Wake wadinga ukusebenzisa i-(Meperidine Solution) ukuze uthole ubuhlungu obukhulu? Masiqaphele lokhu!

Uma ubuhlungu obukhulu futhi ezinye izidambisi-zinhlungu zingasizi, udokotela wakho angase akuncomele umuthi obizwa ngokuthi "i-Meperidine." Lona umuthi onamandla wokuqeda izinhlungu. Ngakho-ke, kubalulekile ukwazi kahle ukuthi uyini lo muthi. Ingabe kufanele sixoxe ngawo ngokuningiliziwe?

Uhlobo luni lomuthi `(Meperidine)`?

Kalula nje, `(Meperidine)` umuthi osetshenziselwa ukulawula ubuhlungu obukhulu. Ngokuvamile unikezwa uma eminye imithi yobuhlungu ingasebenzi kuwe, noma uma ungakwazi ukuyibekezelela. Lo muthi usebenza ngokuvimbela izimpawu zobuhlungu eziya ebuchosheni bakho. Ungowesigaba semithi ebizwa ngokuthi `(Opioid)`. Kungenzeka ukuthi uke wezwa ngawo ngaphansi kwegama lomkhiqizo `(Demerol)`.

Lo muthi ngezinye izikhathi ungasetshenziswa kwezinye izimo. Ungabuza udokotela wakho noma usokhemisi ngalokhu.

Yini okufanele ngiyitshele udokotela ngaphambi kokusebenzisa lo muthi?

Lokhu kubaluleke kakhulu . Ngaphambi kokuba uqale ukuthatha lo muthi, kufanele utshele udokotela wakho uma unezinye zezimo ezilandelayo:

• Uma unesimila sobuchopho .
• Uma uphuza njalo .
• Uma uke walimala ekhanda .
• Uma unesifo senhliziyo (`(Isifo senhliziyo)`).
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma unesifo samaphaphu, i-asthma, noma izinkinga zokuphefumula .
• Uma unesifo sokuwa .
• Uma unezinkinga zesisu noma zamathumbu .
• Uma unenkinga yokusebenzisa izidakamizwa .
• Uma usebenzise umuthi obizwa ngokuthi `(MAOI)` (isibonelo `(Marplan)`, `(Nardil)`, noma `(Parnate)`) ezinsukwini eziyi-14 ezedlule.
• Uma une -allergy ku-meperidine, eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Khumbula, ukutshela udokotela imininingwane enjalo kungokwezokuphepha kwakho.

Ngingawusebenzisa kanjani lo muthi?

Lokhu kuza njengoketshezi. Kufanele ukuphuze ngomlomo.

• Sebenzisa isipuni noma inkomishi ekhethekile yokulinganisa ukuze ulinganise umuthi. Uma ungenawo, cela usokhemisi wakho akunike wona. Ngeke uthole isilinganiso esinembile ngezipuni zasekhaya ezivamile.
• Umthamo womuthi kufanele uncibilikiswe engxenyeni yengilazi yamanzi ngaphambi kokuwuthatha.
• Sebenzisa umuthi njengoba nje unqunywe udokotela wakho (`(ilebula likadokotela)`).
• Phuza umuthi wakho ngesikhathi esifanele, ngezikhathi ezifanele. Ungathathi okungaphezu kwalokho okutshelwe.

Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile (`(MedGuide)`). Kufanele uyifunde ngokucophelela njalo uma uthola umuthi noma `(gcwalisa kabusha)`.

Uma unikeza izingane lo muthi: Nakuba lo muthi unganikezwa izingane kwezinye izimo ezikhethiwe, kunezinyathelo zokuphepha ezikhethekile. Ngakho-ke, xoxa ngalokhu nethimba lakho lezokwelapha.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Okubaluleke kakhulu: Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu.

Kuthiwani uma ngiphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha olandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.

Yiziphi ezinye izinto (`(Ukusebenzisana)`) ezingasebenzisana nalo muthi?

Leli futhi liphuzu elibaluleke kakhulu. Eminye imithi ingabangela izinkinga uma ithathwa kanye ne-`(Meperidine).`

Ungayithathi i-Meperidine kanye nale mithi:

• `(I-Linezolid)`
• `(MAOIs)` (isb. `(Marplan)`, `(Nardil)`, `(Parnate)`)
• `(I-Methylene eluhlaza okwesibhakabhaka)`
• `(I-Ritonavir)`
• `(Samidorphan)`
• `(I-Tedizolid)`

Futhi, `(Meperidine)` ingasebenzisana nalezi zinto. Ngakho-ke, uma usebenzisa lezi zinto, kufanele utshele udokotela wakho:

• `(I-Acyclovir)`
• Utshwala
• Ama-antihistamine ekwelapheni ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane
• `(I-Atropine)`
• Ezinye izinhlobo ze-`(Ama-antibiotic)` (isb. `(Erythromycin)`, `(Clarithromycin)`, `(Rifampin)`)
• Eminye imithi "(Antiviral)" enikezwa "(HIV)" noma i-hepatitis
• Eminye imithi yokwelapha ukukhathazeka noma ukulala
• Imithi yezinkinga zesinyi (isib. i-Oxybutynin, i-Tolterodine)
• Eminye imithi yokucindezeleka (isib. i-Amitriptyline, i-Fluoxetine, i-Sertraline)
• Imithi yokutheleleka kwesikhunta (isib. iKetoconazole, i-Itraconazole, iPosaconazole)
• Eminye imithi yokwelapha i-migraines (isb., `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`)
• Imithi esetshenziselwa isifo sikaParkinson (isib. iBenztropine, iTrihexyphenidyl)
• Imithi yokwelapha ukuxhuzula (isib. `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`, `(Primidone)`)
• Imithi yokuphazamiseka kwesisu (isib. `(Dicyclomine)`, `(Hyoscyamine)`)
• Imithi yokugula kokunyakaza (isb. iScopolamine)
• `(I-Cimetidine)`
• `(Imithi yokwehlisa umfutho wegazi)` (imithi ekhipha amanzi emzimbeni)
• Ama-anesthetic asetshenziswa ngesikhathi sokuhlinzwa (isb., `(Halothane)`, `(Isoflurane)`, `(Methoxyflurane)`, `(Propofol)`)
• `(Ipratropium)`
• Imithi enikezwa ukukhulula imisipha ngesikhathi sokuhlinzwa
• Ezinye izidakamizwa zokunciphisa ubuhlungu (izidakamizwa)
• Imithi eqenjini elithi `(Phenothiazines)` (isb. `(Chlorpromazine)`, `(Mesoridazine)`, `(Prochlorperazine)`, `(Thioridazine)`)

Lolu hlu lungase lungaphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi, amakhambi, amavithamini, kanye nezithasiselo zokudla ozithathayo, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.

Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?

• Uma ubuhlungu bakho bungapheli, uma buba bubi kakhulu, noma uma unezinhlobo ezintsha zobuhlungu, tshela ithimba lakho lezempilo.
• Uma usebenzisa lo muthi isikhathi eside, ungase ube nokubekezelela umuthi . Lokhu kusho ukuthi umthamo wangaphambilini awusanele ukulawula ubuhlungu bakho, futhi ungase udinge umthamo ophezulu. Lokhu kuvamile, ikakhulukazi uma uthatha umuthi isikhathi eside.
• Kunezinhlobo eziningana zemithi yobuhlungu yezidakamizwa (eyaziwa nangokuthi ama-opioid). Uma uthatha izinhlobo ezingaphezu kweyodwa ngesikhathi, ungase ube nemiphumela emibi eminingi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Bazokutshela ukuthi kufanele uyithathe engakanani. Ungathathi ngaphezu kwenani elibekiwe. 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 womuthi. Umlutha uwukuziphatha okuhilela ukuthola nokusebenzisa umuthi ngesizathu esingesona esezokwelapha. Uma uzwa ubuhlungu, unesizathu sezokwelapha sokuthatha umuthi wokuqeda izinhlungu. Udokotela wakho uzokutshela ukuthi kufanele uthathe umuthi ongakanani. Uma befuna ukuyeka umuthi, bazonciphisa kancane kancane umthamo ukuze banciphise imiphumela emibi.
• Khuluma nethimba lakho lezempilo mayelana nomuthi `(Naloxone)` nokuthi ungawuthola kanjani. `(Naloxone)` iyindlela yokwelapha ephuthumayo yokweqisa i-`(opioid)`. Uma uthatha umuthi `(opioid)` omningi kakhulu, noma uma uwuthatha nezinye izinto ezifana notshwala, ungaba `(overdose)`. Yazi izimpawu `(overdose).` Isibonelo, ubunzima bokuphefumula, ukukhathala okungavamile noma ukulala, noma ukungakwazi ukuphendula noma ukuvuka. Tshela abanakekeli bakho nabangane abaseduze ukuthi lo muthi ukuphi nokuthi ungawusebenzisa kanjani. Ngemva kokunikeza `(Naloxone)`, kufanele uthole usizo lwezokwelapha oluphuthumayo ngokushesha.I-Naloxone iyindlela yokwelapha yesikhashana. Ngezinye izikhathi kungadingeka imithamo ephindaphindwayo.
• Ungase uzizwe ulele noma unesizungu . Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kunganciphisa isizungu kanye nokuquleka. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Ngakho gwema ukuphuza utshwala.
• Lo muthi ungabangela ukuqunjelwa . Uma ungenawo umgudu wokugaya ukudla ngemva kwezinsuku ezi-3, shayela ithimba lakho lezempilo.
• Umlomo wakho ungase wome . Ungakulawula lokhu ngokuhlafuna itshungama engenashukela, ukumunca ucezu lwejinja, nokuphuza amanzi amaningi. Uma le nkinga iqhubeka noma iba nzima, tshela udokotela wakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lokhu kungaba nemiphumela emibi.

Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, amaqhubu (amabala amakhulu abomvu), ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• (Ukucindezeleka kwe-CNS ) — Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukuquleka, isiyezi, ukudideka, ubunzima bokuhlala uphapheme.
• (Ukungasebenzi kahle kwe-adrenal gland ) — isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka noma ukukhathala okungavamile, isiyezi.
• (Umfutho wegazi ophansi ) — Isiyezi, ukuquleka noma ikhanda elikhanyayo, umbono ofiphele.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

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

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe mayelana nemiphumela emibi.

Ngingawugcina kanjani lo muthi?

• Yigcine kude nezingane.
• Lo muthi ungasetshenziswa kabi (`(ungasetshenziswa kabi)`). Ngakho-ke, uwugcine endaweni ephephile ukuze uwuvikele ekwebiweni.
• Ungabelani ngalo muthi nanoma ubani omunye. Ukuthengisa noma ukunikeza abanye lo muthi kuyingozi futhi kuphambene nomthetho.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86). Gcina ibhodlela/isitsha sivaliwe kahle.
• Lomuthi ungalimaza noma ubulale abanye abantu abadala, izingane, noma izilwane ezifuywayo uma bewuthatha. Lahla umuthi ongasetshenziswanga endaweni yokulahla imithi esemthethweni.Buza iziphathimandla zendawo yakho ukuthola indawo enjalo. Uma ingekho indlela enjalo yokulahla, yihlanze endlini yangasese (leli yicebiso elikhethekile, kodwa kufanele futhi ucabange ngendawo ezungezile).
• Ungasebenzisi umuthi ophelelwe yisikhathi (`(usuku lokuphelelwa yisikhathi)`).

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-`(Meperidine)` manje. Ukufingqa:

• Lolu uhlobo lomuthi we-opioid olusetshenziselwa ubuhlungu obukhulu.
• Tshela udokotela wakho konke ngesimo sakho sempilo ngaphambi kokusebenzisa lokhu.
• Thatha umthamo onqunyiwe, njengoba uyalelwe. Ungaphuzi owengeziwe, futhi ungayeki ngokuzumayo.
• Ingasebenzisana neminye imithi, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
• Imiphumela emibi efana nokozela nokuqunjelwa ingase ivele. Uma uhlangabezana nanoma yini engathi sína, njengobunzima bokuphefumula, funa usizo lwezokwelapha ngokushesha.
• Gcina umuthi endaweni ephephile kude nezingane.

Sithemba ukuthi lolu lwazi luzokusiza. Uma unemibuzo, ungangabazi ukubuza udokotela wakho noma usokhemisi. Bakhona ukuzokusiza.

I- Meperidine, i-Demerol, i-Opioid, i-Painkiller, Ubuhlungu, Imiphumela Engemihle, Umuthi, Impilo