Ingabe udokotela wakho ukunike i-morphine wena noma othile emndenini wakho ngenxa yobuhlungu obukhulu? Njengoba iyisidakamizwa esinamandla kakhulu sokuqeda izinhlungu, ungase ube nemibuzo eminingi ngayo. "Ingabe kuyingozi ukuyisebenzisa?", "Yimiphi imiphumela emibi?", "Yini okufanele ngiyiqaphele lapho ngiyithatha?" Ungase ube nemibuzo efana nale. Ungakhathazeki. Sizoxoxa ngakho konke lokhu kalula nangokucacile namuhla.
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Iyini le Morphine?
Kalula nje, i-morphine iyisidakamizwa esinamandla sokuqeda izinhlungu esinikezwa odokotela ukulawula ubuhlungu obukhulu . Isetshenziswa lapho ubuhlungu bungenakulawuleka ngamaphilisi obuhlungu avamile, noma lapho umzimba ungakwazi ukubekezelela umuthi.
Lokhu kungokwesigaba semithi ebizwa ngokuthi ama-opioid. Lo muthi usebenza ngokuvimbela ukudluliselwa kwezimpawu zobuhlungu ebuchosheni bethu. Ngakho-ke, kungakhathaliseki ukuthi ubuhlungu bukhulu kangakanani, asibuzwa kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuthi uqale ukusebenzisa i-morphine, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
| Isimo sakho sempilo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Ukulimala ekhanda, izimila zobuchopho | I-morphine ingandisa ingcindezi ebuchosheni. |
| I-asthma, isifo samaphaphu, noma ubunzima bokuphefumula | Lomuthi ungaba yingozi ngoba unganciphisa ukuphefumula. |
| Isifo sezinso noma sesibindi | Inqubo yokususa imithi emzimbeni ingase ithinteke. |
| Ukulutheka kwezidakamizwa noma utshwala | Lesi futhi isidakamizwa esinobungozi bokulutheka, ngakho-ke kudingeka ukunakekelwa okukhethekile. |
| Izifo ze-pancreas noma i-gallbladder | Lezi zimo zingaba zimbi kakhulu. |
| Ukuquleka noma ukuxhuzula | Ingozi yokuxhuzula inganda. |
| Ukuthatha imithi ye-MAOI ezinsukwini eziyi-14 ezedlule | Lokhu kungabangela ukusabela okunzima kakhulu futhi okuyingozi. |
| Ukhulelwe, uzama ukukhulelwa, noma uncelisa | Ngenxa yokuthi lo muthi ungathinta ingane, iseluleko sezokwelapha sibalulekile. |
| Ukungezwani komzimba nanoma yimuphi omunye umuthi noma ukudla | Qaphela ukuthi kungenzeka ukuthi umuntu angezwani ne-morphine. |
Uyisebenzisa kanjani kahle le mithi?
Kubaluleke kakhulu ukulandela indlela eqondile yokusebenzisa lokhu.
- Thatha umthamo oshiwo udokotela wakho kuphela: Ungalokothi uthathe okungaphezu kwalokho udokotela akutshele khona.
- Kala kahle: Njengoba lo muthi uza njengoketshezi, sebenzisa isipuni noma inkomishi ekhethekile ukuwukala. Ungalinganisi ngamathisipuni asekhaya, ngoba awanembile.
- Yithathe ngesikhathi esifanele: Thatha umuthi ngesikhathi esifanele, njalo emahoreni ambalwa, njengoba kunqunywe udokotela wakho.
- Uma uzwa ubuhlungu besisu: Uma uzizwa uphatheke kabi ngemva kokuthatha umuthi, thatha kanye nokudla noma ingilazi yobisi.
- Gwema ukuyeka ngokuzumayo: Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu (izimpawu zokuhoxa).
Kubaluleke kakhulu: Lo muthi unikezwe wena kuphela.Ungalokothi wabelane ngalo muthi nanoma ubani omunye. Awusemthethweni futhi uyingozi kakhulu.
Yini okufanele uyenze uma uphuthelwa umthamo?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi uphuze imithi eminingi kakhulu, thatha isinyathelo ngokushesha. Lokhu kungaba yingozi empilweni.
1. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital .
2. Ngesikhathi esifanayo, thatha isiguli usiyise e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Kubalulekile ukutshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma imithi yamakhambi oyithathayo, njengoba eminye imithi ingasebenzisana ne-morphine futhi ibangele izimo eziyingozi.
| Izidakamizwa okungafanele zithathwe ne-morphine | |
|---|---|
| |
| Imithi engase ihlangane ne-morphine futhi ngenxa yalokho kufanele ibikwe kudokotela | |
| Uhlobo lwesidakamizwa | Izibonelo |
| Utshwala | Noma yiluphi uhlobo lotshwala. |
| Eminye imithi yomkhuhlane nokukhwehlela (ama-Antihistamine) | Imithi ebangela ukozela, njengePiriton. |
| Imithi yezinkinga zempilo yengqondo (Ukucindezeleka, Ukukhathazeka) | Imithi efana ne-Amitriptyline, i-Fluoxetine, ne-Sertraline. |
| Imithi yokungalali | Imithi efana ne-diazepam. |
| Eminye imithi enamandla yokudambisa izinhlungu noma yokukhwehlela | Izidakamizwa ezifana neTramadol neCodeine. |
*Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi oyiphuzayo.*
Qaphela lezi zinto uma uthatha umuthi.
Umehluko phakathi kokubekezelelana nokulutha
Enye yezinto abantu abaningi abakwesabayo ukuthi bazoba umlutha walolu hlobo lwemithi. Kudingeka siqonde izinto ezimbili lapha.
1. Ukubekezelela: Uma uthatha i-morphine isikhathi eside, umthamo wangaphambilini ungase ungasanele ukuqeda ubuhlungu. Lokhu kusho ukuthi kudingeka umthamo ophakeme kancane ukulawula ubuhlungu. Lokhu kuvamile . Lokhu akuyona into ebangela umlutha.
2. Umlutha: Umlutha uwumkhuba wokusebenzisa umuthi ukuze ujabule ngokwengqondo ngaphandle kwesizathu sezokwelapha. Uma uwusebenzisa ngenxa yobuhlungu ngeseluleko sezokwelapha, awuwona umlutha.
Qaphela i-Naloxone
I-Naloxone umuthi osindisa impilo ongaguqula ukudlula ngokweqile komuthi we-opioid, njenge-morphine. Ukudlula ngokweqile kungenzeka uma uphuza umuthi omningi kakhulu noma uma uwuphuza nento efana notshwala. Izimpawu zokudlula ngokweqile zifaka phakathi ukuphefumula kancane, ukozela okukhulu, kanye nokungakwazi ukuvuka ngisho noma ukhuluma . Khuluma nodokotela wakho ngalokhu nokuthi ungayithola kanjani futhi uyisebenzise kanjani i-Naloxone uma kudingeka.
Amanye amaphuzu abalulekile
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini ngenkathi uthatha lo muthi.
- Utshwala: Gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha i-morphine. Kungaba nemiphumela eyingozi kakhulu.
- Ukuqunjelwa: Ukuqunjelwa kuyimiphumela emibi evamile yalo muthi. Ngakho-ke phuza amanzi amaningi futhi udle ukudla okune-fiber eningi (izithelo, imifino).Uma unenkinga yokuzikhulula endlini isikhathi esingaphezu kwezinsuku ezintathu, tshela udokotela wakho.
Imiphumela emibi engase ivele ngenxa yemithi
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ukucindezeleka kokuphefumula (ukucindezeleka kwe-CNS) | Ukuphefumula kancane kakhulu, ubunzima bokuphefumula, ukozela ngokweqile, ukungakwazi ukuvuka. |
| Ukwehla komfutho wegazi ophakeme | Ukuzungeza, ukubona okufiphele, ukuquleka. |
| Imiphumela emibi engase ivele njalo, kodwa kufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | Landela izindlela zokwelapha ezishiwo ngenhla. |
| Isiyezi, ukozela | Kungase kunciphe njengoba umzimba ujwayela umuthi. |
| Isicanucanu, ukuhlanza | Kungancishiswa ngokuthatha umuthi kanye nokudla. |
| Umlomo owomile | Ukuhlafuna itshungama engenashukela kanye namanzi okuphuza kungasiza. |
Ungayigcina kanjani imithi iphephile?
- Gcina kude nezingane nezilwane ezifuywayo: Lo muthi ungabulala uma ungena ezandleni zengane noma isilwane esifuywayo.
- Yikhiye endaweni ephephile: Ukuze uyivikele ekwebiweni, yigcine endaweni ephephile lapho kungekho muntu ongayithola kalula khona.
- Imithi Esele: Uma unemithi esele, yilahle ngendlela efanele. Uma lokho kungenzeki, yihlanze endlini yangasese. Ungayisebenzisi imithi ephelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Morphine iyisidakamizwa esinamandla sokuqeda izinhlungu okufanele sisetshenziswe kuphela ngaphansi kokuqashwa ngudokotela.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zakho zezempilo.
- Ungalokothi wabelane ngalo muthi nabanye. Uyingozi kakhulu.
- Qaphela izimpawu zokusebenzisa ngokweqile (ukozela ngokweqile, ubunzima bokuphefumula) bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Gwema ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Gcina umuthi uvalelwe endaweni ephephile kude nezingane nezilwane ezifuywayo.
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