Zvirwere zvinoshandiswa zveganda zvekurwadziwa zvinorwadza zvinowanikwa kwenguva pfupi uye zvinorwadza zvisingaperi, uye kana zvinoshandiswa zvakanaka zvinogona kupa hurombo hukuru hwekurwadziwa. Nhamo-zororo rinosarudzwa kune vanhu vasingagoni kubvumira mishonga yemuromo nekuda kwekurwadziwa kwemudumbu, zvipembenene, kana zvimwe zvikonzero.
Sezvinenge nemishonga yose, njodzi dzinobatanidza nekushandiswa kwekutambudzika-kuburitswa kwemafuro, uye dzinofanirwa kushandiswa chete sezvinorayirwa nenyanzvi yehutano hwehutano.
Mashandisiro Aungaita Mafambisi Anosunungura Matambudziko
Varwere vanofanira kushamba maoko avo vasati vabata chigamba kuti vasasvibisa mishonga uye kuchengetedza mushonga wacho kuti usashandise munzvimbo isina kuchengeteka yakadai semeso kana muromo.
Nhamo-dzinobatsira dzinofanira kushandiswa chete paganda risina kuputsika, kucheka kana kuputika. Mune zvimwe zviitiko, chigamba chinogona kukonzera kutsamwa, blister kana kushungurudzika kunoshandiswa uko kunoshandiswa. Iyi migumisiro yakaipa inowanzonyorova uye inopera shure kwemaawa mashomanana.
Matambudziko ave achitsanangurwa nekushandiswa kwezvigadziro izvo zvakatemwa kuti zvishandise mukana muduku wechirwere. Patches haifaniri kutemwa, uye varwere havafanire kushandisa chirwere chekurwadza-chakatemwa, chakabvarurwa, kana chakavhiringidzika kunze kwekunge chichitarirwa kuita kudaro nachiremba wavo.
Kufanana nemishonga yose, mapepa anofanirwa kuchengetwa kubva kuvana nemhuka. Nzira yakanakisisa yekurasira patch ndeyokuisa pasi iyo hafu saka rutivi rwekubatanidza runonamatira pacharo. Chigadziriswa chinoshandiswa chinofanira kukandwa kunze uko vana uye mhuka dzesango dzisingakwanisi kuonana nazvo.
Mhando dzePain-Relief Patches
Flector (diclofenac epolamine) : Pakati pemitatu inoshandiswa zvakanyanya inoshandiswa-chirwere chekudzivirira, Flector chete inonzi nonsteroidal anti-inflammatory drug (NSAID), kirasi yepainkiller inosanganisira aspirin, Advil naMotrin (ibuprofen), uye Aleve uye Naprosyn ( naproxen). Mushonga uyu unorayirwa kuti utambudzike kubva kumaronda, kushungurudzika kwemitsipa kana zvimwe zvinokuvadza zviduku.
Chikamu chinogona kushandiswa pedyo nenzvimbo yakakuvara kana pasina ganda rakaputsika. Kufanana nedzimwe NSAIDs, pane imwe njodzi yezvinetso zvepfungwa-kusanganisira mwoyo yekurwa kana chirwere-mune varwere vachishandisa Flector. Panewo mukana wekutsamwa, kuputika kana kubuda mukati mudumbu kana kune imwe nzvimbo mudumbu remakumbo, kunyange zvingave zvisinganyanyi kuisa iyo neFlector kupfuura nemashoko eNSAID.
Lidoderm (lidocaine): Mishonga iyi inyanzvi yemunharaunda inowanzotarisirwa kune varwere vanorwara nemarwadzo e-shingles (post-herpetic neuralgia). Inofanira kushandiswa pedyo nenharaunda iyo marwadzo acho makuru, chero bedzi ganda racho risina kukwana. Lidoderm inoshandiswawo nevamwe varwere nehutano hweArthritis. Chigamba chinogona kushandiswa zvakananga pamusoro pekubatana kunokonzera marwadzo.
Duragesic (fentanyl): Mushonga uyu unoshandiswa kurapa kuenzana kusvika kune zvakanyanya kurwadziwa kusingaperi. Uyewo inowanikwa sechirwere chinokonzera, fentanyl inorwisa mishonga inorwadza maopioid uye inofanira kushandiswa chete nevanhu vane nguva refu, marwadzo asingagumi mushure meimwe marwadzo-mishonga yokuyamura, kusanganisira mamwe opioid, akaedzwa. Hazvirevi kurwadziwa kwenguva pfupi, kurwadziwa musoro, kana kurwadziwa mushure mekuvhiyiwa kana maitiro emeno.
Iko kune mikana iyo muviri wemunhu inogona kukurira kushivirira kune fentanyl; kunewo mukana wekudhakwa, kunyange zvazvo pawakashandiswa zvakanaka, fentanyl inogona kupa rubatsiro rwakachengeteka uye runobatsira.
Chiremba anotsanangura fentanyl anofanira kudzidzisa murwere mukushandisa kwayo yakachengeteka uye anofanira kutarisa varwere vanoishandisa.
Muna 2005, FDA yakabudisa nyevero pamusoro pe fentanyl patch kuchengeteka. Imwe nyevero yakabudiswa muna 2007 mushure mekuwedzera kwechiitiko chekunyanyisa kwekukurumidza kwakataurwa. Kuwedzerwa kwezvese kwakaitika apo pane imwe patch inoshandiswa panguva uye apo musina murwere-akadai semwana-pangozi anosangana nechigamba. Muna 2012, FDA yakadzokorora kunyeverwa kwayo pamusoro pefentanyl patches shure kwevana vanoverengeka vakafa nekuda kwekukurumidza. Muna 2013, FDA yaida kuti ruvara ruchinje kune zvakanyorwa paFentanyl patches kuitira kuti zvive nyore kuona.
Maererano neCDA:
Vana vaduku vakafa kana kuti vanorwara zvakakomba kubva pakangoerekana vaiswa pachiganda cheganda chine fentanyl, ine kurwadziwa kwakasimba reliever. .... Kuwedzeresa kwefentanyl-kunokonzerwa kana mwana akaisa chiganda mumuromo wake kana kuti kuchiisa kune ganda-kunogona kukonzera rufu nekuderedza kufema uye kuwedzera mazinga e carbon carbon muropa.
Kupisa kunogonawo kuwedzera chiitiko che fentanyl chinopiwa nechigamba. Kunyange zvazvo chigamba chinogona kupfeka pakushambidza, kwenguva yakareba, kupisa kunopisa kana kuti mabhati kunogona kuwedzera njodzi yekudarika; kupisa mabhati, mabheji emagetsi, kupera kwezuva kwenguva refu uye kupisa pads kunofanirawo kudziviswa.
Pakupedzisira, mumaoko asina kururama kana kana kushandiswa zvisina kunaka, fentanyl patches inogona kuva yengozi.
Shoko Rinobva
Kana iwe uine mibvunzo pamusoro pekushandiswa, kubudirira, kana kuchengetedzwa kwemarwadzo ekurwadziwa tapota taurirana nezvezvinetso izvi nachiremba wako. Kunyange zvazvo marwadzo ekurwadza akabudirira, anoda kushandiswa akachengeteka, zvakanaka, uye pasi pekutungamirirwa kwachiremba wako. Zvakakosha kuti uchengetedze marwadzo kubva kune vana uye zvipfuwo.
Sources:
"Fentanyl: Mushonga wemishonga unozivikanwa." UpToDate for Patients. 2009.
"Flector Patch." fda.gov. Jul 2005. Zvokudya uye Drug Administration.
"Lidoderm." fda.gov. Apr. 2006. Zvokudya uye zvinodhaka.
"Kushandisa Zvakakodzera Fentanyl Pain Patches." fda.gov. Mar. 2006. Zvokudya uye Drug Administration.
"Transdermal Patches: Kucheka Kana Kusatengwa." Oregon DUR Board Newsletter 10.8 Nvondo 2008