Fentanyl (inzira y'izuru)

Lazanda

Imihuha ya Fentanyl ikoreshwa mu kuvura ububabare bukabije mu barwaye kanseri. Ikoreshwa mu kuvura ububabare bwa kanseri butunguranye, ari bwo bubabare buhita buza nyuma yo gukoresha imiti isanzwe y'ububabare. Fentanyl ibarizwa mu itsinda ry'imiti yitwa imiti igabanya ububabare ya opioid. Ikoreshwa gusa ku barwayi basanzwe bafata imiti igabanya ububabare ya opioid. Fentanyl ikora mu mutwe (CNS) kugira ngo igabanye ububabare. Bimwe mu ngaruka zayo mbi biterwa n'imikorere yayo muri CNS. Iyo opioid ikoreshejwe igihe kirekire, ishobora gutera ubusinzi (gutera ubwishingizi bwo mu mutwe cyangwa mu mubiri). Ariko kandi, munsi y'ubugenzuzi bukomeye bw'abaganga, abantu bafite ububabare buhoraho ntibagomba kureka gutinya ubusinzi bubabuza gukoresha imiti ya opioid kugira ngo bagabanye ububabare bwabo. Ubusinzi bwo mu mutwe (ubusinzi) ntabwo bushobora kubaho iyo imiti ya opioid ikoreshejwe muri ubu buryo. Ubusinzi bwo mu mubiri bushobora gutera ibimenyetso byo kuva ku miti iyo ivura ihagaritswe gitunguranye. Ariko kandi, ibimenyetso bikomeye byo kuva ku miti bishobora kwirindwa binyuze mu kugabanya umunono buhoro buhoro mu gihe runaka mbere y'uko ivura ihagaritswe burundu. Muganga wawe azabyitaho mu gihe afata umwanzuro w'umunono wa fentanyl yo mu mazuru ukwiye guhabwa. Uyu muti uboneka gusa muri gahunda y'ikwirakwizwa rigenzurwa yitwa TIRF (Transmucosal Immediate Release Fentanyl) REMS Program. Iyi miti iboneka mu buryo bukurikira bwo kuyikoresha:

Mu gihe cyo gufata umuti, ibyago byo gufata uwo muti bigomba guhanurwa n'akamaro uzabona. Iki ni cyemezo uzatanga hamwe na muganga wawe. Kuri uyu muti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ufite uburwayi butunguranye cyangwa ubwoko bw'uburwayi buterwa n'umuti runaka cyangwa imiti indi. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'uburwayi buterwa na allergie, nko ku biribwa, amabara, ibintu byongera ubuzima bw'ibicuruzwa, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa na muganga, soma witonze ibikubiye mu kinywanyi cyangwa mu bipfunyikwa. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano iri hagati y'imyaka n'ingaruka za fentanyl yo mu mazuru ku bana. Ubuziranenge n'ingaruka nziza ntabwo byarangiye. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abakuze byazagabanya ingaruka za fentanyl yo mu mazuru ku bakuze. Ariko kandi, abarwayi bakuze bashobora kuba bafite ubushobozi bwo kwakira ingaruka z'imiti igabanya ububabare bwa opioid kurusha abantu batarageza mu zabukuru kandi bafite ibyago byinshi byo kugira indwara z'impyiko zijyanye n'imyaka, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata fentanyl yo mu mazuru. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha uyu muti mu gihe cyo konsa. Pima inyungu zishoboka ugereranije n'ibyago bishoboka mbere yo gufata uyu muti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ikibazo gishobora kubaho. Muri uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufashe uyu muti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri hasi. Ibi bikurikira byatoranijwe bitewe n'akamaro kabyo kandi si ngombwa ko ari byose. Gukoresha uyu muti hamwe n'imiti ikurikira ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira ubuvuzi kuri uyu muti cyangwa guhindura imiti indi ufashe. Gukoresha uyu muti hamwe n'imiti ikurikira ntibisanzwe byemewe, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko ukoresha umwe cyangwa bombi muri iyo miti. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya bimwe mu bintu, kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe na yo bishobora gutera ibibazo. Ibi bikurikira byatoranijwe bitewe n'akamaro kabyo kandi si ngombwa ko ari byose. Gukoresha uyu muti hamwe n'ibikurikira ntibisanzwe byemewe, ariko bishobora kuba bidashoboka kwirinda mu bihe bimwe na bimwe. Niba byakoreshejwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko ukoresha uyu muti, cyangwa akaguha amabwiriza yihariye yerekeye ikoreshwa ry'ibiribwa, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'uyu muti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: