Cirbadda Butorphanol

Qanacsan

• Kahor intaadan isticmaalin duritaanka butorphanol,
• Cirbadeynta Butorphanol 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 DIGNIINTA MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hel daryeel caafimaad oo degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Cirbadeynta Butorphanol waxay noqon kartaa caado sameynta, gaar ahaan isticmaalka muddada dheer. U isticmaal duritaanka butorphanol sida saxda ee lagu faray. Ha u isticmaalin wax ka badan, u isticmaal marar badan, ama ha u isticmaalin qaab ka duwan sida uu takhtarku ku faray. Intaad isticmaaleyso cirbadeynta butorphanol, 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 isticmaali doontid butorphanol haddii aad leedahay ama waligaa aad isku aragtay 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.

Cirbadeynta Butorphanol waxay sababi kartaa dhibaatooyin neefsasho oo halis ah ama nafta 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. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin duritaanka butorphanol. 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 cuduro ah oo saameeya sambabada iyo hawo mareenka), dhaawac madaxa ah oo ah buro maskaxda ah, ama xaalad kasta oo kordhisa xaddiga 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 ee lagugu duro irbadda butorphanol waxay kordhin kartaa halista dhibaatooyin neefsasho oo halis ah ama nafta halis geliya. U sheeg dhakhtarkaaga iyo farmashiistaha haddii aad qaadanaysid ama qorsheyneyso inaad qaadato mid ka mid ah daawooyinka soo socda: daawooyinka walwalka, jirrada maskaxda ama lallabbo; benzodiazepines sida alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), iyo triionalam; nasashada murqaha; daawooyinka kale ee xanuunka narkotikada; dajiya; kaniiniyada hurdada; ama dejiyeyaasha. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu bedelo qiyaasta daawadaada si taxaddar leh ayuu kuu ilaalin doonaa.

Cabitaanka aalkolada, qaadashada daawada dhakhtar qoro ama daawooyinka aan dhakhtar qorin ee khamriga kujira, ama isticmaalka daroogada dariiqa inta lagu gudajiro daaweyntaada duritaanka butorphanol sidoo kale waxay kordhineysaa halista inaad lakulmidoonto dhibaatooyinkaan halista ah ee nafta halis galinaya. Ha cabin aalkolo ama ha isticmaalin daroogada waddada inta lagu jiro daweyntaada.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u isticmaasho cirbadeynta Butorphanol inta aad uurka leedahay, ilmahaaga 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 (Hagaha Daawada) markaad bilawdo daaweynta cirbadda butorphanol iyo markasta oo aad 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.

Cirbadeynta Butorphanol waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran. Cirbadeynta Butorphanol ayaa sidoo kale loo isticmaalaa in lagu yareeyo xanuunka inta lagu jiro foosha iyo in laga hortago xanuunka oo la yareeyo wacyiga kahor ama inta lagu jiro qalliinka. Butorphanol waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'opioid agonist-antagonists'. Waxay ku shaqeysaa iyadoo la beddelayo habka jirku u dareemo xanuunka.

Cirbadeynta Butorphanol waxay u timaaddaa sidii dareere lagu durayo muruq ama xidid. Marka duritaanka butorphanol loo isticmaalo in lagu yareeyo xanuunka, badanaa waxaa la siiyaa hal mar 3dii ilaa 4tii saacadoodba mar sida loogu baahdo. Marka duritaanka butorphanol loo isticmaalo in lagu yareeyo xanuunka inta lagu jiro qalliinka, waxaa la siin karaa 60 illaa 90 daqiiqo qalliinka ka hor iyo ka dib sida loogu baahdo inta lagu jiro qalliinka. Marka duritaanka butorphanol loo isticmaalo in lagu yareeyo xanuunka inta lagu jiro foosha, waxaa la siin karaa hal mar 4tii saacba mar laakiin waa inaan la siinin wax ka yar 4 saacadood ka hor intaan la fileynin dhalmada.

Waxaa laga yaabaa in lagugu mudo cirbadeynta Butorphanol ee isbitaalka, ama waxaa lagu siin karaa daawada aad ku isticmaasho guriga. Haddii laguu sheegay inaad ku siiso tallaalka butorphanol guriga, waxaa aad muhiim u ah inaad u isticmaasho daawada sida saxda ah ee lagu faray. Raac tilmaamaha lagu siiyay si taxaddar leh, oo weydii takhtarkaaga, farmashiistahaaga ama kalkaalisada haddii aad wax su'aalo ah qabtid ama aadan fahmin tilmaamaha.

Haddii laguu sheegay inaad ku isticmaasho cirbadda Butorphanol guriga, ha u joojin isticmaalka daawada adiga oo aan la hadlin dhakhtarkaaga. Haddii aad si lama filaan ah u joojiso isticmaalka duritaanka butorphanol, waxaad la kulmi kartaa astaamaha ka-noqoshada sida dareenka, kacsanaanta, gariir, shuban, qarqaryo, dhidid, dhib hurdo la'aan ama hurdo la'aan, jahwareer, luminta wadashaqeyn, ama dhalanteed (aragtida waxyaabaha ama maqalka codadka sameeya ma jiraan). Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada.

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

Kahor intaadan isticmaalin duritaanka butorphanol,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay butorphanol, dawooyinka kale, ama waxyaabaha ku jira muditaanka butorphanol. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: antidepressants; dawooyinka xasaasiyadda; barbiturates sida butabarbital (Butisol), pentobarbital (Nembutal), phenobarbital, ama secobarbital (Seconal); cyclobenzaprine (Amrix); dextromethorphan (oo laga helo dawooyin qufac badan; Nuedexta); erythromycin (E.E.S., Eryc, Erythrocin, kuwa kale); daawooyinka qalalka; 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); 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); ama tricylic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine (Survramram); theophylline (Theochron, Uniphyl, kuwa kale); iyo trazodone (Oleptro). 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). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara butorphanol, 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 ama tryptophan.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad weligaa dhibaato kaa haysato kaadida; wadne qabad; dhiig kar; ama wadnaha, kilyaha, ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Haweenka qaarkood ee isticmaala duritaanka butorphanol ayaa laga yaabaa inay ku kordhaan xadiga daawada caanahooda naaska, taasoo u horseedi karta naasnuujintooda waxyeelo daran ama halis gelinaysa nolosha. Sidoo kale waa inaad wacdaa dhakhtarka ilmahaaga ama aad ka heshaa caawimaad deg-deg ah haddii ilmahaagu ka seexdo sidii caadiga ahayd, uu dhibaato ku qabo naasnuujinta ama neefsashada, ama uu noqdo mid dhutinaya.
• waa inaad ogaataa in daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha isticmaalka butorphanol.
• haddii aad qalliin marayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso cirbadeynta butorphanol.
• waa inaad ogaataa in cirbadeynta butorphanol ay kaa dhigi karto mid hurdo iyo wareer. Gaari ha wadin ama ha ku shaqeynin mishiinka ugu yaraan hal saac ka dib marka aad qaadato qiyaasta daawada. Ka dib markii hal saac ka soo wareegto, baabuur ha wadin ilaa aad ka hubsato inaadan wareersanayn, aadan lulmayn, ama aad uga feejigan tahay sidii caadiga ahayd.

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

Cirbadeynta Butorphanol badanaa waxaa loo isticmaalaa sidii loogu baahdo. Haddii dhakhtarkaagu kuu sheegay inaad si joogto ah u isticmaasho cirbadeynta butorphanol, isticmaal qiyaasta la seegay isla marka aad xusuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha u isticmaalin qaadasho laba jibbaar ah si aad u dhammaystirto mid kaa dhaafay

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

• daal fara badan
• dhibaato xagga hurdada ama hurdada ah
• riyooyin aan caadi ahayn
• madax xanuun
• calool istaag
• calool xanuun
• dareemid kuleyl
• dhaqid
• xanuun, gubasho, kabuubyo, ama xoqid gacmaha ama cagaha
• gariir aan la koontarooli karin qayb ka mid ah jirkaaga
• gariirid
• cadaawad
• farxad daran
• dareemid sabayn
• niyadda murugo
• aragga oo xumaada
• dhagaha ka yeeraya
• dheg xanuun
• dhadhan aan fiicnayn
• afka qalalan
• kaadida oo ku adkaata

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIINTA MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hel daryeel caafimaad oo degdeg 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
• neefsashada oo adkaata
• isbedelada garaaca wadnaha
• miyir beelid
• finan
• finan

Cirbadeynta Butorphanol 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).

Haddii aad guriga ku isticmaaleyso cirbadeynta butorphanol, ku daawee daawada weelka ay soo gashay, si adag u xir, oo ka fog carruurta. Ku keydi heerkulka qolka oo ka fog iftiinka, kuleylka xad-dhaafka ah, iyo qoyaanka (ha ku jirin musqusha). Iska tuur wixii daawo ah ee dhacay ama aan loo baahnayn. Farmashiistahaaga kala hadal sida saxda ah ee daaweynta looga takhalusi karo.

Ku kaydi duritaanka butorphanol meel aamin ah si aan cid kale ugu adeegsan si kama 'ah ama ula kac ah. La soco inta daawo ah ee harsan si aad u ogaato haddii wax ka maqan yihiin.

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 cirbadeynta butorphanol, waa inaad kala hadashaa dhakhtarkaaga si aad u hesho daawada samatabbixinta ee la yiraahdo 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
• neefsashada oo adkaata
• hurdo la'aan
• aan awoodin in aan ka jawaabo ama ka soo kaco

Dhammaan ballamaha la dhig takhtarkaaga iyo shaybaarkaaga. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarrada qaarkood si loo hubiyo jawaabta jidhkaaga ee butorphanol.

Kahor baaritaanka shaybaarka (gaar ahaan kuwa ku lugta leh methylene buluug), u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadatid butorphanol.

Ha u ogolaan qofna inuu isticmaalo daawadaada. Haddii aad xanuun sii wado ka dib markaad dhameysid cirbada butorphanol, wac dhakhtarkaaga.

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.

• Stadol^®¶

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