Tshuaj txiav yeeb (Methadone) yog tshuaj siv los ua tshuaj kho mob lossis pab tshem tawm cov tshuaj lom thiab txo cov tsos mob hauv cov neeg uas quav yeeb quav tshuaj, xws li yeeb dawb. Tshuaj txiav yeeb ua haujlwm los ntawm kev hloov pauv koj lub hlwb thiab lub paj hlwb teb rau qhov mob, uas ua rau mob nyem los ntawm kev tshem tawm. Raws li cov tshuaj muaj tshuaj muaj zog, tshuaj txiav yeeb yuav tsum tau ua raws nraim li koj tus kws kho mob tau hais kom tsis txhob quav ntsej nws lossis ntsib lwm yam kev phom sij phom sij.
Cov kauj ruam
Ntu 1 ntawm 2: Noj Tshuaj Txiav Tshuaj
Kauj Ruam 1. Tham nrog koj tus kws kho mob
Yog tias koj xav siv tshuaj txiav yeeb rau quav yeeb quav tshuaj, teem caij nrog koj tus kws kho mob tham kom sib tham thiab kuaj lub cev. Los ntawm txoj cai lij choj, tshuaj txiav yeeb tsuas yog xa tawm los ntawm txoj haujlwm kho mob opioid (OTP) ntawv pov thawj los ntawm Kev Tsim Txom Cov Tshuaj thiab Kev Pabcuam Kev Puas Hlwb (SAMHSA) thiab saib xyuas los ntawm kws kho mob muaj ntawv tso cai. Xws li, yog tias koj raug lees txais rau hauv txoj haujlwm, koj yuav tsum tau mus ntsib koj tus kws kho mob txhua 24 - 36 teev kom tau txais koj li koob tshuaj uas tsim nyog.
- Lub sijhawm ntev rau kev kho tshuaj txiav yeeb tshuaj txawv, tab sis nws yuav tsum yog yam tsawg kawg ntawm 12 lub hlis. Qee tus neeg mob xav tau kev kho mob ntau xyoo.
- Methadone feem ntau yog muab los ntawm qhov ncauj los ntawm cov ntsiav tshuaj, hmoov lossis kua.
- Ib koob tshuaj methadone yuav tsum tsis pub ntau tshaj 80 - 100 mg txhua hnub - nws qhov ua tau zoo tuaj yeem nyob nruab nrab ntawm 12 - 36 teev nyob ntawm koj lub hnub nyoog, qhov hnyav, qib kev quav tshuaj thiab ua siab ntev rau cov tshuaj.
Kauj Ruam 2. Tham txog qhov muaj peev xwm noj tshuaj txiav yeeb nyob hauv tsev
Tom qab lub sijhawm txhim kho ruaj khov thiab ua tau zoo raws li txheej txheem tshuaj txiav yeeb, koj tuaj yeem muab cov tshuaj ntau dua coj los tsev thiab tswj nws rau koj tus kheej. Koj tseem yuav tau mus ntsib koj tus kws kho mob kom mus ntsib kev vam meej thiab sib tham txog kev txhawb nqa kev sib raug zoo, tab sis koj yuav muaj kev ywj pheej ntau dua ntawm lub tsev kho mob. Qhov kev txiav txim siab yog tus kws kho mob thiab pib ua kom ntseeg siab thiab pov thawj cov ntaub ntawv teev tseg ntawm kev ua raws thiab lub siab xav ncaws koj kev quav yeeb quav tshuaj.
- Cov tsev kho mob quav tshuaj feem ntau faib cov kua tshuaj txiav yeeb rau cov neeg mob, txawm hais tias ntsiav tshuaj thiab hmoov uas yaj hauv dej feem ntau muab rau cov neeg mob siv hauv tsev.
- Tsis txhob qhia koj qhov kev faib tshwj xeeb ntawm tshuaj txiav yeeb nrog leej twg. Nws tsis raug cai muab nws tawm lossis muag nws.
- Khaws koj cov tshuaj txiav yeeb nyob hauv qhov chaw nyab xeeb thiab nyab xeeb hauv koj lub tsev, tshwj xeeb yog cov menyuam yaus ncav cuag.
- Methadone tsis tau txhaj tshuaj hauv tsev kho mob lossis rau kev saib xyuas hauv tsev, txawm hais tias qee zaum cov tshuaj txiav yeeb yaj kiab tsis raug cai raug txhaj rau hauv cov hlab ntshav los ntawm cov neeg siv txoj kev.
Kauj Ruam 3. Tsis txhob hloov koj cov tshuaj
Kev siv tshuaj txiav yeeb feem ntau yog xam raws koj lub cev qhov hnyav thiab kev ua siab ntev rau tshuaj, tab sis qhov tshwj xeeb ntau npaum li cas tau suav thiab hloov pauv raws sijhawm raws li koj qhov kev nce qib - uas yog ntsuas los ntawm kev txo qis kev nqhis dej. Thaum cov tshuaj tau tsim thiab tom qab ua kom qis dua, nws yog qhov tseem ceeb kom ua raws tus kws kho mob cov lus qhia raws nraim. Tsis txhob noj tshuaj txiav yeeb ntau dua li pom zoo los ntawm kev cia siab tias nws ua haujlwm zoo dua lossis nrawm dua. Yog tias tsis tau txhaj tshuaj methadone lossis tsis nco qab, lossis nws tsis zoo li nws ua haujlwm, tsis txhob noj tshuaj ntxiv - rov pib koj lub sijhawm thiab tshuaj ntxiv rau hnub tom qab.
- Cov ntsiav tshuaj, qee zaum hu ua "diskettes," muaj txog 40 mg ntawm cov tshuaj txiav yeeb (methadone) - uas yog qhov ntau npaum li cas rau tib neeg noj thaum tswj hwm hauv tsev.
- Yog tias koj tsis nco qab koj tus kws kho mob cov lus qhia, tom qab ntawv ua raws cov lus qhia ntawm daim ntawv sau tshuaj kom zoo lossis nug tus kws muag tshuaj kom piav qhia txhua yam uas koj tsis nkag siab.
Kauj Ruam 4. Kawm paub siv tshuaj txiav yeeb nyob hauv tsev
Yog tias koj tau muab cov tshuaj txiav yeeb ua kua rau siv hauv tsev, tom qab ntawd ua tib zoo ntsuas cov tshuaj nrog rab koob txhaj tshuaj lossis nrog rab koob tshwj xeeb ntsuas ntsuas lossis khob - koj tuaj yeem tau txais cov tshuaj no los ntawm ib tus kws muag tshuaj. Tsis txhob sib tov cov kua nrog lwm cov dej ntxiv. Yog tias koj muaj cov ntsiav tshuaj lossis diskettes, tso lawv mus rau tsawg kawg plaub ooj (120 mL) dej lossis kua txiv kab ntxwv - hmoov yuav tsis yaj tag. Haus cov tshuaj tam sim ntawd thiab ntxiv me ntsis kua ntxiv kom tau tag nrho cov koob tshuaj. Tsis txhob zom cov ntsiav tshuaj qhuav los yog daim ntawv lo.
- Tej zaum koj yuav raug qhia kom siv tsuas yog ib nrab ntawm cov ntsiav tshuaj, yog li ua txhaum nws raws cov kab uas tau ua rau nws.
- Siv koj cov tshuaj txiav yeeb (methadone) tib lub sijhawm txhua hnub, lossis raws li koj tus kws kho mob qhia.
- Teem koj lub moos, xov tooj lossis lub tswb ceeb toom kom nco koj tus kheej ntawm lub sijhawm siv tshuaj.
Kauj Ruam 5. Tsis txhob siv tshuaj txiav yeeb yog tias koj muaj teeb meem
Koj yuav tsum tsis txhob siv tshuaj txiav yeeb (Methadone) yog tias koj ua xua rau nws lossis yog tias koj muaj mob hawb pob, ua pa nyuaj, ua rau lub plawv tsis sib xws, mob plawv lossis mob plab hnyuv (tuag tes tuag taw ileus). Ib qho ntawm cov xwm txheej no yuav ua rau muaj kev pheej hmoo ntawm kev cuam tshuam tsis zoo rau cov tshuaj txiav yeeb.
- Cov neeg mob yuav tsum qhia lawv cov keeb kwm kho mob/tshuaj tiav nrog cov kws kho mob kom ntseeg tau tias kev nyab xeeb ntawm kev siv tshuaj txiav yeeb.
- Koj tus kws kho mob ib txwm yuav txo koj cov tshuaj lossis qhia koj kom siv tshuaj txiav yeeb tsawg dua thaum koj qhov kev kho mob nce ntxiv, tab sis lawv yuav nce koob tshuaj yog tias koj muaj qhov mob uas tsis tau pom ua ntej.
Ntu 2 ntawm 2: Nkag Siab Txog Kev Siv Tshuaj Txiav Tshuaj
Kauj Ruam 1. Kawm paub dab tsi tshuaj txiav yeeb feem ntau tau sau tseg rau
Methadone tau tsim thawj zaug nyob rau xyoo 1930 hauv tebchaws Yelemes vim tias cov kws kho mob tau sim tsim cov tshuaj tua kab mob (tshuaj tua kab mob) tsim nrog npaj ua ntej. Txoj hauv kev ntawd lub teb chaws Yelemees qhov tsis muaj qoob loo yuav raug daws. Los ntawm xyoo 1970s, tshuaj txiav yeeb tau siv tsawg dua ua tshuaj tua kab mob thiab ntau ntxiv rau pab tib neeg txo lossis txiav lawv txoj kev quav yeeb quav tshuaj, suav nrog morphine thiab heroin. Tam sim no Methadone yog qhov kev xaiv saum toj kawg nkaus rau kev quav yeeb quav tshuaj thiab siv dav hauv kev kho cov tshuaj pab (MAT) cov haujlwm uas tseem suav nrog kev sab laj thiab kev txhawb nqa hauv zej zog.
- Yog tias koj tab tom daws teeb meem mob hnyav thiab xav kom tus kws kho mob siv sijhawm ntev, tshuaj txiav yeeb yuav zoo li tsis yog lo lus teb vim nws cov kev phiv ntau heev.
- Thaum noj raws li tau hais tseg thiab nyob rau lub sijhawm luv luv, tshuaj txiav yeeb yog qhov muaj kev nyab xeeb thiab muaj txiaj ntsig zoo los pab tib neeg kom rov zoo los ntawm lawv txoj kev quav yeeb quav tshuaj.
Kauj Ruam 2. Nkag siab tias methadone ua haujlwm li cas
Tshuaj txiav yeeb ua haujlwm raws li tshuaj loog los ntawm kev hloov pauv li cas koj lub paj hlwb thiab lub paj hlwb tau teb rau qhov mob/hnov qab. Yog li thaum nws tuaj yeem txo qis cov tsos mob ntawm kev tshem tawm tus heroin, nws tseem thaiv qhov kev zoo siab ntawm opiates - qhov tseem ceeb nres qhov mob yam tsis ua rau muaj kev xav ntawm "siab." Xws li, tus neeg quav tshuaj siv tshuaj txiav yeeb thaum noj tshuaj qis dua kom txog thaum tsis muaj qhov mob tshem tawm. Tom qab ntawd, tus neeg quav yeeb quav tshuaj tawm ntawm cov tshuaj txiav yeeb (Methadone).
- Tshuaj txiav yeeb (Methadone) muaj nyob ua cov tshuaj, kua thiab ntawv ua wafer. Nws txhais tau tias yuav tsum tau noj ib hnub ib hnub thiab kev kho qhov mob nyob ntev li ntawm plaub thiab yim teev nyob ntawm qhov ntau npaum li cas.
- Cov tshuaj Opiate suav nrog heroin, morphine thiab codeine, qhov uas yog ib nrab hluavtaws opioids suav nrog oxycodone thiab hydrocodone.
Kauj Ruam 3. Paub txog cov kev mob tshwm sim tsis zoo
Txawm hais tias tshuaj txiav yeeb tau suav tias yog ib qho tshuaj muaj kev nyab xeeb, cov kev phiv tsis yog ib qho yooj yim heev. Feem ntau tshwm sim tshwm sim los ntawm kev siv tshuaj txiav yeeb muaj xws li kiv taub hau, tsaug zog, xeev siab, ntuav thiab/lossis nce tawm hws. Qhov loj dua, txawm tias tsis tshua muaj tshwm sim, cuam tshuam nrog ua haujlwm lossis nqus pa, mob hauv siab, sib tw plawv dhia, khaus khaus, cem quav hnyav thiab/lossis ua rau pom kev tsis meej pem/tsis meej pem.
- Txawm hais tias tshuaj txiav yeeb yaj kiab tau npaj los tiv thaiv kev quav yeeb quav tshuaj, kev vam khom thiab cov tsos mob tsis zoo, tseem muaj peev xwm ua rau muaj kev quav yeeb quav tshuaj.
- Tej zaum hais lus tsis txaus ntseeg, tshuaj txiav yeeb raug ua phem ua tshuaj tsis raug cai, txawm hais tias nws muaj peev xwm ua rau tib neeg "siab" (euphoric) tsis ze li muaj zog li opiates.
- Cov poj niam cev xeeb tub lossis pub niam mis tuaj yeem siv tshuaj txiav yeeb (quav tshuaj) rau nws (nws yuav tsis ua rau muaj menyuam tsis taus) thiab txo qis kev pheej hmoo ntawm kev nchuav menyuam.
Kauj Ruam 4. Xav txog lwm txoj hauv kev
Ib cag los ntawm tshuaj txiav yeeb, muaj ob peb lwm txoj kev xaiv rau kev kho mob ntawm opioid vam khom: buprenorphine thiab L-alpha-acetyl-methadol (LAAM). Buprenorphine (Buprenex) yog ib qho muaj zog ib nrab hluavtaws narcotic nyuam qhuav pom zoo los pab kho kev quav yeeb quav tshuaj. Muab piv rau tshuaj txiav yeeb, nws ua rau muaj teeb meem ua pa tsawg dua thiab xav tias nyuaj rau siv tshuaj ntau dhau. LAAM yog lwm txoj hauv kev zoo rau tshuaj txiav yeeb vim tias nws muaj cov txiaj ntsig ntev dua - tsis yog kho txhua hnub, cov neeg quav tshuaj tsuas yog siv tshuaj peb zaug ib asthiv. LAAM zoo ib yam li tshuaj txiav yeeb hauv qhov nws tsis tau txais tus neeg siv "siab", tab sis nws suav tias yog kev nyab xeeb me ntsis ntawm cov kev mob tshwm sim.
- Buprenorphine tsis ua rau muaj kev cia siab rau lub cev lossis cov tsos mob tsis zoo, yog li tshem tawm nws feem ntau yooj yim dua piv rau tshuaj txiav yeeb.
- LAAM tuaj yeem ua rau muaj kev ntxhov siab hauv cov neeg siv thiab nws tuaj yeem ua rau lub cev tsis ua haujlwm, kub siab, tawv nqaij ua pob thiab xeev siab.
