Nzira dzeOpioids Dzinoshandiswa Sei Kuti Usaponeswa?
Opioids yakave yakashandiswa kurapa marwadzo akaoma kunyange kushandiswa kwavo muhutano hwehurombo husingaperi hunoramba huchikakavadzana. Vamwe vanhu vanogona kuregerera opioid kwemakore pasina mimwe mitambudziko inosangana nevamwe apo vamwe vanogona kuva vakatsiga mumuviri kana kuti kunyange kuva nekushivirira nekushandiswa nguva dzose. Kufanana nemishonga yakawanda, opioid inoshanda zvakasiyana kune vose.
Chii Chinonzi Opioids?
Opioids inorudzi rweanalgesic , kana mishonga inoshandiswa kugadzirisa kurwadziwa kwekunzwa. Nemhaka yokuti dzinoratidzika seancotics, dzinowanikwa nemurairo chete. Opioids inoshanda nekubatanidza kune mamwe maitiro mukati mehutano hwemagetsi nekuchinja nzira iyo uropi inoona uye inotsanangura marwadzo. Opioids inogona kupiwa nenzira dzinotevera.
- Intravenously - Minda yakawanda yeopioid inoraswa, kazhinji kuburikidza nepombi inorwadza, kupa rubatsiro rwekunonoka kwenguva refu. IV opioids inowanzoshandiswa mushure mekuvhiyiwa kukuru, kwakadai sokugadziriswa kwechiuno kana chirwere chepfungwa.
- Muchirevo - Opioid inogona kutorwa nemuromo mumapiritsi kana semvura, iyo ndiyo nzira yakawanda yekurapa kunorapwa. Nhengo dzemumuromo dzinonzi opioids dzinogona kuumbwa kuti dzipe rubatsiro rwehupfupi kana rwakareba kwenguva refu, kwemaawa mashomanana kana maawa akawanda.
- Musoro - Opioid inogona kushandiswa kune ganda riri muchigadzirwa chepatch, rinowedzera zvishoma nezvishoma chirwere chemarwadzo chinorwadza kuburikidza neganda. Inoshandiswa pakununurwa kwenguva refu, maronda anogona kushanda kwemazuva mashomanana panguva.
- ViaAposposory - Kazhinji inoshandiswa mukurwadziwa kwekenza kune mamwe maitiro ehutano husingaperi, opioid suppositories inobvisa zvishoma zvishoma zvealgesic kwenguva inenge kusvika maawa gumi namaviri.
Kana iwe uchitarirwa opioid yekutambudzika kusingaperi, mukana iwe unenge uri kushandisa shanduro yemuromo kana yepachiki kana kusanganiswa kwemaviri.
Apo Opioids Inoshandiswa Kurapa Kusingaperi
Kushandiswa kweipioid kunogona kuonekwa kana vana vasiri analpioid vasiri opioid vakakundikana kupa hurombo hwekununurwa. Izvi zvinosanganisira acetaminophen uye NSAIDs . Kana izvi zvipembenene zvisingagone kurwisana nemarwadzo ako asingagumi, chiremba wako angatora chimwe chinhu chakasimba. Opioids inopesana nesimba, uye imwe inogona kusanganiswa nemimwe mishonga inorwadza.
Kana iwe uchitova mishonga pfupi-kuita uye marwadzo ako aimbova akaoma anova asingagumi mune zvakasikwa, chiremba wako angangochinja iwe kune mishonga yakareba yakabata. Kazhinji, nguva refu-kushandisa madhiragi anosarudzwa, sezvavanopa hutano hwakanyanya uye hunovimbika kune vakoma vavo vane maitiro mashoma; iyo yekupedzisira inogona kugoverwa kwauri, asi kungova nenguva yekurwadziwa kwakanyanya-kwete kugara kwekutambudzika kwekutambudzika.
Opioids Inoshandiswa Kurapa Kurapa Kusingaperi
- Codeine - Codeine chirwere chinorwadza chinotorwa nemuromo. Icho chidiki-kuita, zvinoreva kuti inongogara kwemaawa mashomanana pamushandi. Codeine inowanzobatanidzwa neacetaminophen kunyange iyo inogonawo kugadziriswa ne aspirin.
- Oxycodone - Oxycodone inowanikwa mune zvose maitiro mashoma ekuita-uye kwenguva refu-maitiro ekurwadza. Inogona kutorwa pachayo, kana inogona kubatanidzwa nedzimwe nhengo dzakadai se aspirin kana acetaminophen.
- Fentanyl - Fentanyl inowanikwa sepfupi-inorwa kurwadza mishonga mu lollipop fomu, uye inogona kushandiswa kugadzirisa kurwadziwa kunorwadza . Chimiro chekare chinoshanda chekare chinowanikwawo, chinogona kushanda kwemaawa 72.
- Hydrocodone - Hydrocodone, yakafanana nekodeine uye oxycodone, inogona kusanganiswa nedzimwe shandukosi dzakadai se aspirin kana kuti acetaminophen. Icho chiri kupfupika-kuita kurwadziwa mishonga uye kwakafanana zvikuru nekodeine.
- Hydromorphone - Hydromorphone is opioid inotora nguva shoma inozivikanwa kuti inoshanda nokukurumidza. Inogona kushandiswa mumutauro wemuromo, kunyange kujowa uye fomu yemadhipatimendi inowanikawo. Hydromorphone dzimwe nguva inoshandiswa panzvimbo ye morphine.
- Morphine - Morphine ndeimwe yeopioid inoshanda zvikuru - uye inogonawo kuva imwe yezvakasimba. Kunyange zvazvo iripo mune imwe nguva yekukurumidza-kusununguka fomu, inonyanya kuiswa muyanzvi hwehutano pahupatara kana kliniki.
- Methadone - Kunyange zvazvo inowanzoshandiswa semushonga wekuchenesa kune dzimwe opioid kana heroin, methadone inobatsirawo mune kutungamira kwekutonga kusingaperi kusuruvara. Inowanzobudirira kwemaawa anenge mana kusvika matanhatu panguva.
- Oxymorphone - Oxymorphone inowanika muzvidimbu zviduku, zvichida kuburikidza nejisi kana suppository. Chimiro chemazuva akawanda chinowanikawo chinoshanda kusvika kwemaawa gumi namaviri. Oxymorphone dzimwe nguva inoshandiswa panzvimbo ye morphine.
- Pentazocine - Pentazocine yakafanana ne codeine uye inofamba maawa opioid. Iyo inowanzoshandiswa nenzira yakasimba kwazvo nekuda kwekuita kwayo kukonzera kuvhiringidzika nekuzvidya mwoyo, kunyanya kune vakwegura.
Ndechipi Chine Opioid Chiremba Wangu Anonyora?
Mhando yeopioid yaunorayirwa ichaenderana nemhando uye unhu hwekutambudzika kwako. Kunze kwekunge iwe waedza mamwe mishonga isiri opioid pasina kuponeswa, chiremba wako haafaniri kukupa maopioid zvachose. Kana mahedgeji asiri opioid haana kunge akashanda kwauri, chiremba wako angakutanga paopioid ine munyoro yakadai se codeine. Kana kuti, anogona kukuedza paopioid inosanganiswa ne aspirin kana acetaminophen.
Kana marwadzo ako akaoma, unogona kupiwa chimwe chinhu chakasimba, zvakadai se oxycodone. Chiremba wako anogona kuedza zvose maitiro mashomanana ekuita uye kwenguva refu kuti aone kuti chii chinonyanya kukubatsira marwadzo ako. Anokwanisawo kusanganisa maopioid ane simba nedzimwe mifananidzo, zvichienderana nezvinodiwa.
Kufanana nemamwe mimwe mishonga inorwadza, iwe unogona kunge uchiedza kupfuura imwechete yeopioid kana opioid musati wasangana nehuturo.
Sources:
American Chronic Pain Association. APCA Mishonga uye Upenyu Husingaperi: Kuwedzerwa 2007. Yakasvika 6/14/09.
Garner-Nix, Jacqueline. Mitemo yeOpioid Kushandiswa muHana-Kanzura Pain . Canadian Medical Association Journal. July 8, 2003; 169 (1)
The Merck Manuals Online Medical Library. Pain: Treatment. Yakasvika 6/14/09. http://www.merck.com/mmhe/sec06/ch078/ch078d.html
National Institute on Drug Abuse. NIDA InfoFacts: Kurapa uye Kuwedzera Mishonga. Yakasvika 6/17/09. http://www.nida.nih.gov/infofacts/PainMed.html