Cirbadeynta Nalbuphine

Qanacsan

• Kahor helitaanka nalbuphine,
• Cirbadda Nalbuphine 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:

Cirbadda Nalbuphine waxay noqon kartaa caado sameysmo. Ha u isticmaalin wax ka badan, u isticmaal marar badan, ama ha u isticmaalin qaab ka duwan sida uu takhtarku ku faray. 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, aad u isticmaasho daawooyinka laguu qoro oo aad u badan, ama aad u badatay, ama haddii aad leedahay ama aad waligaa isku aragtay niyad jab cudurka maskaxda. Khatar weyn ayaa ka jirta inaad si xad dhaaf ah u isticmaasho cirbadeynta nalbuphine haddii aad leedahay ama aad waligaa isku aragtay mid ka mid ah xaaladahaas.

Cirbadeynta Nalbuphine waxay sababi kartaa dhibaatooyin neefsasho oo halis ah ama nafta halis geliya, qaasatan 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 isticmaalin irbadda nalbuphine. 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, buro maskaxda ah, ama xaalad kasta oo kordhinaysa 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.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad si joogto ah u isticmaasho cirbadeynta nalbuphine 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.

Cirbadda Nalbuphine waxay kordhin kartaa halista dhibaatooyinka neefsashada ee halista ah ama nolosha halista u ah, suuxdin, ama miyir-beel haddii loo isticmaalo daawooyinka qaarkood. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad qaadato: benzodiazepines sida alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), iyo triazolam (Halcion); daawooyinka cudurada maskaxda ama lallabbo, 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 cirbadeynta nalbuphine mid ka mid ah daawooyinkaan 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 ama isticmaalka daroogada dariiqa inta lagu guda jiro daaweyntaada nalbuphine sidoo kale waxay kordhineysaa halista ah inaad la kulanto waxyeelooyinkan halista ah ee nolosha halista ku ah. Ha cabin aalkolo, ha qaadanin wax dhakhtar qoro ama daawooyin aan dhakhtar qorin oo ay ku jiraan aalkolo, ama ha u isticmaalin daroogada dariiqa inta lagu jiro daweyntaada.

Kala hadal dhakhtarkaaga khatarta (yada) isticmaalka cirbadeynta nalbuphine.

Cirbadeynta Nalbuphine waxaa loo isticmaalaa in lagu yareeyo xanuunka dhexdhexaadka ah ama daran. Waxaa sidoo kale loo isticmaalaa daawooyinka kale iyo wakiilada suuxinta kahor, inta lagu jiro, iyo kadib qalliinka iyo habab caafimaad oo kale. Cirbadda Nalbuphine waxay ku jirtaa nooc ka mid ah daawooyinka loo yaqaan 'opioid agonist-antagonists'. Waxay ku shaqeysaa iyadoo la beddelayo habka jirku u dareemo xanuunka.

Cirbadeynta Nalbuphine waxay u timaadaa sidii xal (dareere) in si hoose loogu mudo (maqaarka hoostiisa), xididada (xididka), ama intramuscularly (muruq). Cirbadda Nalbuphine waxaa maamula dhakhtar ama kalkaaliye caafimaad. Waxaa badanaa la isku duraa 3dii ilaa 6dii saacadoodba mar sida loogu baahdo.

Dhakhtarkaaga ayaa laga yaabaa inuu hagaajiyo qiyaastaada duritaanka nalbuphine inta lagu jiro daaweyntaada, iyadoo kuxiran sida ugu wanaagsan ee loo xakameeyo xanuunkaaga iyo dhibaatooyinka soo raaca ee aad la kulanto. Kala hadal dhakhtarkaaga sida aad dareemeyso inta aad ku guda jirto daaweynta cirbadeynta nalbuphine.

Waxaa laga yaabaa in lagugu mudo irbada nalbuphine ee isbitaalka, ama waxaad ku isticmaali kartaa daawada guriga. Haddii aad ku isticmaali doontid cirbadeynta nalbuphine guriga, u isticmaal qiyaastii isla waqtiyadaas maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama daryeel caafimaad bixiye kale inay kuu sharxaan qayb kasta oo aadan fahmin. U isticmaal cirbadeynta nalbuphine sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Haddii aad isticmaashay mudista nalbuphine in ka badan dhowr maalmood, ha u joojin si lama filaan ah. Haddii aad si lama filaan ah u joojiso isticmaalka duritaanka nalbuphine, waxaad la kulmi kartaa astaamaha ka-noqoshada oo ay ku jiraan degganaansho la'aantu; indhaha ilmada; sanka oo dareera; hamaansiga; dhidid; qarqaryo; murqaha, dhabarka ama kala-goysyada; ballaarinta ardayda; xanaaq; walaac; daciifnimo; calool xanuun; dhibaato hurdo la'aan ama hurdo la'aan; lallabbo cunto xumo; matagid; shuban; neefsashada degdegga ah; ama garaaca wadnaha oo dhakhso ah. 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 helitaanka nalbuphine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay nalbuphine, daawooyinka kale, ama wax kasta oo ka mid ah waxyaabaha ku jira cirbadeynta nalbuphine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: daawooyinka madax xanuunka dhanjafka sida almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ee Treximet), iyo zolmitriptan (Zomig, Zomig-ZMT); mirtazapine (Remeron); 5HT3 serotonin blockers sida alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), ama palonosetron (Aloxi, in Akynzeo); xakamaynta serotonin-reuptake inhibitors sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), iyo sertraline (Zoloft); serotonin iyo norepinephrine reuptake inhibitors sida duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), iyo milnacipran (Savella), venlafaxine (Effexor); tramadol; trazodone; iyo tricyclic antidepressants ('mood elevators') sida amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trim . 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 nalbuphine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Sidoo kale u sheeg dhakhtarkaaga ama farmashiistaha haddii aad u qaadanaysid dawooyinka narkotikada xanuunka ama haddii aad dhawaan qaadatay daawooyinkan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad isku aragto ama aad waligaa wadno-xanuun dhowaan kugu dhacay, ama beerka, ama cudur kelyaha ah.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
• haddii aad qalliin marayso, oo ay ku jiraan qalliinka ilkaha ama qalliinka mareenka biliary, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso nalbuphine.
• waa inaad ogaataa in nalbuphine 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 daawadani ay yareyn karto bacriminta ragga iyo dumarka. Kala hadal dhakhtarkaaga khataraha isticmaalka nalbuphine.

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

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

• afka qalalan
• 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:

• daal xad dhaaf ah
• lallabbo, matag, rabitaan la'aanta cuntada, daciifnimo, ama wareer
• 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
• awood u lahayn inuu kaco ama kacsanaado
• caadada oo aan caadi ahayn
• rabitaanka galmada oo yaraaday

Cirbadda Nalbuphine 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).

Intaad isticmaaleyso cirbadeynta nalbuphine, waa inaad kala hadashaa dhakhtarkaaga sidii loo heli lahaa daawo samatabbixin ah oo 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.

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.

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

• neefsasho gaabis ah, gacmeed, ama aan caadi ahayn
• hurdo la'aan
• aan awoodin in aan ka jawaabo ama ka soo kaco
• hargab, maqaar ciriiri ah
• ardayda yaryar
• garaaca wadnaha oo gaabis ah
• aragga oo xumaada
• ardayda la ballaadhiyay
• khuuro aan caadi ahayn

Dhammaan ballamaha la dhig dhakhtarkaaga.

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

Rijeetadan lama buuxin karo. Haddii aad u isticmaaleysid nalbuphine si aad u xakameyso xanuunkaaga muddo dheer, hubi inaad ballan la sameysatid dhakhtarkaaga si daawadaadu kaaga dhammaan. Haddii aad u isticmaalayso nalbuphine qaab muddo-gaaban ah, wac dhakhtarkaaga haddii aad sii waddo inaad la kulanto xanuun ka dib markaad daawada dhamayso.

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.

• Nubain^®¶

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