Inaliti ye-Hydromorphone

-Delile

• Ngaphambi kokusebenzisa umjovo we-hydromorphone,
• Umjovo weHydromorphone ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha umjovo we-hydromorphone bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo weHydromorphone ungaba wumkhuba, ikakhulukazi ngokusetshenziswa isikhathi eside, futhi kubangele ukwehlisa noma ukumisa ukuphefumula noma ukufa uma kusetshenziswe ngokweqile. Jova umjovo we-hydromorphone njengoba uqondisiwe. Ungayisebenzisi ngaphezulu noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho, Ngenkathi usebenzisa umjovo we-hydromorphone, xoxa nomhlinzeki wakho wezokunakekelwa kwezempilo ngezinhloso zakho zokwelashwa kobuhlungu, ubude bokwelashwa, nezinye izindlela zokuphatha ubuhlungu bakho. Tshela udokotela wakho uma wena noma omunye emndenini wakho uphuza utshwala noma uke waphuza utshwala obuningi, usebenzisa noma uke wasebenzisa izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imishanguzo kadokotela, noma uke weqisa ngokweqile, noma uma uke waba nengcindezi noma esinye isifo sengqondo. Kukhona ingozi enkulu yokuthi uzosebenzisa kakhulu i-hydromorphone uma uke waba noma uke waba nanoma iyiphi yalezi zimo. Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha bese ucela ukuqondiswa uma ucabanga ukuthi unesidakamizwa se-opioid noma ushayele Inombolo Yosizo Yezwe Yase-U.S. Kanye ne-Mental Health Services Administration (SAMHSA) ku-1-800-662-HELP

Umjovo we-Hydromorphone uyatholakala njengesixazululo samandla esijwayelekile (i-Dilaudid) nesisombululo esigxilile (i-Dilaudid-HP) esiqukethe i-hydromorphone eningi kumamililitha ngamunye wesisombululo. Udokotela wakho kufanele anikeze kuphela isisombululo esigxilisiwe uma ngabe ubekezelela i-opioid (uphathwe ngemithamo ethile yemithi ye-narcotic okungenani isonto elilodwa, uvumela umzimba wakho ukuthi ujwayele lolu hlobo lomuthi). Isixazululo esigxilile singadala imiphumela emibi kakhulu noma ukufa uma sisetshenziswa ngumuntu ongabekezeleli i-opioid. Qiniseka ukuthi uyazi ukuthi yisiphi isisombululo se-hydromorphone udokotela wakho asinqumele sona, futhi njalo hlola ukuze uqiniseke ukuthi uthola umuthi ofanele.

Ungavumeli noma ngubani omunye umuntu ukuthi asebenzise imithi yakho. Gcina umjovo we-hydromorphone endaweni ephephile ukuze kungabikho omunye umuntu ongawusebenzisa ngephutha noma ngenhloso. Gcina umbhalo walokho ukuthi kusale imishanguzo emingaki ukuze wazi ukuthi ikhona yini engekho.

Ukuthatha imishanguzo ethile ngesikhathi sokwelashwa kwakho ngomjovo we-hydromorphone kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezibucayi, ezisongela ukuphila, noma zokuquleka. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), i-chlordiazepoxide (i-Librium, eLibrax), i-clonazepam (i-Klonopin), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (Ativan), oxazepam, temazepam (Restoril), kanye ne-triazolam (Halcion); imithi yokugula kwengqondo noma isicanucanu; ukuphumula kwemisipha; eminye imithi yezinhlungu ze-narcotic; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa umjovo we-hydromorphone nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, fonela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo: isiyezi, ikhanda elikhanyayo, ukulala ngokweqile, ukuphefumula okunzima noma okunzima, noma ukungaphenduli. Qiniseka ukuthi umnakekeli wakho noma amalungu omndeni wakho ayazi ukuthi yiziphi izimpawu ezingabucayi ukuze bakwazi ukubiza udokotela noma ukunakekelwa kwezimo eziphuthumayo uma ungakwazi ukufuna ukwelashwa uwedwa.

Ukuphuza utshwala, ukuthatha imishanguzo kadokotela noma engabhalisi equkethe utshwala, noma ukusebenzisa izidakamizwa zasemgwaqeni ngenkathi welashwa ngomjovo we-hydromorphone kwandisa ubungozi bokuthi uzoba nemiphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-hydromorphone.

Umjovo weHydromorphone usetshenziselwa ukudambisa izinhlungu. Umjovo weHydromorphone usesigabeni semithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

Umjovo weHydromorphone uza njengesisombululo (uketshezi) ukujova ngaphansi kwesikhumba, emthanjeni, noma emsipheni. Imvamisa ijovwa kanye njalo emahoreni amabili kuya kwamathathu njengoba kudingeka. Sebenzisa umjovo we-hydromorphone njengoba uqondisiwe.

Udokotela wakho angahle alungise isilinganiso sakho somjovo we-hydromorphone ngesikhathi sokwelashwa kwakho, kuya ngokuthi ubuhlungu bakho bulawulwa kahle kangakanani kanye nemiphumela oyitholayo. Khuluma nodokotela wakho mayelana nokuthi uzizwa kanjani ngenkathi welashwa ngomjovo we-hydromorphone.

Uma usebenzise umjovo we-hydromorphone isikhathi eside kunezinsuku ezimbalwa, ungayeki ukuyisebenzisa ngokuzumayo. Uma ngokungazelelwe uyeka ukusebenzisa umjovo we-hydromorphone, ungahle uhlangabezane nezimpawu zokuhoxa kubandakanya ukungazinzi; amehlo anezinyembezi; ikhala eligobayo; ukuzamula; ukujuluka; Ukugodola; ubuhlungu bemisipha, emuva noma obuhlangene; ukunwetshwa kwabafundi; ukucasuka; ukukhathazeka; ubuthakathaka; isisu; ubunzima bokulala noma ukulala; isicanucanu; ukulahlekelwa ukudla; ukuhlanza; isifo sohudo; ukuphefumula okusheshayo; noma ukushaya kwenhliziyo okusheshayo. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa umjovo we-hydromorphone,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-hydromorphone injection, noma imiphi eminye imishanguzo, i-sulfite, i-latex, noma ezinye izithako zesisombululo se-hydromorphone injection. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: i-buprenorphine (iBelbuca, iBuprenex, iButrans, eBunavail); i-butorphanol; ipratropium (Atrovent, ku-Combivent Respimat); imishanguzo ye-glaucoma, isifo samathumbu esicasulayo, isifo sikaParkinson, izilonda, nezinkinga zomchamo; kanye ne-pentazocine (Talwin). Phinda utshele udokotela noma usokhemisi wakho uma uthatha noma iyiphi yale mithi elandelayo noma uyekile ukuyiphuza emasontweni amabili edlule: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), noma i-tranylcypromine (iParnate) . Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma une-asthma, ukuphefumula okuphuzile, ukuvimba esiswini noma emathunjini akho, noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungasebenzisi umjovo we-hydromorphone.
• utshele udokotela wakho uma uke walimala ekhanda noma waba nokulimala ekhanda, isimila ebuchosheni, noma esinye isimo esidale ukulimala ebuchosheni bakho; noma isiphi isimo esandisa ingcindezi ebuchosheni bakho; i-kyphoscoliosis (ukugoba komgogodla okungadala izinkinga zokuphefumula); umfutho wegazi ophansi; i-hypothyroidism (isimo lapho indlala yegilo ikhiqiza khona i-hormone engaphansi kokujwayelekile); isifo samaphaphu njengesifo esingelapheki sokuvimbela kwamaphaphu (iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya); Isifo i-Addison (isimo lapho i-adrenal gland ikhiqiza khona i-hormone engaphansi kokujwayelekile); ukuquleka; i-delirium tremens (izimpawu ezinzima zokuhoxa ezingase zivele kubantu abaphuze utshwala obuningi ngokuhamba kwesikhathi futhi abayeke ukuphuza); ukuqina kwe-urethral (ukuvinjelwa kweshubhu okuvumela umchamo ukuba uphume emzimbeni); i-prostate eyandisiwe (indlala yokuzala yowesilisa); noma i-gallbladder, amanyikwe, isibindi noma isifo sezinso.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-hydromorphone njalo ngenkathi ukhulelwe, ingane yakho ingahle ibe nezimpawu zokuhoxa ezisongela impilo ngemuva kokuzalwa. Tshela udokotela wengane yakho khona manjalo uma ingane yakho ihlangabezana nalezi zimpawu ezilandelayo: ukucasuka, ukukhathazeka ngokweqile, ukulala okungavamile, ukukhala okuphakeme, ukuzamazama okungalawuleki kwengxenye yomzimba, ukuhlanza, isifo sohudo, noma ukwehluleka ukukhuluphala.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-hydromorphone.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa umjovo we-hydromorphone.
• kufanele wazi ukuthi umjovo we-hydromorphone ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi umjovo we-hydromorphone ungadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni olele kuyo. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma usebenzisa umjovo we-hydromorphone esimisweni esijwayelekile, sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula.Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Umjovo weHydromorphone ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• ukuqunjelwa
• umlomo owomile
• ubumhlophe
• ukozela
• ukuqhuma
• ukulunywa
• ukuguquka kwemizwelo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha umjovo we-hydromorphone bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• yehlisa noma yeka ukuphefumula
• ukuyaluza, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), umkhuhlane, ukujuluka, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqhaqhazela, ukuqina kwemisipha okunzima noma ukudikiza, ukulahlekelwa ukuhlangana, isicanucanu, ukuhlanza noma uhudo
• isicanucanu, ukuhlanza, ukungathandi ukudla, ukuba buthakathaka, noma isiyezi
• ukungakwazi ukuthola noma ukugcina ukwakhiwa
• ukuya esikhathini okungajwayelekile
• kwehle isifiso sobulili
• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umlomo, noma umphimbo
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• isithuthwane
• ukuquleka

Umjovo weHydromorphone ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa le mithi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela ukuthi ungayigcina kanjani imithi yakho. Gcina imithi yakho kuphela njengoba uqondisiwe. Qiniseka ukuthi uyaqonda ukuthi uyigcina kanjani imithi yakho ngokufanele. Lahla noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokulahlwa okufanele kwemithi yakho.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Ngenkathi usebenzisa i-hydromorphone, kufanele ukhulume nodokotela wakho ngokuba nemithi yokutakula ebizwa nge-naloxone etholakala kalula (isb., Ikhaya, ihhovisi). INaloxone isetshenziselwa ukuguqula imiphumela esongela impilo yokweqisa ngokweqile. Isebenza ngokuvimba imiphumela yama-opiate ukukhulula izimpawu eziyingozi ezibangelwa amazinga aphezulu ama-opiates egazini. Udokotela wakho futhi angakunika i-naloxone uma uhlala ekhaya lapho kunezingane ezincane noma othile ohlukumeze izidakamizwa zasemgwaqweni noma zemithi kadokotela. Kufanele uqiniseke ukuthi wena kanye namalungu omndeni wakho, abanakekeli, noma abantu abachitha isikhathi nawe bayazi ukuthi ungakubona kanjani ukweqisa izidakamizwa, ukuthi ungayisebenzisa kanjani naloxone, nokuthi yini okufanele uyenze kuze kufike usizo oluphuthumayo lwezokwelapha. Udokotela wakho noma usokhemisi uzokukhombisa wena namalungu omndeni wakho ukuthi ungayisebenzisa kanjani le mithi. Buza usokhemisi wakho ukuthola imiyalo noma vakashela iwebhusayithi yomkhiqizi ukuthola imiyalo. Uma kwenzeka izimpawu zokweqisa ngokweqile, umngani noma ilungu lomndeni kufanele linikeze umthamo wokuqala we-naloxone, shayela u-911 ngokushesha, futhi uhlale nawe futhi ukubuke eduze kuze kufike usizo oluphuthumayo lwezokwelapha. Izimpawu zakho zingabuya kungakapheli imizuzu embalwa ngemuva kokuthola i-naloxone. Uma izimpawu zakho zibuya, umuntu kufanele akunikeze omunye umthamo we-naloxone. Imithamo eyengeziwe inganikezwa njalo emaminithini amabili kuya kwemi-3, uma izimpawu zibuya ngaphambi kokuthi usizo lwezokwelapha lufike.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukuphefumula kancane noma okungajulile
• ukuphefumula kanzima
• ubuthongo
• ayikwazi ukuphendula noma ukuvuka
• ubuthakathaka bemisipha
• kubanda, isikhumba se-clammy
• ukunciphisa noma ukunweba kwabafundi (indingilizi emnyama maphakathi neso)
• yehlisa noma yamisa ukushaya kwenhliziyo
• isiyezi
• ukuquleka
• ukuhoshozela

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Lo muthi awugcwaliseki kabusha. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda umjovo we-hydromorphone, shayela udokotela wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Dilaudid^®
• I-Dilaudid-HP^®

• dihydromorphinone