Tambaya: Dalilin Me yasa Zan Yi amfani da Harshen Gida?
Methadone - ba cewa magani ne don jarin heroine ba?
Tambaya ce da nake sabawa na ji daga marasa lafiyar marasa lafiya da kuma iyalai lokacin da na sanar da su cewa likita sun umurci Methadone don jin zafi. Duk da yake gaskiyar cewa ana amfani da methadone don magance cututtuka na narcotic withdrawal, magungunan kuma magani ne mai mahimmanci don magance matsakaicin matsanancin zafi .
Morphine ta sami lakabi na Gold Standard don kula da ciwo , an kwatanta duk wani nau'i ne saboda tasirinsa, sauƙi na gwamnati da kuma maras tsada. Idan morphine ya kasance mai girma, me yasa zamu yi amfani da methadone?
Amsa:
Idan za mu fara gwada methadone tare da morphine, muna buƙatar farawa tare da ka'idojin asali na ciwo. Za'a iya raba baƙin ciki zuwa nau'i biyu na ilimin lissafin jiki: kwayoyin halitta da neuropathic. Abin ciwo mai ciwo yakan haifar da rauni ta nama (ciwo mai tsanani) ko ciwo ga gabobin ciki (ciwo na visceral). Maganin neuropathic yana haifar da rauni ko lalata ga jijiyoyin jiki a ko dai cikin tsarin kulawa mai mahimmanci ko jikin jiki.
Muna mai albarka ne tare da masu karɓa a cikin kwakwalwarmu wanda ke ba da damar jikinmu don amsa maganin likita. Yawancin masu karɓar waɗannan suna karɓa a mu da masu karɓa na delta kuma ƙananan adadin suna NMDA. Raunin ƙwayar cuta ba shi da ƙwaƙwalwa ta hanyar masu karɓa da kuma neuropathic ciwo ta delta da masu karɓar NMDA ; morphine bindigar mu ne kawai ga masu karɓa, yayin da ƙaddarar take kama da mu, delta da NMDA.
Morphine na da kyakkyawan aiki na magance nau'o'in nau'i daban-daban, amma saboda iyawarsa na ɗaure zuwa 100% na masu karɓar sakonni, ƙwararrun zai iya yin hakan ko da yafi kyau.
Abun Gyaran Ruwa da Hanyoyi
Masu safarar, irin su morphine, suna samar da matattun lokacin da aka rushe su cikin jiki. Wadannan metabolites na iya ginawa cikin jiki kuma suna haifar da bayyanar cututtukan cututtuka.
Rashin haɗarin tamanin abu ne mai mahimmanci akan wani abu mai guba zuwa jiki mai guba a cikin jiki kuma yana haifar da bayyanar cututtuka irin su rashin damuwa, hallucinations, razana da ƙetare.
Methadone ba ya haifar da samfurori don haka ba shi da "rufi," ko kuma matsakaicin matsakaici. Yawan da ke cikin hanta kuma ya fi sauƙi don ciwo da hanta, kuma rashin rashin jin daɗi ya sa ya zama magani mai kyau ga marasa lafiya da yawa tare da rage hanta aiki ko ƙuntataccen kisa.
Hanyoyin da ke tattare da kwayoyi masu kamuwa da kwayoyi sun hada da maƙarƙashiya, tashin hankali da zubar da ciki, damuwa, rashin laushi, rikicewa da kuma numfashi na numfashi (wahalar numfashi). Mutane da yawa marasa lafiya sun bayar da rahoton rashin karuwar yawan rinjayar da ke faruwa bayan canjawa zuwa methadone daga wata hanya.
Ƙarin Amfani na Karshe
Saboda haka methadone ya fi tasiri fiye da morphine a zaluntar ciwo kuma yawanci yana haifar da mummunar tasiri , amma bishara ba ta tsaya a can ba. Wani amfani na ƙaddara shi ne tsawon rabin rayuwarsa. Rabin rabi shine lokacin da ake buƙata don rabi yawan adadin miyagun ƙwayoyi don magance ta ko ƙarewa ta hanyar tafiyar da al'amuran al'ada. Saboda wannan ya ragu na rabi, ƙwayar cuta tana da sakamako mai zafi na tsawon karfe 8 zuwa 10, yayin da yaudarar da aka cire ba tare da cirewa ba kawai ya sauya zafi na 2 zuwa 4 hours.
Wannan yana fassara a cikin gajeren lokaci don mai haƙuri, yawanci sau biyu ko sau uku a rana.
Kuma na karshe, amma ba kalla ba, ƙaddaraccen abu ne mai ingancin gaske. Kwanan wata mai samar da ma'auni na kimanin $ 8, yayin da morphine zai wuce dala 100. Sauran opiates, irin su Oxycontin da Fentanyl, za su kashe har ma fiye.
Ganyama ga Methadone Amfani
Shin, ina da tabbacin cewa ƙwayar magani mai girma ne don jin zafi ? Idan haka ne, za ka iya ganin kanka da mamaki dalilin da yasa ba'a amfani da shi sau da yawa. Na tambayi magungunan wannan tambaya ga likitocin da dama, kuma na gano cewa bayan da mummunar matsalar da take dauke da ita, mutane da dama ba su jin dadi ba.
Saboda mummunan rawar da ake samu a kararrawar jiki, yana da hankali cikin jiki kuma yana iya ɗaukar kwanaki 5 zuwa 7 don matakan daidaitawa. A wannan lokacin, mai haƙuri yana bukatar kulawa da hankali don alamun rashin guba. Wannan ba matsalar matsala ba ne ga marasa lafiya a kan kulawa ko kulawa da asibiti , saboda an riga an bi su a hankali kuma yawanci sukan sami damar zuwa likitoci da likitoci 24 hours a rana. Gidan likitan likita ba shi da damar duba marasa lafiya wanda ke kusa, wanda zai iya zama wani ɓangare na rashin jinkirin rubuta shi.
Sauran shingen shine likita na likita da rashin haƙuri. An yi amfani da ƙwayar magani a matsayin yaduwar miyagun ƙwayoyi don ƙwayar magunguna. Wannan mummunar lalacewa tana sannu a hankali yayin da likitoci suka ci gaba da ilmantar da 'yan uwansu akan amfaninta kuma jama'a suna ganin karin marasa lafiya suna neman taimako saboda hakan.
Sources:
Ayonrinde OT, Bridge DT. Sake ganowa na methadone don ciwon shan ciwon ciwon daji. Mad J Aust 2000; 173: 536-40.
Davis MP, Walsh D. Methadone don jinyar ciwon ciwon daji: nazari na pharmacokinetics, pharmacodynamics, hulɗa da miyagun ƙwayoyi da kuma ladabi na gwamnati. Taimakon Kula da Ciwon Kanji 2001; 9: 73-83.
Toobs JD, Kral, LA. Hanyar maganin jiyya don jinƙai. Magungunan Am Amur na 2005; 71: 1353-8.