Fentanyl (inzira y'uruhu)
Amoko ahari
Duragesic, Ionsys, APO-fentaYNL Matrix, CO fentaYNL, Mylan-fentaNYL Matrix Patch, Ran-fentaNYL Matrix, Ran-fentaNYL Transdermal System 100, Ran-fentaNYL Transdermal System 25, Ran-fentaNYL Transdermal System 50, Ran-fentaNYL Transdermal System 75, Sandoz fentaNYL Patch, Teva fentaNYL 100, Teva fentaNYL 12
Ibyerekeye uyu muti
Ipaki ya Fentanyl ikoreshwa mu kuvura ububabare bukabije, harimo ububabare bukabije nyuma y'igihe cy'ubuganga. Ionsys® ishyirwaho n'abaganga mu bitaro nyuma y'igihe cy'ubuganga, mu gihe gito cyo kuvura ububabare bukabije. Duragesic® ikoreshwa mu kuvura ububabare bukabije cyane ku buryo bisaba kuvurwa igihe cyose, mu gihe kirekire. Ipaki ya Fentanyl ikoreshwa kandi mu kuvura ububabare bukabije kandi buhoraho, busaba igihe kirekire cyo kuvurwa, kandi ibindi bisubizo by'ububabare bitakize neza cyangwa bitakwihanganirwa. Ipaki ya Duragesic® ntigomba gukoreshwa niba ukeneye imiti yo kuvura ububabare mu gihe gito, nko nyuma yo kubaga amenyo cyangwa amara. Ntukoreke iyi paki ku bubabare buke cyangwa ububabare buza rimwe na rimwe. Fentanyl ni imiti ikomeye yo kugabanya ububabare (imiti yo kuvura ububabare). Ikora ku mutwe (CNS) kugira ngo igabanye ububabare. Iyo imiti yo kuvura ububabare ikoreshwa igihe kirekire, ishobora gutera ubusinzi, igatera ubumwe bw'umutima cyangwa umubiri. Ariko kandi, munsi y'ubuyobozi bukomeye bw'abaganga, abantu bafite ububabare buhoraho ntibagomba kureka gutinya ubusinzi kubabuza gukoresha imiti yo kuvura ububabare kugira ngo bagabanye ububabare bwabo. Ubusinzi bw'umutima (ubusinzi) ntabwo bushobora kubaho iyo imiti yo kuvura ububabare ikoreshwa muri ubu buryo. Ubumwe bw'umubiri bushobora gutera ibimenyetso byo kuva ku miti iyo ivurwa ihagaritswe gitunguranye. Ariko kandi, ibimenyetso bikomeye byo kuva ku miti bishobora kwirindwa binyuze mu kugabanya umwanya buhoro buhoro mu gihe runaka mbere y'uko ivurwa ihagaritswe burundu. Uyu muti uboneka gusa muri gahunda y'ikwirakwizwa rigenzurwa yitwa gahunda ya Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy). Iyi miti iboneka mu buryo bukurikira:
Mbere yo gukoresha uyu muti
Mu gihe cyo gufata umuti, ibyago byo gufata uwo muti bigomba guhabwa agaciro ugereranyije n'akamaro uzakuramo. Iki ni cyemezo uzatanga hamwe na muganga wawe. Kuri uyu muti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ufite imitego idasanzwe cyangwa ya allergie kuri uyu muti cyangwa ibindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko ya allergie, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku kimenyetso. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abana byabuza ikoreshwa ry'agapfukisho ka Duragesic® n'agapfukisho ka Fentanyl gafite igihe kirekire mu bana bafite imyaka ibiri n'irenga. Ariko rero, abarwayi bato bagomba kuba barahanganye n'imiti igabanya ububabare mbere yo gukoresha agapfukisho ka fentanyl. Ubuziranenge n'ingaruka nziza ntibyagaragajwe mu bana bari munsi y'imyaka ibiri. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano iri hagati y'imyaka n'ingaruka z'agapfukisho ka Ionsys® ku bana. Ubuziranenge n'ingaruka nziza ntibyagaragajwe. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abakuze byabuza ikoreshwa ry'agapfukisho ka fentanyl ku bantu bakuze. Ariko rero, abarwayi bakuze bafite ibyago byinshi byo kurwara ubunebwe n'ibibazo by'imyaka ku mpyiko, ibihaha, umwijima, cyangwa umutima, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata agapfukisho ka fentanyl. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha uyu muti mu gihe cyo konsa. Pima inyungu zishoboka ugereranyije 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 hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha uyu muti hamwe n'imiti ikurikira ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira imiti cyangwa guhindura imiti imwe n'imwe ufashe. Gukoresha uyu muti hamwe n'imiti ikurikira ntibisanzwe byemewe, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yanditswe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa yombi. Imiti imwe n'imwe ntikwiye gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe nabyo bishobora gutera ikibazo. Ibi bikurikira byatoranijwe hashingiwe ku kamaro 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 uyikoresha, 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:
Uburyo bwo gukoresha uyu muti
Muganga wawe azakubwira umunani w'iki kiyobyabwenge ukwiye gukoresha n'igihe ukwiye gukoresha. Umwanya wawe ushobora guhinduka inshuro nyinshi kugira ngo umenye icyakugirira akamaro. Ntukarenge umunani w'iki kiyobyabwenge cyangwa ntukoreshe kenshi kurusha uko muganga wawe abikubwiye. Niba hari umunani munini w'iki kiyobyabwenge wafashwe igihe kirekire, bishobora gutera ubumwe (gutera ubumwe bwo mu mutwe cyangwa umubiri). Iki kiyobyabwenge cyo mu ruhu cya Fentanyl gikoreshwa gusa ku barwayi bahanganye n'ibiyobyabwenge by'opioid. Umurwayi ahanganye n'ibiyobyabwenge by'opioid niba amaze gukoresha ibiyobyabwenge by'opioid mu kanwa mu kubabara cyane. Suzuma na muganga wawe niba ufite ibibazo kuri ibi. Ni ngombwa cyane ko usobanukirwa amategeko ya gahunda ya Opioid Analgesic REMS kugira ngo wirinde ubumwe, gukoresha nabi no gukoresha nabi fentanyl. Iki kiyobyabwenge kigomba kandi kuza hamwe n'amabwiriza y'imiti n'amabwiriza y'abarwayi. Soma kandi ukurebereho aya mabwiriza neza. Soma ukundi igihe cyose ufashe imiti yawe kugira ngo habeho amakuru mashya. Baza muganga wawe niba ufite ibibazo. Uzabona igitambaro cya Ionsys® igihe uri mu bitaro. Umuforomokazi cyangwa undi mwuga w'ubuzima wahuguwe azaguha iyi miti nyuma y'igihe cy'ubuganga. Uzahugurwa uko wakoresha iyi miti mu bitaro, ariko igitambaro kizakurwaho n'abaganga bawe mbere y'uko uvuka mu bitaro. Ntuve mu bitaro ufite igitambaro ku ruhu rwawe. Kugira ngo ukoreshe igitambaro cya Duragesic®: Kugira ngo ukoreshe igitambaro cya Fentanyl cyo gukoresha igihe kirekire: Mu bana bato cyangwa abantu bafite ubwenge buke, igitambaro cya Duragesic® kigomba gushyirwa inyuma kugira ngo hagorane ko igitambaro gikurwaho kandi gishyirwa mu kanwa. Nyuma y'uko igitambaro cya Duragesic® gishyizweho, fentanyl ijya mu ruhu buhoro buhoro. Umwanya runaka w'imiti ugomba kubakwa mu ruhu mbere y'uko winjira mu mubiri. Iminsi yose (amasaha 24) ishobora guhita mbere y'uko umunani wa mbere utangira gukora. Muganga wawe ashobora kuba akeneye guhindura umunani mu byumweru bike byambere mbere yo kubona umunani ukugirira akamaro. Nubwo wumva ko imiti idakora, ntuzongere umunani w'igitambaro cya fentanyl ushyiraho. Ahubwo, banza urebe na muganga wawe. Uzashobora kuba ukeneye gufata opioid ikora vuba mu kanwa kugira ngo ugabanye ububabare mu minsi mike ya mbere yo gukoresha igitambaro cya fentanyl. Ushobora kandi kuba ukeneye undi opioid mu gihe umunani wawe wa fentanyl urimo guhinduka, no kugabanya ububabare ubwo aribwo bwose "buza" nyuma. Menya neza ko utafashe undi opioid, kandi ntukayifate kenshi kurusha uko byategetswe. Gukoresha opioid 2 hamwe bishobora kongera amahirwe yo kugira ingaruka mbi zikomeye. Ntukarebe pomegrenade cyangwa unywe umutobe wa pomegrenade mu gihe uri gukoresha iyi miti. Umunani w'iyi miti uzaba utandukanye ku barwayi batandukanye. Kora ibyo muganga wawe ategetse cyangwa amabwiriza ari ku kibanza. Amakuru akurikira harimo gusa umunani w'iyi miti. Niba umunani wawe utandukanye, ntugawuhindura keretse muganga wawe abikubwiye. Umunani w'imiti ufata ugaragaza imbaraga z'imiti. Nanone, umubare w'imiti ufata buri munsi, igihe cyemererwa hagati y'imiti, n'igihe ufata imiti biterwa n'ikibazo cy'ubuzima uri gukoresha imiti. Niba wibagiwe kwambara cyangwa guhindura igitambaro, shyiraho vuba bishoboka. Niba hafi igihe cyo gushyira igitambaro cyawe gikurikira, tegereza ubundi ubundi ushyire igitambaro gishya kandi urekure icyo wibagiwe. Ntugakoreshe ibikoresho byinshi kugira ngo ubone umunani wibagiwe. Kuraho igitambaro cya Duragesic® iminsi 3 (amasaha 72) nyuma yo kugishyiraho. Abaganga bawe bazakuraho igitambaro cya Ionsys® mbere y'uko uvuka mu bitaro. Igipande cya Ionsys® ntikigomba gukoreshwa mu rugo. Kubika imiti mu gikoresho gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'umucyo ugaragara. Kwirinda gukonjesha. Kwirinda abana. Ntukubike imiti ishaje cyangwa imiti idakenewe. Baza umwuga w'ubuzima uko wakwirukana imiti itabaye. Fentanyl ishobora gutera ingaruka mbi cyangwa overdose ikomeye niba ifashwe n'abana, amatungo, cyangwa abantu batamenyereye imiti ikomeye yo kubabara. Menya neza ko ubitse imiti ahantu hacuzwe kandi hacuzwe kugira ngo wirinde abandi kuyibona. Koresha igikoresho cyo gukuraho igitambaro cyatanzwe hamwe n'imiti yawe kugira ngo ukureho ibikoresho. Soma kandi ukurebereho amabwiriza yacapwe ku gikoresho cyo gukuraho kandi ukoreshe igikoresho kimwe kuri buri gitambaro. Kuraho umugozi w'igikoresho cyo gukuraho kugira ngo ubone uruhu rwamabara. Shyira uruhande rwamabara rw'igitambaro gikoreshwa ku gikoresho cyo gukuraho kandi ufunge ibicupa byose. Niba igitambaro kitakoreshwa, gikure mu mufuka hanyuma ukureho umugozi ukingira uruhande rwamabara mbere yo kugushyira ku gikoresho cyo gukuraho. Joga igikoresho cyo gukuraho mu kibindi cy'imyanda. Ganira n'umuganga wawe niba ufite ibibazo ku buryo bwo gukoresha igikoresho cyo gukuraho. Ntujugunye umufuka cyangwa umugozi w'ibikoresho mu musarani. Bashyire mu kibindi cy'imyanda. Abaganga bawe bazakuraho igitambaro cya Ionsys® nyuma yo kugikuraho. Joga imiti yose idakoreshwa ya opioid ahantu hagenewe gufata imiti vuba. Niba udafite ahantu hagenewe gufata imiti hafi yawe, jugunye imiti yose idakoreshwa ya opioid mu musarani. Suzuma farumasi yawe n'ibitaro kugira ngo umenye aho bafata imiti. Ushobora kandi kureba urubuga rwa DEA kugira ngo umenye aho bafata imiti. Dore ihuza rya FDA ku gukuraho imiti mu buryo buteganijwe: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.