Ungave uchirwadziwa kwenguva refu uye usingatsungiririki. Pamwe chiremba wako akakupa mimwe mishonga yakawanda inoderedza marwadzo, uye hapana kana imwe chete yawakanyatsobatsira. Ndipo panogona kunyorerwa mushonga unonzi morphine. Mushonga unorwadza une simba. Saka nhasi, ngatitaurei nezvemushonga uyu, kuti unoshandiswa sei, uye kuti ungaitei.
Chii chinonzi morphine inoburitswa kwenguva refu?
Muchidimbu, morphine mushonga unoshandiswa kudzora marwadzo akasimba uye asingaperi. Ndeweboka remishonga ine simba yekurwadziwa inonzi opioid. Mushonga uyu unoshanda nekudzivirira zviratidzo zvekurwadziwa kusvika kuuropi. Izvi zvinoderedza marwadzo atinonzwa.
Ungave wakaona kuti zita remushonga uyu rinoti 'Sustainable-Release'. Izvi zvinoreva kuti kana ukatora mushonga uyu, mushonga wacho unoburitswa zvishoma nezvishoma mumuviri uye unogara kwemaawa akati wandei, zvichireva kuti unoshanda kwenguva yakareba . Saka, unoshandiswa pakurwadziwa kwenguva refu, kwete pakurwadziwa kamwe kamwe.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Chiremba wako anofanira kuziva nhoroondo yako yese yehutano asati akupa mushonga uyu. Unofanira kuudza chiremba wako zvakanyanya kana uine chimwe chezvirwere zvakanyorwa pazasi.
- Kana uine bundu remuuropi
- Kana wakambopindwa muropa nezvinodhaka kana doro
- Kana wakakuvara musoro zvakanyanya
- Kana uine chirwere chemwoyo
- Kana uri munhu anonwa doro nguva dzose
- Kana adrenal glands isingashande zvakanaka
- Kana uine chirwere chemapapu, asthma, kana mamwe matambudziko ekufema
- Kana uine pfari
- Kana uine matambudziko emudumbu kana emudumbu
- Kana wakambotora mushonga weMAOI antidepressant (semuenzaniso Carbex, Eldepryl, Marplan, Nardil, Parnate) mukati memazuva gumi nemana apfuura
- Kana uine allergy nekuda kwemorphine kana chero imwe mishonga, chikafu, kana kupenda kwekugadzira.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa
Zvakakosha zvikuru kuti ugare wakachengeteka kutaura zvinhu izvi usingazvivanzi.
Ndingashandisa sei mushonga uyu chaizvo?
Nekuti uyu mushonga une simba, zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo, sezvakataurwa nachiremba.
- Medza kapusule iyi yese negirazi remvura.
- Usambopwanya, kupwanya, kana kutsenga kapisiyu. Kuita izvi kunogona kukonzera kuti muviri unwe mushonga wese waunoda kwenguva yakareba, zvichikonzera kuti munhu anwe mushonga wakawandisa.
- Kana mushonga wacho uchiita sewakaoma kugaya, tora pamwe chete nekudya kana girazi remukaka.
- Kana zvichikuomera kumedza kapusule, vhura kapusule nokungwarira woisa mhodzi diki mukati, pamwe chete nekapusule inotonhora . Wobva wamedza kapusule usingatsenge . Usaichengete kwenguva yakareba. Usasiye kapusule mumuromo mako. Wapedza kumedza, sukurudza muromo wako nemvura womedza mvura.
- Edza kunwa mushonga wako panguva imwe chete zuva nezuva. Usatore mushonga unopfuura wawakaudzwa nachiremba wako kuti unwe.
Kunwa mushonga wakawandisa: Kana uchifunga kuti watora mushonga uyu wakawandisa, kurumidza kubata National Poisons Information Centre paColombo National Hospital, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Mushonga uyu wakanyorerwa iwe chete. Usamboupa mumwe munhu.
Unoita sei kana ukarasikirwa nenguva yekurapwa nemishonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti utore dosi rinotevera, siya dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
Mimwe mishonga inogona kushanda nemushonga uyu (Kupindirana)
Mimwe mishonga inogona kukonzera njodzi kana ikatorwa nemorphine, saka zvakakosha kuudza chiremba wako nezvemimwe mishonga yese yauri kutora.
| Mishonga isingafanirwe kutorwa ne morphine | |
|---|---|
| Linezolid | Bhuruu reMethylene |
| MAOIs (e.g. Marplan, Nardil, Parnate) | Samidorphan |
Pamusoro pezvo, morphine inogona kusangana nezvinotevera:
- Doro
- Mishonga yekurwisa allergies, kukosora nedzihwa (Antihistamines)
- Mishonga yekuzvidya mwoyo kana kurara
- Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso amitriptyline, fluoxetine)
- Mimwe mishonga yekurwadziwa kwemusoro
- Mimwe mishonga yekurutsa
- Zvinozorodza tsandanyama
- Mimwe mishonga ine simba yekuderedza marwadzo kana yekukosora
- Mishonga inobvisa mvura mumuviri
- Mishonga inopedza marwadzo
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini nemishonga yechivanhu) , uye kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
- Nyatsoteerera marwadzo: Kana marwadzo ako asingaperi mushure mekutora mushonga, kana akawedzera, kana kuti kana uine rudzi rutsva rwemarwadzo, udza chiremba wako. Nekufamba kwenguva, mushonga wawaitora ungasave wakakwana kudzora marwadzo ako. Izvi zvinonzi developing a tolerance. Izvi zvakajairika.
- Musiyano uripo pakati pekupindwa muropa nekugara uchingopindwa muropa: Paunoramba uchitora mushonga uyu, muviri wako unojaira. Izvi hazvirevi kuti wapindwa muropa nawo. Kupindwa muropa nezvinodhaka chiito chekutora mushonga nechinangwa chekudhakwa pasina chikonzero chekurapa. Une chikonzero chekurapa chekutora mushonga uyu nekuti uri kurwadziwa.
- Usarega kutora mushonga kamwe kamwe: Usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera zviratidzo zvekurega kutora mushonga. Kana uchida kurega kutora mushonga, chiremba wako anoderedza zvishoma nezvishoma mushonga wacho.
- Ziva nezveNaloxone: Uyu mushonga unoponesa hupenyu unopihwa kana munhu anwa opioid yakawanda. Taura nachiremba wako kuti ungauwana sei. Ziva zviratidzo zvekunwa mushonga wakawandisa (kunetseka kufema, hope dzakanyanya, kurasikirwa nepfungwa). Zivisa mhuri yako nezveizvi uye uvaudze kuti mushonga uyu uri kupi uye mashandisirwo awo. Kunyangwe mushure mekupa Naloxone, kupinda muchipatara nekukurumidza kwakakosha.
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope nedzungu. Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Kana wakwegura, usamuka kana kugara pasi kamwe kamwe.
- Kuzvimba: Kuzvimba ndiwo mhedzisiro inowanzo konzerwa nemushonga uyu. Kana usina kubuda tsvina kwemazuva matatu, udza chiremba wako.
Migumisiro inogona kuitika nekuda kwemishonga
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kuoma kufema, hope dzakanyanya, kuvhiringidzika. |
| Kuderera kwebasa readrenal | Kusvotwa, kurutsa, kurasikirwa nechido chekudya, kushaya simba kusingawanzoitiki, dzungu. |
| Kuderera kweropa | Dzungu, kuona zvisipo, kufenda. |
| Migumisiro isingawanzodi kubatsirwa nachiremba (asi inofanira kutaurwa kana ikaramba iripo) | |
| Kuzvimba | Dzungu, hope, muromo wakaoma, musoro, kuda kurutsa, kurutsa. |
Nzira yekudzivirira nekubvisa mushonga uyu?
- Chengeta zvakachengeteka, kure nevana nezvipfuyo. Uyu mushonga une simba zvikuru. Unogona kuuraya kana mumwe munhu, kunyanya mwana, akaunwa.
- Dzivirira mushonga uyu kubva mukubiwa .
- Rasa mushonga wapera kana kuti washandiswa nenzira yakakodzera. Kana izvi zvisingakwanisike, ubvise muchimbuzi.
Mharidzo Yekuenda Nayo Kumba
- Uyu mushonga une simba wekurwadziwa kwakanyanya kwenguva refu. Ushandise sezvawaudzwa nachiremba wako.
- Usapwanye, kupwanya, kana kutsenga kapisiyu. Medza yese.
- Udza chiremba wako nezvemimwe mishonga yose yaunotora, kunyanya doro.
- Dzivisa kutyaira mota nekuti zvinogona kukonzera hope.
- Ziva zviratidzo zvekunwa zvinodhaka zvakanyanya. Kana uchifungidzira kuti une dambudziko rakadaro, enda kuEmergency Treatment Unit (ETU) nekukasika.
- Chengeta mushonga wacho munzvimbo yakachengeteka kure nevana nezvipfuyo.
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