Buprenorphine Buccal (xanuun joogto ah)

Qanacsan

• Si aad u dalbato filimka buccal, raac talaabooyinkan:
• Kahor intaadan isticmaalin buprenorphine (Belbuca),
• Buprenorphine (Belbuca) waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Buprenorphine (Belbuca) waxay noqon kartaa caado sameynta, gaar ahaan isticmaalka muddada dheer. Codso buprenorphine sida saxda ee lagu faray. Ha codsanin badan filimada buccal buprenorphine, ha u isticmaalin filimada buccal marar badan, ama ha u isticmaalin filimada buccal qaab ka duwan sida uu dhakhtarkaagu kuu qoray. Intaad isticmaaleyso 'buprenorphine', kala hadal daryeel caafimaad bixiyahaaga yoolalkaaga daaweynta xanuunka, dhererka daaweynta, iyo siyaabo kale oo loo maareeyo xanuunkaaga.U sheeg dhakhtarkaaga haddii adiga ama qof ka mid ah qoyskaaga aad cabto ama aad waligaa cabto qamri aad u tiro badan, isticmaasho ama aad waligaa isticmaasho daroogada waddooyinka, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray, ama aad u badatay, ama haddii aad leedahay ama aad waligaa isku buuqday ama cudur maskaxeed kale. Khatar weyn ayaa ka jirta inaad si xad dhaaf ah u isticmaasho buprenorphine haddii aad leedahay ama aad waligaa isku aragto mid ka mid ah xaaladahaas. Si dhakhso leh ula hadal daryeel caafimaad bixiyahaaga oo weydii hagitaan haddii aad u malaynayso inaad qabatimay qabatinka opioid ama wac Ujeeddada Maandooriyaha Maandooriyaha iyo Maamulka Adeegyada Caafimaadka Maskaxda (SAMHSA) Khadka Caawinta Qaranka ee 1-800-662-HELP.

Buprenorphine (Belbuca) waxay sababi kartaa dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, qaasatan inta udhaxeysa 24ka ilaa 72 saacadood ee uguhoreysa iyo wakhti kasta oo qiyaastaada la kordhiyo. Dhakhtarkaaga ayaa si taxadar leh kuu kormeeri doona inta lagu jiro daaweyntaada. Dhakhtarkaagu wuxuu si taxaddar leh u hagaajin doonaa qiyaastaada si uu u xakameeyo xanuunkaaga wuxuuna yareeyaa halista aad kula kulmi doonto dhibaatooyin neefsasho oo daran. U sheeg dhakhtarkaaga haddii neefsigu kugu adkaado iyo haddii aad neef qabtid ama aad weligaa qabtid. Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin buprenorphine (Belbuca.) Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudur sambabada oo xannuunsan (COPD; koox cudurro ah oo saameeya sambabaha iyo marinnada hawada), cudurrada kale ee sambabaha, dhaawac madaxa ah , buro maskaxda ah, ama xaalad kasta oo kordhisa xaddiga cadaadiska maskaxdaada. Khatarta aad ku yeelan karto dhibaatooyinka neefsashada sidoo kale way ka sii badnaan kartaa haddii aad tahay qof weyn oo da 'weyn ama aad daciiftay ama aad u liidato nafaqo darro cudur awgeed. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: neefsashada oo dhib ah, neefta oo kugu qabata, lulmo aad u daran, miyir beelid, ama miyir beelid.

Qaadashada daawooyinka qaarkood buprenorphine (Belbuca) waxay kordhin kartaa halista dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, suuxdin, ama miyir beel. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: benzodiazepines sida alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), iyo triazolam (Halcion); daawooyinka cudurada maskaxda iyo lallabbada; daawooyinka kale ee xanuunka; nasashada murqaha; dajiya; kaniiniyada hurdada; ama dejiyeyaasha. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo si taxadar leh ayuu kuu kormeeri doonaa. Haddii aad u isticmaasho daawada 'buprenorphine' mid ka mid ah daawooyinkaan oo aad horumariso mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama raadso daryeel caafimaad oo degdeg ah: dawakhaad aan caadi ahayn, madax-wareer, hurdo saa'id ah, neefsasho gaabis ah ama dhib badan, ama jawaab celin la'aan. Hubso in daryeel bixiyahaaga ama xubnaha qoyskaaga ay ogyihiin calaamadaha halista ah si ay ugu wici karaan dhakhtarka ama daryeelka caafimaadka degdegga ah haddii aadan awoodin inaad iskaa u doonato daaweyn.

Cabitaanka aalkolada, qaadashada daawada dhakhtar qoro ama daawooyinka aan dhakhtar qorin ee ay ku jiraan aalkolada, ama isticmaalka daroogooyinka dariiqa inta lagu guda jiro daaweyntaada buprenorphine waxay kordhisaa halista aad kula kulmi doonto dhibaatooyinkaan halista ah, ee nolosha halista ku ah. Ha cabin aalkolo ama ha isticmaalin daroogada waddada inta lagu jiro daweyntaada.

Buprenorphine (Belbuca) waxay sababi kartaa dhaawac halis ah ama dhimasho haddii shil ay u isticmaalaan cunug ama qof weyn oo aan loo qorin daawada. Ha u oggolaan qof kale inuu isticmaalo daawadaada. Ku keydi buprenorphine (Belbuca) meel aamin ah si aan qofna ugu isticmaali karin shil ama ula kac. La soco inta filimood oo buccal ah oo haray si aad u ogaatid haddii wax ka dhiman yihiin.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u isticmaasho buprenorphine inta aad uurka leedahay, ilmahaagu waxaa laga yaabaa inuu la kulmo astaamaha ka-noqoshada nolosha ee khatarta ku ah dhalashada ka dib. Isla markiiba u sheeg dhakhtarka ilmahaaga haddii ilmahaagu la kulmo astaamaha soo socda midkood: xanaaq, kacsanaan, hurdo aan caadi ahayn, oohin qaylo-dhaan ah, gariir aan la xakamayn karin oo ka mid ah jirka, matag, shuban, ama miisaanka oo kordha.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) markaad bilawdo daaweynta buprenorphine (Belbuca) iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Kala hadal dhakhtarkaaga khataraha isticmaalka buprenorphine (Belbuca).

Buprenorphine (Belbuca) waxaa loo isticmaalaa in lagu yareeyo xanuunka daran ee dadka la filayo inay u baahan yihiin daawo xanuun saacad iyo saacadba waqti dheer oo aan lagu daaweyn karin daawooyin kale. Buprenorphine (Belbuca) looma isticmaali karo in lagu daaweeyo xanuunka lagu xakameyn karo daawada loo qaato sida loogu baahdo. Buprenorphine (Belbuca) oo ku jira fasal dawooyin ah oo loo yaqaan 'opiate parition agonists'. Waxay ku shaqeysaa iyadoo la beddelayo habka maskaxda iyo nidaamka neerfaha uga jawaabaan xanuunka.

Buprenorphine (Belbuca) waxay u timaadaa sidii filim buccal ah oo laga codsado gudaha dhabanka. Waxaa badanaa la mariyaa laba jeer maalintii. Codso buprenorphine (Belbuca) qiyaastii isla waqtiyadaas maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U isticmaal buprenorphine (Belbuca) sida saxda ee lagu faray.

Dhakhtarkaagu wuxuu kugu bilaabi doonaa qadar yar oo ah 'buprenorphine' (Belbuca), ama hal mar maalintii ama 12-kii saacadoodba, wuxuuna si tartiib tartiib ah u kordhin doonaa qiyaastaada, ugu badnaan hal mar 4tii maalmoodba. Dhakhtarkaaga ayaa laga yaabaa inuu yareeyo qiyaastaada haddii aad isku aragto waxyeelo. U sheeg dhakhtarkaaga haddii aad dareento in xanuunkaaga aan la xakamayn ama haddii aad la kulanto waxyeelo inta lagu jiro daweyntaada buprenorphine (Belbuca). Ha badalin qiyaasta daawadaada adigoon lahadlin dhaqtarkaaga.

Ha u joojin isticmaalka buprenorphine (Belbuca) adigoon dhaqtarkaaga la hadlin. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aad si lama filaan ah u joojiso isticmaalka buprenorphine (Belbuca), waxaa laga yaabaa inaad leedahay astaamo ka bixitaan. Wac dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamahan soo noqoshada: degganaansho la'aan, indhaha oohin, sanka oo dareera, hamaansi, dhidid, dhaxan, muruq iyo dhabar xanuun, ardayda waaweyn (wareegyada madow ee indhaha), xanaaq, walaac, dhibaato hurdo ama hurdo jiif, shuban, lallabbo, matag, rabitaanka cuntada oo yaraada, calool xanuun, xanuunka kala goysyada, daciifnimo, garaaca wadnaha oo dhakhso ah, ama neefsasho degdeg ah.

Buprenorphine (Belbuca) waxaa lagu shaabadeeyey xirmo waraaqeed ah. Ha furin baakadka illaa aad diyaar u tahay inaad isticmaasho. Ha dalban buprenorphine (Belbuca) haddii xirmada xirmada ay jabto ama filimka buccal la jaro, la waxyeeleeyo, ama la beddelo si uun.

Si aad u dalbato filimka buccal, raac talaabooyinkan:

1. Isku laab laynka dhibcaha leh ee dusha sare ee xirmada bireed. Isku laabo oo jeex jeex ama maqas ku jar cutubka xaga jihada maqaska dhibcaha ku leh. Jeex jeex ilaa gunta. Ka taxaddar inaad iska ilaaliso jarista iyo waxyeeleynta filimka bucshada ah markaad maqas isticmaalayso.
2. Carrabkaaga u isticmaal inaad ku qoyso dhabanka gudihiisa ama ku luqluqo biyo si aad ugu qoyso meesha ku taal afkaaga halkaas oo aad ka dalban doonto filimka bucshiradda. Ka fogow inaad ku dhejiso filimka bucusha meelaha nabarrada furan yihiin.
3. Ka saar baakadka filimka baakadka oo ku hay faro nadiif ah, qalalan oo dhinaca jaalaha ah u jeeda.
4. Isla markiiba ku dheji dhinaca huruudda ah ee filimka caloosha gudaha dhabankaaga qoyan. Riix oo ku hay filimka buccal meesha 5 ilbidhiqsi ka dibna farta ka qaad.
5. Filimka buccal waa inuu ku dhajiyaa dhabankaaga. U daa filimka bucshiirta meesha illaa uu gebi ahaanba ka milmayo, badiyaa 30 daqiiqo gudahood ka dib markaad codsato. Iska ilaali inaad taabato ama ku dhaqaajiso filimka caloosha carrabkaaga ama farahaaga ka dib markaad mariso. Waxna ha cunin hana cabin ilaa filimka bucshiirta uu si dhammaystiran u milmo. Ha calalin ama ha liqin filimka caloosha ku jira.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin buprenorphine (Belbuca),

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay buprenorphine, daawooyin kale, ama wax ka mid ah waxyaabaha ku jira filimada 'buprenorphine buccal'. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinada, iyo nafaqada nafaqada aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku qoran qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: amiodarone (Nexterone, Pacerone); daawada xinjirowga lidka ku ah (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, iyo scopolamine); butorphanol; carbamazepine (Carbatrol, Tegretol, Teril, kuwa kale); clarithromycin (Biaxin, gudaha Prevpac); cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); sibibramramide (Norpace); durayaasha ('kaniiniyada biyaha'); dofetilide (Tikosyn); enzalutamide (Xtandi); dawooyinka fayraska difaaca jirka (HIV) sida atazanavir (Reyataz, in Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, in Atripla), etravirine (Intelence), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viracept) ritonavir (Norvir, Kaletra), iyo saquinavir (Invirase); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); lithium (Lithobid); dawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; nefazodone; pentazocine (Talwin); phenobarbital; phenytoin (Dilantin, Phenytek); pioglitazone (Actos); procainamide; quinidine (oo ku taal Nuedexta); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); 5HT₃ xannibaadaha serotonin sida alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), ama palonosetron (Aloxi); xakameeyayaasha serotonin-reuptake inhibitors sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), iyo sertraline (Zoloft); serotonin iyo norepinephrine reuptake inhibitors sida duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), iyo venlafaxine (Effexor); tramadol (Conzip, Ultram, oo ku taal Ultracet); trazodone; sotalol (Betapace, Sotylize, kuwa kale); ama tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine. Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanaysid ama aad qaadanaysid daawadayaasha monoamine oxidase (MAO) ama haddii aad joojisay qaadashadooda labadii toddobaad ee la soo dhaafay: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), ama tranylcypromine (Parnate). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara buprenorphine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan St. John’s wort iyo tryptophan.
• u sheeg dhakhtarkaaga haddii aad qabtid mid ka mid ah xaaladaha ku taxan qaybta DIGNIIN MUHIIM AH ama curyaannimo ileus (xaalad ah in cunnadu aysan ka gudbin mindhicirada) ama xannibaadda caloosha ama mindhicirada. Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin buprenorphine (Belbuca).
• u sheeg dhakhtarkaaga haddii adiga ama xubin qoyskaaga ka mid ahi aad isku aragteen ama aad waligiinba qabateen cudurka 'QT syndrome' oo sii dheeraanaya (xaalad kordhinaysa halista ah inuu ku dhaco wadno garaac aan caadi ahayn oo u horseedi kara miyir beelid ama dhimasho kedis ah); haddii dhiiggaagu ku yar yahay macdanta potassium ama magnesium. iyo haddii aad yeelatay ama aad waligaa wadno garaac wadnaha ama aan caadiga ahayn; wadnaha oo istaaga; cadaadiska dhiigga oo hooseeya; xaalad kasta oo dhibaato ku keenta kaadida; suuxdinta; nabarrada afka; ama xameetida, xammeetida, kilyaha, tayroodhka, ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha isticmaalka buprenorphine.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso buprenorphine (Belbuca).
• waa inaad ogaataa in buprenorphine (Belbuca) ay kaa dhigi karto mid hurdo badan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• waa inaad ogaataa in buprenorphine (Belbuca) ay sababi karto dawakhaad, madax-wareer, iyo miyir beel markii aad dhaqso uga kacdid jiifka. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• waa inaad ogaataa in buprenorphine (Belbuca) ay sababi karto calool istaag. Kala hadal dhakhtarkaaga wixii ku saabsan beddelaadda cuntadaada ama isticmaalka daawooyin kale si looga hortago ama loo daaweeyo calool fadhiga inta aad isticmaaleyso buprenorphine (Belbuca).

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Codso qiyaasta la seegay isla marka aad xasuusato. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha codsan laba qaadasho si aad ugu kabtid midda seegtay.

Buprenorphine (Belbuca) waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• shuban
• afka qalalan
• hurdo la'aan
• madax xanuun

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• isbedelada garaaca wadnaha
• kacsan, dhalanteed (aragtida wax ama maqalka codad aan jirin), qandho, dhidid, jahwareer, garaaca wadnaha oo dhaqso ah, gariir, muruq xanuun daran ama qallooc, isku xirnaan la'aan, lallabbo, matag, ama shuban
• lallabbo, matag, rabitaan la'aanta cuntada, daciifnimo, ama wareer
• awood u lahayn inuu kaco ama kacsanaado
• caadada oo aan caadi ahayn
• rabitaanka galmada oo yaraaday
• xabad xanuun
• bararka wajigaaga, carrabkaaga ama cunaha
• finan
• finan

Buprenorphine (Belbuca) waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Tuur daawo kasta sida ugu dhakhsaha badan markii ay dhacdaa ama aan loo baahnaynba. Isla markiiba iska tuur wixii daawo ah ee dhacay ama aan hadda looga baahnayn barnaamijka dib-u-celinta daawada. Haddii aadan haysan barnaamij dib-u-celin ah oo kuugu dhow ama mid aad si dhakhso leh u heli karto, ka dibna ka saar wixii filim ah ee aan la isticmaalin xirmooyinka baakidhka oo ku shub musqusha. Ku tuur baakadaha foornada qashinka. Ha ku shubin buprenorphine (Belbuca) musqusha baakadaha foornada ama kartoonnada.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Intaad isticmaaleyso buprenorphine (Belbuca), waa inaad kala hadashaa dhakhtarkaaga sidii aad u heli lahayd daawada samatabbixinta ee loo yaqaan naloxoon si fudud loo heli karo (tusaale ahaan, guriga, xafiiska). Naloxoon waxaa loo isticmaalaa in lagu beddelo saamaynta naf-gooyada ah ee xad dhaafka ah. Waxay ku shaqeysaa iyadoo la xakameynayo saameynta opiates si loo yareeyo astaamaha halista ah ee ay sababaan heerarka sare ee opiates ee dhiigga. Dhakhtarkaagu sidoo kale wuxuu kuu qori karaa naloxoon haddii aad ku nooshahay guri ay ku jiraan carruur yaryar ama qof ku xadgudbay dariiqyada ama daawooyinka laguu qoray. Waa inaad hubisaa inaad adiga iyo xubnaha qoyskaaga, daryeel bixiyeyaasha, ama dadka waqtiga kula qaadanaya ay ogaadaan sida loo aqoonsado xad dhaafka, sida loo isticmaalo naloxoon, iyo waxa la sameeyo ilaa gargaarka caafimaad ee degdegga ahi yimaado. Dhakhtarkaaga ama farmashiistahaaga ayaa ku tusi doona adiga iyo xubnaha qoyskaaga sida loo isticmaalo daawada. Weydii farmasiilahaaga tilmaamaha ama booqo websaydhka soo saaraha si aad u hesho tilmaamaha. Haddii calaamadaha xad-dhaafka ah ay dhacaan, saaxiib ama xubin qoyska ka mid ah waa inay bixiyaan qiyaasta ugu horreysa ee naloxoon, wac 911 isla markiiba, oo way kula joogaan oo si dhow ayey kuu ilaalinayaan ilaa gargaarka caafimaad ee deg-degga ahi yimaado. Calaamadahaaga ayaa soo laaban kara daqiiqado yar gudahood ka dib marka lagu siiyo naloxoon. Haddii calaamadahaagu soo noqdaan, qofku waa inuu ku siiyaa qiyaas kale oo ah naloxoon. Qiyaaso dheeri ah ayaa la siin karaa 2 ilaa 3 daqiiqadood kasta, haddii calaamaduhu soo noqdaan ka hor intaanay gargaarka caafimaad iman.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• neefsasho gaabis ah ama gacmeed ama neefsashada oo ku adkaata
• hurdo saaid ah ama lulmo
• aan awoodin in aan ka jawaabo ama ka soo kaco
• garaaca wadnaha oo gaabis ah
• hargab, maqaar ciriiri ah
• daciifnimada muruqyada
• yaraynta ama ballaarinta ardayda (wareegyada madow ee isha bartamaha)
• khuuro aan caadi ahayn

Dhammaan ballamaha la dhig takhtarkaaga iyo shaybaarkaaga. Dhakhtarkaagu wuxuu dalban karaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee buprenorphine.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lug leh buluuga methylene), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleyso buprenorphine.

Ha u ogolaan qof kale inuu isticmaalo daawadaada. Buprenorphine (Belbuca) waa walax la kontoroolo. Daawooyinka laguu qoro waxaa lagu buuxin karaa oo keliya tiro kooban oo jeer ah; weydii farmashiistahaaga haddii aad wax su'aalo ah qabtid.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh.Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Belbuca^®