I-Hydromorphone, Ithebhulethi Yomlomo

-Delile

• Okuvelele kwe-hydromorphone
• Kuyini i-hydromorphone?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Hydromorphone
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Ungayithatha kanjani i-hydromorphone
• Amafomu namandla
• Isikali sobuhlungu obukhulu
• Ukucatshangelwa okukhethekile
• Thatha njengoba kuqondisiwe
• Izexwayiso ze-Hydromorphone
• Izexwayiso ze-FDA:
• Isexwayiso somfutho wegazi ophansi
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• IHydromorphone ingaxhumana neminye imithi
• Ukusebenzisana okwandisa ubungozi bemiphumela emibi
• Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle
• Ukucatshangelwa okubalulekile kokuthatha lo muthi
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Okuvelele kwe-hydromorphone

1. Ithebhulethi yomlomo ye-Hydromorphone iyatholakala njengezidakamizwa ezijwayelekile nezegama. Igama lomkhiqizo: Dilaudid.
2. IHydromorphone iyatholakala futhi kusixazululo somlomo esiwuketshezi kanye nesisombululo umhlinzeki wezokunakekelwa kwempilo akunikeza ngomjovo.
3. Ithebhulethi yomlomo ye-Hydromorphone i-opioid esetshenziselwa ukwelapha ubuhlungu obukhulu obungalawulwa ezinye izindlela zokwelapha.

Kuyini i-hydromorphone?

Ithebhulethi yomlomo ye-Hydromorphone ngumuthi kadokotela otholakala njengomuthi wegama lomkhiqizo Dilaudid (ukukhululwa ngokushesha). Lawa maphilisi ayatholakala njengemithi ejwayelekile. Imithi ejwayelekile ijwayele ukubiza kancane. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengezinguqulo zegama lomkhiqizo.

IHydromorphone nayo iza ngezindlela ezilandelayo:

• isixazululo soketshezi ngomlomo
• Isixazululo somjovo
• isixazululo somjovo esinamandla amakhulu

Izixazululo ezijojwayo zinikezwa kuphela ngumhlinzeki wezokunakekelwa kwempilo.

Ithebhulethi yomlomo ye-Hydromorphone yinto elawulwayo. Lokhu kusho ukuthi lo muthi unengozi yokusebenzisa kabi futhi ungadala ukuncika.

Kungani kusetshenziswa

Ithebhulethi yomlomo ye-Hydromorphone isetshenziselwa ukwelapha ubuhlungu obukhulu obungalawulwa ezinye izindlela zokwelapha. Ithebhulethi ekhishwa isikhathi eside isetshenziselwa abantu abadinga ukwelashwa kobuhlungu nsuku zonke, ubusuku nemini.

Lesi sidakamizwa singasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha neminye imithi.

Isebenza kanjani

Ithebhulethi yomlomo ye-Hydromorphone ingeyesigaba semithi ebizwa ngama-opioid analgesics. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

Akwaziwa kahle ukuthi lo muthi usebenza kanjani ukudambisa izinhlungu. Kunganciphisa ubuhlungu ngokusebenza kuma-opioid receptors athile ebuchosheni nasentanjeni yomgogodla, akha isimiso sakho sezinzwa esiyinhloko.

Ithebhulethi yomlomo ye-Hydromorphone ingadala ukozela nesiyezi. Le miphumela kungenzeka kakhulu emahoreni ambalwa okuqala ngemuva kokuyithatha. Lesi sidakamizwa singadala neminye imiphumela emibi.

Imiphumela emibi ye-Hydromorphone

IHydromorphone ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engaba khona ngenkathi uthatha i-hydromorphone. Lolu hlu alubandakanyi yonke imiphumela emibi engaba khona.

Ukuthola eminye imininingwane ngemiphumela engemihle ye-hydromorphone noma amathiphu wokuthi ungabhekana kanjani nemiphumela emibi ekhathazayo, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile yalesi sidakamizwa ingafaka:

• ubumhlophe
• isiyezi
• ukozela
• isicanucanu
• ukuhlanza
• ukujuluka
• ukuqhuma (ukubomvu nokufudumala kwesikhumba sakho)
• i-euphoria (umphumela omuhle)
• umlomo owomile
• ukulunywa

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela ku-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha.

Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Izinkinga zenhliziyo. Izimpawu zingafaka:
  • kushesha kakhulu noma kuhamba kancane kwenhliziyo
  • ishayela ngokushesha
  • ubuhlungu besifuba
• Iso noma umbono uyashintsha. Izimpawu zingafaka:
  • inkathazo yokubona noma ukungaboni kahle
  • ukubona kabili
  • abafundi abancane ababukeka njengezikhonkwane
• Izinkinga zesisu. Izimpawu zingafaka:
  • ukuqunjelwa
  • ubuhlungu besisu
  • ukuvinjelwa kwamathumbu, okungadala:
    • isicanucanu
    • ukuhlanza
    • ukungakwazi ukwedlulisa igesi noma indle
• Izinkinga zesistimu nezinkinga zemisipha. Izimpawu zingafaka:
  • ikhanda
  • ukuthuthumela (ukunyakaza kwemisipha okungazibandakanyi)
  • ukunyakaza okungajwayelekile noma okungazibandakanyi kwamehlo akho
  • ukuzwa okungajwayelekile noma okuhlabayo esikhumbeni sakho
• Ukushintsha kwesimo noma sokuziphatha. Izimpawu zingafaka:
  • ukuyaluza
  • uvalo
  • ukukhathazeka
  • ukudana
  • ukusangana (ukubona noma ukuzwa into engekho)
  • ukudideka
  • inkathazo yokulala
  • amaphupho angajwayelekile
• Umfutho wegazi uyashintsha. Izimpawu zingafaka:
  • ukuqhuma
  • umfutho wegazi ophakeme noma ophansi
• Ukungasebenzi kahle kwe-adrenal. Izimpawu zingafaka:
  • ukukhathala okuhlala isikhathi eside
  • ubuthakathaka bemisipha
  • ubuhlungu esiswini sakho
• Ukushoda kwe-Androgen. Izimpawu zingafaka:
  • ukukhathala
  • inkathazo yokulala
  • amandla anciphile
• Ukozela ngokweqile
• Inkinga yokuphefumula noma ukuphefumula okuncane

Ungayithatha kanjani i-hydromorphone

Isilinganiso se-hydromorphone udokotela wakho akushoyo sizoxhomeka ezicini eziningana. Lokhu kufaka phakathi:

• uhlobo nobukhulu besimo osisebenzisa ukwelapha i-hydromorphone
• iminyaka yakho
• uhlobo lwe-hydromorphone oyithathayo
• ezinye izimo zezokwelapha ongahle ube nazo

Imvamisa, udokotela wakho uzokuqala ngomthamo ophansi futhi awulungise ngokuhamba kwesikhathi ukufinyelela umthamo okulungele wena. Ekugcineni bazonquma isilinganiso esincane kunazo zonke esihlinzeka ngomphumela oyifunayo.

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Amafomu namandla

Okujwayelekile: IHydromorphone HCL

• Ifomu: ithebhulethi yomlomo
• Amandla: 2 milligrams (mg), 4 mg, 8 mg
• Ifomu: ithebhulethi yomlomo ekhishwe isikhathi eside (ukuvimbela ukuhlukunyezwa kwamahora angama-24)
• Amandla: 8 mg, 12 mg, 16 mg, 32 mg

Umkhiqizo: Dilaudid

• Ifomu: ithebhulethi yomlomo
• Amandla: 2 mg, 4 mg, 8 mg

Isikali sobuhlungu obukhulu

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Ithebhulethi yomlomo: Isilinganiso sokuqala esijwayelekile siyi-2-4 mg kanye njalo emahoreni ama-4-6.
• Ithebhulethi yomlomo ekhishwe enwetshiwe: Ukusetshenziswa kuphela kubantu ababekezelela i-opioid.

Abantu ababhekwa njengokubekezelela i-opioid yilabo abathola, isonto elilodwa noma ngaphezulu, okungenani:

• 60 mg we-morphine yomlomo nsuku zonke
• Ama-micrograms angama-25 (mcg) we-transdermal fentanyl ngehora
• 30 mg we-oxycodone yomlomo nsuku zonke
• 8 mg we-hydromorphone yomlomo nsuku zonke
• 25 mg we-oxymorphone yomlomo nsuku zonke
• 60 mg i-hydrocodone yomlomo nsuku zonke
• umthamo olinganayo we-analgesic wenye i-opioid

Udokotela wakho uzokutshela ukuthi yisiphi isilinganiso se-hydromorphone okufanele usithathe. Bangakhuphula umthamo wakho ngo-4-8 mg njalo ezinsukwini ezi-3-4 uma kudingeka.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lo muthi awufundwanga ezinganeni. Akufanele isetshenziswe kubantu abangaphansi kweminyaka engu-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Izinso zabantu abadala zingase zingasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Udokotela wakho angakuqala ngomthamo owehlisiwe noma ngesheduli ehlukile. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho.

Ukucatshangelwa okukhethekile

Abantu abanesifo sezinso: Udokotela wakho angakuqala ngomthamo ongamaphesenti angama-25 kuye kuma-50 amaphesenti aphansi kunomthamo ojwayelekile wokuqala.

Abantu abanesifo sesibindi: Udokotela wakho angakuqala ngomthamo ongamaphesenti angama-25 kuye kuma-50 amaphesenti aphansi kunomthamo ojwayelekile wokuqala. Uma unezinkinga ezinzima zesibindi, udokotela wakho angasebenzisa omunye umuthi ukukhulula izinhlungu esikhundleni sethebhulethi ekhishwe isikhathi eside, noma bangakunika isilinganiso esingezansi solunye uhlobo lwalesi sidakamizwa.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo ye-Hydromorphone ngokuvamile isetshenziselwa ukwelashwa kwesikhashana. Lesi sidakamizwa siza nezingozi ezinkulu uma ungathathi njengoba kuchaziwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo: Ubuhlungu bakho kungenzeka bungabi ngcono.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• izinkinga zokuphefumula ezinzima
• ukozela ngokweqile
• ukulahlekelwa ukwazi
• ukushaya kwenhliziyo okuhamba kancane
• umfutho wegazi ophansi

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Ubuhlungu bakho bungalawulwa kangcono.

Izexwayiso ze-Hydromorphone

Lesi sidakamizwa siza nezixwayiso ezahlukahlukene.

Izexwayiso ze-FDA:

• Lo muthi unezixwayiso zesibhakela. Isexwayiso esibhakeleni yisixwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Kwazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Izinkinga zokuphefumula ezinzima ziyaxwayisa: Lesi sidakamizwa singandisa ingozi yakho yokuphefumula okusongela impilo. Abantu abadala, abantu abanezinkinga zamaphaphu, nabantu abanezinye izinkinga zempilo bangaba nengozi enkulu.
• Utshwala, i-opioid, nezinye izexwayiso zokuthambisa: Ukuthatha lesi sidakamizwa ngotshwala, izidakamizwa ze-opioid, kanye nezinye izidakamizwa ezithomalalisayo kungadala izinkinga ezinkulu zokuphefumula. Lokhu kungabulala (kubangele ukufa).
• Umlutha, ukuhlukumeza, nokusebenzisa kabi isexwayiso: IHydromorphone ibeka iziguli nabanye abasebenzisi engcupheni yokuluthwa yi-opioid, ukuhlukunyezwa, nokusetshenziswa kabi, okungaholela ekweqeni ngokweqile nasekufeni.
• Isu Lokuhlola Ubungozi Nokunciphisa (REMS): ): Ngenxa yengozi yalesi sidakamizwa yokuhlukunyezwa nokulutha, i-FDA idinga ukuthi umenzi wesidakamizwa anikeze uhlelo lwe-REMS. Ngaphansi kwezidingo zalolu hlelo lwe-REMS, umenzi wezidakamizwa kufanele athuthukise izinhlelo zokufundisa maqondana nokusetshenziswa okuphephile nokusebenzayo kwama-opioid kumhlinzeki wakho wezokunakekelwa kwempilo.
• Isexwayiso sokungenisa ngengozi: Ukungenwa ngengozi ngisho nomthamo owodwa we-hydromorphone, ikakhulukazi izingane, kungaholela ekweqeni okweqile kwe-hydromorphone.
• Ukuhoxa kwe-opioid ezinganeni ezisanda kuzalwa kuxwayiswa: Uma owesifazane ethatha lesi sidakamizwa isikhathi eside ngesikhathi sokukhulelwa, kungaholela ekuhoxisweni kwe-opioid syndrome enganeni esanda kuzalwa. Lokhu kungabeka impilo yengane engcupheni. Izimpawu zokuhoxa zingabandakanya ukucasuka, ukungasebenzi kahle kanye nephethini yokulala engajwayelekile, ukukhala okuphezulu, ukuthuthumela, ukuhlanza, isifo sohudo, nokwehluleka ukukhuluphala.

Isexwayiso somfutho wegazi ophansi

Lesi sidakamizwa singadala ukwehla okungazelelwe kwengcindezi yegazi. Lokhu kungadala ikhanda elincane, isiyezi, nokuquleka.

Ingozi yakho ingaba phezulu uma unevolumu yegazi ephansi futhi unenkinga yokugcina umfutho wegazi ojwayelekile. Ingozi yakho ingaphakama futhi uma uthatha imithi ethile. Lokhu kufaka phakathi izidakamizwa ezibizwa ngama-phenothiazines noma ama-anesthetics ajwayelekile.

Isexwayiso somzimba

Lesi sidakamizwa singadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi
• isifuba
• ukuqubuka

Uma uthola ukusabela okweqile, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi ngokushesha. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kotshwala

Ukuphuza utshwala kungakhuphula ubungozi bakho bemiphumela emibi evela kulo muthi. Lokhu kungabandakanya izinkinga zokuphefumula, umfutho ophansi wegazi, ukozela ngokweqile, ne-coma. Uma uphuza utshwala, khuluma nodokotela wakho.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanokulimala kwekhanda nokukhuphuka kwengcindezi yekhanda: Lesi sidakamizwa singakhuphula umfutho we-intracranial (umfutho wegazi ebuchosheni bakho). Lokhu kungenza isimo sakho sibe sibi kakhulu. Buza udokotela wakho ukuthi lo muthi uphephile yini kuwe.

Kubantu abanezinkinga zesibindi: Uma unezinkinga zesibindi noma umlando wesifo sesibindi, ungahle ungakwazi ukucubungula kahle lesi sidakamizwa. Lokhu kungakhuphula amazinga omuthi emzimbeni wakho futhi kubangele imiphumela emibi eminingi. Uma unezinkinga ezinzima zesibindi, udokotela wakho angakunika isilinganiso esincane.

Kubantu abanezinkinga zezinso: Uma unezinkinga zezinso noma umlando wesifo sezinso, ungahle ungakwazi ukusula lesi sidakamizwa emzimbeni wakho kahle. Lokhu kunganyusa amazinga alo emzimbeni wakho futhi kubangele imiphumela emibi eminingi.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Lesi sidakamizwa kufanele sisetshenziswe kuphela uma inzuzo engaba khona ibeka engcupheni yokukhulelwa. Uma owesifazane ethatha lesi sidakamizwa isikhathi eside ngesikhathi sokukhulelwa, kungaholela ekuhoxisweni kwe-opioid syndrome enganeni esanda kuzalwa. Lokhu kungabeka impilo yengane engcupheni. Shayela udokotela wakho ngokushesha uma ukhulelwa ngenkathi uthatha lo muthi.

Kwabesifazane abancelisayo: Lesi sidakamizwa singadlula ubisi lwebele futhi sidale imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwabadala: Izinso zabantu abadala zingase zingasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi.

Okwezingane: Lo muthi awufundwanga ezinganeni. Akufanele isetshenziswe kubantu abangaphansi kweminyaka engu-18. Uma ingane igwinya lesi sidakamizwa ngephutha, kungaholela ekudleni ngokweqile. Lokhu kungabulala (kubangele ukufa).

IHydromorphone ingaxhumana neminye imithi

Ithebhulethi yomlomo ye-Hydromorphone ingaxhumana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukusebenzisana ne-hydromorphone zibhalwe ngezansi.

Ukusebenzisana okwandisa ubungozi bemiphumela emibi

Imiphumela emibi eyengeziwe ye-hydromorphone: Ukuthatha i-hydromorphone ngemithi ethile kuphakamisa ubungozi bemiphumela emibi. Izibonelo zale mithi zifaka:

• I-Benzodiazepines, efana ne-lorazepam, i-clonazepam, ne-diazepam: Ukuthatha le mithi nge-hydromorphone kungadala izinkinga zokuphefumula, ukwehla kwengcindezi yegazi, kanye nokozela ngokweqile. Kungadala nekhoma noma ukufa.
• Ama-anesthetics ajwayelekile, njenge-propofol, midazolam, ne-etomidate: Ukuthatha le mithi nge-hydromorphone kungadala izinkinga zokuphefumula, ukwehla kwengcindezi yegazi, kanye nokozela ngokweqile. Kungadala nekhoma.
• I-Prochlorperazine, i-promethazine, ne-chlorpromazine: Ukuthatha le mithi nge-hydromorphone kungadala izinkinga zokuphefumula, ukwehla kwengcindezi yegazi, kanye nokozela ngokweqile. Kungadala nekhoma.
• I-Monoamine oxidase inhibitors (i-MAOIs), efana ne-phenelzine, tranylcypromine, isocarboxazid, ne-selegiline: Ama-MAOI angakhuphula kakhulu ubungozi be-hydromorphone toxicity (enamazinga ayingozi omuthi emzimbeni wakho). Ukusetshenziswa kwe-hydromorphone akunconywa uma uthatha ama-MAOIs noma zingakapheli izinsuku eziyi-14 umise ukwelashwa nge-MAOI.
• Izidakamizwa ze-anticholinergic, njenge-diphenhydramine, i-solifenacin, i-tolterodine ne-benztropine: Ukuthatha le mithi nge-hydromorphone kungadala ukugcinwa komchamo (inkinga yokudlulisa umchamo), ukuqunjelwa okukhulu, nokuvinjelwa kwamathumbu.

Imiphumela emibi eyengeziwe evela kwezinye izidakamizwa: Ukuthatha i-hydromorphone ngemithi ethile kuphakamisa ubungozi bakho bemiphumela emibi evela kulezo zidakamizwa. Izibonelo zale mithi zifaka:

• Izidakamizwa zeSerotonergic, ezinjenge-serotonin reuptake inhibitors (SSRIs) ekhethiwe, i-serotonin-norepinephrine reuptake inhibitors (SNRIs), kanye ne-tricyclic antidepressants (TCAs): Ukuthatha le mithi nge-hydromorphone kungadala i-serotonin syndrome, engabulala. Izimpawu zingabandakanya ukuyaluza, ukujuluka, ukudikiza kwemisipha nokudideka.

Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle

Uma uthatha i-hydromorphone ngemithi ethile, ingahle ingasebenzi ukwelapha isimo sakho. Lokhu kungenxa yokuthi inani le-hydromorphone emzimbeni wakho lingehla. Izibonelo zale mithi zifaka:

• IPentazocine, nalbuphine, butorphanol, ne-buprenorphine: Ukuthatha le mithi nge-hydromorphone nakho kungadala izimpawu zokuhoxa kwe-opioid uma ngabe ubuthathe i-hydromorphone isikhathi eside.

Ukucatshangelwa okubalulekile kokuthatha lo muthi

Gcina lokhu kucatshangelwa uma udokotela wakho ekunika i-hydromorphone tablet tablet.

Jikelele

• Thatha lesi sidakamizwa ngokudla. Lokhu kungasiza ukunciphisa isisu esithukuthele.
• Thatha lesi sidakamizwa ngezikhathi ezinconywe udokotela wakho. Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili.
• Ungasika, uqede, noma uhlukanise ithebhulethi ekhishwa ngokushesha. Musa ukusika noma ukuchoboza ithebhulethi ekhishwe isikhathi eside.

Isitoreji

• Gcina lesi sidakamizwa ekamelweni eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
• Gcina lesi sidakamizwa kude nokukhanya.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Umuthi kadokotela walo muthi awugcwaliseki. Wena noma ikhemisi lakho kuzodingeka uxhumane nodokotela wakho ukuthola incwadi kadokotela entsha uma udinga ukugcwalisa lo muthi.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Udokotela wakho angaqapha izingqinamba ezithile zezempilo ngesikhathi sokwelashwa kwakho. Lokhu kungasiza ukuthi uqiniseke ukuthi uhlala uphephile ngenkathi usebenzisa lo muthi. Lezi zinkinga zifaka:

• Umsebenzi wezinso: Udokotela wakho angenza ukuhlolwa kwegazi ukuze ahlole ukuthi izinso zakho zisebenza kahle kangakanani. Uma izinso zakho zingasebenzi kahle, udokotela wakho anganciphisa isilinganiso sakho salesi sidakamizwa.
• Umsebenzi wesibindi: Udokotela wakho angenza ukuhlolwa kwegazi ukuze ahlole ukuthi isibindi sakho sisebenza kahle kangakanani. Uma isibindi sakho singasebenzi kahle, udokotela wakho anganciphisa umthamo wakho noma ayeke ukusebenzisa kwakho lesi sidakamizwa.
• Umfutho wegazi nokushaya kwenhliziyo: Udokotela wakho uzoqapha ukucindezelwa kwakho kwegazi nokushaya kwenhliziyo. Uma umfutho wegazi lakho wehla kakhulu, udokotela wakho angakwehlisa umthamo wakho noma ayeke ukwelashwa kwakho ngalo muthi.
• Izinga lokuphefumula: Udokotela wakho uzoqapha ukuphefumula kwakho. Uma lesi sidakamizwa sithinta ukuphefumula kwakho, udokotela wakho anganciphisa umthamo noma ayeke ukwelashwa kwakho ngakho.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokho kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.