Ukukhulelwa nama-opioid

-Delile

• Isifinyezo
• Yini ama-opioid?
• Ziyini izingozi zokuphuza ama-opioid ngesikhathi sokukhulelwa?
• Uma sengivele ngithatha ama-opioid futhi ngikhulelwa, yini okufanele ngiyenze?
• Ngingancelisa yini ibele ngenkathi ngithatha ama-opioid?
• Yikuphi ukwelashwa kokuphazamiseka kokusebenzisa i-opioid ekukhulelweni?

Isifinyezo

Abesifazane abaningi badinga ukuthatha imishanguzo ngenkathi bekhulelwe. Kodwa akuyona yonke imithi ephephile ngesikhathi sokukhulelwa. Imithi eminingi inobungozi kuwe, enganeni yakho, noma kokubili. Ama-opioid, ikakhulukazi uma esetshenziswa kabi, angadala izinkinga kuwe nasenganeni yakho ngenkathi ukhulelwe.

Yini ama-opioid?

Ama-opioid, kwesinye isikhathi abizwa ngokuthi ama-narcotic, awuhlobo lomuthi. Kubandakanya ukudambisa izinhlungu okuqinile kadokotela, njenge-oxycodone, i-hydrocodone, i-fentanyl, ne-tramadol. Iheroin yezidakamizwa engekho emthethweni nayo iyi-opioid.

Umhlinzeki wezokunakekelwa kwempilo angakunika i-opioid kadokotela ukunciphisa izinhlungu ngemuva kokulimala noma ukuhlinzwa okukhulu. Ungabathola uma unezinhlungu ezinzima ezivela ezimeni zezempilo njengomdlavuza. Abanye abahlinzeki bezempilo babanikeza izinhlungu ezingapheli.

Ama-opioid kadokotela asetshenziselwa ukudambisa izinhlungu ngokuvamile aphephile uma ethathwa isikhashana futhi njengoba kuchazwe umhlinzeki wakho wezokunakekelwa kwempilo. Kodwa-ke, ukuncika kwe-opioid, ukulutha umlutha, nokudlula ngokweqile kusengaba izingozi ezingaba khona. Lezi zingozi ziyanda lapho le mithi isetshenziswa kabi. Ukusetshenziswa kabi kusho ukuthi awuthathi imithi ngokwemiyalo yomhlinzeki wakho, uyisebenzisela ukukhuphuka, noma uthatha ama-opioid womunye umuntu.

Ziyini izingozi zokuphuza ama-opioid ngesikhathi sokukhulelwa?

Ukuthatha ama-opioid ngesikhathi sokukhulelwa kungadala izinkinga kuwe nasenganeni yakho. Izingozi ezingaba khona zifaka phakathi

• I-Neonatal abstinence syndrome (NAS) - izimpawu zokuhoxa (ukucasuka, ukuquleka, ukuhlanza, isifo sohudo, umkhuhlane nokungondli kahle) ezinganeni ezisanda kuzalwa
• Iziphambeko ze-Neural tube - ukukhubazeka kokuzalwa kobuchopho, umgogodla, noma umgogodla
• Ukukhubazeka kwenhliziyo okuzalwa - izinkinga ngesakhiwo senhliziyo yengane
• I-Gastroschisis - ukukhubazeka kokuzalwa kwesisu sengane, lapho amathumbu anamathela ngaphandle komzimba ngembobo eseceleni kwenkinobho yesisu
• Ukulahlekelwa yingane, kungaba ukuphuphunyelwa yisisu (ngaphambi kwamasonto angama-20 ekhulelwe) noma ukuzala ingane ifile (ngemuva kwamasonto angama-20 noma ngaphezulu)
• Ukulethwa ngaphambi kwesikhathi - ukuzalwa ngaphambi kwamasonto angama-37
• Ukukhula okumile, okuholela ekukhuleni kokuzalwa okuphansi

Abanye besifazane badinga ukuthatha umuthi wezinhlungu ze-opioid ngenkathi bekhulelwe. Uma umhlinzeki wakho wezokunakekelwa kwempilo esikisela ukuthi uthathe ama-opioid ngesikhathi sokukhulelwa, kufanele uqale uxoxe ngobungozi nezinzuzo. Lapho-ke uma nobabili ninquma ukuthi nidinga ukuthatha ama-opioid, kufanele nisebenzisane ukuzama ukunciphisa izingozi. Ezinye zezindlela zokwenza lokhu zifaka phakathi

• Ukuwathatha ngesikhathi esifushane ngangokunokwenzeka
• Ukuthatha umthamo ophansi kakhulu ozokusiza
• Ukulandela ngokucophelela imiyalo yomhlinzeki wakho yokuthatha imithi
• Ukuxhumana nomhlinzeki wakho uma unemiphumela engemihle
• Iya kuwo wonke ama-aphoyintimenti akho wokulandelela

Uma sengivele ngithatha ama-opioid futhi ngikhulelwa, yini okufanele ngiyenze?

Uma ngabe uphuza ama-opioid futhi ukhulelwa, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo. Akufanele uyeke ukuthatha ama-opioid uwedwa. Uma ngokungazelelwe uyeka ukuthatha ama-opioid, kungadala izinkinga ezinkulu zempilo kuwe noma enganeni yakho. Kwezinye izimo, ukuma ngokuzumayo ngesikhathi sokukhulelwa kungaba yingozi kunokuthatha imithi.

Ngingancelisa yini ibele ngenkathi ngithatha ama-opioid?

Abesifazane abaningi abahlala bephuza imishanguzo ye-opioid bangancelisa. Kuya ngokuthi yimuphi umuthi owudlayo. Buza kumhlinzeki wakho wezempilo ngaphambi kokuncelisa.

Kunabanye besifazane okungafanele bancelise ibele, njengalabo abane-HIV noma abadla izidakamizwa ezingekho emthethweni.

Yikuphi ukwelashwa kokuphazamiseka kokusebenzisa i-opioid ekukhulelweni?

Uma ukhulelwe futhi unenkinga yokusebenzisa i-opioid, ungayeki ukuthatha ama-opioid ngokungazelelwe. Esikhundleni salokho, bheka umhlinzeki wakho wezempilo ukuze uthole usizo. Ukwelashwa kokuphazamiseka kokusebenzisa i-opioid ukwelashwa okusizwa ngemithi (MAT). I-MAT ifaka umuthi nokwelulekwa:

• Umuthi kunganciphisa izifiso zakho kanye nezimpawu zokuhoxa. Kwabesifazane abakhulelwe, abahlinzeki bezempilo basebenzisa i-buprenorphine noma i-methadone.
• Ukwelulekwa, kufaka phakathi izindlela zokwelashwa, ezingakusiza
• Shintsha isimo sakho sengqondo nokuziphatha kwakho okuhlobene nokusetshenziswa kwezidakamizwa
• Yakha amakhono empilo enempilo
• Qhubeka uphuze umuthi wakho futhi uthole ukunakekelwa ngaphambi kokubeletha

• I-NIH Study Links Opioids Ekulahlekelweni Kokukhulelwa