Ukudlula ngokweqile kwe-Morphine

I-Morphine iyisidambisi esinamandla kakhulu. Ingenye yamakhemikhali amaningi abizwa ngama-opioid noma ama-opiate, ekuqaleni ayesuselwa esitshalweni se-poppy futhi asetshenziselwa ukuqeda ubuhlungu noma imiphumela yabo yokwehlisa. Ukudlula ngokweqile kweMorphine kwenzeka lapho umuntu edla kakhulu umuthi ngamabomu noma ngengozi.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukwelapha noma ukuphatha ukuvezwa wushevu uqobo. Uma wena noma umuntu onaye unokuchayeka, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.

I-morphine sulfate

Imithi yegama lomkhiqizo i-morphine ifaka phakathi:

• I-Arymo ER
• I-Astramorph
• I-Depodur
• I-Duramorphy
• Infumorph
• IsiKadian
• MS Qhubeka
• MorphaBond
• URoxanol

Qaphela: Lolu hlu kungenzeka lungabandakanyi konke.

Izimpawu zingafaka:

• Izinzipho nezindebe eziluhlaza okwesibhakabhaka
• I-Coma
• Ukuqunjelwa
• Ukuphefumula kanzima, ukuphefumula okungajulile, ukuphefumula okuhamba kancane nokusebenza kanzima, akukho ukuphefumula
• Ukozela
• Khomba abafundi
• Ukulimala kwemisipha ngenxa yokunganyakazi ngenkathi uku-coma
• Isicanucanu, ukuhlanza
• Ukuquleka okungenzeka
• Spasms yesisu noma umgudu wamathumbu

Funa usizo lwezokwelapha ngokushesha. UNGENZI umuntu ahlanze ngaphandle uma etshelwe yi-Poison Control noma uchwepheshe wezokunakekelwa kwempilo. Yenza ukuphefumula komlomo ngomlomo uma umuntu eyeka ukuphefumula.

Uma kungenzeka, thola imininingwane elandelayo:

• Iminyaka yomuntu, isisindo, nesimo (isibonelo, ingabe umuntu uvukile noma uqaphile?)
• Igama lomkhiqizo (izithako namandla, uma kwaziwa)
• Isikhathi sigwinyiwe
• Inani ligwinyiwe

Kodwa-ke, UNGALIBALI ukubiza usizo uma lolu lwazi lungatholakali ngokushesha.

Isikhungo sakho sendawo sokulawula ubuthi singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo izokuvumela ukuthi ukhulume nezazi ekufakweni kobuthi. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isiqukathi uhambe naso uye esibhedlela, uma kungenzeka.

Umhlinzeki wezokunakekelwa kwempilo uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Izimpawu zizophathwa ngendlela efanele. Umuntu angathola:

• Amalahle avuliwe
• Ukusekelwa kwe-Airway, kufaka phakathi i-oxygen, ishubhu lokuphefumula ngomlomo (intubation), nomshini wokuphefumula (umshini wokuphefumula)
• Ukuhlolwa kwegazi nomchamo
• I-x-ray yesifuba
• I-EKG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (IV)
• I-Laxative
• Imithi yokwelapha izimpawu, kufaka phakathi i-naloxone, i-antidote yokuguqula umphumela wobuthi; kungadingeka imithamo eminingi

Ukuthi umuntu wenza kahle kangakanani kuncike ebukhulwini bokudlula ngokweqile nokuthi ukwelashwa kusheshe kutholakale kanjani. Uma umphikisi ofanele we-narcotic (umuthi wokulwa nemiphumela ye-narcotic) anganikezwa, ukululama ekudleni ngokweqile kwenzeka ngaphakathi kwamahora angama-24 kuye kwangama-48. Kodwa-ke, uma kube nokuquleka isikhathi eside nokwethuka (ukulimala kwezitho zangaphakathi eziningi), umphumela omkhulu kakhulu kungenzeka.

U-Aronson JK. I-Morphine. Ku: Aronson JK, ed. Imiphumela emibi kaMeyler yezidakamizwa. Umhla ka-16. I-Waltham, MA: Elsevier; 2016: 1111-1127.

UNikolaides JK, uThompson TM. Ama-opioid. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 156.