Umjovo weMidazolam

-Delile

• Ngaphambi kokuthola umjovo we-midazolam,
• Umjovo weMidazolam ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo weMidazolam ungadala izinkinga zokuphefumula ezinzima noma ezisongela impilo ezifana nokungajulile, okwehlisiwe, noma ukumisa ukuphefumula okwesikhashana okungaholela ekulimaleni okungapheli kwengqondo noma ekufeni. Kufanele uthole le mithi kuphela esibhedlela noma ehhovisi likadokotela elinemishini edingekayo yokuqapha inhliziyo yakho namaphaphu nokunikeza ukwelashwa okusindisa impilo ngokushesha uma ukuphefumula kwakho kuhamba kancane noma kuyeka. Udokotela wakho noma umhlengikazi uzokubheka eduze ngemuva kokuthola lo muthi ukuqinisekisa ukuthi uphefumula kahle. Tshela udokotela wakho uma unesifo esibi noma uma uke waba nezinkinga zamaphaphu, umoya, noma ukuphefumula noma isifo senhliziyo. Tshela udokotela kanye nosokhemisi wakho uma usebenzisa noma iyiphi yale mithi elandelayo: ama-barbiturates afana ne-secobarbital (Seconal); i-droperidol (Inapsine); imithi yokukhathazeka, ukugula kwengqondo, noma ukuquleka; imithi ye-opiate yokukhwehlela njenge-codeine (e-Triacin-C, e-Tuzistra XR) noma i-hydrocodone (e-Anexsia, e-Norco, e-Zyfrel) noma yezinhlungu ezifana ne-codeine, i-fentanyl (i-Actiq, i-Duragesic, i-Subsys, abanye), i-hydromorphone (i-Dilaudid , Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (e-Oxycet, ePercocet, eRoxicet, abanye), kanye ne-tramadol (Conzip, Ultram, ku-Ultracet) ; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba.

Umjovo weMidazolam usetshenziswa ngaphambi kwezinqubo zokwelashwa nokuhlinzwa ukubangela ukozela, ukudambisa ukukhathazeka, nokuvikela noma iyiphi inkumbulo yomcimbi. Futhi kwesinye isikhathi kunikezwa njengengxenye ye-anesthesia ngesikhathi sokuhlinzwa ukukhiqiza ukulahleka kokwazi. Umjovo weMidazolam ubuye usetshenziselwe ukudala isimo sokwehla kokuqonda kubantu abagula kakhulu abasezigunjini zabagula kakhulu (i-ICU) abaphefumula ngosizo lomshini. Umjovo weMidazolam usesigabeni semithi ebizwa nge-benzodiazepines. Isebenza ngokunciphisa umsebenzi ebuchosheni ukuvumela ukuphumula nokunciphisa ukwazi.

Umjovo weMidazolam uza njengesisombululo (uketshezi) esizofakwa emsipheni noma emthanjeni ngudokotela noma umhlengikazi esibhedlela noma emtholampilo.

Uma uthola umjovo we-midazolam e-ICU isikhathi eside, umzimba wakho ungancika kuwo. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane ukuvimbela izimpawu zokuhoxa njengokuquleka, ukuqhaqhazela okungalawuleki kwengxenye yomzimba, ukubona izinto ezingekho (ukubona izinto noma ukuzwa amazwi angekho), isisu, isisu, ukuhlanza, ukujuluka, ukushesha ukushaya kwenhliziyo, ubunzima bokulala noma ukulala, nokudangala.

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

Ngaphambi kokuthola umjovo we-midazolam,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-midazolam noma eminye imithi.
• Tshela udokotela wakho uma uthatha imishanguzo ethile yegciwane lengculazi (i-HIV) kubandakanya i-amprenavir (Agenerase), i-atazanavir (Reyataz), i-darunavir (i-Prezista), i-delavirdine (i-Rescriptor), i-efavirenz (i-Sustiva, e-Atripla), i-fosamprenavir (Lexiva) indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), ritonavir (Norvir, eKaletra), saquinavir (Invirase), kanye netipranavir (Aptivus). Udokotela wakho anganquma ukungakuniki umjovo we-midazolam 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 uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO nakokulandelayo: i-aminophylline (Truphylline); ama-antifungal athile afana ne-itraconazole (Sporanox) ne-ketoconazole (Nizoral); ezinye izivimbeli zesiteshi se-calcium ezifana ne-diltiazem (iCartia, iCardizem, iTiazac, ezinye) kanye ne-verapamil (Calan, Isoptin, Verelan, abanye); i-cimetidine (Tagamet); i-dalfopristin-quinupristin (iSynercid); kanye ne-erythromycin (E-mycin, E.E.S.). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imithi eminingi ingase futhi ihlanganyele ne-midazolam, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma une-glaucoma (ingcindezi eyandayo emehlweni engadala ukulahleka kancane kombono). Udokotela wakho anganquma ukungakufaki umjovo we-midazolam.
• utshele udokotela wakho uma usanda kuyeka ukuphuza utshwala obuningi noma uma uke waba nesifo sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa.
• khuluma nodokotela wakho ngezingozi nezinzuzo zokuthola umjovo we-midazolam uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile kufanele bathole imithamo ephansi yomjovo we-midazolam ngoba imithamo ephakeme kungenzeka ukuthi idale imiphumela emibi kakhulu.
• kufanele wazi ukuthi i-midazolam ingakwenza ukozele kakhulu futhi ingathinta inkumbulo yakho, ukucabanga kwakho nokunyakaza kwakho. Ungashayeli imoto noma wenze eminye imisebenzi edinga ukuthi uqaphele ngokuphelele okungenani amahora angama-24 ngemuva kokuthola i-midazolam futhi kuze kube yilapho imiphumela yomuthi isiphelile. Uma ingane yakho ithola umjovo we-midazolam, yibheke ngokucophelela ukuze uqiniseke ukuthi ayiwi ngenkathi ihamba ngalesi sikhathi.
• kufanele wazi ukuthi utshwala bungenza imiphumela emibi yomjovo we-midazolam ibe yimbi kakhulu.
• kufanele wazi ukuthi ezinye izifundo ezinganeni ezisencane ziveze ukukhathazeka ngokusetshenziswa okuphindaphindiwe noma okude (> amahora amathathu) kwemithi ejwayelekile yokubulala izinzwa noma yokuthambisa efana ne-midazolam ezinganeni nasezinganeni ezingaphansi kweminyaka emithathu noma kwabesifazane ezinyangeni ezimbalwa ezedlule ukukhulelwa kwabo kungathinta ukukhula kwengqondo yomntwana. Olunye ucwaningo ezinganeni nasezinsaneni lukhombisa ukuthi ukuvezwa okukodwa, okufushane kumuthi wokubulala izinzwa nowokulalisa kungeke kube nemiphumela emibi ekuziphatheni noma ekufundeni. Kodwa-ke, olunye ucwaningo luyadingeka ukuqonda ngokugcwele imiphumela yokuchayeka ku-anesthesia ekukhuleni kobuchopho ezinganeni ezincane. Abazali nabanakekeli bezingane ezingaphansi kweminyaka emithathu ubudala nabesifazane abakhulelwe kufanele bakhulume nodokotela babo ngezingozi ze-anesthesia ekukhuleni kobuchopho kanye nesikhathi esifanele sezinqubo ezidinga imithi ejwayelekile yokubulala izinzwa noma yokuthambisa.

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

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

• ikhanda
• ukozela
• isicanucanu
• ukuhlanza
• izinqa
• ukukhwehlela
• ubuhlungu, ububomvu, noma ukuqina kwesikhumba endaweni yomjovo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukuyaluza
• ukungahlaliseki
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ukuqina nokuqhaqhazela izingalo nemilenze
• ulaka
• isithuthwane
• ukunyakaza kwamehlo okusheshayo okungalawuleki
• isifuba
• ukuqubuka
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

Umjovo weMidazolam ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola 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).

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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukozela
• ukudideka
• izinkinga ngokulinganisela nokunyakaza
• ingqondo eyehlisiwe
• ukuphefumula kancane nokushaya kwenhliziyo
• ikhoma (ukulahlekelwa ukwazi isikhathi esithile)

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Buza udokotela wakho noma usokhemisi uma unemibuzo mayelana nomjovo we-midazolam.

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.

• Kunamavesi^® Ukujova