Mwina mukuvutika ndi ululu wosapiririka komanso wokhalitsa. Mwina dokotala wanu wakupatsani mankhwala ena ambiri ochepetsa ululu, ndipo palibe amene wakuthandizani kwenikweni. Pamenepo ndi pamene dokotala angakulembereni mankhwala otchedwa morphine. Ndi mankhwala amphamvu ochepetsa ululu. Choncho lero, tiyeni tikambirane za mankhwalawa, momwe amagwiritsidwira ntchito, komanso zomwe angachite.
Kodi morphine imeneyi yotulutsidwa nthawi zonse ndi chiyani?
Mwachidule, morphine ndi mankhwala apadera omwe amagwiritsidwa ntchito poletsa ululu waukulu komanso wosatha. Ndi a gulu la mankhwala amphamvu ochepetsa ululu otchedwa opioids. Mankhwalawa amagwira ntchito poletsa zizindikiro za ululu kuti zisafike ku ubongo. Izi zimachepetsa ululu womwe timamva.
Mwina mwazindikira kuti dzina la mankhwalawa limati 'Sustainable-Release'. Izi zikutanthauza kuti mukatenga mankhwalawa, mankhwalawa amatuluka pang'onopang'ono m'thupi ndipo amakhalapo kwa maola angapo, zomwe zikutanthauza kuti amagwira ntchito kwa nthawi yayitali . Chifukwa chake, amagwiritsidwa ntchito pa ululu wa nthawi yayitali, osati ululu wadzidzidzi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Muyenera kuuza dokotala wanu makamaka ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
- Ngati muli ndi chotupa cha muubongo
- Ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa kapena mwakhala mukuledzera
- Ngati mwavulala mutu kwambiri
- Ngati muli ndi matenda a mtima
- Ngati mumamwa mowa nthawi zonse
- Ngati ma adrenal glands sagwira ntchito mokwanira
- Ngati muli ndi matenda a m'mapapo, mphumu, kapena mavuto ena opuma
- Ngati muli ndi khunyu
- Ngati muli ndi vuto la m'mimba kapena m'matumbo
- Ngati mwamwa mankhwala oletsa kuvutika maganizo a MAOI (monga Carbex, Eldepryl, Marplan, Nardil, Parnate) m'masiku 14 apitawa
- Ngati muli ndi vuto la ziwengo chifukwa cha morphine kapena mankhwala ena aliwonse, chakudya, kapena utoto wopangidwa.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa
Ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kunena zinthu izi popanda kuzibisa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Popeza mankhwalawa ndi amphamvu, ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera, monga momwe dokotala wanenera.
- Mezani kapisozi yonseyi ndi galasi la madzi.
- Musamaswe, kuphwanya, kapena kutafuna kapisozi. Kuchita zimenezi kungapangitse thupi kuyamwa mankhwala onse omwe limafunikira kwa nthawi yayitali, zomwe zingachititse kuti munthu agwiritse ntchito mankhwala mopitirira muyeso.
- Ngati mankhwalawo akuoneka ovuta kuwameza, imwani pamodzi ndi chakudya kapena kapu ya mkaka.
- Ngati mukuvutika kumeza kapisozi, tsegulani kapisozi mosamala ndikuyika njere zazing'ono mkati, pamodzi ndi applesauce yozizira . Kenako mezani applesauce popanda kutafuna . Musasunge mpaka nthawi ina. Musasiye kapisozi mkamwa mwanu. Mukameza, tsukani pakamwa panu ndi madzi ndikumeza madziwo.
- Yesani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Musamwe mankhwala ochulukirapo kuposa mlingo womwe dokotala wanu wakuuzani.
Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense.
Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwala ena angayambitse zotsatira zoopsa akamwedwa ndi morphine, choncho ndikofunikira kuuza dokotala wanu za mankhwala ena onse omwe mukumwa.
| Mankhwala omwe sayenera kumwedwa ndi morphine | |
|---|---|
| Linezolid | Buluu wa Methylene |
| MAOIs (monga Marplan, Nardil, Parnate) | Samidorphan |
Kuphatikiza apo, morphine imatha kuyanjana ndi izi:
- Mowa
- Mankhwala a ziwengo, chifuwa ndi chimfine (Antihistamines)
- Mankhwala oletsa nkhawa kapena kugona
- Mankhwala ena ochizira kuvutika maganizo (monga amitriptyline, fluoxetine)
- Mankhwala ena a mutu waching'alang'ala
- Mankhwala ena ochizira kusanza
- Zopumulitsa minofu
- Mankhwala ena amphamvu ochepetsa ululu kapena chifuwa
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mankhwala oletsa ululu
Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe) , komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Samalani ndi ululu: Ngati ululu wanu sutha mutamwa mankhwala, ngati ukukulirakulira, kapena ngati muli ndi mtundu wina wa ululu, uzani dokotala wanu. Pakapita nthawi, mlingo womwe munkamwa sungakhale wokwanira kulamulira ululu wanu. Izi zimatchedwa kukhala ndi kulekerera. Izi ndi zachilendo.
- Kusiyana pakati pa chizolowezi ndi chizolowezi: Mukapitiriza kumwa mankhwalawa, thupi lanu limazolowera. Izi sizikutanthauza kuti mwayamba kumwa mankhwalawa. chizolowezi ndi kumwa mankhwalawo ndi cholinga choledzera popanda chifukwa chachipatala. Muli ndi chifukwa chachipatala chomwa mankhwalawa chifukwa mukumva kupweteka.
- Musasiye kumwa mankhwala mwadzidzidzi: Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zizindikiro zosiya kumwa mankhwala. Ngati mukufuna kusiya kumwa mankhwala, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
- Dziwani za Naloxone: Iyi ndi mankhwala opulumutsa moyo omwe amaperekedwa pakagwa kumwa mankhwala ochulukirapo a opioid. Lankhulani ndi dokotala wanu za momwe mungawapezere. Dziwani zizindikiro za kumwa mankhwala mopitirira muyeso (kuvutika kupuma, kugona tulo tofa nato, kutaya chidziwitso). Dziwitsani banja lanu za izi ndipo muwauze komwe mankhwalawa ali komanso momwe angagwiritsire ntchito. Ngakhale mutapereka Naloxone, kupita kuchipatala nthawi yomweyo ndikofunikira.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Ngati ndinu okalamba, musadzuke kapena kukhala pansi mwadzidzidzi.
- Kudzimbidwa: Kudzimbidwa ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa. Ngati simunachite chimbudzi kwa masiku atatu, uzani dokotala wanu.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| 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, kusokonezeka. |
| Kuchepa kwa ntchito ya adrenal | Kusanza, kusanza, kusowa chilakolako, kufooka kosazolowereka, chizungulire. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kusawona bwino, kukomoka. |
| Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kunenedwa ngati zikupitirira) | |
| Kudzimbidwa | Chizungulire, kugona tulo, pakamwa pouma, mutu, nseru, kusanza. |
Kodi mungateteze bwanji ndikuchotsa mankhwalawo?
- Sungani bwino, kutali ndi ana ndi ziweto. Uwu ndi mankhwala amphamvu kwambiri. Ukhoza kupha munthu wina, makamaka mwana, akaumwa.
- Tetezani mankhwala awa ku kuba .
- Tayani mankhwala omwe atha ntchito kapena omwe sanagwiritsidwe ntchito moyenera. Ngati izi sizingatheke, muwatsukire kuchimbudzi.
Uthenga Wopita Nawo Kunyumba
- Uwu ndi mankhwala amphamvu ochizira ululu waukulu komanso wa nthawi yayitali. Gwiritsani ntchito monga momwe dokotala wanu wanenera.
- Musaswe, kuphwanya, kapena kutafuna kapisozi. Mezani yonse.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, makamaka mowa.
- Pewani kuyendetsa galimoto chifukwa kungayambitse kugona.
- Dziwani zizindikiro za kumwa mankhwala mopitirira muyeso. Ngati mukukayikira kuti izi zachitika, pitani ku Emergency Treatment Unit (ETU) nthawi yomweyo.
- Sungani mankhwala pamalo otetezeka omwe ana ndi ziweto sangafikire.
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