Zomwe muyenera kudziwa zokhudza mankhwala ophera morphine pa ululu waukulu

Nthawi zina timamva ululu waukulu womwe sungathetsedwe ndi mankhwala ochepetsa ululu wamba. Mwachitsanzo, pambuyo pa opaleshoni yayikulu, kapena chifukwa cha matenda monga khansa ... Muzochitika zotere, ngati simungathe kulekerera mankhwala ena ochepetsa ululu kapena ngati ululuwo sunathetsedwe ndi iwo, morphine ndi mankhwala amphamvu opha ululu omwe madokotala amalangiza. Lero tikambirana za momwe mungaperekere morphine iyi kudzera mu rectum, kutanthauza, ngati singano yaying'ono (suppository) yomwe imayikidwa mu rectum.

Mwachidule, kodi morphine iyi ndi chiyani?

Morphine ndi mankhwala amphamvu kwambiri ochepetsa ululu. Kunena zoona, ndi ya gulu la mankhwala otchedwa opioids . Imagwira ntchito poletsa zizindikiro za ululu ku ubongo wathu, kulamulira ululu womwe timamva. Nthawi zambiri imaperekedwa kokha pa ululu waukulu womwe sungalamulidwe ndi mankhwala ena aliwonse ochepetsa ululu. Mankhwalawa angagwiritsidwenso ntchito pa matenda ena. Ngati muli ndi mafunso okhudza izi, mutha kufunsa dokotala wanu.

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa

Musanakupatseni mankhwala a morphine, dokotala wanu ayenera kudziwa mbiri yanu yonse ya thanzi. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:

• Ngati muli ndi chotupa cha muubongo.
• Ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo kapena mankhwala ena kapena muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.
• Matenda a ndulu.
• Ngati pali kuvulala mutu.
• Matenda a mtima.
• Ngati mumamwa mowa nthawi zonse.
• Matenda a impso kapena chiwindi.
• Ngati adrenal gland sikugwira ntchito mokwanira.
• Matenda a m'mapapo, mphumu, kapena mavuto ena opuma.
• Matenda a kapamba.
• Kuvuta kumeza kapena kugwidwa ndi khunyu.
• Mavuto a m'mimba kapena m'mimba.
• Ngati mwamwa mankhwala oletsa kuvutika maganizo otchedwa MAOI (monga Marplan, Nardil, Parnate) m'masiku 14 apitawa.
• Matenda a chithokomiro.
• Kuvuta kukodza.
• Ngati muli ndi vuto la ziwengo chifukwa cha morphine kapena mankhwala ena, zakudya, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Ndikofunikira kwambiri kudziwa momwe mungagwiritsire ntchito izi moyenera.

1. Mankhwalawa ndi ogwiritsidwa ntchito m'matumbo okha . Musamwe pakamwa pazifukwa zilizonse.

2. Sambani m'manja mwanu bwino ndi sopo musanagwiritse ntchito komanso mutagwiritsa ntchito.

3. Chotsani chokulungira cha aluminiyamu chozungulira mankhwala.

4. Nyowetsani nsonga ya mankhwala ndi madzi wamba. Izi zipangitsa kuti zikhale zosavuta kuyika.

5. Gonani chammbali pabedi. Sungani mwendo wanu wakumunsi mowongoka ndipo pindani mwendo wanu wapamwamba moyang'anizana ndi mimba yanu.

6. Kwezani matako anu akumtunda pang'ono kuti muwonetse mphuno.

7. Ikani mankhwala pang'onopang'ono mpaka m'mimba, ndipo mbali yolunjika iyambe.

8. Kanikizani matako anu pamodzi kwa masekondi angapo.

9. Kenako, gonani pansi kwa mphindi pafupifupi 15. Izi ndi kuteteza mankhwalawo kuti asatulukenso.

10. Musagwiritse ntchito pafupipafupi kuposa momwe dokotala wanu wanenera.

Bwanji ngati mupereka izi kwa ana?

Pamafunika chisamaliro chapadera popereka mankhwalawa kwa ana, choncho onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli.

Kodi mungachite chiyani ngati mlingo ukuwonjezeka (kupitirira muyeso)?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musazengereze. Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi nanu . Izi zitha kukhala zoopsa.

Zinthu zoti muzisamala nazo mukamamwa mankhwalawa

• Ngati ululu wanu sutha: Ngati ululu wanu sutha, ukukulirakulira, kapena muli ndi mtundu wina wa ululu, uzani dokotala wanu. Pakapita nthawi, ululuwo sungathenso kutha ndi mlingo womwewo womwe unkagwira ntchito kale. Izi zimatchedwa kulolera. Izi ndi zachilendo ndipo si chizolowezi.
• Kuledzera ndi kusintha kwa thupi: Thupi lanu limazolowera mankhwala awa. Izi sizikutanthauza kuti mwakhala mukuledzera nawo. Kuledzera ndi kugwiritsa ntchito mankhwala kuti musangalale popanda chifukwa chachipatala. Ngati mukumva ululu, kumwa mankhwalawo ndi chinthu chofunikira kuchipatala. Musasiye kumwa mankhwala mwadzidzidzi. Kuchita zimenezi kungayambitse mavuto aakulu. Ngati dokotala akufuna kusiya kumwa mankhwalawo, adzachita zimenezi pochepetsa pang'onopang'ono mlingo.
• Naloxone:Uwu ndi mankhwala opulumutsa moyo omwe amaperekedwa pakagwa kumwa mankhwala owonjezera opioid. Funsani dokotala wanu za izi. Dziwani zizindikiro za kumwa mankhwala owonjezera (kuvutika kupuma, kugona tulo tofa nato, kulephera kudzuka).
• Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kudzuka kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba.
• Mowa: Musamwe mankhwalawa pamodzi ndi mowa. Angasinthe zotsatira za mankhwalawa ndikuyambitsa zotsatirapo zoopsa.
• Kudzimbidwa: Kudzimbidwa kumachitika kawirikawiri ndi mankhwalawa. Ngati simungathe kupita kuchimbudzi kwa masiku opitilira atatu, lankhulani ndi dokotala wanu.

Zotsatirapo Zotheka

Kodi mumasunga bwanji mankhwalawo?

Popeza mankhwalawa ndi amphamvu kwambiri, ndikofunikira kwambiri kuwasunga bwino.

• Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire. Mankhwalawa akhoza kupha ngati wina amwa, makamaka mwana.
• Ichi ndi mankhwala omwe angagwiritsidwe ntchito molakwika, choncho sungani pamalo pomwe angatetezedwe ku kuba.
• Musagawire mankhwala awa ndi wina aliyense. Kugulitsa kapena kupereka kwa wina ndi mlandu waukulu ndipo kungakhale koopsa kwambiri.
• Sungani kutentha kwa chipinda (pakati pa 15-25 Celsius). Musaziike mufiriji.
• Musachotse mankhwalawo m'maphukusi ake mpaka nthawi yoti mugwiritse ntchito itakwana.