Mankhwala opangidwa ndi khungu amathandiza kupweteka kwa kanthawi kochepa komanso kupweteka kosalekeza, ndipo akagwiritsidwa ntchito bwino akhoza kupereka kupweteka kwakukulu. Mabala a zopweteka ndi otchuka kwambiri kwa anthu omwe sangathe kulekerera mankhwala oyankhula pamlomo chifukwa cha kupsa mtima, zilonda, kapena zifukwa zina.
Mofanana ndi mankhwala onse, zoopsa zimagwiritsidwa ntchito pogwiritsa ntchito zopweteka zapweteka, ndipo ziyenera kugwiritsidwa ntchito monga momwe adalembedwera ndi wotsogolere wathanzi.
Mmene Mungagwiritsire Ntchito Ma Patches Opuma Mavuto
Odwala ayenera kusamba m'manja asanayambe kugwiritsira ntchito chigamba kuti asawononge mankhwalawa komanso kuti mankhwalawa asagwiritsidwe ntchito kumalo osatetezeka monga maso kapena pakamwa.
Zovala zopweteka ziyenera kugwiritsidwa ntchito khungu lomwe sathyoledwa, kudula kapena kudulidwa. Nthaŵi zina, chigamba chingayambitse kupsa mtima, maliseche kapena kutentha komwe kumagwiritsidwa ntchito. Zotsatira zoipa izi nthawi zambiri zimakhala zofewa ndikupita patatha maola angapo.
Mavuto akhala akugwiritsidwa ntchito pogwiritsira ntchito mapepala omwe adulidwa kuti agwiritse ntchito mlingo wawung'ono wa mankhwala. Nsalu siziyenera kudulidwa, ndipo odwala sayenera kugwiritsa ntchito chigamba chopweteka chomwe chatsekedwa, chatsekedwa, kapena kuwonongeka pokhapokha atapatsidwa chithandizo ndi dokotala wawo.
Mofanana ndi mankhwala onse, mapepala amafunika kusungidwa kwa ana ndi ziweto. Njira yabwino yothetsera chigamba ndikutipukuta pakati. Chigwiritsiro chogwiritsidwa ntchito chiyenera kutayidwa kutali komwe ana ndi ziweto sangathe kuyanjana nazo.
Mitundu Yamatundumitundu Opweteka
Flector (diclofenac epolamine) : Pa mitundu itatu yomwe amagwiritsidwa ntchito kwambiri popanga mankhwala opweteka, ndiye kuti Flector ndi mankhwala osokoneza bongo (NSAID), omwe amapanga aspirin, Advil ndi Motrin (ibuprofen), ndi Aleve ndi Naprosyn ( naproxen). Mankhwalawa amalembedwa kuti amve kupweteka kwa kupopera, kupweteka kwa minofu kapena kuvulala kochepa.
Chigambacho chingagwiritsidwe ntchito pafupi ndi dera lomwe lavulala ngati palibe khungu losweka. Monga NSAID zina, pali vuto lina la mavuto a mtima-kuphatikizapo matenda a mtima kapena odwala stroke-odwala omwe amagwiritsa ntchito Flector. Palinso chiopsezo chokwiyitsa, kutupa kapena kutaya magazi m'mimba kapena kwinakwake m'matumbo, ngakhale kuti pangakhale pangozi ya Flector kusiyana ndi NSAID zamlomo.
Lidoderm (lidocaine): Mankhwalawa ndi mankhwala am'deralo omwe nthawi zambiri amaperekedwa kwa odwala omwe amamva ululu wa shingles (post-herpetic neuralgia). Iyenera kugwiritsidwa ntchito pafupi ndi dera limene ululu uli waukulu kwambiri, kokha ngati khungu latha. Lidoderm imagwiritsidwanso ntchito ndi odwala ena chifukwa cha ululu wamagulu. Chigambachi chingagwiritsidwe ntchito pazowonjezera zomwe zimapweteka.
Duragesic (fentanyl): Mankhwalawa amagwiritsidwa ntchito pochiza kupweteka kosautsa. Zomwe zimapezeka ngati mankhwala osokoneza bongo, fentanyl ndi mankhwala opweteka kwambiri opioid ndipo ayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi nthawi yaitali, ululu wopweteka kwambiri pambuyo pa mankhwala ena opweteka, kuphatikizapo opioid ena, ayesedwa. Sichifukwa cha kupweteka kwafupipafupi, kupweteka mutu, kapena kupweteka pambuyo pa opaleshoni kapena njira zamano.
Pali zotheka kuti thupi la munthu likhale lolekerera fentanyl; palinso kuthekera kwauchidakwa, ngakhale mutagwiritsidwa ntchito bwino, fentanyl ikhoza kupereka mpumulo wotetezeka komanso wogwira mtima.
Dokotala yemwe akufotokoza fentanyl ayenera kuphunzitsa wodwalayo pogwiritsira ntchito chitetezo chake ndipo ayenera kuyang'anitsitsa odwala akugwiritsa ntchito.
Mu 2005, a FDA adachenjeza za chitetezo cha fentanyl patch. Chenjezo lina linatulutsidwa mu 2007 pambuyo pa kuchulukanso kwa kuchulukanso kwa ngozi. Kuchulukanso kwachitika pamene chigwiritsiro chimodzi chogwiritsidwa ntchito pa nthawi ndi pamene wosakhala wodwala-monga mwana-mwachisawawa amakumana ndi chigamba. Mu 2012, a FDA adakumbutsanso machenjezo okhudza fentanyl patches ana ambiri atamwalira mwadzidzidzi. Mu 2013, a FDA amafuna mtundu kusintha kwa zolembera pa Fentanyl mapepala kuti iwo mosavuta kuona.
Malingana ndi FDA:
Ana aang'ono amwalira kapena amadwala kwambiri chifukwa chodziwidwa ndi khungu la khungu lomwe lili ndi fentanyl, ululu wopweteka kwambiri. .... Kupitirira kwa fentanyl-komwe kumayambitsa mwanayo akaika chigambacho pakamwa pake kapena kuchigwiritsira ntchito khungu-kungayambitse imfa mwa kuchepetsa kupuma ndi kuonjezera magawo a carbon dioxide m'magazi.
Kutentha kumatha kuonjezera mlingo wa fentanyl woperekedwa ndi chigamba. Ngakhale chigambachi chikhoza kuvala pamene akusamba, yaitali, otentha kapena madzi osambira akhoza kuwonjezera chiopsezo chowonjezera; mabotolo otentha, mabulangete a magetsi, kutuluka kwa dzuwa kwa nthawi yayitali komanso mapepala otentha ayenera kupewedwanso.
Pamapeto pake, mmanja olakwika kapena ngati osagwiritsidwa ntchito moyenera, fentanyl zikopa zingakhale zoopsa.
Mawu Ochokera
Ngati muli ndi mafunso okhudza kugwiritsa ntchito, mphamvu, kapena chitetezo cha zowawa zopweteka chonde funsani zodandaulazi ndi dokotala wanu. Ngakhale zopweteka zopweteka ndizofunikira, zimayenera kugwiritsidwa ntchito mosamala, moyenera, komanso pansi pa chitsogozo cha dokotala wanu. Ndikofunika kwambiri kuti tisamapweteke kwambiri ndi ana komanso ziweto.
Zotsatira:
"Fentanyl: Kudziwa mankhwala osokoneza bongo." Yandikirani kwa Odwala. 2009.
"Flector Patch." fda.gov. Jul 2005. Utsogoleri wa Zakudya ndi Zamankhwala.
"Lidoderm." fda.gov. Apr. 2006. Ulamuliro wa Zakudya ndi Zamankhwala.
Kugwiritsira Ntchito Moyenera Fentanyl Pain Patches. " fda.gov. Mar. 2006. Ulamuliro wa Zakudya ndi Zamankhwala.
"Transdermal Patches: Kudula kapena Kudula." Oregon DUR Board News 10.8 Nov. 2008