Mpweya wabwino

Zamkati

• Musanatenge hydromorphone,
• Hydromorphone ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Hydromorphone ikhoza kukhala chizolowezi chopanga, makamaka pogwiritsa ntchito nthawi yayitali. Tengani hydromorphone monga momwe mwalamulira. Osamutenga wochulukirapo, uzimutenga pafupipafupi, kapena umutenge mosiyana ndi momwe dokotala akuuzira. Mukamamwa ma hydromorphone, kambiranani ndi omwe amakuthandizani pa 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.

Hydromorphone imatha kubweretsa mavuto owopsa kupuma, makamaka munthawi ya 24 mpaka 72 maola omwe mumalandira chithandizo komanso nthawi iliyonse yomwe mlingo wanu ukuwonjezeka. Dokotala wanu adzakuyang'anirani mosamala mukamalandira chithandizo. Uzani dokotala wanu ngati mwachedwa kupuma kapena mwakhala mukudwala mphumu. Dokotala wanu angakuuzeni kuti musatenge hydromorphone. Komanso muuzeni dokotala ngati mwakhalapo kapena mudakhalapo ndi matenda am'mapapo monga matenda osokoneza bongo (gulu la matenda omwe amakhudza mapapu ndi mayendedwe amlengalenga), kuvulala pamutu, chotupa muubongo, kapena vuto lililonse lomwe limakulitsa kukakamiza muubongo wanu , kapena kyphoscoliosis (kupindika kwa msana komwe kumatha kubweretsa mavuto kupuma). Chiwopsezo chokhala ndi vuto lakupuma chingakhale chachikulu ngati ndinu wamkulu, kapena mukufooka kapena kusowa zakudya m'thupi chifukwa cha matenda. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chamankhwala mwadzidzidzi: kupuma pang'ono, kupuma pang'ono pakati pa kupuma, kapena kupuma pang'ono.

Kumwa mankhwala ena mukamamwa mankhwala a hydromorphone kungapangitse kuti mukhale ndi vuto lakupuma, kukhala pansi, 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 a mankhwalawa; mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu ndikukuyang'anirani mosamala. Ngati mumagwiritsa ntchito hydromorphone ndi imodzi mwa mankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono 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 hydromorphone kumawonjezera chiopsezo kuti mudzakumana ndi zovuta zoyipa zomwe zingawopsyeze moyo wanu. Musamamwe mowa, kumwa mankhwala akuchipatala kapena osalemba omwe muli ndi mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala.

Kumeza mapiritsi otulutsidwa akutali. Musagawanitse, kutafuna, kusungunula, kapena kuwaphwanya. Ngati mumeza mapiritsi osweka, otafuna, osweka, kapena osungunuka mutha kulandira ma hydromorphone ochulukirapo nthawi imodzi m'malo mongolandira mankhwala pang'onopang'ono pakapita nthawi. Izi zitha kuyambitsa mavuto akulu kupuma kapena kufa.

Musalole kuti aliyense azimwa mankhwala anu. Hydromorphone itha kuvulaza kapena kupha anthu ena omwe amamwa mankhwala anu, makamaka ana. Sungani ma hydromorphone pamalo otetezeka kuti wina aliyense asatenge mwangozi kapena mwadala. Samalani kwambiri kuti ma hydromorphone asawonekere ana. Onetsetsani mapiritsi angati kapena kuchuluka kwa madzi omwe atsala kuti mudziwe ngati pali mankhwala omwe akusowa. Chotsani mapiritsi osafunikira kapena osafunikanso, mapiritsi otalikirapo, ndi madzi pomwaza mankhwala mchimbudzi. (Onani KUSUNGA NDIPONSO KUTAYA.)

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.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala anu ndi hydromorphone ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito hydromorphone.

Hydromorphone imagwiritsidwa ntchito kuthetsa ululu. Ma mapiritsi otulutsidwa a Hydromorphone amagwiritsidwa ntchito kuthana ndi ululu waukulu kwa anthu omwe akuyembekezeredwa kufunafuna mankhwala opweteka nthawi yayitali kwa nthawi yayitali komanso omwe sangalandire mankhwala ena. Mapiritsi otulutsidwa a Hydromorphone ayenera kugwiritsidwa ntchito pochiza anthu omwe ali ololera (omwe amagwiritsidwa ntchito ndi mankhwalawa) mankhwala opioid chifukwa amamwa mankhwalawa kwa sabata limodzi ndipo sayenera kugwiritsidwa ntchito pochiza pang'ono kapena pang'ono kupweteka, kupweteka kwakanthawi, kupweteka pambuyo pochita opareshoni kapena njira zamankhwala kapena mano, kapena ululu womwe ungawongoleredwe ndi mankhwala omwe amatengedwa ngati akufunikira. Hydromorphone ili mgulu la mankhwala otchedwa opiate (narcotic) analgesics. Zimagwira ntchito posintha momwe ubongo ndi dongosolo lamanjenje zimayankhira ndikumva kuwawa.

Hydromorphone imabwera ngati madzi, piritsi, ndi piritsi lotulutsa nthawi yayitali kuti mutenge pakamwa. Madziwo amatengedwa maola atatu kapena 6 aliwonse ndipo mapiritsiwo amatengedwa maola 4 kapena 6 aliwonse. Mapiritsi otulutsidwa amatengedwa kamodzi tsiku lililonse kapena popanda chakudya. Tengani hydromorphone mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani hydromorphone monga momwe mwalamulira.

Musalole kuti madzi a hydromorphone akhudze khungu kapena zovala zanu. Ngati kukhudzana koteroko kumachitika, chotsani zovala zilizonse zakumwa ndikutsuka khungu lanu ndi madzi ozizira.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa hydromorphone ndipo pang'onopang'ono muwonjezere mlingo wanu, osati kangapo kamodzi masiku atatu kapena anayi. Dokotala wanu akhoza kuchepetsa mlingo wanu ngati mukukumana ndi zovuta. Uzani dokotala wanu ngati mukumva kuti kupweteka kwanu sikukuyendetsedwa kapena ngati mukukumana ndi zovuta mukamalandira hydromorphone. Musasinthe kuchuluka kwa mankhwala anu osalankhula ndi dokotala.

Osasiya kumwa ma hydromorphone osalankhula ndi dokotala. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Ngati mwasiya mwadzidzidzi kutenga hydromorphone, mutha kukumana ndi zizindikilo zakubwerera m'mbuyo kuphatikizapo kusakhazikika, maso akung'ambika, mphuno yothamanga, kuyasamula, kutuluka thukuta, kuzizira, tsitsi kuyimirira kumapeto, kupweteka kwa minofu kapena kulumikizana, kukulitsa kwa ana (mabwalo akuda pakati pa maso ), kukwiya, nkhawa, kupweteka kwa msana, kufooka, kupweteka m'mimba, kuvutika kugona kapena kugona, kusanza, kusowa chilakolako, kusanza, kutsegula m'mimba, kupuma msanga, kapena kugunda kwamtima. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono. Ngati simutenga mapiritsi otulutsidwa a hydromorphone kwa nthawi yayitali kuposa masiku atatu pazifukwa zilizonse, lankhulani ndi dokotala musanayambenso kumwa mankhwalawo.

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

Musanatenge hydromorphone,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la hydromorphone, mankhwala ena aliwonse, ma sulfite, kapena chilichonse mwazomwe zimaphatikizidwa m'mapiritsi a hydromorphone, yankho, kapena mapiritsi otulutsidwa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze 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 la CHENJEZO CHENJEZO ndi zina mwa izi: buprenorphine (Buprenex, Butrans, ku Suboxone, ku Zubsolv, ena); kachilombo; cyclobenzaprine (Amrix); dextromethorphan (yomwe imapezeka m'mankhwala ambiri a chifuwa; ku Nuedexta); ipratropium (Atrovent); mankhwala a glaucoma, matenda opweteka m'mimba, matenda a Parkinson, zilonda zam'mimba, ndi mavuto amikodzo; lifiyamu (Lithobid); mankhwala a mutu waching'alang'ala monga almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, ku Treximet), ndi zolmitriptan (Zomig); 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); trazodone (Oleptro); ndi tricyclic antidepressants ('mood elevator') monga amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), ndi trimipramine. Komanso uzani dokotala kapena wamankhwala ngati mukumwa kapena kulandira chilichonse mwa mankhwalawa a monoamine oxidase (MAO) kapena 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 ya St. John's ndi tryptophan.
• auzeni adotolo ngati muli ndi zina mwazomwe zalembedwa m'chigawo CHOFUNIKITSA CHENJEZO kapena leus wodwala (vuto lomwe chakudya sichidutsa m'matumbo), kapena chotchinga m'mimba kapena m'matumbo. Dokotala wanu angakuuzeni kuti musatenge hydromorphone.
• ngati mukumwa mapiritsi otulutsidwa, muuzeni dokotala ngati mwachitidwapo opaleshoni yomwe yasintha momwe chakudya chimadutsira m'mimba mwanu kapena m'matumbo kapena ngati muli ndi vuto lililonse lomwe limapangitsa kuchepa kwa khosi amanyamula chakudya kuchokera pakamwa kupita m'mimba), m'mimba, kapena m'matumbo monga cystic fibrosis (vuto lomwe limapangitsa kuti thupi litulutse mamina okhwima, omata omwe amatha kuphimba kapamba, mapapo, ndi ziwalo zina za thupi), peritonitis (kutupa Zamkatimu zam'mimba (m'mimba), Meckel's diverticulum (chotupa mkatikati mwa m'mimba chomwe chimakhalapo pobadwa), m'matumbo osalepheretsa kutsekula m'mimba (momwe minofu yamatumbo siyiyendetsera chakudya bwino kudzera Matumbo), kapena matenda opatsirana am'mimba (IBD; gulu lazomwe zimayambitsa kutupa kwa matumbo. Dokotala wanu akhoza kukuwuzani kuti musatenge mapiritsi otulutsira ma hydromorphone.
• auzeni dokotala ngati mwakhalapo ndi kuthamanga kwa magazi pang'ono kapena pang'ono; Matenda a Addison (momwe adrenal gland imatulutsira mahomoni ochepera kuposa mwakale); kugwidwa; vuto lililonse lomwe limayambitsa vuto la kukodza, monga prostate wokulitsa (chiberekero chamwamuna) kapena urethral solidure (kutsekeka kwa chubu komwe kumalola mkodzo kutuluka mthupi); kapena ndulu, kapamba, chiwindi, chithokomiro, kapena matenda a impso.
• 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 adotolo kapena dokotala kuti mukumwa 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. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti hydromorphone imatha kudzimbidwa. Lankhulani ndi dokotala wanu zakusintha kadyedwe kanu kapena kugwiritsa ntchito mankhwala ena kuti muchepetse kapena kudzimbidwa mukamamwa hydromorphone.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukumwa mapiritsi kapena yankho, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ngati mukumwa mapiritsi otulutsidwa, tulukani mlingo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo umodzi wokha wa mapiritsi otalikirapo m'maola 24.

Hydromorphone ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• kuvuta kugona kapena kugona
• pakamwa pouma
• wamisala
• Kusinza
• thukuta lolemera
• kupweteka kwa msana, kumbuyo kapena molumikizana
• kupweteka m'mimba
• nkhawa
• kuchapa
• kuyabwa
• kukhumudwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, pakamwa, pakhosi, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma kapena kumeza
• ukali
• 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
• kugwidwa
• kupweteka pachifuwa
• Kusinza kwambiri
• kukomoka
• mutu wopepuka mukasintha malo

Hydromorphone ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa 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). Muyenera kutaya nthawi yomweyo mankhwala aliwonse omwe ndi achikale kapena osafunikanso kudzera pulogalamu yobwezeretsanso mankhwala. Ngati mulibe pulogalamu yobwezera pafupi kapena yomwe mungathe kulowa mwachangu, tsambulani madzi aliwonse a hydromorphone kapena mapiritsi omwe atha ntchito kapena osafunikanso kuchimbudzi. 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

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.

Mukamamwa 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 (mdima pakati pa maso)
• 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 mukumwa ma hydromorphone.

Ngati mukumwa piritsi lotulutsidwayo ndipo muli ndi mayeso ena a x-ray, uzani katswiri kuti mukumwa mankhwalawa.

Mankhwalawa sangabwerenso. Ngati mupitiliza kumva ululu mukamaliza hydromorphone, itanani dokotala wanu.

Ngati mukumwa mapiritsi omasulidwa, mutha kuwona kuti chipolopolocho chili pansi panu. Izi ndi zachilendo ndipo sizitanthauza kuti simunalandire mankhwala athunthu.

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^®
• Exalgo^®

• dihydromorphinone