Inaliti yeHydromorphone

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-hydromorphone,
• Inaliti ye-Hydromorphone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, yeka ukuthatha inaliti ye-hydromorphone kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Inaliti ye-Hydromorphone inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide, kwaye kubangele ukunciphisa okanye ukuyeka ukuphefumla okanye ukufa ukuba kusetyenziswe gwenxa. Fakela inaliti ye-hydromorphone ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye uyisebenzise rhoqo kunokuba umiselwe ngugqirha wakho, Ngelixa usebenzisa inaliti ye-hydromorphone, xoxa nomnikezeli wakho wezempilo ngeenjongo zakho zonyango, ubude bonyango, kunye nezinye iindlela zokulawula iintlungu zakho. Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho usela utywala okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wasebenzisa kakhulu amayeza kagqirha, okanye wagqithisa, okanye wakha wanengxaki yoxinzelelo okanye esinye isifo sengqondo. Kukho umngcipheko omkhulu wokuba uyisebenzise kakubi i-hydromorphone ukuba unayo okanye wakha wanayo nayiphi na kwezi meko. Thetha nomboneleli wakho wezempilo ngokukhawuleza kwaye ucele isikhokelo ukuba ucinga ukuba une-opioid okanye ungatsalela umnxeba i-U.S. Iziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo (SAMHSA) kwiNombolo yoNcedo yeSizwe e-1-800-662-HELP.

Inaliti ye-Hydromorphone iyafumaneka njengesisombululo samandla esiqhelekileyo (i-Dilaudid) kunye nesisombululo esixineneyo (iDilaudid-HP) esine-hydromorphone engaphezulu kwimililitha nganye yesisombululo. Ugqirha wakho kufuneka anike isisombululo esixineneyo ukuba unyamezelana ne-opioid (uphathwe ngamayeza athile e-narcotic ubuncinci iveki enye, ukuvumela umzimba wakho ukuba uhlengahlengise kolu hlobo lwamayeza). Isisombululo esixineneyo sinokubangela iziphumo ezibi kakhulu okanye ukufa ukuba sisetyenziswe ngumntu onganyamezeli i-opioid. Qiniseka ukuba uyasazi isisombululo esichazwe ngugqirha we-hydromorphone, kwaye usoloko ujonga ukuqinisekisa ukuba ufumana amayeza afanelekileyo.

Sukuvumela nabani na ukuba asebenzise amayeza akho. Gcina inaliti ye-hydromorphone kwindawo ekhuselekileyo ukuze kungabikho mntu uyisebenzisa ngengozi okanye ngenjongo. Gcina umkhondo wokuba lingakanani iyeza elishiyekileyo ukuze wazi ukuba kukho elilahlekileyo.

Ukuthatha amayeza athile ngexesha lonyango nge-hydromorphone injection kunokunyusa umngcipheko wokuba uya kuba neengxaki zokuphefumla, ezisongela ubomi, okanye u-coma. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), chlordiazepoxide (Librium, eLibrax), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye netriazolam (Halcion); amayeza okugula ngengqondo okanye isicaphucaphu; izihlunu ezonwabisayo; ezinye iyeza zentlungu; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha amayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa inaliti ye-hydromorphone ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, ubunwele obuncinci, ukulala kakhulu, ukuphefumla okunzima okanye ukuphefumla okunzima, okanye ukungaphenduli. Qiniseka ukuba umnakekeli wakho okanye amalungu osapho ayazi ukuba zeziphi iimpawu ezinokubanzima ukuze babize ugqirha okanye ukhathalelo lonyango olungxamisekileyo ukuba awukwazi ukuzifunela unyango wedwa.

Ukusela utywala, ukuthatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lonyango lwakho ngenaliti ye-hydromorphone kwandisa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Musa ukusela utywala, thatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Thetha nogqirha wakho malunga nemingcipheko yokufumana inaliti ye-hydromorphone.

Inaliti ye-Hydromorphone isetyenziselwa ukunciphisa iintlungu. Inaliti ye-Hydromorphone ikwiklasi yamayeza abizwa ngokuba yi-opiate (narcotic) analgesics. Isebenza ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu.

Inaliti ye-Hydromorphone iza njengesisombululo (ulwelo) sokujova phantsi kolusu, emthanjeni, okanye kwimisipha. Ihlala itofwe kanye kwiiyure ezi-2 ukuya kwezi-3 xa kufuneka njalo. Sebenzisa inaliti ye-hydromorphone ngokuchanekileyo njengoko kuyalelwe.

Ugqirha wakho unokuyihlengahlengisa idosi yakho yenaliti ye-hydromorphone ngexesha lonyango lwakho, kuxhomekeke ekubeni ilawulwa njani intlungu yakho nakwiziphumo ebezingalindelekanga ohlangabezana nazo. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho ngenaliti yefowuni.

Ukuba usebenzise inaliti ye-hydromorphone ixesha elide kuneentsuku ezimbalwa, musa ukuyeka ukuyisebenzisa ngequbuliso. Ukuba ngequbuliso uyeka ukusebenzisa inaliti ye-hydromorphone, unokufumana iimpawu zokurhoxa kubandakanya ukungazinzi; amehlo aneenyembezi; impumlo enemifinya; ukuzamla; ukubila; Ukugodola; iintlungu zemisipha, yomqolo okanye edibeneyo; ukwandiswa kwabafundi; ukucaphuka; ixhala; ubuthathaka; isisu esiswini; ubunzima bokulala okanye ukulala; isicaphucaphu; ukuphelelwa ngumdla wokutya; ukugabha; urhudo; ukuphefumla ngokukhawuleza; okanye ukubetha kwentliziyo okukhawulezayo. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokusebenzisa inaliti ye-hydromorphone,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana nenaliti ye-hydromorphone, nawaphi na amanye amayeza, i-sulfites, i-latex, okanye nasiphi na isithako esisisombululo se-hydromorphone. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qinisekisa ukukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zinto zilandelayo: buprenorphine (Belbuca, Buprenex, Butrans, in Bunavail); ifomoranol; ipratropium (Atrovent, kwiMpendulo edibeneyo); amayeza e-glaucoma, isifo sesisu esibuhlungu, isifo sika-Parkinson, izilonda, kunye neengxaki zomchamo; kunye nepentazocine (Talwin). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha nawaphi na amayeza alandelayo okanye uyekile ukuwathatha kwiiveki ezi-2 ezidlulileyo: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (Parnate) . Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba une-asthma, ukuphefumla okucothayo, ukuvala isisu sakho okanye amathumbu, okanye ileus ekhubazekileyo (imeko apho ukutya okwetyisiweyo kungahambeli emathunjini). Ugqirha wakho unokukuxelela ukuba ungasebenzisi inaliti ye-hydromorphone.
• xelela ugqirha wakho ukuba ukhe wanokwenzakala entloko, ithumba ebuchotsheni, okanye nayiphi na imeko eyenze umonakalo kwingqondo yakho; nayiphi na imeko eyonyusa uxinzelelo kwingqondo yakho; i-kyphoscoliosis (ukugoba komqolo okunokubangela iingxaki zokuphefumla); uxinzelelo lwegazi oluphantsi; i-hypothyroidism (imeko apho idlala lengqula livelisa i-hormone encinci kunesiqhelo); isifo semiphunga esifana nesifo esinganyangekiyo semiphunga (iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya); Isifo i-Addison (imeko apho i-adrenal gland ivelisa i-hormone encinci kuneqhelekileyo); ukuxhuzula; I-delirium tremens (iimpawu ezibi kakhulu zokurhoxa ezinokuthi zenzeke kubantu abasele izixa ezikhulu zotywala ngokuhamba kwexesha kwaye bayekile ukusela); ukungqinisisa urethral (ukuvaleka kwetyhubhu evumela umchamo ukuba ushiye umzimba); i-prostate eyandisiweyo (idlala lokuzala); okanye inyongo, ipancreas, isibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uthatha i-hydromorphone rhoqo xa ukhulelwe, umntwana wakho unokuba neempawu ezisongela ubomi emva kokuzalwa. Xelela ugqirha wosana lwakho ngoko nangoko ukuba umntwana wakho unazo naziphi na kwezi mpawu zilandelayo: ukucaphuka, ukuxhalaba, ukulala ngendlela engaqhelekanga, ukukhala okuphezulu, ukungcangcazela okungalawulekiyo kwenxalenye yomzimba, ukugabha, urhudo, okanye ukusilela ukutyeba.
• xelela ugqirha wakho ukuba uncelisa.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-hydromorphone.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa inaliti ye-hydromorphone.
• Kuya kufuneka uyazi ukuba inaliti ye-hydromorphone inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba inaliti ye-hydromorphone inokubangela ukuba nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Ukuba usebenzisa inaliti ye-hydromorphone kwishedyuli eqhelekileyo, sebenzisa idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule.Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukusebenzisa idosi ephindwe kabini ukwenza eyilahlekileyo.

Inaliti ye-Hydromorphone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• ukuqhina
• umlomo owomileyo
• intloko elula
• ukozela
• ukugungxula
• ukurhawuzelela
• utshintsho lweemvakalelo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, yeka ukuthatha inaliti ye-hydromorphone kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:

• ucothisile okanye uyeke ukuphefumla
• Ukuphazamiseka, ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angekhoyo), umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, ukuqina kwemisipha okanye ukujijeka, ukulahleka kokulungelelaniswa, isicaphucaphu, ukugabha okanye urhudo
• isicaphucaphu, ukugabha, ukungabi namdla wokutya, ukuba buthathaka okanye isiyezi
• ukungakwazi ukufumana okanye ukugcina ulwakhiwo
• ukuya exesheni ngokungaqhelekanga
• ukunciphisa umnqweno wesondo
• irhashalala
• urhwebo
• ukudumba kwamehlo, ubuso, imilebe, ulwimi, umlomo, okanye umqala
• ubunzima bokuphefumla okanye ukugwinya
• ukudinwa
• ukuxhuzula
• isiqaqa

Inaliti ye-Hydromorphone inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Umboneleli wakho wezempilo uya kukuxelela ukuba uwagcina njani amayeza akho. Gcina amayeza akho kuphela njengoko kuyalelwe. Qiniseka ukuba uyayiqonda indlela yokugcina amayeza akho ngokufanelekileyo. Lahla naliphi na iyeza eliphelelwe lixesha okanye elingasafunekiyo. Thetha nomboneleli wakho wezempilo malunga nokulahla ngokufanelekileyo amayeza akho.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Ngelixa usebenzisa i-hydromorphone, kuya kufuneka uthethe nogqirha wakho malunga neyeza lokuhlangula elibizwa ngokuba yi-naloxone ngokulula (umzekelo, ikhaya, iofisi). I-Naloxone isetyenziselwa ukuguqula iziphumo ezisongela ubomi kwi-overdose. Isebenza ngokuthintela iziphumo ze-opiates ukunciphisa iimpawu ezinobungozi ezibangelwa ngamanqanaba aphezulu ee-opiates egazini. Ugqirha wakho unokukuyalela i-naloxone ukuba uhlala kwikhaya apho kukho abantwana abancinci okanye umntu osebenzise gwenxa isitalato okanye amayeza amiselweyo. Kuya kufuneka uqiniseke ukuba wena kunye namalungu osapho lwakho, abakhathaleli, okanye abantu abachitha ixesha kunye nawe bayayazi indlela yokwazi ukuba libanda, indlela yokusebenzisa naloxone, kunye nento onokuyenza de kufike uncedo lwezonyango olungxamisekileyo. Ugqirha wakho okanye usokhemesti uza kukubonisa kunye namalungu osapho lwakho ukuba ulisebenzisa njani eliyeza. Buza usokhemesti wakho ngemiyalelo okanye undwendwele iwebhusayithi yomenzi ukuze ufumane imiyalelo. Ukuba iimpawu zokudlula ngaphezulu zenzeka, umhlobo okanye ilungu losapho kufuneka linike idosi yokuqala ye-naloxone, fowunela i-911 kwangoko, kwaye uhlale nawe kwaye ujonge kufutshane kude kufike uncedo lwezonyango olungxamisekileyo. Iimpawu zakho zinokubuya emva kwemizuzu embalwa emva kokuba ufumane i-naloxone. Ukuba iimpawu zakho zibuya, umntu lowo kufuneka akunike enye idosi ye-naloxone. Amanqanaba ongezelelweyo anokunikwa yonke imizuzu emi-2 ukuya kwemi-3, ukuba iimpawu ziyabuya ngaphambi kokuba uncedo lonyango lufike.

Iimpawu libanda kungaquka oku kulandelayo:

• ukuphefumla kancinci okanye kancinci
• ubunzima bokuphefumla
• ukozela
• andikwazi kuphendula okanye ukuvuka
• ubuthathaka bemisipha
• Kuyabanda, ulusu olunombala
• ukunciphisa okanye ukwandiswa kwabafundi (isangqa esimnyama embindini wamehlo)
• yacotha okanye yamisa ukubetha kwentliziyo
• isiyezi
• isiqaqa
• erhona

Gcina lonke ixesha lokudibana nogqirha wakho.

Lo myalelo awugcwaliseki. Ukuba uyaqhubeka nokuba nentlungu emva kokuba ugqibe inaliti yefowuni ye-hydromorphone, tsalela umnxeba ugqirha wakho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• UDilaudid^®
• I-Dilaudid-HP^®

• dihydromorphinone