IHydromorphone vs. Morphine: Zahluke njani?
Umxholo
- Iimpawu zeziyobisi
- Iindleko, ukufumaneka kunye neinshurensi
- Imiphumela
- Ukusebenzisana kweziyobisi
- Ukudibana kunye neziyobisi
- I-Anticholinergics
- I-Monoamine oxidase inhibitors
- Amanye amayeza entlungu, amayeza athile antipsychotic, amayeza oxinzelelo kunye neepilisi zokulala
- Sebenzisa nezinye iimeko zonyango
- Thetha nomboneleli wakho wezempilo
Intshayelelo
Ukuba unentlungu ebukhali kwaye ungakhange ufumane isiqabu ngamayeza athile, unokuba nolunye ukhetho. Umzekelo, iDilaudid kunye ne-morphine ngamachiza amabini amiselweyo asetyenziselwa ukunyanga iintlungu emva kokuba amanye amayeza engakhange asebenze.
I-Dilaudid ligama loshicilelo lwehormone yeziyobisi generic. I-Morphine sisiyobisi esingaqhelekanga. Basebenza ngeendlela ezifanayo, kodwa banokwahluka okumbalwa okubonakalayo. Thelekisa la mayeza mabini apha ukuze ufunde ukuba inokuba yinto elungileyo kuwe.
Iimpawu zeziyobisi
Omabini la mayeza aseklasini yamachiza abizwa ngokuba yi-opioid analgesics, ekwabizwa ngokuba zii-narcotic. Basebenza kwii-opioid receptors kwinkqubo yakho yeemvakalelo. Eli nyathelo litshintsha indlela ozibona ngayo iintlungu ukukunceda uzive ungaphantsi kweentlungu.
I-Hydromorphone kunye ne-morphine nganye iza ngeendlela ezahlukeneyo kunye namandla. Iifom zomlomo (ezithathwa ngomlomo) ziqhelekileyo zisetyenziswa. Zonke iifom zinokusetyenziswa ekhaya, kodwa iifom zenaliti zihlala zisetyenziswa esibhedlele.
Omabini la machiza anokubangela iziphumo ebezingalindelekanga ezimandundu kwaye anokulikhoboka, ke kuya kufuneka uwathathe ngokuchanekileyo njengoko kumiselwe.
Ukuba uthatha amayeza eentlungu ngaphezulu kwesinye, qiniseka ukuba ulandela imiyalelo yedosi nganye ngocoselelo ukuze ungazixube. Ukuba unemibuzo malunga nendlela yokuthatha amayeza akho, buza umboneleli wakho wezempilo okanye usokhemesti.
Ishati engezantsi ichaza ngakumbi amanqaku amayeza omabini.
| IHydromorphone | Imofini | |
| Ngawaphi amagama egama ngeli chiza? | UDilaudid | IKadian, iDuramorph PF, Infumorph, iMorphabond ER, iMitigo |
| Ngaba inguqulelo yohlobo oluqhelekileyo iyafumaneka? | Ewe | Ewe |
| Ngaba liphatha ntoni eli chiza? | intlungu | intlungu |
| Bungakanani ubude bonyango? | kugqitywe ngumboneleli wakho wezempilo | kugqitywe ngumboneleli wakho wezempilo |
| Ndiligcina njani eli chiza? | kubushushu begumbi | kubushushu begumbi |
| Ngaba le yinto ilawulwa? * * | Ewe | Ewe |
| Ngaba ukhona umngcipheko wokurhoxa kweli chiza? | Ewe† | Ewe† |
| Ngaba eli chiza linakho ukusetyenziswa gwenxa? | ewe ¥ | ewe ¥ |
* Jonga imiyalelo yephakheji okanye iyeza lomboneleli wakho wezempilo malunga namaqondo obushushu ngqo.
Into elawulwayo sisiyobisi esilawulwa ngurhulumente. Ukuba uthatha into elawulwayo, umboneleli wakho wezempilo kufuneka abeke esweni ngokusondeleyo ukusetyenziswa kwakho kwesiyobisi. Ungaze unike into elawulwayo komnye umntu.
Ukuba uthabathe eli chiza ixesha elide kuneeveki ezimbalwa, ungayeki ukulithatha ungakhange uthethe nomboneleli wakho wezempilo. Uzakufuna ukucofa ichiza kancinci ukuphepha ukurhoxa iimpawu ezinje ngexhala, ukubila, isicaphucaphu, urhudo, kunye nengxaki yokulala.
Eli chiza linokusetyenziswa gwenxa okuphezulu. Oku kuthetha ukuba unokufumana umlutha kuyo. Qiniseka ukuba ulithatha eli chiza kanye njengoko umboneleli wakho wezempilo ekuxelela. Ukuba unemibuzo okanye unenkxalabo, thetha nomboneleli wakho wezempilo.
Umahluko ophambili phakathi kwala machiza ziifom eziza nazo. Itheyibhile engezantsi idwelisa iifom zechiza ngalinye.
| Ifom | IHydromorphone | Imofini |
| Inaliti engaphantsi | X | |
| isitofu efakwa | X | X |
| inaliti intramuscular | X | X |
| ipilisi yomlomo ekhutshwa kwangoko | X | X |
| ukukhutshwa kwethebhulethi yomlomo eyandisiweyo | X | X |
| ukukhululwa kwe-capsule yomlomo | X | |
| isisombululo somlomo | X | X |
| Umxube wesisombululo somlomo | X | |
| i-rectal suppository * | * | * |
Ezi fom ziyafumaneka kodwa azamkelwa yi-FDA.
Iindleko, ukufumaneka kunye neinshurensi
Zonke iintlobo ze-hydromorphone kunye ne-morphine ziyafumaneka kwiikhemesti ezininzi. Nangona kunjalo, kungcono ukubiza ikhemesti yakho ngaphambi kwexesha ukuze uqiniseke ukuba unawo amayeza akho kwisitokhwe.
Kwiimeko ezininzi, iintlobo zamachiza enziwe afana nalawo aveliswe ngumenzi axabisa ngaphantsi kweemveliso ezinamagama aziwa ngegama. I-Morphine kunye ne-hydromorphone ziziyobisi eziqhelekileyo.
Ngexesha elibhalwa eli nqaku, i-hydromorphone kunye ne-morphine zazinexabiso elifanayo, ngokweGoodRx.com.
Igama elinegama lophawu lweziyobisi iDilaudid lalibiza kakhulu kunezo zohlobo lwe morphine. Ngayiphi na imeko, iindleko zakho zokuphuma epokothweni ziya kuxhomekeka kwi-inshurensi yakho yezempilo, ikhemesti yakho kunye nedosi yakho.
Imiphumela
I-Hydromorphone kunye ne-morphine zisebenza ngokufanayo emzimbeni wakho. Bakwabelana ngemiphumo efanayo.
Itshathi engezantsi idwelisa imizekelo yeziphumo ebezingalindelekanga eziqhelekileyo zehydromorphone kunye ne-morphine.
| Omabini la machiza | IHydromorphone | Imofini |
| isiyezi | ukudakumba | Iziphumo ezifanayo ezifanayo kuzo zombini iziyobisi |
| ukozela | imo ephezulu | |
| isicaphucaphu | ukucheba | |
| ukugabha | ukucoca (ukubomvu kunye nokufudumala kwesikhumba sakho) | |
| intloko elula | umlomo owomileyo | |
| ukubila | ||
| ukuqhina |
Iyeza ngalinye linokubangela uxinzelelo lokuphefumla (ukuphefumla kancinci kunye nokuphefumla). Ukuba zithathwa ngendlela yesiqhelo, nganye inokubangela ukuxhomekeka (apho kufuneka uthathe ichiza ukuze uzive uqhelekile).
Ukusebenzisana kweziyobisi
Nazi iindlela ezininzi zokunxibelelana kweziyobisi kunye neziphumo zazo.
Ukudibana kunye neziyobisi
I-Hydromorphone kunye ne-morphine zii-narcotic ezisebenza ngendlela efanayo, ke ukudibana kwazo neziyobisi kuyafana.
Ukusebenzisana kwazo zombini iziyobisi kubandakanya oku kulandelayo:
I-Anticholinergics
Sebenzisa i-hydromorphone okanye i-morphine kwelinye lala machiza kunyusa umngcipheko wokuqhinwa kwaye ungabinako ukuchama.
I-Monoamine oxidase inhibitors
Akufanele uthathe i-hydromorphone okanye i-morphine kwiintsuku ezili-14 zokuthatha i-monoamine oxidase inhibitor (MAOI).
Ukuthatha iyeza nge-MAOI okanye kwiintsuku ezili-14 zokusebenzisa i-MAOI kunokubangela:
- iingxaki zokuphefumla
- uxinzelelo lwegazi oluphantsi (hypotension)
- ukudinwa kakhulu
- ikhoma
Amanye amayeza entlungu, amayeza athile antipsychotic, amayeza oxinzelelo kunye neepilisi zokulala
Ukudibanisa i-hydromorphone okanye i-morphine kunye naliphi na kula machiza kunokubangela:
- iingxaki zokuphefumla
- uxinzelelo lwegazi oluphantsi
- ukudinwa kakhulu
- ikhoma
Kuya kufuneka uthethe nomboneleli wakho wezempilo ngaphambi kokusebenzisa i-hydromorphone okanye i-morphine ngalo naliphi na kula machiza.
Iyeza ngalinye linokuba nolunye unxibelelwano lweziyobisi olunokunyusa umngcipheko wakho weziphumo ebezingalindelekanga ezibi. Qiniseka ukuba uxelela umboneleli wakho wezempilo malunga nawo onke amayeza amiselweyo kunye neemveliso ezingaphaya kwekhawunta ozithathayo.
Sebenzisa nezinye iimeko zonyango
Ukuba unemicimbi ethile yezempilo, banokutshintsha indlela esebenza ngayo i-hydromorphone kunye ne-morphine emzimbeni wakho. Kungangabikho khuselekile kuwe ukuba uthathe la machiza, okanye umboneleli wakho wokhathalelo lwempilo unokufuna ukukubeka esweni ngakumbi ngexesha lonyango lwakho.
Kuya kufuneka uthethe nomboneleli wakho wezempilo ngaphambi kokuba uthathe i-hydromorphone okanye i-morphine ukuba uneengxaki zokuphefumla ezinjengesifo esinganyangekiyo semiphunga (COPD) okanye isifuba. La machiza adityaniswa neengxaki zokuphefumla ezinokubangela ukufa.
Kuya kufuneka uthethe ngokhuseleko lwakho ukuba unembali yokusebenzisa gwenxa iziyobisi okanye iziyobisi. Ezi ziyobisi zinokuba likhoboka kwaye zonyuse umngcipheko wokudlula kunye nokufa.
Imizekelo yezinye iimeko zonyango ekufuneka uxoxe ngazo nomboneleli wakho wezempilo ngaphambi kokuba uthathe i-hydromorphone okanye i-morphine ibandakanya:
- iingxaki iphecana biliary
- Imiba yezintso
- isifo sesibindi
- imbali yokwenzakala entloko
- uxinzelelo lwegazi oluphantsi (hypotension)
- ukuxhuzula
- isisu esiswini, ngakumbi ukuba une-ileus ekhubazekileyo
Kwakhona, ukuba unesigqi sentliziyo esingaqhelekanga, thetha nomboneleli wakho wezempilo ngaphambi kokusebenzisa i-morphine. Inokwenza imeko yakho ibe mandundu.
Thetha nomboneleli wakho wezempilo
Zombini i-hydromorphone kunye ne-morphine zinamandla kakhulu amayeza eentlungu.
Basebenza ngeendlela ezifanayo kwaye banokuninzi okufanayo, kodwa banomahluko omncinci ku:
- iifom
- idosi
- imiphumela
Ukuba unemibuzo malunga nala machiza, thetha nomboneleli wakho wezempilo.
Banokuphendula imibuzo yakho kwaye bakhethe iyeza elilungele wena ngokusekwe:
- impilo yakho
- amayeza angoku
- ezinye izinto
Yeyakho
Uvavanyo lwegazi lweProtheni C