Inalbuphine Inaliti

Umxholo

• Phambi kokufumana i-nalbuphine,
• Inalbuphine inaliti inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Inalbuphine inaliti inokwenza umkhwa. Sukuyisebenzisa ngaphezulu, yisebenzise rhoqo, okanye uyisebenzise ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho uyasela okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, wasebenzisa kakhulu amayeza kagqirha, okanye wagqithisa, okanye ukuba ukhe wanengxaki yoxinzelelo okanye omnye isigulo sengqondo. Kukho umngcipheko omkhulu wokuba uya kuyisebenzisa kakubi inalbuphine inaliti ukuba unayo okanye wakha wanayo nayiphi na kwezi meko.

Inalbuphine inaliti inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho kwaye nangaliphi na ixesha idosi yakho inyuswe. Ugqirha wakho uya kukujonga ngononophelo ngexesha lonyango lwakho. Tshela ugqirha wakho ukuba ukhe wakha wanciphisa ukuphefumla okanye isifuba. Ugqirha wakho unokukuxelela ukuba ungasebenzisi inalbuphine injection. Xelela ugqirha wakho ukuba ukhe okanye unesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya), ukwenzakala entloko, ithumba lobuchopho, okanye nayiphi na imeko eyonyusa inani uxinzelelo kwingqondo yakho. Umngcipheko wokuba ube neengxaki zokuphefumla unokuba ngaphezulu ukuba umdala okanye ubuthathaka okanye ungondleki ngenxa yesifo. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango lonyango: ukuphefumla okucothayo, ikhefu elide phakathi kokuphefumla, okanye ukuphefumla kancinci.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba usebenzisa inalbuphine inaliti rhoqo ngexa lokukhulelwa, umntwana wakho unokuba neempawu ezisongela ubomi emva kokuzalwa. Xelela ugqirha wosana lwakho ngoko nangoko ukuba umntwana wakho unazo naziphi na kwezi mpawu zilandelayo: ukucaphuka, ukuxhalaba, ukulala ngendlela engaqhelekanga, ukukhala okuphezulu, ukungcangcazela okungalawulekiyo kwenxalenye yomzimba, ukugabha, urhudo, okanye ukusilela ukutyeba.

Inalbuphine inaliti inokunyusa umngcipheko weengxaki zokuphefumla ezinobuzaza okanye ezisongela ubomi, i-sedation, okanye ikhoma xa isetyenziswa kunye namayeza athile. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha: i-benzodiazepines efana ne-alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), kunye netriazolam (Halcion); amayeza okugula ngengqondo okanye isicaphucaphu, amanye amayeza eentlungu; izihlunu ezonwabisayo; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa nalbuphine inaliti ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, ukukhanya okukhaphukhaphu, ukulala kakhulu, ukucothisa okanye ukuphefumla nzima, okanye ukungaphenduli. Qiniseka ukuba umnakekeli wakho okanye amalungu osapho ayazi ukuba zeziphi iimpawu ezinokubanzima ukuze babize ugqirha okanye ukhathalelo lonyango olungxamisekileyo ukuba awukwazi ukuzifunela unyango wedwa.

Ukusela utywala okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lokunyanga nge-nalbuphine kukonyusa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Sukusela utywala, thatha naliphi na iyeza okanye amayeza angaxhomekekanga kugqirha aqukethe utywala, okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Thetha nogqirha wakho malunga nomngcipheko (s) wokusebenzisa inalbuphine injection.

Inalbuphine Inaliti esetyenzisiweyo isetyenziselwa ukunciphisa iintlungu ezibukhali. Ikwasetyenziswa kunye namanye amayeza kunye neearhente ze-anesthesic ngaphambi, ngexesha, nasemva kotyando kunye nezinye iindlela zonyango. Inalbuphine inaliti ikwiklasi yamayeza abizwa ngokuba yi-opioid agonist-antagonists. Isebenza ngokutshintsha indlela umzimba uziva ngayo iintlungu.

Inalbuphine inaliti iza njengesisombululo (ulwelo) sokufaka ngenaliti (phantsi kolusu), ngaphakathi (emthanjeni), okanye intramuscularly (ibe sisihlunu). Inalbuphine inaliti ilawulwa ngugqirha okanye ngumongikazi. Ihlala itofwe kanye kwiiyure ezi-3 ukuya kwezi-6 xa kufuneka njalo.

Ugqirha wakho unokuyihlengahlengisa idosi yakho yenalbuphine inaliti ngexesha lonyango lwakho, kuxhomekeke kwindlela ezilawulwa ngayo iintlungu zakho nakwiziphumo ebezingalindelekanga ohlangabezana nazo. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho ngenalbuphine injection.

Unokufumana inalbuphine injection esibhedlele, okanye ungasebenzisa amayeza ekhaya. Ukuba uza kusebenzisa inalbuphine injection ekhaya, yisebenzise ngamaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango, kwaye ubuze ugqirha wakho okanye omnye umboneleli wezempilo ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa nalbuphine inaliti ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.

Ukuba usebenzise inalbuphine inaliti ixesha elide kuneentsuku ezimbalwa, musa ukuyeka ukuyisebenzisa ngequbuliso. Ukuba ngequbuliso uyeka ukusebenzisa inalbuphine injection, unokufumana iimpawu zokurhoxa kubandakanya ukungazinzi; amehlo aneenyembezi; impumlo enemifinya; ukuzamla; ukubila; Ukugodola; iintlungu zemisipha, yomqolo okanye edibeneyo; ukwandiswa kwabafundi; ukucaphuka; ixhala; ubuthathaka; isisu esiswini; ubunzima bokulala okanye ukulala; isicaphucaphu; ukuphelelwa ngumdla wokutya; ukugabha; urhudo; ukuphefumla ngokukhawuleza; okanye ukubetha kwentliziyo okukhawulezayo. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Phambi kokufumana i-nalbuphine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-nalbuphine, nawaphi na amanye amayeza, okanye nasiphi na isithako senaliti ye-nalbuphine. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: amayeza eentloko eziqaqambayo ezinje ngealmotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), kunye ne-zolmitriptan (iZomig, iZomig-ZMT); i-mirtazapine (iRemeron); I-5HT3 i-serotonin blockers efana ne-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (iSancuso, i-Sustol), i-ondansetron (iZofran, iZuplenz), okanye i-palonosetron (i-Aloxi, e-Akynzeo); i-serotonin-reuptake inhibitors efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Paxil, i-Pexeva) kunye ne-sertraline (i-Zoloft); i-serotonin kunye ne-norepinephrine reuptake inhibitors enjenge-duloxetine (iCymbalta), i-desvenlafaxine (iKhedezla, iPristiq), kunye ne-milnacipran (Savella), venlafaxine (Effexor); i-tramadol; ithenda kunye ne-tricyclic anti-depressants ('mood elevators') ezinje nge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vimactil), . Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana i-monoamine oxidase (MAO) inhibitors okanye ukuba uyekile ukuzithatha kwezi veki zimbini zidlulileyo: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (iParnate). Amanye amayeza amaninzi anokusebenzisana ne-nalbuphine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Xelela ugqirha wakho okanye usokhemesti ukuba uthatha amayeza e-narcotic kwiintlungu okanye ukuba usandula ukuwathatha la mayeza. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wahlaselwa sisifo sentliziyo kutshanje, okanye isibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba uncelisa.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo okanye utyando lwe-biliary tract, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-nalbuphine.
• Kuya kufuneka uyazi ukuba nalbuphine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga neengozi zokusebenzisa i-nalbuphine.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Inalbuphine inaliti inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• umlomo owomileyo
• intloko ebuhlungu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

• ukudinwa kakhulu
• isicaphucaphu, ukugabha, ukungabi namdla wokutya, ukuba buthathaka okanye isiyezi
• utshintsho kwintliziyo
• Ukuphazamiseka, ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angekhoyo), umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, ukuqina kwemisipha okanye ukujijeka, ukulahleka kokulungelelaniswa, isicaphucaphu, ukugabha okanye urhudo
• ukungakwazi ukufumana okanye ukugcina ulwakhiwo
• ukuya exesheni ngokungaqhelekanga
• ukunciphisa umnqweno wesondo

Inalbuphine inaliti inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Ngelixa usebenzisa inalbuphine injection, kuya kufuneka uthethe nogqirha wakho malunga neyeza lokuhlangula elibizwa ngokuba yi-naloxone ngokulula (umzekelo, ikhaya, iofisi). I-Naloxone isetyenziselwa ukuguqula iziphumo ezisongela ubomi kwi-overdose. Isebenza ngokuthintela iziphumo ze-opiates ukunciphisa iimpawu ezinobungozi ezibangelwa ngamanqanaba aphezulu ee-opiates egazini. Ugqirha wakho unokukuyalela i-naloxone ukuba uhlala kwikhaya apho kukho abantwana abancinci okanye umntu osebenzise gwenxa isitalato okanye amayeza amiselweyo. Kuya kufuneka uqiniseke ukuba wena kunye namalungu osapho lwakho, abakhathaleli, okanye abantu abachitha ixesha kunye nawe bayayazi indlela yokwazi ukuba libanda, indlela yokusebenzisa naloxone, kunye nento onokuyenza de kufike uncedo lwezonyango olungxamisekileyo. Ugqirha wakho okanye usokhemesti uza kukubonisa kunye namalungu osapho lwakho ukuba ulisebenzisa njani eliyeza. Buza usokhemesti wakho ngemiyalelo okanye undwendwele iwebhusayithi yomenzi ukuze ufumane imiyalelo. Ukuba iimpawu zokudlula ngaphezulu zenzeka, umhlobo okanye ilungu losapho kufuneka linike idosi yokuqala ye-naloxone, fowunela i-911 kwangoko, kwaye uhlale nawe kwaye ujonge kufutshane kude kufike uncedo lwezonyango olungxamisekileyo. Iimpawu zakho zinokubuya emva kwemizuzu embalwa emva kokuba ufumane i-naloxone. Ukuba iimpawu zakho zibuya, umntu lowo kufuneka akunike enye idosi ye-naloxone. Amanqanaba ongezelelweyo anokunikwa yonke imizuzu emi-2 ukuya kwemi-3, ukuba iimpawu ziyabuya ngaphambi kokuba uncedo lonyango lufike.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

• ukuphefumla okucothayo, okungekho nzulu, okanye okungaqhelekanga
• ukozela
• andikwazi kuphendula okanye ukuvuka
• Kuyabanda, ulusu olunombala
• abafundi abancinci
• ukubetha kwentliziyo kancinci
• ukungaboni kakuhle
• abafundi abaxubileyo
• ukurhona okungaqhelekanga

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa i-nalbuphine.

Lo myalelo awugcwaliseki. Ukuba usebenzisa i-nalbuphine ukulawula iintlungu zakho ixesha elide, qiniseka ukuba ucwangcise ixesha lokudibana nogqirha wakho ukuze ungaphelelwa ngamayeza. Ukuba usebenzisa i-nalbuphine okwethutyana, tsalela ugqirha wakho ukuba uyaqhubeka nokufumana iintlungu emva kokuba ugqibile amayeza.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• I-Nubain^®¶

^¶ Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.