Kutsekemera kwa Hydromorphone

Zamkati

• Kuti mugwiritse ntchito ma suppositories, tsatirani izi:
• Musanagwiritse ntchito ma suppositories a hydromorphone,
• Makandulo a Hydromorphone amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Matenda a Hydromorphone amatha kukhala chizolowezi, makamaka akagwiritsa ntchito nthawi yayitali. Gwiritsani ntchito rectal ya hydromorphone chimodzimodzi monga mwalamulira. Musagwiritse ntchito mulingo wokulirapo, mugwiritseni ntchito pafupipafupi, kapena muugwiritse ntchito kwa nthawi yayitali kapena mwanjira ina kuposa momwe adalangidwira dokotala. Mukamagwiritsa ntchito ma rectal a hydromorphone, kambiranani ndi omwe amakuthandizani pazithandizo zanu zopweteka, 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 amwa mankhwala osokoneza bongo, kapena ngati mwakhala mukuvutika maganizo kapena matenda ena amisala. Pali chiopsezo chachikulu choti mugwiritse ntchito tinthu tating'onoting'ono ta hydromorphone 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.

Kumwa mankhwala ena mukamamwa mankhwala a hydromorphone rectal kungapangitse kuti mukhale ndi vuto lakupuma, kupuma, kapena kukomoka. Uzani dokotala wanu ngati mukumwa kapena mukufuna kumwa mankhwala aliwonse awa: benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), 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; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu ndikukuyang'anirani mosamala. Ngati mumagwiritsa ntchito mankhwala a hydromorphone rectal 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 mukamamwa mankhwala a hydromorphone rectal kumawonjezera chiopsezo kuti mutha kukumana ndi zotsatirapo zoyipa zomwe zimawopseza moyo wanu. Musamamwe mowa, tengani mankhwala akuchipatala omwe mulibe mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito tinthu tating'onoting'ono ta hydromorphone.

Ma suppositories a Hydromorphone amagwiritsidwa ntchito kuti achepetse kupweteka kwambiri. Hydromorphone ili mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Hydromorphone imabwera ngati chowonjezera kuti chiyike mu rectum. Imayikidwa kamodzi pa maola 6 kapena 8 aliwonse. Ikani hydromorphone mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito ma suppositories a hydromorphone monga momwe mwalamulira.

Osasiya kugwiritsa ntchito ma suppositories a hydromorphone osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kugwiritsa ntchito ma suppositories a hydromorphone, mutha kukumana ndi zizindikilo zakudziperekanso monga kusakhazikika, maso akung'ambika, mphuno yothamanga, kuyasamula, kutuluka thukuta, kuzizira, tsitsi kuyimirira, kupweteka kwa minofu ndi kulumikizana, kukulira kwa ana (mabwalo akuda pakati pa Maso), kukwiya, nkhawa, kupweteka kwa msana, kufooka, kukhumudwa m'mimba, kuvuta kugona kapena kugona, kunyansidwa, kusowa chilakolako, kusanza, Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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 ma suppositories a hydromorphone,

• Uzani dokotala ndi wamankhwala ngati muli ndi vuto la hydromorphone, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu ma suppositories a 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 mwatchulapo izi: cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); lithiamu (Lithobid, ku Librax); mankhwala ophera mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ku Treximet), ndi zolmitriptan (Zomig); mirtazapine (Remeron); mankhwala osokoneza bongo opweteka kupatula hydromorphone; 5HT₃ otsekemera a serotonin monga alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), kapena palonosetron (Aloxi, ku Akynzeo); 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); trazodone; ndi tricyclic antidepressants ('mood elevators') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ndi trimipramine (Surmontil). Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa kapena kulandira mankhwala otsatirawa a monoamine oxidase (MAO) kapena ngati mwasiya kuwamwa m'masabata awiri apitawa: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), kapena tranylcypromine (Parnate). Mankhwala ena ambiri amathanso kulumikizana ndi hydromorphone, 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 St. John's kapena tryptophan.
• uzani dokotala wanu ngati mwadwalapo mutu kapena china chilichonse chomwe chinawononga ubongo wanu, vuto lililonse lomwe limakulitsa kukakamizidwa kwa ubongo wanu; kupuma pang'ono; kapena vuto lililonse lomwe limakhudza kupuma kwanu monga mphumu, matenda osokoneza bongo (COPD; gulu la matenda kuphatikiza bronchitis yanthawi yayitali komanso emphysema yomwe imakhudza mapapo ndi njira zowuluka), kapena kyphoscoliosis (kupindika kwa msana komwe kumatha kubweretsa mavuto kupuma). Dokotala wanu angakuuzeni kuti musagwiritse ntchito ma suppositories a hydromorphone.
• uzani dokotala wanu ngati ndinu wachikulire kapena ngati mwafooka kapena mukusowa zakudya m'thupi. Komanso muuzeni dokotala ngati mwakhalapo ndi hypothyroidism (matenda omwe chithokomiro chimatulutsa timadzi tating'onoting'ono); Matenda a Addison (momwe adrenal gland imatulutsira mahomoni ocheperako kuposa zachilendo); vuto lililonse lomwe limayambitsa vuto la kukodza monga kukulitsa kwa Prostate (chiberekero chamwamuna) kapena kutsekeka kwa urethral (kutsekeka kwa chubu komwe kumalola mkodzo kutuluka mthupi); kapena chiwindi kapena matenda a impso.

• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito ma hydromorphone suppositories, itanani dokotala wanu.

• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka kwa abambo ndi amai. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito ma suppositories a hydromorphone.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito ma suppositories a hydromorphone.
• muyenera kudziwa kuti hydromorphone imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti hydromorphone imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito ma suppositories a hydromorphone. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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.

Makandulo a Hydromorphone amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kudzimbidwa
• Kusinza
• zosintha
• chisokonezo
• kuvuta kukodza
• kuchepa kwa ophunzira (mdima wakuda pakati pa maso)

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• adachepetsa kapena kusiya kupuma
• kupuma kosasintha kapena komwe kumayima ndikuyamba
• 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

Makandulo a Hydromorphone 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. Sungani mu firiji. Tayani mankhwala aliwonse omwe ndi achikale kapena osafunikanso. Lankhulani ndi wamankhwala 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

Sungani ma suppositories a hydromorphone mufiriji pamalo abwino kuti pasakhale wina aliyense amene angamwe mankhwalawo mwangozi kapena mwadala. Onetsetsani kuti pali zotsalira zingati zomwe zatsala kuti mudziwe ngati pali zina zomwe zikusowa.

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 kachipangizo kakang'ono ka 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

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

Musanayezetsedwe kwa labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi ogwira nawo ntchito kuti mukugwiritsa ntchito hydromorphone.

Mankhwalawa sangabwerenso. Ngati mupitiliza kumva zowawa mukamaliza ma hydromorphone suppositories, 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.

• amapezeka mowirikiza

• dihydromorphinone