Ngamanye amaxesha siva iintlungu ezinzima ezingenakulawuleka ngeentlungu eziqhelekileyo. Umzekelo, emva kotyando olukhulu, okanye ngenxa yemeko yempilo efana nomhlaza... Kwiimeko ezinjalo, ukuba awukwazi ukunyamezela ezinye iintlungu okanye ukuba iintlungu azilawulwa zizo, i-morphine sisithomalalisi sentlungu esinamandla esicetyiswa ngoogqirha. Namhlanje siza kuthetha ngendlela yokunika le morphine ngenaliti encinci (i-suppository) efakwa kwi-rectum.
Kalula nje, yintoni le morphine?
I-Morphine sisibulali-ntlungu esinamandla kakhulu. Ukuchaneka, ikwiqela lamayeza abizwa ngokuba yi-opioids . Isebenza ngokuthintela imiqondiso yentlungu engqondweni yethu, ilawula iintlungu esizivayo. Idla ngokumiselwa kuphela kwiintlungu ezinzima kakhulu ezingenakulawulwa nayiyiphi na enye isibulali-ntlungu. Eli yeza lingasetyenziselwa nezinye iimeko zonyango. Ukuba unemibuzo ngayo, ungabuza ugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba unike i-morphine, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Qiniseka ukuba uxelele ugqirha wakho ukuba unenye yezi meko zilandelayo:
- Ukuba unesifo somhlaza ebuchosheni.
- Ukuba ukhotyokiswe ziziyobisi okanye ezinye iziyobisi okanye unembali yokuba likhoboka lazo.
- Isifo senyongo.
- Ukuba kukho ukwenzakala entloko.
- Isifo sentliziyo.
- Ukuba usela rhoqo.
- Isifo sezintso okanye sesibindi.
- Ukuba i-adrenal gland ayisebenzi kakuhle.
- Isifo semiphunga, i-asthma, okanye ezinye iingxaki zokuphefumla.
- Isifo sePancreatic.
- Ubunzima bokuginya okanye ukuxhuzula.
- Iingxaki zesisu okanye zamathumbu.
- Ukuba ukhe wathatha uhlobo lweyeza lokudakumba elibizwa ngokuba yi-MAOI (efana neMarplan, iNardil, iParnate) kwiintsuku ezili-14 ezidlulileyo.
- Isifo se-thyroid.
- Ubunzima bokuchama.
- Ukuba une-allergy kwi-morphine okanye kwamanye amayeza, ukutya, okanye izithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo.
Ulisebenzisa njani kanye kanye eli yeza?
Kubaluleke kakhulu ukwazi indlela yokusebenzisa oku ngokuchanekileyo.
1. Eli yeza lenzelwe ukusetyenziswa emqolo kuphela . Musa ukulisela ngomlomo nangasiphi na isizathu.
2. Hlamba izandla zakho kakuhle ngesepha ngaphambi nasemva kokusebenzisa.
3. Susa ifoyile ye-aluminium ejikeleze iyeza.
4. Manzisa incam yeyeza ngamanzi alula. Oku kuya kwenza kube lula ukuyifaka.
5. Lala ngecala ebhedini. Gcina umlenze wakho ongezantsi uthe tye uze ugobe umlenze wakho ongasentla uye ngasesiswini sakho.
6. Phakamisa iimpundu zakho ezingaphezulu kancinci ukuze uveze i-anus.
7. Faka iyeza kancinci kancinci liye kufikelela kwi-rectum, uze uqalise ngesiphelo esitsolo.
8. Cinezela iimpundu zakho kunye imizuzwana embalwa.
9. Emva koko, lala phantsi malunga nemizuzu eli-15. Oku kwenzelwa ukuthintela ukuba iyeza lingaphindi liphume.
10. Musa ukuyisebenzisa rhoqo kunokuba ugqirha wakho ekuxelele.
Kubalulekile: Xa unikwa eli yeza, uza kufumana incwadana yolwazi ekhethekileyo (iMedGuide) ngalo. Qiniseka ukuba ulifunda ngononophelo ngalo lonke ixesha.
Kuthekani ukuba unika abantwana oku?
Kufuneka unonophelo olukhethekileyo xa unika abantwana eli yeza, ngoko ke qiniseka ukuba uthetha nogqirha wakho ngalo.
Yintoni omawuyenze ukuba idosi iyanda (i-overdose)?
Ukuba ucinga ukuba usele kakhulu eli yeza, ungalibazisi. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe . Oku kunokuba yingozi ebomini.
Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
- Ukuba intlungu yakho ayipheli: Ukuba intlungu yakho ayipheli, iba mandundu, okanye unohlobo olutsha lwentlungu, xelela ugqirha wakho. Ekuhambeni kwexesha, intlungu isenokungasapheli ngedosi efanayo naleyo yayisebenza ngaphambili. Oku kubizwa ngokuba kukunyamezela. Oku kuqhelekile kwaye akuyonto yokulutha.
- Umlutha kunye nokuziqhelanisa nomzimba: Umzimba wakho uyawuqhela lo mayeza. Oku akuthethi ukuba umlutha wawo. Umlutha kukusebenzisa amayeza ngenjongo yokuzonwabisa ngaphandle kwesizathu sezonyango. Ukuba uneentlungu, ukuthatha amayeza kuyimfuneko kwezonyango. Musa ukuyeka ukuthatha amayeza ngequbuliso. Ukwenza njalo kunokubangela iimpendulo eziqatha. Ukuba ugqirha ufuna ukuyeka amayeza, uya kukwenza oko ngokunciphisa kancinci idosi.
- I-Naloxone:Eli liyeza likaxakeka elisindisa ubomi elinikwa xa kukho i-opioid overdose. Buza ugqirha wakho ngale nto. Qaphela iimpawu ze-overdose (ubunzima bokuphefumla, ukozela kakhulu, ukungakwazi ukuvuka).
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Ngoko ke, musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani. Kuphephe ukuvuka okanye ukuhlala phantsi ngokukhawuleza, ingakumbi ukuba sele ukhulile.
- Utywala: Ungaze ulisebenzise eli yeza kunye notywala. Linokutshintsha imiphumo yeyeza kwaye libangele iziphumo ebezingalindelekanga eziyingozi.
- Ukuqhina: Ukuqhina kuqhelekile xa usebenzisa eli yeza. Ukuba awukwazi ukuya kwindlu yangasese kangangeentsuku ezingaphezu kwe-3, thetha nogqirha wakho.
Iziphumo Ezingalindelekanga Ezinokwenzeka
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukudakumba kwenkqubo yemithambo-luvo ephakathi (ukudakumba kwe-CNS) | Ukuphefumla kancinci okanye kancinci, ubunzima bokuphefumla, ukuquleka, ukozela kakhulu, ubunzima bokuhlala uphaphile. |
| Ukuncipha komsebenzi we-adrenal | Ukugabha, isicaphucaphu, ukuphelelwa ngumdla wokutya, ubuthathaka obungaqhelekanga, isiyezi. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Intlungu emqolo | Intlungu emqolo, ukutsha, okanye ukopha emva kokusebenzisa iyeza. |
| Izinto omele uzixelele ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza | |
| Ukuqhinwa | Le meko inokwenzeka rhoqo. |
| Isiyezi | |
| Ukozela | |
| Umlomo owomileyo | |
| Intloko ebuhlungu | |
| Isicaphucaphu/Ukugabha | |
Uligcina njani iyeza?
Ngenxa yokuba eli liyeza elinamandla kakhulu, kubaluleke kakhulu ukuligcina likhuselekile.
- Gcina eli yeza kude nabantwana nezilwanyana zasekhaya. Eli yeza linokuba yingozi xa lisetyenziswa ngomnye umntu, ingakumbi umntwana.
- Eli liyeza elingasetyenziswa gwenxa, ngoko ke ligcine kwindawo apho linokukhuselwa khona ekubiweni.
- Musa ukwabelana ngeli yeza nabanye abantu. Ukuthengisa okanye ukulinika omnye umntu lityala lolwaphulo-mthetho kwaye kunokuba yingozi kakhulu.
- Gcina kubushushu begumbi (phakathi kwe-15-25 Celsius). Musa ukuyiqandisa.
- Musa ukususa iyeza kwiphakheji yalo de kufike ixesha lokulisebenzisa.
Umyalezo Wokuya Ekhaya
- I-Morphine yipilisi yokunciphisa iintlungu enamandla kakhulu, ngoko ke soloko uyithatha kanye njengoko ugqirha wakho ekuxelele, ngedosi efanelekileyo, ngexesha elifanelekileyo.
- Ungalibali ukuxelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka iivithamini, imifuno, kunye nezongezo).
- Eli yeza linokubangela ukozela kunye nesiyezi, ngoko ke kuphephe imisebenzi efuna ukulumka, njengokuqhuba okanye ukusebenzisa oomatshini.
- Ukuba kukho norhano oluncinci malunga nokugqithisa amayeza , yiya kwiZiko loLwazi lweZifo zeSizwe okanye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Gcina eli yeza livalelwe kwindawo ekhuselekileyo kude nabantwana. Oku kubaluleke kakhulu kukhuseleko lwakho nolosapho lwakho.
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