Iintlanzi zesikhumba ezixutywayo zixhamla ukufumana intlungu ekhoyo kunye neentlungu ezingapheliyo, kwaye xa zisetyenziswe ngokufanelekileyo zinokuphucula intlungu. Izintlu zokuncedisa ubuhlungu zikhethwa ngabantu abangeke bakwazi ukunyamezela imithi yomlomo ngenxa yesisu esisilumko, izilonda okanye ezinye izizathu.
Njengawo onke amayeza, iingozi zidibene nokusetyenziswa kweentlungu zokunceda, kwaye kufuneka zisetyenziswe kuphela njengoko zichazwe ngumqeqeshi ojongene nophando lwempilo.
Indlela yokuSebenzisa iiPatches zokuNceda
Izigulana kufuneka zihlambe izandla phambi kokuba emva kokuthintela isiqwenga ukuphepha ukungcolisa izidakamizwa nokugcina isilwanyana singasetyenziswa kwindawo engaphephile njengamehlo okanye umlomo.
Iifama zokuncedisa ubuhlungu kufuneka zisetyenziswe kuphela kwesikhumba esingaphuli, ukusika okanye ukutshitshiswa. Kwezinye iimeko, i-patch ingabangela ukucaphukisa, i-blisters okanye inzame evuthayo apho isetyenziswa khona. Le miphumo emibi ngokuqhelekileyo ilula kwaye ihamba emva kweeyure ezimbalwa.
Iingxaki ziye zabikwa ngokusetyenziswa kweentlanzi ezinqunywe ukuba zisebenzise umthamo omncinci weziyobisi. Iipatches akufanele zinqunywe, kwaye izigulane akufanele zisebenzise i-patch-relief patch echithwe, ehlanjululwe, okanye eyonakaliswe ngaphandle kokuba icetyiswe ukuba yenziwe ngugqirha wayo.
Njengawo onke amayeza, ama-patches kufuneka agcinwe kude nabantwana kunye nezilwanyana. Indlela engcono kakhulu yokulahla i-patch kukuba uyifake kwisiqingatha ukwenzela ukuba umgca wokubambelela uzinamathele. Isiqwenga esisetyenzisiweyo kufuneka siphoswe apho abantwana kunye nezilwanyana ezingenakukwazi ukudibana nalo.
Iintlobo zePatches-Relief Patches
I-Flector (i-diclofenac epolamine) : Kwizinto ezintathu ezisetyenzisiweyo ezisetyenziswa ngokubanzi-zentlungu-i-relief, i-Flector kuphela yi- nonsteroidal anti-inflammatory drug (NSAID), iklasi ye-painkiller equka i-aspirin, i-Advil ne-Motrin (ibuprofen) kunye ne-Aleve ne-Naprosyn ( naproxen). Eli liyeza limiselwe iintlungu ezivela kwi-sprains, ukuxhatshazwa kwemisipha okanye ukulimala kwamancinci.
Isiqendu singasetyenziselwa kufuphi nommandla owonzakeleyo xa kungekho sikhumba esikhukileyo. Njengamanye ama-NSAID, kukho umngcipheko weengxaki zentliziyo-kuquka ukuhlaselwa kwentliziyo okanye ukubetha-kwezigulane usebenzisa i-Flector. Kukho umngcipheko wokukrakra, ukuvuvukala okanye ukuphaphaza esiswini okanye kwenye indawo kwisigxininiso sesisu, nangona kunokungabikho mngcipheko othe ngeFlector kunokuba i-NSAID yomlomo.
I-Lidoderm (lidocaine): Eli liyeza li- anesthetic yengingqi edlalwa rhoqo kwizigulane ezithwaxwa yintlungu (i-postural herpetic neuralgia). Kufuneka kusetyenziswe kufuphi nommandla apho intlungu inkulu khona, nje kuphela xa isikhumba siphelile. I-Lidoderm isetyenziselwa ezinye izigulane ngeentlungu ze-arthritis. Isiqendu singasetyenziselwa ngqo ngokubambisana esibangela intlungu.
I-Duragesic (fentanyl): Eli liyeza lisetyenziselwa ukunyanga ngokumalunga neentlungu ezingapheliyo. Kwakhona ifumaneka njengeziyobisi eziqhelekileyo, i-fentanyl yinkxalaba enamandla ye-opioid kwaye kufuneka isetyenziswe kuphela ngabantu abanexesha elide, ubuhlungu obungapheliyo emva kwezinye iziyobisi, ukubandakanya ezinye i-opioids, eziye zazama. Akujoliswe kwiintlungu zesikhashana, iintloko, okanye intlungu emva kokuhlinzwa okanye iinkqubo zamazinyo.
Kukhona amandla okuba umzimba womntu unokuhlakulela ukunyamezela kwi-fentanyl; kukho kwakhona amandla okulutha, nangona xa isetyenziswe kakuhle, i-fentanyl inokubonelela ngokukhululeka kwentlungu.
Ugqirha ochaza i-fentanyl kufuneka afundise isigulane ekusebenziseni kwayo ngokukhuselekileyo kwaye kufuneka alandele isigulane esisebenzisa.
Ngo-2005, i-FDA ikhuphe isilumkiso malunga nokukhuselwa kwe-fentanyl patch. Esinye isilumkiso sakhishwa ngo-2007 emva kokunyuka kwenyuka kwenyathelo lokunyuka kwamajelo. Ukugqithiswa kwexesha kwenzeka xa kukho enye ipaki isetyenzisiweyo ngexesha kwaye xa umntu ongenasigulane-njengengane-ngengozi edibanisa ne-patch. Ngonyaka ka-2012, i-FDA iphinda ivuselele izilumkiso zayo malunga nama-patent fentanyl emva kokuba abantwana abaningana bafa ngenxa yokungabikho komonakalo. Ngo-2013, i-FDA ifuna utshintsho lombala kumbhalo kwiintlanzi zeFentanyl ukwenzela ukuba kube lula ukuzibona.
Ngokutsho kwe-FDA:
Abantwana abancinane baye bafa okanye bagula kakhulu ngenxa yokungena ngokukhawuleza kwipaki yesikhumba equkethe i-fentanyl, inxinxusa enamandla. .... Ukugqithisa kwe-fentanyl-kubangelwa xa umntwana ebeka i-patch emlonyeni wakhe okanye ayisebenzise kwesikhumba-kunokubangela ukufa ngokunciphisa ukuphefumula nokwandisa amanqanaba e-carbon dioxide egazini.
Ukushisa kunokwandisa umthamo we-fentanyl okhutshwa yi-patch. Nangona isiqendu sinokugqithwa xa kuhlamba, ixesha elide, iimvula ezitshisayo okanye iibhafu zingandisa umngcipheko wokugqithisa; izibhakabhaka ezishisayo, iingubo zokugesi, ixesha elide lokutshiswa kwelanga kunye neendawo zokufudumala kufuneka ziphetshwe.
Ekugqibeleni, kwizandla ezingafanelekanga okanye ukuba zingasetyenziswa ngokungalunganga, iifentanyl patches zingabungozi.
ILizwi
Ukuba unemibuzo malunga nokusetyenziswa, ukuphumelela, okanye ukhuseleko lweentlanzi zintlongo nceda uxoxe ngale ngxaki kunye nodokotela wakho. Nangona iintlungu zentlungu zisebenza kakuhle, kufuneka zisetyenziswe ngokukhuselekileyo, ngokufanelekileyo, kwaye phantsi kolawulo lugqirha wakho. Kubaluleke kakhulu ukugcina ubuhlungu beentlanzi kude nabantwana kunye nezilwanyana.
Imithombo:
"I-Fentanyl: Ulwazi lonyango lwezilonda." UkuHlalela izigulane. 2009.
"Flector Patch." fda.gov. Julayi 2005. Ukutya kunye noLawulo lweeMithi.
"Lidoderm." fda.gov. Ngo-Apreli 2006. Ukutya kunye noLawulo lweeDrug.
"Ukusetyenziswa ngokufanelekileyo kwamaFatanyl Pain Patches." fda.gov. KuMatshi 2006. Ukutya kunye noLawulo lweeMithi.
"Ukutshintshwa kweTranspermal Patches: Ukusika okanye ukuKhelwa." Oregon INcwadana yeBhodi yeeBhodi 10.8 NgoNovemba 2008