Yini Ukujova Kwe-Fentanyl: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

Ukujova kwe-Fentanyl kuyimithi enamandla yokwelapha ubuhlungu odokotela abayisebenzisayo ezibhedlela nasezikhungweni zezokwelapha ukuze kulawulwe ubuhlungu obukhulu. Le opioid eyenziwe ngamachiza inamandla kakhulu kune-morphine futhi ngokuvamile igcinelwe izimo lapho eminye imithi yokwelapha ubuhlungu inganele. Ukuqonda ukuthi le mithi isebenza kanjani nokuthi isetshenziswa nini kungakusiza ukuthi uzizwe ulungiselelwe kakhulu uma wena noma othandiweyo wakho ngabe niyayidinga lolu hlobo lokunakekelwa kwezokwelapha.

Yini Ukujova Kwe-Fentanyl?

Ukujova kwe-Fentanyl kuyisidambisi sobuhlungu esinamandla esenziwe ngamachiza se-opioid esinikezwa ngokuqondile emjondolo wakho nge-IV line noma ukujova. Kungokohlobo lwemithi ebizwa ngokuthi ama-opioid analgesics, asebenza ngokuvimba izimpawu zobuhlungu ebuchosheni bakho nasemgogodleni. Le mithi inamandla angaba ngu-50 kuya ku-100 ngaphezu kwe-morphine, okuyenza ibe ngomunye wemithi enamandla yokwelapha ubuhlungu etholakala ezindaweni zezokwelapha.

Ifomu elijovwayo livumela odokotela ukuthi banikeze ukukhululeka okusheshayo kobuhlungu futhi libanikeza ukulawula okunembile ngomthamo. Ngenxa yamandla ayo kanye namathuba emiphumela emibi, ukujova kwe-fentanyl kusetshenziswa kuphela ngaphansi kokuqondiswa okuqinile kwezokwelapha ezibhedlela, ezikhungweni zokuhlinzwa, nakwezinye izikhungo zokunakekelwa kwezempilo. Ngeke nanini wamukele le mithi ukuthi uyithathe ekhaya noma uyisebenzise wedwa.

Yini Ukujova Kwe-Fentanyl Okusetshenziselwa Yona?

Odokotela ngokuyinhloko basebenzisa ukujova kwe-fentanyl ukuze balawule ubuhlungu obukhulu obudinga ukukhululeka okusheshayo, okunamandla. Le mithi ivame kakhulu ukusetshenziswa ngesikhathi nangemva kokuhlinzwa okukhulu, ezigulini ezikunakekelwa okukhulu, nakulabo abanezinhlungu ezivela emdlalweni womdlavuza noma ezinye izimo ezinzima.

Nazi izimo eziyinhloko lapho ithimba lakho lezokwelapha lingase lisebenzise khona ukujova kwe-fentanyl:

• Ngesikhathi sokuhlinzwa ukuze kulawulwe ubuhlungu ngenkathi ungaphansi kwe-anesthesia
• Ngemuva kokuhlinzwa okukhulu lapho eminye imithi yokwelapha ubuhlungu inganikezi ukukhululeka okwanele
• Kubantu abanesifo somdlavuza abanezinhlungu ezinzima eziqhamukayo
• Emayunithi okunakekelwa okukhulu kubantu abasebenzisa ama-ventilator noma labo abalimele kabi
• Ngesikhathi sezinqubo ezithile zezokwelapha ezibangela ukungakhululeki okukhulu
• Kubantu abanezimo zobuhlungu ezingapheli lapho ezinye izindlela zokwelapha zehlulekile

Iqembu lakho lezempilo lizocabangela kuphela ukujovwa kwe-fentanyl uma izinzuzo ziqeda ubungozi. Bazohlola ngokucophelela umlando wakho wezokwelapha, isimo sakho samanje, neminye imithi ngaphambi kokunquma ukuthi lokhu kwelashwa kulungile yini kuwe.

Isebenza Kanjani I-Fentanyl Injection?

I-fentanyl injection isebenza ngokubopha kuma-receptors athile ebuchosheni bakho nasemgogodleni obizwa ngokuthi ama-opioid receptors. Lapho umuthi unamathisela kula ma-receptors, uvimba izimpawu zobuhlungu ezingafinyeleli ebuchosheni bakho futhi ushintsha indlela umzimba wakho oqonda ngayo ubuhlungu. Le nqubo yenzeka ngokushesha lapho umuthi unikezwa nge-intravenously, ngokuvamile unikeza ukukhululeka ngemizuzu.

Lo muthi ubhekwa njengonamandla kakhulu emhlabeni wezokwelapha. Ukuze ubeke lokhu ngombono, inani elincane kakhulu le-fentanyl linganikeza ukukhululeka kobuhlungu obufanayo njengomthamo omkhulu kakhulu we-morphine. Lawa mandla avumela odokotela ukuthi basebenzise amanani amancane ngenkathi besathola ukulawulwa kobuhlungu okusebenzayo, okungasiza iziguli ezingase zingakwazi ukubekezelela amanani amakhulu omuthi.

Imiphumela ye-fentanyl injection ihlala isikhathi esifushane uma iqhathaniswa namanye ama-opioids. Lokhu kusho ukuthi ithimba lakho lezokwelapha lingashintsha ukuphathwa kwakho kobuhlungu ngokushesha uma kudingeka, kodwa futhi kusho ukuthi ungase udinge imithamo evame kakhulu ukuze ugcine induduzo ngesikhathi sokwelashwa kwakho.

Kufanele Inikezwe Kanjani I-Fentanyl Injection?

Ukujovwa kwe-Fentanyl kufanele kuphathwe kuphela ochwepheshe bezempilo abaqeqeshiwe ezindaweni zezokwelapha. Uzothola lo muthi ngomugqa we-intravenous (IV), ngokuqondile emsipheni, noma ngezinye izikhathi ngamadivayisi akhethekile okuphatha ubuhlungu ngaphansi kokuqashwa okuqinile kwezokwelapha.

Ithimba lakho lezempilo lizinquma umthamo oqondile ngokusekelwe ezintweni eziningi ezihlanganisa isisindo sakho, isimo sezempilo, izinga lobuhlungu, nokuthi usabele kanjani kweminye imithi yokwelapha ubuhlungu. Bazoqala ngomthamo ophansi osebenzayo bese belungisa njengoba kudingeka ngenkathi bekuqapha eduze kokubili ukukhululeka kobuhlungu nemiphumela emibi.

Isikhathi nendlela yokuphatha kuncike esimweni sakho esithile. Ngezindlela zokuhlinzwa, ungase ukuthole ngaphambi, ngesikhathi, noma ngemuva kokuhlinzwa kwakho. Kwezinye izimo, ithimba lakho lezokwelapha lizokwenza isimiso esihlinzeka ngokuqeda ubuhlungu okusebenzayo kakhulu ngenkathi kunciphisa izingozi.

Kufanele Kuthatha Isikhathi Esingakanani Ukwelashwa Ngokujovwa Kwe-Fentanyl?

Ubude bokwelashwa ngokujovwa kwe-fentanyl buhlukahluka kakhulu kuye ngesimo sakho sezempilo esithile. Ngezindlela zokuhlinzwa, ungase ukuthole kuphela ngesikhathi sokuhlinzwa nesikhathi sokululama ngokushesha. Ezimweni eziyinkimbinkimbi, ukwelashwa kungathatha izinsuku eziningana noma isikhathi eside ngenkathi usemtholampilo.

Ithimba lakho lezokwelapha lizoqhubeka nokuhlola ukuthi usadinga yini leli zinga lokuphathwa kobuhlungu. Njengoba isimo sakho sithuthuka, ngokuvamile bazokushintshela emithini yokwelapha ubuhlungu engasebenzi kakhulu noma banciphise imvamisa yokujova. Umgomo uhlala ukuhlinzeka ngokuqeda ubuhlungu okwanele ngenkathi kunciphisa ukuchayeka kwakho kulo muthi onamandla.

Kubalulekile ukuqonda ukuthi ukujovwa kwe-fentanyl kuhloselwe ukusetshenziswa kwesikhashana ezindaweni zezokwelapha ezilawulwayo. Abahlinzeki bakho bezempilo bazoba nohlelo olucacile lokuyeka lo muthi njengoba ukululama kwakho kuqhubeka.

Yiziphi Imiphumela Emibi Yokujovwa Kwe-Fentanyl?

Njengazo zonke izidakamizwa ezinamandla, ukujovwa kwe-fentanyl kungabangela imiphumela engemihle ehlukahluka kusuka kokuncane kuya kokukhulu. Ithimba lakho lezokwelapha lizokuhlola ngokusondele ngezimpawu ezingezinhle futhi lilungise ukwelashwa kwakho ngokufanele. Ukuqonda le miphumela engaba khona kungakusiza ukuthi uxhumane kangcono nabanakekeli bakho bezempilo.

Imiphumela ejwayelekile engemihle abantu abaningi abayizwayo ihlanganisa:

• Ukozela noma ukuzola
• Isicanucanu noma ukuhlanza
• Ukuqunjelwa
• Isiyezi noma ukukhathala
• Umlomo owomile
• Ukujuluka
• Ukudideka noma ubunzima bokugxilisa ingqondo

Le miphumela ejwayelekile ivamise ukulawuleka ngokunakekelwa okufanele kwezokwelapha futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi noma njengoba umthamo uncishiswa.

Imiphumela engemihle engathi sína idinga ukunakekelwa kwezokwelapha ngokushesha futhi ihlanganisa:

• Izinkinga zokuphefumula ezinzima noma ukuphefumula okuhamba kancane, okungashoni
• Ukozela okukhulu noma ubunzima bokuhlala uvukile
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukungezwani komzimba okukhulu nokuvuvukala, ukuqubuka, noma ubunzima bokuphefumula
• Ukucabanga okungamanga noma ukudideka okukhulu
• Ukuqina kwemisipha noma ukuqina
• Ukushaywa yisithuthwane

Umphumela ongemuhle okhathazayo kakhulu ukucindezeleka kokuphefumula, lapho ukuphefumula kwakho kuba kancane noma kungashoni ngendlela eyingozi. Yingakho uzoqashwa ngokusondele noma nini lapho uthola ukujovwa kwe-fentanyl, futhi ithimba lakho lezokwelapha lizoba nemithi etholakalayo yokuguqula lo mphumela uma kudingeka.

Ubani Ongafanele Athole Ukujovwa Kwe-Fentanyl?

Izimo ezithile zezokwelapha nezimo zenza ukujovwa kwe-fentanyl kungaphephile noma kungafanele. Ithimba lakho lokunakekelwa kwezempilo lizobuyekeza ngokucophelela umlando wakho wezokwelapha ukuze liqinisekise ukuthi le mithi iphephile kuwe ngaphambi kokucabangela ukuyisebenzisa.

Akufanele uthole ukujovwa kwe-fentanyl uma une:

• Ukungezwani komzimba okwaziwayo ne-fentanyl noma eminye imithi ye-opioid
• Izinkinga ezinkulu zokuphefumula noma ukucindezeleka kokuphefumula
• Isifuba esikhulu noma ezinye izimo zamaphaphu ezingalawuleki kahle
• Ukuvaleka kwamathumbu noma ukuqunjelwa okukhulu
• Ukwelashwa kwamuva ekhanda noma ukwanda kwengcindezi ekhakhazini lakho
• Isifo esibi sesibindi noma sezinso
• Umlando wokusebenzisa kabi izidakamizwa (nakuba lokhu kungakukhiphi ngokuzenzakalelayo)

Ithimba lakho lezokwelapha lizosebenzisa ukuqapha okwengeziwe uma usumdala, unezinkinga zenhliziyo, noma uthatha eminye imithi ethile engase ihlangane ne-fentanyl. Bazohlola izinzuzo ngokumelene nezingozi futhi bangakhetha amasu okwelapha ubuhlungu uma izingozi ziphezulu kakhulu.

Amagama Omkhiqizo Wokujova i-Fentanyl

Ukujova i-Fentanyl kuyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile nayo isetshenziswa kakhulu ezindaweni zezokwelapha. Amanye amagama omkhiqizo ongahlangana nawo afaka i-Sublimaze, elinye lamagama omkhiqizo aziwa kakhulu we-fentanyl ejovwayo.

Ithimba lakho lezempilo lizokhetha ifomula ethile ngokusekelwe ezidingweni zakho nokuthi yini etholakalayo endaweni yabo. Zonke izinhlobo zokujova i-fentanyl zisebenza ngendlela efanayo, kodwa kungase kube nomehluko omncane ekugxilweni noma indlela abalungiselelwa ngayo ukuze banikezwe.

Ezinye izindlela zokujova i-Fentanyl

Imithi eminingi yokwelapha ubuhlungu ingase icatshangelwe esikhundleni sokujova i-fentanyl, kuye ngesimo sakho esithile. Ithimba lakho lezokwelapha lizokhetha inketho efanele kakhulu ngokusekelwe ezingeni lakho lobuhlungu, isimo sezokwelapha, nezici zomuntu ngamunye.

Ezinye izindlela ezivamile zifaka:

• Umjovo we-morphine wokuphatha ubuhlungu obukhulu
• I-Hydromorphone (Dilaudid) yokukhulula ubuhlungu obuqinile
• I-Oxycodone yobuhlungu obumaphakathi nendawo kuya kobukhulu
• I-anesthesia yesifunda noma ama-nerve block obuhlungu bendawo
• Imithi yokwelapha ubuhlungu engeyona i-opioid efana ne-ketorolac yezinhlobo ezithile zobuhlungu
• Amapompo e-analgesia alawulwa yiziguli (PCA) ngamanye ama-opioid

Abahlinzeki bakho bezempilo bazosebenza nawe ukuthola indlela ephumelela kakhulu yokuphatha ubuhlungu ngenkathi kuncishiswa izingozi nemiphumela emibi. Kwesinye isikhathi inhlanganisela yemithi ehlukene noma amasu asebenza kangcono kunokuncika emuthini owodwa onamandla.

Ingabe umjovo we-Fentanyl ungcono kune-Morphine?

Umjovo we-Fentanyl akudingeki ukuthi ungcono kune-morphine, kodwa unezici ezihlukene eziwenza afaneleke kakhulu ezimweni ezithile. Ukukhetha phakathi kwale mithi kuncike ezidingweni zakho ezithile zezokwelapha, uhlobo lobuhlungu obuzwayo, nokuthi umzimba wakho usabela kanjani ekwelashweni.

Umjovo we-Fentanyl unezinzuzo ezithile ezimweni ezithile. Isebenza ngokushesha kune-morphine uma inikezwa nge-intravenously, inikeza ukukhululeka kobuhlungu obunamandla ngemithamo emincane, futhi inesikhathi esifushane sokusebenza esivumela ukulawula okunembile. Lokhu kuyenza ibe usizo ikakhulukazi ngesikhathi sokuhlinzwa noma lapho kudingeka ukukhululeka kobuhlungu okusheshayo.

Noma kunjalo, i-morphine isahlala iyindlela enhle yokukhetha ezigulini eziningi nasezimweni eziningi. Inomlando omude wokusebenzisa ngokuphepha, ingase ibangele imiphumela emibi embalwa kwabanye abantu, futhi ivame ukufaneleka kakhulu ekuphathweni kobuhlungu besikhathi eside. Ithimba lakho lezokwelapha lizocabangela zonke lezi zinto lapho likhetha umuthi ofanele ukunakekelwa kwakho.

Imibuzo Evame Ukubuzwa Mayelana Nomjovo we-Fentanyl

Ingabe umjovo we-Fentanyl uphephe kweziguli ezigugile?

Ukujova kwe-Fentanyl kungasetshenziswa ngokuphepha ezigulini ezindala, kodwa kudinga ukuqapha okwengeziwe nokuqapha okucophelelayo. Abantu abadala bangase babe nobucayi obukhulu emiphumeleni yalo muthi futhi bangase babe nemiphumela emibi ngemithamo ephansi kunezineziguli ezincane.

Ithimba lakho lezokwelapha ngokuvamile lizoqala ngemithamo ephansi futhi likuqaphe eduze uma usumdala. Bazogxila ekuphefumuleni kwakho, ukucaca kwengqondo, kanye nokuphendula kwakho konke emuthini. Ubudala bodwa abukuvimbeli ukuthi uthole ukujova kwe-fentanyl uma ukudinga, kodwa kusho ukuthi ithimba lakho lokunakekela lizothatha izinyathelo zokuphepha ezengeziwe.

Ngingenzani Uma Ngithola Imiphumela Emibi Esinzima?

Uma uthola imiphumela emibi esindayo ngenkathi uthola ukujova kwe-fentanyl, ithimba lakho lezokwelapha lizophendula ngokushesha njengoba usuvele usendaweni yokunakekelwa kwezempilo eqashwe. Kodwa-ke, kubalulekile ukuxhumana nganoma yiziphi izimpawu ezikhathazayo kubahlengikazi bakho noma odokotela ngokushesha.

Xwayisa abahlinzeki bakho bezempilo ngokushesha uma uhlangabezana nobunzima bokuphefumula, ukozela okukhulu, ubuhlungu besifuba, isicanucanu esibi, noma ezinye izimpawu ezizwa zikhathaza. Banemithi nemishini etholakalayo yokuguqula imiphumela ye-fentanyl uma kudingeka futhi bangakwazi ukulungisa ngokushesha ukwelashwa kwakho ukuze bakugcine uphephile.

Kwenziwani Uma Ngithola Ukujova Kwe-Fentanyl Okuningi Kakhulu?

Ukweqisa kokujova kwe-fentanyl kuyisimo esiphuthumayo sezokwelapha esinzima, kodwa uvikelekile ngokuba esikhungweni sezokwelapha esinabachwepheshe abaqeqeshiwe abakuqapha ngokuqhubekayo. Uma uthola umuthi omningi kakhulu, ithimba lakho lezokwelapha lizobona izimpawu ngokushesha futhi lithathe isinyathelo esisheshayo.

Abahlinzeki bezempilo banemithi ethile efana ne-naloxone (Narcan) engaguqula ngokushesha imiphumela yokweqisa kwe-fentanyl. Bazophinde banikeze ukunakekelwa okusekelayo okuhlanganisa usizo lokuphefumula uma kudingeka. Indawo yezokwelapha elawulwayo lapho kunikezwa khona ukujova kwe-fentanyl kusho ukuthi usizo luhlala lutholakala ngokushesha.

Iqala Ngokushesha Kangakanani Ukujova kwe-Fentanyl?

Ukujova kwe-fentanyl ngokuvamile kuqala ukusebenza ngemizuzu engu-1 kuya ku-2 uma kunikezwa ngomthambo, okwenza kube ngomunye wemithi yokwelapha ubuhlungu esebenza ngokushesha etholakalayo. Ngokuvamile uzozwa imiphumela ephezulu ngemizuzu engu-5 kuya ku-15, kuye ngokuthi inikezwe kanjani nokuthi umzimba wakho usabela kanjani.

Ukuqala okusheshayo kungenye yezizathu zokuthi kungani ukujova kwe-fentanyl kunenani elikhulu ezindaweni zezokwelapha lapho ukukhululeka ngokushesha kobuhlungu kubalulekile. Ithimba lakho lezempilo lingabona ukuthi usabela kanjani cishe ngokushesha futhi lenze izinguquko uma kudingeka. Imiphumela ngokuvamile ihlala imizuzu engu-30 kuya emahoreni angu-2, okwenza kube lula ukuphatha ubuhlungu ngesikhathi sokunakekelwa kwakho.

Ngizokhumbula Yini Ukuthola Ukujova kwe-Fentanyl?

Inkumbulo yakho yokuthola ukujova kwe-fentanyl ingase ithinteke, ikakhulukazi uma uyithola ngesikhathi sokuhlinzwa noma ngenkathi ulaliswe ukuze uthole ezinye izinqubo. Umuthi ungabangela ukozela nokudideka okuncane, okungase kwenze izinkumbulo zakho zesipiliyoni zingacaci.

Lokhu kuvamile futhi akuyona imbangela yokukhathazeka. Iziguli eziningi azinayo inkumbulo yokuthola imithi enamandla yokwelapha ubuhlungu ngesikhathi sezinqubo zezokwelapha, okungaba usizo ngempela ekuthuthukiseni isipiliyoni sakho esiphelele nokululama. Ithimba lakho lezokwelapha lizogcina amarekhodi anemininingwane yokwelashwa kwakho, futhi ungalihlala ulibuza ngemithi yakho uma usuzizwa uqaphele kakhulu.