Created at:1/13/2025
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Ko te Nalmefene he rongoā e aukati ana i ngā pānga o ngā opioids i tō tinana, e āwhina ana ki te whakahoki i ngā pōrearea kino, me te whakaora i ngā oranga. No roto i te kāwai rongoā e kīia ana ko ngā opioid antagonists, ko te tikanga ka taea e ia te whawhai tere i ngā pānga e whakatuma ana i te oranga o te heroin, fentanyl, ngā rongoā mamae i runga i te rēhitatanga, me ētahi atu rongoā opioid.
E mahi ana tēnei rongoā hei rongoā ohorere i te wā i nui rawa atu te opioid i tangohia e tētahi tangata. Ka whakamahia e ngā kaiwhakarato hauora me ngā kaiwhakautu ohorere hei āwhina i te whakahoki i te manawa me te māramatanga i ngā wā o te pōrearea.
Ko te werohanga Nalmefene te mea nui e whakamahia ana hei whakahoki i ngā pōrearea opioid e whakatuma ana i te oranga o tētahi tangata. I te wā e nui rawa atu ana ngā opioids i te tinana, ka taea e rātou te whakaiti i te manawa ki ngā taumata kino, te aukati rānei i te katoa, e arahi ana ki te kino o te roro, te mate rānei me te kore he wawaotanga tonu.
E mahi ana tēnei rongoā hei rongoā ohorere nui i ngā hōhipera, ngā waka tūroro, me ngā wāhi rongoā ohorere. I hangaia motuhake ana hei whawhai i ngā pānga o ngā opioids tūturu pēnei i te morphine me ngā mea hanga pēnei i te fentanyl.
Ka whakamahia hoki e ngā kaiwhakarato hauora te nalmefene i ngā wāhi rongoā e whiwhi ana ngā tūroro i ngā rongoā opioid mō te pokanga, te whakahaere mamae rānei. Ko te whai i tēnei e whakarite ana ka taea e rātou te whakahoki tere i ngā pānga opioid e kore e tūmanakohia, e nui rawa atu rānei, ki te puta mai ngā raruraru.
E mahi ana te Nalmefene mā te aukati i ngā opioid receptors i tō roro me tō tinana, e pana ana i ngā opioids i ngā wāhi e pā ana ki ō rātou pānga. Whakaarohia me te tango i ngā wāhi pāka e noho ana ngā opioids i te nuinga o te wā, e ārai ana i a rātou ki te whakaiti i tō manawa me te tere o te ngākau.
He rongoā kaha tēnei, ā, he tere te mahi, te tikanga i roto i te 2 ki te 5 meneti ka tukuna mā te uaua. He roa ake te roa o tōna mahi i te naloxone, te tikanga e 4 ki te 8 haora, e āwhina ana ki te ārai i te hokinga mai o ngā tohumate o te nui rawa o te rongoā.
Ko te kaha o te nalmefene ka whai hua rawa atu ki ngā opioid waihanga kaha pēnei i te fentanyl. Heoi, ko te tikanga hoki tēnei ka nui ake ngā tohumate whakawātea i roto i ngā tāngata e whakamahi ana i ngā opioid i ia rā.
Ka tukuna anake te werohanga nalmefene e ngā tākuta i roto i ngā wāhi rongoā, nā reira e kore koe e tango i tēnei rongoā i a koe anō. Ka tukuna mā te werohanga ki roto i te uaua, te uaua, i raro rānei i te kiri, i runga i te tūāhuatanga ohorere me te wātea o te uru.
Kei runga i te kaha o te nui rawa o te rongoā me te momo opioid e pā ana te inenga. Ka tīmata ngā kaiwhakarato hauora ki te inenga tuatahi, ā, ka hoatu pea he inenga atu ki te kore te tangata e urupare tika ana, ki te hoki mai rānei ngā tohumate.
Mai i te mea he rongoā ohorere tēnei, kāore he tohutohu motuhake mō te kai, te inu rānei. Ko te kaupapa matua ko te whakauru i te rongoā ki roto i te pūnaha o te tangata i te tere e taea ana ki te whakatau i ngā pānga e raru ana i te ora o te nui rawa o te rongoā opioid.
Ka whakamahia te Nalmefene hei rongoā ohorere kotahi, kaua hei rongoā haere tonu. Kia kotahi te tukunga hei whakatau i te nui rawa o te rongoā, te tikanga e 4 ki te 8 haora te roa o ngā pānga, he roa ake i ētahi atu rongoā whakatau opioid.
Heoi, ehara i te mea kua mutu te rongoā i muri i te inenga kotahi. Ka aroturukihia e ngā kaiwhakarato hauora te tangata i te mea ka roa ake pea ngā pānga o te opioid taketake i te nalmefene, ka puta pea ngā tohumate o te nui rawa o te rongoā.
Mēnā kua whakamahi te tangata i ngā opioid roa-whakaari, i ngā nui nui rānei o ngā opioid, ka hiahia pea rātou ki ngā inenga maha o te nalmefene, ki te tirotiro hauora tonu rānei mō te 24 haora, neke atu rānei.
Ko ngā pānga taha o nalmefene e pātata ana ki te āhua o tana whakahuri i ngā pānga opioid i roto i te tinana. Ko te nuinga o te hunga e whiwhi ana i tēnei rongoā ka kore e mōhio mai i te nui rawa o te horopeta, nō reira kāore pea rātou e mōhio tonu ki ngā pānga taha.
Me titiro ki ngā pānga taha tino noa ka pā ki a koe, ki tō hoa aroha rānei i muri i te whiwhinga i te nalmefene:
Ka puta pinepine ēnei tohumate nā te mea ka taea e nalmefene te whakaoho i ngā tohumate whakatā i roto i te hunga e whakamahi ana i ngā opioid i ia wā. Ahakoa te kore e pai, e tohu ana ēnei pānga kei te mahi te rongoā ki te whakahuri i te nui rawa o te horopeta.
Ka puta pea ngā pānga taha nui ake, ahakoa he iti noa iho. Ko ēnei pea ko ngā huringa nui i roto i te pēhanga toto, ngā raruraru o te manawataki o te ngākau, te hopu rānei. Ka mātakitaki ngā kaiwhakarato hauora i ngā tūroro kia mōhio ai ki ēnei raruraru ka puta.
Ka pā pea ki ētahi tāngata ngā pānga e kiia ana ko te
Ko te hunga e pā ana ki ētahi mate ngakau, tērā pea ka hiahia ki te aroturuki motuhake i te wā e whiwhi ana i te nalmefene. Ka taea e te rongoā te huri i te tere o te ngakau me te pēhanga toto, he mea e mōrearea ana mō te hunga e pā ana ki ngā raruraru ngakau.
Ka taea e ngā wahine hapū te whiwhi nalmefene mēnā kei te pā ki a rātou te nui rawa o te opioid, te mea nui ko te whakaora i te oranga o te whaea. Heoi anō, ka āta aroturukihia e ngā kaiwhakarato hauora te whaea me te pēpi, nā te mea ka pā te rongoā ki te hapūtanga.
Ko te ingoa waitohu matua mō te werohanga nalmefene ko Revex, ahakoa ka wātea pea hei rongoā whānui. Ka āwhina te ingoa waitohu i ngā kaiwhakarato hauora me ngā kai rongoā ki te tautuhi i te hanganga me te kaha o te rongoā.
I ngā tūāhuatanga ohorere, ka arotahi ngā kaiwhakarato hauora ki te ingoa whānui me ngā pānga o te rongoā, kaua ki te waitohu motuhake. Ko te mea nui ko te whai wāhi ki tēnei rongoā whakaora oranga i te wā e hiahiatia ana.
Ko te Naloxone te kōwhiringa kē tino noa mō te nalmefene mō te whakahuri i te nui rawa o te opioid. He rite te mahi mā te aukati i ngā kaiwhakawhiwhi opioid, engari he poto ake te roa o te mahi, e 30 ki te 90 meneti te roa.
He nui ake ngā momo o te Naloxone i te nalmefene, tae atu ki ngā rehu ihu me ngā auto-injector ka taea te whakamahi e te hunga kāore i te rongoā. Mā tēnei ka māmā ake te whakamahi i te hapori me ngā mema o te whānau o te hunga e whakamahi ana i ngā opioid.
Ko te whiriwhiri i waenga i te nalmefene me te naloxone e pā ana ki te tūāhuatanga motuhake. Ka whiriwhiria pea e ngā kaiwhakarato hauora te nalmefene i te wā e tūmanako ana rātou ka nui te nui rawa, i te wā rānei e pā ana ki ngā opioid roa te mahi, ngā opioid kaha rānei.
He whai hua te nalmefene me te naloxone ki te whakahuri i te nui rawa o te opioid, engari he rerekē ō rātou kaha e tika ana mō ngā tūāhuatanga rerekē. Kāore tētahi i te
He roa ake te roanga o te mahi a te Nalmefene, he mea whai hua tenei ina pa ana ki nga opioid roa-mahi, ki te kore ranei e wātea tonu te tirotiro hauora. Ko te tikanga o tenei painga roa he iti ake te tupono ka hoki mai nga tohu o te horopeta nui ina pau te rongoa.
Heoi, he nui ake te wātea o te naloxone, ā, kei roto i ngā momo ka taea e ngā tāngata kore-hauora te whakamahi. He iti ake hoki te kaha o te tohu o te tangohanga, he mea pai ake mō te tangata e whiwhi ana.
Ko te kōwhiringa "pai ake" e whakawhirinaki ana ki ngā mea pēnei i te momo opioid e whai pānga ana, te kaha o te horopeta nui, me te taiao hauora. Ka whakatau ngā kaiwhakarato hauora i tēnei whakatau i runga i ngā mea e wātea ana me ngā mea e whakapono ana rātou ka whai hua mō ia āhuatanga motuhake.
Ka taea te whakamahi i te Nalmefene mō te tāngata e pā ana ki te mate ngākau, engari me tino āta tirotiro. Ka taea e te rongoa te huri i te tere o te ngākau me te pēhanga toto, he mea e pā ana ki te tāngata e pā ana ki te mate ngākau.
Ka whakatau ngā kaiwhakarato hauora i te tūponotanga o te horopeta nui o te opioid ki te tūponotanga e pā ana ki te ngākau o te nalmefene. I te nuinga o ngā wā, ko te mōrearea tonu o te horopeta nui ka waiho te nalmefene hei kōwhiringa haumaru ake, ahakoa mō te tāngata e pā ana ki te mate ngākau.
Mēnā ka whiwhi tētahi i te nui rawa o te nalmefene, ka pā pea ki a rātou ngā tohu tangohanga kaha ake, ētahi atu pānga taha rānei. Ko te mea nui tēnei e pā ana ki ngā kaiwhakarato hauora e whakahaere ana i te rongoa.
Ko te mōrearea nui o te nui rawa o te nalmefene ko te whakaoho i ngā tohu tangohanga tino kore e pai, kaua ki te pānga o te horopeta nui. Ka taea e ngā kaiwhakarato hauora te whakahaere i ēnei tohu mā te manaaki tautoko me ētahi atu rongoa mēnā e tika ana.
Ko ngā kaiwhakarato hauora anake me whakatau mō ngā horopeta anō o te nalmefene. Ki te hoki mai, kāore rānei e pai ake ngā tohumate o te nui rawa o te rongoā i muri i te horopeta tuatahi, ka arotake ngā tākuta mō te hiahia o tētahi atu horopeta.
Koinei te take e hiahia ana te hunga e whiwhi ana i te nalmefene i te tirotiro tonu a te tākuta. E aroturukihia ana e te rōpū hauora te manawa o te tangata, te tere o te ngākau, me te taumata o te māramatanga hei whakatau mēnā e tika ana tētahi atu rongoā.
Ko te whakatau ki te tuku i tētahi tangata mai i te tiaki hauora i muri i te whiwhinga i te nalmefene e whakawhirinaki ana ki ētahi āhuatanga. Ka whakaarohia e ngā kaiwhakarato hauora te momo opioid e pā ana, te nui i tangohia, me te pēhea te urupare a te tangata ki te rongoā.
I te nuinga, me aroturuki te tangata mō te 4 ki te 8 haora i muri i te whiwhinga i te nalmefene, i ētahi wā roa ake. Mā te pērā e whakarite kia kore e hoki mai ngā tohumate o te nui rawa o te rongoā i te wa e ngaro ana te rongoā, me te tika te whakahaere i ngā pānga taha.
Kāore, i hangaia te nalmefene hei whakahoki i ngā nui rawa o te opioid, e kore hoki e āwhina i te paitini waipiro, i ngā nui rawa rānei mai i ētahi atu matū. E mahi ana anake mā te aukati i ngā kaiwhakawhiwhi opioid, e kore hoki e whakakore i ngā pānga o te waipiro, benzodiazepines, ētahi atu rongoā rānei.
Ki te nui rawa te waipiro, te huinga rānei o ngā matū i tangohia e tētahi tangata, e hiahia ana rātou i ngā rongoā ōkawa rerekē. Ka whakamahia e ngā kaiwhakarato hauora ngā rongoā tika me te tiaki tautoko i runga i ngā matū e pā ana ki te nui rawa o te rongoā.