Created at:1/13/2025
Ama-fentanyl transdermal patches ayimithi enamandla yokwelapha ubuhlungu okudingeka ngencwadi kadokotela eletha ukukhululeka okuqhubekayo ngesikhumba sakho. Le mithi ingeyeqembu lemithi ebizwa ngokuthi ama-opioids, okuyizona ezisiza kakhulu ekwelapheni ubuhlungu ezitholakala emithini yanamuhla.
Lawa ma-patch aklanyelwe ngqo abantu abanezinhlungu ezinzima, eziqhubekayo ezingaphendulanga kahle kwezinye izindlela zokwelapha. Udokotela wakho uzowabhala uma ngempela udinga leli zinga lokuphathwa kobuhlungu, futhi bazokuqondisa ngokucophelela kulo lonke le nqubo.
I-fentanyl transdermal patch iyisikwele esincane, esinamathelayo esinamathela esikhumbeni sakho futhi sikhulula kancane imithi yokwelapha ubuhlungu emahoreni angama-72. Cabanga ngayo njengesistimu yokukhululwa okulawulwayo enikeza ukukhululeka okuqhubekayo kobuhlungu ngaphandle kwesidingo sokuthatha amaphilisi izikhathi eziningi ngosuku.
I-patch iqukethe i-opioid yokwenziwa enamandla kakhulu kune-morphine. Lawa mandla enza ukuthi asebenze kahle ezinhlungwini ezinzima, kodwa futhi kusho ukuthi imithi idinga ukugadwa ngokucophelela kwezokwelapha kanye nokulinganisa okunembile.
Isistimu yokulethwa kwe-transdermal ivumela imithi ukuthi idlule esikhumbeni sakho bese ingena egazini lakho kancane kancane. Lokhu kukhululwa okuqhubekayo kusiza ukugcina ukulawula ubuhlungu okuqhubekayo usuku lonke nobusuku.
Ama-fentanyl patches abhalelwa ubuhlungu obunzima, obungapheli obudinga ukwelashwa okungapheli. Udokotela wakho ngokuvamile uzocabangela le nketho lapho eminye imithi yokwelapha ubuhlungu ingazange inikeze ukukhululeka okwanele.
Izimo ezivamile ezingase zidinge ama-fentanyl patches zihlanganisa ubuhlungu obuthuthukile bomdlavuza, ubuhlungu obukhulu emhlane obubangelwa izimo zomgogodla, noma ubuhlungu obungapheli ngemva kokuhlinzwa okukhulu. Lezi yizimo lapho umzimba wakho udinga ukukhululeka kobuhlungu okuqhubekayo, okunamandla ukuze ugcine izinga lempilo yakho.
Kubalulekile ukuqonda ukuthi lawa maphatch awahloselwe ubuhlungu besikhashana, ikhanda elibuhlungu, noma ubuhlungu obuza futhi buhambe. Zenzelwe ngqo abantu abanezinhlungu eziqhubekayo, ezinzima eziphazamisa imisebenzi yansuku zonke nokulala.
I-Fentanyl iyimithi enamandla kakhulu ye-opioid esebenza ngokubopha kuma-receptors athile ebuchosheni bakho nasemgogodleni. Lawa ma-receptors, abizwa ngokuthi ama-opioid receptors, yisistimu yakho yemvelo yokulawula ubuhlungu.
Lapho i-fentanyl inamathisela kula ma-receptors, ivimba izimpawu zobuhlungu ekufezeni ubuchopho bakho futhi ishintsha indlela umzimba wakho oqonda ngayo ubuhlungu. Le ndlela ifana nendlela amakhemikhali omzimba wakho emvelo aqeda ngayo ubuhlungu, kodwa inamandla kakhulu.
I-patch iletha imithi ngesikhumba sakho isebenzisa isistimu ekhethekile yokugcina amanzi. Imithi idlula kancane ezindaweni zesikhumba sakho bese ingena egazini lakho, inikeze ukukhululeka okuzinzile kobuhlungu izinsuku ezifika kwezintathu.
Ngenxa yokuthi i-fentanyl inamandla kakhulu, ngisho namanani amancane anganikeza ukukhululeka okukhulu kobuhlungu. Kodwa-ke, lawa mandla asho ukuthi imithi kufanele isetshenziswe ngqo njengoba kunqunywe ukugwema izinkinga ezinzima.
Njalo faka i-fentanyl patch yakho ngqo njengoba udokotela wakho ekuyaleze ngayo. I-patch kufanele ifakwe esikhumbeni esihlanzekile, esomile, esingenwezinwele esifubeni sakho, emhlane, eceleni, noma engalweni engenhla.
Ngaphambi kokufaka i-patch entsha, geza indawo ngamanzi kuphela. Gwema ukusebenzisa insipho, amafutha, ama-lotion, noma utshwala esikhumbeni lapho uzofaka khona i-patch, ngoba lokhu kungathinta indlela imithi emuncwa ngayo.
Nakhu ukuthi ungalifaka kanjani kahle i-patch yakho:
Isiqeshana ngasinye kufanele sihlale ngqo amahora angama-72 (izinsuku ezi-3) ngaphambi kokushintshwa. Ungashawa, ugeze, noma ubhukude ngenkathi ugqoke isiqeshana, kodwa gwema ama-hot tubs, ama-saunas, noma ama-heating pads, njengoba ukushisa kungakhuphula ukumuncwa kwemithi ngendlela eyingozi.
Lapho ususa isiqeshana esidala, silipete phakathi nendawo ngezinhlangothi ezinamathelayo zihlangene bese usilahla ngokuphepha lapho izingane nezilwane ezifuywayo zingakwazi ukusifinyelela.
Ubude bokwelashwa ngesiqeshana se-fentanyl buqondene ngokuphelele nesimo sakho sezempilo esithile nokuthi umzimba wakho usabela kanjani emuthini. Udokotela wakho uzohlola njalo ukuthi usasidinga yini leli zinga lokuphathwa kobuhlungu.
Kubantu abanezimo ezingamahlalakhona njengomdlavuza osuthuthukile, ukwelashwa kungase kuqhubeke izinyanga noma isikhathi eside. Abanye abanezinhlungu zesikhashana kodwa ezinzima bangase basebenzise iziqeshana amasonto noma izinyanga ezimbalwa ngenkathi isimo sabo sithuthuka.
Udokotela wakho uzosebenza nawe ukuthola umthamo ophumelelayo ophansi kakhulu futhi ekugcineni angakusiza ukuthi uguqukele kwamanye amaqhinga okuphatha ubuhlungu. Ungalokothi uyeke ukusebenzisa iziqeshana ze-fentanyl ngokuzumayo, ngoba lokhu kungabangela izimpawu zokuhoxiswa eziyingozi.
Ukuqokwa okuvamile kokulandela ngemuva kubalulekile ukuqapha ukuthi umuthi usebenza kahle kangakanani nokubheka noma yimaphi imiphumela engemihle ekhathazayo. Lokhu kuhlolwa kusiza ukuqinisekisa ukuthi uthola ukukhululeka kobuhlungu okudingayo ngokuphepha.
Njengayo yonke imithi enamandla, iziqeshana ze-fentanyl zingabangela imiphumela emibi, nakuba kungathi akubona bonke abayitholayo. Ukuqonda okulindelekile kungakusiza ukuthi usebenzise lo muthi ngokuphepha okwengeziwe.
Imiphumela eseceleni evame kakhulu ongase uyibone ihlanganisa:
Le miphumela eseceleni evamile ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi. Udokotela wakho angase ancome izindlela zokuyilawula, njengemithi yokucanuzela kwenhliziyo noma amasu okuvimbela ukuqunjelwa.
Abanye abantu bangase babe nemiphumela eseceleni engavamile kodwa ekhathazayo edinga ukunakekelwa kwezempilo ngokushesha:
Ingozi enkulu kakhulu ngama-fentanyl patches ukucindezeleka kokuphefumula, lapho ukuphefumula kwakho kuba kancane kakhulu noma kuyeka. Yingakho kubalulekile ukusebenzisa kuphela umthamo obekiwe futhi ungalokothi usebenzise ama-patches omunye umuntu.
Uma uhlangabezana nanoma yimiphumela emibi eseceleni noma uzwa ukuthi okuthile akulungile, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo. Ukuphepha kwakho kuyinto eza kuqala uma usebenzisa imithi enamandla kangaka.
Ama-fentanyl patches awaphephile kuwo wonke umuntu, futhi udokotela wakho uzohlola ngokucophelela ukuthi ngabe le mithi ifanele yini isimo sakho. Izinto eziningana ezibalulekile zenza lokhu kwelashwa kungafaneleki kubantu abathile.
Akufanele usebenzise ama-fentanyl patches uma une-asthma enkulu, izinkinga zokuphefumula, noma isimo esibizwa ngokuthi i-sleep apnea. Imithi inganciphisa ukuphefumula kwakho emazingeni ayingozi, okwenza lezi zimo zibe yingozi empilweni.
Abantu abangazange basebenzise imithi ye-opioid njalo akufanele baqale ngamaphashi e-fentanyl. Umzimba wakho udinga ukujwayela ama-opioid ngaphambi kokusebenzisa umuthi onamandla kangaka ngokuphepha.
Ezinye izimo ezenza amaphashi e-fentanyl angafaneleki zihlanganisa:
Izingane ezingaphansi kweminyaka engu-18 ubudala akufanele zisebenzise amaphashi e-fentanyl ngaphandle uma zibhalwe ngqo ngudokotela wezinhlungu zezingane. Umuthi unamandla kakhulu ukuthi abantu abaningi abasebancane bawusebenzise ngokuphepha.
Ngaphezu kwalokho, uma usebenzisa imithi ethile, okuhlanganisa ezinye izidambisi zokucindezeleka, imithi yokulwa nokuvuvukala, noma amanye ama-opioid, amaphashi e-fentanyl kungenzeka angaphephile. Njalo nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa nezithasiselo ozithathayo.
Amaphashi e-fentanyl transdermal atholakala ngaphansi kwamagama amaningi omkhiqizo, i-Duragesic iyona brand yokuqala eyaziwa kakhulu. Izinhlobo ze-generic nazo zitholakala kabanzi futhi zisebenza ngempumelelo njengezinketho zegama lomkhiqizo.
Amanye amagama omkhiqizo ongahlangana nawo afaka i-Fentora, nakuba lokhu kubhekisela kwenye indlela ye-fentanyl, futhi abakhiqizi abahlukahlukene be-generic bakhiqiza izinhlobo zabo zepatch ye-transdermal.
Umkhiqizo othile noma inguqulo ye-generic oyitholayo ingase incike ekuhlinzekweni kwakho komshwalense, ukutholakala kwemithi, kanye nokukhetha kukadokotela wakho. Zonke izinhlobo ezivunyelwe ziqukethe isithako esifanayo esisebenzayo futhi zinikeza ukukhululeka okulinganayo kobuhlungu uma zisetshenziswa ngendlela efanele.
Uma iziqeshana ze-fentanyl zingakulungele, ziningi ezinye izindlela zokuphatha ubuhlungu ezikhona. Udokotela wakho uzosiza ekutholeni ukuthi iyiphi indlela engasebenza kahle esimweni sakho esithile.
Eminye imithi enamandla ye-opioid ihlanganisa iziqeshana ze-morphine, amaphilisi e-oxycodone extended-release, noma i-methadone. Lezi zinketho zinikeza ukukhululeka okunamandla kobuhlungu kodwa zingase zibe namaphrofayili ahlukene emiphumeleni noma amashejuli okulinganisa.
Ezinye izindlela ezingezona i-opioid zingahlanganisa ama-nerve blocks, imijovo yomgogodla, noma ezinye izindlela zokuphatha ubuhlungu zokungenelela. Abanye abantu bathola ukukhululeka ngezinhlanganisela zemithi efana ne-gabapentin, i-duloxetine, noma izinto zokukhulula ubuhlungu ezingaphezulu.
Ezinhlotsheni ezithile zobuhlungu, ukwelashwa okufana ne-physical therapy, i-acupuncture, noma izinhlelo ezikhethekile zokuphatha ubuhlungu kungasebenza. Udokotela wakho uzocabangela isimo sakho esithile, umlando wezokwelapha, kanye nemigomo yokwelashwa lapho encoma ezinye izindlela.
Iziqeshana ze-Fentanyl kanye ne-morphine ngasinye sinobuhle ngokuya ngezidingo zakho ezithile kanye nesimo sezokwelapha. Akukho noyedwa ongcono kunomunye, kodwa omunye ungase ulungele isimo sakho.
Iziqeshana ze-Fentanyl zinikeza lula lokushintsha imithi njalo ezinsukwini ezintathu, okungasiza uma unzima ukukhumbula ukuthatha amaphilisi. Ukulethwa okuqhubekayo ngesikhumba sakho kungahlinzeka nangokuqhubekayo kokulawula ubuhlungu.
I-Morphine, ngakolunye uhlangothi, iza ngezinhlobo ezahlukene ezihlanganisa izinketho ze-immediate-release kanye ne-extended-release. Lokhu kushintshashintsha kuvumela ukulungiswa kwemithamo okunembile futhi kungaba lula ukuyeka uma kudingeka.
Ngokuya ngamandla, i-fentanyl inamandla kakhulu kune-morphine, okusho ukuthi amanani amancane anikeza ukukhululeka okulinganayo kobuhlungu. Kodwa-ke, lawa mandla asho nokuthi i-fentanyl idinga ukuqapha okucophelelayo futhi inendawo encane yamaphutha okulinganisa.
Udkt wenu uzocabangela izinto ezifana nezinga lobuhlungu bakho, ukuthi usabele kahle kangakanani kweminye imithi, indlela yakho yokuphila, nanoma yiziphi ezinye izimo zezokwelapha lapho enza isinqumo phakathi kwalezi zinketho.
Ama-patch e-Fentanyl angasetshenziswa ngokuphepha kubantu abanesifo senhliziyo, kodwa lokhu kudinga ukugadwa kwezokwelapha ngokucophelela. Umuthi ungathinta izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho udokotela wakho uzodinga ukukugada eduze.
Uma unezinkinga ezinzima zokushaya kwenhliziyo noma usanda kuba nesifo senhliziyo, udokotela wakho angase akhethe indlela ehlukile yokuphatha ubuhlungu. Kodwa-ke, abantu abaningi abanezimo zenhliziyo ezinzile basebenzisa ama-patch e-fentanyl ngempumelelo lapho izinzuzo zidlula izingozi.
Njalo yazisa udokotela wakho nganoma yiziphi izimo zenhliziyo, futhi ubike noma yibuphi ubuhlungu besifuba, ukushaya kwenhliziyo okungajwayelekile, noma ukuphefumula okungavamile ngenkathi usebenzisa ama-patch.
Uma usola ukuthi uvezwe ku-fentanyl eningi, funa usizo oluphuthumayo lwezokwelapha ngokushesha. Izimpawu zokweqisa zihlanganisa ukozela okukhulu, ukuphefumula kancane noma okunzima, izindebe noma izinzipho eziluhlaza okwesibhakabhaka, nokulahlekelwa ukwazi.
Shayela ku-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha. Ungalindi ukubona ukuthi izimpawu ziyathuthuka yini, njengoba ukweqisa kwe-fentanyl kungaba yingozi ekuphileni futhi kungase kudingeke ukwelashwa ngokushesha ngemithi efana ne-naloxone.
Ukuvimbela ukweqisa ngengozi, ungalokothi ugqoke ama-patch angaphezu kwelilodwa ngesikhathi esisodwa, ungasiki ama-patch, futhi uwagcine kude nemithombo yokushisa. Gcina ama-patch angasetshenziswanga ngokuphepha lapho abanye bengenakufinyelela khona.
Uma ukhohlwa ukushintsha i-fentanyl patch yakho ngeshejuli, yishintshe ngokushesha lapho ukhumbula. Kodwa-ke, ungafaki ama-patch engeziwe ukuze "ukwazi" isikhathi esiphuthelwe, njengoba lokhu kungaholela ekweqiseni okuyingozi.
Uma sekudlule amahora angaphezu kwama-72 kusukela lapho ufake khona isichibi sakho sokugcina, ungase uhlangabezane nezimpawu zokuhoxiswa noma ubuhlungu obukhulu. Xhumana nodokotela wakho ukuze uthole isiqondiso sokuthi uqhubeke kanjani ngokuphepha.
Ukuze ugweme ukuphuthelwa imithamo, setha izikhumbuzi ocingweni lwakho noma ekhalendeni ukuze ushintshe izichibi. Abanye abantu bakuthola kuwusizo ukushintsha izichibi ngosuku olufanayo lwesonto ngesikhathi esifanayo.
Ungalokothi uyeke ukusebenzisa izichibi ze-fentanyl ngokuzumayo ngaphandle kokugadwa kwezokwelapha. Udokotela wakho uzokwenza uhlelo lokunciphisa kancane kancane ukunciphisa umthamo wakho kancane kancane ngokuhamba kwesikhathi, ukuvimbela izimpawu eziyingozi zokuhoxiswa.
Isinqumo sokuyeka i-fentanyl sincike emazingeni akho obuhlungu, isimo esibangela ukugula, kanye nesimo sempilo yakho esiphelele. Abanye abantu bangase bashintshele kwamanye amaqhinga okulawula ubuhlungu, kanti abanye bangase badinge ukwelashwa kwesikhathi eside.
Izimpawu zokuhoxiswa zingabandakanya ubuhlungu obukhulu, isicanucanu, ukujuluka, ukukhathazeka, nezimpawu ezinjenge-flu. Uhlelo olufanele lokunciphisa lusiza ukunciphisa le miphumela futhi likugcina uphephile kuyo yonke inqubo.
I-Fentanyl ingaphazamisa ikhono lakho lokushayela ngokuphepha, ikakhulukazi uma uqala ukusebenzisa izichibi noma uma umthamo wakho ulungiswa. Umuthi ungabangela ukozela, isiyezi, nezikhathi zokuphendula ezihamba kancane.
Uma usuthathile umthamo ozinzile isikhashana futhi wazi ukuthi umuthi ukuthinta kanjani, udokotela wakho angase anqume ukuthi ukushayela kuphephile. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngesiqondiso sezokwelapha.
Ungalokothi ushayele uma uzizwa ukozela, unesiyezi, noma ukhubazekile nganoma iyiphi indlela. Cabangela ezinye izinketho zokuthutha, ikakhulukazi emasontweni ambalwa okuqala okwelashwa noma ngemva kwanoma yiziphi izinguquko zomthamo.