Ukuba wena okanye umntu osapho lwakho uza kwenziwa utyando oluncinci, okanye ngamanye amaxesha uvavanyo lwezonyango olunzima, kuyinto eqhelekileyo ukuziva usoyika kwaye uxhalabile, akunjalo? Ingakumbi abantwana bethu abancinci, baziva ngale ndlela ngakumbi. Ngamaxesha anje, iyeza elikhethekileyo elibizwa ngokuba yiMidazolam lisetyenziswa ngoogqirha ukunceda ukuzola wena okanye umntu owoyikayo, ukuphumla ingqondo yakho, kunye nokukulungiselela unyango olufunekayo. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?
Yintoni isiraphu yeMidazolam?
Ngamafutshane, iMidazolam liyeza elithomalalisa inkqubo yakho yemithambo-luvo , linciphisa uloyiko olungeyomfuneko kunye nokuxhalaba, kwaye likwenza uzive ulele kancinci . Likwiqela lamayeza abizwa ngokuba yiBenzodiazepines. Amayeza akweli qela adla ngokusetyenziswa ukunciphisa ukuxhalaba kunye nokukuthomalalisa.
Usenokuba ukhe weva ngeli yeza phantsi kwegama lebrendi elithi Versed okanye Versed Syrup. La ngamanye amagama ebrendi adumileyo eMidazolam syrup.
Eyona njongo yokunika eli yeza kukunciphisa uloyiko lwakho nokukulungiselela inkqubo yezonyango, efana notyando okanye uvavanyo. Ngamanye amaxesha usenokungakhumbuli ukuba kwenzeke ntoni emva koko. Nalo ke uphawu olusetyenziswa kweli yeza.
IMidazolam isetyenziswa phantsi kweziphi iimeko?
Njengoko benditshilo ngaphambili, le siraphu (yeMidazolam) idla ngokusetyenziselwa ukuzola nokukwenza ulale ngaphambi kotyando okanye olunye uvavanyo lwezonyango . Khawucinge ngomntwana omncinci ekufuneka akhutshwe izinyo, okanye kufuneka enziwe uvavanyo olufana nolwe-Endoscopy, kwaye loo mntwana unokoyika, akunjalo? Le siraphu iluncedo kakhulu ngamaxesha anje.
Eyona nto ibalulekileyo kukuba le siraphu (iMidazolam) inikwa esibhedlele okanye eklinikhi kuphela phantsi kweliso likagqirha. Oogqirha abacebisi ukuyisebenzisa ekhaya.
Eli yeza lingasetyenziselwa nezinye iinjongo zonyango, ngoko ke ukuba unemibuzo engaphezulu malunga noku, kungcono ukubuza ugqirha wakho okanye ikhemisti.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba ukunike eli yeza
Ngaphambi kokuba unike wena okanye umntwana wakho isiraphu yeMidazolam, kukho izinto ezimbalwa ekufuneka uzixelele iqela lakho lezonyango. Xa ubaxelela ezi zinto, banokugqiba kwelokuba kukhuselekile na ukuba unike eli yeza okanye hayi.
Nazi ezo nyaniso:
- Ukuba une -glaucoma ( isifo apho uxinzelelo emehlweni lunyuka khona).
- Ukuba unesifo sentliziyo .
- Ukuba unesifo sezintso .
- Ukuba unesifo sesibindi .
- Ukuba unezifo zemiphunga okanye zenkqubo yokuphefumla , umzekelo , i-asthma .
- EkhoyoUkuba unengxaki yempilo yengqondo (umz., ukudakumba okukhulu, i-schizophrenia, njl.njl.).
- Ukuba unembali yokuxhuzula okanye ukuxhuzula ngaphambili.
- Ukuba unengxaki yokusebenzisa iziyobisi .
- Ukuba wena okanye umntu kusapho lwakho ukhe wacinga, waceba, okanye wazama ukuzibulala .
- Ukuba ngaphambili ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwiMidazolam, ezinye iiBenzodiazepines, iicherry, okunye ukutya, iidayi, okanye izithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo.
Ukuba kukho nayiphi na kwezi zinto ezikukhathazayo, kubalulekile ukuxelela ugqirha wakho ngaphandle kokumfihla. Emva koko banokukunika unyango olufanelekileyo nolukhuselekileyo.
Uyinika njani isiraphu (yeMidazolam)?
Oku kuyenzeka amaxesha amaninzi. Isiraphu (yeMidazolam) uyinikwa ngabasebenzi bezonyango esibhedlele okanye ekliniki. Oko kukuthi, awuxelelwa ukuba uyifumane kwikhemesti uze uyiyise ekhaya.
Kuthathwa inyameko ekhethekileyo xa kunikwa eli yeza, ingakumbi ebantwaneni. Nangona licetyiswa kubantwana kwezinye iimeko ezikhethiweyo, kukho amanyathelo okhuseleko asebenzayo kulo. Ke ngoko, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngalo ngononophelo kwaye ufumane iinkcukacha.
Yintoni omawuyenze ukuba ngengozi uthatha i-overdose?
Ngenxa yokuba eli yeza linikwa esibhedlele, amathuba okuba lisetyenziswe kakhulu aphantsi. Nangona kunjalo, ukuba ucinga ukuba unikwe eli yeza lininzi kakhulu, kufuneka uqhagamshelane neZiko loLawulo lweTyhefu okanye iGumbi loNgxamiseko ngoko nangoko.
Khumbula, eli yeza lelakho wedwa. Ungaze wabelane ngeli yeza nabanye abantu.
Ngawaphi amanye amayeza anokusebenza kunye neMidazolam?
Eli linqaku elibaluleke kakhulu. I-Midazolam inokunxibelelana okanye ingavisisani namanye amayeza owasebenzisayo. Ukuba oku kuyenzeka, iziphumo ze-Midazolam zinokuba namandla kakhulu okanye ezinye iziphumo ebezingalindelekanga zinokwenzeka.
I-Midazolam ayifanele isetyenziswe kunye namayeza alandelayo:
- (iBoceprevir) (iyeza le-hepatitis C)
- Amanye amayeza okulwa neentsholongwane asetyenziselwa i-HIV okanye i-AIDS
- Amanye amayeza osulelo lwefungus, umzekelo iKetoconazole kunye neItraconazole
- Ijusi yegrapefruit
- (Idelalisib) (iyeza lomhlaza)
- Amanye amayeza e-opioid okukhwehlela
- (I-Sodium Oxybate)
- (iTelaprevir) (iyeza le-hepatitis C)
Ukongeza, kukho amanye amayeza anokusebenzisana neMidazolam:
- Utywala
- Ii-antihistamines ze-allergies, ukukhwehlela, kunye nokubanda
- Izithinteli zeCalcium channel, umzekelo iDiltiazem kunye neVerapamil (ezi zisetyenziselwa uxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo)
- Amanye amayeza okubulala iintsholongwane, umz. (iClarithromycin), (iErythromycin), (iRifampin)
- Amanye amayeza okunyanga ixhala okanye ukulala
- Amanye amayeza okudakumba, umz. (Amitriptyline), (Fluoxetine), (Sertraline)
- Amanye amayeza asetyenziselwa isifo sokuwa, umz. (Carbamazepine), (Phenobarbital), (Primidone)
- (I-Cimetidine) (iyeza le-gastritis)
- Ii-anesthetics eziqhelekileyo ezisetyenziswa ngexesha lotyando, umz. iLidocaine, iPramoxine, iTetracaine
- Iziphumzi zemisipha ezisetyenziswa ngexesha lotyando
- Amayeza entlungu e-opioid
- Amayeza akwiqela elibizwa ngokuba yi-(Phenothiazines), umz. (Chlorpromazine), (Mesoridazine), (Prochlorperazine), (Thioridazine) (la anikwa izifo zengqondo)
Olu luhlu aluphelelanga. Kusenokubakho ezinye izinto ezinokubangela ukusabela. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka amayeza kagqirha namayeza athengiswa ngaphandle kwemvume kagqirha, imifuno, iivithamini, kunye nezongezo), kwaye ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Banokujonga ukuba akukho nanye into enokuyenza.
Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza
Emva kokuba unikwe isiraphu yeMidazolam, iqela lakho lezonyango liza kujonga impilo yakho rhoqo. Nangona kunjalo, kulungile ukuba uqaphele ezi zinto:
- Eli yeza linokuthi liphazamise kancinci ibhalansi yakho, ixesha lokuphendula, kunye nokukwazi kwakho ukwenza izigqibo . Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini de wazi kakuhle ukuba eli yeza likuchaphazela njani.
- Iziphumo zamayeza zinokubangela isiyezi kunye nokuquleka. Ukuze unciphise le ngozi, vuka ngokukhawuleza, nokuba uhleli okanye uphuma ebhedini.
- Ukuba usela utywala kunye nale mithi, umngcipheko weziphumo ebezingalindelekanga uphezulu kakhulu. Ngoko ke lumka nangalo nto.
- Ukuba usebenzisa amanye amayeza akwenza ulale (umz., amayeza okunciphisa iintlungu, iipilisi zokulala), ukuthatha iMidazolam kunye namanye amayeza kunokukwenza ulale ngakumbi. Xelela iqela lakho lezempilo malunga nawo onke amayeza owasebenzisayo. Baza kukuxelela ukuba kufuneka uwathathe kangakanani. Ungaze uthathe ngaphezu komlinganiselo owunikwe ngugqirha wakho. Ukuba unengxaki yokuphefumla okanye ulala ngendlela engaqhelekanga, funa uncedo lwezonyango olungxamisekileyo ngoko nangoko.
- Ukuba ubona naluphi na utshintsho kwindlela yakho okanye yokuziphatha kosapho lwakho (umz., ukudakumba okutsha okanye okuya kusiba mandundu, iingcinga zokuzilimaza, ixhala, ezinye iingcinga ezingaqhelekanga okanye eziphazamisayo, ukulahlekelwa yinkumbulo), yazisa iqela lezonyango ngoko nangoko.
- WenaUkuba uceba ukukhulelwa, okanye ucinga ukuba ukhulelwe, thetha neqela lakho lezempilo ngalo mba. Eli yeza linokubangela iziphene ezinkulu zokuzalwa. Ukuba uncancisa, thetha neqela lakho lezempilo ngalo mba. Isicwangciso sakho sonyango sinokufuna ukulungiswa.
Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku?
Njengalo naliphi na iyeza, iMidazolam inokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Kukho ezinye iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko. Kukho ezinye ezidla ngokuba zingezizo ezinzulu kwaye ziya kuphela kwiintsuku ezimbalwa.
Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lezonyango ngoko nangoko:
- Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
- Ukudakumba kwenkqubo yemithambo-luvo ephakathi (CNS depression): Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphaphile.
- Ukungcangcazela okanye ukungcangcazela.
Ukuba ubona into efana nale, kungcono uxelele ugqirha ngokukhawuleza.
Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa kufuneka zixelwe kwiqela lezonyango ukuba ziyaqhubeka okanye ziyakhathaza):
- Ukungazoli, ukucaphuka, okanye ukuxhalaba.
- Isiyezi.
- Ukozela.
- Isicaphucaphu.
- Ukuhlanza.
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana ezinye iziphumo ebezingalindelekanga, thetha nogqirha wakho. Ungaxela iziphumo ebezingalindelekanga kwi-Food and Drug Administration (FDA) ku-1-800-FDA-1088.
Okokugqibela, amanqaku abalulekileyo
Kulungile, ngoko ke sithethe kakhulu ngesiraphu (yeMidazolam), akunjalo? Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:
- I-Midazolam liyeza elinikwa ukunciphisa ixhala nokuthomalalisa umsindo ngaphambi kotyando okanye uvavanyo lwezonyango.
- Oku kunikwa kuphela phantsi kweliso lezonyango esibhedlele okanye ekliniki. Akuyomfuneko ukuba kusetyenziswe ekhaya.
- Qiniseka ukuba uxelela ugqirha wakho ngezinye izifo onazo, amayeza owasebenzisayo, kunye nee-allergies.
- Emva kokusebenzisa eli yeza , kuphephe ukuqhuba okanye ukwenza nantoni na efuna ukugxininiswa okwethutyana.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu, funa ingcebiso kagqirha ngoko nangoko.
Ukuba ufuna ukwazi okungakumbi ngale nto, ungoyiki ukubuza ugqirha wakho. Baza kukunceda.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba iMidazolam yipilisi yokulala/yokuthomalalisa iintlungu?
Eli yeza liyeza elisebenza ngokukhawuleza kakhulu kudidi lwe-benzodiazepine. Lilitha okanye inaliti edla ngokunikezelwa esibhedlele (ngaphambi kotyando olukhulu okanye utyando lwe-endoscopy/ikhamera yesisu) ukuze 'kuncitshiswe uloyiko lwesigulana, kuphumzwe umzimba, kwaye kucinywe inkumbulo okwethutyana (i-Amnesia/Sedation).'
💬 Kutheni iMidazolam Syrup inikwa abantwana abancinci ngaphambi kotyando?
Xa abantwana abancinci bebona isibhedlele, oogqirha/iimpahla ezimhlophe, badla ngokoyika, bakhale baze balile, kwaye bayala ukuxilongwa. Le siraphu inikwa ukususa ngokupheleleyo uloyiko lwabo lwentlalo nolwezonyango (ixhala langaphambi kotyando). Xa inikwa, umntwana uyavuya kakhulu, alale/azole kwimizuzu eli-10-20. Ngamanye amaxesha umntwana akakhumbuli notyando olwenziwe emva koko.
💬 Ngaba oku kungabangela ukukrwitshwa/ukufa okubulalayo ukuba kunikwe umntwana?
Ikhuselekile ukuba inikwe ngedosi echanekileyo. Kodwa eyona nto iyingozi ngale mithi kukuba 'iyanciphisa izinga lokuphefumla ngokugqithisileyo' (Ukudandatheka kokuphefumla). Ngenxa yoko, ayinakuthengwa kwiikhemesti kwaye akufuneki inikwe ekhaya! Le mithi inikwa kuphela esibhedlele/eklinikhi phantsi kweliso lomongikazi/igosa lezonyango elinamava elineemishini zokulinganisa izinga lentliziyo kunye neoksijini (iiMonitors).
IMidazolam , iMidazolam, isiraphu, ixhala, ukozela, ngaphambi kotyando, iBenzodiazepine, iVersed
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