Ngezinye izikhathi ubuhlungu esibuzwayo bunzima kakhulu ukuba bungalawulwa ngamaphilisi obuhlungu avamile. Kungaba ubuhlungu obubangelwa umdlavuza, ubuhlungu ngemva kokuhlinzwa okukhulu, noma ubuhlungu obubangelwa yisimo sezokwelapha sesikhathi eside. Yilapho odokotela benikeza khona umuthi onamandla njenge-morphine. Lokhu akuyona nje imithi yokubulala izinhlungu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu nokukusebenzisa ngendlela efanele.
Kalula nje, iyini le morphine?
I-Morphine umuthi okhethekile osetshenziselwa ukulawula ubuhlungu obukhulu, besikhathi eside . Ngokuvamile unikezwa udokotela uma eminye imithi yobuhlungu ingasebenzi noma ingafaneleki. Ingeqembu lemithi ebizwa ngokuthi ama-opioid . Kalula nje, lo muthi usebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
Okukhethekile ngalokhu ukuthi kusebenza kancane futhi kunikeza ukukhululeka kobuhlungu besikhathi eside (Ukukhululwa Okuqhubekayo) . Ngakho-ke, akusiwo umuthi osetshenziselwa ubuhlungu obungazelelwe (isibonelo, ubuhlungu obuvela ngemva kokulimala ekhanda). Kusetshenziselwa ukulawula ubuhlungu obukhulu nobuqhubekayo.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi:
Njengoba lo umuthi unamandla, kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala lo muthi.
- Uma unesimila sobuchopho noma ulimele kakhulu ekhanda .
- Uma uphuza utshwala njalo .
- Uma unezinkinga zokuphefumula njengezifo zamaphaphu noma i-asthma .
- Uma izindlala ze-adrenal zingasebenzi kahle.
- Uma unesifo senhliziyo .
- Uma unesifo esibangela ukuxhuzula .
- Uma unezinkinga zamathumbu.
- Uma unomlando wokuphazamiseka kokusebenzisa izidakamizwa .
- Uma uke wathatha umuthi wokucindezeleka we -MAOI (isib., i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate) ezinsukwini ezingu-14 ezedlule.
- Uma une -allergy ku-morphine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Ngiyisebenzisa kanjani ngempela le mithi?
Kubalulekile ukuthatha isilinganiso esifanele ngesikhathi esifanele, njengoba udokotela esho.
- Gwinya i-capsule yonke: Gwinya le-capsule yonke nengilazi yamanzi.
- Ungaliphuli, ulichoboze, noma ulihlafune: Lena yinto ebaluleke kakhulu. Ungaliphuli, ulichoboze, noma ulihlafune leli kapsuli. Uma wenza kanjalo, yonke imithi okufanele imuncwe emzimbeni kancane kancane isikhathi eside izongena emzimbeni ngesikhathi esisodwa, okubangela ukudlula ngokweqile okuyingozi .
- Uma unenkinga yokugwinya: Abanye abantu banenkinga yokugwinya ama-capsule. Uma kunjalo, ungayivula ngokucophelela i-capsule, uhlanganise ama-capsule amancane ngaphakathi nethisipuni ye-applesauce ebandayo, bese uwagwinya wonke ngesikhathi esisodwa ngaphandle kokuwahlafuna . Ungawagcini ukuze uwasebenzise kamuva. Hlanza umlomo wakho ngamanzi ngemva kokugwinya.
- Ngokudla noma ngaphandle kokudla: Lo muthi ungathathwa ngokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuthatha umuthi kanye nokudla okuthile.
- Ungandisi umthamo: Ungathathi okungaphezu kwenani elinqunywe udokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
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 imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital . Lesi yisimo esiphuthumayo okungafanele sibambezeleke.
Eminye imithi nezinto ezingase zihlangane nalo muthi
I-Morphine iyisidakamizwa esinamandla esingasebenzisana neminye imithi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Izinto ezingasabela nge-morphine | |
|---|---|
| Gwema ukuthatha i-morphine nalezi zinto | |
| Ama-MAOI | Imithi yokucindezeleka efana neMarplan, Nardil, Parnate. |
| Eminye imithi | Imithi efana ne-Linezolid, i-Methylene blue, ne-Samidorphan. |
| Lokhu kungabangela izinkinga uma kuthathwa i-morphine (tshela udokotela wakho). | |
| Utshwala | Kukhulisa kakhulu ukozela, isiyezi, kanye nobunzima bokuphefumula. |
| Eminye imithi ebangela ukozela | Imithi yokukhathazeka noma yokulala, imithi yokungezwani komzimba (ama-antihistamine), kanye nemithi yokuphumula imisipha. |
| Eminye imithi yokucindezeleka | Imithi efana ne-Amitriptyline, i-Fluoxetine, ne-Sertraline. |
| Okunye | Eminye imithi esetshenziselwa ukuxhuzula, izibulala-zinhlungu, imithi yokukhipha isisu, kanye neminye imithi eminingi. |
Izinto okufanele uzicabangele lapho uthatha imithi
Ubuhlungu nokubekezelelana
Uma uthatha lo muthi isikhathi eside, umthamo ofanayo owawulawula ubuhlungu bakho ngaphambili ungase ungasanele. Lokhu kubizwa ngokuthi ukubekezelela . Lokhu kuvamile. Uma uzizwa sengathi ubuhlungu bakho buya bukhula, tshela udokotela wakho. Uzolungisa umthamo njengoba kudingeka. Ungakhulisi umthamo njengoba uzizwa ukhululekile.
Ukuncika ezidakamizweni
Uma uthatha lo muthi isikhathi eside, umzimba wakho kanye nobuchopho bakho kungancika kancane kuwo. Lokhu akuyona into ebangela umlutha. Lokhu kungenzeka futhi uma uthatha umuthi ngokwelulekwa udokotela wakho. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho ngeke awuyeke wonke ngesikhathi esisodwa, kodwa uzonciphisa kancane kancane umthamo. Lokhu kuzokwenza kube lula ngomzimba wakho ukuwujwayela.
Ukwelashwa okuphuthumayo kokudlula ngokweqile: i-Naloxone
Ukweqisa i-opioid kungaba yingozi empilweni. Izimpawu zokweqisa zifaka phakathi ukuphefumula kancane, ukozela okukhulu, kanye nobunzima bokuvuka. I-Naloxone umuthi ophuthumayo osindisa impilo onganikezwa uma kwenzeka ukweqisa. Ivimba okwesikhashana imiphumela ye-opioid. Kubalulekile ukwenza umndeni wakho uqaphele lokhu.
Amanye amaphuzu abalulekile
- Ukushayela: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ukuqunjelwa: Ukuqunjelwa kuyimiphumela emibi evame kakhulu yalo muthi. Uma ungazange uthuthe isisu izinsuku ezintathu, khuluma nodokotela wakho. Ukuphuza amanzi amaningi nokudla ukudla okune-fiber eningi kungasiza.
- Umlomo owomile: Ungase uzizwe sengathi umlomo wakho womile. Lokhu kungalawulwa ngokuhlafuna itshungama engenashukela nokuphuza amanzi.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-morphine ingabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Uma uhlangabezana nalezi zimpawu , tshela udokotela wakho ngokushesha. | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Ukucindezeleka kwesistimu yezinzwa ephakathi (ukucindezeleka kwe-CNS) | Ukuphefumula kancane noma kancane, ubunzima bokuphefumula, ukozela ngokweqile, ukungakwazi ukuvuka. |
| Umfutho wegazi ophansi | Ukuzungeza, ukubona okufiphele, ukuquleka. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Ukuqunjelwa, isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isicanucanu, ukuhlanza. |
Uyigcina futhi uyilahla kanjani imithi?
Lokhu kubaluleke kakhulu. Uma lo muthi ungena ezandleni ezingafanele, ungabulala.
- Gcina ngokuphephile: Gcina lo muthi endaweni ephephile, ekhiyiwe kude nezingane nezilwane ezifuywayo .
- Ungabelani: Lo muthi unikezwe wena kuphela. Ungabelani ngawo nanoma ubani omunye. Kuphambene nomthetho futhi kungasongela impilo.
- Ukulahlwa: Lahla kahle imithi esele noma ephelelwe yisikhathi. Amanye amakhemisi anezinhlelo ezamukela imithi emidala. Noma, uma ingekho enye indlela, yihlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- I-Morphine iyisidakamizwa esinamandla esinikezwa kuphela ubuhlungu obukhulu, besikhathi eside.
- Ungalokothi uwaphule, uwachoboze, noma uwahlafune ama-capsule. Wagwinye wonke.
- Tshela udokotela wakho ngayo yonke eminye imithi, izimo zempilo, kanye nokungezwani komzimba okusebenzisayo.
- Qaphela imiphumela emibi engathi sína njengobunzima bokuphefumula kanye nokozela ngokweqile. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Gcina lo muthi endaweni ephephile kude nezingane nabanye abantu.
- Landela imiyalelo kadokotela wakho ngqo ngaso sonke isikhathi. Uma unemibuzo, buza udokotela wakho.
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