Inaliti ye-Morphine

Umxholo

• Ngaphambi kokusebenzisa inaliti ye-morphine,
• I-Morphine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
• Iimpawu libanda kungaquka oku kulandelayo:

Inaliti ye-Morphine inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa inaliti ye-morphine ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu, yisebenzise rhoqo, okanye uyisebenzise ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Ngelixa usebenzisa i-morphine, xoxa nomboneleli wakho wezempilo ngeenjongo zonyango lwakho lweentlungu, 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 uya kusebenzisa kakubi i-morphine 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.

I-Morphine inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho kwaye nangaliphi na ixesha idosi yakho inyuswe. Ugqirha wakho uya kukujonga ngononophelo ngexesha lonyango lwakho. Tshela ugqirha wakho ukuba ukhe wakha wanciphisa ukuphefumla okanye isifuba. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi inaliti ye-morphine. Xelela ugqirha wakho ukuba ukhe okanye unesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya), ukwenzakala entloko, ithumba lobuchopho, okanye nayiphi na imeko eyonyusa inani loxinzelelo kwingqondo yakho. Umngcipheko wokuba ube neengxaki zokuphefumla unokuba ngaphezulu ukuba umdala okanye ubuthathaka okanye ungondleki ngenxa yesifo. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango lonyango: ukuphefumla okucothayo, ikhefu elide phakathi kokuphefumla, okanye ukuphefumla kancinci.

Ukuthatha amayeza athile ngexesha lonyango lwakho ngenaliti ye-morphine kunokunyusa umngcipheko wokuba uza kuba neengxaki zokuphefumla, ezinobuzaza, okanye zokubeka ubomi esichengeni. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), kunye netriazolam (Halcion); amayeza okunyanga isicaphucaphu okanye iintlungu; izihlunu ezonwabisayo; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa inaliti ye-morphine ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, intloko ebuthongweni, ukulala kakhulu, ukucothisa okanye ukuphefumla nzima, 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-morphine kwandisa umngcipheko wokufumana ezi ziphumo zoyikekayo zisongela ubomi. Musa ukusela utywala, thatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Sukuvumela nabani na ukuba asebenzise amayeza akho. I-Morphine inokwenzakalisa okanye ibangele ukufa kwabanye abantu abasebenzisa amayeza akho, ngakumbi abantwana.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba usebenzisa i-morphine rhoqo ngexesha lokukhulelwa kwakho, 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.

Thetha nogqirha wakho malunga nomngcipheko wokusebenzisa inaliti ye-morphine.

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

Inaliti ye-Morphine iza njengesisombululo (ulwelo) ukujova nge-intramuscularly (kwisihlunu) okanye ngaphakathi (kumthambo). Ihlala itofwe kanye kwiiyure ezi-4 njengoko kufuneka. Sebenzisa inaliti ye-morphine kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa inaliti ye-morphine ngokuchanekileyo njengoko kuyalelwe.

Ugqirha wakho unokuyihlengahlengisa idosi yakho yenaliti ye-morphine ngexesha lonyango lwakho, kuxhomekeke kwindlela ezilawulwa ngayo iintlungu zakho nakwiziphumo ebezingalindelekanga ohlangabezana nazo. Thetha nogqirha wakho malunga nendlela oziva ngayo ngexesha lonyango lwakho ngenaliti ye-morphine.

Ukuba usebenzise inaliti ye-morphine ixesha elide kuneentsuku ezimbalwa, sukuyeka ukuyisebenzisa ngesiquphe. Ukuba ngequbuliso uyeka ukusebenzisa inaliti ye-morphine, 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-morphine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-morphine, nawaphi na amanye amayeza, okanye izithako kwi-injection ye-morphine. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: ii-antihistamines (ezifumaneka kumayeza abandayo kunye nonyango); cimetidine (iTagamet); cyclobenzaprine (Amrix); lithium (iLithobid, eLibrax); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), kunye ne-zolmitriptan (iZomig); i-mirtazapine (iRemeron); I-5HT3 i-serotonin blockers efana ne-alosetron (Lotronex), i-dolasetron (i-Anzemet), i-granisetron (i-Kytril), i-ondansetron (i-Zofran, i-Zuplenz), okanye i-palonosetron (i-Aloxi); i-inhibitors ekhethiweyo ye-serotonin-reuptake inhibitors enjenge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), kunye sertraline (Zoloft); i-serotonin kunye ne-norepinephrine reuptake inhibitors enje nge-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), kunye ne-venlafaxine (Effexor); tramadol (Conzip, Ultram, kwi-Ultracet); ithenda okanye i-tricyclic antidepressants ('mood elevators') ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vimactiline), . Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana i-monoamine oxidase (MAO) inhibitors okanye ukuba uyekile ukuzithatha kwezi veki zimbini zidlulileyo: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (iParnate). Uninzi lwamanye amayeza anokusebenzisana ne-morphine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba ukhe wakha wanayo nayiphi na imiqathango ekhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye ileus ekhubazekileyo (imeko apho ukutya okwetyisiweyo kungahambeli emathunjini). Ugqirha wakho angakuxelela ukuba ungasebenzisi i-morphine.
• xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
• xelela ugqirha wakho ukuba ukhe wanalo uxinzelelo lwegazi oluphantsi, okanye intliziyo, isibindi, okanye isifo sezintso.
• xelela ugqirha wakho ukuba uncelisa.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga neengozi zokusebenzisa i-morphine.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-morphine.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-morphine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo oxokileyo kuyo. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
• Kuya kufuneka uyazi ukuba i-morphine inokubangela ukuqhina. Thetha nogqirha wakho malunga nokutshintsha indlela otya ngayo okanye ukusebenzisa amanye amayeza ukuthintela okanye ukunyanga ukuqhina ngelixa usebenzisa i-morphine.

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

I-Morphine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• isiyezi
• intloko elula
• utshintsho lweemvakalelo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• ukuxhuzula
• ukuphefumla okucothayo
• ikhefu elide phakathi kokuphefumla
• ukuqhawukelwa ngumphefumlo
• 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
• ukurhawuzelela
• irhashalala
• urhwebo

I-Morphine 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).

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 inaliti ye-morphine, 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 okucothayo, okungekho nzulu, okanye okungaqhelekanga
• ubunzima bokuphefumla
• ukozela
• andikwazi kuphendula okanye ukuvuka
• Kuyabanda, ulusu olunombala
• abafundi abancinci
• ukubetha kwentliziyo kancinci
• ukungaboni kakuhle
• isicaphucaphu
• isiqaqa

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho angayalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-morphine.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya i-methylene blue), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa i-morphine.

Lo myalelo awugcwaliseki. Ukuba usebenzisa i-morphine ukulawula iintlungu zakho ixesha elide, qiniseka ukucwangcisa ixesha lokudibana nogqirha wakho ukuze ungaphelelwa ngamayeza. Ukuba usebenzisa i-morphine okwexeshana, tsalela ugqirha wakho ukuba uyaqhubeka nokufumana iintlungu emva kokuba ugqibile amayeza.

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.

• I-Astramorph^® PF
• Duramorph^®
• Infumorph^®