Ngezinye izikhathi ubuhlungu esibuzwayo bungaba bukhulu kangangokuthi abunakulawulwa ngezinhlungu ezivamile. Ngezikhathi ezinjalo, lapho ubuhlungu bungenakulawulwa nganoma yimuphi omunye umuthi, umuthi okhethekile wokuqeda izinhlungu odokotela abawuncomayo yi-morphine. Njengoba lo umuthi unamandla kakhulu, kubaluleke kakhulu ukuwuqaphela nokuwusebenzisa kahle. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-morphine, ukuthi isetshenziswa kanjani, nokuthi yiziphi izinto okufanele uziqaphele.
Iyini le morphine?
Kalula nje, i-morphine iyisidakamizwa sokuqeda izinhlungu esisetshenziselwa ukulawula ubuhlungu obukhulu kakhulu . Ivame ukunikezwa ezimweni ezinzima kakhulu, njengobuhlungu bomdlavuza kanye nobuhlungu ngemva kokuhlinzwa okukhulu. Isebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni bethu. Lo muthi ungoweqembu lama-painkillers abizwa ngokuthi ama-opioid. Unamandla kakhulu futhi kufanele usetshenziswe kuphela ngaphansi komyalelo kadokotela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-morphine, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi kungaba yingozi ukusebenzisa lo muthi ezimweni ezithile zezokwelapha. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isifo noma umkhuba | Kungani kufanele ukhathazeke? |
|---|---|
| Isimila sobuchopho noma ukulimala kwekhanda | Kungandisa ingcindezi ebuchosheni futhi kwenze isimo sibe sibi kakhulu. |
| Ukulutheka kwezidakamizwa noma utshwala | Ingozi yokulutha lo muthi iphezulu. |
| Isifo samaphaphu, i-asthma, noma ubunzima bokuphefumula | I-Morphine inganciphisa ukuphefumula. |
| Umsebenzi ophansi we-adrenal gland | Lo muthi ungenza isimo sibe sibi kakhulu. |
| Isifo senhliziyo, ukuquleka | Izimo zezokwelapha ezikhona zingathinteka. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Iseluleko sezokwelapha sibalulekile ngoba singaba yingozi enganeni. |
| Ukuthatha imithi yohlobo lwe-MAOI (isib. i-Parnate) ezinsukwini eziyi-14 ezedlule | Kungaba khona ukusabela okubi kakhulu, ngisho nokusongela ukuphila. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Qaphela ukuthi kungenzeka ukuthi kube nokusabela kokungezwani komzimba. |
Indlela efanele yokusebenzisa lo muthi
Indlela yokusebenzisa lokhu ilula kakhulu.
- Phuza umthamo obekwe udokotela ngengilazi yamanzi.
- Landela imiyalelo ebhalwe ku-kadokotela ngqo.
- Uma uzwa ubuhlungu besisu, thatha lo muthi kanye nokudla.
- Thatha imithi yakho ngezikhathi ezithile ezibekiwe, njengoba kunqunywe udokotela wakho . Ungalokothi uthathe okungaphezu kwenani elibekiwe.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma umthamo ukhuphuka (ukudlula umthamo)?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, kuyisimo esiphuthumayo. Kufanele uye ngokushesha eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU). Noma ushayele i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko. Lesi yisimo esisongela ukuphila, ngakho ungalibali.
Okubaluleke kakhulu: Lo muthi ungowakho wedwa. Ungawubelani nabanye abantu nganoma yisiphi isizathu. Uyingozi futhi awusemthethweni.
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.
Ezinye izinto ezingasebenzisana ne-morphine
Eminye imithi ingasebenzisana ne-morphine futhi ibangele imiphumela emibi eyingozi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi emithi, kanye nezithasiselo .
Ungayithathi i-morphine kanye:
- I-Linezolid
- I-Methylene eluhlaza okwesibhakabhaka
- I-Samidorphan
- Ama-antidepressant e-MAOI (njengeMarplan, Nardil, Parnate)
Izinkinga zingavela nalezi:
- Utshwala: Ukuphuza utshwala ne-morphine kungabangela ukuphefumula okuphansi okuyingozi kanye nokulahlekelwa ukwazi. Ngakho-ke, gwema utshwala ngokuphelele ngenkathi uphuza i-morphine.
- Imithi yokwelapha ukungezwani komzimba, ukukhwehlela, kanye nomkhuhlane (Ama-antihistamine)
- Amaphilisi okukhathazeka nokulala
- Eminye imithi yokucindezeleka
- Imithi ye-migraine
- Umuthi wokwelapha ukuxhuzula
- Iziphumuli zemisipha
- Izinzwa ezivamile
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzicabangele lapho uthatha imithi
- Bika ubuhlungu: Tshela udokotela wakho uma ubuhlungu bakho bungapheli, uma buba bubi kakhulu, noma uma uqala uhlobo olusha lobuhlungu.
- Ukubekezelela: Uma uphuza umuthi isikhashana, ubuhlungu bungase bunganciphisi umthamo wangaphambilini. Lokhu kubizwa ngokuthi ukubekezelela. Lokhu kuvamile. Uma lokhu kwenzeka, udokotela wakho uzolungisa umthamo. Ungawukhulisi umthamo wena ngokwakho.
- Umehluko Phakathi Kokulutheka Nokulutheka: Ukujwayela umuthi akuyona into yokulutha. Kuvamile ukuthi umzimba uwujwayele lapho uthatha umuthi ngesizathu sezokwelapha, njengobuhlungu. Ukulutheka ukusebenzisa umuthi ngezizathu zengqondo, ngaphandle kwesizathu sezokwelapha. Uma uyeka ukuthatha umuthi ngeseluleko sikadokotela wakho, umthamo uncishiswa kancane kancane ukuze ugweme imiphumela yokuhoxa.
- Ukulala kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqapha uze wazi ukuthi ikuthinta kanjani. Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo uhleli.
- Ukuqunjelwa:Ukuqunjelwa kuyimiphumela emibi evamile yalo muthi. Uma unenkinga yokuphuma indle izinsuku ezingaphezu kwezintathu, khuluma nodokotela wakho. Ukudla izithelo, imifino, ukudla okune-fiber ephezulu, nokuphuza amanzi amaningi kungasiza.
- Umlomo owomile: Uma umlomo wakho womile, ukuhlafuna itshungama engenashukela, ukumunca amaswidi angashukela, nokuphuza amanzi amaningi kungasiza.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-morphine ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho 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 ngokweqile, ukudideka, ukungakwazi ukuhlala uphapheme. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukwehla komsebenzi we-adrenal | Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ukukhathala okungavamile, isiyezi. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukuqunjelwa | Isiyezi |
| Ukozela | Umlomo owomile |
| Ikhanda elibuhlungu | Isicanucanu nokuhlanza (Isicanucanu, Ukuhlanza) |
Ungayigcina kanjani imithi iphephile?
Lokhu kubaluleke kakhulu.
- Yigcine ikhiyiwe endaweni ephephile, kude nezingane nezilwane ezifuywayo .
- Vikela lo muthi ekwebiweni ngoba ungasetshenziswa kabi.
- Ungayisebenzisi ngemva kosuku lokuphelelwa yisikhathi.
- Lahla noma yimuphi umuthi osele ngendlela efanele. Kungcono ukuwudlulisela endaweni yokulahla imfucuza esemthethweni. Uma lokhu kungenzeki, geza ngamanzi endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- I-Morphine iyisidakamizwa esinamandla esisetshenziselwa ubuhlungu obukhulu kuphela. Kufanele sisetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo, uma uphuza utshwala, kanye nanoma yiziphi izimo zezokwelapha onazo.
- Landela umthamo nesikhathi esinqunywe udokotela wakho ngqo. Ungalokothi ushintshe umthamo wena noma wabelane ngomuthi nabanye.
- Uma uzwa ukozela ngokweqile noma ubunzima bokuphefumula ngenkathi uthatha umuthi, funa iseluleko sezokwelapha ngokushesha.
- Gcina lo muthi endaweni ephephile kude nezingane nezilwane ezifuywayo.
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