IHydromorphone vs. Morphine: Ahluke Kanjani?

-Delile

• Izici zezidakamizwa
• Izindleko, ukutholakala, nomshuwalense
• Okuqhamuka uma udla imishanguzo
• Ukusebenzisana kwezidakamizwa
• Ukusebenzisana nanoma yisiphi isidakamizwa
• Ama-anticholinergics
• I-Monoamine oxidase inhibitors
• Eminye imishanguzo yobuhlungu, imishanguzo ethile yokulwa nengqondo, izidakamizwa zokukhathazeka namaphilisi okulala
• Sebenzisa nezinye izimo zezokwelapha
• Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo

Isingeniso

Uma unezinhlungu ezinzima futhi ungakatholi ukukhululeka ngemithi ethile, ungahle ube nezinye izinketho. Isibonelo, iDilaudid ne-morphine yimithi emibili kadokotela esetshenziselwa ukwelapha ubuhlungu ngemuva kokuthi eminye imithi ingasebenzi.

I-Dilaudid inguhlobo lomkhiqizo we-generic drug hydromorphone. I-Morphine isidakamizwa esijwayelekile. Basebenza ngezindlela ezifanayo, kepha futhi banokuhluka okumbalwa okuphawulekayo. Qhathanisa le mithi emibili lapha ukuze ufunde ukuthi ngabe enye ingaba yindlela enhle kuwe.

Izici zezidakamizwa

Yomibili le mithi ingeyesigaba semithi esibizwa nge-opioid analgesics, esaziwa nangokuthi yi-narcotic. Zisebenza kuma-opioid receptors ohlelweni lwakho lwezinzwa. Lesi senzo siguqula indlela obona ngayo ubuhlungu ukukusiza ukuthi uzwe ubuhlungu obuncane.

I-Hydromorphone ne-morphine ngayinye iza ngezindlela namandla amaningi. Amafomu omlomo (athathwe ngomlomo) asetshenziswa kakhulu. Zonke izinhlobo zingasetshenziswa ekhaya, kepha amafomu anokujova avame ukusetshenziswa esibhedlela.

Zombili lezi zidakamizwa zingadala imiphumela emibi kakhulu futhi zingalutha, ngakho-ke kufanele uzithathe njengoba kunqunyiwe.

Uma uthatha imishanguzo engaphezu kweyodwa yezinhlungu, qiniseka ukuthi ulandela imiyalelo yesilinganiso somuthi ngamunye ngokucophelela ukuze ungawahlanganisi. Uma unemibuzo mayelana nokuthi ungayithatha kanjani imithi yakho, buza umhlinzeki wakho wezokunakekelwa kwempilo noma usokhemisi.

Ishadi elingezansi lichaza ngokwengeziwe izici zayo yomibili le mithi.

* Bheka imiyalo yephakeji noma incwadi kadokotela yokuhlinzeka ngempilo yakho ukuthola amabanga okushisa ngqo.

* * Into elawulwayo isidakamizwa esilawulwa nguhulumeni. Uma uthatha into elawulwayo, umhlinzeki wakho wezokunakekelwa kwezempilo kufanele abheke ngokucophelela ukusetshenziswa kwakho komuthi. Ungalokothi unikeze umuntu into elawulwayo.

† Uma ngabe uphuze lo muthi isikhathi esingaphezu kwamasonto ambalwa, ungayeki ukuwuthatha ngaphandle kokukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo. Uzodinga ukukhipha umuthi kancane ukugwema izimpawu zokuhoxa njengokukhathazeka, ukujuluka, isicanucanu, isifo sohudo, nenkinga yokulala.

¥ Lesi sidakamizwa sinamandla amakhulu okusetshenziswa kabi. Lokhu kusho ukuthi ungaba umlutha wayo. Qiniseka ukuthi uphuza lesi sidakamizwa njengoba umhlinzeki wakho wezokunakekelwa kwempilo ekutshela. Uma unemibuzo noma ukukhathazeka, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Umehluko omkhulu phakathi kwale mithi amafomu angena ngawo. Ithebula elingezansi libala izinhlobo zomuthi ngamunye.

* Lawa mafomu ayatholakala kepha awavunyelwe yi-FDA.

Izindleko, ukutholakala, nomshuwalense

Zonke izinhlobo ze-hydromorphone ne-morphine ziyatholakala emakhemisi amaningi. Kodwa-ke, kungcono ushayele ikhemisi lakho ngaphambi kwesikhathi ukuze uqiniseke ukuthi unencwadi kadokotela wakho esitokweni.

Ezimweni eziningi, izinhlobo zemithi ejwayelekile zibiza kancane kunemikhiqizo enegama lomkhiqizo. I-Morphine ne-hydromorphone yimithi ejwayelekile.

Ngesikhathi kubhalwa lo mbhalo, i-hydromorphone ne-morphine zazinamanani afanayo, ngokusho kwe-GoodRx.com.

Isidakamizwa esibizwa ngegama elithi Dilaudid sasibiza kakhulu kunezinhlobo ezejwayelekile ze-morphine. Kunoma ikuphi, izindleko zakho eziphuma ephaketheni zizoya ngokutholakala komshuwalense wakho wezempilo, ikhemisi lakho, kanye nomthamo wakho.

Okuqhamuka uma udla imishanguzo

IHydromorphone ne-morphine zisebenza ngokufanayo emzimbeni wakho. Futhi babelana ngemiphumela efanayo efanayo.

Ishadi elingezansi libala izibonelo zemiphumela emibi ejwayelekile ye-hydromorphone ne-morphine.

Isidakamizwa ngasinye singadala nokudangala kokuphefumula (ukuphefumula okuhamba kancane nokungajulile). Uma zithathwa ngendlela ejwayelekile, nazo zingadala ukuncika (lapho udinga khona ukuthatha umuthi ukuze uzizwe ujwayelekile).

Ukusebenzisana kwezidakamizwa

Nakhu ukuxhumana okuningi kwezidakamizwa nemiphumela yazo.

Ukusebenzisana nanoma yisiphi isidakamizwa

I-Hydromorphone ne-morphine yizidakamizwa ezisebenza ngendlela efanayo, ngakho-ke ukuxhumana kwazo nezidakamizwa nakho kuyafana.

Ukusebenzisana kwazo zombili izidakamizwa kufaka okulandelayo:

Ama-anticholinergics

Ukusebenzisa i-hydromorphone noma i-morphine ngesinye salezi zidakamizwa kukhulisa ubungozi bokuqunjelwa kanzima futhi ungakwazi ukuchama.

I-Monoamine oxidase inhibitors

Akufanele uthathe i-hydromorphone noma i-morphine zingakapheli izinsuku eziyi-14 uthathe i-monoamine oxidase inhibitor (MAOI).

Ukuthatha noma imuphi umuthi nge-MAOI noma kungakapheli izinsuku eziyi-14 usebenzisa i-MAOI kungadala:

• izinkinga zokuphefumula
• umfutho wegazi ophansi (hypotension)
• ukukhathala ngokweqile
• ikhoma

Eminye imishanguzo yobuhlungu, imishanguzo ethile yokulwa nengqondo, izidakamizwa zokukhathazeka namaphilisi okulala

Ukuxuba i-hydromorphone noma i-morphine nanoma iyiphi yalezi zidakamizwa kungadala:

• izinkinga zokuphefumula
• umfutho wegazi ophansi
• ukukhathala ngokweqile
• ikhoma

Kufanele ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokusebenzisa i-hydromorphone noma i-morphine nganoma iyiphi yalezi zidakamizwa.

Isidakamizwa ngasinye singaba nokunye ukuxhumana kwezidakamizwa okungakhuphula ubungozi bakho bemiphumela emibi kakhulu. Qiniseka ukuthi utshela umhlinzeki wakho wezokunakekelwa kwempilo mayelana nayo yonke imishanguzo kadokotela nemikhiqizo oyithenga ngaphandle kokuthenga.

Sebenzisa nezinye izimo zezokwelapha

Uma unezinkinga ezithile zezempilo, zingashintsha ukuthi i-hydromorphone ne-morphine zisebenza kanjani emzimbeni wakho. Kungenzeka kungaphephi ukuthi uphuze le mithi, noma umhlinzeki wakho wezokunakekelwa kwempilo angadinga ukukuqapha eduze ngesikhathi sokwelashwa kwakho.

Kufanele ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuthatha i-hydromorphone noma i-morphine uma unezinkinga zokuphefumula njengezifo ezingapheli ze-pulmonary disease (COPD) noma i-asthma. Le mithi ixhunyaniswe nezinkinga ezinkulu zokuphefumula ezingadala ukufa.

Kufanele futhi ukhulume ngokuphepha kwakho uma unomlando wokusebenzisa kabi izidakamizwa noma umlutha. Le mithi ingalutha futhi ikhulise ubungozi bakho bokusebenzisa ngokweqile nokufa.

Izibonelo zezinye izimo zezokwelapha okufanele uxoxe ngazo nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuthatha i-hydromorphone noma i-morphine zifaka:

• izinkinga zepheshana le-biliary
• izinkinga zezinso
• isifo sesibindi
• umlando wokulimala ekhanda
• umfutho wegazi ophansi (hypotension)
• isithuthwane
• ukuvinjelwa kwamathumbu, ikakhulukazi uma une-ileus ekhubazekile

Futhi, uma unesigqi senhliziyo esingajwayelekile, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokusebenzisa i-morphine. Kungenza isimo sakho sibe sibi kakhulu.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo

Kokubili i-hydromorphone ne-morphine yimithi yezinhlungu enamandla kakhulu.

Basebenza ngezindlela ezifanayo futhi banokufana okuningi, kepha banokungafani okuncane ku:

• amafomu
• isilinganiso
• okuqhamuka uma udla imishanguzo

Uma unemibuzo ngalezi zidakamizwa, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Bangakwazi ukuphendula imibuzo yakho bese bekhetha umuthi olungele wena ngokususelwa ku:

• impilo yakho
• imishanguzo yamanje
• ezinye izinto