Nthawi zina ululu umene timakumana nawo umakhala waukulu kwambiri moti ululu wamba sungathe kuuletsa, sichoncho? Pambuyo pa ngozi, pambuyo pa opaleshoni yayikulu, kapena chifukwa cha matenda monga khansa, ululu wamba sungakhale wokwanira. Apa ndi pamene dokotala wanu angakulembereni mankhwala amphamvu ochepetsa ululu monga Hydromorphone. Uwu ndi mankhwala apadera omwe ali m'gulu la mankhwala otchedwa Opioids. Chifukwa chake, lero tikambirana za mankhwalawa, mphamvu yake, zotsatira zake, komanso momwe angagwiritsire ntchito mosamala.
Kodi mankhwala awa otchedwa Hydromorphone ndi chiyani?
Mwachidule, Hydromorphone ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochepetsa ululu waukulu . Nthawi zambiri amaperekedwa ndi dokotala ngati mankhwala ena ochepetsa ululu sanathandize, kapena ngati simungathe kuwalekerera.
Imagwira ntchito poletsa zizindikiro za ululu ku ubongo wanu. Izi zikutanthauza kuti, imaletsa uthengawo kuyenda kuchokera ku gwero la ululu kupita ku ubongo wanu. Izi zimachepetsa kwambiri kuchuluka kwa ululu womwe mumamva. Ndi wa gulu la mankhwala otchedwa opioids . Ku Sri Lanka, ikhoza kupezeka pansi pa mayina ena.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Popeza hydromorphone ndi mankhwala amphamvu kwambiri, ndikofunikira kuti dokotala wanu adziwe zonse zokhudza matenda anu. Ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
| Matenda anu kapena chizolowezi chanu | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Chotupa cha muubongo kapena kuvulala mutu | Muzochitika zotere, zotsatira zoyipa za mankhwala zimatha kuwonjezeka. |
| Kumwa mowa pafupipafupi | Mankhwalawa akaphatikizidwa ndi mowa, zinthu zoopsa monga kupuma movutikira zimatha kuchitika. |
| Mapapo, mphumu, kapena kupuma movutikira | Popeza hydromorphone imachepetsa kupuma, ikhoza kukhala yoopsa kwa anthu omwe ali kale ndi mavuto opuma. |
| Matenda a chiwindi kapena impso | Popeza njira yochotsera poizoni m'thupi ndi yoipa, mankhwalawa amatha kusonkhana m'thupi ndikuwonjezera zotsatirapo zake. |
| Kugwidwa ndi khunyu | Mankhwalawa akhoza kuwonjezera chiopsezo cha khunyu. |
| Mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo | Iyi ndi mankhwala omwe ali ndi chiopsezo cha chizolowezi, choncho ndikofunikira kudziwitsa dokotala za izi. |
| Kumwa mankhwala a MAOI m'masiku 14 apitawa | MAOIs (monga Marplan, Nardil) ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala. Kumwa Hydromorphone ndi mankhwala awa kungayambitse mavuto aakulu. |
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Mankhwalawa angakhudze mwana m'mimba kapena kudzera mu mkaka wa m'mawere. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu nthawi yomweyo mukamagwiritsa ntchito mankhwalawa.
- Mezani piritsi ndi kapu ya madzi.
- Ngati mukumva kupweteka m'mimba, imwani mukadya kapena mutadya.
- Imwani mlingo wokhawo womwe dokotala wanu wakupatsani, panthawi yomwe mwapatsidwa. Musamwe mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
Chenjezo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi mwamsanga. Izi ndi zoopsa ndipo siziyenera kuonedwa mopepuka.
Ndipo kumbukirani, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Kodi ndingatani ngati ndaphonya nthawi yokumana ndi dokotala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Hydromorphone ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ndi mowa, choncho dziwani izi:
- Mowa
- Mankhwala a chimfine, chifuwa, ndi ziwengo (Antihistamines)
- Mankhwala oletsa nkhawa kapena kugona
- Mankhwala ena ochizira kuvutika maganizo (monga Amitriptyline, Fluoxetine)
- Mankhwala ena a khunyu (monga Phenobarbital)
- Mankhwala oletsa ululu
- Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni
- Mankhwala ena a opioid ochepetsa ululu kapena chifuwa
Mndandandawu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala achikhalidwe ndi mavitamini.
Ndiyenera kusamala ndi chiyani ndikamamwa mankhwalawo?
Ndikofunikira kwambiri kuyang'anitsitsa thupi lanu mukamamwa mankhwalawa.
Ululu ndi kulekerera
Ngati mlingo wa mankhwala omwe mwapatsidwa suchepetsa ululu wanu, kapena ngati ululu ukukulirakulira, uzani dokotala wanu. Mukamwa mankhwalawa kwa nthawi yayitali, thupi lanu limatha kuzolowera. Izi zimatchedwa kulolerana . Ndiye mlingo womwe mudamwa kale sungakhale wokwanira kuletsa ululu. Izi ndi zachilendo.
Chofunika kwambiri ndichakuti thupi lanu lizolowere mankhwala, osati chifukwa chakuti 'muli ndi vuto' la mankhwala. Kuledzera ndi kugwiritsa ntchito mankhwala pazifukwa zina osati chifukwa cha matenda. Ngati mukumva ululu, kumwa mankhwala chifukwa cha zimenezo ndi chinthu chofunikira kuchipatala.
Chizungulire, kugona tulo, ndi kudzimbidwa
Mankhwalawa angakupangitseni kugona kapena kumva chizungulire . Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukamachita zinthuzi, makamaka ngati ndinu okalamba, chifukwa mungamve chizungulire kapena kukomoka mukayimirira kapena kukhala pansi mofulumira kwambiri.
Mankhwalawa nthawi zambiri amayambitsa kudzimbidwa.Ngati simungathe kuchita chimbudzi kwa masiku atatu, lankhulani ndi dokotala wanu. Kungakhalenso kuuma pakamwa. Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Hydromorphone ingayambitse zotsatirapo zoyipa. Tiyeni tigawane m'magulu awiri.
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusokonezeka kwa mitsempha yapakati (CNS depression) | Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kugona kwambiri, kusokonezeka. |
| Kuchepa kwa ntchito ya adrenal | Kusanza, kusanza, kusowa chilakolako cha chakudya, kutopa kosazolowereka, chizungulire. |
| Kuthamanga kwa magazi kotsika | Chizungulire, maso abuluu, kumva kufooka. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Pakamwa pouma |
| Chizungulire | Mutu |
| Kugona tulo | Kusanza ndi kusanza (Kusanza, Kusanza) |
Kodi ndingasunge bwanji mankhwala anga kukhala otetezeka?
Iyi ndi nkhani yofunika kwambiri.
- Sungani chotseka bwino komanso chokhoma, pamalo omwe ana ndi ziweto sangafikire.
- Pali kuthekera kogwiritsa ntchito mankhwala awa molakwika, choncho tetezani kuti asabedwe.
- Kugulitsa mankhwala awa kapena kupereka kwa wina n’koopsa komanso kosaloledwa.
- Sungani kutentha kwa chipinda (15-30°C) kutali ndi kuwala.
- Tayani bwino mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito. Ngati n'kotheka, muwatsukire kuchimbudzi.
Uthenga Wopita Nawo Kunyumba
- Hydromorphone ndi mankhwala amphamvu omwe amaperekedwa ndi dokotala kokha pa ululu waukulu.
- Musanamwe mankhwala, uzani dokotala wanu za matenda anu onse ndi mankhwala ena onse omwe mukumwa.
- Musagawire mankhwala awa ndi ena. Ndi a inu nokha.
- Ngati mukukumana ndi zotsatirapo zoyipa, monga kuvutika kupuma, pitani kuchipatala nthawi yomweyo.
- Pewani kumwa mowa ndi kuyendetsa galimoto mukumwa mankhwalawa.
- Nthawi zonse sungani mankhwalawo pamalo otetezeka omwe ana ndi ziweto sangafikire.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
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