Mlembi: Marcus Baldwin
Tsiku La Chilengedwe: 18 Kuni 2021
Sinthani Tsiku: 16 Novembala 2024
Anonim
Midazolam jekeseni - Mankhwala
Midazolam jekeseni - Mankhwala

Zamkati

Jekeseni wa Midazolam imatha kubweretsa mavuto akulu kapena owopsa kupuma monga kupuma pang'ono, kuchepa, kapena kupuma kwakanthawi komwe kumatha kubweretsa kuvulala kwamiyendo kapena kufa. Muyenera kulandira mankhwalawa kuchipatala kapena kuofesi ya dokotala yomwe ili ndi zida zofunika kuwunika mtima wanu ndi mapapo anu ndikupatseni chithandizo chamankhwala chopulumutsa moyo mwachangu ngati kupuma kwanu kumachedwetsa kapena kutha. Dokotala wanu kapena namwino adzakuyang'anirani mukalandira mankhwalawa kuti muwonetsetse kuti mukupuma bwino. Uzani dokotala wanu ngati muli ndi matenda opatsirana kwambiri kapena ngati mwakhalapo ndi mapapo, mpweya, kapena kupuma kapena matenda amtima. Uzani dokotala ndi wazamankhwala ngati mukumwa mankhwala aliwonse awa: barbiturates monga secobarbital (Seconal); mankhwala osokoneza bongo (Inapsine); mankhwala a nkhawa, matenda amisala, kapena kugwidwa; opiate mankhwala a chifuwa monga codeine (ku Triacin-C, ku Tuzistra XR) kapena hydrocodone (ku Anexsia, ku Norco, ku Zyfrel) kapena kupweteka monga codeine, fentanyl (Actiq, Duragesic, Subsys, ena), hydromorphone (Dilaudid , Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (ku Oxycet, ku Percocet, ku Roxicet, ena), ndi tramadol (Conzip, Ultram, mu Ultracet) ; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza.


Jekeseni wa Midazolam imagwiritsidwa ntchito njira zamankhwala zisanachitike ndikuchitidwa opaleshoni kuti zizitha, kuthetsa nkhawa, komanso kupewa kukumbukira chilichonse. Nthawi zina amaperekedwanso ngati gawo la ochititsa dzanzi pochita opaleshoni kuti atayike. Jekeseni wa Midazolam imagwiritsidwanso ntchito kupangitsa kuti anthu odwala kwambiri azikhala ndi nkhawa kwambiri m'magulu azachipatala (ICU) omwe akupuma mothandizidwa ndi makina. Jakisoni wa Midazolam ali mgulu la mankhwala otchedwa benzodiazepines. Zimagwira pochepetsa zochitika muubongo kuti zilole kupumula ndikuchepetsa chidziwitso.

Jakisoni wa Midazolam amabwera ngati yankho (madzi) kuti alowe mu mnofu kapena mumtsempha ndi dokotala kapena namwino kuchipatala kapena kuchipatala.

Mukalandira jakisoni wa midazolam ku ICU kwakanthawi, thupi lanu limadalira. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono kuti muchepetse zizindikiritso zakudzipatula monga khunyu, kugwedezeka kosalamulirika kwa gawo lina la thupi, kuyerekezera zinthu zina (kuwona zinthu kapena kumva mawu omwe kulibe), kukokana m'mimba ndi minofu, nseru, kusanza, kutuluka thukuta, mwachangu kugunda kwa mtima, kuvutika kugona kapena kugona, komanso kukhumudwa.


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

Asanalandire jakisoni wa midazolam,

  • uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi midazolam kapena mankhwala aliwonse.
  • Uzani dokotala wanu ngati mukumwa mankhwala enaake a kachilombo ka HIV kuphatikizapo amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, ku Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), saquinavir (Invirase), ndi tipranavir (Aptivus). Dokotala wanu atha kusankha kuti asakupatseni jakisoni wa midazolam 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 mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi zina mwa izi: aminophylline (Truphylline); ma antifungal ena monga itraconazole (Sporanox) ndi ketoconazole (Nizoral); zotchinga zina za calcium monga diltiazem (Cartia, Cardizem, Tiazac, ena) ndi verapamil (Calan, Isoptin, Verelan, ena); cimetidine (Tagamet); dalfopristin-quinupristin (Synercid); ndi erythromycin (E-mycin, E.E.S.). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi midazolam, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • uzani dokotala ngati muli ndi glaucoma (kuthamanga kwambiri m'maso komwe kumatha kuyambitsa kutaya kwamaso pang'onopang'ono). Dokotala wanu atha kusankha kuti asakupatseni jakisoni wa midazolam.
  • uzani dokotala ngati mwangomaliza kumene kumwa mowa wambiri kapena ngati mwakhalapo ndi matenda a impso kapena chiwindi.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa.
  • lankhulani ndi dokotala wanu za kuopsa ndi maubwino olandila jakisoni wa midazolam ngati muli ndi zaka 65 kapena kupitilira apo. Achikulire nthawi zambiri amayenera kulandira jakisoni wochepa wa jakisoni wa midazolam chifukwa kuchuluka kwake kumatha kubweretsa zovuta zina.
  • muyenera kudziwa kuti midazolam imatha kukupangitsani kuti mukhale osinza ndipo imakhudza kukumbukira kwanu, malingaliro anu, ndi mayendedwe anu. Osayendetsa galimoto kapena kuchita zina zomwe zikufuna kuti mukhale atcheru kwathunthu kwa maola 24 mutalandira midazolam komanso mpaka mankhwala atatha. Ngati mwana wanu akulandira jakisoni wa midazolam, mumuyang'anire mosamala kuti asagwe poyenda panthawiyi.
  • muyenera kudziwa kuti mowa umatha kukulitsa mavuto obwera chifukwa cha jakisoni wa midazolam.
  • muyenera kudziwa kuti maphunziro ena a ana ang'onoang'ono adadzetsa nkhawa zomwe zimagwiritsidwa ntchito mobwerezabwereza kapena kwa nthawi yayitali (> maola 3) za mankhwala osokoneza bongo kapena sedation monga midazolam mwa makanda ndi ana ochepera zaka 3 kapena azimayi m'miyezi yaposachedwa ya mimba yawo ingakhudze kukula kwa ubongo wa mwana. Kafukufuku wina m'makanda ndi makanda akuwonetsa kuti kusungulumwa kamodzi, kwakanthawi kochepa kwa mankhwala osokoneza bongo ndi sedation sikungakhale ndi zovuta pamakhalidwe kapena kuphunzira. Komabe, kafukufuku wowonjezera amafunikira kuti mumvetsetse bwino zomwe zimadza chifukwa chokhala ndi dzanzi pakukula kwaubongo mwa ana aang'ono. Makolo ndi omwe amasamalira ana ochepera zaka zitatu komanso amayi apakati ayenera kuyankhula ndi madotolo awo za kuopsa kwa mankhwala oletsa ululu pakukula kwaubongo komanso nthawi yoyenera ya njira zomwe zimafunikira mankhwala oletsa kupweteka.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.


Jekeseni wa Midazolam imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • mutu
  • Kusinza
  • nseru
  • kusanza
  • Zovuta
  • kukhosomola
  • kupweteka, kufiira, kapena kuuma kwa khungu pamalo opangira jekeseni

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa MUCHENJEZO CHENJEZO, itanani dokotala wanu mwachangu:

  • kubvutika
  • kusakhazikika
  • kugwedezeka kosalamulirika kwa gawo lina la thupi
  • kuuma ndi kugwedeza kwa manja ndi miyendo
  • kupsa mtima
  • kugwidwa
  • mayendedwe osayang'anirika mwachangu
  • ming'oma
  • zidzolo
  • kuyabwa
  • kuvuta kupuma kapena kumeza

Jekeseni wa Midazolam imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).

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.

Zizindikiro za bongo zingaphatikizepo izi:

  • Kusinza
  • chisokonezo
  • mavuto osamala komanso kuyenda
  • kutsika pang'ono
  • kupuma pang'ono ndi kugunda kwamtima
  • chikomokere (kutaya chidziwitso kwakanthawi)

Sungani maimidwe onse ndi dokotala wanu.

Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza jakisoni wa midazolam.

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.

  • Ndondomeko® Jekeseni
Idasinthidwa Komaliza - 04/15/2017

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