Tuar theih loh khawpa hrehawm i tuar ngai em? Surgery lian tak emaw, accident na tak emaw hnuah pawh a natna chu natna tidamtu damdawi pangngai hmangin a thunun thei lo mai thei. Hetiang hun lai hian doctor-te hman thin natna tidamtu chak tak class a awm a. Vawiin hian chu class-a damdawi pakhat Hydromorphone tih chu kan sawi dawn a, chu chu injection anga pek a ni. Thiltithei tak a nih avangin eng nge a nih chiang taka hriat chu i tan a pawimawh hle ang.
A awlsam zawngin, he hydromorphone hi eng nge ni?
Hydromorphone hi natna tidamtu chak tak a ni a , natna nasa tak control nan hman a ni . Damdawi chi khat opioid an tih zingah a tel a ni . A tlangpuiin doctor-in natna tidamtu dangin a natna a thunun theih loh hunah emaw, i taksain damdawi a tuar theih loh hunah emaw a pe thin.
Hei hian kawng awlsam takin hna a thawk a ni. Kan taksain natna a tawn hian chu natna signal te chu nerve kaltlangin thluak lamah a kal thin. Chutah chuan "hliam" kan ti thin. He vaccine hian a tih chu thluaka natna signal kalna kawng chu rei lo te chhung atan a block a ni. Pain message thluak thleng tur tihtawp ang mai a ni.
He damdawi hi Sri Lanka leh ram pawnah brand hming hrang hrang, `(Dilaudid)` leh `(Dilaudid-HP)` hmanga hmuh theih a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Okay, he part hi a pawimawh hle. Hydromorphone hi damdawi chak tak a nih avangin i hriselna dinhmun kimchang takin doctor hnenah i pek a pawimawh hle. Chutianga tih loh chuan harsatna lian tak a thlen thei a ni. A hnuaia table-a tarlan te hi i neih chuan doctor hnenah hrilh ngei ang che.
| Situation i report tur a ni | Engvangin nge a pawimawh? (Sawifiahna awlsam tak) |
|---|---|
| Thluak natna, lu hliam, emaw, seizures ang chi natna. | He damdawi hian thluaka pressure a tisang thei a, chuvangin heng natna vei tan chuan a hlauhawm thei hle. |
| Asthma emaw lung/thluak lam natna dang emaw. | Opioid hian thawk a tikhawtlai. Hei hian thawk lama harsatna nei tawh tan chuan a ti harsa zual thei a ni. |
| Kidney emaw liver emaw natna. | Kidney leh liver hian taksa atanga damdawi paih chhuah a pui thin. Heng taksa peng hrang hrangte hian hna an thawk tha lo a nih chuan taksaah damdawi a lo pungkhawm thei a, side effect a tipung thei bawk. |
| Zu i in fo emaw, substance use disorder i neih chuan. | Zu leh opioid te hi an inkawp chuan thawkna lama harsatna (respiratory arrest) ang chi natna khirh tak, nunna atana hlauhawm tak tak a awm thei a ni. Addiction history eng pawh puan chhuah a pawimawh bawk. |
| Pum emaw, intestinal emaw lama harsatna awm. | He damdawi hian constipation a thlen avangin intestinal problem awm tawh zawng zawng chu a tizual thei a ni. |
| Lung natna. | He damdawi hi thinlung natna thenkhatah fimkhur taka hman tur a ni. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. | Naupai laiin he damdawi hi rei tak ei hian naute a nghawng thei a ni. Nu hnute petu i nih chuan a damdawi chu hnute hnute hmangin naute hnenah a kal thei a ni. |
| Ni 14 kalta chhunga MAOI damdawi (e.g. Marplan, Nardil) i ei tawh chuan. | Heng damdawi pahnih hi inkawp hian natna nasa tak a thlen thei a ni. |
| Hydromorphone emaw damdawi dang emaw ei tur dang emaw allergy i neih chuan. | Allergy a awm chuan doctor hriattir a pawimawh hle. |
He vaccine hi engtin nge hman a nih?
He vaccine hi damdawi in emaw clinic emaw a doctor emaw nurse emaw ten an pe tlangpui . Vein-ah emaw, taksa ruh chhungah emaw, vun hnuaiah emaw inject theih a ni.
Mahse a tlem hle a, in lamah i hman a ngai mai thei. Chutiang a nih chuan a hman dan tur dik tak zirtir i ni ang. I doctor-in a hrilh ang chiah chiah, a hun takah, a dose dik takah i hmang tur a ni. I doctor-in a hrilh che aia tam ei ngai suh.
Pawimawh tak: He vaccine hi in lama i hman chuan, needle leh syringe hman tawhte chu bawlhhlawh bawmah paih suh. Hei hian midangte tan a pawi hle thei a ni. Chu ai chuan sharps container bik ah dah zawk ang che. I neih loh chuan doctor zawt la.
I overdose a nih chuan engtin nge i tih ang?
Hei hi infiamna a ni lo. He damdawi hi i ei tam lutuk chuan nunna atana hlauhawm a ni thei. I ei tam lutuk nia i rinhlelh chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh. He damdawi hi i hmanna tur chauh a ni a, eng thil vang pawha midang hnenah pe chhuak suh.
Damdawi dang nena inzawmna
Hydromorphone hi damdawi dang tam tak nen a inzawm thei a, chuvangin i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah i hrilh tur a ni.
| Hengte nen hian hydromorphone ei loh tur | |
|---|---|
| Olanzapine a ni a; samidorphan tih a ni | Safinamide hmanga siam a ni |
| A bik takin hengte hi i hruai dawnin fimkhur hle ang che | |
| Zu | Mutthilh nasat te, thawk harsatna te, thihna thlengin a thleng thei a ni. |
| Benzodiazepines (e.g. Diazepam, Alprazolam) te hi a tha ber pawl a ni. | Hengte hi mutthilhna thlentu category an nih bawk avangin a hlauhawmna a sang zawk. |
| Khawsik emaw allergy emaw damdawi (Antihistamines) . | Chungte chuan mutthilhna a tipung thei a ni. |
| Depression emaw lungkhamna emaw damdawi thenkhat | Damdawi pahnih nghawng hi a inzawm khawm thei a, side effect a tipung thei bawk. |
| Mut theihna damdawi emaw taksa ruh tichaktu emaw | Mut tam lutuk leh thawk hah lutuk a awm thei. |
| Opioid natna tidamtu dang emaw khuh damdawi emaw | Opioid dose hi taksaah a tul lovah a pung thei a ni. |
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng hi doctor hnenah hrilh vek a tha ber.
He damdawi ei huna hriat reng tur thil
- Natna ngaihven rawh: I natna a reh loh chuan, a zual deuh a nih chuan emaw, natna chi thar i neih chuan doctor hnenah hrilh rawh. Damdawi hi rei tak i ei chuan i taksain damdawi chu a tuar thei a, a hmaa i ei kha a natna thunun nan a tawk lo thei bawk. Hei hi thil pangngai a ni. Chutiang a nih chuan i doctor chuan a dose chu a siamrem ang. Dose hi nangmah chauhin thlak suh.
- Innghahna: He damdawi hi rei tak i ei hnuah i taksa chu a innghahna a ni thei. Chumi awmzia chu damdawi i ei loh thut chuan withdrawal symptoms i nei thei tihna a ni. Hei hi beisei tur a ni. Chuvangin, damdawi ei i chawlhsan a ngaih hunah chuan i doctor chuan zawi zawiin a dose a tihhniam ang.
- Naloxone hi hre reng ang che:Naloxone hi nunna chhanhim thei emergency drug a ni a, opioid overdose a nih chuan pek thin a ni. Overdose a nih chuan a symptoms (thâwk zawi, mut tam lutuk, harh theih lohna) hriat a pawimawh. Hemi chungchang hi i chhungte hnenah pawh hrilh bawk ang che.
- Driving leh operating machinery: He damdawi hian i ngaihvenna, thutlukna siam theihna leh i reaction time a ti tlem thei a ni. Chuvangin , he damdawi hian engtin nge a nghawng tih chiang taka i hriat hma chuan lirthei khalh emaw, machine rit tak tak hman emaw kha pumpelh rawh.
- Luak chhuak: He damdawi i ei zawh hian luak chhuak leh muhil i nei thei. Hei hi tihziaawm nan chuan ṭhut emaw, mu emaw a\angin zawi zawiin tho la, rang taka tho ai chuan. Zu in hian he side effect hi a tipung thei a ni.
- Constipation: Constipation hi he damdawi hian side effect a nei tlangpui. Ni 3 chhung chawl i la chhuak lo a nih chuan doctor nen inbia ang che. Tui tam tak in leh fiber tamna diet ei hian a pui thei a ni.
- Kawng vawt: I hmui a vawt chuan sugar tel lo gum chewing leh tui in hian a pui thei.
Side effect hmuh tur awm fo
| Side effects te chu doctor hnenah report nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Skin rash, itching, hmai, hmui, lei hring. |
| Thâwk chhuah zawi (CNS depression) . | Thâwk zawi emaw, thawk thuk lo emaw, mutthilh lutuk, harh theih lohna, leh hriatna hloh. |
| Adrenal function tlahniam | Nausea, luak chhuak, ei duh lohna, chak lohna danglam tak, luak chhuak. |
| Thisen sang hniam | Luak chhuak, muthilh, mit hmuhna fiah lo. |
| Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Ek khal | Luak chhuak thei |
| Mutthilh theih lohna | Kawng a vawt |
| Lu na | Nausea leh luak chhuak (Nausea, Vomiting) . |
Take-Home Thuchah a ni
- Hydromorphone hi damdawi chak tak a ni a, natna khirh tak, natna tidamtu dangin a tihziaawm loh tan chauh hman a ni.
- He damdawi hi i ei tan hmain i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- He damdawi hi eng thil vang pawha i ei lai hian zu in loh tur a ni. Tin, mutthilh tirtu damdawi dang i ei dawnin fimkhur hle bawk ang che.
- Overdose (muthilh lutuk, thawk hah lutuk) symptoms te fimkhur rawh. Chutiang thil i rinhlelh chuan emergency room (ETU) ah kal nghal rawh.
- He damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah la . Mi dangin an ei chuan thihna thlen thei a ni.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
- He damdawi chungchanga zawhna dang i neih chuan doctor zawt hreh suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh