Kodi inunso mukumva ululu waukulu? Tiyeni tikambirane za mankhwala ochepetsa ululu m'matumbo (Hydromorphone Suppositories)

Kodi mumakhala ndi ululu wosapiririka? Nthawi zina, mankhwala ochepetsa ululu wamba sangathandize. Pamenepo madokotala amaganiza zokupatsani mankhwala apaderawa. Mankhwalawa ndi amphamvu pang'ono, choncho ndikofunikira kudziwa bwino lomwe kuti ndi otani.

Kodi mankhwala awa ndi amtundu wanji? (Hydromorphone Suppositories)

Mwachidule, hydromorphone ndi mankhwala omwe amagwiritsidwa ntchito pochiza ululu waukulu . Nthawi zambiri amaperekedwa ngati mankhwala ena ochepetsa ululu sanagwire ntchito kwa inu, kapena ngati muli ndi vuto lomwe simungathe kuwagwiritsa ntchito. Mankhwalawa amagwira ntchito poletsa zizindikiro za ululu zomwe zimapita ku ubongo wanu. Ndi a gulu la mankhwala otchedwa opioids. Mankhwalawa nthawi zambiri amadziwika kuti amphamvu ochepetsa ululu. Mankhwalawa nthawi zina angagwiritsidwenso ntchito pa matenda ena. Chifukwa chake ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala. Dzina lodziwika bwino la mankhwalawa ndi Dilaudid.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?

Musanayambe kugwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Izi zili choncho chifukwa mankhwalawa sangakhale oyenera anthu omwe ali ndi matenda enaake kapena angafunike chisamaliro chapadera. Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwauza dokotala wanu :

• Ngati muli ndi chotupa cha muubongo .
• Ngati mumamwa mowa nthawi zonse.
• Ngati pali kuvulala mutu.
• Ngati muli ndi matenda a mtima .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi matenda a m'mapapo , mphumu , kapena mavuto opuma .
• Ngati muli ndi khunyu, monga khunyu .
• Ngati muli ndi vuto la m'mimba kapena m'matumbo .
• Kale anali chidakwa cha mankhwala osokoneza bongoNgati mwakhala mukugwiritsa ntchito mankhwala osokoneza bongo.
• Ngati mwamwa mankhwala a MAOI (monga Marplan, Nardil, Parnate) mkati mwa masiku 14 apitawa. Awa ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala .
• Ngati mwakhalapo ndi vuto lachilendo la hydromorphone, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala popanda kubisa izi!

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa ndi osiyana pang'ono. Ayenera kugwiritsidwa ntchito m'njira ya m'mimba yokha . Musamwe ndi pakamwa! Umu ndi momwe mungagwiritsire ntchito bwino: 1. Choyamba, sambani m'manja mwanu bwino ndi sopo ndi madzi . Muyeneranso kusamba m'manja mukatha kugwiritsa ntchito mankhwalawa. 2. Chotsani pepala lophimba pa suppository. 3. Kuti zikhale zosavuta kulowetsa mankhwalawo, nyowetsani nsonga ya mankhwalawo ndi madzi ozizira pang'ono . 4. Tsopano, gonani pansi ndi mwendo wanu wapansi wowongoka, mwendo wanu wapamwamba utawerama moyang'anizana ndi mimba yanu, ndikuwerama kumbuyo . Kunena zoona, gwirani kumanzere kapena kumanja, ndi mwendo wanu wapansi utatambasulidwa, ndipo mwendo wanu wapamwamba utawerama pa bondo ndi pafupi ndi mimba yanu. 5. Kwezani matako anu akumtunda pang'ono kuti muwonetsetse malo a m'mimba . 6. Tsopano, pang'onopang'ono ikani mapeto olunjika a piritsi lonse mu anus . Musakankhire mwamphamvu, kankhirani mkati pang'onopang'ono. 7. Mukayika piritsi, kanikizani matako anu pamodzi kwa masekondi angapo . 8. Dikirani kuti mankhwala atuluke, ndipo mugone pansi kwa mphindi pafupifupi 15 . Musadzuke panthawiyi. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wakuuzani kuti mumwe, kapena mobwerezabwereza kuposa momwe mwalangizidwira. Mukapatsidwa mankhwala awa, malo ogulitsa mankhwala adzakupatsani kabuku ka malangizo apadera (`MedGuide`) . Izi zidzaperekedwa pamodzi ndi mankhwala aliwonse, nthawi iliyonse mukalandira mankhwalawo. Nthawi zonse werengani zomwe zili mmenemo mosamala. Muli ndi zinthu zambiri zofunika kwa inu. Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wanu za iwo. Angafunike chisamaliro chapadera. Kupitirira muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo . Musazengereze! Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha . Musagawane ndi wina aliyense . Ndi oopsa.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Ngati mwaphonya mlingo, imwani mwamsanga momwe mungathere.Komabe, ngati nthawi yanu yotsatira yatsala pang'ono, dumphani mlingo womwe mwaphonya ndikumwa panthawi ina . Musamwe mlingo wowirikiza kawiri kapena wowonjezera . Ndiko kuti, musamwe mlingo umodzi nthawi imodzi.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Mankhwalawa, otchedwa ``hydromorphone,'' amatha kuyanjana ndi mankhwala ena omwe mukumwa. Izi zikutanthauza kuti akamwedwa pamodzi, amatha kukhala amphamvu kwambiri kapena kuyambitsa zotsatira zina zoyipa. Nazi zina zomwe mankhwalawa angagwirizane nazo:

• Mowa - Izi si zabwino konse. Musamwe mowa mukamamwa mankhwalawa.
• Mankhwala oletsa kutupa ndi mankhwala omwe amagwiritsidwa ntchito pochiza ziwengo, chifuwa, ndi chimfine.
• Mankhwala ena oletsa nkhawa angakuthandizeni kugona.
• Mankhwala ena ochizira kuvutika maganizo (monga amitriptyline, fluoxetine, sertraline).
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga phenobarbital, primidone).
• Mankhwala operekedwa kuti akupangitseni kukomoka musanachite opaleshoni (`General anesthesia` - mwachitsanzo `halothane`, `isoflurane`, `propofol`).
• Mankhwala oletsa ululu am'deralo (monga lidocaine, tetracaine).
• Mankhwala a mtundu wa `MAOI` (monga `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`).
• Mankhwala opumulira minofu ochitidwa opaleshoni.
• Mankhwala ena oletsa ululu kapena mankhwala oletsa chifuwa okhala ndi opioid.
• Mankhwala a phenothiazine (monga chlorpromazine, mesoridazine).

Mndandanda uwu mwina sungakhale wokwanira. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) . Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingasokoneze mankhwala anu.

Ndiyenera kusamala kwambiri ndi chiyani ndikamamwa mankhwalawa?

Ndikofunikira kusamala thupi lanu ndi momwe mumamvera mukamagwiritsa ntchito mankhwalawa.

• Ngati ululu sutha kapena ukuwonjezeka: Ngati ululu wanu sutha, kapena ngati ukuipiraipira kuposa kale, kapena ngati muli ndi mtundu wina wa ululu, uzani dokotala wanu nthawi yomweyo .
• Kulekerera: Mukagwiritsa ntchito mankhwalawa kwa nthawi yayitali, mlingo womwe munkamwa ukhoza kukhala wosakwanira kuchepetsa ululu wanu. Izi zikutanthauza kuti mungafunike mlingo wokwera pang'ono. Izi zimatchedwa kulekerera. Izi ndi zachilendo, makamaka mukamwa mankhwala amtunduwu kwa nthawi yayitali.
• Mitundu yosiyanasiyana ya opioids: Pali mitundu ingapo ya opioids yomwe imagwiritsidwa ntchito pochiza ululu. Ngati mumwa mitundu yoposa imodzi nthawi imodzi, mutha kukhala ndi zotsatirapo zina zambiri. Uzani dokotala wanu za mankhwala onse omwe mukumwa. Iye adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa.Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakupatsani. Ngati mukuvutika kupuma, funani chithandizo chadzidzidzi nthawi yomweyo.
• Musasiye kumwa mankhwala mwadzidzidzi: Ngati musiya kumwa mankhwalawa mwadzidzidzi, mungakhale ndi vuto lalikulu. Izi zili choncho chifukwa thupi lanu limazolowera mankhwalawo. Izi sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwalawo. Kuledzera ndi khalidwe lokhudzana ndi kugwiritsa ntchito mankhwala pazifukwa zina osati zachipatala. 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. Izi zichepetsa chiopsezo cha zotsatirapo zoyipa.
• Dziwani za Naloxone: Naloxone ndi mankhwala ochizira mwadzidzidzi omwe amaperekedwa ngati munthu wamwa mankhwala ochulukirapo a opioid. Ngati mumwa mankhwala ochulukirapo a opioid, kapena ngati mumwa mankhwala ochepetsa mphamvu ya opioid pamodzi ndi zinthu zina monga mowa, mungakhale ndi mankhwala owonjezera mphamvu ya opioid. Dziwani zizindikiro za kumwa mankhwala owonjezera mphamvu ya opioid (monga kupuma movutikira, kutopa kwambiri kapena kugona tulo, kusalabadira, kapena kulephera kudzuka). Uzani banja lanu ndi osamalira anu komwe kuli naloxone. Aphunzitseni momwe angagwiritsire ntchito. Mukamaliza kumwa naloxone, funani thandizo lachipatala mwamsanga . Naloxone ndi mankhwala akanthawi kochepa chabe. Ingafunike kuperekedwa mobwerezabwereza. Lankhulani ndi dokotala wanu za izi ndipo pezani naloxone ngati pakufunika kutero.
• Kugona kapena chizungulire: Mankhwalawa angakupangitseni kugona kapena chizungulire. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musaime kapena kukhala tsonga mwadzidzidzi , makamaka ngati ndinu okalamba. Kuchita zimenezi kungayambitse chizungulire ndipo kungakupangitseni kugwa.
• Mowa: Mowa ungasokoneze mphamvu ya mankhwalawa. Choncho, pewani kumwa mowa .
• Kudzimbidwa: Mankhwalawa angayambitse kudzimbidwa. Izi zimachitika kwa anthu ambiri. Ngati simunachite chimbudzi kwa masiku atatu, lankhulani ndi dokotala wanu. Imwani madzi ambiri ndipo idyani zakudya zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba).
• Pakamwa pouma: Pakamwa panu pakhoza kukhala pouma. Mutha kuthetsa vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa ginger, ndi kumwa madzi ambiri. Ngati vutoli likupitirira kapena likukulirakulira, uzani dokotala wanu .

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Zina mwa izo muyenera kuuza dokotala wanu nthawi yomweyo, pomwe zina muyenera kudikira pang'ono ndikumudziwitsa ngati zikupitirira.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Ngati izi zitachitika, zingakhale zadzidzidzi.
• Kusokonezeka kwa mitsempha yapakati ('CNS depression'): Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kumva kufooka, chizungulire, chisokonezo, kuvutika kukhala maso. Izi ndi zizindikiro zoopsa.
• Kuchepa kwa ntchito ya adrenal gland: Kusanza, kusanza, kusowa chilakolako, kufooka kapena kutopa kosazolowereka, chizungulire.
• Kuthamanga kwa magazi pang'ono: Chizungulire, kumva kufooka kapena mutu wopepuka, kusawona bwino.

Zotsatirapo zomwe nthawi zambiri sizifuna thandizo la dokotala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

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

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muli ndi mafunso okhudza zotsatirapo zoyipa, funsani dokotala wanu.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Iyi ndi mfundo yofunika kwambiri, chifukwa mankhwalawa akhoza kukhala oopsa ngati atapezeka m'manja olakwika.

• Sungani pamalo omwe ana ndi ziweto sangafikire. Izi ndizofunikira kwambiri.
• Mankhwalawa akhoza kugwiritsidwa ntchito molakwika , choncho sungani pamalo otetezeka kuti muwateteze ku kuba.
• Musagawire mankhwala awa ndi wina aliyense. Kugulitsa kapena kupereka mankhwala awa kwa wina aliyense n'koopsa komanso kotsutsana ndi lamulo.
• Sungani mankhwalawa mufiriji pamalo otentha pakati pa madigiri 2 ndi 8 Celsius (2 ndi 8 digiri C / 36 ndi 46 digiri F) . Musamaundane .
• Mankhwalawa akhoza kukhala oopsa kapena kupha ngati atengedwa ndi akuluakulu ena, ana, kapena ziweto. Tayani mankhwala osagwiritsidwa ntchito pamalo ovomerezeka otayira . Ngati simungapeze, funsani khonsolo yanu yapafupi. Ngati izi sizingatheke, muzimutsuka m'chimbudzi .
• Musagwiritse ntchito mankhwala omwe atha ntchito.

Kumbukirani, kabuku aka ndi chidule chabe. Sikangakhale ndi tsatanetsatane wonse. Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za `Hydromorphone Suppositories' izi, sichoncho? Kumbukirani, uwu ndi mankhwala apadera a ululu waukulu. Chifukwa chake, ndikofunikira kwambiri kuugwiritsa ntchito monga momwe dokotala wanenera, komanso kuchuluka kwa zomwe wanena.

• Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa .
• Ngati simukumvetsa momwe mungagwiritsire ntchito mankhwalawo moyenera , funsaninso.
• Dziwani zotsatirapo zake . Ngati muwona zizindikiro zilizonse zoopsa, uzani dokotala wanu nthawi yomweyo.
• Sungani mankhwalawa mosamala, kutali ndi ana ndi ena .
• Musamwe mankhwalawa pamodzi ndi mowa .
• Ngati muli ndi kukayikira kapena mafunso, musaope kufunsa dokotala wanu .

Tikukhulupirira kuti ululu wanu udzachira mwachangu!

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Hydromorphone , Suppositories, Mankhwala Ochepetsa Ululu, Opioids, Mankhwala Othandizira Kutupa, Dilaudid, Zotsatirapo Zake, Kusamalira Ululu