uma isifakiwe, ingaxhumana namanzi.

Uma isichibi siphuma ngemuva kwesikhathi esithile sokusetshenziswa, kodwa ngaphambi kwezinsuku ezi-3, kufanele silahlwe ngokufanele futhi sifakwe isichibi esisha endaweni ehlukile kunaleso sangaphambilini bese wazisa udokotela. Ngemuva kwezinsuku ezintathu, okunamathelayo kungasuswa ngokuligoqa kabili ngohlangothi lokunamathisela ngaphakathi bese ulilahla ngokuphepha. Ngemuva kwalokhu, ukunamathela okusha kungasetshenziswa ngokuya ngemiyalelo yokupakisha, ukugwema indawo efanayo neyangaphambili. Usuku lokubeka okunamathiselwe kufanele luphawulwe ngaphansi kwephakeji.

2. Isixazululo somjovo

Lo muthi ungalawulwa yi-epidural, intramuscular noma umthambo, nguchwepheshe wezempilo, ngokuya ngesibonakaliso sikadokotela.

Ezinye zezinto okufanele zicatshangelwe ekunqumeni umthamo ofanele kufanele zifake phakathi iminyaka yomuntu, isisindo somzimba, isimo somzimba nesimo se-pathological, ngaphezu kokusetshenziswa kweminye imithi, uhlobo lwe-anesthesia oluzosetshenziswa kanye nenqubo yokuhlinzwa.

Ngubani ongafanele asebenzise

Lo muthi uphikisiwe kubantu abane-hypersensitivity kunoma yiziphi izingxenye ezikhona kwifomula noma kwamanye ama-opioid.

Ngaphezu kwalokho, akufanele futhi isetshenziswe ngabesifazane abakhulelwe, abancelisayo noma ngesikhathi sokubeletha, ngaphandle kwalapho kunconywa udokotela.

Imiphumela emibi engaba khona

Imiphumela emibi ejwayelekile engenzeka ngokusetshenziswa kwe-transdermal patch kubantu abadala ukuqwasha, ukozela, isiyezi, isicanucanu, ukuhlanza nokuphathwa ikhanda. Ezinganeni, imiphumela emibi kakhulu engaba khona yikhanda, ukuhlanza, isicanucanu, ukuqunjelwa, isifo sohudo nokunwaya okwenziwe ngokubanzi.

Imiphumela emibi kakhulu engenzeka ngokusetshenziswa kwe-fentanyl ejojoweyo isicanucanu, ukuhlanza nokuqina kwemisipha.