I-Dilaudid vs. Oxycodone: Yikuphi Okungcono Kwezinhlungu?

-Delile

• Ukufana nokwehluka
• Ukulinganisa
• Imiphumela emibi ngayinye
• Izexwayiso nokuxhumana
• Ukukhetha umuthi ofanele

Ukuqhathanisa

I-Dilaudid ne-oxycodone womabili angama-opioid kadokotela. Ama-opioid ayiqembu lezidakamizwa ezinamandla zokudambisa izinhlungu, okubandakanya i-morphine. Le mithi inciphisa amandla ezimpawu ezifika ebuchosheni futhi zithinte impendulo yakho engokomzwelo ebuhlungwini.

I-Dilaudid yigama lomkhiqizo wesidakamizwa esijwayelekile i-hydromorphone hydrochloride. I-Oxycodone iyisithako esiyinhloko ezidakamizweni ezibizwa ngokuthi i-OxyContin nePercocet.

Ukufana nokwehluka

IHydromorphone hydrochloride ne-oxycodone ziyefana. Zombili zinganikezwa ngefomu yethebhulethi futhi ziyatholakala njengeziphuzo. Zombili lezi zidakamizwa zinamafomu akhishwa isikhathi eside. Leli fomu linikezwa abantu abathathe ama-opioid isikhathi eside futhi badinga umthamo ophakeme, olawulwayo womuthi ukuze unethezeke.

I-Dilaudid nezinye izinhlobo ze-hydromorphone yizidakamizwa ezinamandla kune-oxycodone. Le mithi ivame ukusetshenziselwa ubuhlungu obukhulu obudalwa ukuhlinzwa, amathambo aphukile, noma umdlavuza. uneladi enezinyathelo ezintathu zokwelapha ubuhlungu bomdlavuza. Isinyathelo sokuqala yimithi engeyona i-opioid analgesic. Le mithi itholakala ngaphandle kwencwadi kadokotela, futhi ifaka i-aspirin, ibuprofen, ne-acetaminophen (Tylenol).

Lapho abantu bengakutholi ukukhululeka okwanele emithini ethengiswayo, isinyathelo sesibili ama-opioid amnene, njenge-codeine. Isinyathelo sesithathu ngama-opioid anamandla njenge-oxycodone ne-hydromorphone. I-WHO ibuye ituse ukuthi kube nokufakwa okuhleliwe, esikhundleni sokunikeza le mithi kuphela uma kudingeka, ngenxa yobuhlungu obukhulu.

Ukulinganisa

Ukufakwa kwe-Oxycodone kuncike ezidingweni zesiguli, nokuthi umuthi usesimweni soketshezi noma njengethebhulethi eyenzelwe ukukhishwa ngokushesha noma okunwetshiwe. Umthamo we-hydromorphone nawo uncike efomini lawo, nawo.

Amafomu akhishwa ngokushesha avame ukufakwa kudosi njalo emahoreni amane kuya kwayisithupha. Amandla we-oxycodone noma i-hydromorphone angakhuphuka kancane kancane uma umuntu eba nokubekezelela izidakamizwa noma uma ubukhulu bezinhlungu bunyuka.

Umthamo uzoncika embangela yobuhlungu bakho futhi uzonqunywa udokotela wakho. Uma uthatha eyodwa yalezi zidakamizwa isikhathi eside futhi umthamo wakho uyakhuphuka, udokotela wakho angashintsha imishanguzo yakho ayinikeze efomini elikhishwa isikhathi eside.

Imiphumela emibi ngayinye

Imiphumela emibi kakhulu ye-oxycodone ne-hydromorphone iyafana. IHydromorphone inamandla kakhulu, ngakho imiphumela yayo emibi ingaba namandla kakhulu. Imiphumela emibi yale mithi ingafaka:

• ukuphefumula okungajulile noma okulula
• ukuqunjelwa, okungaba nzima, ikakhulukazi ngamafomu wokukhipha anwetshiwe
• ukozela
• isiyezi noma ukwehlisa umfutho wegazi, lapho umile
• isicanucanu
• ikhanda
• ukuguquka kwemizwelo
• ukuhlanza
• ukukhathala
• ukuqwasha
• umlomo owomile
• ukulunywa
• ukuqubuka kwesikhumba
• ukukhubazeka kwamakhono emoto

Imiphumela emibi kakhulu, yize ingajwayelekile, ifaka:

• Ukucindezeleka kokuphefumula. Ingozi iphezulu kubantu abadala asebekhulile, abantu abanezifo ezinzima, nabantu abanezifo zokuphefumula.
• Uzizwa sengathi ungadlula noma wehlise umfutho wegazi. Le ngozi iba nkulu kubantu abanciphise ivolumu yegazi noma abethukile.
• Ukusabela kwe-Hypersensitivity. Lokhu kungafaka ukulunywa, isifuba, ukuphefumula kanzima, noma ukuvuvukala kolimi noma umphimbo.

Ezinye izimpawu ezinzima zifaka:

• isithuthwane
• ukusangana
• uvalo
• ukunyakaza okungalawuleki kwemisipha
• ukushaya kwenhliziyo okusheshayo, okuholela ekuhlulekeni kwenhliziyo
• ukuchama kabuhlungu
• ukudideka
• ukudana

Thola usizo ngokushesha noma ushayele ku-911 uma uhlangabezana nalezi zimpawu.

Imiphumela emibi ejwayelekile ye-hydromorphone ifaka:

• ukushaya kwenhliziyo
• izinkinga zokuphefumula
• ukuqubuka kwesikhumba

Njengoba kushiwo, izinhlobo zokukhishwa ezinwetshiwe zale mithi zingadala ukuqunjelwa okukhulu, okungaba yingozi. Lokhu kuyiqiniso ikakhulukazi nge-hydromorphone. Lesi ngesinye sezizathu esenza amafomu akhululwe enwetshiwe agcinelwe abantu abathathe umuthi isikhathi eside, futhi abadinga umthamo owandisiwe.

Ungashayeli uma uthatha i-oxycodone noma i-hydromorphone. Zombili lezi zidakamizwa zithinta ikhono lakho lokushayela noma lokusebenzisa imishini. Ziphinde zithinte ukwahlulela kwakho namakhono omzimba.

Uma uthatha noma imuphi umuthi amasonto ambalwa noma izinyanga, kunengozi enkulu yokuncika. Ukusetshenziswa kwesikhathi eside kusho ukuthi umzimba wakho ungazijwayeza umuthi. Uma uyeka ngokungazelelwe ukuthatha, ungahle ube nezimpawu zokuhoxa. Khuluma nodokotela wakho ngaphambi kokuba uyeke ukuthatha noma imiphi imithi. Udokotela wakho angakusiza ukuthi unciphise imithi kancane, okunciphisa ingozi yokuhoxiswa.

Yomibili le mithi nayo ingaholela ekudleni ngokweqile futhi iyingozi kakhulu ezinganeni. Gcina imithi yakho ikhiyiwe futhi ukude nanoma yiziphi izingane ezisendlini yakho. Ngoba i-hydromorphone inamandla amakhulu, ingabulala uma ingane ithatha ithebhulethi eyodwa ekhishwe isikhathi eside.

Izexwayiso nokuxhumana

IHydromorphone iza nesixwayiso sebhokisi elimnyama kwilebula laso. Lokhu kusho ukuthi ucwaningo luthole ukuthi umuthi ungaba nemiphumela emibi futhi esongela impilo. Enye yezinto ezikhathaza kakhulu nge-hydromorphone yisimo esaziwa ngokuthi ukucindezeleka kokuphefumula, okusho ukuthi umuntu akatholi i-oxygen eyanele ohlelweni lwabo.

IHydromorphone nayo ingadala ukwehla komfutho wegazi. Kufanele isetshenziswe ngokucophelela, uma kunjalo, kubantu asebevele benengcindezi yegazi ephansi noma abathatha imishanguzo yokwehlisa umfutho wegazi.

I-Oxycodone nayo iphethe izexwayiso ezibucayi. Njenge-hydromorphone, i-oxycodone ingakhuphula imiphumela ecindezelayo yotshwala. I-Oxycodone nayo ingadala izinkinga zesisu.

Zombili lezi zidakamizwa nazo zivame ukusetshenziswa kabi ngabantu abanemithi kadokotela nalabo abangayidingi imishanguzo yokuqeda izinhlungu. Bangaba yimikhuba uma bethathwa ngokungaguquguquki amasonto noma izinyanga.

Ungazithola uthatha okungaphezu komthamo obekiwe, noma uphuze umuthi kaningi kunalokho obekiwe. Lokhu kusho ukuthi ungahle uncike kumuthi. Ungadinga ukusikhipha kancane kancane lesi sidakamizwa.Uma uyeka ngokungazelelwe ukuthatha, ungahlangabezana nokuhoxa. Khuluma nodokotela wakho ukuze uthole usizo lokunciphisa noma yimiphi imithi.

Ukukhetha umuthi ofanele

Ukuthi i-oxycodone noma i-hydromorphone iyisidambisi sezinhlungu esifanele kuwe kuncike kakhulu ohlotsheni lobuhlungu obuzwayo.

IHydromorphone yimithi enamandla kakhulu. Udokotela wakho uzonquma ukuthi hlobo luni lokuphumula kobuhlungu oludingayo futhi mhlawumbe uzokuqala ngomuthi osebenza okwesikhashana kuqala. Uma ubuhlungu bakho bungalawulwa kahle, ungahle udinge inguqulo ekhishwe isikhathi eside noma ungadinga ukuthatha isidakamizwa esinamandla njenge-hydromorphone.

Ubuhlungu obukhulu bungaba nomthelela okwehlisayo kwikhwalithi yakho yempilo. Lapho le mithi isetshenziswa njengoba kunqunyiwe nangesikhathi esifushane, inganikeza ukukhululeka okudingeka kakhulu.