Okudingeka ukwazi ngamaphilisi e-Codeine!

Ngezinye izikhathi siba nobuhlungu obukhulu obungaqedwa yimithi yokwelapha ubuhlungu evamile. Cabanga ngakho, ubuhlungu obuvela ngemva kokuhlinzwa okuthile, noma ubuhlungu obukhulu obubangelwa ezinye izifo. Yilapho odokotela ngezinye izikhathi bekunikeza lo muthi wokubulala izinhlungu obizwa ngokuthi i-Codeine. Ngakho-ke, uyini lo muthi, usebenza kanjani, futhi yiziphi izinyathelo zokuphepha okufanele uzithathe ngenkathi uwusebenzisa? Lokhu kuningiliziwe kancane, kodwa kubaluleke kakhulu empilweni yakho, ngakho-ke kufanelekile ukukufunda ngokucophelela.

Kuyini i-Codeine?

Kalula nje, i-Codeine iwumuthi wokuqeda izinhlungu. Inikezwa uma eminye imithi yokwelapha izinhlungu ingalawuli ubuhlungu, noma uma ungakwazi ukubekezelela eminye imithi. Lo muthi usebenza ngokuvimbela izimpawu zobuhlungu ebuchosheni bakho. I-Codeine ingeyohlobo lwemithi ebizwa ngokuthi ama-opioid . Ivame ukusetshenziselwa ukwelapha ubuhlungu obukhulu.

Ngezinye izikhathi lo muthi ungasetshenziswa kwezinye izinto, ngakho-ke uma unemibuzo, buza udokotela wakho noma umuntu osekhemisi.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-codeine, kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ungazifihli lezi zinto, ngoba zingathinta impilo yakho.

Uma unezinye zalezi zimo, tshela udokotela wakho :

• Uma unesimila sobuchopho .
• Uma ungumuntu osebenzisa izidakamizwa (ukusebenzisa kabi izidakamizwa noma umlutha) , noma oke waba njalo esikhathini esidlule.
• Uma uke walimala ekhanda .
• Uma unesifo senhliziyo .
• Uma uphuza utshwala njalo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Ukusebenza okuphansi kwe-adrenal gland .
• Uma unesifo samaphaphu, i-asthma, noma izinkinga zokuphefumula .
• Uma unesifo sokuwa .
• Uma unezinkinga zesisu noma zamathumbu .
• Uma uke wathatha umuthi obizwa ngokuthi i-MAOI (i-Monoamine Oxidase Inhibitor), isibonelo i-Marplan, i-Nardil, noma i-Parnate, ezinsukwini eziyi-14 ezedlule. Lokhu kubaluleke kakhulu.
• Uma uke waba nokusabela okungavamile noma okungezwani ne-codeine, nikeza omunye umuthi, ukudla, udayi, noma izithasiselo.
• WenaUma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Udokotela uzokwazi ukunquma ukuthi lo muthi ukufanele yini noma cha, nokuthi kufanele unikezwe kanjani ngokukutshela lezi zinto ngokunembile.

Uyisebenzisa kanjani le mithi ngendlela efanele?

Lo muthi kufanele uphuzwe ngomlomo, nengilazi yamanzi. Uma umuthi ubonakala unzima ukuwugwinya, thatha kanye nokudla noma ubisi oluncane. Thatha njengoba nje kuqondiswe kulebula kadokotela. Ungathathi okungaphezu kwenani elinqunyiwe.

Uma ikhemisi likunikeza lo muthi, lizokunikeza incwajana yolwazi ekhethekile (i-MedGuide) . Kubalulekile ukuyifunda ngokucophelela njalo uma uthola ukugcwalisa noma ukugcwalisa umuthi wakho. Iqukethe ulwazi olubaluleke kakhulu ngalo muthi.

Khuluma nodokotela wakho mayelana nokunikeza izingane lo muthi . Lo muthi awunconywa ezinganeni ezingaphansi kweminyaka eyi-12 ubudala. Futhi, unganiki ingane engaphansi kweminyaka eyi-18 lo muthi ngemva kokuhlinzwa ukuze kususwe ama-tonsils kanye/noma ama-adenoids. Lokhu kubaluleke kakhulu, ngoba kungabangela imiphumela emibi kakhulu ezinganeni.

Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha. Lokhu akuwona umdlalo, kungaba yingozi empilweni.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu. Ngisho noma usebenza kuwe, ungase ube yingozi komunye umuntu.

Kuthiwani uma ngiphuthelwa umthamo?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo ephindwe kabili noma eyengeziwe. Ukwenza kanjalo kwandisa ingozi yemiphumela emibi.

Imithi engasebenzisana ne-Codeine

Lena yingxenye ebaluleke kakhulu. I-Codeine umuthi ongasebenzisana neminye imithi. Lokhu kusho ukuthi uma uthathwa neminye imithi, imiphumela ye-Codeine ingashintsha noma ibangele imiphumela emibi.

Ungayithathi i-codeine kanye nalomuthi!

Ungalokothi uthathe i-Codeine kanye nemithi elandelayo:

• I-Linezolid
• Imithi ye-MAOI (ama-MAOI afana ne-Marplan, i-Nardil, ne-Parnate) - Lokhu sekuke kwashiwo ngaphambili.
• I-Methylene eluhlaza okwesibhakabhaka
• U-Ozanimod
• I-Samidorphan
• I-Tedizolid

I-Codeine ingasebenzisana nalo muthi.

I-Codeine ingase ihlangane nemithi elandelayo. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma uthatha noma yimuphi wale mithi.

• Utshwala: Ukuthatha i-codeine notshwala kungandisa ukozela, isiyezi kanye nobunzima bokuphefumula.
• Eminye imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-Antihistamine): Lokhu kubangela ukozela, okungandiswa uma kuthathwa ne-codeine.
• I-Atropine
• Amanye ama -antibiotic , isibonelo i-erythromycin, i-clarithromycin, ne-rifampin.
• Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis.
• Imithi ethile yokukhathazeka noma yokulala.
• Eminye imithi yezinkinga zesinyi, isibonelo i-oxybutynin, i-tolterodine.
• Eminye imithi yokucindezeleka, isibonelo i-amitriptyline, i-bupropion, i-fluoxetine, i-paroxetine, ne-sertraline.
• Eminye imithi esetshenziswa ukwelapha izifo zesikhunta, isibonelo, i-ketoconazole, i-itraconazole, kanye ne-posaconazole.
• Eminye imithi esetshenziselwa ikhanda elibuhlungu, isibonelo, i-almotriptan, i-eletriptan, kanye ne-sumatriptan.
• Eminye imithi esetshenziswa isifo sikaParkinson, isibonelo i-benztropine kanye ne-trihexyphenidyl.
• Eminye imithi esetshenziselwa ukuxhuzula, isibonelo i-carbamazepine, i-phenobarbital, kanye ne-phenytoin.
• Eminye imithi yokwelapha ukucasuka kwesisu, isibonelo i-dicyclomine ne-hyoscyamine.
• Eminye imithi esetshenziselwa ukwelapha isicanucanu, njenge-scopolamine.
• Ama-diuretics ( imithi ebangela ukuthi kukhishwe umchamo omningi).
• Izibulala-zinhlungu ezivamile zisetshenziswa ngesikhathi sokuhlinzwa, isibonelo, i-halothane ne-propofol.
• I-Ipratropium.
• Imithi ephumuza imisipha yokuhlinzwa.
• Amanye ama-opioid painkiller.
• Ama-phenothiazine, isibonelo i-chlorpromazine, i-thioridazine.
• I-Quinidine.

Lolu hlu aluphelele.Tshela udokotela wakho ngayo yonke imithi, amakhambi, imithi engagunyaziwe, amavithamini, kanye nezithasiselo zokudla ozithathayo. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nalo muthi.

Izinto okufanele uzikhumbule lapho uthatha lo muthi

Kunezinto ezimbalwa okufanele uziqaphele uma uthatha i-codeine:

• Uma ubuhlungu bakho bungapheli, uma buba bubi kakhulu, noma uma uqala uhlobo olusha lobuhlungu, tshela udokotela wakho.
• Ngokuhamba kwesikhathi , umzimba wakho ungase uzizwe ubekezelela imithi. Lokhu kusho ukuthi umthamo owawuwuthatha ngaphambilini ungase unganeli ukulawula ubuhlungu bakho. Lokhu kuvamile, ikakhulukazi uma usuthathe lo muthi isikhathi eside. Udokotela wakho uzolungisa umthamo wakho ngokufanele.
• Uma uthatha izinhlobo eziningana zemithi yobuhlungu ye-narcotic, ebizwa ngokuthi ama-opioid, ngesikhathi esifanayo, ungase ube nemiphumela emibi eminingi. Tshela udokotela wakho ngayo yonke imithi oyithathayo. Uzokutshela ukuthi kufanele uyithathe engakanani. Ungaphuzi okungaphezu kwalokho udokotela wakho akutshele kona. Uma unenkinga yokuphefumula, funa usizo lwezokwelapha oluphuthumayo ngokushesha.
• Ungayeki ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu . Lokhu kungenxa yokuthi umzimba wakho usujwayele umuthi. Lokhu akusho ukuthi usuwumlutha, akunjalo? Umlutha uwukuthi usebenzisa umuthi ngaphandle kwesizathu sezokwelapha. Uma uzwa ubuhlungu, unesizathu sezokwelapha sokuthatha imithi yobuhlungu. Udokotela wakho uzokutshela ukuthi kufanele uthathe umuthi ongakanani. Uma udokotela wakho efuna ukuthi uyeke ukuthatha umuthi, uzonciphisa kancane kancane umthamo ukuze anciphise imiphumela emibi.
• Khuluma nodokotela wakho nge -naloxone nokuthi ungayithola kanjani. I-Naloxone umuthi ophuthumayo onikezwa uma kwenzeka uphuze i-opioid ngokweqile . Ukuthatha i-opioid eningi kakhulu noma ukuyiphuza nezinye izinto ezifana notshwala kungaholela ekuphuzeni ngokweqile. Qaphela izimpawu zophuze ngokweqile, njengobunzima bokuphefumula, ukukhathala okukhulu noma ukozela, kanye nokungaphenduli. Tshela umndeni wakho nabanakekeli ukuthi lo muthi ukuphi nokuthi uwusebenzisa kanjani. Ngemva kokunikezwa i-naloxone, kufanele nakanjani uye esibhedlela ngokushesha. Kumane kuyindlela yokwelapha yesikhashana. Kungadingeka ukuthi unikeze imithamo eyengeziwe.
• Izingane zingase zibe sengozini enkulu yemiphumela emibi. Uma ingane yakho iphefumula kancane, yenza umsindo ngenkathi iphefumula, inokudideka, noma ilele ngendlela engavamile,Yeka ukunikeza lo muthi ngokushesha bese ucela usizo lwezokwelapha oluphuthumayo.
• Ungase uzizwe ulele noma unesizungu . Ngakho-ke, uze wazi ukuthi lo muthi uthinta kanjani wena , ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqaphelisisa kwengqondo. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa ingozi yokuba nesizungu nokuquleka. Ukuphuza utshwala kungaphazamisa indlela lo muthi osebenza ngayo. Ngakho-ke, gwema ukuphuza utshwala.
• Lo muthi ungabangela ukuqunjelwa . Uma ungenawo umgudu wokukhipha isisu ngemva kwezinsuku ezintathu, shayela udokotela wakho .
• Umlomo wakho ungase wome . Ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, nokuphuza amanzi amaningi kungasiza ekulawuleni lokhu. Uma le nkinga iqhubeka noma iba nzima, khuluma nodokotela wakho .

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, i-codeine ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) — ukuphefumula kancane noma kancane, ukuphefumula okufushane, ukuzizwa ubuthakathaka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme.
• Ukusebenza okuphansi kwezindlala ze-adrenal - isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, isiyezi.
• Umfutho wegazi ophansi — isiyezi, ukuzizwa ubuthakathaka noma unesizungu, umbono ofiphele.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha, kodwa okufanele ibikwe uma iqhubeka

Le miphumela emibi ngokuvamile ayidingi ukunakekelwa kwezokwelapha. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho :

• Ukuqunjelwa
• Isiyezi
• Ukozela
• Umlomo owomile
• Ikhanda elibuhlungu
• Isicanucanu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Cela iseluleko kudokotela wakho mayelana nemiphumela emibi.

Ungawugcina kanjani lo muthi ngokuphephile?

Lokhu kubaluleke kakhulu. I-Codeine iyisidakamizwa esingaba yingozi uma singasetshenziswa ngokucophelela.

• Gcina lo muthi kude nezingane nezilwane ezifuywayo. Lo muthi ungasetshenziswa kabi. Ngakho-ke, uwugcine endaweni ephephile ukuze uwuvikele ekwebiweni. Ungawuniki omunye umuntu. Lo muthi ungowokusetshenziswa kwakho kuphela. Ukuthengisa noma ukunikeza omunye umuntu lo muthi kuyingozi kakhulu futhi kuphambene nomthetho.
• Gcina ekamelweni lokushisa (20 kuya ku-25 degrees Celsius, 68 kuya ku-77 degrees Fahrenheit). Vikela ekukhanyeni nasemswakama. Gcina ibhodlela/iphakethe lemithi livaliwe kahle.
• Lahla noma yimuphi umuthi osele ngemuva kosuku lokuphelelwa yisikhathi.

Lo muthi ungaba yingozi noma ubulale uma uthathwa ngomunye umuntu omdala, ingane, noma isilwane esifuywayo. Ngakho-ke, kubaluleke kakhulu ukulahla umuthi ngendlela efanele uma ungasadingeki noma usuphelelwe yisikhathi. Kunezindlela ezimbili zokwenza lokhu:

* Buza ikhemisi noma i-ejensi yokuphoqelela umthetho ukuthi kukhona yini uhlelo lokubuyisela imithi .

* Uma lokhu kungenzeki, lahla njengoba kuqondiswe ephepheni lolwazi olukhethekile (i-MedGuide) olitholayo.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Codeine iyisidakamizwa esinamandla sokuqeda izinhlungu, ngakho khumbula lezi zinto:

• Thatha kuphela inani udokotela wakho akutshele ukuthi ulithathe. Ungalokothi ulithathe elingaphezulu.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izifo onazo.
• Ungawuthathi lo muthi kanye notshwala.
• Umuthi ungakwenza ulale, ngakho-ke qaphela lapho ushayela noma usebenza ngemishini.
• Yigcine endaweni ephephile, kude nezingane nezilwane ezifuywayo.
• Ungayeki ukuthatha umuthi ngokuzumayo. Xhumana nodokotela wakho.
• Uma kwenzeka ukudlula ngokweqile umuthi, funa ukwelashwa okuphuthumayo ngokushesha. Qaphela i-Naloxone.

Leli phepha lolwazi liyisifinyezo kuphela. Lingase lingabi nayo yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, buza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Impilo yakho ibaluleke kakhulu kuwe njengoba ibaluleke kithi!

I- Codeine, umuthi wokuqeda izinhlungu, i-opioid, imithi, imiphumela emibi, impilo