Ma fentanyl Maonekedwe ndi Zoopsa Zodziwika za Fentanyl Ntchito
Kodi Fentanyl N'chiyani?
Fentanyl ndi mankhwala opweteka omwe amagwiritsidwa ntchito kawirikawiri atatha opaleshoni. Fentanyl ndi opioid analgesic, mankhwala opweteka ofanana ndi Morphine koma pafupifupi 100 mphamvu. Ndilo mankhwala olamulidwa ndipo amafuna mankhwala kuchokera kwa dokotala.
Fentanyl amadziwika kuti Fentanyl Citrate, Sublimaze, Actiq, Duragesic, Fentora ndi Matrifen.
Zapatsidwa Motani?
Fentanyl imapezeka m'njira zosiyanasiyana. Mu chipatala, Fentanyl imaperekedwa mobwerezabwereza ngati jekeseni wa IV kapena kuvina kwa IV. Mankhwalawa angaperekedwe ndi papepala ya PCA (Patient Controlled Analgesia) , kumene wodwalayo akunyamula batani kuti akhale ndi mankhwala ochepa opweteka omwe amaperekedwa kudzera mwa IV.
Kwa odwala omwe amatenga Fentanyl kunyumba, kachilombo ka transdermal kangakhoze kuvala, komwe kumapereka mankhwala kudzera pakhungu. Kwa odwala khansa, Actiq, "lollipop" ilipo kuti apereke mankhwala pamlomo. Pilisi yamagulu, mankhwala omwe amasungunuka pakamwa pakati pa tsaya ndi chingamu, imapezekanso.
Mlingo
Mankhwala a Fentanyl kwambiri okhudzana ndi chifukwa cha ululu, kutalika kwa kugwiritsidwa ntchito ndi kulekerera wodwalayo angakhale ndi mankhwala opweteka. Fentanyl ndi mankhwala opweteka kwambiri, choncho, odwala ambiri sangakhale oyenerera Fentanyl chigamba kapena Actiq lollipops pamene akuyenera odwala omwe amalekerera Fentanyl kapena mankhwala ena opweteka opioid.
Ngozi
Fentanyl, monga mankhwala ambiri a opioid, angayambitse kupuma. Izi zikutanthauza kuti kupuma kupuma kungachepe kwambiri. Zotsatirazi zingathe kukhalapo kwautali kuposa momwe zimathandizira kupweteka, kuzipangitsa kukhala kofunikira kudziwa nkhani iliyonse yopuma kupuma musanayambe kumwa mankhwala ena. Fentanyl sayenera kutengedwa ndi mankhwala ena opweteka popanda dokotala, ndipo sayenera kumwa mowa.
Pali chiopsezo choyipa pamene mutenga Fentanyl kwa nthawi yaitali. Pogwiritsidwa ntchito bwino, odwala ambiri samakhala ndi chizoloŵezi chogonjetsa kapena mankhwala ochotsera thupi pamene mankhwalawa sakugwiritsanso ntchito.
Zotsatira Zotsatira
- Kusokonezeka maganizo kwa kupuma
- Kutsekedwa
- Mlomo Wouma
- Chizungulire
- Kugona
Mlingo Wa Nthawi
Mankhwala a Fentanyl amasiyana kwambiri pogwiritsa ntchito njira yoberekera komanso chifukwa cha mankhwala. Fentanyl ndi yamphamvu kwambiri, choncho mlingo woyambirira ndi wochepa kwambiri, mwachitsanzo, nthawi yaying'ono ya IV imakhala yochepa .05 mpaka .1 mg. Komabe, kwa odwala nthawi yaitali, monga odwala khansa, mlingo wa mankhwalawa ukhoza kupitirira .8 mg pa tsiku. 0.1 mg wa Fentanyl ndi ofanana ndi 10 mg wa Morphine.
Kuda nkhawa Kwambiri
Monga mankhwala aliwonse a opioid, Fentanyl ali ndi mphamvu zowonongeka ndi kuzunzidwa. Fentanyl ndi yolimba kwambiri poyerekeza ndi ma opioid ena monga morphine, ndipo pamene mankhwala osokoneza bongo amayamba ndi Fentanyl mwayi wochulukanso ukuwonjezeka kwambiri. Kuonjezera apo, nthawi zambiri zimagwirizanitsidwa ndi heroin, kuonjezera "pamwamba" zomwe zimagwira ntchito. Kusakanikirana kumeneku kumapangitsa kuti munthu adziwonongeke, makamaka ngati sakudziwa kuti Fentanyl alipo ndipo amatenga "dose" ya heroin.
Mofanana ndi ma opioids ena, Narcan angaperekedwe kuletsa ndi kubwezeretsa zotsatira za kuwonjezereka kwa Fentanyl. Mankhwala a Fentanyl ndi ovuta kwambiri kwa odwala omwe akugwiritsa ntchito mankhwalawa monga momwe amalembera m'malo mowapeza mosavomerezeka, monga momwe wodwala amagwiritsira ntchito Fentanyl kupweteka kwa zaka zambiri akamamwa mankhwala opweteka aakulu. Izi zinati, mosasamala kanthu momwe wodwalayo amadzipiritsira, Narcan ayenera kuperekedwa mofulumira komanso mokwanira kuti asiye kuwonjezera pa imfa. Komanso chodetsa nkhaŵa ndicho kugwiritsa ntchito Fentanyl yakuda msika, makamaka carfentanil, yomwe imangokhumudwitsidwa kwa Fentanyl koma ndi yolimba kwambiri.
Ena amagwiritsa ntchito izo m'malo mwa heroin. Carfentanil ndi amphamvu kwambiri kuti pamene akuluakulu a ku Canada adatenga katundu wokwana kilogalamu imodzi mu 2016 iwo anaganiza kuti pali mankhwala okwanira okwanira makumi ambirimbiri.
Actiq The Fentanyl "Lollipop"
Actiq, njira ya Fentanyl yomwe imayamwa ngati chong'onong'ono, yapangidwa kuti igwiritsidwe ntchito ndi khansa omwe ali ndi ululu waukulu. Actiq si yoyenera kwa aliyense, odwala okha omwe asonyeza kupirira kwa mankhwala opioid ofanana ndi 60 mg wa morphine patsiku ayenera kugwiritsa ntchito njira iyi ya Fentanyl yobereka.
Actiq ili ngati mawonekedwe a phokoso, komabe imapereka mlingo wa mankhwala omwe angawononge akuluakulu, makamaka ana, omwe sali ndi mankhwala opioid. Pachifukwachi, makiti otetezera ana amapezeka kuti ateteze mwangozi mankhwala awa kuchokera kwa opanga actiq. Kuti mupeze kachipangizo kachitetezo cha ana anu a Actiq, funsani 1-888-534-3119 kuti mupange pempho lanu.
Duragesic Fentanyl P atch
Chigawo cha Duragesic Fentanyl chinapangidwa kuti chikhale ndi mlingo wapadera wa Fentanyl pa masiku atatu. Pogwiritsidwa ntchito motsatira ndondomeko, ndi kuchotsedwa malinga ndi malangizo, chigambacho chili ndi zambiri za Fentanyl. Pachifukwa ichi, nkofunika kuti zikhomo zimatayidwa pamalo omwe ana ndi ziweto sangathe kuzipeza. Wopanga chigambacho amalimbikitsa kuti azigwiritsira ntchito mapepala ogwiritsira ntchito pansi pa chimbuzi.
Kudula kapena kusintha chigamba kungayambitse fentanyl. Musagwiritse ntchito chigamba chosasunthika, kapena kusunthira chigamba kuchokera kumalo ena a thupi kupita ku wina pambuyo pa ntchito, chifukwa izi zingawononge umphumphu wa chigambacho.
Zotsatira:
Fentanyl. National Institute on Abuse. Inapezeka mu July 2009. http://www.drugabuse.gov/drugpages/fentanyl.html