I-Morphine Rectal

-Delile

• Ukuze usebenzise ama-suppositories, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-rectal morphine,
• I-Morphine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Morphine rectal ingaba yindlela yokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa i-morphine njengoba nje uqondisiwe. Ungayisebenzisi ngaphezulu, yisebenzise kaningi, noma uyisebenzise ngendlela ehlukile kunaleyo eqondiswa udokotela wakho. Ngenkathi usebenzisa i-morphine rectal, 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 ngokweqile i-morphine uma ngabe uke waba noma uke waba nalezi 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

I-Morphine ingakhuphula ubungozi bokuthi uzohlangabezana nezinkinga zokuphefumula noma ezinye izinkinga zokuphefumula ezibucayi noma ezisongela impilo, ukuthambisa, noma ikhoma uma zisetshenziswa kanye nemithi ethile. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan), ne-triazolam (i-Halcion); imithi yokugula kwengqondo, isicanucanu, noma ubuhlungu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa i-morphine rectal nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha: isiyezi esingavamile, 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 nge-morphine rectal kwandisa ubungozi bokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Khuluma nodokotela wakho ngezingozi zokusebenzisa i-morphine rectal.

I-Morphine rectal isetshenziselwa ukudambisa ubuhlungu obulinganiselayo nobunzima. I-Morphine isekilasini lemithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela umzimba ozwa ngayo ubuhlungu.

I-Morphine rectal iza njenge-suppository ukufaka ku-rectum. Imvamisa ifakwa njalo emahoreni amane. Sebenzisa i-rectal morphine ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-morphine njengoba nje uqondisiwe.

Udokotela wakho angalungisa umthamo wakho we-morphine ngenkathi welashwa ukuze ulawule ubuhlungu bakho ngangokunokwenzeka. Uma uzwa ukuthi ubuhlungu bakho abulawulwa, shayela udokotela wakho. Ungaguquli umthamo wemithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungayeki ukusebenzisa i-morphine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho anganciphisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukusebenzisa i-morphine, ungahlangabezana nezimpawu zokuhoxa njengokukhathazeka; ukujuluka; ubunzima bokulala noma ukulala; Ukugodola; ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula; isicanucanu; isifo sohudo; ikhala eligobayo, ukuthimula noma ukukhwehlela; izinwele esikhunjeni sakho zimile ekugcineni; noma i-hallucinating (ukubona izinto noma ukuzwa amaphimbo okungekho).

Ukuze usebenzise ama-suppositories, landela lezi zinyathelo:

1. Susa ukugoqwa.
2. Gcoba ichopho le-suppository emanzini.
3. Lala ngohlangothi lwakho lwesobunxele bese uphakamisa idolo lakho langakwesokudla esifubeni sakho (umuntu ongakwesokunxele kufanele alale ohlangothini lwesokunene aphakamise idolo langakwesokunxele.)
4. Usebenzisa umunwe wakho, faka i-suppository cishe nge-intshi eyodwa (2.5 amasentimitha) ku-rectum.
5. Yibambe ngomunwe isikhashana
6. Sukuma ngemuva kwemizuzu eyi-15. Geza izandla zakho kahle bese uqala kabusha imisebenzi ejwayelekile.

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

Ngaphambi kokusebenzisa i-rectal morphine,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergenic ku-morphine, noma imuphi omunye umuthi, noma iziphi izithako kuma-morphine suppositories. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• ungasebenzisi i-rectal morphine uma uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (i-Parnate) noma uma uyekile ukuthatha noma iyiphi yale mithi emasontweni amabili edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi i-rectal morphine uma uthatha eyodwa noma ngaphezulu yale mithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); ama-antihistamine (atholakala emithini ebandayo neyokungezwani komzimba); imithi yokuquleka; ama-barbiturates afana ne-phenobarbital ne-primidone (Mysoline); ama-beta-blocker afana nepropranolol (Hemangeol, Inderal, Innopran); i-butorphanol; i-chloral hydrate, i-chlorpromazine, i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; ku-Nuedexta); i-lithium (i-Lithobid), imishanguzo yekhanda elinjenge-almotriptan (Axert), i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Imitrex, i-Treximet), ne-zolmitriptan (iZomig) i-methocarbamol (Robaxin), i-mirtazapine (i-Remeron); nalbuphine; i-pentazocine (iTalwin); 5HT₃ ama-serotonin blocker afana ne-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (i-Kytril), i-ondansetron (iZofran, iZuplenz), noma i-palonosetron (i-Aloxi); i-serotonin-reuptake inhibitors ekhethiwe njenge-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem, e-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Prozac, i-Pexeva) ne-sertraline (i-Zoloft); i-serotonin ne-norepinephrine reuptake inhibitors efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ne-venlafaxine (Effexor); tramadol (Conzip, Ultram, in Ultracet), kanye ne-tricyclic antidepressants ('mood elevators') njenge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), Vivactil), kanye ne-trimipramine (Surmontil). Eminye imishanguzo eminingi ingaxhumana ne-rectal morphine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo, ikakhulukazi iSt John's wort ne-tryptophan.
• utshele udokotela wakho uma uphuza noma wake waphuza utshwala obuningi noma uke wahlinzwa ngepheshana le-biliary noma wahlinzwa esiswini. Tshela nodokotela wakho uma ngabe uke walimala ekhanda noma wake walimala; isimila ebuchosheni noma yisiphi isimo esandisa inani lengcindezi ebuchosheni bakho; ukuquleka; izinkinga zokuphefumula ezinzima noma ezisongela ukuphila; isifuba somoya; ukushaya kwenhliziyo okungajwayelekile; noma ukwehluleka kwenhliziyo. Udokotela wakho uzokutshela ukuthi ungasebenzisi i-rectal morphine.
• tshela udokotela wakho uma wake wahlinzwa kakhulu. Tshela nodokotela wakho uma uke waba nokugula kwengqondo noma wake wagula; isifo esingapheliyo sokuvimbela kwamaphaphu (i-COPD; iqembu lezifo elibangela ukulahleka kancane komsebenzi wamaphaphu) noma ezinye izinkinga zokuphefumula; i-prostatic hypertrophy (ukukhuliswa kwendlala yokuzala yowesilisa); ukuqina kwe-urethral (ukuvinjelwa kweshubhu okuvumela umchamo ukuba uphume emzimbeni); izinkinga zomchamo; umfutho wegazi ophansi; Isifo i-Addison (isimo lapho umzimba ungenzi ngokwanele izinto ezithile zemvelo); noma i-thyroid, isibindi, izinso, i-pancreatic, amathumbu, noma isifo se-gallbladder.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-morphine, shayela udokotela wakho.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokusebenzisa i-rectal morphine.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-morphine.
• kufanele wazi ukuthi i-morphine ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.

Phuza uketshezi oluningi ngenkathi usebenzisa lo muthi.

Faka umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungafaki umthamo ophindwe kabili ukwenzela okulahlekile.

I-Morphine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubumhlophe
• ukozela
• ubunzima bokulala noma ukulala
• ukuqunjelwa
• ubuhlungu besisu
• umlomo owomile
• ikhanda
• izinkinga zokubona
• ukuncipha kokuchama
• ukuqhuma

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ukuphefumula kancane, okungajulile noma okungavamile
• izinguquko ekushayeni kwenhliziyo
• 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
• umbala oluhlaza okwesibhakabhaka noma onsomi esikhumbeni
• ukuquleka
• isifuba
• ukuqubuka
• ukulunywa
• ukuvuvukala kwezingalo, izandla, izinyawo, amaqakala, noma imilenze engezansi

I-Morphine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

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).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

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

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

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-morphine, 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, okungajulile, noma okungahambi kahle
• ukuphefumula kanzima
• umbala oluhlaza okwesibhakabhaka noma onsomi esikhumbeni
• ubuthongo
• ukozela
• ayikwazi ukuphendula noma ukuvuka
• imisipha exhuga
• kubanda, isikhumba se-clammy
• ukushaya kwenhliziyo okuhamba kancane
• ukungaboni kahle
• isicanucanu
• ukuquleka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-morphine.

Ngaphambi kokwenza noma yiluphi uvivinyo lwe-laboratory (ikakhulukazi lezo ezibandakanya i-methylene blue), tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi usebenzisa i-morphine rectal.

Lo muthi awugcwaliseki kabusha. Uma usebenzisa i-morphine ukulawula ubuhlungu bakho isikhathi eside, qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho ukuze ungaphelelwa yimithi. Uma usebenzisa i-morphine isikhathi esifushane, shayela udokotela wakho uma uqhubeka nokuzwa ubuhlungu ngemuva kokuqeda umuthi.

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.

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