IHydromorphone Rectal

Umxholo

• Sebenzisa i-suppositories, landela la manyathelo:
• Ngaphambi kokusebenzisa i-hydromorphone suppositories,
• Amakhandlela e-Hydromorphone anokubangela 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:

I-Hydromorphone rectal inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Sebenzisa i-hydromorphone rectal ngqo njengoko kuyalelwe. Sukuyisebenzisa idosi enkulu, yisebenzise rhoqo, okanye uyisebenzise ixesha elide okanye ngendlela eyahlukileyo kunaleyo umiselwe ngugqirha wakho. Ngelixa usebenzisa i-hydromorphone rectal, xoxa nomboneleli wakho wezempilo ngeenjongo zonyango lwakho lweentlungu, ubude bonyango, kunye nezinye iindlela zokulawula iintlungu zakho. Tshela ugqirha wakho ukuba wena okanye omnye umntu kusapho lwakho uyasela okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wagqithisa, okanye wasebenzisa kakhulu amayeza kagqirha, okanye ukuba ukhe wanxunguphalo okanye esinye isifo sengqondo. Kukho umngcipheko omkhulu wokuba uya kusebenzisa kakubi i-hydromorphone rectal 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.

Ukuthatha amayeza athile ngexesha lonyango lwakho nge-hydromorphone rectal kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla okanye zokubeka ubomi esichengeni, okanye ucoce. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), chlordiazepoxide (Librium), 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 i-hydromorphone rectal ngawo nawaphi na ala mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, ubukhaphukhaphu, 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 ongabhaliswanga aqukethe utywala, okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lonyango nge-hydromorphone rectal kwandisa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Ungaseli utywala, thatha amayeza kagqirha okanye amayeza angaxhomekekanga utywala, okanye sebenzisa iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-hydromorphone rectal.

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

IHydromorphone iza njenge-suppository ukufaka kwi-rectum. Ifakwa rhoqo kanye kwiiyure ezi-6 ukuya kwezi-8. Faka i-hydromorphone malunga namaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-hydromorphone suppositories ngokuchanekileyo njengoko kuyalelwe.

Sukuyeka ukusebenzisa iikhompawundi zehydromorphone ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngesiquphe ukusebenzisa i-hydromorphone suppositories, unokufumana iimpawu zokurhoxa kubandakanya ukungazinzi, amehlo aneenyembezi, ukuphuma empumlweni, ukuzamla, ukubila, ukugodola, iinwele zimile, iintlungu zemisipha kunye nokudibana, ukwandisa abafundi (izangqa ezimnyama embindini Amehlo), ukuba nochuku, ixhala, umqolo obuhlungu, ubuthathaka, isisu esibuhlungu, ubunzima bokulala okanye ukulala, isicaphucaphu, ukuphelelwa ngumdla, ukugabha, urhudo, ukuphefumla ngokukhawuleza, okanye ukubetha kwentliziyo okukhawulezayo. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

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 (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-hydromorphone suppositories,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-hydromorphone, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwii-suppositories ze-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. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: cyclobenzaprine (Amrix); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); lithium (iLithobid, eLibrax); amayeza okubamba amayeza entloko njenge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, eTreximet), kunye ne-zolmitriptan (iZomig); i-mirtazapine (iRemeron); amayeza e-narcotic entlungu ngaphandle kwe-hydromorphone; 5HT₃ i-serotonin blockers ezinje ngealosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), okanye palonosetron (Aloxi, eAkynzeo); 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); ithenda kunye ne-tricyclic antidepressants ('mood elevators') ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye netrimipramine (Surmontil). 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-hydromorphone, ke qiniseka ukuxelela ugqirha wakho malunga nawo 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 okanye i-tryptophan.
• xelela ugqirha wakho ukuba ukhe wanokwenzakala entloko okanye nayiphi na imeko eyenze umonakalo kwingqondo yakho, nayiphi na imeko eyonyusa uxinzelelo kwingqondo yakho; ukuphefumla okucothayo; okanye nayiphi na imeko echaphazela ukuphefumla kwakho njenge-asthma, isifo esinganyangekiyo semiphunga (COPD; iqela lezifo kubandakanya i-bronchitis engapheliyo kunye ne-emphysema echaphazela imiphunga kunye neendlela zomoya), okanye i-kyphoscoliosis (ukugoba komqolo okunokubangela iingxaki zokuphefumla). Ugqirha wakho unokukuxelela ukuba ungasebenzisi ii-suppositories ze-hydromorphone.
• xelela ugqirha wakho ukuba umdala okanye ukuba ubuthathaka okanye awondlekanga ngenxa yezifo. Xelela ugqirha wakho ukuba unayo okanye wakha wanayo i-hypothyroidism (imeko apho idlala lengqula livelisa i-hormone encinci kunesiqhelo); Isifo i-Addison (imeko apho i-adrenal gland ivelisa i-hormone encinci kuneqhelekileyo); nayiphi na imeko ebangela ubunzima ekuchameni njenge-Prostate eyandisiweyo (idlala lokuzala) okanye ukuqina kwendlela yokubuyisa (ukuvalwa kwetyhubhu evumela umchamo ukuba uphume emzimbeni); okanye isibindi okanye isifo sezintso.

• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa i-hydromorphone suppositories, tsalela ugqirha wakho.

• Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-hydromorphone suppositories.
• ukuba uyenziwa uqhaqho, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa ii-suppositories ze-hydromorphone.
• Kuya kufuneka uyazi ukuba i-hydromorphone inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• Kuya kufuneka uyazi ukuba i-hydromorphone inokubangela ukuba nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Oku kuqheleke ngakumbi xa uqala ukusebenzisa ii-suppositories ze-hydromorphone. 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.

Sebenzisa idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukusebenzisa idosi ephindwe kabini ukwenza eyilahlekileyo.

Amakhandlela e-Hydromorphone anokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukuqhina
• ukozela
• utshintsho lweemvakalelo
• ukudideka
• ubunzima bokuchama
• Ukunciphisa abafundi (izangqa ezimnyama embindini wamehlo)

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

• ucothisile okanye uyeke ukuphefumla
• ukuphefumla okungaqhelekanga okanye okumisayo kwaye kuqale
• 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

Amakhandlela e-Hydromorphone anokubangela 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. Gcina kwifriji. Lahla naliphi na iyeza eliphelelwe lixesha okanye elingasafunekiyo. Thetha kumachiza wakho 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

Gcina iikhandlela zefowuni kwiifriji kwindawo ekhuselekileyo ukuze kungabikho namnye umntu onokuthatha amayeza ngengozi okanye ngenjongo. Gcina umkhondo wokuba zingaphi iikhompiyutha ezishiyekileyo ukuze wazi ukuba zikhona na ezingekhoyo.

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 rectal, 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

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

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

Lo myalelo awugcwaliseki. Ukuba uqhubeka unentlungu emva kokuba ugqibile iifosikhowudi zefowuni 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.

• ifumaneka ngokubanzi

• dihydromorphinone