Methadone

Qanacsan

• Kahor qaadashada methadone,
• Methadone 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 soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Methadone waxay caado u noqon kartaa sameynta. Qaado methadone sida saxda ee lagu faray. Ha qaadan qadar ka weyn, qaad inta badan, ama ha u qaadin muddo dheer ama qaab ka duwan kan uu dhakhtarku kuu qoray. Intaad qaadaneysid methadone, 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 jirta oo ah inaad si xad dhaaf ah u isticmaasho daawada methadone haddii aad qabto 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 cudurka opioid ama wac Ujeeddada Maandooriyaha Maandooriyaha iyo Maamulka Adeegyada Caafimaadka Maskaxda (SAMHSA) Khadka Caawinta Qaranka ee 1-800-662-HELP.

Methadone wuxuu sababi karaa dhibaatooyin neefsasho oo halis ah ama nolosha halis geliya, gaar ahaan inta udhaxeysa 24 ilaa 72 saac ee ugu horeysa ee daaweyntaada iyo waqti kasta oo qiyaastaada la kordhiyo. Dhakhtarkaaga ayaa si taxadar leh kuu kormeeri doona inta lagu jiro daaweyntaada. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa neefta gaabisay ama neefta qabatay. Dhakhtarkaaga ayaa u badan inuu kuu sheego inaadan qaadan methadone. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid cudur sambabaha ah sida cudur sambabaha oo xaniba oo joogto ah (COPD; koox ka mid ah cudurada sambabka oo ay ku jiraan boronkiitada daran iyo emphysema), dhaawac madaxa ah, buro maskaxda ah, ama xaalad kasta oo kordhinaysa qadarka cadaadiska maskaxdaada. Khatarta aad ku yeelan karto dhibaatooyinka neefsashada way ka sii badnaan kartaa haddii aad tahay qof weyn oo da 'weyn ama aad tabar daran tahay ama aad u liidato nafaqo darro cudur awgeed. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn caafimaad oo deg deg ah: neefta oo gaabisa, hakad badan oo istaaga inta u dhexeysa neefsashada, ama neefta oo ku qabata.

Qaadashada daawooyinka kale qaarkood inta lagu guda jiro daaweyntaada methadone waxay kordhin kartaa halista ah inaad la kulanto waxyeelo daran, nafta halis gelinaysa sida dhibaatooyinka neefsashada, suuxinta, ama miyir beelida. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: antipsychotics sida aripiprazole (Abilify), asenapine (Saphris), cariprazine (Vraylar), chlorpromazine, clozapine (Versacloz), fluphenazine, haloperidol (Haldol), iloperidone , ); benzodiazepines sida alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazilam, iyo triazolam (Halcion); dawooyinka opiate (narkotikada) ee xanuunka iyo qufaca; dawooyinka lallabbada ama cudurada maskaxda; nasashada murqaha; dajiya; kaniiniyada hurdada; ama dejiyeyaasha. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo uu si taxaddar leh kuu ilaaliyo. Haddii aad methadone ku qaadato mid ka mid ah daawooyinkan oo aad yeelato 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-xumo aad u daran, 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 daroogada dariiqa inta lagu guda jiro daaweyntaada methadone waxay kordhinaysaa halista ah inaad la kulanto waxyeelo halis ah, nolosha halis gelinaysa. Ha cabin aalkolo, ha u qorin daawooyinka dhakhtar qoro ama kuwa aan dhakhtar qorin ee ay ku jiraan aalkolada, ama ha u isticmaalin daroogada waddada inta lagu jiro daweyntaada.

Ha u oggolaan qof kale inuu qaato daawadaada. Methadone waxay waxyeello u geysan kartaa ama u geysan kartaa dadka kale ee qaata daawadaada, gaar ahaan carruurta. Ku kaydi methadone meel aamin ah si aan cid kale ugu qaadin si kama 'ah ama ula kac ah. Si gaar ah uga taxaddar inaad ka ilaaliso methadone meel aysan carruurtu gaarin. La soco inta kiniin ah ama inta dareere ah ee soo hartay si aad u ogaato haddii wax daawo ah ay maqan yihiin. U tuur kiniin kasta oo aan loo baahnayn methadone ama xalka afka si habboon sida waafaqsan tilmaamaha. (Fiiri DUKAANKA iyo QASHINKA.)

Methadone waxay sababi kartaa QT waqti dheeri ah (dhibaato wadnaha oo dhif ah oo sababi karta garaaca wadnaha oo aan joogto ahayn, suuxdin, ama dhimasho lama filaan ah). U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama uu weligiis ku dhacay cudurka QT syndrome oo dheer; ama haddii aad yeelatay ama aad waligaa wadno garaac wadnaha ama aan caadiga ahayn; heerarka dhiigga ee potassium ama magnesium, ama cudur wadne. U sheeg dhakhtarkaaga iyo farmashiistaha haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: antidepressants sida amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor) , protriptyline (Vivactil), iyo trimipramine (Surmontil); antifungals qaarkood sida fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, iyo voriconazole (Vfend); durayaasha ('kaniiniyada biyaha'); erythromycin (Eryc, Erythrocin, kuwa kale); fludrocortisone; calool jilciyeyaasha qaarkood; daawooyinka loogu talagalay garaaca wadnaha ee aan caadiga ahayn sida amiodarone (Nexterone, Pacerone), disspyramide (Norpace), dofetilide (Tikosyn), flecainide, ibutilide (Corvert), procainamide, iyo quinidine (ee Nuedexta); nicardipine (Cardene); iyo risperidone (Risperdal); iyo sertraline (Zoloft). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: garaaca wadnaha, dawakhaad, madax-wareer, ama suuxdin.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u qaadatid methadone 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.

Takhtarkaaga kala hadal halista qaadashada methadone ee xaaladdaada.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilaabeysid daaweynta methadone iyo waqti kasta oo aad buuxiso daawadaada haddii Hagaha Daawada loo heli karo alaabada aad qaadaneyso. 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.

Isticmaalka methadone si loogu daaweeyo qabatinka opiate:

Haddii aad qabatimay opiate (daroogada daroogada ah sida heroin), oo aad qaadatid methadone si ay kaaga caawiso joojinta qaadashada ama sii wadida qaadashada daroogada, waa inaad iska qortaa barnaamijka daaweynta. Barnaamijka daaweynta waa inuu ansixiyaa gobolka iyo dowlada dhexe waana inay ku daaweeyaan bukaan socodka si waafaqsan qawaaniinta federaalka ee gaarka ah. Waxaa laga yaabaa inaad ku qaadato daawadaada xarunta barnaamijka daaweynta iyada oo ay kormeerayaan shaqaalaha barnaamijka. Weydii dhakhtarkaaga ama shaqaalaha barnaamijka daaweynta haddii aad wax su'aalo ah ka qabtid isqorista barnaamijka ama qaadashada ama qaadashada daawadaada.

Methadone 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. Waxaa sidoo kale loo isticmaalaa in looga hortago astaamaha ka-noqoshada bukaanada qabatimay daroogada opiate isla markaana ka diiwaangashan barnaamijyada daaweynta si loo joojiyo qaadashada ama sii wadida qaadashada daawooyinka. Methadone waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'opiate (narcotic) analgesics'. Methadone waxay u shaqeysaa in lagu daaweeyo xanuunka iyadoo la beddelayo habka maskaxda iyo nidaamka dareenka uga jawaabaan xanuunka. Waxay u shaqeysaa in lagu daaweeyo dadka u qabatimay daroogada opiate iyadoo soo saareysa saameyn la mid ah kana hortageysa astaamaha ka-noqoshada dadka joojiyay isticmaalka daroogooyinkaas.

Methadone wuxuu u yimaadaa kiniin ahaan, mid lagu kala firdhin karo (waa lagu kala diri karaa dareeraha), xalka (dareeraha), iyo xalka uruurinta ee afka lagu qaato. Marka methadone loo isticmaalo in lagu yareeyo xanuunka, waxaa la qaadan karaa 8 ilaa 12 saacadood kasta. Haddii aad methadone u qaadato qayb ka mid ah barnaamijka daaweynta, dhakhtarkaaga ayaa kuu qori doona jadwalka qiyaasta daawada ee adiga kugu habboon. Raac tilmaamaha ku qoran warqadda daawada ee si taxaddar leh u weydii dhakhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado methadone sida saxda ee lagu faray.

Haddii aad isticmaaleyso kaniiniyada kala firdhin kara, ha calalin ama ha liqin ka hor intaadan ku darin kiniinka dareeraha. Haddii dhakhtarkaagu kuu sheegay inaad qayb ka mid ah kiniin qaadatid, si taxaddar leh u jebiso kaniiniga adoo maraya khadadka la geliyay. Dhig kiniinka ama gabalka kaniiniga ugu yaraan 120 mL (4 wiqiyadood) oo biyo ah, casiirka liinta, Tang^®, dhadhanka liinta ee Kool-Aid^®, ama cabitaanka miraha liinta si ay u milmaan. Cab isku dar ah isla markiiba. Haddii kaniiniga haraaga ah ku haro koobka ka dib markaad cabto isku dar, ku dar qadar yar oo dareere ah koobka oo wada cab.

Dhakhtarkaaga ayaa laga yaabaa inuu beddelo qiyaastaada methadone muddada daaweyntaada. Dhakhtarkaaga ayaa laga yaabaa inuu yareeyo qiyaastaada ama uu kuu sheego inaad qaadatid daawada methadone inta badan iyada oo daaweyntaadu sii socoto. Haddii aad xanuun dareento inta lagu jiro daaweyntaada, dhakhtarkaagu wuxuu kordhin karaa qiyaastaada ama wuxuu kuu qori karaa daawo dheeri ah si loo xakameeyo xanuunkaaga. Kala hadal dhakhtarkaaga sida aad dareemayso inta lagu jiro daweyntaada methadone. Ha qaadan qiyaaso dheeri ah oo ah daawada methadone ama ha qaadin qaadashada daawada methadone waqti hore kahor intaan la qorsheynin xitaa haddii aad xanuun dareento.

Ha u joojin qaadashada methadone adiga oo aan la hadlin dhakhtarkaaga. Dhakhtarkaaga ayaa laga yaabaa inuu rabo inuu si tartiib tartiib ah u yareeyo qiyaastaada. Haddii aad si lama filaan ah u joojiso qaadashada methadone, waxaad la kulmi kartaa astaamaha ka-noqoshada sida degganaansho la'aanta, indhaha oohin, sanka oo dareera, hamaansiga, dhididka, qarqaryo, murqo xanuun, ardayda ballaaran (wareegyada madow ee indhaha dhexdooda), xanaaq, walaac, dhabar xanuun, kalagoys xanuun, daciifnimo, calool xanuun, dhib ku qabashada hurdada ama seexashada, lallabbo, rabitaanka cuntada oo yaraada, matag, ama shuban.

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

Kahor qaadashada methadone,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay methadone, dawooyin kale, ama wax kasta oo ka mid ah maaddooyinka methadone ee aad qorshaynayso inaad qaadato. Weydii dhakhtarkaaga ama farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada ee aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku qoran qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: antihistamines; buprenorphine (Suboxone, oo ku taal Zubsolv); butorphanol; carbamazepine (Cabatrol, Equetro, Tegretol, kuwa kale); cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); daawooyinka glaucoma, cudurada caloosha oo xanaaq badan, cudurka Parkinson, boogaha, iyo dhibaatooyinka kaadi mareenka; daawooyinka qaarkood ee HIV oo ay ka mid yihiin abacavir (Ziagen, Trizivir), darunavir (Prezista), didanosine (Videx), efavirenz (Sustiva, Atripla), lopinavir (Kaletra), nelfinavir (Viracept), nevirapine (Viramune), ritonavir , Kaletra), saquinavir (Invirase), stavudine (Zerit), tipranavir (Aptivus), iyo zidovudine (Retrovir, Combivir); lithium (Lithobid); daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, in Treximet), iyo zolmitriptan (Zomig); mirtazapine (Remeron); nalbuphine; naloxone (Evzio, Narcan, oo ku taal Zubsolv); naltrexone (ReVia, Vivitrol, oo ku taal Embeda); pentazocine (Talwin); phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); 5HT₃ xannibaadaha serotonin sida alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), ama palonosetron (Aloxi); xakamaynta serotonin-reuptake inhibitors sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), iyo paroxetine (Brisdelle, Prozac, Pexeva); serotonin iyo norepinephrine reuptake inhibitors sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella); iyo venlafaxine (Effexor); tramadol (Conzip, Ultram, oo ku taal Ultracet); iyo trazodone (Oleptro). Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad qaadanaysid ama aad qaadanaysid daawooyinka soo socda ama aad joojisey qaadashadooda 14kii maalmood ee la soo dhaafey: monoamine oxidase (MAO) inhibitors ay ka mid yihiin isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelpar), iyo tranylcypromine (Parnate). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara methadone, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• 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 lagu xusay qaybta DIGNIINTA MUHIIMKA ah ama aad leedahay ama aad waligaa xannibaad ku yeelatay xiidmahaaga ama curyaannimada ilkahaaga (xaaladdu tahay in cuntada la shiidey aysan ka gudbin mindhicirada). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan qaadan methadone.
• u sheeg dhakhtarkaaga haddii ay kugu adkaato ama aad waligaa dhib ku qabtid kaadida; qanjirka 'prostate' (qanjirka taranka ee ragga); Cudurka Addison (xaalad ah qanjirka 'adrenal gland' inuusan kaafin karin walxaha dabiiciga ah qaarkood); suuxdinta; ama tayroodh, xammeetida, kaadi haysta, beerka, ama cudurka kalyaha.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Haddii aad naas nuujisey inta aad ku guda jirtey daaweyntaada methadone, canuggaaga waxaa laga yaabaa inuu ku helo xoogaa methadone caano naaska ah. Ilmahaaga si dhaw ula soco wixii isbeddel ah ee ku dhaca habdhaqanka ama neefsashada, gaar ahaan marka aad bilowdo qaadashada methadone. Haddii ilmahaagu yeesho mid ka mid ah astaamahan, wac dhakhtarka ilmahaaga isla markiiba ama hel gargaar caafimaad oo deg-deg ah: hurdo aan caadi ahayn, naas-nuujinta oo ku adkaata, neefsashada oo ku adkaata, ama daciifnimo. La hadal dhakhtarka ilmahaaga markaad diyaar u tahay inaad naaska ka nuujiso. Waxaad ubaahantahay inaad cunugaada si tartiib tartiib ah ugaga gudubto si ilmahaaga uusan uqormin astaamaha kabixida markuu joojiyo qaadashada methadone caanaha naaska
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Takhtarkaaga kala hadal halista qaadashada methadone.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso methadone.
• waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
• waa inaad ogaataa in methadone ay sababi karto wareer markaad si dhakhso leh uga kacdo booska aad jiifto. Tani waxay aad u badan tahay marka ugu horreysa ee aad bilowdo qaadashada methadone. Si looga hortago dhibaatadan, si tartiib ah uga kac sariirta, adoo cagahaaga ku dhigaya dhulka daqiiqado ka hor intaadan istaagin.
• waa inaad ogaataa in methadone 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 qaadanayso methadone.

Kala hadal dhakhtarkaaga cunista canab-gacmeedka iyo cabitaanka casiirka canabka marka aad qaadanaysid dawadan.

Haddii dhakhtarkaagu kuu sheegay inaad u qaadato methadone xanuun, qaado qiyaasta la seegay isla marka aad xasuusato ka dibna sii wad jadwalkaaga qiyaasta daawada. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Haddii aad u qaadanaysid methadone si aad u daweyso qabatinka opioid, ka bood qiyaasta la seegay oo qaad qiyaasta xigta maalinta xigta sida jadwalka loo dhigay. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

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

• madax xanuun
• miisaanka oo kordha
• calool xanuun
• afka qalalan
• carrab xanuun
• dhaqid
• kaadida oo ku adkaata
• isbedelka niyadda
• dhibaatooyinka aragga
• dhibaato xagga hurdada ama hurdada ah

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan soo socda ama kuwa lagu xusay qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah:

• qalal
• cuncun
• finan
• finan
• bararka indhaha, wejiga, afka, carrabka, ama cunaha
• xabeeb
• neefsashada ama wax liqidda oo ku adkaata
• lulmo xad dhaaf ah
• 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

Methadone waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

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). Waa inaad isla markiiba ka takhalustaa wixii methadone ah ee duugoobay ama aan loo baahnayn iyada oo loo marayo barnaamijka dib-u-celinta daawada. Haddii aadan ku haysan barnaamij dib-u-dhow ama mid aad si dhakhso leh u heli karto, ku shub kiniiniga methadone ama xalka gaboobay ama aan hadda looga baahnayn musqusha. Farmashiistahaaga kala hadal sida saxda ah ee daaweynta looga takhalusi karo.

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 qaadaneysid methadone, waa inaad kala hadashaa dhakhtarkaaga sidii loo heli lahaa daawo samatabbixin ah oo la yiraahdo naloxoon si fudud loo heli karo (tusaale ahaan, guri, xafiis). 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:

• arday yar, oo farta ku fiiqa (wareegyada madow ee indhaha)
• neefsasho gaabis ah
• neefsashada oo adkaata
• hurdo la'aan
• lulmid
• maqaar qabow, camiran, ama buluug ah
• aan awoodin in aan ka jawaabo ama ka soo kaco
• muruqyada dhutinaya

Dhammaan ballamaha la dhig dhakhtarkaaga ama rugta caafimaadka. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood ah si loo hubiyo jawaabtaada methadone.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene blue), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso methadone.

Rijeetadan lama buuxin karo. Haddii aad sii waddo inaad dareento xanuun ka dib markaad dhameysid daawada methadone, wac dhakhtarkaaga. Haddii aad u qaadato daawadan si joogto ah, hubi inaad ballan la sameysatid dhakhtarkaaga si aadan kaaga dhamaan daawada.

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.

• Diskets^®¶
• Dolophine^®
• Methadose^®
• Methadose^® Fikirka Afka
• Westadone^®¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.