Nthawi zina ululu umene timakumana nawo ukhoza kukhala woopsa kwambiri moti sungathetsedwe ndi mankhwala wamba ochepetsa ululu. Taganizirani za ululu umene umabwera pambuyo pa opaleshoni yaikulu, kapena ululu umene umabwera pambuyo pa ngozi yaikulu. Muzochitika zotere, pamene mankhwala ena ochepetsa ululu sakugwira ntchito kapena thupi silingathe kupirira, Meperidine ndi mankhwala apadera ochepetsa ululu omwe madokotala amalangiza. Kotero lero, tiyeni tikambirane za mapiritsi a Meperidine awa.
Kodi Meperidine ndi chiyani?
Mwachidule, Meperidine ndi mankhwala amphamvu kwambiri ochepetsa ululu . Ndi ya gulu la mankhwala otchedwa opioids . Chomwe imachita ndichakuti thupi lathu likakumana ndi ululu, limatseka zizindikiro za ululu kuti zisafike ku ubongo. Zili ngati kudula kwakanthawi 'kugwirizana' kwa ubongo ndi ululu, kuchepetsa kumva ululu.
Chofunika kwambiri ndichakuti iyi si mankhwala ochizira mutu wamba kapena kupweteka kwa msana. Ndi mankhwala omwe amaperekedwa kokha pa ululu waukulu, ndipo pokhapokha ngati pali chifukwa chapadera, malinga ndi malangizo a dokotala.
Mankhwalawa nthawi zina angalembedwe ndi mayina ena, choncho ngati simukudziwa bwino za mankhwala omwe mukupatsidwa, nthawi zonse funsani dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Popeza meperidine ndi mankhwala amphamvu kwambiri, ndikofunikira kuti dokotala wanu adziwe bwino za matenda anu. Ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa:
- Ngati muli ndi chotupa cha muubongo kapena mutu wanu wavulala kwambiri.
- Ngati ndinu chidakwa kwambiri kapena muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.
- Ngati muli ndi matenda a impso kapena chiwindi .
- Ngati muli ndi matenda a mtima .
- Ngati muli ndi mphumu , matenda a m'mapapo, kapena mavuto ena opuma .
- Ngati muli ndi khunyu .
- Ngati muli ndi vuto la m'mimba kapena m'matumbo.
- Ngati mwamwa mankhwala a MAOI monga Marplan, Nardil, kapena Parnate m'masiku 14 apitawa , izi ndizofunikira kwambiri.
- Ngati muli ndi vuto la ziwengo chifukwa cha meperidine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa .
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala popanda kubisa zinthu izi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu nthawi yomweyo mukamagwiritsa ntchito mankhwalawa.
- Imwani piritsi ili ndi kapu ya madzi.
- Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala molondola.
- Imwani mlingo wokhawo womwe dokotala wanu wakupatsani. Musamwe mankhwala opitirira muyeso womwe wakupatsani.
- Ngati mukugwiritsa ntchito mankhwalawa kwa ana, lankhulani ndi dokotala wanu za izi ndipo dziwani njira zina zodzitetezera.
Chochita ngati mwamwa mankhwala ochulukirapo? (Kupitirira muyeso)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, muyenera kuchitapo kanthu nthawi yomweyo. Izi ndi zadzidzidzi.
Imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi mwamsanga.
Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?
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 mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi Meperidine
Meperidine imatha kuyanjana ndi mankhwala ena ambiri, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Musamwe Meperidine pamodzi ndi mankhwalawa! (Pewani Kotheratu) | |
|---|---|
| |
| Gwiritsani ntchito mosamala ngati mutenga Meperidine pamodzi ndi mankhwalawa. | |
| Gulu la mankhwala | Zitsanzo |
| Mowa | Mitundu yonse ya mowa |
| Mankhwala a chimfine/chifuwa/a ziwengo (Antihistamines) | Mankhwala monga Piriton, Cetirizine |
| Mankhwala ochizira kuvutika maganizo, nkhawa, kapena tulo | Mankhwala monga Amitriptyline, Fluoxetine, Sertraline, ndi Diazepam |
| Mankhwala ena ochepetsa ululu a opioid | Tramadol, Morphine |
| Mankhwala oletsa bowa, maantibayotiki, mankhwala a HIV/Hepatitis | Ketoconazole, Erythromycin, Rifampin |
| Mankhwala a khunyu | Carbamazepine, Phenytoin |
Mndandandawu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Ululu ndi kulekerera
Uzani dokotala wanu ngati ululu wanu sutha, ngati ukukulirakulira, kapena ngati muli ndi mtundu watsopano wa ululu. Mukamwa mankhwalawa kwa nthawi yayitali, thupi lanu limatha kuzolowera. Izi zimatchedwa kulolera . Izi zikutanthauza kuti mlingo womwe mudamwa kale sukwanira kuletsa ululu, ndipo mukufunika mlingo wokwera. Izi ndi zachilendo.
Kuledzera ndi Kudalira
Izi ndi zinthu ziwiri. Ndizachibadwa kuti thupi lizolowere mankhwala monga Meperidine (kudalira). Sizitanthauza kuti ndinu woledzera. Kuledzera ndi kugwiritsa ntchito mankhwala pazifukwa zamaganizo, popanda chifukwa chachipatala. Ngati mukumwa mankhwala chifukwa chakuti mukumva ululu, chimenecho ndi chifukwa chachipatala. Choncho musachite mantha ndi izi.
Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse zizindikiro zoopsa zosiya kumwa mankhwalawo. Ngati dokotala wanu akufuna kuti musiye kumwa mankhwalawo, iye adzachepetsa pang'onopang'ono mlingowo ndikukuwonetsani momwe mungasiyire kumwa mankhwalawo mosamala.
Naloxone, mankhwala ochizira matenda opitirira muyeso
Kumwa mankhwala ochulukirapo a opioid monga meperidine kungakhale koopsa. Zizindikiro zake ndi monga kupuma pang'onopang'ono, kugona tulo tofa nato, komanso kutaya chikumbumtima. Naloxone ndi mankhwala omwe amagwiritsidwa ntchito ngati chithandizo chadzidzidzi cha mtundu uwu wa opioid overdose. Ngati mukumwa mankhwalawa, lankhulani ndi dokotala wanu za Naloxone ndi momwe mungamwere. Ndikofunikira kuti achibale anu adziwe izi.
Mfundo zina zofunika
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona komanso chizungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Mowa: Pewani kumwa mowa kotheratu mukamamwa mankhwalawa. Kuphatikiza mankhwalawa ndi mowa kungayambitse zotsatirapo zoopsa.
- Kudzimbidwa: Kudzimbidwa kumachitika kawirikawiri mwa anthu omwe akumwa mankhwalawa. Imwani madzi ambiri ndipo idyani zakudya zokhala ndi ulusi wambiri. Ngati simunatuluke m'mimba patatha masiku atatu, lankhulani ndi dokotala wanu.
- Pakamwa pouma: Ngati pakamwa panu pali pouma, kutafuna chingamu chopanda shuga, kuyamwa maswiti opanda shuga, kapena kumwa madzi kungathandize.
Kodi zotsatirapo zake zingakhale zotani?
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Zotsatira zoyipa | Makhalidwe |
| 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 tulo tochuluka, kuvutika kukhala maso. |
| Kuchepa kwa ntchito ya gland ya adrenal | Kusanza, kusanza, kusowa chilakolako, kufooka kosazolowereka, chizungulire. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Zotsatirapo zomwe zimapezeka kawirikawiri, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Chizungulire |
| Kugona tulo | Pakamwa pouma |
| Mutu | Kusanza ndi kusanza |
Kodi mungateteze bwanji mankhwala?
Izi ndizofunikira kwambiri. Sungani mankhwalawa kutali ndi ana ndi ziweto. Mankhwalawa akhoza kupha ngati agwiritsidwa ntchito molakwika.
- Sungani mankhwala anu pamalo otetezeka kuti muwateteze ku kuba .
- Musagawire mankhwala awa ndi wina aliyense pazifukwa zilizonse. Kuchita izi n’kuphwanya lamulo ndipo n’koopsa kwambiri.
- Sungani mufiriji pamalo otentha (pakati pa madigiri 15-30 Celsius).
- Tayani mankhwala osagwiritsidwa ntchito moyenera. Mutha kufunsa dokotala wanu kuti akupatseni upangiri pankhaniyi. Ngati palibe njira yowatayira, muwatsukire kuchimbudzi.
Uthenga Wopita Nawo Kunyumba
- Meperidine ndi mankhwala amphamvu kwambiri a opioid omwe amaperekedwa ndi dokotala pokhapokha ngati pali ululu waukulu pamene mankhwala ena ochepetsa ululu alephera.
- Musanamwe mankhwalawa, dziwitsani dokotala wanu zonse zokhudza mankhwala onse omwe mukumwa komanso matenda anu onse.
- Sungani mankhwalawa pamalo otetezeka omwe ana sangawafikire. Musagawane ndi ena.
- Ngati mukukumana ndi zotsatirapo zoopsa, monga kuvutika kupuma kapena kugona tulo tofa nato, pitani kuchipatala mwamsanga.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
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