Jekeseni wa Hydromorphone

Zamkati

• Musanagwiritse ntchito jakisoni wa hydromorphone,
• Jekeseni wa Hydromorphone itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi, siyani kumwa jakisoni wa hydromorphone ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Jekeseni wa Hydromorphone itha kukhala chizolowezi, makamaka ngati imagwiritsidwa ntchito kwa nthawi yayitali, ndipo imayambitsa kuchepa kapena kusiya kupuma kapena kufa ngati yagwiritsidwa ntchito mopitirira muyeso. Jekeseni jakisoni wa hydromorphone monga momwe adauzira. Osagwiritsa ntchito zochulukirapo kapena kuzigwiritsa ntchito pafupipafupi kuposa zomwe adalangizidwa ndi adotolo, Mukamagwiritsa ntchito jakisoni wa hydromorphone, kambiranani ndi omwe amakuthandizani zaumoyo zolinga zanu zakuchiritsira, kutalika kwa chithandizo, ndi njira zina zothetsera ululu wanu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu amamwa mowa kapena amamwa mowa wambiri, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena amamwa mankhwala osokoneza bongo, kapena ngati mwakhala mukudwala kapena matenda ena amisala. Pali chiopsezo chachikulu kuti mugwiritsa ntchito hydromorphone kwambiri ngati mwakhalapo kapena mwakhalapo ndi izi. Lankhulani ndi omwe amakuthandizani nthawi yomweyo ndikupemphani kuti akuwongolereni ngati mukuganiza kuti muli ndi vuto la opioid kapena pitani ku US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ku 1-800-662-HELP.

Jekeseni wa Hydromorphone imapezeka ngati yankho lamphamvu lamankhwala (Dilaudid) ndi yankho lolimbikira (Dilaudid-HP) lomwe limakhala ndi ma hydromorphone ambiri mu mililita imodzi yothetsera. Dokotala wanu ayenera kungokupatsani yankho lokhazikika ngati muli opirira ma opioid (mwalandira mankhwala ena osokoneza bongo kwa sabata limodzi, kulola thupi lanu kusintha mtundu wa mankhwalawa). Njira yothetsera vutoli imatha kuyambitsa mavuto akulu kapena kufa ngati ingagwiritsidwe ntchito ndi munthu yemwe salolera opioid. Onetsetsani kuti mukudziwa mayankho a hydromorphone omwe dokotala wakupatsani, ndipo onetsetsani kuti mukulandira mankhwala olondola.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Sungani jakisoni wa hydromorphone pamalo abwino kuti pasapezeke wina wogwiritsa ntchito mwangozi kapena mwadala. Onetsetsani kuchuluka kwa mankhwala omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

Kumwa mankhwala ena mukamamwa jakisoni wa hydromorphone kumatha kuonjezera chiopsezo kuti mudzakhala ndi mavuto owopsa, kupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium, ku Librax), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazolam (Halcion); mankhwala a matenda amisala kapena nseru; zotsegula minofu; mankhwala ena opweteka a mankhwalawa; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu ndikukuyang'anirani mosamala. Ngati mumagwiritsa ntchito jakisoni wa hydromorphone ndi iliyonse ya mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena funani chithandizo chamankhwala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma movutikira kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.

Kumwa mowa, kumwa mankhwala akuchipatala kapena osapereka mankhwala omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo munthawi ya chithandizo chanu ndi jakisoni wa hydromorphone kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa zomwe zingawononge moyo wanu. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe muli ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa hydromorphone.

Jekeseni wa Hydromorphone imagwiritsidwa ntchito kuthetsa ululu. Jakisoni wa Hydromorphone ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Jakisoni wa Hydromorphone amabwera ngati yankho (madzi) ojambulira pansi pa khungu, mumtsempha, kapena muminyewa. Nthawi zambiri amabayidwa kamodzi maola awiri kapena atatu pakufunika kutero. Gwiritsani ntchito jakisoni wa hydromorphone monga momwe mwalangizira.

Dokotala wanu amatha kusintha mlingo wanu wa jakisoni wa hydromorphone mukamalandira chithandizo, kutengera momwe kupweteka kwanu kumayendetsedwera komanso zoyipa zomwe mumakumana nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo ndi jakisoni wa hydromorphone.

Ngati mwagwiritsa ntchito jakisoni wa hydromorphone kwa masiku opitilira ochepa, osasiya kuigwiritsa ntchito mwadzidzidzi. Mukasiya mwadzidzidzi kugwiritsa ntchito jakisoni wa hydromorphone, mutha kukumana ndi zizindikiritso zakudzipatula kuphatikiza kusakhazikika; maso misozi; mphuno; kuyasamula; thukuta; kuzizira; kupweteka kwa minofu, msana kapena molumikizana; kukulitsa ophunzira; kukwiya; nkhawa; kufooka; kukokana m'mimba; zovuta kugona kapena kugona; nseru; kusowa chilakolako; kusanza; kutsegula m'mimba; kupuma mofulumira; kapena kugunda kwamtima. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito jakisoni wa hydromorphone,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi jakisoni wa hydromorphone, mankhwala ena aliwonse, sulfite, latex, kapena chilichonse mwazowonjezera jekeseni wa hydromorphone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo LOFUNIKITSA CHENJEZO ndi zina mwa izi: buprenorphine (Belbuca, Buprenex, Butrans, ku Bunavail); kachilombo; ipratropium (Atrovent, mu Mgwirizano Wophatikiza); mankhwala a glaucoma, matenda opweteka m'mimba, matenda a Parkinson, zilonda zam'mimba, ndi mavuto amikodzo; ndi pentazocine (Talwin). Komanso uzani dokotala kapena wamankhwala ngati mukumwa mankhwala aliwonse otsatirawa kapena mwasiya kumwa mankhwalawa m'masabata awiri apitawa: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate) . Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani adotolo ngati muli ndi mphumu, kupuma pang'ono, kutsekeka m'mimba kapena m'matumbo, kapena leus wodwala (vuto lomwe chakudya chodetsedwa sichidutsa m'matumbo). Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa hydromorphone.
• uzani dokotala wanu ngati mwadwalapo mutu kapena munadwalapo mutu, chotupa muubongo, kapena vuto lililonse lomwe lawononga ubongo wanu; vuto lililonse lomwe limakulitsa kukakamizidwa muubongo wanu; kyphoscoliosis (kupindika kwa msana komwe kumatha kubweretsa mavuto kupuma); kuthamanga kwa magazi; hypothyroidism (momwe chithokomiro chimatulutsa mahomoni ocheperako kuposa zachilendo); matenda am'mapapo monga matenda osokoneza bongo am'mapapo (gulu la matenda omwe amakhudza mapapo ndi njira zopumira); Matenda a Addison (momwe adrenal gland imatulutsira mahomoni ocheperako kuposa zachilendo); kugwidwa; delirium tremens (zizindikiritso zoopsa zochoka zomwe zimatha kupezeka mwa anthu omwe amamwa mowa wambiri kwakanthawi ndikusiya kumwa); urethral stricture (kutseka kwa chubu komwe kumalola mkodzo kutuluka mthupi); kukulitsa prostate (gland yobereka yobereka); kapena ndulu, kapamba, chiwindi, kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Ngati mumamwa ma hydromorphone pafupipafupi mukakhala ndi pakati, mwana wanu amatha kukhala ndi ziwopsezo zochoka pobereka. Uzani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kukwiya, kusakhazikika, kugona mokwanira, kulira kwambiri, kugwedeza kosalamulirika kwa gawo lina la thupi, kusanza, kutsegula m'mimba, kapena kulephera kunenepa.
• Uzani dokotala wanu ngati mukuyamwitsa.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito hydromorphone.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito jakisoni wa hydromorphone.
• muyenera kudziwa kuti jakisoni wa hydromorphone akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti jakisoni wa hydromorphone amatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukugwiritsa ntchito jakisoni wa hydromorphone nthawi zonse, gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira.Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Jekeseni wa Hydromorphone itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kudzimbidwa
• pakamwa pouma
• wamisala
• Kusinza
• kuchapa
• kuyabwa
• zosintha

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi, siyani kumwa jakisoni wa hydromorphone ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• adachepetsa kapena kusiya kupuma
• kusakhazikika, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malungo, thukuta, chisokonezo, kugunda kwamtima, kunjenjemera, kuuma minofu mwamphamvu kapena kugwedezeka, kutayika kwa mgwirizano, nseru, kusanza, kapena kutsekula m'mimba
• nseru, kusanza, kusowa kwa njala, kufooka, kapena chizungulire
• Kulephera kupeza kapena kusunga erection
• msambo wosasamba
• Kuchepetsa chilakolako chogonana
• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, pakamwa, kapena pakhosi
• kuvuta kupuma kapena kumeza
• ukali
• kugwidwa
• kukomoka

Jekeseni wa Hydromorphone itha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Wothandizira zaumoyo wanu adzakuuzani momwe mungasungire mankhwala anu. Sungani mankhwala anu malinga ndi malangizo. Onetsetsani kuti mukumvetsetsa momwe mungasungire mankhwala anu moyenera. Tayani mankhwala aliwonse omwe ndi achikale kapena osafunikanso. Lankhulani ndi wothandizira zaumoyo wanu za momwe mungagwiritsire ntchito mankhwala anu.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Mukamagwiritsa ntchito hydromorphone, muyenera kukambirana ndi adotolo za mankhwala opulumutsa omwe amatchedwa naloxone omwe amapezeka mosavuta (mwachitsanzo, kunyumba, ofesi). Naloxone imagwiritsidwa ntchito kusintha zomwe zimawopseza moyo chifukwa cha bongo. Zimagwira ntchito poletsa zotsatira za ma opiate kuti athetse zovuta zomwe zimayambitsidwa ndi ma opiate ambiri m'magazi. Dokotala wanu amathanso kukupatsirani naloxone ngati mukukhala m'nyumba momwe muli ana aang'ono kapena wina yemwe wagwiritsa ntchito mankhwala osokoneza bongo mumsewu. Muyenera kuwonetsetsa kuti inu ndi abale anu, osamalira odwala, kapena anthu omwe mumacheza nanu mukudziwa momwe mungadziwire kuchuluka kwa mankhwala osokoneza bongo, momwe mungagwiritsire ntchito naloxone, ndi zomwe muyenera kuchita mpaka chithandizo chadzidzidzi chidzafike. Dokotala wanu kapena wamankhwala akuwonetsani inu ndi abale anu momwe mungagwiritsire ntchito mankhwalawa. Funsani wamankhwala wanu kuti akupatseni malangizowo kapena pitani patsamba la wopanga kuti mupeze malangizowo. Ngati zizindikilo za bongo zikachitika, mnzanu kapena wachibale akuyenera kupereka mlingo woyamba wa naloxone, itanani 911 mwachangu, ndikukhala nanu ndikukuyang'anirani mpaka thandizo ladzidzidzi litafika. Zizindikiro zanu zimatha kubwerera mkati mwa mphindi zochepa mutalandira naloxone. Ngati zizindikiro zanu zibwerera, munthuyo akuyenera kukupatsaninso mankhwala a naloxone. Mlingo wowonjezerapo ungaperekedwe mphindi ziwiri kapena zitatu zilizonse, ngati zizindikiro zibwerera chithandizo chamankhwala chisanabwere.

Zizindikiro za bongo zingaphatikizepo izi:

• kupuma pang'ono kapena pang'ono
• kuvuta kupuma
• kugona
• osakhoza kuyankha kapena kudzuka
• kufooka kwa minofu
• kozizira, khungu lamadzi
• kuchepa kapena kukulira kwa ana (bwalo lakuda pakati pa diso)
• kuchepa kapena kuyimitsa kugunda kwa mtima
• chizungulire
• kukomoka
• kukuwa

Sungani maimidwe onse ndi dokotala wanu.

Mankhwalawa sangabwerenso. Ngati mupitiliza kumva zowawa mukamaliza jekeseni wa hydromorphone, itanani dokotala wanu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Dilaudid^®
• Chidwi-HP^®

• dihydromorphinone