Fentanyl (inowanikwa mumhino)
Mhando dzinowanikwa
Lazanda
Nezve mushonga uyu
Fentanyl nasal spray inoshandiswa kurapa marwadzo akaomarara muvarwere vane cancer. Inoshandiswa kurapa marwadzo anopfuura anowanzoitika, ari marwadzo anouya zvakapfuura mushonga wemarwadzo wakajairwa watoshandiswa. Fentanyl iri mumhuri yemishonga inonzi opioid analgesics. Inoshandiswa chete kune varwere vari kutotora opioid analgesics. Fentanyl inoshanda mutsinga dzemafungiro (CNS) kuderedza marwadzo. Mimwe yemhedzisiro yayo inokonzerwawo nemabasa ari muCNS. Kana opioid ikashandiswa kwenguva yakareba, inogona kuva tsika (kukonzera kuvimba kwepfungwa kana kwemuviri). Zvisinei, pasi pekutarisirwa kwakanyanya kwemupi wehutano, vanhu vane marwadzo anoramba vachifanira kurega kutya kuvimba kuvarambidza kushandisa opioids kuderedza marwadzo avo. Kuvimba kwepfungwa (kuzvidzwa) kunonyanya kuitika kana opioids ikashandiswa nechinangwa ichi. Kuvimba kwemuviri kunogona kutungamirira kune zviratidzo zvekupera kana kurapwa kukamira kamwe kamwe. Zvisinei, zviratidzo zvakakomba zvekupera zvinogona kudzivirirwa nekuderedza zvishoma nezvishoma huwandu hwemushonga kwenguva yakati usati wapedza kurapwa zvachose. Chiremba wako achazofunga izvi paanenge achisarudza huwandu hwefentanyl yemhino yaunofanira kugamuchira. Mushonga uyu unowanikwa chete pasi pechirongwa chekugovera chinonzi TIRF (Transmucosal Immediate Release Fentanyl) REMS Program. Chigadzirwa ichi chinowanikwa mumafomu anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga unofanira kuyeranidzwa ne zvakanaka zvawo. Iyi sarudzo iwe nechikamu chako muchaiita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana yakaipa kune uyu mushonga kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye nasal fentanyl muhuwandu hwevana. Kwakachengeteka uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo ehukama hwezera aizoita kuti kushandiswa kwe nasal fentanyl kuvanhu vakwegura kuve kwakaoma. Zvisinei, varwere vakwegura vanogona kuva vanonzwa zvikuru kune migumisiro ye opioid analgesics kupfuura vakuru vaduku uye vane mukana mukuru wekuva nehosha yeitsvo ine hukama nehukama, izvo zvinoda kungwarira uye kugadziriswa kwemishonga kune varwere vanowana nasal fentanyl. Hapana ongororo dzakakwana muvakadzi dzekuona ngozi yemwana panguva yekushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe chete nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Mune izvi zviitiko, chiremba wako angada kuchinja chiyero, kana mamwe matanho angave anodiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana ne kukosha kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusi kukurudzirwa. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kudiwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti ungashandisa imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo ne nguva yekudya kana kudya marudzi akati wandei ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kuwirirana kunotevera kwakasarudzwa zvichienderana ne kukosha kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero zvinotevera kazhinji hakusi kukurudzirwa, asi kungasava nyore kudzivisa mune dzimwe nguva. Kana zvakashandiswa pamwe chete, chiremba wako angachinja chiyero kana kuti ungashandisa mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa zvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Shandisai mushonga uyu chete sezvakarayirwa nachiremba wako. Usashandise zvakawanda, usashandise kazhinji, uye usashandise kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Fentanyl nasal sprays inoshandiswa kune varwere vanoshivirira opioid chete. Kana usina chokwadi kana uri opioid-tolerant, bvunza chiremba wako usati washandisa mushonga uyu. Zvakakosha kuti unzwisise mitemo yeTIRF REMS purogiramu kudzivirira kuora muviri, kusvibiswa, uye kushandiswa zvisina kunaka kwefentanyl. Mushonga uyu unofanira kuuyawo neGwara reMishonga nemirayiridzo yevavarwere. Verenga utevedze mirayiridzo iyi zvakanyatsonaka. Verenga zvakare nguva imwe neimwe paunenge uchizadza mushonga wako kana paine ruzivo rutsva. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Mushonga uyu unoshandisirwa mumhino chete. Usarega uchiwira muziso rako kana paganda rako. Kana zvikawira munzvimbo idzi, geza nemvura nekukurumidza. Fentanyl nasal spray inoshanda zvakasiyana nemamwe mafenantyl zvigadzirwa, kunyangwe pane dose imwe chete. Usachinje kana kuchinja kuenda kune mamwe mafekitori ane fentanyl. Kushandisa nasal spray: Kana dose imwe ichidikanwa, mirira kwemaawa maviri usati watarisira imwe episode yekurwadziwa kwakapfuura. Usadya grapefruit kana kunwa grapefruit juice paunenge uchishandisa mushonga uyu. Dose yemushonga uyu ichave yakasiyana kune varwere vakasiyana. Tevedza mirairo yechiremba wako kana mirairo iri parabel. Ruzivo runotevera rinosanganisira avhareji doses yemushonga uyu chete. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko remuviri rauri kushandisa mushonga. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kuti urege kuoma. Chengetedza kure nevana. Usachengetere mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yehutano maitiro aunofanira kubvisa chero mushonga wausashandisi. Bvunza pharmacist yako nezve nzira yakanakisa yekubvisa mushonga wausashandisi. Kanda bhodhoro re spray uye tanga kushandisa rimwe idzva kana wakashandisa maspray masere kana kana zvikaita mazuva makumi matanhatu kana kupfuura kubvira pazvakashandiswa. Rasa chero mabhodhoro e spray anoshandiswa, anoshandiswa zvishoma, kana asingadiwi nekubudisa uye kushambidza mhinduro yakasara muhomwe. Homwe yakavharwa nebhodhoro risina chinhu zvinofanira kuiswa mubhodhoro rinodzivirira vana usati warasa mumabhinzi. Geza maoko ako neshampo nemvura nekukurumidza mushure mekubata homwe.