Nalbuphine (indlela yokugcoba)

Nubain

Isikhubekiso seNalbuphine sisetshenziswa ekuqedeni ubuhlungu obuphakathi nendawo olukhulu. Singase futhi sinikezwe ngaphambi nangemuva kokuthi kwenziwe ukuhlinzwa noma ngokulandelana kokulala okukhulu ngaphambi kokusebenza. Singase futhi sisetshenziswe ekuqedeni ubuhlungu ngesikhathi sokubeletha. INalbuphine iyingxenye yeqembu lemithi ebizwa ngokuthi yi-narcotic analgesics (imithi yokuqeda ubuhlungu). Isebenza ohlelweni oluphakathi lwezinzwa (CNS) ukuqeda ubuhlungu. Uma isikhubekiso seNalbuphine sisetshenziswa isikhathi eside, singase sibe nomkhuba, sibangele ukuxhomeka kwengqondo noma emzimbeni. Noma kunjalo, abantu abanobuhlungu obuqhubekayo akufanele bavumele ukwesaba ukuxhomeka kubavimbe ekusebenziseni izidakamizwa ukuqeda ubuhlungu babo. Ukuxhomeka kwengqondo (ukuzithanda) akunakwenzeka uma izidakamizwa zisetshenziswa ngenhloso. Ukuxhomeka emzimbeni kungase kube yimbangela yemiphumela emibi yokukhipha uma ukwelashwa kuphelile ngokuzumayo. Noma kunjalo, imiphumela emibi ebuhlungu yokukhipha ingavimbeka ngokuvamile ngokunciphisa kancane inani ngesikhathi esithile ngaphambi kokuba ukwelashwa kuphele ngokuphelele. Lolukhuni luyatholakala kuphela ngomyalo wezokwelapha. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:

Ekubeni kunqunywe ukusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizokwenzeka. Lena yinqumo oyiyo nomdokotela wakho. Ngale mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela yokugxilwa kwe-nalbuphine kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-Nubain® kubantu abadala. Noma kunjalo, abantu abadala banesibopho esikhulu sokuba nezinkinga zezinso, isibindi, inhliziyo, noma amaphaphu, okungadinga ukuqapha nokulungiswa komthamo kwabaguli abamukela le mithi. Ayikho imininingwane etholakalayo emayelana nobuhlobo bobudala nemiphumela yokugxilwa kwe-nalbuphine kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma wamukele le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlongozwayo ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungaphephekile kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi: