Chii chinonzi Methadone Injection: Zvayinoshandiswa, Madosi, Migumisiro Yayo, nezvimwe

Methadone injection mushonga une simba weopioid unopiwa zvakananga mumhasuru dzako kana tsinga nerubatsiro rwevashandi vehutano. Fomu iyi ye methadone inowanzo shandiswa muzvipatara kana nzvimbo dzakakosha dzekurapa kana iwe usingakwanise kutora mushonga wemuromo kana uchida rubatsiro rwekurwadziwa nekukurumidza.

Nepo vanhu vazhinji vachiziva methadone semushonga wemuromo wekurapa kuwedzera kweopioid, fomu rinobaiwa rinoshanda zvinangwa zvakakosha zvekurapa. Iyo chinhu chinodzorwa chinoda kutarisirwa kwakanyanya kwekurapa nekuda kwesimba rayo uye mukana wemigumisiro yakakomba.

Chii chinonzi Methadone Injection?

Methadone injection mushonga weopioid wekuita unotumirwa zvakananga mumuviri wako kuburikidza netsono. Vapi vehutano vanoshandisa nzira iyi kana mushonga wemuromo usingakwanisi kana kusashanda zvakakwana kune mamiriro ako.

Fomu rinobaiwa rinoshanda nekukurumidza kupfuura mapiritsi nekuti rinopfuura zvachose hurongwa hwako hwekugaya. Muviri wako unoiisa nekukurumidza kuburikidza neropa rako, richipa rubatsiro rwekukurumidza kana zvichidikanwa. Izvi zvinoita kuti zvikwanise kushandiswa mumamiriro ezvinhu ekukurumidzira kana iwe usingakwanise kumedza mishonga.

Kusiyana nemishonga yemumugwagwa, methadone injection yemishonga inoyerwa zvakanyatso uye inotungamirirwa nevanhu vakadzidziswa. Madosi uye nguva zvinodzorwa zvakanyatso kuona kuchengeteka kwako uchipa mhedzisiro yekurapa yaunoda.

Chii chinonzi Methadone Injection chinoshandiswa?

Methadone injection inonyanya kushandiswa kurapa kurwadziwa kwakanyanya kana dzimwe nzira dzisiri kushanda. Vanachiremba vanowanzo chengetera fomu iri kune mamiriro akakosha ekurapa uko mishonga yemuromo isina kukodzera.

Zvikonzero zvakajairika zvaungagamuchira methadone injection zvinosanganisira kurwadziwa kwakanyanya kusingapinduri kune dzimwe mishonga, mamiriro ezvinhu apo iwe usingakwanise kutora mishonga yemuromo nekuda kwekuvhiyiwa kana kurwara, uye manejimendi ekurwadziwa ekukurumidzira muzvipatara.

Mune dzimwe nzira dzakakosha dzekurapa kusagadzikana, vapi vehutano vanogona kushandisa methadone inojekeswa kana kupa nemuromo kusingaiti. Zvisinei, izvi hazviwanzoitika zvakanyanya kupfuura kurapwa kwe methadone maintenance therapy. Nzira yekujekesa inowanzofungidzirwa kana dzimwe sarudzo dzashandiswa.

Kune varwere vane gomarara vari kusangana nekurwadziwa kunotyisa, methadone injection inogona kupa zororo kana mishonga yemuromo isingatorwi zvakanaka. Izvi zvinogona kuitika panguva ye chemotherapy kana kusvotwa nekutsvanza kunodzivirira kuchengeta mishonga yemuromo pasi.

Methadone Injection Inoshanda Sei?

Methadone injection imishonga ine simba yeopioid inoshanda nekubatanidza kune mamwe ma receptors muuropi hwako uye musana. Aya ma receptors, anonzi opioid receptors, anotonga kuti muviri wako unoona sei uye unopindura sei kune zviratidzo zverwadziwa.

Kana methadone yakabatanidzwa kune aya ma receptors, inodzivirira mameseji erwadziwa kubva pakusvika muuropi hwako. Izvi zvinogadzira simba rekubatsira kurwadziwa rinogona kugara kwenguva refu kupfuura mamwe akawanda opioid mishonga. Mhedzisiro inowanzo kutanga mukati memaminitsi gumi nemashanu-30 mushure mejekiseni.

Chinoita kuti methadone ive yakasarudzika ndiyo nguva yayo refu yekuita. Kunyange zvazvo jekiseni richishanda nekukurumidza, mhedzisiro yayo inogona kugara maawa 8-12 kana kunyange kwenguva refu kune vamwe vanhu. Iyi zororo rakawedzerwa zvinoreva kuti hauzodi majekiseni anowanzoitika zuva rese.

Mishonga inokanganisawo sisitimu yekupa mubayiro muuropi hwako, ndosaka ichibatsira pakurapa kusagadzikana. Inobatsira kudzivirira zviratidzo zvekubvisa uye inoderedza zvishuwo pasina kuburitsa euphoria yakanyanya ine hukama nemamwe maopioids kana ichishandiswa zvakakodzera.

Ndinofanira Kugamuchira Sei Methadone Injection?

Methadone injection inogara ichipihwa nevapi vehutano vakadzidziswa munzvimbo dzekurapa. Hauzive uye haufaniri kuedza kuzvipa mishonga iyi kumba.

Jekiseni rinogona kupiwa mumhasuru yako (intramuscular) kana zvakananga mutsinga (intravenous), zvichienderana nezvido zvako zvekurapa. Mukoti wako wezvehutano achasarudza nzira yakanakisa zvichienderana nemamiriro ako uye nekukurumidza kwaunoda rubatsiro rwerurwadzo.

Usati wapiwa jekiseni, timu yako yezvokurapa ichaongorora nhoroondo yako yezvokurapa yakazara nemishonga yaunotora parizvino. Vanoda kuziva nezveallergy chero ipi zvayo, matambudziko ekufema, kana mamwe mamiriro ehutano aunayo. Ruzivo urwu runovabatsira kusarudza kana jekiseni re methadone rakachengeteka kwauri.

Panguva yejekiseni, iwe uchatariswa zvakanyanya kune chero mhedzisiro isina kunaka. Vakoti vezvehutano vachaongorora kufema kwako, kurova kwemoyo, uye kudzvinyirirwa kweropa nguva dzose. Kuongorora uku kunoenderera mberi kwemaawa akati wandei mushure mejekiseni nekuti mhedzisiro ye methadone inogara kwenguva refu.

Unofanira kugara munzvimbo yekurapa kuti uongororwe mushure mekuwana jekiseni re methadone. Chikwata chehutano chinoda kuona kuti uri kupindura zvakanaka kumushonga uye hausi kusangana nemhedzisiro yakaipa.

Ndingapiwa Jekiseni reMethadone Kwenguva Yakareba Sei?

Kureba kwekurapa nejekiseni re methadone kunoenderana zvachose nemamiriro ako ezvokurapa uye kupindura kwako kumushonga. Mukoti wako wezvehutano achasarudza kuti unoda kurapwa uku kwenguva yakareba sei zvichienderana nemamiriro ako ega ega.

Kuti utarise kurwadziwa kwakanyanya, unogona kupiwa majekiseni kwemazuva mashoma chete uri muchipatara. Paunenge uchikwanisa kutora mishonga yemuromo zvakare, chiremba wako anogona kukuchinjira kumapiritsi kana dzimwe nzira dzekutarisira kurwadziwa.

Muzviitiko zverurwadzo rusingaperi, chirongwa chejekiseni chinogona kuenderera mberi kwenguva refu, asi timu yako yezvokurapa ichaongorora nguva dzose kana iyi iri nzira yakanakisa kwauri. Vachafunga nezvezvinhu zvakaita sematanho ako ekurwadziwa, mhedzisiro, uye hutano hwako hwese.

Mupi wehutano hwako haazombomira jekiseni remethadone kamwe kamwe kana wanga uchiri kurigamuchira nguva dzose. Vachagadzira chirongwa chekuderedza zvishoma nezvishoma kudzivirira zviratidzo zvekubvisa. Iyi nzira, inonzi tapering, inobatsira muviri wako kuti ujairane zvakachengeteka nekuderedza huwandu hwemushonga.

Ndezvipi Zvakaipa zveMethadone Injection?

Methadone jekiseni rinogona kukonzera mhedzisiro kubva pakureruka kusvika pakukomba. Kunzwisisa izvi zvinogona kukonzera mhedzisiro kunokubatsira kuziva zvekutarisira uye kana uchida kutsvaga rubatsiro rwekurapa.

Mhedzisiro yakajairika yaungasangana nayo inosanganisira kurara, kusvotwa, kuvharika, uye dzungu. Izvi zvinokonzeresa zvinowanzo manejwa uye zvinogona kuvandudza sezvo muviri wako uchijaira mushonga.

Heano mhedzisiro inowanzoitika iyo vanhu vazhinji vanosangana nayo:

• Kurara uye kuneta
• Kusvotwa uye kurutsa
• Kuvharika
• Dzungu kana lightheadedness
• Kutukwa
• Muromo wakaoma
• Musoro

Izvi zvinowanzoitika zvinowanzoitika zvenguva pfupi uye zvinogona manejwa nerutsigiro rwekutarisirwa kubva kuchikwata chako chehutano.

Mhedzisiro yakakomba inoda kutarisirwa kwekurapa nekukurumidza uye inosanganisira matambudziko ekufema, maitiro akanyanya allergic, uye shanduko dzemoyo. Izvi hazviwanzoitiki asi zvinogona kuva nengozi.

Mhedzisiro yakakomba inoda kutarisirwa kwemamiriro ekukurumidzira inosanganisira:

• Kufema zvishoma nezvishoma kana kuoma
• Dzungu rakanyanya kana kufenda
• Kurova kwemoyo kusina kujairika
• Maitiro akanyanya allergic (rash, kuzvimba, kuoma kufema)
• Kuvhiringidzika kana maitiro asingajairiki
• Kukakavara

Kana iwe ukasangana nechero zviratidzo izvi zvakakomba, chikwata chako chehutano chichatora matanho nekukurumidza kuti uve nechokwadi chekuchengeteka kwako.

Zvimwe zvinhu zvisingawanzoitiki asi zvakakomba zvinogona kuitika nekujekesa methadone, kunyanya kana ichishandiswa kwenguva refu. Izvi zvinosanganisira kudzvinyirirwa kwekufema (kufema kunonoka zvinotyisa), cardiac arrhythmias (kurova kwemoyo kusingaenderani), uye zviratidzo zvakakomba zvekubviswa kana mushonga wakamiswa kamwe kamwe.

Kudzvinyirirwa kwekufema ndiko kwakanyanya kunetesa mhedzisiro isingawanzoitiki, kunyanya muvanhu vane matambudziko ekufema. Chikwata chako chehutano chinotarisa izvi zvakanyanya, kunyanya mumaawa mashoma ekutanga mushure mejekiseni.

Ndiani Asingafaniri Kuwana Methadone Injection?

Vanhu vakati wandei havafaniri kuwana methadone injection nekuda kwekuwedzera njodzi yezvinetso zvakakomba. Mupi wako wehutano achanyatsoongorora nhoroondo yako yekurapa asati afunga nezvekurapa uku.

Haufaniri kuwana methadone injection kana uine matambudziko akakomba ekufema, mamwe mamiriro emoyo, kana kuzivikanwa kweallergies ku methadone. Vanhu vane chirwere chakakomba chechiropa kana matambudziko eitsvo vanogonawo kuda mamwe marapirwo.

Mamiriro chaiwo anowanzo kudzivirira kushandiswa kwejekiseni re methadone anosanganisira:

• Asthma yakakomba kana chirwere chemapapu chinodzivirira (COPD)
• Zvirwere zvakakomba zverhythm yemoyo
• Kuzivikanwa kweallergy ku methadone kana mishonga yakafanana
• Kukundikana kwechiropa kwakakomba
• Paralytic ileus (matumbu akavharika)
• Kukuvara kwakakomba kwemusoro nekudzvinyirirwa kwehuropi kwakawedzera

Izvi zvinowedzera zvakanyanya njodzi yezvinetso zvinotyisa kubva ku methadone injection.

Vakadzi vane pamuviri vanoda kufunga kwakakosha vasati vawana methadone injection. Kunyange methadone ichigona kushandiswa panguva yekuzvitakura kurapa kuwedzera, fomu rinjekiseni rinoda kuongororwa kwakanyanya kwenjodzi-bhenefiti. Chikwata chako chehutano chichafunga nezvehutano hwako nekuchengeteka kwemwana wako.

Varwere vakuru uye vanhu vane matambudziko mazhinji ehutano vanoda kungwarira zvakanyanya nekujowa methadone. Vanogona kunge vachinyanya kunzwa kune mhedzisiro yemushonga uye vanoda madosi mashoma kana kuongororwa kakawanda.

Mazita eBrand eMethadone Injection

Methadone inojowewa inowanikwa pasi pemazita akati wandei ebrand, kunyangwe ichiwanikwawo semushonga wegeneric. Zita rinonyanya kuzivikanwa rebrand ndiDolophine, iyo inouya muchimiro chekujowa chekushandiswa kwekurapa.

Mamwe mazita ebrand e methadone inojowewa anosanganisira Methadose uye akasiyana generic formulations. Mupi wako wehutano achasarudza iyo chaiyo brand kana generic vhezheni zvichienderana nekuwanikwa uye zvaunoda zvekurapa.

Zvese zvigadzirwa zvemethadone injection zvakabvumidzwa neFDA zvine chinhu chimwe chete chinoshanda uye zvinoshanda zvakafanana. Sarudzo pakati pezita rebrand uye generic vhezheni inowanzoenderana nezvido zvechitoro chako chehutano uye kufunga kwemutengo.

Zvisinei nezita rebrand, ese methadone injections anofanirwa kuchengetwa uye kutungamirirwa zvinoenderana nemitemo yakasimba yekurapa. Izvi zvinovimbisa kuti unogamuchira dose yakachengeteka uye inoshanda nguva dzese.

Methadone Injection Alternatives

Zvimwe zvakawanda zvinotsiva methadone injection zviripo zvekutarisira kurwadziwa uye kurapwa kwekuwedzera. Mupi wako wehutano achafunga nezvezvisarudzo izvi zvichibva pazvako zvaunoda zvekurapa uye mamiriro ezvinhu.

Pakuona kurwadziwa, dzimwe nzira dzinosanganisira mamwe maopioid anojowewa senge morphine, fentanyl, kana hydromorphone. Mishonga iyi inoshanda zvakafanana asi ine nguva dzakasiyana dzekuita uye mhedzisiro.

Zvimwe zvisiri zveopioid zvekutarisira kurwadziwa zvinosanganisira:

• Mishonga inorwisa-kuzvimba inojowewa
• Nerve blocks ine local anesthetics
• Ketamine infusions yekurwadziwa kwakanyanya
• Patient-controlled analgesia (PCA) pumps
• Epidural kana spinal pain management techniques

Zvimwe zvingava zvakakodzera zvichienderana nerudzi rwekurwadziwa kwako uye nhoroondo yako yezvokurapa.

Pakurapa kuvanza, methadone yemumuromo inoramba iri yegoridhe kana zvichibvira. Zvimwe zvingasarudzwa zvekubatsirwa nemishonga zvinosanganisira buprenorphine (Suboxone) uye naltrexone (Vivitrol). Mishonga iyi inoshanda zvakasiyana asi inogona kubatsira pakurapa kuvanza kweopioid.

Chikwata chako chekuchengetwa kwehutano chichakubatsira kunzwisisa kuti ndeapi mamwe maitiro angashanda zvakanaka kune mamiriro ako. Vachafunga nezvezvinhu zvakaita senhoroondo yako yezvokurapa, mishonga iripo, uye zvinangwa zvekurapa pavanenge vachipa mazano.

Ko Jekiseni yeMethadone Zviri Nani Kupfuura Methadone Yemuromo?

Kana jekiseni re methadone riri nani pane methadone yemumuromo zvinoenderana zvachose nemamiriro ako chaiwo ekurapa. Fomu rega rega rine zvakanakira zvakasiyana uye rinoshandiswa mumamiriro akasiyana.

Jekiseni reMethadone rinoshanda nekukurumidza kupfuura mushonga wemuromo nekuti rinopfuura nepadumbu rako. Izvi zvinoita kuti zvikoshe mumamiriro ezvinhu ekukurumidzira kana iwe usingakwanise kutora mishonga yemuromo nekuda kwekunzwa kusvotwa, kurutsa, kana matambudziko ekumedza.

Zvisinei, methadone yemumuromo inowanzosarudzwa pakurapa kwenguva refu nekuti yakachengeteka uye iri nyore. Unogona kutora mushonga wemuromo kumba nekutariswa kwakakodzera kwekurapa, nepo majekiseni achida nzvimbo dzekurapa uye nyanzvi dzakadzidziswa.

Iyo jekiseni fomu inowanzo chengeterwa mamiriro ezvinhu chaiwo ekurapa uko kutariswa kwemuromo kusingabviri kana kusiri kushanda. Izvi zvinosanganisira kurwara zvakanyanya, kupora kubva mukuvhiwa, kana kana hurongwa hwako hwekugaya husingashande zvakanaka.

Pakurapa kuvanza, methadone yemumuromo inenge ichigara ichisarudzwa nekuti inobvumira manejimendi akagadzikana, enguva refu. Iyo jekiseni fomu inowanzo shandiswa pakurapa kuvanza kunze kwemamiriro chaiwo.

Mibvunzo Inowanzo Bvunzwa Nezve Methadone Injection

Ko Jekiseni yeMethadone Yakachengeteka Kune Vanhu vane Chirwere Chemoyo?

Kujekesa methadone kunoda kungwarira kwakanyanya muvanhu vane chirwere chemoyo nekuti zvinogona kukanganisa rhythm yemoyo. Mupi wako wehutano achanyatsoongorora mamiriro ako emoyo asati afunga nezvekurapa uku.

Kana uine chirwere chemoyo, timu yako yezvokurapa ichanyatsoongorora rhythm yemoyo wako panguva uye mushure mejekiseni re methadone. Vanogona kushandisa electrocardiogram (EKG) monitoring kuti vatarise chero shanduko dzine njodzi mubasa remagetsi remoyo wako.

Vanhu vane zvimwe zvirwere zve rhythm yemoyo, kunyanya long QT syndrome, vangave vasiri vakakodzera kujekesa methadone. Chiremba wako achatarisa nhoroondo yako yese yemoyo uye mishonga iripo kuti aone kana zvakachengeteka kwauri.

Ndoita Sei Kana Ndichiwana Zvakaipa Zvikuru Kubva KuMethadone Injection?

Kana iwe ukawana mhedzisiro yakakomba kubva kujekiseni re methadone, zivisa timu yako yehutano nekukasira. Sezvo iwe uchave uri muchivakwa chekurapa paunogamuchira jekiseni, rubatsiro ruchawanikwa nyore.

Mhedzisiro yakakomba senge kuoma kufema, kurwadziwa muchipfuva, kana dzungu rakanyanya rinoda kupindira kwekurapa nekukasira. Timu yako yehutano yakadzidziswa kuziva nekukurumidza kurapa matambudziko aya.

Timu yako yezvokurapa ichave iine mishonga nemidziyo yakagadzirira kudzosa mhedzisiro ine njodzi kana zvichidikanwa. Vanogona kushandisa naloxone (Narcan) kudzivisa kuora mwoyo kwakanyanya kana mamwe marapirwo ekukurumidzira sezvinodiwa.

Ndinofanira Kutarisira Chii Panguva Yekupora Mushure MeMethadone Injection?

Kupora mushure mejekiseni re methadone kunosanganisira maawa akati wandei ekuongorora kwekurapa kuti uve nechokwadi chekuti uri kupindura zvakanaka kumushonga. Iwe uchagara muchivakwa chekurapa kusvikira timu yako yehutano yaona kuti zvakachengeteka kuti ubve.

Panguva yekupora, unogona kunzwa uine hope, dzungu, kana kuwana mamwe mhedzisiro yakapfava. Izvi zvakajairika, uye timu yako yehutano ichakutarisa zvakanyanya. Vanozoongorora zviratidzo zvako zvakakosha nguva dzose uye vatarise chero zviratidzo zvinonetsa.

Haufaniri kutyaira kana kushandisa michina kwemaawa angangoita 24 mushure mekuwana jekiseni re methadone. Mushonga uyu unogona kukanganisa mafungiro ako ne kutonga kunyangwe mushure mekunge mhedzisiro yekubatsira kurwadziwa yatanga kupera.

Ndingamira Rini Kuwana Jekiseni re Methadone?

Unogona kumira kuwana jekiseni re methadone kana chiremba wako achiona kuti zvakakodzera zvekurapa uye zvakachengeteka. Sarudzo iyi inoenderana nemamiriro ako ezvinhu ekurapa, mazinga ekurwadziwa, uye kugona kuchinjira kune dzimwe nzira dzekurapa.

Kana wanga uchigamuchira majekiseni e methadone nguva dzose, chiremba wako achagadzira chirongwa chekuderera zvishoma nezvishoma pane kumira kamwe kamwe. Izvi zvinodzivirira zviratidzo zvekubvisa uye zvinovimbisa kunyaradzwa kwako uye kuchengeteka.

Nguva yekumira inosiyana zvakanyanya zvichienderana nemamiriro ako ega. Vamwe vanhu vanochinja mushure memazuva mashoma, nepo vamwe vachigona kuda chirongwa chakareba chekuderera.

Jekiseni re Methadone Rinogona Kudyidzana Nemimwe Mishonga Yangu Here?

Hongu, jekiseni re methadone rinogona kudyidzana nemimwe mishonga yakawanda, ndosaka timu yako yehutano ichiongorora runyorwa rwako rwemishonga yese usati watanga kurapwa. Kudyidzana uku kunogona kuva kwengozi uye kunogona kuda kugadzirisa mimwe mishonga yako.

Kudyidzana kunonyanya kuita njodzi kunoitika nemamwe ma depressants etsinga dzepakati senge benzodiazepines, doro, kana mamwe maopioids. Mibatanidzwa iyi inogona kukonzera kuora mwoyo kwakanyanya kwekufema uye mamwe mhedzisiro inotyisa hupenyu.

Mupi wako wehutano achatarisawo kudyidzana nemishonga yemoyo, antidepressants, uye mamwe madhiragi anokanganisa rhythm yemoyo wako. Vangangoda kugadzirisa dosing kana kushandisa dzimwe nzira dzekurapa kuti vave nechokwadi chekuchengeteka kwako.