Created at:1/13/2025
I-Fentanyl nasal spray iyimithi enamandla kadokotela esetshenziselwa ukwelapha izigameko ezingazelelwe zobuhlungu obukhulu kubantu asebevele bethatha imithi ye-opioid njalo. Lena akuyona imithi yezinhlungu zekhanda zansuku zonke noma ukungakhululeki okuncane. Kunalokho, yenzelwe ngokuqondile ukuphatha lokho odokotela abakubiza ngokuthi "ubuhlungu obuqhamukayo" - lezo zinhlungu ezinamandla ezingenzeka ngisho noma usuvele usebenzisa imithi eqhubekayo yokwelapha ubuhlungu.
I-Fentanyl nasal spray iyindlela esheshayo ye-fentanyl, enye yemithi enamandla kakhulu yokwelapha ubuhlungu etholakala ngemiyalelo kadokotela. Iza ebhodleleni elincane lokufutha eliletha imithi ngqo ngamakhala akho, lapho imuncwa ngokushesha egazini lakho.
Le mithi ingeyeqembu lemithi ebizwa ngokuthi ama-opioid analgesics. Cabanga ngayo njengemithi yokuhlenga - njengoba umuntu one-asthma engasebenzisa i-inhaler ngesikhathi sokuhlaselwa. Ifomu le-nasal spray livumela umuthi ukuthi usebenze ngemizuzu, okubalulekile uma uhlangabezana nobuhlungu obukhulu obungazelelwe.
I-Fentanyl inamandla kakhulu kune-morphine, okusho ukuthi ngisho namanani amancane angasebenza kahle kakhulu. Lawa mandla asho futhi ukuthi idinga ukugadwa ngokucophelela kwezokwelapha kanye nokulinganisa okunembile ukuze isetshenziswe ngokuphepha.
I-Fentanyl nasal spray inikezwa ngokuqondile ubuhlungu bomdlavuza obuqhamukayo kubantu abadala asebevele bekhuthazelela i-opioid. Lokhu kusho ukuthi kufanele ngabe usuvele uthatha imithi eqhubekayo yokwelapha ubuhlungu ye-opioid elingana okungenani no-60 mg we-morphine yomlomo nsuku zonke.
Izigameko zobuhlungu obuqhamukayo ziyizinhlungu ezinamandla ezingazelelwe "eziqhamuka" emithini yakho ejwayelekile yokwelapha ubuhlungu. Lezi zigameko zingenzeka ngisho nalapho ubuhlungu bakho obuyisisekelo bulawulwa kahle ngeminye imithi. Azibikezeleki futhi zingawuthinta kakhulu izinga lempilo yakho.
Umuthi awuhloselwe ukwelapha izimo zobuhlungu obujwayelekile njengezinhlungu zekhanda, izinhlungu zamazinyo, noma ukungakhululeki ngemva kokuhlinzwa. Futhi awuhloselwe abantu abangawathathi ama-opioids njalo, ngoba lokhu kungaholela ezinkingeni zokuphefumula eziyingozi.
I-Fentanyl nasal spray isebenza ngokubopha kuma-receptors athile ebuchosheni bakho nasemgogodleni obizwa ngokuthi ama-opioid receptors. Uma inamathisela kula ma-receptors, ivimba izimpawu zobuhlungu ekufinyeleleni ebuchosheni bakho futhi ishintsha indlela ubuchopho bakho obuqonda ngayo ubuhlungu.
Indlela ye-nasal isebenza kahle ikakhulukazi ngoba ngaphakathi emakhaleni akho kunemithambo eminingi yegazi emincane eseduze nendawo engaphezulu. Lokhu kuvumela umuthi ukuba umuncwe ngokushesha egazini lakho, ngokuvamile unikeze ukukhululeka kobuhlungu kungakapheli imizuzu eyi-15.
Lona umuthi onamandla kakhulu - unamandla kakhulu kunamanye ama-pain relievers amaningi. Amandla asho ukuthi angaphatha ngempumelelo ubuhlungu obukhulu, kodwa futhi kudinga ukuphathwa ngokucophelela kanye nokulinganisa okunembile ukuvimbela imiphumela emibi engathí sina.
Njalo landela imiyalelo eqondile kadokotela wakho uma usebenzisa i-fentanyl nasal spray. Ukulinganisa kuthathwa ngabanye kakhulu ngokusekelwe ekubekezeleleni kwakho ama-opioid kanye nezidingo zokuphathwa kobuhlungu.
Ngaphambi kokusebenzisa isifutho, vunguza ngobumnene ikhala lakho ukuze ususe noma yimuphi umkhuhlane. Susa ikepisi bese uqala idivayisi uma kuyibhodlela elisha noma lingasetshenziswanga muva nje. Faka ithiphu cishe ngesigamu sentshi ngaphakathi kwelilodwa lamakhala, vala elinye ikhala ngomunwe wakho, bese ucindezela iphampu ngokuqinile ngenkathi uphefumula ngobumnene.
Ungawuthatha lo muthi ngaphandle kokudla, futhi akudingeki ukuthi ugweme noma yikuphi ukudla noma iziphuzo ezithile. Kodwa-ke, kufanele ugweme utshwala ngokuphelele ngenkathi usebenzisa lo muthi, ngoba kungakhuphula ingozi yezinkinga zokuphefumula eziyingozi.
Linda okungenani amahora angu-2 phakathi kwemithamo, futhi ungasebenzisi imithamo engaphezu kwengu-4 emahoreni angu-24 ngaphandle uma uqondiswe ngqo ngudokotela wakho. Gcina umkhondo wokuthi usebenzisa nini umthamo ngamunye ukuze ugweme ukweqisa ngengozi.
Ubude bokwelashwa nge-fentanyl nasal spray buxhomeke ngokuphelele esimweni sakho esiyisisekelo nezidingo zakho zokuphatha ubuhlungu. Njengoba lo muthi uvame ukusetshenziselwa ubuhlungu bomdlavuza obuqhamukayo, ungase uwudinge uma nje uhlangabezana nalezi ziqephu zobuhlungu.
Udokotela wakho uzobuyekeza njalo uhlelo lwakho lokuphatha ubuhlungu futhi angase alungise ukwelashwa kwakho ngokusekelwe ekutheni kusebenza kahle kangakanani kanye nanoma yimaphi imiphumela emibi oyitholayo. Abanye abantu bayayisebenzisa amasonto noma izinyanga, kanti abanye bangase bayidinge isikhathi eside.
Ungalokothi uyeke ukusebenzisa lo muthi kungazelelwe ngaphandle kokukhuluma nodokotela wakho kuqala. Noma ngabe uyisebenzisa kuphela uma idingeka ngobuhlungu obuqhamukayo, ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa uma ubuyisebenzisa njalo.
Njengayo yonke imithi enamandla, i-fentanyl nasal spray ingabangela imiphumela emibi. Ukuqonda okufanele ukulindele kungakusiza ukuthi uyisebenzise ngokuphephile futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.
Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa ukozela, isiyezi, isicanucanu, nokuhlanza. Ungase futhi uqaphele ukucasuka okuthile emakhaleni akho, njengokugeleza kwamakhala, ukopha kwamakhala, noma ushintsho ekunambithekeni kwakho noma iphunga.
Imiphumela emibi engathi sína ingahlanganisa ukuphefumula kancane noma okunzima, ukozela okukhulu, ukudideka, noma ukuzwa sengathi uyaphela amandla. Lezi zimpawu zidinga ukunakekelwa kwezempilo ngokushesha, njengoba zingabonisa ukusabela okuyingozi emuthini.
Abanye abantu bathola ukuqunjelwa, ikhanda, noma ukukhathala. Le miphumela emibi ngokuvamile iyaphathwa futhi ingase ithuthuke njengoba umzimba wakho ujwayela umuthi. Kodwa-ke, hlala uxoxa nganoma yimiphumela emibi eqhubekayo noma ecasulayo nodokotela wakho.
Ezimweni ezingavamile, abanye abantu bangase bakhe ukubekezelelana, ukuncika, noma babe nokusabela komzimba okuhlanganisa ukuqubuka, ukuluma, noma ukuvuvukala. Uma uqaphela noma yiziphi izimpawu ezingavamile, xhumana nomhlinzeki wakho wezempilo ngokushesha.
I-Fentanyl nasal spray ayifanele wonke umuntu, futhi kunezinto ezibalulekile zokuphepha okufanele zikhunjulwe. Akufanele usebenzise lo muthi uma ungawuthathi imithi ebuhlungu ye-opioid njalo nsuku zonke.
Abantu abanezimo ezithile zokuphefumula, njenge-asthma ebucayi noma ukucindezeleka kokuphefumula, akufanele basebenzise i-fentanyl nasal spray. Akunconywa futhi uma unokuvaleka esiswini sakho noma emathunjini, noma uma unokungezwani komzimba ne-fentanyl.
Abesifazane abakhulelwe noma abancelisa ngamabele kufanele basebenzise lo muthi kuphela uma izinzuzo ezingaba khona zidlula izingozi, futhi ngaphansi kokugadwa kwezokwelapha okuseduze. Umuthi ungangena enganeni yakho futhi ungase ubangele izinkinga ezinkulu zokuphefumula.
Uma unezifo zezinso noma zesibindi, ukulimala ekhanda, noma umlando wokusebenzisa izidakamizwa, udokotela wakho uzodinga ukuhlola ngokucophelela ukuthi lo muthi ukufanele yini. Ubudala bungaba yisici futhi - abadala bangase bazwe kalula imiphumela ye-fentanyl.
I-Fentanyl nasal spray itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Lazanda ingesinye sezinhlobo ezivame ukunqunywa. Amanye amagama omkhiqizo afaka i-Instanyl, nakuba ukutholakala kungase kuhluke ngokuya ngezwe nesifunda.
Noma ngabe igama lomkhiqizo linjani, zonke izifutho ze-fentanyl nasal ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngezindlela ezifanayo. Udokotela wakho uzoqoka umkhiqizo othile namandla afanele kakhulu izidingo zakho.
Njalo sebenzisa umkhiqizo onembile namandla anqunywe udokotela wakho, futhi ungashintshi phakathi kwemikhiqizo ehlukene ngaphandle kwesiqondiso sezokwelapha, njengoba ingase ibe namazinga ahlukene okumuncwa noma imiyalelo yokulinganisa.
Uma i-fentanyl nasal spray ingakulungele, imithi eminingi ehlukile ingasiza ekuphatheni ubuhlungu obuqhamukayo. Lezi zinketho zihlanganisa ezinye izinhlobo zama-opioids asebenza ngokushesha, njengamaphilisi angaphansi kolimi noma ama-lozenges ancibilika ngaphansi kolimi lwakho.
Abanye abantu bathola ukukhululeka ngamaphilisi e-morphine, oxycodone, noma i-hydromorphone akhishwe ngokushesha. Le mithi isebenza kancane kune-nasal spray kodwa ingahlinzeka ngosizo oluphumelelayo lobuhlungu ezigamekweni eziqhamukayo.
Ezinye izindlela ezingezona i-opioid zingahlanganisa izinqubo ezithile zokuvimba imizwa, imithi yobuhlungu yendawo, noma ukwelashwa okungeziwe njenge-gabapentin noma i-pregabalin. Udokotela wakho angasiza ekunqumeni ukuthi yiziphi ezinye izindlela ezingase zisebenze kangcono esimweni sakho esithile.
Ukuqhathanisa i-fentanyl nasal spray ne-morphine akulula ngoba zisebenzela izinjongo ezihlukene ekuphathweni kobuhlungu. I-Fentanyl nasal spray yenzelwe ngokuqondile ukukhulula ngokushesha ubuhlungu obuqhamukayo, kuyilapho i-morphine ivame ukusetshenziselwa ukulawula ubuhlungu obuyisisekelo.
I-Fentanyl inamandla kakhulu kune-morphine futhi isebenza ngokushesha uma inikezwa ngekhala. Lokhu kuyenza isebenze ikakhulukazi ezigamekweni zobuhlungu obuzumayo obudinga ukukhululeka okusheshayo. Kodwa-ke, lokhu kunamandla andisiwe futhi kusho ukuthi inezingozi eziphakeme uma ingasetshenziswa ngendlela efanele.
I-Morphine, ngakolunye uhlangothi, itholakala ngezinhlobo eziningi ezihlukene futhi isetshenziswe ngokuphepha amashumi eminyaka uma inikezwe ngendlela efanele. Kungase kufaneleke kakhulu kubantu abadinga ukulawulwa kobuhlungu obuqhubekayo, besikhathi eside kunokukhululeka okusheshayo ezigamekweni eziqhamukayo.
I-Fentanyl nasal spray ingasetshenziswa kubantu abanezifo zenhliziyo, kodwa idinga ukuqashwa ngokucophelela ngumhlinzeki wakho wezempilo. Umuthi ungathinta izinga lokushaya kwenhliziyo yakho nomfutho wegazi, ngakho udokotela wakho uzodinga ukucabangela isimo senhliziyo yakho esithile lapho ekunikeza umuthi.
Uma unesifo senhliziyo, qiniseka ukuthi udokotela wakho uyazi ngayo yonke imithi yakho yenhliziyo, njengoba ezinye izinhlanganisela zingaba nezinkinga. Ukuqapha njalo kungase kudingeke ukuqinisekisa ukuthi imithi ayithinti ukusebenza kwenhliziyo yakho.
Uma ngengozi usebenzisa i-fentanyl nasal spray eningi kakhulu, funa usizo oluphuthumayo lwezokwelapha ngokushesha. Izimpawu zokweqisa umthamo zihlanganisa ukozela okukhulu, ukuphefumula okuhamba kancane noma okunzima, ukudideka, noma ukulahlekelwa ukwazi.
Ungalindi ukubona ukuthi izimpawu ziyathuthuka yodwa. Shayela ku-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha. Uma kungenzeka, cela othile ahlale nawe kuze kufike usizo lwezokwelapha, njengoba izimpawu zokweqisa umthamo zingashuba ngokushesha.
Njengoba i-fentanyl nasal spray isetshenziswa kuphela uma kudingeka ngezinhlungu eziphuthumayo, akukho isimiso sokulinganisa esivamile okufanele silondolozwe. Uvele uyisebenzise uma uhlangabezana nesiqephu sobuhlungu esiphula imithi yakho ejwayelekile yobuhlungu.
Uma unezinhlungu eziphuthumayo, ungasisebenzisa isifutho sekhala ngokulandela imiyalelo kadokotela wakho. Vele ukhumbule ukulinda okungenani amahora angu-2 phakathi kwemithamo futhi ungeqi imithamo engu-4 emahoreni angu-24.
Ungayeka ukusebenzisa i-fentanyl nasal spray lapho ungasayidingi eziqeshini zobuhlungu eziphuthumayo, kodwa lesi sinqumo kufanele sihlanganise njalo umhlinzeki wakho wezempilo. Njengoba le mithi isetshenziswa njengoba kudingeka kunokuba esimisweni esivamile, ukuyeka kuvame ukuba inqubo kancane kancane.
Udokotela wakho uzokusiza ukuthi unqume ukuthi kufanelekile nini ukuyeka imithi ngokusekelwe emazingeni akho obuhlungu kanye nohlelo lwakho lokwelapha olujwayelekile. Uma ubusuyisebenzisa njalo, udokotela wakho angase ancome ukuncishiswa kancane kancane ukuvimbela izimpawu zokuhoxiswa.
Akufanele ushayele noma usebenzise imishini ngenkathi usebenzisa i-fentanyl nasal spray, ikakhulukazi uma uqala ukuyisebenzisa noma ngemva kokwandisa umthamo wakho. Umuthi ungabangela ukozela, isiyezi, kanye nokungahambisani kahle okungenza ukushayela kube yingozi.
Noma ngabe uzizwa uqaphile, isikhathi sakho sokusabela nokwahlulela kungase kuthinteke. Kungcono ukuhlela ukuthi omunye umuntu akuqhubele lapho udinga ukusebenzisa lo muthi, ikakhulukazi emahoreni alandelayo ngemva komthamo ngamunye.