Ese wigeze ukoresha (Meperidine Solution) kugira ngo ugire ububabare bukabije? Reka tubimenye!

Iyo ubabara cyane kandi indi miti igabanya ububabare idafasha, muganga wawe ashobora kukugira inama yo kuguha umuti witwa "Meperidine." Uyu ni umuti ukomeye wo kugabanya ububabare. Rero, ni ngombwa kumenya neza uwo muti. Ese twabivugaho birambuye?

Ni ubuhe bwoko bw'umuti uyu `(Meperidine)`?

Mu magambo make, `(Meperidine)` ni umuti ukoreshwa mu kugabanya ububabare bukomeye. Akenshi utangwa iyo indi miti igabanya ububabare idakora kuri wewe, cyangwa niba udashobora kubyihanganira. Uyu muti ukora mu guhagarika ibimenyetso by'ububabare bijya mu bwonko bwawe. Ni uwo mu bwoko bw'imiti yitwa `(Opioid)`. Ushobora kuba warabyumvise ku izina rya `(Demerol)`.

Uyu muti rimwe na rimwe ushobora gukoreshwa ku zindi ndwara. Ushobora kubaza muganga wawe cyangwa umufarumasiye ibi.

Ni iki nabwira muganga mbere yo gukoresha uyu muti?

Ibi ni ingenzi cyane . Mbere yo gutangira gufata uyu muti, ugomba kubibwira muganga wawe niba ufite kimwe muri ibi bikurikira:

• Niba ufite ikibyimba cyo mu bwonko .
• Niba ukunda kunywa inzoga buri gihe .
• Niba waragize ikibazo mu mutwe .
• Niba ufite ikibazo cy'umutima (`(Indwara y'umutima)`).
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba ufite indwara y'ibihaha, asima, cyangwa ibibazo byo guhumeka .
• Niba ufite indwara yo gucika intege .
• Niba ufite ibibazo byo mu gifu cyangwa mu mara .
• Niba ufite ikibazo cyo gukoresha ibiyobyabwenge .
• Niba warakoresheje umuti witwa `(MAOI)` (urugero `(Marplan)`, `(Nardil)`, cyangwa `(Parnate)`) mu minsi 14 ishize.
• Niba ufite ikibazo cy'ubwivumbure kuri meperidine, indi miti, ibiryo, amarangi y'ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Wibuke ko kubwira muganga amakuru nk'ayo ari ukugira ngo ubone umutekano.

Uyu muti nkwiye kuwukoresha nte?

Ibi biza ari amazi. Ugomba kubinywa mu kanwa.

• Koresha ikiyiko cyangwa igikombe cyihariye cyo gupima kugira ngo upime umuti. Niba udafite, saba umufarumasiye wawe umwe. Ntabwo uzabona igipimo nyacyo ukoresheje ibiyiko bisanzwe byo mu rugo.
• Ingano y'umuti igomba gushonga mu kirahuri kimwe cya kabiri cy'amazi mbere yo kuwufata.
• Koresha umuti neza neza nk'uko muganga wawe yabigutegetse (`(icyapa cyanditswe na muganga)`).
• Fata umuti wawe mu gihe gikwiye, mu gihe gikwiye. Ntugafate imiti irenze iyo wategetswe.

Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye (`(MedGuide)`). Ugomba kuwusoma witonze igihe cyose ubonye umuti cyangwa `(wongera kuzuza)`.

Niba uha abana uyu muti: Nubwo uyu muti ushobora guhabwa abana mu bihe bimwe na bimwe, hari ingamba zidasanzwe zo kwirinda. Kubwibyo, ganira n'itsinda ry'abaganga bawe kuri ibi.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi bwihuse.

Icy'ingenzi kurushaho: Uyu muti ni uwawe gusa. Ntuwusangire n'undi muntu uwo ari we wese.

Bite ho ninsiba gahunda yo gufata imiti?

Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate ikurikira. Ntukigere ufata dose ebyiri icyarimwe.

Ni ibihe bintu bindi (`(Interactions)`) bishobora kugira ingaruka kuri uyu muti?

Iki nacyo ni ingenzi cyane. Imiti imwe ishobora guteza ibibazo iyo ifashwe hamwe na `(Meperidine).`

Ntugafate Meperidine hamwe n'iyi miti:

• `(Linezolide)`
• `(MAOIs)` (urugero: (Marplan) `,` (Nardil) `,` (Parnate) `)
• `(Ubururu bwa Methylene)`
• `(Ritonavir)`
• `(Samidorphan)`
• `(Tedizolid)`

Nanone, `(Meperidine)` ishobora kugira ingaruka kuri ibi bintu. Kubwibyo, niba urimo kubikoresha, ugomba kubimenyesha muganga wawe:

• `(Acyclovir)`
• Inzoga
• Antihistamines ku ndwara z'ubwivumbure, inkorora n'ibicurane
• `(Atropine)`
• Ubwoko bumwe na bumwe bwa `(Antibiyotike)` (urugero: `(Erythromycin)`, `(Clarithromycin)`, `(Rifampin)`)
• Imiti imwe n'imwe (igabanya ubukana bwa virusi itera SIDA) itangwa ku ndwara ya ``(VIH)`` cyangwa hepatite
• Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi
• Imiti ivura ibibazo by'inkari (urugero: Oxybutynin, Tolterodine)
• Imiti imwe n'imwe ivura indwara yo kwiheba (urugero: Amitriptyline, Fluoxetine, Sertraline)
• Imiti ivura indwara z'ibihumyo (urugero: Ketoconazole, Itraconazole, Posaconazole)
• Imiti imwe n'imwe ivura migraine (urugero, `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`)
• Imiti ikoreshwa mu kuvura indwara ya Parkinson (urugero: Benztropine, Trihexyphenidyl)
• Imiti ivura indwara zo mu mutwe (urugero: `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`, `(Primidone)`)
• Imiti ivura indwara zo mu gifu (urugero: `(Dicyclomine)`, `(Hyoscyamine)`)
• Imiti ivura indwara yo kurakara (urugero: Scopolamine)
• `(Cimetidine)`
• `(Imiti igabanya ubukana bw'amazi)` (imiti ikura amazi mu mubiri)
• Imiti igabanya ububabare ikoreshwa mu gihe cyo kubaga (urugero, `(Halothane)`, `(Isoflurane)`, `(Methoxyflurane)`, `(Propofol)`)
• `(Ipratropium)`
• Imiti itangwa kugira ngo imitsi iruhure mu gihe cyo kubagwa
• Indi miti igabanya ububabare (imiti igabanya ububabare)
• Imiti iri mu itsinda rya `(Phenothiazines)` (urugero: `(Chlorpromazine)`, `(Mesoridazine)`, `(Prochlorperazine)`, `(Thioridazine)`)

Uru rutonde rushobora kuba rutuzuye. Rero, bwira muganga wawe imiti yose, ibyatsi, vitamine, n'inyongeramusaruro ufata, ndetse n'uko unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu ugomba kwitondera mu gihe ukoresha uyu muti?

• Niba ububabare bwawe butarangiye, niba burushijeho kwiyongera, cyangwa niba ufite ubwoko bushya bw'ububabare, bwira itsinda ry'abaganga.
• Iyo ukoresheje uyu muti igihe kirekire, ushobora kwihanganira umuti . Ibi bivuze ko urugero rwa mbere rutagihagije kugira ngo ugabanye ububabare bwawe, kandi ushobora gukenera urugero rwinshi. Ibi ni ibisanzwe, cyane cyane iyo ufashe umuti igihe kirekire.
• Hari ubwoko butandukanye bw'imiti igabanya ububabare (izwi kandi nka opioid). Iyo ufashe ubwoko burenze bumwe icyarimwe, ushobora kugira ingaruka mbi nyinshi. Bwira muganga wawe imiti yose ufata. Azakubwira ingano yo gufata. Ntugafate ingano irenze iyagenwe. Niba ufite ikibazo cyo guhumeka, hita ushakisha ubuvuzi bwihutirwa.
• Ntureke gufata uyu muti mu buryo butunguranye. Kubikora bishobora gutera ingaruka zikomeye. Ibi biterwa nuko umubiri wawe wamenyereye uwo muti. Ibi ntibivuze ko wabaye imbata y'uwo muti. Ubusinzi ni imyitwarire isaba gufata no gukoresha umuti ku mpamvu zitari iza muganga. Niba ubabara, ufite impamvu z'uburwayi zo gufata umuti ugabanya ububabare. Muganga wawe azakubwira ingano y'umuti ugomba gufata. Niba bashaka guhagarika umuti, bazagabanya buhoro buhoro umuti kugira ngo bagabanye ingaruka mbi.
• Vugana n'itsinda ry'abaganga ku bijyanye n'umuti `(Naloxone)` n'uko wawubona. `(Naloxone)` ni uburyo bwihutirwa bwo kuvura indwara irenze urugero ya `(opioid)`. Niba ufata umuti urenze urugero wa `(opioid)`, cyangwa niba uwufata hamwe n'ibindi bintu nk'inzoga, ushobora kugira `(overdose)`. Menya ibimenyetso bya `(overdose).` Urugero, kunanirwa guhumeka, umunaniro udasanzwe cyangwa gusinzira, cyangwa kunanirwa gusubiza cyangwa gukanguka. Bwira abakurera n'inshuti zawe za hafi aho uyu muti uri n'uko uwukoresha. Nyuma yo gutanga `(Naloxone)`, ugomba gushaka ubufasha bwihutirwa bwihuse.Naloxone ni uburyo bw'igihe gito bwo kuvura. Hari igihe bishobora gukenerwa ko ufata doze inshuro nyinshi.
• Ushobora kumva usinziriye cyangwa uzumva . Ntugatware imodoka, ntugakoreshe imashini, cyangwa ngo ukore ikintu cyose gisaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare gitunguranye, cyane cyane niba ugeze mu za bukuru. Ibi bishobora kugabanya izumva no gucika intege. Inzoga zishobora kubangamira uburyo uyu muti ukora. Rero irinde kunywa inzoga.
• Uyu muti ushobora gutera impatwe . Niba udafite icyo ukora nyuma y'iminsi 3, hamagara itsinda ry'abaganga.
• Umunwa wawe ushobora kuba wumye . Ushobora kubirwanya uhekenya ifu idafite isukari, unyoye agace ka tangawizi, kandi ukanywa amazi menshi. Iki kibazo nigikomeza cyangwa kikarushaho gukomera, bwira muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi.

Ingaruka mbi ugomba guhita umenyesha muganga wawe:

• Indwara zo kugira ubwivumbure bw'uruhu - uduheri ku ruhu, kuribwa, uduheri (uduheri duto dutukura), kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• (CNS depression ) — Guhumeka buhoro cyangwa buhoro, guhumeka bigoranye, gucika intege, isereri, urujijo, kugorwa no kuguma maso.
• (Imikorere mike y'uturemangingo tw'intanga ngore ) — isesemi, kuruka, kubura ubushake bwo kurya, intege nke cyangwa umunaniro udasanzwe, isereri.
• (Umuvuduko w'amaraso uri hasi ) — Kuzunguza, gucika intege cyangwa kubabara umutwe, kutabona neza.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga (ariko zigomba kumenyeshwa muganga niba zikomeje cyangwa zibangamiye):

• Impatwe
• Kuzungera
• Gusinzira
• Umunwa wumye
• Umutwe
• Isesemi
• Kuruka

Uru rutonde ntirurimo ingaruka zose zishobora kubaho. Vugana na muganga wawe kugira ngo ubone amakuru arambuye ku ngaruka mbi.

Uyu muti nawubika nte?

• Bishyire kure y'abana.
• Uyu muti ushobora gukoreshwa nabi (`(ukoreshwa nabi)`). Kubwibyo, uwubike ahantu hatekanye kugira ngo uwurinde ubujura.
• Ntugasangire uyu muti n'undi muntu uwo ari we wese. Kugurisha cyangwa guha abandi uyu muti ni akaga kandi binyuranyije n'amategeko.
• Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86). Icupa/agakoresho kagomba gufungwa neza.
• Uyu muti ushobora kwangiza cyangwa no kwica abandi bantu bakuru, abana, cyangwa amatungo baramutse bawufashe. Shyira umuti utakoreshejwe ahantu hemewe ho gutabwa.Baza inzego z'ibanze kugira ngo ubone ahantu nk'aho. Niba nta buryo nk'ubwo bwo kujugunya imyanda buhari, sukura mu musarani (iyi ni inama yihariye, ariko ugomba no gutekereza ku bidukikije).
• Ntugakoreshe umuti warengeje igihe (`(itariki izarangiriraho)`).

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, noneho twaganiriye cyane kuri `(Meperidine)`. Muri make:

• Uyu ni umuti wo mu bwoko bwa opioid ukoreshwa mu kuvura ububabare bukomeye.
• Bwira muganga wawe byose bijyanye n'ubuzima bwawe mbere yo kubikoresha.
• Fata urugero rwatanzwe, nk'uko byategetswe. Ntugafate ikindi, kandi ntugahagarike gitunguranye.
• Ishobora kugira ingaruka ku yindi miti, bityo rero bwira muganga wawe imiti yose ufata.
• Ingaruka mbi nko gusinzira no kubura impatwe zishobora kubaho. Niba uhuye n'ikintu gikomeye, nko kugorwa no guhumeka, shaka ubufasha bwa muganga vuba.
• Bika umuti ahantu hizewe kure y'aho abana batagera.

Turizera ko aya makuru azagufasha. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe cyangwa umufarumasiye wawe. Barahari kugira ngo bagufashe.

Meperidine , Demerol, Opioid, Umuti ugabanya ububabare, Ububabare, Ingaruka mbi, Umuti, Ubuzima