I-Marinol (i-dronabinol) iyisidakamizwa somuthi esivela emanzini eyayivame ukubekwa kubantu abanesifo sofuba esihlobene ne- HIV . Ngesikhathi ukusetshenziswa kwayo kufana nezokwelapha, uMarinol usemthethweni kuwo wonke ama-50 ase-US.
I-Marinol ijwayele ukukhishwa isicanucanu nokuhlanza okuhlobene ne-chemotherapy.
Kodwa futhi kuvunyelwe ukuba isetshenziswe njengesisusa sokudla kubantu abanesandulela ngculaza abanokulahlekelwa kwesisindo esikhulu.
Ukwengeza, uma isetshenziselwa ukukhulula izimpawu zesicanucanu noma ukuhlanza, i-Marinol ingahle ibekwe uma izidakamizwa eziningi ezijwayelekile zokulwa nezinambuzane ezifana neCompazine, iZofran noma iVistaril zingasebenzi.
Ukusetshenziswa kweMarinol kwehlile kubalulekile ngoba isidakamizwa saqala ukusetshenziswa kweziguli ze-HIV ngasekupheleni kwawo-1980. Ngaleso sikhathi, amathuba okufa okuhlobene negciwane lesandulela ngculaza ayesephakeme, futhi uMarinol wayevame ukubonakala njengendlela kuphela yokubhekana nokuchithwa kwe-HIV.
Namuhla, ngenxa yezokwelapha ezisebenza kahle kakhulu, ngisho nalabo abanesifo esilandelayo sebekwazi ukubuyisela amandla omzimba wabo. Ngokwenza kanjalo, izinkinga ezihlobene nokudla kanye nokulahlekelwa kwesisindo ngokuvamile zivame ukuthuthukisa nokusetshenziswa kwezikhuthazo.
I-Marinol ifana kanjani ne-Marijuana?
Izibalo eziningi zivota ukuvumela inambuzane ukuba iphathe izimpawu ze-glaucoma, isicanucanu, ukuhlanza nokufisa ukudla.
Naphezu kokwamukelwa okukhulu komphakathi, inambuzane yezokwelapha isacatshangwa ngokungemthetho yi-US federal federal.
Emazweni lapho inambuzane yezokwelapha ingekho emthethweni, i-Marinol ingasetshenziswa njengenye indlela engokomthetho, njengoba iqukethe inguqulo yokwenziwa kwesithako esisebenzayo sojuju okuthiwa i-tetrahydrocannabinol (THC).
Abanye abantu babika ukuthi babhekene nokuphakama okuphezulu okufana neyomuthi; abanye abakwenzi. Umphumela ubonakala ngokuyinhloko kuxhomeke ezintweni ezifana nomthamo, imvamisa yokusetshenziswa, nobude besikhathi obukade usebenzise lesi sidakamizwa.
I-Marinol Isetshenziswa Kanjani Ezigulini Ezinegciwane Le-HIV?
Ngokuvamile iMarinol inqunywe uma iminye imithi ingazange iphumelele. Ukulahlekelwa isisindo kuyinkinga evamile, ikakhulukazi ekutheleleni kwesandulela-ngculaza, okungabangwa yizifo ezithathelwanayo, ukutheleleka okungahambisani nesandulela ngculaza, noma, uma kwenzeka kutholakala i-HIV, igciwane ngokwayo.
I-Marinol ikhiqizwa ngo-2.5mg (omhlophe), ama-5mg (omnyama omnyama) nama-capsules angu-10mg (ama-orange). Ama-capsules kufanele agcinwe esiqandisini ukuze avimbele ukuthi bangatholi futhi bathambile lapho befudumele. Kodwa-ke, akufanele bavunyelwe ukuthi bafakwe.
I-Marinol ivame ukushiwo ngama-2.5mg kabili nsuku zonke ukuya kwesilinganiso esiphezulu se-10mg kabili ngosuku ngaphambi kokudla kwasemini nakudla. Kubantu abangakwazi ukubekezelela izidakamizwa ngenxa yemiphumela emibi, isilinganiso se 2.5mg ngesikhathi sokulala singasetshenziswa.
Ama-capsules kufanele agonywe agcwele futhi angalokothi achotshozwe, afuneke noma ahlaziwe.
Okuqhamuka uma udla imishanguzo
Imiphumela emibi kakhulu ehambisana nokusetshenziswa kwe-Marinol yilezi:
- Ukuzwa "phezulu"
- Ukulala
- Ukudideka
- Umqondo owedlulele wokuphila kahle
- Izinwele
- Umlomo omile
- Ukudideka
- Izinguquko zesimo sengqondo
Ukucatshangelwa Ukwelashwa
I-Marinol kufanele igwenywe uma unolwazi oluthinta isangu noma i-sesame (esinye isici esivela ku-capsule yezidakamizwa). Yazisa umhlinzeki wakho uma unomlando wokuphuza utshwala noma ukusebenzisa kabi izidakamizwa. Kutuswa futhi ukuthi ugweme ukusebenzisa imishini esindayo noma amathuluzi kagesi ngenkathi uthatha iMarinol.
I-Marinol kufanele isetshenziswe ngokucophelela kubantu abalandelayo:
- Abantu abatholakale benesifo sokucindezeleka, isifo se-schizophrenia, isifo se-bipolar, noma yisiphi esinye isimo sengqondo
- Abantu abaphathwa ngezindlela zokudambisa, hypnotics noma ezinye izidakamizwa ezingokomzimba ngenxa yemiphumela yokwengeza yokusetshenziswa kwezidakamizwa ezihlangene
- Iziguli ezikhulelwe kanye nomama abahlengikazi ngenxa yemiphumela engaziwayo yomuthi emntwaneni
I-Marinol ivame ukugwema ezinganeni nasebancane.
Imithombo :
I-US Food and Drug Administration (FDA). "Amaphilisi ama-Marinol (dronabinol)." I-Rockville, e-Maryland; September 2004.