Ngamanye amaxesha iintlungu esizivayo zinzima kakhulu kangangokuba azinyamezeleki. Xa amayeza okudambisa iintlungu aqhelekileyo engasebenzi, oogqirha banokukunika amayeza anamandla ngakumbi. I-Hydromorphone liyeza elikhethekileyo elisetyenziselwa ukulawula iintlungu ezinzima nezihlala ixesha elide. Kubalulekile ukuliqaphela nokulisebenzisa ngokukhuselekileyo. Ngoko masithethe ngalo namhlanje.
Loluphi uhlobo lonyango olu? (Yintoni iHydromorphone?)
Ngamafutshane, iHydromorphone sisithomalalisi sentlungu esinamandla esikudidi lwamayeza abizwa ngokuba yi-opioids. Eli yeza lisebenza ngokuthintela ukudluliselwa kwemiqondiso yentlungu engqondweni yethu. Kodwa kukho into ekhethekileyo ngale. Luhlobo lweyeza "eliKhululwayo" okanye "elisebenza ixesha elide". Oku kuthetha ukuba xa usela eli pilisi, izithako zamayeza ezikuyo zikhutshwa kancinci kancinci emzimbeni imini yonke.
Kubaluleke kakhulu: Oku kusetyenziswa kuphela kwiintlungu eziqatha ezihlala ixesha elide, ezifana neentlungu zomhlaza. Akusetyenziselwa iintlungu ezikhawulezileyo, ezikhawulezileyo, ezifana nentloko ebuhlungu, iintlungu zamazinyo, okanye ukwenzakala.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise iyeza
Ngaphambi kokuba uqalise eli yeza, kubalulekile ukunika ugqirha wakho inkcazo epheleleyo yemeko yakho yempilo. Qiniseka ukuba uyamxelela ukuba unayo nayiphi na kwezi meko zilandelayo:
| Ngaba unazo ezi meko? | Kutheni ufanele uxelele? |
|---|---|
| Umhlaza wobuchopho, ukwenzakala entloko | Kuba eli yeza linokunyusa uxinzelelo engqondweni. |
| Ukuxhomekeka kwiziyobisi okanye utywala | Oku kungenxa yokuba esi sisiyobisi esinomngcipheko wokuba likhoboka laso. |
| Isifo semiphunga, i-asthma, okanye ezinye iingxaki zokuphefumla | Kuba oku kunokucothisa ukuphefumla. |
| Isifo sezintso okanye sesibindi | Kuba inkqubo yokususa iyeza emzimbeni inokuchaphazeleka. |
| Iingxaki zesisu okanye zamathumbu, ukuxhuzula | Kuba ezi meko zinokuba mandundu. |
| Ukuba ukhe wathatha iyeza le-MAOI kwiintsuku ezili-14 ezidlulileyo | Le yikhompawundi eyingozi enokubangela iziphumo ebezingalindelekanga ezibi kakhulu. |
| Ukukhulelwa, ukuzama ukukhulelwa, okanye ukuncancisa | Eli yeza linokuchaphazela umntwana osesiswini okanye ngobisi lwebele. |
Ndingayisebenzisa njani kanye kanye le yeza?
Ngenxa yokuba eli liyeza elinamandla, kubaluleke kakhulu ukulisebenzisa kanye njengoko ugqirha ekuxelela.
- Ginya ithebhulethi yonke: Ginya ithebhulethi yonke ngeglasi yamanzi. Ungaze uyiqhekeze, uyityumze, okanye uyihlafune. Ukwenza njalo kuya kukhupha lonke iyeza elifanele likhutshwe emini yonke emzimbeni wakho ngaxeshanye. Oku kuyingozi kakhulu kwaye kunokukhokelela ekugqithiseni.
- Sela amayeza ngexesha elifanelekileyo: Sela amayeza ngexesha elifanelekileyo, ngamaxesha afanelekileyo, njengoko ugqirha wakho ekuyalele. Musa ukuwasela rhoqo.
- Nokuba utya okanye awutyanga: Oku kungenziwa ngaphambi okanye emva kokutya. Ukuba uziva uphazamisekile esiswini, kuthathe kunye nokutya.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho. Ukwenza njalo kunokubangela iimpawu zokurhoxa. Ukuba uyeka, yenza njalo phantsi kweliso likagqirha wakho, uze unciphise kancinci kancinci idosi.
Yintoni omawuyenze ukuba ugqithisile?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, okanye ukuba omnye umntu uwathathe ngempazamo, yimeko engxamisekileyo leyo. Fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko (inombolo yomnxeba 0112686143), okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli yeza lelakho kuphela. Ugqirha ulinike umyalelo ukuze lilungele iintlungu zakho kunye nomzimba wakho. Ungaze ulinike omnye umntu.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa amayeza
Intlungu kunye nokunyamezelana
Ekuhambeni kwexesha, unokufumanisa ukuba idosi yamayeza esebenzele wena ayisanele. Oku kubizwa ngokuba kukunyamezela, okanye umzimba uqhelana namayeza. Oku kuqhelekile xa uthatha olu hlobo lwamayeza ixesha elide. Ayilomlutha. Ukuba uvakalelwa ngolu hlobo, xelela ugqirha wakho. Uza kulungisa idosi njengoko kufuneka.
Ukulutha kunye nokuxhomekeka
Musa ukubhidanisa ezi zinto zimbini. Ukuziqhelanisa komzimba neziyobisi kunye 'nomlutha' zizinto ezimbini ezahlukeneyo. Ukuba usebenzisa iziyobisi kuba uneentlungu, eso sisizathu sezonyango. Umlutha kukufuna ngaphandle kwesizathu sezonyango, njengokunxila.
Utywala nezinye iziyobisi
Kuphephe ukusela utywala ngokupheleleyo ngelixa usela i-hydromorphone. Ukudibana kwezi zimbini kunokucothisa ukuphefumla kwakho kwaye kube yingozi ebomini. Kwakhona, iipilisi zokulala, ezinye ii-antidepressants, kunye ne-antihistamines zinokusebenzisana nayo. Xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka neevithamini.
Ukozela kunye nesiyezi
Eli yeza linokubangela ukozela kunye nesiyezi. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba likuchaphazela njani. Musa ukuma okanye ukuhlala phantsi ngequbuliso.
Ukuqhinwa
Ukuqhina kwesisu sisiphumo esiqhelekileyo kubantu abaninzi abasebenzisa eli yeza. Ukuthintela oku, sela amanzi amaninzi kwaye utye ukutya okunefayibha eninzi (iziqhamo, imifuno). Ukuba unengxaki yokuzikhupha indle kangangeentsuku ezingaphezu kwezintathu, thetha nogqirha wakho.
Iziphumo ebezingalindelekanga zeyeza
| Yazisa ugqirha wakho ngoko nangoko. | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukuphefumla kancinci (uxinzelelo lwe-CNS) | Ukuphefumla kunzulu kakhulu okanye kunzulu kakhulu, kukozela kakhulu, kunye nokulahlekelwa zingqondo. |
| Uxinzelelo lwegazi oluphantsi | Ukuba nesiyezi, amehlo aluhlaza okwesibhakabhaka, ukuziva utyhafile. |
| Ukuba iyaqhubeka okanye iyakhathaza, xelela ugqirha wakho. | |
| Iziphumo ebezingalindelekanga eziqhelekileyo | Ukuqhinwa, isiyezi, ukozela, umlomo owomileyo, intloko ebuhlungu, isicaphucaphu, ukuhlanza. |
Indlela yokugcina nokulahla amayeza ngokukhuselekileyo?
Ekubeni eli liyeza elinamandla kakhulu, musa ukulishiya apho abantwana nezilwanyana zasekhaya banokulifumana khona. Linokuba yingozi ukuba umntu ulithatha ngengozi. Ke ngoko, kungcono ukuligcina eli yeza kwindawo ekhuselekileyo, livalelwe, apho lingenakubiwa khona.
Kungcono ukulahla amayeza aphelelwe lixesha okanye angasetyenziswanga kwindawo efanelekileyo yokulahla. Ukuba oku akunakwenzeka, qhagamshelana nogqirha wakho okanye isibhedlele ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- IHydromorphone sisithomalalisi sentlungu esinamandla, esisebenza imini yonke esinikwa kuphela xa kukho iintlungu ezinzima nezingapheliyo.
- Ungaze waphule, utyumze, okanye uhlafune ipilisi. Ginya yonke.
- Xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo kunye nazo zonke iimeko zakho zempilo.
- Kuphephe ukusela utywala ngokupheleleyo ngelixa usebenzisa eli yeza.
- Ukuba ufumana iimpawu eziyingozi ezifana nokulala kakhulu kunye nobunzima bokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Musa ukwabelana ngeli yeza nabanye, alikho mthethweni kwaye liyingozi kakhulu. Soloko uligcina kwindawo ekhuselekileyo kude nabantwana.
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