Makhalidwe Abwino a Morphine

Zamkati

• Kuti mugwiritse ntchito ma suppositories, tsatirani izi:
• Musanagwiritse ntchito morphine wamatumbo,
• Morphine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Morphine rectal imatha kukhala chizolowezi chopanga, makamaka pogwiritsa ntchito nthawi yayitali. Gwiritsani ntchito morphine ndendende monga momwe mwalamulira. Osamagwiritsa ntchito zochulukirapo, gwiritsani ntchito pafupipafupi, kapena muzigwiritsa ntchito mosiyana ndi momwe dokotala akuwuzirani. Pamene mukugwiritsa ntchito morphine rectal, kambiranani ndi omwe amakuthandizani azaumoyo 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 choti mugwiritse ntchito morphine 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.

Morphine akhoza kuonjezera chiopsezo choti mudzakumana ndi mavuto opuma kapena mavuto ena opumira kapena owopsa, kupuma, kapena kukomoka ngati mutagwiritsa ntchito mankhwala ena. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), ndi triazolam (Halcion); mankhwala a matenda amisala, nseru, kapena kupweteka; zotsegula minofu; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mugwiritsa ntchito morphine rectal ndi iliyonse yamankhwalawa 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 osalembera omwe ali ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mukamamwa mankhwala a morphine rectal kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa izi. 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 kogwiritsa ntchito morphine rectal.

Morphine rectal imagwiritsidwa ntchito kuchepetsa kupweteka pang'ono. Morphine ali mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe thupi limamvera kupweteka.

Morphine rectal imabwera ngati chothandizira kuwonjezera mu rectum. Nthawi zambiri amaikidwa m'maola 4 aliwonse. Gwiritsani ntchito rectal morphine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito morphine ndendende monga momwe mwalamulira.

Dokotala wanu amatha kusintha mlingo wanu wa morphine mukamachiza kuti muchepetse ululu wanu momwe mungathere. Ngati mukumva kuti kupweteka kwanu sikukuyendetsedwa, pitani kuchipatala. Musasinthe kuchuluka kwa mankhwala anu osalankhula ndi dokotala.

Osasiya kugwiritsa ntchito morphine osalankhula ndi dokotala. Dokotala wanu akhoza kuchepetsa mlingo wanu pang'onopang'ono. Mukasiya mwadzidzidzi kugwiritsa ntchito morphine, mutha kukhala ndi zizindikilo zobwerera m'mbuyo monga nkhawa; thukuta; zovuta kugona kapena kugona; kuzizira; kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira; nseru; kutsegula m'mimba; kutuluka mphuno, kuyetsemula kapena kutsokomola; Tsitsi pakhungu lako likuima kumapeto; kapena kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe).

Kuti mugwiritse ntchito ma suppositories, tsatirani izi:

1. Chotsani chovundikiracho.
2. Sindikizani nsonga ya suppository m'madzi.
3. Gona kumanzere kwako ndikukweza bondo lako lamanja pachifuwa chako (munthu wamanzere ayenera kugona kumanja ndikukweza bondo lakumanzere.)
4. Pogwiritsa ntchito chala chanu, ikani suppository pafupifupi 1 inchi (2.5 masentimita) mu rectum.
5. Gwirani mmalo ndi chala chanu kwakanthawi kochepa
6. Imirirani pafupi mphindi 15. Sambani m'manja mwanu ndikuyambiranso ntchito zanthawi zonse.

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

Musanagwiritse ntchito morphine wamatumbo,

• uzani dokotala ndi wamankhwala kuti ngati muli ndi vuto la morphine, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa mu morphine suppositories. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• osagwiritsa ntchito rectal morphine ngati mukumwa monoamine oxidase (MAO) choletsa monga isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), procarbazine (Matulane), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate) kapena ngati mwasiya kumwa mankhwala aliwonse m'masabata awiri apitawa. Dokotala wanu angakuuzeni kuti musagwiritse ntchito mankhwala amtundu wa morphine ngati mukumwa mankhwala amodzi kapena angapo.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); antihistamines (omwe amapezeka m'mazizira ndi mankhwala osokoneza bongo); mankhwala a khunyu; barbiturates monga phenobarbital ndi primidone (Mysoline); zotchinga beta monga propranolol (Hemangeol, Inderal, Innopran); kachilombo; chloral hydrate, chlorpromazine, dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); lithiamu (Lithobid), mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); methocarbamol (Robaxin), mirtazapine (Remeron); nalbuphine; pentazocine (Talwin); 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi); serotonin-reuptake inhibitors monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, mu Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), ndi sertraline (Zoloft); serotonin ndi norepinephrine reuptake inhibitors monga desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), ndi venlafaxine (Effexor); tramadol (Conzip, Ultram, in Ultracet), ndi tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), Vivactil), ndi trimipramine (Surmontil). Mankhwala ena ambiri amathanso kulumikizana ndi rectal morphine, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. John's ndi tryptophan.
• uzani dokotala wanu ngati mumamwa kapena mumamwa mowa wambiri kapena munachitidwapo opaleshoni kapena kuchita opaleshoni m'mimba. Muuzeni dokotala ngati mwadwalapo kapena mwakhalapo mutu wina; chotupa chaubongo kapena vuto lililonse lomwe limakulitsa kuchuluka kwa zovuta muubongo wanu; kugwidwa; mavuto aakulu kapena owopsa moyo; mphumu; kugunda kwamtima kosasintha; kapena kulephera kwa mtima. Dokotala wanu angakuuzeni kuti musagwiritse ntchito rectal morphine.
• uzani dokotala ngati mwachitidwapo opaleshoni yayikulu. Muuzeni dokotala ngati mwadwalapo kapena mwakhalapo ndi matenda amisala; Matenda am'mapapo (COPD; gulu la matenda omwe amachititsa kuti mapapu asagwire ntchito) kapena mavuto ena kupuma; Prostatic hypertrophy (kukulitsa kwamphongo yoberekera yamwamuna); urethral stricture (kutseka kwa chubu komwe kumalola mkodzo kutuluka mthupi); mavuto kwamikodzo; kuthamanga kwa magazi; Matenda a Addison (momwe thupi silimapangira zinthu zina zachilengedwe); kapena chithokomiro, chiwindi, impso, kapamba, matumbo, kapena ndulu.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito morphine, itanani dokotala wanu.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito rectal morphine.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito morphine.
• muyenera kudziwa kuti morphine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Imwani madzi ambiri mukamagwiritsa ntchito mankhwalawa.

Ikani mlingo womwe umasowa mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Osayika mlingo wambiri kuti ukhale wosowa.

Morphine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• wamisala
• Kusinza
• kuvuta kugona kapena kugona
• kudzimbidwa
• kupweteka m'mimba
• pakamwa pouma
• mutu
• mavuto owonera
• kuchepa pokodza
• kuchapa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kupuma pang'ono, kosazama, kapena kosasintha
• kusintha kwa kugunda kwa mtima
• 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
• buluu kapena utoto wofiirira pakhungu
• kukomoka
• ming'oma
• zidzolo
• kuyabwa
• kutupa kwa mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi

Morphine amatha kuyambitsa 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).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

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 morphine, muyenera kuyankhula 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'onopang'ono, kosazama, kapena kosasintha
• kuvuta kupuma
• buluu kapena utoto wofiirira pakhungu
• kugona
• Kusinza
• osakhoza kuyankha kapena kudzuka
• Minofu yolumala
• kozizira, khungu lamadzi
• kugunda kochedwa mtima
• kusawona bwino
• nseru
• kukomoka

Sungani maimidwe onse ndi dokotala ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu limayankhira morphine.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukugwiritsa ntchito morphine rectal.

Mankhwalawa sangabwerenso. Ngati mukugwiritsa ntchito morphine kuti muchepetse ululu wanu kwa nthawi yayitali, onetsetsani kuti mwakhazikitsa nthawi yokumana ndi dokotala kuti musataye mankhwala. Ngati mukugwiritsa ntchito morphine kwakanthawi kochepa, itanani dokotala wanu ngati mupitiliza kumva ululu mukamaliza mankhwala.

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.

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