Ungase ube nobuhlungu obungabekezeleleki nobuhlala isikhathi eside. Mhlawumbe udokotela wakho ukunikeze eminye imithi eminingi yobuhlungu, futhi ayikho neyodwa esize ngempela. Yilapho udokotela angase akunike umuthi obizwa ngokuthi i-morphine. Uyisiqeda-zinhlungu esinamandla impela. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi usetshenziswa kanjani, nokuthi ungenzani.
Iyini le morphine ekhishwa njalo?
Kalula nje, i-morphine umuthi okhethekile osetshenziselwa ukulawula ubuhlungu obukhulu nobungapheli. Ungoweqembu lama-painkiller anamandla abizwa ngokuthi ama-opioid. Lo muthi usebenza ngokuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. Lokhu kunciphisa ubuhlungu esibuzwayo.
Kungenzeka ukuthi uqaphele ukuthi igama lalo muthi lithi 'Ukukhululwa Okuqhubekayo'. Lokhu kusho ukuthi uma uthatha lo muthi, umuthi ukhishwa kancane kancane emzimbeni futhi uhlala amahora amaningana, okusho ukuthi usebenza isikhathi eside . Ngakho-ke, usetshenziselwa ubuhlungu besikhathi eside, hhayi ubuhlungu obungazelelwe.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Kufanele utshele udokotela wakho ikakhulukazi uma unezinye zezimo ezibalwe ngezansi.
- Uma unesimila sobuchopho
- Uma uke waba umlutha wezidakamizwa noma utshwala noma uke waba umlutha wazo
- Uma uke walimala kakhulu ekhanda
- Uma unesifo senhliziyo
- Uma uphuza njalo
- Uma izindlala ze-adrenal zingasebenzi kahle
- Uma unesifo samaphaphu, i-asthma, noma ezinye izinkinga zokuphefumula
- Uma unesifo sokuwa
- Uma unezinkinga zesisu noma zamathumbu
- Uma uke wathatha umuthi wokucindezeleka we-MAOI (isib. i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate) ezinsukwini eziyi-14 ezedlule
- Uma une-allergy ku-morphine noma kunoma yimuphi omunye umuthi, ukudla, noma umbala wokwenziwa.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa
Kubaluleke kakhulu ukuze uphephe ukusho lezi zinto ngaphandle kokuzifihla.
Ngiyisebenzisa kanjani ngempela le mithi?
Ngenxa yokuthi lo muthi unamandla, kubaluleke kakhulu ukuthatha isilinganiso esifanele ngesikhathi esifanele, njengoba udokotela esho.
- Gwinya leli kapsuli liphelele ngengilazi yamanzi.
- Ungalokothi uphule, uchoboze, noma uhlafune i-capsule. Ukwenza kanjalo kungabangela umzimba ukuthi umunce yonke imithi oyidingayo isikhathi eside, okuholela ekweqisweni okuyingozi.
- Uma umuthi ubonakala unzima ukuwugwinya, thatha kanye nokudla noma ingilazi yobisi.
- Uma unenkinga yokugwinya i-capsule, vula i-capsule ngokucophelela bese ufaka imbewu encane ngaphakathi, kanye ne-applesauce ebandayo . Bese ugwinya i-applesauce ngaphandle kokuyihlafuna . Ungagcini isikhathi eside. Ungashiyi i-capsule emlonyeni wakho. Ngemva kokugwinya, hlambulula umlomo wakho ngamanzi bese ugwinya amanzi.
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke. Ungathathi umthamo ongaphezu komthamo udokotela wakho akutshele wona.
Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lo muthi unikezwe wena kuphela. Ungalokothi uwunike omunye umuntu.
Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?
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.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana)
Eminye imithi ingabangela ukusabela okuyingozi uma ithathwa nge-morphine, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
| Izidakamizwa okungafanele zithathwe ne-morphine | |
|---|---|
| I-Linezolid | I-Methylene eluhlaza okwesibhakabhaka |
| I-MAOIs (isb. Marplan, Nardil, Parnate) | I-Samidorphan |
Ngaphezu kwalokho, i-morphine ingasebenzisana nalokhu okulandelayo:
- Utshwala
- Imithi yokwelapha ukungezwani komzimba, ukukhwehlela kanye nomkhuhlane (Ama-antihistamine)
- Imithi yokukhathazeka noma yokulala
- Eminye imithi yokucindezeleka (isib. i-amitriptyline, i-fluoxetine)
- Eminye imithi yokwelapha ikhanda elibuhlungu
- Eminye imithi yokuhlanza
- Iziphumuli zemisipha
- Eminye imithi enamandla yokudambisa izinhlungu noma yokukhwehlela
- Imithi yokuhlanza
- Izinzwa ezivamile
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko) , nokuthi uyabhema, uyaphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
- Naka ubuhlungu: Uma ubuhlungu bakho bungapheli ngemva kokuthatha imithi, uma buba bubi kakhulu, noma uma unohlobo olusha lobuhlungu, tshela udokotela wakho. Ngokuhamba kwesikhathi, umthamo obuwuthatha ungase ungasanele ukulawula ubuhlungu bakho. Lokhu kubizwa ngokuthi ukuthuthukisa ukubekezelelana. Lokhu kuvamile.
- Umehluko phakathi kokulutheka nokujwayela: Njengoba uqhubeka nokuthatha lo muthi, umzimba wakho uyawujwayela. Lokhu akusho ukuthi usuwumlutha wawo. Ukulutheka kuwukuthatha umuthi ngenhloso yokudakwa ngaphandle kwesizathu sezokwelapha. Unesizathu sezokwelapha sokuthatha lo muthi ngoba usezinhlungwini.
- Ungayeki ukuthatha umuthi ngokuzumayo: Ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho uzowunciphisa kancane kancane umthamo.
- Yazi nge-Naloxone: Lona umuthi ophuthumayo osindisa impilo onikezwa uma kwenzeka uphuze kakhulu i-opioid. Khuluma nodokotela wakho ngokuthi ungawuthola kanjani. Qaphela izimpawu zophuze kakhulu (ubunzima bokuphefumula, ukozela okukhulu, ukulahlekelwa ukwazi). Yazisa umndeni wakho ngalokhu bese ubatshela ukuthi lo muthi ukuphi nokuthi uwusebenzisa kanjani. Ngisho nangemva kokunikeza i-Naloxone, ukulaliswa esibhedlela ngokushesha kubalulekile.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Uma usukhulile, ungavuki noma uhlale phansi ngokuzumayo.
- Ukuqunjelwa: Ukuqunjelwa kuyimiphumela emibi evamile yalo muthi. Uma ungazange uthuthe isisu izinsuku ezintathu, tshela udokotela wakho.
Imiphumela emibi engase ivele ngenxa yemithi
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi 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. |
| Ukwehla komsebenzi we-adrenal | Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ubuthakathaka obungavamile, isiyezi. |
| Umfutho wegazi ophansi | Ukuzungeza, ukubona okufiphele, ukuquleka. |
| Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa okufanele ibikwe uma iqhubeka) | |
| Ukuqunjelwa | Isiyezi, ukozela, umlomo owomile, ikhanda elibuhlungu, isicanucanu, nokuhlanza. |
Ungawuvikela futhi uwususe kanjani umuthi?
- Yigcine iphephile, kude nezingane nezilwane ezifuywayo. Lona umuthi onamandla kakhulu. Ungabulala uma omunye umuntu, ikakhulukazi ingane, ewuthatha.
- Vikela lo muthi ekwebiweni .
- Lahla umuthi ophelelwe yisikhathi noma ongasetshenziswanga ngendlela efanele. Uma lokhu kungenzeki, wuhlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- Lona umuthi onamandla wobuhlungu obukhulu, obuhlala isikhathi eside. Sebenzisa njengoba nje udokotela wakho ekutshelile.
- Ungaliphuli, ulichoboze, noma ulihlafune. Ligwinye lonke.
- Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo, ikakhulukazi utshwala.
- Gwema ukushayela ngoba kungabangela ukozela.
- Qaphela izimpawu zokudlula ngokweqile. Uma usola into enjalo, iya e-Emergency Treatment Unit (ETU) ngokushesha.
- Gcina umuthi endaweni ephephile kude nezingane nezilwane ezifuywayo.











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