Kodi munayamba mwagwiritsapo ntchito (Meperidine Solution) pa ululu waukulu? Tiyeni tidziwe izi!

Ngati mukumva kupweteka kwambiri ndipo mankhwala ena ochepetsa ululu sakukuthandizani, dokotala wanu angakulangizeni mankhwala otchedwa ``Meperidine.`` Iyi ndi mankhwala amphamvu ochepetsa ululu. Chifukwa chake, ndikofunikira kudziwa bwino lomwe kuti mankhwalawa ndi otani. Kodi tikambirane mwatsatanetsatane za izi?

Kodi mankhwala awa ndi amtundu wanji (Meperidine)?

Mwachidule, `(Meperidine)` ndi mankhwala omwe amagwiritsidwa ntchito poletsa ululu waukulu. Nthawi zambiri amaperekedwa ngati mankhwala ena ochepetsa ululu sakugwira ntchito kwa inu, kapena ngati simungathe kuwalekerera. Mankhwalawa amagwira ntchito poletsa zizindikiro za ululu zomwe zimapita ku ubongo wanu. Ndi a gulu la mankhwala otchedwa `(Opioid)`. Mwina munamvapo za mankhwalawa pansi pa dzina la `(Demerol)`.

Mankhwalawa nthawi zina angagwiritsidwe ntchito pa matenda ena. Mutha kufunsa dokotala wanu kapena wamankhwala za izi.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Izi ndizofunikira kwambiri . Musanayambe kumwa mankhwalawa, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa izi:

• Ngati muli ndi chotupa cha muubongo .
• Ngati mumamwa mowa nthawi zonse .
• Ngati mwavulala mutu .
• Ngati muli ndi vuto la mtima (`(Matenda a mtima)`).
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• 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 muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo .
• Ngati mwagwiritsa ntchito mankhwala otchedwa `(MAOI)` (monga `(Marplan)`, `(Nardil)`, kapena `(Parnate)`) mkati mwa masiku 14 apitawa.
• Ngati muli ndi vuto la ziwengo chifukwa cha meperidine, mankhwala ena, zakudya, utoto wopangidwa, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Kumbukirani, kuuza dokotala zinthu ngati zimenezi ndi chitetezo chanu.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Izi zimabwera ngati madzi. Muyenera kumwa ndi pakamwa.

• Gwiritsani ntchito supuni kapena kapu yapadera yoyezera kuti muyese mankhwalawo. Ngati mulibe, funsani wamankhwala wanu kuti akupatseni imodzi. Simudzapeza muyeso wolondola ndi supuni wamba zapakhomo.
• Mlingo wa mankhwalawo uyenera kusungunuka mu theka la galasi la madzi musanamwe.
• Gwiritsani ntchito mankhwala monga momwe dokotala wanu wanenera (`(cholembedwa ndi dokotala)`).
• Imwani mankhwala anu panthawi yoyenera, nthawi yoyenera. Musamwe mankhwala ochulukirapo kuposa momwe mwalangizidwira.

Mukalandira mankhwala awa kuchokera ku pharmacy, mudzapatsidwa kabuku ka malangizo apadera (`(MedGuide)`). Muyenera kuwerenga mosamala nthawi iliyonse mukalandira mankhwala kapena `(kudzazanso)`.

Ngati mukupereka mankhwalawa kwa ana: Ngakhale kuti mankhwalawa angaperekedwe kwa ana nthawi zina, pali njira zina zodzitetezera. Chifukwa chake, kambiranani izi ndi gulu lanu lachipatala.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Chofunika kwambiri: Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.

Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa wotsatira. Musamwe mlingo umodzi nthawi imodzi.

Ndi zinthu zina ziti (`(Kuyanjana)`) zomwe zingagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Mankhwala ena angayambitse mavuto ngati atengedwa pamodzi ndi `(Meperidine).`

Musamwe Meperidine pamodzi ndi mankhwala awa:

• `(Linezolid)`
• `(MAOIs)` (monga `(Marplan)`, `(Nardil)`, `(Parnate)`)
• `(Methylene buluu)`
• `(Ritonavir)`
• `(Samidorphan)`
• `(Tedizolid)`

Komanso, `(Meperidine)` imatha kuyanjana ndi zinthu izi. Chifukwa chake, ngati mukugwiritsa ntchito izi, muyenera kuuza dokotala wanu:

• `(Acyclovir)`
• Mowa
• Mankhwala oletsa kuzizira, chifuwa, ndi chimfine
• `(Atropine)`
• Mitundu ina ya `(Maantibayotiki)` (monga `(Erythromycin)`, `(Clarithromycin)`, `(Rifampin)`)
• Mankhwala ena a ``(Antiviral)``` omwe amaperekedwa a ``(HIV)``` kapena chiwindi
• Mankhwala ena oletsa nkhawa kapena tulo
• Mankhwala a mavuto a chikhodzodzo (monga Oxybutynin, Tolterodine)
• Mankhwala ena ochizira kuvutika maganizo (monga Amitriptyline, Fluoxetine, Sertraline)
• Mankhwala ochizira matenda a bowa (monga Ketoconazole, Itraconazole, Posaconazole)
• Mankhwala ena a mutu waching'alang'ala (monga, `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`)
• Mankhwala ogwiritsidwa ntchito pa matenda a Parkinson (monga Benztropine, Trihexyphenidyl)
• Mankhwala a khunyu (monga `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`, `(Primidone)`)
• Mankhwala ochizira matenda am'mimba (monga `(Dicyclomine)`, `(Hyoscyamine)`)
• Mankhwala ochizira matenda oyenda (monga Scopolamine)
• `(Cimetidine)`
• `(Ma Diuretics)` (mankhwala ochotsa madzi m'thupi)
• Mankhwala oletsa ululu omwe amagwiritsidwa ntchito pa opaleshoni (monga, `(Halothane)`, `(Isoflurane)`, `(Methoxyflurane)`, `(Propofol)`)
• `(Ipratropium)`
• Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni
• Mankhwala ena ochepetsa ululu (mankhwala osokoneza bongo)
• Mankhwala omwe ali m'gulu la `(Phenothiazines)` (monga `(Chlorpromazine)`, `(Mesoridazine)`, `(Prochlorperazine)`, `(Thioridazine)`)

Mndandanda uwu mwina sungakhale wokwanira. Choncho, uzani dokotala wanu za mankhwala onse, zitsamba, mavitamini, ndi zowonjezera zakudya zomwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingasokoneze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

• Ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati muli ndi mitundu yatsopano ya ululu, uzani gulu lanu lazaumoyo.
• Mukagwiritsa ntchito mankhwalawa kwa nthawi yayitali, mutha kukhala ndi vuto lotha kupirira mankhwalawa . Izi zikutanthauza kuti mlingo wakale sukwanira kuletsa ululu wanu, ndipo mungafunike mlingo wokwera. Izi ndi zachilendo, makamaka mukamwa mankhwalawa kwa nthawi yayitali.
• Pali mitundu ingapo ya mankhwala ochepetsa ululu (omwe amadziwikanso kuti opioids). Ngati mumwa mitundu yoposa umodzi nthawi imodzi, mungakhale ndi zotsatirapo zambiri. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa. Adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Musamwe mopitirira muyeso womwe mwalangizidwa. Ngati mukuvutika kupuma, pitani kuchipatala mwamsanga.
• Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse vuto lalikulu. Izi zili choncho chifukwa thupi lanu lazolowera mankhwalawo. Izi sizikutanthauza kuti mwayamba kugwiritsa ntchito mankhwalawo. Kuledzera ndi khalidwe lomwe limaphatikizapo kupeza ndi kugwiritsa ntchito mankhwala pazifukwa zina zomwe si zachipatala. Ngati mukumva ululu, muli ndi chifukwa chachipatala chomwa mankhwala ochepetsa ululu. Dokotala wanu adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa. Ngati akufuna kusiya kumwa mankhwalawa, adzachepetsa pang'onopang'ono mlingo kuti achepetse zotsatirapo zake.
• Lankhulani ndi gulu lanu la zaumoyo za mankhwala `(Naloxone)` ndi momwe mungawapezere. `(Naloxone)` ndi chithandizo chadzidzidzi cha mankhwala owonjezera a `(opioid)`. Ngati mwamwa mankhwala ochulukirapo a `(opioid)`, kapena ngati mwamwa ndi zinthu zina monga mowa, mutha kukhala ndi `(overdose)`. Dziwani zizindikiro za `(overdose).` Mwachitsanzo, kuvutika kupuma, kutopa kosazolowereka kapena kugona tulo, kapena kulephera kuyankha kapena kudzuka. Uzani osamalira anu ndi anzanu apamtima komwe mankhwalawa ali komanso momwe angagwiritsire ntchito. Mukapereka `(Naloxone)`, muyenera kupeza thandizo lachipatala mwachangu nthawi yomweyo.Naloxone ndi mankhwala akanthawi kochepa. Nthawi zina pangafunike kumwa mankhwala mobwerezabwereza.
• Mungamve tulo kapena chizungulire . Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zitha kuchepetsa chizungulire ndi kukomoka. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho pewani kumwa mowa.
• Mankhwalawa angayambitse kudzimbidwa . Ngati simunatuluke m'mimba patatha masiku atatu, imbani gulu lanu la zaumoyo.
• Pakamwa panu pakhoza kukhala pouma . Mutha kuthetsa vutoli mwa kutafuna chingamu chopanda shuga, kuyamwa ginger, ndi kumwa madzi ambiri. Ngati vutoli likupitirira kapena litakula kwambiri, uzani dokotala wanu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zina.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo — ziphuphu pakhungu, kuyabwa, ziphuphu (madontho ofiira akuluakulu), kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• (CNS depression ) — Kupuma pang'onopang'ono kapena pang'ono, kupuma movutikira, kukomoka, chizungulire, chisokonezo, kuvutika kukhala maso.
• (Kuchepa kwa ntchito ya adrenal gland ) — nseru, kusanza, kusowa chilakolako, kufooka kapena kutopa kosazolowereka, chizungulire.
• (Kuthamanga kwa magazi kotsika ) — Chizungulire, kukomoka kapena mutu wopepuka, kusawona bwino.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

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

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti mudziwe zambiri za zotsatirapo zake.

Kodi ndiyenera kusunga bwanji mankhwalawa?

• Sungani pamalo omwe ana sangafikire.
• Mankhwalawa angagwiritsidwe ntchito molakwika (molakwika). Choncho, sungani pamalo otetezeka kuti muwateteze ku kuba.
• Musagawire mankhwala awa ndi wina aliyense. Kugulitsa kapena kupereka mankhwala awa kwa ena n'koopsa komanso kotsutsana ndi lamulo.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit). Sungani botolo/chidebecho chitatsekedwa bwino.
• Mankhwalawa akhoza kuvulaza kapena kupha akuluakulu ena, ana, kapena ziweto ngati atamwa. Tayani mankhwala osagwiritsidwa ntchito pamalo ovomerezeka otayira.Funsani akuluakulu a boma lanu kuti mupeze malo otere. Ngati palibe njira yotereyi yotayira zinthu, ichotseni m'chimbudzi (iyi ndi malangizo apadera, koma muyenera kuganiziranso za chilengedwe).
• Musagwiritse ntchito mankhwala otha ntchito (`(tsiku lotha ntchito)`).

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano takambirana zambiri za `(Meperidine)`. Mwachidule:

• Uwu ndi mtundu wa mankhwala a opioid omwe amagwiritsidwa ntchito pochiza ululu waukulu.
• Uzani dokotala wanu zonse zokhudza thanzi lanu musanagwiritse ntchito izi.
• Imwani mlingo wolembedwa, monga mwalembedwera. Musamwe mopitirira muyeso, ndipo musasiye mwadzidzidzi.
• Ikhoza kuyanjana ndi mankhwala ena, choncho uzani dokotala wanu za mankhwala onse omwe mumamwa.
• Zotsatirapo zina monga kugona tulo ndi kudzimbidwa zingachitike. Ngati mukukumana ndi vuto lalikulu, monga kuvutika kupuma, pitani kuchipatala nthawi yomweyo.
• Sungani mankhwalawo pamalo otetezeka omwe ana sangawafikire.

Tikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso aliwonse, musazengereze kufunsa dokotala wanu kapena wamankhwala. Alipo kuti akuthandizeni.

Meperidine , Demerol, Opioid, Wochepetsa ululu, Ululu, Zotsatirapo Zake, Mankhwala, Thanzi