Yu dɔn ɛva fil pen we yu nɔ go ebul fɔ bia? Sɔntɛm afta dɛn dɔn du big ɔpreshɔn ɔ siriɔs aksidɛnt, dɛn nɔ go ebul fɔ kɔntrol di pen wit mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn di pen ɔltɛm. Insay tɛm lɛk dis, wan klas de we gɛt pawaful mɛrɛsin fɔ mɛn pen we dɔktɔ dɛn kin yuz. Tide wi go tɔk bɔt wan drɔg na da klas de we dɛn kɔl Hydromorphone, we dɛn kin gi as injɛkshɔn. Bikɔs i rili pawaful, i go rili impɔtant fɔ mek yu no di rayt tin we i bi.
Fɔ tɔk am simpul wan, wetin na dis haydromɔfon?
Hydromorphone na wan mɛrɛsin we rili strɔng fɔ mɛn pen we dɛn kin yuz fɔ kɔntrol bad bad pen . I de pan wan klas ɔf drɔgs we dɛn kɔl opioid . Bɔku tɛm, dɔktɔ kin gi am we ɔda mɛrɛsin dɛn we de mek yu fil pen nɔ go du fɔ kɔntrol di pen, ɔ we yu bɔdi nɔ ebul fɔ bia wit di mɛrɛsin.
Dis kin wok insay wan rili simpul we. We wi bɔdi de fil pen, dɛn pen sayn dɛn de kin pas tru di nerv dɛn to di bren. Na da tɛm de wi kin fil "hurt." Wetin dis vaksin de du na fɔ blok di pen signal path fɔ sɔm tɛm to di bren. I tan lɛk fɔ stɔp di pen mɛsej fɔ rich na di bren.
Yu kin fɛn dis mɛrɛsin na Sri Lanka ɛn ɔda kɔntri dɛn ɔnda difrɛn brand nem dɛn lɛk `(Dilaudid)` ɛn `(Dilaudid-HP)`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Okay, dis pat rili impɔtant. Bikɔs haydromɔfon na mɛrɛsin we rili strɔng, i impɔtant fɔ mek yu gi yu dɔktɔ wan kɔmplit akɔdin to yu wɛlbɔdi kɔndishɔn. If wi nɔ du dat, dat kin mek wi gɛt siriɔs prɔblɛm dɛn. If yu gɛt ɛni wan pan di sik dɛn we de na di tebul we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Situeshɔn we yu nid fɔ ripɔt | Wetin mek i impɔtant? (Simpul ɛksplen) |
|---|---|
| Wan sik lɛk wae pɔrsin gɛt bren, wae yu gɛt injury na yu ed, ɔr yu kin gɛt sik. | Dis mɛrɛsin kin mek di prɛshɔn na di bren bɔku, so i kin denja fɔ pɔsin we gɛt dɛn sik ya. |
| Asma ɔ ɔda sik we de mek pɔsin nɔ ebul fɔ blo fayn. | Opioid dɛn de slo fɔ blo. Dis kin mek i nɔ izi fɔ pɔsin we dɔn ɔlrɛdi gɛt prɔblɛm wit in brith. |
| Kidni ɔ liva sik. | Di kidni ɛn liva de ɛp fɔ pul drɔgs na di bɔdi. If dɛn ɔgan ya nɔ de wok fayn, drɔgs kin gɛda na di bɔdi ɛn mek di sayd ɛfɛkt dɛn bɔku. |
| If yu de drink rɔm ɔltɛm ɔ yu gɛt disɔda fɔ yuz sɔbstans. | We dɛn jɔyn rɔm ɛn opioid, bad bad tin dɛn we kin mek pɔsin in layf de pan denja lɛk we pɔsin nɔ ebul fɔ blo fayn kin apin. I impɔtant bak fɔ tɔk bɔt ɛni histri bɔt adikshɔn. |
| Prɔblɛm na bɛlɛ ɔ intestinal. | Bikɔs dis mɛrɛsin kin mek pɔsin gɛt kɔnstipɛshɔn, i kin mek ɛni prɔblɛm we de na in intestinal we dɔn de, wɔs. |
| At sik. | Dɛn fɔ tek tɛm yuz dis mɛrɛsin pan sɔm kayn at sik. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. | If yu tek dis mɛrɛsin fɔ lɔng tɛm we yu gɛt bɛlɛ, dat kin afɛkt di pikin. If yu na mama we de gi pikin in mama in bɛlɛ, di mɛrɛsin kin pas to di pikin tru in mama in milk. |
| If yu dɔn tek wan MAOI mɛrɛsin (e.g. Marplan, Nardil) insay di pas 14 dez. | If yu put dɛn tu mɛrɛsin ya togɛda, dat kin mek yu gɛt bad bad riakshɔn. |
| If yu gɛt alɛji fɔ haydromɔfon ɔ ɛni ɔda mɛrɛsin ɔ it. | I rili impɔtant fɔ tɛl di dɔktɔ bɔt ɛni alɛji. |
Aw dɛn kin yuz dis vaysin?
Dis vaysin na dɔktɔ ɔ nɔs na ɔspitul ɔ klinik kin gi am . Dɛn kin injekt am na wan vein, insay wan mɔsul, ɔ ɔnda di skin.
Bɔt nɔto ɔltɛm, yu kin gɛt fɔ yuz am na os. If dat apin, dɛn go tich yu di rayt we fɔ yuz am. Yu fɔ yuz am jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm, insay di rayt doz. Nɔ ɛva tek pas wetin yu dɔktɔ tɛl yu.
I rili impɔtant: If yu de yuz dis vaysin na os, nɔ trowe nidul ɛn sirinj we yu dɔn yuz na di dɔti. Dis kin rili ambɔg ɔda pipul dɛn. Bifo dat, put dɛn insay spɛshal kɔntena we gɛt shap tin dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ bɔt am.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
Dis nɔto tɔys. If yu tek dis mɛrɛsin tumɔs, i kin mek yu layf de pan denja. If yu tink se yu dɔn tek bɔku tin, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm. Dis mɛrɛsin na fɔ yu yon yus nɔmɔ, nɔ sheb am wit ɔda pipul dɛn fɔ ɛni rizin.
Intarakshɔn wit ɔda mɛrɛsin dɛn
Hydromorphone na wan mɛrɛsin wae kin intarakt wit bɔrku ɔda mɛrɛsin dɛm, so yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛm).
| Nɔ tek haydromɔfon wit dɛn tin ya | |
|---|---|
| Olanzapin we dɛn kɔl; samidorphan we dɛn kɔl samidorphan | Safinamide we dɛn kɔl |
| Tek tɛm mɔ we yu de tek dɛn tin ya wit | |
| Rum | I kin mek pɔsin slip bad bad wan, i nɔ kin izi fɔ blo, ɛn ivin day. |
| Bεnzodiazepin dεm (e.g. Dayazepam, Alprazolam) . | Dɛn tin ya na kategori bak wae kin mek pɔrsin slip, so de risk kin bɔrku. |
| Mɛrɛsin fɔ kol ɔ alɛji (Antihistamines) . | Dɛn tin ya kin mek pɔsin slip mɔ ɛn mɔ. |
| Sɔm mɛrɛsin fɔ pwɛl hat ɔr wɔri | Di tin dɛn we di tu mɛrɛsin dɛn kin du kin kam togɛda ɛn mek di sayd ɛfɛkt dɛn bɔku. |
| Pils fɔ slip ɔ tin dɛn we de mek yu mɔsul rilaks | I kin apin we pɔsin de slip pasmak ɛn i kin mek i nɔ ebul fɔ blo fayn. |
| Ɔda opioid pen kil ɔ kɔf mɛrɛsin | Di opioid dos kin bil ɔp we nɔ nid fɔ de na di bɔdi. |
Dis list nɔ kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de tek dis mɛrɛsin
- Pe atɛnshɔn to pen: If yu pen nɔr dɔn, if i de wɔs, ɔr if yu gɛt nyu kayn pen, tɛl yu dɔktɔ. We yu tek di mɛrɛsin fɔ lɔng tɛm, yu bɔdi kin gɛt fɔ bia wit di mɛrɛsin, ɛn di doz we yu bin tek bifo nɔ go du fɔ kɔntrol di pen. Dis na nɔmal tin. If dis apin, yu dɔktɔ go ajɔst di doz. Nɔ chenj di doz fɔ yusɛf.
- Dipɛnshɔn: Afta yu dɔn tek dis mɛrɛsin fɔ lɔng tɛm, yu bɔdi kin dipen pan am. Dis min se if yu stɔp fɔ tek di mɛrɛsin wantɛm wantɛm, yu kin gɛt sayn dɛn fɔ lɛf fɔ tek di mɛrɛsin. Dis na tin we wi fɔ ɛkspɛkt. So, we yu nid fɔ stɔp fɔ tek di mɛrɛsin, yu dɔktɔ go ridyus di doz smɔl smɔl.
- Yu fɔ no bɔt Naloxone:Naloxone na wan imejensi drɔg we de sev layf we dɛn kin gi if dɛn tek di opioid pasmak. I impɔtant fɔ no di sayn dɛm we de sho se yu tek am pasmak (we yu de blo sloslo, yu de slip pasmak, yu nɔ ebul fɔ wek). Tɛl yu famili bɔt dis bak.
- Drayv ɛn ɔpreshɔn mashin: Dis mɛrɛsin kin mek yu nɔ pe atɛnshɔn, yu nɔ kin ebul fɔ disayd fɔ du sɔntin, ɛn yu nɔ kin spɛn bɔku tɛm fɔ du sɔntin. So , nɔ drayv ɔ yuz ebi ebi mashin te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu.
- Diziz: Yu kin gɛt diziz ɛn fɔdɔm afta yu dɔn tek dis mɛrɛsin. Fɔ ridyus dis, grap sloslo frɔm we yu sidɔm ɔ ledɔm, pas fɔ grap wantɛm wantɛm. If yu drink rɔm, dat kin mek dis sayd ɛfɛkt bɔku.
- Kɔnstipɛshɔn: Kɔnstipɛshɔn na wan kɔmɔn sayd ɛfɛkt we dis mɛrɛsin kin gɛt. If yu nɔ bin dɔn muv yu bɔdi fɔ 3 dez, tɔk to yu dɔktɔ. If yu drink bɔku wata ɛn it tin dɛn we gɛt bɔku fayv, dat kin ɛp yu.
- Dray mɔt: If yu mɔt dray, fɔ it gɔm we nɔ gɛt shuga ɛn fɔ drink wata kin ɛp.
Di sayd ɛfɛkt dɛn we dɛn kin si bɔku tɛm
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| Fɔ blo sloslo (CNS dipreshɔn) . | Fɔ blo sloslo ɔ shalɔ, slip pasmak, nɔ ebul fɔ wek, ɛn nɔ kin no natin. |
| Di adrenal fכnshכn we de dכn | Nɔs, vɔmit, nɔ want fɔ it, wikɛd we nɔ kɔmɔn, diziz. |
| Lɔw blɔd prɛshɔn | Diziz, faint, blurred vishɔn. |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Banbɛlɛ | Diziz we pɔsin kin gɛt |
| Di we aw pɔsin kin slip | Dray mɔt |
| Ed de at | Nɔs ɛn vɔmit (Nɔs, Vɔmit) . |
Mɛsej we dɛn kin kɛr go na os
- Hydromorphone na wan mɛrɛsin we rili strɔng we dɛn kin jɔs yuz fɔ siriɔs pen we ɔda pen kil nɔ kin pul am.
- Bifo yu bigin dis mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Nɔ drink rɔm we yu de tek dis mɛrɛsin fɔ ɛni rizin. Dɔn bak, tek tɛm bad bad wan we yu de tek ɔda mɛrɛsin dɛn we de mek yu slip.
- Yu fɔ no di sayn dɛm we de sho se yu tek am pasmak (we yu de slip pasmak, yu de blo sloslo). If yu saspek dis kayn tin, go na imejensi rum (ETU) wantɛm wantɛm.
- Kip dis mɛrɛsin na say we sef usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich . I kin kil pɔsin if ɔda pɔsin it am.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, nɔ shek fɔ aks yu dɔktɔ.
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