Ukurhafiswa kweMorphine

Umxholo

• Sebenzisa i-suppositories, landela la manyathelo:
• Ngaphambi kokusebenzisa i-rectal morphine,
• I-Morphine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:
• Iimpawu libanda kungaquka oku kulandelayo:

I-rectal ye-Morphine inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa i-morphine ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu, yisebenzise rhoqo, okanye uyisebenzise ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Ngelixa usebenzisa i-morphine rectal, 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 inokunyusa umngcipheko wokuba uza kuba neengxaki zokuphefumla okanye ezinye iingxaki zokuphefumla okanye ezisongela ubomi, i-sedation, okanye i-coma xa isetyenziswa kunye namayeza athile. 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 okugula ngengqondo, isicaphucaphu, okanye iintlungu; izihlunu ezonwabisayo; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa i-morphine rectal nangawo nawaphi na amayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, intloko elula, 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 lwe-morphine rectal 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 yokusebenzisa i-morphine rectal.

I-Morphine rectal isetyenziselwa ukunciphisa iintlungu ezibukhali. I-Morphine ikwiklasi yamayeza abizwa ngokuba yi-opiate (narcotic) analgesics. Isebenza ngokutshintsha indlela umzimba uziva ngayo iintlungu.

I-rectal ye-Morphine iza njenge-suppository ukufaka kwi-rectum. Ihlala ifakwa rhoqo emva kweeyure ezi-4. Sebenzisa i-rectal morphine kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-morphine ngokuchanekileyo njengoko kuyalelwe.

Ugqirha wakho unokuhlengahlengisa idosi yakho ye-morphine ngexesha lonyango lwakho ukuze ulawule iintlungu zakho kangangoko kunokwenzeka. Ukuba uziva ukuba iintlungu azilawulwa, biza ugqirha wakho. Sukutshintsha idosi yonyango ngaphandle kokuthetha nogqirha wakho.

Sukuyeka ukusebenzisa i-morphine ungakhange uthethe nogqirha wakho. Ugqirha wakho unokunciphisa umthamo wakho ngokuthe ngcembe. Ukuba uyeka ngequbuliso ukusebenzisa i-morphine, unokufumana iimpawu zokurhoxa ezinje ngexhala; ukubila; ubunzima bokulala okanye ukulala; Ukugodola; ukungcangcazela kwelungu lomzimba ongenakulilawula; isicaphucaphu; urhudo; ukuphuma empumlweni, ukuthimla okanye ukukhohlela; Iinwele zolusu lwakho zimile; okanye ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angekhoyo).

Sebenzisa i-suppositories, landela la manyathelo:

1. Susa isongelo.
2. Dipha incam ye-suppository emanzini.
3. Lala ngecala lakho lasekhohlo kwaye uphakamise idolo lasekunene esifubeni sakho (umntu wasekhohlo kufuneka alale kwicala lasekunene kwaye aphakamise idolo lasekhohlo.)
4. Usebenzisa umnwe wakho, faka i-suppository malunga ne-intshi enye (2.5 cm) kwi-rectum.
5. Yibambe endaweni ngomnwe wakho okwexeshana
6. Yima emva kwemizuzu eli-15. Hlamba izandla zakho kakuhle kwaye uphinde wenze imisebenzi yesiqhelo.

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

Ngaphambi kokusebenzisa i-rectal morphine,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-morphine, nawaphi na amanye amayeza, okanye nasiphi na isithako esikwii-suppositories ze-morphine. Buza usokhemesti wakho uluhlu lwezithako.
• Sukusebenzisa i-rectal morphine ukuba uthatha i-monoamine oxidase (MAO) inhibitor efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate) okanye ukuba uyekile ukuthatha naliphi na kula mayeza kwiiveki ezi-2 ezidlulileyo. Ugqirha wakho uya kuthi kukuxelele ukuba ungasebenzisi i-morphine eyi-rectal ukuba uthatha elinye okanye ngaphezulu kwala mayeza.
• 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: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); i-antihistamines (efumaneka kubanda nakwimithi yokwaliwa); amayeza okuxhuzula; i-barbiturates efana ne-phenobarbital kunye ne-primidone (Mysoline); ii-beta-blocker ezinje ngepropranolol (IHemangeol, Inderal, Innopran); ifomoranol; i-chloral hydrate, i-chlorpromazine, i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwi-Nuedexta); I-lithium (Lithobid), amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), kunye ne-zolmitriptan (iZomig); methocarbamol (Robaxin), mirtazapine (Remeron); nalbuphine; ipentazocine (Talwin); 5HT₃ i-serotonin blockers ezinje ngealosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), okanye palonosetron (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), milnacipran (Savella), kunye ne-venlafaxine (Effexor); tramadol (Conzip, Ultram, in Ultracet), kunye ne-tricyclic antidepressants ('mood elevators') ezinje nge-amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), Vivactil), kunye netrimipramine (Surmontil). Uninzi lwamanye amayeza anokusebenzisana ne-rectal 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 zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort kunye ne tryptophan.
• xelela ugqirha wakho ukuba uyasela okanye wakha wasela izixa ezikhulu zotywala okanye ukhe wenza utyando lwephepha okanye utyando lwesisu. Xelela ugqirha wakho ukuba ukhe wenzakala entloko okanye wakha; ithumba lobuchopho okanye nayiphi na imeko eyonyusa inani loxinzelelo kwingqondo yakho; ukuxhuzula; iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi; umbefu; ukubetha kwentliziyo ngokungaqhelekanga; okanye ukusilela kwentliziyo. Ugqirha wakho uya kukuxelela ukuba ungasebenzisi i-morphine ye-rectal.
• xelela ugqirha wakho ukuba wakhe wenza utyando olukhulu. Xelela ugqirha wakho ukuba ukhe wagula okanye wakha wagula ngengqondo; isifo esinganyangekiyo semiphunga (COPD; iqela lezifo ezibangela ukuphulukana nomsebenzi wemiphunga) okanye ezinye iingxaki zokuphefumla; i-Prostatic hypertrophy (ukwandiswa kwendlala yenzala); ukungqinisisa urethral (ukuvaleka kwetyhubhu evumela umchamo ukuba ushiye umzimba); iingxaki zomchamo; uxinzelelo lwegazi oluphantsi; Isifo iAddison (imeko apho umzimba ungenzi ngokwaneleyo izinto ezithile zendalo); okanye i-thyroid, isibindi, izintso, i-pancreatic, isisu, okanye isifo se-gallbladder.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa usebenzisa i-morphine, tsalela umnxeba ugqirha wakho.
• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-morphine ye-rectal.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-morphine.
• Kuya kufuneka uyazi ukuba i-morphine inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.

Sela amanzi amaninzi ngelixa usebenzisa eli yeza.

Faka idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukufaka idosi ephindwe kabini ukuyenzela elahlekileyo.

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

• intloko elula
• ukozela
• ubunzima bokulala okanye ukulala
• ukuqhina
• isisu esibuhlungu
• umlomo owomileyo
• intloko ebuhlungu
• iingxaki zombono
• ukuncipha kokuchama
• ukugungxula

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• ukuphefumla okucothayo, okungekho nzulu, okanye okungaqhelekanga
• utshintsho kwintliziyo
• 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
• Umbala oluhlaza okwesibhakabhaka okanye omfusa kulusu
• isiqaqa
• urhwebo
• irhashalala
• ukurhawuzelela
• ukudumba kweengalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi

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).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

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

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

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-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
• Umbala oluhlaza okwesibhakabhaka okanye omfusa kulusu
• ukozela
• ukozela
• andikwazi kuphendula okanye ukuvuka
• izihlunu eziqhwalelayo
• Kuyabanda, ulusu olunombala
• 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 imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba usebenzisa i-morphine rectal.

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, biza 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.

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