Ngezinye izikhathi, ubuhlungu esibuzwayo bungaba bukhulu kangangokuthi amaphilisi ajwayelekile okuqeda ubuhlungu awanele. Kungakhathaliseki ukuthi ubuhlungu obulandela ukuhlinzwa okukhulu noma ngemva kokulimala okukhulu, ungadinga ukuphathwa okunzulu kakhulu. Namuhla, sixoxa ngomuthi onamandla wokuqeda ubuhlungu ojovwayo owenzelwe ubuhlungu obukhulu kangaka. Kungenzeka ukuthi uke wezwa ubizwa ngegama lawo elijwayelekile, iMeperidine, noma igama lomkhiqizo wawo, iDemerol.
Iyini iMeperidine?
Kalula nje, i-Meperidine iyi-opioid analgesic enamandla kakhulu. Odokotela bavame ukuyinikeza uma ezinye izindlela zokwelapha ubuhlungu zinganele noma zingafaneleki ukulawula izinga lobuhlungu bakho.
Ingesigaba semithi ye -opioid . Isebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bakho; uma ubuchopho bakho bungatholi lezi zimpawu, awusazizwa ubuhlungu. Kwezinye izimo, lo muthi ungasetshenziswa futhi ukukusiza uzizwe uzolile noma ulele ngaphambi kwenqubo yezokwelapha noma ukuhlinzwa.
Ulwazi Olubalulekile Okufanele Uluhlanganyele Nodokotela Wakho
Ngenxa yokuthi lo muthi unamandla kakhulu, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezokwelapha ophelele kanye nanoma yiziphi ezinye izimo ezikhona . Uma unezinye zezimo ezibalwe kuthebula elingezansi, kufanele uzidalule kumhlinzeki wakho wezempilo.
| Isimo Sezokwelapha | Kungani udokotela kudingeka azi |
|---|---|
| Isimila sobuchopho noma ukulimala kwekhanda | Le mithi ingandisa ingcindezi ebuchosheni. |
| Isifo sezinso noma sesibindi | Umzimba wakho ungase ube nenkinga yokuqeda umuthi, okudinga ukulungiswa komthamo . |
| I-asthma, isifo samaphaphu, noma ubunzima bokuphefumula | Lo muthi unganciphisa ukuphefumula kwakho, okungaba yingozi empilweni. |
| Izinkinga zokuquleka | Lo muthi ungandisa ingozi yokuquleka. |
| Umlando wokusebenzisa kabi utshwala noma izidakamizwa | Ngenxa yengozi yokulutha, kudingeka ukuqaphela okwengeziwe kanye nokuqapha. |
| Ukusetshenziswa kwama-MAO inhibitors (isib., iMarplan, iNardil) ezinsukwini eziyi-14 ezedlule | Ukuhlanganisa le mithi kungabangela ukusabela okubi kakhulu, okusongela impilo. |
| Ukukhulelwa, ukuhlela ukukhulelwa, noma ukuncelisa | Lo muthi ungathinta ingane yakho, ngakho-ke ingxoxo ephelele yezokwelapha ibalulekile. |
| Ukungezwani nemithi, ukudla, noma ezinye izinto | Ukuqinisekisa ukuthi awukho engozini yokungezwani nomzimba nomuthi noma izithako zawo. |
Lo muthi unikezwa kanjani?
Ngenxa yokuthi iwumjovo, ivame ukunikezwa esibhedlela noma endaweni yokwelapha ngudokotela noma umhlengikazi. Ingafakwa emsipheni, ngaphansi kwesikhumba, noma ngqo emthanjeni .
Ezimweni ezingavamile, kungadingeka ukuthi unikeze lokhu ekhaya. Uma lokho kwenzeka, uzothola ukuqeqeshwa kochwepheshe kokuthi ungalungiselela kanjani futhi unikeze umjovo ngokuphephile kanjani. Ungalokothi weqe umthamo wakho onqunyiwe noma ushintshe isimiso sakho somthamo ngaphandle kwesiqondiso esicacile esivela kudokotela wakho.
Isexwayiso: Uma usola ukuthi uphuze ngokweqile , hamba ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela esiseduze noma uxhumane nesikhungo sakho sokulawula ubuthi sendawo. Lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo.
Lo muthi unikezwe wena ngqo. Ungalokothi wabelane ngomuthi wakho nanoma ubani omunye.
Ukusebenzisana Kwezidakamizwa
I-Meperidine ingasebenzisana nezinye izinto eziningi. Sicela unikeze udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, okuhlanganisa amavithamini kanye nezithasiselo zemithi .
| Imithi Okungafanele Uyithathe Ne-Meperidine | |
|---|---|
Ama-antidepressant e-MAOI (isib., iMarplan, iNardil, iParnate), iLinezolid, iMethylene blue, kanye neRitonavir. Ukuthatha lokhu ndawonye kungaholela emiphumeleni emibi kakhulu. | |
| Izinyathelo Zokuqapha Lapho Uthatha I-Meperidine | |
| Utshwala | Kungabangela imiphumela emibi eyingozi njengobunzima bokuphefumula, ukozela okukhulu, noma ukulahlekelwa ukwazi. Ungazihlanganisi ngaphansi kwanoma yiziphi izimo. |
| Imithi Yokulala, Ukukhathazeka, Noma Yokucindezeleka | Lokhu kungenza ukozela okukhulu kube kubi kakhulu futhi kunciphise ukuphefumula kwakho. |
| Ukungezwani komzimba, Ukukhwehlela, noma Umuthi Womkhuhlane | Lokhu kuvame ukubangela ukozela; ukuzihlanganisa neMeperidine kuzoqinisa lowo mphumela. |
| Ezinye Izibulala-zinhlungu ze-Opioid | Lokhu kwandisa kakhulu ingozi yemiphumela emibi kakhulu. |
| Izidambisi-zinhlungu kanye Neziphumuza Imisipha | Uma uhlelelwe ukuhlinzwa, kufanele wazise udokotela wakho ukuthi uthatha iMeperidine. |
Izinto Ezibalulekile Okufanele Uzicabangele Ngokwelashwa Kwakho
Ukuphathwa Kobuhlungu kanye Nesilinganiso
Uma ubuhlungu bakho bungapheli, buqhubeka buba bubi kakhulu, noma uma uba nohlobo olusha lobuhlungu, xhumana nodokotela wakho. Ngokuhamba kwesikhathi, umzimba wakho ungase uzivumelanise nalo muthi, inqubo eyaziwa ngokuthi ukubekezelela. Lokhu kusho ukuthi kungadingeka umthamo ophakeme kancane ukuze kufezwe ukulawula ubuhlungu okufanayo. Lokhu kuyindlela evamile yokusabela komzimba.
Okubaluleke kakhulu, khumbula ukuthi ukuthuthukisa ukubekezelela akusho ukuthi usuyimilutha. Umlutha uhilela ukusebenzisa imithi ngezizathu zengqondo hhayi ngesidingo sezokwelapha. Ukuthatha imithi njengoba kuyalelwe ukulawula ubuhlungu kuyindlela efanele yezokwelapha.
Ungayeki lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela izimpawu ezinkulu zokuhoxa. Uma udokotela wakho enquma ukuthi sekuyisikhathi sokuyeka, uzokuqondisa enkambisweni yokuncipha kancane kancane.
Eminye Imiphumela
- Imishini Yokushayela Nokusebenzisa: Lo muthi ungaphazamisa ukugxilisa ingqondo kwakho kanye nesikhathi sakho sokusabela. Gwema ukushayela noma ukusebenzisa imishini esindayo uze wazi kahle ukuthi kukuthinta kanjani.
- Ukuzungeza : Ungase ube nesiyezi noma ikhanda elibuhlungu. Ukuze unciphise lokhu, hamba kancane uma umi uhleli noma ulele.
- Ukuqunjelwa: Lokhu kuwumphumela ovamile wemithi ye-opioid. Uma ungakaze uphume esiswini ezinsukwini ezi-3, khuluma nodokotela wakho. Ukuhlala unamanzi emzimbeni nokudla ukudla okune-fiber eningi kungasiza.
- Umlomo Owomile: Uma uzwa umlomo owomile, ukuhlafuna itshungama engenashukela noma ukuphuza amanzi kungakunikeza impumuzo.
Imiphumela Engase Ibe Khona
| Imiphumela Engemihle Edinga Ukunakekelwa Kwezokwelapha Okusheshayo | |
|---|---|
| Ukusabela Okukhulu Kokungezwani Nomzimba | Ukuqubuka, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. |
| Ukuphefumula Okuhamba Kancane (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela okukhulu, noma ukudideka. |
| Umfutho Wegazi Ophansi | Isiyezi, ikhanda elikhanyayo, noma ukubona okufiphele. |
| Imiphumela Emibi Evamile (Yazisa Udokotela Wakho Uma Iqhubeka) | |
| Ukuqunjelwa | Isiyezi kanye nokozela |
| Umlomo owomile | Ikhanda elibuhlungu, isicanucanu, ukuhlanza |
I-Nirogi Lanka Thatha Umlayezo Wasekhaya
- I-Meperidine iyisiqeda-zinhlungu esinamandla esinqunyelwe kuphela ubuhlungu obukhulu ngaphansi kokuqashwa ngudokotela.
- Ngaphambi kokuqala, yazisa udokotela wakho ngazo zonke izimo zakho zempilo zamanje kanye nayo yonke imithi oyiphuzayo njengamanje.
- Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi.
- Ungalokothi wabelane ngalo muthi nanoma ubani omunye; uyingozi kakhulu.
- Ungayeki ngokuzumayo. Landela imiyalelo kadokotela wakho ukuze wehlise umthamo kancane kancane.
- Uma uhlangabezana nezimpawu eziyingozi njengobuthongo obukhulu noma ubunzima bokuphefumula, funa usizo lwezokwelapha oluphuthumayo eMnyangweni Wezimo Eziphuthumayo ngokushesha.
I-Meperidine, i-Demerol, i-Pethidine, iziqeda-buhlungu, i-Opioid, ubuhlungu, umjovo, imiphumela emibi, impilo
