Kodi munayamba mwamvapo ululu wosapiririka? Mwina mutachitidwa opaleshoni yayikulu kapena ngozi yaikulu, ululuwo sungathetsedwe ndi mankhwala ochepetsa ululu wamba. Munthawi ngati izi, pali gulu la mankhwala amphamvu ochepetsa ululu omwe madokotala amagwiritsa ntchito. Lero tikambirana za mankhwala omwe ali mgulu limenelo otchedwa Hydromorphone, omwe amaperekedwa ngati jakisoni. Popeza ndi amphamvu kwambiri, ndikofunikira kwambiri kuti mudziwe bwino lomwe kuti ndi chiyani.
Mwachidule, kodi hydromorphone iyi ndi chiyani?
Hydromorphone ndi mankhwala amphamvu kwambiri ochepetsa ululu omwe amagwiritsidwa ntchito pochepetsa ululu waukulu . Ndi m'gulu la mankhwala otchedwa opioids . Nthawi zambiri amaperekedwa ndi dokotala ngati mankhwala ena ochepetsa ululu sakwanira kuchepetsa ululu, kapena ngati thupi lanu silingathe kupirira mankhwalawa.
Izi zimagwira ntchito mosavuta. Thupi lathu likamamva kupweteka, zizindikiro za ululu zimadutsa m'mitsempha kupita ku ubongo. Pamenepo ndi pamene timamva "kupweteka." Zimene katemerayu amachita ndikutseka kwakanthawi njira ya chizindikiro cha ululu kupita ku ubongo. Zili ngati kuletsa uthenga wa ululu kufika ku ubongo.
Mankhwalawa amapezeka m'maina osiyanasiyana ku Sri Lanka ndi kunja, monga `(Dilaudid)` ndi `(Dilaudid-HP)`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Chabwino, gawo ili ndi lofunika kwambiri. Popeza hydromorphone ndi mankhwala amphamvu kwambiri, ndikofunikira kuti mufotokozere dokotala wanu zonse zokhudza thanzi lanu. Kulephera kutero kungayambitse mavuto aakulu. Ngati muli ndi vuto lililonse lomwe latchulidwa patebulo ili pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani n’kofunika? (Kufotokozera kosavuta) |
|---|---|
| Matenda monga chotupa cha muubongo, kuvulala mutu, kapena khunyu. | Mankhwalawa amatha kuonjezera kuthamanga kwa magazi muubongo, kotero akhoza kukhala oopsa kwa munthu amene ali ndi matendawa. |
| Mphumu kapena matenda ena a m'mapapo/kupuma. | Mankhwala oletsa kupuma amachepetsa kupuma. Izi zingapangitse kuti zikhale zovuta kwambiri kwa munthu amene ali kale ndi vuto lopuma. |
| Matenda a impso kapena chiwindi. | Impso ndi chiwindi zimathandiza kuchotsa mankhwala m'thupi. Ngati ziwalo izi sizikugwira ntchito bwino, mankhwala amatha kudziunjikira m'thupi ndikuwonjezera zotsatirapo zake. |
| Ngati mumamwa mowa nthawi zonse kapena muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo. | Mowa ndi mankhwala ophera opioid zikaphatikizidwa, matenda oopsa komanso oopsa monga kupuma movutikira amatha kuchitika. Ndikofunikanso kuulula mbiri iliyonse ya chizolowezi. |
| Vuto la m'mimba kapena m'matumbo. | Popeza mankhwalawa amayambitsa kudzimbidwa, akhoza kukulitsa mavuto aliwonse a m'mimba omwe alipo. |
| Matenda a mtima. | Mankhwalawa ayenera kugwiritsidwa ntchito mosamala pa matenda ena a mtima. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Kumwa mankhwalawa kwa nthawi yayitali panthawi ya mimba kungakhudze mwana. Ngati ndinu mayi woyamwitsa, mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
| Ngati mwamwa mankhwala a MAOI (monga Marplan, Nardil) mkati mwa masiku 14 apitawa. | Kuphatikiza mankhwala awiriwa kungayambitse zotsatirapo zoopsa kwambiri. |
| Ngati muli ndi vuto la hydromorphone kapena mankhwala ena aliwonse kapena chakudya. | Ndikofunikira kwambiri kudziwitsa dokotala za ziwengo zilizonse. |
Kodi katemerayu amagwiritsidwa ntchito bwanji?
Katemerayu nthawi zambiri amaperekedwa ndi dokotala kapena namwino kuchipatala kapena ku chipatala . Akhoza kubayidwa mumtsempha, mu minofu, kapena pansi pa khungu.
Koma nthawi zina, mungafunike kuigwiritsa ntchito kunyumba. Ngati zimenezo zitachitika, mudzaphunzitsidwa momwe mungagwiritsire ntchito bwino. Muyenera kuigwiritsa ntchito monga momwe dokotala wanu wakuuzani, panthawi yoyenera, komanso mu mlingo woyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wakuuzani.
Chofunika Kwambiri: Ngati mukugwiritsa ntchito katemerayu kunyumba, musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Izi zitha kuvulaza ena kwambiri. M'malo mwake, ziyikeni mu chidebe chapadera chopangira zinthu zowongoka. Ngati mulibe, funsani dokotala wanu za izi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ichi si chidole. Ngati mwamwa mankhwala ochulukirapo, akhoza kupha munthu. Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala chapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Mankhwalawa ndi a inu nokha, musawagawire ena pazifukwa zilizonse.
Kuyanjana ndi mankhwala ena
Hydromorphone ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Pewani kumwa hydromorphone ndi izi | |
|---|---|
| Olanzapine; samidorphan | Safinamide |
| Samalani kwambiri mukamagwiritsa ntchito izi | |
| Mowa | Kugona kwambiri, kuvutika kupuma, komanso ngakhale kufa kungachitike. |
| Benzodiazepines (monga Diazepam, Alprazolam) | Izi ndi gulu lomwe limayambitsa kugona, kotero chiopsezo chimakhala chachikulu. |
| Mankhwala a chimfine kapena ziwengo (Antihistamines) | Izi zingayambitse kugona kwambiri. |
| Mankhwala ena ochizira kuvutika maganizo kapena nkhawa | Zotsatira za mankhwala awiriwa zitha kuphatikizana ndikuwonjezera zotsatirapo zake. |
| Mapiritsi ogonetsa kapena opumulitsa minofu | Kugona tulo tochuluka komanso kupuma pang'onopang'ono kungachitike. |
| Mankhwala ena ochepetsa ululu kapena chifuwa a opioid | Mlingo wa opioid ukhoza kusonkhana mosafunikira m'thupi. |
Mndandandawu sunathe, choncho ndi bwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Zinthu zofunika kukumbukira mukamamwa mankhwalawa
- Samalani ndi ululu: Ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati muli ndi mtundu wina wa ululu, uzani dokotala wanu. Mukamwa mankhwalawo kwa nthawi yayitali, thupi lanu likhoza kukhala lotha kupirira mankhwalawo, ndipo mlingo womwe mudamwa kale sungakhale wokwanira kulamulira ululuwo. Izi ndi zachilendo. Ngati izi zitachitika, dokotala wanu adzasintha mlingo. Musasinthe mlingo nokha.
- Kudalira: Mutamwa mankhwalawa kwa nthawi yayitali, thupi lanu limatha kudalira mankhwalawa. Izi zikutanthauza kuti ngati mutasiya kumwa mankhwalawa mwadzidzidzi, mutha kukumana ndi zizindikiro zosiya kumwa. Izi ndizotheka. Chifukwa chake, mukafunika kusiya kumwa mankhwalawa, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
- Dziwani za Naloxone:Naloxone ndi mankhwala opulumutsa moyo omwe amaperekedwa pakagwa kumwa mankhwala osokoneza bongo a opioid. Ndikofunikira kudziwa zizindikiro za kumwa mankhwala osokoneza bongo (kupuma pang'onopang'ono, kugona tulo tofa nato, kulephera kudzuka). Uzaninso banja lanu za izi.
- Kuyendetsa ndi kugwiritsa ntchito makina: Mankhwalawa angachepetse chidwi chanu, luso lanu lopanga zisankho, komanso nthawi yochitirapo kanthu. Chifukwa chake , pewani kuyendetsa kapena kugwiritsa ntchito makina olemera mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Chizungulire: Mutha kumva chizungulire komanso kukomoka mutatha kumwa mankhwalawa. Kuti muchepetse izi, dzukani pang'onopang'ono kuchokera pamalo omwe mumakhala kapena kugona, osati mwadzidzidzi. Kumwa mowa kungapangitse kuti izi ziwonjezere.
- Kudzimbidwa: Kudzimbidwa ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Ngati simunachite chimbudzi kwa masiku atatu, lankhulani ndi dokotala wanu. Kumwa madzi ambiri ndi kudya zakudya zokhala ndi ulusi wambiri kungathandize.
- Pakamwa pouma: Ngati pakamwa panu pali pouma, kutafuna chingamu chopanda shuga ndi kumwa madzi kungathandize.
Zotsatira zoyipa zomwe zimawonedwa kawirikawiri
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kupuma pang'onopang'ono (kuvutika maganizo kwa CNS) | Kupuma pang'onopang'ono kapena pang'ono, kugona tulo tochuluka, kulephera kudzuka, komanso kutaya chidziwitso. |
| Kuchepa kwa ntchito ya adrenal | Kusanza, kusanza, kusowa chilakolako, kufooka kosazolowereka, chizungulire. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Chizungulire |
| Kugona tulo | Pakamwa pouma |
| Mutu | Kusanza ndi kusanza (Kusanza, Kusanza) |
Uthenga Wopita Nawo Kunyumba
- Hydromorphone ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pokhapokha pa ululu waukulu womwe sungathetsedwe ndi mankhwala ena ochepetsa ululu.
- Musanayambe kumwa mankhwalawa, onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Musamwe mowa mukamamwa mankhwalawa pazifukwa zilizonse. Komanso, samalani kwambiri mukamwa mankhwala ena omwe amayambitsa tulo.
- Dziwani zizindikiro za kumwa mopitirira muyeso (kugona tulo topitirira muyeso, kupuma pang'onopang'ono). Ngati mukukayikira izi, pitani kuchipatala chadzidzidzi (ETU) nthawi yomweyo.
- Sungani mankhwalawa pamalo otetezeka omwe ana ndi ziweto sangawafikire . Akhoza kupha ngati wina atawameza.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
- Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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