Kodi dokotala wanu wakupatsani mankhwala a morphine kwa inu kapena munthu wina m'banja mwanu chifukwa cha ululu waukulu? Popeza ndi mankhwala amphamvu ochepetsa ululu, mungakhale ndi mafunso ambiri okhudza mankhwalawa. "Kodi ndi owopsa kugwiritsa ntchito?", "Kodi zotsatira zake ndi ziti?", "Ndiyenera kudziwa chiyani ndikamwa?" Mungakhalenso ndi mafunso ngati awa. Musadandaule. Tikambirana zonsezi momveka bwino komanso momveka bwino lero.
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Kodi Morphine iyi ndi chiyani?
Mwachidule, morphine ndi mankhwala amphamvu ochepetsa ululu omwe madokotala amapereka kuti achepetse ululu waukulu . Amagwiritsidwa ntchito pamene ululu sungathetsedwe ndi mankhwala ochepetsa ululu wamba, kapena pamene thupi silingathe kupirira mankhwalawo.
Mankhwalawa ndi a gulu la mankhwala otchedwa opioid. Mankhwalawa amagwira ntchito poletsa kutumiza kwa zizindikiro za ululu ku ubongo wathu. Chifukwa chake, ngakhale ululuwo utakhala woopsa bwanji, sitimva bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kugwiritsa ntchito morphine, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Kuvulala mutu, zotupa muubongo | Morphine imatha kuwonjezera kuthamanga kwa magazi mu ubongo. |
| Mphumu, matenda a m'mapapo, kapena kupuma movutikira | Mankhwalawa akhoza kukhala oopsa chifukwa amatha kuchepetsa kupuma. |
| Matenda a impso kapena chiwindi | Njira yochotsera mankhwala m'thupi ingakhudzidwe. |
| Kumwa mankhwala osokoneza bongo kapena mowa | Ichinso ndi mankhwala omwe ali ndi chiopsezo cha kuledzera, kotero chisamaliro chapadera chikufunika. |
| Matenda a kapamba kapena ndulu | Zinthu zimenezi zimatha kukhala zovuta kwambiri. |
| Kugwidwa ndi khunyu kapena kugwedezeka | Chiwopsezo cha khunyu chingachuluke. |
| Kumwa mankhwala a MAOI m'masiku 14 apitawa | Izi zingayambitse zotsatira zoopsa kwambiri komanso zoopsa. |
| Ali ndi pakati, akuyesera kutenga pakati, kapena akuyamwitsa | Popeza mankhwalawa amatha kukhudza mwana, upangiri wa dokotala ndi wofunikira. |
| Matenda a chifuwa cha mankhwala ena kapena chakudya | Dziwani kuti mwina mungakhale ndi vuto la morphine. |
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Ndikofunikira kwambiri kutsatira njira yeniyeni yogwiritsira ntchito izi.
- Imwani mlingo wokhawo womwe dokotala wanu wakupatsani: Musamwe mankhwala ochulukirapo kuposa momwe dokotala wakuuzani.
- Muyeso woyenera: Popeza mankhwalawa amabwera ngati madzi, gwiritsani ntchito supuni kapena kapu yapadera kuti muyese. Musayese ndi supuni zapakhomo, chifukwa sizolondola.
- Imwani panthawi yoyenera: Imwani mankhwalawo nthawi yoyenera, maola angapo aliwonse, monga momwe dokotala wanu wanenera.
- Ngati mukumva kupweteka m'mimba: Ngati mukumva kupweteka mutatha kumwa mankhwala, imwani pamodzi ndi chakudya kapena kapu ya mkaka.
- Pewani kusiya mwadzidzidzi: Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zotsatirapo zoyipa (zizindikiro zosiya kumwa mankhwala).
Chofunika kwambiri: Mankhwalawa aperekedwa kwa inu nokha.Musagawire mankhwala awa ndi wina aliyense. Ndi osaloledwa komanso owopsa kwambiri.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, chitanipo kanthu nthawi yomweyo. Izi zitha kukhala zoopsa pa moyo.
1. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital .
2. Nthawi yomweyo, pitani ndi wodwalayo ku Chipatala Chothandizira Padzidzidzi (ETU) cha chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Ndikofunikira kuuza dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala azitsamba omwe mukumwa, chifukwa mankhwala ena amatha kuyanjana ndi morphine ndikuyambitsa matenda oopsa.
| Mankhwala omwe sayenera kumwedwa ndi morphine | |
|---|---|
| |
| Mankhwala omwe angagwirizane ndi morphine ndipo ayenera kufotokozedwa kwa dokotala | |
| Mtundu wa mankhwala | Zitsanzo |
| Mowa | Mtundu uliwonse wa mowa. |
| Mankhwala ena a chimfine ndi chifuwa (Antihistamines) | Mankhwala omwe amayambitsa kugona, monga Piriton. |
| Mankhwala a matenda amisala (Kuvutika maganizo, Nkhawa) | Mankhwala monga Amitriptyline, Fluoxetine, Sertraline. |
| Mankhwala oletsa kusowa tulo | Mankhwala monga diazepam. |
| Mankhwala ena amphamvu ochepetsa ululu kapena chifuwa | Mankhwala monga Tramadol ndi Codeine. |
*Mndandanda uwu sunathe. Uzani dokotala wanu za mankhwala onse omwe mukumwa.*
Samalani ndi zinthu izi mukamamwa mankhwala.
Kusiyana pakati pa kulekerera ndi kuledzera
Chimodzi mwa mantha omwe anthu ambiri ali nawo ndi chakuti adzakhala okonda mankhwala amtunduwu. Tiyenera kumvetsetsa zinthu ziwiri apa.
1. Kulekerera: Mukamwa morphine kwa nthawi yayitali, mlingo wakale sungakhale wokwanira kuchepetsa ululu. Izi zikutanthauza kuti mlingo wokwera pang'ono umafunika kuti muchepetse ululu. Izi ndi zachilendo . Izi si chizolowezi.
2. Kuledzera: Kuledzera ndi chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo kuti musangalale ndi maganizo popanda chifukwa chachipatala. Ngati mukumwa mankhwalawa chifukwa cha ululu mukalandira upangiri wa dokotala, si chizolowezi.
Dziwani za Naloxone
Naloxone ndi mankhwala opulumutsa moyo omwe angathandize kusintha kuchuluka kwa mankhwala a opioid, monga morphine. Kuchuluka kwa mankhwala kumatha kuchitika mukamwa mankhwala ochulukirapo kapena mukamwa ndi mowa. Zizindikiro za kumwa mankhwala ochulukirapo zimaphatikizapo kupuma pang'onopang'ono, kugona kwambiri, komanso kulephera kudzuka ngakhale mutalankhula . Lankhulani ndi dokotala wanu za izi komanso momwe mungapezere ndikugwiritsa ntchito Naloxone ngati pakufunika kutero.
Mfundo zina zofunika
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina pamene mukumwa mankhwalawa.
- Mowa: Pewani kumwa mowa wonse mukamamwa morphine. Zingakhale ndi zotsatirapo zoopsa kwambiri.
- Kudzimbidwa: Kudzimbidwa ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Choncho imwani madzi ambiri ndipo idyani zakudya zambiri zokhala ndi ulusi wambiri (zipatso, ndiwo zamasamba).Ngati mukuvutika kuchita chimbudzi kwa masiku opitilira atatu, uzani dokotala wanu.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena ETU nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kuvutika kupuma (CNS Depression) | Kupuma pang'onopang'ono kwambiri, kuvutika kupuma, kugona kwambiri, kulephera kudzuka. |
| Kuchepetsa kuthamanga kwa magazi | Chizungulire, kusawona bwino, kukomoka. |
| Zotsatirapo zomwe zingachitike nthawi zambiri, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kudzimbidwa | Tsatirani njira zomwe zatchulidwa pamwambapa. |
| Chizungulire, kugona | Zingachepe thupi likayamba kuzolowera mankhwala. |
| Kusanza, kusanza | Zingathe kuchepetsedwa mwa kumwa mankhwala pamodzi ndi chakudya. |
| Pakamwa pouma | Kutafuna chingamu chopanda shuga ndi madzi akumwa kungathandize. |
Kodi mungasunge bwanji mankhwala otetezeka?
- Sungani kutali ndi ana ndi ziweto: Mankhwalawa akhoza kupha ngati atalowa m'manja mwa mwana kapena chiweto.
- Ikani pamalo otetezeka: Kuti muiteteze ku kuba, isungeni pamalo otetezeka pomwe palibe amene angapeze mosavuta.
- Mankhwala Otsala: Ngati muli ndi mankhwala otsala, atayeni bwino. Ngati sizingatheke, muwatsukire kuchimbudzi. Musagwiritse ntchito mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Morphine ndi mankhwala amphamvu ochepetsa ululu omwe ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuwayang'anira.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda anu onse.
- Musagawire mankhwala awa ndi ena. Ndi owopsa kwambiri.
- Dziwani zizindikiro za kumwa mankhwala mopitirira muyeso (kugona kwambiri, kupuma movutikira) ndipo pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) nthawi yomweyo.
- Pewani kusiya kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Nthawi zonse sungani mankhwalawo pamalo otetezeka omwe ana ndi ziweto sangafikire.
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