Icyo Methadone Aricyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Methadone ni umuti wandikirwa abantu ufasha gutsinda ubujura bw'ibiyobyabwenge bya opiyoide no gucunga uburibwe bukomeye. Uyu muti ukora cyane uhindura uburyo ubwonko bwawe n'imitsi yawe byitwara ku buribwe n'ibimenyetso byo kuva mu biyobyabwenge, bikaguha amahirwe yo kwisubiza ubuzima bwawe mu bujura cyangwa gushaka ubufasha ku buribwe buhoraho.

Gusobanukirwa methadone birashobora kumera nk'ibigoye, ariko uri gutera intambwe y'ingenzi wigira kuri yo. Uyu muti wafashije abantu babarirwa muri miliyoni kwikura mu kwishingikiriza kuri opiyoide mu gihe babaho ubuzima bwiza, butunganye.

Mbese Methadone ni iki?

Methadone ni umuti wa opiyoide ukora igihe kirekire abaganga bandikira kubera impamvu ebyiri z'ingenzi: kuvura ubujura bwa opiyoide no gucunga uburibwe bukomeye. Bitandukanye n'izindi opiyoide, methadone iguma mu mubiri wawe igihe kirekire, ibyo bituma ikora neza ku buryo budasanzwe kubera izi mpamvu z'ubuvuzi zihariye.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa opioid agonists. Ikora ikora yifatanya n'imitsi y'ubwonko imwe n'imwe izindi opiyoide zigamije, ariko ibikora mu buryo bworoheje, bugenzurwa neza. Tekereza nk'uko guha ubwonko bwawe icyo bukeneye nta byago byo hejuru no hasi by'izindi opiyoide.

Methadone iza mu buryo bw'ibinini, amazi, cyangwa ifu isenyuka mu mazi. Uburyo bw'amazi bukoreshwa cyane muri gahunda zivura, mugihe ibinini bisanzwe byandikirwa gucunga uburibwe. Umuganga wawe azagena uburyo bukora neza kubera uko ubuzima bwawe buhagaze.

Methadone ikoreshwa kubera iki?

Methadone ifite impamvu ebyiri z'ingenzi z'ubuvuzi, buri imwe ikeneye uburyo butandukanye no gukurikiranwa. Muganga wawe azagena uburyo bukoreshwa ku buzima bwawe bushingiye ku mateka yawe y'ubuvuzi n'ibyo ukeneye ubu.

Mu kuvura ubujura bw’ibiyobyabwenge bya opiyoide, methadone ifasha kugabanya inyota n’ibimenyetso byo kuva mu biyobyabwenge. Ibi bituma ushyira imbaraga mu gukira utagira ububabare buhoraho bwo mu mubiri akenshi butuma abantu basubira mu biyobyabwenge byo ku muhanda biteye akaga. Gahunda zo kuvura zihuza methadone no kugisha inama n’inkunga kugira ngo zivure ibibazo byose by’ubujura.

Mu kuvura ububabare bukomeye, methadone itanga ubufasha burambye iyo izindi miti ivura ububabare itagize icyo ikora neza. Abaganga basanzwe bakoresha ubu buryo ku bantu bafite indwara zirambye z’ububabare bamaze kugerageza izindi miti. Igihe kirekire cy’umuti gisobanura ko ushobora gukenera doze nkeya umunsi wose.

Mu bihe bidasanzwe, methadone ishobora kwandikwa ku zindi ndwara aho imitungo yayo idasanzwe ifitiye akamaro ibibazo by’ubuvuzi byihariye. Ariko, ubu buryo ntibusanzwe kandi busaba ubugenzuzi bw’abaganga babigize umwuga.

Methadone ikora ite?

Methadone ikora yifatanya n’ibice bya opiyoide mu bwonko bwawe no mu mugongo, ibyo bice bikorwaho n’izindi opiyoide. Ariko, itanga ingaruka zihamye kandi zirambye ugereranije n’ibiyobyabwenge nka heroyine cyangwa imiti ivura ububabare yandikwa na muganga.

Iyo ufata methadone, irinda ibimenyetso byo kuva mu biyobyabwenge mu masaha 24 kugeza kuri 36. Iki gikorwa kirambye gisobanura ko umubiri wawe utagira ibibazo byihuse biza n’ibiyobyabwenge bikora mu gihe gito. Ubwonko bwawe bubona ibyo bukeneye kugira ngo bukore neza nta byishimo bikabije cyangwa ibibazo bikomeye.

Mu kuvura ububabare, methadone ibuza ibimenyetso by’ububabare kugera mu bwonko bwawe. Inahindura uburyo sisitemu yawe y’imitsi itunganya ububabare, bigatuma ububabare burambye bucungwa neza. Igihe kirekire cy’umuti gisobanura kugenzura ububabare buhoraho umunsi n’ijoro.

Methadone ifatwa nk'umuti ukomeye usaba gukurikiranwa neza. Muganga wawe azatangira n'urugero ruto hanyuma arwongere buhoro buhoro bitewe n'uko ubyitwaramo. Ubu buryo bwitonda bufasha kwirinda ingaruka ziteje akaga mu gihe cyose uwo muti ukora neza ku byo ukeneye.

Nkwiriye gufata Methadone nte?

Gufata methadone uko byategetswe neza ni ngombwa ku mutekano wawe no kugira ngo uwo muti ugire akamaro. Muganga wawe azatanga amabwiriza yihariye ashingiye ku miterere yawe, yaba ukoresha uwo muti mu kuvura ubujura cyangwa mu kugabanya ububabare.

Mu kuvura ubujura, mubisanzwe uzajya gusura ivuriro ryihariye buri munsi kugira ngo wakire urugero rwawe. Abakozi bazakureba uko ufata uwo muti kugira ngo bamenye neza urugero rwawo kandi bakurikirane uko urimo uragenda. Uko ugenda ukora neza, ushobora guhabwa urugero rwo kujyana mu rugo mu mpera z'icyumweru cyangwa mu minsi mikuru.

Niba ufata methadone kugira ngo ugabanye ububabare, mubisanzwe uzayifata mu rugo ukurikiza gahunda ya muganga wawe. Abantu benshi bayifata buri masaha 8 kugeza kuri 12, ariko igihe cyawe gishobora kuba gitandukanye. Shyiraho ibyibutsa kugira ngo bigufashe kugumana igihe gihamye, kuko gufata imiti mu buryo butajegajega bishobora kugira ingaruka ku buryo uwo muti ukora neza.

Ushobora gufata methadone urya cyangwa utarya, ariko kuyifata mu buryo bumwe buri gihe bifasha kugumana urugero rwo hejuru mu mubiri wawe. Niba uwo muti utuma urwara mu nda, gerageza kuwufata urya agafunguro gato cyangwa amata. Irinde umutobe wa pome, kuko ushobora kongera urugero rwa methadone mu maraso yawe kandi ugatera ingaruka ziteje akaga.

Ntuzigere uvunagura, urume, cyangwa usesure ibinini bya methadone keretse ubitegetswe n'umuganga wawe. Mimina ibinini byose hamwe n'amazi. Niba ufata methadone mu mazi, pima urugero rwawe neza ukoresheje igikoresho cyo gupima cyatanzwe, ntabwo ari ikiyiko cyo mu rugo.

Mbwiriza gufata Methadone igihe kingana iki?

Ubukure bw'imiti ya methadone buratandukana cyane bitewe n'uko ubuzima bwawe buteye n'impamvu uyifata. Itsinda ry'abaganga bazakorana nawe kugirango bamenye igihe kigufi cyangwa kirekire cyo kuyifata bitewe n'uko urimo utera imbere n'ibyo umubiri wawe ukeneye.

Mu kuvura uburozi bwa opiyoide, abantu benshi bungukira mu kuvurwa igihe kirekire. Hari abantu bafata methadone mu gihe cy'amezi, abandi bakayifata imyaka cyangwa igihe cyose. Ubushakashatsi bwerekana ko kuvurwa igihe kirekire akenshi bitanga umusaruro mwiza, harimo kugabanya gukoresha ibiyobyabwenge no guteza imbere imibereho myiza.

Mu kuvura uburibwe buhoraho, igihe bifata biterwa n'uburwayi ufite n'uburyo izindi miti zikora neza. Abantu bamwe bakeneye methadone igihe kirekire kugirango bagenzure uburibwe buriho, mu gihe abandi bashobora guhindurirwa imiti itandukanye uko ubuzima bwabo buhinduka cyangwa butera imbere.

Muganga wawe azajya asuzuma buri gihe niba methadone ikigukwiriye. Ibi birimo kureba niba ikora neza, kureba niba hari ingaruka ziterwa nayo, no gutekereza ku zindi nzira zo kuvura. Ntukigere uhagarika gufata methadone ako kanya, kuko ibyo bishobora gutera ibimenyetso bikomeye byo kuva mu biyobyabwenge.

Niba wiyemeje guhagarika methadone, umuganga wawe azagutegurira gahunda yo kugabanya urugero rwa methadone buhoro buhoro. Ubu buryo, bwitwa tapering, bugabanya buhoro buhoro urugero rwawe mu byumweru cyangwa amezi kugirango ugabanye ibimenyetso byo kuva mu biyobyabwenge no kugufasha kuguma mu mutekano.

Mbese ni izihe ngaruka ziterwa na methadone?

Kimwe n'indi miti yose, methadone ishobora gutera ingaruka, nubwo atari buri wese uzazibona. Kumenya ibyo witegura bifasha kumenya ibisubizo bisanzwe n'ibimenyetso biteye inkeke bikeneye ubufasha bwihuse bw'abaganga.

Ingaruka zisanzwe zikunda kuba nto kandi akenshi zikagenda zikemuka uko umubiri wawe umenyera umuti:

• Kumva unanuka cyangwa gusinzira ku manywa
• Urugimbu cyangwa kuribwa mu nda, cyane cyane igihe utangiye kuvurwa
• Kubura umwanya, bishobora gukemurwa no guhindura imirire no kunywa amazi menshi
• Kunyuguta cyane kurusha uko bisanzwe, cyane cyane nijoro
• Kuribwa umutwe cyangwa kumva uruka igihe uhagurutse vuba
• Umunwa wumye cyangwa inyota nyinshi
• Kongera ibiro uko igihe kigenda
• Kugorwa no gusinzira cyangwa guhinduka kw'imikorere yo gusinzira

Ibi bimenyetso bisanzwe bikunze kugabanuka uko umubiri wawe umenyera imiti. Muganga wawe ashobora gutanga ibitekerezo byo guhangana n'ibi bimenyetso no kumenya niba hari impinduka zikwiye gukorwa ku buryo uvurwa.

Ingaruka zikomeye zikeneye ubufasha bwihuse bw'abaganga, nubwo zitabaho cyane:

• Ibibazo bikomeye byo guhumeka cyangwa guhumeka gake cyane, mu buryo butagira imbaraga
• Kuribwa mu gituza cyangwa umutima utera nabi
• Urujijo rukomeye cyangwa kutabasha gukomeza kuba maso
• Kurota cyangwa kubona ibintu bitabaho
• Kuribwa cyane mu nda cyangwa kuruka
• Ibimenyetso byo kwanga imiti nk'uruhu rurya, kubyimba, cyangwa kugorwa no guhumeka
• Guta igihagararo cyangwa kutagira ubwenge

Niba ubonye kimwe muri ibi bimenyetso bikomeye, shakisha ubufasha bwihuse bw'abaganga ako kanya. Izi ngaruka ntizikunze kubaho ariko zishobora gutera akaga iyo zitavuwe vuba.

Abantu bamwe bashobora kugira ingaruka zitabaho cyane, nubwo zitahita ziteza akaga, zishobora kugira ingaruka ku mibereho myiza. Izi zishobora kuba zirimo imikorere mibi y'imibonano mpuzabitsina, guhinduka kw'amarangamutima, cyangwa ingaruka z'imisemburo. Ganira kuri izi mpungenge na muganga wawe, kuko akenshi zishobora gukemurwa no kongeraho imiti cyangwa guhindura uburyo uvurwa.

Ninde utagomba gufata Methadone?

Uburwayi runaka n'ibihe bituma methadone idatekanye cyangwa bisaba kwitonda cyane. Muganga wawe azasuzuma neza amateka yawe y'uburwayi mbere yo kugutera uyu muti kugira ngo yemeze ko ari mutekano kuri wowe.

Ntabwo ugomba gufata methadone niba ufite ibibazo bikomeye byo guhumeka cyangwa indwara zituma guhumeka kwawe bigenda gake cyane. Ibi birimo asima ikomeye, indwara y'umwuka ihoraho (COPD) mu ntera igeze kure, cyangwa izindi ndwara z'ibihaha zituma guhumeka bigorana.

Abantu bafite indwara zimwe na zimwe z'umutima bakeneye isuzuma ryitondewe mbere yo gutangira gufata methadone. Uyu muti ushobora kugira ingaruka ku mutima, cyane cyane ku bafite ibibazo by'umutima. Muganga wawe ashobora gutegeka gukora electrocardiogram (EKG) kugirango arebe imikorere y'amashanyarazi y'umutima wawe mbere yo gutangira kuvurwa.

Niba ufite allergie kuri methadone cyangwa ibintu byose biyigize, ntushobora gufata uyu muti. Bwira muganga wawe kuri allergie zose zizwi, harimo n'ingaruka ku yindi miti ya opioid, kuko bishobora kugaragaza ubworoherane bwagutse.

Indwara nyinshi zisaba kwitonda cyane no gukurikiranwa neza mugihe ufata methadone:

• Indwara y'umwijima cyangwa ibibazo by'imikorere y'umwijima
• Indwara y'impyiko cyangwa imikorere y'impyiko igabanutse
• Ubukomere bwo mu mutwe cyangwa umuvuduko wiyongereye mu gihanga
• Indwara ziterwa no gufatwa n'indwara cyangwa amateka yo gufatwa n'indwara
• Indwara zo mumutwe, cyane cyane depression hamwe n'ibitekerezo byo kwiyahura
• Ibibazo bya glande ya adrenal cyangwa indwara za hormone
• Prostate yagutse cyangwa ingorane zo kunyara
• Indwara y'igifu cyangwa ibibazo by'inzira ya bile

Imyaka nayo ishobora kuba impamvu, kuko abantu bakuze bashobora kwitwara neza ku ngaruka za methadone. Abantu barengeje imyaka 65 bakunze gukenera doze ntoya no gukurikiranwa kenshi kugirango birinde ingorane.

Gusama bisaba kwitonderwa byihariye, kuko methadone ishobora kugira ingaruka ku mubyeyi no ku mwana. Ariko, kubagore batwite bafite ubujura bwa opioid, kuvurwa na methadone akenshi biruta gukomeza gukoresha ibiyobyabwenge bitemewe. Itsinda ryawe ryita ku buzima rizagereranya neza inyungu n'ibibazo.

Amazina y'ubwoko bwa Methadone

Methadone iboneka mu mazina menshi y'ubucuruzi, nubwo abantu benshi bakira verisiyo rusange. Amazina y'ubucuruzi asanzwe arimo Methadose, Dolophine, na Diskets.

Methadose ikoreshwa cyane muri gahunda zo kuvura ubuzererezi kandi iboneka mu buryo bw'amazi n'ibipimo. Verisiyo y'amazi akenshi ifite uburyohe bwa serise kugirango iryohereze mu gufata imiti buri munsi. Dolophine akenshi yandikirwa kugenzura ububabare kandi iza mu bipimo bifite imbaraga zitandukanye.

Diskets ni ibipimo bishobora gushonga mu mazi, bigatuma bikoreshwa kubantu bagorwa no kumira ibinini. Gahunda yawe yo kuvura cyangwa muganga azemeza uburyo bukora neza kubyo ukeneye.

Methadone rusange ikubiyemo ibintu bikora kimwe na verisiyo y'izina ry'ubucuruzi kandi ikora neza. Guhitamo hagati y'izina ry'ubucuruzi na rusange akenshi biterwa n'ubwishingizi bwawe, ibyo gahunda yo kuvura ikunda, n'uburyo umuntu ku giti cye yitwara ku buryo butandukanye.

Uburyo bwo gusimbura Methadone

Hariho uburyo bwinshi bwo gusimbura methadone kubijyanye no kuvura ubuzererezi no kugenzura ububabare. Umuganga wawe ashobora kugufasha gushakisha izi nzira niba methadone itakwiriye imiterere yawe cyangwa niba ushaka uburyo butandukanye bwo kuvura.

Mugihe cyo kuvura ubuzererezi bwa opioid, buprenorphine (Suboxone, Subutex) ni uburyo busanzwe bwo gusimbura bukora kimwe na methadone ariko bufite ibintu bitandukanye. Irashobora kwandikwa na muganga wemerewe mu biro aho gukenera gusura ivuriro buri munsi, bitanga umwanya munini kubantu benshi.

Naltrexone (Vivitrol) ihagarariye uburyo butandukanye bwo kuvura ubuzererezi. Aho gusimbuza opioid, ifunga rwose abakira opioid, ikabuza opioid iyo ariyo yose kugira ingaruka. Ubu buryo bukora neza kubantu bamaze kurangiza detoxification kandi bafite umwete wo gukomeza ubuzima butunganye.

Mu gukemura ububabare, hari ubundi buryo bwakoreshwa bitewe n'uburwayi bwawe bwihariye. Imiti ikora igihe kirekire y'ibiyobyabwenge nka morphine ikora igihe kirekire cyangwa oxycodone ishobora gutanga ubufasha bw'ububabare bumara igihe kingana. Ubundi buryo butari ubw'ibiyobyabwenge burimo imiti imwe na mikwe ikoreshwa mu kuvura umubabaro, imiti irwanya ibibazo byo mu bwonko, n'imiti ikoreshwa ku ruhu ishobora gufasha mu kurwanya ububabare bwihariye.

Uburyo bwiza buterwa n'uko ubuzima bwawe buteye, amateka yawe y'uburwayi, n'intego z'ubuvuzi. Itsinda ryawe ry'abaganga rizakorana nawe kugira ngo ribone uburyo bukwiye niba methadone atari yo yagufasha.

Ese Methadone iruta Buprenorphine?

Zombi methadone na buprenorphine ni imiti ifasha mu kuvura ubujura bw'ibiyobyabwenge, ariko zikora mu buryo butandukanye kandi zifite inyungu zihariye. Nta na imwe iruta indi; icyemezo cyiza giterwa n'ibyo ukeneye n'uko ubuzima bwawe buteye.

Methadone imaze igihe kinini ikoreshwa kandi ifite ubushakashatsi bwinshi bwemeza imikorere yayo. Ifasha cyane abantu bafite ubujura bukomeye bw'ibiyobyabwenge batarigeze bagira icyo bageraho mu zindi nshuro. Imiterere ya buri munsi ya methadone clinics ishobora gutanga ubufasha bwiyongera no gukurikiranwa abantu bamwe babona ko bifitiye akamaro.

Buprenorphine itanga ubushobozi bwinshi mu buryo bwo kuvura, kuko ishobora kwandikwa mu biro by'abaganga aho gusaba gusura buri munsi. Ibi bituma abantu boroherezwa gukora, umuryango, n'izindi nshingano. Ifite kandi ibyago bike byo kurenga urugero no guhura n'imiti mike ugereranije na methadone.

Muganga wawe azatekereza ibintu byinshi mu kugufasha guhitamo hagati y'iyi miti. Ibi birimo ubukana bw'ubujura bwawe, uko ubuzima bwawe buteye, gahunda y'akazi, izindi ndwara, n'uburambe bwo kuvurwa mbere. Abantu bamwe bashobora kubanza gukoresha umuti umwe hanyuma bakajya ku wundi niba bibaye ngombwa.

Imiti yombi igira akamaro kanini iyo ihuriye n'inama n'inkunga. Intsinzi ya buri mvura iterwa ahanini n'ubwitange bwawe mu gukira n'inkunga yuzuye ubona hamwe n'umuti.

Ibibazo Bikunze Kubazwa Kuri Methadone

Ese Methadone iratekanye ku bantu barwaye indwara z'umutima?

Methadone ishobora kugira ingaruka ku mutima, bityo abantu barwaye indwara z'umutima bakeneye isuzuma ryitondewe mbere yo gutangira kuvurwa. Muganga wawe ashobora gutegeka gukoresha electrocardiogram (EKG) kugirango arebe imikorere y'amashanyarazi y'umutima wawe kandi ashobora gusaba gukurikiranwa buri gihe mugihe cyo kuvurwa.

Abantu benshi bafite indwara z'umutima barashobora gufata methadone batekanye bafashijwe n'abaganga. Itsinda ry'ubuzima ryawe rizagereranya inyungu zo kuvurwa n'ibishobora kuba byatera, ahari batangira n'imiti mike kandi bakagukurikiranira hafi. Bashobora kandi guhuza ibikorwa n'umuganga w'umutima wawe kugirango bamenye uburyo bwuzuye bwo kwita ku buzima.

Nkwiriye gukora iki niba mfashe methadone nyinshi bitunguranye?

Gufata methadone nyinshi ni akaga k'ubuzima gasaba ubufasha bwihuse. Hamagara 911 cyangwa ujye mu cyumba cy'abarwayi cyegereye ako kanya niba wafashe nyinshi kuruta uko byategetswe, cyane cyane niba urimo guhura no gusinzira cyane, guhumeka bigoranye, cyangwa gutakaza ubwenge.

Ntugerageze kwivugisha cyangwa utegereze kureba niba ibimenyetso bigenda neza. Kwica urugo na methadone birashobora guteza akaga ku buzima, kandi kuvurwa kwihuse ni ngombwa. Niba bishoboka, zana icyo gikoresho cy'imiti kugirango wereke abaganga neza icyo wafashe n'ingano yacyo.

Abatabazi bashobora gukoresha naloxone (Narcan) kugirango bakureho ingaruka zo kwica urugo na methadone. Ariko, kubera ko methadone iguma mu mubiri igihe kirekire kuruta naloxone, imiti myinshi irakenewe, kandi gukurikiranwa mu bitaro birakenewe.

Nkwiriye gukora iki niba nciwe urugero rwa methadone?

Niba wibagiwe urugero rwa methadone, vugana n'umuganga wawe cyangwa gahunda yawe y'ubuvuzi ako kanya kugira ngo bagufashe. Ntukagire urugero rurenzeho mu gihe gikurikira, kuko ibyo bishobora guteza akaga.

Ku bantu bari muri gahunda z'ubuvuzi bwa methadone, kwibagirwa urugero bishobora kugira ingaruka ku gahunda yawe y'ubuvuzi kandi bishobora gusaba isuzuma ry'ubuvuzi mbere yo gusubira mu nzira. Ivuriro ryawe rizagira uburyo bwihariye bwo gukemura urugero rwibagiwe kandi bazakorana nawe kugira ngo ugaruke mu nzira neza.

Niba ufata methadone kugira ngo ucunge ububabare, niba wibagiwe urugero, urufate ako kanya wibuka keretse igihe cyegereye urugero rwawe ruteganyijwe. Muri urwo rubanza, reka urugero rwibagiwe ukomeze gahunda yawe isanzwe. Ntukagire urugero rurenzeho rimwe kugira ngo usubize urugero rwibagiwe.

Ni ryari nshobora kureka gufata methadone?

Umwanzuro wo kureka methadone ugomba gufatirwa hamwe n'umuganga wawe. Ntukagire methadone ako kanya, kuko ibyo bishobora gutera ibimenyetso bikomeye byo gukurwaho kandi bikaba bishobora guteza ibibazo by'akaga.

Kubijyanye n'ubuvuzi bw'ubugome, abantu bamwe bakomeza gukoresha methadone imyaka myinshi cyangwa itagira iherezo, nk'uko ubushakashatsi bwerekana ko ibi akenshi bitanga ibisubizo byiza. Abandi bashobora guhitamo kugabanya urugero rwabo uko igihe kigenda gihita hamwe n'ubuyobozi bw'abaganga. Kwitegura kwawe guhagarara biterwa n'umutuzo wawe mu gukira, uko ubuzima bwawe bumeze, n'intego zawe bwite.

Niba ufata methadone kugira ngo ucunge ububabare, muganga wawe azagufasha kumenya igihe bikwiye guhagarara bitewe n'uburwayi bwawe bw'ibanze n'ubundi buryo buhari. Bazashyiraho gahunda yo kugabanya buhoro buhoro kugira ngo bagabanye ibimenyetso byo gukurwaho kandi barebe ko ububabare bwawe bukomeza gucungwa.

Nshobora gutwara imodoka nkanwa methadone?

Methadone ishobora kugira ingaruka ku bushobozi bwawe bwo gutwara imodoka neza, cyane cyane iyo utangiye kuyifata cyangwa iyo urugero rwawe ruhindutse. Umuti ushobora gutera gusinzira, isereri, n'igihe gito cyo gusubiza ibintu bituma gutwara imodoka bigira akaga.

Niba umaze kumenyera methadone kandi umubiri wawe umaze kuyimenyera, abantu benshi barashobora gutwara neza. Ariko, ugomba kwirinda gutwara kugeza umenye uko methadone ikugiraho ingaruka ku giti cyawe. Buri gihe ukurikize inama za muganga wawe ku bijyanye no gutwara, kandi ube umunyakuri ku ngaruka zose ubona.

Wibuke ko gutwara wanyweye umuti uwo ari wo wose ugira uruhare mu kugabanya ubushobozi bwawe ni icyaha kandi biteje akaga. Niba wumva uruhutse, uruka, cyangwa ubundi buryo bugabanya ubushobozi bwawe, ntugatware. Tekereza ku buryo bwo gutwara butandukanye cyangwa usabe ubufasha mu muryango n'inshuti igihe bibaye ngombwa.