Ngaba wakha waba nentlungu enganyamezelekiyo? Mhlawumbi emva kotyando olukhulu okanye ingozi enkulu, intlungu ayinakulawulwa ngamayeza aqhelekileyo okuthomalalisa iintlungu. Ngamaxesha anje, kukho udidi lweziyobisi ezinamandla zokuthomalalisa iintlungu ezisetyenziswa ngoogqirha. Namhlanje siza kuthetha ngeyeza elikwelo klasi elibizwa ngokuba yiHydromorphone, elinikwa njengenaliti. Ekubeni linamandla kakhulu, kuya kuba yimfuneko ukuba wazi kakuhle ukuba liyintoni.
Kalula nje, yintoni le hydromorphone?
IHydromorphone sisithomalalisi sentlungu esinamandla kakhulu esisetyenziselwa ukulawula iintlungu eziqatha . Sikwiqela lamayeza abizwa ngokuba yi-opioids . Sidla ngokunikwa ngugqirha xa ezinye izithomalalisi zentlungu zinganelanga ukulawula iintlungu, okanye xa umzimba wakho ungakwazi ukumelana namayeza.
Oku kusebenza ngendlela elula kakhulu. Xa umzimba wethu uva iintlungu, ezo mpawu zentlungu zihamba ngemithambo-luvo ziye ebuchotsheni. Kulapho ke siziva "sibuhlungu." Oko kwenziwa lolu gonyo kukuvala okwethutyana indlela yempawu zentlungu eya ebuchotsheni. Kufana nokuthintela umyalezo wentlungu ukuba ungafikeleli ebuchotsheni.
Eli yeza lingafumaneka phantsi kwamagama eempawu ezahlukeneyo eSri Lanka nakwamanye amazwe, afana ne-`(Dilaudid)` kunye ne-`(Dilaudid-HP)`.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kulungile, eli candelo libaluleke kakhulu. Ekubeni i-hydromorphone liyeza elinamandla kakhulu, kubalulekile ukuba unike ugqirha wakho ingxelo epheleleyo ngemeko yakho yempilo. Ukungaphumeleli ukwenza njalo kunokukhokelela kwiingxaki ezinkulu. Ukuba unezinye zezi meko zidweliswe kwitheyibhile engasezantsi, qiniseka ukuba uxelele ugqirha wakho.
| Imeko ekufuneka uyixele | Kutheni kubalulekile? (Ingcaciso elula) |
|---|---|
| Imeko efana nomhlaza wobuchopho, ukwenzakala entloko, okanye ukuxhuzula. | Eli yeza linokunyusa uxinzelelo engqondweni, ngoko ke linokuba yingozi kumntu onezi meko. |
| Isifo sesifuba okanye esinye isifo semiphunga/sokuphefumla. | Ii-opioids ziyacothisa ukuphefumla. Oku kunokwenza kube nzima nangakumbi kumntu osele eneengxaki zokuphefumla. |
| Isifo sezintso okanye sesibindi. | Izintso nesibindi zinceda ekususeni amayeza emzimbeni. Ukuba la malungu angasebenzi kakuhle, amayeza anokuqokelelana emzimbeni aze andise iziphumo ebezingalindelekanga. |
| Ukuba usela utywala rhoqo okanye unengxaki yokusebenzisa iziyobisi. | Xa zidityanisiwe utywala kunye nee-opioids, iimeko ezinzima nezisongela ubomi ezifana nokuma kokuphefumla zinokwenzeka. Kubalulekile ukutyhila nayiphi na imbali yokulutha. |
| Ingxaki yesisu okanye yamathumbu. | Ekubeni eli yeza libangela ukuqhina, linokwenza iingxaki zamathumbu zibe mandundu ngakumbi. |
| Isifo sentliziyo. | Eli yeza lifanele lisetyenziswe ngononophelo kwiimeko ezithile zentliziyo. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. | Ukusela eli yeza ixesha elide ngexesha lokukhulelwa kunokuchaphazela umntwana. Ukuba ungumama oncancisayo, eli yeza linokudluliselwa kumntwana ngobisi lwebele. |
| Ukuba usele amayeza e-MAOI (umz. uMarplan, uNardil) kwiintsuku ezili-14 ezidlulileyo. | Ukudibanisa la mayeza mabini kunokubangela iziphumo ezibi kakhulu. |
| Ukuba une-allergy kwi-hydromorphone okanye nakweyiphi na enye iyeza okanye ukutya. | Kubaluleke kakhulu ukwazisa ugqirha malunga nayo nayiphi na i-allergies. |
Isetyenziswa njani le gonyo?
Olu gonyo ludla ngokunikezelwa ngugqirha okanye umongikazi esibhedlele okanye ekliniki . Lungafakwa emthanjeni, emsipha, okanye phantsi kolusu.
Kodwa kunqabile kakhulu, usenokufuneka uyisebenzise ekhaya. Ukuba oko kuyenzeka, uza kufundiswa indlela yokuyisebenzisa ngqo. Ufanele uyisebenzise kanye njengoko ugqirha wakho ekuxelela, ngexesha elifanelekileyo, ngedosi efanelekileyo. Ungaze uthathe okungaphezulu koko ugqirha wakho akuxelele kona.
Kubaluleke kakhulu: Ukuba usebenzisa olu gonyo ekhaya, musa ukuphosa iinaliti neesirinji ezisetyenzisiweyo enkunkuma. Oku kunokuba yingozi kakhulu kwabanye. Endaweni yoko, zibeke kwisikhongozeli esikhethekileyo se-sharps. Ukuba awunaso, buza ugqirha wakho ngalo mba.
Yintoni omawuyenze ukuba ugqithisile?
Asikuko ukudlala nje oku. Ukuba usela kakhulu eli yeza, linokuba yingozi ebomini. Ukuba ukrokrela ukuba usele kakhulu, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Eli yeza lelokusetyenziswa nguwe kuphela, ungabelani ngalo nabanye abantu nangasiphi na isizathu.
Ukusebenzisana namanye amayeza
I-Hydromorphone liyeza elinokusebenzisana namanye amayeza amaninzi, ngoko ke kufuneka uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
| Kuphephe ukuthatha i-hydromorphone kunye nezi zinto | |
|---|---|
| I-Olanzapine; i-samidorphan | I-Safinamide |
| Lumka ngakumbi xa usebenzisa ezi zinto | |
| Utywala | Ukozela kakhulu, ubunzima bokuphefumla, kwanokufa kunokwenzeka. |
| IiBenzodiazepines (umz. iDiazepam, iAlprazolam) | Ezi zikwaluhlobo olubangela ukozela, ngoko ke umngcipheko uphezulu. |
| Amayeza omkhuhlane okanye i-aleji (Antihistamines) | Ezi zinokubangela ukozela okukhulu. |
| Amanye amayeza okudakumba okanye ukuxhalaba | Iziphumo zala mayeza mabini zinokudibana kwaye zonyuse iziphumo ebezingalindelekanga. |
| Iipilisi zokulala okanye iziphumzi zemisipha | Ubuthongo obugqithisileyo kunye nokuphefumla kancinci kunokwenzeka. |
| Amanye amayeza okuthomalalisa iintlungu okanye amayeza okukhwehlela e-opioid | Iidosi ze-opioid zinokuqokelelana ngokungeyomfuneko emzimbeni. |
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngazo zonke amayeza owasebenzisayo.
Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza
- Nika ingqalelo kwiintlungu: Ukuba iintlungu zakho azipheli, ukuba ziya zisiba mandundu, okanye ukuba unentlungu entsha, xelela ugqirha wakho. Xa usela iyeza ixesha elide, umzimba wakho usenokungakwazi ukumelana neyeza, kwaye idosi owawuyithathile ngaphambili isenokunganeli ukulawula iintlungu. Oku kuqhelekile. Ukuba oku kuyenzeka, ugqirha wakho uza kulungisa idosi. Musa ukutshintsha idosi ngokwakho.
- Ukuxhomekeka: Emva kokusela eli yeza ixesha elide, umzimba wakho unokuxhomekeka kulo. Oku kuthetha ukuba ukuba uyeka ukulisebenzisa ngequbuliso, unokufumana iimpawu zokurhoxa. Oku kulindelekile. Ke ngoko, xa kufuneka uyeke ukulisebenzisa, ugqirha wakho uya kulinciphisa kancinci kancinci idosi.
- Qaphela iNaloxone:I-Naloxone liyeza elingxamisekileyo elisindisa ubomi elinikwa xa kukho i-opioid overdose. Kubalulekile ukuqaphela iimpawu ze-overdose (ukuphefumla kancinci, ukozela kakhulu, ukungakwazi ukuvuka). Xelela usapho lwakho ngale nto.
- Ukuqhuba nokusebenzisa oomatshini: Eli yeza linokunciphisa ingqalelo yakho, amandla okwenza izigqibo, kunye nexesha lokuphendula. Ngoko ke , kuphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima ude wazi kakuhle ukuba eli yeza likuchaphazela njani.
- Ukudinwa: Usenokuba nesiyezi kunye nokuquleka emva kokusebenzisa eli yeza. Ukuze unciphise oku, vuka kancinci kwindawo ohleli kuyo okanye olele kuyo, endaweni yokuba uvuke ngequbuliso. Ukusela utywala kunokunyusa esi siphumo.
- Ukuqhina: Ukuqhina sisiphumo esiqhelekileyo sale mithi. Ukuba awuzange uphume isisu kangangeentsuku ezi-3, thetha nogqirha wakho. Ukusela amanzi amaninzi nokutya ukutya okune-fiber eninzi kunokunceda.
- Umlomo owomileyo: Ukuba umlomo wakho womile, ukuhlafuna itshungama engenaswekile kunye nokusela amanzi kunokunceda.
Iziphumo ebezingalindelekanga eziqhele ukubonwa
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Ukuphefumla kancinci (uxinzelelo lwe-CNS) | Ukuphefumla kancinci okanye kancinci, ukozela kakhulu, ukungakwazi ukuvuka, kunye nokulahlekelwa zingqondo. |
| Ukuncipha komsebenzi we-adrenal | Isicaphucaphu, ukuhlanza, ukungabi namdla wokutya, ubuthathaka obungaqhelekanga, isiyezi. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuqhinwa | Isiyezi |
| Ukozela | Umlomo owomileyo |
| Intloko ebuhlungu | Isicaphucaphu nokuhlanza (Isicaphucaphu, Ukuhlanza) |
Umyalezo Wokuya Ekhaya
- I-Hydromorphone liyeza elinamandla kakhulu elisetyenziselwa kuphela iintlungu eziqatha ezingancitshiswayo zezinye iintlungu.
- Ngaphambi kokuba uqale eli yeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Musa ukusela utywala ngelixa usebenzisa eli yeza nangasiphi na isizathu. Kwakhona, lumka kakhulu xa usebenzisa amanye amayeza abangela ukozela.
- Qaphela iimpawu zokusebenzisa kakhulu iziyobisi (ukozela kakhulu, ukuphefumla kancinci). Ukuba urhanela into enjalo, yiya kwigumbi likaxakeka (ETU) ngokukhawuleza.
- Gcina eli yeza kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya . Lingabulala xa lityiwe ngomnye umntu.
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
- Ukuba unemibuzo engaphezulu malunga nale mithi, ungathandabuzi ukubuza ugqirha wakho.











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