I-Morphine

-Delile

• Ngaphambi kokuthatha i-morphine,
• I-Morphine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Morphine ingaba yindlela yokwakha, ikakhulukazi ngokusetshenziswa isikhathi eside. Thatha i-morphine njengoba nje kuqondisiwe. Ungayithathi ngaphezulu, yithathe kaningi, noma uyithathe ngendlela ehlukile kunaleyo eqondiswe ngudokotela wakho. Ngenkathi uthatha i-morphine, 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-USIZO.

I-Morphine ingadala izinkinga zokuphefumula ezinzima noma ezisongela impilo, ikakhulukazi phakathi namahora okuqala angama-24 kuye kwangama-72 okwelashwa kwakho futhi noma nini lapho umthamo wakho wanda. Udokotela wakho uzokuqapha ngokucophelela ngesikhathi sokwelashwa kwakho. Udokotela wakho uzolungisa umthamo wakho ngokucophelela ukuze alawule ubuhlungu bakho futhi anciphise nengozi yokuthi uzoba nezinkinga ezinkulu zokuphefumula. Tshela udokotela wakho uma ngabe uke wehlisa ukuphefumula noma i-asthma. Udokotela wakho angakutshela ukuthi ungathathi i-morphine. Phinda utshele udokotela wakho uma uke waba nesifo samaphaphu noma esike saba khona njengesifo esingapheliyo se-pulmonary disease (i-COPD; iqembu lezifo zamaphaphu ezibandakanya i-bronchitis engapheli ne-emphysema), ukulimala ekhanda, isimila ebuchosheni, noma esinye isimo esandisa inani yengcindezi ebuchosheni bakho. Ingcuphe yokuthi uzoba nezinkinga zokuphefumula ingahle ibe phezulu uma usumdala noma ubuthakathaka 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 eminye imishanguzo ngesikhathi sokwelashwa kwakho nge-morphine kungakhuphula ubungozi bokuthi uzohlangabezana nezinkinga zokuphefumula noma ezinye izinkinga zokuphefumula ezisongela impilo, ukudamba, noma ikhoma. 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); i-cimetidine (Tagamet); eminye imithi yezinhlungu ze-narcotic; imithi yokugula kwengqondo noma isicanucanu; ukuphumula kwemisipha; isidambisi; amaphilisi okulala; noma izinto zokunciphisa umzimba. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-morphine nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha: isiyezi esingajwayelekile, ikhanda elikhanyayo, ukulala ngokweqile, ukuphuza kancane noma ukuphefumula 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 kwandisa ingozi yokuthi uzohlangabezana nezinkinga zokuphefumula noma eminye imiphumela emibi, esongela impilo. Uma uthatha amaphilisi we-Avinza asebenza isikhathi eside, kubaluleke kakhulu ukuthi ungaphuzi iziphuzo eziqukethe utshwala noma uthathe noma imiphi imishanguzo kadokotela noma enganikeliwe equkethe utshwala. Utshwala bungadala i-morphine e-Avinza^® amaphilisi omkhiqizo asebenza isikhathi eside ukukhishwa emzimbeni wakho ngokushesha okukhulu, okudala izinkinga ezinkulu zempilo noma ukufa. Ungaphuzi utshwala, thatha noma imiphi imishanguzo kadokotela noma engabhalisiwe equkethe utshwala, noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa neminye imikhiqizo ye-morphine.

Ungavumeli noma ngubani omunye umuntu ukuthi athathe imithi yakho. I-Morphine ingalimaza noma ibangele ukufa kwabanye abantu abathatha imishanguzo yakho, ikakhulukazi izingane. Gcina i-morphine endaweni ephephile ukuze kungabikho omunye umuntu ongayithatha ngephutha noma ngenhloso. Qaphela ikakhulukazi ukugcina i-morphine ingafinyeleleki ezinganeni. Gcina umbhalo walokho ukuthi mangaki amaphilisi, noma ama-capsules, noma ukuthi kusala uketshezi olungakanani ukuze wazi ukuthi kukhona yini umuthi ongekho. Lahla noma yimaphi amaphilisi, amaphilisi, noma uketshezi olungadingeki ngokuya ngemiyalelo. (Bheka UKUGCINWA NOKULAHLWA.)

Gwinya amathebulethi akhululiwe noma amaphilisi aphelele. Musa ukuhlukanisa, ukuhlafuna, ukuncibilikisa, noma ukuchoboza. Uma ugwinya amathebulethi noma amaphilisi akhishwa enwetshiwe, ahlafunwayo, achotshoziwe noma ancibilikisiwe, ungathola i-morphine eningi ngasikhathi sinye esikhundleni sokuthola umuthi kancane ngokuhamba kwesikhathi. Lokhu kungadala izinkinga ezinkulu zokuphefumula noma ukufa. Uma ungakwazi ukugwinya amaphilisi aphelele, landela imiyalo esesigabeni ‘’ SIYOSETSHENZISWA KANJANI le mithi? ’’ Ngezansi ukuze uncibilikise okuqukethwe yi-capsule ku-appleauce.

Isixazululo somlomo se-Morphine (uketshezi) siza ngokugxila okuthathu okuhlukile (inani lemithi equkethwe kunani lesisombululo esinikeziwe). Isixazululo esinokuhlushwa okuphezulu kakhulu (100 mg / 5 mL) kufanele sithathwe kuphela ngabantu ababekezelayo (abasetshenziselwa imiphumela yomuthi) emithini ye-opioid. Ngaso sonke isikhathi uma uthola umuthi wakho, hlola ukuqinisekisa ukuthi uthola isisombululo ngokugxila okubekwe ngudokotela wakho. Qiniseka ukuthi uyazi ukuthi ungakanani umuthi okufanele uwuthathe nokuthi ulinganisa kanjani umthamo wakho.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma uthatha i-morphine 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 nge-morphine futhi isikhathi ngasinye lapho ugcwalisa incwadi kadokotela wakho uma ngabe Umhlahlandlela Wezokwelapha utholakala ngomkhiqizo we-morphine owuthathayo. 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.

I-Morphine isetshenziselwa ukudambisa ubuhlungu obuphakathi nendawo nobunzima. Amaphilisi nama-capsules akhululwa enwetshiwe e-Morphine asetshenziselwa kuphela ukudambisa ubuhlungu obukhulu (ubusuku nemini) obungalawulwa ukusetshenziswa kweminye imithi yezinhlungu. Amaphilisi nama-capsule akhishwa isikhathi eside e-Morphine akufanele asetshenziselwe ukwelapha ubuhlungu obungalawulwa yimithi ethathwa njengoba kudingeka. I-Morphine isekilasini lemithi ebizwa nge-opiate (narcotic) analgesics. Isebenza ngokushintsha indlela ubuchopho nohlelo lwezinzwa olusabela ngayo ebuhlungwini.

I-Morphine iza njengesisombululo (uketshezi), ithebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside), futhi njenge-capsule ekhishwe isikhathi eside (esebenza isikhathi eside) okufanele uyithathe ngomlomo. Isixazululo somlomo sithathwa njalo emahoreni amane njengoba kudingeka ngobuhlungu. Umkhiqizo we-MS Contin kanye nomkhiqizo we-Arymo ER ngamathebulethi okukhululwa anwetshiwe avame ukuthathwa njalo ngamahora ayi-8 noma njalo ngamahora ayi-12. Amaphilisi wokukhishwa komkhiqizo we-Morphabond avame ukuthathwa njalo emahoreni ayi-12. Ama-capsules akhishwa isikhathi eside akhiqizwa ngokudla noma ngaphandle kokudla njalo emahoreni ayi-12 noma njalo ngamahora angama-24. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi.

Uma uthatha isisombululo se-morphine, sebenzisa inkomishi yokulinganisa noma isirinji eza nomuthi ukukala umthamo wakho. Qiniseka ukuthi uyazi ukuthi mangaki amamililitha ketshezi okufanele uluthathe. Buza usokhemisi wakho uma unanoma imuphi umbuzo mayelana nokuthi ungakanani umuthi okufanele uwuthathe noma ungayisebenzisa kanjani inkomishi yokujova noma isirinji.

Uma uthatha amaphilisi wokukhishwa okwandisiwe komkhiqizo we-Kadian futhi unephubhu ye-gastrostomy (ithumbu lokufaka elifakwe ngokuhlinzwa), buza udokotela wakho noma usokhemisi ukuthi ungayisebenzisa kanjani le mithi ngeshubhu yakho.

Uma ungakwazi ukugwinya amaphilisi akhishwe isikhathi eside (i-Kadian), ungavula ngokucophelela i-capsule, ufafaze bonke ubuhlalu obuqukethe ku-spoonful of applesauce ebandayo noma ekamelweni, bese ugwinya yonke ingxube ngokushesha ngaphandle kokuhlafuna noma ukuchoboza ubuhlalu. Bese ugeza umlomo wakho ngamanzi amancane bese ugwinya lawo manzi ukuze uqiniseke ukuthi uwugwinyile wonke umuthi. Musa ukuxuba ubuhlalu kunoma ikuphi okunye ukudla. Ungagcini izingxube zemithi nama-appleauce ngokuhamba kwesikhathi.

Uma uthatha amaphilisi akhululiwe (Arymo ER), uwagwinye ngasikhathi sinye ngamanzi amaningi. Gwinya amathebulethi akhululiwe ngemuva kokukufaka emlonyeni wakho. Ungacwangi, umanzise, ​​noma ukhothe amaphilisi akhululiwe ngaphambi kokuwafaka emlonyeni.

Udokotela wakho angakuqala ngomthamo ophansi we-morphine futhi akhuphule kancane umthamo wakho kuze kube yilapho ubuhlungu bakho bulawulwa. Udokotela wakho angalungisa umthamo wakho nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho uma ubuhlungu bakho bungalawulwa. Uma uzwa ukuthi ubuhlungu bakho abulawulwa, shayela udokotela wakho. Ungaguquli umthamo wemithi yakho ngaphandle kokukhuluma nodokotela wakho.

Ungayeki ukuthatha i-morphine ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho anganciphisa umthamo wakho kancane kancane. Uma ngokungazelelwe uyeka ukuthatha i-morphine, ungahlangabezana nezimpawu zokuhoxa njengokungahlaliseki; amehlo anezinyembezi; ikhala eligobayo; ukuzamula; ukucasuka; ukukhathazeka; ukujuluka; ubunzima bokulala noma ukulala; Ukugodola; ubuhlungu emuva, imisipha, noma amalunga; isicanucanu; ukuhlanza; ukulahlekelwa ukudla; isifo sohudo; isisu; ubuthakathaka; ukushaya kwenhliziyo okusheshayo; noma ukuphefumula okusheshayo.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-morphine,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergen ku-morphine, noma imuphi omunye umuthi, noma iziphi izithako ezingasebenzi ohlobo lomkhiqizo we-morphine ohlela ukuwuthatha. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako ezingasebenzi.
• 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: ama-antihistamine (atholakala emithini ebandayo neyokungezwani komzimba); i-buprenorphine (iBelbuca, iButrans, eSuboxone, ezinye); i-butorphanol; i-cyclobenzaprine (Amrix); i-dextromethorphan (etholakala emithini eminingi yokukhwehlela; eNuedexta); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); imithi 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-Imitrex, i-Treximet), ne-zolmitriptan (iZomig); i-mirtazapine (i-Remeron); nalbuphine; i-pentazocine (iTalwin); i-quinidine (ku-Nuedexta); 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-tramadol (i-Conzip, i-Ultram, ku-Ultracet), i-trazodone (i-Oleptro); noma i-tricyclic antidepressants (’mood elevators’) njenge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ne-trimipramine. Phinda utshele udokotela wakho uma uthatha noma iyiphi yalezi zinambuzane ezilandelayo ze-monoamine oxidase (MAO), noma uma uyekile ukuwathatha emasontweni amabili edlule: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (i-Eldepryl, i-Emsam, iZelapar), ne-tranylcypromine (iParnate). Eminye imithi eminingi ingaxhumana ne-morphine, 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 ngabe uke waba nanoma yimiphi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO noma ileus ekhubazekile (isimo lapho ukudla okugayiwe kungahambeli emathunjini). Udokotela wakho angakutshela ukuthi ungathathi i-morphine.
• utshele udokotela wakho uma ngabe uke waba nokuvinjelwa esiswini noma emathunjini akho noma wake; ukuquleka; ubunzima bokugwinya; i-prostatic hypertrophy (ukukhuliswa kwendlala yokuzala yowesilisa); izinkinga zomchamo; umfutho wegazi ophansi; Isifo i-Addison (isimo lapho i-adrenal gland ingenzi ngokwanele izinto ezithile zemvelo) noma isibindi, izinso, amanyikwe, igilo, noma isifo se-gallbladder.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi lo muthi unganciphisa ukuzala kwabesilisa nabesifazane. Khuluma nodokotela wakho ngezingozi zokuthatha i-morphine.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-morphine.
• kufanele wazi ukuthi lo muthi ungakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• kufanele wazi ukuthi i-morphine 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-morphine ingadala ukuqunjelwa. Khuluma nodokotela wakho ngokushintsha indlela odla ngayo noma usebenzise eminye imithi ukuvimbela noma ukwelapha ukuqunjelwa ngenkathi uthatha i-morphine.

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

Uma uphuza amaphilisi e-morphine noma uketshezi, udokotela wakho mhlawumbe uzokutshela ukuthi uthathe imithi njengoba kudingeka.

Uma utshelwe ukuthi uthathe imithamo ehleliwe yamathebulethi noma uketshezi noma uma uthatha umkhiqizo okhipha isikhathi eside, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula, futhi ungathathi umthamo olandelayo ngesikhathi sakho esihleliwe njalo. Esikhundleni salokho, vumela isikhathi esilinganayo esivame ukuvumela phakathi kwamanani ngaphambi kokuthatha umthamo wakho olandelayo. Uma ukhumbula ukuthi sekusondele isikhathi somthamo olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ukozela
• ubuhlungu besisu kanye namajaqamba
• umlomo owomile
• ikhanda
• uvalo
• ukuguquka kwemizwelo
• abafundi abancane (imibuthano emnyama phakathi kwamehlo
• ubunzima bokuchama noma ubuhlungu lapho uchama

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• umbala oluhlaza okwesibhakabhaka noma onsomi esikhumbeni
• 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
• isithuthwane
• ukozela ngokweqile
• ukuquleka
• ubuhlungu besifuba
• imfiva
• isifuba
• ukuqubuka
• ukulunywa
• ukuvuvukala kwamehlo, ubuso, umlomo, izindebe noma umphimbo
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya

I-Morphine 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 eliseduze noma ongaluthola ngokushesha, fafaza noma yimaphi amaphilisi akhululiwe e-morphine, amaphilisi akhululiwe, noketshezi okuphelelwe yisikhathi noma okungasadingeki phansi endlini yangasese ukuze abanye bangathathi kubo. 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-morphine, kufanele ukhulume nodokotela wakho mayelana 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
• ubuthongo
• ayikwazi ukuphendula noma ukuvuka
• imisipha exhuga
• kubanda, isikhumba se-clammy
• abafundi abancane
• 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 nabasebenzi be-laboratory ukuthi uthatha i-morphine.

Lo muthi awugcwaliseki kabusha. Uma uthatha i-morphine ukulawula ubuhlungu bakho isikhathi eside, qiniseka ukuthi uhlela ama-aphoyintimenti nodokotela wakho ukuze ungaphelelwa yimithi. Uma uthatha i-morphine okwesikhashana, 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.

• I-Arymo^® ER
• Avinza^®¶
• IsiKadian^®
• I-Morphabond^®
• MS Qhubeka^®
• I-Oramorph^® I-SR^¶
• I-Roxanol-T^¶

• Embeda^® (equkethe iMorphine, iNaltrexone)^¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.