I-Hydromorphone Rectal

-Delile

• Ukuze usebenzise ama-suppositories, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa amakhandlela we-hydromorphone,
• Amakhandlela we-Hydromorphone angadala 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 noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Unxande lwe-Hydromorphone kungaba ukwakheka komkhuba, ikakhulukazi ngokusetshenziswa isikhathi eside. Sebenzisa unxande we-hydromorphone ncamashi njengoba uqondisiwe. Ungasebenzisi umthamo omkhulu, uwusebenzise kaningi, noma uwusebenzise isikhathi eside noma ngendlela ehlukile kunalokho obekiwe ngudokotela wakho. Ngenkathi usebenzisa i-hydromorphone 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 usebenzise utshwala obuningi, usebenzise noma uke wasebenzisa izidakamizwa zasemgwaqeni, noma weqe ngokweqile, noma usebenzise ngokweqile imithi kadokotela, noma uma uke waba nokudangala noma esinye isifo sengqondo. Kukhona ingozi enkulu yokuthi uzosebenzisa ngokweqile i-hydromorphone rectal 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

Ukuthatha imishanguzo ethile ngesikhathi sokwelashwa kwakho nge-hydromorphone rectal kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukuthambeka, noma ikhoma. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha noma iyiphi yale mithi elandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), i-chlordiazepoxide (i-Librium), i-clonazepam (i-Klonopin), i-diazepam (i-Diastat, i-Valium), i-estazolam, i-flurazepam, i-lorazepam (i-Ativan) , oxazepam, temazepam (Restoril), kanye ne-triazolam (Halcion); imithi yokugula kwengqondo noma isicanucanu; ukuphumula kwemisipha; eminye imithi yezinhlungu; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa i-hydromorphone rectal nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, fonela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo: isiyezi, ikhanda elincane, 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 ngesikhathi ukwelashwa kwakho nge-hydromorphone rectal kwandisa ubungozi bokuthi uzohlangabezana nale miphumela emibi, esongela impilo.Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engeyona eyodokotela equkethe utshwala, noma sebenzisa izidakamizwa zasemgwaqweni ngesikhathi sokwelashwa kwakho.

Khuluma nodokotela wakho ngezingozi zokusebenzisa i-hydromorphone rectal.

Ama-suppositories we-Hydromorphone asetshenziselwa ukudambisa ubuhlungu obuphakathi nendawo. IHydromorphone isekilasini lemithi ebizwa ngama-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

IHydromorphone iza njenge-suppository ukufaka ku-rectum. Ifakwa imvamisa kanye njalo emahoreni ayisithupha kuye kwayi-8. Faka i-hydromorphone cishe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa amakhandlela we-hydromorphone njengoba nje kuqondisiwe.

Ungayeki ukusebenzisa amakhandlela we-hydromorphone ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukusebenzisa ama-suppositories e-hydromorphone, ungahlangabezana nezimpawu zokuhoxa okubandakanya ukungazinzi, amehlo anezinyembezi, ikhala eligijimayo, ukuzamula, ukujuluka, ukubanda, izinwele ezimile, izinhlungu zemisipha namalunga, ukunwetshwa kwabafundi (imibuthano emnyama phakathi nendawo amehlo), ukucasuka, ukukhathazeka, iqolo, ubuthakathaka, isisu, ubunzima bokulala noma ukulala, isicanucanu, ukungathandi ukudla, ukuhlanza, isifo sohudo, ukuphefumula okusheshayo, noma ukushaya kwenhliziyo okusheshayo. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

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 amakhandlela we-hydromorphone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-hydromorphone, noma imiphi eminye imithi, noma iziphi izithako kuma-suppositories e-hydromorphone. 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 usho noma yikuphi okulandelayo: i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); i-lithium (iLithobid, eLibrax); imithi yokwelashwa kwemishanguzo ye-migraine ikhanda 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-mirtazapine (i-Remeron); imithi ye-narcotic yezinhlungu ngaphandle kwe-hydromorphone; 5HT₃ ama-serotonin blocker afana ne-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (i-Sancuso, i-Sustol), i-ondansetron (i-Zofran, i-Zuplenz), noma i-palonosetron (i-Aloxi, e-Akynzeo); 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); i-trazodone; nama-tricyclic antidepressants (’mood elevators’) afana ne-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ne-trimipramine (Surmontil). Phinda utshele udokotela noma usokhemisi wakho uma uthatha noma uthola ama-inhibitors alandelayo e-monoamine oxidase (MAO) noma uma uyekile ukuwaphuza emasontweni amabili edlule: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (i-Eldepryl, i-Emsam, iZelapar), noma i-tranylcypromine (iParnate). Eminye imithi eminingi ingaxhumana ne-hydromorphone, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali 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 noma i- tryptophan.
• utshele udokotela wakho uma uke walimala ekhanda noma wake waba nesimo esilimaze ubuchopho bakho, noma isiphi isimo esandisa ingcindezi ebuchosheni bakho; ukuphefumula kancane; noma yisiphi isimo esithinta ukuphefumula kwakho njengesifuba somoya, isifo esingamahlalakhona sokuphazamiseka kwamaphaphu (COPD; iqembu lezifo ezibandakanya i-bronchitis engapheli kanye ne-emphysema ethinta amaphaphu nemigwaqo yomoya), noma i-kyphoscoliosis (ukugoba komgogodla okungadala izinkinga zokuphefumula). Udokotela wakho angakutshela ukuthi ungasebenzisi amakhandlela we-hydromorphone.
• utshele udokotela wakho uma usumdala noma uma ubuthakathaka noma ungondlekanga ngenxa yezifo. Phinda utshele udokotela wakho uma uke waba ne-hypothyroidism (noma isimo lapho indlala yegilo ikhiqiza khona i-hormone engaphansi kokujwayelekile); Isifo i-Addison (isimo lapho i-adrenal gland ikhiqiza khona i-hormone engaphansi kokujwayelekile); noma isiphi isimo esidala ubunzima bokuchama njenge-prostate enwetshiwe (indlala yokuzala yowesilisa) noma ukuqina kwe-urethral (ukuvalwa kwephubhu evumela umchamo ukuba uphume emzimbeni); noma isifo sesibindi noma sezinso.

• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa amakhandlela we-hydromorphone, shayela udokotela wakho.

• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa amakhandlela we-hydromorphone.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa amakhosombe e-hydromorphone.
• kufanele wazi ukuthi i-hydromorphone ingakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-hydromorphone ingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukusebenzisa amakhosombe we-hydromorphone. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

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

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.

Amakhandlela we-Hydromorphone angadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukuqunjelwa
• ukozela
• ukuguquka kwemizwelo
• ukudideka
• ubunzima bokuchama
• ukuncipha kwabafundi (imibuthano emnyama enkabeni yamehlo)

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

• yehlisa noma yeka ukuphefumula
• ukuphefumula okungajwayelekile noma okuyeka bese kuqala
• 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

Amakhandlela we-Hydromorphone angadala 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).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Yigcine esiqandisini. Lahla noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki. Khuluma nosokhemisi wakho ngokulahlwa 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

Gcina amakhandlela e-hydromorphone esiqandisini endaweni ephephile ukuze kungabikho omunye umuntu ongathatha umuthi ngephutha noma ngenhloso. Gcina umkhondo wokuthi mangaki ama-suppositories asele ukuze wazi ukuthi kukhona yini okungekho.

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 rectal, 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

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-hydromorphone.

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

Lo muthi awugcwaliseki kabusha. Uma uqhubeka nokuba nezinhlungu ngemuva kokuqeda ama-suppositories e-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.

• itholakala ngokujwayelekile

• dihydromorphinone