I-Hydromorphone

-Delile

• Ngaphambi kokuthatha i-hydromorphone,
• I-Hydromorphone ingadala 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 SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

IHydromorphone ingaba umkhuba wokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Thatha i-hydromorphone ngqo njengoba uqondisiwe. Ungayithathi ngaphezulu, yithathe kaningi, noma uyithathe ngendlela ehlukile kunaleyo eqondiswe ngudokotela wakho. Ngenkathi uthatha i-hydromorphone, xoxa nomhlinzeki wakho wokunakekelwa 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

I-Hydromorphone ingadala izinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ikakhulukazi phakathi namahora okuqala angama-24 kuye kwangama-72 okwelashwa kwakho nanoma yisiphi isikhathi lapho umthamo wakho wanda. Udokotela wakho uzokuqapha ngokucophelela ngesikhathi sokwelashwa kwakho. Tshela udokotela wakho uma wehlile ukuphefumula noma uke waba nesifuba somoya. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-hydromorphone. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona esifana nesifo esingamahlalakhona sokuphazamiseka kwamaphaphu (iqembu lezifo ezithinta amaphaphu nemigwaqo yomoya), ukulimala ekhanda, isimila ebuchosheni, nanoma yisiphi isimo esandisa ingcindezi ebuchosheni bakho , noma i-kyphoscoliosis (ukugoba komgogodla okungadala izinkinga zokuphefumula). Ingcuphe yokuthi uzoba nezinkinga zokuphefumula ingahle ibe phezulu uma usumdala, noma ubuthaka noma ungondlekile ngenxa yezifo. Uma uhlangabezana nenye yalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo: ukuphefumula okuphuzile, ukuma isikhashana phakathi kokuphefumula, noma ukuphefumula okuncane.

Ukuthatha imishanguzo ethile ngesikhathi sokwelashwa kwakho nge-hydromorphone kungakhuphula ubungozi bokuthi uzoba nezinkinga zokuphefumula ezimbi 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 ze-narcotic; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma usebenzisa i-hydromorphone nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo: isiyezi, ikhanda elikhanyayo, ukulala ngokweqile, ukuphefumula okunenkinga 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 kwandisa ubungozi bokuthi uzoba nemiphumela emibi, esongela impilo. Ungaphuzi utshwala, thatha imishanguzo kadokotela noma engabhaliswanga equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa.

Gwinya wonke amaphilisi akhululiwe. Musa ukuhlukanisa, ukuhlafuna, ukuncibilikisa, noma ukuchoboza. Uma ugwinya amaphilisi aphukile, ahlafunwayo, achotshoziwe noma ancibilikile ungathola i-hydromorphone eningi kakhulu ngasikhathi sinye esikhundleni sokuthola umuthi kancane ngokuhamba kwesikhathi. Lokhu kungadala izinkinga ezinkulu zokuphefumula noma ukufa.

Ungavumeli noma ngubani omunye umuntu ukuthi athathe imithi yakho. IHydromorphone ingalimaza noma ibangele ukufa kwabanye abantu abathatha imishanguzo yakho, ikakhulukazi izingane. Gcina i-hydromorphone endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina i-hydromorphone ingafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi mangaki amaphilisi asele noma kungakanani uketshezi olusele ukuze wazi ukuthi kukhona yini umuthi ongekho. Lahla amaphilisi angadingeki noma angasadingeki, amaphilisi akhululiwe, noketshezi ngokufafaza umuthi ethoyilethi. (Bheka UKUGCINWA NOKULAHLWA.)

Tshela 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.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa kwakho nge-hydromorphone futhi isikhathi ngasinye lapho ugcwalisa incwadi kadokotela. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngezingozi zokuthatha i-hydromorphone.

I-Hydromorphone isetshenziselwa ukudambisa izinhlungu. Amaphilisi okukhishwa anwetshiwe e-Hydromorphone asetshenziselwa ukudambisa izinhlungu ezinzima kubantu okulindeleke ukuthi badinge imishanguzo yezinhlungu ubusuku nemini isikhathi eside futhi abangakwazi ukwelashwa ngeminye imithi. Amathebulethi wokukhishwa kwe-Hydromorphone anwetshiwe kufanele asetshenziselwe kuphela ukwelapha abantu ababekezelelayo (abajwayele imiphumela yomuthi) emithini ye-opioid ngoba bathathe lolu hlobo lwemithi okungenani isonto elilodwa futhi akufanele isetshenziselwe ukwelapha okuncane noma okulingene ubuhlungu, ubuhlungu besikhashana, ubuhlungu ngemuva kokuhlinzwa noma inqubo yezokwelapha noma yamazinyo, noma ubuhlungu obungalawulwa yimithi ethathwa njengoba kudingeka. IHydromorphone isekilasini lemithi ebizwa ngama-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

IHydromorphone iza njengoketshezi, ithebhulethi, kanye nethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Uketshezi luvamise ukuphuzwa njalo emahoreni amathathu kuya kwayisithupha kanti amaphilisi avamise ukuthathwa njalo emahoreni amane kuya kwayisithupha. Amaphilisi akhululiwe athathwa kanye nsuku zonke ngokudla noma ngaphandle kokudla. Thatha i-hydromorphone cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-hydromorphone ngqo njengoba uqondisiwe.

Ungavumeli uketshezi lwe-hydromorphone ukuthi luthinte isikhumba sakho noma okokugqoka. Uma ukuthintana okunjalo kwenzeka, susa noma yiziphi izingubo ezivezwe kuketshezi lomlomo bese ugeza isikhumba sakho kahle ngamanzi apholile.

Udokotela wakho angakuqala ngomthamo ophansi we-hydromorphone futhi akhuphule kancane umthamo wakho, hhayi kaningi kaningi ezinsukwini ezi-3 kuya kwezi-4. Udokotela wakho anganciphisa umthamo wakho uma uba nemiphumela emibi. Tshela udokotela wakho uma uzwa ukuthi ubuhlungu bakho abulawulwa noma uma uhlangabezana nemiphumela emibi ngesikhathi sokwelashwa kwakho nge-hydromorphone. Ungaguquli umthamo wemithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungayeki ukuthatha i-hydromorphone ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-hydromorphone, ungahle uhlangabezane nezimpawu zokuhoxa okubandakanya ukungabi nakuphumula, amehlo ahlengezayo, ikhala eligijimayo, ukuzamula, ukujuluka, ukubanda, izinwele ezimile ekugcineni, ubuhlungu bemisipha noma obuhlangene, ukunwetshwa kwabafundi (imibuthano emnyama phakathi kwamehlo ), ukucasuka, ukukhathazeka, ubuhlungu beqolo, ubuthakathaka, isisu, ubunzima bokulala noma ukulala, isicanucanu, ukulahlekelwa isifiso sokudla, ukuhlanza, isifo sohudo, ukuphefumula okusheshayo, noma ukushaya kwenhliziyo okusheshayo. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane. Uma ungathathi amaphilisi wokukhululwa anwetshiwe e-hydromorphone isikhathi eside kunezinsuku ezi-3 nganoma yisiphi isizathu, khuluma nodokotela wakho ngaphambi kokuba uqale ukuthatha umuthi futhi.

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

Ngaphambi kokuthatha i-hydromorphone,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-hydromorphone, noma imiphi eminye imithi, ama-sulfite, noma iziphi izithako ezikumaphilisi e-hydromorphone, isixazululo, noma amaphilisi akhishwa isikhathi eside. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha 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 SEXWAYISO nanoma yikuphi okulandelayo: i-buprenorphine (i-Buprenex, i-Butrans, e-Suboxone, e-Zubsolv, neminye); i-butorphanol; i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); ipratropium (Atrovent); imishanguzo ye-glaucoma, isifo samathumbu esicasulayo, isifo sikaParkinson, izilonda, nezinkinga zomchamo; i-lithium (i-Lithobid); imishanguzo yezinhlungu ze-migraine ezifana ne-almotriptan (Axert), i-eletriptan (i-Relpax), i-frovatriptan (i-Frova), i-naratriptan (i-Amerge), i-rizatriptan (i-Maxalt), i-sumatriptan (i-Alsuma, i-Imitrex, i-Treximet), ne-zolmitriptan (iZomig); 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); i-trazodone (i-Oleptro); nama-tricyclic antidepressants (’mood elevators’) afana ne-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ne-trimipramine. Phinda utshele udokotela noma usokhemisi wakho uma uthatha noma uthola noma iyiphi yalezi zinambuzane ezilandelayo ze-monoamine oxidase (MAO) noma uyekile ukuwathatha 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 ne-tryptophan.
• Tshela udokotela wakho uma unemibandela ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO noma ileus ekhubazekile (isimo lapho ukudla kungahambi khona emathunjini), noma ukuvinjelwa esiswini noma emathunjini. Udokotela wakho angakutshela ukuthi ungathathi i-hydromorphone.
• uma uzothatha amaphilisi akhululiwe, phinda utshele udokotela wakho ukuthi wake wahlinzwa yini okwadala ushintsho endleleni ukudla kuhamba ngayo esiswini noma emathunjini akho noma uma unanoma isiphi isimo esidala ukuncipha komphimbo kuthwala ukudla kusuka emlonyeni kuya esiswini), isisu, noma amathumbu afana ne-cystic fibrosis (isimo esidala ukuthi umzimba ukhiqize amafinyila aminyene, anamathelayo angavalela amanyikwe, amaphaphu nezinye izingxenye zomzimba), i-peritonitis (ukuvuvukala ulwelwesi lwesisu (indawo yesisu), i-diverticulum kaMeckel (i-bulge engxenyeni yamathumbu amancane akhona lapho kuzalwa), isisu esingelapheki-mbumbulu-ukuvimba (isimo lapho imisipha emathunjini ingahambisi ukudla ngokushelela ithumbu), noma isifo sokuvuvukala kwamathumbu (IBD; iqembu lezimo ezibangela ukuvuvukala kolwelwesi lwamathumbu. Udokotela wakho angakutshela ukuthi ungathathi amaphilisi akhululwe nge-hydromorphone.
• Tshela udokotela wakho uma uke waba nomfutho wegazi ophansi noma owake waba nawo; isifo i-Addison's (isimo lapho indlala ye-adrenal ikhiqiza khona i-hormone engaphansi kokujwayelekile); ukuquleka; noma isiphi isimo esidala ubunzima bokuchama, njenge-prostate enwetshiwe (indlala yokuzala yowesilisa) noma ukuqina kwe-urethral (ukuvalwa kwepayipi okuvumela umchamo ukuba uphume emzimbeni); noma i-gallbladder, amanyikwe, isibindi, igilo, noma isifo sezinso.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-hydromorphone.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-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. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.
• kufanele wazi ukuthi i-hydromorphone ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-hydromorphone.

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

Uma uphuza amaphilisi noma isisombululo, thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Uma uthatha amaphilisi wokukhishwa okunwetshiwe, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile. Ungathathi umthamo ongaphezu koyedwa wamathebulethi akhululiwe emahoreni angama-24.

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

• ikhanda
• ubunzima bokulala noma ukulala
• umlomo owomile
• ubumhlophe
• ukozela
• ukujuluka okusindayo
• ubuhlungu bemisipha, beqolo noma obuhlangene
• ubuhlungu besisu
• ukukhathazeka
• ukuqhuma
• ukulunywa
• ukudana

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

• ukuqubuka
• isifuba
• ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umlomo, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuphefumula kanzima noma ukugwinya
• ukushaqeka
• 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
• isithuthwane
• ubuhlungu besifuba
• ukozela ngokweqile
• ukuquleka
• ikhanda elikhanyayo lapho kushintshwa izikhundla

I-Hydromorphone ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha 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). Kufanele ulahle ngokushesha noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki ngohlelo lokubuyisa umuthi. Uma ungenalo uhlelo lokubuyisela emuva oluseduze noma ongaluthola ngokushesha, gcwalisa noma yiluphi uketshezi lwe-hydromorphone noma amaphilisi aphelelwe yisikhathi noma angasadingeki ethoyilethi. 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

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 uthatha 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 (imibuthano emnyama phakathi kwamehlo)
• 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 uthatha i-hydromorphone.

Uma uthatha ithebhulethi ekhishwa isikhathi eside futhi unezivivinyo ze-x-ray, tshela uchwepheshe ukuthi uphuza lo muthi.

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

Uma uthatha amaphilisi wokunweba anwetshiwe, ungabona igobolondo lethebhulethi kusitulo sakho. Lokhu kujwayelekile futhi akusho ukuthi awutholanga umthamo ophelele wemithi.

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-Exalgo^®

• dihydromorphinone