Zomwe muyenera kudziwa zokhudza mapiritsi a Codeine!

Nthawi zina timakhala ndi ululu waukulu womwe mankhwala wamba ochepetsa ululu samachepetsa. Taganizirani izi, ululu womwe umabwera pambuyo pa opaleshoni ina, kapena ululu waukulu womwe umabwera chifukwa cha matenda ena. Nthawi zina madokotala amakupatsirani mankhwala ochepetsa ululu otchedwa Codeine. Ndiye, kodi mankhwalawa ndi chiyani, amagwira ntchito bwanji, ndipo ndi njira ziti zodzitetezera zomwe muyenera kutsatira mukamagwiritsa ntchito? Izi ndi zatsatanetsatane pang'ono, koma ndizofunikira kwambiri pa thanzi lanu, kotero ndikofunikira kuwerenga mosamala.

Kodi Codeine ndi chiyani?

Mwachidule, Codeine ndi mankhwala ochepetsa ululu. Amaperekedwa ngati mankhwala ena ochepetsa ululu sakuletsa ululu, kapena ngati simungathe kulekerera mankhwala ena. Mankhwalawa amagwira ntchito poletsa zizindikiro za ululu muubongo mwanu. Codeine ndi ya gulu la mankhwala otchedwa opioids . Nthawi zambiri amagwiritsidwa ntchito pochiza ululu waukulu.

Nthawi zina mankhwalawa angagwiritsidwe ntchito pazinthu zina, choncho ngati muli ndi mafunso, funsani dokotala wanu kapena munthu amene ali ku pharmacy.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kumwa codeine, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Musabise zinthuzi, chifukwa zingakhudze thanzi lanu.

Ngati muli ndi vuto lililonse mwa izi, uzani dokotala wanu :

• Ngati muli ndi chotupa cha muubongo .
• Ngati ndinu munthu amene ali ndi chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo (kugwiritsa ntchito mankhwala osokoneza bongo molakwika kapena chizolowezi) , kapena amene wakhala akutero kale.
• Ngati mwavulala mutu .
• Ngati muli ndi matenda a mtima .
• Ngati mumamwa mowa nthawi zonse .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Kuchepa kwa ntchito ya gland ya adrenal .
• Ngati muli ndi matenda a m'mapapo, mphumu, kapena vuto la kupuma .
• Ngati muli ndi khunyu .
• Ngati muli ndi vuto la m'mimba kapena m'matumbo .
• Ngati mwamwa mankhwala otchedwa MAOI (Monoamine Oxidase Inhibitor), mwachitsanzo Marplan, Nardil, kapena Parnate, mkati mwa masiku 14 apitawa. Izi ndizofunikira kwambiri.
• Ngati munakhalapo ndi vuto lachilendo kapena la allergic reaction chifukwa cha codeine, perekani mankhwala ena, chakudya, utoto, kapena zotetezera.
• InuNgati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Dokotala yekha ndi amene adzatha kusankha ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso momwe ayenera kuperekedwera.

Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

Mankhwalawa ayenera kumwedwa pakamwa, ndi kapu ya madzi. Ngati mankhwalawa akuoneka ovuta kumeza, amwe pamodzi ndi chakudya kapena mkaka pang'ono. Imwani monga momwe mwalangizidwira pa chizindikiro cha mankhwala. Musamwe mopitirira muyeso womwe mwalangizidwa.

Akakupatsani mankhwala awa, adzakupatsani kabuku kapadera kodziwitsa (MedGuide) . Ndikofunikira kukawerenga mosamala nthawi iliyonse mukadzadzaza kapena kudzazanso mankhwala anu. Kali ndi mfundo zofunika kwambiri zokhudza mankhwalawa.

Lankhulani ndi dokotala wanu za kupereka mankhwalawa kwa ana . Mankhwalawa sakuvomerezeka kwa ana osakwana zaka 12. Komanso, musapereke mankhwalawa kwa mwana wosakwana zaka 18 mutachita opaleshoni yochotsa ma tonsils ndi/kapena adenoids. Izi ndizofunikira kwambiri, chifukwa zingayambitse zotsatirapo zoyipa kwa ana.

Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo. Si masewera, zitha kukhala zoopsa pamoyo.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense. Ngakhale atakhala othandiza kwa inu, akhoza kukhala oopsa kwa wina.

Nanga bwanji ngati ndaphonya mlingo?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri kapena kuonjezera mlingo. Kuchita zimenezi kumawonjezera chiopsezo cha zotsatirapo zoyipa.

Mankhwala omwe angagwirizane ndi Codeine

Iyi ndi gawo lofunika kwambiri. Codeine ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena. Izi zikutanthauza kuti akamwedwa ndi mankhwala ena, zotsatira za Codeine zimatha kusintha kapena kuyambitsa zotsatira zoyipa.

Musamwe codeine pamodzi ndi mankhwalawa!

Musamwe Codeine ndi mankhwala awa:

• Linezolid
• Mankhwala a MAOI (MAOI monga Marplan, Nardil, ndi Parnate) - Izi zatchulidwa kale.
• Buluu wa Methylene
• Ozanimod
• Samidorphan
• Tedizolid

Codeine imatha kuyanjana ndi mankhwalawa.

Codeine ingagwirizane ndi mankhwala otsatirawa. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu ngati mukumwa mankhwala aliwonse mwa awa.

• Mowa: Kumwa codeine pamodzi ndi mowa kungapangitse kuti munthu agone, azungulire, komanso apume movutikira.
• Mankhwala ena a ziwengo, chifuwa, ndi chimfine (Antihistamines): Izi zimayambitsa tulo, zomwe zimatha kuwonjezeka zikamwedwa ndi codeine.
• Atropine
• Maantibayotiki ena, monga erythromycin, clarithromycin, ndi rifampin.
• Mankhwala ena oletsa mavairasi a HIV kapena chiwindi.
• Mankhwala ena oletsa nkhawa kapena tulo.
• Mankhwala ena a mavuto a chikhodzodzo, mwachitsanzo oxybutynin, tolterodine.
• Mankhwala ena ochizira kuvutika maganizo, mwachitsanzo amitriptyline, bupropion, fluoxetine, paroxetine, sertraline.
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a bowa, mwachitsanzo, ketoconazole, itraconazole, ndi posaconazole.
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala, mwachitsanzo, almotriptan, eletriptan, ndi sumatriptan.
• Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a Parkinson, mwachitsanzo benztropine ndi trihexyphenidyl.
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu, mwachitsanzo carbamazepine, phenobarbital, ndi phenytoin.
• Mankhwala ena ochizira matenda am'mimba, monga dicyclomine ndi hyoscyamine.
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda oyenda, monga scopolamine.
• Mankhwala ochepetsa mphamvu ya mkodzo ( mankhwala omwe amapangitsa kuti mkodzo wambiri utuluke).
• Mankhwala oletsa ululu amagwiritsidwa ntchito panthawi ya opaleshoni, mwachitsanzo, halothane ndi propofol.
• Ipratropium.
• Mankhwala opumulitsa minofu pochita opaleshoni.
• Mankhwala ena ochepetsa ululu a opioid.
• Mankhwala otchedwa phenothiazines, mwachitsanzo chlorpromazine, thioridazine.
• Quinidine.

Mndandanda uwu sunathe.Uzani dokotala wanu za mankhwala onse, zitsamba, mankhwala osaperekedwa ndi dokotala, mavitamini, ndi zowonjezera zakudya zomwe mumamwa. Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala awa.

Zinthu zofunika kukumbukira mukamamwa mankhwalawa

Pali zinthu zingapo zomwe muyenera kuziganizira mukamamwa codeine:

• Ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati mukuyamba mtundu wina wa ululu, uzani dokotala wanu.
• Pakapita nthawi , thupi lanu likhoza kuyamba kulolera mankhwalawo. Izi zikutanthauza kuti mlingo womwe munkamwa kale sungakhale wokwanira kuchepetsa ululu wanu. Izi ndi zachilendo, makamaka ngati mwakhala mukumwa mankhwalawa kwa nthawi yayitali. Dokotala wanu adzasintha mlingo wanu moyenerera.
• Ngati mumwa mitundu ingapo ya mankhwala ochepetsa ululu otchedwa opioids, nthawi imodzi, mungakhale ndi zotsatirapo zina zambiri. Uzani dokotala wanu za mankhwala onse omwe mumamwa. Iye adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe zoposa zomwe dokotala wanu wakuuzani. Ngati mukuvutika kupuma, funani thandizo lachipatala mwamsanga.
• Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse vuto lalikulu . Izi zili choncho chifukwa thupi lanu layamba kuzolowera mankhwalawo. Izi sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwalawo, sichoncho? Kuledzera kumachitika mukamagwiritsa ntchito mankhwala popanda chifukwa chachipatala. Ngati mukumva ululu, muli ndi chifukwa chachipatala chotengera mankhwala ochepetsa ululu. Dokotala wanu adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Ngati dokotala wanu akufuna kuti musiye kumwa mankhwalawa, adzachepetsa pang'onopang'ono mlingo kuti achepetse zotsatirapo zake.
• Lankhulani ndi dokotala wanu za naloxone ndi momwe mungayipezere. Naloxone ndi mankhwala odzidzimutsa omwe amaperekedwa ngati opioid yagwiritsidwa ntchito mopitirira muyeso . Kumwa opioid yambiri kapena kumwa ndi zinthu zina monga mowa kungayambitse kumwa mopitirira muyeso. Dziwani zizindikiro za kumwa mopitirira muyeso, monga kupuma movutikira, kutopa kwambiri kapena kugona tulo, komanso kusalabadira. Uzani banja lanu ndi osamalira anu komwe mankhwalawa ali komanso momwe angagwiritsire ntchito. Mukapatsidwa naloxone, muyenera kupita kuchipatala nthawi yomweyo. Ndi chithandizo chakanthawi chabe. Mungafunike kupereka mankhwala ochulukirapo.
• Ana angakhale pachiwopsezo chachikulu cha zotsatirapo zoyipa. Ngati mwana wanu akupuma pang'onopang'ono, akupanga phokoso pamene akupuma, ali ndi chisokonezo, kapena akugona tulo tosazolowereka,Siyani kupereka mankhwalawa nthawi yomweyo ndipo funani thandizo lachipatala mwamsanga.
• Mungamve ngati muli ndi tulo kapena chizungulire . Choncho, mpaka mutadziwa momwe mankhwalawa amakukhudzirani , musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zitha kuchepetsa chiopsezo cha chizungulire ndi kukomoka. Kumwa mowa kungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho, pewani kumwa mowa.
• Mankhwalawa angayambitse kudzimbidwa . Ngati simunatuluke m'mimba patatha masiku atatu, imbani dokotala wanu .
• Pakamwa panu pakhoza kukhala pouma . Kutafuna chingamu chopanda shuga, kuyamwa maswiti olimba opanda shuga, ndi kumwa madzi ambiri kungathandize kuthetsa vutoli. Ngati vutoli likupitirira kapena likukulirakulira, lankhulani ndi dokotala wanu .

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, codeine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo

Ngati mukukumana ndi zizindikiro izi, uzani dokotala mwamsanga:

• Matenda a ziwengo — kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuvutika maganizo kwa mitsempha yapakati (CNS depression) — kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kumva kufooka, chizungulire, chisokonezo, kuvutika kukhala maso.
• Kuchepa kwa ntchito ya adrenal gland - nseru, kusanza, kusowa chilakolako cha chakudya, kufooka kapena kutopa kosazolowereka, chizungulire.
• Kuthamanga kwa magazi kotsika — chizungulire, kumva kufooka kapena mutu wopepuka, kusawona bwino.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala, koma ziyenera kunenedwa ngati zikupitirira

Zotsatirapo zoyipa izi nthawi zambiri sizifuna thandizo la dokotala. Komabe, ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu :

• Kudzimbidwa
• Chizungulire
• Kugona tulo
• Pakamwa pouma
• Mutu
• Kusanza
• Kusanza

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Funsani dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.

Kodi mungasunge bwanji mankhwalawa mosamala?

Izi ndizofunikira kwambiri. Codeine ndi mankhwala omwe angakhale oopsa ngati sagwiritsidwa ntchito mosamala.

• Sungani mankhwalawa kutali ndi ana ndi ziweto. Mankhwalawa akhoza kugwiritsidwa ntchito molakwika. Choncho, sungani pamalo otetezeka kuti muwateteze ku kuba. Musapatse wina aliyense. Mankhwalawa ndi a inu nokha. Kugulitsa kapena kupereka mankhwalawa kwa wina ndi koopsa kwambiri ndipo ndi kotsutsana ndi lamulo.
• Sungani kutentha kwa chipinda (20 mpaka 25 digiri Celsius, 68 mpaka 77 digiri Fahrenheit). Tetezani ku kuwala ndi chinyezi. Sungani botolo/phukusi la mankhwala litatsekedwa bwino.
• Tayani mankhwala aliwonse otsala tsiku lotha ntchito.

Mankhwalawa akhoza kukhala oopsa kapena kupha ngati atengedwa ndi munthu wamkulu, mwana, kapena chiweto. Chifukwa chake, ndikofunikira kwambiri kutaya mankhwalawo bwino ngati sakufunikanso kapena atatha ntchito. Pali njira ziwiri zochitira izi:

* Funsani malo ogulitsa mankhwala kapena malo osungira malamulo ngati pali pulogalamu yochotsera mankhwala .

* Ngati izi sizingatheke, zichotseni monga momwe zalembedwera mu kabuku kapadera ka chidziwitso (MedGuide) komwe mwalandira.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Codeine ndi mankhwala amphamvu ochepetsa ululu, choncho kumbukirani izi:

• Imwani kuchuluka kokha komwe dokotala wanu wakuuzani. Musamwenso.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda aliwonse omwe muli nawo.
• Musamwe mankhwalawa pamodzi ndi mowa.
• Mankhwalawa angakupangitseni kugona, choncho samalani mukayendetsa galimoto kapena mukamagwiritsa ntchito makina.
• Sungani pamalo otetezeka, kutali ndi ana ndi ziweto.
• Musasiye kumwa mankhwala mwadzidzidzi. Funsani dokotala wanu.
• Ngati mwamwa mankhwala opitirira muyeso, funani chithandizo chadzidzidzi nthawi yomweyo. Dziwani Naloxone.

Tsamba lazidziwitso ili ndi chidule chokha. Silingakhale ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, funsani dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Thanzi lanu ndi lofunika kwa inu monga momwe lilili kwa ife!

Codeine , mankhwala ochepetsa ululu, opioid, mankhwala, zotsatirapo zake, thanzi