He aha te werohanga Methadone: Ngā whakamahinga, te horopeta, ngā pānga taha me ētahi atu

Ko te werohanga Methadone he rongoā opioid kaha e tukuna tika ana ki roto i ō uaua, i ō uaua rānei e ngā tākuta. Ko tēnei momo methadone e whakamahia ana i roto i ngā hōhipera, i ngā wāhi rongoā motuhake rānei, ina kore e taea e koe te tango rongoā waha, e hiahia ana rānei koe ki te whakamaarama mamae tonu.

Ahakoa e mōhiotia ana e te nuinga o te tangata te methadone hei rongoā waha mō te rongoā waranga opioid, he whāinga rongoā motuhake te puka werohanga. He matū whakahaere e hiahia ana ki te tirotiro rongoā tupato nā te kaha me te whai wāhitanga mō ngā pānga taha kino.

He aha te werohanga Methadone?

Ko te werohanga Methadone he rongoā opioid waihanga e tukuna tika ana ki tō tinana mā te ngira. E whakamahia ana tēnei tikanga e ngā kaiwhakarato hauora ina kore e taea te rongoā waha, e kore rānei e whai hua mō tō āhuatanga.

He tere ake te mahi a te puka werohanga i ngā pire nā te mea e karo ana i tō pūnaha kūnatu katoa. Ka ngongo tonu tō tinana i te rongoā mā tō toto, e whakarato ana i te whakamaarama tere ake ina hiahiatia. Nō reira he tino whai hua i ngā āhuatanga ohorere, i te wā rānei e kore e taea e koe te horo rongoā.

Kāore i rite ki ngā rongoā tiriti, ka āta ine, ka whakahaerehia te werohanga methadone rongoā e ngā tāngata whai mātauranga. Ka tino whakahaerehia te horopeta me te wā hei whakarite i tō haumaru i te wā e whakarato ana i ngā pānga rongoā e hiahia ana koe.

He aha te werohanga Methadone e whakamahia ana?

Ko te werohanga Methadone e whakamahia ana i te tuatahi mō te whakahaere mamae nui ina kore e whai hua ētahi atu rongoā. Ko te tikanga ka rahuitia e ngā tākuta tēnei puka mō ngā āhuatanga rongoā motuhake e kore e tika ana ngā rongoā waha.

Ko ngā take tino noa ka whiwhi koe i te werohanga methadone ko te mamae mau tonu nui kāore i aro ki ētahi atu rongoā, ngā āhuatanga e kore e taea e koe te tango rongoā waha nā te pokanga, te mate rānei, me te whakahaere mamae ohorere i ngā wāhi hōhipera.

I ētahi hōtaka rongoā waranga motuhake, ka whakamahi pea ngā kaiwhakarato hauora i te methadone werohia i te wā e kore e taea te horopeta waha. Heoi, he iti noa iho tēnei i te rongoā tiaki methadone waha. Ko te ara werohanga te nuinga e whakaarohia ana i te wā kua pau kē ētahi atu kōwhiringa.

Mō ngā tūroro mate pukupuku e pā ana ki te mamae pakaru, ka taea e te werohanga methadone te whakatau i te mamae i te wā e kore e tika te mimiti o ngā rongoā waha. Ka pēnei pea i te wā o te rongoā matū i te wā e ārai ana te whakapairuaki me te ruaki i te pupuri i ngā rongoā waha.

Me pēhea te mahi a te werohanga Methadone?

Ko te werohanga Methadone he rongoā opioid kaha e mahi ana mā te here ki ngā kaiwhiwhi motuhake i tō roro me tō tuaiwi. Ko ēnei kaiwhiwhi, e kiia ana ko ngā kaiwhiwhi opioid, e whakahaere ana i te āhua o te kite me te urupare a tō tinana ki ngā tohu mamae.

I te wā e piri ana te methadone ki ēnei kaiwhiwhi, ka aukati i ngā karere mamae mai i te tae ki tō roro. Ka waihanga tēnei i tētahi pānga whakaora mamae kaha e roa ake ana i ētahi atu rongoā opioid. Ko te nuinga o ngā pānga ka tīmata i roto i te 15-30 meneti i muri i te werohanga.

Ko te mea motuhake o te methadone ko tōna roa o te mahi. Ahakoa te tere o te mahi a te werohanga, ka taea e ōna pānga te roa mō te 8-12 haora, ā, i ētahi tāngata ka roa ake. Ko tēnei whakawātea roa te tikanga e kore koe e hiahia werohanga auau i te roa o te rā.

Ka pā hoki te rongoā ki te pūnaha utu o tō roro, koinei te take i whai hua ai mō te rongoā waranga. Ka āwhina i te ārai i ngā tohumate whakawātea me te whakaiti i ngā hiahia me te kore e whakaputa i te euphoria kaha e pā ana ki ētahi atu opioids i te wā e whakamahia ana i te tika.

Me pēhea taku whiwhi i te werohanga Methadone?

Ka whakahaerehia te werohanga Methadone e ngā tākuta hauora whakangungu i ngā wāhi rongoā. E kore e taea e koe, ā, kaua koe e ngana ki te hoatu i tēnei rongoā ki a koe anō i te kāinga.

Ka taea te werohia ki roto i tō uaua (intramuscular) rānei, ki roto tonu rānei i te uaua (intravenous), i runga i ō hiahia hauora motuhake. Mā tō kaiwhakarato hauora e whakatau te tikanga pai rawa atu i runga i tō āhua me te tere o tō hiahia ki te whakaiti i te mamae.

I mua i te whiwhinga i te werohanga, ka arotakehia e tō rōpū hauora tō hītori hauora katoa me ngā rongoā e inu ana koe i tēnei wā. Me mōhio rātou ki ngā mate pāwera, ngā raruraru manawa, me ētahi atu āhua hauora kei a koe. Mā ēnei pārongo e āwhina i a rātou ki te whakatau mēnā he haumaru te werohanga methadone mō koe.

I te wā o te werohanga, ka mātakitakihia koe mō ngā pānga kino. Ka tirohia e ngā kaiwhakarato hauora tō manawa, te tere o te ngākau, me te pēhanga toto i ngā wā katoa. Ka haere tonu tēnei mātakitaki mō ētahi hāora i muri i te werohanga nā te mea he roa te pānga o te methadone.

Me noho koe i roto i te whare hauora mō te mātakitaki i muri i te whiwhinga i te werohanga methadone. Me mōhio te rōpū hauora kei te pai tō urupare ki te rongoā, ā, kāore koe e pā ana ki ngā pānga taha kino.

Kia Pēhea te Roa o taku Whiwhinga i te Werohanga Methadone?

Ko te roa o te maimoatanga werohanga methadone e whakawhirinaki ana ki tō āhua hauora motuhake me te urupare ki te rongoā. Mā tō kaiwhakarato hauora e whakatau te roa o tō hiahia ki tēnei maimoatanga i runga i ō āhuatanga takitahi.

Mō te whakahaere mamae koi, ka whiwhi pea koe i ngā werohanga mō ētahi rā noa iho i te hōhipera. Kia taea anō e koe te inu rongoā waha, ka huri pea tō tākuta i a koe ki ngā pire, ki ētahi atu momo whakahaere mamae rānei.

I ngā take o te mamae mau tonu, ka roa pea te hōtaka werohanga, engari ka arotakehia e tō rōpū hauora i ngā wā katoa mēnā koinei te huarahi pai mō koe. Ka whakaarohia e rātou ngā āhuatanga pēnei i ō taumata mamae, ngā pānga taha, me te āhua hauora whānui.

E kore rawa tō tākuta e whakamutu ohorere i te werohanga methadone mēnā kei te whiwhi koe i te rongoā nei i ngā wā katoa. Ka hangaia e rātou he mahere whakaheke haere hei aukati i ngā tohumate whakawātea. Ko tēnei tukanga, e kīia ana ko te whakaiti haere, ka āwhina i tō tinana kia urutau haumaru ki te whakaheke i te nui o te rongoā.

He aha ngā pānga taha o te werohanga Methadone?

Ka pā mai ngā pānga taha mai i te werohanga methadone, mai i te ngawari ki te tino kino. Mā te māramatanga ki ēnei pānga ka mōhio koe ki ngā mea e tūmanakohia ana, me te wā hei rapu āwhina hauora.

Ko ngā pānga taha tino noa ka pā ki a koe ko te moe, te whakapairuaki, te pāpāpā, me te whanoke. Ko ēnei pānga te nuinga ka taea te whakahaere, ā, ka pai ake pea i te wā e urutau ana tō tinana ki te rongoā.

Ko ēnei ngā pānga taha e pā ana ki te nuinga o te tangata:

• Te moe me te ngenge
• Te whakapairuaki me te ruaki
• Te pāpāpā
• Te whanoke, te mārō rānei
• Te werawera
• Te waha maroke
• Te ānini

Ko ēnei pānga noa he wā poto noa iho, ā, ka taea te whakahaere mā te āwhina mai i tō rōpū hauora.

Ko ngā pānga taha kino rawa atu me rapu tonu i te āwhina hauora, pērā i ngā raruraru manawa, ngā tauhohenga mate pāwera nui, me ngā huringa o te manawataki. He iti noa iho ēnei, engari he mōrearea pea.

Ko ngā pānga taha kino e hiahia ana ki te āwhina ohorere ko:

• Te manawa puhoi, uaua rānei
• Te whanoke nui, te ngaro rānei
• Te manawataki kōaro
• Ngā tauhohenga mate pāwera nui (te pāwera, te pūpū, te uaua ki te manawa)
• Te rangirua, te whanonga rerekē rānei
• Ngā pōrearea

Mēnā ka pā ki a koe ēnei tohumate kino, ka mahi tonu tō rōpū hauora ki te whakarite i tō haumaru.

He raruraru onge engari he nui te kino ka puta mai i te werohanga methadone, ina koa i te wa e whakamahi ana i te wa roa. Kei roto i enei ko te pouri o te manawa (te manawa puhoi), te arrhythmia ngakau (te ngakau rereke), me nga tohu tangohanga kino mena ka mutu ohorere te rongoa.

Ko te pouri o te manawa te paanga taha onge e tino awangawanga ana, ina koa ki nga tangata e raru ana te manawa. Ka aroturukihia e to roopu hauora tenei, ina koa i nga haora tuatahi i muri i te werohanga.

Ko wai e kore e whiwhi werohanga Methadone?

Ko etahi tangata kaua e whiwhi werohanga methadone na te nui o te tupono o nga raruraru nui. Ka ata arotakehia e to kaiwhakarato hauora to hitori hauora i mua i te whakaaro ki tenei maimoatanga.

Kaua koe e whiwhi werohanga methadone mena he nui nga raruraru o te manawa, etahi mate ngakau, he mate pawera ranei ki te methadone. Ko nga tangata e mate ana i te ate nui, i nga raruraru whatukuhu ranei, me rapu ano etahi atu maimoatanga.

Ko nga ahuatanga motuhake e aukati ana i te whakamahinga o te werohanga methadone ko:

• Te mate huango nui, te mate aukati pulmonary mau tonu (COPD) ranei
• Nga mate manawataki ngakau nui
• Te mate pawera ki te methadone, ki nga rongoa rite ranei
• Te ngoikore o te ate nui
• Paralytic ileus (nga whekau kua aukatihia)
• He whara nui ki te mahunga me te piki o te pehanga roro

Ko enei ahuatanga ka nui ake te tupono o nga raruraru e whakawehi ana i te ora mai i te werohanga methadone.

Me whai whakaaro motuhake nga wahine hapu i mua i te whiwhi werohanga methadone. Ahakoa ka taea te whakamahi methadone i te wa e hapu ana mo te maimoatanga waranga, me ata arotakehia te ahua werohia. Ka whakaarohia e to roopu hauora to hauora me te haumaru o to peepi.

Me mōhio nui ngā tūroro kaumātua me ngā tāngata he maha ngā āhuatanga hauora e hiahia ana ki te werohanga methadone. Akene he nui ake te tairongo ki ngā pānga o te rongoā, ā, me iti ake ngā horopeta, me te aroturuki pinepine rānei.

Ngā Ingoa Waitohu o te Werohanga Methadone

E wātea ana te methadone werohia i raro i ētahi ingoa waitohu, ahakoa e wātea ana hoki hei rongoā whānui. Ko te ingoa waitohu e mōhiotia ana ko Dolophine, e wātea ana i roto i te puka werohia mō te whakamahi rongoā.

Ko ētahi atu ingoa waitohu mō te methadone werohia ko Methadose me ngā momo whānui. Māu e whiriwhiri e tō kaiwhakarato hauora te waitohu motuhake, te momo whānui rānei i runga i te wātea me ō hiahia rongoā.

Ko ngā hua werohanga methadone katoa kua whakaaetia e te FDA kei roto te whakauru kaha kotahi, ā, he rite te mahi. Ko te whiriwhiri i waenga i te ingoa waitohu me ngā momo whānui e whakawhirinaki ana ki ngā hiahia o tō whare hauora me ngā whakaaro utu.

Ahakoa te ingoa waitohu, me penapena me te whakahaere i ngā werohanga methadone katoa i runga i ngā tikanga rongoā tino kaha. Mā tēnei ka mōhio koe ka whiwhi koe i te horopeta haumaru me te whai hua i ngā wā katoa.

Ngā Kōwhiringa kē mō te Werohanga Methadone

He maha ngā kōwhiringa kē mō te werohanga methadone mō te whakahaere mamae me te rongoā waranga. Māu e whakaaro e tō kaiwhakarato hauora ēnei kōwhiringa i runga i ō hiahia rongoā me ō āhuatanga.

Mō te whakahaere mamae, ko ngā kōwhiringa kē ko ētahi atu opioid werohia pēnei i te morphine, fentanyl, hydromorphone rānei. He rite te mahi o ēnei rongoā engari he rerekē te roa o te mahi me ngā pānga taha.

Ko ngā kōwhiringa kē kore-opioid mō te whakahaere mamae ko:

• Ngā rongoā anti-inflammatory werohia
• Ngā poraka io ki ngā rongoā rongoā ā-rohe
• Ngā whakaurunga Ketamine mō te mamae nui
• Ngā pūmua analgesia i whakahaerehia e te tūroro (PCA)
• Ngā tikanga whakahaere mamae epidural, spinal rānei

He pai ake pea ēnei kōwhiringa i runga i te momo mamae me te hitori rongoā o tō tinana.

Mō te rongoā waranga, ko te methadone waha tonu te paerewa koura i te wā e taea ana. Ko ētahi atu kōwhiringa rongoā-āwhina ko te buprenorphine (Suboxone) me te naltrexone (Vivitrol). He rerekē te mahi a ēnei rongoā engari ka whai hua mō te rongoā waranga opioid.

Ka āwhina tō rōpū hauora i a koe ki te mārama ko ēhea kōwhiringa ka pai ake mō tō āhuatanga. Ka whakaarohia e rātou ngā āhuatanga pēnei i tō hitori rongoā, ngā rongoā e inu ana koe i tēnei wā, me ngā whāinga rongoā i te wā e whakatau ana i ngā tūtohutanga.

He Pai Ake Te Werohanga Methadone I Te Methadone Waha?

Ko te pai ake o te werohanga methadone i te methadone waha kei runga katoa i tō āhuatanga rongoā motuhake. He painga motuhake tō ia momo, ā, ka whakamahia i roto i ngā āhuatanga rerekē.

Ka tere ake te mahi a te werohanga methadone i te rongoā waha nā te mea ka karo i tō pūnaha kūnatu. Mā tēnei ka whai hua i ngā āhuatanga ohorere, i te wā rānei kāore e taea e koe te tango rongoā waha nā te whakapairuaki, te ruaki, te uaua rānei ki te horo.

Heoi, ko te methadone waha te nuinga e pai ana mō te rongoā wā-roa nā te mea he haumaru ake, he watea ake. Ka taea e koe te tango rongoā waha i te kāinga me te tirotiro hauora tika, i te mea me whai whare hauora me ngā tohunga whakangungu ngā werohanga.

Ko te momo werohanga te nuinga e rahuitia ana mō ngā āhuatanga rongoā motuhake kāore e taea te whakahaere waha, kāore rānei e whai hua. Kei roto i ēnei ko te mate nui, te whakaora pokanga, i te wā rānei kāore e pai te mahi a tō pūnaha kūnatu.

Mō te rongoā waranga, ko te methadone waha te nuinga e pai ana nā te mea ka taea te whakahaere pumau, wā-roa. He uaua te whakamahi i te momo werohanga mō te rongoā waranga engari i roto i ngā āhuatanga tino motuhake.

Ngā Pātai Auau Mō te Werohanga Methadone

He Haumaru Te Werohanga Methadone Mō Ngā Tāngata e Mate Ngākau Ana?

Me whakatūpato anō i te hunga e mate ana i te ngākau i te wā e werohia ana te methadone, nā te mea ka pā ki te manawataki o te ngākau. Ka āta arotakehia e tō tākuta tō āhua ngākau i mua i te whakaaro ki tēnei rongoā.

Mēnā he mate ngākau tōu, ka āta aroturukihia e tō rōpū hauora tō manawataki ngākau i te wā e werohia ana te methadone, me muri anō hoki. Ka whakamahia pea e rātou te electrocardiogram (EKG) hei mātakitaki i ngā huringa mōrearea i roto i te mahi hiko o tō ngākau.

Ko te hunga e mate ana i ētahi momo raruraru manawataki ngākau, otirā ko te mate QT roa, tērā pea e kore e tika mō te werohanga methadone. Ka arotakehia e tō tākuta tō hītori ngākau katoa me ngā rongoā e inu ana koe i tēnei wā, hei whakatau mēnā he haumaru tēnei rongoā mōu.

Me pēhea taku mahi mēnā ka pā mai ngā pānga kino nui i te werohanga methadone?

Mēnā ka pā mai ngā pānga kino nui i te werohanga methadone, whakamōhio tonu atu ki tō rōpū hauora. I te mea kei roto koe i tētahi whare hauora i te wā e whiwhi ana koe i te werohanga, ka wātea tonu te āwhina.

Ko ngā pānga kino nui pēnei i te uaua ki te hā, te mamae o te uma, te whanoke nui rānei, me whakatutuki tonu e te rongoā. Kua whakangungua tō rōpū hauora ki te tautohu me te rongoā i ēnei raruraru i te wā tonu.

Ka whai rongoā me ngā taputapu tō rōpū hauora hei whakatika i ngā pānga mōrearea mēnā e tika ana. Ka whakamahia pea e rātou te naloxone (Narcan) hei aukati i te pōraruraru nui o te manawa, ētahi atu rongoā ohorere rānei, i te mea e tika ana.

He aha taku e tūmanako ai i te wā e ora ana au i muri i te werohanga methadone?

Ko te whakaora i muri i te werohanga methadone e hiahia ana kia maha ngā hāora e aroturukihia ana e te rongoā kia mōhio ai koe kei te pai tō urupare ki te rongoā. Ka noho tonu koe i roto i te whare hauora kia whakatau rawa rā anō tō rōpū hauora he haumaru ki te haere.

I te wā e ora ana koe, tērā pea ka pōuri tō mahara, ka whanoke, ka pā mai ētahi atu pānga kino iti rānei. He mea noa tēnei, ā, ka āta aroturukihia koe e tō rōpū hauora. Ka tirohia e rātou ō tohu nui i ngā wā katoa, me te mātakitaki i ngā tohu e pā ana ki te āwangawanga.

Kaua koe e taraiwa, e whakahaere rānei i ngā mīhini mō te 24 haora i muri i te whiwhinga i te werohanga methadone. Ka taea e te rongoā te whakararu i ō urupare me ō whakatau ahakoa i muri i te tīmatanga o te ngaro o ngā pānga whakaora mamae.

Āhea Āhau e Kati ai te Whiwhi Werohanga Methadone?

Ka taea e koe te whakamutu i te whiwhi werohanga methadone i te wā e whakatau ana tō kaiwhakarato hauora he tika, he haumaru hoki i te taha rongoā. E whakawhirinaki ana tēnei whakatau ki tō āhua hauora, ngā taumata mamae, me te kaha ki te neke ki ētahi atu maimoatanga.

Mēnā kua whiwhi koe i ngā werohanga methadone i ngā wā katoa, ka hangaia e tō tākuta tētahi mahere whakaheke haere, kaua ki te whakamutu ohorere. Mā tēnei e ārai ngā tohumate whakawātea, e whakarite ana i tō whakamarie me tō haumaru tonu.

He rerekē rawa te wā mō te whakamutu i te wā e whakawhirinaki ana ki tō āhuatanga takitahi. Ka neke ētahi tāngata i muri i ngā rā torutoru noa iho, engari ka hiahia ētahi atu ki tētahi mahere whakaheke roa ake.

Ka Pāhekoheko te Werohanga Methadone ki Ētahi Atu Rongoā e Whakamahia Ana e Au?

Āe, ka taea e te werohanga methadone te pāhekoheko ki te maha o ētahi atu rongoā, koinei te take e arotake ana tō rōpū hauora i tō rārangi rongoā katoa i mua i te maimoatanga. Ka mōrearea ēnei pāhekoheko, ā, ka hiahia pea ki te whakatika i ō rongoā kē.

Ko ngā pāhekoheko mōrearea rawa ka puta ki ētahi atu kaipehi o te pūnaha io matua pēnei i te benzodiazepines, te waipiro, ētahi atu rānei o ngā opioids. Ka taea e ēnei huinga te pā mai i te pōraruraru manawa nui me ētahi atu pānga e mōrearea ana ki te ora.

Ka tirohia hoki e tō kaiwhakarato hauora ngā pāhekoheko ki ngā rongoā ngākau, ngā rongoā anti-depressant, me ētahi atu rongoā e pā ana ki tō manawataki. Ka hiahia pea rātou ki te whakatika i te inenga, ki te whakamahi rānei i ētahi atu maimoatanga hei whakarite i tō haumaru.