Qee zaum qhov mob uas peb ntsib yog qhov mob hnyav heev uas cov tshuaj tua kab mob ib txwm tsis tuaj yeem tswj tau nws, puas yog? Tom qab muaj xwm txheej, tom qab phais loj, lossis vim muaj mob xws li mob qog noj ntshav, cov tshuaj tua kab mob ib txwm yuav tsis txaus. Qhov no yog thaum koj tus kws kho mob yuav sau ntawv rau koj cov tshuaj tua kab mob muaj zog xws li Hydromorphone. Qhov no yog ib hom tshuaj tshwj xeeb uas yog cov tshuaj hu ua Opioids. Yog li, hnub no peb yuav tham txog cov tshuaj no, nws cov txiaj ntsig, cov kev mob tshwm sim, thiab yuav siv nws li cas kom muaj kev nyab xeeb.
Cov tshuaj no hu ua Hydromorphone li cas?
Hais yooj yim xwb, Hydromorphone yog ib yam tshuaj muaj zog siv los tswj qhov mob hnyav . Feem ntau tus kws kho mob sau ntawv kom nws noj thaum lwm yam tshuaj tua kab mob tsis tau pab, lossis thaum koj tsis tuaj yeem zam tau lawv.
Nws ua haujlwm los ntawm kev thaiv cov cim qhia mob rau koj lub hlwb. Ntawd yog, nws tiv thaiv cov lus kom tsis txhob mus los ntawm qhov chaw mob mus rau koj lub hlwb. Qhov no txo qhov mob uas koj hnov. Nws yog ib hom tshuaj hu ua opioids . Hauv Sri Lanka, nws yuav muaj nyob rau hauv lwm hom tshuaj.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej noj cov tshuaj no
Vim tias hydromorphone yog ib yam tshuaj muaj zog heev, nws yog ib qho tseem ceeb rau koj tus kws kho mob kom paub tag nrho cov ntsiab lus ntawm koj tus mob. Yog tias koj muaj ib qho ntawm cov mob teev hauv qab no, nco ntsoov qhia rau koj tus kws kho mob.
| Koj tus mob lossis tus cwj pwm | Vim li cas qhov ntawd thiaj tseem ceeb? |
|---|---|
| Mob qog hauv hlwb lossis raug mob taub hau | Hauv cov xwm txheej zoo li no, cov kev phiv ntawm cov tshuaj yuav nce ntxiv. |
| Haus dej cawv ntau zaus | Thaum cov tshuaj no muab sib xyaw nrog cawv, tej yam txaus ntshai xws li ua pa tsis taus yuav tshwm sim tau. |
| Mob ntsws, mob hawb pob, lossis ua pa nyuaj | Vim tias hydromorphone ua rau ua pa qeeb, nws tuaj yeem ua rau muaj kev phom sij rau cov neeg uas twb muaj teeb meem ua pa lawm. |
| Kab mob siab los yog mob raum | Vim tias lub cev txoj kev tshem tawm tsis zoo, cov tshuaj tuaj yeem sib sau ua ke hauv lub cev thiab ua rau muaj kev phiv ntxiv. |
| Qaug dab peg | Cov tshuaj no muaj peev xwm ua rau muaj kev pheej hmoo ntawm kev qaug dab peg. |
| Keeb kwm ntawm kev siv tshuaj yeeb tsis raug | Qhov no kuj yog ib yam tshuaj uas muaj kev pheej hmoo ntawm kev quav yeeb quav tshuaj, yog li nws yog ib qho tseem ceeb uas yuav tsum qhia rau tus kws kho mob txog nws. |
| Noj tshuaj MAOI hauv 14 hnub dhau los | MAOIs (piv txwv li Marplan, Nardil) yog ib hom tshuaj siv los kho mob hlwb. Kev noj Hydromorphone nrog cov no tuaj yeem ua rau muaj kev tsis haum tshuaj loj heev. |
| Cev xeeb tub, sim cev xeeb tub, lossis pub niam mis | Cov tshuaj no muaj peev xwm cuam tshuam rau tus menyuam hauv plab lossis los ntawm mis niam. |
Koj siv cov tshuaj no li cas tiag?
Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia raws nraim thaum siv cov tshuaj no.
- Haus cov tshuaj nrog ib khob dej.
- Yog koj mob plab, noj nrog lossis tom qab noj mov.
- Tsuas yog noj cov tshuaj uas koj tus kws kho mob tau sau tseg, thaum lub sijhawm uas tau sau tseg. Tsis txhob noj ntau tshaj li qhov tau sau tseg.
- Tsis txhob tsum noj tshuaj tam sim ntawd yam tsis tau koj tus kws kho mob qhia.
Ceeb Toom: Yog tias koj xav tias koj tau noj cov tshuaj no ntau dhau lawm, tam sim ntawd hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Hauv Tebchaws Colombo lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws yam tsis muaj kev ncua. Qhov no yog qhov xwm txheej txaus ntshai rau lub neej thiab yuav tsum tsis txhob saib tsis taus.
Thiab nco ntsoov, cov tshuaj no tsuas yog rau koj xwb. Tsis txhob muab qhia rau lwm tus.
Yog tias kuv tsis tau teem caij noj tshuaj, kuv yuav ua li cas?
Yog koj tsis nco qab noj ib zaug, noj sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog tias yuav luag txog lub sijhawm rau koj cov tshuaj tom ntej, hla cov tshuaj uas koj tsis nco qab thiab noj cov tshuaj tom ntej raws sijhawm teem tseg. Tsis txhob noj ob zaug kom them rau cov tshuaj uas koj tsis nco qab.
Lwm yam uas yuav cuam tshuam nrog cov tshuaj no
Hydromorphone yog ib hom tshuaj uas tuaj yeem cuam tshuam nrog lwm cov tshuaj thiab cawv, yog li ntawd yuav tsum paub txog cov hauv qab no:
- Cawv
- Cov tshuaj rau mob khaub thuas, hnoos, thiab ua xua (Antihistamines)
- Tshuaj rau kev ntxhov siab lossis pw tsaug zog
- Qee cov tshuaj kho kev nyuaj siab (piv txwv li Amitriptyline, Fluoxetine)
- Qee cov tshuaj rau kev mob qaug dab peg (piv txwv li Phenobarbital)
- Cov tshuaj loog dav dav
- Cov tshuaj uas muab los so cov leeg thaum lub sijhawm phais
- Lwm cov tshuaj opioid rau qhov mob lossis hnoos
Daim ntawv teev npe no tsis tiav, yog li nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, suav nrog cov tshuaj ib txwm muaj thiab cov vitamins.
Kuv yuav tsum xyuam xim rau dab tsi thaum noj tshuaj?
Nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas koj lub cev thaum noj cov tshuaj no.
Qhov mob thiab kev kam rau siab
Yog tias cov tshuaj uas koj tau txais tsis txo koj qhov mob, lossis yog tias qhov mob hnyav zuj zus, qhia rau koj tus kws kho mob. Thaum koj noj cov tshuaj no ntev, koj lub cev yuav tau siv rau nws. Qhov no hu ua kev kam rau siab . Ces cov tshuaj uas koj tau noj ua ntej yuav tsis txaus los tswj qhov mob. Qhov no yog ib txwm muaj.
Qhov tseem ceeb yog koj lub cev yuav tsum tau siv rau ib yam tshuaj, tsis yog vim koj "quav yeeb" rau nws. Kev quav yeeb yog kev siv tshuaj rau lwm lub hom phiaj tsis yog vim muaj mob. Yog tias koj mob, kev noj tshuaj rau qhov ntawd yog qhov tsim nyog kho mob.
Kiv taub hau, tsaug zog, thiab cem quav
Cov tshuaj no yuav ua rau koj tsaug zog lossis kiv taub hau . Yog li ntawd, tsis txhob tsav tsheb lossis siv tshuab kom txog thaum koj paub tias cov tshuaj no cuam tshuam li cas rau koj. Ceev faj thaum ua cov haujlwm no, tshwj xeeb tshaj yog tias koj laus, vim tias koj yuav kiv taub hau lossis tsaus muag thaum sawv lossis zaum sai dhau.
Nws yog ib qho tshwm sim ntau heev uas cov tshuaj no ua rau cem quav.Yog koj tsis tuaj yeem tso quav tau 3 hnub, nrog koj tus kws kho mob tham. Nws kuj tseem yuav yog qhov ncauj qhuav. Kev zom cov khoom qab zib tsis muaj piam thaj thiab haus dej ntau ntau tuaj yeem pab tau.
Kuv yuav muaj tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, Hydromorphone tuaj yeem ua rau muaj kev phiv. Cia peb muab lawv faib ua ob pawg.
| Cov kev mob tshwm sim uas xav tau kev kho mob tam sim ntawd | |
|---|---|
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj, tus nplaig lossis caj pas. |
| Kev nyuaj siab ntawm lub paj hlwb hauv nruab nrab (CNS depression) | Ua pa qeeb los yog tsis tob, ua pa nyuaj, tsaug zog heev, tsis meej pem. |
| Txo qis kev ua haujlwm ntawm adrenal | Xeev siab, ntuav, tsis xav noj mov, qaug zog txawv txawv, kiv taub hau. |
| Ntshav siab qis | Kiv taub hau, qhov muag xiav, xav tias tsaus muag. |
| Cov kev mob tshwm sim uas yuav tsum tau tshaj tawm rau tus kws kho mob yog tias lawv tseem muaj | |
| Kab mob cem quav | Qhov ncauj qhuav |
| kiv taub hau | Mob taub hau |
| Kev tsaug zog tsis taus | Xeev siab thiab ntuav (Xausea, Ntuav) |
Kuv yuav ua li cas thiaj khaws kuv cov tshuaj kom muaj kev nyab xeeb?
Qhov no yog ib qho teeb meem tseem ceeb heev.
- Khaws cia kom kaw thiab xauv zoo, kom deb ntawm cov menyuam yaus thiab cov tsiaj txhu.
- Muaj peev xwm siv cov tshuaj no tsis raug, yog li ntawd tiv thaiv nws kom tsis txhob raug tub sab nyiag.
- Muag cov tshuaj no lossis muab rau lwm tus neeg yog qhov txaus ntshai thiab txhaum cai.
- Khaws cia rau qhov kub thiab txias (15-30°C) kom deb ntawm lub teeb.
- Pov tseg cov tshuaj uas tsis tau siv lossis tas sij hawm lawm kom raug. Yog tias ua tau, muab pov tseg rau hauv chav dej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hydromorphone yog ib yam tshuaj muaj zog uas tsuas yog kws kho mob sau ntawv rau qhov mob hnyav xwb.
- Ua ntej noj tshuaj, qhia rau koj tus kws kho mob txog tag nrho koj cov mob thiab lwm yam tshuaj uas koj noj.
- Tsis txhob muab cov tshuaj no faib rau lwm tus. Tsuas yog rau koj xwb.
- Nrhiav kev kho mob tam sim ntawd yog tias koj muaj kev phiv loj heev, xws li ua pa nyuaj.
- Tsis txhob haus dej cawv thiab tsav tsheb thaum noj cov tshuaj no.
- Khaws cov tshuaj no rau qhov chaw nyab xeeb kom deb ntawm cov menyuam yaus thiab cov tsiaj txhu.
- Tsis txhob tsum noj tshuaj tam sim ntawd yam tsis tau koj tus kws kho mob qhia.
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