IHydromorphone, iThebhulethi yomlomo

Umxholo

• Amagqabantshintshi e-hydromorphone
• Yintoni i-hydromorphone?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeHydromorphone
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• Ungayithatha njani i-hydromorphone
• Iifom kunye namandla
• Isisombululo seentlungu ezinzima
• Ukuqwalaselwa okhethekileyo
• Thatha njengoko kuyalelwe
• Izilumkiso zeHydromorphone
• Izilumkiso ze-FDA:
• Isilumkiso soxinzelelo lwegazi
• Isilumkiso somzimba
• Isilumkiso sokunxibelelana notywala
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• IHydromorphone inokusebenzisana namanye amayeza
• Ukudibana okwandisa umngcipheko weziphumo ebezingalindelekanga
• Ukudibana okunokwenza amayeza akho asebenze kancinci
• Ukuqwalaselwa okubalulekileyo kokuthatha eli chiza
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• Ngaphambi kogunyaziso
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi e-hydromorphone

1. Ithebhulethi yomlomo ye-Hydromorphone iyafumaneka njengesiyobisi esinegama eliqhelekileyo kunye nelinegama. Igama lebrand: Dilaudid.
2. IHydromorphone ikwafumaneka kwisisombululo somlomo esingamanzi kunye nesisombululo esikunikwa ngumboneleli wezempilo ngenaliti.
3. Ithebhulethi yomlomo ye-Hydromorphone yi-opioid esetyenziselwa ukunyanga iintlungu ezinzima ezingalawulwa lolunye unyango.

Yintoni i-hydromorphone?

Ithebhulethi yomlomo ye-Hydromorphone sisiyobisi sonyango esifumaneka njengesiyobisi UDilaudid (ukukhululwa kwangoko). La macwecwe ayafumaneka njengeziyobisi eziqhelekileyo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala enexabiso elincinci. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengohlobo lwegama lophawu.

IHydromorphone iza nezi ndlela zilandelayo:

• Isisombululo solwelo somlomo
• isisombululo esitofwayo
• Isisombululo esinamandla esinamandla

Izisombululo ezinokutofa zinikezelwa kuphela ngumboneleli wezempilo.

Ithebhulethi yomlomo ye-Hydromorphone yinto elawulwayo. Oku kuthetha ukuba eli chiza linomngcipheko wokusetyenziswa gwenxa kwaye kunokubangela ukuxhomekeka.

Kutheni isetyenziswa

Ithebhulethi yomlomo ye-Hydromorphone isetyenziselwa ukunyanga iintlungu ezinzima ezingalawulwa lolunye unyango. Ithebhulethi yokukhululwa eyandisiweyo isetyenziselwa abantu abadinga unyango lwemihla ngemihla, malunga nonyango lwexesha.

Eli chiza linokusetyenziswa njengenxalenye yonyango oludibeneyo. Oku kuthetha ukuba unokufuna ukuyithatha kunye namanye amayeza.

Ingaba isebenza kanjani

Ithebhulethi yomlomo ye-Hydromorphone yeyiklasi yeziyobisi ezibizwa ngokuba yi-opioid analgesics. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

Ayaziwa ngokuchanekileyo ukuba eli chiza lisebenza njani ukunciphisa iintlungu. Inokunciphisa iintlungu ngokusebenza kwii-opioid receptors ezithile kwingqondo nakwintambo yomqolo, eyenza inkqubo yakho ye-nervous system.

Ithebhulethi yomlomo ye-Hydromorphone inokubangela ukozela kunye nesiyezi. Ezi ziphumo zinokubakho kwiiyure zokuqala ezimbalwa emva kokuba uzithathile. Eli chiza linokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo ebezingalindelekanga zeHydromorphone

IHydromorphone inokubangela iziphumo ebezingalindelekanga ezinobulali okanye ezinobuzaza. Olu luhlu lulandelayo luqulathe ezinye zeziphumo ebezingalindelekanga ezinokubakho ngelixa uthatha i-hydromorphone. Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga ezinokubakho.

Ngolwazi oluthe kratya malunga neziphumo ebezingalindelekanga ze-hydromorphone okanye iingcebiso ngendlela yokujongana nefuthe elibi, thetha nogqirha okanye usokhemesti.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezichaphazelekayo zeli chiza zingabandakanya:

• intloko elula
• isiyezi
• ukozela
• isicaphucaphu
• ukugabha
• ukubila
• ukucoca (ukubomvu kunye nokufudumala kwesikhumba sakho)
• imincili (isiphumo sokuziva ulungile)
• umlomo owomileyo
• ukurhawuzelela

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka.

Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Iingxaki zentliziyo. Iimpawu zingabandakanya:
  • ngokukhawuleza kakhulu okanye ngokukhawuleza kwentliziyo
  • ukubetha ngokukhawuleza
  • iintlungu zesifuba
• Utshintsho lwamehlo okanye umbono. Iimpawu zingabandakanya:
  • ingxaki yokubona okanye ukungaboni kakuhle
  • umbono kabini
  • abafundi abancinci abakhangeleka ngathi ziipini
• Iingxaki zesisu. Iimpawu zingabandakanya:
  • ukuqhina
  • isisu esibuhlungu
  • ukuvaleka kwamathumbu, kunokubangela:
    • isicaphucaphu
    • ukugabha
    • ukungakwazi ukudlulisa irhasi okanye isitulo
• Inkqubo yovalo kunye neengxaki zemisipha. Iimpawu zingabandakanya:
  • intloko ebuhlungu
  • ukuthuthumela (ukunyakaza kwemisipha engazibandakanyi)
  • ukuhamba okungaqhelekanga okanye okungazibandakanyi kwamehlo akho
  • uvakalelo olungaqhelekanga okanye oluhlabayo kulusu lwakho
• Imood okanye indlela otshintsha ngayo izinto. Iimpawu zingabandakanya:
  • ukuphazamiseka
  • uvalo
  • ixhala
  • ukudakumba
  • ukubona izinto ezingekhoyo (ukubona okanye ukuva into engekhoyo)
  • ukudideka
  • ingxaki yokulala
  • amaphupha angaqhelekanga
• Uxinzelelo lwegazi luyatshintsha. Iimpawu zingabandakanya:
  • ukugungxula
  • uxinzelelo lwegazi oluphezulu okanye oluphantsi
• Ukungabikho kwe-adrenal. Iimpawu zingabandakanya:
  • ukudinwa okungapheliyo
  • ubuthathaka bemisipha
  • iintlungu esiswini sakho
• Ukusilela kweAndrogen. Iimpawu zingabandakanya:
  • ukudinwa
  • ingxaki yokulala
  • ukunciphisa amandla
• Ukozela kakhulu
• Ukuphefumla ngengxaki okanye ukuphefumla kancinci

Ungayithatha njani i-hydromorphone

Umthamo we-hydromorphone ogqitywa ngugqirha wakho uya kuxhomekeka kwizinto ezininzi. Oku kubandakanya:

• uhlobo kunye nobunzima bemeko oyisebenzisayo ukuba uphathe i-hydromorphone
• iminyaka yakho
• uhlobo lwe-hydromorphone oyithathayo
• ezinye iimeko zonyango onokuba nazo

Ngokuqhelekileyo, ugqirha wakho uya kukuqala kwiqondo eliphantsi kwaye ulungelelanise ixesha elide ukufikelela kumthamo olungele wena. Ekugqibeleni baya kumisela idosi encinci enika isiphumo esifunekayo.

Olu lwazi lulandelayo luchaza iidosi eziqhelekileyo ezisetyenziswayo okanye ezicetyiswayo. Nangona kunjalo, qiniseka ukuthatha idosi ekumisela ugqirha wakho. Ugqirha wakho uya kumisela eyona idosi ilungele iimfuno zakho.

Iifom kunye namandla

Ngokwesiqhelo: IHydromorphone HCL

• Ifom: ithebhulethi yomlomo
• Amandla: 2 milligrams (mg), 4 mg, 8 mg
• Ifom: ukukhutshwa kwithebhulethi yomlomo eyandisiweyo (iiyure ezingama-24 zokuthintela ukusetyenziswa gwenxa)
• Amandla: 8 mg, 12 mg, 16 mg, 32 mg

Igama lebrand: UDilaudid

• Ifom: ithebhulethi yomlomo
• Amandla: 2 mg, 4 mg, 8 mg

Isisombululo seentlungu ezinzima

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka)

• Ithebhulethi yomlomo: Ukuqala kwesiqhelo yi-2-4 mg kube kanye kwiiyure ze-4-6.
• Ithebhulethi yomlomo eyandisiweyo-yokukhululwa: Ukusetyenziswa kuphela kubantu abane-opioid enyamezelayo.

Abantu abajongwa njengokunyamezelana ne-opioid ngabo bafumana, iveki enye okanye ngaphezulu, ubuncinci:

• I-60 mg ye-morphine yomlomo yonke imihla
• Ii-micrograms ezingama-25 (mcg) ze-fentanyl egqithisileyo ngeyure
• I-30 mg ye-oxycodone yomlomo yonke imihla
• I-8 mg ye-hydromorphone yomlomo yonke imihla
• I-25 mg ye-oxymorphone yomlomo yonke imihla
• 60 mg yehydrocodone yomlomo yonke imihla
• idosi ye-analgesic efanayo yenye i-opioid

Ugqirha wakho uza kukuxelela ukuba yeyiphi idosi ye-hydromorphone omele uyithathe. Banokonyusa idosi yakho nge-4-8 mg mg yonke imihla ye-3-4 ukuba iyafuneka.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Eli yeza khange lifundwe ebantwaneni. Akufanele isetyenziswe kubantu abangaphantsi kweminyaka eyi-18.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)

Izintso zabantu abadala zingasasebenzi ngendlela ababeqhele ukusebenza ngayo. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, iziyobisi ezininzi zihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Ugqirha wakho unokukuqala ngedosi esezantsi okanye ishedyuli eyahlukileyo. Oku kunokunceda ukugcina amanqanaba eli chiza ekwakheni kakhulu emzimbeni wakho.

Ukuqwalaselwa okhethekileyo

Abantu abanesifo sezintso: Ugqirha wakho unokukuqala ngedosi eyi-25 yeepesenti ukuya kuma-50 epesenti esezantsi kunedosi yokuqala kwesiqhelo.

Abantu abanesifo sesibindi: Ugqirha wakho unokukuqala ngedosi eyi-25 yeepesenti ukuya kuma-50 epesenti esezantsi kunedosi yokuqala kwesiqhelo. Ukuba uneengxaki ezinzima zesibindi, ugqirha wakho unokusebenzisa elinye iyeza ukuphelisa iintlungu endaweni yethebhulethi yokukhupha eyandisiweyo, okanye banokukunika idosi esezantsi yolunye uhlobo lweli chiza.

Thatha njengoko kuyalelwe

Ithebhulethi yomlomo ye-Hydromorphone isetyenziselwa unyango lwexesha elifutshane. Eli chiza liza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uyeka ukuthatha iyeza ngesiquphe okanye ungathathi kwaphela: Intlungu yakho ayinakuba ngcono.

Ukuba uphosa idosi okanye awuthathi ichiza kwishedyuli: Amayeza akho anokungasebenzi kakuhle okanye angayeka ukusebenza ngokupheleleyo. Ukuze eli chiza lisebenze kakuhle, isixa esithile kufuneka sibe semzimbeni wakho ngalo lonke ixesha.

Ukuba uthatha kakhulu: Unokuba namanqanaba ayingozi amachiza emzimbeni wakho.Iimpawu libanda, eli chiza kungabandakanya:

• iingxaki zokuphefumla ezinzima
• ukozela kakhulu
• ukulahleka kwengqondo
• ukubetha kwentliziyo kancinci
• uxinzelelo lwegazi oluphantsi

Ukuba ucinga ukuba uthathe kakhulu eli chiza, biza ugqirha wakho okanye ufune isikhokelo kuMbutho waseMelika wamaZiko oLawulo lweTyhefu e800-222-1222 okanye ngesixhobo sabo se-Intanethi. Kodwa ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi: Thatha idosi yakho ngokukhawuleza ukuba ukhumbule. Ukuba ukhumbula iiyure ezimbalwa ngaphambi kwethamo lakho elilandelayo, thabatha enye kuphela. Ungaze uzame ukubamba ngokuthatha iidosi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi.

Ungaxela njani ukuba ichiza liyasebenza: Intlungu yakho inokulawulwa ngcono.

Izilumkiso zeHydromorphone

Eli chiza liza nezilumkiso ezahlukeneyo.

Izilumkiso ze-FDA:

• Eli chiza linezilumkiso zebhokisi. Isilumkiso esibhokisi sisilumkiso esinzulu esivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Yazisa oogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• Iingxaki zokuphefumla ezinzima zilumkisa: Eli chiza linokunyusa umngcipheko weengxaki zokuphefumla ezisongela ubomi. Abadala, abantu abaneengxaki zemiphunga, kunye nabantu abanezinye iingxaki zempilo banokuba semngciphekweni omkhulu.
• Utywala, i-opioid, kunye nolunye ulumkiso lokulalisa ingqondo: Ukuthatha eli chiza ngotywala, iziyobisi ze-opioid, kunye nezinye iziyobisi ezinokuthomalalisa ingqondo kunokubangela iingxaki zokuphefumla. Ezi zinokubulala (zibangele ukufa).
• Umlutha, ukuxhatshazwa, kunye nokusetyenziswa gwenxa kwesilumkiso: IHydromorphone iveza izigulana kunye nabanye abasebenzisi emngciphekweni wokulutha i-opioid, ukuxhatshazwa, kunye nokusetyenziswa gwenxa, okunokubangela ukugqithisa kunye nokufa.
• Uvavanyo lomngcipheko kunye nesiCwangciso sokuNceda (REMS): ): Ngenxa yomngcipheko wokusetyenziswa gwenxa kweziyobisi, i-FDA ifuna ukuba umenzi weziyobisi abonelele ngenkqubo ye-REMS. Ngaphantsi kweemfuno zale nkqubo ye-REMS, umenzi weziyobisi kufuneka avelise iinkqubo zemfundo ngokubhekisele ekusetyenzisweni okukhuselekileyo nokusebenzayo kwe-opioids kumboneleli wakho wezempilo.
• Isilumkiso sokungena ngengozi: Ukungeniswa ngengozi kwethamo elinye le-hydromorphone, ngakumbi ngabantwana, kunokubangela ukugqithisa okubulalayo kwe-hydromorphone.
• Ukurhoxiswa kweopioid kwiintsana ezisandul 'ukuzalwa zilumkisa: Ukuba owasetyhini uthatha eli chiza ixesha elide ngexesha lokukhulelwa, kunokukhokelela kwisifo sokurhoxa kwe-opioid kusana olusandul 'ukuzalwa. Oku kunokuba sisongelo kubomi bosana. Iimpawu zokurhoxa zinokubandakanya ukuba nochuku, ukungasebenzi kakuhle kunye nendlela yokulala engaqhelekanga, ukukhala okuphezulu, ukungcangcazela, ukugabha, urhudo, kunye nokusilela ukutyeba.

Isilumkiso soxinzelelo lwegazi

Eli chiza linokubangela ukwehla ngesiquphe koxinzelelo lwegazi. Oku kunokubangela ukuba ube nobunzima, ube nesiyezi, kwaye ude uphelelwe ngamandla.

Umngcipheko wakho unokuphakama ukuba unevolthi yegazi esezantsi kwaye unengxaki yokugcina uxinzelelo lwegazi oluqhelekileyo. Umngcipheko wakho unokuphakama ukuba uthatha amayeza athile. Oku kubandakanya iziyobisi ezibizwa ngokuba yi-phenothiazines okanye i-anesthetics ngokubanzi.

Isilumkiso somzimba

Eli chiza kunokubangela negazi lakho. Iimpawu zingabandakanya:

• ingxaki yokuphefumla
• ukudumba komqala okanye ulwimi lwakho
• urhwebo
• irhashalala

Ukuba awunampendulo ayichasanga, biza ugqirha wakho okanye indawo yokulawula ityhefu kwangoko. Ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi elingxamisekileyo elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Isilumkiso sokunxibelelana notywala

Ukusela utywala kunokunyusa umngcipheko weziphumo ebezingalindelekanga kweli chiza. Oku kunokubandakanya iingxaki zokuphefumla, uxinzelelo lwegazi olusezantsi, ukozela kakhulu, kunye nesiqa. Ukuba usela utywala, thetha nogqirha wakho.

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abonzakele entloko kunye noxinzelelo lwentloko olonyukayo: Eli chiza linokunyusa uxinzelelo lwangaphakathi (uxinzelelo lwegazi kwingqondo yakho). Oku kunokwenza imeko yakho ibe mandundu. Buza ugqirha wakho ukuba eli chiza likhuselekile kuwe.

Kubantu abaneengxaki zesibindi: Ukuba uneengxaki zesibindi okanye unembali yesifo sesibindi, ngekhe ube nakho ukulenza kakuhle eli chiza. Oku kunokunyusa amanqanaba echiza emzimbeni wakho kwaye kubangele iziphumo ebezingalindelekanga ezingaphezulu. Ukuba uneengxaki zesibindi, ugqirha unokukunika idosi engezantsi.

Kubantu abaneengxaki zezintso: Ukuba uneengxaki zezintso okanye imbali yesifo sezintso, ngekhe ube nakho ukulicoca kakuhle eli chiza emzimbeni wakho. Oku kunokunyusa amanqanaba ayo emzimbeni wakho kwaye kubangele iziphumo ebezingalindelekanga ezingaphezulu.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Thetha nogqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa. Eli chiza kufuneka lisetyenziswe kuphela ukuba isibonelelo esinokubakho siqinisekisa umngcipheko wokukhulelwa. Ukuba owasetyhini uthatha eli chiza ixesha elide ngexesha lokukhulelwa, kunokukhokelela kwisifo sokurhoxa kwe-opioid kusana olusandul 'ukuzalwa. Oku kunokuba sisongelo kubomi bosana. Biza ugqirha wakho ngoko nangoko ukuba ukhulelwe ngelixa uthatha eli chiza.

Kubafazi abancancisayo: Eli chiza linokudlula kubisi lwebele kwaye libangele iziphumo ebezingalindelekanga emntwaneni oncanciswa. Thetha nogqirha wakho xa uncelisa umntwana wakho. Kuya kufuneka uthathe isigqibo sokuba uyeke ukuncancisa okanye uyeke ukuthatha eli yeza.

Kubantu abadala: Izintso zabantu abadala zingasasebenzi ngendlela ababeqhele ukusebenza ngayo. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, iziyobisi ezininzi zihlala emzimbeni wakho ixesha elide. Oku kuphakamisa umngcipheko weziphumo ebezingalindelekanga.

Kubantwana: Eli yeza khange lifundwe ebantwaneni. Akufanele isetyenziswe kubantu abangaphantsi kweminyaka eyi-18. Ukuba umntwana ngempazamo uyaliginya eli chiza, kunokukhokelela kukudlula. Oku kungabulala (kubangele ukufa).

IHydromorphone inokusebenzisana namanye amayeza

Ithebhulethi yomlomo ye-Hydromorphone inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana kunye ne-hydromorphone zidweliswe apha ngezantsi.

Ukudibana okwandisa umngcipheko weziphumo ebezingalindelekanga

Ukunyuka kweziphumo ebezingalindelekanga ze-hydromorphone: Ukuthatha i-hydromorphone ngamayeza athile kunyusa umngcipheko weziphumo ebezingalindelekanga. Imizekelo yala machiza ibandakanya:

• I-Benzodiazepines, efana ne-lorazepam, i-clonazepam, kunye ne-diazepam: Ukuthatha la machiza ngehydromorphone kunokubangela iingxaki zokuphefumla, ukwehla koxinzelelo lwegazi, kunye nokozela okugqithisileyo. Inokubangela isiqaqa okanye ukufa.
• I-anesthetics ngokubanzi, njengepropofol, midazolam, kunye ne-etomidate: Ukuthatha la machiza ngehydromorphone kunokubangela iingxaki zokuphefumla, ukwehla koxinzelelo lwegazi, kunye nokozela okugqithisileyo. Isenokubangela isiqaqa.
• Iprochlorperazine, i-promethazine, kunye ne-chlorpromazine: Ukuthatha la machiza ngehydromorphone kunokubangela iingxaki zokuphefumla, ukwehla koxinzelelo lwegazi, kunye nokozela okugqithisileyo. Isenokubangela isiqaqa.
• I-Monoamine oxidase inhibitors (i-MAOIs), efana ne-phenelzine, tranylcypromine, isocarboxazid, kunye ne-selegiline: I-MAOIs inokuwonyusa kakhulu umngcipheko we-hydromorphone yetyhefu (inamanqanaba ayingozi echiza emzimbeni wakho). Ukusetyenziswa kwe-hydromorphone akukhuthazwa ukuba uthatha ii-MAOIs okanye kwiintsuku ezili-14 zokuyeka unyango nge-MAOI.
• Iziyobisi Anticholinergic, ezifana diphenhydramine, solifenacin, tolterodine, kunye benztropine: Ukuthatha la machiza nge-hydromorphone kunokubangela ukugcinwa komchamo (ingxaki yokudlula komchamo), ukuqhina okunzima, kunye nokuvaleka kwamathumbu.

Ukunyuka kweziphumo ebezingalindelekanga ezivela kwamanye amayeza: Ukuthatha i-hydromorphone ngamayeza athile kunyusa umngcipheko weziphumo ebezingalindelekanga ezivela kula machiza. Imizekelo yala machiza ibandakanya:

• Iziyobisi zeSerotonergic, ezinje ngokukhetha i-serotonin reuptake inhibitors (i-SSRIs), i-serotonin-norepinephrine reuptake inhibitors (SNRIs), kunye ne-tricyclic antidepressants (TCAs): Ukuthatha la machiza ngehydromorphone kunokubangela i-serotonin syndrome, enokubulala. Iimpawu zinokubandakanya ukuphazamiseka, ukubila, ukujija kwezihlunu kunye nokudideka.

Ukudibana okunokwenza amayeza akho asebenze kancinci

Xa uthatha i-hydromorphone ngamayeza athile, isenokungasebenzi kakuhle ukunyanga imeko yakho. Kungenxa yokuba inani le-hydromorphone emzimbeni wakho linokuhla. Imizekelo yala machiza ibandakanya:

• IPentazocine, nalbuphine, butorphanol, kunye ne-buprenorphine: Ukuthatha la machiza nge-hydromorphone kunokubangela neempawu zokurhoxa kwe-opioid ukuba uthathe i-hydromorphone ixesha elide.

Ukuqwalaselwa okubalulekileyo kokuthatha eli chiza

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-hydromorphone yomlomo ithebhulethi yakho.

Ngokubanzi

• Thatha eli chiza ngokutya. Oku kunokunceda ukunciphisa isisu esibuhlungu.
• Thatha eli chiza ngamaxesha acetyiswe ngugqirha wakho. Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukubiza phambili.
• Unokusika, ukuchoboza, okanye ukwahlula ithebhulethi yokukhupha kwangoko. Musa ukusika okanye ukutyumza ithebhulethi ekhulisiweyo.

Ukugcina

• Gcina eli chiza kubushushu begumbi phakathi kwe-59 ° F kunye ne-86 ° F (15 ° C kunye ne-30 ° C).
• Gcina eli chiza kude nokukhanya.
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Umyalelo weli yeyeza awugcwaliseki. Wena okanye ikhemesti yakho kuya kufuneka unxibelelane nogqirha wakho amayeza amatsha ukuba ufuna ukugcwalisa eli yeza.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukubeka iliso kwezonyango

Ugqirha wakho unokujonga imicimbi ethile yempilo ngexesha lonyango lwakho. Oku kunokukunceda uqiniseke ukuba uhlala ukhuselekile ngelixa uthatha eli chiza. Le micimbi ibandakanya:

• Umsebenzi wezintso: Ugqirha wakho angenza uvavanyo lwegazi ukujonga ukuba zisebenza njani izintso zakho. Ukuba izintso zakho azisebenzi kakuhle, ugqirha wakho unokuhlisa idosi yakho yeli chiza.
• Umsebenzi wesibindi: Ugqirha wakho angenza uvavanyo lwegazi ukujonga ukuba isibindi sakho sisebenza njani. Ukuba isibindi sakho asisebenzi kakuhle, ugqirha wakho unokuhlisa idosi okanye ayeke ukusebenzisa eli chiza.
• Uxinzelelo lwegazi kunye nenqanaba lentliziyo: Ugqirha wakho uya kujonga uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho. Ukuba uxinzelelo lwakho lwegazi luyehla kakhulu, ugqirha wakho unokunciphisa idosi okanye ayeke unyango lwakho ngeli chiza.
• Umgangatho wokuphefumla: Ugqirha wakho uya kujonga ukuphefumla kwakho. Ukuba eli chiza lichaphazela ukuphefumla kwakho, ugqirha wakho unokunciphisa idosi okanye ayeke unyango lwakho ngalo.

Ngaphambi kogunyaziso

Iinkampani ezininzi zeinshurensi zifuna ukugunyazwa kwangaphambili kwesi siyobisi. Oko kuthetha ukuba ugqirha wakho uyakufuna ukufumana imvume kwinkampani yeinshurensi ngaphambi kokuba inkampani yakho yeinshurensi ihlawule iyeza.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.