Ukudlula ngokweqile kwe-Hydrocodone / oxycodone

IHydrocodone ne-oxycodone ngama-opioid, izidakamizwa ezisetshenziselwa kakhulu ukwelapha ubuhlungu obedlulele.

Ukudlula ngokweqile kwe-Hydrocodone ne-oxycodone kwenzeka lapho othile ngamabomu noma ngephutha ethatha umuthi omningi kakhulu oqukethe lezi zithako. Umuntu angahle aphuze umuthi omningi ngokweqile ngoba engatholi ukukhululeka kobuhlungu emithamo yakhe ejwayelekile. Kunezizathu eziningana zokuthi kungani umuntu angathatha ngamabomu lo muthi ngokweqile. Kungenziwa ukuzama ukuzilimaza noma ukukhuphuka noma ukudakwa.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukuphatha noma ukuphatha ukweqisa ngokweqile kwangempela. Uma wena noma umuntu onokweqisa ngokweqile, 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) noma yikuphi e-United States.

I-Hydrocodone ne-oxycodone kungokwesigaba semithi ye-narcotic ebizwa ngama-opiates. Le mithi yizinhlobo ezenziwe ngabantu zezakhi zemvelo ezitholakala ku-opium.

I-Hydrocodone ne-oxycodone zivame ukutholakala kuma-painkillers kadokotela. Amaphilisi ezinhlungu ajwayelekile kakhulu afaka lezi zithako ezimbili yilezi:

• UNorco
• OxyContin
• I-Percocet
• Percodan
• Vicodin
• I-Vicodin ES

Le mithi ingahlanganiswa nemithi engeyona eyezidakamizwa, i-acetaminophen (iTylenol).

Uma uthatha umthamo ofanele noma onqunyiwe wale mithi, imiphumela emibi ingavela. Ngaphezu kokudambisa izinhlungu, ungahle uzele, udideke futhi udangele, uqunjelwe, futhi mhlawumbe ube nesicanucanu.

Uma uphuza kakhulu le mithi, izimpawu ziba zimbi kakhulu. Izimpawu zingakhula ezinhlelweni eziningi zomzimba:

AMEHLO, IZINDLEBE, IKHALA NOMQOLO:

• Khomba abafundi

UHLELO LWE-GASTROINTESTINAL:

• Ukuqunjelwa
• Isicanucanu
• Ama-spasms (ubuhlungu) besisu noma umgudu wamathumbu
• Ukuhlanza

IZINHLIZIYO ZENHLIZIYO NEGAZI:

• Umfutho wegazi ophansi
• I-pulse ebuthakathaka

UHLELO LWE-NEERVOUS:

• I-Coma (ukungaphenduli)
• Ukozela
• Ukuquleka okungenzeka

UHLELO LOKUPHUMULA:

• Kunzima ukuphefumula
• Ukuphefumula kancane okudinga umzamo omkhulu
• Ukuphefumula okungatheni
• Akukho ukuphefumula

ISIKHUMBA:

• Izinzipho nezindebe ezinombala oluhlaza okwesibhakabhaka

EZINYE IZIMPAWU:

• Ukulimala kwemisipha ngenxa yokunganyakazi ngenkathi ungaphenduli

Ezifundazweni eziningi, iNaloxone, ikhambi lokudlula ngokweqile kwe-opiate, iyatholakala ekhemisi ngaphandle kwemithi kadokotela.

I-Naloxone iyatholakala njengesifutho se-intranasal, kanye nomjovo we-intramuscular namanye amafomu omkhiqizo avunyelwe yi-FDA.

Imininingwane elandelayo iyasiza ngosizo oluphuthumayo:

• Iminyaka yomuntu, isisindo, nesimo
• Igama lomkhiqizo (kanye nezithako namandla, uma kwaziwa)
• Isikhathi lapho yagwinywa khona
• Inani ligwinyiwe
• Uma umuthi wawubekelwe lowo muntu

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

Isikhungo sakho sendawo esinoshevu singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo kazwelonke izokuvumela ukuthi ukhulume nochwepheshe bokufaka ushevu. 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. Ithimba lokunakekelwa kwezempilo lizokuqapha eduze ukuphefumula komuntu. 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
• Iskena se-CT (computed tomography, noma advanced imaging)
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi ngomthambo (ngemithambo yegazi noma nge-IV)
• I-Laxative
• Imithi yokwelapha izimpawu, kufaka phakathi i-naloxone, i-antidote yokuguqula umphumela wobuthi, imithamo eminingi ingadingeka

Izindlela zokwelashwa ezingeziwe zingadingeka uma umuntu ethatha i-hydrocodone ne-oxycodone nezinye izidakamizwa, njengeTylenol noma i-aspirin.

Ukweqisa ngokweqile okukhulu kungadala ukuthi umuntu ayeke ukuphefumula futhi afe uma engalashwa ngokushesha. Umuntu kungadingeka ukuthi angeniswe esibhedlela ukuze aqhubeke nokwelashwa. Ngokuya ngomuthi noma izidakamizwa ezithathiwe, izitho eziningi zingathinteka. Lokhu kungathinta umphumela womuntu namathuba okusinda.

Uma uthola ukwelashwa ngaphambi kokuba kuvele izinkinga ezinkulu ngokuphefumula kwakho, kufanele ube nemiphumela embalwa yesikhathi eside. Cishe uzobuyela kokujwayelekile ngosuku.

Kodwa-ke, lokhu kweqisa ngokweqile kungabulala noma kungaholela ekulimaleni okungapheli kobuchopho uma ukwelashwa kubambezeleka futhi kuthathwe inani elikhulu le-oxycodone ne-hydrocodone.

Ukudlula ngokweqile - i-hydrocodone; Ukudlula ngokweqile - i-oxycodone; Ukudlula ngokweqile kwe-Vicodin; Ukweqisa izidakamizwa kwepercocet; Ukweqisa izidakamizwa Percodan; Ukweqisa ngokweqile kwe-MS Contin; Ukweqisa ngokweqile kwe-OxyContin

I-Langman LJ, Bechtel LK, Meier BM, Holstege C. Umtholampilo wezobuthi. Ku: Rifai N, ed. I-Tietz Textbook ye-Clinical Chemistry kanye ne-Molecular Diagnostics. Umhlaka 6. ISt Louis, MO: Elsevier; 2018: isahluko 41.

Izimo eziphuthumayo ze-Little M. Toxicology. Ku: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, abahleli. Incwadi Yemithi Ephuthumayo Yabantu Abadala. Umhla wesi-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 29.

UNikolaides JK, uThompson TM. Ama-opiods. 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.

UPincus MR, uBluth MH, u-Abraham NZ. I-Toxicology kanye nokuqapha izidakamizwa ezelaphayo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 23.