Fentanyl Dosing Fomu uye Njodzi Dzinowanikwa dzeFentanyl Use
Chii Chinonzi Fentanyl?
Fentanyl chirwere chinorwadza chinowanzoshandiswa mushure mekuvhiyiwa. Fentanyl inonzi opioid analgesic, mishonga inorwadza yakafanana naMorphine asi inenge makumi mashanu yakasimba. Icho chinhu chinodzora uye chinoda chiremba kubva kuchiremba wako.
Fentanyl inozivikanwawo seFentanyl Citrate, Sublimaze, Actiq, Duragesic, Fentora uye Matrifen.
Inopiwa Sei?
Fentanyl inowanika mumhando dzakasiyana-siyana. Muchipatara, Fentanyl inowanzopiwa sejovhesi ye IV kana kuvhara IV. Mushonga wacho unogonawo kugoverwa nePAA (Patient Controlled Analgesia) pombi , apo murwere anoisa bhodhi kuti ave nediki duku remishonga inorwadza inowanikwa kuburikidza ne IV.
Kune varwere vanotora Fentanyl pamba, transdermal patch inogona kupfeka, iyo inopa mishonga kuburikidza neganda. Kune varwere vane kenza, Actiq, "lollipop" inowanikwa kupa mishonga mumuromo. Chirongwa chemapiritsi, mushonga unopera mumuromo pakati pebvu nejamu, unowanikwawo.
Doses
Fentanyl mazamu akawandisa zvakanyanya pamusana pechikonzero chekutambudzika, nguva yekushandiswa uye kushivirira murwere anogona kuve nemarwadzo anorwadza. Fentanyl imishonga inorwadza zvikuru, saka, varwere vazhinji havazokwanisi kuwana Fentanyl patch kana Actiq lollipops sezvo ivo chete vakakodzera kuvarwere vane ruregerero kune Fentanyl kana mamwe marwadzo opioid marwadzo.
Ngozi
Fentanyl, kufanana nemishonga yakawanda yeopioid, inogona kukonzera kuora mwoyo. Izvi zvinoreva kuti kufambisa kufema kunogona kuderera zvakanyanya. Izvi zvinogona kugara kwenguva yakareba kupfuura zvinotambudza marwadzo, zvichiita kuti zvive zvakakosha kuti uzive chero dambudziko ripi neripi rinofema musati watora imwe chirwere. Fentanyl haafaniri kutorwa nemimwe mishonga inorwadza pasina ruzivo rwechiremba wako, uye haufaniri kutorwa newaini.
Pane njodzi yekudhakwa kana uchitora Fentanyl kwenguva yakareba. Kana yakashandiswa zvakanaka, varwere vakawanda havakwanisi kupindwa muropa kana kuti zviratidzo zvekuregererwa kwepanyama kana mishonga isiri kushandiswa.
Migumisiro Yechiri
- Kufuridzirwa kuora mwoyo
- Constipation
- Dry Mouth
- Chizutu
- Kurara
Nhamba Yenguva
Fentanyl mapeji anosiyana zvakasiyana-siyana zvichienderana nenzira yekuendesa uye chikonzero chemishonga. Fentanyl yakanyanya kwazvo, saka mazamu okutanga ari maduku zvikuru, somuenzaniso, munhu mukuru panguva imwe IV inogona kuva .05 kusvika ku1 mg. Zvisinei, kwenguva yakareba varwere, vakadai sekenza varwere, mazamu anogona kudarika .8 mg pazuva. 0.1 mg yeFentanyl inenge yakaenzana ne 10 mg yaMorphine.
Kunyanya Kunetseka
Kufanana nemishonga chero ipi zvayo yemaopioid, Fentanyl ine mikana yekuve inodhaka uye inoshungurudzwa. Fentanyl yakasimba chaizvo kana ichienzaniswa nedzimwe maopioid yakafanana ne morphine, uye apo mishonga yemugwagwa yakazara neFentanyl mikana yekudarika zvakanyanya inoshamisa. Uyezve, inowanzosanganiswa ne heroin, kuti iwedzere "yakakwirira" yevashandi. Izvi zvinowanzoita kuti zvive nyore kuti munhu wacho awedzere kudarika, kunyanya kana vasingazivi kuti Fentanyl aripo uye vanotora "chido" chavo che heroin.
Kufanana nedzimwe maopioid, Narcan inogona kupiwa kudzivirira uye kudzosera migumisiro yekudarika kweFentanyl. Fentanyl doses iri kure chaizvo nevarwere vari kushandisa mishonga sezvinorayirwa panzvimbo yekuiwana isina kutenderwa, sezvinoita murwere achishandisa Fentanyl kurwadziwa pashure pemakore ekutora mishonga yekurwadziwa kusingaperi. Izvo zvakati, pasinei nokuti murwere wacho anopfuura sei, Narcan inofanira kutarisirwa nokukurumidza uye mune zvakawanda zvakakwana kudzivisa kudarika kwepamusoro pakukonzera rufu. Zvimwe zvekunyanya kunetseka kushandiswa kwemashizha emusika shanduro yeFentanyl, kunyanya carfentanil, iyo iri nyore kukanganisa Fentanyl asi yakasimba zvakadaro.
Vamwe vanoshandisa iyo sechinotsiva heroin. Carfentanil yakasimba zvikuru zvokuti apo hurumende dzeCanada dzakatora chirogram imwechete kutengeswa muna 2016 vakafungidzira kuti pane zvakakwana zvechirwere ichi kuuraya makumi emamiriyoni evanhu.
Actiq The Fentanyl "Lollipop"
Actiq, iyo Fentanyl miyoyiyo inoshandiswa yakafanana neyollipop, yakagadzirirwa kushandiswa nekenza varwere vane kurwadziwa kukuru. Actiq haina kukodzera kumunhu wose, asi varwere chete vakaratidza kushivirira kwemishonga yeopioid yakaenzana ne 60 mg morphine pazuva vanofanira kushandisa nzira iyi yeFentanyl delivery.
Actiq yakafanana nekarlipop muchitarisiko, asi inopa mishonga yemishonga inogona kuuraya vanhu vakuru, uye kunyanya vana, vasingatauri nemishonga yeopioid. Nokuda kwechikonzero ichocho, vana vakachengeteka makikisi anowanikwa kuti vadzivirire kupinza kwechirwere ichi kubva kuvenzi veActiq. Kuti uwane kitambo chako cheActiq child, taura 1-888-534-3119 kuti uite chikumbiro chako.
Duragesic Fentanyl P atch
Duragesic Fentanyl patch yakagadzirirwa kupa chirwere chakatarwa cheFentanyl kwemazuva matatu. Kana yakashandiswa maererano nemitemo, uye yakabviswa maererano nemirayiridzo, chikwata ichi chine zvikamu zvakawanda zveFentanyl. Nokuda kwechikonzero ichi, zvakakosha kuti zvipfeko zvinoregererwa munzvimbo umo vana uye mhuka dzesango dzisingakwanisi kuwana. Mugadziri wepatch inokurudzira kushandiswa kwekushandiswa kwechikwata pasi padzimba.
Kucheka kana kuchinja chigamba kunogona kukonzera kudarika kweFentanyl. Usamboshandisa chigamba chisina kusimba, kana kutamisa chigamba kubva kune imwe nzvimbo yomuviri kune imwe mushure mekushandiswa, sezvo izvi zvinogona kukuvadza kuvimbika kwechigamba.
Sources:
Fentanyl. The National Institute on Drug Abuse. Yakasvika muna July 2009. http://www.drugabuse.gov/drugpages/fentanyl.html