Ngezinye izikhathi ubuhlungu esibuzwayo bunzima kangangokuthi izinhlungu ezivamile zobuhlungu azikwazi ukubulawula, akunjalo? Ngemva kwengozi, ngemva kokuhlinzwa okukhulu, noma ngenxa yesimo sezokwelapha esifana nomdlavuza, izinhlungu ezivamile zobuhlungu zingase zinganeli. Yilapho udokotela wakho engase akunike umuthi onamandla wokubulala izinhlungu njenge-Hydromorphone. Lona umuthi okhethekile ongowesigaba semithi ebizwa ngokuthi i-Opioids. Ngakho-ke, namuhla sizokhuluma ngalo muthi, ukusebenza kwawo, imiphumela emibi, nokuthi ungawusebenzisa kanjani ngokuphephile.
Uyini lo muthi obizwa ngokuthi i-Hydromorphone?
Kalula nje, i-Hydromorphone umuthi onamandla osetshenziselwa ukulawula ubuhlungu obukhulu . Ngokuvamile unikezwa udokotela uma ezinye izidakamizwa zobuhlungu zingakasizi, noma uma ungakwazi ukuzibekezelela.
Isebenza ngokuvimbela izimpawu zobuhlungu ebuchosheni bakho. Okusho ukuthi, ivimba umlayezo ukuthi ungahambi usuka emthonjeni wobuhlungu uye ebuchosheni bakho. Lokhu kunciphisa kakhulu ubuhlungu obuzwayo. Ingowesigaba semithi ebizwa ngokuthi ama-opioid . ESri Lanka, ingatholakala ngaphansi kwamanye amagama emikhiqizo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngenxa yokuthi i-hydromorphone iyisidakamizwa esinamandla kakhulu, kubalulekile ukuthi udokotela wakho azi imininingwane ephelele yesimo sakho sezokwelapha. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
| Isimo sakho sempilo noma umkhuba wakho | Kungani lokho kubalulekile? |
|---|---|
| Isimila sobuchopho noma ukulimala kwekhanda | Ezimweni ezinjalo, imiphumela emibi yomuthi inganda. |
| Ukuphuza njalo | Uma lo muthi uhlanganiswa notshwala, izimo eziyingozi ezifana nokuma kokuphefumula zingavela. |
| Ubunzima bokuphefumula, i-asthma, noma amaphaphu | Ngenxa yokuthi i-hydromorphone yehlisa ukuphefumula, ingaba yingozi kubantu asebevele benezinkinga zokuphefumula. |
| Isifo sesibindi noma sezinso | Ngenxa yokuthi inqubo yokukhipha emzimbeni ayinhle, umuthi unganqwabelana emzimbeni futhi wandise imiphumela emibi. |
| Ukuquleka | Lo muthi unamandla okwandisa ingozi yokuquleka kwesifo sokuwa. |
| Umlando wokusebenzisa kabi izidakamizwa | Lona futhi umuthi onobungozi bokulutheka, ngakho-ke kubalulekile ukwazisa udokotela ngawo. |
| Ukuthatha imithi ye-MAOI ezinsukwini eziyi-14 ezedlule | Ama-MAOI (isib. iMarplan, iNardil) uhlobo lomuthi osetshenziselwa ukwelapha izifo zengqondo. Ukuthatha i-Hydromorphone ngalezi zinto kungabangela ukusabela okubi kakhulu. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Umuthi ungathinta ingane esibelethweni noma ngobisi lwebele. |
Uyisebenzisa kanjani kahle le mithi?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi.
- Gwinya iphilisi ngengilazi yamanzi.
- Uma uzwa ubuhlungu besisu, thatha ngesikhathi sokudla noma ngemva kokudla.
- Thatha kuphela umthamo obekwe udokotela wakho, ngesikhathi obekwe ngaso. Ungalokothi uthathe ngaphezu komthamo obekwe ngudokotela.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Qaphela: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngaphandle kokulibala. Lesi yisimo esisongela impilo futhi akufanele sithathwe kalula.
Futhi khumbula, lo muthi ungowakho wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Ngenzenjani uma ngiphuthelwa isikhathi sokubonana nodokotela?
Uma uphuthelwe umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe.
Ezinye izinto ezingase zihlangane nalo muthi
I-Hydromorphone iyisidakamizwa esingasebenzisana neminye imithi notshwala, ngakho-ke qaphela okulandelayo:
- Utshwala
- Imithi yomkhuhlane, ukukhwehlela, kanye nokungezwani komzimba (ama-Antihistamine)
- Imithi yokukhathazeka noma yokulala
- Eminye imithi yokucindezeleka (isib. i-Amitriptyline, i-Fluoxetine)
- Eminye imithi yokwelapha isithuthwane (isb. i-Phenobarbital)
- Izinzwa ezivamile
- Imithi enikezwa ukuphumula imisipha ngesikhathi sokuhlinzwa
- Eminye imithi ye-opioid yobuhlungu noma ukukhwehlela
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yendabuko namavithamini.
Yini okufanele ngiyiqaphele lapho ngithatha umuthi?
Kubalulekile ukunaka umzimba wakho ngenkathi uthatha lo muthi.
Ubuhlungu nokubekezelelana
Uma umthamo womuthi owunikezwayo unganciphisi ubuhlungu bakho, noma uma ubuhlungu buba bubi kakhulu, tshela udokotela wakho. Uma uthatha lo muthi isikhathi eside, umzimba wakho ungawujwayela. Lokhu kubizwa ngokuthi ukubekezelelana . Khona-ke umthamo owawuwuthathile ngaphambili ungase unganeli ukulawula ubuhlungu. Lokhu kuvamile.
Into ebalulekile ukuthi umzimba wakho ujwayele umuthi, hhayi ngoba 'uwumlutha' wawo. Umlutha uwukusebenzisa umuthi ngenhloso engeyona eyezokwelapha. Uma ubuhlungu, ukuthatha umuthi walokho kuyisidingo sezokwelapha.
Isiyezi, ukozela, kanye nokuqunjelwa
Lomuthi ungakwenza uzizwe ulele noma unesizungu . Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho wenza le misebenzi, ikakhulukazi uma usukhulile, njengoba ungase uzizwe unesiyezi noma uquleke uma usukuma noma uhlala phansi ngokushesha kakhulu.
Kuvamile kakhulu ukuthi lo muthi ubangele ukuqunjelwa.Uma ungakwazi ukuhlanza amathumbu izinsuku ezintathu, khuluma nodokotela wakho. Kungaba nomlomo owomile. Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Hydromorphone ingabangela imiphumela emibi. Ake siyihlukanise ngezigaba ezimbili.
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela okukhulu, ukudideka. |
| Ukwehla komsebenzi we-adrenal | Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ukukhathala okungavamile, isiyezi. |
| Umfutho wegazi ophansi | Isiyezi, amehlo aluhlaza okwesibhakabhaka, ukuzizwa uphelelwe amandla. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | Umlomo owomile |
| Isiyezi | Ikhanda elibuhlungu |
| Ukozela | Isicanucanu nokuhlanza (Isicanucanu, Ukuhlanza) |
Ngingayigcina kanjani imithi yami iphephile?
Lolu udaba olubaluleke kakhulu.
- Gcina ivaliwe futhi ikhiyiwe kahle, kude nezingane nezilwane ezifuywayo.
- Kukhona amathuba okusebenzisa kabi lo muthi, ngakho-ke uvikele ekwebiweni.
- Ukuthengisa lo muthi noma ukuwunika omunye umuntu kuyingozi futhi akuvumelekile ngokomthetho.
- Gcina endaweni yokushisa yegumbi (15-30°C) kude nokukhanya.
- Lahla umuthi ongasetshenziswanga noma ophelelwe yisikhathi ngendlela efanele. Uma kungenzeka, uhlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- I-Hydromorphone umuthi onamandla onikezwa udokotela kuphela uma ubuhlungu obukhulu bukhona.
- Ngaphambi kokuthatha umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Ungalokothi wabelane ngalo muthi nabanye. Ngowakho wedwa.
- Uma uhlangabezana nemiphumela emibi kakhulu, njengobunzima bokuphefumula, funa usizo lwezokwelapha ngokushesha.
- Gwema ukuphuza utshwala nokushayela ngenkathi uthatha lo muthi.
- Gcina umuthi endaweni ephephile njalo lapho izingane nezilwane ezifuywayo zingawufinyeleli khona.
- Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
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