Ngezinye izikhathi ubuhlungu esibuzwayo bungaba bukhulu kangangokuthi abukwazi ukulawulwa ngamaphilisi avamile obuhlungu. Cabanga ngobuhlungu obuvela ngemva kokuhlinzwa okukhulu, noma ubuhlungu obuvela ngemva kwengozi enkulu. Ezimweni ezinjalo, lapho amanye amaphilisi obuhlungu engasebenzi noma umzimba ungakwazi ukubekezelela, i-Meperidine iyisidakamizwa esikhethekile sobuhlungu esinconywa odokotela. Ngakho-ke namuhla, ake sixoxe ngala maphilisi e-Meperidine.
Iyini iMeperidine?
Kalula nje, iMeperidine iyisidakamizwa esinamandla kakhulu sokuqeda izinhlungu . Ingeyohlobo lwemithi ebizwa ngokuthi ama-opioid . Ekwenzayo ukuthi lapho umzimba wethu uzwa ubuhlungu, ivimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. Kufana nokunqamula okwesikhashana 'ukuxhumana' kobuchopho nobuhlungu, kunciphisa umuzwa wobuhlungu.
Into ebaluleke kakhulu ukuthi lokhu akuyona imithi yokwelapha ikhanda elibuhlungu noma ubuhlungu bomhlane obuvamile. Kungumuthi onikezwa kuphela ubuhlungu obukhulu, futhi kuphela uma kunesizathu esikhethekile salokho, ngomuthi kadokotela.
Lo muthi ngezinye izikhathi unganikezwa ngamagama ahlukile, ngakho-ke uma ungaqiniseki ngemithi oyinikwayo, buza udokotela wakho njalo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngenxa yokuthi i-meperidine iyimithi enamandla kakhulu, kubalulekile ukuthi udokotela wakho azi kahle ngesimo sakho sezokwelapha. Uma unezinye zezimo ezilandelayo, kufanele nakanjani utshele udokotela wakho ngaphambi kokusebenzisa lo muthi:
- Uma unesimila ebuchosheni noma ulimele kakhulu ekhanda.
- Uma ungumuntu ophuza kakhulu noma unenkinga yokusebenzisa izidakamizwa.
- Uma unesifo sezinso noma isifo sesibindi .
- Uma unesifo senhliziyo .
- Uma une -asthma , isifo samaphaphu, noma ezinye izinkinga zokuphefumula .
- Uma unesifo sokuwa .
- Uma unezinkinga zesisu noma zamathumbu.
- Uma uke wathatha umuthi we- MAOI njengoMarplan, Nardil, noma iParnate ezinsukwini ezingu-14 ezedlule . Lokhu kubaluleke kakhulu.
- Uma une -allergy ku-meperidine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe , uzama ukukhulelwa , noma uncelisa .
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngaphandle kokufihla lezi zinto.
Ngingawusebenzisa kanjani lo muthi?
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi.
- Phuza leli philisi nengilazi yamanzi.
- Landela imiyalelo ebhalwe ilebula kadokotela ngqo.
- Thatha umthamo onqunyiwe kuphela njengoba unqunyiwe udokotela wakho. Ungalokothi uthathe ngaphezu kwenani elinqunyiwe.
- Uma usebenzisa lo muthi ezinganeni, khuluma nodokotela wakho ngakho futhi uqaphele noma yiziphi izinyathelo zokuphepha ezikhethekile.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, kufanele uthathe isinyathelo ngokushesha. Lesi yisimo esiphuthumayo.
Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha.
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 umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi engase ihlangane ne-Meperidine
I-Meperidine ingasebenzisana neminye imithi eminingi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemikhiqizo yamakhambi).
| Ungalokothi uthathe iMeperidine kanye nalomuthi! (Gwema ngokuphelele) | |
|---|---|
| |
| Sebenzisa ngokucophelela uma uthatha iMeperidine kanye nalo muthi. | |
| Isigaba sezidakamizwa | Izibonelo |
| Utshwala | Zonke izinhlobo zotshwala |
| Imithi yomkhuhlane/ukukhwehlela/yokungezwani komzimba (ama-antihistamine) | Izidakamizwa ezifana nePiriton, iCetirizine |
| Imithi yokucindezeleka, ukukhathazeka, noma ukulala | I-Amitriptyline, i-Fluoxetine, i-Sertraline, ne-Diazepam |
| Amanye ama-opioid painkillers | I-Tramadol, i-Morphine |
| Ama-antifungal, ama-antibiotic, imithi ye-HIV/Hepatitis | I-Ketoconazole, i-Erythromycin, i-Rifampin |
| Imithi yokwelapha ukuxhuzula | I-Carbamazepine, i-Phenytoin |
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Ubuhlungu nokubekezelelana
Tshela udokotela wakho uma ubuhlungu bakho bungapheli, uma buba bubi kakhulu, noma uma unohlobo olusha lobuhlungu. Uma uthatha lo muthi isikhathi eside, umzimba wakho ungawujwayela. Lokhu kubizwa ngokuthi ukubekezelela . Lokhu kusho ukuthi umthamo owawuwuthathe ngaphambilini awanele ukulawula ubuhlungu, futhi udinga umthamo ophezulu. Lokhu kuvamile.
Umlutha Nokuthembela
Lezi yizinto ezimbili. Kujwayelekile ukuthi umzimba ujwayele imithi efana ne-Meperidine (ukuxhomekeka). Akusho ukuthi uyisigqila. Umlutha uwukusebenzisa imithi ngezizathu zengqondo, ngaphandle kwesizathu sezokwelapha. Uma uphuza imithi ngoba usezinhlungwini, leso yisizathu sezokwelapha. Ngakho-ke ungesabi lokhu.
Into ebaluleke kakhulu ukuthi ungayeki ukuthatha lo muthi ngokuzumayo. Ukwenza kanjalo kungabangela izimpawu ezinkulu zokuhoxa. Uma udokotela wakho efuna ukuthi uyeke ukuthatha umuthi, uzowunciphisa kancane kancane umthamo futhi akubonise ukuthi ungawuyeka kanjani ngokuphephile.
I-Naloxone, umuthi ophuthumayo wokudlula ngokweqile
Ukweqisa i-opioid njenge-meperidine kungaba yingozi empilweni. Izimpawu zifaka phakathi ukuphefumula kancane, ukozela okukhulu, kanye nokulahlekelwa ukwazi. I-Naloxone umuthi osetshenziswa njengokwelashwa okuphuthumayo kwalolu hlobo lokweqisa i-opioid. Uma uthatha lo muthi, khuluma nodokotela wakho nge-Naloxone nokuthi ungayithatha kanjani. Kubalulekile ukuthi amalungu omndeni wakho azi ngalokhu.
Amanye amaphuzu abalulekile
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Utshwala: Gwema utshwala ngokuphelele ngenkathi uthatha lo muthi. Ukuhlanganisa lo muthi notshwala kungabangela imiphumela emibi eyingozi.
- Ukuqunjelwa: Ukuqunjelwa kuvame kakhulu kubantu abasebenzisa lo muthi. Phuza amanzi amaningi futhi udle ukudla okune-fiber eningi. Uma ungenawo umgudu wokugaya ukudla ngemva kwezinsuku ezintathu, khuluma nodokotela wakho.
- Umlomo owomile: Uma umlomo wakho womile, ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, noma ukuphuza amanzi kungasiza.
Yimiphi imiphumela emibi engaba khona?
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Umphumela ongemuhle | Izici |
| 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 ngokweqile, ubunzima bokuhlala uphapheme. |
| Umsebenzi ophansi we-adrenal gland | Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka obungavamile, isiyezi. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Imiphumela emibi evamile, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | Isiyezi |
| Ukozela | Umlomo owomile |
| Ikhanda elibuhlungu | Isicanucanu nokuhlanza |
Ungayivikela kanjani imithi?
Lokhu kubaluleke kakhulu. Gcina lo muthi kude nezingane nezilwane ezifuywayo. Lo muthi ungabulala uma usetshenziswa ngendlela engafanele.
- Gcina imithi yakho endaweni ephephile ukuze uyivikele ekwebiweni .
- Ungabelani ngalo muthi nanoma ubani nganoma yisiphi isizathu. Ukwenza kanjalo kuphambene nomthetho futhi kuyingozi kakhulu.
- Gcina kuvaliwe kahle ekamelweni lokushisa (phakathi kuka-15-30 degrees Celsius).
- Lahla imithi engasetshenziswanga ngendlela efanele. Ungacela iseluleko kudokotela wakho ngalokhu. Uma kungekho ndlela yokuyilahla, yihlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- I-Meperidine umuthi we-opioid onamandla kakhulu onikezwa udokotela kuphela ngenxa yobuhlungu obukhulu lapho ezinye izidakamizwa zobuhlungu zingasebenzi.
- Ngaphambi kokuthatha lo muthi, yazisa udokotela wakho ngokuphelele ngayo yonke imithi oyithathayo kanye nazo zonke izimo zakho zezokwelapha.
- Gcina lo muthi endaweni ephephile kude nezingane. Ungalokothi wabelane ngawo nabanye.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi eyingozi, njengobunzima bokuphefumula noma ukozela okukhulu, funa usizo lwezokwelapha oluphuthumayo ngokushesha.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
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